DISCUSSION:

The purpose of this memorandum is to introduce the new CD-174 Out of County Home Assessment Request which replaces the CS-120 Out of Town Inquiry and to introduce the Service Worker/Case Transfer Request CD-175. Introduction of these tools makes the previous CS-120 and use of the IM-42 obsolete. 

CD-174 is to be used to request a home assessment for a potential resource provider residing outside the child’s county of jurisdiction. 

CD-175 is to be used to request a case transfer or service case opening for a family who has relocated to another county in Missouri or for child/ren that are placed outside of their county of jurisdiction. Complete the CD-175 within five (5) working days after placement has been confirmed. 

The O.T.I Study/Request/In State (CS-120) and the Inter-County Transfer (IM-42) have been removed from manual activities in FACES. Effective tomorrow’s date, the manual activities will include the Out of County Home Assessment (CD-174) and Service Worker/Case Transfer Request (CD-175). 

In addition to using one of these two tools, the case manager is also required to do a follow up contact with the receiving county to verify receipt of request and answer any additional concerns or questions. 

Sample cover letters have been developed to accompany the CD-174 Out of County Home Assessment and CD-175 Service Worker/Case Transfer Request. The sample cover letters are available under the reference documents and resources section of the Children’s Division E-forms. 

The CD-174, CD-175, and instructions are available on Children’s Division E-forms. The revised forms are to be utilized beginning the date of this memorandum.