The Placement Additional Details window opens when the Additional Details button is selected on the Detail Placement window. It is used to document additional details about the placement.
The Agreement Signed Date, Placed By, Placed From, and Distance from Parent fields are mandatory when the placement status is set to "Active".
Agreement Signed Date: Enter the date the agreement is signed by the placement organization.
Placed By: Select the person or organization who placed the child from those in the drop down list.
Placed From: Select the geographic area from where the child came from those in the drop down list.
Distance from Parent: Select the approximate distance the placement is from the nearest biological parent.
Payment Type: Select the method of payment (if any) from those in the drop down list.
Who child can be released to: Enter the names and addresses of individuals to whom the child can be released for visitation. Up to 200 characters fit in this field.
Foster Parent Contact Within 24 Hours Group Box:
Contacted Parent/Guardian: Select Yes, Exception or No from the drop down field.
Note: When Yes or Exception is selected, the Date in the Initial Contact Exception Date is required to be entered.
Initial Contact/Exception Date: The date the contact or exception was made with the Parent/Guardian.
Contact Description: A description of what occurred during the contact with the Parent/Guardian. This field is limited to 200 characters.
OJS Commitment Group Box:
In order for this group box to be enabled, the child must be placed at either YRTC or Geneva.
Status: select the appropriate status from the drop down list.
Date: Enter the date of the selected status.
Managed Care Group Box:
Has the Managed Care Entity approved the Placement?: Select Yes or No from the drop down field.
Decision Begin Date: The date the decision was made.
Denial Reason: The reason the request was denied.
Requested Level: Select the requested level from the drop down field.
Level of Care Description: Enter a description of the level of care.
Was the Placement court ordered?: Select Yes or No from the drop down field.
Was there a managed care appeal?: Select Yes or No from the drop down field.
Appeal Description: Enter a description of the appeal.
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Select the OK button to save the additional placement information. |
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Select the Cancel button to close the window without saving new information. |
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Select the Help button to open the Help information for this window. |
(08-2018)
NFOA702H (14)