CHILD WELFARE MANUAL

Section 4, Chapter 4 (Working with Children), Subsection 6 – Medical Foster Care

Effective – 5-1-19

A youth in foster care with medically diagnosed extraordinary medical condition(s) and or mental or physical disabilities is eligible to be placed in a resource provider home that is contracted to provider medical foster care if the following statements regarding the foster youth is supported with documentation:

  • The youth must have a diagnosed medical, mental, or physical condition that requires twenty-four (24) hour availability of a resource provider specifically trained to meet the elevated medical needs
  • The diagnosed condition significantly and substantially impairs the youth’s ability to function on a daily basis
  • The youth’s diagnoses and conditions must be included on the Medical Foster Care Assessment Tool, CS-10, or a physician’s certification for medical foster care

Procedure for Placement
The Children’s Service Worker will complete the Medical Foster Care Assessment Tool, CS-10. The CS-10 is the tool used by the worker to present the medical/developmental needs of the foster youth.  The referral should be made through supervisory channels, for approval of placement in the home of a licensed resource provider contracted for medical foster care placements. The final approval must be made by a the circuit specialist or designee, as per local protocol.

The worker will use their knowledge of the youth, information supplied by the birth family, the resource provider, other professionals, the foster youth, and medical documentation the worker has obtained to document the needs of the foster youth. The more comprehensive the documentation, the more likely a decision can be made as to the eligibility of the foster youth.

The form shall be completed based upon the child’s disability and not his/her age.

Re-evaluation
The CS-10 shall be reviewed annually regarding the status of the foster youth’s eligible conditions.

The CS-10 does not need to be reviewed if the eligibility for medical foster care was determined using only Section II subsection A, unless the medical condition has changed.

The CS-10 can be reviewed at any time regarding the status of the foster youth’s eligible conditions if a FST member requests.