(A)Each Title IV-E agency, as defined in
rule 5101:2-1-01 of the Administrative Code, is to use the statewide
"agreement for Title IV-E agencies for the provision of non-placement
services," hereinafter referred to as the " non-placement agreement,"
in the statewide automated child welfare system (SACWIS) when:
(1)Contracting for aftercare support from a
qualified residential treatment program (QRTP) is negotiated at a different
rate than the medicaid rate for non-medicaid eligible children.
(2)Contracting for aftercare services by a
QRTP.
(3)The IV-E agency chooses to use the
"non-placement agreement" for any non-placement service contract.
(B)Each Title IV-E agency is to enter all
information on the "non-placement agreement," including the
"Title IV-E schedule B rate information (schedule B)" into SACWIS.
(C)Each Title IV-E agency is to print the
completed "non-placement agreement" and the "schedule B"
from SACWIS in order to obtain signatures for the contract between the Title
IV-E agency and the provider.
(D)The negotiated and agreed upon rate for
the QRTP aftercare support is to be specified for all non-placement services in
SACWIS on the "schedule B" and is to be attached to the
"agreement for Title IV-E agencies and providers for the provision of child
placement." The rates listed on the "schedule B" are to be for
all children or may be child specific.
(E)The negotiated and agreed upon rate for
the non-placement service is to be specified for all non-placement services in
SACWIS on the "schedule B" and is to be attached to the
"non-placement agreement." The rates listed on the "schedule
B" are to be for all children or may be child specific.
(F)Any changes to the "non-placement
agreement," including the "schedule B" are to include an
addendum to be entered into SACWIS. The addendum is to be signed by all parties
and attached to the "non-placement agreement," or the"agreement
for Title IV-E agencies and providers for the provision of placement."
(G)Invoicing procedures are to at a minimum
correspond to the agreed upon rates as specified on the "schedule B"
in SACWIS and on the "non-placement agreement," including all
addendums. All invoices are to include but are not limited to the following:
(1)Provider's name, address, telephone
number, fax number, federal tax identification number, Title IV-E provider
number, if applicable.
(2)Billing date and the billing period.
(3)Name of child, child's date of birth,
and the child's SACWIS person identification number.
(4)Discharge date for the begin date of the
six months of aftercare support, if applicable .
(H)Each Title IV-E agency is to establish a
written monitoring procedure to provide reasonable assurance that the terms and
conditions of the contract are being followed. Monitoring procedures may include,
but are not limited to the following:
(1)A review of the progress reports
submitted by the provider to the agency to ensure the services being delivered
are in accordance with the child's treatment/discharge plan.
(2)) A comparison of invoices to the agreed
upon rate amount in SACWIS to ensure billing accuracy.
Effective: 10/28/2021
Five Year Review (FYR) Dates: 10/28/2026
Certification: CERTIFIED ELECTRONICALLY
Date: 10/18/2021
Promulgated Under: 119.03
Statutory Authority: 5101.141, 5153.166
Rule Amplifies: 5101.141, 5153.166