INSTRUCTIONS TO STAFF 340:75-6-88

Revised 5-15-09

1.   Initial health and developmental screening.  The Child Welfare (CW) worker ensures the child's initial health and developmental screening is completed:

            (1) for children under the age of three years, no later than 30 days after

the child's removal from the home; and

(2) for children age three and over, no later than 90 days after the child's removal from the home.

When a child is placed in foster care, the medical examination is scheduled within 30 days after placement.  If the child is younger than three years of age, the CW worker:

(1) refers the child to SoonerStart via Form 04MP021E, Child Welfare SoonerStart Referral, no later than 15 working days after the child's initial placement in out-of-home care, excluding shelter and emergency foster care;

(2) notifies the parent(s) and placement provider of the referral to SoonerStart;

(3) informs the placement provider that cooperation is required with SoonerStart in the provision of any service recommended for the child;

(4) updates KIDS Contacts screen with purpose type – SoonerStart Referral;

(5) notifies SoonerStart of any change in placement of the child by providing copy of Form 04KI025E, Change in Placement Notification, within two working days if the screening, evaluation, or both, has not been completed by SoonerStart;

(6) discusses with the parent(s), within 15 working days of receipt, the information provided by SoonerStart;

(7) documents SoonerStart information in KIDS Medical screen;

(8) includes SoonerStart information in KIDS Family and Child Strengths and Needs Assessment screens;

(9) files SoonerStart information in the child's paper case record; and

(10) when notified by SoonerStart of the placement provider's lack of cooperation or follow through with recommendations, completes Form 04AF022E, Report of Violation of Rules in an OKDHS Resource Home.

2.   (a) Early Periodic, Screening, Diagnosis and Treatment (EPSDT) schedule.

(1) The schedule of frequency for EPSDT provides for:

(A) six health screenings during the child's first year of life;

(B) two screenings in the child's second year of life;

(C) one screening yearly for the child age two through five years; and

(D) one screening every other year for the child age six through 20 years.

(2) Eligible children may receive dental screening services once every 12 months.

(3) More frequent screening services are allowed when a medical condition is suspected.

(b) Documentation of medical services.  The CW worker and placement provider ensure the continuity of medical services and records while a child is in out-of-home care.

(1) These records are made:

(A) part of the child's paper case record and Life Book; and

(B) available to the parent(s), any subsequent provider, and youth leaving care for independent living.

(2) The CW worker updates the:

(A) appropriate KIDS screens no later than 30 days after each child's appointment for medical, dental, or psychological services;

(B) child's immunization and prescriptions records and KIDS Service Log; and

(C) KIDS AFCARS screens when the child receives a specific diagnosis by the physician or therapist.

(c) Medical consent.  Refer to OAC 340:75-13-65 regarding consent for medical services.

(d) HIV-related services.  Refer to OAC 340:75-1-115 for testing related to Human Immunodeficiency Virus (HIV).

(e) Healthcare for child in parent(s)' home.  Refer to OAC 340:75-13-62 for medical coverage when the child resides with the parent(s).

3.   Notification of medical injury or treatment.

(1) Form 04MP027E, Notice of Injury to Child Requiring Medical Examination or Treatment, is completed by the CW county of placement worker when a child in OKDHS custody requires medical treatment as a result of an accidental or non-accidental injury and to advise the parties of the:

(A) nature of the injury;

(B) date of occurrence; and

(C) medical care provided or planned to meet the child's needs.

(2) All injuries, other than normal minor childhood scrapes and bruises, such as small bruises to the knee or shin, are made known to CW staff.

(3) Any injury to the child, even when accidental, is immediately reported per OAC 340:75-3-6, when the injury involves the face, head, neck, stomach, or genitals, burns, broken bones, deep bruises or wounds, or any type of injury requiring medical attention.