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New Jersey Department of Children and Families Policy Manual

 

Manual:

CP&P

Child Protection and Permanency

Effective Date:

Volume:

IX

Administrative

Chapter:

F

Fiscal

11-14-2011

Subchapter:

2

Services

Issuance:

200

Financial Considerations in Provision of Services

 

 

Funding for Services        1-1-2011

CP&P receives funds and reimbursements through various Federal programs such as Title IV-B, Title IV-E, Title XIX, block grants under Title XX of the Social Security Act, Title V of the Refugee Education Assistance Act (R.E.A.A.), Title IV-B of the Refugee Act, child support as a result of the activities of the Title IV-D funded County Welfare Agency Child Support Units, and State Grants-In-Aid funds (SGIA) made up of State and county tax revenues appropriated by the State legislature.  Many CP&P social services are funded through the Social Service Block Grant known as Title XX of the Social Security Act, or a combination of the above-referenced funds.

The process of identifying which services are claimed against each funding source is completed by CP&P Central Office units and the Department of Children and Families units.  The information is provided by CP&P Local Offices through various information systems regarding the service provision and the financial eligibility of persons receiving services.

Some funding sources reimburse CP&P only for services provided to individuals whose income falls beneath certain limits.  CP&P must determine if the individual is financially eligible, and, if so, what funding source is available to CP&P to pay for the service.

See also CP&P-IX-F-1-300, Local Office Bank Account (LOBA): CP&P-IX-F-1-300, The LOBA Fund; and CP&P-IX-F-1-400, The Flexible Fund.

 

Eligibility for WFNJ-TANF            1-1-2011

Some clients may be eligible for Work First New Jersey/Temporary Assistance for Needy Family (WFNJ-TANF) benefits (formerly Aid to Families of Dependent Children, AFDC), independent of CP&P intervention or service provision.  At times CP&P will not be in a position to pay for services until a family explores and rules out eligibility for assistance from the local county welfare agency (CWA).

Following is a partial list of relevant policy.  See:

 

·         CP&P-IX-F-1-300, Local Office Bank Account (LOBA) and CP&P-IX-F-1-400, The Flexible Fund;

 

·         CP&P-III-A-1-200, Minors Living in Adult Circumstances;

 

·         CP&P-II-B-1-1250, section titled Referrals of Homelessness and Inadequate Shelter;

 

·         CP&P-IV-A-1-100, Federal and State Requirements for Children in Placement;

 

·         CP&P-V-A-1-600, County Welfare Agency Programs;

 

·         CP&P-V-A-6-400, Funeral/Burial Arrangements, Bereavement Services and Services for Terminally Ill Children; and

 

·         CP&P-IV-C-1-1100, section titled Subsidized Adoption and WFNJ/TANF.

 

Financial Eligibility 11-14-2011

Several Federal programs require eligibility determinations completed by CP&P, including Medicaid Code 60 and Title IV-E Foster Care and Adoption Assistance.  See CP&P-IX-F-1-225, Support Procedures, and CP&P-IV-F-1-100, Title IV-E Foster Care.

 

Code 65 Medicaid Services are financed totally by State funds; a financial eligibility determination is needed to determine eligibility.  See CP&P-V-A-4-100.

 

Medicaid Recipients          7-27-98

CP&P claims Federal financial participation (FFP) when purchasing psychiatric and/or psychological services for clients who are Title XIX (Medicaid) recipients.  When providing mental health services to client families, CP&P strives to make as many claims for reimbursement as possible under this program.  Psychiatrists and neurologists complete CP&P Form 11-28, Psychiatrist Certification, while psychologists complete CP&P Form 11-29, Psychologist Certification, when entering into open purchase contact with CP&P.

For CP&P to make an FFP claim, the provider must be licensed to practice in New Jersey (or in the State in which he or she practices), board certified in psychiatry or neurology (for psychiatrists and neurologists), and certified by CP&P as a "specialist" in treating abused and/or neglected children, their parents and families.  The provider's designation as a "specialist" is based on his or her professional experience, training, and skills, with that experience, training, and skill documented on CP&P Form 11-28 or Form 11-29.  See form instructions for each form in the Forms Manual, Volume X.

 

Support Paid for Children in Out-of-Home Placement         7-27-98

Legally responsible persons (LRPs) -- birth or adoptive parents or spouses of minor children (see definition in CP&P-IX-F-1-225) -- are evaluated for support of their children in CP&P-IX-F-1-225, Support Procedures.

 

Obtaining Federal Government/Other Financial Benefits for Children in Out-of-Home Placement                9-8-2009

Children in out-of-home placement through CP&P may also be entitled to a variety of benefits through their parents' or their own disability or life circumstances.  See CP&P-IX-F-1-250, Federal Benefits, and CP&P-III-C-2-400, Supplemental Security Income.

 

Evaluations Conducted by CP&P         11-14-2011

A LO Worker or Support Specialist may evaluate a client's personal financial resources (rather than the CWA CSPU pursuing support on behalf of CP&P) under the following situations:

 

·         to determine eligibility for Code 65 Medicaid.  See CP&P-V-A-4-100;

 

·        to determine a monthly installment rate of payment to CP&P for ACI services provided when the client cannot afford to pay the established monthly fee.  See CP&P-IV-C-10-300;

 

·         to determine whether CP&P should pay for a mental health/therapeutic service for which a client refuses to pay or claims he cannot afford to pay for himself and/or his child.  See CP&P-V-A-1-900;

 

·         to document a parent's financial need for/dependence on proceeds from his child's Federal government benefits (SSI, RSDHI, etc.).  See CP&P-IX-F-1-250; or

 

·         to determine whether the Division should pay for a needed service (e.g., transportation), an item (e.g., replacement bedding) or other emergency relief (e.g., one-time assistance with a utility bill).

 

See also CP&P-IX-F-1-225, section entitled Willing Payers.

 

CP&P-conducted support evaluations are based on the Department of Human Services' Treasury Formula.

 

A copy of an instruction guide, the Methodology and Formula for Determination of Financial Ability to Pay of Clients and Legally Responsible Relatives -- The Treasury Formula, published by the Department of Human Services' Office of Finance and Accounting, can be found in CP&P Area Offices and Local Offices. The formula is updated annually/as needed.  See CP&P-IX-F-1-225.