10-Day Letter: Pre-enrolled Child/Notification of Potential Discharge
What is a 10-day letter?
This is a notice sent to families who are pre-enrolled and informs the family or case worker that:
- they were referred to PIC but we are unable to contact them to complete referral, intake, evaluation or enrollment.
- they will be discharged from the process if they do not contact us within 10 days of the date of the letter.
- They are encouraged to contact us in the future and before child’s 3rd birthday.
Providers or Referral staff--How to initiate:
- Verify that attempts to contact the family or case worker are in the communication log. Make at least 3 attempts across 2 or more weeks to contact the family, and document
In RT admin tab, initiate and review 10-day letter for address(es), content (Providers can EDIT THIS LETTER)—addresses need to be verified by provider for accuracy

Don't forget to pick option A, B, OR C depending on the specific circumstances for this child (deleting the not appropriate options).

- When you F10/Save letter: a task is auto-generated for Data Entry to print and mail. You do not need to email admin anymore!!
- If at 10 days there is no further contact, the provider completes the exit process/documentation
Children who are in OCS custody: create a 10-day letter for the OCS caseworker as well.
How to know when admin has completed and what date it was sent?
- Admin sends the task back to the provider (final route to themselves so that they can complete the task) with the due date out 10 days and a comment, “This task is coming back to you as a reminder of 10 days. Please exit the child via the comm log if no response from the family.” There is a note in the comm log specifying where the letter was sent and when.

Providers Exit at 10 days:
Go to the Communication tab, pick the category of task as "Exit/LTFU/Decline/WNL" and use the global abbreviation LTFU and the following will appear, edit the note—when you sign off the note, it goes automatically to Admin. (Remember to edit!)
The family is being exited due to:
- declining services with this provider. They were encouraged to reengage if needed.
- being lost to follow up. This provider made several attempts to contact the family, see comm log. Family was encouraged to engage in early intervention services, and contact within 10 days of letter, and did not.

Admin Process
Admin will automatically get a task and send out the 10-day letter to the address listed on the letter. No further action is needed from the provider.

Administrative Staff:
If a family is “Lost To Follow Up” at any time BEFORE an initial IFSP happens then the child is exited with the status of “LOST” in Raintree.
- CHANGE STATUS TO “LOST” IN PATIENT DEMOGRAPHICS TAB

- IN PATIENT DEMOGRAPHICS TAB ALSO CHANGE CHILD’S STATUS DATE TO MATCH EXIT DATE FROM WHEN FAMILY WAS LOST TO FOLLOW UP
- IN “VISIT HISTORY” TAB CLOSE ROLE RECORD IF APPLICABLE WITH EXIT DATE

- IN “ADMIN” TAB CHECK THAT ALL PACKET SIGNATURES ARE COMPLETE OR CLOSED OUT WITH VERBAL CONSENT

- MAKE A NOTE OF EXIT REASON/EXIT DATE IN THE STATE DATABASE TASK AND COMPLETE TASK
IN “ADMIN” TAB SEND REFERRAL FEEDBACK FORM TO REFERRAL SOURCE TO LET THEM KNOW OF STATUS
How to- Referral Feedback Form
Administrative Staff—How to print and mail letter:
A task will be delivered to Group 10
- Go to Group 10 tasks, open the automated task and print the 10-day letter

- A RT editable word document will pop up with letter.

- Control P to print or click printer icon
- Left click on the //Eagle/Cannon 5850 to select the correct tray: Multi-purpose Tray

- Then, click “Print”
- Collect the printed letter, put in envelope and stamp with postage meter
- The default setting is for a 1st class letter so you can place it on the weigh tray if sending additional papers and you think the envelope might be heavier than typical.
- Enter Comm Log stating that letter has been mailed, and to whom at what address.
- For Provider generated letters: send the task back to the provider (final route to themselves so that they can complete the task) with the due date out 10 days and a comment, “This task is coming back to you as a reminder of 10 days. Please exit the child via the comm log if no response from the family”
- For Referral Specialist generated letters: close out the task.
- Electronically send referral feedback letter to referral source at the time the ten-day letter is being mailed
- Children in OCS custody: you need to send OCS caseworker the 10 day letter as well.
Returned mail: In the case of a 10-day letter being returned in the mail do the following:
- Send an email to the provider/referral specialist who generated the letter letting them know it was returned.
- Add a comm log note with the date and reason the mail was returned.
- Shred the returned mailed