Missouri Code of State Regulations › Title 13 - DEPARTMENT OF SOCIAL SERVICES › Division 35 - Children's Division › Chapter 38 - Adoption and Guardianship Subsidy › Section 13 CSR 35-38.010 - Adoption and Guardianship Subsidy

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule is to define the Adoption and
				  Guardianship Subsidy Program.
(1) Definitions. For purposes of this
				section, the following terms shall mean:
(A)
				Division. The Missouri Department of Social Services, Children's
				Division;
(B) Child or Youth. A
				person within the state who is under the age of eighteen (18), or in the
				custody of the Children's Division, who is in need of medical, dental,
				educational, mental, or other related health services and treatment, or who
				belongs to a racial or ethnic minority, who is five (5) years of age or older,
				or who is a member of a sibling group, and for whom an adoptive home is not
				readily available. A child or youth is also a person covered by an 18+ adoption
				subsidy agreement as set forth in section (13) of this regulation;
(C) Subsidy Agreement. The agreement between
				the adoptive parent(s) or the legal guardian(s) and the Children's Division to
				delineate services which the Children's Division will provide to the child at
				the time of adoption or guardianship until such time as the subsidy agreement
				ends;
(D) Maintenance payments. The
				amount that the division will contribute to cover the cost of food, clothing,
				shelter, daily supervision, school supplies, a child's personal incidentals,
				and liability insurance with respect to a child;
(E) Nonrecurring expenses. One (1)-time
				expenses directly related to the adoption or legal guardianship of a special
				needs child. Nonrecurring expenses include, but are not limited to, the
				following: legal fees, private agency fees, and nonrecurring placement-related
				expenses including, but not limited to, pre-placement transportation, lodging
				and meal expenses, expenses for adoption studies, health and psychological
				examinations, and supervision of the adoptive placement prior to the
				finalization of the adoption up to a maximum amount provided in this
				regulation;
(F) Youth with Elevated
				Needs. A child meeting the criteria set forth in
				13 CSR
				35-60.070;
(G) Medical Foster Care. A licensed foster
				home utilized to meet the needs of a child with extraordinary medical needs.
				Medical foster parents must have a foster parent license and must receive
				specific training from qualified medical care providers specific to the unique
				medical needs of the child and meet the requirements set out in
				13 CSR
				35-60.070;
(H) Respite. The provision of periodic and/or
				intermittent, temporary substitute care of children who are in the care and
				custody of the Children's Division and placed in a licensed foster, relative,
				or kinship resource home. Respite services may be approved as part of an
				adoption or guardianship agreement;
(I) Intensive In-Home Services (IIS). A
				short-term, intensive, home-based, crisis intervention program that combines
				skill-based interventions with maximum flexibility so that services will be
				available to families according to their individual needs. The goal of IIS is
				to offer families in crisis the alternative of remaining together safely,
				averting out-of-home placement of children whenever possible. IIS are, however,
				offered solely to families that have a child or children at imminent risk of
				removal from the home due to neglect, abuse, family violence, mental illness,
				delinquency, or other circumstances when approved by the Children's Division.
				Services provided assist with crisis management and restoration of the family
				to an acceptable level of functioning;
(J) Residential Care. A facility providing
				twenty-four (24) hour care in a group setting to children who are unrelated to
				the person operating the facility and who are unattended by a parent or
				guardian;
(K) Registered Childcare
				Provider. A license-exempt childcare provider maintaining requirements of the
				Children's Division to provide subsidized child care through a registration
				agreement;
(L) Relative. A person
				related to another by blood, adoption, or affinity within the third degree
				(grandparent, brother, sister, half-brother, half-sister, stepparent,
				stepbrother, stepsister, uncle, aunt, or first cousin).
(M) Kinship. A person who is non-related by
				blood, marriage, or adoption who has a close relationship with the child or
				child's family (godparents, neighbors, teachers, close family friends, and
				fellow church members) or a person who has a close relationship with the child
				or child's family and is related to the child by blood or affinity beyond the
				third degree; and
(N) Licensed
				Foster Family. A private residence of one (1) or more family members providing
				twenty-four (24) hour care to one (1) or more but less than seven (7) children
				who are unattended by a parent or guardian and unrelated to either foster
				parent by blood, marriage, or adoption and licensed through the Children's
				Division.