(a) If the Family Service Worker believes TFC to be the most appropriate placement for a child, he or she will:

1. (1) Complete CFS-367: Specialized Placement Referral Form;
2. (2) Email the completed CFS-367: Specialize Placement Referral Form to tfc.referral@dhs.arkansas.gov; and
3. (3) Retain a paper copy of the CFS-367: Specialized Placement Referral Form in the child’s case file.

(b) If the child is accepted into a TFC placement, the Family Service Worker will:

1. (1) Forward additional required documents to the provider, as requested;
2. (2) Continue to maintain the child’s case file while he or she is in TFC; and
3. (3) Coordinate a monthly visit with the TFC case manager to assess the health and safety of the child placed in the TFC home.

(c) The Specialized Placements Unit Manager will:

1. (1) Review the completed CFS-367: Specialized Placement Referral Form for appropriateness;
2. (2) Forward appropriate referrals to the TFC providers; and
3. (3) Notify the FSW if the child is accepted into the TFC program.