A survey of compliance: Medicaid\u27s mandated blood lead screenings for children age 12–18 months in Nebraska

Background: To determine the frequency of Medicaid mandated blood lead level (BLL) screening compliance rates by clinical site. Methods: Retrospective chart review for evidence of BLLs. Data analyses were conducted using frequencies, percentages & chi-square. Results: The overall incidence of documented BLLs was 78.9% with one clinic demonstrating 100% BLLs while the others had 72%. Screening rates differed significantly by clinical site (X2 = 18.460, df = 3, p \u3c 0.001). Conclusion: Although universal blood lead screening is mandated, there were missed opportunities to obtain BLLs in 21.1% of the records reviewed. Only one clinic had 100% documentation of BLLs when children on Medicaid were seen between the ages of 12–18 months