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Section 4 Overview

This section pertains to the policy and procedures necessary when an out-of-home placement of a child is imminent or has occurred.

Chapter 24 Overview

This chapter addresses the medical/mental health planning process and legal basis for the provision of medical and mental health services to children in the legal custody of the Children’s Division.  Routine medical care, life support/sustaining therapies, and HIV/AIDS issues are discussed.  This chapter also establishes a protocol to be used in determining which Children’s Division (CD) families involve children who have been placed in custody due solely to a need for mental health services and where no instance of parental abuse, neglect, or abandonment exists and a protocol to divert such children from the Division’s custody.  Also, included in this chapter are procedures for responding to the death of a child in the legal custody of the Children’s Division.

Table of Contents

24.1  Legal Basis for the Provision of Medical/Mental Health Services

24.2  Medical Information to be Obtained when Child Enters Care

24.3  Medical Service Alternatives/Planning

24.3.1  Routine Medical/Dental Care
24.3.2  Human Immunodeficiency Virus (HIV) Screening
24.3.3  Emergency and Extraordinary Medical/Dental Care
24.3.4  Children's Treatment Services
24.3.5  Missouri Medical/Dental Services Program (MM/DSP) (Also Known as Title XIX or Medicaid)

24.3.5.1  Medicaid Eligibility Documentation of U.S. Citizenship and Identity

24.3.6   Bureau for Children with Special Health Care Needs (BCSHCN)
24.3.7   Department of Mental Health
24.3.8   Residential Care Referral
24.3.9   Private Psychiatric Hospital Placement
24.3.10  Medical Foster Care

24.4  Identification of Children in the Custody of the Children’s Division Solely for the
Purpose of Accessing Mental Health Services

24.5  Custody Diversion Protocol

24.6  Voluntary Placement Agreement

24.7  Pregnancy of Child in Out-of-Home Care

24.8  Chemical Dependency Treatment

24.9  HIV/AIDS Issues

24.10  Life Support/Sustaining Therapies and Do Not Resuscitate Order (DNR) or removal of Life Support for the Child in the Legal Custody of the Division.

24.11  Death of a Child in Out-of-Home Care

24.11.1  Burial Arrangements

Chapter Memoranda History: (prior to 1/31/07)

CD04-83, CD05-05, CD05-48, CD05-50, CD05-51, CD06-76, CD08-47

Memoranda History:

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