OCFS-4251. Financial and Medical Plan

Form OCFS-4251 is a Financial and Medical Plan, which is used to coordinate and manage the medical and financial needs of a child in the custody of the New York State Office of Children and Family Services (OCFS). The form is designed to provide financial assistance and medical services to the child and to ensure that all necessary services are provided in the most cost-effective manner. The form also serves to document the child's medical and financial needs and to ensure that payments are made to the appropriate parties.

The form is completed by the child's custodian, typically a foster parent or other family member, and is reviewed and approved by the OCFS. The form includes information about the child's medical history, current medical needs, and the financial resources available to meet those needs. The form also includes a section for the child's current health insurance coverage, as well as any other medical or financial resources available to the child. Additionally, the form includes sections for the child's current and projected income, expenses, and other sources of income, such as Social Security or Supplemental Security Income.

Important fields in this form include the child's name, date of birth, Social Security Number, medical history, current medical needs, current and projected income, and expenses. The form also requires the custodian to provide information about any other medical or financial resources available to the child. Additionally, the form includes instructions for completing the form and provides guidelines for ensuring accurate completion.

This form is typically used when a child is placed in the custody of the OCFS. The form must be completed and submitted to the OCFS for review and approval. Once approved, the form serves as a guide for the custodian in determining the most cost-effective medical and financial resources available to the child. Additionally, the form serves as an important document in ensuring that the child's medical and financial needs are met in a timely and appropriate manner.

No additional documents are required for filing and completing the form; however, the custodian may be asked to provide additional documentation or proof to verify the information provided on the form. There are no alternatives to this form; however, there are other forms related to this form, such as the OCFS-4259 Medical Plan for Children in Care, which is used to document the child's medical needs and to ensure that all necessary services are provided in the most cost-effective manner.