Current through all regulations passed and filed through December 9, 2024
Section 5101:2-47-11 - Reimbursement for Title IV-E foster care maintenance (FCM) costs for children's residential centers (CRC), group homes, maternity homes, residential parenting facilities, and substance use disorder (SUD) residential facilities certified prior to October 1, 2020(A) In order to be reimbursed for Title IV-E FCM costs when a child is placed in a CRC, group home, maternity home, residential parenting facility, or with a parent in a SUD residential facility as defined in rule 5101:2-1-01 of the Administrative Code a JFS 02911 "Title IV-E Single Cost Report" as described in rule 5101:2-47-26.1 of the Administrative Code is to be submitted to the Ohio department of job and family services annually. Agencies certified prior to October 1, 2020 have until October 1, 2024 to become compliant with the requirements related to meeting qualified residential treatment program (QRTP) standards.(B) If a JFS 02911 cost report has been approved for children placed in a CRC, group home, maternity home, residential parenting facility or SUD residential facility, two Title IV-E reimbursement ceiling amounts are calculated and rounded to the nearest dollar. (1) The FCM reimbursement ceiling amount is based on reported and allowable 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, residential parenting facility, or SUD residential facility is based on the lesser of: (1) The 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) Title IV-E costs are reimbursable to the Title IV-E agency at the appropriate federal financial participation (FFP) amount. (1) The FCM 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.(E) 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 is to 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.(c) Individual counseling.(3) The services identified in 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.(F) Each Title IV-E agency is to enter all cases in the Ohio statewide automated child welfare information system (SACWIS).(G) To receive reimbursement a Title IV-E agency processing their payments and seeking reimbursement from SACWIS is to:(1) Record placement, service authorization and placement 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 reports to review all itemized reimbursements and assure the reimbursements are accurate.(H) Reimbursement will be payable to the Title IV-E agency which registers the Title IV-E cases. The payment amount will be calculated from the completed reimbursement processing at the applicable FFP. Replaces: 5101:2-47-11
Ohio Admin. Code 5101:2-47-11
Effective: 10/29/2020
Five Year Review (FYR) Dates: 10/29/2025
Promulgated Under: 119.03
Statutory Authority: 5103.03, 5153.166
Rule Amplifies: 5103.03, 5153.166
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, 05/01/2019