Foster Care and Related Groups 510-03-55

 

Foster Care 510-03-55-05

(Revised 6/1/2015 ML #3441)

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IM 5262

 

 

For Medicaid purposes, a child is not considered to be in foster care unless all the following requirements are met:

1. There is a current foster care court order;

2. A public agency has care, custody, and control of the child;

3. The child is residing in an approved licensed foster care home or facility (a Psychiatric Residential Treatment Facility (PRTF) is not a licensed foster care facility); and

4. The child is a foster care child in the state foster care system through the state's Children and Family Services unit, or a Tribal 638 Foster Care child.

Example: A child is placed with a relative who is not a licensed Foster Care home. Since the child is NOT residing in an approved licensed foster care home or facility, the child’s eligibility is determined using non-Foster Care ACA Medicaid policies.

Children who were determined eligible based on the Foster Care eligibility criteria and who no longer meet one of the criteria listed above are no longer considered Foster Care children. Eligibility must be determined based on non-Foster Care criteria.

 

Children who are removed from the parental home and placed directly into a facility that is not an approved licensed foster care home or facility (PRTF) do not meet the four (4) criteria listed above. Therefore, they cannot have their eligibility determined using the Foster Care eligibility criteria.