Child and Family Connection Office

Helpful Information

Service Coordinator Community of Practice (SC CoP)

Developed by EITP in collaboration with system stakeholders:

• DEC SC CoP web conversation on coaching as a Service Coordinator
• Coaching Families through EI (developed by EITP)
• A Journey through EI (companion tool for families)

FFY 2020-Annual State Grant Application under Part C of IDEA

CFC Agency Listing

Accessing Email Via the Web

Correcting Errors in Cornerstone

CFC Fax Cover Sheet Instructions

Key for Central Billing Office Insurance Benefit Verification Form

Requirements for Submitting a Pre-Billing Waivers Request

Downloads/Forms

• CFC Fax Cover Sheet for Insurance Requests – Fax cover sheet for CFCs to use for insurance requests.
• Assistive Technology Approval Request Form
• Insurance Affidavit Form – Child and Family Connections Insurance Affidavit, Assignment and Release.
• Insurance Change Notification Form – Child and Family Connections Change of Insurance Notification.
• Insurance Exemption Form – Child and Family Connections Insurance Exemption Request.
• Insurance PB Waiver Form – Child and Family Connections Insurance PB Waiver Form.
• Tax Savings Account Information Sheet – Child and Family Connections Tax Savings Account Information Sheet.
• Notice to Consent and Use Private Insurance Health Care Plan Benefit – Child and Family Connections Notice To Consent and Use Private Insurance For Specific Service(s) Form.
• Acknowledgement to Decline Exemption – Child and Family Connections Acknowledgement To Decline Exemption For Tax Savings Account and Individual Plan Forms.

PowerPoint Presentation Videos:

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