Section 400.12413. Medical and dental care policy.

(1) An agency’s medical and dental care policy shall, at a minimum, include all of the following:

(a)   The provision of routine medical care.

(b)   The provision of emergency medical, surgical, and dental care.

(c)    A physical examination for each child as follows, unless a greater frequency is medically indicated:

(i)   For a child under 2 years of age, a physical examination shall have been completed within 3 months before being placed in foster care or a new physical examination shall be completed within 30 calendar days after being placed in foster care.

(ii)     For a child 2 years of age or older, a physical examination shall have been completed within 12 months before placement or a new physical examination shall be completed within 30 calendar days after placement.

(iii)   A physical examination every 14 months.

(d)   Current immunizations for each child as required by section 5111 of 1978 PA 368, MCL 333.5111. All of the following apply:

(i)     A statement from a parent or licensed medical authority, which indicates that immunizations are current or contraindicated, is sufficient documentation of immunizations.

(ii)   A copy of a waiver addressed to the department that is signed by the parent stating immunizations are not being administered due to religious, medical, or other reasons is sufficient documentation of immunizations. A waiver shall be accompanied by a certification by the local health department that the parent or parents received education on the risks of not receiving the vaccines being waived and the benefits of vaccination to the individual and the community as required by MCL 333.5111 and the provisions under R 325.176(12) of the communicable and related disease administrative rules.

(iii)     If documentation of immunization or a copy of the waiver is unavailable, then immunizations shall begin within 30 calendar days of placement.

(e)   The provision of any dental treatment necessary for a child who is less than 4 years of age.

(f)  The provision of a dental examination and any treatment required for each child who is 4 years of age and older, including both of the following:

(i)      A dental examination within 12 months before placement or a new dental examination shall be completed not more than 90 calendar days after placement.

(ii)   A dental reexamination shall be obtained at least every 18 months, unless a greater frequency is indicated.

(2)   An agency shall maintain a file documentation from the medical or dental provider of all medical and dental care received by a foster child.

History: 1998-2000 AACS; 2014 AACS; 2015 AACS.