Case Management

Section 845.80  Case Management a)         Case management services shall be provided by the Department or a delegate agency when a confirmed EBL is indicated. 1)         Interviews shall be conducted with the pregnant person, parent or guardian or with attending physicians as needed to assure the accuracy and completeness of reports and to perform the activities of case follow-up for confirmed EBLs. 2)         The following activities shall be conducted and documented concerning patient or case follow-up: A)        Track the case using the Department's surveillance database; B)        Counsel the pregnant person, parent or guardian of the case; C)        Educate the pregnant person, parent or guardian of the case; D)        Conduct a home visit to interview the pregnant person, parent or guardian of the case for purposes of collecting, verifying and completing the Prenatal Risk Evaluation for Lead Exposure form provided by the Department; E)        Refer the pregnant person, parent or guardian of the case for medical treatment, early intervention services, or early childhood special education, when appropriate; and F)         Submit completed reports to the Department as specified in the agreement between the delegate agency and the Department. b) Any delegate agency may establish fees, according to a reasonable fee structure, to be determined by the delegate agency, to cover the costs of drawing blood for blood lead testing and evaluation and any necessary follow-up. (Section 7.2 of the Act) Necessary follow-up includes individual case management and environmental inspection.  In accordance with federal regulations, fees may not be charged to Medicaid recipients.