19 CSR 40-6.010 - Perinatal Substance Abuse Forms for Health Care Providers

PURPOSE: This rule establishes the forms and protocol to be used by health care providers to implement the perinatal substance abuse legislation in sections 191.725, 191.741 and 191.743, RSMo.

(1) All licensed health care providers who provide obstetrical and gynecological care to pregnant women shall use the Department of Health form MCFH-4, the protocol required by section 191.741, RSMo, in Appendix A of this rule or any other assessment form which documents the substance abuse risk status of each patient. The medical record shall show documentation of this assessment.

(2) The health care providers designated in section (1) of this rule shall have all patients sign the Department of Health form MCFH-3 in Appendix B of this rule, or any form which is signed and dated by the patient and which states the substances discussed.

(3) To document the offer of service coordination for each pregnant woman at high risk for substance abuse, the health care providers designated in section (1) of this rule shall use the Department of Health form MCFH-2 in Appendix C of this rule and retain it in the medical record, or have documentation of the offer for service coordination and the woman's response in the medical record. The health care provider shall make the referral for service coordination to the Department of Health by telephone or in writing.

Notes

19 CSR 40-6.010

AUTHORITY: sections 191.725, 191.741 and 191.743, RSMo Supp. 1991.* Original rule filed Feb. 2, 1994, effective July 30, 1994.

*Original authority: 191.725, RSMo 1991; 191.741, RSMo 1991 and 191.743, RSMo 1991.