Irregular Payment Specific to Placement Setting 623-05-25-05

(Revised 7/1/2024 ML #3842)

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Irregular Payments Family Foster Care Placement:

Children in foster care placed in a licensed or approved family foster home are eligible for irregular maintenance payments.

 

Irregular Payments for a Non-Foster Care Placement:

Children in foster care placed in a non-foster care setting with an unlicensed provider, at the hospital, or in relative/kinship care do not qualify for irregular maintenance payments.

 

Irregular Payments in Nexus-PATH Provider homes:

The irregular payment policy applies to children placed in Nexus-PATH provider homes. Children are eligible for:

  1. Category 10– codes 11, 12, 13, 14, 15, and 16

  2. Category 20– codes 21 and 22

  3. Category 40 – codes 41 and 43

  4. Category 70 – code 71, if the child in foster care has their own child in placement with them.

Transportation costs when a child is placed in a Nexus PATH provider home are covered by Nexus PATH only when the provider or agency is completing the transportation for the child. Transportation costs associated with reunification or visitation required for the child's family must be managed by the custodial agency.

 

Irregular Payments in Qualified Residential Treatment Program (QRTP):


The irregular payment policy has limited reimbursement options for children placed in residential treatment. ND QRTP's have an established fee for service defined in N.D.A.C. 75-03-15.

Children placed in a QRTP are eligible for:

Irregular Payments in Psychiatric Residential Treatment Facility (PRTF's):

Foster care funds cannot be used to reimburse for any portion of a child's cost of care in a PRTF, including irregular payments. Irregular payments may be included in the PRTF’s direct rate based on historical costs as outlined in N.D.A.C 75-02-09-06 reimbursed by ND Medical Services.