Department for Community Based Services

Standards of Practice Online Manual

4.26 Meeting Basic Health Care Needs

Cabinet for Health and Family Services

Department for Community Based Services
Division of Protection and Permanency
Standards of Practice Online Manual
Chapter:
Chapter 4-Out of Home Care Services (OOHC)
Effective:
11/18/2015
Section:
4.26 Meeting Basic Health Care Needs
Version:
5

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Legal Authority/Introduction

LEGAL AUTHORITY:

Procedure

The SSW: 

  1. Completes the following forms upon entry of a child into OOHC:
    1. DPP-106A Authorization for Routine Health Care and Authorization for Non-Routine Health Care;
    2. DPP-106B Initial Physical and Behavioral Health History to obtain an outline of the child's medical history from the family;
  2. Ensures that the child receives a physical health screening within forty-eight (48) hours of an order in which a child enters the custody of the Cabinet, and treatment for any injury/illness that may be the result of maltreatment within twenty-four (24) hours of the order; 
  3. Notifies the child’s assigned MCO within five (5) working days of a child’s entry into OOHC;
  4. Shares the child’s medical and behavioral health care needs with the MCO in order to assure all needs are addressed;
  5. Submits the DPP-106B Initial Physical and Behavioral Health History to the MCO within five (5) working days of the child’s entry into OOHC. Staff submits the DPP-106B for MCO signature, but it is not required for DCBS records.
  6. Foster parent/caretaker, or parent completes Section I of the DPP-106C-Child Medical History and Annual Physical Exam (Section II is completed by the medical provider during the physical exam);
  7. Makes arrangements for the child to attend the following appointments within two (2) weeks of an order in which a child enters the custody of the Cabinet, either via a temporary order of custody or commitment: 1
    1. Medical exam (documented on the DPP-106D-Medical Appointment);
    2. Dental examinations (documented on the DPP-106E-Dental Appointment); and
    3. Visual exam (documented on the DPP-106F-Visual Screening);
  8. Facilitates completion of the child’s mental health screening performed by a qualified mental health professional (Documented on the DPP-106G-Mental Health Services) within thirty (30) days of a child’s entry into OOHC;
  9. Makes arrangements and documents service provision when the screening indicates that further assessment or treatment is necessary; 2
  10. Arranges for a child to have a complete medical, dental and visual examination no less than once per year; 3 
  11. Uses the medical passport guidelines to document the physical and mental health care services for a child in OOHC;
  12. Follows additional guidelines for the passport health plan if the child is in OOHC and case responsibility is assigned to Breckinridge, Bullitt, Carroll, Grayson, Hardin, Henry, Jefferson, Larue, Marion, Meade, Nelson, Oldham, Shelby, Spencer, Trimble or Washington County;
  13. Follows guidelines for authorization for medical services for a child in OOHC;
  14. Follows guidelines for medical care for a medically complex child;
  15. Provides the child of an appropriate age a written summary of information about his health, and (when there is a signed Authorization for Release of Information) the health of his birth parents, and includes a copy in the child’s record to include the following information regarding the family’s known health history:
    1. Immunizations;
    2. Operations;
    3. Childhood illnesses; and
    4. Mental illness;
  16. Maintains a written summary of the birth parents’ known health history in the case record based on information obtained through interviews, observation or health records received to include the following information:
    1. The status of the birth parents’ past and current physical and mental health;
    2. Physical and mental health services that have been or are being provided to them;
    3. Their history of substance use or abuse; and
    4. Physical or developmental disabilities.

Practice Guidance

  • File all documentation once completed in the case file.
  • The child’s mental health screening refers to a basic mental health assessment, rather than a full mental health diagnostic examination.
  • Children under five (5) are to receive an Early Periodic Screening, Diagnosis, and Treatment Services (EPSDT) screening from the local health department or, if eligible, a First Steps screening (federal zero to three program) as a substitute for a mental health screening.
  • The SSW should be aware that a child who is eligible for Medicaid is also eligible for early periodic screening, diagnosis, and treatment (EPSDT) services from the local health department.
  • The documentation provided by the medical or mental health professional is an appropriate substitute for the following forms: 
    • DPP-106C Child Medical History and Annual Physical Exam;
    • DPP-106D Medical Appointment;
    • DPP-106E Dental Care;
    • DPP-106F Visual Screening; and
    • DPP-106G Mental Health Services.
  • The foster/adoptive parent of a child with diabetes may administer or assist with the self-administration of medication if the foster/adoptive parent has been trained to administer insulin and glucagon, recognize the signs and symptoms of hypoglycemia and hyperglycemia, and take appropriate steps to respond to these symptoms by:
    • A physician who is licensed under the provisions of KRS Chapter 311;
    • An advanced practice registered nurse, registered nurse, or licensed practical nurse who is licensed under the provisions of KRS Chapter 314; or
    • Any other health care professional with diabetes treatment within his or her scope of practice;
  • The foster/adoptive parent must receive written authorization from the health care practitioner which contains the following information, in order to administer or assist with administration of diabetes medication:
    • Youth's name;
    • Name and purpose of the medication;
    • Prescribed dosage;
    • Route of administration;
    • The frequency with which the medication may be administered; and
    • Circumstances under which the medication may be administered.
 

Footnotes

  1. The MCO should assist the worker in locating providers and arranging these appointments.
  2. Arrangements are made for initial service provision within two (2) working days of the receipt of the information.
  3. More frequent examinations are arranged as necessary, based on the child’s age and physical condition.

Communicate

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