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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

Thank you everyone. fwill schedule for 1-2PM on Dec 16 to avoid the lunch hour activities. | will send the apet in just a moment, Thanks again!

Hello Heather, My secretary sent out an appointment that occurred over the noon hour this week. We will retract that one and retry another because there are some holiday parties in the Medicaid area that conflict with your schedules. Thanks for your patience. Corinne

>; Peng, Qian (DHHS) <Fe Okay, thanks Heather. My administrative assistant is working on setting up a meeting and will include you and Monica unless | hear otherwise. Providers in the Flint area are interested in seeing the blood lead testing rates armong Medicaid children and therefore i hope to have a meeting scheduled next week if at all possible, otherwise the following week. Corinne

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.

Hgari.gov>; Dykema, Qy> This was discussed internally with Sue Moran and others and we have other staff within Medicaid (thase that work more directly with data warehouse} that would work on this data request. Let me touch base internally and fet you know who should be involved — Monica or b may still be invalved, but we would need our data staff at the table to hear what they need to gull. Heather Slawinski Manager, Plan Management Section Burau of Medicaid Care Management and Cluality Assurance Medical Services Administration Michigan Department of Health & Human Services slawinskin@michi Section Phone: {517} 335-5500 Confidentiality Notice: This message, including any attachments, is intended solely for the use of the above named recipient(s) and may contain confidential and/or privileged information. Any unauthorized review, use, disclosure, or distribution of any confidential and/or privileged information contained in this e-mail is expressly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy any and all copies of the original message.

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