1. (1) In addressing the health care for a child in the care or custody of the Department placed in the home, the relative resource parent must:

   1. (a) Work collaboratively with the Department in managing the health care needs of the child which may include involving a parent of the child in medical, dental, and mental health appointments;
   2. (b) Regularly exchange medical, dental, and mental health information of the child with the Department;
   3. (c) Work collaboratively with providers in managing the medical, dental, and mental health needs of the child; and

   4. (d) Maintain health care documentation for each child, including:

      1. (A) Medical, dental, and mental health appointments;
      2. (B) Medical, dental, and mental health information;
      3. (C) Medical, dental, and mental health appointment follow-up reports; and
      4. (D) Immunization records.
2. (2) A relative resource parent must comply with the Department's direction on obtaining medical, dental, and mental health care for a child in the care or custody of the Department placed in the home.
3. (3) A relative resource parent may consent to routine examinations and laboratory tests.
4. (4) A relative resource parent must follow the Department's direction regarding vaccination and immunization of a child in the care or custody of the Department placed in the home, in accordance with the case plan.
5. (5) Except as provided in section (6) of this rule, the relative resource parent must contact the caseworker of a child to obtain appropriate prior consent from the Department before a child in the care or custody of the Department placed in the home receives any medical care or undergoes a procedure, other than routine medical care.
6. (6) In an emergency, a relative resource parent must notify the Department as soon as possible after accessing emergency care.

7. (7) A relative resource parent must comply with the following medication management requirements below:

   1. (a) Medications must be provided to a child in the care or custody of the Department in the home, only for the medication's labeled purpose, and within the labeled dosage.
   2. (b) Prescription medications must be administered to a child in the care or custody of the Department placed in the home, only in accordance with the written prescription or authorization from a medical provider.
   3. (c) The dosage, date, and time of all medication administered must be documented on the medication form provided by the Department. When medication is given, at school or child care or similar setting, the medication form from that setting must be attached to the Department form.
   4. (d) The medication form, with any attachments, must be submitted monthly to the caseworker.
   5. (e) Inform the caseworker or the supervisor of the caseworker within one business day when a child in the care or custody of the Department placed in the home is prescribed a psychotropic medication or the dosage of any existing prescription for psychotropic medication is changed, as required by OAR 413-070-0470.
   6. (f) Begin administration of any psychotropic medication only after authorization has been obtained from the Department pursuant to OAR 413-070-0470
   7. (g) Maintain the documentation received from the caseworker when a child in the care or custody of the Department is prescribed a psychotropic medication or when the dosage of any existing prescription for a psychotropic medication is changed.
8. (8) The relative resource parent must provide for the safe storage and administration of all medications in the household, taking into consideration the age, development level, and needs of the child in the care or custody of the Department placed in the home.
9. (9) When a child in the care or custody of the Department place in the home is learning their own medication management, a specific plan may be created for that child to have access to their own medication.
10. (10) The relative resource parent must comply with the personal care services plan for any child in the care or custody of the Department placed in the home and eligible for personal care services pursuant to OAR 413-090-0100 to 413-090-0210.

Statutory/Other Authority

ORS 418.005 & ORS 409.050

Statutes/Other Implemented

ORS 409.050

History

CWP 20-2025, amend filed 12/23/2025, effective 01/01/2026
CWP 12-2025, adopt filed 08/07/2025, effective 08/11/2025
CWP 3-2025, temporary adopt filed 02/14/2025, effective 02/17/2025 through 08/15/2025