(A)Each Title
IV-E agency, as defined in rule 5101:2-1-01 of the Administrative Code, shall is to use the
statewide "agreement for Title IV-E agencies and providers for the
provision of child placement," hereinafter referred to as the
"agreement," and establish a system of contract monitoring for
children being placed into substitute care with a private agency.
(B)Each Title
IV-E agency shall is to
complete the "agreement," including the "Title IV-E schedule A
rate information (schedule A)" in the Ohio statewide
automated child welfare information system (Ohio SACWIS)
to be able to enter a foster care placement with a: private child placing agency (PCPA) or a private
non-custodial agency (PNA).
(1)Private child placing agency (PCPA).
(2)Private non-custodial agency (PNA).
(3)Qualified residential treatment program
(QRTP).
(4)Licensed family-based residential
treatment facility for substance use disorder (SUD) on behalf of a child placed
with a parent.
(C)Each Title IV-E agency is to complete
the "agreement," including the "schedule A" in SACWIS to be
able to enter a placement with a qualified residential treatment program
(QRTP).
(D)(C) Each Title IV-E agency shall is to print the completed "agreement" and
the "schedule A" from Ohio SACWIS in
order to obtain signatures for the contract between the Title IV-E agency and
the QRTP, PCPA, or
PNA or SUD residential facility.
(E)(D) The negotiated
and agreed upon per diem rates for placement maintenance and placement
administration shall are
to be specified for all levels of care in Ohio
SACWIS on the "schedule A" and shall are to be attached to the "agreement." The
Title IV-E agency and the QRTP, PCPA, or the PNA or the SUD
residential facility may agree to contract for and specify the agreed
upon per diems in some or all of the remaining categories listed on the
"agreement." The per diem rates listed
on the "schedule A" are to be for all children or may be child
specific.
(F)(E) Any additions to the language when creating
the initial "agreement," including the "schedule A" are to
be included as an attachment or an exhibit and entered into Ohio SACWIS. An addendum can only be added after the
agreement is in effect. The addendum is to be signed by all parties and
attached to the "agreement."
(G)(F) The negotiated
and agreed upon per diem rate for maintenance shall is to be the amount paid directly to the foster
caregiver. The agreed upon maintenance payment shall is to cover all foster care maintenance allowable
costs as defined in rule 5101:2-47-01 of the Administrative Code.
(H)(G) Invoicing procedures shall are to correspond to the agreed upon per diem rates as
specified on the "schedule A" in Ohio SACWIS
and on the "agreement," including all attachments, exhibits and
addenda. All invoices shall 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 and the
medicaid provider number, if applicable.
(2)Billing date
and the billing period.
(3)Name of child,
child's date of birth, and the child's Ohio SACWIS
person identification number.
(4)Admission date
and discharge date, if applicable.
(5)Agreed upon
per diem rate amount for maintenance and the agreed upon per diem rate amount
for administration.
(6)Invoicing
procedures may also include the per diem rate associated with the following, if applicable and agreeable to the custodial agency
and the provider:
(a)Case
management, allowable administration cost.
(b)Transportation
to judicial or case reviews, allowable administration cost.
(c)Transportation
to a home visit, allowable maintenance cost.
(d)Transportation
to maintain the child in the school in which they were attending prior to
placement, allowable maintenance cost.
(e)) Other direct
services, allowable maintenance cost.
(f)Behavioral
health care, non-reimbursable cost.
(g)Other costs
the Title IV-E agency agreed to pay, which are
non-allowable for reimbursement as maintenance or administration cost.
(7)Agreed upon per diem amount for
children placed in a SUD residential facility for the IV-E reimbursable
maintenance costs for the child:
(a)Food, clothing, shelter, and personal
incidentals.
(b)Transportation to maintain the child in
the school in which they were attending prior to placement.
(c)Child care.
(8)Agreed upon per diem amount for other
non-IV-E reimbursable costs associated with the placement of the child
performed by the provider:
(a)Other transportation not specified in
paragraph (G)(7)(b) of this rule.
(b)Other costs the Title IV-E agency
agreed to pay.
(9)For a child placed in a SUD residential
facility, the Title IV-E agency is not to include the costs of administration
and operation of the facility.
(I)(H) Each Title IV-E agency shall is to establish prepare a written monitoring procedure to
provide established in writing, with
reasonable assurance that the terms and conditions of the contract are being
adhered to. Monitoring procedures may include, but are not limited to the
following:
(1)A comparison
of invoices to the agreed upon per diem rate amount in Ohio
SACWIS to ensure billing accuracy.
(2)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 plan.
Replaces: This rule replaces in part, rule 5101:2-47-24.
Effective: 6/1/2024
Five Year Review (FYR) Dates: 8/5/2027
Certification: CERTIFIED ELECTRONICALLY
Date: 05/21/2024
Promulgated Under: 119.03
Statutory Authority: 5103.03, 5101.141, 5153.166
Rule Amplifies: 5103.03, 5101.141, 5153.16
Prior Effective Dates: 12/01/2001, 01/01/2007, 02/10/2008,
10/01/2008, 04/30/2016, 09/01/2021, 08/05/2022