reglab/statecodes huggingface dataset:
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 17 - Children's Special Health Services (CSHS) › Chapter 55 - Congenital Anomalies and Spinal Cord Dysfunctions › Section V-5505 - Emergency Hospitalization

Current through Register Vol. 50, No. 6, June 20, 2024
A. When
				  an emergency admission occurs, it is the responsibility of the family to
				  contact the CSHS Regional Office immediately. This can be done by:
1. contacting the CSHS Regional Office
				  directly;
2. asking the physician
				  to call;
3. asking the hospital
				  admissions clerk to call; or
4.
				  asking the assistance of their public health nurse in the parish of
				  residence.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 17 - Children's Special Health Services (CSHS) › Chapter 55 - Congenital Anomalies and Spinal Cord Dysfunctions › Section V-5507 - Hospitalization of CSHS Patients Covered by Private Medical Insurance

Current through Register Vol. 50, No. 6, June 20, 2024
A. At the time of
				  hospital admission, the family must identify the child as being a CSHS patient
				  and have proof of insurance, such as an I.D. card, insurance policy, or letter
				  from an employer. Prior to the admission date, a CSHS Authorization form shall
				  be sent by the CSHS Regional Office to the hospital with the notation:
"CSHS TO BE BILLED ONLY AFTER BASIC AND MAJOR MEDICAL
					 BENEFITS HAVE BEEN APPLIED."
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S. 40:31.2,
					 and
					 R.S.
					 40:1299.111-120.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 17 - Children's Special Health Services (CSHS) › Chapter 55 - Congenital Anomalies and Spinal Cord Dysfunctions › Section V-5509 - Hospitalization of CSHS Patients Covered by Medicaid

Current through Register Vol. 50, No. 6, June 20, 2024
A. CSHS does not supplement Medicaid nor
				  issue Authorization forms for hospitalizations for patients with Medicaid
				  coverage. CSHS Regional Office Staff may assist families in utilizing Medicaid
				  benefits and may directly contact Medicaid on behalf of the patient.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S. 40:31.2,
					 and
					 R.S.
					 40:1299.111-120.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 17 - Children's Special Health Services (CSHS) › Chapter 55 - Congenital Anomalies and Spinal Cord Dysfunctions › Section V-5511 - Requests for Out of State Hospitalization

Current through Register Vol. 50, No. 6, June 20, 2024
A. CSHS does not pay for services provided
				  outside of Louisiana except for cases of extraordinary need. Requests for out
				  of state services must be approved by the CSHS Administrative Unit and will be
				  considered only under the following circumstances:
1. the service is not available in Louisiana,
				  and
2. the patient's condition is
				  such that it can not be treated adequately by any other means available in
				  Louisiana; and
3. the patient's
				  condition is of such a serious nature that treatment is justified;
				  and
4. the service is requested by
				  a CSHS attending physician; and
5.
				  No other funding source is available for the requested service.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 17 - Children's Special Health Services (CSHS) › Chapter 55 - Congenital Anomalies and Spinal Cord Dysfunctions › Section V-5513 - Out-Patient Services

Current through Register Vol. 50, No. 6, June 20, 2024
A. Out-patient
				  services for CSHS patients may be authorized when :
1. the service is ordered by a CSHS attending
				  physician,
2. the need for the
				  out-patient services is directly related to the condition(s) being treated by
				  CSHS,
3. the patient's progress in
				  treatment would be impeded or halted without the service,
4. the patient can benefit from the services
				  recommended, and
5. the vendor is a
				  Medicaid provider.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 17 - Children's Special Health Services (CSHS) › Chapter 55 - Congenital Anomalies and Spinal Cord Dysfunctions › Section V-5515 - Medical Equipment

Current through Register Vol. 50, No. 6, June 20, 2024
A. CSHS may
				  provide orthotics, prosthetics, wheelchairs and other medical equipment which
				  will aid the patient in rehabilitation. This medical equipment may be provided
				  by the Program when:
1. it is prescribed by
				  the CSHS attending physician and medical justification is provided;
2. the patient's progress in treatment would
				  be impeded without it;
3. the
				  patient can benefit from the use of the equipment;
4. the need for the equipment is directly
				  related to the condition(s) being treated by CSHS;
5. the cost is justifiable in relation to the
				  medical need and no other less costly equipment will suffice; and
6. the vendor is a Medicaid
				  provider.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 17 - Children's Special Health Services (CSHS) › Chapter 55 - Congenital Anomalies and Spinal Cord Dysfunctions › Section V-5517 - Dental/Orthodontic Services

Current through Register Vol. 50, No. 6, June 20, 2024
A. Dental
				  Services are provided for patients with cleft lip and palate or an isolated
				  cleft palate through CSHS. Other patients may receive dental services only with
				  prior approval of the CSHS Program Manager.
B. Orthodontic services are provided on a
				  limited basis to those patients having cleft lip and palate or an isolated
				  cleft palate. Patients with other conditions which may impair function must be
				  approved by the CSHS Program Manager.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S. 40:31.2,
					 and
					 R.S.
					 40:1299.111-120.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 17 - Children's Special Health Services (CSHS) › Chapter 55 - Congenital Anomalies and Spinal Cord Dysfunctions › Section V-5519 - Transportation Services

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  Transportation of patients to and from CSHS clinics and treatment facilities is
				  the responsibility of the family. In unusual or emergency situations, CSHS may
				  assist and/or pay for transportation with the approval of the CSHS Program
				  Manager
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S. 40:31.2,
					 and
					 R.S.
					 40:1299.111-120.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 17 - Children's Special Health Services (CSHS) › Chapter 57 - Congenital Anomalies and Spinal Cord Dysfunctions › Section V-5701 - Central Registry

Current through Register Vol. 50, No. 6, June 20, 2024
A. The purpose
				  of this rule is to insure prompt referral to the state health officer of all
				  persons residing in Louisiana born with congenital anomalies or spinal cord
				  dysfunctions. These referrals are made in order that all such persons may
				  obtain referrals to appropriate rehabilitative services rendered by existing
				  state agencies, departments, and other organizations and individuals.
B. In the course of its operations each
				  licensed public or private hospital or each licensed physician in the course of
				  his private medical practice shall report to the state health officer any case
				  of the following congenital anomalies:
1.
				  Spina Bifida
2.
				  Hydrocephalus
3. Cleft palate/cleft
				  lip
4. Club foot
5. Severe anomalies of the heart and
				  circulatory system
6. Debilitating
				  deformity
7. Absence of
				  limbs
8.
				  Neurofibromatosis
9. Spinal cord
				  dysfunctions
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 17 - Children's Special Health Services (CSHS) › Chapter 59 - Supplemental Security Income/Disabled Children's Program › Section V-5901 - Referral and Services

Current through Register Vol. 50, No. 6, June 20, 2024
A. All
				  referrals shall be made from the Federal Supplemental Security Income through
				  the Louisiana Data Exchange to the Children' Special Health Services (CSHS)
				  Central Office on a quarterly basis. The information is then subdivided into
				  regional packets for distribution to the appropriate Children's Special Health
				  Services (CSHS) Offices.
B.
				  Services are available in the following targeted areas: New Orleans CSHS
				  Regional Office, Baton Rouge CSHS Regional Offices, Teche CSHS Regional Office,
				  Lake Charles CSHS Regional Office, Alexandria CSHS Regional Office, Shreveport
				  CSHS Regional Office, Monroe CSHS Regional Office, Greensburg CSHS Regional
				  Office.
C. First priority is given
				  to referred children whose disability enables them to be eligible for the
				  Children's Special Health Services Program.
D. Second priority is given to children under
				  seven years of age whose family may need assistance in understanding the
				  disability and making the best use of case management.
E. All children are referred on to the child
				  search coordinators to assure prompt planning for their acceptance into the
				  education system.
F. Children with
				  conditions not treated in the Children's Special Health Services Program Shall
				  be referred to other state or private agencies when appropriate depending on
				  the needs of the child as revealed by the multi disciplinary team's
				  assessment.
G.
1. Services provided consist of:
a. team evaluation;
b. family counseling;
c. case management;
d. Children's Special Health services as
				  appropriate; and
e. Special
				  Services (Limited)
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 18 - Disability Prevention Program › Chapter 60 - Severe Head Injuries › Section V-6001 - Mandatory Reporting Requirement

Current through Register Vol. 50, No. 6, June 20, 2024
A. The purpose of this rule is to provide for
				  the mandatory reporting of severe head injuries to the central registry for
				  such injuries, located within the Disability Prevention Program of the Office
				  of Public Health. The central registry will provide for the analysis and
				  dissemination of collected date in an effort to develop appropriated
				  prevention, care and support strategies for persons with severe head
				  injuries.
B. Each licensed hospital
				  or licensed physician in the course of his or her medical practice is required
				  to report any case of severe head injury to the Office of Public
				  Health.
C. The criteria for
				  required reporting of a case of "severe head injury" are as follows:
1. acute, traumatic injury to the central
				  nervous system within the portion of the skull enclosing the brain, excluding
				  brain damage due to birth trauma, or to asphyxia or intoxications in the
				  absence of trauma; and
2. at least
				  one of the following clinical results:
a.
				  death in the emergency room or during hospitalization;
b. coma for a duration of at least six hours
				  during the first week after injury (not including unconsciousness due to
				  anesthesia);
c. moderate disability
				  (independent, but restricted in work and/or social activity) or more severe
				  disability at hospital discharge or three months post-injury, whichever comes
				  first;
d. surgical opening of the
				  cranium.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 18 - Disability Prevention Program › Chapter 63 - Newborn Heel Stick Screening › Section V-6301 - Eligibility

Current through Register Vol. 50, No. 6, June 20, 2024
A. Any child born
				  in or residing in the state of Louisiana shall be eligible for neonatal
				  screening.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 40:1299.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 18 - Disability Prevention Program › Chapter 63 - Newborn Heel Stick Screening › Section V-6303 - Purpose, Scope, and Laboratory Testing Methodology

Current through Register Vol. 50, No. 6, June 20, 2024
A.R.S.
				  40:1081.1 and 1081.2 requires physicians to
				  test Louisiana newborns for the disorders listed below along with the
				  abbreviations used by the American College of Medical Genetics (ACMG).
1. Disorders of amino acid metabolism:
a. phenylketonuria (PKU);
b. maple syrup urine disease
				  (MSUD);
c. homocystinuria
				  (HCY)
d. citrullinemia, type I
				  (CIT);
e. argininosuccinate
				  acidemia (ASA); and
f. tyrosinemia,
				  type I (TYR I).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 18 - Disability Prevention Program › Chapter 65 - Regional Genetics Clinics › Section V-6501 - Eligibility

Current through Register Vol. 50, No. 6, June 20, 2024
A. All Louisiana
				  residents are eligible to attend a regional genetics clinic for genetic
				  evaluation and counseling. These services are directed to the index patient and
				  his/her family. The index patient is the person who brings the family to the
				  attention of the geneticist.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 40:1299.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 18 - Disability Prevention Program › Chapter 65 - Regional Genetics Clinics › Section V-6503 - Purpose and Scope of Services

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  Regional genetics clinics have been established to provide genetics services to
				  all areas of the state in settings accessible to the population.
B. Services provided at the genetics clinics
				  include: genetic evaluation of the index patient and/or family and counseling
				  regarding the impact of the disease on the individual and the family, the
				  prognosis, the risk of recurrence, and the management of the disorder.
				  Counseling services shall be provided in all state planning regions.
C. Anyone desiring to attend a genetics
				  clinic may make an appointment by contacting his/her parish health unit.
				  Residents of Orleans and Plaquemines parishes may call the central office at
				  (504) 568-5075.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.40:1299.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 18 - Disability Prevention Program › Chapter 67 - Insurance Collection › Section V-6701 - General

Current through Register Vol. 50, No. 6, June 20, 2024
A. Insurance
				  carriers shall be charged by the program for special formulas required for
				  children with PKU and Maple Syrup Urine Disease (MSUD) which are dispensed by
				  OPPHS and for clinic visits at regional genetics clinics.
B. Cost for special formula is determined by
				  actual charges made to OPPHS by the formula manufacturers plus a 25 percent fee
				  for dispensing, shipping and delivery by OPPHS. As an example, the prices for
				  the distribution of the three types of formulas, as of January 1, 1985, are
				  listed below.
Type of Formula
Quantity
Cost
Phenyl-Free
1 Case (6 cans)
$280.13
Lofenalac
1 Case (6 cans)
$208.35
MSUD
1 Case (6 cans)
$221.78
C.
				  The cost for a clinic visit depends on the type of service rendered by the
				  attending medical geneticist. The medical geneticist shall base his cost on the
				  type of service level in accordance with the definitions found in the
				  Physician's Current Procedural Terminology Fourth Edition 1985 published by the
				  American Medical Association and copyrighted 1984.
D. The prices associated with these levels of
				  service are derived from average prices identified through a nationwide survey
				  conducted by the Genetic Services Committee of the American Society of Human
				  Genetics and found in their report of 1983, Report on Costs and Payment for
				  Genetic Services. The FY'86 DHHR annual economic indicator index for medical
				  care is included in the prices which appear below:
1. First Clinic Visit For Genetic Evaluation
				  and Counseling-Fee Charged:
Limited
$49
Intermediate
$69
Comprehensive
$102
Complex
$128
2.
				  Clinic Visit After Initial For Genetic Evaluation and Counseling-Fee Charged:
Limited
$27
Intermediate
$38
Extended
$62
Comprehensive
$69
Complex
$113
3.
				  Genetic Counseling Only By A Medical Geneticist, Initial Or After Initial
				  visit-Fee Charged:
Standard
$61
Long
$90
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 18 - Disability Prevention Program › Chapter 69 - Genetic Diseases Program Advisory Committee › Section V-6901 - Composition and Meetings

Current through Register Vol. 50, No. 6, June 20, 2024
A. The Genetic
				  Diseases Program Advisory Committee is hereby created pursuant to federal
				  recommendations and it shall be composed of members who are knowledgeable of
				  medical genetic disorders. On the recommendations of the Genetics Program staff
				  and with the approval of the maternal and child health medical director,
				  members shall be appointed by the assistant secretary of OPPHS. There shall be
				  representation from all medical schools within the state. The disciplines of
				  genetics, pediatrics, obstetrics, and hematology shall be represented.
				  Representation from OPPHS shall include but not be limited to nutrition,
				  laboratory, social work, handicapped children's services, maternal and child
				  health and the physicians connected with these programs. There shall be two
				  consumer representatives.
B. The
				  committee shall meet as often as necessary to conduct its business in a timely
				  fashion, but meetings shall be held at least once a year.
C. The meeting site shall be determined by
				  the committee.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 40:1299.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 18 - Disability Prevention Program › Chapter 69 - Genetic Diseases Program Advisory Committee › Section V-6903 - Duties

Current through Register Vol. 50, No. 6, June 20, 2024
A. The committee
				  shall:
1. Assist OPPHS in developing
				  standards for the implementation of
				  R.S.
				  40:1299 et seq. and in developing any new
				  legislation affecting genetic services.
2. Consult with and assist OPPHS in setting
				  policy and the scope of services.
3. Participate with OPPHS in developing and
				  maintaining educational programs among health professionals and the lay public
				  on the services offered by the Genetic Diseases Program and on genetic
				  disorders.
4. Consult with OPPHS
				  regarding the promulgation of rules and regulations necessary in the conduct of
				  the Genetic Diseases Program.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 18 - Disability Prevention Program › Chapter 70 - Lead Poisoning Prevention Program › Section V-7001 - Relationship of Local and State Poisoning Prevention Programs

Current through Register Vol. 50, No. 6, June 20, 2024
A. The local lead prevention program shall
				  collaborate with the state Lead Prevention Program at the Office of Public
				  Health and adhere to current Centers for Disease Control and Prevention
				  guidelines.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 49:950 et seq., and under the authority of
					 R.S.
					 40:5; 40:1299.21; 40:1299:22, and
					 40:1299:23.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 18 - Disability Prevention Program › Chapter 70 - Lead Poisoning Prevention Program › Section V-7003 - Definitions

Current through Register Vol. 50, No. 6, June 20, 2024
A Case of Lead Poisoning
(in children
					 between the ages of six months to 72 months of age)
1. a venous blood-lead level greater than or equal to 15
					 [MICRO] g/dl (micrograms per deciliter);
2. acute symptomatic illness consisting of lead colic with
					 or without lead encephalopathy; or
3. chronic symptomatic illness consisting of the signs and
					 symptomatic illness consisting of the signs and symptoms of chronic plumbism,
					 including, but not limited to anemia, nephropathy, neuropathy, loss of
					 developmental skills, recurrent lead colic and/or recurrent lead
					 encephalopathy.
Previously
Reported
- any
					 case of lead poisoning which has been diagnosed by a medical provider, and
					 reported to the Office of Public Health as specified in §7005
Lead Contamination
- shall be considered a
					 health hazard to children or other persons, if said lead contamination exists
					 in or about a dwelling, dwelling unit, household, or other premises which in
					 the judgement of the State Health Officer, children or other persons visit with
					 such frequency or duration as to create significant risk of lead poisoning.
					 Lead contamination shall include:
1. paint or similar coating material, putty, plaster or
					 other composition material, on an exposed surface or chewable surface, which
					 contains [GREATER THAN EQUALS TO]0.5 percent lead by weight as determined by
					 laboratory analysis or [GREATER THAN EQUALS TO]1.0 milligram per square
					 centimeter of surface area as measured by x-ray fluorescence or equivalent
					 method;
2. drinking water, dust, or soil which contains a level of
					 lead which, in the judgement of the State Health Officer, is sufficient to be a
					 source of lead poisoning to children or other persons;
3. any object or material which, in the judgement of the
					 State Health Officer, can be a source of lead ingestion or inhalation.
Clinical Laboratory
- a facility for the
					 biological, microbiological, serological, chemical, immuneohematological,
					 hematological, biophysical, cytological, pathological, or other examination of
					 substances derived from the human body for the purpose of providing information
					 for the diagnosis, prevention, or treatment of any disease, or in the
					 assessment or impairment of the health of human being.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 49:950 et seq., and under the authority of
					 R.S.
					 40:5; 40:1299.21; 40:1299:22, and
					 40:1299:23.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 18 - Disability Prevention Program › Chapter 70 - Lead Poisoning Prevention Program › Section V-7005 - Mandatory Blood Lead Screening of Children in High Risk Geographical Areas

Current through Register Vol. 50, No. 6, June 20, 2024
A. Based on
				  surveillance data gathered by the State Childhood Lead Poisoning Prevention
				  Program and review by the state health officer and representatives from medical
				  schools in the state, all parishes are identified as high risk for lead
				  poisoning.
B. Medical providers
				  providing routine primary care services to children ages 6 months to 72 months
				  residing or spending more than 10 hours per week in these parishes must have
				  such children screened in accordance to practices consistent with current
				  Center for Disease Control and Prevention guidelines, which include the
				  following specifications:
1. administration
				  of a risk assessment questionnaire at every well baby visit;
2. use a blood lead test to screen all
				  children at ages 12 months and at 24 months or at any time from ages 36 months
				  to 72 months, if they have not been previously screened;
3. blood lead levels [GREATER THAN
				  EQUALS]15µg/dl obtained from finger stick samples will be confirmed using
				  a venous blood sample.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 18 - Disability Prevention Program › Chapter 70 - Lead Poisoning Prevention Program › Section V-7007 - Mandatory Case Reporting by Health Care Providers

Current through Register Vol. 50, No. 6, June 20, 2024
A. Medical providers must report a lead case,
				  which is indicated by a blood lead test result of [GREATER THAN
				  EQUALS]15µg/dl (micrograms per deciliter), to the Childhood Lead
				  Poisoning Prevention Program, Office of Public Health within 24 working hours
				  to ensure appropriate and timely follow-up. All health care providers shall
				  assure that all the following information is submitted to the testing
				  laboratory with all ordered blood lead samples for analysis and/or submitted
				  with all lead case reports to the Lead Poisoning Prevention Program:
1. child's name;
2. parent's or the guardian's name;
3. child's street and mailing address,
				  including the city state, parish, and zip code;
4. child's date of birth;
5. child's sex;
6. child's race;
7. child's national origin;
8. child's Social Security number;
9. phone number where child's parent(s) or
				  guardian can be reached;
10.
				  Medicaid number if child is an enrolled recipient;
11. type of sample (venous or
				  capillary);
12. sample collection
				  date
13. type of test: first,
				  annual, or repeat test;
14. blood
				  lead level results documented in micrograms per deciliter
				  (µg/dl).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 18 - Disability Prevention Program › Chapter 70 - Lead Poisoning Prevention Program › Section V-7009 - Reporting Requirements of Blood Lead Levels by Laboratories and by Health Care Providers Performing Office-Based Blood Lead Analyses for Public Health Surveillance

Current through Register Vol. 50, No. 6, June 20, 2024
A. Health
				  care providers who conduct blood lead level screenings using a CLIA-waived
				  blood lead analysis device to determine blood lead levels and clinical
				  laboratories responsible for conducting analysis to determine blood lead levels
				  for health care providers and/or for referring laboratories, shall also report
				  all results to the Louisiana Lead Poisoning Prevention Program by electronic
				  transmission in a format consistent with the CDC guidelines for uniform
				  reporting of blood lead results to state and local health departments as
				  available at http://lcweb2. loc.gov/lasw/usa/1710299992p1106-310.pdf.
B. The following information is required and
				  essential for appropriate monitoring, screening and treatment of lead
				  poisoning.
1. All results of blood lead
				  testing for children under 72 months of age must be reported regardless of the
				  test results
2. All laboratories
				  responsible for directly conducting blood lead level analyses and laboratories
				  responsible for referring the analysis to another laboratories must collect all
				  the information specified in items under §7007. A 1-14.from the health
				  care provider.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 18 - Disability Prevention Program › Chapter 71 - Hemophilia Program › Section V-7101 - Eligibility

Current through Register Vol. 50, No. 6, June 20, 2024
A. To be eligible
				  for the program a client has to reside in Louisiana and have medically
				  diagnosed hemophilia, as defined in
				  R.S.
				  40:1299.5. For a patient to receive factor
				  and other medical supplies and services through the program he must:
1. receive a medical evaluation at least once
				  annually at the Louisiana Comprehensive Hemophilia Care center;
2. submit infusion records upon sending in
				  prescriptions to the program office;
3. sign and submit all insurance forms
				  relative to charges for factor and other supplies;
4. inform the Program office immediately of
				  any changes in insurance coverage.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 18 - Disability Prevention Program › Chapter 71 - Hemophilia Program › Section V-7103 - Collections

Current through Register Vol. 50, No. 6, June 20, 2024
A. Insurance
				  carriers, Medicare and Medicaid are charged by the program for the blood
				  products (e.g., factor, monoclate, stimate and autoplex) and medical supplies
				  (syringes and needles). Costs are determined by charges made to the program for
				  the blood products and medical supplies, plus an administrative fee for
				  dispensing, shipping and delivery by the state.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 40:1299.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 21 - Residential Licensing › Chapter 73 - Child Placing Agencies-General Provisions › Section V-7301 - Definitions

Current through Register Vol. 50, No. 6, June 20, 2024
A. Unless otherwise
				  specifically provided herein, the following words and terms used in this
				  Chapter are defined for the purposes thereof as follows.
Committee of Certification
- as defined in
					 statue
					 R.S.
					 40:1142.
Community Sewerage System
- any sewerage
					 system which serves multiple connections and consists of a collection and/or
					 pumping/transport system and treatment facility.
Department
- the Louisiana Department of
					 Health and Hospitals, Office of Public Health.
Person
- an individual, a public or
					 private corporation, an association, a partnership, a public body created by or
					 pursuant to state law, the state of Louisiana, an agency or political
					 subdivision of the state, a federally recognized Indian tribe, the United
					 States government, a political subdivision of the United States government, and
					 any officer, employee, or agent of one of those entities.
Operator
- the individual, as determined
					 by the Committee of Certification, in attendance on site of a water supply
					 system or sewerage system and whose performance, judgment, and direction
					 affects either the safety, sanitary quality, or quantity of water or sewage
					 treated or delivered.
Public Water System
- a system for the
					 provision to the public of water for potable purposes through pipes or other
					 constructed conveyances, if such system has at least 15 service connections or
					 regularly serves an average of at least 25 individuals daily at least 60 days
					 out of the year.
AUTHORITY NOTE:
					 Promulgated in accordance with R.S.
					 40:1141-1151.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 21 - Residential Licensing › Chapter 73 - Child Placing Agencies-General Provisions › Section V-7303 - Certification Requirements

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
				  basic requirements for certification are set forth in R.S.
				  40:1141-1151.
B. The Operator of
				  any public water system or any community sewerage system shall hold current and
				  valid professional certification(s) of the required category(s) at or above the
				  level required for the total system and individual facility. Additionally, an
				  operator shall demonstrate that, when not actually on site at the facility, he
				  is capable of responding to that location within one hour of being notified
				  that his presence is needed.
C.
				  Systems operating multiple shifts are required to have a minimum of one
				  certified operator present on each shift. Exact numbers of certified operators
				  required may be determined by the committee of certification.
AUTHORITY NOTE:
					 Promulgated in accordance with R.S.
					 40:1141-1151.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 21 - Residential Licensing › Chapter 73 - Child Placing Agencies-General Provisions › Section V-7305 - Categories of Certification

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  Certifications are offered in each of the following areas (categories), of
				  qualification:
1. water production;
2. water distribution;
3. water treatment;
4. wastewater collection;
5. wastewater treatment.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 21 - Residential Licensing › Chapter 73 - Child Placing Agencies-General Provisions › Section V-7307 - Levels (Classes) of Certification for Types of Facilities

Current through Register Vol. 50, No. 6, June 20, 2024
A. Required levels
				  of certification for an operator, based on facility classification, are as
				  follows:
Population Served
Facility Classification
<1,000
Class 1
1,001-5,000
Class 2
5,001-25,000
Class 3
Over 25,000
Class 4
AUTHORITY NOTE:
					 Promulgated in accordance with R.S.
					 40:1141-1151.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 21 - Residential Licensing › Chapter 73 - Child Placing Agencies-General Provisions › Section V-7309 - Operator Qualifications - General (Education/Experience)

Current through Register Vol. 50, No. 6, June 20, 2024
A. Whereas R.S.
				  40:1141-1151 specifies minimum operator qualifications in years, these values
				  have been converted to "points" for ease of integration with continuing
				  education credits and substitutions between education and experience. Operator
				  qualifications for the various levels of certification shall be determined by
				  minimum point values as follows.
Certification Level
Required Points
Op-In-Training
0
Class 1
1
Class 2
2
Class 3
5
Class 4
8
NOTE: A minimum educational requirement of a High School
					 Diploma (or G.E.D.) is applied to ALL levels of certification. Required point
					 values for education and experience are in addition to this minimum level of
					 education. Point value required for Classes 1 and 2 may be from experience
					 alone although 25 percent of this value may be acquired from education credit.
					 No more than 75 percent of the total required points for Classes 3 or 4 may be
					 obtained from education or experience alone.
AUTHORITY NOTE:
					 Promulgated in accordance with R.S.
					 40:1141-1151.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 21 - Residential Licensing › Chapter 73 - Child Placing Agencies-General Provisions › Section V-7313 - Administration and Operation

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  Department Access-Foster Care, Adoption, Transitional Placing
1. Once a child-placing agency provider has
				  been issued a license, the department shall conduct licensing and other
				  inspections at intervals deemed necessary by the department to determine
				  compliance with licensing standards, as well as, other required statutes, laws,
				  ordinances, rules, regulations, and fees. These inspections shall be
				  unannounced.
2. The department
				  shall remove any child/youth or all children/youth from any provider or
				  certified home when it is determined that one or more deficiencies exist that
				  place the health and well-being of children/youth in imminent danger. The
				  children/youth shall not be returned to the provider until such time as it is
				  determined by the department that the imminent danger has been
				  removed.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 21 - Residential Licensing › Chapter 73 - Child Placing Agencies-General Provisions › Section V-7317 - Operator-in-Training

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  Operator-in-Training certificates may be granted to newly hired personnel, who
				  have not previously been certified, or who have not held any type of
				  certification for in excess of two years, and who do not presently qualify for
				  a professional or provisional certificate. Such individuals may make
				  application for the appropriate category (water, wastewater) of
				  operator-in-training certificate. The certification officer will then begin
				  maintaining records of all approved education, training and experience credits
				  accumulated by the operator-in-training. An operator-in-training certificate
				  shall be valid for a period of 24 months from the date of issue, and may be
				  renewed in the same manner as provisional or professional certificates.
				  Operators-in-training may not be designated as the operator of the
				  system/facility.
AUTHORITY NOTE:
					 Promulgated in accordance with R.S.
					 40:1141-1151.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 21 - Residential Licensing › Chapter 73 - Child Placing Agencies-General Provisions › Section V-7319 - Provisional Certificate

Current through Register Vol. 50, No. 6, June 20, 2024
A. A
				  provisional certificate may be issued to any applicant who successfully passes
				  an examination. Provisional certificates shall not qualify an individual to
				  serve as the operator of a facility.
B. A provisional certificate may be converted
				  to a professional certificate if the certificate holder meets all
				  qualifications and assumes the duties of an active operator of a water or
				  wastewater system.
AUTHORITY NOTE:
					 Promulgated in accordance with R.S.
					 40:1141-1151.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 21 - Residential Licensing › Chapter 73 - Child Placing Agencies-General Provisions › Section V-7321 - Examinations - General

Current through Register Vol. 50, No. 6, June 20, 2024
A. All
				  operators wishing to become certified by the State of Louisiana, must pass an
				  examination demonstrating they have the necessary knowledge, skills, judgement,
				  and abilities as specified by the committee of certification. All exam
				  questions will be validated by the committee of certification or their
				  appointees.
B. Exams shall be
				  conducted in the English language.
C. The committee of certification has
				  established open examination periods for water and/or wastewater operators to
				  be examined. They are as follows.
1. One
				  annual open exam shall be conducted at the conclusion of the annual Louisiana
				  Conference on Water Supply, Sewerage and Industrial Waste "Short Course,"
				  meeting which is held in various locations around the state.
2. One open exam shall be conducted at the
				  conclusion of the Louisiana Rural Water Association Annual
				  Conference.
3. Other open
				  examinations may be scheduled at other locations as determined by the committee
				  of certification based on their determination of need subject to provisions of
				  §7305 of these
				  Rules.
4. Application for
				  examinations to be given following scheduled training courses, seminars,
				  workshops, etc., (as listed in
				  §7329 and
				  §7331 of these
				  Rules) will be considered on a case-by-case basis by the committee of
				  certification.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 21 - Residential Licensing › Chapter 73 - Child Placing Agencies-General Provisions › Section V-7323 - Examinations - Individual Operator Requirements

Current through Register Vol. 50, No. 6, June 20, 2024
A. Individual operators must make written
				  application to the committee of certification to take each examination or
				  series of examinations. The application forms will be made available to the
				  examinee prior to the exam period with ample time given to allow completion
				  prior to the actual exam period. The operator (examinee) carries the
				  responsibility for the accuracy of the information contained in the
				  application.
B. Applicants for
				  certification examinations must pay the prescribed exam fee at the conclusion
				  of testing (see
				  §7333 of these
				  Rules).
C. All examinations shall
				  be administered in the English language. Requests for examinations to be
				  administered orally may be considered by the administrator, upon written
				  request by an applicant, submitted at least 30 days in advance, with verifiable
				  proof from a physician that the applicant has a medical condition temporarily
				  preventing him from taking the examination in the conventional
				  manner.
D. Exams shall be taken and
				  passed in sequence from the Class 1 to the Class 4 in each category.
E. Applicants may not apply to take and may
				  not take examinations for certification higher than one level above that for
				  which they are currently qualified.
F. If an applicant takes an examination and
				  fails to attain a passing grade (70 percent or higher), he must wait a minimum
				  of 90 days before he can take another exam in the same category and level.
				  After three failed attempts at the same examination, an applicant will be
				  required to attend a 40-hour training course before retesting will be
				  allowed.
G. All examinations will
				  be graded by department personnel and retained for two years. The examinee will
				  be notified of the results. Examinations will not be returned to the examinee,
				  but may, upon written request, be reviewed in the Operator Certification
				  Program Office in Baton Rouge within 30 days following receipt of the
				  notification of results.
H.
				  Individuals caught cheating during the operator certification examinations or
				  found to have prejudiced these exams or applications in any way shall be
				  entitled to an administrative hearing before the committee of certification. If
				  the committee finds that valid grounds exist, it shall revoke the subject's
				  current certificate, it may refuse to certify the applicant and it may reject
				  future applications. As provided in the Administrative Procedure Act, an
				  aggrieved party may seek judicial review of the committee of certification's
				  action.
AUTHORITY NOTE:
					 Promulgated in accordance with R.S.
					 40:1141-1151.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 21 - Residential Licensing › Chapter 73 - Child Placing Agencies-General Provisions › Section V-7327 - Renewal and Recertification

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  Renewal Requirements. In order to qualify for renewal of certificates held in
				  any and all classes, all operators of water and sewerage works shall enumerate,
				  certify and provide evidence that he/she has attended a minimal number of
				  contact hours of approved operator training for each certificate held during
				  the previous two-year certification period. A minimum of 16 contact hours is
				  required for renewal of any certifications held in water categories or 8 hours
				  per certificate whichever is the greater. Likewise, a minimum of 16 contact
				  hours is required for renewal of any certifications held in wastewater
				  categories. Failure to attend the required training or failure to furnish the
				  required information shall constitute grounds for refusal to renew the
				  certificate. Approved training is defined as the completion of any of the
				  training courses listed in §7329 It is strongly recommended that course
				  outlines (or lesson plans) for other proposed in-service training be submitted
				  for approval prior to the proposed date of training.
B. Recertification. Operators for whom
				  certification has been expired in excess of two years are not eligible to renew
				  their license(s), and shall be required to reapply for certification under the
				  provisions of this Rule. In such cases, applicants shall be re-examined and
				  shall demonstrate compliance with appropriate education and experience
				  requirements before any certificates will be issued. In those instances where
				  an operator's license has previously been revoked by the committee, the
				  committee shall recommend any additional requirements for recertification that
				  are deemed appropriate, and rule on the operator's eligibility to reapply for a
				  license.
AUTHORITY NOTE:
					 Promulgated in accordance with R.S.
					 40:1141-1151.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 21 - Residential Licensing › Chapter 73 - Child Placing Agencies-General Provisions › Section V-7329 - Training - General

Current through Register Vol. 50, No. 6, June 20, 2024
A. Training
				  Courses Available. To be approved for training credit by the Administrator of
				  the Operator Certification Program, the training courses identified in
				  Paragraph B of this Section must meet the following general requirements.
1. The administrator must have on file a copy
				  of the course outline of the training course, seminar, workshop, etc. to make
				  his approval decision.
2.
				  Information must include dates, place held, sponsoring organization,
				  speakers/instructors and time (length of subject), and target audience
				  (category and levels of certification addressed).
3. No blanket approvals (from year to year)
				  will be given or implied and a separate approval must be given by the Operator
				  Certification Program each time training is given. On doubtful courses, the
				  administrator will bring the matter to the committee of certification for
				  disposition. (An aggrieved applicant may apply for an administrative hearing to
				  be conducted by a panel of the committee of certification.)
4. Operators shall be responsible to assure
				  the sponsoring organization submitting his certified transcript of training
				  credits earned to the administrator.