Section 409-K. Case plan and service record

1.  With respect to each
  individual who is  identified  as  requiring  case  management  services
  pursuant  to  this  title,  the  social  services district shall, within
  thirty days of such identification, perform or have performed an initial
  joint  assessment  with  the  individual,  and   other   persons   where
  appropriate,  for the purpose of identifying those problems that have an
  impact on  family  stability  and  hinder  the  potential  for  economic
  independence. A social services district shall prior to implementing the
  provisions  of  this  title  submit a plan for a service case management
  system to the commissioner for approval.
    2. Upon completion of the assessment provided in  subdivision  one  of
  this  section,  the social services district shall, in consultation with
  the  individual,  establish  and  maintain  or  have   established   and
  maintained  a  case  plan  and  service  record  prescribed  pursuant to
  regulations  of  the  department  which  shall  include  at  least   the
  following:
    (a)  identification  of  short  term  and  long range goals which will
  ameliorate the problems indicated in subdivision one  of  this  section.
  Such  identification  shall  also include an estimate of the time period
  necessary to meet these goals;
    (b) identification of services needed by the client, and a description
  of the available resources in the community to meet identified needs; if
  services are not available the record should reflect such;
    (c) documentation of the arrangements made for  the  referral  of  the
  client to service providers;
    (d)  listing  of all services rendered, both direct and those provided
  by other public and private agencies in the community;
    (e) follow-up action  taken  to  assure  clients  are  in  receipt  of
  services,  and  any  actions taken to remove any existing barriers which
  impede the maximum efficiency of service delivery; and
    (f) recordation of the types, cost and auspices of services provided.
    3. The case plan and service record  shall  be  reviewed  and  may  be
  revised,  in  consultation  with the individual, at least once every six
  months after the plan and record have been prepared. Such  review  shall
  include  an evaluation of the effectiveness of services rendered and any
  necessary revisions in goals  or  planned  services  as  they  meet  the
  objectives  indicated  in  paragraph  (a)  of  subdivision  two  of this
  section.
    4. The case plan and service record shall include information for  the
  purpose  of  obtaining  information  regarding services rendered and the
  cost of such services based on assessed values or the value of  services
  rendered,  where  no  fees  are  charged  as  in other publicly financed
  programs together with such other information  as  may  be  required  by
  rules and regulations of the department.
    5.  The  department  is authorized and directed to make such rules and
  regulations as are necessary to carry out the provisions of this title.