Children receive all necessary medical, dental, developmental, and mental health assessments and treatment within appropriate timeframes.
Note: Responsibility for the provision of physical and mental health care can differ depending on the type of kinship care service. Informal kinship care programs can provide information and support to caregivers to help them access services, while formal kinship care services are responsible for ensuring the receipt of services.
Children receive comprehensive health care services, and the agency provides assistance to caregivers to ensure:
Interpretation: Caregivers should be provided with alternative health care options when insurance coverage is not available. Although agencies do not necessarily provide children and families with health insurance, they can take steps to promote access to coverage through other programs such as Medicaid. Agencies that have the responsibility for placing Indian children should be aware of health care services that the child may have access to through tribally contracted health facilities or through the federal Indian Health Service.
Interpretation: Whenever possible, a medical home should be established for each child with special health care needs. Children should continue receiving health care services from familiar providers.
The child’s relevant health information, including family medical history, is recorded in an efficient and secure system and shared with providers and caregivers, as appropriate.
Interpretation: Medical passports and electronic medical records systems can be used to store and share health information. The agency should have mechanisms in place for cross-agency sharing of information that encourage continuity of care and respect confidentiality.
NA The agency only provides informal kinship care services
Parents receive information about their child’s health care, and are encouraged to participate in health appointments and decision making whenever possible, unless parent involvement is contraindicated.
Qualified professionals provide the child with age-appropriate health care services including:
Update: Added Fifth Interpretation - 12/01/10
Added Fifth Interpretation
Interpretation: When documentation demonstrates that the child has received the appropriate examinations and screenings, the agency need not arrange for an additional examination upon entry into care. When documentation is unavailable or incomplete, the agency must ensure that screenings and examinations are completed within 30 days after entry into care.
Interpretation: Medical assessments include, as appropriate to the child’s age and circumstances: lead exposure, TB testing, and HIV/STD risk assessment screening.
Interpretation: The agency should recognize the value of incorporating culturally-grounded interventions into the treatment plan, and include traditional practices or customs of the child’s culture, tribe, or faith-based community to the greatest extent possible and appropriate. Whenever possible, Indian children should receive health services from qualified professionals who have experience working with the tribe and knowledge of tribal customs and practices.
Interpretation: Dental examinations should be provided for children over age 3.
Interpretation: Best practice suggests that dental exams should occur every six months and more frequently for children based on clinical need. In situations where resources are not provided for preventive care to occur every six months, the agency can receive a rating of 2 if there is an annual preventive exam and evidence that recommendations from the clinician indicate the child is not in need of more frequent care. In addition, children with dental issues or at high risk of dental problems must be receiving the care they need.
Note: See Recommendations for Preventative Pediatric Health Care published by The American Academy of Pediatrics for well-child guidelines.
Children receive age-appropriate support and education regarding: