(A)A public children
services agency (PCSA), private child placing agency (PCPA), and private non-custodial agency (PNA), and other state of Ohio licensed non-custodial agency
shall submit the JFS 02911 "Title IV-E Single Cost Report" (rev. 8/20148/2018) as described
in rule 5101:2-47-26.1 of the Administrative Code in order to be reimbursed for
foster care costs when a child is placed in a children's residential center (CRC)CRC, group home, maternity home, residential parenting facility, or a purchased private foster home (PFC), or with a parent in a SUD
residential facility as defined in rule 5101:2-1-01 of the Administrative Code.
(B)If a JFS 02911
cost report has been approved for children placed in a CRC, group home, maternity
home, or residential
parenting facility or SUD residential facility, two
Title IV-E reimbursement ceiling amounts are calculated and rounded to the nearest
dollar.
(1)The Title IV-E foster care maintenanceFCM reimbursement ceiling amount is based on reported and
allowable Title IV-E foster care maintenance (FCM)FCM costs.
(2)The Title IV-E
administration reimbursement ceiling amount is based on reported allowable Title
IV-E administration costs.
(C)Reimbursement to
the Title IV-E agency for children placed in a CRC, group home, maternity home, or residential parenting
facility, or SUD residential facility is based on
the lesser of:
(1)The foster care maintenance FCM reimbursement
ceiling amount established by the JFS 02911 multiplied by the number of care days
or the amount paid by the Title IV-E agency for foster care maintenance.
(2)The administration
reimbursement ceiling amount established by the JFS 02911 multiplied by the number
of care days or the amount paid by the Title IV-E agency for administration.
(D)If a JFS 02911
cost report has been approved for children placed in a purchased
private foster care
home, a Title IV-E administration reimbursement ceiling amount will be calculated
based on reported and allowable Title IV-E administration costs and rounded to the
nearest dollar.
(E)Administration
reimbursement to the Title IV-E agency for children placed in a purchasedprivate foster care home is based on the lesser of:
(1)The Title IV-E
administration reimbursement ceiling amount established by the JFS 02911 multiplied
by the number of care days; or
(2)The amount paid
by the Title IV-E agency for administration.
(F)Foster care maintenanceFCM
reimbursement to the Title IV-E agency for children placed in a purchasedprivate foster care home is based on a contemporaneous payment system.
Reimbursement in a contemporaneous payment system is the lesser of the following:
(1)The uniform statewide
maximum amounts published annually in a "Family, Children and Adult Services
Procedure Letter" located at http://emanuals.odjfs.state.oh.us/emanualshttp://emanuals.jfs.ohio.gov/ and published once a year.
(2)The agreed upon
foster care placement amount paid by the Title IV-E agency. The agreed upon foster
care placement amount must be equal to the amount the private agency reimburses
their foster parents for the maintenance of the children.
(3)The agreed upon
amount paid by the Title IV-E agency for other direct services which include: special
diets, clothing, graduation expenses, personal incidentals, liability insurance
with respect to the child and reasonable travel expense for home visits provided
these expenses are not included in the agreed upon foster care placement amount.
(G)Title IV-E costs
are reimbursable to the Title IV-E agency at the appropriate federal financial participation
(FFP) amount.
(1)The Title IV-E foster care maintenanceFCM costs are reimbursable at the federal medical assistance
percentage (FMAP) which is calculated annually by the federal government; and
(2)Title IV-E administration
costs are reimbursable at the fixed rate of fifty per cent.
(H)Title IV-E FCM reimbursement to the Title IV-E agency for
a child placed throughin
a PFCprivate foster home
provider or an out-of-state foster home not participating
in the Ohio department of job and family services (ODJFS) Title IV-E PFCFCM reimbursement
ceiling amount approval system is limited to the actual maintenance costs for that
child, but shall not exceed the uniform statewide maximum rates published annually
in a "Family, Children and Adult Services Procedure Letter."
(I)FCM reimbursement can be claimed whenever
a child is placed with a parent in a SUD residential facility without meeting the
ADC-relatedness requirement and the placement does not exceed twelve months. The
following criteria shall be met:
(1)The recommendation for the placement is
specified in the child's case plan before the placement.
(2)The SUD residential facility provides, as
part of the treatment for substance abuse, the following services:
(a)Parenting skills training;
(b)Parent education;
(c)Individual counseling; and
(d)Family counseling.
(3)The services identified in paragraph (I)
of this rule are provided under an organizational structure and treatment framework
with recognized principles of a trauma-informed approach and trauma-specific interventions
to address the consequences of trauma and facilitate healing.
(I)(J) Each Title IV-E agency shall enter all cases
in the Ohio statewide automated child welfare information system (SACWIS).
(J)(K) To receive reimbursement a Title IV-E agency processing
their payments and seeking reimbursement from SACWIS shall:
(1)Record placement,
service authorization and contract cost information for each child.
(2)Generate a payment
by creating a payment request and sending the payment information to the county
auditor for payment.
(3)Disburse payments
through the county auditor at any point during a month. These payments will be reimbursed
during the monthly reimbursement process conducted by ODJFS on the first business
day of the following month.
(4)Access the reimbursement
reconciliation report to review all itemized reimbursements and assure the reimbursements
are accurate.
(K)(L) Reimbursement will be issued in the form of a warrant
payable to the Title IV-E agency which registers the Title IV-E cases. The warrant
amount will be calculated from the completed reimbursement processing at the applicable
FFP.
Effective: 5/1/2019
Five Year Review (FYR) Dates: 1/25/2019 and 05/01/2024
Certification: CERTIFIED ELECTRONICALLY
Date: 04/02/2019
Promulgated Under: 119.03
Statutory Authority: 5103.03, 5153.166, 5101.11, 5101.141, 5101.1414,
5101.145
Rule Amplifies: 5103.03, 5153.166, 5101.11, 5101.141, 5101.1414,
5101.145, 5101.146
Prior Effective Dates: 08/22/1986, 01/01/1987 (Emer.), 05/07/1987
(Emer.), 08/03/1987, 04/15/1988 (Emer.), 07/11/1988, 09/01/1989 (Emer.), 11/30/1989,
09/01/1992, 05/01/1998, 09/01/2003, 07/01/2004, 09/01/2009, 06/01/2015