0900-511.12 | Revision Date: 08/03/18
This policy guide provides information on how to obtain or set a dual agency rate for a child, including instruction on rate changes and steps to take when supplemental rates are requested.
TABLE OF CONTENTS
Dual Agency Rates
Non-Minor Dependents (NMDs)
Requesting a Dual Agency Rate
DCFS Regional Center Section Responsibilities
Requesting the Supplement to the Dual Agency Rate
Referenced Policy Guides
This policy guide was updated from the 07/01/14 version, to reflect that Approved RelativeFor the purpose of placement and foster care payments: An adult who is related to the child by blood, adoption or affinity within the fifth degree of kinship, including stepparents, stepsiblings, and all relatives whose status is preceded by the words, "great," "great-great" or "grand" or the spouse of any of these persons even if the marriage was terminated by death or dissolution. Caregiver (ARC) Program recipients are eligible for the dual agency rate if they otherwise meet all other criteria for the rate; and the eligibility criteria for the dual agency and the supplemental rate.
Children who are California Regional CenterCalifornia Regional Centers are nonprofit private corporations that contract with the State Department of Developmental Services (DDS) to provide or coordinate services and supports for individuals with developmental disabilities. clients, receiving AFDC-FC, ARC, Kin-GAP, or , and residing in one of the following locations, are eligible to obtain a dual agency rate, per .
Dual agency rates are not available to Foster Family Agency (FFA)A non-profit organization licensed by the State of California to recruit, certify, train, and provide professional support to foster parents. homes, group homes/Short-Term Residential Therapeutic Program (STRTP), or community care facilities vendored by a Regional Center.
The dual agency rates are:
The State has issued clarification that neither an Individual Program Plan (IPP)The Lanterman Developmental Disabilities Act requires that a person who receives services from a regional center have an Individual Program Plan (IPP). Person-centered individual program planning assists persons with developmental disabilities and their families to build their capacities and capabilities. The planning team decides what needs to be done, by whom, when, and how, if the individual is to begin (or continue) working toward the preferred future. The document known as the Individual Program Plan (IPP) is a record of the decisions made by the planning team. nor current receipt of regional center services is required for dual agency rate eligibility. Whether the child or youth has an “active” or “inactive” case with a regional center is irrelevant for dual agency rate eligibility. An eligibility letter or other documentation of eligibility for regional center services issued by a regional center is sufficient to establish eligibility for the rate.
Children receiving the monthly dual agency flat rate funded with AFDC-FC, ARC, Kin-GAP, or AAP benefits who meet the following requirements may also be entitled to a supplemental monthly payment rate of $250, $500, $750, or $1,000 per month:
When a child/youth is first determined eligible for a dual agency rate, the child must be immediately assessed for the supplemental rate. Additionally, if the caregiver or his or her representative makes a request to establish or increase the supplement, the regional center makes a referral to establish or increase the supplement, or if the CSW determines it is appropriate for the child to establish or increase the supplement, the child should be re-assessed for his/her eligibility for a supplemental rate. CSWs must track and always assess for the supplemental rate throughout the child’s life as their needs and behaviors may change and require an additional adjustment to the supplemental rate.DCFS must also determine the child’s eligibility for a supplemental rate within ninety (90) days of the request, or the Regional Center’s referral or upon the CSW’s own initiation of the process for a supplement to the rate.
DCFS must also determine the child’s eligibility for a supplemental rate within ninety (90) days of the request, the Regional Center’s referral or upon the CSW’s own initiation of the process for a supplement to the rate.However, per the State’s instruction, the failure of the regional center to sign the SOC 837 or to provide information for the assessment of the child’s needs shall not relieve DCFS from timely completion of the assessment within the 90-day timeframe. Staff shall continue with and finalize the assessment and eligibility determination for a supplement to the dual agency rate, and appropriate level of the supplement based on the extraordinary care and supervision needs of a child/youth in consultation with California Regional Centers. If after ten (10) business days a regional center has not provided information to assist in the completion of the SOC 837, staff shall continue to process the request using other available information, collect information from other professionals and the caregiver or adoptive parent for the completion of the SOC 837 and issue an eligibility determination for a supplement to the rate within the 90-day timeframe based on the most current information available about the child/youth.
As needed, staff may consult with the DCFS Regional Center section for assistance, and utilize input and recommendations discussed through the Child and Family Team process.
A Non-Minor Dependent (NMD) who is eligible for Regional Center services, is in a qualified placement, and meets all the dual agency rate criteria, is eligible for the dual agency rate and supplement. However, the dual agency rate and supplement cannot be paid if the youth is in a .
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Caregivers of dual agency children are not required to complete training to qualify to receive the dual agency rate. As stated above, eligibility for the Dual Agency Rate requires only that the child be eligible for regional center services, is receiving AFDC-FC, ARC, Kin-GAP, or AAP, and resides in one of the qualified placements. If the child has co-occurring special health care needs or mental health needs that may warrant additional caregiver training, the Dual Agency Rate and the Supplement shall be paid independently and without delay pending the caregiver’s fulfillment of any additional training recommendations.
Specific standards exist for a parent/caregiver supervising a child with special health care needs All children with medical or physical needs, or a specified condition must be brought to the Public Health Nurse (PHN) for review and a caregiver training recommendation. All children with special health care needs must be referred to the Unit, as that caregiver may require training and/or renewal training. The process includes the completion of the DCFS 1696, F-Rate and Regional Center (ARM) Rate Indicators and the DCFS 149A from the child’s physician, or a medical report on the physician’s letterhead and a prescription slip from the physician in lieu of the DCFS 149A, and provision of a copy of the caregiver’s F-Rate training certificate (if available), to the Public Health Nurse (PHN) for review. The PHN’s recommendation on the DCFS 1696, must be discussed with the caregiver, and the caregiver’s completion of the necessary training must be verified. The SCSW and ARA must be consulted to assess the child’s safety in placement and to determine next steps, if there are issues surrounding a caregiver’s refusal or inability to complete recommended training.
When a dual agency child has a mental health issue(s), in addition to a developmental disability, CSWs must consult with the office’s Service Linkage Specialist (SLS) and/or co-located DMH staff.
If a dual agency child/youth is in a qualified placement, the dual agency rate (and any applicable supplemental rate), if higher, must be requested, in lieu of a Level of Care (LOC) level and/or Specialized Care Increment (SCI)A rate paid in addition to the basic care rate for the care of children/youth with special needs. rate. If the assessed LOC level and/or SCI rate is higher, then the higher rate should be requested. Any higher or additional rate the child qualifies for should be requested.
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DCFS Regional Section Responsibilities
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Dual Agency Children/Youth – Medical Needs and Dual Agency Children/Youth – Mental Health Needs
Entering Regional Center Services into CWS/CMS
Effective Date of Eligibility for the Supplement to the Dual Agency Rate
AD 4320, Adoption Assistance Agreement
DCFS 280, Technical Assistant Action Request
Health and Education Passport
NOA 290, Rate Change
NOA 290, Denial
AAP 2, Payment Instructions Adoptions Assistance Program
DCFS 149A, Medical Care Assessment
, Letter Acknowledging the Request for a Supplemental Rate
DCFS 21A (Spanish), Letter Acknowledging the Request for a Supplemental Rate
DCFS 280, Technical Assistant Action Request
SOC 835, Supplement to the Dual Agency Rate – Multiple Questionnaire Worksheet
SOC 836, Supplement to the Rate Eligibility Form
SOC 837, Supplement to the Rate Questionnaire
0070-516.10, Assessing a Child’s Development & Referring to a Regional Center
0600-530.00, Public Health Nurses (PHNs): Roles and Responsibilities
0600-505.10, Placing Children with Special Health Care NeedsAssembly Bill 2268, defines children with special health care needs as those children who are either temporarily or permanently dependent upon medical equipment or in need of other specific kinds of specialized in-home health care, as determined by the child’s physician. See "medically fragile."
0070-560.05, Joint Response Referral: Consulting with PHN
0100-520.35, Kinship Guardianship Assistance Payment (Kin-GAP) Program
0100-560.40, Supervised Independent Living Placement (SILP)SILP is a supervised and approved placement that is part of the Extended Foster Care program. SILP is a flexible and the least restrictive placement setting. It can include: an apartment (alone or with roommates); shared living situations; room and board arrangements; room rented from a landlord, friend or relative, or former caregiver; or college dorms.
0200-511.05, Adoption Assistance Program (AAP)A mandatory statewide program that provides financial support to families in order to facilitate the adoption of children who would otherwise be in long-term foster care. The intent of this program is to remove limited financial resources as a barrier to adoption. Benefits and Medi-CalCalifornia's federal Medicaid program. Benefits
1000-504.10, Case Transfer Criteria and Procedures
0900-511.10, Rates for Placement and Related Services
0900-522.10, Specialized Care Increment (SCI) – D-Rate
0900-522.11, Specialized Care Increment (SCI) – F-Rate
All County Letter No. 08-54 – Provides instructions regarding the supplement to the Regional Center rate.
All County Letter No. 08-17 – Provides instructions regarding the Dual Agency Rate
All County Letter 16-54 – states that neither an Individual Program Plan (IPP) nor current receipt of regional center services is required for dual agency rate eligibility
All County Letter 17-67 - states in pertinent part that the failure of the regional center to sign the SOC 837 or to provide information for the assessment of the child’s needs shall not relieve the county from timely completion of the assessment for the dual agency supplemental rate.
All County Letter 17-112 – states that ARC recipients are eligible for the dual agency rate
Welfare and Institutions Code (WIC) Section 17710 – Defines a child with special health care needs and an individualized health care plan team, including a list of medical conditions covered and the in-home health care to be provided by the caregiver.
WIC Section 4512(a) – States in part that “developmental disability” means a disability that originates before an individual attains age eighteen (18), and continues, or can be expected to continue, indefinitely, and constitutes a disability for the individual. This term includes mental retardation, cerebral palsy, epilepsy, and autism. It also includes disabling conditions found to be closely related to mental retardation or that require treatment similar to that required for individuals with mental retardations.
WIC Section 11364 – Describes the Kinship Guardianship Assistance Payment Program including specialized care increment, dual agency rate and clothing allowance.
– States in part that children who are consumers of Regional Center Services who also receive AFDC-FC or AAP benefits have special needs that may require care and supervision beyond what is typically provided in foster care. To address these needs, it is necessary to provide a rate for care and supervision that is higher than the average rate they would otherwise receive.
WIC Section 11464(c-f) – Sets forth the criteria, requirements, and appropriate dual agency and supplement to the rates.
WIC Section 11464 (c)(2)(A) – Authorizes the supplement to the dual agency rate.
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