Rule 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 states 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 childs 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 twelve-month 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.
Last updated October 1, 2021 at 8:40 AM