Intensive Services Foster Care (ISFC) - Foster Family Agency (FFA)
0100-570.10 | Revision Date: 10/8/2026

Overview

This procedural guide provides information regarding the Intensive Services Foster Care (ISFC) program for Foster Family Agency (ISFC-FFA). This policy describes the program, eligibility criteria, and the referral process.

Table of Contents

Version Summary

This procedural guide was updated from the 08/19/20 version to update the referral process for the Intensive Services Foster Care (ISFC) program for youth who have Serious Emotional and Behavioral Needs (SEBN), Special Health Care Needs (SHCN), or Commercially Sexually Exploited Children (CSEC).  In addition, information regarding the dual agency rate has been added.

POLICY

Intensive Services Foster Care (ISFC)-Foster Family Agency (FFA) Program

ISFC is an intensive services program providing specialty mental health or medical health treatment that is delivered by a Foster Family Agency and in a specialized ISFC Resource Family home. ISFC is a program intended to be a short-term placement (approximately 12-18 months to complete the goals outlined in their Needs and Services Plan) intervention to stabilize youth placed in home settings by providing intensive supports, services and interventions. Each youth gets an ISFC team that work specifically to meet the youth’s needs, participates in Child and Family Team (CFT) meetings and supports the caregiver. The FFA also provides 24/7 crisis intervention, an FFA Social Worker, and depending on the youth' needs, either a clinical and an In-Home Support Counselor, or a Registered Nurse. The caregivers are provided with additional training and are compensated at the highest foster care rate for Resource Parents. There are three (3) types of ISFC homes: one that specializes in youth who have Serious Emotional and Behavioral Needs (SEBN), one that specializes in youth who have Special Health Care Needs (SHCN), and one that specializes in youth impacted by Commercial Sexual Exploitation of Children (CSEC). Immediate placements are not available through this program.

Youth Eligibility Criteria

ISFC for youth with Serious Emotional and Behavioral Needs (SEBN) is for children/youth ages 6-21, who within the last six (6) months, have engaged in or experienced one or more of the following:

  • adjudicated violent offenses
  • aggressive and assaultive behavior
  • animal cruelty
  • Commercially Sexually Exploited Children (CSEC)
  • eating disorders
  • fire setting
  • gang activity
  • habitual truancy
  • psychiatric hospitalizations
  • running away from placement
  • severe mental health issues
  • substance abuse
  • three or more placement disruptions due to behavior
  • stepping down from a STRTP
SEBN youth are deemed eligible through the Level of Care (LOC) determination for ISFC.  ISFC for youth with Special Health Care Needs (SHCN) is for children/youth ages 0-20, who have a condition that can rapidly deteriorate resulting in permanent injury or death or who have a medical condition that requires specialized in-home health care. Medical conditions requiring specialized in-home health care required dependency upon one or more of the following:
  • enteral feeding tube
  • total parenteral feeding
  • cardiorespiratory monitor
  • ventilator
  • oxygen support
  • urinary catheterization
  • renal dialysis
  • ministrations imposed by tracheostomy, colostomy, ileostomy, or other medical or surgical procedures or special medication regimens, including injection, and intravenous medication
SHCN youth are deemed eligible through the LOC determination for ISFC.

The ISFC (CSEC) program is for children/youth ages 8-21, who are victims of Commercial Sexual Exploitation (CSE) and within the last six (6) months have engaged or experienced one or more of the following:
  • Adjudicated violent offenses
  • Aggressive and Assaultive
  • Commercially Sexually Exploited Children (CSEC)
  • Animal Cruelty
  • Eating disorders
  • Fire-setting
  • Habitual Truancy
  • Habitual leaving care
  • Serious Mental Health issues, including suicidal ideation and/or self-harm
  • Special Health Care Needs (SHCN)
  • Psychiatric Hospitalizations
  • Gang involved
  • Substance Abuse

Referral Process

For all youth, the Child and Family Team (CFT) meeting should identify the need and recommend ISFC.  The CSW refers the youth to DCFS ISFC FFA via the referral portal on LA Kids.  Before a referral is made to the ISFC program, the CFT must recommend ISFC as an option for treatment. ISFC is defined as a placement and an intensive mental health treatment program that is delivered in a specialized ISFC Resource Family home. ISFC homes are not available for immediate placements and it may take some time to locate and approve an ISFC home; therefore, finding a suitable home is not a guarantee. The age range for acceptance for SEBN and CSEC youth is 6-21 years old; for SHCN youth it is 0-21 years old. Nonminor dependents (NMDs) must be willing to work with the ISFC team, attend therapy sessions, live in an ISFC home, and meet any other requirements for being an NMD.

The assigned CSW completes a referral packet via the Referral Portal on LA Kids and emails the required documents, as one attachment to the ISFC in-box. The ISFC Administrative team reviews the referral and submits a request for a LOC determination.

Documents required to be generated and/or uploaded in the referral portal to refer a youth for ISFC:

Serious Emotional and Behavioral Needs (SEBN) and Commercially Sexually Exploited Children (CSEC)

Special Health Care Needs (SHCN)

Youth Profile Sheet - generated through the Referral Portal

Youth Profile Sheet - generated through the Referral Portal

DCFS 174 - generated from the Referral Portal

DCFS 174 - generated from the Referral Portal

DCFS 179MH - consent for mental health treatment, Stand-Alone Attorney Order, or MAT Order

DCFS 149-149a - completed by the CSW

DCFS 1696 (A) - SCI Indicators completed by the County PHN

 

Unmatched Youth

An unmatched youth is defined as a youth stepping down from a STRTP, CFT, Group Home, Psychiatric Hospitalization, TSC, or Juvenile Hall in the past six (6) months.  If there is no opening, the ISFC Program Managers will notify the CSW and the youth will be placed on the ISFC waitlist for six (6) months.

Once an ISFC placement is identified, the CSW will be invited to present the youth at the pre-match teleconference with the ISFC inter-agency team and the FFA. It is important that the CSW presents in an honest and open manner, sharing current and historical strength and challenges. If accepted, the CSW and FFA will work together to set a placement date. At that time, the ISFC Program Managers will provide the ISFC rate letter to the CSW.

Matched Youth

A matched youth is defined as an ISFC eligible youth that is already placed with a Resource Parent who is ISFC certified through an ISFC contracted foster family agency.  The DCFS ISFC program managers will refer matched youth to the LOC unit to determine eligibility for ISFC.  The youth is deemed an ISFC youth once LOC eligibility is determined and the CSW presents the youth at the ISFC elevation intake meeting to the ISFC inter-agency team.  At that time, the ISFC Program Managers will provide the ISFC rate letter to the CSW.

Portability

Portability gives any Resource Family the option to move their approval from a County REFA status or Non-ISFC FFA to an ISFC FFA or vice versa. When a caregiver has a youth placed in their home who is being assessed for LOC for ISFC, and the caregiver wants to become an ISFC provider, then the DCFS ISFC team can guide and assist the caregiver in becoming an ISFC provider for the youth in their care. The caregiver would have to agree to work under an ISFC FFA, meets the ISFC requirements and attend the required classes in order to port over. Assigned Children's Social Worker can completed a referral for a matched youth via the Referral Portal to initiate the process.

Static Rate

The Static Rate is the same amount as the ISFC rate, but is a temporary rate for the caregiver that only lasts for 60 days. The static rate can be extended for an additional 60-days if criteria still exists and the caregiver is working towards the ISFC certification. For ISFC, this rate can sometimes be provided for emergency placements of youth who have not had an LOC determination, but appear to meet the criteria for ISFC, and if the caregiver is working towards being ISFC certified. Each case is reviewed by the ISFC Administrative team for eligibility and provides the rate letter to the CSW, if appropriate.

Dual Agency Rate

Per ACL 24-04, children/Non-Minor Dependents (NMDs) placed in an FFA RF home are eligible to receive the dual agency rate, and approved supplement, if applicable, if determined eligible or provisionally eligible for Regional Center (RC) services under the Lanterman Act. The dual agency children/NMDs placed with an FFA RF home are eligible for the higher of the dual agency rate and the supplement to the dual agency rate, if appropriate; or the Level of Care (LOC) rate plus applicable Specialized Care Increment (SCI).

Caregivers of the children/NMDs who are California Regional Center (CRC) consumers, found eligible under Early Start or the Lanterman Act (permanent or provisional) and placed in eligible Foster Family Homes and FFA homes, are entitled to receive the Dual Agency rate (P1 or P2) or Level of Care (LOC)-ISFC rate, whichever is higher. Caregivers receiving the Dual Agency rate P2 for children over age three (3) and NMDs, are also eligible to receive Supplement to the Dual Agency rate, if applicable.

Per ACL 26-17, FFAs providing ISFC services to children who are CRC consumers, are eligible to receive both ISFC and Dual Agency rates, effective March 5, 2026. The protocols on initiating the Dual Agency rates for children who are currently receiving ISFC services are different from the protocols described in the Dual Agency Rates policy (0900-511.12) for children who are not receiving ISFC services.

To ensure ISFC services are intact and the caregiver receives the higher rate they are entitled to, the case carrying CSW is to comply with the following protocols:

When the child/NMD who is receiving ISFC services becomes RC-eligible, CSW is to contact DCFS Regional Center Support Unit for further guidance on how to initiate Dual Agency rate in addition to ISFC rate to the FFA. The DCFS Regional Center Support Unit is available during regular business hours to respond to questions and needs for all DCFS staff, Regional Centers, Attorneys, Community Agencies and Advocates via email: RegionalCenterSupport@dcfs.lacounty.gov.

When the child/NMD, who is a CRC consumer, is approved for ISFC services and the FFA/caregiver is already receiving Dual Agency rates and Supplement, if applicable, the ISFC rate will be initiated with assistance from the Out-of-Home Care Management Division (OHCMD)/ISFC Program Manager.
PROCEDURE

Referring a Child/Youth for ISFC

Case-Carrying CSW Responsibilities

  1. Hold a Child and Team (CFT) meeting. The CFT must recommend ISFC as an option for treatment.
  2. If the youth is unmatched:
    1. Generate a Child Profile Sheet using the Referral Portal.
    2. Generate an DCFS 174 referral using the Referral Portal.
    3. Obtained a signed DCFS 179MH, Stand-Alone Attorney Order, or MAT Order.
  3. Youth will be placed on the ISFC waitlist.
  4. CSW will be contacted to present the youth's case via an intake meeting once there is an opening for the youth.

ISFC Program Manager Responsibilities

  1. Monitor the ISFC In-box for Unmatched Referrals. Upon receipt of a referral:
    1. Check CWS/CMS to determine the youth's current placement.
    2. If the youth is currently in a STRTP, TSC, Group Home, hospitalization (SEBN or CSEC), medical hospitalization (SHCN), or Juvenile Hall and is the age and gender for which an agency has an opening, schedule a Pre-Match teleconference with that agency.
    3. If there are no openings, the youth will be placed on the ISFC waitlist.
  2. Monitor the ISFC In-box for Matched Referrals
    1. Refer the matched youth to the LOC section.
    2. Upon receipt of LOC ISFC determination, connect the caregiver to the agency.
  3. Intake meeting for Unmatched Referrals
    1. Prior to the intake meeting, send an email to all agencies with the ISFC Resource Family Snapshot Form and ISFC Risk & Compatibility Assessment form requesting the youth's case.
    2. Invite CSW, DMH, and the placement agency to the intake meeting and remind participants of the following:
      1. Conversation will be focused on the quality of the match and treatment and safety plans;
      2. Meetings take anywhere from 30-60 minutes depending upon the complexity of the child's needs and the home.
    3. If the CSW is unavailable, prepare a presentation using information in the referral packet.
    4. Forward the referral and a redacted (removed criminal history) Detention, Jurisdiction/Disposition, or Status Review court report to DMH prior to the Pre-Match intake meeting.
    5. After the Pre-Match teleconference, forward the referral and redacted court report to the identified agency.
    6. Following the approval of the placement, verify the placement date with the ISFC FFA and generate and send the ISFC Rate Letter to the CSW, SCSW, and FFA ISFC Manager and a copy to DMH.
  4. Intake meeting for Matched Referrals
    1. Remind agencies that the ISFC Resource Family Snapshot Form and the ISFC Risk & Compatibility Assessment form are due for matched youth.
    2. Upon receipt of the ISFC Resource Family Snapshot Form and the ISFC Risk & Compatibility Assessment form, schedule the intake meeting.
    3. Forward the referral packet, the ISFC Resource Family Snapshot Form and the ISFC Risk & Compatibility Assessment form (if needed) and the most recent redacted court report to the DMH ISFC Program Manager, and the placing agency.
    4. Invite the CSW, DMH, and the placement agency to the intake meeting and remind participants of the following:
      1. Conversation will be focused on the quality of the match and treatment and safety plans;
      2. Meetings take anywhere from 30-60 minutes depending upon the complexity of the child's needs and the home.
  5. Answer questions and troubleshoot with providers, CSWs and SCSWs.
  6. If contract compliance is an issue, determine if a Corrective Action Plan is necessary and follow up with the provider until it is completed.
  7. Track and maintain monthly statistical data, including entries and exits of youth from ISFC homes and Resource Parents.
  8. Distribute information to ISFC FFAs regarding training for staff and Resource Parents and youth events and programs.
  9. Review all Special Incident Reports (SIR) for youth in ISFC for appropriate responses by ISFC FFAs; forward to DMH any needing review and response regarding mental health treatment; contact ISFC FFA for any concerns noted in the SIR.
  10. Attend ISFC FFA audit result meetings.
APPROVALS
None
HELPFUL LINKS

Forms

LA Kids

DCFS 179MH, Parental Consent for Child's Assessment & Participation in Mental Health and/or Regional Center Developmental Services

REFERENCED POLICY GUIDES

0080-506.10, Identifying and Arranging Services for Families

0100-510.10, Placement Capacity

0600-515.11, Community Treatment Facility (CTF) Placements through the Interagency Placement Screening Committee

FYI 24-19, Rates for Placement and Related Services

STATUTES AND OTHER MANDATES

All County Letter (ACL) 18-25 – Implementation of the Intensive Services Foster Care (ISFC)

ACL 18-32 – Instructions for Entry of the Level of Care (LOC) and Intensive Services for Foster Care (ISFC) Rates into Child Welfare Services/Case Management System (CWS/CMS)

ACL 18-145 – Sharing Ratios for Foster Family Agencies, Intensive Services Foster Care, Short-Term Residential Therapeutic Programs, Community Treatment Facilities, Group Homes and Transitional Housing Placement Plus Foster Care Programs for Fiscal Year 201-19

Welfare and Institutions Code (WIC) Section 16519.5 – Defines an ISFC resource family as a resource family, which includes a licensed Foster Family Agency (FFA). Non-related legal guardians and Kinship Guardianship Assistance Payment families are not eligible to become ISFC resource parents.

WIC Section 17731(c) – States that the counties must develop a plan to place children with special health care needs.

WIC Section 18360 – Implementation of Intensive Services Foster Care (ISFC)