Section 124040 Of Article 6. Child Health And Disability Prevention Program From California Health And Safety Code >> Division 106. >> Part 2. >> Chapter 3. >> Article 6.
124040
. (a) The governing body of each county or counties shall
establish a community child health and disability prevention program
for the purpose of providing early and periodic assessments of the
health status of children in the county or counties by July 1, 1974.
However, this shall be the responsibility of the department for all
counties that contract with the state for health services. Contract
counties, at the option of the board of supervisors, may provide
services pursuant to this article in the same manner as other county
programs, if the option is exercised prior to the beginning of each
fiscal year. Each plan shall include, but is not limited to, the
following requirements:
(1) Outreach and educational services.
(2) Agreements with public and private facilities and
practitioners to carry out the programs.
(3) Health screening and evaluation services for all children,
including a physical examination, immunizations appropriate for the
child's age and health history, and laboratory procedures appropriate
for the child's age and population group performed by, or under the
supervision or responsibility of, a physician licensed to practice
medicine in California or by a certified family nurse practitioner or
a certified pediatric nurse practitioner.
(4) Referral for diagnosis or treatment when needed, including,
for all children eligible for Medi-Cal, referral for treatment by a
provider participating in the Medi-Cal program of the conditions
detected, and methods for assuring referral is carried out.
(5) Recordkeeping and program evaluations.
(6) The health screening and evaluation part of each community
child health and disability prevention program plan shall include,
but is not limited to, the following for each child:
(A) A health and development history.
(B) An assessment of physical growth.
(C) An examination for obvious physical defects.
(D) Ear, nose, mouth, and throat inspection, including inspection
of teeth and gums, and for all children one year of age and older who
are eligible for Medi-Cal, referral to a dentist participating in
the Medi-Cal program.
(E) Screening tests for vision, hearing, anemia, tuberculosis,
diabetes, and urinary tract conditions.
(7) An assessment of nutritional status.
(8) An assessment of immunization status.
(9) If appropriate, testing for sickle-cell trait, lead poisoning,
and other tests that may be necessary to the identification of
children with potential disabilities requiring diagnosis and possibly
treatment.
(10) For all children eligible for Medi-Cal, necessary assistance
with scheduling appointments for services and with transportation.
(b) Dentists receiving referrals of children eligible for Medi-Cal
under this section shall employ procedures to advise the child's
parent or parents of the need for and scheduling of annual
appointments.
(c) Standards for procedures to carry out health screening and
evaluation services and to establish the age at which particular
tests should be carried out shall be established by the director. At
the discretion of the department, these health screening and
evaluation services may be provided at the frequency provided under
the Healthy Families Program and permitted in managed care plans
providing services under the Medi-Cal program, and shall be
contingent upon appropriation in the annual Budget Act. Immunizations
may be provided at the frequency recommended by the Committee on
Infectious Disease of the American Academy of Pediatrics and the
Advisory Committee on Immunization Practices of the Centers for
Disease Control and Prevention.
(d) Each community child health and disability prevention program
shall, pursuant to standards set by the director, establish a record
system that contains a health case history for each child so that
costly and unnecessary repetition of screening, immunization and
referral will not occur and appropriate health treatment will be
facilitated as specified in Section 124085.