Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 17 - Children's Special Health Services (CSHS) › Chapter 53 - Assignment to Subspeciality Clinics › Section V-5301 - Subspeciality Clinics

Current through Register Vol. 50, No. 6, June 20, 2024
A. General
				  Information. CSHS clinics are medical subspecialty treatment clinics. They are
				  established on the basis of need, availability of subspecialist physicians, and
				  fiscal resources. They are not screening clinics. Neither are they set up to
				  provide acute or emergency care. A multidisciplinary team staffs each clinic.
				  This team may be composed of a physician, nurse, social service staff,
				  nutritionist, and others as appropriate to the clinic, i.e., orthotist, etc.
				  Services are usually provided in the child's region of residence. However, on
				  occasion, a child must travel to another region for clinics and services not
				  available near home.
B.
				  Subspecialty Clinics
1. Arthritis. Pediatric
				  rheumatology services are provided for children with chronic arthritic
				  diseases, i.e., diseases causing chronic synovitis which may be associated with
				  a number of underlying diseases or causes. Services are limited for treatment
				  for joint involvement.
2.
				  Audiology. Diagnostic services are provided to evaluate hearing loss and for
				  habilitation of impairment through provision of hearing aids and/or follow-up
				  services.
3. Cardiology. Medical
				  and surgical services are provided for children with congenital and acquired
				  chronic diseases, conduction disorders and valve defects.
4. Cleft Lip And Palate. Children with cleft
				  lip and/or palate defects, are provided surgical and habilitative services in
				  team clinics. In addition to plastic surgery and/or oral surgery, other
				  services may include orthodontia, dental and speech therapy services.
5. Cystic Fibrosis. Children diagnosed with
				  cystic fibrosis are treated by the staff of Cystic Fibrosis Centers at Tulane
				  Medical Center in New Orleans and LSU Medical Center in Shreveport. No other
				  pulmonary conditions are covered.
6. Nephrology. Medical treatment is provided
				  for metabolic disorders affecting the kidneys and recurrent or chronic renal
				  infections. Care is not provided for children with end stage renal disease or
				  needing dialysis or transplant.
7.
				  Neurology. Medical services are provided for children with refractory or
				  progressive seizure disorders, degenerative neurologic conditions,
				  neuromuscular and acquired neurologic disorders.
8. Neurosurgery. Services are provided for
				  children in the rehabilitation phase of treatment for head and spinal cord
				  injuries and for children with congenital malformation of the nervous system
				  requiring neurosurgical treatment. Children with myelodysplasia are seen in
				  this clinic if no separate CSHS Spinal Cord clinic is available.
9. Ophthalmology. Medical and surgical
				  services are provided for patients with congenital or acquired eye disease
				  requiring specialized treatment i.e., strabismus, cataracts, glaucoma, or
				  structural anomalies. Care is not provided for children with minor refractive
				  errors only.
10. Orthopedic.
				  Children with congenital or acquired defects: amputee deformities or chronic
				  diseases affecting the musculoskeletal, cerebral palsy system and/or spinal
				  cord are cared for by orthopedic specialists and in some CSHS regions there are
				  specialized orthopedic clinics e.g. Scoliosis scoliosis, cerebral palsy, hand
				  and amputee clinics.
11. Otology.
				  Medical and surgical services are provided for children with significant
				  hearing loss of any etiology. Congenital and acquired otological disorders
				  requiring long term subspecialty care are treated. Care is not provided for
				  acute problems, disorders of the nose, sinuses, throat, larynx and upper
				  respiratory tract.
12.
				  Reconstructive Surgery-Surgical and rehabilitative services are provided for
				  the removal or correction of burn scars and/or contractures and of keloids,
				  hemangiomas or similar conditions or deformities which limit function. Cosmetic
				  surgery is not provided.
13. Spinal
				  Cord. Multidisciplinary clinics in some CSHS regions serve children with
				  myelodysplasia and other congenital or acquired spinal cord problems.
14. Urology. Surgical services are provided
				  for the correction of congenital anomalies and acquired defects or obstructions
				  of the urinary tract. Medical treatment is provided for chronic urinary tract
				  infections. Care is not provided for acute infections, renal stones and genital
				  disorders.