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For Medicaid-Enrolled Children Diagnosed With Lead Toxicity in Five States, Documentation Reviewed for Diagnoses and Treatment Services Raises Concerns

Submitting OIG: 
Department of Health & Human Services OIG
Date Issued: 
Wednesday, December 14, 2022
Agency Reviewed / Investigated: 
Department of Health & Human Services
Submitting OIG-Specific Report Number: 
OEI-07-18-00370
Component, if applicable: 
Centers for Medicare & Medicaid Services
Centers for Medicare and Medicaid Services
Location(s): 
United States
Type of Report: 
Inspection / Evaluation
Questioned Costs: 
$0
Funds for Better Use: 
$0
Number of Recommendations: 
2
View Document: 
AttachmentSize
PDF icon OEI-07-18-00370.pdf1.84 MB

Related Open Recommendations

Recommendation Number Recommendation Status Significant Recommendation Additional Details
23-E-07-006.01 Open No
CMS should explore the discrepancy between Medicaid claims data and medical documentation for lead toxicity and implement solutions to ensure better oversight of the EPSDT program.
23-E-07-006.02 Open No
CMS should issue guidance to reiterate State obligations under the EPSDT benefit to ensure access to services to correct or ameliorate confirmed blood lead levels identified during screenings.
Displaying 2 of 2 Recommendations