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Includes instructions for service description and delivery methods, progress tracking, and criteria for completing goals. Defines target populations eligible by case status, addresses optional crisis service requirements, and requires at least three goals with objectives. Also covers minimum qualifications for direct workers, supervisors, support staff, and clinicians, plus billable units, Medicaid and interpretation/translation provisions, and court testimony billing rules.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/specialized-service-service-standard/164240/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/specialized-service-service-standard/164240.png","ImageObject",442,249,{"name":88,"@type":89},"Ivy","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-09-23","2026-08-31",true,{"@type":98,"interactionType":99,"userInteractionCount":47},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What must be included in the Service Description for a Specialized Service?","Question",{"text":108,"@type":109},"Include a general description of the service, any assessments or tests, the target client, the needs addressed, and the overall intended goal.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"How are progress and service completion determined under the Service Delivery section?",{"text":113,"@type":109},"Describe the delivery mode, frequency, evidence-based models/curricula/resources, and explain how progress is tracked and how providers, families, and DCS confirm goals are met.",{"name":115,"@type":106,"acceptedAnswer":116},"What are the key rules for billing face-to-face services and court appearances?",{"text":117,"@type":109},"Face-to-face services may be billed in 15-minute increments with partial units rounded to the nearest quarter hour using the provided minute ranges. Court appearances are billed per appearance after a written/email request or subpoena, with a maximum of 1 court appearance per day and the rate including associated costs.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},164240,1788150226,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":47,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":135,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":125,"read_time":79},549758252649,"https://ap-avatar.wpscdn.com/avatar/8000253669c5317157?_k=1778319167496531819","SERVICE STANDARD\nINDIANA DEPARTMENT OF CHILD SERVICES\nComplete each section by filling in your proposed language in the yellow box below the description. Attach document in the ‘Service Narrative’ attachment under Specialized Services.\nNAME OF SPECIALIZED SERVICE\nService Description\nProvide a general description of the service to be offered. Include any assessments or test, the target client (adult, youth), needs to be addressed, and overall intended goal.\nService Delivery\nProvide the ‘how and when’ details here.  What mode of delivery will be used, how often are services provided, what evidence based models, curricula, or resources are used? Describe how progress is tracked and how does the provider, family, and DCS know when services are complete and goals have been met.\nTarget Population\nSection A below is standard language.  Please add any additional details necessary in the box below.\nServices must be restricted to the following eligibility categories:\nChildren and families who have substantiated cases of abuse and/or neglect and will likely develop into an open case with Informal Adjustment (IA) or CHINs status.\nChildren and their families which have an Informal Adjustment or the children have the status of CHINS or JD/JS.\nChildren with the status of CHINS or JD/JS and their Foster/Kinship families with whom they are placed.\nAll adopted children and adoptive families.\nCrisis Service\nIf crisis services is part of the Specialized service, explain applicable use and availability.  If Crisis Services are not part of your service, type N/A in the box\nGoals and Outcomes\nOutline each goal for the service and include objectives for each individual goal. Do not include a goal without objectives. Please include at least 3 goals.\nMinimum Qualifications\nOutline qualifications for the Direct Worker, Supervisor, and any support staff or clinicians for the service.\nDirect Worker\nSupervisor\nSupport Staff\nClinician(s)\nOther\nBillable Units\nExplain proposed billing rate and increments (hour, per diem, month, etc.) and format (face to face, group, etc.), which may be adjusted by DCS. Indicate whether or not your service is Medicaid billable\n(Standard) Face to Face Services may be billed in 15 minute increments; partial units are rounded to the nearest quarter hour using the following guidelines:\n0 to 7 minutes – Do not bill (0.00 hour)\n8 to 22 minutes – 1 fifteen minute unit (0.25 hour)\n23 to 37 minutes  - 2 fifteen minute units (0.50 hour)\n38 to 52 minutes – 3 fifteen minute units (0.75 hour)\n53 to 60 minutes – 4 fifteen minute units (1.00 hour)\nInterpretation, Translation, and Sign Language Services – Standard for all service standards\nThe location of and cost of Interpretation, Translation, and Sign Language Services are the responsibility of the Service Provider.\nIf the service is needed in the delivery of services referred, DCS will reimburse the Provider for the cost of the Interpretation, Translation, or Sign Language service at the actual cost of the service to the provider.\nThe referral from DCS must include the request for Interpretation services and the agencies’ invoice for this service must be provided when billing DCS for the service.\nProviders can use DCS contracted agencies and request that they be given the DCS contracted rate but this is not required.\nThe Service Provider Agency is free to use an agency or persons of their choosing as long as the service is provided in an accurate and competent manner and billed at a fair market rate.\nIf the agency utilizes their own staff to provide interpretation, they can only bill for the interpretation services. The agency cannot bill for performing two services at one time.\nCourt – standard for most services\nThe provider of this service may be requested to testify in court.\nA Court Appearance is defined as appearing for a court hearing after receiving a written or email request or subpoena from DCS to appear in court, and can be billed per appearance.\nIf the provider appeared in cour","cbCaisYIMBA5YkEw","https://ap.wps.com/l/cbCaisYIMBA5YkEw","docx",36677,10,"English","# Service Standard\n## Name of Specialized Service\n## Service Description\n## Service Delivery\n## Target Population\n## Crisis Service\n## Goals and Outcomes\n## Minimum Qualifications\n## Billable Units\n## Interpretation, Translation, and Sign Language Services\n## Court\n## Reports\n## Medicaid\n## Case Record Documentation","[{\"question\":\"What must be included in the Service Description for a Specialized Service?\",\"answer\":\"Include a general description of the service, any assessments or tests, the target client, the needs addressed, and the overall intended goal.\"},{\"question\":\"How are progress and service completion determined under the Service Delivery section?\",\"answer\":\"Describe the delivery mode, frequency, evidence-based models/curricula/resources, and explain how progress is tracked and how providers, families, and DCS confirm goals are met.\"},{\"question\":\"What are the key rules for billing face-to-face services and court appearances?\",\"answer\":\"Face-to-face services may be billed in 15-minute increments with partial units rounded to the nearest quarter hour using the provided minute ranges. Court appearances are billed per appearance after a written/email request or subpoena, with a maximum of 1 court appearance per day and the rate including associated costs.\"}]","Specialized Service - Service Standard | DOCX"]