We dismiss all siblings in this scenario, but not necessarily the 3yr old. If you dismiss dad, he/grandmother may also choose to take the 3yr old elsewhere as well. I would probably send the granddaughter's account to collection at that point as well. If you're ok with the fact that you are receiving reimbursement for her now through MaineCare, and would be ok dealing with potential hurt feelings from grandmother about her sons' accounts, then we would probably continue to see her. You would just need to decide what to do with her previous balance.