4.AB3632
NPS/Residential RCL 13/14
b. Out Of
County
Program and CSS Case Manager
•Arrange client’s admission to
program
CSS Case Managers
•Complete the Placement
Authorization (PA) Form and turn into AB 3632
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.