Rule and Procedure Table of Contents
If the placement relates to any of the following placements: Institutional Residential Care, Child Welfare Group Homes, or Supervised Independent Living Substitute Care programs, the agency must complete CFS 906 Placement/Payment Authorization Form immediately after placement. The agency must then transmit the CFS 906 information via telephone call to the appropriate Region. The appropriate region must receive a call within two working days of the client's placement or discharge. Retroactive payments will not be authorized for more than two days from the time the telephone call is received by the appropriate Region.
Type Service Code Document
0204 Supervised Independent Living Placement CFS 906-1
0215 Supervised Independent Living Placement C-13
7204 Medicaid Supervised Independent Living Placement CFS 906-1
Instructions: Payment for supervision of youth 16 through 20 years of age in independent living arrangements by licensed child welfare agencies as negotiated by contract.