April 01, 2022

California Medicaid: Access a patient list of members without a required blood screening

A list of UnitedHealthcare Community Plan members who have yet to receive a required blood screening is now included in the Patient Care Opportunity Report (PCOR). This list includes members 12 months through 72 months (6 years) without a blood lead screening on file.

Log in to the UnitedHealthcare Provider Portal to access the PCOR.

Review blood lead screening requirements
Federal law requires care providers to screen children enrolled in Medicaid for elevated blood lead levels (BLLs) as part of required prevention services offered through the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) program. These requirements were updated in 2020, as outlined in the California Department of Health Care Services (DHCS) Policy Letter 20-016.

To help ensure you’re in compliance for your patients who are UnitedHealthcare Community Plan members, please review the requirements for blood lead screening of young children.

Questions?
If you have questions, please email our Quality department at uhccscaqualitydepartment_dl@ds.uhc.com.

PCA-22-00712-C&S-News