3. AB3632 NPS/Residential RCL 12
a. In County
Program
Informs Case Manager of clients
admission to program
CSS Case Managers
Check AB3632 Status
Complete the Placement
Authorization (PA) Form and turn into AB3632
Coordinator for signature
AB3632 Coordinator
AB3632 Coordinator places signed
PA Form into designated PA IN-BOX
Clerical Staff
Faxes signed PA Form to
Program
Distributes copies per CSS
protocol
Program
Chart goes to CQRT for continued
authorization
Ψ Every 90 days for Intensive Day Tx.
Ψ Every 180 days for
Rehabilitative Day Tx.