HomeMy WebLinkAbouticc-ihbs-cft-care-plan-coversheet-englishAK 4/4/2024
2000 Embarcadero Cove, Suite 400
Oakland, CA 94606
510-567-8100 / TTY 510-533-5018
Karyn L. Tribble, PsyD, LCSW
ICC/IHBS Child and Family Team (CFT) Client Care Plan
Please use this form for children and youth who are receiving Intensive Care
Coordination (ICC) and/or Intensive Home-Based Services (IHBS) from Alameda County
Behavioral Health (ACBH). This form shall be completed by the CFT facilitator during
the client’s Child and Family Team (CFT) meeting. This document will serve as both the
CFT meeting minutes and the Client Care Plan as required under CalAim.
1. The CFT facilitator shall complete this form during the CFT meeting.
2. Once the document is completed this Client Care Plan shall then be
distributed to CFT members and appropriate service providers on the
client’s care team.
3. The CFT facilitator shall generate in the client’s medical record a Medi-Cal
progress note documenting the content of the CFT meeting and making
note of Section C of the determined goals and objectives.
4. The responsible party shall review and update for upcoming CANS, (i.e.
scheduled update- minimally every 6 months, major life event or if clinically
appropriate)
5. The other members of the treatment team may also use this Client Care
Plan to generate a progress note outlining the content, outcome as well as
clearly documenting their role and participation in the CFT meeting.
6. Client Care Plan shall be filed in the client’s chart and the progress note shall
identify the date and time of the completed CFT meeting. The Medi-Cal
progress note shall then serve as documentation of the Client Care Plan in
accordance with the CFT generated.
If a provider is unable to attend a CFT meeting, they should review the updated
ICC/IHBS Child and Family Team (CFT) Client Care Plan and Meeting Minutes and
document that they did so in a corresponding Progress Note. If the provider has
additional feedback regarding the Client Care Plan, a plan for addressing this should
also be documented in the progress note.