Department for Community Based Services

Standards of Practice Online Manual

12.18 Specialized Foster Care Services

Cabinet for Health and Family Services

Department for Community Based Services
Division of Protection and Permanency
Standards of Practice Online Manual
Chapter 12-Resource Family Recruitment, Certification and Reimbursement
12.18 Specialized Foster Care Services

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Legal Authority/Introduction



The R&C Worker:

  1. Provides to the FSOS the recommendation for a resource home parent, if deemed appropriate, to receive specialized foster care training.


  1. Determines if the resource home parent possesses the aptitude for fostering a child in a specialized placement; 
  2. Approves the resource home parent to attend training for the types of care listed below if it is determined that the parent possesses the aptitude for fostering a child needing specialized foster care services:
    1. Emergency shelter foster care;
    2. Medically fragile child;
    3. Specialized medically fragile child; or
    4. Care plus child;
  3. Provides written notification of a decision to the resource home parent(s) who are requesting specialized training within thirty (30) calendar days of the request.

Practice Guidance

  • Specialized foster care services include:
    • Emergency shelter;
    • Medically fragile;
    • Specialized medically fragile; or
    • Care plus.
  • A resource home parent does not have an entitlement to provide specialized foster care services.
  • A resource home parent requests the recommendation of the R&C worker prior to enrolling in specialized training per 922 KAR 1:350, 11(a).
  • A resource home may receive a specialized foster care per diem reimbursement rate only if:
    • The needs of the individual child warrant the rate; and
    • The resource home has successfully completed the required specialized training for the type of services to meet the needs of the child.


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