5101:2-47-19 Foster care maintenance program reimbursability: payments, reimbursements, graduation expenses and personal incidentals.
Please note: These rules are being reviewed due to 5-year rule review requirements and they are due May 1, 2019.
(A) Minimum and maximum foster care maintenance (FCM) reimbursement ceiling rates for foster homes, including emergency placements and for supplemental special, exceptional and intensive needs per diems are located in a "Family, Children and Adult Services Procedure Letter" found athttp://emanuals.odjfs.state.oh.us/emanuals and published once a year.
(B) Minimum and maximum reimbursement ceiling rates for clothing, personal incidentals and graduation expenses located in a "Family, Children and Adult Services Procedure Letter" found at http://emanuals.odjfs.state.oh.us/emanuals and published once a year. Auxiliary payments for clothing, personal incidentals and graduation expensese cannot exceed the maximum reimbursement ceiling rates.
(C) Per diem reimbursement for children's residential centers, group homes, maternity homes, residential parenting facilities, and purchased foster care homes is outlined in rule 5101:2-47-11 of the Administrative Code.
(D) Supplemental per diems related to difficulty of care are outlined in rule 5101:2-47-18 of the Administrative Code.
(E) Clothing expenses include clothing purchased during the first sixty days of initial substitute care placement as well as ongoing clothing needs as a result of growth, seasonal changes, or attrition.
(F) Graduation expenses are limited to those expenses directly related to the high school graduation event including, but not limited to, class rings, pictures, cap and gown cost, tuxedos, or prom gowns.
(G) Personal incidentals include, but are not limited to:
(1) Items related to personal hygiene.
(3) Over-the-counter medications.
(4) Special dietary foods.
(5) Infant and toddler supplies (e.g., high chairs, diapers).
(6) Fees related to activities (e.g., boy/girl scouts).
(7) Special lessons (e.g., horseback riding).
(8) Graduation fees.
(H) Payments for clothing, graduation expenses or personal incidentals made by the Title IV-E agency to the substitute care provider providing children's residential center, group home, maternity home, or residential parenting facility services may be included in the per diem payment as agreed upon in accordance with rule 5101:2-47-23.1 of the Administrative Code. The Title IV-E FCM reimbursement for a child, including the maintenance payment, clothing, graduation expenses and personal incidentals shall not exceed the current per diem reimbursement ceiling established for the substitute care provider from the single cost report filed in accordance with rule 5101:2-47-26.2 of the Administrative Code.
(I) Reimbursements made under this rule shall be claimed pursuant to rule 5101:2-47-15 of the Administrative Code and reimbursed at the same rate as Title IV-E FCM reimbursements provided such payments are equally available to a non-Title IV-E child as well as to a Title IV-E child. Reimbursements may be authorized for each child for whom Title IV-E FCM reimbursements are being made.
(J) Documentation shall be maintained in the Title IV-E FCM case record to support such payments.
R.C. 119.032 review dates: 01/23/2014 and 05/01/2019
Promulgated Under: 119.03
Statutory Authority: 5101.141, 5103.03, 5153.166
Rule Amplifies: 5101.141, 5103.03, 5153.166
Prior Effective Dates: 4/1/86 (Emer.), 7/1/86, 7/2/87, 9/30/87 (Emer.), 12/27/87, 9/1/88, 9/1/89 (Emer.), 11/30/89, 9/30/90, 9/30/91, 9/1/92, 9/30/93, 12/17/94, 1/1/96, 5/1/98, 9/1/03, 1/1/07 , 9/1/09