Rick Scott, Governor David Wilkins, Secretary Maintenance Adoption Subsidy Office of Child Welfare 1317 Winewood Boulevard Tallahassee, Florida 32399 March 2012 Mission: Protect the Vulnerable, Promote Strong and Economically Self- Sufficient Families, and Advance Personal and Family Recovery and Resiliency. Unlocking the Doors of Eligibility Adoptions Work • What is your role in adoptions work? – How long have you been doing this? • What is your best memory of placing a child for adoption? • Why do we do adoption subsidies? Adoption Subsidies: Why? To reduce a child’s stay in foster care limbo To move children into permanent adoptive homes Module VI: Training Objectives 1. Determine if a child meets eligibility requirements for IV-E, TANF, or State-Funded adoption subsidies. 2. Use FSFN to apply for the appropriate adoption subsidy: IV-E, TANF, or State-Funded. 3. Describe the roles/responsibilities of adoptions case manager and rev max specialist in setting up and managing adoption subsidies. Maintenance Adoption Subsidy (MAS) Funnel Goal: Every child comes out of the MAS Funnel at the right place – with the appropriate subsidy. ENTRY CRITERIA No Subsidy TITLE IV-E Subsidy Applicable Child Not Applicable Child Subsidy Subsidy TANF-MAS STATEFUNDED Subsidy Haunted House of Eligibility Eligibility House Map IV-E-Not Applicable Child Front Door – Entry Criteria TANF State IV-E-Applicable Child MAS Entry Front Door 4 keys for 4 locks: Under 18? and Citizen/immigration status? and Adoptive parents meet background checks? and Adoption Assistance Agreement? Have the keys? Have all 4 keys - Go Inside No Subsidy No 4 keys? MAS Entry Front Door Ensure you have required documentation: • Refer to Handout 1, Title IV-E MAS Checklist for Applicable Child. Three of the first documents you will need are: • Child in Care Title IV-E and Medicaid Application. Refer to Handout 2. • Citizen/immigration status documentation. Refer to Handout 3. • Adoption Assistance Agreement. Refer to Handout 4. Have all 4 keys - Go Inside No Subsidy No 4 keys? Adoption Assistance Agreement Front Door An Adoption Assistance Agreement signed and dated by the adoptive parents and the Department must be in place. Ensure that all boxes and blanks are filled in and are consistent with other paperwork in the file. Refer to Handout 4, Adoption Assistance Agreement Title IV-E: Applicable Child Go through all 3 Doors to Subsidy Special Needs Eligibility Path Definition Can’t open a door? Go to Not Applicable Child Applicable Child Eligibility Doors Definition Special Needs Eligibility Path IV-E-Applicable Child Title IV-E: Applicable Child 1. Definition Three keys for one lock: Age, or Length of stay, or Part of a sibling group for adoption Title IV-E: Applicable Child 1. Definition 1: Age Child will attain the applicable age any time before the end of the federal fiscal year during which the adoption assistance agreement is signed. Refer to Handout 5, Adoption Subsidy Title IV-E Eligibility/Screening Worksheet throughout Title IV-E subsidies. Have a key? Go to Door 2: Special Needs Title IV-E: Applicable Child 1. Definition 2: Length of Stay 60 or more consecutive months in Foster Care prior to adoption finalization. Have a key? Go to Door 2: Special Needs Title IV-E: Applicable Child 1. Definition 3: Sibling Adoption 1. Sibling of an applicable child automatically meets applicable child definition. 2. Sibling must be placed in same home as the applicable child. 3. Sibling must still meet special needs and other eligibility criteria. Have a key? Go to Door 2: Special Needs Title IV-E: Applicable Child Child Title IV -E: Applicable 2. Special Needs 3 keys for 3 locks Can’t return home, and Hard to place, and Needs a subsidy Don’t Have all 3 keys? Go to Not Applicable Child Title IV-E: Applicable Child 1: Can’t Return Home 2. Special Needs • A TPR court order exists, or, a petition for TPR, or a signed relinquishment by the parent(s), or • The child is adoptable in accord with Tribal Law Refer to Section 5A of Handout 5, Title IV-E Eligibility/Screening Worksheet Have the key? Yes – go to next lock No – go to Not Applicable Child Title IV-E: Applicable Child 2. Special Needs 2: Hard to Place Lock opener: SSI! or One or more of the traditional hard-toplace criteria: • 8 or older • Developmental delay • Physical, mental, or emotional disability (or threat) • Black or racially mixed • Sibling group placed together Have either key? Yes – go to next lock No – go to Not Applicable Child Title IV-E: Applicable Child 2. Special Needs 3: Needs a Subsidy Reasonable, but, unsuccessful efforts have been made to place the child without subsidy. Have the key? Yes – go to next door (Paths) No – go to Not Applicable Child Title IV-E: Applicable Child 3. Eligibility Path 1: Child Was in Care Child was in care at the time adoption proceedings were initiated. Refer to Handout 5, Title IV-E Eligibility/Screening Worksheet 6a for details. Have a key? Yes – Title IV-E Applicable Child Subsidy No – try next Eligibility Path Title IV-E: Applicable Child 3. Eligibility Path 2: SSI Eligible Child meets SSI medical and disability requirements. Have a key? Yes – Title IV-E Applicable Child Subsidy No – try next Eligibility Path Title IV-E: Applicable Child 3. Eligibility Path 3. Child of Minor Parent Child was residing with his/her minor parent in a family foster home or child care institution. Have a key? Yes – Title IV-E Applicable Child Subsidy No – try next Eligibility Path Title IV-E: Applicable Child 3. Eligibility Path 4. Prior Adoption 1. 2. Have a key? Child was IV-E eligible in a prior adoption. Department/CBC agency must determine that the child is still a child with special needs. Yes – Title IV-E Applicable Child Subsidy No – try Not Applicable Child Title IV-E: Applicable Child Go through all 3 Doors to Subsidy Definition Eligibility Path Special Needs Can’t open a door? Go to Not Applicable Child Case Study Set #1 Refer to Handout 5 Adoption Subsidy Title IV-E Eligibility Screening Worksheet 1. Determine if the children in the two examples in Handout 9 are eligible for subsidy help. Explain your answer. 2. Use Handout 5 to determine whether the children would be an Applicable Child or not. Explain your answer. Eligibility House Map Front Door IV-E-Not Applicable Child IV-E-Applicable Child Not Applicable Child Eligibility Doors IV-E-Not Applicable Child Front Door Eligibility Path Special Needs Definition Title IV-E: Not-Applicable Child 3 Doors Definition Special Needs Eligibility Paths Title IV-E: Not-Applicable Child Door 1: Definition Definition Three keys fit one lock: Under Applicable Child Age, or Length of stay (<60 months), or Not sibling adoption Refer to Handout 5, Section C , Not Applicable Child, and Handout 10, Maintenance Adoption Assistance Checklist for Not Applicable Child. Have a key? Yes, go to next door. No, try TANF. Title IV-E: Not-Applicable Child Door 2: Special Needs Special Needs 3 keys for 3 locks Can’t return home, and Hard to place, and Need assistance (subsidy) All 3 Keys? Yes Go to Next Door No? Go to TANF. Title IV-E: Not-Applicable Child Door 2: Special Needs Special Needs 1: Can’t Return Home • A TPR court order exists, or a signed relinquishment by the parent(s), or • The child is adoptable according to Tribal Law Have the Yes – go to key? next Lock. No – try TANF. Title IV-E: Not-Applicable Child Door 2: Special Needs 2: Hard to Place Special Needs Traditional criteria (one or more): • 8 or older • Developmental delay • Physical, mental, or emotional disability (or threat) • Black or racially mixed • Sibling group placed together Have the key? Yes – go to next Lock. No – try TANF. Title IV-E: Not-Applicable Child Door 2: Special Needs 3: Need Subsidy Special Needs Reasonable, but, unsuccessful efforts have been made to place the child without subsidy. Have the key? Yes – go to next Door. No – try TANF. Title IV-E: Not-Applicable Child Door 3: Eligibility Paths 4 keys fit one lock: Eligibility Paths SSI recipient, or Prior adoption, or Child/minor parent, or AFDC eligible at most recent removal Have a Key? IV-E Subsidy! No Key? TANF! Title IV-E: Not-Applicable Child Door 3: Eligibility Paths Eligibility Paths 1: SSI 1. Applicable Child: meets medical or disability requirements for benefits 2. Not-Applicable Child: receiving benefits (SSA notice of eligibility) Have the key? Yes –Title IV-E Subsidy! No – try next path. Title IV-E: Not-Applicable Child Door 3: Eligibility Paths Eligibility Paths 2: Prior Adoption Same as Applicable Child. Have the Yes –Title IV-E No – try key? Subsidy. next path. Title IV-E: Not-Applicable Child Door 3: Eligibility Paths Eligibility Paths 3: Child of Minor Parent 1. Applicable Child: parent doesn’t need to have received IV-E payment 2. Not-Applicable Child: parent must have received a IV-E payment Have the Yes –Title IV-E key? Subsidy! No – try next path. Title IV-E: Not-Applicable Child Door 3: Eligibility Paths Eligibility Paths 4: AFDC-Eligible At the time of removal, the child must be: 1. Living with specified relative at removal 2. In financial need 3. Living in a state of deprivation Have the key? Yes –Title IV-E Subsidy! No – try TANF. Title IV-E: Not-Applicable Child Door 3: Eligibility Paths Eligibility Paths AFDC-Eligible – Living with Specified Relative Defined as any relation by blood, marriage or adoption that is within the fifth degree of kinship. Review Handout 8, Participants' Guide as well as Handout 5, if necessary. Title IV-E: Not-Applicable Child Door 3: Eligibility Paths Eligibility Paths AFDC-Eligible – In Financial Need • Family income and resources. • Child’s income and resources. Refer to Handout 8 Title IV-E: Not-Applicable Child Door 3: Eligibility Paths Eligibility Paths AFDC-Eligible – Deprivation At removal, deprivation consists of the following: • Parental Absence from Home • Parental Incapacity • Parental Unemployment or Underemployment Refer to Handout 11 covering Deprivation Title IV-E: Not-Applicable Child Door 3: Eligibility Paths AFDC-Eligible – Deprivation Eligibility Paths At removal, deprivation consists of the following: • Parental Absence from Home • Parental Incapacity • Parental Unemployment or Underemployment Title IV-E: Not-Applicable Child Door 3: Eligibility Paths AFDC-Eligible – Deprivation Eligibility Paths At removal, deprivation consists of the following: • Parental Absence from Home • Parental Incapacity • Parental Unemployment or Underemployment Title IV-E: Not Applicable Child Go through all 3 Doors to Subsidy Eligibility Paths Special Needs Definition Can’t open all doors? Go to TANF Case Study Set #2 Refer to Handouts 5 and 12. Determine whether or not the child in each example is a Not Applicable Child. Explain your answer. Eligibility House Map IV-E-Not Applicable Child Front Door TANF IV-E-Applicable Child TANF: 3 Doors Special Needs Adoptive Home Have the Keys to all 3 doors –TANF Subsidy! Income Missing a key? Try State Subsidy TANF Eligibility Doors TANF Front Door Special Needs? Income? Amount? Adoptive Home? TANF: Door 1: Special Needs Special Needs TPR and • Hard to place criteria: • 8 or older • Developmental delay • Physical, mental, or emotional disability (or threat) • Black or racially mixed • Sibling group placed together • Or • Significant emotional ties to foster parent/specified relative Have the Key? Go to Next Door No Key? State Subsidy Refer to Handout 7, Specified Relative and Handout 14, TANF Worksheet TANF: Door 2: Adoptive Parents Special Needs TANF subsidy requires that the adoptive parents be specified relatives that live in Florida. Have the Key? Go to Next Door. No key? Try State Subsidy. TANF: Door 3: Child’s Income Income The child’s income can make or break a TANF subsidy. Determine: • Does the child have an income? • If yes, is the child’s income less than 200% of Federal Poverty Level (FPL)? Have the Key No Key? TANF Subsidy! Use a State Subsidy TANF – Processing (1) There are two parts to completing the TANF application form template: • Complete and process form CF-FSP 5263 template , Maintenance Adoption Subsidy - TANF Worksheet/Application through FSFN. The same person cannot complete both the top and bottom portion of the form! • Complete and submit form CF-ES 2694 template, Child in Care Eligibility Review and Change Report to FLORIDA, indicating that child is eligible for TANF-MAS in the comment section. TANF – Processing (2) • If child is being adopted by a specified relative, TANF payments may start at placement. • If child is being adopted by a non-relative, process child’s eligibility for a state-funds until finalization; switch to TANF after adoption finalization. -- Subsidy payments must come from state funds until finalization. TANF – Code and File • Florida Safe Families Network: “Adoption Subsidy-TANF” • All documentation used to determine eligibility must be kept in the child’s case record Case Study Set #3 Determine if the children in the examples are eligible for TANF. Explain your answers. Instructions Refer to Handout 14, Maintenance Adoption Subsidy TANF Worksheet Application and to Handout 15, the Case Study Set and use the case documentation to determine if the child is eligible for a TANF subsidy. Eligibility House Map IV-E-Not Applicable Child Front Door TANF State IV-E-Applicable Child State General Revenue – 1 Door Florida Statutes 409-177 This is our last choice since we are trying to maximize federal assistance to help state dollars go further for supporting adoptions. Florida Statutes 409.177 requires a two-part eligibility screening process. Have the Key Go to Subsidy No Key? No Subsidy Florida Statutes - 409.166 Florida Statutes 409-177 Permanent custody has been awarded to the department or to a Licensed Child Placing Agency. The child is not likely to be adopted for the same reasons as the “Hard to Adopt” criteria for Title IV-E Not Applicable Child. Refer to Handout 16, State Funded Adoption Subsidy Checklist. Have the Key Go to Subsidy No Key? No Subsidy Records Maintenance 1. Work with adoption case manager to locate and assemble documentation 2. Complete form CF-ES 2626a Child In Care Title IV-E and Medicaid Templates through FSFN. 3. Complete form CF-FSP 5146, Adoption Subsidy TITLE IV-E Eligibility/Screening Worksheet, and/or form CF-FSP 5263, Maintenance Adoption Subsidy TANF Worksheet/Application templates through FSFN. 4. Submit the information to FLORIDA for Title IV-E and Medicaid eligibility determination. ICWSIS and FSFN Codes IV-E TANF Adoption Subsidy -- IV-E Adoption Subsidy -- TANF State Funds Adoption Subsidy -- State Funds Front Door State Eligibility Door Florida Statute 409.166 State Review of the MAS FUNNEL MAS FUNNEL ENTRY CRITERIA No Subsidy TITLE IV-E Subsidy Applicable Child Not Applicable Child Subsidy Every child comes out of the MAS Funnel at the right place – with the appropriate subsidy. Subsidy TANF-MAS STATEFUNDED Subsidy Case Study Set #4 Screen the cases for State General Revenue requirements. Explain your answer. Refer to Handout 16, State Funded Adoption Subsidy Checklist, and Handout 18, Case Study Set. MAS Non-recurring Expenses Non-recurring adoption expenses are the reasonable and necessary adoption fees, court costs, attorney fees, and other expenses associated with a special needs child adoption. Criteria include: 1. Special needs child 2. Initial adoption assistance agreement signed prior to finalization 3. Agreement states the nature and amount of expenses to be paid 4. Maximum amount: $1,000 per child Redetermination For IV-E, TANF, and StateFunded MAS, the age limit of eligibility is 18. For TANF, eligibility must be redetermined annually. Termination of Agreement Once the agreement is in effect, it can only be terminated when: • The child reaches 18. • The parent is no longer legally responsible for support and care of the child. • The state determines the child is no longer receiving parental support. Typical Roles and Responsibilities • The following slides outline typical responsibilities for the Adoption Case Manager, the Revenue Maximization Specialist, and the Child in Care Specialist. • Though these responsibilities are typical, they may vary by CBC. • Sometimes these responsibilities can even be interchangeable to allow each role more flexibility do what it takes to provide proper care for the child. Case Manager (1) • Follow Region/CBC agency procedures for adoption subsidies to get payments going. • Ensure that case documentation for eligibility screening is as complete as feasible. • Complete all subsidy-related forms templates in FSFN, including – Data Sheet – Disposition Sheet – Adoption Assistance Agreement with title IV-E adoption assistance as a tentative fund source Case Manager (2) • Update the Adoption Assistance Agreement in FSFN when the eligibility is completed. • Use Adoption Documentation Checklist, finalize and complete documentation in FSFN (and adoption case file), as appropriate. Rev Max Specialist (1) • Check the adoption eligibility due report in FSFN. • Request the Adoption Assistance package/documentation per local procedures. • Review the packet/documentation for completeness and request any missing or insufficient documentation. Note: The adoption assistance agreement will show that the child is eligible for Title IV-E adoption assistance and the signatures will not have occurred yet. This is a placeholder. Rev Max Specialist (2) • Consult with the adoption case manager and confirm that the child is an Applicable Child or a Not Applicable Child, as necessary. • Process IV-E Foster Care non-waiver eligibility through FSFN, if not yet completed. • Refer to supervisor, for review and approval, per local protocol. • Submit to Child in Care (CIC) for eligibility determination. • Receive the IV-E Foster Care eligibility determination from Child in Care (CIC). Rev Max Specialist (3) • Complete and launch form CF-5146,Title IV-E Eligibility Screening Worksheet, Adoption Eligibility template in FSFN. • Document in the comment section whether an Applicable Child is involved . • Also document same in the comments section of the Medicaid Application. • Print and annotate paper copy of the 5146 template to indicate that this is an Applicable child. • Submit to revenue maximization supervisor and/or CIC, per local protocol. Child in Care Specialist • Receive IV-E foster care non waiver application, determine eligibility and return decision through a manual Notice of Case Action (form CF-ES 2629). • Retrieve the Form 5146 for adoption subsidy eligibility from (1) the inbox of FLORIDA’s Automated Management System (AMS), and (2) the paper copy. • Complete form CF_ES 2629, notice of case action (NOCA) with adoption assistance eligibility decision and return to the revenue maximization unit. • Document on NOCA if Applicable Child involved; include any reason an Applicable Child is not IV-E eligible. Eligibility Changes – All Roles Watch for these eligibility changes: • Child turns 18 or is emancipated • Child’s parents no longer legally responsible for child’s support. • The family no longer resides in Florida -or moves to Florida (for TANF-funded adoption subsidy). • Child’s income changes (for TANFfunded adoption subsidy). Review: (MAS) Funnel Goal: Every child comes out of the MAS Funnel at the right place – with the appropriate subsidy. ENTRY CRITERIA No Subsidy TITLE IV-E Subsidy Applicable Child Not Applicable Child Subsidy Subsidy TANF-MAS STATEFUNDED Subsidy Haunted House of Eligibility Review The Haunted House of Eligibility is a series of paths of doors and keys. A subsidy can be obtained by following the right path. The front door, Entry Criteria corresponds to the first level of the MAS Funnel. Each of the four paths in the Haunted House of Eligibility behind the front door correspond to each of the levels of the MAS Funnel in order of priority: 1. Applicable Child 2. Not Applicable Child 3. TANF 4. State General Revenue Unlocking the Doors of Eligibility 1. Determine if a child meets eligibility requirements for IV-E, TANF, or State-Funded adoption subsidies. 2. Use FSFN to apply for the appropriate adoption subsidy. 3. Describe the roles/responsibilities of case manager and rev max specialist in setting up and managing adoption subsidies. Cultural Shift and Associated New Requirements • Culture Shift – moving from a manual, paper-driven process to automation, but Policy has not changed. • All eligibility determinations and redeterminations must be processed through FSFN. • Use the comment section of the FSFN template to communicate additional information that supports eligibility. • Child protective investigators, case managers, revenue maximization specialists, ACCESS child in care specialists and all other Department/CBC/CMO staff will work together to ensure continued funding for children who have come to the attention of the Department. • Question? If you have any questions about Maintenance Adoption Subsidy: first review the Frequently Asked Questions (FAQ) section at: http://centerforchildwelfare.fmhi.usf.edu/kb/RevMax/Forms/AllItems.aspx if the question is not addressed in the FAQs discuss with your supervisor 81
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