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immunization. Otherwise, form MDHS-EA-311, Immunization Verification, or a statement from the health care provider may be used. GOOD CAUSE Good cause must be determined whenever a child appears not to meet immunization requirements. Good cause may also be requested whenever a family has failed to meet the immunization requirement. Good cause reasons may include: 1. Established religious beliefs which prohibit injections/vaccinations or medical treatment. The caretaker relative should discuss alternative preventive measures with the health care provider, and the worker will document the alternate plan established for this child. 2. Recommendation by the health care provider that the child should not be immunized. 3. Delays in scheduled immunizations because of illness or other health conditions of the child. 4. Family emergencies beyond the caretaker’s control that prevented scheduled appointments from being kept. 5. Other situations which temporarily prevent the family from meeting compliance, such as delays in obtaining second appointments. In such cases, the caretaker should be able to provide appointment schedules. More than one such delay in six months should require very careful screening to determine if good cause can be approved. The county worker must document all requests for good cause with the explanation/verification. The caretaker relative must be allowed 30 days to comply with the immunization requirement or show good cause before a sanction may be applied to the case. MAVERICS Notice A911 must be sent notifying the caretaker of the noncompliance and pending sanction and of the date by which compliance/good cause must be verified. This notice is mandatory prior to a sanction, including application situations where information has been requested on the MDHS-EA-942, Request for Information, or other MAVERICS notice. If compliance is met or good cause established timely, no penalty will be applied. Document the good cause decision in the case record. Good cause requests are initiated on the ISAT screen in MAVERICS with the good cause approval/denial entered on ISGC.

3701 Volume III | Chapter 3

MISSISSIPPI [ NON - FINANCIAL CRITERIA: IMMUNIZATION]

Revised 08 - 01 - 06 MISSISSIPPI [ NON - FINANCIAL CRITERIA: IMMUNIZATION]

Revised 08 - 01 - 06