1.   Initial application and assessment for DDSD services.

(1) If, at any time, the Child Welfare (CW) worker believes a child in Oklahoma Department of Human Services (OKDHS) custody may be eligible for Developmental Disabilities Services Division (DDSD) services, the CW worker:

(A) immediately staffs the child's needs with the CW supervisor.  Refer to 04MP013E, Child Welfare/Developmental Disabilities Services Checklist;

(B) contacts the DDSD area intake staff and requests an application for Home and Community-Based Waiver Services (HCBWS), Form 06MR001E, Application for Developmental Disabilities Services; and

(C) completes Form 06MR001E and attaches Form 04MP028E, CW Request for DDSD Needs Assessment.

(2) When the child is in:

(A) permanent OKDHS custody, the CW supervisor signs completed Form 06MR001E; and

(B) emergency or temporary OKDHS custody, the child's parent(s) signs Form 06MR001E.  If the child's parent(s) is unwilling or unable to sign Form 06MR001E, the CW county of jurisdiction worker requests the court sign Form 06MR001E.

(3) The CW county of jurisdiction worker submits the completed and signed Form 06MR001E to the DDSD area intake office serving the child's county of court jurisdiction and documents the application process in KIDS/Client/Finance/Eligibility screen.

2.   DDSD needs assessment.

(1) DDSD staff:

(A) completes a written needs assessment for each Form 04MP028E received on behalf of a child in OKDHS custody; and

(B) maintains a tickler file for all children in OKDHS custody with mental retardation whose needs are met by Medicaid, school, or other sources, and completes another needs assessment when the child reaches age 17.5.

(2) If DDSD area staff determines that a child's needs may best be met by:

(A) HCBWS, staff then requests a completed application packet from CW staff and submits it to OHCA for consideration; or

(B) Medicaid, school, or other sources, staff then consults with the CW worker to assist in accessing appropriate services for the child.  If there is disagreement by CW staff, CW staff may appeal the decision to the Children and Family Services Division programs manager or liaison to DDSD to initiate an administrative review.

(3) DDSD area staff provides a copy of the written needs assessment to CW staff and works with CW staff on identifying referrals and needed resources.

(4) At any time the child's needs change, CW staff submits a subsequent referral, per OAC 340:75-8-36 Instructions to Staff 1, for HCBWS, and DDSD staff completes another needs assessment.

3.   Application.  The completed DDSD application packet includes Forms:

(1) 06MR001E; and

(2) 04MP028E and attachments of the child's:

(A) social history, including developmental milestones, sexual and physical abuse history, and history of any alleged delinquent behavioral problems;

(B) psychological assessment, within one year, that includes the intelligence quotient (IQ) score and adaptive functioning assessment;

(C) medical assessment, within 90 calendar days, on Form 08MA080E, Report of Physician's Examination;

(D) copy of full-certified birth certificate or Form VS 151, Application for Search and Certified Copy of Birth Certificate;

(E) current immunization record;

(F) legal documents showing OKDHS custody status, Disposition Order, last court review, and Termination of Parental Rights Order, if applicable; and

(G) Social Security card or Form SS-5, Application for Social Security Number.

4.   HCBWS eligibility determination.  The child's CW county of jurisdiction worker receives notification of eligibility determination for HCBWS from the DDSD area intake worker or the DDSD case manager on 06MP003E, Notice of Action – Request for Services.  When the child is:

(1) approved for HCBWS, the CW county of jurisdiction worker enters the DDSD status and approval date in KIDS Contacts screen and the child's IQ on KIDS Medical screen; and