La. Admin. Code tit. 48 § V-1703

Current through Register Vol. 50, No. 9, September 20, 2024

Section V-1703 - Description for Services

A. Child health clinics are scheduled in the parish health units on a regular basis utilizing an appointment system. Three follow-up contacts by telephone, mail and/or home visit are generally made on missed appointments. After three unsuccessful attempted contacts, the medical record on the patient is closed unless a serious medical problem exists which necessitates additional follow-up efforts by OPPHS.

B. Preventive health care for the well preschool age child generally follows a periodic schedule of the ideal minimum of services adopted from the Standards of Child Health Care, 3rd Edition, American Academy of Pediatrics, 1977. Services for the preschool age child are usually scheduled at ages 1 month, 2-3, 4-5, 6-7, 8-12, 13-15, 16-19, 23-25, 27-36 months, and 5-6 years. This schedule is also consistent with a continuing interagency contractual agreement with the Office of Family Security for services provided to EPSDT-eligible children and the WIC federal and state requirements.

2. Child health services for the preschool age child generally consist of a comprehensive assessment of the child's health status including:

a. medical history on the child and family;

b. unclothed physical inspection including listening to the chest;

c. height, weight determination, and head circumference measurement at specified age;

d. monitoring of physical and psycho-social development for physical handicaps and developmental delays;

e. dental screening;

f. screening for vision, hearing, speech, and language problems;

g. immunizations;

h. anticipatory guidance for parents and children;

i. nutritional counseling and health education;

j. screening and follow-up for anemia, lead poisoning and hypertension;

k. newborn screening for metabolic disorders including Phenylketonuria (PKU) and congenital hypothyroidism; and

l. screening for sickle cell disease on black children.

3. The same services are provided to all newborns, infants, and preschool age children with the exception of referrals for dental treatment which are primarily available to EPSDT-eligible children after their third birthday.

C. Services for EPSDT-eligible children five years or older are provided according to a continuing contractual agreement with the Office of Family Security for services to EPSDT-eligible children. These services are also provided to non EPSDT-eligible children. Services for children five years or older generally include:

a. physical, mental, and developmental history on the child;

b. unclothed physical inspection including listening to the chest;

c. height and weight determination;

d. laboratory tests and follow-up on anemia and sickle cell disease on black children (if not already screened);

e. laboratory tests for follow-up on sugar, blood or albumin in the urine;

f. laboratory tests (screening through age six only) and follow-up on lead poisoning when indicated;

g. anticipatory guidance and counseling of parents and school age children; and

h. nutritional status assessment and counseling.

2. General screening and preventive health services for this age group are provided every three years after age five. Rescreening and follow-up services are scheduled depending on risk factors, individual health needs and age at which the child entered into the program.

a. Child health services are primarily provided in nursing clinics. Children are periodically examined by a physician in medical clinics depending on need and the availability of physician services. The child health clinics are staffed by health care professionals including nurses, physicians, social workers, and nutritionists. Paraprofessional health care staff (aides, technicians) also provide services under professional supervision. All child health services described herein are subject to funding and clinic staffing limitations.

b. Home visits are made on a limited basis by nurses or medical social workers. These visits are made for necessary follow-up according to agency protocol and professional judgment.

3. OPPHS also provides health education to pregnant women and parents in Louisiana through its "Pierre the Pelican" pamphlets. A series of "Pierre" pamphlets covering the prenatal period and the period from birth through age six years is distributed to pregnant women upon request and all first time parents in Louisiana. Other parents may receive this pamphlet series by writing to "Pierre the Pelican", Maternal and Child Health, Office of Preventive and Public Health Services, Box 60630, New Orleans, Louisiana 70160.

La. Admin. Code tit. 48, § V-1703

Promulgated by the Department of Health and Human Resources, Office of Preventive and Public Health Services, LR 13:246 (April 1987).

AUTHORITY NOTE: Promulgated in accordance with Social Security Act of 1935, Title V, Sections 501-516; P.L. 97-35, Title V, 42 U.S.C. 703; R.S. 46:971-972.