Tracking #2008-01003
FA/P 11/7/08, eff. 1/1/09

I:/08082701.rft
[I:/08082701.doc]

(12 CCR 2509-1)

[Note: statement of basis and purpose is incorporated w/Tracking #2008-00902 (#08-7-1-1)].

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(12 CCR 2509-4)

[Instructions:  replace lines 1011254 through 1011273.]
7.304.62  Placement Activities [Rev. eff. 1/1/09]
The county department shall:
A.  Give the provider a written record of the child's admission to the home at the time of placement.
B.  Give the provider a written procedure or authorization for obtaining medical care for the child and assure that the provider receives the child's state identification number and Medicaid card for Medicaid eligible children in a timely manner.
C.  Give the provider a copy of the Family Services Plan for the child at the time of placement or when it is completed following placement.
D.  Document the above placement activities in the case file.
E.  Add the placement in the Department's automated reporting system prior to the next payroll.
F.  Within four weeks of the initial placement, give the provider a complete medical history for the child.  The medical history shall contain, to the maximum degree possible, the information listed in the Department of Human Services Health Passport.
G.  Provide the child with a full medical examination scheduled within 14 calendar days after placement and a full dental examination scheduled within 8 weeks after placement. The schedule of the appointments shall be documented in the case record. The county department shall maintain the medical and dental information in a record which is kept with the child during placement and upon return home, emancipation, or adoption. The county department shall document that ongoing medical and dental care is provided in a timely manner as defined by the department and by the health care provider. If the child received the required full medical examination at the time of the placement, then the regular schedule of appointments should be maintained in subsequent placements.
H.  Document the exceptional circumstances which require an emergency or temporary placement to last longer than 60 calendar days.
I.  Except in emergency situations, make subsequent placements according to court order and shall notify all parties to the extent possible.
J.  Not move a child from one short-term emergency placement to another unless all reasonable efforts to return the child to the child’s home or to place the child in a more permanent setting have been exhausted and are documented in the Family Services Plan.
K.  Not move a child more than twice unless such move results in a permanent placement or is determined to be in the best interests of the child and the reasons for the additional move are documented in the child's Family Services Plan.
L.  Assure that all children placed in a Residential Treatment Center program be assessed for the appropriate level of care.  The assessment tool used to assess for the appropriate level of care is the Colorado Client Assessment Record (CCAR).
M.  Notify the guardian ad litem, parent(s) or legal guardian within one (1) business day upon a child's placement into a foster care home.  The guardian ad litem's contact information shall be provided to the foster parents.
N.  Provide notice of administrative review to foster parents, pre-adoptive parents, or relatives providing care to a child and, upon written request, a written notice of the court hearing, which identifies the following:
1.  The child's current court case number;
2.  The date and time of the next court hearing; and,
3.  The name of the magistrate or judge and the court division to which the case was assigned.
O.  Not release personally identifying information. Upon receipt of written notice by a foster parent, employees of State and county departments, or others with the need to know, shall be prohibited from releasing personally identifiable information about a foster parent, other than the first name, to any adult member of the foster child's family, unless the foster parent subsequently provides written consent for the release of information.
P.  Refer to Section 7.406.1, F, for the applicable criteria when a child will be absent from the designated out-of-home placement and the county elects to reimburse the provider using the seven (7) day or thirty (30) day policy. 

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(12 CCR 2509-5)

[Instructions:  replace lines 1433155 through 1426944.]
7.406.1  THE STATE REIMBURSES WHEN: [Rev. eff. 1/1/09]
A.  The county's case record contains required program documentation. For out-of-home placement, documentation shall include the requirements listed under Section 7.304.51, Authority for Placement.
B.  Care is provided after the case is open and before the case is closed.
C.  The child is with a provider in possession of a valid certificate or license, when one is required.
D.  Placement is with an in-state Residential Child Care Facility or Child Placement Agency on the state approved vendor list or with out of state placement providers as approved through the Interstate Compact on the Placement of Children.
E.  A youth over eighteen (18) is in placement only when the court had jurisdiction before the 18th birthday and the court orders out- of-home placement.
F.  A child is absent from an out-of-home placement and the county department elects to reimburse the provider during the absence period for the placement for one of the following reasons: 
1.  The absence does not exceed seven days per absence, with only one (1) seven-day total reimbursement within thirty (30) calendar days for the following reasons: 
a.  The child has run away, 
b.  Trial home visit, 
c.  Trial provider visit,
d.  Child in detention; or, 
e.  The child has been kidnapped. 
2.  Thirty calendar day absences are allowed for the following reasons: 
a.  Respite (unless care is being provided and it violates Section 7.708.31, D, and causes a family foster care home to be over capacity); or, 
b.  The absence occurs during the first thirty days of a hospitalization. 
3.  For children enrolled in the Children's Habilitation Residential Program Waiver (CHRP), the county may continue payment of the equivalent of the maximum federal Supplemental Security Income benefit during all absences. 
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