HomeMy WebLinkAbout20072148.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 Social 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 Social 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 30th day of July, A.D., 2007.
BOARD OF COUNTY COMMISSIONERS
WI COUNTY, COLORADO
��� ��i/ ,� I C
ATTEST: � � i., ,v , � �
id E. Long, Chair
Weld County Clerk to the B
dliam H. Jeem
BY: �l fis
Deputy Cle to the Board
Willi . ar is
APPR AST A.
Robert D. Masden
o ney
ougla ademacher
Date of signature:
2007-2148
S/90934
C'(' : 5S 0,454 s/d 7
a
DEPARTMENT OF SOCIAL SERVICES
P.O. A BOX
GREELEY, CO. 80632A
Website: www.co.weld.co.us
Administration and Public Assistance(970)352-1551
Child Support(970)352-6933
WIiDc
COLORADO
MEMORANDUM
TO: David E. Long, Chair Date: July 24, 2007
Board of County Commissioners
FR: Judy A. Griego, Director, Social Services"/ °qe\el+It
RE: Revisions to Section 2.000, Social Serviced 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 at the Board's Work Session held on July 23, 2007.
The purpose of the revisions is to provide Child Placement Agency(CPA) Providers a cost of
living increase of 2.5%. This increase is in accordance with the"Long Bill" authorizing cost of
living increases of 2.5%to providers for SFY2007-2008. The estimated cost of the increase is
$21,600 per year.
If you have any questions, please telephone me at extension 6510.
Reference:
2.327.1,Reimbursement Rate
Exhibit B,Northern Consortium of Counties Needs Based Care Assessment
Exhibit C,Weld County Department of Social Services Needs Based Care Rate Table
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2007-2148
Social Services Division Policies and Procedures
2.327 Child Placement Agencies
Added 1/02
Revised 10/29/02 The Department has established and will reimburse the Child Placement
Agencies (CPA) by the method in this manual as outlined in Section
2.320.1.
2.327.1 Reimbursement Rate
Revised 10/29/02 A child specific Needs Based Care Assessment half tiered system,
Revised 6/06 designated as Exhibit B shall be used to determine levels of care for each
Revised 8/06 child placed within a CPA. The assessment will be filled out by the
Revised 7/07 county caseworker that is placing the child. The specific rate of payment
will be paid for each level of service as recorded by the Needs Based Care
Assessment. The reimbursement rate for these levels will be indicated by
the Needs Based Care Rate Table, designated as Exhibit C. Once rates
have been established, the Needs Based Care Addendum, designated as
Exhibit D, will be completed by the County Rate Negotiator to outline the
total rate of reimbursement for the out-of-home care of the child. This
addendum will be effective from the time of placement until the end of the
Colorado fiscal year, June 30, unless otherwise negotiated. The Needs
Based Care forms have been adopted from the Northern Consortium of
Counties. *Effective July 1, 2007, providers received a 2.5% increase to
the Child Maintenance rate and the use of the new half tiered Needs Based
Care Assessment tool and Rate Table was established.
2.327.2 Rate Re-Evaluations and Adjustments
Added 10/29/02
A. The rates that are established in the Needs Based Care addendum
will be re-evaluated and/or adjusted as outlined in the
Department's Operations Manual, Section 2.902.2.
B. The rates may be negotiated at any time based upon the changing
service needs of the child.
*Footnote: Effective October 1,2001, all providers received a 2.5%increase in administrative
overhead rate.
Effective July 1, 2006,providers received a 3.25%COLA to the administrative
overhead rate.
NORTHERN CONSORTIUM OF COUNTIES
NEEDS BASED CARE ASSESSMENT
(Exhibit B)
IDENTIFYING INFORMATION
CHILD'S NAME STATE ID# ISEX F tTRAI LS CASE ID jDOB
WORKER COMPLETING ASSESSMENT HH# I IRATE OF ASSESSMENT
AGENCY NAME PROVIDER NAME IPROVIDER TRAILS ID
ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT
• For each question below,please select the response which most closely applies to this child.
THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE:
P 1. How often does the child require transportation by the foster care provider for the following: Therapy; Medical
Treatment; Family Visitation; Extraordinary Educational Needs; etc.,as outlined in the treatment plan?
['Basic Maint.)Less than one round trip a week 01)One round trip a week 01%)2 round trips a week
92)3-4 round trips a week. 02%)5 round trips a week 03) 6 round trips a week
❑3''/)7 round trips or more
P 2. How often is the foster care provider required to participate in child's therapy or counseling sessions?
0 Basic Maint.)No participation required 01)Once a month ❑1%:)Two times month
02)Three times a month 02%)Once a week 03)Two times a week
03%)Three times a week or more
P 3. How much time is the provider required to intervene at home and/or at school with the child in conjunction with a
regular or special education plan?
❑Basic Maint.)No educational requirements 01)Less than a '//hour per day 01%) 'A hour a day
❑2) 1 hour a day 02 %) 1'/,-2 hours per day 03)2'A-3 hours per day
03%)More that 3 hours per day
P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time
and/or activities and/or crisis management?
0 Basic Maint.)No special involvement needed ❑1)Less than 5 hours per week ❑1%x) 5 to 7 hours per week
02) 8 to 10 hours per week 92%) 11 to 14 hours per week
❑3)Constant basis during awake hours ❑3%z)Nighttime hours
P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with
feeding, bathing,grooming,physical,and/or occupational therapy?
9 Basic Maint.)0-2 hours per week ❑1)3 to 4 hours per week 01%)5 to 7 hours per week
02) 8 to 10 hours per week 02%) 11 to 15 hours per week ❑3) 16 to 20 per week
03%)21 or more hours per week
A 1. How often is CPA/County case management required?(Does not include therapy)
❑Basic Maint.)Face-to-face contact one time per month with child and no crisis intervention.
(i.e.mutual care placements.)
❑1)Face-to-face contact one time per month with child and minimal crisis intervention.
❑1'/)Face-to-face contact one time per month with child and occasional crisis intervention.
❑2)Face-to-face contact two times per month with child and occasional crisis intervention.
02%)Face-to-face contact three times per month with child and occasional crisis intervention.
03)Face-to-face contact weekly with child and occasional crisis intervention.
03%)Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination
of multiple services.
**Please Note: The Case Management level may be assessed on a combined basis if a sibling group,or more than one
County foster child is with the same provider.
T 1. How often are therapy services needed to address child's individual needs per NBC assessment?
❑0)Not needed or provided by another source(i.e.Medicaid) ❑1)Less than 4 hours per month
❑2)4-8 hours per month ❑3)9-12 hours per month
1 As of 7/01/07
WELD COUNTY DSS
NEEDS BASED CARE ASSESSMENT
(Exhibit B)
BEHAVIOR ASSESSMENT
Please rate the behavior/intensity of conditions which create the need for services that apply to this child.
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Aggression/Cruelty to Animals
❑ ❑ ❑ ❑
Verbal or Physical Threatening
O O ❑ O
Destructive of Property/Fire Setting
❑ O O ❑
Stealing
❑ O ❑ ❑
Self-injurious Behavior
❑ O O ❑
Substance Abuse
❑ O O O
Presence of Psychiatric
Symptoms/Conditions O O ❑ O
Enuresis/Encopresis
❑ ❑ ❑ ❑
Runaway
❑ O O ❑
Sexual Offenses
❑ O ❑ ❑
2 As of 7/01/07
BEHAVIOR ASSESSMENT CONTINUED
(Exhibit B)
Please rate the behavior/intensity of conditions which create the need for services that ap•ly to this child.
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Inappropriate Sexual Behavior
❑ 0 ❑ ❑
Disruptive Behavior
❑ 0 0 0
Delinquent Behavior
❑ 0 ❑ ❑
Depressive-like Behavior
❑ 0 ❑ ❑
Medical Needs
(If condition is rated"severe",please complete ❑ ❑ ❑ ❑
the Medically fragile NBC)
Emancipation
❑ El ❑ ❑
Eating Problems
El ❑ ❑ ❑
Boundary Issues
❑ ❑ ❑ 0
Requires Night Care
❑ ❑ 0 0
Education
❑ ❑ ❑ ❑
Involvement with Child's Family
❑ ❑ ❑ 0
CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT:
(check level of need) ❑ 0 ❑ 1 ❑ 2 ❑ 3
3 As of 7/01/07
WELD COUNTY DEPARTMENT OF SOCIAL SERVICES
NEEDS BASED CARE
RATE TABLE
(Exhibit C)
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s602 ,.662626 61 ,=_-6k :{:r.V +.i &+"0s . - .,. .. ..,`3..... . PV .i a ."s. ..vim ,6!';'2,6136:6626241S666'2,6:666
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Age 0-10...$16.32($496) ;Basic Maint $4.93 day/$150 month Level 0 $0
County Age 11-14...$18.05($549) F No crisis intervention, Minimal CPA I; Therapy not needed or provided by ' Level 0 $0
Basic (None)
Maint. F Age 15-21...$19.27($586) °involvement,one face-to-face visit another source,i.e.mental health
+$.66 Respite Care($20) 5 with child per month. +*
G $19.73 Level 1 $8.22 day/$250 month Level 1 $4.93/$150 month
II
1 F +$.66 Respite Care q Minimal crisis interention as needed, Regularly scheduled therapy,
Y. Level 1 $2.99
55, I5FI
one face-to-face visit per month with child, up to 4 hours/month.
($20.39 day/$620 month) T; 26
2-3 contacts per month V!
s $23.01
1 1/2 t 4.66 Respite Care Level 1 1/2 $9.86 day/$300 month —
($23.67 day/$720 month) '' T.
,
$26.30 I1 Level 2 $11.51 day/$350 month Level 2 $9.86/$300 month !.
I
2 ' 4.66 Respite Care Occasional crisis intervention as needed Weekly scheduled therapy, r
Level 2 $4.47
two face-to-face visits with child, F 5-8 hours a month with 4 hours of If
II ($26.96 day/$820 month)
2-3 contacts per month - group therapy.
$29.59
2 1/2 III 4.66 Respite Care Level 2 1/2 $13.15 day/$400 month
($30.25 day/$920 month) S
$32.88 Level 3 $14.79 day/$450 month ' Level 3 $14.79/$450 month
II
4.66 Respite Care - Ongoing crisis intervention as needed, Regularly scheduled weekly
3 weekly face-to-face visits with child, multiple sessions,can include more I Level 3 $6.02
F ($33.54day/$1020 month) and intensive coordination of $ than 1 person,i.e.family therapy,
multiple services. s for 9-12 hours/monthly.
II
$36.16 II:
3 1/2 t 4.66 Respite Care I' Level 3 1/2 $16.44 day/$500 month h FI
($36.82 day/$1,120 month)
$39 45 If Level 4 $18.08 day/$550 month F Level 4 $14.79/$450 month
II +$.66 Respite Care Ongoing crisis intervention as needed, I Regularly scheduled weekly FF
4 ! ff '
RTC Dro which includes high level of case . multiple sessions,can include more Level 4 Neg.
P44
Down management and CPA involvement with tR than 1 person,i.e.family therapy, ",
($40 77 day/$1220 month)
n child and provider and 2-3 face-to-face F for 9-12 hours/monthly.
I T I
contacts per week minimum.
aI.
Assess t $26.96 day/$820 month 5
III
Rate v (Includes Respite) 5 VI
$11.51 day/$350 month s
d r
Admin.Overhead Rate: As of 7/01/07
$6.25 day/$190.00 month
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