Ohio's Families and Children Rule Review Site

Schedule B Non-Placement Service Rates Schedule B Non-Placement Service Rates

Posted: June 29th, 2021

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Please note this will be posted for pre-clearance review/comment for a 14 day period; starting June 29, 2021 and ending July 12, 2021.

These documents have been created as an optional contract template for Title IV-E agencies to use when contracting for non-placement services which may be required in accordance with the Administration on Children, Youth and Families, ACYF-CB-PI-18-09, and Public Law 115-123, Family First Prevention Services Act (FFPSA). Changes were made to Title IV-B and IV-E of the Social Security Act, enacted February 9, 2018 which outlined aftercare requirements for children discharged from a qualified residential treatment program (QRTP), as defined in section 472(k) of the Act. These documents will be housed within the Statewide Automated Child Welfare Information System (SACWIS) for title IV-E agencies to use for any non-placement services including, but not limited to aftercare supports/aftercare services. The new documents will be effective on or before October 1, 2021.
0I Agree1I Disagree
Don Warner
07-11-2021 (3:16pm)
95 Article II. TERM OF NP AGREEMENT 96 97 This NP Agreement is in effect from through , unless this NP Agreement is 98 suspended or terminated pursuant to Article IX prior to the termination date. 99 100 In addition to the initial term described above, this NP Agreement may be extended, at the option of 101 the Agency and upon written agreement of the Provider. Notice of Agency’s intention to extend the NP 102 Agreement shall be provided in writing to Provider no less than 60 calendar days before the expiration of 103 any NP Agreement term then in effect. No services provided prior to the commencement date shall be 104 covered under the terms of this NP Agreement. Suggested Revision(s) or Notes per the following Line Numbers--corresponding with above--follows: 97 This NP Agreement SHALL be in effect from prior to a QRTP Discharge or youth’s custody, 98 through , unless this NP Agreement is suspended or terminated pursuant to Article IX prior to the termination date. ___________________________________________________________________________________________ 138 E. Aftercare Support, as defined, in rule 5101:2-1-01 the Administrative Code, is monthly case 139 management activities with or on behalf of a child/family, by the Qualified Residential Treatment Program 140 (QRTP) as part of the required discharge plan developed by the permanency team for a minimum of six 141 months from discharge. Aftercare support rates are to be included on the Schedule B. 142 143 Such activities are to include but are not limited to the following: 144 1. Minimum of monthly contact with child and family (Face-to-Face /Telephonic/Skype/etc.) 145 2. Linkage to community services. 146 3. Follow up with community service. 147 4. Documentation of the monthly contacts in the Residential Treatment Information System (RTIS). 148 When serving multiple children in the same family, the cost for non-Medicaid Aftercare Supports may be 149 billed for only one child at the same time. 150 F. "Aftercare services" are defined as specific individualized community-based trauma informed services 151 that build on treatment gains to promote the safety and well-being of children and families, with the goal 152 of preserving the youth in a supportive family environment. Aftercare services may be part of the 153 discharge plan and added to the "agreement for Title IV-E agencies for the provision of non-placement services" on the "Schedule B" rate information. 155 156 Such services may include but are not limited to the following: 157 1. Behavioral Management 158 2. Crisis Support-Intervention 159 3. Life-Skills Development 160 4. Stabilization Supports 161 5. Treatment Team Staffing 162 6. Substance Use 163 7. Juvenile Sex Offender 164 8. Other Specialized Outpatient Service 165 166 G. Support/Services may mean aftercare support, aftercare services or other support/services, as 167 applicable. 168 169 H. Unless otherwise defined in Exhibit 1, non-placement services are to be provided only for referrals 170 made to the Provider by the agency on behalf of the agency’s client. 171 Suggested Revision(s) or Notes per the following Line Numbers--corresponding with above--follows: Lines 138 “ 170, reference definitions in OAC 5101:2-1-01, that are not noted in the OAC. ___________________________________________________________________________________________ 171 172 Article V. PROVIDER RESPONSIBILITIES 173 174 A. Provider agrees to deliver non-placement services as described on the Schedule B or an Addendum 175 to this NP Agreement, if applicable. If the non-placement service is aftercare support/aftercare 176 services the Agency and Provider are to ensure the service(s) are in alignment with the discharge 177 plan and needs of the child/family. Suggested Revision(s) or Notes per the following Line Numbers--corresponding with above--follows: 172 Article V. PROVIDER RESPONSIBILITIES 173 174 A. Provider agrees to deliver non-placement services as described on the Schedule B or an Addendum 175 to this NP Agreement, if applicable. If the non-placement service is for QRTP aftercare support / 176 aftercare services the Agency and Provider are to ensure the service(s) are in alignment with the QRTP 177 discharge plan and needs of the child/family. ___________________________________________________________________________________________ 184 185 D. Provider agrees to submit a progress report as negotiated by the parties for each child and/or family. 186 The progress report will be based on the agreed upon aftercare support/aftercare services/non- 187 placement services to be delivered to the child and/or family and will include documentation of such 188 support/services provided to the child/family. If Monthly Progress Reports are not received within 90 189 calendar days following the month of service provision, payment may be withheld at the Agency’s 190 discretion. 191 192 1. Monthly Progress Reports shall be submitted by the 20th of the month following the month of 193 service. 194 2. The Monthly Progress Report will include the following medical related information: 195 a. Service type. 196 b. Date(s) of service. 197 c. Reason for service. 198 d. Practitioner name, address, and contact number. 199 Suggested Revision(s) or Notes per the following Line Numbers--corresponding with above--follows: General Concern that the MC Workgroup needs to address: How does the RTIS system / expectations fit into this section of the NP Agreement? There has to be a means by which duplication is eliminated. 185 D. Provider agrees to submit a progress report as negotiated by the parties for each child and/or family. 186 The progress report will be based on and limited to Contact Notes addressing the agreed upon aftercare 186.a. support/aftercare services/non- 187 placement services to be delivered to the child and/or family and will include documentation of such 188 support/services provided to the child/family. If Monthly Progress Reports are not received within 90 189 calendar days following the month of service provision, payment may be withheld at the Agency’s 190 discretion. A 7 day written notice SHALL be given the Provider prior to withholding any payment. 194 2. The Monthly Progress Report will include the following medical related information (if part of the agreed 194.a. upon aftercare support/aftercare services Discharge Plan as arranged or delivered by the QRTP / NP Provider 194.b. if other than a QRTP and / or as made known by the youth’s family): ___________________________________________________________________________________________ 234 235 J. Documentation of emergency and non-emergency Incident’s as identified in “H and I” above shall 236 be provided to the Agency via email, Fax or other established notification system within 24 hours 237 excluding weekends and holidays. 238 Suggested Revision(s) or Notes per the following Line Numbers--corresponding with above--follows: 235 J. Documentation of non-emergency Incident’s as identified in “I” above shall 236 be provided to the Agency via the Monthly Progress Report, 237 excluding weekends and holidays. ___________________________________________________________________________________________ 242 243 A. The Agency represents: 244 245 1. It has adequate funds to meet its obligations under this NP Agreement, subject to the 246 availability of funds as referenced in Article VIII (I). 247 2. It intends to maintain this NP Agreement for the full period set forth herein and has no 248 reason to believe that it will not have sufficient funds to enable it to make all payments 249 due hereunder during such period; and 250 3. It will make its best effort to obtain the appropriation of any necessary funds during the 251 term of this NP Agreement. Suggested Revision(s) or Notes per the following Line Numbers--corresponding with above--follows: 252 4. It will provide a List of Identifying Information and means of Contact for Agreed-Upon Family and 252.a. Community Treatment Team Members for the youth and family. 252.b. 5. It will provide the youth’s SCAWIS Person I.D. number 257.c. 6. It will provide youth’s Medicaid Eligibility information or their Insurance / 3rd Party Payor information. ___________________________________________________________________________________________ 290 291 If Provider is not enrolled in Medicaid, Provider shall seek reimbursement for 292 support/services provided from the Agency at the agreed upon rate(s) (Schedule B). 293 Support/services provided to children who are not enrolled in Medicaid shall be invoiced to 294 the Agency less any private insurance / third-party payor reimbursement obtained by 295 Provider. Rates for support/services billed to the Agency shall be consistent with the 296 prevailing Medicaid rate for Community Psychiatric Supportive Treatment (the most recent 297 version of which may be found at: Manuals and Rates (ohio.gov). Changes to the rates on 298 the Schedule B after the effective date of the NP Agreement will require a signed addendum. 299 300 1. Invoicing procedures for support/services: 301 302 a. The provider is to determine if the child has Medicaid or private insurance/third-party 303 payor at the time of the referral. Suggested Revision(s) or Notes per the following Line Numbers--corresponding with above--follows: 291 If Provider is not enrolled in Medicaid, it SHALL have 6 months to become enrolled. Provider shall seek 292 reimbursement for support/services provided from the Agency at the agreed upon rate(s) (Schedule B). 293 Support/services provided to children who are not enrolled in Medicaid shall be invoiced to 294 the Agency less any private insurance / third-party payor reimbursement obtained by 295 Provider. Rates for support/services billed to the Agency shall be consistent with the 296 prevailing Medicaid rate for Community Psychiatric Supportive Treatment (the most recent 297 version of which may be found at: Manuals and Rates (ohio.gov). Changes to the rates on 298 the Schedule B after the effective date of the NP Agreement will require a signed addendum, time permitting, 298.a. and at minimum a year end reconciliation. 299 300 1. Invoicing procedures for support/services: 301 302 a. The Agency will provide youth’s Medicaid Eligibility information or their Insurance / 3rd Party Payor 303 information. The provider will work with the Agency is to determine if the child’s has Medicaid or private 303.a. insurance/third-party payor at the time of the referral will pay for services. ___________________________________________________________________________________________ 520 521 J. In the event the Provider does not carry the appropriate cyber security insurance to cover a security 522 breach, the Provider shall reimburse the Agency for actual costs incurred, including, but not limited to, 523 providing clients affected by a security breach with notice of the breach, and/or complimentary access 523 for credit monitoring services, which the Agency, deems necessary to protect such affected client. 524 720 721 Article XX. INSURANCE 722 Suggested Revision(s) or Notes per the following Line Numbers--corresponding with above--follows: I am not seeing the expectation for the provision of Cyber Security Insurance????