Page:United States Statutes at Large Volume 106 Part 1.djvu/461

 PUBLIC LAW 102-321—JULY 10, 1992 106 STAT. 429 to receive such a grsint, an applicant must provide assurances that the applicant will obtain at least 10 percent of such costs from non-Federal funds (and such contributions to such costs may be in cash or in-kind, including facilities and personnel). " (e) RULE OF CONSTRUCTION REGARDING AT-RISK BIRTHS.—For purposes of subsection (a)(1), a pregnant womcin shall be considered to be at risk of delivering an infant with a health or developmental complication if during the pregnsmcy the woman— "(1) lacks appropriate access to, or information concerning, early and routine prenatal care; "(2) lacks the transportation necessary to gain access to the services described in subsection (b); "(3) lacks appropriate child care assistance, which results in impeding the ability of such woman to utilize health and related social services; "(4) is fearful of accessing substemce abuse services or child and family support services; or "(5) is a minor with a low income. "(f) DELIVERY OF SERVICES AND CASE MANAGEMENT.— "(1) CASE MANAGEMENT MODEL. —Home visiting services provided under this section shall be delivered according to a case management model, and a registered nurse, licensed social worker, or other licensed health care professional with experience and expertise in providing health and related socicd services in home and community settings shall be assigned as the case manager for individual cases under such model. "(2) CASE MANAGER.— ^A case manager assigned under paragraph (1) shall have primary responsibility for coordinating and overseeing the development of a plan for each family that is to receive home visiting services under this section, and for coordinating the delivery of such services provided through appropriate personnel. "(3) APPROPRIATE PERSONNEL. —In determining which personnel shall be utilized in the delivery of services, the case manager shall consider— "(A) the stated objective of the project to be operated with the grant, as determined after considering identified gaps in the current service delivery system; and "(B) the nature of the needs of the family to be served, as determined at the initial assessment of the family that is conducted by the case manager, and through followup contacts by other providers of home visiting services. "(4) FAMILY SERVICE PLAN.— ^A case manager, in consultation with a team established in accordance with paragraph (5) for the family involved, shall develop a plan for the family following the initial visit to the home of the family. Such plan shall reflect— "(A) an assessment of the health and related social service needs of the family; "(B) a structured plan for the delivery of home visiting services to meet the identified needs of the family; "(C) the frequency with which such services are to be provided to the family; "(D) ongoing revisions made as the needs of family members change; and "(E) the continuing voluntary participation of the family in the plan.

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