CMS-07-021/023 - Los Angeles County Department of Children and ...

Psychological/Medical/Dental folder (purple).
6. The DCFS D-Rate Unit will provide the CSW and the PHN with a copy of the PMAF
containing the Courts order. File a copy of the signed court order in the child’s
Psychological/Medical/Dental (purple) folder.
EXHIBIT A-X
• If the court approves the psychotropic medication authorization request, verify with the
caregiver, that the prescription has been filled and that the medication is being administered.
Document this information in the CWS/CMS Health Notebook.
NOTE: The PHN will document the court’s approval or denial of the PMAF
and other pertinent information related to the request (e.g., date the
medication was authorized) in the Health Notebook on CWS/CMS.
• If the court denies the psychotropic medication authorization request, contact the child’s
physician to verify that (s)he has either cancelled the prescription and discontinued the
medication (in accordance with proper medical practice) or has submitted a new PMAF.
Contact the child’s caregiver to verify that (s)he had discontinued the medication if the
physician has cancelled the prescription (or in accordance with proper medical practice
as instructed by the child’s physician). Notify the court immediately if the order is not
being followed.
NOTE: The DCFS D-Rate Unit will notify the caregiver if the PMAF is
denied.
7. The Juvenile Court Psychotropic Desk Clerk is responsible for notifying the minor’s attorney
of the court’s decision.
8. A child’s objection to or noncompliance with the approved psychotropic medication is a
treatment issue to be resolved by the physician prescribing the medication. Please refer to
Procedural Guides 0600-501.05, Medical Consent and 0600-515.20, Psychiatric
Hospitalization: Involuntary.
9. Update the Case Plan to incorporate the child’s treatment plan, including the use of
psychotropic medication.
10. Provide the caregiver with a new, unsigned PMAF for future use.
At each face-to-face contact with the child, review the signed PMAF, to ensure it is
current.
• If the authorization is within one month of expiring, consult with the child’s
physician. If the physician believes the psychotropic medication continues to
be necessary, remind the physician to fax a new PMAF to the DCFS D-Rate
Unit. Verify with the physician and/or the D-Rate Unit to ensure the new PMAF
has been received by the D-Rate Unit.