FCASMTL 521 (Amendment to Forms JFS 00128, JFS 00131, JFS 00133, JFS 00134, JFS 00134-I, and JFS 00135)
Family, Children and Adult Services Manual Transmittal Letter No. 521
May 11, 2023
TO: Family, Children and Adult Services Manual Users
FROM: Matt Damschroder, Director
SUBJECT: Amendment to Forms JFS 00128, JFS 00131, JFS 00133, JFS 00134, JFS 00134-I, and JFS 00135

This letter transmits amendments to forms JFS 00128, JFS 00131, JFS 00133, JFS 00134, JFS 00134-I, and JFS 00135 related to the state and federal applications for initial eligibility, reimbursement of nonrecurring kinship guardianship assistance program (KGAP) expenses and instructions for completing the nonrecurring KGAP application. These forms have been revised as a result of additional feedback received from our federal partners after the rules were effective. These forms will become effective as of May 2023.

JFS 00128 entitled “Application for State Kinship Guardianship Assistance Program Payments.” This form has been updated to align the state and federal KGAP applications for initial eligibility.

JFS 00131 entitled "Title IV-E Kinship Guardianship Assistance Program (KGAP) Application for Initial Eligibility." This form has been updated to align the federal and state KGAP applications for initial eligibility. The revision date has been updated.

JFS 00133 entitled "Title IV-E Guardianship Assistance Program (KGAP) Agreement". This form has been updated to include amendment procedures in the general provisions section of Article I. The revision date has been updated.

JFS 00134 entitled "Application for Reimbursement of Nonrecurring Kinship Guardianship Assistance Program (KGAP) Expenses." This form has been updated to provide a description of the KGAP Nonrecurring Expenses Program Information.  The United States Postal Service mailing address and Federal KGAP email address were added for instruction on returning the JFS 00134. The revision date has been updated.

JFS 00134-I entitled "Instructions for Completing JFS 00134, Application for Reimbursement of Nonrecurring Guardianship Assistance Program (KGAP) Expenses." This form has been rescinded.

JFS 00135 entitled "Agreement for Payment or Reimbursement for Nonrecurring Expenses Incurred in a Kinship Guardianship Placement." This form has been updated to change the language in the general and specific terms of agreement sections replacing 'agency' with ODJFS, omitting transportation, lodging, food, and the duplication of KGAP nonrecurring expenses.  Changes were made to verification by kinship caregivers’ section to remove verbiage. The revision date has been updated.

INSTRUCTION:

The following chart indicates the materials that should be removed from the Family, Children and Adult Services Manual and Adult Services Manual (FCASM) and the materials that are to be inserted in the FCASM.

LOCATION REMOVE AND FILE AS OBSOLETE INSERT/REPLACEMENT
FORMS   JFS 00128
    JFS 00131
    JFS 00133
    JFS 00134
  JFS 00134-I  
    JFS 00135
TRANSMITTAL LETTERS   FCASMTL No. 521