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HomeMy WebLinkAboutC04-138 Core Services Program PlanGv ~- -l3~'~ 2 Z. REQUEST FOR STATE APPROVAL OF PLAN This Core Services Plan is hereby submitted for Eagle COU11'~/, for the period June 1, 2004, through May 31, 2007. The Plan includes the following: ~ Completed "Statement of Assurances"; ~ Completed Statement of the eight (8) required Core services to be provided or purchased and a list of county optional services, County Designed Program Services, to be provided or purchased; ~ Completed program description of Each proposed "County Designed Service"; ~ Completed "Information on Fees" form; ~ Completed "Reunification Issues" form; ~ Completed "Direct Service Delivery" form; ~ Completed "Purchase of Service Delivery" form; ~ Completed "Projected Outcomes" form; ~ Completed "Overhead Cost" form; ~ Completed "Final Budget Page" form; ~ Completed "State Board Summary"; and, ~ Completed "100% Funding Summary" form. This Core Services Program Plan has been developed in accordance with State Department of Human Services rules and is hereby submitted to the Colorado Department of Human Services, Division of Child Welfare Services for approval. If the enclosed proposed Core Services Program Plan is approved, the plan will be administered in conformity with its provisions and the provisions of State Department rules. The person who will act as primary contact person for the Core Services Plan is, Kathleen Forinash, and can be reached at telephone number (970) 328-8858. -~-'c' LL LLCGl~.~. Kathlee~orinash, DIRECTOR, EAGLE COUNTY HEALTH & HUMAN SERVICES DATA Cheryl Paller, CHAIR, PLACEMENT ALTERNATIVES COMMISSION DATE Tom C. Std~ie, CHAIR, BOARD OF COUNTY COMMISSIONERS DATE 2 CORE SERVICES STATEMENT OF ASSURANCES EAGLE County assures that, upon approval of the Core Services-Chafee Foster Care Independence Program Plan the following will be adhered to in the implementation of the Plan: Core Services Assurances: • Operation will conform to the provisions of the Plan; • Operation will conform to State rules; • Core Services Program Services, provided or purchased, will be accessible to children and their families who meet the eligibility criteria; • Operation will not discriminate against any individual on the basis of race, sex, national origin, religion, age or handicap who applies for or receives services through the Core Services program; • Services will recognize and support cultural and religious background and customs of children and their families; • Out-of-state travel will not be paid for with Core Services funds; • All forms used in the completion of the Core Services plan will be State prescribed or State approved forms; • Core FTE/Personal Services costs authorized for reimbursement by the State Department will be used only to provide Core Services authorized in the county(ies)' approved Core Services Plan; • The purchase of services will be in conformity with State purchase of service rules including contract form, content, and monitoring requirements; and • Information regarding services purchased or provided will be reported to the State Department for program, statistical and financial purposes. 3