Table of Contents
Chapter 8 - Out of Home Services
- 8.01 Selecting a Placement Option Effective 2/1/20
- 8.02 Consideration of Race, Color or National Origin. The Inter-Ethnic Placement Act (IEPA) Effective 6/1/08
- 8.04 Emergency Shelter Care & Urgent Residential Placement Review and Approval Effective 1/1/20
- 8.05 Out-of-County Placements Effective 3/1/14
- 8.08 Preparing Child for Placement Effective 7/1/17
- 8.09 Placing a Child in Out-of-Home Care Effective 6/1/21
- 8.10 Minimum Contact Effective 8/1/20
- 8.11 Parental Interaction and Involvement Effective 7/1/19
- 8.12 Developing the Visitation Plan Effective 9/1/20
- 8.13 Implementing the Visitation Plan Effective 7/1/19
- 8.14 Social Networking and Internet Usage Effective 6/1/11
- 8.15 Services for the Resource Family Effective 7/1/17
- 8.16 Resource Parent's Role Effective 6/1/21
- 8.17 Respite Services for Resource Parent(s) Effective 4/1/17
- 8.18 Behavior Management and Discipline in Resource Homes Effective 11/1/14
- 8.20 Educational Services Effective 10/1/19
- 8.21 Special Education Services Effective 7/1/18
- 8.22 School Notifications and Legal Settlement Effective 10/1/19
- 8.23 Extracurricular Activities Effective 7/1/15
- 8.24 Travel and Overnight Stays While in Out-of-Home Care Effective 7/1/10
- 8.25 Health Care Services (Overview) Effective 6/1/11
- 8.26 Authorization for Health Care Services Effective 10/1/17
- 8.27 Maintaining Health Records - Medical Passport Effective 5/1/17
- 8.28 Payment for Health Care Services Effective 5/1/09
- 8.29 Routine Health Care Effective 7/1/15
- 8.30 Psychotropic Medication Effective 6/1/16
- 8.31 HIV, STDs, and Other Communicable Diseases Effective 10/1/17
- 8.32 Substance Abuse Assessments and Testing for Children in Out-of-Home Care Effective 6/1/08
- 8.34 Participation in Medical Studies and Drug Trials Effective 9/1/18
- 8.35 Sex Education and Family Planning Services Effective 10/1/17
- 8.36 Expectant Youth and Youth with Children Effective 7/1/19
- 8.37 Holding a Placement During a Hospitalization Effective 10/1/19
- 8.38 Placement Changes Effective 7/1/19
- 8.39 Trial Home Visits Effective 7/1/19
- 8.41 Transitioning from Out-of-Home Care Effective 9/1/18
- 8.43 Meaningful Contacts Effective 3/1/19
- 8.44 Out-of-Home Risk and Safety Reassessment Effective 10/1/19
- 8.46 Resource Parent Complaint Resolution Process Effective 9/1/19
- 8.47 Permanency Roundtables Effective 1/1/20
- 8.48 Relative or Kinship Placements Effective 6/1/21
- 8.49 Funeral and Burial Services for a Child in Out-of-Home Care Effective 9/1/20
- 8.50 Determining and Reviewing Category of Supervision Effective 1/1/20
- 8.51 Regional Permanency Teams Effective 1/1/20
Tools:
- 8.A Tool: Placement Needs Summary
- 8.B Tool: Separation and Loss
- 8.C Tool: Supervision of Visits
- 8.D Tool: Behavior Management Plans
- 8.E Tool: Category of Supervision Policy to Practice
- 8.F Tool: Reasonable and Prudent Parent Standard
- Child and Adolescent Needs and Strengths (CANS) Assessment- available in the case management system
- Family Functional Assessment (FFA) Field Guide - available on the Indiana Practice Model SharePoint
- Family Network Diagram Instruction Guide
- Financial Assistance Options for Relative Caregivers
- Indiana Bill of Rights for Youth in Care
- Indiana Drug Endangered Children Response Protocol
- Indiana Human Trafficking Screening Tool- available in the case management system
- Indiana Prescription Drug Take Back Locations & Program
- Letter of School Textbook and Related Fees - available on the Permanency and Practice Support SharePoint
- Permanency Roundtable Indiana Fidelity Document- available in Hard Copy
- Relative Resource Guide
- School Invoicing Process for Repair/Replacement of Textbooks, Electronic Devices, and Musical Instruments - available on the Permanency and Practice Support SharePoint
- Exhibit A1 (Indiana Code Including Tort Claims Description)
- Exhibit A2 (Tort Claim Form SF54668)
- Exhibit B1 (W-9 Request for Taxpayer Identification Number and Certification)
- Exhibit B2 (Automated Direct Deposit Authorization Agreement SF47551)
- Exhibit B3 (W-9 and Direct Deposit Form Instructions)
- Exhibit C1 (Claim for Support of Children SF28808)
- Exhibit C2 (Example Claim Form)
- Universal Precautions
Forms:
- Acknowledgement of Receipt of Information About Various Educational Programs (SF55743)
- Annual Notification of Continuation of Placement in School Corporation (SF49812)
- Application for Criminal History Background Check (SF53259)
- Authorization for Health Care (SF54247)
- Authorization for Psychotropic Medication (SF53545)
- Automated Direct Deposit Authorization Agreement (SF47551)
- Case Plan (SF 2956) - available in the case management system
- Child Care Plan (SF54608)
- Child-Focused Treatment Review (CFTR) Confidentiality Agreement
- Claim for Support of Children Payable from Family and Children Funds (SF28808)
- Confidentiality Agreement (SF2956)
- Consent to Release of Mental Health and Addiction Records (SF1128)
- CPA and Department Managed Foster Homes Request for Review of Child's Category of Supervision (SF55158)
- Disaster Plan
- Face-to-Face Contact (SF53557)
- Interstate Compact on the Placement of Children Request (SF106)
- Interstate Compact on the Placement of Children Supervision Report (SF54335)
- Log of Medical Treatment (SF45091)
- Medicaid Forms - available in the CEU Eligibility Binder
- Medical Passport (DCS Pamphlet 036)
- Notice of Decision Regarding Review of Child's Category of Supervision (SF55194)
- Out-of-Home Risk and Safety Reassessment - available in the case management system
- Preliminary Report of Alleged Child Abuse or Neglect (SF114)
- Record of Medical Treatment (S45092)
- Relative Home Environment Checklist (SF55106)
- Release of Education Records (SF55228)
- Request for Additional Funding (SF54870)
- Resource Parent Role Acknowledgment (SF54642)
- Safety Plan (SF53243)
- School Notification and Best Interest Determination (BID) (SF47412)
- Statement of Attestation by Relative Regarding Relationship (SF52727)
- Statement of Care and Supervision/Authorization for Health Care (SF45093) Card
- Step-Down Planning (SF 57072)
- Triple I Follow Up Action (SF53424)
- Visitation Plan- available in the case management system
- W-9 Request for Taxpayer Identification Number and Certification
Medicaid Forms
- FCM Medicaid Information Sheet - available in the CEU Eligibility Binder
- Hoosier Care Connect Medicaid Program: FCM Information Sheet - available in the CEU Eligibility Binder
- Indiana Medicaid Prior Authorization and Claiming Reimbursement Process - available in the CEU Eligibility Binder
- Medicaid Enrollment Fact Sheet - available in the CEU Eligibility Binder
- Medicaid Mental Health Services - avaialble in the CEU Eligibility Binder
- Medicaid Pharmacy Benefits - available in the CEU Eligibility Binder