(a) Contractor rules.  Therapeutic foster care (TFC) contractors meet Oklahoma Health Care Authority (OHCA) rules as described in Parts 1, 3, and 5 of OAC 317:30-3 and Part 83 of OAC 317:30-5.  • 1

(b) TFC services.  Contracted TFC services in accordance with OAC 317:30-5-742.2 include:

• (1) individual therapy, a minimum of four 30-minute sessions per month for each child;
• (2) family therapy, a minimum of four 30-minute sessions per month for each child.  The TFC contractor:
  • (A) works with the parent(s) or placement provider to whom a child in TFC will be discharged;
  • (B) seeks to support and enhance the child's relationship with family members, including siblings;
  • (C) arranges for and encourages regular contact and visitation between the child and parent(s) and other family members; and
  • (D) engages the child's parent(s) and siblings in visitation and family therapy with the child, when the case plan is reunification.  The TFC contractor provides consultation, support, and technical assistance to the TFC parent in the implementation of the child's treatment plan;
• (3) group rehabilitative treatment, a minimum of two 30-minute sessions per month for each child.  Group rehabilitative treatment services include education and supportive services, such as basic living skills, social skills redevelopment, interdependent living, self-care, lifestyle change, and recovery principles.  Thirty minutes of individual therapy, family therapy, or both may be provided in lieu of one hour of group rehabilitative treatment;
• (4) substance abuse or chemical dependency therapy, as needed, by a child with behavioral or emotional problems directly related to substance abuse, a minimum of two one-hour sessions per month.  A minimum of two hours of education and prevention therapy per 90-day period is required for a child who does not have behavioral or emotional problems directly related to substance abuse;
• (5) basic living skills redevelopment, a minimum of 30 minutes per day per child;
• (6) social skills redevelopment, a minimum of two 30-minute sessions per day per child;
• (7) crisis behavior management and redirection services to ensure contract staff availability 24 hours a day, seven days a week for response to the residential placement provider during a placement crisis to stabilize the child's behavior and prevent placement disruption.  Crisis behavior management and redirection services are consistent with the goals and objectives of the child's treatment plan;
• (8) independent living (IL) services consistent with the IL program administered by Oklahoma Department of Human services (OKDHS), per Part 13 of OAC 340:75-6; and
• (9) TFC agency developed policy and operating procedures that support collaboration with Child Welfare (CW) workers in the completion of the child's basic life skills assessment and the development of the child's IL plan.  • 2

(c) Contractor requirements.  TFC contractors are required to provide services and meet requirements as identified in OAC 340:75 and the TFC contract.  The contractor:

• (1) seeks to ensure services provided to the youth age 16 to 21 assist in planning for the youth's future and enhancing individual strengths and abilities;
• (2) ensures the youth in OKDHS custody applies for Medicaid upon his or her 18^th birthday, if the youth remains in placement in voluntary care to complete his or her secondary education;
• (3) ensures TFC staff comply with the qualifications in OHCA rules, per OAC 317:30‑5-740 and 317:30-5-740.1;
• (4) after initial placement of a child, provides clothing.  Emergency funds for clothing may be accessed per OAC 340:75-13-45;
• (5) ensures recreation, other than school and church attendance, is available through a wide range of activities to provide the child opportunities to pursue his or her talents, hobbies, or interests;
• (6) supports all permanency planning efforts as identified in the child's Form 04KI008E, Treatment Plan, or Form 04KI012E, Individualized Service Plan (ISP);
• (7) advocates for educational services in the community that best meet the needs of each child in compliance with Section 1-113 of Title 70 of the Oklahoma Statutes.
  • (A) The contractor:
    • (i) ensures timely school enrollment and provides the child's school with the information defined in the TFC contract at the time of enrollment; and
    • (ii) provides or arranges tutoring services in conjunction with the CW county of jurisdiction or county of placement worker.
  • (B) A child in TFC may:
    • (i) attend a private school accredited by Oklahoma.  OKDHS does not pay the cost or related cost of private school education; and
    • (ii) be home schooled consistent with OAC 340:75-6-50.  The TFC contractor consults with the Children and Family Services Division (CFSD) TFC programs manager and the involved CW field liaison in the decision to home school;
• (8) completes a written incident report describing any extreme behavioral incident or major rule violation, including the contractor's response.  The contractor provides a copy to the child's CW county of jurisdiction and placement workers and contract liaison, and files in the TFC record per contract specifications;
• (9) complies with children's rights per OAC 340:75-11-237;
• (10) complies with all general requirements per OAC 340:75‑8‑6;
• (11) complies with all other requirements specified in the OKDHS contract;
• (12) maintains documentation of the child's absent without leave (AWOL) and leave days defined in the contract and reports leave days on Form 04CB002E, CFSD Claim for Purchase of Residential Care; and
• (13) submits Form 04CB002E for reimbursement to CFSD Administrative Services Unit.  TFC contractors are reimbursed by:
  • (A) OHCA at a fixed daily rate for the provision of Medicaid services per OAC 317:30-5-743 and 317:30-5-744; and
  • (B) OKDHS at a fixed daily rate.  The fixed daily rate is a blend of Title IV-E federal funds, per eligibility of each child served, and state funds.