(a) Placements equivalent to foster home placements for children requiring a home-like environment with a full-time house parent couple are contracted by:

• (1) faith-based residential agencies for non-funded Level C placements; and
• (2) non-faith-based residential agencies for funded Level C placements.

(b) Non-funded and funded contracted Level C services include:

• (1) structured group treatment, a minimum of one hour per week for each child;
• (2) individual treatment for each child, as needed;
• (3) family visitation, when the case plan is reunification;
• (4) family treatment, when deemed appropriate by the contractor and the Child Welfare (CW) county of jurisdiction worker;
• (5) active teaching and redevelopment of the child's basic living and social skills, both on-site and in the community.  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;
• (6) developing and implementing policy and procedures for delivery of independent living (IL) skills training to youth, using an approved curriculum for teaching IL skills;
• (7) assisting in the provision of federally mandated IL services that include coordinating with the 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  • 1
  • (B) each youth age 15.5 or older attends one community contractor IL seminar each year;  • 1
• (8) ensuring the youth applies for Medicaid upon his or her 18th birthday, if the youth remains in placement in voluntary care to complete his or her secondary education per OAC 340:75-6-110; and
• (9) providing 24-hour on-call and on-site crisis intervention and behavior management services to each child, as needed.

(c) In addition, funded Level C services include:

• (1) substance abuse or chemical dependency therapy within a group or individual counseling or therapy sessions for each child, as needed;
• (2) behavior redirection 24-hours a day, seven days a week to meet the goals and objectives of the treatment plan and respond to any behavioral crisis of the child.  The contractor ensures staff are available to respond in a crisis to stabilize the child's behavior and prevent placement disruption; and
• (3) 24-hour on-call and on-site crisis intervention and behavior management services to each child, as needed.  Emergency or crisis intervention services include face-to-face encounters with the child to resolve acute emotional dysfunction by providing intervention resolution and stabilizing functions through triage screening, planning, and documentation.

(d) Non-funded and funded contracted Level C 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 psychiatric residential treatment center.

(e) The non-funded contractor:

• (1) does not provide 24-hour awake supervision of children;
• (2) is not required to provide clothing for the child in Oklahoma Department of Human Services (OKDHS) custody.  Emergency clothing authorizations may be accessed per OAC 340:75-13-45;  • 2
• (3) completes a written incident report describing any extreme behavioral incident or major rule violation, including the contractor's response, submits the original to the Children and Family Services Division, Community-Based Residential Services programs manager and a copy to the child's CW county of jurisdiction worker, and files a copy in the child's case record;
• (4) meets the staffing guidelines defined in the OKDHS contract;
• (5) complies with children's rights per OAC 340:75-11-237;
• (6) complies with all general requirements per OAC 340:75-11-240; and
• (7) provides placements of children at no cost to OKDHS.

(f) The funded contractor:

• (1) provides clothing after initial placement of a child.  Emergency clothing authorizations may be accessed per OAC 340:75-13-45;
• (2) maintains documentation of each 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;
• (3) is reimbursed by OKDHS at a fixed daily rate.  The fixed daily rate is a blend of Title IV-E per eligibility of each child served and state funds; and
• (4) submits Form 04CB002E for reimbursement to CFSD Administrative Services Unit.

(g) Children served in non-funded and funded Level C placements.

• (1) The primary goal of services is the remediation of mild to moderate behavior problems through a focus on daily living issues rather than clinical interventions.
• (2) Non-funded contractors:
  • (A) provide services to children, male or female, ten to 18 years of age.  Each contractor serves a different target population of children; and
  • (B) serve children whose typical behaviors include minor criminal offenses, difficulty in school, problems with authority figures, verbal aggression, peer difficulty, or infrequent runaway behavior with a few failed placements in a family setting.  • 3
• (3) Funded contractors provide services to male children, eight to 18 years of age, whose typical behaviors include impulse control problems and those behaviors listed in OAC 340:75-11-330(g)(2)(B).  • 3
• (4) Children not appropriate for non-funded placement:
  • (A) have a history of setting fires or sexual perpetration;
  • (B) are chemically dependent or have used drugs in the last 30 days;
  • (C) are psychotic or on anti-psychotic medications;
  • (D) have lived on the streets for the prior six months; or
  • (E) are intellectually limited with an intelligence quotient (IQ) below 70 and have poor verbal skills.
• (5) The funded contractor receives referrals of children for placement from the CFSD Placement Section and the non-funded contractor receives referrals of children through the contract liaison to the facility.