5309.0: Wednesday, November 15, 2000 - 9:15 PM

Abstract #17414

Targeting Lead Screening: Financial Incentives to Improve Medicaid Screening

MaryAnn Amrich, Bureau of Health, Department of Human Services, 151 Capitol Street, State House Station #11, Augusta, ME 04333-0011, 207-287-8755, ntips@mindspring.com

The Maine Childhood Lead Poisoning Prevention Program (CLPPP) collaborated with the state Medicaid agency to improve the lead screening behavior of providers of health care to children on Medicaid, who are at extremely high risk for lead exposure.

Objectives: Calculate the baseline Medicaid lead screening rate; use the result to encourage the state Medicaid agency to focus on improving lead screening behavior of its participating providers. Method: Maine CLPPP removed duplicates from the 1997 Medicaid database and matched the result with laboratory Medicaid billing records for lead screening. The screening rate was estimated to be an extremely low 15% among 0-2 year old Medicaid recipients. In response, the state Medicaid agency used lead screening as one measure in a "Primary Care Incentive Program" under which Medicaid providers qualify for quarterly financial incentives for delivering high quality health care to Medicaid beneficiaries. Outcome: The presenter will describe the incentive program and its initial impact on Medicaid screening rates.

Learning Objectives: Identify strategies for improving provider compliance with the Medicaid lead screening mandate

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 128th Annual Meeting of APHA