PURPOSE: The Department of Health and Senior Services makes payments to appropriate medical providers to cover the charges of the forensic examination of a person who may be a victim of a sexual offense. This rule establishes the criteria by which forensic examination charges are paid.

1. (1) The victim or the victim’s guardian shall consent in writing to the examination.
2. (2) The medical provider shall not charge the victim for the forensic examination.
3. (3) All appropriate medical provider charges for the sexual assault forensic examinations shall be submitted to the Missouri Department of Health and Senior Services, Bureau of Genetics and Healthy Childhood, Sexual Assault Forensic Examination Program, 930 Wildwood Drive, PO Box 570, Jefferson City, MO 65102 for payment.
4. (4) Claims for sexual assault forensic examination charges shall be made on forms provided by the Department of Health and Senior Services. The Sexual Assault Forensic Examination Program Report form is included herein and is also available on the department’s web site at: http://www.dhss.mo.gov/ApplicationsAnd- Forms/index.html.

5. (5) For the purposes of billing the Missouri Department of Health and Senior Services under section 191.225, RSMo Supp. 2007, claims shall not include the medical treatment. Medical treatment means the treatment of all injuries and health concerns relating directly from a patient’s sexual assault or victimization including, but not limited to the following:

   1. (A) Testing for sexually transmitted diseases (STD) or human immunodeficiency virus (HIV) unless victim is under fourteen

6. (14) years of age;

   1. (B) Treatment/prophylaxis of STD or HIV;
   2. (C) Any antibiotic prophylaxis;
   3. (D) Pregnancy testing;
   4. (E) Emergency contraception;
   5. (F) Tetanus immunization;
   6. (G) Wound care, laceration repair; 19 CSR 40-10
   7. (H) Fractures/sprain treatment;
   8. (I) Surgical procedures;
   9. (J) Discharge instruction counseling; and
   10. (K) Outpatient follow-up.
7. (6) Effective January 1, 2008 all claims for sexual assault forensic examination charges must be submitted to the department within one hundred twenty (120) days from the date of the forensic examination.
8. (7) The department, at its discretion, may require proof of completion of forensic examinations for auditing purposes. SENIOR SERVICES Division 40—Division of Maternal, Child and Family Health SENIOR SERVICES Division 40—Division of Maternal, Child and Family Health SENIOR SERVICES Division 40—Division of Maternal, Child and Family Health

AUTHORITY: section 191.225, RSMo Supp. 2007.* Emergency rule filed Sept. 6, 2007, effective Sept. 16, 2007, terminated Nov. 3, 2007. Emergency rule filed Oct. 24, 2007, effective Nov. 3, 2007, expired March 13, 2008. Original rule filed Nov. 1, 2007, effective May 30, 2008. *Original authority: 191.225, RSMo 1980, amended 1989, 2007.