CCJ Health Forum - The Case For Interim Controls

Originally Presented: February 2001

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Table of Contents CCJ Health Forum CCJ Health Forum/The Case For Interim Controls Health Effects of Childhood (Developmental) Lead Exposure ACUTE (High Dose) CNS EFFECTS CHRONIC (LOWER DOSE) OFTEN ASYMPTOMATIC (SILENT BUT SERIOUS) EFFECTS ??Therefore?Time is of the Essence ?In responding to an ?EBL Child. CDC Guidelines For Response To EBL Children Depends Upon Blood Lead Levels BLL mcg/dl ᝺ BLL mcg/dL 20-44 NJ Childhood Lead Poisoning Facts Childhood Lead Screening in New Jersey Decline in Children Screened and in EBL Cases Childhood Lead Poisoning and NJ Medicaid EPSDT AND Childhood Lead Poisoning EPSDT services should also include The Case for Medicaid Coverage of Interim Controls Under EPSDT, Medicaid is required to cover any follow-up services within the scope of the Federal Medicaid statute, including diagnostic and treatment services determined to be medically necessary and whose existence in uncovered by the screening. Are Interim Controls “Medically Necessary” NJ DHS’s Response To the Request For Interim Controls Under EPSDT Does the NJ Legislature and DHS have the authority to act on Interim Controls? CLPER argues that the obligation to cover Interim Controls under EPSDT already exists! THERE IS NO MORE IMPORTANT OR PRESSING AN ENVIRONMENTAL JUSTICE ISSUE FACING THE CITIZENS OF NEW JERSEY THAN CHILDHOOD LEAD POISONING. Environmental Justice Environmental Investigations and LBP Abatements in NJ There were 1521 I&A forms issued in FY 1999. 20% of these were closed without an investigation for reasons such as the reported elevated result was on a capillary blood sample, and a subsequent venous confirmatory test found the BLL not elevated. Interpretation of data REMEMBER WHAT NEEDS TO BE DONE? WHAT NEEDS TO BE DONE ??CONTINUED CLINICAL MANAGEMENT New Jersey State Medicaid Conclusion

Author: Myles O'Malley Email: clper@earthlink.net Home Page: http://www.clper.org This Presentation: as a single text-based file (which you can easily download or print)