What to Do If Your Child Tests Positive for Lead in Pennsylvania
Finding out your child has tested positive for lead can be frightening. Many parents feel overwhelmed and unsure what steps to take next. The good news is that early action can reduce further exposure and help protect your child’s health.
This page explains what a positive lead test means in Pennsylvania, what steps families are typically advised to take, and how an Environmental Lead Investigation (ELI) fits into the process.
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Important Information for Families With Children Who Have Elevated Blood Lead Levels
Children insured through Medical Assistance (Medicaid)
If a child with Medical Assistance has an elevated blood lead level, the Environmental Lead Investigation (ELI) is typically not paid out‑of‑pocket by the family.
In these cases:
✅ The child’s Primary Care Provider (PCP) should make the referral
✅ The referral is routed through the health department or managed care organization
✅ An approved organization is assigned to conduct the ELI at no cost to the family
If your child is insured through Medical Assistance and has elevated blood lead levels, we strongly encourage you to speak with your PCP before scheduling services privately
Kauffman ELIS does not solicit or accept referrals for cases eligible for publicly funded Environmental Lead Investigations
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Private Insurance & Self‑Pay Clients
Children or households with private or commercial insurance
Most private and commercial insurance plans do not cover the cost of an Environmental Lead Investigation (ELI).
In these situations:
⚠️ The ELI is typically an out‑of‑pocket expense
⚠️ Payment responsibility rests with the property owner or responsible party
✅ In some cases, costs may be tax‑deductible as a medical or property‑related expense (consult your tax professional)
We are transparent about pricing and scope so you can make an informed decision before proceeding.em description
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A blood lead test measures how much lead is present in your child’s blood. According to the Centers for Disease Control and Prevention (CDC), there is no safe level of lead exposure, and even low levels can affect a child’s development and learning ability. [cdc.gov]
In Pennsylvania, healthcare providers follow CDC guidance when a child’s blood lead level is at or above the current blood lead reference value. When this happens, families are typically advised to identify and remove the source of exposure as quickly as possible. [pa.gov]
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Your child’s doctor or healthcare provider will:
Explain the test results
Determine whether follow‑up blood testing is needed
Monitor your child’s growth and development over time
Healthcare providers may also refer families to local health departments or community resources for additional support when lead exposure is identified. [pa.gov]
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For most children in Pennsylvania, the primary source of lead exposure is lead‑based paint and lead‑contaminated dust, especially in homes built before 1978. [pa.gov]
Because lead dust is often invisible, families are usually advised to have the home evaluated by a certified environmental lead professional. An Environmental Lead Investigation helps determine:
Where lead hazards are present
Whether lead is found in paint, dust, soil, or other sources
What actions may be needed to reduce exposure
Removing the child from exposure is considered the most important step in preventing further harm. [paleadfree.org]
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An Environmental Lead Investigation is a comprehensive, on‑site assessment performed by a certified lead risk assessor. In Pennsylvania, ELIs are often recommended when a child has an elevated blood lead level.
An ELI typically includes:
Visual inspection of painted surfaces
Lead testing of paint using specialized equipment
Dust wipe sampling in key living areas
Soil or water sampling when appropriate
A written report outlining findings and recommendations
This process helps families, healthcare providers, and public health agencies understand where exposure is occurring and how to address it safely. [paleadfree.org]
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While awaiting further guidance or inspection results, families are often advised to take simple precautions to reduce lead exposure, such as: Keeping children away from peeling or chipping paint Wet‑cleaning floors, windowsills, and other surfaces Washing children’s hands, toys, and pacifiers frequently Removing shoes before entering the home The CDC and Pennsylvania Department of Health note that these actions can help reduce contact with lead dust while longer‑term solutions are identified. [cdc.gov], [paleadfree.org]
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If lead hazards are identified, repairs or remediation may be recommended. Any work that disturbs lead‑based paint should be performed using lead‑safe practices to avoid creating additional exposure risks. The U.S. Environmental Protection Agency (EPA) requires certified professionals to follow specific procedures when working in pre‑1978 housing. [epa.gov]
After remediation, clearance testing is often required to confirm that lead hazards have been properly addressed.
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Families in Pennsylvania can access additional guidance and support through:
PA Department of Health Lead Information Line: 1‑800‑440‑LEAD [pa.gov]
County health departments and childhood lead prevention programs
Early intervention and nutrition programs recommended by healthcare providers
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Kauffman ELIS is a Pennsylvania‑certified Environmental Lead Investigation service providing inspections, risk assessments, and clearance testing for families, property owners, and property managers.
If your child has tested positive for lead and you need:
An Environmental Lead Investigation
Clear documentation for healthcare or public health follow‑up
Certified lead inspection services in Pennsylvania
We’re here to help you take the next step with clarity and care.
Contact direct at:
kevin@kauffmanelis.com
(717) 805-8045
If the child is insured through Medical Assistance/CHIP and has an elevated blood lead level, the appropriate next step is typically through the child’s PCP and health plan/public health referral pathway for an Environmental Lead Investigation.
There are third-party vendors available for MA referrals throughout the State.
Start the process with your child’s Primary Care Physician.
PA Licensed Lead Risk Assessor (PA DOLI 006181)
IMPC 2015 Certified
Health Homes Specialist, credentialed via NEHA