This letter transmits Ohio Administrative Code rules governing Substitute Care policy that are being revised as a result of the Five-Year Rule Review. The following is a brief explanation of the changes.

The amended rule 5101:2-42-66 entitled "Administrative procedures for comprehensive health care for children in placement" of the Administrative Code sets forth the requirements for the early and periodic screening, diagnosis, and treatment (EPSDT) program which is a federally mandated program of comprehensive preventive health services available to Medicaid-eligible individuals from birth through age twenty years. This rule has been amended to include tracking the information given to the substitute caregiver regarding Healthchek and transportation.

The amended rule 5101:2-42-66.1 entitled "Comprehensive health care for children in placement" of the Administrative Code sets forth the requirements for the public children services agency (PCSA) or private child placing agency (PCPA) to coordinate comprehensive health care for each child in its care or custody who is placed into substitute care. This rule has been amended to clarify expected time frames pertaining to medical services for children in substitute care. Changes were made to provide clarity for specific age ranges. The rule update also corrected a form reference and minor grammatical changes were made.

The amended rule 5101:2-42-66.2 entitled "Documentation of comprehensive health care for children in placement" sets forth the requirements of documenting and where to maintain the documentation of children in care receiving physical health exams, developmental and psychological assessments, and treatment for each child in the care or custody of a PCSA, PCPA or PNA. This rule has been amended to add as a reference source the managed care plans (MCPs).

INSTRUCTIONS:

The following chart depicts what materials should be deleted from the Family, Children and Adult Services Manual (FCASM) and what materials are to be inserted in the FCASM.