(1) All children residing in the foster home
other than the foster child shall be immunized against measles, rubella, mumps,
poliomyelitis, diphtheria, pertussis, tetanus, varicella, hepatitis B,
pneumococcal, and Haemophilus influenza type B according to the following
schedule:
Total Immunizations Required, By Age
Age
|
Number Doses - Vaccine Type
|
under 2 months old
|
no vaccinations required
|
by 3 months of age
|
1 dose of polio vaccine
1 dose of DTP vaccine
1 dose of Hib vaccine
1 dose of Hep B vaccine
1 dose of PCV vaccine
|
by 5 months of age
|
2 doses of polio vaccine
2 doses of DTP vaccine
2 doses of Hib vaccine
2 doses of Hep B vaccine
2 doses of PCV vaccine
|
by 7 months of age
|
2 doses of polio vaccine
3 doses of DTP vaccine
*2 or 3 doses of Hib vaccine
2 doses of Hep B vaccine
3 doses of PCV vaccine
|
by 16 months of age
|
2 doses of polio vaccine
3 doses of DTP vaccine
1 dose of varicella vaccine
1 dose of MMR vaccine
* 3 or 4 doses of Hib vaccine
2 doses of Hep B vaccine
*4 doses of PCV vaccine
|
by 19 months of age
|
1 dose of varicella vaccine
3 doses of polio vaccine
4 doses of DTP vaccine
1 dose of MMR vaccine
* 3 or 4 doses of Hib vaccine
3 doses of Hep B vaccine
*4 doses of PCV vaccine
|
By 6 years of age
|
3 doses of polio vaccine, one given after the 4th
birthday
4 doses of DTP vaccine, one given after the 4th
birthday
2 doses of varicella vaccine
2 doses of MMR vaccine
3 doses of Hep B vaccine
|
By 12 years of age
|
3 doses of polio vaccine, one given after the 4th
birthday
1 dose of Tdap vaccine
2 doses of varicella vaccine
2 doses of MMR vaccine
3 doses of Hep B vaccine
|
(*) varies depending on vaccine type used or the ACIP
catch-up schedule.
(2) Hib
and PCV vaccines are not required or recommended for children five years of age
and older.
(3) Doses of MMR and
varicella vaccines, to be acceptable under this rule, must be given no earlier
than 12 months of age. A child who received a dose prior to 12 months of age
must be revaccinated; however, vaccine doses given up to four days before the
minimum interval or age are counted as valid. Live vaccines not administered at
the same visit must be separated by at least four weeks.
(4) Vaccines immunizing against diphtheria,
pertussis, and tetanus must be administered as follows:
(a) a child less than seven years of age must
be administered four or more doses of DTP or DTaP vaccine, at least one dose of
which must be given after the fourth birthday;
(b) DT vaccine administered to a child less
than seven years of age is acceptable for purposes of this rule only if
accompanied by a medical or religious exemption; and
(c) a child seven years old or older who has
not completed the requirement in (1) must receive additional doses of Tdap
vaccine or Td vaccine to become current in accordance with the ACIP
schedule.
(5) The
following are considered adequate documentation of vaccination for the purposes
of this subchapter:
(a) a record from any
local health department in the United States, signed by a local health officer
or nurse;
(b) a certificate signed
by a local health officer or nurse;
(c) any official immunization record, if
information has been recorded and signed by a physician, physician's designee,
local health officer, or that officer's designee; or an official report from
the statewide immunization information system, or a health care provider's
medical record system;
(d)
immunization recorded on a form approved by the U.S. government;
(e) any state's official parent-maintained
immunization record;
(f) the
international certificates of vaccination approved by the World Health
Organization; or
(g) in the case of
vaccine administrated outside of the United States, a record of the vaccination
signed by an official of the principal public health agency of the country
where the vaccination occurred.
(6) Vaccine administration data may not be
filled out by a parent, guardian, or other person unless they are a health care
provider, health department official, or person otherwise authorized to do so
by this subchapter.
(7) The
immunization information is to be kept on file in both the foster home and the
licensing file.
(8) A child
residing in the foster home, other than the foster child, is not required to
have any immunizations which are medically contraindicated or contrary to the
religious belief, observance, or practice of the child's custodial parent or
legal guardian.
(a) A written and signed
statement from a health care provider that an immunization otherwise required
by (1) of this rule is medically contraindicated will exempt a child from those
immunization requirements as deemed necessary by the physician. It is
preferred, but not mandatory, that a health care provider's medical exemption
be recorded on HES-101A, and medical exemption documentation must include:
(i) which specific immunization is
contraindicated;
(ii) the period of
time during which the immunization is contraindicated;
(iii) the reasons for the medical
contraindication; and
(iv) when
deemed necessary by a health care provider, the results of immunity testing.
The tests must indicate serological evidence of immunity and must be performed
by a CLIA approved laboratory.
(b) A notarized affidavit of exemption on
religious grounds attesting that receipt of a vaccine or vaccines is contrary
to an individual's religious belief, observance, or practice;
(i) the religious exemption affidavit will be
prepared on a form provided by the department;
(ii) the form must be provided to the
department prior to licensure; and
(iii) the original claim of the religious
exemption must be kept by the department in the licensing
record.
Notes
Mont. Admin. R. 37.51.306
NEW, 2006 MAR p. 1395,
Eff. 6/2/06; AMD,
2018
MAR p. 191, Eff.
1/27/2018; AMD,
2018
MAR p. 724, Eff.
6/1/2018; AMD,
2022
MAR p. 1884, Eff.
9/24/2022
AUTH:
52-1-103,
52-2-111,
52-2-601,
52-2-621,
52-2-622,
MCA; IMP:
52-1-103,
52-2-111,
52-2-601,
52-2-621,
52-2-622,
52-2-735,
MCA