Title IV-E AGREEMENT for TITLE IV-E AGENCIES for the PROVISION of NON-PLACEMENT SERVICES

I strongly support the provision of the following information / definitions. This will aid everyone in providing clarity and consistency and serve as service reminders. __________________________________________ Aftercare Supports* Aftercare Supports are reimbursable Case Management activities performed by the Provider with or on behalf of a child / family, including collateral contacts. Such activities may be performed by Face-to-Face / Telephone Contact (excluding scheduling or cancelling appointments): a. Minimum of monthly contact with child and family (Face-to-Face / Telephonic, Skype, etc.) b. One In-Home Contact shall occur every 60 days. c. Linkage to community services. d. Follow up with community service. e. Treatment Team Staffing f. Monthly Reports to Agency of Aftercare Progress / Issues. Note: When serving multiple children in the same family, the cost for non-Medicaid Aftercare Supports may be billed for only one family member. *After Care Support is defined as case management activities performed with or on behalf of a child / family, by the QRTP as part of the required Discharge Plan developed by the Permanency Treatment Team. __________________________________________ Aftercare Services** Aftercare Services are individualized community-based services, with the goal of preserving the youth in a supportive family environment. Such services may include: a. Behavioral Management / Crisis Support-Intervention / Life Skills Development / Stabilization Supports / Treatment Team Staffing / AOD / JSO / Other Specialized Outpatient Service. The provision of these services by a QRTP are all reimbursable by Medicaid and / or reimbursable by the PCSA when provided via a Non-Placement Services Contract. b. See JFS Non-Placement Services Master Contract # XXXX Provider requirements to obtain reimbursement for Aftercare Services are outlined in section (20) Medicaid and Other Payors. **Aftercare Services are defined as specific individualized community-based trauma informed services that build on treatment gains to promote the safety and well-being of children and families, with the goal of preserving the youth in a supportive family environment. __________________________________________ The following services should, in my opinion, be agreed to for statewide minimum rates. Providers and PCSA’s would have the option to negotiate higher rates. Court Testimony $80 / Hour Transportation – Non-Medicaid Eligibility Use Currently Posted IRS Mileage Rate Visitation – Supervised Only - $60 / Hour Respite 1. Paid on an hourly unit basis, not to exceed 3 units in a single calendar day (i.e. 3 hours), at the rate of $70.34 per hour. 2. If Respite Services exceed 3 units in a single calendar day, the Services will be paid on a per diem basis at a rate of $225 per day. 3. Respite Services delivered for 31 minutes or more shall be rounded up to the next hourly unit.

Concerns regarding the RTIS documentation requirement: 143 Such activities are to include but are not limited to the following: 147 4. Documentation of the monthly contacts in the Residential Treatment Information System (RTIS). While we support sharing information via RTIS, there are too many other systems outside of RTIS that are required thus resulting in double documentation. For example: the 90-day service plan reviews and county specific monthly report documentation. The State should consider a similar web based system for service plans and not allow counties to require redundant paper or other county-specific (Franklin County SharePoint) web based documentation. Providers will need to hire additional staff to support the RTIS monthly documentation requirement to ensure all other reporting requirements are met. We will have 62 monthly reports to enter via of RTIS in addition to 62 service plan 90-day service plan reviews as well as the 19 required separate monthly report requirement from specific counties.