Qian Peng

Agenda for our 1 to 2 PM meeting today: Introductions Summary of Flint and elevated blood lead levels — Eden Wells Metrics related to department activities in Flint and need for population measure — Corinne Facilitated discussion and recommendations for measuring infants and children < 6 in Flint enrolled in Medicaid - Martha Corinne xxxEND_PAGE:dhhs02_b0617_2234_2234_1

When: Wednesday, December 16, 2015 1:30 PM-2:30 PM (UTC-05:00) Eastern Time (US & Canada). Where: 877-873-8017; 7931338 Scheduling per Corinne Miller’s request. Corinne will dial in as the host. Those located in Capitol View Bldg. are welcome to join the call in her office. 877-873-8017 Passcode: 7931338 Dec 16" (Wed) 1-2PM Thank you! Jasnese Bowlery Executive Secretary te Corinne Miler Sureau of Disexse Control, Prevention and Epidemiology MMehigan Department of Health & Mumen Services 203 Townsend Straat Lansing, Michigan 42923 Phone: (S17) S55-8734 Faw: (S27) 335-8285 << OLE Object: Picture (Device Independent Bitmap) >> xxxEND_PAGE:dhhs03_b0475_1725_1726_2

xxxEND_PAGE:dhhs02_b0615_2230_2232_1 002231 And 1 spoke toa scon! Daisy is the person thet was mentioned previously so | guess all necessary individuals are already involved, ©

Thanks Heather.

Heals up: Good afternoon Heather, Daisy and Monica, xxxEND_PAGE:dhhs02_b0615_2230_2232_2 002232 Last week Br. Wells, Sue Moran and {met with Medicaid health plan staff to discuss enhanced blood fead testing of children <6 years residing in Hint. We have developed a set of metrics to monitor MDHHS activities in Flint and wanted to develop a metric/s for the percentage of children (and infants} residing in Flint and enrolled in Medicaid who have received bisod lead testing. Knowing some of the challenges of working with Medicaid data, one of our requests to Medicaid was for help in developing a method to define “children enrolled in Medicaid” in Flint. We wanted to use that number a5 a denominator in some new metrics to measure the degree to which messaging and activities related to blood lead testing among children in Flint are having an effect. Daisy and Monica - your names came up as individuals we could work with. fwould like to schedule a workgroup to discuss development af a denominator based on Medicaid data and te provide a brief background or the Aint water situation. Frarn the population health administration, our workgroup members would be Patti Mekane, Martha Stanbury, myself and Eden Walls as the desartment’s CME. Monica — 1 was told you may want to aopointmert someone in your place. Hf that is the case please let me know. Otherwise f articigate the Medicaid program members of this workgroup would be Heather, Monica, and Daisy. Thank you for your help. Corinne xxxEND_PAGE:dhhs02_b0615_2230_2232_3

Attached you will find the July 2015 Medicaid Blood Lead Testing report. This report is produced on a monthly basis. The purpose of the Blood Lead Testing Report is to provide information on blood lead testing in the Medicaid population. Effective October, 2010, Medicaid Health Plans were contractually required to ensure that at least eighty (80) percent of continuously enrolled two (2) year old children have had at least one (1) blood lead test on/or before their second birthday. Effective August 1, 2012, McLaren Health Plan assumed CareSource Michigan’s Medicaid operations in Michigan. For July 2015: e 4 out of 13 met the continuous enrollment requirement. An additional report, JUL 2014 - JUL 2015 - PPC.pdf, demonstrates the progress that each health plan has made on "two year olds" blood lead tested over the past 12 months. Please feel free to contact Qian (Daisy) Peng at 517-241-1388 or [email protected] if you have any questions or concerns regarding these reports. Thank you. xxxEND_PAGE:dhhs02_b0181_0554_0554_1

Attached you will find the June 2015 Medicaid Blood Lead Testing report. This report is produced on a monthly basis. The purpose of the Blood Lead Testing Report is to provide information on blood lead testing in the Medicaid population. Effective October, 2010, Medicaid Health Plans were contractually required to ensure that at least eighty (80) percent of continuously enrolled two (2) year old children have had at least one (1) blood lead test on/or before their second birthday. Effective August 1, 2012, McLaren Health Plan assumed CareSource Michigan’s Medicaid operations in Michigan. For June 2015: e 4 out of 13 met the continuous enrollment requirement. An additional report, June 2014 - June 2015 - PPC.pdf, demonstrates the progress that each health plan has made on "two year olds" blood lead tested over the past 12 months. Please feel free to contact Qian (Daisy) Peng at 517-241-1388 or [email protected] if you have any questions or concerns regarding these reports. Thank you. xxxEND_PAGE:dhhs02_b0178_0540_0540_1

Attached you will find the April 2015 Medicaid Blood Lead Testing report. This report is produced on a monthly basis. The purpose of the Blood Lead Testing Report is to provide information on blood lead testing in the Medicaid population. Effective October, 2010, Medicaid Health Plans were contractually required to ensure that at least eighty (80) percent of continuously enrolled two (2) year old children have had at least one (1) blood lead test on/or before their second birthday. Effective August 1, 2012, McLaren Health Plan assumed CareSource Michigan’s Medicaid operations in Michigan. For April 2015: e 5 out of 13 met the continuous enrollment requirement. An additional report, APR 2014 - APR 2015 - PPC.pdf, demonstrates the progress that each health plan has made on "two year olds" blood lead tested over the past 12 months. Please feel free to contact Qian (Daisy) Peng at 517-241-1388 or Peng@@) Michigan. aoy if you have any questions or concerns regarding these reports. Thank you. xxxEND_PAGE:dhhs02_b0175_0526_0526_1

Attached you will find the April 2014 Medicaid Blood Lead Testing report. This report is produced on a monthly basis. The purpose of the Blood Lead Testing Report is to provide information on blood lead testing in the Medicaid population. Effective October, 2010, Medicaid Health Plans were contractually required to ensure that at least eighty (80) percent of continuously enrolled two (2) year old children have had at least one (1) blood lead test on/or before their second birthday. Effective August 1, 2012, McLaren Health Plan assumed CareSource Michigan’s Medicaid operations in Michigan. For April 2014: e 6 out of 13 met the continuous enrollment requirement. An additional report, APR 2013 — APR 2014 - PPC.pdf, demonstrates the progress that each health plan has made on "two year olds" blood lead tested over the past 12 months. Please feel free to contact Qian (Daisy) Peng at 517-241-1388 or Peng@@) Michigan. aoy if you have any questions or concerns regarding these reports. Thank you. xxxEND_PAGE:dhhs03_b0525_1847_1847_1

Attached you will find the February 2014 Medicaid Blood Lead Testing report. This report is produced on a monthly basis. The purpose of the Blood Lead Testing Report is to provide information on blood lead testing in the Medicaid population. Effective October, 2010, Medicaid Health Plans were contractually required to ensure that at least eighty (80) percent of continuously enrolled two (2) year old children have had at least one (1) blood lead test on/or before their second birthday. Effective August 1, 2012, McLaren Health Plan assumed CareSource Michigan’s Medicaid operations in Michigan. For February 2014: e 5 out of 13 met the continuous enrollment requirement. An additional report, February 2013 — February 2014 - PPC.pdf, demonstrates the progress that each health plan has made on "two year olds" blood lead tested over the past 12 months. Please feel free to contact Qian (Daisy) Peng at 517-241-1388 or Pengo @Michigan.gov if you have any questions or concerns regarding these reports. Thank you. xxxEND_PAGE:dhhs03_b0514_1811_1811_1