Aftercare Services Plan (Enhanced)

Required for Mental & Behavioral Health, IDD/Autism Spectrum, and Treatment Foster Family Care packages

This form includes enhanced requirements per Enhancement Request III.B.4.2

Aftercare Services Plan

Required for Mental & Behavioral Health, IDD/Autism Spectrum, and Treatment Foster Family Care packages (6 months, twice monthly contact minimum)

Enhanced

Service Package Type *

Select the appropriate service package. Required packages have mandatory aftercare periods.

Case Number *

Child Name *

Date of Birth *

Discharge Date *

Aftercare Staff Start Date *

Date when staff began aftercare duties (Enhancement Request III.B.4.2)

Plan Activation Date

Auto-calculated: 90 days before discharge

Primary Contact Method *

Alternative Contact

Alternative Contact Phone

Street Address *

City *

State

ZIP Code *

I have verified this mailing address is current and accurate *

Preferred Contact Times

Morning (8am-12pm)Afternoon (12pm-5pm)Evening (5pm-8pm)Weekends

Contact Frequency

Auto-populated based on package type. Modify as needed for individual case.

Typical Contact Duration

Primary Contact Method

Schedule Notes

STAR Health Coordinator

Include STAR Health Coordinator information if assigned to this case.

Additional Notes

CRITICAL: All aftercare documentation must be submitted to SSCC/DFPS at the end of EACH month

SSCC Contact Email *

Last Monthly Submission Date

Documentation Frequency

Preferred Submission Method

I confirm that monthly documentation submission requirements have been reviewed and understood