A new state auditor’s report says only 26% of Washington children enrolled in Medicaid are being tested for lead exposure, even though the federal government requires them all to be tested twice between their first and sixth birthdays.
“Although Washington has multiple factors that can increase a child’s risk of lead exposure, most children with the highest risk have never been tested,” said the performance audit report issued Tuesday.
Children in areas with more risk for lead exposure were tested at higher rates; however, some counties with elevated risk tested the fewest children, according to the report. The auditor also notes that the state does not have an adequate process to make sure children are getting the required testing.
As the report notes, Washington children may not be as much at risk as children from more industrial states, but no level of lead exposure is healthy for kids. The auditor’s office did make some positive findings, including connecting better community outreach with higher testing levels.
Report recommendations to the Washington Department of Health and the Health Care Authority include:
– Make sure health insurance companies involved in Medicaid have a clear understanding of testing requirements.
– Increase awareness of lead exposure testing among health care providers.
– Implement a state monitoring process for lead testing.
– Assess lead exposure risk at the community level, at least annually.
The Health Care Authority responded to the report saying it is working on improving education, outreach and test monitoring structure. They also promised to look into mandatory tracking.
“Please thank your team for their work on this audit. We will use the information and recommendations as an opportunity to improve. Many improvements are well underway,” concluded the DOH and HCA response, which was also signed by David Schumacher, director of the Office of Financial Management.