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Service Plan Review and Approval
Comprehensive review and approval process for Alice Smith's service plan.
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Review Status Dashboard
Current Review Cycle:
Current Review Cycle
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Days in Placement:
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Next Required Review:
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Review Schedule Matrix
Review Type
Due Date
Status
Participants
Completion
Scheduled Reviews
Program Director
Treatment Team
Foster Parent
Child/Youth Voice
Case Manager Review
Assessment of service delivery and child progress.
Service Delivery Assessment
Services being provided as planned?
*
Select an option
Service Details (e.g., Frequency met? Provider feedback? Effectiveness?)
Add Service Detail
Barriers to service delivery (checklist)
Transportation
Scheduling
Child Resistance
Provider Availability
Other
Service modifications needed
Child Progress Summary
Behavioral observations
School performance indicators
Health status update
Relationship development
Life skills progress (if age-appropriate)
Service Plan Goal Review Matrix
Track progress on service plan goals.
Goal
Baseline
Current
Progress
Status
Evidence
Next Steps
Target Date
Actions
Add Goal
Compliance & Documentation
DFPS notification tracking and multi-level signatures.
DFPS Notification Tracking (for Quarterly Reviews)
DFPS Submission Requirements
Written confirmation statement completed
Evidence documentation attached
All required signatures obtained
Submission Details
Caseworker Name
Caseworker Email
Date Sent
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Time Sent
Method
Select method
Confirmation #
Response Received
Select status
Multi-Level Signatures
30-Day Review Signatures
Case Manager Name
Case Manager Date
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Foster Parent Name
Foster Parent Date
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Supervisor Name
Supervisor Date
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90-Day/Quarterly Review Signatures
Program Director Name
*
Program Director Date
*
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Clinical Director Name
Clinical Director Date
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Case Manager Name
Case Manager Date
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Foster Parent Name
Foster Parent Date
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Annual Review Signatures
Regional Director Name
Regional Director Date
Pick a date
CASA Name (if assigned)
CASA Date (if assigned)
Pick a date
Educational Advocate Name
Educational Advocate Date
Pick a date
Action Planning & Follow-Up
Immediate actions and future planning.
Immediate Action Items
Action
Responsible Party
Due Date
Priority
Actions
Add Action Item
Service Plan Modifications
Modifications needed?
*
No changes needed - continue current plan
Minor adjustments (case manager approval)
Significant changes (treatment team approval)
New goals added (full team approval)
Package change recommended (Program Director + DFPS)
Follow-Up Schedule
Next case manager contact:
Pick a date
Next foster parent check-in:
Pick a date
Next treatment team meeting:
Pick a date
Special review if needed?
Yes, special review needed
Submit Review