Children in foster care or out-of-home placement


AZ | CT | DC | FL | HI | HIBH | IL | IN | IA | KY | ME | MD | MI | MN | MO | MT | NE | NEBH | NH
NJ | NM | NY | NC | OH | OK | PA | PABH | TN | UTMH | VA | WV



AZ

"6.  ENROLLMENT AND DISENROLLMENT...
Eligibility for the various AHCCCS coverage groups is determined by one of the following agencies: …
Department of Economic Security (DES)
DES determines eligibility for…the Adoption Subsidy Program, Title IV-E foster care children…"  Arizona Contract, page 18.

CT

"Appendix K...
HUSKY A Medicaid Coverage Groups...
DCF Children…"  Connecticut Contract, Appendix K, page 1.

DC

"G.  ENROLLMENT, EDUCATION, AND OUTREACH
  1.  Classes of person eligible for enrollment
  a.  Except as provided in paragraph 'b' of this section, the following persons are eligible for enrollment under this contract:...
  b.  Individuals who meet the requirements of paragraph 'a' of this section and are included in one or more of the following categories, are excluded from enrollment under this contract: ...
   (2)  foster children, except those who reside in the District and whose care giver elects to enroll the child with Provider..."  District of Columbia  Contract, page 15.

FL

"7.  Eligible Recipients.  The categories of eligible recipients authorized to enrolled in the plan are… Foster Care…"  Florida Contract, page 9.

HI

“All ABD recipients, with the exception of the following: ...
6) children in foster care in out-of-state placement ...will be enrolled into a QUEST plan...” Hawaii RFP, unnumbered page.

“20.120 Hawaii QUEST (QUEST)...
QUEST includes the individuals in the: ...
* Foster Care...” Hawaii RFP, page 4.

“20.120 Hawaii QUEST (QUEST)...
ABD recipients who will remain in Medicaid’s fee-for-service program and will NOT be enrolled into QUEST include persons who: ...
6) are children in foster care or subsidized adoptions placed out-of-state...” Hawaii RFP, page 5.

“40.230  Categorical Requirements...
Children in out-of-state foster care placement will also be excluded from the QUEST program and remain in fee-for-service...”  Hawaii RFP, page 43.

HIBH

"20.300  Hawaii QUEST (QUEST)...
• Foster Care..."  Hawaii Mental Health Contract, page 4.

"20.500  HCFA Contingency...
ABD members who will remain in Medicaid's fee-for-service program and will NOT be enrolled into QUEST include persons who…
 6)  are children in foster care or subsidized adoptions placed out-of-state; and
 7) are disabled children/youth below the age of 19 and disabled children/youth below the age of 21 in foster care/subsidized adoption…"  Hawaii Behavioral Health RFP, page 7.

"20.740  Disabled Children and Youth Managed Care Plan Carve Out (DCYMC)
Disabled children…foster children and children under subsidized adoption below the age of 21 shall not be enrolled in the QUEST BHMC plan.  This population will be enrolled in a separate managed care plan carve out for disabled children and youth to be implemented at a later date"  Hawaii Behavioral Health RFP, page 10.

"40.110  Basic Criteria
All members must meet the following basic eligibility criteria:
•  Be a U.S. citizen or legal resident alien
•  Intend to reside in the State of Hawaii
•  Provide a verified Social Security Number (SSN)
•  Not reside in a public institution, including correctional facilities and the Hawaii State Hospital

40.200  QUEST Eligibility...
40.230  Categorical Requirements...
Children in out-of-state foster care placement will also be excluded from the QUEST program and remain in fee-for-service.  Disabled children/youths below the age of 19 and in foster care or subsidized adoptions below the age of 21 will be excluded from this contract and will remain in fee-for-service until the separate 'carve-out' plan is implemented in 1998…"  Hawaii Behavioral Health RFP, pages 36-37.

IL

"Eligible Enrollee means a Client or KidCare Participant except one who: ...
•  is a ward of the Department of Children and Family Services..."  Illinois HMO Contract, pages 2-3.

IN

"4.5.1  Determination of Recipient Eligibility
The OMPP is responsible for the identification of recipients eligible for enrollment in Hoosier Healthwise RBMC. The following Medicaid eligibility categories are eligible for enrollment in Hoosier Healthwise RBMC: ...
  *  Wards of the state and foster children may enroll on a voluntary basis."  Indiana RFP, page 4-11.

IA

"Medicaid eligible recipients will be excluded from enrollment with a HMO if they: ...
7.  are eligible as foster care children."  Iowa Contract, page 140.

KY

"VI.  ENROLLMENT AND DISENROLLMENT
A.  Eligibility
  The Contractor shall follow eligibility procedures and requirements in accordance with Sections 7.10.1 through 7.10.6 and Attachment X of the RFA…"  Kentucky Contract, page 25.

"Several categories of Department for Community Based Services (DCBS) clients, including children in foster care, children receiving adoption assistance, and adult wards for whom DCBS has been appointed the legal guardian are included within The Partnership's Member population."  Kentucky RFA, page 93.

"Eligibility For Enrollment
Listed below are categories of Medicaid recipients who are eligible to enroll in the Partnership's Network: ...
  Under the age of eighteen (18) years, placed in foster care and under supervision of a Kentucky public or private child welfare agency* [* The Partnership shall phase-in the enrollment of these members as an individual plan of care for each child is developed and implemented by the Partnership.  See Attachment XVI.]."  Kentucky RFA, Attachment X, pages 94-95.

ME

"II.  DEFINITIONS.
A.  The following terms used in this Contract shall be interpreted as defined herein, except to the extent that the context may clearly require otherwise: …

12.  Covered Population, Target Population, or Eligible Persons consists of...Foster Care Children within Regions I and II who are not considered excluded or exempt recipients...

30.  Foster Care Children are children in the care or custody of the Department of Human Services living in Phases I and II and for whom the Department is responsible for custodial and parental decisions."  Maine Contract, pages 2-3, 6.

MD

"Chapter 63  Maryland Medicaid Managed Care Program:  Eligibility and Enrollment
.01  Eligibility.
B.  A recipient is not eligible for the Maryland Medicaid Managed Care Program if the recipient: ...
  (4)  Is a child receiving adoption subsidy who is covered under the parent's private insurance;
  (5)  Is a child under State supervision receiving adoption subsidy who lives outside of the State; or
  (6)  Is a child in an out-of-state placement."  Maryland COMAR 10.09.63.01.

MI

"II-E MEDICAID ELIGIBILITY AND CHCP ENROLLMENT...
3. Medicaid Eligible Groups Excluded From Enrollment in the CHCP: ...
*Children in Foster Care or Child Care Institutions…"  Michigan Contract, pages 16-17.

MN

"Section 3.1.1.  Eligibility…
C.  Eligibility Determinations for MA and GAMC. Eligibility for MA and GAMC and eligibility for participation in PMAP and PGAMC will be determined by the Local Agency. All persons who receive MA or GAMC and reside in the Service Area will participate in PMAP or PGAMC, except for Recipients who are members of the following MA and GAMC populations...
  2)    Children under the age of 21 years receiving MA who are in foster care placement, unless they enroll in PMAP on a voluntary basis.
  3)    MA Recipients receiving MA through an adoption subsidy…
  13)  Children who prior to enrollment in PMAP are determined to be in need of protection and are receiving MA services through a provider who is not a Participating Provider in PMAP. These children are eligible to enroll in PMAP on a voluntary basis."  Minnesota Contract, page 17.

"D.  The following MA and/or GAMC populations are excluded on the effective date of this Contract, but may become eligible for mandatory enrollment (or voluntary enrollment for the population described in paragraph 5) during the term of this Contract...
  1)  Children receiving MA who are in foster care placement.
  2)  Children receiving MA through an adoption subsidy…"  Minnesota Contract, page 19.

MO

"b.  Eligibility of Other Medicaid Children:  All children in the legal custody of the group Department of Social Services; all children placed in not-for-profit residential group home by a juvenile court…
 c.  Medicaid eligibles in  the above specified eligibility groups who are: ...
  4)  receiving foster care or adoption assistance under part E of the Title IV of the Social Security Act;
  5)  in foster care or otherwise in out-of-home placement…" Missouri RFP, page 15.

"Group Eligibility Criteria...
AFDC-Foster Care…"  Missouri RFP, Attachment One.

MT

"ELIGIBLE GROUPS
The eligibility subtypes targeted for the HMO program are: ...
  foster care - IV-E
  foster care-CWS...

People in these subtypes are not eligible to enroll in HMOs if they…or are children under court ordered absent parent child support…"  Montana Contract, Attachment 4, page 63.

NE

"9.2.1 Mandatory for the NHC Basic Benefits Package: The following Medicaid-eligible clients are required to participate in the NHC, if the client’s eligibility assistance case is managed by the Health and Human Services (HHS) District Office in the designated coverage areas, unless excluded pursuant to Section 9.2.5 of this contract: ...
 (c) Clients participating in the Child Welfare Payments and Medical Services Program, i.e., IV-E, Non-IV-E, Former Wards, Subsidized Guardianship cases pursuant to 479 NAC..."  Nebraska Contract, page 31.

NEBH

"9.2  Mandatory and Excluded Clients
9.2.1 Mandatory for the Nebraska Health Connection (NHC) Mental Health/ Substance Abuse Package: The following Medicaid - eligible clients are required to participate in the NHC, unless excluded pursuant to Section 9.2.5 of this contract: ...
 (c)  Clients participating in the Child Welfare Payments and Medical Services Program i.e., IV-E, Non-IV-E, Former Wards, Subsidized Guardianship cases pursuant to Title 479 NAC."  Nebraska Behavioral Health Contract, page 32.

"9.2.5  Excluded Clients: The following clients are excluded from the NHC (based on the information known to the HHS eligibility system): ...
 (j) Clients participating in the Subsidized Adoption Program, including those who receive a maintenance subsidy from another state pursuant to 469 NAC)…"  Nebraska Behavioral Health Contract, pages 33-34.

NH

"Eligibility
Those individuals eligible to be enrolled in Contractor under this Agreement are those who are eligible for, and recipients of:
A. The Medical Assistance Program, Categorically Needy only, and...
  (2) Foster Care (IV-E) Program, or
  (3) C W S Medicaid Program: Covering any child under age eighteen (18) or age eighteen (18) and a full time student, but who will complete (graduate) their secondary education or an equivalent before turning nineteen (19), for whom public agencies are assuming full or partial financial responsibility; and who are in foster homes or private child caring institutions" New Hampshire General Agreement, Exhibit A.5., page 10.

NJ

"ARTICLE 5
PERSONS ELIGIBLE FOR ENROLLMENT
5.1  Except as specified in Section 6.1, all persons, who are not institutionalized, that are eligible for the following eligibility categories and who reside in any of the enrollment areas... shall be eligible for enrollment in the contractor's plan…
  E.  Individuals who are eligible through the Division of Youth and Family Services…" New Jersey Contract, page 36.

NM

"All Medicaid eligible clients are required to participate in the Medicaid managed care program except for the following: ...
2.B.1.e  Children and adolescents in out-of-state foster care or adoption placement..."  New Mexico Contract, page 22.

NY

"5.  ELIGIBLE, EXEMPT AND EXCLUDED POPULATIONS
5.1  Eligible Populations
b)  All Medicaid eligible individuals in the following categories may be eligible for enrollment in the Contractor's plan at the LDSS' option, as indicated by an X below...
i)  Foster care children in the direct care of LDSS...

5.3  Excluded Populations...
i) Foster children in the placement of a voluntary agency...
l) Foster children in direct care (unless LDSS opts to enroll them see Section 5.1(b))…"  New York Contract, pages 5-1-5-5.

NC

"3.1  Persons Eligible for Enrollment
To be eligible to enroll in the Plan established pursuant to this Contract, a person must be a Recipient in the North Carolina Medical Assistance (Medicaid) Program in one of the aid categories listed below; and residing in Mecklenburg County; and not eligible for Medicare…
h.  Foster Care Children (HSF, IAS - Eligible at discretion of DSS and guardian.)."  North Carolina Contract, page 5.

OH

"B.  Background
Program History and Status...
Currently, MCP-enrolled children whose custody has been legally transferred from legal parent or guardian to another entity, such as a public children service agency (PCSA) are automatically disenrolled form the plan following notification to ODHS.  PCSAs have the option to enroll children in their custody in an MCP…"  Ohio RFP, page 3.

OK

"1.2  General Information for Applicants...
1.2.2  Covered Populations
The following categories of Medicaid and Title XXI beneficiaries in the three urban areas will be mandatorily enrolled into Health Plans awarded contracts through this procurement: ...
• The populations…excluding those persons…in state custody…"  Oklahoma RFP, page 2.

"2.4.6  Exceptions to Health Plan Enrollment
The following categories of members who otherwise qualify will be excluded from participation in the managed care program: ...
• Children who are in subsidized adoptions and
• Children who are known to the Authority to be in custody as reported by the Department of Human Services. If such children are already enrolled in a Health Plan when they are taken into or found to be in custody, as reported by DHS, they will be disenrolled by the Authority effective on the day in which the action by the Authority is taken..."  Oklahoma RFP, page 18.

PA

"C.  HealthChoices Program...
3.  Phase-IN...
Foster children categorized as AFDC-FC are not mandated for inclusion until July 1, 1997...
Mandatory recipient inclusion for the Second Phase of program eligible groups:
July 1, 1997: …Children in Substitute Care…"  Pennsylvania RFP, pages 6-7.

"H.  Coordination with Out-of-Plan Services...
3.  Members Admitted to Juvenile Detention Centers (JDCs)

Any child receiving MA benefits will continue to receive those benefits during placement in a JDC.  Children enrolled in an HMO and placed in JDCs both in and outside the HealthChoices project area will continue to be covered by the HMO in effect on the date of placement for a maximum of thirty-five (35) consecutive days.

A child already residing in a JDC will not be permitted to newly enroll in an HMO until after release from the JDC...

EPSDT screening results or other health care needs detected during the period of the JDC placement should be provided to the covering HMO.  Should a covered  Service be identified that cannot be provided at the JDC, the JDC must contact the HMO in order to arrange for the covered service to be provided…

10.  Medical Foster Care Services
Medical foster care services provided to children with special or chronic medical conditions or physical disabilities who are in the custody of the county children and youth agency and placed in foster family care...

Medical foster care services are provided by both county and private children and youth social service agencies.  Although direct care is provided by the foster parents who are under contract with the agency, the licensed foster care agency is enrolled as a Provider Type 50 with MA and claims reimbursement is through the FFS Program…Therefore, even though the HMO is responsible to provide medically necessary services to children residing in medical foster care homes, the HMO is not responsible for the medical foster care services identified in four (4) levels of care.  These four (4) levels of medical foster care are described in detail in the HealthChoices Bidders' Library…"  Pennsylvania RFP, pages 51-62.

PABH

"Request for Proposals (RFP) Definitions
For the purpose of this HealthChoices behavioral health services RFP, the definitions set forth shall apply...

Children and adolescents in Substitute Care - Children and adolescents living outside their homes in the legal custody of a public agency, in any of the following settings:  shelter homes, foster homes, group homes, supervised independent living, residential treatment facilities, residential placement (other than youth development centers)  for children and adolescents who have been adjudicated dependent or delinquent; see Part IV, C.4.d."  Pennsylvania Behavioral Health RFP, pages 3-4.

"HealthChoices Program Eligible Groups...
  d.  Children and Adolescents in Substitute Care Issues
  The following provisions apply only to children and adolescents in substitute care as defined in the definitions.
   If a child in substitute care is determined eligible for MA outside the five county HealthChoices project area and is placed in Foster care inside the five county HealthChoices project area, s/he will be covered under the fee-for-services (FFS) program.

  If a child in substitute care is determined eligible inside the five county HealthChoices project area and is placed outside of the five county HealthChoices project area s/he will be covered under the FFS program (except for the provision of juvenile detention centers).  For children and adolescents who are not in substitute care, the MCO is responsible for payment of all medically necessary behavioral health services (including Residential Treatment Facilities (RTF), regardless of where they are placed…"  Pennsylvania Behavioral Health RFP page 45.

TN

"2-3 Benefit/Service Requirements Limitations…
c.  Specialized Services...
  2.  CHILDREN'S PLAN SERVICES
  Children who are in state custody or who are at risk of entering state custody are eligible for participation in the Children's Plan…"  Tennessee Contract, pages 7-15.

UTMH

"Article II
ENROLLMENT
B.  Enrollment Exclusions...
  2.  Foster care children are enrolled under this Contract only for inpatient services; they are not enrolled for outpatient mental health services.  The CONTRACTOR who is indicated on the child's Medicaid card will receive the monthly inpatient premium and be responsible for all inpatient mental health services for that child."  Utah Mental Health Contract, pages 2-3.

"Rate Cells..
Separate rates will be established for each eligible group as follows: ...
10.  Foster Children (rates are for inpatient premiums only)…"  Utah Mental Health Contract, page 23.

VA

"D.  ELIGIBILITY AND ENROLLMENT...
1.  Medicaid and CMSIP Eligible Individuals Excluded from Medallion II

The Contractor shall cover all Medicaid and CMSIP eligible individuals, with the exception of individuals excluded from Medallion II, as defined in 12 VAC 30-120-370.  The Department shall exclude individuals meeting the exclusion criteria listed below: ...
e.  Individuals who are participating in foster care or subsidized adoption programs…"  Virginia Contract, pages 21-22.

WV

"1.1 BACKGROUND
The program will enroll…  SSI populations.  In addition, foster children will be enrolled under the initiative…"  West Virginia RFA, page 1.