Sec. 14.31.03.04. Procedures for Development of Interagency Plans

A. Within 10 working days after a child is hospitalized, the lead agency shall provide case management services to each hospitalized child, in the manner considered appropriate by the lead agency, to assist in securing and maintaining appropriate discharge services and placement.

B. The hospital treatment team and lead agency shall jointly develop for each hospitalized child a discharge plan that includes recommendations for the services needed to maintain the child outside the inpatient setting and provide appropriate treatment.

C. The recommendations in the discharge plan may include the following:

(1) Therapy;

(2) Education;

(3) Residential arrangement;

(4) Medications and medical needs;

(5) Physical needs;

(6) Social and recreational needs;

(7) Family involvement in therapy; and

(8) Family visitation.

D. The case manager from the lead agency shall attend the discharge planning meeting with the hospital treatment team, or be available by telephone to discuss the discharge plan. The lead agency shall be responsible for implementing the discharge plan.

E. The multi-agency review team shall meet every 2 weeks to review the discharge plan and the tracking forms of each hospitalized child who is ready for discharge or whose tracking forms indicate possible difficulty in obtaining timely and appropriate discharge to assist in resolving problems that might require interagency action or planning.