Current through all regulations passed and filed through December 16, 2024
(A) The public children services agency
(PCSA) or private child placing agency (PCPA) is to coordinate
comprehensive health care for each child in its care or custody who enters into
substitute care or has a placement change. In coordinating comprehensive health
care, the PCSA or PCPA
is to arrange for health care from the child's
existing and previous medical providers as well as involve the parent,
guardian, or custodian in the planning and delivery of health care
services.
(B) If applicable, when
petitioning for custody, the PCSA or PCPA is to determine
whether the parent, guardian or custodian has health care insurance and / or
financial resources to provide comprehensive health care.
(1) If insurance or financial resources are
available, the PCSA or PCPA is to request financial support.
(2) If insurance or financial resources are
not available, the PCSA or PCPA is to assess the child's eligibility for medicaid,
Title IV-E, supplemental security income (SSI), or other assistance programs.
Unless an application for Title IV-E has been submitted, the PCSA or PCPA
is to
apply for medicaid on behalf of the child no later than thirty days after the
date of the child's placement into substitute care.
(C) The PCSA or PCPA
is to
ensure a medical screening is completed within five working days of each child
entering into substitute care to prevent possible transmission of common childhood
communicable diseases and to identify any symptoms of illness, injury, or
maltreatment. A screening is not required for children directly placed into substitute
care from the hospital. The medical screening is to be
conducted by one of the following:
(1) A
licensed physician.
(2) An advanced
practice nurse.
(4) A licensed practical
nurse.
(5) A physician's
assistant.
(D) The PCSA
or PCPA is
to arrange for the following health care pursuant to rule
5160-1-14 of the Administrative
Code and the "Bright Futures" guidelines (rev. 2/2017) for a child who is in
substitute care. The guidelines can be reviewed at
http://brightfutures.aap.org.
The agency additionally
is to
ensure:
(1) A comprehensive physical exam for
children age three or over, including a review of physical, behavioral,
developmental, vision, hearing and dental health is completed within sixty days
after a child enters into substitute care. A comprehensive physical exam is not
required if a comprehensive physical exam of the child has been conducted
within six months prior to the child's entry into substitute care and a copy of
the exam is filed in the child's case record. The agency
is to
ensure an annual comprehensive physical exam is completed no later than thirty
days after the anniversary date of the child's last physical, which
is to
include a vision and hearing screening.
(2) Additional visits, as appropriate, should
occur during the first sixty to ninety days of the child entering substitute
care to:
(a) Assess the child in the process
of transition;
(b) Monitor the
adjustment to care;
(c) Identify
evolving needs and;
(d) Continue
information gathering.
(3) A child under the age of three receives
required pediatric care, which includes medical, developmental, behavioral,
dental, vision and hearing.
(4) A
child age three or under is referred to the county "Help Me Grow Program" when
a screening or assessment indicates the child has or is at risk of a
developmental disability or delay.
(5) Every child entering substitute care
receives immunizations appropriate to age and health history. If a child's
record of previous immunizations is unavailable at the time of the
comprehensive physical exam, and it is reasonable to assume that the child has
received immunizations, immunizations may be postponed until an immunization
record is available for review.
(6)
A dental examination is completed for a child three years of age and older no
later than six months after the child's placement into substitute care. The
agency is
to ensure a follow-up dental examination is completed every six months
from the date of the last dental examination with a thirty day grace period for
scheduling purposes.
(7) Treatment
for any diagnosed medical or psychological need is initiated within sixty days
of the diagnosis, unless treatment is required sooner.
A psychological
examination of the child has been conducted within twenty-
(8)
If a
child has been adjudicated delinquent for any crimes listed in section
2152.72 of the Revised Code, the
agency is to ensure a psychological examination is completed pursuant to
division (C) of section
2152.72 of the Revised
Code.
(E) For a
medicaid eligible child, the PCSA or PCPA is to:
(1) Coordinate with the county department of
job and family services (CDJFS) healthchek coordinator to secure a healthchek
screening exam. The agency may authorize the substitute caregiver, managed care
coordinator, medical providers and custodial parents to work with the CDJFS
healthchek coordinator to schedule appointments and arrange transportation to
those appointments.
(2) Complete
the ODM 03528 "Healthchek and Pregnancy Related Services Information Sheet"
(rev. 3/2018) and return the form to the CDJFS healthchek coordinator within
the following timelines:
(a) Within sixty days
of the child's entry into substitute care .
(b) Annually based on the date the previous
ODM 03528 form was completed and returned to the CDJFS healthchek
coordinator.
(3) Inform
the substitute caregiver(s) about healthchek services within sixty days of
placement into the caregiver's home by reviewing the ODM 03528 with the
substitute caregiver and providing the caregiver a copy of the form.
(F) Comprehensive health care
pursuant to paragraph (D) of this rule is not required if the child's placement
episode is less than sixty days; however the PCSA or PCPA,
is to
coordinate health care whenever the child has a condition which indicates a
need for treatment during the placement episode.
