1. (a)

   1. (1) The following are procedures to use when requesting an out-of-state home study for an Arkansas child, including placement into residential treatment facilities.
   2. (2) Always use the child’s name on the correspondence.

2. (b) The sending party (county office, etc.) will follow CFS-6092: ICPC Home Study Request Check List and compile an Interstate Compact Placement Packet consisting of three (3) copies of each of the following (include five (5) copies of ICPC-100A):

   1. (1) Cover Letter (CFS-6092: COVER LETTER) to explain the placement plans;

   2. (2)

      1. (A) ICPC-100A: ICPC Request.
      2. (B) Retain one (1) copy and include five (5) completed, signed, and dated copies with the packet;
   3. (3) Court order (most recent) showing that the Department of Human Services has custody or the court has jurisdiction of the child (e.g., adjudication order, recent review order);
   4. (4) Termination of parental rights (TPR) for an adoptive home study;
   5. (5) ICPC-101: Priority Home Study Request;
   6. (6) Current case plan (CFS-6010: Case Plan);
   7. (7) Social summary (CFS-6092: SOCIAL SUMMARY) or an adoption summary if requesting a preadoptive placement;
   8. (8) Medical records/reports (PACE evaluation, if available), including immunization records;
   9. (9) School reports/records from the past three (3) years, if applicable;
   10. (10) Psychological evaluations/reports and counseling reports, if applicable;

   11. (11)

       1. (A) Financial/medical plan (CFS-592: Financial/Medical Plan Interstate Compact on the Placement of Children).
       2. (B) The form must indicate that the Division of Children and Family Services is the sending party and will retain financial and planning responsibility for the child;

   12. (12)

       1. (A) IV-E eligibility form (print screen of CHRIS foster care determinations window).
       2. (B) Financial arrangements should always be discussed with the prospective placement resource before the home study is requested.
       3. (C) If a board payment is needed, a foster home study must be requested;

   13. (13)

       1. (A) Proof of citizenship.
       2. (B) United States birth certificate or other birth records.
       3. (C) If birth records are not available, you can ask if the client has any other citizenship-related documents such as those listed in sections 6700, 6703, and 6705 of the following link: https://humanservices.arkansas.gov/wp-content/uploads/Medical-Services-Appendices-3.14.24.pdf;

   14. (14)

       1. (A) Proof of identity.
       2. (B) A Social Security card, completed application for a duplicate card, or school ID with photo.
       3. (C) (Per the division Eligibility Unit, federal authority will determine other acceptable documents of a child’s identity “at a later date”); and

   15. (15)

       1. (A) Photo of child or children.
       2. (B) This is not required, but is strongly encouraged.
3. (c) Send packet to: ICPC Central Office Donaghey Plaza South 700 Main Street P.O. Box 1437, Slot S567 Little Rock, Arkansas 72201-1437

4. (d)

   1. (1) Financial arrangements should be discussed with the prospective placement resource and put in writing before the study is requested.
   2. (2) If a board payment is needed, a foster home study must be requested.

5. (e) The Arkansas ICPC Central Office will:

   1. (1) Review the packet to determine whether it is complete and ready to forward to the receiving state’s ICPC office;
   2. (2) Coordinate with the sending party if changes in the packet are needed;
   3. (3) Send packet to receiving state’s compact office; and
   4. (4) Notify sending party of disposition.

6. (f) The Family Service Worker and/or Area ICPC Liaison will:

   1. (1)

      1. (A) Complete and route the ICPC-100B to the ICPC office if the out-of-state placement is approved and made.
      2. (B) Show the date of the placement or of the withdrawal of the request;
   2. (2) Close the Arkansas Medicaid so that Medicaid services can be pursued in the receiving state;
   3. (3) Code the CFS-6013: Application for Emergency Services to show ICPC service using the child’s name;
   4. (4) Key the case type in CHRIS as “ICPC” for the child placed by the division in another state;
   5. (5) Notify the Adoption Services Unit of a proposed adoptive placement, if appropriate; and
   6. (6) Coordinate the travel plans with the Family Service Worker if placement is approved (placement must be made within six (6) months of placement approval).
7. (g) Communication between states regarding approval of placements, progress reports, case closures, and disruptions must go through the Arkansas ICPC Central Office.

Codification Notes: “ID” means identification. This section as promulgated prior to codification into the Code of Arkansas Rules provided as follows: "08/2010"