Title,Territory,Type,Year,Category,To,From,Content,Link to Content
"MO :: Section 4, Chapter 2 (Placements), Subsection 4 – Therapeutic Foster Care Placements :: 2.4.1 Referral Process",Missouri,Rules,"2023, 2022, 2021","Administrative process, Placement, Services while in care - Mental Health, Services while in care - Therapies (not mental health)",,,"Children referred to the program shall be between the ages of 6-20 and demonstrate behavior which indicates the need for an intensive and individualized therapeutic intervention. If the decision is made that therapeutic foster care (TFC) can best meet the child’s clinical needs, referrals to the TFC program shall follow these guidelines: The case manager must assess the child’s need, via completion of the Residential and Specialized Placement Referral (CS-9), for therapeutic foster care. If other services are needed, involve the Department of Mental Health (DMH): Division of Comprehensive Psychiatric Services (CPS)/Division of Developmental Disabilities (DDD) at this time to maximize interagency expertise and financial participation. The FST shall assess the child’s needs and devise the treatment plan: Because placement should always be in the least restrictive setting, efforts should be made to place a child with a relative home, traditional foster home, or an elevated needs home prior to referral to TFC. Collateral documentation of behavior or other factors that indicate a need for therapeutic foster care services should be provided. The treatment plan must include strategies to allow for the child to remain “connected” to his/her family, kin, community, etc. Connection to the community must be an integral part of the treatment plan for older youth who have a permanency plan of independent living. Submit the following materials to the RCST Coordinator when the child has met the above criteria. The family, community members, or others who know the child can help with providing this material: Completed CS-9 that includes the CSPI: Social history or psychosocial assessment or court assessment completed within last 60 days Current case plan (CS-1) Current school report/grade level and any applicable records. For children with special education requirements, current Individualized Education Plan (IEP) and educational diagnostic assessment Medical history Immunization record Court orders and petitions Criminal history Psychological/psychiatric evaluation, and For any youth age 16 and over, include CS-3 Life Skills Inventory, Daniel Memorial Life Skills Inventory, or CS-1 Attachment. The case manager, supervisor, and RCST Coordinator will share information about the referral, discussion of possible placement resources, the urgency of need for placement, and other relevant information. The RCST Coordinator will screen the referral and, if appropriate, will notify the case manager by email if the child is approved for TFC.  The case manager shall begin the process of identifying a TFC placement. Once a TFC home is identified the case manager will notify the RCST.   The RCST will determine the initial treatment period, not to exceed 6 months and authorize all items on the service authorization.  The TFC provider in collaboration with the case manager shall set up a meeting to review the progress on the child’s individual treatment plan and discuss the discharge/transition plan no later than five months from the date of the child’s placement in the TFC home.   In order to prepare for child’s discharge/transition, a review shall be conducted by the RCST or other Department designee at the end of five months to ensure a successful transition.   If additional time is requested, the TFC provider and case manager shall seek authorization from the RCST or other Department designee to keep the child in the current TFC program.  The request shall specify the clinical and behavioral need(s) for extending the placement and shall identify specific treatment interventions and services that will be provided to meet the child’s treatment needs. Additionally, the RCST Coordinators will verify a child’s REHAB-RT eligibility prior to entering any service authorization for TFC. If the RCST Coordinator determines that an otherwise REHAB eligible youth has not had eligibility established in the FACES system, they will immediately contact the child’s case manager and/or supervisor. Service authorizations for TFC treatment services are not to be entered without verification that the FACES system indicates the child’s eligibility. Carry out any of the following actions as appropriate to the RCST Coordinator’s decision or recommendations: Advise court and develop alternative treatment and/or case plan if the referral is determined inappropriate or if other options for placement have been suggested. Coordinate all planning if county of current placement is different from county of jurisdiction. Case manger begins search for TFC home placement Notify the RCST Coordinator and TFC Coordinator in writing when TFC placement has been secured, providing name of TFC home, or if TFC home is no longer needed. Written notification should be made in all instances of placement or withdrawal of placement request. RCST will authorize the TFC placement service. Receive notification from provider of date for pre-placement interview visit. Proceed with placement preparation including the following: Prepare the child and parents for change in placement. Provide information about the facility, location, special programs, visitation arrangements, etc. Assess clothing needs and seek approval for expenditure if clothing is needed. Arrange dental and medical examination within 30 days prior to actual placement, if provider requires more recent medical report. Assure the child’s arrival at the facility on the date arranged for entry. Update the AC Client Information screen to denote a new placement. Complete a payment request if any special expenses are needed, have been approved, and are not included in the residential treatment contract. Update the AC Client Information screen to remove maintenance for any child entering a residential treatment agency. Provide any needed placement support services consistent with the CS-1 including services to the parents: Receive progress reports from the provider. The initial evaluation and plan of care should be in compliance with the FST plan, or if different, the reasons for any change must be documented. Determine what needs to occur to facilitate the child’s return to family or to another permanent placement in the community, coordinating and planning with the parent(s) and using recommendations of provider and the RCST Coordinator. Representatives of the treatment provider must be invited to attend the FST meeting. The treatment facility staffing can be combined with FST when appropriate as treatment goals, modality, and progress of child and family should be relevant discussion for members of both groups. Often the team members are the same for both meetings. Notify the RCST Coordinator in writing, immediately, of any child removed from an authorized placement. Include the date of discharge and identification of the present placement resource. Integrate the content of progress reports into services to the parents, FSTs, case plan development, reports to court, etc. The family may be included in therapeutic services provided to the child. Receive written notification from the RCST Coordinator at least 60 days prior to expiration date of treatment authorization. Receive notification from the provider at least 30 days prior to planned discharge of the child. If the FST has determined that the child and family are to be reunited, this plan shall be put into place. The TFC contractor, through therapeutic intervention with the youth and family, as well as working with the assigned case manager, shall identify necessary systems to support the family and youth during reunification. The case manager and other members of the FST will assure these supports are available to the family and youth as the goal of reunification is put into place. If the FST determines that return to the family or to another family setting is not appropriate, the case manager will: Submit recommendations to the RCST Coordinator regarding child’s continued need for treatment as soon as possible. The case-manager shall continue to determine what needs to occur to facilitate the child’s return to family or to another permanent placement in the community, coordinating and planning with the parent(s) and using recommendations of provider and the RCST Coordinator. The case manager shall continue to utilize this needs list to develop the treatment plan to be implemented by the case manager and the TFC contractor. If it appears the child will be unable to return to family of origin, the FST, with the involvement of the child and family shall develop alternate plans for the child using concurrent planning and meeting the Court and ASFA time lines. The child and his family shall be encouraged to locate relative placements or other permanent placements that will allow the child to remain involved with his/her family of origin, even if it is not realistic for the youth to be reunited with his/her family. Provide transitional services when the child returns to own family. If the child is unable to return to his/her family of origin, transitional services are provided as appropriate to meet the child’s needs and permanency plan.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-2-placements-subsection-4-therapeutic-foster-care-placements-241
"MO :: Section 6, Chapter 7 (Children’s Division’s Appeal Processes), Subsection 1, – (Children’s Division’s Fair Hearing Process) :: 7.1.1  Homes Developed and or Maintained by Contractors",Missouri,Rules,2023,"Contact and directory information, Foster parent licensing",,,"The Children’s Division is the licensing entity for Missouri resource provider homes. The Children’s Division contracts with private agencies to develop resource homes. The private agency developing and or maintaining a resource home makes one of the following recommendations to the Children’s Division: License or approve a home; Deny issuance of a license or approval of a home they are developing; Revoke a current open license or approval of a resource home they are maintaining. The Children’s Division makes the determination of the recommendation. Memoranda History: CD07-15 , CD07-52 , CD07-55 , CD07-73 , CD08-98 , CD10-110 , CD11-69 , CD11-107 , CD12-36 , CD15-33, CD17-42",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-7-childrens-divisions-appeal-processes-subsection-1-childrens-0
"MO :: Section 8, Chapter 2 (Personnel), Subsection 1 – Conflict of Interest and Preferential Treatment :: 2.1   Conflict Of Interest And Preferential Treatment",Missouri,Rules,"2023, 2022, 2020, 2019",Administrative process,,,"The Children’s Division prohibits the steering of or directing referrals of persons served by the Division to a private practice or contracted provider, in which the personnel, consultants or the immediate relatives of CD employees or past CD employees are engaged. This policy is put forth to avoid the appearance of a conflict of interest.  It is permissible to include such personnel, consultants and their agencies on referral lists, but no referral shall be made exclusively due to current or past personal relationships The Children’s Division prohibits preferential treatment of members of designated authorities with policymaking functions, advisory boards, personnel, private practices, contracted providers or consultants in applying for and receiving the Children’s Division services. Related Subjects: DSS Administrative Manual Sections, 2-120-Code of Conduct, 2-105-Employment of Relatives, 2-500-Conflict of Interest and 2-503 Political Activities (Employee Access Only)",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-2-personnel-subsection-1-conflict-interest-and-preferential-treatment
INTRODUCTION TO TRAUMA WEBINAR,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013","Administrative process, Definitions, Services while in care - Mental Health","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","CANDACE A. SHIVELY, DIRECTOR","DISCUSSION: The purpose of this memorandum is to share a new video resource entitled “Introduction to Trauma”. This thirty minute webinar, presented by Dr. Patsy Carter, Missouri Department of Mental Health, will introduce viewers to the definition and prevalence of trauma, as well as examine the social, biological, and health impact. The video can serve as a great resource for agency staff, foster parents, contracted staff and community partners who are interested in learning more about how trauma can impact families. The webinar qualifies as CA/N 210 training credit for agency staff and is also pre-approved as thirty minutes of in-service training for foster parents. Staff should complete the request for training credit form at the following link: http://dssweb/cs/training/210info/210reqtrain20091.pdf The completed form should be submitted via email to the attention of Jeff Adams, Training Coordinator, Professional Development and Training. For foster parent training credit entry, staff should follow local procedures and use the foster parent in-service training code 299 (Other approved in-service training) and enter the class name in the system. The video presentation may be accessed at the following links: http://www.mimhtraining.com/2013/02/26/introduction-to-trauma/ http://www.youtube.com/watch?v=NiukSviRnuI&feature=player_embedded NECESSARY ACTION Review this memorandum with all Children’s Division staff. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT PROGRAM MANAGER Jeff Adams 314 416-2781. Jeff.L.Adams@dss.mo.go v CHILD WELFARE MANUAL REVISIONS N/A FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE N/A ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/introduction-trauma-webinar
"Mandatory Review of Psychotropic Medication, Secondary Review of Psychotropic Medication, Automatic Review of Psychotropic Medication, and Denial Notification Letter ofCenter for Excellence Findings, CD-280.",Missouri,Memo,,Services while in care - Mental Health,CHILDREN’S DIVISION AND CONTRACTED STAFF,"REGINALD MCELHANNON, INTERIM DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce Mandatory Reviews, discuss Secondary and Automatic Reviews of Psychotropic Medication, and notify staff of a new form, the Denial Notification Letter of Center for Excellence Findings, CD-280. There are new types of clinical consultation reviews that will be necessary to complete in order for case managers to make the best informed consent decisions for children in alternative care and to ensure that their medical/mental health needs are being addressed appropriately. The Center for Excellence in CHILD Well-Being (The Center) is serving as the Statewide Clinical Consultant who completes Mandatory, Secondary, and Automatic Reviews. Staff may be familiar with Secondary and Automatic Reviews, discussed more fully below, but Mandatory Reviews are now required in certain specific instances BEFORE informed consent may be given for administration of a psychotropic medication. Mandatory Review BEFORE informed consent for psychotropic medications may be given, CD shall determine if a mandatory review by the Statewide Clinical Consultant (The Center) is required. A mandatory review is required in the following instances: Before a child age three (3) or younger is prescribed any psychotropic medication For a child age four (4) or older: Before starting a 3rd (or more) psychotropic medication; Before starting a 2nd (or more) antipsychotic; Before a psychotropic medication is started by a second prescriber; Before starting a psychotropic medication that exceeds dosage guidelines Referrals for Mandatory Reviews shall be made by the Health Information Specialist (HIS) to The Center as soon as practicable. The case manager needs to make contact with the HIS as soon as possible upon receiving a recommendation for psychotropic medication to notify the HIS to request a referral for a mandatory review. Consent cannot be given or medication administered until after the recommendations and findings of the mandatory review are received and considered by the case manager. Secondary Review A referral for a secondary review shall be submitted to The Center if any of the following occur: The case manager has concerns about psychotropic medications being prescribed, or any other recommended physical or behavioral health intervention. The parent or child disagrees with a case manager’s informed consent decision. Other members of the child’s FST, including the child’s GAL or CASA, the child’s resource provider, or the Juvenile Officer have submitted a request to CD to refer the case for secondary review of the child’s psychotropic medications or any other recommended physical or behavioral health intervention. Case managers shall ensure that all such requests are referred for secondary review, except that CD may, in its discretion, decline to perform more than one (1) review for a child within the same sixty (60) day period. The HIS will make the referral to The Center. The case manager needs to make contact with the HIS as soon as possible once a decision has been made that a secondary review is necessary based upon the criteria listed above, clearly documenting why the review is being requested. The online referral form shall be submitted within five (5) business days. Medical records to include in the referral: current diagnosis, prescriber notes, current medication list including dose and frequency, lab results, psychiatric evaluation, therapy reports and other records related to the child’s behavior or diagnosis. The Center shall, within five (5) business days of receiving the request for consultation, review the pending prescription and provide an opinion and recommendation as to the appropriateness and timing of the prescription (including but not limited to whether the child should begin taking the proposed medication immediately). Documentation of the request and the recommendation shall be included in the child’s case record. The individual authorized to provide informed consent shall consider the recommendation and collaborate with the prescriber if necessary prior to providing an informed consent decision. The findings and recommendations of The Center shall be provided to the child’s parent or legal guardian; the individual authorized to provide informed consent for the medication (if an alternative consenter has been appointed by the court), child’s resource provider, and any other person or entity authorized to receive the recommendation by order of the court. The findings and recommendations of The Center may be provided to other individuals as determined appropriate, who would include: GAL, CASA, other members of the FST, and medical providers. If a parent or child does not agree with the recommendation from The Center, the parent or child may: Within five (5) business days, initiate a service delivery grievance, or At any time, file an appropriate motion with the juvenile court If The Center has recommended immediate administration of a psychotropic medication, the case manager may follow that recommendation, regardless of any pending service delivery grievance or juvenile court motion filed by the parent. If The Center recommends that immediate administration of a psychotropic is NOT REQUIRED, the case manager will not consent to the medication until any service delivery grievance or juvenile court motion has been resolved. Automatic Reviews Staff will be notified when a child’s case has been identified for automatic review by The Center. These reviews will be completed on a quarterly basis for cases meeting identified criteria. The case manager shall have ten (10) business days from the date of receiving notice to collect the materials or documents that The Center requests to complete the review. The Center has five (5) business days to complete the review process. Denial Notification Letter of Center for Excellence Findings, CD-280 After a review is completed by The Center, the findings and recommendations are provided to the case manager. In the event that CD declines to share the findings and recommendations of The Center with the child’s parent or legal guardian, CD shall notify the individual in writing of the reason for denial using the Denial Notification Letter of Center for Excellence Findings, CD280. CD may only decline to share the findings and recommendation if at least one of the following criteria applies: The Court has entered an order limiting access to certain information about the child; Sharing information is not in the best interest of the child or could endanger the health, safety, and welfare of the child or another person; Sharing the information may interfere with a child abuse, child neglect, or a child investigation; or Providing information is contrary to law. The CD-280 will explain the individual’s right to seek a review by completing a service delivery grievance of that decision or to file an appropriate motion with a juvenile court. The Denial Notification Letter of Center for Excellence Findings, CD-280, as well as the Spanish version, can be accessed through E-Forms located on CD intranet. Questions regarding the Psychotropic Medication Settlement Agreement can be sent to PsyMedSettle@dss.mo.gov . NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Larry Smith Program Development Specialist 573-522-8303 Larry.K.Smith@dss.mo.gov MANAGER CONTACT Stacie Frueh, MSW Health Specialist Coordinator 573-341-1668 Stacie.A.Frueh@dss.mo.gov CHILD WELFARE MANUAL REVISIONS FORMS AND INSTRUCTIONS Denial Notification Letter of Center For Excellence Findings, CD-280 REFERENCE DOCUMENTS AND RESOURCES Practice Point for Mandatory Reviews RELATED STATUTE N/A",https://fostercaresystems.wustl.edu/foster/mandatory-review-psychotropic-medication-secondary-review-psychotropic-medication-automatic
CLARIFICATIONS OF RELATIVE OR KINSHIP POLICY,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011","Foster parent licensing, Kinship","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","CANDACE A. SHIVELY, DIRECTOR","DISCUSSION: Relative or Kinship Care policy is located in Section 4 Chapter 12 of the Child Welfare Manual. Language in this section of policy has been revised to support data entry in FACES. Current transportation policy, Section 4 Chapter 11 Attachment C, allows for reimbursement to relative and kinship providers for allowable child specific transportation. Policy clarification has been made in Section 4 Chapter 12 Subsection 4 to include transportation reimbursement in the Relative and Kinship section of policy. Policy requires all licensed resource homes to complete 30 hours of in-service training before their license may be renewed. Level B resource homes are required to complete 32 hours. Relative homes, RH, may use the relative non-safety standard waiver and not complete the 30 hours in-service training for their RH license to be renewed. However, if they do not complete the required 30 hours of training, they are not eligible for the $100.00 Professional Parenting Payment, PPMN. Their Cooperative Agreement CM-14 must be closed and the Cooperative Agreement CM-3 opened. Policy language clarification has been made in Section 4 Chapter 12 Subsection 5. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Dena Driver 573-751-3171 Dena.D.Driver@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Out-of-Home-Care, Relative or Kinship Care FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS and RESOURCES Out-of-Home-Care, Financial Support Planning, 4.11.C RELATED STATUTE N/A ADMINISTRATIVE RULE Foster Home Licensing Rule, 13 CSR 35-65.030 (1) Minimum Qualifications of Foster Parent(s), Foster Parent Training COUNCIL ON ACCREDITATION (COA) STANDARDS PA-FC 16.03 CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS N/A Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/clarifications-relative-or-kinship-policy
MEDICAL RECORD FEES,Missouri,Memo,"2024, 2023, 2022, 2021, 2020","Administrative process, Services while in care - Medical",CHILDREN’S DIVISION AND CONTRACTED STAFF,"DAVID WOOD, DIRECTOR","The purpose of this memorandum is to inform staff of a change in the maximum reimbursement rates for medical records. The maximum reimbursement rates for paying providers for medical records were changed effective February 1, 2020. The new amounts are: A copying fee of $26.06 and $0.60 cents per page for the cost of supplies and labor for copies in paper form An additional fee of $24.40 if records are maintained off-site Copies provided electronically (e.g. disc, fax, email) have a maximum copying fee of $114.17 total, whichever is less Postage to include packaging and delivery cost Section 191.227 of the Revised Statutes of Missouri sets a base rate for the maximum costs of copying records. The law requires the Missouri Department of Health and Senior Services (DHSS) to determine the amounts each year. The new rate information is available on their website at: http://health.mo.gov/atoz/fees.php When Children’s Division staff request and receive medical records from providers, all invoices for payment for those records must be submitted via Payment Request. Specific instructions for completing the Payment Request are provided in the FACES Financial System Payment Handbook. https://dssintranet.mo.gov/dfas/wp- content/uploads/sites/26/2020/07/FACESQuickReferenceforPayments.pdf Effective immediately, provider charges shall not exceed these maximums for services provided on or after February 1, 2020. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Cari Pointer Cari.A.Pointer@dss.mo.gov MANAGER CONTACT Kara Wilcox Kara.B.Wilcox-Bauer@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 8, Chapter 7.2.12 Paying for Medical Records https://dssmanuals.mo.gov/child-welfare-manual/section-8-chapter-7-contracted- services-subsection-2-childrens-treatment-services-cts/ FORMS AND INSTRUCTIONS NA REFERENCE DOCUMENTS AND RESOURCES NA RELATED STATUTE Section 191.227 RSMo.",https://fostercaresystems.wustl.edu/foster/medical-record-fees
CHILDREN’S TREATMENT SERVICES,Missouri,Memo,"2024, 2023, 2022, 2021, 2020","Administrative process, Contracting with private organizations, Services while in care - Mental Health, Services while in care - Other",CHILDREN’S DIVISION AND CONTRACTED STAFF,"REGGIE MCELHANNON, INTERIM DIRECTOR","The purpose of this memorandum is to inform all Children’s Division staff of the release of the FY20 Children’s Treatment Services Contract and highlight several changes. With the FY20 contract three (3) new service descriptions were added. They are: Specialized Clinical Assessment/Psycho-Sexual Evaluation: Is a specialized clinical assessment of adult and juvenile sex offenders, which are also referred to as a psycho-sexual evaluation. Generally they are court ordered to determine one of the following: Risk of repeat behavior; Interventions; Specific risk factors; Client’s willingness to participate in recommended treatments and/or interventions; Identifying factors that may prevent engagement in treatment and/or interventions; or Identifying strengths and protective factors. Transportation: This services shall be utilized in direct alignment with the treatment plan goals as identified in Family Support Team (FST) meetings. Transportation for a parent(s) will assist in accessing community resources to alleviate the need for an open Family Center Services or Alternative Care case. This transportation code alleviates the need to utilize the Service Delivery Coordination (SDCR) code for transportation needs. Transportation (Behavioral): This transportation code is for youth who are a danger to themselves and/or others. If restraints are required to transport a youth, CD will then obtain written approval from the court. Additional changes to the Catalog of Services: Parent Aide maximum number of units allowed decreased from forty (40) to twenty (20) Drug testing 5 Panel Urine code changed from DRUG to DU05 The Invitation for Bid and the Attachment A Catalog of Services can be found on the website at http://dss.mo.gov/bids/ . The Child Welfare Manual has been updated in the sections below to reflect these changes. It is noted that the policy for transporting children with a restraint shall be approved by the court under all circumstances. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT PDS Name: Nancy L. Reid PDS Number: 573-522-2316 PDS E-mail: nancy.l.reid@dss.mo.gov MANAGER CONTACT Manager’s Name: Tasha Toebben Manager’s Number: 573-526-3899 Manager’s E-mail: Tasha.Toebben@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 8, Chapter 7, Subsection 2: Children’s Treatment Services Section 4, Chapter 4, Overview FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES CTS Invitation for Bid and Catalog of Services can be found at http://dss.mo.gov/bids/ RELATED STATUTE N/A",https://fostercaresystems.wustl.edu/foster/childrens-treatment-services
MEDICAL SERVICES AUTHORIZATION INFORMATION LETTER,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014","Forms - Other, Services while in care - Medical, Services while in care - Mental Health","REGIONAL DIRECTORS, FIELD SUPPORT MANAGERS, CIRCUIT MANAGERS, SPECIALISTS AND SUPERVISORS","TIM DECKER, DIRECTOR","DISCUSSION: The Children’s Division (CD) participates in the development and implementation of coordinated social and health services including preventive, on-going and long-term medical and mental health care for children placed in the legal custody of the Children’s Division. Services for medical and mental health needs of foster youth must be provided by service providers who are enrolled in the state Medicaid plan, MOHealthnet or MOHealthNet Managed Care. If medical service providers who are not enrolled with MO HealthNet or a MO HealthNet Managed Care Plan are used for a foster youth, the resource provider may have to pay for the services out-of-pocket. Any invoice or paid receipt received by the resource provider for services provided to a foster youth in their home must be submitted to the foster youth’s case manager immediately. Any reimbursement to the resource provider will be from Children’s Treatment Services (CTS) funds. The purpose of this memorandum is to introduce a new form, Medical Services Authorization Information Letter, CD-27. The purpose of the CD-27 is to assist resource providers seeking medical services for foster youth from service providers who are not enrolled with MO HealthNet or a MO HealthNet Managed Care Plan. In the event that a resource parent uses a medical or mental health provider who is not enrolled with MO HealthNet or a MO HealthNet Managed Care Plan the CD-27 must be presented prior to the foster youth receiving services. If a resource family makes plans to travel out of state with a foster youth(s) placed in the home, the foster youth(s) case manager should provide the resource parent with a CD27. The worker should explain the reimbursement review process when a resource provider receives an invoice or has a paid receipt and letter from the medical provider, if applicable, for medical services provided to a foster youth placed in their home. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. Review new Children’s Division form. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Amy Martin 573-751-3171 Amy.L.Martin@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 4 Chapter 6 subsection 1 Section 1 Chapter 3 Subsection 3 Section 4 Chapter 24 Subsection 3 Section 4 Chapter 30 Subsection 4 FORMS AND INSTRUCTIONS Employee Access Only on CD Desk Top Medical Services Authorization Information Letter, CD-27 REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE N/A ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS (List or put N/A if not applicable.) CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS N/A Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/medical-services-authorization-information-letter
RESOURCE PROVIDER HOME ASSESSMENT UPDATES AND  CHANGE REPORTING,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010","Administrative process, Foster parent licensing","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, DIRECTOR","DISCUSSION: The purpose of this memorandum is to provide policy clarification regarding Council on Accreditation, COA, requirements for updates of home assessments of resource providers. COA requires that home assessments are updated within two weeks of a reported change in the home composition and at least once annually. The Children’s Division is currently in compliance with this requirement: Section 6 Chapter 3 Subsection 1 addresses updates within two weeks of a reported changed, and Section 5 Chapter 1 Subsection 6 addresses quarterly visits and summaries. To support policy, the quarterly summaries are now required to be attached to the home assessment. The quarterly summaries for the new licensure period are to be attached to the amended home assessment providing ease in verifying compliance with policy and the COA requirement. At license renewal the home assessment is amended to reflect any changes in the household including but not limited to: Individuals who move in or out of the home, Death or debilitating illness of a caregiver; Structural defects in the home related to fire, flood, or natural disaster, or Legal proceedings affecting the family such as eviction or divorce. Policy provides a template for the required format of the home assessment and the subsequent renewal assessment. This format is to be followed as specified to provide consistency statewide. If the court requires specific information in the home assessment or requires designated forms to complete, staff should be compliant with the court. Policy has been revised to include a time frame in which the resource provider must report changes. The resource provider shall notify the Division within two weeks of any pertinent conditions, problems or major family changes per Foster Home Licensing administrative rule 13 CSR 35-60.050 (1) (B). NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Dena Driver 573-751-3171 Dena.D.Driver@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Responsibilities of Placement Resource, Section 1 Chapter 3 Subsection 3 Foster Parent Job Description, Section 6 Chapter 1 Attachment A FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE 210.506 210.542 ADMINISTRATIVE RULE Minimum Qualifications of Foster Parent(s), 13 CSR 35-60.030(6), (7), and (8) COUNCIL ON ACCREDITATION (COA) STANDARDS PA-FC 17: Homestudies PA-KC 2: Assessment CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS N/A Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/resource-provider-home-assessment-updates-and-change-reporting
INITIAL AND ONGOING SCREENINGS FOR CHILDREN IN ALTERNATIVE CARE,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010","Administrative process, Contact and directory information, Entry to care, Services while in care - Medical","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, DIRECTOR","DISCUSSION: The purpose of this memorandum is to clarify the policy and practice requirements for obtaining the initial and ongoing medical examinations while a child is in alternative care. The initial health examination should occur within 24 hours of a child coming into care. This examination does not need to be a full Healthy Children and Youth (HCY) assessment. The purpose of the initial health examination is to identify the need for immediate medical or mental health care and assess for infectious and communicable diseases. When possible, this examination should be completed by the child’s current primary care physician as they know the child and have knowledge of the child’s medical history. In addition, there have been changes made to the policy regarding provider accessibility. If a provider is not readily accessible, the initial health examination must occur within 72 hours of the initial placement. Policy previously allowed ten days for the examination to occur when a provider was not readily accessible. The purpose of this change is to ensure that any immediate medical or mental health concerns are addressed in a timely manner. To meet Council on Accreditation Standards and statutory requirements, the following must be completed no later than 30 days after the child is placed in Children’s Division (CD) custody: The full HCY assessment including eye, hearing, and dental examinations; Alcohol and drug screenings; Developmental screening; and Mental health screening Priority efforts should be made to ensure that this assessment is completed by the physician who knows the child and his/her medical history. If this is not possible, the child’s medical records should be taken with the child for the HCY assessment. When possible and safe to do so, it may be advantageous for the parent(s) or previous caregiver(s) to be present during the assessment to give the physician historical medical information. Ongoing Screenings This memorandum also introduces Section 210.110, RSMo , which requires all children from birth to age 10 in CD custody to receive a physical, developmental, and mental health screening every six (6) months following the initial health examination, as long as the child remains in care. The HCY form, created by the MO HealthNet Division, includes screening questions for those areas. Prior to all Permanency Planning Review Team (PPRT) meetings, a full HCY assessment should be completed, thus staff should schedule appointments in a timely manner to ensure the appointment occurs prior to the PPRT meeting. Procedure It is the Children’s Service Worker’s responsibility to ensure that children in CD custody receive the appropriate screening, assessment, and follow-up services as necessary. During the screening, staff must either request the physician to complete a Healthy Children and Youth (HCY) examination, or give a copy of the appropriate HCY form to the physician to complete. Resource providers who accompany the child to the appointment should be given a copy of the appropriate HCY form by the worker to be completed by the physician. If there are no changes medically, or additional medical assistance is needed, staff should receive such documentation from the child’s physician and take appropriate action, if necessary. After the HCY exam is completed, the Children’s Service Worker should obtain the medical results and record(s) and share the information with the Family Support Team. If the resource provider accompanies the child to the health examination, the Children’s Service Worker should obtain the results of the examination from the resource provider or request the resource provider share the medical results with the Family Support Team. These screenings may occur as frequently as needed. All charges should be billed to MO HealthNet (Medicaid) or the appropriate managed care plan. The developmental and mental health screening portion of the HCY examination may also be completed by other professionals such as: Parents as Teachers, Nurses for Newborns, Early Head Start, Head Start, First Steps, child care centers, the child’s therapist, or the school the child attends. Documentation Copies of the screenings and assessments should be maintained in the child section of the case record. Medical documentation including the screenings and assessments should be obtained prior to the PPRT meeting so that the information can be available for the meeting. Staff should also discuss any changes in the child’s medical status at the PPRT meeting. All medical needs identified should be discussed with the Permanency Planning Review Team. The date of the initial physical examination and the date of the last physical examination should be entered on the Medical Information screen in FACES. The Children’s Service Worker must ensure that all initial medical information is given to the resource provider within 72 hours of the child coming into care if possible, but no later than 30 days following placement. A list of the medical information to be obtained can be found in Section 4 Chapter 24.2 of the Child Welfare Manual. The changes outlined in this memorandum will be effective as of today’s date. NECESSARY ACTION: Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT: Christy Collins (573) 751- 9603 Christy.Collins@dss.mo.gov PROGRAM MANAGER: Dena Driver (573) 751- 3171 Dena.Driver@dss.mo.gov CHILD WELFARE MANUAL REVISIONS: Section 1 Chapter 3.3 Responsibilities of the Placement Provider Section 4 Chapter 4.6 Preparing the Child for Placement Section 4 Chapter 5.1 Placement in a Resource Family Section 4 Chapter 6.1 Out-of-Home Placement Support Activities Section 4 Chapter 6 Attachment B Direct Service Worker Duties Section 4 Chapter 11.8 Healthy Children and Youth (HCY) Section 4 Chapter 24.1 Legal Basis for the Provision of Medical/Mental Health Services Section 4 Chapter 24.2 Medical Information to be Obtained When Child Enters Care Section 7 Chapter 6 Nutrition, Health, and Development FORMS AND INSTRUCTIONS HCY Forms REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE 210.110 Child Protection and Reformation ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS COA Standard PA-FC 2 COA Standard PA-FC 10 COA Standard PA-KC 2 COA Standard PA-KC 10 CHILD AND FAMILY SERVICES REVIEW (CFSR) CFSR, Item 22, Physical Health of the Child PROTECTIVE FACTORS Parental Resilience-N/A Social Connections- N/A Knowledge of Parenting and Child Development-N/A Concrete Support in Times of Need-N/A Social and Emotional Competence of Children- N/A FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/initial-and-ongoing-screenings-children-alternative-care
FOSTER PARENT NOTIFICATION OF HEARINGS AND OPPORTUNITY TO BE HEARD IN COURT,Missouri,Memo,"2007, 2006","Administrative process, Contact and directory information, Court system, Legal process","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, INTERIM DIRECTOR","Federal and state law has affirmed that foster and adoptive parents, including relative caregivers, have the right to receive notice of court hearings relating to the children in their care and the right to be heard at those hearings. Pursuant to Program Improvement Plan (PIP) Item 29.1 , it is imperative that the foster/adoptive parent’s correct name/address is documented in court records by the Children’s Service Worker. Upon the notification of a court hearing, the Children’s Service Worker shall mail a notice of this hearing to the foster/adoptive parent. This notice should be mailed no later than (14) days prior to the hearing. Once the notice has been mailed, the Children’s Service Worker will follow-up with the foster, adoptive, relative parent reminding him/her of the hearing. The notice should be copied and placed in the legal section of the child’s case record along with documentation of the follow-up call in the narrative. NECESSARY ACTIONS : Review this memorandum with all Children’s Division staff. Review revised Child Welfare manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT: Veronica Stovall, PDS 573-522-5060 Veronica.E.Stovall@dss.mo.gov PROGRAM MANAGER: Kathryn Sapp 573-522-5062 Kathryn.Sapp@dss.mo.gov CHILD WELFARE MANUAL REVISIONS: Section 1, Chapter 1 : Roles and Responsibilities of Children’s Division, Supervisor, Agency Administrator, and Children’s Service Worker; Section 1, Chapter 3 : Responsibilities of Placement Resources. Section 6, Chapter 1: Attachment A : Foster Parent Job Description FORMS AND INSTRUCTIONS: N/A REFERENCE DOCUMENTS and RESOURCES: N/A RELATED STATUTE: Public Law 105-89 210.720 211.183 ADMINISTRATIVE RULE: N/A COUNCIL ON ACCREDITATION (COA) STANDARDS: N/A PROGRAM IMPROVEMENT PLAN (PIP): (Employee Access Only) Item 29.1 -Provides a process for foster parents, pre-adoptive parents, and relative caregivers of children in foster care to be notified of hearings and have an opportunity to be heard in, any review or hearing held with respect to the child. P2.16.2 -Increase parent, caregiver (alternative care provider) and child involvement in case assessment, plan development and reassessment. SACWIS REQUIREMENTS: N/A PN/VES",https://fostercaresystems.wustl.edu/foster/foster-parent-notification-hearings-and-opportunity-be-heard-court
PERMITTING A FOSTER CHILD TO REMAIN IN THE SAME SCHOOL THEY ATTENDED AT THE TIME OF PLACEMENT,Missouri,Memo,"2007, 2006",Services while in care - Educational,"REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS AND CHILDREN’S DIVISION STAFF","PAULA NEESE, INTERIM DIRECTOR","House Bill 1453 required the Children’s Division to consult with the Department of Elementary and Secondary Education (DESE) to establish necessary procedures to implement the following statute: “Upon request of foster family, the guardian ad litem, or the volunteer advocate and whenever possible, the child shall be permitted to continue to attend the same school that the child was enrolled in and attending at the time the child was taken into custody by the division.” (211.032.7(2), RSMo) When possible, with the best interest of the child in mind, arranging for the child to continue to attend the same school should be discussed during the 24/72 hour Family Support Team meeting. Distance from original school may be a factor in recommending such arrangements, however, based on location of the foster family, the school district may be able to provide transportation. DESE has provided some options for the team to consider, including: The school bus of the foster child’s home district travels to the home of the foster parent to pick up the child. These miles would be considered eligible miles for the school district to include in their allowable cost for state aid; The foster parent provides transportation and receives reimbursement for mileage from the school district. School districts can include this as an allowable cost for state aid; The foster parent meets the school bus at the boundary line of the school district. The school district contracts with an individual, besides the foster parent, to transport the child to their home school district. This would be an allowable cost for state aid for school districts; or The foster parent provides transportation with no reimbursement for mileage from the school district. Please note that the law does not require schools to provide reimbursement as described above. When it is determined to be in the child’s best interest, the Foster Parent/Children’s Division staff should enroll the child in their new school. It is the responsibility of the new school to request transfer of records from the old school, pursuant to Sections 167.022 and 211.032.7(1) RSMo., within two business days, upon notification by the Division. Central Office will be distributing a letter to all foster parents explaining this legislative and policy change. NECESSARY ACTIONS: Please review this memorandum with all Children’s Division Staff. Review the attached letter provided to all foster parents. Be prepared to answer questions foster parents may have at the time of placement of school-aged foster child. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACTS: Veronica Stovall, PDS 573-522-5060 Veronica.E.Stovall@dss.mo.gov PROGRAM MANAGER: Kathryn Sapp 573-522-5062 Kathryn.Sapp@dss.mo.gov CHILD WELFARE MANUAL    REVISIONS Section 1 Chapter 3.3 Roles and Responsibilities of Placement Resources Section 1, Chapter 4 Roles and Responsibilities of Community Partners Section 4, Chapter 7.2 Family Support Team Meeting FORMS AND INSTRUCTIONS N/A RELATED STATUTES: 211.032.7(2), RSMo 167.022, RSMo COUNCIL ON ACCREDITATION (COA) STANDARDS: N/A PROGRAM IMPROVEMENT PLAN (PIP): N/A SACWIS REQUIREMENTS: N/A",https://fostercaresystems.wustl.edu/foster/permitting-foster-child-remain-same-school-they-attended-time-placement
EDUCATIONAL SUPPORT AND INTERVENTION FOR STUDENTS AT RISK OF ACADEMIC FAILURE AND CS-1 REVISIONS,Missouri,Memo,"2007, 2006","Contact and directory information, Forms - Other, Services while in care - Educational","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS AND CHILDREN’S DIVISION STAFF","PAULA NEESE, INTERIM DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce policy enhancements related to educational intervention and support for children in care and revisions to the education section of the CS-1 form and instructions. These policy enhancements establish a process for addressing educational issues for children in care through the Family Support Team (FST). The Division recognizes the importance of educational advancement for its children and supports maintaining school stability, when possible. Staff should utilize the FST to determine the most appropriate intervention and/or alternative education option available to best meet the needs of the child. We are hopeful, that by sharing our focus for a child’s education with our FST members, we will increase a child’s chance of a successful transition into adulthood. NECESSARY ACTIONS: Please review this memorandum with all Children’s Division Staff. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT: Alicia Jenkins, PDS 573-751-0311 Alicia.Jenkins@dss.mo.gov PROGRAM MANAGER: Kathryn Sapp 573-522-5062 Kathryn.Sapp@dss.mo.gov CHILD WELFARE MANUAL  REVISIONS: Section 1, Chapter 1 Roles and Responsibilities of Children’s Division, Supervisor,                             Agency Administrator, and Children’s Services Worker Section 1, Chapter 3 Roles and Responsibilities of Placement Resources Section 4, Chapter 2 Court Related Activities for Placement of Children Section 4, Chapter 4 Selection of Placement Resource and Placement Options Section 4, Chapter 7 Begin Work with the Family/Child(ren) RELATED STATUTE: Section 167.171 RSMo. ADMINISTRATIVE RULES: N/A COUNCIL ON ACCREDITATION (COA) STANDARDS: N/A PROGRAM IMPROVEMENT PLAN (PIP): WB2.21.3.b.d. and e, WB2.21.4.d and e SACWIS REQUIREMENTS: N/A RELATED LINKS: Forms and Instructions CS-1 Form CS-1 Instructions PN/AJ",https://fostercaresystems.wustl.edu/foster/educational-support-and-intervention-students-risk-academic-failure-and-cs-1-revisions
CRIMINAL BACKGROUND CHECKS,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018","Administrative process, Foster parent licensing, Investigations",CHILDREN’S DIVISION AND CONTRACTED STAFF,"JULIE LESTER, INTERIM DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce a new Chapter in Section 6 Resource Development of the Child Welfare Manual; Chapter 19, Background Checks. The chapter includes policy for required background checks including: Fingerprinting Rap Back Purpose Code X MACHS Family Care Safety Registry Case.net Missouri State Highway Patrol Sexual Offender Registry by applicant’s address The intent of this new chapter is to have all the information about criminal background checks for all adults in a resource home in one location. New legislation, Senate Bill 819, regarding fingerprinting introduces the Missouri State Highway Patrol’s Rap Back program. Rap Back allows for an applicant’s fingerprints to be entered in the MSHP Rap Back database one time without the necessity of being printed again for license or approval renewal. The Rap Back process is included in the new policy Chapter 19 located in Section 6. The MSHP will be providing Rap Back training. Information regarding the training will be forth coming. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov MANAGER CONTACT Amy Martin 573-526-8040 Amy.L.Martin@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Background Checks, Section 6 Chapter 19 FORMS AND INSTRUCTIONS NA REFERENCE DOCUMENTS AND RESOURCES SB819 RELATED STATUTE RSMo 210.487",https://fostercaresystems.wustl.edu/foster/criminal-background-checks
QUALITY WORKER VISITS WITH CHILDREN,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010","Administrative process, Contact and directory information, Definitions, Forms - Other, Group and residential care, Visitation","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce changes to policy regarding worker visits with children in alternative care. The changes come as a result of requests through the Continuous Quality Improvement process and a workgroup composed of contracted workers and staff from each of the regions with a goal to improve the quality of worker visits with children. The workgroup reviewed research from other states on best practices and made recommendations for policy. While some of the recommendations from the work group could not be accommodated, many of the changes being made to focus on quality were based on recommendations from the workgroup. Worker Visits with Children in Alternative Care For purposes of compliance review, the Children’s Division will be adopting the federal and Council on Accreditation standard for monthly visitation, which is one visit per calendar month, as the minimum number of visits required. Staff will likely visit with children more than once a month; however, the worker visit report will calculate compliance per calendar month based on the federal standard. Regardless of the number of visits and contacts a worker has with the child or youth within any given calendar month, at least one visit must occur within the placement setting. For quality reviews, the goal for visiting with children and youth each month should be to have more contact and interaction than the minimum allowable. Planning a schedule for visitation should always take into consideration the specific needs and current situation of each child or youth, which could mean more visits with some children and youth than others. It may also mean more face-to-face contact with a child or youth one month compared to another. Visitation with children and youth, biological parents and resource providers should be topics of discussion when workers and supervisors review case progress or challenges during individual conferences to ensure that worker visitation meets the individual needs of each child and family. A Core Outcome of Visits- Relationship Visiting with children and youth that are in the care and custody of the Children’s Division is important for many reasons. The primary purpose of the visit is to assess child safety and well-being. Staff should observe how the child is interacting and functioning in their placement environment. Staff should also discuss how the children are doing in all environments including school, visits with parents and/or siblings, social settings, etc. A core positive outcome of spending time together through visits, whether it be worker/child, child/parent, worker/parent resource provider or sibling visits, is having the opportunity to gain understanding, trust, cooperation, and problem-solve, as individuals continue to build a relationship with one another. A relationship that establishes mutual respect and dignity, two-way communication and understanding is the foundation for best practice as staff seek to work with children, families and all others. Spending quality time with others, including children, increases the child’s sense that they are valued and what they have to say is important. Engagement with the child was identified by the workgroup as an area needing improvement. In the reference documents and resources section of this memorandum, there are sample questions and developmental milestones which may be beneficial for staff when visiting with children and resource providers. Supervisors should assist workers in identifying activities which can be done during a visit to engage and strengthen the relationship between the worker and the child. In addition, the OJT guide contains worker competencies relevant for worker visits with children and should be utilized by staff and supervisors to support professional development of staff. Defining Quality Understanding what quality means can help improve the quality of worker visits with children. A few important elements to ensure quality visits are occurring include: The visit is meaningful for the child The child is able to discuss their concerns with the worker Spending time with the child Being supportive Relationship building Observing the child’s interactions, sleeping arrangements, bedroom The visit is scheduled based on the needs of the children and families The visit is planned and the worker knows which areas need to be discussed Discussing changes in the child or family’s circumstances Engaging and connecting with the child Covering the discussion points on the Checklist for Worker/Child Visits, CD-82 Older Youth Foster care for older youth, when compared to younger children, is a very different experience. For adolescents, emphasis needs to be placed on relationships. The past experiences of older youth are often filled with unmet needs and rejection. How a youth feels about their past and current situation can influence their decisions. Thus, staff should visit and communicate regularly with older youth to help them in their time of need. It is just as important to visit older youth as it is to visit young children, especially as older youth learn important life skills and prepare for adulthood. At this time in their lives, adolescents are trying to determine their own identities, their own values, and make their own decisions. Results from the State Worker Report shows that older youth are visited much less than younger children. Many older youth may lack the consistency that younger children have and as a result, consistent worker visits are important. Members of the State Youth Advisory Board report that they want and need to see their workers each month whether they live independently, or are placed in a residential facility. One challenge facing older youth is making a permanent connection with at least one positive adult. Workers can be a positive connection for youth, but can also help the youth consider and identify adults in their lives that are important for them to maintain or strengthen contact with. Youth who have a positive connection with a caring adult are more likely to be successful in their transition into adulthood than youth without a positive connection. Visits with Youth in Residential Facilities The policy regarding worker visits with children in residential facilities has also been modified. When a youth is placed in a residential facility out of county, policy previously allowed for staff to contact the youth the following day by phone, but the youth only had to be seen within 14 days from the placement. This memorandum changes the policy and requires a face to face visit with the youth within five (5) business days after placement. Revised Checklist for Worker/Child Visits, CD-82, Worker/Child/Caregiver Guide This memorandum also introduces the revised Checklist for Worker/Child Visits, CD-82, now titled the Worker/Child/Caregiver Guide. The new form is intended to be used as a guide for staff to improve the quality of the visit. The CD-82 has been modified to ensure that workers discuss all the relevant topics with the child and resource provider at least once a month. Workers should document the visit in FACES including thorough, complete documentation of all the discussion points from the CD-82 form. In addition, this form can be made optional based on the supervisor’s discretion. Workers who complete this form properly over a period of time and thoroughly document the information in FACES can be given permission to discontinue use of the form. New workers should utilize the form until the supervisor feels they no longer need the form to conduct a quality visit. After the contents of the form are entered into FACES, the worker may destroy the form as it does not need to be kept in the case file. Elimination of the Placement Provider Home Visit Checklist, CD-84 and Second Face-to-Face Resource Provider Visit In addition, the changes in this memorandum also include eliminating the Placement Provider Home Visit Checklist, CD-84. Workers should document any discussion with the resource provider(s) along with the other CD-82 discussion points in the case contacts in FACES.  This memorandum also changes the requirement for visiting resource providers face-to-face. Previous policy required resource providers to be seen face-to-face twice a month. The new change requires staff to visit resource providers face-to-face in the placement once a month and requires at least one phone call to the resource provider each month. Again, contact with resource providers beyond this is encouraged. Contact specific to the individual needs of the provider is our goal. Teamwork and clear communication between the case manager and resource provider is critical. Though email communication can be helpful for short exchanges of information, it cannot substitute for true dialogue and consensus building discussion. Staff should notify the resource providers of the change in policy. The Child Welfare Manual has been modified to reflect the new policy. For additional information regarding worker visits with children, see Memo CD08-18 . The provisions outlined in this memorandum will be effective as of February 1, 2010. The state worker visit report in FACES will be updated to reflect this change in policy. The March 2010 report will capture worker visits with children for February 2010. NECESSARY ACTION: Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT: Christy Collins (573) 751-9603 Christy.Collins@dss.mo.gov PROGRAM MANAGER: Dena Driver (573) 751-3171 Dena.Driver@dss.mo.gov CHILD WELFARE MANUAL REVISIONS: Section 4 Chapter 6 Subsection 1 Out-of-Home Placement Support Activities Section 4 Chapter 7 Subsection 1 Activities in the First 24 to 72 Hours Section 4 Chapter 7 Subsection 3.2 Meeting/Working with the Child Section 4 Chapter 7 Subsection 3.4 Meeting/Working with the Placement Provider Section 4 Chapter 8 Subsection 2 Family/Child Moves from County Section 4 Chapter 14 Subsection 9 Ongoing Procedures to Maintain Placement Section 7 Chapter 4 Developmental Milestone Section 7 Chapter 35 Sample Questions for Worker/Child Visits FORMS AND INSTRUCTIONS CD-82 Checklist for Worker/Child Visits REFERENCE DOCUMENTS AND RESOURCES Worker’s Role: Visits with Children Ensuring Safety, Permanency and Well-Being: Suggestions for Conducting Contacts with Children and Caregivers RELATED STATUTE N/A ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS COA Standard for Worker Contact and Monitoring CHILD AND FAMILY SERVICES REVIEW (CFSR) CFSR, Item 19, Caseworker Visits with Child PROTECTIVE FACTORS Parental Resilience-N/A Social Connections-N/A Knowledge of Parenting and Child Development-N/A Concrete Support in Times of Need-N/A Social and Emotional Competence of Children-N/A FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/quality-worker-visits-children
ELEVATED NEEDS LEVEL A BEHAVIOR CHARTS AND INCENTIVE PAYMENT,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010","Administrative process, Forms - Other","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce revisions to the STEP Chart (Systematic Teaching and Evaluation Process) and Positive Time Chart, CS-11, and Program Planning Sheet, CS-12. The completion and submission of these forms are mandatory for receiving an incentive payment for Elevated Needs Level A resource providers. The instructions for utilization and completion of the CS-11 and CS-12 charts are located in the Elevated Needs Level A teaching curriculum , People Skills Training . This training has been the required training for a licensed resource provider to be contracted to provide foster care to Elevated Needs Level A foster youth. However, the training is no longer the only curriculum that can be used to meet the training requirements as outlined in policy . Therefore, instructions for the utilization and completion of the forms have been revised and added to policy. The forms and instructions for completion are located on Children’s Division E-forms. Staff shall begin using the revised CS-11 and CS-12 July 1, 2010. Discard any and all other CS-11 and CS-12 charts prior to this revision. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. Review revised Children’s Division E-forms listed below. All questions should be cleared through normal supervisory channels and directed to PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Dena Driver 573-751-3179 Dena.D.Driver@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Foster Care for Youth with Elevated Needs, 4.14.8 Financial Support Planning Special Expenses, 4.11 attachment C FORMS AND INSTRUCTIONS STEP and Positive Time Chart, CS-11 Program Planning Sheet, CS-12 REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE N/A ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS N/A Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/elevated-needs-level-behavior-charts-and-incentive-payment
LACK OF CONSENSUS AT FAMILY SUPPORT/PERMANENCY PLANNING REVIEW TEAM MEETINGS,Missouri,Memo,2007,"Administrative process, Contact and directory information","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, DIRECTOR","DISCUSSION: This memorandum addresses steps staff should follow when there is a lack of consensus at Family Support Team (FST) or Permanency Planning Review Team (PPRT) meetings. Occasionally, there are situations when FST/PPRT participants put forth recommendations which Children’s Division (CD) staff cannot accept as the recommendations are not believed to be in the best interest of the child and/or conflicts with Child Welfare policy. Unless otherwise indicated in the Child Welfare Manual (CWM), staff should follow the steps listed below when confronted with a lack of consensus at a FST/PPRT meeting. The Children’s Service Worker (CSW) should: Inform the participants of the meeting that s(he) may not agree with the recommendation and will need to seek supervisory guidance. Refer the issue to the next level of supervision for review and guidance. The Supervisor/Circuit Manager or designee should review the recommendation. If it is determined the recommendation is in the best interest of the child, the Supervisor/Circuit Manager or designee should provide written documentation to the CSW as to why the recommendation is appropriate, and the CSW should then submit the case plan to the court of jurisdiction. If it is determined the recommendation is not in the best interest of the child, the Supervisor/Circuit Manager or designee should provide the CSW with written documentation as to why the recommendation is not appropriate. The CSW should then submit the case plan along with a written explanation to the court of jurisdiction why the CD believes the specific recommendation is not in the best interest of the child. The recommendations listed below are two examples which the Children’s Division may not agree with the FST/PPRT participants: The FST/PPRT recommends a child be placed in an out-of-state residential treatment facility, or The FST/PPRT recommends the separation of a sibling group for placement or adoption. If these, or any other recommendations, appear to not be in the best interest of the child, and/or conflicts with CD’s Child Welfare policy, staff should follow the steps listed above before agreeing to implement the recommendation. NECESSARY ACTION: Review this memorandum and CW manual changes with all Children’s Division staff. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT: Belinda K. Luke 573-751-8615 Belinda.K.Luke@dss.mo.gov DEPUTY DIRECTOR: James C. Harrison 573-751-2502 James.C.Harrison@dss.mo.gov CHILD WELFARE MANUAL REVISIONS: Section 3 Chapter 3.6.4 Family Support Team Meeting Agenda Section 4 Chapter 7.2.4 Lack of Consensus at Family Support Team (FST)/Permanency Planning Review Team (PPRT) Meetings Section 4 Chapter 8.1 Services for Family-Centered Out-of-Home Care Section 4 Chapter 9.3 Decision Making for Permanency Section 4 Chapter 9.6.3 Reporting the FST/PPRT Meeting Section 4 Chapter 10.6 Family Approval Section 4 Chapter 10.10 Recommending Reunification Section 4 Chapter 14.3.2 BFC Program Children’s Service Worker Section 4 Chapter 16.5 Ongoing Procedures to Maintain Placement Section 4 Chapter 23.4 Responsibilities in Development of the Planned Permanency Agreement",https://fostercaresystems.wustl.edu/foster/lack-consensus-family-supportpermanency-planning-review-team-meetings
REVISION OF CHILD WELFARE MANUAL POLICY RELATED TO INVESTIGATION/FAMILY ASSESSMENT; FAMILY-CENTERED SERVICES; AND FAMILY-CENTERED OUT-OF-HOME CARE INTRODUCTION OF CD-14 FCS FAMILY ASSESSMENT PACKET AND INSTRUCTIONS; CD-14E RISK ASSESSMENT AND FST-1 FAMILY SUPPORT TEAM MEETING CONFIDENTIALITY STATEMENT/SIGN-IN SHEET,Missouri,Memo,2005,"Administrative process, Contact and directory information, Forms - Other, Foster parent licensing, Investigations","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS AND CHILDREN’S DIVISION STAFF","PAULA NEESE, INTERIM DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce the new (CD-14) FCS Family Assessment Packet and revisions to related policy and procedure for investigation/family assessment response; Family-Centered Services family assessment and service planning and Family-Centered Out-of-Home Care policy. Minimum Contact Standards for In-Home Cases Minimum contact standards for in-home cases were established with the introduction of Structured Decision Making (SDM) in December of 2003, (Children’s Division Memorandum CS03-51) in order to assure that families with the highest risk levels were seen with the most frequency. Effective immediately, minimum contact standards will go into effect at the time the investigation/family assessment is concluded on the CPS-1 or the date the delayed conclusion is entered into the system. This standard should begin within the mandated 30 day timeframe given to conclude child abuse and neglect reports. The SDM risk level is assessed initially during the investigation/family assessment process on the CPS-1 and then re-assessed every 90 days on the CS-16E. The “Children’s Division Minimum Contact Standards” (Section 2, Chapter 9.5.2 - Minimum Contact Standards for In-Home Cases) represent how many of the overall contact standards must be met by the CD worker according the SDM level of risk. The remaining contacts may be met by a contracted in-home service provider who is working with the family as part of the family’s case plan. However, if the contracted service provider was unable to complete monthly contacts, the CD worker is responsible for meeting the overall contact standards. It is the responsibility of the Circuit Manager to formulate local protocol to assure that CD staff is meeting minimum contact standards. This may be met in accordance with the particular circuit’s personnel and resources, but the protocol should determine the member of staff ultimately responsible for contacts with the family. In some circuits this may be met by an FCS worker, prior to the opening of the case and in some circuits the CA/N worker may continue to make the required contacts until the case is assigned. Prior to FCS case assignment, at minimum , the following should be addressed: Is there an active Safety Plan and does it adequately address the safety issues? Do Safety interventions need to be revised? (Staff may use a CS-16D) Have circumstances changed in the family composition that would warrant a safety assessment or re-assessment? (Example: new members of household, such as a new adult, new baby or additional children or relatives) Have circumstances changed in regard to the family physical location/environment that would warrant a safety assessment or re-assessment? (Example: eviction, new housing, utilities shut off, household composition changes causing crowding) Have circumstances changed in regard to family physical health? (Example: caretaker or a child has become ill, new medical expenses or not following through with medical services) Have circumstances changed in regard to family mental health or substance abuse issues? (Example: Not complying with prescription medication, psychotic break or suicide attempt, escalated symptoms) Have there been incidents or reported concerns regarding child abuse/neglect, domestic violence or criminal activity? CD-14 FCS Family Assessment Packet The CD-14 FCS Family Assessment Packet tools replace the (CS-16) Family Assessment Packet and will be used for the initial assessment and reassessment in open Family-Centered Services (FCS), Family-Centered Out-Of-Home Care (FCOOHC) and preventive service cases. These tools are designed to assist staff in conducting more thorough and comprehensive assessments of family’s history, structure and functioning; identifying family strengths, supports and service needs; and translating those strengths, supports and service needs into meaningful service plans that reduce risk of future child maltreatment and maintain positive change in family functioning. The CD-14 FCS Family Assessment Packet is comprised of the (CD-14) FCS Family Assessment, (CD-14A) Family Functioning Assessment/Re-assessment, (CD-14B) Written Service Agreement, (CD-14C) Formal/Informal Provider Contact Sheet and the (CD-14D) Termination of Services/Aftercare Plan. As of the effective date of this memorandum the CD-14 packet tools linked to this document should be downloaded and all previous versions should be deleted from all computers. The CD-14B and CD-14D are now available and may be ordered from the warehouse. (CD-14) FCS Family Assessment Experienced staff will recognize the similarities of the new (CD-14) FCS Family Assessment with the former (CS-16) Family Assessment . It includes the genogram and the ecomap which have been enhanced by adding questions that focus the worker on questions pertinent to the family’s history, structure and functioning. The pattern of behavior, now optional, includes an example to illustrate how dysfunctional patterns of behavior lead to negative consequences and how interventions can be applied at various entry points to interrupt the cycle of unhealthy patterns. Systemic family- centered tools encourage family engagement and yield rich, essential information about the family’s past and present functioning; and their beliefs and concerns about the future. Staff will have 30 days from the date the case is assigned to the FCS worker to complete the assessment, but initial contact by the assigned worker shall be in accordance with initial contact case priority. Initial contact priority is the timeframe determined by the SDM level of risk score found on the CPS-1 risk assessment. SDM Level of Risk Timeframe from CPS-1 Conclusion Date Low Within 10 working days Moderate Within 5 working days High or Very High Within 1 working day (CD-14A) Family Functioning Assessment/Re-assessment The (CD-14A) Family Functioning Assessment/Reassessment is the most significant enhancement to the family assessment and service planning package. The CD-14A is a comprehensive family functioning assessment tool which assists the worker in processing information gathered from the systemic tools, worker observation, provider and collateral contact, family history and engagement with the family. The CD14A addresses family functioning under nine domains (Basic Needs, Caregiver Ability, Educational/Vocational, Physical Health, Mental Health, Substance Use, Family Interaction, Criminal/Legal and Child Well-Being). Under each domain several related sub-factors are listed to prompt the worker to rate each according to the positive or negative impact on the family’s overall functioning. Rating possibilities include: clear strength, moderate strength, adequate, moderate need and serious need . Clear and moderate strengths; and moderate and serious needs are documented and described in the appropriate space provided below the sub-factors. Strengths and needs are evaluated, prioritized and addressed in the (CD-14B) Written Service Agreement . The CD-14A should be conducted primarily with the family, though information helpful in rating sub-factors may be collected for a variety of sources during the 30 day timeframe in which the CD-14A must be completed. CD-14A for Re-assessment After using the CD-14A for initial assessment for case openings the CD-14A is repeated every 90 days until the case is closed as a family functioning re-assessment tool. The CS-16E Risk Reassessment is also conducted at this time. Re-assessment of the family every 90 days allows the worker to measure progress or identify changes in sub- factors that may impact family functioning in a positive or negative way. Changes in family functioning that raise safety concerns may prompt a worker to conduct a CS-16D Safety Re-assessment. Re-assessment should be complete within 30 days of the date the family is due for re-assessment. E xisting Safety Plan (CPS-1A) procedures remain in effect and should be utilized if safety factors are present. (CD-14B) Written Service Agreement The ( CD-14B) Written Service Agreement takes the place of the (CS-16B) Family Plan for Change. The CD-14B is used to document the service plan for FCS cases on intact families as well as for the preliminary treatment plan developed at the 72-hour FST meeting after a child has been placed in out-of-home care that will cover the first 30 days the child is in care. At the 30 day FST meeting the CS-1 Case Plan/Written Service Agreement will take its place. Goal and task development questions, found on the CS-16B were included on the CD- 14B to assist workers in processing and setting measurable, time limited goals connected directly to service needs identified on the CD-14A or by a Family Support Team. The tasks development questions should direct the worker to formulate concrete, obtainable tasks designed to move the family toward stated goals. Goals and tasks should be developed jointly by the worker and the family. The CD-14B is a one page, stand alone tool signed by the family. A copy is given to the family and the original is attached to the CD-14A at the end of each 90 day assessment period. (CD-14C) Formal/Informal Provider Contact Sheet The (CD-14C) Formal/Informal Provider Contact Sheet serves as an ongoing listing of services, formal (counseling, daycare facility, mentoring program…etc.) or informal (relatives, neighbors or friends…etc.). This list is attached to the front of the case file and meant to extend through the life of the families case. Additional sheets may be attached as needed. (CD-14D) Termination of Service/Aftercare Plan The (CD-14D) Termination of Services/Aftercare Plan is a one page, stand alone tool completed with the family when at the time the case is closed. It is printed on 3 part NCR paper so that the family can have a copy after completion. The original is attached to the last CD-14A. Supply is available through the warehouse. At the time of case closure the worker will: Discuss with the family and document positive behavioral changes in family functioning and the reduction of risk; Discuss challenges to maintaining positive growth; family strengths to build on; and supports/services needed for continued progress; Develop an aftercare plan with the family including services/support remaining in place that will maintain positive changes; Addresses the sustainability of positive change and linkage with formal or informal supports/services the family can access to maintain acceptable risk; Include appropriate numbers or contacts the family can access in time of crisis that may impact the children’s risk or immediate safety. CD-14 Family Assessment Packet with the (CS-1) Child Assessment and Service Plan The complete (CD-14) Family Assessment Packet is used in conjunction with the (CS-1) Child Assessment and Service Plan for families who have child(ren) in out-of- home care. The CS-1 is designed to gather information about a child’s specific safety, permanency, and well-being. The CD-14 and CD-14A are essential pieces to assessing strengths and service needs of the family as a whole. For FCOOHC cases, the worker should begin the process of family assessment using the CD-14 Family Assessment Packet at the initial contact with the family. Workers should have the CD-14 and CD14A, available for reference or documentation at every Family Support Team Meeting. CD-14E SDM Risk Assessment The CD-14E is the SDM Risk Assessment currently found in the CPS-1. It is now available as a stand alone form for those less frequent occasions when an FCS case is opened that was not initiated by a CA/N Report. (Example: court gives CD custody of a child without allegations of abuse or neglect). In most open cases a CS-16E Risk Re- assessment will be used to determine the level of risk. Family Support Team Meetings for Intact Families Although family support team meetings are an integral part of the family out-of-home process, there are many intact families with multiple needs who could benefit greatly from family support team meeting. FST meetings for intact families are not a new concept and being used regularly as an option in various parts of the state. Workers are discovering that by bringing together the necessary formal and informal participants, a family support team process can assist the worker in moving the family closer to achieving and maintaining positive change and reducing the risk for future maltreatment or the need for out-of-home care. (FST-1) Family Support Team Meeting Confidentiality Statement/Sign-in Sheet Related to the family support team meetings for intact families is the introduction of the FST-1. The FST-1 is a confidentiality statement and sign in sheet for participants in a family support team meeting held for an intact family. For FCOOHC cases the confidentiality statement and sign in sheet is included in the CS-1. NECESSARY ACTIONS: Please review this memorandum with all Children’s Division Staff. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT: Randy McDermit, PDS 573-751-8932 Randall.D.Mcdermit@dss.mo.gov PROGRAM MANAGER: Kathryn Sapp, Unit Manager 573-522-5062 Kathryn.Sapp@dss.mo.gov Section 3, Chapter 4, Attachment F – Death of a Child in Open FCS Case – Policy Changes Section 3, Chapter 5 – Working with Contracted Treatment Providers – Policy Changes Section 3, Chapter 5, Attachment E – Protective Services Daycare – Policy Changes Section 3, Chapter 6 – Evaluation – Policy Changes Section 3, Chapter 8 – Case Closing – Policy Changes Section 3, Chapter 10 – Supervision and Case Consultation – Policy Changes Section 4, Chapter 1 – Recommending Placement – Changes to Related Subject Links Only Section 4, Chapter 1, Attachment A – Assessment of Safety and Risk Factors in Recommending Out-of Home Placement – Policy Changes Section 4, Chapter 1, Attachment B – Child Welfare Housing Assistance – Deleted Attachment Section 4, Chapter 3 – Out-of-Home Entry – Policy Changes Section 4, Chapter 6, Attachment B – Direct Service Worker Duties – Policy Changes Section 4, Chapter 7 – Begin Work with the Family/Children – Policy Changes Section 4, Chapter 8 – On Going Case Work for Out-of-Home Care – Policy Changes Section 4, Chapter 9 – Permanent Outcomes for Children – Policy Changes Section 4, Chapter 10 – Permanency Through Reunification – Policy Changes Section 4, Chapter 14 – Behavioral Foster Care – Policy Changes Section 4, Chapter 21 – CHAFEE Foster Care Independence Program (CFCIP) – Policy Changes Section 4, Chapter 22 – Guardianship – Policy Changes Section 5, Chapter 1 – Documentation and Record Maintenance – Policy Changes Section 5, Chapter 4 – Record Retention and Expungement - Changes to Related Subject Links Only Forms and Instructions CD-14 FCS Family Assessment and Instructions CD-14A Family Functioning Assessment/Reassessment and Instructions CD-14B Written Service Agreement and Instructions CD-14C Formal/Informal Provider Contact Sheet and Instructions CD-14D Termination of Services/Aftercare Plan and Instructions CD-14E (SDM) Risk Assessment and Instructions FST-1 Family Support Team Meeting Confidentiality Statement/Sign-in Sheet and Instructions REFERENCE DOCUMENTS: Children’s Division Assessment Grid Flow Chart For CD-14 Packet Use RELATED STATUTE: Chapter 210 RSMo ADMINISTRATIVE RULES: N/A COUNCIL ON ACCREDITATION (COA) STANDARDS: G9.8 G8.4 PROGRAM IMPROVEMENT PLAN (PIP): S2.3.1 S2.3.2 S2.4.5 P2.16.2 WB1.17.1 WB1.17.2 25.1 25.2 25.3 28.2 SACWIS REQUIREMENTS: http://dssweb/cs/priority_tracking/sacwis/status/20050316.xls Investigation and Family Assessment Case Management (Release1) Case Management (Release 2) PN/RDM",https://fostercaresystems.wustl.edu/foster/revision-child-welfare-manual-policy-related-investigationfamily-assessment-family-centered
CHANGES IN POLICY AS IT RELATES TO CAREER FOSTER CARE AND BEHAVIORAL FOSTER CARE ; REVIEW OF DEPARTMENT OF MENTAL HEALTH THERAPEUTIC FOSTER FAMILY HOMES AND MISSOURI ALLIANCE HOMES ; AVAILABILITY PAYMENTS FOR CAREER FOSTER PARENTS ; IDENTIFICATION OF BEST PRACTICES FOR CHILDREN IN THERAPEUTIC FOSTER CARE ; CAREER PARENT EMPLOYMENT ; PERMANENCY FOR CHILDREN IN THERAPEUTIC FOSTER CARE ; CRITERIA FOR CHILDREN WITH DEVELOPMENTAL DELAYS IN THERAPEUTIC FOSTER CARE,Missouri,Memo,"2007, 2006, 2003","Administrative process, Permanency, Services while in care - Mental Health, Services while in care - Therapies (not mental health), Subsidies - Foster Parents, Use of federal money (including Title IV-E)","AREA EXECUTIVE STAFF, COUNTY DIRECTORS AND CHILDREN’S SERVICES STAFF","DENISE CROSS, DIRECTOR","DISCUSSION: The purpose of this memorandum is to provide changes in policy as it relates to children in Behavioral Foster Care (BFC) and Career Foster Care (CFC), referred to as therapeutic foster care, unless otherwise specified. This memo will review best practice for this program, and the use of the Department of Mental Health (DMH) therapeutic foster homes as they continue to be valuable in providing expertise and support for children in therapeutic foster homes. Availability payments should not occur over the 60-day transition period when the Career Foster Parent(s) are unwilling to accept children who fit the profile and are considered by the team as appropriate for placement. Career Foster Parents will now be allowed to submit a plan to Area Office for approval to work outside the home in addition to being a CFC parent. This will be considered on a case by case basis. Career Foster Parents, staff and other treatment team members must continue to aggressively pursue permanency and use periodic reviews as one of the tools to assure progress toward permanency is occurring. We will no longer use IQ as a singular characteristic to rule children out of therapeutic foster care. Children with developmental delays may, or may not, be appropriate for BFC or CFC. However, an IQ score of 65 or below should not, as a singular characteristic, rule the child out for this level of care. Instead, appropriateness for therapeutic foster care should be based on the Selection/Screening Team and/or FST evaluation of all the child’s clinical and behavioral characteristic, including the child’s strengths and permanency goals, as well as functioning level, severity of developmental delays, type of behavioral problems, level of physical aggression, size, age, and need for supervision. NECESSARY ACTION: Review this memorandum with all Children’s Services staff. As this will be a change in practice for many providers, we ask that all Areas and County offices notify their alternative care providers of these changes. The following mentioned manual chapters for this memorandum will be made and put on the Child Welfare Manual Intranet site: Section 4 Chapter 4 “Selection of Placement Resource and Placement Options”, Section 4 Chapter 16 “Career Foster Homes/Individualized Care”, Section 4 Chapter 16 Attachment B “Career Parent Responsibilities and Employment”. All comments and questions regarding this memorandum should be cleared through normal supervisory channels.",https://fostercaresystems.wustl.edu/foster/changes-policy-it-relates-career-foster-care-and-behavioral-foster-care-review-department
MEDICAL FOSTER CARE POLICY REVISION,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010",Services while in care - Medical,"REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, DIRECTOR","DISCUSSION: The purpose of this memo is to introduce the revision of Children’s Division policy and forms for eligibility and placement of foster youth in a resource home for elevated medical needs. The revision of the medical foster care policy was completed with participation and contribution from pediatricians. A youth in foster care who: is medically diagnosed with extraordinary medical condition(s) and or mental or physical disabilities, and requires twenty-four (24) hour availability of a resource provider specifically trained to meet the elevated medical needs, and has a diagnosed condition significantly and substantially impairs the youth’s ability to function on a daily basis, is eligible for placement in a resource provider home contracted to provide Medical Foster Care services. The Medical Foster Care Assessment Tool, CS-10, has been revised to provide clarification of what diagnoses deem a foster youth with elevated medical conditions eligible for a medical resource home. Two sections on the form provide for a comprehensive assessment of eligible need: Section II: Any one condition identified in Section II qualifies the foster youth for placement in a medical resource home. If the eligibility was determined by a selection in subsection A of Section II, there is no requirement of reassessment, unless the medical condition has changed. Youth determined to be eligible under subsection B through E will require annual reassessment. Documentation regarding the eligible condition is required. Submission of the Physician’s Certification Letter, CD-144, is not required for this section. Section III: This section is completed by the treating physician as the certification that a medical resource home placement is required. A new form, the Physician’s Certification Letter, CD-144, is the cover letter to attach to the CS-10. The CD-144 and CS-10 are provided to the treating physician only if the foster youth does not meet any eligible criteria in Section II, yet the Family Support Team recommends that a medical resource home placement is the best interest for the foster youth. The status of each condition identified in this section is to be reviewed annually to determine continued eligibility for a medical resource home. Implementation of revised policy and utilization of the updated forms begins immediately upon publication of this memo. Any foster youth currently identified at the medical level of foster care prior to publication date of this memo will remain eligible for medical foster care and do not require annual reassessment unless a re-evaluation is requested by the Family Support Team. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters and forms as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Dena Driver 573-751-3171 Dena.Driver@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Medical Foster Care, Section 4 Chapter 15 FORMS AND INSTRUCTIONS Medical Foster Care Assessment Tool, CS-10 Medical Foster Care Assessment Tool Instructions Physician Referral Letter, CD-144 Physician Referral Letter Instructions REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE N/A ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/medical-foster-care-policy-revision
INCREASE IN FOSTER CARE MAINTENANCE RATES,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010, 2009, 2008",Subsidies - Foster Parents,"REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, DIRECTOR","DISCUSSION: The purpose of this memorandum is to inform staff of the increase to the foster care maintenance rates that went into effect on July 1, 2008. Maintenance rates were increased for all traditional, medical, behavioral, and career placements. The increased amounts will be seen by all foster, relative and kinship care providers on the reimbursement checks they will receive in August, 2008. There is no change in the professional parenting, incentive, diaper allowance or clothing allowance amounts. The new rates are: Age birth to 5             $282 Age 6 – 12                  $335 Age 13+                      $372 Behavioral/Medical    $732 Career                         $48 a day Changes have been made to the Child Welfare Manual Section 4 Chapter 11 Attachment A: Standard Payment Rate for Foster Family Alternative Care to show the new maintenance reimbursement rates. NECESSARY ACTION: Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT: Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER: Melody Yancey 573-751-3171 Melody.Yancey@dss.mo.gov CHILD WELFARE MANUAL REVISIONS: Section 4, Chapter 11, Attachment A: Standard Payment Rate for Foster Family Alternative Care",https://fostercaresystems.wustl.edu/foster/increase-foster-care-maintenance-rates
MILEAGE REIMBURSEMENT FOR RESPITE ONLY APPROVED PROVIDERS,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010",Other,"REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce policy regarding transportation of youth in foster care by those Resource Providers who are only approved for Respite services. Resource Providers that are approved to provide Respite services but have no other foster care licenses or approvals are eligible for transportation reimbursement as outlined in Special Expenses policy beginning August 1, 2010. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Dena Driver 573-751-3171 Dena.D.Driver@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 4 Chapter 17 Subsection 7 Section 4 Chapter 11 Attachment C FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE N/A ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS Parental Resilience N/A Social Connections N/A Knowledge of Parenting and Child Development N/A Concrete Support in Times of Need N/A Social and Emotional Competence of Children N/A FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/mileage-reimbursement-respite-only-approved-providers
CLARIFICATION OF RESPITE PROVIDER CASE FILE AND RESPITE UNIT USE,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010",Administrative process,"REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, DIRECTOR","DISCUSSION: Policy requires that a respite provider case file be maintained for those respite providers who have no other foster care license case file. There have been revisions to the case recording section of the Respite section. These revisions include: Clarification for whom a respite provider case file is created Training documentation Respite policy allows for licensed resource providers to receive 12 units of respite annually, and 14 units plus one weekend per month for licensed providers with an Elevated Needs Level B (career) Cooperative Agreement. The purpose of respite services is to stabilize the foster placement in the home. Policy has been revised to clarify that the licensed resource provider receives their foster care maintenance only while the child is placed in the policy allowed respite care units. If extenuating situations necessitate additional respite units, Regional Director or designee approval is required. Documentation of the approval must be maintained by attaching it to the Respite Unit Tracking Log, CD-113, and the Children's Services Integrated Payment System Invoice, CS-65. It is the local staff’s responsibility to track the number of respite units utilized by the licensed resource parent. Tracking is done on the Respite Unit Tracking Log, CD-133. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. 3. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Dena Driver 573-751-3171 Dena.Driver@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Respite Case Recording Reimbursement for Respite Care FORMS AND INSTRUCTIONS Respite Unit Tracking Log, CD-113 REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE N/A ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS (Link applicable factors and enter N/A if not applicable.) Parental Resilience, N/A Social Connections, N/A Knowledge of Parenting and Child Development, N/A Concrete Support in Times of Need, N/A Social and Emotional Competence of Children, N/A FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/clarification-respite-provider-case-file-and-respite-unit-use
"RATE CHANGES FOR ADOPTION AND GUARDIANSHIP SUBSIDY MAINTENANCE, CTS, RESPITE AND RESIDENTIAL",Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017","Administrative process, Adoption, Guardianship, Subsidies - Foster Parents, Subsidies - Other","REGIONAL DIRECTORS, FIELD SUPPORT MANAGERS, CIRCUIT MANAGERS, SUPERVISORS AND STAFF","TIM DECKER, DIRECTOR","DISCUSSION: The purpose of this memorandum is to notify staff of the rate change for foster care, adoption and guardianship subsidy maintenance, CTS services, residential care services and respite for foster youth. Effective July 1, 2017 a 1.5% rate decrease is applied to adoption and guardianship subsidy maintenance, CTS services and residential services. An increase in rate is applied to foster care respite. The new rates were automatically generated for service dates on or after July 1, 2017. Section 4 Chapter 30 Attachment G: Payment Rate for Adoption and Guardianship Agreements has been updated to reflect the new rates. Section 8 Chapter 7, Attachment A: Children’s Treatment Services (CTS) Catalog has been updated, as well as the respite policy found in Section 4 Chapter 17 Subsections 6, 7 and 8. A residential rate chart will be going to all Residential Care Screening Team (RCST) Coordinators. Updated charts for subsidy maintenance can be found in policy, as well as a new chart for respite and an updated catalog for CTS services. Tips for Entering Maintenance Levels: Staff should not manually enter the new rates on the SS-61 Placement Information Screen for children with a “Standard Rate (1)” Maintenance Level. The “Maintenance Amount” field should always be left blank. The FACES Financial System will automatically generate the appropriate rate for all maintenance levels based on placement type or the subsidy agreement. Staff should not manually enter the new rates on the SS-61 Placement Information Screen for children with a “Standard Rate (1)” Maintenance Level. The “Maintenance Amount” field should always be left blank. The FACES Financial System will automatically generate the appropriate rate for all maintenance levels based on placement type or the subsidy agreement. “Above Standard Rate (4)” or “Below Standard Rate (2)” maintenance levels should only be selected when a maintenance level amount has been approved and it is not a state contracted rate. These rates are entered on the SS-61 in maintenance level field box. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACTS Sarah Bashore (Subsidy) (573)-751-0311 Sarah.Bashore@dss.mo.gov Elizabeth Tattershall (Respite) (573) 522-1191 Elizabeth.Tattershall@dss.mo.gov Nancy Reid (CTS Catalog) (573) 522-2316 Nancy.L.Reid@dss.mo.gov Catherine Sims (Residential) (660) 886-8194 x254 Catherine.Sims@dss.mo.gov PROGRAM MANAGERS Amy Martin (573)751-3171 Amy.L.Martin@dss.mo.gov Tasha Toebben (573) 526-3899 Tasha.Toebben@dss.mo.gov Jennifer Richter (573) 751-8926 Jennifer.B.Richter@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 4 Chapter 11 Attachment A: Standard Payment Rate for Foster Family Alternative Care Section 4 Chapter 30 Attachment G: Payment Rate for Adoption and Guardianship Agreements Section 4 Chapter 17 Respite Care Subsection 6: Guidelines for Use Section 4 Chapter 17 Respite Care Subsection 7: Reimbursement for Respite Care Section 4 Chapter 17 Respite Care Subsection 8: Respite for Youth with Elevated Needs-Level B Resource Providers Section 8 Chapter 7 Attachment A: Children’s Treatment Services Catalog FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/rate-changes-adoption-and-guardianship-subsidy-maintenance-cts-respite-and-residential
ADDITIONAL RESPITE UNIT APPROVAL,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017","Administrative process, Definitions",CHILDREN’S DIVISION AND CONTRACTED STAFF,"TIM DECKER, DIRECTOR","DISCUSSION: Respite care is designed to provide temporary relief from stressful situations. Respite care may be planned in advance or used due to an immediate family need. Respite care is made available to resource providers based on the needs of the family. These needs may include, but are not limited to, illness, death in the family, hospitalization, or imminent risk of removal of the child where ""time out"" would stabilize the placement. Respite care should not be used for regular child care purposes. Respite care for children in specialized foster care, such as youth with elevated needs foster homes, will be provided per the respective program guidelines. As the result of a CQI request and following discussion with the Executive team, respite policy has been updated to allow staff the ability, on a case by case basis, to obtain supervisor approval for up to 20 units of respite for a resource provider per child. Approval to exceed 20 units requires the approval of the regional director or their designee. When families require approval for over 20 units of respite, consultation with the case manager, licensing worker and supervisor should occur to assure any additional supports, services, training, etc., are offered to the family to stabilize placements in the resource family. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov MANAGER CONTACT Amy Martin 573-751-3171 Amy.L.Martin@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Guidelines for Use 4.17.6 Reimbursement for Respite 4.17.7 Respite for Youth with Elevated Needs Level B 4.17.8 FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE N/A",https://fostercaresystems.wustl.edu/foster/additional-respite-unit-approval
RESPITE POLICY REVISION AND TRAINING INTRODUCTION,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014","Administrative process, Contracting with private organizations, Definitions","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","TIM DECKER, DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce Respite policy revision, Respite training, and the Respite information pamphlet. The revisions and new materials are a result of recommendations submitted by three Recruitment and Retention Task Force work groups. Respite care is the provision of periodic and/or intermittent, temporary substitute care of children who are in the care and custody of the Children’s Division (CD), placed in a licensed resource home (foster, relative or kinship, emergency). The respite plan should serve equally the needs of both the foster youth and the foster caregivers. Using respite is important to reduce placement disruptions and to support safer and healthier homes. Missouri Respite Provider Care Training is required before approving a respite vendor to provide services. The training is available on the Internet. The training may be completed self-taught or in an instructor led classroom setting. All new resource provider applicants must complete the Missouri Respite Provider Care Training prior to being referred to a STARS pre-service training class. The training will be credited as an inservice training once the vendor is opened and approved to provide services. Relative and Kinship applicants are not required to complete the respite training prior to licensure. All currently licensed or approved resource parents may complete the respite training for in-service training credit. The new respite pamphlet may be printed from Children’s Division E-forms. Ample space on the back is provided to enter contact information. The QR bar code located on the back directs the user to Children’s Division Respite policy. Two new payment codes will be activated in FACES after March 1, 2014. The new payment codes are for entering the partial payment for the new half unit respite as described in the policy revision, Section 4 Chapter 17 subsection 6 . NECESSARY ACTION Review this memorandum with all Children’s Division staff Review revised Child Welfare Manual chapters as indicated below Review new Respite training curriculum as indicated below Review new Respite pamphlet as indicated below All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Amy Martin 573-751-3171 Amy.L.Martin@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 4 Chapter 17, Respite FORMS AND INSTRUCTIONS Respite Pamphlet Respite Care Provider Training REFERENCE DOCUMENTS AND RESOURCES Recruitment and Retention of Foster and Adoptive Parents Work Group RELATED STATUTE 210.112 210.542 ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS N/A Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS Two new payment codes for partial respite unit activation beginning after March 1, 2014 FPPR, half unit Respite 6 to 12 hours CPPR ,half unit Respite 6 to12 hours Level B New Respite Training Code for FACES, V130",https://fostercaresystems.wustl.edu/foster/respite-policy-revision-and-training-introduction
CAREER RESPITE CARE POLICY REVISION,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010, 2009","Administrative process, Contracting with private organizations","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, DIRECTOR","DISCUSSION: This memorandum provides information regarding revisions to Respite Care policy for career resource providers found in Section 4 Chapter 17 Subsection 8 of the Child Welfare Manual. Revisions include the requirement of a career respite provider to participate in career respite training and the career respite training expectations. Career Respite Care Provider Approval Process Respite care providers must be approved by the Children’s Division. Approval Process of Respite Care Providers outlines the process to follow including background checks, and the completion of the CS-RC-1 and CS-RC-3. There is an additional step for the provider who will provide the respite service outside the home of the child’s resource parent; completing the Foster Respite Care Provider Checklist, CS-RC-2. Completion of the CS-RC-2 is required as set forth in CSR 40-60.040 Physical Standards for Foster Homes. Career respite care providers must complete career respite training. Career Respite Care Training The career respite training is developed locally. The 8 hours of training curriculum includes: An overview of skills needed for parenting abuse/neglected children including issues related to physical/emotional development of children in foster care including: Communication Skills Building self-esteem Caring for children with inappropriate or destructive behavior such as lying, physical aggression, property destruction, and sexual acting out. Agency rules, regulations, policy and forms Behavioral management techniques including appropriate discipline techniques Techniques for caring for a child with serious behavior/emotional problems. This training should include crisis intervention, suicide management, and local protocol for handling emergency situations In addition to the 8 hours of Career Respite training, child specific training for each new child placed in the home will be done by the career resource provider prior to the child receiving the respite services. Career respite care providers must complete CPR and First Aid Training in accordance with policy outlined for licensed resource providers. Career respite care providers will be encouraged to participate in on-going training opportunities on caring for children with elevated physical/emotional development issues Guidelines for Use Respite care is designed to provide temporary relief from stressful or emergency situations. It is not to be used for regular child care purposes. The career resource parent will provide a completed Child Information Form, CD-110, to the career respite care provider. The utilization of this form will aid the career resource parent in providing the required child specific training for each new child placed in the home prior to receiving respite services A career respite provider will provide care for a maximum of 2 career level children simultaneously. A career licensed provider may not be contracted as a career respite provider unless a waiver has been granted by the Regional Director or designee. A career licensed provider who has a signed career respite contract may provide respite care for up to 2 additional career level children on a case–by-case basis provided that the following is in place: The total capacity does not exceed 4 placements Regional Director or Designee approval The respite care is for a period of 48 hours or less A back-up plan is in place in the event of a placement disruption during the respite period Consideration is given to: the behaviors, health, and elevated needs of each individual foster youth; the age and sex of each foster youth; how each individual child interacts with the other youth in the home All of the criteria and information listed above must be clearly documented in the career provider's licensing record. Career resource providers are encouraged to use respite care a minimum of one weekend per month plus 14 days per year (12 month period). ) The one weekend per month of respite care does not carry over to the next month. The 14 days per year reset upon the anniversary of the placement of the foster youth in the home. A unit of respite care is defined as a minimum of 12 hours up to a maximum of 24 hours. Use of career respite care is not to exceed 14 units per child during a 12 month period of time and the additional one weekend a month (2 units). The 12 month period will begin calculating on the date that the child was placed in the resource provider’s home. Upon the one year anniversary date of the child’s placement in that home, the units will reset. Unused units from the previous 12 month period are not rolled over to the new 12 month period. At any time a child is placed in a new provider's home, the respite units reset for that child at the new placement. Local staff will be responsible for tracking the number of units. Tracking will be done with the newly developed Respite Unit Tracking Log, CD- 113. Reimbursement for Respite Care Career respite care providers must have a current contract to provide career respite, CM-9/RP, in order to receive payment from the Children’s Division. Career respite care providers are reimbursed $40.00 per unit per child for those children that are classified on the Alternative Care Client Information as a career level child. The respite payment is processed by the Children’s Service Worker (CSW) via a CS-65. The resource parent will submit the completed Respite Provider Evaluation/Payment Invoice, CD-111, to the CSW within 5 working days of receiving the respite service. The CD-111 provides a uniform process to submit respite units and to monitor the appropriateness of the respite care provider as a respite resource. The worker will make only one payment entry for the respite services per month for the respite care provider in order to avoid duplication errors in data entry. The payment entry (CS-65) needs to be entered by the last day of the month to ensure timely payment to the provider. A copy of the CD-111 will be retained in the respite care provider’s case file. Case Recording A case file will be maintained for the career respite care provider. The outline for the case recording of a respite only resource is provided in Respite Care Case Recording. NECESSARY ACTION: Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT: Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER: Melody Yancey 573-751-3171 Melody.Yancey@dss.mo.gov CHILD WELFARE MANUAL REVISIONS: Section 4 Chapter 17 Section 8 Respite for Career Providers FORMS AND INSTRUCTIONS: CD-110 Child Information Form for Respite Provider CD-111 Respite Provider Evaluation/Payment Invoice CD-113 Respite Unit Tracking Log CD-104 Placement Report for Resource Home Record RELATED STATUTE: 13 CSR 35-60 Physical Standards of Foster Homes",https://fostercaresystems.wustl.edu/foster/career-respite-care-policy-revision
"POLICY CHANGE REGARDING CAREER RESPITE; SECTION 4: OUT-OF-HOME CARE, CHAPTERS 11 ATTACHEMENT A, AND CHAPTER 17.7",Missouri,Memo,"2007, 2006, 2005, 2004",Administrative process,"REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAF","FREDERIC M. SIMMENS, DIRECTOR","DISCUSSION: The purpose of this memorandum is to revise existing Career respite care policy as it relates to the time Career Foster Parents may use respite for the foster children in their home. According to current Children’s Division policy, Career Foster Parents are encouraged to use respite care for all the children placed in their home, at the same time and frequency regardless of level of care as outlined in Section 4.11.Attachment A. In order to better serve children, foster families, and respite providers, respite care will continue to be provided for all foster children in the CFP home at the same frequency, regardless of the foster child’s level of care. However, respite care no longer has to be provided for all children in the CFP home at the same time. Career parents are now given the option to determine the actual time(s) to use respite, based on the individual needs of the child(ren) in their home. Allowing the family to decide which children will be provided respite on a particular day/weekend will be helpful, in that it will allow additional flexibility to meet the needs of the child. This change was based on feedback from the Northeast Region Foster Parent Advisory Board. NECESSARY ACTION: Review this memorandum with all Children’s Division staff. All comments and recommendations regarding this subject should be cleared through normal supervisory channels. FMS/VES/CW:js Attachments",https://fostercaresystems.wustl.edu/foster/policy-change-regarding-career-respite-section-4-out-home-care-chapters-11-attachement-and
RESPITE FOR EMERGENCY FOSTER CARE,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010",Other,"REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF",CANDACE A. SHIVELY,"DISCUSSION: The purpose of this memorandum is to inform staff that licensed resource providers who are contracted to provide Emergency Foster Care may on rare occasions, such as a death in the family, illness, or unplanned hospitalization, find it necessary to receive respite care services. On those occasions: Payment for the respite provider is made by following the Payment Request instructions located in the FACES Financial Management handbook . The time that the foster youth is in respite care continues to count toward the maximum 60 consecutive days of being in an emergency placement. This policy revision is effective October 1, 2010. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Dena Driver 573-751-3171 Dena.D.Driver@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 4 Chapter 4 subsection 4 sub-subsection 3 Section 4 Chapter 17 subsection 1 Section 4 Chapter 17 subsection 6 FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES Financial System Payment Handbook RELATED STATUTE N/A ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS N/A Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/respite-emergency-foster-care
REVISED RESPITE CARE POLICY AND INTRODUCTION OF NEW FORMS,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010, 2009","Contracting with private organizations, Forms - Other, Foster parent licensing, Reporting requirements","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","CELESTA HARTGRAVES, ACTING DIRECTOR","DISCUSSION: Children’s Division Staff members of a Program Improvement Plan workgroup developed and recommended revisions to respite care policy. This memorandum provides information regarding revisions to respite care policy found in Section 4 Chapter 17 of the Child Welfare Manual. The revised policy includes the introduction of five new forms; Child Information Form for Respite Provider, CD-110, Respite Provider Evaluation/Payment Invoice, CD-111, Resource Family Exit Interview, CD-112, Respite Unit Tracking Log, CD-113, and Resource Parent Discipline Agreement, CD-119. Types of Respite Care The Children’s Division contracts with respite care providers to provide respite service to a licensed resource home (foster, relative or kinship) in the home of the resource parent, or in the home of the respite care provider. If the service is provided in the home of the respite provider, the resource worker will use the Foster Respite Care Provider Checklist, CS-RC-2, to determine that the home is approved for child placement as set forth in CSR 40-60.040 Physical Standards for Foster Homes. Respite services may be approved as part of an adoption or guardianship agreement. Recruitment and Retention The Resource Family Exit Interview, CD-112, is intended to facilitate the recruitment of those resource parents who no longer wish to provide continuous care and wish to close their foster care license. This form should be given to and discussed with the resource parents at the final home visit. It can also be used to recruit former resource providers that left the agency in good standing. The resource worker will provide support and instruction to the respite care provider to encourage and promote retention of this vital resource. Retention activities are outlined in Section 4 Chapter 17 Subsection 3. Approval Process Respite care providers must be approved by the Children’s Division. Section 4 Chapter 17 subsection 4 outlines the process to follow including background checks, and the completion of the CS-RC-1 and CS-RC-3. Staff are also required to complete the Foster Respite Care Provider Checklist, CS-RC-2 if respite services are to be provided outside the resource parent’s home. Respite care providers are required to be fingerprinted every two years. The Children’s Division shall pay for the cost of the fingerprinting. The process for conducting fingerprints is located in Section 6 Chapter 3 Attachment A. Staff may not approve the application or renewal of any person in which a record check reveals that a felony conviction for child abuse or neglect, spousal abuse, a crime against children (including child pornography), or a crime involving violence, including rape, sexual assault, or homicide, but not including other physical assault or battery was determined by a court of competent jurisdiction. Staff may also not approve the application or renewal of any person who in the past five years has had a court of competent jurisdiction determine a felony conviction for physical assault, battery, or a drug-related offense. Workers must follow the guidelines for approval outlined in policy and not impose additional requirements on the provider. Two additional forms that Respite providers are required to sign are the Resource Parent Discipline Agreement, CD-119, and the Safe Sleep Practices, CD-117. If a licensed resource home also has a respite contract and is utilized for respite services, it is important to ensure that licensing capacities and other licensing regulations are met. The providers must demonstrate that they are able to supervise all the children in their care. Renewal Process Respite care providers must have their contract renewed on a yearly basis. Prior to allowing the contract, Cooperative Agreement for the Purchase of Foster Respite Care Services, CM-10, to be signed, the renewal process for determining approval of the provider for utilization of respite services must be completed. A summary of the previous year’s activity in the home, background checks, and a new CS-RC-2 must be completed. The fingerprinting process is only completed every two years. This process is outlined in Section 4 Chapter 17 Subsection 5. Guidelines for Use Respite care is designed to provide temporary relief from stressful or emergency situations. It is not to be used for regular child care purposes. The resource parent will provide a completed Child Information Form, CD-110, to the respite care provider. The utilization of this new form is to better equip the respite care provider with information about the children they will be taking care of and whom they can contact in case of an emergency. If the placement child is identified to be at behavioral level, another trained Behavior Foster Care resource parent must be used for the respite services. A unit of respite care for licensed traditional, medical, behavioral, relative and kinship providers is defined as a minimum of 12 hours up to a maximum of 24 hours. Use of respite care is not to exceed 12 units per child during a 12 month period of time. The 12 month period will begin on the date that the child was placed in the resource provider’s home. The 12 units will reset upon the one year anniversary date of the child’s placement. Unused units from the previous 12 month period are not rolled over to the new 12 month period. Local staff will be responsible for tracking the number of units. Tracking will be done with the newly developed Respite Unit Tracking Log, CD-113. The capacity of placements the respite provider can have is determined using the information from the CS-RC-2. The resource provider that is only contracted as a respite parent will only provide respite services for a maximum of 6 placements at one time or less depending on the information on the CS-RC-2. Respite for Career Providers Career foster parents are encouraged to use respite care a minimum of one (1) weekend per month plus 14 days per year. Units are calculated as explained in the Guidelines for Use. A child that is determined to be career level on the Alternative Care Information, SS-61, may only be provided respite services by a provider that has a career license with the Children’s Division. The career respite care provider must have a current Agreement for the Purchase of Respite Care for Career Foster Parents, CM-9. The career respite care provider can only provide care for a total of two career level youth at one time including their own career level youth placements. Reimbursement for Respite Care Respite care providers for Legal Status 1 children are reimbursed $20.00 per unit, per child. Career respite care providers are reimbursed $40.00 per unit per child for those children that are classified on the SS-61 as a career level child. The respite payment is processed by the Children’s Service Worker (CSW) via a Children's Services Integrated Payment System Invoice, CS-65. The resource parent will submit the completed Respite Provider Evaluation/Payment Invoice, CD-111, to the CSW within 5 working days of receiving the respite service. The new form, CD-111, provides a uniform process to submit respite units and to monitor the appropriateness of the respite care provider as a respite resource. The worker will make only one payment entry for the respite services per month for the respite care provider. The payment entry using the CS-65 needs to be entered by the last day of the month to ensure timely payment to the provider. A copy of the CD-111 will be retained in the respite care provider’s case file. Case Recording A case file will be maintained by the licensing/resource worker for the respite care provider similar to a resource provider’s file. The outline for the case recording of a respite only resource is provided in Section 4, Chapter 17.9. If the respite care provider is also a licensed resource home (foster, relative, or kinship) the only addition to the typical resource file as defined in Section 5 Chapter 1.6 - Recording Guidelines and Record Composition – Resource Provider Records , will be the respite service specific forms. Resource Parent Discipline Agreement To be in compliance with the Foster Parent Licensing Regulations, all resource parents are to sign the Resource Parent Discipline Agreement, CD-119. The Children’s Service Worker will go over the form with the applicant(s) and be convinced that the applicant understands and agrees to not using corporal punishment and the forms of discipline listed on the form considered to be unacceptable. The Children’s Service Worker will ask the applicant(s) to agree to a positive alternative method listed on the form. The Children’s Service Worker will obtain the signature of the applicant(s) as confirmation of agreement. The worker and the worker’s supervisor will also sign the form. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Melody Yancey 573-757-3171 Melody.Yancey@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Respite Care Section 4 Chapter 17 FORMS AND INSTRUCTIONS: CD-110 Child Information Form for Respite Provider CD-111 Respite Provider Evaluation/Payment Invoice CD-112 Resource Parent Exit Interview CD-113 Respite Unit Tracking Log CD-113 Respite Unit Tracking Log Instructions CD-104 Placement Report for Resource Home Record CD-117 Safe Sleep Practices CD-119 Resource Parent Discipline Agreement REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE Licensing Rules of Foster Homes , 13 CSR 35-60.040 Foster Parent Bill of Rights, RSMo 210.566 ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS PA-FC 18 Eighth Edition CHILD AND FAMILY SERVICES REVIEW (CFSR) Service Array and Resource Development Systemic Factor, Item 35, Array of Services Service Array and Resource Development Systemic Factor, Item 36, Service Accessibility PROTECTIVE FACTORS Parental Resilience: N/A Social Connections Knowledge of Parenting and Child Development: N/A Concrete Support in Times of Need: N/A Social and Emotional Competence of Children: N/A FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/revised-respite-care-policy-and-introduction-new-forms
TERMINATION OF THE GRANDPARENTS AS FOSTER PARENTS PROGRAM (GAFP),Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010, 2009, 2008, 2007, 2006",Other,"REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, INTERIM DIRECTOR","DISCUSSION: The purpose of this memorandum is to provide manual revisions for the termination of the Grandparents as Foster Parents (GAFP) program. The GAFP program was established and funded through RSMo 453.325 and falls under the direction of the Family Support Division (FSD). GAFP was not funded in 2005, therefore GAFP cash and supportive services are no longer available. Please review FSD memorandum IM-55, dated 06-02-05. NECESSARY ACTION: Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACTS: Veronica E. Stovall 573-522-5060 Veronica.E.Stovall@dss.mo.gov PROGRAM MANGER Kathryn Sapp 573-522-5062 Kathryn.Sapp@dss.mo.gov CHILD WELFARE MANUAL REVISIONS: Section 4, Chapter 4 Attachment B : Guidelines to Placement Options, Criteria and Selection Section 4, Chapter 12 Attachment A: Grandparents as Foster Parents Program (Deleted) Section 4, Chapter 12 Attachment B : Options for Assisting Kinships Table of Contents FORMS AND INSTRUCTIONS: N/A REFERENCE DOCUMENTS and RESOURCES: IM-55 Termination of the Grandparents as Foster Parents (GAFP) Program RELATED STATUTE: 453.325 RSMo ADMINISTRATIVE RULE: N/A COUNCIL ON ACCREDITATION (COA) STANDARDS: N/A PROGRAM IMPROVEMENT PLAN (PIP) N/A SACWIS REQUIREMENTS: N/A",https://fostercaresystems.wustl.edu/foster/termination-grandparents-foster-parents-program-gafp
PROFESSIONAL PARENTING MAINTENANCE PAYMENT FOR RELATIVES CARING FOR BEHAVIORAL AND MEDICAL LEVEL CHILDREN SECTION 4 CHAPTER 11.A: STANDARD PAYMENT RATE FOR FOSTER FAMILY ALTERNATIVE CARE SECTION 4 CHAPTER 12.B: OPTIONS FOR ASSISTING KINSHIPS,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004","Services while in care - Medical, Subsidies - Other","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","FREDERIC M. SIMMENS, DIRECTOR","DISCUSSION: The purpose of this memorandum is to inform staff that relatives are eligible for the $100 incentive payment for medical and behavioral care if they meet the required qualifications. Staff are to pay the $100 per month, per eligible child, effective with the date of this memo. These payments are not retroactive; staff will need to make these payments manually via a CS-65. At this time, Data Processing has no edits in the system; system changes are forthcoming. NECESSARY ACTION: Review this memorandum Section 4 Chapter 11.A: Standard Payment Rate for Foster Family Alternative Care and Section 4 Chapter 12.B: Options for Assisting Kinships with all Children’s Division staff. All comments and recommendations regarding this subject should be cleared through normal supervisory channels. FMS/VES:js Attachments",https://fostercaresystems.wustl.edu/foster/professional-parenting-maintenance-payment-relatives-caring-behavioral-and-medical-level
MISSOURI KINSHIP NAVIGATOR PROGRAM,Missouri,Memo,"2024, 2023, 2022, 2021, 2020",Kinship,CHILDREN’S DIVISION AND CONTRACTED STAFF,"JOANIE ROGERS, INTERIM DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce the Missouri Kinship Navigator Program. The Children’s Division has partnered with ParentLink, the Missouri Family Resource Centers, and other public and private community partners to connect formal and informal relative caregivers to quality information, outreach activities and support services across Missouri. Missouri Kinship Navigator Program established a statewide toll-free phone line: 1-833-KIN-4KID (1-833-546-4543) that is operated by ParentLink warm-line staff who are trained to assist relative caregivers in identifying, locating, and accessing programs and services to meet the physical and emotional needs of the children they are raising, as well as any needs of the relative/kinship caregiver. The ParentLink staff who operate the warm-line connect caregivers with Kinship Navigators from ParentLink or other agencies including: Central Missouri Foster Care and Adoption Association (CMFCAA), FosterAdopt Connect (FAC), and Foster & Adoptive Care Coalition (FACC) to provide kinship navigation services located in many communities across Missouri. For additional information on specific services, resources and locations, visit the ParentLink Kinship Navigator website: https://education.missouri.edu/navigators/ Staff should share the Missouri Kinship Navigator toll-free phone line: 1-833-KIN4KID and the ParentLink Kinship Navigator website with all relative/kinship caregivers. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Sherry Moller 573-522-9306 Sherry.L.Moller@dss.mo.gov MANAGER CONTACT Amy Martin 573-526-8040 Amy.L.Martin@dss.mo.gov CHILD WELFARE MANUAL REVISIONS 6.16.3-Relative Resource Home-Placement Activities/Placement Support FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE N/A",https://fostercaresystems.wustl.edu/foster/missouri-kinship-navigator-program
ENTERING PLACEMENT CHANGES INTO FACES,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010","Administrative process, Reporting requirements","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, DIRECTOR","DISCUSSION: The purpose of this memorandum is to inform staff and supervisors of the new required time frame for updating the electronic case record in FACES. As previously stated in CD09-80 , the timeliness of updating and approving the electronic case record in FACES is an important aspect of the Adoption and Foster Care Analysis and Reporting System (AFCARS), the National Child Abuse and Neglect Data System (NCANDS), Council on Accreditation (COA) Standards, and the Child and Family Services Review (CFSR). Staff are relied upon to update the electronic case record in FACES timely and accurately to capture the required information for federal reports and for best practice. Supervisors are also relied upon to approve the electronic case record in FACES in a timely manner to ensure the accuracy of the case record. COA Standards require information about a new placement to be entered in the case record within 24 hours. Policy previously allowed 2 business days for the change to be made. Effective immediately, if a child moves to a new placement, this information must be entered into FACES as soon as possible but no later than 24 hours after the change occurs. The Child Welfare Manual has been updated to reflect the change in policy. NECESSARY ACTION: Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT: Christy Collins (573) 751-9603 Christy.Collins@dss.mo.gov PROGRAM MANAGER: Dena Driver (573) 751-3171 Dena.Driver@dss.mo.gov CHILD WELFARE MANUAL REVISIONS: Section 4 Chapter 2.2 Placement Activities Section 4 Chapter 5.1 Placement in a Resource Family Section 4 Chapter 12.4 Placement Activities/Placement Support Section 4 Chapter 13.1 Subsequent Placements Within Children’s Division FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES Adoption and Foster Care Analysis and Reporting System (AFCARS) National Child Abuse and Neglect Data System RELATED STATUTE N/A ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS COA Standard PA-RPM 7.04 COA Standard PA-FC 12.04 CHILD AND FAMILY SERVICES REVIEW (CFSR) Timeliness of data affects CFSR data_indicators PROTECTIVE FACTORS Parental Resilience-N/A Social Connections-N/A Knowledge of Parenting and Child Development-N/A Concrete Support in Times of Need-N/A Social and Emotional Competence of Children-N/A FACES REQUIREMENTS SACWIS Regulation",https://fostercaresystems.wustl.edu/foster/entering-placement-changes-faces
TIMELY UPDATING OF THE ELECTRONIC CASE RECORD INTO FACES,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010, 2009","Administrative process, Reporting requirements","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, DIRECTOR","DISCUSSION: The purpose of this memorandum is to inform staff and supervisors of required time frames for updating the electronic record in FACES. The electronic record in FACES is the official case record. The timeliness of updating the electronic case record in FACES is an important aspect of the Adoption and Foster Care Analysis and Reporting System (AFCARS), the National Child Abuse and Neglect Data System (NCANDS), Council on Accreditation (COA) Standards, as well as the Child and Family Services Review (CFSR). Documentation is reflective of case practice and the services provided to children and families. Staff are relied upon to update the electronic case record in FACES timely and accurately to capture the required information for federal reports and for best practice. Case managers must enter their own data into FACES. SPECIFIC GUIDELINES FOR FAMILY-CENTERED OUT-OF-HOME CARE Effective immediately, staff must enter case management updates into FACES as indicated below: If a child moves to a new placement, this information must be entered into FACES as soon as possible but no later than 2 business days after the change occurs. If a child has a change in legal status, this information must be entered into FACES as soon as possible but no later than 2 business days after the change occurs. If a child comes into care or exits care, this information must be entered into FACES as soon as possible but no later than 2 business days after the change occurs. For all other Family-Centered Out-of-Home Care activities, data entry should occur as soon as possible, but no later than 30 days after the event occurred. Supervisors should also follow these time frames to ensure that they approve activities in FACES in a timely manner. It is important for supervisors to approve AC open and close dates in FACES as soon as possible, but no later than 30 days after the worker submits the closing as the case does not actually close until the supervisor approves the closing in FACES. NECESSARY ACTION: Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT: Christy Collins (573) 751-9603 Christy.Collins@dss.mo.gov PROGRAM MANAGER: Melody Yancey (573) 751-3171 Melody.Yancey@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 4 Chapter 2.2 Placement Activities Section 4 Chapter 5.1 Placement in a Resource Family Section 4 Chapter 12.4 Placement Activities/Placement Support Section 4 Chapter 13.1 Subsequent Placements Within Children’s Division FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES Adoption and Foster Care Analysis and Reporting System (AFCARS) National Child Abuse and Neglect Data System RELATED STATUTE N/A ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS COA Standard for Data Entry CHILD AND FAMILY SERVICES REVIEW (CFSR) Timeliness of data affects CFSR data_indicators PROTECTIVE FACTORS Parental Resilience-N/A Social Connections-N/A Knowledge of Parenting and Child Development-N/A Concrete Support in Times of Need-N/A Social and Emotional Competence of Children-N/A FACES REQUIREMENTS SACWIS Regulation",https://fostercaresystems.wustl.edu/foster/timely-updating-electronic-case-record-faces
PARENTS OF FOSTER YOUTH RESIDING IN THE RESOURCE PROVIDER’S HOME,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017",Subsidies - Other,"REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","TIM DECKER, DIRECTOR","DISCUSSION: The purpose of this memorandum is to provide clarification of policy. Foster Care is a form of substitute care for children whose safety or well-being requires they be removed from the home of their parent(s). If the parent of the foster youth resides in the resource home, the foster youth neither is no longer “removed from the control of his parents” per RSM0 211.011 nor is the youth “unattended by parent” per RSMo 210.481(4). Maintenance payments cannot be made to the resource provider if the child’s own parent(s) is residing in the resource home per Federal Child Welfare Policy Manual Section 8.3A.3. The exception to parents of foster youth living in the same resource home as the foster youth is for those parents of foster youth who are also in the legal custody of the Children’s Division. This would also apply to youth who meet the definition of foster care but may not be residing in a resource home such as youth placed in an Independent Living Arrangement or in a Transitional Living Advocate home. In these living arrangements, youth are receiving the maintenance directly but a maintenance payment cannot be paid if the parent resides with the youth as the youth is no longer “removed from the control of his parents” per RSM0 211.011 nor is the youth “unattended by parent” per RSMo 210.481(4). NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT: Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER: Amy Martin 573-751-3171 Amy.L.Martin@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Relative or Kinship Care, Section 4 Chapter 12 Subsection 3, 4 & 5 FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES Glossary, Section 7 Child Welfare Policy Manual RELATED STATUTE 211.011 210.481 211.038 ADMINISTRATIVE RULE Licensing of Foster Family Homes, 13 CSR 35-60 COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/parents-foster-youth-residing-resource-providers-home
RELEASE OF INFORMATION TO RESOURCE PARENTS,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012",Court system,"REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","CANDACE A. SHIVELY, DIRECTOR","DISCUSSION: The purpose of this memorandum is to clarify Children’s Division policy regarding information that may be shared with resource parents. The Foster Parent Bill of Rights, 210.566.2(2) RSMo, provides for the licensed resource provider to have pertinent information regarding the foster youth currently placed in their home or the foster youth’s family. This includes full disclosure of all medical, psychological, and psychiatric conditions of the child. The statute also allows foster parents to have access to any information regarding the child or the child’s family including family history of mental or physical illness, sexual abuse perpetrated by the child, criminal background, fire-setting or other destructive behavior or any other information which is pertinent to the care and needs of the child and to protect the foster or adoptive family. Licensed resource parents are members of the professional team, which includes the Family Support Team, FST. Information is shared with the team members to assist in making decisions regarding safety, visitation, service and treatment needs, placement, and other case plan activities. Protected health information covered by the Health Insurance Portability and Accountability Act (HIPAA) may be provided to FST members to assist them in ensuring the child receives the proper care and treatment. Resources providers, as part of the FST, have access to all information shared with other FST members such as juvenile officers, Guardian-ad-Litems, and school personnel. Court Orders and Court Reports Per policy, the resource provider accepting a placement in their home will be provided a copy of the court order placing the foster youth in Children’s Division Custody. The provider shall receive all subsequent court orders while the foster youth is placed in their home until the release of jurisdiction is signed by the judge. The resource provider may also have a copy of the court reports regarding the placement(s) in their home. Other Protected Information Section 191.656.1(e) RSMo, provides that HIV information about a family member may be released to the resource provider. Release of Drug and Alcohol Information is more restrictive than HIPAA. To access information about Drug and Alcohol treatment, an authorization from the individual to disclose must be obtained or a court order specifying the release of this information must be made. Sanctions Resource parents who fail to comply with the privacy policies and procedures of HIPAA policy will be subject to civil and criminal sanctions and disciplinary actions up to and including revocation of license or approval as well as prosecution in a court of law. Disciplinary actions will become part of the resource parents licensing record. Further questions regarding protected information should be submitted to the local privacy officer. NECESSARY ACTION Review this memorandum with all Children’s Division staff. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT: Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER: Marta Halter 573-751-3171 Marta.Halter@dss.mo.gov CHILD WELFARE MANUAL REVISIONS: Selection of Placement Resource and Placement Options, Placement in a Resource Family, 4.5.1 Agency Arranged Relative or Kinship Care Due to the Children’s Division Legal Custody, 4.12.3 Out-of-Home Placement Support Activities,4.6.1 FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS and RESOURCES Family Support Team, Section 4 Chapter 7 Subsection 2 Selections of Placement Resource and Placement Options, Matching the Child’s Needs to the Placement, 4.4.5 Health Insurance Portability and Accountability Act (HIPAA), Section 5 Chapter 2 Subsection 7 RELATED STATUTE 191.656(e), Confidentiality of reports and records 210.150, Confidentiality of Reports and Records, Exception - Violations, Penalty 210.566, Foster Parent Bill of Rights RELATED FEDERAL REGULATION 42 CFR Part 2, Confidentiality of Alcohol and Drug Abuse Patient Records ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS N/A Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/release-information-resource-parents
STEPPARENTS AS RESOURCE PROVIDERS,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012","Definitions, Foster parent licensing, Subsidies - Other","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","CANDACE A. SHIVELY, DIRECTOR","DISCUSSION: The purpose of this memorandum is to clarify policy regarding stepparents as resource providers. A stepparent by legal definition, RSMo 210.481 (9), is a relative. If a legal status 1 foster youth is placed in the home of their stepparent, the placement type is an RHU, unlicensed relative home, not pursuing licensure. If the placement provider is a prior stepparent who is divorced from the child’s natural parent, then the placement type is a KHU, unlicensed kinship home. Stepparents are not eligible for pursuing a foster home licensure; therefore, they are not eligible for maintenance payment. Pursuant to statute 453.400, a stepparent shall support his or her stepchild to the same extent that a natural or adoptive parent is required to support his or her child so long as the stepchild is living in the same home as the stepparent. If the stepparent needs financial assistance, they may apply for TANF benefits. If the stepparent gets divorced from the natural parent, their vendor type changes to a KHU and they may pursue licensure to be eligible for maintenance payment. Stepparents are not eligible for adoption or guardianship subsidy if they are married to the natural parent of the child. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER: Dena Driver 573-751-3171 Dena.D.Driver@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Relative or Kinship Care, Section 4 Chapter 12 Subsection 3 FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE RSMo 210.481 RSMo 453.400 ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS N/A Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/stepparents-resource-providers
LICENSING PROCESS FOR RELATIVE AND KINSHIP CARE PROVIDERS,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010, 2009, 2008, 2007","Administrative process, Forms - Other, Foster parent licensing, Kinship, Subsidies - Foster Parents","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, DIRECTOR","DISCUSSION: The purpose of the memorandum is to clarify the licensing process for relative and kinship care providers. Relative and kinship care providers may receive payment for up to 90 days while pursuing licensure. If these providers do not meet licensing criteria within the allotted time frame, they should not receive payment for the period in which they did not meet licensing criteria. Exceptions will be made in those cases where it is clear that they did not meet the licensing criteria through no fault of their own (lost fingerprint results, paperwork not completed by staff, training not scheduled, etc.) The determination of whether a relative or kinship care provider is to be paid past 90 days without licensure being completed will be at the discretion of the Regional Director or designee. Providers that do not meet licensing criteria within the 90 day time frame due to their failure to complete requirements such as physicals and training can not receive payment. Requests for payment to these individuals past the time frame established by policy will be denied. In order to assist relatives and kinship care providers to meet the established time frames, the Relative/Kinship Care Introduction Letter (CD-71) and Relative and Kinship Care Reminder Letter (CD-72) have been developed. The introduction letter (CD-71) should be sent to families at the time of emergency placement of a child into the home or receipt of the referral for licensure. The reminder letter (CD-72) should be sent every 30 days until licensure is achieved or the family chooses to no longer pursue licensure. Copies of these letters should be kept in the provider’s file under correspondence. Staff should begin using these letters effective the date of this memorandum. NECESSARY ACTION: Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT: Venice Wood 573-522-5060 Venice.P.Wood@dss.mo.gov PROGRAM MANAGER: Melody Yancey 573-562-8040 Melody.Yancey@dss.mo.gov CHILD WELFARE MANUAL REVISIONS: Section 4 Chapter 12.3 Agency Arranged Kinship Care FORMS AND INSTRUCTIONS: Relative and Kinship Home Introduction Letter CD-71 Relative and Kinship Home Reminder Letter CD-72 REFERENCE DOCUMENTS and RESOURCES: RE N/A RELATED STATUTE: N/A ADMINISTRATIVE RULE: N/A COUNCIL ON ACCREDITATION (COA) STANDARDS: S21 Foster and Kinship Care Services PROGRAM IMPROVEMENT PLAN (PIP): N/A SACWIS REQUIREMENTS: N/A",https://fostercaresystems.wustl.edu/foster/licensing-process-relative-and-kinship-care-providers
RELATIVE AND KINSHIP PLACEMENT PROVIDERS,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010","Definitions, Kinship, Placement","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce policy revision regarding relative and kinship placement providers including: Definitions clarifying the distinction between a relative and a kinship provider; Process and procedures for making a placement in an unlicensed relative or kinship home; Process for licensure of a relative or kinship home; Process for making a relative or kinship placement in a currently licensed resource home; and Identification of non-safety licensing standards that may be waived by the Regional Office on a case-by-case basis in order to license a relative resource home in response to House Resolution 6893 Title I, Fostering Connections to Success and Increasing Adoptions Act. Definitions Relative: A person related to another by blood or affinity within the third degree (grandparent, brother, sister, half-brother, half-sister, stepparent, stepbrother, stepsister, uncle, aunt, or first cousin.) RSMo 210.565.2. 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. Non-safety Licensing Standard Waivers The Fostering Connections to Success and Increasing Adoptions Act, H.R. 6893, allows for the waiver of non-safety licensure standards for relatives on a case by case basis. A focus group met to discuss non-safety licensing standard waivers for relative providers. As a result, the following non-safety licensing standards, as promulgated in the Licensing of Foster Family Homes, Title 13CSR Division 35 Chapter 60, may be waived with Regional Office approval on a case-by-case basis to license a relative provider: Capacity; 13 CSR 35-60.020 (1)(2)(3) Age of the foster youth; 13 CSR 35-60.020 (2) Age of Foster Parent(s); 13 CSR 35-60.030 (1) Health of Foster Parent(s); 13 CSR 35-60.030 (A)(B) Training; 13 CSR 35-60.030 (B) Physical Standards; 13 CSR 35-60.040 (A)(B) Sleeping Arrangements; 13 CSR 35-60.040 (A)(D)(E)(F) Personal space for clothing and belongings. 13 CSR 35-60.040 (H) Approval Process Utilizing the Non-Safety Licensing Standards Waivers When a recommendation to approve a relative provider is based on utilizing the allowable non-safety licensing standard waivers, the recommendation must include clear documentation that utilization of the waiver(s) will not affect the safety and well being of the foster youth. Each time non-safety licensing standard waivers are utilized to license a relative resource provider, they must be tracked using the Non-Safety Licensing Standard Waivers for Licensing of Relative Resource Provider Homes Tracking Form, CD-152. The CD-152 shall be completed within 5 working days of licensure of the home and submitted to the Practice and Professional Development Unit in Central Office in Jefferson City. When a recommendation is to deny licensure of the relative provider, the denial must be based on non-compliance and/or incapability of meeting the required licensing rules. If the non-safety licensing standard waivers could not be utilized to approve the licensure, there must be clear documentation that the safety and well being of the foster youth would be compromised if an allowable waiver was used. The relative provider may appeal the denial of the waiver utilizing the appeal process . The policy revisions are effective upon the publication of this memo. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Dena Driver 573-751-3171 Dena.Driver@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Relative or Kinship Care , Section 4 Chapter 12 FORMS AND INSTRUCTIONS Non-Safety Licensing Standard Waivers for Licensing of Relative Resource Provider Homes Tracking Form, CD-152 and instructions. REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE 210.025 210.254 210.305 210.481 210.482 210.487 210.565 210.900 210.903 ADMINISTRATIVE RULE Licensing of Foster Family Homes Rules COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) Item 8, Reunification, guardianship, placement with relatives Item 15, Relative Placement Systemic Factor G: Foster and Adoptive Home Licensing and Approval PROTECTIVE FACTORS Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/relative-and-kinship-placement-providers
ENHANCED DILIGENT SEARCH THROUGH A CONTRACTUAL AGREEMENT WITH THE DEPARTMENT OF REVENUE,Missouri,Memo,"2007, 2006","Administrative process, Adoption, Birth parents, Contact and directory information, Guardianship","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, INTERIM DIRECTOR","REFERENCE: CHILDREN’S DIVISION DISCUSSION: The purpose of this memorandum is to introduce to staff an enhanced diligent search mechanism established through a contractual agreement between the Department of Social Services and the Department of Revenue (DOR). The Children’s Division (CD) now has the capability to search in Missouri only for a biological parent, step parent, adoptive parent, legal guardian, or a relative of a child in the custody of the CD whose identity or location is unknown. Designated personnel have been authorized limited inquiry access to DOR’s Division of Motor Vehicle (DMV), General Registration (GRS) and Marine electronic systems to complete location searches. ACCESS: Pursuant to the Driver’s Privacy Protection Act (DPPA) of 1994, 18 U.S.C. SS2721, information accessed through motor vehicle or driver’s license records is highly confidential and restricts public disclosure of personal information contained in DMV records. Designated staff shall abide by all federal laws and state statutes, common law and the Code of State Regulations of the State of Missouri relating to the access and use of these systems. Those designated staff shall also maintain all documentation for a minimum of five (5) years, as required by the DPPA, and make them available to the motor vehicle division upon request. The DMV system can only be accessed for CD business purposes. Access for any other purpose other than what is stated in the terms of the contractual agreement is forbidden and could result in disciplinary action, up to and including suspension, dismissal, and civil or criminal court action. Designated staff are not to disclose confidential driving records to anyone without a business-related need to know. DESIGNATED PERSONNEL: The following is a listing of designated staff in each Region who have been trained and have inquiry access to complete a diligent search through Missouri’s DMV: Northern Region Wendy Austin, Field Support Mgr. Livingston County Office 601 W. Mohawk, Suite B Chillicothe, MO 64601 660-646-5770 Wendy.E.Austin@dss.mo.gov Michael Logsdon, Field Support Mgr. Fulton Office 106 N. Hospital Dr. 103 Fulton, MO 65251 573-592-4097 Michael.Logsdon@dss.mo.gov Southern Region Frances Gould, Field Support Mgr. Cape Girardeau County Office 220 N. Fountain Cape Girardeau, MO 63701 573-290-5656 Frances.J.Gould@dss.mo.gov Rhonda Dlouhy, Field Support Mgr. Springfield Annex 1721 W. Elfindale, Ste. 205 Springfield, MO 65807 417-895-6591 Rhonda.S.Dlouhy@dss.mo.gov KC Region Janice Peterson, Adm. Asst. Jackson County Office 615 E. 13th St. Kansas City, MO 64106 816-889-2815 Janice.F.Peterson@dss.mo.gov Carol Simpson, Office Support Asst. Jackson County Office 615 E. 13th St. Rm. 407 Kansas City, MO 64106 816-889-2400 Carol.J.Simpson@dss.mo.gov St. Louis County Sue Lane, Office Support Assistant St. Louis County Office 9900 Page Ave. St. Louis, MO 63132 314-426-8402 Suzanne.Lane@dss.mo.gov Phoelica McKenzie, SSSIII St. Louis County Office 4040 Seven Hills Dr. Florissant, MO 63033 314-877-3056 Phoelica.McKenzie@dss.mo.gov St. Louis City Joan Garrison, SSSIII St. Louis City 4411 N. Newstead Ave. St. Louis, MO 63115 314-877-2326 Joan.L.Garrison@dss.mo.gov Allen Duckworth, Unit/Site Manager St. Louis City/Prince Hall 4411 N. Newstead Ave. St. Louis, MO 63115 314-877-2311 Allen.K.Duckworth@dss.mo.gov Donna Larry, Clerical Services Supervisor St. Louis City/Wainwright 111 N. 7th St. St. Louis, MO 63101 314-340-7697 Donna.M.Larry@dss.mo.gov Central Office The following staff person at Central Office will be utilized as support for field staff when their designated person is unavailable or if technical assistance is necessary: Belinda Luke, Program Development Specialist Cindy Wilkinson, Program Manager All logon issues will need to be directed to the ITSD help desk at 1-800-392-8725 or 573-751-3811 for resolution. PROTOCOL FOR REQUESTING A SEARCH: Staff must first proceed with their regular methods of locating an absent parent through the completion of the CS-IV-E Eligibility referral process upon a child entering CD custody. Staff should refer to those steps identified in Section 4, Chapter 4, Attachment A of the Child Welfare manual before requesting designated personnel to begin their enhanced search. Throughout the life of a case, the identity of an absent parent or relative may be identified whose whereabouts are unknown. Staff may request their designated staff perform a search of the DMV screens to locate those individuals by completing the CD88 REQUEST FOR LOCATION SERVICES form. (Form and Instructions are attached.) A search will not be performed without the completion of the CD-88. This new form was designed specifically for staff to use as a tool to assist in completing and documenting their reasonable efforts to perform a diligent search to locate absent parents or relatives, as required by the Program Improvement Plan (PIP), Council on Accreditation (COA) and House Bill 1453. Record searches may be conducted in the DMV, GRS or Marine systems in a variety of ways, such as by: Name (last, first) Social Security Number (SSN) Driver’s license number, License plate number, Vehicle identification number (VIN) If only a partial name, SSN, or driver’s license number exists, the system may still be searched. Once the authorized staff person completes the search, the only information supplied to the worker will be the information provided on the form, and staff should not request other information which may be included in the system as this violates the contractual agreement. No personal information regarding the individual’s driving record will be provided to the worker due to the highly confidential nature of the systems. NOTIFICATION PROCEDURE When a search is successful the worker should contact the individual by means of a certified, registered letter. Due to the confidential nature of a child’s case, no identifying information should be provided in the letter. The letter may state that the individual’s name was provided to our agency as a parent or relative to a child in our custody as a possible placement resource. If the individual responds to the letter, the worker should verify their identity (by age/social security number/date of birth, or other identifying information as documented on the CD-88). Once the individual’s identity has been verified, the child’s identity can be released. If the individual desires to be considered as a placement resource, staff should proceed by completing a background check on the individual. DOCUMENTATION Case managers should document all information in the Assessment and Treatment section of their case files and file the form in the Forms Section. Pursuant to RSMo 210.127, the following has been added to Section 4, Chapter 7 “the division is to provide a search progress at each court hearing until the parent is either identified and located or the court excuses further search.” This policy also applies to relative searches. NECESSARY ACTION: Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT: Belinda K. Luke, PDS 573-751-8615 Belinda.K.Luke@dss.mo.gov PROGRAM MANAGER: Cindy R. Wilkinson 573-751-3171 Cindy.R.Wilkinson@dss.mo.gov CHILD WELFARE MANUAL REVISIONS: Section 4 Chapter 4 Attachment A Section 4 Chapter 7 Section 4 Chapter 8 Section 4 Chapter 12 Section 5 Chapter 2 Section 7 Glossary/Reference Table of Contents FORMS AND INSTRUCTIONS: CD-88 Request for Location Services Form CD-88 Request for Location Services Form Instructions REFERENCE DOCUMENTS and RESOURCES: Public Law 103-322 Driver’s Privacy Protection Act (DPPA) Public Law 106-69 Amended DPPA RELATED STATUTE: Section 210.117 Section 210.127 Section 210.482 Section 210.565 Section 211.452 ADMINISTRATIVE RULE: NA COUNCIL ON ACCREDITATION (COA) STANDARDS: S21.1.04 S21.3.05 PROGRAM IMPROVEMENT PLAN (PIP): P1.6.2 Improve diligent search for relatives/missing parents. P2.16.1 Improve diligent search for non-custodial parent. SACWIS REQUIREMENTS: Form and Instructions provided to SACWIS",https://fostercaresystems.wustl.edu/foster/enhanced-diligent-search-through-contractual-agreement-department-revenue
CS-1 REVISIONS AND CHANGES IN POLICY RELATED TO APPROPRIATE ASFA PERMANENCY OPTIONS,Missouri,Memo,2003,"Administrative process, Legal process, Moves while in care, Permanency, Placement","AREA EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S SERVICE STAFF","FREDERIC M. SIMMENS, DIRECTOR","REFERENCE: CHILDREN’S SERVICES Discussion: The purpose of this memo is to introduce the revised CS-1, Child Assessment and Service Plan, and provide information about changes in policy related to appropriate ASFA permanency options. How were the CS-1 revisions made? The revisions to this form are based on feedback received through the Policy Review Team Process. Through this process, all comments and recommendations made by Children’s Services frontline and administrative staff, the Office of State Courts Administrator (OSCA), Juvenile Court personnel, GAL’s, and CASA’s regarding the CS-1 were considered and carefully evaluated during development. Additionally, the revised CS-1 was “tested” in three sites across the state. The end result of everyone’s hard work is a document that meets strict federal requirements but is flexible enough to meet individual circuit requirements. The CS-16 and the CS-1 Best social work practice dictates that thorough assessments of the family and child must be done prior to development of the service plan. Needs and strengths identified during assessment, are the basis for service planning with a family. Data from the Peer Record Reviews and Practice Development Reviews (PDR’s) demonstrate there can be disconnect between assessments and the service plans developed with families. The Council on Accreditation (COA) site reviews further illustrated the need for improvement in policy and field practice. With these facts in mind, policy and practice regarding the CS-1 were examined in depth. Although the previous version of the CS-1 called for a great deal of information gathering, the flow of the form made using the information for the purpose of service planning a cumbersome task. For this reason, the “family assessment” part of the former CS-1 was removed entirely, with the exception of basic demographic family data. The new CS-1 is now a child specific form, as is federally required, which assesses the child’s individual safety, permanency, well-being needs. The family assessment is to be done by completing the CS-16. These forms compliment and partner with each other and both are to be completed when working with a family whose child(ren) is in out-of-home care. The CS-16 is currently undergoing revisions so that the formatting of both tools is the same and information gathered in the CS-16 will easily transfer to parts of the CS-1. CS-1 Enhancements CS-1 as a Court Report The CS-1 has been redesigned so that information gathered and entered into the document logically leads to summary sections which can be quickly located in the document and utilized by the court. These summary sections are outlined in bold throughout the document. When properly completed, these summary sections should provide most, if not all, of the critical information the court will need during a review: child and family data, summary of reasonable efforts to prevent placement, summary of reasonable efforts to facilitate reunification and provide permanency, summary of visitation, and summary of appropriateness and child/youth adjustment to placement. In the event the court needs more detailed information about the summary sections, that information can easily be found in the document right before each summary section. The final two sections of the CS-1, FST (Family Support Team) Data and Recommendations and the Written Service Agreement, are also outlined in bold for quick identification by the court. Ideally, the court will accept a completed CS-1 as a court report. In circuits where the CS-1 is not accepted as a court report, the summary sections (when completed according to forms instructions) can easily be cut and pasted into a narrative report for the court. CS-1 as an Electronic Document The CS-1 has been redesigned to be a dynamic form. In other words, the CS-1 grows as information is continuously added over the life of the division’s involvement with the child. The CS-1 will no longer be printed and stored at the warehouse but will be stored electronically on the computer hard drive. After a CS-1 for a child is initially created, that CS-1 can be saved and retrieved later. In any subsequent CS-1, only new information or information which has changed must be entered in the document. The new electronic CS-1 has “Add” buttons embedded in eight locations within the document. Clicking on these “Add” buttons allows additional lines to easily be added to the form making it “grow” as additional space is needed for future case information. The “Add” buttons allow the addition of new family members, service information, relative/kin options explored, placements, FST participants, and goals and tasks over the life of the division’s involvement with the child. When a reviewer of any kind retrieves the most recent CS-1 from the case file, they will be able to quickly see all the primary details for that individual child. In the cases where TPR must be pursued, most information needed can be easily located in last CS-1 because it has been gathered and entered. System Requirements for the CS-1 In order to be able to use all the features of the new electronic CS-1, staff must have MS Office XP (2002) installed on their computer. This is the standard version all Children’s Division staff should have installed. If this is not the version of Word installed on your computer, please contact your local Regional Site Coordinator (RSC) or Area Technical Coordinator (ATC) for assistance. . Standardized Permanency Options The ASFA statute specifies five permanency options, in order of preferred legal permanency, for children who are in alternative care: Reunification, Adoption, Guardianship, Placement with a Fit and Willing Relative, and Another Planned Permanent Living Arrangement (APPLA). These permanency options and language are also included in the Missouri Supreme Court's Resource Guide for Best Practices in Child Abuse & Neglect Cases. In an effort to standardize the language used when discussing permanency for children, these permanency options have been added to the revised CS-1 in the FST Data and Recommendations section. Next to ensuring safety, meeting a child’s permanency needs is the single most important function performed by our agency. Permanency planning permeates every aspect of the child's placement in out-of-home care. The goal of out-of-home care is to provide to every child a stable and continuous relationship with nurturing adults. Acceptance of this goal implies that no child should be allowed to drift in out-of-home placement. The child should either be reunified with his/her parents or be freed from parental custody and placed for adoption within a definite time limit. When neither of these alternatives are possible, one of three plans is utilized to secure permanency for the child; Legal Guardianship; Placement with a Fit and Willing Relative; or Another Planned Permanent Living Arrangement (APPLA). Three of the permanency options; Reunification, Adoption, and Guardianship; are already addressed in current policy. Revisions to the forms instructions for the CS-1, Child Welfare Manual (CWM) Table of contents, CWM Section 4 Chapters 8, 9, 10, 12, 23, and Chapter 23 Attachment A reflect the addition of the other two permanency options to policy. Placement with a Fit and Willing Relative Choosing this option is appropriate when it is documented for the court that compelling reasons exist which make all other permanency options unacceptable. Relative placement does not prevent adoption or guardianship . If the child is with a relative who wishes to care for the child long-term, adoption and guardianship should still be explored as they offer more permanence than simple placement through the court. Additionally, a relative placement need not take precedence over a stable placement with another individual who may wish to adopt or become the child’s guardian. This permanency option should be selected only under these circumstances: Return home has been ruled out; TPR and adoption or guardianship are not appropriate and the juvenile court and/or Division feels it is in the best interest of the child not to pursue termination; All relatives have been considered and there is an identified relative resource who is willing to make a permanent commitment to care for the child; The relative resource is able to meet the child’s physical, emotional, and developmental needs; The child wants to be placed with the relative; The relative has been fully informed of the legal effect of the placement and all available financial resources, including adoption or guardianship subsidies; The parent(s) has been informed about the placement of the child with relative provider; If the relative plans on continuing contact with the parent from which the child was removed, they are prepared to protect the safety of the child and make decisions that enhance child’s well-being about the child’s contact with this parent; Placement with a fit and willing relative, without adoption or guardianship, is not a legally final permanency option . Therefore, the court must continue to hold annual permanency hearings until the court enters a legally final permanency order (return of child to legal custody of parent, TPR and adoption or guardianship) or the child reaches age 21. Another Planned Permanent Living Arrangement (APPLA) APPLA is the least preferred permanency option. This option is a specific permanent placement for the child, not just a foster care placement that can be indefinitely extended. Choosing this option is appropriate when it is documented for the court that compelling reasons exist which make all other permanency options unacceptable and not in the best interests of the child. Examples include when there is a significant bond, but the parent cannot care for the child due to disability; and when an Indian tribe has identified an APPLA for the child. An APPLA should be selected as the most appropriate permanency option only under these circumstances: Return home has been ruled out; TPR and adoption or guardianship are not appropriate; The child objects to TPR, and the juvenile court and/or Division believes it is in the best interest of the child not to pursue termination; Placement with a Fit and Willing Relative has been ruled out; There is an identified appropriate planned permanent living arrangement in which the child wishes to continue living; All possible additional services are explored with the child and/or the placement provider to provide permanency; The out-of-home care provider will make a formal Planned Permanency Agreement with the Division for this purpose. As with Placement with a Fit and Willing Relative, an APPLA is not a legally final permanency option. It is subject to ongoing court review. Therefore, the court must continue to hold annual permanency hearings until the court enters a legally final permanency order (return of child to legal custody of parent, TPR and adoption or guardianship) or the child reaches age 21. Just as court hearings should explore more permanent options for the child, members of the FST should continue to explore ways in which the child’s permanency and stability can be enhanced. To summarily rule out more permanent options based on the child’s age or needs is contrary to the goals of ASFA . Individual determinations about each child’s needs and circumstances are necessary. The following do not qualify as an APPLA: Extended Out-of-Home Care or Long-Term Foster Care. The ASFA statute explicitly prohibits long-term foster care as a permanency option. This is not considered a permanent living situation for a child. Long-term foster care is not stable and may disrupt, often leading to frequent moves and instability for the child and instability. All language in the CWM which refers to Extended Out-of-Home Care has been removed. Emancipation. Emancipation is unfortunately what sometimes happens when children leave foster care. It is not a permanency goal because it lacks certain permanency features contemplated by APPLA. Emancipation implies a discharge from foster care simply by virtue of one’s age without the necessary support system to provide sustained stability for the youth. Independent Living. Independent Living is a set of services provided to a youth, not a permanency goal. A youth’s APPLA may include independent living classes and other services as part of their permanent plan. An APPLA implies not just simply making a youth “independent”, but implies a broader plan that includes a support system the youth can continue to access while in care as well as once they are no longer in custody. Information regarding the above material about Placement with a Fit and Willing Relative and Another Planned Permanent Living Arrangement is credited to Making It Permanent: reasonable efforts to finalize permanency plans for foster children / by Cecilia Fiermonte and Jennifer L. Renne; copyright 2002 © American Bar Association. Reproduced by permission. All rights reserved. SS-61 Goal Codes The permanency option selected on the CS-1 must match the goal selected in field 16 of the SS-61. Revisions to the SS-61 fields are currently in progress. Until such time that the SS-61 fields and code sheet can be updated and as of October 1, 2003, staff should use code 06 in field 16 for Another Planned Permanent Living Arrangement and code 08 for Placement with a Fit and Willing Relative. Code 04, Long Term Foster Care, should no longer be used for any child in Out-of-Home Care. Revisions to the SS-61 code sheet reflecting this change will be forthcoming. The Planned Permanency Agreement Previously called the “Extended Out-of-Home Care Agreement”, a Planned Permanency Agreement should be completed whenever either of the two permanency options, Placement with a Fit and Willing Relative or APPLA, is selected for a youth. See attached CWM Section 4 Chapter 23 and Chapter 23 Attachment A. ACTION TO BE TAKEN: Review this memorandum with all Children’s Division Staff. Remove the CS-1, dated 3/01, and CS-1 forms instructions dated 1/01, from the Forms Manual and replace with the revised CS-1 and revised forms instructions. Review revised: CS-1 FORM AND FORMS MANUAL INSTRUCTIONS; CWM SECTION 4 CHAPTER 2.2.2; PLANNED PLACEMENTS CWM SECTION 4 CHAPTER 8.1; SERVICES FOR FAMILYCENTERED OUT-OF-HOME CARE CWM SECTION 4 CHAPTER 8.2; FAMILY/CHILD MOVES FROM COUNTY CWM SECTION 4 CHAPTER 9.1; PHILOSOPHICAL BASIS FOR PERMANENCY PLANNING CWM SECTION 4 CHAPTER 9.2; ADMINISTRATIVE REVIEW PROCESS CWM SECTION 4 CHAPTER 9.4.2; ADOPTION CWM SECTION 4 CHAPTER 9.4.3; GUARDIANSHIP CWM SECTION 4 CHAPTER 9.4.4; PLACEMENT WITH FIT AND WILLING RELATIVE CWM SECTION 4 CHAPTER 9.4.5; ANOTHER PLANNED PERMANENT LIVING ARRANGEMENT (APPLA) CWM SECTION 4 CHAPTER 10.3; FACTORS TO CONSIDER IN REUNIFICATION CWM SECTION 4 CHAPTER 12.1; DEFINITION AND PURPOSE CWM SECTION 4 CHAPTER 23.1; DEFINITION AND PURPOSE CWM SECTION 4 CHAPTER 23.2; CASE STUDY EXAMPLES OF APPLAS CWM SECTION 4 CHAPTER 23.3; CRITERIA FOR SELECTION OF APPLA AS A PERMANENCY OPTION CWM SECTION 4 CHAPTER 23.4; RESPONSIBILITIES IN THE DEVELOPMENT OF THE PLANNED PERMANENCY AGREEMENT CWM SECTION 4 CHAPTER 23.5; DISRUPTION OF A PLANNED PERMANENCY AGREEMENT CWM SECTION 4 CHAPTER 23 ATTACHMENT A; PLANNED PERMANENCY AGREEMENT Beginning October 1, 2003, use appropriate goal codes in field 16 of the SS-61. All computer/systems/technical questions should be directed to local ATC’s or RSC’s. All other questions regarding these procedures should be referred through normal supervisory channels. FS:SS",https://fostercaresystems.wustl.edu/foster/cs-1-revisions-and-changes-policy-related-appropriate-asfa-permanency-options
FOSTER YOUTH RECORDS AND REPORTS FOR RESOURCE PARENTS,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016","Foster parent licensing, Reporting requirements","REGIONAL EXECUTIVE, CIRCUIT MANAGERS, PROGRAM MANAGERS AND SUPERVISORS","TIM DECKER, DIRECTOR","DISCUSSION: The Rules for Licensing of Foster Family Homes require the Children’s Division to develop a record on each foster youth and provide it to the resource parents at the time of placement. The description of the child should include the child’s strengths and his/her endearing qualities, not simply problem identification, as this is intended to help inform resource parents of the full picture of the child. Information to include in the description includes but is not limited: to social, academic, behavior accomplishments; successes; positive family interaction; sibling support; helpfulness; respectful attitudes; politeness; creativity; and healthy self-image. As additional information is available (i.e. court reports), it is to be given to the resource parent. This record is to be maintained throughout the placement and follows the foster youth throughout their time in alternative care. The resource parent is not to keep a copy of the record once the child has moved or has left their home. The record is returned to the local office when the child is released from jurisdiction of the division. The documents in the file are placed in the foster youth’s file at the local office. Contents of the record should include: Foster youth’s name, birth date, date of placement, county of original jurisdiction, placement county, case manager’s name and telephone number and an afterhours telephone number for the case manager. Full name and address of the biological and/or legal parent(s) and other interested and responsible relatives where appropriate. All medical and dental information, including but not limited to diseases, surgical history, allergies, immunizations, psychosocial history and mental health history. In addition, the regulation requires the foster youth’s school records, rewards, pictures, church records, or any special items that will help to document the child’s background. The foster youth’s worker shall provide this record to resource parents and potential adoptive parents. The record shall accurately describe all pertinent information including but not limited to full disclosure of all medical, psychological, and psychiatric conditions of the child. It should also include information from previous placements that would indicate that the child(ren) may have a propensity to cause violence to any member of the resource family home. The resource parents shall be provided with any information regarding the child or child’s family, including but not limited to the case plan, any family history of mental or physical illness, sexual abuse of the child or sexual abuse perpetrated by the child, criminal background of the child or the child’s family, fire-setting or other destructive behavior by the child, substance abuse by the child or child’s family, or any other information which is pertinent to the care and needs of the child and to protect the foster or adoptive family, per Section 210.566, RSMo. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Amy Martin 573-751-3171 Amy.L.Martin@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Roles and Responsibilities of the Children’s Service Worker 1.1.5 Resource Development Worker Responsibilities 6.13.1 FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES Creating a Life book 4.6.A Memo CD12-88 Matching the Child’s Needs to the Placement 4.4.5 Responsibilities of the Resource Provider 1.3.3 Out-of-Home Placement Support Activities 4.6.1 RELATED STATUTE Foster Parent Bill of Rights, 210.566 ADMINISTRATIVE RULE Licensing of Foster Family Homes, Records and Reports, 13 CSR 35-60.060 COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS N/A Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/foster-youth-records-and-reports-resource-parents
RESOURCE PARENT QUARTERLY HOME VISIT,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013",Foster parent licensing,"REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","TIM DECKER, DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce the revised Resource Parent Quarterly Home Visit Checklist and Quarterly Summary, CD-118. The relationship of the resource licensing worker with all the household members of a resource home is important for cultivating mutual respect and monitoring a safe and nurturing environment for foster youth. The required quarterly home visits made by the licensing worker, affords an opportunity for the worker to build positive and beneficial relationships with the resource home members and to offer help to the resource family. The worker is in the home to help maintain and support the resource family. Quarterly visits are conversational allowing for the sharing of concerns as well as accomplishments and development of a mutual relationship of trust. Activities of staff at the quarterly visit are to be used as a prompt to have meaningful conversations about pertinent issues and assure compliance with licensing requirements. Activities include but are not limited to Discussion with the family regarding progress with their Professional Family Development Plan, CD-100 Walk through of the home to assure it meets licensing standards Visual confirmation of storage if there are any weapons Medications storage compliance Update Foster Family Profile, CD-56, if there are any changes in household composition The quarterly summary should include but is not limited to: The number and types of current placements Changes in household composition (i.e. divorce, death, illnesses, adoptions, births, etc.) What’s Inside: Resource Parent Quarterly Home Visit 2 Changes to the physical environment (moves, additions, remodels, etc.) Discussion of any hotline, reports, incidents, issues or concerns involving the resource family and any action taken. If no action is taken there should be an explanation. The CD-118 is the tool to record quarterly visit activities. Space is provided on the last page to write the required quarterly summary. Use of this form for documenting quarterly activities and recording the quarterly home visit summary continues with the publication of this memo. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. Review new Children’s Division forms as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov DEPUTY DIRECTOR Julie Lester 573-751-2427 Julie.Lester@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Recording Guidelines and Record Composition, Section 5 Chapter 1 Subsection 6 Resource Development Worker Responsibilities, Section 6 Chapter 3 Attachment M FORMS AND INSTRUCTIONS Resource Parent Quarterly Home Visit Checklist and Quarterly Summary, CD-118 REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE N/A ADMINISTRATIVE RULE 13 CSR 35-60.040 Physical Standards for Foster Homes (1) General Requirements (2) Sleeping Arrangements (3) Fire and Safety Requirements (4) Weapons Requirements COUNCIL ON ACCREDITATION (COA) STANDARDS PA-FC 17 CHILD AND FAMILY SERVICES REVIEW (CFSR) Item 17, Needs of Children, Parents and Foster Parents Item 41 and 42, Foster Family Homes Standards and Licensing Processes in Accordance with National Standards PROTECTIVE FACTORS Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/resource-parent-quarterly-home-visit
"RESOURCE PARENT QUARTERLY HOME VISIT CHECKLIST AND QUARTERLY SUMMARY, CD-118",Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012",Foster parent licensing,"REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","CANDACE A. SHIVELY, DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce the Resource Parent Quarterly Home Visit Checklist and Quarterly Summary, CD-118, in response to a state level Continuous Quality Improvement request. Resource licensing workers are required to make quarterly home visits and to document specific information in a quarterly summary. Activities of staff at the quarterly visit include but are not limited to: Discussion with the family regarding progress with their Professional Family Development Plan, CD-100 Walk through of the home to assure it meets licensing standards Visual confirmation of storage if there are any weapons Update Foster Family Profile, CD-56, if there are any changes in household composition The quarterly summary should include but is not limited to: The number and types of current placements Changes in household composition (i.e. divorce, death, illnesses, adoptions, births, etc.) Changes to the physical environment (moves, additions, remodels, etc.) Discussion of any hotline, reports, incidents, issues or concerns involving the resource family and any action taken. If no action is taken there should be an explanation. The CD-118 is a tool to record quarterly visit activities. This form was created utilizing samples received from circuits which currently have quarterly activity check lists. Space is provided on the last page to write the required quarterly summary. Use of this form for documenting quarterly activities and recording the quarterly home visit summary begins with the publication of this memo NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. Review new Children’s Division forms as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov DEPUTY DIRECTOR Marta Halter 573-751-2427 Marta.Halter@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Recording Guidelines and Record Composition, Section 5 Chapter 1 Subsection 6 Resource Development Worker Responsibilities, Section 6 Chapter 3 Attachment M FORMS AND INSTRUCTIONS Resource Parent Quarterly Home Visit Checklist and Quarterly Summary, CD-118 REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE N/A ADMINISTRATIVE RULE 13 CSR 35-60.040 Physical Standards for Foster Homes (1) General Requirements (2) Sleeping Arrangements (3) Fire and Safety Requirements (4) Weapons Requirements COUNCIL ON ACCREDITATION (COA) STANDARDS PA-FC 17 CHILD AND FAMILY SERVICES REVIEW (CFSR) Item 17 , Needs of Children, Parents and Foster Parents Item 41 and 42, Foster Family Homes Standards and Licensing Processes in Accordance with National Standards PROTECTIVE FACTORS Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/resource-parent-quarterly-home-visit-checklist-and-quarterly-summary-cd-118
ELEVATED NEEDS LEVEL B RESOURCE PARENT INSURANCE,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012",Services while in care - Medical,"REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","CANDACE A. SHIVELY, DIRECTOR","DISCUSSION: The purpose of this memorandum is to inform staff that a letter was sent in early September, 2012, from the Children’s Division Central Office to Level B resource parents coded as CF in FACES regarding the provisions of statute, 210.539 RSMo. The statute provides Level B resource parents who are eligible an opportunity to purchase health, dental, and vision insurance through Missouri Consolidated Health Care Plan, MCHCP. The purchase of the insurance is at the resource parent’s own expense. The Children’s Division, CD, provided to MCHCP the name and address of the Level B resource parents identified in FACES as of September 30, 2012. Each week MCHCP will be provided with an updated list. Missouri Consolidated Health Care Plan has provided and will continue to provide information to those eligible resource parents regarding the enrollment process, plan options, wellness incentives, networks and premiums. An information card, also called a push card, was developed by MCHCP for CD staff to give to all Level B resource parents. An initial supply of these cards was mailed to each circuit in early October, 2012. Additional cards may be requested by contacting Elizabeth.Tattershall@dss.mo.gov in the CD Central Office. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov DEPUTY DIRECTOR Marta Halter 573-751-2427 Marta.Halter@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Foster Care for Youth with Elevated Needs, Section 4 Chapter 14 Subsection 1 Children’s Service Worker Responsibilities, Section 6 Chapter 3 Attachment M FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES House Bill 1576 RELATED STATUTE 210.539 ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS N/A Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/elevated-needs-level-b-resource-parent-insurance
"REVISIONS TO RESOURCE FAMILY EXIT INTERVIEW, CD-112",Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010","Foster parent licensing, Foster parent recruiting","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce revisions to the Resource Family Exit Interview, CD-112. One of the responsibilities of staff is to conduct exit interviews with all resource providers. This should be completed for those resource providers who choose to close their license as well as those homes that are revoked. The purpose of the exit interview is to determine if the agency may have been able to do something different or better to maintain this placement resource. This interview should be documented in the record. The CD-112 was introduced in memo CD09-07 as a tool to use as means of recruitment of resource parents who no longer wish to provide foster care full time to consider providing respite care. The CD-112 can be used to assist the worker when conducting the face-to-face exit interview. The CD-112 does not replace the Closing Summary. The completed CD-112 shall be placed in the forms section of the case record. Revision to the form includes the addition of boxes to indicate whether the agency that developed the home was the Children’s Division or a private agency. If a private agency developed the home, the name of the private agency is to be entered. Staff are to begin using the revised CD-112 as of the date of this memorandum. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. Review revised Child Division E-Form. 4. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Dena Driver 573-751-3171 Dena.D.Driver@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Children’s Service Worker Responsibilities, Section 6 Chapter 3 Attachment M Recording Guidelines and Record Composition – Resource Provider Records, Section 5 Chapter 1 Subsection 6 FORMS AND INSTRUCTIONS Resource Family Exit Interview, CD-112 REFERENCE DOCUMENTS AND RESOURCES CD09-07 RELATED STATUTE N/A ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS (List or put N/A if not applicable.) CHILD AND FAMILY SERVICES REVIEW (CFSR) (List or put N/A if not applicable.) PROTECTIVE FACTORS Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/revisions-resource-family-exit-interview-cd-112
REGIONAL AND CIRCUIT PROTOCOLS EMERGENCY PROCEDURES FOR CHILDREN IN OUT-OF-HOME CARE. FOSTER PARENTS’ RESPONSIBILITIES IN DEVELOPING AN EMERGENCY PLAN AND NOTIFYING STAFF OF FOSTER CHILD STATUS IN AN EMERGENCY SITUATION,Missouri,Memo,"2007, 2006","Foster parent licensing, Reporting requirements, Services while in care - Other","ALL REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS AND CHILDREN’S DIVISION STAFF","PAULA NEESE, INTERIM DIRECTOR","DISCUSSION: The purpose of this memorandum is to provide protocol guidelines for each Circuit with Regional approval to develop emergency procedures and Foster Parent’s guidelines for responding to emergency and other life threatening situations at all local levels. This plan shall be submitted to Central Office for approval. Once the emergency protocol is developed by the respective Regional Office and approved, all foster parents and staff will be trained regarding the protocol. Each plan must include the following elements: A list of local facilities that are suitable for temporary lodging, supplies and food that is given to all foster parents at STARS Pre-Service Training. This list will be updated and mailed out annually by the licensing Children’s Service Worker; An emergency communication plan. This plan, which is part of each Circuit’s overall disaster plan, should include who shall be contacted in cases of emergencies. In cases where there is a man-made or natural disaster, a communication center in a different Region from the affected Region shall be set up as a communication center as a back-up for the Regional/Circuit office. The selected Children’s Division (CD) office should be far enough away that it is unlikely to be directly affected by the same event. The administrative number at the Child Abuse/Neglect Hotline, 877-642-6320, shall begiven to each foster parent to use only when all other usual means of communication are down which preclude foster parents from contacting their local/regional contacts. Please note: a written protocol should accompany this number which shall spell out when this administrative number is to be used; this information will be included in the local circuit’s protocol that is to be shared with foster parents. Each Region will designate an individual/group of staff who will coordinate information received from the disaster affected Region and communicate this information to the Regional Directors and Central Office. The protocol should include instructions that all staff in the affected area shall call into the designated communication center. The foster parent guidelines for responding to emergencies, as referenced earlier, shall include the 1-877-642-6320 administrative number to be used only when no other communication channels are available to reach local/regional contacts. This plan shall include: Who to contact at the local and regional level during an emergency situation, during normal work hours as well as after hours; Who to contact during man-made or natural disaster when all normal communication channels are down, i.e. administration number 877-642-6320. This plan will also include how the foster parent will contact the communication center when normal communication is down, i.e. use of cell phones, messages through established web pages; Who will contact the Birth Parent/Relative, Children’s Division Director, and the Juvenile Office, regarding the child’s emergency situation; How often foster parent/staff shall communicate with the designated communication site during man-made or natural disasters, i.e. daily, weekly etc; The information to be provided regarding emergency situations; How and where in the case record the information is to be documented; How it will be monitored; Address voluntary or involuntary closure of facilities in emergency situations; Address the requirement of notifying the person’s parent or legal guardian and other appropriate authorities; Any additional requirement as specified by the Regional Office. In the event of a mandatory evacuation order, foster parents must comply with the order insofar as they must ensure their foster children are evacuated according to the plan and procedures set forth by the State Emergency Management Agency (SEMA). Additionally, in the event of emergency, the Department of Social Service’s Communications Office will coordinate all communication with the media, leadership staff, personnel, persons served and the public. Foster Parents’ Responsibilities: Foster parent shall develop and display a family emergency plan that will be approved by their local office and become part of their Family Development Plan. Their plan should include the following: An evacuation plan for various disasters; A meeting place for all family members if and when a disaster occurs; Contact numbers which shall include: Local law enforcement; Regional Communication Plan with Contact Personnel; Emergency Numbers; Administrative number, 877-642-6320, only to be used when no other local/regional communication channels are available. A disaster supply kit that includes “special needs” items for each household member, first aid supplies including prescription medications, a change of clothing for each person, a sleeping bag or bedroll for each foster child, battery powered radio or television, extra batteries, food, bottled water and tools. For information regarding what to place in an Disaster Kit you may go to “American Red Cross Disaster Plan Kit Item list” www.redcross.org As part of the disaster plan each foster parent will identify what will happen to the child if he/she is in school or the foster parent is away from the child; i.e. will the school keep the children until a parent or designated adult can pick them up or send them home on their own. Foster parents will provide their Children’s Service Workers with back-up contact phone numbers in case of emergency in which they cannot be located by their home or work phone. Foster parents should consider providing staff with back-up phone numbers of individuals (such as relatives) they would contact in case of an emergency. Each foster home will review this plan with their foster children every six months and report this information back to the foster child’s respective case worker. The worker will record this information in the provider’s file. The emergency plans shall be made available through the Regional Office, upon request. NECESSARY ACTIONS: Please review this memorandum with all Children’s Division Staff. All comments and recommendations regarding this subject should be cleared through normal supervisory channels. PDS CONTACT: Veronica Stovall, PDS 573-522-5060 Veronica.E.Stovall@dss.mo.gov PROGRAM MANAGER: Kathryn Sapp 573-522-5062 Kathryn.Sapp@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 4, Chapter 6 Attachment B Direct Service Worker Duties Section 6, Chapter 1 Attachment F Foster Parent’s Emergency Procedure Table of Contents ADMINISTRATIVE RULE: 13 CSR 40-60 Licensing of Foster Family Homes AVAILABLE REFERENCE MATERIALS: Department of Public Safety Emergency Preparedness http://ready.missouri.gov/ Department of Social Services, Human Resource Center, Safety and Security Toolkit http://dssweb/dpl/pages/safety.htm (Employee Access Only) COUNCIL ON ACCREDITATION (COA) STANDARDS: (Employee Access Only) G5.7.01 The organization follows procedures for responding to accidents, serious illness, fire, medical emergencies, water emergencies, natural disasters, and other life threatening situations G5.7.04 All of the organization’s programs prepare to deal effectively with injuries, accidents and illnesses PROGRAM IMPROVEMENT PLAN (PIP): N/A SACWIS REQUIREMENTS: N/A",https://fostercaresystems.wustl.edu/foster/regional-and-circuit-protocols-emergency-procedures-children-out-home-care-foster-parents
CD-174 Out of County Home Assessment CD-175 St,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011","Administrative process, Placement","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","CANDACE A. SHIVELY, DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce the new CD-174 Out of County Home Assessment Request which replaces the CS-120 Out of Town Inquiry and to introduce the Service Worker/Case Transfer Request CD-175. Introduction of these tools makes the previous CS-120 and use of the IM-42 obsolete. CD-174 is to be used to request a home assessment for a potential resource provider residing outside the child’s county of jurisdiction. CD-175 is to be used to request a case transfer or service case opening for a family who has relocated to another county in Missouri or for child/ren that are placed outside of their county of jurisdiction. Complete the CD-175 within five (5) working days after placement has been confirmed. The O.T.I Study/Request/In State (CS-120) and the Inter-County Transfer (IM-42) have been removed from manual activities in FACES. Effective tomorrow’s date, the manual activities will include the Out of County Home Assessment (CD-174) and Service Worker/Case Transfer Request (CD-175). In addition to using one of these two tools, the case manager is also required to do a follow up contact with the receiving county to verify receipt of request and answer any additional concerns or questions. Sample cover letters have been developed to accompany the CD-174 Out of County Home Assessment and CD-175 Service Worker/Case Transfer Request. The sample cover letters are available under the reference documents and resources section of the Children’s Division E-forms. The CD-174, CD-175, and instructions are available on Children’s Division E-forms. The revised forms are to be utilized beginning the date of this memorandum. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Monica S. Sekscinski Monica.S.Sekscinski@dss.mo.gov Crystal Wilson Crystal.L.Wilson@dss.mo.gov PROGRAM MANAGER Amy Martin Amy.L.Martin@dss.mo.gov (573) 751-3171 CHILD WELFARE MANUAL REVISIONS Section 3 Chapter 9 Subsection 1 Family Moves from the County Section 4 Chapter 8 Subsection 2 Family/ Child Moves from County Section 6 Chapter 9 Subsection 1 Out of County Home Assessment Request FORMS AND INSTRUCTIONS CD174, OUT OF COUNTY HOME ASSESSMENT REQUEST CD174, Instructions CD175, SERVICE WORKER/ CASE TRANSFER REQUEST CD175, Instructions REFERENCE DOCUMENTS AND RESOURCES Sample Cover Letters to accompany CD-174 Sample Cover Letters to accompany CD-175 RELATED STATUTE N/A ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS As directed in memorandum",https://fostercaresystems.wustl.edu/foster/cd-174-out-county-home-assessment-cd-175-st
REVIEW OF A RESOURCE HOME,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012","Contact and directory information, Forms - Other","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","CANDACE A. SHIVELY, DIRECTOR","DISCUSSION: The purpose of this memo is to clarify policy regarding a formal review of a resource home. When there is a substantiated determination of child abuse/neglect involving a resource home and/or there are serious infractions of licensing regulations, a formal review should be conducted. The purpose of the review is to determine the continued use or licensure of the resource home. The Regional Director/Designee should facilitate the formal review. The formal review of a resource home is a separate process from the Fair Hearing process. The formal review shall be completed before implementing the Fair Hearing process. The outcome of a formal review of a resource home may result in proceeding with an adverse action of the resource home license which will begin the Fair Hearing Process. An outline for the written formal review summary has been added to policy. Revisions have been made to the document used for the Fair Hearing process, Resource Home Adverse Action Report, CS-20, and the CS-20 instructions. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. Review revised Children’s Division form indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Dena Driver 573-751-3171 Dena.D.Driver@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Children’s Division Appeal Processes, Section 6 Chapter 7 Subsection 1 Guide for Conducting a Review of a Foster Home, Section 6 Chapter 3 Attachment L FORMS AND INSTRUCTIONS Notification of Resource Home Adverse Action, CS-20 REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE N/A ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS N/A Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/review-resource-home
REVISION OF FAIR HEARING POLICY,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011","Administrative process, Contracting with private organizations, Foster parent licensing","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","CANDACE A. SHIVELY, DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce revisions to the Fair Hearing Policy. The steps to take have been clarified including time frames and information about data entry in FACES. It is imperative that a foster home license or a vendor approval not be closed with an adverse close reason of denial or revocation until after the entire due process is completed. The home shall be placed on Administrative Hold until the complete grievance process has reached its conclusion, including the expiration of the 90 day time frame for filing an appeal in their circuit court per RSMO 208.100. If the appeal is filed timely with the circuit court, the conclusion cannot be entered until the final decision of the court case is filed. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Dena Driver 573-751-3171 Dena.D.Driver@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Children’s Division’s Fair Hearing Process, Section 6 Chapter 7 Subsection 1 FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE N/A ADMINISTRATIVE RULE 13 CSR 35-60.010 (2) COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS N/A Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/revision-fair-hearing-policy
CHILDREN’S DIVISION REQUEST FOR LEGAL COUNSEL AT A FAIR HEARING,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010",Legal process,"REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","CANDACE A. SHIVELY, DIRECTOR","DISCUSSION: The purpose of this memorandum is to clarify two specific steps regarding notifying the two separate units of the Division of Legal Services, DLS, when an Application for Fair Hearing, CD-53, is received. Once the Children’s Service Worker has received a written request from the applicant/resource provider requesting a Fair Hearing, the Children’s Service Worker shall complete the following: Advise the Regional Director/Designee of this request; Forward the CD-53 to the DLS Hearings Unit within one (1) working day after the date of the hearing request was received; and If legal counsel and/or representation is required by the Division, the DLS form for legal representation, Case Referral Form , shall be sent to the DLS, Litigation Unit. There are two separate DLS units; Hearing and Litigation. There is no communication between these two units regarding Fair Hearing cases due to client confidentiality. If the Children’s Division desires legal counsel and/or representation regarding a Fair Hearing, a Case Referral for legal representation shall be sent to the DLS, Litigation Unit. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. Review revised Division of Legal Services form as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 ElizabethTattershall@dss.mo.gov PROGRAM MANAGER Dena Driver 573-751-3171 Dena.D.Driver@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Children’s Division Fair Hearing Process, Section 6 Chapter 7 Subsection 1 FORMS AND INSTRUCTIONS Division of Legal Services Case Referral Form REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE N/A ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS Parental Resilience N/A Social Connections N/A Knowledge of Parenting and Child Development N/A Concrete Support in Times of Need N/A Social and Emotional Competence of Children N/A FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/childrens-division-request-legal-counsel-fair-hearing
"CHILDREN'S DIVISION FAIR HEARING PROCESS, INTRODUCTION OF THE APPLICATION FOR A CHILDREN’S DIVISION FAIR HEARING, CD53, AND CHILDREN’S DIVISION WITHDRAWAL OF REQUEST, CD-54",Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010, 2009, 2008","Administrative process, Adoption, Forms - Other, Foster parent licensing, Group and residential care, Guardianship, Subsidies - Other","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS AND CHILDREN’S DIVISION STAFF","JAMES C. HARRISON, ACTING DIRECTOR","DISCUSSION: The purpose of this memorandum is to explain the Fair Hearing process and introduce the new Children's Division Fair Hearing forms. Effective with this memorandum, the Application for State Hearing, IM-87, will no longer be used for Children's Division Fair Hearings. The new Application for Fair Hearing, CD53, will be used for all grievances made by a Children's Division applicant or provider who disagrees with a decision regarding the Children's Division services listed below. Those individuals who have grievance regarding Family Support Division services will continue to use the IM-87 form. The Application for Fair Hearing, CD-53, is to be used by an applicant who is dissatisfied with the action taken on their application or by a provider who disagrees with a proposed action on their license or subsidy. A hearing may also be requested if the claimant believes a change in subsidy benefits should have occurred. The Fair Hearing process is to be used for the following: Foster/Relative/Kinship Home License Denial/Suspension/Revocation Adoptive Home Denial Adoption Subsidy Maintenance Denial/Change Adoption Subsidy Services Denial/Change Legal Guardianship Subsidy Denial Residential Child Care and/or Child Placing Agency License Denial, Revocation or Suspension Fair Hearing Process To initiate the fair hearing process, the foster/relative/kinship/adoptive or foster/adoptive care applicant/provider must notify the Children’s Service Worker in writing within thirty (30) days of receipt of the Notification of Resource Home Adverse Action, CS-20a, indicating the request for a Fair Hearing. CD-53 and the Withdrawal of Request for Fair Hearing, CD-54, will be in the same mailing as the CS-20a. The worker will attempt to resolve the issue with the applicant informally while concurrently preparing for the Fair Hearing. The worker shall arrange an administrative review within ten (10) working days of receipt of the request. Participants in the meeting should include the resource provider, the Circuit Manager/Designee, appropriate Regional Director/Designee and Supervisor. The purpose of this meeting is to: Review information provided by the applicant or resource provider and Division staff to see if the issue can be resolved prior to filing a request for a Fair Hearing. Once the Children’s Service Worker has received a written request from the resource provider requesting a Fair Hearing, the Children’s Service Worker shall advise the Regional Director/Designee of this request and automatically forward the CD-53 to the Hearings Unit at Division of Legal Services (DLS) within one (1) working day after the date of the hearing request. The worker will also submit a Hearing Packet which includes three copies of the CD-53, a copy of the recommendation summary and the adverse action letter. To expedite the hearing process, the worker must ensure the CD-53 is complete with accurate information and includes all necessary signatures. The Children’s Service Worker shall provide one copy of the case record materials that directly relate to the action upon request to the applicant/resource provider. The worker shall complete the CD-53 for the applicant if requested. If the worker completes the CD-53, the worker must be specific as to the reason a hearing is being requested. The applicant does not need to sign the form prior to the request being forwarded to the DLS Hearings Unit; however, the applicant's signature must be obtained prior to the actual hearing. The immediate supervisor’s signature is required. DLS Hearing Unit will require the county office to obtain a signed Withdrawal of Request for Hearing, CD-54, from the household, before the matter can be withdrawn. Withdrawal of Request for Hearing This memorandum also introduces the new Withdrawal of Request for Fair Hearing, CD-54. This form will be completed when the provider or the Children's Division requests a Fair Hearing withdrawal. This would include: The claimant is requesting withdrawal from a previously requested hearing; or The Children's Division determines that information is inadequate to support the agency’s proposed action and the agency wishes to rescind the decision. The worker should immediately send the completed and signed Withdrawal of Request for Hearing, CD-54, to the DLS Hearing Unit within one (1) working day. This form will replace the Withdrawal of Request for Hearing, IM-90, for withdrawal from a Children Service’s Fair Hearing. Form Revision The Notification of Resource Home Adverse Action, CS-20a, and Notification Letter for Adoption and Guardianship Subsidy Denial, CD-87, have been revised to correspond with policy changes effective with this memorandum. NECESSARY ACTIONS: Please review this memorandum with all Children’s Division Staff. Review revised Child Welfare Manual chapters as indicated below. Destroy old copies of the CS-20a and begin using the revised version immediately CD staff will begin using the CD-87 immediately. All questions should be cleared through normal supervisory channels and directed to: PROGRAM DEVELOPMENT SPECIALIST Venice Wood (573)522-5060 Venice.P.Wood@dss.mo.gov PROGRAM MANAGER Melody Yancey (573)751-3171 Melody.Yancey@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 4 Chapter 30.8 Review Process Section 4 Chapter 30.10 Miscellaneous Section 6 Chapter 7.1 Children Division’s Fair Hearing Process FORMS AND INSTRUCTIONS CS-20a and Instructions CD-53 and Instructions CD-54 and Instructions CD-87 and Instructions RELATED STATUTE Section 208.100.RSMO ADMINISTRATIVE RULES: State Code of Regulation Title 13 CRS 35-60.010",https://fostercaresystems.wustl.edu/foster/childrens-division-fair-hearing-process-introduction-application-childrens-division-fair
REVISIONS TO THE FOSTER PARENT BILL OF RIGHTS AND RESPONSIBILITIES,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010, 2009, 2008, 2007","Child rights, Contracting with private organizations, Court system, Expectations for care, Foster parent licensing, Legal process, Placement, Visitation","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, DIRECTOR","REFERENCE: CHILDREN’S DIVISION DISCUSSION: This memorandum is to inform staff that the Foster Parent Bill of Rights and Responsibilities, contained in RSMo 210.566, were revised by the General Assembly in Senate Bill (SB) 25 during the 2007 legislative session and those revisions become effective August 28, 2007. The revisions resulted in several changes in the Child Welfare Manual and in the “Missouri Resource Parent Handbook”. FOSTER PARENT BILL OF RIGHTS AND RESPONSIBILITIES The revised provisions in the Foster Parent Bill of Rights and Responsibilities are listed below, followed by its impact to changes in the Child Welfare Manual. 210.566. 1. (1) The children’s division and its contractors recognizing that foster parents are not clients but are colleagues in the child welfare team and should be treated in a manner consistent with the National Association of Social Workers’ ethical standards . Foster parents shall treat the children in their care, the child’s birth family and members of the child welfare team in a manner consistent with their ethical responsibilities as professional team members. IMPACT: Section 1, Chapters 3.1, 3.2, 3.3; Section 6, Chapter 2; Section 6, Chapter 7.2 210.566. 1. (2) The children’s division and its contractors shall provide written notification of the Foster Parent Bill of Rights and Responsibilities at licensure and at each licensure renewal following the initial licensure. IMPACT: Section 1, Chapter 3.2 210.566. 2. (1) Provide regularly scheduled opportunities for preservice and inservice training as determined by the Missouri State Foster Care and Advisory Board. IMPACT: Section 1, Chapter 3.2; Section 6, Chapter 2. 210.566. 2. (2) The children’s division and its contractors shall provide to foster parents and potential adoptive parents prior to placement full disclosure of all medical, psychological, and psychiatric conditions of the child, as well as information from previous placements that would indicate that the child or children may have a propensity to cause violence to any member of the foster family home. Provide information regarding the child or child’s family, including but not limited to the case plan, any family history of mental or physical illness, sexual abuse of the child or the child’s family, fire-setting or other destructive behavior by the child, substance abuse by the child or child’s family, or any other information which is pertinent to the care and needs of the child and to protect the foster or adoptive family. Knowingly providing false or misleading information in order to secure placement shall be denoted in the caseworker’s personnel file and shall be kept on record by the division. IMPACT: Section 1, Chapter 3.2; Section 4, Chapter 4.4.5; Section 4, Chapter 5.1; Section 5, Chapter 2.7. 210.566. 2. (5) Foster parents shall be informed in a timely manner by the children’s division and its contractors of all team meetings and staffings concerning their licensure status or children placed in their homes. IMPACT: Section 1, Chapter 3.2 210.566. 2. (6) Foster parents shall follow all procedures established by the children’s division and its contractors for requesting and using respite care. IMPACT: Section 1, Chapter 3.3; Section 4, Chapter 17.5. 210.566. 2. (7) Provide information necessary for the medical and psychiatric care of the child to the appropriate practitioners/school personnel in order to secure a safe and appropriate education for the child. Foster parents shall share information/concerns they learn about the child/child’s family with the caseworkers and other members of the child welfare team. IMPACT: Section 1, Chapters 3.2 and 3.3. 210.566. 3. (1) Visitations should be scheduled at a time that meets the needs of the child, the biological family members, and the foster family whenever possible. Recognizing that visitation with family members is an important right of children in foster care, foster parents shall be flexible and cooperative with regard to family visits. IMPACT: Section 1, Chapter 3.2; Section 4, Chapter 6.1, Section 4, Chapter 7 Attachment A. 210.566. 3. (2) The children’s division and its contractors shall provide foster parents with training that specifically addresses cultural needs of children, including but not limited to, information on skin and hair care, specific religious or cultural practices of the child’s biological family and referrals to community resources for ongoing education and support. IMPACT: Section 1, Chapter 3.2; Section 6, Chapter 2. 210.566. 3. (3) Foster parents shall use discipline methods which are consistent with children’s division policy. IMPACT: Section 1, Chapter 3.3; Section 4, Chapter 6.1. 210.566. 4. (2) Except in emergencies, foster parents shall give two weeks advance notice and a written statement of the reasons before a child is removed from their care. When requesting removal of a child from their home, foster parents shall give two weeks advance notice, consistent with division policy, to the child’s caseworker, except in emergency situations. IMPACT: Section 1, Chapters 3.2 and 3.3. 210.566. 4. (3) Recognizing the critical nature of attachment for children, if a child reenters the foster care system and is not placed in a relative home, the child’s former foster parents shall be given first consideration for placement of the child. IMPACT: Section 1, Chapter 3.2; Section 4, Chapter 4 Attachment B, Section 4, Chapter 29.3. 210.566. 4. (5) If a foster child becomes free for adoption and the foster parents desire to adopt the child, they shall inform the caseworker within sixty days of the caseworker’s initial query. If they do not choose to pursue adoption, foster parents shall make every effort to support and encourage the child’s placement in a permanent home, including but not limited to providing information on the history and care needs of the child and accommodating transitional visitation. IMPACT: Section 1 Chapter 3.3; Section 4, Chapter 6.1; Section 4, Chapter 27.4; Section 4, Chapter 28.9, Section 4, Chapter 29.3. 210.566. 5. Foster parents shall be informed by the court no later than two weeks prior to all court hearings pertaining to the child. IMPACT: Section 1, Chapter 3.2. 210.566. 6. The children’s division and their contractors shall provide access to a fair and impartial grievance process to address licensure, case management decisions and delivery of service issues. IMPACT: Section 1, Chapter 3.2; Section 6, Chapters 7.1 and 7.2; and Section 8, Chapter 1. 210.566. 7. The children’s division and their contractors shall provide training to foster parents on the policies and procedures governing licensure of foster homes, the provisions of foster care and the adoption process. Foster parents shall, upon request, be provided with written documentation of the policies of the children’s division and their contractors. Per licensure requirements, foster parents shall comply with the policies of the child placement agency. IMPACT: Section 1, Chapter 1.2; Section 1, Chapters 3.2 and 3.3; Section 6, Chapter 2. To review the Foster Parent Bill of Rights and Responsibilities in its entirety staff can link to RSMo 210.566. MO RESOURCE PARENT HANDBOOK AVAILABILITY The MO Resource Parent Handbook is available for printing from the Children’s Division website and a limited number of copies of the English version will be made available to Regional Directors. A Spanish version of the “MO Resource Parent Handbook” will be available in the near future. NECESSARY ACTION: Review this memorandum with all Children’s Division staff. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT: Belinda Kay Luke 573-751-8615 Belinda.K.Luke@dss.mo.gov DEPUTY DIRECTOR: James C. Harrison 573-751-2502 James.C.Harrison@dss.mo.gov CHILD WELFARE MANUAL REVISIONS: Section 1 Chapter 1.2 Roles And Responsibilities Of Children’s Division Section 1 Chapter 3.1 Introduction Of The Rights And Responsibilities Of The Placement Resource Section 1 Chapter 3.2 Rights Of The Placement Resource Section 1 Chapter 3.3 Responsibilities Of The Placement Resource Section 1 Chapter 3 Attachment A: Foster Parent Bill Of Rights And Responsibilities Section 4 Chapter 4.5 Selecting The Placement Resource Section 4 Chapter 4 Attachment B: Guidelines To Placement Options, Criteria And Selection Section 4 Chapter 5.1 Placement In A Resource Family Section 4 Chapter 6.1 Out-Of-Home Placement Support Activities Section 4 Chapter 7 Attachment A: Visitation Section 4 Chapter 17.5 Guidelines For Use Section 4 Chapter 27.4 Special Considerations In Adoption Planning Section 4 Chapter 28.9 Adoption With A New Family Section 4 Chapter 29.3 Preparing The Child/Family For Adoption By Foster Parents Section 5 Chapter 2.7 Health Insurance Portability And Accountability Act (HIPAA) Section 6 Chapter 2 Overview Section 6 Chapter 7.1 Children’s Division’s Fair Hearing Process Section 6 Chapter 7.2 Alternative Care Review Board (ACRB) Section 8 Chapter 1.1 Service Delivery Grievance Process REFERENCE DOCUMENTS AND RESOURCES: RSMo 210.566 Missouri Resource Parent Handbook National Association of Social Workers Code of Ethics",https://fostercaresystems.wustl.edu/foster/revisions-foster-parent-bill-rights-and-responsibilities
Child Welfare Manual Revision Project,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018",Administrative process,CHILDREN’S DIVISION AND CONTRACTED STAFF,"TIM DECKER, DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce an ongoing project to revise the organization and structure of the Child Welfare Policy Manual. The project is twofold; to reorganize the structure of the policy manual and to incorporate into the policy manual the Children’s Division practice model for child welfare practice in Missouri. The scope of this project is such that revisions will be introduced over a period of several months. The first revision is the movement of three chapters out of Section 4 - Out-of-Home Care and into Section 6 - Resource Development . There are no changes to the content of these three chapters. Their location and chapter numbers are changing; Section 4 Chapter 12, Relative Foster Care is now Section 6 Chapter 16 Section 4 Chapter 15, Medical Foster Care, is now Section 6 Chapter 17 Section 4 Chapter 17, Respite, is now Section 6 Chapter 18 In addition to moving the 3 chapters, there is a new section placed in the manual; Section 9 - Legal Support . This new section provides links to Missouri regulations and statutes as well as federal statutes which support Children’s Division policy and practice. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov MANAGER CONTACT Amy Martin 573-526-8040 Amy.L.Martin@dss.mo.gov CHILD WELFARE MANUAL REVISIONS As identified within the memo FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE N/A",https://fostercaresystems.wustl.edu/foster/child-welfare-manual-revision-project
RELATIVE AND KINSHIP HOME ASSESSMENT RECORDING OUTLINE,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014","Administrative process, Kinship","REGIONAL EXECUTIVE, CIRCUIT MANAGERS, PROGRAM MANAGERS AND SUPERVISORS","TIM DECKER, DIRECTOR","DISCUSSION: This memorandum is in response to front line staff requests for a specific relative and kinship resource family home assessment recording outline. The process of drafting the Home Assessment is a positive engagement experience between the resource development worker and the applicant. The relationship of the resource development worker with all the household members of a resource home is important for cultivating mutual respect and monitoring a safe and nurturing environment for foster youth. The mutual assessment process provides an opportunity for the worker to build positive and beneficial relationships with the resource home members and to offer help to the resource family. The worker is in the home to help maintain and support the resource family. The home assessment process is conversational allowing for the sharing of concerns, strengths and needs, and development of a mutual relationship of trust. The meaningful conversations include pertinent issues and understanding of licensing requirements. The relative or kinship Home Assessment is written specifically to address the appropriateness and best interest for the specific foster youth to be placed in the home and to affirm licensing standards are met per 13 CSR 35-60 RSMo . The implementation of the relative and kinship home assessment recording outline will begin two weeks from publication date of this memorandum. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Amy Martin 573-751-3171 Amy.L.Martin@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 4 Chapter 12 Subsection 6 FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE N/A ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS N/A Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/relative-and-kinship-home-assessment-recording-outline
RESOURCE PROVIDER IN-SERVICE TRAINING CREDIT FOR TRAIN THE TRAINER AND SPAULDING,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010, 2009","Adoption, Foster parent licensing","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, DIRECTOR","DISCUSSION: The purpose of this memorandum is to inform staff of revision to resource provider inservice training policy. Resource Providers shall obtain in-service training credit for attendance at Train the Trainer (TTT) classes and Spaulding training. Train the Trainer Training credit can only be entered by the training unit and is obtained as follows: STARS Pre-service TTT Week 1= 23 hours Week 2= 21 hours STARS In-service TTT Week 1 is Modules 1-6= 28 hours Week 2 is Modules 7-12= 28 hours Spaulding TTT 19 hours STARS, Making the Commitment to Adoption(Spaulding) 12 hours of required training for those licensed providers who wish to adopt. Relative care providers are encouraged to complete the Spaulding training but are not required to complete this training. The Child Welfare Manual and the Foster Parent Attendance Record, SS60-B, code sheet have been updated to reflect this policy revision. Two additional revisions of the SS60-B code sheet are: STARS Caregiver Who Knows the Child, V627. STARS Caregiver Who Knows the Child, is a required training requirement for a Relative and/or Kinship provider in order to be licensed and has been moved to the PRESERVICE section of the code sheet. CFP/Career Respite Training, V987. CFP/Career Respite Training is a required training requirement to be eligible to be awarded a Career Respite Cooperative Agreement for Services, CM-9, and has been moved to the PRESERVICE section of the code sheet. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Melody Yancey 573-751-3171 Melody.Yancey@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Guide for Conducting Renewal Assessment FORMS AND INSTRUCTIONS Foster Parent Attendance Record, SS60-B code sheet REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE N/A ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS (Link applicable factors and enter N/A if not applicable.) Parental Resilience N/A Social Connections N/A Knowledge of Parenting and Child Development N/A Concrete Support in Times of Need N/A Social and Emotional Competence of Children N/A FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/resource-provider-service-training-credit-train-trainer-and-spaulding
CHILD CARE HOMES AS FOSTER HOMES,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014","Administrative process, Foster parent licensing, Safety","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","TIM DECKER, DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce a policy revision which provides clarification regarding the process to be used when licensed or registered child care providers apply to be a licensed resource home for the Children’s Division. Protecting and ensuring the safety and well being of Missouri’s children is the Children’s Division’s mission. Assisting an applicant’s understanding with the Foster Family Home Licensing Rule, the Children’s Division registered or contracted provider guidelines and the Department of Health and Senior Services (DHSS), Section for Child Care Regulation (SCCR) provides the opportunity to avert conflicts with the policies for the registered child care providers, licensed child care providers and licensed resource homes. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Amy Martin 573-751-3171 Amy.L.Martin@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Child Care Homes as Foster Homes, Section 6 Chapter 3, Subsection 4 FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE N/A ADMINISTRATIVE RULE Foster Family Home Licensing Rule COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS N/A Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/child-care-homes-foster-homes
FAMILY FIRST PREVENTION SERVICES ACT NATIONAL MODEL FOSTER FAMILY HOME LICENSING STANDARDS,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019","Administrative process, Foster parent licensing",CHILDREN’S DIVISION AND CONTRACTED STAFF,"DAVID B. KURT, DIRECTOR","DISCUSSION: The purpose of this memorandum is to share information regarding Family First Prevention Services Act (FFPSA) as it pertains to licensing foster family resource homes. The FFPSA includes identification of reputable model licensing standards with respect to licensing of foster family homes as defined in section 472(c)(1) of the Social Security Act. National Model foster Family Home Licensing Standards , issued by the Children’s Bureau, cover the essential components of licensing a foster family home to ensure the applicant has the capacity to care for a child in foster care, and the physical home of the family is appropriate and safe for a child in foster care. Missouri Children’s Division policy and Foster Family Home Licensing Regulations are compliant with most of the changes set forth in the National Modeling Foster Family Home Licensing Standards. The following are the standards that have been revised or added to Children’s Division policy in response to the national standards: The instructions to the CD-152 have been enhanced to provide more detailed instructions for completion and approval The following information is to be provided by the applicant for completion of the home assessment; mental health history for all household members including history of drug or alcohol abuse or treatment for all household members captured on the CW-215. safety requirements for swimming pools A barrier on all sides Access to the pool must have their methods of access through the barrier equipped with a safety device, such as a bolt lock Swimming pools must be equipped with a life saving device, such as a ring buoy If the swimming pool cannot be emptied after each use, the pool must have a working pump and filtering system. Hot tubs and spas must have safety covers that are locked when not in use. maintenance of first aid supplies Revision of Resource Parent Acknowledgement and Assurances, CD-108, regarding they will not smoke in the home, in the vehicle used to transport a foster child or in the presence of children in foster care. Also, they will assure that they will not allow any guest in their home or in their vehicle transporting a foster children, or in the presence of a foster child to smoke. The amount of children living in the resource home is a maximum of 6. The exception to this maximum is the elevated needs level a, level b and medical which have only a maximum of 4 children in the home with only 2 with the status of elevated needs. Applicants must complete pre-licensing training and be certified on first aid (including cardiopulmonary resuscitation (CPR) for the ages of the children in placement) and medication administration. The CPR/First Aide training is provided by a trainer awarded the CPR/First Aide contract with the state of Missouri. If a resource parent has a current certificate of completion of CPR certification, they may provide the certificate to the resource licensing worker to support their training requirement. CPR/ First Aide training certification is required for each license approval renewal. It is not an allowed waived training requirement for relative resource providers. The resource home will have at least one toilet, sink and tub or shower in safe operating condition. The temperature of any water heaters in the resource home must be set in accordance with manufacturer’s recommendations. Air guns, BB guns, hunting slingshots and other projectile weapons must be stored in an inoperative condition in a locked area inaccessible to children. All ammunition, arrows or projectiles for such weapons must be stored in a locked space separate from the weapons. Each child in foster care must have a sleeping space with an individual bed or crib, mattress and appropriate for the child’s needs and age and similar to other household members. Licensing regulations will be amended to include: The maximum of children living in the home of 6, 13 CSR 35-60.020 Reference to household members instead of family members ,13 CSR 35-60.030 Clarification of immunizations, 13 CSR 35-60.030 Disclosure by the applicants regarding substance abuse history and treatment. 13 CSR 35-60.030 Use of illegal substance, alcohol abuse, abuse of legal prescription and no prescription drugs 13 CSR 35-60.030 Smoking in the presence of children in foster care 13 CSR 35-60.050(2) At least one toilet, sink and tub or shower in safe operating condition, temperature of water heater 13 CSR 35-60.40 (1) Weapon storage revisions 13 CSR 35-60.040(4) Sleeping standards 13 CSR 35-60.040(2) Clarifications of exclusionary criminal convictions, 13 CSR 35-60.090 NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov MANAGER CONTACT Amy Martin 573-526-8040 Amy.L.Martin@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Guide for Resource Home Assessment, 6.3.1.3 Resource Provider Family Assessment Recording Outline, 6.3.8 FORMS AND INSTRUCTIONS Resource Parent Acknowledgment and Assurances Form, CD-108 Non-Safety Licensing Standard Waivers for Licensing of Relative Resource Providers Homes, CD-152, Instructions Foster/Adoptive Household Member Physical and Mental Health Report, CW- 215 REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE N/A",https://fostercaresystems.wustl.edu/foster/family-first-prevention-services-act-national-model-foster-family-home-licensing-standards
RESOURCE HOME ADMINISTRATIVE HOLD,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019","Administrative process, Investigations",CHILDREN’S DIVISION AND CONTRACTED STAFF,"DAVID B. KURT, DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce policy instructions for FACES data entry when a resource home is on Administrative Hold prior to the expiration of the license. When a home is on Administrative Hold due to pursuing revocation or awaiting a conclusion of an Out of Home Investigation report of the license, certain steps must be completed before the license expiration date: If it is 30 days prior to the license expiration date, and If the children have been removed, and The fair hearing has not happened and /or is scheduled for after the expiration date of the license, Complete the following steps in FACES before the expiration date: Close the vendor with close reason Discontinued Services In the comments box enter the following statement: The home is being closed due to licensing issues which resulted in a revocation notice, and the fair hearing has not occurred and will occur after the expiration date (enter the expiration date). Enter all the information on the Vendor Appeal Screen If the Children’s Division’s decision to revoke the license is overturned, a new application for the home to continue providing foster care services may be opened. If the Children’s Division’s Decision is affirmed, enter a new application using the same date as the closure, deny the application and in the comments enter the following statement: The home was closed (date) due to licensing concerns. The fair hearing occurred after the expiration of the license. The decision to revoke the license was affirmed through the fair hearing process. Therefore, this application is being entered and denied to document the revocation of the license. A FACES Systems Change Request has been submitted to add an edit in FACES for when Administrative Hold reason 1, 2, 3 or 4 is selected, the DVN will not expire until the Administrative Hold is ended. It is important to enter required data in FACES regarding adverse actions on the Vendor Appeal Screen to document actions taken during the process of revoking a resource home license or approval. Instructions are provided in the FACES Instructions for Resource Licensing and Resource Approval. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov MANAGER CONTACT Amy Martin 573-526-8040 Amy.L.Martin@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Administrative Hold, Section 6 Chapter 3 Subsection 1 Sub-subsection 1 FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES FACES Instructions for Resource Licensing and Resource Approval RELATED STATUTE N/A",https://fostercaresystems.wustl.edu/foster/resource-home-administrative-hold
FAMILY FIRST PREVENTION SERVICES ACT; RESOURCE HOME CAPACITY LIMITS,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019",Administrative process,CHILDREN’S DIVISION AND CONTRACTED STAFF,"DAVID B. KURT, DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce changes to the number of children allowed in a resource parent home in compliance with Family First Prevention Services Act, FFPSA. The FFPSA places a limitation of six (6) children per resource family household. Missouri Foster Family Home Licensing Rules and Children’s Division Policy are compliant with the limitation as Missouri, to be in compliance with Council on Accreditation, COA, has set the limit to 5. In an effort to provide the most appropriate care and to maintain familial relationships, FFPSA and the Children’s Division allow an exception to the limit of 5 children in a home to accommodate the following situations: To allow a parenting youth in foster care to remain with their child; To allow siblings to remain together; To allow a child with an established meaningful relationship with the family to remain with the family; and To allow a family with special training or skills to provide care to a child who has a severe disability. The Home Assessment process includes discussion with and the assessment of a resource parent regarding how many children the resource parent is willing and able to care for effectively and safely. The Home Assessment must include information regarding the physical standards of the home to accommodate a large sibling group and the resource parent(s) willingness as well as their parenting skills to care for a large foster sibling group as well as the other children in the home. The decision to make an exception allowing the resource home to go over the limit of five children using one of the four considerations listed above, must be approved by the resource licensing worker and the resource licensing supervisor. The Traditional Resource Home Capacity Exception Approval Tracking Form, CD-157, must be signed by the resource licensing worker and resource licensing supervisor. The form is placed in the resource case file and a copy emailed to Central Office for tracking purposes. Resource homes shall not be licensed for the number of total children to exceed five. The limit of five includes an accounting for the number of children of the resource parents. For example: the resource family has 2 children living in the home, therefore, the maximum capacity for foster youth placement is 3. If the family is willing, capable and has the physical capacity to accommodate a sibling group of more than 3, written approval to exceed the limit of 5 children in the home must be obtained. The request to exceed the limit of 5 will include how the resource is able to parent the large number of children in the home. When an exception to exceed five children in a home is approved, no additional children shall be placed in the home until the home is under the maximum of five. The Current Policy of Large Family Resource Homes, LFRH, Section 6 chapter 15, is discontinued with the publication of this memorandum. Homes which are currently approved as a LFRH must be placed on Administrative Hold. No more placements may be made in the home. The home must meet the regulation requirement of 5 children in the household by April 1, 2019, or an approved CD-152 for relative providers or CD-157 for non-related resource providers for the continued care of siblings must be present in the case file. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov MANAGER CONTACT Amy Martin 573-526-8040 Amy.L.Martin@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Resource Home Assessment, 6.3.1 FORMS AND INSTRUCTIONS Traditional Resource Home Capacity Exception Approval Tracking Form, CD-157 REFERENCE DOCUMENTS AND RESOURCES Deletion of Section 6 Chapter 15, Large Family Resource Home RELATED STATUTE",https://fostercaresystems.wustl.edu/foster/family-first-prevention-services-act-resource-home-capacity-limits
SURVEILLANCE CAMERAS,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017","Administrative process, Safety","REGIONAL EXECUTIVES, CIRCUIT MANAGERS, PROGRAM MANAGERS AND SUPERVISORS","TIM DECKER, DIRECTOR","DISCUSSION: Providing normalcy for foster youth includes protecting their privacy. Resource Development Workers are to confirm that there are no surveillance cameras in areas of the resource home that violate the privacy of the foster youth, e.g. bathrooms and dressing areas. Record of the confirmation is recorded on the Resource Home and Safety Checklist, CS- 45, during initial licensure, during licensing visits and at license renewal. The confirmation is also recorded in the Home and Community section of the Home Assessment. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. Review revised Children’s Division Form as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Amy Martin 573-751-3171 Amy.L.Martin@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Guide for Conducting Resource Provider Family Assessments, 6.3.A Conducting Resource Home Renewal, 6.3.5 FORMS AND INSTRUCTIONS Resource Home and Safety Checklist, CS-45 REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE N/A ADMINISTRATIVE RULE N/A",https://fostercaresystems.wustl.edu/foster/surveillance-cameras
POLICY REVISIONS ASSOCIATED WITH MEMO CD16-18,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016","Administrative process, Foster parent licensing","REGIONAL EXECUTIVE, CIRCUIT MANAGERS, PROGRAM MANAGERS AND SUPERVISORS","TIM DECKER, DIRECTOR","CD16-18 DISCUSSION: Memo CD16-18 published March 14, 2016, introduced the amended Licensing of Foster Family Home Rules, 13 CSR 35-60. This memorandum is to inform staff of Children’s Division policy sections which have been revised to be in compliance with state regulations. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Amy Martin 573-751-3171 Amy.L.Martin@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Roles and Responsibilities of Placement Resources, 1.3.3 Foster Care for Youth with Elevated needs, 4.14.4 Resource Provider Family Assessment Process, 6.3.1 Child Care Homes as Foster Homes, 6.3.4 Closing a Resource Home, 6.3.7 (new) Guide for Conducting Resource Provider Family Assessments, 6.3.A Resource Provider Family Assessment Recording, 6.3.C Foster/Kinship Family Renewal Assessment Recording Outline, 6.3.D FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE N/A ADMINISTRATIVE RULE Licensing of Foster Family Homes, 13 CSR 25-60 COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS N/A Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/policy-revisions-associated-memo-cd16-18
"LICENSING OF FAMILY FOSTER HOME RULES, 13 CSR 35-60",Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016","Administrative process, Foster parent licensing","REGIONAL DIRECTORS, CIRCUIT MANAGERS, PROGRAM MANAGERS, FIELD SUPPORT MANAGERS AND SUPERVISORS","TIM DECKER, DIRECTOR","DISCUSSION: The purpose of this memorandum is to notify staff the Licensing of Foster Family Homes Rules, 13 CSR 35-60 , have been amended. The amended rules are posted on the Missouri Secretary of State Code of State Administrative Regulations page. The amendments to the licensing rules include: 13CSR 35-60.010 The addition of term definitions The reorganization of the section including relocating license denial and revocation process to a new section 13 CSR 35-60.020 The maximum number of children living in a resource home is five The maximum number of youth identified as needing elevated needs services (level A, level B and medical) in an approved resource home is two 13 CSR 35-60.040 Foster youth shall not sleep in a bedroom of an adult age twenty-one (21) years and older 13 CSR 35-60.050 Resource parents must notify the division or its contractor of change in household composition and any criminal activity 13 CSR 35-60.080 This is a new section of the licensing rules which supports policy by identifying the licensing standards that may be waived for relative resource providers (RH) to become licensed, including: 13 CSR 35-60.020 (1), Maximum number of children in the home 13 CSR 35-60.020 (2), Limits on number of children under the age of five 13 CSR 35-60.020 (3), Limits on number of elevated needs foster youth 13 CSR 35-60.030 (1), Minimum age of 21 13 CSR 35-60.030 (4)(A), Physician statement and all immunizations up-to-date at initial licensure and renewal for all household members 13 CSR 35-60.030 (4)(B), Physician determination that all household members are in good physical and mental health 13 CSR 35-60.030 (5)(B), Required 30 hours of in-service training hours for license renewal 13 CSR 35-60.040 (1)(A), Location of sleeping room 13 CSR 35-60.040 (1)(B), Location of sleeping room 13 CSR 35-60.040 (2)(D), Opposite sex in same room 13 CSR 35-60.040 (2)(E), No foster youth sleep in same room with adult age 21 and older 13 CSR 35-60.040 (2)(F), No foster youth age 2 and over sleep in same room with relative provider 13 CSR 35-60.040 (2)(I), Drawer and Closet space specifications 13 CSR 35-60.090 This is a new section of the licensing rules providing legal support for denial and revocation process of a resource home license. The denial and revocation section was removed from 13 CSR 35-60.010 and expanded with greater detail to support policy. Changes to policy include: No licensee or applicant may reapply for a license within one year from the date of denial or revocation 13 CSR 35-60.100 This is a new section of the licensing rules regarding youth identified as having elevated medical needs and the resource providers who provide the foster care services. The rule supports current policy in the Child Welfare Manual. 13 CSR 35-60.110 This is a new section of the licensing rules which provides the support for removing a resource parent from a two parent license. Any policy revisions necessary to comply with the amended rules are identified in this memorandum and are effective as of publication date of the amended licensing rules. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Amy Martin 573-751-3171 Amy.L.Martin@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Guide for Conducting Resource Provider Family Assessments, 6.3.A Conducting Resource Home Renewal, 6.3.5 Reopening a Close Resource Provider, 6.3.6 Agency Arranged Relative or Kinship Care Due to the Children’s Division Legal Custody, Licensure Procedure,4.12.3.3 FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE N/A ADMINISTRATIVE RULE Licensing of Foster Family Homes, 13 CSR 35-60 COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS N/A Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/licensing-family-foster-home-rules-13-csr-35-60
MISSOURI AUTOMATED CRIMINAL HISTORY SYSTEM ACCESS,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015",Administrative process,"REGIONAL EXECUTIVE, CIRCUIT MANAGERS, PROGRAM MANAGERS AND SUPERVISORS","TIM DECKER, DIRECTOR","DISCUSSION: The purpose of this memorandum is to announce the implementation plan for use of the Missouri State Highway Patrol’s (MSHP) Missouri Automated Criminal History System (MACHS). A successful pilot in Jasper County of use of this automated system has been concluded. The Children’s Division will begin expansion of access to the MACHS system to all Circuit Managers, Program Managers and Supervisors. The access provides the authorized user the ability to access and print fingerprint results. Prior to identified staff being provided access, they must complete security and system training provided by MSHP. The plan for the roll out is as follows: The Southwest Region by September 1, 2015 The Southeast Region by October 1, 2015 The St. Louis Region by November 1, 2015 The Northeast Region by December 1, 2015 The Children’s Division identified staff in the Recruitment and Retention Pilot area to have access in 2016 The Purpose Code X Request Log , (CD-153) has been revised to include the ability to track accessing and printing fingerprint results. The new title for the CD-153 is Purpose Code X Request and Fingerprint Result Tracking Log. Continue to use the form to track Purpose Code X requests as stated in policy . The form now has three additional columns; Statutory Reason for the Fingerprinting Authorized CD staff who Accessed & Printed the Results Results Filed in Resource Case File Regional Directors will be contacted regarding the training dates for the staff specified in this memorandum. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. Review Children’s Division forms as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Amy Martin 573-751-3171 Amy.L.Martin@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Guide For Conducting Resource Home Assessment Section 6 Chapter 3 Attachment A Protective Custody of the Child, Section 4 Chapter 3 Subsection1 Sub subsection 2 FORMS AND INSTRUCTIONS Purpose Code X Request Log & Fingerprint Result Tracking, CD-153 REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE N/A ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS N/A Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/missouri-automated-criminal-history-system-access
REORGANIZATION OF RESOURCE DEVELOPMENT SECTION 6 OF THE CHILD WELFARE MANUAL,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014",Administrative process,"REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND SUPERVISORS","TIM DECKER, DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce the reorganization of Section 6 of the Child Welfare Manual regarding Resource Development. There are no policy or content changes except where necessary for continuity and clarification. The reorganization includes but is not limited to the following content: Content of Section 6 Chapter 3 Attachment H infused into Attachment A Content of Section 6 Chapter 3 Attachment M moved to be Section 6 Chapter 13 Content of Section 6 Chapter 3 Attachment L moved to be Section 6 Chapter 7 Subsection 7 Content of Section 6 Chapter 3 Attachment K moved to be Section 6 Chapter 8 Subsection 2 Content of Section 6 Chapter 3 Attachment J moved to be Section 6 Chapter 14 Unduplicated content of Section 6 Chapter 3 Attachment I infused with Attachment C Content of Section 6 Chapter 3 Attachment F & G moved to be Section 6 Chapter 15 Content of Section 6 Chapter 3 Attachment D moved to be Section 6 Chapter 3 Subsection 5 Attachment E , Resource Provider Family Renewal Assessment Recording Outline, renumbered to be Attachment D Content of Section 6 Chapter 3 subsection 1 restructured NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters and new chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Amy Martin 573-751-3171 Amy.L.Martin@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 6 Chapter 3 Resource Family Assessment and Licensing Process Section 6 Chapter 5 Foster Home Utilization and Support Section 6 Chapter 7 Children’s Division Appeal Process Section 6 Chapter 8 Guidelines for Court Ordered Adoptive Assessments Section 6 Chapter 13 Resource Development Worker Responsibilities (New) Section 6 Chapter 14 Foster-Adoptive Vendors (New) Section 6 Chapter 15 Foster Family Group Homes (New) FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE N/A ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS N/A Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/reorganization-resource-development-section-6-child-welfare-manual
RESOURCE HOME LICENSE RENEWAL,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014","Administrative process, Adoption, Foster parent licensing","REGIONAL DIRECTORS, FIELD SUPPORT MANAGERS, CIRCUIT MANAGERS, AND SUPERVISORS","TIM DECKER, DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce a communication tool to assist staff with timely license renewal of resource homes, License or Approval Renewal Reminder, CD-102 for you to share with your staff. The policy revision and tool creation was drafted in collaboration with Children’s Division Circuit Managers, Supervisors, Field Support Managers and the Missouri State Foster Care and Adoption Board. A license to provide alternative care or an approval to provide alternative care services Elevated Needs Level A, Elevated Needs Level B, Elevated Needs Medical, Respite and Adoptive resource is issued for a two year period. If the license or approval is not renewed before the expiration date, the license or approval will expire. An active license or approval and the correct corresponding cooperative agreement entered in FACES are necessary for maintenance (MAIN) payments. Maintenance payments may only be generated if the License or Approval, Cooperative Agreement, and placement type for the service correlate. The resource licensing worker makes quarterly home visits with the resource family to discuss parenting strengths and challenges, training needs, safety concerns and compliance with foster family home licensing rules. The engagement during each quarterly visit should facilitate the continuation of the resource family maintaining the requirements to remain licensed. When the worker makes the final quarterly visit prior to license renewal there should be minimal requirements remaining for the resource family to complete. The policy introduction in 2008 which allowed placing a resource home on Administrative Hold due to not completing all license or approval renewal requirements prior to the expiration date is revised with this memorandum. All licenses and approvals must be renewed prior to the expiration date. If all renewal requirements have not been met by 90 days prior to expiration date, the CD-102 is sent to the resource family reporting the requirements necessary for the home to be renewed before it is closed due the expired license/approval. Space is provided on the letter to enter details of renewal tasks which family members may still need to complete. The fingerprinting authorization letter which provides the registration number for scheduling a fingerprinting appointment should be sent with the 90 day reminder letter. Please use this opportunity to communicate, in writing, with the resource family the specific tasks needed for re-licensure. If there are foster children/youth in the home, discussion around alternative planning between the licensing worker, case manager, and resource parent should begin 90 days prior to the expiration date, in the event that the license is not renewed. Foster children/youth may not reside in an unlicensed foster home without a court order. The only exception is when a foster youth is placed initially in a relative or kinship applicant’s home who is pursuing licensure. Foster placements may remain in the unlicensed relative or kinship home for up to 90 days while the applicants are pursuing licensure. If the home continues to not meet renewal requirements, the CD-102 should be sent again at 60 days prior to the expiration date. If the resource provider is demonstrating reluctance or resistance to completing requirements for license renewal, a formal review of the home as outlined in Resource Development Policy Section 6 of the Child Welfare Manual should be conducted. The outcome of this meeting will determine if the next step is an adverse closure of the home and the required Resource Home Adverse Action, CS-20a letter sent so that the resource provider has an opportunity to request a Fair Hearing before the license expires. If the home continues to not meet renewal requirements 30 days prior to expiration date, the CD-102 should be sent again and the home placed on Administrative Hold. Level A, Level B, Medical, Group Home, Respite, and Level B Respite, are approved vendor types for foster care services. These are not licenses. The decision to deny or revoke these vendor types is not open for appeal as these are contractual service decisions and not licensure decisions. Placing the resource home on Administrative Hold status does not prevent the license or approval from expiring. It does, however, allow for data entry in the comment section on the Licensure and Approval and Renewal Screen in FACES regarding the facts of why the home is being placed on Administrative Hold. If a court order is obtained to allow the foster youth to remain in the unlicensed resource home, inform the resource family that MAIN and PPMN payments will stop the day after expiration and will not resume until the license/approval is renewed. There will be no MAIN or PPMN while the home is in the unlicensed status. The resource development worker is responsible to inform the resource provider of the cessation of payments once the license expires. Full implementation of the new License or Approval Renewal Reminder letter and revised policy shall be effective two weeks from the publication date of this memorandum. Resource providers placed on Administrative Hold status due to not meeting all requirements for license renewal as policy allowed prior to this revision, may continue to be granted the remaining six month allowed time from when their Administrative Hold status began. For those resource providers who have not met license renewal requirements and their license is due to expire within the 60 days of the publication of the memorandum, their status shall be placed on Administrative Hold as the policy directs. They may be allowed up to 90 days to be compliant with licensing renewal requirements. The policy updates within this memo are effective June 26, 2014. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. Review new form on Children’s Division E-forms. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Amy Martin 573-751-3171 Amy.L.Martin@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 6 Chapter 3 subsection1 Section 6 Chapter 3 attachment D FORMS AND INSTRUCTIONS License or Approval Renewal Reminder, CD-102. REFERENCE DOCUMENTS AND RESOURCES Section 6 Chapter 7 subsection 1 RELATED STATUTE http://www.moga.mo.gov/statutes/C200-299/2100000496.HTM ADMINISTRATIVE RULE Licensing of Foster Family Homes 13 CSR 35-60 COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS N/A Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/resource-home-license-renewal
RESOURCE PROVIDER FINGERPRINTING PROCESS,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014",Administrative process,"REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","TIM DECKER, DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce clarifications and revisions to the fingerprinting process for individuals who are screened as resource providers for youth in foster care. These clarifications and revisions will be effective April 22, 2014.This memo also serves as a reminder to staff of the correct use of the statute reference required for fingerprints and addresses the Missouri State Highway Patrol (MSHP) audit of Children’s Division use of fingerprint based criminal background check results. Revisions include but are not limited to new registration numbers, new and revised fingerprint authorization letters and the revised Purpose Code X (PCX) Log. MSHP Audit Findings The MSHP’s audit of Children’s Division’s compliance with state and federal statutes regarding fingerprint results is being conducted to meet state and federal guidelines for accessing criminal history record information pursuant to state and federal laws. All Children’s Division staff need to practice the following: Use the correct statute reason for obtaining fingerprintsThere are three statutory reasons that Children’s Division may request fingerprints: Resource provider license or approval – RSMo 210.487 . This includes the following vendor types: FH, Foster Home RH, Relative Home KH, Kinship Home CF, Level B Home FG, Foster Group Home Resource provider approval for individuals who are solely a Transitional Living Advocate, Respite Provider or Adoptive Approved Provider- RSMo 43.540. If the provider has another vendor type listed in paragraph “a”, they do not need additional fingerprints to be approved as TL, RS, RP or AD vendor. The 43.540 statute is for those individuals who only have the TL, RS, RP, or AD vendor type. Purpose Code X (PCX) for the initial emergency placement in a relative or kinship resource home- RSMo 210.482. The fingerprint results from the PCX should be used for the initial licensure of the RH or KH applicant. Additional fingerprints of the RH and KH applicants and required household members to be licensed should not be done again until renewal. However, for the relative and kinship home license renewal, fingerprint requirement statute RSMo 210.487 should be used. A PCX request may be made by CD staff only. Use the correct destruction method of fingerprint results Fingerprint responses and/or results are to be destroyed when subsequent fingerprint results are received for license and or approval renewal. The FBI requires that criminal history records be destroyed so they are not viewable. Records must be shredded or incinerated in order to meet this requirement. Records must be destroyed either by a Children’s Division (CD) employee or in the presence of a CD employee. FBI regulations allow for document shredder contractors to destroy records as long as a CD staff person is present (i.e. done on-site). However, if the document shredder contractor picks up the documents to be destroyed and takes them to another location, this is considered outsourcing and does not meet FBI regulations. Each circuit should have local protocols for staff in regard to the destruction of criminal history records. Use the authorized dissemination process of fingerprint results. Title 28 CFR 50.12 states that records obtained from the FBI may not be disseminated outside of the receiving department. Do not scan and email fingerprint responses or results Do not send fingerprint responses or results out of state Do not provide fingerprint responses or results to other agencies including contractors Do not archive case files with fingerprint responses or results included Do not record the fingerprint responses or results in home assessments Instructions in policy provide the three (3) allowable statements to include in the home assessment regarding the fingerprint history responses or results: Results meet eligibility requirements Results do not meet eligibility requirements Results require further review to determine if applicant is precluded from licensure The CD requester of PCX must provide their full name to law enforcement It is important that CD staff maintain a positive relationship with law enforcement. Law enforcement should know which CD staff might be contacting them for a PCX background check. The Circuit Manager or designee should provide a current list of staff who could request a PCX criminal check to local law enforcement. Purpose Code X When youth are placed in the custody of the CD, Purpose Code X (PCX) must be used by CD to make placement of the youth in an unlicensed relative or kinship provider. Only CD staff may request a PCX background check. Once a CD worker requests a PCX background check, the individual(s) for whom the request was made must submit their fingerprints within 15 days of the request. If fingerprints are not submitted within 15 days of the request, the foster youth is to be removed immediately before day16. If the foster youth remain in the home less than 15 days, the individual(s) for whom the request was made must submit fingerprints within 15 days of the foster youth being placed in the home when a PCX request is made to law enforcement. Revised Purpose Code X Request Log, CD-153 The PCX Request Log has been revised to support compliance with state and federal dissemination guidelines. Instructions for completing the PCX Log have been created. This log shall be completed every time a PCX background screening check is requested. Introduction of Two New Fingerprint Authorization Letters The Fingerprint Authorization letters provided to individuals who must register through Missouri Automated Criminal History Site (MACHS) via the MSHP website to schedule their fingerprint appointment are located on the CD Desktop. There are currently the following Fingerprint Authorization Letters for CD staff use: CD26-a; this letter is given to foster, relative, and kinship applicants for initial licensure and license renewal by the authority of RSMo 210.427 CD26-b; this letter is given to natural parents by the authority of HB 1453 which prevents CD from reuniting any child with a parent who, or into household where a household member has, been convicted of specific criminal charges, CD26-d; this letter is given to those resources who are an adoptive resource only. Minor cosmetic revisions have been made to the current authorization letters. The language in the current fingerprinting authorization letters, CD-26a, CD-26b, and CD26-d has been revised. Destroy previously printed letters and begin using the revised letters with publication of this memorandum. The two additional Fingerprint Authorization Letters now available for CD staff only on Desktop CD forms, are the CD-26e and CD-26f: Respite and Transitional Living Advocate providers, CD-26e This document is to be given to those individuals who are respite only or transitional living only providers. The authority for fingerprinting these vendor types is covered in statute 43.540 . If a provider has other vendor types (FH, RH, KH, AD) they do not need additional fingerprints to be approved as a respite or transitional living advocate. Purpose Code X, CD26-f This document is to be given to those individuals whom the CD is screening for emergency placement of youth that have been placed in CD custody. The statutory authority to use this reason for fingerprinting is only for emergency placement. This letter is not used for license renewal. The results of the fingerprints received using PCX authority may be used to initially license a relative or kinship home without another initial fingerprint. Revised Fingerprint Registration Numbers The fingerprinting registration numbers for all 45 circuits have been revised. The previously assigned Registration Numbers will be obsolete and will not work for registration after April 22, 2014. The registration numbers for case management agencies and private agencies to use for their foster care clients to register have not changed. The document listing all the registration numbers is the Fingerprint MACHS Registration Number Sheet, CD26-g. There are five (5) registration numbers for each circuit and two (2) for each private contractor. The correct registration number for the fingerprint reason is entered in the box at the bottom of the authorization letter identified as Registration Number . FACES To be in compliance with FBI regulations regarding the dissemination of criminal history, the language referencing the Criminal Background Checks in FACES has been renamed, Fingerprint Based Criminal Background Check . The result selections in the drop-down box are: Results meet eligibility requirements Results do not meet eligibility requirements Results require further review to determine if applicant is precluded from licensure The language in policy regarding how the fingerprint based results are documented has also been revised to reflect compliance with the FBI. The diligence of staff to use the fingerprinting process correctly within statutory regulations is necessary to retain the ability to complete Fingerprint Based Criminal Background Checks. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. Review revised Children’s Division forms. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Amy Martin 573-751-3171 Amy.L.Martin@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 4 Chapter 3 Subsection 1 Sub-subsection 2 Section 4 Chapter 10 Subsection 1 Section 4 Chapter 12 Subsection 3 Section 4 Chapter 25 Subsection 7 Section 5 Chapter 1 Subsection 6 Section 6 Chapter 3 Attachment A FORMS AND INSTRUCTIONS- Fingerprint Authorization Letters CD26-a, CD26- b, CD26-d, CD26- e, CD26-f Available to CD staff on CD-forms Desk Top Only Fingerprint MACHS Registration Number Sheet, CD26-g Purpose Code X Log, CD153 Available to CD staff on CD-forms Desk Top Only REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE 210.487 210.482 43.540 ADMINISTRATIVE RULE 13 CSR 35-60.010 COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS N/A Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS Revision to Background Checks screen as discussed herein",https://fostercaresystems.wustl.edu/foster/resource-provider-fingerprinting-process
"PLACEMENT EXCEPTION FORM, CD-201",Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013",Administrative process,"REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","CANDACE A. SHIVELY, DIRECTOR","SUBJECT: PLACEMENT EXCEPTION FORM, CD-201 DISCUSSION: The purpose of this memorandum is to introduce the placement exception form, CD-201, which provides staff with a mechanism to document exceptions to placement capacity and to ensure each child’s needs are being met. This form was developed as a result of a recommendation made by the Recruitment and Retention Task Force. This form will be required for: Homes with more than six (6) children Level B homes with more than four (4) children Homes with more than two (2) children with elevated needs Homes with more than two (2) children under the age of two Homes with more than four (4) children under the age of five As an accredited agency by the Council on Accreditation, the maximum number of children placed in a resource home shall not exceed the licensing rules listed above unless placement is necessary: To accommodate a sibling group To accommodate a minor mother and child family group To accommodate a temporary placement To ensure continuity of care if the child(ren) was previously placed with the resource provider Additional foster children shall not be placed in these homes until such time the home is in compliance with licensing rules. The case manager should notify the Family Support Team (FST) of the placement and the family’s skill set which enables them to meet the child’s needs. The form should be completed by the case manager and licensing worker, signed by the resource provider, and approved by the circuit manager or program manager. This form should be kept in the forms section of the resource provider record. NECESSARY ACTION: Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT: Elizabeth Tattershall (573) 522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER: Christy Collins (573) 751-9603 Christy.Collins@dss.mo.gov Amy Martin (573) 751-3171 Amy.L.Martin@dss.mo.gov CHILD WELFARE MANUAL REVISIONS: Section 4 Chapter 14.4 Placement Process Section 6 Chapter 3 Attachment A Guide for Conducting Resource Provider Family Assessments FORMS AND INSTRUCTIONS Placement Exception Form , CD-201 REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE N/A ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS PA-FC 6 Child Placement CHILD AND FAMILY SERVICES REVIEW (CFSR) CFSR, Item 12, Placement with Siblings PROTECTIVE FACTORS Parental Resilience-N/A Social Connections-N/A Knowledge of Parenting and Child Development-N/A Concrete Support in Times of Need-N/A Social and Emotional Competence of Children-N/A FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/placement-exception-form-cd-201
FAMILY CARE SAFETY REGISTRY REGISTRATION FOR RESOURCE PROVIDERS,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012","Administrative process, Foster parent licensing","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","CANDACE A. SHIVELY, DIRECTOR","DISCUSSION: The Family Care Safety Registry, FCSR, now offers an on-line registration process for our resource providers. The no cost option is available to all agencies involved in resource home development for the purpose of licensure and approval by the Children’s Division. The FCSR still offers the option for an individual to register by paper; however, the on-line registration provides more timely results. Instructions for the on-line process are located on the Children’s Division Intranet under Resource Development. The resource licensing worker should provide the instructions for on-line registration to the resource provider and may assist with registration process if needed. Registration must be completed per instructions on the Intranet to qualify for the no-cost option. Instructions on the FCSR website are for public use and have an associated cost. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522- 1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Dena Driver 573-751- 3171 Dena.D.Driver@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 6 Chapter 3 Attachment A Section 6 Chapter 3 Attachment H FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES Register Online with the Family Care Safety Registry RELATED STATUTE 210.025 210.109 ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS N/A Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/family-care-safety-registry-registration-resource-providers
FINGERPRINTING REGISTRATION PROCESS,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012",Administrative process,"REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","CANDACE A. SHIVELY, DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce a new fingerprinting registration process for the Missouri State Highway Patrol, MSHP, Missouri Automated Criminal History Search, MACHS. Beginning July 1, 2012, resource providers must register at the MSHP MACHS Internet site to schedule a fingerprinting appointment with the electronic fingerprinting provider. The current process using the electronic fingerprinting vendor, L-1 Identity Solutions ends after June 30, 2012. The new vendor for MSHP is 3M/Cogent. Revised authorization letters are located on CD Desk top. Destroy all previous authorization letters. They are obsolete beginning July 1, 2012. A Registration Number is required. The list of Registration Numbers for each county and private agency is located on the OCA code sheet in the Reference Documents and Resource section of Children’s Division E-Forms. It is imperative to utilize the correct Registration Number for appropriate billing and tracking purposes. The new fees are: $37.30: Resource Providers (Foster, Kinship, Relative, Respite, TLA). Use CD26- a. $44.80: Adoptive Only (there is no other vendor type open or active). Use CD26- d. $44.80: Natural Parents. Use CD26- b. A brochure is provided by MSHP and is located on Children’s Division E-Forms in the Reference Documents and Resources section. The brochure explains the process for registering on MACHS and scheduling fingerprinting appointments. The brochure also includes two contact numbers for submitting questions about the process: 3M/Cogent, 1-877-862- 2425 MSHP, 573-526- 6312 NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. Review revised Children’s Division forms as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Dena Driver 573-751-3171 Dena.D.Driver@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Guide for Conducting Resource Provider Family Assessments, Section 6 Chapter 3 Attachment A Guide for Conducting Adoptive Family Assessment Services, Section 6 Chapter 3 Attachment H FORMS AND INSTRUCTIONS, Employee access only Fingerprint Authorization Letter to Prospective or Current Resource Providers, CD-26a Fingerprint Authorization Letter to Parents, CD26-b Fingerprint Authorization Letter to Adoptive Only Parents, CD26- d REFERENCE DOCUMENTS AND RESOURCES Missouri State Highway Patrol MACHS User Guide MACHS Registration Numbers RELATED STATUTE 210.025 2 (3) 210.482 210.487 3 ADMINISTRATIVE RULE 13 CSR 35- 60.01 COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS N/A Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/fingerprinting-registration-process
RESOURCE LICENSE OR APPROVAL BEGIN DATE,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011","Administrative process, Foster parent licensing","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","CANDACE A. SHIVELY, DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce policy clarification regarding the begin date entered in FACES for a resource provider who is approved to have a license or approval opened. The begin date of the license to be entered on the Vendor Licensure/Approval and Renewal Screen in FACES is the date that all the requirements were completed. The begin date of a license or approval cannot be prior to the most recent date that all requirements for that vendor type are completed. The requirements to be completed include: All background check results received and documented. This includes: Child Abuse and Neglect Registry, CA/N, Case.net, Family Care Safety Registry, and Criminal Background, fingerprints. All paper work (references, signed forms, medical examination, etc.) received; All required training hours completed and documented; and Home Assessment completed and signed by the provider, worker, and supervisor. The Children’s Division is the licensing entity for Missouri resource provider homes. The Children’s Division may contract with private agencies to develop resource homes. The private agency developing a resource home makes a recommendation to the Children’s Division for licensure. I f the Children’s Division approves the recommendation to open the license or approval, the begin date is entered according to the date that all requirements were met. It is also important to note that a Cooperative Agreement begin date cannot be prior to the begin date of the License or Approval required for that Agreement. Language in Section 6 Chapter 3 of the Child Welfare Manual has been revised to support FACES data entry. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Dena Driver 573-751-3171 Dena.D.Driver@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Resource Family Assessment and Licensing Process, 6.3.1 Guide for Conduction Resource Provider Family Assessments, 6.3 .A Children’s Division Fair Hearing Process, 6.7.1 FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE N/A ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS N/A Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/resource-license-or-approval-begin-date
"REVISED POLICY, PROCEDURE AND TOOLS RELATED TO CHILD SAFETY ASSESSMENT AND SAFETY PLANNING NEW FORMS: CD-17 AND CD-18",Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011","Administrative process, Definitions, Safety","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS AND CHILDREN’S DIVISION STAFF","CANDACE A. SHIVELY, DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce staff to revised safety assessment and safety planning policy, procedure, and tools. These revisions were founded largely on the “Framework for Safety” model and material made available by the National Resource Center for Child Protective Services (NRCCPS) ( Action for Child Protection ). NRCCPS also provided technical assistance by reviewing draft policy and providing feedback and recommendations. We’d also like to thank the participation of staff in the five sites that piloted this policy and tools. These include the 1 st , 3 rd , 29 th , and 32 nd Circuits and supervisory groups in the 16 th , 21 st and 22nd Circuits. These sites provided valuable insight into working directly with families which lead to further enhancement of the revised tools. The use of these revised tools and policy in the field will be immediate; however, system modifications to the FACES system are forthcoming. Revised tools used in the field will, therefore, require minor adjustments when entering safety assessment data into the current FACES system. This memo will introduce the tools and policy, and will also describe the necessary adjustments that must be made for FACES entry. Introduction of New Safety Assessment and Safety Planning Tools Safety Assessment (CD-17) – This is a revision of the current safety assessment found in the CPS-1, CD-14 and NCAT. This tool will now also be available as a stand-alone form. Safety Plan (CD-18) – This is a revision of the Safety Assessment Part B (CPS-1A). Minor Revisions - The Family Functioning Assessment/Reassessment (CD-14A) both refer to the current safety assessment and CPS-1A. This tool has been changed to refer to the CD-17 and CD-18. Obsolete Forms - The Safety Assessment Part B (CPS-1A), Safety Reassessment (CS-16D), and the CD-11 Candidate for Out-of-Home Placement Determination will now be obsolete forms. Safety Assessment (CD-17) The purpose of the Safety Assessment (CD-17) is to assess conditions in a household of child safety. Revised definitions of safe and unsafe are based on the Framework for Safety model. They are as follows: Safe - A child can be considered safe when there are no threats of danger to a child within the family/home or when the caregiver’s protective capacities within the home can manage or control threats of danger. Unsafe - A child is unsafe when a child is vulnerable to a threat of danger within a family/home and the caregiver’s protective capacities within the home are insufficient to manage the threat thus requiring outside intervention. Conditionally safe will no longer be an option in the revised tools. Safety decisions marked unsafe now include family conditions previously determined to be unsafe (protective placement) as well as family conditions previously determined to be conditionally safe (identified safety factors with agreed upon in- home safety plans). This provides a clear distinction between the functions of safety assessment and safety planning. Safety assessments are completed in the following circumstances: Initial contact - Investigations/Family Assessment; Initial contact - FCS opening or FCOOHC opening where there are children in the home (unless recently assessed during the investigation or family assessment); At least every 90 days (at the end of a treatment period) - all open FCS cases and all FCOOHC cases for children who are in the home; Any time new information becomes available or the family situation changes which may result in an increased threat of safety for the child regardless of the “type” of case (i.e., CA/N investigation/Family Assessment, FCS, FCOOHC child in trial home placement or home visit, etc). Workers should always be on the alert to changes in the family, new dynamics, the interaction of multiple threats of danger and other “red flags” that indicate that the threat to the safety of a child is no longer manageable. The effective use of the CD-17 is dependent on thorough information collection focused on the Framework for Safety model. The (CD-162) Safety Information Collection Tool (introduced in CD Memorandum CD10-117 ) is designed to guide the workers through the information collection and safety analysis process as well as structuring descriptive documentation of those efforts. Workers will utilize the information collected on the CD-162 to complete the CD-17 Safety Assessment. The CD-17 is composed of the following: Safety Factor Identification Safety Threshold Criteria; and Safety Decision – safe or unsafe Safety Factor Identification is essentially the same list of safety factors contained in the previous safety assessment, except that number 12 “other” has been removed as an option. These factors are general enough to accommodate any threat of danger identified that could result in serious harm to a vulnerable child. If there is no threat of danger, the children are safe. If there is a threat of danger, the question becomes is the caregiver’s protective capacity sufficient to control the threat of danger. This decision is made by applying Safety Threshold Criteria . FACES Entry Adjustments – Number 12 “other” will still be available in FACES under safety factor identification. Workers should no longer use this option. Safety Threshold Criteria refers to the point at which family behaviors, conditions or situations rise to the level of directly threatening the safety of a child. The safety threshold includes only those family behaviors, conditions, or situations that are judged to be out of the parent/caregiver or family’s control. The safety threshold criteria include: Specific and observable – A family condition that exists as an impending danger is observable and can be specifically described or explained. The danger is real, can be seen, can be reported, and is evidenced in explicit, unambiguous ways. Out of control - Family conditions that can directly affect a child are unrestrained; unmanaged; without limits or monitoring; not subject to influence, manipulation or internal power; are out of the family’s control. Likely to cause serious harm - Severity is consistent with anticipated harm that can result in pain, serious injury, disablement, grave/debilitating physical health conditions, acute/grievous suffering, terror, impairment, or death; Present or near future – The belief that threats to child safety are likely to become active without delay, within the immediate future or near future. Safety Decision – The result of safety assessment is a safety decision of safe or unsafe. If the safety decision is unsafe, a (CD-18) Safety Plan is required. If the safety decision is safe, a safety plan is not required. A signature is not required by the family on a safety assessment. FACES Entry Adjustment: Currently the FACES system requires documentation either that the parent signed the safety assessment or refused to sign the safety assessment on all safety assessments. Until FACES changes have be made to accommodate the policy, workers will address the FACES signature requirement as follows: If the safety decision is safe, workers will check the “refusal to sign” button and document in the comment section, “per policy a signature is not required for a safety decision of safe” . CD-18 Safety Plan The (CD-18) Safety Plan is completed only when the safety decision is unsafe . The Safety Plan is made up of safety interventions designed to substitute for insufficient caregiver’s protective capacity or control a threat of danger. They are not designed to effect long term change. Once again the ( CD-162) Safety Information Collection Tool will assist workers by providing a focus on information collection that will be valuable during the development of the safety plan. During the development of safety interventions workers should: Develop safety interventions with input from the caregiver and relevant family members to the maximum extent possible. Utilize the family’s own protective resources first. Utilize safety interventions that are the least intrusive to protect a child. Utilize interventions that have a direct and logical connection between the safety action and the way threats operate in the family. Assess the reliability of sources or providers of the action or supports. (Informal: friend, relative, neighbor or formal: school, agency, program) Assure that people and services identified in the safety plan are accessible and available when threats are present. Develop interventions to accommodate time elements (for example, weekends and holidays may require different actions than daytime hours during the week). Develop overlapping interventions to accommodate scheduling for the source or provider or to address times when the threat is active. Develop protective interventions that address present danger threats or safety interventions that address impending danger. Generally safety interventions should meet the following criteria: Immediately available – can be deployed right now and in sufficient quantity. Action oriented – services that are active and focused with respect to safety factors, not change or treatment related. Flexible access – services that are located in acceptable proximity and can be called upon for immediate response. Immediate impact – services that do what they are supposed to do as they are delivered and achieve the objective to keep children safe. No promissory commitments – having no expectations in safety plans for caregivers complying with or being responsible for protecting their children, promising to protect, or stopping certain behaviors. Safety Interventions will never rely on parental promises to stop the threatening behavior, for example, will stop drinking, or will always supervise the child. Since a criterion for a threat of danger is something out-of-control, it is useless to rely on an out-of-control parent to be in control. Safety interventions should rather provide an alternative action or a third party protective source to assist in controlling the threat of danger. FACES Entry Adjustments – When a safety factor has been identified currently FACES requires the worker to choose the appropriate item from the Safety Response & Interventions section which consists of a list of 8 responses/interventions and a narrative section for the purposes of describing the safety response/intervention. This list of 8 responses still exist in FACES, however, on the new CD-18, this list has been replaced by narrative fields with four headings 1) threats of danger to a vulnerable child 2) caregiver’s protective capacity, 3) safety interventions, and 4) plan for monitoring/verification. Workers will refer to the narrative fields on the CD-18 and choose from the list of 8 response/interventions in FACES that most closely describes the safety interventions developed on the CD-18. The 8 response/interventions in FACES are general enough to apply to any safety intervention utilized on the CD-18. The worker will summarize the specifics of the intervention developed on the CD-18 in the narrative section in FACES. Safety Plan Evaluation Prior to the worker and supervisor signing off on a plan, the worker and the supervisor should assess the feasibility that the proposed interventions will effectively control the identified threats of danger. The worker and the supervisor should ask: Do the safety interventions seem sufficient? Are the safety interventions consistent with the purpose of safety planning? (control threats of danger rather that change them) Does the level of effort and commitment appear to be sufficient by all parties involved to ensure protection? Are there concerns about the time-frames, accessibility or availability related to safety interventions and those involved in the safety plan? Is there a sufficient plan for monitoring and verification of compliance of parties involved, and the effectiveness of the interventions in controlling the threats of danger? Plan for Monitoring and Verification The job of the worker and the supervisor is not complete just because a safety plan has been developed and implemented. The tasks of safety plan monitoring; verification of compliance; and the assessment of the effectiveness of controlling threats of danger is ongoing until the threats of danger are no longer present or the caregiver’s protective capacity increases to the point where it is sufficient to control the threats. What is the plan for monitoring and verification? Is the intervention effective in controlling the threat of danger? Is the source for monitoring and verification credible and reliable? Ultimately the worker is responsible for assuring that the plan is implemented; executed as agreed; and that all parties involved in the plan are compliant. Is there continuity of management/responsibility when cases are transferred from investigator to FCS worker or there is a change in case worker? The worker should be alert to changes in the necessary components of a safety plan. The worker should be alert in case the monitoring or protective source becomes unavailable or unreliable. The worker should be alert to changes in conditions or composition of the household that create new threats of danger, increase a child’s vulnerability or diminish caregiver protective capacity. Safety Plan Re-assessment, Readjustment or Modification of Current Safety Interventions A formal safety assessment begins at initial contact with the family and at various specified points throughout the life of the case; however, workers will assess safety informally on an ongoing basis. Timeframes set to reevaluate interventions should be dependent on the nature of the threat of danger (present danger or impending danger) and the accessibility and availability of protective sources used for the intervention. Safety interventions should be seen as flexible agreements dependent on the effectiveness in controlling the threat of danger. They should be evaluated, readjusted, or modified as needed. Closing out a Safety Plan When threats of danger are no longer present or the caregiver’s protective capacity is sufficient to control the threat of danger, the child is no longer unsafe . Workers will continue to assess safety on an ongoing basis and promote long term changes to family functioning in treatment plans that increase the caregiver’s capacity to protect children from threats of danger. Summary and Conclusion It is the intention of the Division that this new model for child safety will be not only helpful at the time of initial contact during the investigation or family assessment process, but throughout the life of the case and in all program areas. This model represents the most current, state of the art approach to child safety whether we are documenting reasonable efforts in a court report, assessing child safety in an out- of-home setting, making decisions to close family-centered services or reviewing cases for repeat maltreatment or critical events. Framework for Safety Material on the CD Intranet site http://dssweb/cs/training/framework/index.htm Additional Reading Resources The following of Framework for Safety articles were selected from a collection that were written and can be located under archives on the Action for Child Protection website. (For the complete listing see http://www.actionchildprotection.org/safety_articles/archives.php ) January 2003 The Difference Between Risk and Safety April 2003 The Foundation of Safety Assessment December 2010 The Cornerstones of Safety Intervention November 2009 Essential Safety Concepts - A Glossary August 2009 Judging Home Conditions as a Present Danger July 2003 Protective Capacities March 2006 Protective Capacities July 2008 Caregiver Protective Capacities and Family Protective Resources October 2005 The Art in Conducting the Protective Capacity Assessment June 2010 Assessing Caregiver Protective Capacities Related to Parenting March 2003 Threats to Child Safety March 2005 Analyzing Safety Threats February 2003 The Vulnerable Child September 2003 Applying Safety Concepts September 2004 Considering the Safety Threshold May 2009 Impending Danger and the Cultural Context December 2003 The Safety Plan March 2004 Safety Management within Safety Plans February 2004 Are the People Who Participate in Safety Plans Suitable to Do So? July 2005 Immediate Evaluation of the Safety Plan May 2005 Provisional Safety Management August 2004 The When and Why of Safety Management July 2010 Case Plan Goals: The Bridge Between Discovering Diminished Caregiver Protective Capacities and Measuring Enhancement of Caregiver Protective Capacities November 2008 Creating The Picture November 2005 Integrating Caregiver Protective Capacities into Case Plans January 2007 Using Child Safety As A Basis For Case Closing June 2004 Conditions for Return October 2008 Not Quite Right February 2011 Q and A about Safety Intervention January 2011 Q and A about Safety Intervention NECESSARY ACTION: Review this memorandum with all Children’s Division Staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT: Randall McDermit 573-751-8932 Randall.D.Mcdermit@dss.mo.gov PROGRAM MANAGER Amy Martin 573-751-2981 Amy.L.Martin@dss.mo.gov CHILD WELFARE MANUAL REVISIONS: Safety Assessment and Safety Planning Subsections Section 2, Chapter 9.1 Safety Assessment Versus Risk Assessment Section 2, Chapter 9.2 Assessment of Safety Section 2, Chapter 9.3 Safety Planning Other Sections/Subsections Impacted Section 1, Chapter 1.3 Roles and Responsibilities of the Children’s Service Supervisor Section 1, Chapter 1.3.1 Chief Investigator Section 1, Chapter 1.5 Roles and Responsibilities of the Children’s Service Worker Section 1, Chapter 1.5.3 Implementing the Initial Contacts With The Family Section 1, Chapter 1.5.4 Initiating the Follow-Up Family Assessment on an Open FCS Case: Section 2, Chapter 4.1 Investigation Response Section 2, Chapter 4.1.3 Face to Face Safety Assurance of Victim Section 2, Chapter 4.1.5 Safety Assessment Section 2, Chapter 4.1.9 Minimum Contact Standards After a CA/N Report has Been Concluded Section 2, Chapter 4.1.13 Compiling the Investigative Record Section 2, Chapter 4.1.12 Determining the Level of Intervention Section 2, Chapter 4.4 Changes to Family Assessment Section 2, Chapter 5.3 Conducting a Family Assessment Section 2, Chapter 5.3.11 Safety Assessment Section 2, Chapter 5.3.12 Chief Investigator 72 Hour Review Section 2, Chapter 5.3.17 Minimum Contact Standards after a CA/N Report has been Concluded Section 2, Chapter 5.3.21 Compiling the Family Assessment Record Section 2, Chapter 6.2 “Newborn Crisis Assessments” Section 3, Chapter 1.5 Family Assessment and Services Cases Section 3, Chapter 3.2 Completion of the Family-Centered Services Assessment Process Section 3, Chapter 3.3 Developing a Written Service Agreement Section 3, Chapter 3.4 Potential for Juvenile Court Referral Section 3, Chapter 4, Attach C: Crisis Intervention Funds Section 3, Chapter 6.2 Evaluation of the Written Service Agreement Section 3, Chapter 6.3 CD-14A Family Functioning Assessment/Reassessment Section 3, Chapter 6.4 Reassessment of Safety and Risk Section 3, Chapter 10.2 Decision-Making at Critical Points Section 3, Chapter 10.3 Summary of First Level Supervisor Responsibilities Section 4, Chapter 1, Attach A Assessment of Safety and Risk Factors in Recommending Out-of Home Placement Section 4, Chapter 3.1 Emergency Placement Activities Section 4, Chapter 1.5 Factors in Recommending Out-Of-Home Care Section 4, Chapter 7.3.7 Administrative Activities Section 5, Chapter 1.1 Record Composition Section 5, Chapter 1.4 Recording Guidelines - Family Assessments (Ongoing Work with Families) Section 6, Chapter 3.1 Foster/Kinship Family Assessment FORMS AND INSTRUCTIONS: New Forms: Revised forms Forms Made Obsolete CD-17 CD-18 CD-14 CD-14A CPS-1 NCAT CPS-1A CS-16D CD-11 RELATED STATUTE: RSMO-Chapter 210 COUNCIL ON ACCREDITATION S10.3.03 FACES RQUIREMENTS Modifications to Safety Assessment Screen Tutorial Forthcoming Modifications to Manual Activity Tutorial Forthcoming CHILD AND FAMILY SERVICES REVIEW (CFSR) S1.1.1; S1.1.2; S1.1.4 ADMINISTRATIVE RULES N/A PROTECTIVE FACTORS Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS FACES changes are forthcoming. REFERENCE MATERIAL PowerPoint - Framework for Safety Demonstration Sites",https://fostercaresystems.wustl.edu/foster/revised-policy-procedure-and-tools-related-child-safety-assessment-and-safety-planning-new
ACCESS MACSS INFORMATION IN FACES,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011","Administrative process, Contact and directory information","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF",CANDACE A. SHIVELY,"The purpose of this memo is to inform staff how to obtain policy required information for completing licensure and re-licensure of resource provider homes. This is in response to Director memo CAS11-03 informing staff that Missouri Automated Child Support System, MACSS, access for Children’s Division staff is revoked effective January 31, 2011. The information formerly obtained by accessing the MACSS screens is now obtained in FACES screens. The following is the process for FACES access to this information: Choose the Call/Case Prior History Search screen; Enter the Departmental Client Number; Choose the DSS Search button at the bottom of the screen; FACES will run a search in MACSS and FAMIS for the DCN and give basic case information if any exists. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Dena Driver 573-751-3171 Dena.D.Driver@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Guide for Conducting Resource Provider Family Assessments , Section 6 Chapter 3 Attachment A Guide for Conducting Renewal Assessment , Section 6 Chapter 3 Attachment D Guide for Conducting Adoptive Family Assessment Services , Section 6 Chapter 3 Attachment H FORMS AND INSTRUCTIONS: N/A REFERENCE DOCUMENTS and RESOURCES: N/A RELATED STATUTE: N/A ADMINISTRATIVE RULE: N/A COUNCIL ON ACCREDITATION (COA) STANDARDS: N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS N/A Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/access-macss-information-faces
RESOURCE PROVIDER EMERGENCY PROCEDURES,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010","Administrative process, Contact and directory information","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF",CANDACE A. SHIVELY,"DISCUSSION: The purpose of this memorandum is to remind staff of policy regarding resource provider emergency preparedness and to introduce policy clarifications. Policy and rule regarding resource provider’s emergency preparedness were introduced in 2006 as part of the process for Council on Accreditation compliance. Policy requires that the resource provider review the emergency plan with the foster youth in their home every six months and that the licensing resource worker review and approve the plan every six months. The additional clarifications to policy include: The resource provider has read and understands the Children’s Division’s policy regarding infectious diseases exposure. Information regarding this is located in the Missouri Resource Parent Handbook; The emergency plan specifically addresses the unique needs of each foster youth placed in the home; and The plan is to be updated every six months, not just reviewed, for all and any changes in the home that would affect the household being prepared for emergencies. Such updates would include but not be limited to the unique needs of specific foster placements, the season, etc. Department of Social Services Human Resource Center has a link to Emergency Management and Safety . At that link there is a link to information regarding Family Disaster Plans and access to a Family Disaster Plan template that may be shared with resource providers. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Dena Driver 573-751-3171 Dena.D.Driver@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 6 Chapter 1 Attachment F Section 4 Chapter 6 Attachment B Section 6 Chapter 3 Sub Section 1 FORMS AND INSTRUCTIONS: NA REFERENCE DOCUMENTS and RESOURCES: Missouri Resource Parent Handbook Memo 06-33 Family Disaster Plan Family Disaster Plan Template RELATED STATUTE: 210.506(2) ADMINISTRATIVE RULE: 13 CSR 35-60.040 (1) Physical Standards for Foster Homes, General Requirements 13 CSR 35-60.040 (2)(A)(B)(C), Sleeping Arrangements 13 CSR 35-60.040(3), Physical Standards for Foster Homes Fire and Safety Requirements COUNCIL ON ACCREDITATION (COA) STANDARDS: PA-ASE 7 PA-ASE 8 CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/resource-provider-emergency-procedures
"WORKER ACCESS TO FAMILY CARE SAFETY REGISTRY,",Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010","Administrative process, Contact and directory information, Forms - Other, Social worker licensing/qualifications","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF",CANDACE A. SHIVELY,"DISCUSSION: The purpose of this memorandum is to introduce changes to the process for the Children’s Service Worker to obtain on-line access to the Family Care Safety Registry, FCSR. When conducting a re-licensure, the Children’s Service Worker is able to obtain background screen information regarding the FCSR registered resource parent applicant on-line. It is no longer necessary for the worker to complete the MULES access form to obtain this on-line access to the FCSR. The Children’s Service Worker obtains on-line access to the FCSR by doing the following: Go to the FCSR home page, www.dhss.mo.gov/fcsr ; Click on the Forms link; Click on the How to Become a FCSR Internet User link; Click on the Internet Background Screening Access/Security Request . Return the completed document by Fax to 573-522-6981, or by mail to: DHSS/Family Care Safety Registry PO Box 570 Jefferson City, MO 65102 The worker will be notified by fax when their access is granted by FCSR. At that time, user IDs and training on how to make a screening request using the FCSR internet service will be provided. Policy has been revised to reflect the on-line access process change. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Dena Driver 573-751-3171 Dena.D.Driver@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 6 Chapter 3 Attachment A Section 6 Chapter 3 Attachment D Section 6 Chapter 3 Attachment H FORMS AND INSTRUCTIONS: NA REFERENCE DOCUMENTS and RESOURCES: NA RELATED STATUTE: NA ADMINISTRATIVE RULE: N/A COUNCIL ON ACCREDITATION (COA) STANDARDS: N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS NA Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/worker-access-family-care-safety-registry
PURPOSE CODE “X” SCREENING,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010","Administrative process, Contact and directory information, Definitions, Foster parent licensing, Legal process","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS AND  CHILDREN’S DIVISION STAFF","PAULA NEESE, DIRECTOR","DISCUSSION: The purpose of this memorandum is to clarify policy and practice, and introduce a log for conducting a Purpose Code “X” screening. This screening is a specific type of criminal background check that uses the Missouri Uniform Law Enforcement System (MULES). Children’s Division (CD) staff typically request a Purpose Code “X” screening to determine the appropriateness of a potential placement for a child who has been taken into emergency protective custody. The Division has received clearance from the Missouri State Highway Patrol (MSHP) to allow for Purpose Code “X” screenings to also be requested in response to exigent circumstances, which involve a child who is already in the care and custody of CD, or where a placement disruption has occurred and a perspective relative or kinship provider has come forward to request placement consideration. Exigent circumstances refer to an emergency, a pressing necessity, or a set of circumstances requiring immediate attention or including situations when: time is of the essence; the health and safety of a child is involved; or, action is necessary to ensure the best interest of the child. Exigent circumstances do not include routine foster or licensed care situations, visitations with relatives or kin, or for the purposes of a child or older youth to attend a sleep-over with friends. Process for Completing a Purpose Code “X” Screening If there is a need to complete a Purpose Code “X” screening for emergency placement or exigent circumstances, staff should adhere to the following process: The Children’s Service Worker or juvenile officer must request the local law enforcement to search the MULES for anyone 17 years old or older residing in the household; In accordance with Section 210.482.2 RSMo, a child should be immediately removed from the home in which he/she has been placed if anyone 17 yearsold or older refuses to provide fingerprints. Fingerprints must be submitted to the Federal Bureau of Investigation (FBI) with days of the MULES check. To meet that deadline, the CD Worker must provide th placement provider with information to schedule their screening with the contracted electronic fingerprint vendor; The requesting agency will be responsible for maintaining a Purpose Code “X” Log to document the screening and subsequent fingerprinting process. The law enforcement agency is not responsible for ensuring the legitimacy of the request. Law enforcement is required to ensure the requestor is an authorized representative, and upon verification, the inquiry should be performed. Staff shall no longer use Purpose Code “X” background screenings in conjunction with safety planning or the voluntary placements of children by their parents. This would include any case in which a child has not been placed in the custody of CD. The Division could lose the privilege to use Purpose Code “X” background screenings should this practice continue. Staff should use background screenings through FACES, and continue to complete walkthrough observations of household environments to assure the safety and well-being of child(ren). There is a way outside of Purpose Code “X” which can be utilized for the purpose of safety planning with families in response to reported concerns of child abuse or neglect. Law enforcement is able to share criminal history information with the Division during the course of a co-investigation, outside of completing Purpose Code “X” screenings. Local protocols should be established regarding the sharing of this type of information, and staff should ask law enforcement if Purpose Code “X” was used, so CD can log and process those situations. There is no need to log information shared outside of Purpose Code “X”. Documentation of Purpose Code “X” Screenings The Purpose Code “X” Request Log, CD-153, has been developed for local offices to complete and maintain in order to track the use of Purpose Code “X” screenings and the subsequent fingerprinting of those whose background was screened using Purpose Code “X”. Staff will also need to document situations when fingerprints were not completed and the reason they were not completed by indicating “No Placement” on the Purpose Code “X” Request Log. This resource form may be found in the CD Forms folder of your computer desktop. MSHP completes audits to verify the appropriate use of Purpose Code “X” screenings on behalf of the FBI. The Purpose Code “X” Log, CD-153, will be used in response to any such audit. Staff may also need to review appropriate case records if additional information is needed to respond to questions concerning the use of a Purpose Code “X” screening or the subsequent fingerprinting process. Law enforcement is required to ensure that anyone requesting a Purpose Code “X” screening is an authorized representative of an agency entitled to make such a request. Local offices should work with their multidisciplinary teams to establish protocols to fulfill the required verification process. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Scott B. Montgomery, PDS 573-526-5408 Scott.B.Montgomery@dss.mo.gov PROGRAM MANAGER Dena Driver 573-751-3171 Dena.D.Driver@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 4 Chapter 3.1.2 Protective Custody of the Child, Section 4 Chapter 4 Attachment B Guidelines to Placement Options, Criteria and Selection, and Section 6 Chapter 3 Attachment A Guide for Conducting Foster/Kinship Family Assessments FORMS AND INSTRUCTIONS: N/A REFERENCE DOCUMENTS and RESOURCES: Purpose Code X Request Log (CD Forms Folder of Computer Desktop) RELATED STATUTE: Section 210.482.2 RSMo ADMINISTRATIVE RULE: N/A COUNCIL ON ACCREDITATION (COA) STANDARDS: N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS Parental Resilience-N/A Social Connections-N/A Knowledge of Parenting and Child Development-N/A Concrete Support in Times of Need-N/A Social and Emotional Competence of Children-N/A FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/purpose-code-x-screening
REFERENCES FOR FOSTER/ADOPT APPLICANTS.,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010","Administrative process, Contact and directory information, Foster parent licensing","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, DIRECTOR","DISCUSSION: In response to the Continuous Quality Improvement process, a revision has been made to the Foster/Adopt Home Assessment Application, CS-42, and to policy regarding personal references. Current policy requires requesting three (3) personal references for foster/adopt applicants from individuals unrelated to the applicant. Policy has been revised for licensing of relative and kinship homes to also require 3 personal references. Previous policy required five references. The CS-42 has been revised to indicate three (3) unrelated personal references and a space has been added to include an e-mail address. A new directive pertaining to any adult children no longer living in the home has been added to policy. If names of adult children no longer living in the home were submitted by the applicant in Section II on the CS-42, the worker may mail each one a Personal Reference Questionnaire, CS-101f, to provide an opportunity for them to comment. Submission of references by unrelated individuals, the applicant’s employer, the teachers of the family’s own children, and any adult child no longer in the home are helpful tools in evaluating the applicant’s ability to be a successful resource parent for the Division. Failure to receive completed references does not prevent licensure. However, before making the final recommendation, there should be discussion with the applicant regarding lack of submitted references. The lack of returned references should be considered in making the final recommendation for licensure. Staff are to begin using the updated CS-42 upon the date of this memorandum. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. Review revised Children’s Division Forms as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Dena Driver 573-751-3171 Dena.D.Driver@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Agency Arranged Kinship Care, Section 4 Chapter 12 Subsection 3 Assessments, Section 6 Chapter 3 Attachment A FORMS AND INSTRUCTIONS Foster/Adopt Home Assessment Application, CS-42 REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE N/A ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS Home Assessments PA-FC 17.07 CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS N/A Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/references-fosteradopt-applicants
UPDATE TO FOSTER PARENT IDENTIFICATION CARDS,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010, 2009","Administrative process, Contact and directory information, Foster parent licensing","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS AND  CHILDREN’S DIVISION STAFF","CELESTA HARTGRAVES, ACTING DIRECTOR","DISCUSSION: The purpose of this memorandum is to inform staff of changes made to the Child Welfare Manual to clarify the issuance and retrieval of foster, relative and kinship provider identification cards in conjunction with initial licensing, revocation or closing procedures. This is in response to a state level Continuous Quality Improvement request. It is ultimately the responsibility of the Division as the licensing entity to process the foster/relative/kinship provider’s identification card. It is also the responsibility of the Division to retrieve the foster/relative/kinship provider’s identification card in the event of provider revocation or closing, regardless of whether the provider works primarily with the Division or another agency. NECESSARY ACTION Please review this memorandum with all Children’s Division Staff. Please review all Child Welfare Manual revisions with all Children’s Division Staff. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT: Scott B. Montgomery, PDS 573-526-5408 Scott.B.Montgomery@dss.mo.gov PROGRAM MANAGER Melody Yancey 573-751-3171 Melody.Yancey@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 6 Chapter 3.1 Foster/Kinship Family Assessment Section 6 Chapter 3 Attachment B Foster Family Home Licensing Rules RELATED STATUTE: ADMINISTRATIVE RULES: COUNCIL ON ACCREDITATION (COA) STANDARDS: PROGRAM IMPROVEMENT PLAN (PIP):",https://fostercaresystems.wustl.edu/foster/update-foster-parent-identification-cards
SAFE SLEEP PRACTICES FORM,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010, 2009, 2008","Contact and directory information, Expectations for care, Forms - Other, Safety","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","JAMES C. HARRISON, ACTING DIRECTOR","Unintentional suffocation is a leading cause of injury and death in infants and toddlers. Most infant deaths due to suffocation are directly related to unsafe sleep practices. These practices include: The child becoming wedged against bumper pads, pillows, & comforters. Adults sleeping with infants or toddlers and rolling over on them. Unaccustomed tummy sleeping (the infant being placed on or rolling into the tummy position when this is not a position in which the infant typically sleeps.) The Children’s Division is adopting the Safe Sleep recommendations as identified by the American Academy of Pediatrics and will discuss Sleep information that is listed on the Safe Sleep Practices form with resource parents during the initial home visit with the resource parent applicants. All resource parents, including respite providers, will be asked to review and sign the Safe Sleep Practices form, CD-117 . Staff need to have all currently licensed resource parents sign the form at their next quarterly home visit and place it in the forms section of their case file. Staff will ensure that the CD-117 is signed and placed in the case file by June 30, 2009. A Safety Tip regarding Safe Sleep was issued September 18, 2008. There are two new links on the CD intranet page : PowerPoint training An instructional page addressing Safe Sleep. Staff should remember to share this information with parents with whom they work who are expecting a child or have infants or very young children. Additional information on safe sleep may be reviewed at the Children’s Trust Fund web site and their web Brochure . NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Melody Yancey 573-526-8040 Melody.Yancey@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 5 chapter 1 subsection 6 Section 6 chapter 3 attachment A FORMS AND INSTRUCTIONS: Safe Sleep Practices CD-117 REFERENCE DOCUMENTS and RESOURCES: Safety Tip Children’s Trust Fund Children’s Trust Fund Brochure RELATED STATUTE: N/A ADMINISTRATIVE RULE: N/A COUNCIL ON ACCREDITATION (COA) STANDARDS: N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS Parental Resilience NA Social Connections NA Knowledge of Parenting and Child Development Concrete Support in Times of Need NA Social and Emotional Competence of Children NA FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/safe-sleep-practices-form
ADMINISTRATIVE HOLD AS RELATED TO LICENSE RENEWAL,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010, 2009, 2008","Administrative process, Foster parent licensing","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, DIRECTOR","DISCUSSION: The purpose of this memo is to inform staff of an additional circumstance that has been added to Children’s Division policy for placing a resource provider’s license on an Administrative Hold. It is required that a resource provider meets all licensing criteria before their license is renewed. If the provider has not met all the criteria as outlined in Section 6 Chapter 3 Attachment D, Guide for Conducting Renewal Assessment, then the provider’s license will be placed on Administrative Hold. As stated in Administrative Hold policy, if no immediate safety risk factors exist to the children that are in the home, the children should not be removed. However, no additional placements will be made in the home until the provider complies with all the license renewal requirements and their license status is removed from Administrative Hold. Policy in the Guide for Conducting Renewal Assessment indicates that the Professional Parenting Payment (PPMN) is suspended while the provider is on Administrative Hold. The suspension of this payment will continue until the resource home’s status is removed from the Administrative Hold. The provider will have a maximum of 6 months to be in compliance with licensing renewal requirements. If requirements are not met, the worker will begin the revocation process as outlined in Section 6 Chapter 3 Attachment D. In order to stop the PPMN payment for those providers who are placed on Administrative Hold due to non compliance with all the license renewal requirements the worker must do the following: Request the Cooperative Agreement for the Purchase of Professional Foster Care Services (CM-14 also known as PP contract) be closed with a reason of “1”. The request is sent via Email to Mary.F.Holterman@dss.mo.gov , the Administrative Office Support Assistant responsible for entering contracts in Contract Management Unit at Central Office in Jefferson City. Please include the vendor name, vendor number (DVN), contract number and date the contract should be closed. Obtain the signature of the resource provider on a Cooperative Agreement for the Purchase of Foster Care Services (AC/CM-3) and send it to the Contract Management Unit in Central Office. A new PP contract can be opened once all of the licensing renewal requirements are completed and documentation is placed in the file. The new PP contract will need to be submitted in order to open the PP contract and resume the PPMN payment. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-751-3171 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Melody Yancey 573-526-8040 Melody.Yancey@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 6 Chapter 3.1.1 Administrative Hold REFERENCE DOCUMENTS and RESOURCES: Section 6 Chapter 3 Attachment D Guide for Conducting Renewal Assessment",https://fostercaresystems.wustl.edu/foster/administrative-hold-related-license-renewal
ON-LINE ACCESS TO THE FAMILY CARE SAFETY REGISTRY,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010, 2009, 2008, 2007, 2006","Administrative process, Contact and directory information","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, DIRECTOR","DISCUSSION: The purpose of this memo is to introduce the availability to resource/licensing staff and their supervisors to have on-line access to the Family Care Safety Registry (FCSR). Staff’s ability to access the registry when conducting licensing and contract renewals will make the renewal process more timely and efficient. The initial FCSR registration form will continue to be completed for new resource provider applicants and sent to the FCSR as described in policy. The on-line access will be utilized in the renewal assessment process. Obtaining Access Each resource/licensing staff member and their supervisor need to complete the MULES (Missouri Uniform Law Enforcement System) Network Security System access form. After completion, staff will send the signed form to FCSR attention Chief. This form will be sent via email to FCSR@dhss.mo.gov , or fax the signed form to 573-522-6981. The staff member will be assigned an ID number and password by FCSR to be used exclusively for access to the FCSR. This ID and password are autonomous from the worker’s current ID and passwords used for logging on to the state computer system, FACES and PROD. The password is on a 30 day expiration cycle and the worker will have to update it every 30 days, just as with the PROD password. After the form has been processed, the staff member will receive a phone call from the FCSR. The phone call will consist of instruction regarding logging on and how to run the check. The phone call will be followed by an E-mail confirmation. NECESSARY ACTION: Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT: Elizabeth Tattershall 573-751-3171 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER: Melody Yancey 573-751-3171 Melody.Yancey@dss.mo.gov CHILD WELFARE MANUAL REVISIONS: Section 6 Chapter 3 Attachment A Guide For Conducting Foster/Kinship Family Assessments - Resource Family Assessment ""&"" Licensing Process MULES NETWORK VIA DHSS: MULES Network Security System Operator Identification / Authorization",https://fostercaresystems.wustl.edu/foster/line-access-family-care-safety-registry
ADMINISTRATIVE HOLD,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010, 2009, 2008, 2007","Administrative process, Contact and directory information, Investigations","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS AND  CHILDREN’S DIVISION STAFF","PAULA NEESE, DIRECTOR","DISCUSSION: This memorandum introduces the new resource suspension code, Administrative Hold. Administrative Hold is to be used in responding to certain licensing situations which will more effectively serve resource parents, the Children’s Division and most importantly, the safety of children. All suspensions on the Vendor Licensure/Placement Resource form, SS-60, require notification of an adverse action which is open to appeal. The Administrative Hold status has been added as it reflects a less punitive and less negative connotation and is not open for appeal in the Fair Hearing process. Depending on the nature of the allegation in a Child Abuse and Neglect (CA/N) report and the risk assessment, a provider may be placed on Administrative Hold with a corrective action/support plan implemented and no other children placed in the home until the issue is resolved and the Hold status is removed. If no immediate safety risk factors exist to the children during the investigation/assessment, the children currently in the home should not be removed. If, at the time of the investigation/assessment (I/A), it is determined the child will be removed, either at the request of the resource provider or by the investigator, the Children’s Service Worker (CSW) should be notified in order to schedule a Family Support Team meeting. The Family Development Specialist should be having and documenting their regular, ongoing discussions with the resource provider regarding any licensing concerns prior to a change in their licensing status. Child Welfare Manual (CWM) Section 6 Chapter 3 Attachment B states that written notice, specifying the reasons for denial or revocation shall be provided ten (10) days prior to the effective date of the action. For an Administrative Hold the licensing worker should notify the provider via a phone call as soon as possible. A follow-up letter should then be sent explaining why the Hold is in effect and how it can be removed/resolved. If the Hold was requested by the provider, the licensing worker should follow up with a letter verifying their request. ADMINISTRATIVE HOLD The Administrative Hold is required in the following circumstances: An Out-of-Home investigation (OHI) is under way involving Legal Status 1 children in the resource provider’s home. The Administrative Hold should remain in effect until the investigation is concluded and all corrective actions/support plans, if any, are successfully completed and documented in the record. A CA/N investigation/assessment is under way involving non-Legal Status 1 children in the resource provider’s household. The Administrative Hold should remain in effect until the I/A is concluded and all corrective actions/support plans, if any, are successfully completed and documented in the record. Licensing concerns have been noted and a staffing is under way. The Administrative Hold should remain in effect until all corrective actions/support plans, if any, are successfully completed and documented in the record. A resource provider moving to another county/circuit should be placed on Administrative Hold and not receive any additional placements pending the completion of the license transfer process. The circuit from which the provider has moved should notify the receiving circuit of the change in address and provide necessary information on current placements, and transfer records within one week. The receiving circuit should schedule a home visit within two weeks of notification. After the provider’s new home has been inspected and approved, relicensure should be granted. The Hold status should be removed from the Vendor Licensure/Placement Resource Report, SS-60, and provider records updated to reflect the changes. The resource provider has experienced a significant change (in household composition, health, employment, etc). The Administrative Hold should remain in effect until the provider’s situation has been reassessed and the study has been updated. Every effort should be made to complete these actions within 2 weeks, per the Council on Accreditation (COA). The worker should document all attempts to meet this timeframe, including the provider’s specific actions of noncompliance within that time. The Administrative Hold status is available, but optional in a variety of circumstances, such as, but not limited to: The provider has had a new birth and needs time to adjust. The provider feels they need “a break”. The Family Support Team has recommended that the resource provider cease new placements during the period of adjustment for an adopted child. The resource provider has a biological/adopted child placed in residential care. Per memo CD05-22, no additional children will be placed in the home without the approval of the Circuit Manager (CM) or designee. The guidelines stated in Section 4 Chapter 5 Attachment C should be reviewed and assessed as the provider may need time to work with the child placed in residential care. If there are questions whether an Administrative Hold or Suspend status should be implemented, staff should consult with first or second level supervisors for guidance. SUSPEND/REVOCATION Suspend/Revocation is defined as an action which is taken: In response to a CA/N report or Preponderance of Evidence finding to be applied during the time of the investigation/assessment and the allegation is severe enough to warrant removal of a child. As an action to be taken when revocation is recommended: Suspend/revocation is used whenever children in the home have been found to be in imminent risk. Suspend is used when the resource parent is not complying with licensing requirements and efforts (such as, but not limited to, being placed on Administrative Hold) to remedy the situation have failed (i.e.: refuse to keep training requirements current, refuse to meet licensing standards, or continued non compliance with an Individual Support Plan). Suspend is used when a staffing has been held, and licensing violations are of sufficient magnitude to warrant a recommendation of suspend. Suspend is used during the period of evaluation and consideration of amelioration. UPDATES TO SS-60 FORM, INSTRUCTIONS AND CODE SHEET System changes have been added to Legacy/Production which allow the Administrative Hold code, ‘H’, to be entered in field 27 on the Vendor Licensure/Placement Resource Report form, SS-60, whenever this action is used. The system will no longer allow input of a vendor number for a placement change when that vendor is on Hold or Suspend status. An error message will appear at the bottom of the ZCC3 screen stating the vendor status is either on Hold or Suspended. The SS-60 instructions and code sheet have been updated with the Administrative Hold information. Staff should begin utilizing the new Administrative Hold code “H”, code sheet and instructions and destroy prior versions as of this memo. NECESSARY ACTION Please review this memorandum with all Children’s Division Staff. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Belinda K. Luke, PDS 573-751-8615 Belinda.K.Luke@dss.mo.gov PROGRAM MANAGER James C. Harrison 573-751-2502 James.C.Harrision@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 6 Chapter 3.1 Foster/Kinship Family Assessment Section 6 Chapter 3.1.1 Administrative Hold Section 6 Chapter 3.1.2 Suspend/Revocation Section 6 Chapter 3 Attachment L Guide for Conducting a Review of a Foster Home Section 6 Chapter 7.1 Children’s Division’s Fair Hearing Process FORMS AND INSTRUCTIONS: Vendor Licensure/Placement Resource Report/Instructions/Code Sheet/Form--SS-60 COUNCIL ON ACCREDITATION (COA) STANDARDS: S21.10.05 Foster and Kinship Families and Homes",https://fostercaresystems.wustl.edu/foster/administrative-hold
INCREASED FEES FOR CRIMINAL HISTORY CHECKS,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010, 2009, 2008, 2007","Contact and directory information, Foster parent licensing","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, DIRECTOR","REFERENCE: CHILDREN’S DIVISION DISCUSSION: The purpose of this memorandum is to notify staff of changes in the fees for fingerprint based criminal history checks as a result of Senate Bill 84. Senate Bill 84 increased the fee for requests for criminal history records based on fingerprints from $14.00 to $20.00 effective August 28, 2007. The bill did provide for exceptions for requests required under the provisions of subdivision (6) of section 210.481, RSMo; section 210.487, RSMo; or section 571.101, RSMo. Requests made under these sections, which includes requests for records for the purpose of foster/relative/kinship care licensing, will remain at $14.00. However, it does not provide for an exception for records requested for the purpose of adoption. Thus, the cost for background checks completed for the purpose of adoption has increased to $20.00. The fee for respite providers, parents and family members who are not being printed for the purpose of licensure has also increased to $20.00. A line of information entitled “Reason Printed” has been added to the electronic scan registration letters for foster, relative, kinship, and adoptive parents and applicants. The reason printed for licensing purposes would be 210.487 RSMo. This code would be utilized for all initial background checks and for license renewals. The reason printed for the purpose of adoption would be 43.540 RSMo. This code would be utilized for all background checks completed as part of an adoptive study. The letters for respite providers and parents do not have the Reason Fingerprinted added as they do not fall under either statute and they are responsible for making their own payment. The electronic scan letters have been updated and a new letter has been created for adoptive parents. These are now available on your desktop or through eforms on the Children’s Division website. Please dispose of all copies of the old letters you may have and begin using the new letters with the date of this memorandum. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review this memorandum with all licensed foster/relative/kinship care providers and adoptive parents. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Stefanie Wickers 573-751-1354 Stefanie.D.Wickers@dss.mo.gov PROGRAM MANAGER Melody Yancey 573-526-8040 Melody.Yancey@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 6 Chapter 3 Attachment A Guide for Conducting Foster/Kinship Family Assessments Section 6 Chapter 3 Attachment H Guide for Conducting Adoptive Family Assessment Services FORMS AND INSTRUCTIONS: CD-26a Letter to Prospective or Current Foster/Relative/Kinship Care Provider CD-26b Letter to Parent CD-26c Letter to Respite Care Provider CD-26d Letter to Prospective or Current Approved Adoptive Parent REFERENCE DOCUMENTS and RESOURCES: N/A RELATED STATUTE: 210.487 RSMo 43.540 RSMo ADMINISTRATIVE RULE: N/A COUNCIL ON ACCREDITATION (COA) STANDARDS: N/A",https://fostercaresystems.wustl.edu/foster/increased-fees-criminal-history-checks
APPEAL OF RESOURCE HOME ADVERSE ACTION TIMEFRAMES,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010, 2009, 2008, 2007","Administrative process, Contact and directory information, Foster parent licensing","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, DIRECTOR","REFERENCE: CHILDREN’S DIVISION DISCUSSION: The purpose of this memorandum is to notify staff of changes to the Notification of Resource Home Adverse Action Letter (CS-20a) regarding timeframes for appealing a decision for revocation, denial or suspension of a resource home. The Notification of Resource Home Adverse Action letter is to be utilized when such an action is being recommended regarding a licensed or approved home or an application for resource home licensure or adoptive home approval. Staff are to begin using the updated CS-20a effective with the date of this memorandum. The letter is available online at http://www.dss.mo.gov/cd/info/forms/index.htm. A copy should be retained in the provider’s files in the Correspondence Section. The CS-20a previously stated that if a provider wanted to request a Children’s Services Fair Hearing, they must make the request in writing to the county office address listed within 10 working days of the date of the certificate of mailing on the CS-20a. The Foster Home Licensing Rules state that if a written request for a hearing is received within thirty (30) calendar days from the date of the notice, a hearing will be provided. The change to the CS-20a brings the Children’s Division process into compliance with the foster home licensing rules. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review this memorandum with all licensed foster/relative/kinship care providers. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Stefanie Wickers 573-751-1354 Stefanie.D.Wickers@dss.mo.gov PROGRAM MANAGER Melody Yancey 573-526-8040 Melody.Yancey@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 6 Chapter 3.1 Foster/Kinship Family Assessment Section 6 Chapter 7.1 Children’s Division's Fair Hearing Process FORMS AND INSTRUCTIONS: CS-20a REFERENCE DOCUMENTS and RESOURCES: N/A RELATED STATUTE: N/A ADMINISTRATIVE RULE: N/A ADMINISTRATIVE RULE: 13 CSR 35-60.010 Family Homes Offering Foster Care COUNCIL ON ACCREDITATION (COA) STANDARDS: S21.9.03",https://fostercaresystems.wustl.edu/foster/appeal-resource-home-adverse-action-timeframes
REVISIONS TO THE INTERSTATE COMPACT ON THE PLACEMENT OF CHILDREN (ICPC),Missouri,Memo,2007,"Administrative process, Contact and directory information, Forms - Other, Placement","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, DIRECTOR","DISCUSSION: This memorandum updates staff on federally mandated revisions to the Interstate Compact on the Placement of Children (ICPC). The Safe and Timely Interstate Placement of Children Act of 2006, Public Law (PL) 109-239, establishes more uniform procedures for states to adhere to when children are being placed across state lines. These procedures require changes to the Child Welfare Manual (CWM), ICPC forms, and prompted the need for clarification of placement types for which the Compact does or does not apply, as well as an explanation of Regulations 1 and 7. The ICPC is a legally binding contract among member states approved by the legislatures of all 50 states, the District of Columbia, and the U.S. Virgin Islands as uniform law. The Compact assures the protection of children crossing state lines and ensures they receive the same supports and services as if they remained in their own state. PL 109-239 holds states accountable for the expeditious placement of children into safe, permanent homes across state lines. SAFE AND TIMELY INTERSTATE PLACEMENT ACT/PL 109-239 States are required to complete a foster/adoptive assessment, defined by PL 109-239 within 60 calendar days after the request is received in the ICPC unit in Central Office. The preliminary home assessment does not require the training component or FBI checks, but should evaluate the safety and suitability of placing a child in a prospective foster or adoptive home. Staff must be aware that the preliminary home assessment does not provide authorization for a child to be placed . Once the preliminary home assessment is completed it should be forwarded to the ICPC unit in Central Office and not to the sending state’s worker. After the preliminary home assessment is submitted to Central Office, staff will then proceed with completing the home study as set forth in the CWM, Section 6, Chapter 3 Attachment A, Guide for Conducting Foster/Kinship Family Assessments. The home study must address the extent to which the proposed placement will meet the specific needs of the child, including the child’s safety, permanency and well-being. The home study, including FBI checks, must be completed and returned within 90 calendar days after the State received the original request. The CSW should submit the original and two (2) copies of the completed home study along with a recommendation for or against placement. The ICPC Coordinator will make the decision whether or not the placement is approved. (The timeframe of 120 days as noted in CWM Section 6, Chapter 3, Attachment A applies only to in-state home studies and not to ICPC home studies.) This procedure does not apply to parents and unlicensed relatives. Parents and unlicensed relatives will go through the same home study format as an applicant applying for licensure, which is clarified in Memorandum CD04-63 and in the CWM Section 6, Chapter 3, Attachment A. The differences are that parents and unlicensed relatives are not required to complete training, and the timeframe for completing their assessment/home study is 60 days. Any child subject to an ICPC referral may not be moved by the sending state without the approval of the receiving state’s ICPC office. The ICPC Coordinators in each state are responsible for ensuring that requests and documentation are processed in accordance with the federal guidelines and timeframes. PLACEMENT TYPES CLARIFICATION The Compact applies when children are to be placed in the following settings: Interstate adoptive placement; Interstate placement for care into relative/kinship placements, foster homes, group homes, and/or residential treatment; Interstate placement with parents and relatives when there is court jurisdiction; Interstate placement of adjudicated delinquents only when placement is sought for residential treatment. The Compact does not apply when placement is sought under any of the following circumstances: Interstate placement from birth parent to birth parent, when there is no court jurisdiction; Interstate placement from birth parent to relative (as defined in RSMo 210.620 Article VIII), when there is no court jurisdiction; Interstate placement from legal guardian to birth parent or relative, when there is no court jurisdiction; Interstate placement to a medical or psychiatric hospital; Interstate placement to an educational program (Job Corp, college, etc); Interstate placement of adjudicated delinquents unless placement is sought for residential treatment (see above); Divorce/custody assessments; International adoptions when the United States Citizenship and Immigration Services (USCIS) has issued an IR-3 visa (adopted in the child’s country of origin); Placement of any child into/or out of Canada, Puerto Rico, Guam/American Samoa or any other foreign country; Children under court jurisdiction visiting a relative/parent for 30 days or less. Anything over 30 days is considered a placement and would be subject to ICPC. REGULATION I AND REGULATION VII The two most frequently cited regulations in the Compact are Regulations 1 and 7: ➢ Regulation No.1 -- Conversion of Intrastate Placement into Interstate Placement; Relocation of Family Units Regulation 1 applies when a family with a child who is under court jurisdiction is placed in their home, plans to move to another state. When the family moves, they may continue to receive the same benefits as in Missouri. The family should be advised they must meet the new state’s requirements for an approved home study. The ICPC referral is to be prepared within ten (10) calendar days, as directed in the CWM Section 4, Chapter 25. ➢ Regulation No. 7 – Priority Placement Regulation 7 referrals, commonly referred to as “Priority” referrals, were initiated to address the problem of frequent delays in completing home studies on a select group of individuals as identified in Article VIII of the Compact. Specific criterion listed below must be met and specifically addressed in the accompanying court order: The proposed placement recipient is a relative (as defined in RSMo 210.620 Article VIII) of the child(ren), and The child(ren) is under 2 years of age; or The child(ren) is in an emergency placement requiring the child to be moved within 30 days; or The child(ren) has spent a substantial amount of time in the home of the proposed placement recipient. A Regulation 7 referral cannot be court ordered if foster care licensing or an adoptive study is being requested, or if the child is already residing in the recipient’s home. FORMS The CS-ICPC forms listed below have been updated to CD-ICPC forms and are available on E-Forms. Staff should begin using the current versions of these forms as of this memo and destroy any outdated versions. ➢ Placement Request (CD-ICPC-100A) ( mandatory ) Form CD-ICPC-100A is a legal binding contract that is consistent in all Compact member states and territories. This form must be used by the sending agency to request approval to place a child in another state along with all relevant information, including the type of home study requested (relative, foster, or adoptive parent). If Missouri is the Sending Agency and is going to make a maintenance payment to the resource provider should the placement be approved, a foster home study should be requested regardless of the degree of relationship. If a home study is requested for an unlicensed relative, STARS for the Caregiver is not required. If a home study is requested for relative foster care, STARS for the Caregiver is required. Following the completion of a home study by the receiving state, this form is the official notification that the proposed placement can/cannot be made in conformity with the Interstate Compact. The CD-ICPC-100A must accompany all requests for out-of-state placements and it must be returned with an approval/denial for placement from the receiving state’s ICPC office BEFORE any Compact placement decision is made. ➢ Child Placement Status Report (CD-ICPC-100B) ( mandatory ) Form CD-ICPC-100B is consistent in all Compact member states and territories. Once the receiving state approves the placement this form is utilized by the sending state to notify the receiving state of the following: A child has moved to the approved placement and supervision is requested; or A change in physical placement in the receiving state has occurred; or The approved placement resource will not be utilized or the referral request is being withdrawn; or Termination of the ICPC agreement is necessary. RSMo 210.620, Article V states the sending agency shall retain jurisdiction until one of the following occurs: The child’s adoption is legally finalized; The child reaches the age of majority (18 years); The child becomes self-supporting; The child returns to Missouri; or The child is discharged from court jurisdiction with the concurrence of the appropriate authority in the receiving state. ➢ Transmittal Checklist (CD-ICPC-100D) ( mandatory ) Form CD-ICPC-100D, is used when a referral is made for the placement of a Missouri child into another state under the provisions of the ICPC. It is completed by the immediate supervisor of the Children’s Service Worker (CSW) who is making the referral to ensure that: An appropriate plan is being developed for each child; All necessary/required paperwork has been included and reviewed for completeness; The correct number of copies of all material has been included in the packet. Once the supervisor has reviewed the packet, checked the appropriate boxes and signed box #13, the packet – including this form -- is sent to the Circuit Manager (CM) or designee. The CM or designee then reviews for completeness and signs the CD-ICPC- 100D in box #14. Except in the case of Regulation 7, Priority referrals, all ICPC referrals must include this form signed by the CM or designee. Failure to include this form with the appropriate individuals’ signatures will result in the entire referral packet being returned to the sending county. ➢ Sending State Priority Home Study Request (CD-ICPC-101) ( mandatory ) Form CD-ICPC-101 is used to notify the receiving state that a Regulation 7, Priority placement, of a child is being requested. Form CD-ICPC-101 is completed with the rest of the referral packet within three (3) business days of receipt of a court order which indicates the court has determined that a priority placement situation exists. Child Welfare Manual, Section 4, Chapter 25 contains the criteria/timeframes to be used in determining whether a Priority referral is appropriate. ➢ Receiving State’s Priority Home Study (CD-ICPC-102) (optional) Form CD-ICPC-102 is optional and is used to complete a Priority Home Study in the time specified. This format is used only for those individuals who fall into the categories listed for a Priority referral (parents/step parent; grandparents/ step grandparents; aunts/ uncles; adult siblings) and who have been classified as such by the court of jurisdiction in the sending state. Staff may use the regular home study format or write a narrative in lieu of this form. For all other referrals refer to the Child Welfare Manual, Section 6, Chapter 3, Attachment A – Guide for Conducting Foster/ Kinship Family Assessments. ➢ Financial/Medical Plan (CD-ICPC-3) ( mandatory ) Form CD-ICPC-3 is a new form used to notify the receiving state of a child’s IV-E eligibility status and if a maintenance payment will be made on behalf of a child. If a child is not IV-E eligible and the resource placement will not receive a maintenance payment, this form lets the receiving state know that the resource family may need to apply for public assistance. This form also indicates how the child’s medical and financial needs will be met once placement occurs. The Financial/ Medical plan must accompany each initial ICPC referral packet. Any costs, other than regular maintenance payments, need to be approved through proper administrative channels. OBSOLETE FORMS The following forms are now obsolete: Certification of Eligibility for Title IV-E Foster Care or Adoption Assistance and Medical Assistance (CS-ICPC-1) and the Notice of Action/ Medicaid Eligibility (CS-ICPC-2) have been replaced by the Interstate Compact on the Placement of Children (ICPC) Financial/Medical Plan (CD-ICPC-3). The Protective Services Interstate Placement Form (SS 64) is no longer applicable. The CS- ICPC-1, CS-ICPC-2 and SS-64 forms should be destroyed. NEW LEGISLATION New legislation is currently underway throughout the country to amend the ICPC, but it must be adopted by thirty-five states in order to become effective. The new ICPC was recently approved by the Missouri General Assembly in Senate Bill 84, however, until it is ratified by 35 states, Missouri will continue to abide by the current provisions as indicated in RSMo 210.620. REFERENCE TOOL The Adoption Exchange Association has made an ICPC Receiving and Sending State Checklist tool, and is available to staff by clicking on the link located in the Reference Documents and Resources section below. NECESSARY ACTION: Please review this memorandum with all Children’s Division Staff. All questions should be cleared through normal supervisory channels and directed to: CHILD PLACEMENT COORDINATORS: Mary C. Kliethermes Mary.C.Kliethermes@dss.mo.gov or Monica S. Sekscinski Monica.S.Sekscinski@dss.mo.gov (573) 751-2981 PDS CONTACT: Belinda Luke Belinda.K.Luke@dss.mo.gov (573)751-8615 PROGRAM MANAGER: Cindy Wilkinson (573) 751-2981 Cindy.R.Wilkinson@dss.mo.gov DEPUTY DIRECTOR: James C. Harrison James.C.Harrison@dss.mo.gov (573)-751-2502 CHILD WELFARE MANUAL REVISIONS: Section 3, Chapter 1.3 Court Involved Cases Section 3, Chapter 2.5 Forms Completion And Record Review Section 4, Chapter 10.11 Steps Taken In The Process Of Returning The Child Section 4, Chapter 11 Attachment C: Special Expenses Payment Section 4, Chapter 25 Interstate Placements Section 4, Chapter 28.9 Adoption With A New Family Section 4, Chapter 30 Attachment B: Interstate Medicaid Guidelines Section 5, Chapter 2.7 Health Insurance Portability And Accountability Act (HIPAA) Section 6, Chapter 3 Attachment A: Guide For Conducting Foster/Kinship Family Assessments Section 6, Chapter 3 Attachment H: Guide For Conducting Adoptive Family Assessment Services FORMS AND INSTRUCTIONS : CD-ICPC-100A Placement Request and Instructions CD-ICPC-100B Child Placement Status Report and Instructions CD-ICPC-100D Transmittal Checklist and Instructions CD-ICPC-101 Sending State's Priority Home Study Request and Instructions CD-ICPC-102 Receiving State's Priority Home Study and Instructions CD-ICPC-3 Financial/Medical Plan and Instructions REFERENCE DOCUMENTS AND RESOURCES: P.L. 109-239 Safe & Timely Interstate Placement of Foster Children Act of 2006 CD04-63 Background Investigation Procedures in ICPC Cases CD06-88 Safe & Timely Interstate Placement of Foster Children Act of 2006 Interstate Compact on the Placement of Children ICPC Receiving/Sending State Checklist tools RELATED STATUTE: RSMo 210.620 Child Protection & Reformation ADMINISTRATIVE RULES : 13 CSR 35-60 Licensing of Foster Family Homes 13 CSR 40-50 Licensing of Foster/Adoptive Homes 13 CSR 40-73 Licensing of Child Placing Agencies PN/BL/MKK/MS",https://fostercaresystems.wustl.edu/foster/revisions-interstate-compact-placement-children-icpc
FOSTER HOME LICENSING RULES,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010, 2009, 2008, 2007","Contact and directory information, Expectations for care, Foster parent licensing, Safety","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS AND  CHILDREN’S DIVISION STAFF","PAULA NEESE, DIRECTOR","REFERENCE: CHILDREN’S DIVISION DISCUSSION: The purpose of this memorandum is to introduce changes in policy due to revisions in the foster home licensing rules, changes to the Foster/Adopt Home Assessment Application (CS-42) and the Resource Home and Safety Checklist (CS-45). The foster home licensing rules went into effect on January 30, 2007, and staff are to conduct all new licensing and renewals according to the revised licensing rules as of the date of this memorandum. Any currently licensed home must meet these requirements as their license is renewed. Staff should be addressing these changes with all licensed homes during their quarterly home visits to prepare resource providers for the changes they will need to make prior to their license being renewed. All contractors must also comply with these licensing criteria for homes they develop for their use or for those developed for the Division’s use under the Foster Care and Adoption Resource Services (FCARS) contract. FOSTER HOME LICENSING RULES The foster home licensing rules are located in the Child Welfare Manual, Section 6, Chapter 2, Attachment B. This section has been updated to reflect the revised licensing rules. The licensing rules are included in the Code of State Regulations and can be found on the secretary of state’s website ( www.sos.mo.gov ). The foster home licensing rules were previously included in Division 40 – Division of Family Services. This has now changed to Division 35 – Children’s Division. This memorandum will address the changes from the previous licensing rules except for those changes which relate to the foster home licensing emergency rule which went into effect in August, 2006. These changes were addressed in memorandum CD06-77 and will be addressed further in a forthcoming memorandum. The changes are addressed in the order in which they appear in the licensing rules. 13 CSR 35-60.010 Family Homes Offering Foster Care The changes to this section were the addition of the fingerprint background check information, the issuance of one license per household, suspension of a license, and utilization of the home. Fingerprint Background Checks – this change adds the requirement of fingerprint based background checks for all household members aged 17 and older as well as any child under age 17 that has been certified as an adult for the commission of a crime or has been convicted or pled guilty or nolo contendere to any crime. One License per Household – only one license will be issued per household. This means that a couple must be married in order for both persons to be included on the license. It also means that if more than one adult, no matter the relationship between the adults, lives in the household, only one may be licensed; for example a mother and adult daughter living in the same household, only one may be licensed as a foster parent. However, all adults living in the household who will have child care responsibilities must attend pre-service training but are not required to attend in-service training, although we would encourage them to do so. Suspension of License – this addition requires the Division to provide written notification to a licensee ten (10) days prior to their license being suspended and allows the provider to request a hearing and review. Thus, the Foster/Relative Home Action Report (CS-20) and the Notification of Resource Home Adverse Action letter (CS-20a) notifying the licensee of the action taken must be completed for all suspensions as it is for all denials and revocations. These forms can be found in the Children’s Division e-forms. Utilization of home – this is a new piece to this section and states that the granting of a license does not guarantee placement. It also states that all placement decisions will be made at the discretion of the Children’s Division and Juvenile Court in the best interest of the child based upon the totality of circumstances with parental preferences taken into consideration. This is to allow for CD and Juvenile Court staff to take into consideration the qualities and living situation of all potential placements and the preferences of the parents to make the best placement choice for the child. The foster family profile will be utilized in this process. Parental preferences alone should not prevent a potential placement resource from being selected. This is a decision that should be made with the Family Support Team. 13 CSR 35-60.020 Number of Children Changes to this section include the following: Language regarding dually licensed homes – the Division’s policy has been that no licensed foster home who is also licensed as a child care provider may have a foster child under the age of seven (7) in their home unless necessary to accommodate a sibling group. This change now places this policy into rule. Applicants and currently licensed homes must notify the Division of any contracts held for the care of children at the time of application or gained after licensure. 13 CSR 35-60.030 Minimum Qualifications of Foster Parent(s) There are significant changes to this section which include, the age of foster parents, citizenship status, competencies, a physician’s statement at license renewal, immunizations, training, home study information, and the foster family profile. Age of Foster Parents – this change adds language to the rule that allows for the licensure of a person under age 21 in the case of relative and kinship placements. Citizenship Status of Foster Parents – this has been added to the rules and requires that all persons seeking to be licensed by the Children’s Division must be a citizen of the United States or be able to verify lawful immigration status. All persons seeking licensure must provide a valid Social Security card or a Legal Immigrant Card (“green card”). All persons here legally have had a background check completed by the federal government prior to receiving their green card and their information is available in the FBI database. Therefore, a criminal background check may be completed on these individuals. Identix Identification Services, the contracted electronic fingerprint provider in Missouri, will accept a green card as identification for the purpose of completing background checks. Competencies – this addition to the Personal Qualifications for Foster Parents requires that foster parents be able to acquire and demonstrate performance based competence in each of the five competency areas (Protecting and nurturing; Meeting developmental needs; Supporting relationships between children and families; Connecting children to relationships intended to last a lifetime; and Working as a member of a professional team) and for re-evaluation of their abilities in these competencies at each license renewal. Physician’s Statement – this change adds the requirement of having the foster parent’s physician complete the Resource/Adoptive Family Medical/Health Report (CW-215) not only at the time of initial licensure but also at the time of renewal. Immunizations – requires that all family members be up to date on their immunizations. If anyone in the household is not up to date on immunizations, the family must provide a statement from their family physician that the health of foster children is not at risk. Training – requires the completion of a competency based training approved by the Division for pre-service and adds the requirement of in-service training hours for license renewal. Home study information – requires the collection of personal information for the purpose of completing a home study on the foster family. The information gathered will include, but is not limited to, Family size and household composition of the foster family; Ethnic and racial background of the foster family; Religious preferences and practices of the foster family; Lifestyles and practices, including sexual orientation, of the foster parents; Educational practices of the foster family; and Employment of the foster parents. This information will be collected during the initial assessment and must be updated at each license renewal assessment. Changes in some of these categories will require the home study to be updated within two weeks of the Division being notified of the change (changes to household composition, employment and address changes must be updated immediately per COA requirements). This requirement was previously addressed in memorandum CD06-49. Foster Family Profile – all of the information gathered for the home study will be condensed to comprise a foster family profile which will be utilized by the Family Support Team to assist in making placement decisions in the best interest of the child. A forthcoming memo will address this requirement in more depth. 13 CSR 35-60.040 Physical Standards for Foster Homes Changes to this section include: The cost of testing for a private water supply is to be the responsibility of the applicant or licensee. If the water supply is found to be unsafe for human consumption, an alternative source of drinking water is to be made available; The addition of swimming pools to the list of hazards which may require fencing; Clarification of age six and two (children age six (6) and older of the opposite sex are not to sleep in the same room and children age two (2) and older shall not sleep in the same room as foster parents); The foster home must have an operable phone or CD approved form of emergency contact; Requires smoke detectors in the home to be operable with batteries installed; Increases the required capacity of fire extinguishers in foster homes from 2 ½ to 5 pounds; and Requires carbon monoxide detectors in all households with gas appliances. This section also has new Weapons Requirements for foster homes which include: Any and all firearms and ammunition shall be stored so as to be inaccessible to children. Foster parents shall store ammunition separately from any weapons. Firearms and ammunition shall be stored in locked areas or cabinets with keys secured so as to be inaccessible to children. No firearms shall be kept in any vehicle transporting foster children (unless weapons are inaccessible to the foster child – i.e., in a locked glove box or other locked container or in the trunk of the vehicle) or on any person providing care or supervision to foster children. (An exception will be made for any person transporting a foster child who must carry a weapon as part of their job responsibilities – i.e., law enforcement officers.) No firearms possessed in violation of a state or federal law or a local government ordinance shall be present at any time in the home, on any household member, or in any vehicle in which the children are riding. Weapons storage shall be made available for external viewing by Children’s Division staff in order to assure weapons are inaccessible to children. 13 CSR 35-60.050 Care of Children The changes to this section include the requirement of the foster parents to: Participate in the Family Support Team (FST) meetings via physical attendance or via written or oral input; Notify the division within two weeks of any pertinent changes in their family situation (changes in household composition, marital status, employment, address, phone number, arrests, convictions, guilty pleas, etc.); Maintain medical and school files on foster children; “Act as the parent” on behalf of a foster child in the development of an IEP; Comply with all FST recommendations and court orders regarding visitation plans; and Support the foster child’s cultural identity and individuality in foster care. The Education and Training piece of this section has the most significant changes as it outlines that the educational and vocational plan for the foster child shall be determined by the FST, including at a minimum the legal custodian or representative of the licensed child placing agency, the parent(s), foster parent(s), juvenile officer, and child of appropriate age, twelve and above. The changes to this section also include the removal of the requirement for foster parents to provide allowances for foster children. 13 CSR 35-60.060 Records and Reports The changes to this section include requirements for the Division and its staff. These requirements include: Develop a record on each foster child to be given to the foster parent(s) at the time of placement; Provide additional information on the child to the foster parent(s) as it becomes available to the Division and outlines the content to be included in the record; Provide an after hours contact number for the case manager; and Provide all medical and dental information on the foster child including psychosocial and mental health history. The contents of the record are listed in the Child Welfare Manual Section 6 Chapter 3 Attachment B. RESOURCE HOME AND SAFETY CHECKLIST The Division has a responsibility to assure the safety of the children in division care and to do so, all homes providing care to our children will now have a Resource Home and Safety Checklist (CS-45) completed prior to licensure or the placement of a child. The CS-45 was previously the Kinship Home and Safety Checklist. This form has been adapted so it may be utilized for all of our resource homes and is attached along with instructions. Changes have also been made to the CS-42 Application for Foster/Adopt Home Assessment which include Reorganization of the form, Removal of the statement regarding the release of the information contained in the form, Changes the law violation section to Legal History, and Addition of a Child Abuse and Neglect History, NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. Any questions regarding this e-mail should be sent through normal supervisory channels. Share information from this memo with all licensed alternative care providers. PDS CONTACT Stefanie Wickers 573-751-1354 Stefanie.D.Wickers@dss.mo.gov PROGRAM MANAGER Melody Yancey 573-526-8040 Melody.Yancey@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 4 Chapter 12.2 Section 4 Chapter 12.3 Section 6 Chapter 3.1 Section 6 Chapter 3 Attachment A Section 6 Chapter 3 Attachment B Section 6 Chapter 3 Attachment D FORMS REVISIONS: Application for Foster/Adopt Home Assessment (CS-42) Resource Home and Safety Checklist (CS-45) RELATED STATUTE: RSMo 210.506 ADMINISTRATIVE RULE: State Code of Regulations Title 13 Division 35 Chapter 60 COUNCIL ON ACCREDITATION (COA) STANDARDS: S21.10 (Employee Access Only) G5.8 (Employee Access Only) PROGRAM IMPROVEMENT PLAN (PIP): N/A PN/SDW",https://fostercaresystems.wustl.edu/foster/foster-home-licensing-rules
"DOCUMENTATION OF EMAIL CORRESPONDENCE, SET UP AND MAINTENANCE OF PROVIDER RECORDS, AND ROLE OF WORKER IN RESOURCE PROVIDER LICENSING AND LICENSE MAINTENANCE",Missouri,Memo,"2007, 2006","Administrative process, Contact and directory information, Social worker licensing/qualifications","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS AND  CHILDREN’S DIVISION STAFF","PAULA NEESE, INTERIM DIRECTOR","REFERENCE: CHILDREN’S DIVISION DISCUSSION: The purpose of this memorandum is to introduce changes in policy related to the documentation of email correspondence in all case types, the set up and maintenance of provider records, and the role of the worker in resource provider licensing and license maintenance. These changes are contained in the Child Welfare Manual, Section 5, Chapter 1; and Section 6, Chapter 3, Attachment M. Attachment M is a new addition to the manual. DOCUMENTATION OF EMAIL CORRESPONDENCE Email has become a typical form of communication for our staff. We utilize this form of communication to relay information regarding cases to other Division staff, Juvenile Court personnel, placement providers, and attorneys. While we are using this form of communication more often, it still tends to be less formal in nature. The informality associated with this form of communication can create problems when staff are trying to adequately document case activity. Therefore, guidelines for the recording and documentation of email correspondence is being added to the Child Welfare Manual, Section 5, Chapter 1. Email correspondence pertaining to a case must be included in recording and documentation. The email message shall be printed and included in the correspondence section of the case file. Staff should also note in the narrative section that contact was made with an individual through email in the narrative section but the content of the message does not need to be included. Since email correspondence shall be included in the case file, staff should give the same consideration to the content as they would for letters and other forms of correspondence. Only information pertaining to the case should be included in the message and discussion of topics unrelated to the case should not be contained within the message. Staff are reminded that this form of correspondence is open to release when a request is made for a file. Since email may be released with the rest of the file, it is important that staff are careful to only include necessary and pertinent information. Personal information and commentary regarding case members or others involved in the case is not appropriate for this type of correspondence and should be left out. It is also important for best practice that only one case be discussed in each email. This means when consulting with a supervisor, Juvenile Officer or attorney regarding multiple cases, multiple emails should be sent. If email is received from another party discussing numerous cases, a copy of the correspondence should be placed in each case file with the names and information regarding the other cases redacted from the copy. Notation should be made in the narrative as to why there is information redacted from the correspondence. SET UP AND MAINTENANCE OF PROVIDER RECORDS Guidelines have now been established for the set up and maintenance of provider records. These guidelines are contained in Section 5, Chapter 1, of the Child Welfare Manual. Case recording for resource provider records should be completed quarterly and signed by the Children’s Services Worker responsible for licensing of the family. Documentation should include, at a minimum, the dates of quarterly home visits and who was seen at the visit, current number and type of placements, changes in household composition, licensing concerns, and progress on the Professional Family Development Plan. Quarterly home visits must be conducted by the licensing worker or another approved staff member and should not be conducted by the Children’s Services Workers for the foster children in the household. Quarterly documentation should also address any identified safety issues. The case narrative and documentation should be reviewed and signed quarterly by the supervisor for the worker responsible for licensing the home. ROLE OF THE WORKER The role of the Children’s Services Worker responsible for licensing resource providers is to coordinate the licensing and maintenance of all foster, relative and kinship care homes. This coordination includes recruitment, training, and support of foster, relative and kinship care providers. It also includes addressing any concerns (i.e. licensing violations or failing to meet the competencies) with the providers and assuring the home continues to meet licensing standards. A list of job duties related to resource provider licensing are contained in Section 6, Chapter 3, Attachment M, of the Child Welfare Manual. Changes have also been made to Section 6 Chapter 3.1 in order to comply with Council on Accreditation standard S21.10.05 . The changes made to this section were addressed in memorandum CD06-49 , and require the assessment (home study) to be updated within two weeks when significant changes within the foster, relative or kinship home are brought to staff’s attention. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Stefanie Wickers 573-751-1354 Stefanie.D.Wickers@dss.mo.gov PROGRAM MANAGER Cindy Wilkinson 573-751-3171 Cindy.R.Wilkinson@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 5 Chapter 1 Section 6 Chapter 3 Section 6 Chapter 3 Attachment M (new) Table of Contents FORMS AND INSTRUCTIONS: N/A REFERENCE DOCUMENTS and RESOURCES: Memorandum CD06-49 RELATED STATUTE: N/A ADMINISTRATIVE RULE: N/A COUNCIL ON ACCREDITATION (COA) STANDARDS: (Employee Access Only) S21.10.05 PROGRAM IMPROVEMENT PLAN (PIP): N/A SACWIS REQUIREMENTS: N/A",https://fostercaresystems.wustl.edu/foster/documentation-email-correspondence-set-and-maintenance-provider-records-and-role-worker
MAINTENANCE PAYMENTS FOR UNLICENSED RELATIVE AND KINSHIP CARE PROVIDERS CHANGED TO 90 DAYS,Missouri,Memo,"2007, 2006","Administrative process, Contact and directory information, Foster parent licensing, Kinship","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS AND  CHILDREN’S DIVISION STAFF","PAULA NEESE, INTERIM DIRECTOR","The purpose of this memorandum is to update staff on changes in policy related to maintenance payments for unlicensed relative and kinship care providers. This memo updates information introduced in memo CD05-80 . The completion of home studies and receipt of all necessary materials for licensure can often take longer than 30 days. This could result in providers not receiving payments for children placed in their homes pending the licensure process. In order to provide our staff and families time to obtain all necessary paperwork and to complete a thorough home study, the Division will now allow maintenance payments to unlicensed relative and kinship care providers for 90 days. Edits have been made to the payment system to allow for this extension. Payments will not be generated after 90 days so it is important to ensure that the family is licensed within 90 days. Instructions on how to enter these vendors on the SS-60 and SS-61 system can be found in memo CD05-80 . Changes have been made to the SS-60 Instructions to reflect the 90 day allowable payment period. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. Any questions regarding this e-mail should be sent through normal supervisory channels PDS CONTACT Stefanie Wickers 573-751-1354 Stefanie.D.Wickers@dss.mo.gov PROGRAM MANAGER Cindy Wilkinson 573-751-3171 Cindy.R.Wilkinson@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 4 Chapter 12.3 Section 6 Chapter 3.1 FORMS AND INSTRUCTIONS: SS-60 Instructions REFERENCE DOCUMENTS and RESOURCES: N/A RELATED STATUTE: N/A ADMINISTRATIVE RULE: N/A COUNCIL ON ACCREDITATION (COA) STANDARDS: N/A PROGRAM IMPROVEMENT PLAN (PIP): N/A SACWIS REQUIREMENTS: N/A PN/SW:js",https://fostercaresystems.wustl.edu/foster/maintenance-payments-unlicensed-relative-and-kinship-care-providers-changed-90-days
CLOSING LICENSE OF RESOURCE HOMES WITHOUT A PLACEMENT FOR THE LAST 12 MONTHS OR LONGER,Missouri,Memo,"2007, 2006","Administrative process, Contact and directory information, Forms - Other, Foster parent licensing, Placement","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS AND  CHILDREN’S DIVISION STAFF","PAULA NEESE, INTERIM DIRECTOR","REFERENCE: CHILDREN’S DIVISION DISCUSSION: The purpose of this memorandum is to introduce changes in policy related to closing of resource homes that have not had a placement for the last 12 months or longer. These changes are located in the Child Welfare Manual Section 6 Chapter 3. Foster, relative and kinship homes are licensed to provide care to the children in the Division’s custody. Homes that are licensed but not accepting placements inflate the numbers of available homes and mask the issue of lack of available placements for children in the Division’s custody. The Division takes the placement of children very seriously and as such want to have licensed only those homes that are actively accepting and providing for alternative care placements. Therefore, the Division is establishing a protocol and guidelines for the closing of licenses for those homes that have not had a placement for the last 12 months or longer. At the time of license renewal, the Children’s Services Worker responsible for licensing should identify those homes which have not had a placement in the last 12 months or longer. Once a home is identified, the worker should contact the family to arrange a face to face meeting. At this meeting, the worker should discuss the reason why the family has not had a placement during the past year or longer. For foster care providers, the worker should discuss the reason why the foster parent(s) has not had a placement during this time frame as well as discussing the types of children needing foster care placement. The goal should be to work with the family so they are ready to take foster care placements. A plan can be made to address the concerns of the foster parent(s) and/or the Division. The foster parent(s) may attend additional training or may be utilized for respite care to address placement concerns. The Professional Family Development Plan should be utilized for this process. Information on the Professional Family Development Plan is located in the Child Welfare Manual Section 6 Chapter 2 Attachment C . The worker should begin the process for closing the license only after working with the foster parent(s) to reach an agreement on placing children in the home and discussion with the worker’s supervisor. The worker should complete the form CS-20 Foster/Relative Home Action Report. These will be considered a voluntary relinquishment of the license, unless licensing violations are present and impact the decision to close the license, and staff should mark “other” in the reason for the license relinquishment. Staff should explain that the foster home has not had placement for the last 12 months or longer and that an agreement could not be reached for the placement of children in the home. If the foster family does not agree with closing the license, it should be suspended until such time as the family will accept children or license closing or revocation can be completed. Once the CS-20 is completed and approved, staff should update the SS-60 to show the license has been closed. The close reason used should be “04 – Vendor Resource Discontinued Service”. An exception can be made for Teaching Foster Parents who are not currently accepting placements since the contract for Teaching Foster Parents requires them to have a current license. For relative and kinship care providers, the worker should determine if the providers may be utilized for the identified child(ren) in the future. The license may be kept open if there is a possibility that the relative/kin child(ren) may return to the home. If the worker and supervisor feel the family is appropriate for consideration, they may also discuss with the provider the needs of the circuit for alternative care providers to determine if the provider is interested in becoming a licensed foster home. The license should be closed if neither of these criteria is met. The closing procedure is the same as noted above. NECESSARY ACTION: Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. Any questions regarding this e-mail should be sent through normal supervisory channels. Share information from this memorandum with all currently licensed alternative care providers. CD E-Forms and Instructions PDS CONTACT Stefanie Wickers 573-751-1354 Stefanie.D.Wickers@dss.mo.gov PROGRAM MANAGER Cindy Wilkinson 573-751-3171 Cindy.R.Wilkinson@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 6 Chapter 3 RELATED STATUTE: N/A ADMINISTRATIVE RULE: State Code of Regulations Title 13 Division 40 Chapter 60 COUNCIL ON ACCREDITATION (COA) STANDARDS: N/A PROGRAM IMPROVEMENT PLAN (PIP): N/A PN/SW:js",https://fostercaresystems.wustl.edu/foster/closing-license-resource-homes-without-placement-last-12-months-or-longer
"NEW PLACEMENT CODES FOR RELATIVE AND NON-RELATIVE KINSHIP CARE PROVIDERS PROTOCOL FOR LICENSING RELATIVE AND KINSHIP CARE PROVIDERS CORRESPONDING UPDATES TO THE SS-60 AND SS-61 INSTRUCTIONS, CODE SHEETS, AND FORMS; MANUAL UPDATES TO: SECTION 2 CHAPTER 7 SECTION 4 CHAPTER 4 SECTION 4 CHAPTER 4 - ATTACHMENT B SECTION 4 CHAPTER 5 - ATTACHMENT A SECTION 4 CHAPTER 12, AND SECTION 6 CHAPTER 3",Missouri,Memo,2005,"Contact and directory information, Forms - Other, Kinship, Placement","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND  CHILDREN’S DIVISION STAFF","PAULA NEESE, INTERIM DIRECTOR","DISCUSSION: The purpose of this memorandum is to inform staff of updates to policy and procedures regarding development of new placement types, and corresponding updates to the SS-60 Vendor Licensure/Placement Resource Report and SS-61 Alternative Care Client instructions, code sheets and forms. In the past, the Children’s Division has been unable to identify placement providers of children in the system in a Court Ordered (CTO) relative or non-relative placement. New codes have been added to better identify and track all children who are court ordered in a relative or non-relative kinship placement or in foster home placements. CTO CONVERSION PROCESS All current CTO placements with a relative (C) or non-relative (D) subtype must be converted to one of the new Relative (RH) or Kinship (KH) codes by January, 31, 2006. Effective immediately staff will no longer be able to enter any new placement subtypes of CTO-C or D on the SS-61. The current CTO-C or D subtypes will continue to appear on the SS-61 turnaround until all conversions have been completed. A system generated listing of children in those placements will be sent to Regional Directors and Quality Assurance (QA) Specialists each month until all conversions have been completed. The QA Specialists have been trained on the CTO conversion process and will support Circuits in training and assisting staff with the conversions. NEW CODES Placement Codes on SS-61 (Field 47): RHU- an unlicensed Relative Home KHU- an unlicensed Non-Relative Kinship Home KHO- a licensed Non-Relative Kinship Home KHB- a licensed Behavioral Non-Relative Kinship Home KHM- a licensed Medical Non-Relative Kinship Home Due to the volume of children currently in CTO-C or D placements it is anticipated there will not be a high number of new KHO, KHB or KHM placements. Many of the conversions may be either RHU or KHU placement types. The conversions will then more accurately reflect an increase of children placed in relative or kinship homes as desired by our Program Improvement Plan (PIP). For the purpose of differentiating relative versus non-relative placements: a Relative (RH) placement signifies the child and placement provider are related by blood, marriage or adoption. A Kinship (KH) placement signifies there is no blood, marriage or adoption relationship but a close relationship exists between the child and kinship provider. Staff shall also check the appropriateness of the current placement type for ALL children in ACTS. Those children living with a relative but are currently tracked as FHO must be changed to accurately reflect a relative placement type. If children are placed with a relative, the only appropriate placement types are: RHO, RHB, RHM, RHU or ADR. NEW LICENSURE CODES ON SS-60 (FIELD 24a) Per CD policy, Section 6 Chapter 3, an unlicensed placement provider can receive a maintenance payment of state-only funds for 30 days if they are pursuing licensure. Those providers already in the system as CTO-C or D must decide whether or not they want to be licensed, complete training and enter into a contractual agreement with the CD. If the provider does not want to be licensed, staff will still need to complete the SS-60 to obtain a vendor number. Staff will need to check vendor screens, VNME and VNMA, in PROD to verify the placement provider does not already possess a vendor number. If the vendor already has an assigned vendor number, that Departmental Vendor Number (DVN) should be used to update the SS-60. If there is no vendor number, an SS-60 will need to be completed in order for the placement provider to be assigned a DVN. Field 24a on the SS-60 is a new field to document the vendor’s Licensing Status of: 1=the vendor meets licensing and training requirements 2=the vendor is pursuing licensure 3=the vendor is not pursuing licensure or maintenance Code ‘1’ will correspond to placement types: KHO, KHB, KHM, RHO, RHB, and RHM. If the vendor’s license has expired and the vendor chooses to meet licensing requirements, they must apply for a new license before this field can be updated. Code ‘2’ will correspond to placement types: RHU and KHU ONLY. If a vendor is pursuing licensure, the vendor can be updated to reflect when licensure has been completed to Code ‘1’. If it is determined the vendor does not meet licensure requirements or later chooses not to receive maintenance, the vendor should be updated to Code ‘3’. Code ‘3’ will correspond to placement types: RHU and KHU ONLY. Vendors classified as a Code ‘3’ do not meet licensure requirements or opt not to be licensed. These vendors are not eligible for maintenance. The licensing status entered in Field 24a on the SS-60 determines the maintenance code in Field 56 on the SS-61. See the chart below for data entry information. Placement Type LICENSURE CODES 1, 2, 3 FIELD 24a ON SS-60 MAINTENANCE CODES ON SS-61 KHU/RHU 2 = Pursuing licensure 3 = Not pursuing licensure IF Kinship/Relative Status = 2: Enter code of ‘1’ in field 56 on SS-61. This will automatically generate payment for 30 days and only 30 days. DO NOT PAY PROVIDER PAST 30 DAYS, unless licensure is completed and system updated. IF Kinship/Relative Status = 3: Enter code of ‘3’ in field 56 on SS-61 when the provider does not want to pursue licensure or may not be eligible for licensure. Payment will not generate as the provider is not eligible to receive payments. KHO/RHO 1 = Vendor meets licensure, contract and training requirements Update ZVLI (field 24a) from status ‘2’ to status ‘1’ When licensure is completed on kinship/relative providers within 30 days and ZVLI (field 24a) is updated within 30 days to a ‘1’, ZCC3 (field 56) will be correct. If licensure is not completed within 30 days, update ZVLI (field 24a) to a ‘1’ and update ZCC3 (field 56) on the SS-61 from ‘3’ to ‘1’ KHB/RHB 1 = Vendor meets licensure, contract and training requirements Update ZVLI (field 24a) from status ’2’ to status ‘1' Update ZCC3 (field 56) on the SS-61 from ‘1’ to ‘4’ (above standard rate). Enter the monthly rate for behavioral care. KHM/RHM 1 = Vendor meets licensure, contract and training requirements Update ZVLI (field 24a) from status ‘2’ to status ‘1’ Update ZCC3 (field 56) on the SS-61 from ‘1’ to ‘4’ (above standard rate). Enter the monthly rate for medical care SS-60 and SS-61 CHANGES The SS-60 and SS-61 instructions, code sheets and forms have been changed to reflect the new codes. Hyperlinks are included for staff to link to updates. SS-60 Instructions: KH has been added to the following fields which must be completed for this vendor type: Field 1, Field 13, Field 18, Sections C (includes new Field 24a information), D, E, F and Attachments A-1, A-2, and A-3. SS-60 Code Sheet: KH has been added to Field 3. Field 24a is for Licensing Status. SS-60 Form: Reflects KH added to Sections C, D, E, and F. SS-61 Instructions: Updates are reflected in Section C-Grid, Special Instructions Grid, Field 47, Field 47a, 47c, 48 & Notes. The demographics in Fields 48a-48h are no longer necessary and will be removed from the entry form, but continue on the turnaround until all conversions have been completed. SS-61 Code Sheet: Updates occur in Fields 47 and 47a. SS-61 Form: The entire row for CTO-1 and CTO-2 Provider information has been removed. MANUAL UPDATES: The following changes have been made to the CW manual. Section 2 Chapter 7.1 and 7.5.4.3—reflects the addition of Licensed Foster Parents/Relatives/Kinship, and the heading changed from Division Foster Parent to Licensed/Unlicensed Placement Provider in 7.5.4.3. Section 4 Chapter 4.4.1—redefines the definition of kinship care as no blood, marriage or adoption relationship, but a close relationship exists between the child and kinship provider. Section 4 Chapter 4 Attachment B, page 1—“Placement shall be in a licensed home which has a contract with the Children’s Division to provide foster care, relative/kinship care, foster/adoptive care, residential treatment and family group home services.” Section 4 Chapter 5 Attachment A—the grid has been updated. Section 4 Chapter 12.3—Agency Arranged Kinship Care section: the information has been updated on steps to take once a relative or kinship provider has been identified, as well as the process for completing the SS-60/SS-61 for licensing and maintenance. Section 6 Chapter 3.1, page 3 in Foster/Kinship Family Assessment section: added the name of the SS-60 form. ACCESS: Staff can now access the updated versions of the instructions, code sheets and forms for the SS-60 and SS-61 in E FORMS via the Employee Intranet Home page in Word. Staff should delete the outdated documents in One Form on their personal computers. SS-60 VENDOR LICENSURE/PLACEMENT RESOURCE REPORT FORM, CODE SHEET AND INSTRUCTIONS SS-61 ALTERNATIVE CARE CLIENT FORM, CODE SHEET AND INSTRUCTIONS NECESSARY ACTION: Please review this memorandum with all Children’s Division staff. Staff shall review all CTO placements and, if applicable, convert to a relative placement type by January 31, 2006. Staff shall determine if children now tracked in a FHO should be tracked in one of the new placement types, if placed with a relative. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT: Belinda Kay Luke Fisher, PDS 573-751-8615 Belinda.K.LukeFisher@dss.mo.gov PROGRAM MANAGER: Cindy Wilkinson 573-751-3171 Cindy.R.Wilkinson@dss.mo.gov CHILD WELFARE MANUAL REVISIONS: Section 2 Chapter 7 Section 4 Chapter 4 Section 4 Chapter 4 Attachment B Section 4 Chapter 5 Attachment A Section 4 Chapter 12 Section 6 Chapter 3 FORMS AND INSTRUCTIONS SS-60 Form SS-60 Code Sheet SS-60 Instructions SS-61 Form SS-61 Code Sheet SS-61 Instructions REFERENCE DOCUMENTS Relative and Kinship Care Provider Codes Chart RELATED STATUTES: 210.111 RSMo 210.112 RSMo 210.501 RSMo 210.506 RSMo 210.511 RSMo 210.565 RSMo 210.566 RSMo COUNCIL ON ACCREDITATION (COA) STANDARDS: S10.4.03 (Kinship care as an alternative placement to prevent removal) S21(Foster and Kinship Care Services) PROGRAM IMPROVEMENT PLAN (PIP): P1.6.1 Increase system capacity to accurately track placement kinship vendor types PN/BLF:js",https://fostercaresystems.wustl.edu/foster/new-placement-codes-relative-and-non-relative-kinship-care-providers-protocol-licensing
USE OF ELECTRONIC SCANNING SERVICE FOR CRIMINAL BACKGROUND CHECKS,Missouri,Memo,"2007, 2006, 2005","Administrative process, Contact and directory information, Foster parent licensing","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, INTERIM DIRECTOR","We have been fingerprinting all prospective foster parents, relative care providers and adult household members since January 28, 2004, as required by RSMo 210.487. We previously submitted fingerprint cards to the Missouri State Highway Patrol (MSHP) for processing. However, MSHP awarded a contract to Identix Identification Services (IIS) to provide electronic fingerprint scanning services in Missouri. This service is known as Missouri Applicant Processing Services or MOAPS . The Children’s Division began utilizing this service in July, 2005. This service is also utilized by in home child care providers who are monitored through the Office of Early Childhood. Information on the use of the electronic scan service by in home child care providers can be found by referencing Memo CD05-49 , dated 08/17/05. This memorandum is to outline the changes made in policy regarding: The submission of fingerprints; Review the process for using MOAPS; Review the letters to be provided to applicants for scheduling purposes; and Establish a process for conducting group scan sessions. The Child Welfare Manual has been updated to include the new electronic scan process. These changes were made to Section 6 Chapter 3 Attachments A, D, and H. The electronic scan process should be the only process utilized; however, there may be specific situations in which the previous card and ink method may be used. This should be done in rare cases only, such as homebound adults living in a foster, relative or kinship home. Staff should be aware that results on card and ink prints may take as long as 3 months to be returned. We are currently averaging 10 weeks for card and ink results. The rejection rate is also much higher using this method. Therefore, staff should provide sufficient time for these results to be returned so there will not be a delay in issuing or renewing a license. No provider should be issued a license prior to the criminal background check results being received. Applicants may schedule their appointments either by phone or through the Identix website. The process for registration is as follows: Contact MOAPS to schedule the appointment. To schedule by phone, call 1-866-522-7067. To schedule via the Internet, go to www.identix.com/iis . The applicant will need to identify the reason they are being printed and that is to provide foster care for the Children's Division. Respite providers and biological parents will need to state that they are being printed at the request of the Children’s Division. MOAPS staff will request additional identifying information. This information includes: Full name _______________ Date of Birth _______________ Social Security Number _______________ ORI number M0920360Z OCA code _______________ (The OCA field must be provided to the applicant by the local office prior to the applicant contacting MOAPS. The OCA codes were previously provided to all counties.) Once MOAPS has collected the information, a date and time for the appointment will be set. Applicants may view available sites on the IIS website. This information may be located by going to www.identix.com/iis and clicking on Missouri . This will take you to the Missouri information page. Under the Current Project Status heading, there is a link within the text titled Missouri location web page . This will show all current locations and the number of days available for scanning. The process information listed above should be provided to all applicants by utilizing one of the letters previously provided to counties. There are letters for alternative care providers, biological parents, respite care providers and private agencies. The letters for alternative care providers, biological parents and respite care providers are attached. These letters include the ORI and OCA information which are the components necessary for adequate billing process. It is important to be sure that the appropriate OCA code is utilized so our alternative care providers will not be charged for their prints. There are separate letters for biological parents and respite providers as we do not cover the cost of those prints. The cost to them for utilizing MOAPS is $50.95, which includes the fees of $24 for FBI, $14 for MSHP, and $12.95 processing fee. Identix is able to determine whether to bill the Division or charge the applicant the fees based upon the OCA code provided by Children’s Division staff. The Division may pay for criminal background checks for relative studies being done through ICPC if the family is completing the licensure process. Relatives not completing the licensure process will be responsible for payment for the background screening. The Division will not pay for the background checks on any individuals residing with the biological parent(s). Specific questions regarding the ICPC process should be directed to the ICPC unit in Central Office. Identix offers on-site scanning for groups of 30 or more. Children’s Division staff may arrange this service by contacting Identix Identification Services at 573-592-7169 or 941-730-4766. The current IIS staff member handling these requests is Christine Devore. Staff should give 2-3 weeks notice when arranging an on-site session. Staff will need to decide whether applicants will complete forms for submission to Identix or enroll online for the on-site scanning. IIS will work with staff to make these arrangements and to schedule the sessions. If a county is experiencing delays in receiving background results, they may contact Martha Witt in the Background Screening and Investigation Unit at 573-751-3448 or Martha.S.Witt@dss.mo.gov or Stefanie Wickers in the Quality Improvement and Field Support Unit. NECESSARY ACTION: Review with all Children’s Division staff PDS CONTACT: Stefanie Wickers 573-751-1354 Stefanie.D.Wickers@dss.mo.gov PROGRAM MANAGER: Cindy Wilkinson 573-751-3171 Cindy.R.Wilkinson@dss.mo.gov CHILD WELFARE MANUAL REVISIONS: Section 6 Chapter 3 Attachment A Section 6 Chapter 3 Attachment D Section 6 Chapter 3 Attachment H RELATED STATUTE: RSMo 210.487 ADMINISTRATIVE RULE: State Code of Regulations Title 13 Division 40 Chapter 60 COUNCIL ON ACCREDITATION (COA) STANDARDS: N/A PN/SW:js3",https://fostercaresystems.wustl.edu/foster/use-electronic-scanning-service-criminal-background-checks
INDEPENDENT LIVING ARRANGEMENTS,Missouri,Memo,"2024, 2023, 2022, 2021, 2020","Administrative process, Placement",CHILDREN’S DIVISION AND CONTRACTED STAFF,"REGINALD E. MCELHANNON, INTERIM DIRECTOR","DISCUSSION: The purpose of this memorandum is to clarify qualifications of an Independent Living Arrangement (ILA) as a placement type, new requirements, and introduce a new review process. The changes are effective with this memo. Missouri reports data annually on youth in ILA placements and this placement type must meet the requirements as outlined in the Child Welfare Policy Manual to avoid audit findings that result in a Program Improvement Plan. Youth in Independent Living Arrangements, while often viewed as doing well and being capable of living “independently”, need as much if not more support than youth in other placement types as there is not a resource parent in the young person’s life and they often have limited personal connections. Effective with this memo, youth in an ILA placement must have two contacts per month, at least one in person in their living environment. As ILA is the only placement type in which there is not a resource provider involved, this level of contact is a necessary next step to help improve outcomes and successful transition of youth exiting state custody. Youth Criteria: Youth in an ILA should have a goal of Another Planned Permanent Living Arrangement (APPLA) and must be receiving Chafee Services prior to the placement being made. Although licensure is not involved, an ILA is a planned and approved living arrangement that must meet certain criteria to ensure the safety and wellbeing of the youth. Youth in an ILA should be able to demonstrate competency in life skills, manage his/her own finances, demonstrate responsible conduct, and are attending school and or working. An FST or Team Decision Making Placement Stability meeting shall occur prior to a youth moving into an ILA. Youth in an ILA must be at least 18 years old; in Missouri, youth under the age of 18 are not allowed to enter into a lease agreement, which is vital to provide housing stability. Youth who are 17 may be considered for ILA if they have 2 obtained their high school diploma or HiSet. Youth who are still attending high school are typically not able to focus on the demands of sustaining an ILA residence thus they should be referred for the Transitional Living Program instead. Household Composition: Youth in an ILA are allowed to have roommates, however, ILA is not to be used as a substitute for relative licensure to provide a form of maintenance for the family, including the biological parent whose rights have been terminated. Placement with a safe supportive adult is always ideal over an Independent Living Arrangement whenever possible. If placement with an adult caregiver is the plan for the youth, another placement code should be used instead of ILA. ILA shall not to be used in situations where the youth is living with a parent. Foster Care is a form of substitute care for children whose safety or well-being requires they be removed from the home of their parent(s). If the parent of the foster youth resides in the home, the foster youth is no longer “removed from the control of his parents” per RSM0 211.011 nor is the youth “unattended by parent” per RSMo 210.481(4). ILA shall not be used as a placement with friends or family members who are unable to meet licensure requirements. If an adult exercises authority over the youth or has in the past, or the youth is paying “rent” to a family member or former foster parent while residing in the same residence, this is not an appropriate ILA placement. A youth in an ILA shall not be providing supervision or authority over any other youth residing in the home. Consequently siblings of youth in an ILA may not be “placed” with the youth as an ILA placement. If a sibling meets all of the ILA requirements, the siblings may however reside together as housemates. For example, a 15 year old and an 18 year old may not reside together in ILA placements as a 15 year old does not meet the age requirements. However, an 18 year old and a 19 year old sibling may reside together as they both meet the age requirements for ILA. Youth working on their own successful transition from foster care should not be put in a position of having parental authority over a sibling, and youth under the age of the ILA requirements are in need of parental authority. Service and Supervision Provisions: If a youth resides in a community program that provides living arrangements such as Job Corp, this is an ILA placement and the youth shall receive maintenance directly to them as they are living independently. The youth may visit a resource family on the weekend however the majority of the time the youth is residing in a program and thus it is not a foster care placement. Youth in an ILA shall not “rent” a room or apartment from a foster parent or parent. ILA is meant to be a community setting for independence. Renting from a parent or foster parent can result in complications as these persons have had authority over the youth in the past and leave the youth in a vulnerable position, such as homelessness, should the relationship change. If a youth is case managed by an agency outside of Children’s Division or Foster Care Case Management, such as the Department of Mental Health or a group home program that is not licensed but in which staff reside, this is not an ILA. Youth in an ILA should be able to manage their own physical and mental health needs on a daily basis, are able to come and go on their own, and have entered into a lease agreement to reside in the dwelling. Youth who qualify for an ILA should have a plan to exit to independence, not to the care of another agency. There are some community agencies providing services similar to transitional living program services via an apartment or a group home setting that are not licensed and contracted with Children’s Division to provide this service. These programs are not approved to provide services for youth in foster care so youth should not be placed with them and coded as an ILA. Staff in these facilities are not monitored by Children’s Division. If a youth is in need of a Transitional Living Program , a referral shall be made with an agency who is contracted with Children’s Division to provide this service. Steps To Be Taken: New Tools: Two new tools have been developed to be used in conjunction with the CS-TLP1 for placement in an ILA: Independent Living Arrangement Checklist, CD-282 and the SelfDeveloped Case Plan for Independent Living Arrangement, CD-283. The ILA Checklist, CD-282 has been developed for use with all youth currently residing in or being considered for an ILA placement. For any youth with a placement code of ILA, the Independent Living Arrangement Checklist, CD-282 and the CS-TLP-1 shall be completed within the next 30 days and the process outlined below followed to ensure youth currently coded as ILA are appropriately placed and safe. The Independent Living Arrangement Checklist, CD-282 and the CS-TLP-1 shall be completed each time the youth moves to a new ILA to ensure the living environment is safe and meets ILA requirements. The checklist should be reviewed quarterly by the case manager and the supervisor during case consultation. If a youth is determined to not meet the criteria for an ILA placement, the coding shall not be used. The Self-Developed Case Plan for Independent Living Arrangement, CD-283 is used to assist with preparation and budgeting for an initial ILA placement. Prior to Placement: Moving forward, for any new placements in which ILA is being considered, PRIOR to placement being made, the Children’s Service Worker shall send the completed ILA 4 Checklist, CD-282 and the Self-Developed Case Plan for Independent Living Arrangement, CD-283 to the Circuit Manager (CM)/Program Manager (PM) for review. After reviewing, the CM/PM will indicate whether the placement constitutes an ILA per the criteria in the Child Welfare Policy Manual. A decision as to whether the placement meets ILA criteria should be determined within 30 days after the checklist is initially received. If the placement does not meet the criteria for an ILA, and the family support team or court wishes to pursue the living arrangement, a different placement code will need to be used (i.e. RHU, CTO, etc.). A copy of the Independent Living Arrangement (ILA) Checklist, CD-282, the CS-TLP-1 , and the Self-Developed Case Plan for Independent Living Arrangement, CD-283 shall be placed in the youth’s file in the Older Youth Program section and a copy shall be provided to the Regional Older Youth Transition Specialists upon completion. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Sally A. Gaines (660)882-5312 ext. 230 Sally.A.Gaines@dss.mo.gov MANAGER CONTACT Ivy Doxley (573)526-1422 Ivy.Doxley@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 4 Chapter 5 Overview Section 4 Chapter 5.5 Independent Living Arrangement Section 4 Chapter 5.9 Exit Plan Section 7 Glossary “A” Section 7 Glossary “C” Section 7 Glossary “I” Section 7 Glossary “N” Section 8 Glossary “O” FORMS AND INSTRUCTIONS Independent Living Arrangement Checklist, CD-282 (new) TLP Advocate and Independent Living Arrangement (ILA) Checklist, CS-TLP-1 Self-Developed Case Plan for Independent Living Arrangement, CD-283 (new) REFERENCE DOCUMENTS AND RESOURCES RELATED STATUTE RSMo 210.481(4)",https://fostercaresystems.wustl.edu/foster/independent-living-arrangements
LICENSURE OF FOSTER/ADOPTIVE APPLICANTS AND COMMUNICABLE DISEASE SECTION 6.3 ATTACHMENT B FOSTER FAMILY HOME LICENSING RULES,Missouri,Memo,"2007, 2006, 2005","Definitions, Expectations for care, Foster parent licensing","AREA EXECUTIVE STAFF, CIRCUIT MANAGERS AND CHILDREN’S DIVISION STAFF","FREDERIC M. SIMMENS, DIRECTOR","The purpose of this memorandum is to clarify the Children’s Division’s communicable disease policy. As per the Department of Health and Senior Services, a communicable disease is defined as a disease that can be transmitted from one person to another. These diseases can range from mild to serious. This definition is dependant upon a physician’s examination and diagnosis. The CSR 40.60.020 foster/adopt home license rules state the following: Health of Foster Family: At the time of application for an initial license, foster parents shall authorize their physician to submit a statement on a prescribed form, regarding his opinion of the mental health of each foster family member and certifying that a physical examination was completed within the past year and that the foster family members are free from communicable disease. A tuberculosis test and/or chest x-ray shall be completed, if recommended by the physician. The physician’s statement shall indicate whether the applicant has a communicable disease and shall further state whether the disease will present a medical risk to children and families and if the disease is easily transferred from one person to another. If the physician’s statement reveals the above we will be unable to license the individual as a foster/adopt home. If a currently licensed foster/adopt parent is occupationally exposed to blood or other potentially infectious material they would need to be evaluated for exposure to communicable diseases. A foster or relative parent who accepts a child who has a communicable disease shall be required to be trained in the proper medical handling procedures for the child in their care to ensure continued safety of the child and foster/adopt family. There may be individual situations when a relative or kinship provider who is infected with a communicable disease can be licensed as a child specific placement with parental consent. NECESSARY ACTION: Review this memorandum with all Children’s Division Staff. Review Section 6.3. Attachment B, Foster Family Home Licensing Rules in the Child Welfare Manual. Implement policy immediately upon receipt of this policy. All comments and recommendations regarding this subject should be cleared through normal supervisory channels. FMS/BW/VES",https://fostercaresystems.wustl.edu/foster/licensure-fosteradoptive-applicants-and-communicable-disease-section-63-attachment-b-foster
FINGERPRINTING PROCESS,Missouri,Memo,"2007, 2006, 2005, 2004",Administrative process,"REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS AND  CHILDREN’S DIVISION STAFF","FREDERIC M. SIMMENS, DIRECTOR","REFERENCE: CHILDREN’S DIVISION DISCUSSION: We have been made aware that recently foster, relative and kinship providers have been sent directly to the Highway Patrol to have fingerprints completed rather than sending the fingerprint cards through the Background Screening and Investigation Unit (BSIU). All foster, relative and kinship providers, both initially and at renewal, should have fingerprints taken by the local office or contracted provider following the process outlined in Memorandum CD04-05. These should then be submitted to BSIU for completion by the Missouri State Highway Patrol (MSHP) and Federal Bureau of Investigation (FBI). No foster, relative or kinship provider should be sent to the Highway Patrol for fingerprinting except in extreme emergencies and with Regional Director approval. The following is the procedure when sending foster, relative and kinship providers to the Highway Patrol. Regional Director gives approval for foster, relative or kinship provider to go to MSHP The licensing worker contacts BSIU at 573-751-3448 to make arrangements for foster, relative or kinship provider to go to MSHP. The licensing worker will need to provide the following information at the time arrangements are made: Date of birth on each person to be fingerprinted Social Security number on each person to be fingerprinted Date each person plans to be at MSHP for fingerprinting Copy of Regional Director’s Approval The foster, relative or kinship provider will need to bring the rejected fingerprint card with them if they are being sent to MSHP due to the return of the cards (due to bad prints, unreadable prints, etc). Foster, relative and kinship providers should not be sent to MSHP except in extreme emergencies and without prior arrangements being made. This procedure was developed due to many concerns that arise when prospective providers are sent without prior notification and approval. First, the families will be charged to have their fingerprint checks completed. The cost is $14 for the MSHP screening and $24 for FBI screening and this cost can not be reimbursed by the Division. Secondly, staff at MSHP must handle any walk-in requests immediately and this takes them away from fingerprint cards that were sent in for processing and creates further delays for other prospective homes. It also creates issues for chain of evidence since the results will be given directly to the prospective providers and will not be processed through BSIU. This also means that our tracking and statistics will not be accurate which can affect funding and create other issues with the legislature and our consumers. By following all procedures for completing fingerprint background screens, we can limit the problems experienced by staff and families. It is the goal of the Division and the Missouri State Highway Patrol to streamline this process and decrease the turnaround time for results. However, this can not be done without the cooperation of all staff, contracted providers and families. Additional fingerprinting cards can be ordered through the warehouse. They are form #FD-258. Additional information regarding ordering fingerprinting cards can be obtained by reviewing Memorandum CD04-05. NECESSARY ACTION: Review this memorandum with all Children’s Division staff. Review Memorandum CD04-05. The following sections have been changed in the Child Welfare Manual Intranet site: Section 6, Chapter 3, Attachment A, Guide for Conducting Foster/Kinship Family Assessments Section 6, Chapter 3, Attachment D, Guide for Conducting Renewal Assessment All comments and questions regarding this memorandum should be cleared through normal supervisory channels. FMS/SW:js",https://fostercaresystems.wustl.edu/foster/fingerprinting-process
BACKGROUND INVESTIGATION PROCEDURES IN ICPC CASES.,Missouri,Memo,"2007, 2006, 2005, 2004","Administrative process, Contact and directory information, Foster parent licensing, Investigations","AREA EXECUTIVE STAFF, COUNTY DIRECTORS, CIRCUIT MANAGERS AND CHILDREN’S DIVISION STAFF","FREDERIC M. SIMMENS, DIRECTOR","REFERENCE: CHILDREN’S DIVISION DISCUSSION: The purpose of this memo is to clarify procedures for completing background investigations on applicants when an ICPC referral is received requesting a home assessment. The Interstate Compact on the Placement of Children (ICPC) ensures protections and services to children who are placed across state lines for the purpose of relative/kinship care, foster care or adoption. ICPC establishes procedures for ensuring safe and suitable placements. Through ICPC, legal and financial responsibilities for those placements are also ensured. Missouri’s Children’s Division is responsible for assuring the highest degree of safety possible for children entering the state. According to the Child Welfare Manual, Section 6.3.A, the following steps are to be taken when completing a background investigation in a home assessment for the purpose of licensure. The same steps are to be taken in completion of any ICPC assessment. STEPS TO BE FOLLOWED FOR LICENSURE: The following steps shall be completed for every applicant and adult household member (age 18 and older). Supporting documentation of each step is to be filed in the licensing record . The Child Abuse/Neglect background screening will continue to be done by the local Children’s Division (CD). Each household member 18 years of age and older must register with the Family Care Safety Registry (FCSR). The registry is maintained by the Department of Health and Senior Services (DHSS). The following background screening information is available from FCSR: Missouri criminal history information made available from the Missouri State Highway Patrol; Sex Offender Registry information made available from the Department of Social Services; The employee disqualification list made available from the Department of Health and Senior Services; Child-care facility licensing records made available by the Department of Social Services; and Residential living facility and nursing home licensing records made available from the Department of Health and Senior Services. Give the applicant a “Worker Registration Form” to register each adult in the household with the FCSR. Copies of the form can be ordered from the warehouse or downloaded at http://www.dhss.state.mo.us/FCSR . Instruct the applicant to register as quickly as possible by submitting the completed form and a photocopy of their social security card to the Missouri Department of Health, Fee Receipts Unit, P.O. Box 570, Jefferson City, MO 65102. The form may be faxed to 573-522-6981 to ensure a priority response. If no social security card is available, the only acceptable substitute is a driver’s license (if the SSN is used as the ID number); a military ID; a Medicare card; or the Social Security Administration statement provided when application is made for a replacement card (as long as it has the SSN identified, the name appears on the statement and it is initialed or signed by a SSA representative). Registrants (and all their adult household members) who are foster parents, respite providers, or are applying to provide those services must check the foster parent box in Section A to avoid having to pay the registration fee. The licensing worker may telephone the FCSR at 1-866-422-6872 to make a background screening request. Generally information will be available within two weeks. An oral report will be given at the time of the call and will be followed with a written report to both the requestor and the registrant within 48 hours. REGISTRATION IS ONLY REQUIRED ONCE. If completing a background screening for re-licensure, the worker needs to only call the FCSR. State and national criminal record checks will be completed for each adult household member. Fingerprints are now required. The Missouri State Highway Patrol (MSHP) will complete a state criminal record check and then electronically send the fingerprint images to the FBI for a national search of criminal records. The criminal record check may reveal open and closed record information on individuals consisting of arrests, prosecutor and court actions, correctional supervision and release dates, as well as sexual offender registration information as defined under 589.400, RSMo. All alcohol and drug related traffic offenses are considered reportable criminal offenses. The Children’s Division Background Screening Investigative Unit (BSIU) will be the point of entry with the MSHP. Send two Applicant fingerprint cards to the Background Screening Investigative Unit (BSIU), Children’s Division, P.O. Box 88, Jefferson City, Mo 65103. Pre-printed “Fingerprint Applicant” cards (Form #FD-258) may be ordered from the warehouse. The card has the number M0920360Z printed in the ORI field. This is the Originating Agency Identifier number that has been assigned to BSIU. The number conveys to the Highway Patrol and the FBI that all reports will be sent to BSIU and paid for by the Children’s Division. Each card must be signed by the person being fingerprinted. The “Employer and Address” field must have the local Children’s Division (CD) requesting the report. If a contracted agency is completing the assessment, state the contractor’s name but place it within parentheses under the local office name. This information will only be used by BSIU and will show where the completed report is to be sent. The “Reason Fingerprinted” field must indicate the associated statutes for supervision over minors, 43.540 RSMo, and the sex offender statute 589.400 RSMo. Fingerprinting Fingerprinting for respite and court ordered placement providers is optional until such time that funding is made available. If requesting such fingerprints, attach a check or money order made payable to the Criminal Record History Fund. The cost is $14.00 for the MSHP and $24.00 for the FBI ($38.00 total) and will be at the expense of the applicant. The completed reports will be sent to BSIU and then forwarded to the local CD office. The MSHP response will be received first. After the FBI has completed its search, any results will be forwarded to the MSHP, who will then forward the results to BSIU. Examine Case.net, the Missouri State Courts Automated Case Management System, for any reference to Orders of Protection filed, either for a child or adult. There are limits to the use of Case.net. Case.net is not yet statewide so will not include all county circuit courts. Also, at this time public view does not include identifiers such as social security and birth dates; so, it is difficult to determine whether the individual you are searching is the same as one found in Case.net. In locations where Case.net is not yet available, check with the circuit court for any pertinent information, including a record of Orders of Protection filed, both for a child or an adult. Additional circuit courts may need to be contacted if there is reason for concern. Any fee charged by the circuit court will be paid by the applicant. Except for the specific felony convictions listed below, a criminal history, child abuse/neglect history, or other review information does not automatically preclude licensure. Staff should determine the relevance of all such findings to child caring responsibilities, and should seek guidance from supervisors. A supervisor must review and evaluate the background information if there is a record of conviction (other than those listed below) and/or child abuse and if the decision is to approve the home study. The supervisor's review and decision to approve/disapprove must be documented. FELONY CONVICTIONS Staff may not approve the application of any person in which a record check reveals that a felony conviction for child abuse or neglect, spousal abuse, a crime against children (including child pornography), or a crime involving violence, including rape, sexual assault, or homicide. Staff may also not approve the application of any person, who in the past five years, has had a court of competent jurisdiction report a felony conviction for physical assault, battery, or a drug-related offense. For the purpose of this policy, a ""felony conviction by a court of competent jurisdiction"" is defined as a criminal court conviction for a felony offense as defined by law in the jurisdiction that the offense took place. NECESSARY ACTION: Review the memorandum with all Children’s Service Staff. Please contact Mary Kay Kliethermes or Amy Poyser, ICPC Child Placement Coordinators, at 573-751-2981 if you have any questions. FS:KK:MKK:AP:ct",https://fostercaresystems.wustl.edu/foster/background-investigation-procedures-icpc-cases
RESOURCE FAMILY BACKGROUND SCREENING,Missouri,Memo,"2007, 2006, 2005, 2004","Administrative process, Adoption, Foster parent licensing, Kinship","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","FREDERIC M. SIMMENS, DIRECTOR","This memorandum is to provide new policy effective, January 28, 2004, in the background screening requirements when licensing and re-licensing foster, kinship, relative and adoption resource families. These enhancements will include registration with the Family Care Safety Registry prior to licensure, the use of fingerprints for criminal record searches by the Missouri State Highway Patrol (MSHP) and national Federal Bureau of Investigation (FBI), a search of Case.net and circuit court records, and contact with child protection agencies in previous states of residence. From the date of this memorandum through June 30, 2004, the Children’s Division will absorb the expense of fingerprinting for the licensure and relicensure of resource families. (This includes the fingerprinting that is now a requirement for adoption update background screening.) A budget item request has been made to enable the division to continue to cover the expense of fingerprinting. Fingerprinting for court ordered placements (CTO) and respite providers is optional until such time that funding is received to cover the additional expense. In the meantime, any fingerprinting of respite and CTO providers will be done at their expense. Special procedures for criminal record searches in cases of emergency placement are also covered in this memorandum. STEPS TO BE FOLLOWED FOR LICENSURE: The following steps shall be completed for every applicant and adult household member (age 18 and older). Supporting documentation of each step is to be filed in the licensing record. The Child Abuse/Neglect background screening will continue to be done by the local Children’s Division (CD). Each household member 18 years of age and older must register with the Family Care Safety Registry (FCSR). The registry is maintained by the Department of Health and Senior Services (DHSS). It will search the following systems: CA/N records (probable cause and court adjudicated findings only); Employee Disqualification List, maintained by DHSS; Child care facility licensing records maintained by DHSS; Residential living facility and nursing home records, maintained by DHSS; Employee Disqualification Registry maintained by Department of Mental Health; Foster parent licensing records, maintained by the Children’s Division (CD); and Sex Offender Registry information maintained by MSHP Give the applicant a “Worker Registration Form” for each adult in the household to register with the FCSR. Copies of the form can be ordered from the warehouse or downloaded at www.dhss.state.mo.us/FCSR. Instruct Instruct the applicant to register as quickly as possible by submitting the completed form and a photocopy of their Social Security card to the Missouri Department of Health, Fee Receipts Unit, P.O. Box 570, Jefferson City, MO 65102. The form may be faxed to 573-522-6981 to ensure a priority response. If no Social Security card is available, the only acceptable substitute is a driver’s license (if the SSN is used as the ID number); a military ID; a Medicare card; or the Social Security Administration statement provided when application is made for a replacement card (as long as it has the SSN identified, the name appears on the statement and it is initialed or signed by a SSA representative). Registrants (and all their adult household members) who are foster parents, respite providers, or are applying to provide those services must check the foster parent box in Section A to avoid having to pay the registration fee. The licensing worker may telephone the FCSR at 1-866-422-6872 to make a background screening request. Generally information will be available within two weeks. An oral report will be given at the time of the call and will be followed with a written report to both the requestor and the registrant within 48 hours. REGISTRATION IS ONLY REQUIRED ONCE. If completing a background screening for re-licensure, the worker needs to only call the FCSR State and State and national criminal record checks will be completed for each adult household member. Fingerprints are now required. The Missouri State Highway Patrol (MSHP) will complete a state criminal record check and then electronically send the fingerprint images to the FBI for a national search of criminal records. The criminal record check may reveal open and closed record information on individuals consisting of arrests, prosecutor and court actions, correctional supervision, and release. All felony and serious misdemeanor arrests including sexual offender registration information as defined under 589.400, RSMo. All alcohol and drug related traffic offenses are considered reportable criminal offenses. The Children’s Division Background Screening Investigative Unit (BSIU) will be the point of entry with the MSHP. Send two Applicant fingerprint cards to the Background Screening Investigative Unit (BSIU), Children’s Division, P.O. Box 88, Jefferson City, Mo 65103. Pre-printed Pre-printed “Fingerprint Applicant” cards (Form #FD-258) may be ordered from the warehouse. The card has the number M0920360Z printed in the ORI field. This is the Originating Agency Identifier number that has been assigned to BSIU. The number conveys to the Highway Patrol and the FBI that all reports will be sent to BSIU and paid for by the Children’s Division. Each card must be signed by the person being fingerprinted. The “Employer and Address” field must have the local Children’s Division (CD) requesting the report. If a contracted agency is completing the assessment, state the contractor’s name, but place it within parentheses under the local office name. This information will only be used by BSIU and will show where the completed report is to be sent. The “Reason Fingerprinted” field must indicate the associated statutes for supervision over minors, 43.540 RSMo and the sex offender statute 589.400 RSMo. Fingerprinting for respite and court ordered placement providers is optional until such time that funding is made available. If requesting such fingerprints, attach a check or money order made payable to the Criminal Record History Fund. The cost is $14.00 for the MSHP and $24.00 for the FBI ($38.00 total) and will be at the expense of the provider. The completed reports will be sent to BSIU and then forwarded to the local CD office. The MSHP response will be received first. After the FBI has completed its search, any results will be forwarded to the MSHP, who will then forward the results to BSIU. Per FBI guidelines, FBI reports can be released to local county offices and made available in court. FBI rap sheets cannot be released to contractors or to private entities. Even if a contractor has requested the information to complete an assessment, they are not allowed access to the report. The local office will have the responsibility to convey to the contractor one of the following: 1) The report is clear; proceed with the assessment, or 2) The report revealed something that must be explored. The contractor will then be requested to refer the family to the local office before continuing the assessment. Local office staff will then meet with the applicant and determine whether the applicant will be allowed to proceed with the application. If the applicant is selected out, the local office staff must inform the family in writing and notify the contractor There is a delayed fingerprinting process that will be followed in the cases of the emergency placement of a child. The Children’s Service worker or juvenile officer must request the local law enforcement to search the Missouri Uniform Law Enforcement System (MULES) for each adult in the household. MULES is an electronic communication system strictly used for law enforcement purposes, but permission has been granted to allow the CD access to the information in cases of the emergency placement of children. The FBI has approved the use of a Purpose Code “X” to be used by law enforcement agencies that will allow the delay of fingerprints when placing a child in an emergency situation. However, fingerprints must be submitted to the FBI within 15 days of the MULES check. To meet that deadline, the Children’s Services worker must submit the fingerprints immediately to BSIU.  When a court or Children’s Service worker approaches a law enforcement agency about providing this type of check, the law enforcement agency must determine if in fact the situation in question constitutes emergency placement or not. The Children’s Service worker or juvenile officer requesting the MULES inquiry is required to follow up with the local law enforcement agency if no fingerprints will be submitted due to a disqualifier found on the person’s criminal record that would prevent the placement and the individual is not contesting the criminal record. The local law enforcement has been advised by the MSHP that it is their responsibility to maintain a dissemination log to track any delayed fingerprints. If the Children’s Division fails to notify law enforcement that the delayed fingerprints will not be submitted, our agency could lose the right to delay fingerprinting in the future. Examine Case net, the Missouri State Courts Automated Case Management System, for any reference to Orders of Protection filed, either for a child or adult. There are limits to the use of Case.net. Case.net is not yet statewide so will not include all county circuit courts. Also, at this time public view does not include identifiers such as Social Security and birth dates; so, it is difficult to determine whether the individual you are searching is the same as one found in Case.net. In  locations where Case.net is not yet available, check with the circuit court for any pertinent information, including a record of Orders of Protection filed, both for a child or an adult. Additional circuit courts may need to be contacted if there is reason for concern. Any fee charged by the circuit court will be paid by the applicant. NECESSARY ACTION: Review this memorandum with all Children’s Division staff. As this will be a change in practice for Resource Development Contract providers, a letter with the memorandum will be sent to the contractors by Central Office. Order a supply of “Fingerprint Applicant Cards”, Form FD-258 from E-Store. The following sections have been changed in the Child Welfare Manual Intranet site: Section 6, Chapter 3.1, “Foster/Kinship Family Assessment” Section 6, Chapter 3.4, “Dual Licensing” Section 6, Chapter 3, Attachment A, “Guide for Conducting Foster/Kinship Family Assessments” Section 6, Chapter 3, Attachment C, “Foster/Kinship Family Assessment Recording Outline” Section 6, Chapter 3, Attachment D, “Guide For Conducting Renewal Assessment” All comments and questions regarding this memorandum should be cleared through supervisory channels. FMS/DK:js",https://fostercaresystems.wustl.edu/foster/resource-family-background-screening
"INTRODUCTION OF: Structured Decision Making (SDM) Process; CANHU Protocol –Process and Tools; CANHU Call Management Technology; Child Protection Services Response Tool (CPS-1) and Instructions; Safety Assessment, Part B, (CPS-1A) and Instructions; Safety Reassessment Tool (CS-16D) and Instructions; Risk Reassessment Tool (CS-16E) and Instructions; REVISIONS FOR: Family Assessment Packet (CS-16) and Instructions",Missouri,Memo,"2007, 2006, 2005, 2004, 2003","Administrative process, Safety","AREA EXECUTIVE STAFF, CIRCUIT MANAGERS AND CHILDREN’S DIVISION STAFF","FREDERIC M. SIMMENS, DIRECTOR","REFERENCE: CHILDREN’S DIVISION DISCUSSION: The purpose of this Memorandum is to introduce the integration of the Structured Decision Making (SDM) model into Missouri’s approach to addressing child abuse and neglect (CA/N) as well as enhancements to the Child Abuse/Neglect Hotline Unit (CANHU) Protocol –process and tools and call management technology.  SDM integration and CANHU enhancements will involve policy and procedural revisions in all areas of Child Abuse and Neglect, as well as the introduction and revision of various forms. A large portion of the CA/N system enhancements discussed in this memorandum have been introduced and tested in the field and are ready for full implementation, but some of it is still in the testing and development phase.   We ask for your cooperation and patience as we continue to make adjustments in order to tailor the tools and processes to fully support workers. As you know, The Children’s Research Center assisted Missouri to develop risk and safety tools for use in the field and tools for CANHU to use in determining response priority and track assignment.  The risk and safety tools are based on research.  Training was provided throughout the state and tools have been implemented statewide.  The tools developed for CANHU were placed on hold in early spring as it was determined that additional processes and tools were needed to comprehensively support intake and screening activities at CANHU. Structured Decision Making (SDM) Process: The SDM process developed by the Children’s Research Center (CRC) is designed to improve the effectiveness of Missouri’s child protective services by introducing structure to critical decision points in the child welfare system;  increasing the consistency and validity of decision making; and targeting resources to families most at risk. CHANGES TO THE CHILD ABUSE/NEGLECT HOTLINE UNIT (CANHU) Call Management Technology: The new call management technology ( planned for implementation early next year) was developed to improve responsiveness at CANHU allowing emergency calls to be queued ahead of non-urgent calls; and providing real time data to monitor call volume.  This will ultimately result in the elimination of busy signals for reporters; and quicker response to emergency calls. When an individual calls the CA/N hotline, there will be an identifying greeting, followed by instructions to hang up and call 911 if it is an immediate/life threatening emergency.  The reporter will then be requested to call back to complete the CA/N report.  All calls not directed to call 911 will be guided to a CANHU worker, as available with emergency calls receiving immediate response and other calls possibly waiting until a worker is available to take the call.  Workers will manage calls using new CANHU Protocol as described below: CANHU Protocol: The new CANHU protocol is designed to manage interviews with callers more thoroughly, improving the accuracy and consistency of call classification among workers.  \ The protocol process opens with a set of structured entry questions which guide workers down appropriate pathways, based on types of concern(s) raised by the caller.  Key questions for each pathway were developed to assist the worker in gathering necessary information and determining if it meets criteria for CA/N reports, CA/N referrals or  “documented calls” (DOC: formerly known as UTI).  If a CA/N report is taken workers are guided in determining response priority and track assignment.  Once an interview is concluded, the worker will proceed to a set of exit cards based on the call classification (CAN report, referral, DOC). Each caller will know how the call was classified and what action will be taken. The SDM process plays a significant role in the new CANHU Protocol.  Specifically, three SDM screening and classification functions have been built into CANHU Protocol questions.  They include: CA/N Screen-In Criteria – These questions address criteria concerning whether a call is classified as a child abuse and neglect report for investigation or family assessment, a referral or a documented call (DOC).  If screened-in, the call is accepted as a CA/N report or a referral and is sent to the county office.  If the report is screened out, the call is documented and entered into the database, but no further action is taken. SDM Response Priority – Criteria to determine the time frame in which the family should be contacted is also built in the CANHU Protocol.  There are three response levels.  These levels take the place of the “Emergency Contact” field in the CA/N automated system.   However, current policy regarding initial contact with the children in the home remains in effect. Note:  Missouri statutes have not changed and all calls are to be initiated in 24 hours. (RSMo 210.145.4)  For investigations, child(ren) must be seen within 3 hour for emergency situations and initiated within 24 hours for non-emergency cases.  For CA/N reports when the only allegation is educational neglect, victims must be seen within 72 hours.  For Family Assessments, all children in the household must be seen within 72 hours and contact must be initiated within 24 hours, unless the situation is an emergency. Level 1 (3 hours) – This is equivalent to an emergency report.  Face-to-face contact with all victim(s) listed on the CA/N-1 must be made within three hours from the receipt of the report.  A face-to-face contact with all other children living in the household must be made within 72 hours.  Available resources shall be utilized to locate the children, including law enforcement assistance; Level 2 (24 hours) – Face-to-face contact with all victim(s) listed on the CA/N-1 must be made within 24 hours from receipt of the report.  A face-to-face contact with other children residing in the home must occur within 72 hours; Note:  Investigations and family assessments with a level 2 response require a face-toface contact with the child(ren) victim(s) and must be initiated within 24 hours. Level 3 (72 hours) – Face-to-face contact with all children (victims and home residents) must be made within 72 hours from receipt of the report.  Initial contact for Investigations must be within 24 hours. Note:  Face-to-face contact can be made by members of the multidisciplinary team (mandated reporters such as juvenile officer, or law enforcement personnel).  Initial contacts can include phone calls or contact with appropriate persons in an attempt to make a home visit. CANHU Protocol Cards Testing: CANHU Protocol Cards are in a testing phase presently and printed on tabbed flip cards that are easily navigated, however this process will eventually be part of the automated CA/N system.  During this testing period, half of each shift of CANHU staff will practice this process, while the other half will serve as the control group by utilizing the old procedure.  Following the conclusion of the experiment all CANHU staff will use the protocol process. Response Priority Testing: Also during a testing phase of development, reports will initially be coming to the local division office with either “Response Priority One, Two or Three” or “emergency or non- emergency”.   This is for the purpose of comparison.  The worker should treat them as they come in and document on the CPS-1 whether there is a Priority Response Level or it is an emergency or non-emergency status. SDM Track Assignment Guidelines – Also built into the CANHU Protocol are criteria designed to determine if the screened-in report is an investigation (I) or an assessment (A).  Track Assignment will now be completed at CANHU prior to being sent to the local division office and displayed in the CA/N automated system and on the CA/N-1 form printed through the automated system. Track Assignment Testing: During this experimental period all CANHU staff will assign track. Field staff will need to review reports as they come in to assess whether the appropriate track has been assigned or whether additional information received warrants a track change. The decision to change the track assignment must be reviewed and approved by the worker’s supervisor.   The CS-27, “Child Abuse/Neglect Screening Form”, formally used by the field to determine track assignment, is now called “CPS Classification Reassignment Update Screen” and will now be used for track changes.  If the track change is approved, the change in track assignment must be entered into the CA/N automated system using the ATRU transaction.  Field staff should continue to record the worker and supervisor ID in the CA/N automated system using the ATRU transaction at the time the report is received in the county office.    Central office staff will monitor these track changes in an effort to maintain consistency and accuracy of appropriate track assignment as well as analyze and identify trends county and statewide where the track assignment has been updated.  (See attached examples of revised CA/N System screens: AI25, ATRI, ATRU, AUPD, and CAN1.) INVESTIGATIONS/FAMILY ASSESSMENT RESPONSE TOOLS Child Protection Services Response Tool (CPS-1) and the Safety Assessment (Part B) CPS-1A :  In conjunction with the introduction of SDM to the investigation/family assessment process comes the new Child Protection Services Response Tool (CPS-1 ) and the Safety Assessment (Part B) CPS-1A. The CPS-1 and the CPS-1A will be used when responding to Child Abuse/Neglect (CA/N) reports.  The CPS-1 and CPS-1A will replace the CA/N-4 for Investigations and the current CS-16 for Family Assessments. A revised form of the CS-16 will continue to be used for Family-Centered Services (FCS) and Family-Centered Out-of Home Care (FCOOHC) cases. Safety Assessment: The first part of the SDM safety assessment is located on the second page of the CPS-1 and Part B is on the CPS-1A.  The purpose of the safety assessment is to help determine whether any child is in immediate danger of serious physical harm, who may require a protective intervention and to determine what interventions should be maintained or initiated to provide appropriate protection.  Safety of the child(ren) in the home shall be an on-going concern during the investigation and family assessment. The safety assessment replaces the CS-15 Safety Factor Determination for investigations and page 3 in the CS-16.  The CPS-1 Safety Assessment and the CPS1A is to be completed for all investigations and family assessments during or immediately following the initial visit with a family in response to a child abuse/neglect report.  The Safety Assessment is used to guide decisions on whether or not the child(ren) may remain in the home, or if the child(ren) must be protectively placed.  The Safety is also used prior to a child returning home after being placed in Family-Centered Out-of-Home Care (FCOOHC). Risk Assessment: The SDM Risk Assessment is designed to identify families, which have low, moderate, high, or very high probabilities of future abuse or neglect.  By completing the risk assessment, the worker obtains an objective appraisal of the likelihood that a family will maltreat their children in the next 18 to 24 months.  The difference between risk levels is substantial.  High risk families have significantly higher rates of subsequent referral and substantiation than low risk families, and are more often involved in serious abuse or neglect incidents.  When risk is clearly defined and objectively quantified the agency can ensure that resources are targeted to higher risk families because of the greater potential to reduce subsequent maltreatment. Note: The risk assessment in used only when there are children in the home.  If children are removed from the home during the investigation/family assessment or from an on going FCS case, the use of the SDM safety and risk tools are suspended, unless at least one child remains in the home, or until the children are returned. The Safety Reassessment (CS-16D): The Safety Reassessment (CS-16D) is a critical follow up piece to the Safety Assessment.  The Safety Reassessment enables the worker to assess child safety, determine if previously identified factors have been resolved, or if safety factors have increased.  A Safety Reassessment is required whenever a child(ren) is removed during the investigation/family assessment.  The reassessment is then completed to guide decision making on return of the child(ren).  A child must be safe or conditionally safe prior to returning home. The CD Worker will complete the safety reassessment tool: Prior to a child(ren) returning to the home following out-of-home placement during the investigation/family assessment period. At the expiration of the initial safety plan. On any case whenever new information becomes available that indicates a threat to the safety of the child(ren). Risk Reassessment (CS-16E): The Risk Reassessment (CS-16 E) assesses risk of future child maltreatment and assists workers in evaluating whether risk levels have decreased, remained the same or have increased since the initial risk assessment. The Risk Assessment is to be completed at the conclusion of every investigation/family assessment in which there are children who remain in the home.   The risk assessment identifies the level of risk of future maltreatment and is used to guide the decision to close or open the investigation/family assessment for ongoing services.  The following chart shows the recommended case open/close decisions based on the risk level for investigations and family assessments: Risk-Based Case Open/Close Guidelines Risk Level Investigations Family Assessments Probable Cause Unsubstantiated Low Close Close Close Moderate Open/Close Close Open/Close High Open Open/Close w/referral Open/Close w/referral Very High Open Open/Close w/referral Open/Close w/referral Note:  There may be unique circumstances in which it is appropriate to open low risk cases (for example, court-ordered services), or close very high risk cases (for example, family moved out of state).  Reasons for opening or closing cases outside of the recommended guidelines should be clearly documented in the case record. Priority of Initial Client Contact after a Case Opening Based on SDM Risk : Prior to signing off on a CA/N investigation/family assessment, the Supervisor will review the CPS-1and will determine the priority of the initial face to face interview with the family based on the following SDM risk levels: • High or Very High Risk - within one (1) working day; • Moderate Risk - within five (5) working days; and • Low Risk - within ten (10) working days. If the case referral was not due to a CA/N investigation/family assessment, the supervisor's appraisal of the potential risk to the children and overall family situation will determine when treatment follow-up contact by the Family-Centered Services (FCS) worker is needed. THIS SHOULD NOT EXCEED TEN (10) WORKING DAYS FROM CASE ASSIGNMENT. Revised CS-16: Although we saw great value in the comprehensive approach that the original CS-16 provided when conducting a family assessment, such as the genogram, ecomap, pattern of behavior and timeline, these tools more appropriately fit into the treatment phase of family intervention. The purpose of this revision was to streamline the CS-16 to better fit the treatment process and to exclude parts of the form applicable only in a Family Assessment.  The result was a less lengthy, more user friendly CS-16 that contains the essential pieces of a thorough family-centered assessment with the added structure and standardization that the SDM safety and risk assessments provide. Family Contact Guidelines for In-Home Cases: The Family Risk Assessment provides reliable, valid information on the risk to children of future abuse and neglect.  Appropriate use of this assessment data is key to ensuring better protection of children.  Therefore, for cases that have been opened for ongoing FCS services or for FCOOHC cases in which there are children who remain in the home, the risk level is used to guide the minimum amount of contact with the family each month.  These guidelines are considered ""best practice"" and help focus staff resources on the highest risk cases.  They dictate the minimum number of face-to-face and collateral contacts with the family each month, however workers will use their best judgment for individual cases to best determine whether more contacts are needed. The definition and purpose of a face-to-face “contact” is: to monitor developments in the case, to observe interaction between the caregiver and the child(ren), to facilitate implementation of the Case Plan, and to assess progress with the plan or possible revision to the plan.  It is used to guide monthly contacts while the case is open, and is reviewed at each risk reassessment until the case is closed. The risk level determines the overall minimum contact standards for the family.  The “Children’s Division Minimum Contact Standards” represent how many of the overall contact standards must be met by the CD worker.  The remaining contacts may be met by a contracted in-home service provider who is working with the family as part of the family’s case plan.  However, if the contracted service provider was unable to complete monthly contacts, the CD worker is responsible for meeting the overall contact standards. The CD worker is responsible for making all collateral contacts.  Collateral contacts include phone contact with school personnel and day care providers, medical personnel who have recently seen or treated the child(ren), parenting class instructors, etc. “Minimum Contact Guidelines for In-Home Family Cases” refers to FCS Cases or for FCOOHC cases where children are in the home and represents the recommended number of contacts that workers should have with families according to their assessed risk level.(likelihood of future maltreatment):  (For FCOOHC cases, where there are no children in the home refer to Child Welfare Manual Section 4.7.3.1: Meeting and Working with the Family for frequency of worker visits with parent/caretaker) Minimum Contact Guidelines for In-Home Family Cases Risk Level Overall Contact Guidelines (by CD and other service providers) CD Minimum Contact Guidelines Very High 3 face-to-face/month 2 face-to-face/month and 3 collateral contacts/month High 2 face-to-face/month 1 face-to-face/month and 3 collateral contacts/month Moderate 1 face-to-face/month 1 face-to-face/month and 2 collateral contacts/month Low 1 face-to-face/month 1 face-to-face/month and 1 collateral contacts/month NECESSARY ACTION: Review this Memorandum with all Children’s Division staff; Policy changes to the Child Welfare Manual, regarding the new CANHU Protocol including the integration of SDM CA/N Screen-in Criteria, Priority Response and SDM Track Assignment Guidelines will be forthcoming Review revised Child Welfare Manual sections on the DSS Intranet (http://dss.missouri.gov/cd/info/cwman/index.htm ): Section 1 Chapter 1.5.3 Implementing Contacts with the Family Section 1 Chapter 1.5.4 Initiating the Follow-up Family Assessment on an Open FCS Case Section 2 Chapter 4 Chapter Overview Section 2 Chapter 4 Attachment G Collection of Evidence Section 2 Chapter 4 Attachment M Intensive In-Home Services (IIS) Section 2 Chapter 4 Attachment R Physical Abuse Section 2 Chapter 4.1 Investigation Response Section 2 Chapter 4.2 Involving Law Enforcement Section 2 Chapter 4.5 Change to Family Assessment Section 2 Chapter 5.1 Family Assessment Response Section 2 Chapter 5.2 Change to Investigation Response Section 2 Chapter 5.5.4 Assessment of Safety Section 2 Chapter 5.5.5 Assessment of Risk Section 3 Chapter 1.1 Probable Cause Cases Section 3 Chapter 1.5 Family Assessment and Services Cases Section 3 Chapter 2.2 Procedures Applicable to All Case Types Section 3 Chapter 2.3 Case Assignment Section 3 Chapter 3.3 Social Worker and Supervisor Considerations Section 3 Chapter 4 Attachment A Problem Pregnancy Services Section 3 Chapter 4 Attachment C Crisis Intervention Funds Section 3 Chapter 6.3 Reassessment Section 3 Chapter 6.1 Policy Requirements Relating to the Evaluation Section 3 Chapter 8.1 Policy Requirements Relating to Case Closure Section 3 Chapter 10.2.1 Initial Case Assignment Section 3 Chapter 10.3.2 Assessment Section 3 Chapter 10.3.7 Evaluation and Case Closure Section 3 Chapter 10.4.1 Reviews by First Level Supervisors Section 4 Chapter 1 Attachment A Assessment of Safety and Factors in Recommending Out-of-Home Placement Section 4 Chapter 1 Attachment B Child Welfare Housing Assistance Section 4 Chapter 1.5 Factors in Recommending Out-of-Home Care Section 4 Chapter 3.1.1 Initial Child Contact Section 4 Chapter 3.1.2 Protective Custody of the Child Section 4 Chapter 3.1.3.a Investigation and Protective Custody Section 4 Chapter 7.3.7 Administrative Activities Section 4 Chapter 22.4 Procedures for Closing Case Section 5 Chapter 1.1.1 CA/N Investigation Section Section 5 Chapter 1.1.2 Family Assessments Completed in Response to CA/N Reports Section 5 Chapter 1.1.3 Assessments And Services Section Section 5 Chapter 1.1.12 Domestic Violence Section Section 5 Chapter 1.2.2 Recording Guidelines - Investigations Section 5 Chapter 1.3 Recording Guidelines - Family Assessments (Ongoing Work With Families) Section 5 Chapter 1.3.2 Subsequent Recording Section 6 Chapter 3.1 Foster/Kinship Family Assessment Review revisions to CA/N automated system screens: AI25, ATRI, ATRU, AUPD, and CAN1. Review revisions to CA/N automated system screens: AI25, ATRI, ATRU, AUPD, and CAN1. FMS/RDM/ct Attachments",https://fostercaresystems.wustl.edu/foster/introduction-structured-decision-making-sdm-process-canhu-protocol-process-and-tools-canhu
"Group Residential Individualized Program, Inc. (GRIP) 1422 Bus. Hwy. 60 Verona, MO 65769",Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019","Administrative process, Contact and directory information",ALL CHILDREN’S DIVISION STAFF,"Christy Collins, Deputy Director Children’s Division","The purpose of this E-mail memorandum is to advise staff that, effective immediately, the voluntary intake suspension for GRIP has been lifted and they may again receive placements. Please feel free to contact Jennifer Richter, State Supervisor, Residential Program Unit, at 573-751-8926, if you have any questions or comments regarding this matter. JR:ck",https://fostercaresystems.wustl.edu/foster/group-residential-individualized-program-inc-grip-1422-bus-hwy-60-verona-mo-65769
"PROFESSIONAL PARENTING PAYMENT, PPMN",Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018","Administrative process, Contact and directory information",CHILDREN’S DIVISION AND CONTRACTED STAFF,"JULIE LESTER, INTERIM DIRECTOR","DISCUSSION: The purpose of this memorandum is make staff aware of corrections made in the policy manual consistent with practice. The manual incorrectly indicated the professional parent maintenance payment (PPMN) as an incentive payment to be considered a separate payment from the maintenance payment. That has not been the case for many years. To eliminate any confusion regarding payments, the base maintenance payment MAIN and the PPMN payment were combined into a single MAIN payment. Policy has been updated to clearly reflect practice. The PP/CM-14 Cooperative Agreement for Professional Parenting Services is the contract to be used to generate the payment for licensed resource homes in Missouri. The AC/CM-3 should be used for families caring for Missouri children in another state. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov MANAGER CONTACT Amy Martin 573-526-8040 Amy.L.Marting@dss.mo.gov CHILD WELFARE MANUAL REVISIONS 4.11 attachment A 4.11 attachment C 4.25.4 4.30.3 FORMS AND INSTRUCTIONS NA REFERENCE DOCUMENTS AND RESOURCES Memo CS99-18 RELATED STATUTE N/A",https://fostercaresystems.wustl.edu/foster/professional-parenting-payment-ppmn
REASONABLE AND PRUDENT PARENTING STANDARD ON- LINE TRAINING,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016","Administrative process, Contact and directory information, Expectations for care","REGIONAL EXECUTIVE, CIRCUIT MANAGERS, PROGRAM MANAGERS AND SUPERVISORS","TIM DECKER, DIRECTOR","DISCUSSION: Memo CD 16-70 introduced the PowerPoint training Reasonable and Prudent Parenting Standard . This is a required training for resource parents. Currently licensed/approved resource parents must complete this required training prior to the next home visit the resource development worker makes to the home after this memo publication. The worker will discuss any issues regarding the training with the resource parent(s) as part of the completion of the Professional Family Development Plan, CD-100 . All resource parent applicants must complete the training during the first 3 months of the license/approval of their home for foster care services. The two hours of in-service training is entered in FACES using code V280 Reasonable and Prudent Parenting Standard. The resource parent will print and sign the certificate on the last slide and submit to their resource worker to place in their resource file for confirmation of training completion. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Amy Martin 573-751-3171 Amy.L.Martin@dss.mo.gov CHILD WELFARE MANUAL REVISIONS 2.5.2 In-Service Training Hours, Requirements, and Process FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES PL113- 187 RELATED STATUTE 210.660 ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS N/A Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS Reasonable and Prudent Parent Standard, V280",https://fostercaresystems.wustl.edu/foster/reasonable-and-prudent-parenting-standard-line-training
DISCONTINUED USE OF THE ELEVATED NEEDS LEVEL A FORMS CS-11 AND CS-12,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016","Administrative process, Contact and directory information, Forms - Other","REGIONAL EXECUTIVE, CIRCUIT MANAGERS, PROGRAM MANAGERS AND SUPERVISORS","TIM DECKER, DIRECTOR","DISCUSSION: A workgroup provided review of the appropriateness of using the STEP, Systematic Teaching and Evaluation Process, and Positive Time Chart (CS-11) for providing behavior modification instruction and support to foster youth identified as requiring Elevated Needs Level A services and their resource parents. The workgroup participants included resource parents, members of the Missouri State Foster Care and Adoption Board, contracted Elevated Needs Level A Trainers, Children’s Division staff and representatives of three contracted agencies who provide resource development and foster care case management services. Elevated Needs Level A Behavior Management Tool The research and review of the form supports the CS-11 form used with Parenting Skills training curriculum is based on outdated behavior science compared to current science regarding trauma, and brain development. The training is not meeting the unique needs of our foster youth population. The recommendation of the workgroup is to discontinue requiring resource parents who are parenting foster youth identified as needing Elevated Needs Level A services to complete the CS-11 and the companion form, CS-12. There are many tools available to work with a youth in learning to manage his/her emotions and behaviors. The resource parent may inquire of the foster youth’s therapist or school personnel a recommendation of a tool which might work best for the specific foster youth’s treatment needs. There will no longer be specifically referenced required tools to use for elevated needs treatment in policy. Elevated Needs Training Curriculum The Children’s Division no longer recommends using the Parenting Skills training curriculum introduced in 1992 for the 18 hours of Level A training requirements. The curriculum does not address brain development as related to behavior and emotions nor does it address trauma issues. The training topics required to be covered in the 18 hours of Elevated Needs Level A training curriculum have been revised. The lists of approved Elevated Needs Level A and Level B training curricula that a licensed resource provider may complete to receive training credit for Elevated Needs Level A or Level B training requirements is posted on the Resource Development program page on the Children’s Division Intranet and on the Foster Parenting Information page on the Internet. Training Codes The codes in FACES to use for entering training credit for completion of elevated needs training are located in the in-service training category. Level A - V206 Level B - V892, V893, V894, V895, V896 The training hours completed for Level A and Level B count toward pre-service and in- service training. Enhancements made to the FACES pre-service training screen now include training codes for elevated needs training in the pre-service service category. Level A - V009 Level B - V010 The work around instructions for putting elevated needs training as “other pre-service” training have been removed from the FACES Instructions for Resource Licensing and Resource Approval and the training instructions in the document revised to include the new pre-service codes. Incentive Payment Elimination There will no longer be an incentive payment for completing a form. Beginning April 1, 2016, there will no longer be a payment code of CENT in FACES. The licensed resource providers approved to provide Elevated Needs Level A services who received the incentive payment during the past year will receive a letter informing them of the policy change. The identified resource development worker for the resource home will receive a copy of the letter. Workers should have conversations with these resource providers identifying needed services for the Elevated Needs Level A foster youth placed in their homes. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Amy Martin 573-751-3171 Amy.L.Martin@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 4 Chapter 11 Attachment A: Standard Payment Rate for Foster Family Alternative Care Section 4 Chapter 11 Attachment C: Special Expenses Payment Section 4 Chapter 14 Subsection 8 Level A/Level B Resource Provider Qualifications, Characteristics, and Responsibilities Section 6 Chapter 2 Subsection 5: In-Service Training FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES Approved Level A Curriculum Approved Level B Curriculum RELATED STATUTE N/A ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS N/A Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS Two new pre-service codes: Level A - V009 Level B - V010",https://fostercaresystems.wustl.edu/foster/discontinued-use-elevated-needs-level-forms-cs-11-and-cs-12
REQUIRED READING RESOURCE FOR IN-SERVICE TRAINING CREDIT.,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015","Administrative process, Contact and directory information, Foster parent licensing, Other","REGIONAL EXECUTIVE, CIRCUIT MANAGERS, PROGRAM MANAGERS AND SUPERVISORS","TIM DECKER, DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce a new resource, Supporting Youth in Foster Care in Making Healthy Choices This guide is a resource that is to be read by resource parents in addition to the currently required, Making Healthy Choices: Guide to Psychotropic Medications for Youth in Foster Care . This required reading for the first year of resource home licensure was introduced with other required trainings as a result of the workgroup created in response to recommendations from the Recruitment and Retention of Foster and Adoptive Resource Homes Task Force Memo CD14-24 . There will continue to be a one hour in-service training credit for reading the two documents using FACES code V254. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Amy Martin 573-751-3171 Amy.L.Martin@dss.mo.gov CHILD WELFARE MANUAL REVISIONS In-service Training Hours, Requirements and Process, Section 6 Chapter 2 Subsection 5 Sub-subsection 2 FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES Supporting Youth in Foster Care in Making Healthy Choices. Making Healthy Choices: Guide to Psychotropic Medications for Youth in Foster Care RELATED STATUTE N/A ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS N/A Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/required-reading-resource-service-training-credit
MEDICAL RECORDS FEES,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014","Administrative process, Contact and directory information, Services while in care - Medical","REGIONAL, EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","TIM DECKER, DIRECTOR","DISCUSSION: The purpose of this memorandum is to inform staff of a change in the maximum reimbursement rates for medical records. The maximum reimbursement rates for paying providers for medical records were changed effective February 1, 2014. The new amounts are: A copying fee of $23.38 and 54 cents per page for the cost of supplies and labor for copies provided in paper form An additional fee of $21.89 if the records are maintained off-site Copies provided electronically (e.g. disc, fax, email) have a maximum copying fee of $23.38 plus 54 cents per page, or $102.46 total, whichever is less Postage to include packaging and delivery cost Section 191.227 Revised Statutes of Missouri sets a base rate for the maximum costs of copying records. The law requires the Missouri Department of Health and Senior Services (DHSS) to determine the new amounts each year. The new rate information is available on their website at: www.dhss.mo.gov/ProtectingThePublic/FeesMedicalRecords.html . The following table shows the changes for the handling and copy fees: Effective Date Handling Fees Copies 02/01/2003 $15.70 $0.37 02/01/2004 $16.33 $0.38 02/01/2005 $17.05 $0.40 02/01/2006 $17.77 $0.42 02/01/2007 $18.49 $0.44 02/01/2008 $19.31 $0.46 02/01/2009 $20.02 $0.47 02/01/2010 $20.65 $0.49 02/01/2011 $21.36 $0.50 02/01/2013 $22.82 $0.53 02/01/2014 $23.38 $0.54 When Children’s Division staff request and receive medical records from providers, all invoices for payment for those records must be submitted via Payment Request. Specific instructions for completing the Payment Request are provided in the FACES Financial System Payment Handbook ( http://dssweb/fsd/administration/fmos/docs/faces_handbook_files.pdf ). Effective immediately, provider charges shall not exceed these maximums for services provided on or after February 1, 2014. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Lori Masek 573-751-4344 Lori.Masek@dss.mo.gov PROGRAM MANAGER Christy Collins 573-751-9603 Christy.Collins@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 2 Chapter 4 Attachment A SAFE-CARE (Sexual Assault Forensic Examination- Child Abuse Resource and Education ) Network Section 8 Chapter 7.2 Children’s Treatment Services (CTS) FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE Section 191.227 RSMo. ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS Parental Resilience – N/A Social Connections – N/A Knowledge of Parenting and Child Development – N/A Concrete Support in Times of Need – N/A Social and Emotional Competence of Children – N/A FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/medical-records-fees
"RESOURCE FAMILY IN-SERVICE TRAINING REQUEST, CD- 114, REVISION",Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013","Administrative process, Contact and directory information, Forms - Other, Foster parent licensing","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF",CANDACE A. SHIVELY,"DISCUSSION: The purpose of this memorandum is to introduce revisions to the Resource Family In- Service Training Request, CD-114, in response to the Continuous Quality Improvement process, CQI, and the Missouri State Foster Care and Adoption Board recommendations per statute 210.566. Other Approved In-Service Training : Licensed resource providers are required to complete a minimum of 30 hours, 32 for Elevated Needs Level B providers, of in-service training during each two year licensure period. Training opportunities should be provided by the agency who supervises the license or approval to assist the resource providers in completing the required training hours. Each agency should notify resource providers of training opportunities available. Resource providers may participate in training not sponsored, facilitated, or provided by the Children’s Division to meet the training hour requirement and to meet their training needs as identified on the Professional Family Development Plan, CD-100. These types of trainings are referred to as Other Approved In-Service Training. To receive training credit for trainings not identified in Section 6 Chapter 2 Subsection 5 of the Child Welfare Manual, the CD-114 must be completed. Prior approval to attend trainings and receive training credit is not required. However, prior approval must be obtained for any monetary reimbursement to be applied for allowable mileage and or babysitting. Obtaining prior approval to participate in Other Approved In-Service Training ensures that training hour credit will be granted. Training Methods: The preferred method of training delivery is instructor led. However, training credit may be approved on a case by case basis for viewing a video, reading a book, or participating via a website, etc. The following guidelines should be followed regarding approved training credit time increments: Reading a book; one credit hour for each 100 pages Viewing a video; actual viewing time rounded to the hour and half hour increments Completion of a web-based training; actual participation time rounded to the hour and half hour increments Attending a conference; actual time in training sessions, not to include travel, meal, or personal time Completion of College courses; each semester credit hour earned equals 15 hours of training Form Completion Process: The resource provider completes Section A of the CD-114 and submits the form to their licensing worker The licensing worker completes Section B After the worker obtains his/her supervisor’s approval, the CD-114 is returned to the resource provider The resource provider completes Section C after completion of the training The resource provider submits the CD-114 the final time to the licensing worker for placement in the resource case file and entry of training hour credit in FACES Appeal Process: The resource parent may submit an appeal to the Circuit Manger, or Circuit Manger Designee in the Metro areas, if requested in-service training hours are denied by their licensing worker and supervisor. The request should be in writing. The worker and the supervisor must be prepared to provide support for the decision to deny training credit hours. For resource licenses or approvals supervised by private agencies, the resource parent should contact their licensing worker regarding to whom they submit an appeal. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. Review revised Children’s Division form as indicated below. All questions should be cleared through normal supervisory channels and directed to PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Amy Martin 573-751-3171 Amy.L.Martin@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Other Approved In-Service Training, Section 6 Chapter 2 Subsection 6 In-Service Training, Section 6 Chapter 2 Subsection 5 FORMS AND INSTRUCTIONS Resource Family In-Service Training Request, CD-114 REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE 210.566 , Foster Parent Bill of Rights and Responsibilities ADMINISTRATIVE RULE CSR 13 35-60.030(5) (B), Minimum Qualifications of Foster Parent(s), Foster Parent Training, In-Service Training. COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/resource-family-service-training-request-cd-114-revision
STARS CORE COMPETENCIES LANGUAGE REVISION,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010","Contact and directory information, Forms - Other, Services while in care - Other","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAF","PAULA NEESE, DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce language revision to the explanations of skills required to meet the five (5) STARS Core Competencies. As a result of input from the State Foster Care Advisory Board, the language used for describing the core competencies as listed in the in-service section of policy and located on the CD-100 has been modified to provide enhanced description of those skills that are to be present if that competency is achieved and/or progressing. Resource providers participate in competency based training to enhance and increase their skill level for the five STARS competencies; Protecting and Nurturing, Meeting Developmental Needs and Addressing Developmental Delays, Supporting Relationships Between Children and Their Families, Connecting Children to Safe, Nurturing Relationships Intended to Last a Lifetime, and Working as a Member of a Professional Team. The required skill level for each competency increases as the resource provider becomes more experienced, therefore, the explanation/definition of those skills are also modified. The increase of skill level is identified uniquely: Pre-service STARS training: The competencies are identified as to what skill level is expected before foster youth are placed in the home. In-service Training: The core competencies are identified with language that recognizes the increased skill level to continue licensure. Elevated Training: The competencies required for Advanced training, Level A, and Specialized training, Level B, foster care are discussed in Step 11 of the STARS training curriculum. Step 11 of the STARS resource provider training curriculum provides the licensing worker and resource provider with the tools to determine the skill level and training needs for the resource parent. The compilation of the skills and training needs is accomplished by completing the Professional Family Development Plan, CD-100. The purpose of completing the CD-100 is to: Assess the family’s learning needs; Identify non-training barriers to their performance of the essential tasks of fostering; Develop a plan to build upon their knowledge and skills; and Guide the agency’s overall system for enhancing the competencies of its foster families. The Professional Family Development Plan is tailored uniquely to the skills and needs of the resource family and the foster youth placed in the home and is the key for providing support and training to promote successful resource parenting. Completion of the CD-100 should be a face-to-face joint process between the resource provider and worker that assesses the provider’s learning needs in an ongoing, proactive, and purposeful way. The form has been revised to allow for unlimited characters to be typed within the form fields. Workers are to begin using the revised CD-100 as of the date of the memorandum. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review the revised Child Welfare Manual revision as indicated below. Review the revised Children’s Division form as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Dena Driver 573-751-3171 Dena.D.Driver@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 6 Chapter 2 Subsection 5 FORMS AND INSTRUCTIONS Professional Family Development Plan, CD-100 REFERENCE DOCUMENTS AND RESOURCES STARS Step 11 RELATED STATUTE RSMo 207.020 RSMo 210.506 ADMINISTRATIVE RULE 13 CSR 35-60.030 Minimum Qualifications of Foster Parent(s) (3) Personal Qualifications Required of Foster Parent(s). 13 CSR 35-60.030 Minimum Qualifications of Foster Parent(s) (5) Foster Parent Training . COUNCIL ON ACCREDITATION (COA) STANDARDS FC 16.01, FC 16.03, FC 16.10 CHILD AND FAMILY SERVICES REVIEW (CFSR) Staff and Provider Training Systemic Factor, Item 34, Foster and Adoptive Parent Training PROTECTIVE FACTORS Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/stars-core-competencies-language-revision
YOUTH WITH ELEVATED NEEDS-LEVEL A AND LEVEL B- REVISION OF THE BEHAVIORAL FOSTER CARE AND CAREER PROGRAMS,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010","Contact and directory information, Services while in care - Other, Subsidies - Other","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce changes to the Behavioral Foster Care (BFC) and Career Programs. The changes come as a result of a workgroup composed of staff from each of the regions, Regional Directors, resource providers, and staff from Central Office. The goal of the group was to develop a program to improve child stability and well-being, enhance current policy, and standardize the BFC and Career programs statewide. The recommendations from the workgroup resulted in the following changes: An Improved Title Foster Care for Youth with Elevated Needs is a program designed for the youth with identifiable and documented moderate or serious emotional and/or behavioral needs. The new name more accurately captures the needs of the child instead of focusing on the negative behaviors. Youth with Elevated Needs-Level A will be the new name for the BFC program and Youth with Elevated Needs-Level B will be the new name for the Career program. Screening and Assessment of Need This memorandum also introduces the Youth with Elevated Needs Referral Checklist, CD-136, Youth with Elevated Needs Referral Form, CD-137, and Youth with Elevated Needs Six Month Review Form, CD-138, which will be used statewide in an effort to provide more consistency across the regions. At the time of the initial referral, the Children’s Service Worker will complete the Referral Checklist and Referral Form with the required attachments and submit to their supervisor for approval. The referral packet will then be presented at the staffing. The Six Month Review Form will be completed during the six month staffing to determine whether the child continues to meet the criteria for the Youth with Elevated Needs program. In addition, this memorandum eliminates the use of the Residential Treatment Referral Form, CS-9, as a part of the Youth with Elevated Needs referral packet. Staff will no longer be required to complete the CS-9 when making a referral for a youth with elevated needs. Staffing Participants The policy change requires the case manager, supervisor, and designated facilitator (circuit/regional specialist or consultant) to attend the staffing. The designated facilitator is responsible for ensuring that youth staffed for the Youth with Elevated Needs program truly meet the criteria for the program and ensuring that youth are placed in the least restrictive environment as their needs decrease. The list of attendees who should be invited to the staffing was also modified and changed accordingly in the manual. Those who are unable to attend the staffing should be encouraged to submit their input prior to the staffing for consideration. Competencies Because some knowledge and skills are essential before children are placed with families, competencies were developed for resource providers of youth with elevated needs. Competencies take into account the knowledge of the resource provider and their ability to perform the necessary skills to successfully parent a youth with elevated needs. The following competencies will assist resource workers in assessing the needs of the resource providers and identifying services to achieve these competencies: Promote Successful Integration into the Family and the Community Understanding how much supervision the youth requires (before placement occurred and during current placement) Assist the youth in adjusting to a new school and community Transitioning the youth into another setting Meeting Exceptional Care Needs (for Special Needs and/or Traumatized Youth) Addressing those needs that are not developmental (social, emotional, daily care) Understanding risk factors in the community, school and home setting Understanding but not diagnosing mental illness and other developmental delays Assessing Crisis Situations and Utilizing Proper Crisis Intervention/Prevention Understanding what a crisis is Using appropriate skill sets to deescalate crisis situations Understanding attention seeking behaviors and knowing when to respond Understanding power, authority and control Setting fair and consistent limits Understanding risk factors in the community, school and home setting Recognizing and Implementing Positive Approaches to Challenging Behaviors Identifying challenging behaviors early Clearly defining target behaviors Use of multidisciplinary service team for coordinating care Team based wrap around services STARS Training for Staff The STARS training for staff was designed to help workers understand the individual needs of the youth and to provide necessary support to resource providers. The training is not mandatory however, the workgroup recommended that licensing workers and staff who work with youth with elevated needs attend the training. Each region will have the discretion to determine when staff attend the training, and who will conduct the training. The training has been posted on the CD intranet and can be modified to fit the individual needs of the staff. Adoption Subsidy The policy has not changed with regards to the qualifications for adoption subsidy. Youth with Elevated Needs-Level A can qualify for adoption subsidy however Youth with Elevated Needs-Level B do not qualify for adoption subsidy. Section 4 Chapter 14 and Section 4 Chapter 16 have been updated and combined into Section 4 Chapter 14 to reflect the changes. The changes outlined in this memorandum will be effective as of tomorrow’s date. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Christy Collins (573) 751-9603 Christy.Collins@dss.mo.gov PROGRAM MANAGER Melody Yancey (573) 751-3171 Melody.Yancey@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 4 Chapter 14 Subsection 1 Definition Section 4 Chapter 14 Subsection 2 Referral Process Section 4 Chapter 14 Subsection 3 Selection/Screening Team Section 4 Chapter 14 Subsection 4 Placement Process Section 4 Chapter 14 Subsection 5 Characteristics of a Youth with Elevated Needs Section 4 Chapter 14 Subsection 6 Presenting Problems Displayed by the Youth with Elevated Needs Section 4 Chapter 14 Subsection 7 Children Not Appropriate for Program Section 4 Chapter 14 Subsection 8 Qualifications, Characteristics, and Responsibilities Section 4 Chapter 14 Subsection 9 Ongoing Procedures to Maintain Placement Section 4 Chapter 14 Subsection 10 Periodic Reviews Section 4 Chapter 14 Subsection 11 Termination of Classification FORMS AND INSTRUCTIONS CD-136 Youth with Elevated Needs Referral Checklist CD-137 Youth with Elevated Needs Referral Form CD-138 Youth with Elevated Needs Six Month Review Form REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE N/A ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS COA Standard for Foster Care Services CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS Parental Resilience-N/A Social Connections-N/A Knowledge of Parenting and Child Development-N/A Concrete Support in Times of Need-N/A Social and Emotional Competence of Children-N/A FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/youth-elevated-needs-level-and-level-b-revision-behavioral-foster-care-and-career-programs
"HIPAA, CPR, AND FIRST AID TRAINING FOR RESOURCE PROVIDERS",Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010, 2009","Contact and directory information, Expectations for care, Foster parent licensing","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, DIRECTOR","DISCUSSION: The purpose of this memorandum is to provide clarification of the following required resource provider trainings: Health Insurance Portability and Accountability Act (HIPAA) Cardio Pulmonary Resuscitation (CPR) First Aid HIPAA The requirement of HIPAA training was introduced with memo CD03-07 . This training requirement must be completed prior to licensure. The resource provider is credited one (1) in-service training hour for successfully completing this pre-licensure requirement using the training code V980. CPR Council On Accreditation (COA) requires that all licensed resource providers are trained in CPR. All licensed resource homes must successfully complete CPR training during the first year of licensure and must successfully complete CPR training every two years thereafter. The provider will be credited for three (3) in-service training hours for successfully completing the training using the training code V252. First Aid COA requires that all our licensed resource providers are trained in basic first aid. All licensed resource homes must successfully complete first aid training during the first year of licensure and must successfully complete first aid training every two years thereafter. The provider will be credited for three (3) in-service training hours for successfully completing the training using the training code V898. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapter as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Dena Driver 573-751-3171 Dena.D.Driver@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 6 Chapter 2 Subsection 5 FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES Notice of Privacy Practices Regarding Your Protected Health Information , CSE-10, available on CD desk top only RELATED STATUTE N/A ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS (List or put N/A if not applicable.) CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS N/A Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/hipaa-cpr-and-first-aid-training-resource-providers
REVISED TRANSPORTATION POLICY,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010, 2009, 2008","Administrative process, Forms - Other, Services while in care - Other","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","JAMES C. HARRISON, ACTING DIRECTOR","DISCUSSION: The purpose of this memo is to introduce the revised Transportation Policy and the new Travel Expense Log, CD-106. Resource providers may receive mileage reimbursement for transportation costs as outlined in policy. The resource provider will complete the Travel Expense Log, CD-106, and submit it to the local CD staff for approval within thirty (30) days of the month that the trip occurred. Child Specific travel Allowable child specific transportation costs for vendors with AC, PP, behavioral or medical contracts continue to include: Medical care Counseling Visits with parent(s) Court FST and PPR meetings The providers may be reimbursed the current state mileage rate for all the above listed miles traveled using a Children’s Services Integrated Payment System Invoice, CS-65. Additional allowable child specific transportation are trips that are intended to support the case plan as approved by the Family Support Team and/or case manager and supervisor. The reimbursement for these trips may be made at the current state mileage rate for each mile over a 15 mile round trip using a CS-65. The first 15 miles of these trips will not be reimbursed. Any trip that is 75 miles round trip or over must have approval by the CD Regional Director or Designee. The written approval will be attached to the Travel Expense Log, CD-106, and CS-65 for submission of reimbursement. Transportation costs for any level of care for child care services is not an allowable cost, even if such services are part of the child’s case plan. The career level resource provider may be reimbursed at a per mile state rate for child specific transportation that is over a 200 mile round trip with Regional Director approval only. For cases that require frequent approval, the determination can be made at a Family Support Team meeting and a standing approval be granted for that frequent child specific trip. The approval in written form from the Regional Director or Designee will be attached to the travel Expense Log, CD-106 and the CS-65 for submission of reimbursement. A round trip is defined as leaving from point “A”, traveling to point “B” and returning to point “A”. Some round trips may not include the foster youth in the vehicle on the return trip, as when a youth is being dropped off to be picked up at a later time. Non Child Specific Transportation reimbursement will be paid to resource providers for trips over a 15 mile round trip for pre-service (after the license is approved and granted), in-service training, and Foster Parent Advisory Board Meetings. NECESSARY ACTION: Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT: Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER: Melody Yancey 573-522-5062 Melody.Yancey@dss.mo.gov CHILD WELFARE MANUAL REVISIONS: Financial Support Planning, Special Expenses Payment, Transportation Section 4 Chapter 11 Attachment C Selection of Placement Resource and Placement Options Section 4 Chapter 4 Subsection 5 Roles of the Referring Children's Service Worker and the BFC Children's Service Worker in the Placement and Service Provision Processes Section 4 Chapter 14 Subsection 3 Career Foster Homes/Individualized Care Placement Process Section 4 Chapter 16 Subsection 4 Resource Provider Training-STARS In-Service Training Section 6 Chapter 2 Subsection 5 FORMS AND INSTRUCTIONS: Travel Expense Log, CD-106 REFERENCE DOCUMENTS and RESOURCES: N/A RELATED STATUTE: N/A ADMINISTRATIVE RULE: N/A COUNCIL ON ACCREDITATION (COA) STANDARDS: N/A PROGRAM IMPROVEMENT PLAN (PIP): N/A SACWIS REQUIREMENTS: N/A.",https://fostercaresystems.wustl.edu/foster/revised-transportation-policy
RESOURCE PROVIDER TRAINING,Missouri,Memo,"2007, 2006","Administrative process, Birth parents, Contact and directory information, Foster parent licensing, Safety","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS AND CHILDREN’S DIVISION STAFF","PAULA NEESE, INTERIM DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce changes in policy and to update policy related to Council on Accreditation standards. This memorandum addresses policy related to resource provider training. The policy changes for this memo are contained in Section 4 Chapter 12, Section 6 Chapter 2 Attachment C, and Section 6 Chapter 3 Attachment D of the Child Welfare Manual. These changes include the use of the Professional Family Development Plan (CD-100), in service training hours and mandatory in service trainings, and suspension of the Professional Parenting payment. Professional Family Development Plan Staff must complete a Professional Family Development Plan (form CD-100) with each provider within 30 days of initial licensure and at the time of license renewal. This plan will outline the training goals of each family and must be reviewed on an annual basis. The purpose of the Professional Family Development Plan (PFDP) is to assess the family’s training needs and their goals as professional care givers. This document can be changed as the needs of the family and agency change. Staff will be able to utilize the Performance Based Criteria developed for foster, relative and kinship care providers. These criteria are based upon the STARS competencies and include the following: COMPETENCY – Protecting and Nurturing Accepts placements on an emergency basis with little notice. Maintains confidentiality of case information for children placed in their home (currently and previously). Maintains foster child’s belongings and assures those belongings go with the child when they move/return home. Does not discuss any permanency plan with the child until this plan becomes the case goal (i.e. discussing adoption while case goal remains reunification). COMPETENCY – Meeting developmental needs and addressing developmental delays Makes and keeps all medical, psychiatric, counseling, dental, and rehabilitation appointments including all required and emergency appointments. Maintains contact with the therapist on a regular basis for each child placed in the home. Knows and follows the treatment plan developed by the therapist for each child. Provides information on the child’s behavior to the worker and Family Support Team. Attends all IEP meetings and keeps the worker informed of the school plan for the child. Works with the biological family to help them understand and meet the special needs of the child. COMPETENCY – Supporting relationships between children and their birth families Cooperates with the family and sibling visitation plan. Is respectful of the birth family by not making derogatory comments about the family to the child(ren). Supervises visitation between the child and family/siblings when necessary and available. Provides mentoring to the birth parents to help work toward reunification. Provides transportation to and from visitation with the family as needed. Keeps birth parents informed of all appointments and school functions and invites them to these as appropriate. COMPETENCY – Connecting children to safe, nurturing relationships intended to last a lifetime Starts and maintains a life book on each child in their care to be sent with the child when they move or return home. Finds opportunities for the child(ren) to participate in activities in the community, school, church, etc. Supports the child’s involvement in activities outside of the foster home. Supports transitions into other settings such as adoptive placement, kinship/relative placement, reunification, or an independent living arrangement. COMPETENCY – Working as a member of a professional team Attends Family Support Team Meetings or provides written report on the child(ren). Knows and follows the Children’s Division policies and procedures. Supports the case plan developed by the Family Support Team even if they are not in agreement with the plan. Expresses their concerns regarding the case plan with the child’s worker and during team meetings. Keeps the case manager or service worker informed of all the child’s activities. Allows items purchased for the child to go with the child when they move or return home. Provides or makes arrangements for transportation for the child(ren) as needed. This is not a comprehensive list. Other criteria may be found in the STARS curriculum for each of the competencies. These criteria should be utilized in evaluating the performance of foster parents during their license renewal process and are an integral part of developing an appropriate Professional Development Plan. These criteria are also included in the CD-100 PFDP. For more information on the PFDP, please refer to the STARS Resource Development Specialist’s Handbook, Step 11. This handbook can be obtained by contacting the Children’s Division training unit. The current contact person is Linda Lefebvre ( Linda.L.Lefebvre@dss.mo.gov ). In-Service Training Pre-service training hours may no longer be counted toward the required 30 hours of in- service training for the first two year licensing period beginning with all homes licensed after the date of this memo. COA requires all alternative care providers to receive the following trainings: Cardio-Pulmonary Resuscitation (CPR), and First Aid training Certification is not required and these trainings may count towards in-service hours. Providers will not be required to complete the CPR and first aid training until their circuit is preparing for accreditation. If an alternative care provider receives CPR and/or first aid training as part of their job, they may count these hours toward their required in- service training hours. The CPR and First Aid trainings should be taught by a certified provider and local resources should be utilized whenever possible. The local Health Department and Red Cross are two possible sources for training in these areas. The codes for these trainings are V840 CPR Training and V898 First Aid Training. All alternative care providers are also required to have the following trainings: HIPAA (Health Insurance Portability and Accountability Act) – please review memo CS03-07 for information on how to obtain this training for alternative care providers. The code for this training is V980 , and Ready, Set, Fly (this is required for all homes providing care to any child age 14 or older) – this training is currently available through your regional office (ILP Specialists), however, this training will be available through the STARS curriculum as an in-service module beginning July 1, 2006. The code for this training is V706 . It is preferred that these hours are obtained within the first year of licensure. However, due to availability and time constraints across the state, families may take the courses at anytime during the first licensing period of two years. The majority of in-service training should come from traditional classroom training, however, some non-traditional training may be allowed. Non-traditional training must be approved by the Regional Director or designee. The total amount of non-traditional training accepted per licensing period is to be determined by the Regional Director based upon the availability of training and the training needs of the region. If a foster home does not comply with the plan developed for obtaining the required in- service training hours, the Children’s Services Worker should schedule a meeting between the family, the worker and supervisor. This meeting should address with the family the importance of complying with Licensing Rules and their license may be subject to revocation if they do not meet the requirement for in-service training within a specified time frame not to exceed six months unless approved by the Regional Director. The Division should begin the revocation process if licensing requirements are not met after this process. (The revocation process can be located in Section 6 Chapter 3.) Professional Parenting Payment The majority of our alternative care providers receive the Professional Parenting payment. This payment is provided to those providers who have completed STARS Pre- Service training and have satisfied the required In-Service training. Any provider receiving the Professional Parenting payment must complete the required in-service training hours, including relative and kinship care providers. If a foster parent does not receive the required number of hours of training during the licensing period, the professional parent payment may be suspended by closing the Professional Parent contract (CM-14). A Cooperative Agreement for the Purchase of Foster Care Services (CM-3) may need to be opened for maintenance payments to continue. Staff should contact the Contract Management unit in Central Office to close a CM-14 or open a CM- 3 contract. They can be reached at 573-526-0954. A plan must be developed between the foster parent and the Division to make up the necessary training hours. These hours will not count toward the next licensing period , only toward the previous licensing period. The foster parent would still be responsible for obtaining the required hours for the next licensing period. When dealing with a licensed couple, the professional parent payment would be suspended if either one of the couple do not meet the licensing requirements for in-service training. The couple is issued one license and thus both parties must be in compliance with the licensing rules for the payment to continue. This means that both parties must complete 30 hours (32 hours for career) of in-service training for each licensing period. Once the foster parent obtains the needed hours of training, the professional parent contract will be reopened and payment will be reinstated. They will not be reimbursed for any time they were not in compliance with the in-service training requirement. The payment may be prorated if necessary through payment on a CS-65. The Contract Management Unit should again be notified to reopen the CM-14. An exception may be made in the cessation of the professional parent payment if a viable reason is provided for not obtaining the necessary training. This exception must be approved by the Regional Director. The plan for obtaining the necessary training hours must still be completed and the payment may be suspended if the foster parent does not comply with the plan. NECESSARY ACTION: Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. Any questions regarding this e-mail should be sent through normal supervisory channels. Share information from this memo with all licensed alternative care providers. PDS CONTACT: Stefanie Wickers 573-751-1354 Stefanie.D.Wickers@dss.mo.gov PROGRAM MANAGER: Cindy Wilkinson 573-751-3171 Cindy.R.Wilkinson@dss.mo.gov CHILD WELFARE MANUAL REVISIONS: Section 4 Chapter 12 Section 6 Chapter 2 Attachment C Section 6 Chapter 3 Attachment D FORMS AND INSTRUCTIONS: CD-100 Professional Family Development Plan (new) CD-100 Instructions SS-60B Code Sheet REFERENCE DOCUMENTS and RESOURCES: N/A RELATED STATUTE: RSMo 210.506 ADMINISTRATIVE RULE: State Code of Regulations Title 13 Division 40 Chapter 60 COUNCIL ON ACCREDITATION (COA) STANDARDS: S21.9.01 S21.15.06 PROGRAM IMPROVEMENT PLAN (PIP): S1.2.6 SACWIS REQUIREMENTS: N/A PN/SW:js",https://fostercaresystems.wustl.edu/foster/resource-provider-training
FOSTER CARE BILL OF RIGHTS,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017","Administrative process, Child rights, Contact and directory information, Legal process",CHILDREN’S DIVISION AND CONTRACTED STAFF,"TIM DECKER, DIRECTOR","The purpose of this memo is to inform staff of the law that went into effect August 28, 2017 with the passing of SB160 , the Foster Care Bill of Rights (FCBR). The seven items listed in the FCBR reinforce the Children’s Division’s mission and goals. Attached to this memo is a link to a poster containing the FCBR and a link to a document with smaller versions that can be printed and used as handouts. Posters must be displayed in all CD offices, Child placing agency offices, Residential facilities, Chafee provider offices, and Transitional Living agency offices. Children’s Division offices will receive posters via standard mail. Partner agencies will print the posters to be displayed in their offices. As part of this legislation, the FCBR must be provided and explained to all school aged children in foster care and his or her foster parent. The child’s case manager is responsible for providing an age appropriate explanation or arranging for this explanation to occur. A set of talking points (attached) has been developed to help guide staff in having age appropriate discussions with youth about the FCBR. This law prompted several changes to the Child Welfare Manual regarding the age at which a child should be invited to court hearings and family support team meetings. The age has been changed from 13 to 12 years old. Staff must invite children age 12 and over to family support team meetings when appropriate. Also linked in this memo is a PowerPoint presentation that can be used to review the Foster Care Bill of Rights with foster parents or other community partners. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Jason Kearbey Jason.L.Kearbey@dss.mo.gov MANAGER CONTACT Ivy Doxley Ivy.Doxley@dss.mo.gov CHILD WELFARE MANUAL REVISIONS 1.2.4 - Rights of Children 4.7.1 - Activities in the First 24 to 72 Hours 4.7.2 - Family Support Team Meeting 4.9.6 - Operation of the Family Support Team (FST)/Permanency Planning Review Team (PPRT) Meeting FORM S AND INSTRUCTIONS N/A REFERENCE DOCUM ENTS AND RESOURCES Foster Care Bill of Rights Poster Foster Care Bill of Rights handout Foster Care Bill of Rights (youth talking points) Foster Care Bill of Rights (youth talking points – hand out) What’s It All About?– A Guidebook for Youth in Out-of-Home Care Foster Care Bill of Rights PowerPoint RELATED STATUTE SB 160 Section 210.564, RSMo",https://fostercaresystems.wustl.edu/foster/foster-care-bill-rights
NEW DEFINITION OF RELATIVE FOSTER CARE PER CHAPTER 210.565 OF THE MISSOURI REVISED STATUTE,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017","Administrative process, Contact and directory information, Definitions, Foster parent licensing, Kinship",CHILDREN’S DIVISION AND CONTRACTED STAFF,"TIM DECKER, DIRECTOR","DISCUSSION: The 2017 Missouri legislature passed Senate Bill 160 which redefined “relative” for the purpose of providing foster care services; “…the term “relative” means a grandparent or any other person related to another by blood or affinity or a person who is not so related to the child but has a close relationship with the child or the child’s family.” (Revised Missouri Statute 210.565). This definition begins August 28, 2017. In response to the legislative action, Children’s Division will no longer use the term “kinship” as a type of foster care resource provider. The relationship with a supportive relative is very important. If the relative applicant does not meet specified non-safety licensing requirements listed in Chapter 13 of the Code of State Regulations 35-60.080, consideration, based on the foster youth(s)’ needs, familiarity in the home and the close relationship the youth has with the applicant may be explored on a case by case basis for use of the waivers. Examples of those relative applicants that a worker might consider using a waiver to become licensed include: The foster youth is over six years of age has stayed with the relative previously and slept in the same room with their cousins of the opposite sex with no concerns The foster youth will be able to stay in the same school district but there are already 4 children living in the home and the youth and her two siblings will cause the home to be over the allowable five children living in the home The CD-152 form must be completed prior to the license begin date. The explanation of how using the waiver will pose no safety concerns must be written in the comments section, field #11, on the form. Once all approval signatures are obtained, the form must be sent to Central Office for data collection. A Systems Change Request has been submitted to address the changes that need to be made in FACES. Until FACES changes have been made, the following steps are to be taken for KH vendors: When it is time to renew a KH home that meets all license renewal requirements (including but not limited to 30 hours of in-service training, home assessment updated and signed, background checks received with no exclusionary history) close the KH home using the same date of expiration with close reason “discontinued services” and in the comments box enter the KH vendor is transitioning to an RH vendor per SB160. Open a RH application for the DVN on the FACES Application screen with the begin date the same date as the renewal begin date and approve the RH license on the Vendor License, Approval and Renewal screen with the same begin date to avoid any gap in maintenance payments. Beginning immediately, do not open any KH applications. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. Review revised Children’s Division Forms as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov M ANAGER CONTACT Amy Martin 573-526-8040 Amy.L.Martin@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 4 Chapter 12 Other parts of the manual that contain the word “kinship” FORMS AND INSTRUCTIONS CD-71 CD- 72 CD- 152 REFERENCE DOCUM ENTS AND RESOURCES 13 CSR 35- 60.080 RELATED STATUTE 210.565",https://fostercaresystems.wustl.edu/foster/new-definition-relative-foster-care-chapter-210565-missouri-revised-statute
REASONABLE AND PRUDENT PARENTING STANDARD POLICY FOR RESOURCE DEVELOPMENT,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016","Contact and directory information, Expectations for care","REGIONAL EXECUTIVE, CIRCUIT MANAGERS, PROGRAM MANAGERS AND SUPERVISORS","TIM DECKER, DIRECTOR","DISCUSSION: Resource development policies and practice including training, home assessment and supports to licensed/approved resource homes have been revised to be in compliance with the Reasonable and Prudent Parenting Standard, RSMo 210.660 and PL 113-183. The Reasonable and Prudent Parenting Standard is characterized by careful and sensible parental decisions which maintain the health, safety, and best interests of youth. These decisions are intended to encourage emotional and developmental growth and for youth in foster care to have experiences and opportunities and make supported decisions in the same manner as youth who are not being raised in alternative care. Resource parents are to use the standard when making decisions about the participation of youth in extracurricular, enrichment, cultural, and social activities as they would for their own children. The result of incorporating this standard into our practice is a foster care experience which is as “normal” as possible for youth who are living away from their families. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Amy Martin 573-751-3171 Amy.L.Martin@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Resource Provider Training-STARS, Mandate and Rationale,6.2.1 Resource Provider Training-STARS, Working with Prospective Foster/Adoptive Parents,6.2.2 Resource Provider Training- STARS, Training Objectives, 6.2.3 Resource Provider Training-STARS, Pre-Service Training and STARS competencies,6.2.4 Resource Family Assessment & Licensing Process, Conducting Resource Home Renewal, 6.3.5 Resource Family Assessment and Licensing Process, Reopening a Closed Resource Provider, 6.3.6 Resource Family Assessment and Licensing Process, Guide for Conducting Resource Provider Family Assessments, 6.3.A Resource Family Assessment and Licensing Process, Resource Provider Family Assessment Recording Outline, 6.3.C Resource Family Assessment and Licensing Process, Foster/Kinship Family Renewal Assessment Recording Outline, 6.3.D Case Record Maintenance and Access, Documentation and Record Maintenance, Recording Guidelines and Record Composition – Resource Provider Records, 5.1.6 FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES PL113-187 RELATED STATUTE 210.660 ADMINISTRATIVE RULE 13 CSR 35-60 COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS N/A Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/reasonable-and-prudent-parenting-standard-policy-resource-development
STARS Train the Trainer,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013","Administrative process, Contact and directory information, Foster parent licensing","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","TIM DECKER, DIRECTOR","DISCUSSION: The pre-service training completed to be a licensed foster home in Missouri is Specialized Training, Assessment, Resources, Support and Skills (STARS). The pre-service training completed to be approved as an adoptive resource is STARS Making the Commitment to Adoption, also referred to as Spaulding. The STARS pre-service trainings and in-service modules must be trained and the Foster Family Home and Adoptive Home Assessments completed by Children’s Division or private agency staff, who have successfully completed STARS Train the Trainer classes. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Amy Martin 573-751-3171 Amy.L.Martin@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Resource Family Assessment and Licensing Process, Children’s Service Worker Responsibilities 6.3.M Resource Development, Resource Provider Training-STARS (Specialized Training Assessment Resources And Support) 6.2.4 FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE N/A ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS N/A Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/stars-train-trainer
RELATIVE AND KINSHIP TRAINING,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012","Administrative process, Foster parent licensing, Kinship","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","CANDACE A. SHIVELY, DIRECTOR","DISCUSSION: The purpose of this memorandum is to provide clarification regarding training hour requirements for relative and kinship resource providers. In order to be a licensed relative or licensed kinship provider, nine (9) hours of STARS Caregiver Who Knows the Child pre-service training must be completed. In addition to this 9 hours of instruction there is to be a minimum of 9 hours assessment time. The instruction of the curriculum may be self-study, one on one with a resource licensing worker, or in a class room setting as a group. To remain licensed, a relative provider must complete 30 hours of in-service training before the end of the 2 year licensure period. If the relative chooses to not complete the required 30 hours of training, their Professional Parenting Cooperative Agreement, CM- 14, must be closed and the Alternative Care Cooperative Agreement, CM-3, opened. They will not receive the monthly Professional Parenting Payment. A kinship placement must complete the 30 hours of in-service training to have their license renewed. If they do not complete the 30 hours of training, they are to be placed on Administrative Hold, close the CM-14 and open the CM-3. They will not receive the monthly Professional Parenting Payment. Policy allows for the required training to be completed within 6 months. If they do not comply, the agency shall proceed to revoke the kinship license. If a Relative or Kinship provider decides to become licensed as a traditional foster home, the 27 hours of STARS pre-service training must be successfully completed and all guidelines located in policy Section 6 Chapter 3 Attachment A completed, before a non- relative or kinship youth in foster care can be placed in the home. All the requirements for renewing the foster home license, located in Section 6 Chapter 3 Attachments D and E must be completed for the foster home license to be renewed NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Dena Driver 573-751-3171 Dena.D.Driver@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Agency Arranged Relative or Kinship Care, Section 4 Chapter 12 Subsection 3 Pre-Service Training and STARS Competencies, Section 6 Chapter 2 Subsection 4 FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE http://www.moga.mo.gov/statutes/C200-299/2100000542.HTM ADMINISTRATIVE RULE 13 CSR 35-60.030 Minimum Qualifications of Foster Parent(s) (5) COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A.) PROTECTIVE FACTORS Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/relative-and-kinship-training
FCARSTC CONTRACT AND TRAINING REQUIREMENTS FOR PROVIDERS SERVING CHILDREN WITH ELEVATED BEHAVIORAL AND EMOTIONAL NEEDS,Missouri,Memo,2009,"Contact and directory information, Foster parent licensing","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, DIRECTOR","DISCUSSION: The new contract for resource provider training is being awarded November 1, 2009.  The Foster Care and Adoption Resource Services, Technical Assistance, and Consultation contract, FCARSTC, replaces the Foster Care and Adoption Resource Services contract, FCARS, and the Specialized Foster Care Training services (Career and Behavioral) contract. The Child Welfare Manual has been updated to include the training requirements for those resource providers serving children with elevated behavioral and emotional needs. A result of the new contract is policy regarding frequency of STARS training.  Previous policy stated that STARS sessions are limited to one a week and each session is to be conducted in a 3-hour block.  Policy has been revised allowing for more than one session to occur a day, however, the 9 sessions must be taught over a minimum of three (3) dates. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Dena Driver 573-751-3171 Dena.Driver@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 4 Chapter 14 Subsection 1 Section 4 Chapter 16 Subsection 8 Section 6 Chapter 2 Subsection 4 FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE N/A ADMINISTRATIVE RULE Licensing of Foster Family Homes, 13 CSR 35-60 COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS Parental Resilience, N/A Social Connections, N/A Knowledge of Parenting and Child Development Concrete Support in Times of Need, N/A Social and Emotional Competence of Children, N/A FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/fcarstc-contract-and-training-requirements-providers-serving-children-elevated-behavioral
ADOPTION OF DIVISION CHILDREN BY RELATIVE PROVIDERS,Missouri,Memo,"2007, 2006","Adoption, Contact and directory information","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, INTERIM DIRECTOR","REFERENCE: CHILDREN’S DIVISION DISCUSSION: The purpose of this memorandum is to provide policy clarification regarding the requirements of relative care providers seeking to adopt children in Division custody.  The policy change is included in the Child Welfare Manual, Section 6, Chapter 2, Attachment B, Pre-Service and In-Service Training; STARS Competencies. Current policy states that those wanting to adopt must complete the 12 hours of “STARS, Making the Commitment to Adoption” Pre-Service training, also known as Spaulding.  Effective with the date of this memorandum, relative care providers are no longer required to complete Spaulding training in order to adopt the relative child placed in their home.  Foster and kinship care providers are still required to complete this training prior to adoption.  The Children’s Division strongly recommends that relatives complete the training as it provides prospective adoptive parents with tools and knowledge to assist in helping the child transition from alternative care to adoption as well as with information on some of the challenges to adopting a child in Division custody.  However, due to the family bond and prior relationship between the provider and foster child, it is no longer mandatory for relative providers to attend this training.  Relative providers are still required to complete the “STARS for the Caregiver Who Knows the Child” training. As discussed in memorandum CD06-37 relating to Resource Provider Training, the 27 hours of STARS pre-service training can not be counted toward a provider’s required in-service training hours.  However, Spaulding training may be counted toward those hours as not all providers complete this training prior to licensure and it is not required for licensure as a foster, relative or kinship care provider. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. Review this memorandum with all necessary relative care providers. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Stefanie Wickers 573-751-1354 Stefanie.D.Wickers@dss.mo.gov PROGRAM MANAGER Cindy Wilkinson 573-751-3171 Cindy.R.Wilkinson@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 6 Chapter 2 Attachment B FORMS AND INSTRUCTIONS: N/A REFERENCE DOCUMENTS and RESOURCES: N/A RELATED STATUTE: N/A ADMINISTRATIVE RULE: N/A COUNCIL ON ACCREDITATION (COA) STANDARDS: N/A PROGRAM IMPROVEMENT PLAN (PIP): N/A SACWIS REQUIREMENTS: N/A",https://fostercaresystems.wustl.edu/foster/adoption-division-children-relative-providers
INFORMED CONSENT POLICY REVISIONS,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018","Contact and directory information, Definitions",CHILDREN’S DIVISION AND CONTRACTED STAFF,"TIM DECKER, DIRECTOR","The purpose of this memorandum is to advise staff that revisions have been made to the informed consent policy for children and youth in Children’s Division custody found in Section 4 Chapter 24 Subsection 3 , of the Child Welfare Manual. Informed consent is the agreement to any medical or mental health treatment (e.g., medication, procedure, or service) given after the medical consenter has had the opportunity to receive sufficient information about its risks and benefits.  Making the best decisions about a youth’s health care means individuals providing that consent understand the role and responsibilities of a medical consenter. To ensure those authorized to give informed consent fully understand their role/responsibilities, Children’s Division is developing a self-instructional training to assist consenters.  The training will be posted on the Employee Learning Center (ELC) My Training Plan, and on the CD Intranet and internet website for contracted staff and resource parents.  Staff will be notified immediately once this required training is made available. NOTE: This revised policy will go into effect September 1, 2018.  Frontline practitioners, supervisors, and resource parents must successfully complete this training before providing consent.  Any other staff who anticipate being called upon to provide informed consent for a child/youth in CD custody must complete this training before doing so. Key revisions to policy include: Delineation of responsibilities and consenting authority between Children’s Division/contracted case management staff and resource parents. Routine vs. Non-Routine Treatment Only Children’s Division/contracted case management staff are authorized to consent to non-routine treatment Mental health services (behavioral therapy, psychiatric treatment, the initiation of psychotropic medications) are considered nonroutine treatment Staff shall not consent to the initiation of psychotropic medications without first having sought alternative non-pharmacological interventions for the child/youth. A mental health professional treating the child must make a recommendation for the child to be assessed by a qualified prescriber to determine the appropriateness of psychotropic medications. Training requirement for frontline practitioners, supervisors, and resource parents to serve as medical consenters. Expanded guidance on: Factors to consider, questions to ask, information to gather when providing informed consent. Parent engagement/role in medical/mental health treatment decisions. Children’s rights to be involved in the process of making routine and nonroutine treatment decisions. Requirement for separate and specific informed consent vs. broad consent for children/youth during inpatient psychiatric or residential treatment. Guidelines regarding consent/refusal for youth 18 years of age or older. Introduction of statewide clinical consultation and support through The Missouri Center of Excellence in Children’s Health Integration, Learning, and Development (The Center of Excellence). The Missouri Center for Excellence in Children’s Health Integration, Learning, and Development (The Center for Excellence) The Department of Social Services has entered into a contract with the University of Missouri-Columbia, Missouri Psychiatric Center for The Missouri Center for Excellence in Children’s Health Integration, Learning, and Development (The Center for Excellence).  Expected to be established and ready to begin consultation with staff on September 1, 2018, The Center for Excellence will serve in an oversight capacity and will allow for ongoing monitoring and consultation, including telehealth, to case managers and supervisors regarding behavioral health and medical needs and issues of children.  These goals will be achieved through the collaboration of multiple academic departments within MU Health Care’s School of Medicine. The Center for Excellence will provide clinical and support staff including a child/adolescent psychiatrist, licensed psychologist, pediatrician, pediatric nurse, and nurse case managers to perform the following, highlighting just a few: Consultation to case managers and supervisors regarding medical or behavioral health needs and concerns, including psychotropic medications and alternatives; Peer-to-peer consultations regarding treatment plans; Telehealth psychiatric services, as needed, in identified areas of the state based on quality and capacity issues; Consultation to professionals involved with supporting children in care, in person or via telehealth; Facilitate coordination of care with local physicians or providers, including specialists, for children in CD custody; and An array of services involving oversight, monitoring, consultations, development of strategic/action plans, and analytic reporting products for the foster child population. More information about The Center for Excellence, the services covered by the contract, and protocol for its use will be released in a future memo once an implementation date is finalized. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Lori Masek 573-592-1007 Lori.Masek@dss.mo.gov PROGRAM MANAGER Ivy Doxley 573-526-1422 Ivy.Doxley@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 4 Chapter 24 Subsection 2 Medical and Mental Health Case Management Section 4 Chapter 24 Subsection 3 Informed Consent FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE N/A",https://fostercaresystems.wustl.edu/foster/informed-consent-policy-revisions
PROTECTING FOSTER YOUTH FROM SECONDHAND SMOKE EXPOSURE,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015","Administrative process, Child rights","REGIONAL EXECUTIVE, CIRCUIT MANAGERS, PROGRAM MANAGERS AND SUPERVISORS","TIM DECKER, DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce a new approach to promote good health for foster youth. If there are smokers in the resource home, the plan to protect foster youth from secondhand smoke exposure is to be included in the Home Assessment. A PowerPoint, Protecting Foster Youth from Secondhand Smoke Exposure, is to be viewed by all resource parents prior to licensure or approval to provide foster care services. There are currently eighteen states that require foster homes to be smoke free through legislation and policy . The following conditions have been linked to secondhand smoke exposure in children : SIDS More respiratory infections such as bronchitis and pneumonia More severe and frequent asthma attacks Ear infections Chronic cough Tooth decay Long term effects including Poor lung development Lung cancer Heart disease Cataracts Missouri law tasks the Children’s Division with placing youth in the division’s care and custody, in homes that safeguard and promote their present and continuing good health and in homes that will not commit any act or engage in any conduct that would be injurious to the child’s health. A new training to educate resource providers about exposure to secondhand smoke is now required. The PowerPoint presentation, Protecting Foster Youth from Secondhand Smoke Exposure is self-taught and is located on the Children’s Division’s Foster Parent Information Internet page. All new resource applicants for providing foster care services must complete the training prior to licensure or approval. Currently licensed and approved resource providers may complete the training and receive a one hour inservice training credit using code V113, Secondhand Smoke Exposure. The Notification of Hazards (CD-101) has been revised to include a checkbox to indicate which household members are smokers. Currently licensed and approved resource providers who smoke or have any individual living in the home who smokes will need to complete the CD-101 at time of renewal. If any household member is a smoker, the plan to protect foster youth from secondhand smoke exposure is to be discussed. Refer the family to the required pre-service video, Protecting Foster Youth from Secondhand Smoke Exposure. Discuss with the resource parent(s) their plan to talk to foster youth about smoking and about the resource parent(s)’ role model of making healthy choices. This information as well as a plan to protect foster youth from secondhand smoke exposure is captured in the Health Status section of the Home Assessment. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Amy Martin 573-751-3171 Amy.L.Martin@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Respite Care Recruitment and Retention 4.17.3 Respite Care Case Recording 4.17.9 Recording Guidelines and Record Composition- Resource Provider Records, 5.1.6.1 Resource Provider Training, Working With Prospective Foster/Adoptive Parents, 6.2.2 Guide for Conducting Resource Provider Family Assessments, 6.3.A Resource Provider Family Assessment Recording Outline, 6.3.C Conducting Resource Home Renewal, 6.3.5 Resource Development Worker Responsibilities, 6.13.1 FORMS AND INSTRUCTIONS Notification of Hazards, CD-101 REFERENCE DOCUMENTS AND RESOURCES Protecting Foster Youth from Secondhand Smoke Exposure Dangers of Children Exposed to Secondhand Smoke https://www.healthychildren.org/English/healthissues/conditions/tobacco/Pages/Dangers-of-Secondhand-Smoke.aspx Tobacco Fact Sheet, http://www.cdc.gov/tobacco/data_statistics/sgr/2010/pdfs/keyfindings.pdf Surgeon General’s Report http://www.njgasp.org/chronic-disease-diabetestobacco/surgeon-general-reports/2014-u-s-surgeon-general-report/ Secondhand smoke http://www.lung.org/associations/states/nevada/localoffices/vegas/assets/pdfs/secondhand-smoke-fact-sheet.pdf RELATED STATUTE 210.109. (5) 210.506 (2) 211.183(2) 211.421 ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/protecting-foster-youth-secondhand-smoke-exposure
ADAM WALSH CHILD PROTECTION SAFETY ACT POLICY REVISIONS,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014","Administrative process, Contact and directory information, Foster parent licensing, Safety","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","TIM DECKER, DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce revisions to policy regarding completion of Child Abuse and Neglect (CA/N) registry checks in other states for foster home licensure.  This revision is a result of work by a Children’s Division-led focus group which met to explore barriers to timely licensing per policy. The Adam Walsh Child Protection and Safety Act, also known as H.R. 4472, was passed in July 2006. The purpose of the act is to protect children from sexual exploitation, violent crime, prevent child abuse and child pornography, to promote Internet safety, and to honor the memory of Adam Walsh and other child crime victims. Missouri Children’s Division introduced policy to comply with the Adam Walsh legislation with memo CD08-055. The policy introduced a requirement to search every state where an applicant has lived since the age of 17. Effective with this memo, there is to be a CA/N registry search of every state where an applicant has resided during the past five (5) years only per The Adam Walsh Child Protection and Safety Act. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Amy Martin 573-751-3171 Amy.L.Martin@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 4 Chapter 12.3 Agency Arranged Kinship Care Section 6 Chapter 2.2 Working With Prospective Foster/Adoptive Parents Section 6 Chapter 3 Attachment A Guide For Conducting Foster/Kinship Family Assessments Section 6 Chapter 3 Attachment D Guide For Conducting Renewal Assessment Section 6 Chapter 3 Attachment H Guide For Conducting Adoptive Family Assessment Services FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES Adam Walsh Act Section 152 OSCAR List (Out of  State Child Abuse Registry Vendor Numbers) RELATED STATUTE RSMo 210.109 Child Protection and Reformation RSMo 210.487 Child Protection and Reformation ADMINISTRATIVE RULE 13 CSR 35-60.010 Family Homes Offering  (1) (B)Foster Care COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS N/A Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/adam-walsh-child-protection-safety-act-policy-revisions
HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY (HIPAA) POLICY RESOURCES,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012","Administrative process, Contact and directory information, Forms - Other, Foster parent licensing","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","CANDACE A. SHIVELY, DIRECTOR","DISCUSSION: The purpose of this memorandum is to provide information regarding Health Insurance Portability and Accountability Act, HIPAA, resources. The Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law 104-191, resulted in the establishment of HIPAA Privacy Rule in December of 2000. The HIPAA Privacy Rule is a federal rule designed to protect individuals’ medical records and other personal health information. In the course of business, the Children’s Division (CD) receives, discloses and utilizes Protected Health Information of employees and clients for a variety of reasons. Employees should exercise care at all times to discuss confidential, sensitive, or personal health information in a manner or place where the discussion is not able to be easily overheard. Measures should be taken to ensure that health information is not accessible to anyone other than the authorized personnel. CD staff will maintain privacy, confidentiality and integrity with regard to protected health information as required by state and federal laws, rules and regulations and professional ethics. Employees found to be in violation of this policy may be subject to disciplinary action up to and including dismissal as well as prosecution in a court of law. Required HIPAA documents are located on Children’s Division E-forms. The informational PowerPoint and Video presented by Children’s Division Privacy Officers in 2003 is located in Training Resources on CD Intranet page. The requirement to provide the two HIPAA documents, Notice of Privacy Practices Regarding your Protected Health Information, MO866-4061 and Resource Provider Health Insurance Portability and Accountability Information,CD-194, has been added to the list of documents to provide to resource parents to the list of documents provided to resource provider applicants during the assessment process and at licensure renewal. The CD-194 is read and signed at each re-licensure. One (1) hour of in-service training credit is earned only for the initial time. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Marta Halter 573-751-2427 Marta.Halter@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Record Access, Health Information Portability and Accountability Act Resource Provider Training-STARS, Working with Prospective Foster/Adoptive Parents Resource Provider Training-STARS, In-Service Resource Family Assessment & Licensing Process, Guide for Conducting Resource Provider Family, Attachment A Resource Family Assessment & Licensing Process, Guide for Conducting Renewal Assessment, Attachment D Resource Family Assessment & Licensing Process, Guide for Conducting Adoptive Family Assessment Services, Attachment H FORMS AND INSTRUCTIONS Resource Provider Health Insurance Portability and Accountability Information, CD194 Request for Restriction of Health Information, MO 886-4450 Individual’s Request for Access to Protected Health Information, MO 886-4451 Request for Amendment/Correction of Protected Health Information, MO 886-4457 PHI Disclosure Tracking Log, MO886-4452 Request for an Accounting of Disclosures, MO 886-4453 Notice of Privacy Practices Regarding Your Protected Health Information, MO 886-4061 Health Insurance Portability and Accountability Act Complaint, MO 886-4456 REFERENCE DOCUMENTS AND RESOURCES Memo CS03-07, Health Insurance Portability and Accountability Act (HIPAA) HIPAA Training RELATED STATUTE Public Law 104-191 ADMINISTRATIVE RULE CSR Title 13 Division 35 Chapter 60 COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS Parental Resilience, NA Social Connections, NA Knowledge of Parenting and Child Development, NA Concrete Support in Times of Need, NA Social and Emotional Competence of Children, NA FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/health-insurance-portability-and-accountability-hipaa-policy-resources
"REVISED SS-60 AND INTRODUCTION OF PRIVATE AGENCY CODES, RPU-33",Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012","Administrative process, Contact and directory information, Contracting with private organizations","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","CANDACE A. SHIVELY, DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce the revised SS-60 and the new form, Private Agency Codes, RPU-33. The SS-60 is utilized to track application information for Unclassified Vendors, UN, Medical/Mental Facility Vendors, MM, and Transitional Living Group Homes and Scattered Sites that are not contracted with the Children Division, TL. The UN vendors are only opened by the Central Office Payment Unit.  The MM and TL vendors are only opened by Central Office staff. References to completion of the SS-60 for vendors other than MM, TL, and UN have been removed from the Child Welfare Manual. The RPU-33 lists private agency codes. The list of private agency codes was located on the now obsolete SS-60 code sheet.  Questions regarding private agency codes should be submitted to the Central Office Residential Program Unit, Fred Proebsting, state supervisor. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. Review revised Children’s Division forms as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Marta Halter 573-751-2427 Marta.Halter@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Numerous locations in Sections 4, 5 and 6 which reference SS-60 completion FORMS AND INSTRUCTIONS Vendor Licensure/Approval Resource Report for UN, MM, and TL Vendors, SS-60 Private Agency Codes, RPU-33 REFERENCE DOCUMENTS AND RESOURCES FACES Financial System Payment Handbook RELATED STATUTE N/A ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS Parental Resilience, NA Social Connections, NA Knowledge of Parenting and Child Development, NA Concrete Support in Times of Need, NA Social and Emotional Competence of Children, NA FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/revised-ss-60-and-introduction-private-agency-codes-rpu-33
"ADDITIONS TO SAFE SLEEP PRACTICES FORM, CD-117",Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010, 2009","Contact and directory information, Foster parent licensing, Safety, Visitation","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, DIRECTOR","The purpose of this memorandum is to respond to a Continuous Quality Improvement (CQI) request for expansion of current policy regarding safe sleep practices. Current policy requires the resource provider to review and agree to adhere to the practices of the SAFE SLEEP PRACTICES RECOMMENDED BY THE AMERICAN ACADEMY OF PEDIATRICS, CD-117, during the initial home visit and at each license renewal. Foster Family Home Licensing Rules regarding sleeping arrangements include: Foster children should never sleep in a bed with foster parents  Each foster child under age two (2) shall have a separate bed Policy is now revised to include that the worker will discuss the dangers of co-sleeping with an infant and direct the resource parent to information presented in the PowerPoint, SIDS and Safe Sleep, located on the State Technical Assistance Team web site, http://www.dss.mo.gov/stat/statpres/prevention.htm. Immediately with publication of this memorandum, staff will utilize the updated CD-117 and add to their discussion of safe sleep practices the dangers of co-sleeping with an infant. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-119 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Dena Driver 573-751-3171 Dena.Driver@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 6 Chapter 2 Subsection 2 FORMS AND INSTRUCTIONS Safe Sleep Practices Form, CD-117 REFERENCE DOCUMENTS AND RESOURCES Memo CD08-107 Foster Family Home Licensing Rules RELATED STATUTE N/A ADMINISTRATIVE RULE 13 CSR- 35 60.040 (2) (E)(F)(G) COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS Parental Resilience, NA Social Connections, NA Knowledge of Parenting and Child Development, NA Concrete Support in Times of Need, NA Social and Emotional Competence of Children, NA FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/additions-safe-sleep-practices-form-cd-117
REVISION OF RESOURCE PROVIDER RECORD COMPOSITION POLICY,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010, 2009","Administrative process, Contact and directory information, Foster parent licensing","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce revisions and clarifications to Child Welfare policy regarding the composition of resource provider files and to bring attention to current policy. Information in the Resource Provider Case File The purpose of a resource provider case file is to contain required information for the licensure process and subsequently the information necessary to maintain and renew the license. There are several sections of the Child Welfare Manual that a resource licensing worker must use and follow when opening and developing a resource provider case file during the initial licensure/assessment process: Recording Guidelines, 5.1.6 Record Access Out-of-Home Care Provider Records, 5.2.6 Resource Provider Training – STARS, 6.2 Resource Family Assessment and Licensing Process Foster/ Kinship Assessment, 6.3.1 Guide for Conducting Foster/ Kinship Assessments, 6.3 attachment A Foster/Kinship Family Assessment Recording Outline, 6.3 Attachment C Children's Service Worker Responsibilities, 6.3 attachment M The Recording Guidelines and Record Composition section of the Child Welfare Manual identifies all the documents that are required to be present in the resource provider case file. Resource provider case files are available to the public under Missouri's Sunshine Law, Chapter 610, RSMo. Results of a File Review A recent review of resource provider case files identified trends of information and documents contained in a resource provider's case file contrary to policy. Staff must be diligent to adhere to the policy guidelines. The following are some of the identified trends: Use current revision of agency forms Forms are updated frequently for format issues and revised in response to Continuous Quality Improvement requests and legislative changes. Always check E- forms and Desk Top forms for the most current version of forms. This ensures that the most recent requirement for requested information is obtained. Only place documents in the file which are required in policy for that section. No documents shall be placed in the case file that are not specified in policy as a requirement for licensure, maintaining of licensure, and licensure renewal. Some documents may be obtained or viewed in order to complete the home assessment but should not be maintained in the record. Items that should not be in the case file, except in adverse action cases as outlined later in this memorandum, include, but are not limited to, the following items which were observed in the case file review: Directions to the home, including MapQuest print outs. Copies of Social Security cards, birth certificates, school diplomas, car titles, driver's licenses, and STARS/Spaulding homework. Bank account numbers, bank account statements, tax filing forms. The Financial Worksheet provided in the STARS curriculum Step 6 is the worksheet to be used to determine stable finances and money management. However, the worksheet is a part of the STARS homework and is not to be kept in the file. Child-specific information including court orders and the Child Assessment and Service Plan, CS-1 Outdated Vendor Licensure/Placement Resource Form, SS-60 Outdated fingerprint results There are many documents that may be viewed by the resource licensing worker in completing the assessment and reassessment; however, only the documents found in the Recording Guidelines and Composition section of the manual should be placed in the file. Denial and Revocation If during the licensure or re licensure process it is determined that the award of a foster care license is to be denied or revoked, all supporting documentation for the adverse action shall be retained for utilization during the fair hearing process should the resource provider grieve the decision including those documents outlined in this memorandum to be removed. This documentation shall be placed in the Administrative section of the resource provider case record. The decision to deny or revoke a foster care license must be based on non-compliance and or incompetency’s with statute and licensing rules. Training Section Upon approving and entering the license in the system, CD staff are to return all the homework pages that were completed to fulfill the STARS/Spaulding pre-service training requirements to the resource provider. There will be one training section in the file labeled “Training Section”. Documents that are to be placed in the Training Section include: All training certificates All training sign-sheets Training Record Screens Resource Family In-Service Training Request, CD-114 All flyers and notifications of in-service training opportunities It is imperative to include all the above listed documents in the training section in order to verify notification of available trainings and actual training hours earned by the resource provider. Additional Clarifications The Weapon Statement Agreement is obsolete. The language that referred to such a form has been removed from the manual. Weapon storage and safety is addressed on the Resource Home and Safety Checklist, CS-45, section C number 15. However, if there is a Weapon Statement Agreement currently in the file, do not remove it. File it in the forms section of the file. Language in the manual has been revised for consistency to reflect that the Professional Family Development Plan, CD-100, is to be reviewed quarterly, annually, and at the time of license renewal. Council on Accreditation requires that the resource provider home have a plan of action in the case of an emergency and/or disaster. There is to be a section in the resource provider case file under a red cover sheet titled Emergency/Disaster Plan. Content for this section is outlined in memo CD06-33 . An additional background check requirement for resource provider applicants is the Alternative Care Vendor Licensure History Inquiry, ZVLH, screen and Kinship Licensure Type History Inquiry, ZVKH, screen. Checking these screens will determine if the resource provider has applied for and/or were issued foster care license(s) in Missouri in the past. When doing the background checks, it is imperative to place in the file the print out pages for case.net and the sex offender list by address including those indicating no match was found. Implementation All new resource provider case records shall be opened as outlined in this memorandum. The following steps are to be taken to implement the revision of policy presented in this memorandum for currently open resource provider case records: Workers are to take the resource provider case record to a quarterly home visit. Workers are to present to the resource provider the policy update regarding the contents of the provider’s file. Workers are to review the resource provider’s file with the provider and remove the contents that are not required to be in the file per this memorandum. Workers shall return personal documents and copies of personal documents that are removed from the file to the resource provider. Compliance with the requirements of resource provider case record contents as discussed in this memorandum shall be completed prior to October 20, 2010. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-119 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Melody Yancey 573-751-313 Melody.Yancey@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Documentation and Record Maintenance Recording Guidelines and Record composition- Resource Provider Records, Section 5 Chapter 1 Subsection 6 Resource Family Assessment and Licensing Process Children's Service Worker Responsibilities, Section 6 Chapter 3 Attachment M Resource Provider Training-STARS, Section 6 Chapter 2 Subsection 5 Resource Provider Training-STARS, Section 6 Chapter 2 Subsection 2 FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE N/A ADMINISTRATIVE RULE 13 CSR 35-60 Licensing of Foster Family Homes COUNCIL ON ACCREDITATION (COA) STANDARDS (Employee Access Only) G5.7.01 The organization follows procedures for responding to accidents, serious illness, fire, medical emergencies, water emergencies, natural disasters, and other life threatening situations G5.7.04 All of the organization’s programs prepare to deal effectively with injuries, accidents and illnesses CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A",https://fostercaresystems.wustl.edu/foster/revision-resource-provider-record-composition-policy
DISTRIBUTION OF FOSTER PARENT BILL OF RIGHTS AND LICENSING GUIDELINES REVISIONS,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010, 2009","Child rights, Contact and directory information, Foster parent licensing","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, DIRECTOR","DISCUSSION: Children's Division policy and Revised Missouri State Statute 210.566 require that a copy of the Foster Parent Bill of Rights and Responsibilities be given to resource providers at the time of initial licensure and at each licensure renewal. The Foster Parent Bill of Rights and Responsibilities is located in policy in Section 1 Chapter 3 Attachment A . The document is also provided in the Family-Centered Out-of-Home Resource Developmen t section on the Intranet. Currently policy addresses providing a copy of the Foster Parent Bill of Rights and Responsibilities in the Roles and Responsibilities section of the Child Welfare Manual. This directive is being added to the Resource and Development section. Children's Division staff are to provide a copy of the Foster Parent Bill of Rights and Responsibilities to the resource providers at the next quarterly visit and per policy thereafter which requires provision of the document at initial licensure and at relicensure. Policy guidelines for resource family assessment, licensing, and conducting the renewal assessments have been updated for accuracy and clarification including: Requirement of presenting the Safe Sleep Practices, CD-117, and obtaining the agreement and signature of the applicant at the first in-home meeting and at each re-licensure. Requirement of presenting the Resource Provider Discipline Agreement, CD119, and obtaining signature indicating agreement at the initial licensure and at each re-licensure. Requirement of presenting and obtaining signature for the resource Parent Acknowledgment of Home Assessment & Case File Information Access, CD-128, at the initial licensure and at each re-licensure. Requirement of opening a Vendor Licensure/Placement Resource Form, SS60, within 3 working days of receiving an application. Clarification that the Foster /Adoptive Medical Report, CW-215, does not include medical information regarding foster youth placed in the home. Revised name of the Cooperative Agreement for the Purchase of Professional Parenting Services, CM-14. Replacement of the term, ""foster parent"" with ""resource provider"" Additional details for the background screening process located in Section 6 Chapter 3 attachment A of the Child Welfare Manual. Introduction of the accurate term, electronic fingerprint vendor, for the Missouri State Highway Patrol's contracted vendor for obtaining fingerprints. Instructions for reopening a closed resource provider. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER Melody Yancey 573-751-3171 Melody.Yancey@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Resource Family Assessment & Licensing Process Guide for Conducting Foster/Kinship Family, Section 6 Chapter 3 Attachment A Resource Family Assessment & Licensing Process Guide for Conducting Renewal Assessment, Section 6 Chapter 3 Attachment D Resource Provider Training-STARS, Section 6 Chapter 2 Subsection 2 FORMS AND INSTRUCTIONS Resource Development REFERENCE DOCUMENTS AND RESOURCES Rights of Placement Resource, Section 1 Chapter 3 Subsection 2 Foster Parent Bill of Rights, Section 1 Chapter 3 Attachment A RELATED STATUTE Foster Parent Bill of Rights and Responsibilities, RSMo 210.566 ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS Parental Resilience, N/A Social Connections, N/A Knowledge of Parenting and Child Development, N/A Concrete Support in Times of Need, N/A Social and Emotional Competence of Children, N/A FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/distribution-foster-parent-bill-rights-and-licensing-guidelines-revisions
BACKGROUND CHECKS FOR RESOURCE PARENTS,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010, 2009, 2008","Child rights, Foster parent licensing","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, DIRECTOR","The Adam Walsh Child Protection and Safety Act, also known as H.R. 4472, was passed in July 2006. The purpose of the act is to protect children from sexual exploitation, violent crime, prevent child abuse and child pornography, to promote Internet safety, and to honor the memory of Adam Walsh and other child crime victims. Since the Act was signed into federal law, the Children’s Division has made changes such as FBI fingerprint checks on Resource homes and checking the Sex Offender Registry to be in compliance with this Act. An additional background check is now to be implemented to further comply with the Adam Walsh Act and to ensure the safety of the children placed in the Division’s care and custody. As part of the licensing process, staff will now expand the CA/N background checks on each household member 17 years of age and older to include each state they have resided in since the age of 17. The search can be conducted by accessing the Department of Social Services 50 states web site or the Family Support Division’s Public Human Services Agency Directory web site. Staff will click on each appropriate state to obtain contact information for verifying any child abuse/neglect history for each household member 17 years of age and older for each state they resided in since 17 years of age. To further enhance a comprehensive C/AN background check, resource/licensing staff also need to enter the residence address of the resource home on the State Highway Patrol’s sexual offender list located on the Missouri Highway Patrol ’s website. This search will determine if a sexual offender is registered as residing at the resource home address. NECESSARY ACTION: Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT: Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov PROGRAM MANAGER: Melody Yancey 573-751-3171 Melody.Yancey@dss.mo.gov CHILD WELFARE MANUAL REVISIONS: Section 4 Chapter 12.3 Agency Arranged Kinship Care Section 6 Chapter 2.2 Working With Prospective Foster/Adoptive Parents Section 6 Chapter 3 Attachment A Guide For Conducting Foster/Kinship Family Assessments Section 6 Chapter 3 Attachment D Guide For Conducting Renewal Assessment Section 6 Chapter 3 Attachment H Guide For Conducting Adoptive Family Assessment Services FORMS AND INSTRUCTIONS: N/A REFERENCE DOCUMENTS and RESOURCES: Adam Walsh Child Protection and Safety Act DSS 50 States link FSD Public Service Directory Link Main Page Missouri State Highway Patrol RELATED STATUTE: RSMo 210.109 Child Protection and Reformation RSMo 210.487 Child Protection and Reformation ADMINISTRATIVE RULE: List or put N/A if not applicable.",https://fostercaresystems.wustl.edu/foster/background-checks-resource-parents
NOTIFICATION OF RESOURCE HOME ADVERSE ACTION LETTER (CS-20A),Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010, 2009, 2008, 2007","Administrative process, Adoption, Contact and directory information, Foster parent licensing, Kinship","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, DIRECTOR","REFERENCE: CHILDREN’S DIVISION DISCUSSION: The purpose of this memorandum is to introduce the Notification of Resource Home Adverse Action Letter, the CS-20a and the title change for the CS-20. The CS-20 is being changed from the Foster/Relative Home Action Report to the Resource Home Adverse Action Report.  This change is to better reflect the purpose of this form which is to make recommendations for adverse actions to any of our resource family homes – foster, relative, kinship and adoptive. The Notification of Resource Home Adverse Action letter is to be utilized when such an action is being recommended to a licensed or approved home or to an application for resource home licensure or adoptive home approval.  An adverse action would be any denial, involuntary suspension or revocation of a resource home license, adoptive home approval, or application for licensure or approval.  The Notification of Resource Home Adverse Action letter was developed to provide a consistent means of notifying an applicant or resource provider of the adverse action recommended and the appeal process available to them. Staff are to begin using the new CS-20a effective with the date of this memorandum.  The letter is available online at http://www.dss.mo.gov/cd/info/forms/index.htm.  A copy should be retained in the provider’s files in the Correspondence Section. Resource family closed files are to be maintained ten (10) years from the date of last closing; withdrawn applications shall also be kept for 10 years from date of withdrawal.  However, resource home revocation and denial information will be retained at the local level indefinitely.  This is necessary to support any decisions we have made that come into question at a later date through sources such as the Family Care Safety Registry (FCSR).  This information will be kept in the Administrative Section of the licensing record until the record is due for expungement.  At that time, CS-20, CS-20a and any supporting documentation will be placed in a separate administrative file which is to be maintained in the local office indefinitely. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review this memorandum with all licensed foster/relative/kinship care providers. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Stefanie Wickers 573-751-1354 Stefanie.D.Wickers@dss.mo.gov PROGRAM MANAGER Bonnie Washeck 573-751-8927 Bonnie.R.Washeck@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 5 Chapter 4 Record Retention and Expungement Section 6 Chapter 2 Resource Provider Training - STARS Section 6 Chapter 3 Resource Family Assessment and Licensing Process Section 6 Chapter 7 Children’s Services Appeal Process FORMS AND INSTRUCTIONS CS-20a and Instructions CS-20 and Instructions REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE N/A ADMINISTRATIVE RULE 13 CSR 35-60.010 Family Homes Offering Foster Care COUNCIL ON ACCREDITATION (COA) STANDARDS S21.9.03 (Employee Access Only)",https://fostercaresystems.wustl.edu/foster/notification-resource-home-adverse-action-letter-cs-20a
CLARIFICATION OF PRE-SERVICE AND IN-SERVICE TRAINING FOR PLACEMENT PROVIDERS,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010, 2009, 2008, 2007","Contact and directory information, Definitions, Foster parent licensing, Kinship","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, DIRECTOR","DISCUSSION: This memorandum will clarify the definition of pre-service and in-service training for placement providers, as well as training provided by staff, contracted providers, or other agencies. The new Foster Home Licensing Rules went into effect on January 30, 2007. Information on all of the changes to the Foster Home Licensing Rules was provided in memorandum CD07-36 . One addition to the rules is the requirement for in-service training hours. The rules now in effect require each foster parent to complete a prescribed number of training hours as approved by the Children’s Division (CD). The current requirement is 15 hours per year or 30 hours per licensing period (except Career foster parents who are required to complete 16 hours per year or 32 hours per licensing period.) The newly revised Foster Parent Bill of Rights and Responsibilities (RSMo 210.566) states “the Children's Division and its contractors shall provide foster parents with regularly scheduled opportunities for pre-service training and pertinent in-service training, as determined by the Missouri State Foster Care and Adoption Advisory Board.” Section 1 Chapter 3 of the Child Welfare Manual states that placement resources have the right to have and participate in pre-service training and continuing education for their role as placement providers. PRE-SERVICE TRAINING Foster Home Licensing Rules require that each adult with parenting responsibilities successfully complete a competency-based training approved by the licensing agency prior to licensure. The required pre-service training curriculum for CD is STARS (Specialized Training, Assessment, Resources, Support and Skills). This requirement also applies to relative and kinship caregivers. The pre-service training currently provided to relative and kinship caregivers is STARS for the Caregiver Who Knows the Child. The caregiver training can be provided as either a self-study or in a group setting. Foster and kinship providers desiring to adopt must attend an additional training prior to being approved as an adoptive resource. This training is known as STARS , Making the Commitment to Adoption (also known as Spaulding) pre-service training. Relatives considering adoption are encouraged to complete the Spaulding training, but it is not required. STARS and Spaulding are co-taught by a professional staff member of the agency or contracted provider and an experienced and contracted teaching foster parent. The STARS curriculum is not specifically named in the new licensing rules so that CD may consider training from other states as a way to meet the requirement. This will allow CD to consider licensure of foster parents who move to Missouri from other states if their prior training meets the competency based requirement. The code to be utilized when entering the Pre-Service training of these foster homes is V099 “Other Approved Pre-Service Training”. Further information on the acceptance of non-STARS pre-service training will be forthcoming. IN-SERVICE TRAINING In-service training is a requirement for continued foster parent licensure and must be completed at the time of re-licensure. Foster care, relative and kinship providers are required to receive and participate in in-service training every licensure period. Relative and kinship care providers may choose not to attend in-service training but should be encouraged to do so. If these providers do not obtain the required in-service hours, they are not eligible to receive the $100 Professional Parenting payment. The process for working with foster homes who do not meet the requirement for in-service hours can be located in the Child Welfare Manual, Section 6 Chapter 3 Attachment D. In-service training can be obtained from the following sources: STARS In-Service training modules are available and completion of a specific module should be based on the identified need in the Professional Family Development Plan. The modules are now available on DVD also. Staff may access the DVDs through supervisory channels; Local training resources which are developed within their own community; Other approved in-service training (must have prior approval by the Regional office if the placement provider is requesting the CD cover the cost or if they are requesting the hours be counted toward meeting training requirements). Other approved in-service training should be flexible and competency based. Competency takes into account the person’s knowledge, skill, willingness, and ability to practice and perform the desired parenting to meet the needs of the children in our care. Flexibility can be allowed for training to occur in various formats such as, but not limited to, small or large group sessions, individual study, readings, coaching, web trainings, conferences, college courses, etc. Staff should consult with their Regional office to determine hours of “other approved in-service training” and if the training addresses the competencies required in agency policy. CHILD WELFARE MANUAL Section 6 Chapter 2 Resource Provider Training – STARS has been updated. The information contained in 6.2 Attachment A: STARS Training Objectives, 6.2 Attachment B: Pre-Service and In-Service Training, STARS Competencies; 6.2 Attachment C: Foster Parent Training; and 6.2 Attachment D: Guidelines for Award of Credit for NonAgency Training are now subsections incorporated into Section 6 Chapter 2. The terminology of Non-Agency Training previously used in the Child Welfare manual is now referred to as “Other Approved In-Service Training”. SS-60 B FORM, CODE SHEET, AND INSTRUCTIONS The SS-60B has been updated and is now available online. The SS-60B code sheet previously had terminology regarding “outside training” on codes V199, V299, V399, V499, V799, V899, and V999. The terminology for these codes has now been updated to “Other Approved In-Service Training”. The code V099 is being added for “Other Approved Pre-Service Training”. All training is either preservice or in-service. Staff should begin using the new code sheet immediately. The SS-60B Instructions and form have also been updated. NECESSARY ACTION: Review this memorandum with all Children’s Division staff. Review this memorandum with all licensed foster, relative and kinship care providers. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT: Stefanie Wickers 573-751-1354 Stefanie.D.Wickers@dss.mo.gov PROGRAM MANAGER: Melody Yancey 573-526-8040 Melody.Yancey@dss.mo.gov CHILD WELFARE MANUAL REVISIONS : Section 6 Chapter 2 Index Section 6 Chapter 2.1 Mandate And Rationale Section 6 Chapter 2.2 Working With Prospective Foster/ Adoptive Parents Section 6 Chapter 2.3 STARS Training Objectives Section 6 Chapter 2.4 Pre-Service Training And STARS Competencies Section 6 Chapter 2.5 In-Service Training Section 6 Chapter 2.6 Other Approved Training Attachments A – D of Section 6 Chapter 2 have been deleted. The information has been incorporated into the above subsections. FORMS AND INSTRUCTIONS : SS-60B Code Sheet, Form and Instructions REFERENCE DOCUMENTS and RESOURCES: Memorandum CD07-36 CWM Section 6 Chapter 3 Attachment D: Guide for Conducting Renewal Assessment RELATED STATUTE: RSMo 210.566 ADMINISTRATIVE RULE: 13 CSR 35-60.030 COUNCIL ON ACCREDITATION (COA) STANDARDS: S21.9 Caregiver Education PROGRAM IMPROVEMENT PLAN (PIP): N/A SACWIS REQUIREMENTS: N/A",https://fostercaresystems.wustl.edu/foster/clarification-pre-service-and-service-training-placement-providers
"CHANGES IN POLICY RELATED TO HOUSE BILL 1453 LEGISTLATION, “DOMINIC JAMES MEMORIAL FOSTER CARE REFORM ACT OF 2004”",Missouri,Memo,"2007, 2006, 2005, 2004","Administrative process, Legal process","AREA EXECUTIVE STAFF, CIRCUIT MANAGERS AND CHILDREN’S DIVISION STAFF","FREDERIC M. SIMMENS, DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce new policy related to legislative changes and to clarify existing policy requirements. Governor Holden signed House Bill 1453 into law on June 29, 2004, known and sited as the ""Dominic James Memorial Foster Care Reform Act of 2004"". This legislation revises statutes related to child protection and foster care. The changes outlined in this memorandum become effective August 28, 2004. Bill Section Title/Subject Changes in Missouri Statute Manual Section 37.710 Office of the Child Advocate for Child Protection and Services Allows the Office of Child Advocate to have access to specified information about children in protective custody, reports of child abuse and neglect, and records concerning protective services for children. 5.2 Attach B 2.4 Attach D 135.327 Adoption Tax Credit Beginning July 1, 2004, 50% of tax credits allowed shall be for special needs children who are residents of Missouri at the time the adoption is initiated. Tax credits not to exceed four million dollars in any year. If in the first 90 days less than two million dollars is issued for children who are not residents of Missouri, the remainder shall be made available for residents of Missouri. (See Adoptions Tax Credit Log and Adoption Tax Credit Power Point) 4.30 attach F 167.020 Homeless Child or Youth Modifies the term “homeless child or youth” to include children and youth under age 21 who: • are sharing housing with others, living in motels, hotels, or emergency shelters, or who are awaiting foster care placement; • who have a primary nighttime residence that is not designed for regular sleeping accommodations; • are living in cars, public spaces, abandoned buildings, or 4.21.8 7 Glossary 192.016 453.060.5 453.061 Putative Father Registry DHSS shall establish a Putative Father Registry. Removes John Doe clause and requires a search of the Missouri Putative Father Registry to determine if a man has filed or been registered with the registry. Children’s Service workers will instruct all alleged minor parents (LS1) in the care and custody of the Division about their responsibilities and encourage fathers to sign up on the Putative Father Registry. Any man who has engaged in sexual intercourse with a woman is deemed to be on notice that a child may be conceived and as a result is entitled to notice of an adoption proceeding. The pamphlet which describes the putative father registry can be ordered from the warehouse CSE-6 (It should be noted that this pamphlet is in the process of being enhanced according to provisions of1453) POLICY IMPACT No Policy Changes 207.085 CD Employee Dismissal Employees of the Children’s Division, including supervisory personnel and private contractors, involved with child protective services, who purposely, knowingly, and willingly violate a policy, rule, or state law related to CA/N activities of the division must be dismissed if the violation results in serious physical injury or death. Caseload size in excess of standards established by the Council on Accreditation for Families and Children’s Services will be a mitigating factor in determining dismissal. This revision is not a significant change from current DSS policy regarding grounds for employee dismissal. HRC Administrative Manual currently under revision 210 Preponderance of Evidence This law changes the standard of proof for Child Abuse and Neglect Investigations received on or after August 28, 2004, from “probable cause” to “preponderance of the evidence”. Several references throughout Chapter 210 are made to our Child Welfare Manual in relation to this change in standard- of- proof as well as changes in the, but this does not represent a significant change in practice. Investigations should continue to be conducted with an emphasis on: • thorough collection and documentation of evidence; • an accurate account of interviews (verbal and non-verbal) • descriptive, observable and behaviorally specific documentation of actions and conduct relative to the investigation; • descriptive, observable documentation regarding the physical condition of children and environment; • investigative findings based on all available facts and evidence that is of greater weight or more convincing than the evidence offered in opposition to it. POLICY IMPACT 2.4 2.4 attach D 2.4 attach E 2.4 Attach F 2.4 Attach J 2.4 Attach L 2.4 Attach N 2.4 Attach P 2.4 Attach R 2.4 Attach S 2.4 Attach T 2.4 Attach U 2.4 Attach X 2.5 3.1 3.2 3.3 3.8 5.1 5.2 5.4 6.3 Attach A 7 Glossary 7.10 7.16 210.108.1 Voluntary Placement Agreement Defines “voluntary placement agreement” as a written agreement between DSS and a parent of a child 17 years of age or younger solely in need of mental health treatment. Authorizes DSS to administer the placement and care of child while parent retains legal custody. Policy Memorandum regarding “Voluntary Placement Agreement” is forthcoming. Forthcoming Policy Changes 210.109.3 Mandated Reporters Required to Leave Name Mandated reporters may not make CA/N reports anonymously provided the reporter is informed that reporter information be held as confidential. All other reporters may remain anonymous. Reporter will be informed of confidentiality by integrating it into the CANHU Protocol at the time of the call. POLICY IMPACT CANHU Protocol 210.145.15 Reporters Not Made Anonymously Requesting Disposition Any reporter who provides his/her name to the CA/N hotline shall be informed of their right to obtain information concerning the disposition of the report. The reporter may also receive, if requested, findings and information concerning the case. The release of information shall be at the discretion of the director, based on the reporter’s ability to assist in protecting the child or the potential harm to the child or other children in the family. The local office shall respond to the reporter’s request within 45 days. 5.2.1 2.4 Attach D Referrals of Unsubstantiated CA/N Reports to the Office of the Child Advocate Reporters of CA/N reports, who leave contact information, may request reports with unsubstantiated findings be referred to the Office of Child Advocate for review. POLICY IMPACT 5.2 Attach B 2.4 Attach D New CS-21B 210.109.3.(8) Performance Based Contracts Requires CD to strategically contract for the provision of performance based children’s services, throughout the continuum, except that state is the sole provider of CA/N hotline services, initial child abuse and neglect investigations, and initial family assessments. Will potentially impact contracts in the future including but not limited to case management, IIS, FCS. No policy changes required 210.112 Privatization The division to enter into and implement contracts for child welfare services, beginning on or before July 1, 2005, and is subject to appropriations. All direct services for children and their families currently provided by the Division shall be contracted for on a competitive bid basis, except for services related to the child abuse and neglect hotline, the initial investigation and the initial family assessments. Contracted providers will be evaluated by performance based criteria and implemented strategically based on public and private partnerships. No policy changes required 210.113 Accreditation This section establishes the goal of obtaining accreditation for the Department by the Council for Accreditation for Families and Children’s Services within five years of the effective date of the section. (Refer to Memorandum CD04-53, Circuit Accreditation Process) (See CD04-53 Policy Changes) 210.117 and 211.038 Reunification Requirements And Restrictions Children who are taken into the custody of the state shall not be reunited with a parent or placed in a home when the parent or any person residing in the home has been convicted of certain felony offenses in chapters 566 or 568. Children under the jurisdiction of the juvenile court shall not be reunited with a parent or placed in a home when the parent or any person residing in the home has been convicted of specific felony offenses of chapters 566 or 568. If while providing services, staff determines or has reason to believe a criminal history would preclude reunification, staff must request parent to provide criminal history prior to requesting reunification to the court. POLICY IMPACT 4.9.4 4.10.1 4.10.3.2.b 4.10.3.3.b 4.10.3.4.b 4.10.10 210.127 Diligent Search Requires the Division to conduct a “diligent search”, for the biological parents of a child in the custody of the Division when the parents’ identity or location is unknown. “Diligent search” includes efforts to locate or identify the biological parents of a child, initiated as soon as the division is made aware of the existence of the parent, with progress reports at each court hearing until the parent is identified and located or the court excuses further search. Staff will utilize resources available, such as Federal Parent Locator Services (FPLS) through the Family Support Division and Office of the State Court Administrator. POLICY IMPACT 4.4 Attach A 7 Glossary 210.145.5 Interviewing Child in School The Division may not meet with child at any school or childcare facility building where the abuse of the child is alleged to have occurred. If alleged abuse occurred in school/child-care facility, staff shall not meet with the child in same school/child-care facility. If abuse occurred in school/child-care facility, arrangements need to be made to meet with the child in a different locale. This is a correction from the 2003 legislation in House Bill 613, which did not allow CD staff to meet with a child in any school or daycare facility. (Refer to Memorandum CD04-69) See CD04-69 Policy Changes 210.145.11 FSTM Invitees Dictates who must be invited to family support team meetings, which include parents, legal counsel for the parents, foster parents, the legal guardian for the child, the GAL, and the CASA shall be provided notice of the meeting. Family members, (other than alleged perpetrator), or other community formal or informal service providers may be invited at the discretion of the family. The parents, legal counsel for the parent, legal guardian/custodian, and foster parents may request that other individuals, other than alleged perpetrators, be permitted to attend such meetings. Once a person is provided notice of a meeting, the CD or the conveyor of the meeting shall provide notice of subsequent meetings. Families may determine whether individuals invited at their discretion shall continue to be invited. POLICY IMPACT 4.7.2.1 4.7.4.2 4.9.7.1 210.762.1 FSTM Follow Protective Custody Timeframe Requires division to arrange for a family support team meeting prior to or within 24 hours following the protective custody hearing. The division shall arrange additional family support team meetings prior to taking any action relating to the placement of such child except in emergency and then the division may make a temporary placement and shall schedule a family support team meeting within 72 hours. POLICY IMPACT 210.147.1-2 FSTM Confidentiality All information provided at meetings or administrative hearings regarding removal of a child is confidential except: • A parent or a party may waive confidentiality for himself or herself • Any parent has the absolute right to audio or videotape such meeting to the extent allowed by the law. • No parent or party shall be required to sign a confidentiality agreement before testifying or providing information at such meeting or hearing. • Any person, other than a parent or party, who doesn’t agree to maintain confidentiality may be excluded from any portion of the meeting during which he/she is not testifying or providing information. The CD is responsible for developing a form (CS-1) to be used at the conclusion of any meeting held in relation to a child placed in the custody of the state. A completed CS-1 will be distributed to parents and any other party within (5) five days of FSTM. (See CS-1 Instructions) POLICY IMPACT 4.7.2 4.9.3 4.9.7 210.160.2 FSTM Guardian ad litem Right to Attend Upon appointment by the court to a case, GAL to be informed of and have the right to attend any and all family support team meetings involving the child. POLICY IMPACT 4.7.2.1 4.9.7.2 210.150.2 CA/N Record Access Identifies persons who shall have access to investigation records contained at the central registry. Information may be given to a grand jury, juvenile officer, prosecuting attorney, law enforcement officer involved in the investigation of abuse or neglect, juvenile court or other court conducting abuse or neglect or child protective proceedings or child custody proceedings, and other federal, state and local government entities, or any other agent of such entity, with a need for such information in order to carry out its responsibilities under the law to protect children from abuse or neglect. POLICY IMPACT 5.2.1 210.152.1 CA/N Record Retention Reduces the amount of time the Children’s Division must keep an unsubstantiated report of child abuse made by a mandated reporter from ten to five years. POLICY IMPACT 5.4.1 210.482.1-5 Emergency Placement Background Checks Details emergency placement procedures of a child in a private home due to unexpected absence of the child’s parents. • Juvenile court and CD may request local or state law enforcement to conduct name-based criminal history record check, including full orders of protection and outstanding warrants of each person over the age of 17 residing in the home by using MULES and NCIC to access FBI information. • CD shall conduct CA/N history check for any person over 17 residing in the home. CD shall inquire whether any child less than 17 in the home has been certified as an adult and convicted of or pled guilty or no lo contendere to any crime. • After initial name-based search, all persons in the home 17 and over must submit two sets of fingerprints and accompanying fees for a more extensive criminal background check, except for persons who are within two degrees of consanguinity and affinity to the child (parents, grandparents, brothers and sisters). One set to be used by the highway patrol to search criminal history repository and the second set to be forwarded to the FBI. • Any child placed in emergency placement shall be removed immediately if any person in the home fails to provide fingerprints after being requested to do so, unless that person ceases to reside in the home. • If placement is denied because of the name-based search and the denial is contested, the members of the household 17 and over must submit 2 sets of fingerprints for a background check within fifteen business days. • Cost of fingerprints may be paid by the state. POLICY IMPACT 4.12.3 4.12.3.1 210.487.1 Foster/Adopt Parent Licensing • Requires CD to conduct search for full orders of protection for anyone seeking a foster parent license, or any adult in the applicant’s household. • The applicant and any adult or child certified as an adult in the household must submit two sets of fingerprints for a criminal background check. • CD must determine if any person over 17 in the home and any child less than 17 who has been certified as an adult for the commission of a crime is listed on the child abuse and neglect registry. • The division shall inquire if any children less than 17 in the home have ever been certified as an adult and been convicted of, or pled guilty or nolo contendere to any crime. • Subject to appropriation the total cost of fingerprinting may be paid by the state. POLICY IMPACT 6.2.2.1 6.2.2.3 6.3.1 6.3.4 6.3 attach A 6.3 Attach C 6.3 Attach D 6.3 Attach E 6.3 Attach H 6.3 Attach I Administrative rules promulgated under the Code of State Regulations are forthcoming. 210.542.1 Foster Parent Licensing Standards Requires the Children’s Division to provide standards and training for prospective foster parents before they become licensed. The division shall provide performance-based criteria for licensed foster parents. POLICY IMPACT Administrative rules promulgated under the Code of State Regulations are forthcoming 210.565.1-5 Preference for Placement with Relatives • Requires placement with relatives if the court has determined that relative placement is not contrary to the best interests of the child. • Court must make specific findings on the record detailing why placement with a relative is not in the best interests of the child. • Specifies that the age of a relative may not be the only factor considered in determining whether to place the child with that relative. • Requires the Children’s Division to comply with the Federal Indian Child Welfare Act in placing Native American children. POLICY IMPACT 4.12.1 4.12.3 4..4 Attach B 4.19.1.1 4.19.2 4.19.3 7 Glossary 210.760.1 Foster Care Placements Notifying Parents Requires the Division to notify parents when their child is placed in foster care and work with parent or legal guardian of the child for his or her return home. See current policy on parent notification of custody in CWM: Section 4.3.1.3.a Investigation and Protective Custody 4.3.1.3.a 210.760.2 Foster Care Placements During School Day Except as otherwise provided in section 210.125, no child shall be removed from school for placement in foster care without a court order specifying that the child will be removed from school. POLICY IMPACT 2.4.3.9 211.031.4 Home Schooling Specifies that when the only basis for action is an alleged violation of the mandatory school attendance statute involving a child who alleges to be home schooled, the juvenile officer must contact the child’s parents to verify that the child is being home schooled. Reports of violations of the mandatory school attendance statute involving a child who is home schooled must be made to the prosecuting attorney in the county in which the child resides. POLICY IMPACT 2.4.1 2.4.3.7 211.032.7 School Attendance If placement results in the child attending a different school the child’s records shall be automatically transferred within two days of notification or upon request of the foster parents, GAL, or the volunteer advocate and when possible, the child shall be allowed to continue attending the school he or she attended prior to being taken into the custody of the Division. The division in consultation with the department of elementary and secondary education, shall establish the necessary procedures to implement provisions 4.4.3 211.059.3 Questioning/ Interviewing Children in Custody The questioning of a child in custody due to abuse or neglect shall cease if the child wishes a parent, guardian or attorney present during the questioning. Questioning shall not continue until such time the child does not object to talking about alleged abuse, unless the interviewer has reason to believe that the parent or guardian is acting to protect the alleged perpetrator. Nothing shall prevent the asking of questions necessary for the care, treatment, or placement of the child. All video or audio recordings of meetings, interviews, or interrogations conducted by the state of a child in the state’s custody are presumed admissible in proceedings involving the child, regardless of whether the recording was made before or after the child was taken into custody and such recordings were made prior to the adjudication hearing in the case and are inadmissible only upon a showing by clear and convincing evidence that the recording lacks sufficient indiciation of reliability POLICY IMPACT 7.18 2.4 453.020.2 Petition for Adoption The petition for adoption shall include payment of a $50 filing fee which shall be used to fund the putative father registry. No Policy Change 453.020 GAL Adoption and Filing Fee The GAL may be awarded a reasonable fee form such services to be set by the court. The court in it’s discretion, may award much fees as a judgment to be paid by any party to the proceedings or from public funds. Such an award of GAL fees shall constitute a final judgment in favor of the GAL 4.30 Attach A 4.30 Attach D 4.11 Attach C 701.336.1.1 Non-Offending Parents Requires a child be returned to the care of a non-offending parent legally entitled to physical custody of the child under certain circumstances including: • parents have continually maintained joint domicile for a period of at least 6 months or maintain separate households; • evidence indicates only one of the parents is the subject on an investigation and the non- offending parent does not have a history of criminal behavior or drug abuse within the past 5 years; • non-offending parent request custody of the child and agrees to cooperate with court orders limiting contact. Nothing shall prevent the division for the court from exercising its discretion to return a child to children to the custody of any individual POLICY IMPACT 4.4.2 4.4 Attach B REVISED FORMS This legislation also necessitates the revision of the following forms and respective instructions: CS-21--Investigation Disposition Letter and instructions: • Revision of standard of proof from “Probable Cause” to “Preponderance of Evidence”. • Adds a statement informing the alleged perpetrators that a finding of “Preponderance of Evidence” may effect future employment. CS-21 B—Reporter Disposition Notification Letter: • New form letter for notifying mandated reporters of report disposition and for permissive reports, who are not anonymous and request disposition information. CS-24--Description of the Investigation: • Revision of standard of proof from “Probable Cause” to “Preponderance of Evidence”. • Adds a statement informing the alleged perpetrators that a finding of “Preponderance of Evidence” may effect future employment. CPS-1--Child Abuse/Neglect Investigation/Family Assessment and instructions: • Revision of standard of proof from “Probable Cause” to “Preponderance of Evidence”. • Includes item requiring the identification of children with American Indian Heritage. CAN-1--Code Sheet and instructions: • Revision of standard of proof from “Probable Cause” to “Preponderance of Evidence.” • Item requiring the documentation of SDM Risk Assessment code descriptions: (V) Very High, (H) High, (M) Moderate and (L) Low. SS-61- Alternative Care Client Form Code Sheet and Instructions • FSTM Documentation REVISED MANUAL CHANGES Section 2 Revisions Chapter 4                         Investigation Response Chapter 4, Attachment D Reporter Contact Chapter 4, Attachment E Decision Making-Investigative Conclusions Chapter 4, Attachment F Safety Analysis and Risk Assessments Chapter 4, Attachment J School Related Issues Chapter 4, Attachment L Out-Of-Home Investigations Chapter 4, Attachment N Child Fatality Review Panels Chapter 4, Attachment P CANRB Guidelines Chapter 4, Attachment R Physical Abuse Chapter 4, Attachment S Sexual Maltreatment Chapter 4, Attachment T Neglect Chapter 4, Attachment U Medical Neglect Chapter 4, Attachment X Preponderance of Evidence Chapter 5                         Family Assessment Response Section 3 Revisions Chapter 1                        Case Opening Criteria Chapter 2                        Procedure to open or reopen A Family for Services Chapter 3                        Development of the Family Plan for Change Chapter8                         Case Closing Section 4 Revisions Chapter 4                           Selection of Placement Resource and Placement Options Chapter 4, Attachment A   Locating the Non-Custodial Parent Chapter 4, Attachment B   Guidelines to Placement Options, Criteria and Selection Chapter 7                           Begin Work with the Family/Child(ren) Chapter 9                           Permanent Outcomes for Children Chapter 10                         Permanency Through Reunification Chapter 11,                        Attachment C Special Expenses Payment Chapter 12                         Kinship Care Chapter 21                         CHAFEE Foster Care Independence Program (CFCIP) Chapter 30, Attachment A Subsidy Coverage Limitations Chapter 30, Attachment D Nonrecurring Adoption Expense for Special Needs Children Not Eligible for the Missouri Adoption Subsidy Chapter 30, Attachment F Missouri Special Needs Adoption Tax Credit Section 5 Revisions Chapter 1                           Documentation and Record Maintenance Chapter 2                           Record Access Chapter 2, Attachment B  Office of the Child Advocate Chapter 4                           Record Retention and Expungement Section 6 Revisions Chapter 2                           Resource Provider Training-STARS (Specialized Training Assessment Resource and Support) Chapter 3                           Resource Family Assessment and Licensing Chapter 3, Attachment A   Guide for Conducting Foster/Kinship Family Assessments Chapter 3, Attachment D   Guide for Conducting Renewal Assessment Chapter 3, Attachment E   Foster/Kinship Family Renewal Assessment Recording Outline Chapter 3, Attachment H  Guide for Conducting Adoptive Family Assessment Services Chapter 3, Attachment I    Adoptive Family Assessment Recording Outline Section 7 Revisions Glossary/Reference Chapter 10                           Chronic Neglect Chapter 16                           Children's Division's Role in Drug-Involved Cases Chapter 18                           Investigative Interviewing NECESSARY ACTION: Review this memorandum with all Children’s Division Staff. Review revised Child Welfare Manual sections listed under Manual Sections Column. Review above listed Revised Forms and respective instructions. All questions should be cleared through normal supervisory channels. FMS/RDM/cb",https://fostercaresystems.wustl.edu/foster/changes-policy-related-house-bill-1453-legistlation-dominic-james-memorial-foster-care
TRANSRACIAL PARENTING IN FOSTER CARE AND ADOPTION,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012","Administrative process, Foster parent recruiting","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","CANDACE A. SHIVELY, DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce policy revision regarding transracial parenting training. Memo CS00-18 introduced the Transracial Parenting Project in June, 2000. The North American Council on Adoptable Children (NACAC) developed the project consisting of three components; a Self Awareness Tool, Training Curriculum, and Parenting Resource Manual. Since that time additional training curriculums have been published. Children’s Division policy no longer specifies the Transracial Parenting Project as the sole training resource to meet the need of providing training and support to those resource parents who wish to explore whether fostering or adopting a child of a different culture is appropriate for their family. The training curriculum should include but is not limited to: Information that highlights the important issues involved in caring for a child of another race, culture, or ethnicity. Including but not limited to identity development, family issues, community resources Information to educate parents on what it truly means to parent a child (ren) of a different race, culture, or ethnicity Strategies to help parents explore ways to prepare for parenting a child (ren) of a different race, culture, or ethnicity The expectation is that the training facilitator will have experience in parenting a child of a different culture. This could enrich the quality of the discussion, answer unmet needs of those currently parenting, and encourage the development of support groups. In-service training credit for up to six (6) hours may be earned with submission of documentation that transracial parenting training was completed. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Elizabeth Tattershall 573-522-1191 Elizabeth.Tattershall@dss.mo.gov DEPUTY DIRECTOR Marta Halter 573-751-2427 Marta.Halter@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Resource Provider Training STARS In-Service Training, 6.2.5 Support Groups for Foster, Kinship and Adoptive Parents Transracial Parenting, 6.6.2 FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE N/A ADMINISTRATIVE RULE N/A COUNCIL ON ACCREDITATION (COA) STANDARDS N/A CHILD AND FAMILY SERVICES REVIEW (CFSR) N/A PROTECTIVE FACTORS N/A Parental Resilience Social Connections Knowledge of Parenting and Child Development Concrete Support in Times of Need Social and Emotional Competence of Children FACES REQUIREMENTS N/A",https://fostercaresystems.wustl.edu/foster/transracial-parenting-foster-care-and-adoption
FOSTER FAMILY PROFILE,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010, 2009, 2008, 2007","Administrative process, Forms - Other, Placement","REGIONAL EXECUTIVE STAFF, CIRCUIT MANAGERS, AND CHILDREN’S DIVISION STAFF","PAULA NEESE, DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce the Foster Family Profile into policy, which was briefly discussed in Children’s Division memorandum CD06-77. The Foster Family Profile was first introduced in the Code of State Regulations. The profile will provide the Family Support Team (FST) with a more comprehensive picture of the foster family, allowing for a better matching process when determining placement for foster youth. These policy changes will bring the Child Welfare Manual in compliance with 13 CSR 35-60.030. The Foster Family Profile cover letter (CD-55) is now available to provide the potential resource provider with an explanation of the purpose of the Foster Family Profile (CD-56). Having the Foster Family Profile available to the Children’s Service Worker (CSW) and the FST will enable them to utilize the form when making placement decisions that are in the best interest of the child. Existing Resource Providers Existing resource providers are to complete the Foster Family Profile at the time of license renewal. The CSW is to provide the resource provider with the Foster Family Profile cover letter (CD-55) and the Foster Family Profile (CD-56) for completion during this time. Resource providers are to return the form to their local licensing worker within no more than ten business days. The profile should then be updated by the foster parents as needed with subsequent household changes. New Resource Providers At the first in-home family consultation meeting the CSW should provide the applicant with the Foster Family Profile cover letter (CD-55) and the Foster Family Profile (CD-56) for completion. The applicant is to return the completed CD-56 to the local licensing worker within 10 business days. The CD-56 is required as a part of concluding the home study process and is to be received prior to scheduling the last in-home consultation. The completed CD-56 and a photograph of the resource provider’s family are to be under separate cover sheet (to be developed locally) and placed in the front of the resource provider’s record. Utilization of the Foster Family Profile The CSW should assess and review the Foster Family Profiles of potential resource providers as a part of the process of selecting a placement for the child. When the CSW is meeting with the FST to discuss placement changes for a child, the Foster Family Profiles of possible resource providers are to be available for the FST to review. The FST is to utilize the information in the profiles in making its determination and selection of a placement for a child or sibling group. A thorough review of potential resource providers will assist the FST in selecting an appropriate placement that can meet the needs and serve in the best interest of the child. Documentation and Maintenance The CSW should document in the initial recording that the applicant was provided and given a brief overview of the Foster Family cover letter (CD-55), and the Foster Family Profile (CD-56). In regards to subsequent recordings, the CSW should document discussions regarding the Foster Family Profile. The CD-56 is to be updated when there are changes in the household composition that impact the information gathered on the form. The most recent CD-56 with a recent photograph of the family attached is to be kept in the front of the Resource Provider record. The obsolete CD-56 should be placed in the Family Assessment Section of the resource provider record, with a notation on the front page of the profile identifying it as obsolete. NECESSARY ACTION: Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT: Christine DeTienne 573-751-0311 Christine.J.Detienne@dss.mo.gov PROGRAM MANAGER: Kathryn Sapp 573-522-5062 Kathryn.Sapp@dss.mo.gov CHILD WELFARE MANUAL REVISIONS: Section 4 Chapter 4.1 Definitions And Purpose Section 4 Chapter 7.2 Family Support Team Meeting Section 5 Chapter 1.6.5 Foster Family Profile Section 6 Chapter 1.2 Recruitment Plan Section 6 Chapter 2.2 Working with Prospective Foster/Adoptive Parents Section 6 Chapter 3.1 Foster/Kinship Family Assessment Section 6 Chapter 3 Attachment A: Guide For Conducting Foster/Kinship Family Assessments Section 6 Chapter 3 Attachment C: Foster/Kinship Family Assessment Recording Section 6 Chapter 3 Attachment D: Guide For Conducting Renewal Assessment Section 6 Chapter 3 Attachment M: Children's Service Worker FORMS AND INSTRUCTIONS: CD-55 Foster Family Profile Cover Letter CD-56 Foster Family Profile REFERENCE DOCUMENTS and RESOURCES: CD06-77 Foster Family Profile Flow Chart RELATED STATUTE: N/A ADM ADMINISTRATIVE RULE: 13 CSR. 35-60.030. COUNCIL ON ACCREDITATION (COA) STANDARDS: N/A PROGRAM IMPROVEMENT PLAN (PIP): N/A SACWIS REQUIREMENTS: N/A PN/CD",https://fostercaresystems.wustl.edu/foster/foster-family-profile
ADOPTION RECORDS DISCLOSURE,Missouri,Memo,"2024, 2023, 2022, 2021, 2020","Administrative process, Adoption, Child rights, Definitions, Legal process, Termination of parental rights",CHILDREN’S DIVISION AND CONTRACTED STAFF,"DAVID WOOD, DIRECTOR","DISCUSSION: The purpose of this memo is to inform staff of a legislative action regarding disclosure of adoption records which will be effective on August 28, 2020. Section 453.121 RSMo has been amended by House Bill 1414. The terms “identifying information”, “lineal descendant” and “non-identifying information” have been amended and/or redefined by this legislation: “Identifying information” is now defined as individually identifying information for or about a unique individual, including information likely to disclose the contact information, location, or identity of such individual. “ “Lineal descendant” is now defined in Section 472.010 RSMo. “Non-identifying information” is now defined as information that is not identifying information. The most significant change made by this legislation is the mandate to release all information to an adult adoptee if the adult adoptee’s biological parent had their parental rights terminated through a nonconsensual or involuntary termination of parental rights proceeding. This addition means adult adoptees who register with the adoption information registry or petition the court for release of information will have access to all information, including identifying information about the biological parent, but only if parental rights were terminated involuntarily. If the parental rights were terminated voluntarily, current policy regarding disclosure of identifying information pertaining to the adopted adult's biological parents still applies. As part of the effort to prepare biological parents for termination of parental rights, it is essential that parents be informed of their rights on issues related to the release of their information. Staff have a duty to explain that this law allows identifying information is to be shared with adult adoptees when termination of parental rights occurred because of an involuntary or nonconsensual termination proceeding. Biological parents, who are voluntarily terminating their parental rights, are to be informed of the process, outlined in the law, to file an affidavit with the court, which allows or prohibits release of identifying information to an adult adoptee or their lineal descendants. As a part of adoption planning, adoptive parents and youth, if age appropriate, are to be made aware of the adopted child’s rights at age 18 to obtain information about their biological parents. Adoptive parents are to be made aware of the right of their adopted youth to register with the Missouri Adoption Information Registry at age 18 and are to be provided the Registry brochure. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Vickie Stoneberger 573-751-0311 Vickie.Stoneberger@dss.mo.gov MANAGER CONTACT Amy Martin 573-526-8040 Amy.L.Martin@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 5, Chapter 3, Adopted Adult Requesting Identifying Information and Adopted Adult Requesting Non-Identifying Information FORMS AND INSTRUCTIONS NA REFERENCE DOCUMENTS AND RESOURCES NA RELATED STATUTE RSMo 453.121",https://fostercaresystems.wustl.edu/foster/adoption-records-disclosure
BANK OF QUESTIONS RESOURCE FOR SUPERVIORS,Missouri,Memo,"2024, 2023, 2022, 2021, 2020",Expectations for care,CHILDREN’S DIVISION AND CONTRACTED STAFF,"REGINALD E. MCELHANNON, INTERIM DIRECTOR","DISCUSSION: The purpose of this memorandum is to provide supervisors with a “Bank of Questions” resource that may be asked during case consultations. The “Bank of Questions” resource allows for more in-depth case consultations and enhances critical thinking by turning questions into conversations. The “Bank of Questions” resource is a result of Strategy 3.2 in the Program Improvement Plan (PIP). The Children’s Division recognizes the importance and critical nature of front-line supervision to successful outcomes for children and families. Supervision is a key component to effective work and supervisors are instrumental in helping team members understand and incorporate the integrated practice model in their work with children and families. The “Bank of Questions” resource is designed to help supervisors coach their team to be able to gather crucial information, synthesize that information, and to guide people through a change process. Questions are the sharpest tool to facilitate change and can provide us with the most information. The “Bank of Questions” resource can found on the Signs of Safety page on the intranet. Signs of Safety - Childrens Division NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Crystal Wilson 573-522-9306 Crystal.L.Wilson@dss.mo.gov MANAGER CONTACT Tasha Toebben 573-526-3899 Tasha.Toebben@dss.mo.gov CHILD WELFARE MANUAL REVISIONS N/A FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES Signs of Safety - Childrens Division RELATED STATUTE N/A",https://fostercaresystems.wustl.edu/foster/bank-questions-resource-superviors
FY20 RATE INCREASES,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019","Administrative process, Services while in care - Financial, Social worker compensation, Subsidies - Foster Parents, Subsidies - Other",CHILDREN’S DIVISION AND CONTRACTED STAFF,"DAVID KURT, DIRECTOR","The purpose of this memo is to inform staff of several rate increases regarding the child welfare system that went into effect on July 1, 2019 (FY20). These increases are noted in their respective sections of the Child Welfare Manual or other appropriate locations. Below are the current rates for several programs: Foster Care Age Unlicensed/Out of State Traditional Traditional Unlicensed/Out of State Level A (Elevated Needs) and Medical Level A (Elevated Needs) and Medical Level B (Elevated Needs) 0-5 $ 305.00 $ 406.00 $ 789.00 $ 890.00 $1,572.00 6-12 $ 361.00 $ 463.00 $ 789.00 $ 890.00 $1,572.00 13-Over $ 402.00 $ 503.00 $ 789.00 $ 890.00 $1,572.00 Adoption/Guardianship Age 0-5 $ 239.00 6-12 $ 291.00 13-Over $ 322.00 Medical and Youth with Elevated Needs (Level A) $ 691.00 NOTE: The emergency foster care and respite care rates did not change from FY19 and remain the same. IIS/FRS, Residential, FCCM, Specialized Care, and CTS providers All of the above contracts and contractors received a 1.5% rate increase. NECESSARY ACTION Review this memorandum with all Children’s Division staff. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Jason Kearbey Jason.L.Kearbey@dss.mo.gov 417-895-6414 MANAGER CONTACT Ivy Doxley Ivy.Doxley@dss.mo.gov 573-526-1422 CHILD WELFARE MANUAL REVISIONS Section 4, Chapter 12, Subsection 8 Section 4, Chapter 9, Subsection 6 FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE N/A",https://fostercaresystems.wustl.edu/foster/fy20-rate-increases
Housing Services and Coordinated Entry System,Missouri,Memo,"2024, 2023, 2022, 2021, 2020","Aging out of the foster system, Exit from care",CHILDREN’S DIVISION AND CONTRACTED STAFF,"REGINALD MCELHANNON, INTERIM DIRECTOR","DISCUSSION: The purpose of this memorandum is to introduce the Coordinated Entry System (CES) as a service to connect families and older youth with housing resources. This memo also introduces Children’s Division’s commitment to the Governor’s Committee to End Homelessness (GCEH) discharge policy. Research indicates that housing instability and homelessness significantly contribute to parental stress and increase the risk factors associated with child abuse and neglect. Research also indicates that older youth who transition out of foster care are at heightened risk of housing instability and homelessness due to a limited number of personal permanent connections, trauma experience, and limited access to resources after experiencing foster care. The CES is Missouri’s primary resource to connect people to housing services by providing Access Points across the state with the primary goal of providing services, no matter where or how people present. This resource allows staff to connect youth and families to Missouri’s array of housing services with one referral to an Access Point. A listing of Coordinated Entry Access Points by region and county can be found here. All Access Point agencies will complete a pre-screening tool with clients and connect them with the appropriate level of housing services. More detail about Missouri’s Coordinated Entry System can be found here . Although the CES can be utilized on behalf of any family or youth served by CD at any point of involvement, a referral should be made when housing stability is the primary barrier to successful AC case closure. The Child Welfare Manual has been updated to include instructions about when to apply this policy and how to document efforts to secure permanent housing. As part of membership on the GCEH, CD partners with community, state and federal organizations to follow the guiding principles and procedures of the GCEH discharge policy when serving families and older youth who are experiencing homelessness or at risk for homelessness. This means that CD will continue to engage families and older youth in their discharge planning, integrate community resources to reduce duplication of services, and collaborate with community partners to achieve effective discharge planning during the course of case management. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Natalie Allen 314-416-2748 Natalie.N.Allen@dss.mo.gov MANAGER CONTACT Ivy Doxley 573-526-1422 Ivy.C.Doxley@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 4, Chapter 10 (Case Management Activities), Subsection 1 – Permanency and Case Planning Section 4, Chapter 5 (Older Youth Program), Subsection 9 – Exit Plan FORMS AND INSTRUCTIONS Governor’s Committee to End Homelessness Discharge Policy REFERENCE DOCUMENTS AND RESOURCES Coordinated Entry Access Points Coordinated Entry Full Description RELATED STATUTE (List or put N/A if not applicable.)",https://fostercaresystems.wustl.edu/foster/housing-services-and-coordinated-entry-system
YOUTH BANK ACCOUNTS,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019",Services while in care - Financial,CHILDREN’S DIVISION AND CONTRACTED STAFF,"DAVID B. KURT, DIRECTOR","DISCUSSION The purpose of this memorandum is to introduce the state legislative requirements and new case management practices concerning youth bank accounts. In 2018 the state legislature passed Section 431.056, RSMo., which states that, “A minor who is sixteen years of age or older and who is in the legal custody of the children's division, pursuant to an order of a court of competent jurisdiction shall be qualified and competent to contract for the opening of a checking or savings bank account with the consent of the children's division or the juvenile court. The minor shall be responsible for paying all banking related costs associated with the checking or savings account and shall be liable for any and all penalties should he or she violate a banking agreement. No state department, foster parent, or entity providing case management of children on behalf of a department shall be responsible for paying any bank fees nor liable for any and all penalties related to violation of a CCS SB 819 44 banking agreement.” This statute and related policy enhances the implementation of the ""Reasonable and Prudent Parent Standard,” to reduce the systemic barriers which keep youth from participating in enrichment and skill development opportunities comparable to their peers who are not in care. Because youth in legal custody of the Children’s Division experience challenges in developing long term supportive relationships with trusted adults, they are less likely to have an appropriate co-signer when opening a bank account. The experience of managing a bank account when youth begin working or handling their own money is an important developmental experience which can help prepare them for independence as adults. This statute and policy ensure that being in the legal custody of Children’s Division is not a barrier to youth having a bank account and provides protocol for Children’s Service Workers to assist youth seeking to open a bank account. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Natalie Allen 314-416-2748 Natalie.N.Allen@dss.mo.gov MANAGER CONTACT Ivy Doxley 573-526-1422 Ivy.C.Doxley@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 4 Chapter 5.1.2 Youth Bank Accounts FORMS AND INSTRUCTIONS Consent Letter Youth Bank Accounts CD-277 REFERENCE DOCUMENTS AND RESOURCES Checklist for Opening a Bank Account or Credit Union Account Resources to Inspire/Casey Life Skills (Pages 34-35) RELATED STATUTE RSMo 431.056",https://fostercaresystems.wustl.edu/foster/youth-bank-accounts
Introduction to Child Welfare Manual policy updates to align with best practices and comply with Joint Settlement Agreement requirements.,Missouri,Memo,"2024, 2023, 2022, 2021, 2020","Administrative process, Services while in care - Medical",CHILDREN’S DIVISION AND CONTRACTED STAFF,"DAVID WOOD, DIRECTOR","The purpose of this memorandum is to introduce staff to revised and new policy pertaining to the prescription and administration of psychotropic medication(s) for children in alternative care. 1. Revision to Section 4.3.1 Definitions includes: Removing all statutory references and creating a definitions section 2. Revisions to Section 4.3.2 Medical and Behavioral Health Case Management includes: Providing immunization schedules and clarifying the process for parents who disagree with immunization requirements Introduction of the Health Information Specialist (HIS) role in the collection and retention of medical records 3. Revisions to 4.3.3 Informed Consent include: The initiation and monitoring of psychotropic medications The process for obtaining informed consent and assent for psychotropic medication The requirements for parental engagement to include: The consenting authority process for parents whose parental rights have not been terminated The criteria for when parental engagement/notification is not required The process for parent(s) opposed to CD's proposed course of treatment The alternative consenter process for the administration of psychotropic medications The informed assent process for children under 18 years of age See Memo CD20-18 for specific information on Secondary/Automatic/Mandatory reviews. Supervisors and managers are strongly encouraged to review the revised and new policy updates with staff as a majority of these changes have been made to establish compliance with the Joint Settlement Agreement requirements. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT MANAGER CONTACT Larry Smith 573-522-8303 Larry.K.Smith@dss.mo.gov MANAGER CONTACT Stacie Frueh, MSW 573-341-1668 Stacie.A.Frueh@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 4.3.1 Definitions Section 4.3.2 Medical and Behavioral Health Case Management Section 4.3.3 Informed Consent FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES Joint Settlement Agreement CD20-18 Mandatory Review of Psychotropic Medication, Secondary Review of Psychotropic Medication, Automatic Review of Psychotropic Medication, and Denial Notification Letter of Center for Excellence Findings, CD-280. RELATED STATUTE N/A",https://fostercaresystems.wustl.edu/foster/introduction-child-welfare-manual-policy-updates-align-best-practices-and-comply-joint
INFORMED CONSENT FOR PSYCHOTROPIC MEDICATION (FORM CD-275),Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019","Forms - Other, Services while in care - Mental Health",CHILDREN’S DIVISION AND CONTRACTED STAFF,"DAVID KURT, DIRECTOR","This memo introduces form CD-275, Informed Consent for Psychotropic Medication. With implementation of the revised informed consent policy in September 2018, there have been regular requests for the development of a form to assist staff when weighing informed consent decisions. This form intends to support staff in gathering relevant information before making an informed decision while also serving as the required authorization and documentation of such decision. The CD-275 will also assist staff conducting required periodic medical reviews of selected case records. Effective upon release of this memo, the CD-275 is required to be completed any time a decision is being considered for a new psychotropic medication recommended by the child’s medical provider. Dosage increases and decreases for a medication already approved do not require additional informed consent or completion of this form, nor does the emergency administration of a psychotropic medication ordered by a physician. The form is separated into sections, Part A to be completed by the case manager prior to the appointment with the prescriber, and Part B to be completed with the prescriber. A section is provided to document the youth’s assent (for ages 12-17), and a field to document parental notification. Parents/legal guardians – absent a court order restricting their access - and resource parents should be notified of, and encouraged to attend or participate in, all appointments. A copy of the completed form must be uploaded through document imaging and maintained in the case file until further notice per Director Memo TD17-09. NECESSARY ACTION 1. Review this memorandum with all Children’s Division staff. 2. Review revised Child Welfare Manual chapters as indicated below. 3. Review revised Child Welfare Forms as indicated below. 4. All questions should be cleared through normal supervisory channels and directed to: CONTACT: Stacie Frueh Health Specialist Coordinator 314-416-2102 Lori Masek Program Development Specialist 573-592-1007 MANAGER CONTACT Ivy Doxley 573-526-1422 Ivy.Doxley@dss.mo.gov CHILD WELFARE MANUAL REVISIONS 4.4.3.3 Informed Consent FORMS AND INSTRUCTIONS CD-275 Informed Consent for Psychotropic Medication REFERENCE DOCUMENTS AND RESOURCES N/A RELATED STATUTE N/A",https://fostercaresystems.wustl.edu/foster/informed-consent-psychotropic-medication-form-cd-275
UPDATE ON PLACEMENT HIEARCHY AND DILIGENT SEARCHES,Missouri,Memo,,"Administrative process, Definitions, Placement",CHILDREN’S DIVISION AND CONTRACTED STAFF,"REGINALD E. MCELHANNON, INTERIM DIRECTOR","DISCUSSION: The purpose of this memorandum is to inform staff of changes to the placement hierarchy and diligent search requirements. These changes come in response to HB 397 , which became law on August 28, 2019. This change will enhance the safety network of children and provide more opportunities for them to stay connected to family members. This bill made into law the mandate that the Children’s Division make diligent efforts to locate adult siblings and parents of siblings of children who enter foster care. This law also establishes that adult siblings and parents of siblings are next in priority, after the non-offending parents and grandparents, for placement of a child in foster care. Finally, the law establishes that the definition of sibling as: one of two or more individuals who have one or both parents in common through blood, marriage, or adoption, including siblings as defined by the child's tribal code or custom. The Placement Hierarchy document has been updated on e-forms to reflect these changes (link below). In addition, updates and clarifications to the Child Welfare Manual have been made to the sections indicated below. NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Jason Kearbey Jason.L.Kearbey@dss.mo.gov MANAGER CONTACT Ivy Doxley Ivy.C.Doxley@dss.mo.gov CHILD WELFARE MANUAL REVISIONS Section 4 (Alternative Care), Chapter 2 (Placement), Subsection 1 (Common Placement Types) Section 4 (Alternative Care), Chapter 10 (Case Management Activities), Subsection 2 (Diligent Searches) FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES Placement Hierarchy RELATED STATUTE HB 397",https://fostercaresystems.wustl.edu/foster/update-placement-hiearchy-and-diligent-searches
FOSTER CARE MAINTENANCE PAYMENTS FOR ELIGIBLE YOUTH PLACED WITH A PARENT IN A LICENSED RESIDENTIAL FAMILY BASED TREATMENT FACILITY FOR SUBSTANCE USE,Missouri,Memo,"2024, 2023, 2022, 2021, 2020, 2019","Services while in care - Financial, Use of federal money (including Title IV-E)",CHILDREN’S DIVISION AND CONTRACTED STAFF,"DAVID KURT, DIRECTOR","Missouri Children’s Division plans to begin claiming title IV-E foster care maintenance payments for eligible youth placed with a parent in a licensed residential family based treatment facility for substance abuse disorder in accordance with requirements in sections 472(j) and 472(a)2(C) of the Family First Prevention Services Act (FFPSA). Family Self Help Center, also known as Lafayette House in Joplin Missouri, is currently the only substance use disorder treatment facility that meets all of the FFPSA requirements to qualify for maintenance payments for youth in CD custody when they are physically placed with a parent at the facility. Family Self Help Center is a Women’s and Children’s CSTAR (Comprehensive Substance Treatment and Rehabilitation) facility licensed and contracted with Department of Mental Health. Missouri Women’s and Children’s CSTAR providers provide and arrange for individual and family counseling, parenting skills and training, and parent education as required by FFPSA. Family Self Help Center also meets the “Trauma Informed” criteria required by FFPSA. To qualify for maintenance payments, the recommendation for placement at Family Self Help Center must be agreed up by the Family Support Team and documented in the child's case plan before the placement. The recommendation should be documented initially in a Contact Note and then on the Child Assessment and Service Plan (CS-1). Placement with a parent at Family Self Help Center can only be considered for the following eligible youth: Eligibility: Eligible youth have been physically removed from a home pursuant to a court order. A “legal” or “constructive” removal is acceptable. There must be a judicial determination signed by a judge stating that remaining in the home would be contrary to the child’s welfare or that out of home placement would be in the child’s best interest. This determination must be made in the very first court order that authorizes the removal of the child from the home, regardless of whether there is an emergency or a non-emergency. If the judicial determination is not made in the very first court order pertaining to removal, the child will not be Title IV-E eligible for the duration of the child’s stay in foster care; A judicial determination of reasonable efforts to prevent a child’s removal from the home or a statement that reasonable efforts are not required must be specified in a court order and must be made no later than 60 days from the date the child is removed from the home. If the judicial determination is not made timely the child’s foster care maintenance payments will not be eligible for Title IV-E reimbursement for the duration of the child’s stay in foster care; For tracking and payment purposes and to implement this opportunity for families more quickly, CD will initially track placement of eligible youth by using placement type “CTO” on the placement screen in FACES, which is currently used for non-licensed court ordered facilities. The name of the facility must be entered with address, telephone number and residence county as follows: Family Self Help Center PO Box 1765 Joplin, MO 64804 Jasper County Once the case managing office receives an invoice from Family Self Help Center, payment should be made directly to Family Self Help Center. CD staff will use the FACES Financial Management Payment Request process to pay using Vendor number 001418559 , program area “AC” with “MM” Vendor type. The Service Code is “MAIN”. The maintenance rates CD currently uses to pay vendors that are not licensed by CD will be used to pay qualified SUD (Substance Use Disorder) treatment facilities as illustrated in the table below: Standard Payment Rate for Family Based Residential Vendors Type of Expenditure Age Limitation Amount Payable 1. Maintenance for Children placed with Parent in SUD Family Based Residential facility licensed by the Department of Mental Health 0-5 years 6-12 years 13 and over $300.00 $356.00 $396.00 2. Infant Allowance 0-3 years $50.00 A FACES systems change has been requested; a new placement code of “ FBR ” (Family Based Residential) will be created and will eventually replace the use of the CTO placement code for these types of placements. Staff will be alerted when the FBR placement code is available for use. The FBR code will allow the FACES system to track these placements once FBR is implemented and used. Currently Family Self Help Center is the only facility that meets the requirements of the Family First Prevention Services Act for reimbursement. Staff will be alerted when additional SUD treatment facilities meet the FFPSA qualifications to receive maintenance payments for youth in CD custody placed with a parent in residential SUD treatment. NECESSARY ACTION Review this memorandum with all Children’s Division staff. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Jason Kearbey 573-592-1007 Jason.L.Kearbey@dss.mo.gov MANAGER CONTACT Ivy Doxley 573-526-1422 Ivy.Doxley@dss.mo.gov CHILD WELFARE MANUAL REVISIONS N/A FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES RELATED STATUTE N/A",https://fostercaresystems.wustl.edu/foster/foster-care-maintenance-payments-eligible-youth-placed-parent-licensed-residential-family
PARENT ENGAGMENT AND VISITS WITH CHILDREN WEBINAR RECORDINGS,Missouri,Memo,"2023, 2022, 2021, 2020",Other,CHILDREN’S DIVISION AND CONTRACTED STAFF,"REGINALD E. MCELHANNON, INTERIM DIRECTOR","DISCUSSION: The purpose of this memorandum is to make available the “Importance of Worker Visitation with Youth and the Parent Engagement” webinar recordings. The webinars are in response to the Program Improvement Plan (PIP). The goals related to the webinars for the PIP are: To strengthen the quality and quantity of interaction between practitioners and children who are being served through FCS or Foster Care. Improve parent engagement through full implementation of the CD Practice Model. The importance of Worker Visitation with Children webinar was made available to team members on July 11, 2019. The webinar included an overview of policy and described elements of a quality visit, to include a portion of the visit with the child alone. The webinar featured Children’s Division team members who have experience utilizing Signs of safety tools with children. They described how utilizing the Signs of Safety tools allowed them the opportunity to elicit information from children in a thorough and thoughtful way. De-identified case examples of engagement successes were discussed and they allowed a time for questions and answers. The importance of the Parent Engagement webinar was made available to team members on October 15, 2019. The webinar provided an overview of policy and described components of a quality visit with parents. The policy on involving noncustodial or non-resident parents was reviewed during the webinar. The webinar also featured Children’s Division team members who have experience utilizing Signs of Safety tools with parents. They described how constructive working relationships between professionals and family members are necessary for successful family engagement. De-identified case examples were presented and they allowed a time for questions and answers. The webinars have been posted on the Signs of Safety page on the intranet. Signs of Safety - Childrens Division NECESSARY ACTION Review this memorandum with all Children’s Division staff. Review revised Child Welfare Manual chapters as indicated below. All questions should be cleared through normal supervisory channels and directed to: PDS CONTACT Crystal Wilson 573-581-3312 Ext. 222 Crystal.L.Wilson@dss.mo.gov MANAGER CONTACT Tasha Toebben 573-526-3899 Tasha.Toebben@dss.mo.gov CHILD WELFARE MANUAL REVISIONS N/A FORMS AND INSTRUCTIONS N/A REFERENCE DOCUMENTS AND RESOURCES Signs of Safety - Childrens Division RELATED STATUTE N/A",https://fostercaresystems.wustl.edu/foster/parent-engagment-and-visits-children-webinar-recordings
"MO :: Section 4, Chapter 2 (Placements), Subsection 11 – ICPC :: 2.11 Intro",Missouri,Rules,"2024, 2023, 2022",Placement,,,"This sub-section describes procedures and protocols when seeking to place a child in another state or when another state wishes to place a child in Missouri. There are five interstate compacts, which impact the placement of children across state lines.  They are: Interstate Compact on the Placement of Children (ICPC) Interstate Compact on Adoption and Medical Assistance (ICAMA) Interstate Compact on Juveniles (ICJ) and Interstate Compact on Mental Health (ICMH). Interstate Compact of Educational Opportunity for Military Children (ICEOMC) The two Compacts, which primarily impact the Children’s Division, are ICPC and ICAMA. The Interstate Compact on the Placement of Children (ICPC) is a legally binding contract among member states approved by the U.S. Congress and the legislatures of all 50 states, District of Columbia, and the U.S. Virgin Islands as uniform law. The law governing ICPC in Missouri is found in Section 210.620, RSMo. ICPC assures the protection of children crossing state lines and ensures they receive the same supports and services as if they remained in their own state. The Compact establishes orderly procedures for placements and outlines the responsibility of each state. The Interstate Compact of Adoption and Medical Assistance (ICAMA) requires states to provide Medicaid (Title XIX) to eligible children with an adoption subsidy agreement, when that child’s family moves between member states. Currently, all states except Vermont and Wyoming are members of ICAMA. The territories of the Virgin Islands and Puerto Rico are also nonmembers. The law governing ICAMA is found in Sections 453.500 & 453.503, RSMo. The other two compacts: ICJ is under the Department of Youth Services; ICMH is under the Department of Mental Health and the ICEOMC is administered and managed by a compact commissioner appointed by the Governor. Type of Placements Governed By the ICPC The ICPC applies when children are to be placed in the following settings: Interstate adoptive placements; Interstate placement for care into relative or kinship placements, foster homes, group homes, and/or residential treatment; Interstate placement with parents and relatives when there is court jurisdiction; or Interstate placement of adjudicated delinquents only when placement is sought for residential treatment. Type of Placements Exempt From the ICPC The compact does not apply when placement is sought under any of the following circumstances: Interstate placement from birth parent to birth parent, when there is no court jurisdiction ; Interstate placement from birth parent to relative (as defined in RSMo 210.620 Article VIII), when there is no court jurisdiction ; Interstate placement from legal guardian to birth parent or relative, when there is no court jurisdiction ; Interstate placement to a medical or psychiatric hospital; Interstate placement to an educational program (Job Corp, college, etc.); Interstate placement of adjudicated delinquents unless placement is sought for residential treatment (see above); Divorce/custody assessments; International adoptions when the United States Citizenship and Immigration Services (USCIS) has issued an IR-3 visa (adopted in the child’s country of origin); Placement of a child into/or out of Canada, Puerto Rico, Guam/American Samoa or any other foreign country; or Children under court jurisdiction visiting a relative/parent for 30 days or less. Anything over 30 days is considered a placement and would be subject to ICPC . Prior to making an ICPC referral: The Children’s Service Worker must contact the proposed caretaker, to determine whether they are interested in providing for the child before making a formal ICPC request. The Children’s Service Worker will use the CD-ICPC-104 to document this contact. If it is the plan to make a maintenance payment to the resource when the placement is approved, a foster home study should be requested regardless of the degree of relationship. Related Practice Alerts and Memos: 1-16-20 – CD20-07 – Interstate Compact Policy and Procedure Changes",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-2-placements-subsection-11-icpc-211-intro
"MO :: Section 8, Chapter 2 (Personnel), Subsection 3 - DSS Administrative Manual Link :: 2.3 DSS Administrative Manual Link",Missouri,Rules,"2023, 2022, 2021, 2020, 2019",Administrative process,,,"For additional information on employment practices, CD employees should review the DSS Administrative Manual for specific policy and procedures. A direct link has been provided to the DSS Administrative Manual regarding the following topics. (Employee Access Only) Employment Practices Whistleblower Law Sexual Harassment /Inappropriate Conduct Equal Employment Opportunity Religious Accommodations Client Complaints of Discrimination Employment of Relatives Posting Requirements Background Checks-DSS Employees Overtime/Compensatory Time Internal Investigations Alcohol and Drug-Free Workplace Legal Representation for DSS Employees Grievance Procedure Affirmative Action Hiring and Appointment Work Rules Attendance/Unauthorized Absences Dress Code Daily Work Period/Flexible Work Schedules Confidentiality Code of Conduct Professional Development Performance Appraisals Work Adjustment/Accommodation Requests Discipline Benefits Wellness Activities Tuition Reimbursement Employee Assistance Program Workers Compensation DSS Employee of the Month Employee Suggestion System Leave Annual Leave Sick Leave Holidays Inclement Weather Voting Family and Medical Leave Act Shareleave Military Leave Administrative Leave With Pay Leaves of Absence Without Pay Separations Layoff Termination of Employment Exit Questionnaires Personal Activities Conflict of Interest Outside Employment Collection of Employee Debts Political Activities",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-2-personnel-subsection-3-dss-administrative-manual-link-23-dss
"MO :: Section 6, Chapter 18 (Resource Providers Approved to Provide Elevated Needs Foster Care Services), Subsection 1 - Elevated Medical Foster Care :: 18.1.3 Qualifications of Home to Be Approved to Provide Medical Foster Care Services",Missouri,Rules,2023,Services while in care - Medical,,,"To be awarded the Amendment to Provide Medical Foster Care, the medical resource parent must have the following currently signed and entered: Cooperative Agreement for the Purchase of Professional Parenting Services, CM-14, or Medical Resource Home Providers agree to the following: To provide care to foster youth with acute medical problems or severe physical/mental disabilities who have been determined eligible for medical foster care by the Division; To only maintain a total of 4 placements in the home; To maintain only 2 foster youth in the home simultaneously with acute medical problems or severe physical/mental disabilities who have been determined eligible for medical foster care by the Division. To participate in the screening process of the foster youth to be placed in the home by discussing the referral information and holding pre-placement visits; To schedule a comprehensive medical assessment for the foster youth to take place within thirty (30) days of the foster youth being placed in the home; To work closely with, and accept special training from, the health care professionals attending the foster youth in placement; To provide day-to-day implementation and monitoring of the medical or developmental treatment plan and services as agreed upon with other treatment staff; To participate in any training requested by the Division; To assist in training/education of the natural parent(s) on how to care for the specified foster youth, depending upon the involvement of the natural parent; To assist the child to understand and manage his/her condition; and To provide transportation for foster youth in medical foster care to and from necessary appointments, treatment facilities, medical care, daily activities, etc. The Division agrees to reimburse the licensed resource provider with a current Cooperative Agreement for the Purchase of Medical Foster Care Services Amendment maintenance for foster youth approved for medical foster care at the current rate as specified in policy. The amount of maintenance reimbursement shall be pro-rated if a child is in care for less than a calendar month. Special expenses, if any, shall be paid in accordance with Division policy. The Division will provide the resource provider with any medical documentation in the current case file. Chapter Memoranda History: (prior to 01-31-07) CS85-59 Memoranda History: CD08-50 , CD10-96 , CD18-16",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-18-resource-providers-approved-provide-elevated-needs-foster-care-7
"MO :: Section 6, Chapter 13 (Resource Development Worker Responsibilities)",Missouri,Rules,2023,"Administrative process, Foster parent licensing, Placement, Social worker licensing/qualifications",,,"The role of the resource development worker responsible for assessing resource homes is to coordinate the licensing, approval, and maintenance of all resource provider homes. This coordination includes recruitment, training, and support of the resource providers. It also includes providing guidance and discipline to these providers and assuring the home continues to meet licensing standards. The resource development worker is responsible for obtaining and maintaining quality care providers for children in Division custody and to help staff locate appropriate placement for children entering Division custody. A resource development worker also referred to as a family development specialist, must successfully complete Specialized Training, Assessment, Resources, Support and Skills, STARS, and STARS Making the Commitment to Adoption – Spaulding, Train the Trainer training to provide STARS and Spaulding training and to complete Resource Provider and Adoptive Family Assessments. The responsibilities of this position include, but are not limited to: Responding to initial inquiries and screenings for resource providers. This includes discussing foster parenting, adoption, and respite services with potential providers, the conducting of (or referral to contractors for) screening, and reviewing families after screening for appropriateness to attend Specialized Training Assessment Resources and Supports (STARS). This also includes presenting the Safe Sleep Practices CD-117, the Discipline Agreement CD-119, Foster Parents Bill of Rights and Responsibilities , Notification of Hazards, CD-101 , and Acknowledgement and Assurances form, CD-108 . The applicants(s) must review, agree to, and sign the forms. Provision of, or referral to contractors for, STARS and STARS for the Caregiver Who Knows the Child and STARS Making the Commitment to Adoption training. This includes the completion of assessments and the Foster Family Profile, CD-56, for the families and assuring that all required background screens are completed. Review assessments and the Foster Family Profile, CD-56 , after the completion of STARS or STARS for the Caregiver Who Knows the Child or STARS Making the Commitment to Adoption. This review should be completed with the licensing supervisor or Circuit Manager and a decision should be made as to the approval or denial of the resource home license or adoptive resource approval. Once the review is completed, the worker should notify the family (in person) and the STARS trainer of the decision to approve or deny the license application. Staff should complete the Resource Home and Safety Checklist, CS-45 , prior to issuing a license. Complete the required cooperative agreements and paperwork. Complete the Professional Family Development Plan, CD-100 , with the family. Contact the family and set a date to meet with the family to discuss and work on the CD-100 within 30 days of initial licensure. A new CD-100 is created at each license renewal. The CD-100 should be reviewed annually. Maintain file on resource family. Conduct quarterly in-home visits with all licensed resource provider homes, which should include, but is not limited to, a walk through of the home to assure the home continues to meet licensing standards. Document the walk-through on the Resource Provider Quarterly Home Visit form CD-118. Quarterly visits are conversational allowing for the sharing of concerns as well as accomplishments and development of a mutual relationship of trust. The visits are to be used as a prompt to have meaningful conversations about pertinent issues and assure compliance with licensing requirements. In addition, the visits are an opportunity to identify resources for the resource provider such as support groups, to have discussions about respite care, and the resource parent meeting their own needs. Discussions about training needs and any behaviors of the child(ren) that may need addressing shall occur as well. If, during the quarterly visits, it is determined that changes in the household composition have impacted information on the CD-56 , a new CD-56 should be completed by the resource provider. The CD-56 should be returned to the local licensing worker within 10 business days. The quarterly summary is documented on the Resource Provider Quarterly Home Visit Form, CD-118. Space is provided for the resource provider(s) to sign the form. A copy of the completed form should be provided to the resource provider(s). 9. Assure computer records are updated. This includes any changes in address, licensing status, renewal dates and in-service training hours. 10.  Conduct renewal assessments on all foster and relative care providers or refer to contracted agencies for completion of renewal assessment. 11.  Keep track of training attendance, provide notification of available training, and provision of in-service training, as needed, to resource providers. 12.  Assist in the development and continuation of support groups for foster and relative care providers. 13.  Assist in locating appropriate placement for children entering custody and those needing a change of placement. This includes maintaining a list of available providers, making phone calls to locate placement, help arranging pre-placement visits, and providing information to staff on the strengths and needs of placement providers. This also includes providing as much information on potential placements to resource providers as is available. Assure placement numbers do not exceed licensed capacity. 14.  At time of placement, the Universal Placement Letter which contains a link to the Foster Parent Bill of Rights and Responsibilities shall be given to the Resource Parents. However, families who do not have access to the Internet shall be provided a printed copy of the Foster Parent Bill of Rights and Responsibilities at their request. 15. Conduct reviews of all licensing issues brought to agency attention. This may be through staff notification, outside source notification (i.e. in home service providers, biological parents, etc.), or Out of Home Investigation (OHI) reports. These reviews should include the licensing supervisor and Circuit Manager or designee. Formal reviews shall be conducted on all OHI reports with Preponderance of Evidence findings and/or licensing concerns. The process for formal reviews can be located in CWM Subsection 7, Chapter 7, Subsection 7 . 16.  Inform elevated needs level B resource parents regarding eligibility to access medical, dental and vision insurance. In addition, assisting the resource parents in identifying insurance, establishing care, and setting up appointments. 17.  Conduct exit interviews with all resource providers. This should be completed for those resource providers who choose to close their license as well as those homes that are revoked. The purpose of the exit interview is to determine if the agency may have been able to do something differently or better to maintain this placement resource. This interview should be documented in the record. Provide a copy of the Resource Family Exit Interview, CD-112 , for the resource provider to complete. The CD-112 shall be placed in the forms section of the case record. The CD-112 can be used to assist the worker in conducting the exit interview with the resource provider. 18.  Collect the Certificate of Licensure, foster parent identification cards, and foster youth files when closing a home. Refer to Section 6 Chapter 3 Subsection 7 regarding closing a resource home. Chapter Memoranda History: (prior to 01-31-07) CD06-60 Memoranda History: CD07-54 , CD09-105 , CD10-63 , CD12-110 , CD12-111 , CD13-100 , CD13-101 , CD14-64 , CD15-75 , CD16-85 , CD17-42",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-13-resource-development-worker-responsibilities
"MO :: Section 8, Chapter 2 (Personnel), Subsection 4 – Student Intern Policy and Procedure :: 2.4 Student Intern Policy and Procedure",Missouri,Rules,"2023, 2022, 2021, 2020, 2019",Administrative process,,,"Student interns will be expected to work to meet the needs of the children and families served by the Children’s Division (CD). Supervisors are expected to approve and monitor work to assure policy, standards, and practice are followed and adhered to while the students are in their placements. Initial CD Supervisor Responsibilities Supervisor should ensure the student/volunteer reads and/or completes the following forms or documents and complies with the following requirements: (These forms and documents can be accessed electronically and printed from the Human Resources Center New Employee Packet Checklist which can be found at http://dssweb/dpl/pages/newhirechklst.htm .) Application for Internships/Volunteers; Fingerprint Referral Form (See DSS Policy 2-107 – Background checks); Department of Social Services Confidentiality and Information Security Agreement; I-9 Form; Sexual Harassment/Inappropriate Conduct Policy and Acknowledgment (ADM-2101); Alcohol and Drug-free Workplace Policy (ADM-2110); Department of Social Services Employee Handbook; Employee Acknowledgment of Agency Disclaimer; Provide proof of valid driver’s license, vehicle registration and insurance coverage; and Department of Social Services Protection of Health Information Policy Acknowledgment (HIPAA). Application for Identification Card. Application should be completed and taken to appropriate agency personnel at the local Children’s Division office for picture taking and data entry unless otherwise instructed.  Personnel issuing the card shall select “Intern” in the drop down menu when selecting the job classification to display on the identification card. The CD Supervisor is also responsible for the following: Participating in the development of written agreement/plan between volunteer or student intern and his/her school, college or university and the Division outlining the desired individual learning activities, supervision expectations and duration of placement. Developing a work schedule with the student intern which is agreeable to both the CD and Field Instructor in order to complete necessary hours for the semester. Ensuring the student intern/volunteer has computer access as appropriate and necessary to perform his/her assigned activities. Student interns will be allowed to access to the electronic systems necessary to perform their duties after completing the required security forms and receiving security approval.  Data entered into electronic systems by the student intern must be approved by the supervisor. Completing placement agreement form as required by school/college. Keeping student interns informed of new policies. Conducting and documenting meetings with interns at least one hour a week. Keeping files on every intern in accordance with the manner in  which personnel files are kept. Tracking attendance record on student interns. Completing required evaluations from college, honestly, fairly, addressing personnel practices. 2 . Duties and Responsibilities of Student Interns: Complete all requirements listed in Section 8 Chapter 2.4.1. Carry student/volunteer identification card at all times while performing duties or participating in CD business activities. Adhere to all agency policy, standards, and practice related to placement. Adhere to agency policy regarding computer usage and confidentiality agreement. Follow policies in DSS Administrative Manual. Be punctual and dependable. Dress and behave professionally and report all absences according to agency rules. Be responsible for attendance and contacting supervisor when absent, arranging to complete the make-up hours. Complete tasks and responsibilities thoroughly and timely with a positive attitude. Keep appointments and other agreed upon commitments. Handle any issues of conflict in a professional manner. Maintain confidentiality. Maintain high personal and ethical standards which comply with NASW Code of Ethics. Prepare for supervision and actively participate in supervisory conferences. Receive prior approval from Field Instructor and inform CD supervisor of any schedule changes. Maintain a daily time sheet which will be provided to the Field Instructor. Request and be reimbursed for travel expenses consistent with the policy for regular employees. Disciplinary action may be taken against student interns who willfully violate DSS policies.",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-2-personnel-subsection-4-student-intern-policy-and-procedure-24-student
"MO :: Section 6, Chapter 18 (Resource Providers Approved to Provide Elevated Needs Foster Care Services), Subsection 3 Elevated Needs Level B Foster Care, – Sub-subsection 6 (Youth with Elevated Needs-Level B Resource Provider Employment)",Missouri,Rules,2023,"Administrative process, Foster parent licensing, Reporting requirements",,,"The Level B resource provider(s) are the primary change agents for a child in Level B Foster Care. Responsibilities include immediate response to any problem experienced by the child at home, school, or in the community. The resource provider(s) are further required to arrange and transport the youth to all medical, dental, therapy appointments, visitations, to provide the child with opportunities for the recreation and social activities, to attend staffing and treatment planning meetings for the youth, to work with biological parent/kin and to maintain detailed and accurate reports of significant events involving the child. The scope of these responsibilities combined with the multi-level needs of the Youth with Elevated Needs-Level B youth adds up to a full-time job for the primary resource provider caregiver. Accordingly, full-time employment outside the home by the primary Level B resource provider is not recommended by Division policy. There may however, be individual situations where part-time employment for the primary Level B resource provider would be reasonable for that home and family. It is also possible on rare occasions that the unique circumstances in a given family would warrant a formal exception to full time employment. (Example could include a Level B home with a trained relative living close by, a teacher’s aide working in the same school as the child(ren) or a family recruited for one specific child.) Submission of Plan for Employment For consistency and assurance of good practice, all primary Level B resource parents caregivers interested in working should submit to their local case manager a thorough, complete plan for meeting the needs of the child while at work. The plan is reviewed at the local level and then forwarded to the Regional Director or designee for a decision. This process would apply to potential Level B resource parents where the primary Level B resource parent is already working and to approved families where the primary Level B resource parent desires to work. The request and plan should include the following information: Description of the job and work schedule; How the Level B resource parent(s) will be available 24-hours a day for immediate crisis response to the school, home and/or community; Where the child would be during the hours worked and who will be providing care for the child; Who will be transporting the child and providing support for the child during visits with parents and kin, counseling and medical appointment, recreation, social activities and other activities when the career parent is unavailable; How the Level B Resource Parent(s) will participate in all staffing and treatment planning meetings; How the Level B Resource Parent(s) will provide treatment and support to the biological parents; and If Level B youth are now in the home, the potential impact on those youth. Factors for Regional Director Decisions Decision by Regional Director or designee would take into account the following information: If Level B youth are in the home, consult with local county staff, case managers and Family Support Team (FST) as to best interests of the youth If not currently a Level B home, or home has no youth in placement, consult with local county staff and licensing staff, Review number of foster youth currently in the Level B home and/or the number of children desired in future (for example, a potential Level B home recruited specifically for a child who will be the only foster youth in the home); and Assess all aspects of the plan, including the identified supports in place, consistency of care for the youth, and overall feasibility. After review and assessment of plan, the Regional Director or designee would make decision and notify the local Division office and the Level B Resource Parent. Updates of the Level B Resource Plan All Level B Resource Parents approved for work have the responsibility to notify Children’s Division (CD) of any changes in their employment. Significant changes in hours worked, support systems available, and impact on availability would require submission of a new request to the Regional Director or designee. Level B Resource Parents approved for work shall update their plan for work to their Circuit Manager on an annual basis. Chapter Memoranda History: (prior to 01-31-07) CS03-27 Memoranda History: CD10-08",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-18-resource-providers-approved-provide-elevated-needs-foster-care-1
"MO :: Section 6, Chapter 18 (Resource Providers Approved to Provide Elevated Needs Foster Care Services), Subsection 3 Elevated Needs Level B Foster Care, – Sub-subsection 5 (Ongoing Support to Maintain Level B Placement)",Missouri,Rules,2023,"Administrative process, Placement, Reporting requirements",,,"The Children’s Service Worker will update the Placement Information on the Alternative Care Client Information screen in FACES. The Children’s Service Worker will also assess the youth’s overall treatment needs, including educational and emotional needs and will obtain evaluations if needed. The worker will develop a treatment plan with the Family Support Team (FST) for stabilizing their behavior, to improve their level of functioning at home, school and in the community and to achieve permanency . Resource parents are the primary change agents for youth placed in their care. Clinical intervention should be limited to support and guidance to the resource parents. However, on a case-by-case basis, other therapeutic support may be added for the youth based on that particular situation as recommended by the team working with the youth. (For example: participation in an incest survivor’s group or family therapy with the family of origin). The Children’s Service Worker will provide at least weekly consultation to the resource parent, with a minimum of one consultation per month occurring in the home. At that time the worker will: Assess and monitor the youth’s progress toward treatment and permanency goals; Assess and monitor the resource parent’s job performance; Review and discuss reports maintained by the resource parent; Arrange regularly scheduled respite care; Maintain 24-hour availability to the resource parents to assist them with any emergency; and Assess the level of care required by the youth at 90-day intervals and move the youth to a less restrictive environment as appropriate. The Children’s Service Worker will provide the resource parent a written assessment of their job performance at 90-day intervals. Services to the birth parent will be consistent with the case plan. The Children’s Service Worker will: Assess and monitor their progress and keep them informed of their youth’s progress and provide services consistent with the permanency goal; Assist them in following through on treatment strategies used by the resource parents when the youth is in their home; and Encourage and nurture a relationship between the resource parent and the birth parents, kin and/or adoptive parent(s). The Case Manager will submit reports of the youth’s progress to the FST and submit reports to the court at required intervals. The court reports should incorporate progress reports and the Child Assessment and Service Plan, CS-1, including FST recommendations. Periodic Reviews The goal for youth who qualify for the youth with elevated needs program is to stabilize their behavior, to help them function in a less restrictive environment and to achieve permanency. Elevated Needs Level B care IS NOT permanency but is designed to be a stepping stone for the youth to obtain a permanent home.   As these youth do have a variety of special needs, the goal of successful permanency can be challenging. Accordingly, resource parents, staff, and other treatment team members must aggressively pursue permanency and use periodic reviews as one of the tools to assure progress toward permanency is occurring. To assist youth in achieving a permanent home, it is important that the resource parent and the team tailor the level of intensity and intervention to their needs as youth achieve progress and success. The dilemma for the teams may be how to move the youth to the appropriate level of intervention, such as Level A or traditional foster care, without moving the youth from the current resource home. Ideally, youth who improve in Level B care and are ready for less intensive care could move directly to their permanent home. When that is not possible, the next best solution is to keep the youth in the same resource home under the category of Level A, traditional foster care (depending on the youth’s needs) or pre-adoptive home. Youth who are happy in their resource home and are experiencing success should not be moved to a different resource home solely due to no longer needing Level B intervention. Staff, resource parents and the team members must assess each individual situation carefully and negotiate an outcome that is in that youth’s best interests. As noted, the periodic reviews are a critical tool for assuring the youth’s level of intervention is matching their needs and that permanency is on target. As always, the best interest of the youth is the guiding principal with these complex decisions. Situations where there is disagreement among team members as to continuing need for intervention and/or the appropriate plan for the youth should be referred to the Regional Director or designee for consultation. Periodic Review schedule Six (6) months – Multi-disciplinary Selection/Screening team that originally recommended placement with the resource parents and/or the Family Support Team. The team will continue to review youth’s situation every 6 months on an on-going basis. The FST may conduct a six-month review only if the team includes representatives of the required disciplines/agencies for Selection/Screening team. Also, FST team members must allow for adequate time for an in-depth assessment of the youth’s progress, behaviors, and treatment plan. Twelve (12) months reviews – Regional Office Review Team conducts a review based on local team review information. Regional Office Reviews are a critical tool in assuring consistency, accountability and progress with the Level B program. Also, Level B Foster Care status does not exclude youth and families from compliance with ASFA timelines. Termination of Elevated Needs Classification Permanency planning shall continue throughout the Level B placement. Seek a less restrictive setting, once the youth’s presenting problems have been replaced with appropriate coping behaviors. It may be necessary to involve a Children’s Service Specialist for consultation if the team is unable to reach a consensus regarding termination of the youth’s classification. Post-placement options include: Return to birth parents; Placement with a relative provider; Adoption; Return to traditional resource home, or level A resource home; Independent living; Retention in the current home; or Other out-of-home care. The Screening Team should meet with the Children’s Service Worker, resource parents, youth’s therapist (if applicable), and birth parents to review, collaborate, and determine the appropriate status and step down (graduation) of the youth. The parties should involve a Children’s Service Specialist or Regional Designee for mediation if the parties are unable to reach a consensus regarding termination of the youth’s status. The Children’s Service Worker should provide ongoing support and assistance to the youth’s caregiver and the referring Children’s Service Worker following the termination of the placement. When discussing post-placement options, staff should keep in mind that Youth with Elevated Needs-Level B do not qualify for adoption subsidy. Chapter Memoranda History: (prior to 01-31-07) CS03-21 , CS03-27 , CD05-72 Memoranda History: CD07-77 , CD10-08 , CD10-09",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-18-resource-providers-approved-provide-elevated-needs-foster-care
"MO :: Section 6, Chapter 18 (Resource Providers Approved to Provide Elevated Needs Foster Care Services), Subsection 3 Elevated Needs Level B Foster Care, – Sub-subsection 4 (Qualifications, Characteristics, and Responsibilities of the Elevated Needs Level B Resource Provider)",Missouri,Rules,2023,"Administrative process, Foster parent licensing, Reporting requirements",,,"In order to qualify as a Level B resource provider(s), the applicants must be able to meet the following criteria: Currently be a licensed resource provider(s), for the Children’s Division; The primary caretaker must have one (1) year actual child care experience as a licensed resource provider or one (1) year full-time experience in a professional/volunteer capacity in the care/treatment of children or any combination of the two. Graduation from a four-year college, with a degree in Child and Family Development, Special Education, Psychology, Sociology or other closely related areas may be substituted for the required experience. Approval is required from the Regional Director or designee for resource families who cannot meet the above criteria but possess the knowledge and ability to provide care; Knowledge and understanding of or willing/able to learn behavior modification techniques, theories of personality development and mental illness, communication skills, positive parenting skills, crisis intervention skills and child advocacy skills; Ability to assist in the development and implementation of a treatment plan designed for a specific youth; Ability to work effectively as a team member with other professionals responsible for the care and treatment of children. Successful completion of the 18 hours of Youth with Elevated Needs-Level A Training. Participate in 9 hours of specialized training and practicum designed specifically for Level B resource providers and demonstrates acquisition of required knowledge and skills. However, participation does not guarantee acceptance into the Level B resource provider program. Level B training workshops: Crisis Intervention – Two (2) hours Behavior Management – Two (2) hours Suicide Management – Two (2) hours Medication Management – Two (2) hours Family Orientation – One (1) hour (training shall include how the SED/BD child may impact the resource provider’s family) The list of approved Elevated Needs Level B training curricula is located on the Resource Development program Intranet page. h.  Available 24 hours per day except during periods of scheduled respite. i.  Be able to make a minimum commitment of one (1) year to work with a youth eligible to participate in the program. j.  Ability to effectively advocate for timely and quality services for youth. k.  Ability to maintain an organized record keeping system. l.  Ability to act independently to obtain needed services for youth including medical, dental, education, etc. Level B resource providers should have the following characteristics: Enjoy being a parent and possess good parenting skills; Possess a real and sincere commitment to persevere with a challenging youth over long periods of time, even though the youth may show slow improvement and express little appreciation for their efforts; Ability to accept that the youth will be placed in a more traditional foster care program or be reunited with his/her family once he has stabilized and able to function adequately without intensive intervention; and Have skill in talking and listening to youth, and be able to establish rapport and gain trust. Level B resource provider responsibilities include, but are not necessarily limited to: Provide care and intensive intervention for youth who qualify for the program; Participate in the screening and selection process of youth placed in the home of Level B resource provider(s); Implement intervention strategies recommended and/or endorsed by treatment team; Participate in all case planning activities, staffing meetings, permanency planning team meetings scheduled on behalf of youth in the home; Maintain a daily log of the youth’s behavior, significant events, etc. and make periodic written reports to case manager, treatment team and/or court; Be available for the youth 24 hours per day and respond immediately to any problem experienced or created by the youth at home, in school or the community upon request except during approved absences; Notify the Children’s Division immediately if the youth has injured himself, others or destroyed property; Schedule and transport the youth to medical, dental, therapy appointments, recreational activities and parental visits; Work with the youth’s parents in an effort to assist them in understanding and managing the youth’s needs and behavior; and Provide training and/or assistance to other resource provider or resource provider applicants. Competencies for Resource Providers of Youth with Elevated Needs Because some knowledge and skills are essential before children are placed with families, competencies were developed for resource providers of youth with elevated needs. Competencies take into account the knowledge of the resource provider and their ability to perform the necessary skills to successfully parent a youth with elevated needs. The following competencies will assist resource workers in assessing the needs of the resource providers and identifying services to achieve these competencies: Promote Successful Integration into the Family and the Community Understanding how much supervision the youth requires (before placement occurred and during current placement) Assist the youth in adjusting to a new school and community Transitioning the youth into another setting Meeting Exceptional Care Needs for Special Needs and/or Traumatized Youth Addressing those needs that exceed normal developmental (social, emotional, daily care) Understanding risk factors in the community, school and home setting Understanding but not diagnosing mental illness and other developmental delays Assessing Crisis Situations and Utilizing Proper Crisis Intervention/Prevention Understanding a crisis situation Using appropriate skill sets to deescalate crisis situations Understanding attention seeking behaviors and knowing when to respond Understanding power, authority and control Setting fair and consistent limits Understanding risk factors in the community, school and home setting Recognizing and Implementing Positive Approaches to Challenging Behaviors Identifying challenging behaviors early Clearly defining target behaviors Use of multidisciplinary service team for coordinating care Team based wrap around services The elevated needs Level B competencies are to be addressed in detail in the resource provider’s home assessment in addition to the traditional resource parent competencies. Chapter Memoranda History: (prior to 01-31-07) CS03-21 , CS03-27 , CD05-72 Memoranda History: CD09-106 , CD10-08 , CD10-67 ,",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-18-resource-providers-approved-provide-elevated-needs-foster-care-17
"MO :: Section 6, Chapter 18 (Resource Providers Approved to Provide Elevated Needs Foster Care Services), Subsection 3 Elevated Needs Level B Foster Care, – Sub-subsection 3 (Characteristics of a Youth with Elevated Needs Level B)",Missouri,Rules,2023,"Placement, Services while in care - Other",,,"These youth have serious emotional and/or behavior problems that require the 24-hour availability of a highly skilled Level B resource parent who is capable of assuming the role of primary change agent. These youth: Because of their presenting problems would be placed in a level III or above residential treatment facility or psychiatric hospital; Have been discharged from a residential treatment facility or psychiatric hospital and who are unable to function in a traditional resource home. Presenting Problems Displayed By the Youth with Elevated Needs –Level B Presenting problems displayed by the Level B candidate may include the following: History of suicide or currently having suicidal thoughts, statements and/or gestures; Affective disorders; Attention Deficit Disorder; Post-Traumatic Stress Disorder; Eating disorder; Panic disorders; Fears/phobias; Obsessive/Compulsive Disorders; Oppositional Defiant Disorders; Depression/withdrawal; Dissociative behaviors, blank out, pass out, seizure; Anger/rage; History of fire setting; Destructive of property; Failure to form emotional attachments; and Multiple short-term placements. Youth Who May Not be Appropriate for Level B Actively suicidal; Homicidal; Compulsive fire setter; Sexual abuse offender which might endanger other family members; Require around-the-clock awake supervision; and Unable to function in public school and alternative program (day treatment) is not available. Chapter Memoranda History: (prior to 01-31-07) CS03-21 , CS03-27 , CD05-72 Memoranda History: CD10-08",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-18-resource-providers-approved-provide-elevated-needs-foster-care-0
"MO :: Section 6, Chapter 18 (Resource Providers Approved to Provide Elevated Needs Foster Care Services) Subsection 2 Elevated Needs Level A, – Sub-subsection 5 (Ongoing Support to Maintain Level A Placement)",Missouri,Rules,2023,"Court system, Placement, Services while in care - Other, Termination of parental rights",,,"The Children’s Service Worker will update the Placement Information on the Alternative Care Client Information screen in FACES. The Children’s Service Worker will also assess the youth’s overall treatment needs, including educational and emotional needs and will obtain evaluations if needed. The worker will develop a treatment plan with the Family Support Team (FST) for stabilizing their behavior, to improve their level of functioning at home, school and in the community and to achieve permanency . Resource parents are the primary change agents for youth placed in their care. Clinical intervention should be limited to support and guidance to the resource parents. However, on a case-by-case basis, other therapeutic support may be added for the youth based on that particular situation as recommended by the team working with the youth. (For example: participation in an incest survivor’s group or family therapy with the family of origin). The Children’s Service Worker will provide at least weekly consultation to the resource parent, with a minimum of one consultation per month occurring in the home. At that time the worker will: Assess and monitor the youth’s progress toward treatment and permanency goals; Assess and monitor the resource parent’s job performance; Review and discuss reports maintained by the resource parent; Arrange regularly scheduled respite care; Maintain 24-hour availability to the resource parents to assist them with any emergency; and Assess the level of care required by the youth at 90-day intervals and move the youth to a less restrictive environment as appropriate. The Children’s Service Worker will provide the resource parent a written assessment of their job performance at 90-day intervals. Services to the birth parent will be consistent with the case plan. The Children’s Service Worker will: Assess and monitor their progress and keep them informed of their youth’s progress and provide services consistent with the permanency goal; Assist them in following through on treatment strategies used by the resource parents when the youth is in their home; and Encourage and nurture a relationship between the resource parent and the birth parents, kin and/or adoptive parent(s).The Case Manager will submit reports of the youth’s progress to the FST and submit reports to the court at required intervals. The court reports should incorporate progress reports and the Child Assessment and Service Plan, CS-1, including FST recommendations. Periodic Reviews The goal for youth who qualify for the youth with elevated needs program is to stabilize their behavior, to help them function in a less restrictive environment and to achieve permanency. Elevated Needs Level A care IS NOT permanency but is designed to be a stepping stone for the youth to obtain a permanent home.   As these youth do have a variety of special needs, the goal of successful permanency can be challenging. Accordingly, resource parents, staff, and other treatment team members must aggressively pursue permanency and use periodic reviews as one of the tools to assure progress toward permanency is occurring. To assist youth in achieving a permanent home, it is important that the resource parent and the team tailor the level of intensity and intervention to their needs as youth achieve progress and success. The dilemma for the teams may be how to move the youth to the appropriate level of intervention without moving the youth from the current resource home. Ideally, youth who improve in Level A care and are ready for less intensive care could move directly to their permanent home. When that is not possible, the next best solution is to keep the youth in the same resource home under the category of traditional foster care or pre-adoptive home. Youth who are happy in their resource home and are experiencing success should not be moved to a different resource home solely due to no longer needing Level A intervention. Staff, resource parents and the team members must assess each individual situation carefully and negotiate an outcome that is in that youth’s best interests. As noted, the periodic reviews are a critical tool for assuring the youth’s level of intervention is matching their needs and that permanency is on target. As always, the best interest of the youth is the guiding principal with these complex decisions. Situations where there is disagreement among team members as to continuing need for intervention and/or the appropriate plan for the youth should be referred to the Regional Director or designee for consultation. Periodic Review schedule Six (6) months – Multi-disciplinary Selection/Screening team that originally recommended placement with the resource parents and/or the Family Support Team. The team will continue to review youth’s situation every 6 months on an on-going basis. The FST may conduct a six-month review only if the team includes representatives of the required disciplines/agencies for Selection/Screening team. Also, FST team members must allow for adequate time for an in-depth assessment of the youth’s progress, behaviors, and treatment plan. Termination of Elevated Needs Classification Permanency planning shall continue throughout the Level A placement. Seek a less restrictive setting, once the youth’s presenting problems have been replaced with appropriate coping behaviors. It may be necessary to involve a Children’s Service Specialist for consultation if the team is unable to reach a consensus regarding termination of the youth’s classification. Post-placement options include: Return to birth parents; Placement with a relative provider; Adoption; Return to traditional resource home, or level A resource home; Independent living; Retention in the current home; or Other out-of-home care. The Screening Team should meet with the Children’s Service Worker, resource parents, youth’s therapist (if applicable), and birth parents to review, collaborate, and determine the appropriate status and step down (graduation) of the youth. The parties should involve a Children’s Service Specialist or Regional Designee for mediation if the parties are unable to reach a consensus regarding termination of the youth’s status. The Children’s Service Worker should provide ongoing support and assistance to the youth’s caregiver and the referring Children’s Service Worker following the termination of the placement. Chapter Memoranda History: (prior to 01-31-07) CS03-21 , CS03-27 , CD05-72 Memoranda History: CD07-77 , CD10-08 , CD10-09",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-18-resource-providers-approved-provide-elevated-needs-foster-care-2
"MO :: Section 6, Chapter 18 (Resource Providers Approved to Provide Elevated Needs Foster Care Services) Subsection 2 Elevated Needs Level A, – Sub-subsection 4 (Qualifications, Characteristics, and Responsibilities of the Elevated Needs Level A Resource Provider)",Missouri,Rules,2023,"Foster parent licensing, Social worker licensing/qualifications",,,"It is recognized that the Level A resource provider is the key treatment agent in the Level A foster care process. In order to successfully fulfill this role, the following responsibilities must be carried out: Provide a firm, consistent, nurturing and normalizing environment in which the youth receives 24-hour supervision; Be available during all non-school hours except when other arrangements have been made; Provide day-to-day implementation and monitoring of the youth’s treatment plan and services as agreed upon with other treatment staff; Participate in all staffing meetings, FSTs, and when possible, court hearings; Develop and implement a structure of discipline and intervention which encourages self-responsibility and mutual concern for all members of the household in conjunction with the Level A foster care selection team decision; Set and communicate specific behavioral limits for the placed youth and impose predetermined consequences when those limits are exceeded; Prepare each youth with age appropriate “living” skills needed to function, i.e., personal hygiene, coping skills, money management, parenting skills, home management, job search, interpersonal, and social skills; Participate in the screening process of the youth and natural family, if appropriate. Be available for consultation with other treatment team members; Complete periodic reports on the progress of the youth in meeting both long and short-term treatment goals. Be available for consultation with other treatment team members; Potentially provide transportation for the youth to and from necessary appointments, medical care, daily activities, home visits, etc.; Attend and participate in those activities in which the youth routinely engages, such as school, counseling, community activities, etc.; Work with the birth parents, as needed or deemed appropriate, to prepare them for the youth’s return, and to maintain a sense of family; Communicate with the Level A resource provider support group, if available; Provide the Division with 14 days notice if it is necessary to remove a youth from the home unless an emergency; and If respite care is needed, provide the respite home with an understanding of the youth and the treatment plan which must be continued. Training: The resource provider is required to participate in and successfully complete 18 hours of specialized training workshops for the resource provider to sign a Elevated Needs Level A Cooperative Agreement Amendment. The approved training shall include the following topics: Team and relationship building; Communication skills; Behavior management techniques; Discipline and punishment procedure; Management of behavior crisis situations; Development of an individual treatment plan; De-escalation skills; Negotiation; Positive reinforcement technique; Professional skills for foster parents. The list of approved Level A training curricula is located on the Resource Development program intranet page. Competencies for Resource Providers of Youth with Elevated Needs Specific knowledge and skills are essential before children are placed with families. The competencies were developed for resource providers of youth with elevated needs. Competencies take into account the knowledge of the resource provider and their ability to perform the necessary skills to successfully parent a youth with elevated needs. The following competencies will assist resource workers in assessing the needs of the resource providers and identifying services to achieve these competencies: Promote Successful Integration into the Family and the Community Understanding how much supervision the youth requires (before placement occurred and during current placement) Assist the youth in adjusting to a new school and community Transitioning the youth into another setting Meeting Exceptional Care Needs for Special Needs and/or Traumatized Youth Addressing those needs that exceed normal developmental needs (social, emotional, daily care) Understanding risk factors in the community, school and home setting Understanding but not diagnosing mental illness and other developmental delays Assessing Crisis Situations and Utilizing Proper Crisis Intervention/Prevention Understanding a crisis situation Using appropriate skill sets to deescalate crisis situations Understanding attention seeking behaviors and knowing when to respond Understanding power, authority and control Setting fair and consistent limits Understanding risk factors in the community, school and home setting Recognizing and Implementing Positive Approaches to Challenging Behaviors Identifying challenging behaviors early Clearly defining target behaviors Use of multidisciplinary service team for coordinating care Team based wrap around services The elevated needs Level A competencies are to be addressed in detail in the resource provider’s home assessment in addition to the traditional resource parent competencies. Chapter Memoranda History: (prior to 01-31-07) CS03-21 , CS03-27 , CD05-72 Memoranda History: CD09-106 , CD10-08 , CD10-67 ,",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-18-resource-providers-approved-provide-elevated-needs-foster-care-3
"MO :: Section 6, Chapter 18 (Resource Providers Approved to Provide Elevated Needs Foster Care Services) Subsection 2 Elevated Needs Level A, – Sub-subsection 3 (Characteristics of a Youth with Elevated Needs- Level A)",Missouri,Rules,2023,"Foster parent licensing, Services while in care - Other, Social worker licensing/qualifications",,,"An approved Level A Resource Provider must be able to identify and have the skill set to handle effectively a youth identified has needing elevated needs level A foster care services. Youth with elevated needs require greater structure, supervision, and are less able to assume responsibility for their daily care. These youth have typically experienced multiple out-of-home placements. Youth appropriate for Level A fall into one of two categories: Youth presently in a residential setting who may be moved to a less intensive setting, but not to a traditional resource home or to their parents’ home; or Youth who lack a viable placement in a traditional resource home and because of their presenting problems would be placed in a residential setting unless an available Level A resource home can be found. Presenting problems displayed by the foster youth identified as needing Level A foster care services may include the following: Behaviors which if not modified could result in the youth being designated as a status offender; History of irresponsible or inappropriate sexual behavior, which has resulted in the need for extraordinary supervision; Threatening, intimidating, or destructive behavior which is demonstrated by multiple incidents over a period of time; Problems of defiance when dealing with authority figures; Significant problems with peer relations; Significant problems at school that affect academic achievement or social adjustment; Significant problems with lying, stealing, or manipulating; Significant problems of temper control; Mild substance abuse related problems; Oppositional behavior which contributes to placement disruptions and inability to function productively with peers, parent figures, birth family, etc.; Any of above behaviors, coupled with medical problems; or Any of above behaviors displayed by one or more youth of a sibling group, qualifying the entire sibling group for placement together, if appropriate. However, not all youth would be eligible for the Level A maintenance rate. Presenting Problems Displayed by the Youth with Elevated Needs–Level A Presenting problems displayed by the Level A candidate may include the following: Behaviors which if not modified could result in the youth being designated as a status offender; History of irresponsible or inappropriate sexual behavior, which has resulted in the need for extraordinary supervision; Threatening, intimidating, or destructive behavior which is demonstrated by multiple incidents over a period of time; Problems of defiance when dealing with authority figures; Significant problems with peer relations; Significant problems at school that affect academic achievement or social adjustment; Significant problems with lying, stealing, or manipulating; Significant problems of temper control; Mild substance abuse related problems; Oppositional behavior which contributes to placement disruptions and inability to function productively with peers, parent figures, birth family, etc.; Any of above behaviors, coupled with medical problems; or Any of above behaviors displayed by one or more youth of a sibling group, qualifying the entire sibling group for placement together, if appropriate. However, not all youth would be eligible for the Level A maintenance rate. Youth Who May Not be Appropriate for Level A Youth who may not be appropriate for Level A include: Youth under the age of three (3) who cannot be treated effectively through the behavior modification treatment model; Youth who exhibit severe psychiatric behavior, as diagnosed by a psychiatrist/psychologist, such as an obvious lack of emotional contact, affect disturbances, and/or severe thought distortions; Youth with a recent history of extreme or dangerous physical aggression; Youth with a recent history of fire setting; Youth who have recently attempted suicide and continue to have suicidal ideations; Youth with an IQ below 65(should also look at functioning); Youth who are medically diagnosed as chemically dependent and whether they have had treatment; Youth with severe medical or physical handicaps which present barriers that the child cannot or will not overcome; Youth whose primary presenting problem, as diagnosed by a psychiatrist/psychologist is sexual addiction and who need extremely structured treatment and unusually close supervision; or Youth with personality disorders, as diagnosed by a psychiatrist/psychologist, who have severe problems forming attachments with caretakers and significant others. Chapter Memoranda History: (prior to 01-31-07) CS03-21 , CS03-27 , CD05-72 Memoranda History: CD10-08",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-18-resource-providers-approved-provide-elevated-needs-foster-care-4
"MO :: Section 6, Chapter 18 (Resource Providers Approved to Provide Elevated Needs foster Care Services) Subsection 2 Elevated Needs Level A, – Sub-subsection 2 (Placement Process)",Missouri,Rules,2023,"Administrative process, Legal process, Placement",,,"Once the Screening/Selection team has determined that a foster youth requires a resource approved to provide elevated needs Level A foster care services, the licensing worker will share all referral information with the prospective resource parent(s) and assess with them their ability to meet the youth’s needs. The Children’s Service Worker will then carry out any of the following actions, as appropriate to the youth being placed: Coordinate all planning with the service county, if the county of current placement is different from the case manager county: Receive notification when a resource becomes available; and Notify the licensing worker in writing if the placement is no longer needed. The Children’s Service Worker shall receive notification of the date of the pre-placement visit(s). The Children’s Service Worker shall receive notification of the date of the pre-placement visit(s). The pre-placement visits are vital to a successful placement and should not be rushed. Furthermore, the Children’s Service Worker will share a thorough description of the potential Level A resource family with the youth and assess his/her interest in them, assess the Level A resource family’s commitment to the permanency goal and, as appropriate, willingness to work with birth parent(s), and potential adoptive resource. Transportation for the youth to/from the pre-placement visits needs to be assured. The Children’s Service Worker must gain commitment from both the youth and resource family and then proceed with the placement. The worker will assure the youth’s arrival at the resource home when all parties agree the child is ready. Update the Alternative Care Client Information Screen in FACES. When the permanency goal is reunification, introduce the family and the Level A resource provider as early in the process as possible to increase family involvement and promote a family/Level A resource provider relationship. A Level A resource parent may not care for more than four (4) youth with a maximum of two who are qualified for Level A care simultaneously.  The other two children in the home must be at the traditional level of care. In rare cases, special  approval may be sought to accommodate siblings of the elevated needs youth. Foster homes shall not exceed the number of children in the home as outlined in the licensing rules however there may be times when placement may be necessary to meet the needs of the child. Homes that need to exceed the licensing rules may be granted an exception by submitting a completed Resource Home Capacity Exception approval Form, CD-157, to Central Office prior to placement. Memoranda History: CD07-77 , CD08-106 , CD10-08 , CD13-50 , CD16-45 Chapter Memoranda History: (prior to 01-31-07) CS03-21 , CS03-27 , CD05-72",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-18-resource-providers-approved-provide-elevated-needs-foster-care-16
"MO :: Section 6, Chapter 14 (Foster-Adoptive Resources)",Missouri,Rules,2023,"Adoption, Foster parent licensing, Services while in care - Financial",,,"Families approved to provide foster/adoptive care (FA) must be approved adoptive families who are accepting a child for the purpose of adoption. The foster/adoptive care (FA) approval is designed to enhance adoption permanency planning for children in CD custody or Class I juvenile courts. It enables staff to authorize out-of-home care payments for children in CD custody for maintenance, special expenses, if needed, and Medicaid to families who are in need of temporary financial assistance. Children in the custody of Class I juvenile courts and placed with an approved foster/adoptive care (FA) family are entitled only to maintenance and Medicaid services. Payments may be provided until custody is transferred for adoption or the child is removed from the home, whichever occurs first. This approval does not apply to foster or relative families who are later approved to adopt a child in their care who is in CD custody. These families are already approved and do not need to be approved again to receive out-of-home care payments. Rule Requirements Rule 13 CSR 40-50.010 includes the following approval requirements: Prior approval as an adoptive resource, and have had a child placed or are in the process of having a specific child placed; The filing of a petition for adoption of a specific child; A petition for adoption may be filed before a specific child is actually placed in order to meet the rule requirement. The signing of a CM-6, Cooperative Agreement for the Purchase of Foster/Adoptive Care (FA): The approval period is up to nine months. This period may be extended, as necessary, but not to exceed up to nine months until custody is transferred, an adoption subsidy agreement is approved for an eligible child, or the child is removed, whichever occurs first. It is not necessary that actual physical placement of the child occur for the cooperative agreement to be signed. However, the plan for the child must be placement and it must occur within a reasonable time after the approval begins. Memoranda History: CD14-64, CD17-42",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-14-foster-adoptive-resources
"MO :: Section 6, Chapter 12 (Resource Provider’s Emergency Procedures)",Missouri,Rules,2023,"Safety, Social worker licensing/qualifications",,,"Resource Provider’s Emergency Procedures Each resource home shall develop emergency procedures with the following information that will be submitted to the licensing worker, this plan will be reviewed every six months with their foster youth.  The review dates and time will be recorded by the resource provider and given to the licensing worker. Resource Provider’s Responsibilities Each resource provider shall develop and display a family emergency plan that will be approved by their local office and a copy be placed in their case record file. Their plan should include the following: An evacuation plan for various disasters; A meeting place for all family members if and when a disaster occurs; Contact numbers which shall include: Local law enforcement; Regional Communication Plan with Contact Personnel; Emergency Numbers; Administrative number, 877-642-6320, only to be used when no other communication channels are available for contacting local/regional staff . A disaster supply kit , that includes “special needs” items for each household members, first aid supplies, including prescription medications, a change of clothing for each person, a sleeping bag or bedroll for each foster youth, battery powered radio or television, extra batteries, food, bottled water and tools. For information regarding what to place in an Disaster Kit you may go to “American Red Cross Disaster Plan Kit Item list” www.redcross.org The licensing worker will document in the case file record that resource provider has read and understands Children’s Division policy regarding Prevention and Control of Contagious and Infectious Diseases as found in the Resource Parent Handbook (mo.gov) . As part of the disaster plan each resource provider will identify what will happen to the child if he/she is in school or the resource provider is away from the child; i.e. will the school keep the children until a resource provider or designated adult can pick them up or send them home on their own. Each resource provider will provide their Children’s Service Workers with back-up contact phone numbers in case of emergency in which they cannot be located by their home or work phone. Resource providers should consider providing staff with back-up phone numbers of individuals (such as relatives) they would contact in case of an emergency. Each resource home will review this plan with their foster youth every six months and report this information back to their licensing worker. The worker will record this information in the providers file. The emergency plans shall be made available to the Regional Office, upon request. Templates of Family Disaster Plans from the Red Cross that may be shared with resource providers is located at this link: Disaster Preparedness Plan | Make a Plan | Red Cross . Chapter Memoranda History: (prior to 01-31-07) CD06-33 Memoranda History: CD10-127 , CD12-03",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-12-resource-providers-emergency-procedures
"MO :: Section 6, Chapter 11 (Licensing of Resource Families Trained in Other States)",Missouri,Rules,2023,Foster parent licensing,,,"When the Division is contacted by a person who was licensed and/or trained in another state the licensing worker should conduct an initial home visit with the family and determine if they will meet other licensing criteria, i.e. structural requirements, background checks, etc. The worker should also provide the family with: Criminal background checks referral; Family Care Safety Registry forms; and Other paperwork necessary to complete the assessment. When it has been determined the family meets licensing criteria, a referral should be made to the Regional Director or designee to request approval to accept the training received in the other state. PRIDE and MAPP curriculums have been determined to meet the pre-service training criteria for licensure by the Division. All other curriculums are approved at the discretion of the Regional Director or designee based upon their review of the material. The referral should include documentation from the other state regarding: The training curriculum attended; Date the family completed the training; and The family’s licensure status (if available). The licensing worker will send a packet of information to the applicant. The packet should include: Resource Provider Welcome Letter (CD-68); MO Resource Parent Handbook; Maintenance reimbursement rate table; and Health Insurance Portability and Accountability Act of 1996 (HIPAA) information sheet. This packet is sent after the approval is received by the licensing worker from the Regional Director or designee. Families will receive three hours of “Other Approved Pre-Service Training” for reviewing the MO Resource Parent Handbook and one hour of in-service training for reviewing the HIPAA information sheet. The Division’s pre-service training may be provided for any of these persons wanting to attend. It may also be required by a Regional Director or designee if, in their professional opinion, the time lapse between licensure and/or training in the other state and application with the Division is significant or there are other licensing concerns. The process for licensing these homes will mirror the license renewal process. NOTE: See Chapter 3 Subsection 5 of this section for more information on completing a renewal assessment. Related Subjects: Section 6 Chapter 3 Subsection 5 Conducting Resource Home Renewal Memoranda History: CD07-60, CD14-64",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-11-licensing-resource-families-trained-other-states
"MO :: Section 6, Chapter 4 (Emergency Resource Homes)",Missouri,Rules,2023,"Foster parent licensing, Placement",,,"The Circuit Manager, or designee, will: Develop resource homes to provide emergency placement services only to children placed in the custody of the Division (includes subsidized foster homes). Develop resources to provide emergency services under contract to Children’s Division (CD). Arrange for court facility to accept emergency placement of children in custody of CD. Develop and complete agreement on procedure for referrals. Complete Vendor Licensure/Approval and Renewal Screen in FACES. Obtain signed “Contract for the Purchase of Emergency Foster Care Services”. The Children Service Worker will maintain schedule and availability of slots in emergency homes as well as a log of children placed with emergency foster home using the Placement Report for Resource Home Record form, CD-104. Record use of home in case record every three months. Memoranda History: CD08-109, CD12-84, CD13-77",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-4-emergency-resource-homes
"MO :: Section 6, Chapter 3 (Resource Family Assessment and licensing Process), Subsection 8, Sub-subsection 2- (Foster/Relative Renewal Assessment Outline)",Missouri,Rules,2023,"Administrative process, Foster parent licensing, Reporting requirements, Subsidies - Foster Parents",,,"The Children’s Division has the option not to renew a foster home license in cases where a licensed foster home has not accepted a placement over a two-(2-) year period. Summary of Contacts: Include date of contact, and with whom contact was made. Summary of Placements: Include foster/relative parent strengths and weaknesses around following issues: Children’s behaviors Relationship with birth parents Relationship with agency Summary of Changes Since Last License Issuance: Include family’s coping to particular change: Health (mental, physical, emotional) Marital Financial/employment Family composition Own children’s behavior House move Summary of Foster Parent Training Participation: Include dates, titles, number of hours attended, taught by whom, under whose auspices, location. Summary of References: Highway Patrol (arrests and convictions) CA/N Central Registry Documentation of Case.net review Family Care Safety Registry report Family Support Division (FSD) School (of children currently in the home) Evaluation: (Include compliance with licensing rules and examples of the resource parent’s implementation of Reasonable and Prudent Parenting Standard.) Recommendation Signature of Worker and Date Signed Approval of Supervisor Including Signature and Date Signature of Foster/Relative Parent and Date Signed",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-3-resource-family-assessment-and-licensing-process-subsection-8-sub
"MO :: Section 4, Chapter 2 (Placements), Subsection 5 – Mental Health Hospital Placements :: 2.5 – Mental Health Hospital Placements",Missouri,Rules,"2023, 2022, 2021","Administrative process, Placement, Services while in care - Mental Health",,,"Occasionally, it may be necessary to place a child who is in the custody of the Children’s Division into an acute mental health hospital setting.  Such a placement should be limited to situations where a child is in crisis and needs the safety monitoring, assessment, and treatment services that only an inpatient psychiatric hospital setting can provide.  MO HealthNet provides payment based on the number of days certified as medically necessary, while Children’s Division is financially responsible for any additional days through discharge. Criteria for Placement The American Academy of Child and Adolescent Psychiatry provides the following basic guidelines for psychiatric hospital admission: The child has a psychiatric disorder which is of such severity as to cause significant impairment of daily functioning in at least two (2) important areas of his/her life, i.e., school performance, social interactions, or family relationships; The treatment proposed is relevant to the problems diagnosed and adjudged likely to benefit the child; and Other available less restrictive treatment resources must have been considered and determined to be not available or not appropriate to the child’s needs or have been attempted and proven unsuccessful. If a child is in psychiatric crisis, or in cases where the child has already been hospitalized, the Children’s Service Worker should consult with appropriate supervisory staff immediately to determine if the child is a potential candidate for psychiatric hospitalization. Placement and Service Delivery MO HealthNet provides payment for inpatient days certified as medically necessary by its review authority, Conduent.  Children’s Division is financially responsible for any days the child remains in the hospital beyond the certified medically necessary length of stay days. It is necessary to monitor and evaluate the placement of children in a private psychiatric hospital.  To do so effectively, the following procedures have been developed: Begin working on the child’s discharge plan at the onset of placement, ensuring the child moves within the number of days certified by the MHD review authority, Conduent, unless the Regional Director or RCST approves an extension (see next section); Request the hospital provide, in writing, a treatment plan, diagnosis, and the expected length of stay within three (3) calendar days of admittance; Notify the Regional Director, in writing, of the placement, including the reasons for this type of placement, expected length of stay, and discharge plan, if known; If long-term residential treatment services (RTS) are anticipated, make a residential referral through FACES for the RCST within three (3) days of placement. The referral should include the following: Form CS-9; A list of specifically identified and described problems; A list of specifically identified strengths; Placement history including date child entered CD custody and number and type of previous placements; Current social/family history; Current IEP and/or other appropriate educational records; Current medical evaluation and other appropriate medical records; Current psychological evaluation and counseling reports; and Any other appropriate information (including hospital admission summary and diagnoses). If the child is in need of an inpatient extension beyond the days originally certified as medically necessary, inquire if the hospital has contacted Conduent to request additional days be certified.  Any additional days certified as medically necessary will be reimbursed by MO HealthNet. Length of Stay Exceeds Number of Days Certified as Medically Necessary MO HealthNet provides payment to enrolled providers for inpatient days certified as medically necessary by its review authority, Conduent.  Children’s Division is financially responsible for any days the child remains in the hospital beyond the certified medically necessary length of stay days. Approval for extension beyond the number of days certified as medically necessary shall only be authorized by the Regional Director or RCST, depending on the anticipated discharge plan.  As soon as it appears a stay beyond the number of days certified as medically necessary is needed, the Children’s Service Worker shall request approval for an extension: From the Regional Director for a child moving into a resource home placement within the community upon discharge, or From the RCST for a child being referred for residential treatment upon discharge. The following information should be included in the request for extension: Child’s name and DCN; Current placement/facility; Explanation of the continued need for stay at the psychiatric facility; Description of the efforts made to secure an alternate placement; and Copy of the hospital’s diagnosis and recommended treatment upon discharge. The Regional Director or RCST shall notify the Children’s Service Worker of the decision regarding approval for the child to remain in the facility prior to expiration of the maximum number of days certified by Conduent. It is the responsibility of the Regional Director or RCST to provide the hospital with written authorization to allow the child to remain in the hospital beyond the number of days certified by Conduent as medically necessary.  The written authorization must clearly state that CD is responsible for payment beyond the medically necessary length of stay days. The hospital should invoice the county office for any inpatient days beyond those certified as medically necessary: For a child discharged from the hospital to a resource home placement within the community, a Payment Request should be submitted through approval levels to DFAS for reimbursement. For a child with a plan to enter residential treatment upon discharge, the invoice should be submitted to the RCST who will facilitate a Child-Specific Contract for payment.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-2-placements-subsection-5-mental-health-hospital-placements-25-mental
"MO :: Section 6, Chapter 7, (Children’s Division’s Appeal Processes), Subsection 9. – (Adoption Staffing Team Decision Review For Family Not Selected) :: 7.9.4 Review Response",Missouri,Rules,2023,"Administrative process, Adoption, Court system, Legal process, Permanency",,,"There are three (3) possible responses from the Reviewer following the review of the Adoption Staffing Team’s decision: If the Reviewer concludes the Adoption Staffing procedure was followed and consensus was reached, the Team’s decision stands If the Reviewer concludes the Adoption Staffing Team procedure was in error per policy, the Reviewer will: Reconvene the Team members Facilitate a new staffing Achieve an appropriate consensus decision for best interest of the foster youth(s) If the Reviewer concludes there was no consensus of the Adoption Staffing Team in the decision making and evidence of extreme bias by one or more members, the Reviewer will: Reconvene the Team members Facilitate a new staffing Achieve an appropriate consensus decision for best interest of the foster youth(s) The Reviewer submits to the Circuit Manager a written report of his/her conclusion after review of the Adoption Staffing Team decision using the CD-190 A. The report must include: Specific examples of procedure error ( if applicable) Specific examples of no consensus (if applicable) Specific examples of bias (if applicable) The names and dates of who and when Team members were interviewed Date(s) of reconvened Adoption Staffing and outcome (if applicable) Details to support that Adoption Staffing Team procedure was followed and consensus was reached with no bias Evidence based support the best interest of the child was met The Reviewer’s conclusion will be reasonable, fair, expeditious and the Children’s Division’s final decision. Within three (3) business days of receiving the Reviewer’s conclusion, the Circuit Manager will notify the review requester the conclusion of the Reviewer. If the family continues to not agree with the final decision by the Reviewer refer the family to their attorney for consultation regarding their right to file a petition for adoption. Memoranda History (After 01/31/07) : CD16-12",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-7-childrens-divisions-appeal-processes-subsection-9-adoption-staffing-4
"MO :: Section 6, Chapter 7, (Children’s Division’s Appeal Processes), Subsection 9. – (Adoption Staffing Team Decision Review For Family Not Selected) :: 7.9.3.2 Review Process",Missouri,Rules,2023,"Administrative process, Adoption",,,"The Circuit Manager will assign the request for a review to the Reviewer within one (1) business day of receiving the written request, CD-190. The Circuit Manager will provide a copy of the CD-190 to the Reviewer when assigned. If the request is received beyond three (3) business days of the meeting, the Circuit Manager will contact the requester to report that the deadline was not met and the Adoption Staffing Team decision will not be reviewed. The Reviewer will be provided with the following documents and information within one (1) business day of being assigned the request for an Adoption Staffing Team decision review: Adoption Profile(s); Adoption staffing information packet including Home Assessments for all candidates; A copy of the foster youth(s)’ CS-1; and The contact information for all the Adoption Staffing Team members who attended the staffing The Reviewer will examine and review the documents regarding the adoption staffing and the Team’s decision. The Reviewer will interview the following individuals who attended the FST meeting within two (2) business days of the Reviewer receiving the CD-190 from the Circuit Manager/private contractor Director: Review requestor Perspective adoptive parent(s) and support individual of their choice, Placement provider(s) and support individual of their choice, Foster youth, if age appropriate Guardian Ad Litem for the foster youth(s) The Reviewer may interview additional FST attendees, if the Reviewer deems it necessary to make the final conclusion. The Reviewer will submit to the Circuit Manager a written report of his or her response following the review of the Adoption Staffing Team decision within five (5) business days of assignment of the review request.",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-7-childrens-divisions-appeal-processes-subsection-9-adoption-staffing-3
"MO :: Section 6, Chapter 7, (Children’s Division’s Appeal Processes), Subsection 9. – (Adoption Staffing Team Decision Review For Family Not Selected) :: 7.9.3.1   Request for Review",Missouri,Rules,2023,"Administrative process, Adoption",,,All families reviewed will be notified of the decision within one business day of the decision An Adoption Staffing Team member or other team member who attended the staffing must submit a written request for an Adoption Staffing Team decision review using the CD-190 to the Circuit Manager within three (3) business days of the decision. Requests after three (3) days will not be considered.,https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-7-childrens-divisions-appeal-processes-subsection-9-adoption-staffing-2
"MO :: Section 6, Chapter 7, (Children’s Division’s Appeal Processes), Subsection 9. – (Adoption Staffing Team Decision Review For Family Not Selected) :: 7.9.2   Independent Reviewer Qualifications",Missouri,Rules,2023,"Administrative process, Adoption, Permanency, Placement, Reporting requirements, Termination of parental rights",,,"The Independent reviewer is appointed by the Regional Director. The reviewer must meet the following qualifications: Current Children’s Division Staff No connection to the case No personal or perceived interest in the outcome of the case Successful completion of Mediation Training Demonstrates skills with handling emotionally charged situations Demonstrates skills in problem solving Demonstrates skills in active listening Demonstrates skills in effective questioning Demonstrates an excellent understanding and practice of the best interest of the child per Missouri Revised Statues Chapter, 210.001, 210.112 4 (3), 210.565, 210.720, 210.762 and policy Section 4 Chapter 9.",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-7-childrens-divisions-appeal-processes-subsection-9-adoption-staffing-1
"MO :: Section 6, Chapter 7, (Children’s Division’s Appeal Processes), Subsection 9. – (Adoption Staffing Team Decision Review For Family Not Selected) :: 7.9.1   Request for Review",Missouri,Rules,2023,"Administrative process, Adoption, Permanency, Placement, Reporting requirements",,,"A family not selected as the adoptive resource or a team member may request a review of the decision made by the Adoption Staffing Team, if the family believes the following regarding the staffing: There was a procedure error per Adoption Staffing Team process The requestor provides specific examples of perceived bias which    precluded consensus from being reached. The family must submit a request for review: Within (3) business days of the Adoption Staffing Team Meeting Decision In writing using the CD-190 Submitted to the Circuit Manager of the case manager for the foster youth(s) for which the Adoption Staffing Team was convened. If the case is managed by a Foster Care Case Management, (FCCM), contractor, submitted to the FCCM Director. If there are no safety concerns regarding the foster youth(s) remaining in the home, they should not be moved from the home until the decision is finalized.",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-7-childrens-divisions-appeal-processes-subsection-9-adoption-staffing
"MO :: Section 6, Chapter 7 (Children’s Division’s Appeal Processes), Subsection 8, – (Family Support Team Decision Review) :: 7.8.4 Review Response Report",Missouri,Rules,2023,"Administrative process, Adoption, Legal process, Reporting requirements",,,"There are three (3) possible responses from the Reviewer following the review of the FST decision using the Family Support Team Meeting/Adoption Staffing Committee Decision Review Report, CD-190 A: If the Reviewer concludes the FST procedure was followed and consensus was reached, the team’s decision stands If the Reviewer concludes the FST procedure was in error per policy, the Reviewer will: Reconvene the team members Facilitate a new meeting Achieve appropriate consensus decision for best interest of the foster youth(s) If the Reviewer concludes there was no consensus of the FST in the decision making and one or more members evidenced extreme bias, the Reviewer will: Reconvene the team members Facilitate a new meeting Achieve appropriate consensus decision for best interest of the foster youth(s) The Reviewer submits to the Circuit Manager a completed CD-190 A of his/her conclusion after review of the FST decision. The report must include: Specific examples of procedure error ( if applicable) Specific examples of no consensus (if applicable) Specific examples of bias (if applicable) The names and dates of who and when team members were interviewed Date(s) of reconvened FST meeting and outcome (if applicable) Details to support that FST procedure was followed and consensus was reached with no bias Evidence based support the best interest of the child was met The Reviewer’s conclusion will be reasonable, fair, expeditious and the Children’s Division’s final decision. Within three (3) business days of receiving the Reviewer’s conclusion, the Circuit Manager will notify the review requester the conclusion of the Reviewer. If the requester is the resource parent where the foster youth is placed and continues to not agree with the final decision by the Reviewer refer the requester to RSMo 211.464 and RSMo 210.761 regarding testifying at foster care hearings. Memoranda History (After 01/31/07) : CD16 -12 ;",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-7-childrens-divisions-appeal-processes-subsection-8-family-support-team
"MO :: Section 6, Chapter 7 (Children’s Division’s Appeal Processes), Subsection 8, – (Family Support Team Decision Review) :: 7.8.3.2 Review Process",Missouri,Rules,2023,"Administrative process, Legal process, Placement, Reporting requirements",,,"The Circuit Manager will assign the request for a review to the Reviewer within one (1) business day of receiving the written request, CD-190. The Circuit Manager will provide a copy of the CD-190 to the Reviewer when assigned. If the request is received beyond five (5) business days of the meeting, the Circuit Manager will contact the requester to report that the deadline was not met and the FST decision will not be reviewed. If the requestor is the resource parent where the foster youth is placed, encourage them to exercise their right to be heard at the case’s court hearing as referenced in the Missouri Resource Parent Handbook Refer to policy regarding roles, responsibilities, and rights of resource providers, Section 1 Chapter 3 Refer to Missouri Revised Statute, 211.464 The Reviewer will be provided with the following documents and information within one (1) business day of being assigned the request for a FST decision review: A copy of the FST-3 If the FST-3 was not used, copy of documented information from the meeting and a copy of the FST-1 A copy of the foster youth(s)’ CS-1 The contact information for all FST members. 4. The Reviewer will examine and review the documents regarding the FST meeting and the team’s Decision. 5. The Reviewer will interview the following individuals who attended the FST meeting within two (2) business days of the Reviewer receiving the CD-190 from the Circuit Manager/private contractor Director: Review requester Parent(s) and support individual of their choice, Placement provider(s) and support individual of their choice, Foster youth(s), if age appropriate Guardian Ad Litem for the foster youth(s) The Reviewer may interview additional FST attendees, if the Reviewer deems it necessary to make the final conclusion. 6. The Reviewer will submit to the Circuit Manager a written report of his/her response following the review of the FST decision within five (5) business days of assignment of the review request.",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-7-childrens-divisions-appeal-processes-subsection-8-family-support-3
"MO :: Section 6, Chapter 7 (Children’s Division’s Appeal Processes), Subsection 8, – (Family Support Team Decision Review) :: 7.8.3.1   Request for Review",Missouri,Rules,2023,"Legal process, Placement",,,"A family support team member who attended the FST must submit a written request for an FST review using the CD-190 to the Circuit Manager within five (5) business days of the meeting. Requests after five days will not be considered. If there are no safety concerns regarding the foster youth(s) remaining in the home, they should not be moved from the home until the decision is finalized",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-7-childrens-divisions-appeal-processes-subsection-8-family-support-4
"MO :: Section 6, Chapter 7 (Children’s Division’s Appeal Processes), Subsection 8, – (Family Support Team Decision Review) :: 7.8.2   Independent FST Reviewer Qualifications",Missouri,Rules,2023,"Legal process, Permanency, Social worker licensing/qualifications, Use of federal money (including Title IV-E)",,,"The Independent reviewer is appointed by the Regional Director. The reviewer must meet the following qualifications: Current Children’s Division Staff No connection to the case No personal or perceived interest in the outcome of the case Successful completion of Mediation Training Demonstrates skills with handling emotionally charged situations Demonstrates skills in problem solving Demonstrates skills in active listening Demonstrates skills in effective questioning Demonstrates an excellent understanding and practice of the best interest of the child per Missouri Revised Statutes Chapter 210 , 210.001, 210.112 4(3), 210.565, 210.720, 210.762 and policy Section 4 Chapter 9",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-7-childrens-divisions-appeal-processes-subsection-8-family-support-0
"MO :: Section 6, Chapter 7 (Children’s Division’s Appeal Processes), Subsection 8, – (Family Support Team Decision Review) :: 7.8.1   Request for Review",Missouri,Rules,2023,Administrative process,,,"A Family Support Team member who attended the team meeting may request a review of the team’s decision using the Request for Review of FST Decision, CD-190, if the member believes the following regarding the meeting: There was a procedure error per FST meeting policy The requestor provides specific examples of perceived bias which precluded consensus from being reached. The Family Support Team member who attended the meeting and requested the review of the team’s decision must submit the request for review; Within five (5) business days of the Family Support Team Meeting; In writing using the CD-190; and To the Circuit Manager of the case manager for the foster youth(s) for which the FST was convened. If the case is managed by a Foster Care Case Management, (FCCM), contractor, to the FCCM Director. If a required FST member was not included in the invitation for the meeting, they may follow the Service Delivery Grievance process.",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-7-childrens-divisions-appeal-processes-subsection-8-family-support-1
"MO :: Section 8, Chapter 9 (Fatality/Critical Event Reporting and Review Protocol), Subsection 1 – Critical Event Categories :: 9.1.4.3 Critical Event Review Panels",Missouri,Rules,"2023, 2022, 2021",Administrative process,,,"A multi-disciplinary panel designed to bring insight from outside the Division The goal is to look at agency systems and causal factors that may have impacted the event How does a Critical Event Review Panel Operate? The reviewer and staff from the incident county present an overview of the incident, comment on the findings, and provide case updates. Who typically attends a Critical Event Review Panel meeting? The Reviewer Department of Social Services (DSS) DSS Communications Office Division of Youth Services (DYS) Department of Mental Health (DMH) Division of Legal Services (DLS) State Technical Assistance Team (STAT) Children’s Division Central Office, Regional Director, Field Support Manager, Circuit Manager, and the Division Director Contracted Management CEO  (Attendees are preferably management or above.) Trends and Action Steps: If a need arises from a Critical Event Review, the critical event will be discussed at Executive Team meeting. Critical events and trends will be discussed for law, policy, practice and training implications statewide. Regional Directors will discuss findings and address appropriate plans of action within their regions.",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-9-fatalitycritical-event-reporting-and-review-protocol-subsection-1-5
"MO :: Section 8, Chapter 9 (Fatality/Critical Event Reporting and Review Protocol), Subsection 1 – Critical Event Categories :: 9.1.4.2 Review of the Critical Event",Missouri,Rules,"2023, 2022, 2021","Administrative process, Investigations",,,"A CD-164 is used to review of the critical event in a family home. A CD-164 RF is used to review and document the details of a current critical event that took place in a resource home, which may include: Traditional Foster Care Medical Foster Care Licensed Relative/Kinship Care Unlicensed Relative/Kinship Care Foster Family Group Home Residential Care Respite Care Elevated Needs Level A Care Elevated Needs Level B Care Adoptive Home Log of Prior History (CA/N, AC, FCS and IIS) The CD-164A_Narrative is used to review and document the details of each incident (CA/N, Referrals) or case (FCS, AC, IIS) listed in prior history on the CD-164 or CD-164 RF. Review of Open Cases CD-164 B- – Used to assist reviewers in interviewing staff in regard to the current critical event or relevant prior history. Review of Prior Cases The CD-164C- Used to document the reviewer’s observations, overall impressions and practice trends. Critical Event Reviewer Required Level Must not have supervisor responsibility for staff involved Critical Event Tool Kit Submission Timeframe Complete within 30 business days unless essential information to complete a thorough review is not available. Submit the completed review to: DSS.CD.CriticalEventReport@dss.mo.gov Providing Case Records for Critical Event Reviews: If requested by Central Office, the Circuit Manager will ensure a copy of the complete case record is forwarded to Central Office within 2 working days. (Case Records may include CA/N files, FCS files, AC files, resource home files, and any other related material from all locations). Procedure for generating case records from FACES: Log into FACES Click on the Report Management Screen Click on Case Record Enter Call/Case Number",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-9-fatalitycritical-event-reporting-and-review-protocol-subsection-1-4
"MO :: Section 8, Chapter 9 (Fatality/Critical Event Reporting and Review Protocol), Subsection 1 – Critical Event Categories :: 9.1.4.1 Critical Event Tool Kit",Missouri,Rules,"2023, 2022, 2021","Administrative process, Legal process",,,"What is a critical event tool kit? A collection of tools used to guide a critical event reviewer through the case review process in response to critical events. Who completes the reviews? Central Office Critical Event Program Specialists and additional PDS staff as appropriate. When is a Critical Event Tool Kit Required? A toolkit review is required in the following: Active Agency Involvement at the time of Critical Event (e.g., investigation, assessment, referral, FCS/IIS) Victim child is in the legal custody of the Children’s Division Prior Children’s Division involvement with the family of concern within the past three years or if child is under 5, any prior involvement. No prior CD Involvement CAN Fatality or Other –a Critical Event Tool Kit is not required unless requested by the Regional Director or Central Office. The Critical Event Tool Kit consists of the following forms: They may be found at: http://dssweb/cs/forms/ Critical Event Case Review CD-164 Critical Event Case Review Used to review the current Critical Event Case Review in a family home CD-164 RF Critical Event Case Review – Resource Families Used to review the current Critical Event Case Review in a resource family home Log of Prior History (CA/N, AC, FCS and IIS) CD-164 A Log of Prior History Used to log all prior history including CA/N history and current open or closed AC, FCS or IIS cases Review of Open and Prior CAN, FCS, IIS, AC Cases CD-164A_Narrative Critical Event Case Review Narrative Used to review all open and prior relevant CAN, FCS, IIS and AC cases Staff Interviews CD-164 B Critical Event Case Review – Staff Interview Used to conduct interviews with staff connected to the current event, open case or prior cases (relevant to current critical event) Observations from Critical Event Case Review CD-164 C Critical Event Case Review – Observations from Critical Event Case Review The reviewer will summarize findings from all case records reviewed and interviews noting any practice concerns or practice trends. Observations may include issues related to law, policy, practice and training. Critical Event Protocol Grid Critical Event Protocol Grid Summary Grid of Critical Event Process Protocols. http://dss.mo.gov/cd/info/forms/pdf/cd168.pdf Staff shall retain CS-23s in the administrative section of the file. The Critical Event Toolkits are not to be retained after the review has been submitted to Central Office.",https://fostercaresystems.wustl.edu/mo-section-8-chapter-9-fatalitycritical-event-reporting-and-review-protocol-subsection-1-critical-4
"MO :: Section 8, Chapter 9 (Fatality/Critical Event Reporting and Review Protocol), Subsection 1 – Critical Event Categories :: 9.1.4 The Critical Event Review Process",Missouri,Rules,"2023, 2022, 2021",Reporting requirements,,,"The critical event review process consists of the following parts. A review of the critical event A log of prior history (CA/N, AC, FCS and IIS) A review of each open case A review of each prior relevant to the current event Staff Interviews Observations from Critical Case Review",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-9-fatalitycritical-event-reporting-and-review-protocol-subsection-1-3
"MO :: Section 8, Chapter 7 (Contracted Services), Subsection 4 – Children’s Treatment Services Catalog",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Services while in care - Medical, Services while in care - Mental Health, Services while in care - Therapies (not mental health)",,,"Children’s Treatment Services (CTS) Catalog Table of Contents Service Title Page # Therapeutic Services Assessment 2 Behavioral Health Services 4 Crisis Intervention 6 Family Therapy 7 Group Therapy 9 Individual Therapy 10 Speech Therapy 12 Testing 14 Vision Therapy 16 Service Title Page # Non-Therapeutic Services Day Treatment 18 Domestic Violence Batterer’s Intervention Program 22 Drug Testing 27 Family-Centered Services Case Consultation 31 Family-Centered Services Family Meeting 33 Nursing Services 35 Parent Aide 37 Parent Education and Training Program 39 Personal Assistance (Behavioral) 41 Personal Assistance (Medical) 43 Pervasive Developmental Services Coordinator 45 Respite Care 47 Service Delivery Coordination 49 Substance Abuse Treatment Services 51 Rate Information Page # CTS Rates, Codes, Units of Service 54 Assessment Service Description: The assessment is usually the first stage of a treatment process, but mental health assessments may also be used for other varying purposes. The assessment includes social and biographical information, direct observations, and data from specifically administered tests.  An assessment is most commonly carried out for clinical and therapeutic purposes, to establish a diagnosis and formulation of the individual’s needs, to plan the individual’s care and treatment. Assessments may be performed in an in-patient, out-patient, or community setting. Eligible Provider: Contractors, and all personnel providing direct services to a client, must be licensed to practice under one of the following credentials: Psychiatrist; Psychiatric Clinical Nurse Specialist (PCNS); Psychiatric Mental Health Nurse Practitioners (PMHNP); Psychologist; Licensed Clinical Social Worker (LCSW); or, Licensed Professional Counselor (LPC). Service Requirements All services must be provided in accordance with MO HealthNet standards. The contractor should observe the requirements below: The contractor shall provide assessment services to identify the treatment needs of the client or family for the purpose of assisting the Department to develop and implement a treatment plan to correct or minimize those needs. The assessment shall include at least one direct face-to-face diagnostic interview between the therapist and the client which may include the use of telemental-health or other technology as approved by the Department, not to exceed the maximum units for which the contractor has received prior authorization from the Department. The assessment shall when performed by a licensed contractor, also include administering, scoring or interpreting instruments used to identify the treatment needs of a client. The Diagnostic Assessment may be conducted according to the following schedule: Once a year for adults & adolescents (age 13 to 20) Every six (6) months for children under age thirteen (13). The Assessment may be updated for occurrence of crisis or significant clinical event. Reporting Requirements: For each client authorized for services, the contractor must submit timely, written reports in accordance with the contract, MHD guidelines, and as requested by the Department. All reports as specified herein, shall be submitted to the client’s case manager at the Department’s local office who authorized the service before reimbursement will be made for services rendered.  The patient record must include the clinical justification for conducting the assessment as well as the intended purpose. Billing Information: The unit of service shall be thirty (30) minutes of direct face-to-face interaction between the contractor or the contractor’s personnel providing direct services, and the client; or, administering, scoring or interpreting any instrument used in the assessment. Scoring or interpreting shall be limited to two (2) units per client assessment.  The maximum number of units allowed per year is eight (8). CTS Procedure Code(s): ASPA     (Psychiatrist/PCNS/PMHNP) ASPB     (Psychiatrist/PCNS/PMHNP; in home) ASPO    (Psychologist) ASPH    (Psychologist; in home) ASSA    (LCSW/LPC) ASSB     (LCSW/LPC; in home) Behavioral Health Services Service Description: Behavioral Health Services is a clinical and/or therapeutic service provided to a client to meet their behavioral health needs which exceed the maximum allowable units provided by MO HealthNet. Behavioral Health Services are intended to help the child acquire functional skills in their community placement, to prevent hospitalization or placement disruption.  The service is intended to address serious behavioral concerns including severe aggression and self-injury that traditional therapeutic techniques have been unsuccessful in treating.  Behavioral Health Services may include but not be limited to: Creating a behavior support plan, including the collection and analysis of data related to the child’s behavior. Behavioral modification strategies to assist the child and family (teaching/modeling); Development of coping strategies aimed at keeping the child in the foster/relative/kinship or adoptive/guardianship home; and, Development of appropriate communication skills between the child and the parent/guardian. Eligible Provider: Contractors, and all personnel providing direct services to a client, must be licensed to practice under one of the following credentials: Psychologist; Licensed Clinical Social Worker (LCSW); Licensed Professional Counselor (LPC); Licensed Behavior Analyst; or, Licensed Assistant Behavior Analyst working under the supervision of a Licensed Behavior Analyst Service Requirements: All services must be provided in accordance with MO HealthNet standards and include the following: Professional documentation of need; Written MO HealthNet denial of initial or additional units of service; and, Measurable/specific treatment goal. Behavioral Health Services will only be provided upon the recommendation of the following: Formal Functional Behavioral Assessment; Psychological evaluation/Assessment; Recommendation from current treating therapist, explaining how additional behavioral health services are needed to supplement traditional therapeutic services; OR In-patient psychiatric hospitalization discharge. Service provision is intended to be similar to that of the Behavior Intervention Specialist procedure code located within the MO HealthNet DD Waiver provider manual. Reporting requirements: For each client authorized for services, the contractor must submit timely, written reports in accordance with the contract, MHD guidelines, and as requested by the Department. All reports as specified herein, shall be submitted to the client’s case manager at the Department’s local office who authorized the service before reimbursement will be made for services rendered. Billing Information: The unit of service shall be thirty (30) minutes of direct face-to-face interaction between the contractor, and/or the contractor’s personnel providing direct services, and the client. The maximum number of units allowed per month is ten (10). CTS Procedure Code(s): BHSP Crisis Intervention Service Description: The contractor shall provide appropriate services to a client in order to alleviate or diffuse a situation of immediate crisis. The situation must be of significant severity to pose an imminent threat to the client’s well-being or of such severity that the client poses a danger to others.  Crisis intervention may be accessed when a family crisis is occurring which may result in child maltreatment. The contractor may perform such services upon verbal authorization of the Department. Any verbal authorization given by the Department shall be committed in writing within the next business day. The contractor shall provide the crisis intervention either in the home of the client or at any place mutually agreeable to the Department and contractor and as authorized by the Department. Eligible Provider: Contractors, and all personnel providing direct services to a client, must be licensed to practice under one of the following credentials: Psychiatrist; Psychiatric Clinical Nurse Specialist (PCNS); Psychiatric Mental Health Nurse Practitioners (PMHNP); Psychologist; Licensed Clinical Social Worker (LCSW); or, Licensed Professional Counselor (LPC). Service Requirements: All services must be provided in accordance with MO HealthNet standards and include the following: Professional documentation of need; and, Measurable/specific treatment goal. Reporting Requirements: For each client authorized for services, the contractor must submit timely, written reports in accordance with the contract, MHD guidelines, and as requested by the Department. All reports as specified herein, shall be submitted to the client’s case manager at the Department’s local office who authorized the service before reimbursement will be made for services rendered. Billing Information: The unit of service shall be thirty (30) minutes of direct face-to-face interaction between the contractor, and/or the contractor’s personnel providing direct services, and the client. The maximum number of units allowed per year week is twelve (12). CTS Procedure Code(s): CIPO    (Psychiatrist/PCNS/PMHNP/Psychologist) CIPH     (Psychiatrist/PCNS/PMHNP/Psychologist; in home) CISO      (LCSW/LPC) CISH      (LCSW/LPC; in home Family Therapy Service Description: Family therapy is a service performed at the contractor’s facility or in the family’s home, as authorized by the Department. The focus of this service is to correct family dysfunction so that the children of the family may remain in their home rather than being placed in alternative care or, if in placement, be reunited with the family. The service should be of limited duration, generally three (3) to six (6) months. Services shall include group therapy with the family, with the child present, as authorized, and occasional individual therapy sessions if requested or approved by the Department, including structured interaction led by the contractor or the contractor’s therapist, communication exercises, role playing, task assignment and analysis, and parenting skills training. Eligible Provider: Contractors, and all personnel providing direct services to a client, must be licensed to practice under one of the following credentials: Psychologist; Licensed Clinical Social Worker (LCSW); or, Licensed Professional Counselor (LPC). Service Requirements: Service must be provided in accordance with MO HealthNet standards and requirements. The contractor or the contractor’s therapist(s) shall provide an intensive level of family therapy treatment services to families authorized by the Department. The contractor shall provide such services at the contractor’s facility or in the home of the family as authorized by the Department. The contractor or the contractor’s therapist(s) shall focus on correcting family dysfunction so that the children of the family may remain in their home rather than being placed in alternative care or, if in placement, be reunited with the family or supported to achieve another permanency plan. The service should be of limited duration, generally 3 to 6 months. The contractor or contractor’s therapist(s) performing family therapy must possess at least a Master’s degree, in the field of counseling, psychology, social work, or a closely related field; and must possess specialized training or education in the therapeutic treatment of the family as a unit. If requested, the contractor must provide documentation of the specialized training or education to the Department for each therapist. The Department may, at its sole discretion, waive the aforementioned requirement for a Master’s degree for a therapist who possesses a Bachelor’s degree in an appropriate field and is also licensed as a Clinical Social Worker. Reimbursable activities shall include group therapy with the family, with or without the child present, as authorized, and occasional individual therapy sessions if requested or approved by the Department, including structured interaction led by the contractor or the contractor’s therapist, communication exercises, role playing, task assignment and analysis, and parenting skills training. Reporting Requirements: For each client authorized for services, the contractor must submit timely, written reports in accordance with the contract, MHD guidelines, and as requested by the Department. All reports as specified herein, shall be submitted to the client’s case manager at the Department’s local office who authorized the service before reimbursement will be made for services rendered. Billing Information: The unit of service shall be thirty (30) minutes of direct face-to-face interaction between the contractor or the contractor’s personnel providing direct services, and two (2) or more family members, or occasionally one (1) family member if such is requested or approved by the Department. The maximum number of units allowed per month is ten (10). CTS Procedure Code(s): FPCO    (Psychologist with client present) FPWO  (Psychologist without client present) FPCH    (Psychologist in home with client present) FPWH  (Psychologist in home without client present) FSCO     (LCSW/LPC with client present) FSWO   (LCSW/LPC without client present) FSCH     (LCSW/LPC in home with client present) FSWH   (LCSW/LPC in home without client present Group Therapy Service Description: This service is group therapy in the form of guidance and instruction through therapeutic interaction between the contractor or the contractor’s therapist and a group consisting of at least three (3) but no more than ten (10) individuals, who are not all members of the same family. Eligible Provider: Contractors, and all personnel providing direct services to a client, must be licensed to practice under one of the following credentials: Psychologist; Licensed Clinical Social Worker (LCSW); or, Licensed Professional Counselor (LPC) Service Requirements: All service must be provided in accordance with MO HealthNet standards and requirements. The contractor or the contractor’s therapist(s) shall provide group therapy in the form of guidance and instruction through therapeutic interaction between the contractor or the contractor’s therapist and a group consisting of three or more individuals, but no more than ten (10) individuals, who are not all family members. The contractor or the contractor’s therapist(s) shall direct therapy toward a specific need or problem area such as health, employment, education, housing, substance abuse, personal and social dysfunctioning, parenting, child abuse and neglect, problem pregnancies, marital and family relationships, foster care, or adoption. The contractor or the contractor’s therapist(s) shall have knowledge of group dynamics, child development, modes of discipline, parenting skills, interpersonal relationships, human behavior, and treatment techniques commensurate with the educational level required of the contractor or the contractor’s therapist(s). In the event the group therapy is directed at the treatment of sexual abuse, the contractor shall possess, or provide a therapist(s) who possesses, specialized training or education in the treatment of sexual abuse. If requested, the contractor must provide documentation of the specialized training or education to the Department for each therapist. Reporting Requirements: For each client authorized for services, the contractor must submit timely, written reports in accordance with the contract, MHD guidelines, and as requested by the Department. All reports as specified herein, shall be submitted to the client’s case manager at the Department’s local office who authorized the service before reimbursement will be made for services rendered. Billing Information: The unit of service shall be thirty (30) minutes of face-to-face interaction between the contractor or the contractor’s personnel providing direct services to a client within the group. Unless otherwise authorized by the Department, group therapy must consist of at least three (3) but no more than ten (10) individuals who are not members of the same family.  The contractor shall be reimbursed on a per client basis.  The maximum number of units allowed per month is fifteen (15). CTS Procedure Code(s): GTPO    (Psychologist) GTSO    (LCSW/LPC) Individual Therapy Service Description: Individual Therapy is an intensive level of client specific therapeutic treatment services performed at the contractor’s facility or in the client’s home, as authorized by the Department. The focus of individual therapy is to correct client dysfunction so that the children of the family may remain in their home rather than being placed in alternative care or, if in placement, be reunited with the family. Eligible Provider: Contractors, and all personnel providing direct services to a client, must be licensed to practice under one of the following credentials: Psychologist; Licensed Clinical Social Worker (LCSW); or, Licensed Professional Counselor (LPC) Service Requirements: All service must be provided in accordance with MO HealthNet standards and requirements. The contractor or the contractor’s therapist(s) shall provide individual therapy in the form of guidance and instruction, through therapeutic interaction between the contractor or the contractor’s therapist and a client. The contractor or the contractor’s therapist(s) shall direct therapy toward a specific need or problem area such as health, employment, education, housing, substance abuse, personal and social dysfunctioning, parenting, child abuse and neglect, problem pregnancies, marital and family relationships, foster care, or adoption. The contractor or the contractor’s therapist(s) shall have knowledge of child development, modes of discipline, parenting skills, interpersonal relationships, human behavior, and treatment techniques commensurate with the educational level required of the contractor or the contractor’s therapist(s). The service should be of limited duration, generally three (3) to six (6) months. The service may include structured interaction led by the contractor or the contractor’s therapist, communication exercises, role playing, task assignment and analysis, and parenting skills training. In the event the individual therapy is directed at the treatment of sexual abuse, the contractor shall possess, or provide a therapist(s) who possesses, specialized training or education in the treatment of sexual abuse. If requested, the contractor must provide documentation of the specialized training or education to the Department for each therapist. The contractor shall agree that the only reimbursable activities shall be individual face-to-face therapy sessions between a client and the contractor or the contractor’s therapist. Such sessions may include structured interaction led by the contractor or the contractor’s therapist, communication exercises, role playing, task assignment and analysis, and parenting skills training. Reporting Requirements: For each client authorized for services, the contractor must submit timely, written reports in accordance with the contract, MHD guidelines, and as requested by the Department. All reports as specified herein, shall be submitted to the client’s case manager at the Department’s local office who authorized the service before reimbursement will be made for services rendered. Billing Information: The unit of service shall be thirty (30) minutes of direct face-to-face interaction between the contractor, and/or the contractor’s professional personnel providing direct services, and the client. The maximum number of units allowed per month is ten (10). CTS Procedure Code(s): ITPO     (Psychologist) ITPH     (Psychologist; in home) ITSO      (LCSW/LPC) ITSH      (LCSW/LPC; in home) Speech Therapy Service Description: Speech Therapy is for clients who have speech, language or hearing impairments. The client’s need for this therapy must be determined in a speech/language evaluation conducted by a certified audiologist or a state certified speech therapist. Speech/language therapy (ST) is the evaluation and provision of treatment for the remediation and development of age appropriate speech, expressive and receptive languages, oral motor and communication skills. Speech therapy includes activities that stimulate and facilitate the use of effective communication skills.  Speech/language therapy includes treatment in one or more of the following areas: articulation, language development, oral motor/feeding, auditory rehabilitation, voice disorders, and augmentative communication modes.  Speech Therapy is a client specific treatment modality. Eligible Provider The contractor, and all personnel providing direct services to a client, must hold the following designations: Master’s Degree in the study of human communication, its development and/or disorders; State certification/licensure in the field of practice (e.g., license to practice as a Speech-Language Pathologist in the State of Missouri or certification as a Speech and Language Specialist by the Missouri Department of Elementary and Secondary Education); Certification of clinical competency from the American Speech-Language Hearing Association (ASHA); and, Must be a MO HealthNet approved contractor or there must be documentation that a MO HealthNet approved contractor is not available in a fifty (50) radius. The contractor and/or contractor’s personnel shall: Have working knowledge of child development and the role of the family, and be able to provide services which promote healthful child development. Have general techniques of communicating with adolescent clients at all age levels. Have the ability to work with the clients in an empathetic and understanding manner in a variety of situations and in all types of community environments. Possess the ability to communicate with clients, their family members and other treatment staff, in a manner sensitive to the service population’s cultural and socioeconomic characteristics, and to explain the progress of clients. Possess the ability to interact in a professional and responsible manner. The contractor and/or contractor’s personnel should have the ability to exercise good judgment in evaluating situations and making decisions. Service Requirements: The contractor shall plan, develop, evaluate, coordinate, implement and/or monitor speech, language and hearing services for children. This shall include: evaluating the speech, language and hearing status of individuals; recommending or administering therapy and/or other corrective measures; assisting families and teachers of individuals with speech and hearing problems; and coordinating cooperative therapeutic programs with staff and other agencies to meet the needs of individuals with communication disorders. Contractors and all personnel who provide direct services to a client shall, when requested and professionally appropriate to do so: Administer, interpret, and/or arrange for diagnostic tests to assess speech production, including articulation, phonological development, phoneme stimulability, vocal quality and/or speech fluency, and language abilities, such as receptive, expressive and/or pragmatic skills. Administer screening tests for hearing acuity and assessment of auditory skills; recommend referrals for follow-up. Administer or arrange for remedial and therapeutic services through individual and/or group instruction for children and/or adults with speech, language or hearing disorders; observe and test for progress. Identify, develop and maintain cooperative relationships with existing community, educational, service and health agencies to facilitate speech, language and hearing (re)habilitation for disabled children and/or adults. Confer with family members and prepare written instructions for home treatment and/or provide information regarding normal speech and language development. Provide consultation to educational and treatment staff; demonstrate speech therapy techniques; participate as a member of an interdisciplinary team in developing and/or implementing individual treatment plans. Reporting Requirements : For each client authorized for services, the contractor must submit timely, written reports in accordance with the contract, MHD guidelines, and as requested by the Department. All reports as specified herein, shall be submitted to the client’s case manager at the Department’s local office who authorized the service before reimbursement will be made for services rendered. Billing Information: The unit of service shall be thirty (30) minutes of direct face to face contact with the client. The maximum number of units allowed per day is four (4). CTS Procedure Code(s): SPTH Testing Service Description: Testing services shall include the administration and interpretation of an individual battery of one or more psychological/psychiatric tests appropriate to the needs of the client, the submission of a written report that includes the test results, a professionally appropriate analysis and interpretation of the result of the tests, and a recommendation for treatment. Though often performed directly following the completion of a mental health assessment, psychological/psychiatric testing services may be provided in lieu of or in addition to previously completed mental health assessments as warranted on a case specific basis. Testing services are often utilized to rule various mental health/personality disorders in or out and/or to reach a diagnostic determination. Eligible Provider The contractor, and all personnel providing direct services to a client, shall possess appropriate training and expertise in the administration of any diagnostic tests or instruments required in performing the service. Contractors, and all personnel providing direct services to a client, must be licensed to practice under one of the following credentials: Psychiatrist Psychiatric Clinical Nurse Specialist (PCNS) Psychiatric Mental Health Nurse Practitioner (PMHNP); or Psychologist Service Requirements: All service must be provided in accordance with MO HealthNet standards and requirements. The contractor must assess at least four (4) of the six (6) components listed below before the Department will make payment.  The components to be assessed in each individual case should be specified and agreed to by the contractor and Department’s case manager prior to assessment. Educational evaluation Vocational evaluation Social evaluation Developmental evaluation Psychological evaluation Sexual abuse evaluation The contractor shall provide any of the aforementioned testing at a location mutually agreeable to the contractor and the local office of the Department. Testing services may be performed in an in-patient, out-patient, or community setting. Reporting Requirements: For each client authorized for services, the contractor must submit timely, written reports in accordance with the contract, MHD guidelines, and as requested by the Department. All reports as specified herein, shall be submitted to the client’s case manager at the Department’s local office who authorized the service before reimbursement will be made for services rendered.  The patient record must include the clinical justification for conducting the test as well as the intended purpose of the results. Billing Information: The unit of service shall be thirty (30) minutes of direct face-to-face interaction between the contractor, or the contractor’s personnel providing direct services, and the client; or, administering, scoring or interpreting any instrument used in the assessment. Scoring or interpreting shall be limited to an additional two (2) units per client assessment.  The maximum number of units allowed per year is eight (8). CTS Procedure Code(s): TEPA (Psychiatrist/PCNS/PMHNP) TEPB (Psychologist) Vision Therapy Service Description: Vision Therapy is an individualized, supervised, treatment program designed to correct visual-motor and/or perceptual cognitive deficiencies. Vision Therapy sessions include procedures designed to enhance the brain’s ability to control: Eye alignment; Eye teaming; Eye focusing abilities; Eye movements; and Visual processing. Visual-motor skills and endurance are developed through the use of specialized computer and optical devices, including therapeutic lenses, prisms and filters. During the final stages of Vision Therapy, the clients newly acquired visual skills are reinforced and made automatic through repetition and by integration with motor and cognitive skills. Eligible Provider: Contractors, and all personnel providing direct services to a client, must be licensed to practice under the credentials of Doctor of Optometry or Doctor of Ophthalmology. The contractor and/or contractor’s personnel shall: Have working knowledge of child development and the role of the family, and be able to provide services which promote healthful child development. Have general techniques of communicating with adolescent clients at all age levels. Have the ability to work with the clients in an empathetic and understanding manner in a variety of situations and in all types of community environments. Possess the ability to communicate with clients, their family members and other treatment staff, in a manner sensitive to the service population’s cultural and socioeconomic characteristics, and to explain the progress of clients. Possess the ability to interact in a professional and responsible manner. The contractor and/or contractor’s personnel should have the ability to exercise good judgment in evaluating situations and making decisions. Service Requirements: All services must be provided in accordance with MO HealthNet standards and requirements. More information may be found at http://www.sos.mo.gov/adrules/csr/current/13csr/13c70-40.pdf . Optometrists may be reimbursed for vision therapy training when there is a prognosis for substantial improvement or correction of an ocular or vision condition. These conditions include amblyopia, eccentric (non-foveal) monocular fixation, suppression, inadequate motor or sensory fusion, and strabismus (squint).  Prior approval for vision therapy must be obtained.  The MO HealthNet Division Optometric Consultant must review and certify requested services as eligible for prior approval to be given. Reporting Requirements: For each client authorized for services, the contractor must submit timely, written reports in accordance with the contract, MHD guidelines, and as requested by the Department. All reports as specified herein, shall be submitted to the client’s case manager at the Department’s local office who authorized the service before reimbursement will be made for services rendered. Billing Information: The unit of service shall be one session with the client. Sessions are limited to one per day, two per week with a maximum of twenty (20) sessions per year. CTS Procedure Code(s): VITH Day Treatment Service Description: This service includes therapeutic day treatment for emotionally disturbed, developmentally disadvantaged and abused or neglected children. Day treatment is an intensive service array of services provided in a structured, supervised environment designed to reduce symptoms of a psychiatric disorder and maximize functioning.  Services are individualized based on the child’s needs.  This service also includes support services for members of the child’s birth family, foster family, adoptive family or guardianship family.  Services are intended to prevent out-of-home placement, placement disruption, and to return children to traditional child care or school settings as soon as possible.  Children must be diagnosed within Axis I of the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders) . Pursuant to Section §167.031 RSMo., day treatment may be provided to children who have not yet reached the “compulsory attendance age for the district”   Day Treatment for preschool aged clients primarily targets children who have experienced abuse or neglect.  Services shall include, but are not limited to, activities designed to increase socialization skills, build self-esteem, improve communication skills and otherwise meet the client needs of children in this age range.  Therapeutic day treatment programs provide intensive, daily interventions and early education often in lieu of traditional child care.  To be eligible for day treatment services, children who have not yet reached school age must have been expelled from multiple day care/early childhood learning programs due to serious emotional disturbance or behavioral problems or be at risk for psychiatric hospitalization or residential treatment. Pursuant to Section §167.031 RSMo., day treatment may be provided to children of school age pursuant to the “compulsory attendance age for the district”. Day Treatment for school aged client primarily targets children who have moderately to severe emotional and behavioral disorders.  Services shall be directed toward preventing out–of-home placement, psychiatric hospitalization or residential placement.  Day treatment is intended to maintain the least restrictive placement possible for the child.  Services shall be coordinated with local schools and services shall be provided to meet the client needs of children in this age range.  Youth age seventeen (17) years and older may be considered for this service at the request of the Department and with the concurrence of the contractor. Eligible Provider: Contractor and/or contractor’s personnel who develops therapeutic day treatment programs for a child and/or the child’s immediate family, or who supervises or directs the therapeutic day treatment program shall include: Social workers with advanced degrees from accredited programs of social work education, with a specialty in clinical practice or with supervised post-graduate practice in the state in which the day treatment program is located; or, Other mental health or human services professionals with advanced degrees from an accredited institution and clinical training or experience, qualified according to the requirements of their respective disciplines and any applicable legal requirements for practice; and, A licensed psychologist or psychiatrist with a doctorate from an accredited program in clinical or counseling psychology, and appropriate post-graduate experience provides psychological testing and direct treatment, as necessary, and is a member of the day treatment program’s staff or is a consultant; and, A board-certified psychiatrist participates in the development and implementation of the overall treatment program, in regular case review, and in direct services to children served as needed; and, The day treatment program has established emergency procedures and has either a licensed physician available on-call during its hours of operation or has formal arrangements for emergency services with a nearby primary health facility; and, The day treatment program will provide a staff to child ratio of no more than one (1) to four (4); and, Personnel providing direct services shall possess: Educational and experiential backgrounds that enable them to participate in the overall treatment program and to meet the emotional and developmental needs of the children served; and, Personal characteristics and temperament suitable for working with children with special needs Contractors must be licensed by the Department of Mental Health as having an approved day treatment program. Contractors must also be enrolled as a MO HealthNet provider to provide day treatment services for children under the age of six (6).  It is preferred that the contractor be enrolled as a MO HealthNet day treatment provider to provide services for children over the age of six (6). The contractor and/or contractor’s personnel shall: Have working knowledge of child development and the role of the family, and be able to provide services which promote healthful child development. Have general techniques of communicating with adolescent clients at all age levels. Have the ability to work with the clients in an empathetic and understanding manner in a variety of situations and in all types of community environments. Possess the ability to communicate with clients, their family members and other treatment staff, in a manner sensitive to the service population’s cultural and socioeconomic characteristics, and to explain the progress of clients. Possess the ability to interact in a professional and responsible manner. The contractor and/or contractor’s personnel should have the ability to exercise good judgment in evaluating situations and making decisions. Service Requirements: All services must be provided in accordance with MO HealthNet standards and requirements and include the following: The contractor and/or the contractor’s personnel shall provide intensive supervision of children and shall implement a child specific treatment plan for each child’s specific needs. Children served are engaged in therapeutic activities designed to develop and maintain a normalizing routine and provide an orderly schedule of activities to develop positive personal and interpersonal skills and behaviors; Service components include: An assessment of the social, emotional, physical, educational, and psychological needs of the child served and his/her family; Development of a service plan with the involvement of the child’s family or placement provider; and, A structured program that includes individual and group treatment, family therapy, educational programming (including special education needs not met by the local school district), recreational activities, and other planned activities appropriate to the age, behavioral levels, and emotional readiness of the child served; The contractor and/or the contractor’s personnel shall provide one or both of the following categories of day treatment as specified in the Notice of Award section of the contract and as authorized by the Department. Day Treatment Preschool Age (DTRP): This service shall be provided primarily to abused or neglected children of preschool age (ages ranging from infancy through six (6) years) and shall include, but shall not necessarily be limited to activities designed to increase socialization skills, build self-esteem, and improve communication skills and otherwise meet the individual needs of children in this age range. Authorization for this service must be based on a current developmental assessment which clearly documents the child’s development delays and specifically recommends day treatment services. Day Treatment School Age (DTRS): This service shall be provided primarily to children of school age (ages ranging from five (5) through sixteen (16) years) who have moderately to severe emotional and behavioral disorders, and shall be directed toward preventing out-of-home placement and/or maintaining the least restrictive placement possible for the child.  Services shall be coordinated with local schools and services shall be provided to meet the individual needs of children in this age range.  Youth age seventeen (17) or older may be considered for this service at the request of the Department and with the concurrence of the contractor; The contractor shall ensure adequate care and supervision at all times according to the developmental and clinical needs of the children served and such supervision shall include: One or more on-duty personnel providing continuous supervision for each group or unit, defined as no more than four children; Higher personnel/child served ratios during periods of greater activity; Availability of additional personnel for emergencies or to meet the special needs of children served at busier or more stressful periods; The contractor shall also provide at no additional cost to the Department, support services to members of the child immediate family, including birth family, foster family, adoptive family and/or guardianship family. Family support services are intended to help identified family members increase their understanding of the child’s special needs and to increase skills in managing the child’s emotional or behavioral disturbances within the family home; and, The contractor shall provide one (1) hour of such therapy for each five (5) units of the Day Treatment provided to the child. Reporting Requirements: For each client authorized for services, the contractor must submit timely, written reports in accordance with the contract for non-therapeutic services and MHD guidelines, as requested by the Department. All reports as specified herein, shall be submitted to the client’s case manager at the Department’s local office who authorized the service before reimbursement will be made for services rendered. Billing Information: The unit of service shall include a minimum of three (3) and a maximum of seven (7) hours per day of direct face-to-face interaction between the contractor, and/or the contractor’s personnel providing direct services, and the client. The contractor must document why services are not allowable to be billed under MO HealthNet. Day Treatment must be provided for a minimum of three (3) hours and no more than seven (7) hours, as a portion of the twenty-four (24) hour day of care outside the home. The maximum number of units allowed per month is twenty-three (23). The contractor may invoice the Department for days a child is absent from the therapeutic day treatment program, subject to the limitations stated in Billing Information. Payment for absences and/or holidays is allowed only for units when the child would otherwise be in Day Treatment. An absence is any day an authorized child is not in attendance when the facility is open for business and other children are receiving child care services.  A holiday is any day the facility is closed for any reason during normal operating hours, and no children are in care.  This includes standard holidays (New Year’s Day, Martin Luther King’s Birthday, Lincoln’s Birthday, Washington’s Birthday, Truman’s Birthday, Memorial Day, Independence Day, Labor Day, Veterans Day, Thanksgiving, and Christmas), local holidays, facility closing due to inclement weather or a Contractor vacation. Payment may be made for the authorized units the child is not in attendance subject to the following limitations, as long as the child attended a minimum of one unit in the month: Children authorized to attend twenty (20) or more units per month may be paid a maximum of five (5) absence and/or holiday units per month. Units are paid at the full, half or part-time rate based on the child’s authorized level of care. Children authorized to attend two (2) to nineteen (19) units per month may be paid a maximum of three (3) absence and/or holiday units per month. Units are paid at the full, half or part-time based on the child’s authorized level of care. Payment will not be made if the child did not attend at least one (1) unit of care in the month. In no event will the Department reimburse Contractors for more than eleven (11) holidays, during a Missouri state fiscal year (July 1 through June 30). Payment shall be made for a combination of holidays and absences per month according to the limitations stated above. The Department does not guarantee payment of absences and/or holidays. Payment shall not be made for child absences and/or holidays after the child has left the contractor’s care or if the child has not been in attendance for the entire month. Payment shall not be made for child absences and/or holidays if the child is not scheduled for attendance or was absent the entire month. The Contractor shall not claim absences in lieu of holidays if all eleven (11) holidays have been exhausted within the fiscal year. CTS Procedure Code(s): DTRP (Preschool Age) DTRS (School Age) Domestic Violence Batterer’s Intervention Program Service Description: Domestic Violence Batterer’s Intervention Program is a service intended to provide treatment for people who have used violence to exert power and control over another person. The intervention program is intended to help clients modify behavior patterns and break the cycle of violence by learning new skills around power and control, and accountability and communication.  The program provides educational group sessions for people who are abusive in their relationships (abusive can be physical, emotional, mental, or sexual). The length of instruction will be a minimum of ninety (90) minutes per session per week with a minimum of twenty six (26) weeks of group sessions. This may be followed by six (6) monthly aftercare sessions if recommended by the provider and available. Payment by the client for his or her own service is an indicator of responsibility and accountability and must be incorporated into the program. The intervention program establishes a set of fees for services in addition to those fees which are billable to the Department as outlined herein. Fees may be a set amount or based on a sliding scale. The groups in the intervention program shall not be mixed gender. The Contractor shall establish separate groups for male and female clients and the curriculum shall to be adjusted as necessary to be appropriate to male and female client groups. Domestic Violence Batterers Intervention Program shall take place between the contractor and/or the contractor’s instructor(s) and a group consisting of two or more individuals, at least one of whom must be a Department client, or as otherwise approved by the local Department office in writing. It is preferred that Contractors, and all personnel providing direct services to a client, possess a Masters or Bachelor’s degree in a human services related field. Contractors, and all personnel must have two or more years of direct service in domestic violence advocacy or group work with batterers. It is preferable to have some combination of education and direct experience. It is preferred that the Contractor’s Domestic Violence Batterer’s Intervention Program be credentialed through the Missouri Department of Corrections. Information regarding this credentialing program can be found at http://doc.mo.gov/Documents/batterers-intervention.pdf .  To facilitate groups for batterers, the contractor and/or the contractor’s personnel must have the following: Staff Qualifications/Training: Eligible Provider: A minimum of fifty (50) hours of educational training, including but not limited to: Survivor safety and sensitivity; The history of the domestic violence movement; Cultural diversity; The nature and dynamics of domestic violence; The difference between batterer intervention and anger management; Domestic violence laws and legal issues; Responsibility versus denial; Sexism and oppression; Power and control; Facilitation and co-facilitation skills specific to groups; Characteristics of men who batter; Assessment and intake skills; Effects of a batterer’s abuse and violence on children and family; and Alternative behaviors. A minimum of twenty-four (24) hours of direct co-facilitation with a qualified facilitator in batterer intervention groups; and ongoing education to increase knowledge on topics related to domestic violence. All staff who provide services or are responsible for the supervision of persons served shall participate in at least thirty-six (36) clock hours of relevant training during a two (2)-year period. The organization shall maintain a record of participation in training and staff development activities. Service Requirements: The Domestic Violence Batterer’s Intervention Program is a service that shall be provided in accordance with the most current edition of the Missouri Coalition Against Domestic and Sexual Violence (MCADSV) Services Standards and Guidelines for Batterer Intervention Program (BIP) which is available on the internet at www.mocadsv.org . Program Expectations: Contractors will make available to batterers, at the outset of the program, what is required for program compliance including rules for assignment completion, behavior in the sessions, fee payment and attendance. Contractors will offer consistent and prompt response to program guideline violations. When program guidelines are not met, batterers will experience the described consequences swiftly and fairly. Contractors will offer open disclosure regarding member’s compliance and problems with the program. At each stage of the program, batterers can expect to be told clearly where they stand with regard to compliance criteria. Contractors will inform batterers in writing of the following limits to confidentially: Batterers should sign a Release of Information that permits information to be released to the victim/partner and/or a designated representative (e.g. victim advocate) and criminal justice agency in accordance with contractor policies. Such information includes: acceptance, rejection, or discharge/termination of a batterer, reports or threats of abuse to a victim/partner, relatives, and household pets; and specific support and advocacy services for the victim/partner. Contractors are mindful that case records may be subject to subpoena or court order. When the contractor determines that there is probability of imminent physical injury to a batterer, the victim/partner, or to any other third party, the contractor will take safety precautions and notify the person(s) at risk and other appropriate authorities. The contractor and its personnel shall promptly report all suspected evidence of child abuse, child neglect, vulnerable person abuse/neglect or elder abuse/neglect to the appropriate agency in the manner provided by law. Curriculum : During the initial program intake, a history of a batterer shall be obtained, and can include, but is not limited to: Basic identifying information (must be eighteen (18) years old or otherwise emancipated); Demographic information; Violence used in family of origin; Current or former partner(s); Criminal history, including arrests, convictions and police reports; Pending court actions; Descriptive history of his or her use of violence and other abusive behaviors, including those within and outside of the intimate relationship; Screening for severe mental health problems or disruptive behavior and arranging/referring for treatment when necessary; and Screening for chemical dependency problems and arranging/referring for treatment when necessary. The program curriculum shall encompass information and components regarding: What a person gains from being abusive; The importance of accepting responsibility for abusive/violent actions and behaviors; Cooperative and non-abusive forms of communication; Various forms of abuse—so as to not minimize non-physically abusive behaviors; Tactics of power and control. Identification of tactics shall include isolation, emotional abuse, economic abuse, use of children, use of male privilege, intimidation and covert/overt threats; Equality and power-sharing in relationships. Identification of relationship skills shall include respect, trust, support, honesty and accountability, economic partnership, negotiation and fairness, and responsible parenting; Long- and short-term effects of violence on partners and children. Exercises shall build empathy to understand the perspective of survivors; Attitudes, myths and excuses for abuse from the perspective that abuse is the sole responsibility and choice of the person who commits that abuse. Attitudes to challenge include: Beliefs in male entitlement and male privilege; Rigid sex-role stereotypes; and Aggression is justified as a conflict resolution tool. Attitudes to promote include: Belief in equal partnerships; Respect for equal rights of women; Taking full responsibility for abusive behavior and for stopping it; Expression of a full range of emotions; Awareness of the intent of abusive behavior; Empathy for the survivor’s experience; Understanding the negative effects and cost of the abuse on survivors, families and others; and, Non-violence planning, which includes identification of danger signs of negative behavior choices and how to prevent them. Curriculum established for a batterer intervention program may include information and components regarding: Behavior modification/anger management techniques; Religious and spiritual issues concerning abuse; Conflict resolution models; Communication skills; Definitions of alcoholism, other forms of substance abuse, and their impact on the abuser and the family; Parenting issues and skills; Skills for developing intimacy in relationships; Guilt and shame issues related to violent and abusive actions; and Origin of family issues. Curriculum established for a batterer intervention program shall not include information regarding: Techniques or diagnoses that suggest survivors have some responsibility for the abuse. An example would be identifying abuse as resulting from “victim psychopathology,” “victim behavior,” “victim provocation” or “learned helplessness;” Ventilation techniques that encourage the expression of rage, such as punching pillows and primal screams; Anger management techniques that place primary causality on anger and/or are the sole intervention rather than one part of a comprehensive approach; Approaches that identify and treat the violence as an addiction and the victim as enabling or co-dependent in the violence; Theories or techniques that identify poor impulse control or substance abuse as the primary cause of the violence; and Techniques that deny a batterer’s personal responsibility for violence. For example, if a batterer was abused as a child, it is recommended that programs encourage the batterer to work on these issues with appropriate resources. Such work must not replace or interfere with addressing his abusive behavior and his responsibility for those behaviors.A determination of whether or not a client can benefit from the services must be made at the initial assessment. Clients who cannot benefit from the services or who may be disruptive to current group members must be referred to other appropriate resources. This would not preclude these clients from re-entering the program when they meet program admission criteria. Examples of clients who may not benefit from services include clients whose psychiatric symptoms prevent them from participating and clients for whom a medical condition is the primary cause of violence, such as those with a brain injury. No batterer shall be assumed or documented to be non-abusive because he completes a Batterer Intervention Program. Evidence of attitude/belief change indicated in the group may not always translate to behavior change in the relationship with a survivor/current partner. At a minimum, the batterer will: Completion : Exclusion Criteria Complete the number of required sessions; Pay all fees in full; Fulfill all program guidelines; Take responsibility for personal abusive behaviors without blaming others; Demonstrate to staff an understanding of alternatives to abusive behavior; Demonstrate to staff the use of respectful language regarding survivor/current partner and an understanding of benefits of equal relationships; and Have no known recent abusive and/or violent behavior.Every contractor will establish criteria for dismissal, which will apply to the following circumstances: Criteria for Dismissal Continued abuse; Failure to maintain regular class/group attendance; Failure to make appropriate use of the intervention program; Failure to comply with other intervention conditions or provisions which are part of the participant contract (e.g., chemical dependency assessment/treatment, mental health assessment/treatment); Failure to pay fees; Violation of any of the group rules; and, Violation of any provisions of an order of a criminal justice agency, or revocation of probation/parole. Interaction with Victims Victim Contact – If contact can be made safely, each Contractor will make a positive effort to inform partners of the program structure, expectations and limitations. Each contractor is expected to make available to intimate partners information about the program as well as information about victim advocacy services. Information that may be provided to partners includes the following: Information on services and program structure Duty to warn – the victim or current partner will be notified if the contractor has reason to believe she may be at risk to be harmed by the participant. Limitations of program and potential for increased risk – program participation is not necessarily predictive of reduction of future abuse; and, DV referrals/contacts.The following are critical limitations regarding partner contact: No effort will be made to obtain information from the partner, but contractors will allow for safe and appropriate means for the partner to offer information should he/she chooses to provide it. No attempt should be made to encourage, persuade, or coerce victims into disclosing information or having contact with the contractor; No attempt will be made to suggest that information or contact by the partner will positively impact the batterer’s work with the contractor; No information will be provided that suggests that couples counseling will be appropriate; Under no circumstances should information shared by the partner to the contractor be disclosed to the batterer; and, Contractors will maintain the confidentiality of victims/partners. Contractors will not disclose to the batterer information gained from a partner, including the fact that communication has occurred.For each client authorized for services, the contractor must submit timely, written reports in accordance with the contract for non-therapeutic services and MHD guidelines, as requested by the Department. All reports as specified herein, shall be submitted to the client’s case manager at the Department’s local office who authorized the service before reimbursement will be made for services rendered.In accordance with the MCADSV Service Standards and Guidelines fees for services must be established. Fees may be a set amount or based on a sliding scale. The contractor may use CTS funds for the cost of batterer intervention program services not supported through fees collected from program participants not to exceed the firm fixed price on the pricing page in the IFB.There shall be no other reimbursement for the preparation of the report. CTS Procedure Code: DOVL The Department shall not be responsible for payments which the client directly owes the contractor for services rendered. The unit of service shall be ninety (90) of direct face-to-face interaction between the contractor, or the contractor’s personnel providing direct service, and the client. The maximum number of units allowed per week is one (1). Billing Information: Reporting Requirements: Drug Testing Service Description: This service provides drug and alcohol testing for a Department client, at the request of the Department. Each client receiving drug testing services must be listed on an open case or investigation/assessment function.  The following drug tests are available through CTS: Urine, Five Panel Test Urine, Nine Panel Test Urine, Ten Panel Test Urine, Eleven Panel Test Hair Follicle, Five Panel Test Hair Follicle, Nine Panel Test Hair Follicle, Ten Panel Test Hair Follicle, Eleven Panel Test Medical Review Officer Test Results Review Drug Specimen Positive Confirmation Test Alcohol testing; breathalyzer or urine Oral fluid testing At a minimum, the hair follicle test requires approval from the Circuit Manager prior to authorization. It is preferable that this service only be provided due to a court ordering the client receive a hair follicle drug test. Eligible Provider: The contractor and any personnel responsible for collecting urine and/or oral fluid specimens shall be trained in collection procedures. If the contractor is not trained, the contractor is responsible for seeking out their own training. The contractor and any personnel responsible for collecting specimens for testing must perform specimen collection in accordance with industry standards and maintain chain-of-custody documentation throughout the testing process.  Upon request by the Department, the contractor must provide verification of training and/or certification for all personnel responsible for specimen collection, documentation and maintaining a legally sufficient chain-of-custody record of the handling of all specimens. The contractor shall ensure testing is conducted by a laboratory which meets all applicable state and federal laws and regulations. Any laboratory utilized by the contractor must be certified under the Clinical Laboratory Improvement Act (CLIA). If the contractor is a hospital, or the contractor utilizes a hospital as subcontractor, the hospital must be accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). The hospital laboratory must be licensed to operate in interstate commerce by the U.S. Department of Health and Human Services under the Clinical Laboratory Improvement Act (CLIA). The contractor should ensure they have access to a qualified and licensed Medical Review Officer (MRO). Pursuant to Section 288.045.7 RSMo, the contractor must have a procedure in place for confirmation tests when there is a dispute of the drug testing results. Pursuant to Section 288.045.6 RSMo. , the contractor shall use chain-of-custody procedures in accordance with applicable industry practice, law and regulations. For testing breath for alcohol, the contractor shall provide a trained and certified Breath Alcohol Technician (BAT) or Screening Test Technician (STT) to collect the sample and administer the breath test. The contractor shall comply with the following: ·         The contractor must provide and use Evidential Breath Testing (EBT) devices approved by the National Highway Traffic Safety Administration and the Missouri Department of Health and Senior Services. ·         The contractor shall conduct the screening and testing in accordance with the federal and state regulations pertaining to alcohol testing regulations and procedures. ·         In the event the National Highway Traffic Safety Administration and the Missouri Department of Health and Senior Services reviews and revises its alcohol testing regulations, the contractor shall comply with those revisions. For testing oral fluids for drugs or alcohol, the contractor shall utilize an industry approved oral fluid drug testing device. Service Requirements: The contractor shall collect specimens and conduct testing as authorized by the Department. The contractor shall not use Department property for the provision of specimen collection and drug testing services. The contractor is advised that the Department clients will typically be receptive and compliant with regard to collections, since, for the most part, it will be an expectation of the court and Department that the client comply. However, in order to ensure accuracy of the test results, the contractor shall be prepared and shall develop appropriate policy and procedures (such as use of direct observation) to collect samples from clients to ensure that the samples collected are genuine and have not been tampered with.  The contractor shall ensure the client does not have access to substances which may affect the test results and to prevent the client from using hidden adulterations or substituting samples.  The contractor must also have policies to address when a client does not show up for an appointment, or a client being overly accommodating or resistive to the contractor’s attempts to collect samples. For urine samples, the contractor must utilize temperature sensitive cups for the drops to immediately gauge the temperature of samples when obtained. If the contractor suspects that the sample collection may have been tampered with or that the sample may not be valid, the contractor shall, if circumstances deem it appropriate, obtain another sample from the client using direct observation procedures. If a second, observed collection is appropriate based on the circumstances, the contractor must process both the original sample and the sample collected using direct observation procedures and send the two sets of samples to the laboratory.  If the client refuses to allow the second collection, the contractor shall discard the original sample collected. Upon receipt of each urine sample, the contractor shall require the laboratory to conduct validity testing meeting the appropriate standards on urine sample to determine if the sample is consistent with normal human urine. The contractor shall also determine if adulterants or foreign substances were added to the urine, if the urine was diluted, if the sample was substituted, or if the sample is otherwise invalid. The contractor must maintain specimens in proper condition while being transported in order to ensure accuracy of the test performed. If the contractor offers to provide mobile specimen collection, the contractor shall conduct on-site specimen collection from a client by utilizing a mobile specimen collection unit, upon request by the Department. Specimen Retention: The contractor shall maintain non-negative and negative specimens in accordance to their individual certification requirements. Upon written request of the Department Privacy Officer or another designated Department official, the contractor shall retain any positive test specimens for a longer period, as specified by the Department. Drug Testing and Reporting Requirements: Drug Testing: The contractor shall administer the type of drug testing panel or hair follicle testing as specified by the Department. If necessary and requested by the Department, the contractor shall assist the Department in deciding the most appropriate type of drug testing depending on the client-specific situation.  Drug testing may include, but not be limited to tests designed to detect any of the following: Amphetamines/Methamphetamines/Methylenedioxy-N-Methylamphetamine (MDMA) Marijuana Cocaine Opiates Phencyclidine (PCP) Benzodiazepines Barbiturates Methadone Prescription Medications Other Scheduled drugs identified in the U.S. Controlled Substances Act.Except for emergency or immediate needs, the referrals shall be sent to the contractor’s contract administrator via secure e-mail, fax, or using a referral form approved by the Department and the contractor. The Children’s Division referral form for testing utilizing CTS funds should be clearly distinguished other referral forms utilized by the Department. The contractor must have a minimum of one facsimile (fax) machine that will be operable twenty-four (24) hours a day, seven (7) days a week for receipt of referrals and/or ability for a secure method of e-mail transmission. The contractor shall not perform a sample collection until receipt of the secure e-mail, faxed or hard copy referral form, which has been properly authorized according to the referral policies and procedures approved by the Department. For authorizations for testing services requested in situations where it is not ordered by the court, the authorization shall only be given by the referring Department case manager.The Department reserves the right to provide approval of the contractor’s written notification format, content, etc. before the contractor uses such written notification to begin scheduling drug testing appointments with a client. Drug Testing Appointments – Upon receipt of a referral from the Department, the contractor shall schedule a drug testing appointment directly with a client. The drug testing appointment must be arranged and scheduled with the recipient within forty-eight (48) hours following the receipt of the referral from the referring Department case manager. A drug testing scheduled appointment may be substituted for a walk-in appointment if the contractor has the ability to accommodate walk-in clientele. Emergency/Immediate needs – In situations where the courts or the client’s case manager determines the need for an immediate sample collection for alcohol/drug testing, the contractor’s contract administrator, or designee, shall be contacted via telephone with specific instructions regarding the required alcohol/drug test required, including timing and location. Detection for any of the above synthetic equivalents should also be completed as available for testing, as requested by the Department. If a client is a no-show for the appointment scheduled by the contractor, the contractor shall notify the Department of such within forty-eight (48) hours following the missed appointment. The Department will not issue payment for no show appointments. Reporting Requirements: For each client authorized for services, the contractor must submit timely, written reports in accordance with the contract, as requested by the Department. All reports as specified herein, shall be submitted to the client’s case manager before reimbursement will be made for services rendered. Following completion of the drug testing, the contractor must provide the Department with the date of the drug test and written results from the drug test to the referring case manager within forty-eight (48) hours. The contractor must use a standardized form for reporting drug test results. A contractor may utilize their own form(s), if approved by the Department.  If the contractor does not have a form(s) approved by the Department, the contractor shall use the forms provided by the Department.  In that regard, a Specimen Chain of Custody Tracking form and Testing Results Affidavit form, as well as, Evidence Chain-of-Custody Tracking Form, may be provided by the Department upon request for the contractor to utilize for reporting services, required herein. If a non-negative drug test is challenged by the subject of the drug test, the contractor must have a procedure in place to confirm the drug test results either through the use of a Medical Review Officer or another verifying test using Gas Chromatography/Mass Spectrometry, or other process approved by the Department. The Department shall not pay the contractor or the laboratory the contractor utilizes for the re-testing of a challenged specimen, unless the Department is specifically ordered to pay for the test by a court of competent authority. The contractor shall ensure that all reports comply with their individual certification requirements and shall be retained for the length of time established therein. Billing Information: The contractor shall submit an itemized monthly invoice directly to the Department case manager who requested the testing service for payment processing. The unit of service will be per test administered by the contractor, and/or the contractor’s personnel providing direct services to the client. The maximum number of units allowed per week is two (2). CTS Procedure Code(s): DRUG   (Urine, Five Panel) DU09    (Urine, Nine Panel) DU10    (Urine, Ten Panel) DU11    (Urine, Eleven Panel) DH05    (Hair Follicle, Five Panel) DH09    (Hair Follicle, Nine Panel) DH10    (Hair Follicle, Ten Panel) DH11    (Hair Follicle, Eleven Panel) DMRO (Medical Review Officer Test Results Review) DSPC     (Drug Specimen Positive Confirmation Test) ETOH (Alcohol testing, breath or urine) ORAL    (Oral fluid drug test) Family-Centered Services Case Consultation Service Description: Family-Centered Services Case Consultation is to provide consultation services to designated recipients regarding specific families and/or general family practice either in individual or group session formats. The services shall be reflective of a Family-Centered Model for accomplishing child protective services and in-home child welfare services. Eligible Provider: The contractor and/or the contractor’s personnel shall be knowledgeable of group dynamics, family-centered practices, family systems, modes of discipline, parenting skills, interpersonal relationships, human behavior and adult learning styles. Contractors, and all personnel who may provide direct services to a client shall have a Master’s Degree in Social Work or a comparable human service field from an accredited institution and at least two (2) years’ experience working with families and children; or a Bachelor’s Degree in Social Work or other human service field from an accredited institution and at least three (3) years post-degree experience working with families and children, or as otherwise approved by the Department. “Comparable human services field” is defined as psychology, psychiatric nursing, psychiatry, mental health counseling, rehabilitation counseling, pastoral counseling, marriage and family therapy, or human services. The contractor and personnel shall meet the applicable licensing or certification requirements of their profession in the State of Missouri, or of the state in which they practice. The individual shall provide documentation of education and licensure as requested by the state agency. Service Requirements: The contractor and/or contractor’s personnel shall provide consultation services that demonstrate techniques and facilitate discussions reflective of the family-centered philosophy. Consultation services shall assist a specific child(ren), client or family with open Department case, as authorized by the Department. The contractor and all personnel shall provide consultation services regarding specific families and/or general family practice, either in individual or group session formats which may include, but not limited to: face to face consultation facilitation technical assistance mentoring modeling coaching The consultation services shall include modeling by the contractor and all personnel of clinical supervision and clinical consultation skills as they apply. Reporting Requirements: The contractor shall document attendance at all consultation sessions with a sign-in sheet including date of service, location, time spent in the session, name and signature of attendees. The contractor must submit timely, the sign in sheet to the Department’s local office that authorized the service before reimbursement will be made for services rendered. Billing Information: The unit of service shall be thirty (30) minutes. The contractor shall be reimbursed on a per client basis. The maximum number of units allowed per month is four (4). CTS Procedure Code(s): FCCB (Family-Centered Consultation Bachelor’s) FCCM (Family-Centered Consultation Master’s) Family-Centered Services Family Meeting Service Description: Family-Centered Services Family Meeting is to provide assistance to designated recipients with the purpose of enhancing the skills of the designated recipients in conducting/facilitating meetings regarding families involved with Department and to serve families. This may include intact families, families with children at imminent risk of out-of-home placement, and families with children in out-of-home care.  The services shall be reflective of a Family-Centered Model for accomplishing child protective services and in-home child welfare services. Family meetings include, but are not limited to, family support team meetings, family staffing, family conference, and team decision meetings.  This service is not to be authorized for ordinary participation in family support team meetings. Eligible Provider: The contractor and/or the contractor’s personnel shall be knowledgeable of group dynamics, family-centered practices, family systems, modes of discipline, parenting skills, interpersonal relationships, human behavior and adult learning styles. Contractors, and all personnel who may provide direct services to a client shall have a Master‘s Degree in Social Work or a comparable human service field from an accredited institution and at least two (2) years’ experience working with families and children; or a Bachelor’s Degree in Social Work or other human service field from an accredited institution and at least three (3) years post-degree experience working with families and children, or as otherwise approved by the Department. “Comparable human services field” is defined as psychology, psychiatric nursing, psychiatry, mental health counseling, rehabilitation counseling, pastoral counseling, marriage and family therapy, or human services. The contractor and personnel shall meet the applicable licensing or certification requirements of their profession in the State of Missouri, or of the state in which they practice. The individual shall provide documentation of education and licensure as requested by the state agency. Service Requirements: The contractor and/or contractor’s personnel participation in family meetings shall be as a professional resource of family systems and family-centered practice and/or other knowledge and skills. Family meeting services shall assist a specific child(ren), client or family with open Department case, as authorized by the Department. The contractor and all personnel shall be available to provide meeting assistance for imminent risk situations. Imminent risk of out-of-home placement is operationalized as the family is facing the removal of one or more children from the home within seventy-two (72) hours unless the family crisis can be resolved. Assistance in family meetings may include the facilitation of team meetings as well as serving as a consultant to the family team meeting on a case-by-case basis. Such assistance shall include the teaching of team meeting facilitation skills through demonstration and modeling during team family meetings. The contractor and/or contractor’s personnel shall participate with state agency staff in pre- and post-family meeting discussions. Pre-family meeting discussion shall be focused on the planning of what is intended to be accomplished during the family meeting.  Post-family meeting discussion shall be focused on the debriefing of the family meeting, including identification and processing of information learned and other meeting accomplishments. The contractor and all personnel shall assist designated recipients in developing skills to coach family meeting members in successful facilitation of family meetings. Such assistance shall include modeling of meeting facilitation skills and pre- and post-meeting discussion. Reporting Requirements: The contractor shall document attendance at all consultation sessions with a sign-in sheet including date of service, location, time spent in the session, name and signature of Department attendees. The contractor must submit timely, the sign in sheet to the Department’s local office that authorized the service before reimbursement will be made for services rendered. Billing Information: The unit of service shall be thirty (30) minutes. The contractor shall be reimbursed on a per client basis. The maximum number of units allowed per month is four (4). CTS Procedure Code(s): FCMB    (Family-Centered Meeting Bachelor’s) FCMM   (Family-Centered Meeting Master’s) Nursing Services Service Description: Nursing Services, also considered as private duty nursing, is professional nursing care for assigned pediatric clients in a home care environment. The contractor and/or personnel shall provide nursing services in accordance to the child’s individualized Plan of Care established by the child’s treating physician.  The contractor evaluates, assesses, and documents the pediatric nursing process.  Nursing Services do not take the place of the parent/guardian or placement provider’s supervision duties. Prior to requesting authorization of nursing services, a referral should be made to the Bureau of Special Health Care Needs for eligibility determination. This service is not to be used unless approved in writing by the Division Regional Office. Eligible Provider: Contractors, and all personnel that provide direct services to a client, must be licensed to practice under one of the following credentials: Licensed Practical Nurse (LPN); Registered Nurse (RN); or, Bachelor of Science in Nursing (BSN). The contractor and/or personnel may not be a member of the child’s family or household member. A family member is defined as a parent; sibling; child by blood, adoption, or marriage; spouse; grandparent or grandchild. All direct care staff must have at least four hours of orientation training prior to service provision. Orientation training should include general information about: MO HealthNet Private Duty Nursing Program; HCY Program; Child abuse/neglect indicators and mandated reporting requirements; Participant rights and grievance procedures; and, Review of universal precaution procedures as defined by the Centers for Disease Control. All direct care staff must have certification in either cardiopulmonary resuscitation (CPR) or basic certified life-support (BCL). Contractors, and all personnel who may provide direct services to a client, shall: Have working knowledge of child development and the role of the family, and be able to provide services which promote healthful child development; Have general techniques of communicating with adolescent clients at all age levels; Have the ability to work with the clients in an empathetic and understanding manner in a variety of situations and in all types of community environments; Possess the ability to communicate with clients, their family members and other treatment staff, in a manner sensitive to the service population’s cultural and socioeconomic characteristics, and to explain the progress of clients; and, Possess the ability to interact in a professional and responsible manner. The contractor and/or contractor’s personnel should have the ability to exercise good judgment in evaluating situations and making decisions. Service Requirements: The contractor shall provide a written statement of the participant’s rights to the Department upon request and child’s caregiver at the time service is initiated and which includes, at a minimum, the right to: Be treated with respect and dignity; Have all personal and medical information kept confidential; Have direction over the services provided, to the degree possible, within the service plan authorized; Know the provider’s established grievance procedure, how to make a complaint about the service and receive cooperation to reach a resolution, without fear of retribution; Know the procedure to report abuse, neglect, or exploitation; Receive service without regard to race, creed, color, age, sex or national origin; and Receive a copy of the written statement of the participant’s rights. Nursing Services include, but are not limited to, the following: Basic personal care; Medication administration; Gastrostomy tube feedings; Tracheostomy care; Ventilators and other specialized care; Nursing visits; Injections, blood draws, intravenous (IV) therapy and total parenteral nutrition ( TPN); Assistance with bathing, dressing and other personal care needs; Physical, Occupational and Speech Therapies; and/or Home Health Aide Services. The contractor must assist the client with all aspects of their daily routines including range of motion and other forms of exercise when necessary. The contractor shall provide written notification to the child’s caregiver/placement provider and to the Department if the contractor decides to terminate service. The contractor shall provide a minimum of twenty-one (21) days’ notice prior to the discontinuation of services for reasons that include, but are not limited to, the following: The participant or caregiver(s)/responsible party(ies) are non-compliant to the agreed upon Plan of Care; The provider is no longer able to meet the service needs of the participant; or, The caregiver(s)/responsible party(ies) requests a change. Reporting Requirements: For each client authorized, the contractor must submit timely, written reports in accordance with the contract for non-therapeutic services, as requested by the Department. All reports as specified herein, shall be submitted to the client’s case manager at the Department’s local office who authorized the service before reimbursement will be made for services rendered.  The contractor shall maintain records in accordance with MO HealthNet standards and requirements. Billing Information: The unit of service shall be thirty (30) minutes of direct face to face interaction between the contractor and/or the contractor’s personnel, and the client. The maximum number of units allowed per day is forty-eight (48). CTS Procedure Code(s): NIHM Parent Aide Service Description: Parent Aide services include the placement of a trained parent aide in the home of a family authorized by the Department as part of the family/client’s case service plan. The family must have an open Family Centered Services and/or Family Centered Out of Home Care (FCOOHC) case with the Department.  At least one (1) parent and one (1) child must be present.  Services shall be provided primarily in the home of the family/client.  The contractor may assist the parent(s) in the development of parenting and home management skills through both teaching and modeling, with a goal of reaching an acceptable level of family functioning and maintenance of the physical environment.  The parent aide shall not be used to provide supervised visitation or transportation services. Eligible Provider The contractor, and all personnel providing direct services to a client, must possess the following experience and skills: Five (5) hours of annual on-going, competency based training to ensure that their personnel are trained in the following core areas, which are listed in the order of priority: Child abuse/neglect indicators and mandated reporting requirements; Child management; Child development; Cultural sensitivity; Community resources; Emergency responses including fire, tornado, CPR, and standard first aid; and, Communicable disease recognition; A high school diploma or equivalency; Training certificate in child development and recognition or treatment of child abuse and neglect, or be trained through Parent As Teachers, Nurses for Newborns, David Olds Model, West Ed, Healthy Children and Families, Parent/Child Interaction Therapy, Incredible Years, or other similar models as approved by the Department; Have working knowledge of child development and the role of the family, and be able to provide services which promote healthful child development; Have general techniques of communicating with adolescent clients at all age levels; Have the ability to work with the clients in an empathetic and understanding manner in a variety of situations and in all types of community environments; Possess the ability to communicate with clients, their family members and other treatment staff, in a manner sensitive to the service population’s cultural and socioeconomic characteristics, and to explain the progress of clients; and, Possess the ability to interact in a professional and responsible manner. The contractor and/or contractor’s personnel should have the ability to exercise good judgment in evaluating situations and making decisions. Service Requirements: The contractor and/or the contractor’s personnel shall perform any of the following tasks as needed: Help the parent(s) become involved in activities to reduce isolation; Help the parent(s) increase their support network; Teach nutrition and preparation of meals; Teach budgeting; Assist with school and medical appointments; Help the parent(s) become aware of child development and how to provide nurturing as well as other tasks, including age development level techniques; Help the parent manage mental or developmental disorders while encouraging the use of natural supports; and/or, Help the parent find and maintain employment. The contractor shall develop an individualized treatment plan with the client. The contractor should work collaboratively with the client on treatment goals and services. The contractor shall provide a strength-based approach and focus on skill acquisition and risk reduction. Interventions may focus on improving skills in communication, interpersonal relationships, problem solving, conflict resolution, and stress management.  Interventions may also focus on building personal self-care and home management skills by addressing issues such as nutrition, meal preparation; household maintenance including house cleaning and laundry; money management and budgeting; personal hygiene and grooming; and identification and use of social and recreational skills. The contractor shall assist the parent(s) in the development of parenting skills through both teaching and modeling, with a goal of reaching an acceptable level of family functioning and maintenance of the physical environment. It is preferred that the contractor utilize evidence based parenting education/training curriculums. The contractor and/or the contractor’s personnel must be able to demonstrate that the parent has attained and/or made progress with skills through use of a competency based model, by observing the client’s ability to perform the skills. The relationship between the parent(s) and the contractor and/or the contractor’s personnel shall be based on the family treatment plan. Training will be at the sole responsibility of the contractor, and no additional payment will be made by the Department related to the contractor’s cost related to their attendance at training. The contractor shall submit a copy of their own training certificate and/or for each of their personnel who are to perform services, if requested by the Department. The contractor shall submit training records for themselves and/or each of their personnel who are to perform services to the Department, if requested. Reporting Requirements: For each client authorized, the contractor must submit timely, written reports in accordance with the contract for non-therapeutic services, as requested by the Department. All reports as specified herein, shall be submitted to the client’s case manager at the Department’s local office who authorized the service before reimbursement will be made for services rendered. Billing Information: The unit of service shall be sixty (60) minutes with at least fifty (50) minutes of direct face to face contact with the client. The maximum number of units allowed per month is forty (40). CTS Procedure Code(s): PRAD Parent Education and Training Program Service Description: The Parenting Education and Training Program is meant to bring evidence based, parent education and training to the clients of the Department. This is to bring a consistent standard of quality services with the intent resulting in positive outcomes for children and families.  It is desired that the parent be able to demonstrate one or more new skills taught by the contractor in their instructional program.  To verify the client’s modeling competency based instructional program the contractor and/or the contractor’s personnel must make at least one visit outside the instructional program to the client(s) home to observe, facilitate, and give feedback to the parent on their parenting skills. Eligible Provider: The contractor and/or the contractor’s personnel shall be knowledgeable of group dynamics, child development, modes of discipline, parenting skills, interpersonal relationships, human behavior and adult learning styles, and possess a Bachelor’s degree in Social Work or other human service field from an accredited institution and at least two (2) years post-degree experience in family and children’s services. The contractor and personnel shall have a human service degree from an accredited college or university in one of the following fields: psychology, sociology, psychiatric nursing, psychiatry, mental health counseling, rehabilitation counseling, pastoral counseling, marriage and family therapy, human services (e.g. human or child development studies) or social work. The contractor must provide supervision for the parent training program services. The contractor must submit training records to the Department if requested. If requested, the contractor must provide documentation that the instructor has been trained in the model or models submitted. The contractor and/or contractor’s personnel shall: Have working knowledge of child development and the role of the family, and be able to provide services which promote healthful child development; Have general techniques of communicating with adolescent clients at all age levels; Have the ability to work with the clients in an empathetic and understanding manner in a variety of situations and in all types of community environments; Possess the ability to communicate with clients, their family members and other treatment staff, in a manner sensitive to the service population’s cultural and socioeconomic characteristics, and to explain the progress of clients; and, Possess the ability to interact in a professional and responsible manner. The contractor and/or contractor’s personnel should have the ability to exercise good judgment in evaluating situations and making decisions. At least seven (7) days prior to the beginning of each instructional program, the contractor and/or the contractor’s instructor shall submit to the Department Circuit Manager or designee who is requesting service details outline of the material to be presented during the instructional program. The Department must approve the contractor’s curriculum prior to performing services. Service Requirements: The contractor and/or the contractor’s instructor(s) shall provide competency based instructional program directed toward assisting parents to develop skills and apply knowledge by teaching parenting skills that are appropriate to the developmental level of children. These would include, but are not limited to, skills to engage in more positive parent-child interactions, emotional communication skills and the importance of consistency (e.g., in discipline),  discipline techniques, child development, nurturing, behavior modification, and sibling interaction.  The contractor should have at least one (1) instructional module addressing interaction between children and parents which demonstrate the ability to apply the knowledge and skills gained. Evidence based parenting education/training programs are the preferred curriculums under the Parent Education and Training Program service. Examples of evidenced based parenting education/training include, but are not limited to: The Incredible Years ® , Strengthening Families, and Triple P. The instructional program shall take place between the contractor and/or the contractor’s instructor(s) and a group consisting of three (3) or more individuals, at least one of whom must be a Department client. The contractor’s and/or the contractor’s personnel program must be a competency based curriculum approved by the Department. To verify the client can model and apply the skills and knowledge learned, either at the program location or at the clients’ homes, the contractor shall observe, facilitate, provide documentation and give feedback specifically while the parent practices one or more of the new skills taught in the program. There may be times when having the child and parent together may not be possible or allowed depending on the child’s status. Reporting Requirements: For each client authorized, the contractor must submit timely, written client specific reports in accordance with the contract for non-therapeutic services, as requested by the Department. All reports as specified herein, shall be submitted to the client’s case manager at the Department’s local office who authorized the service before reimbursement will be made for services rendered. Billing Information: The unit of service shall be sixty (60) minutes with at least fifty (50) minutes of direct face to face contact with the client. The maximum number of units allowed per month is twelve (12).  The contractor shall be reimbursed on a per client basis. CTS Procedure Code(s): PETB Personal Assistance – Behavioral Service Description: Personal Assistance may provide services that include any activity of daily living (ADL) or instrumental activity of daily living (IADL) to a client of the Department. Such services may include, but are not limited to: bathing, toileting, transfer and ambulation, skin care, grooming, dressing, extension of therapies and exercise, care of adaptive equipment, meal preparation, feeding and incidental household cleaning and laundry.  Services may also  include assisting a client with shopping, banking, budgeting, using public transportation, social interaction, recreation, and leisure activities.  Assistance may be given for accompaniment, cueing and minor problem-solving necessary to achieve increased independence, productivity and inclusion in the community. The service may also include general supervision and protective oversight. The contractor may directly perform some activities and support the individual in learning how to perform others. Personal care services are provided to children with disabilities according to the federal mandates for the EPSDT program to ensure that services to children with disabilities are provided in accordance with the federal mandates for the EPSDT program for the individual who is providing care for the child pursuant to 13 CSR 40-37.010. This service may include consultation with the Department and/or the family support team to improve the quality of life for the individual through the development of and implementation of positive, proactive and preventative, client-centered, strength’s-based strategies. A large part of the consultation will involve assisting the support system to develop a sustainable implementation plan and to insure a high fidelity of implementation and consistency of use of the strategies to assist and support the client. Personal Assistance Services shall not duplicate other services. Personal Assistance Services are not available to individuals who reside in group homes, transitional living homes, residential care facilities or who receive personal assistance services through other governmental programs. When this service is provided to children living with their parents or guardians, it shall not supplant the cost and provision of support ordinarily provided by parents to children without disabilities, nor shall it supplant educationally related services and support that is the responsibility of local education authorities. Personal Assistance Services can occur in the person’s home and/or community, including the work place. Personal Assistance Services shall not be provided with or as a substitute for facility-based services. Eligible Provider: Contractors, and all personnel who may provide direct services to a client, must be trained by the contractor, and possess the following experience and competencies: Five (5) hours of annual on-going, competency based training to ensure that their personnel are trained in the following core areas, which are listed in the order of priority: Child abuse/neglect indicators and mandated reporting requirements; Child management; Child development; Cultural sensitivity; Community resources; Emergency responses including fire, tornado, CPR, and standard first aid; Communicable disease recognition; Assisting with ADLs and/or IADLs as needed. A high school diploma or equivalency; Have working knowledge of child development and the role of the family, and be able to provide services which promote healthful child development; Have general techniques of communicating with adolescent clients at all age levels; Have the ability to work with the clients in an empathetic and understanding manner in a variety of situations and in all types of community environments; Possess the ability to communicate with clients, their family members and other treatment staff, in a manner sensitive to the service population’s cultural and socioeconomic characteristics, and to explain the progress of clients; Possess the ability to interact in a professional and responsible manner. The contractor and/or contractor’s personnel should have the ability to exercise good judgment in evaluating situations and making decisions; CPR; First Aid; and, Behavior or Non-violent Crisis Intervention (NCI) training, the Mandt System or other approved by the Department. Contractors, and all personnel who may provide direct services to a client, shall not reside in the same home as the client, unless otherwise approved by the Department. Service Requirements: Contractors, and all personnel who may provide direct services to a client, must: Provide any activity of daily living (ADL) or instrumental activity of daily living (IADL) to a client of the Department as needed. Such services may include, but are not limited to, bathing, toileting, transfer and ambulation, skin care, grooming, dressing, extension of therapies and exercise, care of adaptive equipment, meal preparation, feeding and incidental household cleaning and laundry. Services also may include assisting a client with shopping, banking, budgeting, using public transportation, social interaction, recreation, and leisure activities. Assistance may be given for accompaniment, cueing and minor problem-solving necessary to achieve increased independence, productivity and inclusion in the community; Personal care services are provided to children with disabilities according to the federal mandates for the EPSDT program to ensure that services to children with disabilities are provided in accordance with the federal mandates for the EPSDT program for the individual who is providing care for the child pursuant to 13 CSR 40-37.010; Work with a client of the Department to develop and implement positive, proactive and preventative, client-centered, strength’s-based strategies; and Be willing to provide services in the client’s home and/or community, including the work place. Reporting Requirements: For each client authorized, the contractor must submit timely, written reports in accordance with the contract for non-therapeutic services, as requested by the Department. All reports as specified herein, shall be submitted to the client’s case manager at the Department’s local office who authorized the service before reimbursement will be made for services rendered. Billing Information: The unit of service shall be thirty (30) minutes of direct face-to-face interaction between the contractor, and/or the contractor’s personnel, and the client. The maximum number of units allowed per week is four (4). CTS Procedure Code(s): PASB Personal Assistance – Medical Service Description: Personal Assistance Services activities may include any activity of daily living (ADL) or instrumental activity of daily living (IADL) to a client of the Department. Such services may include, but are not limited to, bathing, toileting, transfer and ambulation, skin care, grooming, dressing, extension of therapies and exercise, care of adaptive equipment, meal preparation, feeding and incidental household cleaning and laundry. Services also may include assisting a client with shopping, banking, budgeting, using public transportation, social interaction, recreation, and leisure activities. Assistance may be given for accompaniment, cueing and minor problem-solving necessary to achieve increased independence, productivity and inclusion in the community.  The service may also include general supervision and protective oversight. Personal care services are provided to children with disabilities according to the federal mandates for the EPSDT program to ensure that services to children with disabilities are provided in accordance with the federal mandates for the EPSDT program for the individual who is providing care for the child pursuant to 13 CSR 40-37.010. This service may include consultation with the Department and/or the family support team to improve the quality of life for the individual through the development of and implementation of positive, proactive and preventative, client-centered, strength’s-based strategies. A large part of the consultation will involve assisting the child’s support system to develop and implement a sustainable plan of care to allow a child with special medical needs to receive care in the least restrictive setting appropriate to the child’s specific medical needs. Personal Assistance Services shall not duplicate other services. Personal Assistance Services shall not be available to individuals who reside in group homes, transitional living homes, residential care facilities or who receive personal assistance services through other governmental programs. When this service is provided to children living with their parents or guardians, it shall not supplant the cost and provision of support ordinarily provided by parents to children without disabilities, nor shall it supplant educationally related services and support that is the responsibility of local education authorities. Personal Assistance Services can occur in the person’s home and/or community, including the work place. Personal Assistance Services shall not be provided with or as a substitute for facility-based services. Eligible Provider: Contractors, and all personnel who may provide direct services to a client, must be licensed to practice as one of the following: Licensed Practical Nurse (LPN); Registered Nurse (RN); Bachelor of Science in Nursing (BSN); Certified Nurse’s Assistant (CNA); or, Certified Medical Assistant (CMA). Contractors, and all personnel who may provide direct services to a client, must be trained by the contractor, and possess the following experience and competencies: Five (5) hours of annual on-going, competency based training to ensure that their personnel are trained in the following core areas, which are listed in the order of priority: Child abuse/neglect indicators and mandated reporting requirements; Child management; Child development; Cultural sensitivity; Community resources; Emergency responses including fire, tornado, CPR, and standard first aid; and Communicable disease recognition; Assisting with ADLs and/or IADLs as needed A high school diploma or equivalency; Have working knowledge of child development and the role of the family, and be able to provide services which promote healthful child development; Have general techniques of communicating with adolescent clients at all age levels; Have the ability to work with the clients in an empathetic and understanding manner in a variety of situations and in all types of community environments; Possess the ability to communicate with clients, their family members and other treatment staff, in a manner sensitive to the service population’s cultural and socioeconomic characteristics, and to explain the progress of clients; Possess the ability to interact in a professional and responsible manner. The contractor and/or contractor’s personnel should have the ability to exercise good judgment in evaluating situations and making decisions; CPR; First Aid; and, Behavior or Non-violent Crisis Intervention (NCI) training, the Mandt System, or other approved by the Department. Contractors, and all personnel who may provide direct services to a client, shall not reside in the same home as the client unless otherwise approved by the Department. Service Requirements: Contractors, and all personnel who may provide direct services to a client, must: Provide any activity of daily living (ADL) or instrumental activity of daily living (IADL) to a client of the Department as needed. Such services may include, but are not limited to, bathing, toileting, transfer and ambulation, skin care, grooming, dressing, extension of therapies and exercise, care of adaptive equipment, meal preparation, feeding and incidental household cleaning and laundry. Services also may include assisting a client with shopping, banking, budgeting, using public transportation, social interaction, recreation, and leisure activities. Assistance may be given for accompaniment, cueing and minor problem-solving necessary to achieve increased independence, productivity and inclusion in the community. Personal care services are provided to children with disabilities according to the federal mandates for the EPSDT program to ensure that services to children with disabilities are provided in accordance with the federal mandates for the EPSDT program for the individual who is providing care for the child pursuant to 13 CSR 40-37.010. Work with a client of the Department to develop and implement positive, proactive and preventative, client-centered, strength’s-based strategies. Be willing to provide services in the client’s home and/or community, including the work place. Receive training related to the individual’s medical needs as outlined in the treatment plan and as prescribed by the physician or nurse practitioner. Reporting Requirements: For each client authorized, the contractor must submit timely, written reports in accordance with the contract for non-therapeutic services, as requested by the Department. All reports as specified herein, shall be submitted to the client’s case manager at the Department’s local office who authorized the service before reimbursement will be made for services rendered. Billing Information: The unit of service shall be thirty (30) minutes of direct face-to-face interaction between the contractor, and/or the contractor’s personnel, and the client. The maximum number of units allowed per week is four (4). CTS Procedure Code(s): PASM Pervasive Developmental Services Coordinator Service Description: The Pervasive Developmental Services Coordinator provides assistance with treatment plan development, consultation, environmental manipulation and training to and for clients with developmental disabilities whose maladaptive behaviors are significantly disrupting their progress toward a successful family environment. The contractor shall locate services and assist in referrals to service providers as needed to help meet the client’s needs.  The contractor will also provide training and consultation with the client’s caregivers and service providers as needed to assist in caring for the client.  The Pervasive Developmental Services Coordinator will assist the client and/or the client’s caregivers in designing and implementing specialized programs to enhance self-direction, independent living skills, community integration, social, leisure, and recreational skills.  The Pervasive Developmental Services Coordinator will evaluate the client’s setting, schedule, typical daily activities, relationships with others that make up the supports for an individual including their caregivers and any service providers.  The Pervasive Developmental Services Coordinator will then develop and implement strategies to help teach the client skills to promote more positive interactions between the client and their support system. Children who are enrolled in the transitional living program (TLP) or residing in a group home are not eligible to receive this service. Eligible Provider At least the contractor, or one of their personnel who may provide direct services to a client shall have at a minimum a Master’s degree in a human services field (including but not limited to sociology, special education, social work, rehabilitation, counseling or psychology) from an accredited school and have a minimum of one (1) year of professional experience in working directly with person(s) with mental retardation, other developmental disabilities, or other child welfare services. Additional personnel providing services must have at a minimum a Bachelor’s degree from an accredited school in a human services field (including but not limited to sociology, special education, social work, rehabilitation, counseling or psychology), and have a minimum of one (1) year of professional experience working directly with persons with mental retardation, other developmental disabilities, or other child welfare services. This person must receive supervision from a Master’s degree or higher level contractor.  Supervision shall include a minimum of at least weekly case consultations related to family, monitoring progress of the family, reviewing and signing documentation related to the case. The supervisor shall be responsible for the overall care and treatment of the client. Contractors, and all personnel who may provide direct services to a client must have a valid driver’s license and proof of insurance. The contractor and/or the contractor’s personnel shall maintain a copy of their Master’s degree diploma and proof that they have worked directly with person(s) with disabilities or other child welfare services. The contractor and/or contractor’s personnel shall: Have working knowledge of child development and the role of the family, and be able to provide services which promote healthful child development; Have general techniques of communicating with adolescent clients at all age levels; Have the ability to work with the clients in an empathetic and understanding manner in a variety of situations and in all types of community environments; Possess the ability to communicate with clients, their family members and other treatment staff, in a manner sensitive to the service population’s cultural and socioeconomic characteristics, and to explain the progress of clients; and, Possess the ability to interact in a professional and responsible manner. The contractor and/or contractor’s personnel should have the ability to exercise good judgment in evaluating situations and making decisions. Service Requirements: The client must have significant developmental disabilities and/or significant cognitive delays. The client must be exhibiting maladaptive behavior that is significantly disrupting their progress toward a successful family environment. Services shall not duplicate other services and shall not be available to individuals who reside in group homes, transitional living homes, residential care facilities or who receive personal assistance services through the MHD program or other governmental program. Contractors, and all personnel who may provide direct services to a client shall perform any of the following tasks as needed: Provide one-on-one temporary supervision of a child, as pre-approved by the child’s case manager. Other tasks as determined by the child’s case manager and the child’s family. Work directly with any or all of the following: Parents, legal guardians, or other persons responsible for the care, custody and control of the child; Child(ren); and, Other service contractors or members of the Family Support Team (FST). Provide supervised visits or assist the case manager in supervising visits between parent/child(ren)/siblings as authorized by the local Department. This should only be approved when the case manager is unable to meet the client’s special needs. Reporting Requirements: For each client authorized, the contractor must submit timely, written reports in accordance with the IFB for non-therapeutic services, as requested by the Department. All reports as specified herein, shall be submitted to the client’s case manager at the Department’s local office who authorized the service before reimbursement will be made for services rendered. Billing Information: The unit of service shall be sixty (60) minutes with at least fifty (50) minutes of direct face to face contact with the client. The maximum number of units allowed per week is four (4). CTS Procedure Code: PDSC Respite Care Service Description: Respite Care is the provision of temporary care for children, from birth to 18 years of age. Respite may be utilized when families are experiencing crisis that would significantly elevate the risk of abuse or neglect.  Respite also allows family members to have a break from each other.  The client must have an open case function in order to be eligible for respite services.  Respite services under the Children’s Treatment Services contract shall not be used for children in alternative care or for children under adoption or guardianship subsidy.  Respite is not to be utilized as a substitute for child care.  Periodic and/or intermittent, temporary substitute care for the purposes of this contract means a minimum of twelve (12) hours up to twenty-four (24) hours per child and no child shall receive respite care under this or any other contract for more than twelve (12) days (twenty-four (24) hour periods) in a state fiscal year. Eligible Provider: Contractors, and all personnel who may provide direct services to a client shall: Be licensed to provide twenty-four (24) hour child care through the Department, the Department of Health and Senior Services, Department of Mental Health or other authorized state or local governmental entity as approved by the Department; Have working knowledge of child development and the role of the family, and be able to provide services which promote healthful child development; Have general techniques of communicating with adolescent clients at all age levels; Have the ability to work with the clients in an empathetic and understanding manner in a variety of situations and in all types of community environments; Possess the ability to communicate with clients, their family members and other treatment staff, in a manner sensitive to the service population’s cultural and socioeconomic characteristics, and to explain the progress of clients; and Possess the ability to interact in a professional and responsible manner. The contractor and/or contractor’s personnel should have the ability to exercise good judgment in evaluating situations and making decisions. Service Requirements: The contractor shall provide twenty-four (24) hour per day placement service for children and/or families. This shall include but not be limited to crisis intervention for children and youth, to address issues of placement, and shall meet the educational needs of children and youth. The contractor and/or contractor’s personnel shall provide a copy of the license issued by the Department, Department of Health and Senior Services, Department of Mental Health and/or other authorized state or local governmental as approved by the Department. Before the contractor and/or contractor’s personnel can provide services, the contractor must submit the person’s name and title, a copy of license, and a job description to the Department of the contractor’s and/or contractor’s personnel required qualifications. The contractor submitting the aforementioned documentation as required herein shall provide the Department with documentation of approval or denial of a license when such a decision is rendered by the appropriate licensing authority.  The contractor shall immediately provide written notification to the Department in the event that they, or their contracted personnel, receive denial, suspension and/or revocation of license, including but not limited to, reasons for denial, suspension and/or revocation cited by the governing body in that matter. Reporting Requirements: For each client authorized, the contractor must submit timely, written reports in accordance with the contract for non-therapeutic services, as requested by the Department. All reports as specified herein, shall be submitted to the client’s case manager at the Department’s local office who authorized the service before reimbursement will be made for services rendered. Billing Information: The unit of shall be a minimum of twelve (12) hours up to twenty-four (24) hours. The number of units of respite care per child per fiscal year shall not exceed twelve (12) days (twenty-four (24) hour periods). CTS Procedure Code(s): RSCR Service Delivery Coordination Service Description: Service Delivery Coordination is designed to coordinate the delivery of services, or the development, identification, and/or acquisition of resources for clients in need of a variety of services. Assistance with case management activities shall include, but are not limited to, accessing resources for placement stability, behavioral management, child care services, public assistance, medical or mental health services, or any other resources as identified by the Department.  This service is not to be used as a case management staff position beyond what is required above, unless approved in writing by the Division Regional Director. Eligible Provider: Contractors, and all personnel who may provide direct services to a client shall: Have attained a Bachelor’s or higher level degree from an accredited college or university in social work/human services, psychology, sociology, psychiatric nursing, education, counseling, marriage and family therapy, family and child development, criminal justice, juvenile justice, or human services related fields (e.g. child welfare, mental health, substance abuse, and developmental disabilities); Have working knowledge of child development and the role of the family, and be able to provide services which promote healthful child development; Have general techniques of communicating with adolescent clients at all age levels; Have the ability to work with the clients in an empathetic and understanding manner in a variety of situations and in all types of community environments; Possess the ability to communicate with clients, their family members and other treatment staff, in a manner sensitive to the service population’s cultural and socioeconomic characteristics, and to explain the progress of clients; Possess the ability to interact in a professional and responsible manner. The contractor and/or contractor’s personnel should have the ability to exercise good judgment in evaluating situations and making decisions; and Possess a valid driver’s license and proof of insurance, if responsible for providing transportation. Service Requirements: The contractor and/or the contractor’s personnel shall assist a specific child(ren), client or family with an open Department case, as authorized by the Department, in order to identify, access, and/or utilize community resources. The contractor and/or the contractor’s personnel shall assist a specific child(ren), client or family with an open Department case, as directed by the Department, in identifying, accessing, and utilizing community resources. The contractor and/or the contractor’s personnel shall provide identified case management activities for the client only as directed by the Department. The case management activities shall include, but are not limited to, accessing resources for placement stability, behavioral management, child care services, public assistance, medical or mental health services, or any other resources as identified by the Department. Reporting Requirements: For each client authorized, the contractor must submit timely, written reports in accordance with the contract for non-therapeutic services, as requested by the Department. All reports as specified herein, shall be submitted to the client’s case manager at the Department’s local office who authorized the service before reimbursement will be made for services rendered. Billing Information: The unit of service shall be sixty (60) minutes with at least fifty (50) minutes of direct face to face contact with the client. CTS Procedure Code(s): SDCR Substance Abuse Treatment Services Service Description: Substance Abuse Treatment Services include thorough client assessments and client specific treatment interventions designed to address alcoholism, drug dependence and addiction. Substance Abuse Treatment Services are provided by many different kinds of professionals who are certified or licensed as substance abuse treatment counselors. Eligible Provider: Contractors, and all personnel who may provide direct services to a client shall have a Bachelor’s degree from an accredited college or university with a minimum of fifteen (15) earned credit hours in one or a combination of the following: Psychology, Sociology, Social Work, Nursing, Counseling, Rehabilitation, Criminal Justice, or a closely related field; and, The contractor and/or contractor’s personnel must possess one (1) or more years of professional experience performing substance abuse treatment and rehabilitation. Professional experience examples are as follows: performing social work, corrections casework, probation and parole casework, professional registered nursing, counseling, or a closely related field may substitute on a year-for-year basis for deficiencies in the required education. The contractor and/or contractor’s personnel may substitute twenty-four (24) earned graduate credit hours from an accredited college or university in the specified areas for the required experience. OR The contractor and/or contractor’s personnel must possess certification/registration as a Certified Alcohol Drug Counselor (CADC), Certified Reciprocal Alcohol Drug Counselor (CRADC), Registered Substance Abuse Professional – Provisional (RSAP-P), Certified Reciprocal Advanced Alcohol Drug Counselor (CRAADC), or Certified Criminal Justice Addictions Professional (CCJP) by the Missouri Substance Abuse Professional Credentialing Board (MSAPCB). Contractors, and all personnel who provide direct services to a client shall also hold one the following designations: Missouri Substance Abuse Prevention Associate (MSAPA) Certified Reciprocal Prevention Specialist (CRPS) Missouri Advanced Certified Substance Abuse Prevention Professional (MACSAPP) Recognized Associate Substance Abuse Counselor I (RASAC I) Recognized Associate Substance Abuse Counselor II (RASAC II) Certified Alcohol Drug Counselor (CADC) Certified Reciprocal Alcohol Drug Counselor (CRADC) Certified Reciprocal Advanced Alcohol Drug Counselor (CRAADC) Certified Criminal Justice Addictions Professional (CCJP) Co-Occurring Disorders Professional (CCDP) Co-Occurring Disorders Professional-Diplomate (CCDP-D) Registered Substance Abuse Professional-Provisional (RSAP-P) Substance Abuse Traffic Offender Program (SATOP) Qualified Professional (SQP) SATOP Qualified Instructor (SQI) SATOP Qualified Professional-REACT (SQP-R) SATOP Qualified Instructor-REACT (SQI-R) Missouri Recovery Support Specialist (MRSS) Missouri Recovery Support Specialist-Peer (MRSS-P) Service Requirements: Contractors and all personnel who may provide direct services to a client shall provide substance abuse treatment services at the request of the Department, as listed below: Substance Abuse Assessment: The contractor shall provide a comprehensive assessment to assist in the development of an individualized treatment plan.  Prior to completing the assessment, the contractor shall communicate with the Department’s referring case manager to discuss the client’s known substance abuse history, the Department’s treatment goals as they relate to substance abuse, and any other pertinent information that will assist the contractor in developing treatment recommendations.  The assessment must include, but is not limited to: Demographic and identifying information; Statement of needs, goals, and treatment expectations from the client. The client’s family’s impressions are also obtained, when appropriate and available; Presenting situation/problem; History of previous psychiatric and/or substance abuse treatment including identity of previous providers and number and type of admissions; Health screening; Current medications and identification of any medication allergies and adverse reactions; Recent alcohol and drug use during the past thirty (30) days and a substance use history that includes duration, patterns, and consequences of use; Current psychiatric symptoms; Family, social, legal, and vocational/educational status and functioning; Current use of resources and services from other community agencies; Personal and social resources and strengths, including the availability and use of family, social, peer, and other natural supports; Multi-axis diagnosis or diagnostic impression in accordance with the current edition of the Diagnostic and Statistical Manual of the American Psychiatric Association; and Collection and assessment of historical data; and, Summary of identified treatment needs and recommendations for level of care. The recommendation of substance abuse individual and/or group therapy or group education does not guarantee the Department will authorize said services. Substance Abuse Individual Counseling: The contractor shall provide a structured, goal-oriented therapeutic process in which the Department’s client interacts on a face-to-face basis with a counselor in accordance with the client’s rehabilitation plan to resolve problems related to substance abuse that interfere with the client’s functioning.  Individual counseling may include, but is not limited to the following: Exploration of an identified problem and its impact on participant functioning; Examination of attitudes and feelings, and behaviors that promote recovery and improved functioning; Identification and consideration of alternatives and structured problem-solving; Decision-making. Substance Abuse Group Counseling: The contractor shall provide face-to-face, goal-oriented therapeutic interventions with two or more participants as specified in the client’s individual rehabilitation plan designed to promote participant functioning and recovery through personal disclosure and interpersonal interaction among group members.  Group counseling may include, but is not limited to, the following: Facilitate individual disclosure of addiction-related issues which permits generalization of the issues to the larger group; Promote recognition of addictive thinking and behaviors and teaching sobriety based thinking and behavior; Prepare participants to cope with physical, cognitive, and emotional symptoms of drug craving; Encourage and model productive and positive interpersonal communication; and, Develop motivation and action by group members through peer influence, structured confrontation, and constructive feedback. Substance Abuse Group Education: The contractor should provide group education with two or more participants that consists of the presentation of substance abuse information and application of the information by participants through group discussion in accordance to the client’s treatment plan.  Group therapeutic substance abuse education may include, but is not limited to the following: Classroom style didactic lecture to present information about a topic and its relationship to substance abuse; Presentation of audio-visual materials that are educational in nature with required follow up discussion; Promotion of discussion and questions about the topic presented to the group; Generalization of the information and demonstration of its relevance to recovery and enhanced functioning. Topics may include, but are not limited to the following: The progressive nature of addiction and the disease model, principles, and availability of self-help groups and health and nutrition; The personal recovery process, including the recognition of addictive thinking, feelings, and behavior, promoting self-awareness and self-esteem, encouraging personal responsibility and constructively using leisure time; Skill development, such as communication skills, stress reduction and management, conflict resolution, decision making, assertiveness training, completing employment applications and employment interviewing and parenting; Promotion of positive family relationships and family recovery; Relapse prevention; or Effects of alcohol and drug abuse upon pregnancy and child development. Reporting Requirements: For each client authorized, the contractor must submit timely, written reports in accordance with the contract for non-therapeutic services, as requested by the Department. All reports as specified herein, shall be submitted to the client’s case manager at the Department’s local office who authorized the service before reimbursement will be made for services rendered. Billing Information: The unit of service for substance abuse assessment shall be one complete assessment which includes the completion of the required process and written documentation including the treatment recommendations. The maximum number of units for substance abuse assessment is two (2) units per year.  The unit of service for individual and group therapy and group education shall be thirty (30) minutes of direct face-to-face interaction between the contractor, and/or the contractor’s personnel providing direct services, and the client.  The contractor, and/or the contractor’s personnel must provide services to a group consisting of two (2) or more individuals, at least one (1) of whom must be a client of the Department.  The contractor shall be reimbursed on a per client basis.  The maximum number of units allowed per month for substance abuse individual counseling, substance abuse group counseling, and substance abuse education is ten (10) for each service. CTS Procedure Code(s): SATA     (Substance Abuse Assessment) SATI      (Substance Abuse Individual Counseling) SAGC     (Substance Abuse Group Counseling) SAGE     (Substance Abuse Group Education) CTS MAXIMUM RATES EFFECTIVE 07-01-17 Therapeutic Services Service Description Unit of Service CTS Procedure Code Maximum Bid Price Assessment (Psychiatrist/PCNS/PMHNP) 30 min. ASPA $91.41 Assessment (Psychologists) 30 min. ASPO $30.44 Assessment (LCSW/LPC) 30 min. ASSA $24.35 Assessment In Home (Psychiatrist/PCNS/PMHNP) 30 min. ASPB $96.48 Assessment In Home (Psychologist) 30 min. ASPH $35.52 Assessment In Home (LCSW/LPC) 30 min. ASSB $29.43 Behavioral Health Services 30 min. BHSP $38.80 Crisis Intervention (Psychiatrist/PCNS/PMHNP/Psychologist) 30 min. CIPO $30.44 Crisis Intervention (LCSW/LPC) 30 min. CISO $24.35 Crisis Intervention In Home (Psychiatrist/PCNS/PMHNP/Psychologist) 30 min. CIPH $32.99 Crisis Intervention In Home (LCSW/LPC) 30 min. CISH $26.90 Family Therapy In Home with client present (Psychologist) 30 min. FPCH $35.52 Family Therapy In Home with client present (LCSW/LPC) 30 min. FSCH $29.43 Family Therapy In Home without client present (Psychologist) 30 min. FPWH $35.52 Family Therapy In Home without client present (LCSW/LPC) 30 min. FSWH $29.43 Family Therapy with client present (Psychologist) 30 min. FPCO $30.44 Family Therapy with client present (LCSW/LPC) 30 min. FSCO $24.35 Family Therapy without client present (Psychologist) 30 min. FPWO $30.44 Family Therapy without client present (LCSW/LPC) 30 min. FSWO $24.35 Group Therapy (Psychologist) 30 min. GTPO $12.69 Group Therapy (LCSW/LPC) 30 min. GTSO $10.15 Individual Therapy (Psychologist) 30 min. ITPO $30.44 Individual Therapy (LCSW/LPC) 30 min. ITSO $24.25 Individual Therapy In Home (Psychologist) 30 min. ITPH $35.52 Individual Therapy In Home (LCSW/LPC) 30 min. ITSH $29.43 Speech Therapy (See Catalog) 30 min. SPTH $20.10 Testing (Psychiatrist/PCNS/PMHNP) 30 min. TEPA $33.49 Testing (Psychologist) 30 min. TEPB $30.44 Vision Therapy (Doctor of Optometry or Doctor of Ophthalmology) Session VITH $8.04 NON-Therapeutic Services Service Description Unit of Service CTS Procedure Code Maximum Bid Price Day Treatment Preschool Age (See Catalog) 3 to 7 hrs. DTRP $76.19 Day Treatment School Age (See Catalog) 3 to 7 hrs. DTRS $76.19 Domestic Violence Batterer’s Intervention Program 90 min. DOVL $30.14 Drug Testing—Five Panel (See Catalog) Test DRUG $43.64 Drug Testing—Nine Panel (See Catalog) Test DU09 $44.65 Drug Testing—Ten Panel (see Catalog) Test DU10 $47.22 Drug Testing—Eleven Panel (See Catalog) Test DU11 $50.74 Drug Testing—Hair Follicle, Five Panel (See Catalog) Test DH05 $111.63 Drug Testing—Hair Follicle, Nine Panel (See Catalog) Test DH09 $126.85 Drug Testing—Hair Follicle, Ten Panel (See catalog) Test DH10 $140.66 Drug Testing—Hair Follicle, Eleven Panel (See Catalog) Test DH11 $152.22 Drug Testing—Medical Review Officer Test Results Review (See Catalog) Review DMRO $8.89 Drug Testing—Drug Specimen Positive Confirmation Test (See Catalog) Test DSPC $22.33 Drug Testing—Alcohol breathalyzer or Urine Test Test ETOH $30.44 Drug Testing—Oral fluid test Test ORAL $65.31 Family-Centered Consultation (Bachelor’s) 30 min. FCCB $50.74 Family-Centered Consultation (Master’s) 30 min. FCCM $76.11 Family-Centered Meeting (Bachelor’s) 30 min. FCMB $50.74 Family-Centered Meeting (Master’s) 30 min. FCMM $76.11 Nursing Services (LPN/RN/BSN) 30 min. NIHM $12.56 Parent Aide (See Catalog) 60 min. PRAD $23.34 Parent Education and Training Program (See Catalog) 60 min. PETB $20.30 Personal Assistance-Behavioral (See Catalog) 30 min. PASB $11.83 Personal Assistance-Medical (LPN/RN/BSN/CNA/CMA) 30 min. PASM $11.83 Pervasive Developmental Services Coordinator (See Catalog) 60 min. PDSC $28.13 Respite Care (See Catalog) 12 to 24 hrs. RSCR $20.30 Service Delivery Coordination (See Catalog) 60 min. SDCR $23.34 Substance Abuse Assessment (See Catalog) Assessment SATA $377.38 Substance Abuse Individual Counseling (See Catalog) 30 min SATI $29.20 Substance Abuse Group Counseling (See Catalog) 30 min SAGC $12.58 Substance Abuse Group Education (See Catalog) 30 min SAGE $5.65",https://fostercaresystems.wustl.edu/mo-section-8-chapter-7-contracted-services-subsection-4-childrens-treatment-services-catalog
"MO :: Section 8, Chapter 3 (Research Protections and Data Requests), Subsection 1 – Research Protections and Request for Release of Data :: 3.1.3.1 Protocol for Children’s Division Staff",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Legal process, Services while in care - Medical",,,"Children’s Division staff may be contacted by a research hospital when a child in the state’s custody presents and is indentified as a potential study subject. The hospital staff may request the approval of a case manager for the child’s participation in the study. A request could involve emergent/life-threatening or non-emergent situations. Procedures for staff are as follows: Emergent Make an immediate referral of this matter to your supervisor, who should then take it up the chain of command to the level of field support manager or regional director or FCCM program manager. Share with your supervisors any pertinent information you might have regarding the child’s medical history or treatment history that might help them make an informed decision regarding the use of the investigational treatment. The field support manager or regional director or FCCM Program manager will then evaluate the situation and make a determination, based on policy and existing protocols regarding medical treatment of children in the custody of the state. (Note that you may be asked to convene emergency family support team meetings or work with your local court to expedite decisions that might impact the child’s safety and well-being. Please follow the directives of your supervisors in regard to this matter.) FCCM Directors should notify Regional Directors of decision made and reasons why. Non-Emergent Obtain clear information about the study from research applicant so you have facts to present to others regarding the study and this child’s participation. Evaluate any possible harm that could come to this child from participation in the study. Evaluate the benefits of the child’s participation in the study – focusing primarily on the benefits to the child or his/her family and secondarily on benefits to the division. Consult with your supervisor regarding his/her feelings on the harm or benefits of the child’s participation. If time allows, present the request for the child’s participation to the Family Support Team at the earliest possible date. The FST’s decision regarding the child’s participation should be the final decision. If time does not permit the presentation to the FST, consult with the juvenile office, the guardian ad litem and, if TPR has not occurred, the child’s parent(s) regarding the child’s participation. The decision of the professionals and the parents should be the final decision.",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-3-research-protections-and-data-requests-subsection-1-research-1
"MO :: Section 8, Chapter 3 (Research Protections and Data Requests), Subsection 1 – Research Protections and Request for Release of Data :: 3.1.3   When the Proposed Study Involves Human Subjects",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Legal process, Services while in care - Medical",,,"All of the above procedures apply to studies involving human subjects. Allowing children in the foster care system to take part in clinical trials or other research is not prohibited, and may occur in accordance with 45 CFR Part 46 if the Division deems that the child(ren) will ultimately benefit. Research involving human subjects includes data collection through intervention or interaction with the individual or identifiable private information. In addition, an independent advocate is required to be appointed for the child and proper consent from a guardian applies to clinical trials involving new drugs and for any research setting in which children in foster care are subjects.",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-3-research-protections-and-data-requests-subsection-1-research
"MO :: Section 8, Chapter 3 (Research Protections and Data Requests), Subsection 1 – Research Protections and Request for Release of Data :: 3.1.1.1   When PHI is Involved the Research Proposal Must",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Legal process",,,"Outline a viable plan to secure signed authorizations* from the study participants (inclusive of family members) and/or guardians or legal custodians as applicable; or Outline a viable plan to ensure de-identification (anything, including DOBs, SSNs and case DCNs, that can be tied back to an individual to identify that individual with personal health information) of PHI associated to study participants. Data received for a specified research study must be used only for the purpose outlined in the application and not for any other or future studies *It is preferable that the Department’s “Authorization for Disclosure of Health Information” form http://dssweb/dpl/adman/POLICIES/5-103ex2.pdf (Employee Access Only) be used where authorizations are required. Otherwise, it must be ascertained that forms supplied by a researcher are “Privacy Rule”-compliant.  It is permissible under the Privacy Rule that valid authorizations be combined with informed consents (if the authorization is valid and the consent adequately informs what a participant can expect from being involved).",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-3-research-protections-and-data-requests-subsection-1-research-4
"MO :: Section 8, Chapter 3 (Research Protections and Data Requests), Subsection 1 – Research Protections and Request for Release of Data :: 3.1.1    Request to Conduct Research Procedures",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Legal process",,,"The entity requesting to do research must complete an Application to Conduct Research/Study form (Form MO 886-4454). Related information must accompany the application including: Written positions of any Institutional Review Boards (IRBs) that may have reviewed the study proposal. Copies of any proposed informed consent forms which are subject to approval of the CD. Each research project is unique in at least some aspect and the form should be customized to each project. Consent forms must address the following: Youth in CD custody must, if capable, sign an informed consent participation agreement regardless of the level of their participation if they are at all involved with the research project. Among the study participation parameters, CD youth must understand their ability to opt out after they have begun participation if they initially consent to participating. They must understand that participation is not compulsory and that making a decision not to participate will not be held against them. Guardians (i.e. foster parent, prospective adoptive parent, Children’s Service Worker, etc.) must also sign an informed consent form. If the request to conduct research is received in the circuit, the Regional Director must forward the completed application, related documents, and recommendation, if desired, to the CD Research Committee at the address set forth below for approval consideration. The committee (appointed by the Division Director) from Central Office will review the proposal and consider: Whether the entity completed the application and submitted relevant materials according to guidelines established by DSS and CD. The Regional Director’s recommendation, when required. Whether the research proposal is a bona fide request. Defined in RSMo. Section 210.150.2 (13), a bona fide request is from any person who is a tenure-track or full-time research faculty member at an accredited institution of higher education engaged in scholarly research, with the permission of the director. Whether the research is being conducted for bona fide purposes and has the potential to advance child welfare practice including childcare, in Missouri. Whether the research involves the use of Protected Health Information (PHI), i.e. Social Security Number (SSN), Departmental Client Number (DCN), Date of Birth (DOB), or client name.",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-3-research-protections-and-data-requests-subsection-1-research-3
"MO :: Section 7, Chapter 2 (Acronym List)",Missouri,Rules,"2023, 2022, 2021, 2020, 2019",Definitions,,,"AAICPC Association of Administrators of the Interstate Compact on the Placement of Children AC Alternative Care (Court wards place out of their own home) ACLSA Ansell-Casey Life Skills Assessment ACRB Alternative Care Review Board ACTS Alternative Care Tracking System AD Adoptive Home ADD Attention Deficit Disorder ADHD Attention Deficit – Hyperactivity Disorder ADO Adoption by Other ADR Adoption by Relative AFCARS Adoption and Foster Care Automated Reporting System AODA Alcohol and Other Drug Abuse APSR Annual Progress and Services Report ASFA Adoption Safe Families Act ATC Adoption Tax Credit BCSHCN Bureau for Children with Special Health Care Needs BFC Youth With Elevated Needs-Level A Foster Care BIA Bureau of Indian Affairs BIOC Best Interest of the Child BSHCN Bureau of Special Health Care Needs BSIU Background Screening and Investigation Unit CA/N Child Abuse/Neglect CANHU Child Abuse/Neglect Hotline Unit CANRB Child Abuse or Neglect Review Board CAPTA Child Abuse Prevention and Treatment Act CARS Claims and Restitution CASA Court Appointed Special Advocate CD Children’s Division CFCIP Chafee Foster Care Independence Program CFP Youth With Elevated Needs-Level B Resource Provider CFRP Child Fatality Review Panel CFSP Child and Family Services Plan CFSR Child and Family Services Review CMU Contract Management Unit COA Council on Accreditation CP Child Placing Agency CPS Child Protection Services CQI Continuous Quality Improvement CRU Central Registry Unit CS Children’s Services CSEU Child Support Enforcement Unit CSIPS Children’s Services Integrated Payment System (CS65) CSPI Severity of Childhood Psychiatric Illness Scale CSS Children’s Service Supervisor CSSU Children’s Services Systems Unit CSTAR Comprehensive Substance Treatment and Rehabilitation Program CTS Children’s Treatment Services CWM Child Welfare Manual CWP Child Welfare Practice CYAC Children of Youth in Alternative Care DBF Division of Budget and Finance DC Day Care (Child Care) DD Division of Developmental Disabilities DCN Departmental Client Number (Each Person’s ID # with DSS) DESE Department of Elementary and Secondary Education DJO Deputy Juvenile Officer or Juvenile Officer DLS Division of Legal Services DMH Department of Mental Health DOB Date of Birth DOHSS Department of Health and Senior Services DOI Division of Insurance DSS Department of Social Services DYS Division of Youth Services EA Energy Assistance EAS Emergency Assistance Services EPSDT Early Periodic Screening, Diagnosis, and Treatment ETV Educational Training Voucher FA Foster/Adoptive FACES Family and Children Electronic System FCOOHC Family Centered Out-of-Home Care FCS Family Centered Services FCSR Family Care Safety Registry FFP Federally Funded Program (Title XIX – State-Funded Maintenance) FH Foster Home FP Foster Parent FRS Family Reunion Services FS Food Stamps FSD Family Support Division FST Family Support Team FSTM Family Support Team Meeting GAL Guardian ad Litem (Child in Foster Care’s Attorney) GR General Relief HB House Bill HCY Healthy Children, Youth HDN Homeless, Dependent, and Neglected HIPAA Health Insurance Portability and Accountability Act ICAMA Interstate Compact on Adoption and Medical Assistance ICJ Interstate Compact on Juveniles ICPC Interstate Compact on the Placement of Children ICWA Indian Child Welfare Act IEP Individualized Educational Plan IIS Intensive In-Home Services (Formerly was Family Preservation) IOC Inter Office Communication ISL Individualized Supported Living JO Juvenile Officer KIDS Children’s Income Distribution System MACF Missouri Alliance for Children and Families MHD MO HealthNet Division NCANDS National Child Abuse and Neglect Data System OASDI Old Age, Survivors, Disability Insurance OHI Out-of-Home Investigation Unit OSCA Office of State Courts Administrators OTI Out-of-Town Inquiry OYP Older Youth Program OYTS Older Youth Transition Specialist PPR Permanency Planning Review PRIDE Parents Resource for Information Development and Education PS Protective Services (Now Family-Centered Services) PSI Preventive Services Indicated RCCA Residential Child Care Agency RCST Residential Care Screening Team RFP Request for Proposal RHO Relative Foster Home RMTS Random Moment Time Study RPU Residential Program Unit RT Residential Treatment RTS Residential Treatment Services SACWIS Statewide Automated Child Welfare Information System SAFE/CARE Sexual Abuse Forensic Examination/Child Abuse Resource Evaluation SAM II Statewide Advantage for Missouri II SB Senate Bill SEAS Services Entry Authorization System (Payment CS67 and CS67a) SSA Social Security Administration SSI Supplemental Security Income SSN Social Security Number STARS Specialized Training, Assessment and Resource Support/Skills STAT State Technical Assistance Team SVH School Violence Hotline SYAB State Youth Advisory Board TA Temporary Assistance TANF Temporary Assistance for Needy Families TITLE IV-E Federal Funding for CS Programs TITLE XIX MO HealthNet Funding TLA Transitional Living Advocate TLG Transitional Living Group Home TLP Transitional Living Program TLS Transitional Living Scattered-Site Apartment TPL Third Party Insurance/Liability TPR Termination of Parental Rights VPA Voluntary Placement Agreement WIC Women, Infants, and Children",https://fostercaresystems.wustl.edu/foster/mo-section-7-chapter-2-acronym-list
"MO :: Section 7, Chapter 1 (Glossary)",Missouri,Rules,"2023, 2022, 2021, 2020",Definitions,,,"A ABANDONMENT: A parent or custodian’s act of leaving a child without adequate care, supervision, support, or parental contact for an excessive period of time; an expressed or implied intention to sever the parent-child relationship and avoid the obligations arising from the relationship. ABUSE: Any physical injury, sexual abuse, or emotional abuse inflicted on a child other than by accidental means by those responsible for his care, custody, and control, except that discipline including spanking, administered in a reasonable manner, shall not be construed to be abuse. ADJUDICATORY HEARING: A court hearing in which the evidence is presented in support of the petition alleging the child is homeless, abused, neglected or dependent.  The parents have an opportunity to respond and a judgment is made regarding the petition. Also known as an adjudication hearing or jurisdictional hearing. ADMISSIBLE EVIDENCE: Evidence which can legally and properly be used in court. ADOPTED ADULT: Any adopted person who is 21 years of age or over. (Section 453.120, RSMo.) ADOPTED CHILD: Any adopted person who is less than 21 years of age. (Section 453.120, RSMo.) ADOPTION SUBSIDY: A financial grant made to a family adopting a child with special needs to assist in meeting the cost of care, treatment and/or the legal process of adoption. ADULT: A person 18 years of age or older. ADULT FRIEND: One who has reached the legal age of majority and is attached to another by affection or esteem and is not hostile to that person. ADULT SIBLING: Any brother or sister of whole or half blood who is 18 years of age or over. (Section 453.120, RSMo.) AFFIDAVIT: A written statement of facts signed under penalty of perjury, often before a court clerk or notary public who administers the oath to the signing party, who is the affiant or declarant. AFTERCARE: Aftercare is defined as support services through the Chafee Foster Care Program for Successful Transition to Adulthood Program for youth who exited foster care after age 18 but have not yet reached age 21. AGENCY REPRESENTATIVE: Highest ranking Children’s Division staff member in respective office.  This person shall present and support the agency’s evidence in the state hearing, and has opportunity to cross-examine applicant/resource and/or witnesses during the state hearing. ALFORD PLEA: In an Alford Plea, the criminal defendant does not admit the act, but admits that the prosecution could likely prove the charge.  If the court accepts the plea the court will pronounce the defendant guilty.  If the Court accepts the plea, an Alford plea therefore has the same result as a guilty plea. AMERICAN/INDIAN/ALASKA NATIVE CHILD: Any unmarried person under age 18 who is either a member of an Indian tribe, or is eligible for membership in an Indian tribe and is the biological child of a member of an Indian tribe. ASSESSMENT: The consideration of all social, psychological, medical and other factors to determine diagnostic data to be used as a basis for the treatment plan. AT RISK: A substantial risk of harm to a child’s health or welfare, or reasonable cause to suspect a child may be subjected to conditions or circumstances which would reasonably result in abuse or neglect. B BONDING: The psychological attachment of parent to child which develops during and immediately following childbirth.  Bonding, which appears to be crucial to the development of a healthy parent/child relationship, may be studied during and immediately following delivery to help identify potential families at risk.  Bonding is normally a natural occurrence, but it may be disrupted by separation of mother and baby or by other situational or psychological factors. BURDEN OF PROOF: The duty to establish a claim or allegation by admissible and credible evidence at the time of hearing. C CAPIAS: A legal writ or process commanding an officer to arrest the person named in it. CARE, CUSTODY AND CONTROL: Those responsible for the care, custody, and control of the child includes, but is not limited to the parents or guardian of a child, other members of the child’s household, or those exercising supervision over a child for any part of a twenty-four hour day.  Those responsible for the care, custody, and control shall also include any person who has access to the child based on relationship to the parents of the child or members of the child’s household or the family; or any person who takes control of the child by deception, force, or coercion. CAREGIVER’S PROTECTIVE CAPACITIES: Caregiver’s Protective Capacities refer to knowledge, ability and/or willingness of individuals in the household responsible for the child’s care, to protect a child from the threat of serious harm. CASE MANAGER: The Children’s Service Worker responsible for coordinating all services delivered to a child and his/her family. CASE PLAN: A written document which describes the social and child welfare services and activities to be provided by the Division and other state and local agencies for the purpose of achieving a permanent familial relationship for the child.  Also, see Children’s Services Forms Manual, instructions for form CS-1 and 13 CSR 40 – 30.010 found in the Reference Book, Missouri Laws Relating to the Children’s Division (CD). CENTRAL REGISTRY: The Central Registry is contained within the Division’s Information System.  It contains only those persons where the Division’s finding is “preponderance of evidence”, “probable cause” or “court adjudicated.”   The Central Registry will eventually include the names of individuals who have pled guilty or been found guilty of crimes found in Chapters 565, 566, 567, 568, and 573, RSMo. CHAFEE FOSTER CARE PROGRAM FOR SUCCESSFUL TRANSITION TO ADULTHOOD (CFCP): A federal program created in 1999 with the passage of the Foster Care Independence Act.  This program provides services to both youth in foster care who are preparing to transition to adulthood and youth 18-23 who have already left foster care and need assistance. CHAFEE INDEPENDENT LIVING PLAN: In compliance with federal law, youth ages 14-21 must have the Adolescent Family Support Team Guide and Individualized Action Plan (Transition Plan) attached to the CS-1, Children’s Services Case Plan.  The Adolescent FST Guide (CD94) and Individualized Action Plan Goals (CD94) are to be completed within 120 days of a youth coming into care after the age of 14 or turning 14. The case manager shares the youth’s transition plan with the juvenile court for the dispositional hearing in order that the court may address the services that a youth needs to transition from out-of-home care to independent living.  The Individualized Action Plan goals and expectations provide the framework for life skills instruction. CHILD: A person under 18 years of age subject to parental control, guardian control or legal custody.  Also includes children declared homeless, dependent, neglected or who have committed a status offense and who are committed to the Division for care, custody, and control or who have been placed under the supervision of the Division by a juvenile court. CHILD CARE: Care of a child away from his/her own parent for any part of 24-hour day, for compensation or otherwise.  Child care provided by a family or center is a voluntary supplement to parental responsibility for the child’s protection, development, and supervision. CHILD CARE CENTER: A facility other than the provider’s permanent residence, or separate from the provider’s living quarters, where care is provided for children for any part of the 24 hour day. CHILD CARE FACILITY: A child care home or a child care center, whether known or incorporated under another title or name. CHILD CARE FAMILY HOME: A family home, occupied as a permanent residency by the child care provider, in which family-like care is given to more than ten (10) children, not related to the child care provider, for any part of the 24-hour day. CHILD PROTECTION SYSTEM: As defined in 210.109.2, RSMo., the child protection system shall seek to promote the safety of children and the integrity and preservation of their families by conducting investigations or family assessments in response to reports of child abuse or neglect.  The system shall endeavor to coordinate community resources and provide assistance or services to children and families identified to be at risk, and to prevent and remedy child abuse and neglect. CHILDREN’S SERVICE WORKER: The worker assigned to provide direct services to parents/child(ren). CHILDREN’S TREATMENT SERVICES (CTS): Services purchased by the Division from contracted providers. CHILD VULNERABILITY: A child’s capacity for self-protection.  Vulnerability also involves the susceptibility to suffer more severe consequences based on health, size, mobility, social/emotional state, and/or access to individuals who can provide protection. COERCE: To force an individual to act or think in a given manner. COLLATERAL: Anyone with personal knowledge of a family or child. COMMITMENT: An order by a court of appropriate jurisdiction ordering the care, custody, and treatment of a juvenile. COMPETENCY: A witness’ ability to observe, recall and recount under oath what happened. CONCURRENT PLANNING: A process of working towards reunification while at the same time, establishing and implementing an alternative (contingency back-up) permanency plan for a child.  Concurrent rather than sequential planning efforts are utilized to more quickly move a child from the uncertainty of foster care to the security of a safe and stable permanent family (National Resource Center for Foster Care and Permanency Planning). CONSERVATOR: A person or corporation appointed by the probate court to have care and custody of the estate of a minor or disabled person until such appointment is terminated by the court. (Section 475.010, RSMo.) CORPORAL PUNISHMENT: Infliction of pain by an adult upon the body of a child as penalty for doing something which has been disapproved of by the punisher. COUNSEL: Representation by a person who is proper or sufficient to be recognized by law. COURT ADJUDICATED: When a court of competent jurisdiction (i.e., circuit, criminal or juvenile divisions) sustains in writing the Division’s determination of “preponderance of evidence”, “Probable Cause” or, in family assessments, “Services Needed” for a specific CA/N incident.  The “Court Adjudication” finding shall be used when the conclusion of the family assessment or investigation matches the findings in the court hearing. COURT APPOINTED SPECIAL ADVOCATE (CASA): A community volunteer trained and supervised by a local CASA program and appointed by court order to serve the best interest of a child under that circuit court’s jurisdiction.  As an officer of the court, the CASA may serve as a Guardian ad Litem or Friend of the Court, depending upon the program model adopted by the judicial circuit. COURT JURISDICTION: The authority of the juvenile Division of the circuit court to act.  A child is subject to determination of delinquency, dependency, neglect, abuse, termination of parental rights and adoption.  For domestic relations cases (divorce/custody suits) the jurisdiction is under the circuit court. CRIMINAL NEGLIGENCE: A person “acts with criminal negligence” or is criminally negligent when he fails to be aware of a substantial and unjustifiable risk that circumstances exist or a result will follow, and such failure constitutes a gross deviation from the standard of care which a reasonable person would exercise in the situation. CRISIS INTERVENTION: Services given to a family which ameliorates a presenting family crisis problem. CRUEL AND INHUMANE PUNISHMENT: Punishment that is bizarre by any community standards such as locking a child in a closet for prolonged periods of time, tying a child to a bed, or severe, brutal, sadistic forms of physical abuse and/or emotional maltreatment. CUSTODIAL PARENT: Legal parent with actual physical care of the child. CUSTODIAN: Parent, step-parent, adult spouse of a juvenile, guardian, Guardian ad Litem, or a person having legal or actual custody of a juvenile or standing in loco parentis to the juvenile. CUSTODY: Missouri statutes refer to several different types of custody.  The following definitions are taken from the statutes or interpreted for Division purposes.  Legal Custody:  “….the right to the care, custody and control of a child and the duty to provide food, clothing, shelter, ordinary medical care, education, treatment and discipline of a child. (211.021, RSMo.) CUSTODY/JUDICIAL: The ability of a juvenile officer or law enforcement officer, pursuant to the juvenile code, to take temporary custody of a child who is in immediate danger and place him/her in the control of child protective services for no longer than 24 hours. (210.125, RSMo.) CUSTODY/LEGAL: The right to the care, custody, and control of a juvenile, and the duty to provide food, clothing, shelter, ordinary medical care, education, treatment and discipline to a juvenile. CUSTODY/PHYSICAL: Those persons or agencies designated to provide 24-hour care for a child on a continuous basis.  Generally, it is used to differentiate the person or agency caring for the child from that person or agency having “legal custody” of the child. CUSTODY/PROTECTIVE: Emergency measure taken to detain a child for 24 hours, often in a hospital or foster home, until a written detention request can be filed.  Police, law enforcement officers, or doctors have statutory authority (210.125, RSMo.) to detain minors who are in imminent danger. D DECREE: A decision or sentence given in a cause by the court. DEFENDANT: A defending party, the person sued or accused, opposite to the plaintiff. DELAYED CONCLUSION: When it is not possible to complete an investigation or assessment within 30 days, for reasons other than worker delay, this code may be used.  There are five reasons identified which would justify the use of this code: The worker is waiting for a critical psychological/medical report. The juvenile court is conducting the investigation and has not completed same. A co-investigation with law enforcement is being conducted and is not completed. The family refused to cooperate, and was referred to the juvenile court. The worker has made a request for assistance from another county or state and critical information has not been received. DELINQUENCY: Behavior by a juvenile that is anti-social or in violation of the law. DELINQUENT: A juvenile who has been classified as such through court proceedings. DEPENDENCY: A situation where a child is dependent upon another for financial support. DEPOSITION: Written testimony of a witness taken by competent authorities before the trial, which may be used at the trial. DESIGNEE: Any staff member appointed by the Division director to carry out the director’s responsibilities.  Also, an action which can be done at the local level by the county director. DETAINER: A writ or instrument issued or made by a competent officer of the court, authorizing the proper agency to keep in its custody a person therein named. DETENTION FACILITY: A place of temporary care for juveniles in judicial custody pending court disposition and includes facilities which are physically confining and those which provide care for juveniles. DETENTION HEARING: A court hearing held to determine whether a child should be kept away from his/her parents until a full trial (adjudication) of neglect or abuse allegations can take place.  This hearing is usually held within 72 hours after the filing of a petition to remove the child(ren) from the parents. (Missouri Supreme Court Rules 111.07 and 111.08). DILIGENT SEARCH: Includes efforts to locate or identify the natural parents or relatives of a child, initiated as soon as the division is made aware of the existence of the parent or relative, with progress reports at each court hearing until the parent or relative is identified and located or the court excuses further search. DIRECT SERVICES: Services given to a family by the Children’s Service Worker.  Services which are not purchased. DISCIPLINE: Relates to discipline techniques which resulted in injury or could place the child at risk of physical injury (unreasonable spanking, biting, kicking, slapping, excessive exercise, and denial of basic needs, as a means of discipline). DISPOSITION: A report of the final determination and decision of the court regarding a legal case. DISPOSITIONAL HEARING: Court hearing to hear evidence on the question of what plan would be in the best interest of the child.  (Child has already been found to be within the jurisdiction of the court through adjudication.) DISPOSITIONAL REVIEW HEARING: This court hearing should be held within 90 days of the Dispositional Hearing and may be held as often as needed to determine the appropriate permanency plan for the child. DIVERSION: Procedures for handling related minor problems informally, without referral to the juvenile court. DOMESTIC VIOLENCE: A pattern of assaultive and coercive behaviors, including physical, sexual, and psychological attacks, as well as stalking and economic coercion, that any person uses against a family or household member including, spouses, former spouses, any person related by blood or marriage, persons who are presently residing together or have resided together in the past, any person who is or has been in a continuing social relationship of a romantic or intimate nature with the victim, and anyone who has a child in common regardless of whether they have been married or have resided together at any time.  (Section 455.010 RSMo.) DUE PROCESS: The constitutionally guaranteed right of persons to be treated by the law with fundamental fairness.  In juvenile delinquency proceedings, these include the right to adequate notice in advance of the hearing, the right to counsel, the right to confront and cross-examine witnesses, the right to refuse to give self-incriminating testimony, and the right to have allegations of the conduct that would be criminal if committed by an adult proven beyond a reasonable doubt. DUTY TO WARN: The duty of agency staff to inform an identified individual or ascertainable group there is a foreseeable danger or threat of harm exists and failure to act could result in injury. E ECO MAP: Family charting diagram which uses circles and lines to depict the family’s ecological systems. EDUCATIONAL NEGLECT: Educational neglect is the failure by the person responsible for the care, custody, and control of the child to provide an appropriate education and to promote school attendance as required by Missouri Law.  Section 167.031 RSMo., requires all children ages 7 up to 17 to attend school, except that any child who has successfully completed 16 credits toward high school graduation is not required to attend and therefore does not meet the criteria for educational neglect. Children ages 5 and 6 are required to attend school, when they have been enrolled in a public school by their parent or guardian. ELIGIBILITY SPECIALIST (ES): The Children’s Services professional responsible for Title IV-E and Title XIX eligibility determinations and the completion and coordination of SSI applications and appeals. EMERGENCY ASSISTANCE SERVICES: A program under Title IV-A of the Social Security Act which is designed to assist families through a family crisis.  The crisis may be the result of a CA/N report, a child needing, or at risk of needing, out-of-home care, or a family emergency which places a child at risk of CA/N.  The Emergency Assistance Services (EAS) program includes investigatory, eligibility determination and purchased services activities delivered in a 365-day time period once within a 12-month time period. EMERGENCY FOSTER HOMES: Children’s Division licensed specifically-for-emergency-foster-care homes who are available 24-hours/day to receive children placed in the custody of the Division; or other licensed/approved private or juvenile court homes/facilities who have approved contracts/agreements with Children’s Division.  These homes are only used for children on a short-term basis of no more than 30 days.  When a child is placed, a per diem is paid. EMOTIONAL ABUSE: Any injury to a child’s psychological capacity or emotional stability demonstrated by an observable or substantial change or impairment in the child’s behavior, emotional response, or cognition, which may include but is not limited to: anxiety, depression, withdrawal, or aggressive behavior; and which may be established by either lay or expert witnesses. EXPUNGEMENT: The destruction of identifying information. F FACE-TO-FACE: An in-person interaction between individuals that allows the individuals to communicate and/or observe one another. FAMILY-CENTERED SERVICES (FCS): FCS is the family-focused intervention method utilized by the Division in working with families.  A Children’s Service Worker meets with the family, in their home, to assist them in identifying their strengths and service needs.  The worker and the family then work to develop a family plan for change. FAMILY TREATMENT PLAN: A plan of action which is family-specific and based on family diagnosis and risk assessment. FOSTER CARE: A form of substitute care, usually in a home licensed by a public agency, for children whose welfare requires that they be removed from their own homes. FOSTER PARENT(S): The adult member(s) of any family licensed to provide foster family care to children unrelated by blood, marriage, or adoption.  General Counsel Division has stated that foster parents are not volunteers, nor employees, not agents of Children’s Division, but most closely approximate independent contractors. G GENOGRAM: Family tree diagram, used in family assessment.  This family assessment tool is helpful to identify significant family members that may be of support and family patterns such as alcoholism, domestic violence, mental illness, physical illnesses, etc. GRIEVANCE PROCESS: A mechanism to administratively review any concern a client or resource provider may have about an aspect of the management of a particular case. GUARDIAN: A guardian is an individual appointed by a probate court to have care and custody of the person of a child under the age of 18, or an incapacitated person.  The guardian may grant physical custody of the child to someone else, but retains rights of legal custody over the child, (section 475.010, RSMo.).  The guardian retains responsibility for making decisions related to medical and surgical services, consent to marriage, consent to military service, consent to adoption, legal notice and representation, visitation of the child, inheritance and child property management, religious affiliation, and access to CA/N reports. Guardian AD Litem: An adult individual appointed by the court to protect the best interest of a child under the age of 17 (Chapter 211 RSMo) or 18 (Chapter 475 RSMo 1982 Supp) in a specific legal action. H HABEAS CORPUS: A writ directed to the person detaining another, commanding him to produce the body of the prisoner, and to obey whatsoever the judge or court awarding the writ shall direct. HARASSMENT REPORT: A report filed by any permissive or mandated reporter which is known to contain false information for the purpose of annoying or harassing the caretaker of the child, and a report in which none of the allegations made by the reporter are substantiated or determined Probable Cause. HOMELESS CHILD OR YOUTH: A person less than twenty-one years of age who lacks a fixed, regular and adequate nighttime residence, including a child or youth who (1) is sharing the housing of other persons due to loss of housing, economic hardship, or a similar reason; is living in motels, hotels, or camping grounds due to lack of alternative adequate accommodations; is living in emergency or transitional shelters; is abandoned in hospitals; or is awaiting foster care placement; (2) has a primary nighttime residence that is a public or private place not designed for or ordinarily used as a regular sleeping accommodation for human beings; (3) is living in cars, parks, public spaces, abandoned buildings, substandard housing, bus or train stations, or similar settings; and (4) is a migratory child or youth who qualifies as homeless because the child or youth is living in circumstances described in subsection (1) to (3). HOMELESS, DEPENDENT, AND NEGLECTED (HDN): A description of the status of child, utilized by the courts and the Division, relating to a parent’s failure to perform those duties charged by law including the duty to provide proper support, education, medical attention, necessary care and protection. A match of state funds and federal funds authorized by the Social Security Act, Title IV-B for the payment of the following:  (1) maintenance for all HDN eligible children placed in out-of-home care; (2) non-Title XIX covered medical expenses for children in out-of-home care; (3) initial clothing expenses; and (4) special non-medical related expenses for both IV-E – Alternative Care and HDN status children in out-of-home care.  This fund account also provides full payment for maintenance for HDN children in residential treatment facilities.  Children in relative care placement are not eligible for HDN payments unless approved prior to 1-21-82.  It is also used to meet adoption assistance costs for those children not eligible for IV-E – Adoption Subsidy. Identifying information (applies only in requests to release identifying information in adoption records):  name, date of birth, place of birth, and last known address of the biological parents/siblings. I INAPPROPRIATE REPORT: Report received that does not contain allegations of abuse and/or neglect that are governed by section 210, RSMo. INDEPENDENT LIVING ARRANGEMENT (ILA): An Independent Living Arrangement (ILA) is a state-approved and subsidized placement option for youth age 18 and older who cannot return home. The case manager in conjunction with the Family Support Team (FST) determines the youth’s suitability for placement in an Independent Living Arrangement, by assessing the youth’s motivation, abilities, skills and capabilities for living independently and ultimate transition from the service delivery system. Youth in an ILA have a goal of APPLA and must be referred and receiving Chafee Program Services prior to the placement being made. INDIAN CHILD WELFARE ACT (ICWA): A federal law intended to protect the best interests of Indian children and to promote the stability and security of Indian tribes and families.  ICWA sets federal requirements that apply to state child custody proceedings involving an Indian child who is a member of or eligible for membership in a federally recognized tribe. IN LOCO PARENTIS: “In the place of the parent,” refers to actions of a custodian, guardian, or other person acting in the parent’s place instead. INTERSTATE CHILD PLACEMENT COMPACT (ICPC): A legally binding agreement or contract between individual states which sets out requirements governing the sending and receiving of children across state lines to assure their protection.  The statute in Missouri governing the interstate movement of children with the purpose of assuring the most appropriate placement for the child, the sharing of full information about the child and his family and the placement resource, and promoting appropriate jurisdictional arrangement for the care of child. (Section 210.620, RSMo.) INTERSTATE CHILD PLACEMENT COMPACT – JURISDICTION: The authority retained by the sending public or private agency, court, person, institution, association or other entity over the child to determine all matters in relation to the custody, supervision, care, treatment, and disposition of the child which it would have had if the child had remained in the sending state. INVESTIGATION: The collection of physical and verbal evidence to determine if a child has been abused or neglected. J JURISDICTION: The authority of a particular court to hear cases involving certain categories of persons or allegations.  Jurisdiction can also refer to the geographical area subject to a particular law or court. JUVENILE COURT: The juvenile division or divisions of the circuit court of the county, or judges while hearing juvenile cases assigned to them. JUVENILE OFFICER: Includes Deputy Juvenile Officer and other court personnel the court has authorized to exercise the powers of the Juvenile Officer. K KINSHIP HOME: 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.  This designation applies to homes who apply to care for children for whom the agency has legal custody. L LACK OF SUPERVISION: Leaving a child unattended which could result in deprivation of physical and/or emotional needs, exploitation by older children and/or adults, serious injury, other types of CA/N and/or death. LEGAL RISK PLACEMENT: A child in Children’s Division (CD) custody who is not legally free for adoption, and who has the goal of adoption.  The family accepting the child for placement understands that the goal of adoption may not be reached and/or the child may be returned to the home of the parent(s). LIABILITY: Legal obligation to make good any loss or damage that occurs; responsibility. LICENSE: The legal document issued by the Division for up to a maximum of two (2) years which authorizes an individual or couple to provide 24-hour foster family care.  It also indicates the family has met the foster family home licensing rules authorized through section 210.481 to 210.536, RSMo. LICENSING RULES: Specific administrative requirements promulgated under the licensing statute (section 210.506, RSMo).  They provide workers with an authoritative, legally based criteria with which to determine if a specific home should be licensed to care for foster children. LICENSING VIOLATION: A violation of the licensing rules promulgated by Children’s Division for the specific type of care being provided, which may include CA/N. LINEAL DECENDANTS: “Lineal descendants” include adopted children and their descendants. (Section 472.010 RSMo.) LOCATED OUT OF STATE: When the “subject” family is located outside Missouri and a referral of information regarding the allegation(s) has been completed. M MANDATED REPORTER: Any person who is required by law (Section 210.115. 1 RSMo.) to report suspected child abuse or neglect to the Children’s Division.  Mandated reporters include:  “any physician, medical examiner, coroner, dentist, chiropractor, optometrist, podiatrist, resident, intern, nurse, hospital or clinic personnel that are engaged in the examination, care, treatment or research of persons, and any other health practitioner, psychologist, mental health professional, social worker, day care center worker or other child-care worker, juvenile officer, probation or parole officer, jail or detention center personnel, teacher, principal or other school official, minister as provided by section 352.400, peace officer or law enforcement official, or other person with responsibility for the care of children…” MEDICAL NEGLECT: The denial or deprivation by those responsible for the care, custody, and control of the child, of medical or surgical treatment or intervention which is necessary to remedy or ameliorate a medical condition which is life threatening or causes injury.  Medical neglect includes not only serious, but mild and moderate medical neglect as well. MEDICAL NEGLIGENCE: A medical professional’s failure to exercise reasonable medical judgment. MISDEMEANOR: A crime is a misdemeanor if it is so designated or if persons convicted thereof may be sentenced to imprisonment for a term of which the maximum is one year or less. MISSING CHILD OR MISSING JUVENILE: Any person who is under the age of 17 years, whose temporary or permanent residence is in the state of Missouri or who is believed to be within the state of Missouri, whose location has not been determined, and who has been reported as missing to a law enforcement agency. MISSING CHILD REPORT: A report prepared on a standard form supplied by the Missouri State Highway Patrol for the use by private citizens and law enforcement agencies to report missing children or missing juvenile information to the Missouri State Highway Patrol. MISSING PERSON: A person who is missing and meets one of the following characteristics: Is physically or mentally disabled to the degree that the person is dependent upon an agency or another individual; Was or is in the company of another person under circumstances indicating that the missing person’s safety may be in danger; Is missing under circumstances indicating that the disappearance was not voluntary; Is a child or juvenile runaway from the residence of a parent or legal guardian. MISSOURI ADOPTION INFORMATION REGISTRY: The Missouri Adoption Information Registry, operated by the Children’s Division, is a service by which adopted adults and biological parents or adult siblings may indicate their desire to be contacted by each other.  The Registry can accept applications from adopted adults who were adopted in Missouri or whose biological parents or had their parental rights terminated in Missouri.  The Registry also processes application from those biological parents who relinquish a child for adoption in Missouri as well as adult siblings wishing to have contact with the adopted adult. MOTION: An application to a court for a ruling, order, etc. N NEAR FATALITY: An act that, as certified by a physician, places the child in serious or critical condition.”  For example, if hospital records reflect that the child’s condition is “serious” or “critical,” this would be considered a “near-fatality”.  (See (Child Abuse Prevention and Treatment Act (CAPTA), as amended (42 U.S.C. 5101 et seq.) – sections 106(b)(2)(B)(x) and (b)(4(A)) NEGLECT: Failure to provide by those responsible for the care, custody, and control of the child, the proper or necessary support, education as required by law, or medical, surgical, or other care necessary for his well-being. NEWBORN CRISIS ASSESSMENT: In these cases, a home assessment is requested by a physician or other medical personnel when they have serious reservations about releasing an infant from the hospital who may be sent home to a potentially dangerous situation.  Many times a drug-involved mother may continue using drugs, so an assessment of the home situation is needed prior to, or at the time the infant is released from the hospital.  There may also be other non-drug related situations in which a physician/health care provider is concerned about releasing a newborn infant from the hospital. Non-drug involved referrals will be accepted until the child is one year of age. NON-CARETAKER REFERRAL: Referrals made to Hotline Unit and referred to county staff, for referral to law enforcement or the juvenile office, which report abuse or neglect by those who do not have care, custody, and control. NON-CUSTODIAL PARENT: Legal parent of a child, but who does not have day-to-day care of the child. NON-IDENTIFYING INFORMATION: Physical description, nationality, religious background and medical history of the biological parents or siblings. NYTD: The National Youth in Transition Database is a data collection and reporting system in the form of a survey conducted as youth turn 17, 19, and 21, regardless of custody status.  States conduct a survey of youth in foster care at age 17 and conduct a follow-up survey at ages 19 and 21 to report information about youth outcomes in order to improve services for youth in care.  Services that youth are receiving through the state’s independent living program are also reported every six months on all youth receiving independent living services. O OLDER YOUTH PROGRAM: Services provided to all youth age fourteen (14) through twenty-three (23) in custody or previously in custody.  The Older Youth Program encompasses philosophy through positive youth development and the distinct permanency needs of adolescents.  Assessment tools are used to develop individual case plans for youth to help assist with the successful transition from adolescence to adulthood.  Services include life skills teaching, housing options, educational assistance, and aftercare. OLDER YOUTH TRANSITION SPECIALIST (OYTS): Regionally-based Children’s Service Specialist position responsible for monitoring and providing support to the Transitional Living Services, Chafee Foster Care Independence Program Services, and Educational Training Voucher Contract. OUT-OF-HOME INVESTIGATION UNIT: A unit composed of Children’s Division investigators who complete CA/N investigations for certain out-of-home investigations, i.e., foster homes, licensed and registered child care homes and centers, residential facilities, and private and public school employees. P PARENS PARTRIAE: A Latin phrase used to describe the power of the state to act in place of the parents for the purpose of protecting the property and person of a child. PARENT: Either biological or adoptive parent of the child regardless of who has primary responsibility for the child. PARTY TO A PETITION: Any individual who brings a legal action, is a named defendant, or is denominated in statute as a party in a court proceeding. PERMANENCY HEARING: This is a judicial review held annually conducted to objectively determine the continuing appropriateness of a child’s placement, a child’s progress while in care toward the short and long range goals, and a child’s need for continued care PERMANENCY PLANNING REVIEW: An administrative process conducted for the purpose of objectively determining the continuing appropriateness of a child’s placement, a child’s progress in care toward the short and long-range goals, and the need for continued care.  Reviews are typically held in conjunction with six-month court hearings. PERMANENCY REVIEW HEARING: This hearing may be held as often as is necessary, but must be held at least every 6 months following the permanency hearing.  The purpose of this hearing is to determine if the permanency plan in place is the most appropriate option for the child and whether the Children’s Division has made reasonable efforts to finalize the plan. PETITION: A written request or plea in which a specific court action is requested. PHYSICAL ENVIRONMENT: Barriers exist which have or could result in the lack of basic material needs for the child to be safe (safe and sanitary housing, clothing, utilities, food and other physical or safety needs). PHYSICAL INJURY: Any bruising, lacerations, hematomas, welts, permanent or temporary disfigurement; loss, or impairment of any bodily function or organ, which may be accompanied by physical pain, illness, or impairment of the child’s physical condition PLACEMENT (intra or interstate): The arrangement for the care of a child with a foster family, relative family, adoptive family or in a child-caring agency or institution. PLAINTIFF: A person who brings suit into a court of law; a complainant or victim. PLEADING: Any one of the formal written statements of accusation or defense in an action at law. PREPONDERANCE OF EVIDENCE: That degree of evidence that is of greater weight or more convincing than the evidence which is offered in opposition to it or evidence which as a whole shows the fact to be proved to be more probable than not.  Standard of proof used by the Division to determine the existence of abuse or neglect in an investigation initiated by a CA/N report received on or after August 28, 2004. PREVENTIVE SERVICE REFERRALS: Preventive Service Referrals (P-Referrals) result when a concern is reported to the Child Abuse and Neglect Hotline Unit (CANHU), which does not involve allegations of child abuse or neglect, but does present a concern about a child who is in the custody of the Children’s Division (CD), a child who is receiving services from CD, or a child who may need placement (or an intervention to resolve the need for placement). PRIMA FACIE: Lit., “On the first appearance,” evidence which on its face makes out the necessary elements of the allegation, and which will suffice to establish the allegation as true until it is contradicted and overcome by other evidence. PRIVILEGED COMMUNICATION: An individual/professional’s obligation to refuse to disclose information shared during the course of business by another individual or agency without that other individual’s consent.  It is usually exercised when a court has subpoenaed a member of a profession to provide testimony regarding his relationship to a defendant or plaintiff.  Currently, privileged communication is applied only in the following relationships:  spousal communication; priest and penitent; lawyer and client; and doctor and patient.  In the instance of a child abuse or neglect proceeding, the only applicable privileged communication is that relationship between the client and their attorney. PROBABLE CAUSE: Available facts when viewed in the light of surrounding circumstances which would cause a reasonable person to believe a child was abused or neglected.  Standard of proof used by the Division to determine the existence of abuse or neglect in an investigation prior to August 28, 2004. PROBATION: In adult or juvenile court, a disposition which allows the defendant or the minor to remain at liberty under the supervision of a probation officer, frequently with a suspended commitment or sentence of imprisonment and usually requiring compliance with certain stated conditions. PROPER OR NECESSARY SUPPORT: Adequate food, clothing, shelter, medical care, or other care and control necessary to provide for the child’s physical, mental, or emotional health or development. PROTECTIVE CUSTODY: In child abuse and neglect cases, the emergency removal of a child from his home when the child would be in imminent danger if allowed to remain with the parent(s) or custodian(s). PROTECTIVE SERVICES: A specialized child welfare service provided to a family that carries a delegated responsibility to offer and provide help and treatment in behalf of any child considered or found to be neglected, abused, or exploited. PROTECTIVE SERVICE CASE: The entire constellation of persons who are receiving protective services which may include out-of-home care services. The case name will be the parent/caretaker designated as the head of the protective service case. PUBLIC OR PRIVATE CHILD CARING/CHILD PLACING AGENCY: A group home facility, residential facility, juvenile court, school, or child placing agency. R REASONABLE EFFORTS : The ordinary diligence and care by the Division to identify child protection problems and provide services to solve those problems so as to prevent out-of-home placements and/or promote family reunification. REASONABLE EFFORT TO LOCATE BIOLOGICAL PARENTS : Applying to adoption cases, attempting to locate biological parents for release of information in adoption records: Use of resources listed in Section 4, Attachment A, to the extent that the worker believes that the biological parent(s) cannot be located. REASONABLE MEDICAL JUDGMENT : A medical judgment that would be made by a reasonably prudent physician, knowledgeable about the case and the treatment possibilities with respect to the medical conditions involved. RECEIVING STATE/AGENCY (ICPC) : The state or agency to which a child is sent or brought by the sending state/agency.  It does not matter if the child is sent by public authorities, private persons or public or private agencies.  Placement can be with state or local public authorities or with private agencies or persons. RECKLESSLY : A person “acts recklessly” or is reckless when he consciously disregards a substantial and unjustifiable risk that circumstances exist or that a result will follow, and such disregard constitutes a gross deviation from the standard of care which a reasonable person would exercise in the situation. RELATIVE HOME : A person related to another by blood or affinity within the third degree (grandparent, brother, sister, half-brother, half-sister, stepparent, stepbrother, stepsister, uncle, aunt, or first cousin.) RSMo 210.565.2. This designation applies to homes who apply to care for children for whom the agency has legal custody. RELEVANT : Evidence that is logically connected to, and helps to prove, a material point or issue in a case. RELIGIOUS EXEMPTION : Any child who does not receive specified medical treatment by reason of the legitimate practice of the religious belief of the child’s parent, guardian, or others legally responsible for the child, for that reason only, shall not be found to be an abused or neglected child.  The Division will accept reports concerning such a child and will investigate as a result of the report.  Such an exception shall not limit the administrative or judicial authority of the state to ensure that medical services are provided to the child when the child’s health requires it. REMAND : Lit., “to send back,” frequently used to describe the order transferring a minor to adult court’s order sending a minor to the juvenile court. REPORT : Report is defined in statute as the communication of an allegation of CA/N to the Division. REPORTING STATUTES : State laws requiring certain designated persons (physicians, nurses, teachers and like) to report to proper authorities suspected cases of child abuse and injuries inflicted by unlawful means. RESIDENCE : A place at which a home or regular place of abode is maintained.  A juvenile’s residence is that of the parent, guardian or legal custodian. RESOURCE PROVIDER: An adult individual who has been approved by the Children’s Division to provide care for youth who have been placed in legal custody the Children’s Division.  This includes Foster, Adoptive, Relative or Kinship (licensed or unlicensed), Respite, and Transitional Living Advocates. RISK: Risk is the likelihood or probability that child maltreatment will occur or reoccur in the future. RUNAWAY : A child under the jurisdictional age limit established by the state, who has run away from his home without consent of the parent, guardian, or legal custodian. S SAFE : A child can be considered safe when there are no threats of danger to a child within the family/home or when the caregiver’s protective capacities within the home can manage or control the threats of danger. SAFETY INTERVENTION: Safety intervention refers to all the actions and decisions required throughout the life of a case to assure that an unsafe child is protected, expend sufficient efforts necessary to support and facilitate a child’s caregivers taking responsibility for the child’s protection, and achieve the establishment of a safe, permanent home for the unsafe child.  Safety intervention consists of identifying and assessing threats to child safety, planning and establishing safety plans that assure child safety, managing safety plans that assure child safety and creating and implementing remedial case plans that enhance the capacity of caregivers to provide protection for their children. SAFETY PLAN: A written, mutually agreed upon, arrangement between the worker and the family that establishes how threats of danger to child safety will be managed. SCAPEGOATING : Casting blame or failure on an innocent persons, i.e., a child abused as punishment for problems unrelated to him. SEALING : In a juvenile court practice, the closure of juvenile records to all inspection except by the minor upon petition to the court. SENDING STATE/AGENCY (ICPC) : One of the following who sends, brings, or causes to be sent or brought a child to another ICPC member state. A Compact member state, officer or employee thereof; A subdivision of a member state officer or employee thereof; A court of a member state; or A person, corporation, association, charitable agency institution or other entity. SERIOUS PHYSICAL INJURY : Physical injury that creates a substantial risk of death or that causes serious permanent disfigurement or protracted loss or impairment of the function of any bodily member or organ. SEX TRAFFICKING: The recruitment, harboring, transportation, provision, or obtaining of a person for the purpose of a commercial sex act, in which a commercial sex act is induced by force, fraud, or coercion, or in which the person induced to perform such act has not attained 18 years of age. SEXUAL ABUSE: Any sexual or sexualized interaction with a child, except as otherwise provided in paragraph 2 below. 1. Sexual abuse shall include, but is not limited to: a. Any touching of the genitals, anus or buttocks of a child, or the breast of a female child, or any such touching through the clothing; any act involving the genitals of a child and the hand, mouth, tongue, or anus of another person; or any sexual act involving the penetration, however slight, of a child’s mouth, penis, female genitalia, or anus by any body part of another person, or by any instrument or object; b. Any conduct that would constitute a violation, regardless of arrest or conviction, of chapter 566 RSMo if the victim is less than eighteen years of age, section 567.050, RSMo if the victim is less than eighteen years of age, sections 568.020, 568.060, 568.080, or 568.090, RSMo, sections 573.025, 573.035, 573.037, or 573.040, RSMo or an attempt to commit any of the preceding crimes; c. Sexual exploitation of the child, which shall include: i. Allowing, permitting or encouraging a child to engage in prostitution, as defined by state law; or, ii. Allowing, permitting, encouraging or engaging in the obscene or pornographic photographing, filming or depicting of a child as those acts are defined by state law.  This includes the storage or transmission of any data depicting said obscene or pornographic acts, images, or recordings. 2. Any reasonable interaction with a child, including touching a child’s body for the purpose of providing the proper or necessary care or support of the child, shall not be considered sexual abuse.  The touching of a child’s body, including a child’s genitals, buttocks, anus, or breasts for reasonable, medical, child rearing or child care purposes shall not be considered sexual abuse. 3. The division shall not be required to prove that the alleged perpetrator received sexual gratification or that there was an exchange or promise of anything of value as a result of the act of sexual abuse to establish sexual abuse under chapter 210 or 211 RSMo. 4. The use of force or coercion is not a necessary element for a finding of sexual abuse. 5. Sexual abuse may occur over or under the child’s clothes. 6. The division shall not be required to prove that the child suffered trauma or harm as a result of the act of sexual abuse. 7. A child cannot consent to a sexual or sexualized act or interaction with a person responsible for that child’s care, custody, and control. SEXUAL EXPLOITATION : The sexual use of a child under the age of 18 by those responsible for his/her care, custody, and control for the purpose of pornography and/or prostitution. SEXUAL MISCONDUCT: A person commits the crime of sexual misconduct involving a child if such person: Knowingly exposes his or her genitals to a child less than fifteen years of age under circumstances in which he or she knows that his or her conduct is likely to cause affront or alarm to the child; Knowingly exposes his or her genitals to a child less than fifteen years of age for the purpose of arousing or gratifying the sexual desire of any person, including the child; Knowingly coerces or induces a child less than fifteen years of age to expose the child’s genitals for the purpose of arousing or gratifying the sexual desire of any person, including the child; or Knowingly coerces or induces a child who is known by such person to be less than fifteen years of age to expose the breasts of a female child through the Internet or other electronic means for the purpose of arousing or gratifying the sexual desire of any person, including the child. (Section 566.083) SIBLING: Children who share at least one biological or adoptive parent. SOCIAL STUDY : The report prepared by a probation officer or Children’s Service Worker for the judge’s consideration at a dispositional hearing.  Such reports review the minor’s behavior and family history and frequently contain material that would be inadmissible in most judicial proceedings because of hearsay, lack of verification, etc.  In many states, specific statutes permit their admission into evidence.  Social studies may not be received by the court until after the petition has been adjudicated and jurisdiction established. SPECIAL NEEDS CHILDREN : Children in custody of the Division legally free or potentially legally free for adoption who meet any of the following criteria: Children over ten years old. Children of minority or ethnic groups of all ages. Children who are intellectually, emotionally, or physically handicapped. Children who appear to be normal, but whose prognosis is guarded due to incest, mental illness, or retardation of parents, use of legal or illegal drugs by parents, and/or a diagnosis of venereal disease for either parent. Children who require sibling placements. Children with other impediments to adoption such as long-term foster care, legal complications, and social and genetic negatives in the family background. STALKING : Stalking is purposely and repeatedly harassing or following with the intent of harassing a child.  Harassing in this context means engaging in a course of conduct directed at a specific child that serves no legitimate purpose, and that would cause a reasonable adult to believe the child would suffer substantial emotional distress.  “Course of conduct” means a pattern of conduct composed of a series of acts over a period of time, however short, which shows a continuity of purpose. STATUS OFFENDER : ” (a) child….charged with an offense not classified as criminal, or with an offense applicable only to children; except that, the juvenile court shall not have jurisdiction over any child sixteen years of age who is alleged to have violated a state or municipal traffic ordinance or regulation, the violation of which does not constitute a felony;…” (Section 211.031(2,e), RSMo.) STATUS OFFENSE : The term essentially refers to non-criminal misbehavior, which would not be criminal if committed by an adult (i.e., truancy, runaway, etc.).  The behavior is an offense only because of the minor’s status as a minor. STIPULATION : An agreement between the attorneys in a case, entered into in court, allowing a certain fact to be established in evidence without the necessity for further proof. SUBJECT : The child (age 0-18), parent, guardian, caretaker, or alleged perpetrator mentioned in a CA/N report. SUBJECTS OF PERMANENCY PLANNING REVIEW : Those children placed in Children’s Division (CD) custody and placed in relative homes, foster homes, group homes, residential treatment facilities, institutional care, transitional living arrangements, or independent living. SUBPOENA : A legal document, usually issued by a court clerk, requiring that the person named in the subpoena appear on a stated day and time at a specified court to give testimony in a case. SUBPOENA DUCES TECUM : Lit., “Bring with you,” a subpoena served upon the person who has custody of records, commanding that such custodian bring the specified records to court on the stated day and time. SUMMONS : A legal document, issued by the court clerk or other court officer, notifying the named person that a lawsuit or legal cause has been filed against or involves him or her, and notifying such person of any dates set for hearings and deadlines for responding to the complaint or petition. SUPERVISION : Barriers exist which have or may result in the child being left unattended.  Being left unattended poses a risk to the child’s safety. SUPERVISORY SIBLING CASE REVIEW : An evaluation of whether all viable placement options have been explored and exhausted in efforts to reunite siblings, review the impact of such separation on the child’s well-being, and determine whether FST meetings are continuing to pursue potential placement providers for the sibling group.  These reviews are conducted by Circuit Managers, along with the appropriate regional staff, will be conducting supervisory sibling case reviews within 30 days of sibling separation to address sibling placement. T TEMPORARY ASSISTANCE NON-PARENT CARETAKER RELATIVE PAYEE: A relative as defined below providing care to a child who is eligible to receive the temporary assistance benefit as provided in sections 208.040 and 208.047, RSMo. Non-parent caretaker relative payees are: Any blood relative including those of half-blood and including first cousins, nephews, or nieces. Relationships to persons of preceding generations as denoted by prefixes of grand, great, or great-great are within this definition. Stepfather, stepmother, stepbrother, and stepsister. (The blood relatives of a step-relative are not nonparent caretaker relative payees for temporary assistance.) Persons who legally adopt a child or adopt the parent of a child, and other relatives by adoption meeting the criteria established for blood relatives. Spouses of any persons named in the above groups. Such relatives may be considered within the scope of this provision even though the marriage is terminated by death or divorce. NOTE:  The Division applies the definition of a temporary assistance non-parent caretaker relative payee to those relatives who elect to become “licensed” in order to receive IV-E alternative care as payment for the care of the relative child. TERMINATION OF PARENTAL RIGHTS: A judicial proceeding freeing a child from all custody and control by a parent or parents, so that the child can be adopted by others. TERMINATION OF PARENTAL RIGHTS (TPR) HEARING: A legal proceeding in a juvenile court which considers the need to sever the legal ties of a child from his/her natural parents, adoptive parents, or guardian. TESTIMONY: A statement or declaration made to establish a fact or facts and given under oath. THIRD-PARTY INFORMATION : Any information obtained by the Children’s Division that is generated by a sending agency or court pursuant to the statutes governing their operations (i.e., juvenile courts – Chapter 211).  Such information is maintained in a separate administrative file.  Exceptions to this policy are information generated and/or contracted for by Children’s Division or obtained from other sources as a result of an investigation or assessment conducted pursuant to 210.110 to 210.145, RSMo. THREATS OF DANGER: Specific family situation or behavior, emotion, motive, perception or capacity of a family member that is out-of-control, imminent and likely to have severe effects on a vulnerable child. TIME-LIMITED SERVICES: Services provided to a family for a limited length of time based upon a goal-specific treatment plan. TIME LINES: Diagram consisting of straight lines on which to chronologically document critical events within a family. TITLE IV-E ADOPTION ASSISTANCE: A match of state and federal funds authorized by the Social Security Act, Title IV-E, for eligible children with special needs who have been placed for adoption and subsequently adopted.  Assistance includes payment for costs of maintenance, medical and children’s services.  Eligible children include only those who were previously eligible for Temporary Assistance (formerly AFDC) and IV-E Alternative Care, and who have a “specific factor or condition (such as his ethnic background, age, or membership in a minority or sibling group, or the presence of factors such as medical conditions or physical, mental, or emotional handicaps); and it is not possible to place the child without assistance after a reasonable effort to find an appropriate adoptive family resource.”  (The legal costs of adoption proceedings are not included as a part of the assistance.) TITLE IV-E ALTERNATIVE CARE: A match of state and federal funds authorized by the Social Security Act, Title IV-E, for eligible children which is used to meet maintenance costs of their care when a judicial determination has been made for the child to remain in the care of his parents or other temporary assistance non-parent caretaker relative payees would be contrary to the welfare of the child.  The child must continue to meet all eligibility requirements of need, deprivation of parental support or care, and must not exceed 18 years of age unless graduation from high school will occur before the child’s 19th birthday.   Families caring for relative children who are in the custody of the Division are eligible if they meet the definition of a temporary assistance relative payee.  These families must also be approved as meeting the licensing standards for families providing out-of-home care. TRAUMA: An internal or external injury or wound brought about by an outside force.  Usually trauma means injury by violence, but may also apply to the wound caused by a surgical procedure.  Trauma may occur accidentally or, as in the case of physical abuse, non-accidentally.  Trauma is also a term applied to psychological discomfort or symptoms resulting from any emotional shock or painful experience. INDIVIDUAL Trauma: Individual trauma results from an event, series of events, or set of circumstances that is experienced by an individual as physically or emotionally harmful or threatening and that can have lasting adverse effects on the individual’s functioning and physical, social, emotional well-being. TREATMENT PLAN: An agreement designed through a mutual process of negotiation between the Division, the parent(s), and the juvenile court (if required by the court) setting out those activities necessary for achievement of reunification of the child with the parents and incorporating the following: Attention to some or all the barriers which prevent return of the child; The length of the treatment plan (30 days minimum, 180 days maximum); A visiting plan for the parents and the child; Basic items that deal with problems that contributed to the child’s need for placement; Statements which clearly identify the expected and desired behavioral changes (change objectives) for the parent and which are consistent with the parents capabilities; An appropriate number of tasks which are reasonable and feasible for the parents; Statements which direct a fair evaluation of progress at agreed upon time intervals. U UNABLE TO LOCATE: After thorough physical attempts, as well as Children’s Division automated systems checks, the “subject” family cannot be located, within or outside the state. UNSAFE: A child is unsafe when a child is vulnerable to a threat of danger within a family/home and the caregiver’s protective capacities within the home are insufficient to manage the threat thus requiring outside intervention. UNSUBSTANTIATED: To establish by proof or competent evidence through investigation that there is insufficient or no evidence for the allegations of abuse and/or neglect. UNSUBSTANTIATED – PREVENTIVE SERVICES INDICATED: To establish through investigation that abuse/neglect has not occurred, but the family is experiencing problems, which if unresolved, could potentially contribute to abuse/neglect. V VERIFICATION LETTER A letter signed by the case manager provided to the youth on state letterhead verifying the youth’s time in care and exit date.  The letter aids youth in receiving assistance after leaving care within the state and out of state for services that require eligibility verification. VOLUNTARY PLACEMENT AGREEMENT A written agreement between the Department of Social Services (DSS)/Children’s Division (CD) and a parent, legal guardian, or custodian of a child under the age of eighteen (18) in need of mental health treatment.  The agreement is only used when an out-of-home placement is recommended by DMH and the Custody Diversion Protocol cannot otherwise divert the need for such placement.  DMH determines the need for mental health services and administers the placement and care of a child while the parent, legal guardian, or custodian of the child retains legal custody. A VPA may not exceed 180 days in duration. W WAIVER HEARING: A hearing held in juvenile court to determine the fitness of a minor for retention in juvenile court, and the minor’s amenability to juvenile court resources. WARD: A minor who is under the jurisdiction of the juvenile court for a delinquent act, status offense or an allegation or finding of abuse, neglect, or dependency.  Also, a person who has a legally appointed guardian is the ward of the guardian. WARRANT: Legal document issued by a judge authorizing the search of a place and seizure of specified items found there (search warrant), or the arrest or detention of a specified person (arrest warrant).  No hearing is required and the person need not be notified, but the court must be given probable or reasonable cause to believe that the warrant is necessary for apprehension before it issues a warrant.  Affidavits are frequently used in establishing probable or reasonable cause. WOMEN, INFANTS AND CHILDREN Specialized Food Program (WIC): A program funded and administered by the U. S. Department of Agriculture operating through contracts granted by the Department of Health and Senior Services (DHSS) to local county health departments or other health providers.  Eligibility criteria includes income below 175% of the national poverty level and certain “at risk” health conditions for the mother during her pregnancy and, for the mother and child (up to age 5 years).  Supplemental nutritious foods and nutrition guidance are the two primary services. WRIT: An order issued by a court commanding that a certain act or acts be done or not done.",https://fostercaresystems.wustl.edu/foster/mo-section-7-chapter-1-glossary
"MO :: Section 8, Chapter 9 (Fatality/Critical Event Reporting and Review Protocol), Subsection 1 – Critical Event Categories :: 9.1.3 Critical Event Response",Missouri,Rules,"2023, 2022, 2021","Administrative process, Investigations",,,"The purpose of the Critical Event Response is to evaluate a Children’s Division employee’s performance and the employee’s ability to competently perform his/her duties following the fatality, near fatality, or serious injury of a child who is, or has been, involved with the Children’s Division. The process may include three parts, which will be referred to as Critical Event Response Parts I, II, and III. Parts I and II, if needed, shall be completed by the Regional Director or designee no later than three days after the child’s death or within three days of the Children’s Division receiving notification of a near fatality or serious physical injury. Critical Event Response Part I: The preliminary assessment (Critical Event Response Part I) will be completed by the Regional Director or designee. The preliminary evaluation is a process to determine whether further evaluation, including a review and assessment, is warranted.  The Critical Event Response Flowchart is available to guide the process and to assist with decision-making.  A review and assessment (Critical Event Response Part II) shall take place under the following circumstances. A fatality, near fatality, or serious physical injury involving a child with an open Family Centered Services and/or Intensive In-Home Services case, or a child that is named in an open investigation or family assessment when child abuse or neglect is suspected; A fatality, near fatality, or serious physical injury involving a child in foster care (legal status 1) when child abuse or neglect is suspected; A fatality, near fatality, or serious physical injury of a child with relevant Children’s Division involvement when child abuse or neglect is suspected; Upon the request of the Regional Director or designeeThe preliminary assessment shall be completed no later than three days after the child’s death or within three days of the Children’s Division receiving notification of a near fatality or serious physical injury. Critical Event Response Part II: If it is determined, based on the preliminary evaluation (Critical Event Response Part I,) that criteria is met to warrant further review, the Regional Director or designee will complete Critical Event Response Part II to determine whether the investigator, case manager, supervisor, and/or circuit manager are able to perform his/her duties competently. Based on the Regional Director or designee’s knowledge of the situation, he/she will identify the parties to be reviewed.  A thorough review of staff ability and competency should be completed.  A “Review and Assessment Guide” is available to assist with this process; however, use of the form is not required. Child Abuse and Neglect Hotline Unit management will receive notification of incidents that warrant an assessment and review (Critical Event Response Part II.) Following notification, they are to assess staff competency, specifically as it relates to prior reports made to the Child Abuse/Neglect Hotline Unit involving the child who is now deceased or who has sustained serious physical injury. The assessment and review (Critical Event Response Part II) shall be completed no later than three days of the child’s death or within three days of the Children’s Division receiving notification of a near fatality or serious physical injury. A “Review and Assessment Guide” is available to assist with the review; however, use of the form is optional. Competencies and functioning of Children’s Division staff should be considered during this review. Information related to the Children’s Division’s knowledge of, and involvement with, the family should also be considered. Two tracks have been developed with questions and suggestions to assist with this process. CD STAFF TRACK CHILD/FAMILY TRACK How long has the CD staff member worked for the agency and/or worked in this capacity? What was the family’s history with the CD? How long has the CD staff member been assigned to work with this child/family? Was this case appropriately assigned? What is the CD staff member’s caseload size? What was the safety plan? Have there been concerns related to this CD staff member’s performance? What additional information can be provided through a review of the record? What information does a review of the record provide about the worker’s ability to follow CD policies? What is the current situation? How are the CD staff member(s) and the Circuit as a whole coping in response to the recent event? Critical Event Response Part III: After completing Parts I and II, the Regional Director or designee may determine that further assessment is warranted. Critical Event Competency Guides for Children’s Service Workers, Children’s Service Supervisors, Circuit Managers, and Program Managers/Field Support Managers are available. The Regional Director or designee should complete the Critical Event Competency Guide if it is determined that further assessment of worker competency and ability is warranted.   Use of the available forms is optional.  The person assigned to complete the review should consult with Children’s Division Personnel as appropriate.",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-9-fatalitycritical-event-reporting-and-review-protocol-subsection-1-2
"MO :: Section 8, Chapter 9 (Fatality/Critical Event Reporting and Review Protocol), Subsection 1 – Critical Event Categories :: 9.1.2 Critical Event Report (CS-23) Procedure",Missouri,Rules,"2023, 2022, 2021","Investigations, Reporting requirements",,,"When a Children’s Service Supervisor becomes aware of a critical event or any other event requiring critical event notification, the supervisor will: Complete a CS-23 and send to Central Office and CC the Circuit Manager and Regional Director via email at: DSS.CD.CriticalEventReport@dss.mo.gov If unable to access email, fax CS-23 form to 573-526-3971. Notification should be sent to Central Office within one business day. When completing the CS-23 the following should occur: Thoroughly review the FACES system for current involvement or prior history with the Division on all persons listed with available DCN, date of birth, social security number, or name on the CA/N report using the Call/Case Prior History Search screen. If the residence county or state differs from the county receiving information, the county that received the information is responsible for completing the CS-23. However, the reporting county may need to explain on the form that the other county (or state) may have additional information. Staff should provide designated probation and parole staff a copy of the CS-23 when a common client is involved and notification is reasonably necessary to ensure the safety of a child or to assist in the CA/N investigation.",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-9-fatalitycritical-event-reporting-and-review-protocol-subsection-1-1
"MO :: Section 8, Chapter 9 (Fatality/Critical Event Reporting and Review Protocol), Subsection 1 – Critical Event Categories :: 9.1.1 Critical Event Categories",Missouri,Rules,"2023, 2022, 2021","Investigations, Legal process, Reporting requirements",,,"Critical events are classified by category, which determines the Division’s review of the incident. Categories are as follows: Child fatality, near fatality, suicide or serious bodily injury Active Agency Involvement at the time of Critical Event (e.g., investigation, assessment, referral, FCS/IIS) Victim child is in the legal custody of the Children’s Division Prior Children’s Division involvement with the family of concern within the past three years or if child is under 5, any prior involvement. If none of the above apply: Child abuse/neglect investigation associated with the critical event Events that do not meet criteria above, but are still considered serious and need to be reported to Central Office via the CS-23 include: Media Attention – has or is likely to generate media attention Child in foster care who was subjected to sexual abuse, exploitation or assault Threats to employee safety Definitions for Critical Events Near Fatality “An act that, as certified by a physician, places the child in serious or critical condition.” For example, if hospital records reflect that the child’s condition is “serious” or “critical,” this would be considered a “near fatality”.  [See, Child Abuse Prevention and Treatment Act (CAPTA), as amended (42 U.S.C. 5101 et seq.) – sections 106(b)(2)(B)(x) and (b)(4)(A)] Serious Bodily Injury Bodily injury which involves substantial risk of death, extreme physical pain, protracted and obvious disfigurement, or protracted loss or impairment of the function of a bodily member, organ, or mental faculty. Definitions for “Other” events requiring a critical event Sexual Abuse The term “sexual abuse” is defined as, “any sexual or sexualized interaction with a child, except as otherwise provided in paragraph 2 below. Sexual abuse shall include, but is not limited to: Any touching of the genitals, anus or buttocks of a child, or the breast of a female child, or any such touching through the clothing; any act involving the genitals of a child and the hand, mouth, tongue, or anus of another person; or any sexual act involving the penetration, however slight, of a child’s mouth, penis, female genitalia, or anus by any body part of another person, or by any instrument or object. Any conduct that would constitute a violation, regardless of arrest or conviction, of Chapter 566, RSMo., if the victim is less than eighteen (18) years of age, section 567.050, RSMo if the victim is less than eighteen (18) years of age, sections 568.020, 568.060, 568.080, or 568.090, RSMo, sections 573.025, 573.035, 573.037, or 573.040, RSMo, or an attempt to commit any of the preceding crimes; Sexual exploitation of the child, which shall include: (I) Allowing, permitting, or encouraging a child to engage in prostitution, as defined by state law; or (II) Allowing, permitting, encouraging, or engaging in the obscene or pornographic photographing, filming, or depicting of a child as those acts are defined by state law. This includes the storage or transmission of any data depicting said obscene or pornographic acts, images, or recordings. Any reasonable interaction with a child, including touching a child’s body for the purpose of providing the proper or necessary care or support of the child, shall not be considered sexual abuse. The touching of a child’s body, including a child’s genitals, buttocks, anus, or breasts for reasonable, medical, child rearing, or child care purposes shall not be considered sexual abuse. The division shall not be required to prove that the alleged perpetrator received sexual gratification or that there was an exchange or promise of anything of value as a result of the act of sexual abuse to establish sexual abuse under Chapter 210 or 211, RSMo. The use of force or coercion is not a necessary element for a finding of sexual abuse. Sexual abuse may occur over or under the child’s clothes. The division shall not be required to prove that the child suffered trauma or harm as a result of the act of sexual abuse. A child cannot consent to a sexual or sexualized act or interaction with a person responsible for that child’s care, custody, and control. Sexual Assault The term “Sexual Assault” shall include the following: Chapter   566 Sexual Offenses – The acts of rape, forcible rape, statutory rape (1 st and 2 nd degree), sexual assault, sodomy, forcible sodomy, statutory sodomy (1 st and 2 nd degree), child molestation (1 st and 2 nd degree), deviate sexual assault, sexual misconduct and sexual abuse, or attempts to commit any of the aforesaid 020   Incest. 060   Abuse of a child and penalty. – The act of abuse of a child which involving sexual contact 080   Child used in sexual performance, penalties. – The act of use of a child in a sexual performance; and 151   Enticement of a child, penalties. – The act of enticement of a child or any attempt to commit such act.",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-9-fatalitycritical-event-reporting-and-review-protocol-subsection-1-0
"MO :: Section 8, Chapter 9 (Fatality/Critical Event Reporting and Review Protocol), Subsection 1 – Critical Event Categories :: Intro",Missouri,Rules,"2023, 2022, 2021",Reporting requirements,,,"The Critical Event Protocol is a process for the reporting, reviewing and documenting the Division’s response to significant events involving a child, such as child deaths, suicides or serious physical injury as well as other circumstances requiring critical event response.",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-9-fatalitycritical-event-reporting-and-review-protocol-subsection-1
"MO :: Section 8, Chapter 7 (Contracted Services), Subsection 2 – Children’s Treatment Services (CTS) :: 7.2.12 Paying for Medical Records",Missouri,Rules,"2023, 2022","Administrative process, Forms - Financial, Services while in care - Medical",,,"Fees for copies of medical records are made on a Payment Request using CT-CT, service code RCRD. If the provider to be paid does not have a vendor number, staff will assign a vendor number according to the instructions in the FACES Financial System Payment Handbook . Attach the bill to the Payment Request and send the Payment Request and attachments to the FACES Payment Unit.  Payments for medical records for AC children and CA/N investigations should never be paid via a DBF-14. The maximum reimbursement rates for paying providers for medical records were changed effective February 1, 2020.  The new amounts are: A copying fee of $26.06 and $0.60 cents per page for the cost of supplies and labor for copies provided in paper form An additional fee of $24.40 if the records are maintained off-site Copies provided electronically (e.g. disc, fax, email) have a maximum copying fee of $114.17 total, whichever is less Postage to include packaging and delivery cost These rates are per State Statute 191.227 RSMo. In accordance with the law, effective February first of each year, the fees listed shall be increased or decreased annually based on the annual percentage change in the unadjusted, U.S. city average, annual average inflation rate of the medical care component of the Consumer Price Index for All Urban Consumers (CPI-U). The department of health and senior services shall report the annual adjustment and the adjusted fees authorized in this section on the department’s internet website by February first of each year. CTS Catalog of Services: http://dss.mo.gov/bids/ Related Practice Points and Memos: 1-10-20 – CD20-05 – Children’s Treatment Services 9-22-20 = CD20-45- Medical Record Fees",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-7-contracted-services-subsection-2-childrens-treatment-services-cts-4
"MO :: Section 8, Chapter 7 (Contracted Services), Subsection 2 – Children’s Treatment Services (CTS) :: 7.2.11 Legal Fees",Missouri,Rules,"2023, 2022","Administrative process, Legal process",,,"When paying legal fees directly to an attorney for a child in the custody of the Division, the fees should be reimbursed to the attorney or adoptive parent/guardian. If the provider needs to be assigned a vendor number, staff should assign a vendor number according to the instructions in the FACES Financial System Payment Handbook . If the child has not been in CD custody or the court has ordered CD to pay for legal fees for a natural parent, payments must be entered in Central Office. Please be sure to attach a copy of the court order to the Payment Request, along with a signed W9 Form if the provider does not have a vendor number.  The service code in both situations is LEGL. Guardianship payments for children in CD custody are paid as vendor type UN and program area AC with a service code of LEGL. For children not in the custody of the Division prior to guardianship, these are paid using CT/CT and service code of LEGL.  The maximum reimbursement is $500 per child. Related Practice Points and Memos: 1-10-20 – CD20-05 – Children’s Treatment Services 9-22-20 = CD20-45- Medical Record Fees",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-7-contracted-services-subsection-2-childrens-treatment-services-cts-3
"MO :: Section 8, Chapter 7 (Contracted Services), Subsection 2 – Children’s Treatment Services (CTS) :: 7.2.10 Medical Examinations (SAFE Network and Other Medical Examinations)",Missouri,Rules,"2023, 2022",Services while in care - Medical,,,"Medical Examinations needed during a CA/N Investigation Related subject: Section 2 Chapter 4 1.3.1 Investigations Involving Reported Injuries and Sexual Maltreatment SAFE Network (Sexual Assault Forensic Examination Network): This is a group of medical professionals who provide comprehensive examinations of child victims of sexual assault.  All examinations by SAFE Network physicians are reported on a uniform medical report form and are performed through established protocol.  The rate is reimbursed by completing the payment request in FACES with a copy of the itemized bill submitted it to Central Office for second level approval, if the child is not eligible for Medicaid. The Division pays for medical examinations related to child abuse investigations when other payment resources (e.g., Medicaid, private insurance, direct payment by parents, etc.) are not available. Medical payments for Sexual Assault Forensic Exams as a result of a child abuse and neglect investigation are paid at the established Medicaid rate. Related Practice Points and Memos: 1-10-20 – CD20-05 – Children’s Treatment Services 9-22-20 = CD20-45- Medical Record Fees",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-7-contracted-services-subsection-2-childrens-treatment-services-cts-2
"MO :: Section 8, Chapter 7 (Contracted Services), Subsection 2 – Children’s Treatment Services (CTS) :: 7.2.9 Paternity Testing Contract",Missouri,Rules,"2023, 2022","Administrative process, Contracting with private organizations, Legal process, Reporting requirements",,,"In most instances FSD will be able to schedule and pay for genetic parentage testing. However, FSD will not schedule or pay for testing when the legal paternity of a child has been established. For FSD purposes, “Legal paternity” is established when: An administrative or judicial order determines a man to be a child’s father, or Father named on the birth certificate, or The parents completed an Affidavit Acknowledging Paternity on the Missouri–born child after July 1, 1997, or The parents acknowledged paternity of the out–of–state–born child on an affidavit, filed the affidavit in the state where the child was born, and that state’s law provides that a paternity acknowledgment by affidavit establishes a legal finding of paternity. In these situations, FSD will not schedule or pay for genetic parentage testing. Additional FSD policy on this topic can be found in CSE Procedural Manual, Section IX, Chapter 6. When legal paternity has not been established for the child, FSD will continue to schedule and pay for genetic tests on cases referred by CD staff. PROCEDURES FOR REFERRALS TO FSD: When FSD is able to schedule and pay for genetic parentage testing, CD staff should proceed as follows: Mail the completed CS-201AC along with court order(s) for genetic testing to the Family Support Division, P.O. Box 6790, Jefferson City, MO 65102-6790, or Email completed CS-201AC along with court order(s) for genetic testing to FSD.IntakeCenter@dss.mo.gov. The CS-201AC instructions have been updated to include the list of required documents. Eligibility Analysts submitting the CS-201AC should ensure all fields are complete and indicate “not applicable” or “N/A” in any section of the form that does not apply. PROCEDURES WHEN CD IS RESPONSIBLE FOR SCHEDULING GENETIC TESTING When FSD is able to schedule and pay for genetic parentage testing, CD staff should proceed as follows: Send to the CD Regional Liaison the following: Completed Referral/Information For Child Support Services/AC (CS-201AC) Court Order(s) for genetic testing Additional documents if applicable: Protective Custody Order Marriage Certificate Divorce Decree Out-of-State Birth Certificate Adoption Order Genetic Testing Order Any Juvenile Court Order Requiring Parents to Pay Child Support CD Regional Liaison will verify based on the packet that it is a FSD case for genetic testing and log the case on an Excel spreadsheet with the participant names, DCNs, case manager, date received, case number, county, date sent packet to FSD, date test results are received, date test results sent to case manager. In the event the CD Regional Liaison determines it is not a FSD case due to a father being listed on the birth certificate, the CD Regional Liaison will request a Paternity Scheduling Request (CD-37). CD Regional Liaison will keep an electronic copy of the packet and then submit packet to FSD by one of the two methods: Mail the completed packet to Family Support Division, P. O. Box 6790, Jefferson City, MO 65102-6790, Email completed CS-201AC along with court order(s) for genetic testing to FSD.IntakeCenter@dss.mo.gov CD Regional Liaison will email case manager with the date and method (mail or email) the CS-201AC was sent to FSD FSD will send all correspondence to the Regional Liaison to include but not limited to: Requests for any missing or changed information in regards to addresses Testing results CD Regional Liaison will: Correspond with the case manager on any missing or changed information, Will send test results, and Maintain an electronic copy of the test results. The CS-201AC instructions have been updated to include the list of required documents. Eligibility Analysts submitting the CS-201AC should ensure all fields are complete and indicate “not applicable” or “N/A” in any section of the form that does not apply. PROCEDURES WHEN CD IS RESPONSIBLE FOR SCHEDULING GENETIC TESTING When CD requests or is court ordered to seek a genetic test and FSD is not able to schedule or pay for genetic testing, CD will be responsible for scheduling the test. In these cases, CD staff should work directly with the assigned CD Regional Liaison and complete the following steps: Send to the CD Regional Liaison the following: Paternity Testing Scheduling Request (CD-37), with identifying information including DCN’S and social security numbers for child, alleged father(s) and mother, addresses, and with whom they want the child tested. All participants must have DCNs for the referral to be accepted, this includes an alleged father who may or may not be part of a case plan. When possible the Case Manager should include the mother in all genetic testing. This is important in that when the mother is also tested it gives a much higher validity to the test. Birth certificate of the child(ren) to be tested This is to verify that it should be a CD case (father listed on birth certificate) and not an FSD case (no father listed on birth certificate) Copy of court order(s) Case managers will be responsible for the following: Ensure the individuals that need to be tested receive written notification of the testing date, time, location, and address DO NOT provide copies of the CD-37 as it contain confidential information on other individuals that should not be shared Inform the individuals of the following information for day of testing: Bring a photo ID/birth certificate with them to the testing location DO NOT eat or drink for 30 minutes prior to testing All alleged fathers who are minors must have a parent/guardian present at testing If the mother is a minor but has a child, she is considered emancipated Regional Liaison Steps for Genetic Testing CD Regional Liaison will complete the following steps: Review documents to ensure that the case is a CD case and doesn’t require the CD-201AC for FSD In the event there is not a father listed on the birth certificate, Regional Liaison will request case manager to complete the CS-201AC and submit documents so that a packet can be sent to FSD for genetic testing For CD cases the Regional Liaison will then schedule the appointments for testing and will update the CD-37 with the testing appointment information to include: Date, time, location, and address Regional Liaison will then send the CD-37 to the case manager via fax, scan and email, or hand delivery for the case manager to send the appointment information to the parties listed on the CD-37 Regional Liaison will maintain an electronic copy of the following: Original CD-37 Paternity Scheduling Request Copy of the court order Copy of the complete referral sent Test results Maintain an Excel spreadsheet of all referrals made for the Region to include at a minimum: Participant names DCNs Case manager name at time of referral (any case manager changes) Date received Case Number (assigned by the contracted genetic testing contractor) County Date initiated Date tested Date concluded Date test results sent to case manager Payment of Testing and Copy of Results The contractor will send invoice for payment and results of the test to the respective CD Regional Liaison to the address provided. Upon receiving the results the Regional Liaison will send the results to the referring Case Manager. The Regional Liaison will process the invoice for payment. Regional Liaison will keep a copy of the referral form in the Regional Office. Related Practice Points and Memos: 1-10-20 – CD20-05 – Children’s Treatment Services 9-22-20 = CD20-45- Medical Record Fees",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-7-contracted-services-subsection-2-childrens-treatment-services-cts-729
"MO :: Section 8, Chapter 7 (Contracted Services), Subsection 2 – Children’s Treatment Services (CTS) :: 7.2.8 Statewide Drug Testing Contract",Missouri,Rules,"2023, 2022","Investigations, Legal process, Services while in care - Medical",,,"The Children’s Division may conduct drug or alcohol testing services of clients (e.g. parents, caretakers or children in out-of-home care) to comply with court orders. These services may also be utilized without a court order with circuit manager approval when deemed appropriate during child abuse/neglect investigations or family assessments or with open FCS, FCOOHC or adoption cases. All data, information, and results related to client drug testing are confidential. Disclosure of information will only be to those individuals whose official business duties necessitate disclosure or as required by law. Funding for this service is available through a variety of sources, including the Juvenile Office, Drug Courts, a substance abuse treatment facility, MO HealthNet, Managed Care or through the client’s own insurance. CTS funding should be utilized as a last resort after all other funding sources have been pursued.  CTS funding is primarily for court ordered drug testing, but this contract may also be used for non-court ordered drug testing, but only with the Circuit Manager’s approval. Drug testing can be accessed through the Office of Administration’s statewide drug testing contract with Guardian Medical Logistics (GML). Staff should attach an itemized bill with the CPT (current procedural terminology) codes; and submit to Central Office. Reimbursement for the screenings will be made at MO HealthNet or State contracted rates. In the event that GML is unavailable, staff can access drug testing through other CTS contracts as outlined in Sec. 8, Ch. 7.2.2 above. Related Practice Points and Memos: 1-10-20 – CD20-05 – Children’s Treatment Services 9-22-20 = CD20-45- Medical Record Fees",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-7-contracted-services-subsection-2-childrens-treatment-services-cts-728
"MO :: Section 8, Chapter 7 (Contracted Services), Subsection 2 – Children’s Treatment Services (CTS) :: 7.2.7 Transportation Contract",Missouri,Rules,"2023, 2022",Services while in care - Medical,,,"Contractors must provide round trip transportation service for clients between their residence, and other designated location. In addition, the contractor must also transport authorized members of client’s family or foster family.  A member of the client’s family or foster family will either be accompanying the client or, together with the client, be accessing services as a family group. Clients under the age of twelve (12) years will be accompanied by authorized members of their family or foster family. Service codes for these services are: TRAN – Transportation TRMD – Transportation, Medical TROM – Transportation, Other Contractors shall only transport those clients for whom they have received prior written authorization from the state agency. Purchase of transportation, by miles traveled, to transport clients to and from services, e.g. to medical appointments, counseling sessions, etc. Services above are available on a statewide basis. MO HealthNet is used in lieu of CTS, when available. Related Practice Points and Memos: 1-10-20 – CD20-05 – Children’s Treatment Services 9-22-20 = CD20-45- Medical Record Fees",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-7-contracted-services-subsection-2-childrens-treatment-services-cts-727
"MO :: Section 8, Chapter 7 (Contracted Services), Subsection 2 – Children’s Treatment Services (CTS) :: 7.2.6  Interpretative and Counseling Services for the Deaf",Missouri,Rules,"2023, 2022",Services while in care - Medical,,,"Services under this contract provide special services for deaf persons. Persons eligible for these services include: Abused and neglected deaf children; Deaf members of their families; and Deaf applicants for, or recipients of, public assistance benefits for CD. Related Practice Points and Memos: 1-10-20 – CD20-05 – Children’s Treatment Services 9-22-20 = CD20-45- Medical Record Fees",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-7-contracted-services-subsection-2-childrens-treatment-services-cts-726
"MO :: Section 8, Chapter 7 (Contracted Services), Subsection 2 – Children’s Treatment Services (CTS) :: 7.2.5 Language Translation and Interpretive Services for People with Hearing Loss Contracts",Missouri,Rules,"2023, 2022",Contracting with private organizations,,,"The State of Missouri contracts with several agencies to provide interpretive services for people with hearing loss. Staff should only use those providers who are contracted for interpretive services. To obtain a copy of the contract that contains a list of the providers and their rates, staff should call Contract Management. If a provider is used who is not contracted and it is anticipated they will be paid over $3,000 in a year, staff should call Contract Management to obtain a contract. Related Practice Points and Memos: 1-10-20 – CD20-05 – Children’s Treatment Services 9-22-20 = CD20-45- Medical Record Fees",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-7-contracted-services-subsection-2-childrens-treatment-services-cts-725
"MO :: Section 8, Chapter 7 (Contracted Services), Subsection 2 – Children’s Treatment Services (CTS) :: 7.2.4 Crisis Funds Disbursement Contract",Missouri,Rules,"2023, 2022",Services while in care - Financial,,,"Crisis Funds Disbursement Contracts, formerly known as Crisis Intervention Services, are contracted with other governmental entities to provide immediate funds to an individual or family in order to alleviate or diffuse a situation of immediate crisis. These funds allow the Division to address the critical financial and resource needs of families served by the Division.  The funds are utilized for families being investigated for child abuse/neglect who are receiving services. The service is accessed only when other resources to alleviate the crisis have been fully explored.  Eligible services include home repair, child safety items, health related purchases, employment/school supplies, household items, rent/mortgage arrears, and transportation. Related Practice Points and Memos: 1-10-20 – CD20-05 – Children’s Treatment Services 9-22-20 = CD20-45- Medical Record Fees",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-7-contracted-services-subsection-2-childrens-treatment-services-cts-724
"MO :: Section 8, Chapter 7 (Contracted Services), Subsection 2 – Children’s Treatment Services (CTS) :: 7.2.3.2 Intensive Family Reunification Services Contract",Missouri,Rules,"2023, 2022","Reunification, Services while in care - Mental Health, Services while in care - Therapies (not mental health)",,,"The Intensive Family Reunification Services (IFRS) Contract is similar to IIS, except that the intensive services are focused on efforts to reunify children to their families. The essential elements of the IFRS Program Include: One or more children in the family must be at imminent risk of out-of-home placement; No waiting list for services; Specialists’ availability within 24 hours of referral; Home-based service orientation; Focus on the entire family as the service recipient; Intensive intervention; Specialists’ availability to family 24-hours per day, seven days per week; Specialists’ delivery of both concrete and counseling services; Regular staffing conducted between the specialist, supervisor, referral agent, follow-up provider and other pertinent individuals; Crisis intervention fund available for family emergency needs and treatment enhancement; Time limited service period; Coordination of IFRS follow-up services;and Specialists possess specific educational and training requirements. Related Practice Points and Memos: 1-10-20 – CD20-05 – Children’s Treatment Services 9-22-20 = CD20-45- Medical Record Fees",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-7-contracted-services-subsection-2-childrens-treatment-services-cts-1
"MO :: Section 8, Chapter 7 (Contracted Services), Subsection 2 – Children’s Treatment Services (CTS) :: 7.2.3.1 Intensive In-Home Services",Missouri,Rules,"2023, 2022","Services while in care - Mental Health, Services while in care - Therapies (not mental health)",,,"Intensive In-Home Services (IIS) are intensive in nature, provided in the home setting and designed to prevent the unnecessary out-of-home placement of children. These services are provided only to families authorized by the state agency where the following conditions exist: There is a child abuse or neglect situation or a child who has committed a status offense. (Some projects also accept referrals on delinquent children and children with severe emotional disturbances); One or more child(ren) will be placed in out-of-home care within 48 hours unless the family crisis can be resolved; and The family will accept Intensive In-Home Services and the safety of the child(ren) and In-Home Specialist is reasonably assured. The model represents a psycho-educational crisis intervention approach which emphasizes teaching and skill building during periods when the family is in crisis and most susceptible to change. As the current crisis is resolved, the family is taught alternate responses to minimize future problems. There are no waiting lists for the provision of services. Families referred for these services are accepted for assessment on a first-come, first-serve basis.  The contractor accepts all referrals for assessment unless the caseload of the specialist will not allow for the provision of immediate services.  If available to provide services, the specialist must see the family within 24 hours of the initial referral.  Upon determination that the family is appropriate for IIS, the specialist completes a family assessment that evaluates the safety of the children and of all family members.  A treatment plan is developed with the family that sets achievable and measurable goals. Specialists are available to the family 24 hours per day, seven (7) days per week. Depending upon the needs of the family, the IIS specialist delivers a wide variety of educational and counseling services.  Specialists must also, if necessary, transport clients, complete household chores, and obtain additional community services for families. A crisis intervention fund is maintained for dispensing funds as authorized by CD to provide concrete services to meet the basic or emergency needs of families receiving IIS. When no other resources exist, this fund is used to pay reasonable immediate expenses for families to assist them in resolving the crisis that might otherwise result in removal of a child.  Funds are dispensed upon the approval of the Division.  The types of expenses covered may include, but are not limited to, rent, clothing, utilities, auto repair, gasoline, pest control, laundry cost, food, etc. If the assessment determines a family is not appropriate for IIS, the contractor is reimbursed for their time spent screening the family for services. The essential elements of the IIS Program Include: One or more children in the family must be at imminent risk of out-of-home placement; No waiting list for services; Specialists’ availability within 24 hours of referral; Home-based service orientation; Focus on the entire family as the service recipient; Intensive intervention, up to 20 hours per family (or more, if needed), per week; Specialists’ availability to family 24-hours per day, seven days per week; Specialists’ delivery of both concrete and counseling services; Regular staffing conducted between the specialist, supervisor, referral agent, follow-up provider and other pertinent individuals; Crisis intervention fund available for family emergency needs and treatment enhancement; Time limited (six week maximum) service period; Specialists’ caseloads limited to two families; Coordination of IIS follow-up services; Specialists possess specific educational and training requirements; and, Intensive In-Home Services are available statewide for the benefit of all Missouri families. Related Practice Points and Memos: 1-10-20 – CD20-05 – Children’s Treatment Services 9-22-20 = CD20-45- Medical Record Fees",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-7-contracted-services-subsection-2-childrens-treatment-services-cts-0
"MO :: Section 8, Chapter 7 (Contracted Services), Subsection 2 – Children’s Treatment Services (CTS) :: 7.2.2 Non-Therapeutic Services",Missouri,Rules,"2023, 2022","Reporting requirements, Services while in care - Medical, Services while in care - Mental Health, Services while in care - Therapies (not mental health)",,,"Non-therapeutic Services are intended to provide a way for the Division to offer a variety of services as needed based on the identified needs of children and families. The client or group of clients served through non-therapeutic services must have active/open CA/N, case management or adoption involvement with the Division. Services intended to prevent further incidents of child abuse and neglect, to meet the case specific needs of children, and families with open/active involvement with the Division. The following is a listing of the types of non-therapeutic services: Day Treatment: This service includes therapeutic day treatment for emotionally disturbed, developmentally disadvantaged and abused or neglected children. Day treatment is an intensive service array of services provided in a structured, supervised environment designed to reduce symptoms of a psychiatric disorder and maximize functioning. Services are individualized based on the child’s needs. This service also includes support services for members of the child’s birth family, foster family, adoptive family or guardianship family. Services are intended to prevent out-of-home placement, placement disruption, and to return children to traditional child care or school settings as soon as possible. Children must be diagnosed within Axis I of the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders) . Domestic Violence Batterer’s Intervention Program: Domestic Violence Batterer’s Intervention Program is a service intended to provide treatment for people who have used violence to exert power and control over another person. The intervention program is intended to help clients modify behavior patterns and break the cycle of violence by learning new skills around power and control, and accountability and communication. The program provides educational group sessions for people who are abusive in their relationships (abusive can be physical, emotional, mental, or sexual). Drug Testing: This service provides drug and alcohol testing for a Department client, at the request of the Department. Each client receiving drug testing services must be listed on an open case or investigation/assessment function. This drug testing service should only be utilized when the Office of Administration’s statewide drug testing contract with Guardian Medical Logistics (GML) cannot be utilized. The following drug tests are available through CTS: Urine, Five Panel Test Urine, Nine Panel Test Urine, Ten Panel Test Urine, Eleven Panel Test Hair Follicle, Five Panel Test Hair Follicle, Nine Panel Test Hair Follicle, Ten Panel Test Hair Follicle, Eleven Panel Test Medical Review Officer Test Results Review Drug Specimen Positive Confirmation Test Alcohol testing; breathalyzer or urine Oral fluid testing For non-court ordered situations, the Children’s Service Worker may have reasonable suspicion that the child’s parent(s) or caretaker(s) are using an illegal substance and may request authorization from the Circuit Manager to request that the parent(s) or caretaker(s) submit to a drug-screening test. Without a court order the parent(s) or caretaker(s) may decline the drug-screening test, at which time the worker will document the reason for the request and the client’s refusal as a manual activity. If they decline, the test may NOT be pursued further without a court order. Family-Centered Services Case Consultation: Family-Centered Services Case Consultation is to provide consultation services to designated recipients regarding specific families and/or general family practice either in individual or group session formats. The services shall be reflective of a Family-Centered Model for accomplishing child protective services and in-home child welfare services. This service is NOT to be authorized for participation in Family Support Team (FST) meetings. This service is for the provider to facilitate the meeting. Family-Centered Services Family Meeting: Family-Centered Services Family Meeting is to provide assistance to designated recipients with the purpose of enhancing the skills of the designated recipients in conducting/facilitating meetings regarding families involved with Department and to serve families. This may include intact families, families with children at imminent risk of out-of-home placement, and families with children in out-of-home care. The services shall be reflective of a Family-Centered Model for accomplishing child protective services and in-home child welfare services. Family meetings include, but are not limited to, family support team meetings, family staffing, family conference, and team decision meetings. Nursing Services: Nursing Services, also considered as private duty nursing, is professional nursing care for assigned pediatric clients in a home care environment. The contractor and/or personnel shall provide nursing services in accordance to the child’s individualized Plan of Care established by the child’s treating physician. The contractor evaluates, assesses, and documents the pediatric nursing process. Nursing Services do not take the place of the parent/guardian or placement provider’s supervision duties. Parent Aide: Parent Aide services include the placement of a trained parent aide in the home of a family authorized by the Department as part of the family/client’s case service plan. The family must have an open Family Centered Services and/or Family Centered Out of Home Care (FCOOHC) case with the Department. At least one (1) parent and one (1) child must be present. Services shall be provided primarily in the home of the family/client. The contractor may assist the parent(s) in the development of parenting and home management skills through both teaching and modeling, with a goal of reaching an acceptable level of family functioning and maintenance of the physical environment. The parent aide shall not be used to provide supervised visitation or transportation services. Parent Education and Training Program: The Parenting Education and Training Program is meant to bring evidence based, parent education and training to the clients of the Department. The purpose is to bring a consistent standard of quality services resulting in positive outcomes for children and families. It is desired that the parent be able to demonstrate one or more new skills taught by the contractor in their instructional program. Personal Assistance (Behavioral): Personal Assistance may provide services that include any activity of daily living (ADL) or instrumental activity of daily living (IADL) to a client of the Department. Such services may include, but are not limited to: bathing, toileting, transfer and ambulation, skin care, grooming, dressing, extension of therapies and exercise, care of adaptive equipment, meal preparation, feeding and incidental household cleaning and laundry. Services may also include assisting a client with shopping, banking, budgeting, using public transportation, social interaction, recreation, and leisure activities. Assistance may be given for accompaniment, cueing and minor problem-solving necessary to achieve increased independence, productivity and inclusion in the community. Personal Assistance (Medical): Personal Assistance Services activities may include any activity of daily living (ADL) or instrumental activity of daily living (IADL) to a client of the Department. Such services may include, but are not limited to, bathing, toileting, transfer and ambulation, skin care, grooming, dressing, extension of therapies and exercise, care of adaptive equipment, meal preparation, feeding and incidental household cleaning and laundry. Pervasive Developmental Services Coordinator: The Pervasive Developmental Services Coordinator provides assistance with treatment plan development, consultation, environmental manipulation and training to and for clients with developmental disabilities whose maladaptive behaviors are significantly disrupting their progress toward a successful family environment. The contractor shall locate services and assist in referrals to service providers as needed to help meet the client’s needs. The contractor will also provide training and consultation with the client’s caregivers and service providers as needed to assist in caring for the client. The Pervasive Developmental Services Coordinator will assist the client and/or the client’s caregivers in designing and implementing specialized programs to enhance self-direction, independent living skills, community integration, social, leisure, and recreational skills. The Pervasive Developmental Services Coordinator will evaluate the client’s setting, schedule, typical daily activities, relationships with others that make up the supports for an individual including their caregivers and any service providers. The Pervasive Developmental Services Coordinator will then develop and implement strategies to help teach the client skills to promote more positive interactions between the client and their support system. Respite Care: Respite Care is the provision of temporary care for children, from birth to 18 years of age. Respite may be utilized when families are experiencing crisis that would significantly elevate the risk of abuse or neglect. Respite also allows family members to have a break from each other. The client must have an open case function in order to be eligible for respite services. Respite services under the Children’s Treatment Services contract shall not be used for children in alternative care or for children under adoption or guardianship subsidy. Respite is not to be utilized as a substitute for child care. Periodic and/or intermittent, temporary substitute care for the purposes of this contract means a minimum of twelve (12) hours up to twenty-four (24) hours per child and no child shall receive respite care under this or any other contract for more than twelve (12) days (twenty-four (24) hour periods) in a state fiscal year. Service Delivery Coordination: Service Delivery Coordination is designed to coordinate the following: Development, identification, and/or acquisition of resources for parents in need of a variety of services. Assistance with case management activities which may include: Supervising family visits; Accessing resources for placement stability’ Behavioral management; Child Care Services; Public assistance; Medical or mental health services; and/or Additional resources as identified by the Department This service is not to be used as a staff position beyond what is required above, unless approved in writing by the Department. The Service Delivery Coordination shall not be used to provide transportation services. Substance Abuse Treatment Services : Substance Abuse Treatment Services include thorough client assessments and client specific treatment interventions designed to address alcoholism, drug dependence and addiction. Transportation : Transportation shall be utilized in direct alignment with the treatment plan goals as identified in Family Support Team (FST) meetings. Transportation for a parent(s) will assist in accessing community resources to alleviate the need for an open Family Center Services or Alternative Care case. Availability of handicap vehicles is preferred. Transportation shall only be used for the following: Transporting a child(ren) to and from school Transporting a child(ren) to and from medical appointments Transporting a child(ren) from child care provider, school, or placement location to the location in which a visit will take place with siblings(s)/parent(s) or placement opportunity Transporting parents to visits with their child(ren) Transporting parents to meet with community resources as identified by the case manager which meet the treatment plan goals of the parent as identified in FST meetings Transporting youth with handicap accessible needs as identified above; and/or Other transportation services as approved by Department Transportation (Behavioral) : Behavioral transportation is to be utilized for transporting youth who may be a danger to themselves and/or others. If restraints are required to transport a youth, CD will then obtain written approval from the court. Therapeutic and Non-Therapeutic Service Referrals The Children’s Service Worker should submit a written referral summary to the provider before the provider initiates services with the family member(s). Verbal referrals should be followed up with a written referral. The Children’s Treatment Services (CTS)/Medicaid Referral Summary (CS-13), is used by the Children’s Service Worker to inform the CTS provider of pertinent case information. In most instances, this form will provide the CTS/Medicaid provider with the necessary information to begin his/her delivery of services to the family. Therapeutic and Non-Therapeutic Service Reporting Requirements As case manager, the Children’s Service Worker must monitor the progress of the treatment plan, including the work of contracted providers. The worker shall be in regular contact with the contracted providers in addition to receiving regular written reports. The contractor shall not make changes in the treatment plan including goals, objectives, and specific individual tasks without prior consultation with and concurrence of the Children’s Service Worker. For any therapeutic service that requires a license to practice as issued by the Division of Professional Registration, and/or any non-therapeutic services, the CTS provider must complete and submit the following reports: : Initial progress report within thirty (30) days after services are initiated and shall include, at a minimum, the following information: An explanation of any diagnostic or assessment procedure and service provision used at the inception of service delivery, identification of any assessment tools or test(s) administered and the results of any such test(s) or procedure(s), and any specific problems identified; A summary of the proposed service plan including any specific tasks or objectives the client is expected to attain or accomplish and the expected achievement date; and Results of any drug testing conducted, if applicable. Subsequent follow-up reports at least every sixty (60) days during the authorization period or within seven (7) days prior to the authorization end date for service authorization periods of less than thirty (30) days. Subsequent follow-up reports shall include, at a minimum: A summary of the client’s progress since the last report; Any change(s) to the treatment plan or expected achievement date(s) specified in the initial report; and Any changes to the treatment plan based on the client’s progress toward their expected achievement or attainment of specified goals or objectives since the last report Related Practice Points and Memos: 1-10-20 – CD20-05 – Children’s Treatment Services 9-22-20 = CD20-45- Medical Record Fees",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-7-contracted-services-subsection-2-childrens-treatment-services-cts-722
"MO :: Section 8, Chapter 7 (Contracted Services), Subsection 2 – Children’s Treatment Services (CTS) :: 7.2.1 Therapeutic Services",Missouri,Rules,"2023, 2022","Services while in care - Medical, Services while in care - Mental Health, Services while in care - Therapies (not mental health)",,,"Therapeutic services are primarily intended to provide mental health assessments, psychological testing and treatment to children and families not otherwise eligible, covered, or receiving the specific mental health services by another entity. The following should be considered prior to authorizing services under this contract: All children with an open foster care or adoption case must use a Medicaid provider for any type of behavioral health services. This includes individual and family counseling, testing and assessment, etc. If a non-Medicaid provider serves the client(s), a bill that includes CPT (current procedural terminology) codes must be submitted with the payment request. The CPT codes will be used to determine the amount that Medicaid would have paid. This is the maximum amount that will be paid for that service. Adult clients are not eligible for counseling under straight Medicaid. If they do belong to a Managed Care plan, they are eligible for counseling services, but only through the plan network. Staff should be sure to explore all these options before authorizing counseling through CTS. If counseling services are court ordered, workers still MUST use either a Medicaid provider or a provider who has a CTS contract to provide the specific service needed. Most court orders do not specify which provider is to be used. If a provider is used who does not have a CTS contract, payment will be denied or reduced to the current rate paid under Medicaid. The client receiving the counseling must have active/open CA/N, case management, or adoption involvement with the Division. Therapeutic Services include the following: Assessment: The assessment is usually the first stage of a treatment process, but mental health assessments may also be used for other varying purposes. The assessment includes social and biographical information, direct observations, and data from specifically administered tests. An assessment is most commonly carried out for clinical and therapeutic purposes, to establish a diagnosis and formulation of the individual’s needs, to plan the individual’s care and treatment. Assessments may be performed in an in-patient, out-patient, or community setting. Specialized Clinical Assessment/Psycho-Sexual Evaluation: This is a specialized clinical assessment of adult and juvenile sex offenders, which are also referred to as a psycho-sexual evaluation. These assessments are generally performed by a psychiatrist or a psychologist; however may be performed by a Licensed Professional Counselor (LPC).       Psycho-Sexual Evaluations are generally court ordered and may be utilized for either an adult or juvenile sex offender (client) where the court is trying to determine any of the following: Risk of repeat behavior; Interventions; Specific risk factors; Client’s willingness to participate in recommended treatments and/or interventions; Identifying factors that may prevent engagement in treatment and/or interventions; or Identifying strengths and protective factors Psycho-Sexual Evaluations may be used by judges and/or other parties to make informed decisions regarding the following: Pre-sentencing in Adult or Juvenile Criminal Court; Custody disputes in Family Court; or Child Protection Cases Psycho-Sexual Evaluations shall not be used to determine the following: Guilt or innocence; Whether or not a client is a sex offender; or Whether or not a client meets the profile of a sex offender. Behavioral Health Services: Behavioral Health Services is a clinical and/or therapeutic service provided to a client to meet their behavioral health needs which exceed the maximum allowable units provided by MO HealthNet. Behavioral Health Services are intended to help the child acquire functional skills in their community placement, to prevent hospitalization or placement disruption. The service is intended to address serious behavioral concerns including severe aggression and self-injury that traditional therapeutic techniques have been unsuccessful in treating. Behavioral Health Services may include but not be limited to: Creating a behavior support plan, including the collection and analysis of data related to the child’s behavior. Behavioral modification strategies to assist the child and family (teaching/modeling); Development of coping strategies aimed at keeping the child in the foster/relative/kinship or adoptive/guardianship home; and, Development of appropriate communication skills between the child and the parent/guardian. Crisis Intervention: Crisis intervention may be provided to a client in order to alleviate or diffuse a situation of immediate crisis. The situation must be of significant severity to pose an imminent threat to the client’s well-being or of such severity that the client poses a danger to others. Crisis intervention may be accessed when a family crisis is occurring which may result in child maltreatment. Family Therapy: The focus of this service is to correct family dysfunction so that the children of the family may remain in their home rather than being placed in alternative care or, if in placement, be reunited with the family. The service should be of limited duration, generally three (3) to six (6) months. Services shall include group therapy with the family, with the child present, as authorized, and occasional individual therapy sessions if recommended, including structured interaction led by the provider, communication exercises, role playing, task assignment and analysis, and parenting skills training. Group Therapy: This service is group therapy in the form of guidance and instruction through therapeutic interaction between the provider and a group consisting of at least three (3) but no more than ten (10) individuals, who are not all members of the same family. Individual Therapy: Individual Therapy is an intensive level of client specific therapeutic treatment services. Th focus of individual therapy is to correct client dysfunction so that the children of the family may remain in their home rather than being placed in alternative care or, if in placement, be reunited with the family. Speech Therapy: Speech Therapy is for clients who have speech, language or hearing impairments. The client’s need for this therapy must be determined in a speech/language evaluation conducted by a certified audiologist or a state certified speech therapist. Speech/language therapy (ST) is the evaluation and provision of treatment for the remediation and development of age appropriate speech, expressive and receptive languages, oral motor and communication skills. Speech therapy includes activities that stimulate and facilitate the use of effective communication skills. Speech/language therapy includes treatment in one or more of the following areas: articulation, language development, oral motor/feeding, auditory rehabilitation, voice disorders, and augmentative communication modes. Speech Therapy is a client specific treatment modality. Testing: Testing services include the administration and interpretation of an individual battery of one or more psychological/psychiatric tests appropriate to the needs of the client, the submission of a written report that includes the test results, a professionally appropriate analysis and interpretation of the result of the tests, and a recommendation for treatment. Though often performed directly following the completion of a mental health assessment, psychological/psychiatric testing services may be provided in lieu of or in addition to previously completed mental health assessments as warranted on a case specific basis. Testing services are often utilized to rule various mental health/personality disorders in or out and/or to reach a diagnostic determination. Vision Therapy: Vision Therapy is an individualized, supervised, treatment program designed to correct visual-motor and/or perceptual cognitive deficiencies. Vision Therapy sessions include procedures designed to enhance the brain’s ability to control: Eye alignment; Eye teaming; Eye focusing abilities; Eye movements; and Visual processing. Visual-motor skills and endurance are developed through the use of specialized computer and optical devices, including therapeutic lenses, prisms and filters. During the final stages of Vision Therapy, the clients newly acquired visual skills are reinforced and made automatic through repetition and by integration with motor and cognitive skills. Related Practice Points and Memos: 1-10-20 – CD20-05 – Children’s Treatment Services 9-22-20 = CD20-45- Medical Record Fees",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-7-contracted-services-subsection-2-childrens-treatment-services-cts-721
"MO :: Section 8, Chapter 7 (Contracted Services), Subsection 2 – Children’s Treatment Services (CTS) :: Intro",Missouri,Rules,"2023, 2022","Services while in care - Educational, Services while in care - Financial, Services while in care - Medical, Services while in care - Mental Health, Services while in care - Therapies (not mental health)",,,"Children’s Treatment Services (CTS) are intended to supplement, rather than supplant, the casework of the Children’s Service Worker. These services should be helpful in reducing risk and improving family functioning and are to be identified in the treatment plan. CTS provide services across the Division’s continuum of care. All children and families served through CTS must have active involvement with the Division, such as an open child abuse/neglect (CA/N) investigation, family assessment, family centered service case, foster care or adoption.  CTS are purchased by the Division on behalf of the family and CTS should be used, as a payer of last resort, with children and families to prevent CA/N and to treat the negative consequences of CA/N occurrence.  These services are administered by third party providers, which may include the provision of counseling and therapy; parent aide and education services; and/or, intensive in-home services (family preservation).  Services are provided in order to keep children from entering out of home care as well as to return children safely to their homes or other permanency plan. Children and families may present a multitude of problems, which may require a variety of services. Contracted services to an individual or family should be provided based on the goals developed by the Children’s Service Worker, family or individual, and the provider. Since effective communication between all treatment agents is a prerequisite for successful intervention, the worker must carefully define the nature and scope of services to be delivered. All CTS authorizations should be entered and approved through local protocols.  All CTS payments should be processed as outlined in the FACES Financial Systems Payment Handbook . CTS are established through contracts with vendors statewide to provide the following: Therapeutic services Non-Therapeutic services Intensive In-Home Services Intensive Family Reunification Crisis Funds Disbursement Language Translation and Interpretive Services for People with Hearing Loss Interpretative and Counseling Services for the Deaf Transportation Drug Testing Paternity Testing Medical Examinations (SAFE Network and Other Medical Examinations) Needed during a CA/N Investigation Legal Feeds Paying for Medical Records Emergency medical examination services (related to CA/N investigations Related Practice Points and Memos: 1-10-20 – CD20-05 – Children’s Treatment Services 9-22-20 = CD20-45- Medical Record Fees",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-7-contracted-services-subsection-2-childrens-treatment-services-cts
"MO :: Section 8, Chapter 4 (Child Public Performance and Media Involvement), Subsection 1 – Child Exploitation, Public Performance and Media Involvement :: 4.1.9 Children in Custody Photos for Missing Status",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Court system, Reporting requirements, Services while in care - Other",,,"When making a report of a missing child in care to the National Center for Missing and Exploited Children (NCMEC), staff will be required to provide a photograph of the missing child in order to create a missing child poster. NCMEC does not identify that the child is missing from care, that the child is in the custody of the Children’s Division, or release medical or sensitive information.  A court order is not required to release a photograph of a child in care to either NCMEC or law enforcement when it is being utilized to report a missing child.  Staff may sign NCMEC’s Release Form authorizing distribution of the child’s photograph. Distribution of Posters NCMEC staff will work with the child’s case manager to determine how the missing child poster will be distributed. Staff may distribute posters as appropriate on a case by case basis.  Posters may not be released to the media and should not be posted in areas where their identity as a foster child may be revealed, such as in local offices.  If posters of children missing from care are posted in other public areas, staff must remember to take them down when the child returns.",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-4-child-public-performance-and-media-involvement-subsection-1-child-7
"MO :: Section 8, Chapter 4 (Child Public Performance and Media Involvement), Subsection 1 – Child Exploitation, Public Performance and Media Involvement :: 4.1.7 Youth Unable to Provide Informed Consent 18 and Over",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Adoption, Guardianship, Services while in care - Other",,,"If it is believed that a youth is unable to give informed consent to the requested public performance or media involvement, the Children’s Service Worker and their immediate supervisor shall consult with the Regional Director/Designee for further consultation. Concerns with youth ability to give consent should be grounded in documented physical or mental conditions which would prevent them from entering into other legal contracts. If it is determined that a youth is unable to give consent, the choice to provide consent will be given to the Guardian ad Litem. If the Guardian ad Litem determines that a youth may participate in the public performance or media involvement, they should sign the consent form. If the Guardian ad Litem determines that a youth may NOT participate in the public performance or media involvement, the Children’s Service Worker will notify the requesting agency in writing that the specific public performance or media involvement is not approved. Any concerns about a youth’s ability to give consent or disapproval of a child’s media involvement shall be documented in the youth’s case file. Children in Custody Photos for Adoption The Division shall ensure that the CD-AE-1b is completed by the Court of Jurisdiction or authorized agency personnel for a child in need of special recruitment.",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-4-child-public-performance-and-media-involvement-subsection-1-child-6
"MO :: Section 8, Chapter 4 (Child Public Performance and Media Involvement), Subsection 1 – Child Exploitation, Public Performance and Media Involvement :: 4.1.6 Refusal of Public Performance and Media Involvement 18 and Over",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Aging out of the foster system, Placement, Services while in care - Other",,,"If the youth determines that the requested public performance or media involvement is not in their best interest, the Children’s Service Worker will help them notify the requesting agency in writing that they are not consenting to a specific public performance or media involvement. Any refusals of a youth’s media involvement shall be documented in the youth’s case file. The following examples, while not all inclusive, are reasons for refusing public performance or media involvement: The youth safety and well-being would be at risk; The youth has expressed that he/she does not want to participate; The requesting agency is using the youth to promote its religious beliefs; The requesting agency is placing unreasonable demands for work on the youth; The youth’s identity would not remain confidential; The youth’s current placement would be disrupted; The youth’s treatment and education would be negatively impacted; The youth may be a danger to him or herself or others; or The youth is physically and mentally unable to participate.",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-4-child-public-performance-and-media-involvement-subsection-1-child-5
"MO :: Section 8, Chapter 4 (Child Public Performance and Media Involvement), Subsection 1 – Child Exploitation, Public Performance and Media Involvement :: 4.1.5   Refusal of Public Performance and Media Involvement 17 and Under",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Court system, Guardianship, Placement, Safety, Services while in care - Educational",,,"If it is determined that the requested public performance or media involvement is not in the best interest of the child, the Children’s Service Worker and their immediate supervisor shall consult with the Regional Director/Designee for further consultation. The following examples, while not all inclusive, are reasons for refusing public performance or media involvement: The child safety and well-being would be at risk; The child has expressed that he/she does not want to participate; The requesting agency is using the child to promote its religious beliefs; The requesting agency is placing unreasonable demands for work on the child; The child’s identity would not remain confidential; The child’s current placement would be disrupted; The child’s treatment and education would be negatively impacted; The child may be a danger to him or herself or others; The child is physically and mentally unable to participate; or The Court of Jurisdiction forbids the public performance or media involvement of the specific child. After consultation with the Regional Director/Designee and providing notice to the Court of Jurisdiction of the CD decision, the Children’s Service Worker will notify the requesting agency in writing that the specific public performance or media involvement is not approved. Any disapproval of a child’s media involvement shall be documented in the child’s case file.",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-4-child-public-performance-and-media-involvement-subsection-1-child-4
"MO :: Section 8, Chapter 4 (Child Public Performance and Media Involvement), Subsection 1 – Child Exploitation, Public Performance and Media Involvement :: 4.1.4 Use of a Child’s Personal Works",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Adoption, Foster parent licensing, Guardianship, Permanency, Placement, Social worker licensing/qualifications",,,"To use the personal works of a child, which includes, artwork, posters, poems, woodworks, etc, for public performance or media involvement requires the informed written consent of the child and his/her parent/guardian. In the event that the child and his/her parent/guardian grant permission for the use of such works and the child is credited or identified, only the child’s initials or first name shall be used.",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-4-child-public-performance-and-media-involvement-subsection-1-child-3
"MO :: Section 8, Chapter 4 (Child Public Performance and Media Involvement), Subsection 1 – Child Exploitation, Public Performance and Media Involvement ::         4.1.3 Request for Public Performance and Media Involvement 18 and Over",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Placement, Social worker licensing/qualifications",,,"Any agency wishing to use the name or photograph of a youth in Children’s Division care and custody must notify the youth’s Children’s Service Worker and receive expressed consent from the youth. The Children’s Service Worker shall discuss the public performance or media involvement request with the youth and discuss his/her feelings about the specific request.  Depending on the life experience, and the emotional, cognitive and behavioral capacities of youth, each may benefit from various levels of guidance to make a decision about their name of photograph’s use in media materials. Importantly, the Children’s Service Worker shall explain to the youth that their participation in the public performance or media involvement is strictly voluntary. If the youth expresses interest, and wants to participate in the specific request, they may sign their own release form and participate. Under no circumstances are CD staff authorized to sign a general release form to photograph a youth without the expressed consent of the youth themselves. Furthermore, CD staff shall not share personal identifying information with the media relating to a youth’s case.",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-4-child-public-performance-and-media-involvement-subsection-1-child-2
"MO :: Section 8, Chapter 4 (Child Public Performance and Media Involvement), Subsection 1 – Child Exploitation, Public Performance and Media Involvement :: 4.1.2 Social Media and Children in Custody",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Child rights, Placement, Services while in care - Other",,,"Social Media has created privacy and safety concerns for Foster Care Youth. However, it is seldom realistic to forbid children and youth to use social media. Forbidding social networking may make it harder for youth in foster care to fit in with friends and relate to other teenagers in the community. Resource Parents should provide guidance and boundaries to help youth in their care use social media safely. Resource parents and foster care youth may post photos of the child/youth as long as they do not specifically identify the child/youth as being in foster care. A foster child/youth whose picture has been posted shall not be tagged and should not be identified by name. Identifying information as to the child’s location is also strictly prohibited.",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-4-child-public-performance-and-media-involvement-subsection-1-child-1
"MO :: Section 8, Chapter 4 (Child Public Performance and Media Involvement), Subsection 1 – Child Exploitation, Public Performance and Media Involvement :: 4.1.1   Request for Public Performance and Media Involvement 17 and Under",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Legal process, Placement, Social worker licensing/qualifications",,,"Any agency wishing to use the name or photograph of a child in Children’s Division care and custody must contact the Children Service Worker at least two (2) weeks prior to the scheduled event. The Children’s Service Worker shall consult with their immediate supervisor regarding the request for public performance or media involvement. If age appropriate, the Children’s Service Worker shall discuss the public performance or media involvement request with the child and discuss his/her feelings about the specific request. Importantly, the Children’s Service Worker shall explain to the child that their participation in the public performance or media involvement is strictly voluntary. If the child expresses interest, and asks to participate in the specific request, the appropriate CD staff shall consult with the Court of Jurisdiction on each request for specified child. At no time shall a child be disciplined or punished for the refusal of public performance or media involvement. Under no circumstances are CD staff authorized to sign a general release form to photograph a child without the expressed consent of the Juvenile or Family Court of jurisdiction. Furthermore, CD staff shall not share personal identifying information with the media relating to a child’s case.",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-4-child-public-performance-and-media-involvement-subsection-1-child-0
"MO :: Section 8, Chapter 4 (Child Public Performance and Media Involvement), Subsection 1 – Child Exploitation, Public Performance and Media Involvement :: Intro",Missouri,Rules,"2023, 2022, 2021, 2020, 2019",Legal process,,,"The Children’s Division (CD) prohibits the exploitation of children and supports a child’s right to privacy. The Court’s permission is required for ages 17 and under any time a child’s name or picture is used for public performance and media involvement.  At age 18 and over youth may sign their own media releases.  Public performance includes the following examples, agency fundraising, agency public relations events, speaker’s bureau, residential Open Houses and tours, etc.  Media involvement includes, but is not limited to, television, radio, the Internet, newspaper, magazines, or in any agency newsletter, brochure, flyer, video, or any other form of media.",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-4-child-public-performance-and-media-involvement-subsection-1-child
"MO :: Section 8, Chapter 3 (Research Protections and Data Requests), Subsection 1 – Research Protections and Request for Release of Data :: 3.1.5   Children’s Division Central Office Contact",Missouri,Rules,"2023, 2022, 2021, 2020, 2019",Contact and directory information,,,"Requests to conduct research and requests for agency data should be sent to: Research Committee, Children’s Division, PO Box 88, Jefferson City, MO 65103, or by email to: CD.ResearchCommittee@dss.mo.gov .",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-3-research-protections-and-data-requests-subsection-1-research-6
"MO :: Section 8, Chapter 3 (Research Protections and Data Requests), Subsection 1 – Research Protections and Request for Release of Data :: 3.1.4    Request for Data Procedures Related to Research",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Reporting requirements",,,"CD staff members are to follow procedures when the request for data involves disclosure of client PHI, i.e. social security number (SSN), Departmental Client Number (DCN), Date of Birth (DOB), or client name. There is no need to obtain authorization to release data when no PHI is being requested.  The Health Insurance Portability and Accountability Act (HIPAA) must be considered before data requests are approved.  All data transfers will be done in compliance with the Information Security Management policy, 6-100 http://dssweb/dpl/adman/POLICIES/6-100.pdf (Employee Access Only): All requests for data must be sent to Central Office. The person designated by the Division Director to review all requests for data will complete a Data Transfer Request if applicable http://dsswebapp/grd/DataTransfer/index.asp (Employee Access Only). The designee will consider: Whether request for data is a bona fide request (from any person who is a tenure-track or full-time research faculty member at an accredited institution of higher education engaged in scholarly research, with the permission of the director). Whether request for data was made for bona fide, ethical purposes and its intended use is likely to advance child welfare practice in Missouri. If data to be transferred includes disclosure of client PHI, the designee will forward the Data Transfer Request electronically to the Divisional Privacy Officer. Under comments section of the Data Transfer Request Form, the designee shall describe what data is needed so that the Divisional Privacy Officer has a good understanding of the request Divisional Privacy Officer will receive the request electronically at which time he/she makes the decision whether to approve the request. Divisional Privacy Officer signs off on the request which automatically generates an alert to the CD Security Officer. The CD Security Officer signs off on the request and it automatically goes to Information Technology Services Division (ITSD). Staff from ITSD sends a notification to everyone involved including the individual who initiated the request. The Research and Evaluation Unit of DSS will maintain a file for tracking purposes as required when PHI is involved.",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-3-research-protections-and-data-requests-subsection-1-research-5
"MO :: Section 8, Chapter 3 (Research Protections and Data Requests), Subsection 1 – Research Protections and Request for Release of Data :: 3.1.2 Application Approval/Denial",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Reporting requirements",,,"The Division Director (or designee) will approve (or reject) the research proposal based on the recommendations of the committee members and will forward any approved proposal involving the use of PHI to the Divisional Privacy Officer for further review. The Division Privacy Officer will review the request to determine whether the matter of client PHI disclosure is adequately addressed in the proposal. The Divisional Privacy Officer will relate a position to the Division Director (or designee) whether the matter of PHI release is satisfactorily addressed and may submit the proposal to the Department Privacy Review Board if the proposal requires consideration of an ‘authorization to disclose’ waiver. The DSS Privacy Review Board is comprised of the DSS Privacy Officer, divisional privacy officers under the covered entity (DSS), and one qualified individual appointed by the DSS Director. The DSS Privacy Officer is the chairman of the DSS Privacy Review Board. The Department Privacy Review Board will review the request and determine whether a waiver of the required authorization will be granted. The Divisional Privacy Officer will, in turn, notify the Division Director (or designee) as to whether the Division may proceed (and under what considerations if applicable) where PHI release is an issue. Waiver by the Board of the individual authorization required by Health Insurance Portability and Accountability Act (HIPAA) will be done in compliance with the provisions in 45 CFR 164.512(i). The committee will inform the requestor, in writing, of the decision. This may include contingencies (such as Regional Director approval if needed, reasons for rejection, and/or request for additional information). The requestor is required to allow the Children’s Division Director (or designee) to review the research findings before publication. Failure to share findings in past research projects will be a consideration in the approval of future studies. The requestor is required to send the Children’s Division a copy of final product. The Division Director shall designate a person in Central Office to monitor research activities for adherence to the agreed upon implementation terms in accordance with standards set forth by the Division Director (or designee). The person/s chosen to monitor such approved research requests shall keep a record of all research activities. At least annually, the person/s chosen to monitor approved requests will conduct a review of research involving program participants to assess areas of overall risk to the Children’s Division (in accordance with COA standard RPM 2.01).",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-3-research-protections-and-data-requests-subsection-1-research-2
"MO :: Section 8, Chapter 3 (Research Protections and Data Requests), Subsection 1 – Research Protections and Request for Release of Data :: Intro",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Legal process, Reporting requirements",,,"The Department of Social Services’ (DSS) Children’s Division (CD) permits research and release of data involving persons served in accordance with RSMo. Section 210.150.2 and 3. In doing so, however, the Division exhibits due regard for the study subjects’ participation rights with emphasis in areas of privacy and confidentiality.  All research and release of data involving persons served is conducted in accordance with applicable legal requirements.",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-3-research-protections-and-data-requests-subsection-1-research-0
"MO :: Section 8, Chapter 2 (Personnel), Subsection 2 – Transportation of Children :: 2.2   Transportation of Children",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Contracting with private organizations, Services while in care - Medical",,,"The Children’s Division has basic requirements for employee’s and contracted individuals who are or may be responsible for the transportation of children in CD’s custody. These basic requirements are as follows: A passenger (child) in the CD’s custody will have medical insurance supplied by the Division in case of an accident; An employee or contracted individual of the Division shall supply proof of automobile liability insurance upon request by line of supervision; An employee or contracted individual shall provide annual validation of licenses and driving record upon request by the division; The Division will confirm appropriate license type. An employee or contracted individual shall provide upon request by the Division, current vehicle maintenance or inspection verification. An employee shall read the liability segment in the Risk Management Section of the Office of Administration policy about the extent and limits of liability coverage. To review this section, go to http://www.oa.mo.gov/gs/risk/index.htm and click on liability. Age appropriate passenger restraints shall be used by all passengers; WEIGHT Birth to 1 year & less than 20 lbs Less than 1 year & 20 to 35 lbs. 1 to 4 years & at least 20 to 40 lbs. Over 40 lbs. 4 to 8 years, unless they are 4’9” tall TYPE OF SEAT Infant-only or rear-facing Convertible Rear-facing Convertible Convertible or Forward-Facing Only or High Back Booster/Harness Belt-Positioning Booster (no back, base only) or High Back Belt-Positioning Booster SEAT POSITION Rear-facing only Rear-facing only Forward-facing Forward-facing USAGE TIPS ·    Never use in front seat where an air bag is present. ·    Tightly install child seat in rear seat, facing the rear. ·    Child seat should recline at approximately a 45 degree angle. ·    Infant’s head should not extend beyond the top of the seat’s backrest. ·    Harness straps/slots at or below shoulder level. ·    Harness straps fit snug on the child, leaving no more than one finger’s width between the child and harness; harness clip at armpit level. ·    Never use in a front seat where an air bag is present. ·    Tightly install child seat in rear seat, facing forward. ·    Harness straps should be at or above shoulders. ·    Harness straps fit snug on child, leaving no more than one finger’s width between the child and harness; harness clip at armpit level. ·    Booster base used with adult lap and shoulder belt in rear seat. ·    Shoulder belt should rest snugly across chest, rests on shoulder; and should NEVER be placed under the arm or behind the back. ·    Lap-belt should rest low, across the lap/upper thigh area – not across the stomach.",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-2-personnel-subsection-2-transportation-children-22-transportation
"MO :: Section 8, Chapter 1 (Grievance and Appeals), Subsection 1 – Service Delivery Grievance Process :: 1.1.6   Steps in the Formal Grievance Process",Missouri,Rules,"2022, 2021, 2020, 2019",Administrative process,,,"The formal grievance protocol is to be utilized after all other efforts to resolve the issue or complaint have been exhausted. Other efforts include solution-focused discussions with the worker, the supervisor, and other Family Support Team members. Staff from the county office shall ensure the grievant is fully informed of their right to grieve and when appropriate assure the grievant has a Service Delivery Grievance Form (CS-131) . Level One – Actions taken at this level include the grievant, worker, supervisor, Family Support Team (if needed) and the Circuit Manager or Regional Designee. The goal is to resolve the complaint/grievance at the local county level: The grievant shall initiate the grievance process by submitting a completed Service Delivery Grievance Form, CS-131, to the county office. The grievant shall complete Section A of the grievance form detailing a description of the grievance, and all efforts made by the grievant to resolve the issue with the worker, the worker’s immediate supervisor, and the Family Support Team. The Children’s Service Worker shall help the grievant complete the form if requested. Staff will immediately enter the details of the grievance, as documented by the client, into the Service Delivery Grievance Database upon receiving the completed form. Service Delivery Grievance Database will generate an email notification of the grievance to the Circuit Manager or regional designee. (This however, should not take the place of other communication through supervisory channels regarding the Service Delivery Grievance) Upon receiving the completed Service Delivery Grievance Form , the Circuit Manager or regional designee shall access the Service Delivery Grievance Database and screen the grievance according to policy. Within 15 working days, the Circuit Manager or designee shall by phone or in person, review and discuss in detail the complaint with the grievant, the worker, and the supervisor; and work with all parties to resolve the disagreement or complaint. The Circuit Manager or designee shall prepare and provide the grievant, the worker, and the supervisor with a written response to the grievance by completing Section B of the Service Delivery Grievance Form, indicating actions taken at Level One to resolve the issue. The Circuit Manager or designee shall update the Grievance Delivery Database; and upload the updated CS-131 into the system. The Circuit Manager or designee shall provide the updated copy of the form to the grievant, worker, and supervisor. A copy of the updated grievance form with Level One response shall be placed in the Administrative section of the family record. Level Two – Actions taken during this step include the grievant and the Regional Director or his/her designee: If the grievant does not agree with the response from Level One, he/she may continue the grievance process by returning the grievance form to the Regional Director’s office within 15 working days from the date the written response was received. Within 15 working days of receiving the grievance form, the Regional Director or his/her designee shall review all pertinent information obtained at Level One such as worker involvement and contacts with all necessary individuals. The Regional Director or his/her designee shall contact grievant, by telephone or in person, to listen to and discuss grievance in detail and work together with grievant to resolve the disagreement or complaint. The Regional Director or his/her designee shall prepare and provide the grievant and the Circuit Manager or Regional Designee a written response by completing Section C of the grievance form, indicating actions taken at Level Two to resolve the issue. The Regional Director or his/her designee shall update the Service Delivery Grievance Database, upload the completed grievance form into the system, and provide the updated copy of the form to the grievant and to the Circuit Manager or Regional Designee. A copy of the updated Service Delivery Grievance Form with the Level Two response shall be placed in the Administrative section of the family record. Level Three – This is the final step in the grievance process and involves the grievant and the Children’s Division Director or his/her designee: If the grievant does not agree with the response from Level Two, they may continue the grievance process by submitting the grievance form received from Level Two to the Division Director’s office within 15 working days , by mail or in person, from the date the written response is received from Level Two. Within 15 days of receiving the grievance form, the Children’s Division Director or his/her designee shall review all information pertaining to the grievance at the first two levels such as worker involvement and contacts with other necessary individuals including grievant. The Children’s Division Director or his/her designee shall contact grievant, by telephone or in person, to listen and discuss the grievance in detail. The Children’s Division Director or his/her designee shall complete Section D of the grievance form. The Children’s Division Director or his/her designee shall prepare and mail the grievant a copy of the Service Delivery Grievance Form with the final written response in Section D and forward a copy of the final grievance form to the Regional Director or his/her designee. The Regional Director or his/her designee shall ensure that the final Service Delivery Grievance Form is placed into the Administrative section of the family record. A copy of the final grievance form from Level Three shall be maintained in the office of the Division Director. The Division Director or his/her designee shall enter information regarding Level Three determination from the Service Delivery Grievance Form into the Service Delivery Grievance Database, and upload a copy of the completed form into the system. Confidentiality and Access to Records The documentation that is generated from this process shall be maintained in the family case record, filed in the Administrative Section. Agency personnel will follow the same confidentiality guidelines for information gathered during the grievance process as any other information gathered during Service Delivery. Data for the Continuous Quality Improvement Process The need to track outcomes and the means by which they were achieved is an important part of the quality improvement process. Staff are required to document the grievance in the narrative section of the record and file the Service Delivery Grievance Form in the Administrative Section of the case file. The information received from Level One through Level Three of the grievance process is collected in the Service Delivery Grievance Database and may be aggregated for use in the CQI process. Circuit Managers or Regional Designees, Regional Directors or his/her designee, and the Division Director or his/her designee are responsible for making sure that all Service Delivery Grievance Form information is entered into the Service Delivery Grievance Database at each of their perspective levels in a timely manner.  Reports generated from the Service Delivery Grievance Database are available for discussion during CQI group meetings or may be accessed for the purposes of identifying grievance trends or gaps in service delivery, locally, or statewide. The ultimate goal is to use the information gained from the process to continually build upon our quality service delivery system. Each team that reviews the reports should look for trends related to the quality of services being delivered, program issues, communication, etc. that led to the grievances.  If trends are identified, it is expected that an action plan is developed to remedy the identified area of concern.  Steps that are taken to rectify any of the identified issues should be reported to the next level CQI team and followed-up at the next quarter local team meeting to monitor progress.",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-1-grievance-and-appeals-subsection-1-service-delivery-grievance-5
"MO :: Section 8, Chapter 1 (Grievance and Appeals), Subsection 1 – Service Delivery Grievance Process :: 1.1.5   Agency Don’ts",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Expectations for care, Reporting requirements, Services while in care - Other",,,Don’t prevent the grievant from pursuing his/her right to file a grievance or complaint. Don’t retaliate against any person who participates in or initiates the grievance process. Don’t allow the process to become adversarial or accusatory.,https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-1-grievance-and-appeals-subsection-1-service-delivery-grievance-2
"MO :: Section 8, Chapter 1 (Grievance and Appeals), Subsection 1 – Service Delivery Grievance Process :: 1.1.4   Agency Do’s",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Reporting requirements, Services while in care - Educational, Services while in care - Financial, Services while in care - Other",,,"Do inform youth, families, and resource providers of their rights and grievance procedures. Do assist the grievant through the process, if requested. Do remain solution focused and work to resolve the complaint. Do document the grievance in the narrative section of the record and file the Service Delivery Grievance Form in the Administrative Section of the case file. Do inform grievant of outcome and actions.",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-1-grievance-and-appeals-subsection-1-service-delivery-grievance-1
"MO :: Section 8, Chapter 1 (Grievance and Appeals), Subsection 1 – Service Delivery Grievance Process :: 1.1.3   What is Not Grievable Through this Process",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Adoption, Court system, Foster parent licensing, Guardianship, Investigations, Legal process, Subsidies - Foster Parents",,,"Any complaint of discrimination based upon race, color, national origin, age, sex, disability, religious or political beliefs. All complaints of this nature must follow Policy 2-104 found in the Department of Social Services Administrative Manual. Any complaint involving criminal activities of employees. The Regional Director, or his/her designee, shall refer these complaints immediately to the Division Director’s Office for review and any necessary action. Any dispute with the outcome of a Child Abuse/Neglect investigation. These complaints shall proceed through the established CA/N Review process. Any court ruling or current statute. Guardian ad Litem (GAL), Court Appointed Special Advocate (CASA), or judge appointments. Complaints about these appointments must be addressed through the court of jurisdiction. Any foster/adoptive licensing revocations or denials. These complaints shall be dealt with according to the Fair Hearing Process. Any complaint by a resource provider about a case management decision regarding a child in their care. These complaints shall proceed according to Alternative Care Review Board (ACRB). Those persons receiving adoption subsidy or guardianship subsidy are not eligible to use this grievance procedure. Subsidy grievances shall proceed according to the Children’s Services Fair Hearing Process.",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-1-grievance-and-appeals-subsection-1-service-delivery-grievance-4
"MO :: Section 8, Chapter 1 (Grievance and Appeals), Subsection 1 – Service Delivery Grievance Process :: 1.1.2   What Constitutes a Grievance",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Expectations for care, Reporting requirements, Services while in care - Other",,,"A grievance is a complaint based upon an actual or perceived situation in which the person believes there is just cause for protest or disagreement. A grievance may be any disagreement or complaint a youth, family member, or resource provider has with an employee or a contractor of the Children’s Division. A grievance may be related to a variety of service provision issues. A few examples are, but not limited to: Youth does not agree with placement recommendation made by worker and the Family Support Team. Parent does not feel they are receiving services as provided for in the case plan. Incarcerated parent is not satisfied with arrangements for visitation with child. Family dissatisfied that visits and/or meetings are cancelled without appropriate notice. Parents believe non-court ordered visitation with children should be extended. Person disagrees with a Family Assessment determination.",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-1-grievance-and-appeals-subsection-1-service-delivery-grievance-0
"MO :: Section 8, Chapter 1 (Grievance and Appeals), Subsection 1 – Service Delivery Grievance Process :: 1.1.1   Who may File a Grievance",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Expectations for care, Services while in care - Other",,,"Any adult family member who is currently receiving services or has had services terminated within the past 30 days. Youth 12 years of age or older. Any child younger than 12 years of age with the assistance of a parent, guardian, resource provider, or Guardian ad Litem. Any resource provider, with the exception of resource providers who work with contracted agencies to provide care. These resource providers must utilize the process outlined by the contracted foster care case management agency.",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-1-grievance-and-appeals-subsection-1-service-delivery-grievance-process
"MO :: Section 8, Chapter 1 (Grievance and Appeals), Subsection 1 – Service Delivery Grievance Process :: Intro",Missouri,Rules,"2023, 2022, 2021, 2020, 2019",Administrative process,,,"The Children’s Division is committed to providing the children and families of Missouri with the best possible services in the most professional manner. The Children’s Division is mandate to provide a fair and impartial grievance processes to address licensure, case management decisions, and delivery of service issues. (See also PA-CR-3: Grievance Procedures ). The Service Delivery Grievance process is the process for families to express concerns of perceived inequities, unfair treatment, or dissatisfaction with agency actions or behaviors, not covered by other grievance procedures.",https://fostercaresystems.wustl.edu/foster/mo-section-8-chapter-1-grievance-and-appeals-subsection-1-service-delivery-grievance-3
"MO :: Section 6, Chapter 20 (Roles and Responsibilities of Resource Parents) Subsection 3, – (Responsibilities of the Resource Parent) :: 20.3   Responsibilities of the Resource Parents",Missouri,Rules,2023,"Expectations for care, Placement, Safety, Services while in care - Other",,,"Resource Parent Responsibilities Include: To comply with the policies of the child placement agency; To treat children in their care, the child’s birth family and members of the child welfare team in a manner consistent with their ethical responsibilities as professional team members; To participate in out-of-home care provider pre-service training and pertinent in-service training as determined by the Missouri State Foster Care and Adoption Advisory Board; To participate in Division and community resources, Family Support Team meetings, as well as court activities as a team member and colleague who has pertinent information based on day-to-day knowledge of the youth in foster care in their care; To assist with all Family Support Team recommendations and court orders regarding visitation plans; To assist the youth in foster care and the Division in planning and effecting the child’s case plan objective for permanency; To attend, and be heard, at court hearings regarding the youth placed in his/her home; To provide a nurturing family life experience to the youth, including guidance, stimulation, and affection; To teach and direct the behavior of the youth in foster care by administering discipline in a humane and sensitive manner that is consistent with state laws and regulations and Children’s Division policy and shall not include any form of corporal punishment; To not allow a child to discipline another child in the foster home; To not deprive a child of mail or family visits as a form of discipline; To provide food, clothing (appropriate for the season, youth’s age and current styles), shelter, and personal care; To provide care that is respectful and supportive of the youth’s cultural identity and needs and individuality; To provide for the moral training of foster children in care and make available for religious education and attendance of services compatible with the child’s religious heritage, provided that this training would not be injurious to the foster child’s physical, mental, or emotional health; To maintain a school file for the foster youth which is to follow the child in the event of removal from the home; To share necessary information with school personnel in order to secure a safe and appropriate education for the youth in foster care, and to encourage the expression of the youth’s strengths and special talents; To “act as the parent” in public school planning and placement if the student has disabilities. Part of that responsibility is to give consent and written permission at the time of initial evaluation and/or placement for special education and related services and at the time of reevaluation when additional assessments are required This applies only to resource parents. The Department of Elementary and Secondary Education will assign a “surrogate parent” for youth in residential facilities); The resource family, the Guardian ad Litem, or the volunteer advocate whenever possible, may request that the youth be permitted to continue to attend the same school that the child was enrolled in and attending at the time the child was taken into custody by the Division, per Section 211.032.7(2), RSMo, and 167.022; To provide the following educational assistance, which includes, but is not limited to the following: Assist with homework as needed; Attend parent/teacher conferences; Pick up report cards; Encourage participation in extracurricular activities; and Inform the Family Support Team (FST) members of the youth’s educational performance. To share information necessary for the medical, psychiatric, or educational needs of the youth with appropriate practitioners, the Children’s Service Worker, and other members of the child welfare team; To cooperate with the Division in arranging for routine medical, vision, dental, and mental healthcare as well as ensuring that the youth receives appropriate care during any illness; To use medical service providers enrolled with MO HealthNet or a Mo HealthNet Managed Care plan; To maintain a record of the youth’s immunization records, physical, developmental, and mental health care which is to follow the child in the event of removal from the foster home; To request a Medical Services Authorization Information letter, CD-27, when it is necessary to travel out-of-state with foster youth; To submit immediately to the foster youth’s case manager any invoice or out-of-pocket paid receipt received for medical services provided to a foster youth; To understand resource parents do not have the authority to sign or enter into contracts/agreements on behalf of the State of Missouri, the Department of Social Services or the Children’s Division. Resource parents who do sign contracts/agreements will be personally responsible for the cost, terms and conditions of the contract; To keep a life book for the youth to record developmental progress as well as regular and special events in the child’s life while placed in their home; To maintain absolute confidentiality of private information about the youth in foster care and his birth family; To be flexible and cooperative with regard to family visitation, including family contacts and communication through phone calls and letters as appropriate; To assist with supervision of visits, but not be required to supervise visits; To share information learned about the youth and the youth’s family, and concerns that arise in the care of the youth, with the Children’s Service Worker and other members involved with the family; To give two weeks advance notice to the youth’s Children’s Service Worker, except for emergencies, when requesting removal of a youth from the home; To inform the Children’s Service Worker within 60 days of the caseworker’s initial query of their desire to adopt a youth when the youth is free for adoption. If choosing not to adopt, the resource parent shall support and encourage the youth’s placement in a permanent home by providing history on the youth and accommodating transitional visitation; To notify the Division within two weeks of any pertinent conditions, problems or major family changes; To provide the youth with opportunity for recreational activities and for participation in family, school, and community activities; To provide information to the worker and maintain a record of observed behaviors that will be useful in case planning and to participate in staffings; To follow all procedures established by the Children’s Division and its contractors for requesting and using respite care; To validate the youth’s feelings regarding their birth parent; To assist in preparing the youth for any move that must be made; Not use a foster youth for soliciting funds or in any other manner exploited by the foster family; To provide work and chore experience for foster youth that is appropriate to the age, health, and abilities of each individual child. Chores and work shall not interfere with the foster youth’s time for school, study periods, play, sleep, normal community contacts, or visits with his/her family; To differentiate between chores which foster youth are expected to perform as their share in family living and specific work assignments or opportunities as a means of earning money either in or outside the foster family; To not require or permit work which requires the foster youth to operate dangerous or hazardous equipment or machinery unless adequate safety equipment and proper adult supervision are provided; To provide and ensure safe and adequate supervision at all times appropriate to the foster youth’s age and individual needs; To not require foster youth to perform chores or work which is different in amount and type from the community standard for other children; To make every reasonable effort to provide opportunities for experience in earning, spending, and saving money based on age and individual requirements of each foster youth; To not require an employed foster youth to pay room and board; To permit foster youth to drive only after confirming insurance coverage and a proper operator’s license; To only allow a foster youth to own or operate firearms or motor vehicles with written authorization from the legal custodian and proper training; To have no surveillance cameras in areas of the home that violate the privacy of the foster youth, e.g. bathrooms and dressing areas; To not allow the foster youth to use the foster parent(s) surname unless the child’s parent(s) and legal guardian give their consent in writing. Chapter Memoranda History: (prior to 01-31-07) CD06-16 , CD06-58 , CD06-69 Memoranda History: CD07-52 , CD10-41 , CD10-70 , CD14-70 , CD16-45 , CD18-38",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-20-roles-and-responsibilities-resource-parents-subsection-3
"MO :: Section 6, Chapter 20 (Roles and Responsibilities of Resource Parents) Subsection 2, – (Rights of the Resource Parent) :: 20.2   Rights of the Resource Parent",Missouri,Rules,2023,"Expectations for care, Permanency, Placement, Reporting requirements, Social worker licensing/qualifications, Visitation",,,"Resource Parents Have the Right: To be treated as colleagues in the child welfare team and in a manner consistent with the National Association of Social Workers’ ethical standards of conduct as described in its Social Worker’s Ethical Responsibilities to Colleagues. To receive written notification of the Foster Parent Bill of Rights at the time of initial licensure and at the time of each licensure renewal following the initial period. To have full access to the child’s medical, psychological, and psychiatric records in its possession, including reports prior to the child coming into care. To have continued full access to all records that come into the possession of the division or of which the division becomes aware. The access shall include providing information and authorization for relative provider to review or to obtain the records directly from the medical, psychological, or psychiatric services provider. The Resource Parent may decline access to any or all of the child’s records. To have regularly scheduled opportunities for pre-service training and regularly scheduled opportunities for pertinent in-service training, as determined by the Missouri State Foster Care and Adoption Advisory Board. To be provided training that specifically addresses the cultural needs of children; including but not limited to, information on skin and hair care, specific religious or cultural practices of the child’s biological family, and referrals to community resources for ongoing education and support. To be provided prior to placement, all pertinent information, including but not limited to full disclosure of all medical, psychological, and psychiatric conditions of the child, as well as information from previous placements that would indicate the child(ren) may have a propensity to cause violence to any member of the foster family home. To be provided with any information regarding the child or the child’s family, including but not limited to the case plan, any history of mental or physical illness, sexual abuse of the child or sexual abuse perpetrated by the child, criminal background of the child or child’s family, fire setting or other destructive behavior by the child, substance abuse by the child or child’s family, or any other information which is pertinent to the care and needs of the child and to protect the foster or adoptive family. To have arranged pre-placement visits, except in emergencies. To ask questions about the child’s case plan, encourage or refuse a placement without reprisal from the caseworker or agency, and to be updated with new information about the child as it is gathered. To be informed in a timely manner about all team meetings and staffings concerning their licensure status or children placed in their home and shall be allowed to participate, consistent with RSMo 210.761; To have access to respite care for children in foster care for short periods of time, jointly determined by the foster parent and the child’s case worker. To have a clear understanding of their role as well as the role of other team members in achieving case goals; To be provided appropriate reimbursement or other financial benefits for services provided foster youth in their care; To share information necessary for the medical or psychiatric care of the child to the appropriate practitioners, and to school personnel in order to secure a safe and appropriate education for the child. To continue the practice of their own family values, routines and family privacy while respecting the child’s cultural heritage. To have visitations scheduled at a time that meets the needs of the child, the biological family and the foster family whenever possible. To request the removal of a foster child from their home, with two weeks notice, except in emergency situations. To be given first consideration as a former foster parent for placement of a child when the child reenters the foster care system and is not placed in a relative home, or, if the child becomes free for adoption, be given preferential consideration as adoptive parents. To be promptly informed by the Division of any complaint against their home or of any condition or problem in their home which adversely affects their “approved” status as resource parent and to receive guidance and support from the Division toward resolution of the condition or problem; To have access to a fair and impartial grievance process to address licensure, case management decisions and delivery of service issues. Foster parents shall have access to the child placement agency’s appeals process, and shall be free from acts of retaliation when exercising the right to appeal. To receive training and to be kept informed by the Division and its contractors on policies and procedures governing the licensure of foster homes, the provisions of foster care, and the adoption process. To be notified by the court no later than two weeks prior to all court hearings. This notification may include, but is not limited to, notice of the day and time of the court hearing, the name of the judge hearing the case, the location of the hearing, and the court docket number. Foster parents shall be permitted to attend and be heard at such hearings. To receive, upon request, information regarding a child’s progress after the child leaves foster care. Chapter Memoranda History: (prior to 01-31-07) CD06-16 , CD06-58 , CD06-69 Memoranda History: CD07-52 ,",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-20-roles-and-responsibilities-resource-parents-subsection-2-rights
"MO :: Section 6, Chapter 20 (Roles and Responsibilities of Resource Parents) Subsection 1, – (Rights & Responsibilities of the Resource Parent) :: 20.1     Introduction of the Rights and Responsibilities of the Resource Parent",Missouri,Rules,2023,Expectations for care,,,"As temporary substitute parents, resource parents are closest to the child on a day-to-day basis and are, therefore, a vital member of the Family Support Team. Resource parents are not clients but rather are colleagues in the child welfare team and shall be treated in a manner consistent with the National Association of Social Worker’s ethical standards of conduct as described in its Social Worker’s Ethical Responsibilities to Colleagues. Resource parents are in an excellent position to evaluate the child’s current needs and ensure they are being met in the foster family or through resources in the community. As team members with a unique perspective of the child, resource parents can contribute a special knowledge to the other team members. Resource parents shall share information they may learn about the child and child’s family, concerns that arise in the care of the child with the case worker and other members of the child welfare team. This includes, but is not limited to, information about the child’s behavior, relationship with playmates and other members of the resource provider family, and adjustment to school and to the neighborhood. By their observations of the child’s relationship with his/her birth parent(s) and the child’s reactions to visitation, resource parents can enhance work with the birth parent(s). In some instances, resource parents may also serve as actual role models for the birth parent(s). Missouri Revised Statutes Section 210.566 Foster Parent Bill of Rights and Responsibilities. Chapter Memoranda History: (prior to 01-31-07) CD06-16 , CD06-58 , CD06-69 Memoranda History: CD07-52 ,",https://fostercaresystems.wustl.edu/mo-section-6-chapter-20-roles-and-responsibilities-resource-parents-subsection-1-rights
"MO :: Section 6, Chapter 19 (Background Checks), Subsection 5, – (Sexual Offender Registry By Applicant Address) :: 6.19.5 Sexual Offender Registry by Applicant Address",Missouri,Rules,2023,Safety,,,"The address of residence of the resource home will be entered at the Missouri State Highway Patrol’s sexual offender list located on the Internet at: https://www.mshp.dps.missouri.gov/CJ38/searchRegistry.jsp The search will determine if a sexual offender is registered as residing at the address of the resource home. Print the copy of the results which includes the address of the applicant and place in the resource file with the date that the results were printed included on the page. Chapter Memoranda History (prior to 01/31/07) : CD04-05 , CD04-63 Memoranda History (After 01/31/07) : CD08-55 , CD18-27",https://fostercaresystems.wustl.edu/mo-section-6-chapter-19-background-checks-subsection-5-sexual-offender-registry-applicant-address
"MO :: Section 6, Chapter 19 (Background Checks), Subsection 4, – (Child Abuse and Neglect Registry in Missouri) :: 6.19.4.2 Child Abuse and Neglect Registry Out-Of-State",Missouri,Rules,2023,Investigations,,,"The resource worker will conduct child abuse and neglect background checks in every state where each household member 17 years of age and older has resided for the past five (5) years, per Adam Walsh Protection and Safety Act. The search can be conducted by going to the web site, Adam Walsh State Contacts and Procedures for Child Abuse Registry Checks . This web site is maintained by the California Department of Social Services and lists the contacts for every state to request Child Abuse and Neglect background checks. The list includes contact names, addresses, phone numbers, and email addresses. It also includes specific forms if required and if the state requires a fee. Information regarding states that charge a fee is located in memo CD08-102 .Department Vendor Numbers for those states that charge a fee are listed on the Other State Child Abuse Registry (OSCAR) list located in the Resource Development section of the Children’s Division Intranet homepage. Chapter Memoranda History (prior to 01/31/07) : CD04-05 , CD04-63 , CD04-79 , Memoranda History (After 01/31/07) : CD07-36 , CD07-44 , CD08-55 , CD14-9 , CD14-64 , CD18-27",https://fostercaresystems.wustl.edu/mo-section-6-chapter-19-background-checks-subsection-4-child-abuse-and-neglect-registry-missouri-0
"MO :: Section 6, Chapter 19 (Background Checks), Subsection 4, – (Child Abuse and Neglect Registry in Missouri) :: 6.19.4.1 Child Abuse and Neglect Registry In Missouri",Missouri,Rules,2023,Investigations,,,"One of the checks that is provided by the Family Care Safety Registry is checking the Children’s Division Child Abuse and Neglect Registry. However, an initial check by the worker should be done while waiting for the FCSR results. Chapter Memoranda History (prior to 01/31/07) : CD04-05 , CD04-63 , CD04-79 , Memoranda History (After 01/31/07) : CD07-36 , CD07-44 , CD08-55 , CD14-9 , CD14-64 , CD18-27",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-19-background-checks-subsection-4-child-abuse-and-neglect-registry
"MO :: Section 6, Chapter 19 (Background Checks), Subsection 3, – (Case.Net) :: 6.19.3 Case.Net",Missouri,Rules,2023,Legal process,,,"Examine Case.net , the Missouri State Courts Automated Case Management System, for any reference to Orders of Protection filed, either for a child or adult. There are limits to the use of Case.net. Also, at this time public view does not include identifiers such as social security and birth dates; so, it is difficult to determine whether the individual you are searching is the same as one found in Case.net. If an applicant is found to be on Case.net, print the page with the information. If the date that the page is printed is not included on the print result, write the date on the printed copy to verify when the check was made. The date is what is entered in FACES that the Case.net search was made. Chapter Memoranda History (prior to 01/31/07) : CD04-05 , CD04-63 , Memoranda History (After 01/31/07) : CD14-64 , CD18-27",https://fostercaresystems.wustl.edu/mo-section-6-chapter-19-background-checks-subsection-3-casenet-6193-casenet
"MO :: Section 6, Chapter 19 (Background Checks), Subsection 2, – (Family Care Safety Registry) :: 6.19.2   Family Care Safety Registry",Missouri,Rules,2023,"Administrative process, Foster parent licensing, Reporting requirements, Safety",,,"Each household member 17 years of age and older must register with the Family Care Safety Registry (FCSR). This does not include foster youth. The registry is maintained by the Department of Health and Senior Services (DHSS). It will search the following systems: CA/N records (findings of ”Preponderance of Evidence” court adjudicated”, or prior to August 28, 2004, “Probable Cause“ findings), Employee Disqualification List, maintained by the Department of Health and Senior Services (DHSS), Child-care facility licensing records maintained by DHSS, Residential living facility and nursing home records, maintained by DHSS, Employee Disqualification Registry maintained by Department of Mental Health; Foster parent licensing records, maintained by the Children’s Division (CD); and Sex Offender Registry information maintained by the Missouri State Highway Patrol (MSHP). The resource development worker will provide the applicant with instructions regarding the process for each adult in the household to register with the FCSR on the Internet. Instruct the applicant to register as quickly as possible. The worker may assist the applicant with the on-line registration If no social security card is available, the only acceptable substitute is a driver’s license (if the SSN is used as the ID number); a military ID; a MO HealtlhNet card; or the Social Security Administration (SSA) statement provided when application is made for a replacement card (as long as it has the SSN identified, the name appears on the statement and it is initialed or signed by a SSA representative). An exception can be made for families who do not have Social Security numbers due to their religious practices (i.e. Amish). They are not required to register with the FCSR. However, a note regarding this should be documented in their record and home assessment. Registrants (and all their adult household members) who are resource parents, respite providers, or are applying to provide those services must check the foster parent box in Section A to avoid having to pay the registration fee. The resource development worker may telephone the FCSR at 1-866-422-6872 to make a background screening request. Generally information will be available within two weeks. An oral report will be given at the time of the call and will be followed with a written report to both the requestor and the registrant within 48 hours. Registration with the FCSR is only required once. When completing a background screening for re-licensure, the resource development worker can do one of the following: Access the FCSR on-line with the assigned ID and password (preferred), or Call the FCSR at 1-866-422-6872 The resource development worker obtains on-line access to the FCSR by doing the following: Go to the FCSR home page, www.dhss.mo.gov/fcsr ; Click on the Forms link; Click on the How to Become a FCSR Internet User link; Click on the Internet Background Screening Access/Security Request. Return the completed document by Fax to 573-522-6981, or by mail to: DHSS/Family Care Safety Registry PO Box 570 Jefferson City, MO 65102 In response the FCSR will assign a USER ID number to the resource development worker to be used exclusively for access to the FCSR. The USER ID and instructions on how to do the password and how to run a background screening will be faxed to the worker. This ID and password are autonomous from the worker’s current ID and passwords used for logging on to the state computer system, FACES and PROD. The password is on a 30-day expiration cycle and the worker will have to update it every thirty (30) days. Chapter Memoranda History (prior to 01/31/07) : CD04-05 , CD04-63 , CD04-79 , Memoranda History (After 01/31/07) : CD08-56 , CD10-116 , CD11-107 , CD12-46 , CD14-64 , CD18-27",https://fostercaresystems.wustl.edu/mo-section-6-chapter-19-background-checks-subsection-2-family-care-safety-registry-6192-family-care
"MO :: Section 6, Chapter 19 (Background Checks), Subsection 1, – (Fingerprinting) :: 6.19.1.4 Purpose Code X",Missouri,Rules,2023,"Investigations, Legal process, Safety",,,"There is a delayed fingerprinting process that will be followed in the cases of the emergency placement or exigent circumstances involving a child. If there is a need to complete a Purpose Code “X” screening for emergency placement or exigent circumstances, staff should adhere to the following process: The Children’s Division worker or juvenile officer must request local law enforcement to search the Missouri Uniform Law Enforcement System (MULES) for anyone 17 years old or older residing in the household. MULES is an electronic communication system strictly used for law enforcement purposes, but permission has been granted to allow the Division access to the information in cases of emergency protective custody, where children are placed in the care and custody of CD. In accordance with Section 210.482.2 RSMo, a child should be immediately removed from the home in which he/she has been placed if anyone 17 years old or older refuses to provide fingerprints. The FBI has approved law enforcement to conduct Purpose Code “X” background screenings with a time-limited delay in fingerprinting due to placing a child as a result of an emergency situation. However, fingerprints must be submitted to the FBI within 15 days of the MULES check. To meet that deadline, the agency worker must provide the placement provider with information to schedule their screening with the contracted electronic fingerprint vendor. The fingerprint authorization letter, CD26-f, shall be provided with the correct registration number for the circuit entered in the place indicated on the letter. When a court or Children’s Division approaches a law enforcement agency about providing this type of check, the law enforcement agency is not responsible for ensuring the legitimacy of the request. Law enforcement is required to ensure the requestor is an authorized representative, and upon verification, the inquiry should be performed. Local offices should work with their multidisciplinary teams to establish protocols to fulfill the required verification process. Local offices shall document and maintain the Purpose Code X Request log, CD-153. If the Children’s Division fails to keep an accurate and up to date log to account for subsequent delayed fingerprinting, or a reason that fingerprints will not be submitted (e.g., due to a disqualifying criminal history), the Division could lose the right to delay fingerprinting in the future. MULES inquiries are highly restrictive and should not be shared outside of the Children’s Division or juvenile office; they are not even to be disseminated to the applicant of record. Chapter Memoranda History (prior to 01/31/07) : CD04-05 , CD04-63 , CD04-79 , CD04-96 , CD05-76 Memoranda History (After 01/31/07) : CD07-36 , CD07-54 , CD07-59 , CD08-55 , CD10-65 , CD12-62 , CD14-27 , CD14-64 , CD15-48 , CD16-18 , CD16-45 , CD18-27 , CD19-36",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-19-background-checks-subsection-1-fingerprinting-61914-purpose-code-x
"MO :: Section 6, Chapter 19 (Background Checks), Subsection 1, – (Fingerprinting) :: 6.19.1.3 License/Approval Renewal",Missouri,Rules,2023,Social worker licensing/qualifications,,,"A result of the Rap Back service provided by MSHP is that licensed/approved resource providers and adult household members do not get fingerprinted for the resource license/approval renewal. If no Rap Back reports were received during the 2 year license/approval period, on the Background Check screen in FACES select the finding/conclusion result, “Results meet eligibility requirements” for the Fingerprint-Based Criminal Background Check. Enter the date of the fingerprint result the same as the date of the Family Care Safety Registry check result. If Rap Back reports were received during the 2 year license/approval period, but the report did not include exclusionary information for licensure eligibility, select the finding/conclusion result, “Results require further review to determine if applicant is precluded from licensure”. In the comments box document the dates Rap Back reports were received. Enter the date of the fingerprint result the same as the date of the Family Care Safety Registry check result. Chapter Memoranda History (prior to 01/31/07) : CD04-05 , CD04-63 , CD04-79 , CD04-96 , CD05-76 Memoranda History (After 01/31/07) : CD07-36 , CD07-54 , CD07-59 , CD08-55 , CD10-65 , CD12-62 , CD14-27 , CD14-64 , CD15-48 , CD16-18 , CD16-45 , CD18-27 , CD19-36",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-19-background-checks-subsection-1-fingerprinting-61913-licenseapproval
"MO :: Section 6, Chapter 19 (Background Checks), Subsection 1, – (Fingerprinting) :: 6.19.1.2 RAP Back",Missouri,Rules,2023,"Legal process, Safety",,,"Rap Back is a service of the Missouri State Highway Patrol which provides updated criminal history information on applicants registered in the MACHS system in real-time as the printable arrests are reported to the central repository. After an applicant and adult household members have registered in MACHS and fingerprinted, if the individual has a reportable, printable arrest, the individuals who are approved as the OCA administrator and readers for the OCA registration code that the individual was printed under will receive an email notification from MSHP. Within 24 business hours of receiving the notification from MSHP, the OCA Administrator/Circuit Manager will access MACHS and select “click to request” the report. Only the administrator has access to request the report. Once the report is loaded then the Administrator or the Read Only staff may access the report. The Rap Back report is reviewed for further action based on the information provided in the report. It may take more than a day for the report to download. Failure to download the record within 30 days of the alert will result in the MSHP automatically unsubscribing the applicant and the applicant will have to be printed again. The report must be printed and placed in the background section of the file with the original fingerprint report. The paper copy of the original fingerprint and any Rap Back reports are kept indefinitely in the file until the file is closed. Fingerprint report and Rap Back reports must not be uploaded into FACES. The Circuit Manager will notify the resource licensing worker as identified in FACES for the applicant or other household member within 24 hours of viewing the report. Within 24 hours of notice, the resource licensing worker will make contact with the individual identified in the Rap Back report and assess the situation. The worker will immediately contact his/her supervisor and Circuit Manger to report regarding the situation so determination may be made regarding further action such as a call to the hotline, removal of children and/or placing the home on administrative hold to determine if there are grounds to revoke the license/approval. When a resource home license or approval is closed, the Circuit Manager must immediately unsubscribe the applicant or adult household member from the Rap Back program data base. Resource providers are required by regulation to notify the Children’s Division or contractor of any change in household composition 2 weeks prior to the change. When a household member age 17 and older permanently moves away from the home, the Circuit Manager must immediately unsubscribe the household member from the Rap Back program data base. Failure to remove a person who is no longer a placement provider or adult household member from the Rap Back program is a compliance error with the MSHP. Unsubscribing an individual removes them from the MACHS system. Each person who is unsubscribed from Rap Back will have to be fingerprinted again if they return to being a resource provider or living in a resource provider’s home. Chapter Memoranda History (prior to 01/31/07) : CD04-05 , CD04-63 , CD04-79 , CD04-96 , CD05-76 Memoranda History (After 01/31/07) : CD07-36 , CD07-54 , CD07-59 , CD08-55 , CD10-65 , CD12-62 , CD14-27 , CD14-64 , CD15-48 , CD16-18 , CD16-45 , CD18-27 , CD19-36",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-19-background-checks-subsection-1-fingerprinting-61912-rap-back
"MO :: Section 6, Chapter 19 (Background Checks), Subsection 1, – (Fingerprinting) :: 6.19.1.1 Initial check",Missouri,Rules,2023,"Legal process, Safety",,,"Applicants must register with MSHP Missouri Automated Criminal History Site, MACHS, in order to schedule their fingerprinting appointment. The resource development worker provides the appropriate authorization letter to the applicant which indicates whether the applicant is being fingerprinted for; foster and relative services, CD26-a, adoption services only, CD26-d, or respite or transitional living advocate only applicants, CD26-e. It is the responsibility of the resource development worker to explain the registration process. The worker may assist the applicant with registration process in MACHS. The electronic scan method is the preferred method of obtaining criminal background checks. The card and ink method will still be available in special circumstances; however, staff should be aware that this method will result in delays in receiving the criminal history. No one may be licensed or have their license renewed until criminal background results have been received. The Missouri State Highway Patrol public window is not an option for having fingerprints completed. Staff should not refer applicants or providers to the Highway Patrol to have prints completed. The Division cannot pay for criminal background checks completed on biological parents or for court ordered studies on private adoptions and guardianships. The resource development worker will provide authorization letter CD26-b to those individuals who must pay for their fingerprinting. The completed reports are posted on the MSHP’s Missouri Automated Criminal history System (MACHS) Internet page. The correct local office or private agency developing the resource is determined by the Registration Number. The registration number is associated with a specific OCA code. The MSHP response is received first. After the FBI has completed its search, any results will be forwarded to the MSHP, who will posts the results on their MACHS page. The criminal record check may reveal open and closed record information on individuals consisting of arrests, prosecutor and court actions, correctional supervision, and release. All felony and serious misdemeanor arrests including sexual offender registration information as defined under 589.400, RSMo, and All alcohol and drug related traffic offenses are considered reportable criminal offenses. Except for the specific felony history listed below, a criminal history, child abuse and neglect history, or other review information does not automatically preclude licensure. Staff should determine the relevance of all such findings to child caring responsibilities, and should seek guidance from supervisors. A supervisor must review and evaluate the background information if there is a record of conviction (other than those listed below) and or child abuse and if the decision is to approve the home assessment. The supervisor’s review and decision to approve or disapprove must be documented. Felony Convictions Staff may not approve the application of any person in which a record check reveals that the individual pled guilty or was found guilty of a felony for child abuse or neglect, spousal abuse, domestic violence, a crime against children (including child pornography), or a crime involving violence, including rape, sexual assault, homicide but not including  other physical assault or battery was determined by a court of competent jurisdiction. Staff may also not approve the application of any person who has had a court of competent jurisdiction determine a felony conviction for physical assault, battery, or a drug-related offense within the last five years. Household members age 17 and older shall disclose criminal history. Consideration shall be made of felony cases where the individual pled guilty, is found guilty and /or convicted of a criminal offense or pled guilty but instead received a suspended imposition of sentence (SIS). In the unlikely event it is determined the best interest of a child would be served by placement in an unlicensed home, and a court of law has ordered the child placed in the unlicensed home, written approval must be obtained through supervisory lines to the Regional Director. The Regional Director must review the request and, if in agreement, forward with their recommendation to the Deputy Director for Children’s Division for final consideration. Written requests should include a thorough description of the applicant’s situation and why it would be in the child’s best interest to be placed in an unlicensed home. If approved by the Deputy Director, IV-E funding may not be used and the worker will be responsible for notifying the Eligibility Specialist who will ensure that state only funds are used. If a resource parent commits a felony act as listed previously in this section which results in a conviction or the resource parent admits to committing the act and receives a suspended imposition of sentence (SIS ) federal funds may not be used for foster care maintenance or adoption assistance payments if any of the aforementioned conditions exist. It is imperative that in those circumstances the worker notifies the Eligibility Specialist who will enter the correct fund code for state only funding. BSIU maintains a log of all criminal background checks completed on resource providers and applicants. Per FBI guidelines, FBI reports can be released to local county offices and made available in court. FBI reports cannot be released to contractors or to private entities. If a contractor has requested the information to complete an assessment, they are not allowed access to the report. The Children’s Division will convey to the contractor one of the following: The report is clear; proceed with the assessment, or The report revealed something that must be explored. The contractor will then be requested to refer the family to the local Children’s Division office before continuing the assessment. Local office staff will then meet with the applicant and determine whether the applicant will be allowed to proceed with the application. If the applicant is selected out, the local office staff must inform the family in writing and notify the contractor. The Children’s Division may enter into an outsourcing of fingerprint results agreement with a contracted agency. Outsourcing of access to MACHS may only be processed and approved by Central Office. Chapter Memoranda History (prior to 01/31/07) : CD04-05 , CD04-63 , CD04-79 , CD04-96 , CD05-76 Memoranda History (After 01/31/07) : CD07-36 , CD07-54 , CD07-59 , CD08-55 , CD10-65 , CD12-62 , CD14-27 , CD14-64 , CD15-48 , CD16-18 , CD16-45 , CD18-27 , CD19-36",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-19-background-checks-subsection-1-fingerprinting-61911-initial-check
"MO :: Section 6, Chapter 19 (Background Checks), Subsection 1, – (Fingerprinting) :: Intro",Missouri,Rules,2023,"Legal process, Safety",,,"Revised Missouri Statute 210.487, 210.482 and 43.540, Missouri State Regulations Title 13 CSR 35-60.010 (2)(D) and Federal Regulations, Sec 471 (20)(A) require criminal records checks to include fingerprint-based checks of national crime information before placement and/or licensure and approval of a resource home. State and national criminal record checks will be completed for each household member age 17 or older, or any person under the age of 17 who has been certified as an adult. These checks are completed by the submission of fingerprints by the applicants and required household members. The Missouri State Highway Patrol, MSHP, will complete a state criminal record check and then electronically send the fingerprint images to the FBI for a national search of criminal records. The MSHP collects the fingerprints using a contracted electronic fingerprint vendor. Foster youth are not fingerprinted for resource home licensure and approval. Chapter Memoranda History (prior to 01/31/07) : CD04-05 , CD04-63 , CD04-79 , CD04-96 , CD05-76 Memoranda History (After 01/31/07) : CD07-36 , CD07-54 , CD07-59 , CD08-55 , CD10-65 , CD12-62 , CD14-27 , CD14-64 , CD15-48 , CD16-18 , CD16-45 , CD18-27 , CD19-36",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-19-background-checks-subsection-1-fingerprinting-intro
"MO :: Section 6, Chapter 18 (Resource Providers Approved to Provide elevated Needs foster Care Services), Subsection 3 Elevated Needs Level B Foster Care, – Sub-subsection2 (Placement Process) :: 18.3.2   Placement Process",Missouri,Rules,2023,"Foster parent recruiting, Placement, Services while in care - Other",,,"The Selection/Screening Team will receive the referral and review the material. The Team will interview, as appropriate: youth, current caregiver, therapist, referring Children’s Service Worker, etc. They will decide if the youth is an appropriate candidate for the program by considering the individual needs of the youth, the presenting behaviors of the youth, and the impact such behaviors have in the placement setting. Youth eligible for elevated needs should have more than one presenting problem as described in Chapter 14.6. The Selection/Screening Team should also determine that the youth is in need of a higher level of care for the youth to be deemed eligible for the program. The Screening Team may recommend: The youth is not appropriate for the program; The youth is appropriate, but a compatible home is not available in the county of origin or nearby counties; or The youth is appropriate, and there is a compatible home. The licensing worker will share all referral information with the prospective resource parents and assess with them their ability to meet the youth’s needs. The Children’s Service Worker will notify the referring worker/case manager regarding acceptance of the youth into the program. The case manager/Children’s Service Worker will receive an oral and written decision from the Screening/Selection Team liaison, including the identification of a potential resource home. The written recommendation from the Selection/Screening Team should be documented on the referral form. If the youth does not qualify for the program, the team should indicate such on the referral form. The Children’s Service Worker will then carry out any of the following actions, as appropriate to the youth being placed: Coordinate all planning with the service county, if the county of current placement is different from the case manager county: Receive notification when a resource becomes available; and Notify the licensing worker in writing if the placement is no longer needed. The Children’s Service Worker shall receive notification of the date of the pre-placement visit(s). The pre-placement visits are vital to a successful placement and should not be rushed. Furthermore, the Children’s Service Worker will share a thorough description of the potential Level B resource family with the youth and assess his/her interest in them. Assess the Level B resource family’s commitment to the permanency goal and, as appropriate, willingness to work with birth parent(s), relatives, and potential adoptive resource. Transportation for the youth to/from the pre-placement visits needs to be assured. Level B Resource Parents may be reimbursed via a payment request for transportation costs of pre-placement activities. The actual number of visits is governed by the needs of the youth and the Level B resource family. A minimum of one (1) in-home, overnight pre-placement visit is required. An assessment period where the youth is removed from the home must follow every pre-placement visit. A Level B resource parent may receive a prorated maintenance payment, via a payment request, on a per diem basis for lengthy pre-placement visits, even though the youth remains officially with another caregiver. The Children’s Service Worker must gain commitment from both the youth and resource family and then proceed with the placement. The worker will assure the youth’s arrival at the resource home when all parties agree the child is ready. Update the Alternative Care Client Information Screen in FACES. When the permanency goal is reunification with relatives and/or kin, introduce the family and the Level B resource provider as early in the process as possible to increase family involvement and promote a family/Level B resource provider relationship. A Level B resource parent may not care for more than four (4) youth with a maximum of two (2) who are qualified for Level B care simultaneously. The other two placements in the home must be at the traditional level of care. In rare cases, special supervisory approval may be sought to accommodate siblings of the elevated needs youth. Foster homes shall not exceed the number of children in the home as outlined in the licensing rules. Homes needing to exceed the licensing rules may be granted an exception with Central Office approval using the CD-157.  Additional foster children shall not be placed in these homes until such time the home is in compliance with licensing rules. Chapter Memoranda History: (prior to 01-31-07) CS03-21 , CS03-27 , CD05-72 Memoranda History: CD07-77 , CD08-106 , CD10-08 , CD13-50 , CD16-45",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-18-resource-providers-approved-provide-elevated-needs-foster-care-18
"MO :: Section 6, Chapter 18 (Resource Providers Approved to Provide elevated Needs foster Care Services), Subsection 3 Elevated Needs Level B Foster Care, – Sub-subsection1 (Definition) :: 18.3.1   Definition",Missouri,Rules,2023,"Placement, Services while in care - Financial, Services while in care - Other",,,"Foster Care for youth with elevated needs is a foster care program designed for the youth who has identifiable and documented moderate or serious emotional and/or behavioral needs. Such a youth requires intensive and individualized intervention to succeed in a community-based family setting and to achieve their goal of permanency. Resource providers of youth with elevated needs have received specific training in addition to pre-service training to enable them to work with youth with elevated needs. Placements for youth with elevated needs are not emergency placements nor are they immediate placements. These placements are transitional placement resources to prepare youth to function adequately in a less restrictive environment and or a permanent home . It is not intended to be a long-term or permanent placement resource . A selection/screening team must evaluate the youth’s needs. A pre-placement phase is essential, meaning that the youth should visit the home prior to being placed to determine if the placement is an appropriate fit for the youth. ICPC resource providers are not eligible for elevated needs placements. The resource licensing worker will notify the elevated needs level B resource parent regarding access to purchase medical, dental, and vision insurance. The worker will inform the resource parent that the insurance company will provide enrollment information. Chapter Memoranda History: (prior to 01-31-07) CS03-21 , CS03-27 , CD05-72 Memoranda History: CD09-106 , CD10-08 , CD12-110",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-18-resource-providers-approved-provide-elevated-needs-foster-care-19
"MO :: Section 6, Chapter 18 (Resource Providers Approved to Provide elevated Needs foster Care Services), Subsection 1 Elevated Medical Foster Care, – Sub-Subsection 2 (Procedure for Placement) :: 18.1.2 Procedure for Placement",Missouri,Rules,2023,"Reporting requirements, Services while in care - Medical",,,"The Children’s Service Worker will complete the Medical Foster Care Assessment Tool , CS-10, according to directions. The CS-10 is the tool used by the worker to present the medical/developmental needs of the foster youth and to refer that foster youth, through supervisory channels, for approval of placement in the home of a licensed resource provider contracted for medical foster care placements. This form should be used, in conjunction with other appropriate information, to document the youth’s eligibility for Medical Foster Care, MFC. The worker will use their knowledge of the youth, information supplied by the birth family, the resource provider, other professionals, the foster youth, and medical documentation the worker has obtained to realistically document the needs of the foster youth. The more comprehensive the documentation, the more likely a decision can be made as to the eligibility of the foster youth. The form shall be completed based upon the child’s disability and not his/her age. The Medical Foster Care Referral tool, CS-10, provides two sections in which to identify eligibility for medical resource home placement; Section II: Section II consists of subsections A through E. If the foster youth has any one (1) condition in Section II, the foster youth qualifies for a placement in a medical resource home. Additional documentation to support the statement must be attached. Documentation will included but is not limited to the following: Medical documentation of existing problems including a written statement by the foster youth’s physician or designee of the foster youth’s special needs. Written documentation from other professionals (i.e., physical therapist, speech therapist, nurse) which outlines the tasks and responsibilities of the resource parents and the needs of the foster youth. Prior hospitalizations specific to the condition identified. List of required medical equipment and/or medication to meet the foster youth’s needs. Section III: Section III is completed by the referring physician. This section is only completed if the Family Support Team believes medical foster care is needed, but the foster youth did not meet any of the standards listed in section II on the CS-10. The Physician Certification Letter, CD-144, is the cover sheet for submitting the CS-10 to the treating physician. A physician’s response of “yes” with supporting documentation in section IV is sufficient for eligibility. Memoranda History: CS85-59 Chapter Memoranda History: (prior to 01-31-07) CD08-50 , CD10-96 , CD18-16",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-18-resource-providers-approved-provide-elevated-needs-foster-care-6
"MO :: Section 6, Chapter 18 (Resource Providers Approved to Provide Elevated Needs Foster Care Services), Subsection 1 Elevated Medical Foster Care, – Sub-subsection1 (Definition) :: 18.1.1 Definition",Missouri,Rules,2023,Definitions,,,"A youth in foster care with medically diagnosed extraordinary medical condition(s) and or mental or physical disabilities is eligible to be placed in a resource provider home that is contracted to provider medical foster care if the following statements regarding the foster youth is supported with documentation: The youth must have a diagnosed medical, mental, or physical condition that requires twenty-four (24) hour availability of a resource provider specifically trained to meet the elevated medical needs. The diagnosed condition significantly and substantially impairs the youth’s ability to function on a daily basis. The youth’s diagnoses and conditions must be included on the Medical Foster Care Assessment Tool, CS-10, or a physician’s certification for medical foster care. Chapter Memoranda History: (prior to 01-31-07) CS85-59 Memoranda History: CD08-50 , CD10-96 , CD18-16",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-18-resource-providers-approved-provide-elevated-needs-foster-care-20
"MO :: Section 6, Chapter 17 (Respite), Subsection 10, – (Additional Supervision Options) :: 17.10 Additional Supervision Options",Missouri,Rules,2023,Services while in care - Other,,,"There are occasions when a resource parent requires supervision of the foster youth placed in their home which do not meet the definition of respite.   These events can be for an hour or several hours. Some examples include but are not limited to: Community foster youth/family events Unscheduled/emergency appointments Scheduled appointments Emergency situations Funerals Supervision of the foster youth in these situations is not considered respite and therefore there is no monetary reimbursement and with no respite units used. Chapter Memoranda History: (prior to 01-31-07) CD04-68 , Memoranda History CD09-07 , CD10-08 , CD10-20 , CD10-89 , CD14-17 , CD16-65 , CD18-16",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-17-respite-subsection-10-additional-supervision-options-1710-additional
"MO :: Section 6, Chapter 17 (Respite), Subsection 9, – (Case Recording) :: 17.9.6 Closing Summary",Missouri,Rules,2023,"Exit from care, Services while in care - Other",,,"There should be a summary completed whenever a respite resource home is closed.  For those closed voluntarily, the narrative should include why the family chose to close/not have their cooperative agreement renewed as well as any concerns or strengths of the family noted by staff.  For those closed due a cooperative agreement or qualification issues that led to not renewing the cooperative agreement and any other concerns, the information should be documented clearly.  The date of the exit interview and the discussion with the family should be documented in the closing summary also. The contract unit must be contacted to close a cooperative agreement for respite services; CM-9 and CM-10 prior to June 30, end of fiscal year. Memoranda History: CD09-07 , CD10-20 , CD14-17, CD15-75, CD18-16",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-17-respite-subsection-9-case-recording-1796-closing-summary
"MO :: Section 6, Chapter 17 (Respite), Subsection 9, – (Case Recording) :: 17.9.5 Documentation of Criminal History",Missouri,Rules,2023,Investigations,,,"Staff should not list specifics in the narrative section of the file when documenting criminal history.  The narrative should simply reflect one of the following: Fingerprint based criminal background check results meet eligibility requirements; Fingerprint based criminal background check results do not meet eligibility requirements; or Fingerprint based criminal background check results require further review to determine if applicant is precluded from licensure. Memoranda History: CD09-07 , CD10-20 , CD14-17, CD15-75, CD18-16",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-17-respite-subsection-9-case-recording-1795-documentation-criminal
"MO :: Section 6, Chapter 17 (Respite), Subsection 9, – (Case Recording) :: 17.9.4 Documentation of Contact with Children in Division Custody",Missouri,Rules,2023,"Contact and directory information, Forms - Other",,,"When a staff member makes a visit at the respite provider’s home, contact with all household members should be documented.  However, only initials should be utilized when making reference to children in Division custody.  This is true of all current and previous placements in the household.  Resource family records are not confidential and may be requested by the public.  Using initials only will maintain confidentiality of the children in Division custody. The Placement Report for Foster Home Record, CD-104, shall be maintained in the forms section of the file with the names, placement and removal dates of all children in the resource family home.  This form will be removed prior to the records being made public. Memoranda History: CD09-07 , CD10-20 , CD14-17, CD15-75, CD18-16",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-17-respite-subsection-9-case-recording-1794-documentation-contact
"MO :: Section 6, Chapter 17 (Respite), Subsection 9, – (Case Recording) :: 17.9.3 Subsequent Recording",Missouri,Rules,2023,"Contact and directory information, Contracting with private organizations, Forms - Other",,,"Subsequent recording will include: Document respite placements made utilizing the CD-104 Document contacts with the family Document any staff concerns with the family Document any trainings attended. A summary should be completed yearly and prior to issuance of a new cooperative agreement. The summary will include: Any concerns or issues noted during the past year Number and types of placements made Changes in household composition (i.e. divorce, death, illnesses, adoptions, births, etc.) Changes to the physical environment (moves, additions, remodels, etc) Training attended Background screenings to be completed every two years The date of the licensing worker’s home visits (which must occur a minimum of once a year prior to the new cooperative agreement being issued) Contact with the family’s biological/adopted children (separate from the parents) Document discussion of any cooperative agreement or qualification issues, placement concerns, and any other issues/concerns noted by the Resource Development Worker Discussion of any hotline reports, incidents, issues or concerns involving the Respite Resource family and any action taken.  It should also be noted if no action was taken and why If there are concerns and reasons to close the respite provider, the contract unit must be contacted to close the respite care cooperative agreement for services, CM-9 or CM-10. Request to close the cooperative agreement must occur prior to June 30; the end of fiscal year Memoranda History: CD09-07 , CD10-20 , CD14-17, CD15-75, CD18-16",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-17-respite-subsection-9-case-recording-1793-subsequent-recording
"MO :: Section 6, Chapter 17 (Respite), Subsection 9, – (Case Recording) :: 17.9.2  Initial Recording",Missouri,Rules,2023,"Administrative process, Contact and directory information, Forms - Other, Investigations",,,"The initial recording should document the date the CM-10 was signed by the family and worker.  The worker should also meet with the family’s biological/adopted children separate from the parents to discuss their feelings on sharing their household.  The date the vendor was opened in the system should also be noted. Document that the background screenings were completed for all household members age 17 and older: Fingerprints CA/N Check Case.Net Check Family Care Safety Registry Sex Offender List by Address Memoranda History: CD09-07 , CD10-20 , CD14-17, CD15-75, CD18-16",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-17-respite-subsection-9-case-recording-1792-initial-recording
"MO :: Section 6, Chapter 17 (Respite), Subsection 9, – (Case Recording) :: 17.9.1  Composition",Missouri,Rules,2023,"Administrative process, Forms - Financial, Reporting requirements",,,"The composition of the Respite Care Provider case file should include the following: Forms Section (Yellow) Application to Provide Respite Care, CS-RC-1 Respite Care Provider Approval, CS-RC-3 Foster Respite Care Provider Checklist, CS-RC-2 Respite Provider Evaluation/Payment Invoices, CD-111 Resource Parent Discipline Agreement, CD119 Safe Sleep Practices, CD-117 Notification of Hazards, CD-101, if applicable HIPAA (White) Correspondence (White) Letters to Respite Provider Family Any other written correspondence (including business e-mail) Training (Buff) Training record screens (this is only applicable to the Elevated Needs Level B Respite Providers who are required to complete eight (8) hours of Elevated Needs Level B respite training.) Contracts (Yellow) Cooperative Agreement for the Purchase of Respite Care Services with the Children’s Division, CM-10 Cooperative Agreement for the Purchase of Respite Care for Elevated Needs Level B Foster Parents, CM-9 OHI Reports (Pink) The cover sheet should include: Case Name Date of Report Incident Number Expungement Date Narrative (Blue) Dictate when a family is awarded or renewed a cooperative agreement for respite care services. Record background screenings were completed Record all home visits and meetings with Respite Resource family Record when training notices for Elevated Needs Level B Respite Providers have been mailed Record when Elevated Needs Level B Resource Provider has participated in training Record any cooperate agreement or qualifications concerns noted and action taken Document closing narrative Placed Inside and attached to the front flap of the file folder: Placement Report for Foster Home Record, CD104 Memoranda History: CD09-07 , CD10-20 , CD14-17, CD15-75, CD18-16",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-17-respite-subsection-9-case-recording-1791-composition
"MO :: Section 6, Chapter 17 (Respite), Subsection 9, – (Case Recording) :: Intro",Missouri,Rules,2023,"Administrative process, Contracting with private organizations, Forms - Other",,,"A case file will be maintained for individuals who provide respite care only. If the respite care resource has a foster care license, documentation specific to respite services are maintained in their licensing case file under a cover sheet labeled Respite. Respite care is a contracted service. An active foster care license is not necessary in order for an individual to be awarded a cooperative agreement for Respite services. Memoranda History: CD09-07 , CD10-20 , CD14-17, CD15-75, CD18-16",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-17-respite-subsection-9-case-recording-intro
"MO :: Section 6, Chapter 17 (Respite), Subsection 8, – (Respite for Youth with Elevated Needs-Level B) :: 17.8.1 Level B Respite Training",Missouri,Rules,2023,"Forms - Other, Services while in care - Other, Services while in care - Therapies (not mental health)",,,"Level B respite providers require CPR and First Aid Training in accordance with policy for licensed resource providers. Level B Respite training will consist of a total of 8 hours Level B Respite training curriculum will be developed locally Level B Respite training curriculum must include the following: An overview of skills needed for parenting abuse/neglected children including issues related to physical/emotional development of children in foster care including: Communication Skills Building self-esteem Caring for children with inappropriate or destructive behavior such as lying, physical aggression, property destruction, and sexual acting out. Agency rules, regulations, policy and forms Behavioral management techniques including appropriate discipline techniques Techniques for caring for a child with serious behavior/emotional problems. This training should include crisis intervention, suicide management, and local protocol for handling emergency situations. In addition to the 8 hours of Level B Respite training, child specific training for each new child placed in the home will be done by the Level B resource provider prior to the child receiving the respite services. Level B Respite providers will be encouraged to participate with on-going child care training to remain current on caring for children with physical/emotional development issues. Chapter Memoranda History: (prior to 01-31-07) CS94-17, CS95-34, CD04-68 Memoranda History CD09-07 , CD09-50 , CD10-08 , CD14-17, CD17-07, CD17-39, CD18-16",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-17-respite-subsection-8-respite-youth-elevated-needs-level-b-1781-level
"MO :: Section 6, Chapter 17 (Respite), Subsection 8, – (Respite for Youth with Elevated Needs-Level B) :: Intro",Missouri,Rules,2023,"Administrative process, Contracting with private organizations, Forms - Financial, Reporting requirements",,,"Level B resource providers are encouraged to use respite care a minimum of one (1) weekend per month plus 14 units per year (12 month period).       The one weekend per month does not carry over to the next month. The 14 units per year reset upon the anniversary of the placement of the foster youth in the home. On a case by case basis, the worker may request supervisor approval for up to 20 units of respite for a resource provider per foster youth. Approval for more than 20 units plus one (1) weekend per month requires Regional Director or designee approval. Respite care will be provided for all foster youth in the Level B resource provider home at the same frequency regardless of level of care, i.e., traditional, youth with elevated needs, etc. Respite care does not have to be provided for all youth in the Level B home at the same time. Level B resource providers may determine the actual time(s) to use respite based on the individual needs of the child(ren) in their home and family. Respite care for the children that are identified as Level B on their Alternative Care Client Information screen, SS-61, is to be provided by Level B respite trained provider under contract with an active Level B Respite Cooperative Agreement, CM-9. Both the Level B resource provider and the Level B respite provider will continue to receive their annual reimbursement during periods of respite. A Level B respite provider may provide care for a maximum of 2 Level B children simultaneously. Licensed Level B resource providers may not be contracted as Level B respite providers unless a waiver has been granted by the Regional Director or designee. A Level B licensed provider who has an active Level B Respite Cooperative Agreement, CM-9 may provide care for up to two (2) additional Level B children on a case-by-case basis provided that the following is in place: The total capacity does not exceed four (4) placements. Regional Director or Designee approval. The respite care is for a period of 48 hours or less. A back-up plan is in place in the event of a placement disruption during the respite period. Consideration is given to: the behaviors, health, and elevated needs of each individual foster youth; the age and sex of each foster youth; how each individual child interacts with the other youth in the home. All of the criteria and information listed above must be clearly documented in the Level B respite provider’s licensing record. The Level B respite provider will receive the appropriate rate per unit, per child’s age for providing respite services to a Level B child. A respite unit is a minimum of 12 hours up to a maximum of 24 hours. A half unit of respite care is defined as a minimum of six (6) hours up to a maximum of 12 hours. The 12 month period will begin on the date that the child was placed in the resource provider’s home. The 14 units for a Level B child will reset upon the anniversary date of the child’s placement. Unused units for the previous 12 month period are not rolled over to the new 12 month period. At any time a child is placed in a new provider’s home, the respite units reset for that child at the new placement. Local staff will be responsible for tracking the number of units. The Level B resource provider will submit the completed Respite Provider Evaluation & Invoice, CD-111, within five (5) working days of receiving the respite service. The worker will process payment utilizing a Payment Request by the last day of the month that the service occurred in order for the payment to be timely. The worker will make only one payment entry for the respite services to the resource provider provided that month. A copy of the CD-111 will be retained in the respite provider’s case file in the forms section. Chapter Memoranda History: (prior to 01-31-07) CS94-17, CS95-34, CD04-68 Memoranda History CD09-07 , CD09-50 , CD10-08 , CD14-17, CD17-07, CD17-39, CD18-16",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-17-respite-subsection-8-respite-youth-elevated-needs-level-b-intro
"MO :: Section 6, Chapter 17 (Respite), Subsection 7, – (Reimbursement for Respite Care) :: 17.7  Reimbursement for Respite Care",Missouri,Rules,2023,"Administrative process, Forms - Other, Reporting requirements, Services while in care - Financial",,,"Respite care services for all Legal Status 1 children will be reimbursed the appropriate rate per unit, per child’s age and level of care. A unit of respite is a minimum of 12 hours up to 24 hours. A half unit of respite is a minimum of six (6) hours up to 12 hours. The licensed resource home shall continue to receive the regular foster care payment only while the child is in policy defined respite care units; 12 units per year or 14 units plus one weekend a month for elevated needs level B. If extenuating situations necessitate additional respite units on a case by case basis, the worker may request supervisor approval for up to 20 units of respite for a resource provider per foster youth. Approval for more than 20 units requires Regional Director or designee approval.       Documentation of the approval must be maintained by attaching it to the Respite Unit Tracking Log, CD-113, and a Payment Request. Local staff are responsible for tracking the number of units utilized by the licensed resource providers. Tracking is done on the CD-113 The licensed resource provider will submit the completed Respite Provider Evaluation/Payment Invoice, CD-111, to the worker within 5 working days of receiving the respite service. The worker will process payment by the last day of the month that the service occurred in order for the payment to be timely. The worker will make only one payment entry for the respite services for the resource parent provided that month. A copy of the CD-111 will be retained in the respite care provider’s case file in the forms section. Respite Providers are eligible to receive mileage reimbursement as outlined in policy, Section 4 Chapter 12 subsection 8 . Respite Rates (Full Unit 12-24hrs; Half Unit 6-12hrs) Ages 0-12 Rates Per Unit Ages 13+ Rates Per Unit Level B Respite: 12-24 hours $56.00 $63.00 Level B Respite: 6-12 hours $28.00 $31.50 Traditional Respite: 12-24 hours $31.00 $38.00 Traditional Respite: 6-12 hours $15.50 $19.00 Please be aware that payment for respite services is reportable income to the Internal Revenue Service.  If a respite provider receives payment for providing respite services, a 1099 will be issued and sent to the respite provider. Respite providers need to work with their tax preparer to determine how it should be handled on their individual tax returns. Chapter Memoranda History: (prior to 01-31-07) CD04-68 Memoranda History CD09-07 , CD10-08 , CD10-20 , CD10-89 , CD14-17 , CD17-07 , CD17- 39 , CD18-16",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-17-respite-subsection-7-reimbursement-respite-care-177-reimbursement
"MO :: Section 6, Chapter 17 (Respite), Subsection 6, – (Guidelines for Use) :: 17.6 Guidelines for Use",Missouri,Rules,2023,Services while in care - Other,,,"Respite care is designed to provide temporary relief from stressful situations. Respite care may be planned in advance or used due to an immediate family need. Respite care will be available to resource providers based on the needs of the family. These needs may include, but are not limited to, illness, death in the family, hospitalization, or imminent risk of removal of the child where “time out” would stabilize the placement. Respite care should not be used for regular child care purposes. Respite care for children in specialized foster care, such as youth with elevated needs foster homes, will be provided per the respective program guidelines. Licensed resource providers must notify the worker or their supervisor in their county of residence prior to using respite care. Together with the licensed resource provider, the worker will assess the appropriateness of the selected respite care provider for the child(ren). Caution should be exercised when using currently licensed homes and facilities to assure that license capacities are not exceeded and the provider is able to adequately supervise all children in their care. If the child is identified in FACES to be in a youth with elevated needs- Level A placement, another trained Level A resource provider must be used for respite services. The worker must determine the balance of respite care units available to the licensed resource parent. This will be done on the Respite Unit Tracking Log, CD-113. Upon approval from the worker or supervisor, the licensed resource provider will be responsible for making all necessary arrangements for a child’s placement in respite care. The licensed resource provider must provide the worker the completed Respite Provider Evaluation/Payment Invoice, CD-111 documenting the number of units used. The resource parent must submit the invoice within five (5) working days of receiving the respite service. The worker will process payment via the FACES Payment Request by the last day of the month that the service occurred in order for the payment to be timely. The worker will make only one payment entry for the respite services for the resource provider provided that month. The capacity of placements the respite provider can have is determined using the information from the CS-RC-2. Resource providers contracted as a respite parent only will provide respite services for a maximum of 5 placements at one time or less depending on the information on the CS-RC-2. A unit of respite care for licensed traditional, relative, kinship, medical, emergency, and Level A providers is defined as a minimum of 12 hours up to a maximum of 24 hours. Use of respite care is not to exceed 12 units per child during a 12 month period of time. The 12 month period will begin on the date that the child was placed in the resource provider’s home. The 12 units will reset upon the anniversary date of the child’s placement. Unused units for the previous 12 month period are not rolled over to the new 12 month period. At any time a child is placed in a new provider’s home, the respite units reset for that child at the new placement. Local staff will be responsible for tracking the number of units utilized by the licensed resource parents. Tracking will be done on the CD-113.   Respite care providers will be reimbursed at the appropriate rate per unit per age of child. A provider may also use a half unit of respite care. A half unit is a minimum of six (6) hours up to 12 hours and is reimbursed with payment code FPPR. The payment exception is that Level B respite care providers will be reimbursed per unit or half unit (CPPR) per child for those children that are classified on the Alternative Care Client Information screen, SS-61, as a level B child. On a case by case basis, the worker may request supervisor approval for up to 20 units of respite for a resource provider per foster youth. Regional Director or designee approval is required for more than 20 units. Licensed resource providers shall prepare children for respite placement by: Arranging pre-placement visits (for planned respite care) and by being sensitive to the child’s needs. The licensed resource provider shall provide the respite care provider with a copy of the Child/Family Health and Developmental Assessment, CW-103, and the child’s MO HealthNet card. The licensed resource provider shall provide the respite providers with a completed Child Information Form, CD-110, for each child. The CD-110 includes emergency numbers, number where the foster parent can be reached, the number for the child’s worker, child’s physician and the hospital of choice. Chapter Memoranda History: (prior to 01-31-07) CD04-68 Memoranda History: CD07-52 , CD09-07 , CD09-50 , CD10-08 , CD10-123 , CD14-17 , CD17-07 , CD17- 39 , CD18-16",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-17-respite-subsection-6-guidelines-use-176-guidelines-use
"MO :: Section 6, Chapter 17 (Respite), Subsection 5, – (Approval Renewal Process of Respite Care Providers) :: 17.5     Approval Renewal Process of Respite Care Providers",Missouri,Rules,2023,"Administrative process, Forms - Other",,,"Respite care providers must have their approval status renewed every two years. Prior to the respite provider approval renewal, the resource worker will: Prepare a summary to be placed in the narrative section of the case file (Blue): Document number and types of respite placements made Document contacts with the family Document staff concerns with the family Document any trainings attended Document any discussion of contract/qualification issues, placement concerns, and any other issues/concerns noted by staff. Document changes in the household composition (i.e. divorce, death, illnesses, adoptions, births, etc.) Document changes to the physical environment (moves, additions, remodels, etc.). Document any hotlines reports, incidents, issues or concerns involving the respite resource family and any action taken. It should also be noted   if no action was taken and why. B. Complete Background Checks Fingerprints – refer to Section 6 Chapter 19 Subsection 1 for instructions regarding Rap Back CA/N Check Case.Net Check Family Care Safety Registry Check Sex Offender List Check C. Complete a new CS-RC-2 MEMORANDA HISTORY: CD09-07 , CD18-16",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-17-respite-subsection-5-approval-renewal-process-respite-care-providers
"MO :: Section 6, Chapter 17 (Respite), Subsection 4, – (Approval Process of Respite Care Providers) :: 17.4.1  Respite Care Provider Training",Missouri,Rules,2023,Foster parent licensing,,,"Introduction to Foster Care and Respite Care Provider Training must be completed prior to providing any respite care services. All respite care providers may attend regular foster parent training and any in-service training. Chapter Memoranda History: (prior to 01-31-07) CD04-68 Memoranda History: CD09-07, CD14-17, CD18-16",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-17-respite-subsection-4-approval-process-respite-care-providers-1741
"MO :: Section 6, Chapter 17 (Respite), Subsection 4, – (Approval Process of Respite Care Providers) :: Intro",Missouri,Rules,2023,Foster parent licensing,,,"Respite care providers must be approved in order to provide contracted respite care services. To ensure an understanding of the program, the Resource Development Worker shall provide an explanation of respite care services to the applicant prior to beginning the approval process. All resource provider applicants are required to complete respite care training and are requested to be available to provide respite care services as part of the assessment and training process to be a licensed or approved resource provider. To be approved as a provider of out-of-home or in-home respite care, a respite care provider must complete the following: Application to Provide Respite Care, CS-RC-1 Submit fingerprints every two years Submit to CA/N and criminal checks Submit to Case.Net check Complete Family Care Safety Registry form Submit to Sex Offender list check Sign a Respite Care Provider Approval ,CS-RC-3 Sign a Cooperative Agreement for the Purchase of Respite Care Services with the Children’s Division, CM-10 Read, agree to and sign the Resource Parent Discipline Agreement, CD-119 Read, agree to and sign the Safe Sleep Practices, CD-117 Respite Care Provider Handbook (mo.gov) For out-of-home providers only , the provider must also meet the licensing requirements as set forth in CSR 40-60.040 Physical Standards for Foster Homes: (1) General Requirements, Sections (A) through (G); (2) Sleeping Arrangements, Sections (A) through (I); and (3) Fire and Safety Requirements, Sections (A) through (I). The Resource Development Worker shall make at least one home visit prior to the contract being signed and use the Foster Respite Care Provider Checklist, CS-RC-2, to document that the respite care home meets these requirements and to determine placement capacity. Respite providers are required to be fingerprinted. The Children’s Division will pay for the costs of the respite providers to be fingerprinted. Refer to Section 6 Chapter 3 Subsection 1 for the fingerprinting process. Respite care providers are required to be fingerprinted every two years. Staff may not approve the application or renewal of any person in which a record check reveals that a felony conviction for child abuse or neglect, spousal abuse, a crime against children (including child pornography), or a crime involving violence, including rape, sexual assault, or homicide, but not including other physical assault or battery as determined by a court of competent jurisdiction. Staff may also not approve the application or renewal of any person who in the past five years has had a court of competent jurisdiction determine a felony conviction for physical assault, battery, or a drug-related offense. Workers must follow the guidelines in policy and not make any additional requirements beyond what policy requires. The Respite application must be processed within 90 days. Currently open vendors who may be approved and contracted to provide respite care include licensed child care homes, licensed foster and kinship homes and residential facilities. Licensed child care group homes and licensed child care centers may provide respite care up to 23 hours. Prior to placing a child(ren) in a licensed child care home/facility, licensed foster, relative, or kinship home and/or a residential facility, the Resource Development Worker and provider shall ensure that licensing capacities and other licensing regulations are met and that the provider is able to adequately supervise all children in their care. The capacity of placements the respite provider can have is determined using the information from the CS-RC-2. The resource provider that is only contracted as a respite parent will only provide respite services for a maximum of 5 placements at one time or less depending on the information on the CS-RC-2 Chapter Memoranda History: (prior to 01-31-07) CD04-68 Memoranda History: CD09-07, CD14-17, CD18-16",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-17-respite-subsection-4-approval-process-respite-care-providers-intro
"MO :: Section 6, Chapter 17 (Respite), Subsection 3, – (Recruitment and Retention) :: 17.3.1 Guidelines for Respite Selection",Missouri,Rules,2023,"Expectations for care, Forms - Other, Foster parent recruiting, Services while in care - Other",,,"When selecting an individual to provide respite consider: Individuals who are familiar with the children in your home Individuals who are willing to complete the screening and training requirements Good communication skills The respite provider and the resource parent should be able to discuss child related issues so that the respite time is successful. Information sharing and receiving is essential for the respite provider to know how the child is being parented. Individuals who demonstrate positive and effective parenting skills Understand loss, grief and attachment issues Required training for respite providers includes information on these topics Individuals who demonstrate ability to protect and nurture children Individuals who present to be flexible with their time and availability Respite providers must be flexible and prepared for unexpected emotional, medical and/or behavioral problems with the children, of which the foster parent may not yet be aware Individuals who demonstrate the ability to work as a member of a professional team Individuals who demonstrate the ability to follow rules and guidelines Disclosure by the selected individual of their motivation for providing respite services Applicants for respite provider positions must be carefully screened about their motivations for providing respite. Some applicants may be interested in working with children in foster care because of their own personal experiences with foster care or with abusive or neglectful situations. While these experiences may sensitize the applicant to the trauma the children may be experiencing, they must be screened to ensure that they have processed any unresolved feelings. Potential providers need to understand that each child’s experience is unique and cannot be compared to their own. Individuals who demonstrate the ability to meet the developmental needs of the children Individuals who demonstrate the ability to cooperate with Children’s Division or private agency staff Information resource parents may want to share with a provider: Sensitivities your child has to touch, teasing, sound, and light How your child best communicates with others Calming activities that soothe your child Past abuse experiences that may be triggered by specific activities; how to avoid such situations, and strategies for providers if your child becomes upset Your child’s fears How you respond to your child’s behaviors Some questions respite providers may want to ask resource parents: What are four important things I should know about your child? Does your child have special routines and schedules? What are your child’s likes and dislikes? What are the expectations at bedtime? When is bedtime? Are there special routines? Does the child wake up, sleep walk, and wander at night? Does the child wet the bed? How do you handle these issues? Does your child require special food preparation or have any food allergies? Is your child safe alone? Does your child play well with other children? Can your child be outside? Will your child wander? For best practice in using respite, remember these: Have a scheduled pre-placement visit whenever possible. This makes the respite more “comfortable” for everyone involved. Use the same respite provider whenever possible. Consistency will be best for the child. Give ample notice to your worker for approving respite and in helping you locate respite for you. Your worker can also assist you in locating a respite provider. When you have agreed to provide respite care—make it a commitment! Be Prepared!! Give to the Respite provider: All contact information (resource parent/workers) Schedules for child and birth parent visits or appointments Medications/allergies of child & any additional important info Chapter Memoranda History: (prior to 01-31-07) CD04-68 Memoranda History CD09-07 , CD15-75, CD18-16",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-17-respite-subsection-3-recruitment-and-retention-1731-guidelines
"MO :: Section 6, Chapter 17 (Respite), Subsection 3, – (Recruitment and Retention) :: Intro",Missouri,Rules,2023,"Expectations for care, Forms - Other, Foster parent recruiting, Services while in care - Other",,,"Respite care providers may be recruited by the resource provider, agency staff, and through the application process for foster/adoptive resource assessment. Resource provider applicants are requested to provide respite as part of the assessment and training process. The resource applicant may not begin providing respite until all the following steps are competed: Completion of all respite forms; Application to Provide Respite Care, CS-RC-1, including all required signatures Sign a Respite Care Provider Approval ,CS-RC-3 Sign a Cooperative Agreement for the Purchase of Respite Care Services with the Children’s Division, CM-10 Read, agree to and sign the Resource Parent Discipline Agreement, CD-119 If there are smokers in the household, the Notice of Hazards, CD-101, must be completed Read, agree to and sign the Safe Sleep Practices, CD-117 Foster Respite Care Provider Checklist, CS-RC-2, including all required signatures Completion of all background screenings ; Fingerprint criminal check Child Abuse and Neglect registry checks Case.Net check Family Care Safety Registry check Sex Offender list check by provider residence address Completion of respite care training; and Open and approve a respite vendor type in FACES. Resource providers shall be encouraged to recruit individual respite care providers with whom the child(ren) in their home are familiar. Staff are also encouraged to recruit previously licensed resource providers who are no longer actively providing care for children but left the agency in good standing. Resource worker staff will use the Resource Parent Exit Interview, CD-112, to facilitate recruitment of resource providers that are closing their license as well as former resource providers. The completed form will be reviewed by the worker and used to encourage post-foster parent resource opportunities. The CD-112 will be retained in the form section of the case file. The resource worker will provide support and instruction to the respite provider regarding: Completion of the necessary paperwork/forms Amount of respite pay and the payment process Training opportunities Individuals and families referred to the agency as potential respite care providers shall complete the appropriate approval process. If approved, the respite care provider shall be placed on a current, local list of respite care providers. Resource providersshall be given a copy of the list with updates provided on a regular basis or upon request. The Children’s Division resource worker will utilize but not be limited to the following to promote retention of respite providers: Invite all respite providers to the Resource Parent appreciation events Encourage the respite provider to participate with the organized Resource Provider support groups Provide information regarding web sites and materials to enhance the respite provider’s parenting skills Chapter Memoranda History: (prior to 01-31-07) CD04-68 Memoranda History CD09-07 , CD15-75, CD18-16",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-17-respite-subsection-3-recruitment-and-retention-intro
"MO :: Section 6, Chapter 17 (Respite), Subsection 2, – (Types of Respite Care) :: 17.2 Types of Respite Care",Missouri,Rules,2023,Services while in care - Other,,,"In-home respite care is provided in the home of the licensed resource provider a minimum of six (6) hours up to 24 hours, overnight, daily or on a weekly basis. Out-of-home respite care may include the substitute care of children a minimum of six (6) hours up to 24 hours, daily, overnight or on a weekly basis in an approved home or facility other than the current licensed resource provider’s home.  The resource worker will use the Foster Respite Care Provider Checklist, CS-RC2, to determine that the home is approved. Respite for an unlicensed relative or kinship provider is available through the Children’s Treatment Services, CTS, contract. There are occasions when a resource parent requires supervision of the foster youth placed in their home which do not meet the definition of respite. Refer to subsection 10 of this chapter. Chapter Memoranda History: (prior to 01-31-07) CD04-68 Memoranda History CD09-07 , CD14-17, CD18-16",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-17-respite-subsection-2-types-respite-care-172-types-respite-care
"MO :: Section 6, Chapter 17 (Respite), Subsection 1, – (Respite) :: 17.1 Respite Care",Missouri,Rules,2023,Services while in care - Other,,,"Respite care is the provision of periodic and/or intermittent, temporary substitute care of children who are in the care and custody of the Children’s Division (CD), placed in a licensed resource home (foster, relative or emergency). Respite care services may be approved as part of an adoption or guardianship agreement. The Respite plan should serve equally the needs of both the foster youth and the foster caregivers. Respite is designed to provide relief for the resource provider from the stresses of the constant responsibilities of providing out-of-home care. The time the foster youth takes a break from the resource family should include planned opportunities for social activities and enrichment. Respite is a fun and rewarding time for foster youth while their placement providers are allowed to relax and have time to themselves for recharging. Respite is not for use in regular child supervision situations when a parent would normally use ordinary child care, i.e., hiring a baby-sitter for an afternoon or evening outing, or for attending foster parent training or seminars. Refer to Subsection 10 of this chapter for supervision options. Respite care may be planned in advance or used in emergency situations. Respite care may be provided to licensed resource providers a minimum of 6 hours, daily, overnight or on a weekly basis. Respite care should be used to maintain stable placements, but should not be used to exclude foster children from ordinary and traditional family activities. Using respite is important to reduce placement disruptions and to support safer and healthier homes. Memoranda History CD04-68 Chapter Memoranda History: (prior to 01-31-07) CD09-07 , CD10-123 , CD14-17, CD18-16",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-17-respite-subsection-1-respite-171-respite-care
"MO :: Section 6, Chapter 16 (Relative Resource Home), Subsection 6, – (Options for Assisting Relatives) :: 16.6 Options for Assisting Relatives/Kin",Missouri,Rules,2023,"Adoption, Foster parent licensing, Guardianship, Subsidies - Foster Parents",,,"OPTION 1: Relatives providers who wish to pursue placement of children who are currently in Children’s Division custody will be asked to complete STARS for the Caregiver Who Knows the Child training in addition to a background screening which includes fingerprints and a complete home assessment. Relative providers who complete these licensing standards are eligible for Foster Care Maintenance, clothing vouchers, daycare assistance and MO HealthNet coverage for the foster children. OPTION 2: Licensed Relatives providers who are parenting children who have been determined by the Division to meet the classification of elevated behavioral or medical need and who are willing to pursue a higher level of training in order to meet the child’s needs will qualify for elevated behavioral/medical reimbursement. ICPC resource providers may be approved as an elevated needs provider and received Elevated Need Level A or medical reimbursement if they complete Elevated Needs Level A or medical equivalent training in their state of residence. To qualify for this assistance the relative must complete elevated need level A or medical training. Upon completion of this training, the relative family is eligible for a higher maintenance rate. They are also strongly encouraged to take advantage of the additional services offered by the Children’s Division for Elevated Needs Level A or Medical needs children. OPTION 3: Relatives providers that are licensed with the state and who are willing to pursue adoption are eligible for an adoption subsidy including maintenance, MO HealthNet, Daycare Assistance, Legal Fees and other approved assistance according to the child’s needs. OPTION 4: Qualifying licensed Relatives who obtain legal guardianship qualify for legal guardianship subsidy which includes maintenance, child care assistance, MO HealthNet, Legal Fees and other approved assistance according to the child’s needs. Chapter Memoranda History: (prior to 01-31-07) CD04-46 , CD06-70 Memoranda History: CD10-101, CD10-102, CD17-42, CD18-16, CD18-39",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-16-relative-resource-home-subsection-6-options-assisting-relatives-166
"MO :: Section 6, Chapter 16 (Relative Resource Home), Subsection 5, – (Relative Home Assessment Recording Outline) :: 16.5 Relative Home Assessment Recording Outline",Missouri,Rules,2023,"Foster parent licensing, Investigations, Services while in care - Educational, Services while in care - Financial, Services while in care - Medical, Services while in care - Mental Health, Services while in care - Therapies (not mental health), Subsidies - Foster Parents",,,"The process of drafting the Home Assessment is a positive engagement experience between the resource development worker and the applicant. The relationship of the resource development worker with all the household members of a resource home is important for cultivating mutual respect and monitoring a safe and nurturing environment for relative foster youth. The mutual assessment process provides an opportunity for the worker to build positive and beneficial relationships with the resource home members and to offer help to the resource family. The worker is in the home to help maintain and support the resource family. The home assessment process is conversational allowing for the sharing of concerns, strengths and needs, and development of a mutual relationship of trust. The meaningful conversations include pertinent issues and understanding of licensing requirements. The relative Home Assessment is written specifically to address the appropriateness and best interest for the specific relative foster youth to be placed in the home and to affirm licensing standards are met per 13 CSR 35-60 RSMo . Reason for Study Relationship of applicant to foster youth Circumstances regarding opportunity for applicant to be a resource provider for foster youth. Past efforts of applicant to help family and prevent abuse/neglect, if applicable. Applicant’s current ability to ensure the safety of the youth placed or to be placed in their home. Use only the initials of the foster youth. Do not use the name or identifying information associated with the relative foster youth. Summary of Contacts: Include dates and places of contact, and with whom contact was made for Home Assessment completion. Description of Family Members: It is important to remember that there is usually an existing relationship between the foster youth or the youth’s family and the relative provider. Include about each household member all applicable information in items a through k as is relevant to the placement and stability of the specific relative youth(s) placed in the home: Full name, sex and date of birth Ethnic and racial background Attitude regarding the placement of the youth in the home Social history as is relevant to the youth placed in the home Marital history Military history Education Health Employment history pertinent to compliances with statue 210.496 (8) and (9) Extended family relationships to support the placement of the youth in the home Household pets Family Relationships: Present marriage – roles, responsibilities; stability of relationship if not married Resource parent life style and practices Interaction with extended family Group activities and shared interests Religious practices and preferences of each family member Methods of discipline Educational practices of the resource provider (as required by 13 CSR 35-60.030) (i.e. preference of schooling:  public, private, or home schooling; thoughts on the importance of education on a child’s future) Observation of interaction between the applicant, foster youth and foster youth’s parents to assess the degree of comfort and trust which exist among the parties and with agency involvement Financial Status: Source and amount of income Management/indebtedness Capacity to provide and care for the foster youth financially and physically Health Status – summarize information from medical forms, coupled with information gained from interviews. Home and Environment: Structure of environment to ensure safety and health of foster youth Description of home and surroundings Housekeeping standards Special safety considerations and particularly those that relate to foster family home rules Childcare arrangements Attitudes Toward Fostering: Capacity to care for the foster youth’s physical and emotional needs Attitude toward birth parents and siblings and frequent visiting; willingness to work with whole family Open to agency supervision Parenting skills  (include information from interviews and the Foster Family Profile:  expression of positive feelings toward a child both verbally and physically; response to child’s verbal and physical expression of needs and wants; discipline techniques used to refrain from using corporal punishment; ability to guide a child toward independence and recognize the immaturity of a child.) Support by own children and extended family of providing relative foster home for specific foster youth. Family’s Understanding of and Response to Agency Policy Regarding: Rules and regulations Payment system Agency organization No corporal punishment Role as team member Willingness to cooperate with the treatment plan Summary of References: Highway Patrol (arrests and convictions; consider relevance to additional child-caring responsibilities) CA/N Central Registry, Family Support Division (FSD) (consider relevance to additional child-caring responsibilities) Sex Offender Registry information by address maintained by the Missouri State Highway Patrol (MSHP). Documentation of Case.Net review Family Care Safety Registry Report Personal (3) Employment School Non-Safety Standards Waived: (If no waivers were used to license the home enter Not Applicable. If any non-safety wavier was used, enter the allowable waiver and indicate how the use of the waiver will not create any safety or well-being issues for the foster youth or hinder permanency.) Evaluation:  (Include compliance with licensing rules) Recommendation Signature of Worker and Date Signed Approval of Supervisor Including Signature and Date Signature of Resource Provider(s) and Date Signed Memoranda History: CD14-59 , CD18-16",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-16-relative-resource-home-subsection-5-relative-home-assessment
"MO :: Section 6, Chapter 16 (Relative Resource Home), Subsection 4, – (Renewal/Reassessment of Relative Foster Home) :: 16.4.1 Relative Provider Chooses to become a Foster Home",Missouri,Rules,2023,Foster parent licensing,,,"If a relative provider decides to become licensed as a traditional foster home, the 27 hours of STARS pre-service training must be successfully completed and all the guidelines located in policy Section 6 Chapter 3 Subsection 1 completed, before a non-relative or kinship youth in foster care can be placed in the home.   All the requirements for renewing the foster home license, located in Section 6 Chapter 3 Subsection 5 and the renewal outline located in Section 6 Chapter 3 Subsection 8 must be completed for the foster home license to be renewed. Remind the relative resource provider the parent of the foster youth shall not live in the relative foster family home with the foster youth with the exception of those parents of foster youth who are also in the legal custody of the Children’s Division. Chapter Memoranda History: (prior to 01-31-07) CS03-32 , CD04-79 , CD05-80 , CD06-37 , CD06-46 , CD06-75 Memoranda History: CD10-102 , CD11-88 , CD17-15 , CD17-42 , CD18-16 , CD18-39",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-16-relative-resource-home-subsection-4-renewalreassessment-relative-0
"MO :: Section 6, Chapter 16 (Relative Resource Home), Subsection 4, – (Renewal/Reassessment of Relative Foster Home) :: Intro",Missouri,Rules,2023,Foster parent licensing,,,"Relative foster homes need to be reassessed every two years, just as with other foster homes. The reassessment process will be the same as the initial licensure process, with the exception of the training component for those relatives who wish to exercise the option to forgo the completion of all 30 hours of non-required in-service training and remain licensed. The waiver of 30 hours of in-service training does not include required in-service training as identified in Section 6 Chapter 2 Subsection 5.The worker, or other designee, assigned to the family, will complete the following: Background checks; criminal and Child Abuse and Neglect A home assessment of the caregiver The Resource Home and Safety Checklist Form, CS-45 If the relative resource home requires a non-safety licensing standard wavier consideration, complete the CD-152. Check and run the Resource Parent Training screen in order to document that the required In-Service training hours for a relative provider have been met in order to continue to receive the Professional Parenting Payment, and Renew the license by Adding a Renewal on the Vendor License/Approval and Renewal screen in FACES. Chapter Memoranda History: (prior to 01-31-07) CS03-32 , CD04-79 , CD05-80 , CD06-37 , CD06-46 , CD06-75 Memoranda History: CD10-102 , CD11-88 , CD17-15 , CD17-42 , CD18-16 , CD18-39",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-16-relative-resource-home-subsection-4-renewalreassessment-relative
"MO :: Section 6, Chapter 16 (Relative Resource Home), Subsection 3, – (Placement Activities/Placement Support) :: 16.3.1 Missouri Kinship Navigator Program",Missouri,Rules,2023,"Contact and directory information, Services while in care - Other",,,"The Children’s Division has partnered with ParentLink, the Missouri Family Resource Centers, and other public and private community partners to connect informal and formal relative caregivers to quality information, outreach activities and support group services across Missouri. The Missouri Kinship Navigator Program established a statewide toll-free phone line: 1-833-KIN-4KID (1-833-546-4543) that is operated by ParentLink staff who are trained to assist relative caregivers in identifying, locating, and accessing programs and services to meet the physical and emotional needs of the children they are raising as well as any needs of the relative/kinship caregiver. The ParentLink staff operating the warm-line connect caregivers with Kinship Navigators from ParentLink or other agencies including: Central Missouri Foster Care and Adoption Association (CMFCAA), FosterAdopt Connect (FAC), and Foster & Adoptive Care Coalition (FACC) to provide kinship navigation services located in many communities across Missouri. For additional information on specific services, resources and locations, visit the ParentLink Kinship Navigator website: https://education.missouri.edu/navigators/ Chapter Memoranda History: (prior to 01-31-07) CS03-32 , CD04-79 , CD05-80 , CD06-37 , CD06-46 , CD06-75 Memoranda History: CD09-80 , CD10-72 , CD10-102 , CD11-88 , CD17-15 , CD17-42, CD18-16, CD20-56",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-16-relative-resource-home-subsection-3-placement-activitiesplacement
"MO :: Section 6, Chapter 16 (Relative Resource Home), Subsection 3, – (Placement Activities/Placement Support) :: Intro",Missouri,Rules,2023,"Foster parent licensing, Services while in care - Financial",,,"The licensing worker will maintain at a minimum quarterly visits to the relative provider’s home. During these visits, the worker shall have meaningful conversations with the relative provider. These conversations are to allow for the sharing of concerns, accomplishments, and development of a mutual relationship of trust. The licensing worker shall review on-going licensing requirements and provide information on relevant in-service trainings, respite services, and support groups to meet the individual needs of the child and the relative provider. Placement support services are as important in relative foster homes as they are in any other type of out-of-home placement. The extent and frequency of support services will vary depending on the child’s specific needs and the provider’s capacity to meet those needs. The worker should not assume that the close relationship between child and provider precludes the need for regular contacts with the child (ren) and family and provision of supportive services to the child and/or relative. The foster youth’s case manager will visit the foster youth per policy guidelines and the licensing worker will make a home visit to an unlicensed relative provider’s home every six (6) months until the child(ren) are no longer in the home or permanency is established with the provider through guardianship or adoption. The visit will include completion of the Resource Home and Safety Checklist, CS-45, and inquiring as to any concerns or needs of the unlicensed relative provider. Upon placement of a relative foster youth in a relative resource provider home, the child is eligible for child specific financial benefits including: Infant allowance, Clothing allowance, Respite, Child care, and Allowable child specific transportation reimbursement. Understandably, in many situations, the relative provider may allow the biological parent(s) of the child placed with them to be in the home as frequently as allowed by the case plan. The biological parent cannot live in the relative foster family home unless the parent is a youth in alternative care (CYAC). Related Subject: Section 6 Chapter 16 Subsection 2 Agency Arranged Relative Foster Care; and Chapter 16 Subsection 2.5 Benefits of Licensure Chapter Memoranda History: (prior to 01-31-07) CS03-32 , CD04-79 , CD05-80 , CD06-37 , CD06-46 , CD06-75 Memoranda History: CD09-80 , CD10-72 , CD10-102 , CD11-88 , CD17-15 , CD17-42, CD18-16, CD20-56",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-16-relative-resource-home-subsection-3-placement-activitiesplacement-0
"MO :: Section 6, Chapter 16 (Relative Resource Home), Subsection 2, – (Agency Arranged Relative Foster Care Due to the Children’s Division Legal Custody) :: 16.2.6 Placement in a Currently Licensed Home",Missouri,Rules,2023,"Foster parent licensing, Placement",,,"If relative placements are being made in a home that currently has an open Relative, RH, vendor placement type, the following steps must be taken: Verify any capacity concerns; Provide the RH provider with a copy of the court order; Provide the RH provider with all information specific to the foster youth being placed including: Medicaid form, IM-29, and instructions for obtaining a complete health examination; Procedures for obtaining clothing for child, including a clothing allowance voucher; Name and phone number of foster youth’s current school and instructions to enroll foster youth in new school, if needed; Provide the RH provider with the name and twenty-four hour contact telephone numbers of the worker and supervisor; Foster Family Home License If a relative placement is made in a home that has a current FH, FA, FG, CF, Elevated Needs Level A or Elevated Medical Needs vendor placement type, the following steps must be taken: Verify any capacity concerns Provide the RH provider with a copy of the court order; Provide the RH provider with all information specific to the foster youth being placed including: Medicaid form (IM-29) and instructions for obtaining a complete health examination; Procedures for obtaining clothing for child, including a clothing allowance voucher; Name and phone number of foster youth’s current school and instructions to enroll foster youth in new school, if needed; Provide the RH provider with the name and twenty-four hour contact telephone numbers of the worker and supervisor; Open an application for vendor type RH using the date of opening as the date the placement is made. Open an RH license using the begin date as the date that the placement is made and the end date the same as the current FH license end date. Chapter Memoranda History: (prior to 01-31-07) CS03-32 , CD04-79 , CD05-80 , CD06-37 , CD06-46 , CD06-75 Memoranda History: CD07-36 , CD07-65 , CD08-55 , CD10-61 , CD10-102 , CD11-88 , CD12-30 , CD12-31 , CD12-88 , CD14-09 , CD14-27 , CD16-18 , CD17-15 , CD17-42, CD18-16, CD18-39, CD20-20",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-16-relative-resource-home-subsection-2-agency-arranged-relative-3
"MO :: Section 6, Chapter 16 (Relative Resource Home), Subsection 2, – (Agency Arranged Relative Foster Care Due to the Children’s Division Legal Custody) :: 16.2.5 Benefits of Licensure",Missouri,Rules,2023,"Foster parent licensing, Guardianship, Subsidies - Foster Parents",,,"The Children’s Service Worker shall explain to the relative provider the benefits of completing the licensure process. The monthly maintenance payments will cease after the initial 90 days of placement in the relative home. The following benefits are to be presented and discussed with the provider: Monthly maintenance payments. Respite services. Guardianship subsidy is only available if the provider is licensed. Chapter Memoranda History: (prior to 01-31-07) CS03-32 , CD04-79 , CD05-80 , CD06-37 , CD06-46 , CD06-75 Memoranda History: CD07-36 , CD07-65 , CD08-55 , CD10-61 , CD10-102 , CD11-88 , CD12-30 , CD12-31 , CD12-88 , CD14-09 , CD14-27 , CD16-18 , CD17-15 , CD17-42, CD18-16, CD18-39, CD20-20",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-16-relative-resource-home-subsection-2-agency-arranged-relative-4
"MO :: Section 6, Chapter 16 (Relative Resource Home), Subsection 2, – (Agency Arranged Relative Foster Care Due to the Children’s Division Legal Custody) :: 16.2.4 Stepparents",Missouri,Rules,2023,"Adoption, Foster parent licensing, Guardianship, Services while in care - Financial, Subsidies - Foster Parents",,,"A stepparent by legal definition, RSMo 210.481 (9), is a relative. A stepparent is opened as an RHU. Stepparents are not eligible for pursuing a foster home licensure; therefore, they are not eligible for maintenance payment. Pursuant to statute 453.400, a stepparent shall support his or her stepchild to the same extent that a natural or adoptive parent is required to support his or her child so long as the stepchild is living in the same home as the stepparent. If the stepparent needs financial assistance, they may apply for TANF benefits. Stepparents are not eligible for adoption or guardianship subsidy if they are married to the natural parent of the child. Chapter Memoranda History: (prior to 01-31-07) CS03-32 , CD04-79 , CD05-80 , CD06-37 , CD06-46 , CD06-75 Memoranda History: CD07-36 , CD07-65 , CD08-55 , CD10-61 , CD10-102 , CD11-88 , CD12-30 , CD12-31 , CD12-88 , CD14-09 , CD14-27 , CD16-18 , CD17-15 , CD17-42, CD18-16, CD18-39, CD20-20",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-16-relative-resource-home-subsection-2-agency-arranged-relative-5
"MO :: Section 6, Chapter 16 (Relative Resource Home), Subsection 2, – (Agency Arranged Relative Foster Care Due to the Children’s Division Legal Custody) :: 16.2.3   Licensure Process",Missouri,Rules,2023,"Foster parent licensing, Placement, Reporting requirements",,,"The primary impetus of placement in a relative home is to allow the foster youth to maintain family relationships in a safe environment. If the relative provider chooses to become a licensed provider, the worker has 90 days from the date the foster youth was placed in the home to complete the licensure process. Maintenance payment only occurs during the initial 90 days of the licensure process. Maintenance ceases after 90 days and will only resume upon completion of all the licensure requirements. Licensure of a relative will be determined after the Children’ Service Worker completes the following: Provide the relative provider with the Relative Foster Care Introduction Letter, CD-71, which explains the licensing process and time frames. Provide the relative provider with the STARS “ For The Caregiver Who Knows The Child ” training materials, as either a self-study or an opportunity for them to attend a group training session. The provider will receive 9 hours of pre-service training credit for successfully completing the training and homework for STARS for the Caregiver Who Knows the Child. At least 9 hours of assessment is required to occur during the pre-service training process. The relative provider must meet the following competencies: Protecting and nurturing; Meeting developmental needs and addressing developmental delays; Supporting relationships between children and their families; Connecting children to lifetime relationships; and Working as a member of a professional team. 3. Provide the paperwork for the family to register with the Family Care Safety Registry and obtain a report to be documented in the record. 4.   Review Children’s Division License History Screens 5.   Provide the Foster/Adopt Home Assessment Application, CS-42, for completion. 6.   Provide a Foster/Adoptive Household Member Physical and Mental Health Report, CW-215, for each household member, excluding foster youth. Request that the relative providers authorize their physician to submit a statement of physical and mental health using the CW-215. The providers and all household members must be determined by a physician to be in good physical and mental health. 7.   Complete the Professional Family Development Plan, CD-100, to determine that the relative provider meets the identified competencies which were addressed in the STARS Care Giver Who Knows the Child training in which they successfully completed; 8.   Complete a home assessment which must be conducted at the provider’s residence with all caregivers present. The home assessment includes, but is not limited to: Assessment of the relative provider’s relationship with the parent and foster youth including knowledge of circumstances/conditions which contributed to the need for out-of-home placement, the provider’s past efforts to help family and prevent abuse/neglect and the provider’s current ability to ensure the safety of the foster youth in their own home; Assessment of the relative provider’s capacity to care for the foster youth financially, physically, and emotionally (understanding of abuse/neglect, supportive, willingness to meet foster youth’s needs); Observation of the interaction between the provider, parent, and foster youth to assess the degree of comfort and trust which exist among the parties and with agency involvement; Assessment of relative provider’s willingness to cooperate with the treatment plan; and Three personal references, employer reference, and school reference. Related Subject: Section 6 Chapter 3: Resource Family Assessment and Licensing Process. If a relative resource provider chooses to become licensed, the only deviation from the process that is used to license any Foster/Adoptive Applicant as outlined in Section 6 Chapter 3 Subsection 1 Sub-subsection 3, is the initial pre-service requirement of completing the 27 hours of STARS pre-service training. If a relative resource provider chooses to become licensed and does not meet the specified licensing rules listed below, consideration of, the following list of non-safety licensing standards located in the Foster Family Home Licensing Rules, Title 13-CSR Division 35 Chapter 60 , may be explored on a on a case-by case basis with Central Office approval required for capacity waiver consideration and Regional Office approval for the remaining standards based on the youth(s)’ individual needs and familiarity with the home: Capacity; 13 CSR 35-60.020 (1) Maximum number of children in the home shall not exceed six (6) Capacity; 13 CSR 35-60.020 (2) Maximum of two(2) children under the age of two (2) and no more than four (4) under age five (5) Capacity; 13 CSR 35-60.020 (3) Maximum number of four (4) children in the home if one of the placements requires elevated needs services and no more than two (2) children with elevated needs Age of Foster Parent(s) 13 CSR 35-60.030 (1) Minimum age of 21 Health of Foster Parent(s) 13 CSR 35-60.030 (4) (A) Physician statement and all immunizations up-to-date at initial licensure and renewal for all household members Health of Foster Parent(s) 13 CSR 35-60.030 (4) (B) Physician determination that all household members are in good physical and mental health training 13 CSR 35-60.030 (5) (B) Required 30 hours of in-service training hours for license renewal. This waiver does not include required in-service trainings including but not limited to; CPR, First Aid, RPC Trauma, Reasonable and Prudent Parenting Standard, or any Children’s Division specified in-service training Physical Standards; 13 CSR 35-60.040 (1)(A) Location of home Physical Standards; 13 CSR 35-60.040 (1)(B) Size and floor plan of home Physical Standards; 13 CSR 35-60.040 (2)(D) Opposite sex who are six (6) years of age and older shall not sleep in same room Physical Standards; 13 CSR 35-60.040 (2)(E) No foster youth age 2 and over sleep in same room with adult over 21 Physical Standards; 13 CSR 35-60.040 (2)(F) No foster youth age 2 and over shall sleep in the same bed with the resource parent(s) Physical Standards; 13 CSR 35-60.040 (2)(I) Drawer and closet space specifications1 11. Approval Process Utilizing the Non-Safety Licensing Standards Waivers The prescribed form, CD-152, must be completed with signature approvals prior to the license begin date of the relative applicant. When a recommendation to approve a relative provider is based on utilizing the allowable non-safety licensing standard waivers, the recommendation must include clear documentation that utilization of the waiver(s) will not affect the safety and well-being of the foster youth. The approved CD-152 is sent to Central Office for data collection. For capacity waiver approval, use the Capacity Waiver section on the prescribed form, CD-152. Central Office approval is required prior to the placement of any additional children in the home or within 3 business days if emergency placement was approved by a supervisor or above. Central Office will respond to the waiver consideration within 3 business days of receipt. When a recommendation is to deny licensure of the relative provider the denial must be based on non-compliance and/or incapability of meeting the required licensing rules. If the non-safety licensing standard waivers could not be utilized to approve the licensure, there must be clear documentation that the safety and well being of the foster youth would be compromised if an allowable waiver was used. 12. After the relative resource home has completed all the licensure requirements as outlined in this section and the license has been approved, maintenance payment will resume. The worker must complete the following: Enter the date the requirements were met as the begin date of the license. Send the signed Cooperative Agreement for the Purchase of Professional Parenting Services, CM-14, to the Central Office Contract Unit for entry. The date on the contract cannot be prior to the date that the licensure began. 13. The Children’s Service Worker will review the status of each pending relative care provider’s assessment and license. The Relative Foster Care Reminder Letter, CD-72, should be sent every 30 days until licensure is achieved or the family chooses to no longer pursue licensure. Chapter Memoranda History: (prior to 01-31-07) CS03-32 , CD04-79 , CD05-80 , CD06-37 , CD06-46 , CD06-75 Memoranda History: CD07-36 , CD07-65 , CD08-55 , CD10-61 , CD10-102 , CD11-88 , CD12-30 , CD12-31 , CD12-88 , CD14-09 , CD14-27 , CD16-18 , CD17-15 , CD17-42, CD18-16, CD18-39, CD20-20",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-16-relative-resource-home-subsection-2-agency-arranged-relative-foster
"MO :: Section 6, Chapter 16 (Relative Resource Home), Subsection 2, – (Agency Arranged Relative Foster Care Due to the Children’s Division Legal Custody) :: 16.2.2 Required Action Following Placement",Missouri,Rules,2023,"Court system, Foster parent licensing, Placement, Reporting requirements",,,"The following steps must be completed within three (3) working days following placement of a foster youth in an unlicensed relative home: Receive the court order, ordering the foster youth into the custody of the Children’s Division; Obtain agreement from all Family Support Team Members regarding the placement; Determine if assistance is needed to monitor/restrict contact between parents; Immediately notify the eligibility specialist of child’s placement; Provide relative provider with a copy of the court order; Provide relative provider with Medicaid form, IM-29, and instructions for obtaining a complete health examination; Explain to the relative provider the procedures for obtaining clothing for child, including a clothing allowance voucher if the foster youth is in custody; Provide the relative provider with the name and phone number of foster youth’s current school and instructions to enroll foster youth in new school, if needed; Provide the relative provider with the name and twenty-four hour contact telephone numbers of the worker and supervisor; Provide the relative provider with the Finger Print Authorization Letter to Prospective or Current Resource Providers, CD-26a; Inform the relative provider that the foster youth will be removed immediately if anyone in the household does not obtain fingerprints; Check all the Family Support Division screens as specified in licensure policy, Section 6 Chapter 3 Subsection 1 Sub-subsection 3; Check Child Abuse and Neglect Registries in every state each household member 17 years of age and older has resided during the past five (5) years per Adam Walsh Protection and Safety Act. The search can be conducted by accessing the List of Contacts for Other States Child Abuse and Neglect Registries . This list includes the contact and the process to make the request for every state; Check the Children’s Division computer system to verify if the provider has a Departmental Vendor Number, DVN; Open an application as pursuing licensure. Relative (RH) placement providers are required to have a DVN whether they are licensed or not. The system will automatically generate a monthly maintenance payment for 90 days to the relative provider. Payment will cease after 90 days. If the relative provider wishes to become a licensed provider in order to receive monthly maintenance payment, they must complete the requirements for licensure as outlined later in this chapter. Upon completion of the licensure process and approval, the date all licensure requirements were completed is entered as the begin date of license and payments will resume upon that date. p. Open an Alternative Care Client Information screen, SS61, for each foster youth placed in the home; q.  Check IPAR, Family Support Division, FSD, screen accessed by the child’s DCN to determine if the foster youth is receiving TANF benefits. If the foster youth is receiving TANF benefits, close the foster youth out of the FSD case. r.  Have a conversation with the relative placement provider regarding the benefits of completing the licensure process. s.  The licensing worker will make a home visit to the unlicensed relative provider home every six (6) months until the provider is closed. The visit will include completion of the Resource Home and Safety Checklist, CS-45, and inquiring as to any concerns or needs of the unlicensed provider. t.  If the relative provider decides to not pursue Licensure, the Family Support Team must be in agreement with the placement continuing and a court order must be obtained allowing the foster youth to remain in the unlicensed resource home.   If there are problems obtaining a court order, contact Division of Legal Services. The worker must notify the unlicensed resource they are not eligible for maintenance payments. Foster youth may not remain in an unlicensed foster home without a court order approving the placement of the foster youth in the unlicensed resource home. Chapter Memoranda History: (prior to 01-31-07) CS03-32 , CD04-79 , CD05-80 , CD06-37 , CD06-46 , CD06-75 Memoranda History: CD07-36 , CD07-65 , CD08-55 , CD10-61 , CD10-102 , CD11-88 , CD12-30 , CD12-31 , CD12-88 , CD14-09 , CD14-27 , CD16-18 , CD17-15 , CD17-42, CD18-16, CD18-39, CD20-20",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-16-relative-resource-home-subsection-2-agency-arranged-relative-0
"MO :: Section 6, Chapter 16 (Relative Resource Home), Subsection 2, – (Agency Arranged Relative Foster Care Due to the Children’s Division Legal Custody) :: 16.2.1 Required Action for Placement",Missouri,Rules,2023,"Foster parent licensing, Placement, Reporting requirements",,,"The following steps must be taken at the time of placement in order to facilitate an initial out-of-home placement with an unlicensed relative provider: Before placing the foster youth with a relative foster care provider, the Children’s Service Worker must inform them of their role and responsibilities including the following: Their duties, rights, and role as an out-of-home placement provider; Provide a written notification of their rights, and a copy of the Foster Parent Bill of Rights, RSMo 210.566; Full access to the child’s medical, psychological, and psychiatric records in its possession, including reports prior to the child coming into care; Continued full access to all records that come into the possession of the division or of which the division becomes aware; Access shall include providing information and authorization for relative provider to review or to obtain the records directly from the medical, psychological, or psychiatric services provider; Relative Provider may decline access to any or all of the child’s records; Financial assistance, benefits, and services available to support the foster youth’s placement; The licensure process including how long it will take, what is required, and the benefits of licensure; The juvenile court process and options; The permanency planning process including their membership on the Family Support Team, FST; Signed SS-6 for all household members which is needed to contact references and share information with the FST; and Support services, including training, available through CD and community resources. Determine whether the parent(s) of the foster youth approve of the relative as a potential placement provider. If the placement is with a grandparent, parental approval is not needed per RSMo 210.305; If the placement is with a relative, parental approval is not needed per RSMo 210.565. Determine the relationship of the foster youth to the potential provider. Complete the Resource Home and Safety Checklist, CS-45, to determine that the environment is safe. Prior to placing a child(ren) in a relative resource home that will exceed the capacity limits, workers shall: Assess relative caregivers’ parenting skill level and ability to assure safety for these additional children. Identify all supports and resources needed to meet the needs of the child(ren) and relative caregivers in maintaining safety and stability of the placements. Assess all vulnerabilities of the child(ren) due to age, developmental disabilities, complex medical or behavioral needs, mental health, or other special needs as a result of their trauma history. Consider factors which may impact the capacity of the relative to meet each child’s overall care such as; financial hardship, availability of child care, reliable and available transportation, caregiver health, employment and existing family stressors. Discuss and document in detail each of these factors on the CD-152. The CD-152 is to be sent to Central Office for review and consideration of approval for placement. Approval must be obtained from Central Office prior to placement of any additional children in the home or within 3 business days if emergency placement was approved by a supervisor or above. Central Office will respond to waiver consideration within 3 business days of receipt. Obtain information regarding the potential provider including: name, date and place of birth, Social Security number, address and telephone number. Complete background checks. The CA/N report may be obtained by accessing local county office computers or by calling the Child Abuse/Neglect Hotline. Staff will conduct child abuse and neglect background checks in every state where each household member 17 years of age and older has resided during the past five (5) years per Adam Walsh Protection and Safety Act. The search can be conducted by accessing the List of Contacts for Other States Child Abuse and Neglect Registries . This list includes the contact and the process to make the request for every state. Per Statute 210.482, RSMo, a CA/N and criminal record check shall be completed for all adult household members over the age of 17, or those under the age of 17 who have ever been certified as an adult and been convicted of, or pled guilty or no contest to any crime. The Division will request that a local or state law enforcement agency or juvenile officer immediately conduct a Purpose Code X, name-based criminal history record check to include full orders of protection and outstanding warrants of each person over the age of 17 residing in the home by using the Missouri Uniform Law Enforcement System (MULES) and the National Crime Information Center (NCIC) to access records maintained by the FBI. After the name-based search has been conducted and the foster youth has been placed with the relative family, all household members age 17 and older must submit fingerprints to the Highway Patrol to be used to search the criminal history. The fingerprint authorization letter of Purpose Code X inquiry, CD26-f, shall be provided to the resource provider with the correct registration number for the circuit in the place indicated on the letter. The fingerprints must be obtained within 15 days of the requested name-based check as required for a Purpose Code X inquiry. If the placement is not made, the worker must contact the law enforcement entity that conducted the check and report that the placement was not made. Results of the fingerprint checks will be provided to the Children’s Division office that made the request: Any foster youth placed in a relative home shall be removed immediately if any person residing in the home fails to provide fingerprints after being requested to do so. If the placement of a foster youth is denied as a result of the name-based criminal check, and the denial is contested, the relative provider has 15 business days to submit fingerprints to the Highway Patrol through the Children’s Division. The cost of fingerprinting shall be paid by the state. Check Case.net Check the Missouri State Highway Patrol’s sexual offender list by household address. Enter the address of residence of the resource home at the Missouri State Highway Patrol’s sexual offender list located on the web at: https://www.mshp.dps.missouri.gov/MSHPWeb/PatrolDivisions/CRID/SOR/SORPage.html This search will determine if a sexual offender is registered as residing at the resource home address. Related Subject: Section 6 Chapter 3 Subsection 1 for instructions on CA/N checks, fingerprinting, Case net and Family Care Safety Registry Related Subject: Section 7 Chapter 34 Laws Relating to Custody, Placement and Visitation of Children under the Jurisdiction of Juvenile Court Chapter Memoranda History: (prior to 01-31-07) CS03-32 , CD04-79 , CD05-80 , CD06-37 , CD06-46 , CD06-75 Memoranda History: CD07-36 , CD07-65 , CD08-55 , CD10-61 , CD10-102 , CD11-88 , CD12-30 , CD12-31 , CD12-88 , CD14-09 , CD14-27 , CD16-18 , CD17-15 , CD17-42, CD18-16, CD18-39, CD20-20",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-16-relative-resource-home-subsection-2-agency-arranged-relative-1
"MO :: Section 6, Chapter 16 (Relative Resource Home), Subsection 2, – (Agency Arranged Relative Foster Care Due to the Children’s Division Legal Custody) :: Intro",Missouri,Rules,2023,"Foster parent licensing, Placement, Reunification, Subsidies - Foster Parents",,,"Relative foster care is preferred and should be given first consideration when court intervention is necessary to ensure the safety of the foster youth. Per RSMo 210.127 the search progress to locate the absent parent must be reported at each court hearing until the parent is either identified and located, or the court excuses further search. The same criterion applies when searching for relatives. Preferably, the foster youth’s initial out-of-home placement will be with a relative foster provider, unless the court has determined that relative placement is contrary to the best interest of the foster youth. If the foster youth is not placed with an identified relative provider, the court must make specific findings on the record detailing why placement with a provider is not in the best interests of the foster youth, Section 210.565.3 . Alternative care staff are responsible for obtaining a list of potential relative providers from the parents/or caregiver. Information gathered on page 4 of the Child/Family Health and Developmental Assessment –Parent Information form, CW103 A, may be utilized for this information. The list of potential relative providers should be obtained as soon as possible and no later than at the 72-hr meeting. This list and efforts to locate the identified relative provider is also to be documented in the assessment and treatment section of the case record and on the Child Assessment and Service Plan, CS-1. When a foster youth is placed in an agency arranged relative placement and the placement provider successfully completes the licensure process, that provider will be eligible to receive a monthly maintenance rate equal to that of the traditional foster care payment rate each month. The parent of the foster youth shall not live in the relative foster family home with the foster youth with the exception of those parents of foster youth who are also in the legal custody of the Children’s Division (CYAC), unless ordered by the court. If a court orders that a parent of the foster youth may remain in the resource home, the parent of the foster youth shall be in compliance with 211.038 RSMo background check results. The resource home will not be eligible for maintenance payments if the foster youth’s parent(s) reside in the resource home. If the resource home was not previously licensed, they will not be eligible for licensure if the foster youth’s parent(s) resides in the resource home. Chapter Memoranda History: (prior to 01-31-07) CS03-32 , CD04-79 , CD05-80 , CD06-37 , CD06-46 , CD06-75 Memoranda History: CD07-36 , CD07-65 , CD08-55 , CD10-61 , CD10-102 , CD11-88 , CD12-30 , CD12-31 , CD12-88 , CD14-09 , CD14-27 , CD16-18 , CD17-15 , CD17-42, CD18-16, CD18-39, CD20-20",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-16-relative-resource-home-subsection-2-agency-arranged-relative-2
"MO :: Section 4, Chapter 12 (Financial Considerations), Subsection 1 – Referral Process :: 12.1.4 Title IV-E Referral",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Services while in care - Financial, Use of federal money (including Title IV-E)",,,"The Children’s Service Worker must make a referral to the eligibility specialist in FACES within ten (10) working days from the child’s entry into Out-Of-Home Care to determine eligibility for Title IV-E unless the child is in alternative care less than three days. The system automatically assigns Fund Code 12, Title XIX (FFP) to all children in CD custody depending upon placement. The system automatically alerts the FSD Worker via the daily SACCS 051-01 report when a child is removed from a Temporary Assistance household.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-12-financial-considerations-subsection-1-referral-process-1214-title-iv
"MO :: Section 4, Chapter 12 (Financial Considerations), Subsection 1 – Referral Process :: 12.1.3 Funding Source",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Forms - Financial, Services while in care - Medical, Subsidies - Other, Use of federal money (including Title IV-E)",,,"The Children’s Service Worker will determine the source of the need and Eligibility Analyst will determine the funding source or mix of funding sources to be used for meeting the child’s Out-Of-Home Care costs. Possible sources are: Parent’s contributions and estates Temporary Assistance NOTE:  Determine funding available to a child placed in the custody and/or care of relatives. Also, determine funding available when a family makes their own plan and the child is determined eligible by Family Support Division (FSD) staff. NOTE:  The Eligibility Analyst will determine Title IV-E or HDN funding . Licensed Relatives and Kinship providers can receive Title IV-E or HDN maintenance, infant allowance, and special expenses. IV-E or HDN – Adoption Subsidy/Subsidized Guardianship; Old Age, Survivors, and Disability Insurance (OASDI) and Veteran’s Administration benefit (VA); Supplemental Security Income (SSI); Missouri Medical/Dental Services Program (MM/DSP) including EPSDT NOTE:  This program is also referred to as Title XIX or MO HealthNet. (See Definitions.) Title XIX-FFP Only; Other state agencies such as the Department of Mental Health (DMH) or the Missouri Crippled Children’s Services (MCCS) of the Department of Health and Senior Services (DHSS); Child Care funds. Only Protective Service Child Care through Children’s Treatment Services funding; Other special contracted treatment funds managed through Children’s Treatment Services (CTS) designated for a specific treatment program; and Other community or voluntary resources (includes county health programs). See specific section addressed below for steps of each funding source. NOTE:  The Social Security Specialists are responsible for completing applications and forms to the Social Security Administration (SSA). They also monitor deposits from the SSA into the KIDS account to ensure resource limits are not exceeded. Regions are divided by the case manager county. NOTE:  Parental contributions or other resources received by the child (i.e., VA, Railroad, Social Security Income) and Title IV-E funding are to be reviewed and utilized first and before HDN funding. The statutory authority to use the above funds to be expended for the child’s care and services can be found in Section 210.560 RSMo.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-12-financial-considerations-subsection-1-referral-process-1213-funding
"MO :: Section 4, Chapter 12 (Financial Considerations), Subsection 1 – Referral Process :: 12.1.2 Service Needs",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Services while in care - Financial, Services while in care - Medical, Subsidies - Other",,,"The Case Manager/Children’s Service Worker will determine services needed by the child for which CD will pay.  Services may include: Maintenance Infant allowance:  A child between the ages of 0 – 36 months, in qualifying placement types, is eligible for an additional $50 per month to help meet the specialized needs of infants, such as diapers, formula, clothing, and supplies Children eligible for this allowance include licensed foster homes, relative and kinship homes, children in CD custody in court ordered placements, and CYAC.  Infants in residential care facilities are not eligible to receive the additional allowance. Clothing allowance:  A child is eligible for a clothing allowance at the time of placement and on his/her placement anniversary. The amount of the allowance is based on his/her age at the time of placement or placement anniversary date. Residential treatment providers may receive reimbursement for clothing as specified in this section and in accordance with the reimbursement rates established in this section. With Regional Director approval, individual cases may exceed this standard Routine medical/dental care including services available through the Healthy Children and Youth (HCY) Treatment Program Bureau for Children with Special Health Care Needs (BCSHCN) may cover a medical condition not covered by MO HealthNet. Refer child to the appropriate BCSHCN Regional Office Emergency and extraordinary medical/dental care Children’s Treatment Services Other special services such as: legal services including court fees in a termination of parental rights or adoption proceeding;  court fees to assist a grandparent establish legal guardianship of a child who is in CD custody; transportation for visiting parent(s) or prospective placement resources; child care services, if a part of the child’s case plan if both foster parents are employed; and/or other needs, unique to a particular child, which have been approved by the Regional Director and which will support and enhance a child’s case plan. NOTE: Maintenance is not paid to state administered schools for the deaf or blind, medical and mental health facilities, or juvenile court closed or semi-closed (detention) facilities. However, some special expenses may be met through HDN funds.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-12-financial-considerations-subsection-1-referral-process-1212-service
"MO :: Section 4, Chapter 12 (Financial Considerations), Subsection 1 – Referral Process :: 12.1.1 Homeless, Dependent, And Neglected (HDN) Or Status Offender",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Legal process, Placement, Subsidies - Other",,,"The Case Manager/Children’s Service Worker must determine if the child is described as HDN or a status offender in the court order: Children in the custody of, and placed in a licensed placement resource of, the Juvenile Courts in Clay, Greene, Jackson, and St. Louis County and St. Louis City are eligible for HDN-Alternative Care funds, FFP, or State-only MO HealthNet if described in the court order as HDN (Section 210.292 RSMo). Obtain the SSN for the child, if it is not known, and complete the Alternative Care Client Information screen in FACES.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-12-financial-considerations-subsection-1-referral-process-1211-homeless
"MO :: Section 4, Chapter 12 (Financial Considerations), Subsection 1 – Referral Process :: Intro",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Contact and directory information, Services while in care - Financial, Use of federal money (including Title IV-E)",,,"The Children’s Service Worker must make a referral to the Eligibility Analyst via the CS-IV-E/FFP-1 within ten (10) working days from the child’s entry into Out-Of-Home Care to determine eligibility for Title IV-E unless the child is in alternative care less than three days. The system automatically assigns Fund Code 12, Title XIX (FFP) to all children in CD custody depending upon placement. The system automatically alerts the Income Maintenance Worker via the daily SACCS 051-01 report when a child is removed from a Temporary Assistance household. The children of youth in alternative care (CYAC) program allows for the payment of maintenance, infant allowance, and special expenses, as well as MO HealthNet, on behalf of a child in the physical and legal custody of his/her parent who is in the  Division’s custody.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-12-financial-considerations-subsection-1-referral-process-intro
"MO :: Section 4, Chapter 11 (Administrative Activities), Subsection 6 – Service Worker Request",Missouri,Rules,2023,"Contact and directory information, Social worker licensing/qualifications",,,"Service Worker Request: Process & Responsibilities The option to request a Service Worker for a child is intended to support staff in reducing drive time while continuing a practice that maintains the Case Manager/child/parent/placement provider connection and continues to meet Federal requirements of worker visits. The Federal requirements outline that contacts occur at least monthly, they take place in the child’s placement the majority of the time (explanation of ‘majority of the time’ is noted below) and that the contact with the child(ren) includes having a one on one conversation with their worker, away from other people, to include age-appropriate topics of safety, permanency, well-being issues, and case planning. Examples of the majority include: If a child is in foster care for 6 months during October 1 thru September 30, 4 out of the 6 required visits during that time frame must be in the child’s placement. If a child is in foster care for only 2 months during the Federal Fiscal year, 2 visits must occur in their placement as the majority of the visits are required in that setting. If a child has been placed in a foster home for 5 months, 3 of the visits held with the provider must be in the provider’s home. Guidelines for the Service Worker request: Service Worker requests can be made if the distance of the address the Service Worker will be visiting exceeds 2 hours, one way, from the Case Manager’s base office address. Drive time shall be calculated by utilizing the Trip Optimizer . Service Worker requests should be sent as soon as the need is identified, please be courteous as to the timeframe between the request and when initial contact is requested Service Workers would complete the worker/child/placement provider or worker/parent visits, face to face every month or as otherwise agreed upon in the CD-175 While the Service Worker is maintaining in person contact with the child/ placement provider/parent, the assigned Case Manager must have monthly contact with the child/placement provider/parent via phone or video call, to maintain the relationship with the individuals the Service Worker is visiting and to keep them aware of the case plan and any updates Should any significant changes occur in the case, the Case Manager is responsible for providing updates to the Service Worker Service Worker requests should be thoughtful. Consideration should be given to what supports are needed around the case goal Circuits have the flexibility to assign a Service Worker to facilities that are in their Circuits if that meets their business need Instructions: Service Worker requests (CD-175) shall be sent by the Circuit Manager (or designee) to the receiving circuits courtesy request email . For emergency requests, indicate ‘emergency request’ in the subject line of the email. Request Determination by Receiving Circuit/County: Service Worker requests (CD-175) shall be sent to the receiving circuits courtesy request email and the receiving Circuit Manager (or designee) CC’d. For emergency requests, (needing contact to be made within a 3 day period) indicate ‘emergency request’ in the subject line of the email. Request Determination by Receiving Circuit/County: The Circuit Manager (or designee) shall respond within 1 business day if specified as an emergency request and within 3 business days if specified as a non-emergency request, indicating receipt of the Service Worker/Case Transfer request (CD-175) and if the request is accepted or denied. Only emergency requests shall be considered for denial if the receiving circuit cannot meet the immediate need, all non-emergency requests shall be accepted. If accepted, check the appropriate box and specify the Service Worker who is assigned. If denied, check the appropriate box and specify the reason for denial. The receiving Circuit Manager (or designee) shall send the accepted/denied CD-175 with the determination back to the sending circuits Circuit Courtesy/Service Worker/Case Transfer Request email listing . The sending Circuit shall be responsive to any additional requests for information or clarification back to the receiving Circuit Manager (or designee). Should additional information be requested by the receiving Circuit, the determination may be postponed until the information is received by the receiving circuit. Should the Case Manager change, the Case Manager or Supervisor is responsible to ensure notification is provided to the Service Worker of the reassignment. Should the Service Worker change, the Service Worker or Supervisor is responsible to ensure notification is provided to the Case Manager of the reassignment. Service Workers shall be responsible for entering the contact narrative in FACES, ideally within the next business day but not to exceed seven (7) days after the contact occurs. Service Workers will also be responsible for uploading into OnBase any documents, forms, records obtained or completed with the family by the Service Worker. Should any major changes, safety concerns or disruptions occur, the Service Worker must notify the Case Manager immediately and the workers shall coordinate how to handle the situation and specify next steps. These conversations shall be documented in FACES by the Case Manager. The Case Manager is responsible for uploading the CD-175 into OnBase when returned from the receiving circuit with an accepted/denied determination. The Case Manager is responsible for entering their monthly contact narrative which occurred by phone or video call in FACES. When a Service Worker request is accepted, the receiving Circuit is responsible for assigning the Service Worker in FACES. Please refer to the FACES instruction tutorial for steps on how to assign a Service Worker. CD-175 Service Worker/Case Transfer Request Form Changes The CD-175 Cover Letter is no longer required to accompany the CD-175 and is discontinued. The CD-175 form changes include sections and selections to more specifically identify the activities and requests being made. For additional reference on home visits expectations refer to: CWM 4.4.1 for Working with Children in Placements CWM 4.6.3 for Ongoing Work with Parents",https://fostercaresystems.wustl.edu/mo-section-4-chapter-11-administrative-activities-subsection-6-service-worker-request
"MO :: Section 4, Chapter 11 (Administrative Activities), Subsection 5 – Critical Event Response",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Reporting requirements, Safety",,,"The Critical Event Protocol is a process for reporting, reviewing, and documenting the Division’s response to significant events involving a child, such as child deaths, suicides or serious physical injury as well as other circumstances requiring a critical event response. The purpose of this process is to take a closer look at circumstances surrounding critical events, including the Children’s Division’s initial response to the critical event and prior involvement with the impacted family, with the goal of identifying systemic issues, agency practices, or areas of need which, if addressed through policy or practice, may improve the Division’s effectiveness moving forward. All instances of a critical event should be reported to the hotline by CD staff as soon as possible. For more information on responses and procedures on critical events, see Section 2 of this manual.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-11-administrative-activities-subsection-5-critical-event-response
"MO :: Section 4, Chapter 11 (Administrative Activities), Subsection 4 – Paternity Testing",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Legal process",,,"In most instances Family Support Division will be able to schedule and pay for genetic parentage testing. However, FSD will not schedule or pay for testing when the legal paternity of a child has been established. When CD requests or is court ordered to seek a genetic test and FSD is not able to schedule or pay for genetic testing, CD will be responsible for scheduling the test. In these cases, CD staff should work directly with the assigned CD Regional Liaison. For detailed instructions on the procedures to complete paternity testing, refer to Section 8, Chapter 7 of this manual.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-11-administrative-activities-subsection-4-paternity-testing
"MO :: Section 4, Chapter 11 (Administrative Activities), Subsection 3 – Other Administrative Activities",Missouri,Rules,"2023, 2022, 2021, 2020, 2019",Administrative process,,,"The Children’s Service Worker shall complete necessary administrative activities, as follows, per local office procedures: Set up or update case record and complete documentation (see Section 5 for detailed information) Complete Emergency Assistance information in FACES Apply for Social Security number for a newborn child, if needed Obtain copy of birth certificate for all children entering care Refer child to the Eligibility Analyst by completing the appropriate area in FACES. The Eligibility Analyst will be responsible for the following activities: Determine IV-E, FFP, and HDN eligibility Refer parent(s) to the Family Support Division – Child Support Enforcement (FSD-CSE). If a parent’s whereabouts are unknown, FSD-CSE will complete an absent parent search via the Federal Parent Locator Service (FPLS). Complete the Third Party Resource Form, TLP-1 Notify Family Support Division of child’s placement, if applicable. Complete ongoing documentation in the FACES system",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-11-administrative-activities-subsection-3-other-administrative
"MO :: Section 4, Chapter 11 (Administrative Activities), Subsection 2 – Changes In Case Manager",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Exit from care, Reporting requirements",,,"If the family and/or child have not relocated but the family or child’s Children’s Service Worker changes, the following activities shall be completed by the new worker: Thoroughly review the family and child’s entire case record and if possible, consult with the family or child’s previous Children’s Service Worker and/or supervisor. Update FACES to reflect the new worker assignment. Notify all Family Support Team members and service providers of new worker assignment and contact information. The following activities shall be completed by the transferring worker: Ensure all notes are recorded in FACES Communicate with the team and family prior to the transition, if possible Complete a transfer summary in FACES Ensure that all documents are uploaded into Document Imaging",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-11-administrative-activities-subsection-2-changes-case-manager
"MO :: Section 4, Chapter 11 (Administrative Activities), Subsection 1 – Family Or Child Moves From County",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Moves while in care",,,"If a child is in out-of-home care and placed in-state and moves from one county to another the following guidelines will be in effect. If case jurisdiction is being transferred, reach agreement between sending and receiving counties on transfer date and exchange of case information. Update all information in FACES prior to the date of transfer. If jurisdiction is not being transferred, update residence (placement) county in FACES and provide information on child moving into the placement county. This should be done through the receiving circuit’s email inbox.  The case manager shall ensure that the child’s transition to the new placement is made in a manner that minimizes trauma to the child, including pre-placement visits (if possible) and agency staff visits after the placement as quickly as possible. The case manager is responsible for all required in person visits to see the child unless certain circumstances occur.  These circumstances are as follows: The case manager wishes to request a service worker The child is placed outside of the case manager’s circuit The child’s placement is more than two hours’ drive time away (one way, as measured from the case manager’s base office) If these conditions are met, the circuit the child is placed in will assign a service worker that can visit the child.  The case manager is still responsible for making monthly contact with the child and visiting the child at least 50% of the time on a schedule agreed upon by the case manager and the service worker. The Case Manager shall complete Service Worker/Case Transfer Request, CD-175, prior to the placement being made. The Children’s Service Worker in the sending county is required to do a follow up with receiving county to verify receipt of request and answer any additional concerns or questions. The Case Manager shall update the Alternative Care Client Information screen in FACES and record all contacts and complete a transfer summary in FACES when the case is being transferred. The child’s Children’s Service Worker will be responsible for all service authorizations, payments and reimbursements. If the Child in out-of-home care is placed out-of-state: see chapter 2 of this section for ICPC information. If the parent of a child in out-of-home care moves within state, the following information applies: Confirm with the parent that parent has moved and verify the address. Notify the parent’s county office via the CD-175 sent to the local circuit’s email inbox. Provide any information requested by the receiving circuit. Update all information in FACERS. Complete a transfer summary in FACES when the case is being transferred The child’s Children’s Service Worker is responsible for all service authorizations, payments and reimbursements. If the parent of child in out-of-home care moved out-of-state: Confirm with parent or collateral that parent has moved. Contact public child welfare agency in the state where the parent resides via letter or phone call, followed by letter, to request assistance to provide services.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-11-administrative-activities-subsection-1-family-or-child-moves-county
"MO :: Section 4, Chapter 10 (Case Management Activities), Subsection 5 – Case Closure",Missouri,Rules,"2023, 2022, 2021","Adoption, Guardianship, Reunification",,,"Planning for case close begins at the start of every case. The following processes are required by the Children’s Service Worker after the FST has determined the children are safe, have achieved permanency, and are ready to recommend that the court should terminate jurisdiction. Reunification with a Parent Once the family, worker and supervisor agree on a closing date, the worker must meet with the family within 15 days of the decision to close the case. The following items should be completed prior to case closure: Complete the Social Service Plan closing assessment with the family and obtain all parent/caregiver/guardian signatures Address any unresolved issues relating to the termination of services The Children’s Service Worker shall meet with the family to summarize the family’s positive change and celebrate this success. Provide a copy of the Social Service Plan’s Long Term Safety/Support Plan section to all participants noted in that plan. Confirm the closing decision and date of closing with the family members Notify the family of the termination of contracted services Complete an Appreciative Inquiry of the parent by a supervisor or manager (supervisor discretion) Supervisors should consider completing an Appreciative Inquiry of the worker to process the case (for more info on Appreciative Inquiry, see Section 1 of this manual) To finalize the closing of the case staff should do the following: Inform all contracted service providers and others involved in the safety network of the decision to close the case and closing date Ensure that the court order terminating jurisdiction is in the file Complete with the Family, and obtain Supervisor approval and signatures on the Social Service Plan closing assessment in FACES within 15 days prior to case closure. Complete and upload the final SSP into Document Imaging if original signatures were obtained on the paper document. The Children’s Service Worker shall close the necessary forms which include all service authorizations, the Alternative Care Client Information screen, and the KIDS account When the child exits care, closing information must be entered into FACES as soon as possible but no later than 2 business days after the change occurs. The Children’s Services Supervisor must approve the case closure as soon as possible but no later than 2 business days after the worker enters the function closing. Adoption or Guardianship The worker should hold a Family Support Team meeting to ensure that the team is in agreement that the case can be closed. The worker shall ensure that the appropriate documentation of the adoption or guardianship is in the case record (uploaded into Document Imaging). The case manager shall transfer the case as per local protocol, often to a subsidy worker. The case manager shall complete the proper procedures in FACES to transfer the case.  See Chapter 11, Subsection 2 of this Section for more information on case transfer. Another Planned Permanent Living Arrangement When a child turns 21 or leaves custody with achieving reunification, adoption or guardianship, certain procedures must be followed. See Chapter 5 of this section for more information on this procedure with older youth.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-10-case-management-activities-subsection-5-case-closure
"MO :: Section 4, Chapter 10 (Case Management Activities), Subsection 4 – Supervisor Consultation",Missouri,Rules,"2023, 2022, 2021","Reunification, Visitation",,,"All cases shall be staffed with the supervisor at least monthly. This discussion shall be documented in FACES by the supervisor. These consultations should consist of discussing the case plan, progress and status of the case.  A variety of tools can be used.  A review should be completed of the family’s Social Service Plan. Supervisor Support/Observation Supervisors are also required to partner with each of their workers once per quarter to participate in and/or observe a worker-child visit. The quarters are defined as: January-March April-June July-September October-December The observation should be substantial in nature. The worker and supervisor should process the visit using transformational coaching and discuss how it relates to the overall case management.  The coaching/support should be documented as a supervisor consult in FACES and will count for that month’s consultation on that case. Circuit managers will be responsible for ensuring that this practice is occurring. They may delegate this responsibility to a Program Manager if applicable, though they should still be informed on status of this practice. Related Practice Alerts and Memos: 2-7-20 – CD20-010 – Bank of Questions for Supervisors",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-10-case-management-activities-subsection-4-supervisor-consultation
"MO :: Section 4, Chapter 10 (Case Management Activities), Subsection 3 – Visitation Between Parents, Children, And Siblings :: 10.3.1 Parent Criminal History",Missouri,Rules,"2023, 2022, 2021","Court system, Legal process, Permanency, Safety, Visitation",,,"When a parent discloses or a worker/team member discovers that the parent has a criminal history that meets the 210.117 RSMo criteria, and/or the parent is incarcerated, the team shall discuss and make a recommendation to the court regarding continued visitation between the subject parent and their child, as well as include the need to emphasize concurrent planning. These recommendations should only be made when safety structures have been put in place to ensure the child’s safety during visits related to contact with family, including the parent with the criminal history.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-10-case-management-activities-subsection-3-visitation-between-parents
"MO :: Section 4, Chapter 10 (Case Management Activities), Subsection 3 – Visitation Between Parents, Children, And Siblings",Missouri,Rules,"2023, 2022, 2021","Court system, Foster parent licensing, Legal process, Permanency, Visitation",,,"The standards for visitation contained in the section below are meant to enhance and increase the bond between the parent, child, and siblings. These standards should be considered by the Family Support Team (FST) when developing and reviewing the visitation plan. The Children’s Service Worker is responsible for ensuring that a visitation plan for each parent and the child’s siblings is developed and implemented. It is the worker’s responsibility to assure visits are scheduled between the parents/child/sibling(s) according to the plan established by the FST. The roles and responsibilities of the FST should be agreed upon and written in the visitation plan documented in FACES. This can involve contact with the resource provider, treatment resources, relatives, or other party responsible for supervising visitation. When visitation plans are not implemented and/or visits do not occur, the worker shall document such reasons in FACES. A separate plan may be in place to address parental and sibling visitation. However, this does not prevent either visit from occurring on the same day in the same setting. Visitation should never be used as a reward or punishment for either a parent or child. Continued contact between the child and family is essential to maintaining and strengthening family bonds. It is recommended that visits occur weekly, or as frequently as possible, with a minimum of one time per month. When planning activities for siblings, consideration should be given to the children’s ages, developmental needs, schedules and routines, i.e. school. Examples of sibling activities to maintain sibling connections, include but are not limited to the following: sharing child care providers (when possible), joint counseling sessions (if appropriate), working on life books together, sleepovers, celebration of birthdays, holidays, attending school events, writing and calling each other. Sibling visits should occur at least one time per month. Whenever possible, visits should occur in the parental home or in a homelike environment. This may include the home of the resource provider, unless safety of the child, provider or staff is an issue. Opportunities should be provided to allow the parents to participate in their child’s normal day-to-day activities, when possible.  For example a parent could attend parent teacher conferences, extracurricular activities, and doctor’s or dentist appointments. Supervised visitation involves the monitoring of visits to ensure the safety of the child. Supervised visits shall occur when court ordered or if determined by the FST that the parent/sibling is unable to assure the safety of the child. Supervised visitation should be used as an opportunity to assist the parent in enhancing his/her parental skills. If a parent is institutionalized or incarcerated, the worker should contact the institution regarding their visitation policy. Visitation should be scheduled in conjunction with the institution and as agreed upon by the FST. If the court has denied visitation between parents and/or siblings, the treatment plan should address what needs to occur prior to a recommendation to allow visitation. When it has been determined that TPR will occur, and is in the best interest of the child, a closing visit should occur between child and the parent(s), if possible and allowed by the Court. Occasionally, families serving in the military receive Family-Centered Services or their children come into the custody of the Children’s Division. In the event services to a child or family become necessary, staff should be aware of Missouri’s state statutes regarding these families. Section 452.412 RSMo. states “A party’s absence, relocation, or failure to comply with custody and visitation orders shall not, by itself, be sufficient to justify a modification of a custody or visitation order if the reason for the absence, relocation, or failure to comply is the party’s activation to military service and deployment out-of-state.”",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-10-case-management-activities-subsection-3-visitation-between-parents-0
"MO :: Section 4, Chapter 10 (Case Management Activities), Subsection 2 – Diligent Searches",Missouri,Rules,"2023, 2022",Contact and directory information,,,"Diligent Searches The Division is required to complete a diligent search to identify and locate the biological parents, relatives, adult siblings and parents of siblings. 210.127.2 RSMo defines a “diligent search” as an exhaustive effort to identify and locate a biological parent whose identity or location is unknown, initiated as soon as the Children’s Division is made aware of the existence of such parent, with the search progress reported at each court hearing until the parent is either identified and located, or the court excuses further search. A diligent search shall be active, thorough, and timely. The Division is required to immediately begin a diligent search to locate and place a child with a suitable grandparent when a child is placed in protective custody.  Diligent searches are also required for all suitable relatives known to the Children’s Division. Diligent searches and their results should be documented in FACES. A diligent search for other relatives must occur within thirty (30) days from the time the emergency placement is deemed necessary for the child. The Children’s Division must continue to search for suitable relatives for the child’s placement until a suitable relative is identified and located or the court excuses further search. Whenever a court determines that a foster home placement with a child’s relative is appropriate, the Children’s Division must complete a diligent search to locate and notify the child’s grandparents, adult siblings, parents of siblings, and all other relatives of the child’s possible placement. Reasonable efforts must be made to identify and find these individuals throughout the life of the case. Progress made to locate the absent parent must be reported at each court hearing until the parent is identified and located or the court excuses further search. The law requires placement with the non-offending parent, with some exceptions, as long as that parent is entitled to physical custody. The Children’s Service worker should use all sources of information, including the known parent, to attempt to locate any absent parents. When notifying relatives (including adult siblings and parents of siblings), staff should disclose the following: The child has been or is being removed from the parent(s). Staff do not need to go into detail about the reason for removal as any removal related to the parents’ health information is protected The options the relative has according to the law to participate in the care and placement of the child, including any options which may be lost by failing to respond to the notice The requirements to become a resource family home and the additional services and support which are available for children How guardianship could be a possible outcome for the child The Children’s Service Worker, within 30 days of taking protective custody of the child(ren), must identify and notify all grandparents and other adult relatives to determine whether placement would be appropriate and whether support options are available within the child’s family. The case record needs to clearly reflect why they would or would not be a resource to the child(ren). The worker should further assess whether factors that initially ruled out a potential support or family placement option can be remedied and make efforts to do so. The worker must also continue to reexamine any supports or family resources initially ruled out monthly to determine if circumstances have changed A complete and diligent search requires the following: Using all known variations of the parent/relative’s name, search readily available resources, such as: State computer systems including: FACES – staff should complete a Call/Case Prior History search using DCN, Social Security Number, Name and Address if known FAMIS – Staff should complete a Family Assistance Management Information System search by completing a DSS search in FACES. To access the FAMIS screens in FACES, staff should enter the parent/relative’s name, DCN, or social security number on the Call/Case Prior History screen. Staff should select the DSS search button and FAMIS case information will display on the FACES screen. Child Support – Staff should complete a Missouri Automated Child Support System (MACSS) search by completing a DSS search in FACES. Staff should complete a Call/Case Prior History search in FACES and select the DSS search button. MACSS case information will display on the FACES screen. IMES, IBTH, IDTH, etc. Bureau of Vital Records information is for inquiry only and should not be printed, faxed or copied. Certified copies of Missouri records of birth, death and fetal death reports can be obtained by submitting a written request to: Missouri Department of Health and Senior Services Bureau of Vital Records P.O. Box 570 Jefferson City, MO 65102 For more information regarding Missouri birth and death records click on the following hyperlink: Request a Vital Record from the Department of Health Missouri Department of Corrections Offender Web Search at http://www.doc.mo.gov Telephone Directory Directory Assistance City Directory Search for the child’s birth certificate. For instances when infants are abandoned according to the Safe Place for Newborns Act, the Division shall not attempt to locate or determine the identity of the parent(s).  (see Section 210.950, RSMo) Search agency records and make a master list of: Previous phone numbers and addresses used by the parent/relative and the dates; Names with current and previous addresses and phone numbers of people and agencies who have known the client, such as relatives, friends, employers, neighbors, probation officers, doctors, schools, hospitals, or others; and Parent’s birth date (may be obtained from the child’s birth certificate), social security number and other identifying information. Pursue leads developed in all efforts: Make in-person and/or telephone contacts with family, friends, and neighbors at the parent/relative’s previous addresses; document results of each contact individually and specifically in the case narrative and on the child’s CS-1. Establishing good contact with these people is important in order to gain trust. Although they may not be willing to provide the parent/relative’s location, they may encourage the parent/relative to come forward or provide other useful information in locating the parent/relative. Send “certified, return receipt requested” letters to the previous addresses of individuals not contacted in person. Send blind copies of letters to addresses from which certified letters were returned (optional). Send letters of inquiry to professionals or to agencies within the community which may have had contact with the family. Address a letter to the parent/relative and place in an unsealed envelope and send to the Social Security Administration, Bureau of Data Processing, Baltimore, Maryland 21232, with a request that it be forwarded to the parent/relative. Include the Social Security number if available. Should identity and location of an absent parent or putative father be sought, the worker will use the Request for Location Services form, CD-88 and/or the Putative Father Registry . Contact other agencies in Missouri and out of state which may have knowledge of the parent/relative, including, but not limited to: Family Support Division Central Locate and Recovery Unit (CLU)—CLU provides staff with location information from the State and Federal Parent Locator Service. If workers complete a DSS search and no Missouri Automated Child Support System (MACSS) information is found, the worker should complete a CSE-250. Judicial Request for Location Services for alternative care cases only. The CLU will provide the worker with location information if available. New requests should be made when CLU reports no information was found after the 180 day search period to ensure diligent searches occur on an on-going basis. Department of Revenue/Division of Motor Vehicles (DMV)–Designated CD staff in each Region has authorization to complete a diligent search using DMV screens. Workers should complete the Request for Location Services form, CD-88, and submit it to their designated staff. Designated staff should complete their search within 7-10 business days and return the updated form to the Children’s Service Worker. The list of designated staff that can search DMV screens is posted on the CD intranet on each Region’s web page. Social Media (Facebook, etc,) searches can be completed according to local protocols as needed. TLO website can be used by assigned regional personnel to complete searches as needed. The Children’s Service Worker will then complete their search for the parent or relative based on the information provided by the designated staff. Once identified, the worker should contact the individual by means of a certified letter. Due to the confidential nature of a child’s case, no identifying information should be provided in the letter. The letter may state that the individual’s name was provided to our agency as a parent or relative to a child in our custody as a possible placement resource. If the individual responds to the letter, the worker should verify their identity (by age/social security number/date of birth, or other identifying information as documented on the CD-88). Once the individual’s identity has been verified, the child’s identity can be released. If the individual desires to be considered as a placement resource, staff should proceed by completing a background check on the individual as per guidelines in Section 6 of this manual. Document correspondence in detail in FACES and through Document Imaging. Staff may list the absent or non-custodial parent on the custodial parent’s AC case in FACES as a case member and their whereabouts on the Family View screen indicated as out of the home. Reasonable efforts to involve the parent should be documented on the child’s alternative care case. All efforts to complete a diligent search shall be documented in the case narrative throughout the life of the case.",https://fostercaresystems.wustl.edu/mo-section-4-chapter-10-case-management-activities-subsection-2-diligent-searches
"MO :: Section 4, Chapter 10 (Case Management Activities), Subsection 1 – Permanency And Case Planning",Missouri,Rules,"2023, 2022, 2021",Permanency,,,"Permanency Permanency Planning (including concurrent planning) should begin immediately after removal of the child from the home. It is the Division’s responsibility to work with the child and family to gather comprehensive information that allows the establishment of appropriate goals for the case circumstances. This includes engaging in discussion with the parents, establishment of paternity, exploring relative care and working with the child as age appropriate. The initial interactions with the family are imperative in collecting information to develop appropriate permanency plans for the child to meet the child’s needs in a timely way and promote stability. While the Division strives to keep children with their parents if possible, the agency recognizes this is not always the best option for all children. The permanency goal must be established for each child at their 72 hour meeting upon entry to alternative care. If a child’s primary goal is determined to be reunification, a concurrent goal is required and must be established within 30 days of the child entering alternative care. The concurrent goal must be in the child’s best interest, appropriate to meet their needs and attainable. For example, guardianship would not be considered appropriate if the child had no identified resources who could provide this permanency option. To address the child’s need for timely permanency, staff shall continue discussion with the family during case planning interactions to establish an alternate plan for the child should the primary goal prove unattainable. Case planning and permanency discussions, including Family Support Team conversations, with the family should occur throughout the life of the case shall be documented in the case record. The concurrent plan shall be documented in FACES and on the Social Service Plan. The concurrent plan must include placing with relatives unless such placement is contrary to the welfare of the child. If the placement is considered contrary, documentation shall be made in FACES to reflect the determination If relative placement is out of state, a timely referral to the Interstate Compact for the Placement of Children (ICPC) is needed to ensure the process is in place as it may take time to process between states. Decision-making regarding family reunification or other permanency plans is not done solely by the Children’s Service Worker. The worker is to be supported by the Family Support Team, agency supervisors, and other individuals and agencies familiar with the parent and child. Concurrent Permanency Planning Concurrent planning is a process of working towards reunification while at the same time, establishing and implementing an alternative permanency plan for a child. Appropriate establishment of placement for the child to meet the child’s needs is critical to the concurrent plan.  Placement should be thoughtful and consider the child’s goal.  While moves may occur for some children, careful planning and selection of placement may help to minimize disruptions and provide stability. Concurrent rather than sequential planning efforts are utilized to more quickly move a child from the uncertainty of foster care to the security of a safe and stable permanent placement. Concurrent planning should include steps to place the child for adoption, guardianship, or in another approved permanent placement, including youth with a goal of Another Permanent Planned Living Arrangement. Concurrent Planning involves meaningful family engagement throughout the case. It occurs through engagement with the child or youth, their parents and caregivers, and other people involved in the plans by way of on-going, consistent, clear, and honest conversations. The following tools are available to staff and can be used to assist them in engaging parents in conversations around concurrent planning throughout the life of a case: Handbook for Parents of Children in Foster Care (CS-304), the Concurrent Planning Checklist (CD-139), ecomap, genogram and CS-1. Reasonable efforts to finalize a concurrent goal should be made at the same time as efforts to reunify the child and family. Examples of reasonable efforts include: Establishment of paternity. Identification of relatives both in and out of state. Place child(ren) with relative or kinship provider. Ask a parent about Indian heritage, and notify Indian tribe or Bureau of Indian Affairs office, if applicable. Educate child, parents and relatives on what permanency options are available. Discuss permanency goals with the parent, child (if appropriate), relatives, child’s placement monthly and family support team; confirming whether or not they would like to be a permanency option if the child’s goal changed from reunification. Engage child’s therapist in concurrent planning therapeutic conversations if applicable. Document permanency conversations that are had with the Family Support Team, family, child and permanency resource. Complete timely requests to ICPC for out of state relatives; engage and encourage developing the relationship with the relative and child. Prepare the child’s adoption profile. If applicable, refer to the Chafee program. Additional definition and examples of reasonable efforts and diligent efforts can be found in Section 4, Chapter 8 and Chapter 10 Subsection 2. If a child has met the Adoption and Safe Families Act (ASFA) timelines by being in care 15 out of 22 months and the current permanency goal is not working; the family support team must consider changing the permanency goal to an identified appropriate concurrent goal. Case Planning Chapter 211.181, RSMo, provides that within 30 days of the Division receiving custody of a child, a long-range permanency treatment plan shall be developed. To meet these requirements, the case manager shall complete a CS-1 in FACES after assessing the family. The first CS-1 case plan is due 30 days after the case is opened.  This will be updated and completed again at each six (6) month FST meeting.  This must be done for all children in custody. To clarify treatment needs for each family and/or child, the following procedures shall be followed: The worker shall ensure the Social Service Plan is completed with Parent/Caregiver/Guardians, Worker and Supervisor signatures within 30 days of the child(ren) coming into care. The Harm and Existing Safety section of the Social Service Plan identifies the threats of harm to the child(ren), the actual physical and emotional impact to the child(ren) and who caused or contributed to the harm. It also identifies the actions the Parent/Caregiver/Guardians have taken in the past to keep the child(ren) safe when the concerning behaviors were occurring, what supports they utilized to do so and what is currently occurring to keep the children safe. The Caregiver Danger/Safety Concerns/Risk of Harm section of the Social Service Plan is specific to each Parent/Caregiver/Guardian and contains everyone’s worries around the identified threats of harm (the Danger Statement(s)), the potential emotional and physical impact to the child(ren) if the harm were to continue and identification of the child(ren)’s vulnerabilities which cause them to be more susceptible to the harm. The Safety Goal(s), which include the behavioral changes which must be demonstrated by the Parent/Caregiver/Guardian so the team will be prepared to make a recommendation to move forward toward the next steps in the case goal and the anticipated positive emotional and physical impact these behavioral changes will have on the child(ren) when demonstrated. The continued reassessment of the Parent/Caregiver/Guardians protective capacities and identification of how the Parent/Caregiver/Guardian will be interacting with the children when they have successfully reached the Safety Goal(s). This section also contains the Next Steps, identification of supports/resources and plan(s) to address any complicating factors which cause the family difficulty or delay in successful completion of their Safety Goal(s). The Progress Assessment section of the Social Service Plan gathers each participant’s response during each reassessment period to ‘What good things are you seeing this Parent/Caregiver/Guardian doing and what progress have you observed toward the safety goal? ?’, their response to ‘What concerns do you still have regarding the progress or behaviors of the Parent/Caregiver/Guardian? ?’, their response to ‘What more needs to happen in relation to the Parent/Caregiver/Guardian behavioral changes to bring them closer to the safety goal? ?’ and any next step suggestions to help the family reach their safety goal(s). When gathering this information, be specific about documenting observed behavioral changes within the family. These individual responses, including those of the family, all natural supports, other members of the FST and Children’s Division shall be documented thoroughly in the Social Service Plan Progress Assessment section. Progress documented at the meeting will help the Family Support Team formulate a recommendation about any changes to the child’s permanency plan and placement, including reunification. The Long Term Safety/Support plan section of the Social Service Plan identifies the triggers that may lead to the harmful behavior, the Preventative Action Plan to help reduce the triggers from occurring, the signs that the harmful behavior may be starting or has started, the Response Action Plan to include who is responsible for keeping the child(ren) safe if the harmful behaviors do start, the date(s) Practice drills have occurred and who was involved, and Safety Network contact information. The Child section of the Social Service Plan will contain all identified needs of the child(ren) (i.e., physical, emotional, social, relational, medical, behavioral, mental health, etc.) through the life of the case and will identify the plan to meet those needs and the progress made towards completion and the child(ren)’s strengths. The Social Service Plan reassessments should occur every 90 days after the last completion date following the initial 30 day assessment through closing. The Social Service Plan closing reassessment should be completed within 15 days prior to the anticipated case closing date. The closing reassessment with Worker and Supervisor signatures should be reviewed with, signed by the family and a copy provided to the family at the closing visit. Provide a copy of the Social Service Plans Long Term Safety/Support Plan section to all parties who are noted to be participating in the Long Term Safety/Support plan. Example of Case Planning with a goal of Reunification See example of Social Service Plan on the SSP Instruction form Referral to Treatment Services During the treatment planning process, the FST will identify specific, culturally relevant resources to assist the family in accomplishing certain tasks and achieving stated goals. The FST should carefully consider the family’s capacity to benefit from the resource and the capacity of the resource to meet the needs of the family. Example:  A parent with limited reading and social skills and poor parenting skills would benefit more from Parents as Teachers than formalized parenting classes. Also, the Team should not overlook resources, which can be provided by other agencies, community organizations and natural helpers (family friends and kin).   For any resources the family utilizes, these will be noted in the Social Service Plan’s Progress Assessment section under ‘Who will assist or services to be accessed?’ All referrals or resources provided to the family, utilized or not, should be documented in the contact note in FACES. Housing Services – Coordinated Entry System When families experience homelessness or are at risk for homelessness the Coordinated Entry System (CES) should be accessed to connect them to housing services. The CES is Missouri’s primary resource to connect families to housing services no matter how or where they present. This resource allows staff to connect youth and families to Missouri’s array of housing services with one referral to an Access Point.   A listing of Coordinated Entry Access Points by region and county can be found HERE . All Access Point agencies will complete a pre-screening tool with clients and connect them with the appropriate level of housing services. A referral to the CES may be made at any point of involvement with CD when housing stability is a challenge. Population served includes, but is not limited to intact families, birth parents, potential relative placement providers, guardians, and older youth. Scenarios where CES referral MUST be made include the following: Case goal is reunification and the primary barrier is parents’ housing stability. Children who are on trial home visit and housing stability is preventing case closure. Older Youth preparing to exit care to independence and housing stability is at risk. All referrals and activities involving the CES shall be documented in a contact note in FACES. If permanent housing cannot be secured at the time of case closure, the efforts made and reasons housing could not be secured shall be documented in the closing summary. Related Memo and Practice Alerts: 5-28-20 – CD20-17 – Housing Services and Coordinated Entry System",https://fostercaresystems.wustl.edu/mo-section-4-chapter-10-case-management-activities-subsection-1-permanency-and-case-planning
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 6 – Subsidizing An Adoption/Legal Guardianship :: 9.6.13 Missouri Special Needs Adoption Tax Credit",Missouri,Rules,"2023, 2022","Adoption, Definitions, Forms - Financial",,,"Missouri families adopting a child on or after January 1, 2022, regardless of whether the child is a special needs child may be eligible to receive a Missouri Adoption Tax Credit for nonrecurring adoption expenses. These expenses can be claimed up to $10,000 if the adopting parent(s) has not been reimbursed by federal, state or local resources (sections 135.325 – 135.339, RSMo) or the expenses incurred by the family exceed those reimbursed by federal, state or local resources. The following material instructs staff in cooperating with the Missouri Department of Revenue in determining if a family may claim the tax credit. Individuals and business entities may claim a tax credit for their total nonrecurring adoption expenses in each year that the expenses are incurred. A claim for fifty percent of the credit shall be allowed when the child is placed in the home. A claim for the remaining fifty percent shall be allowed when the adoption is final.  The total of these tax credits shall not exceed the maximum limit of ten thousand dollars per child. The cumulative amount of tax credits that may be claimed by taxpayers claiming the credit for nonrecurring adoption expenses in any one fiscal year prior to July 1, 2004 shall not be more than two million dollars, but may be increased by appropriation in any fiscal year beginning on or after July 1, 2004, and ending on or before June 30, 2021. The cumulative amount of tax credits that may be claimed by taxpayers claiming the credit for nonrecurring adoption expenses shall not exceed six million dollars in any fiscal year beginning on or after July 1, 2021. Statutory Requirements This tax relief law became effective January 1, 1988, (last revised August 28, 2021), and sets forth the following requirements: Definitions: Nonrecurring adoption expenses – Reasonable and necessary adoption fees, court costs, attorney fees, and other expenses which are directly related to the legal adoption of a special needs child and which are not incurred in violation of federal, state, or local laws. Children who have been adopted, regardless of whether the child adopted is a resident or ward of a resident of this state at the time the adoption is initiated; however, priority will be given to applications to claim the tax credit for special needs children who are residents or war wards of residents of this state at the time the adoption is initiated. Children who are residents or wards of a resident of this state at the time the adoption is initiated. The child must reside in Missouri or be under the custody of a resident of Missouri at the time the adoption is initiated in order to qualify for a portion of the $2 million of the available tax credit. Internationally adopted and children adopted from another state do not meet this criterion, because they are not residents of this state at the time their adoption is initiated, regardless of where their adoption is finalized. If internationally adopted, or children adopted from another state meet special needs criteria they could qualify for a portion of the remaining $2 million in tax credits allowed by the statute. Disability- A mental, physical, or emotional impairment that limits one or more major life activity, whether the impairment is congenital or acquired by accident, injury or disease, and is verified by medical findings. Special needs child – A child who meets the following criteria: Has a specific factor or condition such as age, membership in a sibling group, medical condition, or disability about which it is reasonable to conclude that the child cannot be easily placed for adoption; Except where it would be against the best interest of the child because of significant emotional ties with the prospective adoptive parent(s) while in their care as a foster child, a reasonable, but unsuccessful effort has been made to place the child; and The Children’s Division, a child-placing agency, or the juvenile court has determined that the child cannot be returned to the parents. Limitations – Adoptive parent(s) may not claim a tax credit if: The nonrecurring adoption expenses were paid through funds received under a federal, state, or local program and their expenses did not exceed what was covered by those programs; The child is over age 18 at the time of adoption unless the child has a condition which limits his ability to live independently; or For any amount of the tax credit carried forward (for up to five (5) years as allowed in section 135.333, RSMo) if the juvenile court temporarily or finally relieves the adoptive parent(s) of custody of the child. In administering this law, the Children’s Division is responsible for the following activities: Certifying a child’s eligibility as a special needs child when the child was placed by the Division or into a Division adoptive home; Certifying for all special needs adoptions that nonrecurring adoption expenses were not reimbursed by federal, state or local funds or the expenses incurred by the family exceed those reimbursed by federal, state or local resources; Completing the appropriate parts (Part D – Certification that Nonrecurring expenses will not be Reimbursed and Part E – Verification of “Special Needs Child”) of the Missouri Department of Revenue Adoption Tax Credit Claim (Form ATC) when presented by the adoptive parent(s); and Develop an Adoption Tax Credit File for each tax year. This file is to be maintained by a designated staff person in each county/circuit office. This file is to be entitled, Adoption Tax Credit FY”. A copy of the ATC Log is to be attached to the front, inside cover of the file. All signed ATC forms are to be logged onto this form, including forms that were submitted for children who have been in the custody of the Children’s Division. Procedural Requirements The adoptive parent must have, with the exception of Part D and Part E, the entire ATC form completed prior to the Children’s Division providing assurances and signatures. Procedures for a child in Children’s Division custody at the time of adoptive placement when the adoptive family chooses to receive the Adoption Tax Credit and chooses not to receive services through the Missouri Adoption Subsidy Program, or their nonrecurring expenses exceeded what was provided through subsidy. If their expenses did exceed what was provided in the subsidy, they can claim the amount that was in excess of what subsidy covered: Determine that the child meets all the special needs eligibility. Complete Part E of the ATC form if the child meets all the eligibility criteria. If the child does not meet the criteria, confirm this in writing and allow the adoptive parent(s) to provide additional information Review the expenses listed in Part C by the adoptive parent(s) to determine if any of these were paid through the Missouri Adoption Subsidy Program or any other source other than the adoptive parent(s). CD workers shall utilize the steps outlined in letter C under Children’s Division responsibilities. If it is determined that some of the expenses were paid by one of the sources listed above, the adoptive parent(s) must adjust the expenses accordingly before the worker completes Part D. If the adoptive parent refuses to adjust the expenses, the worker need not complete the form and shall document, in writing to the adoptive parent, why the form was not completed. A copy of this documentation should be kept with the form by the worker, in the corresponding year’s ATC file. NOTE:  Adoption subsidy funds are federal and state funds. Local funds used to offset nonrecurring expenses could include local government or private sources. Staff should explore with the adoptive family or the appropriate agency, if applicable, whether any local funds were used to offset the nonrecurring adoption expenses. Staff will need to review the Payment History screens in FACES to determine if the Children’s Division previously paid any claimed funds through an Adoption Subsidy Agreement. Complete Part D if there are nonrecurring adoption expenses which are eligible for the tax credit. Return: The completed form ATC to the adoptive parent(s); or The incomplete form ATC to the adoptive parent(s) with a written explanation of why the Children’s Division cannot certify the child’s special needs eligibility and/or that no federal, state or local funds were used to pay the claimed nonrecurring adoption expenses. File a copy of form ATC with all supporting material and correspondence in the adoptive parent(s) case record. Log this ATC form and the required information on the ATC Log, located in the front inside cover of the corresponding year’s Adoption Tax Credit File. Procedures for a child who was not in Children’s Division’s custody at the time of adoptive placement: Refer the adoptive parent(s) to the juvenile court for children independently placed for assistance in determining the child’s special needs eligibility (Part E of the ATC form); or The adoptive parent(s) to the appropriate licensed child-placing agency, Division of Youth Services (DYS) or Department of Mental Health (DMH) for assistance in determining the child’s special needs eligibility (Part E of the ATC form); NOTE:  If the licensed child-placing agency, or the court, which finalized the adoption, is not locally accessible to the family, it is not necessary to refer the adoptive family to one of these services. The Division may complete Part E of the ATC form if the child meets the special needs eligibility criteria in order to save the family from tracking down the agency or court. The family should provide some form of documentation supporting this such as medical documentation, the child’s birth certificate, the foreign adoption decree or papers from immigration. Review the expenses listed in Part C by the adoptive parent(s) to determine if any of these were paid through the Missouri Adoption Subsidy Program or any other source other than the adoptive parent(s). If it is determined that some of the expenses were paid by one of the sources listed above, the adoptive parent(s) must adjust the expenses accordingly before the worker completes Part D. If the adoptive parent refuses to adjust the expenses, the worker need not complete the form and shall document, in writing to the adoptive parent, why the form was not completed. A copy of this documentation should be kept with the form by the worker, in the corresponding year’s ATC file. NOTE: Workers will need to review the Payment History screens in FACES to determine if the Children’s Division previously made payment through an Adoption Subsidy Agreement, particularly for children previously in the custody of a licensed child-placing agency, DYS or DMH. Complete Part D of the ATC form to certify that no federal, state or local funds were expended to meet the nonrecurring adoption expenses listed in Part C. Make a copy of form ATC and retain for five (5) years with related correspondence in a file for “Adoption Tax Credit FY” requests. Log this ATC form and required information on the ATC Log, located in the front inside cover of the corresponding year’s Adoption Tax Credit File. Return: The completed form ATC to the adoptive parent(s); or The incomplete form ATC to the adoptive parent(s) with a written explanation of why the Children’s Division cannot certify the child’s eligibility and/or that no federal, state or local funds were used to pay for nonrecurring adoption expenses. Retain individual case information for five (5) years from the date of certification in the “Adoption Tax Credit FY” file. Destroy forms after five (5) years. Related Practice Alerts and Memos: 7-1-19 – CD19-52 – FY20 Rate Increases 12-4-19 – PA19-AD-06 – Transitional Living Placements and Subsidy Agreements 1-10-20 – PA20-AD-01 – Legal Fees for AD and LG Subsidies 10-29-2020 – PA20-AD-06 – Child Summary 01-13-21 – CD-21-01 -Contractors Negotiation/Completion Of The Initial Adoption Or Legal Guardianship Subsidy Agreement",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-6-subsidizing-24
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 6 – Subsidizing An Adoption/Legal Guardianship :: 9.6.12.2 Divorcing Adoptive Parents Or Guardians",Missouri,Rules,"2023, 2022","Adoption, Guardianship, Legal process, Subsidies - Other",,,"When adoptive parents or guardians enter into a legal separation or divorce situation, it often becomes necessary to take one of the parents/guardians off the subsidy agreement. Encourage the parent/guardian to address the subsidy directly with their attorney so that the court can perhaps order one parent/guardian to receive the subsidy. The Division does not have the authority to remove one parent/guardian from the agreement without supporting documentation and a court order. In order to do this, one of the following must occur: There must be an order from the court, assigning one of the parents/guardians physical custody of the child covered under subsidy. This order could be a full child order of protection or a custody order; or If the order is a full child order of protection, the worker may take the non-caretaking parent’s/guardian’s name off the Vendor Licensure/Approval and Renewal screen in FACES once a copy of that order is received so that the subsidy payment will be made to the parent/guardian caring for the child. A full child order of protection is valid for up to 180 days. Therefore, the caretaking parent/guardian should provide the agency with a custody order within six months, or an extended child order of protection in order to continue the subsidy in this way. The parent/guardian caring for the child will be expected to obtain a custody order, in order to take the non-caretaking parent/guardian off the subsidy agreement. Once the custody order is received, revise the existing version of the agreement to remove the parent or guardian. A new agreement number will be assigned by DFAS Purchasing Unit. Staff should update FACES and send supporting documentation to the Adoption Subsidy Unit in Central Office. The adoptive parent or guardian who is not caring for the child agrees to be taken off the subsidy agreement; or The parent or guardian caring for the child must provide a written request to the Division, requesting that the non-caretaking parent or guardian be removed from the subsidy agreement. The non-caretaking parent or guardian must provide a notarized statement regarding their agreement to this action, to be placed in the file. If the parent/guardian receiving the subsidy payment is not financially supporting the subsidized child with the subsidy, specific documentation of this must be utilized to close the subsidy due to the lack of financial support and a new subsidy Agreement may be opened under the parent/guardian who is caring for the child. If this action is taken, the following steps must occur: Write the adoptive parent(s) or guardian(s) a letter stating that the subsidy will be closed within 30 days due to the lack of financial support of the child. Document the evidence on which this decision has been based. Wait 30 days for a response. The parent/guardian who has been receiving the subsidy may decide to begin forwarding financial support to the care-taking parent/guardian. If so, document this information in the case dictation. If after 30 days, the care-taking parent/guardian reports continued lack of financial support from the parent/guardian who has been receiving the subsidy payment, proceed to step 3.c. Close the old Vendor using the Vendor Licensure/Approval and Renewal screen, and the old subsidy agreement. Open a new Vendor Application in the name of the parent/guardian caring for the child. Complete new subsidy paperwork, including a new Adoption Subsidy Agreement, CD AD, or Subsidized Guardianship Agreement, CD SG, with the parent/guardian caring for the child. Update the Alternative Care Client screen, or the Adoption Assistance Client Information screen in FACES to reflect the new vendor number. If both parent(s)/guardian(s) continue to disagree on the subsidy, it is not the responsibility of the Division staff to make any decisions or take any actions without a court order. Division staff are to encourage the parent(s) or guardian(s) to work with their attorneys with regard to this matter. In the event that a divorce occurs with a guardianship couple, the guardianship subsidy may only remain in effect with the qualified relative retaining physical custody. Related Practice Alerts and Memos: 7-1-19 – CD19-52 – FY20 Rate Increases 12-4-19 – PA19-AD-06 – Transitional Living Placements and Subsidy Agreements 1-10-20 – PA20-AD-01 – Legal Fees for AD and LG Subsidies 10-29-2020 – PA20-AD-06 – Child Summary 01-13-21 – CD-21-01 -Contractors Negotiation/Completion Of The Initial Adoption Or Legal Guardianship Subsidy Agreement",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-6-subsidizing-23
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 6 – Subsidizing An Adoption/Legal Guardianship :: 9.6.12.1 Deceased Adoptive Parents Or Guardian",Missouri,Rules,"2023, 2022","Adoption, Guardianship, Legal process, Subsidies - Other",,,"Eligibility for adoption or legal guardianship subsidy payments ceases with the death of both adoptive(s) or guardian(s), or in the case of a single parent adoption or guardianship, with the death of that adoptive parent or guardian. If resources from the parent(s)’ or guardian(s)’ estate or survivors benefits, such as insurance or OASDI, are insufficient to provide for the child, application could be made for Temporary Assistance for Needy Families (TANF) or Supplemental Security Income (SSI). Should the child have a subsequent adoption/guardianship, they may be eligible for subsidy in their new placement, if the placement was an eligible placement for subsidy. Upon the death of one adoptive parent or guardian no contract action is needed. The original agreement will remain in both names. A copy of the death certificate should be kept in the file. FACES must be updated to reflect the surviving parent or guardian. Subsequent amendments will be accepted with only the signature of the surviving parent. Use the explanation section on the amendment to explain the reason why there is only one signature. When it is determined that a single guardian is deceased, the Children’s Division should close the guardianship agreement and ensure the safety of the child. Alternate placement with another relative or qualified close nonrelated person should be sought or a referral made to the juvenile court for placement in Children’s Division custody after consultation with supervisory staff; and if possible, a Family Support team meeting. If a successor guardian (qualified relative or close nonrelated person) is named in the agreement prior to the death of the legal guardian, the Division shall immediately contact the person(s) named to inquire if the individual is willing to assume guardianship. If the successor guardian is willing, conduct fingerprint-based criminal checks, CA/N registry checks of the prospective guardian(s) and all other adults living in the home prior to the prospective guardian(s) filing the petition or negotiation of a subsidy agreement. Related Practice Alerts and Memos: 7-1-19 – CD19-52 – FY20 Rate Increases 12-4-19 – PA19-AD-06 – Transitional Living Placements and Subsidy Agreements 1-10-20 – PA20-AD-01 – Legal Fees for AD and LG Subsidies 10-29-2020 – PA20-AD-06 – Child Summary 01-13-21 – CD-21-01 -Contractors Negotiation/Completion Of The Initial Adoption Or Legal Guardianship Subsidy Agreement",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-6-subsidizing-22
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 6 – Subsidizing An Adoption/Legal Guardianship :: 9.6.12 Termination Of The Subsidy Agreement",Missouri,Rules,"2023, 2022","Administrative process, Adoption, Legal process, Subsidies - Other",,,"Close subsidy via the Alternative Care Client Information screen or Adoption Assistance Client Information screen in FACES, if any of the following events occur: The child reaches age 18 or age 21, if an 18 and above Adoption Subsidy Agreement, CD AD 18, has been in place; or The date of closing is the last day of the month the child reaches age 18. If services are continued past 18 the closure date should coincide with the last day of the service on the subsidy agreement, but must be terminated on the day before the 21st birthday. At the request/notification of the family; or The date of closing is the date of the request. The worker is to document in the narrative section, the parent(s)’/guardian(s)’ request to terminate subsidy and if known, the reason. In the event that a youth leaves the adoptive/guardianship home and the Division is notified by the family, the contract should be left open for a period of six months. The Alternative Care Client Information screen and/or the Adoption Assistance Client Information screen in FACES should be updated to indicate no maintenance . If the youth returns within six months, the maintenance may be re-instated. If the youth does not return within 5 months, a 30-day closing notice – CD-185 – 30Day Notice of Subsidy Termination; should be sent to the parent(s)/guardian(s) and the contract should be closed at the end of the 30 days. The contract will not be re-opened at a later date without the request being denied and the parent(s)/guardian(s) completing the appeal process. Upon determination that the child is no longer receiving any financial support from the adoptive parent(s)/guardian(s); or The date of closing is the date the child is determined as no longer receiving financial support. Extensive supportive documentation must be present in the file. Some examples include: The child is placed out of the adoptive or guardianship home. Obtain documentation from the current and/or past caregivers detailing the parent(s)’ or guardian(s)’ lack of support by not providing for the child (i.e., clothing, gifts, daily essentials, school supplies, etc.) The child applies for assistance through the Family Support Division (FSD) as they are no longer living in the adoptive or guardianship home, or receiving support from the subsidy. Utilize the FSD records as documentation. Upon determination that the adoptive parent(s)/guardian(s) are no longer legally responsible for the support of the child (TPR has occurred or the guardianship has been revoked); or The date of closing is the date the adoptive parent(s)/guardian(s) is no longer legally responsible for the support of this child. This can include divorce or a court’s action of terminating parental rights or revocation of the guardianship. In the event of the death of the subsidized child; or The date of closing is the date of the child’s death. In the event of the death of both adoptive parent(s) and guardian(s) or the death of a single adoptive parent or guardian, if the subsidy was granted to a single adoptive parent or guardian. The date of closing is the date of the death of the adoptive parent(s)/guardian(s). The Division may suspend or redirect subsidy payments per RSMo 453.073 on or after January 1, 2015 in the event the child has been: Adjudicated dependent and made a ward of the court per RSMo 211.031; and Removed from the physical or legal custody of the adoptive parent(s) or guardian(s) by a court of competent jurisdiction. Update the Vendor Licensure/Approval and Renewal and the Alternative Care Client or Adoption Assistance Information screens in FACES appropriately at closing. Close the Service Authorization in the Financial Management function as appropriate:  notifications from the FACES system will be sent to both adoptive family or guardian(s) and provider, giving at least a ten (10) day notification prior to closing, based on the closing date identified in the Service Authorization Closing. Send written notice of closing to the adoptive parent(s)/guardian(s) 30 calendar days prior to closing using the CD-185 – 30 Day Notice of Subsidy Termination: Include in the written notice: The reason(s) why the agreement is terminated; and The child’s name, DCN, and actual date of closing. Send written notice to the family caring for child or executor of estate, if adoptive parent(s)/guardian(s) are deceased. Send a request for termination to DFAS Purchasing Unit. Once the agreement is terminated, notification will be sent to the requesting worker. Report to DFAS Purchasing Unit immediately, if the Agreement was terminated in error and make necessary corrections in FACES. Record all activities as needed, but at a minimum, any contact with the family, renegotiation through amendment to the contract and within 10 working days of a signed Agreement being received from CMU and the Agreement being sent to the family. Related Practice Alerts and Memos: 7-1-19 – CD19-52 – FY20 Rate Increases 12-4-19 – PA19-AD-06 – Transitional Living Placements and Subsidy Agreements 1-10-20 – PA20-AD-01 – Legal Fees for AD and LG Subsidies 10-29-2020 – PA20-AD-06 – Child Summary 01-13-21 – CD-21-01 -Contractors Negotiation/Completion Of The Initial Adoption Or Legal Guardianship Subsidy Agreement",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-6-subsidizing-21
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 6 – Subsidizing An Adoption/Legal Guardianship :: 9.6.11 Appeals Of Subsidy Agreements",Missouri,Rules,"2023, 2022","Administrative process, Adoption, Legal process, Subsidies - Other",,,"The adoptive parent(s) and legal guardian(s) have the right to appeal any decision of the Children’s Division related to an Adoption or Subsidized Guardianship Agreement through the process of a fair hearing. The family must complete the Application for Fair Hearing, CD-53, to request a fair hearing within 30 calendar days of their written notice by the agency of the adverse action regarding the denied subsidy request. The CD-53 will be included at the mailing of the CD-87. Upon request, the worker shall complete the form, CD-53. The family does not need to sign the form prior to the request being forwarded on to the Division of Legal Services (DLS) Hearings Unit. Signature must simply be obtained prior to the hearing. The worker must automatically send the family’s request for a fair hearing (CD-53) to the Hearings Unit for their area within one (1) working day of the date of the parent(s)’ or guardian(s)’ request. If the worker completes the CD-53, be specific as to what the parent’s request is, reading it to the parent or guardian for accuracy before sending it to the DLS Hearings Unit. When an adoptive family or guardian is unhappy with a decision regarding a subsidy request made by them, the worker is to arrange an administrative review within (10) working days of receipt of the request if one was requested. Participants in the meeting should include the resource provider, Circuit Manager/Designee, appropriate Regional Director/Designee and Supervisor. If the negotiations resolve the issues, inform the Hearing Unit of any resolutions. DLS Hearing Unit will require the county office to obtain a signed Withdrawal of Request for Hearing, CD-54, from the household before the matter can be withdrawn. When a hearing is scheduled, send a Hearing packet that includes supporting documents prior to the hearing to the DLS Hearing Unit. These documents could include, but are not limited to denial letter the subsidy Agreement and previous amendments, previous decisions policy that supports the Children’s Division decision, changes in via memos that support the decision, and a list of services the adoptive family or guardian has been approved for in the past. All hearing requests shall be referred to the Division of Legal Services, Litigation Unit, for representation. The Children’s Division will not pay for the parent(s)/guardian(s) attorney fees at this stage of the appeal and proceedings. Related Practice Alerts and Memos: 7-1-19 – CD19-52 – FY20 Rate Increases 12-4-19 – PA19-AD-06 – Transitional Living Placements and Subsidy Agreements 1-10-20 – PA20-AD-01 – Legal Fees for AD and LG Subsidies 10-29-2020 – PA20-AD-06 – Child Summary 01-13-21 – CD-21-01 -Contractors Negotiation/Completion Of The Initial Adoption Or Legal Guardianship Subsidy Agreement",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-6-subsidizing-20
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 6 – Subsidizing An Adoption/Legal Guardianship :: 9.6.10.1 Review Process",Missouri,Rules,"2023, 2022","Administrative process, Adoption, Contact and directory information, Services while in care - Other, Subsidies - Other",,,"Contact should be made with families at least annually to ensure that the best services to children and families are being provided, however no change will be necessary to the basic subsidy package included in the Agreement, nor will any changes be made if no request is made by the adoptive parent(s) or Guardians. Within the calendar year make contact with each adoptive/guardianship family via phone or letter to insure that best services are being provided to families and children. Document contact in the narrative section of the subsidy file. Otherwise, subsidy Agreements will terminate on the last day of the month of the youth’s 18th birthday. On adoption cases, six months prior to the expiration date of the Agreement make contact with the adoptive parent(s) to determine if a physical, dental or mental health need exists that requires care beyond the age of 18. An 18 and above Adoption Subsidy Agreement, CD AD 18, may be negotiated with the adoptive parent(s) when documentation of the need by appropriate treatment professionals is provided. These Agreements may only be approved for one year at a time. Approval via an 18 and above Adoption Subsidy Agreement should be initiated six months prior to and approved 30 days before the youth’s 18th birthday to prevent any lapse in service. If a specific contracted provider used for a special service is changed, enter a new Service Authorization in FACES. Changes in residential treatment services must also be reported to the Regional Residential Care Screening Team (RCST) Coordinator.Complete contract amendment(s) if one of the following events occurs: Adoptive parent(s) or guardian(s) request changes as a result of the child’s needs or family’s situation changing. This includes, but is not limited to, adding, removing, or replacing a successor guardian to the guardianship agreement; Upon notification by the adoptive parent(s)/guardian(s) of OASDI benefits due to the disability of the adoptive parent(s)/guardian(s) indicates a change is needed in the subsidy services and payment amounts; Child requires residential care services. Additionally, update the Alternative Care Client Information or Adoption Assistance Client information screen changing the date of placement and showing a temporary placement, leaving the adoptive parent(s) or guardian(s) in the placement field. Send written notice to the adoptive parent(s) or guardian(s) utilizing the Notification Letter for Adoption and Guardianship Subsidy Denials form, CD-87, if all or any portion of the proposed Agreement (at initial application or by amendment) to the contract is not approved by the Director. Utilize the Notification Letter for Adoption and Guardianship Subsidy Denials form, CD-87, to insure that the following information is included in the event that an appeal is filed: Reason(s) why the proposed Agreement, or any portion of a proposed Agreement, has not been approved making reference to the policy used in arriving at this decision; Information regarding the right of the adoptive parent(s)’/guardian(s)’ to appeal the decision through a fair hearing; Method for requesting an appeal through the Application for Fair Hearing, IM-87; and Request they contact the worker to make any necessary adjustments in the Agreement or to file the appeal. If an Application for Fair Hearing, CD-53 request, is received, a copy is to be sent to the Division of Legal Services’ DLS Litigation Unit as well as to the DLS Hearing Unit within one (1) working day of the parent’s request. Related Practice Alerts and Memos: 7-1-19 – CD19-52 – FY20 Rate Increases 12-4-19 – PA19-AD-06 – Transitional Living Placements and Subsidy Agreements 1-10-20 – PA20-AD-01 – Legal Fees for AD and LG Subsidies 10-29-2020 – PA20-AD-06 – Child Summary 01-13-21 – CD-21-01 -Contractors Negotiation/Completion Of The Initial Adoption Or Legal Guardianship Subsidy Agreement",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-6-subsidizing-19
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 6 – Subsidizing An Adoption/Legal Guardianship :: 9.6.10 Maintenance Of The Agreement",Missouri,Rules,"2023, 2022","Administrative process, Contracting with private organizations, Forms - Financial, Subsidies - Other",,,"Provide case activity to assure payment for services covered by the agreement. Authorize necessary contracted services using Service Authorization in FACES. NOTE: Out-of-state providers must have a child-specific contract with the Children’s Division in order to receive payment. The provider must submit a child-specific contract to Central Office for negotiation. Upon authorization of the service for a contracted provider, a Services Eligibility and Authorization Provider Invoice will be generated automatically on a monthly basis. The provider will submit invoices for payment to the payment designee. For payment of services provided by a non-contracted provider to the adoptive parent(s)/guardian(s) a “paid” receipt must be attached to the PR for reimbursement to the adoptive parent(s)/guardian(s). Requests for reimbursements must be received within six months of the service being provided to ensure payment. Adoptive parent(s)/guardian(s) may request renegotiation of the Agreement via an amendment to the contract at any time. Notify the adoptive parent(s)/guardian(s) when the county/circuit office address changes, via a letter to insure the family can make timely contact for updates/service requests. There are certain circumstances that may occur and call for a new Agreement/contract to be developed for the child. These are: If there is a marriage and the new spouse adopts or obtains guardianship of the child a copy of the adoption decree/guardianship order is required to accompany the new contract with both names added. If a divorce occurs and one adoptive parent or guardian is assigned physical custody or is ordered by the divorce decree to receive the subsidy, a new agreement must be developed. A copy of the court order is required to accompany the new contract with the custodial parents’ name included. If the legal guardian(s) dies or is mentally or physically incapacitated, the successor guardian, if named in the agreement, shall be contacted for the establishment of a new contract. There are certain circumstances that may occur and DO NOT call for a new Agreement/contract to be developed for the child. These are: If an adoptive parent or guardian changes their name, no new contract action is required. FACES must be updated and a copy of a new Social Security Card, driver’s license/state identification card, or their new marriage certificate with their new last name indicated, is required for documentation in the file. If an adoptive parent or guardian dies, no contract action is needed. The original contract will remain in both names. A copy of the death certificate should be kept in the file. FACES must be updated to reflect the surviving parent or guardian. Subsequent amendments will be accepted with only the signature of the surviving parent or guardian. Use the explanation section on the amendment to explain the reason why there is only one signature. NOTE: Overpayment for maintenance or special expenses (includes any service under contract or with prior authorization) may occur for any number of reasons. Recoupment must occur and must be made. Procedures for recoupment can be found in the FACES Financial System Payment Handbook. Related Practice Alerts and Memos: 7-1-19 – CD19-52 – FY20 Rate Increases 12-4-19 – PA19-AD-06 – Transitional Living Placements and Subsidy Agreements 1-10-20 – PA20-AD-01 – Legal Fees for AD and LG Subsidies 10-29-2020 – PA20-AD-06 – Child Summary 01-13-21 – CD-21-01 -Contractors Negotiation/Completion Of The Initial Adoption Or Legal Guardianship Subsidy Agreement",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-6-subsidizing-10
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 6 – Subsidizing An Adoption/Legal Guardianship :: 9.6.9 Subsidy Approval Process",Missouri,Rules,"2023, 2022","Administrative process, Contracting with private organizations, Forms - Financial, Subsidies - Other",,,"Process the completed subsidy forms. When exceptions to the basic subsidy package are involved, route them through supervisory lines: the Circuit Manager/Program Manager, or his/her designee, and Regional Office for review, as indicated in this section and according to the forms instructions. If the basic package is requested, send directly to Central Office. Staff should maintain a copy of the completed subsidy forms with family signatures in their local file. Staff should also maintain copies of all associated documentation for above standard services as well as a copy of the Subsidy Application in the local file. Contract Management Unit (CMU) will return a copy of the signed Agreement to the managing county/circuit indicated on the Agreement. Upon receipt of the signed copies back from the CMU, Children’s Service/Performance Based Contract (PBC) staff are to forward one (1) copy signed by the Department of Social Services/Children’s Division Director to the adoptive parent(s)/guardian(s) with a cover letter which includes the following information: While not required of adoptive parent(s) or guardian(s), if a family carries private insurance for the child, the physician must first use the family’s own private medical/dental insurance as primary, using MO HealthNet as the secondary insurance. The Division will not supplement the payment made by private insurance. Any exceptional services not covered by private insurance or MO HealthNet must be requested and approved before payment may be made. Appropriate documentation is required with the request. Payment for emergency care not covered by MO HealthNet may be authorized, if necessary, at the discretion of the Division after the service has been provided as indicated in the Agreement. Prices of services specified in the Agreement attachment are fixed. Changes in the Agreement attachment may be requested by adoptive parent(s)/guardian(s), but will require the renegotiation through an amendment to the contract. The right to appeal the terms of the Agreement as specified in the Agreement. The following statement should be included; “If you disagree with this decision to reject, reduce benefits or to close your case, you have the right to request a hearing within 10 days of this letter. If you request a hearing, you may present your information yourself or you may be represented by your own attorney or by other persons who have knowledge of your situation. You have the right to present witnesses on your own behalf and to question witnesses who appear at the request of the Children’s Division.” Responsibility to keep the Division informed of changes in circumstances of the adoptive parent(s) or guardian(s) or the child(ren) as listed in the contract and relating to the receipt of a subsidy; Encouragement and support for the continued success of the placement. The Division’s willingness to assist them in renegotiating via amendment to the Agreement as necessary and at their request; and The Division’s availability to answer any questions regarding the subsidy. Update the Alternative Care Client Information screen and Vendor Licensure/Approval and Renewal FACES screens, consistent with the subsidy Agreement, to begin payment for maintenance and other services effective with the effective date of the Agreement/date of Director’s signature. Report availability of third-party medical/dental insurance via use of the Third Party Resource Form, TPL-1, if the child is covered through the family’s policy. The TPL-1 is to be sent to the MO HealthNet Division by the adoption/guardianship worker with a copy placed in the subsidy file. Related Practice Alerts and Memos: 7-1-19 – CD19-52 – FY20 Rate Increases 12-4-19 – PA19-AD-06 – Transitional Living Placements and Subsidy Agreements 1-10-20 – PA20-AD-01 – Legal Fees for AD and LG Subsidies 10-29-2020 – PA20-AD-06 – Child Summary 01-13-21 – CD-21-01 -Contractors Negotiation/Completion Of The Initial Adoption Or Legal Guardianship Subsidy Agreement",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-6-subsidizing-18
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 6 – Subsidizing An Adoption/Legal Guardianship :: 9.6.8.1 Interstate Compact On Adoption And Medical Assistance (ICAMA)",Missouri,Rules,"2023, 2022","Moves while in care, Services while in care - Medical, Use of federal money (including Title IV-E)",,,"Reciprocity provision:  A child is eligible for federal Medicaid coverage nationwide based upon the child’s receipt of Adoption Subsidy through a state which is a member of the Interstate Compact on Adoption and Medical Assistance (ICAMA); When a family plans to move away from the state which granted the Adoption Subsidy Agreement, the child’s Adoption Subsidy worker in that state should be notified by the parents regarding the moving date; The Adoption Subsidy worker should inform the family that Medicaid through ICAMA will be handled by the worker and the ICAMA Coordinators in the sending and receiving states. Families should not contact the local family support office in the state to which they are moving, as this office is not able to open Medicaid coverage thru ICAMA; The Adoption Subsidy worker then contacts his/her ICAMA Coordinator in the worker’s state in order to initiate the process of continuing Medicaid coverage in the planned state of residence. The ICAMA Coordinator will work with the adoption subsidy worker to gather required information and update the Alternative Care Client form, SS-61, for the child; The ICAMA Coordinators from the current state of residence and the planned state of residence will exchange required information in order to complete the Medicaid transfer between states; The state which carries the subsidy agreement with the family is always the responsible state for the ICAMA information-sharing throughout the length of the subsidy (no matter how many times the family moves, the original subsidy state shares information with the most current state of residence); The state which carries the adoption subsidy agreement will always be responsible for payment of the maintenance to the family, and the state of residence will be the state which is responsible for Medicaid coverage. If there are questions or concerns throughout this process, please contact your ICAMA Coordinator in Central Office. Related Practice Alerts and Memos: 7-1-19 – CD19-52 – FY20 Rate Increases 12-4-19 – PA19-AD-06 – Transitional Living Placements and Subsidy Agreements 1-10-20 – PA20-AD-01 – Legal Fees for AD and LG Subsidies 10-29-2020 – PA20-AD-06 – Child Summary 01-13-21 – CD-21-01 -Contractors Negotiation/Completion Of The Initial Adoption Or Legal Guardianship Subsidy Agreement",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-6-subsidizing-17
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 6 – Subsidizing An Adoption/Legal Guardianship :: 9.6.8 Interstate Compact On The Placement Of Children (ICPC)",Missouri,Rules,"2023, 2022","Services while in care - Medical, Use of federal money (including Title IV-E)",,,"Missouri as the Sending State The Eligibility Analyst must make a determination whether the child is/is not IV-E eligible. The child must be determined to be eligible for Title IV-E in order to qualify for Medicaid outside of Missouri. In order for the placement resource to be federally reimbursable, the child must be IV-E eligible, and the placement resource must: Meet the receiving state’s home study standards, and Receive a maintenance payment by the Children’s Division. If a child is non IV-E eligible, Medicaid is not received automatically. The placement resource can apply for Medicaid through public assistance, such as Temporary Assistance for Needy Families (TANF). If the child does not qualify for Medicaid, the sending state is responsible for the child’s medical expenses. Missouri as the Receiving State To determine whether a child will be eligible for Medicaid, the following proper documentation is necessary: The child must be determined to be IV-E eligible; The resource provider has been licensed by the Children’s Division; and The resource provider is receiving a maintenance payment on behalf of the child from the sending state. If the child is non IV-E eligible, the placement resource will be directed to the Family Support Division (FSD) to apply for MO HealthNet. If they do not qualify, the sending agency must be notified that they will be financially responsible for the child’s medical needs. Related Practice Alerts and Memos: 7-1-19 – CD19-52 – FY20 Rate Increases 12-4-19 – PA19-AD-06 – Transitional Living Placements and Subsidy Agreements 1-10-20 – PA20-AD-01 – Legal Fees for AD and LG Subsidies 10-29-2020 – PA20-AD-06 – Child Summary 01-13-21 – CD-21-01 -Contractors Negotiation/Completion Of The Initial Adoption Or Legal Guardianship Subsidy Agreement",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-6-subsidizing-16
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 6 – Subsidizing An Adoption/Legal Guardianship :: 9.6.7 Other Agency Use Of Adoption Subsidy",Missouri,Rules,"2023, 2022","Adoption, Subsidies - Foster Parents",,,"In addition to children in the custody of the Children’s Division, children in custody of the following agencies are eligible to receive benefits through the Missouri Adoption Subsidy Program: Division of Youth Services (DYS); Department of Mental Health (DMH); and Private child-placing agencies, licensed in accordance with Sections 210.481 – 210.536 RSMo. In situations where a Missouri child is being adopted through a Missouri private child-placing agency, and the adoptive parent’s state of residence is not Missouri it is the adoptive parents’ state of residence where the adoption assistance application should be made. In that event, the public child welfare agency in the adoptive parents’ state of residence is responsible for determining whether the child meets the definition of special needs, entering into the adoption assistance agreement and paying the subsidy, consistent with the way public benefits are paid in other programs (ACYF-CB-PA-01-01/January 23, 2001). If this child is not determined to be IV-E eligible, this policy does not apply, and the Missouri Children’s Division will be responsible for assisting in the adoption subsidy process. Children adopted internationally are not eligible for the Missouri Adoption Subsidy Program or for the payment of nonrecurring expenses. All requirements in this procedure apply in the use of the program for a child in the custody of one of the above three agencies. The Division approves the agreement and administers payment according to the terms of the agreement. Coordination between these agencies and the Division will be needed to assure the eligible child receives all appropriate services. Special needs children, known to other agencies, who are not eligible for the Missouri Adoption Subsidy Program, may be eligible for payment of nonrecurring adoption expenses. In the coordination needed to make this service available, it is generally expected that, except for the Division’s final approval, the other agency will carry out, with families approved by them, all interpretation of the program and processing of forms related to the program and any prior authorizations required for the expenditure of funds. County/circuit offices will be expected to provide assistance, as needed, to the agency and to approve, as required, the expenditure of adoption subsidy funds. In making this program accessible to children in the custody of these agencies, Division county/circuit offices should apply the following guidelines: Other agencies shall have the responsibility for: Interpretation of the program including its benefits and limitations to adoptive families approved by them; Processing the Application for Adoption Subsidy CD APP AD, and the Adoption Subsidy Agreement CD AD, except for the required Division signatures and approval process; Interpreting the requirements for payment of nonrecurring adoption expenses when a special needs child is not eligible for the Missouri Adoption Subsidy Program (MASP); Processing the Application and Agreement for Payment of Nonrecurring Adoption Expenses CS-SA-4, and forwarding to the Division for the required signatures; Yearly contact with the families to insure the best services are being provided to families and children; as well as completing any amendments to the subsidy agreement for the addition of new services. Bringing to the attention of the Division county/circuit office any information which could result in a change in the payment amount or type of benefit and preparing revised forms CS-SA-1, 1A, and 2 and distribution of the CS-SA-3, as needed; Maintenance of records regarding the use of the program; and Working with the county/circuit office located in the residence of the adoptive family. County/Circuit offices will be responsible for: Approval and use of any subsidy made for a child in the custody of another agency; Approval of the CS-SA-4 if the child and adoptive parent(s) are eligible only for payment of nonrecurring adoption expenses; Assisting, as needed, in the completion of the Adoption Subsidy Agreement, CD AD, and any necessary amendments and the Application and Agreement for Payment of Nonrecurring Adoption Expenses, CS-SA-4; Completion of the Alternative Care Client Information screen in FACES for the adopted child and the Vendor Licensure/Placement Resource Form, for the adoptive parent(s) when the CS-SA-2 is used; It is not necessary to complete these forms when the child is eligible only for nonrecurring adoption expenses. For children eligible only for nonrecurring adoption expenses, the payment is completed for the CS-SA-4 through SAMII. Maintenance of records regarding the use of the Missouri Adoption Subsidy Program and the use of nonrecurring adoption expenses when the child is only eligible for these expenses; Assisting, as needed, in the completion of forms authorizing payment of benefits (Payment Request, and Alternative Care Information screen in FACES); Assisting, as needed, in the completion of forms related to the authorization of contracted services (Service Authorization), and assuring correctness of invoice (CS-65A) for payment submitted by providers and submitting the CS-65A to the local Children’s Division office responsible for processing payments; Assisting, as needed, in the interpretation of the program to the staff of the other agency and the adoptive families making use of the Missouri Adoption Subsidy Program (MASP) or payment of nonrecurring adoption expenses only; Review of the material submitted by the other agency to assure eligibility of the child and compliance with requirements for: MASP, and Payment of nonrecurring adoption expenses only. Additional information should be obtained from the agency when needed. Entry of appropriate data in the automated payment systems according to the terms of the Agreement and assurance that receipts, as required, have been submitted. Insuring that children in the custody of private child-placing agencies have their eligibility for IV-E Adoption Subsidy funds determined by an Eligibility Analyst within the Children’s Division. Payment for children eligible for MASP is authorized through FACES and a payment request. Contracted services are authorized and payment made through an invoice. Payment for nonrecurring expenses approved in a CS-SA-4 is through Payment Request. Should an eligible MASP child, in the custody of DYS, DMH, or a private agency, be placed with a Division approved adoptive family, processing the initial agreement should be a cooperative effort. The review and subsequent renegotiation of the agreement is the responsibility of the Division’s county/circuit office in the county/circuit of the adoptive parent(s)’s residence. Related Practice Alerts and Memos: 7-1-19 – CD19-52 – FY20 Rate Increases 12-4-19 – PA19-AD-06 – Transitional Living Placements and Subsidy Agreements 1-10-20 – PA20-AD-01 – Legal Fees for AD and LG Subsidies 10-29-2020 – PA20-AD-06 – Child Summary 01-13-21 – CD-21-01 -Contractors Negotiation/Completion Of The Initial Adoption Or Legal Guardianship Subsidy Agreement",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-6-subsidizing-15
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 6 – Subsidizing An Adoption/Legal Guardianship :: 9.6.6.1 Negotiating A New 18 And Above Adoption Subsidy Agreement",Missouri,Rules,"2023, 2022","Adoption, Subsidies - Other",,,"Only Adoption Subsidy youth may be considered for an 18 and above Agreement. No Guardianship Agreement will be continued beyond Age 18 under Any Circumstance. Six months prior to a youth’s, (who is covered by a subsidy agreement), 18th birthday, a determination should be made as to whether or not the youth has a documented physical, dental or mental health need that requires care through a subsidy Agreement beyond the age of 18. Complete the 18 and above Adoption Subsidy Agreement, CD AD 18, and attach the documentation of need from the youth’s physician, psychiatrist, etc. Discuss with the adoptive family the need to transition the youth from adoption subsidy to adult community services to meet the youth’s needs and provide referral information and assistance with obtaining these services as needed. In addition, the family should be advised they are required to apply for and participate in all such programs and services as may be reasonably necessary to meet the needs of the youth as indicated in the contract. Submit the 18 and above Adoption Subsidy, CD AD 18, for approval at least 30 days prior to the expiration date of the Adoption Subsidy Agreement, CD AD, so no lapse in services occurs. The child’s physical, dental or mental health condition must be of such a degree that the child continues to require extraordinary specialized care beyond the age of 18. Documentation of the degree of the child’s condition and the recommended treatment is required. Often, MO HealthNet may be all that is necessary to meet the child’s needs. Maintenance does not automatically continue if it is not identified as a need: The 18 and above Adoption Subsidy Agreement, CD AD 18, may only be approved for one year. The subsidy must be renegotiated and a new Agreement signed every year in the case of a child over the age of 18 that continues to have a documented need for subsidy to continue. Each year Children’s Division staff should be working with the parents to make referrals to allow the family to access services to transition the youth to adult services, reducing the need for subsidy each year between ages 18 and 21. Documentation of the need to extend the subsidy due to the child’s physical, mental health or dental needs must accompany the Agreement to Central Office for approval. Such documentation must come from a physician, dentist, therapist or other professional involved in the ongoing treatment of the youth. Documentation should include a long-term plan for the child when subsidy is no longer available (i.e. MO HealthNet, Department of Mental Health services, Social Security Disability, etc.). Documentation must always be placed in the case file and be written into the case plan. Approval must be obtained from the Division Director by signature to the 18 and above Adoption Subsidy Agreement at least 30 days prior to the end of the month of the child’s 18th birthday. The authorized funding category must be adoption subsidy-HDN when an 18 and babove Adoption Subsidy Agreement is in place. NOTE: Subsidy shall not be continued for a child who is able to work after graduation, or who has enrolled in college; nor does subsidy assist with college tuition or books. Related Practice Alerts and Memos: 7-1-19 – CD19-52 – FY20 Rate Increases 12-4-19 – PA19-AD-06 – Transitional Living Placements and Subsidy Agreements 1-10-20 – PA20-AD-01 – Legal Fees for AD and LG Subsidies 10-29-2020 – PA20-AD-06 – Child Summary 01-13-21 – CD-21-01 -Contractors Negotiation/Completion Of The Initial Adoption Or Legal Guardianship Subsidy Agreement",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-6-subsidizing-14
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 6 – Subsidizing An Adoption/Legal Guardianship :: 9.6.6 Negotiating A New Adoption Subsidy Or Subsidized Guardianship Agreement",Missouri,Rules,"2023, 2022","Administrative process, Adoption, Child rights, Contracting with private organizations, Definitions, Subsidies - Other",,,"When approaching the negotiation of a new Adoption Subsidy Agreement (CD AD) or Subsidized Guardianship Agreement (CD SG) with prospective parent(s), they are to be given the Adoption Subsidy Program Brochure, CS-350, and given an opportunity to ask questions about the subsidy program. The prospective adoptive parent(s) are asked to complete the Application for Adoption Subsidy, CD APP AD. The prospective guardian parent(s) are asked to complete the Application for Subsidized Guardianship, CD APP SG. With the assistance of the worker, the physical, mental health, dental and emotional needs of the child are to be fully documented on the Applications and, subsequent to the meeting, in the narrative portion of the subsidy record for present and future reference. Private child-placing agencies that are approaching the negotiation of a new adoption or guardianship subsidy Agreement are to forward the application for subsidy to their local Children’s Division staff for review of eligibility. The Children’s Division should then send back, within 10 working days, a letter approving the child’s eligibility as well as approval to proceed with negotiation of the Subsidy Agreement or a letter denying the child’s eligibility. A copy of the letter as well as the Application for Subsidy is to be kept in a subsidy file in the local Children’s Division office. Children’s Division staff, Foster Care case management staff and private child-placing agencies who have been given approval to proceed with the negotiation of the Subsidy Agreement, should then discuss with the family the needs for which the family feels they can assume responsibility. It is not necessary for staff to document the detailed income and expenses of the family nor shall a means test be used. Staff should fully discuss with the family their many resources; emotional, physical and financial, and encourage them to utilize these resources. Staff should also review with families the community resources available to meet the child’s needs and make referrals as appropriate. The goal of the negotiation should be to review with the family the current and anticipated needs of the child and to prepare the family for what lies ahead in a collaborative with the agency, planning for the current needs through completion of the Subsidy Agreement; as well as acknowledging the potential future needs by fully documenting on the Application. At the time of the initial negotiation of the Subsidy Agreement, the family should be advised that this Agreement is a legally binding contract and will continue in effect until the last day of the month of the child’s 18th birthday; unless it is terminated as a result of the parent’s or guardian’s request or reasons for termination listed in the contract. If no changes are necessary during the life of the Agreement, no further action is necessary. If changes are required, an amendment section will be completed within the body of the contract. Each amendment is made to the Agreement as a whole and the entire completed Subsidy Agreement will need to accompany every amendment when sent to the Subsidy Unit in Central Office. All guardianship subsidy Agreements end at age 18 as does the legal guardianship established by the court, therefore, there is no option for extension beyond the age of 18. At the time of the initial negotiation the parent(s) should also be advised that an Agreement must be approved by signature of the Division Director or designee prior to payment being made. At the time of initial negotiation of the legal guardianship agreement, staff must discuss and advise the guardian(s) of the option to name a successor guardian in the agreement. A successor guardian is a person(s) named in the guardianship agreement or amendment who becomes the alternative legal guardian in the event of the legal guardian(s) death or incapacitation. To assist in this discussion, the Successor Guardian Information letter, CD-222, may be given to the family. Once completed this letter should be retained in the guardianship file. The guardian(s) are to be advised the child will not be automatically eligible for guardianship assistance in the event of their death or incapacitation if a successor is not named without the child/ren having to be placed in the custody of the Children’s Division. If the guardian elects not to exercise the option to name a successor guardian this discussion and decision are to be documented in the narrative section of the guardianship subsidy record and in the explanation section of the subsidy agreement. Adoptive parent(s) and Guardians should also be advised of their right to file an appeal, as specified in the subsidy contract, on all or any part of a Subsidy Agreement that is denied by the Division Director or designee. Their request for appeal must be received within 10 days of their written notice of the denial decision. If approved time-limited services beyond the basic subsidy package expire on the Agreement or a new service needs to be added, an amendment must be developed between the family and the agency for payment for services to be made. The adoptive parent and legal guardian(s) should be encouraged to make application for Supplemental Security Income (SSI) with the local Social Security Administration (SSA) office for any potentially eligible children. Adoptive parent(s) accepting a child for adoptive placement who is eligible for Title IV-E adoption subsidy, have the right to determine whether SSI or adoption subsidy IV-E would be more appropriate to meet the maintenance payment for the child in the context of his/her and their circumstances. Parents of children who receive state-only funded adoption subsidy may receive both. The adoptive parent of the IV-E child may also receive both funds; however, parents should be advised that the Social Security office may reduce the SSI amount the child receives, dollar for dollar, by the amount the child is receiving in subsidy maintenance. If the family decides to accept SSI, the Children’s Service Worker will need to update the client’s fund code from ‘04-Adoption Subsidy IV-E to ‘05-Adoption Subsidy FFP’, and update the Title XIX begin date simultaneously to reflect when fund “05” begins. During the time children received out-of-home care services, they may have been eligible for SSI. Eligibility for SSI will be determined by completing the Adoption Subsidy Determination upon adoption. A child that has a Subsidized Guardianship Agreement, has been determined by the state to have special medical, mental health or rehabilitative needs, and cannot be placed for guardianship without medical assistance. The child is eligible for MO HealthNet. A child, Title IV-E or non IV-E, covered by an Adoption Subsidy Agreement, who is eligible for SSI is also eligible for MO HealthNet- FFP. In this case, fund category “05” is reported on the Alternative Care Client Information screen/SS-61 in FACES. If the child becomes ineligible for SSI, the child’s fund category shall be changed to “03-Adoption Subsidy HDN (state only)” or “04-Adoption Subsidy IV-E” depending on the child’s eligibility for IV-E prior to the final adoption. A child, who is not Title IV-E eligible, but has a state-funded adoption assistance Agreement, has been determined by the state to have special medical, mental health or rehabilitative needs and cannot be placed for adoption without medical assistance, is eligible for MO HealthNet-FFP (fund code 05) for adoption. OASDI benefits can be received after adoption. Adoptive parent(s) are encouraged to make application for these benefits with the SSA office before making use of either of the Division’s IV-E or HDN funding resources for a child’s subsidy. Children’s Service Workers should make prospective adoptive parent(s) aware of this resource and assist them in making application when indicated. The Change of Custodian Payee Request Form is available to assist adoptive parents with this process. A subsidy Agreement can be developed using Title IV-E or HDN funds along with OASDI if needed. Prior to final adoption, staff must assure that the child’s resources, if any, does not exceed $10,000.00. If it exceeds this amount, the fund category must be changed to “05”. Once the amount is below $10,000.00, notify the Eligibility Analyst and the fund code can be modified to “04.” As required by the Subsidy Agreement, adoptive parent(s) and guardians have the responsibility for reporting changes of income and/or resources to the Social Security office. In addition to this, staff should confirm if the child remains SSI eligible whenever in contact with the family. Adoptive parents and guardians should be advised that the Division of Finance Administration will notify the Social Security Administration when final adoption occurs. This will result in the immediate termination of the Children’s Division as payee for SSI/OASDI. To avoid a lapse in payment, application by the adoptive parent(s) should be made promptly. The date Adoption Subsidy Agreements are signed is important in relationship to the court’s adoption proceedings. Adoption subsidy must be in place before finalization of the adoption, meaning the adoption Agreement must be signed by both the adoptive parent(s) and Children’s Division Director or designee prior to finalization. Subsidized Guardianship Agreements shall be completed and approved prior to the court proceeding to award guardianship, meaning that the Guardianship Agreement must be signed by both the guardian(s) and Children’s Director or designee prior to final award of Guardianship. The Agreement, however, cannot go into effect until after the guardianship is awarded and the fund code “06” has been entered by the worker in FACES. A copy of the order of legal guardianship shall be sent to the Procurement Unit with the Subsidized Guardianship Agreement. If negotiated prior to the guardianship being established, the order shall be sent to CMU when the Alternative Care Client Information screen is changed. The legal guardianship begin date on the Alternative Care Client Information screen shall be the date the guardianship was awarded. The fund code will be determined by the Eligibility Analyst in cases of subsidized guardianship. Expenses to be paid under the Subsidized Guardianship Agreement will only occur after the legal guardianship has been granted by the probate court to a qualified relative as defined by Missouri Statute 453.072. Prior to subsidy funding being utilized a referral must be made to the IV-E Eligibility Analysts to determine the fund code for subsidy. A child’s placement type must be changed just before the referral to the Eligibility Analysts for determination of the subsidy fund code is made. At the time of the placement change to ADF, ADO, ADR or FAH the fund code should be changed to 12 for the placement change to be accepted. These changes must be indicated on the child’s Alternative Care Client Information screen in FACES for the Eligibility Analysts to make a determination. In addition, the subsidy contract must be approved and in the contracting system. The petition pursuing guardianship must be filed. Termination of Parental Rights (TPR) of at least two parents must be shown on the Alternative Care Client Information screen and the adoption petition must have been filed. Within 5 days of this placement type change, the referral must be made to the Eligibility Analysts. At this point the child’s plan is adoption or legal guardianship, the necessary steps have been taken for adoption or guardianship subsidy funding, and foster care funds are no longer appropriate. Prior to the subsidy funding determination, the worker may have indicated the pre-adoptive placement on the Alternative Care Client Information screen without changing the placement type. The Eligibility Analyst needs the following information in order to complete a determination. If the child is from a private agency, the worker from the private agency is to obtain this information for the CD’s referring worker: A copy of the Title IV-E/FFP Referral, (CS-IV-E-FFP-1) is to be filed in the family’s subsidy record to provide documentation of the eligibility determination. Information about the home from which the child was removed; Removal petition; Court order that placed the child in the agency’s custody; Date the adoption or guardianship petition was filed; Date TPR occurred; Date adoptive placement began; and Begin date on the adoption subsidy contract. The Eligibility Analysts may determine fund code eligibility and authorize payment from subsidy fund codes (fund codes 03, 04 and 05) (fund code 06 for state only funded guardianships and fund code 16 for Title IV-E eligible guardianship subsidy) and are the only staff that have authority to change adoption subsidy fund codes and may only do so after the following criteria have been met: Termination of Parental Rights has been granted on at least 2 parents or the parents are deceased; The family has been identified as the adoptive or guardianship placement as shown in the placement information section of the Alternative Care Client Information screen. An adoption petition or guardianship petition has been filed with the court; and A Subsidy Agreement has been approved and entered into the contract management system. Subsidy Agreements may be reassessed at the request of the adoptive parent(s) or guardian when changes in the needs of the child or the circumstances of the family are indicated. Adoptive parent(s) or guardian are expected and required to cooperate in the review process for services that expire and need to be re-authorized. Such cooperation includes supplying information regarding the family and the eligible child’s circumstances as determined by the Division to be needed. This information will be used to establish the services and amount of payment for the services included in the agreement. This information must be supplied to the Division within 30 days of the request. Relatives, with the exception of a biological parent or step-parent, are eligible for an adoption subsidy. Such subsidies are to be handled as if an unrelated family was adopting the child. To meet costs for a service that may be needed any time after the final decree, but before the child’s 18th birthday, adoption subsidy Agreements including only MO HealthNet should be completed prior to the granting of the final decree. These are considered deferred Agreements and are intended to serve those children with a guarded prognosis because of drug exposure, familial history of mental illness or other genetic predisposition, for whom an adoptive family may need future assistance in meeting the cost of special needs, but who may not require such assistance at the time of placement or adoption completion. It is important that the condition or special needs or the circumstances of the guarded prognosis of the child exist at the time the child is placed with the family, and are well documented on the Application for Adoption Subsidy, CD APP AD. An amendment to the Agreement must be processed to authorize payment for additional services when/if they are needed. Upon a change in the subsidy Agreement via an amendment, the worker shall note the change and negotiation around the change in the narrative section of the subsidy file. For confidentiality purposes, the child’s name used in all business and record keeping transactions should be the name stipulated in the final decree of adoption. This includes the records of the Children’s Division as well as the records used by vendors from whom we are purchasing a service as a part of the Adoption Subsidy Agreement. All records should be changed after the final decree except for the first Application for Adoption Subsidy, CD APP AD, and the Adoption Subsidy Agreement, CD AD. When preparing a new amendment there is space indicated to include the adopted name as well as a new DCN, if applicable (Departmental Client Number). When reviewing an Agreement after the final decree of adoption or legal guardianship is granted, information from other treatment and rehabilitative service providers may be required by the Division. This information must be obtained by the adoptive parent(s) and provided to the Division within 30 days of the request being made as indicated in the Agreement. Agency staff should refer adoptive parents or guardians who request information regarding reporting subsidy payments for income tax purposes to the Internal Revenue Service or their individual tax preparer. Related Practice Alerts and Memos: 7-1-19 – CD19-52 – FY20 Rate Increases 12-4-19 – PA19-AD-06 – Transitional Living Placements and Subsidy Agreements 1-10-20 – PA20-AD-01 – Legal Fees for AD and LG Subsidies 10-29-2020 – PA20-AD-06 – Child Summary 01-13-21 – CD-21-01 -Contractors Negotiation/Completion Of The Initial Adoption Or Legal Guardianship Subsidy Agreement",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-6-subsidizing-13
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 6 – Subsidizing An Adoption/Legal Guardianship :: 9.6.5.7 Special Education Services Costs",Missouri,Rules,"2023, 2022","Services while in care - Educational, Services while in care - Financial, Subsidies - Other, Use of federal money (including Title IV-E)",,,The responsibility of providing for special education costs remains with the local school districts. Staff should assist adoptive parent(s) or guardian(s) and school officials in obtaining the assistance of the Missouri Department of Elementary and Secondary Education (DESE) in meeting the cost of a child’s special education needs. Special education services must be met by the local school district except for: Tutorial plans which are intended to support a child’s special education plan (must be met by the parent/guardian or community resources) Payment for special education services for a child in residential placement is authorized as follows: The Adoption or Subsidized Guardianship Agreement provides for payment of residential treatment services; The residential placement is outside the domicile school district of the adoptive parent(s) or guardian(s); The child requires special education services; and There are no other resources available to meet the costs of these services. H.R. 6893: Fostering Connections and Increasing Adoptions Act of 2008 allows youth who exit foster care for adoption or guardianship after the age of 16 to receive independent living services and education and training vouchers under the John H. Chafee Foster Care Independence Program. Receipt of services through the Older Youth Program and Chafee Services are to be monitored by case managers. Related Practice Alerts and Memos: 7-1-19 – CD19-52 – FY20 Rate Increases 12-4-19 – PA19-AD-06 – Transitional Living Placements and Subsidy Agreements 1-10-20 – PA20-AD-01 – Legal Fees for AD and LG Subsidies 10-29-2020 – PA20-AD-06 – Child Summary 01-13-21 – CD-21-01 -Contractors Negotiation/Completion Of The Initial Adoption Or Legal Guardianship Subsidy Agreement,https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-6-subsidizing-12
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 6 – Subsidizing An Adoption/Legal Guardianship :: 9.6.5.6 Integrative Expenses",Missouri,Rules,"2023, 2022",Subsidies - Other,,,"Only under extreme circumstances will an integrative expense be considered under subsidy. Extreme circumstances include situations where the adoptive parent(s)/guardian(s) home or vehicle may need to be adapted to meet the Americans with Disabilities Act (ADA) requirements in order to meet the needs of the child with a disabling condition. The adoptive parent(s)/guardian(s) are expected to seek other community resources in obtaining the needed service prior to the subsidy request and provide documentation regarding their findings. Subsidy may assist in the cost of the service. No payments will be made for expenses incurred prior to approval by the Division Director to the agreement. NOTE: expenses not eligible for approval through subsidy Housing additions, vehicles, clothing allowances, integrative expenses such as furniture and linens, special education services, sports/dance/ music/art lessons, tutoring, private school tuition, diapers, day-to-day transportation, child care above locally contracted rate, mentoring, computers, home schooling materials, extracurricular activities, club memberships, summer camp/day camps, school expenses, telephone calls, attachment therapy centers not covered by MO HealthNet, insurance premiums, or deductibles in states that are ICAMA member states. Providers will be reimbursed directly if they have a contract with the Division. Adoptive parent(s) or guardian(s) will be paid for the service after an invoice or a “paid” receipt has been submitted. All receipts submitted for reimbursement must be submitted within 6 months of the service being provided. Related Practice Alerts and Memos: 7-1-19 – CD19-52 – FY20 Rate Increases 12-4-19 – PA19-AD-06 – Transitional Living Placements and Subsidy Agreements 1-10-20 – PA20-AD-01 – Legal Fees for AD and LG Subsidies 10-29-2020 – PA20-AD-06 – Child Summary 01-13-21 – CD-21-01 -Contractors Negotiation/Completion Of The Initial Adoption Or Legal Guardianship Subsidy Agreement",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-6-subsidizing-11
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 6 – Subsidizing An Adoption/Legal Guardianship :: 9.6.5.5 Level B Foster Care Placement",Missouri,Rules,"2023, 2022","Administrative process, Placement, Subsidies - Other",,,"Although Level B payments cannot be approved to be paid to the adoptive parent(s)/guardian(s), a child may be placed in a Level B Foster Home if this treatment is determined necessary for the child. The Level B foster care program is for the purpose of treating a child’s behavioral issues so they can be successful in their place permanent home. If a child enters a Level B Foster Home, the worker should manage the case the same as if the child were in residential treatment. The CD-137 is to serve as the referral form for placement in Level B Foster Care. Supporting documentation from appropriate professionals is also required. The parent(s)/guardian(s) are to complete the CD-137 and provide documentation, obtaining assistance from the worker as needed. Level B Foster Care placements may be authorized for six months at a time. Upon the sixth month, the need for placement and level of care must be reviewed in a family meeting. The review team should consist of the family, child, worker, supervisor, Level B resource providers and any other persons involved in the treatment of the child. These reviews are to be submitted to Central Office with an amendment requesting funding for Level B Foster Care. This funding will be approved by signature of the Division Director. No payments should be made until approval is given. Update the Alternative Care Client Information screen in FACES for the new placement leaving the adoptive parent(s)/guardian(s) DVN and placement type, but entering the sub-placement code of “S” and entering the Level B placement as the sub placement, as well as changing the maintenance code to no maintenance, if the parent(s)/guardian(s) agree to suspend their maintenance payments. With regard to agency liability of an adopted/guardianship child voluntarily placed in a Level B foster home, any legally recognized parent (biological or adopted/guardianship) is liable for the actions of his/her child as long as that parent/guardian has not been relieved of legal custody. If the Division does not have legal custody of a child, we are not liable for the child. The Level B home may be liable for the actions of the child, at least in the negligent supervision area. Payment must be made to the Level B foster home via a payment request each month. When changing the amendment to Level B Foster Care, use the opposite service code from what the placement home will be coded.  The adoptive/guardianship family’s maintenance code will remain on the amendment.  The subsidy worker shall meet with the adoptive/guardianship family to discuss the child’s needs while in Level B Foster Care and explore the possibility of reducing the maintenance payment while the child is in treatment (i.e. toiletries, clothing, and travel for visitation and therapy.) If the adoptive/guardianship family refuses to suspend their payment, the maintenance code will remain the same, however, if they agree to suspend their payment, the maintenance code will be ‘3’ indicating no maintenance.  All of these actions should be documented in the Case Member screen of the subsidy record. Related Practice Alerts and Memos: 7-1-19 – CD19-52 – FY20 Rate Increases 12-4-19 – PA19-AD-06 – Transitional Living Placements and Subsidy Agreements 1-10-20 – PA20-AD-01 – Legal Fees for AD and LG Subsidies 10-29-2020 – PA20-AD-06 – Child Summary 01-13-21 – CD-21-01 -Contractors Negotiation/Completion Of The Initial Adoption Or Legal Guardianship Subsidy Agreement",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-6-subsidizing
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 6 – Subsidizing An Adoption/Legal Guardianship :: 9.6.5.4 – Transitional Living Group Home Services (TLGH)",Missouri,Rules,"2023, 2022","Administrative process, Contact and directory information, Subsidies - Other",,,"The Transitional Living Program (TLP) is designed to support youth, with a goal of APPLA, as they successfully transition to independent living. The TLP is not a treatment program but is for the purpose of preparing youth to live independently in their community. It is not for youth who need community adult services to manage their day to day life. Youth under the age of 18, which represent the adoption subsidy population, are only eligible for the Transitional Living Group Home services. As these placements have been youth in the custody of the Children’s Division, consideration must be given to place a non-custodial youth with a custodial youth. If a youth is a danger to other children in the adoptive home such as a current offender, Transitional Living may not be a “fit” for the adoption subsidy youth as our role of custodian is to ensure safety of the youth in the TLP. Prior to a referral being made, all options must be explored and documented in the case record. Individual assessment and consideration must occur for youth who receive adoption subsidy to enter into a TLG to ensure the youth is not being set up for exit to homelessness as the youth must exit the program at age 18 in most cases. If the adoptive parent(s) or guardian(s) is unwilling to be a part of this process and has no desire for the youth to be returned to their home, the TLP may not be authorized through subsidy. If accepted, the family shall develop a plan for successful reintegration back into the home of the adoptive parent(s) or guardian(s). Steps to Be Taken: The family will contact the Adoption Specialist for out of home placement consideration for youth 16 and older. The Adoption Specialist will begin discussions with the Older Youth Transition Specialist (OYTS) as to feasibility of TLP as an option. All resources will be explored and exhausted. The Transitional Living Program will be a last option. A referral will be made to the OYTS via email or fax. Contact information for the OYTS may be found here: https://dss.mo.gov/cd/older-youth-program/files/map-older-youth-transition-specialist.pdf The referral shall include the following documents provided by the Adoptive Parent: Youth’s Statement of Understanding of TLP Parent’s Statement of Understanding of TLP, Involvement, and Plan for Youth to Return Home Most Recent Psychological Evaluation – If Applicable Criminal History – If Applicable Current School Report Current IEP – If Applicable Medical History Immunization Records Copy of Birth Certificate Social Security Card Completed CS-9, including section E Completed Adolescent FST Guide (CD94) Completed Individualized Action Plan Goals (CD94) Copy of Approved Subsidy Agreement or e-mail from Adoption Subsidy Program Specialist indicating approval to explore TLP placement. The OYTS will determine if there is space and compatibility for the youth to be placed in the TLP. As TLP is a contractual program in which all referrals must come from the OYTS and the service provision is for youth in care, if there is not space or a safety concern for an adoption subsidy youth to be around other youth exists, the referral will be denied by the OYTS. If the youth is accepted into the program, a Family Centered Service case will be opened to assist the youth and family towards reunification and preparation of a successful exit plan for transition from TLP. It is expected that the family would visit the youth and be fully engaged in transition planning at placement and throughout the time the youth is it the program. The Adoption Specialist will continue communication with the OYTS throughout the placement of the youth in the TLP. Related Practice Alerts and Memos: 7-1-19 – CD19-52 – FY20 Rate Increases 12-4-19 – PA19-AD-06 – Transitional Living Placements and Subsidy Agreements 1-10-20 – PA20-AD-01 – Legal Fees for AD and LG Subsidies 10-29-2020 – PA20-AD-06 – Child Summary 01-13-21 – CD-21-01 -Contractors Negotiation/Completion Of The Initial Adoption Or Legal Guardianship Subsidy Agreement",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-6-subsidizing-0
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 6 – Subsidizing An Adoption/Legal Guardianship :: 9.6.5.3 Residential Care Services (All Levels)",Missouri,Rules,"2023, 2022",Subsidies - Other,,,"An amendment to the subsidy Agreement must be completed if the adoptive parent(s) or guardian(s) request residential services. The amendment must be signed by the Authorized Signature of the Department of Social Services before residential services may begin and payment for such services made. Any time the subsidy worker receives a request to place a child in residential treatment, the worker shall make a referral to IIS as an attempt to divert placement out of the home. This is to be treated as any other IIS case, and to be paid for out of county funds. If the IIS intervention is unsuccessful, or the parent(s)/guardian(s) refuse to use IIS, the worker is to begin working with the family towards other alternatives such as the use of community resources or residential treatment. Community resources are to be researched by the parent/guardian, with assistance from the worker, and efforts documented, prior to making a residential treatment referral. The worker shall notify the parent(s)/guardian(s) of services that are available within the community which might prevent the child from being removed from their community and being placed in residential treatment. The worker shall ensure the parent(s)/guardian(s) tried to access these services before seeking residential care. The worker may complete the Initial Referral – Residential Subsidy (CD-233) form with the parent(s)/guardian(s) in order to evaluate the child’s need for residential services. This is an optional form staff may use to help guide the discussion with the family during an initial meeting regarding residential services. The parent(s)/guardian(s) must complete the Residential and Specialized Placement Referral, CS-9, with the assistance of the worker. Documentation of the child’s condition from appropriate professionals (psychological, psychiatric, etc.) is required and must be obtained by the parent(s)/guardian(s). The CS-9 must be sent through the appropriate channels to the Authorized Designee for ASRT approvals in the region. The Authorized Designee will determine the child’s need for residential treatment; the level of care needed, and assist the parent(s)/guardian(s) in obtaining a residential treatment facility for the child in close proximity to their home to allow involvement by the parent(s)/guardian(s) in the child’s treatment. The Adoption and Guardianship Subsidy Residential Referral (CD-302) must be completed, signed by the Authorized Designee, and included as supporting documentation when submitting an initial subsidy contract, amendment, or attachment that includes a request for residential services. The parent should be provided with a letter of approval indicating the amount which will be paid. The parent/guardian is responsible for making arrangements for actual placement into the residential facility. The letter to the parent(s)/guardian(s) should also include information as a reminder that: Residential level changes require a new approval. Documentation provided by the facility on behalf of the parent/guardian must support the level being requested and be no more than 90 days old and include an estimated discharge date and prognosis, a monthly treatment summary, why a continued need for residential respite exists, and a description of parental involvement with the facility/treatment plan. Once a child has been approved for residential treatment and it is on the subsidy contract, the worker will no longer refer the family to FCS unless there has been CA/N or significant needs to warrant an FCS case.  Staff should consult with their supervisor. Once the child has been placed, the worker may complete an initial home visit with the family as best practice, to gather information from the family about the child, their experiences, etc.  If the worker is unable to complete a home visit, they will communicate with the family by phone or email.  Monthly home visits may occur if the family and worker feel it is beneficial. Monthly meetings are expected to keep the family engaged and accountable.  Meetings may be provided and facilitated with the residential treatment team.  Both parent(s)/guardian(s) and subsidy workers will participate.  These can be held in conjunction with the facility’s treatment team meetings, or be held separately if a treatment team meeting isn’t held that month.  These can be done in person or by conference call. Staff may use the Ongoing Meetings – Residential Subsidy (CD-232) form to document the progress of the child and family.  This form is to help guide discussions regarding the progress of the child and transition back into the home. Staff should document all communication via Case Member screen using the active case number. Subsidy may be authorized for the cost of residential treatment at the level determined by the Authorized Designee. As with all services, payment for residential treatment will not be made until the service has been approved by the Authorized Signature of the Department of Social Services and shall not be backdated Payment for these services must be made under the terms of the contracts the Division has with Missouri providers. Whether in state or out of Missouri, the Missouri contract rate will apply. Placements for children who are residents of Missouri will only be sought with Missouri residential facilities or facilities in bordering states because of the proximity to the adoptive home, or when the necessary treatment cannot be provided by a Missouri facility. Residential placements may be authorized for only six months at a time. Upon the sixth month, the documentation supporting the need for placement and level of care must be reviewed in a family meeting and the documentation provided to the Authorized Designee. The meeting should consist of the family, child, worker, supervisor, facility and any other persons involved in the treatment of the child. These reviews, along with the approval of the Authorized Designee, are to be submitted to Central Office with the amendment indicating a continued need for funding for residential treatment. No payment should be made until the amendment is approved by signature of the Authorized Signature of the Department of Social Services and approval should be given at least 30 days prior to expiration of the prior amendment to avoid any interruption in services. Requests for out-of-state residential treatment are to be reviewed by the Residential Service Manager in consultation with Central Office, if necessary. The Residential Service Manager must have already determined a level of care. Residential treatment will be reimbursed at the rates of contracted providers located within Missouri. When using out-of-state residential or Missouri non-contracted facilities, the worker is to contact the Residential Service Manager in order to request that a child-specific-contract be sent to the vendor. The worker and the Residential Service Manager are to work together with the vendor in order to negotiate the monthly rate. Contract Management Unit (CMU) are available for technical assistance while completing this process. Out-of-state providers being utilized for families who reside out of state must have a child-specific contract with the Division in order to receive payment. The provider must submit a child-specific contract to the CMU for negotiation. Update the Alternative Care Client Information screen in FACES new placement by leaving the adoptive parent(s)/guardian(s) Departmental Vendor Number (DVN) and placement type, but entering the sub-placement code of “S”, and changing the maintenance code to no maintenance. In the sub-placement type indicate the residential facility where the child is residing. In certain circumstances use may be made of residential treatment services which are not currently covered by a contract with the Division. A contract must be developed between the facility and the Division by the facility, proposing a child-specific contract regarding the proposed care for the child. Payment shall not be made directly to the adoptive parent(s) or guardian(s). In the case of children attending different school districts, the school district where the parent(s)/guardian(s) reside should be charged for any special education services needed. The subsidy worker shall meet with the adoptive or guardianship family to discuss the child’s needs while in residential treatment, and explore the possibility of reducing the maintenance payment while the child is in treatment determining only the amount necessary while the child is in residential care (i.e. toiletries, clothing, and travel for visitation and therapy.) If the family agrees to suspend maintenance while the child is in the facility, this should be indicated in the narrative of the subsidy file and the maintenance code should be changed to no maintenance. According to federal policy (ACYF-CB-PA-O1-01) the agency cannot lower an adoptive family’s amount of maintenance without the family’s concurrence. If the family does agree to lower their maintenance, this is to be documented in the narrative section of the subsidy record and the reduced amount indicated on the alternative care client information record. If the family is unwilling to be a part of this process and has no desire for the child to be returned to their home, residential treatment may not be authorized through subsidy and the subsidy worker is to discuss other permanency options with the family. If the child enters the custody of the Children’s Division, the Division will pursue child support from the adoptive parent(s)/guardian(s). Day treatment services may be considered on a child-specific, time-limited basis. Adequate documentation must support the need for day treatment. The adoptive or guardianship family must first inquire as to the ability of their private insurance to pay for all or part of this treatment prior to the agency approving this service through subsidy. In addition, a self-referral to the Department of Mental Health (DMH) may be appropriate to determine if they can assist in funding any or all of the day treatment services. Based upon their assessment, DMH may be able to provide services to the family which are not available through the Division. Services may only be approved for up to six months at a time, and a family meeting must occur. Related Practice Alerts and Memos: 7-1-19 – CD19-52 – FY20 Rate Increases 12-4-19 – PA19-AD-06 – Transitional Living Placements and Subsidy Agreements 1-10-20 – PA20-AD-01 – Legal Fees for AD and LG Subsidies 10-29-2020 – PA20-AD-06 – Child Summary 01-13-21 – CD-21-01 -Contractors Negotiation/Completion Of The Initial Adoption Or Legal Guardianship Subsidy Agreement",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-6-subsidizing-1
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 6 – Subsidizing An Adoption/Legal Guardianship :: 9.6.5.1 Above Base Maintenance",Missouri,Rules,"2023, 2022","Foster parent licensing, Services while in care - Medical",,,"In the case of Medical or Youth with Elevated Needs-Level A payments, the child must meet the criteria set forth in the same manner as a child in alternative care. The worker shall arrange a team meeting and obtain the required documentation according to policy for children in care. Staff is encouraged to utilize the behavioral consultants to assist in determining eligibility Children in foster care, who receive Level A or Medical maintenance, are required to have regular six-month reviews. If a regular review is overdue, or if a review is due within 60 days, the review must be completed within one month upon the determination that adoption or guardianship is the goal for the child. The purpose of this staffing is to verify a continued need for above base maintenance. The child must then be staffed every six months until adoption or guardianship is finalized. The subsidy worker must submit the approved staffing results with the request for above base maintenance, in order for the child to be approved for and receive Level A or medical maintenance. The Medical Foster Care Assessment, CS-10, serves as a referral for medical foster care. Children who are referred for Level A maintenance will follow the local procedures that apply when foster children are referred to this program. These forms are to be completed by the adoptive/guardianship family, with help from staff if needed, and signed by a supervisor. The Division Director will need to approve all above standard maintenance payments via the subsidy Agreement, prior to any payment being authorized. When children need a Level A maintenance rate to meet their special needs, the adoptive parent(s)/guardian(s) are required to attend Level A foster parenting classes. Training must be completed prior to payment of the above standard rate. No back payments to the date of placement will be approved. For families who live out of state, 18 hours of equivalent training may be substituted. The family will need to provide the worker with the curriculum from the training they plan to receive. The worker will review this information with their supervisor to determine the appropriateness of the training. Adoption/guardianship subsidy will reimburse the out-of-state adoptive parent(s)/guardian(s) for training up to $90.00 per hour if there is a charge. This charge must be approved on the subsidy Agreement prior to reimbursement and a receipt provided. Children receiving above base maintenance rates are not eligible for the incentive payment for charting that is provided through the Youth with Elevated Needs-Level A foster care program. Families of children receiving the medical maintenance rate must undergo individualized medical training by the child’s health care provider, which is individualized to the child’s specific health care needs. The health care provider who provides the training must provide documentation of this training. As of July 31, 2002, Youth with Elevated Needs-Level B rates were no longer approved in new subsidy Agreements. Families who are currently receiving Level B maintenance on their subsidy contract as approved prior to July 31, 2002, are not required to undergo yearly reviews, and may be automatically approved to age 18, unless the parent/guardian agrees to reduce the maintenance amount. Above Base Maintenance may be approved for up to two years at a time or up to the child’s 18th birthday, if it is determined that the child’s condition will not improve and/ or that the adoptive/guardianship family will not be in agreement to lowering the maintenance amount as the maintenance rate may not be reduced without the consent of the adoptive parent(s)/guardian(s). In the case of medical subsidy where the medical condition of the child is permanent as indicated by documentation from medical professionals, medical subsidy should be approved to age 18 as the condition is not expected to improve. Related Practice Alerts and Memos: 7-1-19 – CD19-52 – FY20 Rate Increases 12-4-19 – PA19-AD-06 – Transitional Living Placements and Subsidy Agreements 1-10-20 – PA20-AD-01 – Legal Fees for AD and LG Subsidies 10-29-2020 – PA20-AD-06 – Child Summary 01-13-21 – CD-21-01 -Contractors Negotiation/Completion Of The Initial Adoption Or Legal Guardianship Subsidy Agreement",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-6-subsidizing-2
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 6 – Subsidizing An Adoption/Legal Guardianship :: 9.6.4 Nonrecurring Adoption Or Legal Guardianship Expenses",Missouri,Rules,"2023, 2022","Administrative process, Adoption, Legal process, Placement, Reporting requirements, Subsidies - Other",,,"These different types of nonrecurring expenses should be listed individually. The expenses should be reasonable and customary. All receipts submitted for reimbursement must be submitted within 6 months of the service being provided: Nonrecurring placement related expenses (NROT) may be reimbursed up to $1,000.00 and are limited to: Pre-placement transportation: This expense is paid at the current customary rate established by the Children’s Division for use of a personal automobile, or the charge of air or ground transportation; and Lodging and food: Reimbursed using Division travel guidelines for both in-state and out-of-state travel. Private agency fee reimbursement up to $3,500.00 is allowed. Such costs may include the adoption study, including health and psychological examination, and supervision of the placement prior to adoption finalization. Payment for nonrecurring expenses does not include those paid for or provided through resources available to the adoptive parent(s) or guardian(s), court or the agency facilitating the placement. Examples of these resources include: A private agency waives the cost of the family assessment (home study) or the placement support services; The family claimed the Missouri adoption tax credit for nonrecurring adoption expenses; The family has private insurance providing payment for certain services included in an adoption/guardianship; and A service provider has waived the cost for the service. Nonrecurring Adoption Expenses for Special Needs Children NOT Eligible for the Missouri Adoption Subsidy. The U.S. Tax Reform Act of 1986 (P.L. 99-514) requires states to assist adoptive parent(s) with payment of nonrecurring adoption expenses of up to $2000.00 related to the adoption of a special needs child. This attachment provides staff with procedures to follow for children not eligible for the Missouri Adoption Subsidy Program (MASP). This attachment will primarily be used for independent or inter-state adoptions. It is not necessary for the child to have been in the custody of the Children’s Division (CD), Department of Mental Health (DMH), Division of Youth Services (DYS) or a child-placing agency to qualify for payment of nonrecurring adoption expenses. If the child is eligible for MASP, refer to this chapter and Attachments A and B for instructions. As in MASP, stepparent and international adoptions are not eligible for this service. Payment of nonrecurring adoption expenses only for eligible children can be made when the following criteria are met: The adoptive parent(s) must apply for payment and sign an agreement with the Division. The agreement must be approved by the Director or Designee before the adoption is final; The child must meet all the eligibility requirements (as described in this attachment); The adoptive parent(s) must provide documentation that the expenses claimed were incurred by the adoptive parent(s); The adoptive parent(s) must not have received payment or credit from other sources for these expenses; i.e., employee benefits, the Missouri Adoption Tax Credit, and other public or private funds; and The Division will not pay nonrecurring expenses which exceed $2000.00 per child. The amount exceeding the limit for which the Division makes payment may be eligible for the Missouri Adoption Tax Credit. The adoptive parent(s) should be referred to the Missouri Internal Revenue Service for this determination. Juvenile and Circuit Courts are expected to refer the adoptive parent(s) to the Children’s Division office in the adoptive parents’ county/circuit of residence. This referral should occur immediately after the petition is filed. This will allow time for approval before the adoption is final. A Missouri child going to another state may be eligible for payment of these expenses in the receiving state. Contact the ICPC Coordinator, if necessary, for assistance in determining the receiving state’s requirements. Eligibility Criteria for Non-Reoccurring Subsidy Expenses To be determined eligible for payment of nonrecurring adoption expenses, all of the following conditions must be met: (Also, see the Application and Agreement for Payment of Nonrecurring Adoption Expenses, CS-SA-4 and its instructions.): The state has determined that the child should not or cannot be returned to the home of the parents; Documentation: The adoptive parent(s) must provide a copy of the adoption decree. This decree affirms that all appropriate legal steps have been taken and that the adoption was completed according to Missouri law. NOTE: The decree will not be available until after the agreement is signed and the adoption is granted. Staff should explain that this copy will be needed when the family submits the request for payment (2nd page of the CS-SA-4). It must be received before any payment is made. The state has determined that: A specific factor (special need) exists for the child and because of this it is reasonable to conclude the child cannot be placed without a subsidy; Documentation: The child meets this eligibility factor if the child meets any of the MASP special needs criteria. When the child’s special need or condition is not readily observable, documentation must be provided via a statement from the child’s physician, and/or an educational, psychological or psychiatric evaluation. A reasonable but unsuccessful effort has been made to place the child without a subsidy: An effort to locate a family who would not need a subsidy was unsuccessful and there was no “readily available family.” A family is “readily available” when the agency or person responsible for the child’s adoptive placement did not need to make an effort to locate a family who would adopt without financial assistance. Efforts to locate a family who would not need financial assistance do not include those situations in which a child is “found” for a family; i.e., a family is ready to accept a child recruited for them. For example, most foreign children entering this country for adoption must have a family ready to accept them. Applying this principle makes the child ineligible although the child meets the other eligibility requirements. Documentation: The family must provide documentation through a written description of the efforts made by an intermediary to locate a family who would not need a subsidy. This written description must be signed by the intermediary or a representative of the agency or organization acting as an intermediary. An intermediary is a person or agency who arranges the child’s placement between the birth parents and the prospective adoptive parent(s). A reasonable, but unsuccessful, search for a family who would not need a subsidy is not required if the adoptive parent(s) was a licensed resource provider for the child and it is in the best interest of the child to be adopted by this family. Documentation: The family must provide documentation that they provided foster/kinship care to the child immediately before filing the adoption petition. The placement and the adoption are in accordance with state adoption laws. Documentation: The family must provide a copy of the decree of adoption after the adoption is granted. Payment Criteria The Application and Agreement for Payment of Nonrecurring Adoption Expenses, CS-SA-4 is used as the application and to obtain payment. Upon determination that the child is eligible, the family is eligible for payment based on the following requirements: Total payment for all nonrecurring adoption expenses shall not exceed $2,000 per child. All expenses must be reasonable and customary for the services provided. If expenses included in the application appear extraordinary, staff should obtain Regional Office approval for any of these expenses. Nonrecurring adoption expenses are defined as: Court filing fees; Publication fee; Attorney fee; Guardian ad Litem fee; according to 453.020 RSMo, the GAL may be awarded a reasonable fee for such services to be sent by the court. The court, in its discretion, may award such fees as a judgment to be paid by any party to the proceedings or from public funds. Such an award of GAL fees shall constitute a final judgment in favor of the GAL. Other expenses incurred by the adoptive parent(s) which are directly related to the child’s adoption and limited to: •The adoptive family assessment (adoptive home study), including health and psychological examinations, if necessary for the assessment and required by the private agency; Placement supervision before final adoption; and transportation, food and lodging for the adoptive parent(s) and the child when necessary to complete a child’s placement or adoption. Documentation must be provided by the adoptive parent(s) through a stamped “paid receipt,” a cancelled check, or money order receipt, invoice or other material, which verifies he/she incurred and has paid the expense. Limitations: Transportation: This expense is paid at the current rate established by the Children’s Division for use of a personal automobile, or the actual charge of air or ground transportation. Lodging and food: Reimbursed at the amount paid for by the adoptive parent(s). The state travel guidelines should be used to judge the reasonableness of the costs. Legal (attorney, court, publication and GAL fees): This expense is paid at the rate paid by the adoptive parent(s). Attorney fees up to $100.00 per hour may be reimbursed to the family with the maximum reimbursement amount being $1,500.00 per child in uncontested and up to $3,000 in contested matters. Health or psychological examinations, if required for the adoptive family assessment by the private agency. This will be paid at a reasonable and customary rate. Adoption Agency Fees: This expense will be included at the amount paid. Eligible nonrecurring adoption expenses do not include those paid for or provided through resources available to the adoptive parent(s), court or the agency facilitating the placement. Examples of these resources include: •A private agency waives the cost of the adoptive family assessment (home study) or the placement support services; The family claimed the Missouri Adoption Tax Credit for nonrecurring adoption expenses; The family has private insurance providing payment for certain services included in an adoption; and A service provider has waived the cost for the service. Payment Procedure for Non-Recurring Expenses Receive a referral from the court or inquiry from the family; Explain the program to the family and provide a CS-SA-4; Receive the CS-SA-4 from the adoptive parent(s); Receive a completed CS-SA-4 from the private adoption agency, DYS, or DMH; Set up the case record in the name of the adoptive parent(s); Assist the applicant(s) or the other agency in obtaining any required documentation, if necessary; Follow the CS-SA-4 instructions to review and approve or reject the application: For court referrals, provide the adoptive parent(s) an opportunity to correct or add any information; If the application is rejected, inform the family verbally and in writing utilizing the Notification Letter for Adoption and Guardianship Subsidy Denials, CD-87 which includes the following: The reasons for the rejection; The right to appeal the decision through a fair hearing; and Instructions on how to file an appeal. If a fair hearing request is received a copy is to be sent to Division of Legal Services. Submit approved CS-SA-4 to the Contract Management Unit (CMU); CMU will obtain the Division Director’s signature and approval, enter the contract number, and return the original to the county/circuit office; After the adoption is final, the adoptive parent(s) must complete the “Request for Payment of Nonrecurring Adoption Expenses” section of the CS-SA-4 and submit it to the county/circuit office for approval. Once approved, the worker will assure appropriate receipts and invoices are received and then complete a CS-65 sending it and an Inter-Office Communication (IOC) to the Children’s Services Payment Unit (CSPU) indicating that a copy of the final adoption decree is on file in the county/circuit office. Staff will complete the Children’s Services Integrated Payment System Invoice, CS-65 for these services as indicated in the CS-65 instructions. At no time should the “Other” code be used. CSIPS will automatically pay nonrecurring expenses through the Title IV-E fund category; When making a payment to a vendor other than the adoptive parent(s), it is necessary to use that vendor’s Departmental Vendor Number (DVN) or assign a DVN to such vendors. Briefly record all action related to processing the CS-SA-4 in the narrative section of the subsidy file; File copies of the CS-65s, which indicate payment was made, in the case record or the county/circuit office’s business files when received; Contact the adoptive parent(s) or the other agency to inform them that payment has been made or will be made; Close the record when all necessary action is complete; File the record in a designated section in the closed files and retain for five (5) years after the date payment is authorized. Related Practice Alerts and Memos: 7-1-19 – CD19-52 – FY20 Rate Increases 12-4-19 – PA19-AD-06 – Transitional Living Placements and Subsidy Agreements 1-10-20 – PA20-AD-01 – Legal Fees for AD and LG Subsidies 10-29-2020 – PA20-AD-06 – Child Summary 01-13-21 – CD-21-01 -Contractors Negotiation/Completion Of The Initial Adoption Or Legal Guardianship Subsidy Agreement",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-6-subsidizing-3
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 6 – Subsidizing An Adoption/Legal Guardianship :: 9.6.3.2 Payment Rate For Adoption And Guardianship Subsidy Agreements",Missouri,Rules,"2023, 2022","Adoption, Forms - Financial, Subsidies - Other",,,Type of Expenditure Age Limitation Amount Payable Standard Base Rate Maintenance (MAIN) 0-5 years 6-12 years 13-21 years $325.00 $385.00 $505.00 Medical and Youth with   Elevated Needs-Level A (SMAS) All ages $865.00 Standard Rate Respite Care (RSCR) All ages Maximum of $300 (12 units at $25 per unit) or half unit is a minimum of six(6) hours up to 12 hours at $12.50 a unit Above Standard Rate Respite Care (RSCR) All ages Maximum of $498 (19 units at approx. $26.25 per unit) or half unit is a minimum of six(6) hours up to 12 hours at approx. $13.13 a unit Related Practice Alerts and Memos: 7-1-19 – CD19-52 – FY20 Rate Increases 12-4-19 – PA19-AD-06 – Transitional Living Placements and Subsidy Agreements 1-10-20 – PA20-AD-01 – Legal Fees for AD and LG Subsidies 10-29-2020 – PA20-AD-06 – Child Summary 01-13-21 – CD-21-01 -Contractors Negotiation/Completion Of The Initial Adoption Or Legal Guardianship Subsidy Agreement,https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-6-subsidizing-4
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 6 – Subsidizing An Adoption/Legal Guardianship :: 9.6.3.1 Subsidy Basic Package",Missouri,Rules,"2023, 2022","Adoption, Guardianship, Legal process, Placement, Subsidies - Other",,,"All children who are adopted or children who are placed for legal guardianship with an eligible relative or qualified close nonrelated person through the Children’s Division are eligible for the following basic subsidy services: Maintenance (daily living expenses including room and board, clothing and incidentals) at standard rate to age 18. At the time of placement, no payment may exceed the maintenance rate paid if the child had remained in out-of-home care, even when used in combination with other benefits available to the child. Standard maintenance Agreements should be written to expire on the last day of the month of the child’s 18th birthday. Medical and Youth with Elevated Needs-Level A maintenance are approved according to the Above Base Maintenance Section in this chapter. At the time of placement, the amount paid is determined by information obtained from the family as to what financial assistance they need to meet the needs of the child and the resources available to the child such as OASDI, VA or SSI, etc. The purpose of maintenance is to contribute toward those items as defined in Section 4 Chapter 11 (room and board, clothing and incidentals). The definition of maintenance should be explained to the adoptive or guardianship family at the time of negotiation of a new subsidy. In the event that a child becomes eligible for OASDI due to the adoptive parent’s /guardian’s disability after adoption or guardianship, the family may receive both. MO HealthNet coverage to meet the healthcare needs of the child to age 18 or maximum of age 21 on a yearly negotiated 18 and above Agreement. A child, eligible for adoption subsidy IV-E, adoption subsidy-HDN, SSI, or guardianship subsidy is automatically eligible for MO HealthNet within the policy and procedural requirements of this program. This eligibility is included in the Agreement. Services covered by MO HealthNet do not require special approval in the service section of the Agreement. <p”>In the MO HealthNet program, a child who has an adoption/legal guardianship subsidy monthly maintenance payment may be eligible for a MO HealthNet vendor payment (which includes daily living expenses and an allowance for personal incidentals). Vendor payments are made to a facility providing 24-hour care, such as a regional diagnostic center, nursing home, convalescent center, etc. If so, the maintenance payment from adoption/legal guardianship subsidy will be counted against the MO HealthNet vendor payment on a dollar-for-dollar basis. It is to the family’s advantage to allow MO HealthNet to use the entire vendor payment and drop maintenance from the Agreement. Families may have expenses relating to support of a child’s placement in a MO HealthNet contracted facility. These may be negotiated and included in the Adoption Subsidy Agreement, CD AD, or the Subsidized Guardianship Agreement, CD SG as a special expense to support the family relationship. Payment will not be made from Division funds to supplement payment made from MO HealthNet, except in certain extreme circumstances, determined on a case-by-case basis. Important MO HealthNet procedural requirements include: A Third Party Resource Form, TPL-1, must be submitted to MO HealthNet Division (MHD) by the worker as soon as the child is eligible for coverage under the adoptive parent(s) or guardian(s)’ private insurance. The information needed for this form is located on the family’s insurance card. The child’s inclusion in the family’s private insurance will usually occur at the time of the final decree of adoption or granting of the guardianship. Some policies may exclude eligibility for the child with a pre-existing condition. In this instance, the child’s needs will be covered by MO HealthNet within the limitations of this program. Families are not required to add their adopted or guardianship children to their private insurance, although it is encouraged. Payment for an insurance premium as prescribed by their private health insurance plan is the responsibility of the adoptive parent(s)/guardian(s). Medicaid can be used as the secondary insurance.  However, non-Medicaid services are the responsibility of the adoptive parent(s)/guardian(s). If a family has added the adopted or guardianship child to their private health insurance, they must use their private health insurance, if the child is covered in their policy, before using MO HealthNet. However, the family must indicate to the provider that the child is also eligible for MO HealthNet. Showing the card and informing the provider of MO HealthNet eligibility should prevent the provider from charging for services above the MO HealthNet rates. Providers will bill the adoptive parent(s)’ or guardian(s)’ insurance company for payment before they bill MO HealthNet for payment. If full payment is not made by the private insurer, MO HealthNet may be billed. MO HealthNet will then pay any balance of service charges within their allowable rates for the specific service. If a balance of charges remains, the provider may not bill the adoptive parent(s)/guardian(s) for the service, except in certain allowable circumstances. Adoptive parent(s) and guardian(s) should be made aware of the HIPP-Health Insurance Premium Payment Program through the MO HealthNet Division. This program pays the cost of health insurance premiums, coinsurances and deductibles. The program pays for health insurance for MO HealthNet eligible persons when it is cost effective for the state. Information about this program or the HIPP-1 application may be obtained from Family Support Division, or by calling the HIPP Unit at (573) 751-2005. You may write to them at: Third Party Liability Unit HIPP Section PO Box 6500 Jefferson City, MO 65102-6500 MO HealthNet providers must be utilized whenever possible. The Division acknowledges that specific circumstances/conditions may arise that require payment to be made for care not covered by MO HealthNet. Medically necessary orthodontic services when a MO HealthNet provider is not geographically accessible (over 100 miles round trip), or not paid entirely by private insurance may be included in an Agreement and approved up to the amount MO HealthNet would pay for the same service. These approvals are obtained through a prior approval process through the MO HealthNet Division and a MO HealthNet consultant. The MO HealthNet consultant must review and certify requested services as eligible for prior approval to be given. If prior approval is not obtained prior to the orthodontic treatment being completed the family will be financially responsible for treatment costs. The following information is required for prior approval through a MO HealthNet consultant in the approval of orthodontia: A statement from the Orthodontist recommending the procedure and providing the following information: Orthodontic records that consist of cephalometric x-ray, panoramic x-ray or full-mouth survey in addition to dental study models, properly occluded and trimmed; and A diagnosis and prognosis which includes an itemized listing with the procedural codes and an estimate of the number of months treatment will be required; Documentation regarding the lack of accessible MO HealthNet orthodontic providers within the area where the family resides; A letter from a Physician which indicates the treatment is medically necessary; and Documentation of all other sources explored: the family’s insurance and community resources. This information should be sent to the Adoption/Guardianship Program Development Specialist in Central Office, who will review the packet of required information and if all required documentation has been submitted, will forward the packet to MO HealthNet Division. If the required documents are not enclosed, the packet will be returned to the worker. The MO HealthNet Division will have the information reviewed by the State Orthodontic Consultant, who will determine if the procedure is medically necessary and would be reimbursable through MO HealthNet, if a MO HealthNet provider were available. Notice of this review and the consultant’s worksheet, will be sent back to local staff. If the request for orthodontics is denied, the orthodontist may bill for an office visit, x-rays, and diagnostic casts. These costs may be approved for reimbursement by amendment to the subsidy Agreement. If the request for orthodontics is approved, the amount indicated as acceptable through the MO HealthNet program and as indicated on the consultant’s worksheet may be added to the subsidy Agreement by amendment. Families should be advised that “Orthodontics is only for the most handicapping malocclusions. A handicapping malocclusion is a condition that constitutes a hazard to the maintenance of oral health and interferes with the well-being of the patient by causing impaired mastication, dysfunction of the temporomandibular articulation, susceptibility to periodontal disease, susceptibility to dental caries and impaired speech due to malposition of the teeth.” “Assessment of the most handicapping malocclusion is determined by the magnitude of the following variables:  degree of malalignment, missing teeth, angle classification, overjet, overbite, openbite and crossbite.” NOTE: Requests for services for cosmetic purposes will not receive approval. Emergency care not covered under MO HealthNet or private insurance which is less than $500.00 may be included on an amendment to the contract without prior authorization. The evaluation and recommendation of MO HealthNet Division must be secured for charges over $500.00. This approval is obtained by submitting the invoice and treatment summary to the Adoption/Guardianship Program Development Specialist in Central Office who will forward the information to the MO HealthNet Division for review, evaluation and recommendation. Upon receipt of the recommendation, the local office will be notified and if approved the amount may be included on an amendment to the Agreement and approved by the Division Director. Child Care to age 13 as long as both parent(s)/guardian(s) or the single parent/guardian is working. Child Care Services are regulated by Early Childhood and Prevention Services. Child care policy is available at the Child Care Policy Manual Web site on the Children’s Division Intranet. A subsidy Agreement may include childcare services as a part of the basic subsidy package for children up to age thirteen (13) when both parent(s)/guardian(s) are working. Childcare is to be included on the Adoption Subsidy or Subsidized Guardianship Agreement as service code DAYC. In the maximum amount box the words, “State Contracted Rate” are to be entered. In the explanation section the statement, ”Childcare may be approved at the state contracted rate to age 13 when both parents/guardians are working. Payment may only be made to licensed/contracted or registered providers” must be included. Due to the extreme needs of some children covered by subsidy agreements, exceptions may be made for childcare payment authorizations for children over age 13, and outside the eligibility of approval for childcare through the Office of Early Childhood. These requests will be considered on a case-by-case basis. Requests for exceptions must be sent to the Adoption/Guardianship Program Development Specialist in Central Office accompanied by verification of the child’s special need, which includes a statement from a physician or mental health professional explaining why childcare is required. A statement regarding the parent(s)/guardian(s) inability to locate community programs to assist with supervision of the child, a statement including the hours of care needed per day/week, and anticipated duration of care shall be included in these requests. Contracted childcare facilities receive financial incentives for providing care to special needs children. These incentives are automatically generated to the provider when a child is authorized through the SEAS system, or when a Children’s Services Integrated Payment System Invoice, CS-65, is entered using childcare service codes. These incentives and their service codes are as follows: SPND – Special Needs. This incentive is paid whenever a child has been in the custody of the Division. All children who are adopted/under a guardianship Agreement qualify for this incentive payment if they are being cared for by a licensed/contracted or registered provider. The payment system automatically generates a payment which is 25% over the total cost for the month the child was in childcare. For instance, if the child’s total childcare bill is $300.00, the provider will automatically receive a payment of $75.00 in addition to the $300.00 they charged. Other incentives may be available to the childcare facility based on their qualifications. These incentives will be automatically calculated into the “State contracted rate.” Contracted services are authorized using the SEAS Request and Eligibility Form, CS-67, and SEAS Authorization Form, CS-67A, completed in the county/circuit of the child’s residence by the authorizing worker. Approval from the authorizing designee must be received. The CS-67 and CS-67A will be completed and entered into SEAS after a provider is located and a referral completed. After entry of the CS-67 and CS-67A, both the provider and the adoptive or guardianship family will receive system-generated notifications detailing the childcare authorized. The Services Eligibility and Authorization Provider Invoice, CS-65A, will be generated by the system directly to the provider(s) for all authorized services. Upon receipt of the Services Eligibility and Authorization Provider Invoice, CS-65A, it will be the responsibility of the county payment designee to check the invoice for completeness, reasonableness, and accuracy. The system will not allow payment for rates that exceed those specified in the provider’s contract. Childcare expenses reimbursed on a Children’s Services Integrated Payment System Invoice, CS-65, for registered childcare must use the service codes ASDC (Adoption Subsidy childcare) and LGDC (Legal Guardianship Childcare) and will not be affected by the incentive payments, DISP and ACRD. Respite services for all levels will be approved to the end of the month of the 18 th birthday. Adoptive or guardianship families may receive respite as a basic service. All paid receipts submitted for reimbursement must be submitted on the Respite Provider Payment Invoice for Adoptive/Guardianship Parents (CD-262) form within 6 months of the service being provided. Respite units may only be approved according to the child’s level of maintenance. One unit is a time period of between 12 – 24 hours. A half unit is a time period of between 6 – 12 hours. The following eligibility rates apply: Base Maintenance is 12 units at $25.00 per unit-maximum of $300, or $12.50 per half unit. Above Base Maintenance is 19 units at approximately $26.25 per unit-maximum of $498.75 or additional units as approved or $13.13 per half unit. (The daily rate of maintenance they receive. Level B respite units may only be approved for contracts that have Level B maintenance that was approved prior to July 31, 2002. Respite on these contracts is approved for 24 units at $40.00 per unit. There are no two-week vacations approved through subsidy as are available to Level B Resource Providers. Level B respite will not be approved as a new service. Legal Attorney Fees at $100.00 per hour and court fees. In adoption cases, the maximums are up to $1,500.00 in non-contested cases, and $3,000.00 in contested cases. In guardianship cases, the maximum legal expense per guardianship is $2000 in non-contested as well as contested cases. This is a nonrecurring expense and include the entitlement of GAL fees per 453.025 RSMo. According to 453.025 RSMo, the GAL may be awarded a reasonable fee for such services to be sent by the court. The court, in its discretion, may award such fees as a judgment to be paid by any party to the proceedings or from public funds. Such an award of GAL fees shall constitute a final judgment in favor of the GAL. Legal fees include attorney’s fees, court costs, publication expenses, and Guardian Ad Litem (GAL) costs for the adoptive parent(s) or guardian(s) in adoption or the guardianship case filed in a court of competent jurisdiction. The payment is intended to aid in the development, adjustment and continuity of the formation of the “new” family created by adoption or legal guardianship. Significant to the use of an adoption/legal guardianship subsidy is the realization that without this resource a family would not otherwise have the resources to provide permanency to a special needs child. NOTE: Adoptive parent(s) may decline any or all of these services; guardian(s) may decline services as well, however are required to receive maintenance of at least one dollar. In the event that services are declined, the parent(s) or guardian(s) must sign a dated statement indicating specifically which services they are declining. This statement is to be filed in the subsidy record and documented in the explanation section of the agreement. Basic services declined cannot be approved at a future date. All basic subsidy services must be addressed in the explanation section in some manner. Related Practice Alerts and Memos: 7-1-19 – CD19-52 – FY20 Rate Increases 12-4-19 – PA19-AD-06 – Transitional Living Placements and Subsidy Agreements 1-10-20 – PA20-AD-01 – Legal Fees for AD and LG Subsidies 10-29-2020 – PA20-AD-06 – Child Summary 01-13-21 – CD-21-01 -Contractors Negotiation/Completion Of The Initial Adoption Or Legal Guardianship Subsidy Agreement",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-6-subsidizing-5
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 6 – Subsidizing An Adoption/Legal Guardianship :: 9.6.3 Subsidy Agreements",Missouri,Rules,"2023, 2022","Adoption, Guardianship, Legal process, Subsidies - Other",,,"The Division’s philosophy and practice in the adoption and legal guardianship subsidy program is to promote and develop a collaborative effort between Division staff and the adoptive or guardianship family to meet the special needs of the child. For the Division to subsidize an adoption or legal guardianship, the adoptive parent(s) or guardian(s) must sign an Agreement. This Agreement will cover only those services for which the Division has agreed to pay. In many instances services may be purchased only from a provider with whom the Division has a contract. In other instances a child’s needs may require a service that is not available from a provider with whom the Division has a contract. Such services must be included in the Agreement and approved by the Division Director prior to the services being utilized. These services will be reimbursed to the adoptive parent(s) or guardian(s) or, whenever possible, a child-specific contract will be developed with the service provider to allow payment to the provider directly from the Division. Subsidy agreements are to be signed only by the adoptive parent(s)/guardian(s) and the DFAS Director/DFAS Designee. In the event that a two parent family has an active foster home license/contract, but only one parent will be pursuing guardianship/adoption; only the guardian/parent pursing guardianship/adoption will sign the subsidy agreement. Both names, however, will remain on the DVN and in FACES for the duration of the foster care period.  Once the guardianship/adoption finalizes, the second parent will need to be removed from the DVN and the foster care license/contract closed.  IF both parents are continuing to foster other children together or have an active subsidy, a new DVN will need to be created for the one parent on the guardianship/adoption subsidy. A new AD approval will need to be added under the new DVN for the adoptive parent/guardian to be associated with the guardianship/adoption subsidy. If the parent with the primary tax ID in FACES is the one who needs to be removed from the DVN, it can only be removed by the payment unit.  This can be completed by emailing your request to DFAS.FACESPaymentUnit@dss.mo.gov. Payment for services included in the Agreement must not begin until the DFAS Director/DFAS Designeehas signed the Agreement. Providers will be reimbursed directly if they have a contract with the Division. Adoptive parent(s) or guardian(s) will be paid for the service after an invoice or a “paid” receipt has been submitted. All receipts submitted for reimbursement must be submitted within 6 months of the service being provided. Payment for maintenance, MO HealthNet, childcare, respite and other special services are authorized through an adoption or guardianship subsidy Agreement. There is to be no means test utilized in developing these Agreements. Adoption and legal guardianship Agreements may continue until the child reaches age 18. All subsidy Agreements are reviewed by staff at least annually to insure best services to children and families are provided, and more frequently at the request of the family when changes are necessary because of the needs of the child/youth. Additionally, this Division assists the Division of Youth Services (DYS), the Department of Mental Health (DMH) and licensed child-placing agencies by authorizing an adoption or legal guardianship subsidy for eligible children who are in their custody and are placed for adoption or guardianship. These children must meet eligibility requirements for the subsidy programs. It must be remembered that, although there may be a subsidy in place, the family is an adoptive or guardianship family. Therefore, we must recognize that the family, like other families, has the same rights and responsibilities to manage their own lives and that of their child after the final decree of adoption or legal guardianship is granted. The family, like other families, may utilize any appropriate community service or resource (including the Division) to assist with service needs which develop at a later time. However, with the Division’s commitment to seek permanency for children with special needs through adoption or legal guardianship, it is recognized that families providing permanency for these children may need placement support services beyond the granting of a decree of adoption or legal guardianship. We are to extend to these families our assistance to make the adoption or legal guardianship a success. The family should be informed that staff will be available to provide needed and appropriate services, i.e., the family may request additional adoption or guardianship support services be added to their subsidy any time after the decree of adoption or legal guardianship. The adoption subsidy and subsidized guardianship Agreements are contracts and are considered legally binding. Because these documents are contracts and are legally binding, no pencil, white out, or other alterations may be made in the pre-printed template of the Agreement. In the event that a requested service entered on the Agreement or any Amendment is not approved by the Division Director or the amount of payment is changed, or a correction needs to be made, the change may be handled by “crossing out” the item, writing in the change and requesting the adoptive parent(s)/guardian(s) to initial the change and date their initials. If more than one change must be made on the Agreement or Amendment, a new Agreement or Amendment will need to be prepared and signatures obtained again. NOTE: changes of any kind cannot be made to the pre-printed template contents or the four pages of the adoption subsidy agreement, cd ad. Scanned copies of the Agreement will only be accepted by the Adoption Subsidy Unit with prior approval and must be legible. NOTE: the adoption subsidy agreement and legal guardianship agreement must be approved by the division director or designee prior to the final decree of adoption or award of legal guardianship. Related Practice Alerts and Memos: 7-1-19 – CD19-52 – FY20 Rate Increases 12-4-19 – PA19-AD-06 – Transitional Living Placements and Subsidy Agreements 1-10-20 – PA20-AD-01 – Legal Fees for AD and LG Subsidies 10-29-2020 – PA20-AD-06 – Child Summary 01-13-21 – CD-21-01 -Contractors Negotiation/Completion Of The Initial Adoption Or Legal Guardianship Subsidy Agreement",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-6-subsidizing-6
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 6 – Subsidizing An Adoption/Legal Guardianship :: 9.6.2 Case Manager, Private Child-Placing Agency And Foster Care Case Management Contractor Responsibilities",Missouri,Rules,"2023, 2022","Adoption, Guardianship, Legal process, Subsidies - Other",,,"Children’s Division Staff and Private Child-Placing Agency Staff Who Have Had the Child’s Eligibility Approved for Negotiation of an Adoption or Legal Guardianship Subsidy Agreement: The adoptive or guardianship Children’s Services Worker (i.e., case manager) is responsible for negotiating and completing the subsidy forms with the family. The child’s case manager, if applicable, shall cooperate by providing information necessary to complete the adoption or legal guardianship subsidy application and Agreement. In cases when the basic subsidy package is being requested, the family signs the Agreement and the Agreement is sent for processing by Central Office and entry into the contracting system. When services above the basic package of standard maintenance, MO HealthNet and childcare are requested in the subsidy agreement, the Circuit Manager/Program Manager and Regional Office, to which case manager’s county/circuit is responsible, will have the responsibility for reviewing the adoption or legal guardianship subsidy application and Agreement. The local staff, Circuit Manager/Program Manager and Regional Office should indicate their agreement or disagreement with the application/agreement on the subsidy clearance form only, which will accompany the agreement to Central Office for approval and entry into the contracting system. The only signature necessary on the subsidy agreement are the signature(s) of the adoptive parent(s) or guardian(s) and the DFAS Director/DFAS Designee. The worker who completes all the payment authorizations for contracted/purchased service will always be located in the county/circuit of the child’s residence or the last residence county of the child if the child is out of state. The payment designee will always be the individual with that role in the authorizing county. Foster Care Case Management Contractors, Negotiation/Completion of the Inital Adoption or Legal Guardianship Subsidy Agreement The adoptive or guardianship service worker (i.e., case manager) is responsible for negotiating with and completing the subsidy forms with the family. The child’s case manager shall cooperate by providing information necessary to complete the adoption or legal guardianship subsidy application and agreement. In cases where the basic subsidy package is being requested, the family signs the agreement and the agreement is sent for processing by Central Office and entry into the contracting system When in the negotiation stage, services above the basic package of standard maintenance, MO HealthNet, respite, legal, and childcare are requested by the family, the foster care case management contract staff must discuss this request with the assigned CD Oversight Supervisor and written approval must be given by the Children’s Division prior to the service being added to the subsidy and the family’s signatures obtained. Once the family’s signature(s) are obtained, the agreement should be sent back to the Children’s Division. The CD Oversight Supervisor, will have the responsibility for reviewing the adoption or legal guardianship subsidy application and agreement. The CD Oversight Supervisor should indicate their agreement or disagreement with the application/agreement on the subsidy clearance form only, which will accompany the agreement to Central Office for approval and entry into the contracting system. The only signatures necessary on the subsidy agreement are the signature(s) of the adoptive parent(s) or guardian(s) and the DFAS Director/DFAS Designee. After the subsidy is approved and the criteria for subsidy payments have been met, the contracted worker will complete all the payment authorizations for contracted/purchased services until such time that the record is transferred back to the Children’s Division. Ongoing Maintenance of an Adoption or Legal Guardianship Subsidy Agreement Case management responsibility for the annual review and any needed renegotiation of the agreement is the responsibility of the county/circuit office where the family resides. Case management responsibility includes any case activity needed to support the terms of the agreement. Case management responsibility includes assisting youth, adoptive parents, and legal guardians with the referral process to the Older Youth Program (OYP), if the youth meets the qualifying criteria of exiting care to Adoption or Legal Guardianship after the age of 16 and the youth, adoptive parents and legal guardians’ desire services through the OYP. Participation in the OYP is not mandatory. Case managers will be responsible for ensuring that youth, prospective adoptive parents, and prospective legal guardians are made aware of the Older Youth Program (OYP) and the youth’s ability to receive services through the OYP and Chafee Services. Case managers will be responsible for assisting the youth, adoptive parents, legal guardians with the completion of the necessary tools and assessments needed for an Older Youth Program Referral. Case managers will have the responsibility to ensure that youth enrolled in the Older Youth Program prior to adoption or legal guardianship continue to receive services through the OYP if desired, or if a new referral has been completed that the youth receives services through the OYP. Case managers will have the responsibility to receive the Individual Life Skills Progress Form, CD-95 and notify the Older Youth Transition Specialist and Chafee Provider if the desire for services changes. Related Practice Alerts and Memos: 7-1-19 – CD19-52 – FY20 Rate Increases 12-4-19 – PA19-AD-06 – Transitional Living Placements and Subsidy Agreements 1-10-20 – PA20-AD-01 – Legal Fees for AD and LG Subsidies 10-29-2020 – PA20-AD-06 – Child Summary 01-13-21 – CD-21-01 -Contractors Negotiation/Completion Of The Initial Adoption Or Legal Guardianship Subsidy Agreement",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-6-subsidizing-7
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 6 – Subsidizing An Adoption/Legal Guardianship :: 9.6.1 Eligibility Criteria For Adoption Or Legal Guardianship Subsidy",Missouri,Rules,"2023, 2022","Adoption, Guardianship, Legal process, Subsidies - Other",,,"The child must be under the age of 18 at the time of adoptive or legal guardianship placement. At the time of planning for adoption or legal guardianship, the child must meet one of the following circumstances: Be in the custody of the Children’s Division. Children in the care and custody of the Children’s Division are considered special needs, and are in turn automatically eligible for Missouri Adoption Subsidy; OR Be in the custody of a child-placing agency licensed in accordance with sections 210.481-210.531 RSMo, the Division of Youth Services (DYS), or the Department of Mental Health (DMH) or child with special needs. Special needs child placed in Missouri through a private child-placing agency and is Title IV-E. Missouri is required by federal rule to provide adoption subsidy to these children. A Missouri IV-E Eligibility Analyst must determine the fund code eligibility. It is the responsibility of the private agency to obtain the necessary documentation for the Eligibility Analyst. If the child is not IV-E eligible, Missouri is not responsible for subsidy coverage. Children who have a subsequent adoption because of the dissolution of their adoption or the death of their adoptive parents continue to be eligible for assistance under Title IV-E or Missouri funded subsidy in a subsequent adoption if they were previously eligible. If payment of medical expenses is not included in the subsidy, the adoptive parent(s) is financially responsible for their child’s medical expenses. Ineligible Children for Missouri Adoption or Legal Guardianship Subsidy The following children are ineligible for Missouri Adoption and Legal Guardianship Subsidy: Children in a subsequent guardianship if the legal guardian was not named the successor guardian in the initial or amended agreement and; Children who did not re-enter foster care prior to the establishment of a subsequent guardianship. Children being adopted internationally or children adopted from other states who are not IV-E eligible and in the custody of a private child-placing agency; Children in the custody of Missouri juvenile courts even though they may receive a payment while in other types of out-of-home care; Step-parent adoptions; Step-parent guardians. Ineligible Placements for Missouri Adoption and Legal Guardianship Subsidy Felony Convictions Staff may not approve the adoption or guardianship subsidy application of any person in which a record check has revealed a felony conviction for child abuse or neglect, spousal abuse, a crime against children (including child pornography), or a crime involving violence, including rape, sexual assault, or homicide, but not including other physical assault or battery as determined by a court of competent jurisdiction. Staff may also not approve the application of any person who in the past five years has had a court of competent jurisdiction determine a felony conviction for physical assault, battery, or a drug-related offense. For the purpose of this policy, a “felony conviction by a court of competent jurisdiction” is defined as a criminal court conviction for a felony offense as defined by law in the jurisdiction that the offense took place. In the unlikely event that it is determined that the best interest of a child would be served by providing subsidy in a IV-E ineligible placement setting, written approval must be obtained through supervisory lines to the Regional Office. The Regional Office must review the request and, if in agreement, forward with their recommendation to the Deputy Director for Children’s Division for final consideration. Written requests should include a thorough description of the applicant’s situation and why it would be in the child’s best interest for an exception to be granted. If approved by the Deputy Director, IV-E funding may not be used for the adoption subsidy and the Children’s Service Worker will be responsible for notifying the Eligibility Analyst who will ensure that state-only funds are used. Federal funds may not be used for adoption assistance payments if any of the aforementioned conditions exist. It is imperative that in those circumstances the Children’s Service Worker notify the Eligibility Analyst who will enter the correct fund code for state-only funding. (Reference Section 471 (a) (20) (A) of the Social Security Act.) Related Practice Alerts and Memos: 7-1-19 – CD19-52 – FY20 Rate Increases 12-4-19 – PA19-AD-06 – Transitional Living Placements and Subsidy Agreements 1-10-20 – PA20-AD-01 – Legal Fees for AD and LG Subsidies 10-29-2020 – PA20-AD-06 – Child Summary 01-13-21 – CD-21-01 -Contractors Negotiation/Completion Of The Initial Adoption Or Legal Guardianship Subsidy Agreement",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-6-subsidizing-8
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 6 – Subsidizing An Adoption/Legal Guardianship :: Intro",Missouri,Rules,"2023, 2022","Adoption, Legal process, Subsidies - Other",,,"An adoption subsidy is available to a child who is designated as having special needs (section 453.065, RSMo) and who does not have an adoptive family readily available. Guardianship subsidy is available to a qualified relative or qualified close nonrelated people (section 453.072, RSMo) who are granted legal guardianship of the child in the same manner as such subsidies are available for adoptive parents. Subsidies are available to children in the care of the Children’s Division, Division of Youth Services, Department of Mental Health and licensed child-placing agencies at the time of placement for guardianship or adoption. Adoption subsidy services may be used to assist in providing permanency for children through adoption who, because of their special needs, might not otherwise be adopted, and for whom a family is not readily available. Subsidized guardianship services may be used to assist any grandparent, aunt, uncle, adult sibling of the child, adult first cousin of the child, or any other person, whose life is so intermingled with the child such that the relationship is similar to a family relationship; who has obtained legal guardianship for eligible children. Legal Basis and Funding Source The Missouri Adoption Subsidy Program is authorized by sections 453.065, 453.073 and 453.074, RSMo, and permits the Division to make subsidy payments on behalf of eligible special needs children to adoptive families to cover maintenance, medical and dental care, and other special expenses. This program was first effective September 28, 1973. Legislation passed by the 83rd General Assembly and effective September 28, 1985, authorized the Division to use adoption subsidy funds also for children in the custody of the Department of Mental Health (DMH) and the Division of Youth Services (DYS) at the time of their placement for adoption. This legislation also clarified that children in the custody of a dually licensed private child-placing agency are eligible for an adoption subsidy. A subsidy authorized for such children uses Division adoption subsidy appropriations and Division guidelines to administer the program. Title IV-E of the Social Security Act, modified through the Adoption Assistance and Child Welfare Act of 1980 (P.L. 96-272), authorized Federal Financial Participation (FFP) in an adoption subsidy if the child, while in the custody of the Children’s Division, was eligible for IV-E alternative care. Also, this eligibility automatically causes the child to be eligible for the Missouri Medical/Dental Services (MO HealthNet) program. Children, eligible for SSI and covered by an adoption subsidy Agreement, are also eligible for MO HealthNet. The Consolidated Budget Reconciliation Act of 1986 (COBRA), also known as P.L. 99-272, authorized several amendments to Titles IV-E and XIX of the Social Security Act, effective October 1, 1986. These amendments permit the child who is eligible for adoption subsidy IV-E to receive Title XIX (MO HealthNet) and Title XX services in the state of residence as long as there is an adoption subsidy Agreement in place with the original state of residence. Also, these amendments eliminated the requirement that a Title IV-E child must receive a maintenance payment to receive MO HealthNet. The Missouri legislature enacted legislation, effective September 28, 1985, permitting the Division to become a signatory state to the Interstate Compact for Adoption and Medical Assistance (ICAMA). Missouri became a signatory state in January 1986. For the member states, this compact authorized the IV-E child to receive medical assistance through Medicaid from the resident state. The intent is to assure that no break occurs in the child’s receipt of medical assistance when the child moves to another state. The Tax Reform Act of 1986 (P.L. 99-514) also authorized, effective January 1, 1987, payment for maintenance for eligible Title IV-E children to begin with the date of placement as long as there is an adoption subsidy Agreement signed by the Division Director. This amendment to Title IV-E of the Social Security Act eliminated the previous requirement that eligible children be in the custody of the adoptive parent(s) for the purpose of adoption to use Title IV-E funds. P.L. 99-514 requires states to pay certain nonrecurring expenses of all special needs children who meet the eligibility requirements. The Adoption and Safe Families Act (ASFA) of 1997 requires that state medical assistance coverage or MO HealthNet is provided for children who have a state-funded adoption assistance agreement. A child who has been determined by the state to have special medical, mental health or rehabilitative need cannot be placed for adoption without medical assistance. This is also part of the requirement for waiver demonstration incentive payments. Funding for the Division’s program is derived from three (3) sources: Appropriations made from Missouri’s general revenue; Appropriations authorized through Title IV-E of the Social Security Act; and Appropriations authorized under Title XIX of the Social Security Act. Other possible funding sources for a subsidy plan are Veteran’s Assistance (VA) administered by the U.S. Veteran’s Administration, Supplemental Security Income (SSI), and the Old Age Survivors and Dependents Insurance (OASDI) programs administered by the federal Social Security Administration (SSA). In rare instances, a specific child may have other sources of income that will follow the child into adoption. The Legal Guardianship Subsidy Program is authorized by Missouri legislation. Senate Bill 1 was effective August 28, 1999. The Foster Connections to Success and Increasing Adoptions Act HR6893 effective October 1, 2008 modified Title IV-E of the Social Security Act authorizing Federal Financial Participation (FFP) in guardianship subsidy if the child, while in the custody of the Children’s Division, was eligible for IV-E alternative care. The guardianship subsidy program is authorized by 453.072 RSMo, which was modified by Senate Bill 47, which changed the individuals eligible for guardianship subsidy. According to this statute, any subsidies available to adoptive parents pursuant to section 453.073 and section 453.074 shall also be available to a qualified relative of a child or a qualified close nonrelated person who is granted legal guardianship of the child in the same manner as such subsidies are available for adoptive parents. Legal guardianship ends when the youth reaches age 18, therefore the legal guardianship subsidy is only available through a youth’s 18th birthday. As used in this section, “relative” means any grandparent, aunt, uncle, adult sibling, adult first cousin or any other person related to the child by blood or affinity As used in this section, “close nonrelated person” means any nonrelated person whose life is so intermingled with the child such that the relationship is similar to a family relationship. Successor guardian provisions, authorized by P.L. 113-183, were signed into law on September 29, 2014 which amended titles IV-B and IV-E of the Social Security Act. P.L. 113-183 requires continuation of title IV-E guardianship assistance payments if the guardian dies or is incapacitated and a successor legal guardian is named in the agreement or any amendments to the agreement (section 473(d)(3)(C) of the Act). Related Practice Alerts and Memos: 7-1-19 – CD19-52 – FY20 Rate Increases 12-4-19 – PA19-AD-06 – Transitional Living Placements and Subsidy Agreements 1-10-20 – PA20-AD-01 – Legal Fees for AD and LG Subsidies 10-29-2020 – PA20-AD-06 – Child Summary 01-13-21 – CD-21-01 -Contractors Negotiation/Completion Of The Initial Adoption Or Legal Guardianship Subsidy Agreement",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-6-subsidizing-9
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 5 – Guardianship Planning Process",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Guardianship, Placement",,,"Guardianship is a permanency option for those children where neither family reunification nor adoption is feasible or appropriate and the caretaker family is willing to assume a greater level of responsibility and authority over the child. This goal is to be used when a caregiver plans to become the guardian of a child under the age of 18. As like adoption the priority should be to place siblings together, whenever possible. CD must make reasonable efforts to place siblings in the same placement unless doing so would be contrary to the safety or well-being of any of the siblings. Persons interested in serving as a child’s guardian must file a petition in probate court in accordance with chapter 475, RSMo. If the court makes a determination that the child is a minor or incapable of caring for himself and managing his affairs, a guardian is appointed. The guardian becomes legally responsible and obligated to take care of the child. The guardian must make all necessary decisions regarding the child’s affairs including medical care, education and finances. Also, the guardian is under a duty to provide the child with necessary food, clothing and shelter. The guardian is directly supervised by and answerable to the court which granted the petitioner’s request for guardianship. Children who are 16 years of age or older at the time of the guardianship are eligible for Chafee older youth services, even after the Guardianship is completed. These services shall be monitored by the family subsidy worker. There are two forms of guardianship available to caretakers interested in this permanency option for children. The first is guardianship by a qualified individual. Qualified individuals achieving guardianship may be eligible for guardianship subsidy through the Children’s Division. The second form of guardianship is guardianship – no subsidy. Staff is encouraged to discuss these options with caretakers interested in legal guardianship and to explain the eligibility criteria for subsidy benefits. Staff will also have the responsibility for entering information into FACES appropriately for guardianship in the placement section of FACES. Guidelines for Assessing Guardianship Guardianship should be considered for a child only after both reunification and adoption have been ruled out as feasible options. This option is for children who are under the age of 18 and have an identified caregiver willing to pursue the legal course of Guardianship. If a child has a plan that involves an adult guardianship or conservatorship, the child’s permanency goal is considered to be APPLA (and the child must be 16 years of age or older). A comparison chart has been developed to help facilitate discussion during Family Support Team Meetings regarding the difference between adoption and guardianship. The chart can be found on e-forms listed as Adoption and Guardianship Comparison. The Family Support Team has determined that family reunification is not likely in the foreseeable future and termination of parental rights is deemed inappropriate; Adoption is not an option ; Current placement provider is able to meet the needs of the child including financial; Current placement is stable; The child’s caretaker family is willing to pursue guardianship; The child, if over 14 years of age, consents; The juvenile court having jurisdiction supports guardianship as an option and is willing to terminate its jurisdiction when such is granted; and The child’s Family Support Team is supportive of plan for guardianship. The Division’s legal relationship, as well as services and foster care payments to the child/family, would terminate once guardianship is established, however, support services may continue as needed/desired and available. Procedures for Pursuing Guardianship Discuss prospects of guardianship with the Family Support Team including the child, if age appropriate, birth parent(s) and caretaker(s); If guardianship appears a viable option, the caretaker family should be directed to consult with legal counsel; Once the case plan has changed to guardianship, the Children’s Service Worker responsible for case management should notify the Children’s Service Worker responsible for the subsidy immediately to ensure that the subsidy worker has time to negotiate the Legal Guardianship subsidy agreement prior to the award of guardianship The Children’s Service Worker responsible for the subsidy has the responsibility to meet with the prospective guardian to discuss services available through guardianship subsidy, including the option to name a successor guardian at the time of the initial subsidy agreement or any amendments thereafter For the prospective guardian to be eligible for guardianship subsidy, they must be a qualified relative of the child or a qualified close nonrelated person. A Relative is a grandparent or any other person related to another by blood or affinity or a person who is not so related to the child but has a close relationship with the child or the child’s family; Close nonrelated person, is defined as any nonrelated person whose life is so intermingled with the child such that the relationship is similar to a family relationship. The caretaker family also must comply with all licensing requirements including training, background checks and the home study process. Once a petition for guardianship has been filed, write a letter of recommendation with rationale to probate court and juvenile court and coordinate with courts, if separate, to ensure child is not without a legal custodian during the transition; and Continue with services as needed or desired by family and available through agency. Children age 16 and older are eligible to continue Chafee services once the guardianship is completed. Procedures for Closing Case The following procedures are required by the Children’s Service Worker after the court has issued an Order for Guardianship and the family will not receive a guardianship subsidy: Close necessary functions in FACES such as service authorizations and KIDS account. Ensure all case information in FACES is accurate and updated. Place copy of Order for Guardianship in record. Send family letter advising the case has been closed and offering services if needed by the family in the future. Guardianship Placement Support Supporting a guardianship takes coordination of services and systems designed to help maintain the stability of the placement as well as assisting the family through fiscal benefits. Chafee Services Youth, age 16 and older, are eligible to continue Chafee services once the guardianship is completed. Please refer to Chapter 5 of this section. Family Resource Centers Missouri Resource Parents have the benefit of having Family Resource Center services available. The motivation for these centers is the prevention of disruption in a child’s placement and support to resource families. The centers utilize local and regional partnerships with other agencies providing similar services to maximize the funds available and avoid duplication or gaps in services. Successor Guardian A successor guardian is a person(s) named in the guardianship agreement or amendment who becomes the alternative legal guardian in the event the legal guardian’s death or physically or mentally incapacitation to the point they can no longer care for the child(ren). At the time of initial negotiation of the agreement, staff must discuss and advise the guardian(s) the option to name a successor guardian in the agreement. If the guardian(s) dies or is physically or mentally incapacitated and a successor guardian is not named in the agreement, the child may not be eligible to receive guardianship assistance payments in a subsequent guardianship. If after being advised of the option of naming a successor guardian, the guardian(s) elect not to exercise the option, staff shall document this refusal in the narrative section of the subsidy file. However, the guardians may name a successor guardian or change the named successor at any time the current agreement is active in their name. To assist in this discussion, the Successor Guardian Information letter (CD-222), may be given to the family. This letter may be given to the family, completed, signed and placed in the file. Once completed, this letter should be retained as documentation this discussion occurred and the option was given. The successor guardian must be able to pass all background screenings required by the Children’s Division and the courts. Children who have a subsequent guardianship because of the incapacitation or the death of their guardian(s) may be eligible for assistance under Title IV-E or Missouri funded subsidy in a subsequent guardianship if: They were previously eligible and the successor guardian was named in the agreement or They are placed in the legal custody of the Children’s Division and a new IV-E eligibility determination is completed prior to the establishment of a subsequent guardianship. Fingerprints for successor guardian CD will assume financial responsibility for fingerprints to be completed on the named Successor Guardians in the child’s LG agreement at the time it is determined they will be assuming guardianship of the child. The fingerprints are to be completed at the time the named successor guardian is planning to petition the court to assume guardianship and prior to an approval in FACES being entered. In the event the named successor guardian’s fingerprint results indicate they have a felony conviction for one of the crimes which makes them an ineligible placement for subsidy funding a subsequent LG agreement may not be negotiated. Staff may not approve the adoption or guardianship subsidy application of any person in which a record check has revealed a felony conviction for child abuse or neglect, spousal abuse, a crime against children (including child pornography), or a crime involving violence, including rape, sexual assault, or homicide, but not including other physical assault or battery was determined by a court of competent jurisdiction. Staff may also not approve the application of any person who in the past five years has had a court of competent jurisdiction determine a felony conviction for physical assault, battery, or a drug-related offense. Refer to Section 6.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-5-guardianship-planning
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 4 – Adoptive Placement And Support",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Adoption, Child rights, Placement, Services while in care - Other",,,"Supporting the child and adoptive family from placement to finalization and thereafter requires preparation, planning, and guidance. The work that is facilitated from the beginning can lead to successful adoptive placements throughout the child’s life. Preparing the Child and Adoptive Family for Adoption Adequate preparation of the child is critical to the lasting success of the adoption. The child should be allowed ample time and opportunity to deal with his feelings related to his separation from his current family, i.e., birth and/or foster family. The Children’s Service Worker should engage the child in all stages of the adoption process beginning with identifying the type of family the child would most like to be a part of. Also, the worker should carefully observe the child’s behavior and encourage the child to talk about his perceptions about the adoptive family during the pre-placement phase. Most children will provide clear clues about their readiness and comfort level in proceeding with the adoptive placement. The following is a list of activities the worker should do to ease the child’s transition into the adoptive family’s home: Share information with the child about the adoptive family. Sharing can be in the form of discussion, photographs, videotapes and letters from the family, etc. Give child’s profile of non-identifying information to the adoptive parents and acknowledge receipt by signing and dating the Adoption Placement Summary. Facilitate pre-placement visits between child and adoptive family. The frequency, length and setting will vary based on the child’s age, development and comfort level. Discuss each pre-placement visit with the child, foster family and adoptive family individually. Discuss separation and grief issues and potential behavior problems with the adoptive family. Emphasize the child’s ethnic/cultural needs with the child and family. Encourage child to share/discuss his life book with adoptive family. Encourage the adoptive family to allow the child to talk about the people who have cared for him and those he has cared about in the past. Negotiate with the child and family a plan for post-placement visits for the child with siblings if applicable, foster family and/or significant others. Engage child’s therapist in the placement process. Arrange a closure “good-bye” visit between child and foster parents. Inform adoptive family about available support groups and encourage their participation. If age appropriate inform the child about their right at age 18 to request non-identifying information about their biological parents and adult siblings. If age appropriate inform the child of their right at age 18 to request from the court which finalized the adoption identifying information from their adoption record. If age appropriate inform the child of their right at age 18 to register with the Missouri Adoption Information Registry. Explore with the child about their understanding and acceptance of what has occurred in the past, separation from their birth family and present resource family, their desire for adoption, how they feel about being placed or not being placed with siblings. With the child, continue developing the “Lifebook”, integrating significant events, accumulated memorabilia, birth and medical history. Utilize the current resource family in preparing the child for placement via discussion and participation in the following areas; Feelings toward biological parents Entitlement to a new family Reasons why the child cannot stay with the current resource family Giving the child permission to leave the foster family Obtaining information about the child’s behavior patterns, daily routine, and parenting needs Assist current resource family in making the transition to the permanent adoptive home as thoughtfully as possible taking into account the feelings of the resource provider and the child. Finalizing Adoption through court Proceedings Chapter 453 of Missouri law sets forth the requirements and procedures for the adoption of a child which includes the following provisions: Any person desiring to adopt a child may petition the juvenile division of the circuit court of the county where either the child or family wishing to adopt resides. A Guardian ad Litem will be appointed by the court to represent the child when the child is under 18 years of age. In all cases where the child being adopted is 14 years or older, his written consent to the adoption is required, except where the court finds that the child does not have sufficient mental capacity to do so. No transfer of custody of the child to the petitioner nor a final decree of adoption will be made by the court until a full investigation has been made. This investigation may include, but not be limited to, an adoptive home study on the potential adoptive parent, an investigation as to the child’s readiness and suitability for adoption, and the child’s eligibility for adoption subsidy. “453.077. 1. When a child has been placed with the petitioner for the required six-month placement period, the person conducting the pre-placement assessment of the adoption or other persons authorized to conduct assessments pursuant to section 453.070 shall provide the court with a post-placement assessment. The specific content of which shall be determined by rule by the Department Of Social Services, Children’s Division. The post-placement assessment shall include an update of the pre-placement assessment which was submitted to the court pursuant to section 453.070, and a report on the emotional, physical and psychological status of the child. If an assessment is conducted after August 28, 1997, but prior to the promulgation of rules and regulations by the department concerning the contents of such assessment, any discrepancy between the contents of the actual assessment and the contents of the assessment required by department rule shall not be used as the sole basis for invalidating an adoption.” NOTE:  The format and content of these investigations may vary depending upon the requirements of the local court. Adoptions may be finalized in one of two ways: through a one-count or two-count petition, depending on the interpretation of the statue by the local judicial circuits. A one-count petition is a formal, legal document filed pursuant to chapter 453, RSMo, requesting the adoption of a child by the petitioner. A one-count petition is used when the child has already been placed in the actual (or physical custody) of the petitioner, such as an adoptive placement by the Children’s Division. This usually follows the termination of parental rights. The petition usually requests an adoption decree, and the adoption decree may only be entered after there has been actual custody for a period of at least six (6) months. A one-count petition may also be used in stepparent adoptions and in the more rare adult adoptions. A two-count petition is a formal, legal document which requests in the first count the placement of actual and legal custody of the minor child with the petitioner(s) and, in the second count, requests an order of adoption. Again, the child must be in the lawful and actual custody of the petitioners for a period of six (6) months prior to the entry of an adoption decree. Custody of a child may not be transferred to the adoptive family prior to their filing a petition in the appropriate court. There may be a hearing held for placement of custody, but it is not necessary if all parties agree or stipulate to the placement. A hearing is held, after nine (9) months of actual custody, to ensure that the adoption is in the best interest of the child. Two-count petitions are more likely to be contested because the parental rights of the birth parents have not always been terminated by that time. They may be contested on either or both counts:  placement or adoption. Again, the procedural requirements may vary depending upon the interpretation of the statute by local judicial circuits. To complete the adoption process the worker will: Prepare and submit a written summary to court for transfer of custody hearing and final decree hearing according to local requirements. Assist child and family’s attorney in completing “Agreement to Adoptive Plan” when child has reached 14th birthday if adoption is not finalized before this age. Appear in court for decree of adoption hearing. Make one face-to-face in-home visit with child and family after court hearing for the purpose of: Referral to community support groups, if needed. Reinforcing lifetime commitment of adoption. Maintaining links to any needed rehabilitation services. Reinforcing agency’s commitment to the success of the adoption. Completing subsidized adoption agreement, reminding family of yearly review of subsidy and necessary maintenance activities, if appropriate. Making a final assessment of the child’s safety in the placement. Close case with a closing summary upon receipt of decree of adoption: Maintain active case services if continued services are needed. Maintain subsidy if this service is utilized and record subsidy transactions as needed. Placement Support The primary purpose of support services is to assist the child and new family to become integrated as a family unit. Reciprocal and open communication between the Children’s Service Worker, family and child is essential to identifying the services needed for integration to occur. Children placed in the temporary custody of the adoptive parents remain in the CD’s legal custody. Support services, visitation and timely PPRT meetings should continue until the finalization of the adoption and the court has released the child and CD from jurisdiction. Services should be consistent with the needs of the family and may be provided by the worker and/or through referrals to community resources. The following represents the minimum expectations for worker contact with the adoptive family: Visit face-to-face in the home with the family and child once a week for the first month of placement. Visit face-to-face in the home, at a minimum, once a month thereafter, until the adoption decree is issued. Contact by telephone as needed. Face-to-face in home closure visit with the child and adoptive parent(s) after the adoption has been finalized .Issues which the Children’s Service worker should discuss with the family and child during contacts should include, but are not necessarily limited to, the following: That emotional attachment between parent and child is not simultaneous with the physical move. The progressive periods of adjustment for children in placement, i.e., separation and grief, honeymoon, testing, normal child behavior and/or attachment. Adoptive parents normally experience ambivalent feelings, emotional letdowns, and periods of uncertainty. This can be a normal reaction following both crisis and success. The child may respond to each parent in different ways. The adjustment of the child and parents may occur at different rates. The child may compare his present family unfavorably with his former family. The child’s feeling of being safe in the placement. Child’s needs related to his/her cultural/racial background, if different than the adoptive parents. The Children’s Service Worker should continually assess and offer guidance to the family in the development of the parent-child relationship and problems unique to the adoption. The following topics shall be discussed with the family during the worker’s contact with the adoptive parents: Effect of the child’s placement on the marital and family relationship. Child’s adjustment to new school and community. Child’s current behavior and continuation of past behavior and how family is coping with the behavior. Effect of child’s continued contact with foster parents and/or significant others. Availability of resources to assist family in learning about and coping with child’s special needs, i.e., support groups, organizations, community agencies, etc. Family Resource Centers Missouri adoptive parents have the benefit of having Family Resource Center (FRC) services available through Foster & Adoptive Care Coalition , Central Missouri Foster Care and Adoption Association , and Fosteradopt Connect . The purpose for these centers is the prevention of adoption disruption and support to resource families. The centers create and utilize local and regional partnerships with other agencies providing similar services to maximize the resources available and avoid duplication or gaps in services. Adoption Disruption The vast majority of families succeed in establishing permanent homes for children they have adopted. However, in spite of the best intentions of the family and the agency some placements fail. According to the findings of a survey conducted by the University of Maine less than ten (10) percent of adoptions disrupt within the first three (3) years of the placement. There are a number of factors which may contribute to a disruption. These factors include: Mismatch – Adoptive family is unable to tolerate child’s characteristics, behavior or personality due to incompatibility with parental values and/or lifestyles. Also, the child’s characteristics, behavior or personality, are in conflict with adoptive parents’ stated preferences. Inadequate preparation – Child has not adequately resolved past losses or future expectations. Also, the adoptive family has accepted a child for placement without the knowledge/skills necessary to cope with the child’s special needs. Lack of support services – Either the agency has failed to provide or the family has not made use of services needed to support and sustain the placement. Also, the family may not have or is unable to seek out support from friends and relatives or kin. Failure to form emotional attachments – Parents personalize and misunderstand the child’s behavior. Child’s past experiences, relationships and/or emotional problems impede his ability to bond with a new family. Marital/family relationship problems – Children with special needs may place heavy demands on the time and energy of the parents which affects the relationship of family members. Developmental stage of child – Parents may be quite competent in caring for a child until he reaches a certain developmental stage, i.e., adolescence. Many adoption disruptions can be avoided through adequate preparation, support services and through open communication between the Children’s Service Worker and the family. However, on occasion the first indication of difficulties in the placement occurs during a crisis, i.e., the family requests that the child be removed or a child abuse/neglect report is made. When such a crisis occurs, the worker should respond immediately and take the following steps: Assess safety of the child Assess family’s interest and/or ability to preserve the child’s placement.  Assessment should include individual interviews with the parent and child Ask the family and the child to identify what they want/need to keep family intact. Some services which are available to the family include: Individual/family therapy Support group Mentor Respite Care Family Preservation Parent education including youth with elevated needs Level A and B resource provider training Assistance in obtaining additional information regarding child’s needs/condition Out-of-home placement, i.e., foster care, residential care, etc. If all efforts to preserve the family unit fail and the placement disrupts, the Children’s Service Worker should do the following: Involve family in plan for child’s removal from the home including explaining to the child why the placement did not succeed. The plan should include: Placement options including another adoptive placement Plan for continued contact between child and family. Closure with the family, if appropriate Maintain close contact with child following disruption. At least, weekly if geographically feasible. Evaluate what you learned about the child, family and self and how this information can be applied in making future child/parent matches. Schedule a FST meeting to reassess the goal for the child. Placement disruption can be a very stressful situation for the Children’s Service Worker as well as the child and family. The worker may assume blame and responsibility for the disruption. Supervisors should acknowledge these feelings and provide supports necessary to cope with/resolve these feelings.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-4-adoptive-placement-and
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 3 – Selecting Adoptive Families",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Adoption, Court system, Definitions",,,"The process of selecting a family creates an opportunity to choose the ideal home and family for the child. By following the follow steps, you will gain a better understanding of what kind of home and family might be best for the child. One of the most important factors to consider when choosing a family is every child is unique and you will need to consider what each of the families can offer the child as they grow up.  Do they need two parent household or is single parent household fine?  Do they need a strong male influence?  Does the child need to be an only child? Do they need to be placed with siblings? What about pets?  The answers to some of these questions may lead you to the adoptive family for the child. Preliminary Screening Process The Children’s Service Worker, adoption specialist, supervisor and/or Circuit Manager will screen the Adoptive Family Assessments according to staffing criteria and select at least three (3) and no more than five (5) for consideration by the staffing committee. Those involved in the screening include: Direct Children’s Service Worker, if applicable Adoption specialist Children’s Service Supervisor I or Circuit Manager Case manager Criteria to consider during preliminary screening, but not limited to, is as follows: Ability to meet the needs of the child Ability to accept the physical, emotional, and mental conditions of child Acceptance of legal risk, if applicable Acceptance of continued contact with siblings, and significant others when beneficial to the child Acceptance of the background of the birth parents Commitment to encourage and preserve the child’s cultural identity Availability of and acceptance of use of community resources required by the child Acceptance of supervision during adoption process In certain instances, it may be appropriate and necessary to hold an adoption staffing for a child when only one family becomes available as an adoptive placement resource for the child or sibling group at the request of the FST or Regional Director. Adoption Staffing Team The purpose of this team is to apply a Consensus Building approach to the practice of selecting a permanent family for a child in Children’s Division (CD) custody who is in need of an adoptive placement. Additionally, CD recognizes the child’s placement provider and other foster/adoptive families along with professional staff are essential, vital members of this selection process. Team Membership – The following persons are mandatory members and shall be invited to participate in the Adoption Staffing: Child’s Children’s Service Worker and his/her supervisor Case manager and his/her supervisor Adoption specialist and his/her supervisor, if applicable Child’s placement provider (if placement provider is not an adoptive applicant for the child) Other foster or adoptive parents of special needs children CASA/GAL Juvenile officer Child’s counselor, therapist, psychologist, etc. Community representative Any other person who has vital significance in the child’s life Prospective adoptive family’s Resource Development Worker, if geographically feasible Other members – While the membership is mandatory as is notification of each member of the formal staffing meeting, it is not mandatory that all be in attendance. There shall be at minimum 80% of invited members present for the Adoption Staffing to be considered an official Adoption Staffing. Opinions, in writing, must be sought from any members unable to attend the Adoption Staffing and utilized in the staffing discussion. Member participation may be obtained via conference call during the meeting or by asking them to submit their preferences in writing prior to the meeting. To achieve consistency for all prospective family interviews, the same members must be present for each interview. If that is not possible the team member may submit their preference in writing for all prospective families. The basic intent is to obtain as much participation as possible from those who have significance in the child’s life while recognizing practical issues of busy schedules and geographic constraints. Conflict of interest: If a relationship between a member of the team and the person being staffed exists, that precludes them from being objective, that member of the team shall be excused from the discussion and selection process. The child’s placement provider must be invited to the staffing and every possible effort should be made to include them in the staffing decision. When geographic constraints exist, conference calls are an option. If the placement provider cannot participate in the staffing, staff should request the placement provider review the prospective families’ information and provide recommendations as to the family they selected as well as their first alternative and second alternative in writing. Staff should work hand-in-hand with placement providers to obtain their feedback and participation.  However, If the placement providers have indicated an interest in adopting the child, they are not members of the decision making process but provide information of the child to the team before being excused. The foster or adoptive family appointed to serve as standing members of the team should be well versed in the philosophy of permanence and achieving the best interests of the child. Additionally, they shall not be Children’s Division staff members. They should be chosen on the basis of: Their skill/knowledge about out-of-home/permanency planning for children Demonstrated ability to successfully foster/adopt special needs children Availability to participate on a regular basis Ability to effectively participate as a team member The representative of the child placing agency should be the staff member who has the greatest rapport with the child. The community representative should be one who is interested and knowledgeable about public child welfare services. All members of the Adoption Staffing Team shall sign the Statement of Confidentiality for Adoption Staffing Team Members, (CD-135). Preparing for the Adoption Staffing Prior to an Adoption Staffing being scheduled the Child’s Summary for Adoption should be provided (with identifying information- if any, blacked out) to the pre-adoptive families selected through the preliminary screening process. The families should then be given ten (10) business days to review the Child’s Summary and provide their written responses on the Family Response Form (CD-192). Once the Children’s Service Worker has received the Family Response Forms back from the prospective adoptive families, the Children’s Service Worker shall mail Child Information Packets to the team members participating in the Adoption Staffing. The Child Information Packet should contain the following information: A Cover Letter with the following information: The Adoption Staffing Meeting Time and Location (should be scheduled a minimum of two (2) to four (4) weeks in advance to allow for maximum participation) A reminder to the team members about confidentiality of the information contained in the Child Information Packet A request that if they are unable to attend that their recommendations in writing be provided five (5) business days before the scheduled meeting so that copies can be made for all staffing team members in attendance A request they return any copied material to the CD office at the time of the meeting or when they mail in their written recommendation, if they are unable to attend the Adoption Staffing. All written material copied and shared with non-CD members must be returned to the Adoption Specialist for destruction. The Child’s Summary The Statement of Confidentiality for Adoption Staffing Team Members (CD-135) The Family Response Form (CD-192) The Adoptive Family Home Assessment A blank copy of the Adoption Staffing Prospective Adoptive Family Interview Questionnaire (CD-134) should also be included in the packet so that the team members can review and come prepared to offer suggestions as to which questions on the Questionnaire they would like to ask of the potential adoptive families during the Adoption Staffing interview. Explain to the Team that they are not required to ask the prospective adoptive families every question on the tool; however they shall use the same set of questions for every family being interviewed for the same child or sibling group. If the Adoption Staffing Team has additional questions specific to an identified family, they can include questions that are not posed in the questionnaire in order to make an informed decision regarding the family that is selected to adopt the child or sibling group. Appropriate notice shall be given to the prospective adoptive families to allow them to make arrangements to participate in an interview either in person or by phone. Families are not required to participate in the interview process, however if they elect not to participate they should be informed of the possibility of an interviewed family being selected. Workers shall also explain to prospective adoptive families as well as to all members of the Adoption Staffing Team, how they may request a review of the decision made by the Adoption Staffing Team, given there was a perceived error during the process or the requestor provides specific examples of perceived bias which precluded consensus from being reached. The request must be submitted within three (3) working days of the Adoption Staffing Team decision. Requests received after the prescribed time frame will not be considered. The request is submitted on the Request for Review of Family Support Team or Adoption Staffing Team Decision, CD-190. It must be recognized that most families will be ill at ease and sensitive to the competition with other families. Every effort must be taken to make them comfortable upon their arrival at the office and during the interview. Plans should be made to conduct the interviews on the same day if possible; all the same members of the staffing team must be present for each interview in order to achieve consistency in the interview process.  Families should be prepared to bring their own children if this is important to the decision to place a child with a particular family. Have the following documents available at the Adoption Staffing: The Statement of Confidentiality for Adoption Staffing Team Members (CD-135) The Child’s Summary for Adoption Placement The Adoptive Family Assessments The Family Response Forms (CD-192) The Adoptive Staffing Prospective Adoptive Family Interview Questionnaires (CD-134) The Adoption Staffing Decision Worksheet (CD-189) Statement of Legal Risk (CD-191; optional at time of staffing) Conducting the Staffing and Utilization of the Consensus Building Approach Although operating as a team, at least one (1) person must be designated to facilitate the meeting. This should be the adoption specialist, but in the event there is no adoption specialist involved, the child’s A/C worker, CD Supervisor or Children’s Service Specialist may facilitate the meeting. Conducting the Adoption Staffing: State the purpose of the meeting, and review and remind the membership of the importance of maintaining confidentiality of the information shared. The facilitator will need to have all team members sign the Statement of Confidentiality for Adoption Staffing Team Members form (CD-135). Introductions should be made of all Adoption Staffing Team Members. The facilitator, child(ren)’s A/C worker, and child’s current placement provider, present information about the child(ren), using the Child Summary for Adoption as a guide, including a recommendation regarding characteristics of the type of family who can best meet the needs of the child. This information should be concise and provide adequate information about the child’s needs, behaviors, background, etc. Answer any questions about the information provided. Share information about each prospective family. The Family Response form (CD-192) should be discussed along with information contained in the Adoptive Family Assessment. Explain to the Team the purpose of the interview and the use of the Adoption Staffing Prospective Adoptive Family Interview Questionnaire (CD-134). Team members should be made aware each questionnaire will be collected at the end of the staffing and retained in the child’s file. The Adoption Staffing Team should utilize the same set of questions for each family interested in and being considered for the same child or sibling group. The prospective adoptive families shall be given the opportunity to ask questions about the child and if selected what the transition plan may look like. Prospective families should also be given the opportunity to speak with their Adoptive Worker privately (away from the staffing) to ask any further questions related to the staffing process or the child and their background. Interview the family either in person or by phone utilizing the Adoption      Staffing Prospective Adoptive Family Interview Questionnaire (CD-134). Use the following guidelines for adoption staffing where prospective adoptive families are to be interviewed before making a final recommendation regarding the placement choice for a child. This interview should serve to enhance the information included in the adoptive family assessment and the Family Response Form (CD-192). The purpose of the interview is to enhance the staffing team’s ability to make an informed decision about which family can best meet the needs of the child. The Adoption Staffing Interview: Confidentiality expectations will be discussed. The Statement of Confidentiality for Adoption Staffing Team Members, CD-135, must be signed by all participants. A Brief overview of the child will be provided, utilizing the Child’s Summary for Adoption Placement, as a guide. At a minimum, the presentation must include the child’s legal status and a clear, but concise description of the child’s condition, including any changes or updates since the Child’s Summary for Adoption Placement was completed. The child’s desires in an adoptive family and any special requirements established for the child by the child’s jurisdictional court must be discussed. Examples of requirements of the jurisdictional court include the right to make the final selection of the adoptive family or a review of the CD recommendations before allowing the family to know of the final decision. At the end of the staffing meeting, the prospective adoptive family should be asked directly whether they continue to be interested in the specific child. Explain that there are no negative consequences to their status if they elect not to accept the child. Information should be given to families of when they will be notified of the selection decision. Consideration should be given to what is involved in making the final decision and approximately how long it will be before the decision is made. After the interviews are complete, the Adoption Staffing Team should discuss each prospective family, discussing their strengths and identify skills needed to be successful with the child to determine if they will be able to meet the needs of the child. Discuss questions and comments to achieve consensus on the family selected, first alternative family and, second alternative family with the skills to meet the needs of the child(ren) being placed using the following criteria: Ability to meet the needs of the child Ability to accept the physical, emotional, and mental conditions of the child Acceptance of the background of the birth parents Acceptance of continued contact with siblings, and significant others when beneficial to the child Acceptance of legal risk, if applicable Commitment to encourage and preserve the child’s cultural identity and religious beliefs Availability of and acceptance of use of community resources required by the child Acceptance of supervision during the adoption process Ability to rear the child to adulthood or make an alternative plan Consideration of what may happen to the child in the event of the prospective adoptive resource provider’s death or incapacitation Consensus is a decision-making process that fully utilizes the resources of a group. It is more difficult and time consuming to reach consensus than a democratic vote or autocratic decision. There may be trade-offs and the various decision alternatives will not satisfy everyone. Complete unanimity is not the goal and this is rarely possible. However, it is possible for each individual to have had the opportunity to express their opinion, be listened to, and accept a group decision based on its logic and feasibility considering all relevant factors. This requires mutual trust and respect of each team member. A consensus decision represents a reasonable decision that all members of the group can accept. It is not necessarily the optimal decision for each member, however it represents a decision that is in the best interest of the child(ren) being staffed. Guidelines for reaching Consensus: Make sure everyone is heard from and feels listened to. Avoid arguing for your own position. Present information as clearly as possible. Listen to each other’s reactions and comments to assess understanding of the position being presented. Do not assume that someone must win and someone must lose when a discussion reaches a stalemate. Instead, look for the most acceptable decision to meet the child’s needs. Try to think creatively. Team members should not change their mind simply to avoid confrontation, conflict, or to reach an agreement or maintain harmony. Explore the reasons and be sure that everyone accepts the solution for similar or complementary reasons. In this environment, the best interest of the child should be the primary focus. Avoid conflict reducing techniques such as a majority vote, averaging, coin tosses or bargaining. Differences of opinion are natural and expected. Seek them out; value them, and try to involve everyone in the decision process. Disagreements can improve the group’s decision. The facilitator shall obtain the consensus of the team with the recommendations as to why they have selected a specific family as well as the team’s recommendation on a first alternative family and second alternative family. This information shall be recorded on the Adoption Staffing Decision Worksheet (CD-189) and maintained in the child’s record. Before adjourning the meeting, obtain all the copies of the adoptive family assessments shared with the membership. Destroy all copies except one set of those considered and retain this set in the child’s file. The leader shall notify all prospective adoptive families Resource Development Workers of the decision, if not already present at the staffing.12. The family’s Resource Development Worker should notify the family of the decision reached by the Staffing Team. Notify the families not selected by the Adoption Staffing Team of their ability to request an Adoption Staffing Decision Review. Although, the committee should reach a decision within one (1) meeting, in unusual circumstances it may be necessary to reconvene another staffing for a specific child to arrive at a final recommendation of the families considered. This process should be repeated as often as necessary until the child is placed for adoption. The Leader should seek supervisory consultation and review if consensus is not met. Activities Following Selection Once an adoptive family has been selected the case manager/direct Children’s Service Worker will: Present complete information about the child to the pre-adoptive family using an updated child’s summary within seven (7) days of selecting the family. Have the family sign off on the child’s summary in acknowledgment that they have received the information. Obtain commitment from family within seven (7) days of presentation, if they wish to pursue adoption of the child: Explain importance of filing adoption petition within 90 days of approval for adoption. If the family does not want to pursue adoption, present the information about the child to the first alternative and second alternative families. Continue search for new family if none of the alternative families accept the child. Obtain the adoptive family’s signature with date on the child’s summary, give the original to the family and retain a copy for the adoptive family’s case record. Within five (5) days of obtaining commitment from the family, with the support of the Family Support Team, develop specifics of pre-placement plan which accommodates the wishes of the child, current foster family and pre-adoptive family, including the following: First meeting Additional visits Other relationship building activities Filing of adoption petition if licensed as a foster/adoptive family Place child with the family after obtaining any required authorization from court. Comply with ICPC and/or ICAMA requirements if applicable Update the Placement Screen in FACES to reflect the correct type of adoptive placement and financial assistance (if the family is the current resource provider, DO NOT change the placement type) Review with the family and child, if age appropriate, any concerns and issues that have evolved during pre-placement activities. Inform pre-adoptive family of the availability of adoption subsidy, if needed, for the child’s care. Decide on the appropriate financial assistance plan using out-of-home care funding sources or adoption subsidy according to procedures related to each of these funding sources. If there are no other competing petitions anticipated or filed, and the juvenile office and legal services have declined to file the TPR, consult with the family regarding their willingness to proceed with a petition for adoption and termination of parental rights. Explain child’s right to make a written request to the court that finalized the adoption to obtain identifying information about the biological parents or adult siblings at the time the child reaches age 18 as well as the right to register with the Missouri Adoption Information Registry to permit contact with biological parents or adult siblings.  Contact will be made by the registry if a match is made. Explain adoptive family rights to obtain non-identifying information about the biological parent or child after adoption. Explain child’s right to obtain non-identifying information regarding the biological Prepare child and family for adoption, including discussion of the following issues: Understanding and acceptance of the past Separation from birth family Meaning of and desire for adoption Placement with siblings, if planned Plans to continue to encourage and preserve the child’s cultural identity Assess and process child and family’s readiness to complete the adoption through scheduled visitation in pre-adoptive home.Once the Division has committed to adoption by the family, removal of the child can occur only at the family’s decision that they do not wish to adopt the child, or the child’s emotional and/or physical safety is at risk (i.e., a child abuse and neglect investigation has found “preponderance of evidence” and the child is not safe in the home). Prepare child and family for court hearings. Prepare and submit necessary reports to the court for transfer of custody and/or final decree hearings. Interpret confidential nature of adoption to child and family: Develop plan for visits with siblings after adoption, if it is part of the adoption plan for the child. Develop plan for continued parental or relative contact if the plan is in the best interest of the child. Attend court hearings, being prepared to testify if so ordered. Make one visit with family and child after final decree hearing to: Make a referral to community support groups, if needed Reinforce the lifetime commitment of adoption Maintain links to any needed rehabilitation services Remind family of yearly review of subsidy and necessary maintenance activities Plan for continued counseling, if needed Assure that services will be extended if at any time in the future the family or child determines they are in need of services related to the adoption Record all activities every 30 days. Once the adoption is finalized, change the legal status of the child to LS-5. Prior to the LS-5 being added on the AC function the following must be in place: Child’s DCN on adoption subsidy contract TPR/Death entered on biological parents Adoption Petition(Adoption Hearing) entered Adoptive Placement (same DVN as on the adoption contract) The alternative care case will close once an LS-5 Adoption Assistance is open in FACES.  For cases without adoption subsidy, manually close the case with the change of legal status.  Close the alternative care case record with a termination summary and copy of final decree: Keep case open if continued services are required, closing case at mutually agreed upon point (if subsidy is not active) Copy information needed for the Adoption Subsidy case file, either adding it to the family’s existing subsidy file or begin a subsidy case file for the family Assure case has been transferred to subsidy worker. Case should be transferred from A/C to subsidy within thirty (30) working days after receiving the adoption decree and/or release or award of legal guardianship. Adoption Staffing Team Decision Review for Family Not Selected Request for Review A family not selected as the adoptive resource or a team member may request a review of the decision made by the Adoption Staffing Team, if the family believes the following regarding the staffing: There was a procedure error per Adoption Staffing Team process The requestor provides specific examples of perceived bias which precluded consensus from being reached. The family must submit the request for review: Within three (3) business days of the Adoption Staffing Team Meeting Decision In writing using the CD-190d, submitted to the Circuit Manger of the Case Manager of the child If the case is managed by a Foster Care Case Management, (FCCM), contractor, submitted to the FCCM Director. If there are no safety concerns regarding the foster youth(s) remaining in the home, they should not be moved from the home until the decision is finalized. Independent Reviewer Qualifications The Independent reviewer is appointed by the Regional Director.  The reviewer must meeting the following qualifications: Current Children’s Division Staff No connection to the case No personal or perceived interest in the outcome of the case Successful completed of Mediation Training Demonstrates skills with handling emotionally charged situations Demonstrates skills in problem solving Demonstrates skills in effective questioning Demonstrates skills in active listening Demonstrates an excellent understanding and practice of the best interest of the child per Missouri Revised Statutes Chapter 210, 210.001, 210.112 4(3), 210.565, 210.720, 210.762 All families reviewed will be notified of the decision within one business day of the decision. An Adoption Staffing Team member or other team member who attended the staffing must submit a written request for an Adoption Staffing Team decision review using the CD-190 to the Circuit Manager within three (3) business days of the decision. Requests after three (3) days will not be considered. Review Process The Circuit Manager will assign the request for a review to the reviewer within one (1) business day of receiving the written request, CD-190.  The Circuit manager will provide a copy of the CD-190 to the reviver when assigned If the request is received beyond three (3) business days of the meeting, the Circuit Manager will contact the requester to report that the deadline was not met and the Adoption Staffing Team decision will not be reviewed. The reviewer will be provided the following documents and information within one (1) business day of being assigned the review: Adoption Profile(s) Adoption staffing information packet including Home Assessments for all candidates A copy of the foster youth(s)’ CS-1 The contact information for all the Adoption staffing Team members who attending the staffing The Reviewer will interview the following individuals who attended the Adoption Staffing Team meeting within two (2) business days of the Reviewer receiving the CD-190 from the Circuit Manager/private contractor Director: Review requester Perspective adoptive parent(s) and support individual of their choice Placement provider(s) and support individual of their choice Foster youth(s), if age appropriate Guardian Ad Litem (GAL) for the foster youth(s) Other staffing attendees as the review deems necessary The Reviewer will submit to the Circuit Manager a written report of his/her response following the review of the Adoption Staffing Team decision within five (5) business days of assignment of the review request. Review Response There are three (3) possible responses from the Reviewer following the review of the Adoption Staffing Team’s decision: If the Reviewer concludes the Adoption Staffing procedure was followed and consensus was reached, the Team’s decision stands If the Reviewer concludes the Adoption Staffing Team procedure was in error per policy, the Reviewer will facilitate a new staffing by reconvening the Team members.  During this new meeting, The Reviewer will achieve an appropriate consensus decision for best interest of the foster youth(s) If the Reviewer concludes there was no consensus of the Adoption Staffing Team in the decision making and evidence of extreme bias by one or more members, the Reviewer will facilitate a new staffing by reconvening the Team members.  During this new meeting, The Reviewer will achieve an appropriate consensus decision for best interest of the foster youth(s) The Reviewer submits to the Circuit Manager a written report of his/her conclusion after review of the Adoption Staffing Team decision using the CD-190 A. The report must include: Specific examples of no consensus (if applicable) Specific examples of procedure error ( if applicable) The names and dates of who and when Team members were interviewed Details to support that Adoption Staffing Team procedure was followed and consensus was reached with no bias Specific examples of bias (if applicable) Date(s) of reconvened Adoption Staffing and outcome (if applicable) Evidence based support the best interest of the child was met The Reviewer’s conclusion will be reasonable, fair, expeditious and the Children’s Division’s final decision. Within three (3) business days of receiving the Reviewer’s conclusion, the Circuit Manager will notify the review requester the conclusion of the Reviewer. If the family continues to not agree with the final decision by the Reviewer refer the family to their attorney for consultation regarding their right to file a petition for adoption. Related Practice Alerts and Memos: 10-29-2020 – PA20-AD-06 Child Summary",https://fostercaresystems.wustl.edu/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-3-selecting-adoptive-families
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 2 – Adoptive Family Recruitment Process :: 9.2.3 Photo Listing (Raise The Future, MO Heart Gallery, And AdoptUSKids)",Missouri,Rules,"2023, 2022, 2021","Administrative process, Reporting requirements",,,"When it has been determined that adoption is the plan for a child and there is a need to recruit family resources, complete the Waiting Child Registration on-line via Raise The Future. The Waiting Child Registration will serve as the referral for the Heart Gallery, Raise The Future and the AdoptUSKids website.  For the child to be placed on the Heart Gallery website, an electronic copy of the registration and the court order or CD-AE-1b should be sent via email to Vickie.Stoneberger@dss.mo.gov with Heart Gallery typed in the subject line. Raise The Future has the responsibility of adding children to the AdoptUSKids.org website; however, each Adoption Specialist must have access to this site assigned by a designee from Central Office. If you need access, contact Central Office Adoption Unit and access information will be assigned. The worker is responsible for making changes to the child’s profile, updating the child’s picture as needed or making changes to the profile as needed.  If assistance is needed, Central Office Adoption Unit staff are available to provide technical assistance.  Training is also available through AdoptUSKids tutorials accessible after login or by signing up for free web training at Web-Training@adoptuskids.org . Creating AdoptUSKids Case Identification Numbers: Children entered on the AdoptUSKids web site must have an identification number. By registering the child(ren) with Raise The Future, the child, will automatically be added to the AdoptUSKids website and they will assign a number for the child.  No agency should use any part of the child’s DCN, SSN, Call Case Number or JO number as the child’s AdoptUSKids case number, as this identification number is viewable to the public. The child’s DCN should be used in the last name field with the child’s last name so that the child can easily be located.  If the child is not registered through Raise The Future website, Foster Care Case Management and Specialized Care cases should create their own system to determine AdoptUSKids case identification numbers. The Children’s Division staff should use the following as a breakdown of how the case identification number should be created: The child’s case number will ALWAYS begin with “MO”, which stands for Missouri. The next two numbers are to represent the area which has jurisdiction of the child (see area assignment codes below). The next three numbers are to represent the FIPS County code for the county that case manages the child. The next five numbers are to represent the employee’s worker number. The last two numbers are to represent the chronological order in which the child was entered onto the web site. NOTE: The following are the Area Assignment Codes as listed on AdoptUSKids.org: 01 = Central Office                                         05 = Area 1/Northwest Region 02 = Area 5/Jackson County                         06 = Area 6/St. Louis City 03 = Area 3/Southeast Region                       07 = Area 7/St. Louis County 04 = Area 4/Southwest Region                     08 = Area 2/Northeast Region Example Case Identification Number for Lisa: MO080071234501 Lisa is from Northeast Region, Audrain County, her worker’s # is 12345 and she is the first child to be listed on the worker’s log. Case Identification Assignment Log: Workers are to maintain a log of children who appear on AdoptUSKids, Raise The Future and the Heart gallery that contains the date registered and the child information.  This will allow the worker to keep track of children entered on the web sites, as well as provide a listing of children that workers can staff with their supervisors in regard to recruitment for permanency. Photographs: A clear, attractive picture of the child(ren) should be used to recruit for the child.  A school or professional picture is best; however a clear snapshot will work.  Photos for AdoptUSKids, Missouri Heart Gallery and Raise The Future should be formatted in jpeg or jpg image files. Photographs should be: Current, within six (6) months Good, realistic, age appropriate representations of the child Smiling, positive photo Clear color pictures Face/head shots will provide the clearest view of the child Professional photographs when possible Pictures of siblings as groups if possible Modest clothing Photos should reflect the professionalism of the agency Photographs should NOT include: Identifying clothes/information in background Polaroids Questionable attire “Glamour” shots type of pictures Shadows or bright shots Special effects High gloss professional shots which present difficulty in scanning Paper print outs from digital cameras or Xeroxed reproductionsA photo is required before the child’s profile can be viewed by families and public users. One photo can be added to each child profile. For workers who are adding the child only to the AdoptUSKids website, a digital photo may be sent to photos@AdoptUSKids.org , or mail a hard copy to: AdoptUSKids Photos 520 Pike Street, Suite 1350 Seattle, WA 98101 You may also add a video or audio clip to a child profile on the AdoptUSKids website. The video or audio clip is viewable by all website visitors. Media Profile Outline: Please follow the Media Profile Outline provided below.  This profile may be used when providing brief profiles for recruitment purposes: Purpose Statement (to be used at the beginning): “The purpose of the information provided below is to briefly introduce you to the child(ren) for whom our agency is recruiting an adoptive placement.” INCLUDE: At the top of the profile, list separately the child’s first name, date of birth (mo/yr), race and gender. School grade information can be added if necessary. Within the narrative, be creative, energetic, use descriptive words Use an attention-getting phrase to begin the narrative and draw readers in. Include likes, hobbies, interests, what they want (family, life, goals, pets, church) Describe the child’s personality. Provide information about the child’s educational accomplishments. Positive quotes from the child caregiver (don’t refer to the “residential” caregiver) Quotes from the child describing themselves (i.e. favorite things about themselves, etc.) A description of the child’s need for a family with particular skills or family configuration (don’t limit to a two-parent family if that is not necessary). Legal Status Add the date updated/completed at the bottom of profile. The profile needs to be at least three paragraphs, and 120-150 words. NO more than 1 – 1 ½ pages in length. If you have a photo, state it is available upon request. Special concerns– contact with siblings, family or past placement providers. DO NOT INCLUDE: Identifying information within the narrative(i.e., child’s last name, school’s name, city where child resides, parent’s names, date and reason the child is in care, and history of abuse/neglect (any significant information may be included in the confidential narrative section). Serious medical diagnosis and treatment involved. Information about the child’s educational needs. Details about failed past placements (any significant information may be included in the confidential narrative section). Anything that might be embarrassing to the child. Ask yourself, “Would I feel comfortable showing this to the child and would it make them uncomfortable?” Full date of birth s , age or grades in school as a part of the narrative. Serious medical diagnosis and treatment involved. Information about the child’s educational needs. Worker Responsibilities for the Recruitment of Children on Raise The Future Website, Missouri Heart Gallery and AdoptUSKids: Gather and send information to Raise The Future so that they may create a child profile; Create a child profile to use on all three websites (if appropriate); Obtain photos of the child(ren); Workers are to answer all inquiries within 3 business days of receiving the inquiry; Make status changes, for example, FIP-Family In Progress, when necessary; and Update the profile information for children when needed. Managing Child Profiles on AdoptUSKids: AdoptUSKids provides the worker with a “My Home” page. This page is specific to the worker who signs in, and will provide the worker with information regarding the children they have entered onto the site. AdoptUSKids will provide reminders when a child is in need of a photograph, how many open inquires there are, and how many inactive cases the worker may have. It is recommended that workers check the AdoptUSKids site on a weekly basis, answering all inquiries within 3 business days of the inquiry so that prompt response can be provided to families who inquire about a specific child. If the child’s profile is not updated yearly, AdoptUSKids will automatically take that child’s photo off the public site and place them in “inactive” status. This will cause the recruitment efforts for this child to be put on hold until an update can be entered. If a child’s case is re-assigned to a new worker (that already has access to AdoptUSKids) the current worker or Location Administrator will have the responsibility to reassign the child’s AdoptUSKids case. To obtain initial access to the AdoptUSKids website for new workers the supervisor will need to notify Central Office Adoption Unit, providing the worker’s name, correct e-mail address and contact information so that the worker can be added as a case manager with access to AdoptUSKids. In the event that the child’s case is transferred to a contracted or specialized case management agency, the new worker for the case will be responsible for contacting AdoptUSKids IT or Central Office Adoption Unit with the correct contact information for that child. Each agency is responsible for managing their own cases on the AdoptUSKids website. Related Memos and Practice Points: PA#: PA20-AD-05",https://fostercaresystems.wustl.edu/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-2-adoptive-family-recruitment-2
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 2 – Adoptive Family Recruitment Process :: 9.2.2 Finding Adoptive Families For Children",Missouri,Rules,"2023, 2022, 2021","Administrative process, Placement, Reporting requirements",,,"The Division’s commitment to permanency for every child is the basis of the following search and recruitment plan. It involves sequential activities designed to utilize all possible resources in Missouri, the region and the nation in finding a permanent family for a child. No later than the end of the first month following the decision that a child is available for adoption, the worker shall carry out the steps outlined below: Workers shall complete the Consent for Special Recruitment Efforts – CD-AE-1b and obtain a court order allowing special recruitment for the child. Workers shall write the Child’s Media Profile . Workers shall obtain a photograph of the child or sibling group available for adoption. Please attempt to utilize professional photographers for pictures of the children. You can utilize the photographers from the Heart Gallery or Raise the Future is able to assist in connecting workers with photographers in their geographical location. Supervisors shall review the adoption profile. Workers shall complete the Waiting Child Registration on-line via Raise the Future. The Waiting Child Registration will also serve as the referral for the Heart Gallery, Raise the Future and AdoptUSKids.  Once the registration has been filled out on Raise the Future website, an email should be sent to Vickie Stoneberger with Heart Gallery typed in the subject line and the court order or CD-AE-1b attached to signify that media recruitment by the court has been ordered. Workers are responsible for the referral of children with a goal of adoption that do not have an identified adoptive placement to Raise The Future.  Raise The Future has the responsibility of adding the children to the AdoptUSKids website and Raise The Future website. Send a statewide e-mail request for adoptive assessments of approved families including the following information: Name and county of sending worker or agency; First name only, gender, cultural identity, and age of child for whom you are seeking an adoptive family placement resource; Brief description of child’s legal status, appearance, health and handicap status, background and interests/hobbies; Preferred characteristics of family sought for child; Information about screening/formal staffing plan including date, time and place. Refer minority children to any Children’s Division (CD) special recruitment projects. Worker shall write Child’s Summary for Adoption Placement . A thorough and accurate pre-placement study of the child is a critical component of the adoption process. The information provided assists potential families and the Adoption Staffing team members in making an informed decision regarding the child. Prior to an Adoption Staffing being scheduled the Child’s Summary for Adoption should be provided to the pre-adoptive families selected through the preliminary screening process. The families should then be given ten (10) business days to review the Child’s Summary and provide their written responses on the Family Response Form (CD-192). Also, this information may be important to the child if/when he has questions regarding his heritage. The Children’s Service Worker may contact a number of resources to complete the pre-placement study including birth parents/relatives, physicians, placement provider, teacher and the child. The Children’s Service Worker completing the child’s summary is not to include identifying information of the birth parents. The outline that should be followed when preparing the child’s summary for adoption placement can be found in E-Forms under Child’s Summary for Adoption Placement. Within the first two months when needed; the worker shall initiate other child specific recruitment activities, i.e. Wednesday’s Child appearances, A Place to Call Home appearances or involvement in the Linking Hearts Adoption Event. Requests for assistance and additional information are to be made directly to the Adoption Unit in Central Office. Following the establishment of the goal of adoption, there will be regular supervisory reviews of each child for whom an appropriate resource cannot be located. The review will be conducted weekly for children 12-months and under, and monthly for children over 12-months. This procedure includes: Reviewing recruitment activities and responses to recruitment, Identifying barriers to placement, Reviewing the child’s narrative profile to ensure that the child’s strengths are presented in an appealing manner, Determine additional plans and activities for continuing to meet the child’s goal of permanency through adoption, such as: participation in various adoption fairs/carnivals around the state; and Record in the child’s narrative in FACES under supervisory consult that the supervisor has reviewed the recruitment efforts and documented any additional efforts that will be utilized. The supervisor should review and approve the narrative. When required procedures have not been implemented, the immediate supervisor must outline with the worker a process for recruiting families for any child waiting for adoptive placement. It is the Division’s preference that children obtain the permanency of adoption rather than permitting the child to remain indefinitely in out-of-home care. Therefore, the following activities should be carried out on a regular basis for any “waiting” child: Follow-up immediately on any subsequent referrals from exchanges, recruitment activity, etc. Initiate additional e-mail requests at reasonable intervals; i.e., every three months. Continue indefinitely, recruitment activities and other methods of making known the child’s need for permanency through adoption Related Memos and Practice Points: PA#: PA20-AD-05",https://fostercaresystems.wustl.edu/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-2-adoptive-family-recruitment-1
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 2 – Adoptive Family Recruitment Process :: 9.2.1 Child’s Media Profile",Missouri,Rules,"2023, 2022, 2021","Administrative process, Placement, Reporting requirements",,,"The child’s profile should include the following: Purpose Statement (to be used at the beginning): “The purpose of the information provided below is to briefly introduce you to the child (ren) for whom our agency is recruiting an adoptive placement.” INCLUDE: At the top of the profile, list separately the child’s first name, date of birth (mo/yr), race and gender. School grade information can be added if necessary. Within the narrative, be creative, energetic, use descriptive words Use an attention-getting phrase to begin the narrative and draw readers in. Include likes, hobbies, interests, what they want (family, life, goals, pets, church) Describe the child’s personality. Provide information about the child’s educational accomplishments. Positive quotes from the child caregiver (don’t refer to the “residential” caregiver) Quotes from the child describing themselves (i.e. favorite things about themselves, etc.) A description of the child’s need for a family with particular skills or family configuration (don’t limit to a two-parent family if that is not necessary). Legal Status Add the date updated/completed at the bottom of profile. The profile needs to be at least three paragraphs, and 120-150 words. NO more than 1 – 1 ½ pages in length. If you have a photo, state it is available upon request. Special concerns– contact with siblings, family or past placement providers. DO NOT INCLUDE: Identifying information within the narrative(i.e., child’s last name, school’s name, city where child resides, parent’s names, date and reason the child is in care, and history of abuse/neglect (any significant information may be included in the confidential narrative section). Details about failed past placements (any significant information may be included in the confidential narrative section). Anything that might be embarrassing to the child. Ask yourself, “Would I feel comfortable showing this to the child and would it make them uncomfortable?” Full date of birth s , age or grades in school as a part of the narrative. Serious medical diagnosis and treatment involved. Information about the child’s educational needs. Answer all responses to search/e-mail recruitment activities, within five (5) working days, using the following instructions as applicable: Submit assessment(s) to requesting county, identifying the sending worker and location. The information should note approval for submittal by the supervisor/Circuit Manager. Refer responses to the county office or other state/private agency consistent with their residence, if responding family requires an adoption study. Regularly inform county of jurisdiction of results of recruitment activities. The initial number of assessments accepted for Adoption Staffing review will be reduced to three (3) to five (5) identified families through the preliminary screening process. In some instances it may be necessary to wait for an adoptive assessment to be completed before selecting a family. The family’s worker should be kept informed of plans for the staffing. Related Memos and Practice Points: PA#: PA20-AD-05",https://fostercaresystems.wustl.edu/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-2-adoptive-family-recruitment-0
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 2 – Adoptive Family Recruitment Process :: Intro",Missouri,Rules,"2023, 2022","Administrative process, Social worker licensing/qualifications",,,"Any child in CD custody who is available for adoption and is not being adopted by the current resource provider family is available for placement with any approved adoptive family. Selecting a placement resource shall be conducted via the Adoption Staffing process. Prior to the staffing, recruitment of perspective adoptive families may be necessary. The adoptive family selection process begins with the Children’s Service Worker conducting a search for approved adoptive families. Search activities may include sharing the child’s profile by using the AdoptUSKids website, or Raise The Future’s website. Staff can also send an email out to Resource Development workers across the state sharing the child’s profile and requesting approved home assessments from families. Keep in mind, the email may be forwarded on to adoptive families by the Resource Development workers. Related Memos and Practice Points: PA#: PA20-AD-05",https://fostercaresystems.wustl.edu/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-2-adoptive-family-recruitment
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 1 – Adoption Planning Process :: 9.1.4 Physical/Psychological Evaluation Prior To Placing A Child For Adoption",Missouri,Rules,"2023, 2022, 2021","Placement, Services while in care - Medical, Services while in care - Mental Health",,,"Within the preceding six (6) months of a child’s adoptive placement, a child shall have had; Comprehensive medical examination Dental examination for children age three (3) or older A mental health examination/evaluation is warranted if background information, prior emotional challenges, mental health history, family history, or developmental concerns warrant such an examination/evaluation. However, if the child has had an evaluation conducted in the last 3 years, a summary of the available evaluation reports from psychosocial, neuropsychological, psychological and summary information regarding any current treatment or counseling may take the place of the a new examination/evaluation.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-1-adoption-planning-0
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 1 – Adoption Planning Process :: 9.1.3.4 Cross Cultural/Cross Racial Adoptive Placements",Missouri,Rules,"2023, 2022, 2021","Adoption, Child rights, Guardianship, Placement",,,"We know that our cultural diversity influences our view of the world as well as the world’s perception of who we are. We also know that some differences among people are easily seen while others are subtle. In order to ensure consistency in the child’s day-to-day life, to support the development of a positive self-image, increase feelings of security and reduce feelings of isolation, a child should be placed in a home that respects the child’s cultural identity and can best meet the individualized needs of the child. In making the selection of an adoptive family, consideration must be given to all the child’s current and future needs. Since adoption is a lifetime commitment for both the family and the child, attention must be given to assessing the many issues involved in meeting the child’s needs and the ability of a prospective family to meet those needs. Once this match has occurred, the placement, if not with the present foster family, should be made as soon as possible. The child’s record must clearly document the staffing, administrative reviews and Children’s Service Worker’s efforts to find an appropriately matched adoptive home for the child as well as documentation as to the reasons a particular home was selected. Public Law 104-188, Section 1808, 110 Stat. 1903-1904 states: “(18) not later than January 1, 1997, provides that neither the State nor any other entity in the State that receives funds from the Federal Government and is involved in adoption or foster care placements may – “(A) deny to any person the opportunity to become an adoptive or a foster parent, on the basis of the race, color, or national origin of the person, or of the child, involved; or “(B) delay or deny the placement of a child for adoption or into foster care, on the basis of the race, color, or national origin of the adoptive or foster parent, or the child, involved.” Missouri Statute, Section 453.005.3 RSMo states: The race or ethnicity of the adoptive child, the child’s biological parents, or the prospective adoptive parents shall not be a consideration when determining the best interests of the child, the welfare of a child, the suitability and assessment of prospective adoptive parents, or the home of the prospective adoptive parents in adoptive placements.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-1-adoption-planning-2
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 1 – Adoption Planning Process :: 9.1.3.3 Legal Risk Placements",Missouri,Rules,"2023, 2022, 2021","Legal process, Placement",,,"Children in the custody of the Children’s Division, with a goal of adoption, yet not legally free for adoption, pose a legal risk to their potential adoptive parents. Circumstances which lead to a legal risk include, but are not necessarily limited to, the following: The plan is adoption, but parental rights for one or all of the parents have not been terminated. Parental rights have been terminated by the court of jurisdiction and parent(s) have appealed the decision to an appellate court. Plan for publication is in process but not yet accomplished. Parents have signed voluntary consents to adoption but the court has not legally terminated parental rights The family accepting the child(ren) as a legal risk placement must understand that the goal of adoption may not be obtained and/or the child(ren) may be returned to the home of the parents. Whatever the circumstances, it is imperative the prospective adoptive parents be provided the Legal Risk Statement, CD-191, describing clearly the legal risk involved with the child, which would need to be resolved prior to the adoption becoming finalized. The prospective adoptive parents shall be required to sign and date the Legal Risk Statement, CD-191. If parental rights have not been terminated, the prospective adoptive parents must be licensed as foster parents. Both the child and parents are eligible for foster care services.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-1-adoption-planning-3
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 1 – Adoption Planning Process :: 9.1.3.2 Special Needs Children",Missouri,Rules,"2023, 2022, 2021","Administrative process, Reporting requirements, Services while in care - Other, Use of federal money (including Title IV-E)",,,"The agency must document in each child’s case record, as well as on the application/plan, the specific factor(s) that make the child difficult to place and the needs for subsidy. (Reference 13 CSR 40-38.020). A “child with special needs”: as defined by the characteristics listed below: The child cannot or should not be returned to the home of his/her parents. It has been determined there exists, with respect to the child, a specific factor or condition (such as his/her age, membership in a sibling group, or the presence of factors such as medical conditions or physical, mental, or emotional disability) because of which it is reasonable to conclude that such child cannot be placed with adoptive parents without providing adoption assistance. A single child, who is a member of a sibling group, but is being placed as a single child, must meet the subsidy eligibility criteria as a single child. In accordance with Federal Title IV-E funding, if any child in a sibling group is determined to be IV-E eligible the remaining siblings are also to be found IV-E eligible. That, except where it would be against the best interest of the child because of such factors as the existence of significant emotional ties with prospective adoptive parents while in the care of such parents as a foster child, a reasonable, but unsuccessful, effort has been made to place the child with appropriate adoptive parents without providing subsidy assistance. Has a condition (i.e., a state of health or behavior) which results in a guarded prognosis (although the child may appear normal) due to mental illness or retardation, drug usage by, or venereal disease of the parents. Has a history, which includes circumstances such as long-term out-of-home care, incest, or social or genetic complications in the family background. Recruitment efforts must have not produced appropriate adoptive parent(s) who could care for the child without the assistance of an adoption subsidy. An adoptive family is not “readily available” meaning a family who is willing to accept the child and appropriate to meet the child’s needs without a subsidy. If the agency has determined that the child cannot or should not return home, and the child meets the statutory definition of special needs with regard to specific factors or conditions, then the agency can pose the question of whether the prospective adoptive parents are willing to adopt without assistance. If they say they cannot adopt the child without adoption assistance, the requirement for a reasonable, but unsuccessful effort to place the child without providing adoption assistance has been met. (As defined in Section 473c of the Social Security Act); Or Special needs child placed in Missouri through a private child-placing agency and is Title IV-E eligible. Missouri is required by federal rule to provide adoption subsidy to these children. Children who meet the criteria for special needs may qualify for adoption subsidy.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-1-adoption-planning-4
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 1 – Adoption Planning Process :: 9.1.3.1 Sibling Preference/Consideration",Missouri,Rules,"2023, 2022, 2021","Administrative process, Adoption, Child rights, Guardianship",,,"The sibling relationship is unique and should be fostered in its own right (Youth Leadership Advisory Team, 2002). The sibling relationship in placement can serve as a source of safety, security and promote a sense of well-being and should be considered a priority when considering permanency through adoption. Siblings should be recruited for placement together unless a determination has been made that placement together is not in the best interest of the children. When considering permanency through adoption for a sibling group it is important to consider the preservation of sibling relationships and bond and understand that siblings placed together can provide support and healing during a time of transition and change. The Circuit Manager and appropriate regional staff will conduct a Sibling Separation Administrative Review when a Family Support Team has recommended separation of siblings for the purpose of adoption. The Administrative Review Team shall take into consideration the specific needs of each individual child and should review all pertinent information, including therapy reports, the sibling bonding assessment (if completed) and recommendations from the Family Support Team. If the outcome of the Administrative Review is to deny separation of siblings, recommendations should be made by the Administrative Review Team regarding the placement of siblings together. The Children’s Division should continue to recruit for the siblings as a group. Documentation of the Administrative Review should be placed in the Child’s section of the record. If the outcome of the Administrative Review is to approve the separation of siblings, the Children’s Division may recruit for separate adoptive resources for the children. Documentation of the Administrative Review should be placed in the Child’s section of the record.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-1-adoption-planning-5
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 1 – Adoption Planning Process :: 9.1.3 Considerations In The Selection Of An Adoptive Family",Missouri,Rules,"2023, 2022, 2021","Adoption, Child rights, Guardianship",,,"The Division’s goal, in fulfilling its commitment to a child who is available for adoption, is to locate and place the child with a family that can best provide permanency for the child.  This goal should be achieved within the shortest possible time from entry into out-of-home care and/or the decision that the child is available for adoption.  Meeting the child’s needs includes basic respect for his/her emotional, health, educational, and social needs, and integrating the cultural identity and religious background of the child. The Child’s Summary for Adoption shall be completed for any child for whom active recruitment is required to locate a prospective adoptive family.   Information may be gathered from the current foster/kinship/relative provider or other professional team members if needed. Families selected must demonstrate in various ways their ability to meet these needs and must have an approved adoptive family assessment. The Division, in expressing its responsibility for protection of the child and expertise in the practice of child placement, must make a decision that a specific family will be most likely to best meet the needs of the child. Adoption is different in the sense that the child arrives as a member of the family in a different manner. Thus, placement selection must be a carefully considered decision. To aid in this, an Adoption Staffing Team is used. This process is mandatory for a child being placed with a new family; however it is an optional process for the selection of the current resource provider family as the adoptive parent, unless required by the Family Support Team or recommended by the Regional Director or designee, and then must be completed.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-1-adoption-planning-6
"MO :: Section 4, Chapter 9 (Adoption and Guardianship Process), Subsection 1 – Adoption Planning Process :: 9.1.2.1 Preparing The Child/Family For Adoption By Foster Parents",Missouri,Rules,"2023, 2022, 2021","Adoption, Guardianship",,,"Even though a child has resided with a foster family for a significant period of time, a number of issues may arise once the child becomes available for adoption. It is imperative that the Children’s Service Worker address these issues with the child and family to ensure a smooth transition from a temporary to a permanent relationship. The issues which must be discussed include the following: Adoption requires a permanent commitment by all parties and should be thoughtfully considered and agreed to by the child and family. The foster parent shall inform the caseworker within sixty days of the caseworker’s initial query if they desire to adopt the child per RSMo 210.566. The family/child might need a third-party intermediary or therapist to assist them in making the decision. The role of Children’s Division will change from case management to placement support. The foster/adoptive parent will be responsible for making decisions and arrangements related to the child’s education, health care, counseling, etc. Family dynamics may change as new roles, expectations and responsibilities evolve from the change of the child’s status of foster child to adopted child.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-1-adoption-planning-1
"MO :: Section 4, Chapter 9 (Adoption and Guardianship Process), Subsection 1 – Adoption Planning Process :: 9.1.2 Foster Parent Preference And First Consideration For Placement",Missouri,Rules,"2023, 2022, 2021","Adoption, Guardianship, Placement",,,"According to Missouri Statute 453.070, RSMo “Any adult person or persons over the age of eighteen, who, as foster parent or parents, have cared for a foster child continuously for a period of nine months or more and bonding has occurred as evidenced by the positive emotional and physical interaction between the foster parent and child, may apply to such authorized agency for the placement of such child with them for the purpose of adoption if the child is eligible for adoption. The agency and court shall give preference and first consideration for adoptive placements to foster parents. However, the final determination of the propriety of the adoption of such foster child shall be within the sole discretion of the court.” In addition, RSMo 210.566 states:  “If a foster child becomes free for adoption and the foster parents desire to adopt the child, they shall inform the caseworker within sixty (60) days of the caseworker’s initial query. If the foster parents choose not to pursue adoption, they shall make every effort to support and encourage the child’s placement in a permanent home, including but not limited to providing information on the history and care needs of the child and accommodating transitional visitation, per RSMo 210.566. The Division implements this requirement when the child is legally available for adoption or when it appears very likely the child will be legally available for adoption by assessing the interest and capacity of the present family to adopt the child. Additionally, it is important to note that neither the Division nor the statute provides a guarantee that the present resource provider family will be approved or granted the right to adopt the child in their care. As in any adoption, only the juvenile court has the final authority to approve the adoption of a specific child by a specific family. During the staffing process the worker/team making adoption plans for a child should consider the foster parents’ capacity to meet the child’s long-term needs through adoption prior to considering other adoptive families. In making the selection of an adoptive family, consideration must be given to all of the child’s current and future needs.  Since adoption is a lifetime commitment for both the family and the child, attention must be given to assessing the many issues involved in meeting the child’s needs and the ability of a prospective adoptive family to meet those needs. In assessing resource provider families who currently have the child in care, the Division will assess the following factors: The length of time the child has been in the family’s care The attachment of the child to the family and the ability of the child to make new attachments The age of the child at placement with the specific family The child’s medical, educational, emotional, social, cultural identity and the family’s demonstration of meeting these needs as a predictor for successful parenting throughout the child’s growth to adulthood The family’s understanding of the purpose and meaning of the adoptive relationship The child’s desire to be adopted by the specific family The child’s acceptance as a member of the immediate family and understanding of the child’s role in the extended family The child’s assimilation into the family, including the family’s ability to encourage and preserve the child’s cultural identity and religious background Whether the child has siblings that will need placement with the child The need for continued contact (after adoption) with siblings, other relatives/kin and significant others The family’s acceptance of legal risk The child’s unique parenting needs When adoption becomes the permanency goal, the worker shall inform the current resource family of: The nine month preference statute and placement selection policies. This can be waived for supervision or desertion of the judge The required completion of an adoptive family assessment The required filing of the adoption petition within 90 days of the Division’s recommendation/approval for the family to adopt the child The Division’s willingness and desire that they have full opportunity to express their interest in adoption and to provide assistance in reaching this decision The range of factors that are assessed in determining their capacity to parent the child The availability of an adoption subsidy to assist in meeting the immediate and long-term costs of the child’s needs The child’s right, after age 18 to file a request with the court granting the adoptee to obtain identifying information about the biological parents or adult biological siblings Their right, legal guardian’s, and the child’s right, at age 18, to secure non-identifying information regarding the biological parents and siblings via completion of CS-50 The child’s right to register with the Adoption Information Registry via CD-51a at age 18 if he/she wishes to indicate a desire to be contacted by the biological parents or adult biological siblings The Family Support Team may serve as an Adoption Staffing if the only family being considered is the current placement providers. Use of a formal staffing team is still required if recommended by the Family Support Team or Regional Director. If the resource provider elects to adopt the child, they will not be a member of the staffing team.  When the resource parent chooses not to pursue adoption, they shall make every effort to support and encourage the child’s placement in a permanent home, including but not limited to providing information on the history and care needs of the child, accommodating transitional visitation and participating in the Adoption Staffing as a mandatory team member. Confirm the family’s interest in adoption within seven (7) days of explaining the permanent plan.  If the family is not interested or appropriate, seek another adoptive family to achieve permanency.  If interested, refer the family for adoptive application and family assessment to adoption specialist. Record any factors that resulted in the decision that the current resource family is appropriate as an adoptive parent within five (5) working days of decision.",https://fostercaresystems.wustl.edu/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-1-adoption-planning-process-912
"MO :: Section 4, Chapter 8 (Permanent Outcomes), Subsection 5 – Another Planned Permanent Living Arrangement",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Permanency, Placement",,,"Another Planned Permanent Living Arrangement (APPLA) is meant to be a planned permanent placement with a person that has a strong connection and bond with the child. The child must be 16 years of age or older to choose this permanency option. Choosing this option is appropriate when there is a specific, long-term placement for the child and when it has been documented to the court that compelling reasons exist which make the other permanency options unacceptable. The compelling reasons must be clearly identified and documented in FACES. As with Placement with a Fit and Willing Relative, APPLA is not a legal final permanency option. Therefore, the court must continue to hold annual permanency hearings until such time that the court enters a legal final permanency order reunification, adoption, or guardianship) or the child reaches age 21. The case manager shall continue to schedule regular FST meetings and provide support services as identified by the FST. A goal APPLA should be selected as the most appropriate permanency option under these circumstances: The child objects to TPR, and the juvenile court and/or Division believes it is in the best interest of the child not to pursue termination Adoption has been ruled out Guardianship or transfer of custody has been ruled out Placement with a Fit and Willing Relative has been ruled out There is an identified appropriate planned permanent living arrangement in which the child wishes to continue living All possible additional services are explored with the child and/or the placement provider to provide permanency The child is age 16 or older The out-of-home care provider will make a formal Planned Permanency Agreement with the Division for this purpose. NOTE: Ruling out more permanent options based only on a child’s age is contrary to the goals of ASFA. Individual determinations about each child’s needs and circumstances are necessary. Criteria for Continuation of APPLA as a Permanency Option For youth with a goal of APPLA, for the case review and the continued approval of the case plan for the youth, the Children’s Service Worker must do the following: Document steps taken to ensure the youth’s out-of-home care provider is following the reasonable and prudent parenting standard Consult with the youth, in an age appropriate manner, about the opportunities and activities he/she could participate in regards to extracurricular, enrichment, cultural, and social activities; Document at each permanency hearing for the youth per PL113-103, the intensive, ongoing, unsuccessful efforts made for family placement including returning home, securing a placement for the youth with a fit and willing relative (including adult siblings), a legal guardian, or an adoptive parent. Efforts should include search technology (including social media) to find biological family members for the youth and should be as of the date of the hearing At each permanency hearing, the appropriateness of the placement will be re-determined by the court by ascertaining the permanency plan for the youth through the following: Youth is asked about the desired permanency outcome for him/her; The judicial determination explains why as of the date of the hearing, another planned permanent living arrangement is the best permanency plan for the youth; Compelling reasons are provided why it continues to not be in the best interests of the youth to: return home be placed for adoption; be placed with a legal guardian; or be placed with a fit and willing relative. There is evidence of support for engaging the youth in age or developmentally appropriate activities and social events: The youth’s out-of-home care provider is following the reasonable and prudent parenting standard and The youth has regular, ongoing opportunities to engage in age or developmentally appropriate activities (including consultation with the youth in an age appropriate manner). Permanency Pact A Permanency Pact should be completed whenever either of the two permanency options, Placement with a Fit and Willing Relative or Another Planned Permanent Living Arrangement (APPLA), is selected for a youth. The purpose of the Permanency Pact is to identify permanent supports for the youth who will continue to play a permanent role in the youth’s life. Establishing permanency is a federal requirement and a guiding principle of the Children’s Division. It is critical to the youth’s success to identify those adults who will continue to provide various supports through and beyond the transition from care. Clarifying exactly what the various supports will include can help to avoid gaps in the youth’s safety net and misunderstandings between the youth and the supportive adult. The Permanency Pact is a tool to be used for the ongoing conversation regarding permanency planning. It is a pledge by a supportive adult to provide specific supports to a young person in foster care. Developed by FosterClub, the Pact provides the structure that is needed to help both youth and adults establish a positive, kin-like relationship. It is important that both the youth and the permanent connection identified understands their involvement with the youth. Youth transitioning from foster care are often unsure about who they can count on for ongoing support. Many of their significant relationships with adults have been based on professional connections which will terminate once the transition from care is completed. A Permanency Pact provides: structure and a safety net for the youth a defined and verbalized commitment by both parties to a long term supportive relationship clarity regarding the expectations of the relationship A Permanency Pact creates a formalized, facilitated process to connect youth in foster care with a supportive adult. The process of bringing the supportive adult together with youth and developing a pledge or “Permanency Pact” has proven successful in clarifying the relationship and identifying mutual expectations. A committed, caring adult may provide a lifeline for a youth, particularly those who are preparing to transition out of foster care to life on their own. Participants in a Permanency Pact In addition to the two primary parties in a Permanency Pact (the youth and the supportive adult), it is recommended that a Facilitator assist in developing the Pact. The Facilitator may be a Case Worker, Resource Provider or other adult who: is knowledgeable in facilitating Permanency Pacts is familiar with the youth, and can provide insight into the general needs of the youth transitioning from care The Supportive Adult is an adult who: has been identified by the youth has a relationship with the youth is willing to commit to a life-long relationship with the youth is a positive role-model, and is able to provide the youth with specific support on an on-going basis The Facilitator then: makes initial contact with the identified adult(s) updates them regarding the youths current situation gauges their level of interest assists the adult in identifying possible supports they will provide, and schedules and facilitates the Permanency Pact meeting Working with the Supportive Adult, the Facilitator can use the list of 45 Suggested Supports to draft a list of supports that the adult wishes to offer the youth. The list is then presented to the youth who will acknowledge the offer and accept those supports that they feel would be most beneficial. Additional supports may be suggested by either the youth or the supportive adult. The final list may then be hand written on the Permanency Pact available in e-forms. The youth and Supportive Adult sign the Pact and the Facilitator provides a witness signature. Copies of the Permanency Pact are provided to the youth, the Supportive Adult and maintained in the case record. All other members of the youth’s Permanency Planning/Family Support Team receive copies of the Permanency Pact. Taking a step toward trusting a relationship is often a very great accomplishment for a youth with a background where relationships are broken, promises are often not kept, and disappointment in caretakers prevails. The gift that a Supportive Adult contributes by way of a life-long commitment to the relationship is heroic. The impact of the forged relationship may be profound to all parties.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-8-permanent-outcomes-subsection-5-another-planned-permanent-living
"MO :: Section 4, Chapter 8 (Permanent Outcomes), Subsection 4 – Placement With A Fit And Willing Relative",Missouri,Rules,"2023, 2022, 2021","Permanency, Placement",,,"If a child is in CD custody and placed with a relative who wishes to care for the child long-term, adoption and guardianship should continue to be explored as they offer a stronger permanency option for the child. Placement with a Fit and Willing Relative, without adoption or guardianship, is not a legally secure permanency option. Therefore, the court must continue to hold annual permanency hearings until such time that the court enters a legally final permanency order (reunification, adoption, or guardianship) or the child reaches age 21. The case manager shall continue to schedule regular FST meetings and provide support services as outlined in this section and as identified by the FST. Efforts should be made to ensure this option is the best plan and that other more permanent options have not been overlooked. The permanency option of Placement with a Fit and Willing Relative should be selected under these circumstances: Return to one or both parents is not safe Adoption or guardianship are not options at the present time and the FST believes it is in the best interest of the child not to pursue termination All relatives have been considered and there is an identified relative resource who is willing to make a long-term commitment to care for the child The relative resource is able to meet the child’s physical, emotional, and developmental needs The child wants to be placed with the relative The relative has been fully informed of the legal effect of the placement and all available financial resources, including subsidies The parent(s) has been informed about the placement of the child with relative provider The out-of-home care provider will make a formal Planned Permanency Agreement with the Division for this purpose If the relative plans on continuing contact with the parent from which the child was removed, they are prepared to protect the safety of the child and make good decisions about the child’s contact with this parent",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-8-permanent-outcomes-subsection-4-placement-fit-and-willing-relative
"MO :: Section 4, Chapter 8 (Permanent Outcomes), Subsection 3 – Guardianship",Missouri,Rules,"2023, 2022, 2021","Guardianship, Permanency",,,"Guardianship is a permanency option for children for whom reunification or adoption is not feasible. In Missouri, orders of guardianship are entered by the Probate Court. Guardianship requires the caretaker to assume a high level of responsibility and authority over the child. Once guardianship is awarded by the probate court, the Division’s legal responsibility for case management services is terminated. However, with the passage of H.R. 6893: Fostering Connections and Increasing Adoptions Act of 2008, youth who enter guardianship after the age of 16 are eligible for Chafee Foster Care Independence Program Services and these services must be monitored. This plan has limited application, and should be selected under the following circumstances: The Family Support Team has determined that family reunification is not likely in the foreseeable future and termination of parental rights is deemed inappropriate Adoption is not an option Current placement provider is able to meet the needs of the child including financial Current placement is stable The child’s caretaker family is willing to pursue guardianship The child, if over 14 years of age, consents The juvenile court having jurisdiction supports guardianship as an option and is willing to terminate its jurisdiction when such is granted The child’s Family Support Team is supportive of plan for guardianship. There are two forms of guardianship available to caretakers interested in this permanency option for children. The first is guardianship by a qualified relative or a qualified close nonrelated person in accordance with 453.072 RSMo. Qualified individuals achieving guardianship may be eligible for guardianship subsidy through the Children’s Division. The second form of guardianship is guardianship – no subsidy. Staff are encouraged to discuss these options with caretakers interested in legal guardianship and to explain the eligibility criteria for subsidy benefits. Staff will also have the responsibility for entering information into FACES appropriately as there will be two options available for guardianship in the placement section of FACES. These two options include guardianship-subsidy and guardianship-no subsidy. As used in this section and defined by 453.072 RSMo: Relative means any grandparent, aunt, uncle, adult sibling of the child or adult first cousin of the child, or any other person related to the child by blood or affinity; Close nonrelated person means any nonrelated person whose life is so intermingled with the child such that the relationship is similar to a family relationship. A priority should be made to place siblings together, whenever possible. CD must make reasonable efforts to place siblings in the same placement unless doing so would be contrary to the safety or well-being of any of the siblings. Children who are 16 years of age or older at the time of the guardianship are eligible for Chafee older youth services, even after the Guardianship is completed. These services shall be monitored by the family subsidy worker. The Division’s legal relationship, as well as services and foster care payments to the child/family, would terminate once guardianship is established. However, support services may continue as needed/desired and available, such as guardianship subsidy. Note: Adult Guardianships and Conservatorships are not the same as these types of guardianships and are considered for children between 18 and 21 who have a permanency goal of APPLA. Procedures for Pursuing Guardianship: Discuss prospects of guardianship with the Family Support Team including the child, if age appropriate, birth parent(s) and caretaker(s). If guardianship appears a viable option, the caretaker family should be directed to consult with legal counsel. Once the case plan has changed to guardianship, the Children’s Service Worker responsible for case management should notify the Children’s Service Worker responsible for the subsidy immediately to ensure that the subsidy worker has time to negotiate the Legal Guardianship subsidy agreement prior to the award of guardianship. The Children’s Service Worker responsible for the subsidy has the responsibility to meet with the prospective guardian to discuss services available through guardianship subsidy, including the option to name a successor guardian at the time of the initial subsidy agreement or any amendments thereafter. For the prospective guardian to be eligible for guardianship subsidy, they must be a qualified relative of the child or a qualified close nonrelated person. The caretaker family also must comply with all licensing requirements including training, background checks and the home study process. Procedures for Closing Case The following procedures are required by the Children’s Service Worker after the court has issued an Order for Guardianship and the family will not receive a guardianship subsidy: Close necessary functions in FACES such as service authorizations and KIDS account. Ensure all case information in FACES is accurate and updated. Place copy of Order for Guardianship in case record.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-8-permanent-outcomes-subsection-3-guardianship
"MO :: Section 4, Chapter 8 (Permanent Outcomes), Subsection 2 – Adoption",Missouri,Rules,"2023, 2022, 2021","Adoption, Permanency, Termination of parental rights",,,"Adoption offers the most stability to the child who cannot return to their parent(s) and is the second most legally binding permanency plan. Adoption should be considered an appropriate permanent plan when: The goal of reunification has been ruled out There is clear, cogent and convincing evidence that one or more grounds for TPR exist and CD has determined that there are no compelling reasons not to file a TPR. The evidence for these grounds must be clearly documented in the case record The parent(s) has failed to correct those problems and or conditions which contributed to the child’s placement in out-of-home care and are not likely to do so in the near future The parent(s) wants the child to be adopted, or termination of parental rights has been completed or is being pursued The child wants to be adopted Termination of parental rights has serious and lasting consequences to parents and children. Therefore, it is often difficult for Children’s Service Workers and others to recommend termination of parental rights. Conversely, courts may be hesitant to terminate parental rights. However, section 211.447, RSMo, sets forth the grounds for involuntary termination of parental rights and should be used by the worker and others in deciding when to recommend termination of parental rights. If the worker is unsure whether statutory grounds for filing an involuntary TPR exists in a case, the worker may request that their supervisor request a case consultation with a Division of Legal Services attorney. Once TPR occurs, a child is potentially available for adoption until court releases the Division from custody and/or supervision of the child. The case manager shall continue to provide support services and hold regular FST meetings until the adoption is finalized and ordered by the Court and jurisdiction is released.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-8-permanent-outcomes-subsection-2-adoption
"MO :: Section 4, Chapter 8 (Permanent Outcomes), Subsection 1 – Reunification :: 8.1.1 Process Of Returning A Child Home",Missouri,Rules,"2023, 2022, 2021","Administrative process, Permanency, Reunification",,,"Development of Reunification Plan The Children’s Service Worker and the FST shall develop a plan with the parent, child (if appropriate) and safety network which outlines the continued responsibilities of the Division, parent, child, and network in order to ensure successful reunification. The worker shall continue to provide any specialized treatment services needed to maintain family stability and prevent recurrence of the behaviors, which resulted in the original placement. Preparing the Resource Provider As a member of the FST, the resource provider participates in making significant decisions in the child’s life. The resource provider will also assume an active role as mentor and helper to the parent to facilitate a successful family reunion. The goal of reunification should not come as a surprise to the resource provider. However, the bonds that develop between some resource providers and children are so significant that both the child and the adult may grieve the loss. Therefore, it is important that the Children’s Service Worker recognizes the signs of grieving and assists the child and resource provider through this difficult transition. The Children’s Service Worker and resource provider should discuss: Resource provider’s fears or anxieties regarding the child’s return to the parents Anticipated changes in the child’s behavior during the transition phase Resource provider’s role in helping/supporting the parent and child make the transition Updating the life book and other records maintained by the resource provider Continued contact, if any, with the child and parent Preparing the Non-Custodial Parent In preparing the non-custodial parent for reunification with the child, the Children’s Service Worker should consider the non-custodial parent’s awareness and involvement in the child’s placement, (i.e. communication and visitation and his/her previous role in the child’s life). In addition, the worker and non-custodial parent should discuss anticipated issues and methods for coping with those issues. If necessary, an aftercare plan may be developed with the non-custodial parent to ensure successful reunification. If the family/juvenile court terminates jurisdiction, legal custody will revert to the prior legal custodian. The non-custodial parent must obtain legal custody through civil court.\ Post-Reunification Support Reunification support services are critical to a successful family reunion. Reciprocal and open communication between the Children’s Service Worker, parents, child, resource provider, and external agencies providing services to the family or child is essential to identifying services needed for successful family reunification. Services should be consistent with the individual needs of family members. The following represents activities that the worker shall complete with the family: Assure face-to-face contact with family and child in the home occurs once a week for the first month of reunification by the Children’s Service Worker Identify community supports and safety networks needed to aid family reintegration Continue any specialized treatment services needed to maintain the family stability and prevent reoccurrence of behaviors which resulted in the original placement Continue any needed referrals and assistance to the parent(s) Contact with the family, as needed Determine that the family demonstrates adequate care of children and termination of services can be considered Determine with the parents a projected date for case closing Complete the Social Service Plan closing reassessment Conduct a closure visit, the Social Service Plan closing reassessment with Worker and Supervisor signatures should be reviewed with, signed by the family, and a copy provided to the family at the closing visit. Provide a copy of the Social Service Plan’s Long Term Safety/Support Plan section to all parties who are noted to be participating in the Long Term Safety/Support plan. Issues that the Children’s Service Worker should discuss with the family and child during contacts should include, but are not necessarily limited to, the following: The progressive periods of child’s adjustment (i.e., separation and grief, honeymoon, testing of limits, etc.); Parents’ uncertainty about their ability to adequately meet the child’s needs Increased responsibility for meeting child’s needs for safety and security How family relationships have been affected by the child’s return home and What services have been helpful and what additional services are needed. Requesting Termination of Court Jurisdiction The Children’s Service Worker shall request, in writing, termination of court jurisdiction according to the requirements of the presiding court. Staff should not close the Alternative Care Client Information screen in FACES until the court has terminated jurisdiction.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-8-permanent-outcomes-subsection-1-reunification-811-process-returning
"MO :: Section 4, Chapter 7 (Family Support Teams), Subsection 4 – Lack Of Consensus",Missouri,Rules,"2023, 2022, 2021","Administrative process, Court system",,,"Occasionally, there are situations when Family Support Team participants put forth recommendations which Children’s Division (CD) staff cannot accept due to the fact that the recommendations are not believed to be in the best interest of the child and/or conflicts with CD’s policy. Unless otherwise noted in this manual, staff should follow the steps listed below when confronted with a lack of consensus at a FST meeting. The Children’s Service Worker should: Inform the participants of the meeting that s(he) may not approve or agree with the specific recommendation, and will seek supervisory guidance. Refer the issue to the next level of supervision for review and guidance. The Supervisor/Circuit Manager or designee should review the case plan. If it is determined the recommendation is in the best interest of the child, the Supervisor/Circuit Manager or designee should provide written (email) documentation to the worker why the specific recommendation is appropriate, and the worker should then submit the case plan to the court of jurisdiction. If it is determined the recommendation is not in the best interest of the child, the Supervisor/Circuit Manager or designee should provide the worker with written (email) documentation why the specific recommendation is not appropriate. The worker should then submit the case plan along with a written explanation to the court of jurisdiction why the CD believes the recommendation is not in the best interest of the child. If there is still disagreement after discussion with the supervisor and/or Circuit Manager, the county should forward all relevant information to the Regional Director or Designee, who will review the case to determine how CD should proceed.Lack of consensus between team members could result in a delay in permanency for the youth, thus it is especially important that this process is followed in a timely manner to avoid any delays to the youth reaching permanency. If an attending member of the FST continues to not agree with the decision and feels that the FST procedure was in error or that consensus was not reached due to bias by one or members, refer to Family Support Team Decision Review policy, in Section 6 of this Manual.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-7-family-support-teams-subsection-4-lack-consensus
"MO :: Section 4, Chapter 7 (Family Support Teams), Subsection 3 – Family Support Team Meeting Agendas",Missouri,Rules,"2023, 2022, 2021","Child rights, Services while in care - Other",,,"Family Support Team Agendas The following are guidelines for structuring FST meetings. This can be adjusted based on the needs of the family and specific case. At the beginning of each Family Support Team meeting the Children’s Division must state: “All information provided in this meeting is confidential. Any one not agreeing to keep information disclosed confidential can be asked to leave the meeting for any portion in which he/she is not testifying.” All persons attending the meeting should sign a confidentiality statement (FST-1). This form will be provided to all team members after the meeting is completed. Review the Social Service Plan with the team. Discuss any behavioral changes, supports in place to assist the family in reaching their safety goal(s) and overall progress towards the safety goal(s). Determine if a recommendation can be made for the child to go home and any changes that need to be made to further support the family’s progress. Determine the reasons a recommendation cannot be made for the child to go home at this time and what further behavioral changes are needed before reunification could be recommended. Review documents furnished by the parents, if any. Determine current treatment needs of individual family members and the family as a unit, and incorporate them into the Social Service Plan. Determine what progress has been made with the family’s involvement in any services or support systems. Determine if current placement provider can continue to meet the child’s and/or sibling group’s needs or if additional services are needed to maintain the placement. Inform FST members that they can have access to pertinent medical records and/or medical information of the child. Provide FST members with the CD-287 Learn Your Rights brochure. Inform the FST members if the child has been prescribed or administered a psychotropic medication as defined in Section 4, Chapter 4 (Working with Children), Subsection 3 – Medical and Behavioral Health Planning 4.3.1 Definitions. Ask the members if there is anyone who objects to the Child’s being administered Psychotropic Medication. In addition, if anyone wants to become an Alternative Consenter as defined in Section 4, Chapter 4 (Working with Children), Subsection 3 – Medical and Behavioral Health Planning 4.3.1 Definitions. If yes to either question review the procedure in Section 4, Chapter 4 (Working with Children), Subsection 3 – Medical and Behavioral Health Planning 4.3.3 Informed Consent, Alternative Consenter and document in FACES how the situation was addressed and/or resolved Develop a plan for visitation and contact with the participation of Family Support Team members. Efforts should be made to include non-custodial parents in visitation planning. The visitation plan should be agreeable and comfortable and made in the best interest of the child and/or sibling group. The Progress Assessment portion of the Social Service Plan should be utilized during every FST to gather each participants response to‘What good things are you seeing this Parent/Caregiver/Guardian doing and what progress have you observed toward the safety goal?’, their response to ‘What concerns do you still have regarding the progress or behaviors of the Parent/Caregiver/Guardian?’, their response to ‘What more needs to happen in relation to the Parent/Caregiver/Guardian behavioral changes to bring them closer to the safety goal?’ and any next step suggestions to help the family reach their safety goal(s). When gathering this information, be specific about documenting observed behavioral changes within the family. These individual responses, including those of the family, all natural supports, other members of the FST and Children’s Division shall be documented thoroughly in the Social Service Plan Progress Assessment section. Progress documented at the meeting will help the Family Support Team formulate a recommendation about any changes to the child’s permanency plan and placement, including reunification. When gathering this information, be specific about documenting observed behavioral changes within the family. These individual responses, including those of the family, all natural supports, other members of the FST and Children’s Division shall be documented thoroughly in the Social Service Plan  Progress Assessment section. The Social Service Plan Child Section should be reviewed during every FST to determine progress towards identified needs of the child(ren) or any new needs to be addressed. Any changes, met needs or identification of needs should be reflected on the Social Service Plan in the next assessment period. Schedule the date and time for the next meeting.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-7-family-support-teams-subsection-3-family-support-team-meeting-agendas
"MO :: Section 4, Chapter 7 (Family Support Teams), Subsection 2 – Composition Of Family Support Teams",Missouri,Rules,"2023, 2022, 2021","Child rights, Social worker licensing/qualifications",,,"Composition of the Family Support Team Individuals who must be invited to Family Support Team (FST) meetings include: Youth age 12 and older Parents Legal counsel for the parents Resource providers Legal guardian for the child Juvenile officer The Guardian ad Litem (GAL) The Court Appointed Special Advocate (CASA) Up to two (2) youth-chosen advisors advocate (for youth 12 and over) on behalf of the youth in regard to application of the reasonable and prudent parenting standard. Individuals invited by the parents A child under the age of 12 may participate in the FST with approval of the supervisor. Individuals that may be invited include youth supports and Chafee Foster Care Independence Program staff. The youth may choose two advocates to attend the FST meeting with them.  The FST may limit these persons based on the child’s safety and well-being.  If the FST chooses to not allow one or more of the child’s chosen advocates to attend the meeting, the FST must inform the child as to why prior to the meeting. These persons shall be provided adequate notice of the meeting prior to the scheduled date of the meeting. All youth age 12 and over must be consulted and have input into their plan and any changes in the plan. CD will also notify and invite designated Probation and Parole staff to FST meetings when agreed to by the family or where necessary for the case and treatment of the child(ren). The parents, their legal counsel, and the resource providers may request that other individuals, other than alleged perpetrators, be permitted to attend such meetings. Families may determine whether individuals invited at their discretion shall continue to be invited. Supervisors are not required to attend FST Meetings. However, they should attend the FST when supervisor support, guidance, and/or approval are needed, particularly during critical decision making points. Supervisors should attend FST with new workers until the worker demonstrates proficiency in the facilitation of the FST. Staff may consider including their Children’s Service Specialist in the decision-making process when appropriate. Participants involved in the decision-making process should be clearly identified and documented in FACES. Meetings should be scheduled at a time that is convenient for the family and children. Invitations to participants in the meeting should be given at least two weeks in advance, when possible.  Each FST should be documented clearly in FACES to explain the events, outcomes, and decisions made during the meeting, including the review and any updates or changes to be made to the Social Service Plan.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-7-family-support-teams-subsection-2-composition-family-support-teams
"MO :: Section 4, Chapter 7 (Family Support Teams), Subsection 1 – Types Of Family Support Team Meetings",Missouri,Rules,"2023, 2022, 2021","Placement, Safety, Social worker licensing/qualifications",,,"Meetings organized and held by the Division serve specific purposes, as detailed below: 72-Hour Family Support Team Meeting – The Family Support Team will determine if the child(ren) can be reunited immediately with his/her parents or if continued out-of-home care is warranted and begin assessment of the child(ren) and family, using the Initial Family Assessment (CD-301), and if necessary, the Initial Family Assessment Attachment (CD-301a). The Initial Family Assessment of the family shall be utilized to develop a Social Service Plan, including the permanency and concurrent goals, with the family and team within 30 days of case opening. The worker shall also begin gathering information from the family, natural supports and placement provider(s) to determine the initial needs of the child(ren). These needs shall be documented in the Social Service Plan Child Section and continually updated throughout the case. If the recommendation is for the child(ren) to remain in custody, the Children’s Service Worker will involve the Family Support Team in identifying those extended family members (as well as unrelated persons) who may have had an ongoing, significant relationship with the child to determine potential placement resources for the child(ren). A preliminary visitation plan should be developed at this time to assure visitation between the child, their parents, and/or siblings.  Any documents provided to the family should be recorded on Verification of Receipt of Documents & Information (CD-301b) by an initial and date of the family. For youth age 14 and older, the Adolescent FST Guide (CD94) and Individualized Action Plan Goals (CD94) must also be completed. See Chapter 5 for more information on Older Youth. When possible, with the best interest of the child in mind, arranging for the child to continue to attend the same school should be discussed during the 72-hour Family Support Team meeting. 30-Day Family Support Team Meeting – The Family Support Team (FST) meets within 30 days to solidify the Social Service Plan , finalize the Initial Family Assessment, and assess progress on resolving issues that led to  removal.  By the 30 day FST, the Children’s Service Worker should have engaged all members of the team and any additional sources of information to more fully assess and document the reason(s) for Children’s Division’s involvement, the harm and impact to the child(ren), everyone’s worries, the threats of harm, safety goals, the parent/caregiver/guardians protective capacities, the child(ren)’s vulnerabilities, the family’s strengths/needs, the child(ren)’s strengths/needs, next steps, along with formal and natural supports to reach the safety goals. All information gathered should be contained in the Social Service Plan and reviewed at every FST meeting. The completed Social Service Plan should be shared with the members of the team, keeping in mind that appropriate releases need to be obtained and/or the information on the Social Service Plan may need to be redacted dependent on who is receiving and entitled to the information. Continual reassessment of progress towards safety goals by the Family Support Team will then determine whether the child can be returned home safely and/or what additional services are needed toward resolution of issues. 60-Day Family Support Team Meeting – The Family Support Team (FST) should review and assess progress on the Social Service plan. The Progress Assessment portion of the Social Service Plan should be utilized during every FST to gather each participants (all parents, children, natural supports, resource providers, professional supports and service providers) current response to ‘What good things are you seeing this Parent/Caregiver/Guardian doing and what progress have you observed toward the safety goal? ?’, their response to ‘What concerns do you still have regarding the progress or behaviors of the Parent/Caregiver/Guardian? ?’, their response to ‘What more needs to happen in relation to the Parent/Caregiver/Guardian behavioral changes to bring them closer to the safety goal? ?’ and any next step suggestions to help the family reach their safety goal(s). When gathering this information, be specific about documenting observed behavioral changes within the family. These individual responses, including those of the family, all natural supports, other members of the FST and Children’s Division shall be documented thoroughly in the Social Service Plan Progress Assessment section. Progress documented at the meeting will help the Family Support Team formulate a recommendation about any changes to the child’s permanency plan and placement, including reunification. 90-Day Family Support Team Meeting – Repeat from 60 day FST. Subsequent Team Meetings – Repeat from 60 and 90 day FST. 6, 12, and 18-month Family Support Team meetings – These meetings must be held prior to six months from the date the child entered care, and then every six months thereafter for as long as the CD maintains custody.  The purpose of these meetings is to determine: The safety, health and well-being of the child and their adjustment to placement The continuing necessity for and appropriateness of the placement The extent of compliance with the case plan The extent and progress which has been made in alleviating or mitigating the causes necessitating placement in foster care The quality and compliance of the visitation plan To project a likely date by which the child may be returned to and safely maintained in the home or placed for adoption or legal guardianship Review of educational stability of the child Discussion of normalcy and age-appropriate activities the child has been involved in All information provided at meetings or administrative hearings regarding removal of a child is confidential except: A parent or a party may waive confidentiality for himself or herself. Any parent has the absolute right to record or videotape such meeting to the extent allowed by the law. No parent or party shall be required to sign a confidentiality agreement before testifying or providing information at such meeting or hearing. Any person, other than a parent or party, who does not agree to maintain confidentiality, may be excluded from any portion of the meeting during which he/she is not testifying or providing information. The Children’s Service Worker should ensure that accommodations are made for any special needs of Family Support Team members (i.e., English as second language/sign language interpreters, accessibility for physical disability or handicap). Placement Stability FST Meetings A team meeting shall be held prior to taking any action relating to a change in placement of a child in the Division’s custody. The FST should review the Foster Family Profiles of potential resource providers in determining and selecting the most appropriate placement for the child. When the welfare of a child in the custody of the Division requires an immediate or emergency change of placement, CD may make a temporary placement and shall schedule a FST meeting within 72 hours of the temporary placement. The purpose of the placement stability FST is to: Help stabilize the child in the current placement by considering the factors contributing to the request for change of placement and addressing those specific factors with the placement provider; Assess the child’s placement needs, the needs of the placement provider, and identify additional supports or services to maintain the placement; Discuss the need for a different placement only if the current placement cannot be maintained, and evaluate service and treatment needs prior to selecting the next placement provider; Determine the most appropriate placement for the child and ensure that the receiving placement provider has all the information about the child and child’s family (per Section 210.566 RSMo) as well as the services identified by the Placement Stability FST prior to the transition; Discuss the child’s educational needs and work with local school districts to ensure the child remains in the current school district when possible. Educational stability should be a priority when assessing the child’s placement needs and making placement decisions; and Reduce the amount of placements for the child and increase child stability. Separation of Siblings FST meetings An FST meeting is to be held prior to the separation of a sibling group. The Children’s Service Worker should document that reasonable efforts were made to place the sibling group with the same placement provider, and why such placement was not possible.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-7-family-support-teams-subsection-1-types-family-support-team-meetings
"MO :: Section 4, Chapter 6 (Working With Parents), Subsection 5 – Termination Of Parental Rights :: 6.5.4 Outcomes Of TPR",Missouri,Rules,"2023, 2022, 2021","Court system, Legal process, Termination of parental rights",,,"TPR Granted:  If the Court grants TPR, then CD must implement the permanency plan. TPR Not Granted: If the Court denies the petition the worker should evaluate the reasons the court gave for the denial and take appropriate actions, including reevaluating the permanency plan for the child. The worker should promptly schedule an FST to determine an appropriate case plan. Such discussions in the FST should include evaluation of appropriateness of the concurrent plan. If the Court denies the petition and the child was in the custody of the Children’s Division the Division may have the right to appeal the decision to the Court of Appeals or the Supreme Court. The decision whether or not to file an appeal must be made in conjunction with the Circuit Manager and the Division of Legal Services. An appeal must be filed within 40 days of the date of the Court’s order denying the petition. To pursue an appeal the Division of Legal Services must prepare and submit a referral to the Attorney General’s Office. If the Division wishes to consider pursuing an appeal the Division must refer the matter to DLS no later than 10 days from the date of the entry of the Court’s order. If the appeal is not filed with the court in a timely manner the judgment becomes final and, in most circumstances, cannot be appealed further. If costs are assessed (such as attorney fees), against the Division, payment must be processed within 30 days. If there is a question about whether the Court has the authority to assess the costs or attorney fees against the Division, or whether the amount charged to the Division is reasonable the worker should initiate a referral for legal advice to the Division of Legal Services (DLS). Court rules impose time limits on the ability of the Division to challenge such orders once they are entered. In most cases challenges must be filed with the court within 30 days of the date of the entry of the Court’s order. The worker and the supervisor must therefore process such DLS referrals on an expedited basis. NOTE:  Section 211.444, RSMo, states: “The written consent required by subsection 1 of this section shall be valid and effective only after the child is at least forty-eight hours old and if it complies with the other requirements of Section 453.030, RSMo.” Related Practice Alerts and Memos: 2-18-20 – PA20-CM-01 – Termination of Parental Rights Referral Form",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-6-working-parents-subsection-5-termination-parental-rights-654-outcomes
"MO :: Section 4, Chapter 6 (Working With Parents), Subsection 5 – Termination Of Parental Rights :: 6.5.3 Procedures For Involuntary Termination Of Parental Rights (TPR)",Missouri,Rules,"2023, 2022, 2021","Legal process, Termination of parental rights",,,"A plan for involuntary termination of parental rights may be appropriate when there is clear and convincing evidence that one or more of the specified legal grounds for filing a TPR exist in the case and termination of parental rights is in the best interest of the child. When the Family Support Team determines that the child’s best interest would be served by pursuing involuntary termination of parental rights, the Family Children’s Service Worker should take the following steps: Review termination of parental rights statutes (Section 211.442 – 211.487) and determine if case information is consistent with TPR grounds for an involuntary action. In cases where the worker or supervisor are uncertain about whether there is a legal or factual basis for filing a TPR petition they should refer the case to the Division of Legal Services (DLS) for a legal consultation through the DLS referral process. CD workers should not be consulting the Juvenile Officer, Juvenile Officer’s attorney, the GAL or other private attorneys for legal advice. Advise the parents of the decision and explore with them the prospects of voluntary relinquishment of their rights. If the parent is represented by an attorney, the worker should not discuss this issue with the parent without first notifying the attorney and asking whether the attorney has any objection to the worker discussing the prospects of voluntary relinquishment of their rights. If the attorney has objections then the worker should work through the attorney. If the worker is represented by DLS the worker should request that the DLS attorney initiate this process. If the parent does not have an attorney the worker should refer the parent to local legal services. Submit a written report in accordance with local juvenile court policy. The Family Children’s Service Worker should document: Efforts expended to identify and locate parents, Services provided to each parent, i.e., intensive in-home services, drug/alcohol assessment, counseling and/or group meetings, parent aid services, family and/or individual counseling, parent training; Response of parent(s) to services, i.e., did parent attend as required, did parent actively participate, has parent demonstrated improved abilities or skills as a result of services; Assessment of child’s needs, i.e., is continuing relationship with birth parent positive or negative for child, prospects for adoption; and Rationale for recommendation, i.e., even if given more time and more services, parents will not in foreseeable future be in position to assume care and custody of child. Receive written decision from juvenile officer regarding intent to file TPR petition: Follow up with a letter requesting decision if written decision is not received within 30 calendar days. All Ordered Evaluations and Reports Shall be made available to the Court 15 Days Prior to the Dispositional Hearing or as Ordered by the Court. Assure DLS attorney is unavailable to file the TPR petition If juvenile officer declines to file petition for involuntary termination of parental rights, cases should be reviewed through supervisory channels. If an adoptive staffing has occurred, a family has been identified for the child, and there are no other competing petitions anticipated or filed, consult the family regarding their willingness to proceed with a petition for adoption and termination of parental rights. If it is determined the adoptive family will, through their attorney, file the petition for TPR and adoption, an Agreement for payment of Litigation Costs in Termination of Parental Rights Cases is appropriate. The worker will make contact with the central office Adoption Unit to initiate the request for an agreement. If petition for involuntary termination of parental rights is filed by the juvenile court, Division of Legal Services or the prospective adoptive parent(s) attorney, cooperate with local juvenile court requirements for interrogatories, depositions, appearances, testimony, etc. Pursuant to section 210.145, RSMo; “16 In any judicial proceeding involving the custody of a child the fact that a report may have been made pursuant to sections 210.109 to 210.183 shall not be admissible. However, nothing in this subsection shall prohibit the introduction of evidence from independent sources to support the allegations that may have caused a report to have been made.”  This means that the fact that the Division has substantiated a hotline report is not admissible in evidence as grounds to support a TPR petition and it should not be a stated ground for filing a TPR petition. The statute, however, expressly permits the use of the underlying evidence to support the allegations which may have caused a report to have been made. This means, for example, that the fact that the division may have a substantiated finding that a parent sexually abused the child is not admissible to prove the child was sexually abused. It is proper, however, for the party to plead and introduce evidence on the fact that the child was sexually abused from independent evidence such as the child’s statements, witness testimony, medical evidence and evidence from the counselor or the therapist. This provision of the law is to limit harassment reports. However, as a result, staff may be denied the ability to enter some evidence. If this becomes an issue, staff may consult with DLS. Collect parental background information, i.e., ethnic/cultural/religious heritage, physical description, health, education, etc. Once case is concluded, obtain copy of any orders entered. Related Practice Alerts and Memos: 2-18-20 – PA20-CM-01 – Termination of Parental Rights Referral Form",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-6-working-parents-subsection-5-termination-parental-rights-653
"MO :: Section 4, Chapter 6 (Working With Parents), Subsection 5 – Termination Of Parental Rights :: 6.5.2 Procedures For Pursuing Voluntary Termination Of Parental Rights (TPR)",Missouri,Rules,"2023, 2022, 2021","Legal process, Termination of parental rights",,,"A request for voluntary termination of parental rights may arise in many different circumstances. It may come from expectant mothers who wish to place their infant for adoption or parent(s) of one or more children. It may come from parents involved in a child abuse neglect case. It may come from parents involved in private child custody or child support case. When a birth parent approaches the worker about executing a voluntary consent to termination of parental rights the Children Services Worker should determine the basis for the parent(s) request. The worker should inform the parent(s) of the full range of alternatives for providing for the child including services available through the Children’s Division and other agencies and community resources. The worker should explain to the birth parent that deciding whether to sign to sign consent to TPR is a very significant step which has and permanent legal and social consequence for the birth parents, the child and the extended family. The worker should inform the parent(s) that the worker is not giving legal advice about whether or not it is in the birth parent’s legal interests to sign consent to TPR form.  The worker should advise the parent to consult with an attorney before the parent makes a decision to agree to a voluntary termination of parental rights. If the parent does not have an attorney the worker should refer the parent to the legal aid office which covers the area and any other resources such as the Missouri Bar Lawyer’s Referral Service ( www.mobar.org ). The worker should carefully document in the record what information was provided to the parent and that the worker advised the parent to seek independent legal advice before signing the consent. The parents should be given sufficient time to carefully think through their decision and to consult with an attorney. If the parent of the child is a minor, or the worker has information which would indicate that the parent is under a disability which may make it difficult for the parent to understand the legal and social consequences of signing a consent to termination of parental rights, the consent to termination of parental rights may be invalid unless additional procedures are followed. If any of these circumstances apply the worker should refer the matter to DLS for legal advice on what legal procedures may be appropriate. Once voluntary relinquishments become the plan, the following steps should be completed: Written consent forms, authorized by the local juvenile court, should be completed and signed in accordance with court policy. It is preferable that the parent’s attorney be present when the forms are signed. If a custody order is required, follow local juvenile court requirements for obtaining one. Cooperate with local juvenile court requirements for letter/report, interrogatories, depositions, appearances, testimony, etc. Collect parental background information, i.e., ethnic/cultural/religious heritage, citizenship or immigration status, physical description, health, education, etc. It is also important to determine whether the child may have Native American ancestry and whether notice to the tribe is required by the federal Indian Child Welfare Act. Once case is concluded, obtain copy of any orders entered. Related Practice Alerts and Memos: 2-18-20 – PA20-CM-01 – Termination of Parental Rights Referral Form",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-6-working-parents-subsection-5-termination-parental-rights-652
"MO :: Section 4, Chapter 6 (Working With Parents), Subsection 5 – Termination Of Parental Rights :: 6.5.1 Guidelines For Determining Grounds Or Triggering Events For Termination Of Parental Rights",Missouri,Rules,"2023, 2022, 2021","Legal process, Termination of parental rights",,,"A petition to terminate the paternal rights of the child’s parent(s) shall be filed by the juvenile officer or the Children’s Division (CD) or if the petition is filed by another party, the Juvenile Officer or CD shall seek to be joined as a party to petition when the following grounds are present: Child has been in foster care for at least fifteen (15) of the most recent twenty-two (22) months; or A court of competent jurisdiction has determined the child to be an abandoned infant: The parent has left the child under circumstances that the identity of the child was unknown and could not be ascertain, despite diligent searching, and the parent has not come forward to claim the child; or The parent has, without good cause, left the child without any provision for parental support and without making arrangements to visit or communicate with the child, although able to do so; or A court of competent jurisdiction has determined that the parent has: Committed murder of another child of the parent; or Committed voluntary manslaughter of another child of the parent; or Aided or abetted, attempted, conspired or solicited to commit such a murder or voluntary manslaughter; or Committed a felony assault that resulted in serious bodily injury to the child or to another child of the parent. The juvenile officer or the division may file a petition to terminate the parental rights of the child’s parent when it appears that one of the following exists: The child has been abandoned for the purposes of this subdivision a ‘child’ means any child over one year of age at the time of filing of the petition. The court shall find that the child has been abandoned if, for a period of six (6) months or longer: The parent has left the child under such circumstance that the identity of the child was unknown and could not be ascertained, despite diligent searching, and the parent has not come forward to claim the child; or The parent has, without good cause, left child without any provision for parental support and without making arrangements to visit or communicate with the child, although able to do so; The child has been abused or neglected. In determining whether to terminate parental rights pursuant to this subdivision, the court shall consider and make findings on the following conditions or acts of the parent: A mental condition which is shown by competent evidence either to be permanent or such that there is no reasonable likelihood that the condition can be reversed and which renders the parent unable to knowingly provide the child the necessary care, custody and control; Chemical dependency which prevents the parent from consistently providing the necessary care, custody and control of the child which cannot be treated to enable the parent to consistently provide such care, custody and control; A severe act or recurrent acts of physical, emotional or sexual abuse toward the child or any child in the family by parent, including an act of incest, or by another under circumstances that indicate that the parent knew or should have known that such acts where being committed toward the child or any child in the family; or Repeated or continuous failure by the parent, although physically or financially able to provide the child with adequate food, clothing, shelter, or education as defined by law, or other care and control necessary for the child’s physical, mental, or emotional health and development. Nothing in this section shall be construed to permit discrimination on the basis of disability or disease; The child has been under the jurisdiction of the juvenile court for a period of one (1) year, and the court finds that the conditions which led to the assumption of jurisdiction still persist, or condition of a potentially harmful nature continue to exist, that there is little likelihood that those conditions will be remedied at an early date so that the child can be returned to the parent in near future, or the continuation of the parent-child relationship greatly diminishes the child’s prospects for early integration into a stable and permanent home. In determining whether to terminate parental rights under this subdivision, the court shall consider and make findings on the following: Treatment Plan Progress: Utilization of the Social Service Plan developed with the parent and the Family Support Team shall be assessed to determine the extent to which the parties have made progress toward completion of the safety goals to successfully demonstrate the necessary behavioral changes which supports the ability to safely care and provide for the child(ren).  Should TPR occur, the Social Service Plan should continue to be utilized and reassessed every 90 days after the last completion date to continue planning for the needs of the child(ren); Efforts: The success or failure of the efforts of the juvenile officer, Children’s Division or other agency to aid the parent on a continuing basis in adjusting his circumstances or conduct to provide a proper home for the child.  Such efforts should be clearly documented during each reassessment period in the Social Service Plan; Mental Condition: A mental condition which is shown by competent evidence either to be permanent or such that there is no reasonable likelihood that the condition can be reversed and which renders the parent unable to knowingly provide the child the necessary care, custody and control; Chemical Dependency: such dependency which prevents the parent from consistently providing the necessary care, custody and control over the child and which cannot be treated so as to enable the parent to consistently provide such care, custody and control, or The parent has been found guilty or pled guilty to a felony violation of chapter 566, RSMo, when the child or any child in the family was victim, or a violation of section 568.020, RSMo, when the  “child or any child in the family was victim. As used in this subdivision, a ‘child’ means any person who was under eighteen years of age at the time of the crime and who resided with such parent or was related within the third degree of consanguinity or affinity to such parent’ or; The child was conceived and born as a result of forcible rape. When the biological father has pled guilty to, or is convicted of, the forcible rape of the birth mother, such a plea or conviction shall be conclusive evidence supporting the termination of the biological father’s parental rights; or The parent is unfit to be a party to the parent and child relationship because of a consistent pattern of committing a specific abuse, including but not limited to, abuses as defined in section 455.010, RSMo, child abuse or drug abuse before the child or of specific conditions directly relating to the parent and child relationship either of which are determined by the court to be of a duration or nature that renders the parent unable, for the reasonably foreseeable future, to care appropriately for the ongoing physical, mental or emotional needs of the child. It is presumed that a parent is unfit to be a party to the parent-child relationship upon showing that: within a three-year period immediately prior to the termination adjudication, the parent’s parental rights to one or more other children were involuntarily terminated pursuant to section 211.447 subsection 2 or 3 or section 211.447 subdivisions (1), (2), (3) or (4) of subsection 4 or similar laws of other states. If the parent is the birth mother and within eight hours after the child’s birth, the child’s birth mother tested positive and over .08 blood alcohol content pursuant to testing under section 577.020 for alcohol, or tested positive for cocaine, heroin, methamphetamine, a controlled substance as defined in section 195.010, or a prescription drug as defined in section 196.973, excepting those controlled substances or prescription drugs present in the mother’s body as a result of medical treatment administered to the mother, and the birth mother is the biological mother of at least one other child who was adjudicated an abused or neglected minor by the mother or the mother has previously failed to complete recommended treatment services by the children’s division through a family-centered services case; If the parent is the birth mother and at the time of the child’s birth or within eight hours after a child’s birth the child tested positive for alcohol, cocaine, heroin, methamphetamine, a controlled substance as defined in section 195.010, or a prescription drug as defined in section 196.973, excepting those controlled substances or prescription drugs present in the mother’s body as a result of medical treatment administered to the mother, and the birth mother is the biological mother of at least one other child who was adjudicated an abused or neglected minor by the mother or the mother has previously failed to complete recommended treatment services by the children’s division through a family-centered services case; or Within a three-year period immediately prior to the termination adjudication, the parent has pled guilty to or has been convicted of a felony involving the possession, distribution, or manufacture of cocaine, heroin, or methamphetamine, and the parent is the biological parent of at least one other child who was adjudicated an abused or neglected minor by such parent or such parent has previously failed to complete recommended treatment services by the children’s division through a family-centered services case. The juvenile court may terminate the rights of a parent to a child upon a petition filed by the juvenile officer or the division, or to adoption case, by a prospective parent, if the court finds that the termination is in the best interest of the child and when it appears by clear, cogent and convincing evidence that grounds exist for termination pursuant to 211.447 subsection 2, 3 or 4. Pursuant to 211.447.7, when considering whether to terminate the parent-child relationship, the court shall evaluate and make findings on the following factors, when appropriate and applicable to the case: The emotional ties to the birth parent; The extent to which the parent has maintained regular visitation or other contact with the child; The extent of payment by the parent for the cost of care and maintenance of the child when financially able to do so including the time that the child is in the custody of the division or other child-placing agency; Whether additional services would be likely to bring about lasting parental adjustment enabling a return of the child to the parent within an ascertainable period of time; The parent’s disinterest in or lack of commitment to the child; The conviction of the parent of a felony offense that the court finds is of such a nature that the child will be deprived of a stable home for a period of years; provided, however, that incarceration in and of itself shall not be grounds for termination of parental rights; Deliberate acts of the parent or acts of another of which the parent knew or should have known that subjects the child to a substantial risk of physical or mental harm. The disability or disease of a parent shall not constitute a basis for a determination that a child is a child in need of care, for the removal of custody of a child from the parent, or for the termination of parent rights without a specific showing that there is a causal relation between the disability or disease and harm to the child. Considerations Based on Child’s Best Interest When considering whether to terminate the parent-child relationship the court shall consider all relevant factors of the child’s best interest including: The emotional ties to the birth parents The extent to which the parent has maintained regular visitation or other contact with the child The extent of payment by the parent for the cost of care and maintenance of the child when financially able to do so including the time that child is in the custody of the division or other child-placing agency Whether additional services would be likely to bring about lasting parental adjustment enabling a return of the child to the parent within and ascertainable period of time The parent’s disinterest in or lack of commitment to the child The conviction of the parent of a felony offense that the court finds is of such a nature that the child will be deprived of a stable home for a period of years; provided, however, that incarceration in and of itself shall not be grounds for termination of the parental rights Deliberate acts of the parent or acts of another of which the parent knew or should have known that subjects the child to a substantial risk of physical or mental harm The judge shall make written findings of fact and conclusions of law in any order pertaining to the placement of the child. Section 211.444 allows the court to terminate parental rights of a child if it finds that termination is in the best interest of the child and the parent has consented in writing to the termination. Paternity: It is imperative to identify any man/all men having/claiming interest in the child. Men having an interest could include alleged father, man named by mother as biological father of child; putative father, man who claims to be biological father of child; and, legal father, man, if applicable, married to mother at time child is conceived. See sections 210.817 to 210.853 and 193.225 to 193.325 of the Missouri Revised Statutes for information on establishment of paternity. Section 211.447 allows any person to make a referral to the juvenile office for the termination of parental rights and establishes grounds for termination. This section also requires the juvenile officer or the Division to file a petition for termination of parental rights in certain circumstances. Sections 211.447.3 and 211.447.4 set out grounds when the juvenile officer or the Division may, but is not required to file a petition for termination of parental rights. Related Practice Alerts and Memos: 2-18-20 – PA20-CM-01 – Termination of Parental Rights Referral Form",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-6-working-parents-subsection-5-termination-parental-rights-651
"MO :: Section 4, Chapter 6 (Working With Parents), Subsection 5 – Termination Of Parental Rights :: Intro",Missouri,Rules,"2023, 2022, 2021","Adoption, Legal process, Permanency, Termination of parental rights",,,"Termination of parental rights should be considered only after full efforts have been made to return the child(ren) safely to a parent. These proceedings may be initiated upon the request of the child’s parent(s) (voluntary relinquishment) or by any other person, including CD, making a referral to the appropriate juvenile office. In certain circumstances the Division is authorized to file a petition for termination of parental rights without making the request to the Juvenile Officer with the assistance of Division of Legal Services. The Family Support Team, in assessing a child’s needs for permanency, should consider termination of parental rights if permanency through reunification with a parent and if adoption is a reasonable expectation and meets the child’s needs. Once it has been determined that TPR and adoption will become the case goal, the Division shall still be required to make reasonable efforts toward reunification (unless an order from the court states otherwise).  As part of the effort to prepare parents for termination of parental rights, The Division shall continue to engage the parents in discussion regarding changing roles and relationships that may occur between the parent and child, discussion of plans for visitation/ family time that are in the best interest of the child(ren) and planning for the immediate future and referral for needed services. The Division shall continue to provide referrals to parents for requested services. These services are based on the specific parent’s needs and may include grief counseling or other efforts to ease the transition during this time. Additionally, parents should receive education on issues related to confidentiality, search and reunion, the Divisions should document any plans for the parent’s participation in the adoption process, when appropriate and desired. Termination of parental rights may be a simple legal process when all parents to the child are identified, located and voluntarily relinquish their parental rights. Conversely, termination of parental rights may be a time consuming and complex legal matter if one or both parents object to his/her parental rights being terminated. In all cases the facts and grounds for termination must be proven by legally admissible evidence in a court of law. Grounds for termination of parental rights must be proven to the court by clear, cogent and convincing evidence. This is the highest standard of proof known to the civil law. It is essential, that all of the facts supporting a termination of parental rights are carefully and thoroughly documented. Individual courts may interpret the involuntary termination statues differently or be reluctant to pursue premature termination of parental rights. Staff may consult with the Division of Legal Services in addition to the juvenile officer on all cases where involuntary termination of parental rights is being considered by the Family Support Team. When considering a petition for termination of parental rights the court must apply a two part analysis: first, the court must determine whether there are statutory: “grounds” for termination in the case under consideration: and second, if the petitioner proves that the statutory grounds exist, whether termination of parental rights is in the best interests of the child. The court may deny a petition for termination of parental rights if the court finds that TPR is not in the best interest of the child even if there are statutory grounds for termination. However, the court cannot grant a petition to terminate parental rights if the petitioner failed to prove by clear, cogent and convincing evidence that the statutory grounds for TPR exist. Section 210.720 states: In the case of a child who has been placed in the custody of the children’s division in accordance with subdivision (17) of subsection 1 of section 207.020, RSMo, or in another authorized agency, by a court, or has been placed in foster care by a court, every six months after the placement, the foster family, group home, agency, or child care institution with which the child is placed shall file with the court a written report on the status of the child. The court shall review the report and shall hold a permanency hearing within twelve months of initial placement and at least annually thereafter. The permanency hearing shall be for the purpose of determining, in accordance with the best interests of the child, a permanent plan for the placement of the child, including whether the child should be continued in foster care, whether the child should be returned to a parent, guardian or relative, or whether proceedings should be instituted by either the juvenile officer or the Division to terminate parental rights to legally free such child for adoption. Related Practice Alerts and Memos: 2-18-20 – PA20-CM-01 – Termination of Parental Rights Referral Form",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-6-working-parents-subsection-5-termination-parental-rights-intro
"MO :: Section 4, Chapter 6 (Working With Parents), Subsection 4 – Preparing The Parent For The Child’s Return",Missouri,Rules,"2023, 2022, 2021","Reunification, Social worker licensing/qualifications",,,"In preparation for the child’s return, the Children’s Service Worker and parent should discuss anticipated issues and develop plans for coping with those issues. These issues include, but are not necessarily limited to: Change in parents’ lifestyle, particularly if they have not had any child care responsibility How current family relationships might be affected Child’s behavior,(i.e., feelings of separation and loss from resource provider, testing rules and limits) Child may compare parents to resource provider Child must adjust to new community and school Child may feel insecure and be “clingy” due to fear of another separation from parents and Parents may have periods of uncertainty about their ability to adequately meet the child’s needs. As the time for the child’s return nears, visits between parent(s) and child should be more frequent and of longer duration (i.e., overnight, weekends, etc.). Also, the parent(s) will likely need additional support during this time. The Children’s Service Worker should attempt to meet face-to-face with the parent(s) at least once per week in the home during this transition phase. Prior to the child’s actual return to the home, the Children’s Service Worker shall provide the parent(s) and child with a reunification packet which must contain: The original birth certificate (a copy of the original must be retained in the case record) The original social security card (a copy of the original must be retained in the record) Copies of medical records or medical log, including immunization record and names and addresses of primary medical practitioners. This summary shall emphasize special medical needs of the child and appropriate treatment A copy of report cards, transcript or grade records and the most current Individualized Education Plan (IEP) Written information or brochures on helpful resources (i.e., food stamps, housing authority, and energy assistance). The Children’s Service Worker shall assist the family in accessing these services in the community Written summary of out-of-home placements and his/her growth, behaviors, and experiences during that time Pictures of the child contained in the case record Personal records (i.e., baptism record) Information regarding the child’s KIDS account. The Children’s Service Worker shall coordinate with the Social Security Specialist to assist the family in the payee application process if the child has been receiving Social Security Administration (SSA) benefits and provide the family with the Change of Custodian Payee Request Form Life book Application for Medical Insurance (if applicable) In addition to the continued responsibilities of the agency, parent and child(ren), the Social Service Plan Child section shall specify any ongoing needs of the child(ren) and the supports to meet those needs. The Social Service Plan – Long Term Safety/Support plan section shall address the specific plan of the family and safety network members around continued protection and safety of the child(ren) after case closure. Additional ongoing supports shall also be specified to continue to support the needs and progress of the family (i.e., child care, medical care, counseling, parent aide services and other supportive services). At the termination of a case, the closing Social Service Plan assessment must be completed with the family within 15 days prior to the closing visit date and requires Supervisor approval prior to closing the case in FACES. Each Social Service Plan requires Supervisor approval and signature prior to submission in FACES. Title XIX MO HealthNet should be open from the time the child enters foster care until the court terminates jurisdiction or returns legal custody to the parents unless the family requests it be closed earlier. The Children’s Service Worker will need to ensure the parent receives the MO HealthNet card to use for the child. If applicable, the worker should encourage the parent to apply for medical insurance benefits through Family Support Division for the child, if needed, prior to the termination of jurisdiction to ensure that there is no disruption in insurance coverage for the child. If the child is going to be approved for MO HealthNet coverage through FSD, the worker should inform the FSD worker when the court is going to terminate jurisdiction or returns legal custody to the parents so they can coordinate the closing of the Alternative Care Client Information screen, SS-61 in FACES with the opening of Mo HealthNet in FSD.Family Support Division staff will not be allowed to open the child’s Medicaid eligibility if the child has an active AC function in FACES. Staff may close the Title XIX in FACES prior to termination of jurisdiction if the child has insurance coverage elsewhere. To close the Title XIX Information, staff should enter an end date under the Title XIX Information section on the AC Client Information screen in FACES.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-6-working-parents-subsection-4-preparing-parent-childs-return
"MO :: Section 4, Chapter 6 (Working With Parents), Subsection 3 – Ongoing Work With Parents",Missouri,Rules,"2023, 2022, 2021","Contact and directory information, Expectations for care, Services while in care - Other, Visitation",,,"Meeting/Working with the Family It is recommended the Children’s Service Worker meet in the parents’ home (or each parent’s home if not living together) one time per week during the first 30 days of custody. The worker then must meet with the parent a minimum of one time per month thereafter.  During the first 30 days, staff will the Initial Family Assessment (CD-301) and, if necessary, the Initial Family Assessment Attachment (CD-301a), to assess the family. After the first 30 days, the case worker will utilize the Monthly Contact Form (CD – 300). By completing these forms, staff can develop a better understanding of the family’s needs and can begin to plan for appropriate interventions on an individual, family, and community basis. Both announced and unannounced visits should be utilized. The majority of visits should occur in the parent’s home environment.  The parent’s home is the place they are living, as defined by the parent. Examples of the majority include: If a case has been opened 6 months during October 1 thru September 30, 4 out of the 6 required visits during that time frame must be in the parent’s home. If a case has been open for only 2 months during the Federal Fiscal year, 2 visits must occur in the home as the majority of the visits are required in that setting. If a case has been opened 5 months, 3 of the visits held with the parent must be in the parent’s home During these visits the worker should discuss, through use of the Social Service Plan, the progress of the case, the safety of the child (including safety networks and how they are being utilized), and the parent’s own situation. Updates about treatment activities such as therapy and other services should be discussed and documented using the Monthly Contact Form (CD-300). Notes about parent home visits: If a parent’s rights have been terminated, they no longer are required to be visited. However, there may be situations such as with older youth, that visitation or contact with the that parent is warranted When a parent is incarcerated either locally or through the Department of Corrections, a phone call (including video calls) will count as a visit in that parent’s home If a parent is living in a county outside of the case manager’s county, the parent still must be visited in the home the majority of the time. This visit can be completed by a service worker if that arrangement has been made between the circuits.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-6-working-parents-subsection-3-ongoing-work-parents
"MO :: Section 4, Chapter 6 (Working With Parents), Subsection 2 – Parent Assessment",Missouri,Rules,"2023, 2022, 2021","Administrative process, Contact and directory information, Entry to care",,,"The Children’s Service Worker continuously conducts the assessment process by completing home visits at least monthly with each parent. During the first 30 days of a case opening, the family is to be assessed using the Initial Family Assessment and the Initial Family Assessment Attachment to develop the Social Service Plan.  There are often times where this requires multiple home visits during this period.  The Initial Family Assessment, the Initial Family Assessment Attachment, and Social Service Plan shall be fully completed with the family to include all Parent/Caregiver/Guardians, supportive people chosen by the children and family, in collaboration with other service providers involved with the family, and with the involvement of resource families or residential treatment providers within 30 days of case opening.  This plan will evolve over time and will be formally updated every 90 days after the last completion date or sooner, when children’s or family’s circumstances change in the case or in preparation for a court hearing. Each reassessment of the family will occur utilizing the Social Service Plan every 90 days after the last completion date through the entirety of the case even in situations where the Parents/Caregivers/Guardians are no longer involved. At the termination of a case, the closing Social Service Plan assessment must be completed with the family within 15 days prior to the closing visit date and requires Supervisor approval prior to closing the case in FACES. Each Social Service Plan requires Supervisor approval and signature prior to submission in FACES. The following topics and factors provide guidance in assessing families: Listen to the family’s perception of the presenting problems/issues Obtain information regarding the family’s history, perceived boundaries, strengths, and weaknesses through the use of Signs of Safety Three Columns, genograms, culturagram, ecomaps, timelines, and other assessment techniques Determine the parent’s knowledge of the special needs of the child including: Unique characteristics including endearing qualities, talents, hobbies, personality traits Health conditions, allergies, or other factors that would require special consideration in placement of the child The child’s school, grade placement, and level of functioning or special service needs and Special cultural, ethnic, and/or religious factors that need to be considered in placement. The family should be asked if they are of Native American heritage because of the special requirements that may apply due to the Indian Child Welfare Act of 1978 P.L. 95-608. See chapter 2, subsection 4 for more information about ICWA. The Children’s Service Worker shall begin the process of filling out the Child/Family Health and Developmental Assessment (CW-103), attachments A and B, and Financial Statement for Parents of Children in Alternative Care (CS-99) at the time of initial contact with the family. The worker should continue to gather information for the CW-103 during subsequent visits with the family until the form is complete. The resource provider is given a copy of the CW-103 and updated as information becomes available. The Children’s Service Worker shall continue to evaluate each parent’s progress toward resolving issues which contributed to out-of-home placement through use of the Social Service Plan.  Review of the plan and documentation of observed behavioral change, progress towards completion of next steps and safety goals should be captured in the worker’s contact narrative during every home visit. For more information about assessing and working with families through the Children’s Division Practice Model, see Section 1 of this manual.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-6-working-parents-subsection-2-parent-assessment
"MO :: Section 4, Chapter 6 (Working With Parents), Subsection 1 – Initial Work With Parents",Missouri,Rules,"2023, 2022, 2021","Administrative process, Entry to care",,,"The Alternative Care Children’s Service Worker will be assigned immediately, according to local procedures. Within 24 hours of the child being taken into protective custody, Children’s Service Worker will meet with the parents. The Children’s Service Worker should also determine, at opening of the case, if either biological/legal parent is incarcerated in a Missouri Department of Corrections facility, a local correctional facility, an out-of-state correctional facility or a federal prison.  The Children’s Service Worker should also obtain information regarding the length of the sentence and possible amount of time required to serve the sentence.  The worker should visit the parent (or attempt phone contact with an incarcerated parent) to ensure a smooth transition between workers. All parents should be given the opportunity to be involved in the assessment process, using the Initial Family Assessment and, if necessary, the Initial Family Assessment Attachment, to begin building the Social Service Plan. It is important to assess each parent to obtain a thorough understanding of the family functioning. During this meeting the worker shall provide and explain to the parents the Handbook for Parents of Children in Alternative Care, CS-304, which is written to assist staff in providing this information to parents.  Additionally, the CS-132 (Know Your Rights Brochure) shall be provided at this time.  Parents who are incarcerated should have each of these items mailed to them at the facility, along with the Notice to Incarcerated Parent, CS-2.  The Children’s Service Worker should also attach the Parent Response Form, CS-2 ATT, and include a self-addressed stamped envelope.  All documents provided to parents will be documented on the Verification of Receipt of Documents & Information form by asking the parent to initial and date. The purpose of this meeting is to provide the parents/caretakers with as much information as possible about what will be happening with their child and to engage them in the decision-making process. Continuous parental involvement, including all parents, throughout the child’s placement is significant in early and successful reunification. It is important to remember the majority of families do not voluntarily seek assistance from the Division. The family may view the Children’s Service Worker as an unwelcome intrusion into their life. The family’s perception may manifest itself in a wide range of behaviors, i.e., defensiveness, hostility, resistance, and ambivalence. It is imperative the worker examine the underlying cause of the behavior and understand the family’s reactions may be normal in view of the circumstances. The worker should try to put themselves in the family’s position and think about how they might react in similar circumstances. The following items provide some guidance on topics to discuss with parents: The Children’s Service Worker explains his/her role as helper to the family. The worker will assist the family to identify and resolve those issues which lead to the out-of-home placement of their child Using the Initial Family Assessment, and if necessary, the Initial Family Assessment Attachment, to begin development of the Social Service Plan with the family. The worker will identify the allegations that brought the child(ren) into care, the allegations adjudicated that prevent the child(ren) from safely returning home and the behavioral changes necessary to ensure safety of the child(ren). Each parent and each child shall be individually assessed, their needs and services identified and progress toward behavior changes documented thoroughly throughout the case. These components shall be documented on the Social Service Plan. The Social Service Plan will help lead the family and team through all the components of a forward-focused plan and help bring clarity for the team around the harm, danger and next steps that are determined with the family to help support a successful outcome. Utilizing the Social Service Plan as a foundation of conversations throughout the case is important to maintain focus on behavioral changes observed in the family to keep the children safe and reduce potential risk of harm. Engage the parent to allow them to express their view of the situation Ask how the family has managed up to the time of intervention including what worked and what did not work The parent and family’s perception of their cultural identity Explore with the parent the whereabouts of the other parents and relatives that may be able to assist the family and become part of the safety network How trauma may influence the parent and family When engaging with parents the focus should be on what must change before the child can safely return home. Ask what in-home safety interventions may be put in place to assure that the child is safe. Initial discussions about safety networkers should be held. The Children’s Service Worker should obtain the name of the incarcerated individual and the address of the facility.  This information is available for public use through the Missouri Department of Corrections (DOC) website, at http://www.doc.mo.gov , under the “Offender Web Search” link.  The Offender Web Search application allows users to search by either the offender’s DOC ID or the offender’s first and last name.  The information provided includes a general description such as height, weight, race, and sex, as well as Assigned Location, Active and Completed Offenses, and Aliases.  If the offender has been released from prison on probation or parole, the assigned Probation/Parole Officer will be listed.  All Missouri adult correctional facilities and Probation & Parole offices can be found on the DOC website above under the “Facility Locator” link. This introductory contact between the Children’s Service Worker and family is the foundation for establishing a team with common purpose and goals. As with any other team member, the parent must feel that they are a part of the solution rather than simply complying with the mandates of others. The family Children’s Service Worker also explains that the family (all parents/child(ren)) will be members of a Family Support Team (FST). He/she explains that the purpose of the team is to assist the family to determine their strengths and needs and what type of plan is necessary for the child to return home. He/she explains team membership and individual roles and responsibilities with the team.",https://fostercaresystems.wustl.edu/mo-section-4-chapter-6-working-parents-subsection-1-initial-work-parents
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 12 – National Youth In Transition Database :: Chapter 5.12 – National Youth In Transition (NYTD)",Missouri,Rules,"2023, 2022, 2021, 2020","Administrative process, Reporting requirements, Services while in care - Educational",,,"The Chafee Foster Care Program for Successful Transition to Adulthood (CFCP) provides States flexible funding to carry out independent living programs that assist youth in care as well as those transitioning to adulthood. The law also requires the Administration for Children and Families (ACF) to develop a data collection system to track the independent living services provided to youth and to develop outcomes that measure States’ performance in preparing youth for their transition from foster care to independent living.  To meet this requirement, ACF published a proposed rule in the Federal Register in July 2006 and issued a final rule in February 2008.  The data collection system is called the National Youth in Transition Database (NYTD). The NYTD regulation requires States to engage in two data collection and reporting activities. First, States collect and report basic demographic data on each youth and the independent living (IL) services provided to them by the State in thirteen broad categories: independent living needs assessment academic support post-secondary educational support career preparation employment programs or vocational training housing education and home management training budget and financial management health education and risk prevention family support and healthy marriage education mentoring supervised independent living room and board financial assistance education financial assistance Life Skills services may be provided for collection and reporting in one of the following ways: Through the Chafee provider if the youth is enrolled. Through the CD Contracted TLP provider if the youth is enrolled through CD. Through TLP services provided via Foster Care Case Management Agencies and reported by the Children’s Service Worker. Through the foster parent or other community service provider if arranged by the Chafee or TLP. Through the foster parent as part of their services and entered by the child’s Children’s Service Worker. Through a community service provider if arranged by the youth’s Children’s Service Worker and entered by the youth’s Children’s Service Worker. Through the youth’s Children’s Service Worker if completed with the youth on a visit. Second, States conduct a baseline survey of youth in foster care at age 17 and conduct a follow-up survey with these youth at ages 19 and 21 to collect and report information about the following youth outcomes: financial self-sufficiency experience with homelessness educational attainment positive connections with adults high-risk behavior access to health insurance States collect the outcomes information by conducting a survey of youth in foster care on or around their 17th birthday. States track these youth as they age and conduct a new outcome survey on or around the youth’s 19th birthday; and again on or around the youth’s 21st birthday. States collect outcomes information on these older youth after they leave the State’s foster care system, regardless of whether they are still receiving independent living services from the State when they are 19 or 21 years old .  All States collect and report outcome information on a new cohort of youth every three years.  All outcome information with the exception of demographics must be obtained directly from the youth and reflect the youth’s provided response and not information obtained from other agency databases. The state will survey youth who reach their 17 th birthday every third year thereafter. The table below illustrates an example of the timeframes utilizing cohort numbers from inception of surveying: Fiscal Year of Implementation All youth receiving services Baseline Outcomes (17-year-olds) Follow-up Outcomes (19-year-olds) Follow-up Outcomes (21- year-olds FFY 2019 X X (Cohort 3) FFY 2020 X X (Cohort 4) FFY 2021 X X (Cohort 3) FFY 2022 X X (Cohort 4) FFY 2023 X X (Cohort 5) FFY 2024 X X (Cohort 4) FFY 2025 X X (Cohort 5) FFY 2026 X X (Cohort 6) The survey consists of 21 questions in which the answers must come directly from the youth. For those youth still in care, the youth’s Children’s Service Worker will be responsible for ensuring that a survey is completed via one of the methods outlined below and entered into FACES.  For youth who need assistance completing the survey, the youth’s Children’s Service Worker should assist with this to ensure survey completion.  For example, if a youth is incarcerated and the youth can be located, the youth could be interviewed by phone. Options for youth to complete survey: At age 17: In person with the Children’s Service Worker. The Children’s Service Worker may enter the survey at the time of completion in FACES, upon return to the office or may submit the survey by mail to the FACES Help Desk. Surveys must be completed within 45 days of the youth’s 17 th birthday in order to be compliant. Completed electronically via a survey link sent to the youth by email.  With this option there is still the expectation the youth’s case manager will meet with the youth regarding the survey.  To send an email to the youth with the survey link, the case manager must add/verify the youth’s email address on the Case Member screen. Once an email is added/verified to the case member screen, the email displays on the NYTD Survey Online Response Tracking (NYTD Tracking) screen next to the youth on the listing. The NYTD Tracking screen includes a ‘Send Email’ button. Once the case manager verifies the email is correct on the NYTD Tracking screen, the ‘Send Email’ button is selected to generate an email to both the youth and the case manager. The email is sent to the case manager as verification the email went through. However, if any individual accesses the NYTD Tracking screen and selects “Send Email” this action will send an email to the youth and the individual completing the action. The email contains a link that when selected will open up the NYTD Older Youth Online Survey specific to the youth. Once the youth completes the survey and clicks submit, the survey responses are saved. At age 19 or 21: Completed electronically by the youth within the six month reporting period from web-based link sent to the youth’s email account. Completed electronically by the youth within the six month reporting period from a letter sent to youth’s last known address containing information on an electronic link to complete survey. Paper copy sent to youth and completed by the youth within the six month reporting period and sent to Central Office for entry in postage paid envelope. Paper copy completed by youth during home/office visit and entered by youth Children’s Service Worker. Surveys must be completed within the six month survey period for the 19 and 21 year old cohorts however, ideally the survey is completed at the beginning of the survey period to ensure the state is compliant. Youth engagement is an important element of successful survey participation.  The NYTD Tips and Reminders available on the CD intranet Older Youth Program page provides additional assistance. By utilizing resources available through the Division, such as Chafee, MO HealthNet and the community, youth who are currently in out-of-home care or left the legal custody of the Division will be: Better prepared to meet the challenges they face on their road to self-sufficiency and independence; Will understand the importance of their role and personal responsibility to self and community; Will be more aware of community resources and how to access them if needed; and Will be able to develop their own support system to enable them to transition successfully to independence.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-12-national-youth-transition-database
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 11 – Aftercare Program :: 5.11.5 Timeframes And Exceptions",Missouri,Rules,"2023, 2022, 2021, 2020","Expectations for care, Services while in care - Educational, Services while in care - Other",,,"For youth who do not have the option of remaining in state care and custody after 18 years old, or if the youth has developed a reasonable and acceptable aftercare plan and requested to leave custody, Chafee services should be used as a safety net, not a supplemental funding source, to assist them in reaching self-sufficiency and independence. Former foster youth who left care at 18 years old or after, but have not reached age 23 may choose to request assistance only once or return intermittently to seek assistance as needed. The Act is very clear; funding cannot be expended for room and board for any child who has not reached 18 years of age or for young adults upon reaching their 23rd birthday.  There are no exceptions to this law. Former foster youth who left care prior to age 18 are not eligible for Chafee Aftercare services, with the exception of youth who obtained kinship guardianship or adoption after the age of sixteen, who are eligible for full Chafee services.  Most Chafee services, except Education and Training Vouchers, must end for the young adult upon reaching his/her 23rd birthday, regardless of the legal status, with the exception of youth who obtained adoption or guardianship after the age of sixteen, who are eligible for full Chafee services.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-11-aftercare-program-5115-timeframes
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 11 – Aftercare Program :: 5.11.4 Education Financial Assistance And Support",Missouri,Rules,"2023, 2022, 2021, 2020","Services while in care - Educational, Services while in care - Other",,,"The Education and Training Vouchers (ETV) Program, Missouri Reach Tuition Waiver, and Missouri Reach Credential Completion and Employment Programs are also available to former foster care youth eligible for Aftercare services.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-11-aftercare-program-5114-education
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 11 – Aftercare Program :: 5.11.3 Procedural Guidelines For Service Delivery",Missouri,Rules,"2023, 2022, 2021, 2020","Exit from care, Expectations for care, Services while in care - Other",,,"A critical piece for young people exiting care is the ability to develop a support network, and the influence of informal role models to serve as mentors in a support network.  While each of the young adult’s needs is important in its own right, we are increasingly learning the importance of significant adult relationships in supporting young adults during the transition to adulthood.   As we identify the important resources which will be needed by these young adults to support their efforts to achieve independence, we must develop partnerships with public and private agencies that already offer the needed services.  Emphasis is placed on connecting or referring youth rather than providing financial assistance. Chafee funds may be expended for a variety of reasons and should be used as a support for the young adult, not as an on-going supplemental funding source. Expenditures may include, but should not be limited to, emergency/crisis intervention, housing/room and board, educational assistance, job training/employment assistance, and support services. Support services should include, but are not limited to life skills, transportation, health care, mentoring, child care, and job training/employment assistance.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-11-aftercare-program-5113-procedural
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 11 – Aftercare Program :: 5.11.2 Health Care For Former Foster Care Youth",Missouri,Rules,"2023, 2022, 2021, 2020","Exit from care, Services while in care - Medical, Services while in care - Mental Health",,,"Youth who were in foster care under the responsibility of the State of Missouri on the date they attained the age of eighteen (18) years, or at any time during the thirty-day (30-day) period preceding their 18th birthday, are eligible for Medicaid coverage without regard to their income or assets, if such persons: Are under twenty-six (26) years of age; Are not eligible for coverage under another mandatory coverage group (Example: MO HealthNet for Pregnant Women, MO HealthNet for the Aged, Blind, or Disabled, MO HealthNet for Families, etc.) This group includes youth who receive Supplemental Security Income (SSI), or are receiving Medicare; and Were covered by Medicaid while they were in foster care, per RSMo 208.151.1. The youth’s most current address must be entered in FACES on the Health Care for Former Foster Care Youth screen in order for it to cross over to MO HealthNet Division’s (MHD) system where eligibility will show.  The youth may be enrolled into a Managed Care plan for their physical, vision and dental health care needs.  Their behavioral health care and pharmacy needs will be covered by MO HealthNet Fee-for-Service (“straight Medicaid”).   The youth can enroll in a managed care plan, or change their managed care plan, by calling the MO HealthNet Enrollment Broker Helpline at 1-800-348-6627. For youth who are Missouri residents but are attending an out-of-state school or on a visit outside of Missouri, the out-of-state provider must be willing to enroll in the MO HealthNet program for services to be covered.  Per federal requirements, Medicaid cannot be opened in two states at the same time. When a youth exits CD custody, the case manager will close the Alternative Care Client case in FACES, in order to capture the exit data in our information system.  Upon closing, the system will automatically calculate eligibility and open the Health Care for Former Foster Care Youth coverage the following day, if eligible. Staff should enter the youth’s current address once this occurs. Eligible youth receiving MO HealthNet services through Family Support Division (FSD) will continue with their current health care coverage.  If the youth receiving FSD coverage becomes ineligible for health care through FSD, FSD will close its coverage and the Health Care for Former Foster Care Youth coverage will automatically open. If the former foster care youth already has health insurance or obtains health insurance from another source such as employment, this private or commercial insurance becomes primary and MO HealthNet will serve as secondary coverage. Youth living in Missouri who exited foster care in any other state are eligible for the Health Care for Former Foster Care coverage to age 26 if they: Exited foster care in another state at the age of 18 or later, and are not yet 26; Have documentation from the state they exited foster care verifying they were in foster care and receiving Medicaid coverage at the age of 18; and Are determined ineligible for other mandatory coverage through FSD, such as MO HealthNet for Pregnant Women, MO HealthNet for the Aged, Blind or Disabled, etc. The Family Support Division determines eligibility for youth living in Missouri but who exited foster care in another state. Whether a former foster care youth makes contact with a county office and asks about the extended coverage, or staff otherwise learn a former foster care youth from out-of-state is under age 26 and is uninsured, staff should refer the individual to the designated Older Youth Transition Specialist (OYTS) for that region. Provide the OYTS the youth’s name, date of birth, current address, phone number and email. The OYTS will contact the youth to gather additional information before referring the youth to designated Family Support Division staff for eligibility determination.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-11-aftercare-program-5112-health-care
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 11 – Aftercare Program :: 5.11.1 Referral And Assessment",Missouri,Rules,"2023, 2022, 2021, 2020","Exit from care, Services while in care - Educational, Services while in care - Financial, Services while in care - Medical, Services while in care - Mental Health, Services while in care - Other, Services while in care - Therapies (not mental health)",,,"Children’s Service Workers shall notify youth in the process of transitioning out of care about assistance available under the Chafee Foster Care Program for Successful Transition to Adulthood, the Educational Training Voucher Program, MO Reach, and MO HealthNet Insurance. Youth may also contact the Division for services after they have left care. There may be several avenues former foster care youth take to return to the Division for services.  Youth may directly contact their former Children’s Service Worker or Older Youth Transition Specialist.  Youth may come to the Division for assistance through Family Support Division (FSD) or referrals from other agencies (e.g., homeless shelters, Workforce Development, etc.).  Once a youth contacts the Division for services, a referral for Chafee Aftercare Services should be made via the Referral – Chafee Aftercare Services screen in FACES.  The Older Youth Transition Specialist will refer the youth to the contracted Chafee provider in the region of the youth’s residence and open the youth as an LS-8 in the Chafee Foster Care Program (CFCP) Aftercare screen. Older Youth Transition Specialists are located and serve in the Regions/Circuits throughout the state as listed below: Northwest Region: Circuits – 3, 4, 5, 6, 7, 8, 9, 14, 15, 17, 18, 43 Northeast Region: Circuits – 1, 2, 10, 11, 12, 13, 19, 20, 41, 45 Southeast Region: Circuits – 23, 24, 25, 32, 33, 34, 35, 36, 37, 42 Southwest Region: Circuits – 26, 27, 28, 29, 30, 31, 38, 39, 40, 44, 46 Jackson County Region:  Circuit – 16 St. Louis City Region:  Circuit – 22 St. Louis County Region: Circuit – 21 County offices shall establish the following protocol to ensure eligible young adults who were former foster care youth coming into the agency shall have access to services: Ninety days prior to a youth being released from foster care on or after age 18, the youth’s case manager must have a discussion with the youth informing them of services available when they do exit custody. Each county office should have Exit Packets readily available to give to youth.  The Exit Packet should contain MO HealthNet information, the Chafee Aftercare Pamphlet, an Education and Training Voucher (ETV) brochure, MO Reach brochures, the National Youth in Transition Database (NYTD) Pamphlet, Re-Entry pamphlet, and any additional resources pertinent to their own local communities. Upon leaving care, a letter signed by the child’s case manager shall be provided to the youth on state letterhead verifying the youth’s time in care and exit date. This will aid youth in receiving assistance after leaving care within the state and out of state for services that require eligibility verification.  This is referred to as the “verification letter” and can be found in e-forms under CD-276, Custody Verification Letter. When the young adult’s first contact with the agency after leaving care is through FSD, the FSD worker shall follow procedures instructed through the Income Maintenance memorandum, IM00-191, dated December 27, 2000, on the process of collaborating with or referring the young adult to Children’s Division (CD). FSD staff will refer the young adult to the Children’s Division (CD) liaison/contact person for former foster care youth during the application process. If the liaison/contact person is not available in a county, then the CD supervisor will be responsible for the assignment of the referral. In the absence of, or if there is not a CD supervisor based in the county, the assignment of the referral shall be the responsibility of the Circuit Manager. The assigned CD staff shall meet with and provide the young adult with the CFCP Support Application, CS-ILP-4, to complete. When completed, the form will provide the following information: Identifying information for the young adult; Current housing situation and household composition; Educational level and completion; Employment and salary information; Current and outstanding bills; Medical/mental health needs and access; Available family/community resources; Current/future needs; Ability/inability to reach self-sufficiency and continued independence; Present and future goals; and Willingness to accept personal responsibility. Upon making contact with the young adult and receiving information of the young adult’s need for Chafee Aftercare services, the CD county liaison/contact person for former foster care youth shall immediately notify the Older Youth Transition Specialist assigned to their county by faxing or mailing the CFCP Support Application, CS-ILP-4, to the Older Youth Transition Specialist. The Older Youth Transition Specialist shall open the youth in the Chafee Foster Care Program (CFCP) Aftercare screen as an LS-8 youth and complete the Referral – Chafee Aftercare Services screen. The CFCP contracted agency will assist the young adult in designing a plan that is realistic and supports their efforts to become self-sufficient or to continue to live independently.  The agreement shall be updated or renegotiated as often as needed.  In the event of a crisis, if the Older Youth Transition Specialist is not accessible, the county liaison/contact person for former foster care youth may contact the Older Youth Transition Specialist’s supervisor.  Even in a crisis situation, the county liaison/contact person for former foster care youth will follow the procedure of referring the young adult to the designated Older Youth Transition Specialist by notifying available Older Youth Program staff.  The Older Youth Transition Specialist or Older Youth Program staff shall immediately follow up with the county liaison/contact person for former foster care youth involved with the young adult.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-11-aftercare-program-5111-referral-and
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 10 – Re-Entry",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Entry to care, Legal process",,,"Youth who left care after the age of 17 but are not yet 21 may elect to come back into care per Section 211.036, RSMo. Commonly called “Re-entry,” this legislation is intended to give youth once in custody, but no longer in custody, a second chance. In making a determination on whether the Children’s Division should petition for re-entry, the main considerations should be the youth’s present circumstances, willingness to participate in services and work towards independence, and the Children’s Division’s ability to provide services to address the youth’s needs. Youth seeking re-entry will likely be struggling and may have outstanding debt as a result of decisions made while not in custody. He/she may be in crisis and as a result, not employed, going to school, or otherwise performing tasks to work towards independence; consequently, a decision on whether or not to file a petition for re-entry should not be based solely on current circumstances of youth or lack of efforts, and uncooperativeness while in Children’s Division care and custody the first time, although they may be taken into account. If it is deemed to be in the best interest of the youth, the youth may have his/her custody returned to the Children’s Division through a petition to the Court. The petition may be initiated by the youth, Children’s Division, or Juvenile Officer.  Youth requesting re-entry through contact with a Foster Care Case Management Contractor, Specialized Care Contractor or service provider are to be directed to the Children’s Division office in the community where they currently reside. The petition may be filed: In the court that previously exercised jurisdiction, In the county where the youth resides, or An adjacent county. When a youth returns to the custody of the Children’s Division, normal case-opening procedures will be followed. A new case is to be opened in FACES. A pop up will appear on the case member screen indicating the youth has a role of child but is over age 18 however the case may be open as this is information only. All case management services the youth would have received had she or he remained in care such as placement, adult support, and clothing allowances. The youth may request a Guardian Ad Litem. Court hearings will be held every six months and as necessary while the youth is in care. Services should be provided by the previous case manager when possible and agreeable to the youth if returning in the original jurisdiction. If the youth was previously case managed by the Children’s Division, these services are the responsibility of the Children’s Division where the youth now resides. If the youth was previously case managed by a Foster Care Case Management Agency and returns within the service region served by that agency, the youth should be assigned to the Foster Care Case Management agency for case management. When a youth comes into the office seeking re-entry, it is imperative that the information on the CS-ILP-4 be fully completed and contact information for the youth be provided. A conversation should be held with the youth to determine if the youth is in need of re-entry or aftercare services, if the youth is willing to comply with services, and what services are expected. Youth should provide alternate numbers for contact of where he/she can be reached and of those who will know how to contact him/her. Division of Legal Services will need to know if the youth is employed, where the youth is staying, if the youth wants to go to school, and if the youth understands what coming back into custody means. This should be documented on the CS-ILP-4. The person sending the referral to Division of Legal Services should follow-up within one week of the date of the referral and subsequently as needed. For the purpose of re-entry, a youth is a person who meets all of the following criteria: any person age 17 through 20 who was previously placed in the care, custody and control (LS-1) of the Children’s Division; was released from care, custody and control within the last 24 months; is otherwise competent, and not in a guardianship or conservatorship, and is not in the custody of any other individual or institution; is not incarcerated or committed to any jail, detention facility, or the Department of Corrections. Youth will work in conjunction with the Children’s Division for services to be provided and will: participate in and comply with any transition plan developed by the Children’s Division, Family Support Team, and the youth; meet with his/her Children’s Services Worker, the Juvenile Office representative, and Chafee Provider, as required; participate in any services provided such as Chafee and Transitional Living Program Services; enroll in and attend a “secondary school program of instruction” or an “institution of vocational or higher education,” if determined the program will benefit the youth in his/her efforts to achieve independence. find and maintain employment to supplement the youth’s transition plan work to maintain his/her own efforts toward independent living. The Children’s Division may amend the transition plan from time to time in conjunction with the Family Support Team, as it is in the best interests of the youth. The Children’s Division may request to be relieved of custody when: The youth is unwilling or unable to develop, implement, or otherwise cooperate with the implementation of the transition plan; The youth pleads or is found guilty of any felony, or any misdemeanor in which the youth is sentenced to a period of incarceration; The youth is committed to the custody of any sheriff or the Department of Corrections; Any other circumstance where the youth fails to cooperate with the Children’s Division or the Children’s Division does not have services available or the ability to provide services. If a youth is returned to the Children’s Division custody under section 211.036, and the Children’s Division is consequently relieved of custody for any of the above reasons, another petition will not be filed by Children’s Division on behalf of the youth.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-10-re-entry
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 9 – Exit Plan :: 5.9.2.2 Steps To Be Taken",Missouri,Rules,"2023, 2022, 2021, 2020","Administrative process, Legal process, Reporting requirements",,,"Transition planning is an ongoing process and community services and resources should be explored first as the least restrictive option for youth who will require supportive assistance when transitioning from care. However, if guardianship/conservatorship may be the best plan for the youth then a referral should be made to the Division of Legal Services (DLS) to staff the case for legal advice. The legal advice DLS provides is confidential to the Children’s Division. Communication with DLS should begin one year in advance to allow review of the supporting documentation, preparation and filing of legal documents and obtaining a hearing date as matters of guardianship/conservatorship are determined through a court hearing. Evidence must be submitted on the youth’s current mental and physical status and current ability to care for him/her without assistance in order for a determination to be made. The burden of proof is on the person who is seeking to have a guardian/conservator appointed for the respondent, to prove the respondent is totally or partially incapacitated or totally or partially disabled. Therefore, it is essential the medical/professional evaluation meets the requirements of incapacitation.  Guardianship or conservatorships involve time, expense, and continuing court supervision. The guardianship referral and assessment information should be sent to DLS no later than 6 months prior to the youth’s anticipated transition from foster care. The following items regarding the youth must be provided to the Division of Legal Services: DLS Case Referral form Documents Copy of the original Jurisdictional Order; Copy of the most recent court order retaining youth in custody; Current (within the last six months) evaluation/report from physical and mental health medical professionals evaluating the physical and psychological ability of youth to care for himself/herself. Including a statement of the current diagnosis and prognosis; Medical records from all medical professionals; Vocational needs assessment. Vocational Rehabilitation Services may be able to assist with this in some situations; A report/assessment by DMH and/or DHSS of eligibility and services available; Educational needs assessment and records including Individualized Education Plan (IEP), current education level, abilities and needs; Report of any other special needs; Report from child’s Children’s Service Worker of why youth requires a guardianship. Assets and/or necessities: List of youth’s current medications; The sources and amounts of any income available to the youth, including any funds such as SSI payments, OASDI, trust accounts, employment, etc. The estimated value of the youth’s real and personal property (furniture, clothing, DVD’s, CD’s, computer, TV, etc.). The county in which the property of the youth, or a major part thereof, is located. Parties and/or witnesses: The names and addresses of child’s parents and any other adult relatives involved in child’s life including siblings or grandparents. Adult in this instance means anyone 18 years; The name and address of the current placement; The length of time youth has been in current placement; The name of the child’s Children’s Service Worker who works with the youth on a day-to-day basis. There may be additional information DLS will need depending upon the facts of a particular case. The DLS attorney assigned to the case will let the child’s Children’s Service Worker know if additional information is needed. It is imperative all information needed to file a guardianship/conservatorship petition is sent to DLS in a timely manner or DLS will not pursue a guardianship/conservatorship. A clear aftercare plan is needed in order for youth to transition from care into a guardianship or conservatorship successfully after the age of 21. As jurisdiction of the juvenile court and Children’s Division terminate on the youth’s 21 st birthday, planning must begin well in advance of the date of the youth’s 21 st birthday or the date the guardianship is needed to go into effect. Related Practice Alerts and Memos: 2-10-20 – CD20-11 – Independent Living Arrangements 5-28-20 – CD20-17 – Housing Services and Coordinated Entry System",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-9-exit-plan-5922-steps-be-taken
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 9 – Exit Plan :: 5.9.2.1 Effects Of Guardianship/Conservatorship",Missouri,Rules,"2023, 2022, 2021, 2020",Legal process,,,"A full guardianship or conservatorship means the youth is presumed to be incompetent and significantly limits the youth’s personal rights to make decisions and perform many activities enjoyed by other citizens. Therefore pursuance of a full guardianship or conservatorship should be carefully considered.  Limitations may include: The stigma a ward feels regarding how he is now treated under the law. The person, for example, may have little or no say about where he lives, who his doctor is, or how this property and money is handled. In sum, the person’s status in society is confirmed through legal reinforcement. Loss of power to consent, or object, to medical care Loss of the right to vote Loss of the power to obtain the Department of Mental Health community placement if the guardian objects Loss of the right to marry without guardian/court permission Loss of the right to make enforceable contracts Being subjected to placement in a mental health or mental retardation facility without court hearing Loss of the right to hold public office Loss of the right to obtain a driver’s license or drive a motor vehicle Loss of the right to own or possess a firearm Disqualification from being a witness in court Related Practice Alerts and Memos: 2-10-20 – CD20-11 – Independent Living Arrangements 5-28-20 – CD20-17 – Housing Services and Coordinated Entry System",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-9-exit-plan-5921-effects
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 9 – Exit Plan :: 5.9.2 Guardianship And Conservatorship",Missouri,Rules,"2023, 2022, 2021, 2020","Administrative process, Legal process, Services while in care - Other",,,"Consideration and planning must be conducted for youth who will continue to need supported care after transition to adulthood. Planning documents which may assist with this process include: Power of Attorney Durable Power of Attorney Durable Power of Attorney for Healthcare Possible court actions include: Guardianship Conservatorship Limited guardianship Limited conservatorship The Execution of a Power of Attorney, Durable Power of Attorney, and Durable Power of Attorney for Healthcare These documents allow someone to appoint another person to make decisions for him or herself. To execute a power of attorney, durable power of attorney, or a durable power of attorney for healthcare, the youth cannot be disabled or incapacitated. Each of these documents allows the youth to appoint another person, called an attorney in fact, to make certain decisions on his or her behalf. The decisions which can be made by the attorney in fact must be specified in the power of attorney document.  A durable power of attorney for healthcare allows the attorney in fact to make specified healthcare decisions, which may include the decision to withhold or withdraw life prolonging procedures.  Employees of the Department of Social Services and Department of Mental Health are prohibited by law from being appointed as an attorney in fact unless the employee is closely related to the youth. A power of attorney which is not durable expires in the event the youth becomes disabled or incapacitated. A power of attorney which is not durable also expires at the end of one year or when specified in the document if earlier than one year.  A durable power of attorney or durable power of attorney for healthcare does not expire in the event of disability or incapacity and may be of such duration as specified in the document or after the death of the youth when probate issues are resolved. The Missouri Bar has available “ Durable Powers of Attorney ” and “ Guardians and Conservators under Missouri Law ” resource guides and an accompanying HIPAA form which further explains this option. The decision on whether a youth wishes to execute a power of attorney of any type is an important legal decision with important consequences. If the youth is competent to make his/her own decisions and is competent to execute a power of attorney the youth should be given an opportunity to consult with his/her guardian ad litem or his/her own attorney for legal advice before the youth is asked to sign a power of attorney of any kind.  DSS/CD personnel need to be careful to avoid giving legal advice on this issue to the youth involved. Guardianship and/or Conservatorship A guardianship may be pursued by CD/DLS for a youth between the ages of 18 and 21 when the youth has a physical or mental condition so serious the youth cannot make decisions for the youth’s own safety and well-being. A conservatorship may be pursued when a youth between the ages of 18 and 21 is unable due to a physical or mental condition to effectively manage his or her financial resources.  A guardianship and conservatorship often are pursued together, but obtaining both a guardianship and a conservatorship for the youth may not be necessary in all cases.  A guardianship or conservatorship may be full or partial depending on the extent of the physical or mental condition of the youth. A guardianship, under Missouri Law Chapter 475, is when a person is appointed by the Court (typically the Probate Division of the Circuit Court) to have the physical care and custody of an adult who has been legally determined to be incapacitated. A person deemed incapacitated refers to one who is unable by reason of any physical or mental condition to receive and evaluate information or to communicate decisions to such an extent he/she lacks capacity to meet essential requirements for food, clothing, shelter, safety or other care such that serious physical injury, illness, or disease is likely to occur. A conservator is a person or a corporation, such as a bank or trust company, appointed by the Court (typically the Probate Division of the Circuit Court) to manage the property of an adult who has been found to be disabled. A disabled person is defined as one who is unable by reason of any physical or mental condition to receive and evaluate information or to communicate decisions to such an extent the person lacks ability to manage his/her financial resources. In limited guardianship, the judge must specify the extent of the powers and duties of the limited guardian in order to allow the ward to care for himself to the maximum of his ability. The intent is to design the guardianship arrangement to encourage the development of maximum self-reliance and independence of the ward and should be considered before full guardianship. Limited conservatorship is much like limited guardianship, except conservatorship deals strictly with the estate (property and financial resources) of the protectee. If a limited conservator is appointed, the judge must specify his powers and duties in such a way as to permit the person with a disability to manage his resources to the fullest extent of his ability. Furthermore, appointing a limited guardian and/or limited conservator does not impose any legal limitation on the person except for what is specified in the court order. An adult incapacitated or disabled person may designate his or her own guardian and/or conservator if he or she is able to communicate a reasonable choice to the court. Also, any competent adult person can designate a suitable person to serve as guardian or conservator if done in writing and witnessed by at least two witnesses within five years before the hearing.  This is typically done in a durable power of attorney.  If the incapacitated or disabled adult does not have a preference, or is unable to express a reasonable preference, the court will consider appointing as guardian and/or conservative, in order: spouse, parents, adult children, adult brothers and sisters, other close adult relatives. The Family Support Team should follow this list of preferences. Only when there is specific evidence a family member is unable to serve as guardian and/or conservator should the team consider alternative providers.  The team should also consider the appointment of an appropriate kinship resource if a suitable family member is not available.  If there are no relatives or kinship resources willing or able to serve, the court has the power to appoint any suitable person (such as a close friend).  The court may also appoint the Public Administrator, an elected county official whose job is to handle such matters when no one else is available.  A person does not have to be a resident of Missouri to qualify for appointment as a guardian or conservator but this may be taken into consideration by the court when determining who may be suitable.  If they are out of state, they do have to appoint a “resident agent” within the state to serve in the case the out of state guardian cannot be reached. Any person who knows another person may require a guardian and/or conservator can commence the process by filing an application in the Probate Division in the county where the alleged incapacitated or disabled adult resides. The person alleged to need a guardian and/or conservator is called the respondent. Both the petitioner and respondent must be represented in court by an attorney. The court will appoint an attorney for the respondent if the respondent does not have an attorney. After a hearing, the court will decide whether a guardian and/or conservator are needed and make the appointment, if necessary. Notice of the application must be served to: the alleged incapacitated or disabled person, his or her spouse, parents, children or other close relative over the age of 18 years; any person acting in a representative capacity with respect to any of the respondent’s financial resources; any person having care and custody of the respondent. If the court has made a finding of total disability and incapacity, the person is presumed to be incompetent for all legal purposes. Guardians must always act in the best interests of the ward. The guardian of an incapacitated person is responsible for the physical custody of the ward and must make decisions about the ward’s care, treatment, shelter, education, support and maintenance. Guardians may give legal consent for medical treatment of the ward. Guardians must report to the court at least annually on the ward’s physical condition. A conservator is responsible for protecting and managing the protectee’s financial assets. The conservator must properly and prudently invest the protectee’s assets, apply those assets to the protectee’s care and maintenance, and account to the Probate Division for all monies received and expended on behalf of the protectee. Most expenditures on behalf of the protectee must be authorized by prior court order. Guardians and conservators are not personally liable for the debts and obligations of a ward or protectee, so long as they make it clear they are acting on behalf of the ward or protectee in a representative capacity. However, any unauthorized use or misappropriation of the ward/protectee’s property by either the guardian or the conservator will render them liable and result in their removal. Guardianship and conservatorship for an incapacitated and disabled person may terminate when the ward/protectee is found to be competent by the court. It may also be terminated if the court determines the guardian or conservator is not following the duties and responsibilities required by law. Anyone, including the incapacitated or disabled person or someone on their behalf may, at any time, petition the court for a change in who is guardian/conservator, or to increase or decrease the powers outlined in the letters of guardianship or conservatorship. The court may also accept resignations of the guardian or conservator. The court may issue an order terminating guardianship or conservatorship or the order appointing a guardian or conservator may expire unless the court orders an extension of the appointment. Conservatorship may terminate if the assets of the protectee are completely exhausted. Authority is also terminated upon the death of the ward/protectee. Coordination should occur with the Department of Mental Health and the Division of Developmental Disabilities if the youth is currently receiving services or involvement is necessary. Some youth receiving these services while in care may not need continued care or a guardianship arrangement. Related Practice Alerts and Memos: 2-10-20 – CD20-11 – Independent Living Arrangements 5-28-20 – CD20-17 – Housing Services and Coordinated Entry System",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-9-exit-plan-592-guardianship-and
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 9 – Exit Plan :: 5.9.1 Housing Services – Coordinated Entry System",Missouri,Rules,"2023, 2022, 2021, 2020","Administrative process, Exit from care, Reporting requirements, Services while in care - Other",,,"Older Youth shall not exit to homelessness.  Housing must be secured prior to release. When Older Youth experience homelessness or are at risk for homelessness the Coordinated Entry System (CES) should be accessed to connect them to housing services. The CES is Missouri’s primary resource to connect people to housing services no matter how or where they present.  This resource allows staff to connect youth and families to Missouri’s array of housing services with one referral to an Access Point.   A listing of Coordinated Entry Access Points by region and county can be found HERE.  All Access Point agencies will complete a pre-screening tool with clients and connect them with the appropriate level of housing services. A referral to the CES may be made at any point of involvement with CD when housing stability is a challenge. Population served includes, but is not limited to intact families, birth parents, potential relative placement providers, guardians, and older youth. Older Youth Scenarios where CES referral MUST be made include the following: Older Youth preparing to exit care to independence and housing stability is at risk. All referrals and activities involving the CES shall be documented in a contact note in FACES. Related Practice Alerts and Memos: 2-10-20 – CD20-11 – Independent Living Arrangements 5-28-20 – CD20-17 – Housing Services and Coordinated Entry System",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-9-exit-plan-591-housing-services
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 9 – Exit Plan :: Intro",Missouri,Rules,"2023, 2022, 2021, 2020","Exit from care, Expectations for care",,,"The goal of an exit plan is to identify and arrange anticipated services for older youth who are in the process of transitioning out of foster care. Youth who have a comprehensive transition plan are better equipped to transition successfully from foster care to self-sufficiency.  An unintended consequence of not preparing youth to exit from foster care is the youth becoming homeless.  Exit planning is the result of preparation for transition from foster care and although certain steps are taken at “exit” the planning begins at age 14.  Exit planning and transition planning should be viewed as occurring concurrently and interchangeably. Exit planning should be viewed as a collaborative effort between the youth, staff and Family Support Team (FST) members to ensure needed services are in place or the youth is aware of how to access services in their community prior to release. Transition planning should be a purposeful, organized and outcome-oriented process designed to ensure the youth’s quality of life.  Transition and exit planning should be considered a continuum once the youth is eligible for the Older Youth Program. The Council on Accreditation standards requires agencies to provide youth transitioning to independence with at least six months advance notice of the cessation of any health, financial, or other benefits which will occur at transition/case closing. Transition to adulthood can involve complex issues and create anxiety for the youth. To assist with the process, youth involvement in their plan as well as recognizing the youth’s desire to have personal independence and find their own way is essential.  Involving the youth’s other connections and community partners in the process to ensure services are accessible, coordinated and appropriate are also necessary. In order to prepare youth for their exit from the foster care system, the child’s Children’s Service Worker must plan to meet with the youth to complete exit planning ninety days prior to release from custody. The child’s Children’s Service Worker is responsible for meeting with their youth to complete the exit plan interview. The Adolescent Family Support Team Guide (CD94) and Individualized Action Plan Goals (CD94) should be updated to reflect the youth’s plan for successful transition from foster care. Consideration and planning must be conducted for youth who will continue to need supported care after transition to adulthood. The least restrictive environment which will meet the youth’s physical and mental health needs should be considered by the Family Support Team.  For youth with special needs, coordination should occur at least one year in advance with the Department of Mental Health, Division of Developmental Disabilities, Vocational Rehabilitation, Department of Elementary and Secondary Education and other state and local resource providers if the youth is currently receiving services or involvement is necessary.  Some youth may require continued formalized support in the form of guardianship or conservatorship.  In these instances, it is very important to begin transition planning with the Division of Legal Services at least one year in advance to assure the youth will have a plan and funding in place for those supports and services needed. Considerations: The planning process must consider and address all of the following factors: Source of income Educational needs Vocational needs Financial needs, including eligibility for income maintenance programs, credit status needs Legal status needs, including whether a guardianship, conservatorship or other legal custody order is necessary or appropriate Transportation Peer support Caring adult/mentor Family information and involvement Residence Safety concerns Physical health needs Mental health needs Insurance coverage needs (health and automobile as appropriate) For youth with special needs who will require funding upon release: Ensure an application is made for the youth’s Medicaid to be transferred to the Family Support Division. Kids Account income: The Children’s Service Worker should check the KIDS/Dedicated KIDS Account screen in FACES or contact FACES Payment Unit to determine the savings limit due to the youth (up to $999.00). Once an amount is determined, the Children’s Service Worker should complete a CS-KIDS-2 form for the person (payee) to whom money is to be released from the child’s KIDS account.  This person(s) may be the child’s parent, guardian, adoptive parent or him/herself, if an emancipated minor. Ensure youth is provided and assisted with Older Youth Change of Payee Request Form if the youth is receiving Social Security benefits. For additional information, refer to the Child’s Income Disbursement System (KIDS) section in the CWM. The Older Youth Exit Packet and Personal Documentation Checklist is available in e-forms for additional guidance. Upon leaving care, a letter signed by the child’s Children’s Service Worker shall be provided to the youth on state letterhead verifying the youth’s time in care and exit date. This will aid youth in receiving assistance after leaving care within the state and out of state for services which require eligibility verification. A summary of the youth’s plans should be filed in the Older Youth Program Section of the case record as well as a copy of the eligibility verification letter. As staff work with youth who are nearing, or past, their 18th birthday and opting to exit from custody, it is imperative these youth are made aware of resources available to them upon release. The child’s Children’s Service Worker shall inform these youth of their eligibility for MO HealthNet, and, if possible, determine the address where the youth will reside upon leaving care. Each county must designate a liaison/contact person(s) for those youth who have exited care to contact. An Exit Packet is to be provided to those youth currently in care as they exit the foster care system, or to former foster care youth requesting Aftercare services. The Exit Packet includes information regarding: MO HealthNet Chafee Aftercare Education and Training Voucher (ETV) Missouri Reach Tuition Waiver and Credential Completion and Employment Programs Healthcare Treatment Decisions The National Youth in Transition Database (NYTD) Re-entry Older Youth Change of Payee Request Form if the youth is receiving Social Security benefits. Each county should also include additional resources pertinent to their own geographic areas into the packet. Resources may include, but should not be limited to the following: Employment Agencies; Service/Volunteer Organizations for Mentoring; Faith-Based Resources; Clothing Resources; One-Stop Centers; Transportation Resources; Child Care Resources; Emergency Housing Assistance; Food Pantries; Community Action Agencies; Adult Education Programs; Income Maintenance Programs/Resources; Medical Clinics; and Other State Agencies. Former foster care youth will be required to enroll into a MO HealthNet Managed Care plan for their physical healthcare, if they reside in a geographic area covered by Managed Care. Their behavioral healthcare will be provided on a fee-for-service basis. Further Considerations Some documents are useful as youth develop life skills to prepare them for successful transition and should be obtained as needed and appropriate for the youth’s age and placement type prior to release from care.  Youth should have the following documents in their possession (with a copy in the file) as they prepare to transition from care: Original Birth Certificate Original Social Security Card An up-to-date credit report Financial statements from financial institutions in which youth has an account Driver’s license or ID Card Information regarding any policies of insurance the youth may have access to An accounting showing disposition of all monies received and distributed under the youth’s KIDS account Portfolio and Lifebook Documentation of tribal eligibility or membership Previous placement information Medical Records (e.g. immunizations, current medications) Educational Records (e.g. diplomas, report cards, IEP, list of schools attended) Original documentation of immigration, citizenship, or naturalization, when applicable Death certificates when parents are deceased Religious documents and information A list of known relatives, with relationships, addresses, telephone numbers, and permissions for contacting involved parties A resume, when work experience can be described CD-276, Custody Verification Letter Documentation of receipt of exit packet and personal documents shall occur on the Older Youth Exit Packet and Personal Documentation Checklist. Related Practice Alerts and Memos: 2-10-20 – CD20-11 – Independent Living Arrangements 5-28-20 – CD20-17 – Housing Services and Coordinated Entry System",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-9-exit-plan-intro
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 8 – Youth Leadership And Advocacy :: 5.8.3 Foster Care Bill Of Rights",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Child rights, Services while in care - Other",,,"The Foster Care Bill of Rights (FCBR) Section 210.564, RSMo was passed in 2017. There are seven items listed in the FCBR which reinforce the Children’s Division’s mission and goals. As part of this legislation, the FCBR must be provided and explained to all school aged children in foster care and his or her foster parent. The child’s case manager is responsible for providing an age appropriate explanation or arranging for this explanation to occur. The FCBR and a set of talking points are available on the internet to help guide staff in having age appropriate discussions with youth about the FCBR.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-8-youth-leadership-and-advocacy-583
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 8 – Youth Leadership And Advocacy :: 5.8.2 “What’s It All About? A Guidebook For Youth In Out-of-Home Care”",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Child rights, Services while in care - Other",,,"The guidebook is to be given to all youth coming into care after age 14 and those youth turning 14 while in care. The book is intended to provide information to youth while in care and transitioning out of care on what they can expect while in care and resources that may help them.  With the passage of H.R. 4980, the Preventing Sex Trafficking and Strengthening Families Act., states are required to provide youth in care age 14 and older with information on their rights, explain rights in an age appropriate manner, and document information was provided to youth regarding their rights. Documentation of youth receipt should be noted on the Adolescent FST Guide (CD94) under “Self-Care/Health” section by selecting the checkbox to note the “What’s it All About? – A Guide for Youth in Out-of-Home Care” has been provided to the youth. A copy of the acknowledgement form on the last page of the guidebook is to be placed in the file under the Older Youth Program Section. The guidebook is available on E-forms and located on the CD internet.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-8-youth-leadership-and-advocacy-582
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 8 – Youth Leadership And Advocacy :: 5.8.1 State Youth Advisory Board",Missouri,Rules,"2023, 2022, 2021, 2020, 2019",Services while in care - Other,,,"The Missouri State Youth Advisory Board (SYAB) was established December 1992. The SYAB meets on a quarterly basis.  Each member of the board is an outstanding youth in foster care or youth that obtained adoption or guardianship after the age of sixteen that represents other youth in his/her area of the state.  Each of the seven administrative areas is represented with up to four (4) youth who are nominated at their local level to serve on the SYAB to assure that SYAB members are equally representing their specific area as related to geographical size.  The board also may consist of three non-voting, ex-officio members.  Ex-officio members must be a current or former foster care youth who has served at least a one-year term as a board member or alternate, within the last three years. Recognizing each SYAB member represents all children and youth who are/were in out-of-home placements, each SYAB member is responsible for providing Children’s Services’ policy and procedural input to CD administrative staff/Juvenile Court. The SYAB decides what goals and activities they want to pursue for upcoming meetings and carry those out accordingly.  The SYAB works as a network by bringing back important information to the Area Youth Advisory Board (AYAB) or other area youth leadership community, who in turn, takes information back to youth in their area.  When recommended to serve on the SYAB, the membership term is one year, however, once a member; there are guidelines to follow in order to continue membership. Each region has a local youth advisory board through the regional Chafee provider.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-8-youth-leadership-and-advocacy-581
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 8 – Youth Leadership And Advocacy :: Intro",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Expectations for care, Services while in care - Educational",,,Leadership opportunities are an important life skill and should be given to all youth in care.  Participation in leadership development experiences is linked to increased self-efficacy and the development of skills relevant to success in adulthood and the workplace such as decision-making and working well with others. It is important for youth to be fully informed of their rights while in foster care and to be able to advocate for themselves and others on those rights.,https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-8-youth-leadership-and-advocacy-intro
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 7 – Post Secondary Educational Opportunities :: 5.7.6 Educational Opportunity For Children Of Families Serving In The Military",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Services while in care - Educational, Services while in care - Financial",,,"Occasionally, families serving in the military receive Family-Centered Services (FCS) or their children come into custody of the Children’s Division. If the youth is a survivor of a war veteran, they may be eligible for a tuition grant for higher education.  Section 173.234. 6-11 RSMo. states “Survivors of war veterans shall be certified as eligible by the Missouri veteran’s commission to receive a tuition grant for higher education.  If the survivor is granted financial assistance under any other student aid program, public or private, the full amount of such aid shall be reported to the coordinating board for higher education by the institution and the eligible survivor.  Surviving children who are eligible shall be permitted to apply for full tuition benefits conferred by this section until they reach 25 years of age.”",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-7-post-secondary-educational-0
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 7 – Post Secondary Educational Opportunities :: 5.7.5 Missouri Reach Credential Completion And Employment Program",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Services while in care - Educational",,,"The Missouri Reach Credential Completion and Employment Financial Assistance Program (CCE) program is a program to help youth successfully pursue an education or training pathway that leads to a recognized credential and entry into the workforce.   In addition to ETV, there are two components to MO Reach which are distinct but complementary: The Reach Tuition Waiver, which is a full tuition waiver program available since 2011-12, and Credential Completion and Employment (CCE), which is a short term, targeted assistance program to help youth earn a recognized certificate and/or specialized training that leads to employment . Missouri Reach CCE : Eligible youth are currently in care, exited care after age 18, or obtained legal guardianship or adoption after age 14. Youth ages 19 – 25 are eligible (credential must be earned by 26 th birthday). Program participation is limited to 12 months – including pre- and post-training time – of comprehensive support and funding that leads to credential completion. The credential must be earned in less than 9 months. The maximum award amount is $8,000 over a 12 month period. CCE participants are not simultaneously receiving: postsecondary funding from ETV or Missouri Reach Tuition Waiver, or other (specific) public education and training funding (i.e. workforce stipend). Exceptions may be approved by the Older Youth Program Coordinator or Older Youth Transition Specialist in cases of documented need or extenuating circumstances. Participants may be in a no-cost Workforce Program but need living assistance – 3 rd party rent payments, gas cards, etc. (Less than 25% of funding will be given to program participants.) If a youth needs 15 credits or less to earn a Bachelors or Associates degree and has expended all federal and state higher education funding (such as PELL & ETV), MO CCE funds may be used to pay tuition, fees and buy books. Participants must complete a skills and abilities aptitude test, phone-meet weekly with their Foster Care to Success navigator and build an online success profile (record personal and training goals and accomplishments). All applicants are screened to determine if they are in default of federal student loans and coached to enter into a loan repayment plan. This is a program requirement for participants. Application is made through Foster Care to Success’ web portal at: http://www.fc2sprograms.org/missouri/ .",https://fostercaresystems.wustl.edu/mo-section-4-chapter-5-older-youth-program-subsection-7-post-secondary-educational-opportunities-4
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 7 – Post Secondary Educational Opportunities :: 5.7.4 Missouri Reach Tuition Waiver",Missouri,Rules,"2023, 2022, 2021, 2020, 2019",Services while in care - Educational,,,"During the 2009 legislative session, the general assembly placed tuition and fee waivers into statute for certain foster care students per 173.270, RSMo . Tuition waivers and assistance with related fees are available to eligible youth on a tiered priority basis. Implementation of this program is in partnership with the Missouri Department of Higher Education (MDHE). Priority is given to: Those youth not otherwise eligible for Educational Training Vouchers (ETV). Students adopted from Children’s Division after the age of 14. Those youth who have at least 60 hours of college credit. Foster Care to Success, a national non-profit organization, provides administrative services for the tuition waiver program. In order to apply, youth must go to Foster Care to Success’ website: http://www.fc2sprograms.org/missouri and complete the online application. Older Youth Transition Specialists will verify eligibility once application is made. The Missouri Department of Higher Education will approve applications based on the priority criteria. Youth eligible and accepted will be notified as funding is available on behalf of MDHE. Youth who meet the eligibility criteria are encouraged to make application. Foster Care to Success will process the applications once accepted by reviewing the applicants’ transcripts to determine academic standing, confirming the applicants’ tuition and fees with the college or university, and work with students to develop a community service action plan that will be verifiable and outcome based. Per the statute, youth are to complete 100 hours of community service or a public internship within a 12-month period beginning September 1 st each year they receive the waiver. MDHE has established the following types of community service and public internships that youth may participate in to meet this requirement: Volunteering with a non-profit community service organization Community service club activities (not meetings) Campus coordinated community service projects include unpaid practicum and internships as well as philanthropic activities conducted by student service organizations Institutional and community sustainability projects Volunteering at a hospital, convalescent home, or group home for youth in foster care Unpaid peer mentoring or tutoring programs, both on- and off-campus Weekend campus clean-up, beautification activities Helping with a community team such as AYSO soccer or Little League (helping with sports events of younger children, refereeing, etc.) Volunteering for Habitat for Humanity, locally or abroad Unpaid internships with a local, state or federal agencies The following are not considered appropriate for community service: Work often done by office, teacher or library student aides Service performed for a profit-making organization Service accomplished without obtaining prior approval Activities usually considered normal extracurricular (or co-curricular) activities, Service performed by a student for a family member or in instances where the family member supervises the service Service related to a class, credit for a class or the making of profit, defraying costs of trips, etc. Pay is received for the service rendered Institutions of Higher Education the youth attends will monitor compliance and report it to MDHE. Once a youth is approved for the tuition waiver, continued participation in the program will be determined by academic standing, community service participation, and funding of the program.",https://fostercaresystems.wustl.edu/mo-section-4-chapter-5-older-youth-program-subsection-7-post-secondary-educational-opportunities-3
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 7 – Post Secondary Educational Opportunities :: 5.7.3 Education And Training Vouchers",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Child rights, Services while in care - Educational",,,"The Promoting Safe and Stable Families Amendments of 2001 added a 6 th purpose, Education and Training Vouchers (ETV) to the Chafee program.  ETV allows states to provide funds for youth to attend post-secondary education or training programs.  Early and on-going support for education is extremely important in preparing youth for self-sufficiency.  Setting, monitoring and incorporating educational goals as part of their permanency plan will assist youth in understanding the importance of having a vision of educational success.  At a minimum our foster youth should have a HiSET as their educational goal, but it is our desire that youth shall have the opportunity to receive post-secondary education and training.  The ETV Program gives the Children’s Division the opportunity to provide educational and training funds to assist eligible youth interested in pursuing a higher education to reach their goals. The Missouri ETV program is administered by Foster Care to Success. Those eligible for ETVs include: Youth currently eligible for Chafee services; and Youth who were adopted or obtained legal guardianship from foster care after their 16 th birthday; Additionally: Youth shall remain eligible until age 26, provided they are making satisfactory progress; A youth must be enrolled at least one semester prior to turning age 26 however as all funding ends at the 26 th birthday. Youth must have a high school diploma or equivalent; Youth must demonstrate academic success or motivation in school (generally a “C” average or its equivalency or as otherwise agreed upon with the plan) or in a training program; Youth must be accepted to an accredited or pre-accredited public or non-profit college/university and vocational school or certified training program; Appropriate scholarships, grants and other financial assistance must be explored and utilized; and There must be reasonable assurance the youth will graduate from the educational or training program. Personal assets (bank account, car, home, etc.) are not worth more than $10,000. Youth may receive funding for a maximum of five years. The funding does not have to be received consecutively in years but will end on the youth’s 26 th birthday regardless if the youth has been receiving funds for five years. Youth may receive up to $5,000 per year or the total “cost of attendance”. The cost of attendance includes: Tuition and fees. Room and Board for former foster youth who left care at age 18 or after but have not reached age 21. Room and Board assistance may also be available to eligible youth 21-23 if they are enrolled full-time in a post-secondary educational or training program. Rental or purchase of required equipment, materials or supplies (including a computer). Allowance for books, supplies, transportation, etc.; and Special study projects. Eligible youth may apply for post-secondary education/training assistance by completing the application online at Foster Care to Success’ website: http://www.fc2sprograms.org/missouri and submitting the required forms: ETV Student Cashier Statement; ETV Financial Aid Release Form; Federal Financial Student Aid Application (FASFA) All applicants must have an active E-mail account which can be created for free through the ETV website. ETV assistance will be reviewed and made on a semester basis. Students must reapply online for every new school year. Every term, they must complete and submit a new Financial Aid Release Forms and Cashier Statements. Older Youth Transition Specialists assist with eligibility determination once a student has applied on-line.",https://fostercaresystems.wustl.edu/mo-section-4-chapter-5-older-youth-program-subsection-7-post-secondary-educational-opportunities-2
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 7 – Post Secondary Educational Opportunities :: 5.7.2 Post-Secondary Visit",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Adoption, Services while in care - Educational, Social worker licensing/qualifications",,,"Youth 15 years of age or older in foster care with the Children’s Division are to receive a visit to a state university, community or technical college, or an armed services recruiter before being adopted or terminated from foster care per section 453.350, RSMo enacted in 2013. The visit is to include an entry application process, financial support application and availability, career options with academic or technical training, a campus tour, and other information and experience desired by the youth. The visit is not required if waived by the youth’s Family Support or Treatment Team. The FST’s decision to waive this requirement shall be documented on the Adolescent FST Guide (CD94) under the Post-secondary Education and Vocational Training Preparation section in the “Other information still needed” box with the explanation and date. The Adolescent FST Guide (CD94) should be signed by all members in attendance. This visit will be considered part of normal case planning procedures for Children’s Division and Foster Care Case Management agencies. Visits should be incorporated in the area the youth resides. The case manager is responsible for ensuring that the visit occurs. As this is considered part of life skill teaching, if deemed appropriate by the Family Support Team, which includes the youth, the Chafee Foster Care Program for Successful Transition to Adulthood provider or Transitional Living Program provider can assist as part of the contractual agreement in place with Children’s Division. The youth’s Individualized Action Plan Goals (CD94) must be updated to include a goal of post-secondary education and a task of a armed service recruiter or school visit, entry application process, financial support application and availability, career options with academic or technical training, and a campus tour. The Chafee and TLP provider will enter the life skill on the NYTD Older Youth Services and Financial Expenditure Screen in FACES and will report tasks on the Individual Life Skills Progress Form (CD95). If this service is not referred to the Chafee or TLP provider, the Children’s Service Worker is responsible in taking the youth through the process as part of case management services and the life skills received will need to be documented by the Children’s Service Worker on the NYTD Older Youth Services and Financial Expenditure Screen by selecting Children’s Division as the agency regardless of CD or Foster Care Case Management affiliation. The Children’s Service Worker, whether providing the service directly to the youth or referring to the Chafee or TLP provider, shall document the visit to the University, college, technical school, or armed service recruiter and related information on the Adolescent FST Guide (CD94) under the education section. The youth’s post-secondary plan will be selected and services to an armed service recruiter or technical school will be documented under “Vocational Training or Services.” University or college visits will be documented under “Post-Secondary Education and Vocational Training.”",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-7-post-secondary-educational
"MO :: Section 4, Chapter 9 (Adoption And Guardianship Process), Subsection 1 – Adoption Planning Process :: 9.1.1 Children Eligible For Adoption",Missouri,Rules,"2023, 2022, 2021","Adoption, Guardianship",,,"Children in the custody of the Children’s Division between the ages of birth and18 years are eligible for adoption only when all birth, legal and/or putative parents have voluntarily relinquished all their rights or when the court has terminated all parental rights.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-9-adoption-and-guardianship-process-subsection-1-adoption-planning
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 6 – Financial Empowerment :: 5.6.2 Youth Bank Accounts",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Reporting requirements, Services while in care - Financial",,,"In 2018 Missouri legislation was passed to allow youth ages 16-17 in the legal custody of Children’s Division to open a bank account without a co-signer.  This legislation enhances Children’s Division’s efforts to implement the “Reasonable and Prudent Parent Standard,” to reduce the systemic barriers which keep youth from participating in enrichment activities and life skill development opportunities comparable to their peers who aren’t in care. Because youth in legal custody of the Children’s Division experience challenges in developing long term supportive relationships with trusted adults, they are less likely to have an appropriate co-signer when opening a bank account.  The experience of managing a bank account when youth begin working or handling their own money is an important developmental experience which can help prepare them for independence as adults.  This statute and policy ensure that being in the legal custody of Children’s Division is not a barrier to the opportunity of having a bank account and provides protocol for Children’s Service Workers with youth seeking to open a bank account. Per RSMo 431.056, youth ages 16-17 in the legal custody of Children’s Division may open a checking or savings bank account with the consent of the Children’s Division or the Juvenile Court without a co-signer, and “The minor shall be responsible for paying all banking related costs associated with the checking or savings account and shall be liable for any and all penalties should he or she violate a banking agreement. No state department, foster parent, or entity providing case management of children on behalf of a department shall be responsible for paying any bank fees nor liable for any and all penalties related to violation of a banking agreement.” When a qualifying youth wishes to open a bank account, the Children’s Service Worker must provide a signed consent letter CD-277 verifying that they are in legal custody of the Children’s Division.  This letter will be presented by the youth to the banking institution where they wish to open a bank account.  A paper or digital copy of the letter should also be placed in the youth’s record. The Children’s Service Worker should also ensure that education is provided to the youth about the various types of accounts available and the risks associated with banking, and give the youth the “Checklist for Opening a Bank or Credit Union Account” published by the Consumer Financial Protection Bureau.  For youth who are enrolled in Chafee Services, and applying for a bank account, the Children’s Service Worker should identify and add financially related goals to the youth’s Adolescent FST Guide and Individualized Action Plan.  Examples of banking related goals can be found in the Casey Life Skills Resources to inspire on pages 34-35. Additional financial empowerment training can be found on the ELC. A letter of consent should be provided to the youth upon request unless there are documented physical or mental conditions which would prevent them from entering into other legal contracts. In this case, the Children’s Service Worker and their immediate Supervisor shall meet with the Regional Director/Designee for further consultation.  The youth shall be notified of a final decision and rationale by the Children’s Service Worker.  Documentation of the final decision and rationale should documented in the youth’s record. Related Practice Alerts and Memos: 8-26-19 – CD19-53 – Youth Bank Accounts 10-17-19 – PP19-CM-05 (Youth Bank Accounts CD-277",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-6-financial-empowerment-562-youth-bank
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 6 – Financial Empowerment :: 5.6.1 Credit Checks",Missouri,Rules,"2023, 2022, 2021, 2020, 2019",Services while in care - Financial,,,"The Child and Family Services Improvement and Innovation Act of 2011 and the Preventing Sex Trafficking and Strengthening Families Act of 2016 requires each youth age 14 and older in foster care receive a copy of any consumer credit report each year until discharged from foster care, and youth must be assisted in interpreting the credit report and resolving any inconsistencies. Building and maintaining credit is vital to successful transition from foster care. Information on credit reports is used to evaluate applications for credit, employment, insurance, and renting a home. Monitoring credit reports is one of the best ways to discover identity theft. For youth who turn age 14, 15, 16 and 17 while in care or come into care at age 14, 15, 16 or 17, the credit history will be obtained by Central Office. Staff will receive notification on their youth via e-mail that the information was submitted through an agreement with TransUnion. This is the date staff will be record on the Adolescent Family Support Team Guide (CD94). Staff will be notified if there are credit discrepancies and/or inaccuracies but will not receive a “report” for youth age 14-17. For youth age 18 and older, free credit reports from three nationwide consumer credit reporting companies can be requested online at AnnualCreditReport.com , by phone at 1-877-322-8228, or by completing the Annual Credit Report Request Form and mailing the completed form to Annual Credit Report Request Service, P.O. Box 105281, Atlanta, GA 303048-5281. All three reports may be requested at once or ordered one at a time. Ordering separately allows monitoring of credit more frequently throughout the year. AnnualCreditReport.com is the only authorized source for the free annual credit report that can be obtained per the Fair Credit Reporting Act. Because the information in credit reports is used to evaluate applications for credit, insurance, employment, and renting a home, the information needs to be accurate and up-to-date. Any information regarding a youth with a credit history should be shared with the youth. For 18, 19, and 20 year olds there may be legitimate negative items due to late payments or debts. Regardless of the reason steps should be taken to help resolve these issues if possible. The Children’s Service Worker should assist youth in interpreting the credit report and resolving any inconsistencies. Information to assist with interpretation and education can be found on the Federal Trade Commission’s website. Under the Fair Credit Reporting Act, both the credit reporting company and the information provider (the person, company, or organization that provides information to a credit reporting company) are responsible for correcting inaccurate or incomplete information in reports. When reviewing the report with youth, if there are accounts that are not recognized or information that is inaccurate, there is concern for identity fraud. Identity fraud is when a consumer whose means of identification or financial information is used or transferred without authorization from the consumer. Examples of concern would be credit cards that the youth has not opened, utility bills in the youth’s name that were prior to the youth residing on his/her own, or car purchases if the youth does not have a vehicle. If the Children’s Service Worker suspects identity fraud, the Family Support Team and the Division of Legal Services (investigations and/or litigation section) should be consulted to determine if an investigation or referral to law enforcement is necessary. If the youth’s identity has been compromised the worker should send a referral to the Division of Legal Services so the necessary legal steps to correct the problem can be taken. Notice should be provided to the youth’s Juvenile Officer and Guardian Ad Litem about the report findings. If there is a need to further educate youth regarding credit, Children’s Service Workers should address this on the Adolescent Family Support Team Guide (CD94) and Individualized Action Plan Goals (CD94) by creating new goals. The Chafee provider will assist with identified tasks of the new goals. The Adolescent FST Guide (CD94) should be updated to reflect that the credit report has been received on a yearly basis, beginning when the youth turns 14 or comes into care after age 14 and each subsequent year thereafter while in foster care. All documentation pertaining to the credit checks should be filed in the Older Youth Section of the youth’s record i.e. request form, credit report, e-mail correspondence from Central office. As this is life skill teaching, documentation of this service should also be included on the NYTD Older Youth Services and Financial Expenditures Screen in FACES. Related Practice Alerts and Memos: 8-26-19 – CD19-53 – Youth Bank Accounts 10-17-19 – PP19-CM-05 (Youth Bank Accounts CD-277)",https://fostercaresystems.wustl.edu/mo-section-4-chapter-5-older-youth-program-subsection-6-financial-empowerment-561-credit-checks
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 5 – Independent Living Arrangement :: 5.5.5 Termination Of Independent Living Arrangement",Missouri,Rules,"2023, 2022, 2021, 2020","Administrative process, Placement",,,"An Independent Living Arrangement subsidized and supported by the Division is temporary and should be terminated under the following circumstances: Youth has demonstrated success in living independently and the FST agree that the youth will likely continue to live successfully as an adult in the community and should be released from court jurisdiction; Youth is unsuccessful in living independently and requires placement in a more structured and supervised setting, i.e., transitional living program, out-of-home care or residential treatment; Youth is in runaway status in excess of seven (7) consecutive days and likelihood of his/her returning to care is remote; Youth has entered into a legal marital arrangement. Youth is in active military duty. Youth engages in criminal activity which results in action by the legal system; or Youth is released from court jurisdiction, Division custody, or reaches his/her 21st birthday. Related Practice Alerts and Memos: 2-10-20 – CD20-11 – Independent Living Arrangements",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-5-independent-living-arrangement-555
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 5 – Independent Living Arrangement :: 5.5.4 Independent Living Arrangement Placement Review Process",Missouri,Rules,"2023, 2022, 2021, 2020","Placement, Services while in care - Other",,,"An FST or Team Decision Making Placement Stability meeting shall occur prior to a youth moving into an ILA. For any new placements in which ILA is being considered, PRIOR to placement being made, the Children’s Service Worker shall send the completed ILA Checklist form and the Self-Developed Case Plan for Independent Living Arrangement to the Circuit Manager (CM)/Program Manager (PM) for review. The Self-Developed Case Plan for Independent Living Arrangement is used to assist with preparation and budgeting for an initial ILA placement. The Independent Living Arrangement Checklist is completed each time a youth is being considered for an ILA. After reviewing, the CM/PM will indicate whether the placement constitutes an ILA per the criteria in the Child Welfare Policy Manual. A decision as to whether the placement meets ILA criteria should be determined within 30 days after the checklist is initially received. If a youth is determined to not meet the criteria for an ILA placement based on the Independent Living Arrangement Checklist or not adequately prepared based on the Self-Developed Case Plan for Independent Living Arrangements, the coding shall not be used and another placement type sought. If the youth is placed in an ILA after meeting the criteria, the Independent Living Arrangement Checklist is reviewed quarterly by the case manager and the supervisor during case consultation. If the placement does not meet the criteria for an ILA, and the family support team or court wishes to pursue the living arrangement, a different placement code will need to be used (i.e. RHU, CTO, etc.). Prior to placement of a youth, appropriate County Children’s Services staff or contracted case agency staff must approve the suitability of the residence. Staff shall use the TLP Advocate and Independent Living Arrangement (ILA) Checklist, CS-TLP-1, which provides a procedure for documenting health and safety requirements specific to an older adolescent placed in an ILA. The Independent Living Arrangement Checklist and the CS-TLP-1 shall be completed each time the youth moves to a new ILA to ensure the living environment is safe and meets ILA requirements. Upon placement in an ILA, the Independent Living Arrangement Checklist is reviewed quarterly by the case manager and the supervisor during case consultation. A copy of the Independent Living Arrangement (ILA) Checklist, the CS-TLP-1, and the Self-Developed Case Plan for Independent Living Arrangement shall be placed in the youth’s file in the Older Youth Program section and a copy shall be provided to the Regional Older Youth Transition Specialists upon completion. Related Practice Alerts and Memos: 2-10-20 – CD20-11 – Independent Living Arrangements",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-5-independent-living-arrangement-554
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 5 – Independent Living Arrangement :: 5.5.3 Independent Living Arrangement Support Services/Systems",Missouri,Rules,"2023, 2022, 2021, 2020","Exit from care, Services while in care - Educational, Services while in care - Medical, Services while in care - Other",,,"Youth in Independent Living Arrangements, while often viewed as doing well and being capable of living “independently”, need as much, if not more support than youth in other placement types as there is not a resource provider in the young person’s life and many have limited personal connections to rely on in the event they experience a crisis, i.e., financial, health, emotional, etc. Consequently, youth in an ILA placement must have two contacts per month, with at least one of these as a visit in their living environment. This level of contact helps to improve outcomes and successful transition of youth exiting state custody. It is critical that the case manager assist the youth in identifying and accessing resources to enhance the prospects for success in the ILA. Specifically, the case manager, youth, and other family support team members should identify, to the extent possible and appropriate, the following support systems: Medical/dental services; Educational/vocational training programs/options; Employment opportunities; Emergency contacts within the agency; Family supports; Religious supports; Community sponsor/mentor; and Others as needed. Related Practice Alerts and Memos: 2-10-20 – CD20-11 – Independent Living Arrangements",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-5-independent-living-arrangement-553
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 5 – Independent Living Arrangement :: 5.5.2 Independent Living Arrangement Housing Options",Missouri,Rules,"2023, 2022, 2021, 2020","Administrative process, Exit from care, Expectations for care, Placement, Reporting requirements, Safety, Services while in care - Financial",,,"There are a variety of housing options available to youth who have demonstrated the skills/competencies to live in an independent living arrangement. Whatever option is selected by the youth, it must be stable and safe and in a community setting that allows the youth full access to services and resources in order to fully develop independent living skills.  Housing options include the following: Single dwelling (house, apartment, mobile home); Shared housing; Boarding home; Dormitory (college program); or Subsidized housing (HUD-Section 8). Youth in an ILA are allowed to have roommates, however, ILA is not to be used as a substitute for a relative licensure to provide a form of maintenance for the family, including the biological parent whose rights have been terminated. Placement with a safe, supportive adult is always ideal over an Independent Living Arrangement whenever possible. If placement with an adult caregiver is the plan for the youth, another placement code should be used instead of ILA. ILA shall not be used in situations where the youth is living with a parent. Foster care is a form of substitute care for children whose safety or well-being requires they be removed from the home of their parent(s). If the parent of the foster youth resides in the resource home, the foster youth is no longer “removed from the control of his parents” per RSM0 211.011 nor is the youth “unattended by parent” per RSMo 210.481(4). Maintenance payments cannot be made to the resource provider if the child’s own parent(s) is residing in the resource home per Federal Child Welfare Policy Manual Section 8.3A.3. When youth enter into an ILA, it is an opportunity to discuss living agreements and understandings at the time of placement to promote independence, clarify new roles, and establish mutually agreed up on expectations. ILA shall not be used as a placement with friends or family members who are unable to meet licensure requirements. If an adult exercises authority over the youth or has in the past, or the youth is paying “rent” to a family member or former foster parent while residing in the same residence, this is not an appropriate ILA placement. Youth in an ILA shall not “rent” a room or apartment from a foster parent or parent.  ILA is meant to be a community setting for independence.  Renting from a parent or foster parent can result in complications as these persons have had authority over the youth in the past and leave the youth in a vulnerable position, such as homelessness, should the relationship change. A youth in an ILA shall not be providing supervision or authority over any other youth residing in the home. Consequently siblings of youth in an ILA may not be “placed” with the youth as an ILA placement. If a sibling meets all of the ILA requirements, the siblings may however reside together as housemates. For example, a 15 year old and an 18 year old may not reside together in ILA placements as a 15 year old does not meet the age requirements. However, an 18 year old and a 19 year old sibling may reside together as they both meet the age requirements for ILA. Youth working on their own successful transition from foster care should not be put in a position of having parental authority over a sibling, and youth under the age of the ILA requirements are in need of parental authority. If a youth is case managed by an agency outside of Children’s Division or Foster Care Case Management, such as the Department of Mental Health or a group home program that is not licensed but in which staff reside, this is not an ILA. Youth in an ILA should be able to manage their own physical and mental health needs on a daily basis, are able to come and go on their own, and have entered into a lease agreement to reside in the dwelling. Youth who qualify for an ILA should have a plan to exit to independence, not to the care of another agency. There are some community agencies providing services similar to transitional living program services via an apartment or a group home setting that are not licensed and contracted with Children’s Division to provide this service. These programs are not approved to provide services for youth in foster care so youth should not be placed with them and coded as an ILA. Staff in these facilities are not monitored by Children’s Division. If a youth is in need of a Transitional Living Program, a referral shall be made with an agency who is contracted with Children’s Division to provide this service. If a youth resides in a community program that provides living arrangements such as Job Corp, this is an ILA placement and the youth shall receive maintenance directly to them as they are living independently. The youth may visit a resource family on the weekend however the majority of the time the youth is residing in a program and thus it is not a foster care placement. Related Practice Alerts and Memos: 2-10-20 – CD20-11 – Independent Living Arrangements",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-5-independent-living-arrangement-552
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 5 – Independent Living Arrangement :: 5.5.1 Criteria For Youth Being Considered For An Independent Living Arrangement",Missouri,Rules,"2023, 2022, 2021, 2020","Placement, Services while in care - Educational, Services while in care - Financial, Services while in care - Mental Health",,,"Independent Living Arrangements should be the planned placement for youth in out-of-home care and should never be used when a more appropriate placement resource is available for the youth. Although licensure is not involved, the safety and wellbeing of a youth must be ensured. Youth in an ILA should be able to demonstrate competency in life skills, mange his/her own finances, demonstrate responsible conduct, and are attending school and or working. The payment of $402.00 for monthly maintenance is made directly to the youth when they are in an ILA placement. Criteria for an ILA are as follows: Youth is at least 18 years of age; Youth under the age of 18 are not allowed to enter into a lease agreement in Missouri, which is vital to provide housing stability. Youth who are age 17 may be considered for an ILA if the youth has obtained their high school diploma or HiSet. Youth who are still attending high school are typically not able to focus on the demands of sustaining an ILA residence thus they should be referred to the Transitional Living Program instead. Youth is under court jurisdiction and in the care and custody of the Children’s Division; There is no likelihood of reunification with parent/legal guardian; Relative care has been explored and is not an option for the youth; The youth does not want to be adopted; The case manager has consulted with the FST and a plan has been completed that specifies how the youth will live; Youth is enrolled and participating actively in the Chafee Foster Care Independence Program; Youth is able to demonstrate competency in life skills; Youth is able to manage his/her own finances and live independently; a community agency provider is not overseeing the placement. Youth has demonstrated responsible conduct for at least 6 months: No criminal law violations; If applicable, school performance is equal to youth’s capabilities; and Responsible money management. Youth is attending an educational or vocational school regularly to the satisfaction of school officials and is gainfully employed; and Youth has assisted or developed their plan for independent living. Related Practice Alerts and Memos: 2-10-20 – CD20-11 – Independent Living Arrangements",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-5-independent-living-arrangement-551
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 5 – Independent Living Arrangement :: Intro",Missouri,Rules,"2023, 2022, 2021, 2020","Aging out of the foster system, Services while in care - Other",,,"An Independent Living Arrangement (ILA) is a state-approved and subsidized placement option for youth age 18 and older who cannot return home. The case manager in conjunction with the Family Support Team (FST) determines the youth’s suitability for placement in an independent living arrangement, by assessing the youth’s motivation, abilities, skills and capabilities for living independently and ultimate emancipation from the service delivery system.  Youth in an ILA have a goal of APPLA and must be referred for Chafee Program Services and receiving services prior to the placement being made. Related Practice Alerts and Memos: 2-10-20 – CD20-11 – Independent Living Arrangements",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-5-independent-living-arrangement-intro
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 4 – Transitional Living Program :: 5.4.3 Transitional Living Program Single/Scattered Site Apartments (TLS)",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Placement, Reporting requirements, Services while in care - Educational, Services while in care - Financial",,,"This program offers youth, ages 18-20, with a plan of independent living, ideally from a TLP group home, the opportunity to practice life skills and prepare for the future in an apartment setting. Youth in this type of placement receive support and guidance, but supervision is minimal.  To be considered for TLS, youth need to demonstrate the ability to make responsible decisions, maintain employment, and have a clear understanding of the financial and emotional demands of living independently.  Youth entering TLS ideally would be currently enrolled and actively participating in Chafee Program Services. A scattered site apartment is defined as a self-contained furnished (refrigerator, stove, bed, oven, table, chairs, etc.) unit with utilities (trash, sewer/water, electricity/gas, phone accessibility, etc) cooking, sleeping, and bath facilities for no more than one (1) youth per bedroom. Scattered site apartments may include apartments adjacent to other treatment programs, or sites scattered throughout the community and/or apartments clustered together.  The apartment must provide a pleasant, clean, safe and healthful environment.  Placement settings are located in community environments to allow the youth full access to services and resources in order to fully develop independent living skills. The apartment must provide a pleasant, clean, safe (including fire extinguisher and fire alarm), and healthful environment The apartment should be in good repair, including proper screening for ventilation, sufficient window coverings to assure the privacy of each client, and pest controlled. All painted surfaces should be in good condition.  All areas and surfaces must be free of undesirable odors.  Placement settings are located in community environments to allow the youth full access to services and resources in order to fully develop independent living skills. Furniture and furnishings should be comfortable and maintained in clean condition and good repair. All upholstered furniture should not be torn.  If furniture is torn, it must be covered with fitted slipcovers.  The slipcovers must be clean and in good repair with no tears.  Throws are not acceptable to cover torn furniture.  Chairs should not be broken, have cracked frames, or in any other way be unsafe or unsightly. All sleeping areas must be physically separated by gender unless otherwise pre-approved by the state agency in writing. There should not be more than one (1) resident per bedroom occupying a given living arrangement unless otherwise approved by the family support team, the youth, the state agency case manager, the provider, and the state agency. There are two types of Transitional Living Single/Scattered Site Apartment services: A structured Transitional Living Single/Scattered Site Apartment service is defined as a support being available for the youth to contact twenty-four (24) hours per day and the youth is visited, at a minimum, every seventy-two (72) hours in the youth’s living arrangement. An unstructured Transitional Living Single/Scattered Site Apartment service is defined as a support being available to the youth upon request of the youth and the youth is visited a minimum of one (1) time per week. At least one (1) such visit each month is in the youth’s living arrangement. If the Family Support Team (FST) decides that placement in a TLS would be in the best interest of the youth, staff should refer the youth through FACES by using the Referral – Transitional Living Group Home/Scattered Site Services screen. In addition, the child’s Children’s Service Worker will submit the Residential and Specialized Placement Referral, CS-9, to their supervisor as part of the referral packet.  The CS-9 must have been completed within the last thirty days. A life skills assessment tool of the Children’s Service Worker’s choice should be completed to assist with youth engagement, assessment, and goal development.  The Adolescent FST Guide (CD94) and Individualized Action Plan Goals (CD94) must have been completed within the last six months. It is the responsibility of the child’s Children’s Service Worker to update the youth’s case in FACES showing a placement type of TLS, with the vendor number of the TLS facility and a maintenance code of no maintenance. NOTE: This is not an ILA placement; therefore, maintenance payments are never paid directly to the youth.  Payment is always made directly to the provider for the youth.  The case manager should be sure that the Alternative Care Client Information Screen reflects no maintenance payment.  If a youth has a child, the child’s Children’s Service Worker would then pay monthly CYAC payments to the youth through a FACES Payment Request (PR). Once a youth is residing in a Transitional Living Scattered Site Placement, Chafee Program Services will be provided by the TLS provider. Once placed, the TL Provider is responsible for completing a day-to-day service plan that addresses all items listed in the Adolescent FST Guide (CD94) and Individualized Action Plan Goals (CD94) within 30 days of the youth’s initial placement and quarterly thereafter. The TL provider’s service plan should address: Academic Achievement; Job Readiness; Community Services and Support; Youth Leadership; Independent Living Skills Training The provider will demonstrate, document and report competencies obtained by youth for inclusion on the Adolescent FST Guide (CD94) and Individualized Action Plan Goals (CD94). In order to meet the individual day-to-day service plan, the provider is responsible for contacting, interviewing and screening youth, lesson planning, liaison activities, skills assessment, record keeping, pre and post testing evaluation, material and resource organization, organization of field trips, incentives for youth, and purchasing supplies for independent living skills training. Once a youth is residing in a Transitional Living Scattered Site Placement, Chafee Services will be provided by the TLS provider. If at any time the child’s Children’s Service Worker thinks that the contractor for TLS is not meeting the requirements outlined in the Transitional Living contract and the issue cannot be resolved with the contractor, the child’s Children’s Service Worker should contact the Older Youth Transition Specialist with the concerns to be addressed.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-4-transitional-living-program-543
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 4 – Transitional Living Program :: 5.4.2 Transitional Living Program Group Home (TLG)",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Group and residential care, Placement, Services while in care - Educational, Services while in care - Other",,,"A licensed , residential, child care site where older youth, ages 16-18, who have a plan of independent living concentrate on preparation for independent living and completion of their educational/vocational programs in a supervised group setting.  Youth are currently enrolled and actively participating in Chafee Services.  Youth should not work more than 20 hours per week, if they attend school full time.  Typically, youth entering a TLG have been residing in a residential treatment facility.  Youth are expected to maintain employment and develop goals and plans for their future.  All facilities that are contracted as TLP group homes are licensed as residential child care agencies by the Residential Program Unit within Central Office. If the Family Support Team (FST) decides placement in a group home setting would be in the best interest of the youth, staff should refer the youth through FACES by using the Referral – Transitional Living Group Home/Scattered Site Services screen. In addition, the child’s Children’s Service Worker will submit the Residential and Specialized Placement Referral, CS-9, to their supervisor as part of the referral packet.   The CS-9 must have been completed within the last 30 days.  The Adolescent FST Guide (CD94) and Individualized Action Plan Goals (CD94) are completed within the last six months.  A life skills assessment tool of the Children’s Service Worker’s choice should be completed to assist with youth engagement, assessment, and goal development.  Once placed, the group home is responsible for completing a day-to-day service plan that addresses all items listed in the Adolescent FST Guide (CD94) and Individualized Action Plan Goals (CD94), within 30 days of the youth’s initial placement and quarterly thereafter.  The group home provider’s service plan should address: Academic Achievement; Job Readiness; Community Services and Support; Youth Leadership; Independent Living Skills Training. In order to meet the individual day-to-day service plan, the provider is responsible for contacting, interviewing, and screening youth, lesson planning, liaison activities, skills assessment, record keeping, pre and post testing evaluation, material and resource organization, organization of field trips, incentives for youth, and purchasing supplies for independent living skills training. It is the responsibility of the child’s Children’s Service Worker to update the youth’s case in FACES to show the youth placed in a TLG placement type. The maintenance code must be coded “no maintenance”. Once a youth is residing in a Transitional Living Group Home, Chafee Services will be provided by the TLG provider. If at any time the child’s Children’s Service Worker thinks that the contractor for TLG is not meeting the requirements outlined in the Transitional Living contract and the issue cannot be resolved with the contractor, the child’s Children’s Service Worker should contact the Older Youth Transition Specialist with the concerns to be addressed.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-4-transitional-living-program-542
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 4 – Transitional Living Program :: 5.4.1.4 Characteristics of the Youth",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Placement, Services while in care - Educational, Services while in care - Other, Subsidies - Other",,,"The youth should be at least 16 years of age with a placement history, which indicates this type of placement as a logical progression to independence. He/she should have developed good decision making skills and has a clear understanding of the program and what is expected. Youth must be enrolled in Chafee Services and actively participating prior to placement. The youth should not require close supervision and should have shown the ability to manage money with little to no assistance.  Average or above average school performance is desirable as is some work experience.  Work experience is not required for entry into this type of placement, however.  It is recommended youth enrolled in school full time should not work more than 20 hours per week.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-4-transitional-living-program-5414
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 4 – Transitional Living Program :: 5.4.1.3 Advocate Maintenance Payment",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Services while in care - Financial, Subsidies - Other",,,"The youth shall receive $586 per month for rent, food, clothing, incidentals and payment to the advocate. $450 per month shall be paid by the youth to the advocate for food and rent expenses.  The youth is to use $136 per month for other expenses such as clothing, school/work necessities, personal hygiene, grooming, transportation, etc., as well as the establishment of a savings account.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-4-transitional-living-program-5413
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 4 – Transitional Living Program :: 5.4.1.2 TLP Advocate Approval",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Placement",,,"Prior to placement of a youth, the child’s Children’s Service Worker must approve the advocate. Staff shall use The TLP Advocate and Independent Living Arrangement (ILA) Checklist, CS-TLP-1, when determining the suitability of the living arrangement.  The CS-TLP-1 provides a procedure for documenting health and safety requirements specific to an older adolescent placed with an advocate. A TLP advocate has the same right to a fair hearing as a foster parent when approval is denied or revoked. The advocate may also grieve a youth case management decision in the same manner as a foster parent.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-4-transitional-living-program-5412-tlp
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 4 – Transitional Living Program :: 5.4.1.1 TLP Advocate Training",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Placement, Services while in care - Other, Social worker licensing/qualifications",,,"Prior to approval, the advocate must complete the following: Successful completion of 18 hours of pre-service, specialized training on adolescent issues through CD including three (3) hours each in cultural/race sensitivity, OYP overview, adolescent development with an emphasis on what to expect from adolescent behavior, emotional obstacles out-of-home care youth must overcome, adolescent sexuality and behavior management via natural consequences; A criminal and child abuse/neglect background screening; An approved home study completed by the child’s Children’s Service Worker; A signed copy of the Agreement for the Purchase of TLP Advocate Services, CM-12; and Register with the Family Care Safety Registry; It is recommended each area ensure that a cross section of youth assist in all phases of the advocate training. This includes recruitment and placement.  Placement planning is very important and requires adequate time for a good match.  The youth needs to be matched with an advocate who has similar values and has an understanding of the needs of the youth.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-4-transitional-living-program-5411-tlp
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 4 – Transitional Living Program :: 5.4.1 Transitional Living Advocate",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Exit from care, Expectations for care, Services while in care - Educational, Services while in care - Other",,,"The Transitional Living Advocate (TLA) is an adult, 21 years of age or older, who provides the youth a safe place to stay, continued life skills training, encouragement and guidance in regard to employment, education and/or training, and preparation for successful transition from CD custody. The TLA may be married or single and is willing to provide the time, a home, supervision and support needed by the youth transitioning out of care.  They must be successful in their own independence, i.e., employed, maintain a household and generally provide a positive role model for the youth.  The advocate should be similar to or understanding of the youth’s race or ethnic background. They must have flexible attitudes and expectations of the youth during this difficult time of transition. The advocate should have prior experience with adolescents, be energetic, and have the ability to listen and to handle failure as a learning process.  They must have an understanding of adolescent behavior and be able to let the youth make mistakes and deal with natural consequences.  Communication is essential when working with youth as well as allowing the youth to form their values. The advocate should be aware of community resources that will support the youth’s endeavors and be willing to assist the youth in accessing those services. Cultural sensitivity is a necessary asset of the advocate as is the ability to work with a variety of people.  It will be required for the advocate to work with the Children’s Service Worker, support providers, and others in developing and maintaining the youth’s case plan. This type of placement is crucial to the youth’s successful transition to adulthood. It is hoped the advocate will become a life-long friend and mentor for the youth, allowing the youth to return for visits, holidays and occasional support. Advocates must ensure a safe haven for the youth to stay in; help the youth with employment and education/vocational training; guide the youth and assist the youth with learning to live with rules. The advocate should encourage the youth and provide opportunities for the youth to practice life skills learned in life skills training.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-4-transitional-living-program-541
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 4 – Transitional Living Program :: Intro",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Aging out of the foster system, Exit from care, Expectations for care, Services while in care - Educational, Services while in care - Other",,,"The Transitional Living Program (TLP) is intended for a youth, typically age 16 and over; whose permanency goal is not reunification, adoption or legal guardianship. Transitional living experiences for youth are vital.  The purpose of the transitional living program is to provide a living environment in the best interest of the youth that provides a path for the youth to transition from alternative care to self sufficiency and achieves the outcome of preparing the youth to live independently. The transitional living program is designed to provide youth with more independent types of living arrangements and programs. The transitional living program is distinct as the focus of the program is on life skills teaching while providing housing versus behavioral modification or assistance with emotional health care needs and is intended to serve youth who will exit the foster care system to live on their own.  Services complement the youth’s own efforts to achieve self-sufficiency and to assure that youths recognize and accept their personal responsibility in preparing for and making the transition from adolescence to adulthood. When youth enter into a TLP, it is an opportunity to discuss shared living agreements and understandings at the time of placement to promote independence, clarify new roles, and establish mutually agreed up on expectations. Adolescence is a time of testing, not only one’s abilities but others’ abilities as well. It is a time of trial and error.  Our out-of-home care youth need to be allowed to make mistakes and to learn by natural consequences.  Staff and care providers are to assist the youth with coping and learning from their successes and deficits. When youth in out-of-home care make mistakes, staff and care providers need to exhibit patience, support and guidance. Youth need to feel the security that we will not give up on them, rather, we will work with them as they learn how to live and function in the adult world. Ideally, TLP offers the youth the opportunity to transition smoothly from a more restrictive environment to a less restrictive setting based on the readiness of the youth. TLP allows the youth to apply what has been learned in their life skills teaching to actual daily living.  Based on the particular needs of the youth, they may progress from one setting to another but may enter or exit any living situation at any time when it is felt by staff and the youth that they are ready for a change. When a youth is not successful, staff and care providers should assess the current needs of the youth and modify the case plan accordingly. It is hoped the majority of issues will be resolved in the current placement.  As a last resort, a youth may be returned to a more restrictive setting and receive remedial services as needed.  When the youth is ready to progress again, TLP placement may occur.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-4-transitional-living-program-intro
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 3 – Chafee Foster Care Program for Successful Transition to Adulthood (CFCP) :: 5.3.4 Youth Assessment",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Services while in care - Educational, Services while in care - Other",,,"Assessment is both a process as well as a product. The product of an assessment is an agreement.  It gives youth the chance to tell their story.  The youth’s independent living competencies will be identified using the life skills assessment tool of the Children’s Service Worker’s choice and the Adolescent FST Guide (CD94) and Individualized Action Plan Goals (CD94).  The purpose of a life skills assessment is to provide the youth, youth’s caregiver, and case manager comprehensive information which will assist the youth with preparing for self-sufficiency. The assessment is to be used in conjunction with other information available to focus specifically on those areas of the youth’s life that are, or will, impact on their preparation for self-sufficiency.  The assessment will assist in gaining understanding of the youth’s strengths and challenges so practical, concrete efforts can be made to achieve the youth’s goals. Adolescent FST Guide (CD94) and Individualized Action Plan Goals (CD94) These tools are comprehensive documents used to guide team members through the Family Support Team (FST) process. The plan will identify the youth-specific team members, the identified individuals for a youth support system, goals for the youth and life skills assessment and continued evaluation. The Individualized Action Plan Goals (CD94) takes the place of the Written Service Agreement if reunification is not the goal and goals can be geared toward life skills and transition. If reunification is the goal, the Individualized Action Plan will be used in conjunction with the family’s Written Service Agreement.  The form will be completed according to the age of the youth.  This is an assessment tool to aid in determining life skills needed and obtained and will aide in documentation.  It is also a tool to capture a thorough assessment of the youth as well as teach life skills.  The entire form does not need to be completed at once.  It is a living document which will be updated constantly throughout the youth’s time in care. The Individualized Action Plan goals and expectations provide the framework for life skills instruction. It is designed to help youth acquire knowledge and understanding about a life skill and then apply the life skill to real life situations.  The individualized action goal represents the overall goal for instruction, and the expectations describe what the youth should be able to do after instruction takes place. The Individualized Action Plan Goals (CD94) can be developed using the life skills assessment tool of the Children’s Service Worker’s choice. The Adolescent FST Guide (CD94) and Individualized Action Plan Goals (CD94) are to be completed within 60 days of a youth coming into care after the age of 14 or turning 14.  The Adolescent FST Guide (CD94) and Individualized Action Plan Goals (CD94) should be started in the first thirty days of a youth coming into care after the age of 14 or turning 14 in conjunction with the youth by the case manager.  It is an on-going document and is presented at Permanency Planning Reviews in conjunction with the Child Assessment and Service Plan, CS-1.  For youth eligible for Chafee in an adoptive or guardianship placement, the family will update the form with assistance of the Adoptive or Guardianship Case Manager and the revised Guide and Plan will be updated in FACES at least every six months. Individual Life Skills Progress Form (CD95) This is a form used to record performance of youth in achieving life skills by using a Likert scale of Got It, Working On It, or Needs Assistance. It is completed through direct observation of the youth’s work during and just after instruction has taken place and helps the youth appreciate what has just been demonstrated.  Together, the youth and the instructor decide where the youth is on the three-point scale.  It also provides the agency with historical data on the youth’s life skill overall development.  This form is completed monthly by the person teaching life skills.  If the youth is not referred to Chafee Program Services or is not in a Children’s Division contracted Transitional Living Program, this is the Children’s Service Worker’s responsibility. The Portfolio This document is a collection of samples that communicate a youth’s interest and give evidence of the youth’s talents. It is used to show others what the youth has accomplished, learned, or produced.  The portfolio is created during life skills instruction and is guided by the learning goals.  Performance is observed and recorded on the Individual Life Skills Progress Form (CD95) so staff may see the concrete results of instruction.  The portfolio process involves the appreciation and evaluation of one’s work.  Portfolio items are completed for each life skill instruction. Some helpful guides for ensuring youth receive the supports and services they need at the ages they are eligible are available in e-forms and entitled “OY Services by Age” and “OY Tasks by Age.”",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-3-chafee-foster-care-program-5
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 3 – Chafee Foster Care Program for Successful Transition to Adulthood (CFCP) :: 5.3.3 Referral Process",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Adoption, Aging out of the foster system, Guardianship, Services while in care - Educational",,,"The case manager is responsible for ensuring all youth 14-21 receive the skills necessary to become self-sufficient upon release from custody. Youth, ages 14-21, in the legal custody of the Division and in out-of-home placement are to be referred for Chafee Program Services, regardless of their case plan. Youth in an adoptive or guardianship placement that were previously referred for services continue to be eligible upon the case plan being achieved if the adoption or guardianship occurred after the age of 16. Youth that have been adopted or obtained guardianship after the age of 16 will follow the same referral process for youth in care if a referral was not previously made, Chafee services are desired, and they are still open in the Alternative Care Client Screen.  However, if a youth is closed in the Alternative Care Client Screen after the adoption or guardianship is awarded, the Chafee referral will close and a new referral will need to be made through the Referral – Chafee Aftercare Services screen if the youth is eligible and desires services.  The youth will have to be reopened in the system and will be categorized at this point as a LS-8 with a flag as an adoptive/guardianship youth in the Alternative Care Client Screen.  Although the legal status will be that of an aftercare youth, the flag will indicate to the Chafee provider that the youth is eligible for full Chafee services versus crisis care. Adoptive or Guardianship Case Managers will assist youth, adoptive parents, and guardians with completion of the necessary tools and assessments needed for referral.  The Adolescent FST Guide (CD94) and Individualized Action Plan Goals (CD94) must be submitted.  The  Adoptive or Guardianship Case Manager will be responsible for ensuring that services are being provided to assist the youth in independence skills and will review the Individual Life Skills Progress Form (CD95) and notify the Older Youth Transition Specialist if the desire for services changes.  Participation is not mandatory for youth who are in an adoptive or guardianship placement. Youth enrolled in the Transitional Living Program will receive Chafee Program Services through their respective Transitional Living provider. Older Youth Program Referral Screens and Assessment Reports Referral Packet These screens and tools are used to refer older youth for OYP Services including Chafee Program Services, Chafee Aftercare Services, and Transitional Living Services (group homes and scattered sites). Screens and reports included as part of the referral must have been completed within the last six months.  The screens and tools should be completed in the following order: Individualized Action Plan Goals (CD94) Adolescent FST Guide (CD94) Referral – Chafee Independence Services",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-3-chafee-foster-care-program-4
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 3 – Chafee Foster Care Program for Successful Transition to Adulthood (CFCP) :: 5.3.2.2 Youth with Special Needs",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Definitions, Services while in care - Educational, Services while in care - Medical",,,"Provisions of the Chafee Foster Care Program for Successful Transition to Adulthood are equally applicable to youth with disabilities. Transitioning youth with disabilities face the same challenges as their peers without special needs and are at higher risk for many undesirable outcomes such as poverty and victimization. Family Support Teams must consider youth with disabilities versus youth who are incapacitated. Youth with special health care needs include all children who have, or are at increased risk for, chronic physical, developmental, behavioral, or emotional conditions and who also require health and related services of a type or amount beyond that generally required.  Incapacitated youth, in reference to consideration of Chafee referral, means unable to participate due to their disability. The youth is lacking the ability to engage or understand their participation. Services should be provided in a holistic manner which addresses not only their special needs but their independent needs as well. Coordination with other service providing agencies is essential in order for youth with special needs to succeed in transitioning out of care.  Youth with special needs require on-going support related to their disability as well as continued support towards self-sufficiency.  This may mean assuring the youth is receiving benefits which they are eligible for such as SSI, connecting them to resources such as Vocational Rehabilitation, or advocating on their behalf.  Youth with special needs are also likely to have or be entitled to an Individual Education Plan (IEP) under the Individuals with Disabilities Education Act (IDEA), an Individual Written Rehabilitation Plan (IWRP) through the Department of Vocational Rehabilitation, and a plan of service care and coordination through Title V (Maternal and Child Health Bureau’s Division of Services for Children with Special Health Needs (DSCSHN)).  Depending on the extent of the youth’s needs, services may be coordination or advocacy only.  However, if the youth is able to practice new skills, these opportunities should be made available to them in a format to suit their individual needs. For youth who have been determined ineligible for referral due to disability level, it is understood the forms may not be completed with youth participation. Efforts should be made to complete the assessment tools with the youth if at all possible.  A referral for services should be made as the law requires a personalized independent living plan that is youth driven. If the youth is not able to participate, documentation of the youth’s independent living skills/functioning level should still occur on the Adolescent FST Guide (CD94) after Family Support Team discussion and decision. The Adolescent FST Guide (CD94) should be completed by the worker as thoroughly as possible and filed in the record in the Older Youth Program Section. The Family Support Team should continue to discuss the youth’s independent living skills status at meetings and if the youth’s functioning level should change, a referral for Chafee Program Services should be made.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-3-chafee-foster-care-program-3
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 3 – Chafee Foster Care Program for Successful Transition to Adulthood (CFCP) :: 5.3.2.1 Youth from Another State",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Placement, Services while in care - Educational",,,"Youth placed in Missouri from another state are eligible for supervision of placements and case management services. Youth eligible for this service are wards of another state and are in Missouri for the purpose of attending college, living in an Independent Living Arrangement (ILA) or Transitional Living Arrangement (TLA).  The financial responsibility for supporting these placements remains with the state from which the child was sent to Missouri.  The sending state should arrange for Chafee services directly via the Chafee contractor from the youth’s residence region.  The sending state should also provide for the Educational Training Voucher services if they are needed.  Initial requests for these services are facilitated through the ICPC unit in Central Office and supervisory reports are shared with the other state through this unit.   Following receipt of the initial request from the sending state, the ICPC Unit in Central Office will forward the request to the appropriate county office for assignment. Upon receipt of a referral at the county office, the youth is to be opened in the AC Client Information Function in FACES with a placement of TLA or ILA. The placement reason is other and an explanation is noted in the FACES notes section.  The placement mode is 7-ICPC in-State. The assigned supervising Children’s Division staff must approve the suitability of the residence. Staff shall use the TLP Advocate and Independent Living Arrangement (ILA) Checklist, CS-TLP-1, which provides a procedure for documenting health and safety requirements specific to an older adolescent placed in an ILA or TLA.  The CS-TLP-1 is completed every time a youth moves to a new ILA or TLA. On-going case management and supervision is provided in accordance with ILA/TLA services and record keeping.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-3-chafee-foster-care-program-2
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 3 – Chafee Foster Care Program for Successful Transition to Adulthood (CFCP) :: 5.3.2 Eligibility",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Aging out of the foster system, Services while in care - Educational",,,"Youth, ages 14-21, currently in the legal custody of the Division and in out-of-home placement; Youth, who exited legal custody of the Division on or after the age of 18 but have not yet reached age 21. Youth, who after age 16 or older, leave foster care for adoption or guardianship.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-3-chafee-foster-care-program-1
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 3 – Chafee Foster Care Program for Successful Transition to Adulthood (CFCP) :: 5.3.1 Program Goals",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Aging out of the foster system, Services while in care - Educational, Services while in care - Financial",,,"To identify youth who are likely to remain in foster care until age 18 and to help these youth make the transition to self-sufficiency by providing services. These services may include, but are not limited to: assistance in obtaining a high school diploma, career exploration, vocational training, job placement and retention, training in daily living skills, training in budgeting and financial management skills, substance abuse prevention, and preventive health activities (including smoking avoidance, nutrition education, and pregnancy prevention). To assist youth who are likely to remain in foster care until 18 years of age receive the education, training, and services necessary to obtain employment;. To assist youth who are likely to remain in foster care until 18 years of age prepare for and enter post-secondary training and education institutions; To provide independent living services to youth who after age 16 or older, leave foster care for adoption or guardianship. To provide personal and emotional support to youth aging out of foster care, through mentors and the promotion of interactions with dedicated adults; Assist youth who are likely to remain in foster care until age 18 years of age with regular, on-going opportunities to engage in “age or developmentally-appropriate activities To provide financial, housing, counseling, employment, education, and other appropriate support and services to former foster youth, who left care on or after age 17.5 and have not yet reached age 21 to complement their own efforts to achieve self-sufficiency and to assure program participants recognize and accept their personal responsibility in preparing for and making the successful transition from adolescence to adulthood; and To make available vouchers for education and training, including post-secondary learning and education, to youth who have aged out of foster care.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-3-chafee-foster-care-program-0
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 3 – Chafee Foster Care Program for Successful Transition to Adulthood (CFCP) :: Intro",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Aging out of the foster system, Services while in care - Other, Subsidies - Other",,,"Children’s Service Workers, Supervisors, and Older Youth Program Service Providers should be cognizant of community resources already available. The intent of Chafee is to focus on services for youth who are in care, are aging out, or have aged out of the foster care system.  Chafee funds are meant to be short term, flexible, and used as a safety net to meet the needs of the youth to assist them in their efforts toward independence.  Youth should always be encouraged to work toward independence and self-sufficiency.  Chafee providers will refer to and utilize all available resources before accessing Chafee funds and should look to the youth as a resource.  Family Support Team (FST) members should regularly brainstorm resources accessible to youth at meetings.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-3-chafee-foster-care-program
"MO :: Section 4, Chapter 5 (Older Youth Program), Subsection 1 – Mandates and Rationale",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Emancipation, Services while in care - Educational",,,"Section 477 of Public Law 99-272 requires each youth in out-of-home care, ages 16-21 to have an Independent Living Plan based on a Life Skills Inventory. Missouri has broadened this to include independent living services to all youth ages 14-21. The Foster Care Independence Act of 1999 (the Act), signed into law December 14, 1999, established the John H. Chafee Foster Care Independence Program, which later became the Chafee Foster Care Program for Successful Transition to Adulthood hereinafter referred to as Chafee.  This Act directs states to include a broad range of stakeholders in the planning, coordination, and delivery of independent living services.  With the passage of H.R. 6893:  Fostering Connections and Increasing Adoptions Act of 2008 (Public Law 110-351) Chafee was amended to add the purpose of providing services to youth who after the age of 16 leave foster care for adoption or  guardianship. National statistics indicate about 20,000 youth emancipate from the foster care system each year when they reach age eighteen. These young people leave without emotional or financial support that families provide.  Many of these youth are not adequately prepared for life on their own.  Turning eighteen may mean the beginning of a long and solitary journey toward adulthood if they have no one to turn to for help or support. To strengthen the system of support that contributes to the safety of these young people we must: increase early and consistent access to independent living preparation skills, especially opportunities for realistic practice of life skills; ensure the active involvement of young people in the individual planning and decision-making process that will lead to successful emancipation; ensure no youth is released from foster care to homelessness; and provide access to transitional housing and longer term affordable housing options. Young people who have left foster care say the immediate struggle for day-to-day survival after leaving care makes planning for a good future very difficult. To safeguard the well-being of youth making this transition, a continuum of support and preparation must begin when the youth enters out-of-home care.  The Act enables the division to provide time-limited services and financial assistance to help these young adults as they develop the skills and education needed to move successfully into self-sufficiency and independence. Chafee services should not be used as a substitute for sound permanency planning. In this context, independent living services do not constitute a permanency goal, but form a set of services provided to older youth to assist them in their efforts in reaching self-sufficiency.  Independent Living is not an alternative to adoption for youth.  Enrollment in Chafee shall occur concurrently with continued efforts to locate and achieve placement in adoptive families.  The youth’s case goal should be driven by his/her individualized case plan. For youth who plan to enter into a post-secondary or other educational program, remaining in the state’s care and custody to continue to have access to necessary services may be in their best interest. It may appear that Chafee conflicts with the Adoption and Safe Families Act (ASFA) of 1997. However, ASFA focuses on safety, permanency and well-being for all children, while Chafee focuses on services.  The Division can comply with ASFA and Chafee by ensuring foster care youth in Legal Status 1 have access to independent living services regardless of their current placement or permanency. In Missouri, the Older Youth Program is a set of services and supports provided to youth transitioning from foster care, regardless of case plan. The Older Youth Program incorporates Chafee and reflects the specific philosophy and services offered to youth, ages 14 and older, in the custody or previously in the custody of the Missouri Children’s Division. The Older Youth Program encompasses philosophy through positive youth development and the distinct permanency needs of adolescents. Three services are provided through the Older Youth Program:  The Chafee Foster Care Program for Successful Transition to Adulthood Program services are being provided by a contractor or Community Partnership.  Transitional Living Services are housing options and are also being provided through contracted agencies.  Independent Living arrangements are also encompassed in the Older Youth Program.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-5-older-youth-program-subsection-1-mandates-and-rationale
"MO :: Section 4, Chapter 4 (Working with Children) – Subsection 9 (Division of Youth Services Co-Custody)",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Court system, Legal process, Placement",,,"The role of the Division of Youth Services (DYS) is to care for and treat delinquent youth committed to their custody. In the majority of cases, youth are only able to access services if they are in DYS custody. However, in some cases, at the request of the circuit court, DYS may provide services for youth who have not been committed if they remain under the supervision of the juvenile court. These referrals must be handled on a case by case basis. A list of the DYS Service Coordinator Supervisors for each circuit can be found on the CD intranet. These supervisors should serve as a point of contact for CD when making referrals to DYS prior to making a recommendation to the court. Staff should invite DYS to Family Support Team (FST) meetings and court hearings when appropriate. When youth are court ordered into the joint custody of DYS and CD for the purpose of obtaining additional treatment services, the following protocol should be utilized: CD staff should send a copy of the court order through the appropriate channels to their Division of Legal Services (DLS) representative for review. All youth determined to be in the joint custody of DYS and CD should be coded in FACES as Legal Status 1. If it is determined by the DYS Service Coordinator Supervisor and CD that the youth should be placed in a DYS facility in which DYS is going to provide the cost of care, CD staff should enter a new placement and select a placement type of CTO on the placement screen in FACES. CD staff will abide by all case management activities as required for LS-1 children including visiting with the child in the placement at least once a month, regardless of the placement type. The agency with physical custody that is providing primary financial support of the youth should be the agency to open the Medicaid eligibility.       If CD has an open Title XIX in FACES and the child is to be placed in a DYS facility, CD should put an end date on the Title XIX field in FACES to allow DYS to open Medicaid for the youth. If a youth is discharged from a DYS facility and is placed in a CD placement, staff may reopen Title XIX in FACES by entering a new Title XIX begin date to allow CD to be reimbursed. Youth Transitioning from DYS to CD Custody It is also important to provide support for youth transitioning from one custodial agency to another, when there is no dual custody. Whether transitioning from DYS custody to CD custody or CD custody to DYS custody, the CD worker should attend staffings at DYS to monitor the youth’s progress and to promote a smooth transition between the agencies.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-4-working-children-subsection-9-division-youth-services-co-custody
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 8 – Missing Person Report Procedure :: 4.8.7 Considerations for Release of Jurisdiction – Youth 18 and Over",Missouri,Rules,"2023, 2022","Aging out of the foster system, Court system, Permanency, Reporting requirements, Safety",,,"For youth over the age of 18 who have left their placement to an unapproved placement, staff should assess whether the youth needs to remain in care or if a request to terminate jurisdiction should be made to the court. Youth may also petition the court on their own behalf for release from care and information on the youth’s rights should be shared with the youth. Requesting termination of jurisdiction from care should only be done after efforts have been made to engage the youth in services and safety can be assured.   This is not a one-time attempt but multiple attempts to engage the youth in services and assure safety. It will be important to share all efforts to assist the youth with the court if recommending termination of care. For youth over the age of 18 who have left placement and are in communication with Children’s Division or the Foster Care Case Management Agency, safety planning shall be done to include risk of human trafficking, mental health, and cognitive and developmental abilities. Whether or not to request release of termination should be based on the assessment and vulnerability of the youth. Staff shall assess the reasons for the youth’s elopement and if there are any possible solutions to address these reasons. If a request for termination is made to the court and denied, contact, safety assessment and planning, and attempts to engage youth in services shall continue. For youth over the age of 18 whose whereabouts are unknown, efforts shall continue to locate the youth as these youth are at high risk of human trafficking and may have other unmet needs that put them at risk for things such as homelessness. Documentation of efforts shall be made in the case narrative.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-4-working-children-subsection-8-missing-person-report-procedure-487
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 8 – Missing Person Report Procedure :: 4.8.6 Failure to Locate a Child/Youth",Missouri,Rules,"2023, 2022","Court system, Permanency, Reporting requirements",,,"The first priority of the worker shall always be to locate a runaway child/youth and remedy the reasons that the child/youth has run. However, there may be individual cases where the Division may want to explore a request for release of jurisdiction from the court. All requests for release of custodial responsibility should be evaluated on a case by case basis by the case manager, their direct supervisor, and FST team members. During the FST meeting, there should be a thorough review of documented efforts and consideration of the following factors: The age of the child/youth The number and type of previous placements The current and concurrent case plan Whether TPR has or has not occurred The child’s/youth’s progress and compliance in cooperating with the Division’s services The child’s/youth’s run history (one time event verses chronic runs) Whether the child/youth is running to a specific place or person Is there an exit plan in place for the child/youth to provide on-going support? (See memorandum CD04-56 for details on exit planning) It is important that a youth never be released from custody without an exit plan in place as it is our responsibility to ensure that youth leaving the foster care system either have support services in place or know how to obtain them as needed in the future. Non-compliance cannot be used as the sole reason to request termination of custodial duties by the Division. With this understanding, there may be rare situations where it is appropriate to request a release of jurisdiction when it is clear that there is a documented history of chronic and repeated non-compliance on the youth’s part to accept placements and services offered by the Division or in cases where the youth has been missing without contact for a minimum of twelve months. This does not include cases where the youth has run to a non-approved placement and remains in contact with the worker. Placement issues need to be addressed by the worker, youth, FST members and the court. If the court of jurisdiction does not agree to a release of custody and the child/youth is not located, the worker should continue to: Contact law enforcement, family, relatives, friends and all other contacts once per month in an effort to locate the child/youth for a minimum of six months; Monthly cross check Family Support Division screens IPAR and IMES as well as Food stamps screen through FAMIS system on the FAPC screen; If after six months, the child/youth is not located, continue to contact law enforcement, relatives and other contacts on a quarterly basis in effort to locate child/youth; Continue to provide written summary to court on all actions taken to locate child/youth; and Resubmit request for release of jurisdiction at all court hearings.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-4-working-children-subsection-8-missing-person-report-procedure-486
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 8 – Missing Person Report Procedure :: 4.8.5 Return of a Child/Youth",Missouri,Rules,"2023, 2022","Entry to care, Exit from care, Placement, Services while in care - Other, Subsidies - Other",,,"When a missing youth is located, the case manager must assess the factors that led to the child/youth being absent and to the greatest extent possible, address those factors in subsequent placements. The case manager should also determine the child’s/youth’s experiences while absent, including whether the child fell victim to human trafficking. Staff must complete the CD-288 Human Trafficking Assessment Tool within 24 hours of a child/youth in state custody returning from being a runaway, missing, or abducted child. For information regarding Human Trafficking, please refer to Section 4,  Chapter 4, Sub-Section 4, Special Populations- Human Trafficking. Indicators that a child/youth is involved in trafficking include, but are not limited to: Frequent runaway episodes A heightened sense fear or distrust of authority Unable to identify where they were while they were gone Has material goods that he or she cannot afford:  expensive clothing, one or multiple cell phones, nails done, hair extensions, etc. Physical injuries with no explanation of how they were received Has a sexually transmitted infection (STI) or a history of STIs Uses drugs and/or alcohol Reports sexual assaults Talks about a paramour, but does not provide their identity Frequent unexplained absences or tardiness from school Involved in gang activity Appears fearful, anxious, depressed, tense, nervous, paranoid, or hyper vigilant Has multiple cell phones Has hotel keys or talks about staying in hotels Has suspicious tattoos or other signs of branding Inappropriate, sexually suggestive activity on social media, the internet, or cell phone apps Associates and/or has relationships with age-inappropriate friends and/or paramours Reports meeting someone online A heightened sense of fear or distrust of authority Reports multiple sexual partners Change of appearance, such as revealing/provocative clothing and weight loss Avoids answering questions or lets others speak for him/her Answers to questions appear to be practiced or rehearsed Identifying victims of human trafficking can be difficult. Some challenges may include the following: They may not view themselves as victims. They may not trust adults due to trauma they have experienced. They may be concerned they will face legal consequences for their role in trafficking. Their trafficker may have made threats to harm the child/youth, their family, and/or friends. Traumatic bonding of the child/youth to their trafficker is often an influential factor that interferes with self-identification as a victim and in severing the child’s/youth’s relationship to their trafficker. Traffickers use power and control tactics to make their victims increasingly reliant on them for emotional and psychological needs. Children/Youth who are emotionally vulnerable due to a history of abuse/neglect are especially vulnerable to the tactics of traffickers. When a runaway or missing child/youth is located, the case manager should complete the following: Immediately assess the safety of child/youth. Notify law enforcement, juvenile office, Guardian Ad Litem, the resource provider, the child’s/youth’s parents, and parent attorney as appropriate of the child’s/youth’s return or recovery. Notify the National Center for Missing and Exploited Children (NCMEC) of the child’s/youth’s return. Determine whether to: Return child/youth  to the previous resource provider Place child/youth in new or temporary placement Place child/youth in a more secure or restrictive environment Seek approval for non-traditional placement (i.e. friend of child/youth, older sibling, parents whose rights have been terminated but continue a relationship with child/youth.) Arrange for a mental health screening. Update the child’s/youth’s AC Client Information screen in FACES to reflect current placement type and begin payment or resume payment for pre-existing Level A or Level B home. Within twenty-four (24) hours of the child’s/youth’s return, arrange for a medical examination. Change residence code on child’s/youth’s AC Client Information screen in FACES to reflect current placement in order to re-enroll child in MO HealthNet. Schedule Family Support Team (FST) meeting within 72 hours of child’s/youth’s return to address: Safety concerns Reason the child/youth ran away  (i.e. did not like the rules, placement issues, could not handle responsibilities in home, ran to be with friends, parents, others) Additional support services the child/youth may need Unexplored or non-traditional placement options Potential changes in the child’s/youth’s case plan Document in FACES all steps taken to: Assess the child’s/youth’s experiences while absent How the child’s needs were addressed upon return (i.e. medical examination, treatment needs, CAC, etc.) Notify relevant agencies of the child’s return It is important for FST members to consider case specific information when addressing these issues or making changes to the child’s/youth’s case plan. Members should consider the specific needs of the child/youth especially when considering alternative placement settings. Any child/youth age 12 or over should be included in the FST meeting. Screening after a Youth Returns or is Recovered Federal law requires staff to determine the primary factors that contributed to the child’s/youth’s running away or otherwise being absent from care, and to the extent possible and appropriate, respond to those factors in current and subsequent placements. This law also requires staff to determine the child’s/youth’s experiences while absent from care, including screening the child/youth to determine if the child/youth is a possible sex trafficking victim. Therefore, once a child/youth is located, the case manager must talk to the child/youth about why they were absent from care and what occurred while they were gone.  The caseworker should document this conversation in FACES. Questions to ask include, but are not limited to: What made you leave your placement? Where did you go when you left? How did you take care of yourself while you were gone? Did you have money? How did you get money? How did you eat? Where did you sleep? Who helped you while you were gone? Did you have to do anything in exchange for their help? Did anyone hurt you? Did you do anything that made you uncomfortable? Are you worried about anything that happened to you while you were away? Chronic Run Away Children/Youth who have run away multiple times are at an increased risk for involvement in commercial sexual exploitation. It may be appropriate to make a referral to the Child Advocacy Center (CAC) for a forensic interview of the child/youth, even if they have made no disclosure or provided information about involvement in trafficking. Local county offices are strongly encouraged to work with their CAC to develop protocols for assessing these children/youth. Suspicion of Abuse or Human Trafficking If a child/youth provides information that may indicate they were abused or involved in trafficking, the following must occur immediately, but no later than 24 hours after receiving the information: The case manager must immediately contact the Child Abuse/Neglect Hotline Unit (CANHU) to make a report of child abuse and neglect. The case manager should inform the hotline of any suspicion of involvement in human trafficking. The case manager should ensure that law enforcement is notified of the concern. A referral to the Child Advocacy Center (CAC) should be made for a forensic interview to further explore the child’s/youth’s experiences in care if there is an indication the child/youth was abused or trafficked. The case manager may contact the National Human Trafficking Resource Center toll-free hotline at 1-888-373-7888 or make an online tip report at www.traffickingresourcecenter.org/report-trafficking .",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-4-working-children-subsection-8-missing-person-report-procedure-485
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 8 – Missing Person Report Procedure :: 4.8.4 When a Child/Youth is in an Unapproved Placement",Missouri,Rules,"2023, 2022","Administrative process, Placement, Reporting requirements",,,"There are times when a child/youth leaves their approved placement, yet they inform the caseworker of their location, and the worker is able to verify the location and safety of the child/youth.  When a child/youth is residing in an unapproved placement, the worker will complete the following: Within 24 hours of learning the location of the child/youth, an in-person visit must be conducted with the youth, as well as notifying the supervisor and Circuit Manager of the youth’s current location. Within 24 hours of verifying the placement, notify the parents, Guardian Ad Litem, and Juvenile Officer Within 24 hours, update FACES Alternative Care Client Information. When RUN is selected as a placement, there will be an additional placement detail drop down box. The placement detail includes; Unknown, Known, or Abducted.   If a child’s physical location is known, the worker will then be required to input the physical address of the child.  These changes must be completed within 24 hours of the Child’s departure from their placement. For traditional, Youth with Elevated Needs-Level A or Level B, and emergency foster care placements, enter the temporary location as RUN. If the child/youth is located before the 7th day, end the temporary location. If RUN status extends beyond the 7th day, the primary placement will automatically change to RUN on the 8th day. For Youth with Elevated Needs-Level B or residential placement, maintenance payment continues through the 7th day from which the child/youth ran away in cases where the bed or placement will be held specifically for that child/youth. In this event, enter the temporary location as RUN. If the child/youth is located before the 7th day, end the temporary location. If RUN status extends beyond the 7th day, the primary placement will automatically change to RUN on the 8th day. Residential payments are not generated from the AC Client Information screen, SS-61, but for Level B placements the maintenance code, field 56, should be changed to “3 – No maintenance payment”. In this case, the Missing Youth Status Report, police report, and NCMEC notification does not need to be completed.  It is still expected for the case worker to meet in person with the youth monthly, and continue to engage the  youth in conversations regarding their preferred placement that could be approved as a licensed placement.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-4-working-children-subsection-8-missing-person-report-procedure-484
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 8 – Missing Person Report Procedure :: 4.8.3 Runaway Child/Youth Protocol",Missouri,Rules,"2023, 2022","Administrative process, Court system, Definitions, Reporting requirements",,,"When a youth in foster care is determined to be missing the case manager shall: Immediately, but no later than two (2) hours, file a missing child complaint with the appropriate law enforcement (LE) agency. Document the LE agency name and phone number, report number, and the name of the person taking the report in the electronic case record. The placement provider has the authority to make the initial report to law enforcement, 210.795 RSMo. Oftentimes they are the first person to become aware a youth is missing and can most efficiently and effectively initiate the report. In the event the placement provider makes the initial report, the case manager should follow up with law enforcement to ensure all necessary information was provided, including the worker’s contact information. Note: In addition to state statute, Federal law requires law enforcement to take a report of missing children/youth under the age of twenty-one (21). The missing child’s entry shall not be removed from any database or system until the child is found or the case is closed. If the local law enforcement agency refuses to take a missing child/person report, staff should contact the Missouri State Highway Patrol for assistance. Troop information can be found at https://statepatrol.dps.mo.gov/ . Staff should contact the appropriate troop and request to speak to the MULES trainer. Staff should explain the situation and ask the MULES trainer to assist by contacting the local law enforcement agency. 2.  Within two (2) hours, make a report to the National Center for Missing and Exploited Children (NCMEC). Reports are made to NCMEC by phone at 1-800-THE-LOST or online at https://cmfc.missingkids.org/reportit NCMEC requires a photo of the youth in order to publish the missing person poster online. If a photo is not available at the time of the initial reporting to NCMEC one must be provided as soon as possible. Document the report number and the name of the person taking the report in the electronic case record. Contact their supervisor and circuit manager/agency director to notify them of the missing youth and seek guidance. 3.  Contact their supervisors and circuit manager/FCCM agency director to notify them of the missing youth and seek guidance. 4. Within 24 hours, inform and obtain information about the child’s disappearance from the child’s parents, known relatives, out-of-home caregivers, attorney, guardian or Guardian ad Litem (GAL), court appointed special advocate (CASA), juvenile officer (JO), Indian tribe (as applicable), or any other person known to the department who may have relevant information regarding the child’s disappearance, 210.795(3) RSMo. 5.  Within 24 hours, request a Capias Order, commonly referred to as a “Pick-Up” Order, from the juvenile court. The order should contain after-hours phone numbers for whomever CD desires to be called when the youth is located. This order alerts law enforcement to the fact that a youth is under the court’s jurisdiction and is missing. The order gives law enforcement instructions to return the child to CD. The juvenile office may have the ability to enter the order into the Missouri Uniform Law Enforcement System (MULES) or the JO may need to be sent to a law enforcement agency for entry. Without this order being entered into MULES law enforcement may not have knowledge that the child is in foster care. Note: If the juvenile officer will not request a capias order staff should make a referral to the   Division of Legal Services (DLS) to request assistance in filing for an order. Staff should utilize the standard DLS case referral form and be sure to include when the youth went missing, the last time CD received communication from the youth, and any available information about their possible whereabouts. DLS information and forms are located on the DSS Intranet at https://dssintranet.mo.gov/dls/ 6.  Within 24 hours, update FACES to reflect a new temporary location of RUN. When RUN is entered as the temporary location, there will be an additional placement detail drop down box related to the youth’s whereabouts. Choices are: Unknown, Known, or Abducted. Known is selected when the youth has been located but is living in an unapproved setting. When selecting ‘Known’, the system requires a physical address where the youth is living. (See additional information below.) Due to Treatment Foster Care (TFC) placements being listed under temporary location, RUN status must be entered as a second temporary location. If the youth is located before the 7th day, end the temporary location. If RUN status extends beyond the 7th day, the system will automatically update the primary placement to RUN on the 8th day. 7.  Within 3 business days, complete the Missing Youth Notification (CD-308), upload to OnBase, and email to CD.MissingYouth@dss.mo.gov . 8. Within 3 business days, and at least monthly thereafter, consult with their supervisor to: review the efforts to locate the youth thus far, ensure all statutory requirements have been met, check for documentation in electronic case record, and develop next steps to locate the youth. 9.  Within seven (7) calendar days, and monthly thereafter, contact the youth’s family members, friends, school faculty, service providers and any other person or agency involved in the youth’s case. All contacts should be documented in the electronic case record. 10.  Every seven (7) calendar days until the youth is located, contact law enforcement to inquire about their search efforts and obtain any new information they have collected. All contacts should be documented in the electronic case record. 11.  As needed, search available databases including but not limited to benefits provided through Family Support Division (SNAP, TANIF) and MO HealthNet/Show-Me Healthy Kids; search other public records and social media accounts; and request a TLO search from your circuit designee. 12.  As needed, contact the State Technical Assistance Team (STAT) for assistance in locating missing youth or for assistance with local law enforcement. Learn more about STAT at https://dss.mo.gov/stat/ 13.  Quarterly, make reports to the juvenile court on the status of the youth and efforts to locate the youth.",https://fostercaresystems.wustl.edu/mo-section-4-chapter-4-working-children-subsection-8-missing-person-report-procedure-483-missing
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 8 – Missing Person Report Procedure :: 4.8.2 Definitions",Missouri,Rules,"2023, 2022",Definitions,,,"Missouri statutes 43.400 – 43.410, RSMo., contain provisions for reporting missing persons to the State Highway Patrol. A missing child/juvenile is defined as “any person who is under the age of seventeen years, whose temporary or permanent residence is in the state of Missouri or who is believed to be within the state of Missouri, whose location has not been determined, and who has been reported as missing to a law enforcement agency.” A child/juvenile may be considered missing if they meet one of the following characteristics: If they have run away from the residence of a parent, legal guardian, or custodian; If they are missing under circumstances indicating that the person was or is in the presence of or under the control of a party whose presence or control was or is in violation of a permanent or temporary court order and fourteen or more days have elapsed, during which time the party has failed to file any pleading with the court seeking modification of the permanent or temporary court order. Anyone over the age of seventeen years is considered missing if they are missing and meet one of the following characteristics: Is physically or mentally disabled to the degree that the person is dependent upon an agency or another individual; Is missing under circumstances indicating that the missing person’s safety may be in danger; Is missing under involuntary or unknown circumstances; Is missing under circumstances indicating that the person was or is in the presence of or under the control of a party whose presence or control was or is in violation of a permanent or temporary court order and there are reasonable grounds to believe that the person may be taken outside of the United States. For general purposes, a foster child is considered to be missing or on run status as soon as their physical whereabouts are unknown to CD or their physical custodian. A foster child is under the care and custody of the CD and responsibility therefore lies with the CD staff, contracted service workers, and resource providers to ensure the safety and well-being to the best of their ability.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-4-working-children-subsection-8-missing-person-report-procedure-482
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 8 – Missing Person Report Procedure :: 4.8.1 Understanding Runaway Youth with a Trauma Based Focus",Missouri,Rules,"2023, 2022","Administrative process, Safety",,,"Children in the custody of the Children’s Division, particularly considering their trauma history, are at increased risk than other children for running away. Children may run away from any placement type, but their risk is lowest for runaway episodes when placed with family. Risk factors which increase the likelihood that foster children may run away include: frequent placement changes, entry into care as a teenager, a familial history of abuse and neglect, and a documented history of behavioral health problems. When children run away, they are at higher risk for perpetrating crimes, using drugs/alcohol, and being victimized by others. Youth who have run away are especially vulnerable to recruitment into human trafficking. Running away is often a coping mechanism or an impulsive response which may be triggered by the child’s trauma history. It is important to understand what happened prior to the runaway episode and view that through a trauma lens. For example, if a child feels unsafe, that may prompt a flight response. Some children will run away FROM something; some children will be running TOWARDS something. Engaging with the child to try and understand the underlying causes of the behavior may help the child recognize triggers. The focus should be on increasing the child’s safety, not punishing the child through restrictions that could be counterproductive. If the child ran away as a flight response to feeling threatened, assigning consequences to the child could send an unintended message that control is more important to staff than our concern for the child to resolve triggers in a healthy way. Based on the above, it is important to conduct a supportive assessment of the child’s time away from their placement as well as gain an understanding of what prompted the elopement so these factors can be addressed. Staff should make clear to the child that staff are glad they are safe and staff view the runaway episode as a signal that the child’s needs, particularly safety needs, may not be met. When conducting this assessment, provide the youth with some space and time to calm down before participating. The conversation should be held in a safe, relaxed, neutral, non-threatening environment. The questions should be open-ended, and feel relaxed and conversational, preferably conducted by someone with whom the youth has a rapport or trusts. If possible, allow the child to have others present if it would make them feel more comfortable. Staff should be caring, empathetic, sincere, nonjudgmental, and trustworthy. Youth need to feel they are being heard. The information obtained should be integrated into the child’s plan as well as the permanency plan. Integration into Service Planning First, any safety concerns while the youth was on run status should be addressed. For example: Is a medical exam needed immediately; if any illegal behavior towards the youth was experienced, does law enforcement need to be contacted? Please see Section 4.8.5 for more information about procedures when children return from run status. Additionally, research has shown that incorporating the information garnered from this dialogue into the youth’s service plan can reduce the risk of running away and reduce the frequency of placement disruption. By understanding the cause of the behavior, changes can be made to support the child’s needs. For example, staff may have restricted access to family yet the child still desires a relationship with family members. How can staff ensure safety while still increasing family contact? If the child is attempting to avoid restrictions inherent in some placements or being in state custody, staff should assess the restrictions. Risks for Runaway Youth Children who have run away multiple times are at an increased risk for involvement in human trafficking. Traffickers prey on and target vulnerabilities in their victims in order to make promises aimed at addressing the needs of their victims. The following are common risk factors for trafficking in children/youth: Being in foster care Chronically missing or frequently on the run History of childhood sexual abuse History of physical and emotional abuse Single parent home Minimal supervision Low self-esteem Lacks a strong social network Unsupervised online time Seeks online friendships and connections History of substance use issues or those living with someone with substance use issues History of school truancy",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-4-working-children-subsection-8-missing-person-report-procedure-481
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 7 – Children of Youth in Alternative Care :: 4.7.1 CYAC Procedures",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Placement, Services while in care - Financial, Subsidies - Other",,,"When a CYAC parent gives birth while in alternative care or enters alternative care with a child, the Children’s Service Worker shall immediately: Complete the Title IV-E/FFP Information in FACES, one for a parent and one for a child entering care. Explain to the Eligibility Specialist (ES) that these are CYAC parent and child. The system will notify the FSD worker when a child receives Temporary Assistance for Needy Families (TANF). Open an AC function through case intake for the CYAC child. Entry instructions can be found in the Step by Step guide under FACES information. The system will automatically enter fund code 12 or 01 (if child’s placement type is ILA) on the AC Client Information screen. Select no maintenance on the child’s Placement Information screen. The child’s eligibility and reimbursability for Title IV-E is based on the CYAC parent’s eligibility. The ES shall update the fund code to Alternative Care IV-E (02). If the CYAC parent is not eligible for Title IV-E, the ES will explore Title XIX (FFP) (12) eligibility and if needed, HDN (01) for the child. Update the Placement Information screen of the CYAC parent. Select a maintenance amount of above standard rate (if the placement is an ILA) and enter the amount (the amount will be the rate for the parent plus the standard rate for the child). The maintenance amount reported on the Placement Information screen of the CYAC parent must take the CYAC child’s income into consideration. Therefore, any income received for the CYAC child must be deducted from the maintenance amount to be paid from the SS-61. One check will be generated to the resource provider or to the CYAC parent when the placement type is ILA. If the older youth and child are placed in a foster home, or a transitional living placement, the resource provider only receives maintenance for the older youth. For foster home placements, the worker should select standard rate as the maintenance amount. For TLS and TLG placements, the worker should select no maintenance. For TLA placements, the worker should select above standard rate as the maintenance amount. Payment for the CYAC child is paid directly to the older youth via a monthly payment request. The worker will select the direct payment to client box on the payment request screen using the service code of MAIN and utilizing the parent’s DCN. In the comment box, the worker should input the CYAC child’s DCN. In transitional living placements, the contractor is responsible for providing oversight to the youth based on the youth’s specific maternity/parenting needs and ensuring the safety of the youth and child through the living arrangement. The contractor must  provide the service needs of the youth in terms of parenting such as education in nutrition, growth and development, and effective discipline. If the CYAC parent is case managed by a private agency, a payment request should be submitted to pay the CYAC maintenance and infant allowance, if applicable. The steps listed above would be followed utilizing the appropriate service code for the service being paid. Outside Income for the CYAC child – Any outside income received by the CYAC child shall not become part of the Children’s Income Disbursement System, KIDS,account. The Division Director shall not become payee for this income. Rather, the Children’s Service Worker should assist the CYAC parent in becoming payee for same. The CYAC parent is expected to use the CYAC child’s income toward the CYAC child’s cost of care. Therefore, the maintenance amount for the CYAC child will need to be adjusted accordingly on the CYAC parent’s Placement Information screen based on the amount of outside income the CYAC child receives. Monthly maintenance received by the youth is not considered income and should not be counted as outside income. Special expenses – Special Expenses for the CYAC child must be invoiced under the CYAC parent’s name and DCN using current procedures, with the exception of child care, which should be authorized using the CYAC child’s DCN.  The CYAC child has his or her own clothing allowance that is paid in addition to the child in CD Custody.  This will cause a payment error that can be overridden in the system. Eligible placements – The Alternative Care Client Information instructions identify eligible placement types that can be used for the CYAC child as well as other special instructions which must be used on CYAC child’s AC function. Division custody of CYAC child – If a CYAC child is placed in the Division’s custody, the system automatically considers the child Title XIX-FFP (12) eligible in the child’s own right. At the time the Division is given custody, the worker should update the child’s legal status to LS-1 and maintenance and special expenses would be paid, using the child’s DCN. The Title IV-E/FFP Information screen in FACES would need to be completed for the child and sent to the Eligibility Specialist for a IV-E/FFP eligibility determination. The maintenance amount on the CYAC parent’s Placement Information screen must be updated to reflect the appropriate rate. If the LS-1 child returns home on a trial home visit with their parent who is in CD custody, the parent would receive maintenance for the child. The worker would need to complete a payment request and pay maintenance directly to the client (parent). Once jurisdiction of the child is terminated, the legal status can be changed to LS-7, CYAC as long as the parent is still in care.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-4-working-children-subsection-7-children-youth-alternative-care-471
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 7 – Children of Youth in Alternative Care :: Intro",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Safety, Services while in care - Medical, Subsidies - Foster Parents",,,"The Children of Youth in Alternative Care, CYAC, Program allows for the provision of maintenance, special expenses including clothing and infant allowance, and Medicaid for a child who is in the physical and legal custody of his/her CYAC parent, who is in the Division’s custody. The parent and child must be in the same eligible placement. It should be noted that the Division should also strive to work closely with the father of the CYAC child. It is important that the father be involved in the child’s support system.   No child of a youth in Alternative care should be removed from the parent unless there are abuse and/or neglect issues that jeopardize the child’s safety.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-4-working-children-subsection-7-children-youth-alternative-care-intro
"MO :: section 6, Chapter 16 (Relative Resource Home), Subsection 1, – (Definition and Purpose)",Missouri,Rules,2023,"Adoption, Definitions, Guardianship, Placement, Reunification",,,"A Relative is a grandparent or any other person related to another by blood or affinity or a person who is not so related to the child but has a close relationship with the child or the child’s family. (RSMo 210.265.2)   This designation applies to homes who apply to care for children for whom the agency has legal custody. Relative care is the least restrictive family-like setting for children requiring out-of-home placement. Regardless of which of the five permanency options; Reunification, Adoption, Guardianship, Placement with Fit and Willing Relative, or Another Planned Permanent Living Arrangement (APPLA), is being considered for a foster youth, relative care is the placement of preference and should, if at all possible, be pursued prior to making any other type of out-of-home placement, unless a court determines that placing a foster youth with a relative is not in the best interest of that foster youth. The court must make specific findings on the record detailing why placement with a relative is not in the best interest of the foster youth. Placement Consideration When out-of-home care is imminent, the Children’s Service Worker should ask the parent and foster youth to identify potential relative providers. After removal of a foster youth from his/her home, a list of potential relative providers should be obtained from the parents at the 72-hour Family Support Team meeting. This list and efforts to locate potential providers should also be documented in the assessment and treatment section of the case record, in Section III of the CS-1, and on the Child/Family Health and Developmental Assessment, CW103. Factors to consider in identifying potential relative foster care providers are as follows: Who would the parent and foster youth most want to care for the foster youth; Who does the parent and foster youth most often turn to in time of crisis; Who has cared for the foster youth in the past when parents were unable to; and With whom does the foster youth have a close relationship with? Missouri Revised Statute 210.565.4 Specifies that the age of the foster youth’s relatives, shall not be the only factor taken into consideration in placement decision recommendations to the court about placing the foster youth with a relative. After identifying a potential relative care or kinship care provider, the Children’s Division Worker should ask the family to describe the relationship with that individual/family, to include the following: Provider’s relationship to the foster youth and length of involvement with the family; Description of the provider’s involvement with the family, i.e., provided care for the foster youth and/or parent, assisted the family through crisis, provided moral support, member of church or community organization, neighbor, etc.; and Whether the provider ever resided in the home with the parent or foster youth and, if so, how long and when. Chapter Memoranda History: (prior to 01-31-07) CS03-32 , CD04-79 , CD05-80 , CD06-37 , CD06-46 , CD06-75 Memoranda History: CD10-102 , CD17-42, CD18-16",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-16-relative-resource-home-subsection-1-definition-and-purpose
"MO :: Section 6, Chapter 10 (CD Employees As foster Or Adoptive Parents), Subsection 2, – (Adoption)",Missouri,Rules,2023,"Adoption, Contracting with private organizations, Foster parent licensing, Placement",,,"Children’s Division (CD) employees who want to adopt a child must be approved by a child placing agency or adoption intermediary other than CD.  If the employee utilizes an agency with which CD contracts and intends to adopt a child in CD custody, the Division will pay for the cost of the adoptive study. CD employees may adopt a child in the custody of the Division as long as: Custody is transferred to the adoptive parent or another child placing agency when the child is placed in the home; and Someone other than CD provides supervision; or The Regional Director may assign a neighboring county as a measure of last resort should there be no one outside of CD available to provide supervision. When a CD employee is being considered for the adoption of a child in CD custody, and the CD employee is from a different county than the available child’s case manager county, the staffing process may remain the same. CD employees may not adopt a child from their county or circuit of employment unless recruitment for that child has been unsuccessful for a period of 90 days and the recruitment efforts must be documented .   The 90 days will begin when the recruitment efforts have been initiated. Recruitment efforts must be clearly documented. If the employee is from the same county as the available child, the child’s adoption staffing is to take place in a county other than the county where the employee is based, (i.e., neighboring county). In the situations where the child and employee are from the same county, the case manager county is to contact their Regional Office representative to request assistance in assigning the staffing to an alternative county. The alternative county that has been assigned to conduct the staffing is to follow the procedures set forth previously in this manual. In addition to conducting the staffing, the selection committee in the assigned county will ultimately be responsible for making the recommendation of the family that the team selects. The child’s case manager and their supervisor are mandatory members of the selection committee and therefore must be a part of this committee.  They are only to provide information about the child and to answer any questions that may arise.  The child’s case manager and their supervisor will abstain from participating in the recommendation of a family for a child. 4. If a child under the supervision of CD is placed in the physical custody of an  employee, the home study process, case management, and supervision of the case shall be addressed in the order outlined below: a.   The case shall be assigned to a neighboring county or a neighboring office if this occurs in a metro area, for conducting the home study and on-going case management and supervision of the case. b.   The case may be referred through the Foster Care Case Management contract and count in the rotation as a new entry into care. c.   A child/family specific contract may be developed with a child placing agency. Should there be a need to enter into a child/family specific contract with a child placing agency, refer the matter to the Contract Management Unit. 5.   Once the child’s adoption has been finalized, the Regional Office will assign a neighboring county to the employee, in order to provide case management services, related to adoption subsidy, to the employee.  The assigned county will be responsible for requests throughout the duration of the subsidy. Memoranda History: CD09-72",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-10-cd-employees-foster-or-adoptive-parents-subsection-2-adoption
"MO :: Section 6, Chapter 10 (CD Employees As foster Or Adoptive Parents), Subsection 1, – (Foster Parenting)",Missouri,Rules,2023,"Adoption, Contracting with private organizations, Foster parent licensing, Placement",,,"When a Children’s Division employee inquires about becoming a foster parent, relative or kinship provider, or is being considered for the adoption of a child through the Children’s Division, the following procedure is to be followed. CD staff may serve as foster parents for public and private agencies other than our Division .  If employees provide foster care services for another agency, they may not accept for placement a child who is in the custody of CD.  This includes emergency foster care and respite care. The only exceptions to this policy are: A child in the custody of CD may be placed with an employee if all parental rights have been terminated and the intent is for that employee to adopt the child. If a child relative or child of a close friend of an employee is placed in the custody of CD, and it is in the best interest of the child to be placed with the employee. If a child under the supervision of CD is placed in the physical custody of an employee, the home study process, case management, and supervision of the case shall be addressed in the order outlined below: The case shall be assigned to a neighboring county or a neighboring office if this occurs in a metro area, for conducting the home study and on-going case management and supervision of the case. The case may be referred through the Foster Care Case Management contract and count in the rotation as a new entry into care. A child/family specific contract may be developed with a child placing agency. Should there be a need to enter into a child/family specific contract with a child placing agency, refer the matter to the Contract Management Unit. Memoranda History: CD09-72",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-10-cd-employees-foster-or-adoptive-parents-subsection-1-foster
"MO :: Section 6, Chapter 9 (Out of County Home Assessment), Subsection 2, – (Guidelines for Limitations in Providing Family Assessments)",Missouri,Rules,2023,"Adoption, Foster parent licensing, Placement",,,"Family assessment services are to be provided, upon receipt of a written request, in the following instances, although efforts should be made to direct these requests to private agencies. In behalf of a child classified as homeless, dependent and neglected and in the custody of a public agency in another state when that agency is contemplating the use of an out-of-home care resource in Missouri such as adoptive care, foster family care, or relative care family care; or that agency is considering placing the child with a birth parent residing in Missouri. In behalf of a child under the jurisdiction of a court in Missouri when the court has ordered such an assessment. In behalf of a child under the jurisdiction of an Indian Tribal Court. Family assessments will not be provided in the following instances: Requests made by private individuals, attorneys, physicians or ministers; Requests received from courts in other states for divorce/custody purposes; Requests made by courts in other states in behalf of a child who has violated a law or is classified as a status offender (i.e., runaway, habitual school absence or habitual disobedience of parents); and Requests related to importing a child from a foreign country for the purpose of adoption. Memoranda History: CD17-42",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-9-out-county-home-assessment-subsection-2-guidelines-limitations
"MO :: Section 6, Chapter 9 (Out of County Home Assessment), Subsection 1, – (Out-of-County Home Assessment)",Missouri,Rules,2023,"Adoption, Foster parent licensing, Placement, Reporting requirements",,,"The Children’s Service Worker, in originating county, shall decide when an out county home assessment is needed for adoptive family, foster family, relative or birth parent residing in another county. Submit Out of County Home Assessment Request , CD-174, to the Circuit Manager or designee for review, approval and forwarding to the receiving county, include the following material: Child Social Summary and available evaluations of child involved NCFAS G+R and attachments Initial Child Abuse/Neglect Background Information on adults in the potential resource home Applicable court orders Preliminary Criminal Background Screening Summary of case history current written service agreement, if applicable Any specifically requested information to be included in study, and Sending worker’s email address and direct phone number. Submit the request to the receiving County. The Children’s Service Worker in originating county is required to do a follow up contact with the receiving county to verify receipt of request and answer any additional concerns or questions. The Children’s Service Worker in the receiving county shall begin by setting up a case record. The record shall be a family resource case for resource provider assessments. (adoptive, foster family or relative). The Vendor Application Screen in FACES will be entered, and The record shall be a protective service case for a child’s parent and a Family-Centered Services case will be opened in FACES. The receiving county Children’s Service Worker shall contact the family and explain the purpose of the study. Return the form CD-174 if the family refuses to cooperate with the request or if the family is already approved/licensed. The CD-174 and all supporting documentation are submitted to the originating county. Arrange for interviews and other contacts to complete family assessment. Follow procedures for foster/relative assessment, adoptive assessment, or for case assessment for protective service clients if a parent case. Compile pertinent and required information in written report and submit form CD-174 and study to originating county with recommendations. The completed CD-174 and study should be sent to the originating county within 60 days of receipt of the request, unless otherwise specified on the CD-174. The Children’s Service Worker in originating county shall receive and review assessment and recommendations and shall decide to place or not place the child. In some situations, the Children’s Service Worker from the receiving county may be invited to the Family Support Team Meeting. The Children’s Service Worker will notify the receiving county, in writing, of decision to initiate plan for placement or close study record if no placement will be made. Please refer to Section 4, Chapter 2, Subsection 2 for placement of a child in a different circuit or placement of a child in a different circuit when it is after hours. Memoranda History: CD11-97 , CD13-90, CD17-42",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-9-out-county-home-assessment-subsection-1-out-county-home-assessment
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 6 – Medical Foster Care",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Placement, Services while in care - Medical",,,"A youth in foster care with medically diagnosed extraordinary medical condition(s) and or mental or physical disabilities is eligible to be placed in a resource provider home that is contracted to provider medical foster care if the following statements regarding the foster youth is supported with documentation: The youth must have a diagnosed medical, mental, or physical condition that requires twenty-four (24) hour availability of a resource provider specifically trained to meet the elevated medical needs The diagnosed condition significantly and substantially impairs the youth’s ability to function on a daily basis The youth’s diagnoses and conditions must be included on the Medical Foster Care Assessment Tool, CS-10, or a physician’s certification for medical foster care Procedure for Placement The Children’s Service Worker will complete the Medical Foster Care Assessment Tool, CS-10. The CS-10 is the tool used by the worker to present the medical/developmental needs of the foster youth.  The referral should be made through supervisory channels, for approval of placement in the home of a licensed resource provider contracted for medical foster care placements. The final approval must be made by a the circuit specialist or designee, as per local protocol. The worker will use their knowledge of the youth, information supplied by the birth family, the resource provider, other professionals, the foster youth, and medical documentation the worker has obtained to document the needs of the foster youth. The more comprehensive the documentation, the more likely a decision can be made as to the eligibility of the foster youth. The form shall be completed based upon the child’s disability and not his/her age. Re-evaluation The CS-10 shall be reviewed annually regarding the status of the foster youth’s eligible conditions. The CS-10 does not need to be reviewed if the eligibility for medical foster care was determined using only Section II subsection A, unless the medical condition has changed. The CS-10 can be reviewed at any time regarding the status of the foster youth’s eligible conditions if a FST member requests.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-4-working-children-subsection-6-medical-foster-care
"MO :: Section 6, Chapter 8 (Court Requested/Ordered Adoptive Assessment), Subsection 2, – (Guidelines for Court Ordered Adoptive Assessments)",Missouri,Rules,2023,"Adoption, Legal process, Reporting requirements",,,"Guidelines for Conducting and Reporting a Court Requested/Ordered Adoptive Assessment The Division may be requested / ordered by the juvenile court to complete an investigation of a family who has petitioned to adopt a child. The requirements relating to these investigations (assessments) are found in chapter 453, RSMo. The court will use the assessment to determine if it should allow the adoption. Therefore, it is important that the assessment be completed in a thorough and timely manner. Chapter 453 differentiates between a court requested/ordered adoptive assessment where a child has been placed with the prospective adoptive family pursuant to a court order and one where there was no court order prior to the transfer of custody. The length of time staff has to initiate and complete the assessment depends on whether or not the child was placed pursuant to a court order. In those situations where the child was placed by an appropriate individual/agency, section 453.070, RSMo, mandates that an investigation (assessment) of the adoptive placement be completed and a report submitted to the court within 90 days. The court may direct the Division to complete this investigation. Section 453.110, RSMo, requires the court to order Children’s Division (CD) to conduct an investigation (assessment) and submit a report when a child is placed in the custody of another person/agency before obtaining the court’s authority to do so. This section requires CD to initiate the investigation within 48 hours and submit a report to the court within 30 days. The assessment should include the same information as required in section 453.070, RSMo. However, staff should place greater emphasis on the specifics surrounding the placement of the child. Staff should attempt to locate and interview the birth parents. This information will allow the court to determine if the placement was appropriate and if the birth parents agree to the adoption. Staff may, in the course of their duties, become aware of a child’s placement which is not in compliance with the law. In these situations, staff should immediately notify the court and provide any pertinent and identifying information. Staff should refer to Section 6 Chapter 3 Subsection 8 Sub-subsection 1 to complete the majority of the adoption assessment and the report. However, the following information shall be added when completing an assessment and report as required under chapter 453, RSMo. If the child has not yet been placed in the home, the information about the child’s adjustment in the home can be omitted. Circumstances of the Child’s Placement with the Family: Original reason and circumstances surrounding the child’s placement and when. Was adoption anticipated when the child was placed? Was the plan at the time for the parents to resume custody? What was the child’s health at placement? What was the child’s understanding of the reason for placement? How did the child feel about the placement? Did any money or other considerations change hands at or subsequent to the placement? If so, obtain the particulars. Identifying Information of the Child and Adjustment to the Family Description of the Child: Age, race/ethnicity and birth date; Physical and mental condition. This should be confirmed by a statement from the child’s physician. If the child’s condition suggests that a mental or psychological evaluation would be important, this should be requested from the family and results noted in the report. If the family refuses, the court should be provided with this information; Developmental history; Special needs and potential eligibility for adoption subsidy. Describe the child’s emotional adjustment in the home and his/her desire to remain. Describe how the family has met the physical, mental, intellectual and special needs of the child. Describe the child’s relationship with each member of the family. Interview with the Birth Parents Staff should attempt to make contact with and interview the birth parents, especially when there has been an improper placement. The following information should be obtained: What was the original reason the child was placed with the prospective adoptive family? What is their current intent regarding the child? Are they aware that the prospective adoptive family wants to adopt the child? What are their feelings regarding this adoption? Background history and current status including: Age, race/ethnicity; Employment and educational history; Marital status; General medical and mental health currently and at the time the child was placed; Life history as it specifically relates to the child’s development and decision to place the child for adoption; Current relationship with the child and the prospective adoptive family; Other information which will assist the court in determining the parents’ situation currently and at the time of the placement; Have they signed a consent to adoption or any other documents which pertain to transfer custody? Did they receive any compensation or money for the placement of the child? If so, gather particulars. Interview with the Prospective Adoptive Family Staff should gather the following information relating to the family’s relationship with the child: Why is the family interested in adopting the child; Assess whether or not they can meet the physical, emotional, intellectual and special needs of the child on an ongoing basis; What is their personal relationship with the birth parents and do they anticipate this relationship will change after the adoption? Memoranda History: CD14-64",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-8-court-requestedordered-adoptive-assessment-subsection-2-guidelines
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 5 – Children with Elevated Needs :: 4.5.3 Termination of Elevated Needs Classification",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Permanency, Services while in care - Mental Health",,,Permanency planning shall continue throughout the Level A or Level B placement. The worker shall seek a less restrictive setting once the youth’s presenting problems have been replaced with appropriate coping behaviors. It may be necessary to involve a Children’s Service Specialist for consultation if the team is unable to reach a consensus regarding termination of the youth’s classification.,https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-4-working-children-subsection-5-children-elevated-needs-453-termination
"MO :: Section 6, Chapter 8 (Court Requested/Ordered Adoptive Assessment), Subsection 1, – (Court Requested/Ordered Adoptive Assessment)",Missouri,Rules,2023,"Adoption, Legal process",,,"Chapter 453, RSMo, allows the Juvenile Court to request/order Children’s Division (CD) to complete assessments on families petitioning to adopt a child. If the child was placed prior to a petition being filed, the court is mandated to order CD to complete the assessment. The resource development worker will receive juvenile court request/order for adoptive family assessment and initiate contact with the family within 48 hours if the court ordered an assessment because transfer of custody occurred without a valid court order. The resource development supervisor will request that the court refer the investigation request to a private licensed agency on those assessments where there was a court order transferring custody. The resource development Worker will initiate contact within ten days with prospective adoptive family, if court won’t refer elsewhere. Begin the assessment process by personal interview with prospective adoptive family. Compile pertinent historical and current information on the child to be adopted and his/her birth parents. Compile information about the circumstances of the child’s placement including an interview with the birth parents, especially if the court ordered the assessment because transfer of custody occurred prior to obtaining a court order. Interview the child, if age appropriate. Interview birth parents, if able to locate. Assess child’s physical, mental, racial/ethnic or other conditions pertinent to the suitability for adoption by the prospective family. Assess prospective adoptive parent’s suitability to parent the child. Submit a written report to the court within 90 days of the request/order if child was legally placed in the home. Submit a written report to the court within 30 days of the request/order if assessment was ordered by the court because transfer of custody occurred prior to obtaining a court order. Contact the court, in writing, prior to the date the assessment is due, if after diligent effort, the assessment cannot be completed. Inform court of the reason(s) the assessment could not be completed and when the court can expect it. Provide a copy of the report to family’s attorney and child’s Guardian ad Litem. Record activities. Close record after submission of the report to the court unless the court requests additional assistance. Memoranda History: CD14-64",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-8-court-requestedordered-adoptive-assessment-subsection-1-court
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 5 – Children with Elevated Needs :: 4.5.2 Ongoing Procedures to Maintain Placement",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Permanency, Placement, Services while in care - Educational, Services while in care - Mental Health",,,"The Children’s Service Worker will assess the youth’s overall treatment needs, including educational and emotional needs and will obtain evaluations if needed. The worker will develop a treatment plan with the Family Support Team (FST) for stabilizing the child’s behavior, to improve their level of functioning at home, school and in the community and to achieve permanency. Resource parents are the primary change agents for youth placed in their care. Support and guidance should be provided to the resource parents. However, on a case-by-case basis, other therapeutic support may be added for the youth based on the particular situation as recommended by the team working with the youth. During placement home visits the worker will, if needed: Assess and monitor the youth’s progress toward treatment and permanency goals Assess and monitor the resource parent’s job performance Review and discuss reports maintained by the resource parent Arrange regularly scheduled respite care The case manager will assess the level of care required by the youth at 90-day intervals and move the youth to a less restrictive environment as appropriate. The Children’s Service Worker will provide the resource parent with feedback about how the placement and child are doing as needed. Periodic Reviews The goal for youth who qualify for the youth with elevated needs program is to stabilize their behavior, to help them function in a less restrictive environment and to achieve permanency. Level A and Level B care is not permanency but is designed to be a stepping stone for the youth to obtain a permanent home. As these youth do have a variety of special needs, the goal of successful permanency can be challenging. Accordingly, resource parents, staff, and other treatment team members must aggressively pursue permanency and use periodic reviews as one of the tools to assure progress toward permanency is occurring. To assist youth in achieving a permanent home, it is important that the resource parent and the team tailor the level of intensity and intervention to their needs as youth achieve progress and success. Most youth in Level A and Level B care do make substantial improvement in their behavior during the first year of intervention and can function with a reduced level of intensity. Other youth may need the intensity of elevated intervention for longer periods of time to remain out of residential care and/or a more restrictive setting. The dilemma for the teams may be how to move the youth to the appropriate level of intervention, such as Level A or traditional foster care, without moving the youth from the current resource home. Ideally, youth who improve in Level B care and are ready for less intensive care could move directly to their permanent home. When that is not possible, the next best solution is to keep the youth in the same resource home under the category of Level A, traditional foster care (depending on the youth’s needs) or pre-adoptive home. Youth who are happy in their resource home and are experiencing success should not be moved to a different resource home solely due to no longer needing Level B intervention. Staff, resource parents and the team members must assess each individual situation carefully and negotiate an outcome that is in that youth’s best interests. Periodic reviews are a critical tool for assuring the youth’s level of intervention is matching their needs and that permanency is on target. As always, the best interest of the youth is the guiding principal with these complex decisions. Situations where there is disagreement among team members as to continuing need for intervention and/or the appropriate plan for the youth should be referred to the Regional Director or designee for consultation. Periodic Review schedule: Six (6) months – Multi-disciplinary Selection/Screening team that originally recommended placement with the resource parents and/or the Family Support Team. The team will continue to review youth’s situation every 6 months on an on-going basis. Twelve (12) months reviews – Regional Office Review Team conducts a review based on local team review information. Regional Office Reviews are a critical tool in assuring consistency, accountability and progress with the Level B program. Also, Level B Foster Care status does not exclude youth and families from compliance with ASFA timelines.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-4-working-children-subsection-5-children-elevated-needs-452-ongoing
"MO :: Section 6, Chapter 7, (Children’s Division’s Appeal Processes), Subsection 9. – (Adoption Staffing Team Decision Review For Family Not Selected)",Missouri,Rules,2023,"Administrative process, Adoption, Permanency, Placement, Reporting requirements",,,"Policy regarding the Adoption Staffing process is located in Section 4 Chapter 28, and Section 4 Chapter 27 Subsection 4. Policy regarding reaching consensus decisions is located in Section 4 Chapter 7 Subsection 2 Sub subsection 4. The procedure to provide oversight for the family not selected made by an Adoption Staffing Team is to provide the family not selected and other team members a voice.",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-7-childrens-divisions-appeal-processes-subsection-9-adoption-staffing-0
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 5 – Children with Elevated Needs :: 4.5.1 Referral and Placement Process",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Placement, Subsidies - Foster Parents",,,"To initiate the process, the referring Children’s Service Worker should assess the youth’s demonstrated behavior that indicates the need for intensive and individualized intervention. He/she will then prepare and submit a referral packet to the appropriate multidisciplinary foster care selection team. The staffing should occur within 30 days of the referral or resource provider’s request for a staffing. The worker shall complete (including attachments) the Youth with Elevated Needs referral forms (CD-136 and CD-137) to submit to the review team. Youth with Elevated Needs (YEN) Review Team The role of the review team is to evaluate a child’s appropriateness for a higher level placement. The following people should be invited: Case Manager (required to attend) Case Manager’s Supervisor Circuit or Regional Specialist or designated facilitator (required to attend) Current Resource Provider Current therapist School Personnel (with knowledge of the youth’s behaviors and functioning level) Guardian Ad-Litem (GAL) Juvenile officer Court Appointed Special Advocate (CASA) Licensing Worker for the Family (current or potential) Other persons as appropriate for a child specific review including parents. Placement Process The YEN Review Team will receive the referral and review the material. The Team will interview, as appropriate, youth, current caregiver, therapist, referring Children’s Service Worker, etc. They will decide if the youth is an appropriate candidate for the program. The Screening Team may recommend: The youth is not appropriate for the program The youth is appropriate, but a compatible home is not available in the county of origin or nearby counties The youth is appropriate, and there is a compatible home The case manager/Children’s Service Worker will receive a decision from the Screening/Selection Team facilitator indicating the team’s decision. The team can decide the appropriate start date, but this will be back-dated no further than the date of the initial referral. The Resource worker of potential placement families will share all referral information with the prospective resource parents and assess with them their ability to meet the youth’s needs. The Children’s Service Worker will then carry out any of the following actions, as appropriate to the youth being placed: Coordinate all planning with the service county, if the county of current placement is different from the case manager county Receive notification when a resource becomes available Notify the licensing worker if the placement is no longer needed The Children Service Worker will communicate with the potential elevated needs placement regarding pre-placement visits and any other information required. Level B Resource Parents may be reimbursed via a payment request for transportation costs of pre-placement activities. The actual number of visits is governed by the needs of the youth and the Level B resource family. The Children’s Service Worker must gain commitment from both the youth and resource family and then proceed with the placement. The worker will assure the youth’s arrival at the resource home when all parties agree the child is ready.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-4-working-children-subsection-5-children-elevated-needs-451-referral
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 5 – Children with Elevated Needs :: Intro",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Definitions, Group and residential care, Placement, Services while in care - Mental Health, Subsidies - Foster Parents",,,"Foster Care for youth with elevated needs is a foster care program designed for the youth who has identifiable and documented moderate or serious emotional and/or behavioral needs. Such a youth requires intensive and individualized intervention to succeed in a community-based family setting and to achieve their goal of permanency. Resource providers of youth with elevated needs have received specific training in addition to Specialized Training Assessment Resources and Support (STARS) pre-service training to enable them to work with youth with elevated needs. Placements for youth with elevated needs neither are emergency placements nor are they immediate placements. These placements are transitional placement resources to prepare youth to function adequately in a less restrictive environment and or a permanent home. It is not intended to be a long-term or permanent placement resource . A selection/screening team must evaluate the youth’s needs. A pre-placement phase is essential, meaning that the youth should visit the home prior to being placed to determine if the placement is an appropriate fit for the youth. ICPC resource providers are not eligible for elevated needs placements. The resource licensing worker will notify the elevated needs level B resource parent regarding access to purchase medical, dental, and vision insurance. The worker will inform the resource parent that the insurance company will provide enrollment information. Characteristics of a Youth with Elevated Needs Youth with elevated needs require greater structure, supervision, and are less able to assume responsibility for their daily care. These youth have typically experienced multiple out-of-home placements. Youth appropriate for Level A fall into one of two categories: Youth presently in a residential setting who may be moved to a less intensive setting, but not to a traditional resource home or to their parents’ home; or Youth who lack a viable placement in a traditional resource home and because of their presenting problems would be placed in a residential setting unless an available Level A resource home can be found. Presenting problems displayed by the Level A candidate may include the following: Behaviors which if not modified could result in the youth being designated as a status offender History of irresponsible or inappropriate sexual behavior, which has resulted in the need for extraordinary supervision Threatening, intimidating, or destructive behavior which is demonstrated by multiple incidents over a period of time Problems of defiance when dealing with authority figures Significant problems with peer relations Significant problems at school that affect academic achievement or social adjustment Significant problems with lying, stealing, or manipulating Significant problems of temper control Mild substance abuse related problems Oppositional behavior which contributes to placement disruptions and inability to function productively with peers, parent figures, birth family, etc. Any of above behaviors, coupled with medical problems Any of above behaviors displayed by one or more youth of a sibling group, qualifying the entire sibling group for placement together, if appropriate. However, not all youth would be eligible for the Level A maintenance rate. Youth appropriate for Level B have serious emotional and/or behavior problems that require the 24-hour availability of a highly skilled Level B resource parent who is capable of assuming the role of primary change agent. These youth: Because of their presenting problems would be placed in a level III or above residential treatment facility or psychiatric hospital; Have been discharged from a residential treatment facility or psychiatric hospital and who are unable to function in a traditional resource home. Presenting problems displayed by the Level B candidate may include the following: History of suicide or currently having suicidal thoughts, statements and/or gestures Affective disorders Attention Deficit Disorder Post Traumatic Stress Disorder Eating disorder Panic disorders Fears/phobias Obsessive/Compulsive Disorders Oppositional Defiant Disorders Depression/withdrawal Dissociative behaviors, blank out, pass out, seizure Anger/rage History of fire setting Destructive of property Failure to form emotional attachments Multiple short-term placements",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-4-working-children-subsection-5-children-elevated-needs-intro
"MO :: Section 6, Chapter 7 (Children’s Division’s Appeal Processes), Subsection 8, – (Family Support Team Decision Review) :: 7.8 Family Support Team Decision Review",Missouri,Rules,2023,Administrative process,,,"Policy regarding Family Support Team (FST) Meetings is located in Section 4 Chapter 7 Subsection 2, and Section 4 Chapter 9 Subsection 6 . Policy regarding reaching consensus for FST decisions is located Section 4 Chapter 7 Subsection 2 Sub-subsection 4 . The policy guidelines in policy 4.7.2.2 must be followed before proceeding to a review of the decision as outlined in this section. The procedure to provide oversight for decisions made by Family Support Teams is to ensure that all team members have a voice and that a consensus decision is made. Consensus decision making is a creative and dynamic way of reaching agreement between all members of the FST for the best interest of the foster youth. Instead of simply voting for an item and having the majority of the group getting their way, a group using consensus is committed to finding solutions for the best interest of the foster youth that everyone actively supports, or can agree to . This ensures that all opinions, ideas and concerns are taken into account. Through listening closely to each other, the FST aims to come up with proposals that work for the best interest of the foster youth. Consensus is neither compromise nor unanimity – it aims to go further by weaving together everyone’s best ideas and key concerns – a process that often results in surprising and creative solutions, inspiring both the individual and the FST as a whole.",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-7-childrens-divisions-appeal-processes-subsection-8-family-support-2
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 4 – Special Populations :: 4.4.6  Human Trafficking",Missouri,Rules,"2023, 2022, 2021","Definitions, Investigations, Reporting requirements, Services while in care - Medical, Services while in care - Therapies (not mental health)",,,"This subsection outlines procedures for the screening, identification, and response for child victims of human trafficking.  The federal Preventing Sex Trafficking and Strengthening Families Act of 2014 requires states to develop policies and procedures to screen, assess, identify, document and determine appropriate services for children who are at risk of or who are victims of sex trafficking.  To ensure policy and procedures are in alignment with federal legislation, Children’s Division staff will be equipped to not only identify and respond to child victims of sex trafficking and the commercial sexual exploitation of children (CSEC), but also victims of child labor trafficking. Definitions The federal Victims of Trafficking and Violence Protection Act of 2000 defines human trafficking in terms of “involuntary servitude”.  Involuntary servitude is a term for someone being forced through some form of coercion to perform acts and/or labor against someone’s will to benefit another.  The most common forms of human trafficking, and the forms of trafficking that will be referred to in policy, are sex trafficking and labor trafficking. Sex Trafficking According to the Victims of Trafficking and Violence Protection Act of 2000, sex trafficking is defined as the recruitment, harboring, transportation, provision, or obtaining of a person for the purpose of a commercial sex act.  A commercial sex act refers to any sex act of which anything of value is given to or received by any person.  If the trafficked person is younger than age 18, the commercial sexual activity does not need to involve force, fraud, or coercion.  A victim of child sex trafficking is a victim of both abuse and neglect, as referenced in 5.1.2.2.1 of the Child Welfare Manual.  Staff should refer to Section 2, Chapter 5, Subsection 3- The Legal Elements of Child Abuse/Neglect (5.3.8.3.1) of the Child Welfare Manual for more information on the elements of child sex trafficking. Labor Trafficking Labor Trafficking is a “severe form of trafficking in persons” under the Victims of Trafficking and Violence Protection Act of 2000.  Labor Trafficking occurs when a person uses force, fraud, or coercion to recruit, entice, harbor, transport, provide, or obtain another person for the purpose of providing or receiving involuntary labor or services.  Federal and State definitions do not distinguish between children and adults, so some form of force, fraud, coercion, or deception must be present for children to be defined as victims of labor trafficking.  Staff should refer to Section 2, Chapter 5, Subsection 3- The Legal Elements of Child Abuse/Neglect (5.3.8.3.1) of the Child Welfare Manual for more information on the elements of child labor trafficking. Severe Forms of Trafficking According to the Victims of Trafficking and Violence Protection Act of 2000, “severe forms of trafficking” refers to: Sex trafficking in which a commercial sex act is induced by force, fraud, or coercion, or in which the person induced to perform such act has not attained 18 years of age; or The recruitment, harboring, transportation, provision, or obtaining of a person for labor or services, through the use of force, fraud, or coercion for the purpose of subjection to involuntary servitude, peonage, debt bondage, or slavery. Force, Fraud, Coercion, or Deception Care, custody and control is established by an alleged trafficker pursuant to Section 210.110, RMo. in that they have taken control of the child by deception, force, or coercion.  For more information on the legal definitions of Abuse and Neglect, specifically as it relates to establishing care, custody, and control, staff should refer to Section 2, Chapter 5, Section 1, Subsection 1- Care, Custody, and Control (5.1.1) of the Child Welfare Manual for more information. Conditions that are considered force, fraud, coercion, or deception in trafficking include, but are not limited to, the following: Threatening serious harm to, or physical restraint against, the victim or a third person Destroying, concealing, removing, confiscating, or possessing any passport, immigration document, or other government identification document Abusing or threatening abuse of the law or legal process against the victim or a third person Placing a person in debt bondage Providing a drug, including alcohol, to another person with the intent to impair the person’s judgment or maintain a state of chemical dependence Wrongfully taking, obtaining, or withholding any property of another person Blackmail Asserting control over the finances of another person Withholding or threatening to withhold food or medication Child Sexual Exploitation Child Sexual Exploitation (CSE) is a type of sexual abuse and pursuant to 13 CSR 35-31.010 is defined as: (I) Allowing, permitting, or encouraging a child to engage in prostitution, as defined by state law; or (II) Allowing, permitting, encouraging, or engaging in the obscene or pornographic photographing, filming, or depicting of a child as those acts are defined by state law. This includes the storage or transmission of any data depicting said obscene or pornographic acts, images, or recordings. Child Sexual Exploitation (CSE) can sometimes be viewed as an umbrella term that encompasses many different types of exploitation depending on the act, whether or not there are visual depictions of the child(ren) and/or act, whether or not there is a commercial element and/or an exchange of something of value, and if there is an online component to the act.  Some of the different types of CSE include Child Sex Trafficking (CST), Commercial Sexual Exploitation of the Child (CSEC), Online Sexual Exploitation of Children (OSEC), and Child Sexual Abuse Materials (CSAM).  Oftentimes these differing definitions will overlap with each other. An example of Child Sexual Exploitation (CSE), that would not be defined as Child Sex Trafficking (CST) or Commercial Sexual Exploitation of a Child (CSEC), include instances in which child pornography is found on a personal computer but there is no known exchange of something of value and it is not believed that the visual depictions were shared online.  This example would become an example of CSEC if the visual depictions were shared online with others.  If the visual depictions were of sexual acts with a child, this example would also be a case of CST due to the visual depictions being considered something of value.  The key to differentiating cases of Child Sex Trafficking is the known exchange of something of value. Risk Factors and Indicators of Trafficking Traffickers prey on and target vulnerabilities in their victims in order to make promises aimed at addressing the needs of their victims.  Many times vulnerabilities are learned by the trafficker through the grooming process.  Grooming is when a predator builds a relationship, trust, and emotional connection with a potential victim so they can manipulate and exploit them.  Victims are not only recruited by traffickers, but also by people working for traffickers who are forced to recruit.  A large majority of recruiting occurs online through social media networking apps and sites, but recruiting can also happen in public places. Common Risk Factors for Trafficking in Children/Youth Being in foster care Chronically missing or frequently on the run History of childhood sexual abuse History of physical and emotional abuse Single parent home Minimal supervision Low self-esteem Lacks a strong social network Unsupervised online time Seeks online friendships and connections History of substance use issues or those living with someone with substance use issues History of school truancy Possible Indicators of a Trafficking Victim Frequent runaway episodes Unable to identify where they were while they were on the run Frequent unexplained absences or tardiness from school Inappropriate, sexually suggestive activity on social media, the internet, or cell phone apps Reports meeting someone online A heightened sense of fear or distrust of authority Has material goods that he or she cannot afford: expensive clothing, one or multiple cell phones, nails done, hair extensions, etc.without a clear explanation of how they were obtained Physical injuries with no explanation of how they were received Has suspicious tattoos or other signs of branding Reports multiple sexual partners Associates and/or has relationships with age-inappropriate friends and/or paramours Talks about a paramour, but does not provide their identity Current sexually transmitted infection (STI) or history of STIs Uses drugs and/or alcohol Reports sexual assaults Change of appearance, such as revealing/provocative clothing and weight loss Answers to questions appear to be practiced or rehearsed Avoids answering questions or lets others speak for him/her Appears fearful, anxious, depressed, tense, nervous, paranoid, or hyper vigilant Has multiple cell phones Has hotel keys or talks about staying in hotels Involved in gang activity Trauma Informed Approach to Discussing Human Trafficking Safety : Ensure physical and emotional safety, recognizing and responding to how racial, ethnic, religious, gender or sexual identity may impact safety across the lifespan. Conduct the conversation where the youth feels safe from intrusions or others hearing the conversation.  If the youth requests someone else join the conversation and if you feel it is safe, allow that to happen; however you may need to consider if this person is part of the trafficking and would have undue influence on the youth’s statements. Also think about emotional safety, in particular that you are not judging them in any way and will keep this information confidential as outlined in policy (to report to CAC, supervisor, hotline or law enforcement).  Consider their familial and personal history and culture as well as their identity.  Remember to some this was a way to survive on the streets.  Recognize the fears they may have about the future, repercussions and judgment.  Assure them that they were the victim and are not in trouble as the trafficker may have told them of consequences if they left or told anyone what has happened. Trustworthiness : Foster genuine relationships and practices that build trust, making tasks clear, maintaining appropriate boundaries and creating norms for interaction that promote reconciliation and healing. Understand and respond to ways in which explicit and implicit power can affect the development of trusting relationships. This includes acknowledging and mitigating internal biases and recognizing the historic power of majority populations. The person who conducts the interview should be someone that the youth knows and trusts.  If there is no prior relationship you will need to spend time building a level of trust prior to delving into these intimate discussions.  Make them as comfortable as you can and reduce any requirements or mandates that they would see as the use of power or authority against them.  Share as much information as you can about the purpose of the conversation and what will be done with the information so they feel informed.  Remember that people may have used their power, authority, access to resources and even charm on the youth to engage them in trafficking. Their trust in other adults who are in positions of authority may be very limited.  Recognize your own biases on issues that the youth may be facing such as sexual identity and/or orientation, choices they have made, options and alternatives they face.  The youth may have felt they had limited options and made choices just to survive even if you felt they had other options.  Remember that if the youth was trafficked, others may have made them many promises and initially presented as someone they could trust and then used that trust against them. Choice : Maximize choice, addressing how privilege, power, and historic relationships impact both perceptions about and ability to act upon choice. Provide as much choice as you can in regards to the location and timing of the conversation.  Reduce any implicit or explicit acts of using power or authority and allow them as much control as you can.  They may have experienced others appearing to give them choice or options but who actually backed them into a corner leading to engagement in trafficking.  They may not believe you are providing them with real choices.  They too may have felt they had no choice in their ability to survive which led them to be trafficked.  Don’t judge their choices. Collaboration : Honor transparency and self-determination, and seek to minimize the impact of the inherent power differential while maximizing collaboration and sharing responsibility for making meaningful decisions. Share decision making with the youth, in not only the conversation but in next steps or what they may need.  Don’t be ashamed to admit your lack of experience in such issues as surviving on the street, homelessness etc.  Let them share their experiences with you and validate their emotional response, fears and choices.  Don’t take control as that is what the trafficker may have done. Empowerment : Encouraging self-efficacy, identifying strengths and building skills which lead to individual pathways for healing while recognizing and responding to the impact of historical trauma and oppression. Let the youth lead you through the conversation and listen.  They may not answer your questions directly but if you let them talk and you actively listen, you can get the information you need.  As with collaboration, empower them to make decisions about next steps.  They need to feel that they can take back control of their bod and life without fear of judgment or repercussions. Response Protocol Staff must complete the CD-288 Human Trafficking Assessment Tool in the following instances to determine whether a child/youth may be a victim of, or is at risk of being a victim of, human trafficking: Within 24 hours for a victim(s) and non-victim(s) listed on a CA/N report with allegations of human trafficking Within 24 hours of a child/youth in state custody returning from being on the run, missing, or abducted Within 24 hours for any child/youth that is involved with Children’s Division through a CA/N report, FCS case, or AC case in which there is suspicion of human trafficking, history of human trafficking, and/or new concerns of human trafficking Within 72 hours for children/youth that are involved with Children’s Division through a CA/N report, FCS case, or AC case in which it is learned that there is a known history of running away from home/placement When a child’s circumstances change or new information is learned about the child/youth which warrants the usage of a more comprehensive screening of human trafficking Immediately when imminent safety concerns are present in which there are immediate concerns for a child/youth being trafficked The CD-288 Human Trafficking Assessment Tool encompasses two parts, the Indicators Section and the Comprehensive Assessment Section.  If the child/youth has already disclosed being a victim of human trafficking, this tool does not need to be completed.  Instead, a CAC forensic interview should be scheduled to occur as soon as reasonably possible. The Indicators Section (Part 1) of the Human Trafficking Assessment Tool is to be used to evaluate the potential risk and victimization of child/youth human trafficking.  The indicators listed in Part 1 help to determine whether a child/youth may be a victim of human trafficking, or is at risk of being a victim of human trafficking.  When any one or more indicator is recorded in Part 1, the Comprehensive Assessment Section (Part 2) of the tool must be completed. Part 2 of the CD-288 Human Trafficking Assessment Tool is a more comprehensive assessment of risk and victimization of human trafficking and should be completed with the child/youth in a conversational manner.  Screeners should ensure that the comprehensive screening is completed in a safe and non-threatening environment to promote the establishment of rapport and trust with the child/youth.  Do not interview a child/youth in front of a suspected trafficker or individual who is exhibiting controlling behavior over the child/youth. It is likely that a child/youth may be reluctant to respond to the questions in the comprehensive assessment section due to fear, lack of trust, fear of consequences related to disclosure, and/or not viewing themselves as a victim.  Therefore, a non-judgmental and trauma informed approach must be utilized to engage the child/youth in a conversation rather than reading the questions in the tool verbatim.  If at any time the child/youth is clearly not ready to engage in the conversation brought forth through the use of the comprehensive screening, it is appropriate to end the screening and re-attempt the completion of the screening within no later than five (5) business days. Some questions in the Comprehensive Assessment Section the CD-288 Human Trafficking Assessment Tool are not appropriate or applicable for a child twelve (12) years and younger. Staff must use their best judgment to determine which questions are appropriate or applicable for a child twelve (12) years and younger based on their developmental age. Staff must document the results of the CD-288 Human Trafficking Assessment Tool in the narrative portion of FACES upon completion.  If it is determined that a child/youth “likely is” a victim of human trafficking, staff must: Call the National Human Trafficking Hotline at (888) 373-7888 Call in a new report to CANHU if human trafficking is not a current allegation in an open investigation Notify local law enforcement for a co-investigation Proceed with scheduling a CAC forensic interview within 24 hours, to occur as soon as reasonably possible. Staff should refer to Section 4, Chapter 4 (Working with Children), Subsection 9 – Missing Person Report Procedure of the Child Welfare Manual for more information regarding procedures and responses to runaway youth and possible indicators of human trafficking.",https://fostercaresystems.wustl.edu/mo-section-4-chapter-4-working-children-subsection-4-special-populations-446-human-trafficking
"MO :: Section 6, Chapter 7 (Children’s Division’s Appeal Processes), Subsection 7, – (Guide for Conducting a Review of a Resource Home)",Missouri,Rules,2023,Administrative process,,,"The Regional Director/Designee will be responsible for causing a formal review of a resource home when there is a substantiated determination of child abuse/neglect involving the resource home and/or there are serious infractions of licensing regulations. The purpose of the review is to determine the continued use or licensure of the resource home. The provider may be placed on Administrative Hold status with a corrective action/support plan implemented and no other children placed in the home until the issue is resolved. In keeping with Child Welfare Practice, the reviews need to be strength-based and focused on the best interest of the child. The outcome of the review may result in moving forward with adverse action of the home which will begin the Fair Hearing process as outlined in this section. Timeframe The review of the resource home should occur within 30 calendar days following receipt of CA/N records or notice of licensing violation. Participants: Resource Parents and support individual of their choice. The Review Teams should include: Non-CD members-One designated as the “Team Leader” or Moderator; Licensing Supervisor and/or Supervisor III; A third party such as: Staff (including supervisors) from other program areas and/or counties; Teaching resource parent; or Currently licensed veteran resource parent. 3. Presenters may include: CA/N investigator; Worker of the child(ren) in the resource home; Resource Home Licensing Worker; and Other individuals as needed. A written review summary and recommendations will be submitted to the Regional Director for review and approval. One of the following two conclusions will result: Issue resolved and the Regional Director or designee approved review summary placed in the administrative section of the resource license file; or Issue not resolved; therefore, proceed with the Fair Hearing Process as outlined in Section 3 Chapter 7. Written Review Summary Outline The following outline should be followed when creating the written review summary: Concern(s) prompting formal review: Include date(s) of reported concern(s), specific information about the concern(s), and reference any OHI reports. Contact(s) with the resource provider(s) regarding the concern(s): Include dates, type of contact and individual contacted. Status of foster placements: Include information regarding if the foster placements are removed. If not removed, identify the safety plan. Begin date for Administrative Hold: The date entered in FACES. Date of formal review: Participants: Name of participants and their role or position. Conclusion/Recommendations: Resource licensing worker signature: Supervisor signature: Regional Director/Designee signature: Memoranda History: CD07-73 , CD12-36 , CD14-64",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-7-childrens-divisions-appeal-processes-subsection-7-guide-conducting
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 4 – Special Populations :: 4.4.5 U.S. Citizenship and Immigration Issues",Missouri,Rules,"2023, 2022, 2021","Administrative process, Definitions, Entry to care, Legal process, Permanency, Placement, Reporting requirements",,,"In the course of conducting investigations/family assessment; providing family-centered services; or providing Family-Centered Out-of-Home Care, Children’s Division staff may encounter families with various citizenship/immigration issues. This subsection presents policy and procedure for addressing citizenship/immigration issues for children entering out-of-home care: Verification of the Child’s Identity and Citizenship/Immigration Status When a child is taken into protective custody, the worker must make every effort to verify citizenship/immigration status with the information available.  Procedure for verifying citizenship/immigration status can be found in the related subject box below as it relates to Section 6036 of the Deficit Reduction Act of 2005 section 1903 of the Social Security Act for new applicants and recipients for all categories of Medicaid. Worker shall determine the child’s citizenship/immigration status which includes: U.S. Citizens (Either born a citizen or naturalized) Foreign Nationals Foreign Nationals with Immigrant Visas (such as lawful permanent residents (LPR) – Green Card) Foreign Nations with Non-Immigrant Visa’s (In the U.S. for a temporary stay) Undocumented Immigrants (Illegal Aliens) Dual Citizenship (an individual is recognized as a U.S. Citizen as well as a Citizen of another country) Verifying Citizenship/Immigrant Status for Adult Clients It may also be necessary for the worker to verify the citizenship/immigration status of adults related to the case for the purpose of: Establishing the child’s citizenship/immigration status based on the parents status; Determining citizenship/immigration status of parents or other relatives, and if appropriate, providing them resource information to pursue change of status; Determining the appropriateness of relative placement options based on status; and/or Using U.S. Citizenship and Immigration Services or U.S. Consulate resources to assist in diligent searches for parents or other relatives. The worker must make clear, legible copies of all documents verifying the immigration status of a child for the file. The worker should make certain copies of any immigration documentation, including passports and visas are kept in a secure location while a child is in care so they may be produced when necessary. The actual immigration documents (including passports and visas) may be property of the United States Government or the foreign country that issued the document and may have to be surrendered to the issuing country under some circumstances. The Notification of Foreign Consulates/Embassies when a Child is Believed to Be a Foreign National In most cases the Children’s Division is required to notify the consulate/embassy of another country without unreasonable delay when a child or youth who is a foreign national is arrested; detained; or when a minor who is a foreign national, is placed in custody of the Division where the United States and the individual’s country of origin are signatories to the Vienna Convention on Consular Relations.  (Article 37 of the Vienna Convention on Consular Relations) For purposes of consular notification a “foreign national” is any person who is not born a U.S. citizen or has not been naturalized as a U.S. citizen. When a child comes into the legal custody of the Children’s Division the worker will make reasonable efforts to verify the child’s citizenship or immigration status. If the worker verifies the child is or may be a foreign national through documentation or has received information which leads the worker to believe the child is a foreign national, the worker will complete a Consular Notification to Central Office (CD-146) and send it to Central Office. If the worker verifies the child is a U.S. citizen consular notification may not be required.  However, if the worker verifies, through written documentation the child is both a U.S. citizen and a citizen from another county, a CD-146 should be completed and sent to Central Office via email. The CD-146 will be reviewed by Central Office, based on information provided by the field, to determine if notification to the country of origin is required.  If appropriate, central office will notify the consulate by letter and send a copy to the worker to place in the Child Section of the case file.  Central Office should consult with DLS for legal advice if necessary. There may be some circumstances in which it will be necessary for Central Office to consult with the United States Department of State or the Division of Legal Services before the foreign Consulate/Embassy is notified. Working with a Consulate/Embassy If Central Office makes the decision to notify the consulate of the country of origin, it will be the responsibility of the worker to cooperate with requests by the applicable Consulate to interview, visit and otherwise communicate with children in custody of the division who are nationals of their respective country.  However, it is important to note the fact the law may require notification to a consulate does not mean that the consulate is entitled to full access to confidential information pertaining to the child. DLS should be consulted for legal advice to determine what information CD may lawfully share with the Consulate/Embassy and whether an interview may take place. Before the visit or interview is arranged, the worker will contact the child’s court-appointed attorney or guardian ad litem regarding the requests.  Visits and access by the applicable Consulate and should be consistent with the best interests of the child, or as ordered by the Court. Central Office, if needed by the worker, may request from the Consulate: Assistance with obtaining official copies of birth certificates that are certified for authenticity; Names of appropriate agencies within the country that can assist in Identifying relatives or other placement options; and/or Conducting necessary background checks and home studies. Family Support Team (FST) – Permanency Plans for Undocumented Child(ren) The Family Support Team must address citizenship/immigration issues during the treatment planning and permanency goal process for children who are undocumented immigrants.  The Children’s Service Worker, the family, and other members of the family support team must evaluate and make recommendations on whether it is appropriate to assist the individual in seeking permanent residency, United States citizenship, or repatriation to the child’s country of origin. This decision must ultimately be made with the child’s best interests in mind based on the following considerations: Date of entry into the U.S. (the length of time in country and date of entry impact eligibility for benefits); Immigration status (impacts eligibility for legal residency); Cultural factors (such as language barriers; length of time in, and familiarity with this country; and degree of acculturation); Availability and quality of care in the U.S. versus the country of origin; Resources available to the individual (such as relatives willing and capable of providing assistance; government benefits; or community resources); The child’s wishes; The wishes of the child’s parent(s), legal guardian(s) and or other relevant family members; and The position of the child’s country of origin and the United States Government. The Family Support Team will recommend the most appropriate treatment plan and permanency goal for the child. The final decision on whether the Children’s Division will take action in an immigration matter and what actions may be appropriate will be made by CD Central Office, not the local office or the Family Support Team. If the goal requires an adjustment of citizenship or immigration status, the Division of Legal Services may assist the worker to assure the proper paperwork is filed and proper action steps are completed. Action steps may include: Completion of immigration forms; Locating a civil surgeon to complete a physical exam; Collecting vital records from other states or countries; and/or Locating a fingerprinting site authorized by USCIS. If a child in out-of-home care is an undocumented immigrant minor, repatriation to the child’s country of origin may serve as a compelling reason not to file termination of parental rights.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-4-working-children-subsection-4-special-populations-445-us-citizenship
"MO :: Section 6, Chapter 7 (Children’s Division’s Appeal Processes), Subsection 6, – (Regional Alternative Care Review Board Summary Outline)",Missouri,Rules,2023,"Administrative process, Reporting requirements",,,"When the Circuit Manager/Designee receives notification that the alternative care parent has made a request to the Regional Alternative Care Review Board (ACRB) for a review of a child management decision, this outline should be used to provide a summary of the pertinent information. The summary, as well as a copy of the child’s case record(s) and any other supporting documentation, must be sent to the Regional ACRB Liaison within five (5) working days of notification that the alternative care parent has requested a formal review. Identifying Child Data: The child’s name, race, and date of birth. Identifying Alternative Care Parent Data: The alternative care parent’s name, family members also involved in grievance decision, etc. Summary of The Child’s Placement In Alternative Care: Include a summary of the case, i.e., the reason for placement, a summary of all previous placement, the length of time in this placement, and describe the care provided in this home. Reason for The Alternative Care Review Board Hearing: Summarize the reason the alternative care parent requested a review. Basis for Case Management Decision: Summarize the basis for the case management decision and cite the policy or rule on which the decision is based. Relationship of the Case Management Decision to the Child’s Treatment Plan: Describe how the case management decision in this case relates to the child’s treatment plan. Steps Taken at Circuit Level To Remedy The Case Management Disagreement: Include the reason a solution was not reached at the county or circuit level. Family Support Team (FST) Recommendation(s): Summarize the FST recommendations(s) for the child, especially if the team’s recommendation(s) impacts on the case management decision.",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-7-childrens-divisions-appeal-processes-subsection-6-regional
"MO :: Section 6, Chapter 7 (Children’s Division’s Appeal Processes), Subsection 5, – (Alternative Care Review Board (ACRB) Members)",Missouri,Rules,2023,Administrative process,,,"Each administrative region will establish an Alternative Care Review Board (ACRB) that is composed of seven (7) members and two (2) alternates. Members and alternates are selected as follows: Two (2) alternative care (foster/relative/adoptive) parents, of which one shall be a licensed foster parent; Two (2) CD employees; Three (3) members and two (2) alternates from the following fields or professions: Community representative who has knowledge of the provision of alternative care services, School employee, Juvenile Officer or professional employee of the Juvenile Office, Licensed child or family psychologist, Physician, nurse, or other qualified medical professional, Children’s Service Worker with a private agency that provides services to families and/or children; The Regional Director of Children’s Division (CD) will nominate the chairperson and forward the nomination to the Deputy Director for Children’s Division. The Division Director will approve the nominations ACRB Terms Of Office Are As Follows: Initially, four (4) members shall be appointed for a three (3) year term and three (3) members for a two (2) year term. The alternates shall be appointed for a two (2) year term; Subsequent members and alternates shall be appointed for two (2) year terms; No member or alternate shall serve more than two (2) consecutive terms. The members of the ACRB shall meet at a location within each region, at least one (1) time per month, depending on the number of requests being filed. The monthly meeting is not required if there are no reviews pending However, board members should try to keep available the same day each month. They will require notification of fifteen (15) working days prior to the meeting. The members of the ACRB will receive payment for reasonable expenses associated with ACRB business, but will not receive compensation for the performance of their duties. If a member cannot attend, an alternate shall be notified and asked to attend. A quorum at any ACRB meeting will be three (3) members, of whom one will be an alternative care parent and one a CD employee. The Regional Director of CD May Remove and/or Replace a Member of the ACRB for the Following Reasons: Death; Resignation; Mental or physical incapacitation which limits the member from effectively serving; For good cause as determined by the Division Director. The members of the ACRB shall hold all information obtained in the course of review in the strictest confidence. Memoranda History: CD07-52",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-7-childrens-divisions-appeal-processes-subsection-5-alternative-care
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 4 – Special Populations :: 4.4.4 Procedures for Refugee and Cuban/Haitian Unaccompanied Minor Placement Program",Missouri,Rules,"2023, 2022, 2021","Administrative process, Legal process, Placement, Reporting requirements, Subsidies - Other",,,"Receive referral from refugee designee/case manager program coordinator (RPC) in Central Office Family Support Division. The referral includes all information known about the child. Determine whether the juvenile court will take jurisdiction of the child and whether an appropriate alternate care facility (foster, relative, or kinship family) only is potentially available for the child. NOTE: No service can be provided if both of the above conditions are not met. Report determination to RPC with the following information: Date of placement or decision rejecting placement for the minor. Date of jurisdiction hearing. Name and address of placement. Plan for service delivery. These children are not eligible for adoption services. Complete family assessment and submit two (2) copies to RPC. NOTE: These families are to be licensed only for care of the specific unaccompanied minor. Deliver needed services. Comply with all ICPC requirements. NOTE:  Close adherence to ICPC requirements is vital as federal regulations require proof in order for the state to have program costs reimbursed. Arrange for meeting cost of care using applicable funds: Contact RPC for unusual circumstances. Every six (6) months after placement, report progress to RPC (four (4) copies are needed) and to juvenile court having jurisdiction. Terminate services if any of the following should occur: Child leaves the state. Child reaches majority age. Child is reunited with an adult relative and further services are not needed or the family is not geographically available. Report status immediately to RPC using form ORR-2. Record all services every 30 days. Program Requirements and Procedures: Eligibility: Cuban/Haitian Entrant Unaccompanied Minors: Has not attained age 17; Entered the United States without a parent or immediate adult relative (i.e., grandparent, aunt, uncle or adult sibling), or any adult who arrived having documentable evidence of custody of the minor; Has no parents in the United States; and Has been given the alien status of “Cuban/Haitian Entrant” by the Bureau of Immigration and Naturalization (INS). Refugee Unaccompanied Minors: Has not attained the age of 18; Has no known immediate adult kin in the United States; Has been lawfully admitted to the United States in parole status; and Meets the general definition of alien status of INS. Family assessment concerns specific to Unaccompanied Minor and Cuban/Haitian Entrant Placement Services: How will the family handle the language barrier and what resources are available to assist in teaching English to the child. What are the family’s attitudes toward racial and ethnic differences (including food preferences). What resources within the family and community are available to assist with the possible severe physical and emotional problems of the child (i.e., strange and unknown diseases). What are the local community’s attitudes toward racial, ethnic and religious differences and how will the family deal with community rejection if it occurs. What community resources exist for appropriate education and job training, if applicable. What Asian or Cuban/Haitian family support groups exist or could be developed in the community. What is the family’s attitude toward the national priority and effort to reunite refugee children with the natural family when possible. Services: Provision of legal responsibility. Development and execution of a written service plan. Meeting the cost of care. Provision of a periodic case review (otherwise known as administrative review). Provision of progress reports to the U.S. Office of Refugee Resettlement (ORR) through the refugee program coordinator (RPC) in central office regarding the child’s status and services delivered. Provision of financial assistance, medical care and support services. Vocational and occupational training. Cultural orientation, as necessary and appropriate. English as a second language. NOTE: Items 7, 8, and 9 must be authorized by ORR in order for the state to receive financial reimbursement. Meeting the cost of alternate care and other services: The federal government will reimburse the state for 100 percent of the costs associated with providing services to children under this program, including foster care maintenance payments, medical assistance, social services, and for administrative costs associated with these activities. This reimbursement under the Refugee Assistance Program (RAP) is separate and distinct from the state’s normal allocation of federal funds. For Cuban/Haitian Entrants in this program reimbursement can be provided on behalf of an unaccompanied minor until one (1) month after the minor attains 21 years of age, or if the court terminates jurisdiction at an earlier time, one (1) month past the date the court terminates jurisdiction. Special Requirements: Since all child placements through this program are received by the ICPC coordinator, the following groups define the sending state: Cuban/Haitian Entrants – U.S. Office of Refugee Resettlement (ORR). Refugee Unaccompanied Minors – private, voluntary resettlement agencies serving in the U.S. and foreign countries. Out-of-State Unaccompanied Minors: If a minor is in CD custody and becomes a runaway, contact RPC immediately. The RPC will work with the ICPC Coordinator in making appropriate arrangements for the child to remain in the other state or be returned to Missouri. If a minor is not in CD custody and becomes a runaway, contact the RPC immediately. The RPC will work with the ICPC coordinator and Division of Youth Services (DYS) which administers the Interstate Compact on Juveniles (ICJ) in making the appropriate arrangements for the minor to remain in the other state or be returned to Missouri. Runaway minors will remain the responsibility of the sending state unless an alternate placement and legal custody is established in the receiving state. Compact procedures must be utilized in dealing with runaway minors. Missouri is the sending state since a Missouri court will have assumed jurisdiction in order for the child to have been placed in alternate care. Relative Placements: For minors already in Missouri and placed with non-parental adult relative, the relative may initiate legal proceedings or ask CD to do so in their behalf. If the adult relative with whom the minor is placed cannot present a court order granting them custody within a 60-day period after placement, CD will assist in completing the proceedings in their behalf. Cuban/Haitian Children Not Placed Through ORR: If a minor arrives in Missouri but has not been placed here by ORR through established procedures and has no legally responsible relative, report immediately to the RPC by telephone and confirming IOC. Emergency services may be provided, however, permanent service commitments must be approved by the RPC. The minor would be eligible for the same services as the minor who is placed through established procedures by ORR.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-4-working-children-subsection-4-special-populations-444-procedures
"MO :: Section 6, Chapter 7 (Children’s Division’s Appeal Processes), subsection 4, – (Guidelines for Regional Director/Designee Children’s Division’s Grievance Letter to the Alternative Care Parent)",Missouri,Rules,2023,"Administrative process, Expectations for care",,,"If the grievance concerns a child case management decision, the County Director / Designee and Regional Director/Designee will hold an informal meeting with the alternative care parent. After the informal meeting is held, the Regional Director must notify the alternative care parent of the decision to uphold or reverse. The following information must be included in the letter to the alternative care parent: The name of the child(ren) who is the subject of the decision; The name of the alternative care parent(s) who requested the meeting; The date the meeting was conducted; A description of the material reviewed and persons interviewed; The decision to uphold or reverse the decision citing policy and/or procedures; If the child management decision is upheld, the letter should include an explanation of how to request a review by the Regional Alternative Care Review Board (ACRB) as well as the name and address of the ACRB Liaison. A copy of the Alternative Care Grievance Review Request (CS-70) should be included. The letter should also include information that the alternative care parent should be told concerning the hearing itself: The alternative care parent must send the written request to the ACRB Liaison (usually via the CS-70) within five (5) working days; The parent may be represented by legal counsel, a representative of the parent’s own choosing, or herself / himself; The parent may be present at the hearing or may submit a written statement; and The parent may have witnesses present to provide statements about pertinent events. If the child management decision is reversed, an explanation of what Division staff will do to reflect the reversal.",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-7-childrens-divisions-appeal-processes-subsection-4-guidelines-regional
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 4 – Special Populations :: 4.4.3 Determining Child’s Indian Status",Missouri,Rules,"2023, 2022, 2021","Adoption, Definitions, Legal process, Placement",,,"NOTE:  Criteria such as a blood quantum (i.e., ½ or ¼ Indian) frequently do not apply, although questioning in this area can lead to tribal identification and determination. Criteria for tribal membership/enrollment are determined by the specific tribe. Determination should occur as quickly as possible in order to assure that rights and privileges of the ICWA are properly afforded to the child and the family. The juvenile office should take the responsibility for this determination. However, if the juvenile office does not assume this responsibility and the child and the family is receiving services from the Division, the worker should assume this responsibility. The following guidelines will help in the important step of determining a child’s Indian status: Do you, your parents or your grandparents have any Indian blood? If so, do you know what tribe they may be related to? Do you know which state your Indian kin lived in? Has anyone provided information that the child’s or family’s usual residence is on a reservation or in a predominantly Indian community? Has a tribe or the Bureau of Indian Affairs indicated the child is a member or eligible for membership in a tribe? Has anyone provided information that any child member of the family is under the jurisdiction of a tribal court? An Indian child’s status can be confirmed through any or all of the following activities: Securing information from extended family members, when possible, that expands information given by child or parent; Examining and copying, with permission, any documents the parent or child may have that provide proof of Indian status; Correspondence with Bureau of Indian Affairs, identified tribe, Indian Service Agency, etc., which includes all identifying information of a child and his parents, possible tribal relationship and any other pertinent information. If a tribe is known, the address can be obtained from the Bureau of Indian Affairs area office. Also, an Indian center agency may have addresses for an Indian tribe. Out-of-Home Care Placement Mandates Foster Care and Pre-Adoptive Placement: Criteria –  This criteria is used when placing an Indian child in any type of out-of-home care: Least restrictive setting which approximates a family and is appropriate to child’s needs, and Is within reasonable proximity to child’s home while accommodating the child’s needs. Preference order: A member of the Indian child’s family which includes extended family. A foster home licensed, approved or specified by the Indian child’s tribe or their designee which may be the nearest Indian social services program. An Indian foster home licensed or approved by a non-Indian licensing authority. An institution for children approved by the Indian tribe or operated by an Indian organization which has a program suitable to meet the child’s needs. NOTE: Prior to considering an institution, a non-Indian licensed foster family may be deemed as suitable for the child’s care, if appropriate, in meeting the child’s needs (i.e., traditional foster family, youth with elevated needs foster family, etc.) This may be changed for “good cause” by the tribal court or the juvenile court. Adoptive Placement Preference Order: A member of the child’s extended family unless the parent has requested anonymity be retained in any current or future placement. Another member of the Indian child’s tribe. Other Indian families. This order may be changed for “good cause” by the tribal court or the juvenile court. Voluntarily releasing a child for adoption is as follows: A birth parent registered on an Indian Tribal Role does have the right to place the child outside the preference order stipulated in the Act. However, certain procedures prescribed in the Act must be followed to the letter. These are: The biological parent cannot sign voluntary relinquishments until the infant is at least ten (10) days old. The relinquishment must be signed in a court proceeding. Having the forms witnessed by a judge outside of a formal proceeding is not satisfactory in meeting the requirements of the Act. The relinquishing parent must sign an affidavit that he/she is aware of the Act and such affidavit must be made part of and recorded in the court’s official record. A certified copy of the court record must be sent to the Bureau of Indian Affairs. Assisting the prospective adoptive family in such a placement plan: They should be informed about the legal requirements, particularly the application of the procedures even though the birth parent is choosing to go outside the preference order of the Act. They should be informed that the birth parent can revoke the voluntary relinquishment of paternal rights any time up to finalization of the adoption and that if the procedures are not followed and the adoption is granted it is not valid and is subject to the parent demanding the child be returned at any time. Worker’s role with the court: The worker must follow the above requirements as they apply and facilitate the court’s legal proceeding. Question should be raised with the juvenile court to obtain adequate instruction when handling a voluntary relinquishment and participating in the subsequent court proceedings if procedures are not clear.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-4-working-children-subsection-4-special-populations-443-determining
"MO :: Section 6, Chapter 7 (Children’s Division’s Appeal Processes), Subsection 3, – (Alternative Care Board Grievance Process Guidelines)",Missouri,Rules,2023,Legal process,,,"The Circuit Manager/designee, Regional Director/Designee and the Alternative Care Review Board (ACRB) will use the following guidelines to determine whether or not the Division’s child management decision should be upheld or reversed: The child management decision and rationale for making same is documented clearly and concisely in the child’s Alternative Care or the Foster/Relative/Adoptive Parent case record and includes a reference, where appropriate, to the statue, regulations, policy and/or procedure(s) which prompted the decision; The health and well-being of the child with regard to the decision is clearly and concisely documented; When appropriate, verbal and physical evidence supporting the Division’s child management decision is clearly and concisely documented; The Alternative Care parents evidence and statements are clearly documented and reviewed; The decision is in the best interest of the child. These guidelines are not all-inclusive. The reviewer(s) should also consider Division policy and procedures, the Child Abuse Law Chapter 210 RSMo if applicable, and use his/her best professional judgment in reviewing the child management issue.",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-7-childrens-divisions-appeal-processes-subsection-3-alternative-care
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 4 – Special Populations :: 4.4.2 Native American Child Services",Missouri,Rules,"2023, 2022, 2021","Court system, Legal process, Placement, Reporting requirements",,,"Review description of ICWA if Indian status has been indicated in any way. Determine child’s Indian status, if juvenile office does not, through use of resources and guidelines identified in this chapter. NOTE:  This is a critical step so that services and rights awarded to Indian children via the ICWA can be provided. Indian heritage and membership is frequently not apparent, so the child and the family should be engaged in careful questioning and discussion about the possibility of tribal membership through ancestral heritage. Coordinate services with nearest available Indian social services ICWA program. There are two (2) in Missouri, as noted above. If Indian centers are unable to provide services and child is clearly of Indian heritage, provide child welfare services with respect for Indian heritage and cultural beliefs and use of the ICWA requirements. Assist foster family or other care facility to provide services recognizing child’s Indian heritage and cultural beliefs. Apply any ICWA requirements when providing services with the assistance of ICWA specialist, if available. Notify juvenile court of Indian status information in writing. A request must be made to the court for permission to release confidential information including copies of court orders if Indian tribal membership is established. NOTE: As a Title II grantee, Indian centers are under obligation to protect confidential information about the child and his/her family. When the juvenile court transfers jurisdiction of a child to the tribal court, cooperate with the tribal court by providing information, services and recommendations. NOTE: Tribal courts have parity with juvenile/state courts when they have assumed jurisdiction of a child. Apply legally mandated placement selection guidelines if placement is ordered by tribal or juvenile court: Use Indian centers to determine if an Indian foster family or other Indian care facilities are available, as needed. Use FACES search to identify foster families accepting Indian children or other care facilities, if Indian centers are unable to provide out-of-home care services. See later in this section for processing a voluntary relinquishment for adoption by an Indian parent. Apply appropriate procedures in delivering out-of-home care services. This includes, but is not limited to: Providing information to appropriate Indian center staff: CA/N complaint (with reporter’s name deleted) and social history of child and family including any forms on which such data is recorded; Medical history including any forms on which such data is recorded; Psychiatric, psychological, etc., evaluation reports; and/or School reports, etc. Including representative of Indian center in notification of FST meetings and court hearings. Respond promptly to any orders of the juvenile court as it complies with the requirements of the ACT. Record all activities every 30 days using guidelines for type of service activity. NOTE:  With some exceptions, Tribal Court Authority Transcends Juvenile Court Authority, if the Tribal Court elects to exercise its rights as Authorized in the ICWA. Refer Case situations to Division of Legal Services (DLS) if assistance or Clarification is needed.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-4-working-children-subsection-4-special-populations-442-native-american
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 4 – Special Populations :: 4.4.1 Indian Child Welfare Procedure and Process",Missouri,Rules,"2023, 2022, 2021","Definitions, Legal process, Placement, Reporting requirements",,,"The Indian Child Welfare Act (ICWA) of 1978, P.L. 95-608, is a federal law which regulates placement proceedings involving Indian children. It mandates preventive services before removal to protect the best interest of Indian children and to promote the stability and security of Indian families and tribes. The Children’s Division complies with all mandates of the federal Indian Child Welfare Act, which includes preventing the unnecessary and arbitrary removal of Indian children from their families and tribes; placing an Indian child who must be removed in an available and safe home that reflects the unique values of American Indian culture; and adheres to the placement requirements of the Indian Child Welfare Act. Procedure In any child protection or involuntary foster care proceeding or termination of parental rights, guardianship, pre-adoptive or adoptive proceeding in a state court where Children’s Division knows or has reason to know an Indian child is involved, the Children’s Service Worker will make reasonable efforts to determine the identity and location of the child’s Indian parents, custodian and/or tribe. Once there is an indication or suspicion that a child is American Indian/Alaskan Native, the case is to be handled as an ICWA case until ALL the Tribes notified respond that the child is neither a tribal member nor eligible for tribal membership. Be sure that the Tribe provides this ruling in writing, on Tribal letterhead, to the Children’s Division office for the child’s file. If the case is not likely to be ICWA, handle as a non-ICWA case. Once American Indian/Alaskan Native heritage has been identified, the Children’s Division shall notify the identified tribe(s) and request assistance to provide the child and family with services. Under the laws of ICWA, child custody proceedings and foster care placements do not include a placement based on an act which, if committed by an adult, would be deemed a crime. ICWA is applicable to all termination of parental rights (TPR) proceedings whether those proceedings occur from a child protection or delinquency case or action. ICWA is not applicable to child custody proceedings between the child’s parents or other caregivers. Children’s Division may seek assistance from the Secretary of the Interior or his/her designees for information on the identity and location of the child’s Indian parents, custodians and/or tribe. The office to be contacted for the Missouri region is: Eastern Regional Office Bureau of Indian Affairs 545 Marriott Drive, Suite 700 Nashville, TN 37214 Telephone: (615) 564-6500 Fax: (615) 564-6701 Children’s Division shall ensure that notification is provided to the Indian parents, custodian and/or tribe by certified mail with a return receipt requested, of the pending proceedings and of their right of intervention, either through direct notification or by providing information for the notification to the juvenile court. Children’s Division recognizes the child’s Indian tribe has an interest, separate from a parent’s interest, in any proceeding involving the child and that interest must be protected throughout the child custody proceeding. The child’s Indian tribe has the right to intervene at any point in the proceedings and absent good cause to the contrary, may receive a transfer of jurisdiction of the case to the appropriate tribal court. Every effort shall be made by the Children’s Division to ensure when Indian children must be placed into alternative care that the placement reflects the true values of the child’s Indian culture. Special preference is to be made to place the child with (in order of ICWA placement priority): A member of the child’s extended family; A foster home licensed, approved, or specified by the Indian child’s tribe. An Indian foster home licensed or approved by an authorized non-Indian licensing or certifying authority; Other members of the Indian child’s tribe; Other Indian families; A non-Indian foster family may be used when an Indian family resource is not available and after diligent efforts have been made to locate an Indian family. Voluntary consents for foster care or relinquishments must be made in writing and recorded before a court of competent jurisdiction and certified by the judge or the court. The worker must use active efforts to work towards preventing the placement of the child as well as towards reunification for the family. “ Active Efforts ” are energetic efforts that show an active attempt to assist in alleviating the problems or issues that led to removal of the child from the family. Active efforts must also take into consideration the family’s cultural norms and the tribe’s resources. Requirements for a worker’s efforts to reunite an Indian/Native Alaskan family are greater than those for non-Indian families. Children’s Division shall be prepared for the court to review the Children’s Division actions to ensure: American Indian/Alaskan Native heritage was determined. The tribe was notified of its right to intervene. That a “qualified expert” determined that the child was likely to suffer emotional or physical harm if left at home and will testify to this in court. The Tribe is the best source for identifying qualified experts, and the Bureau of Indian Affairs may also assist as needed. Children’s Division has made active efforts to prevent placement. Children’s Division considered and preference was given to place the child with extended family members, an approved tribal home, Indian foster home, or an Indian-approved institution as noted above. An expert witness in Indian matters for child custody proceedings is qualified if either of the following criteria is met: A member of the child’s tribe who is recognized by the tribal community as knowledgeable in tribal customs as they pertain to family organization and child rearing practices. A lay or professional expert witness having substantial experience in the delivery of child and family services to Indians, and extensive knowledge of prevailing social and cultural standards and child rearing practices within the Indian child’s tribe. A qualified expert witness is not an expert on the ICWA, but an expert on the child’s tribe. There are two Indian Centers in the state that may assist the worker in regards to services for Native American families, or for possible referral to a qualified expert witness: Kansas City Indian Center 600 West 39th Street Kansas City, MO 64111 Phone: 816-421-7608 Fax: 816-421-6493 www.kcindiancenter.org Southwest Missouri Indian Center 543 Scenic Ave Springfield, MO  65802 (417) 869-9550 Process During initial contact with the parent or custodian of the child, the Children’s Service Worker shall ask if the child has any Native American Indian or Alaskan Native heritage.  The family will complete the Indian Ancestry Questionnaire , CD-116 , and return to the worker.  This is to document that the child does or does not have Indian/Alaskan Native heritage. The worker shall complete the ICWA Checklist, CD-123 , during the intake of any child to ensure ICWA compliance throughout the life of the case. Phone contact to the appropriate ICWA representative of the tribe, if known, shall be made within 48 hours of the child being taken into protective custody and the worker learning of the child’s Indian heritage. The appropriate written notification should follow, either directly by the worker or by providing information to the juvenile court to make such notification. Written notification shall be made by certified mail with a return receipt requested. Notice shall be made by certified mail, concurrently with verbal notice, and no later than 48 hours to: The Tribe (if known); Parents or Indian custodian; and Appropriate Bureau of Indian Affairs office Children’s Division should expect the ICWA director of the appropriate tribe to complete a referral to the appropriate tribal council for possible intervention or request to transfer jurisdiction to tribal court and the appropriate tribal social services office. Actual transfer of the child may occur upon determination that jurisdiction will transfer and receipt of the tribal court order covering jurisdiction of the child. Definitions Specific to ICWA Child Custody Proceeding: Any action removing an American Indian/Alaskan Native from his/her parent or Indian custodian for temporary placement in a foster home or institution where the parent or custodian cannot have the child returned upon demand, but where parental rights have not been terminated. Termination of Parental Rights (TPR): Any action resulting in the legal termination of a parent-child relationship. No termination of parental rights can be ordered unless it is supported by evidence that is beyond a reasonable doubt . This is a higher standard that required by Missouri law. Indian: Any person who is a member of an Indian tribe, or who is an Alaskan Native and a member of the Regional Corporation as defined in Section 7 of the Alaska Native Claims Settlement Act. This definition of an Indian voids any previous definition used prior to the ICWA settlement. Indian Child: Any unmarried person under the age of 18 who is either a member of an Indian tribe or is eligible for membership in an Indian tribe and/or is the biological child of a member of an Indian tribe. At the age of 18, upon application, the Indian child who was the subject of an adoption shall be informed by the presiding court of the child’s tribal affiliation, if any. The child shall be given information regarding his/her biological parents, and any other information necessary to protect any rights allowed by the individual’s tribal membership. Indian Child’s Tribe: The Indian tribe in which the child is a member or is eligible for membership. The tribal membership will be designated to that with which the child has the more significant contacts when the child’s membership or eligibility for membership is with more than one tribe. Indian Custodian: Any Indian person who has legal custody of an Indian child under tribal law or custom or under state law or to whom temporary physical care, custody and control has been transferred by the parent of such child. Indian Extended Family Member: Is defined by the law or custom of the Indian child’s tribe or, in the absence of such law or custom, to be a person who has reached the age of 18 and who is the Indian child’s grandparent, aunt or uncle, brother or sister, brother-in-law or sister-in-law, niece or nephew, first or second cousin, or a step-parent. Indian Organization: Any group, association, partnership, corporation, or other legal entity owned or controlled by Indians, or a majority of whose members are Indians. Indian Parent: Any biological parent or parents of an Indian child or any Indian person who has lawfully adopted an Indian child, including adoption under tribal law or custom. This definition does not include the unwed father where paternity has not been acknowledged or established. Federal statute states that a putative father of a child who is voluntarily relinquished by the mother must acknowledge paternity or his paternity must be established if his rights are to be respected in the custody proceedings. Since changes in case law since 1978 regarding putative father rights may effect this ICWA requirement, the Children’s Service Worker may contact the Division of Legal Services for further information. Indian Tribal Court: A court with jurisdiction over child custody proceedings which is either a court of Indian offenses, a court established and operated under the code or custom of an Indian tribe, or any other administrative body of a tribe which is vested with authority over child custody proceedings. Indian Tribe: Any Indian tribe, band, nation or other group or community of Indians recognized as eligible for services provided to Indians by the Secretary of the Interior because of their status as Indians, including an Alaskan Native village.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-4-working-children-subsection-4-special-populations-441-indian-child
"MO :: Section 6, Chapter 7 (Children’s Division’s Appeal Processes), Subsection 2, – (Alternative Care Review Board (ACRB))",Missouri,Rules,2023,Administrative process,,,"The Children’s Division shall provide access to a fair and impartial grievance process to address licensure, case management decisions, and delivery of service issues, 210.566 RSMo . The process described in this subsection deals with issues regarding case management decisions. Licensing issues are addressed in Section 6, Chapter 7.1 Children’s Division’s Fair Hearing Process. The Alternative Care Review Board (ACRB) is to be used when the alternative care (foster/relative adoptive or foster/adoptive care) parent disagrees with any decision made by Children’s Division (CD) regarding a case management issue involving an individual alternative care child who is, or has been, in the claimant’s physical custody. The Children’s Division (CD) recognizes alternative care parents as colleagues and professional members of the Family Support Team (FST) for children placed in their care. As such, they shall be invited and encouraged to actively participate in case plan development and implementation, FST Meetings, and any other staffings/meetings held to evaluate future placement needs/plans for the child(ren) in their care. Despite these efforts, alternative care parents (foster, relative, adoptive, or foster/adoptive) may disagree with case management decisions. The process described in this procedure is to be used for resolution of grievances by alternative care parents relating to case management decisions. To initiate this process, the alternative care parent must notify the County Office, in writing, or verbally, within ten (10) days of the disputed decision and request a meeting to review the matter: Receive verbal or written request from alternative care parent for an informal meeting within ten (10) days of the grievable decision. The informal meeting will include the Regional Director/Designee, Circuit Manager/Designee, and the alternative care parent. With the following 2 exceptions, staff shall take no adverse actions that are specifically related to the issues until the matter is resolved through the grievance process: Immediate action is required by the Division to protect the child in care from   abuse or neglect, or from a dangerous environmental condition; or A court order requires a specific action be taken. In the first instance above, the alternative care parent may grieve such an issue even after the Division has moved the child for the purpose of protection. In the second instance, specific actions taken in response to a court order, such as the court-ordered movement of the child(ren) from the alternative care home, are not subject to the grievance process. By recognizing alternative care parents as team members and as colleagues for children placed in their care, and including them in case plan development and implementation, this process should be necessary in only a few cases. 2. Advise Regional Director/Designee of alternative care parent’s request within two (2) working days. 3. Hold a meeting with the alternative care parent, appropriate Circuit Manager/designee, and appropriate Regional Office Director/Designee (a supervisor III or above) within ten (10) working days from the date of the request, unless the parent needs more time: Review information/material provided by the alternative care parent and Division staff. Determine if the child’s case management decision should be upheld or reversed. Related Subject located in Section 6, Chapter 7, Subsection 3: Children’s Services Grievance Process Guidelines The purpose of the informal meeting with the alternative care parent, county, and circuit staff is to review the grievable child management issue and attempt to settle the issue at this level. 4. Notify the alternative care parent of the decision, in writing, within five (5) working days after the meeting. If the case management action is upheld, advise the parent of his/her right to proceed with a request for an Alternative Care Review Board (ACRB) hearing and that the request must be received by the ACRB Liaison within five (5) working days after receipt of the Regional Director’s letter. Provide the Alternative Care Grievance Review Request, CS-70. 5. Receive, from alternative care parent, the CS-70 or other written request including all pertinent information and records, within five (5) working days of the Regional Director/Designee’s written decision (allowing three days for mailing). 6. Schedule the ACRB within three (3) working days of the receipt of the request. 7. Submit a summary of all pertinent information and a copy of the child’s case record(s) to the Regional ACRB Liaison within five (5) working days of the request for the review. Alternative Care Board Summary Outline located in subsection 6 of this manual section. 8. At least fifteen (15) working days prior to the review, provide to members and alternates of the review board copies of the CS-70, all pertinent material, notice of the review date, and location. 9. Coordinate all other activities regarding the scheduling of the review. The review should be scheduled to occur at the next scheduled AACRB meeting, if board members could be notified within fifteen (15) working days prior to the review. 10. Conduct review and allow presentations as follows: The review may be recorded by an audio recording device or a court reporter by request of the Alternative Care Parent. He/She must make arrangements for the court reporter and/or audio recording and pay all costs for this service. Summary and reasons for the child management decision (citing policy and procedure) from appropriate CD County and Circuit staff and/or legal counsel. CD staff may participate through a telephone conference: Presentation by witnesses for the Division. Summary of the grievance by the alternative care parent/representative and/or legal counsel: Presentation by witnesses for the alternative care parent. The alternative care parent’s presence is not required for a review to be conducted. He/She may submit a written statement. c. The Regional ACRB may ask questions and request further clarifying information from all parties. 11. Advise both parties that the ACRB will review the information and present a written recommendation to the CD Deputy Director/Children’s Services within seven (7) days. 12. Review and discuss all relevant materials and testimony. 13. Vote individually on ACRB recommendation. 14. Submit written recommendation per Form CS-70 and relevant materials to the Deputy Director for Children’s Services within seven (7) days. 15. Review Regional Alternative Care Review Board (ACRB) recommendation and discuss with the Division Director. 16. Uphold or reverse child management decisions and provide a written decision per Form CS-70 to all parties within thirty (30) days of receipt of the ACRB recommendation. 17. If the decision is to reverse the Division’s child management decision, revise the child management plan to reflect the reversal. Memoranda History: CD07-52",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-7-childrens-divisions-appeal-processes-subsection-2-alternative-care
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 3 – Medical and Behavioral Health Planning :: 4.3.12 Death of a Child in Out-of-Home Care",Missouri,Rules,"2023, 2022, 2021","Legal process, Reporting requirements, Services while in care - Medical",,,"The following are special procedures the Family Centered Out of Home (FCOOH) Case Manager will follow whenever a child who is in the care and custody of the Children’s Division residing in an out of home placement dies: Notify the Supervisor immediately that a Child in CD custody has died.  This will include any sudden or unexpected death, as well as a foreseeable death due to illness. Supervisor shall initiate the Fatality/Critical Event Reporting and Review Protocol. If the child died under suspicious circumstances, or if there is reason to believe the child died from child abuse or neglect, the Children’s Service Worker shall: File a report with CANHU right away; Assure that no other children are at risk of immediate harm. Assure the safety of other children by: Contacting Law Enforcement at once if there is reason to believe any other children are at risk of immediate harm; Immediately contacting the Case Manager and/or the Supervisor regarding any other children who are in the home to notify them of any concerns; and Advising the Licensing Worker and/or Supervisor of the situation. Immediately notify the juvenile office and/or family/juvenile court of jurisdiction and the Guardian Ad Litem and/or CASA of the child’s death Immediately make personal contact with the biological parents to notify them of their child’s death. Do not notify the family of the child’s death by phone or by mail. If the biological parents reside in another county or out of state, the worker shall request assistance from the worker in the other county or state to make personal notification. The worker should coordinate efforts with other persons involved who may be communicating with the family or coordinating services, such as another worker, Contracted Case Manager, OHI Investigator, Law Enforcement Officer, or Juvenile Officer, so that the primary or extended family does not experience multiple or unnecessary contacts which may only add to their grief or despair. Provide supportive services and referrals as necessary to assist the family with grieving or other issues. The child’s death will have a profound impact on the parent and placement provider.  The worker should be particularly sensitive to their loss and offer appropriate support. Consult with the Supervisor for the need to schedule a Family Support Team meeting to modify the family’s case plan as a result of the child’s death.  Allow ample time for the family to grieve and for funeral proceedings when scheduling the FST.  Continue to work with the family as directed by the Supervisor. Cooperate with the Children’s Division CA/N Investigator assigned to the investigation, including an Investigator from the Out of Home Investigations Unit, if applicable. Provide any information available that may assist in the investigation, including access to the case record. Inform your supervisor that the fatality is being investigated. If the child was less than 18 years of age, the Children’s Service Worker will need to determine if the coroner or medical examiner has been notified under the provisions of Missouri Revised Statutes chapters 58.452 and 58.772. If notification has not been made, the worker will need to notify the coroner or medical examiner of the child’s death. Additionally, notify the coroner when there is reasonable ground to believe that the child died as a result of: Violence by homicide, suicide or accident; Criminal abortions, including those self-induced; Some unforeseen sudden occurrence and the deceased had not been attended by a physician during the 36 hour period proceeding the death; Any injury or illness while in the custody of the law or while an inmate in a public institution. In any unusual or suspicious manner; The coroner or medical examiner will, if appropriate, contact the chairman of the Child Fatality Review Panel. Contact all other persons who have knowledge of the circumstances of the death. This may include physicians, police, placement providers, school personnel, witnesses, etc. The family Children’s Service Worker shall gather and document in the case record, all pertinent facts regarding the child’s death including: Cause of death; Time of death; Location of death; and Circumstances surrounding the child’s death and any witnesses. Current case status information (date case was opened and reason, summary of court activity, Name, address and phone number of GAL, past and current services received by family); List of other children remaining in the household with the alleged perpetrator and how their safety has been assured (attach a safety re-assessment form); A summary of progress or lack of progress made recently (attach most recent treatment plan); Date(s) of most recent contact(s) made with the family; CD history with the family (CA/N, Alternative Care/Adoption; prior FCS history); List of other agencies involved; and Other pertinent facts of case Update/close the FCS and AC Functions in FACES (if applicable), and assure that the information in FACES is updated as soon as possible. The Supervisor is to complete and submit a Critical Event Report (CS-23) to the Circuit Manager, or designee to allow enough time for review so that summary can be forwarded to central office. Provide the coroner/medical examiner and funeral home information for completion of the death certificate. Advise any agency the child was receiving benefits from such as SSI, VA, insurance companies, etc. A copy of the child’s death certificate may be provided upon request. Inform the eligibility analyst that the child’s KIDS account can be closed. Burial Arrangements When the death occurs of a child in CD care and custody, placed in out-of-home care, the family’s worker will work with the biological family regarding burial arrangements and expenses. If the biological family is willing and able to assume responsibility for the burial, they should be encouraged to do so.  The family worker shall explore resources such as insurance policies, Social Security and other benefits. If the biological family is not able to assume responsibility, the worker shall contact a local funeral home to provide a dignified burial within the acceptable standards of the community. To the extent possible, consider the wishes of the biological and foster family in making arrangements for the child’s burial.  Payment, not to exceed $1,500.00, will be made through SAMII.  An itemized list of expenses will need to be attached to the payment. Related Practice Points and Memos: 7-9-19 – PP19 CM-01 – Timely Informed Consent – Inpatient Hospitalizations and Medication Management Checkups 7-26-19 – CD19-47 – Informed Consent for Psychotropic Medication (Form CD-275) 10-11-19 – DK19-04 – Immediate Implementation of Best Practices Regarding Behavioral Health Care and Medical Records 4-9-20 – PP20-CM-03 – Mandatory Psychotropic Medication Reviews 7-23-20 CD20-34 – Introduction to Child Welfare Manual policy updates to align with best practices and comply with Joint Settlement Agreement requirements.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-4-working-children-subsection-3-medical-and-behavioral-health-7
"MO :: Section 6, Chapter 7 (Children’s Division’s Appeal Processes), Subsection 1, – (Children’s Division’s Fair Hearing Process) :: 7.1 Children’s Division’s Fair Hearing Process:",Missouri,Rules,2023,Legal process,,,"The Children’s Division shall provide access to a fair and impartial grievance process to address licensure, case management decisions, and delivery of service issues, 210.566 RSMo . The Fair Hearing process is to be used for the following: foster/relative home license status denial, issuance or revocation; adoptive home approval or denial; foster/adoptive care (FA) license approval, denial or revocation; adoption or legal guardianship subsidy. The Regional Director or Designee will promulgate the formal review of the resource home as outlined in,  Guide for Conducting a Review of a Resource Home, Section 6 Chapter 7 Sub-section 7 , before implementing the Fair Hearing process. Level A, Level B, Medical, Large Family Resource Home, Respite, and Level B Respite, are vendor types not licenses. The decisions to deny or revoke are not open for appeal as these are contractual services decisions and not licensure decisions. The foster home shall be placed on Administrative Hold until the complete grievance process has reached its conclusion with the final decision of the Division Director, and the 90 day time frame the applicant/provider has to file an appeal in their circuit court has expired RSMo 208.100. Administrative Hold is considered a non-punitive action and is not open for appeal in the fair hearing process. No close reason of revocation or denial shall be entered in FACES until after: The 30 day time frame for the provider to request a Fair Hearing has passed. The final Director decision after the Fair Hearing is received. The 90 day time frame following the final Director decision that the applicant/provider has to file an appeal in their circuit court. To deny a license renewal is to act upon a license already in existence, and is considered a revocation. The Fair Hearing Process involves the following steps: The worker will complete the Resource Home Adverse Action Report, CS-20. This form provides a standardized format for transmitting recommendations regarding negative licensing action for administrative approval. After obtaining all the required administrative approval on the CS-20, the worker will send the foster/relative/adoptive or foster/adoptive care applicant/resource provider the Notification of Resource Adverse Action, CS-20a,using certified mail through the United States Postal Services. The instructions for the CS20-a are located on CD desk top forms. The Application for Fair Hearing, CD-53, and Withdrawal of Request for Fair Hearing, CD-54, will be included in the same mailing as the CS-20a. A written request for a Fair Hearing, CD-53, must be received by the Children’s Service Worker, within thirty (30) calendar days of the date the provider/applicant received or refused the written Notification of Resource Home Adverse Action, CS-20a. Obtain immediate supervisor’s signature on Application for Fair Hearing, CD-53, indicating agreement with agency position. Once the Children’s Service Worker has received a written request from the applicant/resource provider requesting a Fair Hearing, the Children’s Service Worker shall complete the following: Advise the Regional Director/Designee of this request; Forward the CD-53 to the Division of Legal Services, DLS, Hearings Unit within one (1) working day after the date of the hearing request was received; and If legal representation is required by the Division, a Case Referral Form for legal representation shall be sent to the DLS, Litigation Unit. Schedule the informal meeting within ten (10) working days of receiving the CD-53. The worker must submit a Hearing Packet that includes a copy of the DLS Case Referral Form , the Notification of Resource Home Adverse Action, CS-20a, advising applicant/resource provider of adverse action, and three copies of the Application for Fair Hearing, CD-53, to the DLS Hearings Unit, within one (1) working day after the date of the hearing request. Allow the applicant/resource provider (or his/her legal counsel or designee) access to foster/adoptive/relative home or foster/adoptive care case record, with the Children’s Service Worker/Supervisor present. The Children’s Service Worker shall provide one copy of case record materials that directly relate to licensing/approval status upon request to the applicant/resource provider (or his/her legal counsel or designee). Upon receiving a request for a hearing, the worker will attempt to resolve the issues informally with the applicant/resource provider while concurrently preparing for the Fair Hearing. This Informal meeting is scheduled to take place within ten (10) working days of the worker receiving the CD-53 from the applicant/resource provider. Participants in the meeting should include the applicant/resource provider, the worker, the worker’s supervisor, Circuit Manager/Designee, and appropriate Regional Director/Designee. The purpose of this meeting is to review information provided by the applicant/resource provider and Division staff to see if the issue can be resolved prior to the Fair Hearing. If the issue is resolved as a result of this informal meeting a written request using the Withdrawal of Request for Fair Hearing, CD-54 must be submitted for the Fair Hearing process to cease. The CD-54, will be completed when the applicant/resource provider or Children’s Division requests a Fair Hearing withdrawal. This would include when the applicant/resource provider is requesting withdrawal from a previously requested hearing and/or when the Children’s Division determines that information is inadequate to substantiate the agency’s proposed action and the agency wishes to rescind the decision. The Children’s Service Worker shall immediately send the completed and signed Withdrawal of Request for Hearing, CD-54, to the DLS Hearings Unit within one (1) working day. If the required written request is not received within the required 30 day time frame, proceed with closing the vendor with close reason of revocation. If this was an initial application denial and the written request is not received within the required time frame, select “deny” on the Application screen in FACES. If the issue was not resolved at the informal meeting and the applicant/resource parent did not withdrawal their request for a hearing, the worker will confer with the Division’s DLS legal counsel, as necessary, and provide him/her with any information necessary for hearing presentation. The worker will appear as a witness at the state hearing and present the basis for recommendation, citing licensing rules and assessment guidelines. The hearing officer will submit to the Division Director the proposed decision and order containing all the facts presented at the hearing. The DLS Hearings Unit at the Division of Legal Services will issue a copy of the final decision to the applicant/resource provider and Children’s Service Worker. Upon receipt of a notice of a desire to appeal the final decision, the DLS Hearings Unit will furnish the applicant/resource provider or his/her attorney, with the proper form of affidavit for filing the appeal to the circuit court of the county in which he/she resides. The applicant/resource provider has 90 days to file an appeal. The worker will wait for 90 days after the notice of the final decision is sent before entering a close reason for the home if the close reason is revocation or denial. The home shall remain on administrative hold during this time period. If no appeal is filed, the worker will proceed to enter the close reason. If an appeal is filed timely with the circuit court, no close reason is to be entered until the final decision of the circuit court. The home will remain on Administrative Hold until the final decision is made by the circuit court. If the court upholds the closing of the home, the worker will enter the revocation or denial in the system. If the court reverses the Division’s decision to close the home the home will remain open. Record the information regarding the case adverse action in the case record. Complete the Vendor Appeal Screen in FACES. Memoranda History: CD07-15 , CD07-52 , CD07-55 , CD07-73 , CD08-98 , CD10-110 , CD11-69 , CD11-107 , CD12-36 , CD15-33, CD17-42",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-7-childrens-divisions-appeal-processes-subsection-1-childrens-divisions
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 3 – Medical and Behavioral Health Planning :: 4.3.11 Life Support/Sustaining Therapies",Missouri,Rules,"2023, 2022, 2021","Legal process, Services while in care - Medical",,,"This section includes guidelines for Life sustaining therapies and Do Not Resuscitate Orders (DNR) or Removal of Life Support for Children in the legal custody of the Division. This decision will be made in consultation with the child (if mentally and physically capable of making the decision), biological parent, guardian, guardian ad litem, juvenile court, the child’s physician, the child’s Children’s Service Worker, care provider, and at least two physicians who have access to the child and the child’s records.  The final decision regarding the use of life support and DNR orders or removal of life support for children in the legal custody of the Division shall rest with the court or the family if the court agrees.  Children’s Division and the Department of Social Services will not take a partisan position on Life Support/Sustaining Therapies in those cases in which the doctors are recommending a DNR or removal of life support.  We will provide unbiased, objective facts to the court, but we will not make any recommendations as to the final outcome.  The Department’s position in these situations is that the decision must be made by the court after reasonable notice and an opportunity for a hearing is given to the child’s parents, the Guardian ad litem (GAL), the Juvenile Officer (JO) and any other interested parties to provide input into the case as appropriate.  The department will not take the position that the responsibility for making DNR or Removal of Life Support decisions should be vested in a foster parent or (former foster parent) or other third party unless ordered by the court. The wishes of a child with a life threatening illness may be taken into consideration when making major decisions regarding medical care for the child, especially a DNR decision as to what weight to give to the child’s wishes is a judgment that must be based on the individual facts of each case considering factors such as the ability of the child to understand his/her condition, to make decisions; the maturity of the child, the wishes of the parents and other parties. NOTE:  Life sustaining therapies are defined as tube feeding, respirator, physical therapies to sustain life, intravenous fluids (IV), etc. When circuit office staff is confronted with situations which require the continued use of life support systems or the removal of life sustaining therapies and those cases in which the doctors are recommending a DNR or removal of life support for children within the care and custody of the Children’s Division, staff shall: Immediately gather appropriate identifying and medical information including: Condition and prognosis of the child; Other pertinent information regarding the child, i.e., age, birth date and location; Parent(s) name and address; if there is no parent(s), then the nearest relative Most recent court order; and Other appropriate medical and identifying information. Notify immediately, via telephone, and provide an explanation of the child’s situation and appropriate information based on Step 1. Refer such situations to the office of the Children’s Division Director for review. CD shall not be the agency to file a motion with the court asking for the court to make a DNR or removal of Life Support decisions. The motion should be filed by the JO or the GAL or parent(s) whose parental rights have not been terminated. If the JO and/or GAL or parent(s) refuses to file such a motion, then Division of Legal Services may file a motion notifying the court that: The child is seriously ill and the doctors are recommending DNR or removal of Life Supports. The best practice would include a written statement from the doctor attached to the motion; CD does not make DNR or Removal of Life Support decisions and does not have a specific recommendation to make regarding the child; and CD requests that the court take evidence on the child’s condition and enter an appropriate order. Notify the birth parent(s)/kinship of the hearing. Notice of hearing must be in writing. It is preferable to deliver the notice personally, but if this is not possible then it should be sent by certified mail so there is documentation to show the efforts to notify interested parties.  If CD does not know the location of a parent or guardian CD/Division of Legal Services needs to take all reasonable steps to locate that individual and provide them reasonable notice so that they have an opportunity to present information to the court.  The steps taken to locate, the absent parent or guardian needs to be documented in the file. Notify the juvenile office and/or juvenile court immediately if the medical facility does not provide all appropriate information or there is a concern for the child’s health while a review is being conducted. Immediately submit a written report containing the information outlined above to the regional director. Before, during, and after the decision has been made to begin or discontinue life support systems, establish open communications with the birth parent(s), foster parent(s) and sibling(s) of the child. County office staff will update Regional Director, as necessary, on any changes in the child’s condition during the review process. Assist the family by providing or arranging contact with support groups, counseling or any other service necessary to aid the family in the event of the child’s death. Related Practice Points and Memos: 7-9-19 – PP19 CM-01 – Timely Informed Consent – Inpatient Hospitalizations and Medication Management Checkups 7-26-19 – CD19-47 – Informed Consent for Psychotropic Medication (Form CD-275) 10-11-19 – DK19-04 – Immediate Implementation of Best Practices Regarding Behavioral Health Care and Medical Records 4-9-20 – PP20-CM-03 – Mandatory Psychotropic Medication Reviews 7-23-20 CD20-34 – Introduction to Child Welfare Manual policy updates to align with best practices and comply with Joint Settlement Agreement requirements. Upon notification the Regional Director will: Call and advise the Children’s Division Director of this medical emergency, relaying the information concerning the child as provided in the required staff report. Forward immediately, upon receipt, a copy of the written report containing the information outlined above to the Children’s Division Director.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-4-working-children-subsection-3-medical-and-behavioral-health-6
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 3 – Medical and Behavioral Health Planning :: 4.3.10 HIV/AIDS Issues",Missouri,Rules,"2023, 2022, 2021",Services while in care - Medical,,,"Screening for HIV/AIDS shall occur for children in the following high risk groups: Infants born to mothers known to be HIV antibodies positive or who are known to be HIV carriers. Hemophiliac youths who received blood or blood products before May 1985. Children who have had sexual contact with or who have shared IV needles with persons who are known to be HIV antibodies positive or who are known to be HIV carriers. Children whose medical symptoms or sexual histories indicate the possibility of exposure to HIV carriers. NOTE: Screening results are reliable only for “a moment in time” and do not establish whether a child has been exposed to HIV/AIDS. The request for HIV/AIDS screening and the results of the screening should be handled in a discreet, confidential manner. The child’s Children’s Service Worker and placement resource should be advised when there is a positive screening result.  In order to assure that confidentiality and the child’s right to privacy is protected, other persons involved (Guardian ad Litem, juvenile court, biological parents) will be notified on case-by-case and need-to-know basis. As few people as possible should be notified, depending on the circumstances of the case. Children who are known to be HIV antibodies positive or HIV carriers and their placement provider should receive specialized counseling services and support to help them deal with the ramifications of the disease and to make plans for the possible deterioration in health. Related Practice Points and Memos: 7-9-19 – PP19 CM-01 – Timely Informed Consent – Inpatient Hospitalizations and Medication Management Checkups 7-26-19 – CD19-47 – Informed Consent for Psychotropic Medication (Form CD-275) 10-11-19 – DK19-04 – Immediate Implementation of Best Practices Regarding Behavioral Health Care and Medical Records 4-9-20 – PP20-CM-03 – Mandatory Psychotropic Medication Reviews 7-23-20 CD20-34 – Introduction to Child Welfare Manual policy updates to align with best practices and comply with Joint Settlement Agreement requirements.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-4-working-children-subsection-3-medical-and-behavioral-health-5
"MO :: Section 6, Chapter 6 (Support Groups for Resource Providers), subsection 2, – (Transracial Parenting)",Missouri,Rules,2023,Services while in care - Educational,,,"When applicant resource parent indicates an interest in parenting interracially/culturally, the Children’s Service Worker should refer the resource parent to training regarding Transracial parenting. STARS In-Service Training Module 7 is a resource that may be used to introduce resource parents to cultural competence. Curriculums are available that provide training to strengthen bicultural families. The training curriculum should include but is not limited to: Information that highlights the important issues involved in caring for a child of another race, culture, or ethnicity. Including but not limited to identity development, family issues, community resources, and more Information to educate parents on what it truly means to parent a child (ren) of a different race, culture, or ethnicity Strategies to help parents explore ways to prepare for parenting a child (ren) of a different race, culture, or ethnicity. The expectation is that the training facilitator will have experience in parenting a child of a different culture. This could enrich the quality of the discussion, answer unmet needs of those currently parenting, and encourage the development of support groups. In-service training credit for up to six (6) hours may be earned with submission of documentation that transracial parenting training was completed. Chapter Memoranda History: (prior to 01-31-07) CS00-18 Memoranda History: CD12-82",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-6-support-groups-resource-providers-subsection-2-transracial-parenting
"MO :: Section 6, Chapter 6 (Support Groups for Resource Providers), subsection 1, – (Support Groups)",Missouri,Rules,2023,"Definitions, Group and residential care",,,"The Children’s Service Worker will inform the resource providers and applicants of local/statewide/national support groups by giving name and address of contact. Support, encourage, and participate in development and maintenance of support groups, by: Providing Foster Parents With Data, Information, And Guidelines On The Obligations, Responsibilities And Opportunities Of Foster Parenting; Informing Foster Parents Of Changes In Laws And Regulations Relevant To Foster Parenting, 210.537 RSMo . Allow leadership to evolve from within support group, rather than imposed externally. The teaching resource provider will develop support group if none exists, or supplement existing county activities. Evaluate efforts of development and maintenance. Record activities in county file. Memoranda History: CD12-82",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-6-support-groups-resource-providers-subsection-1-support-groups
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 3 – Medical and Behavioral Health Planning :: 4.3.9 Chemical Dependency Treatment",Missouri,Rules,"2023, 2022, 2021","Services while in care - Medical, Services while in care - Mental Health",,,"Adolescents often experiment with the use of drugs and/or alcohol and should be provided with education regarding the consequences of such behavior and support in stopping the behavior, particularly if the child comes from an alcohol/drug addicted family environment. Chemical dependency treatment will be explored when a child is motivated and demonstrates a willingness to participate in treatment. The value of chemical dependency treatment must be carefully assessed when the child has a history of repeated failures in treatment, and there is no substantial change in their circumstances or behavior since their dismissal from the previous program.  Under these circumstances, the appropriateness of a specific treatment program should be questioned if the program does not offer aftercare services. To the extent possible, the best possible treatment must be provided in the child’s community of residence, i.e., community C-Star program operated by the Department of Mental Health. Related Practice Points and Memos: 7-9-19 – PP19 CM-01 – Timely Informed Consent – Inpatient Hospitalizations and Medication Management Checkups 7-26-19 – CD19-47 – Informed Consent for Psychotropic Medication (Form CD-275) 10-11-19 – DK19-04 – Immediate Implementation of Best Practices Regarding Behavioral Health Care and Medical Records 4-9-20 – PP20-CM-03 – Mandatory Psychotropic Medication Reviews 7-23-20 CD20-34 – Introduction to Child Welfare Manual policy updates to align with best practices and comply with Joint Settlement Agreement requirements.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-4-working-children-subsection-3-medical-and-behavioral-health-4
"MO :: Section 6, Chapter 5 (Foster Home Utilization and Support), subsection 2, – (Foster Home Support)",Missouri,Rules,2023,"Administrative process, Foster parent licensing",,,"The resource development worker who supervises the home will maintain, at a minimum, quarterly personal contact with foster parent(s) to discuss generic issues relating to fostering (not related to specific children, which would be handled by child’s worker). Quarterly visits are conversational allowing for the sharing of concerns as well as accomplishments and development of a mutual relationship of trust. The visits are to be used as a prompt to have meaningful conversations about pertinent issues and assure compliance with licensing requirements. Maintain availability to foster parent as an advocate or for policy clarification should the need arise. Encourage networking between foster parents by sharing lists of foster parent names and addresses, and pairing up a newly licensed foster parent with an experienced foster parent. Provide information about and encourage the use of Respite Services. Record actions taken every three months as the quarterly home visit summary. Enter required data in FACES timely to ensure timely payments. Memoranda History: CD14-64",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-5-foster-home-utilization-and-support-subsection-2-foster-home-support
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 3 – Medical and Behavioral Health Planning :: 4.3.8 Pregnancy of Child in Out-of-Home Care",Missouri,Rules,"2023, 2022, 2021",Services while in care - Medical,,,"When a child becomes pregnant while in foster care, all efforts should be made to ensure the child receives complete prenatal care. In addition, the court of jurisdiction should be notified of the youth’s pregnancy.  The Children’s Service Worker should refer the youth to appropriate persons for information and resources needed to explore her options.  The child should make an informed decision without undue influence and/or coercion by the Division, placement provider or parents. If the child elects to give birth and care for the infant, every effort must be made to keep the child and infant together.  The Worker must refer the child and infant to the Eligibility Specialist, utilizing form CS-IV-E/FFP1.  The Worker shall carefully document the child’s progress and any contact regarding the health of the child and infant in the case record.  See later in this chapter for Children of Youth in Alternative Care (CYAC) information. Related Practice Points and Memos: 7-9-19 – PP19 CM-01 – Timely Informed Consent – Inpatient Hospitalizations and Medication Management Checkups 7-26-19 – CD19-47 – Informed Consent for Psychotropic Medication (Form CD-275) 10-11-19 – DK19-04 – Immediate Implementation of Best Practices Regarding Behavioral Health Care and Medical Records 4-9-20 – PP20-CM-03 – Mandatory Psychotropic Medication Reviews 7-23-20 CD20-34 – Introduction to Child Welfare Manual policy updates to align with best practices and comply with Joint Settlement Agreement requirements.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-4-working-children-subsection-3-medical-and-behavioral-health-3
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 3 – Medical and Behavioral Health Planning :: 4.3.7 Voluntary Placement Agreement",Missouri,Rules,"2023, 2022, 2021","Definitions, Placement",,,"With the 2004 passage of House Bill 1453, the Voluntary Placement Agreement was introduced and established in statute (210.122 RSMo). The Voluntary Placement Agreement is predicated upon the belief that no parent should have to relinquish custody of a child solely in order to access clinically indicated mental health services. Definition The Voluntary Placement Agreement (VPA) is a written agreement between the Department of Social Services (DSS)/Children’s Division (CD) and a parent, legal guardian, or custodian of a child under the age of eighteen (18) in need of mental health treatment.  The agreement is only used when an out-of-home placement is recommended by DMH and the Custody Diversion Protocol cannot otherwise divert the need for such placement.  DMH determines the need for mental health services and administers the placement and care of a child while the parent, legal guardian, or custodian of the child retains legal custody. Practice The VPA will only be made available to a parent in conjunction with, and only after staff has utilized the Custody Diversion Protocol which serves to link parents with DMH services for their child. The Custody Diversion Protocol reflects the mutual commitment of CD, DMH and its Community Mental Health Centers/Administrative Agents (CMHC/AA), Regional Offices, and/or Adolescent CSTAR providers, and the local Juvenile/Family Courts to assist parents in accessing needed mental health services for their children without a needless transfer of legal custody.  The VPA requires the commitment of a parent to be an active participant in his/her child’s treatment. A VPA may not exceed 180 days in duration . Local CD CDP Designees are responsible for guiding and assisting throughout the CDP process and monitoring the family’s progress through the duration of the VPA.  A Family Support Team (FST) meeting must be held within 72 hours of placement to develop permanency and treatment plans.  The local CD case worker will ensure FSTs are scheduled as necessary.  Designated staff from CD, Community Mental Health Centers, DMH Regional Office, and/or Adolescent CSTAR providers, the child’s family, and children who are able to effectively participate in meetings must be invited to attend all FSTs. FSTs need to be scheduled to occur around but not later than 100 and 150 days of the date the child is placed. The child and family’s progress will be reviewed to ensure appropriate transition planning occurs prior to the maximum 180 day VPA closure.  If the child is unable to return home a determination must be made as to continuous care being provided by other available resources or CD petitioning the court for custody.  The local Custody Diversion Protocol designees will be required to attend any hearings and testify in support of the plan to petition the court for custody. DMH may arrange for a staffing for a youth served through a VPA. The DMH provider will notify the local Custody Diversion Protocol designee of meetings held on the child’s behalf. The local Custody Diversion Protocol designee should maintain consistent communication with the DMH provider on each child served through a VPA. Children placed in Voluntary Placements are subject to the Adoption and Safe Families Act (ASFA) requirements.  Within sixty (60) days of the date the child is removed from the home, a case plan must be developed.  To meet the requirements of Section 472 (a) (1) of the Social Security Act a removal from the home must occur pursuant to: A VPA entered into by a parent or guardian which leads to removal (i.e. a non-physical or paper removal of custody) of the child from the home; or A judicial order for removal of the child from a parent or specified relative. Financing Funding for treatment services under a VPA will be provided by DMH or the CMHC/AA, Regional Center, and/or Adolescent CSTAR provider up front with Department of Social Services appropriation accessed through an interdepartmental funds transfer. Local CD staff will not authorize payment for residential treatment or any other services for children placed through a VPA.  Youth active in a VPA will be eligible for MO HealthNet coverage through the Family Support Division. The youth’s SSI benefits and/or private insurance, as well as other means of financial support, must be explored prior to VPA approval.  If the family receives SSI benefits for the youth, it is the family’s responsibility to contact the Social Security Administration and inform them of an out-of-home placement. Procedure: As a part of the CDP, DMH must conduct an assessment and it should establish that out-of-home placement is clinically appropriate and if there are no other means of financial support, the local CD CDP Designee can explore a VPA. If it is determined that a VPA is to be requested, the agreement must be reviewed and signed by the parent(s) and the CD-CDP designee. At the time a VPA is presented to a parent, CD staff shall, in conjunction with the parent, complete the Children’s Severity of Psychiatric Illness (CSPI). The CSPI is included as part of the CS-9.  Staff do not have to complete the entire CS-9, only the CSPI. The signed agreement must then be sent to the CD Central Office designee responsible for the oversight of the VPA program for final approval. VPAs must be signed by the CD Central Office designee before it will be considered officially approved, and a placement made. If the VPA is approved, the CD-CDP designee will then send a copy of the agreement to the local DMH CDP Designee responsible for placement. The local DMH Administrative Agent, Regional Office or Adolescent CSTAR provider should send a copy of the signed agreement with the identified placement date back to the local CDP designee. This should be completed within 5 days of placement. If the identified placement provider is requesting rates which exceed the standard contract rate for the Division of Behavioral Health, CD Central Office review and prior approval is required. If the approved agreement is not returned with a placement date within five (5) days the CD-CDP should contact the DMH Administrative Agent, Regional Office or Adolescent CSTAR provider to request the begin date. A copy of the signed agreement will then be sent to the RCST Coordinator and Central Office designee responsible for the oversight of the VPA program within 10 days from receipt of the signed agreement with the placement date added.  The VPA begin date is the date the child is placed in an out-of-home setting for treatment.  The RCST Coordinator shall be responsible for entering the VPA begin date and the CSPI rehab date in FACES.  For additional instructions see CD09-103. VPAs may not exceed one hundred eighty (180) days in duration. In the event the child is in placement less than 180 days, subsequent agreements can only be approved with the authorization of the CD Director. Total period of placement under one or multiple VPAs shall not exceed 180 consecutive days from the first day the child is placed in out-of-home care. The DMH provider is to notify the local CD-CDP designee any time a child is returned home. It is the local CD-CDP designee’s responsibility to then notify the RCST Coordinator and the CD Central Office designee.  It is the RCST Coordinator’s responsibility to update FACES once a child is returned home.  The duration of the VPA may be for as short a period as the parties agree is in the best interests of the child. The FACES system will automatically close a youth (in legal status V) the day the length of a VPA reaches 180 days in duration and the day before the child reaches his/her eighteenth (18th) birthday. However, if a youth is returned home prior to the 180 day maximum, the FACES system should be updated with a close date one day following the date the youth returned home. NOTE: Although the FACES system will automatically close the SS-61 upon the youth’s eighteenth birthday a VPA may extend beyond such. The RCST Coordinator must update the FACES system to reflect one day following the actual date the youth returned home or the day the length of the VPA reaches 180 days in duration. Related Practice Points and Memos: 7-9-19 – PP19 CM-01 – Timely Informed Consent – Inpatient Hospitalizations and Medication Management Checkups 7-26-19 – CD19-47 – Informed Consent for Psychotropic Medication (Form CD-275) 10-11-19 – DK19-04 – Immediate Implementation of Best Practices Regarding Behavioral Health Care and Medical Records 4-9-20 – PP20-CM-03 – Mandatory Psychotropic Medication Reviews 7-23-20 CD20-34 – Introduction to Child Welfare Manual policy updates to align with best practices and comply with Joint Settlement Agreement requirements.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-4-working-children-subsection-3-medical-and-behavioral-health-2
"MO :: Section 6, Chapter 5 (Foster Home Utilization and Support), subsection 1, – (Foster Home Utilization)",Missouri,Rules,2023,"Administrative process, Foster parent licensing, Placement",,,"The resource development worker providing supervision to the home will present the family’s strengths and weaknesses to the child’s worker searching for a suitable placement and attempt to match the foster home to the child. Ideally, during the first six months following initial licensure, no more than one child at a time should be placed in a foster home, except for a sibling group. Ensure that foster home licensed capacity is never exceeded except for sibling placements. The number of children in the home includes the resource provider’s own children; natural and adopted. NOTE: This does not mean that the number of children in the home is ignored because siblings are placed there. The only time that the number may exceed a total of six children is when there are already children in the home and placing siblings in that home will result in exceeding the limit. If the number then exceeds six, slots should not be filled until the home again is within allowable capacity. Maintain a log of children placed with the family (CD-104). Record utilization facts every three (3) months. Memoranda History: CD08-109, CD-14-64, CD16-08",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-5-foster-home-utilization-and-support-subsection-1-foster-home
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 3 – Medical and Behavioral Health Planning :: 4.3.6 Custody Diversion Protocol",Missouri,Rules,"2023, 2022, 2021",Services while in care - Mental Health,,,"The protocol has been developed to divert youth from entering state custody solely to access mental health services. This protocol is predicated on the belief that no parent should voluntarily have to relinquish custody of their child to access mental health services, if clinically appropriate services and supports, either within or outside the home setting, can be provided to the youth and family. The current Custody Diversion Protocol can be found here . The Custody Diversion Protocol Screening and Feedback Form can be found here . Related Practice Points and Memos: 7-9-19 – PP19 CM-01 – Timely Informed Consent – Inpatient Hospitalizations and Medication Management Checkups 7-26-19 – CD19-47 – Informed Consent for Psychotropic Medication (Form CD-275) 10-11-19 – DK19-04 – Immediate Implementation of Best Practices Regarding Behavioral Health Care and Medical Records 4-9-20 – PP20-CM-03 – Mandatory Psychotropic Medication Reviews 7-23-20 CD20-34 – Introduction to Child Welfare Manual policy updates to align with best practices and comply with Joint Settlement Agreement requirements.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-4-working-children-subsection-3-medical-and-behavioral-health-1
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 3 – Medical and Behavioral Health Planning :: 4.3.5 Identification of Children in the Custody of the Children’s Division Solely for the Purpose of Accessing Mental Health Services",Missouri,Rules,"2023, 2022, 2021","Legal process, Reunification, Services while in care - Mental Health",,,"Parents should not have to relinquish custody of their child due solely to a need to access clinically indicated mental health services. Children in custody for that reason and absent a probable cause or preponderance of evidence CA/N finding may be eligible for return to the custody of their parents through a protocol established by the passage of Senate Bill 1003 (SB 1003) during the 2004 legislative session: Supervisory Review of Children Who Are in Division Custody Solely for Mental Health Services per Section 208.204.2 and 208.204.3 RSMo. Children who have entered Children’s Division custody, absent a probable cause or preponderance of evidence CA/N finding, should be carefully reviewed to determine if they meet the criteria that were contained in SB 1003 signed into law in 2004. The review of a child in CD custody and determination of meeting SB 1003 criteria must include the following: Is the child in the custody of the Division solely because the parents were unable to access or afford mental health needs of the child? Is the parent verbalizing a desire for the child’s return to his/her custody if the child could receive the necessary mental health services? Would the child’s safety or the safety of others in the home be compromised by such a return of custody? Should the parent of a child not previously identified as potentially meeting the eligibility criteria contact the CD expressing a belief that his/her child indeed meets these criteria, CD staff will respond to the request and inform the parent that an FST meeting will be convened within two weeks of the parent’s request. Convening the Family Support Team Once the review is completed and it appears that the reason for the initial placement may be due solely to a need to access clinically indicated mental health services, a Family Support Team (FST) meeting is to be convened by the CD case manager upon agreement with the child’s parents. This FST meeting should be scheduled and held within 2 weeks in order to begin the process for further assessment and planning. Current policy for FST meetings is to be observed in keeping with the requirements of Section 4, Chapter 7 of the Child Welfare Manual.  It is crucial that the child’s family be actively involved in the FST and planning process.  The case record should clearly document if the family states they are not yet ready to regain custody. Additional and crucial FST participants shall include: The local representatives of the Department of Mental Health’s (DMH) Community Mental Health Center and/or DMH Regional Office staff; and Representatives of current placement and treatment providers. If the child has developmental disabilities that can best be served by DD within DMH, this agency should be actively involved in the planning process. The focus of the FST meeting is to jointly determine if the child’s placement in CD was due solely to a need for mental health services and was unrelated to parental abuse, neglect, or abandonment. In addition, the team should determine if the child can be returned safely to the custody of the parent even if he/she continues to need out-of-home care. If consensus is not reached by the FST on whether the child meets the eligibility criteria, the child shall be considered inappropriate for the Senate Bill 1003 protocol.  This, however, should not exclude other efforts toward reunification or further steps to obtain clinically indicated services or supports through DMH. Development of an Individualized Plan to Return the Child to the Custody of the Parent and Request for a Court Hearing If the FST agrees that the family meets the criteria for SB 1003 and the parent desires to have the child returned to his/her custody, an individualized plan shall be developed which outlines all services and supports needed by the child and family and identifies who shall be financially responsible for each. The child, if appropriate and the family shall actively participate in the plan’s design. Identified services shall be provided in the least restrictive and most normalized environment. Treatment services and supports shall include but not be limited to those which are home and community based. This plan shall be submitted to the court within sixty (60) days of the child having been identified through consensus of the FST. The judge may then return custody of the child to the parent. Payment for Services Provided to the Child and Family Once Custody Has Been Returned to the Parent 208.204.4:  When children are returned to their family’s custody and become the service responsibility of the Department of Mental Health, the appropriate moneys to provide for the care of each child in each particular situation shall be billed to the Department of Social Services by the Department of Mental Health pursuant to a comprehensive financing plan developed by the two departments. The Children’s Division is committed to assuring that the child and family continue to have access to those services that help them meet the needs of the child. If the Division previously paid for such services, it will continue to do so.  It is not necessary for the child to be returned to the home of the parent in order for custody to be transferred.  To that end, the Division will continue to fund residential treatment if the child continues to need that service as identified through the individualized treatment plan. Staff should contact Central Office for assistance in payment to placement providers for any youth in need of continued residential placement but no longer in the Division’s legal custody. Ongoing Implementation of Sections 208.204 For youth who meet criteria under statute cited above and are not otherwise diverted from CD custody, staff should implement the above protocol as quickly as possible to help expedite the youth’s return to the custody of his/her parents. The issues relating to the child’s placement should be addressed as early as the initial 72-hour FST meeting.  The representation of DMH and the current placement provider(s) should be brought into the FST process as soon as possible to assist in the service planning. Within sixty (60) days of a child being identified as appropriate for the provisions of Section 208.204.2-3 RSMo. an individualized treatment plan shall be developed by the FST, and the Children’s Division shall submit the plan to the juvenile/family court judge for approval. The child may be returned by the judge to the custody of his/her family. The instructions for Form CS-1 have been revised to better document the needs of the child and family, see CS-1 in E-Forms Index. Issues relating to the child’s mental health needs and the services and supports that may be needed for his/her parents should be addressed in the ongoing FST meetings.  Special emphasis should be placed on determining if the child can be safely returned to his/her parents’ custody if the necessary mental health services and supports were in place. Related Practice Points and Memos: 7-9-19 – PP19 CM-01 – Timely Informed Consent – Inpatient Hospitalizations and Medication Management Checkups 7-26-19 – CD19-47 – Informed Consent for Psychotropic Medication (Form CD-275) 10-11-19 – DK19-04 – Immediate Implementation of Best Practices Regarding Behavioral Health Care and Medical Records 4-9-20 – PP20-CM-03 – Mandatory Psychotropic Medication Reviews 7-23-20 CD20-34 – Introduction to Child Welfare Manual policy updates to align with best practices and comply with Joint Settlement Agreement requirements.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-4-working-children-subsection-3-medical-and-behavioral-health-0
"MO :: Section 6, Chapter 3 (Resource Family Assessment and Licensing Process), Subsection 8, sub-subsection 3- (Relative Home Assessment Recording Outline)",Missouri,Rules,,"Administrative process, Foster parent licensing, Placement, Reporting requirements",,,"The process of drafting the Home Assessment is a positive engagement experience between the resource development worker and the applicant. The relationship of the resource development worker with all the household members of a resource home is important for cultivating mutual respect and monitoring a safe and nurturing environment for relative foster youth. The mutual assessment process provides an opportunity for the worker to build positive and beneficial relationships with the resource home members and to offer help to the resource family. The worker is in the home to help maintain and support the resource family. The home assessment process is conversational allowing for the sharing of concerns, strengths and needs, and development of a mutual relationship of trust. The meaningful conversations include pertinent issues and understanding of licensing requirements. The relative Home Assessment is written specifically to address the appropriateness and best interest for the specific relative foster youth to be placed in the home and to affirm licensing standards are met per 13 CSR 35-60 RSMo . Reason for Study Relationship of applicant to foster youth Circumstances regarding opportunity for applicant to be a resource provider for foster youth. Past efforts of applicant to help family and prevent abuse/neglect, if applicable. Applicant’s current ability to ensure the safety of the youth placed or to be placed in their home. Use only the initials of the foster youth. Do not use the name or identifying information associated with the relative foster youth. Summary of Contacts: Include dates and places of contact, and with whom contact was made for Home Assessment completion. Description of Family Members: It is important to remember that there is usually an existing relationship between the foster youth or the youth’s family and the relative provider. Include about each household member all applicable information in items a through k as is relevant to the placement and stability of the specific relative youth(s) placed in the home: Full name, sex and date of birth Ethnic and racial background Attitude regarding the placement of the youth in the home Social history as is relevant to the youth placed in the home Marital history Military history Education Health Employment history pertinent to compliances with statue 210.496 (8) and (9) Extended family relationships to support the placement of the youth in the home Household pets Family Relationships: Present marriage – roles, responsibilities; stability of relationship if not married Resource parent life style and practices Interaction with extended family Group activities and shared interests Religious practices and preferences of each family member Methods of discipline Educational practices of the resource provider (as required by 13 CSR 35-60.030) (i.e. preference of schooling: public, private, or home schooling; thoughts on the importance of education on a child’s future) Observation of interaction between the applicant, foster youth and foster youth’s parents to assess the degree of comfort and trust which exist among the parties and with agency involvement Financial Status: Source and amount of income Management/indebtedness Capacity to provide and care for the foster youth financially and physically Health Status – summarize information from medical forms, coupled with information gained from interviews. Home and Environment: Structure of environment to ensure safety and health of foster youth Description of home and surroundings Housekeeping standards Special safety considerations and particularly those that relate to foster family home rules Childcare arrangements Attitudes Toward Fostering: Capacity to care for the foster youth’s physical and emotional needs Attitude toward birth parents and siblings and frequent visiting; willingness to work with whole family Open to agency supervision Parenting skills (include information from interviews and the Foster Family Profile: expression of positive feelings toward a child both verbally and physically; response to child’s verbal and physical expression of needs and wants; discipline techniques used to refrain from using corporal punishment; ability to guide a child toward independence and recognize the immaturity of a child.) Support by own children and extended family of providing relative foster home for specific foster youth. Family’s Understanding of and Response to Agency Policy Regarding: Rules and regulations Payment system Agency organization No corporal punishment Role as team member Willingness to cooperate with the treatment plan Summary of Training: Include dates and hours of all required pre-service training. Summary of References: Highway Patrol (arrests and convictions; consider relevance to additional child-caring responsibilities) CA/N Central Registry, Family Support Division (FSD) (consider relevance to additional child-caring responsibilities) Sex Offender Registry information by address maintained by the Missouri State Highway Patrol (MSHP). Documentation of Case.Net review Family Care Safety Registry Report Personal (3) Employment School Non-Safety Standards Waived: (If no waivers were used to license the home enter Not Applicable. If any non-safety wavier was used, enter the allowable waiver and indicate how the use of the waiver will not create any safety or well-being issues for the foster youth or hinder permanency. Section 4 Chapter12 Subsection 3) Evaluation: (Include compliance with licensing rules) Recommendation Signature of Worker and Date Signed Approval of Supervisor Including Signature and Date Signature of Resource Provider(s) and Date Signed Memoranda History: Chapter Memoranda History: (prior to 01-31-07) CS03-05 , CD04-05 , CD04-79 CD07-54 , CD14-64 , CD14-59 , CD15-75 , CD16-18 , CD16-45 , CD 16-65 , CD17-42 , CD18-16 , CD19-41",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-3-resource-family-assessment-and-licensing-process-subsection-8-sub-0
"MO :: Section 6, Chapter 3 (Resource Family Assessment and Licensing Process), Subsection 8, subsection 1 – (Resource Provider Family Assessment Recording Outline)",Missouri,Rules,2023,"Forms - Other, Foster parent licensing, Services while in care - Educational, Services while in care - Financial, Services while in care - Medical, Services while in care - Mental Health, Services while in care - Therapies (not mental health)",,,"Reason for Study Type of study Motivation of applicant Summary of Contacts: Include dates and places of contact, and with whom contact was made. Description of Household Members: Include about each household member all applicable information as follows: Full name, sex and date of birth Ethnic and racial background as required by 13 CSR 35-60.030.pdf_ Attitude toward children (most important of all) (as required by 13 CSR 35-60.030) Social history Marital history Military history Education Health Employment history (as required by 13 CSR 35-60.030) Extended family Household pets Family Relationships: Present marriage – roles, responsibilities; stability of relationship if not married Resource parent life style and practices (as required by 13 CSR 35-60.030) (i.e. may comprise their attitude toward living, work, family, and leisure activities) Interaction between parents and/or children ( as required by 13 CSR 35-60.030) Group activities and shared interests Communication system Religious practices and preferences of each family member (as required by 13 CSR 35-60.030) Methods of discipline (as required by 13 CSR 35-60.030) Understanding that one child shall not be permitted to discipline another child in the foster home No foster child shall be deprived of mail or family visits as a form of discipline Educational practices of the resource provider (as required by 13 CSR 35-60.030) (i.e. preference of schooling: public, private, or home schooling; thoughts on the importance of education on a child’s future) Financial Status: 13 CSR 35-60.090 Source and amount of income Management/indebtedness Health Status: 13 CSR 35-60.030 Summarize information from medical forms, coupled with information gained from interviews for all household members. If there are health problems, how do the family members cope with them? If there is a disability, how do other family members compensate? Secure from their physician a health statement for each household member on the prescribed form, CW-215. History of hospitalization for either physical or emotional problems for all household members. History of treatment for any psychiatric problem for all household members. History of treatment for any form of substance abuse, including drugs and alcohol, for all household members If any household member smokes, discuss the locations and frequency that foster youth will be exposed to secondhand smoke. Refer the family to the required pre-service video . Each resource parent completes the training and receives a one hour in-service training credit using code V113, Secondhand Smoke Exposure. Discuss the resource parent(s)’ plan to talk to foster youth about smoking and modeling healthy choices. Complete the Notification of Hazards, CD-101. For adoptive resource include information about the age differential between applicant and child(ren). If the differential indicates the child could not be reared to adulthood, include a description of the plans the applicants have made with the immediate or extended family members to assume this responsibility. The Home and Environment: Structure of environment to ensure safety and health of child Description of home and surroundings Proper lighting and ventilation Screen doors and windows Interior doors designed to permit opening of a locked door from the outside in an emergency Space for indoor play Access to outdoor play space Outdoor play space fenced if, in the judgement of the division, potential hazards suggest the necessity for such protection Mobile homes shall have an exit at each end of the home, lattice or solid skirting and be securely anchored by cable to the ground There shall be no surveillance cameras in areas of the home that violate the privacy of the foster youth, e.g. bathrooms and dressing areas If there is a swimming pool, hot tub, or spa, confirm and document: A barrier on all sides Access to the pool must have their methods of access through the barrier equipped with a safety device, such as a bolt lock Swimming pools must be equipped with a life saving device, such as a ring buoy If the swimming pool cannot be emptied after each use, the pool must have a working pump and filtering system. Hot tubs and spas must have safety covers that are locked when not in use. Sleeping Arrangements Foster children shall not sleep in any building, apartment, or other structure which is separate from the foster family home; nor shall any foster child be permitted to sleep in an unfinished attic, in an unfinished basement, or in a hall or any other room which is normally used for other than sleeping arrangements. Foster children shall not be permitted to sleep in finished basement bedrooms or in bedrooms above the second floor of a single family dwelling unless suitable provision has been made for heating, ventilation, and humidity control and all exits from these bedrooms have been approved by the division. At night a responsible adult shall sleep within call of the foster children. Foster children of the opposite sex, who are six (6) years of age or older, shall not sleep in the same room. The best interest of the child in terms of safety and appropriateness must be considered with the age of any child. Foster children shall not sleep in the bedroom of an adult age twenty-one (21) years and older. Each foster child under the age of two (2) has a crib, bassinet, portable crib, or play yard that conforms to the safety standards of the Consumer Product Safety Commission (CPSC). Each bed or crib shall be of a size as to insure comfort of the foster child, shall have a firm mattress or an orthopedic supportive surface, in good, clean condition with waterproof covering, if needed, and suitable covers adequate to the season. Foster children two (2) years of age or older shall not sleep in the bedroom of the foster parents except for special temporary care, such as during a child’s illness. Foster children should never sleep in a bed with foster parents. Each foster child over two (2) is provided with a safe sleeping space including sleeping supplies such as a mattress and linens, as appropriate for the child’s needs and age and similar to other household members. The abuse and neglect history of each child should be taken into consideration before allowing them to share a bed with another child. Separate and accessible drawer space for personal belongings and closet space for clothing shall be available for each foster child. Evaluate: Housekeeping standards; free from accumulation of dirt and trash and any evidence of vermin and rodent infestations. Special safety considerations and particularly those that relate to foster family home rules. Confirmation of safe private water supply Working telephone and emergency numbers posted Evacuation plan posted Every room used for sleeping, living or dining have at least 2 means of exit. At least one shall be a door or stairway providing a means of unobstructed travel to the outside No room or space shall be occupied for living or sleeping purposes which is accessible only by a ladder, folding stairs or through a trap door In an apartment building where the family lives above the second floor there must be an exit stairway Operating smoke detector installed where sleeping areas can be alerted. Charged fire extinguisher of at least five pounds near the kitchen area Heating appliances do not block escape routes Fireplaces, wood stoves, heaters, radiators, or floor furnaces protected as required by local ordinances A working carbon monoxide detector in homes with gas appliances Ensure flammable liquids, matches, cleaning supplies, poisonous materials, and other hazardous items are stored so as to be inaccessible to children. Ensure all medication (prescription, non-prescription, and authorized) and all alcohol shall be stored so as to be inaccessible to children/youth taking into consideration the age and mental capacities of the youth. If the medications are accessible to foster youth, staff must document either a plan for making the medications inaccessible or an explanation of why the medications are allowed to be accessible by foster youth (i.e. a child is moving toward independent living and is learning self-sufficiency skills). Weapons 13 CSR 35-60.040 Staff must personally view any weapons and their storage to assure compliance with the licensing rules. Staff shall not violate statute 571.500 by requiring a list of the weapons that the resource parent owns or keeps in the home. Any and all firearms and ammunition not being carried on one’s person shall be stored in locked secured areas or cabinets with keys or other locking mechanisms so as to be inaccessible to children. Firearms and ammunition on one’s person in the presence of a foster child shall be held in a secure holster and not accessible to children subject to the following: No firearms shall be present in any vehicle transporting foster children unless the firearms are: in a locked glovebox, in a locked container, or in a secure holster inaccessible to children, when carried or concealed on a person possessing a concealed carry permit. (An exception will be made for any person transporting a foster child who must carry a weapon as part of their job responsibilities— i.e., law enforcement officers.) No firearms possessed in violation of a state or federal law or a local government ordinance shall be present at any time in the home, on any household member, or in any vehicle in which the children are riding. Weapons storage shall be made available for external viewing by Children’s Division staff in order to assure weapons are inaccessible to children. Transportation 13 CSR 35-60.050 Document how the resource parents will be compliant with the following regulations: The foster parent(s) shall provide proper insurance coverage if foster children are transported in a private vehicle. Safety standards for the vehicle shall be within the minimum requirements of the law and the vehicle shall be operated by a person with a valid operating license. All children shall be secured in the car by car seats or seat belts as required by law. The foster parent(s) shall cooperate with the agency in providing transportation as indicated by the individual needs of each foster child including, but not limited to, medical and dental appointments, educational or training programs, and counseling. Reimbursement of mileage allowed per Children’s Division policy is not a guaranteed payment and is subject to the same restraints as provided in the Department of Social Services Administrative Manual travel policy for state employees. Attitudes Toward Foster and Adoptive Services: 13 CSR 35-60.030 Type of child desired Attitude toward birth parents and siblings and frequent visiting; willingness to work with whole family. Ability to and examples of how applicant will co-parent with the foster youth’s parent(s) or guardian(s) Special considerations, i.e., medically fragile, behaviorally disordered, cultural diversities, sibling groups Open to agency supervision Parenting skills (include information from interviews and the Foster Family Profile: expression of positive feelings toward a child both verbally and physically; response to child’s verbal and physical expression of needs and wants; discipline techniques used to refrain from using corporal punishment; ability to guide a child toward independence and recognize the immaturity of a child.) Demonstration of how they will provide care that is respectful and supportive of the youth’s cultural identity and needs and individuality Explanation of how they will provide for the moral training of foster children in care and make available for religious education and attendance of services compatible with the child’s religious heritage, provided that this training would not be injurious to the foster child’s physical, mental, or emotional health Understanding and examples of how the applicant will provide normalcy for foster youth and support the youth’s involvement in his/her case plan Support by own children and extended family. Family’s Understanding of and Response to Agency Policy Regarding: Rules and regulations 13 CSR 35-60 Payment system Agency organization No corporal punishment Role as team member Reasonable and Prudent Parenting implementation Additional information to include for Adoptive Resources : Discussing with the child issues surround the adoption Pre-placement planning and visits Adoption subsidy payment system Maintaining, over the child’s growth years, relationships with siblings when they are separated, and significant others The sharing of social, emotional, health information at any time after final decree of adoption is granted Continued availability of agency services after the final decree is granted Any special items that must be considered in the placement decision and subsequent planning Required Competencies 13 CSR 35-60.030 Detailed descriptions of how the applicant(s) demonstrate: Protecting and nurturing Meeting developmental needs and addressing developmental delays Supporting relationships between children and families Connecting to lifetime relationships Working as a member of a professional team Cooperating with all division inquiries about care of foster children Responsible and mature behavior Exercise sound judgement Display the motivation to foster Reasonable and Prudent Parenting Standard Summary of Training: Include dates and hours of all required pre-service training courses Summary of References: Highway Patrol (arrests and convictions; consider relevance to additional child-caring responsibilities) CA/N Central Registry, Family Support Division (FSD) (consider relevance to additional child-caring responsibilities) Documentation of CaseNet review Family Care Safety Registry Report Personal Employment School Evaluation: (Include compliance with licensing rules.) Recommendation Signature of Worker and Date Signed Approval of Supervisor Including Signature and Date Signature of Resource Provider and Date Signed",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-3-resource-family-assessment-and-licensing-process-subsection-8
"MO :: Section 6, Chapter 3 (Resource Family Assessment and Licensing Process), Subsection 7, – (Closing a Resource Home)",Missouri,Rules,2023,Foster parent licensing,,,"Steps to close a resource home not due to licensing infractions include: If closure of the license is due to adverse action, refer to Section 6 Chapter 7. Obtain a written request to withdraw the license. If the vendor does not provide a written request to withdraw, and there are no licensing concerns to proceed with adverse close action, enter the close reason of Discontinued Services in FACES to close the vendor. Write a closing summary for the case record. Refer to Section 5 Chapter 2 Subsection 9. Conduct an exit interview. Refer to Section 5 Chapter 1 Subsection 6 Sub-subsection 7. Update the screens in FACES 3.7.1 Removing one parent from a two parent license (1) If a licensee who was approved for a two- (2-) parent foster family home license moves away from the foster family home, both persons listed on the license shall notify the division in writing two (2) weeks prior to this change, or within two (2) weeks after its occurrence if the change in residence was unplanned. (A) Each licensee on the two- (2-) parent license who desires to continue providing foster care services shall be re-assessed by the division as a single foster parent family home. (B) Each licensee who fails to notify the division within the time frame identified herein will be in violation of their license and the division shall commence the revocation process as outlined in 13 CSR 35-60.090. (2) If a licensee who was approved for a two- (2-) parent foster family home license dies, the surviving licensee shall notify the division in writing within two (2) weeks of the death. (A) If the surviving licensee desires to continue providing foster care services, he or she shall be re-assessed by the division as a single parent foster family home. (B) If the surviving licensee fails to notify the division within the time frame identified herein, he or she will be in violation of their license and the division shall commence the revocation process as outlined in 13 CSR 35-60.090. Memoranda History: CD16-18 , CD16-45",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-3-resource-family-assessment-and-licensing-process-subsection-7-closing
"MO :: Section 6, Chapter 3 (Resource Family Assessment and Licensing Process), Subsection 6, – (Reopening a Closed Resource Provider)",Missouri,Rules,2023,"Administrative process, Foster parent licensing",,,"If a previously licensed resource provider requests that their license be reopened in order to be eligible to accept placements, staff must do the following: Have applicant(s) complete the Foster/Adopt Home Assessment Application, CS-42. Check the licensing and the contract screens to determine what previous licenses and contracts were in place and to determine the documented reason for closure. If a Resource Home that closed in good standing decides they would like to re-open, the worker should conduct a new home study. If the home has been closed for a period in excess of two (2) years, applicants may be required to retake pre-service training (see #11 below). If the previous license was revoked or denied, the applicant may not reapply for licensure within one (1) year from the date of denial or revocation. The applicant shall fully disclose the reasons for denial or revocation and produce evidence that the reason for the license denial or revocation have been cured or no longer exist. If the applicant has a revocation or denied status in FACES, written approval must be obtained through supervisory lines to the Regional Director or Designee for the resource development worker to reassess the applicant for consideration of reopening the license or approval. There must be supporting documentation that the issue(s) which were the reason for the revocation or denial have been rectified and no longer exist. If the Regional Director or Designee is in agreement to reopen the previously revoked or denied resource home, the written recommendation with supporting documentation must be forwarded to the Deputy Director for final consideration and approval to begin a reassessment of the applicant for licensure or approval. Inform the applicant if they are approved to have their license or approval reopened, they will not be eligible to receive maintenance payments using state or federal funds per Section 210.025 RSMo. Consult with any previous staff who have knowledge of the applicant(s) during the time they were previously licensed or contracted with the Division or its contractor. Discuss with the applicant(s) their perceived reasons for closing their license/contract and their motivation for reopening. Conduct all required background checks. Conduct a safety inspection of the residence using the Resource Home and Safety Checklist, CS-45. Provide a copy of the Foster Parent Bill of Rights and Responsibilities, RSMo Section 210.566 . Present the Safe Sleep Practices Form, CD-117, and obtain signatures of agreement. Present the Resource Provider Discipline Agreement, CD-119, and obtain signatures of agreement. Present a copy of the HIPAA Information for Resource Parents, CD-194, and obtain signatures. Complete the Professional Family Development Plan, CD-100.  Any training that is needed in order to insure that the resource provider is capable of parenting foster youth and returning to the treatment team as a productive member must be completed before a placement is made in the home. This includes, but is not limited to all legislative and policy changes such as the Reasonable and Prudent Parenting Standard, CPR, First Aid, Psychotropic Medication Management, Informed Consent, Etc.. Complete a new home assessment. If recommendation is to re-open the resource license, update the appropriate FACES screens, and provide the Cooperative Agreement for the Purchase of Professional Parenting Services, CM-14, for signature. If recommendation is to deny re-licensure, the resource development worker is responsible to provide documentation of facts that the applicant(s) is not in compliance with Statute, Rule, and Policy should the applicant request a fair hearing to pursue a grievance of the decision. Chapter Memoranda History: (prior to 01-31-07) Memoranda History: CD14-40 , CD14-64 , CD16-18 , CD16-65, CD16-86, CD18-25",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-3-resource-family-assessment-and-licensing-process-subsection-6
"MO :: Section 6, Chapter 3 (Resource Family Assessment and Licensing Process), Subsection 5, – (Conducting Resource Home Renewal)",Missouri,Rules,2023,"Administrative process, Foster parent licensing",,,"All licenses and approvals must be renewed prior to the expiration date. If a resource home does not complete all the requirements at least 90 days prior to the expiration, the License/Approval Renewal Letter, CD-102, is sent to the resource family reporting the requirements necessary for the home to be renewed. If the home continues to not meet renewal requirements, the CD-102 letter should be sent again 60 days prior to the expiration date. If the home continues to not meet renewal requirements 30 days prior to the expiration date, the CD-102 should be and the home placed on Administrative Hold. Administrative Hold status does not prevent the license or approval from expiring. It does, however, allow for data entry in the comment section on the Licensure and Approval and Renewal Screen in FACES regarding the facts of why the home is being placed on Administrative Hold. If there are placements in the home, plans should be initiated for the children to be moved. Foster youth may not be in an unlicensed foster home without a court order. (The only exception is a relative applicant who is pursuing licensure. Foster youth may remain in the unlicensed relative home for up to 90 days while the applicants are pursuing licensure.) The license or approval renewal administrative process begins a minimum of 90 days prior to expiration. If license or approval renewal requirements including but not limited to in-service training hours, physical with doctor’s statement, and fingerprints are not complete 90 days prior to expiration, the License/Approval Renewal Letter, CD-102, is sent to the resource family reporting the requirements necessary for the home to be renewed before it is closed due to not meeting license renewal requirements. If the home continues to not meet renewal requirements, the CD-102 letter should be sent again 60 days prior to the expiration date. If the home continues to not meet renewal requirements 30 days prior to the expiration date, the CD-102 should be sent again and the home placed on Administrative Hold. If there are placements in the home, plans should be reviewed and discussed 90 days prior to the expiration date for where the children will be moved. Foster youth may not be in an unlicensed expired foster home without a court order. The resource development worker should take the following steps to renew the resource provider’s license prior to the end date of the resource parent’s licensure period. Renewal process should begin at minimum 90 days prior to expiration of the license: Consult with current and past case workers for each child currently in the home and who has been in the home in the previous two years to evaluate the ability of the resource parents to deal with foster/relative youth, the agency, and the biological parents. In compliance with 13 CSR 35-60.030 (3), re-evaluate the performance based competencies taught in the pre-service training: Protecting and nurturing; Meeting developmental needs and addressing developmental delays; Supporting relationships between children and families; Connecting children to lifetime relationships; and Working as a member of a professional team. Document the resource provider’s demonstration of acquisition of these skills and any concerns regarding delinquency or weakness so they can be addressed on the Professional Family Development Plan, CD-100. The CD-100 must be reviewed and renewed before re-licensure. Document specific examples of how the resource parent(s) demonstrated application of all the elements of Reasonable and Prudent Parenting Standard. Interview all members of the resource family’s household individually, including biological, adopted, foster, relative children. Compare physical conditions of the home to the requirements noted in the licensing rules. Complete the Resource Home and Safety Checklist, CS-45. Provide a copy of the Foster Parent Bill of Rights and Responsibilities, RSMo Section 210.566 . Provide the Resource Parent Acknowledgment and Assurances Form, CD-108, and obtain signature(s). Provide the Safe Sleep Practices Form CD-117, and obtain signature(s) indicating agreement. Provide the Resource Parent Discipline Agreement, CD-119, and obtain signature(s) indicating agreement. Provide a School Reference Request, CS-101e, to the teacher of each child living in the home. No foster youth specific information is to be placed in the resource file. CS-101e forms received regarding foster youth may be placed in the foster youth’s file. Provide Employee Reference form, CS-101c only if employment has changed since the last assessment, or if there are concerns about employment. Provide Informed Consent Flyer If any concerns are identified during quarterly home visits or the interview process for the home assessment amended for license renewal, the Personal Reference Request, CS-101f and/or the Employer Reference Request CS-101c may be utilized. These forms are designed for initial licensure. Provide a copy of the HIPAA Information for Resource Parents, CD-194, and obtain signature(s). If any household member smokes, discuss the locations and frequency that foster youth will be exposed to secondhand smoke.  Refer the family to the required pre-service video . Each resource parent completes the training and receives a one hour in-service training credit using code V113, Secondhand Smoke Exposure. Discuss the resource parent(s)’ plan to talk to foster youth about smoking and modeling healthy choices. Complete the Notification of Hazards, CS-101. Confirm there are no surveillance cameras in areas of the home that violate the privacy of the foster youth, e.g. bathrooms and dressing areas. Weapons 13 CSR 35-60.040 Staff must personally view any weapons and their storage to assure compliance with the licensing rules. Staff shall not violate statute 571.500 by requiring a list of the weapons that the resource parent owns or keeps in the home. Any and all firearms and ammunition not being carried on one’s person shall be stored in locked secured areas or cabinets with keys or other locking mechanisms so as to be inaccessible to children. Firearms and ammunition on one’s person in the presence of a foster child shall be held in a secure holster and not accessible to children subject to the following: No firearms shall be present in any vehicle transporting foster children unless the firearms are: in a locked glovebox, in a locked container, or in a secure holster inaccessible to children, when carried or concealed on a person possessing a concealed carry permit. (An exception will be made for any person transporting a foster child who must carry a weapon as part of their job responsibilities— i.e., law enforcement officers.) No firearms possessed in violation of a state or federal law or a local government ordinance shall be present at any time in the home, on any household member, or in any vehicle in which the children are riding. Weapons storage shall be made available for external viewing by Children’s Division staff in order to assure weapons are inaccessible to children. All medication (prescription, non-prescription or authorized) and alcohol shall be stored so as to be inaccessible to children, taking into consideration the age and mental capacities of the children taking and the youth. If the medications are accessible to foster youth, staff must document either a plan for making the medications inaccessible or an explanation of why the medications are allowed to be accessible by foster youth (i.e. a child is moving toward independent living and is learning self-sufficiency skills). The Foster/Adoptive Household Member Physical and Mental Health Report, CW-215, is to be completed for each resource parent and biological or adopted child in the home by the physician for license renewal, but not including any current foster youth placements. Ascertain the resource provider has completed the recommended number of in-service resource parent training hours prior to recommendation for license renewal. STARS Pre-Service training hours may not be counted toward the 30 hours of In-Service training required for license renewal. All the following training must be complete for license renewal: Cardio Pulmonary Resuscitation certification , CPR; Three training hours credit using code V252 First Aid; Three training hours credit using code V898 Health Information Portability and Accountability ,HIPAA; One hour of training credit for reading and signing the CD-194 using code V980. The form is read and signed at each license renewal. However, the training credit is only earned for the initial time. Reasonable and Prudent Parenting Standard; Two training hours credit using code V280. This must be completed within three months of license/approval begin date. Foster Care bill of Rights: one hour training credit using code V160. Informed Consent; Two training hours credit using code V150. Psychotropic Medication Interactive trainings provided annually using training code V170 Establish continued compliance with licensing rules. The applicant is to complete a new Foster Family Profile, CD-56, if not already completed. The CD-56 should be completed as changes occur in the household. The new CD-56 and family photograph should be placed under separate cover sheet (to be developed locally) and placed in the front of the Resource Provider file. The obsolete CD-56 should be placed in the Family Assessment Section of the Resource Provider file with a notation on the front page of the profile identifying it as obsolete. A current CD-56 is required to be in the file for license renewal. There is to be no printed document (CA/N, FACES Call/Case History page, etc.) placed in the file. Document in the home assessment that the CA/N check was completed and the results of the check. Criminal History; Staff should not list specifics in the narrative section of the file when documenting criminal history. The narrative should simply reflect one of the following: The results of the fingerprint based criminal background check (enter date) met eligibility requirements and there have been no reports of criminal activity during the licensure period; The results of the fingerprint based criminal background check conducted (enter date) met eligibility requirements for licensure, however during the licensure period there have been(enter number) Rap Back  criminal history reports received which require further review and The reports do not include exclusionary information for licensure eligibility, or The information from the reports resulted in the decision to revoke the license. Specific criminal history information may be included in the Resource Home Adverse Action Report, CS-20, when it is the basis for denial or revocation. 25. If during the re-licensure process it is determined that the award of a foster care license is to be denied or revoked, all supporting documentation for the adverse action shall be retained for utilization during the fair hearing process as outlined in previous paragraph. This documentation shall be placed in the Administrative section of the resource provider case record. The decision to deny or revoke a foster care license must be based on non-compliance and or not meeting competencies with statute and licensing rules. Request a report on each adult household member from the Family Care Safety Registry (FCSR). The worker can do one of the following: Access the FCSR on-line with their assigned ID and password (preferred), or Call the FCSR at 1-866-422-6872. The resource development worker obtains on-line access by doing the following: Go to the FCSR home page, www.dhss.mo.gov/fcsr ; Click on the Forms link; Click on the How to Become a FCSR Internet User link; Click on the Internet Background Screening Access/Security Request . Return the completed document by Fax to 573-522-6981, or by mail to: DHSS/Family Care Safety Registry, PO Box 570,Jefferson City, MO 65102 In response the FCSR will assign a USER ID number to the resource development worker to be used exclusively for access to the FCSR. The USER ID and instructions on how to do the password and how to run a background screening will be faxed to the worker. This ID and instructions on how to do the password are autonomous from the worker’s current ID and passwords used for logging on to the state computer system, FACES and PROD. The password is on a 30-day expiration cycle and the worker will have to update it every 30 days, just as with the PROD password. Families who do not have Social Security numbers due to their religious practices (i.e. Amish) are not required to register with the FCSR and note of this should be documented in their record and study. 24. The address of residence of the resource home will be entered at the Missouri State Highway Patrol’s sexual offender list located on the web at: https://statepatrol.dps.mo.gov/ . The address search will determine if a sexual offender is registered as residing at the address of the resource home. A copy of the resulting web page must be placed in the background section of the case file. 25. Examine Case.net, the Missouri State Courts Automated Case Management System for any reference to Orders of Protection filed, either for a child or adult. There are limits to the use of Case.net. Case.net is not yet statewide, so will not include all county circuit courts. Also, at this time, public view does not include identifiers such as social security numbers and birth dates; so it is difficult to determine whether the individual for whom you are searching is the same as the one found on Case.net. In locations where Case.net is not yet available, check with the circuit court for any pertinent information, including a record of Orders of Protection filed, both for a child or an adult. 26.  The DSS Inquiry function located on the FACES Home Page is an available tool that may be used for information gathering. This same process shall be used for Transitional Living Advocates (TLA), and foster or adoptive parents being assessed for the Division through a contracted agency. Except for the specific felony convictions listed below, a criminal history, child abuse/neglect history, or other review information does not automatically preclude licensure. Staff should determine the relevance of all such findings to child caring responsibilities, and should seek guidance from supervisors. A supervisor must review and evaluate the background information if there is a record of conviction (other than those listed below) and/or child abuse and if the decision is to approve the home study. The supervisor’s review and decision to approve/disapprove must be documented. Felony Convictions Staff may not approve the application of any person in which a record check reveals that a felony conviction for child abuse or neglect, spousal abuse, a crime against children (including child pornography), or a crime involving violence, including rape, sexual assault, or homicide, but not including other physical assault or battery was determined by a court of competent jurisdiction. Staff may also not approve the application of any person who has had a court of competent jurisdiction determine a felony conviction for physical assault, battery, or a drug-related offense within the past five (5) years. For the purpose of this policy, a “felony conviction by a court of competent jurisdiction” is defined as a criminal court conviction for a felony offense as defined by law in the jurisdiction that the offense took place. Household members age 17 and older shall disclose criminal history. Consideration shall be made of felony cases where the individual pled guilty, is found guilty and /or convicted of a criminal offence or pled guilty but received a suspended imposition of sentence instead (SIS). In the unlikely event that it is determined that the best interest of a child would be served by placement in this setting, written approval must be obtained through supervisory lines to the Regional Office. The Regional Office must review the request and, if in agreement, forward with their recommendation to Central Office for final consideration. Written requests should include a thorough description of the applicant’s situation and why it would be in the child’s best interest for an exception to be granted. If approved by Central Office, IV-E funding may not be used and the worker will be responsible for notifying the Eligibility Specialist who will ensure that state-only funds are used. If a resource parent commits a felony act as listed previously in this section which results in a conviction or the resource parent admits to committing the act and receives an suspended imposition of sentence (SIS ) federal funds may not be used for foster care maintenance or adoption assistance payments if any of the aforementioned conditions exist. It is imperative that in those circumstances the worker notifies the Eligibility Specialist who will enter the correct fund code for state only funding. Chapter Memoranda History: (prior to 01-31-07) CD04-05 , CD04-79 , CD04-96 , CD05-76 , CD06-37 Memoranda History: CD07-36 , CD07-54 , CD08-55 , CD08-56 , CD09-55 , CD09-87 , CD09-88 , CD10-116 , CD11-22 , CD12-85 , CD14-09 , CD14-40 , CD14-64 , CD15-75 , CD16-18 , CD16-65, CD17-42, CD18-27, CD19-65",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-3-resource-family-assessment-and-licensing-process-subsection-5
"MO :: Section 6, Chapter 3 (Resource Family Assessment and Licensing Process), Subsection 4, – (Child Care Homes as Foster Homes)",Missouri,Rules,2023,"Foster parent licensing, Legal process",,,"When a resource home applicant has a valid child care license with the Department of Health and Senior Services (DHSS), Section for Child Care Regulation (SCCR), and/or provides child care on the behalf of the Children Division as a registered or contracted provider, considerations must be made regarding conflicts with foster home licensing rule and policy. Discuss the Foster Family Home Licensing Rules 13 CSR 35-60 with the resource home applicant. For children receiving child care through the Child Care Assistance program, resource parents are considered to be a mandatory member of the child’s household unit. Resource parents are standing in loco parentis and are not allowed to provide registered or licensed child care to their own children including any foster child(ren) placed in their home. The resource parent must select another child care provider for the foster child(ren) placed in their home. Refer to the Child Care Assistance Manual for Child Care Assistance program requirements. Inform the foster home applicant of the regulation capacity and age limitations including but not limited to: No foster child under the age of seven (7) may be placed in a combined resource home/licensed child care provider family home with the exception of those in a sibling group. Registered, licensed, contracted child care providers (owners) cannot be paid for providing child care for their own children. Their own children impact total capacity of children in the home. Foster children are considered their own children. For combined resource home/registered family home provider, there may only be a maximum of four (4) non related children in the home. The number of foster children shall not cause the resource home/licensed child care family home to exceed the child care provider’s licensed capacity. The maximum number of children in a resource home shall not exceed five (5) including any of the foster parents’ own children. Resource parent(s) shall not provide care for more than two (2) children under age two (2) and no more than four (4) children under the age of five (5) unless necessary to accommodate a sibling group on a temporary basis. If licensed with the DHSS/SCCR, discuss the Licensing Rules for Family Day Care Homes, 19 CSR 30-61 with the resource home applicant. Care of foster youth by a licensed resource parent shall not be combined with regular, part, or full-time care of other children, or with other service or business conducted in the home without written approval of the division (13 CSR 35-60.050(2)(E). Discuss with the resource home applicant the impact of providing care to both foster care children and child care children. Ensure that holding a resource home license while providing licensed or registered child care in the home will not adversely affect children receiving these services. Refer to Section 6 Chapter 3 subsection 1 for licensing guidelines. Chapter Memoranda History: (prior to 01-31-07) CS03-05 , CS03-51 , CD04-05 , CD04-79 , CD05-80 , CD06-29 , CD06-46 , CD06-60 Memoranda History: CD12-84 , CD14-13 , CD16-18 , CD16-45",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-3-resource-family-assessment-and-licensing-process-subsection-4-child
"MO :: Section 6, Chapter 3 (Resource Family Assessment and Licensing Process), Subsection 3, – (Foster Licensing, Adoptive Assessments)",Missouri,Rules,2023,"Adoption, Foster parent licensing, Legal process, Permanency",,,"NOTE: A child in Children’s Division (CD) custody can reach the goal of adoption permanency in one of two ways: adoption by the current foster/relative family or placement with a new family. A foster/relative family must be assessed for adoption if they want to adopt a child in their care. An approved adoptive family must be licensed for foster/adoptive care (FA) if that family requires temporary financial assistance to meet the needs of the child. A foster/adoptive care (FA) license does not apply to foster/relative families already licensed unless maintenance and special services payment is denied because the child is not eligible for Homeless, Dependent, and Neglected (HDN). Relative families, not eligible for maintenance and special expense payments, may become eligible for the foster/adoptive care (FA) license by becoming approved as an adoptive family. Out-of-Home Care payments may be continued until custody is transferred, the adoption subsidy agreement is approved for an eligible child or the child is removed from the home, whichever occurs first. If the child is eligible for adoption subsidy, the transfer of custody or the final adoption must be coordinated with the approval of the agreement for subsidy. This will prevent a break in payment. NOTE: “FA” refers to the vendor type code is used to identify that an approved adoptive family has been licensed to provide foster/adoptive care (FA). This code, in combination with the placement type code, “FAH”, differentiates this type of placement plan for a child from adoption by foster parents (foster/adoptive family) who have had that child in their care. The “FA” and “FAH” codes must be reported when the foster/adoptive care (FA) license is approved. A foster or relative family vendor type would be reported as an “AD” vendor type in the ACTS vendor subsystem when the adoption of the child is approved. In FACES, the child’s placement type would be reported as “ADF” or “ADR,” whichever is appropriate. A vendor may provide more than one type of care. Special action is required in the FACES vendor subsystem when this occurs. The foster/adoptive care (FA) license is generated when the “FA” code is reported in the vendor subsystem. The license is sent to the County Office for transmittal to the family. The Children Services Worker will pursue licensure of an already approved adoptive family for foster/adoptive care (FA) when the family has been selected for and has accepted a child, if temporary financial assistance is needed. NOTE: CD approved adoptive families may be licensed to provide foster/adoptive care (FA) for children in the custody of Class I juvenile courts and authorized to receive out-of-home care payments and Medicaid. However, financial assistance shall end when custody is transferred or the child is removed, whichever occurs first. Children in the custody of Class I juvenile courts are not eligible for adoption subsidy. Complete an adoptive assessment for a foster/relative family who wants to adopt a child in their care. Determine that an approved adoptive family meets foster/adoptive care (FA) licensing requirements by receiving a copy of the adoption petition for a specific child, and discussing and obtaining the necessary signatures for the CM-6, Cooperative Agreement for the Purchase of Foster/Adoptive Care (FA) Services. NOTE: A petition for adoption may be filed before the child is physically placed with the family. Record all information appropriate to the assessment or licensing requirements. Make a recommendation for licensure of an approved adoptive family for foster/adoptive care (FA). Submit completed CM-6 to Contract Management Unit. Receive notice of approved CM-6 from Contract Management Unit. Extend a foster/adoptive care (FA) license for subsequent periods of up to nine months until custody is transferred, the Adoption Subsidy Agreement is approved for an eligible child, or the child is removed, whichever occurs first. NOTE: It is not necessary that placement of the child actually occur for the contract to be signed. But, placement should occur within a reasonable time after licensure. Also, while the license may be extended to accommodate movement in the adoption proceedings, the case plan should include, if needed, actions that will complete the adoption without unreasonable delays. Make a recommendation for approval of a licensed foster/relative family to adopt the child in their care. Maintain accurate Vendor Licensure/Approval and Renewal screen in FACES. Open vendor for foster/adoptive care (FA) for up to nine months, if needed. NOTE: This includes relative families who are not eligible to receive payment because the child is HDN eligible only. The relative parent(s) must be approved as an adoptive family before licensed as a foster/adoptive (FA) family. Open the licensed foster/relative family as an adoptive family (AD) when the adoption case plan for a specific child in their care is approved. NOTE: Relative adoptions include only licensed relative families caring for a IV-E eligible child. Transmit license to foster/adoptive care (FA) family; or Notify foster/relative family of approval as an adoptive home. Allow foster/adoptive care (FA) license to expire for the following reasons: Family receives custody of the child; Child is removed from the home; Family requests termination of the foster/adoptive care (FA) license; Adoption Subsidy Agreement (CS-SA-2) is approved; or Adoption is granted if no prior transfer of custody. When the license expires, close the FA vendor type in FACES. Follow revocation of license steps in 3.1 of this chapter, if child is removed because a CA/N investigation has found “Preponderance of Evidence” and child is not safe by remaining with the family. Record all activities, as necessary, and depending on the category of the family adopting the child. Chapter Memoranda History: (prior to 01-31-07) CS03-05 , CS03-51 , CD04-05 , CD04-79 , CD05-80 , CD06-29 , CD06-46 , CD06-60 , CD12-84 Memoranda History: CD17-42",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-3-resource-family-assessment-and-licensing-process-subsection-3-foster
"MO :: Section 6, Chapter 3 (Resource Family Assessment and Licensing Process), Subsection 2, – (Adoptive Family Assessment)",Missouri,Rules,2023,"Adoption, Foster parent licensing, Legal process",,,"The Children Services Worker will receive completed application, CS-42. Complete Vendor Licensure,  Approval and Renewal screen in FACES. Applicants shall be at least 21 years of age. Initiate action within 30 days of receipt of application by face-to-face contact or group informational meeting. Begin assessment process by personal interview. Discuss with applicants any questions about the release of identifying and non-identifying information about biological parents/siblings and the Adoption Information Registry. Complete assessment of family’s readiness for adoption within six (6) months from date application received, using Section 6 Chapter 3  Subsection 8 Sub-Subsection 1. Concentrate on Readiness for Adoptive Parenthood portion of Assessment Guide for already licensed foster parents/relative parents. Record and recommend, within six (6) months of receipt of application, one of the following: Suspension; Approval; Denial; or Withdrawal. Obtain applicant’s signature on Family Assessment indicating agreement; applicant retains one copy. Approve, update, process Vendor Licensure/Approval and Renewal Screen in FACES, and obtain CW-109 and AEM-2A.  Assist family in registering with other adoption exchanges if appropriate. Notify of fair hearing process if rejected. Record all transactions of children presented for placement with a family and family’s acceptance or rejection of children including family’s reasons for decision. Update adoptive family assessment at least once every two years (biannually), if no children placed, or if family is interested in additional placements. Update, Vendor Licensure, Approval and Renewal screen in FACES. Accept approved family assessment of an adoptive home from a private agency or another state (public or private agency) at point of application only if they have utilized our same guidelines for completion of Adoptive Family Assessments. Contact personally and update assessment if needed. State applicants must work with just one agency; the applicant must make the decision. Adoptive Home Assessment Recording Outline The adoptive home assessment shall be conducted by the children’s division of the department of social services, a juvenile court officer, a licensed child-placing agency, a social worker, a professional counselor, or a psychologist licensed under chapter 337 and associated with a licensed child-placing agency, or other suitable person appointed by the court. Reason for Study Type of study Motivation of applicant Summary of Contacts: Include dates and places of contact, and with whom contact was made. Description of Household Members: Include about each household member all applicable information as follows: Full name, sex and date of birth Attitude toward children Attitude toward adoption Social history Marital history Military history Education Health Employment history Extended family Household pets Family Relationships: Present marriage – roles, responsibilities; stability of relationship if not married Adoptive parent life style and practices (i.e. may comprise their attitude toward living, work, family, and leisure activities) Interaction between adoptive parents and/or children Group activities and shared interests Communication system Religious practices and preferences of each family member Methods of discipline Educational practices of the adoptive provider (i.e. preference of schooling: public, private, or home schooling; thoughts on the importance of education on a child’s future) Financial Status: Source and amount of income Management/indebtedness Health Status: Summarize information from medical forms, coupled with information gained from interviews for all household members. If there are health problems, how do the family members cope with them? If there is a disability, how do other family members compensate? Statement from their physician adoptive parents are suitable to parent an adoptive child(ren). History of hospitalization for either physical or emotional problems for all household members. History of treatment for any psychiatric problem for all household members. History of treatment for any form of substance abuse, including drugs and alcohol, for all household members For adoptive resource include information about the age differential between applicant and child(ren). If the differential indicates the child could not be reared to adulthood, include a description of the plans the applicants have made with the immediate or extended family members to assume this responsibility. Home and Environment: Structure of environment to ensure safety and health of child Description of home and surroundings Proper lighting and ventilation Screen doors and windows Interior doors designed to permit opening of a locked door from the outside in an emergency Space for indoor play Access to outdoor play space Outdoor play space, in the judgment of the assessor, potential hazards suggest the necessity for such protection Housekeeping standards Weapons Attitudes Toward Adoptive Services: Type of child desired Attitude toward birth parents and siblings Special considerations, i.e., medically fragile, behaviorally disordered, cultural diversities, sibling groups Open to agency supervision Parenting skills (include information from interviews and the Foster Family Profile: expression of positive feelings toward a child both verbally and physically; response to child’s verbal and physical expression of needs and wants; discipline techniques used to refrain from using corporal punishment; ability to guide a child toward independence and recognize the immaturity of a child.) Demonstration of how they will provide care that is respectful and supportive of the youth’s cultural identity and needs and individuality Explanation of how they will provide for the moral training of an adoptive child and make available for religious education and attendance of services compatible with the child’s religious heritage, provided that this training would not be injurious to the adoptive child’s physical, mental, or emotional health Understanding and examples of how the applicant will provide normalcy for adoptive child. Support by own children and extended family. Summary of Adoptive Resources and Adoptive Parent(s) suitability: Discussing with the child issues surround the adoption. Pre-placement planning and visits. Maintaining, over the child’s growth years, relationships with siblings when they are separated, and significant others. The sharing of social, emotional, health information at any time after final decree of adoption is granted. Continued availability of agency services after the final adoption decree is granted. Any special items that must be considered in the placement decision and subsequent planning. Statement to the effect that the child has been considered as a potential subsidy recipient and adoption subsidy payment system. Include pertinent information relevant to whether the child is suitable for the adoptive parent(s). Include pertinent information relevant to whether the adoptive parent(s) is suitable for the child. Competencies Detailed descriptions of how the adoptive parent(s) demonstrate: Protecting and nurturing Meeting developmental needs and addressing developmental delays Supporting relationships between children and families Connecting to lifetime relationships Working as a member of a professional team Cooperating with all division inquiries about care of foster children Responsible and mature behavior Exercise sound judgement Display the motivation to foster Reasonable and Prudent Parenting Standard Know how adoptive families are different Understand attachment and its importance in adoption Understand the need to anticipate challenges and be able to identify strategies for managing challenges as an adoptive family Understand that adoption means making a lifelong commitment to a child Summary of Training: Include dates and hours of all training courses Summary of References: Highway Patrol (arrests and convictions; consider relevance to additional child-caring responsibilities) CA/N Central Registry, Family Support Division (FSD) (consider relevance to additional child-caring responsibilities) Documentation of CaseNet review Family Care Safety Registry Report Personal Employment School A Summary of written reports were provided to the prospective adoptive parent(s), court, and guardian ad litem per RSMo 453.026:  Yes _____   No______ Recommendation: Signature of Worker and Date Signed: Approval of Supervisor Including Signature and Date: Signature of Adoptive Parent(s) and Date Signed: NOTE: Send written notification to family at any time family assessment is removed from active status; inform them of fair hearing process. This should be accompanied by personal contact. Chapter Memoranda History: (prior to 01-31-07) CS03-05 , CS03-51 , CD04-05 , CD04-79 , CD05-80 , CD06-29 , CD06-46 , CD06-60 Memoranda History: CD12-84, CD17-42",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-3-resource-family-assessment-and-licensing-process-subsection-2
"MO :: Section 6, Chapter 3 (Resource Provider Family Assessment Process), Subsection 1 :: 3.1.3 Guide for Conducting Resource Provider Family Assessments",Missouri,Rules,2023,"Contracting with private organizations, Forms - Other, Foster parent licensing, Legal process",,,"Beginning the Assessment The agency has a responsibility: To provide enough information so applicants can make a knowledgeable decision about becoming resource parents. To interpret the assessment process as one in which together the resource development worker and the prospective resource providers can determine potential for successful foster or adoptive parenting. To convey information to the applicants so they may learn about children they can best serve. To share information regarding the selection process and selection philosophy that the agency is seeking a resource family who can best meet the child(ren)’s needs and serve the best interests of the child(ren). Important information to be shared with resource applicants who desire to adopt includes: Referral of their written assessment to the local Children’s Division office and agencies when such organizations recruit families for the type of child they can accept. A brief outline of the agency’s selection process including informing them they may be asked to participate in an interview with the selection committee and they may refuse this interview without the decision influencing the staffing committee’s consideration of them as a resource for the child. A description of the committee and its team effort. To convey information and promote discussion between the resource worker and the applicants so that a determination may be made as to the applicant(s)’ ability to parent children who have different cultural needs than the applicant(s). To exchange information in such a way the agency and applicants can mutually determine whether or not it is desirable the home assessment be continued. To share the importance of training for the effective role of a resource parent. To assure compliance with licensing regulations, beginning with sharing a copy with applicants. 13 CSR35-60 To provide a copy of the Foster Parent Bill of Rights and Responsibilities, RSMo 210.566 To provide a copy of the Foster Care Bill of Rights, RSMo210.564. To review the Resource Parent Acknowledgement and assurances form, CD-108, and obtain signature(s). To review the Safe Sleep Practices Form, CD-117. Explain to applicant they must agree to the practices and sign the form. To review the Resource Provider Discipline Agreement, CD-119. Explain to the applicant they must agree to the practices and sign the form. To provide a copy of the HIPAA Information for Resource Parents, CD-194, and obtain signature(s). To review the Notice of Hazards, CD-101 and obtain signatures. The non-related home assessment must be completed within 120 days of receipt of the application and shall consist of: Joint and separate interviews with the applicants, children, and all others in the home. There shall be a minimum of four separate in-home consultations during the pre-service training. The total number of hours spent conducting visits shall consist of at least ten hours. Completion of all required pre-service training: Introduction to Missouri Foster and Respite Care Provider training, two (2) hours STARS Pre-service training, 27 hours Cardio Pulmonary Resuscitation (CPR), three (3) hours First Aid, three (3) hours Psychotropic Medication Management, two (2) hours Informed Consent, two (2) hours Compliance with the physical aspects of licensing regulations must be determined. A minimum of three references, returned. A completed Foster Family Profile, CD-56. Review FACES screens regarding history with the Division. Begin with Call Case Prior History Search. Review appropriate screens to verify prior history of licensure and or contracting as a resource provider. Request a report on each adult household member from the Family Care Safety Registry (FCSR). The worker can do one of the following: Access the FCSR on-line with their assigned ID and password (preferred), or Call the FCSR at 1-866-422-6872. The resource development worker obtains on-line access by doing the following: Go to the FCSR home page, www.dhss.mo.gov/fcsr ; Click on the Forms link; Click on the How to Become a FCSR Internet User link; Click on the Internet Background Screening Access/Security Request. Return the completed document by Fax to 573-522-6981, or by mail to: DHSS/Family Care Safety Registry, PO Box 570,Jefferson City, MO 65102 In response the FCSR will assign a USER ID number to the resource development worker to be used exclusively for access to the FCSR. The USER ID and instructions on how to do the password and how to run a background screening will be faxed to the worker. This ID and instructions on how to do the password are autonomous from the worker’s current ID and passwords used for logging on to the state computer system, FACES and PROD. The password is on a 30-day expiration cycle and the worker will have to update it every 30 days, just as with the PROD password.Families who do not have Social Security numbers due to their religious practices (i.e. Amish) are not required to register with the FCSR and note of this should be documented in their record and study. The address of residence of the resource home will be entered at the Missouri State Highway Patrol’s sexual offender list located on the web at: http://www.mshp.dps.missouri.gov/MSHPWeb/Root/index.html . The address search will determine if a sexual offender is registered as residing at the address of the resource home. A copy of the resulting web page must be placed in the background section of the case file. Examine Case.net, the Missouri State Courts Automated Case Management System for any reference to Orders of Protection filed, either for a child or adult. There are limits to the use of Case.net. Case.net is not yet statewide, so will not include all county circuit courts. Also, at this time, public view does not include identifiers such as social security numbers and birth dates; so it is difficult to determine whether the individual for whom you are searching is the same as the one found on Case.net. In locations where Case.net is not yet available, check with the circuit court for any pertinent information, including a record of Orders of Protection filed, both for a child or an adult. For criminal record checks, resource providers must have fingerprint background checks completed using the process outlined in Section 6 Chapter 3 Attachment A. This same process shall be used for Transitional Living Advocates (TLA), and foster or adoptive parents being assessed for the Division through a contracted agency. The DSS Inquiry function located on the FACES Home Page is an available tool that may be used for information gathering. Background checks shall be completed for every applicant and adult household member (age 17 and older). Supporting documentation of each step is to be filed in the licensing record. The same steps are to be followed in the completion of any ICPC assessment as are followed for licensure as referenced in Memorandums CD04-63 and CD07-44. Details regarding all required background checks are located in Chapter 19 of this section. Except for the specific felony history listed below, a criminal history, child abuse and neglect history, or other review information does not automatically preclude licensure. Staff should determine the relevance of all such findings to child caring responsibilities, and should seek guidance from supervisors. A supervisor must review and evaluate the background information if there is a record of conviction (other than those listed below) and or child abuse and if the decision is to approve the home assessment. The supervisor’s review and decision to approve or disapprove must be documented. Felony Convictions Staff may not approve the application of any person in which a record check reveals that the individual pled guilty or was found guilty of a felony for child abuse or neglect, spousal abuse, domestic violence, a crime against children (including child pornography), or a crime involving violence, including rape, sexual assault, homicide but not including  other physical assault or battery was determined by a court of competent jurisdiction. Staff may also not approve the application of any person who has had a court of competent jurisdiction determine a felony conviction for physical assault, battery, or a drug-related offense within the last five years. Household members age 17 and older shall disclose criminal history. Consideration shall be made of felony cases where the individual pled guilty, is found guilty and /or convicted of a criminal offense or pled guilty but instead received a suspended imposition of sentence (SIS). In the unlikely event it is determined the best interest of a child would be served by placement in an unlicensed home, and a court of law has ordered the child placed in the unlicensed home, written approval must be obtained through supervisory lines to the Regional Director. The Regional Director must review the request and, if in agreement, forward with their recommendation to the Deputy Director for Children’s Division for final consideration. Written requests should include a thorough description of the applicant’s situation and why it would be in the child’s best interest to be placed in an unlicensed home. If approved by the Deputy Director, IV-E funding may not be used and the worker will be responsible for notifying the Eligibility Specialist who will ensure that state only funds are used. If a resource parent commits a felony act as listed previously in this section which results in a conviction or the resource parent admits to committing the act and receives a suspended imposition of sentence (SIS ) federal funds may not be used for foster care maintenance or adoption assistance payments if any of the aforementioned conditions exist. It is imperative that in those circumstances the worker notifies the Eligibility Specialist who will enter the correct fund code for state only funding. The Assessment Process Includes Orientation to agency and foster care program, as contained in Specialized Training Assessment Resources and Support (STARS) Pre-Service Training and given through individual interviews. Completion of 27 hours of STARS Pre-Service Training is required of each adult desiring licensure prior to issuance of a license. All adults in the household who will have child care responsibility will be required to attend state approved resource parent training. During the assessment process, the worker should evaluate the ability of the applicant(s) to read and write at a level necessary to participate effectively in society. The applicant must be able to communicate with the agency, health care and other service providers. The applicant must also be able to communicate with the foster youth in the foster youth’s language. Obtain a photograph from family of the household members, including pets, if applicable, in front of their home. A household member is any person who regularly lives, shares common area and sleeps in the home. Any individual who is living, sharing a common area and sleeping in the home temporarily for more than two consecutive weeks is considered a household member. ,As this will be used in helping prepare a child for placement, include as much detail as possible. This photograph is to be placed with the Foster Family Profile, CD-56, under separate cover sheet and placed in the front of the Resource Provider record. The family’s photograph and the Foster Family Profile, CD-56, will serve as the Foster Family Profile. The following forms are to be reviewed with the applicant(s), agreed to by the applicant(s), signed by the applicant(s), placed in the forms section of the resource provider case record, and presented at each re-licensure to be signed and agreed to again. Safe Sleep Practices Form, CD-117 Resource Parent Discipline Agreement, CD-119 HIPAA Information for Resource Parents, CD-194 A copy of The Foster Parent Bill of Rights and Responsibilities, RSMo 210.566 is to be provided to the applicant. A copy of the Foster Care Bill of Rights, RSMo 210.564 is to be provided to the applicant. An exchange of information should occur between the resource development worker and applicant that will promote discussion to determine if the applicant is able to parent children who have different cultural needs than the applicant. This is to be done with all applicants and should not be used to discourage an applicant from parenting trans-culturally. Record all information in the assessment. Determination of Capacity for Foster and Adoptive Parenting Assessment of Motivation and Attitudes, Including: How and why the applicants became interested in becoming foster and or adoptive parents and why they are applying now; What are applicants’ experiences with children; Reactions of applicants to abusing or neglecting parents; Do they understand the significance of the biological parents to the children? Are they willing to work with the child’s biological parents and siblings; Are applicants comfortable in accepting both their own and the children’s positive and negative feelings; Are children allowed to participate in problem solving in matters concerning their own behavior; The reason they are interested in parenting culturally diverse children and the impact of their decision on their family, extended family, friends, and neighbors; Assess applicant’s life style, the ability to teach a child coping skills for their cultural heritage and give a child sense of cultural knowledge, pride, and identity; Is the applicant family financially stable? Applicant has a complete understanding of and examples are documented regarding how they will implement the Reasonable and Prudent Parenting Standard. Physical and Personality Description, Observations of Applicants’ Family and Individual Functioning Life History, Including: Past relationships with parents, siblings, extended family; Significant events, both positive and negative, as described by applicant; Prior marital relationships, if applicable. When completing ICPC assessments and home studies and the applicant is a birth parent, determine if an ex parte order or dissolution of marriage order exists which limits or denies custody or visitation rights. If such an order exists, it must be followed by the agency in planning for the child. Determine if the parent or relative has had a criminal conviction of a felony violation of Chapter 566 (Sexual Offenses) or Chapter 568 (Offenses Against the Family) when that child was the victim (courts may not award custody or visitation to a parent who has such a conviction in a proceeding for marriage dissolution, legal separation, or child support). Their own nationality and sense of cultural identity, knowledge of other identities, cultures, and the significance of these inter-relationships. Current Relationships: What are the applicant’s life style and practices, including culture, and leisure activities (13 CSR 35-60.030 6 (D); Discuss family interaction, respective roles, openness of communication, decision –making, rules, discipline, stability of marriage including husband and wife, children, and extended family; stability of marriage; Discuss family interaction with the community, including school, neighborhood, and larger community; What support systems are available to applicants; Foster or relative provider’s ability to protect the child from the parent, and ability to maintain contact with the parent and practice co-parenting decision making, where appropriate. Discuss family pets and the importance of pets to the child. Discuss Family Interaction with the Community, Including School, Neighborhood, and Larger Community: What support systems are available to the applicants? Evaluate the cultural composition of the neighborhoods, including schools, churches, child care centers, and other organizations with which the child would interact. Evaluate with the applicants how these resources can be used to benefit the child’s diverse cultural needs. The Foster Youth as a Family Member: What is of most importance to the applicants in the maintenance of their household routines? What behavior in a child is intolerable to them? Can applicants set limits but at the same time remain flexible? (Some children respond best to highly structured environments and others need more freedom.) What are the applicants’ expectations of a child? (Include personality, achievement, and affect-based response.) For how many children do the applicants want to provide care? More if siblings? (Keep in mind the six children limit for resource homes includes all children living in the home, e.g. their own children.) If there are birth or adopted children, how do they feel about their parents providing care to foster youth, and has this been discussed thoroughly with them? (At least one interview with children already living in the home is required.) How do grandparents view the addition of foster youth? Determine applicant’s understanding and knowledge of the development and behavior of children through a discussion of the following general parenting skills: Parent structures environment so that it is safe and healthy for the child; Parent expresses positive feelings toward the child verbally and physically; Parent recognizes and responds appropriately to the child’s verbal and physical expressions of needs and wants; Parent consistently uses basic behavior management techniques in dealing with the child; Parent consistently uses appropriate techniques to discipline the child and refrains from corporal punishment; Parent guides child toward increasing independence; Parent behaves in a way that recognizes the immaturity of the child; and Parent uses Reasonable and Prudent Parenting Standard for making decision about the foster youth’s participation in activities. Adoptive Child as Family Member: Discuss the type of child desired, and expectations of an adopted child. Are all the family members (including extended family) accepting of the plan to adopt? How will their routine be affected by an additional child? Discuss their acceptance of a child not shaped by them, biologically or socially. The willingness and commitment of the family to discuss adoption with the child, and the same with extended family, and community, as appropriate. How will they deal with negative community attitudes? Determine the applicants’ understanding and knowledge of the development and behavior of children. Will the family accept the child’s previous family – visits, phone calls, etc.? Number of Children Placed in the Home: Resource homes shall not exceed the number of children in the home as outlined in the licensing rules; a total of six (6) children in the home. However there may be times when providing approval for exceeding the allowable limit may be obtained. Homes exceeding the licensing rules may be granted a temporary exception for the following reasons: To allow a parenting youth in foster care to remain with the child of the parenting youth; To allow siblings to remain together; To allow a child with an established meaningful relationship with the family to remain with the family; and To allow a family with special training or skills to provide care to a child who as a severe disability. Resource homes with more than two (2) children under the age of two Resource homes with more than four (4) children under the age of five Elevated needs resource homes with more than four (4) children Elevated needs resource homes with more than two (2) children with elevated needs To request an exception, staff will complete the Resource Home Capacity Exception Approval Form, CD-157.  The form must be approved by Central Office prior to the children being placed in the home. For licensed relative homes, staff must complete and obtain approval using the CD-152. Additional foster youth shall not be placed in homes granted a capacity exception until such time the home is in compliance with licensing rules capacity limits. Discipline: How were applicants disciplined as children and by whom? Have the applicants recall some of their feelings about these methods of discipline. Is the discipline they now use the same as they themselves received? Have they changed their methods, and if so, how and why? Do the applicants understand corporal punishment is not allowed Money Management: How do the applicants manage their money? What are the family members’ roles in management? Do they have income sufficient to support all members of the family? Health: What are the applicants’ attitudes toward medical care and good health practices? If any household member smokes, discuss the locations and frequency that foster youth will be exposed to secondhand smoke. Refer the family to the required pre-service video . Each resource parent completes the training and receives a one hour in-service training credit using code V113, Secondhand Smoke Exposure. Discuss the resource parent(s)’ plan to talk to foster youth about smoking and modeling healthy choices. Complete the Notification of Hazards, CD-101. Inform the applicant that they will not smoke in the home, in any vehicle used to transport the youth in foster care or in the presence of the youth in foster care.  Nor will they allow any guest in their home or vehicle to smoke or smoke in the presence of the youth in foster care. This assurance is captured on the CD-108. If there are health problems, how do the household members cope with them? If there is a disability, how do other household members compensate? Secure from their physician a health statement for each applicant on the prescribed form CW-215. Secure health history for each household member on the prescribed form CW-215. Secure health history of hospitalization for either physical or emotional problems for each household member on the CW-215. Secure history of treatment for any psychiatric problems for each household member on the CW-215. Secure history of treatment for any form of substance abuse, including drugs and alcohol for each household member on the CW-215. Pursuant to section Section 210.496 RSMo , disability or disease of an individual cannot be the basis for a determination that an applicant is unfit or not suitable to be a resource parent without a specific showing that the disability or disease causes a substantial and significant risk of harm to a child or an inability to be a resource parent. For an adoptive resource applicant the preferred age differential between the children placed for adoption and the adoptive parent(s) is such that the adoptive parent(s) can be expected to rear the child to adulthood. When the above standard cannot be met by an adoptive resource applicant, inquiry must be made about the family’s willingness to obtain commitment from other immediate or extended family members to rear the adopted child to adulthood. Employment: Discuss employment history with applicants. If both are employed, what are the child care plans for foster youth and natural children? Secure from employer a statement verifying employment and job performance, using the Employee Reference Questionnaire, CS-101c. Inform that care of foster youth shall not be combined with regular, part, or full-time care of other children or with other service or business conducted in the home without written approval of the division. Religion: What are the applicants’ religious preferences, practices and attitudes? Would children placed in the home be allowed to pursue their own religious beliefs? Children in the Home: What is the applicant’s educational preference (i.e. public school, home-schooling, private schooling)? What is the school history of each child in the home? What are the applicant’s thoughts on the importance of education on a child’s future? What is the development and adjustment to school of each? References: At least three references unrelated to the applicant must be provided with the Personal Reference Questionnaire, CS-101f. If the family has children, provide a School Reference Request, CS-101e to each child’s teacher. How long have they known the family and in what capacity? What are the references’ opinions of the applicants’ relationship with each other and the stability of their marriage? What is the reference’s opinion of the applicants’ ability to parent their own children, as well as a foster youth? If names for adult children no longer residing in the home were submitted in Section II on the Foster Adopt Home Assessment Application, CS-42, the worker may mail each one a CS-101f to provide an opportunity for comment. The Home and Environment: Structure of environment to ensure safety and health of child Description of home and surroundings Proper lighting and ventilation Screen doors and windows Interior doors designed to permit opening of a locked door from the outside in an emergency Space for indoor play Access to outdoor play space Outdoor play space fenced if, in the judgement of the division, potential hazards suggest the necessity for such protection Mobile homes shall have an exit at each end of the home, lattice or solid skirting and be securely anchored by cable to the ground There shall be no surveillance cameras in areas of the home that violate the privacy of the foster youth, e.g. bathrooms and dressing areas If there is a swimming pool, hot tub, or spa, confirm and document: A barrier on all sides Access to the pool must have their methods of access through the barrier equipped with a safety device, such as a bolt lock Swimming pools must be equipped with a life saving device, such as a ring buoy If the swimming pool cannot be emptied after each use, the pool must have a working pump and filtering system. Hot tubs and spas must have safety covers that are locked when not in use. Sleeping Arrangements Foster children shall not sleep in any building, apartment, or other structure which is separate from the foster family home; nor shall any foster child be permitted to sleep in an unfinished attic, in an unfinished basement, or in a hall or any other room which is normally used for other than sleeping arrangements. Foster children shall not be permitted to sleep in finished basement bedrooms or in bedrooms above the second floor of a single family dwelling unless suitable provision has been made for heating, ventilation, and humidity control and all exits from these bedrooms have been approved by the division. At night a responsible adult shall sleep within call of the foster children. Foster children of the opposite sex, who are six (6) years of age or older, shall not sleep in the same room. The best interest of the child in terms of safety and appropriateness must be considered with the age of any child. Foster children shall not sleep in the bedroom of an adult age twenty-one (21) years and older. Each foster child under the age of two (2) has a crib, bassinet, portable crib, or play yard that conforms to the safety standards of the Consumer Product Safety Commission (CPSC). Each bed or crib shall be of a size as to insure comfort of the foster child, shall have a firm mattress or an orthopedic supportive surface, in good, clean condition with waterproof covering, if needed, and suitable covers adequate to the season. Foster children two (2) years of age or older shall not sleep in the bedroom of the foster parents except for special temporary care, such as during a child’s illness. Foster children should never sleep in a bed with foster parents. Each foster child over two (2) is provided with a safe sleeping space including sleeping supplies such as a mattress and linens, as appropriate for the child’s needs and age and similar to other household members. The abuse and neglect history of each child should be taken into consideration before allowing them to share a bed with another child. Separate and accessible drawer space for personal belongings and closet space for clothing shall be available for each foster child. Evaluate: Housekeeping standards; free from accumulation of dirt and trash and any evidence of vermin and rodent infestations. Special safety considerations and particularly those that relate to foster family home rules. Confirmation of safe private water supply Working telephone and emergency numbers posted Evacuation plan posted Every room used for sleeping, living or dining have at least 2 means of exit. At least one shall be a door or stairway providing a means of unobstructed travel to the outside No room or space shall be occupied for living or sleeping purposes which is accessible only by a ladder, folding stairs or through a trap door In an apartment building where the family lives above the second floor there must be an exit stairway Operating smoke detector installed where sleeping areas can be alerted. Charged fire extinguisher of at least five pounds near the kitchen area Heating appliances do not block escape routes Fireplaces, wood stoves, heaters, radiators, or floor furnaces protected as required by local ordinances A working carbon monoxide detector in homes with gas appliances Ensure flammable liquids, matches, cleaning supplies, poisonous materials, and other hazardous items are stored so as to be inaccessible to children. Ensure all medication (prescription, non-prescription, and authorized) and all alcohol shall be stored so as to be inaccessible to children/youth taking into consideration the age and mental capacities of the youth. If the medications are accessible to foster youth, staff must document either a plan for making the medications inaccessible or an explanation of why the medications are allowed to be accessible by foster youth (i.e. a child is moving toward independent living and is learning self-sufficiency skills). Weapons 13 CSR 35-60.040 Staff must personally view any weapons and their storage to assure compliance with the licensing rules. Staff shall not violate statute 571.500 by requiring a list of the weapons that the resource parent owns or keeps in the home. Any and all firearms and ammunition not being carried on one’s person shall be stored in locked secured areas or cabinets with keys or other locking mechanisms so as to be inaccessible to children. Firearms and ammunition on one’s person in the presence of a foster child shall be held in a secure holster and not accessible to children subject to the following: No firearms shall be present in any vehicle transporting foster children unless the firearms are: in a locked glovebox, in a locked container, or in a secure holster inaccessible to children, when carried or concealed on a person possessing a concealed carry permit. (An exception will be made for any person transporting a foster child who must carry a weapon as part of their job responsibilities— i.e., law enforcement officers.) No firearms possessed in violation of a state or federal law or a local government ordinance shall be present at any time in the home, on any household member, or in any vehicle in which the children are riding. Weapons storage shall be made available for external viewing by Children’s Division staff in order to assure weapons are inaccessible to children. Using the statements of the applicants, the statements of the references and your own observations, assess and summarize whether these applicants are capable of meeting the needs of and providing opportunities for the healthy growth and development of a child(ren) coming into the custody of the Division. Assess and summarize applicants’ strengths and weaknesses such as: Their capacity to make a child a part of the family; Their capacity to work with biological parents and make decisions for the foster youth’s participation activities by co-parenting with the foster youth’s parent(s) or guardian(s); The capacity to use Reasonable and Prudent Parenting Standards; Their capacity to understand and handle problems; and Their warmth, love, understanding and ability to foster a FAMILY, not just a child. Assess and summarize the family, the physical environment and other issues that assure compliance with foster family home licensing rules. Recommendation Selected In as a resource provider for the Children’s Division: Explain to the applicant the recommendation of their home to be a resource home regarding the number, age and sex of child or children the applicants could best serve to prospective resource parent. Selected Out as a resource provider for the Children’s Division: Explain recommendation if it is to deny an individual or family as applicants, remembering that such a decision should not be a surprise to the applicants. Such a recommendation can be made any time during the home assessment process. Also, remember that the worker should be honest with the applicant regarding the decision, recognizing the applicant’s sensitivity and tolerance. Selection out of resource parenting services requires the resource development worker to be prepared to provide documentation of facts that support the applicant(s) is not in compliance with Statute, Rule and Policy if the applicant(s) should request a fair hearing to pursue a grievance of the decision.",https://fostercaresystems.wustl.edu/mo-section-6-chapter-3-resource-provider-family-assessment-process-subsection-1-313-guide
"MO :: Section 6, Chapter 3 (Resource Provider Family Assessment Process), Subsection 1 :: 3.1.2 Revocation",Missouri,Rules,2023,"Administrative process, Foster parent licensing, Investigations, Legal process",,,"The division may deny a license to an applicant, or may revoke the license of a licensee, if the applicant or anyone in the applicant’s household; (A) Fails consistently to comply with the applicable provisions of sections 208.400 to 208.535, RSMo, and the rules of the Children’s Division promulgated there under; (B) Violates any of the provisions of its license; (C) Violates state laws and or rules relating to the protection of children; (D) Furnishes or makes any misleading or false statements or reports to the division; (E) Refuses to submit to the division any reports or refuses to make available to the division any records required by the division in conducting an investigation; (F) Fails or refuses to admit authorized representatives of the division into his or her home at any reasonable time for the purpose of investigation; (G) Fails or refuses to submit to an investigation by the division; (H) Fails to provide, maintain, equip, and keep in safe and sanitary condition the premises established or used for the care of children being served, as required by law, rule, or ordinance applicable to the location of the foster home; (I) Fails to provide financial resources adequate for the satisfactory care of and service to children being served and the upkeep of the premises; or (J) Abuses or neglects children, or is the subject of reports of child abuse or neglect which upon investigation result in a court adjudicated, probable cause and or preponderance of evidence finding, or is found guilty, pleads guilty to, or pleads nolo contedere to felony crimes against a person to include, but not limited to, felony possession, distribution, or manufacturing of controlled substance crimes as specified in Chapters 195, 565, 566, 567, 568, and 573, RSMo, or a substantially similar offense if committed in another state or country. The division may also deny or revoke a license to any person(s) who are on the respective Department of Health and Senior Services and or the Department of Mental Health lists that exclude child or adult care employment and or licensure. Administrative Hold is used during the period of evaluation and consideration of amelioration. Recommend revocation of license status using the Resource Home Adverse Action Report, CS-20, through supervisory lines to the Regional Director’s office: Identify and document the areas of non-compliance; In the summary, cite licensing rule(s) on which the decision is based. The summary must contain clear and cogent facts to support staff’s recommendations for revocation of license. When adverse action is CAN related, submit a copy of Child Abuse and Neglect Investigation or Family Assessment Summary, CPS-1. If it is decided the resource parents should no longer provide out-of-home care, immediately start the revocation procedure. Do not allow license simply to expire. Receive confirmation from Regional Director of agreement with revocation recommendation. Notify resource family by personal contact of recommended adverse action. Notify resource family by registered mail with the Notification of Resource Home Adverse Action letter, CS-20a, of revocation, citing licensing rule(s). Notify foster and relative foster parents of their right to the fair hearing process. If no resource parent response within thirty (30) calendar days of notice, or after agency decision is upheld in fair hearing process, close the vendor with the close reason of revocation. Do not enter a revocation in FACES until the time frames have been met for due process. Retrieve all foster parent identification cards and approval certificates issued to the resource providers. Record revocation activities. Close record. If the Regional Director or designee does not uphold revocation recommendation, continue licensure status. The worker must obtain the applicant’s signature on the home assessment indicating agreement. The applicant’s signature is also needed if the worker has decided to deny licensure. The signature indicates that the applicant has reviewed the assessment. When recommending revocation, cite action taken by the agency to help the family resolve the situation causing the problem(s). Describe what services have been offered to the family and the results. When a home is on Administrative Hold due to pursuing revocation of the license, certain steps in FACES must be completed before the license expiration date. If it is 30 days prior to the license expiration date, and If the children have been removed, and The fair hearing has not happened and /or is scheduled for after the expiration date of the license, Complete the following steps in FACES before the expiration date: Close the vendor with close reason Discontinued Services In the comments box enter the following statement: The home is being closed due to licensing issues which resulted in a revocation notice, and the fair hearing has not occurred and will occur after the expiration date (enter the expiration date). Enter all the information on the Vendor Appeal Screen If Children’s Division’s decision to revoke the license is overturned, a new application for the home to continue providing foster care services may be opened. If the Children’s Decision is affirmed, enter a new application using the same date as the closure, deny the application and in the comments enter the following statement: The home was closed (date) due to licensing concerns. The fair hearing occurred after the expiration of the license. The decision to revoke the license was affirmed through the fair hearing process.  Therefore, this application is being entered and denied to document the revocation of the license.",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-3-resource-provider-family-assessment-process-subsection-1-312
"MO :: Section 6, Chapter 3 (Resource Provider Family Assessment Process), Subsection 1 :: 3.1.1 Administrative Hold",Missouri,Rules,2023,"Administrative process, Foster parent licensing, Placement, Reporting requirements",,,"Administrative Hold is used in responding to certain licensing situations which will more effectively serve resource parents, the Children’s Division and most importantly, the safety of children. All suspensions entered on the Vendor Licensure Approval and Renewal FACES page, require notification of an adverse action which is open to appeal. The Administrative Hold status reflects a less punitive and negative connotation and is not open to appeal. The Administrative Hold status does not prevent the license or approval from expiring. Depending on the nature of the allegation and the risk assessment, the provider may be placed on Administrative Hold with a corrective action and support plan implemented with no other children placed in the home until the issue is resolved and the Hold status is removed. If no immediate safety risk factors exist to the children during the investigation assessment (IA), the children currently in the home should not be removed. If, at the time of the investigation assessment, it is determined the child will be removed, either at the request of the resource provider or by the investigator, the child’s case manager should be notified in order to schedule a Family Support Team meeting. The resource development worker should be having and documenting their regular, ongoing discussions with the resource provider regarding any licensing concerns prior to a change in their licensing status. For an Administrative Hold, the resource development worker should notify the provider via a phone call as soon as possible. A follow-up letter should then be sent explaining why the Hold is in effect and how it can be removed or resolved. If the Hold was requested by the provider, the resource development worker should follow up with a letter verifying their request. Administrative Hold is required in the following circumstances: An Out-of-Home Investigation (OHI) is under way involving Legal Status 1 children in the resource provider’s home. The Administrative Hold should remain in effect until the investigation is concluded and all corrective actions and support plans, if any, are successfully completed and documented in the record. A CAN investigation or assessment is under way involving non-Legal Status 1 children in the resource provider’s household. The Administrative Hold should remain in effect until the IA is concluded and all corrective actions and support plans, if any, are successfully completed and documented in the record. Licensing concerns have been noted and a staffing is under way. The Administrative Hold should remain in effect until all corrective actions and support plans, if any, are successfully completed and documented in the record. A status of Administrative Hold does not prevent the license from expiring. If licensing concerns are not resolved before the license expires, the home is closed. All licenses and approvals must be renewed prior to the expiration date. If a resource home does not complete all the requirements at least ninety (90) days prior to the expiration, the License and Approval Renewal Letter, CD102, is sent to the resource family reporting the requirements necessary for the home to be renewed. If the home continues to not meet renewal requirements, the CD-102 letter should be sent again sixty (60) days prior to the expiration date. If the home continues to not meet renewal requirements thirty (30) days prior to the expiration date, the CD-102 should be sent again and the home placed on Administrative Hold. Administrative Hold status does not prevent the license or approval from expiring. It does, however, allow for data entry in the comment section on the Licensure and Approval and Renewal Screen in FACES regarding the facts of why the home is being placed on Administrative Hold. Level A, Level B, Medical, Respite, and Level B Respite, are vendor types not licenses. The decisions to deny or revoke are not open for appeal as these are contractual services decisions and not licensure decisions. If there are placements in the home, plans should be initiated for the children to be moved. Foster youth may not be in an unlicensed foster home without a court order. (The only exception is a relative applicant who is pursuing licensure. Foster youth may remain in the unlicensed relative home for up to ninety (90) days while the applicants are pursuing licensure.) A resource provider moving to another county, circuit or agency should be placed on Administrative Hold. The resource provider has experienced a significant change in household composition, health, employment, etc. The Administrative Hold should remain in effect until the provider’s situation has been reassessed and the home assessment has been updated. Every effort should be made to complete these actions within two (2) weeks, per the Council on Accreditation (COA). The worker should document all attempts to meet this timeframe, including the provider’s specific actions of non-compliance within that time. The Administrative Hold is available, but optional in a variety of circumstances, such as, but not limited to: The resource provider has had a new birth and needs time to adjust. The resource provider feels they need “a break”. The Family Support Team has recommended that the resource provider cease new placements during the period of adjustment for an adopted child. The resource provider has a biological ot adopted child placed in residential care. Per memo CD05-22, no additional children will be placed in the home without the approval of the Circuit Manager (CM) or designee. The provider may need time to work with the child placed in residential care. If there are questions whether an Administrative Hold or suspend should be implemented, staff should consult with first or second level supervisors for guidance. The Administrative Hold is selected as the suspend reason on the Vendor Licensure, Approval and Renewal screen in FACES. The Administrative Hold status does not prevent the license or approval from expiring.",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-3-resource-provider-family-assessment-process-subsection-1-311
"MO :: Section 6, Chapter 3 (Resource Provider Family Assessment Process), Subsection 1 :: Intro",Missouri,Rules,2023,"Administrative process, Definitions, Foster parent licensing, Placement, Reporting requirements",,,"Licensing of Foster Family Home Rules are located on the Secretary of State web page, 13 CSR 35-60 . This procedure will be followed for resource provider home assessments. The Children’s Division is the licensing entity for Missouri resource provider homes. The Children’s Division may contract with private agencies to develop resource homes. The private agency developing and or maintaining a resource home follows Children’s Division policy. When developing or re assessing a resource provider home, the contractor makes one of the following recommendations to the Children’s Division: License or approve a home; Deny issuance of a license or approval of a home they are developing; Revoke a current open license or approval of a resource home they are maintaining. The Children’s Division makes the determination of the recommendation. A Foster Family Home Applicant is one (1) or two (2) primary adult individuals(s) who live in the same household and complete and submit a prescribed application to provide foster care services as parent substitute(s) to foster youth placed in the home. When two (2) individuals are applying; Both individuals must be assessed separately as if they were applying as a single individual, If either applicant cannot be approved, the application shall be denied; and If both applicants are approved, a single license certificate shall be granted listing the names of both applicants. The applicant(s) for a license or renewal of a license shall provide any and all documentation and shall execute such authorizations to release information that the Children’s’ Division may determine to be necessary or convenient to obtain information about the applicant(s) and members of the applicant’s household. If the applicant or any member of the applicant’s household, fails without good cause to provide the information or fails to execute an authorization to release the information, the division may deny the license. Step 1 When an inquiry is received about becoming a foster or adoptive resource provider, the individual shall be provided: “Intro to Foster Care” and “Respite Provider Handbook” training located at the following link Children’s Division | Missouri Department of Social Services (mo.gov) ; Foster Adopt Home Assessment Application, CS-42; and Foster Family Profile; CD-56 When the completed Foster Adopt Home Assessment Application, Foster Family Profile and the Respite Provider Quiz is received, an application should be opened in FACES. In order to open an application, the worker must first verify if there is an existing Departmental Vendor Number (DVN) in FACES for the applicant(s). If there is not an existing DVN, the worker will assign a DVN to the applicant(s). Once a DVN is assigned or identified, the worker will enter an application with the date the application was received. The worker’s recommendation of the application shall not be entered until: The certainty of approving the application, or Receipt of written request by the applicant to withdraw the application, or All due process is complete if denying the application. Step 2 Initiate action within thirty (30) days of receipt of the application by: Beginning pre-service training; Face-to-face contact; or Group informational, orientation meeting. Step 3 Make referral for fingerprinting and registration with the Family Care Safety Registry. Step 4 If background checks are clear, make referral to STARS training. Step 5 Begin mutual selection process by personal interview. Step 6 Assist applicant with enrollment in Cardio Pulmonary Resuscitation (CPR). Assist applicant with enrollment in First Aid Training. Step 7 Direct applicant to complete the required pre-service training, Psychotropic Medication Management, V013. Step 8 Complete the non-related resource home assessment and make a recommendation within 120 days using the Guide for Conducting Resource Provider Family Assessments located in subsection 3.1.3 of this section. Record the home assessment per the outlines provided in Section 6 Chapter 3 subsection 8. Explain the requirement of compliance with licensing rules, 13 CSR 35-60 for foster and relative foster families. A child may be placed in a relative home prior to licensure, but only after a safety inspection of the home, Child Abuse and Neglect screening, and Purpose Code X criminal checks are completed. See Section 6.16, Relative Foster Care for background screening procedures for family and agency arranged kinship care, and Section 6 Chapter 19 subsection 1 for detailed fingerprinting procedure. The relative family will be paid a maintenance payment equal to the traditional foster care payment rate from the date of placement while pursuing completion of the licensing requirements. This shall be no longer than Ninety (90) days . Until the home is fully licensed, the maintenance payment is made with state-only funds; IV-E reimbursement cannot be made . Relative providers are required to complete STARS or STARS “For the Caregiver Who Knows the Child” training as a condition of licensure. Step 9 Obtain applicant’s signature on the home assessment indicating agreement; applicant retains one copy. The home assessment is not completed until the applicant, provider, worker, and worker’s supervisor have signed and dated the home assessment. Step 10 Update the vendor screens in FACES. Step 11 Provide a Foster Parent Identification Card. Have the resource provider complete the DSS ID Card Application . Local staff may take a picture of the resource parent with a digital camera or have the licensed resource parent provide an electronic picture in a jpeg file. Local staff submits the application and jpeg file to assigned Central Office clerical who uploads the information. The card is printed by HRC and returned to the clerical who sends the card to the local office. Step 12 Provide and obtain signed Cooperative Agreement for the Purchase of Professional Foster Care Services, CM-14. License Issuance Recommend issuance of license to resource providers for a two-year period. The license is not transferable and applies only to the foster family home to whom it is issued. Upon approval, a single license certificate listing the individual(s) is issued. Only one license may be issued per household. The license is the property of the division, not the licensee, and is subject to revocation upon failure of the individual(s) to comply with licensing regulations The license certificate shall be kept on the premises of the home. The license is a public record and shall, upon request, be made available for inspection. License Denial Recommend denial using the Resource Home Adverse Action Report, CS-20, through supervisory lines to the Regional Director: Include a summary of the licensing rules on which the decision is based. When an adverse action is CAN related, submit to the Regional Director or designee a copy of the Child Abuse and Neglect Investigation Family Assessment Summary (CPS-1), and Safety Assessment (CD-17). When recommended adverse action is denial, submit a copy of the home assessment to the Regional Director or designee. Receive confirmation from the Regional Director or designee of denial decision. Notify applicant, by personal contact, of recommended adverse action. Notify applicant by registered mail with the Notification of Resource Home Adverse Action letter, CS-20a, of adverse action taken and of procedure for fair hearing. If no response within thirty (30) calendar days of written notice or after agency decision is upheld in fair hearing process, close the license in FACES with a close reason of denial. Do not enter the denial of the application until the applicant has completed all the due process time frames. Refer to Section 6 Chapter 7 regarding the Children’s Division’s licensing decision appeal processes. License Maintenance and Renewal The resource development worker should encourage the resource provider to set up a bookkeeping system whereby detailed records are kept of expenditures for tax purposes. The assessment should be updated any time there is a significant change in the family situation within two (2) weeks of the resource development worker being notified of the change. A significant change would be a change in household composition, move from one residence to another, major physical changes in the home, death of family member, debilitating illness of a household member, etc. If the update is due to a physical move or physical change in residence, reference must be made to licensing regulation compliance. If the household contains weapons, the worker must personally observe that the storage of the weapons complies with Division policy and foster home licensing rules. The worker will not require the resource provider to list all the weapons in the home or sign a document regarding the weapons in the home. A new Foster Family Profile, CD-56, is to be completed at the time of license renewal, unless there is already a current up-to-date profile in the file. The CD-56 is to be updated when there are changes in the household composition that impact the information gathered on the form. In order to comply with Council on Accreditation (COA) regarding emergency preparedness, the resource development worker must document that the resource provider has read and understands the Children’s Division’s policy regarding Prevention and Control of Contagious and Infectious Diseases as found in the Missouri Resource Parent Handbook . Related Subject: Department of Social Services, Human Resource Center, Emergency Management and Safety, Family Disaster Plan . Update the appropriate screens in FACES. Evaluate a resource provider’s continued eligibility at a minimum on a quarterly basis within required license renewal time period. A resource provider moving to another  county or circuit should be placed on Administrative Hold and not receive any additional placements pending the completion of the license transfer process. The county or circuit from which the provider has moved should notify the receiving county/circuit of the provider’s change in address, and provide necessary information on current placements. Notification and the transfer of records should occur within one (1) week of the move. The sending county must also notify the receiving county of any weapons kept in the household. The receiving county or circuit should schedule a home visit within two (2) weeks of notification. A new Resource Home and Safety Checklist, CS-45, and updated home assessment must be completed by the receiving county. After the provider’s new home has been inspected and approved, re-licensure should be granted. The Administrative Hold should be removed from the Vendor Licensure, Approval and Renewal screen, and provider records updated to reflect the changes. If the resource family asks to change the age, sex or race of children to be considered for placement, update the appropriate screens in FACES, and request the issuance of a new license and approval certificate. Foster Family Home licenses are for a two year period. A licensee does not have a right to renewal of his or her license. Record the reassessment and recommendation information by following the instructions in section 6 Chapter 3 Subsection 1.3. Record all transactions of children presented for placement with a family and family’s acceptance or rejection of children including family’s reasons for decision. If a family has not had an alternative care placement for the last twelve (12) months or longer, the worker should discuss the reason why the family has not had a placement during this time period and the types of children in CD custody needing placement. A plan should be made to address the concerns of the foster parent(s) and or the Division. The foster parent(s) may attend additional training or may be utilized for respite care to address placement concerns. The Professional Family Development Plan (PFDP), CD-100, may be utilized for this process. Related Subject: Section 6 Chapter 2.5.1 Professional Family Development Plan (PFDP) The worker should begin the process for closing the license only after working with the foster parent(s) to reach an agreement on placing children in the home and discussion with the worker’s supervisor. The worker should complete the form Resource Home Adverse Action Report, CS-20. This will be considered a voluntary relinquishment of the license, unless licensing violations are present and impact the decision to close the license, and staff should mark other in the reason for the license relinquishment. Staff should explain that the foster home has not had placements for the last twelve (12) months or longer and that an agreement could not be reached for the placement of children in the home. If the foster family does not agree with closing the license, it should be placed on Administrative Hold until such time as the family will accept children or licensing closing or revocation can be completed. Once the Resource Home Adverse Action Report, CS-20, is completed and approved, the license is closed. The close reason used should be “04 – Vendor Resource Discontinued Service”. For relative foster care providers, the license may be closed once the foster youth begins a trial home visit. If the worker and supervisor feel the family is appropriate for consideration, they may also discuss with the provider the needs of the circuit for alternative care providers to determine if the provider is interested in becoming a licensed foster home. Section 6 Chapter 16 Subsection 5.1, Relative Foster Care Provider Choose to Become a Foster Home , provides instruction regarding a licensed relative foster home becoming a licensed foster home. The license should be closed if neither of these criteria is met. Obtain signature on Renewal Assessment indicating agreement; family retains one copy. Update the license status in FACES, and: Recommend issuance of license to resource providers for a two-year period, or Recommend issuance of license to relative family for a two-year period, or If not renewed, see license denial. Evaluate resource provider’s expressed interest of becoming resource providers in the Youth with Elevated Needs-Level A program by examining necessary qualifications, and characteristics: Enroll prospective Level A resource providers in specialized Level A training. Assess prospective Level A resource provider’s performance during specialized Level A training to determine if approval is indicated. Obtain and submit to DFAS Purchasing, the Level A resource provider’s signature on the Amendment to Provide Level A Foster Care, CM-3. Resource Home Licensure Supervision Transfer between Agencies Instruction regarding the process for a resource home license to be transferred between agencies is located in Section 5 Chapter 4 Subsection 6. Resource File Recording and Composition Instruction regarding the composition of the resource file is located in Section 5 Chapter 1 Subsection 4, Case Records and Filing, Recording Home (Licensing) Records. Chapter Memoranda History: (prior to 01-31-07) CS03-05 , CS03-51 , CD04-05 , CD04-63 , CD04-79 , CD04-96 , CD05-04, CD05-76 , CD05-80 , CD06-29 , CD06-46 , CD06-60 Memoranda History: CD07-15 , CD07-36 , CD07-44 , CD07-54 , CD07-55 , CD07-59 , CD07-73 , CD08-56 , CD08-64 , CD08-107 , CD09-22 , CD09-88 , CD10-08 , CD10-61 , CD10-65 , CD10-116 , CD10-127 , , CD11-22 , CD11-86 , CD11-107 , CD12-46 , CD12-62 , CD12-85 , CD13-50 , CD14-09 , CD14-27 , CD14-40 , CD14-64 , CD15-48 , CD15-75 , CD16-18 , CD16-45 , CD 16-65 , CD17-14 , CD17-42 , CD18-39 , CD19-16 , CD19-40 , CD19-41",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-3-resource-provider-family-assessment-process-subsection-1-intro
"MO :: Section 6, Chapter 2 (Resource Provider Training- STARS (Specialized Training Assessment Resources and Support), subsection 6, – (Other Approved In-Service Training)",Missouri,Rules,2023,"Administrative process, Foster parent licensing",,,"Credit may be granted for other approved in-service training not identified in Subsection 5 of this chapter, if the following guidelines are met: The resource provider must submit the completed CD-114, Resource Family In-Service Training Request form, to the licensing worker prior to participating in the in-service training if the resource provider is requesting mileage or babysitting reimbursement Prior approval is not required. Obtaining prior approval is encouraged since not all training attended may be approved. After review of the request and discussion with the resource provider regarding the request, the licensing worker submits the form to his/her supervisor for approval The worker will notify the resource provider that the training is approved or denied and return the signed CD-114 to the resource provider The resource provider will attend the training and obtain documentation to present to the licensing worker (i.e. brochure, sign-in sheet, syllabus, training hand outs, etc.) The resource provider will complete the summary of what was learned on the CD-114 and submit to the licensing worker Training credit hours will be entered locally as Other Approved In-Service Training using the appropriate “99” code for the general topic of the course. Only 14 hours of non-instructor led in-service training may be approved per two (2) year licensure period If the training is going to become a statewide accepted training, the Regional Director will submit the requested training to the Professional Development and Training Unit to assign a code number. Other approved in-service training, including but not limited to Children’s Division sponsored or facilitated should be competency based. Flexibility can be allowed for training to occur in various formats such as, but not limited to, small or large group sessions, individual study, readings, coaching, web trainings, conferences, college courses, etc. Training should have learning objectives outlined to take into account the participant’s knowledge, skill, willingness and ability to practice and perform the desired parenting to meet the needs of the children in care, or to increase knowledge of local resources that may assist in addressing the needs of the children in care. Credit may be granted for “educational/informational meetings” (less than eight hours) if the content is related to foster care and pre-approved by the Regional Office. A maximum of 2 hours training credit will be allowed. An attendance sign-in sheet will be completed by participants and attached to a copy of the CD-114. For resource licenses supervised by private agencies, the resource parent should contact their licensing worker regarding from whom they should obtain pre-approval. Credit hours for approved training may be granted using the following guidelines: Reading a book; one credit hour for each 100 pages Viewing a instructional training video; actual viewing time rounded to the hour and half hour increments Completion of a web-based training; actual participation time rounded to the hour and half hour increments Foster Parent College is a currently pre-approved web-based in-service training resource; training credit for completing Foster Parent College courses is as listed on its website Attending a conference; actual time in training session, not to include travel, meal, or personal time Completion of College courses; each semester credit hour earned equals 15 hours of training The resource provider shall use the CD-114 for pre-approval of other in-service training credit. If the Regional Office or private agency already has a request form in use it may be used instead of the CD-114 as long as it contains all of the following information: Name and Vendor Number of the resource provider Date training occurred Training, Book, or Tape title Instructor / Author Competency (ies) addressed (Protecting and Nurturing, Meeting Developmental Needs and Addressing Developmental Delays, Supporting Relationships Between Children and Their Own Families, Connecting Children to Safe, Nurturing Relationships Intended to Las a Lifetime, Working a s Member of a Professional Team) Hours of credit requested Signature of licensing worker and his/her supervisor approval Location for resource provider to compose a summary of what was learned including any new parenting skills the provider plans to use in their home or with a specific child The resource parent may appeal to the Circuit Manger, or Circuit Manger Designee in the Metro areas, if requested in-service training hours are denied by their licensing worker and supervisor. The request should be in writing. The worker and the supervisor must be prepared to provide support for the decision to deny training credit hours. For resource licenses supervised by private agencies, the resource parent should contact their licensing worker regarding to whom they submit an appeal. Memoranda History: CD07-48, CD08-57, CD13-71",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-2-resource-provider-training-stars-specialized-training-assessment-4
"MO :: Section 6, Chapter 2 (Resource Provider Training- STARS (Specialized Training Assessment Resources and Support), subsection 5, – (In-Service Training) :: 2.5.3 In-Service Training Modules",Missouri,Rules,2023,"Foster parent licensing, Services while in care - Educational, Services while in care - Medical, Services while in care - Mental Health",,,"In – Service Training is a requirement for continued resource provider licensure. Training hours are to be checked at the time of re-licensure . The resource provider may choose from the following selections: A. STARS In-Service Training 12 Modules (99 hours) Module 1: The Foundation for Meeting the Developmental Needs of Children at Risk. (12 hours) Session 1  Understanding and Assessing Self-esteem Session 2  Building Self-esteem and Understanding Behavior Session 3  Communicating with Children and Youth (Part 1) Session 4  Communicating with Children and Youth (Part 2) Module 2: Using Discipline to Protect, Nurture and Meet Developmental Needs. (9 hours) Session 1  Promoting Positive Behavior Session 2  Promoting Self-responsibility and Responding to Unacceptable Behavior Session 3  Responding to the Challenges Module 3: Addressing Developmental Issues Related to Sexuality. (3 hours) Module 4: Responding to the Signs and Symptoms of Sexual Abuse. (6 hours) Session 1  Understanding Sexual Abuse Session 2  Responding to the Issues of Sexual Abuse Module 5: Supporting Relationships Between Children and Their Families. (9 hours) Session 1  Respecting and Supporting Child/Birth Family Ties Session 2  Supporting Contact Between Children and Their Families Session 3  Becoming Partners in Parenting Module 6: Working as a Professional Team Member. (9 hours) Session 1  Strengthening Teamwork Skills Session 2  Developing Your Professional Role Session 3  Conflict as Opportunity Module 7: Promoting Children’s Personal and Cultural Identity. (6 hours) Session 1  Valuing and Making a Commitment to Cultural Competence Session 2  Helping Children Develop Lifebooks Module 8: Promoting Permanency Outcomes. (12 hours) Session 1  Providing Children Safe and Nurturing Lifetime Relationships Through Reunification Session 2  Providing Children Permanent Families Through the Goal of Adoption Session 3  Providing Permanency through Guardianship, Long-term Foster Care and Independent Living Session 4  Foster Parent Adoption Module 9: Managing the Impact of Placement on Your Family. (6 hours) Session 1  Managing the Change in Your Family Session 2  Managing the Impact of Child Abuse/Neglect Allegations Module 10: Understanding the Effects of Chemical Dependency on Children and Families. (15 hours) Session 1  Understanding Risk and Protective Factors Session 2  Understanding Chemical Dependency Session 3  Recognizing the Impact of Parental Chemical Abuse on the Child and Family Session 4  Understanding the Implications of Prenatal AOD Exposure for Parenting Young Children Session 5  Developing Partnerships with Birth Parents and Working with the Team to Strengthen Families Module 11: Understanding and Promoting Infant and Child Development. (6 hours) Session 1  Where It All Begins Session 2  Positive Teen Development Session 1  Where It All Begins Session 2  Toddlers, Preschoolers, and School-Aged Children Module 12: Understanding and Promoting Positive Teen Development. (6 hours) Session 1  Identity, Self-Esteem, and the Pre-Teen Years Session 2 Positive Teen Development B. Elevated Needs Training Resource providers of youth with elevated needs receive specific training in addition to the 27 hours of Specialized Training Assessment Resources and Support (STARS) pre-service training to enable them to work with youth with elevated needs. Level A Prior to signing the Cooperative Agreement to provide Level A care, the resource provider shall successfully complete the 27 hours of STARS pre-service training and 18 hours of specialized training workshops which cover the following topics: Team and relationship building; Communication skills; Behavior management techniques; Discipline and punishment procedure; Management of behavior crisis situations; Development of an individual treatment plan; De-escalation skills; Negotiation; Positive reinforcement technique; Professional skills for foster parents. The list of approved Level A training curricula is located on the Resource Development program intranet page. Level B Prior to signing the Cooperative Agreement to provide Level B care the resource provider must successfully complete the 27 hours of STARS pre-service training, the 18 hours of Youth with Elevated Needs-Level A training and successfully completed 9 hours of specialized training and practicum designed specifically for Level B. Level B resource providers must demonstrate acquisition of required knowledge and skills. However, participation in Level B training does not guarantee acceptance into the Level B resource provider program. The Level B training workshops include: Crisis Intervention – Two (2) hours Behavior Management – Two (2) hours Suicide Management – Two (2) hours Medication Management – Two (2) hours Family Orientation – One (1) hour (training shall include how the child may impact the resource provider’s family) The list of approved Elevated Needs Level B training curricula is located on the Resource Development program Intranet page. C. STARS, Making the Commitment to Adoption Curriculum- Spaulding Foster care providers wanting to adopt must take an additional 12 hours of STARS, Making the Commitment to Adoption (Spaulding) Pre-service training.  Relative care providers are encouraged to complete the Spaulding training but are not required to complete this training. The additional 12 hours of Spaulding may be counted as in-service training credit hours using the V-198 training code. D. Other approved in-service training resources may also be used to help a resource provider participate in needed training. Other approved in-service training including but not limited to Children’s Division sponsored, facilitated, or provided must have prior approval by the licensing resource worker and supervisor if the placement provider is requesting the Division reimburse babysitting and or mileage. This approval is obtained by the resource provider completing and submitting the Resource Family In-Service training Request, CD-114. Staff review the licensing competencies, discuss the needs of the home, and the needs of the placements in the home with the resource parent(s) to determine if the training fulfills the competencies required in Division policy and how many hours of other approved in-service hours will be permitted. See Section 6. Chapter 2.6 Other Approved In-Service Training . Chapter Memoranda History: (prior to 01-31-07) CD06-37 Memoranda History: CD07-48 , CD08-106 , CD09-94 , CD09-105 , CD10-08 , CD10-27 , CD12-82 , CD12-85, CD13-71 , CD14-20 , CD15-61 , CD16-09 , CD16-87 , CD17-52 , CD18-22 , CD18-39 , CD19-07",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-2-resource-provider-training-stars-specialized-training-assessment-2
"MO :: Section 6, Chapter 2 (Resource Provider Training- STARS (Specialized Training Assessment Resources and Support), subsection 5, – (In-Service Training) :: 2.5.2 In-Service Training Hours, Requirements, and Process",Missouri,Rules,2023,"Foster parent licensing, Services while in care - Medical, Services while in care - Mental Health, Services while in care - Therapies (not mental health)",,,"Enroll licensed resource providers in nearby in-service training sessions, as appropriate and approved by the local office. Available in-service training is listed in the next section of this chapter. Licensed resource providers are required to complete the following number of in-service training hours. Resource providers are required to complete 30 hours per two-year licensure period. Level B resource providers are to complete 32 hours per two-year licensure period. Level A resource providers are to complete 30 hours per two-year licensure period. Medical care resource providers are to complete 30 hours per two-year licensure period. All licensed homes must successfully complete the following training prior to being licensed: Cardio Pulmonary Resuscitation (CPR); Three (3) training credit hours using the code V252. The resource provider must successfully complete the CPR training certification prior to each re-licensure every 2 years. First Aid; Three (3) training credit hours using the code V898. The resource provider must successfully complete the First Aid training prior to each re-licensure every 2 years. Psychotropic Medication Management. Two (2) training hours credit using code V013 in FACES. Informed Consent ; Two (2) training credit hours using code V150. Memo CD18-22 . Health Information Portability and Accountability (HIPAA); One (1) hour of training credit hours for reading and signing the CD-194 using code V980. The form is read and signed at each re-licensure. However, the training credit is only earned for initial time. Secondhand Smoke Exposure Protection (V113) (2) Two hours of training credit hours. All licensed homes must complete the following training within the first year of licensure: Ready, Set, Fly training; Five (5) training credit hours using the code V706. This training is for all homes accepting placement of foster youth age 14 or older (Ideally, this training would be completed prior to the placement of a child age 14 or older in the home.) Reasonable and Prudent Parenting Standard; Two (2) training credit hours using code V280. This must be completed within 3 months of the license/approval begin date. Foster Care Bill of Rights; one (1) hour training credit using code V160. Link to training located in memo CD17-52 . Trauma Care – 3 training credit hours (V815) Read the following four documents from the Child welfare Trauma Training Toolkit and complete webinar: Understanding Child Trauma Stress, https://www.nctsn.org/resources/understanding-child-traumatic-stress-guide-parents What is Child Traumatic Stress? https://www.nctsn.org/resources/what-child-traumatic-stress Parenting In A Challenging World https://www.nctsn.org/resources/parenting-challenging-world The 12 Core Concepts; Concepts for Understanding Traumatic Stress Responses in Children and Families https://www.nctsn.org/resources/12-core-concepts-concepts-understanding-traumatic-stress-responses-children-and-families and Complete the following webinar: https://dssmanuals.mo.gov/wp-content/themes/mogovwp_dssmanuals/public/cd/memos/2013/cd13-053.pdf 5. Psychotropic Medications: Psychotropic Medication Management In-Service Trainings All licensed resource providers will complete at least one (1) hour of required annual in-service training on a specified Psychotropic Medication training developed for that calendar year. This is the training requirement for all currently licensed resource providers. Any currently licensed resource provider must complete this training prior to November 1 st of each year. The required annual Psychotropic Medication Management In-Service trainings will have the following training titles and codes: Psychotropic Medications Management Annual Requirement 2020 – V170 Psychotropic Medications Management Annual Requirement 2021 – A170 Psychotropic Medications Management Annual Requirement 2022 – B170 Psychotropic Medications Management Annual Requirement 2023 – C170 Psychotropic Medications Management Annual Requirement 2024– D170 Psychotropic Medications Management Annual Requirement 2025 – E170 V254 -Making Healthy Choices Psychotropic Medication Training is now an optional training and is located at the following link https://dss.mo.gov/cd/foster-care/information-for-foster-parents.htm . 6. Laws, policies and procedures governing child welfare – 5 training credit hours. (V400) The Legal Aspects of Concurrent planning can be accessed at this link: https://dss.mo.gov/cd/foster-care/legal-aspects-concurrent-training.htm The Legal Aspects for Relative Placement training may also be accessed at, Legal Aspects for Relatives Year Two: Additional Resources: http://edis.ifas.ufl.edu/pdffiles/FY/FY127500.pdf http://edis.ifas.ufl.edu/pdffiles/FY/FY127600.pdf 2. Importance of Sibling Placement – 7 training credit hours (V804) Instructor Led with curriculum from NRC Module #1 , Issues– 3.5 hours http://www.hunter.cuny.edu/socwork/nrcfcpp/downloads/nrcfcpp-sibling-curriculum-module1.pdf Module #2, Practice 3.5 hours http://www.hunter.cuny.edu/socwork/nrcfcpp/downloads/nrcfcpp-sibling-curriculum-module2.pdf Handouts http://www.hunter.cuny.edu/socwork/nrcfcpp/downloads/nrcfcpp-sibling-curriculum-handouts.pdf b. The preferred method of training delivery is instructor led. Instructor-led training is live, interactive training facilitated by an individual with training and expertise to deliver the training topic. Only 14 hours of non-instructor led in-service training may be approved per two (2) year licensure period. In-service training may be approved on a case by case basis for viewing a video, reading a book, or participating via a website. Other approved in-service training must be approved by the licensing worker and supervisor. Other approved in-service training must address some aspect of foster care. The resource provider must submit the Resource Family In-Service Training Request, CD-114, to the licensing worker to obtain approval. The licensing worker will submit the request to his/her supervisor for approval.   The approval should be obtained prior to the completion of training, if the resource provider is requesting mileage or babysitting reimbursement. The intent is that the training will address areas identified within the resource provider’s Professional Family Development Plan. The total amount of other approved in-service training accepted per licensing period is to be determined by the Regional Director based upon the availability of training and the training needs of the region. See Section 6 Chapter 2.6 Other Approved In-Service Training. c. Credit for educational/informational meetings (less than 8 hours) may be given, following the guide contained in2.5.3 paragraph Attachment D. The curriculum and number of hours must have local office approval. d. Arrange reimbursement of babysitting expenses ($2/Child/Hr), and mileage, if necessary, at current state rates through SAM II. Meals may be reimbursed at the per diem rate when the provider attends training in which they are in overnight status according to the Administrative Manual Chapter 7, Travel . The babysitting reimbursement ($2/child/hr) is to be applied to all children in the foster home, including the biological children of the resource provider(s). e. Special expenses (i.e., registration fees) may be approved by the Regional Office and paid through SAM II. f. Evaluate use of training experience with resource provider and training facilitators. g. Verify training hours completed and record required information on the Resource Parent Training screen in FACES. Chapter Memoranda History: (prior to 01-31-07) CD06-37 Memoranda History: CD07-48 , CD08-106 , CD09-94 , CD09-105 , CD10-08 , CD10-27 , CD12-82 , CD12-85, CD13-71 , CD14-20 , CD15-61 , CD16-09 , CD16-87 , CD17-52 , CD18-22 , CD18-39 , CD19-07",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-2-resource-provider-training-stars-specialized-training-assessment-1
"MO :: Section 6, Chapter 2 (Resource Provider Training- STARS (Specialized Training Assessment Resources and Support), subsection 5, – (In-Service Training) :: 2.5.1 Professional Family Development Plan (CD-100)",Missouri,Rules,2023,"Foster parent licensing, Services while in care - Educational, Services while in care - Financial, Services while in care - Medical, Services while in care - Mental Health, Services while in care - Therapies (not mental health), Social worker licensing/qualifications",,,"Within 30 days of the family becoming licensed, the worker is to schedule a meeting to develop a Professional Family Development Plan, CD100, with the resource provider. A new CD-100 must be developed when the resource provider license is renewed. The CD-100 is reviewed quarterly and annually and should be updated as necessary. Refer to the STARS Resource Development Specialist’s Handbook, Step 11 This plan should be a joint process between the resource provider and worker that assesses the provider’s learning needs in an ongoing, proactive, and purposeful way. The Professional Family Development Plan has four components: assessment of the resource provider’s present level of competencies, their annual educational goals, methods of reaching those goals, and a way to determine if goals have been met. Performance Based Criteria have been established to help staff assess the present level of competencies for resource providers. These criteria are: Competency – Protecting and Nurturing Accepts placements of foster youth with abuse/neglect histories on an emergency basis with little notice and works to learn and understand the impact of that history on the youth’s emotions and behaviors. Uses discretion in accepting placements in order to promote placement stability and minimize placement changes. Cooperates with and promotes keeping siblings in the same placement. Uses discretion in sharing information about foster youth placed in their home, within the guidelines established by the Foster Parent’s Bill of Rights. Does not discuss any permanency plan with the foster youth until this plan becomes the case goal (i.e. discussing adoption while case goal remains reunification). Works to protect the feelings of the foster youth by speaking positively about all members of the Family Support Team. Works with the other Family Support Team members to determine what negative information is appropriate to be shared with the foster youth and when. Works diligently to provide the child with opportunities for participation in tutoring, therapy, extracurricular activities, community events, and church which offer the child the opportunity to grow and develop in cognitive and interpersonal skills, Learns and applies appropriate and consistent parenting to include both nurturing activities and disciplinary techniques. Competency – Meeting Developmental Needs and Addressing Developmental Delays Makes and keeps all medical, psychiatric, counseling, dental, and rehabilitation appointments including all required and emergency appointments, or requests timely assistance from the foster youth’s case worker for appointments which cannot be kept by the resource provider. Requests necessary diagnostic evaluations and once diagnoses are identified, learns the etiology and course of the diagnosed conditions and enlists the help of medical and psychiatric professionals to address the conditions identified. Maintains contact with the therapist on a regular basis for each foster youth placed in the home and participates in the therapy is requested by the therapist. Requests additional therapy and reports additional concerns to the Family Support Team when the need arises. Knows, understands, and follows the treatment plan developed by the therapist for each foster youth and assists in the development if requested. Documents both positive and negative examples of the foster youth’s behaviors at home and at school and provides the documentation to the worker and Family Support Team. Takes an active role in the school serving as the foster youth’s educational advocate, including requesting evaluation for an Individual Education Plan (IEP) if necessary, attending all IEP meetings, collecting report cards and other performance indicators, providing copies of the documents to the worker for the youth’s case file. Works with the biological family to help them understand and meet the special needs of the foster youth including but not limited to: Shares information about the foster youth’s developmental and educational progress. Invites the birth family (if appropriate) to participate in school programs, back to school nights, award assemblies and teacher’s conferences. Competency – Supporting Relationships between Children and Their Birth Families Cooperates with the family and sibling visitation plan by working with all members of the Family Support Team and other resource parents involved in developing a visitation plan that considers the needs of all parties. Supervises visitation between the foster youth and family/siblings when necessary or requested. Is respectful of the birth family by speaking about and to the birth family kindly and respectfully. Works with the therapist regarding the most appropriate methods to provide difficult information regarding the parents and/or the case to the foster youth. Provides mentoring to the birth family to help work toward reunification. Provides transportation to and from visitation with the family as needed. Assists the birth family in indentifying community resources which may be useful to them in meeting their children’s needs once the foster youth have transitioned back home. Keeps birth family informed of all appointments and school functions and invites them to these as appropriate. Provides the birth family with photographs, drawings, and other souvenirs which encourage their belief in their ongoing importance in the children’s lives. Competency – Connecting Children to Safe, Nurturing Relationships Intended to Last a Lifetime Starts and maintains a life book on each child in their care to be sent with the child when they move or return home. Works to develop for and with the foster youth an understanding of their cultural and familial heritage, and encourages the foster youth to participate in activities which help them develop their individual identities. Finds opportunities for the foster youth to participate in activities in the community, school, church, etc. Supports the foster youth’s involvement in activities outside of the foster home by attending, photographing ,promoting, and encouraging the foster youth as he/she interacts with the larger community. Supports transitions into permanent settings such as adoptive placement, relative placement, reunification, or an independent living arrangement by extending friendship, information, resources, and support to the other family/resource throughout the process of transition and as a support once the transition is complete. Competency – Working as a Member of a Professional Team Attends Family Support Team Meetings and/or provides written report on the foster youth to include information on the child’s positive and negative behaviors, accomplishments, developmental needs, any services the resource provider believes are necessary which are not currently provided, and any reports on interactions observed between the foster youth and his/her parents, other service providers, and any other significant information. Knows and follows the Children’s Division policies and procedures and requests clarification or explanation of policies and procedures which are unclear to the resource provider. Supports the case plan developed by the Family Support Team even if they are not in agreement with the plan including but not limited to facilitating visits and appointments. Expresses their concerns regarding the case plan with the child’s worker and during team meetings and understands the Children’s Division’s grievance process to challenge decisions of the Family Support Team. Keeps the case manager or service worker informed of all the foster youth’s activities. Allows items purchased for the foster youth to go with the youth when they move or return home. Provides or makes arrangements for transportation for the foster youth as needed. This is not a comprehensive list. Other criteria may be found in the STARS curriculum, specifically Step 11, for each of the competencies and/or may be suggested by the resource parents during the assessment process. These criteria should be utilized in evaluating the performance of resource providers during their license renewal process and are an integral part of developing an appropriate Professional Family Development Plan. The following additional competencies are required of those resource providers who choose to be contracted to provide foster care for youth with elevated needs: Promote Successful Integration into the Family and the Community Understanding how much supervision the youth requires (before placement occurred and during current placement) Assist the youth in adjusting to a new school and community Transitioning the youth into another setting Meeting Exceptional Care Needs (for Special Needs and/or Traumatized Youth) Addressing those needs that are not developmental (social, emotional, daily care) Understanding risk factors in the community, school and home setting Understanding but not diagnosing mental illness and other developmental delays Assessing Crisis Situations and Utilizing Proper Crisis Intervention/Prevention Understanding what a crisis is Using appropriate skill sets to deescalate crisis situations Understanding attention seeking behaviors and knowing when to respond Understanding power, authority and control Setting fair and consistent limits Understanding risk factors in the community, school and home setting Recognizing and Implementing Positive Approaches to Challenging Behaviors Identifying challenging behaviors early Clearly defining target behaviors Use of multidisciplinary service team for coordinating care Team based wrap around services Chapter Memoranda History: (prior to 01-31-07) CD06-37 Memoranda History: CD07-48 , CD08-106 , CD09-94 , CD09-105 , CD10-08 , CD10-27 , CD12-82 , CD12-85, CD13-71 , CD14-20 , CD15-61 , CD16-09 , CD16-87 , CD17-52 , CD18-22 , CD18-39 , CD19-07",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-2-resource-provider-training-stars-specialized-training-assessment-0
"MO :: Section 6, Chapter 2 (Resource Provider Training- STARS (Specialized Training Assessment Resources and Support), subsection 4, – (Pre-Service Training and STARS Competencies :: 2.4.5 Pre-Service Training Process",Missouri,Rules,2023,Foster parent licensing,,,"Enroll applicant in nearby STARS (Specialized Training, Assessment, Resources, Support and Skills) Pre-Service Training sessions. Content must be: Co-taught by a currently licensed, Teaching Professional Foster Parent (For certification of Teaching Foster Parent, see Attachment A.) and an agency/contracted provider professional staff member who has completed the STARS Train the Trainer course; A minimum of 27 hours in class training; 2. Enroll applicant in Cardio Pulmonary Resuscitation (CPR). Applicant must be certified in CPR prior to licensure; Three (3) training credit hours using the cod V252. The resource provider must also be re-certified in CPR prior to each re-licensure every 2 years. 3. First Aid; Three (3)0tTraining credit hours using the code V898. The resource provider must successfully complete the First Aid training prior to each re-licensure every 2 years. 4. Direct applicants to complete the required pre-service Psychotropic Medication Management training.  The link to the training is located on the I Am a Foster Parent Internet page.  The training code is V013 for 2 hours of training credit. 5. Reimbursement of child care expenses ($2/child/hr), and mileage, if necessary, at current state rates, may be made through the SAM II system after the applicant has been licensed. SAM II is the method of reimbursement to foster parents for expenses incurred during any training (Pre-Service, In-Service, Behavioral Foster Care, Medical Foster Care, etc.). The cost ($2/child/hr) is to be applied to all children in the foster home, including the biological children of the foster parent(s).Special expenses (i.e., registration fees) may be approved by the Regional Office and paid through SAM 6. Evaluate training experience with foster/relative applicant and training facilitators. 7. Verify training hours completed. 8. Record required information on in FACES on the Resource Parent Training screen. All licensed homes must successfully complete the following training prior to being licensed: Cardio Pulmonary Resuscitation (CPR); Three (3) training credit hours using the code V252. The resource provider must successfully complete the CPR training certification prior to each re-licensure every 2 years. First Aid; Three (3) training credit hours using the code V898. The resource provider must successfully complete the First Aid training prior to each re-licensure every 2 years. Psychotropic Medication Management. Two (2) training hours credit using code V013 in FACES. Informed Consent ; Two (2) training credit hours using code V150. Memo CD18-22 . Health Information Portability and Accountability (HIPAA); One (1) hour of training credit hours for reading and signing the CD-194 using code V980. The form is read and signed at each re-licensure. However, the training credit is only earned for initial time. Secondhand Smoke Exposure Protection (V113) (2) Two hours of training credit hours. Chapter Memoranda History: (prior to 01-31-07) CD06-64 Memoranda History: CD07-48 , CD09-106 , CD12-30 , CD13-100 , CD16-65 , CD17-42 . CD19-07",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-2-resource-provider-training-stars-specialized-training-assessment-3
"MO :: Section 6, Chapter 2 (Resource Provider Training- STARS (Specialized Training Assessment Resources and Support), subsection 4, – (Pre-Service Training and STARS Competencies :: 2.4.4 STARS For The Caregiver Who Knows The Child.",Missouri,Rules,2023,"Foster parent licensing, Placement, Services while in care - Educational",,,"STARS for the Caregiver Who Knows the Child is an adaptation of the Foster STARS / Adopt STARS resource training curriculum published by the Child Welfare League of America. The guide is used as pre-service training for caretakers who are already have a meaningful relationship with the child to be placed. The relationship can be a connection by family or by association (a teacher, neighbor, etc.). The guide is meant to be used as an independent study guide, but may be used in group training sessions, or in a combination of both methods. The worker should be flexible in presenting the training method without detracting from the integrity of the program. The provider will receive 9 hours of pre-service training credit for successfully completing the training and homework for STARS for the Caregiver Who Knows the Child. At least 9 hours of in-home assessment is required to occur during the pre-service training process. Chapter Memoranda History: (prior to 01-31-07) CD06-64 Memoranda History: CD07-48 , CD09-106 , CD12-30 , CD13-100 , CD16-65 , CD17-42 . CD19-07",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-2-resource-provider-training-stars-specialized-training-assessment-14
"MO :: Section 6, Chapter 2 (Resource Provider Training- STARS (Specialized Training Assessment Resources and Support), subsection 4, – (Pre-Service Training and STARS Competencies :: 2.4.3   STARS, Making the Commitment to Adoption Curriculum",Missouri,Rules,2023,"Adoption, Permanency, Placement",,,"STARS, Making the Commitment to Adoption, was developed by the Spaulding for Children National Resource Center for Special Needs Adoption. The name Spaulding has been used interchangeably with the adoption portion of STARS. The following is an overview of the four pre-service sessions of STARS, Making the Commitment to Adoption: (Although the foster / adopt STARS curriculum allows only one session per week, the STARS, Adopt curriculum allows for more flexibility. Two sessions may be conducted in one week.) Session One: Exploring Expectations Trainers share the history and intent of the Making the Commitment to Adopt Curriculum as well as its objectives and assumptions about the training. The meaning of adoption, the process, and the important players in the process are discussed. The video “Before the Adoption Process Begins” is shown to acknowledge participants’ hopes and fears about the process and to lead to a discussion of empowering strategies. Participants explore their fantasies and expectations about the child or children that they wish to adopt. Session Two: Meeting the Needs of Waiting Children Participants will explore the reasons they feel they could adopt particular children and view the videotape, “The Children Who Wait”, to focus on the realities of adopting children who have been abused, neglected, abandoned, and have lived in the child welfare system. Particular attention is given to the issues of separation, loss, grief, attachment, and issues related to parenting the child who has been sexually abused. Session Three: Exploring Adoption Issues Using the Family Network Diagram, participants will explore family supports that may assist them in adopting children who have been abused, neglected or abandoned. The videotape, “Common Issues in Adoption,” addresses issues for which participants will develop strategies in their teams. Participants will be given information on predictable crisis periods in adoption and use their Family Network Diagrams and Genograms to explore their strengths, needs, and challenges in planning for adoption. Session Four: Making the Commitment This final session of the training focuses on helping participants look at resources, the commitment necessary for adoption, and tools to help parents get information to make a decision and commitment to adoption of a particular child. The participants will review their ecomaps, view the videotape, “Characteristics of Successful Adoptive Families,” and review a number of tools for getting information and to guide them in making their decisions about adopting. Participants will also be recognized for completing the training. Chapter Memoranda History: (prior to 01-31-07) CD06-64 Memoranda History: CD07-48 , CD09-106 , CD12-30 , CD13-100 , CD16-65 , CD17-42 . CD19-07",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-2-resource-provider-training-stars-specialized-training-assessment-5
"MO :: Section 6, Chapter 2 (Resource Provider Training- STARS (Specialized Training Assessment Resources and Support), subsection 4, – (Pre-Service Training and STARS Competencies :: 2.4.2   Pre-Service Training, STARS Curriculum",Missouri,Rules,2023,"Foster parent licensing, Permanency, Placement, Services while in care - Educational, Services while in care - Financial, Services while in care - Medical, Services while in care - Mental Health, Services while in care - Therapies (not mental health), Visitation",,,"STARS pre-service training is a prerequisite to becoming a licensed foster/adoptive home. Foster/adopt parents must successfully complete 27 hours of training as well as the ten hours of assessment interwoven with the training. After demonstrating that they meet the required competencies, they then become professional foster/adoptive parents. Foster care providers wanting to adopt must take an additional 12 hours of STARS, Making the Commitment to Adoption (Spaulding) Pre-service training. Relative care providers are encouraged to complete the Spaulding training but are not required to complete this training. All STARS and Spaulding sessions are co-taught by a professional staff member of the agency/contracted provider and an experienced, currently licensed, professional foster/adoptive parent. The following is an overview of the nine STARS sessions, each of which is three hours in length. More than one session can occur a day, however, the nine sessions are to be taught over a minimum of three (3) dates: Session One: Connecting with STARS Session One connects participants with the Foster STARS/Adopt STARS program. Participants learn how the pre-service training provides the formative principles of assessment, selection, licensing, and approval. The competencies needed for successful fostering and adopting are reviewed in relation to the STARS pre-service sessions and the process of becoming a foster or adoptive family. Participants discover how to define family foster care and adoption. They learn how children and families get referred for services, and they explore challenges and rewards of fostering and adopting. Emphasis is on the participant’s understanding the requirement to provide normalcy for foster youth as defined in statue and regulation. Participants should be able to identify ways to make decisions for the foster youth to participate in age- and developmentally- appropriate activities by co-parenting with the foster youth’s parent(s) or guardian(s). Session One features a video that dramatically portrays fostering and adopting experiences. Session Two: Teamwork Toward Permanency This session introduces the importance of family relationships and the role families play in supporting the child’s identity, cultural identity, and self-esteem. Participants identify major tasks in planning for permanence, including ways to preserve connections and continuity through times of change. Participants are introduced to co-parenting with the foster youth’s parent(s) or guardian(s) for making decisions about activities the youth may participate in. Teamwork is presented as the best way to promote permanence for children and families. Trainees discover the unique role of foster parents and adoptive parents as members of a professional team. Emphasis is made regarding the resource parent’s responsibility to mentor and encourage the foster youth to actively participate in his/her case plan. Session Three: Meeting Developmental Needs: Attachment This session reviews the “basics” about child growth and development. It considers how important bonding and attachment are for growth and development. Session Three emphasizes ways that the team, and especially the foster or adoptive parent, may build positive attachments in order to meet developmental needs. Important information is provided regarding brain development and how allowing the foster youth to participate in age- and developmentally- appropriate activities impacts brain development. Session Four: Meeting Developmental Needs: Loss Separation and loss critically affect the child’s growth and development, particularly in family foster care and adoption. Participants learn the types of losses children encounter before entering foster care. They learn how placement can deepen the child’s sense of loss. Trainees review the stages of loss and consider how they influence the child’s feelings and behaviors. Loss is presented as a universal issue. Foster families and adoptive families consider how they have dealt with losses in their lives. They discuss how they might approach losses that come with fostering and adopting, and how they can be “loss managers” for children. Emphasis is made on providing normalcy for the foster youth to minimize loss of their normal activities and life experiences. Co-parenting strategies are explored to ensure decisions are made to allow for participation in age- and developmentally- appropriate activities. Session Five: Strengthening Family Relationships This session revisits how families promote identity, cultural identity, and self-esteem in children. Participants review the child welfare concept that children in placement should rejoin their families whenever possible. They discuss how the team can support reunification. The role of visiting in strengthening family relationships is explored. Concrete information explains how to plan for visits, how to prepare children for them, and how to handle reactions afterwards. The importance of families to children in the adoption process is discussed in terms of lifelong needs for identity and self-esteem. In this there is emphasis of how co-parenting helps not only for making good decisions for the foster youth’s activities, but also shows the value and importance of the foster youth’s family from which they have been removed. Session Six: Meeting Developmental Needs: Discipline This session focuses on the challenges of instilling discipline in children. The content and activities focus on protecting and nurturing children and meeting their developmental needs. Discipline is defined, the goals of effective discipline are identified, and the difference between discipline and punishment is illustrated. Trainees review the agency’s policy on discipline and discuss the negative effects of physical punishment. Participants learn about the knowledge, skills, and personal qualities needed to instill discipline. They explore the meaning of a child’s behavior and the factors that influence behavior. The session outlines the methods foster and adoptive parents, as team members, can use to meet the goals of effective discipline. Session Seven: Continuing Family Relationships This session looks at different ways the team can help to connect children to safe and nurturing relationships intended to last a lifetime. Permanency planning goals are outlined, starting with efforts to support families and reunite children with families and kin. Adoption, guardianship, and independent living activities are presented as other ways to promote lifelong connections when children cannot grow up with their families. Implementation of Reasonable and Prudent Parenting Standard is explored and explained throughout this session. Session Eight: Planning for Change How placement impacts the foster or adoptive family is the focus of this session. The first hours, days, and weeks of a child’s placement in the home are viewed practically. Trainees learn what to expect, what to ask the caseworker, and how to talk to the child. The importance of providing normalcy for the foster youth and co-parenting with the foster youth’s parent(s) or guardian(s) is stressed. Longer-term placement impact is also discussed, including how placement changes the foster or adoptive family. The notion that fostering and adopting carry risks is highlighted through a discussion of abuse allegations. Use of the team for support and focus is emphasized. Session Nine: Making an Informed Decision This session offers foster and adoptive parents a chance to learn first hand from experienced members of the foster care team. Panelists including foster parents, adoptive parents, caseworkers, and family members present their perspectives and answer participants’ questions. Participants will reflect on their growth and development regarding the pre-service competencies. They begin to make a final decision regarding their commitment to fostering or adopting. Chapter Memoranda History: (prior to 01-31-07) CD06-64 Memoranda History: CD07-48 , CD09-106 , CD12-30 , CD13-100 , CD16-65 , CD17-42 . CD19-07",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-2-resource-provider-training-stars-specialized-training-assessment-6
"MO :: Section 6, Chapter 2 (Resource Provider Training- STARS (Specialized Training Assessment Resources and Support), subsection 4, – (Pre-Service Training and STARS Competencies :: 2.4.1  Competencies",Missouri,Rules,2023,"Foster parent licensing, Permanency, Placement, Reunification",,,"The pre-service competency categories for parents Include : Protecting and Nurturing Children: Children placed with foster families and adoptive families need to live in a safe place that keeps them from harm, is friendly, and where the parents show they care. Some children who have not been kept safe or cared for may not accept or understand the efforts to do so at first. Others are hungry for attention. The pre-service training will help the caretaker to understand a child’s feelings and reactions to separation and help the caretaker to deal with those feelings and reactions. Meeting Developmental Needs and Addressing Developmental Delays: For most of us, growing up is a natural, predictable development process. For example, infants who have the opportunity and encouragement to walk at the right stage of their development will learn how to walk. Many of the children who need foster families or adoptive families did not have the opportunity or encouragement to grow by learning how to do things at the “right” time in their development. They may be “behind” in some ways or “ahead” in others, compared with children of the same age who had their developmental needs met. The pre-service training helps prospective foster parents and adoptive parents understand the reasons for these developmental delays and differences and how to cope with them. Supporting Relationships Between Children and their Families: Birth family relationships include brothers, sisters, and other relatives, as well as parents. Children do not arrive at the door of a foster family or adoptive family without bringing some kind of personal history with them. Even infants who have never been held by their parents have a prenatal, birth, or hospital history. The memories, experiences and attachments children bring with them will vary, but they will come with the child. The pre-service training prepares the caretaker to understand the importance of a child’s history and how to deal with it. Connecting Children to Safe, Nurturing Relationships Intended to Last a Lifetime: The Division believes—and the law requires—that children are entitled to permanent, lifetime family relationships. Children’s Division (CD) works with the parents to correct problems so children can return home whenever possible. If the parents cannot or do not respond, the Division looks for another permanent family for the children. The different roles of foster parents and adoptive parents in providing a permanent family for a child will be explained in the training sessions. Working as a Member of a Professional Team: Whatever a child’s circumstances, needs or past experiences, the Division, foster parents, and adoptive parents work together for the child’s benefit. There are many troubled families and children who need help. The work that needs to be done is too much for any of us to do alone. One way these competencies are demonstrated is in the resource parent’s ability to apply the required Reasonable and Prudent Parenting Standards. Adoptive parents are expected to meet additional competencies: Knowing how adoptive families are unique; Understanding the importance of separation, loss, and grief in the adoption process; Understanding attachment and its importance in the adoption process; Anticipating and managing challenges as an adoptive family; and Making a lifelong commitment to a child. Chapter Memoranda History: (prior to 01-31-07) CD06-64 Memoranda History: CD07-48 , CD09-106 , CD12-30 , CD13-100 , CD16-65 , CD17-42 . CD19-07",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-2-resource-provider-training-stars-specialized-training-assessment-7
"MO :: Section 6, Chapter 2 (Resource Provider Training- STARS (Specialized Training Assessment Resources and Support), subsection 3, – (STARS Training Objectives) :: 2.3.2 Competencies And Learning Objectives",Missouri,Rules,2023,"Adoption, Foster parent licensing, Permanency, Placement, Reunification",,,"Competencies take into account the person’s knowledge, attitude, and practice in performing the desired skills necessary to successfully parent the children in the custody of the Division. The competencies for Foster/Adopt STARS were developed by the “Developing Competencies Work Group” of the Illinois Foster PRIDE/Adopt PRIDE Steering Committee. They turned to the recommendations of the National Commission on Family Foster Care (convened by the Child Welfare League of America in collaboration with the National Foster Parent Association) as well as to other consultants. The result was the development of areas of responsibility or competency categories. The competency categories for foster parents include: Protecting and nurturing; Meeting developmental needs and addressing developmental delays; Supporting relationships between children and their birth families; Connecting children to safe, nurturing relationships intended to last a lifetime; and Working as a member of a professional team. One way these competencies are demonstrated is in the resource parent’s ability to apply the required Reasonable and Prudent Parenting Standards. Adoptive parent competency categories were developed through consultation with additional adoption experts and include: Knowing how adoptive families are unique; Understanding the importance of separation, loss and grief in the adoption process; Understanding attachment and its importance in the adoption process; Anticipating and managing challenges as an adoptive family; and Making a lifelong commitment to a child. From the competency categories, specific competencies were developed. Because some knowledge and skills are essential before children are placed with families and other knowledge and skills would be more appropriate for licensing, training competencies were organized into two groups – pre-service and core. Pre-service competencies are the grouping of knowledge and skills essential for foster parents and adoptive parents before a child is placed. Foster/Adopt STARS addresses competencies only at the pre-service level. For example, a pre-service training competency for foster parents is: “Foster parents know that regular visits and other types of contact can strengthen relationships between children and their birth families. “Core competencies are the knowledge and skills that are more effectively learned after a foster parent is licensed, and a child is placed. Core competencies typically are those which foster parents acquire in their first two years of experience. An example of a core competency is “Foster parents are able to support visits and contacts appropriate to each child/family situation.” Foster STARS addresses competencies at the core level. As foster parents become more experienced, they will need advanced and specialized competencies. Advanced competencies build on core competencies. For example, an advanced competency is “Foster parents are able to demonstrate parenting skills for the parents of children in their care.” Specialized competencies relate to a particular area of expertise, such as working with teen parents, caring for medically fragile children, or preparing youth for young adult living. The competencies were used to direct the development of all of the in-session and at-home learning objectives which are included in Foster/Adopt STARS. These learning objectives directed the development of all the material included in this training program. The Child Welfare League of America Standards for Family Foster Care (revised 1993) reference the competency categories presented here in Foster/Adopt STARS. Memoranda History: CD07-48 , CD16-65",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-2-resource-provider-training-stars-specialized-training-assessment-8
"MO :: Section 6, Chapter 2 (Resource Provider Training- STARS (Specialized Training Assessment Resources and Support), subsection 3, – (STARS Training Objectives) :: 2.3.1 Specific Objectives",Missouri,Rules,2023,"Adoption, Foster parent licensing, Permanency, Reunification, Services while in care - Educational, Services while in care - Financial, Services while in care - Medical, Services while in care - Mental Health, Services while in care - Therapies (not mental health)",,,"The specific objectives of Foster/Adopt STARS are to help prospective foster parents and adoptive parents: Discuss realistic expectations of themselves and the agency; Identify their strengths and needs in fostering or adopting; Develop a plan to build on strengths and meet needs; Make an informed decision about their willingness and ability to work together to connect children with safe and nurturing relationships intended to last a lifetime; Learn the purpose and goals of the agency’s family foster care and adoption program, and its relationship to the other child welfare services; Learn about the selection process and the criteria for being licensed, certified or approved as a foster parent or adoptive parent; Learn the laws, regulations, policies and values that direct the agency’s child welfare program in general and the family foster care and adoption program specifically; Obtain realistic information about the needs, and strengths, of children and their families who voluntarily or involuntarily require family foster care and adoption services; Learn about the role of foster parents and adoptive parents as effective and essential members of a professional team, including expectations, responsibilities, such as implementing Reasonable and Prudent Parenting Standards, rights, potential rewards and potential risks, such as abuse allegations; Learn the differences between foster parenting and adoptive parenting regarding attachment, commitment, relationship with the children’s families or origin, providing foster youth with age-and developmentally- appropriate activities, expectations, responsibilities, supports, lifelong impact; Learn the knowledge and practice the skills necessary to become a licensed, foster parent or adoptive parent; Learn about the diversity of families; Share similar and differing knowledge, ideas and values by participating in a group preparation program; Consider the impact of fostering or adopting on themselves, their children, and all aspects of their family life, including jobs, health and mental health, and financial resources; Experience the professional team as it operates within the agency, since the program should be conducted by experienced Children’s Service staff assisted by experienced foster parents and adoptive parents who can model team work; Learn about foster parent associations or adoptive parent support groups that can provide valuable information, friendship, peer support, and advocacy; Develop admiration and respect for the role of foster parents and adoptive parents in caring for vulnerable children; and, with the agency, mutually; Assess their willingness and ability to become: A foster parent who can: Protect and nurture children who have been physically abused, sexually abused, emotionally maltreated, abandoned, neglected and/or who have special medical needs; Meet the developmental needs of these children and address their developmental delays; Support the relationship between children and their parents, siblings and kin to the fullest possible extent; Help connect children to safe and nurturing lifetime relationships, with reunification with parents or kin as the primary goal; Work collaboratively with the agency as an effective and essential member of a professional team; Apply Reasonable and Prudent Parenting Standards in decision making for the foster youth’s participation in age- and developmentally- appropriate activities Or, an adoptive parent who can: Protect and nurture children who have been physically abused, sexually abused, emotionally maltreated, abandoned, neglected and/or who have special medical needs; Meet the developmental needs of these children and address developmental delays; Support the relationship between children and their parents, siblings and kin as appropriate; Make an earnest commitment to provide a child with safe, nurturing relationships intended to last a lifetime; and Work collaboratively with the agency as an effective and essential member of a professional team to adoption finalization. Memoranda History: CD07-48 , CD16-65",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-2-resource-provider-training-stars-specialized-training-assessment-13
"MO :: Section 6, Chapter 2 (Resource Provider Training- STARS (Specialized Training Assessment Resources and Support), subsection 2, – (Working with Prospective Foster/Adoptive Parents) :: 2.2.3 Family Assessment",Missouri,Rules,2023,"Adoption, Foster parent licensing, Permanency",,,"The first meeting for the purpose of beginning the Family Assessment is scheduled between the third and fourth training sessions. Additional meetings needed to assess the family should be held between the fifth and sixth sessions and again after the ninth Family Resource Development training session. The Family Assessment is completed utilizing the following tools: Genogram; Ecomap; Loss History Worksheet; Pathways Through the Grieving Process; and History and Current Functioning of Prospective Family. These tools will not be retained in the family’s case file. They are tools to utilize in completing the Assessment. It is at the final at-home consultation that the family and the Children’s Service Worker conclude their mutual assessment leading to a decision. The family must decide if they wish to foster or adopt. The worker must decide if this family has the skills, willingness, and resources to foster or adopt available children. The preceding tasks have allowed the worker and families to accumulate assessment information that must now be organized and assimilated into a clear and defensible decision. The worker must complete all of the following steps either before or during the final at-home consultation visit. The Children’s Service Worker must be sure that all required data has been collected before scheduling the final at-home consultation, including the following: Application; References; Health/Psychological Reports; Fingerprinting report; CA/N check of every state each household member age 17 and older has resided during the past five (5) years; Documentation of CaseNet review; Sexual Offender Registry by address; Family Care Safety Registry report; Documentation that family has attended all training sessions; Trainer’s observations of the family; and Foster Family Profile, CD-56. The Family Assessment is a composite of information collected through the collection of required data and interviewing the family members. Basically, the strengths and needs of the family are organized according to the five competency categories. Protecting and nurturing; Meeting developmental needs and addressing developmental delays; Supporting relationships between children and their birth families; Connecting children to safe, nurturing relationships intended to last a lifetime; and Working as a member of a professional team. Each statement made in the Family Assessment must be stated in behavioral terms and referenced. In other words, the Children’s Service Worker must list where, when, or in what document he/she read, observed, or been told about the strength or need. To prepare for writing the Family Assessment the Children’s Service Worker should review the following: Required forms listed above; Ecomap and genogram; Family Resource Development Connections (assignments completed between training sessions); Family Assessment Worksheet; and References. Having reviewed the pertinent documents listed above the Children’s Service Worker can now make a final decision to: Invite the family to select-in to the foster care or adoption program; Invite the family to select-in with a plan, i.e., correction of physical/tangible deficiency, i.e., smoke detector, furniture, etc.; Counsel the family out of providing family foster care or adoptive care. The family can decide to select-out and not participate as foster parents or adoptive parents. Prepare Family Assessment. More information regarding the Family Assessment is located in Section 6 Chapter 3, Resource Family Assessment and Licensing Process. Discuss recommendations with supervisor. A supervisor must approve the final decision and recommendation. The Children’s Service Worker should meet with the supervisor to share any borderline decisions and all decisions to counsel a family out of the program. Make phone call and send confirming letter to set up consultation. Begin at-home consultation by establishing an agenda. The agenda will vary with each family, but should generally include: Discussion of the family’s final decision regarding participation in the foster care or adoption program; Discussion of the Division’s final decision; Negotiation of a mutual decision; Review of the Family Assessment Summary; Introduction of the Professional Family Development Plan, CD-100, for families invited to select-in the family foster care program (see 2.5.1 for more information on the Professional Family Development Plan); Explanation of the next steps if the family disagrees with the Division’s decision to counsel the family out of the program. Plan for the meeting to complete the Professional Family Development Plan, CD-100.Initiate a collaborative process for discussing the Family Assessment. The Family Assessment is used as a tool to facilitate a process in which a mutual decision, not a compromise, is reached. The Children’s Service Worker presents the Assessment in order to work for agreement on areas in which the family is competent and areas that need support. The Children’s Service Worker relates all comments, positive and negative, to the strengths and needs identified with each of the five competencies. To create a collaborative environment the Children’s Service Worker should use interviewing and relationship techniques like: Making clear statements about strengths and needs documented in materials generated by the mutual assessment process or observed through previous meetings; Avoiding biased or inflammatory words, for example, “your answer was wrong” or “your discipline style is bad”; Reminding applicants of previous conversations where strengths and concerns were shared so that this final at-home consultation brings no surprises; Encouraging families to share their feelings and the results of their family discussion by using open ended questions and non-verbal displays of interest in what is being said; Communicating respect for the family, regardless of the decision made, by hearing their feelings and recognizing their interest and commitment; and Allowing an appropriate amount of anger from families disappointed with the final decision by not taking it personally or reacting unprofessionally. Present the Final Agency Decision; and present placement recommendation to the families who have been invited to select-in. The Children’s Service Worker and family should discuss the number, the age range, and the kinds of children they could most safely and successfully parent and the supports the Division would need to provide. This discussion should be based on the family’s strengths in the five competencies and supports they need from the Division. Begin the process for assessing learning needs and building a professional family development plan with the family invited to select-in; Schedule the consultation meeting to complete the family development plan and conclude consultation with next steps for foster families and adoptive families who have been selected-in. At the end of the Mutual Assessment process (training and family assessment) the family and Children’s Service Worker will decide whether to select-in or select-out the foster parent or adoptive parent applicant. When the Children’s Service Worker and family decide to select-in to the program, the worker should complete the following tasks: Notify family in person and in writing that they have been selected in; and Complete Vendor Licensure/Approval and Renewal screen in FACES. When the Children’s Service Worker and/or family decide to select-out, the worker should complete the following tasks: Recommend license denial using Resource Home Adverse Action Report, CS-20, through supervisory lines to the Regional Director; Include a summary of the licensing rules on which the decision is based; When an adverse action is CA/N related, submit a copy of the form CA/N 4; Submit a copy of the Family Assessment to Regional Director; and If the decision to deny a license is supported by the Regional Director, notify the applicant in person and with the Notification of Resource Home Adverse Action, CS-20a, sent via registered mail. Chapter Memoranda History: (prior to 01-31-07) CD04-79 Memoranda History: CD07-15 , CD07-48 , CD07-54 , CD08-55 , CD09-88 , CD-105 , CD09-110 , CD12-84 , CD12-85 , CD14-09 , CD15-75 , CD16-65",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-2-resource-provider-training-stars-specialized-training-assessment-9
"MO :: Section 6, Chapter 2 (Resource Provider Training- STARS (Specialized Training Assessment Resources and Support), subsection 2, – (Working with Prospective Foster/Adoptive Parents) :: 2.2.2 Mutual Assessment Process",Missouri,Rules,2023,"Adoption, Foster parent licensing, Permanency",,,"The Mutual Assessment Process includes the integrated functions of preparation and assessment and should lead to a final decision about the willingness and ability of the applicants for fostering and adopting. The process includes the applicant’s participation in nine pre-service training sessions, a series of meetings between the Children’s Service Worker and applicants, supplemental information obtained through meetings, the preparation program, references, and other licensing or approval checks. The selection of prospective foster parents and adoptive parents has been based on the concepts of: Assessing strengths and needs; Selecting families in; and Mutual assessment. Each prospective foster family or adoptive family should have been encouraged to participate in an open and honest assessment of their strengths in fostering or adopting, as well as their needs for support. Their strengths should be identified so they can be matched with the needs of a specific child to be placed. The needs should be identified so it can be determined if the Division can provide the supports required to meet those needs. As a result of this process, the final decision should be made to reflect the family’s ability and willingness to foster or adopt. The decision should be based on whether the prospective foster parent or adoptive parent: Has the potential for meeting the needs of the children and their families served by the Division; Has the personal commitment necessary to provide the required continuity of care throughout the child’s need for family foster care or adoption; Has sufficient flexibility to meet the needs of particular children as these change in the course of the child’s development; Is able to identify with the Division’s foster care and adoption program goals, work within its policies, share responsibility with the agency, and benefit from assistance and training opportunities; Is able to accept and support the child’s relationship with parents and kin; and Is able to work within the limitations of the Division and its supports available for foster families and adoptive families. Demonstrates the ability to apply the Reasonable and Prudent Parenting Standards including providing normalcy for the foster youth, co-parenting with the foster youth’s parent(s) or guardian(s), mentoring and encouraging the foster youth’s participation in his/her case planning, and understanding the responsibility of decision making for the foster youth’s participation in age- and developmentally-appropriate activities Chapter Memoranda History: (prior to 01-31-07) CD04-79 Memoranda History: CD07-15 , CD07-48 , CD07-54 , CD08-55 , CD09-88 , CD-105 , CD09-110 , CD12-84 , CD12-85 , CD14-09 , CD15-75 , CD16-65",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-2-resource-provider-training-stars-specialized-training-assessment-10
"MO :: Section 6, Chapter 2 (Resource Provider Training- STARS (Specialized Training Assessment Resources and Support), subsection 2, – (Working with Prospective Foster/Adoptive Parents) :: 2.2.1 At-Home Consultation Meeting",Missouri,Rules,2023,"Administrative process, Adoption, Foster parent recruiting",,,"The first at-home family consultation meeting is an extension of the first telephone inquiry response. During this meeting the Children’s Service Worker continues to provide the family with more specific information about what is involved in the job of being a foster parent or adoptive parent, the process by which the Division carries out the mutual assessment, and selection outcomes. The worker also begins more in-depth discussion with the family about their expectations and motivation for considering this job at this time. During this interview the worker may identify, through conversations or review of the application, issues that may raise preliminary questions about the family’s willingness or ability to become foster parents or adoptive parents. Depending on the nature of these issues, the worker may need to explore these issues with the family during this meeting. During this meeting the worker must explain the licensing requirements including the house assessment, the Foster Family Profile, CD-56, the Family Care Safety Registry, Fingerprinting, the child abuse/neglect screens, and criminal background checks with the family, and explain which are non-negotiable and which are subject to more subjective assessment criteria. During this first in-home meeting the worker will present the Safe Sleep Practice, CD-117, Discipline Agreement, CD-119, and Resource Acknowledgement of Home Assessment & Case File Information Access, CD-128 and Notification of Hazards, CD-101, if applicable. The content is reviewed, agreed to and signed indicating agreement by the resource parent(s). In addition, the worker will discuss the dangers of co-sleeping with an infant and direct the resource provider to information presented in the PowerPoint, SIDS and Safe Sleep, located on the State Technical Assistance Team Web site. http://www.dss.mo.gov/stat/statpres/prevention.htm . At the end of this meeting, the family and Children’s Service Worker should both have additional information that will allow them to make a mutual decision about the next steps in the process. During the at-home consultation meeting the Children’s Service Worker must do the following: Introduce self; Explain the purpose of the at-home consultation meeting; Ask family about impressions so far and answer any questions; and Explain the mutual assessment process. Initiate necessary paperwork for the background checks, including child abuse/neglect, Family Care Safety Registry, Fingerprinting, sexual offender registry, and CaseNet. Explain that a CA/N check will be conducted in every state which each household member 17 and older has resided during the past five (5) years, per Adam Walsh Protection and Safety Act. Provide the applicant with the Foster Family Profile cover letter, CD-55, and Foster Family Profile, CD-56, for completion. Inform the applicant that the Foster Family Profile should be returned to the local licensing worker within 10 business days. Present the Safe Sleep Practices form, CD-117; Review the information on the form and explain that the applicant(s) must agree to adhere to the practices and sign the form. Present a copy of the Foster Parents Bill of Rights and Responsibilities, RSMo Section 210.566 Present a copy of the Resource Parent Acknowledgement and Assurances, CD-108; Provide the five documents referenced, review the information on the form and obtain signature(s). Present the Resource Parent Discipline Agreement, CD-119; Review the information and explain that applicant(s) must agree to adhere to the agreement and sign the form. Present the two Health Information Portability and Accountability Act, HIPAA, documents, MO866-4061 and Resource Provider Health Insurance Portability and Accountability Information, CD-194, and obtain signature on the CD-194. The Children’s Service Worker should explain the potential outcomes of the mutual assessment process, which are: The Division and the family make a mutual decision to select the family into the program; The Division and the family make a mutual decision to select the family out of the program; The Division may feel that the family has the skills to become a foster parent or adoptive parent, but the family is not willing or does not feel it has the skills to take on the job and the family makes a decision to select-out of the program; or The family is willing to become a foster parent or adoptive parent and feels they have the ability to take on the job, but the Division disagrees and does not invite the family to select-in to the program. The Children’s Service Worker should explain that the focus of the training is to help the participants understand the skills involved in being a foster or adoptive parent. Only when the family understands what skills are needed will they have the information necessary to make an informed decision about whether they are willing or able to do the job: Explain the role and focus of the consultation meetings in the mutual assessment process, which are as follows: Clarifying the family’s changing understanding of what the job of being a foster parent or adoptive parent entails as they learn more about the role in the pre-service training; “Checking in” with the family to determine if they are still willing to take on the job as they expand their understanding of its complexities; and Carrying out a dialogue with the family about their history, their current family system and networks, and how becoming a foster parent or adoptive parent will change the family system. This discussion will focus on understanding strengths and needs in regard to the family’s willingness and ability to be foster parents or adoptive parents. Introduce the idea of the five competencies necessary for foster and adoptive parenting which are: Protecting and nurturing; Meeting developmental needs and addressing developmental delays; Supporting relationships between children and their families; Connecting children to lifetime relationships; and Working as a member of a professional team. Inform the family about the non-negotiable licensing requirements. Provide the applicants with a copy of the Foster Parent Bill of Rights and Responsibilities. Review the paperwork (Foster/Adopt Home Assessment Application, Safe Sleep Practices, Discipline Agreement, and Foster Family Profile) the family has provided or assist the family in completing the paperwork. Explain to the family that the case file which is created in the licensing process and maintained for the duration of the family being licensed with the Division is an open record and available to the public upon a Sunshine Law request. Watch for responses to sensitive issues, i.e., motivation, expectations, etc. The Children’s Service Worker should inspect the house by walking from room to room to ensure compliance with “Physical Standards for a Foster Home.” Utilize the Resource Home and Safety Checklist, CS-45, to document any safety concerns with the household. Explain the requirements for CA/N and background checks. Explain the Reasonable and Prudent Parenting Standard which requires the resource family to provide the foster youth with opportunities to participate in activities that are age- and developmentally- appropriate. Determine the next steps. Chapter Memoranda History: (prior to 01-31-07) CD04-79 Memoranda History: CD07-15 , CD07-48 , CD07-54 , CD08-55 , CD09-88 , CD-105 , CD09-110 , CD12-84 , CD12-85 , CD14-09 , CD15-75 , CD16-65",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-2-resource-provider-training-stars-specialized-training-assessment
"MO :: Section 6, Chapter 2 (Resource Provider Training- STARS (Specialized Training Assessment Resources and Support), subsection 2, – (Working with Prospective Foster/Adoptive Parents) :: Intro",Missouri,Rules,2023,"Administrative process, Adoption, Foster parent licensing, Foster parent recruiting",,,"The way the Children’s Service Worker responds to individuals who inquire about becoming foster parents or adoptive parents is critical to the process of developing and supporting foster parents and adoptive parents as essential resources. It can set the tone, both attitudinally and behaviorally, for future contacts. Many prospective foster parents and adoptive parents have given considerable thought to making this first call. Typically, it is not a spontaneous decision precipitated by viewing a recruitment poster or reading a newspaper story. Research indicates that individuals interested in fostering have thought about it for months and, sometimes, years. Individuals calling about adoption may have spent years of emotional and financial investment dealing with infertility issues. The Children’s Service Worker who accepts the inquiry from a prospective foster family or adoptive family should do the following: Introduce self by name and title; Respond to the caller’s stated interest; Educate the caller about the program; Use the inquiry worksheet to give and get information; Assess the caller’s knowledge of fostering and adopting to determine the information they and the Division need at this point in the licensing/certification process; Give information about the fostering or adoption program, addressing the questions/concerns raised by the caller including: Goals and challenges of the family foster care and adoption programs; Importance of foster parents and adoptive parents; Description of children needing foster families and adoptive families; Specific requirements for fostering or adopting; Competencies for fostering or adopting; Importance of participating in the resource family’s development process; and Steps in the licensing/certification process. Conclude inquiry call, clarifying next steps; Mail to caller a Foster/Adopt Home Assessment Application, CS-42; and Schedule an at-home consultation meeting within ten days of the inquiry. NOTE: Indicate a follow-up contact with callers who choose not to receive an information packet or schedule an at-home family consultation meeting at this time, but who appear to have the ability to foster or adopt. Chapter Memoranda History: (prior to 01-31-07) CD04-79 Memoranda History: CD07-15 , CD07-48 , CD07-54 , CD08-55 , CD09-88 , CD-105 , CD09-110 , CD12-84 , CD12-85 , CD14-09 , CD15-75 , CD16-65",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-2-resource-provider-training-stars-specialized-training-assessment-11
"MO :: Section 6, Chapter 2 (Resource Provider Training – STARS (Specialized Training Assessment Resources and Support), Subsection 1, – (Mandate and Rationale)",Missouri,Rules,2023,"Administrative process, Adoption, Foster parent licensing, Investigations",,,"Mandate and Rationale that governs licensure of foster home, residential care or child placing agency: Section 210.486 , RSMo, specifies that: No person shall operate or maintain a foster home, residential care facility, or child placing agency without having in full force and effect a valid license issued by the Division or the Department of Health as provided in Section 210.484. The Division or the Department of Health as provided in Section 210.484 shall conduct an investigation of all applicants and such investigations shall include examination of the physical facility and of persons responsible for the care of, planning, and services for the children being served. Rule 13 CSR 35-60 addresses procedures for approval, denial, or revocation of foster family home licenses. Section 453.070 RSMo specifies that: No decree for adoption of a minor child under eighteen years of age shall be entered nor shall transfer of custody of such child to petitioners occur until a full investigation has been made. A report of the findings of the investigation shall include the physical, mental, racial and ethnic conditions and antecedents of the child and whether the petitioner(s) is suitable for the child. The court may appoint the Children’s Division or other individuals/ agencies to conduct the investigation. The result of the investigation must be submitted to the court in a written report within ninety (90) days of the request. Section 210.660, RSMo, specifies that: “Reasonable and prudent parent standard”, the standard characterized by careful and sensible parental decisions that maintain the health, safety, and best interests of a child while at the same time encouraging the emotional and developmental growth of the child, that a caregiver shall use when determining whether to allow a child in foster care under the responsibility of the state to participate in extracurricular, enrichment, cultural, and social activities. Section 210.665, RSMo, specifies that; Except as otherwise provided in subsection 8 of this section, the court and all parties to a case under chapter 211 involving a child in care shall defer to the reasonable decisions of the child’s designated caregiver involving the child’s participation in extracurricular, enrichment, cultural, and social activities. A caregiver shall use the reasonable and prudent parent standard when making decisions relating to the activity of the child. The division or a contracted agency thereof shall designate at least one onsite caregiver who has authority to apply the reasonable and prudent parent standard for each child placed in its custody. The caregiver shall consider: (1) The child’s age, maturity, and developmental level; (2) The overall health and safety of the child; (3) Potential risk factors and appropriateness of the activity; (4) The best interests of the child; (5) Promoting, where safe and as appropriate, normal childhood experiences; and (6) Any other relevant factors based on the caregiver’s knowledge of the child. Caregivers shall receive training with regard to the reasonable and prudent parent standard as required by the division. The training shall include: Knowledge and skills relating to the developmental stages of the cognitive, emotional, physical, and behavioral capacities of a child; Knowledge and skills relating to applying the standard to decisions, including but not limited to whether to allow the child to engage in social, extracurricular, enrichment, cultural, and social activities, such as sports, field trips, and overnight activities lasting one or more days; and Knowledge and skills relating to decisions, including but not limited to the signing of permission slips and arranging of transportation for the child to and from extracurricular, enrichment, and social activities. 6. A caregiver shall not be liable for harm caused to a child while participating in an activity chosen by the caregiver, provided the caregiver acted in accordance with the reasonable and prudent parent standard. 7. No court shall order the division or a contracted agency thereof to provide funding for activities chosen by the caregiver. 8. A caregiver’s decisions with regard to the child may be overturned by the court only if, upon notice and a hearing, the court finds by clear and convincing evidence the reasonable and prudent parent standard has been violated. The caregiver shall have the right to receive notice, to attend the hearing, and to present evidence at the hearing. Chapter Memoranda History: (prior to 01-31-07) CD04-79 Memoranda History: CD07-48 , CD16-65",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-2-resource-provider-training-stars-specialized-training-assessment-12
"MO :: Section 6, Chapter 1 (Recruitment and Responding to Inquiries), Subsection 4, (Responding to Inquiries)",Missouri,Rules,2023,"Administrative process, Contact and directory information, Definitions, Foster parent recruiting",,,"Team members may receive inquiries from prospective foster parents in a variety of ways throughout the course of their work. This may include calls, emails, social media messages letters, personal contact by someone in the office, or personal contact with someone the team member is engaged with in the community. Any team member who receives an inquiry should: Be familiar with their local inquiry protocol and contacts; Introduce themselves by name and title; Thank the caller for their interest; Obtain the inquirers contact information and notify the local designee of the inquiry for follow up; Let the inquirer know someone will contact them within 3 business days and who to contact if they do not receive this contact. Children’s Division recruitment materials direct individuals interested in becoming a foster parent to https://web.archive.org/web/20230328111306/https://dss.mo.gov/cd/foster-care/becoming-a-foster-parent.htm . This website provides inquirers with information and resources about the foster care licensing process. It also provides inquirers with a centralized intake contact number and email address. The centralized intake team responds to inquiries and contacts prospective foster parents directly to answer any basic questions they may have before connecting them with a licensing worker in their residence county. Introduce self by name and title; Give information about the fostering program, addressing the questions/concerns raised by the caller including: Whether an inquiry is received locally at the county office, or through central intake, the county designee responsible for responding to inquiries should make contact with the inquirer within three (3) business days to complete an initial screening: Goals and challenges of the family foster care and adoption programs; Importance of foster parents; Description of children needing foster families; Specific requirements for fostering or adopting; Competencies for fostering; Importance of participating in the resource family’s development process; and Steps in the licensing/certification process. Screen for sibling groups, Native American families (see Section 4, Chapter 4, Subsection 4 ), and other special populations such as teens and older youth. These inquirers receive priority services in the assessment process. Conclude inquiry call, clarifying next steps if the inquire would like more information. Within 30 days, offer one of the following based on the inquirers understanding of and readiness to move forward in the process: Provide an opportunity to attend an information meeting; Complete an in person consultation; Provide them with an “Inquiry packet;” Foster/Adopt Home Assessment Application, CS-42 , Foster Family Profile CD-56 NOTE: If an inquirer is not interested in receiving additional information but appear to have the ability to foster or adopt, circuits may offer to place the inquirer on a mailing list to receive updates on future informational meetings. Children’s Division team members are legitimate inquirers and applicants. Refer to Section 6, Resource Development, Chapter 10 of the Child Welfare Manual, CD Employees as Foster or Adoptive Parents. Memoranda History: CD12-82",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-1-recruitment-and-responding-inquiries-subsection-4-responding
"MO :: Section 6, Chapter 1 (Recruitment and Responding to Inquiries), Subsection 3, (Recruitment Plan Template)",Missouri,Rules,2023,"Administrative process, Foster parent recruiting",,,"The recruitment plan summarizes and documents all of the work completed when planning and conducting recruitment activities for the year and is required per PA-CFS 22.01 . As part of the recruitment plan development, circuits should evaluate the effectiveness of the prior year’s recruitment activities. The Recruitment Plan should include general, targeted and child specific recruitment activities throughout the calendar year. Information regarding each planned activity should include: Date / Venue A description of the activity/event Identification of team member roles and responsibilities Anticipated funds/cost needed Supplies Recruitment event materials (i.e. flyers, registration information, inquiry sheets, etc.) The following recruitment activities may be utilized but are not limited to: Develop a recruitment theme, or utilize an existing statewide/national theme if available; Host community informational meetings; Engage foster/adoptive parents and foster parent ambassadors in making person to person contacts or hosting informational meetings to share information about the needs for foster/adoptive families (best single method); Display and share flyers, posters, pamphlets, handouts, bumper stickers, yard signs, etc. within the community; Coordinate displays at shopping malls, fairs, public events, schools; Host a booth at community wide event; Partner with the faith based community to share the electronic Heart Gallery during and between services, and share information in their publications; Utilize news media (newspaper, radio stations, television stations, cable television operators, neighborhood newspapers, special interest newsletters, etc.) to share information about the need for foster/adoptive care; Submit activities DSS.DirectorsOffice@dss.mo.gov to promote them on social media platforms such as Facebook and Twitter (DSS Facebook Page and Twitter Page). Memoranda History: CD12-82",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-1-recruitment-and-responding-inquiries-subsection-3-recruitment-plan
"MO :: Section 6, Chapter 1 (Recruitment and Responding to Inquiries), subsection 2, (Recruitment Plan File)",Missouri,Rules,2023,Administrative process,,,"The recruitment plan file is maintained by the Circuit Manager, or their designee. The file should be updated annually each calendar year and is retained indefinitely. The Recruitment Plan File should contain the following information: Current year’s Recruitment Plan (See Subsection 1.3 for template) Prior Year’s Demographics: Number of total Inquiries, tracked locally Population Demographics, provided by the PDS for Foster Care Licensing Planning meeting minutes, if available Memoranda History: CD12-82",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-1-recruitment-and-responding-inquiries-subsection-2-recruitment-plan
"MO :: Section 6, Chapter 1 (Recruitment and Responding to Inquiries), Subsection 1 (Diligent Recruitment)",Missouri,Rules,2023,"Administrative process, Definitions, Foster parent recruiting",,,"The Multi-Ethnic Placement Act (1994) requires state agencies to make diligent efforts to recruit potential resource families that reflect the diversity of children in out of home care. Diligent recruitment refers to the systematic process of recruiting, retaining, and supporting resource parents who reflect the diversity of children who need placement. Diligent recruitment best practices include: Using a Customer Service model to positively communicate with families; Training and supporting resource parents in their role as caregivers; and Engaging in continuous quality improvement efforts by collecting and evaluating data. There are three types of recruitment efforts: General Recruitment broadcasts a call for foster and adoptive parents and builds public awareness and interest. This is done, for example, through advertising or by setting up an information table at a community event. Targeted Recruitment refers to efforts to find foster and adoptive parents who can meet particular needs of children in care. Agency administrative and demographic data are used to determine the characteristics of current foster and adoptive parents and of the children in care. Recruitment efforts are then targeted to potential resource parents who can meet the unique placement needs of certain children, such as sibling groups, older youth, or children with medical needs. Child-Specific Recruitment refers to efforts to recruit a foster or adoptive family for a specific child or sibling group. Each circuit is responsible for developing, implementing and evaluating an annual Resource Provider Recruitment Plan. Local partnerships established during the development of the Recruitment Plan ensure a well-rounded, locally specific approach that identifies community resources which can assist in meeting recruitment goals. Development of the Recruitment Plan should be facilitated by Children’s Division and include collaboration with: Foster Care Ambassadors; Existing foster, adoptive and respite providers; Court Partners; Local Contracted Agencies; Community Stakeholders; Faith-Based Groups; Local Businesses; Nonprofit Organizations; Universities; Any other community partners who have expressed an interest in supporting the agency’s efforts to recruit foster homes. The Circuit Manager, or their designee, will: Review and approve the annual Recruitment Plan before submitting it to Central Office by January 31 st of each year; Ensure all circuit team members are provided with and understand the Recruitment Plan; Encourage and provide opportunities for all circuit team members to participate in recruitment events; Share the Recruitment Plan and opportunities to participate in recruitment events with community stakeholders; Submit Recruitment events to DSS Communications for announcement. Memoranda History: CD07-54 , CD12-82",https://fostercaresystems.wustl.edu/foster/mo-section-6-chapter-1-recruitment-and-responding-inquiries-subsection-1-diligent
"MO :: Section 5, Chapter 5 (Record Retention and Expungement), Subsection 2 – Other Records :: 5.2.8 Residential Treatment Agencies for Children and Youth and Child Placing Agency Licensing Records",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Foster parent licensing, Reporting requirements",,,"Open and/or active residential child care and child placing agency licensing records shall be retained indefinitely. Closed and/or inactive residential treatment agency and child placing agency licensing records, including any residential treatment agency and/or child placing agency license that has been denied or revoked, shall be retained for ten (10) years from the date of closing, after which they shall be destroyed.  The Division shall retain the Resource Home Adverse Action Report, CS-20, the due process letter(s), supporting documentation for the adverse action, and any appeal information.",https://fostercaresystems.wustl.edu/foster/mo-section-5-chapter-5-record-retention-and-expungement-subsection-2-other-records-528
"MO :: Section 5, Chapter 5 (Record Retention and Expungement), Subsection 2 – Other Records :: 5.2.7 Adoption and Legal Guardianship Resource Records",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Adoption, Guardianship, Legal process",,,"Adoption and legal guardianship resource records, the birth parent record of a child relinquished for adoption, family-centered services cases and the family-centered out-of-home care record for a child removed from his/her birth family and not returned, are all retained indefinitely.",https://fostercaresystems.wustl.edu/foster/mo-section-5-chapter-5-record-retention-and-expungement-subsection-2-other-records-527
"MO :: Section 5, Chapter 5 (Record Retention and Expungement), Subsection 2 – Other Records :: 5.2.6 Potential Adoptive Resource Records",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Adoption",,,"Destroy an adoptive family record five years after closing, if no placement has occurred. Destroy in five years those adoptive applications that have been withdrawn, and those family assessments that have been rejected. Never destroy an adoptive family record for a family who adopted a child previously in the custody of the Division, or any other public or private agency.",https://fostercaresystems.wustl.edu/foster/mo-section-5-chapter-5-record-retention-and-expungement-subsection-2-other-records-526
"MO :: Section 5, Chapter 5 (Record Retention and Expungement), Subsection 2 – Other Records :: 5.2.5 Foster/Relative Resources",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Foster parent licensing, Guardianship",,,"Foster/relative/kinship parent records shall be permanently retained. Any application submitted and withdrawn by a foster/relative/kinship parent shall also be permanently retained, as shall any rejected foster/relative parent assessment. Any foster/relative/kinship home license that has been denied, involuntarily suspended or revoked shall be permanently retained. The Division shall retain the Resource Home Adverse Action Report, CS-20, the Notification of Resource Home Adverse Action, CS-20a, supporting documentation for the adverse action, and any appeal information. Foster/relative/kinship parent records that completed a guardianship on a child they had in their home and received a Legal Guardianship Subsidy shall be permanently retained after the last date of closing of the Legal Guardianship Subsidy. Retain forever any foster/relative parent record in which the foster/relative parent has adopted a child in his/her care, who was previously in the custody of the Division.",https://fostercaresystems.wustl.edu/foster/mo-section-5-chapter-5-record-retention-and-expungement-subsection-2-other-records-525
"MO :: Section 5, Chapter 5 (Record Retention and Expungement), Subsection 2 – Other Records :: 5.2.4 Family-Centered Out-of-Home Care Case (FCOOHC) Records",Missouri,Rules,"2023, 2022, 2021, 2020, 2019",Administrative process,,,Closed Family-Center Out-of Home Care case records are retained indefinitely.,https://fostercaresystems.wustl.edu/foster/mo-section-5-chapter-5-record-retention-and-expungement-subsection-2-other-records-524
"MO :: Section 5, Chapter 5 (Record Retention and Expungement), Subsection 2 – Other Records :: 5.2.3 Family-Centered Services (FCS) Case Records",Missouri,Rules,"2023, 2022, 2021, 2020, 2019",Administrative process,,,Closed FCS case records will be retained indefinitely.,https://fostercaresystems.wustl.edu/foster/mo-section-5-chapter-5-record-retention-and-expungement-subsection-2-other-records-523
"MO :: Section 5, Chapter 5 (Record Retention and Expungement), Subsection 2 – Other Records :: 5.2.2 Removing Criminal History from Records",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Adoption, Guardianship, Investigations, Legal process",,,"The FBI has specific regulations in regard to destruction and archiving of criminal records. State archiving does not meet FBI regulations and no records should be sent to state archives that contain criminal history records. This includes foster, relative and kinship licensing records, adoption records, ICPC and family-centered-out-of-home records. This information must be removed from the record prior to being sent to state archives. Fingerprints are to be removed from any case file and destroyed when a case file is closed. The FBI requires that criminal history records be destroyed so they are not viewable. Records must be shredded or incinerated in order to meet this requirement. However, records must be destroyed either by a Children’s Division employee or in the presence of a Children’s Division employee. FBI regulations allow for contractors to destroy records as long as a CD staff person is present (i.e. done on-site). However, if the contractor picks documents to be destroyed and takes them to another location, this is considered outsourcing and does not meet FBI regulations and should not be used for the destruction of records containing criminal history records. This pertains to specific criminal history such as fingerprints, RAP (Record of Arrests and Prosecutions) sheets, and documentation of specific criminal history. Staff may remove all references to specific criminal history from the record prior to archiving or shredding by a contractor. Criminal history records should be shredded by Children’s Division staff only.",https://fostercaresystems.wustl.edu/foster/mo-section-5-chapter-5-record-retention-and-expungement-subsection-2-other-records-522
"MO :: Section 5, Chapter 5 (Record Retention and Expungement), Subsection 2 – Other Records :: 5.2.1 Removing Extraneous Material from the Record at Closure",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Social worker licensing/qualifications",,,"Workers shall remove and expunge extraneous material from case records prior to or at the time of case closing. Supervisors shall screen case records at the time of closing to assure extraneous material has been removed by the worker. Extraneous materials are notes, observations, or impressions that have not been summarized; phone messages; E-mails; or material not pertinent to the case or that has been formally documented elsewhere in the case record. Workers should assure that un-summarized material pertinent to the case record that is not documented elsewhere should be documented in the case narrative prior to expunging extraneous material.",https://fostercaresystems.wustl.edu/foster/mo-section-5-chapter-5-record-retention-and-expungement-subsection-2-other-records-521
"MO :: Section 5, Chapter 4 (Case Record Transfer Procedures), Subsection 7 – Alternative Case Transfer to Subsidy/Subsequent Subsidy Case Transfer",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Adoption, Guardianship, Moves while in care, Subsidies - Other",,,"When a case transfers from alternative care to adoption or guardianship subsidy staff, the case must be transferred within thirty (30) working days after receiving the adoption decree and/or release of jurisdiction or award of legal guardianship. For existing subsidy cases, if there is a county residence change, management transfers the file to the residence county subsidy worker within ten (10) working days of the family notifying the current worker.  The subsidy agreement must be complete and approved before transfer. Information on documents contained in the transfer file can be found in Section 5, Chapter 1.",https://fostercaresystems.wustl.edu/foster/mo-section-5-chapter-4-case-record-transfer-procedures-subsection-7-alternative-case
"MO :: Section 5, Chapter 4 (Case Record Transfer Procedures), Subsection 6 – Resource Home Licensure Supervision Transfer between Agencies",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Foster parent licensing, Moves while in care",,,"When a resource home licensure supervision transfers from an agency to a different agency, the following guidelines shall be followed: Both agencies involved shall be notified in writing by the resource provider of their intent to transfer agencies. The notification will be placed in the case file. The new agency has the option to not accept the license supervision transfer. The new agency will provide in writing to the current agency the reason(s) for not accepting the license supervision transfer. A licensing file cannot be transferred to another agency when re-licensure is due in less than three (3) months. License supervision cannot be transferred while a resource home is on Administrative Hold. A resource home may only transfer agencies once during a 2 year licensure/approval period. The new agency shall conduct a walk through safety inspection of the home utilizing the Resource Home and Safety Checklist, CS-45 before transfer of licensing case file is accepted by the new agency. All licensing requirements as outlined in Section 6 and the Foster Family Home Licensing Rules, and all documents as outlined in this Section shall be current and present in the licensing file before the resource home transfer is accepted by the new agency. The current agency will compose a concluding narrative that includes a summary of the status of the home and reason for the transfer of the licensing case and place it in the case file. The entire file shall be copied and the copy sent to the new agency that is to begin supervision of the resource home license. The original licensing file shall remain with the agency that developed the home. It is the responsibility of the new agency to collect the certificate of licensure that was associated with the previous agency, and provide the new certificate of licensure. The obsolete certificate shall be placed in the provider’s licensing file. The new certificate of licensure is to be displayed on the premises of the home per licensing rule, 13 CSR 35-60.010 (1)(C)(3). The transfer of agency monitoring responsibility shall be completed within thirty (30) working days of receiving the resource provider’s written request to transfer agencies. The transfer steps include all the guidelines contained in this subsection as well as computer data entry.",https://fostercaresystems.wustl.edu/foster/mo-section-5-chapter-4-case-record-transfer-procedures-subsection-6-resource-home-licensure
"MO :: Section 5, Chapter 4 (Case Record Transfer Procedures), Subsection 3 – Parent of Child in Alternative Care :: 4.3.2 Parent of Child in Alternative Care Moves Out of State",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Moves while in care, Social worker licensing/qualifications",,,"When a parent of a child in Alternative care moves out of state, the Children’s Service Worker shall: Confirm with the parent or collateral that the parent has moved. Write to the public child welfare agency in the state where the parent resides to initiate services. If the initial contact is via telephone, a letter must follow. Continue to contact the parent and provide case management services as is possible.",https://fostercaresystems.wustl.edu/foster/mo-section-5-chapter-4-case-record-transfer-procedures-subsection-3-parent-child-0
"MO :: Section 5, Chapter 4 (Case Record Transfer Procedures), Subsection 3 – Parent of Child in Alternative Care :: 4.3.1 Parent of Child in alternative Care Moves Within the State",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Moves while in care, Reporting requirements",,,"When a parent of a child in Alternative Care moves to another county, the Children’s Service Worker shall: Confirm with the parent or collateral that the parent has moved. Notify the CD office by sending the CD-175 via email to the circuit in which the parent has moved. Complete the recording of all contacts and confer with the new circuit about roles and responsibilities. Close any service authorizations in the former circuit that are no longer needed. Ensure that the receiving circuit has any and all information needed to work with the family. Document Imaging is a useful tool to ensure access to the case information. The Children’s Service Worker in the receiving county shall: Confirm the family’s residence and notify the sending county within five days. Update the FACES when the family is assigned to a Children’s Service Worker. Reauthorize any necessary Children’s Treatment Services or PS child care, if these services are still necessary and available.",https://fostercaresystems.wustl.edu/foster/mo-section-5-chapter-4-case-record-transfer-procedures-subsection-3-parent-child-alternative
"MO :: Section 5, Chapter 4 (Case Record Transfer Procedures), Subsection 2 – Child in Alternative Care :: 4.2.2 Child in Out-Of-Home Care is placed Out of State",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Moves while in care, Placement",,,"When a child in out-of-home care is placed outside of Missouri, the Children’s Service Worker in the sending county shall: Refer to ICPC placement procedures in Section 4 of this manual. Continue to provide case management services to the child and family.",https://fostercaresystems.wustl.edu/foster/mo-section-5-chapter-4-case-record-transfer-procedures-subsection-2-child-alternative-care-0
"MO :: Section 5, Chapter 4 (Case Record Transfer Procedures), Subsection 2 – Child in Alternative Care :: 4.2.1 Child in Out-of-Home Care is Placed Within State",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Moves while in care, Placement, Reporting requirements, Social worker licensing/qualifications",,,"When a child in out-of-home care is placed in another Missouri county, the child’s Children’s Service Worker in the sending county shall: Reach an agreement with the placement county regarding placement of the child; Confirm placement by telephone, in writing, or by e-mail and send form CD-175 via email to the placing county; Be responsible for all case management activities and authorizations. Be responsible for payment of all mileage, clothing, reimbursements and payments. See later in this chapter if the court jurisdiction of the child is changing.",https://fostercaresystems.wustl.edu/foster/mo-section-5-chapter-4-case-record-transfer-procedures-subsection-2-child-alternative-care
"MO :: Section 5, Chapter 3 (Record Access), Subsection 7 – Health Insurance Portability and Accountability Act (HIPAA) :: 3.7.16 Workforce Training",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Social worker licensing/qualifications",,,"All members of the Children’s Division workforce must be trained on policies and procedures with respect to PHI in accordance with DSS/CD policy by mandatory participation in HIPAA Privacy Training. As foster family care providers are considered an extension of the Children’s Division workforce, they also must receive such training.",https://fostercaresystems.wustl.edu/foster/mo-section-5-chapter-3-record-access-subsection-7-health-insurance-portability-and
"MO :: Section 5, Chapter 3 (Record Access), Subsection 6 – Resource Provider Records :: 3.6.6 Adoption Information Registry",Missouri,Rules,"2023, 2022, 2021","Adoption, Definitions, Forms - Other, Legal process, Reporting requirements",,,"“The Adoption Information Registry, located in Central Office, will accept registrations via the CD-51a Adopted Adult Registration, CD-51b Biological Parent Registration or the CD-51c Adult Sibling Registration form through the mail or direct delivery in an envelope marked “Confidential.” This Procedure is Based on SUBSECTION 453.121, RSMo. The Registry can accept applications from adopted adults who were adopted in Missouri or whose biological parents had their parental rights terminated in Missouri.  The Registry also processes application from those biological parents who relinquish a child for adoption in Missouri as well as adult siblings wishing to have contact with the adopted adult. The Missouri Adoption Information Registry, operated by the Children’s Division, is a service by which adopted adults and biological parents or adult siblings may indicate their desire to be contacted by each other. The adopted adult must be age 18 or over before registration is permitted. Biological parents can register any time following termination of parental rights. Adult siblings may register when they are 18 or over. Adopted adults may obtain identifying information on adult siblings with the sibling’s consent without the court having to find that such information is necessary for health-related purposes. When a “match” occurs and both parents have not registered and the other is located, the located parent must file an affidavit authorizing the release of identifying information with the court which granted the adoption or register with the “Adoption Information Registry.” If a biological parent authorizes the release of information or if a biological parent is found to be deceased, the court shall disclose the identifying information as to that biological parent to the adopted adult as long as the other biological parent is: unknown; known but cannot be found and notified; deceased; or has filed with the court an affidavit authorizing the release of information. The Children’s Service Worker shall: Receive request for information from biological parents, adult sibling(s), or adopted adult. Give the CD-51a Adopted Adult Registration, CD-51b Biological Parent Registration or CD-51c Adult Sibling Registration to the interested party along with the brochure about the registry. Receive request from Central Office to aid in identification of and/or search for other biological parent in the event a “match” has occurred. Search Division files for identification of the other biological parent and possible location. Complete confidential notification of other biological parent if identified and located. Provide information regarding option, i.e., registration with the Adoption Information Registry or filing an affidavit with the court which granted the adoption indicating identifying information may be released. NOTE: Failure to do one of the above options will prohibit the release of information about any of the registrants. Report outcome of identification and status of biological parent’s consent via CD-51b within five (5) days to the Adoption Information Registry in a confidential envelope. Record all activities in the case narrative of the adoptive parent(s)’s case file within (10) ten days of the point action is completed.  Then file all forms, reports and other correspondence in the “Adopted Adult Information Request:” section of the adoptive parent(s) case record. Related Practice Alerts and Memos: 8-28-2020 – CD20-38- Adoption Records Disclosure",https://fostercaresystems.wustl.edu/foster/mo-section-5-chapter-3-record-access-subsection-6-resource-provider-records-366-adoption
"MO :: Section 5, Chapter 3 (Record Access), Subsection 6 – Resource Provider Records :: 3.6.5 Adopted Adult Requesting Non-Identifying Information",Missouri,Rules,"2023, 2022, 2021","Adoption, Definitions, Forms - Other, Legal process, Reporting requirements",,,"This Procedure is Based on SUBSECTION 453.121, RSMo. All adopted adults, adoptive parent(s), or legal guardians will be given non-identifying information, if known, regarding the biological parents and siblings of the specific adopted child, who is the subject of the request, upon providing proper identification and, in the instance of an adopted adult request, proof of age (must be age 18 and over). If the adopted adult is deceased, the adopted adult’s lineal descendants may also receive non-identifying information concerning undisclosed biological parents or siblings.  “Lineal descendants” as defined in Section 472.010 RSMo. Non-identifying information includes information that is not identifying information. Section 453.121 does not authorize for release any other types of non-identifying information. See definitions for further guidance regarding medical history. A written request via completion of form CS-50 is required. Requests for non-identifying information should be referred to the circuit court if the local office is unable to identify that the adopted child, who is the subject of the request, was placed for adoption by the Division. Release of non-identifying information is permitted on adoptions completed before and after August 13, 1986. For closed adoption records, the Children’s Service Worker would: Receive request for non-identifying information from adopted adult, adoptive parent(s) or legal guardian. See Children’s Services Forms Manual, instructions for CS-50. Request for Release of Non-Identifying Information/Completed Adoptions. NOTE: The adopted child does not have to be 18 years of age if adoptive parent(s) are requesting non-identifying information. Secure proof of identification of individual making request and proof of age, if adopted adult is making the request. See 2.6.4.1 for methods of securing proof. Refuse the request if the adopted individual is making the request and is unable to provide proof of being age 18 and over. Secure proof of identification from the lineal descendant by requiring additional documentation to verify the relationship of the requester to the adoptee such as: Photocopy of state-issued birth certificate, or Certified copy of a court document stating relationship. A certified copy of the adoptee’s state-issued death certificate is also required. Determine that record exists regarding the adopted adult who is the subject of the request. Make request of county holding the adoption record if it is determined that the adoption was completed in another county; or Refer requestor to circuit court of residence of the adopted child if it is determined that the Division did not place the child. Prepare CS-50 with the available non-identifying information. Document within ten (10) working days, on CS-50 in the adoptive parent’s record, the time, place and person to whom CS-50 was provided and retain copy in the case file. Record all activities in the case narrative, and insert all forms, reports and other correspondence in the “Adopted Adult Information Request” section of the adoptive parent(s) case record. Related Practice Alerts and Memos: 8-28-2020 – CD20-38- Adoption Records Disclosure",https://fostercaresystems.wustl.edu/foster/mo-section-5-chapter-3-record-access-subsection-6-resource-provider-records-365-adopted
"MO :: Section 5, Chapter 3 (Record Access), Subsection 6 – Resource Provider Records :: 3.6.4.2 Searching for a Biological Parent",Missouri,Rules,"2023, 2022, 2021","Adoption, Court system, Definitions, Investigations, Reporting requirements",,,"Do not contact the Attorney, Physician, Minister or Priest who assisted in the original consent for adoption or termination of parental rights. Contacts between these persons and biological parents are considered a privileged communication and are not available as an aid in searching for parents. The definition of reasonable effort to notify biological parents includes: A minimum of two (2) calls (by telephone and/or in person at last known address) at varying times between 7:00 a.m. and 9:00 p.m. at the location if the Children’s Service Worker believes the biological parent has been identified and located. It is preferred that contact not be made at their place of employment unless this is the only avenue available for the confidential notification. Any or all of the following steps in attempting to locate biological parents should be taken until the Children’s Service Worker believes that the parent(s) cannot be located. These steps include: Reviewing all information provided by the court regarding the request of the adopted adult; Contacting the court for release of any last known information the court may have, if the request from the court does not include information regarding the biological parent; Examine the Division’s internal sources of information such as: Income Maintenance family records and information via IM workers; Food stamp records and information via those workers; Children’s Services family records and information via those workers; Appropriate DSS system screens (i.e., SCLR, IBTH, IDTH AND IDSS); and The Adoption Information Registry in central office. NOTE: If the Social Security Number (SSN) is known, the registry staff can assist in identifying the state in which the parent was last known to be located. Requests can then be forwarded to the child welfare office in that state for assistance in locating a biological parent. Information in the request should include any last known identifying information regarding the biological parent (i.e., date and place of birth, parents’ names and, if possible, the mother’s maiden name). Examine external sources of information such as: Postmaster: The local post office will have a form for requesting address information. This may be completed and sent to the postmaster of the post office serving the biological parent’s last known address. Public utilities: If previous address and name on account are known. Directories: Telephone, city, street, trade, labor, and professional, etc. Other public agencies in Missouri: Employment Security screens (IMES). Requests should be made to the local Employment Security office. Division of Motor Vehicles, Driver License Bureau. Complete the CD88 Request for Location Services form and submit to the designated staff in your region who has security clearance to complete the search. Requests can also be made in writing to the Driver License Bureau, 301 West High Street, Jefferson City, MO 65101. On Division letterhead include the person’s name, date of birth and last known address. Court/county records: County and city officials including recorders of deeds, county clerks, county commissioners, appraiser, collector, Board of Election, etc. NOTE: The reason for the inquiry must not be released and workers are not required to give the reason since the above information is public and accessible to anyone. If the worker has reason to believe either of the biological parents are involved in any civil court proceedings, he/she may contact the local court to obtain the parent(s)’s last known address. If the court refers the worker to the attorney, contact the attorney. The attorney will not disclose information without the client’s consent; but, even in such cases, it may lead to a voluntary contact by the biological parent with the worker. If the contact with the attorney does not produce the necessary information, the worker may make a contact with court again. Societies or lodges (Does not include church organizations). Bureau of Indian Affairs. Requests should include all available identifying information about the adopted adult and the biological parents. Requests can be expedited if the tribe is known and included in the request. Requests on Division letterhead should be sent to: Bureau of Indian Affairs Eastern Area Office 1951 Constitution Ave., N.W. Washington, DC 20245 (202) 343-5582 NOTE: Under Federal law an adopted Indian child at age 18 has the right, upon application, to be informed of the following: the tribal affiliation, if any; the names of the biological parents; and any other information necessary to protect any rights flowing from the individual’s tribal membership. Missouri Department of Corrections, if you have reason to believe the biological parent is or ever has been in prison. Requests should be made to the facility holding the individual. Missouri Department of Mental Health, if you have reason to believe the biological parent has been or is currently a recipient of their services. Requests should be made to the last known facility. Related Practice Alerts and Memos: 8-28-2020 – CD20-38- Adoption Records Disclosure",https://fostercaresystems.wustl.edu/foster/mo-section-5-chapter-3-record-access-subsection-6-resource-provider-records-3642-searching
"MO :: Section 5, Chapter 3 (Record Access), Subsection 6 – Resource Provider Records :: 3.6.4.1 Confirming the Identity of Individuals Requesting the Release of Information in Adoptions",Missouri,Rules,"2023, 2022, 2021","Adoption, Court system, Definitions, Investigations, Legal process, Reporting requirements",,,"The methods selected to confirm the identity should be appropriate to the category of the individual making the request for release of information, and might include: Requesting the individual to supply a copy of a birth certificate or viewing the birth certificate and recording in narrative the birth certificate number. Requesting the individual to supply a copy of the adoption decree or viewing the decree and recording the court file number. Requesting the individual to supply a copy of their driver’s license. Viewing the legal papers awarded to the guardian(s) of the person when non-identifying information is requested. Related Practice Alerts and Memos: 8-28-2020 – CD20-38- Adoption Records Disclosure",https://fostercaresystems.wustl.edu/foster/mo-section-5-chapter-3-record-access-subsection-6-resource-provider-records-3641-confirming
"MO :: Section 5, Chapter 3 (Record Access), Subsection 6 – Resource Provider Records :: 3.6.3 Adopted Adult Requesting Information",Missouri,Rules,"2023, 2022, 2021","Adoption, Court system, Definitions, Legal process, Reporting requirements",,,"This Procedure is Based on 453.121, RSMo: The adopted adult is the only person who can petition the court for a release of identifying information, unless the adopted adult is deceased, in which case lineal descendants may petition the court.  “Lineal descendants” as defined in Section 472.010 RSMo. Any adopted adult whose adoption was completed in this state or whose biological parents had their parental rights terminated in the state may request the court to secure and disclose identifying information concerning a biological parent or an adult sibling. Adoption occurring after August 28, 2020 are notwithstanding any provision of law, all information, including identifying information, shall be released to an adopted adult if the adopted adult’s biological parent lost his or her parental rights through a nonconsensual termination of parental rights proceeding. When the adopted adult makes a written request to the court, identifying information about biological parents or siblings is released only by the court which granted the adoption. The Circuit Court having original jurisdiction will: Within ten (10) days notify in writing the child-placing agency of the request. Within three (3) months after receiving notice of the request, the court will receive a report from the child-placing agency stating if the biological parents were located and given the required information. Receive information from the child-placing agency if the biological parents were unable to be notified. Disclose identifying information if the biological parent has filed a release with the court or if the biological parent is found to be deceased, the court will disclose identifying information as to that biological parent to the adopted adult, or the adopted adult’s lineal descendants if the adopted adult is deceased, provided that the other biological parent is either: unknown; known but cannot be found and notified; deceased; has filed with the court an affidavit authorizing the release of information; or the adopted adult’s biological parent lost his or her parental rights through a nonconsensual termination of parental rights proceeding. Disclose identifying information pertaining exclusively to the biological sibling upon consent of that biological sibling. Not accept additional requests for the same information within one year from the end of the (3) three month period, provided that the biological parents were unable to be notified, unless a good cause is shown and leave of court is granted. Not accept additional requests within (3) three years of the time the biological parent fails or refuses to give consent authorizing the release of identifying information. The Children’s Service Worker will: Receive written notice from court that an adopted adult has made written request for release of identifying information about biological parents or siblings. If appropriate, report to court that the information requested was made by an adopted adult who made a similar request less than (1) one year from the date of current request and the biological parent/siblings could not be located at the time of the previous request. If appropriate, report to court that the adopted adult made a similar request within the last three (3) years and the biological parent/siblings refused to consent to the release of identifying information. NOTE: 453.121, RSMo, does not require another search until the above time frames have elapsed. Review appropriate Division records to gather identifying information on adopted adult, biological parents, adoptive parents, and biological siblings. Make reasonable efforts to notify the biological parents or the biological siblings of the request of adopted adult through a “confidential and personal” contact, which may include contact by telephone or face to face contact. Determine that either or both biological parents are deceased and document information source regarding this fact. Determine that a biological parent is unknown, after review and search of adoption records and other materials, and document the information source regarding this information. Determine that a biological parent is known, but cannot be located, and document the attempts to locate the specific biological parent. Determine that the biological parent has previously filed an affidavit with the court, if the biological parent indicates this has been done, and obtain identifying information about the court receiving the affidavit. Request assistance from another county office or state if biological parent is located out of state. Inform person contacted of need for confidential contact. Determine that either or both biological parents lost his or her parental rights through a nonconsensual termination of parental rights proceeding. Inform the biological parent(s) at the time of notification of the following: A report to the court will be made which includes the following information: The nature of the identifying information contained in Division records. The nature of the non-identifying information contained in Division records. The date of the request of the adopted adult. That the Division has informed the biological parent of the necessity to file an affidavit with the court permitting the release of identifying information. That the Division informed the biological parent of the effect of a failure to file an affidavit consenting to the release of identifying information. The necessity to file an affidavit with the court which granted the adoption stating that the identifying information should be disclosed. That identifying information will not be released to the adopted adult if the affidavit is not filed with the court. The identifying information will be released only by the court to the adopted adult. File report with the court at the end of three (3) months, or as soon as information is secured, which includes the following information: That each biological parent was/was not located. The nature of the identifying information requested. The date of the request of the adopted adult. The fact that the biological parent was informed of the right to file an affidavit with the court stating that identifying information should be disclosed. The fact that the biological parent was informed of the effect of a failure to file the affidavit. NOTE: “Effect of a failure” is that identifying information cannot be released to the adopted adult. A summary of the discussion with each biological parent, if applicable. Record all activities in the case narrative within ten (10) working days in the adoptive parent(s) case record: File copies of reports and other correspondence in the “Adopted Adult Information Request” section of the case record. Related Practice Alerts and Memos: 8-28-2020 – CD20-38- Adoption Records Disclosure",https://fostercaresystems.wustl.edu/foster/mo-section-5-chapter-3-record-access-subsection-6-resource-provider-records-363-adopted
"MO :: Section 5, Chapter 3 (Record Access), Subsection 6 – Resource Provider Records :: 3.6.2 Adoptive Family Record Access",Missouri,Rules,"2023, 2022, 2021",Adoption,,,"The Children’s Service Worker shall inform adoptive parent(s), prospective or otherwise, of their right to view their adoptive records. Should an adoptive parent(s) request to view their record, the worker shall immediately acknowledge the receipt of their request with a letter including an appointment date and time to review the record no later than ten (10) working days from original date of request. At that appointment the Children’s Service Worker shall verify the identity of the adoptive family and provide a private area for viewing. Do not permit review of any identifying information or non-identifying information of child or biological family if the adoption has been completed and the child and adoptive parent(s)’ records have been combined. Background information about the child important to the child’s placement should have been shared at the time of placement.  If they wish confirmation of this information, complete the CS-50 and follow the appropriate steps. The Children’s Service Worker shall provide the adoptive family with a copy of the adoptive family assessment if they have never been given one. The worker will then document in the narrative, within five (5) working days, the time, place and person with whom the record was reviewed and/or material copied. This does not affect the written procedures governing the summary of information shared with the prospective adoptive parent(s) at the time the child is placed. Related Practice Alerts and Memos: 8-28-2020 – CD20-38- Adoption Records Disclosure",https://fostercaresystems.wustl.edu/foster/mo-section-5-chapter-3-record-access-subsection-6-resource-provider-records-362-adoptive
"MO :: Section 5, Chapter 3 (Record Access), Subsection 6 – Resource Provider Records :: 3.6.1 Foster Family, Relative, Kinship, and Respite Record Access",Missouri,Rules,"2023, 2022, 2021","Foster parent licensing, Investigations, Legal process",,,"The licensing records of all resource provider homes are considered closed records under Chapter 610 RSMo. Access to information on the suspension or revocation of a foster home license within the record is covered under Chapter 210.498 RSMo.  The determination of whether license suspension or revocation information may be released should be made by the Division of Legal Services (DLS). Any parent or legal guardian of a child in foster care may have access to investigation records kept by the division regarding suspension or revocation of the license of a foster home in which the child was placed. The information contained within a provider file that is protected and may not be released includes: Any identifying information regarding any person other than the person to whom a foster home license was denied or revoked. Financial information Medical information Personal information relating the resource parent provider or the provider’s family, unless the division determines that the information is directly relevant to the disposition of the investigation and report Child Abuse/Neglect reports Foster child information (at the request of biological parent, the information on their child can be released but not on the other children in the foster home) In order for a foster child’s parent or legal guardian to have access to investigation records regarding suspension or revocation of the foster home in which the child was placed, the person must make the request for the release of such information to the division director or designee. This request must be made in writing by the parent or legal guardian of the child and shall be accompanied by a signed and notarized release form from the person who does or may provide care or services to the child. The request must include the full name of the provider, date of birth and Social Security number. If they do not meet these criteria, the information may not be released. If the requestor of the file is the individual of whom the file is regarding, it is not necessary to redact the personal information. The redacted file is then sent to Children’s Division Privacy Officer at Central Office in Jefferson City for review. If the request was a “Sunshine” request, the Privacy Officer will then forward the file to the Division of Legal Services for additional review. Upon receipt of a request from the parent or legal guardian of the foster child for investigation records pertaining to denial or revocation of the foster home license where the foster child was placed, staff are to send the request immediately by scan or by fax to the Department Privacy Officer and the Division Privacy Officer. Criminal History The record may only be released to the individual named on the record. The person must make the request in writing and provide photo identification to receive a copy. They must also sign a statement stating they received a copy of their record.  This statement should be maintained in their file. The Division may release records only to the person to whom it belongs. The Division also requires criminal history records on household members age 17 and those under 17 who have been certified as adults by the court.  These records cannot be released to anyone other than the individual on whom the record was requested. The parent of the household may not receive copies of these individuals’ records as they are considered adults. The Circuit Manager or designee must notify the foster parent(s) of the request for a copy of their record and by whom. Related Practice Alerts and Memos: 8-28-2020 – CD20-38- Adoption Records Disclosure",https://fostercaresystems.wustl.edu/foster/mo-section-5-chapter-3-record-access-subsection-6-resource-provider-records-361-foster
"MO :: Section 5, Chapter 3 (Record Access), Subsection 5 – Other Persons/Agencies Entitled to Case Record Information :: 3.5.10 Minor Children",Missouri,Rules,"2023, 2022, 2021","Emancipation, Legal process",,,"Information in the family record will be shared with minor children in accordance with the following guidelines: If the child is in the custody of CD , we have a right to determine if the child should see the record. We may want to request guidance from the court if there is a particular concern. If the child is in the legal custody of another person (i.e., parent, guardian), then we should ask that person whether or not they want the child to view the record. If the child is an emancipated minor , then we should, under the law, share the record.",https://fostercaresystems.wustl.edu/foster/mo-section-5-chapter-3-record-access-subsection-5-other-personsagencies-entitled-case-record
"MO :: Section 5, Chapter 3 (Record Access), Subsection 3 – Alternative Care Records",Missouri,Rules,"2023, 2022, 2021, 2020, 2019",Legal process,,,"The following persons may have access to information contained in out-of-home case records: A parent may have access to their own record (the case record that is established under their name); A parent may have access to the record which has been established for their child in out-of-home care; The child in the custody of CD in whose name a case record has been established. If there is a particular concern regarding the child’s access to the record, the Children’s Service Worker shall seek guidance through supervisory channels; The child in the legal custody of another person where the court has ordered CD to supervise. The Children’s Service Worker shall contact the legal custodian to determine if it is appropriate for the child to view the record; The out-of-home care provider may have access to the record which has been established for a child in the custody of CD when the child is placed in the out-of-home care provider’s home or facility; An emancipated minor, or person over age 18, may have access to the record that was established for him/her while in out-of-home care; and This person may also have information from the parent’s records for the time period the child received services prior to, during, and following the placement. Supreme Court Rule 123.08 requires the Children’s Division and the Juvenile Officer to provide access to records and information within specific time frames without a formal discovery request. Within ten (10) days of the protective custody hearing or within fourteen (14) days of the filing of the petition or motion to modify, the Children’s Division and Juvenile Officer must allow for certain records to be made available to all parties. The records may include the following and should be relevant to the allegations in the petition: Medical records of the juvenile; Law enforcement records, including incident reports. If information regarding an active investigation is requested, CD staff should request permission from law enforcement to release the information. If law enforcement will not approve the release due to an active investigation, CD should notify all parties that the information cannot be released at this time; Written statements, videotapes, and audiotapes regarding the juvenile and or parents/guardians; Reports and affidavits submitted by the Children’s Division to the juvenile office recommending protective custody or a petition to be filed; Completed CD reports and safety plans; Written service agreements; and Completed hotline reports, redacted as required by law. If the hotline report is not completed by the timeframes set forth in the initial court hearing, the report should be made available upon completion. CD must also make available to all parties any new relevant information related to the allegations obtained within ten (10) days of receipt of the request. This rule only requires CD to make available completed documents in their case record. The rule does not require CD to request additional records not currently in its possession for any other party. Staff are not required to have a release of information form signed by the parents to release information related to the allegations pursuant to a request made under this rule as long as there is an order of appointment by the court or entry of appearance made by the attorney. However, a signed release of information form is required to release confidential materials regarding the parents’ protected health information or materials not covered in the rule. When receiving drug and alcohol treatment material, staff will need to ask the provider if the information is covered under the federal drug and alcohol statutes. The rule does not require CD to make copies of the information. Staff may schedule an appointment for the party to review the relevant information in the record. If the party or attorney would like copies of the documents, they may provide a written or verbal request. If copies of the information are requested, the Children’s Division must follow the timeframes established in this rule as this rule supersedes the CD policy which allows ten (10) days to prepare the case file. Only one copy per party will be made. Any additional copies will be made at the expense of the person requesting the copy.",https://fostercaresystems.wustl.edu/foster/mo-section-5-chapter-3-record-access-subsection-3-alternative-care-records
"MO :: Section 5, Chapter 2 (Documentation), Subsection 9 – Specifics on Documentation in Resource Licensing",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Exit from care, Foster parent licensing, Placement, Reporting requirements",,,"The initial recording should document the date the pre-service training assessment was reviewed and signed by the family and Children’s Division staff. Staff should also meet with the family’s biological/adopted children separate from the parents to discuss their feelings on alternative care placements and sharing their household. An overview of the Foster Family Profile, CD-56 and the types of placements and children desired, as well as the strengths and needs identified in the assessment and during the initial contact with the family should be included. The date the vendor was opened in the system should also be noted. The pre-service training class work/homework documents are to be returned to the resource provider(s) once their license has been approved and opened in the system. The next recording should be to document the discussion of and agreement to the Professional Family Development Plan, CD-100. Within thirty (30) days of the family becoming licensed, the worker is to schedule a meeting to develop a Professional Family Development Plan CD100 with the resource family. Any placements made, contacts with the family, staff concerns with the family, and trainings attended should be documented by the licensing worker. A summary should be completed at the end of each quarter that addresses any concerns or issues noted during the quarter, number and types of placements made, reasons for any moves out of the household, and training attended. Subsequent Recording Subsequent recording should document the date of the licensing worker’s home visits (which must occur a minimum of once each quarter) and contact with the family’s biological/adopted children. The worker should also document discussion of any licensing issues, placement concerns, progress and/or changes to the Foster Family Profile, CD-56, and any other issues/concerns noted by the Children’s Service Worker. Ongoing documentation should include anytime the home is considered for placement and why the home was chosen or not, and the date any children moved from the household and why. The quarterly summary is the CD-118. The quarterly summary should include the number and types of current placements, changes in household composition (i.e. divorce, death, illnesses, adoptions, births, etc.), and changes to the physical environment (moves, additions, remodels, etc). There should also be a discussion of any hotline reports, incidents, issues or concerns involving the foster, relative or kinship family and any action taken. It should also be noted if no action was taken and why. Quarterly visits are conversational allowing for the sharing of concerns as well as accomplishments and development of a mutual relationship of trust. The visits are to be used as a prompt to have meaningful conversations about pertinent issues and assure compliance with licensing requirements. The conversation must include how the Reasonable and Prudent Parenting Standard is being applied in the home. The CD-100 should be reviewed and updated annually and at each license renewal and should be documented in the case record. Yearly updates should include the families’ progress in the CD-100 and with documentation of any changes made to the plan. A summary of the family’s performance should also include whether the family is meeting the core competencies, including the Reasonable and Prudent Parenting Standard, if there are areas of need identified for the family, and what strengths have the family demonstrated. The CS-45, Resource Home and Safety Check list, is completed at the initial walkthrough and at license renewal. Documentation of Contact with Children in Division Custody Contact with all household members should be documented. However, only initials should be utilized when making reference to children in Division custody. This is true of all current and previous placements in the household. Resource family records are not confidential and may be requested by the public but information on children in Children’s Division custody is confidential. Using initials only will help to maintain confidentiality of the children in Division custody. A list, Placement Report for Resource Home Record, CD-104 should be maintained in the front of the file with the names, placement and removal dates of all children in the resource family home. This form will be removed prior to the records being made public. Foster Family Profile A photograph of the resource provider’s family and the Foster Family Profile, CD-56, is to be placed under separate cover sheet and placed in the front of the resource provider’s record. The Foster Family Profile is to be accessible to the Family Support Team in making its determination and selection of placements for children. A new CD-56 is to be completed at the time of re-licensure or when there are changes in the household composition that impact the information gathered on the Foster Family Profile. The most recent CD-56 is to be kept in the front of the resource provider’s record. The obsolete CD-56 should be placed in the Family Assessment Section of the resource provider’s file, with a notation on the front page of the profile identifying it as obsolete. Documentation of Criminal History Staff should not list specifics in the narrative section of the file when documenting criminal history. The narrative should simply reflect one of the following: Fingerprint based criminal background check results meet eligibility requirements; Fingerprint based criminal background check results do not meet eligibility requirements; or Fingerprint based criminal background check results require further review to determine if applicant is precluded from licensure. Specific criminal history information may be included in the Resource Home Adverse Action Report, CS-20, when it is the basis for denial or revocation.At the time of re-approval or re-licensure, staff should destroy the criminal history report obtained for the last approval/licensure period. The previous record is obsolete and no longer required to be maintained in the record. Staff should document that the report was destroyed. This should be done only after receipt of the new criminal history report. Staff should not maintain any electronic copies of criminal history records. Closing Summary There should be a summary completed whenever a resource home is closed. For those closed voluntarily, the narrative should include why the family chose to close their license as well as any concerns or strengths of the family noted by staff. For those closed due to revocation, the licensing issue that led to the revocation and any other concerns should be documented clearly. The date of the exit interview and the discussion with the family should be documented in the closing summary. Provide a copy of the Resource Family Exit Interview, CD-112, for the resource provider to complete. The CD-112 shall be placed in the forms section of the case record. The CD-112 can be used to assist the worker in conducting the exit interview with the resource provider.",https://fostercaresystems.wustl.edu/foster/mo-section-5-chapter-2-documentation-subsection-9-specifics-documentation-resource-licensing
"MO :: Section 5, Chapter 1 (Case Records and Filing), Subsection 4 – Resource Home Records",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Forms - Other, Foster parent licensing",,,"Documentation and file maintenance are as important in resource provider files as they are for foster youth’s case files. No child-specific information should be placed in the resource file with the exception of the CD-104 located inside the front cover of the file. The following is a guideline for file set up and maintenance. Forms Section (Yellow) Assessment Application, CS-42 Resource Home and Safety Checklist, CS-45 Out of County Home Assessment Request, CD-174 Resource Parent Acknowledgment and Assurances Form, CD-108 Well Water Check (Health Department), if applicable Discipline Agreement, CD-119 Safe Sleep Practices, CD-117 Notification of Hazards, CD101; Swimming Pool, Trampoline, household smokers, etc. Current Authorization for Release of Information, SS-6 Current Vendor Licensure/Placement Resource Report, formerly referred to as the SS-60, now the Vendor Licensure/Approval and Renewal screen in FACES. Sanitation Inspection, CS-101j, if applicable Fire & Safety Inspection, if applicable Resource Family Exit Interview, CD-112 HIPAA (White) (Information in this section is not available to the public) Resource Provider Health Insurance Portability and Accountability Information, CD-194 Foster/Adoptive Household Member Physical And Mental Health Report , CW-215 Psychological Evaluations/Therapists Reports TB Test Background Section (Green) Current Fingerprint Based Criminal Background Check Results or Letter Case.Net Check Family Care Safety Registry Sex Offender List by Address, Search Missouri Sex Offender Registry Correspondence (White) Letters to Foster Family Any other written correspondence (including business E-mail) Training (Buff) All Training Certificates Training sign in sheets Training record screens Resource Family In-service Training Request, CD-114 All flyers and notifications of In-service training opportunities Contracts/Licensing (Yellow) Alternative Care, CM-3 Professional Parenting, CM-14 Respite, CM-10 Elevated Needs Level B Respite, CM-9 Elevated Needs Level B, CM-8 Level A Foster Care, CM-3 Amendment Medical Home, CM-3 Amendment Family Assessment (White) STARS Initial In-Home Consultation Resource Provider Family Study and Addendums Personal Reference Questionnaire, CS-101f Utilized at initial licensure and only at re-licensure if warranted School Reference Request, CS-101e Utilized at initial licensure and at re-licensure for all children in the home. Do not place foster youth’s CS101e in the resource provider file Employer Reference Questionnaire, CS-101c Utilized at initial licensure and only at re-licensure if warranted Reassessments Professional Family Development Plan, CD-100 Outdated CD-56’s Quarterly Summaries, CD-118 OHI Reports (Pink) Case Name Date of Report Incident Number Expungement Date Administrative (White) Resource Home Adverse Action Report, CS-20 CA/N Check (Should only be in this section with a CS-20) Notification of Resource Home Adverse Action, CS-20a Alternative Care Grievance Review Request, CS-70 Service Delivery Grievance Form, CS-131 Notification Letter for Adoption and Guardianship Subsidy Denial, CD-87 Application for Fair Hearing, CD-53 Withdrawal of Request for Hearing, CD-54 Narrative (Blue) Dictate when a Family is licensed/re-licensed Dictate when a child moves in and out Record all home visits and meetings with resource provider family Record when training notices have been mailed Record when foster parents have participated in training Record any licensing concerns noted and action taken Document closing narrative Level A/Level B/Medical Staffing Outcomes (non-child specific) Emergency Plan/Disaster Plan (Red) Required information as outlined in memo CD06-33 Note: italics indicates this must be in all records The following items are viewed for the assessment process, but are not kept in the case file: Directions to the home, including MapQuest print outs. Copies of Social Security cards, birth certificates, school diplomas, car titles, driver’s licenses, and STARS/Spaulding homework. Bank account numbers, bank account statements, tax filing forms. The Financial Worksheet provided in the STARS curriculum Step 6 is the worksheet to be used to determine stable finances and money management. However, the worksheet is a part of the STARS homework and is not to be kept in the file. Child-specific information including court orders and the Child Assessment and Service Plan, CS-1 Outdated fingerprint results",https://fostercaresystems.wustl.edu/foster/mo-section-5-chapter-1-case-records-and-filing-subsection-4-resource-home-records
"MO :: Section 5, Chapter 1 (Case Records and Filing), Subsection 3 – Adoption/Guardianship Subsidy File",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Adoption, Definitions, Guardianship, Legal process, Subsidies - Other",,,"This file is to contain family adoption/guardianship subsidy information and should be created for the adoptive or guardian family at the time of their first adoption/guardianship involving subsidy. As the family adopts or receives guardianship of more children, the new child(ren)’s information is to be added to this file.  This is to be a separate file used by the Children’s Service Worker managing the subsidy.  Any information post-adoption/guardianship should be placed in this file.  Contents of this file are to include the Child’s Placement summary, any reports for the child, the family’s home assessment and updates, forms, payment related paperwork, legal paperwork, the subsidy contract, and any correspondence.  Narrative that relates to the family should be entered in FACES.  The following sections are to be a part of this file: Child Assessment – (Cover Sheet: White) Child placement summary signed by the worker and family Reports on the child Family Assessment – (Cover Sheet: White) Home Assessment Updates Forms – (Cover Sheet: Yellow) Vendor Licensure/ Approval and Renewal screen in FACES ICAMA forms Third Party Resource Form (TPL-1) and Accident Reporting Form (TPL-2) Release of Medical/Health Information (SS-6) Payment – (Cover Sheet: Green – to be retained for at least one (1) year. If needed, the computer system retains this information and can be obtained.) Service Authorizations Payment Requests Receipts Legal – (Cover Sheet: Buff/Tan) In Legal Guardianship Cases – Proof of Children’s Division Custody Court orders: Release of Jurisdiction (Adoption only) Adoption Petition (if the worker receives one) Transfer of custody order Adoption decree Award of Legal Guardianship Subsidy Contract – (Cover Sheet: Pink) Adoption and Guardianship subsidy forms Narrative – (Cover Sheet: Blue) Case contacts and summaries Correspondence – (Cover Sheet: White) Annual review letter Fair hearing review letter Any other written correspondence Adopted Adult Information Request – (Cover Sheet: White) Documents in this section include information regarding adopted adults, biological siblings, biological parents, and lineal descendants of the adopted adult. Non-Identifying Information Form (CS-50) Court order or request from court Narrative pertaining to request Court report Correspondence Documents including but not limited to: Birth certificate Death certificate Driver’s license or photo I.D. Adoption decree",https://fostercaresystems.wustl.edu/foster/mo-section-5-chapter-1-case-records-and-filing-subsection-3-adoptionguardianship-subsidy
"MO :: Section 5, Chapter 1 (Case Records and Filing), Subsection 2 – Case Management Records",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Reporting requirements",,,"NOTE: cases that began prior to 2018 may still have paper records that follow the former paper filing system.  This system (for reference) can be found here The following sections of case management records compose the paper record that shall be kept by the Division: Individual Section (Cover sheet: white – for each individual with name and DCN) Every child and parent has their own section of this type if these documents are in Children’s Division’s possession. Any information pertaining to only this individual that is necessary to be maintained as an original document goes here. If a document is needed in paper form and applies to multiple persons, a copy can be placed in each person’s Individual Section.  This section includes: Original Birth Certificates Original Social Security Cards Original Death Certificates Documents with parent’s signature (Supervisor’s discretion) Original art or letters written by children (Worker’s discretion) Original pictures sentimental to the family (Worker’s discretion) Hard copies of videos on physical media formats Documents pertaining to medication prescribed (cannot be shredded after being uploaded) Paperwork Documenting consent to begin or change medication related to a child in CD custody (cannot be shredded after being uploaded) Intimate Partner Violence Section – (Cover Sheet: Red) This section is used for intimate partner violence documents and case work to protect the victims of intimate partner violence. Documents may be kept in this section and will not be released with record requests. These documents are not scanned and uploaded. This section includes, but is not limited to: Orders of Protection Signs of Safety forms (if containing sensitive information) Police Record Written Statements Witness Statements Narrative summary of violent incidents",https://fostercaresystems.wustl.edu/foster/mo-section-5-chapter-1-case-records-and-filing-subsection-2-case-management-records
"MO :: Section 4, Chapter 12 (Financial Considerations), Subsection 9 – Terminating Cost of Care",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Court system, Exit from care, Forms - Financial, Legal process, Moves while in care, Permanency, Placement, Reporting requirements, Subsidies - Foster Parents, Use of federal money (including Title IV-E)",,,"The following steps apply when terminating the cost of care of a case. Terminate maintenance via the AC Client Information screen if: The child is placed with a parent (in this situation, the AC Client Information function, SS-61 will be closed unless the child is considered to be on trial visit, which is defined as child being returned to principal caretaker for a limited and specified period of time, and court ordered. The temporary placement type will be “A”.); or The child is placed with an adoptive family who will not need an adoption subsidy, effective the date of placement. The child is transferred to the custody of a relative; or The child is placed in the custody of the Juvenile Court excluding the Class I Juvenile Court Counties of Clay, Greene, Jackson and St. Louis; or The child is placed in the Missouri schools for the deaf or blind, or Juvenile Court detention, or a medical facility; or NOTE: The child can have special expense cost met while in these types of placements. The child is placed via court order with an ineligible relative or other placement resource. Transfer the MO HealthNet card to the parent(s) when the child is returned to their care. Invoice payment for special expenses via Payment Request within seven (7) calendar days of receipt of the bill for services provided while the child was still in placement. NOTE:  If authorized, payment for special expenses may be invoiced on a Payment Request after the child’s exit from alternative care, if the service was delivered during the period of time the child was in alternative care. Inform the FSD worker immediately when a child leaves alternative care and is placed in an FSD household. Inform other funding sources of the child’s exit from alternative care. If appropriate, complete the CS-KIDS-2 to disburse the child’s KIDS account.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-12-financial-considerations-subsection-9-terminating-cost-care
"MO :: Section 4, Chapter 12 (Financial Considerations), Subsection 7 – Children’s Treatment Services :: 12.7.1 - Other State and Community Resources",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Services while in care - Medical, Services while in care - Mental Health, Services while in care - Therapies (not mental health), Subsidies - Other, Use of federal money (including Title IV-E)",,,Assess the child’s condition and other resource availability. Determine if the child’s condition meets requirements of the other resource. Submit any application required with appropriate information. Receive benefits and make any necessary modifications to other funding sources and complete necessary forms.,https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-12-financial-considerations-subsection-7-childrens-treatment-services-0
"MO :: Section 4, Chapter 12 (Financial Considerations), Subsection 7 – Children’s Treatment Services :: Intro",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Services while in care - Medical, Services while in care - Mental Health",,,"The following steps apply when authorizing and screening for using CTS funds: Determine the appropriate treatment services. Obtain clearance from the authorizing designee to authorize needed Children’s Treatment Services or Protective Service Child Care according to local policy (this may also require or be subject to court order, supervisory approval, parental consent, guardian ad Litem consent, etc.) Complete and submit the authorization in FACES Check any invoices received for completeness, reasonableness, and accuracy. Take appropriate action to correct any invoice containing errors. Sign and submit the correct invoice for payment through the FACES system. Obtain progress reports as needed. Modify authorizations in FACES when needed. Close authorization in FACES when the service is no longer required. Discuss with the provider the system generated notification regarding closing, as necessary.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-12-financial-considerations-subsection-7-childrens-treatment-services
"MO :: Section 4, Chapter 12 (Financial Considerations), Subsection 6 – Supplemental Security Income :: 12.6.1 – Qualifications for SSI",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Services while in care - Medical, Services while in care - Mental Health, Services while in care - Therapies (not mental health)",,,"The Supplemental Security Administration’s (SSA) “listings” are physical and mental problems that are severe enough to disable a child. If a child does not have a listed impairment, SSA will determine if a child’s condition would equate a “listed impairment” or would cause marked and severe functional limitations. This means that a child does not have to have one of the listed impairments in order to be eligible for SSI. The listings are intended to be used as a tool in determining if a child has a listed impairment or a comparable impairment that causes the child to have marked and severe functional limitations in everyday activities. Social Security Specialists have been provided with a copy of the detailed listing of impairments, which contains the medical criteria used by SSA to evaluate each of the listed impairments: Listed Childhood Impairments: Growth Impairment; Musculoskeletal: Juvenile Rheumatoid Arthritis; Musculoskeletal Function Deficit; Disorders of the Spine; and/or Chronic Osteomyelitis. Special Sence Organs: Blindness/Impairments of Central Visual Acuity; and/or Hearing Impairment. Respiratory: Bronchial Asthma; and/or Cystic Fibrosis. Cardiovascular: Chronic Congestive Failure; Hypertensive Cardiovascular Disease; Cyanotic Congenital Heart Disease; Cardiac Arrhythmia; Chronic Rheumatic Fever/ Rheumatic Heart Disease; Congenital heart disease; Valvular heart disease; Cardiomyopathies; Cardiac transplantation; Hyperlipidemia; and/or Kawasaki syndrome. Digestive: Esophageal Obstruction; Chronic Liver Disease; Chronic Inflammatory Bowel Disease; and/or Malnutrition. Genito-Urinary: Chronic Renal Disease; and/or Nephritic Syndrome. Hemic and Lymphatic: Hemolytic Anemia; Chronic Idiopathic Thrombocytopenic Purpura; Sickle Cell Disease; Inherited Coagulation Disorders; and/or Acute Leukemia. Endocrine: Hyperthyroidism; Hypothyroidism; Hyperparathyroidism; Hypoparathyroidism; Diabetes Insipidus; Hyper function of the Adrenal Cortex; Adrenal Cortical Insufficiency; Juvenile Diabetes Mellitus; Latrogenic Hyper Corticoid State; Pituitary Dwarfism; Adrenogenital Syndrome; Hypoglycemia; and/or Gonadal Dysgenesis. Multiple Body Systems: Down Syndrome; Multiple Body Dysfunction; Catastrophic Congenital Abnormalities; and/or Immune Deficiency Disorder. Neurological: Motor Seizure Disorders; Brain Tumors; Motor Dysfunction due to Neurological Disorder; Cerebral Palsy; Meningomyocele; and/or Communication Impairment Associated with Neurological Disorder. Mental Disorders: Mood Disorders:  Characterized by a disturbance of mood (referring to a prolonged emotion that colors the whole psychic life, generally involving either depression or elation), accompanied by a full or partial manic or depressive syndrome. Mental Retardation:  Characterized by significantly sub-average general intellectual functioning with deficits in adaptive functioning. Anxiety Disorders:  In these disorders, anxiety is either the predominant disturbance or is experienced if the individual attempts to master symptoms, i.e., confronting the dreaded object or situation in a phobic disorder, attempting to go to school in a separation anxiety disorder, resisting the obsessions or compulsions in an obsessive compulsive disorder, or confronting strangers or peers in avoidant disorders. Somatoform, Eating, and Tic Disorders:  Manifested by physical symptoms for which there are no demonstrable organic findings or known physiologic mechanisms; or eating or tic disorders with physical manifestations. Personality Disorders:  Manifested by pervasive, inflexible, and maladaptive personality traits, which are typical of the child’s long-term functioning and not limited to discrete episodes of illness. Psychoactive Substances Dependence Disorders:  Manifested by a cluster of cognitive, behavioral, and physiologic symptoms that indicate impaired control of psychoactive substance use with continued use of the substance despite adverse consequences. Autistic Disorder and other Pervasive Developmental Disorders:  Characterized by qualitative deficits in the development of reciprocal social interaction, in the development of verbal and nonverbal communication skills, and in imaginative activity. Often there is a markedly restricted repertoire of activities and interests, which frequently are stereotyped and repetitive. Attention Deficit Hyperactivity Disorder:  Manifested by developmentally inappropriate degrees of inattention, impulsiveness, and hyperactivity. Developmental and Emotional Disorders of Newborn and Younger Infants:  Developmental or emotional disorders of infancy are evidenced by a deficit or lag in the areas of motor, cognitive/communicative, or social functioning. These disorders may be related either to organic or to functional factors or to a combination of these factors. Organic mental disorders:  Characterized by abnormalities in perception, cognition, affect, or behavior associated with dysfunction of the brain. Schizophrenic, delusional (paranoid), schizoaffective, and other psychotic disorders:  Characterized by a marked disturbance of thinking, feeling, and behavior, with deterioration from a previous level of functioning or failure to achieve the expected level of social functioning. Neoplastic: Lymphoreticular Malignant Neoplasm’s ; Malignant Solid Tumors; and/or Neurobla. Immune: Systemic Lupus Erythematosus; Systemic Vasculitis; Systemic sclerosis and scleroderma; Polymyositis or dermatomyositis; Undifferentiated connective tissue disorder; Congenital immune deficiency disease; and/or Human immunodeficiency disease (HIV). General Medical Information SSA maintains that a child is a person who has not attained age 18. For purposes of SSI eligibility:  A child is considered disabled if he or she has any Medically Determinable Physical or Mental impairment(s) which is expected to last 12 continuous months or result in death and causes marked and severe functional limitations. Developmental Assessment Guides Staff must provide information that will support a claim of an impairment that causes a child to function with marked and severe limitations. Information provided to SSA should include a child’s school records, medical records and/or medical sources, psychological reports and observations of the Children’s Services Worker, resource providers, teachers, or other persons who have first hand knowledge of a child’s ability to function in daily activities. In most cases the resource provider or other alternative care provider would best know how a child functions in his/her daily activities. The severity of the impairment is measured according to the functional limitations imposed by the impairment. The functional areas considered are:  motor function, cognitive/communicative function, social function, personal function, and concentration, persistence or pace. The range of these functions varies at different stages of the child’s maturation. General Eligibility Requirements: Non-Medical Eligibility Requirements: Although a child may meet the definition of disability, the income and resources they have determine if they meet the non-medical limitations: Resources – A child may be able to qualify for SSI if his/her resources do not exceed $2000.00. Resources are things that the child has ownership rights or access to, such as the following: Bank Accounts; Cash; Property; and Stocks and Bonds. Income – The amount of income the child can have each month and still qualify for SSI benefits is revised January 1 of each year. SSA does not count all types of income in determining eligibility for SSI. For example, SSA does not count: Food Stamps; Food, shelter, or clothing received from private, non-profit organizations; The first $20.00 of most income received in a month; and Assistance based on need funded by State or local governments. This List is Not All Inclusive, But can Serve as a Basis for Screening for Potential Eligibility. Screening Guide Use this screening guide after consideration of the SSI income and resource requirements: Premature Infants (up to 1 year old): Premature Infants (less than 37 weeks gestation) who weigh less than 1200 grams (about 2 pounds 10 ounces) at birth will be considered disabled until the attainment of the chronological age of 12 months. Until the chronological age of 12 months, a premature infant who weighs at least 1200 grams but less than 2000 grams (about 4 pounds 6 ounces) at birth and is at least 4 weeks small, for gestational age, will be considered disabled. NOTE:  Most of the children who were born drug affected will be premature or have low birth weight and should be placed in Priority #1. All Children: Step One: Does the child have a medically determinable Mental or Physical impairment? If “No”, stop. NOTE:  This child’s eligibility is doubtful and should be placed in Priority #3. If “Yes”, go to Step 2. Step Two: Does the child’s impairment or combination of impairments cause marked and severe functional limitations? If “No”, stop. NOTE:  This child’s eligibility is doubtful and should be placed in Priority #3. If “Yes”, the child should be given the appropriate priority and referred to the Social Security Specialist, via Form CS-IV-E/FFP-1 or, when applicable, Title IV-E/FFP Referral, Form CS-IV-/FFP-2, Title IV-E, FFP Redetermination. NOTE:  Refer questionable situations to the Social Security Specialist, via the CS-IV-E/FFP-1 or, when applicable, the CS-IV-E/FFP-2, for a formal SSA disability determination. Referral Priority Guidelines The following guidelines will assist staff in prioritizing SSI referrals: Priority 1: All HDN or Title XIX FFP children who are in residential care or group care. All children in foster care,Youth with Elevated Needs homes, Medical Foster Care (MFC), or other placements, and who have a history of psychological, educational problems, or medical or physical/mental handicaps, where we have documentation that the child is not functioning at an age-appropriate level. Newborns who were born drug affected, premature or had a low birth weight. Priority 2: Children who may have a history of psychological, educational or physical problems. The Children’s Service Worker will need to collect comprehensive documentation. Children recently placed in our custody who appear to have a disabling condition that has not been documented. The Children’s Service Worker will need to collect documentation. Priority 3: Children with little or no known psychological, educational or physical deficiencies. Priority 4: Children who are currently receiving SSI benefits. Evidence Needed When Filing The following is a list of information and evidence needed to make a disability determination. If this information is available at the time of referral to the Social Security Specialist, (via the CS-IV-E/FFP-1 or, when applicable, the CS-IV-E/FFP-2 for Title XVI (SSI) Disabled Children’s benefits) it will significantly help the Disability Determination Section (DSS) in making a timely decision. General information needed: Name, address, and telephone number for each treatment physician (including psychologists) and dates of treatment. Name and address of each hospital, clinic, other medical institution, or health care facility where the child has been treated for the impairment(s). Please include any patient or clinic numbers. Name and address of the school the child is currently attending and the name of the teacher or teachers. If the child has changed schools, please furnish this same information for the last school attended. NOTE:  When the child has been in Children’s Division (CD) custody less than 12 months, it may be necessary for SSA to contact the birth parent(s) to gather historical information. Information which may be in the case file: Copies and summaries of medical records from hospital, clinics, other medical institutions, and health care facilities. Reports from Children’s Service Workers about the child’s impairment(s) or level of functioning. Statements from the child, guardian, caregiver, or others about the child’s impairment(s) and the effect on the child’s functioning. NOTE:  resource providers’ observations could assist SSA in developing a pattern of low functioning. Statements from other practitioners (i.e. nurse practitioners, physicians’ assistants, chiropractors) and from therapists (including physical, occupational or speech and language therapists). Information from educational agencies and personnel (i.e., school teachers, school psychologists, school counselors, preschools, early intervention teams, developmental centers, and child care centers. NOTE:  Any information relating to educational or behavior problems in the school setting are important. Any other information from the file which furnishes information about the child’s impairment(s) and the effects on the child’s ability to function without limitations.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-12-financial-considerations-subsection-6-supplemental-security-income-0
"MO :: Section 4, Chapter 12 (Financial Considerations), Subsection 6 – Supplemental Security Income :: Intro",Missouri,Rules,"2023, 2022, 2021, 2020, 2019",Use of federal money (including Title IV-E),,,"The Children’s Division shall apply be representative payee for open alternative care cases in which CD has custody. However, it is the responsibility of the Social Security Administration (SSA) to appoint a representative payee on an individual case by case basis. It should be documented in the case record if CD is not appointed payee of SSI, OASDI or VA benefits for a youth in alternative care in which CD has custody. The Social Security Specialist should make the application for representative pay to the SSA. Payee name and address information is as follows: Director of Children’s Division (child’s name) (child’s DCN) Post Office Box 1082 Jefferson City, Missouri 65102-1082 Determine if the child’s condition indicates possible eligibility. NOTE: Children receiving SSI and in CD custody are eligible for Medicaid. Submit a referral to the Social Security Specialist, with the required information needed by SSA. The referral Old-age, Survivor and Disability Insurance (OASDI) or Veteran’s Administration (VA) benefits must include the following information: child’s name child’s Social Security number, account number (claim number) and/or the parent’s Social Security number; date of birth for child and parent(s); child’s current address parent’s name(s) and address(s); date of death of parent(s) and death certificate(s), if applicable; Proof of relationship such as birth certificate, court order establishing child support or documented proof of paternity; and Protective Custody Order or Temporary Protective Custody Order documenting CD has jurisdiction of the child; NOTE:  The maximum available resource allowed by SSI is $2,000. If the account is over $2,000, the Social Security Specialist and FACES Payment Until will determine if there are previous expenses that can be charged to the KIDS account (back state debt).  After the back state debt is deducted, and if the account remains over $2,000.00, FACES Payment Unit will inform the worker about the amount that needs to be spent on the child’s behalf to lower the account below $2,000.00.  Any out of the ordinary expenditures require Area Office approval .  Back State Debt always takes priority over additional expenditures for the child. The assets counted toward this maximum are those available on the first day of the review month.  Retroactive (lump sum) SSI payments are excluded from the resource test for six (6) months. Furnish sufficient and appropriate documentation of child’s disability to Social Security Specialist in a timely manner. Arrange transportation for the child for consulting exam, if required by the Disability Determinations. Receive notification from the Social Security Specialist of child’s social security eligibility determination and, if approved, the amount of benefit. Payment received at the County Office should be forwarded to the Child Support Financial Resolutions Section. The address is below: Financial Resolution Section P.O. Box 2277 Jefferson City, MO 65102-2277 Immediately notify Social Security Specialist by phone or E-mail, of changes that affect the child’s eligibility for SSI, such as: increases in earned income not deposited in the KIDS account; Employment/wages; Marriage; or Incarceration. Contact SSA, when youth turns 18 years old, regarding the youth’s ability to be his/her own payee and provide the CD-271, Older Youth Change of Payee Request Form or when the youth is adopted or is awarded guardianship, CD-270, Change of Custodian Payee Request Form .",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-12-financial-considerations-subsection-6-supplemental-security-income
"MO :: Section 4, Chapter 12 (Financial Considerations), Subsection 5 – Homeless, Dependent, and Neglected Fund",Missouri,Rules,"2022, 2021, 2020, 2019","Administrative process, Adoption, Services while in care - Medical, Use of federal money (including Title IV-E)",,,"When a child is not eligible for Title IV-E, the Eligibility Analyst will determine if a child may be eligible for Title XIX FFP. This means maintenance and special expenses are paid from HDN, but medical services are paid through federally matched Title XIX FFP. Complete the Alternative Care Client Information screen, SS-61: If parental contributions are received in a county office, forward payment to the Financial Resolution Section. This will ensure the payment is credited to the accurate child support order already established. The address below: Family Support Division Financial Resolutions Section P.O. Box 2277 Jefferson City, MO 65102-2277 Update the AC Client Information screen, SS-61 entering the appropriate maintenance amount if the child has been approved for Medical or Level A or Level B Foster Care. Do not exceed established rates for maintenance and other services. Approval by the Regional Director for Medical or Behavioral Foster Care must be contained in the child’s record. Close, via the AC Client Information function closing screen, when the child returns home or the child is discharged from Division custody. If the child is placed for adoption and an adoption subsidy will be needed. See this later in this chapter for necessary action when the Division retains custody, but the child is placed in a placement resource ineligible for payment from Alternative Care funds, IV-E, or HDN. The Eligibility Analyst will receive notification of the rejection of benefits or the amount of monthly benefits for outside income. The Children’s Service Worker should immediately notify Eligibility Analysts of changes that affect the child’s eligibility for OASDI/VA benefits, such as: any earned income; a child receiving benefits due to a disability, when there are changes in his/her medical condition on which eligibility was based; the disabled child’s employment; or marriage of the child. For a child, age eighteen (18) or older, SSA requires the child be payee for OASDI even though the child may be in Division custody. The youth may be provided the CD-272, Older Youth Change of Payee Request Form. The child is expected to arrange payment for the cost of his/her care. The Children’s Service Worker should assist in developing the payment plan. The Alternative Care Client Information screen, SS-61, in FACES would need to be updated to show no maintenance or below standard maintenance depending on the amount of OASDI the child receives. In the event a child is incompetent, the Division may remain the payee. The case manager should contact SSA and explain why the child should not be the payee. If there is a conflict with SSA about this, contact the CPAY Unit. In the event the Children’s Service Worker has evidence supporting the youth is incapable of managing their benefits or may possibly have a disability of their own, the Social Security Specialist should be contacted. The Social Security Specialist will apply to be the payee, or make application for Supplemental Security Income (SSI) benefits, if the youth is still in alternative care and in the legal custody of CD. Disability Determinations makes the determination to deem the child either capable or incapable of being their own payee. If a payment is received at the County Office, contact the Social Security Specialist to determine next steps. Update the AC Client Information screen as appropriate. The KIDS account shall be the primary source for maintenance and special expenses. OASDI benefits may follow the child into adoption. Adoptive parent(s) may apply to be made the “new payee” by contacting SSA.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-12-financial-considerations-subsection-5-homeless-dependent-and
"MO :: Section 4, Chapter 12 (Financial Considerations), Subsection 4 – Alternative Care IV-E",Missouri,Rules,"2022, 2021, 2020, 2019","Contracting with private organizations, Legal process, Reporting requirements, Use of federal money (including Title IV-E)",,,"This funding source is used wherever possible to meet the cost of care. Transportation costs for visits with parents are an eligible Title IV-E item. Relatives must be certified and have a contract to be eligible for payments. They must also be within the definition of a TA eligible relative payee. Refer all children removed from their home who will be in placement for three (3) days or longer. Referrals shall be made within ten (10) working days of placement to the Eligibility Analyst via the Title IV-E/FFP Information screen in FACES for Title IV-E/FFP eligibility determination. Receive an Alternative Care Client Information, SS-61 turnaround from the Eligibility Analyst indicating the results of the Title IV-E/FFP eligibility determination. Receive a copy of the CS-IV-E/FFP-5 from the Eligibility Analyst. Update the Alternative Care Client Information, SS-61 when there is a change in placement payee and complete the Payment Request as necessary for special expenses. Cooperate with the Eligibility Analyst when a re-investigation is due. Complete the CS-IV-E/FFP-2 every 6 months. If a child is expected to be on a trial home visit longer than 180 days, staff should request that the judge include in the court order that there is a continued need for the THV to extend past 180 days as this affects the ability to continue claiming Title IV-E funds for the youth. If an extension is granted, a copy of this order must be sent to the Eligibility Analyst. In addition, staff should notify the Eligibility Analyst when a child is on a trial home visit longer than 180 days. If a child is on a trial home visit for longer than 180 days and is then removed from the home and placed back in alternative care, a new IV-E eligibility determination is due per federal regulations. Children’s Service Workers must notify the Eligibility Analyst that the child has re-entered out of home care, and complete a new IV-E Eligibility referral in FACES within ten (10) days. Children’s Service Workers should also submit an updated court order, if received from the judge, with the new IV-E eligibility referral. This court order must then be entered on the court information screen in FACES as a protective custody order. The system will notify the Eligibility Analyst, via a monthly report, when a chi ld is closed in FACES.   An Alternative Care IV-E eligible child is eligible for IV-E Adoption Subsidy. Close the AC Client Information function, SS-61 when a child returns home or the child is discharged from the custody of the Division as soon as possible, but no later than 2 business days after the change occurs. See this later in this chapter for necessary action when the Division retains custody, but the child is placed in a placement resource ineligible for payment from Alternative Care funds IV-E or HDN.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-12-financial-considerations-subsection-4-alternative-care-iv-e
"MO :: Section 4, Chapter 12 (Financial Considerations), Subsection 3 – Temporary Assistance",Missouri,Rules,"2023, 2022, 2021, 2020, 2019",Use of federal money (including Title IV-E),,,"This funding source is used for relatives who receive custody of a child or do not have legal custody of a related child but are eligible to receive TA as a specified relative and the child is not eligible for Title IV-E. It may also be used to meet the cost of care if the relative refuses to be certified and/or sign a contract. If eligible for TA, the child is eligible for the Missouri Medical/Dental Service Program (MM/DSP). Relatives who have made an independent plan to accept a related child into their care may apply for TA. (The child is not eligible for maintenance if TA is received, but is eligible for special expenses through HDN funds.) Refer the relative to FSD staff if the child is placed with a relative. Receive confirmation from FSD that the child and family are eligible. Assist the relative in meeting other Division requirements, if financial assistance is needed.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-12-financial-considerations-subsection-3-temporary-assistance
"MO :: Section 4, Chapter 12 (Financial Considerations), Subsection 2 – Financial Contributions by Parents :: 12.2.3 - Parent’s Estates",Missouri,Rules,"2022, 2021, 2020, 2019","Contracting with private organizations, Legal process, Reporting requirements",,,"Identify and contact the executor to make arrangements for paying for the child’s care and other service needs including the provision of a copy of the court order transferring custody to the Division. Inform the executor of the caretaker’s name and address for payment to be made directly to the caretaker or other vendor. Seek the assistance of the executor when the child is in need of other services requiring payment. Notify the executor of any changes in the child’s case plan or location. Notify the executor when the child is released from Division custody and update the SS-61 appropriately. Record, as necessary, any events, circumstances, or plans which influence the use of funds for the child’s care.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-12-financial-considerations-subsection-2-financial-contributions-0
"MO :: Section 4, Chapter 12 (Financial Considerations), Subsection 2 – Financial Contributions by Parents :: 12.2.2 - Third Party Insurance",Missouri,Rules,"2022, 2021, 2020, 2019","Forms - Other, Legal process",,,Interview parents for availability of Third Party Insurance (TPL). Complete and submit Form TPL-1 to MHD when Third Party Insurance is available. Complete Form TPL-2 when the child sustains injuries in an accident or work related incident and Third Party Insurance is available (see Form TPL-2 instructions in the Children’s Division Forms Manual).,https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-12-financial-considerations-subsection-2-financial-contributions-1
"MO :: Section 4, Chapter 12 (Financial Considerations), Subsection 2 – Financial Contributions by Parents :: 12.2.1 - Continuation of Child Support",Missouri,Rules,"2022, 2021, 2020, 2019","Forms - Other, Legal process, Services while in care - Educational",,,"According to Section 452.340 RSMo, children in foster care can continue to receive child support from their non-custodial parent if they meet the requirements under state law. The child’s case manager will be responsible for determining eligibility based on the criteria listed below. Ninety days prior to the child’s 18th birthday, the case manager will receive the Notice of Intent to Stop Collection of Current Support,CS-697.In most circumstances, the child will be eligible for continued support if: The child will be attending high school or a high school equivalency testing program on his/her 18th birthday; or The child plans to attend college or vocational school by October 1 after graduation from high school or completion of a high school equivalency testing program; or The child is currently attending a college or vocational school. If the case manager determines the child continues to meet requirements under state law for current support to continue beyond the child’s 18th birthday, they will need to complete the Custodian’s Response to Notice of Intent to Stop Collection of Current Support section of the CS-697 form received in the mail and select the reason child support should continue from the options listed. If the child no longer meets the eligibility criteria specified in the statute, the case manager shall notify the Family Support Division (FSD).",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-12-financial-considerations-subsection-2-financial-contributions-2
"MO :: Section 4, Chapter 12 (Financial Considerations), Subsection 2 – Financial Contributions by Parents :: Intro",Missouri,Rules,"2022, 2021, 2020, 2019","Court system, Forms - Financial, Reporting requirements, Services while in care - Financial",,,"The following steps should be completed to determine how the parents can financially contribute to their child while they are in the state’s custody. Interview birth parent(s) for willingness to pay all or part of the cost of alternative care. Complete the Financial Statement for Families of Children in Alternative Care, CS-99, and advise parent(s), before the juvenile court hearing, an order requiring payment for the care of the child may be made at the time of the hearing. Attach the completed CS-99 to the social history sent to the court. The Eligibility Analyst will complete the Referral/Information for Child Support Services/AC, CSE-201AC. However, the Case Manager shall indicate to the Eligibility Analyst if a case should not be pursued because of any of the following conditions: Both parents are deceased; TPR on both parents has occurred; The Division has not and will not be providing any Out-of-Home Care payment or special expenses. If the best interests of the child would not be served, i.e., physical or emotional harm would likely result to the child; adoption proceedings are pending before a court; the parent is working through the issues involved and the child support would be a hindrance to the case goal, then the CD-252 Good Cause Letter shall be completed and sent to the Eligibility Analyst. The Children’s Service Worker and the Children’s Service Supervisor must evaluate and agree concerning the child’s best interests. The reasons must be documented in the case record. The Division has the right to change this request at any time during the case. Parents may contact Child Support for more information regarding where and when to submit payment. Report changes within ten (10) days to Eligibility Analyst. Changes include: Absent parent obtains employment; Absent parent changes jobs; Absent parent moves; or Court modifies order which will affect child support. Child support payments received in a county office shall be sent to the Child Support Financial Resolution Section (FRS) at the address below to ensure payment is accurately credited to an established child support order. Family Support Division Financial Resolution Section PO Box 2277 Jefferson City, MO 65102-2277 The Family Support Service Center should receive Court ordered and Family Support Division (FSD) administrative ordered parental contributions (child support) and forward same to the Division of Finance and Administrative Services (DFAS). Therefore, only in rare situations will the county office receive support from parents and forward to the Financial Restitution Section. Apply any unused contribution to the child’s cost of care when the child leaves Out-of-Home Care",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-12-financial-considerations-subsection-2-financial-contributions
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 3 – Medical and Behavioral Health Planning :: 4.3.4 Medical Service Alternatives/Planning",Missouri,Rules,"2023, 2022, 2021","Services while in care - Medical, Services while in care - Mental Health, Services while in care - Therapies (not mental health)",,,"Medical planning for children in out-of-home care is a necessary service to ensure that children receive the medical care they need. The following includes several medical service alternatives for which planning will be necessary. Routine Medical/Dental Care Routine medical/dental care including services available through the Healthy Children and Youth (HCY) Program, also known as Early Periodic Screening, Diagnosis and Treatment (EPSDT): Children entering out-of-home care need initial medical examinations, as well as regular medical examinations throughout their out-of-home care placement. Resource parents should seek medical providers who are enrolled with MO HealthNet (MH) or MO HealthNet/Managed Care (MH/MHMC). Plan with out-of-home care providers and other appropriate team members to ensure that all children in out-of-home care shall receive education on sexual development, appropriate to their age, life experiences, and living conditions. This information should include information on sexuality and venereal diseases. Children in out-of-home care are eligible for MM/DSP (MO HealthNet, Title XIX). As a result, they are also eligible for HCY services. When a resource parent receives an invoice for medical or mental health services for a foster placement in their home, the invoice must be submitted to the foster youth’s case manager immediately. Human Immunodeficiency Virus (HIV) Screening HIV Screening (ELISA test) is available for children entering out-of-home care who are displaying symptoms of Acquired Immune Deficiency Syndrome (AIDS), AIDS Related Complex (ARC) or at increased risk of AIDS. The Children’s Services Worker may arrange for the ELISA test through the local Health Department or a private physician. The ELISA test is covered by MM/DSP. Emergency and Extraordinary Medical/Dental Care When children are in CD custody their birth parents still have certain rights. One of these rights is to give permission for extraordinary medical/dental care.  Whenever possible, the worker should seek parental permission for these medical/dental services.  If this is not possible, the Children’s Services Worker shall seek approval for the medical/dental services from the juvenile court.  Then the Children’s Service Worker shall seek approval through their Area Office. Children’s Treatment Services Children in Out-of-home care are eligible for a variety of children’s treatment services, medical and psychiatric services covered by a contract with CD. If a child in out-of-home care is in need of these services, the worker should consult the listing of CD approved contractual treatment providers who offer the service and make the appropriate referral.  Payment will be made at MO HealthNet or state contracted rates. NOTE: For medical examinations, the HCY referral should be done first.  CTS would be used if an HCY physician is not available. Missouri Medical/Dental Services Program (MM/DSP) (Also known as Title XIX or MO HealthNet) Children in out-of-home care are eligible for MM/DSP if they are in the custody of CD. Guidelines established by the MO HealthNet Division (MHD) determine which medical services are eligible for payment and at what rate.  Staff should use this program whenever possible to provide a child with medical care.  HCY services are available through this program. Section 6036 of the Deficit Reduction Act of 2005 section 1903 of the Social Security Act requires that states obtain satisfactory documentation of citizenship in order to receive MO HealthNet benefits. States must obtain documents establishing identity and citizenship for new applicants and recipients for all categories of MO HealthNet. For all children coming into Division custody after July 1, 2006, and for all eligibility re-determinations, the Children’s Service Workers will provide the Eligibility Specialist with a copy of the court order and if available documentation of identity and citizenship, preferably a copy of the child’s birth certificate. (Original birth certificates will remain in the child’s file.) If documentation is not available the Children’s Service Worker will begin the process of collecting the appropriate documentation immediately and when obtained forward copies to the Eligibility Specialist. The Children’s Service worker will presume all children coming into care as eligible for MO HealthNet, however if the worker is not able to collect the proper documentation, it will be the responsibility of the Eligibility Specialist to make that determination and put the proper coding on the SS-61. The Eligibility Specialist may request the Children’s Service Worker to collect particular documentation during the certification or re-certification process. The citizenship and identification verification process is also applicable for children eligible for MO HealthNet who were referred to the Division for adoption subsidy by outside adoption agencies. Documents Used to Verify both U.S. Citizenship and Identity: U.S. Passport. The passport does not have to be currently valid to be accepted as long as it was originally issued without limitation; Certificate of Naturalization (N-550 or N-570); or Certificate of Citizenship (N-560 or N-561). Documents Verifying Citizenship Only: U.S. Birth Certificate or IBTH. IBTH is available for individuals born in the State of Missouri. IBTH will display birth records for those born in Missouri back to 1920. IBTH can be viewed to verify citizenship. When using this information, document in the case record the date viewed and the information verified. Do not print and file the IBTH in the case record. A Certification of Report of Birth (DS-1350). Consular Report of Birth Abroad (FS-240). Certificate of Birth Abroad (FS-545). U.S. Citizen ID card (I-197 or I-179). American Indian Card (I-872). Northern Mariana Identification Card (I-873). Final adoption decree which shows a U.S. place of birth. Official Military Record of Service which shows a U.S. place of birth. Hospital record that meets the following criteria: Created on hospital letterhead; Established at the time of the person’s birth; Created at least five years before the initial application date; and Indicates a U.S. place of birth. NOTE: For children under 5 years of age, the document must have been created near the time of birth. Life or health insurance record, created at least five years before the initial application date, showing a U.S. place of birth. U.S. State Vital Statistics official notification of birth registration. Statement signed by the physician or midwife who was in attendance at time of birth. Institutional admission papers from a nursing home, skilled nursing care facility, or other institution that were created at least five years prior to the initial application date and indicates a U.S. place of birth. Medical (clinic, doctor, or hospital) record that was created at least five years before the initial application date and indicates a U.S. place of birth. An immunization record is not considered a medical record for purposes of establishing citizenship. For children under 5 years of age, the document must have been created near the time of birth. NOTE: When using a document from the above to verify citizenship, a second document must be obtained from the following list to verify identity. When documents verifying both citizenship and identity are not available, a document may be used to verify citizenship accompanied by a second document that verifies identity. Sources of documentation of identity for children under age 16 are as follows: School record that shows the date and place of birth and parent(s) name. School records may include nursery or child care records. Clinic, doctor, or hospital record showing date of birth. Court orders identifying individual. Identity may be verified through our database if child received coverage as a Newborn. If none of the above documents are available, an affidavit by the parent or guardian may be used. Verification of Citizenship and Identity for Newborns Citizenship and identity are not required to be verified to add children as newborns as these children are deemed to have applied for and been found eligible to receive MO HealthNet benefits as a result of their mothers being active recipients at the time of birth. Obtaining Records from the Bureau of Vital Records The Bureau of Vital Records, within the Missouri Department of Health and Senior Services, has certificates of Missouri births, deaths and fetal death reports. BVR screens frequently utilized by staff include IBTH and IDTH.  In Missouri these records are not open to the public and each screen includes the wording: “Information on this screen is confidential and shall be used for official state purposes only”. This information is for inquiry only and should not be printed, faxed or copied. Certified copies of Missouri vital records of birth and death on behalf of children in out-of-home care can be obtained by submitting form CD-127 to Central Office as directed on the form. Amendments to a Missouri vital record on behalf of a child in out-of-home care should be requested through Central Office. The CD-127, as well as a certified court order – with raised seal – clearly describing what changes need to be made to the record should be mailed to Central Office.  Central Office will review, log, and send to Vital Records for processing. Requests for out-of-state birth or death certificates must be made to the holding state’s vital records office. Staff should complete that State’s vital records application form via an on-line search.  The application, any other documents (court order, photo id, cover letter, etc) required by that state, and a SAMII Payment Request Form should be forwarded to the DFAS Payments/Accounts Payable Unit.  DFAS will process payment for the vital record and send the payment and application to the holding state. Bureau for Children with Special Health Care Needs (BCSHCN) This bureau provides some medical services not covered by MO HealthNet. To make a referral for a child, the Children’s Service Worker should make sure that the needed medical services are not covered by MO HealthNet. When it has been determined that the needed medical services are not covered by MO HealthNet, the Children’s Services Worker may make a referral to the appropriate regional bureau office. Department of Mental Health The Department of Mental Health (DMH) provides prevention, evaluation, and treatment services to eligible adults and children in out-of-home care who are in need of DMH services may be referred to the appropriate DMH division to meet the needs of the child. Division of Behavioral Health (DBH): Provides, among others, outpatient community-based services, targeted case management, day treatment, treatment family home programs, and community psychiatric rehabilitation (CPRP).  DBH also assures the availability of substance use prevention, treatment, and recovery support services. Division of Developmental Disabilities (DD): Supportive services for individuals with developmental disabilities such as intellectual disabilities, cerebral palsy, head injuries, autism spectrum disorder, epilepsy, and certain learning disabilities.  Such conditions must have occurred before age 22 and be considered lifelong in duration. More information about DD, including referrals, must be made directly to DMH/DD. For more information on services and referral procedures for DBH, contact the appropriate Community Mental Health Center servicing the county of interest.  These DMH affiliates are responsible for determining eligibility and providing the services.  Contact information for regional Community Behavioral Health Centers can be found on the DMH website. Private Psychiatric Hospital Placement Children in Out-of-home care who are eligible for private psychiatric hospital care. These facilities provide services including medical treatment, psychiatric/psychological counseling and testing, nursing care, educational services, social work services, recreation services and occupational therapy.  The Children’s Services Worker should contact the hospital directly to arrange for the child’s admission.  Cost for the child’s care is paid by MO HealthNet for a number of days as prescribed by the Professional Activity Study (PAS). Payment for days beyond the PAS days may be paid with Area Office approval. The psychiatric facility should request prior approval of the extension through the MO HealthNet Division (MHD) for extended MO HealthNet payment of the service.  If MHD denies, the psychiatric facility should submit the request for payment to the County Office.  Such a request is forwarded through normal supervisory channels to the Program Development System Unit (PDSU).  The worker should consult the listing of CD contracted services and use these facilities, if treatment is anticipated to exceed the number of PAS days. Medical Foster Care Children in Out-of-home care who require special care directly attributable to a medical/physical/developmental disability may be eligible to receive medical foster care. If a child is in need of such special care, refer the child through local procedure. Medical Services Authorization Information Letter The Children’s Division (CD) participates in the development and implementation of coordinated social and health services which includes preventive, maintenance, and long-term medical and mental health care for children placed in the legal custody of the Children’s Division. Services for foster youth medical and mental health needs should be provided by service providers who are enrolled in the state Medicaid plan, MO HealthNet. If a provider who is not enrolled with MO HealthNet is used for a foster youth, the resource provider may have to pay for the services out-of-pocket and not be reimbursed.  If the resource parent is reimbursed, it will be at the Medicaid rate. Any reimbursement to the resource provider will be from Children’s Treatment Services (CTS) funds. In the event that a resource parent uses a medical or mental health provider who is not enrolled with MO HealthNet or a MO HealthNet Managed Care Plan the CD-27 must be presented prior to the foster youth receiving services. When a resource parent pays for a medical or mental health service out-of-pocket, the receipt for services must be submitted to the foster youth’s case manager immediately. When a resource parent receives an invoice for medical or mental health services for a foster placement in their home, the invoice must be submitted to the foster youth’s case manager immediately. Related Practice Points and Memos: 7-9-19 – PP19 CM-01 – Timely Informed Consent – Inpatient Hospitalizations and Medication Management Checkups 7-26-19 – CD19-47 – Informed Consent for Psychotropic Medication (Form CD-275) 10-11-19 – DK19-04 – Immediate Implementation of Best Practices Regarding Behavioral Health Care and Medical Records 4-9-20 – PP20-CM-03 – Mandatory Psychotropic Medication Reviews 7-23-20 CD20-34 – Introduction to Child Welfare Manual policy updates to align with best practices and comply with Joint Settlement Agreement requirements.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-4-working-children-subsection-3-medical-and-behavioral-health-planning
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 3 – Medical and Behavioral Health Planning :: 4.3.3 Informed Consent",Missouri,Rules,"2023, 2022, 2021","Services while in care - Medical, Services while in care - Mental Health",,,"While children are in the custody of Children’s Division (CD), the case manager shall be primarily responsible for granting informed consent for their care, unless an alternative consenter has been appointed by the Court. Resource providers may continue to provide informed consent for routine or standard treatment.  This policy outlines steps for consultation and communication when managing routine and non-routine treatment decisions.  Case managers should refer to this section to determine next steps after a health care provider recommends a specific treatment (e.g. medication, service, or procedure) for a child in CD’s custody. To ensure that those authorized to give informed consent fully understand the role/responsibilities of granting informed consent, including considering the use of non-pharmacological interventions (options that do not involve medicines), CD has developed training to assist consenters. As described below, resource providers may only consent to routine treatments/services. Case managers may consent to routine and non-routine treatments/services. Case managers and resource providers must successfully complete Informed Consent and Psychotropic Medication Management Training before becoming consenters. NOTE: This policy does not apply to cases where the youth is in the legal custody of a third party (LS-3). To ensure that consent is informed and legally valid, the case manager should collect from the prescriber information about the following factors, and understand and consider their impact upon the child: Nature and purpose of recommended treatment; what are the prescriber’s reasons for this particular recommended course of treatment; and Diagnosis: what is the specific condition to be treated? For medication recommendations, also consider: Dosages of any medications and the beneficial effects on the condition expected from the medications; Whether recommendation is for “off-label” use.  “Off-label” means that if a drug has been approved for one use, dosage or age group, prescribers may choose to use this same drug for other reasons, if they believe it may be helpful; Possible side-effects, including probable clinically significant side effects and risks associated with the medications; Required follow-up or monitoring; Availability of alternatives, including generally accepted alternative medications and/or non-pharmacological interventions, if any; and Prognosis without an intervention, including the probable physical and/or behavioral health consequences of not consenting to the recommended treatment, including medication. The case manager must always complete the CD-275 Informed Consent for Psychotropic Medication and document the informed consent decision in the medical information screen in FACES. The case manager will complete the date informed consent was given for psychotropic medication, by whom informed consent was provided, and the comments field listed under medication. This field should be utilized to document overall comments regarding medical care for the child and information about a secondary or mandatory review that was completed. Child assent can be documented in this field as well. Guidelines for Informed Consent Decisions Health care treatment decisions for children, including the use of medication, are always important and should be made thoughtfully, considering relevant information available. Just as non-pharmacological interventions should be considered for any condition, pharmaceutical intervention for behavioral health issues should never be the first nor sole intervention for children in CD custody. When a case manager is deciding whether to consent to routine or non-routine treatment, in addition to the factors listed above, they should also consider: Child and Family medical history, as documented in the CD-264, CW-103 and  CD-265; Age of the child; Child’s and parent(s)’ expressed preference; Assessment by the health care provider; Whether a consultation with the statewide clinical consultant would be helpful or otherwise required by policy; and Plan for safe storage of medications. Informed Consent for Routine Treatment As defined above, routine (standard) medical treatment includes treatment for ordinary illnesses and on-going treatment for chronic conditions.  Per Missouri law, a minor may consent to administration of birth control. The case manager or the resource provider (consenter) may consent to any routine (standard) medical treatment for a youth in Children’s Division’s custody.  As noted in this chapter, the case manager or resource provider should attempt to involve the parent in routine treatment by offering invitations to appointments and providing updates about the child’s health status. Documentation of the informed consent decision for routine treatment is always required and shall be in FACES and the medical record within the child’s file. The resource providers’ documentation should be contained in the Monthly Medical Log (CD-265) and the event shared with the case manager.  The consenter may be asked by the health care provider to document their consent or refusal of treatment on a form offered by the provider.  If this occurs, the consenter should request a written copy of the consent documentation from the health care provider to be saved in the child’s medical record. Informed Consent for Non-Routine Treatment, including Behavioral Health Services and Psychotropic Medication As defined above, non-routine medical treatment includes any health intervention that is not considered routine (standard) or extraordinary care. Only CD and contracted case management staff may grant informed consent for non-routine treatment; resource providers are not authorized to consent for non-routine treatment, excepted in the limited circumstances described below. Every informed consent decision shall include engagement with the parent(s). Contact with the parent(s) shall include a conversation about the recommended treatment and/or procedure, such as diagnosis, purpose, names and dosages of any medications, possible side-effects, required follow-up or monitoring, availability of alternatives, and prognosis without an intervention. The informed consent decision process shall be documented in the case record. Some children may need medication to cope with the trauma of abuse, neglect or separation. Other children may need medication to help treat behavioral health disorders that they inherited or developed, such as Attention Deficit Hyperactivity Disorder (ADHD), severe depression, or psychosis. Informed consent for a specific psychotropic medication may not be used to imply informed consent for another medication.  Thus, the case manager should follow this process each time an additional medication is recommended. Psychotropic Medication – Initiation and Monitoring A case manager shall not consent to the use of psychotropic medications without first having sought alternative interventions to aid the child, resource provider or parents. Those may include, but are not limited to therapy, skills building, parenting assistance or family therapy. Every child shall have a behavioral health assessment, with a DSM-based diagnosis, documented in the child’s case record prior to being prescribed a psychotropic medication. In the case of a child who comes into CD legal custody with an existing psychotropic medication prescription, CD may continue to administer such medication until the necessary evaluations have been made. Every child prescribed a psychotropic medication shall have medical examinations as indicated by the current “Bright Futures /American Academy of Pediatrics (AAP) Recommendations for Preventive Pediatric Health Care,” or “periodicity schedule,” or more frequently if recommended by the prescriber. Every child prescribed a psychotropic medication for ongoing use (more than a single dose) shall have, documented in the child’s case record, monitoring appointments with a prescriber at least every three (3) months, or more frequently if indicated by the prescriber. The informed consent decision-making process for all new recommended psychotropic medications must be documented using form Informed Consent for Psychotropic Medication (CD-275). Dosage increases or decreases for a medication previously authorized do not require completion of this form unless the prescriber states the dose exceeds guidelines at which time, a new CD-275 will need to be completed.       Every CD-275 should be retained in the case record; form shall be uploaded to the document imaging system and placed in child’s medical section of the case record.Every child prescribed a psychotropic medication shall receive concurrent non-pharmacological treatment at the frequency and duration recommended by the prescriber Informed consent decisions are valid for one (1) year. Case Managers shall consult with supervisor once every ninety (90) days regarding informed consent decisions. These consultations shall include but are not limited to what, if any, adverse effects the child has experienced and whether the symptoms for which the drug was prescribed have been addressed, and the frequency of non-pharmacological treatment. These consultations shall be documented in FACES. A new Informed Consent for Psychotropic Medication (CD-275) form will be completed annually prior to informed consent decisions expiring.       The CD-275 should be retained in case record; form shall be uploaded to document imaging system and placed in child’s medical section of the case record. Process for Obtaining Informed Consent and Assent for Psychotropic Medication. Informed Consent No case management staff member is authorized to provide informed consent unless and until she or he successfully completes the Informed Consent training and Psychotropic Medication Management Training referenced above in section 4.3.3. Until such time, an assigned supervisor shall fulfill the informed consent functions. Special Circumstances: Except in the emergency circumstances set forth below, informed consent must be obtained voluntarily and without undue influence or coercion prior to: The administration of a newly prescribed psychotropic medication, to include the continued administration of a psychotropic medication administered to a child under the emergency circumstances set forth below, or The continued administration of a drug prescribed prior to the child entering foster care; in which case, the consent must be obtained prior to the expiration of the child’s current prescription or promptly after the child’s first medical appointment with the prescriber upon entering foster care, whichever occurs first. Emergencies: Psychotropic medications may be administered by a qualified prescriber without informed consent in an emergency situation. An emergency situation occurs when the purpose of the medication is to protect the life, safety or health of the child; to protect the life, safety or health of others; to prevent serious harm to the child or others; or to treat current or imminent substantial suffering. In instances of emergency, notification shall be provided to the case manager or authorized consenting party as soon as practicable. For a child in a residential program under contract with CD, residential program staff shall provide notice to the case manager or authorized consenting party within 24 business hours after the emergency administration of the medication. For a child in a hospital setting, the child’s case manager shall inquire within two (2) business days of the child’s hospital discharge to determine whether any psychotropic medications were administered on an emergency basis. The case manager shall document in the child’s case record in FACES any psychotropic medications administered on an emergency basis while in a residential or hospital placement. The case manager shall notify the parent within 24 hours of learning of the event. Circumstances when a Mandatory Review and Recommendation is Required PRIOR to Giving Informed Consent Before informed consent may be given in the following circumstances, CD shall make a referral to the Statewide Clinical Consultant, currently the Center for Excellence in CHILD Well-Being (The Center) and receive a recommendation as to whether consent should be granted: Before a child age three (3) or younger is prescribed any psychotropic medication; For a child age four (4) or older: Before starting a 3 rd (or more) psychotropic medication; Before starting a 2 nd (or more) antipsychotic; Before a psychotropic medication is started by a second prescriber; and Before starting a psychotropic medication that exceeds dosage guidelines. The case manager needs to make contact with the Health Information Specialist (HIS) as soon as possible upon receiving a recommendation for psychotropic medication to notify the HIS to request a referral for a mandatory review. The request or referral to The Center for a mandatory informed consent review shall be made by the HIS as soon as practicable in writing or electronically using a standardized form or template, currently the online referral for the Center for Excellence in CHILD Well-Being located on the CD intranet, Behavioral Health webpage. CD shall provide to The Center access to the information that The Center determines necessary in order to conduct the secondary review, to the extent that the information is reasonably available to CD. This may include the child’s medical history, including clinically relevant records and information. For Mandatory and Secondary Reviews: The recommendation of The Center shall be communicated in writing to the case manager within five (5) business days if the child is outpatient and three (3) business days for inpatient from the day The Center receives the written or electronic request or referral or, if requested by The Center, any other necessary information. The individual authorized to provide informed consent shall consider the recommendation and collaborate with the prescriber if necessary prior to providing an informed consent decision. Documentation of the request and the recommendation shall be included in FACES. The findings and recommendations of The Center shall be provided to the child’s parent or legal guardian; the individual authorized to provide informed consent for the medication (if an alternative consenter has been appointed by the court); child’s resource provider; and any other person or entity authorized to receive the recommendations by order of the court. The findings and recommendations of The Center may be provided to other individuals as determined appropriate which could include: Guardian Ad Litem (GAL), Court Appointed Special Advocate (CASA), other members of the Family Support Team (FST), and medical providers. In the event that CD declines to share the findings and recommendations of The Center with the child’s parent or legal guardian, CD shall notify in writing any person denied access to the findings of the reason for the denial, using the Denial Notification Letter of Center for Excellence Findings, CD-280. The notice shall also explain an individual’s right to seek a review of the denial by completing a Service Delivery Grievance (CS-131) form or to file an appropriate motion with a juvenile court. Reasons CD may decline to share the findings and recommendations include the following: When a court exercising authority over the child has entered an order restricting the individuals access to information pertaining to the child Where CD determines that sharing the information may endanger the health, safety and welfare of the child or another person, or is otherwise contrary to the best interests of the child; Where CD determines that sharing the information may interfere with a child abuse, child neglect, or criminal investigation involving the Child or another child as a victim; Whenever providing the information is otherwise contrary to law. Although the authorized consenter is not bound by the recommendation of The Center, consent may not be given until after the mandatory review is completed and such recommendation has been provided and considered. Consent for a specific psychotropic medication may not be used to imply consent for a different medication. Consent need not be re-obtained for a dosage change unless the prescriber communicates to CD (through a written form or otherwise) that a dosage exceeds current FDA-approved pediatric dosage guidelines, or if no such guidelines exist, current FDA-approved adult dosage guidelines. Consenting Authority and Process Prior to Termination of Parental Rights: The case manager shall have authority to grant informed consent for the administration of psychotropic medication to a child in CD custody: provided that CD consults with one or more of the child’s parents, to the extent the parents are available and willing to participate, see Parent Opposed section below; and unless another individual or entity is authorized to make the decision by order of the juvenile or family court exercising authority over the child. Parent Engagement: Except as provided below, and emergency circumstances described above, every time a health care provider recommends the administration of a new psychotropic medication, the case manager shall: Make at least two (2) attempts, on different days (which in some circumstances may occur within the same 24-hour period, though still occurring on two different days), to contact a parent (both parents if applicable) to provide notice of the recommendation; and Attempt to reach the parent(s) by at least two (2) methods (phone, email, in-person, etc.), to the extent two such methods are available for a particular parent. Each attempt by a case manager to contact the parent(s) must be documented in FACES and on the Informed Consent for Psychotropic Medication (CD-275) form. Contact with the parent(s) shall include a conversation about the recommended treatment, such as diagnosis, purpose, names and dosages of any medications, possible side-effects, required follow-up or monitoring, availability of alternatives, and prognosis without an intervention. If, after two attempts to contact the parent(s), the case manager is not able to reach the parent(s), then the case manager may consent to or refuse the administration of the psychotropic medication at issue. The case manager will document in the FACES and on the Informed Consent for Psychotropic Medication (CD-275) form attempts to reach the parent(s), efforts to provide notice, and the decision regarding consent. Except when parent notification is not required as provided below, the parent(s) shall be provided the contact information if requested for the child’s treating health care provider in order to communicate with them directly, if the parent(s) so chooses. For every informed consent request, the case manager shall also engage the child’s resource provider, and shall notify the child’s GAL, CASA, and FST of such decisions within ten (10) business days. Parent Notification/Consultation Not Required: CD is not required to attempt to notify and/or consult with the parent(s), or give the parent the contact information of the prescribing provider, in the following circumstances: If the parent(s) is unknown, or when CD cannot locate the parent(s) after a good faith search in accordance with CD policy; If the parent(s) has abandoned the child for a period of ninety (90) days without any meaningful contact (visits, support, participation in court/FSTMs/child’s treatment); If a court exercising authority over the child has entered an order restricting parental access to information pertaining to the child; If CD determines that sharing the information may endanger the health, safety, or welfare of the child or another person, or is otherwise contrary to the best interests of the child; If CD determines that sharing the information may interfere with a child abuse, child neglect, or criminal investigation involving the child or another child as a victim; or If providing the information is otherwise contrary to law.The case manager remains the consenter until the child is adopted or until a juvenile court issues an order authorizing an alternate person, such as the pre-adoptive parent, to provide consent. For every informed consent request, the case manager shall engage the child’s resource provider, and shall notify the child’s GAL, CASA, and FST of informed consent decisions within 10 business days. If the parental rights of both parents have been terminated, or the court has otherwise restricted both parents’ access to medical information about the child, the case manager may provide informed consent for the administration of psychotropic medications without attempting parental notification. The case manager remains the consenter until the child is adopted or until a juvenile court issues an order authorizing an alternate person, such as the pre-adoptive parent, to provide consent. For every informed consent request, the case manager shall engage the child’s resource provider, and shall notify the child’s GAL, CASA, and FST of informed consent decisions within 10 business days. Parent Opposed to Proposed Course of Treatment: If a parent disagrees with a case manager’s informed consent decision, the matter shall be referred to The Center, unless a review from The Center has been completed involving the same proposed course of treatment. The case manager shall, after being informed and confirming that such a disagreement exists, shall contact the Health Information Specialist (HIS). The (HIS) shall submit a referral to The Center within five (5) business days.   The referral to the Center should be made using The Center’s online referral request form. The Center shall, within five (5) business days of receiving the request for consultation, review the pending prescription and provide an opinion and recommendation as to the appropriateness and timing of the prescription (including but not limited to whether the child should begin taking the proposed medication immediately). Documentation of the request and the recommendation shall be included in the child’s case record. The individual authorized to provide informed consent shall consider the recommendation and collaborate with the prescriber if necessary prior to providing an informed consent decision. Documentation of the request and the recommendation shall be included in the child’s case record. The findings and recommendations of The Center shall be provided to the child’s parent or legal guardian; the individual authorized to provide informed consent for the medication (if an alternative consenter has been appointed by the court); Child’s Resource Provider; and any other person or entity authorized to receive the recommendation by order of the court. The findings and recommendations of The Center may be provided to other individuals as determined appropriate which could include: GAL, CASA, other members of the FST, and medical providers. In the event that CD declines to share the findings and recommendations of The Center to the child’s parent or legal guardian, CD shall notify in writing the reason for the denial using the Denial Notification Letter of Center for Excellence Findings, CD-280. The notice shall also explain an individual’s right to an administrative review of that decision or to file an appropriate motion with a juvenile court. Reasons CD may decline to share the findings and recommendation include the following: When a court exercising authority over the child has entered an order restricting the individuals access to information pertaining to the child Where CD determines that sharing the information may endanger the health, safety and welfare of the child or another person, or is otherwise contrary to the best interests of the child; Where CD determines that sharing the information may interfere with a child abuse, child neglect, or criminal investigation involving the Child or another child as a victim; Whenever providing the information is otherwise contrary to law. If a parent does not agree with the recommendation from The Center, the parent may (a) within five (5) business days from the date the parent was informed of the recommendations initiate a service delivery grievance, or (b) at any time, file an appropriate motion with the juvenile court. If the case manager does not receive notice of a service delivery grievance or motion filed with the juvenile court within six (6) business days from the date the parent was informed of the recommendations, the case manager may consent to or refuse the course of treatment at issue. The case manager will document in FACES attempts to reach the parent(s), efforts to provide notice, and the decision regarding consent. If The Center has recommended immediate administration of a psychotropic medication, then the case manager may follow that recommendation, regardless of any pending service delivery grievance or juvenile court motion filed by the parent. If The Center recommends that immediate administration of a psychotropic medication is not required, then the case manager will not consent to the medication until any service delivery grievance or juvenile court motion has been resolved. Alternative Consenters: In the event any member of the FST seeks to serve as the consenting authority for the administration of psychotropic medications to a child, CD will, to the extent permitted by the juvenile court, inform the court and request an opportunity for the proposed alternative consenter to be heard. CD may require that such a request be provided in writing, include the reasons for the request and a statement that the alternative consenter will provide informed consent. CD’s responsibility will be only to inform the juvenile court and the parties of the request, not to support the request. Notice of the right to pursue this process shall be provided in writing to all members of the FST utilizing the Learn Your Rights flyer (CD-287). CD staff will provide the CD-287 at the initial FST meeting and again if their child is prescribed a psychotropic medication. Documentation of the distribution of this flyer (date and to whom) shall be recorded in the narrative section in FACES. In the rare instance that a child is placed in the joint custody of CD and DYS, while the child is in a placement arranged by DYS, DYS shall be the consenting authority. DYS shall keep the CD case manager fully informed regarding all medical and behavioral health care received including any recommended treatment or medication changes as they occur. Standardized Form (CD-275) Required When Giving Informed Consent: All informed consent decisions must be documented on the Informed Consent for Psychotropic Medication (CD-275) form. Any authorized consenting party (i.e. case manager, alternative consenter, or youth over 18) must complete and sign the form. If the authorized consenting party is a CD staff member the completed and signed CD-275 must be uploaded to the document imaging system. Information Required for Informed Consent: The case manager or other authorized consenting party shall ensure that he or she has the following information before making an informed consent decision: The results of the behavioral health/psychiatric evaluation of the child including the child’s diagnosis or diagnoses, along with the target symptoms to be addressed by the medication; An explanation of the purpose of the medication, the anticipated duration of treatment, and its expected results; Whether medically necessary metabolic and other screenings indicated by the prescriber have been completed at the recommended frequency (e.g. bloodwork, BMI, weight); Whether, according to the prescriber, (i) each medication is FDA-approved for pediatric use, or (ii) there are any limitations on FDA-approval related to the age of the child and the diagnosis; The short and long-term risks and possible benefits associated with the medication and any combination of medications prescribed, including the nature and possible occurrence of any adverse effects and/or irreversible symptoms; Alternative non-pharmacological treatments that have not yet been attempted and their risks and benefits; Alternative non-pharmacological treatments that were attempted and not successful; The known allergies of the child; The current illnesses of the child; The psychiatric history and treatments of the child; The risks and benefits of not undergoing treatment; Any other medications the child has received in the past and the child’s reaction to those drugs; and Any other information necessary to provide informed consent relating to the medical treatment of the child. Secondary Review Requests for Medication or Other Recommended Treatment Requesting a Secondary Review A referral for a Secondary Review shall be made for any of the following: The case manager has concerns about psychotropic medications being prescribed, or any other recommended physical or behavioral health intervention. The parent or child disagrees with a case manager’s informed consent decision. A request from members of the child’s FST, including the child, child’s parents or legal guardian, the child’s GAL or CASA, the child’s resource provider, and the Juvenile Officer for a secondary review of the child’s psychotropic medications or any other recommended physical or behavioral health intervention. The case manager needs to make contact with HIS as soon as possible once a decision has been made that a secondary review is necessary based upon the criteria listed above, clearly documenting why the review is being requested. The HIS will make a referral to The Center. The referral form is located on the CD intranet Behavioral Health webpage and should be completed and submitted electronically. The electronic referral form shall be submitted within five (5) business days. The HIS shall provide a fully completed referral form with all the required supporting documentation, and any additional information The Center determines necessary to conduct the secondary review. Supporting documentation includes: medical records with current diagnosis, prescriber notes, current medication list including dose and frequency, lab results, psychiatric evaluation, therapy reports and other records related to the child’s behavior or diagnosis.   The HIS shall provide supporting documentation to the extent that information is reasonably available to CD. The secondary review conducted by The Center shall include an assessment of: The child’s diagnosis(es); Appropriateness, efficacy, and potential adverse effects or risks of current psychotropic medication(s); The child’s medication history as it relates to psychotropic medications prescribed to the child; Why the current psychotropic medication(s) is/are being used; Whether the medically necessary lab work and/or baseline health screenings have been completed as they relate to psychotropic medications prescribed to the child, and any adjustments indicated by the results of such lab work or screenings; A plan to taper off of psychotropic medications where medically appropriate; Whether the documentation supports the diagnosis being treated, recognizing that the Qualified Psychiatrist cannot make a diagnosis; and Whether other non-pharmacological interventions have been or are currently being provided for the child. The HIS may, at their discretion, decline to refer the case for more than one review for a particular child within the same sixty (60) day period. All referrals for secondary review and resulting recommendations must be documented in FACES. Automatic Quarterly Case Reviews Each quarter The Center evaluates and analyzes information on children in alternative care who are administered psychotropic medication(s). The Center may request a case review to assess the use of psychotropic medication(s) for a child. If a child’s case has been selected for a review, The Center will send an electronic notification to the case manager, case manager supervisor and the HIS. If The Center requests documentation, the HIS will have ten (10) business days from the date of receiving the electronic notification to collect the materials or documents and send to The Center. When the case review is complete, The Center will send a findings and recommendations letter to the case manager, case manager supervisor and HIS. The letter should be sent within five (5) business days from the date of the notice or the date The Center received the requested documents. The case manager and case manager’s supervisor will review the findings and recommendations letter to determine how to process the recommendation(s). HIS staff can assist the case manager with processing the recommendation(s). The Center will send an electronic alert to the case manager and case manager’s supervisor requesting information on how the recommendation(s) was processed. The criteria for an automatic case review is: Use of an antipsychotic or atypical antipsychotic medication in a child age four (4) or younger. For a child age five (5) or older: Use of five or more concurrent psychotropic medications for 90 days or more; Use of two or more concurrent antipsychotic medications for 90 days or more; and Multiple prescribers of any psychotropic medication for 90 days or more. The criteria for an automatic case review after December 5, 2020 is: Use of any Psychotropic Medication for a child age three (3) or younger. For a child age four (4) or older: Use of three or more psychotropic medications for 90 days or more; Use of two or more concurrent antipsychotic medications for 90 days or more; Multiple prescribers of any Psychotropic Medication for 90 days or more; and A Child is prescribed a dose in excess of the guidelines referenced in section”For Mandatory and Secondary Reviews.” Children’s Rights Bodily integrity is the principle that it is the right of each human being, including children, to autonomy and self-determination over their own body. Children who have been abused or neglected often feel little control over what happens to them. Children should be routinely involved in the process of making routine and non-routine treatment decisions, to the extent appropriate. These communications should occur in a developmentally appropriate, judgment-free manner and in a physical space offering confidentiality to ask questions and share concerns. Children may need multiple opportunities to ask questions and receive information in order to build skills to become capable and confident health care consumers. These interactions also offer the opportunity to assess the child’s level of understanding about what to expect with tests or treatment and to help them develop awareness about their physical and behavioral health. At minimum, children should be offered the opportunity to: Know their diagnosis Understand all the treatment options Ask questions about potential benefits and side effects Participate in decision-making to the extent that is developmentally appropriate Receive assistance from the family support team to help with decisions Obtain or refuse birth control Consent to substance abuse treatment when 16 years of age or older Refuse psychotropic medication after being offered the opportunity to consult with their health care provider Informed Assent (under age 18) During the assent process, the child is engaged and his or her input is sought allowing them to voice their preferences and concerns. It is important to have conversations about prescribed medication or treatment, as age and developmentally appropriate, with all children. For youth ages 12 and above, informed assent shall be obtained in writing. Obtain Assent: Before providing informed consent for a psychotropic medication, the case manager or supervisor (in coordination with the alternative consenter, if applicable) must seek to obtain informed assent from the youth, consistent with the following: In partnership with the child’s treating health care provider, ensure that the child is informed, in an age and developmentally appropriate manner, of the recommendation for prescribed medication(s) as part of the child’s treatment plan. In partnership with the child’s treating health care provider, ensure the child is provided an opportunity to voice his or her reactions or concerns regarding prescribed medication(s). Ensure that the child (if over age 12) and the child’s attorney/GAL (for a child of any age), are provided the Learn Your Rights flyer CD-281 to provide notice in writing of: All rights set forth above, along with the right to file a service delivery grievance or to file a motion with the juvenile court; The right to speak privately with the health care provider regarding any proposed psychotropic medication; The right to seek a second opinion from a different health care provider regarding any psychotropic medication; and The right for children age 12-17 to request that their refusal to assent to the administration of a psychotropic medication be reviewed by the Center. The request will follow the same timeline and requirements set forth in above in the Parent Opposed to Proposed Course of Treatment section. Give the child the opportunity to sign the Informed Consent for Psychotropic Medication (CD-275) and ensure that the signed form is placed in the child’s case record. The case manager will give the CD-281 in person during first contact with child and/or GAL when providing Family-Centered Out-of-Home services, when a prescriber is recommending administration of a psychotropic medication, when the child turns 12 (twelve), and annually until the child is eighteen (18) years of age. If the GAL is not present during the FST meeting case manager will contact the GAL and provide the flyer either electronically or mailed to the GAL’s address. Expiration of Assent: Except in cases of a medically significant change in circumstances, informed assent shall expire and must be re-sought 12 months from the date the assent is provided or withheld. Youth 18 Years or Older Once a youth has reached 18 years of age, the ability to give consent or refuse treatment shall transfer from the case manager to the youth. The case manager should be available to answer questions and assist the youth in making an informed decision. The only exception to this is if a court order has been obtained that such a transfer would not be in the youth’s best interest due to lack of capacity or disability that prevents the youth from making medical decisions. In that event, the case manager should continue as the consenter but involve the youth in the decision-making process to the greatest extent possible. Related Practice Points and Memos: 7-9-19 – PP19 CM-01 – Timely Informed Consent – Inpatient Hospitalizations and Medication Management Checkups 7-26-19 – CD19-47 – Informed Consent for Psychotropic Medication (Form CD-275) 10-11-19 – DK19-04 – Immediate Implementation of Best Practices Regarding Behavioral Health Care and Medical Records 4-9-20 – PP20-CM-03 – Mandatory Psychotropic Medication Reviews 7-23-20 CD20-34 – Introduction to Child Welfare Manual policy updates to align with best practices and comply with Joint Settlement Agreement requirements.",https://fostercaresystems.wustl.edu/mo-section-4-chapter-4-working-children-subsection-3-medical-and-behavioral-health-planning-433
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 3 – Medical and Behavioral Health Planning :: 4.3.2 Medical and Behavioral Health Case Management",Missouri,Rules,"2023, 2022, 2021","Services while in care - Medical, Services while in care - Mental Health",,,"Children’s Division (CD) shall ensure that children in the agency’s custody receive appropriate medical and behavioral health care. Each child’s care must include: Emergency treatment, whenever necessary; Timely examination and treatment of nonemergency injuries and illnesses; Provision of ongoing allied health services, like physical or occupational therapy, when recommended. Allied health professionals are not doctors, dentists or nurses, but others who aim to prevent, diagnose and treat a range of conditions and illnesses and often work within a multidisciplinary health team to provide the best patient outcomes; Proper assessment and care of behavioral health issues; and Regular preventive care appropriate to the child’s age and condition, including immunizations Initial Family Support Team (FST) Meeting: At the first FST meeting following the child’s placement in alternative care, the case manager shall inform the parent(s) that CD will expect them to take an active role in health care decisions about the child, unless the FST determines that would be contrary to the best interests of the child.  An active role would include, but is not limited to: Attending the child’s appointments; Demonstrating an understanding of the child’s health status and recommendations of any providers; and Providing necessary care and medication during visitation and trial home placement. The case manager shall keep the parent(s) informed of the child’s medical and behavioral health decisions.  The case manager is responsible for the child’s medical and behavioral health care while the child is in CD custody.  The case manager shall partner with the parent(s), the child (to the extent reasonable for the child’s age and understanding), resource providers, and primary health care providers. The case manager will attempt to contact these partners prior to the provision of any treatment.  The parent(s) will be asked to return the completed Child/Family Health and Development Assessment (CW-103) within a week of the Initial FST if not returned at the time of the meeting. If the parent does not return the completed CW-103, the case manager shall engage the parent to obtain the necessary information to complete the CW-103 and share information with resource provider. All information about the child’s medical or behavioral health care while in alternative care shall be shared with the parent/caregiver on an ongoing basis unless Termination of Parental Rights (TPR) has occurred or the court has issued an order preventing the parent/guardian access to the information. Ongoing Case Management Provision of Appropriate Care: The health of a child in alternative care is of paramount importance throughout the child’s placement. The resource provider shall obtain a medical examination for the child immediately following initial placement and at least annually thereafter    in cooperation with CD. This requirement is satisfied by completion of Initial Health Examination    or the Full Healthy Children and Youth (HCY) Screening. Initial Health Examination: An initial health examination should occur when the child enters care. When possible, this should be completed by the current primary care physician as they are already familiar with the child’s medical history . If a provider is not readily accessible, this exam must occur within seventy-two (72) hours of the initial placement. The case manager need not attend these initial examinations; however, they should receive documentation of the results of the examination of the appointment and ensure compliance with any recommended follow-up treatment/interventions. Full HCY Screenings: A full HCY screening consists of a physical examination, and other developmental components, including but not limited to vision, hearing, social/emotional and dental screenings. The screenings shall be completed no later than thirty (30) days after the child is placed in (CD) custody. If it is not possible to schedule the appointment within thirty (30) days, the reason for the delay shall be documented in FACES and the screenings completed at the earliest possible date. Staff should promptly follow up on any recommendations from the screening. An Initial Health Examination may be considered a Full HCY screening if the Initial Health Examination contains a review of all sections within the HCY screening. Ongoing Medical Assessments: Children’s Division shall maintain best practices in monitoring the child’s health as required by federal and state laws, and as recommended by the American Academy of Pediatrics (AAP) and the Child Welfare League of America (CWLA), which set forth that certain medical appointments occur timely to assess and monitor the child’s health. All children in the custody of the Children’s Division shall receive medical assessments   in accordance with the “Bright Futures /American Academy of Pediatrics (AAP) Recommendations for Preventive Pediatric Health Care” also known as the “Periodicity Schedule.” The periodicity schedule is based on age and may require some children to have more frequent visits than children in other age groups. https://web.archive.org/web/20230126132131/https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf Some medical care, even though standard or routine, may be controversial in some families.  With respect to those issues, the case manager shall follow CD policy as set forth below. Dental Examinations: Immediately following placement the resource provider should obtain a dental examination for the child as recommended by the dentist or every six (6) months; but at least annually. Dental exams are performed by dentists or qualified dental professionals. During a dental exam, the dentist or hygienist will check for cavities and gum disease and may clean the child’s teeth. The exam involves a more comprehensive oral health evaluation and may include dental X-rays or other diagnostic procedures, when indicated. Oral hygiene habits and anticipatory guidance are typical points of discussion during each visit. Dental Exam Periodicity Schedule – When and How Often Exams Should Occur First Dental Exam: The American Academy of Pediatric Dentistry (AAPD) recommends the first dental examination occur at the time of the child’s first tooth eruption , or no later than 12 months of age. A child’s developing primary teeth (or “baby teeth”) are susceptible to decay as soon as they appear. This first visit provides the early opportunity to check existing teeth for decay and to assess any potential problems with the child’s gums, bite, oral tissues, and jaw. The dentist can provide guidance on baby bottle tooth decay, infant feeding practice, teething, pacifier habits, finger-sucking habits, and mouth cleaning. Ongoing Dental Exams: Dental exams are recommended every six (6) months , or more frequently if recommended by the dentist based on the child’s risk status. Child’s First Dental Exam Following Entry in to Alternative Care All children entering alternative care must have a full, comprehensive HCY screening within thirty (30) days. Included in this physical health and developmental assessment are vision, hearing, and dental screenings. The dental screening may be completed by the physician performing the physical exam, or the child can be taken to a dentist to receive this screening. A full dental examination is not required during this thirty (30)-day timeframe solely due to the child’s entry into alternative care. However, if during the HCY dental screening the provider indicates a need for a full dental/oral examination, the physician will make a referral and staff shall ensure this exam occurs. This dental exam must be performed by a dentist or qualifying dental professional. Because dental exams are recommended every six (6) months, staff should promptly collect the child’s dental records upon entry into alternative care to ascertain when the child last had a dental exam and when he/she should visit the dentist next. These records can be obtained from the child’s dental provider, or by accessing the information via CyberAccess for MO HealthNet recipients. If the child has no history of a dental exam, the child’s first dental exam should be scheduled based on the anticipatory guidance given by the physician during the thirty (30)-day HCY screening, but no later than six (6) months from entering CD custody. Immunizations: The case manager or resource provider will ensure that children in the agency’s custody are immunized against disease, in accordance with the Department of Health and Senior Services (DHSS) current guidelines.  The DHSS immunization guidelines are: 2022 Recommended Child and Adolescent Immunization Schedule for 0-18 years of age and the 2022 Recommended Child and Adolescent Immunization Schedule for 19 and older. If a parent has an objection to the administration of an immunization based upon religious or health reasons, the parent should inform the case manager or resource provider and the parent may choose to address the issue with the Court. The administration of an immunization can be performed; unless there is a court order exempting the child from receiving the immunization. Any information pertaining to an immunization will be documented in FACES and all documents uploaded to OnBase and a copy placed in the child’s physical file. Emergency Use Authorization (EUA) currently granted for COVID-19: The case manager, resource provider, or youth 18 and older who provide their own consent, may provide consent for any vaccines approved by the Centers for Disease Control and Prevention.  The case manager will refer to following guidelines https://www.cdc.gov/vaccines/hcp/acip-recs/vacc-specific/covid-19.html , to determine if vaccine has been approved for a child specific age group. The case manager and resource provider will talk with the child in an age and developmentally appropriate manner about receiving the EUA vaccine, just like other health care decisions, and ensure that the child understands: receiving the vaccine is voluntary; the physician can help answer any questions about the vaccine,  benefits, or potential side effects. The case manager will then consult with the child’s physician regarding whether it is appropriate for the child to receive the vaccine. Upon the recommendation of the child to be vaccinated, the case manager will discuss the recommendation with the parent(s)/legal guardian. The case manager will make at least two (2) attempts to contact a parent (both parents if applicable)/legal guardian. Contact with the parent(s)/legal guardian will include a conversation about the recommended treatment and possible side effects.  The COVID-19 Vaccination Information document may be used to assist the case manager with providing additional information to the parent(s)/legal guardian. If contact is made the case manager will inform the parent(s)/legal guardian of the recommendation and confirm consent or opt-out of a COVID-19 vaccine. All direct contact and attempts to contact shall be documented in FACES. In the event that a parent(s)/legal guardian and the child are not in agreement whether to receive the vaccine or to opt-out, the case manager will facilitate a discussion with the family to attempt to reach a consensus, and may provide educational resources to inform the decision-making process. If a consensus is not reached, the case manager will make a referral to the Division of Legal Services. If the case manager is unable to contact the parent(s) within a reasonable timeframe the case manager may follow the physician’s recommendations regarding vaccination of the child and document consent. The consent document will be uploaded to OnBase and a copy placed in the child’s physical file. The case manager will instruct the resource provider to monitor the child and contact the case manager as soon as possible, if the child is experiencing any side effects. Reproductive Health: Information on sexual health, education, including information on sexually transmitted infections and birth control should be made available to a child, appropriate to their age and physical and emotional maturity.  The case manager shall document when and by whom this education was provided.  Educational information and prevention resources shall be made available to parent(s) and/or resource providers as requested for discussion with the child. Birth Control: Children in foster care are afforded the choice to obtain or refuse birth control.  Missouri law does not require minors to have parental consent to obtain contraception, although it is the practice of some medical providers.  If the medical provider requires signed consent, CD may provide the written consent. Attendance at Health-Related Appointments: After a child is placed in the custody of CD, parent(s) and resource provider attendance at the child’s health-related appointments is expected and welcomed, in most instances.  The case manager should invite the parent(s) and resource provider to attend all health-related appointments at least three days in advance, whenever possible.  There may be special circumstances in which it is not in the best interests of the child for the parent(s) to be involved in health care decisions about the child.  In these cases, the case manager should speak to their supervisor and may consider a referral to the Division of Legal Services or CD attorney. If behavioral health therapy is arranged for the child, ideally the case manager will attend the initial appointment with the child.  If the case manager is unable to attend the initial appointment, s/he must communicate with the therapist prior to the appointment to discuss the child’s needs and provide consent to begin treatment.  If a child is referred for psychiatric assessment or care, the case manager or supervisor must attend all initial appointments. Communication Regarding Health Care Needs: The case manager should recognize that continued collaboration with the parent(s), child, resource provider, and primary health care providers will lead to clearer communication and provision of services in the child’s best interests, resulting in a smoother transition in the event of any change, including at the time of reunification or, for an older youth, placement in independent living. Family Support Team (FST) Meetings: FST meetings shall include a discussion of medical and behavioral health updates, unless the case manager has determined that such discussion is contrary to the child’s best interests. A supervisor should be consulted regarding any such determination and an explanation provided to the FST, with appropriate documentation in FACES. Notice of the right to pursue being designated as an alternative consenter for psychotropic medications is to be provided to all members of the FST at each meeting. See Alternative Consenter in 4.3.3. Parent(s): Unless termination of parental rights has occurred or the court has issued an order restricting parent(s) access to information, the case manager will routinely share information about the child’s health with the parent(s) during home visits and will timely respond to requests for information.  Additionally, the case manager shall engage the parent(s) promptly about any major change in the child’s health status, including, but not limited to, significant injury, new diagnosis or medication, or any emergency treatment or hospitalization.  The parent(s) should be asked to provide updates about any newly acquired knowledge of familial illness which might impact the child and to promptly inform CD of any illness or injury incurred by the child during visitation with the parent(s). Child: Children and youth should participate as much as possible in making decisions about their medical care.  Children should be encouraged by the team members to communicate information or worries about their health to parent(s), resource providers, the case manager, and to health care providers.  Case managers should ask a child’s opinion about proposed medical care and discuss safe use of medication, as developmentally appropriate.  Providing a child with information: helps the child achieve developmentally appropriate awareness of health status; tells the child what to expect about treatment; helps to prepare a child for assuming more responsibility for health care decisions as they develop; aids the case manager and other adults involved in the child’s care to assess the child’s understanding of the situation; and solicits the child’s willingness to accept the proposed care. Children/youth age twelve (12) or older shall be provided written notice of their rights regarding assent as described in the Informed Assent section. The Guardian Ad Litem (GAL) and any attorney for every child shall also be provided written notice of children’s rights regarding assent. Staff shall document in the case record when and to whom the Learn Your Rights (CD-281) form was provided. Resource Provider: The case manager will provide all available medical and behavioral health information to the resource provider as required by law.  The case manager and the resource provider will regularly review the child’s health care status throughout the duration of the child’s placement. The resource provider will notify the case manager as soon as possible of any significant injury or illness of the child. Court: The case manager shall provide a comprehensive summary regarding the child’s health in regular court reports and shall include any current diagnoses and medications, if any. Children’s Division Responsibilities: In addition to the historical documentation cited in this chapter and the provision of such documentation to a resource provider upon initial placement of a child, CD has an overarching responsibility to ensure that current medical information is documented throughout a child’s placement in care. CD shall exercise reasonable and diligent efforts to compile and maintain the medical records for each child in alternative care. Collection of medical history and updating the child’s medical records are continuing and shared responsibilities. The case manager will obtain medical information for each child in their caseload. The case manager will upload any medical and/or behavioral health documents into the document imaging system and maintain a physical paper file, if the records were not received electronically. The Health Information Specialists (HIS) are available in each region to assist the case manager with coordination of obtaining the documents. All efforts to involve the child and parent(s) in decisions about the health care of the child shall be documented in FACES by the case manager.  Documentation should include the child’s response and the parent’s actual involvement or reasons why the parent could not or should not be involved.  If the parent(s) cannot be located, the case manager will document any efforts taken to notify them. Available documentation shall be uploaded into document imaging system. All medical, mental health, medication, behavioral and any other identified needs specific to the child should be documented in the Social Service Plan Child Section. Each identified need should include the plan to address the need, who will be involved to help meet the need and next steps. These needs shall be reviewed and progress documented in the FACES contact note during every home visit with the parent/caregiver/guardian, every visit with the child and placement provider and every FST. Any changes to the Social Service Plan Child Section should be reflected in the next reassessment. Medical Records – Compilation and Access Case Record: The case manager and HIS may collaborate to obtain and upload any historical and current medical and/or behavioral health documents. These documents are maintained in the document imaging system and can be retrieved to compile a medical record for the child.  This medical record shall include full and accurate medical information and history, including but not limited to the following:  Medical and surgical history, dental history, psychosocial history, past behavioral health and psychiatric history, including medication history and documented benefits and adverse effects; past hospitalization or residential treatment history; allergies; immunizations; current and past medications, including current dosage and directions for administration; family health history; treatment and/or service plans, and results of any clinically indicated lab work. Process and Documentation: To the extent applicable, such efforts shall include, but not be limited to, accessing Medicaid claims data, requesting information from current and past medical care providers known to CD, reaching out to the child’s health insurance plan, gathering records from past foster care episodes, and gathering records and information from parents (whose rights have not been terminated) or guardians and other family members involved in the child’s health care. Access to Medical Records/Providing Medical Information When a child is placed in alternative care, the case manager placing the child will request pertinent medical information from the parent(s) or other caregiver, to include information necessary to provide immediate care for the child, including current medications, if any, and complete the Health Care Information Summary (CD-264).  Ideally, the CD-264 should be provided to the resource provider at the time of the child’s placement. The case manager will obtain comprehensive health and developmental information about the child from the parents or other significant adults in the children’s life and/or health care providers, using the Child/Family Health and Development Assessment (CW-103). The case manager should begin the process of completing these forms with the family at the time of initial contact; but should continue to engage the family to gather information during subsequent visits until the form is complete. The Monthly Medical Log (CD-265) was created to assist the resource provider and residential facilities in documenting health related needs, informed consent decisions for routine care, medications, and appointments regarding the child. The CD-265 is to be maintained and supplemented by the resource provider throughout the child’s placement and is to be submitted to the case manager monthly, primarily during the case manager’s visit with the child in the child’s placement. The CD-265 also offers an opportunity for the resource provider to provide information about the child’s progress and needs related to the child’s health. The residential treatment provider must provide the case manager with the completed CD-  265 as well as the Medication Administration Record (MAR) by the 5th day of the following   month. The written documentation must contain all medication administered for the month,   including the dosage and any new medications prescribed, including the dosage. Initial Placement: When a child has been placed in any alternative care setting for the first time since coming into the legal custody of CD, the case manager will ensure that the CD-264 and the Child/Family Health and Developmental Assessment (CW-103) are provided to the resource provider or residential care providers within seventy-two (72) hours whenever possible but no later than thirty (30) days following placement. While the parent or legal guardian should be primarily responsible for completing the CW-103, it is the case manager’s duty, even if the parent does not assist in completion of the assessment paperwork, for ensuring that both forms are as accurate and complete as possible, and are given to the resource provider within thirty (30) days. Case managers shall also document when and to whom the health information (CD-264 and CW-103) was provided. Subsequent Placements: If a placement change must occur, the case manager will provide to the new resource provider or residential care provider the CW-103, an updated version of CD-264, and a copy of the resource provider or residential care provider’s medical file, including all CD-265s, from the child’s prior foster care placements. This information will be made available at the time of placement, but no later than seventy-two (72) hours following placement. This history shall include all information gathered and provided at the time of initial placement and all additional information maintained by the previous resource provider (including information that has been provided to the case manager). Any medication previously prescribed for the child should be delivered in the original container with written instructions. Case mangers shall document when and to whom the health information (CD-264, CW-103 and CD-265) was provided. The case manager will provide the names and contact information for all of the child’s current and past behavioral health, dental, and medical providers, and upload all signed forms i.e., CW-103, CD-264, CD-265 and CD-275 into the document imaging system. Efforts to obtain the information described shall be documented in FACES. The case manager is not required to perform the initial and subsequent placement process for hospital placements. Related Practice Points and Memos: 7-9-19 – PP19 CM-01 – Timely Informed Consent – Inpatient Hospitalizations and Medication Management Checkups 7-26-19 – CD19-47 – Informed Consent for Psychotropic Medication (Form CD-275) 10-11-19 – DK19-04 – Immediate Implementation of Best Practices Regarding Behavioral Health Care and Medical Records 4-9-20 – PP20-CM-03 – Mandatory Psychotropic Medication Reviews 7-23-20 CD20-34 – Introduction to Child Welfare Manual policy updates to align with best practices and comply with Joint Settlement Agreement requirements.",https://fostercaresystems.wustl.edu/mo-section-4-chapter-4-working-children-subsection-3-medical-and-behavioral-health-planning-432
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 3 – Medical and Behavioral Health Planning :: 4.3.1 Definitions",Missouri,Rules,"2023, 2022, 2021","Definitions, Services while in care - Medical, Services while in care - Mental Health",,,"Alternative Consenter Any member of the child’s Family Support Team who has a juvenile court order to serve as the consenting authority for the administration of psychotropic medications to a child. Assent Assent is permission, by a child twelve (12) – seventeen (17) years of age or a child’s attorney/guardian ad litem (for a child of any age) in Children’s Division legal custody and in foster care who is not legally able to give informed consent, indicating that they agree with the proposed psychotropic medication treatment. Assent is an on-going developmentally and behaviorally appropriate discussion between the child, parents, health care providers and others involved in the child’s care. Case Manager The Children’s Service Worker or other designee who is responsible for the child’s health care while the child is in the legal custody of Children’s Division. The case manager is required to document any and all services provided to the child in the Family and Children Electronic System (FACES) and upload any paper documents to the document imaging system (OnBase) immediately. Extraordinary Care Treatment Extraordinary care services include, but are not limited to, extraordinary dental treatment, sterilization, experimental/hormonal drug treatments, invasive or extensive medical testing, any elective body modification requiring general anesthesia i.e., gender reassignment , and any other procedures governed by local court rule or as otherwise directed by the local juvenile court. The case manager will consult with the Division of Legal Services to assist in obtaining a court order for extraordinary care services. Health Information Specialist The Health Information Specialist (HIS) is part of the HIS team implemented in January 2019 in advance of the Psychotropic Medication Joint Settlement Agreement (Agreement). The Agreement outlines that CD shall maintain an adequate number of full time staff members statewide for the purpose of gathering and maintaining full and accurate medical information and history for each child in CD custody. The HIS team is responsible to ensure that all elements of the Agreement are monitored, documented and that CD is in compliance with the Agreement requirements. The HIS team members are under the direction of the Health Specialist Coordinator and two Unit Managers. A HIS team member is located in each region throughout the State. Informed Consent Informed consent is the agreement to any medical or behavioral health treatment (such as a medical service or procedure) given after the child, parent, and/or legal custodian has had the opportunity to receive sufficient information about its risks and benefits. Consent must be given, after receiving all necessary information, based upon what is in the best interests of the child. To make an informed decision about behavioral health treatment or medications without undue influence/coercion, which means that the consenter is deciding based on what is best for the child, not because of pressure to consent to the medication or treatment services. For example, a decision must not be made based on a school’s or other entity’s insistence that a child take medication in order to participate or receive services, or continue placement. The case manager cannot provide informed consent for psychotropic medications until he/she completes the psychotropic medication management and informed consent trainings. Non-Routine Treatment Non-routine treatment includes, but is not limited to: surgery, inpatient hospitalization, behavioral therapy or behavioral health services and psychiatric treatment. Psychotropic Medication In this section the following classes and medications are considered psychotropic medications: Antipsychotics; Antidepressants; Lithium; Stimulants; Alpha agonists ( e.g. , clonidine or guanfacine); Anxiolytics/hypnotics ( e.g. , benzodiazepines and nonbenzodiazepines); and Anticonvulsants/mood stabilizers. A psychotropic medication may be any medicine that affects the mind, emotions or behavior. In addition to the categories above, other medicines, including herbal remedies, may be used that affect mind, emotions or behavior. Some of the medications above may be prescribed for physical health reasons. If a case manager or other team member has questions about whether a medication should be considered a psychotropic, even after discussing it with the prescriber, the case manager should consult with a HIS for direction. Routine (Standard) Treatment Routine (Standard) Treatment includes, but is not limited to: ordinary illnesses, routine dental care, immunizations, well child visits, preventative health services, on-going treatment for chronic medical health conditions, and necessary routine testing for those chronic conditions, such as asthma, diabetes, and ear infections. Related Practice Points and Memos: 7-9-19 – PP19 CM-01 – Timely Informed Consent – Inpatient Hospitalizations and Medication Management Checkups 7-26-19 – CD19-47 – Informed Consent for Psychotropic Medication (Form CD-275) 10-11-19 – DK19-04 – Immediate Implementation of Best Practices Regarding Behavioral Health Care and Medical Records 4-9-20 – PP20-CM-03 – Mandatory Psychotropic Medication Reviews 7-23-20 CD20-34 – Introduction to Child Welfare Manual policy updates to align with best practices and comply with Joint Settlement Agreement requirements.",https://fostercaresystems.wustl.edu/mo-section-4-chapter-4-working-children-subsection-3-medical-and-behavioral-health-planning-431
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 3 – Medical and Behavioral Health Planning :: Intro",Missouri,Rules,"2023, 2022, 2021","Services while in care - Medical, Services while in care - Mental Health",,,"This subsection contains the Legal Basis for the Provision of Health Care Services and the following: Definitions, Medical and Behavioral Health Case Management, Informed Consent  Medical Service Alternatives/Planning, Identification of Children in the Custody of the Children’s Division Solely for the Purpose of Accessing Mental Health Services, Custody Diversion Protocol, Voluntary Placement Agreement, Pregnancy of Child in Out-of-Home Care, Chemical Dependency Treatment, HIV/AIDS Issues, Life Support, Sustaining Therapies and Death of a Child in the Legal Custody of the Children’s Division. Legal Basis for the Provision of Health Care Services : To accept for social services and care, homeless, dependent or neglected children in all counties where legal custody is vested in the Children’s Division by the juvenile court where the juvenile court has acquired jurisdiction pursuant to subdivision (1) or (2) of subsection 1 of section 211.031; provided that prior to legal custody being vested in the Children’s Division, the Children’s Division shall conduct an evaluation of the child, examine the child and investigate all pertinent circumstances of his or her background for the purpose of determining appropriate services and a treatment plan for the child. This evaluation shall involve local division staff and consultation with the juvenile officer or such officer’s designee, appropriate state agencies, including but not limited to the department of mental health and the department of elementary and secondary education, or private practitioners who are knowledgeable of the child or programs or services appropriate to the needs of the child and shall be completed within thirty days. Temporary custody may be placed with the Children’s Division while the evaluation is being conducted. A report of such proceedings and findings shall be submitted in writing to the appropriate court in accordance with section 207.020 (17) RSMo., 2014. Legal custody, according to Section 211.021 (4), RSMo., means the right to care, custody and control of a child and the duty to provide food, clothing, shelter, ordinary medical care, education, treatment and discipline of a child. Legal custody may be taken from a parent only by court action and if the legal custody is taken from a parent without termination of parental rights, the parent’s duty to provide support continues even though the person having legal custody may provide the necessities of daily living. Related Practice Points and Memos: 7-9-19 – PP19 CM-01 – Timely Informed Consent – Inpatient Hospitalizations and Medication Management Checkups 7-26-19 – CD19-47 – Informed Consent for Psychotropic Medication (Form CD-275) 10-11-19 – DK19-04 – Immediate Implementation of Best Practices Regarding Behavioral Health Care and Medical Records 4-9-20 – PP20-CM-03 – Mandatory Psychotropic Medication Reviews 7-23-20 CD20-34 – Introduction to Child Welfare Manual policy updates to align with best practices and comply with Joint Settlement Agreement requirements.",https://fostercaresystems.wustl.edu/mo-section-4-chapter-4-working-children-subsection-3-medical-and-behavioral-health-planning-intro
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 2 – Educational Stability :: 4.2.5 Free Nutritional Food Access",Missouri,Rules,"2023, 2022, 2021","Child rights, Services while in care - Educational",,,"The Healthy, Hunger-Free Kids Act of 2010 (the Act), Public Law 111-296 , provides categorical eligibility for free school meals for students in foster care. The Act certifies students in foster care as categorically eligible for free school meals without submission of a free and reduced-price household application. The Children’s Division will need to provide the school, or other institution administering a USDA child nutrition program, documentation indicating the child is in foster care and is in the legal custody of Children’s Division. The Educational Enrollment Letter (CD-179) can be used as documentation to certify a foster child categorically eligible for free school meals without submission of a free and reduced-price household application, Related Practice Alerts and Memos: 8-6-19 – PP19 CM-02 – Collaboration with Schools to Support Foster Care Students",https://fostercaresystems.wustl.edu/mo-section-4-chapter-4-working-children-subsection-2-educational-stability-425-free-nutritional
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 2 – Educational Stability :: 4.2.4 Education Records",Missouri,Rules,"2023, 2022, 2021","Child rights, Services while in care - Educational",,,"Maintaining education records as part of the child’s case file promotes educational stability and continuity. Having records readily accessible can ensure prompt enrollment into a new school, proper credit transfer and course scheduling, and uninterrupted special accommodations through an IEP or 504 plan. With access to historical and current education records, staff and other Team members are better positioned to make decisions regarding a child’s school placement, need for a special education evaluation, or other interventions and supports. Additionally, education records must be included in the youth’s exit packet provided upon release from care. Education information is assessed and documented in the FACES Education Information screen, as well as the Child Assessment and Service Plan (CS-1). Staff are required to include in a child‘s case file the following: Name and address of current education provider Child’s current grade level performance (Report Card) Child’s school record, including: Progress reports Standardized education assessments Personal plan of study/education plan Conduct and disciplinary reports Transcripts Certificates and awards School picture and school work for each school year Special education records, including: Special education assessments/evaluations for an IEP or 504 plan, including other performance-based or cognitive and behavioral functioning tests conducted as part of the evaluation IEP or 504 plan Service provider/special accommodation reports (occupational therapy, speech/language, etc.) Post-secondary transition assessments and plan Related Practice Alerts and Memos: 8-6-19 – PP19 CM-02 – Collaboration with Schools to Support Foster Care Students",https://fostercaresystems.wustl.edu/mo-section-4-chapter-4-working-children-subsection-2-educational-stability-424-education-records
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 2 – Educational Stability :: 4.2.3 School Transfer/Immediate Enrollment",Missouri,Rules,"2023, 2022, 2021","Child rights, Services while in care - Educational",,,"When remaining in the school of origin is determined not to be in the best interest of the child, the basis for this determination and the individuals involved in making the determination shall be documented in the case record. The resource provider/Children’s Division staff should enroll the child in their new school immediately to minimize disruption to their education.  Staff should provide the school liaison the Educational Enrollment Letter (CD-179) identifying the child’s case manager, placement provider, educational decision maker, educational surrogate, and the domicile district. Educational Decision Maker:   Rights and responsibilities of a parent including enrollment, course selection, determining participation in special programs or extracurricular activities, receive report cards and other school correspondence, etc. The child’s case manager may act in this role on a temporary basis, but the child’s current placement provider is the most appropriate individual to serve in this capacity. Educational Surrogate: Acts in the role of a parent for a student with a disability whenever decisions are being made about the student’s educational placement and programs. A resource parent can make these decisions as part of being the child’s Educational Decision Maker, but children living in a congregate care setting do not have an identified parent/caretaker and must be appointed an Educational Surrogate. Section 162.999.1, RSMo prohibits the Educational Surrogate from having a conflict of interest with the child represented and prohibits the Children’s Division from serving in this role for any child in CD custody. An Educational Surrogate appointment can be requested from DESE who trains and contracts with impartial individuals around the state. Domicile District: The school district in which the student would have been educated if the student had not been placed in a different school district by the Children’s Division. DESE interpretation of the law presumes the school district where the student would have attended is where the student’s parent or legal guardian lives. The educating school district is permitted by Section 167.126, RSMo to back bill the domicile district for the cost of educating the child. This cost recovery is allowed as long as at least one parent maintains parental rights to the child. The Foster Care Education Bill of Rights of 2009 (Sections 167.018, 167.019 RSMo) promotes educational stability for children in foster care by requiring child-placing agencies to consider school of origin when making placement decision.  The Bill of Rights also outlines mandates for school districts around enrollment procedures, credit transfer, graduation requirements, and school records access.  The Foster Care Education Bill of Rights : Requires school districts to designate a staff person as the educational liaison for foster children.  The liaison shall do the following in an advisory capacity: Ensure and facilitate the proper educational placement, enrollment in school, and checkout from school of foster children Assist foster care pupils when transferring schools by ensuring proper transfer of credits, records, and grades Request school records within two business days of placement of a foster child in a school, and Submit records of a foster child within three business days of receiving a request for school records. Requires child-placing agencies to promote educational stability by considering the child’s school attendance area when making placement decisions.  The foster care pupil shall have the right to remain enrolled in and attend his or her school of origin pending resolution of school placement disputes or to return to a previously attended school in an adjacent district. Provides that each school district shall accept for full or partial credit course work satisfactorily completed by a pupil attending public school, nonpublic school, or nonsectarian school in accordance with district policies or regulations. Ensures if a pupil completes graduation requirements of his or her school of residence while under juvenile court jurisdiction, the district of residence shall issue a diploma to the pupil. Prohibits school districts from lowering the grades of a foster child if the child is absent from school due to a change in placement, court appearance, or court-ordered activity.  Grades and credits shall be calculated as of the date the pupil left school. Authorizes school districts to permit access of a pupil’s school records to any child-placing agency for the purpose of fulfilling educational case management responsibilities. Related Practice Alerts and Memos: 8-6-19 – PP19 CM-02 – Collaboration with Schools to Support Foster Care Students",https://fostercaresystems.wustl.edu/mo-section-4-chapter-4-working-children-subsection-2-educational-stability-423-school
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 2 – Educational Stability :: 4.2.2 Transportation",Missouri,Rules,"2023, 2022, 2021",Services while in care - Educational,,,"The Every Student Succeeds Act (ESSA) requires local educational agencies (LEAs) to collaborate with local child welfare agencies to ensure transportation for children in foster care is provided, arranged, and funded for the duration of a child’s time in foster care.  ESSA further provides that LEAs must ensure: Children in foster care needing transportation to their school of origin will promptly receive that transportation in a cost-effective manner; and If there are additional costs incurred in providing transportation to the school of origin, the LEA will provide such transportation if (1) the local child welfare agency agrees to reimburse the LEA for the cost of such transportation; (2) the LEA agrees to pay for the cost; or (3) the LEA and local child welfare agency agree to share the cost. The Department of Elementary and Secondary Education (DESE) provides options for the team to consider. This is not an exhaustive list of options; LEAs and local child welfare agencies should explore all possible options: An existing bus route can be used. An existing bus route can be modified slightly to accommodate the new address. Specialized transportation offered to other students can be accessed, such as: Special Education Alternative education Magnet School McKinney-Vento transportation Existing specialized transportation can be modified slightly to accommodate the new address. The school district has additional options that could be accessed, such as using a district car. The school district may identify alternatives not provided by the school district that the Children’s Division could access or that the school district would be willing to assist in accessing. This may include the district facilitating arrangements or providing transportation (e.g. cabs or other contracted transport) and receiving reimbursement. Children’s Division can explore options outside of those provided by the district, such as reimbursing the resource parent for transportation costs, or including transport in contracts with licensed residential treatment facilities. NOTE: If the student has an IEP that includes provisions for specialized transportation, transportation must be provided by the school district responsible for the student’s Free Appropriate Public Education (FAPE). Based on the location of the resource home, some of the options above may not create additional costs to the school district. Other options may and, therefore, LEAs and local child welfare agencies must coordinate to explore all options and develop plans for providing and funding transportation for children to remain in their school of origin, if determined to be in the child’s best interest. If the BID results in the child remaining in the school of origin, and the transportation plan creates an additional cost to the school district and the two agencies agree to share the cost, the financial Memorandum of Understanding (MOU) and related Attachment A should be executed.  The MOU outlines the responsibilities of CD/FCCM and the school district around invoicing and reimbursement processes for additional transportation costs incurred pursuant to ESSA.  The MOU is standardized and approved by the Division of Legal Services and the Division of Financial Administrative Services (DFAS), and therefore, may not be altered.  Executing this MOU with a school district involves the following steps: An MOU should be executed with a school district only once a transportation cost-sharing agreement is negotiated for a child to maintain him/her in the school of origin, pursuant to ESSA. This will limit the number of MOUs to only those with a business need identified. The MOU and Attachment A can be accessed via: Intranet ” Programs ” FCOOHC Intranet ” Employee Tools A-Z Only one MOU is needed for each school district, regardless of which circuit executed it. When a BID process results in a negotiated cost-sharing agreement between CD/FCCM and the school district, the MOU should be presented to the district and signed by a district designee (Authorized Signature of the School District) and the Circuit Manager or authorized designee (Approval Signature for the Children’s Division). The Authorized Signature for the Department will be obtained by the DFAS Procurement Unit. It is important that this signature line is left blank. NOTE: Contracted staff – once an MOU is signed by the school district – will submit the MOU to the local CD office for the Circuit Manager’s signature. Children’s Division will then submit the MOU to Central Office as described below. Prior to entering into an MOU with a school district, please check the Procurement Unit’s Contract Reports site to see if an MOU with that school district has already been executed and is in effect: Procurement Unit Contract Reports site Search for MOU by title – “School Transportation Reimbursement“ -utilizing the drop down menu. All approved and executed MOUs will be listed by school district. If an MOU has already been established with the school district, staff may work directly with the schools involved to complete and obtain signatures on the ESSA Individual Student Transportation Plan form (Attachment A). Reimbursement to school districts cannot occur without the MOU in effect. The original signed MOU should be sent to Central Office so it can be logged and forwarded to DFAS Procurement Unit for finalization, posting to SharePoint, and record retention. The Attachment A – Individual Student Transportation Plan is completed to document the child-specific transportation plan and cost-sharing agreement negotiated between the two agencies. The original is maintained in the child’s case record. Invoices / Reimbursement Process to School Districts: The school district must be an Unclassified (UN) Vendor. The county office will assign the district a DVN locally, if not already completed. NOTE: Please use the official school district name as listed on the DESE Missouri School Directory Interactive Map – use the Search by County tool to the right of the page. Send a UN SS-60 form along with tax documentation to DFAS FACES Payment Unit for approval and entry into FACES. The school district shall invoice CD/FCCM as outlined in Section 4.4 of the MOU. The county office will ensure all required elements for invoicing outlined in the MOU are documented on the invoice prior to payment. The invoice will be paid on a Payment Request (PR) through FACES: Program Area:  AC Vendor Type:  UN Service Code:  TRED (NA) Service Dates:  Per day, enter round trip mileage Unit Rate:  Total number of miles (CD’s cost per mile, as negotiated) Comments:  “Payment is made pursuant to ESSA – see attached agreement” Attach the invoice and a copy of the child’s completed and signed Attachment A – Individual Student Transportation Plan and send to the FACES Payment Unit. Reimbursement to Resource Provider: If the decision is made for the resource parent to provide the transportation for the child to remain in his/her school of origin, and the school district cannot or will not reimburse, mileage reimbursement will be made to the resource parent. All resource parents may receive reimbursement at the current state mileage rate for each mile traveled to and from the child’s school of origin for the day.  Level B resource parents also may be fully reimbursed for transporting the child to his/her school of origin, disregarding the mandatory 200-mile deduction.  Resource parents, however, are not paid mileage for their commute to or from their place of employment.  When transporting youth to or from their school of origin involves a shared route with the resource parent’s commute to work, only the additional mileage incurred transporting the child to the school of origin may be claimed and reimbursed.  Full mileage will be reimbursed if the resource parent did not report to work the day being claimed. Mileage will be reimbursed by completing a Payment Request in FACES using the service code TRED. The resource provider will complete the Travel Expense Log (CD-106) and submit it to the local CD staff for approval within thirty (30) days from the end of the month in which the expenses were incurred. Related Practice Alerts and Memos: 8-6-19 – PP19 CM-02 – Collaboration with Schools to Support Foster Care Students",https://fostercaresystems.wustl.edu/mo-section-4-chapter-4-working-children-subsection-2-educational-stability-422-transportation
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 2 – Educational Stability :: 4.2.1 School Placement",Missouri,Rules,"2023, 2022, 2021",Services while in care - Educational,,,"When a child’s placement in foster care, or any subsequent move thereafter, would normally result in a transfer outside the child’s school of origin, ESSA requires the school to collaborate with Children’s Division in a best interest determination (BID) process to determine which school placement is in the child’s best interest. The BID process is initiated by the school and includes participants essential to the child’s educational and case planning.  Because Children’s Division must evaluate the child’s educational stability, the BID process is best coordinated with the child’s 72-hr FSTM upon initial removal, or Placement Stability FSTMs upon subsequent moves, since the FSTMs and the BID process include many of the same participants.  Therefore, it is imperative staff notify the child’s school immediately when the child’s initial or subsequent foster care placements may impact their current educational setting to ensure educational stability. DESE uses a BID guidance form to lead participants through a thoughtful discussion about the child’s school placement, taking into consideration a number of factors that could influence the school placement decision. Children’s Division and DESE have agreed that should the best interest determination process result in a lack of consensus, the child’s Family Support Team will make the final decision on school placement. The educational stability mandates, school of origin definition, and best interest determination process also apply to a child enrolled in a school district’s public preschool education program. Related Practice Alerts and Memos: 8-6-19 – PP19 CM-02 – Collaboration with Schools to Support Foster Care Students",https://fostercaresystems.wustl.edu/mo-section-4-chapter-4-working-children-subsection-2-educational-stability-421-school-placement
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 2 – Educational Stability :: Intro",Missouri,Rules,"2023, 2022, 2021",Services while in care - Educational,,,"This subsection focuses on educational stability for students in foster care, including collaborations with local school districts, school placement decisions, transportation planning, school transfers, and education record maintenance. The Family Support Team (FST) shall discuss the child’s educational performance including special education needs and services, academic progress, truancy, absenteeism, behavior, and delinquency issues. The Family Support Team shall identify and ensure appropriate interventions are in place to address the child’s educational and behavioral needs in effort to improve the child’s academic performance and educational stability. When necessary, the Family Support Team should invite appropriate school personnel to the FST meeting to determine the most appropriate interventions and/or alternative education options available to assist the child in maximizing his/her academic potential. All efforts shall be documented on the Child Assessment and Service Plan (CS-1), and the Adolescent FST Guide (CD-94). When necessary, the Family Support Team should invite appropriate school personnel to the FST meeting to determine the most appropriate interventions and/or alternative education options available to assist the child in maximizing his/her academic potential.  Any new needs identified shall be documented in the Social Service Plan Child Section, along with the plan to address those needs, who will be involved to help meet those needs and next steps.  These needs and progress toward meeting those needs shall be continually reassessed through the life of the case. Efforts shall also be documented on the Child Assessment and Service Plan (CS-1), and if 14 or older, the Adolescent FST Guide (CD-94). Educational stability should be a priority when assessing the child’s placement needs and making placement decisions. The Fostering Connections to Success and Increasing Adoptions Act of 2008 and the Child and Family Services Improvement and Innovation Act (2011) require state child welfare agencies to coordinate with schools to improve educational stability for children in foster care.  The companion federal education law, the Every Student Succeeds Act (ESSA, 2015), requires educational agencies to collaborate with child welfare agencies to ensure the educational stability of children in foster care.  Child welfare and educational agencies now have shared responsibility to work together to ensure children in foster care remain in their school of origin, if remaining in the same educational setting is determined to be in the child’s best interest. NOTE: School of origin is defined as the specific school building within a district the child attended when he/she was placed in out-of-home care, or the child’s current school of enrollment at the time of any subsequent placement change. Related Practice Alerts and Memos: 8-6-19 – PP19 CM-02 – Collaboration with Schools to Support Foster Care Students",https://fostercaresystems.wustl.edu/mo-section-4-chapter-4-working-children-subsection-2-educational-stability-intro
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 1 – Children in Placements :: 4.1.2 Working with Resource Parents",Missouri,Rules,"2023, 2022, 2021","Administrative process, Expectations for care, Placement, Reunification, Services while in care - Medical, Visitation",,,"The worker for a child in Alternative Care will meet often with the Resource Provider for the child. During these discussions, the following items can help guide and inform conversations. Provide the necessary support to the resource family to involve them to meet the needs of the child and his/her parents, to include information, technical assistance, advice and counsel as follows: Assist the resource family in understanding the circumstances and behavior of the parent; Encourage the resource provider to be a model for good parenting. This will be beneficial to the foster youth and parents; and Encourage child care practices which promote and protect the psychological, physical, and emotional well-being of the child including the physical, developmental, and mental health screenings which are required every six months for children from birth to age 10 as long as the child remains in care. Discipline deserves special mention since resource providers are vulnerable to the accusation of child abuse, and many children exhibit problematic and provocative behavior. Physical punishment of foster youth is not permitted. Resource providers shall use discipline methods which are consistent with Children’s Division policy, Section 210.566, RSMo. It is crucial for children to be exposed to alternative ways of problem solving aside from force or threat of force. Limit setting is necessary in a consistent and firm way. Resource providers must be offered training to manage the behavior of the child in ways other than spanking, slapping, or hitting. Briefly, these ways include: Distraction Isolating a child in his room when he is out of control until he quiets down and can discuss things. “Time out” should be understood by both the resource provider and the child before it is used Spontaneously rewarding a child for good behavior Removing a child from dangerous situations Removing dangerous objects Explaining Specific natural or logical consequences (“If you fight with Jim, then you can’t play with him today.”) Address the following issues with child and resource family or other care provider during regular placement support contacts: Stabilization in child’s life so that development and learning can proceed at a normal rate. (Excessive anxiety and insecurity interfere with normal development and learning.) Help the child deal with the trauma of separation. Explore with him and reinforce the belief that he is not the cause of the family breakdown. Assure the healthy growth and development of the child by reviewing the child’s progress and response to care provided by the resource family, including integration any special evaluations, treatment and treatment recommendations. Give attention to the child’s special interests, talents, and vocational interests. Assist the child in rebuilding parental relationship, if the child does not want to visit. Authorization from the court must be obtained if visits with parents are to be restricted. Begin and maintain a “life book” with or for the child, to reinforce continuity in care and relationship to parents. Determine if the child has any learning or developmental needs. If needs are identified, develop a plan to address these needs in a manner that best supports the child.  Document these needs in the Social Service Plan Child Section. If such services are warranted, implement any treatment recommendations made by the physician, dentist, other professionals, and mental health professionals, including any recommendations for assisting the resource family to participate when needed.  Document these plans as next steps in the Social Service Plan Child Section. Assist the resource family to cooperate with the parent/child visiting plan: Visitation should be scheduled at a time that meets the needs of the child, the biological family members, and the resource family whenever possible. Recognizing that visitation with family members is an important right of children in foster care, resource providers shall be flexible and cooperative with regard to family visits, RSMo 210.566. Seek progress reports after each visit, if the resource providers carry out the visitation plan. Resource families must be informed that visits should never occur in homes in which a known or suspected methamphetamine laboratory exists or has existed unless it has been professionally treated or decontaminated by a hazardous waste clean-up agency according to the guidelines of the Environmental Protection Agency (EPA). Assist the resource family in providing necessary guidance and behavior management of the child: Assess the need for elevated needs of the child. Assist the resource family and child in terminating or maintaining the relationship to family and other significant persons as desired and as appropriate to the child’s needs when the child is reunified with parents or is placed with another resource family. The resource providers shall make every effort to support and encourage the child’s placement in a permanent home, including but not limited to providing information on the history and care needs of the child and accommodating transitional visitation, Section 210.566 RSMo. Prepare the child for adoptive placement if this becomes the child’s permanency plan. Maintain healthy growth and development through the provision of the usual community health, educational, religious (if appropriate) and socialization services, including participating in normal activities. Provide the resource provider with a copy of court reports regarding the placements in their home. Explain to the resource provider they must use medical services for the foster youth placed in their home who are enrolled with MO HealthNet (MH) or MO HealthNet/Managed Care (MH/MC). Explain to the resource provider that obtaining medical services from a provider not enrolled with MO HealthNet (MH) or MO HealthNet/Managed Care (MH/MC) will result in the resource provider paying for the services out of pocket and may not be reimbursed. Any invoice or paid receipt received by the resource provider for services provided to a foster placement in their home must be submitted to the foster youth’s case manager immediately. The case manager will scan the invoice to the Medicaid Liaison at Central Office to review. If the claim cannot be paid by MH/MC, the Liaison will inform the case manager they need to utilize the Reimbursement Review process provided below. Reimbursement Review Process: Submit Payment Request (PR) to FACES Payment Unit If resource provider paid out of pocket, attach receipt for services to the PR If resource provider received an invoice, attach the invoice to the PR If the service is not covered by MH or MH/MC, attach the denial from the MH or MH/MC provider to the PR",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-4-working-children-subsection-1-children-placements-412-working
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 1 – Children in Placements :: 4.1.1 Preparing the Child for Reunification",Missouri,Rules,"2023, 2022, 2021","Reunification, Visitation",,,"When the recommendation of the FST is to return the child to the parent(s), steps should be taken to prepare the child for this move. The amount and kind of preparation necessary will vary according to the child’s age, length of time in out-of-home care and relationship with the parent(s) and resource provider. The resource provider shall be involved in, and aware of, the plans to return the child to the birth parent(s). The resource provider will need to take appropriate steps to prepare the child for separation. The positive attitude of the resource provider toward the return of the child to the birth parent(s) will influence the child’s view of return. The following steps should be taken by the Children’s Service Worker, resource provider, and parents in preparing the child for reunification with his/her family: Privately discuss with the child their feelings regarding reunification with the parent. Address fears, anxiety, expectations, responsibilities and safeguards that ensure the child’s safety. The Children’s Service Worker should recognize that the child may feel more comfortable discussing reunification issues with the current resource provider. Conversely, the child may experience feelings of disloyalty to the resource provider for wanting to return home. Also, the child may experience feelings of disloyalty to parents demonstrated by new acting out behavior. The child’s visits with the parent(s) should become more frequent and longer in duration with increasing child care responsibility given to the parent. When the child will be with the parent for a week or longer, the Children’s Service Worker should make at least one home visit with the family during the extended visit to assure safety and provide support to the family. Provide opportunity for the parents, child, resource provider, and Children’s Service Worker to identify and resolve problems which occur during visits. The resource provider shall assist the child in making the transition to the birth family. The Children’s Service Worker and the resource provider should review the child’s life book with the child and biological parent during the transition phase of reunification.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-4-working-children-subsection-1-children-placements-411-preparing-child
"MO :: Section 4, Chapter 4 (Working with Children), Subsection 1 – Children in Placements :: Intro",Missouri,Rules,"2023, 2022, 2021","Placement, Safety, Visitation",,,"Upon entry into care, the case manager must either take or obtain a photograph of each child. An updated photo should be taken at least every six (6) months for children six (6) years old or younger and then once a year for older children. An updated photo should also be taken whenever the child’s appearance changes. Staff should obtain a digital photograph whenever possible. Tips for Child Photographs : Photo should be a head-and-shoulders color photo in which the child’s face is clearly seen, similar to a school portrait. The background should be plain or solid. The child should not be overly posed. There should be no other people, animals, or objects in the photo. The photograph should be taken indoors or out of direct sunlight. Child Contact (all placements) The child’s Children’s Service Worker shall meet face-to-face, individually and jointly, with the child and the resource provider, at the placement, no later than the next business day following initial placement and any time a child changes placement during out-of-home care, including trial home visits. Arrangements may be made for someone other than the case worker to complete this visit with supervisory approval.  The case manager should then meet face-to-face with the child a minimum of one time per month with the majority of the visits being in the placement to monitor and assess the safety of the child.  The case manager is required to have at least monthly contact with the placement provider, of which the majority should be in placement setting. Examples of the majority include: If a child is in foster care for 6 months during October 1 thru September 30, 4 out of the 6 required visits during that time frame must be in the child’s placement. If a child is in foster care for only 2 months during the Federal Fiscal year, 2 visits must occur in their placement as the majority of the visits are required in that setting. If a child has been placed in a foster home for 5 months, 3 of the visits held with the provider must be in the provider’s home. The visit with the child is to continually assess: The child’s safety in the placement The child’s reaction to separation from his family The child’s perception/understanding of the problem and what he would like to see happen The child’s adjustment to placement The resource provider’s perception of the child’s adjustment to placement The Children’s Service Worker’s observation of the child’s adjustment to placement The resource provider’s response to the sibling group’s adjustment and The sibling group’s response to the resource provider. The Children Service Worker must also provide and explain the Foster Care Bill of Rights to the child during the first visit.  This explanation should be done at a developmentally appropriate level and the case manager can include the foster parent or other support to the child in the discussion if needed. Each visit should be of a high quality. Visits should be purposeful and provide a chance for the worker to engage with the child.  Some characteristics of a high quality visit include: Good Communication Informing the child on the status of the case (events, goals, dates) Asking what the child wants (getting the child’s voice) Speaking with the child alone Responding timely to previous requests The Division has the authority to provide services to a child and parent when the child is not in custody but is under court ordered supervision by the Division. This includes visiting with the child. Face-to-face visits in the home should be done no less than once a month or more as needed to assure the safety of the child and to achieve the case goal. Assessing Safety in the Placement Safety of the resource home should be assessed to ensure the placement provides the necessary support to the child. The resource family should be engaged to involve them in meeting the needs of the child and his/her parents. The following activities can help ensure this occurs: Assist the resource family in understanding the circumstances and behavior of the parent Encourage the resource provider to be a model for good parenting. This will be beneficial to the foster youth and parents Encourage child care practices which promote and protect the psychological, physical, and emotional well-being of the child Ensure the placement resource understands the Division’s restriction on use of physical punishment The Children’s Service Worker and placement provider will discuss: The child’s adjustment The child’s reaction to visits The child’s behavioral, emotional/mental, trauma history, education, dental and physical concerns, progress or needs. The child’s educational and developmental progress The child’s loss and grief issues Any unmet needs identified in the Social Service Plan Parent’s progress in resolving identified risk factors and safety concerns Resource provider’s adjustment to the child’s placement Additional services necessary to maintain the placement Any new needs not already identified in the Social Service Plan Child Section Any progress made toward addressing previously identified needs in the Social Service Plan Child Section Next steps to address any ongoing or newly identified needs of the child Next steps in determining ability of child to be reunited with siblings, after therapist recommendation If the child is placed in a residential setting, safety should still be assured by meeting with facility staff and discussing progress and plans for the child at least monthly. See chapter 2 for more information on Residential Rehabilitation Services.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-4-working-children-subsection-1-children-placements-intro
"MO :: Section 4, Chapter 3 (Court)",Missouri,Rules,"2023, 2022, 2021","Adoption, Child rights, Court system, Legal process, Permanency, Termination of parental rights",,,"Court Related Activities Children’s Service Workers may be expected to prepare reports and/or testify at a variety of court hearings in both family/juvenile court and civil courts. These hearings may include adjudication, dispositional, permanency reviews, adoptions, dissolution of marriage and criminal matters. Guidelines for preparing for court, preparing the family for court, preparing court reports, and testifying in court are provided below. The Children’s Service Worker shall prepare and submit a report for the court that includes a description of the facts pertaining to the case, any updates on progress or lack of progress made towards the safety goals, any relevant changes to the family situation, the recommended permanency and concurrent plan for each child, and any recommendations made by the Family Support Team.  The worker shall complete the Social Service Plan in its entirety in preparation for review by the court and all additional parties to the case.  The specific requirements and timeframes for submission to the court and additional parties may vary in each circuit.  The Social Service Plan must be developed within 30 days of the date a case is opened for ongoing services, and the process for service planning is expedited when a crisis or urgent need is identified.  A copy of the Social Service Plan shall be provided to all parties of the case upon completion. The court process may place the Children’s Service Worker in an adversarial position or may be an opportunity to advocate for the family. The worker is expected to work with the family to improve the family’s ability to provide a safe environment for the child. The following guidelines will assist the worker in preparing the family for court: Review with the family and the child, if age appropriate, the safety concerns involved in the situation Review with the family their progress in achieving the treatment plan Review their legal rights, referring them to an attorney if needed Describe the agency’s role in the court hearing Assist the family (including the child and other family members) in dealing with their feelings about the court action Explain the possible outcomes of the court hearing Prepare the child for what to expect if he/she is to testify. Explain that the child should answer truthfully and answer only those questions to which he/she knows the answer. Assure the child that he/she is not to blame for the necessity of the hearing. Explain that the judge is there to make a determination as to what is best for the child. The Children’s Service Worker should contact the attorney (or juvenile officer acting in this role) who represents the court’s interests if he/she is not contacted prior to the hearing. The following questions and concepts may be important for a clear understanding of how to testify and what to expect at the court hearing: Sometimes it is helpful to show the child the inside of the courtroom before the hearing to orient him/her to the surroundings such as where participants will be sitting. Role-playing may also be helpful to the child. The Children’s Service Worker should contact the attorney (or juvenile officer acting in this role) who represents the court’s interests if he/she is not contacted prior to the hearing. The following questions and concepts may be important for a clear understanding of how to testify and what to expect at the court hearing: What type of hearing is scheduled? (i.e. adjudication, disposition, permanency, review, adoption, guardianship) Court setting – how formal or informal is the court? Will there be testimony? What are the qualifications needed and what are the topics? What is the Guardian Ad Litem (GAL)’s position/role? Does the court want the case file brought to the hearing? How is evidence submitted and reviewed? In any judicial proceeding involving the custody of a child, the fact that a child abuse and neglect report may have been made pursuant to Sections 210.110 to 210.165, RSMo. shall not be admissible. However, this shall not prohibit the introduction of evidence from independent sources to support the allegations that may have caused a report to have been made (Section 210.145, RSMo). These guidelines are provided to assist the Children’s Service Worker during the hearing: Dress appropriately and professionally. How you present yourself to the court impacts on your credibility Listen carefully to the attorney’s questions Be as specific as possible with answers to the attorney’s questions If you don’t understand a question, you did not hear it, or you do not know the answer, say so. Ask that the question be repeated or rephrased if necessary On cross-examination remember two things: Always answer only what you are asked by the opposing attorney. Do not volunteer information. It is the opposing attorney’s job to ask the questions and get the answers he/she feels will benefit his/her position. If you want to explain an answer, ask if you may explain. If the opposing attorney says no, you have at least alerted your own attorney to request an explanation or redirect Always pause for a few seconds to give your attorney time to object to the question if he/she desires. If you provide an answer which is detrimental to your case and an objection could have been made, the court may allow the answer to be stricken; however everyone will have heard it. If you are asked a question by the opposing attorney and your attorney objects, do not say anything until the judge has ruled. Sometimes the attorneys will both present explanations for their positions. The judge will either sustain the objection, which means you do not have to answer the question, or the judge will overrule the objection, which means you do have to answer Juvenile Court Information Purpose and Mission of the Court As designated by the Juvenile Code, the purpose of the juvenile court is to “facilitate the care, protection and discipline of children who come within the jurisdiction of the Juvenile Court.”  The Code also states that the law should be “liberally construed” which permits a great deal of discretionary power. Based on the law, the mission of the court is to ensure that “each child coming within the jurisdiction of the Juvenile Court shall receive such care, guidance and control, preferably in his own home, as will conduce to the child’s welfare and the best interests of the state…” Jurisdiction of the Court The juvenile court has exclusive jurisdiction over children under 18 years of age. Once the juvenile court has asserted jurisdiction, the court may retain jurisdiction until the child has reached the age of twenty-one. Its authority over adults is limited to the following circumstances: The court may order parents to financially support their children in placement; The court may order the parent to participate in services Any person who interferes with a court order, or contributes to the delinquency of a child under the court’s jurisdiction may be held in contempt The termination of parental rights Adoption The Hearing Process A series of hearings will be held by the court. The types of hearings which the court may hold include: Protective Custody Hearings- These are held to determine if the court has grounds to hold the child until the adjudicatory hearing. The hearing must be held within 72 hours excluding Saturdays, Sundays, and legal holidays. Adjudication and Dispositional Hearings- These two hearings may be addressed consecutively in the same hearing or separately in two hearings.  The Adjudicatory hearing is conducted to determine if the juvenile or his parents have committed acts alleged in the petition which then allows the court to take jurisdiction over the child. If the allegations are found to be true, the hearing enters phase two, the Dispositional phase. In the dispositional phase, the court decides the legal and physical custody of the juvenile, and whether the Children’s Division is required to engage in reasonable efforts to reunify the family and, if so, the reasonable efforts necessary to effect reunification. Dispositional Review Hearing – This hearing should be held within 90 days of the Dispositional Hearing and may be held as often as needed to determine the attempts of the Children’s Division to locate all biological parents; efforts of Children’s Division to reunify the family, and whether those efforts have been reasonable; the compliance of the parties with the Social Service Plan and any court-ordered services; whether Children’s Division is required to continue to engage in efforts to reunify the family; recommendations of the Children’s Division and juvenile officer; and the recommendations of the guardian ad litem and court appointed special advocate. Permanency Hearing – These are judicial reviews held annually that are conducted to enter an order for the legal and physical custody of the juvenile and, if awarding legal and physical custody of the juvenile to a parent, guardian or custodian, relieve the Children’s Division of custody, and if appropriate, terminate jurisdiction; continue or, as appropriate, modify the Social Service Plan and any court ordered services; determine and make findings on the efforts of the Children’s Division to finalize the permanency plan in effect for the juvenile and whether those efforts have been reasonable; determine and, in accordance with the best interests of the juvenile, order: the permanency plan that is most appropriate for the juvenile; and the reasonable efforts required of the Children’s Division to finalize the permanency plan that is most appropriate for the juvenile; and schedule a permanency review hearing. Permanency Review Hearing – This hearing may be held as often as is necessary, but must be held at least every 6 months following the permanency hearing. The purpose of this hearing is to determine if the permanency plan in place is the most appropriate option for the child and whether the Children’s Division has made reasonable efforts to finalize the plan. Residential Treatment Placement Hearings – This type of hearing may be required in the event that a youth is placed, or may be placed, in a residential treatment setting requiring review by a qualified independent assessor.  At this hearing, the court assesses the report by the independent assessor and makes a finding regarding the appropriateness and need for placement as further explain in Section 4, Chapter 2 (Placements), Subsection 3 – Residential and Department of Mental Health Developmental Disabilities Placements. Termination of Parental Rights (TPR) Hearings – This is a legal proceeding which considers the need to sever the legal ties of a child from his/her parents.  In other types of hearings, the Juvenile Code states that the law should be “liberally construed.”  This permits a great deal of discretionary power. However, appellate courts in Missouri have repeatedly stated that in an action for termination of parental rights the statutory requirements will be strictly and literally applied. Adoption Hearings – This is a legal proceeding that considers a petition to adopt a child, determines the suitability of the prospective adoptive family, and grants temporary or final legal custody of a child for the purpose of adoption. As with TPR proceedings, the adoption statutes will also be strictly construed. Special Hearings – Other matters heard by the court upon a petition by the parent, guardian, legal custodian, spouse, relative or next friend. This includes hearings for which a guardianship could be ordered. Witnesses and Records When the Juvenile Officer or other party files a petition or motion with the court, at times the juvenile and/or parent will deny the allegations. When this occurs, a contested hearing is set and witnesses are subpoenaed. Witnesses may include school personnel, medical personnel, the police, Children’s Division (CD) staff, etc. In order to introduce evidence contained in the records of these witnesses, it must be done under the Uniform Business Records Act. This is an exception to the Hearsay Rule. In order to comply with the Act it is necessary that: The custodian testifies to the identity and mode of preparation of the record; The custodian testifies that it was made in the regular course of business at or near the time of the act; and Sources, method, and time for the preparation of the record justify admission at the discretion of the court. These records may also be admissible without the testimony of the custodian if they are filed with the proper affidavit. Supreme Court Rule 123.08 requires the Children’s Division and the Juvenile Office to provide access to records and information within specific time frames without a formal discovery request. Within ten (10) days of the protective custody hearing or within fourteen (14) days of the filing of the petition or motion to modify, the Children’s Division and juvenile officer must allow for certain records to be made available to all parties. The records may include the following and should be relevant to the allegations in the petition: Medical records of the juvenile Law enforcement records, including incident reports. If information regarding an active investigation is requested, CD staff should request permission to release from law enforcement. If law enforcement will not approve the release due to an active investigation, CD should notify all parties that the information cannot be released at this time Written statements, videotapes, and audiotapes regarding the juvenile and/or parents/guardians Reports and affidavits submitted by the Children’s Division to the juvenile office recommending protective custody or a petition to be filed Completed CD reports and safety plans Social Service Plan Completed hotline reports, redacted as required by law. If the hotline report is not completed by the timeframes set forth in the initial court hearing, the report should be made available upon completion CD must also make available to all parties any new relevant information related to the allegations obtained within ten (10) days of receipt. This rule only requires CD to make available completed documents in their case record. The rule does not require CD to request additional records not currently in its possession for any other party. Staff are not required to have a release of information form signed by the parents to release information related to the allegations pursuant to a request made under this rule as long as there is an order of appointment by the court or entry of appearance made by the attorney. However, a signed release of information form is required to release confidential materials regarding the parents’ protected health information or materials not covered in the rule. The rule states that CD must make these materials available for all parties, thus staff should have their case files ready for review within the specified timeframes. The rule does not require CD to make copies of the information. Staff may schedule an appointment for the party to review the relevant information in the record. If the party or attorney would like copies of the documents, they may provide a written or verbal request. If copies of the information are requested, the Children’s Division must follow the timeframes established in this rule as this rule supersedes the CD policy regarding these timeframes. Only one copy per party will be made. Any additional copies will be made at the expense of the person requesting the copy. The Expert Witness CD staff may be required to testify in court, either to the facts of a case or in the role of an expert witness. Opinions and inferences of an expert witness are admissible when it has been established that the witness is professionally acquainted with, skilled, or trained in some field (i.e., child welfare, child custody) and therefore has knowledge or experience in matters generally not familiar to the public. For this reason, prior to testimony, CD staff may be asked to state their educational background, experience, etc. While CD staff may testify to matters which pertain to “the best interests of the child,” they are generally not qualified to testify to matters beyond their scope of expertise such as medical opinions, mental condition/diagnosis of the parent, etc. Legal Rights Certain legal rights in terms of the integrity of the family have been established by the Supreme Court via the process of legislative review. In general, these rights have been incorporated into state statutes. Such rights include, but are not limited to: Constitutional Rights – Applied to both parents and children. Parents have the constitutional right to rear their children as they see fit provided the child’s general welfare is protected. Right to Counsel – In almost all instances, children have a right to counsel and/or a Guardian ad Litem. A Guardian ad Litem (GAL) is an adult individual appointed by a court to protect the best interests of a minor child in a specific legal action and may be, but is not necessarily, an attorney. In order to be appointed as a GAL the individual must have completed a training program in permanency planning. Under Missouri laws an indigent parent is entitled to have an attorney appointed in actions for termination of parental rights. In cases of child abuse or neglect, where the parent is a minor, mentally ill, or incompetent, the parent is entitled to appointment of a GAL. Right to an Impartial Hearing – Before children can be removed from a home, parents and children have the right to a hearing before an impartial judge, except in emergency situations. Right of Family Integrity – Before removal of a child, attempts should be made to strengthen and rehabilitate the family. Therefore, courts will generally support a preference for the child to remain in the natural home. Right to Challenge, Correct and Expunge Child Protection Agency Records – This encompasses the destruction of unsubstantiated CA/N reports on reports made prior to August 28, 1999 (Section 210.150, RSMo. removed court expungement of unsubstantiated reports) the right to review CD records, and the right to challenge CD findings in court. Rights of the Child and Family The court is empowered to protect “the best interests of the child.”  In this context, the court will place substantial weight on the following considerations: Love, affection, and emotional ties existing between parent and child Presumption that natural parents have an inherent capacity and interest to best provide love, affection, and guidance, and the right to make educational, medical, disciplinary, and religious choices for the child Length of time the child has resided with the parents and desirability of maintaining continuity Financial resources of parents are of secondary importance, provided basic necessities can be met with or without the assistance of outside resources Parental Responsibilities The integrity of the family is protected by both legal and ethical rights. Parents have responsibilities as well as rights. When the welfare of the child is endangered, the state assumes the right to intervene. Within their ability and available resources, parents have a responsibility to provide: Food, shelter, clothing Medical care Educational opportunities Supervision Moral and social guidance.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-3-court
"MO :: Section 4, Chapter 2 (Placements), Subsection 11 – ICPC :: 2.11.9 Other Interstate Compacts",Missouri,Rules,"2023, 2022","Administrative process, Adoption, Legal process, Placement, Services while in care - Educational, Services while in care - Medical",,,"Interstate Compact on Adoption and Medical Assistance (ICAMA ) The Interstate Compact on Adoption and Medical Assistance (ICAMA), Sections 453.500-453.503 RSMo requires states to provide Medicaid coverage to eligible adoption subsidy children when families move across state lines. A child who is eligible for Title IV-E benefits is automatically eligible to receive Medicaid in the receiving state. However, a child who receives state-funded adoption assistance does not automatically qualify for Medicaid in the receiving state unless the sending state has a reciprocal agreement with the receiving state to provide state health care services. MO HealthNet services will be opened on all children who move from any state with an adoption subsidy agreement (full reciprocity for IV-E and state only adoption subsidy which meet eligibility requirements). The Compact Administrator (Division Director) and Deputy Compact Administrator (Interstate Unit Program Manager) are designated in each member state and approved by the national ICAMA Office. ICAMA Coordinators work together with Coordinators in other states to process the required paperwork so Medicaid eligibility can be established in the adoptive family’s current residence state. All states except Wyoming are members of ICAMA. The territories of Puerto Rico and the Virgin Islands are also non-members. In 2015, AAICAMA developed an electronic submission process to be used by all member states to transmit ICAMA referrals across the country. This system is referred to as “blueiron”. In MO, all adoption subsidy workers are responsible for entering ICAMA referrals as necessary on their subsidy cases. Missouri as the Sending State When a child/adoptive family has moved from Missouri to another state, the adoption subsidy worker will: Update the Alternative Care (AC) Client Information Screen/Placement Information to show new address of adoptive family and the county as “999”. This code identifies the child as being placed out of state. The subsidy worker will then log into blueiron (on line ICAMA database) and enter a new referral and upload the subsidy paperwork for each child. A step by step guide is located on the Children’s Division Intranet, under Interstate Compact. NOTE: There is a check box labeled “ICAMA Indicator” on the AC Client Information Screen. DO NOT mark this box. This box is for Central Office Use only . Missouri as the Receiving State MO ICAMA Coordinator will process incoming referrals as they are received through the blueiron network. Open a vendor license in PROD for the adoptive parents and assign a DCN to the child/ren if they are not already in the PROD/FACES systems; Open the AC Client Information Function in FACES or update if the child(ren) is already in the system to show that ICAMA Medicaid is opened for the child(ren) Request a MO HealthNet card for the child/ren to be sent to the new Missouri residence. The case will be opened for MO HealthNet services only and will display the assigned ICAMA Coordinator as the case manager. The child/ren’s adoption subsidy state (where the adoption subsidy contract originated) will remain responsible for maintenance and other special expenses under the terms of the adoption subsidy agreement. Compact Termination/Closure Compact termination or closure can occur under one of the following circumstances: The child reaches the age of majority (18 years) and the adoption subsidy is not extended by the subsidy originator state The family moves back to the sending state or The child becomes self-supporting. Upon one of these circumstances occurring, the adoption subsidy worker is to enter in blueiron a change of status and forward to the receiving state’s ICAMA office to notify them of case closure in their state. Interstate Compact on Juveniles The Interstate Compact on Juveniles (ICJ), Section 210.570-210.590 RSMo, pertains to children who have been declared delinquent. The ICJ is administered in Missouri by the Division of Youth Services (DYS). The Children’s Division must honor this compact for any child in its custody or when providing any services to a child who comes under the jurisdiction of the court for delinquent behavior. Interstate Compact on Mental Health The Interstate Compact on Mental Health (ICMH), Sections 630.810-630.835, RSMo, pertains to persons who have been declared mentally ill or deficient. The ICMH is administered by the Department of Mental Health (DMH). Placements of children are made only from DMH administered state institutions or other medical facilities to a similar facility in another state. Interstate Compact on Educational Opportunity for Military Children The Interstate Compact on Educational Opportunity for Military Children, Section 160.2000, RSMo., makes provisions for children of families serving in the military by allowing greater opportunities for military children to meet Missouri’s educational requirements. The Compact commissioner responsible for the administration and management of the state’s participation in the Compact shall be appointed by the Governor. Some of the Compact’s 18 Articles which could impact Children’s Division case management are listed below: ARTICLE III The provisions of the Compact shall apply only to local education agencies and to the children of active duty military members or veterans (including the National Guard or Reserve) who are severely injured, medically discharged, retired from service, or died on active duty or as a result of injuries sustained on active duty, for a period of one (1) year after discharge, retirement or death. ARTICLE IV Unofficial or “hand-carried” education records—In the event that official education records cannot be released to the parents for the purpose of transfer, the custodian of the records in the sending state shall prepare and furnish to the parent a complete set of unofficial educational records. The school in the receiving state shall enroll and appropriately place the student based on the information provided in the unofficial records pending validation by the official records, as quickly as possible. Official records/transcripts—Simultaneous with the enrollment and conditional placement of the student, the school in the receiving state shall request the student’s official education record from the school in the sending state. The sending state will process and furnish the official records within ten days or within such time as is reasonably determined under the Compact. Immunizations—Compacting states shall give thirty (30) days from the date of enrollment or within such time as is reasonably determined to obtain any immunization(s) required by the receiving state. Kindergarten/First grade entrance age—Students shall be allowed to continue their enrollment at grade level in the receiving state commensurate with their grade level (including kindergarten) from a local education agency in the sending state at the time of transition, regardless of age. A student that has satisfactorily completed the prerequisite grade level in the local education agency in the sending state, shall be eligible for enrollment in the next highest grade level in the receiving state, regardless of age. ARTICLE V Absences as related to deployment activities—Students whose parent or legal guardian is an active duty member of the uniformed services and has been called to duty for, is on leave from, or immediately returned from deployment to a combat zone or combat support posting, shall be granted additional excused absences at the discretion of the local education agency superintendent to visit with his or her parent or legal guardian relative to such leave or deployment of the parent or guardian. ARTICLE VI A local education agency shall be prohibited from charging local tuition to a transitioning military child in the care of a noncustodial parent or other person standing in loco parentis who lives in a jurisdiction other than that of the custodial parent. The transitioning military child, placed in the care of a non-custodial parent or other person standing in loco parentis who lives in another jurisdiction other than that of the custodial parent, may continue to attend the school in which he/she was enrolled while residing with the custodial parent. ARTICLE XVIII All member states’ laws conflicting with this Compact are superseded to the extent of the conflict. Related Practice Alerts and Memos: 1-16-20 – CD20-07 – Interstate Compact Policy and Procedure Changes",https://fostercaresystems.wustl.edu/mo-section-4-chapter-2-placements-subsection-11-icpc-2119-other-interstate-compacts
"MO :: Section 4, Chapter 2 (Placements), Subsection 11 – ICPC :: 2.11.8 Border Agreement",Missouri,Rules,"2023, 2022","Administrative process, Placement, Reporting requirements, Services while in care - Medical",,,"Missouri and Kansas have developed a Border Agreement (BA) to address barriers within the interstate placement process. In accordance with Missouri Statute RSMo 210.622, the BA allows expedited emergency placement with a relative caregiver or licensed facility (i.e. emergency shelter, residential facility including, but not limited to, a psychiatric residential treatment facility) located within 60 miles of the states’ border. The BA defines relative as “a grandparent or any other person related to another by blood or affinity or a person who is not so related to the child but has a close relationship with the child or the child’s family.” This definition is to be used in determining eligibility of a proposed caregiver for border agreement placement. Once placement is made, caregivers must also meet Kansas’ statutory definition of relative to be eligible for consideration of an unlicensed relative placement. Relative providers that do not meet this definition will be required to be licensed as a foster home by Kansas for continued placement. Placement Procedure Prior to making a BA emergency placement with a relative caregiver, the “Required Actions for Placement” listed in the Child Welfare Manual Section 6, Chapter 16, and Subsection 2.1 must be completed. This includes an in person safety walkthrough to complete the Resource Home Safety Checklist (CS-45) and the following Kansas background screenings : Kansas Child Abuse and Neglect Registry (CANIS) Kansas Bureau of Investigation Name Based Check (KBI) An address search of the National Sex Offender Public Website – United States Department of Justice National Sex Offender Public Website (nsopw.gov) If a relative or household member living in Kansas has previously resided within Missouri, the following additional screenings must be completed prior to placement: Missouri Child Abuse and Neglect Missouri Case.net Missouri Sex Offender The “Required Actions Following Placement” listed in the Child Welfare Manual Section 6, Chapter 16, subsection 2.2 should be followed for relatives accepting border agreement placements. The only exception to these actions is relative licensure requirements. Kansas will complete any required or requested licensing for relatives pursuing licensure. Financial and Medical Planning A Departmental Vendor Number (DVN) should be assigned to the relative placement provider if one does not already exist. A relative foster home application should be opened for the purpose of placement. Monthly maintenance will be automatically generated for 90 days to relative providers who choose to pursue licensure which should be indicated on the application. Relatives will not be eligible for additional maintenance until they have completed licensure with Kansas. In order for children to receive Title IVE Medicaid in a receiving state, the child must be IVE Eligible, placed in a licensed foster home, and receiving maintenance. Children are not eligible for Kansas Medicaid during the temporary placement of a Border Agreement. Children may continue to receive Missouri Medicaid or the relative may choose to apply for Kansas Medicaid. Children may not receive Medicaid in both states simultaneously. In order for Missouri Medicaid to remain active during out of state placement, please contact MO_ICPC@dss.mo.gov . Missouri Children’s Division remains financially responsible for meeting all of the child’s needs as long as child remains in Missouri CD custody. Post Placement Activities Within 48 hours of placement, a notification email must be sent to MO_ICPC@dss.mo.gov with the name and DCN of each child placed, the proposed placement provider’s name and address, and if the child will need to continue receiving Missouri Medicaid. Within 30 days of placement, a fully completed ICPC Regulation 2 referral must be submitted. Border agreement placements are ineligible for ICPC Regulation 7 or Expedited Placement referral due to placement having already occurred. Missouri must continue to provide supervision to include monthly, in-person visitation with the child in their placement until the ICPC home assessment is completed and a recommendation for or against continued placement is received by Kansas. If Kansas does not recommend continued placement following the completion of an ICPC home study, the case manager will have 5 business days to return the child to the state of Missouri. Kansas Placements Policy and procedure regarding placement of a Kansas youth in Missouri has been developed by Kansas in partnership with Missouri. Prior to placement in Missouri, Kansas will conduct a Missouri Child Abuse and Neglect Central Registry screening by submitting the Prior History Check Request, CD-309 to Ask.CD@dss.mo.gov during business hours and CD.CANHUSupervisors@dss.mo.gov after business hours. Questions regarding Kansas placements in MO can be directed to the Missouri ICPC Unit at MO_ICPC@dss.mo.gov . Related Practice Alerts and Memos: 1-16-20 – CD20-07 – Interstate Compact Policy and Procedure Changes",https://fostercaresystems.wustl.edu/mo-section-4-chapter-2-placements-subsection-11-icpc-2118-border-agreement
"MO :: Section 4, Chapter 2 (Placements), Subsection 11 – ICPC :: 2.11.7 ICPC Regulation 7 or Expedited Placements",Missouri,Rules,"2023, 2022","Administrative process, Legal process, Placement, Services while in care - Other",,,"Regulation 7 referrals, commonly referred to as “Expedited” referrals, were initiated to address the problem of frequent delays in completing home studies on a select group of individuals as identified in Article VIII of the Compact. A Regulation 7 referral cannot be court ordered if foster care licensing or an adoptive study is being requested, or if the child is already residing in the recipient’s home . Missouri as the Sending State The Children’s Service Worker should determine if the child(ren) qualifies for an expedited request. The proposed placement must belong to a class of persons who, under Article VIII of the Compact, would be exempt if there were no court involvement. This category consists of parents, grandparents, adult aunt and uncle, adult siblings, or other legal guardian. The proposed placement resource is specifically addressed in the accompanying court order and meets one of the following criteria: The proposed placement recipient is a relative of the child(ren (as defined in Section 210.620 Article VIII, RSMo), and applies to: child(ren) four (4) years old and younger and their siblings if being placed in the same home Child(ren) in an emergency placement requiring the child to be moved within 30 days one child being placed has a substantial relationship with the proposed resource or Child (ren) are in unexpected dependency. Whenever a juvenile court, upon request from the Children’s Division, or on its own authority, determines that an expedited placement is necessary, the court shall sign an order recognizing the findings that the placement resource is within the scope of the Compact and meets one of the above criteria. The order must be sent to the local CD office within two (2) business days. Within three (3) business days of receipt of the court order the Children’s Service Worker must complete an ICPC referral in FACES, upload the required documents to the referral screen in FACES, and assign to the ICPC Unit as directed in CD20-07 . For information on how to make an ICPC referral, see earlier in this section. The Sending State Expedited Home Study Request, ICPC 101, for expedited referrals must be included and placed on top packet. The Statement of Case Manager/Potential Placement/Party under ICPC Regulation 7 (Expedited), ICPC-101a must also be included in the referral packet. Within a timeframe not to exceed two (2) business days after receipt of the ICPC expedited referral, the ICPC Unit in Central Office will submit the expedited referral packet to the receiving state’s ICPC office electronically. The receiving state’s ICPC Unit will make a determination within two (2) business days whether additional documentation is needed before forwarding for completion. Once assigned to the receiving state’s local office, they have twenty (20) business days to complete the home study and make a placement recommendation. If there are extraordinary circumstances making it impossible to comply with the timeframes, the receiving state’s ICPC office shall notify the sending state’s ICPC Unit of their inability to comply and provide a date for completion. Upon receipt of the home study and the Placement Request, ICPC 100-A, from the receiving state’s ICPC office, Central Office ICPC Unit will notify the Children’s Service Worker of the placement decision. The Children’s Service Worker will notify the court immediately of the placement decision. The Children’s Service Worker and court should determine a date for the child(ren) to be placed with the ICPC approved resource. The Children’s Service Worker is to complete the Child Placement Status Report, ICPC 100-B, to inform the receiving state that the child was placed in their state in order for services to begin. It is also the responsibility of the Children’s Service Worker to open the ICPC Information screen in FACES for each child placed out of state through ICPC. Missouri as the Receiving State The MO Central Office ICPC Unit will receive the expedited referral from   the sending state’s ICPC unit. Within two (2) business days after receipt, the ICPC Unit will determine if the referral meets the definition of “expedited placement” and all required documents are included. The referral will then be forwarded to the local CD office by overnight express mail. Upon receiving the referral from the Central Office Unit, the assigned Children’s Service Worker should telephone (if possible) the proposed placement resource and set up an appointment for a face-to-face contact, to include at least one home visit. Within five (5) business days the assigned Children’s Service Worker will make a home visit to the placement resource. The Children’s Service Worker should complete the Receiving State’s Expedited Home Study, ICPC-102, or a narrative home study, within twenty (20) working days after being assigned to the local county office by the ICPC Unit in Central Office. The completed ICPC-102 or home study must contain FBI fingerprint results, as well as a recommendation for/against the placement. Fingerprint Authorization Letter for Natural Parents, CD26-b, should be provided to the applicant who is being approved for placement to schedule fingerprinting appointment. If the applicant is to become a licensed resource home, the Fingerprint Authorization Letter for Resource Home Licensing, CD26-a should be provided to the applicant. The Children’s Service Worker should send the ICPC-102 or the narrative home study by overnight express mail to the ICPC Unit in Central Office. Within two (2) business days the ICPC Unit will make a decision for or against the placement and forward the ICPC-102, or home study, by overnight express mail to the sending state’s ICPC office. The sending state can then place the child with the approved ICPC placement resource. The sending state will notify the ICPC unit in Central Office via the Child Placement Status Report, ICPC-100-B, of any changes, such as a disruption, closure or termination of the compact. Related Practice Alerts and Memos: 1-16-20 – CD20-07 – Interstate Compact Policy and Procedure Changes",https://fostercaresystems.wustl.edu/mo-section-4-chapter-2-placements-subsection-11-icpc-2117-icpc-regulation-7-or-expedited-placements
"MO :: Section 4, Chapter 2 (Placements), Subsection 11 – ICPC :: 2.11.6 ICPC Regulation 4 Residential Care Placements into another State",Missouri,Rules,"2023, 2022","Administrative process, Placement, Services while in care - Other",,,"The intent of Regulation 4 is to provide for the protection and safety of children being placed in a residential facility in another state, through the monitoring of the residential facility while the child is placed and to prevent children from being abandoned in the receiving state. The primary application of this regulation is to request approval to place prior to placement at the residential facility. If the child is placed prior to approval being received, this is considered a violation of the Compact. The receiving state is not obligated to process and approve the placement request as long as the child is placed in violation of the Compact. Types of Placements Exempt from Regulation 4 Regulation 4 does not apply when placement is sought in the following facilities across state lines: A primarily educational institution defined under Regulation 4 as an institution that operates one or more programs that can be offered in satisfaction of compulsory school attendance laws, in which the primary purpose of accepting children is to meet their educational needs . A hospital or other medical facility defined as an institution for the acutely ill that discharges its patients when they are no longer acutely ill, which does not provide or hold itself out as providing child care in substitution for parental and/or foster care, and in which a child is placed for the primary purpose of treating an acute medical problem. An institution for the mentally ill or developmentally disabled minors means a facility that is responsible for treatment of acute conditions, both psychiatric and medical, as well as such custodial care as is necessary for the treatment of such acute conditions of minors who are either voluntarily committed or involuntarily committed by a court of competent jurisdiction to reside in it; Outpatient services provided for the treatment, care, and other services by an institution for the mentally ill or developmentally disabled may accept a child for treatment and care without complying with ICPC. Missouri as the Sending State All ICPC Referrals are to be entered in FACES. When making a request for a residential placement in another state, the Children’s Service Worker will submit the same documentation as for any other type of home study request through ICPC. In addition to the documentation listed above, the following documentation is to be included: Letter of acceptance from the residential facility. This provides the receiving state’s ICPC office with indication that the residential facility has screened the child as an appropriate placement for their facility. Placement Disruption Agreement which indicates who will be responsible for the return of the child to the sending state if the child disrupts or a request is made for the child’s removal and return to the sending state. Signed ICPC 100B, Child Placement Report, if child is already placed in the facility in the receiving state. The receiving state’s ICPC office is to provide an approval or denial for placement within three (3) business days from receipt of the complete request. Placement of a Missouri Child in a Residential Care Facility in another State Once approval is received, and the child is placed, the Children’s Service Worker is to complete the ICPC 100B, Report on Child Placement Status. This form is to be signed and submitted to Missouri ICPC. For placements in a residential facility in another state, the residential facility is viewed as the agency responsible for the twenty four (24) hour care of a child away from the child’s parental home. In that capacity the residential facility is responsible for the supervision, protection, safety, and well-being of the child.  The sending agency making the placement is expected to enter into an agreement with the residential facility as to the program plan or expected level of supervision and treatment and the frequency and nature of any written progress or treatment reports. For children placed in residential facilities in another state, the receiving state’s local child welfare workers and probation staff are not expected to provide any monitoring or supervision. Related Practice Alerts and Memos: 1-16-20 – CD20-07 – Interstate Compact Policy and Procedure Changes",https://fostercaresystems.wustl.edu/mo-section-4-chapter-2-placements-subsection-11-icpc-2116-icpc-regulation-4-residential-care
"MO :: Section 4, Chapter 2 (Placements), Subsection 11 – ICPC :: 2.11.5 ICPC Regulation 1",Missouri,Rules,"2023, 2022","Administrative process, Placement, Services while in care - Other",,,"The purpose of Regulation 1 is to allow an intact family who has a child in their home under juvenile court jurisdiction to relocate to another state with the court’s approval. After arriving in the receiving state, the family must meet the licensing and/or approval standards established by the receiving state. Additionally, the receiving state must determine that the placement is in the best interest of the child. If the receiving state determines that placement is no longer suitable, the sending agency will return the child. The receiving state must recognize the license and/or approval from the sending state until a determination is made whether the family meets the receiving state’s standards. Supervision and progress reports shall be provided by the receiving state during the completion of the home study process. Missouri as the Sending State The placement resource should notify the Children’s Service Worker of their relocation to another state as soon as possible. The Children’s Service Worker should notify the court by written report of the family’s desire to relocate with a child in Children’s Division’s care and custody. The court authorizes approval for the move of the child with the family. The Children’s Service Worker completes and submits the ICPC referral as set forth in this subsection, Placement of a Missouri Child into Another State, to include summary of the previous six (6) months case activity and the ICPC 100B, Interstate Compact Report on the Placement of Children. This form is included when the family and child have already taken up residence in the receiving state. Missouri as the Receiving State: The Children’s Service Worker receives the referral from the ICPC Unit. The Children’s Service Worker completes the Alternative Care Client screen in FACES, , (for relative foster care, foster care, or adoptive placements) or the Family-Centered Services Case screen in FACES, (for a parent or non licensed relative care placement). The Children’s Service Worker should cooperate with the sending state in arranging services for the family. Determine with verification from the other state if the child is eligible for Title IV-E Medicaid. Open IV-E Medicaid if the family was licensed and continues to receive maintenance from the sending state. Begin the family assessment. The assessment should be completed within sixty (60) calendar days. Maintain services accordingly. Related Practice Alerts and Memos: 1-16-20 – CD20-07 – Interstate Compact Policy and Procedure Changes",https://fostercaresystems.wustl.edu/mo-section-4-chapter-2-placements-subsection-11-icpc-2115-icpc-regulation-1
"MO :: Section 4, Chapter 2 (Placements), Subsection 11 – ICPC :: 2.11.4 Placement of Another State’s Child into Missouri",Missouri,Rules,"2023, 2022","Administrative process, Permanency, Placement",,,"The Children’s Service Worker will provide case management services as outlined in Regulation 11 of the ICPC. Regulation 11 clarifies the supervisory role of the assigned worker in the receiving state once placement is made through an approved ICPC home study. The supervising worker in the receiving state is to provide the following services. Please note, this is not an all-inclusive list. Each case is different and will require different approaches and services. The Children’s Service Worker assigned to complete the initial home study will: Receive the placement request from the ICPC Coordinator in Central Office. Any request received directly from a sending agency must be forwarded to Central Office. Do not complete an assessment, home study, or walkthrough without a referral from Central Office. Walkthroughs are outside the scope of the ICPC. Complete and return the results of the requested preliminary home assessment. Guide for Conducting Resource Provider Assessments, within 60 calendar days to the ICPC unit in Central Office pursuant to Public Law 109-239. The preliminary home assessment does not require the training component or FBI checks, but should evaluate the safety and suitability of placing a child in the prospective relative, foster or adoptive home. Staff will then proceed with completing the home study. The home study must address the extent to which the proposed placement will meet the specific needs of the child, including the child’s safety, permanency and well-being.   FBI background checks are required. If the request is for licensure, then the training component must be completed. Please refer to Memorandum CD07-60 regarding the acceptance of pre service training for resource providers who have moved to Missouri from other states. Staff will then make a recommendation in FACES under Referral in the Case Management screen using the Call/Case number provided by the ICPC unit on the transmittal. If the recommendation by the home study worker is against placement and the resource wishes to contest that recommendation, then staff are directed to follow the Children’s Division Fair Hearing Process. Complete the Vendor Licensure/Approval and Renewal screen in FACES, if the receiving state requests the family to be licensed. The sending state is not obligated to make a payment to the family if the sending state did not request a licensing study. Missouri resource providers are not entitled to receive the Professional Parenting maintenance payment when they accept children from another state. The foster/adoptive home study must be completed and submitted to the ICPC unit in Central Office within 90 calendar days after the State received the original request. The Children’s Service Worker should submit the original and 2 copies of the completed home study along with a recommendation for or against placement. The ICPC Coordinator will make the decision whether or not the placement is approved. DO NOT send the information directly to the requesting state’s worker or to the requesting state’s ICPC office. If Missouri is the Sending Agency and is going to make a maintenance payment to the resource provider should the placement be approved, a foster home study should be requested regardless of the degree of relationship. The home study is not “official” until the ICPC Coordinator in the receiving state has made a determination for or against the placement. The above procedure does not apply to parents and unlicensed relatives . Parents and unlicensed relatives will go through the same home study process as an applicant applying for licensure, which is clarified in Memorandum CD04-63 and in the Child Welfare Manual. The differences are that parents and unlicensed relatives are not required to complete training, and the time frame pursuant to Public Law 109-239 for completing their assessment/home study is 60 days. The assigned county will, upon notification of placement via the ICPC 100B, from the MO ICPC coordinator: Complete the Alternative Care Client screen in FACES, for relative foster care, foster, or adoptive placements, or the Family-Centered Services Case screen in FACES, for a parent or non-licensed relative placement and notify ICPC Central Office of the assigned Children’s Service Worker and supervisor Supervision/contact is to be made/initiated as soon as the receiving state is made aware that the child/ren have been placed; Cooperate in arranging services for the family; Determine with verification from the sending state, if the child is eligible for Title IV-E Medicaid; and Open Title IV-E Medicaid if the family is licensed and receiving payment from the sending state. Refer to Child Welfare Manual for more information regarding ICAMA. Provide services accordingly to include: The worker who completed the home study should provide a copy of the initial referral and home study to the worker who has been assigned to supervise the placement. Prepare written quarterly progress reports and submit the original and two (2) copies to ICPC Central Office. At a minimum, these reports are to include: Date and location of each face-to-face contact with the child since the last report was submitted; A summary of the child’s current circumstances, including on-going safety & well-being; A summary of the child’s academic performance along with any pertinent documentation (i.e. Report card, IEP, etc); A summary of child’s current health status, including mental health and copies of any pertinent therapeutic or medical reports; An assessment of the current placement/ caretakers and their continued appropriateness as a placement for child/ren; A description of any unmet needs and any recommendations for meeting identified needs. When applicable, the supervising worker’s recommendation regarding continuation of placement, return or legal custody to a parent/s and termination of the sending state’s jurisdiction, finalization of adoption by child’s current caretakers or the granting of legal guardianship to the child’s current caretakers. Placement supervision is for a minimum of six (6) months. If there is a hotline on the proposed placement and/or involving the child/ren placed through ICPC, the supervising worker is to follow their agency protocols for ensuring the safety of the child/ren. If the child/ren must be removed, the supervising worker does so and then notifies the sending state as well as the receiving state’s ICPC office. The sending state remains the financially responsible party for the child/ren and is responsible for all case management decisions. The receiving state assists in locating services to meet the needs of the child/ren and the placement resource. The sending state worker should be notified prior to any financial decision being made on behalf of the child (i.e.: residential treatment etc). Written verification MUST be received from the sending state that they are in agreement to and will be financially responsible for payment of the identified service prior to the initiation of the service. If it is determined that ICPC services are not appropriate, the Missouri ICPC Coordinator should be informed immediately. Notify the ICPC Coordinator in Central Office as soon as possible if the child is returned. Send the ICPC 100-B to close out the ICPC case, if a disruption may, or has occurred. Submit a recommendation for a transfer of custody or case closing in writing to ICPC. Do not submit directly to the case manager in the sending state. Compact Termination/ Placement Disruption or Closure: Terminate services when permanency has been established through one of the following: The child’s adoption is legally finalized; The child reaches the age of majority (18 years); The child becomes self-supporting; The child returns to the sending state; The child is discharged from court jurisdiction with concurrence of the appropriate authority in the receiving state; or Close the case and record a brief narrative/summary in the file. Submit the closing narrative/summary to the ICPC office and retain a copy in the ICPC section of the child’s electronic case file. Related Practice Alerts and Memos: 1-16-20 – CD20-07 – Interstate Compact Policy and Procedure Changes",https://fostercaresystems.wustl.edu/mo-section-4-chapter-2-placements-subsection-11-icpc-2114-placement-another-states-child-missouri
"MO :: Section 4, Chapter 2 (Placements), Subsection 11 – ICPC :: 2.11.3 Compact Termination/Placement Disruption or Closure",Missouri,Rules,"2023, 2022","Administrative process, Legal process, Permanency, Placement",,,"Compact termination can occur after a period of six (6) months supervision and with the concurrence of the receiving state’s ICPC office under one of the following circumstances: The child’s adoption is legally finalized The child reaches the age of majority (18 years) The child becomes self-supporting The child returns to Missouri or The child is discharged from court jurisdiction with the concurrence of the appropriate authority in the receiving state. The Children’s Service Worker shall submit the Child Placement Status Report, ICPC 100-B, and the court orders to the ICPC Unit in Central Office or if the receiving state denies a home for placement and the child has already been placed pending completion of the home study, the child must be returned to Missouri. Upon notification of the denial, the Children’s Service Worker has five (5) working days to return the child to Missouri. Notify the ICPC Coordinator in Central Office as soon as possible if the placement is disrupting. Send the ICPC 100-B to close out the ICPC case, if a disruption may, or has occurred. If legal guardianship is awarded to the approved ICPC resource placement and the placement is stable for a minimum of six (6) months, then the child is eligible for Medicaid under the Interstate Compact on Adoption and Medical Assistance (ICAMA) under the Fostering Connections and Increasing Adoptions Act of 2008 (Public Law 110-351). A Guardianship Subsidy Agreement will need to be negotiated with the resource placement in the other state and ICAMA procedures followed to initiate the Medicaid through ICAMA in the receiving state. Related Practice Alerts and Memos: 1-16-20 – CD20-07 – Interstate Compact Policy and Procedure Changes",https://fostercaresystems.wustl.edu/mo-section-4-chapter-2-placements-subsection-11-icpc-2113-compact-terminationplacement-disruption
"MO :: Section 4, Chapter 2 (Placements), Subsection 11 – ICPC :: 2.11.2 Placement of a Missouri Child with an Approved Resource",Missouri,Rules,"2023, 2022","Administrative process, Legal process, Placement",,,"The Children’s Service Worker should receive approval for the placement from the ICPC Coordinator before making a recommendation to the court. After the Children’s Service Worker has obtained court approval for the placement, if applicable, the following must be done: Complete the ICPC Information screen (ICPC 100B) in FACES when a confirmation date for placement is made or placement occurs. In some instances, the Children’s Service Worker may need to contact the CD travel desk to make airline reservations. Regardless of the mode of transportation for the placement, the ICPC 100-B should be submitted as soon as possible in order to ensure services are provided (See ICPC 100-B and Instructions). Staff will need to open the ICPC 100B by utilizing the Print 100B button at the bottom of the screen. After signing/ dating the 100B, staff will need to upload through OnBase the completed, signed/dated 100B to the ICPC Information screen. Complete any appropriate FACES screens (such as, but not limited to, the Vendor Licensure/Approval and Renewal, Alternative Care Client Information, etc.) needed to implement services the child may require in the other state. Any costs, other than regular maintenance payments, need to be approved through proper administrative channels. The Cooperative Agreement for Purchase of Foster Care Services, CM-3, should be sent to out-of-state providers to sign. Out of state resource homes are eligible to receive maintenance at the Missouri foster care rate, but they are not eligible for the Professional Parenting payment or for above the traditional rate of maintenance. They should not complete the Cooperative Agreement for the Purchase of Professional Foster Care Services, CM-14. They should not complete Cooperative Agreement Amendment for Level A foster care services. If the plan is for adoption of the child(ren) by the proposed resource, the ICAMA Coordinator in Central Office should be contacted to ensure the appropriate paperwork is completed. Supervision/services may not occur until the Child Placement Status Report, ICPC 100-B, is procured by the receiving state. The Cooperative Agreement for Purchase of Foster Care Services, CM-3, should be sent to out-of-state providers to sign. Placement providers out of state are eligible to receive maintenance at the Missouri foster care rate, but they are not eligible for the Professional Parenting payment. They should not complete the Cooperative Agreement for the Purchase of Professional Foster Care Services, CM-14. Contact the ICPC Coordinator in Central Office if progress reports or additional assistance is needed to ensure continued placement. Do not contact the ICPC Coordinator in the sending state. Related Practice Alerts and Memos: 1-16-20 – CD20-07 – Interstate Compact Policy and Procedure Changes",https://fostercaresystems.wustl.edu/mo-section-4-chapter-2-placements-subsection-11-icpc-2112-placement-missouri-child-approved
"MO :: Section 4, Chapter 2 (Placements), Subsection 11 – ICPC :: 2.11.1 Placement of a Missouri Child into Another State (Regulation 2)",Missouri,Rules,"2023, 2022","Administrative process, Legal process, Placement",,,"Making an ICPC Referral All ICPC Referrals are to be entered into FACES. Using the ICPC 100D as a guide, staff will upload the ICPC referral to FACES as follows. The following packet of material will need to be uploaded to the Referral screen in FACES once the initial ICPC referral has been entered. While the type of documents remain the same, the method of transmitting the packet to ICPC has changed. The following documents will need to be accessed from the Referral screen in FACES: ICPC 100A CD ICPC 104 CD ICPC 3 Staff will need to open each document by utilizing the Print buttons at the bottom of the referral screen. Staff will complete each form, sign/ date electronically, then save and upload the completed, signed/dated form to the Referral screen in FACES. The following documents will need to be uploaded to the Referral screen in FACES: A cover letter which includes the following: Reason out-of-state placement is being pursued Name of the proposed out-of-state placement resource and relationship to the child(ren) Statement indicating the person/agency/court which has legal custody of the child(ren) Permanency plan/case plan for the child(ren) Indication of the child(ren)’s eligibility for Title IV-E or Supplemental Security Income (SSI) and Plans for meeting the cost of care in the other state, which includes the financially responsible party. Any costs, other than regular maintenance payments, need to be approved through proper administrative channels. Please see e-forms for a sample copy of a cover letter. Child(ren)’s social summary The original court order granting jurisdiction and giving custody to Children’s Division. The most recent court order (within the last 12 months); The home study court order, (if ordered); Copies of any diagnosed medical and special needs/educational reports (IEP, report cards, psychological evaluations, counseling/ therapy reports etc.); Appropriate citizenship documentation as detailed in this section, Medicaid Eligibility Documentation of U.S. Citizenship and Identity. IBTH screen shots are not appropriate documentation for ICPC requests as it is MO specific and is not recognized by other states Child Assessment and Service Plan (CS-1); The written service agreement, if applicable. The ICPC Coordinator will review and submit to the receiving state’s ICPC office. The ICPC Coordinator will submit the placement decision through the Referral Decision screen in FACES to the Children’s Service Worker. Additional information required for a public agency adoptive request to another state: If the request is for a new adoptive placement, the Children’s Service Worker will submit the same documentation as for any other type of home study request through ICPC. In addition to the documentation listed above, the following documentation is to be included.  If the adoptive study is for an existing ICPC placement, then the following information plus a new ICPC 100A and ICPC 3 (Financial/ Medical Plan) is to be submitted to the ICPC Unit in Central Office The home study provided by the family for the adoption staffing, if one is available . Please note: A child specific addendum to an existing study will be requested from the receiving state Termination of Parental Rights order signed by the court. If TPR has not yet occurred, then the most recent permanency hearing order which clearly states that adoption is the selected permanency plan for the child A medical/ genetic social history on the biological parents A statement regarding whether or not the Indian Child Welfare Act Of 1978 (ICWA) applies to the child/ren Any additional documentation that was used during the adoption staffing to determine the home as a possible adoptive placement If the home study was completed by a private agency in another state, a contract for supervision with that agency must be negotiated and approved prior to the ICPC referral being submitted to the ICPC Unit. This is done through the Contract Management Unit. A copy of this contract is required to be included in the ICPC referral. The home study is not “official” until the ICPC Coordinator in the receiving state has made a determination for or against placement. Placement prior to ICPC approval is a violation of state law and may result in the home study process being stopped or the home study being denied. The home study and approval of the ICPC 100-A are valid for only six (6) months (Section 210.620 Regulation VI, RSMo). Assigning referral to ICPC Unit in FACES: When the referral has been entered and all supporting documentation has been uploaded, staff will assign the referral to Cole Co, and Office is ICPC. Reconsideration of a Denial for Placement in another State Effective October 1, 2011, a process to have a denial of a home for placement reversed was implemented by the Association of Administrators of the Interstate Compact on the Placement of Children (AAICPC). This process is as follows. The sending state may request reversal of the denial within ninety (90) days from the date the ICPC 100A was signed as denied by the receiving state’s ICPC office. The request can be with or without a new home study as outlined below.  After 90 days, there is nothing that precludes the sending state from requesting a new home study. Request reconsideration without a new home study. The sending ICPC office can request that the receiving state’s ICPC office reconsider the denial of placement. If the receiving state’s ICPC office chooses to overturn the denial, it can be based on review of the new information or clarification of information provided by the sending state’s ICPC office. Request new home study re-examining reasons for original denial: A sending ICPC office may send a new ICPC home study request if the reason for denial has been corrected (i.e. move to new residence with adequate bedrooms). The receiving state’s ICPC office is not obligated to activate the new home study request, but it may agree to proceed with a new home study to reconsider the denial decision if it believes the reasons for denial have been corrected. This regulation shall not conflict with any appeal process otherwise available in the receiving state. Receiving state’s decision to reverse a prior denied placement The receiving state’s ICPC office has sixty (60) days from the date formal request to reconsider denial has been received from the sending state’s ICPC office. If the receiving state’s ICPC administrator decides to change the prior decision denying the placement, an ICPC transmittal letter and the new 100A shall be signed reflecting the new decision. Related Practice Alerts and Memos: 1-16-20 – CD20-07 – Interstate Compact Policy and Procedure Changes",https://fostercaresystems.wustl.edu/mo-section-4-chapter-2-placements-subsection-11-icpc-2111-placement-missouri-child-another-state
"MO :: Section 4, Chapter 2 (Placements), Subsection 10 – Independent Assessor Responsibilities :: 2.10 –Independent Assessor Responsibilities",Missouri,Rules,"2023, 2022, 2021","Administrative process, Permanency, Placement, Social worker licensing/qualifications",,,"An “Independent Assessor”, sometimes referred to a “Qualified Individual”, means a trained professional or licensed clinician who is not an employee of the Children’s Division or a foster care case management contractor (or subcontractor thereof) of the Children’s Division; and whose assessment does not present a conflict of interest between a child’s treatment needs and placement in a particular residential setting, as determined by the Division. The Independent Assessor shall: Assess the strengths and needs of the child using an age-appropriate, trauma informed, evidence-based, validated tool approved by the Division; Assess whether the needs of the child can be met through placement with family members or in a foster home; If the needs of the child cannot be met with family members or in a foster home, explain why the child’s placement in a residential setting shall be the most effective and appropriate level of care in the least restrictive environment; Describe how that placement is consistent with the short-term and long-term goals for the child as specified in the child’s permanency plan; Develop a list of child-specific short-term and long-term mental and behavioral health goals; and Work in conjunction with the child’s family support team while conducting and making the required assessment within 30 calendar days of the receipt of the completed referral. All Independent Assessors shall also follow all terms and specifications of his/her contract with the Department of Social Services.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-2-placements-subsection-10-independent-assessor-responsibilities-210
"MO :: Section 4, Chapter 2 (Placements), Subsection 9 – Residential Care Screening Team Coordinator Responsibilities :: 2.9 – Residential Care Screening Team Coordinator Responsibilities",Missouri,Rules,"2023, 2022, 2021","Administrative process, Placement, Subsidies - Other",,,"A Residential Care Screening Team (RCST) Coordinator is located in each of the regions. His/her role is to screen and prioritize placement requests for the area, secure residential placements, match a child with a facility which can meet the needs of the child, and monitor the funds available for residential treatment services. The RCST Coordinator has final approval/authority for all children referred for residential treatment services, DMH-DDD placements, and therapeutic foster care (TFC) services. The RCST Coordinator has oversight to ensure FACES is updated with an accurate Rehab Service Begin Date, which is concurrent with the CSPI completion date, and oversees adherence to a child’s residential treatment/service plan. The RCST Coordinator reviews children’s needs, as identified on the CS-9, to ensure residential treatment or DMH placements will best meet the youth’s ’s clinical and developmental needs. If residential treatment is not determined to be appropriate by the Independent Assessor’s report, the RCST Coordinator will notify the case manager, supervisor, and circuit manager/program manager, and the case manager will seek other options for treatment as recommended in the Independent Assessor’s report. Activities of the RCST Coordinator include but are not limited to: Receive and process referrals for residential treatment (see section 2.3. for the RCST Coordinator’s responsibilities in the referral processes); Complete the service authorization in FACES for children approved for residential treatment whose cases are managed by Children’s Division; Review and approve/deny requests from the provider or the Children’s Division case manager for extensions of the treatment period. Such decisions will be based on the progress reports received from the provider as well as the recommendations of the FST; Review referrals for TFC placements and monitor length of stay for TFC placements whose cases are managed by Children’s Division; Complete the service authorization in FACES for children approved for TFC placements whose cases are managed by Children’s Division; Participate in the Extended Stay Review process and monitor length of stay; Monitor the residential facility to confirm the facility is providing treatment services to the child and family, including encouraging visits as a part of the therapeutic process, as appropriate; Complete and enter data on the service authorization authorizing residential treatment services as necessary. Update the service authorization to reauthorize or modify services; Authorize any special expenses or services not covered by the residential treatment contract. The manager is responsible for authorizing payment for special expenses via a payment request for children receiving residential treatment program services or TFC. Receive and process referrals for potential placement through DMH-DDD providers; Contact the Regional Office to have the child placed on the DMH database Ensure that protocol is followed between CD and DMH with utilization of a DMH placement provider Request and review child’s budget that is approved through DMH Regional Office for services and matches the child’s Individual Supported Plan. Will complete the Child Specific Contract request packet and submit to Residential Services Manager for a decision of approval. Request information required for renewal when the contract prior to expiration of the contract.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-2-placements-subsection-9-residential-care-screening-team-coordinator
"MO :: Section 4, Chapter 2 (Placements), Subsection 8 – Requirements for Family Based Residential (FBR) Placements :: 2.8 – Requirements for Family Based Residential Placements (FBR)",Missouri,Rules,"2023, 2022, 2021","Administrative process, Legal process, Placement, Services while in care - Financial, Services while in care - Medical",,,"A Family Based Residential placement is in which maintenance payments may be made for an eligible child in the legal care and custody of Children’s Division to be placed with their parent in a licensed residential family-based treatment facility for substance abuse for up to 12 months. To qualify for maintenance payments, the recommendation for placement must be agreed up by the Family Support Team and documented in the child’s case plan before the placement. Placement with a parent in a Family Based Residential placement can only be considered for the following eligible youth: Eligible child have been physically removed from a home pursuant to a court order. A “legal” or “constructive” removal is acceptable. There must be a judicial determination signed by a judge stating that remaining in the home would be contrary to the child’s welfare or that out of home placement would be in the child’s best interest. This determination must be made in the very first court order that authorizes the removal of the child from the home, regardless of whether there is an emergency or a non-emergency. A judicial determination of reasonable efforts to prevent a child’s removal from the home or a statement that reasonable efforts are not required must be specified in a court order and must be made no later than 60 days from the date the child is removed from the home. To qualify for maintenance payments, the treatment facility must provide parenting skills training, parent education, and individual and family counseling. The substance abuse treatment, parenting skills training, parent education, and individual and family counseling must be provided under an organizational structure and treatment framework that involves understanding, recognizing, and responding to the effects of all types of trauma and in accordance with recognized principles of a trauma-informed approach and trauma-specific interventions to address the consequences of trauma and facilitate healing These settings are not licensed by the Children’s Division. The Children’s Division is collaborating with the Missouri Department of Mental Health, through the Division of Behavioral Health (DBH), who provides substance use treatment services through a network of community-based providers.  These contracted services include Comprehensive Substance Treatment and Rehabilitation (CSTAR), which encompasses an array of services designed to promote independent, maximize functioning in the community, and promote the ability to achieve and maintain recovery. Each treatment facility is licensed and contracted with DBH to comply with the federal requirements for Women’s and Children’s CSTAR programs. The Children’s Division anticipates that additional CSTAR facilities will meet the requirements necessary for maintenance payments in the coming years. Related Practice Alerts and Memos: 1-15-19 – CD19-01 – Foster Care Maintenance Payments for Eligible Youth Placed with a Parent in a Licensed Residential Family Based Treatment Facility for Substance Use",https://fostercaresystems.wustl.edu/mo-section-4-chapter-2-placements-subsection-8-requirements-family-based-residential-fbr-placements
"MO :: Section 4, Chapter 2 (Placements), Subsection 7 – Requirements for Psychiatric Residential Treatment Facility (PRTF) Placements :: 2.7 – Requirements for Psychiatric Residential Treatment Programs (PRTF)",Missouri,Rules,"2023, 2022, 2021","Administrative process, Placement, Services while in care - Medical",,,"A PRTF is a program that provides inpatient psychiatric services furnished in a psychiatric residential treatment facility.  Approval for placement in this setting requires rigorous review by an independent team, which includes a physician.  These settings are not licensed by the Children’s Division. The Department of Health and Senior Services (DHSS) is responsible for certification of the PRTF setting in Missouri. Hawthorn Children’s Psychiatric Hospital is a PRTF owned and operated by the Missouri Department of Mental Health (DMH). It is the Department of Mental Health’s only free-standing children’s psychiatric hospital in Missouri and provides treatment services to children who are residents of Missouri.  More information about Hawthorn can be found here: https://dmh.mo.gov/hawthorn-childrens-psychiatric-hospital . The Children’s Division anticipates the establishment of new, privately ran PRTF programs in the coming years.  The DHSS can assist facilities seeking to become PRTF facilities. The referral process to all PRTF settings is the same as the process for residential treatment settings, outlined in Section 4, Chapter 2 (Placements), Subsection 3 – Residential and Department of Mental Health Developmental Disability Placements.",https://fostercaresystems.wustl.edu/mo-section-4-chapter-2-placements-subsection-7-requirements-psychiatric-residential-treatment
"MO :: Section 4, Chapter 2 (Placements), Subsection 4 – Therapeutic Foster Care Placements :: 2.4 – Therapeutic Foster Care (TFC) Placements",Missouri,Rules,"2023, 2022, 2021","Foster parent licensing, Placement, Services while in care - Mental Health",,,"Therapeutic foster care (TFC) is a living situation consisting of highly intensive individual treatment for one (1) or two (2) children living in a TFC trained family foster home setting and community environment. TFC is a specialized program for children with significant emotional or behavioral needs, who, with additional resources, can remain in a family setting and achieve positive growth and development.  TFC services are provided by agencies contracted with the Division to develop and oversee Treatment Foster homes.  These contracted agencies shall meet all TFC program specifications outlined in their contract. TFC programs provide services to youth with severe behavioral disorders, psychiatric diagnoses, delinquency, and symptoms of complex trauma. TFC exists to serve children and youth whose special needs are severe enough that in the absence of such programs, they would be at risk of placement into restrictive residential settings such as hospitals, psychiatric centers, correctional facilities, or residential treatment programs. Individualized treatment refers to the coordinated provision of services and use of procedures designed to produce a planned outcome in a person’s behavior, attitude, or general condition based on a thorough assessment of possible contributing factors. Because treatment is individualized, each child, youth, and family receives flexible services over time to meet their changing needs. Treatment typically involves teaching adaptive, pro-social skills and responses that equip young people and their families with the means to deal effectively with the unique conditions or individual circumstances that have created the need for treatment. The term “individualized treatment” presumes stated, measurable goals based on a professional assessment, a set of written procedures for achieving those goals, and a process for assessing the results. Treatment accountability requires that goals and objectives be time-limited and outcomes systematically monitored. The TFC parents are trained and supported by their contracted agency to implement key elements of treatment in the context of the family and community life while promoting the goals of permanency planning for youth in their care. Each therapeutic foster home and child is assigned a TFC worker with the primary responsibility for the development of treatment plans. The TFC worker also provides support and consultation to the TFC foster parents, to families of children in care, to children enrolled in the TFC program, and to other treatment team members. The TFC worker coordinates activities to ensure children and families receive needed services according to their treatment plan. The contractor provides at least weekly consultation to the TFC home and in-person contact every two (2) weeks or more frequently when indicated.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-2-placements-subsection-4-therapeutic-foster-care-placements-24
"MO :: Section 4, Chapter 2 (Placements), Subsection 3 – Residential Rehabilitative Services :: 2.3.5 – Mandatory Placement Continuation Approval Process",Missouri,Rules,"2023, 2022, 2021","Administrative process, Group and residential care, Placement",,,"Review Process for Residential Treatment Placements Requiring an Independent Assessment The Children’s Division Director or designee’s written approval is required for the continued placement in residential treatment settings that extend beyond the timeframes below: Under 13 years old: When a child, not yet age 13, has been in a residential treatment facility for 6 months (consecutive OR non-consecutive); Ages 13 and older: When a child age 13 or older has been in a residential treatment facility for 12 consecutive months OR 18 non-consecutive months of the placement. When a child is 60 days away from the prescribed review point, the case manager must complete a Residential Extended Stay Review and the following steps must be taken: The worker and supervisor shall have a case consultation, within one week, to determine if child should remain in congregate care. The worker, no later than 14 calendar days from the 60 day review point, shall schedule a FST meeting to be held. The entire FST, made up of the youth’s family and permanency team, along with the RCST, shall be invited to participate.  During this meeting, the team is to discuss the current treatment plan, progress of this plan, discharge plan, and progress towards discharge.   The worker, along with the team, will discuss, and complete the Residential Extended Stay Review form (CD-304) . The worker, within 7 calendar days of the Family Support Team meeting, shall provide the completed Residential Extended Stay Review form (CD-304), required documentation listed on the form, and with the most recent treatment plan from the placement provider, to the RCST. The RCST, no later than 14 calendar days from the date of receipt of the Residential Extended Stay Review form and attached documents, shall review the materials and provide the provided information to either the local Field Support Manager (for all residential treatment settings which do not have the Qualified Residential Treatment Program (QRTP) designation), or the Children’s Division Director (for residential treatment settings with the QRTP designation). Within 14 calendar days, the Children’s Division Director or local Field Support Manager will approve or disapprove extended placement in residential treatment. If Extended stay is not approved, the Case Manager must immediately begin process to obtain a new placement for the child. This process shall be repeated every three months for a child aged 12 and younger, and every six months for a child aged 13 or older as long as the child remains in a residential treatment placement. Review Process for DMH Placements The RCST Coordinator, in consultation with the Case Manager, shall periodically review the child’s progress to determine if the continued placement in a DMH settings is meeting the unique needs of the child and the child’s permanency goals.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-2-placements-subsection-3-residential-rehabilitative-services-235
"MO :: Section 4, Chapter 2 (Placements), Subsection 3 – Residential Rehabilitative Services :: 2.3.4 – Department of Mental Health (DMH) Placement Monitoring Process",Missouri,Rules,"2023, 2022, 2021","Placement, Services while in care - Mental Health",,,"DMH licensed or certified placements under contract with the Division for services, in conjunction with the DMH Service Coordinator, are required to complete Individual Support Plans and support monitoring reports for the child receiving care in accordance with all DMH requirements and in accordance with obligations outlined in Division contracts for such services. Such reports shall be requested by the child’s case manager and submitted to the RCST Coordinator quarterly. Case Managers shall review the child’s support and service monitoring report to ensure that the services provided to the child remain consistent with the child’s ongoing treatment needs. The case manager shall address any discrepancies found in the Individual Support Plans with the provider in a timely manner.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-2-placements-subsection-3-residential-rehabilitative-services-234
"MO :: Section 4, Chapter 2 (Placements), Subsection 3 – Residential Rehabilitative Services :: 2.3.3 – Department of Mental Health (DMH) Division of Developmental Disabilities (DDD) Placement Referral Process",Missouri,Rules,"2023, 2022, 2021","Administrative process, Group and residential care, Placement, Services while in care - Mental Health",,,"Department of Mental Health (DMH) Division of Developmental Disabilities (DDD) placements shall only be considered if such placements best meet the child’s treatment needs.  In order to be eligible for this type of setting, the child must be waiver eligible as determined by DMH-DDD.  A DMH placement, such as an Independent Supported Living (ISL) placement, shall be appropriate based on the capacity and/or needs of the child in order for placement to occur.   The DMH-DDD determines the assessment tools for the waiver eligible determination.  The Vineland Assessment is utilized for children under 18 and the MOCABI is utilized for children 18 and older. When a case manager identifies a possible need for a placement with DMH care placement, the following process shall be followed: The case manager shall ensure the child is waiver-eligible by contacting their local Regional Office for the Developmentally Disabled (DDD) and making a referral for services. The case manager shall ensure that a referral has been made for Supplemental Security Income (SSI) or SSI is currently issued for the child. Only after completing the prior steps shall the case manager complete the CS-9, including supporting document. The case manager shall send the completed CS-9 to the RCST Coordinator along with the information from the Regional Office, stating: The child is eligible for waiver services, as verified in writing from the DMH Regional Office; The child is approved for Social Security Income (SSI); and A detailed explanation of why the placement with DMH is in the best interest of the child, including supporting documentation such as the Individual Support Plan and/or monthly treatment reports. The RCST Coordinator, if appropriate based on the information provided, will refer the child to the Children’s Division Medicaid Wavier Wait List. The RCST Coordinator will determine if the child is found to need a DMH-DDD provider placement. RCST will contact the case manager to continue the process of placement. The Case Manager shall ask the court to sign an order to allow a DMH-DDD placement. During the placement period, the RCST Coordinator shall: Ensure that protocol is followed between CD and DMH with utilization of a DMH placement provider Request and review child’s budget that is approved through DMH Regional Office for services and matches the child’s Individual Support Plan. Will complete the Child Specific Contract request packet and submit to Residential Services Manager for a decision of approval. Request information required for renewal when the contract prior to expiration of the contract. New Placement Actions for DMH-DD Settings As part of the DMH placement process, the case manager, after approval from the RCST Coordinator, shall proceed with placement by: Completing any admission information as may be required by the provider; Arrange for adequate transportation of the child; Prepare the child and parent(s)/guardian(s) for placement, providing information about the placement, location, special programs, and visitation/contact arrangements, etc.; Inviting the parent(s)/guardian(s) to participate in the child’s transition meeting, if appropriate as determined by the RCST Coordinator or the DMH-DDD Service Coordinator; Arriving at the placement with the child and participating in the transition process. Entering the child’s new placement information into FACES within 24 hours of placement. Entering a “Rehabilitation Service Begin Date” or an updated date on the Rehabilitation Services Tracking screen in FACES.  The Rehabilitation Service Begin Date must be the date the CSPI was completed or the date of placement, but may not be backdated to the date of placement unless the CSPI was completed on or before the placement date.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-2-placements-subsection-3-residential-rehabilitative-services-233
"MO :: Section 4, Chapter 2 (Placements), Subsection 3 – Residential Rehabilitative Services :: 2.3.2 – Residential Treatment Monitoring Process",Missouri,Rules,"2023, 2022, 2021","Administrative process, Placement, Services while in care - Medical",,,"Case Plan Requirements For a child placed in a residential treatment setting the Children’s Division or contracted case management agency must document the following in the child’s case plan: The reasonable and good faith effort of the agency to identify and include all the individuals required to be on the child’s family support team (FST); All contact information for members of the FST, as well as contact information for other family members and fictive kin who are not part of the FST; Evidence that meetings of the FST, including meetings relating to the required 30-day assessment of the appropriateness of the residential treatment setting, are held at a time and place convenient for family; If reunification is the goal, evidence demonstrating that the parent from whom the child was removed provided input on the members of the FST; Evidence that the required 30-day assessment to determine the appropriateness of the residential treatment setting is determined in conjunction with the FST; The placement preferences of the FST relative to the required 30-day assessment that recognizes children should be placed with their siblings unless there is a finding by the court that such a placement is contrary to their best interest; If the placement preferences of the FST and child are not the placement setting recommended by the Independent Assessor conducting the required 30-day assessment, the reasons why the preferences of the team and of the child were not recommended; and The written recommendation by the Independent Assessor regarding the appropriateness of the residential placement and the court approval or disapproval of the placement . Progress Reports from Licensed Residential Treatment Placement Providers Facilities under contract with the Division for residential treatment services are required to complete treatment plan and progress reports for the child receiving residential treatment. Such reports shall be submitted to the child’s case manager and the RCST Coordinator at the following intervals: Residential Treatment (Level II and III): Treatment plans must be developed within fifteen (15) days of placement. Treatment plans must be reviewed quarterly, every ninety (90) days. (See 13 CSR 35-71.060 and 13 CSR 35-71.130) Intensive Residential Treatment (Level IV): Treatment plans must be developed within ten (10) days of placement. Treatment plans must be reviewed monthly, every thirty (30) days. (See 13 CSR 35-71.140) The residential facility shall provide the case manager and the RCST Coordinator a monthly progress report of the child’s treatment within fifteen (15) calendar days of each calendar month following the month of service. The facility shall submit the monthly progress report to the RCST Coordinator at the same time as the invoice for payment for the service month. This report must be submitted using the Department’s online invoicing system as described in the residential treatment service’s contract. This monthly report shall include, at a minimum: An itemized statement describing the actual services provided to each child during the reporting period, including, duration of all individual, family, and group therapies actually provided during the reporting period; notations if the therapies and/or services are part of a specialized program such as chemical dependency/substance use treatments, child with problem sexual behaviors, etc.; A summary of the child’s educational progress during the reporting period; and A summary of the child’s health, behavioral health, and mental health care during the reporting period, including compliance with the requirements of the Settlement Agreement in M.B. vs Tidball which can be found at: https://dss.mo.gov/notice-of-proposed-class-action-settlement.htm . All treatment sessions which were not provided in accordance with the child’s treatment plan, shall be disclosed to the case manager and RCST Coordinator in writing, by the following reporting month, and documented in the child’s record. A child’s refusal to participate in treatment sessions shall be documented in the treatment record. Case Managers shall review the child’s progress reports to ensure that the services provided to the child remain consistent with the child’s ongoing treatment needs. The case manager shall address any discrepancies found in the progress reports with the residential provider in a timely manner. Treatment plans and treatment reviews shall be completed by the facility in accordance with state regulation 13 CSR 35-71 Licensing Rules for Residential Treatment Agencies for Children and Youth. The full regulation can be accessed at: https://www.sos.mo.gov/cmsimages/adrules/csr/current/13csr/13c35-71.pdf The facility shall complete the Monthly Medical Log utilizing form CD-265 Medical Log which may be found at http://dss.mo.gov/cd/info/forms and the providers Medication Administration Record (MAR) within five (5) calendar days of each calendar month following the month of service to the child’s case manager. The written documentation must contain all medication administered for the month, including the dosage, any adverse reactions, any new medications prescribed, including the dosage, prescriber notes from any medication monitoring appointments, and the dates/times of any upcoming appointments.",https://fostercaresystems.wustl.edu/mo-section-4-chapter-2-placements-subsection-3-residential-rehabilitative-services-232-residential
"MO :: Section 4, Chapter 2 (Placements), Subsection 3 – Residential Rehabilitative Services :: 2.3.1 – Residential Referral Process",Missouri,Rules,"2023, 2022, 2021","Administrative process, Court system, Group and residential care, Placement, Services while in care - Mental Health",,,"Residential treatment shall only be considered if it best meets the child’s clinical needs. The following placement settings are considered residential treatment settings.  These settings require review by the Residential Care Screening Team (RCST) Coordinator and an Independent Assessor as described further below: Residential treatment (levels II, III, and IV) (as licensed in 13 CSR 35-71) Qualified Residential Treatment Programs (QRTP) (residential treatment agencies at levels II, III, and IV who have a QRTP Designation issued by Children’s Division). Psychiatric Residential Treatment Facilities (PRTF) The following placement settings are not considered residential treatment.  These settings require review by the Residential Care Screening Team (RCST) but do not require review by the Independent Assessor*: Emergency shelters (temporary placements not to exceed 30 calendar days**, as licensed in 13 CSR 35-71) Maternity homes for pregnant or parenting youth (as licensed in 13 CSR 35-71) Transitional living placements (transitional living group home (TLG), scattered site apartments) Department of Mental Health (DHM) Division of Developmental Disability (DDD) licensed or certified placements *If a child’s behaviors or presenting conditions may necessitate residential treatment, even though a youth may require an emergency placement immediately, the process for an Independent Assessor shall be followed. **Emergency shelters are temporary placements, and shall not be used for placement after 30 calendar days, unless authorized as explained here.  In the event that another placement is not available after 30 calendar days, approval for any additional days, not to exceed an additional 30 calendar days, shall be made by the RCST Coordinator in writing, if determined necessary by the RCST Coordinator and Residential Service Manager.  The Case Manager shall be responsible for submitting written requests for approval for an extended emergency placement past 30 calendar days. Extension requests shall document all efforts made by the Division to locate appropriate placement for the child. The Case Manager shall continue to actively seek alternative placements regardless of a request for, or approval of, an extended emergency placement. A referral to the RCST Coordinator for possible residential treatment may be triggered by the following events: The child has recently entered or re-entered CD custody and is currently placed in residential treatment; A court has ordered residential treatment or an independent assessment for residential treatment; A Youth with Elevated Needs Staffing (YWEN) Team has recommended residential treatment (information regarding YWEN can be found in Section 4, Chapter 4, Subsection 5); A Team Decision Making (TDM) meeting or Placement Stability Family Support Team meeting has recommended residential treatment; An emergency exists where the case manager and supervisor have staffed the child’s case, and the child was placed in emergency placement, either a shelter or residential facility; or A qualified clinician such as a primary care physician or psychologist has recommended residential treatment, or the child is being discharged from a hospital setting with a qualified clinician’s recommendation for residential treatment. Note: In the event that the court orders residential treatment of a child prior to the completion of the Independent Assessment process, outlined below, a copy of the court order shall be sent to the RCST Coordinator immediately upon receipt of such an order for possible Division of Legal Services (DLS) action.  The RCST Coordinator shall refer the matter to DLS in the event that the independent assessment review process outlined in this policy was not followed.  In the event that the court orders residential treatment using a name of a specific facility, the same process of notification to the RCST Coordinator and DLS shall be followed. Starting the Residential Referral Process If one of the six triggering events occurs, the case manager and supervisor shall complete the following steps within three (3) calendar days of the decision to refer the child to a residential setting or within three (3) calendar days upon receipt of legal custody of a child already placed in a residential setting: The case manager for the child shall complete the Residential and Specialized Placement Referral (CS-9) Section A. In the event of a need for emergency residential placement, the CS-9 Section A, shall be completed and submitted to the RCST within three (3) calendar days of placement. The CS-9, including all attachments shall be submitted for supervisory review. The supervisor shall review and if complete, shall approve the referral. The supervisor shall submit the CS-9 and the applicable attachments to the RCST Coordinator for the region. The Case Manager shall also be included on the communication. Upon submission of the CS-9 to the RCST, the Case Manager shall utilize the Residential Referral Tracking Sheet (CD-303) to monitor the referral. Note: Failure to include all documents for the CS-9 may cause a delay in the screening process.  Case Managers shall include any specialized information as my required on the form, including Maternity and Parenting care (Section B) and Infant and Toddler Care (Section C). The Childhood Severity of Psychiatric Illness scale (CSPI) is a required component of the CS-9.  The CSPI is an assessment tool developed to assist in the planning of appropriate services and is required to accompany the CS-9 for children age six (6) years and older. The CSPI also serves as the eligibility determination process for child enrolled in the Medicaid Rehabilitation Option.  This program allows Children’s Division to access federal funding to purchase rehabilitative services to meet identified mental health service needs of children. Note: Emergency residential shelter placement is a short-term resource for children requiring an immediate, temporary living arrangement in an open facility where their safety and supervision is ensured through an organized program of appropriate activities. For children entering an emergency residential placement, the CS-9 Section A shall be completed and submitted to the RCST within three (3) calendar days of placement. Reviewing the Referral Upon submission of the Residential and Specialized Placement Referral (CS-9) to the RCST Coordinator, the RCST Coordinator shall: Screen the CS-9 and the attachments for appropriateness for residential treatment. Contact the case manager requesting additional information or clarification, as necessary. If the placement setting requires review by an Independent Assessor: Forward the approved referral to the assigned Independent Assessor within three (3) calendar days of receipt of the completed CS-9. If the placement setting does not require review by an Independent Assessor, the RCST Coordinator shall determine and secure the most appropriate placement setting. The child’s special needs shall take priority over placement to the parent(s) or guardian(s). The case manager shall be available to answer questions from the potential facilities. The RCST Coordinator will confirm the child’s admission with the case manager once placement has been identified and secured. Note: If Above Level IV services and/or programming are recommended, the residential treatment facility shall send a request and certification for Above Level IV services and programming to the RCST Coordinator. The request shall include supporting documentation of the specific behaviors exhibited by the child and/or the specific treatment needs that require the Above Level IV services and/or programming; to include an explanation of the extra supervision and services that are requested based on the specific needs of the child. If the RCST Coordinator approves the request, the RCST Coordinator will forward the request to the Central Office for final approval. In the event there is a disagreement in the services requested by the placement and the Division’s determination, the determination of the Children’s Division shall govern. Independent Assessor’s Review Upon receipt of the CS-9 and supporting documentation from the RCST Coordinator, the Independent Assessor shall: Send the RCST a written response acknowledging receipt of the referral within three (3) calendar says of receipt of the referral. Work in conjunction with the family of, and FST for, the child while conducting and making the assessment. Complete the assessment within thirty (30) calendar days of the referral. Send the completed assessment to the RCST Coordinator, Circuit Manager, Supervisor, and Case Manager using a secure mode of transmittal. The purpose of the Independent Assessment will be to assess the strengths and needs of the child using an age-appropriate, evidence-based, validated, functional assessment tool.  The assessment will be in writing, and will determine whether the needs of the child can be met with family members or through placement in a foster family home or, if not, which setting would provide the most effective and appropriate level of care for the child in the least restrictive environment and be consistent with the short- and long-term goals for the child, as specified in the permanency plan for the child. If the Independent Assessor determines the child should not be placed in a foster family home , he/she must specify in writing: The reasons why the child’s needs can’t be met by the family or in a foster family home (a shortage of foster family homes is not an acceptable reason for determining the child’s needs cannot be met in a foster family home); and Why the recommended placement in a residential treatment setting is the setting that will provide the child with the most effective and appropriate level of care in the least restrictive environment; and How the setting is consistent with the short- and long-term goals for the child, as specified in the permanency plan for the child. Note: The assessment shall be in person or by telehealth using video communication. Transportation to the assessment is the responsibility of the foster parent, case manager, or residential provider. For a full listing of Independent Assessor responsibilities see Section 4, Chapter 2, Subsection 10, Independent Assessor Responsibilities. Review and Dissemination of the Independent Assessor Report Immediate upon receipt of the report, the Case Manager shall: Distribute the Independent Assessor’s report to the parties to the juvenile proceeding, the members of the family support team and the court. Redactions may be necessary to protect information that is confidential as a matter of law, or may be harmful to the best interests, safety, and welfare of the child. Ask the court to assess the appropriateness for the child to be placed or remain in a residential treatment setting as described below. The Case Manager may need the assistance of DLS (such as preparing a motion) in order to trigger action by the court. In the event that after 15 calendar days after being sent the report, the court has not made a written finding to approve or disapprove the recommendations of the Independent Assessor’s report, the Case Manager shall complete a referral to DLS, attaching the Independent Assessor’s report. When conducting an assessment of appropriateness for the child to be placed or remain in a residential treatment setting, the Division shall ask the court to make specific written findings of fact and : Consider the assessment, determination, and documentation made by the qualified individual conducting the assessment; Determine whether the needs of the child can be met through placement in a foster home or, if not, whether placement of the child in a residential treatment setting provides the most effective and appropriate level of care for the child, in the least restrictive environment; Determine whether that placement is consistent with the short-term and long term goals for the child, as specified in the permanency plan for the child; and Approve or disapprove the placement setting recommended by the Independent Assessor’s report. Such approval or disapproval must be documented in the case plan, and uploaded to OnBase. In the event the court disapproves the placement, the Division shall seek placement in another setting, consistent with the findings of the Independent Assessor’s report. Note: This written finding shall be made within 60 days of the child’s placement in the residential treatment setting.  It is important to immediately start this process so that the timeline is met.  A failure to follow this requirement may result in the Division’s inability to claim certain funds in accordance with the Family First Prevention Services Act (FFPSA) (Public Law 115-123). Continued Review of the Placement As long as a child remains placed in a residential treatment setting, the Children’s Division or contracted agency shall submit evidence at each review and each permanency hearing held for the child.  Evidence shall include: Demonstrating that ongoing assessment of the strengths and needs of the child continues to support the determination that the needs of the child cannot be met through placement in a foster family home, that the placement in a residential setting provides the most effective and appropriate level of care for the child in the least restrictive environment and that the placement is consistent with the short- and long-term goals for the child, as specified in the Social Service Plan; Documenting the specific treatment or service needs that will be met for the child in the placement and length of time the child is expected to need the treatment or services; and Documenting the efforts made by the agency to prepare the child to return home or to be placed with a fit and willing relative, a legal guardian, or an adoptive parent, or in a foster family home. The Division shall ask the court at each review and each permanency hearing held to: Consider the assessment, determination, and documentation made by the qualified individual conducting the assessment; Determine whether placement of the child in a residential treatment setting continues to provide the most effective and appropriate level of care for the child, in the least restrictive environment; Determine whether that placement is consistent with the short-term and long term goals for the child, as specified in the permanency plan for the child; and Approve or disapprove the placement setting recommended by the Independent Assessor’s report. Such approval or disapproval must be documented in the case plan and uploaded to OnBase. In the event the court disapproves the placement, the Division shall seek placement in another setting, consistent with the findings of the Independent Assessor’s report. Note: DLS may provide support to the Division to accomplish these requirements. New Placement Actions for All Residential Settings As part of the residential placement process, the case manager shall proceed with placement by: Completing the residential admission packet and returning the information prior to admission; Arrange for adequate transportation of the child; Prepare the child and parent(s)/guardian(s) for placement, providing information about the facility, location, special programs, and visitation/contact arrangements, etc.; Inviting the parent(s)/guardian(s) to participate in the child’s admission process, if appropriate as determined by the case manager; Arriving at the placement with the child and participating in the intake process. Entering the child’s new placement information into FACES within 24 hours of placement. Entering a “Rehabilitation Service Begin Date” or an updated date on the Rehabilitation Services Tracking screen in FACES.  The Rehabilitation Service Begin Date must be the date the CSPI was completed or the date of placement, but may not be backdated to the date of placement unless the CSPI was completed on or before the placement date. Move and Discharge Requirements for All Residential Settings The residential facility shall begin planning the child’s discharge immediately upon entry into the residential facility. The residential facility shall make every effort to reduce or eliminate the number of unplanned discharges, emergency discharges, and moves to more restrictive settings for children placed in residential settings. If a child is being discharged on an unplanned/emergency basis or as the result of a 30-day notice for removal to another residential facility, the case manager shall follow the CS-9 referral process listed above. New Placement to Another Residential Treatment Setting If the child moves from a residential treatment placement to another residential treatment placement, the following steps shall be taken: The case manager shall begin the Starting the Residential Referral Process again, as outlined in this policy. A subsequent Independent Assessment shall be completed as outlined in the Independent Assessor’s Review section in the policy. All timeframes listed previously in this policy shall be followed. The case manager shall utilize the Residential Referral Tracking Sheet (CD-303). A transfer conference shall be held between the current provider and the next provider when a child moves from one residential treatment placement to another. The purpose of this conference is to share information about the child to aid in his/her transition to the next placement. This conference shall be arranged by the case manager and/or supervisor, with the current and subsequent placement provider, as well as the child (if developmentally appropriate). The RCST Coordinator may also attend the transfer conference, as necessary. The conference can be completed face-to-face or via conference call within the timeframes specified below: For a planned discharge, a transfer conference shall be held prior to a child’s move, but not to exceed the first five (5) calendar days of a child’s placement move. For an emergency discharge, a transfer conference shall occur during the Placement Stability Family Support Team Meeting (FSTM) within 72 hour hours of placement, or separately from the FSTM within the first five (5) calendar days of the placement change. Transfer meeting notes shall be documented in the contact communication log in FACES. Support from the Division of Legal Services DLS can assist with any motions or hearings as may be required by the court in order for a ruling by the court regarding the approval or disapproval of the Independent Assessor’s report within the timeframes of this policy.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-2-placements-subsection-3-residential-rehabilitative-services-231
"MO :: Section 4, Chapter 2 (Placements), Subsection 3 – Residential Rehabilitative Services :: 2.3 – Residential and Department of Mental Health Developmental Disabilities Placements",Missouri,Rules,"2023, 2022, 2021","Group and residential care, Placement, Services while in care - Mental Health",,,"Placement in residential treatment or Department of Mental Health (DMH) Developmental Disabilities (DD) settings shall be the least restrictive placement settings to meet the specific needs of the child (an individual under twenty-one years of age, sometimes referred to as “youth”).  Group placement settings may also called “congregate care” or “institutional” settings.  It is important to explore and attempt lesser placement types prior to placement in a residential setting to the extent possible. This sub-section describes the process of referring a child in out-of-home care to a residential treatment program or a DMH placement.  If residential treatment or a DMH placement is determined to be in the best interest of the child, as discussed below, all treatment planning shall be tied to the child’s permanency plan, and discharge planning shall begin at the time of admission. Residential treatment may be appropriate for children with significant emotional and/or psychiatric needs, learning difficulties, behavioral disorders, trauma histories, and developmental disabilities or problems. Children suited for this type of placement are often unable to function adequately within the family, the school, or the community and are in need of additional support which cannot be reasonably met in a foster home setting. Regardless of the reason a child is in need of residential placement, the goal of all levels of treatment must be focused on stabilizing the child’s behaviors so that he/she may be able to return to the community and least restrictive placement. All children in the custody of the Children’s Division shall be placed in a facility that is licensed and contracted with the Division for residential treatment services, or licensed/certified by the DMH and contracted with on a case-by-case need. Residential treatment or DMH placements for a child under the age of seven (7) years shall only be considered once other resources have been explored.  However, certain behavior and/or physical conditions can exist which would indicate a need for a structured treatment setting for such a child.  In most instances, a foster home setting is preferable to another setting.  Residential treatment for children under seven (7) years of age shall be indicated as necessary through professional evaluations and recommendations by qualified professionals such as a child psychologist. Residential treatment and/or a DMH placement for a child under the age of seven (7) must be recommended by the Family Support Team (FST) after evaluations and recommendations by qualified professionals are completed and reviewed.",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-2-placements-subsection-3-residential-rehabilitative-services-23
"MO :: Section 4, Chapter 2 (Placements), Subsection 2 – Initial Placement Activities :: 2.2 Initial Placement Activities",Missouri,Rules,"2023, 2022, 2021","Administrative process, Placement, Safety, Services while in care - Medical",,,"Placement with a Resource Family (Foster or Relative) When a child enters the Division’s custody and needs placement with a resource family, the Children’s Service Worker will prepare the resource provider for placement, providing all available information about the child. The Children’s Service Worker shall provide to resource providers and potential adoptive parents prior to placement, all pertinent information including but not limited to, full disclosure of all medical, psychological, and psychiatric conditions of the child, as well as information from previous placements that would indicate that the child or children may have a propensity to cause violence to any member of the resource family home. The resource providers shall be provided with any information regarding the child or child’s family, including but not limited to the case plan, any family history of mental or physical illness, sexual abuse of the child or sexual abuse perpetrated by the child, criminal background of the child or the child’s family, fire-setting or other destructive behavior by the child, substance abuse by the child or child’s family, or any other information which is pertinent to the care and needs of the child and to protect the resource or adoptive family. The resource providers shall be given at time of placement full access to the child’s medical, psychological, and psychiatric records in its possession, including reports prior to the child coming into care; continued full access to all records that come into the possession of the division or of which the division becomes aware; access shall include providing information and authorization for the resource parent to review or to obtain the records directly from the medical, psychological, or psychiatric services provider; and resource parents may decline access to any or all of the child’s records. To prepare the child for placement, the Children’s Service Worker will provide the child with information about the resource family. The worker will help with the trauma of separation, reinforcing the belief that the child is not the cause of the family disruption. The child will also need help to understand the reasons the parents/caretakers cannot care for him/her. If age and developmentally appropriate, assure the child they will be directly involved in long-term planning and will be expected to maintain personal responsibility for their actions. All youth, at an age and developmentally appropriate level, should be informed of and given a copy of the Foster Care Bill of Rights. Youth, ages 14-21, shall receive a copy of “What’s It All About?” A Guidebook for Teens in Out-of-Home Care, and shall be referred to the Older Youth Program for Chafee Foster Care Independence Program (CFCIP) services. The book is intended to assist youth while in care and transitioning out of care.  The last page of the guidebook contains an acknowledgement form for the youth to sign. Documentation of a youth being provided the guidebook should also occur in the case narrative, in a FACES contact entry. The Children’s Service Worker shall arrange pre-placement visits, except in emergencies, per Section 210.566, RSMo. Any pre-placement visits must be discussed with the Family Support Team and the pre-placement provider.  The Family Support Team should review the Foster Family Profiles of potential resource providers in determining and selecting the most appropriate placement for the child. Decisions regarding the pre-placement visit plan and its details are on a case-by-case basis and are unique to the needs of the child. The licensed resource home of the pre-placement visit is not eligible for any payment for the child while on the visit, except allowable mileage reimbursement if applicable. Any exception must be pre-approved through supervisory channels with final approval by Central Office. After transporting the child to the resource family, the Children’s Service Worker will confirm or clarify any information previously shared. The worker will provide a copy of the court order placing the foster youth in CD custody. The resource provider shall be provided with a copy of subsequent court orders while the foster youth is placed in their home until the release of jurisdiction is signed by the judge. The worker will also provide full and accurate medical information (current conditions and history) to the resource provider at the time of placement, including information contained within the CW-103. If none or only part of the above is known, the case manager shall share what is available and continue obtaining needed information. If the child has tested HIV positive, provide complete information for caring for the child’s special medical needs and infection control (see below). The Children’s Service Worker should provide the following additional information at the time of placement: A copy of the Authorization to Provide Alternative Care form, CS-33 (if available). A MO HealthNet form and instructions for obtaining a complete health examination. Procedures for obtaining clothing for the child. The name and phone number of the child’s current school and instructions to enroll the child in a new school, if needed. The name and 24-hour contact telephone numbers of the worker and supervisor. The Universal Placement Letter which contains a link to the Foster Parent Bill of Rights and Responsibilities. Families who do not have access to the internet shall be provided a printed copy of the Foster Parent Bill of Rights and Responsibilities at their request. A full HCY examination including eye, hearing, and dental examinations should be completed no later than 30 days after the child is placed in Children’s Division custody. In addition, children should receive a developmental, mental health, and drug and alcohol screening within 30 days of the child’s entry into care. If needs are identified, these needs must be treated as soon as possible. If the Children’s Service Worker is unable to obtain the initial medical exam prior to placement, the initial medical examination shall occur, if possible, within 24 hours of the child coming into care. This initial health examination does not need to be a full Healthy Children and Youth (HCY) assessment. The purpose of the initial health examination is to identify the need for immediate medical or mental health care and assess for infectious and communicable diseases. When possible, this initial health examination should be completed by the child’s current primary care physician as they know the child and have knowledge of the child’s medical history. If a provider is not readily accessible, this exam must occur within 72 hours of the initial placement. Children, who enter CD custody should have continued follow up as needed following the initial examination. It is the Children’s Service Worker’s responsibility to ensure that children in CD custody receive the appropriate screening, assessment, and follow-up services as necessary. Children’s Division shall maintain best practices in monitoring the child’s health as required by federal and state laws, and as recommended by the American Academy of Pediatrics (AAP) and the Child Welfare League of America (CWLA), which set forth that certain medical appointments occur timely to assess and monitor the child’s health.   More information regarding medical exams can be found in Section 4, Chapter 4, Subsection 3 – Medical and Behavioral Health Planning. The medical examination should include an HIV screening (ELISA test) for children displaying symptoms of AIDS or AIDS Related Complex (ARC) or at high risk of HIV exposure. Children at risk of HIV infection include: Hemophiliacs or those children who received blood transfusions prior to 1985 Intravenous (IV) drug users Infants born to a mother who tests HIV positive Children with one or both parents who have tested HIV positive, have ARC, AIDS, or is at high risk for AIDS Sexually active youth who have had a sexual contact with a high-risk individual or an HIV infected individual Subjects of sexual abuse where the perpetrator is at high risk of AIDS or is an HIV infected individual The worker will utilize the team approach to determine the most appropriate resource family for a child who tests HIV positive. Team members should include: The child’s physician Public health personnel The child’s parent or caretaker Case manager The potential resource family provider, i.e., foster parent, adoptive parent, residential care provider The child (age 13 or older) Residential licensing representative, if appropriate The team may need to meet at regular intervals to assess the child’s health status and the appropriateness of the placement setting. A child placed in an out-of-home care setting has a right to privacy. This right is necessary to protect the child. Only those persons directly responsible for the child’s care or defined as a person with the need to know (see Sections 191.650 – 191.695 and 210.566, RSMo) should be informed of his/her condition. Report immediately any accidental injuries to a child in Children’s Division’s custody, and who is a MO HealthNet recipient, using procedures in the Income Maintenance Manual, Chapter VII. Placement of a Child in a Different Circuit If the Children’s Service Worker or the contracted agency place a child in a different circuit it is vital for the circuit to know so they can offer local services as needed and provide support to the family. If the child is placed in a different circuit the Children’s Service Worker or Supervisor must obtain permission from the licensing worker/contracted agency in the receiving county prior to placement. The Children’s Service Worker or Supervisor shall also ensure that the receiving circuit is notified of the placement by emailing the circuit’s courtesy email box within 24 hours of the placement. Circuit courtesy email box addresses can be found at the following link Courtesy Email Box Addresses . If the child is being placed with a relative, follow the policies in the Out of County Home Assessment located in Section 6, Chapter 9 . The Children’s Service Worker or Supervisor shall ensure the receiving circuit is notified of the relative placement by emailing the circuit’s courtesy email box within 24 hours of the placement. If the child is being placed after hours, and permission cannot be obtained, the Children’s Service Worker or Supervisor shall ensure that the receiving circuit is notified by emailing the circuit’s courtesy email box within 24 hours of placement. Placement in a Residential Setting When a child enters the Division’s custody and requires placement in a residential setting, the Children’s Service Worker will coordinate with the Residential Care Screening Team (RCST) Coordinator and the residential provider to coordinate the care and treatment.  Case management of children in residential placements require specific actions as further described in Section 4, Chapter 2 (Placements), Subsection 3 – Residential Rehabilitative Services.",https://fostercaresystems.wustl.edu/mo-section-4-chapter-2-placements-subsection-2-initial-placement-activities-22-initial-placement
"MO :: Section 4, Chapter 2 (Placement), Subsection 1 – Common Placement Types :: 2.1.14 – Maternity and Maternity with Infant Care",Missouri,Rules,"2023, 2022, 2021","Group and residential care, Placement, Services while in care - Other",,,These are Residential care services provided to serve pregnant and parenting adolescents to help prepare them for parenthood and self-sufficiency. Related Practice Alerts and Memos: 1-3-20 – PA20-RD-01 – Relative Resource Placement Consideration 1-15-19 – https://dssmanuals.mo.gov/wp-content/uploads/2019/01/cd19-01.pdf 6-11-20 – CD20-23 – Update on Placement Hierarchy and Diligent Searches,https://fostercaresystems.wustl.edu/mo-section-4-chapter-2-placement-subsection-1-common-placement-types-2114-maternity-and-maternity
"MO :: Section 4, Chapter 2 (Placement), Subsection 1 – Common Placement Types :: 2.1.13 – Family Based Residential (FBR)",Missouri,Rules,"2023, 2022, 2021","Contracting with private organizations, Placement, Services while in care - Other",,,"A Family Based Residential placement is used for a child in the legal care and custody of the Children’s Division to be placed with a parent in a licensed residential family-based treatment facility for substance abuse for up to 12 months. These settings are not licensed by Children’s Division, but are licensed and contracted with Department of Mental Health (DMH), Division of Behavioral Health (DBH). More information about FBR facilities can be found in Section 4, Chapter 2 (Placements), Subsection 8 – Requirements for Family Based Residential (FBR) Placements. Related Practice Alerts and Memos: 1-3-20 – PA20-RD-01 – Relative Resource Placement Consideration 1-15-19 – https://dssmanuals.mo.gov/wp-content/uploads/2019/01/cd19-01.pdf 6-11-20 – CD20-23 – Update on Placement Hierarchy and Diligent Searches",https://fostercaresystems.wustl.edu/mo-section-4-chapter-2-placement-subsection-1-common-placement-types-2113-family-based-residential
"MO :: Section 4, Chapter 2 (Placement), Subsection 1 – Common Placement Types :: 2.1.12 –Transitional Living Provider",Missouri,Rules,"2023, 2022, 2021","Permanency, Placement, Services while in care - Other",,,"The Transitional Living Program (TLP) is intended for a youth, typically age 16 and over; whose permanency goal is not reunification, adoption or legal guardianship. The purpose of the transitional living program is to provide a living environment in the best interest of the youth that provides a path for the youth to transition from alternative care to self-sufficiency and achieves the outcome of preparing the youth to live independently.  More information about transitional living providers can be found in Section 4, Chapter 5 (Older Youth Program), Subsection 4 – Transitional Living Program Related Practice Alerts and Memos: 1-3-20 – PA20-RD-01 – Relative Resource Placement Consideration 1-15-19 – https://dssmanuals.mo.gov/wp-content/uploads/2019/01/cd19-01.pdf 6-11-20 – CD20-23 – Update on Placement Hierarchy and Diligent Searches",https://fostercaresystems.wustl.edu/mo-section-4-chapter-2-placement-subsection-1-common-placement-types-2112-transitional-living
"MO :: Section 4, Chapter 2 (Placement), Subsection 1 – Common Placement Types :: 2.1.11 – Sex Trafficking Program",Missouri,Rules,"2023, 2022, 2021","Group and residential care, Safety, Services while in care - Therapies (not mental health)",,,"A licensed residential treatment program that incorporates trauma-informed standards and care providing high-quality residential services for the safety, permanency and well-being of children (under twenty-one years of age) who are sex trafficking victims. Related Practice Alerts and Memos: 1-3-20 – PA20-RD-01 – Relative Resource Placement Consideration 1-15-19 – https://dssmanuals.mo.gov/wp-content/uploads/2019/01/cd19-01.pdf 6-11-20 – CD20-23 – Update on Placement Hierarchy and Diligent Searches",https://fostercaresystems.wustl.edu/mo-section-4-chapter-2-placement-subsection-1-common-placement-types-2111-sex-trafficking-program
"MO :: Section 4, Chapter 2 (Placement), Subsection 1 – Common Placement Types :: 2.1.10 – Psychiatric Residential Treatment Facility (PRTF)",Missouri,Rules,"2023, 2022, 2021","Placement, Services while in care - Medical",,,"A PRTF is a program that provides inpatient psychiatric services furnished in a psychiatric residential treatment facility.  Approval for placement in this setting requires rigorous review by an independent team, which includes a physician.  These settings are not licensed by the Children’s Division.  The Department of Health and Senior Services (DHSS) is responsible for the certification of PRTF settings in Missouri.  More information about PRTF facilities can be found in Section 4, Chapter 2 (Placements), Subsection 7 – Requirements for Psychiatric Residential Treatment Facility (PRTF) Placements. Related Practice Alerts and Memos: 1-3-20 – PA20-RD-01 – Relative Resource Placement Consideration 1-15-19 – https://dssmanuals.mo.gov/wp-content/uploads/2019/01/cd19-01.pdf 6-11-20 – CD20-23 – Update on Placement Hierarchy and Diligent Searches",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-2-placement-subsection-1-common-placement-types-2110-psychiatric
"MO :: Section 4, Chapter 2 (Placement), Subsection 1 – Common Placement Types :: 2.1.9 – Qualified Residential Treatment Program (QRTP)",Missouri,Rules,"2023, 2022, 2021","Group and residential care, Placement",,,"A QRTP is a licensed residential treatment program that has met all program requirements for designation as a QRTP.  All QRTP programs shall be trauma-informed, accredited, and utilizing on-site nursing and clinical staff.  More information about the QRTP designation can be found in Section 4, Chapter 2 (Placements), Subsection 6 – Qualified Residential Treatment Program (QRTP) Designation. Related Practice Alerts and Memos: 1-3-20 – PA20-RD-01 – Relative Resource Placement Consideration 1-15-19 – https://dssmanuals.mo.gov/wp-content/uploads/2019/01/cd19-01.pdf 6-11-20 – CD20-23 – Update on Placement Hierarchy and Diligent Searches",https://fostercaresystems.wustl.edu/mo-section-4-chapter-2-placement-subsection-1-common-placement-types-219-qualified-residential
"MO :: Section 4, Chapter 2 (Placement), Subsection 1 – Common Placement Types :: 2.1.8 – Residential Providers (Group Setting)",Missouri,Rules,"2023, 2022, 2021","Group and residential care, Placement",,,"There are several types of residential providers, including group settings and treatment settings. The residential agencies licensed by the Children’s Division in accordance with 13 CSR 35-71 include the following facility types: Emergency Shelter: This is a short-term resource for children requiring an immediate, temporary living arrangement in an open facility where their safety and supervision is ensured through an organized program of appropriate activities. Moderate Need (Level II): This is an extended placement resource for children requiring a planned program affording safety, structure, and supervision. This level is indicated for children who by reason of behavioral disorder, maladaptive behaviors, family situation, relationship problems with family, and level of development are unable to accept traditional family ties and/or successfully participate in traditional family settings. Residential treatment facilities, should provide reunification services, work with the family, community based services, schools, etc. as a part of therapeutic services provided. Severe Need (Level III): This is an extended placement resource for children requiring active, coordinated, and professional intervention on a residential basis. This level is indicated for children who cannot be effectively managed in a less restrictive setting. These children have a significant emotional and/or psychiatric need. These children have continued difficulty adjusting to an open public school setting. Residential Treatment agencies should provide reunification services, work with the family, community based services, schools, etc. as a part of therapeutic services provided. Intensive Need (Level IV ) : This is an extended placement resource for children requiring active, coordinated, and professional intervention in a highly structured and secure environment. Such children will have demonstrated an inability to function in any less restrictive setting. This level is indicated for children who have a significant emotional and/or psychiatric need. These children, present a chronic runaway risk, and typically present a history of impulsivity, intensify of behavioral problems, significant family issues, self-destructive behaviors, etc. Residential Treatment agencies should provide reunification services, work with the family, community based services, schools, etc. as a part of the therapeutic services provided. They present a chronic runaway risk. They also typically present a history of showing rage, including physical aggression. Infant/Toddler Care: Residential care services provided to serve children under the age of seven, including those who are medically fragile or drug and alcohol-affected children and severely emotionally disturbed. Related Practice Alerts and Memos: 1-3-20 – PA20-RD-01 – Relative Resource Placement Consideration 1-15-19 – https://dssmanuals.mo.gov/wp-content/uploads/2019/01/cd19-01.pdf 6-11-20 – CD20-23 – Update on Placement Hierarchy and Diligent Searches",https://fostercaresystems.wustl.edu/mo-section-4-chapter-2-placement-subsection-1-common-placement-types-218-residential-providers
"MO :: Section 4, Chapter 2 (Placement), Subsection 1 – Common Placement Types :: 2.1.7 Placement with Foster Parents",Missouri,Rules,"2023, 2022, 2021","Foster parent licensing, Placement",,,Any foster parent who is currently licensed and capable of accepting placement of the child. Preference is given to foster parents that have cared for the child in the past. Related Practice Alerts and Memos: 1-3-20 – PA20-RD-01 – Relative Resource Placement Consideration 1-15-19 – https://dssmanuals.mo.gov/wp-content/uploads/2019/01/cd19-01.pdf 6-11-20 – CD20-23 – Update on Placement Hierarchy and Diligent Searches,https://fostercaresystems.wustl.edu/mo-section-4-chapter-2-placement-subsection-1-common-placement-types-217-placement-foster-parents
"MO :: Section 4, Chapter 2 (Placement), Subsection 1 – Common Placement Types :: 2.1.6 Placement with Former Foster Parents",Missouri,Rules,"2023, 2022, 2021",Placement,,,"Recognizing the critical nature of attachment for children, if a child re-enters the foster care system and is not placed in a relative home, the child’s former resource parents shall be given first consideration for placement of the child per Section 210.566 RSMo. Related Practice Alerts and Memos: 1-3-20 – PA20-RD-01 – Relative Resource Placement Consideration 1-15-19 – https://dssmanuals.mo.gov/wp-content/uploads/2019/01/cd19-01.pdf 6-11-20 – CD20-23 – Update on Placement Hierarchy and Diligent Searches",https://fostercaresystems.wustl.edu/mo-section-4-chapter-2-placement-subsection-1-common-placement-types-216-placement-former-foster
"MO :: Section 4, Chapter 2 (Placement), Subsection 1 – Common Placement Types :: 2.1.5 Placement with Relatives",Missouri,Rules,"2023, 2022, 2021","Definitions, Kinship, Placement",,,"If grandparents are not available or are not able to care for their grandchild, Section 210.565, RSMo states other relatives should be given first preference and first consideration over non-related resource providers, if the court has determined relative placement is not contrary to the best interests of the child. Staff should also document their efforts to locate relatives in their case narrative in FACES. The court of jurisdiction must make specific findings on the record detailing why placement with a relative is not in the best interests of the child. If a child is not placed with a relative, staff must document in FACES why placement with relatives was not in the best interest of the child. As used in this section, the term “relative” means a person related to another by blood or affinity within the third degree or has a close relationship with the child and/or the family.   Relatives within the 3 rd degree have preference for placement over others who are not as closely related. The age of the child’s relative shall not be the sole factor that Children’s Division takes into consideration when it makes placement decisions and recommendations to the court about placing the child with such relative. After identifying a potential relative care provider, the Children’s Division Worker should ask the family to describe the relationship with that individual/family, to include the following: Provider’s relationship to the foster youth and length of involvement with the family Description of the provider’s involvement with the family, i.e., provided care for the foster youth and/or parent, assisted the family through crisis, provided moral support, member of church or community organization, neighbor, etc. Whether the provider ever resided in the home with the parent or foster youth and, if so, how long and when The parent of the foster youth shall not live in the relative foster family home with the foster youth with the exception of those parents of foster youth who are also in the legal custody of the Children’s Division (CYAC), unless ordered by the court. If a court orders that a parent of the foster youth may remain in the resource home, the parent of the foster youth shall be in compliance with 211.038 RSMo background check results. The resource home will not be eligible for maintenance payments if the foster youth’s parent(s) reside in the resource home. If the resource home was not previously licensed, they will not be eligible for licensure if the foster youth’s parent(s) resides in the resource home. Steps for Placing a Child in a Relative Home – see Section 6. Related Practice Alerts and Memos: 1-3-20 – PA20-RD-01 – Relative Resource Placement Consideration 1-15-19 – https://dssmanuals.mo.gov/wp-content/uploads/2019/01/cd19-01.pdf 6-11-20 – CD20-23 – Update on Placement Hierarchy and Diligent Searches",https://fostercaresystems.wustl.edu/mo-section-4-chapter-2-placement-subsection-1-common-placement-types-215-placement-relatives
"MO :: Section 4, Chapter 2 (Placement), Subsection 1 – Common Placement Types :: 2.1.4 Placement with Adult Siblings or Parents of Siblings",Missouri,Rules,"2023, 2022, 2021","Definitions, Placement",,,"According to state law, a child’s placement should be made with an adult sibling (a sibling of the child that is 18 years of age or older) of that child or the parent of a sibling of that child if at all possible.  The definition of sibling is any children that share at least one parent. Related Practice Alerts and Memos: 1-3-20 – PA20-RD-01 – Relative Resource Placement Consideration 1-15-19 – https://dssmanuals.mo.gov/wp-content/uploads/2019/01/cd19-01.pdf 6-11-20 – CD20-23 – Update on Placement Hierarchy and Diligent Searches",https://fostercaresystems.wustl.edu/mo-section-4-chapter-2-placement-subsection-1-common-placement-types-214-placement-adult-siblings
"MO :: Section 4, Chapter 2 (Placement), Subsection 1 – Common Placement Types :: 2.1.3 Placement with Grandparents",Missouri,Rules,"2023, 2022, 2021","Contact and directory information, Definitions, Kinship, Placement, Reunification",,,"Section 210.305, RSMo, requires the Division to give preference and first consideration for foster care placement to grandparents of a child. The Children’s Division must conduct an immediate diligent search to contact, locate, and place with grandparents once the decision has been made to take custody during the first three (3) hours after placement. The statute requires staff to place with grandparents unless the decision to place with grandparents is contrary to the welfare of the child. The statute also requires staff to continue to make diligent efforts, while the child is in care, to contact, locate, and place the child with a grandparent or another relative, with first consideration given to a grandparent for placement. To make emergency placements with relatives or kin, follow the Purpose Code “X” screening process outlined in Section 6 of this manual. The status of a grandparent shall not be affected by the death or the dissolution of the marriage of a son or daughter. If the child is not placed with grandparents, the Children’s Service Worker must document in FACES why the child was not placed with grandparents. If no grandparents can be found, preference for placement must go to other relatives. The law also requires the Children’s Division to identify and notify all adult grandparents and other adult relatives (including adult siblings and parents of siblings) within 30 days when a child is removed from the custody of their parent(s). Some of these relatives may include: adult siblings, grandparents, aunts, uncles, great-grandparents, great aunts, great uncles, half-brother, half-sister, and first cousins. If relatives cannot be identified or found initially, the search for grandparents and other relatives should continue while the child is in care. These efforts should be documented in FACES. If more than one grandparent requests placement, the Family Support Team will make a recommendation to the court regarding placement. These statutes allow staff to contact grandparents and other relatives without a signed release of information form or permission from the parents. However, no protected health information about the parents should be disclosed. Related Practice Alerts and Memos: 1-3-20 – PA20-RD-01 – Relative Resource Placement Consideration 1-15-19 – https://dssmanuals.mo.gov/wp-content/uploads/2019/01/cd19-01.pdf 6-11-20 – CD20-23 – Update on Placement Hierarchy and Diligent Searches",https://fostercaresystems.wustl.edu/mo-section-4-chapter-2-placement-subsection-1-common-placement-types-213-placement-grandparents
"MO :: Section 4, Chapter 2 (Placement), Subsection 1 – Common Placement Types :: 2.1.2 Placement with Siblings",Missouri,Rules,"2023, 2022, 2021","Definitions, Placement",,,"A priority should be made to place siblings together. In addition, a priority should be made to place a minor parent and child together, whenever possible. CD must make reasonable efforts to place siblings in the same placement unless doing so would be contrary to the safety or well-being of any of the siblings. If siblings are not placed together, the state must make reasonable efforts to provide frequent visitation or other ongoing interaction between the siblings, unless this interaction would be contrary to a sibling’s safety or well-being. (Section 210.565, RSMo). The definition of sibling shall be: one of two or more individuals who have one or both parents in common through blood, marriage, or adoption, including siblings as defined by the child’s tribal code or custom. Related Practice Alerts and Memos: 1-3-20 – PA20-RD-01 – Relative Resource Placement Consideration 1-15-19 – https://dssmanuals.mo.gov/wp-content/uploads/2019/01/cd19-01.pdf 6-11-20 – CD20-23 – Update on Placement Hierarchy and Diligent Searches",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-2-placement-subsection-1-common-placement-types-212-placement-siblings
"MO :: Section 4, Chapter 2 (Placement), Subsection 1 – Common Placement Types :: 2.1.1 Placement with a Fit Parent",Missouri,Rules,"2023, 2022, 2021","Investigations, Legal process, Reunification, Safety, Termination of parental rights",,,"Section 211.037, RSMo, states children shall be promptly returned to the care and custody of a non-offending parent entitled to physical custody of the child if: The parents have continuously maintained joint domicile for a period of at least six months prior to the alleged incident or the parents are maintaining separate households Evidence indicates only one of the parents is the subject of an investigation of abuse or neglect The non-offending parent does not have a history of criminal behavior, drug or alcohol abuse, child abuse, or child neglect, domestic violence, stalking, or full orders of protection entered against them within the past five years. The worker shall request that a local or state law enforcement agency or juvenile officer immediately conduct a name-based criminal history record check to include full orders of protection and outstanding warrants by using the Missouri Uniform Law Enforcement System (MULES) and the National Crime Information Center (NCIC) to initially assess whether the non-offending parent holds a criminal history The parents are maintaining joint domicile and the offending parent is removed from the home voluntarily or involuntarily, or the parents live separately and the child is removed from the home of the custodial parent A non-offending parent requests custody of the child and agrees to cooperate with any orders of the court limiting contact or establishing visitation with the offending parent and the non-offending parent complies with such orders. Related Practice Alerts and Memos: 1-3-20 – PA20-RD-01 – Relative Resource Placement Consideration 1-15-19 – https://dssmanuals.mo.gov/wp-content/uploads/2019/01/cd19-01.pdf 6-11-20 – CD20-23 – Update on Placement Hierarchy and Diligent Searches",https://fostercaresystems.wustl.edu/foster/mo-section-4-chapter-2-placement-subsection-1-common-placement-types-211-placement-fit
"MO :: Section 4, Chapter 2 (Placement), Subsection 1 – Common Placement Types :: Intro",Missouri,Rules,"2023, 2022, 2021","Definitions, Placement",,,"Emergency Placements Emergency placements require a determination to be made that serious danger exists for a child if the child remains in the care of his/her parent(s) and that the delivery of treatment services will not provide immediate protection for a child. The report to the court will likely be made after the placement has occurred and should indicate the emergency conditions necessitating out-of-home placement. The report shall include a request that the court, in its dispositional order, make a determination that such conditions exist and that reasonable efforts to prevent placement would not secure, for the present, a safe environment for a child. Placement Options Selection of the most appropriate placement resource is guided by the assessment of the child’s unique needs and personality, and the placement provider’s capacity and skills in meeting those needs that are in the best interest of the child.  All efforts to locate parents, relatives, and other least restrictive placements should be documented in FACES. Placement shall be in the least restrictive that serves the child’s best interest and special needs. The preference for placement is as follows (in order from most to least desirable – see the Placement Hierarchy on e-forms for more detailed information): Related Practice Alerts and Memos: 1-3-20 – PA20-RD-01 – Relative Resource Placement Consideration 1-15-19 – https://dssmanuals.mo.gov/wp-content/uploads/2019/01/cd19-01.pdf 6-11-20 – CD20-23 – Update on Placement Hierarchy and Diligent Searches",https://fostercaresystems.wustl.edu/mo-section-4-chapter-2-placement-subsection-1-common-placement-types-intro-0
"MO :: Section 3, Chapter 3 (Monitoring Plan), Subsection 4 – Crisis Intervention Funds :: 3.4 Crisis Intervention Funds",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Definitions, Safety, Services while in care - Other",,,"Crisis Intervention Funds Crisis intervention funds allow the Division to address the critical financial and resource needs of families served by the Division. Crisis intervention funds are to be accessed when a family crisis is occurring which may result in child maltreatment.  Crisis intervention funds may be provided to: Have an open FCS case or be in the process of an investigation/assessment of a report of child maltreatment, and/or Have a child in out-of-home care and Have explored all other resources prior to the receipt of crisis intervention funds Crisis intervention funds are to be accessed when a family crisis is occurring which may result in child maltreatment.  In such situations the worker should immediately assess the safety in the home, through the use of the Immediate Safety Intervention Plan (CD-263). Crisis intervention funds were provided with the belief that some incidents of child maltreatment are directly related to a crisis event in a family’s life. These funds are to be accessed when there is a direct correlation between a crisis occurring and the potential for child maltreatment.  Crisis intervention funds are one tool staff may use to assist the family through a crisis and, at the same time, provide an opportunity for the family to learn how to handle a similar crisis in the future. Crisis intervention funds are not to be depended upon to remedy all family crises and are to be short-term and time-limited.  These funds are to be accessed only when a family’s resources to alleviate the crisis have been fully explored and crisis intervention funds are the last option. For purposes of the crisis intervention funds, the following definitions apply: “Crisis” is any event occurring within a family that is significant and in which there is a potential for child maltreatment as a result of that crisis “Crisis intervention funds” are those funds provided to purchase specific items family or family members need to alleviate that crisis “Fiscal agent” is a government entity that has contracted with the Division to maintain crisis intervention funds “County designee” is the person selected, in each county receiving crisis intervention funds, who is authorized to approve requests for funds. Role of Fiscal Agent, County Designee, and CD Staff Fiscal agents are responsible for maintaining the crisis intervention fund and working in cooperation with the Division. The fiscal agent will: Write checks upon request Sustain an audit trail and Provide invoices on a monthly basis to the county designee. Each agent will have available funds that can be disbursed immediately (during business hours) upon request. Fiscal agents may receive an administrative fee for the management of the fund. For each site that has access to crisis intervention funds, a county designee must be chosen. County designees will have the following responsibilities in managing these funds: Review all requests for crisis intervention funds from staff; Assure all required documentation is attached to the request; Approve by signature the request for funds; Maintain a log of funds requested, showing date of request, dollar amount, vendor chosen, worker name, case name, and head of household DCN; Maintain receipts from the purchase(s) made; and Review at the end of the month invoices received from the fiscal agent to “balance” the books. Within each office a plan must be established as to whom may perform these duties in the absence of the county designee. The staff who is assigned to the family is to: Determine if there is a direct correlation between the accessing of crisis intervention funds and the child’s safety in the home; Assess Child Safety. If the current crisis in the family presents a risk to the safety of the child (ren) in the home the worker will utilize the Immediate Safety Intervention Plan (CD-263) or the family assessment to determine if the conditions are “safe” or “unsafe” for the vulnerable child. If the conditions are “unsafe” crisis intervention funds may be an option in the development of immediate safety intervention plan; Be familiar with resources within the community of the family; Explore with the family all possible resources the family may have prior to the request for crisis intervention funds; Assist the family to establish a goal that will remedy the crisis they are facing and map the steps necessary to alleviate that crisis and enhance the caregiver’s capacity to be protective; Provide the guidance and information needed by the family to support them to complete their tasks. Tasks are considered to be educational to the family and applicable to future crises the family may face, they are not to be viewed as simply tasks the family must do to eliminate their crisis; Accompany a family when they are making their purchase, if the family needs this assistance; Obtain receipts from all purchases made with crisis intervention funds and submit them to the county designee for record-keeping purposes; and Complete all necessary forms to make the request for funds, documenting family’s resources and needs, maintaining required copies in the case file. Eligibility Any family having an open service case in a site that has crisis intervention funds and who is facing a crisis that may impact their ability to care for a child is eligible for the funds. Families must meet the following criteria: Have an open FCS case or be in the process of an investigation/assessment of a report of child maltreatment, and/or Have a child in out-of-home care and Have explored all other resources prior to the receipt of crisis intervention funds. A family is ineligible for crisis intervention if: If receiving crisis intervention funds over two (2) times within a six (6) month period, all other resources must have been exhausted and supervisory and/or administrative approval is required. If receiving over the maximum of $500 from the crisis intervention funds within the previous six (6) months supervisory and/or administrative approval is required. Eligible Services Home Repair: Minor home repairs may be paid for through crisis intervention funds. Examples are:  broken windows, plumbing problems, electrical problems, repairs of furnaces or water heaters, etc. Purchases within this category must be directly related to the risk of harm to the child if such a purchase is made. When purchasing a home repair, the family should perform as many of the duties involved in making this purchase as possible. Determining the specific repair needed, finding a reputable contractor, obtaining bids, and scheduling the repair are all activities the family can be supported to accomplish and addressed with a CPS-1 or the family assessment. The family should be directed to work within their community to choose a contractor. Specific guidance is to be given to the family regarding verification of reliability of the contractor. References, as well as the Better Business Bureau, may be resources to verify the reputation of a contractor. By directing them to work within their community, they are building a network for future reference. Child Safety Items: Safety items such as those listed below are not considered as crisis intervention tools, normally. However, having these items available or installed can prevent, or lessen the effects of a crisis. For example a fire does not have to occur for the need for smoke alarms to be installed. If a family has a child that requires a car seat, but does not have one, such an item may be purchased without a “crisis” occurring. Some possible safety items may be: Child-proofing electrical outlets; Special locks on doors; Telephone; Other items unique to the family’s need and the crisis they are facing; and Prior to the purchase of any safety item, thorough discussion needs to occur with the family members to determine their level of understanding regarding the need for such items. A family should understand the need for an item prior to a purchase being made. A discussion with the family will assess the strengths of the family, their reasoning ability, and their level of understanding of child safety. While a CPS-1 or family assessment may not reflect a sequence of events (a crisis may not be occurring prior to this request), staff can still, through the use of these tools, address the need for the item. (the child safety plan(s), activities to be undertaken designed to lead to an understanding of a child safety, etc.) An example of a family’s task would be to seek out resources, such as a local fire department or whether their landlord may provide smoke alarms for a household. Health Purchases: A family may have health needs that can be addressed through purchasing health items. Examples of possible uses of crisis intervention funds are: Immunizations Glasses Lice treatment Hearing aids Prescriptions First aid supplies Toothpaste/toothbrush Over-the-counter medications Humidifiers and Other items unique to the family’s need and the crisis they are facing. Staff should be sure the family has an identified plan regarding the use, safety, and storage of any items purchased for health needs. There may be resources available for particular health needs through the family’s community and the family may only need to know how to access them. If the family is unaware of the resources in the community, this is an opportunity for them to learn how to obtain particular items. For example, immunizations may be provided at low or no cost through the county health clinic. The treatment for head lice is sometimes provided free of charge through health departments or schools. Employment/School Supplies: Items needed to maintain employment or school attendance of a family member may be purchased with crisis intervention funds. Examples of such items would be: Uniforms for employment or school; Appropriate clothing for a child; Alarm clocks; School and employment supplies; and Other items unique to the need of the family in the crisis they are facing. In requesting funds to assist a family in maintaining employment or school attendance, it is extremely important for family members to explore with staff the reason(s) for maintaining them. Determination of self-sufficiency should be fully explored with the family and the ramifications of the family by the loss of employment or education should be fully evaluated by the family. Staff are to identify community resources available to meet the family’s needs when assisting the family in maintaining employment or schooling. Providing information on community resources (i.e., literacy programs, Futures, school-based programs) provides the family with information regarding their community and helps develop skills to access those resources. Household Items: Household items may be purchased for a family to improve the condition of their residence, when the home presents a health hazard to a child. Household items may include: Beds/bedding; Storage shelves/storage bins; Extermination; Utilities payments; Food; Major household appliances; and Other items unique to the family’s need and the crisis they are facing. Utility payments are to be paid with crisis intervention funds only when there is a risk of harm to a child due to lack of utilities. Understanding what resources are available within a community provides information to the family for future needs. Helping the family identify their needs and resources allows the family to develop skills and a network base, from which to work. Whenever possible, the family should be allowed to choose the items to be purchased. However, this selection should be with guidance from staff. Families should be encouraged to choose items that will be durable, dependable and economical. Remanufactured items (for appliances) are considered acceptable and such purchases should be encouraged if from a reputable vendor. Rent/Mortgage in Arrears: If a family is at imminent risk of losing a residence due to being in arrears in their rent or mortgage payment, a one-time access of crisis intervention funds may be considered. If a request is made to assist a family with rent/mortgage in arrears, every possible resource the family may have to obtain matching funds must be explored. No more than one (1) month’s payment may be provided for through crisis intervention funds. Community and family assistance must be sought prior to the request. Clear documentation must be provided as to what risk of maltreatment exists to a child if this payment does not occur. A completed assessment of the family reflecting what risk exists to a child must accompany any request for rent/mortgage arrears. If a child is at risk of placement due to a mortgage in arrears, crisis intervention funds may be accessed for up to the cost of one (1) month’s mortgage payment, not to exceed $500 without administrative approval. A specific plan of payment must accompany a request for funds for this reason. Planning would include negotiating with the lien holder to stop foreclosure actions, a payment plan for “catching up” the balance arrears, as well as a family budget. Transportation: Transportation may be provided to a family if a child is at risk of harm due to lack of available transportation. Transportation may be provided for: Employment; School; Medical appointments; Psychiatric/psychological testing; Counseling appointments; and Other appointments that a family may not be able to meet where failure to keep the appointment poses a risk of harm to a child. As transportation is often an ongoing challenge to families, problem solving is extremely important when requesting funds to provide transportation. The family will need to develop a network of resources to access transportation in the future. Understanding their community transportation systems and examining reliable resources through the use of ecomaps will help the family when faced with transportation problems in the future. Transportation may be purchased for a family through: Cab service; Bus passes; Auto repair ;and Gas purchase (including purchase of gas for a friend or relative who transports). When a family is purchasing auto repairs, they may purchase any repair that is required to maintain a vehicle in a safe manner. Routine maintenance of a vehicle would not be considered for crisis intervention funds. When purchasing vehicle repair for a family, the family is to select a vendor. The staff is to assist the family in making this decision by providing them with information regarding how to choose a reputable and dependable repair shop. Location/accessibility to the family, reasonable cost and dependability should be explored by the family when making this selection. Other Purchases: Other purchases not listed here but which are unique to the needs of a family and which may eliminate the risk of harm to a child may be possible through crisis intervention funds with appropriate administrative approval. Accessing Crisis Intervention Funds Assessment of Need: To access crisis intervention funds, the staff assigned to the family must explore with the family all other possible resources for the requested intervention. Areas such as extended family support, community resources, and negotiation or mediation between various parties need to be fully explored with the family prior to a request for crisis intervention funds. Documentation: To request crisis intervention funds, a Children’s Division (CD) Crisis Fund Authorization form (CS-81) must be completed and submitted to the designee. Attached to this form must be other required documentation, depending upon the program in which the family is currently involved.  Crisis intervention funds should be requested to pay for goods or services from a vendor which is selected by the family.  Due to financial concerns and the potential impact these funds may have on a family’s income, crisis intervention funds are to be made payable to a vendor rather than a family member, whenever this is possible. Documentation for the various cases should include: Investigation/Assessment – If the case is in the investigation/assessment phase, the CPS-1 narrative must reflect what resources the family has or does not have to remedy the current crisis they are facing. Specific information regarding what the need is and what resources were explored with the family before consideration was given to accessing crisis intervention funds must be documented. Strong consideration should be given to accessing of crisis intervention funds during this first 30 days of contact with the family. Appropriately assessing the immediate needs and resources of the family may prevent the opening of a case for Family-Centered Services.  Completion of the CPS-1 will be required to access crisis intervention funds, if they are conducting an initial family assessment or an investigation. Family-Centered Services – If the family is receiving Family-Centered Services, documentation of the need for crisis intervention funds is to be part of the assessment and treatment needs. In conjunction with exploring with the family what resources they have to alleviate the crisis they are facing, planning needs to occur as to what they will do if they face a similar crisis in the future. As part of this exploration and planning, the Family Safety Planning Document (CD-267) may be used to address future events.  A crisis is a time for change and education for a family. Family-Centered Out-of-Home Care Services – Like Family-Centered Services, crisis intervention funds must be tied to the completion of the assessment. In addition to other program options, this fund may be accessed for a family that is working on reunification, but has experienced a crisis that may prevent reunification from occurring in an expedient manner. Payment Process: Payments for crisis intervention funds will be made through Family And Children’s Electronic System (FACES) on a Payment Request. Crisis intervention fund payments include reimbursement to the fiscal agent after they have expended funds and an administrative fee is paid to the fiscal agent for maintaining the crisis intervention funds.  All Payment Requests for crisis intervention funds must be sent to the FACES Payment Unit.  The CS-81 or IIS Referral must be attached and documentation must be completed in its entirety. The explanation provided on the documentation must state how the purchase relates to the risk of the child.  The invoice or verification of purchase must be attached. Copies of payment documentation including invoice/receipts must be retained in the case file.",https://fostercaresystems.wustl.edu/foster/mo-section-3-chapter-3-monitoring-plan-subsection-4-crisis-intervention-funds-34-crisis
"MO :: Section 3, Chapter 3 (Monitoring Plan), Subsection 1 – Providing Services – Home Visit Requirements :: 3.1 Providing Services- Home Visit Requirements",Missouri,Rules,"2023, 2022, 2021, 2020, 2019",Services while in care - Other,,,"Minimum Contact Standard for FCS Cases Supervisor discretion will be used to determine the number of Home Visits and Safety Network Contacts are needed for FCS cases. The number should be based on the needs of the family.  This may be one HV per week or just weekly contact with the family through (in person, phone, collateral, etc.).  At a minimum, one face to face home visit per month must be completed on all FCS cases. It is important to meet with all family members to adequately assess risk and safety, being especially important to see all the children.  Consult with a supervisor if any of the children are unavailable at the time of the home visits.  A plan should be made to assure the children are safe. Providing Services Staff may provide services based on the family needs. Examples of direct services that the worker may need to provide are: Teaching the family behavioral techniques for changing undesirable behaviors. An example of this would be introducing the parents to behavior modification methods such as positive reinforcement and “time-out,” rather than physical punishment; Teaching the family appropriate methods to channel frustrations and manage anger; Modeling effective family communication and structuring family activities to enhance communication and family functioning; Engaging the family in the treatment process; Teaching life skills, such as how to improve self-esteem and how to look for employment; Teaching and role modeling household management skills, such as house cleaning, budgeting, and cooking; Providing “hard services” to meet basic needs of the family, such as securing food, shelter, and transportation; Developing resources and making these resources available to the family for their ongoing support. Encouraging and working with parents to be cooperative and engaging of the non-custodial or non-resident parent as appropriate in preserving the best interest and safety of the child/ren;and Referring the family to any available culturally-relevant community resources that help them meet basic needs and stabilize their family, including: Housing referral and assistance; Public benefits and income support, including any assistance needed to obtain food, clothing, and utility services; Child care; Home care and support services, including household management and home health aide services; Medical and dental care; Respite care; Transportation services; and Vocational and educational assistance. Providing Services for Children Receiving In-Home Services Children who are at home with their families should receive individualized services that promote positive development and address any effects of maltreatment. Children should be connected to services that address any identified needs they may have for: Medical and dental care; Mental health care; Substance use treatment; Educational services; Services to increase well-being; and Specialized services and supports for children with special needs. Providing Services through Referrals Staff should utilize all available community resources to help the family. This may require the use of purchased services. See Section 8 Chapter 7 for additional information on contracted services. Intensive In Home Services (IIS) An IIS referral is required in all cases when staff plan to recommend removal of a child(ren).  Intensive In-Home Services (IIS) is 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.  Services provided assist with crisis management and restoration of the family to an acceptable level of functioning. Referrals for IIS originate from many sources. While the majority of referrals come from Children’s Division (CD), others may come from Department of Mental Health, Division of Youth Services, juvenile office, and other community resources such as practitioners, hospitals, and schools.  Self-referrals are also received from families experiencing a crisis.  Staff are responsible for assessing the appropriateness of referrals for IIS if recommendation has been made for out-of-home placement of children.  When it has been determined that IIS is the most appropriate service for a family (in those circumstances) the family is referred for services. All families referred for IIS are received on first-come, first-serve basis. Families are not accepted for IIS services when families do not meet the referral criteria or in instances where specialists have no available openings.  Waiting lists are not maintained for IIS referrals based on the rationale that responding to an immediate crisis cannot be postponed to a later date.  When a family is not accepted into IIS, out-of-home placement may occur. Local Collaboration Plans with Head Start Agencies The Children’s Division is committed to working with local Head Starts in providing services to Protective Services children. The Children’s Division Circuit Manager will develop a local collaboration plan with their local Head Start Director, which includes Head Start and Early Head Start programs.  The Local Collaboration Plan, CD-199, is designed to provide a framework for local Children’s Division and Head Start agencies to improve the coordination of services for the children and families served by both agencies.  The Circuit Manager is to complete the CD-199, with the local Head Start Director no less than every two years, or as needed and as agreed upon by both agencies.  A copy of the completed CD-199 is to be shared with the local Head Start and submitted to the Children’s Division, Early Childhood and Prevention Services Section via email at CD.AskECPS@dss.mo.gov . Referral to Head Start and Early Head Start Programs The Children’s Division case manager is encouraged to refer children and families, who may be eligible, to their local Head Start agency by completing the Head Start/Early Head Start Referral Form (CD-200).  While children in foster care are categorically eligible for HS/EHS programs, a referral does not guarantee placement.   A referral to HS/EHS does not preclude families from choosing a child care provider of their choice. Home Visiting Home Visiting is an in-home service designed to assist with the prevention of child abuse and neglect by offering additional in-home support for at-risk families. The Home Visiting Program is a voluntary program providing assistance to eligible parents whose family income does not exceed 185% of the federal poverty level, and are currently pregnant or have a child under the age of 3 years. The program provides parents various opportunities to gain skills in the areas of child abuse and neglect prevention, early childhood development and education, parenting skill development, and school readiness.  The Home Visiting program also provides parents with hands-on training and educational support groups, developmentally appropriate books and toys for the children, as well as various incentives for the parents to keep them engaged in the program.  As the child(ren) age out of the Home Visiting program, they are referred to a Head Start or another early learning program to maintain continuity of educational services for the family. 70% of the families enrolled in Home Visiting must be referred by Children’s Division. This can include families that come to the attention of CD by means of a newborn crisis assessment, investigation or family assessment, in addition to ongoing FCS cases and AC cases with an active plan for reunification. The Home Visiting providers are required to develop, or participate in, a multi-disciplinarian team in their assigned region as a means of providing wrap-around services for the families served and to create networks of referral sources for our families. Each program is developed to include incentives for the families. Some of these incentives include, but are not limited to, diapers/wipes, formula, educational toys and books, gift cards or “cash” for needed items such as clothes and formula with mechanisms to ensure that only eligible items are purchased, gas cards, and or cribs and car seats. Each HV provider offers different incentives and supports which is why it is so important to build these relationships early and to collaborate with the providers in your area. Some additional supports provided by Home Visitors for CD staff include:  attending FST meetings, attending court hearings,  attending TDM meetings, aiding in safe reunification of children with their families, and continuing in-home supports for families well after CD cases close. The home visiting program follows evidence based models, or one promising approach, that are designed to prevent child abuse and neglect. The models choses are Healthy Families America and Nurturing Parenting Model, the promising approach is Capable Kids and Families. Related Practice Points and Memos: 2-7-20 – CD20-09 – Parent Engagement and Visits with Children Webinar Recordings",https://fostercaresystems.wustl.edu/mo-section-3-chapter-3-monitoring-plan-subsection-1-providing-services-home-visit-requirements-31
"MO :: Section 2, Chapter 5 (Child Abuse and Neglect Reports), Subsection 6 – Out-of-Home Investigations (OHI) :: 5.6.8 Non-Child Abuse/Neglect Reports",Missouri,Rules,"2023, 2022","Administrative process, Investigations, Safety",,,"Preventive Service Referrals and Non-Caretaker incidents that occur in residential facilities will be assigned to the Out of Home Investigations Unit (OHI) when information contained in the referral includes concerns surrounding an incident involving residential staff or whether the facility was providing proper care to a child.  Referrals containing case management or treatment issues will be assigned to the county of the case manager. Non-CA/N Child Fatality “F ” Referrals involving a Legal Status 1 (LS1) child will be alerted to OHI from CANHU. The OHI Unit will staff the information from the referral with OHI Field Supervisors, State Technical Assistance Team (STAT), Regional Director, Field Support Manager, Circuit Manager, Licensing Worker and Supervisor (if applicable), and/or Case Manager and Supervisor from child’s case management county/circuit/region to gather any additional information these individuals may have.  Information gathered from these participants will be used to determine if further investigation is necessary.  The call will remain a Referral unless new information causes the incident to rise to the level of an Investigation.  At that time, a new report will be made to CANHU and assigned to the OHI Unit as an Investigation.  The assigned OHI Investigator will attend the Child Fatality Review Panel and makes entries in FACES for the referral contacts.",https://fostercaresystems.wustl.edu/foster/mo-section-2-chapter-5-child-abuse-and-neglect-reports-subsection-6-out-home-10
"MO :: Section 2, Chapter 5 (Child Abuse and Neglect Reports), Subsection 6 – Out-of-Home Investigations (OHI) :: 5.6.7 Child Care Facilities – Licensing Violations",Missouri,Rules,"2023, 2022","Administrative process, Investigations, Safety",,,"Out-of-home investigations present unique situations for the CA/N investigator.  Issues include whether CA/N is present or if a licensing violation in a child care facility without CA/N has occurred.  “Licensing violation” is defined in the glossary.  The following considerations may be applied, as appropriate, for a variety of out-of-home investigations.  Any findings that indicate only licensing violations should be referred to the appropriate licensing representative. Were the required number of caregivers on duty? Where were the caregivers? How long were the children left alone (if applicable)? Were there any injuries? Are there any prior CA/N reports? Corporal punishment that leaves no injuries may be a licensing violation. Not having the appropriate number of staff on duty is not necessarily lack of supervision for CA/N, although it is a licensing violation. Raising the voice to children is not necessarily emotional maltreatment. A lack of required safety equipment is not necessarily child neglect although it may be a licensing violation.",https://fostercaresystems.wustl.edu/foster/mo-section-2-chapter-5-child-abuse-and-neglect-reports-subsection-6-out-home-9
"MO :: Section 2, Chapter 5 (Child Abuse and Neglect Reports), Subsection 6 – Out-of-Home Investigations (OHI) :: 5.6.6 Death of a Child",Missouri,Rules,"2023, 2022","Administrative process, Investigations, Reporting requirements",,,"An incident involving the death of a child assigned to OHI for investigation will be immediately reported to the Director through Supervisory Channels by the Unit Manager, or designee.  Additionally, the Unit Manager will utilize e-mail for advising key central office administration when notifying the Deputy Director, at the following e-mail address: DSS.CD.CriticalEventReport@dss.mo.gov The Out of Home Investigator will notify the child’s case manager or supervisor immediately of the death of a child in CD custody.",https://fostercaresystems.wustl.edu/foster/mo-section-2-chapter-5-child-abuse-and-neglect-reports-subsection-6-out-home-8
"MO :: Section 2, Chapter 5 (Child Abuse and Neglect Reports), Subsection 6 – Out-of-Home Investigations (OHI) :: 5.6.5 OHI Investigation Procedures",Missouri,Rules,"2023, 2022","Administrative process, Group and residential care, Investigations",,,"Types of Evidence: Statements made by administration; Child’s statement; Perpetrator’s statement; Statement of witnesses; Facility reports, written policies and procedures, logs, medical reports, personnel records, school records or other facility records; Worker’s observation of the facility, physical setting, staff/resident interactions and resident/resident interactions. Investigative Recording Recording shall be completed in a summarized narrative style on the OHI-4.  It should be written in a clear, concise, easily understood manner and include, but not be limited to the following components: A chronological listing of who, when, where each subject and/or collateral was contacted and the content of the interviews; A brief description of all credible verbal and/or physical evidence provided to the worker during the investigation; A statement justifying the investigator’s investigative conclusion, i.e., preponderance of evidence, unsubstantiated-preventive services indicated, or unsubstantiated. Interviewing the Child When neither parent is the alleged abuser, and prior to interviewing the child, the OHI worker must notify one of the parents of a child who is the subject of the CA/N report.  When attempting to locate one of the child’s parents, the OHI worker shall attempt a minimum of three (3) contacts, using all available modes of contact.  If the alleged abuser is “unknown” the OHI worker is to use his/her professional judgment in deciding whether to contact the parent/guardian prior to interviewing the child. In emergency situations, ensuring the safety of the child shall take precedence.  The OHI worker will need to use professional judgment to decide if an extensive search to contact the parents will put the child at risk.  In these situations, the OHI worker should proceed with the interview and contact the parents at his/her earliest opportunity. CD/OHI staff may meet with a child on school property or child care facility property other than in a school or child care facility building where the abuse allegedly occurred. When a parent wishes to be present during the interview pursuant to current policy, the OHI worker shall make arrangements with the parents to interview the child in their presence, in a desired location, such as their home. Specific Procedures Pertaining to Type of OHI Provider The following procedures will apply to Investigations conducted on various out of home care providers by the Out-of-Home Investigation Unit (OHI): While OHI will conduct the investigation, the OHI worker may request local county assistance in emergency situations or in those instances, when the child needs to be viewed immediately (but there is no emergency) and the OHI investigator cannot see the child within a reasonable time.  Local staff are expected to support OHI investigators by providing courtesy child victim interviews, pursuant to current policy, when mandated victim contact time frames are an issue. Residential Facility/Child Placing Agency When child abuse/neglect is alleged to have occurred in a licensed child caring/child placing agency, OHI worker shall: Contact appropriate law enforcement agency in order to begin co-investigation. If law enforcement official is available, arrange pre-interview conference to discuss complaint and plans for investigation. If law enforcement official is not available or unable to conduct co-investigation, document and proceed with the investigation as required. Law enforcement official may join the investigation at any time during the process. Contact Residential Program Unit in Central Office and notify of report. If licensing worker is available, arrange pre-interview conference to discuss complaint and plans for investigation. If licensing worker is unable to assist in initial investigation, document and proceed with investigation as required.  The licensing worker will notify CSW, as soon as possible, in order to join the investigation process. Notify appropriate licensing agent if facility is licensed by another state agency. Notify administrator of the child caring/child placing agency of the report and that an investigation is being conducted. Notify CD office in county of jurisdiction, if the child is in CD care and custody, at time of the report and of results of investigation. Request CD office in county of jurisdiction of the child to notify their Juvenile Court of report-if child is under Juvenile Court jurisdiction, that an investigation is being conducted and of results of the investigation. Notify parents (of subject child) of the report and that an investigation is being conducted. Notify Juvenile Officer in county of investigation, of impending investigation and of results of investigation. Complete investigation jointly with all co-investigators to gather relevant data. Interview victim. Interview witness(es) named by victim. In group situations, where not all children are listed as victims, and at the discretion of the OHI investigator/supervisor, request a representative sample, i.e., 10%, to avoid interviewing a large number of children.  Using judgment, the CA/N investigator may request that the child caring/children placing agency administrator select the children to be interviewed.  However, the CA/N investigator may elect to select the children if the administrator is an alleged perpetrator or otherwise compromises the investigation. Arrange for post-investigation conference to review the findings.  Involve Residential Licensing worker in post-investigation conference even if not involved in actual investigation.  Conference may be conducted via telephone if all parties cannot meet in person.  If Children’s Service Worker and Residential Licensing Worker disagree on basic facts after post-investigation conference, contact respective first line supervisors for input. Notify parents (of subject child) and alleged perpetrator of results of the investigation per the CS-21. Where there has been a co-investigation, the Children’s Service Worker will receive a copy of the residential licensing representative’s written report. School Employee When the alleged perpetrator is a public school teacher or other school employee, the OHI worker shall: Contact appropriate law enforcement agency in order to begin co-investigation. If law enforcement official is available, arrange pre-interview conference to discuss complaint and plans for investigation. If law enforcement official is not available or is unable to conduct co-investigation, proceed with investigation as required. Law enforcement official may join investigation at any time during process. Notify CD office in county of jurisdiction if child is in CD care and custody at time of report and of results of investigation. Request CD office in county of jurisdiction to notify their Juvenile Office if child is in custody of Juvenile Court of report, that an investigation is being conducted and results of investigation. Notify parents (of subject child) of the report and that an investigation is being conducted. Complete investigation jointly with all co-investigators to gather relevant data. Arrange post-investigation conference to review findings. Interview victim – The interview may not take place in a school building where the abuse allegedly occurred. Interview witness(es) named by victim. In group situations where not all children are listed as victims, and at the discretion of the OHI investigator/supervisor, request a representative sample, i.e., 10%, to avoid interviewing a large number of children.  Using judgment, the CA/N investigator may request that the school administrator select the children to be interviewed.  However, the CA/N investigator may elect to select the children if the administrator is an alleged perpetrator or otherwise compromises the investigation. Consider the superintendent a member of the multidisciplinary team and, as such, the superintendent may be involved in the investigation. Notify parents (of subject child) and alleged perpetrator of results of investigation per the CS-21. State Schools for the Severely Disabled, Deaf, and Blind When a report involves an incident occurring at a State School for the Severely Handicapped, Deaf, or Blind, the respective state superintendent is involved. Superintendent – State School for the Severely Disabled, Department of Elementary and Secondary Education (DESE), P.O. Box 480, Jefferson City, Missouri 65102 (573-751-4427). Superintendent – State School for the Blind, 3815 Magnolia, St. Louis, Missouri 63110 (314-776-4320). Superintendent – State School for the Deaf, 505 East Fifth Street, Fulton, Missouri 65251 (573-592-4000) The Relay Missouri is 1-800-735-2966 (Telecommunication for the Deaf). Licensed/Unlicensed Placement Provider When the alleged perpetrator is a Division licensed or unlicensed placement provider who is currently providing care to children in the care and custody of CD who are Legal Status 1, the Out-of-Home Investigation Unit investigator shall accept the report for investigation.  OHI will investigate reports of abuse/neglect by placement providers of children who were Legal Status 1 at the time the abuse/neglect occurred, even if the alleged victim is not in the home of the alleged perpetrator at the time of the report. Situations involving alleged abuse or neglect by placement providers of their own children where no other Legal Status 1 children are in the household will be handled by the local county office.  The local county CD office will review the report and determine if it is possible for that county to complete the investigation/ family assessment or if there is a need to request the juvenile court or a neighboring county to complete. The Child Abuse/Neglect Hotline Unit will notify the OHI Unit or the appropriate circuit manager of the placement provider report by an automatic alert.  The CD staff person assigned to conduct the investigation/family assessment will maintain contact with the local circuit manager/designee throughout the investigation and will notify the CD office in the county having wardship of the alleged victim(s), if different. Notify Child Care Licensing at time of report and of results of investigation if the placement provider has applied or is also licensed as a child care facility. Notify the Juvenile Court having custody of subject child of report, that an investigation is being conducted, and of results of investigation. Notify the resource development worker for the resource family. Maintain contact with Juvenile Officer throughout investigation. Cooperate with and provide access to any information requested by Juvenile Office that pertains to investigation. Notify parents (of subject child) and the alleged perpetrator of the results of investigation per the CS-21. A copy of the entire investigation shall be provided to the local office. A copy of the OHI-4 will also be sent to the Area Office for the licensing county and, if different, the Area Office of the victim.  Supporting documentation will be made available on request. Child Care Facility Child Care Licensing Representatives shall not participate in the investigation of exempt child care facilities.  When child abuse or neglect is alleged to have occurred in a child care setting that has applied for a license, is licensed or registered in which it is confirmed that more than four (4) unrelated children are in care: Contact local child care licensing representative or Regional Child Care Supervisor and notify of report.  Request licensing representative to co-investigate.  This includes notification when the report is on the Child Care Provider’s own child(ren).  Notify the licensing representative immediately if at any time during the investigation there is concern about the safety of the children in the family. If licensing representative is available, arrange pre-interview conference to discuss complaint and plans for investigation. If licensing representative is unable to assist in the initial investigation, document and proceed with the investigation as required.  The representative will notify the Children’s Service Worker as soon as possible, in order to join the investigation process. Contact appropriate law enforcement agency in order to begin co-investigation. If law enforcement official is available, arrange pre-interview conference to discuss complaint and plans for investigation. If law enforcement official is not available or unable to conduct co-investigation, proceed with investigation as required.  Law enforcement official may join investigation at any time during process. Notify CD office in the county of jurisdiction, if child is in CD care and custody, at the time of report and of results of investigation. Request CD office in county of jurisdiction to notify the Juvenile Court, if court has custody of subject child, of report, that an investigation is being conducted and of results of investigation. Notify parents (of subject child) of the report and that an investigation is being conducted.  If parents indicate a desire to be present during child’s interview, request parent to be present for pre-interview conference.  If parent will be present for the initial interview with the subject child it is recommended the interview be held in the child’s home or a neutral non-threatening environment.  Do not unduly delay the investigation based simply on the wish of the parent to be present. Notify Child Care Provider/ Applicant of the report and that an investigation is being conducted. Complete investigation jointly with all co-investigators to gather relevant data. Interview victim, the interview may not take place in a child care facility building where the abuse allegedly occurred. Interview witness(es) named by victim. In group situations where not all children are listed as victims, and at the discretion of the OHI investigator/supervisor, request a representative sample, i.e., 10%, to avoid interviewing a large number of children. In regard to a child care center, using judgment, the CA/N investigator may request that the child care center administrator select the children to be interviewed.  However, the CA/N investigator may select the children if the administrator is an alleged perpetrator or otherwise compromises the investigation. Arrange for a post-investigation conference to review findings.  Involve Child Care Licensing Representative in post-investigation conference even if not involved in actual investigation.  Under special circumstances, hold conference via telephone.  If Children’s Service Worker and Child Care Licensing Worker disagree on findings and basic facts, contact respective first line supervisors for input. Notify local child care licensing representative or Regional Child Care Supervisor in writing, of results, within thirty (30) days.  A minimum report must include the following information: Nature of original CA/N report including form CA/N-1 and OHI-4; Number of children being cared for by provider; Names of children who are subjects of report; A copy of the investigation including determination of the validity of report; Possible child care rule violations or other concerns found which may not be child abuse/neglect. Violation of a Child Care Licensing rule does not necessarily constitute CA/N.  Final determination must be based on the legal definition of abuse and neglect found in 210.110 RSMo. Receive a copy of the child care licensing representative’s written report where there has been a joint investigation. Notify law enforcement official of results of the investigation if he/she has been involved. Notify parents (of subject child) and the alleged perpetrator of results of the investigation per the CS-21. In the event that the CA/N finding is reversed or updated based on an administrative or judicial review, inform the licensing worker in writing. Complete CA/N-1, CA/N-4, and CS-21.  Send a copy to the case manager, when report was for child not in original county. Send the CS-21 when the alleged perpetrator is a CD employee/family member. When the child is in facilities licensed or contracted with DYS, DMH, or the Juvenile Court and is not in the custody of DYS, DMH, or the Juvenile Court, send a summary of the report to the Director of DYS or DMH or the Juvenile Officer.  The summary shall include the status, general findings, and the name of the alleged perpetrator. Complete record of special investigation including recording of the steps outlined in this procedure within ten (10) days.",https://fostercaresystems.wustl.edu/foster/mo-section-2-chapter-5-child-abuse-and-neglect-reports-subsection-6-out-home-7
"MO :: Section 2, Chapter 5 (Child Abuse and Neglect Reports), Subsection 6 – Out-of-Home Investigations (OHI) :: 5.6.4.5 Physical Structure",Missouri,Rules,"2023, 2022","Investigations, Safety",,,"The design and layout of the facility can increase the likelihood of abuse/neglect of a child by staff or other residents and the worker should try to determine the location where the alleged abuse/neglect occurred.  By observing the physical structure of the facility, the worker should be able to develop an understanding of how the abuse/neglect may have occurred. The sleeping quarters of the residents can be some distance from the staff’s room making it difficult to hear a disturbance or a child crying out for help.  Good practice requires staff to make tours of all resident rooms during the night. Design and layout not only includes an awareness of physical location of rooms, but also includes accessibility to either staff or phones when an emergency exists.  When observing the location where the incident was to have occurred, the worker should look at where telephones are located and should determine how far away was another staff person, who could have been able to assist other staff or children. The worker should also look at what objects are in the room where the incident took place (i.e., dangerous or sharp objects, or furniture in the room that blocks staff or child’s view of what is going on in the room).",https://fostercaresystems.wustl.edu/foster/mo-section-2-chapter-5-child-abuse-and-neglect-reports-subsection-6-out-home-6
"MO :: Section 2, Chapter 5 (Child Abuse and Neglect Reports), Subsection 6 – Out-of-Home Investigations (OHI) :: 5.6.4.4 Written Policies and Practices of the Institution",Missouri,Rules,"2023, 2022","Administrative process, Investigations",,,"These play a significant role in determining the investigative conclusion of a child abuse/neglect report and should be reviewed by the worker.  The administrator’s failure to develop and/or follow written policy and procedures may result in a finding that the administrator is responsible for the incident and should be named as the perpetrator.  If appropriate written policy and procedure had been developed and followed by the administration, but the staff member failed to follow it, only the staff member may be named as the perpetrator.",https://fostercaresystems.wustl.edu/foster/mo-section-2-chapter-5-child-abuse-and-neglect-reports-subsection-6-out-home-5
"MO :: Section 2, Chapter 5 (Child Abuse and Neglect Reports), Subsection 6 – Out-of-Home Investigations (OHI) :: 5.6.4.3 Common Situations Which May Lead to Out-of-Home Care Neglect",Missouri,Rules,"2023, 2022",Safety,,,"The following are some common day-to-day situations in an institution which, when handled inappropriately, may lead to neglect: The facility’s staffing patterns and coverage require persons to work long shifts; The facility does not make provisions for supervision of child care staff on a unit and as a result, staff sleep, are under the influence of drugs/alcohol, or are engaged in other activities outside their work assignments while on the job; When facility lacks clear guidelines on the safekeeping of medication or the dispensing of medication and as a result, there is misuse of medication by children; When staff do not supervise children, ignore or fail to remedy a problem; When staff are not trained on how to handle a medical emergency.",https://fostercaresystems.wustl.edu/foster/mo-section-2-chapter-5-child-abuse-and-neglect-reports-subsection-6-out-home-4
"MO :: Section 2, Chapter 5 (Child Abuse and Neglect Reports), Subsection 6 – Out-of-Home Investigations (OHI) :: 5.6.4.2 Common Situations Which May Lead to Out-of-Home Care Sexual Abuse",Missouri,Rules,"2023, 2022",Safety,,,"The following are some common day-to-day situations which, when handled inappropriately, may lead to sexual abuse of a child by staff: There are no policies or procedures provided by the facility regarding a staff member removing a child from his/her living unit; When a facility does not provide adequate supervision to children during sleeping hours.",https://fostercaresystems.wustl.edu/foster/mo-section-2-chapter-5-child-abuse-and-neglect-reports-subsection-6-out-home-3
"MO :: Section 2, Chapter 5 (Child Abuse and Neglect Reports), Subsection 6 – Out-of-Home Investigations (OHI) :: 5.6.4.1 Common Situations Which May Lead to Out-of-Home Care Abuse",Missouri,Rules,"2023, 2022","Expectations for care, Safety",,,"The following are some common day-to-day situations which, when handled inappropriately, may lead to abuse: Staff are not given training on how to control a child who is verbally or physically aggressive; Staff are not provided with training and instruction on how to break up fights between children; Staff are not provided with training on how to redirect a child who refuses to follow instructions; The facility fails to provide the type of program that is needed for the population they serve; A facility provides no means for staff, who have a heated interchange with a child, to remove themselves from the situation in order to regain self-control.",https://fostercaresystems.wustl.edu/foster/mo-section-2-chapter-5-child-abuse-and-neglect-reports-subsection-6-out-home-2
"MO :: Section 2, Chapter 5 (Child Abuse and Neglect Reports), Subsection 6 – Out-of-Home Investigations (OHI) :: 5.6.4 Factors That Lead to Child Abuse and Neglect in Out-of-Home Care Settings",Missouri,Rules,"2023, 2022","Expectations for care, Investigations",,,"A facility’s management, staff, policies or practices can play a significant role in contributing to the abuse/neglect of children.  Some key issues in deciding a facility’s involvement and culpability in an incident of abuse/neglect include: whether the facility has made provisions for staff training; has the facility provided staff, and when appropriate, children and their families, with the facility’s written policies, procedures and practices.  The worker should review all written policies, procedures and practices which are applicable to the incident being investigated and which relate to the following: Description of the facility’s treatment program and population served; Current service plan for the child, the involvement of each person responsible for service delivery, including child care staff, and the mechanisms for evaluating and updating service plans; Rights of children and their families; A grievance reporting system when children and their families feel their rights have been violated; Expectations of children and their families; Discipline of children; Problem management, physical restraint, time out and isolation; Staffing patterns/coverage requirements which include action plans for staff absences, emergencies, planned or respite breaks from children and integration and assignment of new employees, especially child care staff; Staff job descriptions, staff behavioral guidelines/expectations, staff evaluations, possible corrective or disciplinary actions for staff and staff grievance procedures; Staff orientation and their ongoing training plan; Supervision of all levels of staff, including chain of command for the institution according to the table of organization; Required written/oral reports and their time frames; Medical care, routine and emergency, for children; Safekeeping, transporting and dispensing medications; Use of psychotropic medications; Reporting and maintenance system for hazardous conditions on grounds, in buildings or with equipment, including vehicles.",https://fostercaresystems.wustl.edu/foster/mo-section-2-chapter-5-child-abuse-and-neglect-reports-subsection-6-out-home-1
"MO :: Section 2, Chapter 5 (Child Abuse and Neglect Reports), Subsection 6 – Out-of-Home Investigations (OHI) :: 5.6.3 Child Abuse and Neglect in Out-of-Home Care Facilities",Missouri,Rules,"2023, 2022",Investigations,,,Staff should apply the legal definitions of child abuse and neglect when investigating reported concerns in out-of-home care settings.  They may be found in Section 2.5.1 Legal Definitions of Abuse and Neglect .,https://fostercaresystems.wustl.edu/mo-section-2-chapter-5-child-abuse-and-neglect-reports-subsection-6-out-home-investigations-ohi-563
"MO :: Section 2, Chapter 5 (Child Abuse and Neglect Reports), Subsection 6 – Out-of-Home Investigations (OHI) :: 5.6.2 Characteristics of the Abusive Out-of-Home Care Provider",Missouri,Rules,"2023, 2022",Investigations,,,"No caretaker will exhibit all of the characteristics listed below, and some of the characteristics are contradictory.  Someone with these characteristics may or may not be abusive.  Characteristics should be used only as a general guide. Is unable to work under pressure; Lacks information, supervision or training on disciplinary techniques or how to deal with a demanding population; Has unrealistic expectations of themselves or children in their care; Feels unreasonable pressure to succeed as a “good worker”; Sees self as a “rescuer” to the child; Is unable to handle own anger; Is unable to cope with “situational factors” i.e., low pay, working conditions, policies, etc.; Does not follow agency policies and procedures governing the care and supervision of children.",https://fostercaresystems.wustl.edu/foster/mo-section-2-chapter-5-child-abuse-and-neglect-reports-subsection-6-out-home-0
"MO :: Section 2, Chapter 5 (Child Abuse and Neglect Reports), Subsection 6 – Out-of-Home Investigations (OHI) :: 5.6.1 Types of Out-of-Home Care Providers",Missouri,Rules,"2023, 2022","Administrative process, Investigations",,,"Child Care Home/Center; Nursery School; Residential Treatment Center; Group Home; Licensed/Unlicensed Foster Parents, and Relatives; Division of Youth Services (DYS) Facility; Juvenile Court Facility; Department of Mental Health (DMH) Facility; Public, Private and Parochial School; Health Care Facility For the purposes of this section all licensed facilities, contractual facilities, license exempt, and approved homes are considered out-of-home. OHI shall ensure that when an employee of an out-of-home care setting as listed above, is named as an alleged perpetrator, the out-of-home care setting shall be listed as a parent. This will assist county staff in locating substantiated reports in the CA/N system for inquiries involving facilities. Out-of-home investigations differ from investigations conducted in a family setting.  The worker must be knowledgeable of characteristics, indicators and policies and practices which may contribute to abuse/neglect in an out-of-home setting. When conducting an investigation of child abuse/neglect in an out-of-home care setting, it is imperative that the worker carefully review the physical setting and the appropriate written policies and practices of the facility.",https://fostercaresystems.wustl.edu/foster/mo-section-2-chapter-5-child-abuse-and-neglect-reports-subsection-6-out-home-investigations
"MO :: Section 2, Chapter 3 (County Protocol: Review and Assignment of Reports), Subsection 7 – Conflict of Interest :: 3.7 Conflict of Interest",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Investigations",,,"The following categories of persons, when reported as either the alleged perpetrator or victim of child abuse and neglect, may present a conflict of interest: An employee of the Children’s Division or other Department of Social Services employees located in a Children’s Division office; The immediate family or household member of that employee; or Children placed in foster care and in the custody of the Children’s Division when the alleged perpetrator is a licensed foster parent.  These calls will be investigated by the Out-of-Home Investigation Unit. In addition to the above, contracted case management may also present a conflict of interest.  Also, there may be times in which the county office believes there is a conflict of interest due to an individual’s professional role within the community.  In these situations, the circuit manager should attempt to assign the report to another county within the circuit.  If this will not resolve the conflict of interest, the circuit manager should contact the Regional Office to determine the most appropriate circuit to complete the CA/N Report.",https://fostercaresystems.wustl.edu/foster/mo-section-2-chapter-3-county-protocol-review-and-assignment-reports-subsection-7-conflict
"MO :: Section 2, Chapter 2 (Child Abuse and Neglect Hotline Unit), Subsection 4 – On-Call Procedures :: 2.4.3 Administrative Referrals",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Investigations",,,"There are times when CANHU is contacted after hours with situations that do not meet criteria for a CA/N report or a Non-CA/N referral but do require a response from the county office prior to the next business day. These administrative referrals will be called out to the on-call worker. Examples of administrative referrals include, but are not limited to: Residential facility personnel requesting permission to change medication for a child who is in the custody of the Children’s Division; Hospital personnel requesting permission to admit a child who is in the custody of the Children’s Division; Law enforcement official requesting to speak to the on-call worker regarding a report they are co-investigating; Child Protective Services from other states requesting a “courtesy” contact in Missouri; Foster parent requesting an immediate consultation regarding a child placed in their care; Police dispatcher requesting a Children’s Division worker to assist law enforcement, and dispatcher has no names, address, or allegation of CA/N.",https://fostercaresystems.wustl.edu/foster/mo-section-2-chapter-2-child-abuse-and-neglect-hotline-unit-subsection-4-call-procedures-243
"MO :: Section 2, Chapter 2 (Child Abuse and Neglect Hotline Unit), Subsection 2 - Response Priority :: 2.2.1.1 Criteria for Level One Response Priority",Missouri,Rules,"2023, 2022, 2021, 2020, 2019","Administrative process, Reporting requirements, Safety",,,"The following list includes examples of information received by the Child Abuse/Neglect Hotline Unit (CANHU) which would result in a CA/N report being assigned a Level One Response Priority: All reports of physical abuse occurring at the time of the report. All reports of serious physical abuse with household children remaining in the home and in danger of immediate harm. Reports alleging sexual abuse in a licensed foster home with any child remaining in the household, including children not in Division custody. All reports of severe physical injury where abuse or neglect is suspected to have occurred; immediate medical and/or social service attention is indicated and where the child is unprotected. All reports of sexual abuse where the alleged perpetrator continues to have unsupervised access to the child, there is a reported physical injury as a result of sexual abuse, the child is, at the time of the report, experiencing severe emotional trauma. Reports involving children who are, at the time of the report suffering from serious, untreated medical conditions which require immediate attention.  This shall include all situations involving suspected or known instances of withholding of medically indicated treatment from infants with disabilities who have life-threatening conditions.  (These situations are referred to as “Baby Doe” cases). Reports alleging that parents/caretakers of children are, at the time of the report, or within the preceding 24 hours, behaving in a bizarre manner or acting under the influence of drugs or alcohol and that they could pose an immediate danger to the children. Reports that children have ingested or been given drugs or alcohol, at the time of the report or within the preceding 24 hours, and because of their age and other concerns may be at immediate risk. Reports alleging children are presently being threatened with a dangerous weapon by a parent/caretaker. Reports alleging bizarre punishment are, at the time of the report, being administered to a child (i.e., locking a child in closet, tying child to a bed) Reports alleging that children are suicidal and appear to be, at the time of the report, contemplating suicide because of abuse or neglect . Reports alleging children have, at the time of the report, been left unsupervised, their parents whereabouts are unknown and because of their age or other concerns may be in physical danger. Reports from hospitals stating that a child, who is presently in their facility, is being released, may be in physical danger, and the hospital is unwilling to take protective custody. All reports involving exposure where, at the time of the report, a child is experiencing exposure to extreme weather conditions (i.e., heat, cold). Report of death of a child where abuse or neglect is suspected and siblings remain in the home. Reports alleging that there is an active methamphetamine laboratory in a home that includes a child. Self-Referrals from parents who state they feel they will hurt or kill their child; request immediate removal of the child; or state they will immediately abandon their child.  If a parent is requesting immediate placement of the child solely because the child is in need of mental health services that the parent cannot access or afford, a Preventive Service referral is to be taken according to Voluntary Placement Agreement policy (VPA).",https://fostercaresystems.wustl.edu/mo-section-2-chapter-2-child-abuse-and-neglect-hotline-unit-subsection-2-response-priority-2211