Missouri Code of State Regulations › Title 13 - DEPARTMENT OF SOCIAL SERVICES › Division 40 - Family Support Division › Chapter 73 - Licensing of Child Placing Agencies › Section 13 CSR 40-73.055 - Health Care

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule sets forth the procedures for
				  health care, emergency medical care, dental care, psychiatric and psychological
				  care, and medicine and drugs.
(1) Health Care Procedure.
(A) The agency shall have a written health
				care plan which shall address preventive medical, eye, hearing and dental care
				for any child(ren) in the custody of the agency.
(B) The agency's health care plan shall
				include examinations upon entering agency care, subsequent examinations,
				nursing care, first-aid procedures, dispensing of medicine and basic remedial
				treatment and the training of basic principles of communicable disease
				prevention.
(C) The agency shall
				obtain written authorization for each child from the parent(s), guardian or
				legal custodian for emergency medical care, emergency surgical care, necessary
				immunizations and general medical care upon entering care.
(D) A complete physical examination by a
				licensed physician, a certified nurse practitioner, advanced practice nurse in
				a collaborative agreement with a licensed physician or a registered nurse who
				is under the supervision of a licensed physician shall be given to each child
				under the age of three (3) within seventy-two (72) hours after entering care,
				unless being discharged directly from a medical facility. For any child over
				age three (3) the physical examination shall be given within thirty (30) days
				prior to placement, or within seventy-two (72) hours after entering care. The
				findings of the examination shall be recorded on a form prescribed by the
				division, or one containing the equivalent information. Children shall
				otherwise receive medical examinations in accordance to the periodicity of the
				Missouri Medicaid Healthy Children and Youth Schedule for Physical and
				Developmental Examinations available through the division.
(E) If a child shows overt signs of highly
				infectious disease or other evidence of ill health, the agency shall make
				arrangements for an immediate examination by a licensed physician.
(F) Any child who has not received primary
				immunizations prior to placement shall be immunized according to the Department
				of Health's current guidelines.
(G)
				A current immunization history shall be maintained for each child.
(H) Booster shots shall be administered to
				children as needed, and at time intervals recommended by the agency physician
				or by the Department of Health's current guidelines.
(I) Each child under twelve (12) years of age
				shall be given an annual eye examination. Children twelve (12) years of age and
				older shall be given an eye examination on an as-needed basis. Corrective
				treatment shall be provided as prescribed.
(J) Upon discharge, a copy or summary of the
				child's health and dental records shall be provided to the person or agency
				responsible for the future planning or care of the child.