5101:2-42-66.1 Comprehensive health care for children in placement
Please Note: This rule is under review for 30 days for a five year rule review. This rule regards voluntary custody, independent living and health checks for children in agency custody. The review will concentrate on clarifying areas of the rules for a clearer understanding for the PCSA/PCPA.
(A) The public children services agency (PCSA) or private child placing agency (PCPA) shall coordinate comprehensive health care for each child in its care or custody who is placed into substitute care. In coordinating comprehensive health care, the PCSA or PCPA shall attempt to arrange for health care from the child's existing and previous medical providers as well as involve the parent, guardian, or custodian in the planning and delivery of health care services.
(B) If applicable, when petitioning for custody, the PCSA or PCPA shall determine whether the parent, guardian or custodian has health care insurance and / or financial resources to provide comprehensive health care.
(1) If insurance or financial resources are available, the PCSA or PCPA
shall request financial support.
(2) If insurance or financial resources are not available, the PCSA or PCPA shall assess the child's eligibility for medicaid, Title IV-E, supplemental security income (SSI), or other assistance programs. Unless an application for Title IV-E has been submitted, the PCSA, PCPA shall apply for medicaid on behalf of the child no later than thirty days after the date of the child's placement into substitute care.
(C) No later than five working days after the date of the child's most recent placement setting, unless medical care is needed sooner, the PCSA or PCPA shall secure a medical screening to prevent possible transmission of common childhood communicable diseases and to identify any symptoms of illness, injury, or maltreatment. The medical screening shall be conducted by one of the following:
(1) A licensed physician.
(2) An advanced practice nurse.
(3) A registered nurse.
(4) A licensed practical nurse.
(5) A physician's assistant.
(D) The PCSA or PCPA shall arrange for the following health care for a child who is in substitute care, the agency shall ensure:
(1) No later than sixty days after the child's placement into substitute care the agency is to obtain a comprehensive physical exam which will include a vision and hearing screening. The agency shall secure an annual comprehensive physical exam no later than thirty days after the anniversary date of the child's last physical which shall include a vision and hearing screening.
(2) A child age three or under receives required pediatric care as prescribed by a licensed physician pursuant to rule 5160-14-03 of the Administrative Code.
(3) A child age three or under is referred to the county "Help Me Grow Program" when a screening or assessment indicates the child has or is at risk of a developmental disability or delay.
(4) A psychological examination for a child adjudicated delinquent is conducted within sixty days of the child's entry into substitute care unless a psychological examination was conducted within twelve months prior to the date the child was placed in substitute care and a copy is filed in the child's case record. If no psychological examination of the child is available, an examination to detect mental and emotional disorders shall be performed by:
(a) A licensed independent social worker.
(b) A licensed social worker.
(c) A licensed professional clinical counselor.
(d) A licensed professional counselor.
(5) The arrangement for and secure appropriate immunizations. If a child's record of previous immunizatinos is unavailable at the time of the comprehensive physical exam, and it is reasonable to assume that the child has received immunizations, immunizations may be postponed until an immunization record is available for review.
(6) Treatment for any diagnosed medical or psychological need is initiated within sixty days of the diagnosis,unless treatment is required sooner.
(7) To document health information about the child in the child's case record within the state automated child welfare system (SACWIS) pursuant to rule 5101:2-42-66.2 of the Administrative Code for the PCSA. The PCPA shall document health information about the child in the child's case record.
(8) A dental exam for a child over three years of age no later than six months after the child's placement into substitute care. The agency shall secure annual dental re-examination no later than thirty days after the anniversary date of the child's last dental examination.
(E) A comprehensive health care screening or exam is not required when:
(1) A child has received a comprehensive physcial exam within three months prior to placement in substitute care and the results of the comprehensive physical exam are obtained by the PCSA or PCPA and maintained in the case record.
(2) The newborn is placed directly from the hospital.
(F) For a medicaid eligible child, the PCSA or PCPA shall:
(1) Coordinate with the county department of job and family services (CDJFS) healthchek coordinator to secure a healthchek screening exam. The agency may authorize the substitute caregiver, managed care coordinator, medical providers and custodial parents to serve as a liaison with the CDJFS healthchek coordinator to schedule and arrange transportation.
(2) Complete the JFS 03528 "Healthcheck and Pregnancy Related Services Information Sheet" (rev. 3/2014) and return the form to the CDJFS healthchek coordinator.
(G) Comprehensive health care pursuant to paragraph (D) of this rule is not required if the child's placement episode is less than sixty days; however the PCSA or PCPA, shall coordinate health care whenever the child has a condition which indicates a need for treatment during the placement episode.
R.C. 119.032 review dates: 04/30/2014 and 08/01/2019
Promulgated Under: 119.03
Statutory Authority: 5103.03, 5153.166
Rule Amplifies: 5103.03, 5153.166
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, 2/1/03, 10/9/06, 11/09/09.