Medicaid reimbursement for lead-related services changed significantly in 2018.
Changes include:
- Higher rates can be billed for public health nurse education home visits and lead hazard investigations and clearances.
- Prior authorization of a lead-related intervention is no longer necessary.
- Reimbursement for services begin at a blood lead level of 5 micrograms per deciliter.
More information
Medicaid Reimbursement for Lead-Related Services webinar (MP4) on Livestream - Webinar presented by the Medicaid Program and the Wisconsin Childhood Lead Poisoning Prevention Program recorded on April 2, 2019.
Medicaid ForwardHealth Policy Regarding Environmental Lead Investigations-Medicaid ForwardHealth Bulletin 2018-11 (PDF)
Medicaid provider field representatives are available in each region of the state (PDF) to provide technical assistance. Also, below.
Western Wisconsin: Shelley Dietzman, 608-421-6055
Northeast Wisconsin: Kyle Robel, 608-421-6275
Central Wisconsin: Jennifer Watts, 608-421-6116
Southeast Wisconsin: Teresa Heusel, 512-319-4137
Southwest Wisconsin: Natalie Stone, 608-421-6040
