Attachment 6 - Referral Letter.docx

DOCX document 2 MB Posted

Attached to
Foster Care Case Management
Solicitation number
300000284009834
Issued by
Missouri

About this file

This is a referral letter issued by the Missouri Department of Social Services, Children's Division, authorizing case management services for children in state custody. The document designates a case manager to provide case planning and services to foster children effective on a specified date. Case managers are authorized to perform critical functions including enrolling children in school, seeking medical and behavioral health care, providing informed consent for treatment pursuant to Children's Division policy, and obtaining necessary documentation such as medical records, birth certificates, and school records. The letter includes contact information for the Children's Division Contracted Case Management Oversight Specialist and their supervisor, allowing service providers and other parties to direct inquiries regarding the child's case management services.

The document serves as an official authorization instrument within the foster care case management contracting framework, establishing the formal assignment of case management responsibilities and defining the scope of authority granted to contracted case managers. It contains designated fields for completion of specific details including the child's information, case manager assignment, effective date, and contact information for oversight personnel. This referral letter represents a standard procedural document within Missouri's foster care system designed to ensure clear communication and coordination among the Department of Social Services, contracted case management providers, schools, medical providers, and other entities involved in the care and support of children in state custody.

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Text version

Missouri Department of Social Services Jessica Bax Director Mike Kehoe Governor P.O. Box 88 • Jefferson City, MO 65103-0088 • Phone: 573-522-8448 • Fax: 573-526-3971 www.dss.mo.gov • TDD/TTY: 800-735-2966 Relay Missouri: 711

Sara Smith Director Children’s Division

STATE 0000000597SL

Attachment 6

RE:

CHILD:
BIRTHDATE:

TO WHOM IT MAY CONCERN:

The above name child is in the custody of the Missouri Department of Social Services, Children’s Division, and is assigned to _________________________for Case Management services effective ________.

Case Managers are responsible for providing case planning and services to foster children and are authorized to: enroll children in school; seek medical and behavior health care; give informed consent for treatment, pursuant to Children’s Division policy; and obtain documents regarding the family and child, including, but not limited to, medical records, birth certificates and school records.

Children’s Division Contracted Case Management Oversight Specialist phone#: (w) ______________

Signature: ____________________Contracted Case Management
Oversight Specialist Supervisor
Phone#: (W) _______________

Date: ____________

If you have any questions, please feel free to contact the worker or supervisor listed above.

Empowering Missourians to live safe, healthy, and productive lives.

AUXILIARY AIDS AND SERVICES ARE AVAILABLE UPON REQUEST TO INDIVIDUALS WITH DISABILITIES The Missouri Department of Social Services is an Equal Opportunity Employer/Program image1.png image2.jpeg

File details come from the government source that posted it. Updated .