(a) Contracted Level D placements are designed to serve the special needs of children, male or female, 12 to 17 years of age, in Oklahoma Department of Human Services custody, who are emotionally disturbed and certified as developmentally disabled by Developmental Disabilities Services Division (DDSD).   • 1

(b) The placement of children who are emotionally disturbed and developmentally disabled in Level D facilities is a joint decision made by the Children and Family Services Division (CFSD) programs manager or liaison to DDSD and DDSD programs manager for Residential Services.   • 1

(c) Providers of Level D placements are under contract with both CFSD and DDSD.

(d) Contractors receive referrals for children who are emotionally disturbed and developmentally disabled from DDSD programs staff.

(e) Level D contracted services include:

• (1) structured group therapy, a minimum of one hour per week for each child;
• (2) individual therapy, a minimum of one hour per week for each child;
• (3) family visitation, when the case plan is reunification;
• (4) family therapy, when deemed appropriate by the Child Welfare (CW) county of jurisdiction worker;
• (5) substance abuse or chemical dependency therapy within a group or individual counseling or therapy session for each child, as needed;
• (6) crisis intervention and behavior management services, as indicated in each child's DDSD Individualized Plan and in compliance with OAC 340:100-5-57.  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;
• (7) staff available to respond in a crisis to stabilize a child's behavior and prevent placement disruption, 24 hours a day, seven days per week;
• (8) active teaching and redevelopment of the child's basic living 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;
• (9) developing and implementing policy and procedures for delivery of independent living (IL) skills training to youth, using an approved curriculum for teaching IL skills; and
• (10) providing 24-hour awake supervision of children.

(f) The contractor:

• (1) complies with Part 105 of OAC 317:30-5 for residential behavior management services in group settings and non secure diagnostic and evaluation centers;
• (2) provides clothing after initial placement of a child.  Emergency funds for clothing may be accessed per OAC 340:75-13-45;
• (3) complies with group home regulations per OAC 340:100-6;
• (4) completes a written incident report describing any extreme behavioral incident or major rule violation, including the contractor's response, submits a copy to the child's CW county of jurisdiction worker and DDSD case manager, and files the original in the child's case record;
• (5) meets the staffing guidelines set forth in the OKDHS contract and OAC 340:100-6;
• (6) complies with children's rights per OAC 340:75-11-237;
• (7) complies with all general requirements per OAC 340:75-11-240;
• (8) maintains documentation of each child's absent without leave (AWOL) and leave days set forth in the contract and reports leave days on Form DCYS-S-2 (new form number 04CB002E), CFSD Claim for Purchase of Residential Care;
• (9) is reimbursed guaranteed payment by CFSD for the total number of beds specified in the contract;
• (10) is reimbursed by OKDHS at a fixed daily rate.  The fixed daily rate is a blend of Title IV-E and Title XIX federal funds, per eligibility of each child served, and state funds; and
• (11) submits Form DCYS-S-2 (new formnumber 04CB002E) for reimbursement to CFSD Administrative Services Unit.