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Reporting And Data

CARA Plan of Care/Neonatal Abstinence Syndrome (CARA/CAPTA)

Latest Update: August 31, 2020
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Reporting Information

A provider of health care who delivers or provides medical services to an infant in a medical facility and who knows or has reasonable cause to believe that the infant was born with a fetal alcohol spectrum disorder, is affected by prenatal substance abuse or is experiencing symptoms of withdrawal from a substance as a result of exposure to the substance in utero, shall ensure that a CARA Plan of Care is established for the infant before the infant is discharged from the medical facility.

Responsible Party

Who Must Report?

A provider of health care who delivers or provides medical services to an infant in a medical facility and who, in his or her professional capacity, knows or has reasonable cause to believe that the infant was born with a fetal alcohol spectrum disorder, is affected by prenatal substance abuse or is experiencing symptoms of withdrawal from a substance as a result of exposure to the substance in utero

Deadlines

When Do I Report?

Within 24 hours after the discharge.

Method

How Do I Report?

A CARA Plan of Care must be completed using the form prescribed by the Division and include, without limitation:
(a) Measures to ensure the immediate safety of the infant;
(b) Measures to address the needs of the infant and his or her family or caregiver for substance abuse treatment and health care;
(c) Measures to ensure that the infant and his or her family or caregiver receive any necessary services, including, without limitation, referrals to appropriate providers of such services; and
(d) Any other information necessary to ensure that the needs of the infant are met.

When an infant is discharged from a medical facility, the medical facility shall provide a copy of any CARA Plan of Care established pursuant to subsection 1 to:
(a) Each parent or legal guardian of the infant to whom the CARA Plan of Care pertains, or both, if applicable; and
(b) The Division, within 24 hours after the discharge.

Once the form is complete, submit the entire form (and toxicology results attached, if available) to the Perinatal Substance Use Treatment Network, Nevada Division of Public and Behavioral Health. See 'Contact Information' below.

 

Contact Information

Judy DuMonte
Perinatal Substance Use Treatment Network
Nevada Department of Health and Human Services
Substance Abuse Prevention and Treatment Agency
4126 Technology Way, Suite 200, Carson City, NV 89706
Telephone: (775) 684-2217
Email: jdumonte@health.nv.gov
Fax: 775-684-4185

Authority

The legal mandate requiring reporting

*NAC 449 has not yet been updated to include the approved regulations R133-18.

Sec. 7. 1. A provider of health care who delivers or provides medical services to an infant in a medical facility and who, in his or her professional capacity, knows or has reasonable cause to believe that the infant was born with a fetal alcohol spectrum disorder, is affected by prenatal substance abuse or is experiencing symptoms of withdrawal from a substance as a result of exposure to the substance in utero, shall ensure that a CARA Plan of Care is established for the infant before the infant is discharged from the medical facility.

Notes

Any other pertinent information

Originating Legislation: SB480 (2017)

Originating Regulations: R133-18

See Also: Child Abuse, Neglect, or Endangerment

 

For more information on Comprehensive Addiction and Recovery Act (CARA), please click here.

For more information on Child Abuse Prevention and Treatment Act (CAPTA), please click here.

DISCLAIMER
Although many of these requirements apply to individual medical professionals and other types of hospitals and health care facilities, the information is presented solely to support Critical Access Hospitals. The reporting requirements and legal mandates on this site are not an exhaustive list and Nevada Rural Hospital Partners, Inc. bears no responsibility or liability for any hospitals' or providers' failure to comply with Federal or State laws or regulations.