Form Aap 6l - Adoption Assistance Program - Negotiated Benefit Amount And Approval Page 4
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8STATE OF CALIFORNIA – HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
ADOPTION ASSISTANCE PROGRAM
NEGOTIATED BENEFIT AMOUNT AND APPROVAL
FORM INSTRUCTIONS
The attached Adoption Assistance Program (AAP) Negotiated Benefit Amount and Approval
form documents the process of assessing the child’s needs and discussions with the family
resulting in the approved negotiated AAP benefit. This form is to be completed in conjunction
with initial and subsequent AAP agreements (AD 4320) and reassessments (AAP 3.) The form
is to be completed by the adoptions social worker and approved by the adoptions supervisor.
The following are the steps to chronicle the process for completing the form:
1. Determine which county is financially responsible for the payment.
2. Identify and document the child’s care and supervision needs including any special
needs beyond basic care and supervision with direct observation of the child, discussions
with the family, and review of case file documents. Note: Direct observation of the child
is not required for subsequent renegotiations or the completion of the reassessment
process.
AAP 6L (1/17)
PAGE 4 OF 8
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