Monica Kwasnik

Good morning, Monica and Kim - | wasn't sure who to share this with, thought | would start with you, [hada conversation with Dana Brown from Molina after the MCH meeting, and we talked about their upcoming health fairs in Flint, and the fact that they didn’t have a LeadCare machine to use at those health fairs. if you are not familiar with it, LeadCare is a point of service machine that can analyze a capillary blood sarnple for lead, you have the result within about 3 minutes. the capillary is high, then it is still necessary to get a venous sample to confirm the result. But if the capillary is low, then typically no further testing is needed at that time point. Dana is going to follow-up with Magellan, as she thought there may be some practices that could meet the testing volurne to get a free machine. | wonder Hf tt would be helpful to share the Magellan information with other health plans, ofr possibly even invite the rep to the next MCH meeting, or hast a conference call? Not sure what your usual approach is, but Lat least wanted to get this information inte your hands, see what you think. Nancy

Monica]; Wells, Eden DHHS) Administrative Group 95d f85dccf97-Wells Eden]; Peng, Qian (DHHS) Administrative Group Qian]; Slawinski, Heather DHHS) Administrative Group Heather]; Kreiner, Meta (DHHS) Administrative Group Meta] ce: Bouters, Janese (DHHS) Administrative Group Janese]; McKane, Patricia (DHHS) Administrative Group Patricia]; Stanbury, Martha (DHHS) Administrative Group Martha]

le Admin Quarterly PMP Specifications PMR October 20... FY¥ 2016 FIN... Hello, It was great to speak to you all this afternoon regarding Blood Lead Testing, As discussed, f have attached 2 docurnants. The first docurnent is the Blood Lead Testing results page from the October Performance Monitoring Report (PMR} You will notice that while the standard is set at 194, all plans received a pass even if their scores fell below that standard. We discovered fast quarter that the measure was inadvertantly excluding children in the Children’s Special Health Care Services prograrn. That was correct and the plans’ score reflect that change. Because it was an administrative error, we gaye the plans a pass for the quarter. The second document is the PMR specification for the Slood Lead measure. ft includes details about age and enroliment criteria. Please let me know if you have any questions about these documents, but while we are the keepers of the reports, Daisy is the genius behind the queries. You may wish toe forward your questions to all of us and we can determine who has the expertise to answer them. Lastly, | was wondering if any of you could forward the letter/inquiry fram the Governor’s Task Force on this issue. it would be helpful to me to see what the actual ‘ask’ was so} can most effectively contribute. Thanks. Monica

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

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