Iowa Admin. Code r. 441-156.9 - Rate of payment for foster group care
(1)
In-state reimbursement.
Effective July 1, 2014, contracted foster group care facilities licensed or
approved in the state of Iowa shall be paid for group care maintenance and
child welfare services in accordance with contracted terms.
a. Additional payment for group care
maintenance may be authorized if a facility provides care for a mother and her
young child according to subrule 156.9(4).
b. No less than annually, the department
shall redetermine the allocation of the combined child welfare service per diem
rate between the maintenance and service portions plus the inflation factor
based on review of the verified Form 470-5421, Combined Cost Report. If the new
allocation differs from the current allocation, the department shall:
(1) Reallocate the combined child welfare
service per diem for foster group care between the maintenance and service
portions plus the inflation factor of the combined rate; and
(2) Notify all providers of any change in the
allocation between maintenance and service rates.
(2)
Out-of-state group
care payment rate. When the department determines that appropriate
care is not available in Iowa and a licensed or approved contractor outside
Iowa is used, the payment rate for contracted foster group care services shall
be the Iowa rate unless the director grants an exception. The rate shall not
exceed the rate paid for clients from that state.
(3)
Out-of-state placement
determination.
a.
Placement. When determining whether appropriate care is
available within the state, the director shall consider each of the following:
(1) Whether the child's treatment needs are
exceptional.
(2) Whether
appropriate in-state alternatives are available.
(3) Whether an appropriate in-state
alternative could be developed by using juvenile court-ordered service funds or
wrap-around funds.
(4) Whether the
placement and additional payment are expected to be time-limited with
anticipated outcomes identified.
(5) If the placement has been approved by the
service area manager or chief juvenile court officer.
b.
Procedure. The service
area manager or chief juvenile court officer shall submit the request for
director 's exception to the Appeals Section, Department of Human Services,
Hoover State Office Building, Fifth Floor, Des Moines, Iowa 50319-0114. This
request shall be made in advance of placing the child and should allow a
minimum of two weeks for a response. The request shall contain documentation
addressing the criteria for director 's approval listed in paragraph
156.9(3)"a. "
c.
Appeals. The decision of the director regarding approval of an
exception to the rate determination in rule
441-156.9 (234) is not appealable.
(4)
Mother-young child rate.
When a group foster care facility provides foster care for a mother and her
young child, an additional maintenance rate shall cover the maintenance needs
of the young child. No additional amount shall be allowed for service needs of
the child.
a. The rate shall be set in the
provider contract. The young child maintenance rate shall be limited to the
costs associated with food, clothing, shelter, personal incidentals, and
supervision for each young child and shall not exceed the maintenance rate for
the mother. Costs for day care shall not be included in the maintenance
rate.
b. Unless the court has
transferred custody from the mother, the mother shall have primary
responsibility for providing supervision and parenting for the young child. The
facility shall provide services to the mother to assist her to meet her
parenting responsibilities and shall monitor her care of the young
child.
c. The provider shall
provide services to the mother to assist her to:
(1) Obtain a high school diploma or high
school equivalency.
(2) Develop
preemployment skills.
(3) Establish
paternity for her young child whenever appropriate.
(4) Obtain child support for the young child
whenever paternity is established.
d. The provider shall maintain information in
the mother's file on:
(1) The involvement of
the mother's parents or of other adults.
(2) The involvement of the father of the
minor's child, including steps taken to establish paternity, if
appropriate.
(3) A decision of the
minor to keep and raise her young child.
(4) Plan for the minor's completion of high
school or a high school equivalency program.
(5) The parenting skills of the minor
parent .
(6) Child care and
transportation plans for education, training or employment.
(7) Ongoing health care of the mother and
child.
(8) Other services as needed
to address personal or family problems or to facilitate the personal growth and
development toward economic self-sufficiency of the minor parent and young
child.
e. The provider
shall designate $35 of the young child rate as an allowance to the mother to
meet the maintenance needs of her young child, as defined in her case
permanency plan.
This rule is intended to implement Iowa Code sections 234.6 and 234.38.
Notes
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