Transcript MALPH Administrator’s Forum

MALPH
Administrator’s Forum
Lead Billing
Discussion
September 11, 2014
Welcome and Overview
Thanks for joining in the dialogue today regarding billing
for lead services through the LHD.
Small Group of People have been Meeting
To Explore Ways to Support Lead Services
A Recommendation was to Begin Talking with LHDs
On How Best To Bill For Lead Services
Tell US WHAT YOU WOULD LIKE TO
LEARN/DISCUSS
First: Lets Introduce You to the Panel
 Brad Barron, Policy Analyst, Medicaid
 Joan Dyer, Program Supervisor, KCHD
 Gail Brink, Finance Director, KCHD
 Deb Brinson, Consultant, MDCH
State Perspective: 2012 Data
MDCH Annual Report on Blood Levels of
Children in Michigan
70% Overall Children get Tested in First
Few Years
57% of Children Ages 1-2 with Medicaid or
live in 1 of 14 Risk Communities Get Tested
CDC Issued Change in Guidance
In 2012 CDC New Recommendation:
Lower its level from 10 to 5 micrograms
In 2012 more than 5,500 MI children younger
than 6 had blood levels between 5 and 9 with
almost 5% of that group testing higher 5% or
higher.
Medicaid Perspective
Brad Barron:
• Why is it important to bill for lead services?
• Billing Codes in MI Medicaid Manual
Medicaid Codes for Health
Departments
CODES
T1028EP: Home Environment Assessment
Nursing Services (2) @ 75.90 per visit
T1029:
Initial Lead Investigation
Home/Dwelling Environment Assessment
EH Visit (2) @ $132.48 per visit
T1029TS: Follow Up Lead Investigation
Comprehensive Lead Investigation
Local Sharing: Kent County
A. Outline of Services in Kent County
B. Billing Process within KCHD
C. Lead Services, Billing and Cost
Settlement
Wrap Up
What Challenges are you LHD facing?
What Supports are Needed to Bill for Lead
Services?
THANKS