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HomeMy WebLinkAbout20123428.tiff RESOLUTION RE: APPROVE REVISIONS TO OPERATIONS MANUAL, SECTION 2.000, SOCIAL SERVICES DIVISION POLICIES AND PROCEDURES WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS,the Board has been presented with revisions to Section 2.000, Social Services Division Policies and Procedures, for the Department of Human Services Operations Manual, and WHEREAS, after review, the Board deems it advisable to approve said revisions, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, ex-officio Board of Social Services, that the revisions to Section 2.000, Social Services Division Policies and Procedures, for the Department of Human Services Operations Manual, be, and hereby are, approved. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 3rd day of December, A.D., 2012. BOARD OF COUNTY COMMISSIONERS �,,,, WELD COUNTY, COLORADO ATTEST: 011Ar ' ""' &M 5J y C Sean P. . ' Chair L Weld County Clerk to the Board u ���I ills-m F.Garcia, Pro-T-m BY: 1 1 .'/ Deputy Clerr the Boar• l ' r• a Kirkmeyer O Fe ,4, RI APP' . r ? AST R (' � 'Li �r� L, • C , C d\ David E. Long •ounty Attorney -Iteitic gatG c(c,e- Dougl s Radema er DEC 1 7 2012 Date of signature: CG, 14-w (Susar� 12- 7 )- 2012-3428 HR0083 1861 • MEMORANDUM n L DATE: November 29, 2012 c ouNTY G O_ TO: Sean P. Conway, Chair, Board of County Commi Toners ktl FROM: Judy A. Griego, Director, Human c e art1ent I RE: Revisions to Section 2.000, Social'Services Division Policies and Procedures, Weld County Department of Social Services Operations Manual Enclosed for Board approval are revisions to Section 2.000, Social Services Division Policies and Procedures, Weld County Department of Social Services Operations Manual. These revisions were reviewed under the Board's Pass-Around Memorandum dated November 15, 2012, and approved for placement on the Board's Agenda. The changes are being made to Section 2.317, Relative Guardianship; and Section 2.331, Relative Guardianship Assistance Program. The primary changes to these Policies are to incorporate the recent changes to Volume 7 that went into effect September 7,2012. The primary change at the State level was to expand who is eligible for this program. Originally, the program was for a family member who was a relative within the fifth degree of kinship. It has been expanded to include caretakers who have a family-like relationship or an individual who had a prior significant relationship with the child. Section Citation Title of Section 2.317 Relative Guardianship 2.331 Relative Guardianship Assistance Program If you have questions, please give me a call at extension 6510. Human Services Division Policies and Procedures 2.317 Relative Guardianship 2.317.1 Summary of Weld County Relative Guardianship Program Revised 8/10 Revised 11/12 The Relative Guardianship Program (as set forth in CDHS Volume 7, Section 7.311) offers possible assistance to a relative guardian to aid in achieving permanency for an eligible child or youth. The program is intended to remove financial or other barriers for the relative guardian of a Colorado child or youth to allow for the relative guardian to raise the child or youth by providing assistance. The Weld County Relative Guardianship Program shall only be considered when all other permanency options have been exhausted. All requests are approved on a case by case basis, based upon compelling reasons related to permanency and in the best interest of the child. All requests must be staffed and approved by the Child Welfare Manage and the Division Director, prior to submission to the Department Director, who must give the final approval for any subsidy offered pursuant to this program. The relative guardianship assistance program elements consist of the following: A. Reunification and adoption efforts must have been exhausted and those goals have been ruled out based on individualized needs. B. The program is most appropriate for older youth who choose not to be adopted and who want to maintain familial ties while living safely and achieving permanency with a relative guardian. C. The program shall not supplant diligent reunification or adoption efforts. D. Youth who are twelve (12) years and older and who refuse adoption shall receive ongoing counseling by a professional who is knowledgeable about adoption and permanency issues. E. All requirements of this section relate solely to the Relative Guardianship Assistance Program and excludes any other type of guardianship. 2.317.2 Eligibility Requirements Compliance with the eligibility requirements for the relative guardian(s) and the child or youth must be documented in Trails in the child's biological case by the assigned caseworker and are as follows: A. The prospective relative guardian must be an adult who is a relative through the fifth degree of kinship; is related to the youth or child through marriage or adoption; is a person ascribed by the family as having a family-like relationship; or is an individual that had a prior significant relationship with the child or youth. B. The youth or child's most recent removal occurred through a court order, or a voluntary placement agreement, and the subsequent court order for authority for placement that includes a judicial determination that 1 Human Services Division Policies and Procedures continuation in the home would be contrary to the welfare of the youth or child. C. The youth or child demonstrates a strong attachment to the relative. D. Youth who are age twelve or older are consulted about their expressed wishes to have a Relative Guardianship arrangement. E. Reunification and adoption are not appropriate permanency goal options for the youth or child. F. The prospective relative guardian has a strong commitment to caring for the youth or child permanently. G. The prospective relative guardian was the certified kinship foster care parent for the youth or child for a minimum of six consecutive months while the youth or child resided in the home, excluding breaks in full certification due to provisional or probationary certificates being issued, or other adverse action being taken regarding the certificate. H. The reason why permanent placement with a prospective relative guardian and receipt of relative guardian assistance payment is in the best interest of the youth or child. 2.317.3 County Responsibilities The county department shall assess and demonstrate the appropriateness of the youth or child for the Relative Guardianship Assistance Program. This information will be documented in Trails in the child's biological case by the assigned caseworker. A. Efforts to discuss adoption with the relative family foster care parent as the more permanent option for the youth or child and the reasons that the prospective relative guardian is unwilling to adopt. The goal of the discussion shall be to assure that the prospective guardian makes a fully informed decision regarding the permanency options that are available. The discussion shall include, but not be limited to, the following areas: 1. The legal differences between termination of parental rights for adoption and the transfer of guardianship; 2. The relationship with the birth or custodial family; and, 3. Visitation. B. The prospective relative guardian understands the significance of permanency through guardianship and the importance in continuing to be a permanent family after the youth or child exits the Relative Guardianship Assistance Program. C. Efforts to discuss the relative guardianship assistance arrangement with the parents or legal custodians of the youth or child, and if it was not discussed with the parents, provide the reasons why the efforts were not made. 2 Human Services Division Policies and Procedures D. If relinquishment or termination of parental rights occurred for the youth or child, how the requirements for Adoption in CDHS Volume 7 Section 7.306 are met to assure that concerted efforts to achieve adoption were made and documented. When the goal of adoption is ruled out, the requirements in CDHS Volume 7 Section 7.306.14 B, 2 (Colorado Adoption Resource Registry) shall be met. E. Obtain an updated Structured Analysis Family Evaluation (SAFE) home study with an applicable update related to the Relative Guardianship. This will be filed in the Relative Guardianship combined record after the guardianship appointment is made. 2.317.4 Placement with Siblings In addition to requirements in CDHS Section 7.301.24, the County shall document in Trails in the child's biological case by the assigned caseworker. A. The efforts to place siblings together in the relative kinship family foster care home. B. The ongoing efforts to facilitate placement together, and the efforts to maintain frequent visitation and ongoing connections for siblings that live apart. 2.317.41 Inclusion of Siblings in a Relative Guardianship Assistance Agreement A. Sibling(s) of a youth or child who meet all other requirements identified in CDHS Volume 7 Section 7.311.1 except the Title IV-E eligibility may be included in the same Relative Guardianship Assistance agreement when there is agreement by the sibling(s) of the youth or child, prospective relative guardian, and the county department that the arrangement is in the best interests of the sibling(s) of the youth or child. This may occur on or at a later date than the youth or child who is Title IV-E eligible, and B. Relative guardianship assistance payments may be made on behalf of each sibling in the same relative guardianship assistance agreement. 2.317.5 For Chafee Foster Care Independence Living Program The Chafee Foster Care Independence Program (CFCIP) set forth in CDHS Volume 7, Section 7.305.4 and Weld County Policy ??, is a federally funded statewide independent living program that is county administered. For youth age 16 years or older, the opportunity to participate in the Chafee Foster Care Independence Living Program must be offered to youth participating in the Relative Guardianship Assistance Program. This offer and the youth's response must be documented in Trails. 3 Human Services Division Policies and Procedures A referral to the Chafee Foster Care Independence Living Program consists of a completed, signed copy of the Independent Living Plan located in Trails and the Chafee Independent Living Referral Form. The assigned worker in the biological case will complete the ILP in Trails and refer the youth to Chafee Independent Living Services, if a child is 16 years or older before the appointment of the relative guardian. If the youth refuses the Chafee Independent Living Services, this will be documented in Trails Contacts. The assigned worker in the Relative Guardianship Case will complete the ILP in Trails and refer the youth to Chafee Independent Living Services, if a child turns 16 years old after the appointment of the relative guardian. If the youth refuses the Chafee Independent Living Services, the ILP does not need to be completed and the refusal will be documented in Trails Contacts. 2.318.6 Probate Court Appointment A. Relative Foster Parents must apply for appointment as Relative Guardians through Probate Court. 1. The Relative Guardianship Assistance may reimburse qualified relative guardians for legal fees to assist with the guardianship, if they choose to hire an attorney. See the information regarding non- recurring fees. 7. The Weld County Department of Human Services must be listed as an interested party on the JDF827, Order Appointing Guardian for Minor. 8. The Probate Court requires yearly written progress reports on the form JDF834, Guardian's Report. A copy of this report must be sent to the Weld County Department of Human Services by the relative guardian. B. Eligibility Determination must be completed at least one month prior to the Probate Court appointment. C. The Application must be reviewed and the Agreement signed with prospective relative guardian and all parties date, sign, and initial the documents before the Probate Court appointment occurs. 2.318.7 Relative Guardianship Records A. The assigned worker for the biological Trails case must close the Trails case within 3 days of the appointment of the Relative Guardian being appointed. 4 Human Services Division Policies and Procedures B. The Relative Guardianship case will be opened after the biological Trails case is opened by Subsidy Worker C. Information in the record shall be updated when changes occur or additional information is available. D. Upon termination of the Relative Guardianship Assistance agreement the Case Record shall be closed. E. While the Relative Guardianship Assistance Agreement is in effect, a combined record for each youth or child and the relative guardian shall be maintained. 1. A combined record shall contain documentation about each youth or child and the relative guardian, which is relevant to the guardianship assistance agreement including, but not limited to, application, Structured Analysis Family Evaluation (SAFE) home study and applicable update(s) related to the Relative Guardianship, medical records, placement history, specific needs requiring purchase of services, confirmation of second opinions of professionals outside of the county department (licensed social worker, doctor, psychologist, or mental health specialist); annual school reports, and other applicable reports or evaluations. 2. The county department shall determine the eligibility of the youth or child for relative guardianship assistance on the State Department's prescribed form no later than one calendar month prior to the court appointment of the relative guardianship. 3. The county department shall review the information on the State Department's prescribed form with the relative guardian. All parties shall date, sign, and initial the document before the court appoints the relative guardian. 4. The county department shall enter the legal relative guardianship information for each youth or child into the State Department's automated system within thirty (30) calendar days following the date that the court appoints the relative guardian. 5. The relative guardian shall be informed in writing of the right to a fair hearing. 2.318.8 Provision of Services Following the court appointment of the relative guardianship, the county department shall provide services to the youth or child and the relative guardian family as addressed in the guardianship assistance agreement to assure stability and permanency. This does not preclude providing additional services based on current or temporary circumstances including, but not limited to, core services. 5 Human Services Division Policies and Procedures 2.331 Relative Guardianship Assistance Program Revised 11/12 2.331.1 Relative Guardianship Assistance The Relative Guardianship Assistance program is intended to help remove barriers for a relative guardian so that permanency is achieved for eligible youth or children. The program provides assistance to eligible relative guardians and children or youth, in a defined and limited manner as set forth in Colorado Department of Human Services, Volume VII, Section 7.311. A. The Department may make relative guardianship assistance payments and/or provide Medicaid or medical assistance following the appointment of the relative guardian by the probate court and continue the assistance until the youth has reached eighteen years of age. B. The relative guardianship assistance agreement shall be negotiated with the guardian in good faith and shall be based on the needs of the youth or child and the relative guardian's circumstances. This may be less than the amount for which the youth or child qualifies. C. The Department shall not use an income means test to determine eligibility, but may utilize financial information regarding, including the family's assets, liabilities and insurance benefits in negotiating initial agreements and any subsequent changes to the relative guardianship assistance. D. The Department determines the amount and kind of assistance to be offered based on the following: 1. The child's documented needs. 2. The relative guardian's circumstances. 3. Public community-based programs or services that the youth or child is eligible for shall be accessed first to address the needs of the youth or child before a Relative Guardianship Assistance Agreement is negotiated. E. Assistance payments and/or Medicaid or medical assistance may be provided to the relative guardian to partially assist with the needs of the youth or child. The relative guardian is not required to account for how the money was spent. Tri-annual reviews will be conducted to determine if the current type of assistance is appropriate. F. The maximum Relative Guardianship Assistance payment to relatives shall be the County Basic Maintenance rate, referenced in Section 2.321.1 Exhibit C, and is based on the age of the child at the time the Relative Guardianship Assistance agreement is signed. Note: The monthly respite care payment that is provided under the foster Adm\manss46.jag Human Services Division Policies and Procedures Note: The monthly respite care payment that is provided under the foster care program is not a benefit under the assistance program. Once a monetary Relative Guardianship Assistance rate is established, this rate is not eligible for cost of living increases. The Department may consider the additional needs of the child to determine if the Special Needs Rate for the developmentally disabled and physically disabled apply. (Referenced in Section 2.322) G. In addition to the Relative Guardianship Assistance payment, the Department may also provide Relative Guardianship Assistance Case Services on behalf of the child. Please refer to Colorado Department of Human Services, Volume VII, Section 7.311.71 for allowable Case services. The Department shall consider the monetary value of these services when negotiating the amount it will pay to relative guardians. H. The guardian shall be required to add the Weld County Department of Human Services as an Interested Person on the form JDF 827, Order Appointing Guardian for Minor. This will require that all future court filings be provided to the Department for case monitoring purposes. 2.331.2 Review of Eligibility for All Ongoing Relative Guardianship Assistance Agreements (as established in 7.311.81) A. The guardian shall submit to the Department yearly copies of the completed form JDF 834, Guardian's Report—Minor, for case monitoring purposes. B. Relative Guardianship Assistance agreements shall be reviewed every three years. The Department shall initiate a Relative Guardianship Assistance review form sixty (60) days prior to the three-year anniversary of the agreement. This review is to determine if the amount and/or kind of assistance is still appropriate given the child's needs and the circumstances of the guardian. The Department may renegotiate the current assistance at the time of each review. Documentation of any change of circumstance shall be required. C. The guardian may request a review of the agreement prior to the three- year review if changes in the needs of the child or family circumstances occur. D. School attendance shall be reviewed annually in order to assure that each child or youth that is eligible for Relative Guardianship Assistance, who have attained the minimum age for compulsory school are; 1. Enrolled (or in the process of enrolling) in elementary/secondary education, or Adm\manss46.jag Human Services Division Policies and Procedures 2. Instructed in elementary or secondary education at home in accordance with the home school statute, or 3. In an independent study elementary or secondary education program in accordance with statute, and which is administered by the local school, school district, or Board of Cooperative Education (BOCES), or 4. Incapable of attending school on a hill-time basis due to the medical condition of the youth or child. The reasons shall be supported by regularly updated information in the educational plan maintained by the school, school district, or BOCES. 2.331.3 Termination A. Weld County DHS will terminate Relative Guardianship assistance agreements when the: 1. Relative guardian requests that payments end; or, 2. Youth reaches eighteen(18); or 3. Department determines the relative guardian is no longer legally responsible for the support of the youth or child; or, 4. Youth or child is no longer receiving any support from the relative guardian; or, 5. Department verifies the child's death or marriage of a youth or child. Please refer to the Colorado Department of Human Services Volume VII, Section 7.311 on termination procedures for Relative Guardianship payments, Case services and Medicaid assistance agreements. 2.331.4 Right to appeal If the Department denies an application for relative guardianship assistance, or reduces or terminates the assistance payment, the applicant or recipient has the right to appeal using the procedures outlined in Section 3.850 (9 CCR 2503-1) and 7.311.92. When a family who has been denied Title IV-E relative guardianship assistance requests a state level fair hearing, it is the responsibility of the Administrative Law Judge to determine whether the applicant or recipient was wrongly denied eligibility or whether the amount of the relative guardianship assistance agreement was determined correction (see Section 7.306.41, E). 2.331.5 Relative Guardianship Assistance Negotiations Adm\manss46.jag Human Services Division Policies and Procedures 2.331.6 Initial Guardianship Assistance Negotiations A. The Caseworker for the child shall inform the County Negotiator when a case is ready for Relative Guardianship Assistance negotiations. The Caseworker for the child shall advise the County Negotiator of the his/her assessment of whether the child will qualify for the assistance and the reasons for that belief. All negotiations will occur with the County Negotiator rather than the Caseworker. B. The County Negotiator shall promptly mail a letter to the prospective relative guardian. The letter will include: 1. Statements advising the following: Relative guardianship assistance is available under certain circumstances; the assistance must be agreed to by all parties prior to the court appointing the relative guardianship; and the Director of Human Services has the final approval regarding the amount and kind of assistance. 2. The procedure and deadline for initiating relative guardianship assistance negotiations with the County Negotiator. Failure to respond and schedule a meeting or phone conference by the stated deadline will result in the case being put on hold. Cases in which there are meetings scheduled will take priority over cases that are on hold. If a case is put on hold, the County Negotiator will provide the Caseworker with a letter to be attached to any court letter so that the court will know the reason for the delay in initiating the Relative Guardianship Assistance. 3. A form which the relative may sign before a notary indicating that they are declining any assistance. 4. An Assessment Worksheet for the relative to complete and bring to the negotiations. This worksheet will outline the needs of the child that might pose a barrier for the permanency of the youth or child. 5. An advisement that there must be written documentation from a professional regarding any concerns or issues with the child or children and that this documentation must be submitted to the negotiator at the time of negotiations. This documentation may take the form of letters from doctors, therapists, or other professionals. The letter will also advise that any negotiations will be postponed until this documentation is available. 6. An advisement that the relative may be represented by an attorney at the meeting at their own cost if they so desire. C. The County Negotiator will meet with the relative(s) at the scheduled time. The County Negotiator will do the following: Adm\manss46.jag Human Services Division Policies and Procedures 1. Review the Weld County Guardianship Assistance Information form (WC-GA-1) with the relative(s). 2. Inform relative(s) of the general maximum monthly assistance and services available if a child qualifies. 3. Go over the Assessment Worksheet (WC-GA-3) with the relative(s). Unless the form is filled out completely and/or all professional documentation is provided, the meeting may be stopped and rescheduled by the County Negotiator until that material is provided by the relative(s). 4. The County Negotiator will match the needs identified for the child or children according to Rule 2.331 of the Weld County Department of Human Services Manual and Volume VII of the Colorado Department of Human Services and will determine the type and/or amount of assistance which the Department will offer. Depending on the complexity of the issues, this determination may occur at the meeting or in writing after the meeting. In either case, the County Negotiator will offer or mail a Relative Guardianship Assistance Acknowledgment form (WC-GA-2) outlining the offer. Note that this offer is not binding on the Department until it is approved by the Director of Human Services. D. If there is an agreement, the relative(s) will indicate this on the Guardianship Assistance Acknowledgment form by circling "agreed", signing and returning the form to the County Negotiator. The signed Guardianship Assistance Acknowledgment form will be placed in the file as documentation. The County Negotiator will prepare the State prescribed forms based on the agreement and submit these to the relative(s) for their signature. E. If no agreement is reached, the County Negotiator will present his/her recommendations to the Service Utilization Unit Supervisor. The Service Utilization Supervisor will consult with the Human Services Administrator to determine whether negotiations will continue. This decision will be made within 14 days of the date the County Negotiator refers the matter to the Service Utilization Unit Supervisor. The relative(s) shall be notified in writing from the Service Utilization Unit Supervisor whether negotiations will continue. F. When the determination is made that no further negotiations will take place, the relative(s) shall be advised of the Department's final offer in a letter from the Director of Human Services. The Guardianship Assistance Acknowledgment form reflecting the final offer will be mailed with the advisement letter along with the notice of their appeal rights and the process for appeal to an administrative law judge (AU ) at the Colorado Adm\manss46.jag Human Services Division Policies and Procedures Department of Human Services. If the acknowledgment form is received back signed and the relative(s) are in agreement, the County Negotiator will proceed forward as outlined in Step D. G. If, at any time, the relative(s) request the presence of an attorney at negotiations, the County Negotiator may request that an Assistant County Attorney be present. H. Relative Guardianship Assistance applications and renewal forms are not considered final until signed by the Weld County Director of Human Services. 2.331.7 Relative Guardianship Assistance Renewal Negotiations A. The County Negotiator shall review all guardianship cases every three years. The relative guardian may be asked to submit documentation of the youth or child's current needs. Documentation shall consist of reports or evaluations by independent professionals. B. All Title IV-E Relative Guardianship Assistance cases will be reviewed annually for Medicaid eligibility as outlined in the Colorado Department of Human Services Volume VII. C. If the County Negotiator determines that there may be a change in circumstance, procedures will be followed as set out in the initial subsidy negotiations to determine the amount of assistance. Documentation shall consist of reports or evaluations by independent professionals. D. Relative Guardianship Assistance applications and renewal forms are not considered final until signed by the Weld County Director of Human Services. E. Appeal procedures are as outlined in the initial Relative Guardianship Assistance negotiations, Section 2.331.6. Adm\manss46.jag Social Services Division Policies and Procedures DEPARTMENT OF HUMAN SERVICES PO BOX A GREELEY, CO 80632 WEBSITE: www.co.weld.co.us Administration and Public Assistance (970) 352-1551 Child Support (970) 352-6933 • COLORADO WC-GA-1 WELD COUNTY RELATIVE GUARDIANSHIP INFORMATION This document is intended to answer"Frequently Asked Questions"about the relative guardianship assistance program. It is not intended to be a substitute for legal advice. If you have specific questions about an issue,the caseworker or county negotiator may be able to explain further but it is recommended that you seek legal advice from your own attorney if questions remain. Colorado operates two relative guardianship assistance programs: 1. Title IV-E program - The federal government participates in the relative guardianship assistance agreement on behalf of youth or children who meet the eligibility criteria for the Title IV-E relative guardianship assistance program. 2. State and County-only (non-IV-E)program - The state and county participates in the guardianship assistance agreement on behalf of youth or children who are not eligible for the Title IV-E program. A youth or child can only be eligible for one type of assistance program. If a youth or child is eligible for a relative guardianship assistance, the state (through the county department) is required to enter into an assistance agreement with the relative guardian as outlined in The Fostering Connections to Success and Achieving Adoptions Act of 2008 (Public Law 110-351). All parties must sign this agreement before relative guardianship is appointed by the court. The relative guardian can waive the assistance but they must do so in writing. If an agreement cannot be reached (including whether the child is IV-E eligible), the agency determines the amount of assistance and the relative(s) are entitled to a"fair hearing" in front of an administrative law judge if they continue to dispute the amount. There are time limits and other requirements for that appeal and relative(s) should consult with an attorney if they have questions. Relative Guardianship assistance is a program that provides assistance to relative(s) in certain defined and limited ways so that permanency is achieved for an eligible youth or child. Relative guardianship assistance is intended to help or remove financial or other barriers for a relative guardian of a Colorado youth or child by providing assistance to the relative guardian to care for and raise the youth or child Adm\manss46.jag Social Services Division Policies and Procedures Eligibility Requirements Eligibility requirements for the prospective relative guardian and youth and/or child must be documented in the Family Services Plan in the State automated system and are as follows: 1) For the purpose of the Relative Guardianship Assistance Program, a relative is defined as : a. An adult who is related to the youth or child in the fifth (5th) degree of kinship; b. Related to the youth or child through marriage or adoption; c. A person ascribed by the family as having a family-like relationship; or, d. An individual that had a prior significant relationship with the youth or child. 2) The most recent removal occurred through a court order, or a voluntary placement agreement. 3) The prospective relative guardian was the certified kinship family foster care parent for the youth or child for a minimum of six (6) consecutive months while the youth or child resided in the home, excluding breaks in full certification due to provisional or probationary certificates being issued, or other adverse action taken regarding the certificate; and, 4) Reunification and adoption are not appropriate permanency goal options for the youth or child; and, 5) The youth or child demonstrates a strong attachment to the relative; and, 6) Youth who are age twelve (12) or older are consulted about their expressed wishes to be placed in a relative guardianship (refer to Colorado Department of Human Services, Volume VII, Section 7.311.2, A); and, 7) The prospective relative guardian has a strong commitment to caring for the youth or child permanently; and, 8) The reason why permanent placement with a prospective relative guardian and receipt of a Relative Guardian Assistance payment is in the best interests of the youth or child. Weld County DHS determines the amount and kind of assistance based on the following: 1) The documented needs of the youth or child at the time of the relative placement. 2) The circumstances of the relative guardian. 3) Public community-based programs or services that the youth or child is eligible for shall be accessed first to address the needs of the youth or child before a Relative Guardianship Assistance Agreement is negotiated. Adm\manss46.jag Social Services Division Policies and Procedures The Department shall utilize financial information regarding the family including assets, liabilities and insurance benefits in negotiating initial agreements and any subsequent increases in relative guardianship assistance. Adm\manss46.jag Social Services Division Policies and Procedures Relative Guardianship Assistance Service Available Medicaid 1) Title IV-E Assistance Agreements a. Youth or children who are eligible to receive a Title IV-E relative guardianship assistance payment are categorically eligible for Medicaid. A relative guardianship payment of at least ten dollars ($10.00) is required to extend Medicaid coverage. b. Medicaid eligibility shall be continued for IV-E eligible children who are out of the home for more than 30 calendar days unless it is determined that they are eligible for Medicaid under another program by completing the State Department's prescribed from. c. Medicaid eligibility for all youth or children receiving a Title IV-E Relative Guardianship Assistance shall be re-determined annually only if the child continues to be eligible for Medicaid. This can be done by completing the State prescribed form or completing a form letter that the child(ren) continues to be eligible for Medicaid. This form letter shall be sent to other states by the county department to ensure continuation of Medicaid for a child who is residing out of state. 2) State-County (Non-Title IV-E) Assistance Agreements a. Youth and children who are eligible for a relative guardianship assistance agreement, but are not Title IV-E may be eligible for Medicaid through other categories of assistance; and/or, Temporary Assistance for Needy Families (TANF). These programs may require an application for enrollment and are subject to approval based on eligibility guidelines as set forth for each program. b. Medicaid eligibility shall be redetermined annually only when the youth or child continues to be eligible for Medicaid. This shall be completed on the State Department's prescribed form. Non-recurring Relative Guardianship Expenses 1) The relative guardian shall be reimbursed total costs of non-recurring expenses associated with obtaining relative guardianship, not to exceed $2,000 per youth or child. Non-recurring expenses are used in order to facilitate achievement of the guardianship for: a. Legal fees. b. Fees for relative guardianship, or Adm\manss46.jag Social Services Division Policies and Procedures c. Other expenses related to the relative guardianship of the youth or child, such as cost of the SAFE home study and a SAFE update related to the prospective relative guardianship completed by the Department. 2) The county department shall decide if a youth or child who is in a Relative Guardianship Assistance agreement and for whom reimbursement is being requested meets the criteria. 3) Documentation for non-recurring relative guardianship expenses: a. The county department shall use the State Department's prescribed form prior to the court appointing the relative guardianship. b. The prospective relative guardian shall provide evidence of the needs of the youth or child. c. Provide evidence that the family has a Structured Analysis Family Evaluation (SAFE) kinship family foster care home study and a SAFE update related to the prospective relative guardianship. d. Provide an itemized statement of the expenses to be reimbursed within (1) one year from date of the probate court appointment of the relative guardianship. Relative Guardianship Assistance- The county department may authorize the following types of relative guardianship assistance agreements: 1) Long-Term Relative Guardianship Assistance Agreement - To partially meet the daily needs of a youth or child indefinitely. A long-term agreement is made when the relative guardian's financial situation is a barrier to achievement of relative guardianship and where it is unlikely to change. It may also occur when the needs of the youth or child creates an excessive hardship on the relative guardian's financial and emotional resources. This type of monthly payment may continue until the circumstances change for the youth, child, or the relative guardian, or the agreement terminates as outlined in the Relative Guardianship Assistance Agreement. 2) Time-Limited Relative Guardianship Assistance Agreement - To partially meet the daily needs of the youth or child for a specified period. Funds may be used for start-up costs for items that the youth or child placed in relative guardianship may not have, such as sufficient clothing. The agreement partially covers unmet needs that are time-limited and non-renewable. 3) "Core" Relative Guardianship Assistance Agreement(Title IV-E only) - means there is a minimum monthly assistance payment of at least ten dollars ($10.00) and Medicaid provided. The Department shall document any specific needs that may occur in the future for the youth or child in the services records and in the State Department's automated system. The agreement identifies a Adm\manss46.jag Social Services Division Policies and Procedures potential need for increased financial relative guardianship assistance that may be activated at a future time. 4) "Dormant" Relative Guardianship Assistance Agreement (Non-Title IV-E only) - means there is no adoption assistance payment provided. The Department shall document any specific needs that may occur in the future for the youth or child in the services record and in the State automated system. The agreement identifies a potential need for financial relative guardianship assistance that may be activated at a future time. Medicaid benefits may be accessed (Refer to the Medicaid section of this form). Medical Payments 1) Medical payments in Relative Guardianship Assistance agreements may be used to supplement any other available resource such as a relative guardian's private insurance that pays part but not all of the treatment (physical, mental, and emotional) for the youth or child. a. Payments are made directly to relative guardians for a service already received or to a vendor for the treatment of physical, developmental disabilities, or an emotional disturbance. b. Shall relate directly to the barrier or barriers identified at the time the initial agreement is approved. 2) The payments are not available for treatment of any physical, developmental disability, or emotional disturbance diagnosed after the court appointment of the relative guardianship. 3) The payments may only be used for Medicaid cases if the service requested is a service that is not covered under the state Medicaid plan and relates to a need identified at the time the youth or child is placed in relative guardianship. 4) The payments for medical services shall reflect the reasonable costs of those services in the community where the youth or child resides Reimbursable and Non-Reimbursable Relative Guardianship Assistance Case Services Case services are a type of purchased program services that support a case plan for youth and children in Relative Guardianship Assistance. Case services are provided to meet the special needs of a youth or child that were identified when the youth or child is placed into a relative guardianship and which are not covered by the Relative Guardianship Assistance or Medicaid assistance agreements. The following are examples of reimbursable and non-reimbursable expenses allowed under Case services: Adm\manss46.jag Social Services Division Policies and Procedures 1) Medical a. Orthodontia 1. Cosmetic Reasons - not reimbursable. 2. Special Needs directly related to the reason for which the youth or child was classified as special needs, e.g. cleft palate or injury related to an abuse will be reimbursable. b. Eye Glasses 1. Eye glasses are not reimbursable using case services dollars as Medicaid pays for one (1) pair of glasses per year. 2. Payment for additional eye glasses in a year or contacts related to the child's special needs identified at the time of the initial Relative Guardianship Assistance agreement are reimbursable. c. Medication 1. Routine that is not related to the child's special needs - not reimbursable. 2. If related to the special needs of a youth or child - reimbursable. The medication must be prescribed by a licensed physician and related to the special need identified at the time the youth or child was approved for Relative Guardianship Assistance. d. Special Therapies - Speech, Occupational, and Physical 1. If not available through other community and family resources - reimbursable. Youth and school-age children should receive these services through the education system. 2. When these services are available in hospitals and clinics - not reimbursable as Medicaid covers these costs. e. Special Equipment 1. Special medical needs/equipment, as prescribed by a physician may be reimbursable. For a youth or child who is severely physically challenged; special exceptions should not exceed $2,000 without a supervisor's written authorization. 2) Psychological Services a. Time-limited out-patient therapy for youth or child living in state that do not accept Medicaid for this service - reimbursable, if related to the child's special needs of the youth and child and a written plan is obtained from the service provider which contains: 1. Diagnosis. 2. Prognosis. 3. Length of service. 4. Individuals who will be seen in therapy. 5. A cap on the amount of money to be spent for the psychological exam or therapy. 6. Frequency of contact (i.e., once a week, twice a month, etc.). Adm\manss46.jag Social Services Division Policies and Procedures 7. Type of therapy being provided (i.e. individual, group, family, etc.). b. If time-limited out-patient therapy is available using Medicaid - not reimbursable. c. Day Treatment - not reimbursable as Medicaid provides for this service. d. Residential Child Care Facility - not reimbursable as Medicaid provides for this service. e. In Patient Psychiatric Hospitalization - not reimbursable as Medicaid provides for this service. (Children who are Medicaid eligible may receive some in- patient psychiatric services under the Medicaid Program.) 3) Education Costs a. Tutoring - not reimbursable. Education systems are required to provide all youth and children with special needs a free appropriate public education. b. School Tuition - not reimbursable. There will be no reimbursement for tuition expenses through the Relative Guardianship Assistance Program. If the relative guardian chooses for the youth or child to remain in a current private school placement, this is an expense for which the relative guardian is responsible. 4) Respite and Day Care a. Respite Care- reimbursable. b. Day Care - not reimbursable 5) Other Relative Guardianship Assistance Case Services Relative Guardianship Assistance case services for youth and children who are Title IV-E or non-Title IV-E may be provided for a specified time to provide needed services. It is required that these time-limited services/funds are clearly provided on a case-by-case basis. This requirement must be clearly documented in the agreement. Termination of Relative Guardianship Assistance agreements The county department shall terminate Relative Guardianship Assistance agreements when the: 1) Relative guardian requests that payments end; or, 2) Child reaches age eighteen (18); or, 3) The Department determines the relative guardian is no longer legally responsible for the support of the youth or child; or, Adm\manss46.jag Social Services Division Policies and Procedures 4) Youth or child is no longer receiving any support from the relative guardian; or, 5) County of responsibility verifies the death or marriage or a youth or child. Review of eligibility for all Relative Guardianship Assistance agreements 1) The County shall initiate the written notice of the review for Relative Guardianship Assistance sixty (60) days prior to the three (3) year anniversary of the agreement. 2) The relative guardian may request a review of the agreement prior to the three-year review if changes in the needs of the child or family circumstances occur. 3) Any changes in the needs of the youth or child shall relate to the original barrier(s), identified at the time the decision was made that Relative Guardianship Assistance was needed. The county department shall not include additional needs for Relative Guardianship Assistance payments after the court appointment of the relative guardianship unless genetic in nature. Review of school attendance 1) The County shall initiate a annual written request for verification of school attendance from the guardian(s) to assure that each child or youth that is eligible for Relative Guardianship Assistance, who have attained the minimum age for compulsory school are; a. Enrolled (or in the process of enrolling) in elementary/secondary education, or b. Instructed in elementary or secondary education at home in accordance with the home school statute, or c. In an independent study elementary or secondary education program in accordance with statute, and which is administered by the local school, school district, or Board of Cooperative Education (BOCES), or d. Incapable of attending school on a full-time basis due to the medical condition of the youth or child. The reasons shall be supported by regularly updated information in the educational plan maintained by the school, school district, or BOCES. Right to appeal 1) When the county department denies an application for Relative Guardianship Assistance, or reduces or terminates the assistance payment, the applicant or recipient has the right to appeal. Using procedures outlined in Section 3.850 (9 CCR 2503-1). 2) When a family who has been denied Title IV-E Relative Guardianship Assistance requests a state level fair hearing, it is the responsibility of the Administrative Law Judge to determine whether the applicant or recipient was wrongly denied eligibility Adm\manss46.jag Social Services Division Policies and Procedures or whether the amount of the Relative Guardianship Assistance agreement was determined correctly (see Section 7.306.41, E). 3) The relative guardian has the burden of proving extenuating circumstances and Relative Guardianship Assistance eligibility at a state level fair hearing. The state and/or its designee can provide factual information to assist the family in establishing eligibility for Title IV-E Relative Guardianship Assistance. 4) When either State or Federal law requires or results in a reduction or deletion of services, a hearing shall not be granted. Additional Program Eligibility Youth ages 16 to 21 who have a Relative Guardianship Assistance agreement and who met such requirements prior to their 18th birthday, may be eligible for the Chafee Foster Care Independence Program. Adm\manss46.jag Social Services Division Policies and Procedures The offer contained on this acknowledgment is not considered final until the CWSA-1,2 &3 are approved Weld County Department of Human Services Relative Guardianship Assistance Information Acknowledgment WC-GA-2(Revised 11/12) Identified below are the proposed Relative Guardianship Assistance benefits for your child. Please review each of the possible benefit categories being offered. At the bottom of this form you will need to CHECK Agree or Disagree, sign and date before returning the form to the county Relative Guardianship Assistance Negotiator. If you do not agree with the following proposal you will need to attach a letter documenting the exact benefits you are requesting, including a specific dollar amount if applicable, how the requested benefits will be used to address your child's special needs, and any other relevant information that will need to be taken into consideration for negotiations. Also included is a short summary explaining how the Relative Guardianship Assistance proposal was determined when taking into consideration your child's specific special needs, your family's circumstances, and the additional resources and services available to meet your child's needs. Please be advised that per Human Services Division Policies and Procedures 2.331.6 (C)(4) this initial proposal is not binding and is subject to final approval by the Director of Human Services. Once an agreement has been reached, the formal state Relative Guardianship Assistance forms will be generated and processed for all required signatures and approval. 1. Relative Guardianship Expenses - ® Eligible ❑ Ineligible Non-Recurring Relative Guardianship Expenses (applicable for initial agreement only). There is a $2,000.00 ceiling for non-recurring Relative Guardianship expenses for legal fees. 2. Medicaid - ® Eligible ❑ Ineligible Program Type: n Title IV-E Assistance n State/County Assistance 3. Maintenance - Program Type: n Title IV-E Assistance n State/County Assistance Maintenance Type: (Select one) A. n "Dormant" (Non-Title IV-E only) Medicaid only Relative Guardianship Assistance means, no Relative Guardianship assistance payment is provided at this time; however, due to the previously described special needs, there exists the potential need for services. If this is a Medicaid only Relative Guardianship agreement, it will be reviewed as the child ages or the family circumstances change. B. Fl "CORE" (Title IV-E only) Adm\manss46.jag Social Services Division Policies and Procedures A minimum monthly payment of at least ten dollars ($10.00) and Medicaid provided. The Department shall document any specific needs that may occur in the future for the youth or child in the services records and in the State Department's automated system. The agreement identifies a potential need for increased financial relative guardianship assistance that may be activated at a future time. C. ❑ Time-Limited—Duration/Stipulations: *Monthly Rate $ D. ❑ Long-Term (ongoing) *Monthly Rate $ Total Daily Rate: $ *Assistance payments are paid based on a daily rate; monthly rates shown are approximate amounts only and may vary from month to month. 4. Relative Guardianship Case Services ❑ Not applicable at this time n One-Time n Ongoing (Description): 5. Other(Description): Description of the barriers to Relative Guardianship: Justification for the proposed Relative Guardianship assistance: Non-Recurring Relative Guardianship Expenses - Medicaid - Relative Guardianship Case Services - $ Maintenance - **Please note, that if a monthly maintenance or change in service is needed in the future, a request can be made to the Department as the need arises. Written requests must be directly related to the special needs identified in the original Relative Guardianship Assistance Agreement that all parties signed prior to appointment and will be subject to funds available. I/We do hereby acknowledge receipt of the information pertaining to the Relative Guardianship Assistance Program and have discussed a Relative Guardianship Assistance with the county negotiator. Adm\manss46.jag Social Services Division Policies and Procedures I/We do hereby, AGREE ❑ DISAGREE ❑, on the above proposed Relative Guardianship Assistance benefits, relative to the appointment of guardianship of Guardian Signature Date Guardian Signature Date County Negotiator Signature Date The offer contained on this acknowledgment is not considered final until the CWS-RGA 1 or 4 and CWS-RGA 2 or 5 are approved and signed by the Weld County Director of Human Services. Adm\manss46.jag Social Services Division Policies and Procedures ASSESSMENT WORKSHEET FOR RELATIVE GUARDIANSHIP ASSISTANCE WC-GA-3 1. BEHAVIOR MANAGEMENT - Does the child have emotional impairment and/or behaviors which require special or extensive involvement by the relative(s) in scheduling and monitoring of time and/or activities and/or crisis management? If yes, please explain. 2. THERAPY/COUNSELING - Does the child attend therapy/counseling sessions? If yes, what is the reason and how often does the child go? 3. EDUCATION - Does the child have any special educational requirements? If yes, please explain. 4. PHYSICAL OR MEDICAL IMPAIRMENTS - Does the child have any physical or medical impairments requiring daily medically prescribed therapy or procedures (i.e. daily medication, etc.) If yes, please explain. 5. OTHER NEEDS TO CONSIDER - Does the child have any other needs that should be considered for a Relative Guardianship assistance? If yes, please explain. *** Please include professional documentation on questions answered "Yes". (i.e. letters from doctors, therapist, etc.) Adm\manss46.jag Social Services Division Policies and Procedures Relative Guardianship Resource Questionnaire WC-GA-4(Revised 11/12) Child(ren)'s name: Date: *** Please complete the following questions and attach a copy of your most recent tax return. This information is required by the Federal and State rules governing the Relative Guardianship Assistance Program.*** 1) What is your family's gross monthly income? (Do not include foster or subsidy payments) 2)Number of persons supported by that income: 3) Total of persons in home: 4) List additional financial sources and amounts available to members of the household (i.e. foster care, guardian assistance, child support, social security, rental property, etc.): 5) Does anyone in your family have unusual costs, such as medical or educational? Yes No If yes, please explain: 6) What financial resources, other than your income, are available to meet the child's needs? (Indicate amount by appropriate category) $ SSD (disability of parent) include a copy of letter from Social Security Admin.(SSA) $ SSA (survivor's/death of birth parent) include copy of the letter from SSA. $ SSI (child's disability) include a copy of the letter from SSA. $ Child Support (being received by adoptive family) $ Other(Specify) 7) Will the child become eligible for additional benefits once guardianship is obtained by you? (Indicate kind of benefits and amounts) 8) In thinking about the needs of this child and the resources (financial, extended family, community services, school resources, etc.) available to your family, what will be required in addition to those resources to continue support of this child in your household? Attach additional page if needed. Adm\manss46.jag Social Services Division Policies and Procedures 9) Will the youth/child(ren) be added to your medical insurance policy? Yes No (If yes, complete the following): Effective Date of Child' Coverage: Name of the Insurance Company: Address (street, city, state, zip): Name of Policy Holder: Social Security Number: Group/Plan#: Policy ID#: 10) Are you capable of providing for and meeting your child's SPECIAL NEEDS without the Relative Guardianship Assistance Program? Yes No Optional Comments: 11) Do you feel finances are a barrier to your ability to meet the SPECIAL NEEDS of your child? (Not including BASIC needs or expected parental responsibilities, such as food, shelter, clothing, child care, extracurricular activities, education expenses, etc.) Yes No Optional Comments: 12) If a monetary payment is being requested please indicate the exact amount, the reason for the request, and details of how the money will be spent. You will also need to provide supporting documentation that the services provided are required to address your child's special needs. Attach additional page if needed. 13) Do you require a specific service to be provided and/or paid for to meet your child's special needs on a short term basis and for a limited period of time? Yes No If yes, please indicate the exact cost of the service, the provider, company or organization being used, and the length of time the service is needed. You will also need to provide supporting documentation that the service provided is required to address your child's special needs. Attach additional page if needed. Adm\manss46.jag Social Services Division Policies and Procedures REFUSAL OF RELATIVE GUARDIANSHIPASSISTANCE I/We, do affirm that on this day Name of the relative guardian Date The Weld County Department of Human Services has informed me of the availability of a relative guardianship assistance in the appointment of guardianship of Name of Child or Youth I have conferred with my legal counsel, or I am choosing not to consult with an attorney, and I acknowledge that the Relative Guardianship Assistance is optional. The Weld County Department of Human Services has advised me of the Relative Guardian Assistance Program, and at this time, I am informing you of my refusal of any Relative Guardianship Assistance that the Weld County Department Human Services may be able to offer to me. Relative Guardian Signature Date Relative Guardian Signature Date Notary Signature Date Department Signature Date Notary Seal My commission Expires: Adm\manss46.jag Hello