Ohio Administrative Code|Rule 5101:2-42-66.1 | Comprehensive health care for children in placement.

                                                
(A) The public children services agency
		  (PCSA) or private child placing agency (PCPA) shall 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 shall attempt 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 shall 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 shall request financial
			 support.
(2) If insurance or
			 financial resources are not available, the PCSA or PCPA shall 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 shall 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 shall ensure a
		  medical screening is completed within five working days of each child entering
		  into substitute care or when a child's placement changes 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 newborn children directly placed into substitute care from the hospital.
		  The medical screening shall be conducted by one of the following:
(1) A licensed
			 physician.
(2) An advanced practice
			 nurse.
(3) A registered
			 nurse.
(4) A licensed practical
			 nurse.
(5) A physician's
			 assistant.
(D) The PCSA or PCPA shall 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 shall 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 shall ensure an annual comprehensive physical exam is
			 completed no later than thirty days after the anniversary date of the
			 child's last physical, which shall 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 shall 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.
(8) Pursuant to section 2152.72 of the
			 Revised Code, if a child has been adjudicated delinquent for any crimes listed
			 in section 2152.72 of the Revised Code, the agency shall ensure a psychological
			 examination of the child is completed within sixty days of the child's
			 entry into substitute care. A psychological examination of the child is not
			 required if a psychological examination of the child has been conducted within
			 twelve months prior to the child's entry into substitute care and a copy
			 is filed in the child's case record. Prior to any subsequent placements,
			 the agency shall ensure a new psychological examination is completed unless
			 either of the following apply:
(a) A psychological examination of the child has been
				conducted within twelve months prior to the child's
				placement.
(b) A psychological examination of the child has been
				conducted within twenty-four months prior to the date of the adoptive placement
				when the foster caregiver seeks to adopt the foster child.
(E) For a medicaid eligible child, the PCSA or PCPA
		  shall:
(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 or move to a subsequent placement.
(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, shall coordinate health care whenever the
		  child has a condition which indicates a need for treatment during the placement
		  episode.