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  • Section 14000: Foster Care Assistance, Permanency Care Assistance, and Adoption Assistance

    14000 Foster Care Assistance, Permanency Care Assistance, and Adoption Assistance

    14100 Foster Care Assistance

    14110 Eligibility and Benefits for Children in DFPS Conservatorship

    14111 Role of the Foster Care Eligibility Specialist

    14111.1 Consistency with Income and Resources Information

    14111.2 Unknown Family Income on the Foster Care Assistance Application

    14112 Data Broker

    14113 Annual Review of Eligibility

    14114 Notifications to SSA and Use of the Wire Third Party Query System

    14120 Obtaining Certified Birth Certificates and Birth Records Screenshots

    14130 Foster Care Assistance Eligibility Requirements for Children and Youth Who Are in DFPS Conservatorship

    14131 General Foster Care Assistance Eligibility Requirements

    14131.1 General Eligibility Requirements for Title IV-E and State-Paid Foster Care

    14131.11 Responsibility for Placement and Care

    14131.12 Age 14131.13 Placement Facility

    14131.13 Social Security Number

    14131.14 Young Adults and Guardianship

    14131.2 General Eligibility Requirements for MAO Foster Care

    14132 Additional Eligibility Requirements for Title IV-E Foster Care

    14132.1 Judicial Determinations

    14132.2 Citizenship or Immigration Status

    14132.3 Social Security Number

    14132.4 Valid Removal from the Home

    14132.5 Aid to Families with Dependent Children (AFDC) Requirements

    14132.6 Child Care Institution (CCI) Placements

    14133 Requirements When Title IV-E Children Are in a Non-Title IV-E Placement

    14133.1 Trial Home Visits or Monitored Returns

    14133.2 Placements Outside the Scope of Foster Care

    14134 Additional Eligibility Requirements for State-Paid Foster Care

    14135 Medical Coverage for Children in Foster Care

    14135.1 Medicaid Eligibility Types

    14135.2 Medical Assistance Only (MAO) Auto-Eligibility

    14135.3 MAO Coverage for Children Placed in Kinship, Relative, or Own Home Placement

    14135.4 MAO Coverage for Children in Adoptive Placements

    14135.5 MAO Coverage for Children in Texas Juvenile Justice Department (TJJD) Placements

    14136 Eligibility in Medical Facilities Before Placement

    14137 Foster Care Payments during Absences from Foster Care Placements

    14138 Medicaid Benefits for Foster Care Children Placed in Texas from Other States

    14139 Medicaid Benefits for Foster Care Children Placed Out of State

    14140 Foster Care Assistance Eligibility Requirements for Young Adults Formerly in DFPS Conservatorship

    14141 Extended Foster Care Assistance

    14150 Recoupment of Foster Care Maintenance Overpayment and Billing Coordinator Role

    14151 Manual Recoupment Process

    14152 Notifying Providers of Recoupment that Exceeds 50 Percent of Next Payment

    14152.1 Extreme Hardship and Repayment Plans

    14153 When Not to Initiate Recoupment Procedures

    14160 Managing Children’s Funds

    14161 Receipt of Funds

    14162 Closing Children’s Income Accounts

    14162.1 Children with a Dedicated Account and a Legal Status of Resp Terminated

    14163 Checks Payable to Young Adult in DFPS Care

    14163.1 New Benefit Award from SSA

    14163.2 Income When Child Is in Paid Substitute Care

    14163.3 Lump Sum Distribution

    14164 Annual Reconciliation for Each Child

    14165 Distribution of Child Support Funds When the Child Is in DFPS Conservatorship

    14170 Supplemental Security Income (SSI) for Children in Foster Care

    14171 Effect of SSI Eligibility on Title IV-E Foster Care

    14171.1 Receiving SSI or Title IV-E Benefits

    14171.2 Changes that Affect Claiming SSI or Title IV-E Benefits

    14172 Effect of SSI Eligibility on State-Paid Foster Care

    14173 Effect of SSI Eligibility on MAO Foster Care

    14174 SSI Applications for Youth Aging Out of Care

    14175 Home and Community-Based Services (HCS) Placement

    14175.1 SSI Coordinator and Foster Care Eligibility Specialist Responsibilities

    14175.11 If the Child’s SSI Benefits are Active

    14175.12 If the Child’s SSI Benefits Are Suspended by SSA

    14175.13 Child Never Had SSI Benefits or SSA Denies Benefits after Suspension

    14175.2 Medical Assistance Only (MAO) Eligibility in HCS Placements

    14176 Child-Specific Contract Placements

    14177 Establishing a Dedicated Account Using a Supplemental Security Income (SSI) Lump Sum

    14178 Third-Party Resources for Medical Care Services

    14178.1 Reporting Third-Party Payers

    14180 Managing a Supplemental Security Income (SSI) or RSDI Lump Sum

    14181 Managing SSI and RSDI Lump Sums

    14181.1 Approvals for Lump Sum Expenditures

    14181.2 SSI Resources Limit

    14181.3 SSI Overpayments

    14182 Use and Conservation of SSI and RSDI Lump Sums for Children Receiving SSI

    14182.1 Consider the Appropriate Needs of the Child

    14182.11 Expenditure Request Form

    14182.2 Maintain Funds in a Savings Account

    14182.3 Determine If There Will Be Excess Funds

    14183 Child Receiving SSI Not in Paid DFPS Care

    14184 How Monthly Payments are Distributed

    14184.1 Child is in an Adoptive Placement

    14184.11 Child is Eligible for Adoption Assistance Payments and Receives SSI

    14184.12 Child is Eligible for Adoption Assistance Payments and Receives RSDI or Another Monthly Payment but Does Not Receive SSI

    14184.13 Child is Not Eligible for Adoption Assistance Payments and Receives SSI, RSDI, or Other Monthly Payments

    14184.2 Child Returns to Parents

    14184.3 Child is No Longer in DFPS Conservatorship

    14185 Supplemental Security Income (SSI) Reports

    14185.1 SSI Tracking Report

    14185.2 SSI Report for 17 Year Olds in Foster Care

    14185.3 SSA Change Reports

    14200 Permanency Care Assistance (PCA)

    14210 PCA Overview

    14211 Determining PCA Eligibility

    14211.1 Steps for the Regional Eligibility Assistance Units

    14211.2 Eligibility Units’ Ongoing PCA Responsibilities

    14211.3 Determining Which Region Maintains a Case Involving PCA

    14212 Negotiating Permanency Care and Deferred Agreements

    14212.1 Role of the Negotiator in Determining PCA

    14212.2 Other Considerations When Negotiating for PCA

    14212.3 Explaining Education Requirements When Negotiating for PCA

    14212.4 Explaining PCA Successor Benefits

    14212.5 Negotiating Deferred Agreements for PCA

    14213 Providing Medical Assistance to PCA Recipients

    14213.1 Providing Medical Care to a Child Who Lives in Texas and Receives PCA

    14213.2 Providing Medical Care to a Child Who Lives Out of State and Receives PCA

    14220 A Change in the Circumstances of a PCA Recipient

    14221 Benefits: PCA Recertification and Termination

    14221.1 Recertification of PCA Eligibility

    14221.2 Terminating PCA 14221.3 Recertification of Eligibility for Extended PCA

    14222 Recouping a PCA Overpayment

    14222.1 Standard Cases—Recouping PCA Overpayments in 30 Days

    14222.2 Hardship Cases—Recouping PCA Payments in Any Dollar Amount

    14222.3 Extreme Hardship Cases—Recouping PCA Payments in More Than 12 Months (Requires State Office Approval)

    14223 Fair Hearings Regarding Decisions about PCA

    14223.1 Duties of the Adoption Assistance Eligibility Specialist

    14224 Enhanced Permanency Care Assistance

    14224.1 Eligibility Specialist Approval Process

    14224.2 DFPS State Office Approval Process

    14224.3 Timing of Negotiation for Enhanced Permanency Care Assistance and Placement

    14224.4 Authorization of Payments for Enhanced Permanency Care Assistance

    14224.5 Denials of Enhanced Permanency Care Assistance

    14300 Adoption Assistance Program

    14310 Adoption Assistance

    14311 Eligibility Requirements for Adoption Assistance for Children Adopted from DFPS Conservatorship

    14311.1 General Eligibility Requirements

    14311.2 Determining Whether a Child Has Special Needs

    14311.3 Medical Assistance Only (MAO) Medicaid When a Child Has Not Qualified for Adoption Assistance

    14311.4 Additional Eligibility Requirements for Monthly Payments and Medicaid Coverage

    14311.5 Eligibility Requirements for State-Paid Adoption Assistance

    14311.6 Determining Who Is an Applicable Child

    14311.7 Eligibility Requirements for Extended Adoption Assistance

    14311.8 Permanent Managing Conservatorship When Adoption Assistance Is Not Available

    14312 Eligibility Requirements for Adoption Assistance for Children Adopted from the Conservatorship of an LCPA

    14312.1 Eligibility Requirements

    14312.2 Case Record for Adoption Assistance

    14312.3 International Adoptions

    14313 Jurisdiction and Responsibility for Determining Eligibility and Activating Benefits

    14313.1 Determining Which Children Are within DFPS Jurisdiction

    14313.2 Determining Which Region Has Responsibility for a Case

    14314 Program Notification, Application Process, and Responsibility for Cases

    14314.1 Informing Families of the Adoption Assistance Program

    14314.2 Application Process for Adoption Assistance

    14314.3 Determination of Eligibility

    14314.4 Responsibilities of the Eligibility Specialist in Entering into the Adoption Assistance Agreement

    14314.5 Commencement of Benefits

    14314.6 Ongoing Responsibilities of Adoption Assistance Eligibility Units

    14314.7 Reimbursement of Nonrecurring Adoption Expenses

    14315 Negotiation of Adoption Assistance Agreements and Deferred Adoption Assistance Agreements

    14315.1 Responsibilities of Negotiators for Adoption Assistance Agreement

    14315.2 Ongoing Responsibilities of Negotiators

    14315.3 Considerations during Negotiations

    14315.4 Supplemental Security Income (SSI) Payments and Adoption Assistance Payments

    14315.5 Determining the Payment Ceiling for Adoption Assistance

    14315.6 Education Requirements

    14316 Deferred Adoption Assistance Agreements

    14317 Changes in Circumstances and Periodic Certification of Continued Eligibility

    14317.1 Recertification of Eligibility

    14317.2 Adoptive Parents Die or Their Parental Rights Are Terminated

    14318 Termination of Adoption Assistance and Recoupment of Overpayments

    14318.1 Termination of Adoption Assistance Benefits

    14318.2 Recoupment of Overpayments of Adoption Assistance

    14318.21 Standard Cases—Recouping an Adoption Assistance Payment in 30 Days

    14318.22 Hardship Cases—Recouping an Adoption Assistance Payment in More Than 30 Days (Up to 12 Months)

    14318.23 Extreme Hardship Cases—Recouping an Adoption Assistance Payment in More Than 12 Months (Requires State Office Approval)

    14319 Fair Hearings about Adoption Assistance Determinations

    14319.1 Appealing Determinations about Adoption Assistance

    14319.2 Adoption Assistance Agreement Was Not Signed before the Adoption’s Consummation

    14319.3 Responsibilities of the Adoption Assistance Eligibility Specialist and Negotiator

    14320 Enhanced Adoption Assistance

    14321 Proceeding with Adoptive Placements in a Timely Manner

    14322 Approval Process for Enhanced Adoption Assistance

    14322.1 Regional Approval Process

    14322.2 State Office Approval Process

    14322.3 Approvals and Notification to Family

    14322.4 Summary of Forms

    14323 Timing of Negotiation for Enhanced Adoption Assistance and Placement

    14324 Authorization of Payments for Enhanced Adoption Assistance

    14325 Denials of Enhanced Adoption Assistance

    14326 Deferred Agreements for Enhanced Adoption Assistance

    14327 Appeals and Fair Hearings for Enhanced Adoption Assistance

    14330 Medicaid Coverage, the Interstate Compact on Adoption and Medical Assistance, and Adoption Assistance

    14331 The Interstate Compact on Adoption and Medical Assistance and Its Effect on Adoption Assistance

    14332 Procedures of the Interstate Compact on Adoption and Medical Assistance

    14333 Procedures for Children Eligible for Adoption Assistance Who Are Placed or Moved Out of Texas

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