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3.MEP.38 |
Client Routine and On-going Health Care Needs
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Type: Procedure
Category: Service Delivery
Level: Community Care
Parties: Community Care employees and contractees
Printer Friendly Version: http://apps.comcareme.org/policymanual/default.aspx?code=3.MEP.38&nonav=yes
Supporting References: COA General Standards G 8.2.03, COA Service Standards S.21.5.01; Foster Parent Licensing Rules Chapter 16 section G1; Residential Licensing Rules section 8-Health Care a and i, Medical a and b, and Dental a and b.
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Parent |
Effective Date |
Approval Level |
Revision Dates |
Last Reviewed |
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N/A |
1-1-2004
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Management Team
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None
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N/A |
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Related Document Code |
Related Document Name |
Type |
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3.MEP.46 |
Service Planning |
Procedure |
Procedure: .Care Development of Maine recognizes its responsibility to ensure that the clients for whom we are responsible receive appropriate and adequate routine and on-going medical, psychological, and dental treatment. Ideally, each child will receive health services according to the procedure listed below. 1. Treatment Foster Care (TFC): Care givers, primarily foster parents, shall assure that foster children receive preventive and ongoing medical, dental and psychological care in accordance with the directives from the physician, Department of Human Services, and/or the child placing agency or the person legally responsible for the client. Residential: The facility shall adopt a written plan for ensuring the availability and provision of a comprehensive program of preventive, routine and emergency medical, mental health and dental care for residents, which shall include an ongoing appraisal of the general health of each resident. The facility shall ensure the provision of physical examinations for each resident. The facility shall ensure that residents receive timely, competent medical care when they are ill and that they continue to receive necessary follow-up medical care. 2. At Intake a client's medical and dental needs will be assessed. 3. Upon admission the appropriate consent form for routine medical and dental treatment will be signed by the client and/or guardian. 4. After admission, and within the required number of days for each program, a screening for immediate medical needs and for communicable diseases will be done by a qualified medical practitioner: a. TFC: The goal is to provide this screening within 2 workings days of placement. If this is not possible, minimally, the screening should happen as soon as possible. b. Residential: The goal is to provide this screening within 24 hours of placement. If this is not possible, minimally, the screening should happen as soon as possible. 5. An appointment for a physical exam will be scheduled by the care givers to ensure that the client receives a physical exam within the alloted time frame for each program: a. TFC: Within 1 year prior to admission or 1 month after admission. This exam should include, as appropriate, an assessment of hearing, vision, lead-exposer, and immunizations. b. Residential: Within 1 year prior to admission or 3 days after admission. This exam should include, as appropriate, an assessment of hearing, vision, lead-exposer, and immunizations. 6. After the initial physical exam care givers will ensure that clients receive physical exams no less than annually. If this timeframe is not possible, minimally children should receive regular physical exams as follows for residential settings: Children 2-6 years of age every two years, and children age 6 and over every three years. 7. For each medical appointment the care giver will ensure that a Physician/Dental Visits Form is signed by the physician and entered into the client's Care Development of Maine record. The Case Coordinator or designee will chart all medical appointments on the Client Physician Appointment Tracking Log. 8. The care givers shall make diligent effort to ensure that a child receives any necessary dental work. For dental needs, care givers will attempt to ensure dental exams for clients ages 3 and over, six months prior to admission or within 1 month after admission. Additionally, care givers will ensure routine dental exams every 6 months there-after. Where there is difficulty in locating a dentist to provide service to a medicaid recipient, the team, including the DHS guardian, will work to identify an appropriate dental service provider within the shortest timeframe possible. 9. For each dental visit, care givers will ensure that a Physician/Dental Visit Form is signed by the dentist and entered into the client's Care Development of Maine record. The Case Coordinator or designee will chart all dental appointments on the Client Physician Appointment Tracking Log.