Attached is a list of Title IV E approved per diem rates for children's residential centers (CRCs), group homes (GH), and maternity homes (MH) operated by agencies which have submitted and had approved an ODHS 2909 "Residential Child Care Facility Cost Report," and for purchased family foster care (PFFC) providers which have submitted and had approved an ODHS 2910 "Purchased Family Foster Care Cost Report." The approved lists are organized alphabetically by operating agency.

The five digit identification numbers provided in the lists for each agency/facility/program must be used on the ODHS 1925 "Monthly Title IV E FCM Invoice" for reimbursement of costs for each child served. Please 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 ODHS 1925 form.

The rate lists show three per diem rates: Total Cost of Care, IV E Maintenance, and IV E Administration. The Total Cost of Care rate includes the cost of basic living and support, room and board, case management, counseling and therapy, health related services, education, and medical. However, not all costs are allowable for reimbursement under federal Title IV E regulations. Under the federal regulations, the costs allowable for calculating a Maintenance rate are basic living and support, room and board, and health related services; and for calculating the allowable Administration per diem rate it is the cost of case management. Therefore, the total allowable rate exceeds the sum of the two Title IV E rates on which reimbursement is based.

The rates shown are based on non Medicaid costs and, therefore, do not reflect Medicaid and Medicaid mental health costs that should be considered when negotiating contracts with providers.

For placements in residential facilities, the federal reimbursement percentage for the federal fiscal year beginning October 1, 1997 is 58.14% for both the ODHS approved Maintenance and Administration rates. For placements in PFFC programs, the federal reimbursement percentage is the same 58.14% for Maintenance, but it is 50% for Administration rates.

It is noted that the ODHS 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 rate lists is effective only for the reimbursement year beginning September 1, 1997. 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.

Any questions regarding the IV E Cost Reports or 1997 1998 rates should be directed to Matt Smiley, Bureau of Financial Audits, Office of Fiscal Services, (614) 644 2186. If Mr. Smiley is unavailable, direct your questions to either, Vince Becker, Section Chief, or John Stull, Bureau Chief.

Questions concerning the ODHS 1925 invoice system, including current or retroactive reimbursements, should be directed to Barbara Cannon or Darla Wilson, Bureau of Resource Management, Office of Family and Children Services. Their telephone number is (614) 752 6176.

This APL is obsolete as of August 31, 2000.