Maintenance Rate - Therapeutic Foster Care 623-05-20-35

(Revised 11/15/12 ML #3354)

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Professional Association of Treatment Homes (PATH)

 

When a child is placed in a PATH home, there are three options for payment. The rate effective July 1, 2012, is as follows:

• The PATH Therapeutic rate of $97.11/day will be paid for all children who are receiving treatment foster care services through PATH programs.
• A rate of  $59.45/day will be paid for all children in the PATH regular foster care (PATH provides case management) and step-down programs. (This amount is separate from treatment costs, which are directly billed to Medicaid by PATH).
• The county age appropriate foster care rate will be paid in situations where siblings are placed in the same PATH foster home and one of the siblings does not need a therapeutic level of care.  In this case the child’s case manager will provide case management and supervise the placement.

 

PATH-ND (Professional Association of Treatment Homes)

1112 Nodak Drive, Suite 200

Fargo, ND 58103

Phone: 701-280-8545

 

Billing Address:

PATH ND

2021 E Hennepin Ave, Ste 320

Minneapolis, MN 55413

 

Payments to PATH should not be authorized unless you have a billing statement for the appropriate month.  "PATH and the Department of Human Services will review PATH foster care maintenance rates quarterly.  Therefore it is possible that the daily rate will change on a quarterly basis."

 

The legal custodian and the youth’s service team will evaluate the youth’s progress to determine the appropriate level of care. If placement in the PATH Step Down option is appropriate, the legal custodian and PATH will sign the needed documentation at the team meeting. The County/DJS case manager will be responsible to notify the eligibility worker at the appropriate county.

 

For payment purposes the effective date for the PATH Step Down rate must be the first of the month. It will not be possible to pay for a partial month of care.  The PATH Step Down rate will continue to be effective until the child leaves the PATH program, or eligibility staff is notified otherwise (e.g. escalation of child’s behavior).

 

For PATH-ND, the PATH Therapeutic Rate, Step-Down Rate, and PATH Family Foster Care Rate includes all irregular payments with the exception of Category 70, Parent/Infant, and Category 50, Code 53, related to school transportation costs. PATH-ND bills the financial county for the Foster Care rate and PATH-ND pays the foster parents directly.  The financial county authorizes the payment on CCWIPS with the above PATH-ND address as payee.

 

If a child is in a PATH Home paid at the standard family foster care rate, this child is eligible for irregular payments. Refer to CCWIPS Manual for technical assistance.

 

Refer to CCWIPS User manual for technical assistance related to entering PATH-ND foster care payments on the CCWIPS system.

 

Medicaid eligibility must be determined prior to referral of a child to PATH-ND. The treatment (rehabilitation) amount may be paid by Title XIX, or some other resource. IT CANNOT BE PAID THROUGH FOSTER CARE.

 

North Homes, Inc.:

Services provided through North Homes are consistent with the therapeutic family foster care section outlined in Service Chapter 624-05-20-15.

 

Effective 7/1/12, the daily maintenance rate paid to North Homes, Inc. is $87.01 per day. North Homes, Inc. will pay the foster parents directly. A treatment (rehab) rate is not available to North Homes, Inc. at this time. North Homes, Inc. and the Department of Human Services will review the foster care maintenance rate quarterly. Please be aware of potential quarterly rate changes when authorizing over/underpayments to North Homes, Inc.

 

The county appropriate rate will be accepted for children who do not meet the therapeutic level of care but are placed with his/her sibling in a North Homes, Inc. foster home. In this case, the child’s case manager will provide case management and supervise the placement.

 

The maintenance rate includes all irregular payments. The only exceptions are for a minor/infant situation and school related transportation expenses. A child in a North Homes, Inc. foster home, paid under the Standard family foster care rate, is eligible to have irregular payments made on their behalf.

 

North Homes, Inc. will bill the administrative county for the maintenance payments. The county will authorize the payment in the manner currently used for children placed in a PATH foster home. Payments should not be authorized until a billing is received from North Homes, Inc. The billing should be reviewed and checked for accuracy prior to authorizing payments.

 

Group home approvals are required for children who are placed in a North Homes, Inc. therapeutic family foster home.

 

The following “payee” address will be automatically inserted whenever a foster home license with a provider code “TN” is entered in CCWIPS:

 

North Homes, Inc.

1880 River Road

Grand Rapids, MN 55744

 

Questions related to billings should be directed to the North Homes, Inc. Chief Financial Officer at 1-888-430-3055 ext. 113.