Ariz. Admin. Code § 21-7-224

Current through Register Vol. 30, No. 42, October 18, 2024

Section R21-7-224 - Health Care Services

A. General health care for a child in care:

1. The licensee shall have policy and procedures identifying how the Agency will comply with the health services for children as required in this Section. The policy shall identify where a child may obtain qualified health care, 24-hours per day, seven days per week.

2. The licensee shall meet the preventive, routine, and emergency medical, dental, vision, and behavioral health needs of a child to include the following as necessary:

a. Evaluation and diagnosis,

b. Treatment, and

c. Consultation.

3. The licensee shall ensure that a child receives a developmentally appropriate explanation of any health treatment the child receives, in a language and manner the child can understand.

4. The licensee shall seek medical attention for the child if the child reports or appears to be suffering from pain or illness.

5. The licensee shall carry out the written and verbal instructions from qualified professionals regarding the medical, vision, dental, and behavioral health needs of the child.

6. The licensee shall notify the Placing Entity, or if there is no Placing Entity, parent or guardian when written and verbal instructions from multiple medical professionals conflict.

7. The licensee shall ensure that a child, 12 months of age and younger, is placed to sleep on the child's back unless otherwise authorized in writing by the child's physician.

B. The licensee shall protect and care for the health and well-being of a child in care and:

1. Provide necessary first aid and care to treat common childhood ailments and injuries;

2. Maintain first aid supplies in each facility to meet the needs and number of children residing at the facility;

3. Arrange for a child in care to receive a well-child exam from a medical professional within 30 calendar days of the child's admission, unless the licensee has documentation from the following that the well-child exam was completed within 30-days preceding the child's admission:

a. The child's insurance;

b. The Department that the child has already had the required well-child visit; or

c. A medical professional who has completed the well-child exam;

4. Obtain well-child visits for each child under the age of two as described in the schedule below unless otherwise recommended by a medical professional. A well-child visit includes both a medical and vision examination as appropriate to the child's age and in accordance to Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) requirements prescribed in 42 CFR 441.58;

5. Obtain an annual well-child visit for each child older than two years of age;

6. Obtain immunizations based on the current recommended immunization schedule published by the Centers for Disease Control and Prevention unless:

a. Prohibited by court order,

b. A parent or guardian enters a legally recognized objection, or

c. The immunization is medically contraindicated;

7. Administer prescription medication only as prescribed and ensure no lapse occurs in the administration of the prescription medication to the child;

8. Participate in health care appointments, including appointments where information is provided specific to a medical condition of the child; and

9. Obtain the following when a child wishes to participate in organized sports:

a. An evaluation of the child's capacity to participate;

b. An examination or sports physical; and

c. A report or statement signed by the medical professional conducting the examination regarding the child's capacity, fitness, and clearance to participate in sports.

C. Dental care

1. The licensee shall arrange for each child in care, one year of age or more, to have a dental examination within 30 calendar days of admission, unless the licensee is provided the written results of a dental examination conducted within six months prior to admission.

2. The licensee shall obtain routine dental examinations for each child in care, one year of age or more, at least once every six months and more frequently as recommended by the dentist.

D. Behavioral Health Care

1. The licensee shall cooperate with behavioral health referrals, evaluations, and services as applicable.

2. The licensee shall ensure each child in care attends all behavioral health follow-up visits and complies with all behavioral health recommendations.

Ariz. Admin. Code § R21-7-224

New Section made by final rulemaking at 29 A.A.R. 2231, effective 11/6/2023.