Supervising and Placing Children with Special Health Care Needs
0600-505.10 | Revision Date: 11/21/2025

Overview

This policy guide provides instructions on supervising children with special health care needs, including instructions on placements and how to transport children with special health care needs.

Table of Contents

Version Summary

This policy guide was updated from the 04/23/19 version to reflect changes from Level of Care (LOC) protocols.  Procedures were updated and clarifications were added for case management of medically fragile children as well as title change to reflect this.  The DCFS 6079, Medical Training Confirmation form and DCFS 416, Individual Health Care Plan form were updated and a new attachment, Guidelines for Supervising Children with Special Health Care Needs was added

POLICY

Children with Special Health Care Needs

The Medical Case Management Services (MCMS) Units specifically serve the needs of DCFS-supervised children with special health care needs. These cases should be transferred to and supervised by the MCMS Unit, provided that they meet the Case Transfer Criteria

A child with special health care needs meets the following criteria, per Welfare & Institutions Code (WIC) Section 17710:

  • Is a child, or
  • a person twenty-two (22) years of age or younger
  • Is completing a publicly funded education program
  • Has either:
  • And has either:
    • Been adjudged a dependent by the court
    • Not been adjudged a dependent by the court but is in the custody of the county welfare department, or
    • A developmental disability and is receiving services and case management from a Regional Center

 

Medical Conditions Requiring Specialized In-Home Health Care

Specialized in home health care includes those services identified by the child’s primary physician and/or pediatric specialist. Specialized in-home health care may be required for a child with a medical condition if the child is dependent on one or more of the following (WIC Section 17710 (g)):

  • Enteral feeding tube
  • Total parenteral feeding
  • A cardiorespiratory monitor
  • Intravenous therapy
  • A ventilator
  • Oxygen support
  • Urinary catheterization
  • Renal dialysis
  • Ministrations (act of giving aid or service) imposed by:
    • Tracheostomy
    • Colostomy
    • Ileostomy
  • Other medical or surgical procedures or special medication regimes, including:
    • Injection or
    • Intravenous medication

Individualized Health Care Plan (IHCP)

Prior to the placement of a child with special health care needs, an individualized health care plan (IHCP), which may be the hospital discharge plan, shall be prepared for the child and, if necessary, in-home health support services shall be arranged.  The IHCP should be documented on the DCFS 416.

The plan may also include the identification of any available and funded medical services that are to be provided to the child in the home, including, but not limited to, assistance from registered nurses, licensed vocational nurses, public health nurses, physical therapists, occupational therapists and respite care workers.

The IHCP team should be convened by the CSW to discuss the specific responsibilities of the resources parent, group home or STRTP staff or health care professionals employed by the placement in terms of specific health care activities they will provide. The plan should be developed by the child's physician or their designee.

The IHCP team should also delineate in the individualized health care plan the coordination of health and related services for the child and the appropriate number of hours needed to be provided by any health care professional designated to monitor the child's individualized health care plan including, if the child is in a Foster Family Agency certified home, the registered nurse employed by or on contract with the foster family agency to supervise and monitor the child.

The IHCP Team may include the following individuals:

  • The child’s primary care physician or other health care professional designated by the physician
  • Any involved medical team
  • The CSW and Regional Center caseworker, if applicable.
  • Any health care professional designated to monitor the child’s IHCP. If the child is in a certified home, this may include:
    • A registered nurse employed or contracted by the certifying agency to supervise and monitor the child;
    • A Public Health Nurse (PHN);
    • A representative of:
      • California Children’s Services Program
      • Child Health and Disability Prevention (CHDP) Program
      • Regional Center
      • Enhanced Care Management Lead Manager
      • Community Health Worker

The child's individualized health care plan shall be reassessed at least every six months during the time the child is placed in the specialized placement.

A child welfare services case plan or regional center individual program plan shall be developed in accordance with applicable regulations, and arrangements made for nonmedical support services.  The IHCP should be reassessed anytime there is a significant change to the child’s medical status or specialized care needs.

Placement Selection

Staff must follow these guidelines and procedures for a child in need of a placement and currently hospitalized.

When a child with special health care needs requires out-of-home placement, placement considerations must be followed and placed in the least-restrictive placement option available that can safely meet the specific needs of the child. The relative placement preference still applies.  If a relative placement is not possible, efforts should be made to identify a Resource Parent who is an individual nurse provider who provides health services under the Early and Periodic Screening Diagnosis and Treatment program.  Such RFA home receives priority consideration (WIC Section 17739).

A child who meets criteria for special health care needs may be placed in the following placements:

  • Specialized Foster Care Homes: any of the following foster homes where the foster parents reside in the home and have been trained to provide specialized in-home health care to foster children:
    • Resource families homes, including:
      • Emergency placement in a Resource Family Home with a relative or nonrelative extended family member (NREFM) is allowed if the child’s heath care team determines it capable of meeting the child’s needs
      • Approved Resource Family Home
    • Licensed foster family homes
    • Licensed small family homes
    • Foster Family Agency (FFA) certified home, if the FFA has a nurse contracted or employed with the agency to supervise and monitor the child.
  • Group home for children with special health care needs
  • Regional Center licensed facility
  • Transitional Housing Placement Program (THPP)
  • Skilled nursing facility
  • Short-term Residential Treatment Programs (STRTP)
    • No child with special health care needs may be placed in any group home, STRTP or combination of group homes or combination of STRTPs for longer than 120 calendar days. The short-term placement in the group home or STRTP must be on an emergency basis for the purpose of arranging a subsequent placement in a less restrictive setting (e.g., with the child’s parents, relatives, resource parent, FFA or another appropriate person or facility). A child with special health care needs must not be placed in a group home or STRTP unless the CSW has determined and documented that the group home or STRTP has a program that meets the specific needs of the child and there must be a commonality of needs with the other children in the group home or STRTP.

In addition to the protocols in the Placement Capacity policy, the following factors must also be considered when placing a child with special health care needs, guided by the IHCP:

  • The level of care and supervision required for each child in the home
  • Number of trained caregivers and back-up caregivers
  • Appropriate child care plan if needed
  • Supports in place to assist the caregiver in the care of the children, such as outside nursing supports, respite hours through regional center, etc.
  • Years of experience caring for children with medical needs
  • If the areas in the home are large enough to accommodate medical equipment the child needs
    • Child’s bedroom should be large enough for storage of personal items, storage of medical equipment or assistive devices, including wheelchairs adjacent to the child’s bed and unobstructed bedside access for the provision of specialized health care
  • Compatibility of medical needs with any other child they may share a room with
  • If the resource family also holds a daycare license
    • A Resource Family who plans to care for a child with special health care needs and holds a daycare license shall surrender the license prior to becoming a specialized Resource Family and accepting a child with special health care needs. (RFA Written Directive Section 11.1-02.)
  • If the child is non-ambulatory, there should be appropriate fire clearances and means for emergency exits as well as an appropriate transportation plan



Requirements of Caregivers of a Child with Special Health Care Needs

Specific standards exist for parents/caregivers supervising a child with special health care needs. Child welfare and safety issues must be addressed that pertain to the parents and the Juvenile Court.  All parents and caregivers that provide care to a child with special health care needs should receive child-specific medical training from the child’s medical team in accordance with the IHCP.  Caregivers for children with special health care needs should be available and willing to assist with monitoring and transporting for family time with parents since they are medically trained to meet the child’s needs.

All out-of-home care caregivers must attend Specialized Care Increment (SCI) initial and annual renewal trainings to receive the SCI and meet all other requirements for placement of a child in their home including level of care and specialized rates. This does not include children placed in STRTPs, Regional Center Groups Homes or medical facilities.

State regulations specify standards that must be met in each of the placement environments:

  • Prior to the actual placement, all caregivers shall be trained by health care professionals according to the child’s specialized health care needs.
  • Assistant caregivers, on-call assistants, respite care workers, and other personnel caring for children with special health care needs shall complete training or additional training by a health care professional.
  • A resource parent or caregiver who is a health care professional or staff member who is a health care professional shall not be required to complete any training or additional training determined by the responsible individualized health care plan team to be unnecessary on the basis of their professional qualification and expertise.


Non-Emergency Transportation

If the child appears to need immediate emergency medical attention, contact 911 for assistance and for an ambulance to transport the child to the nearest hospital emergency room.

A CSW should not transport a child with special health care needs.  The caregiver is expected to provide this service after completing the child specific training. If that is not possible, a request for non-emergency transportation through MCMS will be made by the CSW. Non-emergent transportation should only be requested if no other transportation options are available (i.e., detention and emergency replacements).

All non-emergent transportation requests must be coordinated by MCMS Intake Staff. It is important to initiate all non-emergent transportation requests as soon as a need is identified since it can take several hours for an ambulance to respond. If transportation is required before a child has undergone a PHN assessment, the MCMS ARA and Intake Coordinator may make the determination that they have special heath care needs for the purposes of transportation only.

For Interstate Compact for the Placement of Children (ICPC) replacements requiring out-of-state transportation, the child must be accompanied by an adult who has received child-specific training and/or by a qualified health care professional.

For all court appearances, contact the child’s attorney to determine if the child’s appearance can be waived prior to making a transportation request through MCMS.

PROCEDURE

Making an Initial Assessment

CSW Responsibilities

  1. While conducting the safety assessment, determine if the child has special health care needs.
  2. If the child exhibits special health care needs, consult with the Public Health Nurse (PHN) and determine if a joint home visit with the PHN is necessary.
    1. Collect information from the parent(s) on the child’s condition using Family Background #1. Identify the medical services that they have already utilized.
    2. Obtain the signed DCFS 179, Parental Consent and Authorization for Medical Care and Release of Education Records, or DCFS 179-PHI, Authorization for Disclosure of Child's Protected Health Information from the parent(s).
    3. If it is not possible to get the DCFS 179 or DCFS 179-PHI signed, obtain a court order to access the child’s medical records and obtain services, as necessary.
  3. Initiate the Medical Care Assessment by sending the DCFS 149/149a or the 561(a) to the child’s primary or specialty medical provider(s).  Once received back, provide it to the PHN.
  4. Obtain the following from the PHN:
    • Explanation of medical terms.
    • Definition of specific medical conditions and related behaviors.
    • Assistance and consultation with doctors/hospitals regarding the child’s:
      • Diagnosis
      • Specialized treatment
      • Discharge planning
    • Verification that the caregiver received the required training prior to placement
    • Consultation with MCMS, Regional Center, California Child Services (CCS), Enhanced Care Management (ECM) and/or other agencies involved in the child’s medical care and placement needs
    •  Provide the PHN with a signed copy of the DCFS 179, DCFS 179-PHI, or court order.
    • Document all information obtained from PHN on the DCFS 416.
  5. Consult with the Medical Director, as needed, at (213) 518-6666 or askthedoctor@dcfs.lacounty.gov
  6. Complete a referral to the Regional Center, if appropriate.
  7. Complete a referral to CCS, if appropriate.
  8. Document all contacts with the family, collateral contacts, and the PHN in the Contact Notebook.
  9. Document any involvement with Regional Center and/or CCS in the Health Notebook.

Placing a Child with Special Health Care Needs

CSW Responsibilities

  1. If a child appears to have special health care needs, consult with the Public Health Nurse (PHN) and MCMS Intake Coordinator to:
    1. Verify that the child meets the criteria for the medical conditions requiring specialized in-home health Care.
    2. Identify all medications, medical supplies, and durable medical equipment and ensure it follows the child to each placement.
    3. Provide a copy of the medical care assessment in order to obtain assistance from the MCMS Intake Coordinator in identifying and facilitating an appropriate placement.
    4. Collaborate with the PHN and MCMS Intake Coordinator to discuss any needed training for the out-of-home caregiver who will be caring for that child.
  2. Prior to placement, obtain written verification of completion of child-specific training administered by an R.N. or M.D (or equivalent) to the caregiver(s) and, if applicable, the assistant caregiver(s). The training should be documented on the DCFS 6079 and signed by the trainer and caregiver(s).
    1. Document information about training in the Contact Notebook and in Child's Summary section in the Health and Education Notebook in CWS/CMS, including any information provided by the trainer about the competency of the person(s) trained.
    2. File the documents in the child's Psychological/Medical/Dental/School Report (purple) folder.
  3. Consult with the PHN regarding the child with potential special health care needs and the Specialized Care Increment. Request a preliminary DCFS 1696, F-Rate and Regional Center (ARM) Rate Indicators.
  4. Convene the individualized health care (IHC) team to discuss the IHCP and the specific responsibilities of the caregiver. Complete the IHCP and document on the DCFS 416.
    1. The hospital discharge plan may be used for the IHCP if the child is being placed directly from the hospital and if it addresses the components listed in the DCFS 416.
  5. Ensure that the selected caregiver has the following necessary documents prior to the child’s placement:
    • Medi-Cal card or a copy of the Medi-Cal letter
    • DCFS 4158, Authorization for General Medical Care for a Child Placed by an Order of the Juvenile Court
    • Agency agreement
    • DCFS 6017-A, Placement Referral Form
    • A copy of the completed DCFS 6079, Medical Training Confirmation form
  6. If appropriate, refer the child to a Medical Hub.
  7. If the child qualifies for Regional Center under the Lanterman Act, request the Dual Agency Rate.
  8. If the child is not a Regional Center client or is an Early Start client, submit an LOC referral requesting a SCI once the child is placed.

 

MCMS Intake Coordinator Responsibilities

MCMS Intake Coordinators are available during regular business hours to assist CSWs countywide with the placement and case transfers for children with special health care needs. MCMS Intake can be contacted at MCMSIntake@dcfs.lacounty.gov

For children who have special health care needs and are either awaiting placement or in need of replacement:

  1. Conduct an intake with the CSW or SCSW to gather information that includes but is not limited to:
    • Child's current location
    • Medical condition
    • Case status
    • Possible related caregivers
  2. Request the DCFS 149, 561(a), DCFS 1696 and any other medical documentation from the CSW/SCSW.
  3. Use available information to locate an appropriate placement including SCI resource family homes, Intermediate Care Facilities (ICFs), sub-acute facilities and Regional Center homes.
  4. Provide consultation if the child is to be placed on an emergency basis prior to RFA approval with a relative or nonrelative extended family member (NREFM) caregiver.
  5. Once a placement is located:
    1. Assist, in conjunction with the PHN as needed, in setting up child-specific training.
    2. Provide the CSW/SCSW with information regarding the placement packet.
    3. When applicable, liaison with hospital social workers regarding hospital holds and discharge plans (including prescriptions and equipment).
    4. Trouble-shoot Medi-Cal issues.

Transporting a Child with Special Health Care Needs in Non-Emergencies

CSW Responsibilities

  1. Assess for transportation resources in the community including:
    • Access (Accessla.org) - Access facilitates the provision of complementary ADA paratransit services to certain persons with disabilities
      • Nonmedical Transportation (NMT) and Nonemergency Medical Transportation (NEMT) through Medi-Cal for medical appointments.
      • If child receives Medi-Cal through a managed care plan, parent or caregiver can contact the plan’s member service department to request NMT and state they have no other options for transportation to their appointments.
      • If child has straight Medical (fee for service), parent or caregiver can mail the Department of Health Care Services (DHCS) at DHCSNMT@dhcs.ca.gov requesting assistance.at least FIVE (5) business days in advance of the appointment.
  2. Consult with the SCSW to determine whether the request for DCFS non-emergency transportation for the child is appropriate.
    • A CSW should not transport a child with special health care needs.  The caregiver is expected to provide this service after completing the child specific training or if not possible, request non-emergency transportation through MCMS for situations such as detention and replacements.
  3. If the SCSW agrees to the request, complete the DCFS 6099 Patient Transportation Request Form and obtain SCSW signature. Document the child’s medical and transportation needs and clearly document the rationale for the request.  Indicate drop off/pick up dates, times, and locations.
  4. Forward the completed form to the MCMS Intake Coordinators at MCMS_Intake@dcfs.lacounty.gov. The form should be submitted as much in advance as possible.
  5. For after-hours non-emergent transportation requests, contact ERCP at 213-639-4500 or 213-763-1440..
  6. The CSW must meet the transportation company at the pick-up and drop-off location or may be required to ride along with the youth. At minimum, the CSW must be present at pick-up and drop off location. In some cases, the transportation company will require the CSW to also accompany the youth..
  7. If child refuses to cooperate with the transportation, work with the child to persuade them to cooperate. The transportation company will remain on standby for 60 minutes prior to canceling the transportation.
  8. Confirm with MCMS Intake that the transportation was successful or report any problems that occurred.

SCSW Responsibilities

  1. Determine whether the transportation request is appropriate for the child. Consult with the child's doctor when necessary.
  2. If appropriate, sign the DCFS 6099, Patient Transportation Request Form and return to CSW.

MCMS Intake Coordinator Responsibilities

  1. Upon receipt of a Patient Transportation Request form, consult with The EMS Agency’s Central Dispatch Office (CDO) to determine the appropriate type and level of medical transportation based on the child’s medical needs and obtain a quote for services if needed.
  2. Forward the request to the MCMS ARA for pre-approval of transportation services. If the expected cost is over $500, forward the request to the MCMS Division Chief for pre-approval.
  3. Upon receipt of the ARA and/or DC pre-approval, submit a completed DCFS 6099 Patient Transportation Request Form via fax or email to CDO to arrange a patient transportation services in advance whenever possible. Advise CDO of any behavior concerns.
  4. If the request is approved, contact the requesting CSW and inform him/her of the approval for the transportation and provide information regarding the transportation arrangement. If the request is denied, contact the requesting CSW and inform him/her of the denial for transportation and the reason for it.
  5. If the request is denied, the CSW must make their own transportation arrangements. This could be the caregiver, Court transportation, CSW, outside resources (Medi-Cal Transportation, ACCESS) or even calling 911 if it appears to be an emergency. It will only be denied if the request does not fit the criteria for Non-emergent Transportation for a child with special health care needs.
  6. Confirm and/or verify delivery of transportation service and document on the DCFS 6099 Patient Transportation Request Form as such.

MCMS ARA Responsibilities

  1. Review the request, and approve or deny it.
  2. Inform the Intake Coordinator of the decision.

MCMS Division Chief Responsibilities

  1. If the expected cost is over $500, review the request and approve or deny it.
  2. Inform the Intake Coordinator of the decision.

ERCP Duty SCSW/ARA Responsibilities

  1. Upon receipt of a DCFS 6099 Patient Transportation Request Form, review the request, and approve or deny it.
  2. Consult with the EMS Agency’s Central Dispatch Office (CDO) to determine the appropriate type and level of medical transportation based on the child’s medical needs and obtain a quote for services if needed.
  3. Submit a completed DCFS 6099 Patient Transportation Request Form via fax or email to CDO to arrange a patient transportation services in advance whenever possible. Advise CDO of any behavior concerns.
  4. If the request is approved, contact the requesting CSW and inform them of the approval for the transportation and provide information regarding the transportation arrangement. If the request is denied, contact the requesting CSW and inform them of the denial for transportation and the reason for it.
  5. Confirm and/or verify delivery of transportation service and document on the DCFS 6099 Patient Transportation Request Form as such.
  6. Forward the completed DCFS 6099 Patient Transportation Request form (indicate the decision made) to the MCMS Intake Coordinators at MCMSIntake@dcfs.lacounty.gov, and inform the MCMS Intake Coordinator of the decision.

ERCP Designated ARA Responsibilities

  1. If the expected cost is over $500, review the request and approve or deny it.

Transporting a Child with Special Health Care Needs from Law Enforcement

CSW Responsibilities

  1. If the child appears to need immediate emergency medical attention, contact 911 for assistance and for an ambulance to transport the child to the nearest hospital emergency room.
  2. If appropriate, enlist the parent/caregiver to assist in transporting the child to the nearest emergency room hospital to meet the resource parent.
    • Release the child to the resource parent for placement after verifying that the foster parent has received the child-specific training required to meet the child's special medical needs documented on the DCFS 6079 and has been provided all the necessary documents for the child.

Supervising a Child in Placement with Special Health Care Needs

MCMS or Regional CSW Responsibilities

  1. Provide services to children with special health care needs as set forth in the case plan.
  2. Advocate for services, durable medical equipment, benefits and community supports to meet the needs of the child.
  3. Collaborate with the Regional CSW regarding sibling visitation if appropriate, parental status and visitation, and court reports.
  4. Make monthly contacts in the foster home, and monitor the care provided to ensure that the child’s health and welfare needs are met, including their educational, emotional, and mental health needs.
  5. Ensure the child’s medical needs can be met during family time, which may include someone who is medically trained to be available to care of the child’s medical needs.
  6. Document contacts in the Contact Notebook.
  7. Verify and document that the child is monitored at a frequency determined by a primary pediatrician and/or medical team that specializes in the area of the child’s major medical problem.
  8. Complete an updated DCFS 416, IHCP at least every six months or anytime there is a significant change to the child’s medical status or specialized care need. 
    • The hospital discharge plan may be used for the IHCP if the child is being placed directly from the hospital and if it addresses the components listed in the DCFS 416.
  9. Obtain a DCFS 149a or 561(a) from the child’s medical providers every six (6) months and between intervals if the child’s medical, developmental, and/or psychological status changes to ensure caregiver can receive the SCI.
  10. Work in collaboration with LOC CSW for LOC cases, or submit a FCSS Auto 280 every six (6) months to continue the F-rate if LOC does not apply.
  11. For children in long-term care (LTC) placements that are paid through Medi-Cal, ensure that LTC Medi-Cal is established.
    • This applies to children residing in the following:
      • Intermediate Care Facility for Developmentally Disabled and Handicapped (ICF/DD)
      • Intermediate Care Facility for the Developmentally Disabled with Habilitative Care (ICF/DD-H)
      • Intermediate Care Facility for the Developmentally Disabled with Nursing Care (ICF/DD-N)
      • Sub-acute facilities
  12. Complete application on https://benefitscal.com or by calling (866) 613-3777.
    1. Applicants for Long-Term Care must answer “Yes” to the question “Do you need help with long-term care or home and community-based services?” on the application.  

Supporting a Child and Parents When Family Reunification or Family Maintenance Services are Court Ordered

CSW Responsibilities

Prior to returning a child home:

  1. Reasonable efforts must be made to notify parents/guardians of all medical exams via phone, text or email as soon as the CSW becomes aware of the date, time and place. Remind the caregiver to notify the CSW as soon as medical appointments are made. Parents/guardians have a right to consent to and be given notice of medical exams and procedures their children are scheduled to undergo, as well as the right to be with their children while they are receiving medical exams and procedures unless there is a valid reason to exclude them.
  2. Obtain parent’s consent for medical procedures and surgeries as appropriate.
  3. Assess if the parent(s) has been following the medical team’s recommendations.
  4. Assess parent(s)’ level of attendance and participation in medical appointments and services.
  5. Arrange for the parent(s) to receive the child-specific training required to meet the child's special medical needs documented on the DCFS 6079. Consult with PHN if needed.
  6. Verify that the parent(s) received and successfully completed the training.
  7. In consultation with the medical provider and IHC team, complete an updated DCFS 416 IHCP and document the child’s current health care needs and identify any needed equipment or supports for the family to care for the child.
    • Update the DCFS 416 every six months or any time there is a significant change to the child’s medical status or specialized care need.
  8. Provide the parent(s) with a copy of the Health and Education Passport.
  9. Verify that that the parent has the child’s Medi-Cal card or a copy of the Medi-Cal letter.
  10. Document all information in the Contact Notebook.

Once the child has returned home and is receiving Family Maintenance services:

  1. Involve the PHN, as needed, in making a joint home visit to assess the health of the child and the parent’s interactions with the child.
  2. If needed or as ordered by the child’s medical provider, arrange for a visiting nurse and/or home health.   
  3. Ensure that all required appointments (medical, educational, etc.) are made by the parent(s) on behalf of the child. Verify that parents have taken children to the medical appointments by requesting after visit summaries from the parents or medical records directly from the medical providers. Contact collaterals to discuss how parent(s) are able to address the child’s medical needs.
  4. Advocate for services, durable medical equipment, benefits and community supports to meet the needs of the child.
  5. If a child is also supervised by the Regional Center, coordinate a plan for the child with the Regional Center.  Request a copy of the current IPP or IFSP.
  6. Document all contact and activities in the Contact Notebook and Health and Education Notebook.

 

APPROVALS

ARA Approval

  • Capacity exemptions
  • Specialized rate and/or placement
  • Decision to return a child to the home of the parent(s)

ERCP ARA Approval

  • Approve after-hour transportation requests

MCMS ARA Approval

  • Special transportation requests

MCMS Division Chief Approval

  • Special transportation requests (over $500)

RA Approval

  • F3 rates and placements
  • F4 rates and placements

SCSW Approval

  • Capacity exemptions
  • Case management supervision
  • Case transfer
  • Determine the appropriateness of a request
  • FCSS Automated 280, Technical Assistance Action Request
  • DCFS 1696, F-Rate and Regional Center (ARM) Rate Indicators
  • DCFS 4366, Children Services Case Transfer Sheet
  • Detention and/or placement
  • F-rate re-evaluation
  • MCMS case qualification
  • Non-emergent transportation request
  • Decisions to return a child to the home of a parent
  • Specialized rate and/or placement

 

HELPFUL LINKS

Forms

LA Kids

ABCDM 228 (Spanish), Applicant's Authorization For Release of Information

DCFS 149 & 149A, Medical Care Assessment & Medical Care Assessment Cover letter

DCFS 179, Parental Consent and Authorization for Medical Care and Release of Education Records

DCFS 179-PHI, Authorization for Disclosure of Child's Protected Health Information

FCSS Automated 280, Technical Assistance Action Request

DCFS 416, Individual Health Care Plan (IHCP)

DCFS 1696, F-Rate and Regional Center (ARM) Rate Indicators

DCFS 4158, Authorization for General Medical Care for a Child Placed by an Order of the Juvenile Court

DCFS 4366, Children Services Case Transfer Sheet

DCFS 6017-A, Placement Referral Form

DCFS 6079, Medical Training Confirmation

DCFS 6099, Patient Transportation Request Form

Family Background #1

Family Background #3 - Medical and Social History Information about the Birth Mother/Father

Family Background #3 - Coversheet

Attachments

Guidelines to Supervising Children with Special Health Care Needs

REFERENCED POLICY GUIDES

0070-516.10, Assessing a Child's Development & Referring to a Regional Center

0070-528.10, Assessing Children with Special Needs in ER Investigations

0070-560.05, Joint Response Referral: Consulting with PHN

0080-503.00, Contacts with the Child Support Services Department (CSSD)

0080-505.20, Health and Education Passport (HEP)

0100-510.10, Placement Capacity

0100-510.35, Special Placements

0100-510.60, Placement Considerations for Children

0100-510.61, Placement Responsibilities

0100-525.10, Interstate Compact on the Placement of Children (ICPC)

0300-306.80, Transportation Requests to Bring Children/Youth to Court

0600-500.00, Medical Hubs

0600-500.20, Health and Medical Information

0600-501.10, Consent for Routine Medical Care

0600-505.12, Identifying and Documenting a Client’s Disability and Need for Special Services

0600-505.20, Hospitalization of and Discharge Planning for DCFS-Supervised Children

0900-511.12, Dual Agency Rates

0900-522.11, Specialized Care Increment (SCI) – F-Rate

1000-504.10, Case Transfer Criteria and Procedures

STATUTES AND OTHER MANDATES

Health and Safety Code (HSC) 1501.1 – States in pertinent part, that when placing children in out-of-home care, particular attention should be given to the individual child’s needs, the ability of the facility to meet those needs, the needs of other children in the facility, the licensing requirements of the facility as determined by the licensing agency, and the impact of the placement on the family reunification plan.

HSC Section 1507.5 – States, in part, that in-home medical care as well as home and community-based services may be provided by a licensed home health agency to a child with special health care needs in foster family homes, when deemed medically appropriate by the State Department of Health Services.

United States Code Section 1396d of Title 42 - Provides a definition for "early and periodic screening, diagnostic, and treatment services".

Welfare and Institutions Code (WIC) Section 11400(e) – Defines, in pertinent part, small family home.

WIC Section 17710, 17730, 17731, 17732, 17732,1, 17733, 17734, 17735, 17736 – States, in part, rules and placement requirements for children and youth who have special health care needs and who are staying in a specialized foster care home placements. Also states the county documentation and reporting requirements

WIC Section 17739 - States the priority consideration for placement of a medically fragile child.