Approval of Excess Maintenance Payments (EMP) 624-05-20-10

(Revised 10/1/2023 ML #3756)

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Excess maintenance payment is intended for the 24-hour care and supervision of a child in foster care with special medical, behavioral or emotional issues , which require additional care and resources by the foster care provider above and beyond what is expected in fostering a child of the same chronological and development stage.  If additional care is provided by licensed foster care providers or Nexus PATH Regular foster care providers, an excess maintenance payment (EMP) can be approved and authorized to meet the needs of the individual child requiring special services or difficulty of care.

 

These services would involve an unusual amount of time, physical work, skill, stress, or cost to the foster care provider. To determine if the child has medical, behavioral or emotional needs, a Child Needs Assessment (SFN 1865) is completed. The level of need is rated to determine the Excess Maintenance Payment.

 

Approximately 25% of the children in family foster care in North Dakota fall within this category. Payments to foster care provider(s) providing care in excess to typical daily cares, include the age appropriate foster care maintenance, and an irregular payment as stated in North Dakota Department of Human Services Manual Chapter 623-05.