DHS 105.36(7)(b)6.6. Referral to inpatient service when necessary to treat complications of contraceptive services provided by the clinic.
DHS 105.36(7)(c)(c) Equipment and supplies in the clinic shall be commensurate with the services offered. Sufficient first aid equipment shall be available for use when needed.
DHS 105.36(7)(d)(d) Treatment for minor vaginal infections and venereal disease may be made available either by the clinic or through referral.
DHS 105.36(8)(8)Facilities. The family planning clinic shall be designed to provide comfort and dignity for the patients and to facilitate the work of the staff. A clinic facility shall be adequate for the quantity of services provided, and shall include:
DHS 105.36(8)(a)(a) A comfortable waiting room with an area for patient reception, record processing and children’s play;
DHS 105.36(8)(b)(b) Private interviewing and counseling areas;
DHS 105.36(8)(c)(c) A group conference room for staff meetings and patient education;
DHS 105.36(8)(d)(d) A work room or laboratory area with sufficient equipment and nearby storage space, none of which is accessible to the patient;
DHS 105.36(8)(e)(e) A sufficient number of private and well-equipped examining rooms with proximal dressing areas which ensure the dignity of the patient;
DHS 105.36(8)(f)(f) Adequate toilet facilities, preferably near the dressing room; and
DHS 105.36(8)(g)(g) Arrangements for routine and restorative facility maintenance.
DHS 105.36 NoteNote: For covered family planning services, see s. DHS 107.21.
DHS 105.36 HistoryHistory: Cr. Register, February, 1986, No. 362, eff. 3-1-86; r. (2) (e), (7) (b) 6., renum. (2) (f) and (g) to be (2) (e) and (f), (7) (b) 7. to be (7) (b) 6., Register, January, 1997, No. 493, eff. 2-1-97; correction in (1) (b) made under s. 13.93 (2m) (b) 7., Stats., Register, December, 1999, No. 528; CR 20-068: am. (2) (a) (intro.), 1. to 3. Register December 2021 No. 792, eff. 1-1-22.
DHS 105.37DHS 105.37Early and periodic screening, diagnosis and treatment (EPSDT) providers.
DHS 105.37(1)(1)EPSDT health assessment and evaluation services.
DHS 105.37(1)(a)(a) Eligible providers. The following providers are eligible for certification as providers of EPSDT health assessment and evaluation services:
DHS 105.37(1)(a)1.1. Physicians;
DHS 105.37(1)(a)2.2. Outpatient hospital facilities;
DHS 105.37(1)(a)3.3. Health maintenance organizations;
DHS 105.37(1)(a)4.4. Visiting nurse associations;
DHS 105.37(1)(a)5.5. Clinics operated under a physician’s supervision;
DHS 105.37(1)(a)6.6. Local public health agencies;
DHS 105.37(1)(a)7.7. Home health agencies;
DHS 105.37(1)(a)8.8. Rural health clinics;
DHS 105.37(1)(a)9.9. Indian health agencies; and
DHS 105.37(1)(a)10.10. Neighborhood health centers.
DHS 105.37(1)(b)(b) Procedures and personnel requirements.
DHS 105.37(1)(b)1.1. EPSDT providers shall provide periodic comprehensive child health assessments and evaluations of the general health, growth, development and nutritional status of infants, children and youth. Immunizations shall be administered at the time of the screening if determined medically necessary and appropriate. The results of a health assessment and evaluation shall be explained to the recipient’s parent or guardian and to the recipient if appropriate.
DHS 105.37(1)(b)2.2. EPSDT health assessment and evaluation services shall be delivered under the supervision of skilled medical personnel. In this section “skilled medical personnel” means physicians, physician assistants, nurse practitioners, public health nurses or registered nurses. Skilled medical personnel who perform physical assessment screening procedures shall have successfully completed either a formal pediatric assessment or an inservice training course on physical assessments approved by the department. Individual procedures may be completed by paraprofessional staff who are supervised by skilled medical personnel. Registered nurses who perform EPSDT physical assessments shall have satisfactorily completed a curriculum for pediatric physical assessments approved by the department.