The definitions of case management services for high risk pregnant women are as follows:

(1) "Assessment" means an evaluation to identify a client's physical, medical, nutritional, psychosocial, developmental, and educational status to determine if the person meets the "high risk" criteria. This is an ongoing process updated at each contact.

(2) "Care coordination and referral" means helping a client to access services by establishing and maintaining a referral process for needed and appropriate services and avoiding duplication of services.

(3) "Case planning" means preparing a written service plan that reflects a client's needs and the resources available to meet those needs in a coordinated and integrated fashion.

(4) "Monitoring" means regular contacts to encourage cooperation and resolve problems which may create barriers to services and assuring that a client receives services as indicated in the service plan.