Cal. Code Regs. tit. 17 § 6824

Current through Register 2024 Notice Reg. No. 45, November 8, 2024

Section 6824 - State and Local Responsibilities

(a) Annual plan and budget. On or before March 15 of each year, each governing body shall submit to the Department's Child Health and Disability Prevention Program the following:

(1) A summary of the previous fiscal year's activity ending the previous June 30.

(2) A summary of the current fiscal year's activity from the previous July 1 to the date of the revised budget submittal. A projection of activities from the date of the revised budget submittal through June 30 of the current fiscal year is desirable, but optional.

(3) A description of the community program to be offered the next fiscal year, including expected program performance goals and activities. Descriptive material submitted as part of a previously state-approved plan need not be repeated. If the community child health and disability prevention program plan is part of the community's more comprehensive child health plan, the more comprehensive plan may be submitted in lieu of a separate community child health and disability prevention program plan.

(4) A budget for the next fiscal year beginning July 1.

(A) The community child health and disability prevention program budget for the budget year shall be limited to those items, including equipment and remodeling, required to implement the plan approved by the Department's Child Health and Disability Prevention Program.

(B) If the amount appropriated in the State Budget Act and enacted into law for the budget year differs from the amount in the budget submitted by the Governor, each local governing body shall submit to the Department's Child Health and Disability Prevention Program an additional revised plan and budget that reflects the share of the reduction determined by the Director to be applicable to that community child health and disability prevention plan.

(5) A preliminary budget estimate for the following fiscal year beginning the following July 1.

(6) A current agreement between the community child health and disability prevention program and the county welfare department relating to the provision and documentation of child health and disability prevention services to Medi-Cal beneficiaries and setting forth the responsibilities of the community program and the county welfare department to assure adequate informing, outreach, referral and follow-up.

(7) Other information which may be required by the Department's Child Health and Disability Prevention Program.

(b) Informing Medi-Cal beneficiaries. Medi-Cal beneficiaries shall be informed as follows:

(1) No later than 60 days following the date of a family's initial Medi-Cal eligibility determination or of determination after a period of ineligibility, the family must be informed of the availability of CHDP services including dental services. This must be done in writing and using face-to-face contact by a person who can explain these services and benefits. A family who loses and regains eligibility more than twice within a twelve-month period need not be informed more than twice in that twelve-month period. Informing includes the offer of services, assistance with scheduling appointments and transportation, and documenting responses.

(2) If no member of an eligible family participates in the program, the family must be informed in writing at least once each year beginning October 1, 1980. Informing includes offering CHDP services, offering assistance with transportation and scheduling appointments, and documenting responses.

(3) Each of the following must be used to inform an eligible family:

(A) Clear, nontechnical materials for those families who are to be informed in writing.

(B) Procedures suitable for informing persons who are illiterate, blind, deaf, or cannot understand the English language.

(4) A family being informed about the program must be given the following information:

(A) The benefits of preventive health and dental services.

(B) How medical and dental services can be obtained.

(C) How specific information can be obtained on the location of the nearest providers participating in the program.

(D) The health assessment and dental services that are offered.

(E) A summary of the State's periodicity schedule.

(F) That recipients can receive both initial and periodic health assessments and dental services according to the State's periodicity schedule.

(G) That treatment services shall be provided for problems disclosed during screening.

(H) That assistance in referral shall be provided.

(I) That assistance with transportation shall be provided if the person requests it.

(J) That assistance in scheduling appointments shall be provided if the person requests this assistance.

(K) That as long as the person remains eligible for Medi-Cal, he or she may request these services at any time in the future if the decision is postponed at the time of initial informing.

(L) That the person may choose to receive CHDP services from a provider of the person's choice, and that if the provider does not offer the full range of CHDP services specified in this subchapter, the person can receive the services not offered if the person makes a request to the community CHDP program or welfare department. If such request is made, assistance in scheduling appointments and transportation shall be offered, and the responses documented.

(M) That these CHDP services are available from approved providers at no cost to the family.

(c) Information and training for county welfare employees. Information and training for county welfare department personnel shall be as follows:

(1) The State Departments of Health Services and Social Services shall provide information, training and materials necessary to ensure that county social services and welfare eligibility personnel, and other appropriate welfare department employees, are fully informed as to the purpose, nature, scope and benefits of CHDP services.

(2) Such employees shall be trained in methods of information dissemination that will encourage and motivate eligible individuals to make use of such preventive medical programs.

(3) The provision of such training shall be verified in appropriate sections of the annual plans submitted to the Department's Child Health and Disability Prevention Program by community child health and disability prevention programs.

(d) Information and training for local health department personnel. Information and training for local health department personnel shall be as follows:

(1) The Department shall provide such information, training and materials necessary to ensure that appropriate local health department personnel and other appropriate county and municipal employees are informed as to the purpose, nature, scope and benefits of CHDP services.

(2) Such employees shall be trained in methods of information dissemination that will encourage and motivate eligible individuals to make use of such preventive medical programs.

(e) Required services. Each community child health and disability prevention program shall provide, in accordance with this subchapter, at least the following services:

(1) Outreach and health education, including anti-tobacco use education.

(2) Referral to dentist.

(3) Referral to a health assessment.

(4) Health assessment.

(5) Certification for school entry.

(6) Referral to diagnosis and treatment.

(7) Diagnosis and treatment.

(f) Records and information. Each community child health and disability prevention program shall keep records and provide information on the results of health assessments and follow-up to diagnosis and treatment, and other data about the persons served as may be required by the Department's Child Health and Disability Prevention Program.

(g) Other responsibilities. The Department shall provide the following:

(1) Regulations and minimum standards for quality preventive health services for children and youth, including anti-tobacco use education guidelines.

(2) Consultation services on all aspects of community program development.

(3) Appropriate data collection and reporting forms.

(4) Documentation and data, made available at the state or local level, on all aspects of the program including:

(A) The results of informing services.

(B) The results of screening services.

(C) The results of diagnosis and treatment services.

(D) The results of anti-tobacco education services.

(5) Management reports for state and local program use.

(6) Reports required by the federal Early Periodic Screening Diagnosis and Treatment Program.

Cal. Code Regs. Tit. 17, § 6824

1. Repealer and new section filed 11-28-79 as an emergency; effective upon filing (Register 79, No. 48). A Certificate of Compliance must be filed within 120 days or emergency language will be repealed on 3-28-80.
2. Certificate of Compliance filed 3-27-80 (Register 80, No. 13).
3. Amendment of subsection (b)(1) filed 5-22-80; effective thirtieth day thereafter (Register 80, No. 21).
4. Amendment of subsections (e)(1) and (g) filed 2-27-90 as an emergency pursuant to Section 12, Chapter 1331, Statutes of 1989; operative 2-27-90 (Register 90, No. 9). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed by operation of law on 6-27-90.
5. Certificate of Compliance as to 2-27-90 order transmitted to OAL 6-19-90 and filed 7-18-90 (Register 90, No. 38).

Note: Authority cited: Sections 208 and 321, Health and Safety Code; and Section 12, Assembly Bill 75 (Chapter 1331, Statutes of 1989). Reference: Sections 320, 321.2, 322.5, 324 and 24165.3, Health and Safety Code.