Revised 5-15-09
1. CW county of jurisdiction worker's role.
(1) The Child Welfare (CW) county of jurisdiction worker's role and responsibilities for a child in the custody of Oklahoma Department of Human Services (OKDHS) in out‑of‑home placement are defined in OAC 340:75-6-47, 340:75‑6‑85, and 340:75-11-233 Instructions to Staff (ITS).
(2) The assignment of a liaison to the contracted community-based residential care (CBRC) placement provider does not diminish the CW county of jurisdiction worker's role and responsibilities for a child in OKDHS custody in contracted CBRC placement, such as:
(A) diagnostic and evaluation services (D & E);
(B) intensive treatment services (ITS);
(C) substance abuse treatment services;
(D) specialized community homes (SCH);
(E) non-funded and funded Level B placements;
(F) residential maternity services placements;
(G) non-funded and funded Level C placements;
(H) Level D placements;
(I) Level D+ placements; and
(J) Level E placements.
2. CW county of jurisdiction worker's responsibilities. The CW county of jurisdiction worker is responsible for:
(1) accurately completing, and, at the time of placement, providing Form 04KI010E, Placement Worksheet, to the placement provider. Form 04KI010E is required for placing a child in CBRC placement as the form includes the history and current situations of the child's family, and the child's physical and mental status, medical needs, education, and placement factors;
(2) making the request for the contracted CBRC placement in the child's KIDS Placement Recommendation screen. The CW supervisor approves this request, within five days of the CW county of jurisdiction worker's and CW supervisor's decision that contracted CBRC placement or services are necessary to meet the child's treatment needs;
(3) providing to the placement provider, copies of:
(A) completed Form 04KI004E, Placement Provider Information;
(B) completed Form 04KI005E, Placement Plan;
(C) completed Form 04KI006E, Family/Child Strengths and Needs Assessment, court-approved;
(D) completed Form 04KI008E, Treatment Plan, or 04KI012E, Individualized Service Plan (ISP), as applicable;
(E) completed Form 04FC011E, Placement Agreement for Out-of-Home Care, per OAC 340:75‑6;
(F) child's birth certificate;
(G) immunization records;
(H) court order for OKDHS custody;
(I) most recent psychological evaluation;
(J) current social history;
(K) Social Security number or Form SS-5, Application for Social Security Number;
(L) medical card or Form 04KI002E, Eligibility Determination;
(M) school records or the name and address of the last school attended; and
(N) independent living assessment if the child is 16 years or older;
(4) transporting the child for admission with:
(A) a minimum of seven days worth of adequate clothing or a clothing authorization when the child does not have adequate clothing. Emergency clothing authorizations for a child placed in a non-funded CBRC placement are provided every 90 days, per OAC 340:75-13-45; and
(B) a 30-day supply of any medications, in labeled prescription containers with instructions, that are currently prescribed for the child to allow for uninterrupted treatment until alternate follow-up medical care is received. The CW county of jurisdiction worker documents the receipt and release of all medication on Form 04MP012E, Receipt and Release of Prescription and Over-the-Counter Medication(s), as described in OAC 340:75-6-85.1 ITS;
(5) providing the placement provider with input into the development, review, or revision of the child's individualized treatment plan that is completed by the placement provider within 30 days of placement. Review of the contractor's individualized treatment plan for the child is required at least every 90 days or more frequently as determined by the child's treatment needs;
(6) documenting the child's placement in KIDS Placement screens;
(7) providing completed Forms 04K01025E, Change in Placement Notification for Child's Attorney, and 04K01026E, Change in Placement Notification for Judge, in accordance with OAC 340:75-6-86 when there is a change in the child's living arrangements;
(8) contacting the child and placement provider as defined in OAC 340:75‑6-48;
(9) advising the placement provider of the local post adjudication review board (PARB) review meetings, dates and times of court hearings, and any case staffing that requires the provider's input;
(10) entering the end date of the placement in KIDS Placement screens, obtaining the child's next placement, and transporting the child for immediate interview and placement after the contractor has received the referral for placement;
(11) if resident is more than 30 miles away from county of jurisdiction, maintaining monthly telephone contact with the child and placement provider in the months the on-site contact is not held, and documenting telephone contacts on the Client Contract Screen of KIDS;
(12) developing the child's discharge plan and attending discharge staffing with at least 48 hours notice from the provider;
(13) approving and arranging visitation, including transporting and supervising the visit if necessary;
(14) initiating an APS Healthcare referral for the child who is likely to meet the medical necessity criteria for acute or residential treatment care (RTC);
(15) locating an inpatient facility, with the assistance of APS Healthcare, when the child requires acute or RTC inpatient treatment for;
(16) when the child presents a physical threat to CW staff and requires transportation by law enforcement officials, arranging transportation by the county of jurisdiction or the county of placement Sheriff's office;
(17) when the sheriff's staff transports the child to inpatient care, providing the sheriff's office with the mailing address to Children and Family Services Division (CFSD) CBRC programs manager to file the claim for mileage, meals, and hourly wage; and
(18) submitting Form 23C0106E, Authority to Purchase, to the CFSD CBRC programs field representative with all necessary identifying information for reimbursement to the sheriff's office for transportation services.