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Out of Home Concurrent Review Form This form is to be typed. Send completed form by fax to the UACP Prior Authorization Department at (520) 6940599 Member Name: Date of Birth: Outpatient Agency: Outpatient
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What is out of home concurrent?
Out of home concurrent refers to the process of temporarily caring for a child outside of their home while the child welfare agency retains legal custody.
Who is required to file out of home concurrent?
Child welfare agencies or social services departments are responsible for filing out of home concurrent when it is necessary to remove a child from their home.
How to fill out out of home concurrent?
Out of home concurrent can be filed by completing the necessary paperwork and documentation mandated by the child welfare agency or social services department.
What is the purpose of out of home concurrent?
The purpose of out of home concurrent is to ensure the safety and well-being of a child who cannot remain in their home due to safety concerns or abuse.
What information must be reported on out of home concurrent?
Information such as the reason for removal, the placement setting, and the plan for reunification or permanency must be reported on out of home concurrent.
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