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September 16, 2016

As part of Humana’s focus on preventive health, they want all infants and children to receive recommended immunizations and screenings.

Vaccines for Children Program:
As a Medicaid plan provider, Humana is required to remind health care providers annually regarding their participation in the Vaccines for Children (VFC) program, as detailed under section 1928 of the Social Security Act. The VFC program is administered by the Department of Health, Bureau of Immunizations. The program provides vaccines at no charge to physicians and eliminates the need to refer children to county health departments for immunizations. Please note: Title XXI MediKids enrollees do not qualify for the VFC program and must be billed directly through the Medicaid fee-for-service delivery system for immunizations provided to them.

Child Blood Lead Screenings:
Federal regulations also require that children receive a blood screening for lead test at 12 months old and at 24 months old. Children aged 36 to 72 months who have not previously been screened also should be screened for lead poisoning. Humana recommends that health care providers use a verbal lead-screening questionnaire to assess the risk of elevated levels in children 6 months to 6 years old. Taking Centers for Disease Control and Prevention (CDC) guidelines and recommendations into account, children whose blood lead levels are found to be 10 mcg/dL or greater (by venous sampling) should be treated and managed according to the physician’s discretion. Follow-up visits should include identification of possible sources of lead, appropriate treatment and periodic repeat testing.

If you have questions regarding the VFC program or blood lead screenings, please contact the Humana Quality Management department at 305-626-5252.

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