Effective Date: February 1, 2003.
Most current prior effective date: October 1, 1997.
(A) The PCSA, PCPA or PNA shall be
responsible for the supervision of comprehensive health care including a
physical health examination, developmental and psychological assessments, for
each child in its care or custody and placed in substitute care.
(B) For every child placed in substitute care
the PCSA, PCPA or PNA shall attempt to determine if the parent(s), guardian, or
custodian has health care insurance coverage available to the child. If such
insurance coverage is available, the PCSA, PCPA or PNA shall attempt to make use
of this resource, as appropriate, to help meet the child's health care needs.
(C) As soon as possible following the child's
placement in substitute care, the PCSA or PCPA that has custody of a child shall
assess the child's eligibility for medicaid, Title IV-E, and supplemental
security income, or other assistance programs that might provide financial
assistance to help meet the child's health care needs. No later than thirty days
after the date of substitute care placement, unless an application for Title
IV-E has been submitted, the PCSA or PCPA shall apply for medicaid on behalf of
the child.
(D) When the PCSA or PCPA petitions for custody,
it shall also request financial support for comprehensive health care, if
applicable.
(E) When a child has been determined medicaid
eligible, the PCSA, PCPA or PNA shall coordinate with the CDHS healthchek
coordinator to ensure the provision of comprehensive health care.
(F) The PCSA, PCPA or PNA shall be responsible
for completing the ODHS 3528 JFS
03528 "Healthchek Participation Agreement" on behalf of the
medicaid eligible child and serve as a liaison with the CDHS healthchek
coordinator, medical providers, custodial parents, and substitute caregiver.
(G) The PCSA, PCPA or PNA may authorize the
substitute caregiver to serve as a liaison with the CDHS healthchek coordinator
to schedule screenings and arrange transportation.
(H) No later than five working days after a
child's placement, not counting the day placement occurred, the PCSA, PCPA or
PNA shall secure a placement medical screening of the child in order to prevent
possible transmission of common childhood communicable diseases and identify any
symptoms of illness, injury, or maltreatment. Each child shall be checked by a
licensed physician, advanced practice nurse, registered nurse, licensed
practical nurse, or physician's assistant. If a child is moved from one
placement setting to another placement setting, medical care shall be provided
following the time frames established by the original placement, unless medical
care is needed at an earlier date.
(I) The PCSA, PCPA or PNA shall arrange for and
secure comprehensive health care for each child no later than sixty days after
the child's placement into substitute care. The PCSA, PCPA or PNA shall secure
an annual physical reexamination no later than thirty days from the anniversary
date of the child's last comprehensive physical examination. For a child who is
not medicaid eligible, the physical examination shall be completed by a licensed
physician.
(J) A healthchek screening examination or its
equivalent constitutes comprehensive health care for all children in placement
unless identified otherwise in this rule. A healthchek screening examination
includes those components listed in rule 5101:3-14-03 of the Administrative
Code, including all of the following:
(1) Comprehensive physical examination;
(2) Health and developmental histories;
(3) Nutrition, vision, hearing, developmental, psychological, and dental assessments;
(4) Lab tests;
(5) Immunizations if needed; and
(6) Health education.
(K) The PCSA, PCPA, or PNA shall attempt to
arrange for health care from the child's existing and previous medical
providers.
(L) When a child has been determined medicaid
eligible and the PCSA, PCPA, or PNA is unable to secure comprehensive health
care by a medicaid provider within the timeframe specified in paragraph (I) of
this rule, the PCSA, PCPA, or PNA shall remain responsible for securing
comprehensive health care through an alternative provider and document why an
alternative provider was used in the case record.
(M) The PCSA, PCPA or PNA shall arrange for and
secure appropriate immunizations for each child entering substitute care. If a
child's record of previous immunizations is unavailable at the time of the
comprehensive physical exam, and it is reasonable to assume that the child has
received immunizations, the PCSA, PCPA or PNA may postpone immunizing the child
until a record of the child's immunizations is available for review.
(N) For a child who is not medicaid eligible,
the PCSA, PCPA or PNA shall arrange for and secure an initial vision assessment
no later than sixty days after the child's placement into substitute care. The
PCSA, PCPA or PNA shall secure treatment whenever a condition of visual
impairment indicates a need for treatment. All treatment shall be performed by a
licensed optometrist or ophthalmologist.
(O) For a child who is not medicaid eligible,
the PCSA, PCPA, or PNA shall arrange for and secure an initial hearing
assessment no later than sixty days after the child's placement into substitute
care. The PCSA, PCPA, or PNA shall secure reexaminations whenever a condition of
hearing impairment indicates a need for treatment. All treatment shall be
performed by a physician or licensed audiologist.
(P) For a child who is not medicaid eligible,
the PCSA. PCPA. or PNA shall arrange for and secure an initial dental assessment
for a child over three years of age no later than one hundred and eighty days
after the child's placement into substitute care. The PCSA. PCPA. or PNA shall
secure annual dental reexaminations no later than thirty days from the
anniversary date of the child's last dental examination.Treatment shall be
provided whenever a dental condition indicates a need for treatment. All dental
treatment shall be performed by a licensed dentist.
(Q) All infants age two and under shall receive
required pediatric care as prescribed by a licensed physician according to the
schedule recommended by the American academy of pediatrics.
(R) The PCSA, PCPA, or PNA shall refer all
infants and toddlers age three and under to the county early intervention
program when a screening or assessment indicates the child has or is at risk for
a developmental disability or delay.
(S) When follow-up care or treatment for the
child is indicated as a result of diagnostic findings or for continued treatment
need, such care must be initiated within sixty days of the examination.
(T) The PCSA, PCPA, or PNA responsibility for
providing health care pursuant to this rule is waived when a child leaves the
placement within the sixty-day timeframe pursuant to paragraph (I) of this rule.
(U) When a newborn child is placed in care
directly from the hospital, paragraphs (H), (I), (N), (O) and (P) do not apply.
(V) When the PCSA, PCPA, or PNA determines that
a child has received a comprehensive health care screening or examination within
three months prior to placement in substitute care, the PCSA, PCPA or PNA is
waived from compliance with paragraphs (H) and (I) of this rule. Results of the
comprehensive health care screening or examination shall be obtained by the PCSA,
PCPA, or PNA and filed in the case record.
(W) The PCSA, PCPA, or PNA shall work actively
to involve the parent, guardian, or custodian in the planning and delivery of
physical health examination, developmental and psychological assessments for
children in temporary custody.
(X) Health information about a child in the care
or custody of a PCSA, PCPA, or PNA shall be documented in the child's case
record pursuant to rule 5101:2-42-662 of the Administrative Code.
Effective: 02/01/2003
R.C. 119.032 review dates: 10/02/2002 and 02/01/2008
Certification: CERTIFIED ELECTRONICALLY
Date: 12/16/2002
Promulgated Under: 119.03
Statutory Authority: 5103.03, 5153.16
Rule Amplifies: 5103.03, 5153.16
Prior Effective Dates: 9/28/87(Emer.), 12/27/87, 1/1/89, 1/1/90, 5/1/93, 9/1/93, 10/1/97