1. THE FLORIDA NETWORK OF YOUTH AND FAMILY SERVICES, INC
THE FLORIDA NETWORK OF YOUTH AND FAMILY SERVICES, INC. TITLE IV-E WAIVER TRAINING Beverly Dunn Title IV-E Consultant

2. THE FLORIDA NETWORK OF YOUTH AND FAMILY SERVICES, INC
THE FLORIDA NETWORK OF YOUTH AND FAMILY SERVICES, INC. TITLE IV-E WAIVER TRAINING
History
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

3. Session Objectives Understand the Title IV-E Waiver
Gain an Understanding of Why the IV-E Waiver is Important to me
Gain Understanding of Who Determines Title
IV-E Eligibility
Learn the Title IV-E Foster Care (Substitute Care) Eligibility Simplification Process for Title
IV-E Presumptive Eligibility
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

4. The Title IV-E Waiver
The Federal government assists states in paying for out-of-home care for children and youth
It will ensure that the child’s safety is the first priority in administration of the IV-E Waiver program
Obtain reimbursement for allowable agency youth expenditures
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

5. The Title IV-E Waiver (continued)
Federal Agency: US Dept of Health & Human Services’ Administration for Children and Families (ACF)
History
Legal Authority:
Social Security Act, Section 472
Public Law
45 CFR, Parts
Section , Florida Statutes
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

6. The Title IV-E Waiver (continued)
October 1, 2006 the IV-E Waiver was authorized by the HHS-ACF for a five-year period, under Title IV-E of the Social Security Act
Allows Florida the time and ability to demonstrate that flexibility in funding will result in improved services for families.
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

7. The Title IV-E Waiver (continued)
Because of this flexibility, the IV-E Waiver allows federal reimbursement for both “presumptive” IV-E eligible and Non-eligible placements
Technically, there are no more determinations of eligibility for IV-E. Thus, “presumptive” eligibility
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

8. Why IV-E Foster Care Eligibility Simplification?
Intent of Simplified Eligibility: To remove unnecessary eligibility related activities eliminated under the IV-E Waiver
Preserve a packet of information in youth’s case management file
Ensure that information needed for future Title IV-E eligibility is available
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

9. What’s in it For Me? Reimbursements pay for:
The cost of providing food, clothing and shelter
Daily supervision
School supplies
A child’s personal incidentals
Liability Insurance
Reasonable travel to the youth’s home for visitation
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

10. Who Determines What in Presumptive Eligibility?
Agency Shelter Staff:
Collects necessary information for a “Presumptive” IV-E eligibility determination on the FL Network Title
IV-E Waiver Application
Completes the one-page DCF Checklist
Attaches back-up documentation to the one-page DCF Checklist.
NOTE: You no longer send the Application or Checklist to Economic Self-Sufficiency (ESS) – Child in Care (CIC)
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

11. Who Determines What in Presumptive Eligibility? (continued)
WHY? Because of the IV-E Waiver, CIC staff no longer provide a Notice of Case Action – NO MORE WAITING
Why is the Presumptive IV-E eligibility determination needed?
* Federal Reporting
* Ensure that information needed for
future Title IV-E eligibility is available if
the Waiver ends
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

12. Long-Range Importance of Paperwork and Documentation
HHS - the Federal Title IV-E Agency or DCF can “opt out” of the IV-E Waiver at any point during the next five years
If this occurs, we would have to transition back to the standard non-waiver IV-E requirements of eligibility
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

13. What Was Not Waived in the IV-E Waiver?
The Voluntary Placement Agreement
Licensed Placement – Youth must reside in a DCF licensed Child-Caring Facility (Safety of the Youth)
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

14. Title IV-E Foster Care (Substitute Care) Eligibility Requirements
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

15. Basic Technical Factors
The Youth must meet the definition of a child:
Under the age of 18
Never married
Married and marriage annulled
Proof of Citizenship Status and Identity
Resident of the State of Florida
Annulled Marriage – a legal procedure that means that the marriage is erased or never existed. An annulled marriage does not end the youth’s status as a child.
Technical requirement – Youth must be a resident of the state of Florida.
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

16. TITLE IV-E SUBSTITUTE CARE ELIGIBILITY REQUIREMENTS
Youth’s Name
Youth’s Social Security Number
Copy of the youth’s Social Security Card, or
Proof of application for the SS#
Note: The youth’s case file should include the supporting documentation for each item.
Foster Care – The Department of Health and Human Services (HHS), Agency for Children and Families (ACF), have named any out of home placement for a child or youth as “foster care”.
Social Security Number – According to the CFOP , the social security number is a Medicaid requirement.
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

17. TITLE IV-E SUBSTITUTE CARE ELIGIBILITY REQUIREMENTS
Removal/Placement Date:
(The date the youth is placed in shelter care) either by a:
Shelter/Removal/Placement Order (Judicial Removal)
A Voluntary Placement Agreement
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

18. RESPONSIBILITY FOR PLACEMENT & CARE
Section 472(a)(2) of the Social Security Act requires that the responsibility for placement and care of a child/youth be with the state agency administering the Title IV-E Plan (DCF) or any other public agency with whom the state agency has a written agreement in effect.
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

19. RESPONSIBILITY FOR PLACEMENT & CARE PLACEMENT (CONTINUED)
How does the placement and care responsibility get placed with our agency?
DCF has a contract with the Department of Juvenile Justice to care for CINS/FINS children/youth.
DJJ has sub-contracted with the FL Network for CINS/FINS children/youth care
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

20. Judicial Removal Shelter/Removal/Placement Order must contain:
“Contrary to the Welfare” or “Best Interest” language
“Reasonable Efforts to Prevent Removal” language
Shelter/Placement Petition
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

21. Judicial Removal (continued)
Judicial Removal Order:
Must give the Placement and Care responsibility of the child/youth to the Department of Juvenile Justice and your CINS/FIN Agency
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

22. Voluntary Removal/Placement
Updated CINS/FINS Voluntary Placement Agreement (VPA)
VPA must give the placement and care responsibility to the Department of Juvenile Justice and your CINS/FIN Agency
VPA must be Signed and Dated by the Parent(s) or Legal Guardian
Court order must be obtained within 179 days of the VPA that contains “contrary to the welfare” language
Voluntary Foster Care – Title IV-E may be claimed for the first 180 days of the youth’s placement if the youth and family meet the eligibility criteria. On the 181st day, a court order must be obtained.
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

23. Voluntary Removal/Placement (continued)
CINS/FINS Shelter
Voluntary Placement Agreement
Statement in VPA Must Read:
I, voluntarily request that
the Department of Juvenile Justice and (Name of CINS/FINS Agency) assume responsibility for the placement, care and supervision of my child(ren).
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

24. Youth Receiving SSI or Kid-Care Health Insurance
DO NOT request reimbursement for a youth that collects SSI or is in the Kid-Care Health Insurance Program!
Request verification for back-up documentation
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

25. Proof of Citizenship Status and Identity
Provide one of the following:
Birth Certificate, or
Declaration of Citizenship, or
INS Documentation
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

26. Declaration of US Citizenship/ Qualified Non-Citizenship Status
The Declaration of US Citizenship/Qualified Non-Citizenship Status form
(CF-ES 2058) is used to verify US citizenship or Qualified Non-Citizenship status if other acceptable documentation is not available.
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

27. Proof of Identity (continued)
Photo of the Youth
School Records, if available
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

28. Absence From Home Definition of “home”
Youth must be physically absent from his/her home:
By way of a Voluntary Placement Agreement, or
A court order removing the youth from his/her home
Home – For Title IV-E purposes, “home” is tied to the presence of an adult who has taken on the daily care and supervision of the youth.
But, a child or youth may have lived in a variety of situations and still qualify for Title IV-E, including:
a) A hospital, following either a birth, illness or injury
b) A homeless shelter
c) a car or other vehicle
d) a tent or other temporary shelter
If the parent made arrangements for someone else to provide the daily care and supervision of the child and the child is subsequently removed from that person, that home becomes the removal home. Legal custody of the child is not considered an issue when determining the removal home.
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

29. Youth’s Family Living Arrangements Within Last Six Months
Look Back Six Months
Did the youth live with a “specified relative” within the past six months?
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

30. Specified Relative (Legal Specified Degree of Relationship)
Mother and/or Father - legal or biological
Brothers, sisters (including those of half blood)
Aunts, uncles, nieces, nephews
Grandparents, great-grandparents
First cousins (and 1st cousins once removed)
Specified Relative – A relative up to the fifth degree of relationship to the child.
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

31. Specified Relative (Legal Specified Degree of Relationship) continued
Stepfather, stepmother,
stepbrother, stepsister
(Note: The parent of a stepparent is not a specified relative.)
Person who legally adopts the child, as long as they are within the specified degree
Legal spouses of any of the persons named even though the marriage terminated by death or divorce
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

32. Youth’s Income
Earned
Source of Income
Monthly amount
Unearned Income (Example: Deceased parent’s Social Security dependent care)
Monthly Amount
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

33. Youth’s Assets Does the youth have his/her own assets?
If yes, list type of asset, dollar value and financial institution type
Does the youth have a trust fund? Note: This does not refer to a “Master Trust” Fund
Are total assets for the youth less than $10,000?
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

34. Parent’s Earned Income and Assets
Employer’s name
Employer’s address
Number of hours worked per month
Total gross earned income for the month
Assets (Limit is $10,000)
Example: Savings Account(s), checking account(s), stocks, bonds, etc.
Who collects this information? - The staff at the shelter who are responsible for interviewing and working with the youth and the family, usually during the intake process or when the Voluntary Placement Agreement is signed.
Proof of Employment and Income – We are required to verify employment (or lack thereof) and income. For self-employed parents, self-employment declaration and last year’s tax return will suffice. For those employed by others, either pay stubs covering the most recent 8 weeks are required or the parent(s’) signature authorizing the agency to contact the employer must be obtained.
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

35. Unearned Parent Income and Assets
Source of Income
Amount per month
Assets (Limit is $10,000)
Example: Savings Account(s), checking account(s), stocks, bonds, etc.
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

36. Youth’s Deprivation and Financial Need
Youth must be deprived of parental support or care of one or both parents by either:
Continued Absence due to death, separation, divorce or incarceration
Incapacity (disabled)
Unemployment
Underemployment
Deprivation - A child is living without the support and care of one or both parents.
Incapacity - The parent is unable to provide care or support for the youth because of physical or mental illness or a disability. Evidence that a parent receives SSI or SSA disability is enough to establish incapacity.
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

37. Income Guide
Family Size Parent(s) Household Gross Income Equal to or Less than:
1 $ 645
2 $ 864
3 $1,082
4 $1,300
5 $1,519
6 $1,737
7 $1,955
8 $2,174
9 $2,392
10 $2,610
Add* $ 218
*For each additional member beyond 10 add this amount to the Consolidated Need Standard.
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

38. Licensed Placement Date Placed Name of Child Caring Facility Address
Type of Setting
Effective Date of Most Recent License
Monthly Board Rate
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

39. Licensed Placement (continued)
Affidavit of Compliance
(CF-FSP 5218)
Employee Background Screening Status Form
Must be up to date!
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

40. Required Employee Criminal Background Screenings
Required for employees in a position of trust or in contact with the youth
Initial Hire – FBI
Every Year – Local Law Enforcement
Every 5 Years - FDLE
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

41. Required Employee Criminal Background Screenings (continued)
For Safety of the Youth and for Audit Purposes:
The results of the screenings must have been received by the agency or in pending status. Documentation that a request has been made is required for licensure!
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

42. Florida Network Title IV-E Waiver Application
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

43. Florida Network Title IV-E Waiver Application
Youth’s name, DOB, SS#, etc.
Court Ordered Removal/Placement or Voluntary Placement
Placement and Care Responsibility with DJJ and the CINS/FINS agency
Resided with a Specified Relative
Parent(s) Income/Assets
Youth’s Income/Assets
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

44. Florida Network Title IV-E Waiver Application
Presumptively Eligible
Presumptively Ineligible
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

45. Title IV-E Foster Care Initial Checklist
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

46. Title IV-E Foster Care Initial Checklist
Youth’s Name & SS#
Removal/Placement Date
Judicial Removal/Voluntary Placement
SSI-Related Documentation
AFDC/Eligibility Related Documentation
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

47. Title IV-E Foster Care Initial Checklist (continued)
Title IV-E Adoption Subsidy Eligibility Determination – If this occurs
Call Me!
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

48. Title IV-E Foster Care Initial Checklist (Continued)
Foster Care/Substitute Care Eligibility:
IV-E FC Eligible (Presumptively)
IV-E Non-Reimbursable
Non-IV-E Eligible
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

49. Shelter Care/Foster Care Eligibility (continued)
Sign and Date
Note: Sign on line as the Revenue Maximization Specialist. This is a DCF form that cannot be changed.
Comments:
State why or why not the youth is “presumptively” IV-E eligible, Non IV-E eligible or IV-E Non-Reimbursable
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

50. Now What Do We Do? Organize Your Paperwork and Documentation
Gather the documents to be sent to the Florida Network for reimbursement for a youth’s placement
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

51. Five Documents Required by the Florida Network for Reimbursement
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

52. #1 - Citizenship Documentation
Birth Certificate, or
Declaration of United States Citizenship/Qualified Non-Citizenship Status, or
INS Documentation
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

53. #2 - Income Documentation
Parent(s) W-2, Pay Stubs, etc.
Youth’s W-2, Pay Stubs, etc.
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

54. #3 – Updated Voluntary Placement Agreement
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

55. #4 - Florida Network Title IV-E Waiver Application
Completely Filled Out – No Blank Spaces
Signed and Dated
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

56. #5 – Title IV-E Foster Care Initial Checklist
Completely Filled Out –
No Blank Spaces
Signed and Dated
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

57. What Do I Do with the Other Documentation?
File it in the Youth’s Case Record!
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

58. Florida Network Monitoring
Random Selection of Cases
Questionable Presumptive Eligibility Determinations
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

59. Remember
File Retention – All placements/cases that are federally reimbursed must be retained for a period of seven years after the last entry.
Federal and State Audits are REAL!
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

60. IV-E Waiver Opt Out State of Florida or HHS-ACF can “opt out” of the
Transition back to the standard non-waiver IV-E requirements
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

61. Questions?
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.

62. Have Questions or Need Technical Assistance?
Thank You!
Have Questions or Need Technical Assistance?
net
Cell: (850)
Title IV-E Waiver Training March 2007/ Florida Network of Youth and Family Services, Inc.