If the child is placed in a PCP foster home or a PCC residential facility the provider:
- Completes the CRP-7 Application for Level of Care Payment and the CANS or other approved tool, and submits to CRP every six (6) months for children placed in PCP foster care or every three (3) months for children placed in PCC residential treatment;
If the child is placed in a PCC residential facility, and during the LOC review it is determined that a child’s level is decreased from three (3) to a two (2) or lower, the SSW completes a Prevention Plan to outline provisions of a planned placement move based on the re-leveling of the child ( please refer to SOP 4.11.4 Change in LOC Assignment). 1
The Medical Support Section:
- Reviews in CRP's web application, a list of medically complex children, placed in a PCC/PCP, whose acuity level will require a six (6) month reassessment;
- Contacts the medically complex liaison and the Commission for Child with Special Health Care Needs (CCSHCN) nurse to obtain updates on the child in order to assign an appropriate acuity level;
- Enters the acuity level in the CRP web application to inform the LOC assignment as described in SOP 4.11.1 Level of Care Assignment.
If special circumstances exist which require that the SSW appeal (i.e. request a redetermination of the level of care assignment), the SSW submits:
- CRP-6 Private Child Care Notice of Level of Care Payment Authorization Assignment with the Request for Redetermination section completed (for an initial level or reassignment); or
- CRP-2-Private Child Care Notice of Level of Care Payment or CRP-005-DCBS Foster Care Utilization Review Notice of Level Assignment, with Request for Redetermination section completed (for a level assigned by a utilization review); and
- Documentation that indicates that the child’s LOC assignment may be higher or lower than is appropriate.