7.
Five Plus Days of Day Treatment
(PRE-AUTHORIZATION IS REQUIRED)
b. Other programs providing 5+ days of day
treatment
(Avalon House, FFYC)
Program
• Prior to admission, the program must notify
the RCL 13/14 Coordinator
of
the admission date.
RCL 13/14 Coordinator
•Completes the Placement
Authorization (PA) Form prior to admission
•Faxes signed PA Form to
program
Clerical Staff
•Distributes copies per CSS
protocol
•
Forms to use:
•PLACEMENT AUTHORIZATION FORM