Rule 5.647.Medi-Cal: Presumptive Transfer of Specialty Mental Health Services
Division 3. Juvenile Rules · Chapter 10. Medication, Mental Health, and Education · Adopted 2018 · no amendments on record · Last verified September 10, 2026
Full Text of Rule 5.647
Plain-English Summary
When a foster child or nonminor is placed outside the county running their case, responsibility for arranging specialty mental health services presumptively moves to the county of residence. That presumption can be waived, and this rule is the route to a judicial review of the placing agency’s decision on a waiver request. It applies to any change of placement within California that lands outside the county of original jurisdiction, including the first one.
Four categories may ask the placing agency for a waiver: the child or nonminor; the person or agency who makes their mental health care decisions; the child welfare or probation agency responsible for their care and placement; and any other interested party owing a legal duty involving the child’s health or welfare. Whoever asked — or any party who disagrees with the agency’s answer — may then ask the court to review it, by filing form JV-214 with the placing agency within seven court days of being notified of the determination.
Requesting the hearing freezes the transfer until the court rules. The court may set the hearing no later than five court days after the request is filed, or deny the request without ruling on the transfer. If it sets one, the clerk notifies parents (unless rights are terminated) or guardians, the petitioner, the social worker or probation officer, any appointed mental health care decision maker, an Indian child’s tribe, the child if 10 or older or the nonminor, and everyone else entitled to statutory notice.
The agency’s report is due to the court, all parties, and the requester no later than two court days after the hearing is set, and the rule lists what it must cover: the agency’s reasoning and the exceptions claimed, its determination, any objections to it, how the child’s best interests are served, confirmation that the child, their parents where applicable, the child and family team and others such as a therapist, decision maker or CASA were consulted, confirmation that notice went out, whether the original county’s mental health plan has a contract with a provider or can get one within 30 days and deliver services promptly, and how the child’s current services would be affected.
At the hearing the court may confirm or deny the transfer, or apply an exception, on the child’s best interests. A waiver is contingent on the original county actually being able to deliver — an existing contract or one within 30 days, and timely services. The person seeking the waiver carries the burden, by a preponderance. The hearing must conclude within five court days of the initial date unless good cause supports a continuance.
The best-interest inquiry is open-ended but the rule offers five markers: access to services and whether important service relationships would be disturbed; the effect on reunification services where they are being provided; the expected length of stay in the new placement; the position of the child or nonminor or their attorney; and whether services can practically be kept in the original county or arranged in the new one. Findings and orders go on form JV-215.
Advisory Committee Comment
The following comment is published by the Judicial Council of California alongside the rule itself — not commentary from this site.
The exceptions to the presumptive transfer of the responsibility to provide for and arrange for specialty mental health services to the county of the child’s or nonminor’s out-of-county residence are found in Welfare and Institutions Code section 14717.1(d)(5)(A–D). A court review hearing under this rule may not necessarily be common, but under section 14717.1(d)(7), for all cases, a request for waiver, the exceptions claimed as the basis for the request, a determination whether a waiver is appropriate under Welfare and Institutions Code section 14717.1, and any objections to the determination must be documented in the child’s or nonminor’s case plan under Welfare and Institutions Code section 16501.1. The Department of Health Care Services and California Department of Social Services are responsible for providing policy guidance and regulations to implement Assembly Bill 1299 (Ridley-Thomas; Stats. 2016, ch. 603). The policy guidance and regulations should be used during the administrative process related to presumptive transfer. This would include determining who is entitled to make a request for waiver under (b)(1)(D) of the rule and section 14717.1(d)(2), where “department” refers to the Department of Health Care Services. In the policy guidance and regulations, the Department of Health Care Services and California Department of Social Services will determine who owes a legal duty to the child or nonminor and thus may request a waiver of presumptive transfer. In addition, the policy guidance and regulations will address the timelines for the period to request a hearing. Presumptive transfer cannot occur until the court has made a ruling on the request for a hearing, and if a hearing is granted, makes a ruling as required in (c)(3). In accordance with the policy guidance issued by the Department of Health Care Services and California Department of Social Services, the delivery of existing specialty mental health services to the child or nonminor must however continue without interruption, and be provided or arranged for, and paid for by the Mental Health Plan in the county of original jurisdiction until the court makes a ruling on the request for a hearing or makes a ruling as required in (c)(3) if a hearing is granted.
Frequently Asked Questions
What is presumptive transfer?
When a foster child or nonminor is placed outside the county of original jurisdiction, responsibility for arranging and providing specialty mental health services presumptively transfers to the county of residence. This rule provides the court review of a request to waive that transfer.
Who can ask for a waiver?
The foster child or nonminor; the person or agency responsible for their mental health care decisions; the child welfare or probation agency responsible for their care and placement; and any other interested party owing a legal duty involving the child’s health or welfare.
How quickly must a hearing be requested?
Form JV-214 must be provided to the placing agency within seven court days of being noticed of the agency’s determination. If a hearing is requested, the transfer cannot happen until the court rules.
Who has to prove what?
The person or agency requesting the waiver bears the burden of showing, by a preponderance of the evidence, that an exception to presumptive transfer is in the child’s or nonminor’s best interests.
How long can the hearing take?
It must conclude within five court days of the initial hearing date, unless a showing of good cause supports a continuance beyond five days.
Amendment History
Rule 5.647 adopted effective September 1, 2018.