Ado ptio n Assista nc e Pilo t OL I VI A BI GGS, PROGRAM SPE CI AL I ST , NANE T T E SI MMONS, DHHS ADMI NI ST RAT OR DE PART ME NT OF HE AL T H AND HUMAN SE RVI CE S; DI VI SI ON OF CHI L DRE N AND F AMI L Y SE RVI CE S NOVE MBE R 5, 2018
Pro c e ss I mpro ve me nt Pro je c t 2 I ssue s I de ntifie d I nc o mple te I V-E pa pe rwo rk-I nte rna l DHHS F ix F ing e rprints e xpire d/ missing b a c kg ro und c he c ks-I nte rna l DHHS F ix E lig ib ility re q uire me nts de te rmine d diffe re nt in diffe re nt se rvic e a re a s Ne g o tia ting is le ft to CF SS with no to o l to suppo rt the m, inc o nsiste nt ne g o tia tio ns E lig ib ility re q uire me nts de te rmine d diffe re nt in diffe re nt se rvic e a re a s Do ra te s ne g o tia te d g e t g o o d o utc o me s
E lig ib ility Re q uire me nts 3 “At risk c hildre n” Me dic a l pro fe ssio na l ha s de te rmine d the c hild to b e a t risk o f a b e ha vio ra l, e mo tio na l, physic a l o r me nta l disa b ility. Ho w do o the r sta te s ha ndle this c a te g o ry? I o wa ; o ffe rs de fe rre d a do ptio n a ssista nc e a g re e me nts; initia l mo nthly ma inte na nc e a mo unt is $0, a re e lig ib le fo r Me dic a id K a nsa s; ye s, if g ua rde d pro g no sis, initia l mo nthly ma inte na nc e a mo unt is $0, Me dic a l c a rd c a n b e issue d if pro b le m a rise s la te r So uth Da ko ta ; ye s, b ut we b site unc le a r Misso uri; o ffe rs de fe rre d a do ptio n a ssista nc e a g re e me nts Minne so ta ; At risk o nly a g re e me nt. No mo nthly pa yme nt, re c e ive a utho riza tio n fo r me dic a l a nd a do ptio n fe e s
Ne g o tia tio n T o o l 4 Othe r Sta te s I o wa ; 65% o f USDA; ra ng e s fro m $16.78-19.35; a dditio na l fo r spe c ia l ne e ds ra ng ing fro m $4.81-$14.44. K a nsa s; $500, c a se b y c a se b a sis a dditio na l funding a ppro va l So uth Da ko ta ; Ag e s 0-12, $518.01 a nd Ag e s 13-18 $622.17 Misso uri; Ag e s 0-5, $232, Ag e s 6-12, $283, Ag e s 13+, $313; Spe c ia lize d Ra te s a t $671, must me e t spe c ific c rite ria . Minne so ta ; c ha ng e d ra te s July 2016 b a se d o n the USDA ra te s
Curre nt T o o l 5 Insura nc e Stipe nd Misc . Ag e of Wa rd USDA 65% Be ha viora l Ne e ds Me dic a l Ne e ds Stipe nd Cultura l/ Soc ia l Stipe nd *Must be a pprove d by *Must be a pprove d by Ce ntra l Offic e Ce ntra l Offic e +$2.19 +$5.00 ($2.50 fo r po ints; so 0-5 ye a rs o ld $13.51 (a t risk) Ne g o tia te d up to Ma x Ne g o tia te d up to Ma x c o uld re c e ive 5.00) NCR Ra te -.10 c e nts NCR Ra te -.10 c e nts $13.68 (ha s dia g no sis) +$5.00 ($2.50 fo r po ints 2 a nd +$2.44 6-11 ye a rs o ld $14.99 (a t risk) Ne g o tia te d up to Ma x Ne g o tia te d up to Ma x up; so c o uld re c e ive 5.00-7.50 NCR Ra te -.10 c e nts NCR Ra te -.10 c e nts mo re ) $16.04 (ha s dia g no sis) +$2.47 +$5.00 ($2.50 fo r po ints 2 a nd 12+ ye a rs o ld $16.34 (a t risk) Ne g o tia te d up to Ma x Ne g o tia te d up to Ma x up; so c o uld re c e ive 5.00-7.50 NCR Ra te -.10 c e nts NCR Ra te -.10 c e nts mo re ) $16.62 (ha s dia g no sis)
6 Daily Rate Ne gotiations USDA, E xpe nditure s o n Childre n b y F a milie s, 2015; 65% ra te b a se d o ff a g e . T a ke n fro m e stima te d a nnua l e xpe nditure s o n a c hild b y c o uple , urb a n Midwe st. (He a lth Ca re , a nd Child Ca re , re mo ve d fro m ra te use d) If spe c ia l Be ha vio ra l He a lth Ne e d Additio na l Stipe nd Appro ve d: whe n a tte nding thre e o r mo re a ppo intme nts pe r we e k (e xa mple s: o c c upa tio na l the ra py, spe e c h the ra py, me nta l he a lth the ra py o r a n IOP pro g ra m with 3 a ppo intme nts) If spe c ia l Me dic a l Ne e d Additio na l Stipe nd: Qua lifie d fo r DD a nd/ o r A&D Wa ive r Pro g ra m a nd/ o r SSI (e xa mple s: fe e ding tub e s, me dic a lly fra g ile yo uth) Insura nc e Stipe nd-Only c a n b e a ppro ve d a fte r c o nsulting with Ce ntra l Offic e Pe rma ne nc y Sta ff. Re vie w a nd Appro ve d o n individua l/ c a se b y c a se b a sis (E xa mple : Sta te funde d sub sidy, no a c c e ss to Me dic a id, fa mily a dding to insura nc e .) Misc e lla ne o us Stipe nd- Only c a n b e a ppro ve d a fte r c o nsulting with Ce ntra l Offic e Pe rma ne nc y Sta ff. Re vie w a nd Appro ve d o n individua l/ c a se b y c a se b a sis (E xa mple : Re vie w NCR, L OC 5; situa tio ns whe re fa mily is pro viding pa yme nt, tra nspo rta tio n, a tte nda nc e a nd a dditio na l suppo rt fo r so c ia l/ c ultura l a c tivitie s tha t po sitive ly impa c ts the c hild’ s o ve ra ll we ll-b e ing .) NCR wo uld re fle c t L 2 o r L 3; NCR we ig hte d c a te g o rie s a re wo rth $2.50 pe r po int, so L 2 o r L 3 wo uld re sult in $5.00 o r $7.50 inc re a se . **T he ne gotiate d r ate c annot be mor e than what the y would r e c e ive if the c hild r e maine d in foste r c ar e .
F e e db a c k a nd Cha ng e s 7 Cha ng e s fro m the Pilo t; Ca se Sta ffing s with SE SA CF S sta ff F e e db a c k fro m sta ke ho lde rs Upda te s: re fle c ts USDA ra te s c a lc ula te d o ff the ta b le s F o ste r Ca re Ra te Co mmitte e use d (Pilo t use s 2015 ra te s) Ho using a dde d b a c k into the 65% Misc Co lumn Adde d
Re q ue sts fo r Sub sidy 8 I nc re a se / Annua l Re vie ws DHHS-CF S ha s re c e ive d 150 re q ue sts fro m Ja nua ry –Oc to b e r 2018 75% ha ve b e e n a ppro ve d fo r inc re a se s 112 we re a ppro ve d fo r inc re a se s 38 we re de nie d No c ha ng e in c irc umsta nc e s No suppo rting do c ume nta tio n Appro ve d, b ut a t Ma ximum Sub sidy fo r a g e a lre a dy.
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