§3 ch5: Working with Contracted Treatment Providers
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5.8 Procedures for Ongoing Use, Updating, and Closing of CTS
The following procedures are required of the Children’s Service Worker for ensuring the efficient use of CTS:
- Obtain progress or evaluation reports from the service provider, as needed, and as required by the provider’s contract;
- Inform the payment designee if written reports are not received appropriately. Payment for these services will not be made until reports are received;
- Update the CS-67A when the frequency of service is to be increased (i.e., a child in child care, authorized for three (3) days per week, but now needs to attend five (5) days per week);
- Close authorization(s), using CS-67A turnaround, when a client’s actual service needs change, the frequency is to be reduced, a client moves to another county, or when the case plan indicates CTS or P.S. child care is no longer needed.
- Complete a new authorization (CS-67A) for an alternate service, when needed.
- Complete a new authorization (CS-67A) when frequency of service is reduced or increased.
- When a client, presently authorized for a service, moves to another county/area he/she shall continue to receive the service if:
- The client continues to need the service, and
- A provider is available to provide the service.
- When a client moves to another county and is expected to continue to receive services, the Children’s Service Worker will close the CS-67A. The worker will enter the new county code and new client address, if known, on the CS-67 to transfer the form to the new county. The new county will update the eligibility information on the CS-67 and complete a new authorization (CS-67A).
- When an out-of-home care child is placed in a permanent placement (i.e., adoptive home, natural parent, independent living) outside the present county of residence, services, whether or not presently received in the county of residence, shall be provided if:
- The services are vital to the success of the placement; and
- There is a provider available to provide the service.
- Review turnaround for correctness, upon receipt.
- Notify the client in writing at least ten (10) calendar days in advance when it is known that a provider’s contract or license will not be renewed, or a CTS service is being terminated.
- Submit a copy of the letter (CS-41 for license expiration) to provider;
- Assist the family, if requested, in securing another provider;
- Close the CS-67A which authorized services from a non-contracted provider on the date of contract expiration or earlier if the child moves to another provider. SEAS will not allow payments during the time a contract or license is not valid; and
- Complete a CS-67A authorizing services with a new provider if child moves to another provider (child care).
- Monitor the family members' use of the service resource.
- Set up and attend a conference with the provider, if he/she is not fulfilling the planned agreement with the family members or the Division.
- Review activity with family members if they are failing to use the service appropriately;
- Record the use of the service in case narrative, as appropriate, but at a minimum of every 30 days.
- Obtain progress or evaluation reports from the service provider, as needed, and as required by the provider’s contract;