Procedures 447-10-55

 

Eligibility Process 447-10-55-05

(Revised 5/30/19 ML #3550)

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The eligibility determination process begins with the case manager completing the Foster Care Placement Notification form, SFN 630, for all children who enter care. This form along with a copy of the removal court order and if incorporated, the petition or affidavit, which resulted in the removal, are sent to the county eligibility staff.

 

The Title IV-E/Title XIX Application-Foster Care form, SFN 641, must be provided for completion to the child’s parents or guardian from whom the child was legally removed. If the parents or guardian fail to complete and return the application timely, the case manager must follow-up with the parents or guardian to assist in completing the application and to secure the needed information. As a last resort, if the parents or guardian are uncooperative or refuse to complete the application, the case manager may complete the application on the family's behalf; which may result in the child being determined non-Title IV-E eligible due to unknown information.

 

All efforts should be made to have all forms completed and sent to the designated county eligibility worker within 45 days of the removal. Forms that are incomplete or missing information will cause a delay in eligibility determination and payment to the provider.

 

The eligibility staff must use the Title IV-E eligibility determination forms Title IV-E Initial Eligibility, SFN 869, and Income Calculation Worksheet, SFN 873, to determine if the child is eligible for Title IV-E, Emergency Assistance, or regular foster care based on the July 16, 1996, AFDC rules. Once eligibility has been determined, the eligibility staff will enter and authorize the payment on CCWIPS and authorize Medical Assistance coverage as appropriate. If the child is eligible for Title IV-E benefits, the child becomes “categorically” Medicaid eligible. Worker will authorize the Medicaid accordingly. If the child is not eligible for Title IV-E benefits, a Medicaid determination must be made according to the Medicaid guidelines.