Virginia Administrative Code › Title 12 - HEALTH › Agency 30 - DEPARTMENT OF MEDICAL ASSISTANCE SERVICES › Chapter 130 - AMOUNT, DURATION AND SCOPE OF SELECTED SERVICES › Part XV - Case Management Treatment Foster Care Services › Section 12VAC30-130-930 - Organization and administration requirements

Current through Register Vol. 40, No. 24, July 15, 2024
A. These standards shall be met by any
				  enrolled provider signing an agreement with DMAS to provide case management
				  services to children in treatment foster care.
B. A Medicaid enrolled treatment foster care
				  case management provider must be licensed by the Department of Social Services
				  (DSS) as a child-placing agency with treatment foster care as defined in this
				  part or shall be certified by DSS as designated by DMAS to meet all the
				  requirements of this part. Officers, employees, or agents of the Commonwealth,
				  or of any county, city, or town acting within the scope of their authority as
				  such, who serve as or maintain a child-placing agency shall not be required to
				  be licensed but shall be required to be certified to meet all the requirements
				  of this part by the DSS.
C.
				  Treatment and service plans in treatment foster care.
1. The treatment foster care case management
				  provider shall prepare and implement an individualized treatment and service
				  plan for each child in its care. When available, the parents shall be consulted
				  unless parental rights have been terminated. If the parents cannot be
				  consulted, the agency shall document the reason in the child's
				  record.
2. When the treatment
				  foster care case management provider holds custody of the child, a service plan
				  shall be filed with the court within 60 days after the agency receives custody
				  unless the court grants an additional 60 days, or the child is returned home or
				  placed for adoption within 60 days. Providers with legal custody of the child
				  shall follow the requirements of §§ 16.1-281 and 16.1-282 of the Code
				  of Virginia.
3. The permanency
				  planning goals and the requirements and procedures in the Department of Social
				  Services Service Programs Manual, Volume VII, Section III, Chapter B,
				  "Preparing the Initial Service Plan" may be consulted.
4. The initial plan of care for services to
				  the child must be developed within two weeks of placement.
5. Comprehensive treatment and service plan.
				  The case manager and other designated child-placing agency staff shall develop
				  and implement for each child in care an individualized comprehensive treatment
				  and service plan within the first 45 days of placement that shall include:
a. A comprehensive assessment of the child's
				  emotional, behavioral, educational, nutritional, and medical needs;
b. The treatment goals and objectives
				  including the child's specific problems, behaviors and skills to be addressed,
				  the criteria for achievement and target dates for each goal and
				  objective;
c. The treatment foster
				  care case management provider's program of therapies, activities and services,
				  including the specific methods of intervention and strategies designed to meet
				  the above goals and objectives, and describing how the provider is working with
				  related community resources, including the child's primary care physician, to
				  provide a continuity of care;
d.
				  The discharge goals and objectives, services to be provided for their
				  achievement, and plans for reunification of the child and the child's family,
				  where appropriate. Unless specifically prohibited by court order, foster
				  children shall have access to regular contact with their families.
e. The target date for discharge from
				  treatment foster care case management;
f. For children age 16 and over, the plan
				  shall include a description of the programs and services that will help the
				  child transition from foster care to independent living; and
g. The dated signature of the case manager
				  and the identity of all members of the treatment team that participated in the
				  plan's development.
6.
				  The case manager shall include and work with the child, the custodial agency,
				  the treatment foster parents and the parents, where appropriate, in the
				  development of the treatment and service plan and a copy shall be provided to
				  the custodial agency. A copy shall be provided to the treatment foster parents
				  as long as confidential information about the child's birth family is not
				  revealed. A copy shall be provided to the parents, if appropriate, as long as
				  confidential information about the treatment foster parents is not revealed. If
				  any of these parties do not participate in the development of the treatment and
				  service plan, the case manager shall document the reasons in the child's
				  record.
7. The case manager shall
				  provide support and guidance to foster families in implementing the treatment
				  and service plan for the child.