The proposed regualtions seem to in effect remove Case Management as a service from the Intensive In Home Service. Children who need this service typically may not be part of the CSB system, and families have multple needs. In many cases these families are resisitent to change and intrusion into thier family system even though there is strong need. Bringing multiple providers may have a negative effect in the families eyes and prevent them accepting the service.  I understand from a standpont of a continum of services especially after the 6 month period that there needs to be links to CSB and other services, but feel that strong benefit of one provider coordinating services can be tremendously helpful for the child with linkage to CSB Case Mangement toward the end of services. Case Management needs tend to be intensive at the start of services and then should subside over the 6 month period. It is one of those things that in order to get well, you want to get the person to a safe home, have adequate food, have the benefit of a Psychiatric evaluation if needed which are all typical link and referral services that are provided by Case Management. It is my concern that if the Intensive In Home provider can not do those things then treatment will be much less successful.