CMS-07-021/023 - Los Angeles County Department of Children and ...

information such as immunizations given, medical diagnoses, and
prescribed medication. (For the Education Portion of the black or blue
binder, see this SOW, Part C, Section 3.1.4 above.)
3.4.2 Medical, Dental, and Psychiatric Needs:
The CONTRACTOR shall arrange for the necessary medical, dental, and
psychiatric needs of the Placed Child to be met in accordance with Exhibit
A-IX, Requirements for Medical/Dental Exams for Placed Children; the
Medi-Cal program; and Title 22, Division 6, Chapter 1, Section 80075, and
Chapter 5, Section 84075. The CONTRACTOR shall, to the extent
possible, utilize a Child Health Disability Prevention (CHDP) provider
Doctor/Dentist, or a provider Doctor/Dentist who does CHDP equivalent
exams and performs the initial medical/dental assessment, care, and
follow through.
(a) The CONTRACTOR shall have plans for emergency medical, dental,
and psychiatric treatment of a Placed Child.
(b) The CONTRACTOR shall take all necessary steps to arrange for any
Placed Child in its care with a known history of psychiatric problems
(including hospitalizations) to receive a clinical evaluation, provided
that such evaluation is authorized by the DMH, and submit the written
results of such tests, when in possession, to the County Worker.
(c) To the extent reimbursed by Medi-Cal or private insurance or
otherwise reimbursed by the COUNTY, the CONTRACTOR shall
ensure that each Placed Child receives routine physical and dental
exams, any needed medical or dental care, and information and
instructions on any on-going medical or dental treatment or
medications needed within the three-month period prior to
Emancipation.
3.4.3 Reimbursement for Medical, Dental, and Psychiatric Costs:
(a) The CONTRACTOR shall utilize the Medi-Cal program for all eligible
medical, dental, and psychiatric care costs for Placed Children.
• If a Placed Child does not have valid proof of Medi-Cal coverage,
the CONTRACTOR shall immediately contact the Foster Care
Hotline (800-697-4444) and notify the County Worker.
• If the CONTRACTOR needs assistance in locating a CHDP
provider Doctor/Dentist or one who does equivalent
exam/services, the CONTRACTOR may (1) log onto the web site
of the Los Angeles County Department of Health Services at
http://lapublichealth.org/chdp/index.htm, (2) contact the Placed
Child’s County Worker, (3) contact a DCFS Public Health Nurse, or
(4) contact the DCFS Medical Director’s Office at (213) 351-5614.
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