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Policy
Manual
ADOPTIONS
Adoption Placement Process
48-15-10
CMS Coding at Placement
| Case Establishment Form |
At the time of placement into the adoptive family, the
child's name may be changed to include the adoptive family's name. On the Case
Establishment - Referral Form (DCF-379), change the name of the child and list under also
known as (AKA) the child's birth name. Do not change the number. If this is a foster
parent adoption, DCF-379 is completed after the Agreement for Placement in Adoption
(DCF-421) is signed. The Data Entry Operator must enter the DCF-379 before other forms
with the new name. By maintaining the child's CMS number, with a new name and address
change, this eliminates the need for a new treatment plan.
Note: The Data Entry Operator may need to page through various CMS and
VPS screens to change the child's name. The child will now have the adoptive name with
their old number. |
| Case Treatment Plan Control Form |
Case Activity Form (DCF-386) will remain in effect; the
placement will continue to be coded as a foster care placement until the child's adoption
is finalized. |
| Medical Number |
The child's birth name should be listed under AKA on DCF-379.
This will not affect the child's medical number.) The eligibility specialist or
regional staff person will request a new EMS number of the child going into adoptive
placement by completing a W1Y (if the child is not Title XIX eligible) or a Title
IV-E/Title XIX Application (DCF-550) (if the child is Title XIX eligible) with an enclosed
memo to the Chief of Eligibility Services with the Department of Social Services.
If the child is IV-E eligible, only the initial date on the DCF-550 and questions #10,
#16, and the declaration of citizenship, is completed. The child will then be given a new
EMS number. |
| Placement and Reimbursement/Payment Form |
Placement and Reimbursement/Payment Form (DCF-383) should be
completed and coded subsidized adoption (03). |
| At Finalization |
At the time of finalization, the child's name should be
changed back to the birth name in DCF-379 and the case is then closed. If this is to be a
subsidized adoption, the Adoption Subsidy Agreement, Initial Agreement (DCF-418-I) may use
the child's adoptive name. |
Connecticut Department of Children and Families Issued:
March 1, 1994
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