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Print Form Reset Form MAGELLAN COMPLETE CARE Prior Authorization Antidepressant (6 years of age) Note: Form must be completed in full. An incomplete form may be returned. Recipients Medicaid ID #
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How to fill out a child under state care/custody:

01
Gather all necessary documents: Start by collecting all the required documents for filling out the paperwork. This may include identification documents, birth certificate, medical records, and legal documents related to the child's custody.
02
Complete the application form: Fill out the application form provided by the state's child welfare agency or the relevant authority. Ensure that you provide accurate and up-to-date information regarding the child's personal details, including their name, date of birth, and social security number.
03
Provide details about the child's background: In this section, you may need to provide information about the child's family, educational background, medical conditions, and any special needs they might have. Be thorough in providing all the necessary information to ensure proper assessment and placement.
04
Explain the reason for the child's need for state care/custody: Provide a detailed explanation of why the child needs state care or custody. This may involve highlighting any safety concerns, neglect, abuse, or parental incapacity that makes it necessary for the child to be under state care. Be truthful and provide any supporting evidence if required.
05
Consent and authorization: Depending on the jurisdiction, you may need to sign consent forms and provide authorization for the child's placement under state care/custody. This is typically done to ensure that you understand and agree to the responsibilities and obligations that come with taking care of the child.

Who needs a child under state care/custody:

01
Parents or guardians unable to provide a safe and suitable environment: In cases where parents or legal guardians are incapable of ensuring the child's well-being due to issues like substance abuse, mental health problems, incarceration, or domestic violence, the child may be placed under state care/custody.
02
Cases of neglect or abuse: If there is evidence of neglect or abuse towards the child within their home environment, child protective services may intervene and take temporary or permanent custody of the child. This is to ensure the child's safety and protect their best interests.
03
Children with no suitable legal guardians: Children who have no suitable legal guardians, such as orphans or those whose parents are deceased or unable to care for them, may require state care/custody until appropriate guardianship can be established.
In summary, filling out the paperwork to place a child under state care/custody involves gathering necessary documents, completing the application form, providing details about the child's background, explaining the reasons for the child's need for state care, and signing consent and authorization forms. Child under state care/custody is needed for situations where parents or guardians are unable to provide a safe environment, cases of neglect or abuse, and for children without suitable legal guardians.
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A child under state care/custody refers to a child who has been removed from their parents or guardians' care by the state due to safety concerns or legal issues.
The agency or individual responsible for the child's care and custody is required to file a report on the child under state care/custody.
To fill out a report on a child under state care/custody, the filer must provide detailed information about the child's current situation, needs, and any plans for their care.
The purpose of reporting on a child under state care/custody is to ensure that the child's well-being and needs are being met and to track their progress while in state care.
Information that must be reported on a child under state care/custody includes the child's current living situation, educational needs, health status, and any legal proceedings involving the child.
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