(a) Contracted residential maternity services placements provide residential care and treatment for pregnant youth in Oklahoma Department of Human Services (OKDHS) custody, regardless of age. The youth may return to the residential maternity services placement postpartum not to exceed 45 days, except with the approval of the Children and Family Services Division (CFSD) Community-Based Residential Services (CBRC) programs manager.  • 1

(b) Children served are pregnant youth in OKDHS custody, regardless of age, who require a supportive living environment with direction and guidance but are not appropriate for foster family care due to difficulty in sustaining relationships with parental figures.

(c) Youth not appropriate for placement are violent, aggressive, destructive to self, others, or property, engage in criminal or delinquent behaviors, or require intensive supervision and services.

(d) Non-funded and funded contracted residential maternity services for pregnant youth include:

• (1) group therapy, as needed, that focuses on maintenance issues and daily living matters;
• (2) individual treatment, as needed;
• (3) parenting skills training to enhance the youth's capability to function as a parent.  A specific plan for the delivery of those services is delineated in the contractor's written policy;
• (4) active teaching and redevelopment of the youth's basic living and social skills.  At minimum, the focus is on the restoration of skills for:
  • (A) personal health and hygiene;
  • (B) maintenance of the living environment, including food preparation;
  • (C) money management;
  • (D) job skills readiness, acquisition, and retention;
  • (E) community awareness and mobility, including the use of community resources; and
  • (F) socialization skills and techniques, including communication;
• (5) developing and implementing policy and procedures for the delivery of independent living (IL) skills training, using an approved curriculum for teaching IL skills;
• (6) assisting in the provision of federally mandated IL services that include coordinating with the Child Welfare (CW) county of jurisdiction worker to ensure:
  • (A) the Daniel Memorial or Ansell-Casey Life Skills assessment is completed on each youth age 16 or older and implementing the IL plan produced by this assessment; and  • 2
  • (B) each youth age 15.5 or older attends one community contractor IL seminar each year;  • 2
• (7) ensuring the youth applies for Medicaid upon her 18th birthday, if the youth remains in placement in voluntary care to complete her secondary education per OAC 340:75-6-110;
• (8) providing 24-hour on-call and on-site crisis intervention and behavior management services, as needed;
• (9) arranging prenatal, delivery, and postpartum care for the youth by a local physician or clinic; and
• (10) ensuring a licensed dietitian or nutritionist is on staff or available as a consultant in menu planning that meets the United States Department of Agriculture (USDA) or Oklahoma State Department of Health standards for pregnant teenagers or adult women.

(e) The youth is eligible for an emergency clothing authorization for maternity clothing after initial placement in a funded maternity residential services placement and quarterly emergency clothing authorizations when the youth is placed in a non-funded maternity residential services placement, per OAC 340:75-13-45.  • 3

(f) When the youth is in the Home Bound educational program, the contractor provides additional educational services at a minimum of two hours per day during the school term.

(g) Contracted residential maternity services placements are provided in a setting licensed as a child-placing agency group home or residential child care facility that is not located in a hospital, either medical or psychiatric, or a psychiatric residential treatment center.

(h) The contractor:

• (1) does not provide 24-hour awake supervision of children in placement;
• (2) completes a written incident report describing any extreme behavioral incident or major rule violation, including the contractor's response, submits the original to the CBRC programs manager and a copy to the child's CW county of jurisdiction worker, and files a copy in the child's case record;
• (3) meets the staffing guidelines defined in the OKDHS contract;
• (4) complies with children's rights per OAC 340:75-11-237;
• (5) complies with all general requirements per OAC 340:75-11-240;
• (6) maintains documentation for funded programs of each child's absent without leave (AWOL) and leave days set forth in the contract and reports leave days on Form 04CB002E, CFSD Claim for Purchase of Residential Care;
• (7) is reimbursed by OKDHS for funded programs at a fixed daily rate, based upon actual utilization.  The fixed daily rate is a blend of Title IV-E funds, per eligibility of each child served, and state funds.  The contractor submits Form 04CB002E for reimbursement to CFSD Administrative Services Unit; and
• (8) receives referrals for the placement of youth from the contract liaison.