Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 50 - Division of Injury Prevention, Head Injury Rehabilitation and Local Health Services › Chapter 3 - Legal Expense Fund Coverage › Section 19 CSR 50-3.030 - Legal Expense Fund Coverage

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule defines terms, prescribes contract
				  procedures, and procedures for documentation of care provided under paragraphs
				  (b), (c), (d), (e), and (f) of subdivision (3) of subsection 2 of section
				  105.711, RSMo.
(1) Definitions. The following definitions
				shall be used in the interpretation and enforcement of this rule:
(A) Child care means all physician child
				health services provided to a child for a condition or conditions that occurred
				or arose out of pregnancy or childbirth;
(B) Community health clinic means a nonprofit
				community health center qualified as exempt from federal taxation under Section
				501(c)(3) of the Internal Revenue Code of 1987, as amended, that provides
				primary care and preventive health services to people without health insurance
				coverage;
(C) Department refers to
				the Department of Health and Senior Services;
(D) Federally funded community health center
				means a federally funded community health center organized under Section 315,
				329, 330, or 340 of the Public Health Services Act (42 U.S.C. Section
				216,
				254c) ;
(E) Health care provider refers to any nurse,
				physician assistant, dental hygienist, dentist, or other health care
				professional licensed or registered under Chapter 330, 331, 332, 334, 335, 336,
				337, or 338, RSMo, who provides health care services within the scope of his or
				her license or registration;
(F)
				Health care refers to any health or dental care provided by any physician or
				health care provider within the scope of his or her license or
				registration;
(G) Health department
				refers to a city or county health department organized under Chapter 192, RSMo,
				or Chapter 205, RSMo, or a city health department operating under a city
				charter, or a combined city-county health department;
(H) Nonprofit community health center means a
				nonprofit community health center qualified as exempt from federal taxation
				under Section 501(c)(3) of the Internal Revenue Code of 1986, as
				amended;
(I) Physician refers to
				any physician licensed to practice medicine in the state of Missouri under the
				provisions of Chapter 334, RSMo, who provides care within the scope of his or
				her license;
(J) Pregnancy means
				all medical care given by a physician during the course of pregnancy for any
				condition related to pregnancy including the postpartum period sixty (60) days,
				including all medical care for any pregnancy-related condition for which
				treatment was begun during that pregnancy and postpartum period until
				resolution of that condition is reached;
(K) Primary care and preventive health care
				services means any essential health or dental care of a noninvasive nature
				except that injections, the suturing of minor lacerations and incisions of
				boils or superficial abscesses are permitted. Obstetrical care and other
				specialized care or treatment are not included;
(L) School includes public, private, or
				parochial elementary or secondary school;
(M) State Legal Expense Fund refers to the
				fund created by section
				105.711, RSMo; and
(N) Summer camp means a summer camp as
				defined by section 210.201, RSMo.