OKDHS - OAC 340:10-14-1. Immunizations

340:10-14-1. Immunizations

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Revised 6-1-11

(a) Scope. Immunization of minor children two months of age or older is a variable condition of eligibility. The parent or caretaker relative must provide proof of current immunization within 90 days of certification or when additional immunizations become due in the future unless he or she request good cause. • 1 Proof of immunization includes providing a copy of the vaccination record issued by the local health official or a licensed physician. • 2

(1) If the minor child attends a licensed child care center or home or a parochial, private, or public school, proof of current immunization is not required as each of these entities require proof of immunization or a signed certificate of exemption on file with the Oklahoma State Department of Health (OSDH) as a condition of attendance. • 3
(2) When required, if the parent or caretaker relative fails to provide proof of current immunization within 90 calendar days without good cause, the cash assistance must be reduced by 25% of the payment standard. • 4 The worker removes the 25% penalty the next effective date after the parent or caretaker relative provides proof of current immunization.

(b) Good cause. A parent or caretaker relative can request good cause because of the medical condition of the child, the religious affiliation of the child, or the personal objection of the parent or caretaker relative. Good cause is approved when a:

(1) physician certifies on Form 08TA017E, Immunization Certificate of Exemption, that there is a medical contraindication;
(2) religious leader, parent, or caretaker relative certifies on Form 08TA017E that immunizations are contrary to the teachings of the child's religion; or
(3) parent or caretaker relative certifies on Form 08TA017E that immunizations are contrary to the beliefs of the parent or caretaker relative.

INSTRUCTIONS TO STAFF 340:10-14-1

Revised 6-1-11

1.  The worker can view an Immunization Schedule showing at what ages vaccinations are due on the Family Support Services Division (FSSD) Temporary Assistance for Needy Families (TANF) web page under TANF Web Links.

2.  When it is determined that a child does not have the required immunizations or is not current, the worker makes a referral to the primary care provider or to the Oklahoma State Department of Health (OSDH). OSDH has outreach workers to assist families and can provide immunizations without charge.

3.  Upon certification, entries must be made on the Household tab on Family Assistance/Client Services (FACS), showing immunization status of each child included in the cash assistance. All children coded "P" for immunization pending or "N" for immunization not current are shown on County Worker Activity (CWA) report 62, until the worker changes the immunization code to "Y" for immunization current or "G" for good cause. The worker must complete a review at six month intervals when required immunizations are pending per OAC 340:65-3-8.

4. If compliance occurs after deadline, the worker issues a supplement for the next month. Refer to OAC 340:10-3-57(g) for more information regarding benefit reductions due to program violations.

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