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SIS100 INSTRUCTIONS FOR THE SIS CLIENT ENTRY FORM …
information on how to request and obtain a fair hearing • transmit authorization to service providers to claim reimbursement for services provided • open a service client information record in the Services Information System • update service client information in the Services Information System This form replaces the following forms:
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SIS101 SERVICES INFORMATION SYSTEM CLIENT ENTRY …
policies.ncdhhs.govTable of County Codes Used for the Services Information System. 01 Alamance 51 Johnston ... medical, psychosocial, or psychiatric needs (e.g. medical or psychiatric hospital, State Mental Retardation Center, mental health group home for persons with ... A local jail or a facility administered by the Department of Corrections or Division
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SIS300 SERVICE CODES AND ... - Policies and Manuals
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Child Protective Services Structured Intake Form
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policies.ncdhhs.govPermanency Planning Services require a thorough assessment of the child and family’s needs and careful planning prior to and throughout a child’s experience in county child welfare custody. Permanency Planning Services must be provided to any child in the custody or placement responsibility of a county child welfare services agency.
INTAKE POLICY PROTOCOL AND GUIDANCE
policies.ncdhhs.govReports Involving a Child Fatality with Suspicion that Maltreatment Contributed to the Death 19 Caretaker Definition Decision Tool 20 Reports Involving Child Caring Agencies 21 Duty to Report Allegations of Maltreatment in Child Care 21 Out-of-Home Care Provider CPS Reports 22 Residence or Alleged Maltreatment Is Out-of-State 22
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policies.ncdhhs.gov5. The rights of both parents have been terminated by a relinquishment or court proceeding and the child may be legally placed for adoption by the local child welfare agency or a licensed private child -placing agency. If child support is paid through IV-D and does not go to the local child welfare agencies, then this
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policies.ncdhhs.govresulting from the abuse or neglect of a child(ren). • A request from an out-of-state DSS (public child welfare agency) with a juvenile court case (including permanency planning or termination of parental rights (TPR)) resulting from the abuse or neglect of a child(ren).
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