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Childhood Lead Poisoning Prevention Program
Healthcare Provider Resources
The Arizona Department of Health Services recognizes that pediatricians have a lot on their plates! The checklist for a well-child visit is staggering, and sometimes screening for lead poisoning is not perceived as a beneficial use of a physician's limited resources. To better equip physicians to incorporate blood lead screening into their practices, ADHS has streamlined our screening and reporting protocol to make this simple test even easier!
- Lead Screening Recommendations
ADHS' screening recommendations are the result of careful review of national recommendations, academic research and Arizona-specific surveillance data.
- Additional information on screening for elevated blood levels can be found in the following documents:
- Lead Screening in Arizona, 2012
- Lead Poisoning in Children, 2010
- MMWR Recommendations for Blood Lead Screeining of Medicaid-Eligible Children Aged 1-5 Years, 2009
- Recommendations for Preventative Pediatric Health Care, 2008
- USPSTF Recommended Screening for Elevated Blood Levels in Children and Pregnant Women, 2007
Targeted Screening Plan
- ADHS Childhood Lead Poisoning Prevention Targeted Screening Plan
ADHS has developed a Targeted Screening Policy based on geographic testing for children who are at higher risk of lead poisoning. Surveillance data is analyzed annually to identify zip codes at greater risk of childhood lead poisoning. ADHS's plan also supports the Centers for Medicaid Services (CMS) guidelines for providing universal screening of all children enrolled in Early Periodic Screening, Diagnostic and Treatment (EPSDT) services. ADHS believes that the combination of targeted screening by zip code and universal screening for children enrolled in Arizona's Health Care Cost Containment Services (AHCCCS) will result in better identification of children with elevated blood lead levels and cost saving measures for healthcare providers.
Statutes & Rules
- Laboratory Report of Elevated Blood Lead Levels
Laboratories are required to report both elevated and non-elevated test results, while physicians are required to report only elevated blood lead levels to ADHS.
- Physician Report for Elevated Blood Levels
Physicians are also asked to report non-elevated results for children with previous elevated blood lead levels to assist in ADHS' case management services.
Note: Information provided in PDF files.