Common use of Obligations of the Department Clause in Contracts

Obligations of the Department. The Department agrees to pay for services resulting from any pre-existing psychological, medical, emotional or physically handicapping condition at the rate that is customary and usual in the guardians’ community, if not covered by the Medicaid card or other public resources. This child may require services not currently being provided for pre-existing physical, emotional or mental health needs or risk factors. Such pre-existing conditions must be described in the CFS 1800–C–G to be eligible for assistance through the Adoption Assistance or Subsidized Guardianship Program at a future date. Assistance cannot be granted for services for pre-existing conditions if the condition(s) is not listed on the CFS 1800–C–G. In this section documentation must be provided regarding why the child and all other siblings, if known, came into care, as well as all known mental health, medical, and substance abuse histories of the biological parents (include additional pages as necessary). Documentation of the child's unique physical, mental, or emotional conditions must be provided. Attached records relating to the history, medical, physical or mental condition of the child are considered part of this agreement. All of the child’s pre-existing conditions must be identified, including what physical, emotional and mental health services the child is receiving and will continue to receive and specify frequency and duration, the start date and anticipated end date. If there is no information to provide, state the reason. Specifically, complete the following: 1) Why the child’s case came into the system; 2) Why the child’s siblings came into the system, if known; 3) Information as to the existence of any other children born to the birth parent(s), including birth dates and genders: 4) The reason(s) the child was unable to return to his/her birth family; 5) The child’s current relationship with his/her birth family: 6) Dates of all placements, whether the caregiver was a relative or non-relative, residential placements, and reasons for moves; 7) Mental health treatment history of the child, if known. Attach copy of diagnoses, including assessment reports. 8) Substance abuse history of the immediate family, including birth parents, siblings and grandparents. Do not include identifying information. 9) Physical disabilities, prior injuries, diagnosed medical conditions, including dates of diagnoses and hospitalizations, medication history, genetic history. Attach supporting documentation of diagnoses. 10) Names of all service/health-care providers, past and present, specifying what services were provided and dates of services; 11) Behavioral problems - both past and present; 12) Physical abuse experiences of which the child was the victim, if known; 13) Sexual abuse incident(s) in which the child was the victim or the perpetrator, if known; 14) Neglect experiences in which the child was the victim, if known; 15) Educational issues: names of schools attended, dates of Individual Education Plans (IEP) and/or Individual Family Service Plans (IFSP) or 504 Educational Special Needs Plan (attach IEPs or IFSPs or 504 Educational Special Needs Plan if applicable); 16) Assessments and/or diagnoses of any learning disorders; 17) Special services provided in the school, now or in the past; 18) Separation and loss issues; 19) Other pre-existing health including mental health conditions of immediate family, including parents, siblings and grandparents. Do not include identifying information; 20) Additional non-identifying information regarding the child or immediate family. Do not include identifying information; 21) List all of the therapy, counseling or other services that the child is currently receiving including the name of the provider, service type and frequency of treatment. 22) List all of the documents that have been attached to this agreement including the name of the treatment or service provider, date of report or service, and the type of service.

Obligations of the Department. The Department agrees to pay for services resulting from any pre-existing psychological, medical, emotional or physically handicapping condition at the rate that is customary and usual in the guardiansadoptive parents’ community, if not covered by the Medicaid card or other public resources. This child may require services not currently being provided for pre-existing physical, emotional or mental health needs or risk factors. Such pre-existing conditions must be described in the CFS 1800–C–G A to be eligible for assistance through the Adoption Assistance or Subsidized Guardianship Program at a future date. Assistance cannot be granted for services for pre-existing conditions if the condition(s) is not listed on the CFS 1800–C–G. A. In this section section, documentation must be provided regarding why the child and all other siblings, if known, came into care, as well as all known mental health, medical, and substance abuse histories of the biological parents (include additional pages as necessary). Documentation of the child's unique physical, mental, or emotional conditions must be provided. Attached records relating to the history, medical, physical or mental condition of the child are considered part of this agreement. All of the child’s pre-existing conditions must be identified, including what physical, emotional and mental health services the child is receiving and will continue to receive and specify frequency and duration, the start date and anticipated end date. If there is no information to provide, state the reason. Specifically, complete the following: 1) Why the child’s case came into the system; 2) Why the child’s siblings came into the system, if known; 3) Information as to the existence of any other children born to the birth parent(s), including birth dates and genders: 4) The reason(s) the child was unable to return to his/her birth family; 5) The child’s current relationship with his/her birth family: 6) Dates of all placements, whether the caregiver was a relative or non-relative, residential placements, and reasons for moves; 76) Mental health treatment history of the child, if known. Attach copy of diagnoses, including assessment reports. 8) 7) Substance abuse history of the immediate family, including birth parents, siblings and grandparents. Do not include identifying information. 9) 8) Physical disabilities, prior injuries, diagnosed medical conditions, including dates of diagnoses and & hospitalizations, medication history, genetic history. Attach supporting documentation of diagnoses. 109) Names of all service/health-care providers, past and present, specifying what services were provided and dates of services; 1110) Behavioral problems - both past and present; 1211) Physical abuse experiences of which the child was the victim, if known; 1312) Sexual abuse incident(s) in which the child was the victim or the perpetrator, if known; 1413) Neglect experiences in which the child was the victim, if known; 1514) Educational issues: names of schools attended, dates of Individual Education Plans (IEP) and/or Individual Family Service Plans (IFSP) or 504 Educational Special Needs Plan (attach IEPs or IFSPs or 504 Educational Special Needs Plan if applicable); 1615) Assessments and/or diagnoses of any learning disorders; 1716) Special services provided in the school, now or in the past; 18; 17) Separation and loss issues; 1918) Other pre-existing health including and mental health conditions of immediate family, including parents, siblings and grandparents. Do not include identifying information; 2019) Additional non-identifying information regarding the child or and immediate familyfamily member. Do not include identifying information; 2120) List all of the therapy, counseling or other services that the child is currently receiving including the name of the provider, service type and frequency of treatment. 2221) List all of the documents that have been attached to this agreement including the name of the treatment or service provider, date of report or service, and the type of service.

Obligations of the Department. The Department agrees to pay for services resulting from any pre-existing psychological, medical, emotional or physically handicapping condition at the rate that is customary and usual in the guardiansadoptive parents’ community, if not covered by the Medicaid card or other public resources. This child may require services not currently being provided for pre-existing physical, emotional or mental health needs or risk factors. Such pre-existing conditions must be described in the CFS 1800–C–G A to be eligible for assistance through the Adoption Assistance or Subsidized Guardianship Program at a future date. Assistance cannot be granted for services for pre-existing conditions if the condition(s) is not listed on the CFS 1800–C–G. A. In this section section, documentation must be provided regarding why the child and all other siblings, if known, came into care, as well as all known mental health, medical, and substance abuse histories of the biological parents (include additional pages as necessary). Documentation of the child's unique physical, mental, or emotional conditions must be provided. Attached records relating to the history, medical, physical or mental condition of the child are considered part of this agreement. All of the child’s pre-existing conditions must be identified, including what physical, emotional and mental health services the child is receiving and will continue to receive and specify frequency and duration, the start date and anticipated end date. If there is no information to provide, state the reason. Specifically, complete the following: 1) : Why the child’s case came into the system; 2) ; Why the child’s siblings came into the system, if known; 3) ; Information as to the existence of any other children born to the birth parent(s), including birth dates and genders: 4) : The reason(s) the child was unable to return to his/her birth family; 5) The child’s current relationship with his/her birth family: 6) ; Dates of all placements, whether the caregiver was a relative or non-relative, residential placements, and reasons for moves; 7) ; Mental health treatment history of the child, if known. Attach copy of diagnoses, including assessment reports. 8) . Substance abuse history of the immediate family, including birth parents, siblings and grandparents. Do not include identifying information. 9) . Physical disabilities, prior injuries, diagnosed medical conditions, including dates of diagnoses and & hospitalizations, medication history, genetic history. Attach supporting documentation of diagnoses. 10) . Names of all service/health-care providers, past and present, specifying what services were provided and dates of services; 11) ; Behavioral problems - both past and present; 12) ; Physical abuse experiences of which the child was the victim, if known; 13) ; Sexual abuse incident(s) in which the child was the victim or the perpetrator, if known; 14) ; Neglect experiences in which the child was the victim, if known; 15) ; Educational issues: names of schools attended, dates of Individual Education Plans (IEP) and/or Individual Family Service Plans (IFSP) or 504 Educational Special Needs Plan (attach IEPs or IFSPs or 504 Educational Special Needs Plan if applicable); 16) ; Assessments and/or diagnoses of any learning disorders; 17) ; Special services provided in the school, now or in the past; 18) Separation and loss issues; 19) ; Other pre-existing health including and mental health conditions of immediate family, including parents, siblings and grandparents. Do not include identifying information; 20) ; Additional non-identifying information regarding the child or and immediate familyfamily member. Do not include identifying information; 21) ; List all of the therapy, counseling or other services that the child is currently receiving including the name of the provider, service type and frequency of treatment. 22) . List all of the documents that have been attached to this agreement including the name of the treatment or service provider, date of report or service, and the type of service.