Medical providers must be used if available in the community. If not, rates are set using the Medicaid rates and guidelines. If respite care is necessary, it must be included in the original adoption assistance agreement. The duration of respite care is usually specified and time-limited. Respite costs are incorporated into the monthly maintenance rate.
Residential treatment requires prior approval.
No policy addresses this issue, so deferred agreements are not possible. Payments to the guardian may include maintenance costs, medical and surgical expenses, and other costs incidental to the care of the child. The child under guardianship shall be a child for whom the guardianship would not be possible without the financial aid provided. The subsidized guardianship program was created in the mid-1980s. Programmatic Procedures 15.