850.4 Placement Maintenance

The Department of Human Services(DHS), through the Office of Children, Youth, and Families, claims Federal reimbursement for eligible children in placement under Title IV-E of the Social Security Act. Title IV-E Placement Maintenance gives reimbursement for care and maintenance costs of children in placement and for Title IV – E training and administrative costs.

The CCYA determines whether children entering Foster Care are eligible for Title IV-E based on AFDC eligibility requirements in the State Plan on July 16, 1996. AFDC eligibility criteria include:

See Appendix B for the July 16, 1996 AFDC eligibility criteria that differ from TANF eligibility criteria.

When determining IV-E eligibility, do not count TANF benefits as income.

850.41 Change in Title IV-E Placement Maintenance Criteria

Because of changes to the Social Security Act after TANF, along with changes to Federal regulations and clarifications by the Federal Centers for Medicare and Medicaid Services, the AFDC eligibility criteria changed as of July 16, 1996. Use these changes when determining AFDC-relatedness for Title IV-E Placement Maintenance:

OPS150701 Amended PA 1745.1 for Title IV-E Placement Maintenance Eligibility  (Linked July 21, 2015)

850.42 CCYA Duties

The CCYA will:

NOTE:  A child’s eligibility for Title IV-E Placement Maintenance is established when the child enters care. Once eligibility is established, the child remains eligible for Title IV-E for the entire time in Foster Care. Eligibility ends when the child reaches 18 (19 if still in school) unless the child or the agency ends custody.

The CAO does not re-determine AFDC-related eligibility for Title IV-E after the first determination, during the custody episode. If the child returns to placement, a new Title IV-E determination is made.

If the CAO information on the child or the family is different from the CCYA information, the CAO should contact the CCYA. The CCYA decides which information is correct.

If the family does not cooperate, the CCYA may ask the CAO to check third party sources such as BENDEX, SDX and Department of Labor files on IEVS. Only information currently available on existing clients may be used.

The CAO must not enter an IEVS request on non-recipients. If such a request is made on the CY 61, the CAO may use information from a third party source and notify the CCYA of this on the CY 61. The CAO must file a copy of the documentation in the Foster Care case record.

850.43 Counting Income and Resources

PO17916850     Using the New PA 1745.1        March 15, 2016

The CAO will follow these guidelines:

850.44 SSI, Title IV-E Placement Maintenance and AFDC-Relatedness

Effective February 4, 1994, Federal policy has allowed receipt of SSI and Title IV-E Placement Maintenance at the same time. The CCYA will decide whether it is best for the child to continue getting SSI after Title IV-E eligibility has been established.

Each dollar of Title IV-E reimbursement payment reduces the SSI payment by a dollar. A child who is IV-E eligible and receives SSI benefits remains IV-E eligible. If the CCYA chooses SSI and Placement Maintenance, the medical category will remain SSI.

The CCYA will provide all needed information on the CY 61 so the CAO can determine AFDC-relatedness. The CCYA is not required to complete the household income and resource information if the CAO certified on the CY 60 that the child receives SSI or that the current case record gives enough income and resource information.

The CAO will complete the CY 61 and return it and the PA 1745.1, if needed, to the CCYA. When the CCYA determines the child’s Title IV-E Placement Maintenance eligibility, the CCYA will notify the CAO.

850.45 Medical Assistance and Placement Maintenance

When a child has been determined Title IV-E eligible, placement maintenance, the CAO will continue MA for the child in category PC and change the Program Status Code to 31. The CAO will not require renewal of MA eligibility for Title IV-E Placement Maintenance as long as the child remains eligible for reimbursement.

If a child’s income makes him non- IV-E reimbursable for a long period of time, the CAO will review the child for MA eligibility. Use the child’s income and the income limit of the MA category he would qualify for if he were not Title IV-E eligible.

If the child is placed in an ineligible facility,  MA under Title IV-E stops until the child returns to an eligible placement facility or until placement in the ineligibility facility ends. If placement continues in an eligible placement facility, determination of Title IV-E is not required. The CAO will open category PC with program status code 31.

The child is Title IV-E eligible during the entire custody episode, but IV-E reimbursement and automatic MA may change.

850.46 Ending Placement Maintenance

The CAO ends Placement Maintenance when the CCYA notifies the CAO that the child is no longer eligible for Placement Maintenance due to age or because the child is no longer in substitute care placement. See Section 850.27, Discharge from Placement, for appropriate procedures when closing the Foster Care record.

55 Pa. Code § 3140.111

55 Pa. Code § 3140.112

Sec. 472 of Soc. Sec. Act 42 U.S.C. 672

Revised March 17, 2016   replacing July 21, 2015