Department for Community Based Services

Standards of Practice Online Manual

12.24 Per Diem Rates (Including Specialized Foster Care)

Cabinet for Health and Family Services

Department for Community Based Services
Division of Protection and Permanency
Standards of Practice Online Manual
Chapter:
Chapter 12-Resource Family Recruitment, Certification and Reimbursement
Effective:
11/18/2015
Section:
12.24 Per Diem Rates (Including Specialized Foster Care)
Version:
5

When a section of SOP has been revised users will see the following: Added {This is added material}, Deleted {This is deleted material}. The bold and strikethroughs will appear on the site for fifteen (15) days after a modification and will then be removed.

Legal Authority/Introduction

LEGAL AUTHORITY:

The foster or adoptive home per diem rate structure is designed to give foster or adoptive parents flexibility and autonomy to decide how to spend money for the children in their homes. R&C worker approval is not necessary for services included in the per diem.

Procedure

  1. The SSW specifies the daily rate (per diem) for care of a child placed in the foster or adoptive home.
  2. The R&C worker notifies the Director of the Division of Protection and Permanency, within three (3) working days, of any request by a school for DCBS to pay school lunches and breakfasts.  1
  3. The R&C worker or FSOS terminates the foster or adoptive home’s reimbursement per diem rate for advanced, emergency shelter, medically fragile, and care plus if the foster or adoptive home fails to meet the ongoing training requirements for their type of home. In these instances, the  foster or adoptive home’s per diem rate reverts to the regular basic per diem rate. 
  4. The R&C worker notifies the appropriate billing specialist.

Practice Guidance

 Per Diem Rates 

 

<> <> <>
   Basic Advanced Degreed
 Birth to age 11 $24.10  $26.40 N/A
 Age 12+ $26.20 $28.50 N/A
 
 Care Plus Home $42.40 $47.70 N/A
 Medically Complex $42.40 $47.70 $50.90
 Specialized Med. Complex N/A  $59.80 $97.00
 Supplemental Services Rate N/A $72.10 N/A

 

  • A basic foster or adoptive home is reimbursed the specified per diem rate in the above table only for foster or adoptive parents that have met all requirements of a basic foster or adoptive home.
  • An advanced foster or adoptive home is reimbursed the specified per diem rate in the above table only for foster or adoptive parents that have met all requirements of an advanced foster or adoptive home.
  • Housing expenses, food-related expenses, and school expenses are included in the per diem rate.
  • The child's routine hair care is included in the per diem rate, at an average of $12 per month. 
  • Incidentals such as medicine chest supplies, baby oil and powder, deodorants, sanitary napkins, and other personal toiletries are included in the per diem rate. 
  • The per diem includes money for social and/or school-related activities (e.g. clubs, ballgames, participation in dance class, gymnastics, karate, church, team sports, school supplies, school pictures, band, SAT/ACT testing, etc.). This allows all foster children to participate in normal activities and empowers the foster parent to make these decisions. 2 
  • When a child remains in a foster or adoptive home less than thirty (30) days, the rate amount for per diem, clothing, incidentals, and allowance is prorated for the number of days the child was in the home.


Specialized Foster Care Per Diem Rates

  • Specialized foster care reimbursements are paid based on the needs of the child, and the professional licensure of the foster or adoptive home.  As such:
    • A medically fragile or specialized medically complex foster or adoptive home is reimbursed the specified per diem rate in the above table only for a child  designated by the Medical Support Branch of the Division of Protection and Permanency as a medically complex child; and
    • A care plus foster or adoptive home is only reimbursed the basic care plus per diem rate for a child designated as a care plus child and has met all requirements of a care plus foster or adoptive home.
    • An advanced care plus foster or adoptive home is only reimbursed the advanced care plus per diem rate for a child designated as a care plus child and
    • The home has been approved for two (2) years; and
    • Completed all training requirements.
  • An advanced medically complex rate is paid to a foster parent who has been approved for two (2) years and is approved to care for a child who is determined to be medically complex by the Medical Support Section.
  • A degreed specialized medically complex rate is paid to a foster parent who maintains a current license as health care professional and is caring for a specialized medically complex child.  The Medical Support Section approves this per diem rate.3
  • When it is determined by the child's family team that a child no longer meets determination requirements for a care plus designation, the foster or adoptive home receives thirty (30) days notification prior to the rate change.  
  • When it is determined by the Medical Support Section that a child no longer meets medically complex requirements, the foster or adoptive home receives thirty (30) days notification prior to the rate change.
  • In addition to the Medical Support Section determining whether a child meets medically  complexomplex criteria, this section also assigns the per diem amount to be reimbursed.
  • Back pay for medically complex and care plus reimbursements can only be received for thirty (30) days prior to designation. 
 

Footnotes

  1. All foster care children are eligible for free lunch programs and may participate upon completion of the appropriate school form.
  2. If the child is under school age, the funds allotted for school activities (dances, clubs, sports, pictures, school supplies, college entrance testing, etc.) should be used toward travel or other expenses that the foster or adoptive home parent would normally seek approval.
  3. A health care professional is a person actively licensed as a physician, physician's assistant, advanced registered nurse practitioner or registered nurse. 

Communicate

Sign In (Editor Access Only)
Copyright © 2011 Commonwealth of Kentucky - All Rights Reserved
Kentucky Unbridled Spirit