** Archive **
FCASPL 61E (FCM Rates 9/1/02 - 8/31/03 - Archive)
Family, Children and Adult Services Procedure Letter No. 61E
April 23, 2003
TO: All Family, Children and Adult Services Manual Holders
FROM: Thomas J. Hayes, Director
SUBJECT: ODJFS Approved Title IV-E Foster Care Maintenance Reimbursement Ceiling Rates for Residential Child Care Facilities and Purchased Family Foster Care Providers for the Period 9/1/02 to 8/31/03

Attached is a list of Title IV-E approved per diem reimbursement ceiling rates for children's residential centers (CRCs), group homes, and residential parenting facilities operated by agencies which have submitted and had approved a JFS 02909 "Residential Child Care Facility Cost Report," and for purchased family foster care (PFFC) providers which have submitted and had approved a JFS 02910 "Purchased Family Foster Care Cost Report." The approved Ohio reimbursement ceiling rate publication rosters are organized alphabetically by operating agency. These rates are also published on the Office for Children and Families' following website address: http://www.state.oh.us/odjfs/ocf/publications.stm. Furthermore, this website will be utilized in listing recently developed rates for agencies new to the Title IV-E rate setting process.

The five digit identification numbers provided in the lists for each agency/facility/program must be used on the JFS 01925 "Monthly FCM Facility Invoice" for reimbursement of costs for each child served. Note that several agencies operate both residential and PFFC programs and a few provide more than one type of program or level of service. Distinct identification numbers have been assigned for each placement type. Therefore, ensure that the appropriate placement identifier, either from the residential or PFFC list, is used when completing the JFS 01925 form.

The rate lists show the two Title IV-E per diem reimbursement ceiling rates for Maintenance and Administration. Not all costs are allowable for reimbursement. For the purchased family foster care program, only direct foster parent payments were considered for calculating the Title IV-E Maintenance Reimbursement Ceiling per diem rate and all other reimbursable costs are included in the Title IV-E Administration Reimbursement Ceiling per diem rate. For the residential child care program, the cost of room and board, basic living and support, and health-related services were used for calculating a Title IV-E Maintenance Reimbursement Ceiling per diem rate; and the cost of case management was used for calculating the allowable Title IV-E Administration Reimbursement Ceiling per diem rate.

The rates shown are based on non-Medicaid costs and, therefore, do not reflect Medicaid and Medicaid mental health costs. A placement agency's customary charge may include fees for non IV-E reimbursable activities that should be considered when negotiating contracts with providers.

The cost reports filed to develop these Title IV-E reimbursement rates are subject to audit, and these Title IV-E reimbursement ceiling rates may be adjusted based on audit findings. Counties may be held liable for adjustments to federal claims based on revised rates subsequent to any audit findings.

For placements in both residential facilities and PFFC programs, the federal reimbursement percentages for the federal fiscal year beginning October 1, 2002, is 58.83% for the Maintenance and 50% for the Administration reimbursement ceiling per diem rates.

It is noted that the ODJFS approved IV-E rates are reimbursement ceilings, but should actual costs for providing or purchasing IV-E services be less, reimbursement will be calculated on the actual costs of services. In addition, it must be stressed that the actual per diem rates paid by your agency for contracted services are subject to negotiation between your agency and the provider.

The information on the attached reimbursement ceiling rate publication rosters is effective only for the reimbursement year beginning September 1, 2002. Retroactive payments for services provided in a prior reimbursement period may be authorized for a period not to exceed twenty-four months prior to the next state payment date. Therefore, ensure that the appropriate reimbursement rate year list is used for claiming reimbursement for these services.

Out-of-state providers have the option to either file an Ohio Title IV-E cost report for rate determination or use the rate developed by their home state. If the out-of-state agency has filed an ODJFS Title IV-E cost report, they are listed in the ODJFS approved Title IV-E rate roster. If placements are made in an out-of-state facility not listed in the ODJFS rate roster, contact the Bureau of Accountability and Regulation at (614) 644-1146 to get a determination of IV-E reimbursement eligibility and rates.

Any questions regarding the IV-E Cost Reports or 2002-2003 reimbursement ceilings rates and the JFS 01925 invoice system should be directed to Ryan Meanor, Office for Children and Families, Bureau of Accountability and Regulation at (614) 644-1146.

This FCASPL is obsolete as of August 31, 2005.

INSTRUCTIONS:

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

LOCATIONREMOVE AND FILE AS OBSOLETEINSERT/REPLACEMENT
TRANSMITTALS  
Procedure Letters FCASPL No. 61D