Missouri Code of State Regulations › Title 11 - DEPARTMENT OF PUBLIC SAFETY › Division 30 - Office of the Director › Chapter 12 - Forensic Examinations › Section 11 CSR 30-12.010 - Payments for Sexual Assault Forensic

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This proposed amendment sets out additional
				  definitions and protocols for a medical provider and/or a facility to receive
				  reimbursement from the Missouri Department of Public Safety, Sexual Assault
				  Forensic Examination Program for forensic examinations performed on a child in
				  an emergency or nonemergency sexual assault situation. In addition, it defines
				  qualifications for providers who perform a non-emergency forensic examination
				  on a child age thirteen (13) or younger.
(1) For purposes of this section, the
				following terms mean:
(A) "Appropriate medical
				provider," any licensed nurse, physician, or physician assistant, and any
				institution employing licensed nurses, physicians, or physician assistants,
				provided that such licensed professionals are the only persons at such
				institution to perform tasks under the provisions of this section;
(B) "Child abuse medical resource centers,"
				medical institutions affiliated with accredited children's hospitals or
				recognized institutions of higher education with accredited medical school
				programs that provide training, support, mentoring, and peer review to Sexual
				Assault Forensic Examination - Child Abuse Resource and Education (SAFE-CARE)
				providers in Missouri;
(C) "Sexual
				assault forensic examination child abuse resource education network" or
				"SAFE-CARE network," a network of SAFE-CARE providers and child abuse medical
				resource centers that collaborate to provide forensic evaluations, medical
				training, support, mentoring, and peer review for SAFE-CARE providers for the
				medical evaluation of child abuse victims in this state to improve outcomes for
				children who are victims of, or at risk for, child maltreatment by enhancing
				the skills and role of the medical provider in a multidisciplinary
				context;
(D) "SAFE-CARE provider,"
				a physician, advanced practice nurse, or physician's assistant licensed in this
				state who provides medical diagnosis and treatment to children suspected of
				being victims of abuse and who receives-
1.
				Missouri-based initial intensive training regarding child maltreatment from the
				SAFE-CARE network;
2. Ongoing
				update training on child maltreatment from the SAFE-CARE network; and
3. Peer review and new provider mentoring
				regarding the forensic evaluation of children suspected of being victims of
				abuse from the SAFE-CARE network;
(E) "Evidentiary
				collection kit," a kit used during a forensic examination that includes
				materials necessary for appropriate medical providers to gather evidence in
				accordance with the forms and procedures developed by the attorney general for
				forensic examinations;
(F) "Forensic
				examination" or "Sexual Assault Forensic Examination (SAFE) exam," an
				examination performed by an appropriate medical provider on a victim of an
				alleged sexual offense to gather evidence for the evidentiary collection kit or
				using other collection procedures developed for victims who are
				minors;
(G) "Medical treatment," the treatment of all injuries
				and health concerns resulting directly from a patient's sexual assault or
				victimization;
(H) "Laboratory fees," those laboratory fees
				associated with a forensic examination of a child age thirteen (13) or under or
				those laboratory fees associated with lab tests which the appropriate medical
				provider deems necessary to determine whether the victim had been
				drugged;
(I) "Emergency forensic
				examination," an examination of a person under fourteen (14) years of age that
				occurs within five (5) days of the alleged sexual offense; and
(J) "Non-emergency forensic examination," an
				examination of a person under fourteen (14) years of age that occurs more than
				five (5) days after the alleged sexual offense.