§4 ch11: Financial Support Planning
Attachment A: Standard Payment Rate for Foster Family Alternative Care
|Type of Expenditure||Age Limitation||Amount Payable|
|1. Maintenance (includes room and board, clothing and incidentals)|| 0-5 years
13 and over
|2. Infant Allowance||0-3 years||$50.00|
|3. Annual Clothing Allowance||0-5 years
13 and over
|4. Special Medical Expense||all ages||MO HealthNet or Contract Rate|
|5. Special Non-medical Expense||all ages|
|6. Children’s Treatment||all ages||Contract Unit Rate|
|7. Residential Treatment (includes room and board)||all ages||Contract Unit Rate|
|8. Youth with Elevated Needs-Level A/Medical Foster Care (ICPC resource providers are not eligible for this payment)||all ages||$777|
|9. Youth with Elevated Needs-Level B Foster Care (ICPC resource providers are not eligible for this payment)||all ages||$1549.00|
|10. Level B Resource Provider Respite Care||0-12 years
13 and over
|$45.00 per 12-24 hours
$22.50 per 6-12 hours
$50.00 per 12-24 hours
$25.00 per 6-12 hours
|11. Traditional Respite Care||0-12 years
13 and over
|$25.00 per 12-24 hours
$12.50 per 6-12 hours
$30.00 per 12-24 hours
$15.00 per 6-12 hours
|11. Level B Resource Provider Availability/Transitional Services||all ages||$21.00 per day for up to 90 days|
|12. Professional Parenting Payment (for all ages $100.00 per month Traditional, Medical and Level A Foster Care. ICPC, Level B and Emergency resource providers are not eligible for this payment)||all ages||$100.00 per month|
|13. Emergency Foster Family Home (for licensed Foster, Relative, Kinship Providers)||all ages||$22.00 per day for up to 60 days|
The maximum rate established for maintenance payment may be exceeded only in special circumstances involving children with exceptional needs. No exception may be made for payment exceeding these standards unless prior approval is received from the Regional Director or the child is authorized to make use of a special alternative care program such as medical foster care or Level A foster care.
* (May be exceeded in individual cases, with Regional Director approval.)
- Maintenance payment includes expenses related to the foster child’s daily living needs i.e., room and board, clothing, and incidentals.
- Infant allowance is paid for children from birth up to their third birthday to help defray the additional costs for providing for the specific needs of infants; i.e., formula, diapers, special food, extra clothing, and supplies.
- Maintenance payment and infant allowance, when allowable, and using the following guidelines, may be continued for children who temporarily leave a placement:
- As provided in the individual case plan and agreed to by the State Agency. This includes frequent in-home visits, with parents or perspective adoptive parents, hospitalization, or camp, etc., as long as placement remains with foster/relative parents and the plan is for the foster youth to return to the placement home. For residential treatment, this may not exceed a maximum of thirty (30) days during any twelve (12) month period.
- Up to seven (7) days for each period of time the child is absent for the reasons of runaway, in-patient hospitalization, or detention, or;
- For children in residential treatment, up to five (5) days per month for the purpose of visiting with birth parents or a "substitute family," (includes prospective adoptive parents.)
If a Traditional, Medical or Level A resource family needs a temporary break in child care responsibilities, respite care may be arranged with a contracted Respite provider. The licensed resource home shall continue to receive the regular foster care payment only while the child is in policy defined respite care units; 12 units per year or 14 units plus one weekend a month for elevated needs level B. On a case by case basis, the worker may request supervisor approval for up to 20 units of respite for a resource provider per foster youth. Regional Director or designee approval is required for more than 20 units.
Documentation of the approval must be maintained by attaching it to the Respite Unit Tracking Log, CD-113, and the Payment Request.
- Maintenance and infant allowance payments begin with the date of the first night the child resides with a provider. It ends effective with the date of the last night the child resides with a provider.
- Level B resource providers are encouraged to use respite care a minimum of one weekend per month plus 14 days per year. Respite Care will be provided for all foster children in the Level B home at the same frequency regardless of Level of Care, i.e., Traditional, Youth with Elevated Needs, etc. Respite care does not have to be provided for all children in the Level B home at the same time. Level B resource providers may determine the actual time(s) to use respite based on the individual needs of the child (ren) in their home, and family. Respite care is to be provided by another trained Level B Resource Parent Respite Care Provider under contract with the Division. Both the Level B resource parent and respite provider will continue to receive their annual reimbursement during periods of respite.