T3C Caseload Point System & Staffing Ratios

Ensuring Compliant Ratios Across Blended Service Packages

Document Version: 2.0•Effective: December 2025

Case Manager Point System

120 total points ÷ Service Package Ratio = Point Value per Child

Service Package	CM Ratio	Points	Rationale
T3C Basic Foster Family Home	1:20	6	Lowest complexity, highest ratio
Substance Use Support Services	1:15	8	Recovery coordination, weekly therapy monitoring
Short-Term Assessment Support Services	1:12	10	Time-limited but intensive assessment coordination
Mental & Behavioral Health Support Services	1:15	8	Standard behavioral health complexity
IDD/Autism Spectrum Disorder Support Services	1:15	8	Standard ratio with specialized developmental needs
Human Trafficking Victim/Survivor Support Services	1:15	8	Standard ratio with trauma specialization
Sexual Aggression/Sex Offender Support Services	1:15	8	Standard ratio with specialized treatment coordination
Treatment Foster Family Care Support Services	1:6	20	Highest intensity; 60-day reviews; step-down planning
Specialized Treatment Foster Family Care Support Services	1:6	20	Highest intensity, research-based model
Complex Medical Needs/Medically Fragile Support Services	Variable	15	High complexity, medical coordination required

Add-On Service Points

Add-On Service	Points
Pregnant & Parenting Youth Support	+2
Transition Support Services	+2
Kinship Caregiver Support	+1

Note: STASS is NOT eligible for Add-On Services per T3C Blueprint.

Medical Complexity Modifiers

Applied to Complex Medical Needs package only

Complexity Level	Points
Standard Medical Routine medical monitoring	+0
Moderate Complexity Multiple specialists, daily medications	+3
High Complexity Medical equipment, nursing visits	+5
Medically Fragile 24/7 medical oversight, life-sustaining equipment	+8

Aftercare Status Modifier

Aftercare Status

Post-discharge, receiving follow-up contacts (2 contacts per month)

0.5

points (flat)

Note: Short-Term Assessment children do NOT enter aftercare status per T3C Blueprint.

Service Package	Case Manager	Licensed Therapist	BSS/Mentor	Crisis Mgmt	Aftercare CM	Foster Home Limit
Basic	1:20	N/A	N/A	N/A	N/A	Per home study approval
Substance Use	1:15	1:14	1:15	1:25	1:25	Per home study approval
STASS	1:12	1:12	N/A	1:25	N/A	4 STASS children
Mental Health	1:15	1:14	1:15	1:25	1:25	Per home study approval
IDD/Autism	1:15	1:12	1:15	1:25	1:25	Per home study approval
HT Survivor	1:15	1:14	1:15	1:25	1:25	Per home study approval
Sexual Aggression	1:15	1:14	1:15	1:25	1:25	Per home study approval
TFFC On-Call Licensed Therapist required 24/7	1:6	1:11	1:6	1:25	1:25	2 TFFC children
Specialized TFC Research-based model	1:6	1:11	1:6	1:25	1:25	2 STFC children
Complex Medical 24/7 RN availability required	Variable	1:14	1:15	1:25	1:25	Per home study approval

Caseload Management Guidelines

Zone	Point Range	Status	Action Required
Low	Under 80	Under-utilized	May indicate capacity for additional assignments
Green	100-120	Optimal	Normal operations
Yellow	121-130	Monitor	Requires supervisor awareness; consider rebalancing
Red	131+	Over Capacity	Immediate intervention required

Document References

FC-SU-01Substance Use Support Services Policy

FC-STASS-01Short-Term Assessment Support Services Policy

FC-TFFC-01Treatment Foster Family Care Support Services Policy

FC-MH-01Mental & Behavioral Health Support Services Policy

FC-IDD-01IDD/Autism Support Services Policy

FC-04Crisis Management Policy

FC-AF-01Aftercare Services Policy

T3C BlueprintDFPS T3C System Blueprint (April 2025)

This document ensures T3C compliance while providing flexibility for real-world caseload management.

Regular monitoring and adjustment will optimize both child outcomes and staff wellbeing.