Agency 28, Article 4 — MATERNAL AND CHILD HEALTH

(Authorized by K.S.A. 65-504, 65- 508; effective Jan. 1, 1966; revoked, E-81-22, Aug. 27, 1980; revoked May 1, 1981.) 28-4-38 to 28-4-49. (Authorized by K.S.A. 1975Supp.65-508;effectiveJan.1,1966;revoked, E-76-36, July 14, 1975; revoked May 1, 1976.)

(Authorized by K.S.A. 65-508; im- plementing K.S.A. 65-501, 65-502, 65-504, 65- 508; effective May 1, 1981; revoked July 9, 2010.)

(Authorized by K.S.A. 65-508; im- plementing K.S.A. 65-501, 65-503, 65-508, K.S.A. 1982 Supp. 65-504, 65-505; effective May 1, 1981; amended, T-83-24, Aug. 25, 1982; amended May 1, 1983; revoked July 9, 2010.)

(Authorized by K.S.A. 65-508; im- plementing K.S.A. 65-502, 65-504, 65-509, 65- 510, 65-511; effective May 1, 1981; revoked July 9, 2010.)

(Authorized by K.S.A. 65-508; im- plementing K.S.A. 65-501, 65-502, 65-504, 65- 507, 65-508; effective May 1, 1981; revoked July 9, 2010.)

(Authorized by K.S.A. 65-508; im- plementing K.S.A. 65-507, 65-508; effective May 1, 1981; amended May 1, 1985; revoked July 9, 2010.)

(Authorized by K.S.A. 65-508; im- plementing K.S.A. 65-507, 65-508; effective May 1, 1981; amended May 1, 1985; revoked July 9, 2010.)

(Authorized by K.S.A. 65-508; im- plementing K.S.A. 65-507, 65-508, 65-510; effec- tive May 1, 1981; amended May 1, 1985; revoked July 9, 2010.)

(Authorized by and implementing K.S.A. 65-508; effective May 1, 1981; amended, T-87-34, Nov. 19, 1986; amended May 1, 1987; re- voked July 9, 2010.) 28-4-378 and 28-4-379. (Authorized by and implementing K.S.A. 65-508; effective May 1, 1981; revoked July 9, 2010.) CHILDREN WITH S…

Definitions. (a) “Cash assets” means money, savings accounts, saving certifi- cates, checking accounts, and stocks and bonds. (b) “Diagnostic service” means an evaluation to identifyahandicappingdiseaseordiseaseprocess. (c)“Emergency”meansanunanticipated,urgent event requiring im…

Responsibilities of individuals who apply for or who receive services. (a) Each applicant shall fulfill the following require- ments: (1) Supply financial, insurance, and family in- formation essential to the establishment of eligi- bility within 30 days of the request for servic…

(Authorized by and implementing K.S.A. 1984 Supp. 65-5a08; effective, E-82-10, April 27, 1981; effective May 1, 1982; amended May 1, 1983; amended, T-85-41, Dec. 19, 1984; amendedMay1,1985;amended,T-86-46,Dec.18, 1985;amendedMay1,1986;revokedMay1,1987.) 108 DEPARTMENT OF HEALTH A…

Financial eligibility. (a) (1) The uniform standard for determining eligibility shall be the annual margin as calculated in paragraph (a)(2). If the annual margin is zero or below, the person shall be eligible for financial assistance for medical treatment. If the annual margin i…

Services. (a) Diagnostic services shall be made available to each eligible person who is a resident of this state and who is believed to have a severe handicap, disability, or chronic disease. (b) Diagnostic services shall be authorized be- fore the services are rendered and shal…

Providers of service. (a) Appli- cation. Each person or corporation desiring to supply services or sell prosthetic devices, equip- ment, appliances or supplies shall file an applica- tion with the secretary. Each application shall be approved or disapproved by the secretary, inte…

Payment. (a) Each provider shall submit a claim to the secretary for payment for a prior-authorized medical treatment within six months of the date of service. (b) Each claim submitted for payment shall pro- vide the following information: (1) the eligible person’s name and addre…

Termination. (a) Any provider may be terminated by the secretary from partic- ipation in the services for children with special health care needs program for one or more of the following reasons: (1) Voluntary withdrawal of the provider from participation in the program; (2) susp…

Conditions eligible for treat- ment. For a person to be eligible for financial as- sistance under the services for children with spe- cial health care needs program, the person shall be diagnosed with one or more of the following conditions: (a) Myelomeningocele; (b) Cleft palate…

System of priorities. Persons with the diagnosis specified in subsection (a) of K.A.R. 28-4-406 shall have priority assistance, with subsequent priorities for assistance established in descending order for the diagnoses listed in sub- sections(b)through(n),inclusive.Personswithth…

Out-of-state service provision. (a) Treatment services may be provided out of state on an individual basis under any of the fol- lowing conditions. (1) The medical specialty is not practiced in Kansas. (2) The medical treatment is not available in Kansas, and two approved medical…

Definitions. (a) “Blood bank” means a licensed facility that supplies blood or clotting factor. (b) “Clotting factor” means a substance derived from human blood or prepared by recombinant deoxyribonucleic acid technology. (c) “Cash assets” means money, savings ac- counts, savings…

Responsibilities of individuals who apply for or who receive assistance. (a) Each applicant shall fulfill these requirements: (1) supply financial, insurance and family infor- mation essential to the establishment of eligibility within 30 days of the request for service, on forms…

(Authorized by and implementing K.S.A. 1984 Supp. 65-1,132; effective, T-85-41, Dec. 19, 1984; effective May 1, 1985; revoked Dec. 26, 1989.)

(i) “Hemophilia” means a bleeding tendency that results from a genetically determined defi- ciency factor in the blood. (j) “Hemophilia program” means services that are provided for the care and treatment of persons with hemophilia and that are administered by the secretary. (k) …

Payment. (a) Each provider shall submit a claim to the secretary for payment for a prior-authorized clotting factor or service within six months of the date of service. 115 Maternal And Child Health 28-4-420 (b) Each claim submitted for payment shall pro- vide the following infor…

Conditions eligible for treat- ment. Each person who is eligible for financial as- sistance under the hemophilia program shall meet one or more of the following conditions. (a) The person requires continuing home therapy, under the direction of a comprehensive center, with clotti…

System of priorities. Provision of clotting factor and infusion supplies for home therapy shall be the highest priority for assistance, education for persons who have hemophilia and for families of persons who have hemophilia shall be the second-highest priority for assistance, a…

Definitions. (a) “Administrator” means the staff member of a child care center or preschool who is responsible for the general and fiscal management of the facility. (b) “Attendance” means the number of children present at any one time. (c) “Basement” means an area in which all f…

Terms of license. (a) License ca- pacity shall be specified on the license. (1) License capacity shall be determined by age of children, available space, program director qualifications, and number of self-contained units per facility. (2) Permission for a change of license capac…

Procedures. (a) General. (1) Any person, corporation, firm, association, or other organization desiring to conduct a child care center or preschool which will operate for more than five consecutive hours or more than onedayperweekshallapplyforalicenseonforms supplied by the Kansa…

Physical plant. (a) Premises. (1) The building shall meet the legal require- ments of the community as to fire protection, wa- ter supply, and sewage disposal. (2) The designated area for children’s activities shall contain a minimum of thirty-five square feet of floor space per …

(Authorized by and implementing K.S.A. 65-508; effective May 1, 1983; amended May 1, 1985; revoked May 1, 1986.)

(Authorized by and implementing K.S.A. 65-508; effective May 1, 1983; amended May 1, 1984; amended, T-85-41, Dec. 19, 1984; amended May 1, 1985; revoked May 1, 1986.)

Administration. (a) Line of au- thority. There shall be a written delegation of ad- ministrative authority designating the person in charge in the facility for all hours of operation. (b) Admission policy. (1) Arrangements for the admission of children shall be made prior to the …

Program. (a) Programs shall be conducted in self-contained units with staff and children designated for each unit. Centers or pre- schools which cannot develop self-contained units shallpresentaplanforspaceusetotheKansasde- partment of health and environment for approval. (b) Equ…

Staff requirements. Each licensee shall ensure that all of the following re- quirements are met: (a) Minimum staff-child ratio. (1) The ratio between staff members and chil- dren shall be determined by the ages of the chil- dren and the type of care provided. (2) The minimum staf…

Education and training re- quirements. (a) Orientation. (1) Each person shall, before applying for a li- cense, complete an orientation program on the requirements for operating a preschool or a child care center. If the person is not an individual, the person shall designate an …

Staff qualifications. (a) Program directors shall be 18 years of age or older and shall meet the training requirements for the license ca- pacity of the facility. (b) Facilities with fewer than 13 children shall have a program director who meets the training requirements by one o…

Health practices; illness and abuse; general health requirements for staff. (a) Children’s health assessments. (1) A preentrance health assessment conduct- ed within six months before enrollment shall be required for each child. The assessment shall be conducted by a licensed phy…

(Authorized by and implementing K.S.A. 65-508; effective May 1, 1983; amended May 1, 1986; revoked May 10, 1996.)

(Authorized by and implement- ing K.S.A. 65-508; effective May 1, 1983; revoked May 1, 1986.)

(Authorized by and implementing K.S.A. 65-508; effective May 1, 1983; amended May 1, 1985; revoked May 1, 1986.)

Preschools. (a) Inside area. Any building used as a residence shall be licensed as a preschool only if there is a room or rooms desig- nated exclusively for preschool use. (b) Nutrition. (1) A nutritious snack shall be provided dai- ly and shall include at least one of the follow…

Programs serving children with handicapping conditions. (a) Records. Written parental permission shall be on file for evaluation and placement of children. (b) Physical plant. (1) Programs which include non-ambulatory children shall be conducted on the ground floor. All exits and…

Child care centers: physical plant. (a) Inside area. A building used as a resi- dence shall be licensed as a child care center only if there is a room or rooms designated exclusively for child care use. (b) Napping and sleeping. (1) Children remaining at the center more than four…

Child care centers: outside area. (a) There shall be at least 75 square feet of outdoor play space on the premises for each child using the space at a given time. The total outdoor space shall accommodate not less than one-half of the licensed capacity, or shall include a minimum…

Child care centers: program. (a) The program shall provide regularity in rou- tines such as eating and napping, and protection from excess fatigue and overstimulation. (b) Unless extreme weather conditions prevail, children shall have a daily period of outdoor play underthesuperv…

Child care centers: food ser- vice. (a) Single or multi-unit centers serving a meal prepared at the center to 13 or more chil- dren shall employ a staff person who: (1) Has knowledge of nutritional needs of chil- dren; (2) understands quantity food preparation and service; (3) pr…

Infant and toddler programs. (a) Infant and toddler programs shall be conduct- ed on the ground floor only. (b)Eachunitofinfantsandeachunitoftoddlers shall be separate from each unit of older children. (c) Floor furnaces shall be prohibited. (d) A sleeping area separate from the …

Programs for school-age chil- dren. (a) Physical plant. Centers shall have a min- imum of 35 foot candles of light in each area used for reading, study, and other close work. (b) Staffing. (1) Single or multi-unit centers shall employ teaching staff who meet the require- ments un…