Section .0100 ‑ School Health Funds

Link to law: http://reports.oah.state.nc.us/ncac/title 10a - health and human services/chapter 43 - personal health/subchapter e/subchapter e rules.html
Published: 2015

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SUBCHAPTER 43E ‑ CHILD HEALTH

 

SECTION .0100 ‑ SCHOOL HEALTH FUNDS

 

10A NCAC 43E .0101       GENERAL

(a)  The purpose of the school health fund is to enhance the

provision of preventive, diagnostic, evaluative, and treatment services to

school age children and to develop cooperative arrangements among local health

departments, schools, the private health care providers and hospitals.  Funds

are provided to local health departments to assist families of eligible school

children.

(b)  The school health fund is administered by the Division

of Public Health, 1915 Mail Service Center, Raleigh, North Carolina 27699-1915.

 

History Note:        Authority G.S. 130A‑124;

Eff. July 1, 1984;

Amended Eff. February 1, 1990.

10A NCAC 43E .0102       ALLOCATION OF

FUNDS

School health funds shall be allocated to local health

departments. One thousand dollars ($1,000) per year shall be allocated for each

county.  Additional amounts are allocated per county based on each county's average

daily attendance for the previous school year as shown in the records provided

to the Division by the North Carolina Department of Public Instruction.  The

allocation of funds to any county may be modified to reflect actual utilization

of funds.

 

History Note:        Authority G.S. 130A‑124;

Eff. July 1, 1984;

Amended Eff. February 1, 1990.

 

10A NCAC 43E .0103       BUDGETING OF FUNDS

School health funds shall be budgeted as a separate line

item entitled "School Health" within each local health department's

Child Health budget.

 

History Note:        Authority G.S. 130A‑124;

Eff. July 1, 1984;

Amended Eff. February 1, 1990.

 

10A NCAC 43E .0104       CLIENT ELIGIBILITY

(a)  To be eligible for services paid for through the school

health fund, clients shall:

(1)           meet the residency requirements of 15A NCAC

24A;

(2)           meet the financial requirements of 15A NCAC

24A or the U.S. Department of Agriculture Financial Scale for the free lunch

program;

(3)           be less than 20 years of age; and

(4)           be enrolled in a public or private school,

grade kindergarten through grade 12.

(b)  When financial eligibility for school health funds is

based upon the Free Lunch Program's income eligibility scale, written

verification shall be obtained from the local school system and retained for

audit purposes or a financial determination shall be performed by the local

health department.

 

History Note:        Authority G.S. 130A‑124;

Eff. July 1, 1984;

Amended Eff. February 1, 1990.

 

10A NCAC 43E .0105       USE OF SCHOOL HEALTH FUNDS

(a)  School health funds may be used:

(1)           to provide reimbursement for the following

services:

(A)          preventive, diagnostic, evaluative and treatment

services;

(B)          psychosocial, emotional and nutritional counseling;

and

(C)          medications.

(2)           to purchase bulk medications under the

following conditions:

(A)          Written approval for the purchase and use of such

medications is obtained from the medical consultant to the local health

department, and the proper use of such medications is described in the written

standing orders of a person entitled to prescribe medications in North

Carolina; or

(B)          When treating infestations of school age children

and their immediate families.

(b)  School health funds shall not be used for the

following:

(1)           salaries of personnel;

(2)           transportation;

(3)           office supplies or equipment;

(4)           community wide services such as: water

fluoridation;

(5)           services covered by other third party

reimbursement sources when the health department has knowledge of coverage at

time of authorization;

(6)           services mandated to be provided by another

public agency;

(7)           orthodontic treatment;

(8)           inpatient services; and

(9)           health department services except as

allowed in Rule .0106(d) of this Section.

 

History Note:        Authority G.S. 130A‑124;

Eff. July 1, 1984;

Amended Eff. February 1, 1990.

 

10A NCAC 43E .0106       AUTHORIZATION AND REIMBURSEMENT

(a)  The local health department shall authorize each

service funded by school health funds, except as stated in Subparagraph (a)(2)

of Rule .0114.

(b)  The authorization shall be sent to the anticipated providers

of care for each authorized service.  The authorization shall include, at least

the following information:

(1)           name of client;

(2)           service authorized;

(3)           expiration date of authorization;

(4)           amount authorized; and

(5)           signature of authorizing official.

(c)  The local health department shall negotiate rates of

reimbursement for services to be provided under the school health fund.  These

rates shall not exceed the Medicaid rate of reimbursement in effect at the time

the claim is received by the Division.

(d)  Services provided by a dentist employed by the local

health department may be charged to school health funds.  Claims shall be paid

at a rate not to exceed the current Medicaid rate in effect for dental services

provided in local health departments.

(e)  If a local health department's dental program is

supported by other state and federal dollars, the local health department shall

demonstrate that total dental charges to the school health fund do not exceed

the difference between the total cost of the dental program and the total state

and federal dollars going into the dental program.

(f)  Services provided by public health dentists employed by

the Department shall not be charged to school health funds.

(g)  Other rules governing authorization and billing

procedures, payment limitations, and limitations on billing clients sponsored

by school health funds are found in 15A NCAC 24A.

 

History Note:        Authority G.S. 130A‑124;

Eff. July 1, 1984;

Amended Eff. February 1, 1990.

 

10A NCAC 43E .0107       MONITORING AND EVALUATION

The local health department shall complete and submit the

annual school health fund report (DEHNR 3147) to the Division of Maternal and

Child Health.

 

History Note:        Authority G.S. 130A‑124;

Eff. July 1, 1984;

Amended Eff. February 1, 1990.

 

SECTION .0200 ‑ KINDERGARTEN HEALTH ASSESSMENTS

 

10A NCAC 43E .0201       HEALTH ASSESSMENTS

(a)  Every child in this state entering kindergarten in the

public schools shall receive a health assessment pursuant to G.S. 130A‑440.

(b)  The health assessment shall be reported on a health

assessment transmittal form provided by the local education agency and shall

include at least the following:

(1)           identifying information for the child,

including name, address, and parents' names;

(2)           a listing of any significant medical

conditions, disabilities, or allergies determined by the medical history or the

physical examination;

(3)           screenings for vision and hearing;

(4)           testing for anemia and tuberculosis, if the

health care provider considers such tests to be appropriate;

(5)           a listing of medications the child takes on

a regular basis; and

(6)           a listing of special health considerations

or services needed for the child during school hours.

(c)  The health care provider may include the results of a

developmental screening.

 

History Note:        Authority G.S. 130A‑440; 130A‑443;

Eff. January 1, 1988.

 

10A NCAC 43E .0202       REPORTING

(a)  Local education agencies shall provide health

assessment transmittal forms to:

(1)           parents or guardians of children enrolling

in kindergarten; and

(2)           local health care providers, upon request

by the provider.

(b)  The health care provider shall submit health assessment

results to the school principal on the health assessment transmittal form.

(c)  Access to health assessment transmittal forms shall be

limited to principals, teachers, school nurses, public health nurses, and

school psychologists.  Other school personnel may have access to the

transmittal forms on a case by case basis if they have written authorization

from the school principal.  These forms may also be released pursuant to court

order or the written consent of the parent or guardian.

 

History Note:        Authority G.S. 130A‑441; 130A‑443;

Eff. January 1, 1988.

 

SECTION .0300 ‑ PEDIATRIC PRIMARY CARE PROGRAM

 

10A NCAC 43E .0301       GENERAL

10A NCAC 43E .0302       DEFINITIONS

10A NCAC 43E .0303       PROVIDER ELIGIBILITY

10A NCAC 43E .0304       CLIENT ELIGIBILITY

10A NCAC 43E .0305       APPLICATION FOR FUNDS: PROGRAM PLAN:

RENEWAL

10A NCAC 43E .0306       BUDGETING OF GRANT FUNDS

10A NCAC 43E .0307       MEDICAL RECORDS

10A NCAC 43E .0308       CLIENT AND THIRD PARTY FEES

10A NCAC 43E .0309       MONITORING AND EVALUATION

 

History Note:        Authority G.S. 130A-124;

Eff. April 1, 1985;

Amended Eff. December 1, 1990; September 1, 1990; August 1, 1987; April 1, 1987; February 1, 1987;

Repealed Eff. July 1, 2014.

 

SECTION .0400 - Early Childhood Vision Care Program

 

10A NCAC 43E .0401       GENERAL

10A NCAC 43E .0402       COVERED SERVICES

10A NCAC 43E .0403       ELIGIBILITY

10A NCAC 43E .0404       APPLICATIONS FOR PROGRAM SERVICES

10A NCAC 43E .0405       REIMBURSEMENT TO PROVIDERS

 

History Note:        Authority G.S. 130A-440.1; 143B-216.75;

Temporary Adoption Eff. November 1, 2007;

Temporary Adoption Expired August 11, 2008.