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
Universal Citation: 18 NY Comp Codes Rules and Regs ยง 507.1
Current through Register Vol. 46, No. 39, September 25, 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.
(d) For a child receiving services under a public assistance program, the local social services district is responsible for making available prompt and adequate medical and dental examinations and treatment in accordance with Part 508 of this Title, and in educating the parent(s), guardian or other relative caring for the child on the necessity for health supervision of the child.
(e) Records.
(1) For a child placed in foster care, Form
DSS-711, Child's Medical Record, or an appropriate physician's medical record
form must be used to report the results of the initial physical examination and
also must be maintained as a continuous and permanent medical history of the
child. For a child placed in the care of a voluntary agency for whom the local
social services district has responsibility, the voluntary agency must maintain
a continuous and permanent medical and dental history and the local social
services district must maintain a copy of such history in its files.
(2) Form DSS-704, Medical Report on Mother
and Infant, must be used to record the child's birth history, as available from
the appropriate hospital, for each preschool child placed in foster care,
either in the direct care of the local social services district or in the care
of voluntary agencies. Such form must be included in the uniform case record as
part of the continuous medical history for the child.
(3) Form DSS-3306, Progress Notes, must be
maintained in the uniform case record by the agency providing care to the child
and must include a summary of activities related to medical and dental
appointments, examinations and services, including records of referrals as
specified in section
428.5
of this Title.
(4) For children
receiving public assistance, all medical reports from physicians or other
sources must be maintained in the case record so that a continuous medical
history may be available at all times.
Disclaimer: These regulations may not be the most recent version. New York may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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