Or. Admin. Code § 413-200-0362

Current through Register Vol. 63, No. 11, November 1, 2024

Section 413-200-0362 - Requirements Regarding the Medical, Dental, and Mental Health Care of a Child or Young Adult

(1) In addressing the health care for a child or young adult in the care or custody of the Department placed in the home, the certified family must:

(a) Work collaboratively with the Department in managing the health care needs of the child or young adult, which may include involving a parent of the childor young adult in medical, dental, and mental health appointments;

(b) Regularly exchange medical, dental, and mental health information of the child or young adult with the Department;

(c) Work collaboratively with providers in managing the medical, dental, and mental health needs of the child or young adult; and

(d) Maintain health care documentation for each child or young adult, including:

(A) Medical, dental, and mental health appointments;

(B) Medical, dental, and mental health information;

(C) Medical, dental, and mental health appointment follow-up reports; and

(D) Immunization records.

(2) A certified family must comply with the Department's direction on obtaining medical, dental, and mental health care for a child or young adult in the care or custody of the Department placed in the home.

(3) A certified family may consent to routine examinations and laboratory tests.

(4) A certified family must follow the Department's direction regarding vaccination and immunization of a child or young adult in the care or custody of the Department placed in the home, in accordance with the case plan.

(5) Except as provided in section (6) of this rule, the certified family must contact the caseworker of a child or young adult to obtain appropriate prior consent from the Department before a child or young adult in the care or custody of the Department placed in the home receives any medical care or undergoes a procedure, other than routine medical care.

(6) In an emergency, a certified family must notify the Department as soon as possible after accessing emergency care.

(7) Medication management requirements:

(a) The certified family must comply with all of the following requirements related to medication management for a child or young adult in the care or custody of the Department placed in the home:

(A) Over the Counter Medications may be provided to a child or young adult for their labeled purpose within the labeled dosage.

(B) Administer prescription medications to a child or young adult only in accordance with the written prescription or authorization.

(C) Record the dosage, date, and time of all medication administered to a child or young adult on the medication form approved by the Department. When medication is given in a setting other than the certified home, such as at school or in daycare, the medication form from that setting must be attached to the Department form.

(D) The medication form, with any attachments, must be submitted monthly to the caseworker.

(E) Inform the caseworker or the supervisor of the caseworker within one business day when a child or young adult is prescribed a psychotropic medication or the dosage of any existing prescription for psychotropic medication is changed, as required by OAR 413-070-0470.

(F) Begin administration of any psychotropic medication only after authorization has been obtained from the Department pursuant to OAR 413-070-0470.

(G) Maintain the documentation received from the caseworker when a child or young adult is prescribed a psychotropic medication or when the dosage of any existing prescription for a psychotropic medication is changed.

(b) The certified family must provide for the safe storage and administration of all medications in the household, taking into consideration the age, development level, and needs of the child or young adult placed in the home by the Department.

(c) When a child or young adult is learning their own medication management, a specific plan may be created for that young adult to have access to their own medication.

(8) The certified family must comply with the personal care services plan for any child or young adult in the care or custody of the Department placed in the home and eligible for personal care services pursuant to OAR 413-090-0100 to 413-090-0210.

Or. Admin. Code § 413-200-0362

SOSCF 7-2001, f. & cert. ef. 3-23-01; Renumbered from 413-200-0346, CWP 4-2007, f. & cert. ef. 3-20-07; CWP 3-2009, f. & cert. ef. 2-2-09; CWP 37-2011, f. 12-27-11, cert. ef. 12-28-11; CWP 20-2015, f. & cert. ef. 10/1/2015; CWP 2-2018, temporary amend filed 01/01/2018, effective 01/01/2018 through 06/29/2018; CWP 54-2018, amend filed 06/29/2018, effective 6/29/2018; CWP 53-2019, amend filed 12/23/2019, effective 1/1/2020; CWP 9-2021, amend filed 03/26/2021, effective 4/15/2021

Statutory/Other Authority: ORS 409.050, ORS 418.005 & ORS 418.640

Statutes/Other Implemented: ORS 409.010, ORS 418.015, ORS 418.315 & ORS 418.625 - 418.648