In addition to the factors detailed in 4114 Required Factors to Consider When Evaluating a Possible Placement and its sub-items, the DFPS caseworker or Single Source Continuum Contractor (SSCC) equivalent must consider the following factors when choosing a placement for a child or youth with primary medical needs (PMN):

• Whether the home is contracted and verified to provide PMN services.
• The individual capabilities of the foster family that meet the specific needs of the child or youth.
• The number of children or youths in the home and how many of them are also receiving PMN services.
• Whether the caregiver treats the child or youth like a patient or a family member and includes them in daily activities and family activities (for example, daily meals, family outings, and recreational activities).
• Whether the foster parent will be the caretaker of the child or youth during daytime hours and nighttime hours.
• Whether the foster parent acts as the caretaker for the other children or youths currently placed in the foster home.

For the definition of primary medical needs, see the Texas Child-Centered Care (T3C) System and Placement Resource Guide – Specific Placement Considerations for Children Who Have Primary Medical Needs.