; (B) documenting the specific treatment or service needs that will be met for the child in the placement and the length of time the child is expected to need the treatment or services; and (C) documenting the efforts made by the State agency to prepare the child to return home or to be placed with a fit and willing relative, a legal guardian, or an adoptive parent, or in a foster family home. (5) In the case of any child who is placed in a qualified residential treatment program for more than 12 consecutive months or 18 nonconsecutive months (or, in the case of a child who has not attained age 13, for more than 6 consecutive or nonconsecutive months), the State agency shall submit to the Secretary— (A) the most recent versions of the evidence and documentation specified in paragraph (4); and (B) the signed approval of the head of the State agency for the continued placement of the child in that setting. . 203. Protocols to prevent inappropriate diagnoses (a) State plan requirement Section 422(b)(15)(A) of the Social Security Act ( 42 U.S.C. 622(b)(15)(A) ) is amended— (1) in clause (vi), by striking and after the semicolon; (2) by redesignating clause (vii) as clause (viii); and (3) by inserting after clause (vi) the following: (vii) the procedures and protocols the State has established to ensure that children in foster care placements are not inappropriately diagnosed with mental illness, other emotional or behavioral disorders, medically fragile conditions, or developmental disabilities, and placed in settings that are not foster family homes as a result of the inappropriate diagnoses