If there are questions or concerns throughout this process, please contact your ICAMA Coordinator in Central Office. ©Missouri Legislature, all rights reserved. Subsidy may be authorized for the cost of residential treatment at the level determined by the RCST Coordinator. At no time should the “Other” code be used. The agreement must be approved by the Director or Designee before the adoption is final; The child must meet all the eligibility requirements (as described in this attachment); The adoptive parent(s) must provide documentation that the expenses claimed were incurred by the adoptive parent(s); The adoptive parent(s) must not have received payment or credit from other sources for these expenses; i.e., employee benefits, the Missouri Adoption Tax Credit, and other public or private funds; and. The review and subsequent renegotiation of the agreement is the responsibility of the Division’s county/circuit office in the county/circuit of the adoptive parent(s)’s residence. This statement is to be filed in the subsidy record and documented in the explanation section of the agreement. Transportation: This expense is paid at the current rate established by the Children’s Division for use of a personal automobile, or the actual charge of air or ground transportation. This information must be supplied to the Division within 30 days of the request. Above Base Maintenance is 19 units at approximately $21.00 per unit-maximum of $399 or additional units as approved or $10.50 per half unit. The worker who completes all the payment authorizations for contracted/purchased service will always be located in the county/circuit of the child’s residence or the last residence county of the child if the child is out of state. A half unit is a time period of between 6 – 12 hours. This attachment provides staff with procedures to follow for children not eligible for the Missouri Adoption Subsidy Program (MASP). Authorize necessary contracted services using Service Authorization in FACES. In this case, fund category “05” is reported on the Alternative Care Client Information screen/SS-61 in FACES. NOTE: Out-of-state providers must have a child-specific contract with the Children’s Division in order to receive payment. Medicaid can be used as the secondary insurance. If so, document this information in the case dictation. This legislation also clarified that children in the custody of a dually licensed private child-placing agency are eligible for an adoption subsidy. In the event that a requested service entered on the Agreement or any Amendment is not approved by the Division Director or the amount of payment is changed, or a correction needs to be made, the change may be handled by “crossing out” the item, writing in the change and requesting the adoptive parent(s)/guardian(s) to initial the change and date their initials. An amendment to the Agreement must be processed to authorize payment for additional services when/if they are needed. A proposed guardian must petition the probate division of the Missouri … Respite units may only be approved according to the child’s level of maintenance. Lodging and food: Reimbursed using Division travel guidelines for both in-state and out-of-state travel. A copy of the letter as well as the Application for Subsidy is to be kept in a subsidy file in the local Children’s Division office. Special needs child – A child who meets the following criteria: Has a specific factor or condition such as ethnic background, age, membership in a minority or sibling group, medical condition, or handicap about which it is reasonable to conclude that the child cannot be easily placed for adoption; Except where it would be against the best interest of the child because of significant emotional ties with the prospective adoptive parent(s) while in their care as a foster child, a reasonable, but unsuccessful effort has been made to place the child; and. A statement from the Orthodontist recommending the procedure and providing the following information: Orthodontic records that consist of cephalometric x-ray, panoramic x-ray or full-mouth survey in addition to dental study models, properly occluded and trimmed; and. Within 5 days of this placement type change, the referral must be made to the Eligibility Analysts. Otherwise, subsidy Agreements will terminate on the last day of the month of the youth’s 18th birthday. Also, these amendments eliminated the requirement that a Title IV-E child must receive a maintenance payment to receive MO HealthNet. It might be school staff (schools routinely send out a letter about guardianship when a child … All receipts submitted for reimbursement must be submitted within 6 months of the service being provided: Nonrecurring placement related expenses (NROT) may be reimbursed up to $1,000.00 and are limited to: Private agency fee reimbursement up to $3,500.00 is allowed. In making this program accessible to children in the custody of these agencies, Division county/circuit offices should apply the following guidelines: Other agencies shall have the responsibility for: County/Circuit offices will be responsible for: It is not necessary to complete these forms when the child is eligible only for nonrecurring adoption expenses. 1998 S.B. Some examples include: The child is placed out of the adoptive or guardianship home. These approvals are obtained through a prior approval process through the MO HealthNet Division and a MO HealthNet consultant. Staff is encouraged to utilize the behavioral consultants to assist in determining eligibility. Provide case activity to assure payment for services covered by the agreement. For the purpose of this policy, a “felony conviction by a court of competent jurisdiction” is defined as a criminal court conviction for a felony offense as defined by law in the jurisdiction that the offense took place. Lodging and food: Reimbursed at the amount paid for by the adoptive parent(s). The adoption subsidy and subsidized guardianship Agreements are contracts and are considered legally binding. If the legal guardian(s) dies or is mentally or physically incapacitated, the successor guardian, if named in the agreement, shall be contacted for the establishment of a new contract. Efforts to locate a family who would not need financial assistance do not include those situations in which a child is “found” for a family; i.e., a family is ready to accept a child recruited for them. Childcare expenses reimbursed on a Children’s Services Integrated Payment System Invoice, CS-65, for registered childcare must use the service codes ASDC (Adoption Subsidy childcare) and LGDC (Legal Guardianship Childcare) and will not be affected by the incentive payments, DISP and ACRD. These requests will be considered on a case-by-case basis. All basic subsidy services must be addressed in the explanation section in some manner. Missouri has very specific laws about whether and how a parent can move away with children. 113-183 requires continuation of title IV-E guardianship assistance payments if the guardian dies or is incapacitated and a successor legal guardian is named in the agreement or any amendments to the agreement (section 473(d)(3)(C) of the Act). The placement and the adoption are in accordance with state adoption laws. Supporting documentation from appropriate professionals is also required. Level B respite units may only be approved for contracts that have Level B maintenance that was approved prior to July 31, 2002. 99-514 requires states to pay certain nonrecurring expenses of all special needs children who meet the eligibility requirements. Procedures for recoupment can be found in the FACES Financial System Payment Handbook. If resources from the parent(s)’ or guardian(s)’ estate or survivors benefits, such as insurance or OASDI, are insufficient to provide for the child, application could be made for Temporary Assistance for Needy Families (TANF) or Supplemental Security Income (SSI). The Legal Guardianship Subsidy Program is authorized by Missouri legislation. There is no guaranteed right for a grandparent to have visitation with a grandchild. 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