1. AB3632 Day Treatment Contract Programs with
Children’s
Specialized Services Case Managers
Program
• Informs Case Manager of client’s admit to
program
CSS Case Managers
•Check AB3632 Status
•Complete the Placement Authorization
(PA) Form and turn into Chief of
Children’s Specialized Services (CSS) for signature
Chief of CSS
•Chief of CSS places signed PA Form into
designated PA in-box
Clerical Staff
•Faxes signed PA Form to
Program
•Distributes copies per CSS
protocol
Program:
•Enters services into PSP
•Follows CQRT Protocol for
on-going authorization
Forms to use:
•PLACEMENT AUTHORIZATION FORM