Medicaid Reimbursement for Lead-Related Services

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.

Word Cloud for Lead services reimbursement and Medicaid

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

Last Revised: August 8, 2019