Ohio Admin. Code 5101:2-45-03 - Reimbursement for Title IV-E candidate for family first prevention services (FFPS) program
(A)
FFPS are to be at
least one of the following reimbursable types of services, provided by a
culturally competent qualified provider(s) who provides diverse and equitable
services, that have been rated and approved by the Title IV-E prevention
services clearinghouse https://preventionservices.abtsites.com/
, are identified in the state's five-year Title IV-E FFPS
program plan and are provided by an approved provider through the center of
excellence (COE):
(1)
Mental health services.
(2)
Substance abuse
prevention and treatment services.
(3)
In-home parent
skilled-based programs, which include parenting skills training, parent
education and individual and family counseling, which do not have to be
delivered in the home.
(B)
The services
outlined in paragraph (A) of this rule are to be:
(1)
Rated as
promising, supported, or well-supported as outlined in the law and in
accordance with health and human services (HHS) practice criteria as part of
the Title IV-E prevention services clearinghouse.
(2)
Utilizing a
trauma-informed approach and trauma-specific interventions.
(3)
Specified in
advance in the child's family case plan or prevention services
plan.
(C)
FFPS costs are reimbursable to the Title IV-E agency at
the appropriate federal financial participation (FFP) amount when the FFPS are
paid for through state and local funds:
(1)
Beginning federal
fiscal year (FFY) 2022 through FFY 2026, costs of FFPS are reimbursable at
fifty per cent FFP under Title IV-E.
(2)
Beginning in FFY
2027, FFPS are reimbursable at the applicable federal medicaid assistance
percentages (FMAP) rate for the state.
(3)
In FFY 2022 and
FFY 2023, at least fifty per cent of the amounts expended by the state for a
FFY for the Title IV-E FFPS are to be for services that meet the "supported"
and/or "well-supported" practice criteria.
(4)
Beginning with
FFY 2024 and for all FFYs going forward, states are to meet the fifty per cent
"well-supported" expenditures requirement.
(D)
Costs for the
proper and efficient administration of the Title IV-E FFPS program are
reimbursable at fifty per cent FFP. The Title IV-E agency may claim for
allowable activities including but not limited to:
(1)
The development
and maintenance of the child's family case plan or prevention services
plan.
(2)
Case management activities such as verification and
documentation of program eligibility.
(3)
Referral to
services.
(E)
FFPS and administrative costs may be claimed for an
initial twelve-month period for an allowable evidence-based practice service
beginning the first day of the month in which the child is identified in a
prevention plan approved by the Title IV-E agency supervisor with at least one
approved evidence-based practice service.
(F)
An agency may
claim beyond the twelve months, including for contiguous twelvemonth periods
when it is determined that the child remains eligible and documented in the
child's family case plan or prevention services plan.
(G)
Claiming for FFPS
ends when the Title IV-E agency receives legal responsibility for the care and
placement/custody of the child.
(H)
The agreed upon
amount paid by the Title IV-E agency for the FFPS are to be fully incurred by
the Title IV-E agency to receive FFP.
(I)
The Title IV-E
agency is considered the payor of last resort and will not be considered a
legally liable third party for the purposes of satisfying a financial
commitment for the cost of providing FFPS that would have been paid for by a
public or private source.
(J)
Each Title IV-E agency is to enter all FFPS and costs
into the Ohio statewide automated child welfare information system
(SACWIS).
(K)
To receive reimbursement a Title IV-E agency processing
their payments and seeking reimbursement from SACWIS will:
(1)
Record FFPS,
service authorization and cost information for each person eligible for FFPS
activities.
(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 the Ohio department of job and family
services (ODJFS) on the first business day of the following
month.
(4)
Access reports to review all itemized reimbursements
and ensure the reimbursements are accurate.
(L)
Reimbursement
will be payable to the Title IV-E agency responsible for paying for the FFPS.
The payment amount will be calculated from the completed reimbursement
processing at the applicable FFP.
(M)
FFPS
reimbursability is only available for a child who meets the eligibility
requirements in rule
5101:2-45-02 of the
Administrative Code and the child's parent(s) or kinship caregiver(s). Kinship
caregiver has the same meaning as in section
5101.85 of the Revised
Code.
(N)
Documentation of payments for FFPS, including receipts
or invoices for the payment, are to be made available upon
request.
(O)
Reimbursability ends when one of the following
occurs:
(1)
There is no longer an identified approved, trauma-informed,
evidence-based practice service on the family case plan or prevention services
plan.
(2)
There is no longer family involvement in the identified
approved, trauma-informed, evidence-based practice service.
(3)
The identified
candidate to the plan, who prompted the prevention services case and is over
the age of fourteen, does not want to be involved.
(4)
The Title IV-E
agency receives legal responsibility for the care and placement/ custody of the
child.
Notes
Promulgated Under: 119.03
Statutory Authority: 2151.412, 5153.166, 5101.11
Rule Amplifies: 2151.412, 5153.16, 2151.421, 2151.429, 5103.03, 5101.11
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