reglab/statecodes huggingface dataset:
West Virginia Code of State Rules › Agency 64 - Health › Title 64 - LEGISLATIVE RULE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 64-95 - Immunization Requirements and Recommendations for Children Attending School and Enrolled in State-Regulated Child Care › Section 64-95-4 - Dosage and Interval Schedule for Diphtheria, Pertussis And Tetanus Vaccines

Current through Register Vol. XLI, No. 28, July 12, 2024
4.1. Prior
				to being admitted to school, a child must show proof that he or she has
				received a minimum of four doses of Diphtheria, Tetanus, Acellular Pertussis
				(DTaP) vaccine, with the fourth dose having been received on or after the
				child's fourth birthday and prior to school entry.
4.2. The interval between the third and
				fourth dose shall be at least six (6) months.
4.3. A fifth dose of DTaP between the ages of
				4 and 6 is only necessary if the fourth dose was given either before the
				child's fourth birthday or if the interval between the third and fourth doses
				was less than six months.
4.4. A
				child between the ages of 11 and 12 must receive one dose of Tetanus,
				Diphtheria and acellular Pertussis vaccine (Tdap). Tdap can be administered
				regardless of the interval since the last tetanus and diphtheria toxoid
				containing vaccine (Td). This includes a child/student transferring into school
				or newly joining school who has not had the DTaP or Tdap prior. Inadvertent
				doses of Tdap given between the ages of 7 and 10 do not count as the 11-12 year
				old dose except as provided in subsection 4.6.
4.5. A student who becomes pregnant may
				receive one dose of Tdap during the pregnancy (preferred during 27-36 weeks
				gestation) regardless of the number of years since a prior Tdap or Td
				vaccination.
4.6. A student aged
				7-10 years old who is not fully immunized with the childhood DTaP vaccine
				series must receive the Tdap vaccine as the first dose in the catch-up series
				and if additional doses are needed, the student should receive the Td vaccine.
				A child who receives the Tdap vaccine, is specifically excluded from the
				requirements of subsection 4.4.
West Virginia Code of State Rules › Agency 64 - Health › Title 64 - LEGISLATIVE RULE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 64-95 - Immunization Requirements and Recommendations for Children Attending School and Enrolled in State-Regulated Child Care › Section 64-95-5 - Dosage and Interval Schedule for Hepatitis B Vaccine

Current through Register Vol. XLI, No. 28, July 12, 2024
5.1. Prior to entering school, a child must
				show proof that he or she has received at least three doses of HEPATITIS B
				vaccine with at least one dose having been given on or after six months of age.
				The first and second dose must be at least four (4) weeks apart. The second and
				third doses should be separated by at least eight (8) weeks. Additionally, the
				third dose should be at least sixteen (16) weeks after the first
				dose.
5.2. An unvaccinated student
				must complete a three (3) dose series. However, a two (2) dose series (with
				doses separated by a minimum of four (4) months) using the adult formulation
				Recombivax HB which is licensed for children aged 11-15 years, is an acceptable
				alternative to the three dose requirement.
5.3. Occurrence of prior disease may be used
				as evidence of immunity.
5.4. A
				student may attend school and participate in extracurricular activities after
				he or she has received the first of the series of Hepatitis B vaccinations. The
				series must be completed within seven (7) months of the date of entry or the
				student will be excluded from school and all extracurricular activities until
				the student completes the Hepatitis B series. It is the responsibility of the
				student and his or her parents or legal guardians to ensure the timely
				completion of the Hepatitis B series and submit the acceptable proof to the
				school authorities.
West Virginia Code of State Rules › Agency 64 - Health › Title 64 - LEGISLATIVE RULE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 64-95 - Immunization Requirements and Recommendations for Children Attending School and Enrolled in State-Regulated Child Care › Section 64-95-6 - Dosage and Interval Schedule for Rubeola (Measles) Vaccine

Current through Register Vol. XLI, No. 28, July 12, 2024
6.1. Prior to
				entering school, a child must show proof that he or she has received two doses
				of Rubeola (Measles) vaccine, the first dose on or after the first birthday and
				the second dose no less than four (4) weeks after the first dose.
				Alternatively, immunity may be proven through laboratory testing. Results of
				laboratory that prove immunity must be presented to the Local Health Officer
				for review and approval before the child may be admitted to school.
6.2. Occurrence of prior disease may be used
				as evidence of immunity.
West Virginia Code of State Rules › Agency 64 - Health › Title 64 - LEGISLATIVE RULE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 64-95 - Immunization Requirements and Recommendations for Children Attending School and Enrolled in State-Regulated Child Care › Section 64-95-7 - Dosage and Interval Schedule for Mumps Vaccine

Current through Register Vol. XLI, No. 28, July 12, 2024
7.1. Prior to entering school, a child must
				show proof that he or she has received at least two doses of Mumps vaccine, the
				first dose on or after the first birthday and the second dose no less than four
				(4) weeks after the first dose. Alternately, immunity may be shown through
				laboratory testing. Results of laboratory that prove immunity must be presented
				to the Local Health Officer for review and approval before the child may be
				admitted to school.
7.2. Occurrence
				of prior disease maybe used as evidence of immunity.
West Virginia Code of State Rules › Agency 64 - Health › Title 64 - LEGISLATIVE RULE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 64-95 - Immunization Requirements and Recommendations for Children Attending School and Enrolled in State-Regulated Child Care › Section 64-95-8 - Dosage and Interval Schedule for the Polio (IPV) Vaccine

Current through Register Vol. XLI, No. 28, July 12, 2024
8.1. Four doses of trivalent inactivated
				polio vaccine (IPV) are recommended for routine immunization of all children
				with the fourth dose given on or after the child's fourth birthday and at least
				a six (6) month interval from the third dose. Prior being admitted to school, a
				child must show proof that he or she has received a minimum of three doses of
				IPV with the last dose given on or after the child's fourth birthday and at
				least six months after the second dose.
8.2. A child who has not received the
				recommended doses of IPV should receive a minimum or three doses, with tour (4)
				weeks between dose one and two, and six (6) months between doses two and three.
				Additionally, dose three must be received on or after the child's fourth
				birthday.
8.3. A student may attend
				school and participate in extracurricular activities after he or she has
				received the first of the series of IPV vaccinations. The series must be
				completed within seven (7) months of the date of entry or the student will be
				removed from school and all extracurricular activities until the IPV series is
				complete. It is the responsibility of the student and his or her parents or
				legal guardians to ensure the timely completion of the IPV series and submit
				the acceptable proof to the school authorities.
8.4. In the alternative, a child who has had
				three or more doses of an oral, live attenuated version of the Polio Vaccine
				(OPV), or a combination of OPV and IPV, the last dose of which was given on or
				after the child's fourth birthday with at least a six (6) month separation
				between the second and third dose, are in compliance with this section.
				Otherwise, subsection 8.2., applies but doses of OPV may be substituted in the
				record for IPV.
West Virginia Code of State Rules › Agency 64 - Health › Title 64 - LEGISLATIVE RULE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 64-95 - Immunization Requirements and Recommendations for Children Attending School and Enrolled in State-Regulated Child Care › Section 64-95-9 - Dosage and Interval Schedule for the Rubella Vaccine

Current through Register Vol. XLI, No. 28, July 12, 2024
9.1. Prior to entering school, a child must
				show proof that he or she has received at least two doses of Rubella vaccine,
				the first dose on or after the first birthday and the second dose no less than
				one month after the first dose. Alternately, immunity may be proven through
				laboratory testing. Results of laboratory testing that prove immunity must be
				presented to the Local Health Officer for review and approval before the child
				may be admitted to school.
9.2.
				Occurrence of prior disease may be used as evidence of immunity.
West Virginia Code of State Rules › Agency 64 - Health › Title 64 - LEGISLATIVE RULE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 64-95 - Immunization Requirements and Recommendations for Children Attending School and Enrolled in State-Regulated Child Care › Section 64-95-10 - Dosage and Interval Schedule for the Varicella (Chickenpox) Vaccine

Current through Register Vol. XLI, No. 28, July 12, 2024
10.1. Prior to a
				child age 4 to 12 years entering school, he or she must show proof of having
				received two doses of Varicella (Chickenpox) vaccine, the first dose on or
				after the first birthday and the second dose no less than three month after the
				first.
10.2. A child age 13 years
				and older who is without proof of immunity, must receive two doses of the
				Varicella vaccine with at least 4 weeks between shots.
10.3. A student who has received only one
				dose of the Varicella vaccine is required to obtain a second dose. For a child
				between the ages of 4 to 12 years, the second dose must be given at least 28
				days after the first dose.
10.4.
				Alternately, immunity may be shown through the written or verbal statement of a
				parent or legal guardian attesting to the fact of their child's history of
				chickenpox accompanied by laboratory testing showing immunity, if
				requested.
10.5. A student may
				attend school and participate in extracurricular activities after he or she has
				received the first of the series of Varicella vaccinations. The series must be
				completed within three (3) months of the date of entry for a child between ages
				4 to 12 years and within one (1) month for a child 13 or older, or the student
				must be removed from school and all extracurricular activities until such time
				as the Varicella series is complete or laboratory evidence of immunity is
				supplied. It is the responsibility of the student and his or her parents or
				legal guardian to ensure the timely completion of the Varicella series or
				laboratory testing and submit acceptable proof to the school
				authorities.
West Virginia Code of State Rules › Agency 64 - Health › Title 64 - LEGISLATIVE RULE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 64-95 - Immunization Requirements and Recommendations for Children Attending School and Enrolled in State-Regulated Child Care › Section 64-95-11 - Dosage and Interval Schedule for the Meningococcal (MCV4) Vaccine

Current through Register Vol. XLI, No. 28, July 12, 2024
11.1. A student
				ages 11 or 12 must show proof of Meningococcal vaccination prior to entry into
				the 7th grade. Students will require a booster shot
				at age 16 or older, and will need to show proof of the MCV4 booster prior to
				entry into the 12th grade.
11.2. A student who is newly entering the
				school system at age 13, 14 or 15, and who has not been previously vaccinated
				with MCV4 must receive the MCV4 vaccination and must also show proof of a
				booster shot on or after age 16 and prior to entry into the
				12th grade.
11.3. A student who is newly entering the
				school system at age 16 or older and who has not been previously vaccinated
				with MVC4 must receive a MCV4 vaccination and will not be required to show
				proof of a booster prior to entry into the 12th
				grade.
West Virginia Code of State Rules › Agency 64 - Health › Title 64 - LEGISLATIVE RULE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 64-95 - Immunization Requirements and Recommendations for Children Attending School and Enrolled in State-Regulated Child Care › Section 64-95-12 - Applicability of Dosage and Interval Schedules to Pre-School Students

Current through Register Vol. XLI, No. 28, July 12, 2024
The dosage and interval schedules contained in sections 4
				  through 11 apply to children entering a state-regulated child care center and
				  preschool children who enter a school building housing other children in grades
				  kindergarten through twelfth, to the extent that they are age appropriate in
				  accordance with those immunization schedules.
West Virginia Code of State Rules › Agency 64 - Health › Title 64 - LEGISLATIVE RULE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 64-95 - Immunization Requirements and Recommendations for Children Attending School and Enrolled in State-Regulated Child Care › Section 64-95-13 - Recommended Vaccinations

Current through Register Vol. XLI, No. 28, July 12, 2024
The following vaccines are recommended, but not required, for
				  all children attending a public, private, or parochial school in this state, or
				  a state-regulated child care center:
13.1. Influenza Vaccine.
13.1.a. A child aged six months or older
				should be vaccinated annually against influenza. Children from six to
				twenty-three months are at substantially increased risk for influenza-related
				hospitalizations and children ages twenty-four to fifty-nine months are at
				increased risk for influenza-related clinic and emergency room visits. Children
				and school personnel with certain medical conditions and school personnel who
				are older are at increased risks of influenza complications and
				death.
13.1.b. An annual flu
				vaccine is recommended in accordance with annually released U.S. Department of
				Health and Human Services, Advisory Committee on Immunization Practices
				recommendations.
West Virginia Code of State Rules › Agency 64 - Health › Title 64 - LEGISLATIVE RULE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 64-95 - Immunization Requirements and Recommendations for Children Attending School and Enrolled in State-Regulated Child Care › Section 64-95-14 - Compliance with the Law

Current through Register Vol. XLI, No. 28, July 12, 2024
14.1. A child
				is considered to be in compliance with the law requiring compulsory
				immunizations and this rule, when the child has a complete certificate of
				immunization or similar medical record of immunizations, or when immunization
				is contraindicated or there exists a specific precaution to a particular
				vaccine.
14.2. If a child has been
				granted an exemption from receiving one or more vaccinations, the certificate
				of immunization must indicate the vaccine(s) for which the child is exempted,
				the reason for the exemption, and whether or not the reason for the exemption
				is permanent or temporary. If the exemption is temporary, it must be
				re-evaluated annually unless a longer period of time is indicated by the
				child's treating physician. A temporary exemption may not exceed a period of 24
				months before re-evaluation.
14.3.
				A student who does not have a completed certificate of immunization or other
				similar medical record of immunizations must show proof that he or she has
				received at least one dose of each of the required vaccines in order to be
				provisionally enrolled in school.
14.3.a.
				Provisional enrollment may continue for the time medically necessary to
				complete the missing vaccinations.
14.3.b. At no time should the provisional
				enrollment period exceed 8 months from school entry, the time medically
				necessary to complete all required childhood vaccine series under the standard
				catch up schedule.
14.3.c. After
				attending school for the provisional enrollment time period, all provisionally
				enrolled students must show proof to the school that they have completed all of
				the required immunizations or laboratory evidence of immunity.
West Virginia Code of State Rules › Agency 64 - Health › Title 64 - LEGISLATIVE RULE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 64-95 - Immunization Requirements and Recommendations for Children Attending School and Enrolled in State-Regulated Child Care › Section 64-95-15 - Proof of Immunity

Current through Register Vol. XLI, No. 28, July 12, 2024
15.1. Proof
				that a child has received the immunizations required by law, in the correct
				number and spacing of doses, shall be recorded on a completed document, such as
				a certificate of immunization, for all students.
15.2. A Certificate of Immunization form has
				been developed by the West Virginia Department of Health and Human Resources,
				Bureau for Public Health, Immunization Program. This form is available to
				appropriate health care providers electronically through participation in the
				West Virginia Statewide Immunization Information System (WVSIIS)--
http://www.dhhr.wv.gov/oeps/immunization/providers/Pages/WVSIIS.aspx
The form is also available from:
ATTN: WVSIIS
Bureau for Public Health
Immunization Program
350 Capitol Street, Room 125
Charleston, WV 25301
15.3. The documentary evidence of
				immunizations must contain the day, month and year of each vaccine received by
				the child or sufficient information of the time interval between doses to
				enable verification that the minimum intervals required or suggested by this
				rule have been observed.
15.4.
				Proof of prior measles, mumps, rubella, varicella or hepatitis B disease being
				used in lieu of vaccination, requires a document signed by a physician
				indicating, at a minimum, the name of the patient, the date of the illness and
				laboratory evidence of immunity in the form of titers for measles, mumps and
				rubella and a Hepatitis B panel for Hepatitis B. If the historical disease
				diagnosis is in question, current laboratory evidence of immunity may be
				required.
West Virginia Code of State Rules › Agency 64 - Health › Title 64 - LEGISLATIVE RULE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 64-95 - Immunization Requirements and Recommendations for Children Attending School and Enrolled in State-Regulated Child Care › Section 64-95-16 - Eligibility for a Medical Exemption

Current through Register Vol. XLI, No. 28, July 12, 2024
The Immunization Officer must determine that the child, on
				  whose behalf his or her physician has made a request for an exemption, is
				  eligible for and issue an exemption, upon sufficient medical evidence that an
				  immunization is contraindicated or there exists a specific precaution to a
				  particular vaccine.
West Virginia Code of State Rules › Agency 64 - Health › Title 64 - LEGISLATIVE RULE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 64-95 - Immunization Requirements and Recommendations for Children Attending School and Enrolled in State-Regulated Child Care › Section 64-95-17 - Eligibility Process

Current through Register Vol. XLI, No. 28, July 12, 2024
17.1.
Request.
A physician must complete a "Request for Medical
				Exemption from Compulsory Immunization" form available at the Department of
				Health and Human Resources Medical Exemption Resource Center website. The form
				may be accessed at the following link:
http://www.dhhr.wv.gov/oeps/immunization/requirements/Documents/WV_Med_Exempt_Request_Form%20_11.20.13.pdf
The application must include:
17.1.a. The
				name of the child for whom the request is made;
17.1.b. The date of birth of child for whom
				the request is made;
17.1.c. The
				name of the school the child attends and the county where the school is
				located;
17.1.d. The name(s) of the
				child's parent or guardian;
17.1.e.
				The address of the child's parent or guardian;
17.1.f. The name, address and telephone
				number of the physician making the request;
17.1.g. The specific vaccine or vaccines for
				which an exemption is requested;
17.1.h. An explanation of the medical
				contraindication or precaution relied upon to make the request;
17.1.i. Whether the request is for a
				permanent or temporary exemption;
17.1.j. Certification by the physician that
				the physical condition of the child is such that immunization is
				contraindicated or there exists a specific precaution to a particular vaccine.
				This certification must be supported by medical signs and laboratory findings;
				and
17.1.k. If a temporary
				exemption is indicated, the physician's opinion as to the date or period of
				time after which the exemption should be reevaluated.
West Virginia Code of State Rules › Agency 64 - Health › Title 64 - LEGISLATIVE RULE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 64-96 - Infant and Maternal Mortality Review Team › Section 64-96-1 - General

Current through Register Vol. XLI, No. 28, July 12, 2024
1.1. Scope. -- This
				rule establishes standard procedures for the formation and conduct of the
				infant and maternal mortality review team and recommends protocols for the
				review of infant and maternal deaths. This rule should be read in conjunction
				with W. Va. Code '48-25A-1 et
				seq. The W. Va. Code is available in public libraries and on the Legislature=s
				webpage at:
www.legis.state.wv.us/
.
1.2. Authority. -- W. Va. Code ''16-4-1 and
				48-25A-1, et seq.
1.3. Filing Date.
				-- November 21, 2012.
1.4.
				Effective Date. -- December 21, 2012.
West Virginia Code of State Rules › Agency 64 - Health › Title 64 - LEGISLATIVE RULE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 64-96 - Infant and Maternal Mortality Review Team › Section 64-96-2 - Application and Enforcement

Current through Register Vol. XLI, No. 28, July 12, 2024
2.1.
				Application. -- This rule applies to the infant and maternal mortality review
				team and other state, county or local agencies.
2.2. Enforcement. -- This rule is enforced by
				the Office of Maternal, Child and Family Health of the Bureau for Public
				Health.
West Virginia Code of State Rules › Agency 64 - Health › Title 64 - LEGISLATIVE RULE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 64-96 - Infant and Maternal Mortality Review Team › Section 64-96-3 - Definitions

Current through Register Vol. XLI, No. 28, July 12, 2024
3.1. Department. --
				The West Virginia Department of Health and Human Resources.
3.2. Infant and Maternal Mortality Review
				Team. -- A multi-disciplinary group of professionals including representatives
				from public health and the medical community that reviews the circumstances
				surrounding the deaths of infants who die in the first year of life and women
				who die during pregnancy, at the time of birth or within one year of the birth
				of a child.
3.3. Infant Mortality.
				-- Death of a live born infant in the first year of life.
3.4. Maternal Mortality. -- Death of a woman
				during pregnancy, at the time of birth or within one year of the birth of a
				child from any cause related to or aggravated by pregnancy or its management
				but not from accidental or incidental causes.
3.5. Review. -- The process by which all of
				the facts and circumstances about a deceased infant who has died in the first
				year of life or woman who has died during pregnancy, at the time of birth or
				within one year of the birth of a child are known to members of a team are
				shared and discussed among the team.
3.6. Unexpected death. -- The death of an
				infant who has died in the first year of life or a woman who has died during
				pregnancy, at the time of birth or within one year of the birth of a child,
				whose immediate death is not anticipated.
3.7. Unexplained death. -- The cause and
				manner of death of an infant who has died in the first year of life or a woman
				who has died during pregnancy, at the time of birth or within one year of the
				birth of a child cannot be determined after an autopsy and thorough
				investigation of the circumstances surrounding the death.
West Virginia Code of State Rules › Agency 64 - Health › Title 64 - LEGISLATIVE RULE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 64-96 - Infant and Maternal Mortality Review Team › Section 64-96-4 - Responsibilities of Infant and Maternal Mortality Review Team

Current through Register Vol. XLI, No. 28, July 12, 2024
4.1. The Infant and Maternal Mortality Review
				Team shall perform the duties described in W. Va. Code '48-25A-3, including
				review of all deaths of infants who die in the first year of life and women who
				die during pregnancy, at the time of birth or within one year of the birth of a
				child from any cause related to or aggravated by pregnancy or its management
				but not from accidental or incidental causes; establish the trends, patterns
				and risk factors; provide statistical analysis regarding the causes of infant
				and maternal deaths in West Virginia; and promote public awareness of the
				incidence and causes of infant and maternal deaths.
West Virginia Code of State Rules › Agency 64 - Health › Title 64 - LEGISLATIVE RULE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 64-96 - Infant and Maternal Mortality Review Team › Section 64-96-6 - Confidentiality

Current through Register Vol. XLI, No. 28, July 12, 2024
6.1. All
				information, records of the Infant and Maternal Mortality Review Team, and
				opinions expressed by members of the Review Team are confidential as described
				in W. Va. Code '48-25A-3.
6.2. Proceedings, records and opinions of the
				Infant and Maternal Mortality Review Team are confidential, in accordance with
				W. Va. Code '49-7-1, and are not subject to discovery, subpoena or introduction
				into evidence in any civil or criminal proceeding. Nothing in this subsection
				is to be construed to limit or restrict the right to discover or use in any
				civil or criminal proceeding anything that is available from another source and
				entirely independent of the proceedings of the Infant and Maternal Mortality
				Review Team.
6.3. Members of the
				Infant and Maternal Mortality Review Team may not be questioned in any civil or
				criminal proceeding regarding information presented in or opinions formed as a
				result of a meeting of the team. Nothing in this subsection may be construed to
				prevent a member of the Infant and Maternal Mortality Review Team from
				testifying to information obtained independently of the team or which is public
				information.
West Virginia Code of State Rules › Agency 64 - Health › Title 64 - LEGISLATIVE RULE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 64-96 - Infant and Maternal Mortality Review Team › Section 64-96-7 - Recommended Protocols for Review of Infant and Maternal Mortality

Current through Register Vol. XLI, No. 28, July 12, 2024
The following are recommended protocols to aid in the review
				  of infant and maternal deaths:
7.1.
				All Infant and Maternal Mortality Review Team members shall sign a sworn
				statement promising to maintain the confidentiality of information, records,
				discussions and opinions disclosed during infant and maternal mortality
				reviews.
7.2. The Infant and
				Maternal Mortality Review Team may call for an immediate review of medical
				records requested from physicians and hospitals treating the infant before
				death or woman before, during and after her pregnancy to try and determine
				causes and possible preventative measures related to the death;
7.3. Review Team members shall receive
				materials in advance of the meeting and review cases de-identified following
				nationally recommended guidelines and processes at meetings.
7.4. Physicians and health care providers
				asked to supply medical records shall do so for evaluation/review purposes only
				regarding the death of the infant in the first year of life or woman during her
				pregnancy, at the time of birth or within one year of the birth of a child.
				Patient, hospital, and medical practitioner names are removed following
				nationally recommended guidelines and processes to ensure
				confidentiality.
7.5. Infant and
				maternal mortality review data forms shall be completed using the provided
				information from medical records received from physicians and health care
				providers. Data will be compiled for the annual report to be submitted to the
				Governor and Legislature. No identifying information will be released in this
				report, only compiled data following nationally recommended guidelines and
				processes will be used.
7.6.
				Summaries and reports on Team findings and recommendations that depict patterns
				and trends in infant and maternal deaths shall be presented in aggregate
				form.
7.7. All case review
				materials are collected at the conclusion of each meeting and properly
				destroyed.
West Virginia Code of State Rules › Agency 64 - Health › Title 64 - LEGISLATIVE RULE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 64-97 - Maternal Risk Screening › Section 64-97-1 - General

Current through Register Vol. XLI, No. 28, July 12, 2024
1.1. Scope. -- This
				rule further implements the Uniform Maternal Screening Act by setting forth
				responsibilities of the advisory council created in the Act; developing and
				establishing the requirement for health care practitioners to use a uniform
				maternal risk screening tool; and providing for the confidentiality of the
				tool.
1.2. Authority. -- W. Va.
				Code §
									16-1-4
				and §
									16-4E-4.
1.3. Filing Date. -- April 4, 2022.
1.4. Effective Date. -- April 4,
				2022.
1.5. Sunset. -- This rule
				shall terminate and have no further force or effect on August 1,
				2027.
West Virginia Code of State Rules › Agency 64 - Health › Title 64 - LEGISLATIVE RULE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 64-97 - Maternal Risk Screening › Section 64-97-2 - Application

Current through Register Vol. XLI, No. 28, July 12, 2024
2.1. Application.
				-- This rule applies to all health care providers offering maternity
				services.
2.2. Enforcement. -- This
				rule is enforced by the Office of Maternal, Child and Family Health in the
				Bureau for Public Health.
West Virginia Code of State Rules › Agency 64 - Health › Title 64 - LEGISLATIVE RULE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 64-97 - Maternal Risk Screening › Section 64-97-3 - Definitions

Current through Register Vol. XLI, No. 28, July 12, 2024
3.1. Maternal Risk
				Screening -- Screening conducted by physicians, midwives, and other qualified
				health care practitioners to discover at-risk and high-risk
				pregnancies.
3.2. Maternal Risk
				Screening Advisory Council -- A multidisciplinary group of professionals
				including representatives from public health and the medical community, all
				with an interest in improving pregnancy outcomes.
West Virginia Code of State Rules › Agency 64 - Health › Title 64 - LEGISLATIVE RULE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 64-97 - Maternal Risk Screening › Section 64-97-4 - Responsibilities of Maternal Risk Screening Advisory Council

Current through Register Vol. XLI, No. 28, July 12, 2024
4.1. The Maternal Risk Screening Advisory
				Council shall exercise the following responsibilities:
4.1.1. Meet at least annually;
4.1.2. Offer expert advice to the Office of
				Maternal, Child and Family Health to gain a better understanding of at-risk and
				high-risk conditions that are most frequently observed and to develop
				methodology to address these concerns;
4.1.3. Develop and facilitate ongoing
				examination of a uniform maternal risk screening tool to identify risk
				conditions that contribute to adverse pregnancy outcomes and review the tool at
				least annually to offer suggested revisions based upon current medical
				knowledge;
4.1.4. Develop, in
				conjunction with the Office of Maternal, Child and Family Health, a statistical
				matrix to measure incidence of high-risk and at-risk pregnancies for planning
				purposes by public health officials; and
4.1.5. Develop methods to collect
				evidence-based data reported to the Office of Maternal, Child and Family Health
				needed to track at-risk and high-risk women.
West Virginia Code of State Rules › Agency 64 - Health › Title 64 - LEGISLATIVE RULE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 64-97 - Maternal Risk Screening › Section 64-97-5 - Applicability of the Screening Tool

Current through Register Vol. XLI, No. 28, July 12, 2024
5.1. The maternal risk screening tool,
				developed by the advisory council, may be found online at
https://www.wvdhhr.org/mcfh/
.
				All health care providers offering maternity services shall be required to use
				this maternal risk screening tool in their initial examination of all pregnant
				women.
5.2. The health care
				provider shall notify the woman of any high-risk condition which has been
				identified along with any appropriate referral.
5.3. The health care provider shall report
				the maternal risk screening tool results to the Bureau for Public Health,
				Office of Maternal, Child and Family Health by secure data entry into the
				web-based application for that purpose, or via FAX (304) 957-0176.
West Virginia Code of State Rules › Agency 64 - Health › Title 64 - LEGISLATIVE RULE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 64-97 - Maternal Risk Screening › Section 64-97-6 - Confidentiality

Current through Register Vol. XLI, No. 28, July 12, 2024
6.1. The uniform
				maternal risk screening tool shall be confidential and shall not be released or
				disclosed to anyone for any reason other than data analysis of high-risk and
				at-risk pregnancies and for planning purposes by public health officials:
Provided,
That Medicaid or CHIP members' data from the
				screening tool may be provided to the Department of Health and Human Resources'
				Bureau for Medical Services, which may provide the information to the patient's
				contracted managed care organizations to facilitate the timely initiation of
				case management for at-risk and high-risk pregnancies. The Bureau for Medical
				Services and its contracted managed care organizations shall conform to all
				applicable laws and current industry standards governing confidentiality,
				including the establishment of appropriate administrative, technical, and
				physical safeguards to protect the confidentiality of the data and to prevent
				unauthorized use or access to it.
6.2. Proceedings, records, and opinions of
				the advisory council are confidential and are not subject to discovery,
				subpoena, or introduction into evidence in any civil or criminal proceeding.
				Nothing in this subsection is to be construed to limit or restrict the right to
				discover or use in any civil or criminal proceeding anything that is available
				from another source and entirely independent of the proceedings of the advisory
				council.
6.3. Members of the
				advisory council may not be questioned in any civil or criminal proceeding
				regarding information presented in or opinions formed as a result of a meeting
				of the council. Nothing in this subsection may be construed to prevent a member
				of the advisory council from testifying to information obtained independently
				of the council or which is public information.
West Virginia Code of State Rules › Agency 64 - Health › Title 64 - LEGISLATIVE RULE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 64-98 - Safety And Treatment Program › Section 64-98-1 - General

Current through Register Vol. XLI, No. 28, July 12, 2024
1.1. Scope. -- This
				legislative rule establishes a comprehensive safety and treatment program for
				persons found in initial and subsequent violation of W. Va. Code §§
									17C-5-1
et
				seq.
and 17C-5A-1
et seq.
1.2. Authority. -- W. Va. Code §§
									17A-2-9
				and
				17C-5A-3.
1.3. Filing Date. -- May 4, 2012.
1.4. Effective Date. -- May 4,
				2012.
West Virginia Code of State Rules › Agency 64 - Health › Title 64 - LEGISLATIVE RULE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 64-98 - Safety And Treatment Program › Section 64-98-2 - Application and Enforcement

Current through Register Vol. XLI, No. 28, July 12, 2024
2.1.
				Application. -- This legislative rule applies to all persons involved in the
				West Virginia Safety and Treatment Program administered by the Department of
				Health and Human Resources, Division of Alcoholism and Drug Abuse pursuant to
				W. Va. Code §
									17C-5A-3.
2.2. Enforcement. -- Enforcement of this
				legislative rule is vested with the Secretary of the Department of Health and
				Human Resources.
West Virginia Code of State Rules › Agency 64 - Health › Title 64 - LEGISLATIVE RULE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 64-98 - Safety And Treatment Program › Section 64-98-3 - Definitions

Current through Register Vol. XLI, No. 28, July 12, 2024
The following definitions apply in the interpretation and
				  enforcement of this legislative rule.
3.1. Secretary. -- The executive officer of
				the Department of Health and Human Resources as appointed by the
				Governor.
3.2. Department. -- The
				Department of Health and Human Resources.
3.3. DUI. -- Any act which would constitute a
				violation of W. Va. Code §
									17C-5-2.
3.4. License. -- Any permit issued by the
				Commissioner of the Division of Motor Vehicles for the purpose of operating a
				motor vehicle.
3.5. Participant. --
				A person enrolled in the West Virginia Safety and Treatment Program who has
				been charged with a DUI in the state of West Virginia or a West Virginia
				resident who has been charged with a DUI in another state.
3.6. Program. -- The West Virginia Safety and
				Treatment Program established pursuant to W. Va. Code §
									17C-5A-3.
3.7. Provider. -- An entity, including the
				Comprehensive Community Behavioral Health Centers as defined in W. Va. Code
				§
									27-2a-1,
				regulated by the Department of Health and Human Resources that provides Safety
				and Treatment Programs pursuant to a grant agreement or a Memorandum of
				Understanding with the Department or an entity with an approved program
				operating in another state.
West Virginia Code of State Rules › Agency 64 - Health › Title 64 - LEGISLATIVE RULE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 64-98 - Safety And Treatment Program › Section 64-98-4 - Program Responsibilities

Current through Register Vol. XLI, No. 28, July 12, 2024
4.1. The Division of Motor Vehicles is
				responsible for licensure to operate a motor vehicle and any changes to
				licensure.
4.2. The Department is
				responsible for establishing a comprehensive safety and treatment program for
				persons found in violation of W. Va. Code §§
									17C-5-1
et
				seq.
and 17C-5A-1
et. seq.
The Department shall
				fulfill this responsibility by developing a Program and contracting with the
				Community Behavioral Health Centers and other providers to conduct the Program.
				The Department is also responsible for ensuring that services rendered through
				providers, both in and out of state, are delivered by competent and qualified
				professionals. The Department is also responsible for the development of
				program standards for individuals involved in the service delivery, for
				approval of program curriculum for in and out of state providers and for the
				monitoring of compliance by providers with the standards.
4.3. West Virginia licensed Behavioral Health
				Providers shall offer and operate the Program under contract with the
				Department of Health and Human Resources.
West Virginia Code of State Rules › Agency 64 - Health › Title 64 - LEGISLATIVE RULE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 64-98 - Safety And Treatment Program › Section 64-98-5 - Program Levels of Referral

Current through Register Vol. XLI, No. 28, July 12, 2024
5.1.
				Initial Notification. -- The Commissioner of the Division of Motor Vehicles an
				Order of License Revocation and shall communicate the procedures for
				participation in the Program and the conditions to be met before license
				reinstatement.
5.2. Initial
				Assessment. -- The first phase of the Program consists of an enrollment session
				and a period of Assessment, conducted by a provider, for determining which
				Program levels are appropriate for each participant to complete. The assessment
				shall use:
5.2.a. Objective information such
				as the participant's blood alcohol content; various assessment tests as defined
				in the Program standards such as the Michigan Alcohol Screening Test (MAST),
				the Drug Abuse Screening Test (DAST), the Numerical Drinking Profile (NDP) and
				the McAndrews Scale of the Minnesota Multiphasic Personality Inventory (MMPI);
				and prior driving under the influence, public intoxication, and other substance
				abuse related arrests;
5.2.b.
				Subjective information based on the participant's problems involving family,
				employment, education or training, financial, medical, recreational, emotional,
				legal and substance abuse problems;
5.2.c. Information on the participant's
				interpersonal relationships, and his or her own observation of his or her
				present status, the evaluator's observations of the participant, and any other
				significant information that is available; and
5.2.d. American Society of Addiction Medicine
				(ASAM) criteria to determine the appropriate level of service for participant
				referral. A participant found to not meet American Society of Addiction
				Medicine (ASAM) criteria for any level of service must still be referred for
				the Level I Prevention and Education Component.
West Virginia Code of State Rules › Agency 64 - Health › Title 64 - LEGISLATIVE RULE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 64-98 - Safety And Treatment Program › Section 64-98-6 - Staff Qualifications

Current through Register Vol. XLI, No. 28, July 12, 2024
6.1.
				Provider Responsibilities. -- Each provider is responsible for ensuring that
				the services provided through the Program are delivered by competent and
				qualified professionals who meet the requirements established in the Program
				Standards published by the Department. Each provider shall provide the
				Department with the names, training and job functions performed by all persons
				providing services for the Program.
6.2. Assessment. Evaluation and Treatment. --
				A person providing services for the Assessment, Evaluation, and Treatment
				aspects of the Program shall have at least one year work experience in the
				field of substance abuse treatment, or have attained the necessary skills
				through training, education, experience and supervision.
6.3. Prevention and Education. -- A person
				providing services for the Prevention and Education component of the program
				shall have at least one year of work experience in the field of substance abuse
				prevention, education, or treatment.
6.4. Defensive Driving or other safety
				driving instruction. -- A person providing services for the course of defensive
				driving or other safety driving instruction shall be a qualified instructor as
				defined in the Program Standards.
6.5. Program Coordinator. -- Each provider
				shall designate a DUI Program Coordinator whose function is to supervise the
				performance of the terms of the contract between the provider and the
				Department. The Program Coordinator shall also work with the Department for the
				purposes of program Development and procedural refinement. The Program
				Coordinator shall meet or exceed the minimum criteria set forth in the Program
				Standards.
West Virginia Code of State Rules › Agency 64 - Health › Title 64 - LEGISLATIVE RULE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 64-98 - Safety And Treatment Program › Section 64-98-7 - Program Participant Evaluation

Current through Register Vol. XLI, No. 28, July 12, 2024
7.1. Referral Evaluation Report. -- Based on
				the information gathered during the initial assessment as described in
				subsection 5.2 of this rule, the provider shall make a referral evaluation
				report on each participant on the form prescribed by the Department. The
				provider shall forward a copy of each report to the Department.
7.2. Change in Status. -- A provider may
				change a participant's Program level status following the initial assessment
				based upon application of the prescribed American Society of Addiction Medicine
				(ASAM) criteria. When a provider changes a participant's status, it shall
				notify the Department by submitting a revised Referral Evaluation
				Report.
7.3. Status Evaluation
				Report. -- The provider shall submit a Status Evaluation Report for each
				participant to the Department, on the prescribed form, upon completion of the
				Program.
7.4. Appeal of Referral.
				-- Each Provider shall establish procedures for resolving Participant questions
				concerning referral level and status evaluation.
West Virginia Code of State Rules › Agency 64 - Health › Title 64 - LEGISLATIVE RULE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 64-98 - Safety And Treatment Program › Section 64-98-8 - Fiscal Procedures

Current through Register Vol. XLI, No. 28, July 12, 2024
8.1.
				Program Enrollment and Level 1 Component Fee. -- The initial fee for enrollment
				in the West Virginia Program shall be four hundred dollars ($400.00). This fee
				covers the provision of the Level 1 Prevention and Education component as
				described in Subsection 5.3 of this rule. The Participant shall pay the fee
				upon enrollment with the provider, unless he or she is found to be
				indigent.
8.2. Additional Services.
				-- The cost for all counseling and treatment services provided in addition to
				the Level I component as described in Subsection 5.3 of this rule is the
				responsibility of the participant. Each provider shall charge for additional
				services in accordance with its prevailing fee schedule for comparable
				services.
8.3. Indigent
				Participant. -- A participant may request an indigent determination for a full
				waiver of enrollment fees for the provision of the Level I Prevention and
				Education component provided that the participant meets each of the following
				criteria:
8.3.a. Participant must have
				household family income equal to or below one hundred percent of the federal
				poverty standard, making adjustments for family size.
8.3.b. Participant shall be a resident of
				West Virginia and provide documentation thereof.
8.3.c. Participant must enroll in a program
				operated by a provider approved by, and operating within West
				Virginia.
West Virginia Code of State Rules › Agency 64 - Health › Title 64 - LEGISLATIVE RULE WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES › Series 64-98 - Safety And Treatment Program › Section 64-98-9 - Reinstatement of License

Current through Register Vol. XLI, No. 28, July 12, 2024
9.1.
				Completion of Program. -- In order to successfully complete the Program, a
				participant shall complete the prescribed level or levels of treatment, receive
				a favorable Status Evaluation Report and pay all applicable costs for program
				participation.
9.2. Payment of
				Reinstatement Fees. -- A Program participant shall satisfy all financial
				obligations to the Department and the Division of Motor Vehicles before the
				reinstatement of his or her license will be considered whether a participant
				resides in West Virginia or in another state.
9.3. Final Decision. -- Subject to the
				provisions of W. Va. Code §
									17C-5A-3(b)(2),
				the final decision on license reinstatement is vested with the Commissioner of
				Motor Vehicles.