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\r\n{{selectedProvider.name}}
\r\n\r\n\r\n \r\n \r\n\r\n | \r\n By agreeing to the terms below, I am attesting that I:\r\n |
| \r\n 1) Received and reviewed the CalOptima Health Lead Screening Performance quarterly report, and\r\n |
| \r\n 2) Will comply with APL 20-016 to provide oral or written anticipatory guidance to the parent(s) or guardian(s) of a child member that at a minimum includes information that children are at resk for lead poisoning and can be harmed by exposure to lead.\r\n |
| \r\n 3) Will comply with APL 20-016 reporting requirements for submitting claims and encounters using standard formats and proper CPT coding.\r\n |
| \r\n 4) Will document reason(s) for not performing the blood lead screening in the child member's medical record. In cases where screening consent has been withheld, a signed statement of voluntary refusal must be obtained and documented in the child member's medical record. Records of voluntary refusal must be provided to CalOptima Health upon request.\r\n |
| \r\n 5) Will follow California Lead Poisoning Prevention Branch minimum standards of care for conducting blood lead screenings, interpreting blood lead levels, and determining appropriate follow-up.\r\n |
Notes or Comments
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\r\nHealth Network Affiliation
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\r\n\r\n {{resourceDetailMessage}} \r\n www.caloptima.org.\r\n
\r\n\r\n TRAINING MATERIALS\r\n *\r\n
\r\n{{selectedProvider.name}}
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