FCASMTL 127 (JFS 01925)
Family, Children and Adult Services Manual Transmittal Letter No. 127
September 25, 2002
TO: Family, Children and Adult Services Manual Holders
FROM: Thomas Hayes, Director
SUBJECT: Amended JFS 01925 Monthly FCM Facility Invoice Form and Instructions

This letter transmits the updated JFS 01925 Monthly FCM Facility Invoice form and instructions for the completion of the form. The amendment of the form will allow for direct billing of maintenance and administration claims. The instructions explain how to complete the amended JFS 01925 form.

The purpose of the JFS 01925 is to capture all active Title IV-E cases registered on the Family and Children Services Information System (FACSIS) and invoice the costs associated with these children. The Title IV-E agency provides placement and payment information on each child listed on the invoice. The amended form will breakout the maintenance and administration costs and allow for direct billing of these costs.

This revised JFS 01925 form is effective for child placement dates beginning September 1, 2002.

INSTRUCTIONS:

File the cover letter of this transmittal in the FCASMTL Section of the Family, Children and Adult Services Manual (FCASM). Remove the old ODJFS 1925 form and insert the amended JFS 01925 form and instructions in the Forms Section of the FCASM behind form JFS 01828.