11 12_32 12 PL 32

User Manual: 12 PL 32

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December 14, 2011

COUNTY FISCAL LETTER (CFL) NO. 11/12-32

TO: COUNTY FISCAL OFFICERS

COUNTY WELFARE DIRECTORS

CHIEF PROBATION OFFICERS

COUNTY AUDITOR CONTROLLERS

SUBJECT: COUNTY ASSISTANCE (CA 800) CLAIM AND COUNTY EXPENSE

CLAIM (CEC) PRELIMINARY CLAIMING AND TIME STUDY

INSTRUCTIONS FOR THE IMPLEMENTATION OF THE EXTENSION

OF FOSTER CARE (FC) BEYOND AGE 18

REFERENCE: ASSEMBLY BILL (AB) 12 (CHAPTER 559, STATUTES OF 2010);

WELFARE AND INSTITUTIONS CODE (W&IC) SECTION 11403(G);

ALL COUNTY LETTER (ACL) NO. 11-78, DATED

NOVEMBER 30, 2011; ACL NO. 11-77, DATED NOVEMBER 18, 2011;

ACL NO. 11-61, DATED NOVEMBER 4, 2011; ACL NO. 11-69, DATED

OCTOBER 13, 2011; CFL NO. 11/12-18, DATED

SEPTEMBER 16, 2011; ALL COUNTY INFORMATION NOTICE (ACIN)

NO. I-40-11, DATED JULY 1, 2011; CFL NO. 10/11-64, DATED

MAY 2, 2011

This CFL provides preliminary claiming instructions for the CEC and CA 800 related to

AB 12 Extended Foster Care (EFC) program. These instructions will assist counties in

tracking expenditures and activities that are eligible for reimbursement under AB 12

upon final federal approval of the Title IV-E State Plan Amendment. A subsequent CFL

will be issued with instructions for reimbursement of the federal match, once federal

approval is received.

AB 12 allows California to implement provisions of Public Law (PL) 110-351, the

Fostering Connections to Success and Increasing Adoptions Act of 2008. This law

provides states the option to fund the federal Kinship Guardianship Assistance Payment

(Kin-GAP) program through the Title IV-E option of the Social Security Act for relatives

who assume legal guardianship of foster youth. AB 12 also allows the extension of FC,

federal Kin-GAP, Kin-GAP, and Adoptions Assistance Program (AAP) benefits to

eligible youth up to age 21 on a staggered schedule. The extension of benefits up to

age 19 will implement on January 1, 2012. On January 1, 2013, the extension of

benefits will increase to age 20. On January 1, 2014, if the California Department of

CFL-11/12-32

Page 2

Social Services (CDSS) determines that there are sufficient funds available, benefits

may be extended up to age 21.

Pursuant to AB 12, W&IC Section 11403(g)(3) provides that a county’s total contribution

for EFC shall not exceed the county savings in Kin-GAP assistance grant expenditures

realized by the county from the receipt of federal funds due to the implementation of the

federal Kin-GAP program. This code section also requires CDSS to work with the

County Welfare Directors Association to determine a methodology for calculating each

county’s costs and savings.

Below is a list of attachments included with this CFL to be utilized for claiming EFC

expenditures:

Attachment I:

Extended Foster Care Aid Codes and CA 800 Claiming

Instructions

Attachment I-A:

Cross Reference List of Under 18 Aid Codes and New

Extended Foster Care Over 18 Aid Codes

Attachment II:

Extended Foster Care County Expense Claim (CEC)

Program, Time Study, and Direct-to-Program Codes

and Claiming Instructions

Attachment II-A:

Extended Foster Care Program Code/Time Study Code

Descriptions

Attachment II-B:

Cross Reference Listing of Program Codes (PC)

for the Under Age 18 Population and the Non-Minor

Dependents Over Age 18 Population

AB 118 (Chapter 40, Statutes of 2011) and ABX1 16 (Chapter 13, First Extraordinary

Session, Statutes of 2011) realigned the state funding for AB 12. As stated in CFL

No. 11/12-18, dated September 16, 2011, the claiming process for assistance and

administrative costs of AB 118 programs will remain the same as in Fiscal Year (FY)

2010-11, with some minor changes. Please refer to CFL No. 11/12-18 for more

information regarding realignment.

If you have any questions regarding claiming instructions for the CA 800, please direct

them to assistance.claims@dss.ca.gov. If you have any questions regarding claiming

instructions for the CEC, please direct them to the Fiscal Systems Bureau at

CFL-11/12-32

Page 3

fiscal.systems@dss.ca.gov. Please indicate in the subject line of the e-mail that the

questions are related to this CFL. If you have any questions regarding Realignment,

please direct them to CDSSAB118@dss.ca.gov.

Sincerely,

Original Document Signed By:

FRAN MUELLER

Deputy Director

Administration Division

Attachments

Attachment I

EXTENDED FOSTER CARE AID CODES

AND CA 800 CLAIMING INSTRUCTIONS

For the CA 800, counties will be required to claim the costs expended for each of the

realigned programs to the appropriate aid codes which allows the California Department

of Social Services (CDSS) to monitor the expenditures for reporting purposes and to

continue calculating the Realignment 1991 Growth calculation. The state share for the

impacted aid codes has been re-titled to “County 2011” effective with the

September 2011 claim. Please refer to County Fiscal Letter (CFL) No. 11/12-18 for

additional information.

The following aid codes have been established, effective January 1, 2012, to capture

the Non-Minor Dependent (NMD) population participating in Assembly Bill (AB) 12

Extended Foster Care (EFC). The following aid codes will be effective January 1, 2012.

However, due to system complications, the new aid codes identified for tracking this

population within the Medi-Cal Eligibility Data System (MEDS) are not anticipated to be

operable until February 2012. Until aid codes are created in the MEDS system and

available for use, counties must manually track cases utilizing these aid codes.

Note: The aid codes below are impacted by AB 118 and the state share will be

adjusted as described in CFL No. 11/12-18.

A. Aid Code 43 - EFC Aid to Families with Dependent Children-Foster Care

(AFDC-FC) Non-federal

• Captures non-federal, NMDs in FC, age 18 but under age 21, under AB 12

on whose behalf financial assistance is provided for by state only FC.

• Sharing ratio is 00/40/00/60 (Federal/State/Health/County).

• Implementation date for this new aid code is January 1, 2012.

B. Aid Code 49 - EFC AFDC-FC Federal

• Captures NMDs, age 18 but under age 21, under AB 12 on whose behalf

financial assistance is provided for federal FC placement.

• Sharing ratio is 50/20/00/30 (Federal/State/Health/County).

• Implementation date for this new aid code is January 1, 2012.

C. Aid Code 07 - EFC Adoptions Assistance Program (AAP) Federal

• Captures ongoing adoptive placement of hard-to-place non-minors, whose

initial AAP payment occurred on or after age 16 and are over the age 18 but

under age 21, and participating in one of five conditions who would require

permanent placement without such assistance.

• Sharing ratio is 50/37.5/00/12.5 (Federal/State/Health/County).

• Implementation date for this new aid code is January 1, 2012.

Attachment I

D. Aid Code 4S - EFC Kinship Guardianship Assistance Payment (Kin-GAP)

Federal

• Captures Kin-GAP Title IV-E eligible cases. Serves former and current

foster youth over age 18 but under age 21, by moving them from FC

placements into more permanent placement options through the

establishment of a relative guardianship that occurred on or after age 16

and the youth is participating in one of five conditions.

• Sharing ratio is 50/39.5/00/10.5 (Federal/State/Health/County).

• Implementation date for this new aid code is January 1, 2012.

Note: The aid codes below are not affected by AB 118 and the state share remains as

described below.

E. Aid Code 4W - EFC Kin-GAP Non-federal

• Captures Kin-GAP cases that are not Title IV-E eligible. Covers non-minors

age 18 but under age 21, eligible for extended Kin-GAP assistance based

on a disability or based on the establishment of the guardianship that

occurred on or after age 16 and youth is participating in one of the five

conditions. Non-minors are subject to a full Medi-Cal eligibility review.

• Sharing ratio is 00/79/00/21 (Federal/State/Health/County).

• Implementation date for this new aid code is January 1, 2012.

F. Aid Code 4N - State California Work Opportunity and Responsibility to Kids

(CalWORKs) NMD

• Captures NMDs eligible to receive extended CalWORKs benefits. A NMD is

defined as a current dependent child or ward of the juvenile court who is 18,

but less than 21 years of age; is in FC under the responsibility of the county

welfare department or county probation department; and is participating in a

transitional independent living case plan.

• Sharing Ratio is 00/100/00/00 (Federal/State/Health/County).

• Implementation date for this new aid code is January 1, 2012.

Attachment I-A

CROSS REFERENCE LIST OF UNDER 18 AID CODES

AND NEW EXTENDED FOSTER CARE OVER 18 AID CODES

NOTE: The Extended Foster Care (EFC) codes are to be used for Non-Minor

Dependents (NMDs), age 18 but under 21, participating in the EFC program

enacted by Assembly Bill (AB) 12 (Chapter 559, Statutes of 2010).

Under

18 Aid

Code

Current Description

EFC

Over 18

Aid

Code

EFC Aid Code Description

Aid to Families with

Dependent Children-

Foster Care (AFDC-FC)

State: Covers children on

whose behalf financial

assistance is provided

for state only foster care

placement.

EFC AFDC-FC Non-Federal: Covers

non-minor dependents, age 18 but

under age 21, under AB 12 on whose

behalf financial assistance is

provided for state only foster care

placement.

AFDC-FC Federal:

Covers children on

whose behalf financial

assistance is provided

for federal foster care

placement.

EFC AFDC-FC Federal: Covers non-

minor dependents, age 18 but under

age 21, under AB 12 on whose

behalf financial assistance is

provided for federal foster care

placement.

Adoption Assistance

Program (AAP) Federal:

A cash grant program to

facilitate the adoption of

hard-to-place children

under age 18 and those

up to age 21 based on a

disability who would

require permanent foster

care placement without

such assistance.

EFC (AAP) Federal: A cash grant

program to facilitate the ongoing

adoptive placement of hard-to-place

non-minors, whose initial AAP

payment occurred on or after age 16

and are over age 18 but under age

21, and participating in one of five

conditions who would require

permanent foster care placement

without such assistance.

Attachment I-A

Under

18 Aid

Code

Current Description

EFC

Over

18 Aid

Code

EFC Aid Code Description

Kinship Guardianship

Assistance Payment (Kin-

GAP) Program Federal:

Serves former and current

foster youth by moving them

from foster care placements

to more permanent

placement options through

the establishment of a

relative guardianship.

EFC Kin-GAP Federal: Serves

former and current foster care non-

minors over age 18 but under age

21, by moving them from foster care

placements to more permanent

placement options through the

establishment of a relative

guardianship that occurred on or

after age 16 and the youth is

participating in one of five

conditions. (After checking with

Region IX that there is no need to

break out the over age 21, also

“includes youth age 18 but under

age 21 based on a disability”).

N/A

State California Work Opportunity

and Responsibility to Kids

(CalWORKs) NMD: Provides full

scope, no share of cost Medi-Cal

benefits and state assistance

payment to non-minor dependents

over 18 but less than 21 years of

age; living with an approved

CalWORKs relative who is not

eligible for Kin-GAP or foster care.

Kin-GAP Cash Assistance:

Covers non-Title IV-E

children/non-Temporary

Assistance for Needy

Families (TANF)

Maintenance of Effort

(MOE) countable in the

state program for children in

relative guardian placement

receiving cash assistance.

[Delete extended to age 21

due to disability]

EFC Kin-GAP Non-Federal: Covers

non-minors age 18 but under age

21, eligible for extended Kin-GAP

assistance based on a disability or

based on the establishment of the

guardianship that occurred on or

after age 16 and youth is

participating in one of five

conditions.

Attachment II

EXTENDED FOSTER CARE COUNTY EXPENSE CLAIM (CEC)

PROGRAM, TIME STUDY, AND DIRECT-TO-PROGRAM CODES

AND CLAIMING INSTRUCTIONS

For the CEC process, counties will still be required to claim the costs expended for each

of the realigned programs to the appropriate program codes which allows the California

Department of Social Services (CDSS) to monitor the expenditures for reporting

purposes and to continue calculating the Realignment 1991 Growth calculation.

Effective with the September 2011 quarter claim, all General Fund (GF) costs for the

Program Codes (PCs) associated with realigned programs will be covered by the county

with realignment funding using the State Use Only (SUO) overmatch codes. This will be

accomplished by setting the affected allocation’s ledger to zero for realigned program

ledgers. Please refer to County Fiscal Letter (CFL) No. 11/12-18 for more information.

Effective with the March 2012 quarter, the following new PCs, Time Study Codes (TSC),

and program identifier numbers (PINs) are available for claiming administrative costs for

activities related to Assembly Bill (AB) 12 Extended Foster Care (EFC). The program

code descriptions (PCD) can be found in Attachment II-A.

Note: The PCs described below are impacted by AB 118 and the state share will be

adjusted as described in CFL No. 11/12-18.

Child Welfare Services Basic

A. PC 837 EFC Eligibility Determination

Effective with the March 2012 quarter, PC 837 and its associated PINs are available for

claiming administrative costs related to allowable EFC eligibility determination activities

for Non-Minor Dependents (NMDs).

Program

837

EFC Eligibility Determination

Supportive Transition

837092

Casework Overtime/ Compensating

Time Off (OT/CTO) Costs

837093

Support Staff OT/CTO Costs

837094

Start Up/Nonrecurring Costs

837088-91

Support Operating

PC 837 costs will be funded at 50/35/00/15 (Federal/State/Health/County).

Note: Per CFL 11/12-18, Section E, all GF expenditures will be transferred to county-

only share via SUO code 166.

Attachment II

Time Study Instructions

Effective with the March 2012 quarter, TSC 8371 will be available to capture social work

activities related to the implementation of the AB 12 EFC program (refer to Attachment

II-A).

B. PC 838 EFC Health Related Services

Effective with the March 2012 quarter, PC 838 and its associated PINs are available for

claiming administrative costs related to allowable EFC health related activities for

NMDs.

Program

838

EFC Health Related Services

Supportive Transition

838031

Contracted Services-Unemployed

838003

Transportation-Assistance

838092

Casework OT/CTO Costs

838093

Support Staff OT/CTO Costs

838094

Start Up/Nonrecurring Costs

838088-91

Support Operating

PC 838 costs will be funded at 00/35/50/15 (Federal/State/Health/County).

Note: Per CFL 11/12-18, Section E, all GF expenditures will be transferred to county-

only share via SUO code 166.

Time Study Instructions

Effective with the March 2012 quarter, TSC 8381 will be available to capture health

related activities related to the implementation of the AB 12 EFC program (refer to

Attachment II-A).

C. PC 839 EFC Training

Effective with the March 2012 quarter, PC 839 and its associated PINs are available for

claiming administrative costs related to allowable EFC training activities for NMDs.

839

EFC Training

839092

Casework OT/CTO Costs

839093

Support Staff OT/CTO Costs

839094

Start Up/Nonrecurring Costs

839088-91

Support Operating

PC 839 costs will be funded at 75/17.5/00/7.5 (Federal/State/Health/County).

Attachment II

Note: Per CFL 11/12-18, Section E, all GF expenditures will be transferred to county-

only share via SUO code 166.

Time Study Instructions

Effective with the March 2012 quarter, TSC 8391 will be available to capture training

activities related to the implementation of the AB 12 EFC program (refer to

Attachment II-A).

D. PC 840 EFC Services/Non-Federal

Effective with the March 2012 quarter, PC 840 and its associated PINs are available for

claiming administrative costs related to allowable EFC services/non-federal activities for

NMDs.

Program

840

EFC Services/Non-Federal

EFC Services Non-Federal

840031

Contracted Activities-Unemployed

840066

Personal SVCS ESC -County op

840067

Operating Costs ESC -County op

840068

Direct Costs

840092

Casework OT/CTO Costs

840093

Support Staff OT/CTO Costs

840094

Start Up/Nonrecurring Costs

840088-91

Support Operating

PC 840 costs will be funded at 00/70/00/30 (Federal/State/Health/County).

Note: Per CFL 11/12-18, Section E, all GF expenditures will be transferred to county-

only share via SUO code 166.

Time Study Instructions

Effective with the March 2012 quarter, TSC 8401 will be available to capture

services/non-federal activities related to the implementation of the AB 12 EFC program

(refer to Attachment II-A).

E. PC 841 EFC Court Related Activities

Effective with the March 2012 quarter, PC 841 and its associated PINs are available for

claiming administrative costs related to allowable EFC court related activities for NMDs.

Attachment II

Program

841

EFC Court Related Activities

Supportive Transition

841003

Transportation -Assistance

841092

Casework OT/CTO Costs

841093

Support Staff OT/CTO Costs

841094

Start Up/Nonrecurring Costs

841088-91

Support Operating

PC 841 costs will be funded at 50/35/00/15 (Federal/State/Health/County).

Note: Per CFL 11/12-18, Section E, all GF expenditures will be transferred to county-

only share via SUO code 166.

Time Study Instructions

Effective with the March 2012 quarter, TSC 8411 will be available to capture court

related activities related to the implementation of the AB 12 EFC program (refer to

Attachment II-A).

F. PC 842 EFC Case Management

Effective with the March 2012 quarter, PC 842 and its associated PINs are available for

claiming administrative costs related to allowable EFC case management activities for

NMDs.

Program

842

EFC Case Management

Supportive Transition

842003

Transportation -Assistance

842092

Casework OT/CTO Costs

842093

Support Staff OT/CTO Costs

842094

Start Up/Nonrecurring Costs

842088-91

Support Operating

PC 842 costs will be funded at 50/35/00/15 (Federal/State/Health/County).

Note: Per CFL 11/12-18, Section E, all GF expenditures will be transferred to county-

only share via SUO code 166.

Time Study Instructions

Effective with the March 2012 quarter, TSC 8421 will be available to capture social work

activities related to the implementation of the AB 12 EFC program (refer to Attachment

II-A).

Attachment II

Group Home Monthly Visits

G. PC 843 EFC Group Home Monthly Visits (CWD)

Effective with the March 2012 quarter, PC 843 and its associated PINs are available for

claiming administrative costs related to allowable EFC group home monthly visits

County Welfare Departments (CWD) for activities for NMDs.

843

EFC MO VISITS/ GROUP HOMES/CWD

843003

Transportation-Assistance

843092

Casework OT/CTO Costs

843093

Support Staff OT/CTO Costs

843094

Start Up/Nonrecurring Costs

843088-91

Support Operating

PC 843 costs will be funded at 50/50/00/00 (Federal/State/Health/County).

Note: Per CFL 11/12-18, Section E, all GF expenditures will be transferred to county-

only share via SUO code 045 and 051.

Time Study Instructions

Effective with the March 2012 quarter, TSC 8431 will be available to capture group

home monthly visits (CWD) related to the implementation of the AB 12 EFC program

(refer to Attachment II-A).

H. PC 844 EFC Group Home Monthly Visits (Probation)

Effective with the March 2012 quarter, PC 844 and its associated PINs are available for

claiming administrative costs related to allowable EFC group home monthly visits

(Probation) activities for NMDs.

844

EFC MO VISITS/ GROUP HOME/PROBATION

844059

Probation Expenses

PC 844 costs will be funded at 50/50/00/00 (Federal/State/Health/County).

Note: Per CFL 11/12-18, Section E, all GF expenditures will be transferred to county-

only share via SUO code 329.

Probation

Note: The PCs below are not affected by AB 118 and the sharing ratio remains as

described below.

Attachment II

I. PC 845 EFC Public Agency IV-E Pass-Through (Probation)

Effective with the March 2012 quarter, PC 845 and its associated PINs are available for

claiming administrative costs related to allowable EFC Public Agency IV-E Pass-

Through activities for NMDs.

845

EFC Public Agency IV-E Pass-Through

845069

Federal Pass-Through

PC 845 costs will be funded at 50/00/00/50 (Federal/State/Health/County).

Foster Care

Note: The PCs described below are impacted by AB 118 and the state share will be

adjusted as described in CFL No. 11/12-18.

J. PC 846 EFC Aid to Families with Dependent Children-Foster Care (AFDC-FC)

Eligibility

Effective with the March 2012 quarter, PC 846 and its associated PINs are available for

claiming administrative costs related to allowable EFC AFDC-FC eligibility activities for

NMDs.

846

EFC AFDC-FC Eligibility

846092

Casework OT/CTO Costs

846093

Support Staff OT/CTO Costs

846094

Start Up/Nonrecurring Costs

846088-91

Support Operating

PC 846 costs will be funded at 50/35/00/15 (Federal/State/Health/County).

Note: CFL 11/12-18, Section F, all GF expenditures will be transferred to county-only

share via SUO code 612.

Time Study Instructions

Effective with the March 2012 quarter, TSC 8461 will be available to capture social work

activities related to the implementation of the AB 12 EFC program (refer to

Attachment II-A).

Attachment II

State Kinship-Guardianship Assistance Payment (Kin-GAP) Program

Note: The PCs below are not affected by AB 118 and the sharing ratio remains as

described below.

K. PC 847 EFC Kin-GAP Non-Federally Eligible

Effective with the March 2012 quarter, PC 847 and its associated PINs are available for

claiming administrative costs related to allowable EFC Kin-GAP non-federal activities for

non-minor former dependents.

847

EFC Kin-GAP Non-Federally Eligible

847092

Casework OT/CTO Costs

847093

Support Staff OT/CTO Costs

847094

Start Up/Nonrecurring Costs

847088-91

Support Operating

PC 847 costs will be funded at 00/50/00/50 (Federal/State/Health/County).

Time Study Instructions

Effective with the March 2012 quarter, TSC 8471 will be available to capture Kin-GAP

non-federally eligible activities related to the implementation of the AB 12 EFC program

(refer to Attachment II-A).

Federal Kin-GAP

Note: The PCs described below are impacted by AB 118 and the state share will be

adjusted as described in CFL No. 11/12-18.

L. PC 848 EFC Kin-GAP IV-E Eligible

Effective with the March 2012 quarter, PC 848 and its associated PINs are available for

claiming administrative costs related to allowable EFC Kin-GAP Title IV-E Eligible

activities for non-minor former dependents.

848

EFC Kin-GAP IV-E Eligible

848092

Casework OT/CTO Costs

848093

Support Staff OT/CTO Costs

848088-91

Support Operating

PC 848 costs will be funded at 50/50/00/00 (Federal/State/Health/County).

Attachment II

Note: Per CFL 11/12-18, Section F, all GF expenditures will be transferred to county-

only share via SUO code 815. A new ledger will be established to track Title IV-E

eligible Kin-GAP administrative expenditures charged to PC 815.

Time Study Instructions

Effective with the March 2012 quarter, TSC 8481 will be available to capture Title IV-E

eligible Kin-GAP activities related to the implementation of the AB 12 EFC program

(refer to Attachment II-A).

Direct-to-Program Codes

Support staff performing direct-to-program activities associated with the AB 12 EFC, will

time study to any of the following direct-to-program codes:

EFC Eligibility Determination

EFC Health Related

EFC Training

EFC Services Non-Federal

EFC Court Related Activities

EFC Case Management

C16

EFC AFDC-FC Eligibility

C53

EFC Kin-GAP Non-Federally Eligible

A57

EFC Kin-GAP IV-E Eligible

Attachment II-A

EXTENDED FOSTER CARE (EFC) PROGRAM CODE (PC) /

TIME STUDY CODE (TSC) DESCRIPTIONS

The following list contains the PC/TSC descriptions for activities eligible for

reimbursement for implementation of the Assembly Bill (AB) 12 EFC program. Please

note that activities for EFC are the same as activities described in the codes noted

below, except they are provided to Non-Minor Dependents (NMDs), age 18-21.

CHILD WELFARE SERVICES (CWS) – PREPARATION FOR ELIGIBILITY

DETERMINATION:

1434 CWS - PERMANENT PLACEMENT PROGRAM

Includes activities related to preparing for determination of a child's eligibility for Foster

Care (FC) or Adoption Assistance Program (AAP); not actual eligibility determination.

For example:

• Gathering and verifying information used by the Eligibility Worker in regard to

income, parental deprivation, resources, social security numbers, birth certificates,

and child support.

• Filling out and processing necessary forms.

• Querying systems, records, and other staff for current Aid to Families with

Dependent Children (AFDC) status.

• Preparing and conducting Title IV-E eligibility reviews.

• Travel time associated with any of the above activities.

For activities pertaining to NMDs, age 18-21, participating in EFC, please use:

PC 837 EFC Eligibility Determination

TSC 8371 EFC Supportive Transition

CWS – HEALTH RELATED FOR MEDI-CAL ELIGIBLE CHILDREN:

1444 CWS - PERMANENT PLACEMENT PROGRAM

Any activity to help children who are Medi-Cal eligible, or potentially eligible, including

all foster children, gain access to services covered by the Medi-Cal state plan in order to

attain or maintain a favorable physical or mental health condition. These activities will

not duplicate Targeted Case Management activities provided through the State Plan.

Such activities include, but are not limited to:

Attachment II-A

• Assisting Medi-Cal eligible children in identifying and understanding their health

needs in order to secure and utilize treatment and health maintenance services

covered by Medi-Cal.

• Facilitating the Medi-Cal eligibility application, by explaining the Medi-Cal eligibility

rules and the eligibility process to parents/guardian of prospectively eligible children;

assisting such applicants to fill out the eligibility applications; gathering information

related to the application and eligibility determination or redetermination from the

client, including resource information and third party liability information, as a prelude

to submitting a formal Medi-Cal application to the county welfare department or

providing necessary forms and packaging all forms in preparation for the Medi-Cal

eligibility determination.

• Development, implementation, and management of care plans for Medi-Cal eligible

children for their health-related needs covered by Medi-Cal.

• Referrals to other agencies and programs in order to meet the Medi-Cal covered

health care needs of Medi-Cal eligible clients.

• Statistical reporting.

• Outreach activities to Medi-Cal eligibles or potential eligibles to communicate about

available Medi-Cal services and programs.

• Liaison activities with Medi-Cal providers to facilitate case planning.

For activities pertaining to NMDs, age 18-21, participating in EFC, please use:

PC 838 EFC Health Related Services

TSC 8381 EFC Supportive Transition

1456 CWS - TRAINING

This PC for CWS training, at the enhanced rate of 75 percent, is for people employed or

preparing for employment in all classes of positions by the state or local agency

administering the program. Training is limited to topics necessary for performing the

following specific FC program administrative functions:

• Referral to services.

• Case plan development.

• Case management and supervision.

• Preparation for and participation in judicial determinations.

• Placement of the child.

• Case reviews.

• Recruitment and licensing of foster homes and institutions.

• Eligibility determination.

Attachment II-A

For activities pertaining to NMDs, age 18-21, participating in EFC, please use:

PC 839 EFC Training

TSC 8391 EFC Training

1465 CWS - SERVICES

The individual child's case plan shall be the basic guideline for the provision of CWS.

Services include, but are not limited to, the following:

• Providing counseling or other therapeutic services to a child or to the child's family in

order to ameliorate or remedy personal problems, behaviors, or home conditions, as

referenced.

• Providing homemaking instruction, through discussion and example when

parent/guardian functioning can be improved by teaching more effective child care

skills and home maintenance. Manual of Policies and Procedures 31-002(t)(1).

• Parenting training.

For activities pertaining to NMDs, age 18-21, participating in EFC, please use:

PC 840 EFC Services/Non-federal

TSC 8401 EFC Supportive Transition

CWS - COURT-RELATED ACTIVITIES:

1474 CWS - PERMANENT PLACEMENT PROGRAM

Any court-related activity directed to-foster care child-who remains in out-of-home

placement. Includes, but not limited to the following:

• Preparing for and/or participating in any judicial determination regarding a child.

• Preparing or filing court documents including petitions, motion for extension,

termination of dependencies or a custodial order.

• Any court appearance where the local agency is seeking custody of a child, or the

status of a child in the county's custody, which is being reviewed.

• Paperwork and contacts related to judicial activity.

• Working with foster parents to prepare them to receive a child.

• Assessing child's/family's needs and developing a case plan as indicated in

regulations.

• Evaluation or assessment of the child and family’s condition.

• Arranging for provisions of protective services when necessary.

• All planning, assessments, and paperwork which contribute to the above activities.

Attachment II-A

• Case management and supervision.

• Recruitment activities, finding and developing resources, coordinating and consulting

with service providers and community groups, distributing resource materials.

• Travel time associated with the above activities.

For activities pertaining to NMDs, age 18-21, participating in EFC, please use:

PC 841 EFC Court Related Activities

TSC 8411 EFC Supportive Transition

1484 CWS - PERMANENT PLACEMENT PROGRAM

Includes activities directed to a specific child when the child is in out-of-home

placement, including relative placements and emergency shelter care. Included is the

development of the case plan, which indicates specific services necessary to meet the

protective needs of the child. The following are allowable activities:

• Assessing the child’s/family’s needs and developing a case plan as indicated in

regulations.

• Referrals to services when necessary.

• Arranging for pre-placement visits.

• Working with foster parents to prepare them to receive a child.

• Monitoring progress in meeting case plan objectives and updating the case plan.

• Management and supervision of the case, participation in case conferences,

permanency planning meetings, and administrative review.

• Recruitment activities, developing and distributing resource materials, consulting and

coordinating with service providers and community based organization.

• Visits for non-group home FC placements (i.e., relatives and foster family homes).

See TSC 5771 for visits related to children in group home placements.

• Travel time associated with any of the above activities.

• Do not include court document preparation or petition filing. These are Code 147

(CWS-Court Related Activities).

For activities pertaining to NMDs, age 18-21, participating in EFC, please use:

PC 842 EFC Case Management

TSC 8421 EFC Supportive Transition

Attachment II-A

5771 MONTHLY VISITS/GROUP HOMES/CWD

Includes those activities performed by County Welfare Department (CWD) social

workers when providing monthly visits to all children placed in-group homes (in-and out-

of-state).

For activities pertaining to NMDs, age 18-21, participating in EFC, please use:

PC 843 EFC Group Home Monthly Visits (CWD)

TSC 8431 EFC Supportive Transition

3451 AFDC-FC ELIGIBILITY

Includes the following activities performed on behalf of FC cases: conducting eligibility

determinations and benefit payment functions; various intake activities, such as

screening, approvals, denials, and other dispositions of requests for aid, including

restorations; budget computations and authorizing actions; referrals to other public

assistance programs; inter-county transfers; and program status changes.

For activities pertaining to NMDs, age 18-21, participating in EFC, please use:

PC 846 EFC AFDC Foster Care Eligibility

TSC 8461 EFC AFDC Foster Care Eligibility

0311 ENHANCED KIN-GAP NON-FED ELIGIBLE

Includes the following activities performed on behalf of Kinship Guardianship Assistance

Payment (Kin-GAP) cases: Conducting program eligibility

determinations/redeterminations, and benefit payment functions; reassessment

activities; various intake activities such as screening, approvals and denials; written

agreement activities; other dispositions of requests for aid, including restorations;

budget computations and authorizing actions; child support referrals; home visits;

intercounty/interstate transfers; and program status changes.

For activities pertaining to NMDs, age 18-21, participating in EFC, please use:

PC 847 EFC Kin-GAP Non-federally Eligible

TSC 8471 EFC Kin-GAP Non-federally Eligible

CODE 7471 Kin-GAP TITLE IV-E ELIGIBLE

Includes the following activities performed on behalf of Kin-GAP cases: Conducting

program eligibility determinations/redeterminations, Title IV-E

Attachment II-A

determinations/redeterminations and benefit payment functions; reassessment

activities; various intake activities such as screening, approvals, denials; written

agreement activities; other dispositions of requests for aid, including restorations;

budget computations and authorizing actions; child support referrals; home visits;

intercounty/interstate transfers; and program status changes.

For activities pertaining to NMDs, age 18-21, participating in EFC, please use:

PC 848 EFC Kin-GAP IV-E Eligible

TSC 8481 EFC Kin-GAP Title IV-E Eligible

Probation Claiming

Because county Probation offices receive funding through a pass-through of Title IV-E

funds, time study hours are not reported to the California Department of Social Services

(CDSS). However, activities for probation claiming codes for EFC are described below:

5791 MONTHLY VISITS/GROUP HOMES/PROBATION

Includes those activities performed by probation officers when providing monthly visits

to all children placed in-group homes (in-and out-of-state).

For activities pertaining to NMDs, age 18-21, participating in EFC, please use:

PC 844 EFC Group Home Monthly Visits (Probation)

PIN 844059 EFC Probation Expenses

119 PUBLIC AGENCY IV-E PASS-THROUGH

As outlined in All County Letter No. 04-32, dated September 7, 2004, in addition to

normal case management activities for children already in the CWS system, the federal

government allows Title IV-E reimbursement for administrative activities associated with

pre-placement prevention for cases that absent the referral to services would go into

out-of home care. The CDSS now allows counties to pass on Title IV-E funds to other

county public agencies, such as Probation and mental health that perform eligible

administrative activities for children at risk of or currently placed in FC. This pass-on

provision does not apply to similar activities performed by private non-profit

organizations.

For activities pertaining to NMDs, age 18-21, participating in EFC, please use:

PC 845 EFC Public Agency IV-E Pass-Through (Probation)

Attachment II-B

CROSS REFERENCE LISTING OF PROGRAM CODES (PC)

FOR THE UNDER AGE 18 POPULATION AND THE NON-MINOR DEPENDENTS

OVER AGE 18 POPULATION

Program

Under

18 PC

PC Title

EFC

Over

Extended Foster

Care (EFC) Title

EFC

Direct to

Program

State

Use

Only

(SUO)

code

Child Welfare

Services

(CWS)

143

CWS - Eligibility

Determination

837

EFC Eligibility

Determination

166

CWS

144

CWS - Health

838

EFC Health

166

CWS

145

CWS Training

839

EFC Training

166

CWS

146

CWS -

Services/Non-

Federal

840

EFC Services

Non-Federal

166

CWS

147

CWS - Court

Related Activities

841

EFC Court

Related Activities

166

CWS

148

CWS - Case

Management

842

EFC Case

Management

612

Foster Care

(FC)

577

Group Home

Monthly Visits

(County Welfare

Department [CWD])

843

EFC Group

Home Monthly

Visits (CWD)

N/A

045,

051

579

Group Home

Monthly Visits

(Probation)

844

EFC Group

Home Monthly

Visits (Probation)

N/A

329

119

Public Agency IV-E

Pass-Through

(Probation)

845

EFC Public

Agency IV-E

Pass-Through

(Probation)

N/A

345

Aid for Families with

Dependent Children

(AFDC)-FC Eligibility

846

EFC AFDC-FC

Eligibility

C16

612

Kinship

Guardianship

Assistance

Payment

(Kin-GAP)

031

Kin-GAP Non-

Federally Eligible

847

EFC Kin-GAP

Non-Federally

Eligible

C53

N/A

11 12_32 12 PL 32

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