For Healthcare Providers


Healthcare providers play an important role in preventing primary lead exposure, as well as identifying children that are at risk of blood lead poisoning. 

BLOOD LEAD TESTING RECOMMENDATIONS

Children

If a healthcare provider determines that a child is at risk for lead poisoning, testing is necessary. In Michigan, a blood lead level of 4.5 micrograms per deciliter (µg/dL) or higher is considered elevated. At a level of 4.5 µg/dL or greater, lead education, environmental investigations, and additional medical monitoring should be established to lower the blood lead level. For more information about how Michigan defines elevated blood lead levels, read the MDHHS CLPPP Policy on Definition of Elevated Blood Lead Test Result.

At a level of 45 µg/dL or greater, any treatment should be performed in consultation with Michigan's Poison Control Center. Hospitalization and/or chelation should be considered. Other children who may have also been exposed should be tested. The family should NOT return to the lead-contaminated home.

Blood Lead Level Quick Reference for Primary Care Providers

Pregnant Women

If a healthcare provider determines a pregnant woman is at risk for lead poisoning, testing is necessary. Routine blood lead testing is not recommended for all pregnant women or nursing mothers.

Workers

The Michigan Occupational Safety and Health Administration (MIOSHA) has established lead standards for workers in general industrial and construction jobs. Both standards define minimum safety precautions, including regular testing, that employers must provide for employees exposed to lead on the job.

MEDICAID TESTING REQUIREMENTS

Michigan Medicaid policy requires that all Medicaid-enrolled children are tested for blood lead at 12 and 24 months of age.

Medicaid Provider Manual

Medicaid Blood Lead Testing Reports

MICHIGAN CARE IMPROVEMENT REGISTRY (MCIR)

The Blood Lead Module is a component of a patient's MCIR record. If the patient has had a blood lead test, the results will be displayed in the record, as well as how to interpret the results with corresponding recommended actions. If a patient lives within zip codes where childhood lead poisoning is more prevalent or lived in Flint during the Flint Water Crisis, additional alerts will be displayed indicating that the patient is at high risk and their blood lead levels should be monitored.

ADDITIONAL RESOURCES

CDC Advisory Committee on Childhood Lead Poisoning Prevention

AAP Council on Environmental Health

Agency for Toxic Substances and Disease Registry

Association of Occupational and Environmental Clinics