3. AB3632 NPS/Residential RCL 12
b. Out of
County
Program
Informs Case Manager of clients
admission to program
CSS Case Managers
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
Submits Episode Opening and
Registration Forms to AB3632 Coordinator
Submits invoices and daily
attendance records to AB3632 Coordinator on a monthly basis
ุ Invoices are approved and forwarded to BHCS
Finance for payment