Missouri Code of State Regulations › Title 13 - DEPARTMENT OF SOCIAL SERVICES › Division 35 - Children's Division › Chapter 71 - Rules for Residential Treatment Agencies for Children and Youth › Section 13 CSR 35-71.075 - 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, psychiatric and psychological care,
				  including psychotropic medication.
(1) Health Care Procedure.
(A) The agency shall have a written health
				care program plan which shall address preventive medical, eye, hearing, and
				dental care.
(B) The agency's
				health care program shall include admission examinations, subsequent
				examinations, nursing care, first-aid procedures, dispensing of medicine, basic
				remedial treatment and the training and implementation of the use of the
				universal health care precautions and the other basic principles of
				communicable disease prevention. The agency shall make provisions for the
				services of a licensed physician to be responsible for medical care, including
				on site or office visits.
(C) At
				admission, the agency shall obtain written authorization for each child from
				the parent(s), guardian, or legal custodian for emergency medical care,
				necessary immunizations, and for routine medical examinations and
				care.
(D) A complete medical
				examination by a licensed physician certified nurse practitioner, advanced
				practice nurse in a collaborative practice agreement with a licensed physician,
				or a registered nurse who is under the supervision of a licensed physician
				shall be given to each child within thirty (30) days prior to admission, or
				within ten (10) days after admission. The findings of the examination shall be
				recorded on a form prescribed by the division, or one containing the equivalent
				information. Children shall receive physical examinations in accordance to the
				periodicity of the Missouri medicaid healthy children and youth schedule for
				medical and developmental examinations.
(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
				immunization prior to admission shall be immunized according to the Department
				of Health and Senior Services'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
				and Senior Services's current guidelines.
(I) Each child shall be given an annual eye
				examination and corrective treatment shall be provided as prescribed.
(J) Children must be tested for communicable
				diseases including, but not limited to, tuberculosis and hepatitis according to
				the recommendations of a licensed physician.
(K) Dental Care.
1. Children must have a dental examination by
				a licensed dentist within one (1) year before admission or within three (3)
				months after admission. A copy of the examination report and findings must be
				in the child's record.
2. A child
				shall have a dental examination at least annually while in care.
(L) Any treatment or corrective
				measures required by the licensed physician or dentist shall be arranged by the
				agency, as approved by a parent, guardian, or legal custodian.
(M) Upon discharge, a copy or summary of the
				child's health and dental records shall be provided to the child's parent(s),
				guardian, or legal custodian.