New York Codes, Rules and Regulations › Title 18 - DEPARTMENT OF SOCIAL SERVICES › Chapter II - Regulations of the Department of Social Services › Subchapter E - Medical Care › Article 3 - Policies and Standards Governing Provision of Medical and Dental Care › Part 507 - Health Supervision And Medical Care For Children › Section 507.1 - General responsibilities for health supervision and medical care for children

Current through Register Vol. 46, No. 28, July 10, 2024
(a) It is
			 the responsibility of the local social services district to provide for
			 comprehensive medical services for children in foster care and to assure the
			 availability and encourage the utilization of such services for children
			 receiving services under a public assistance program. This responsibility will
			 be jointly shared by the medical assistance unit and the children's services
			 and public assistance staffs.
(b)
			 Administratively, the provision of medical care for children must be carried
			 out in accordance with other provisions of this Subchapter.
(c) For children in foster care, health
			 supervision is a continuing responsibility of the children's services
			 caseworker and medical assistance staff of the local social services district.
			 Such responsibility includes:
(1) procuring,
			 recording and maintaining information regarding the health history, current
			 health status, and health care needs of the children in care;
(2) arranging for periodic medical and dental
			 examinations according to the following schedule:
(i) for children aged 0-1 years: at 2-4
			 weeks; 2-3 months; 4-5 months; 6-7 months; 9-10 months;
(ii) for children aged 1-6 years: at 12-13
			 months; 14-15 months; 16-19 months; 23-25 months; 3 years; 4 years; 5 years;
			 and
(iii) for children aged 6-21
			 years: at 6 years; 8-9 years; 10-11 years; 12-13 years; 14-15 years; 16-17
			 years; 18-19 years; 20 years;
(3) arranging for periodic medical and dental
			 examinations that must follow current recommended medical practice and be
			 consistent with the needs of the child as determined by the child's physician.
			 Every examination must include the following as appropriate by age:
(i) a comprehensive health and developmental
			 history;
(ii) a comprehensive
			 unclothed physical examination;
(iii) an assessment of immunization status
			 and provision of immunizations as necessary;
(iv) an appropriate vision
			 assessment;
(v) an appropriate
			 hearing assessment;
(vi) laboratory
			 tests as appropriate for specific age groups or because the child presents a
			 history or symptoms indicating such tests are necessary;
(vii) dental care screening and/or referral.
			 All children up to age three should have their mouths examined at each medical
			 examination and where appropriate should be referred for dental care. All
			 children three years of age or over must have a dental examination by a dentist
			 annually and must be provided with any dental care as needed; and
(viii) observation for child abuse and
			 maltreatment which, if suspected, must be reported to the State Central
			 Register of Child Abuse and Maltreatment as mandated by section 413  of the Social Services Law;
(4) for a child who is eligible
			 for medical assistance, notifying the foster parent(s), or the institution,
			 group residence, group home, or agency boarding home where the child is
			 residing, in writing within 60 days of acceptance of the child into foster care
			 of the availability of child/teen health plan services (C/THP) and providing
			 upon request the names and locations of providers offering examinations,
			 diagnosis and treatment to children eligible for C/THP. All families eligible
			 for C/THP services must also be informed at least annually of the availability
			 of such services in accordance with section
			 508.4 
			 of this Title;
(5) informing foster
			 parents that assistance is available in scheduling appointments with and
			 providing transportation to providers of medical care on behalf of their foster
			 children if such assistance is requested;
(6) consulting with physicians, dentists,
			 psychologists and other professional staff, as appropriate, regarding the
			 significance of information and findings;
(7) determining actions to be taken to carry
			 out treatment recommendations;
(8)
			 in accordance with section
			 463.2  of
			 this Title, advising in writing each foster parent providing care to an
			 adolescent who is 12 years of age or over of the availability for such child of
			 social, educational and medical family planning services;
(9) providing or arranging, in accordance
			 with section
			 463.2  of
			 this Title, requested family planning services within 30 days of such request;
			 and
(10) when a child-caring agency
			 is authorized by a local social services district to offer family planning
			 services to a foster child who is 12 years of age or over in accordance with
			 section
			 463.2  of
			 this Title, monitoring the provision of information and services and assuring
			 that reports and data on such services are included in the uniform case
			 record.