Department for Community Based Services

Standards of Practice Online Manual

13.45.3 Post Adoptive Placement Stabilization Services (PAPSS)

Cabinet for Health and Family Services

Department for Community Based Services
Division of Protection and Permanency
Standards of Practice Online Manual
Chapter:
Chapter 13-Adoption Services
Effective:
6/15/2018
Section:
13.45.3 Post Adoptive Placement Stabilization Services (PAPSS)
Version:
2

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Legal Authority/Introduction

LEGAL AUTHORITY:

Post-Adoption Placement Stabilization Services (PAPSS) is an optional and supportive service offered to adoptive parents on a voluntary basis. Adoptive parents receiving adoption assistance (subsidy) for a Department for Community Based Services (DCBS) agency adopted child may request services if the placement is close to disruption.

Procedure

Designated regional staff (e.g. R&C worker, intake worker): 

  1. Works with the adoptive parents to complete the referral to the Family Preservation Program (FPP) or other preventative service (i.e. IMPACT Plus, Respite); 
  2. Completes the following tasks when services are unavailable or if they do not effectively improve the child’s behavior/situation:
    1. Works with the adoptive parents to complete the DPP-886 Private Child Care Interagency Referral, DPP-886A Application for Referral and Needs Assessment, the DSS-1251A Child Placement History Log, and the Child Behavior Check List (CBCL also know as the Auchenbach) for children four through eighteen (4-18) with an IQ of seventy (70) and above;
    2. Forwards this information to the Children’s Review Program (CRP), at the following address, so that CRP can assign a Level of Care (LOC) for the child:

      Children’s Review Program
      c/o GATEKEEPER
      Lexington, KY 40583-3520
    3. Verifies that the child’s initial level is a Level IV or a Level V; 1  
    4. Works with the CRP regional placement coordinator to make referrals to private child-caring (PCC) facilities;
  3. Ensures that there is agreement between the Cabinet and the adoptive parents to suspend renegotiate adoption assistance prior to proceeding with the PAPSS referral because no suspensions of adoption assistance can occur for any reason without agreement;
  4. Completes the following tasks upon concurrence of the adoptive parent(s):
    1. Provides the adoptive parent(s) written notice using the DPP-154-A Notice of Intended Action ten (10) days prior to the temporary discontinuance of adoption assistance renegotiation of adoption assistance;
    2. Sends a DPP-154 Protection and Permanency Service Appeal with the notification letter;
    3. Discusses these procedures prior to mailing the notification of temporary adoption assistance discontinuance to the family;
    4. Explains that the family is to participate in the child’s treatment plan while the child is in placement;
    5. Documents the events/activities in the service recordings of adoptive/provide case (The child remains in the adoptive/provide case in TWIST);
  5. Submits to the Division of Administration and Financial Management:
    1. PCC monthly billing statement;
    2. Child’s name;
    3. Social security number;
    4. Date of birth; and
    5. TWIST case number;
  6. Holds a Family Team Meeting (FTM) with the adoptive family, the PCC staff and the child to discuss the child’s progress and discharge plan at thirty (30) day intervals after placement;  2 
  7. Contacts the central office Adoption Services Branch for assistance if the child cannot be returned to the adoptive home at the end of ninety (90) days.

The SRA or designee:

  1. Signs the DPP-114 Level of Care Schedule authorizing payment to the PCC once steps one (1) and two (2) have been completed and a PCC has accepted the child. 3 

The SSW with case responsibility:

  1. Notifies the regional billing specialist and the Division of Administration and Financial Management (referenced above) of the child’s return home.

Practice Guidance

  • After the SSW assists the adoptive family in completing referrals for community programs, the appropriate agency works with the family to address the crisis situation to include having the adoptive parents sign a DCBS-1Informed Consent and Release of Information and Records to allow DCBS to coordinate services.
  • DCBS may provide PAPSS for out of state requests on a case by case basis.
  • Out of state inquiries are directed to the central office (CO) Adoption Services Branch at (502) 564-2147.
  • Adoption assistance is temporarily discontinued renegotiated to $1.00 and transportation assistance is provided through extraordinary medical expenses as allowed to support the child and family, effective on the date of the child’s placement.
  • Payments to the PCC are made by the Division of Administration and Financial Management through the special payments TWIST screens in the adoptive/provide case with PCC crisis stabilization selected as the payment type.
  • Any adoption assistance overpayment made to families must be repaid within ninety (90) days. Overpayment checks are made payable to the Kentucky State Treasurer and are submitted to the Division of Administration and Financial Management at the address below:

    Division of Administration and Financial Management
    275 East Main Street, 3W-C
    Frankfort, KY 40621
    Phone: (502) 564-3427
    Fax:  (502) 564-4477

 

  • In-home visits with adoptive parents are not required unless requested by the family or as a need arises.
  • An FTM may be held more often than every thirty (30) days based on the needs of the child and/or family.
  • If the child is not ready to be discharged after sixty (60) days, the designated regional staff may request a thirty (30) day extension through the SRA from the Commissioner or central office designee. 4   
  • Once the child exits PCC placement and returns to the adoptive home, adoption assistance is resumed to the rate prior to PAPSS and the family signs a new DPP-1258.
  • If appropriate, an aftercare plan is developed with the family.
 

Footnotes

  1. If the child’s needs do not require that level of care, designated regional staff refers the family to other appropriate resources as the child would not be eligible for PAPSS.
  2. Due to the specific circumstances in these cases, the monthly FTM meets the contact requirement outlined in SOP 3.10 Ongoing Contact with the Child and Family.
  3. The child is placed in the most appropriate residential facility that can meet the child’s needs and the adoptive parents sign the medical consent portion of the DPP-114.  
  4. PAPSS cannot exceed a ninety (90) day period in any calendar year.

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