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Library: Policy

317:30-5-661.5. Health Center preventive primary care services

Revised 9-1-21

(a) Preventive primary care services, as described in 42 C.F.R ' 405.2448, are those health services that:

(1) A Health Center is required to provide as preventive primary health services under section 330 of the Public Health Service Act;

(2) Are furnished by or under the direct supervision of a physician, PA, APRN, CNM, CP, CSW or other approved health care professional as authorized in the approved FQHC State Plan pages;

(3) Are furnished by a member of the Health Center's health care staff who is an employee of the Center or provides services under arrangements with the Center; and

(4) Includes only drugs and biologicals that cannot be self-administered.

(b) Preventive primary care services which may be paid for when provided by Health Centers include:

(1) Medical social services;

(2) Nutritional assessment and referral;

(3) Preventive health education;

(4) Children's eye and ear examinations;

(5) Prenatal and post-partum care;

(6) Perinatal services;

(7) Well child care, including periodic screening (refer to OAC 317:30-3-65);

(8) Immunizations, including tetanus-diphtheria booster and influenza vaccine;

(9) Family planning services;

(10) Taking patient history;

(11) Blood pressure measurement;

(12) Weight;

(13) Physical examination targeted to risk;

(14) Visual acuity screening;

(15) Hearing screening;

(16) Cholesterol screening;

(17) Stool testing for occult blood;

(18) Dipstick urinalysis;

(19) Risk assessment and initial counseling regarding risks;

(20) Tuberculosis testing for high risk patients;

(21) Clinical breast exam;

(22) Referral for mammography; and

(23) Thyroid function test.

(24) Dental services (specified procedure codes).

(c) Primary care services do not include:

(1) Health education classes, or group education activities, including media productions and publications, group or mass information programs;

(2) Eyeglasses, hearing aids or preventive dental services (except under EPSDT);

(3) Screening mammography provided at a Health Center unless the Center meets the requirements as specified in OAC 317:30-5-900; and

(4) Vaccines covered by the Vaccines for Children program (refer to OAC 317:30-5-14).

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