Correspondence among

3 bullet down..what’s the first word supposed to be?

OK, is this good to get moving through our communications group? we can do a HAN early Monday if we can get approval by GCHD regarding case management referral number down..--- Current draft, but my fonts went wacky, is what | have right here: Dear Provider, Michigan Medicaid Early Periodic Screening, Diagnosis and Treatment (EPSDT) guidelines require children to be tested for blood lead poisoning at 12 months and 24 months, and between the ages of 36-72 months if not previously tested (hito://www mech state. mis oct). Due to the enhanced public health issue of an increased risk for lead exposure in the City of Flint, providers are advised to follow enhanced guidelines for lead testing in children: e Providers should screen ALL children (regardless of Medicaid/insurance status) aged 0-6 years of age exposed to Flint city drinking water after April 2014. Note: this includes all children younger than 1 year and children between the ages of 3-6 years. e Ifthe child has already been screened within the time period of April 2014-present by a capillary test, healthcare providers should follow-up on any elevated levels >Smcg/dl to ensure confirmatory venous testing is conducted. e Utlie the standard Blood Lead Level (BLL) Quick Reference for Primary Care Providers 22739 xxxEND_PAGE:dhhs02_b0421_1578_1581_1 001579 + All clients with blood lead levelS¢SiMeWal SEs Ne eee WE fuoibere e Providers should inquire about use of a drinking water filter and/or bottled water in all clients residing in city limits. e Healthcare providers should inquire about other potential sources of lead in the household per current recommendations (see: https://www.michigan. e The enhanced lead testing guidelines should be followed until the public health advisory is no longer in effect, as determined by the Geneseee County Health Department. e Resources are available at: \ ich) i

Yes, we need to run it by the health department. i mentioned in an earlier e-mail that the provider reference sheet {baseri on AAP guidelines} that is on the Flint water website indicates referral to case management. It would be helpful, i think, to have a phone number for providers so they can contact case managemant. They should already have this number for the LHD but resetition is nota problern in relation to some of this information.