413-200-0362 Requirements Regarding the Medical, Dental, and Mental Health Care of a Child (1) In addressing the health care for a child in the care or custody of the Department placed in the home , the resource parent must: (a) Work collaboratively with the Department in managing the health care needs of the child, which may include involving a parent of the child in medical, dental, and mental health appointments; (b) Regularly exchange medical, dental, and mental health information of the child with the Department; (c) Work collaboratively with providers in managing the medical, dental, and mental health needs of the child; and (d) Maintain health care documentation for each child, including: (A) Medical, dental, and mental health appointments; (B) Medical, dental, and mental health information; (C) Medical, dental, and mental health appointment follow-up reports; and (D) Immunization records. (2) A resource parent must comply with the Department's direction on obtaining medical, dental, and mental health care for a child in the care or custody of the Department placed in the home. (3) A resource parent may consent to routine examinations and laboratory tests. (4) A resource parent must follow the Department's direction regarding vaccination and immunization of a child in the care or custody of the Department placed in the home , in accordance with the case plan. (5) Except as provided in section (6) of this rule, the resource parent must contact the caseworker of a child to obtain appropriate prior consent from the Department before a child in the care or custody of the Department placed in the home receives any medical care or undergoes a procedure, other than routine medical care. (6) In an emergency, a resource parent must notify the Department as soon as possible after accessing emergency care. (7) Medication management requirements: (a) The resource parent must comply with all of the following requirements related to medication management for a child in the care or custody of the Department placed in the home : (A) Medications may be provided to a child for their labeled purpose within the labeled dosage. (B) Administer prescription medications to a child only in accordance with the written prescription or authorization. (C) Record the dosage, date, and time of all medication administered to a child on the medication form approved by the Department. When medication is given in a setting other than the certified home, such as at school or in daycare, the medication form from that setting must be attached to the Department form. (D) The medication form, with any attachments, must be submitted monthly to the caseworker. (E) Inform the caseworker or the supervisor of the caseworker within one business day when a child is prescribed a psychotropic medication or the dosage of any existing prescription for psychotropic medication is changed, as required by OAR 413-070-0470. (F) Begin administration of any psychotropic medication only after authorization has been obtained from the Department pursuant to OAR 413-070-0470. (G) Maintain the documentation received from the caseworker when a child is prescribed a psychotropic medication or when the dosage of any existing prescription for a psychotropic medication is changed. (b) The resource parent must provide for the safe storage and administration of all medications in the household, taking into consideration the age, development level, and needs of the child placed in the home by the Department. (c) When a child is learning their own medication management, a specific plan may be created for that child to have access to their own medication. (8) The resource parent must comply with the personal care services plan for any child in the care or custody of the Department placed in the home and eligible for personal care services pursuant to OAR 413-090-0100 to 413-090-0210. Statutory/Other Authority: ORS 409.050, ORS 418.005 & ORS 418.640 Statutes/Other Implemented: ORS 409.010, ORS 418.015, ORS 418.315, ORS 418.625, ORS 418.627, ORS 418.630, ORS 418.635, ORS 418.640, ORS 418.642, ORS 418.643, ORS 418.644, ORS 418.645, ORS 418.647 & ORS 418.648 History: CWP 12-2025, amend filed 08/07/2025, effective 08/11/2025 CWP 9-2021, amend filed 03/26/2021, effective 04/15/2021 CWP 53-2019, amend filed 12/23/2019, effective 01/01/2020 CWP 54-2018, amend filed 06/29/2018, effective 06/29/2018 CWP 2-2018, temporary amend filed 01/01/2018, effective 01/01/2018 through 06/29/2018 CWP 20-2015, f. & cert. ef. 10-1-15 CWP 37-2011, f. 12-27-11, cert. ef. 12-28-11 CWP 3-2009, f. & cert. ef. 2-2-09 Renumbered from 413-200-0346, CWP 4-2007, f. & cert. ef. 3-20-07 SOSCF 7-2001, f. & cert. ef. 3-23-01