Department for Community Based Services

Standards of Practice Online Manual

4.53 Bed Hold-Private Residential or PCP Foster Care Placement

Cabinet for Health and Family Services

Department for Community Based Services
Division of Protection and Permanency
Standards of Practice Online Manual
Chapter:
Chapter 4-Out of Home Care Services (OOHC)
Effective:
7/1/2016
Section:
4.53 Bed Hold-Private Residential or PCP Foster Care Placement
Version:
3

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Legal Authority/Introduction

LEGAL AUTHORITY:

When a child is placed in a private residential or PCP foster placement, it is sometimes necessary for the placement provider to request a bed hold. A bed hold may be requested when a child is:

  • Hospitalized; or
  • AWOL (absent without leave).

The purpose of a bed hold is to ensure that a child can return to the same placement setting in order to promote attachment and continuity of care. Therefore, bed holds are only applicable if the child is returning to the same foster home within the PCP agency or same program within a PCC residential facility. If it is not the intent for the child to return to the same placement of program, a bed hold request will not be approved.

 

Procedure

The SSW:

  1. Requests approval in writing (sample Request for Bed Hold form) from:
    1. The SRA or designee (SRAA or SRCA) to hold a bed for up to two (2) weeks for a child who is away from a placement with the intent for a child to return to the same placement (for foster care this means the child will return to the same family that he/she left) during those two weeks;
    2. The SRA when requesting a bed hold for a child who is AWOL.
    3. The FSOS for up to two (2) weeks when a child has a temporary stay at a psychiatric hospital and the child is expected to be released within two (2) weeks; 
  2. Provides the private agency with the approved written request within two (2) business days of the child’s placement disruption;
  3. Provides the private agency with the approved written request (sample Bed Hold Request form), signed by the SRA or designee (SRAA or SRCA) for the extension, within the first two (2) weeks of the child’s bed hold.

If the decision is made by DCBS staff during the two (2) week or four (4) week bed hold, that it is no longer the intent for the child to return to the placement:  

  1. The SSW cancels the bed hold by notifying the private agency in writing (sample Bed Hold Request form); and
  2. The bed hold is paid through the date that written cancellation of the bed hold was provided to the private agency.

Practice Guidance

  • Payment for the approved bed hold is retroactive to the date the child disrupted from the placement.
  • During the bed hold period, if the provider determines that it cannot meet the needs of the child and does not wish for the child to return, the provider submits a two (2) week written notice of discharge to CHFS.  If a child is discharged from a hospital or returns from AWOL prior to the expiration of the providers two (2) week notice of discharge, the provider is obligated to maintain placement until the two (2) week notice is fulfilled.  If the child does not return to the placement prior to the expiration of the two (2) week notice of discharge, the date of disruption become the discharge date for the child.  If this occurs, CHFS is not obligated to make payment for any of the bed hold days.
  • If the provider requests a bed hold for an appropriate situation and CHFS does not approve it, the provider does not have to provde the Cabinet with a two (2) week notice of discharge and the disruption date becomes the child's discharge date.
  • Per contractual agreement, the SSW must respond with two (2) business days, to the provider's request for a bed hold.  If no response is received within that timeframe, the provider is not obligated to hold the bed.
  • For medically necessary reasons the SRA or designee (SRAA or SRCA) may approve an additional two (2) week bed hold (four (4) weeks total), in writing).
  • If the child’s absence from a placement exceeds two (2) weeks, or four (4) weeks with approved medical need, and the child returns to the private placement, it is considered a new admission.
  • If a child is placed in detention while he/she is in a private residential or foster care placement, CHFS will not pay for a bed hold for this child.  This is considered a placement move. 
 

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