3. Foster Care Charts

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1 Chart Book page Effective July 1, 2015, all foster care, KinGAP and Adoptions Assistance Program (AAP) placements will receive the California Necessities Index (CNI) increase of 2.54 percent. All County Letter (ACL) authorized rates increases for foster care and KinGAP rates, ACL 15-58E authorized increase for Intensive Treatment Foster Care (ITFC) and ACL authorized rate increase for AAP effective July 1, The Department of Developmental Services approved rates in the Community Care Facility rates, also known as the San Andrea Regional Center (SARC) rates, effective January 1, Current Santa Clara Foster Care Rates Below are the new rates effective July 1, TYPE OF PAYMENT/PLACEMENT CHILD S AGE OF 7/1/13 OF 7/1/14 OF 7/1/15 BASIC FFH MONTHLY RATES for Licensed FFHs, Approved Relatives, NREFMs, court dependent NRLGs, and Non-Dependent NRLGs established on for after May 1, $657 $671 $ $711 $726 $ $748 $764 $ $783 $800 $ $820 $838 $859 Chart Book Update #15-10 Revised: 12/21/15

2 page Adoption Assistance Program (AAP) Rates Effective 7/1/2015 Chart Book Initial Agreement Date 1/1/92 to 12/31/07 1/1/08 to 12/31/09 Effective 7/1/2014 (State Wide Rates) Effective 7/1/2015 (State Wide Rates) Adoption Finalized Date NA Prior to 5/27/2011 7/1/2011 7/1/2011 Eligible for Age Rate Increase Yes, if requested No No No Rate Age 0-4 $480 $503 $671 $688 Rate Age 5-8 $522 $547 $726 $744 Rate Age 9-11 $565 ($558*) $593 $764 $783 Rate Age $616 $646 $800 $820 Rate Age $674 $708 $838 $ *Is the State Wide Rate. Los Angeles and Santa Clara County have the same rates. Marin County AAP Rates Effective July 1, 2015 Ages /1/92 to 12/13/07 1/1/08 to 5/27/11 $480 $522 $599 $683 $517 $547 $631 $717 7/1/15 Uses the State Wide Rates Orange County AAP Rates Effective July 1, 2015 Ages /1/92 to 12/13/07 1/1/08 to 5/27/11 $480 $522 $558 $709 $709 $503 $547 $586 $743 $743 7/1/15 Uses the State Wide Rates Revised: 12/21/15 Chart Book Update #15-10

3 Chart Book page KinGAP/Non-Dependent NRLG Rates Effective July 1, 2015 TYPE OF PAYMENT/PLACEMENT AGE OF 7/1/13 OF 7/1/14 OF 7/1/15 BASIC FFH RATES for Kin-GAP and Non-Dependent NRLGs cases with guardianships established PRIOR to May 1, $481 $491 $ $522 $533 $ $559 $571 $ $617 $630 $ $675 $690 $708 BASIC FFH RATES for Kin-GAP and Non-Dependent or Dependent NRLGs cases with guardianships established ON or AFTER to May 1, OF 7/1/13 OF 7/1/ $657 $671 $688 OF 7/1/ $711 $726 $ $748 $764 $ $783 $800 $ $820 $838 $859 Chart Book Update #15-10 Revised: 12/21/15

4 page Group Home (GH) Rates Effective 7/1/15 Chart Book Rates are determined by the state and granted an annual increase based on the California Necessities Index (CNI). A GH is not entitled to the new rate until the state issues the approval. For California GH placements placed out of the state, the rate to be paid is the rate established by the rate-setting authority of the other state. Additionally, out of state GHs cannot exceed the California RCL 14 rate or exceed the rate determined by the rate-setting authority for the state in which the facility is located. The county is responsible for determining if any non-allowable costs are included in the rate and ensuring that only allowable costs are claimed for Federal Title IV-E AFDC reimbursement. Allowable costs are defined as food, clothing, shelter, daily supervision, school supplies, a child s personal incidentals and liability insurance with respect to the placed child, reasonable travel to the child s home for visitation and reasonable travel to the child s school of origin. For GHs placements allowable cost also include reasonable administration. TYPE OF PAYMENT/PLACEMENT: RATE CLASSIFICATION LEVEL (RCL): AMOUNT: GROUP HOMES 1 $ $ $ $ $ $ $ $ $ $ $ $ $ $10130 INFANT SUPPLEMENT $890 Revised: 12/21/15 Chart Book Update #15-10

5 Chart Book page Foster Family Agencies (FFA) Effective July 1, 2015 TYPE OF PAYMENT/PLACEMENT: AGE: 7/1/14 7/1/15 NON TREATMENT FFA 0-4 $671 $ $726 $ $764 $ $800 $ $838 $859 INFANT SUPPLEMENT $411 $411 TYPE OF PAYMENT/PLACEMENT: AGE: 7/1/14 7/1/15 TREATMENT FFA 0-4 $1728 $ $1804 $ $1860 $ $1928 $ $1995 $2060 INFANT SUPPLEMENT $411 $411 TYPE OF PAYMENT/PLACEMENT: SERVICE LEVEL: Service Levels Effective July 1, 2012 Rate Effective July 1, 2014 Rate Effective July 1, 2015 INTENSIVE TREATMENT FFA A B Level I (old A & B) $5685 $5741 C Level II $4902 $4958 D (old C & D) E Level III (old E) $4138 $4194 INFANT SUPPLEMENT $411 $411 Chart Book Update #15-10 Revised: 12/21/15

6 page Special Needs and Special Care Increments Effective 9/1/07 Chart Book TYPE OF PAYMENT / PLACEMENT: CHILD S AGE: MAXIMUM ALLOWANCE: Emergency Shelter Satellite Home (ESH) All ages $32 Per Day Specialized Adolescent Care Homes $932 Monthly Infant Supplement: FFAs, Foster Family Homes, KG, NRLGs and NREFMs, ESH, SILPs, THP-Plus-FC and THPP $411 Monthly INFANT SUPPLEMENT: Group Homes $890 Monthly Special Care Increments are Monthly Rates All Ages Maximum Emotional/Behavioral Level I $120 Emotional/Behavioral LeveL II $240 Emotional/Behavioral LeveL III $390 Special Medical Needs Level I/Step 1 $111 Special Medical Needs Level I/Step 2 $222 Special Medical Needs Level I/Step 3 $533 Special Medical Needs Level I/Step 4 $889 Special Medical Needs Level II/Step 1 $988 Special Medical Needs Level II/Step 2 $1127 Special Medical Needs Level III $1503 Other County/State Special Needs rate are based on instructions from DFCS INITIAL CLOTHING ALLOWANCE Under 1 $176 Child 1-11 $245 Boy 12 + $293 Boy s Sizes Boy 12 + $387 Men s Sizes Girl 12 + $413 ANNUAL CLOTHING ALLOWANCE Pre-School $69 School Age a $141 a. A child who will have had his/her 5th birthday on or before December 2 of the year in which this payment is being made. Revised: 12/21/15 Chart Book Update #15-10

7 Chart Book page California Department of Developmental Services Community Care Facilities (CCF) Rates Effective 1/1/16 CCF rates are established by the California Department of Developmental Services. When their rates increase they are published on the following website The CCF rates used by San Andreas Regional Center (SARC) foster care placements. SERVICE LEVEL PAYMENT RATE 1 $1,014 2-Owner $2,187 2-Staff $2,428 3-Owner $2,548 3-Staff $2,861 4A $3,317 4B $3,543 4C $3,767 4D $4,041 4E $4,332 4F $4,631 4G $4,978 4H $5,351 4I $5,878 Personal and Incidental (P&I) rate Effective New Rate Effective 1/1/15 $131 Chart Book Update #15-10 Revised: 12/21/15

8 page Dual Agency Children Rates Chart Book Age July 1, 2012 July 1, 2013 July 1, 2014 July 1, 2015 Under 3 years old $942 $967 $988 $ years and older $2106 $2162 $2209 $2265 Supplement to Dual Agency Rates Dual Agency youths that are under 3 years old and receiving the higher rate are not eligible for the following supplemental rates: $250 $500 $750 $ Education Travel Reimbursement (ETR) Effective April 1, Rates based on Mileage Distance from FC Placement to School of Origin One Way in Miles ETR Rate Per Month Per Child Up to 3.4 $0 3.5 to 8.4 $ to 13.4 $ to 18.4 $ to 23.4 $ or More $443 Revised: 12/21/15 Chart Book Update #15-10

9 Chart Book page 3-9 Rates based on Public Transportation Passes Cost Rate Low $25 Medium $50 High $ Transitional Housing Placement Program (THPP) Rate is effective 7/1/15: TYPE OF RATE: PAYMENT RATE THPP $4819 Note: The infant supplement for a THPP placement is $411. Although THPPs are placed through GHs the rate is not based on GH standard rates Transitional Housing Placement Plus Foster Care (THP+FC) Effective July 1, 2015 TYPE OF SITE: PAYMENT RATE Single Site Housing $3007 Remote Site $3007 Host Family Model $ Transitional Housing Placement Plus (THP+) Effective July 1, 2015 TYPE OF SITE: PAYMENT RATE Single $2400 Parenting $2800 Chart Book Update #15-10 Revised: 12/21/15

10 page 3-10 Chart Book Wraparound Services Program Wraparound rates are no longer paid at the rates set below. Effective July 1, 2012, there is no longer a requirement to subtract the cost of placement for children or youths in FC. Wraparound services are paid at a flat rate of $3500 each month for children or youths in FC, CalWORKs and JPD. The flat rate for AAP children or youths receiving Wraparound services is $3500 effective July 1, Effective 7/1/2013, the rates for Wraparound are the maximum state standards based on the RCL levels. While SCC will pay a maximum of $3500 each month for Wraparound, the fiscal department may claim the maximum rates listed below. TYPE OF RATE: RCL RATE: California State Wraparound Services 10/11 $ $9538 Federal Wraparound Services 10/11 $ $4769 Note: There is no involvement from eligibility for fiscal claiming Other Counties Rates Effective 7/1/15 Due to a grandfathering of their rates which occurred when the basic rates were added by statute in 1989, certain basic rates paid by Los Angeles, Orange, Marin, and Santa Clara counties exceed the current statewide basic rates specified in WIC Section 11461(a). Counties with higher than the state set basic rate shall receive one-half of the percentage adjustments until the county s adjusted rates and the state s basic rates are equivalent. Effective July 1, 2012, Los Angeles, Marin and Santa Clara counties rates are at the state s equivalent except Orange County. The following chart represents Orange county rates for basic FFH established prior to May 1, SCI rates are determined per county and must be verified individually. All other rates (i.e. Group Homes, FFA s, etc.) are standard throughout the state. Revised: 12/21/15 Chart Book Update #15-10

11 Chart Book page 3-11 The following rates effect KinGAP and non-dependent NRLG rates where legal guardianship was established prior to May 1, Effective July 1, 2015 are the new Orange County rates listed below: TYPE OF PAYMENT/PLACEMENT: CHILD S AGE: BASIC RATE July 1, 2013 BASIC RATE July 1, 2014 BASIC RATE July 1, 2015 BASIC LICENSED FFH AND KinGAP STANDARD STATEWIDE MONTHLY RATES 0-4 $481 $491 $ $522 $533 $ $559 $571 $ $684 $691 $700* 15 + $684 $691 $708 * Effective 7/1/15, a 1.27 percent CNI increase applies only to the age category. 3.2 Historical Rates Effective July 1, 2013, all foster care, KinGAP and Adoptions Assistance Program (AAP) placements will receive the California Necessities Index (CNI) increase of 2.65 percent. All County Letter (ACL) authorized rate increases foster care and KinGAP rates and ACL authorized rate increases AAP effective July 1, Below are the new rates effective July 1, Chart Book Update #15-10 Revised: 12/21/15

12 page 3-12 Chart Book TYPE OF PAYMENT/PLACEMENT CHILD S AGE OF 7/1/11 OF 7/1/12 OF 7/1/13 BASIC FFH MONTHLY RATES for Licensed FFHs, Approved Relatives, NREFMs, court dependent NRLGs, and Non-Dependent NRLGs established on for after May 1, $621 $640 $ $673 $693 $ $708 $729 $ $741 $763 $ $776 $799 $ Adoption Assistance Program (AAP) Rates Effective 7/1/2013 Initial Agreement Date 10/1/92 to 12/31/07 1/1/08 to 12/31/09 1/1/10 to 5/26/2011 Effective 7/1/2013 (State Wide Rates) Adoption Finalized Date NA NA Prior to 5/27/2011 7/1/2011 Eligible for Age Rate Increase Yes, if requested Yes, if requested No No Rate Age 0-4 $458 $481 $481 $657 Rate Age 5-8 $498 $522 $522 $711 Rate Age 9-11 $539 ($532*) $566 ($559*) $566 ($559*) $748 Rate Age $588 $617 $617 $783 Rate Age $643 $675 $675 $ *Is the State Wide Rate. Los Angeles and Santa Clara County have the same rates. Marin County AAP Rates Effective July 1, 2013 Ages /1/92 to 12/13/07 $458 $498 $572 $652 Revised: 12/21/15 Chart Book Update #15-10

13 Chart Book page 3-13 Marin County AAP Rates Effective July 1, /1/08 to 12/31/08 $493 $522 $602 $684 7/1/12 Uses the State Wide Rates Orange County AAP Rates Effective July 1, 2013 Ages /1/92 to 12/13/07 1/1/08 to 12/31/08 $458 $498 $532 $ $481 $522 $559 $710 $710 7/1/13 Uses the State Wide Rates KinGAP/Non-Dependent NRLG Rates Effective July 1, 2013 TYPE OF PAYMENT/PLACEMENT AGE OF 7/1/11 OF 7/1/12 OF 7/1/13 BASIC FFH RATES for Kin-GAP and Non-Dependent NRLGs cases with guardianships established PRIOR to May 1, $455 $469 $ $494 $509 $ $530 $545 $ $584 $601 $ $639 $658 $675 BASIC FFH RATES for Kin-GAP and Non-Dependent or Dependent NRLGs cases with guardianships established ON or AFTER to May 1, OF 7/1/11 OF 7/1/ $621 $640 $657 OF 7/1/ $673 $693 $ $708 $729 $ $741 $763 $ $776 $799 $820 Chart Book Update #15-10 Revised: 12/21/15

14 page Group Home (GH) Rates Effective 7/1/13 Chart Book Rates are determined by the state and granted an annual increase based on the California Necessities Index (CNI). A GH is not entitled to the new rate until the state issues the approval. For California GH placements made out of the state, the rate to be paid is the rate established by the rate-setting authority of the other state. Additionally, out of state GHs cannot exceed the California RCL 14 rate or exceed the rate determined by the rate-setting authority for the state in which the facility is located. The county is responsible for determining if any non-allowable cost are included in the rate and ensuring that only allowable cost are claimed for Federal Title IV-E AFDC reimbursement. Allowable cost are defined as food, clothing, shelter, daily supervision, school supplies, a child s personal incidentals and liability insurance with respect to a child, reasonable travel to the child s home for visitation and reasonable travel to the child s school of origin. For GHs placements allowable cost also include reasonable administration. TYPE OF PAYMENT/PLACEMENT: RATE CLASSIFICATION LEVEL (RCL): AMOUNT: GROUP HOMES 1 $ $ $ $ $ $ $ $ $ $ $ $ $ $9669 INFANT SUPPLEMENT $890 Revised: 12/21/15 Chart Book Update #15-10

15 Chart Book page Foster Family Agencies (FFA) Effective July 1, 2013 TYPE OF PAYMENT/PLACEMENT: AGE: 7/1/12 7/1/13 NON TREATMENT FFA 0-4 $640 $ $693 $ $729 $ $763 $ $799 $820 INFANT SUPPLEMENT $411 $411 TYPE OF PAYMENT/PLACEMENT: AGE: 7/1/12 7/1/13 TREATMENT FFA 0-4 $1697 $ $1771 $ $1825 $ $1891 $ $1956 $1977 INFANT SUPPLEMENT $411 $411 TYPE OF PAYMENT/PLACEMENT: SERVICE LEVEL: New Service Levels July 1, 2012 Rate Effective July 1, 2012 Rate Effective 7/1/13 INTENSIVE TREATMENT FFA A B Level I (old A & B) $5581 $5637 C Level II $4798 $4854 D (old C & D) E Level III (old E) $4034 $4090 INFANT SUPPLEMENT $411 $411 Chart Book Update #15-10 Revised: 12/21/15

16 page Special Needs and Special Care Increments Effective 9/1/07 Chart Book TYPE OF PAYMENT / PLACEMENT: CHILD S AGE: MAXIMUM ALLOWANCE: Emergency Shelter Satellite Home (ESH) All ages $32 Per Day Specialized Adolescent Care Homes $932 Monthly Infant Supplement: FFAs, Foster Family Homes, KG, NRLGs and NREFMs, ESH, SILPs, THP-Plus-FC and THPP $411 Monthly INFANT SUPPLEMENT: Group Homes $890 Monthly Special Care Increments are Monthly Rates All Ages Maximum Emotional/Behavioral Level I $120 Emotional/Behavioral LeveL II $240 Emotional/Behavioral LeveL III $390 Special Medical Needs Level I/Step 1 $111 Special Medical Needs Level I/Step 2 $222 Special Medical Needs Level I/Step 3 $533 Special Medical Needs Level I/Step 4 $889 Special Medical Needs Level II/Step 1 $988 Special Medical Needs Level II/Step 2 $1127 Special Medical Needs Level III $1503 Other County/State Special Needs rate are based on instructions from DFCS INITIAL CLOTHING ALLOWANCE Under 1 $176 Child 1-11 $245 Boy 12 + $293 Boy s Sizes Boy 12 + $387 Men s Sizes Girl 12 + $413 ANNUAL CLOTHING ALLOWANCE Pre-School $69 School Age a $141 a. A child who will have had his/her 5th birthday on or before December 2 of the year in which this payment is being made. Revised: 12/21/15 Chart Book Update #15-10

17 Chart Book page California Department of Developmental Services Community Care Facilities (CCF) Rates Effective 1/1/14 SERVICE LEVEL 1 Rate effective 1/1/12 is $982, 1/1/13 is $993 (new rate effective 1/1/2014) PAYMENT RATE $ Owner $ Staff $ Owner $ Staff $2502 4A $2941 4B $3134 4C $3326 4D $3567 4E $3825 4F $4082 4G $4386 4H $4707 4I $5159 Personal and Incidental (P&I) rate Effective 1/1/13 is $129 New rate effective 1/1/14 $130* Chart Book Update #15-10 Revised: 12/21/15

18 page Dual Agency Children Rates Chart Book Age July 1, 2007 July 1, 2011 July 1, 2012 July 1, 2013 Under 3 years old $898 $915 $942 $967 3 years and older $2006 a $2045 a $2106 a $2162 a a. Children under the age of 3 are eligible for the higher rate if they have already been determined to be disabled by SARC. Supplement to Dual Agency Rates Dual Agency youths that are under 3 years old and receiving the higher rate are not eligible for the following supplemental rates: $250 $500 $750 $ Education Travel Reimbursement (ETR) Effective April 1, Rates based on Mileage Distance from FC Placement to School of Origin One Way in Miles ETR Rate Per Month Per Child Up to 3.4 $0 3.5 to 8.4 $ to 13.4 $ to 18.4 $ to 23.4 $ or More $ Revised: 12/21/15 Chart Book Update #15-10

19 Chart Book page 3-19 Rates based on Public Transportation Passes Cost Rate Low $25.00 Medium $50.00 High $ Transitional Housing Placement Program (THPP) Rate is effective 3/1/06: TYPE OF RATE: PAYMENT RATE THPP $3819 Note: The infant supplement for a THPP placement is $411. Although THPPs are placed through GHs the rate is not based on GH standard rates Transitional Housing Placement Plus Foster Care (THP-Plus-FC) Effective July 1, 2013 TYPE OF SITE: PAYMENT RATE Single Site Housing $2871 Remote Site $2871 Host Family Model $ Transitional Housing Placement Plus (THP+) Effective March 1, 2006 TYPE OF SITE: PAYMENT RATE Single $1800 Parenting $2350 Chart Book Update #15-10 Revised: 12/21/15

20 page 3-20 Chart Book Wraparound Services Program Wraparound rates are no longer paid at the rates set below. Effective July 1, 2012, there is no longer a requirement to subtract the cost of placement for children or youths in FC. Wraparound services are paid at a flat rate of $3500 each month for children or youths in FC, CalWORKs and JPD. The flat rate for AAP children or youths receiving Wraparound services is $3500 effective July 1, Effective 7/1/2013 the rates for Wraparound are the maximum state standards based on the RCL levels. While SCC will pay a maximum of $3500 each month for Wraparound, the fiscal department may claim the maximum rates listed below. TYPE OF RATE: RCL RATE: California State Wraparound Services 10/11 $ $9104 Federal Wraparound Services 10/11 $ $4552 Note: There is no involvement from eligibility for fiscal claiming Current State and Other Counties Rates Effective 7/1/13 Due to a grandfathering of their rates which occurred when the basic rates were added by statute in 1989, certain basic rates paid by Los Angeles, Orange, Marin, and Santa Clara counties exceed the current statewide basic rates specified in WIC Section 11461(a). Counties with higher that the state set basic rate shall receive one-half of the percentage adjustments until the county s adjusted rates and the state s basic rates are equivalent. Effective July 1, 2012, Los Angeles, Marin and Santa Clara counties rates are at the state s equivalent except Orange County. The following chart represents Orange county rates for basic FFH established prior to May 1, SCI rates are determined per county and must be verified individually. All other rates (i.e. Group Homes, FFA s, etc.) are standard throughout the state. Revised: 12/21/15 Chart Book Update #15-10

21 Chart Book page 3-21 The following rates effect KinGAP and non-dependent NRLG rates where legal guardianship was established prior to May 1, Effective July 1, 2013 are the new Orange County rates listed below: TYPE OF PAYMENT/PLACEMENT: CHILD S AGE: BASIC RATE July 1, 2011 BASIC RATE July 1, 2012 BASIC RATE July 1, 2013 BASIC LICENSED FFH AND KinGAP STANDARD STATEWIDE MONTHLY RATES 0-4 $455 $469 $ $494 $509 $ $529 $545 $ $665 $675 $ $665 $675 $684 Chart Book Update #15-10 Revised: 12/21/15

22 page 3-22 Chart Book 3.3 Historical Foster Care Rates Effective July 1, 2012, all foster care placement receive the CNI of 2.98 percent. Additionally, ACL increased rates retroactively for Dual Agency Children. ACL included Foster Family Agencies (FFA) in the CNI, changed the levels of care FFA Intensive Treatment Foster Care (ITFC) from five levels to three. ACL included a provision for the continuance of AFDC-FC benefits beyond the age of 19 years old. Rates for AAP, Kin-GAP and Non-Dependent Legal Guardian continue to vary. Below are the new rates effective July 1, TYPE OF PAYMENT/PLACEMENT CHILD S AGE OF 5/1/11 OF 7/1/11 OF 7/1/12 BASIC FFH MONTHLY RATES for Licensed FFHs, Approved Relatives, NREFMs, court dependent NRLGs, and Non-Dependent NRLGs established on for after May 1, $609 $621 $ $660 $673 $ $695 $708 $ $727 $741 $ $761 $776 $799 Revised: 12/21/15 Chart Book Update #15-10

23 Chart Book page Adoption Assistance Program (AAP) Rates Effective 7/1/2012 Initial Agreement Date 10/1/92 to 12/31/07 1/1/08 to 12/31/09 1/1/10 to 5/26/2011 Effective 7/1/2012 (State Wide Rates) Adoption Finalized Date NA NA Prior to 5/27/2011 7/1/2011 Eligible for Age Rate Increase Yes, if requested Yes, if requested No No Rate Age 0-4 $446 $469 $469 $640 Rate Age 5-8 $485 $509 $509 $693 Rate Age 9-11 $525 ($518*) $551 ($545*) $551 ($545*) $729 Rate Age $573 $601 $601 $763 Rate Age $626 $658 $658 $ *Is the State Wide Rate. Los Angeles and Santa Clara County have the same rates. Marin County AAP Rates Effective July 1, 2012 Ages /1/92 to 12/13/07 1/1/08 to 12/31/08 $446 $485 $557 $635 $480 $509 $586 $666 7/1/12 Uses the State Wide Rates Orange County AAP Rates Effective July 1, 2012 Ages /1/92 to 12/13/07 1/1/08 to 12/31/08 $446 $485 $518 $ $469 $509 $545 $692 $658 7/1/12 Uses the State Wide Rates Chart Book Update #15-10 Revised: 12/21/15

24 page KinGAP/Non-Dependent NRLG Rates Effective July 1, 2012 Chart Book TYPE OF PAYMENT/PLACEMENT AGE OF 7/1/11 OF 7/1/12 BASIC FFH RATES for Kin-GAP and Non-Dependent NRLGs cases with guardianships established PRIOR to May 1, $455 $ $494 $ $530 $ $584 $ $639 $658 BASIC FFH RATES for Kin-GAP and Non-Dependent or Dependent NRLGs cases with guardianships established ON or AFTER to May 1, OF 7/1/11 OF 7/1/ $621 $ $673 $ $708 $ $741 $ $776 $799 Revised: 12/21/15 Chart Book Update #15-10

25 Chart Book page Group Home (GH) Rates Effective 7/1/12 Rates are determined by the state and granted an annual increase based on the California Necessities Index (CNI). A GH is not entitled to the new rate until the state issues the approval. Additionally, out of state GHs cannot exceed the California RCL 14 rate. TYPE OF PAYMENT/PLACEMENT: RATE CLASSIFICATION LEVEL (RCL): AMOUNT: GROUP HOMES 1 $ $ $ $ $ $ $ $ $ $ $ $ $ $9419 INFANT SUPPLEMENT $890 Chart Book Update #15-10 Revised: 12/21/15

26 page 3-26 Chart Book Foster Family Agencies (FFA) Effective July 1, 2012 TYPE OF PAYMENT/PLACEMENT: AGE: 10/1/09 7/1/12 NON TREATMENT FFA 0-4 $373 $ $405 $ $431 $ $480 $ $522 $799 INFANT SUPPLEMENT $411 $411 TYPE OF PAYMENT/PLACEMENT: AGE: 10/1/09 7/1/12 TREATMENT FFA 0-4 $1430 $ $1483 $ $1527 $ $1608 $ $1679 $1956 INFANT SUPPLEMENT $411 $411 TYPE OF PAYMENT/PLACEMENT: SERVICE LEVEL: 10/1/09 New Service Levels July 1, 2012 Rate Effective July 1, 2012 INTENSIVE TREATMENT FFA A $4028 Level I $5581 B $3695 (old A & B) C $3349 Level II $4798 D $3023 (old C & D) E $2687 Level III (old E) $4034 INFANT SUPPLEMENT $411 $ Dual Agency Children Rates Age July 1, 2007 July 1, 2011 July 1, 2012 Under 3 years old $898 $915 $942 3 years and older $2006 a $2045 a $2106 a Revised: 12/21/15 Chart Book Update #15-10

27 Chart Book page 3-27 a. Children under the age of 3 are eligible for the higher rate if they have already been determined to be disabled by SARC Transitional Housing Placement Plus Foster Care (THP-Plus-FC) Effective July 1, 2012 TYPE OF SITE: PAYMENT RATE Single Site Housing $2797 Remote Site $2797 Host Family Model $ Foster Care Basic Rates Effective May 1, 2011 and July 1, 2011 TYPE OF PAYMENT/PLACEMENT CHILD S AGE OF 1/1/08 OF 5/1/11 OF 7/1/11 BASIC FFH MONTHLY RATES for Licensed FFHs, Approved Relatives, NREFMs, and court dependent NRLGs 0-4 $446 $609 $ $485 $660 $ $525 a $695 $ $573 $727 $ $627 $761 $776 a. The Santa Clara County rate for this age group exceeds the statewide standard ($519). In addition, the basic rates paid by Los Angeles, Marin, and Orange counties exceed statewide standards for certain age groups for rates prior to May 1, [Refer to, page 3-44.] Chart Book Update #15-10 Revised: 12/21/15

28 page 3-28 Chart Book KinGAP and Non-Related Legal Guardian Established before May 1, 2011 for Los Angeles, Santa Clara, Orange and Marin Counties TYPE OF PAYMENT/PLACEMENT AGE OF 7/1/11 Orange County as of 7/1/11 Marin County As of 7/1/11 BASIC FFH RATES for Kin-GAP and Non-Dependent NRLGs cases with guardianships established PRIOR to May 1, $455 $455 (0-40 $ $494 $494 (5-6) $ $530 $529 (7-12) $ $584 $665 (13-20) $ $639 $655 Effective 1/1/08-04/30/2011 TYPE OF PAYMENT/PLACEMENT: CHILD S AGE: BASIC RATE: BASIC FOSTER FAMILY HOME (FFH) MONTHLY RATES 0-4 $ $ $525 a $ $627 a. The Santa Clara County rate for this age group exceeds the statewide standard ($519). In addition, the basic rates paid by Los Angeles, Marin, and Orange counties exceed statewide standards for certain age groups. [Refer to, page 3-44.] Adoption Assistance Program (AAP) Rates Effective 5/27/2011 and 7/1/2011 Revised: 12/21/15 Chart Book Update #15-10

29 Chart Book page 3-29 Initial Agreement Date 10/1/92 to 12/31/07 1/1/08 to 12/31/09 1/1/10 to 5/26/2011 On or after 5/27/2011 and prior to 7/1/2011 Effective 7/1/2011 Adoption Finalized Date NA NA Prior to 5/27/2011 5/27/2011-7/1/2011 7/1/2011 Eligible for Age Rate Increase Yes, if requested Yes, if requested No No No Rate Age 0-4 $433 $455 $455 $609 $621 Rate Age 5-8 $471 $494 $494 $660 $673 Rate Age 9-11 Rate Age Rate Age $510 $530 $530 $695 $708 $556 $584 $584 $727 $741 $608 $639 $639 $761 $ Example: Adoption finalized on May 30, 2011 for a three year old, the rate effective May 30, 2011 is $609 and increases July 1, 2011 to $621. Example: Adoption is initialized April 14, 2011 and finalized May 28, 2011 for a twelve year old, the adoption rate is $747 effective May 28, 2011 and increases July 1, 2011 to $741. Example: Adoption is initialized April 24, 2011 and finalized May 25, 2011 for a fifteen year old, effective May 25, 2011 is $627 (historical rate) and increases July 1, 2011 to $639. Example: Adoption is initialized March 4, 2011 and finalized July 14, 2011 for a ten year old, the adoption rate is $708 effective July 14, 201 Chart Book Update #15-10 Revised: 12/21/15

30 page 3-30 Effective 7/1/01-8/31/07 Chart Book TYPE OF PAYMENT / PLACEMENT: CHILD S AGE: MAXIMUM ALLOWANCE: BASIC FOSTER FAMILY HOME MONTHLY RATES 0-4 $ $ $500 a $ $597 EMERGENCY SHELTER SATELLITE HOME (ESH) All ages $30 per day SPECIALIZED ADOLESCENT CARE HOMES $888 monthly Personal & Incidental (P&I) Allowances 119 (1/1/07) $121 (1/1/09) INFANT SUPPLEMENT: FFAs, Foster Family Homes, including non-relative legal guardian placements and ESH $391 monthly INFANT SUPPLEMENT: Group Homes $848 monthly SPECIALIZED CARE RATE (Basic) All Ages $34 monthly SPECIALIZED CARE RATE Monthly Rate for All Ages Min Max Emotional/Behavior Level I All Ages $35 $114 Emotional/Behavior Level II All Ages $115 $229 Emotional/Behavior Level III All Ages $230 $371 Developmentally Disabled Level I All Ages $388 Developmentally Disabled Level II All Ages $601 Developmentally Disabled Level II All Ages $744 Special Medical Needs Level III All Ages $1 $847 Special Medical Needs Level III All Ages $848 $1073 Special Medical Needs Level III All Ages $1074 $1431 INITIAL CLOTHING ALLOWANCE Under 1 $168 Child 1-11 $233 Boy 12 + $279 boy s sizes Boy 12 + $369 men s sizes Girl 12 + $393 ANNUAL CLOTHING ALLOWANCE Pre-School $66 Revised: 12/21/15 Chart Book Update #15-10

31 Chart Book page 3-31 TYPE OF PAYMENT / PLACEMENT: CHILD S AGE: MAXIMUM ALLOWANCE: School Age b $134 a. The Santa Clara County rate for this age group exceeds the statewide standard ($494). In addition, the basic rates paid by Los Angeles, Marin, and Orange counties exceed statewide standards for certain age groups. [Refer to, page 3-44.] b. A child who will have had his/her 5th birthday on or before December 2 of the year in which this payment is being made. Effective 7/1/00-6/30/01 TYPE OF PAYMENT / PLACEMENT: CHILD S AGE: MAXIMUM ALLOWANCE: BASIC FOSTER FAMILY HOME MONTHLY RATES 0-4 $ $ $488 a $ $569 EMERGENCY SHELTER SATELLITE HOME (ESH) All ages $29 per day SPECIALIZED ADOLESCENT CARE HOMES $847 monthly INFANT SUPPLEMENT: FFAs, Foster Family Homes, including non-relative legal guardian placements and ESH $373 monthly INFANT SUPPLEMENT: Group Homes $809 monthly SPECIALIZED CARE RATE (Basic) All ages $32 monthly INITIAL CLOTHING ALLOWANCE Under 1 $160 Child 1-11 $222 Boy 12 + $266 boy s sizes Boy 12 + $352 men s sizes Girl 12 + $375 ANNUAL CLOTHING ALLOWANCE Pre-School $63 School Age b $128 a. The Santa Clara County rate for this age group exceeds the statewide standard ($471). In addition, the basic rates paid by Los Angeles, Marin, Orange, San Diego, and San Mateo counties exceed statewide standards for certain age groups. [Refer to, page 3-44.] Chart Book Update #15-10 Revised: 12/21/15

32 page 3-32 Chart Book b. A child who will have had his/her 5th birthday on or before December 2 of the year in which this payment is being made. Effective 1/1/00-6/30/00 TYPE OF PAYMENT / PLACEMENT: CHILD S AGE: MAXIMUM ALLOWANCE: BASIC FOSTER FAMILY HOME MONTHLY RATES 0-4 $ $ $481 a $ $553 EMERGENCY SHELTER SATELLITE HOME (ESH) All ages $28 per day SPECIALIZED ADOLESCENT CARE HOMES $823 monthly INFANT SUPPLEMENT: FFAs, Foster Family Homes, including non-relative legal guardian placements and ESH $362 monthly INFANT SUPPLEMENT: Group Homes $786 monthly SPECIALIZED CARE RATE (Basic) All ages $31 monthly INITIAL CLOTHING ALLOWANCE Under 1 $155 Child 1-11 $216 Boy 12 + $258 boy s sizes Boy 12 + $342 men s sizes Girl 12 + $364 ANNUAL CLOTHING ALLOWANCE Pre-School $61 School Age b $124 a. The Santa Clara County rate for this age group exceeds the statewide standard ($457). In addition, the basic rates paid by Los Angeles, Marin, Orange, San Diego, and San Mateo counties exceed statewide standards for certain age groups. [Refer to, page 3-44.] b. A child who will have had his/her 5th birthday on or before December 2 of the year in which this payment is being made. Revised: 12/21/15 Chart Book Update #15-10

33 Chart Book page 3-33 Effective 7/1/99-12/31/99 TYPE OF PAYMENT / PLACEMENT: CHILD S AGE: MAXIMUM ALLOWANCE: BASIC FOSTER FAMILY HOME MONTHLY RATES 0-4 $ $ $470 a $ $540 EMERGENCY SHELTER SATELLITE HOME (ESH) All ages $27 per day SPECIALIZED ADOLESCENT CARE HOMES $804 monthly INFANT SUPPLEMENT: FFAs, Foster Family Homes, including non-relative legal guardian placements and ESH INFANT SUPPLEMENT: Group Homes $354 monthly $768 monthly SPECIALIZED CARE RATE (Basic) All ages $31 monthly INITIAL CLOTHING ALLOWANCE Under 1 $155 Child 1-11 $216 Boy 12 + $258 boy s sizes Boy 12 + $342 men s sizes Girl 12 + $364 ANNUAL CLOTHING ALLOWANCE Pre-School $61 School Age b $124 a. The Santa Clara County rate for this age group exceeds the statewide standard ($446). In addition, basic rates paid by Los Angeles, Marin, Orange and San Diego counties exceed the statewide standard for certain age groups. b. A child who will have had his/her fifth birthday on or before December 2 of the year in which this payment is being made. Chart Book Update #15-10 Revised: 12/21/15

34 page 3-34 Effective 7/1/98-6/30/99 Chart Book TYPE OF PAYMENT / PLACEMENT: CHILD S AGE: MAXIMUM ALLOWANCE: BASIC FOSTER FAMILY HOME MONTHLY RATES 0-4 $ $ $459 a $ $528 EMERGENCY SHELTER SATELLITE HOME (ESH) All ages $26 per day SPECIALIZED ADOLESCENT CARE HOMES $785 monthly INFANT SUPPLEMENT: FFAs, Foster Family Homes, including non-relative legal guardian placements and ESH INFANT SUPPLEMENT: Group Homes $346 monthly $750 monthly SPECIALIZED CARE RATE (Basic) All ages $31 monthly INITIAL CLOTHING ALLOWANCE Under 1 $155 Child 1-11 $216 Boy 12 + $258 boy s sizes Boy 12 + $342 men s sizes Girl 12 + $364 ANNUAL CLOTHING ALLOWANCE Pre-School $61 School Age b $124 a. The Santa Clara County rate for this age group exceeds the statewide standard ($436). In addition, basic rates paid by Los Angeles, Marin, Orange and San Diego counties exceed the statewide standard for certain age groups. b. A child who will have had his/her fifth birthday on or before December 2, of the year in which this payment is being made. Revised: 12/21/15 Chart Book Update #15-10

35 Chart Book page 3-35 Effective 7/1/90-6/30/98 TYPE OF PAYMENT / PLACEMENT: CHILD S AGE: MAXIMUM ALLOWANCE: BASIC FOSTER FAMILY HOME MONTHLY RATES 0-4 $ $ $428 a $ $484 EMERGENCY SHELTER SATELLITE HOME (ESH) All ages $25 per day SPECIALIZED ADOLESCENT CARE HOMES $741 monthly INFANT SUPPLEMENT: FFAs, Foster Family Homes, including non-relative legal guardian placements and ESH INFANT SUPPLEMENT: Group Homes $326 monthly $708 monthly SPECIALIZED CARE RATE (Basic) All ages $30 monthly INITIAL CLOTHING ALLOWANCE Under 1 $147 Child 1-11 $204 Boy 12 + $244 boy s sizes Boy 12 + $323 men s sizes Girl 12 + $344 ANNUAL CLOTHING ALLOWANCE Pre-School $58 School Age b $117 a. The Santa Clara County rate for this age group exceeds the statewide standard ($400). In addition, basic rates paid by Los Angeles, Marin, Orange and San Diego counties exceed the statewide standard for certain age groups. b. A child who will have had his/her fifth birthday on or before December 2, of the year in which this payment is being made. Chart Book Update #15-10 Revised: 12/21/15

36 page Historical KinGAP Rates Chart Book Effective 1/1/08-04/30/11 TYPE OF PAYMENT/PLACEMENT: AGE: BASIC RATE: BASIC KinGAP MONTHLY RATES 0-4 $ $ $525 a $ $627 a. Rate exceeds statewide standard. Effective 7/1/ SANTA CLARA COUNTY Age Basic Rate (7/1/01) 0-4 $ $ $500 a $ $597 Infant Supplement $391 a. Rate exceeds statewide standard. Revised: 12/21/15 Chart Book Update #15-10

37 Chart Book page 3-37 Effective 7/1/00-6/30/01 SANTA CLARA COUNTY Age Basic Rate (7/1/00) 0-4 $ $ $488 a $ $569 Infant Supplement $354 a. Rate exceeds statewide standard. Effective 1/1/00-6/30/00 SANTA CLARA COUNTY Age Basic Rate (1/1/00) 0-4 $ $ $481 a $ $553 Infant Supplement $354 a. Rate exceeds statewide standard. Chart Book Update #15-10 Revised: 12/21/15

38 page Historical Group Home Rates Chart Book Effective 7/1/11-6/30/11 TYPE OF PAYMENT/PLACEMENT: RATE CLASSIFICATION LEVEL (RCL): AMOUNT: GROUP HOMES 1 $ $ $ $ $ $ $ $ $ $ $ $ $ $9146 INFANT SUPPLEMENT $890 Effective 7/1/10-6/30/11 TYPE OF PAYMENT/PLACEMENT: RATE CLASSIFICATION LEVEL (RCL): AMOUNT: GROUP HOMES 1 $ $ $ $ $4224 Revised: 12/21/15 Chart Book Update #15-10

39 Chart Book page 3-39 Effective 12/14/09-6/30/10. 6 $ $ $ $ $ $ $ $ $8974 INFANT SUPPLEMENT $890 TYPE OF PAYMENT/PLACEMENT: RATE CLASSIFICATION LEVEL (RCL): AMOUNT: GROUP HOMES 1 $ $ $ $ $ $ $ $ $ $ $ $ $ $8835 INFANT SUPPLEMENT $890 Chart Book Update #15-10 Revised: 12/21/15

40 page 3-40 Effective 10/1/09-12/14/09. Chart Book TYPE OF PAYMENT/PLACEMENT: RATE CLASSIFICATION LEVEL (RCL): AMOUNT: GROUP HOMES 1 $ $ $ $ $ $ $ $ $ $ $ $ $ $6025 INFANT SUPPLEMENT $890 Revised: 12/21/15 Chart Book Update #15-10

41 Chart Book page 3-41 Effective 1/1/08-9/30/09 TYPE OF PAYMENT/PLACEMENT: RATE CLASSIFICATION LEVEL (RCL): AMOUNT: GROUP HOMES 1 $ $ $ $ $ $ $ $ $ $ $ $ $ $6694 INFANT SUPPLEMENT $ Historical Foster Family Agency Rates Effective 1/1/01-9/30/09 TYPE OF PAYMENT/PLACEMENT: AGE: BASIC RATE: NON TREATMENT FFA 0-4 $ $ $ $ $580 INFANT SUPPLEMENT $411 a a. Effective 1/1/08. This rate was $391 from 1/1/01 to 12/31/07 Chart Book Update #15-10 Revised: 12/21/15

42 page 3-42 Chart Book TYPE OF PAYMENT/PLACEMENT: AGE: BASIC RATE: TREATMENT FFA 0-4 $ $ $ $ $1865 INFANT SUPPLEMENT $411 a a. Effective 1/1/08. This rate was $391 from 1/1/01 to 12/31/07 TYPE OF PAYMENT/PLACEMENT: SERVICE LEVEL: BASIC RATE: INTENSIVE TREATMENT FFA A $4476 B $4105 C $3721 D $3359 E $2985 INFANT SUPPLEMENT $411 a a. Effective 1/1/08. This rate was $391 from 1/1/01 to 12/31/07 Revised: 12/21/15 Chart Book Update #15-10

43 Chart Book page Historical California Department of Developmental Services Community Care Facilities (CCF) Rates Service Level 6/1/03 1/1/05 4/1/05 1/1/05 1/1/06 7/1/06 1/1/07 1/1/07 a 1/1/08 1 $842 $866 $877 $877 $898 $898 $916 $916 $928 2-Owner $1694 $1694 $1694 $1694 $1694 $1745 $1745 $1810 $ Staff $1904 $1904 $1904 $1904 $1904 $1961 $1961 $2034 $ Owner $1948 $1948 $1948 $1948 $1948 $2006 $2006 $2080 $ Staff $2220 $2220 $2220 $2220 $2220 $2287 $2287 $2372 $2502 4A $2855 $2855 $2855 $2855 $2855 $2941 $2941 $2941 $2941 4B $3043 $3043 $3043 $3043 $3043 $3134 $3134 $3134 $3134 4C $3229 $3229 $3229 $3229 $3229 $3326 $3326 $ D $3463 $3463 $3463 $3463 $3463 $3567 $3567 $3567 $3567 4E $3714 $3714 $3714 $3714 $3714 $3825 $3825 $3825 $3825 4F $3963 $3963 $3963 $3963 $3963 $4082 $4082 $4082 $4082 4G $4258 $4258 $4258 $4258 $4258 $4386 $4386 $4386 $4386 4H $4570 $4570 $4570 $4570 $4570 $4707 $4707 $4707 $4707 4I $5009 $5009 $5009 $5009 $5009 $5159 $5159 $5159 $5159 a. The rates for 2007 were revised on 4/12/07. Rate adjustments were to be requested by provider within 30 days of that date. If there was no request made then the original 2007 rate applies. Historical Personal & Incidental Payments Date Payment Amount 1/1/08 $121 1/1/07 $119 1/1/06 $117 4/1/05 $114 1/1/05 $113 1/1/04 $111 6/1/03 $110 1/1/03 $107 1/1/02 $106 Chart Book Update #15-10 Revised: 12/21/15

44 page 3-44 Chart Book Historical Transitional Housing Placement Program (THPP) Rate prior to 3/1/06: TYPE OF RATE: PAYMENT RATE THPP $ Historical Wraparound Rates Effective 10/1/09-6/30/13 TYPE OF RATE: RCL 10/1/09-6/30/10 7/1/10-6/30/11 7/1/11-6/30/12 7/1/12-6/3 0/12 California Wraparound Services Federal Wraparound Services 10/11 $7016 $7126 $7263 $ $8319 $8450 $8612 $ /11 $3073 $3121 $3631 $ $3644 $3701 $4306 $4553 Effective 1/1/08-9/30/09 TYPE OF RATE: RCL RATE: California Wraparound Services 10/11 $ $5665 Federal Wraparound Services 10/11 $ $2757 Revised: 12/21/15 Chart Book Update #15-10

45 Chart Book page Historical Other Counties with Higher Basic Rates Los Angeles County Age Basic Rate (7/1/01-12/31/07) 0-4 $ $462 a $500 a $546 a $597 a a. Rate exceeds statewide standard. Marin County Children s ages are grouped differently in Marin County. Age 0-4 Basic Rate (7/1/01-12/31/07) $435 a 5-6 $ $531 a $605 a a. Rate exceeds statewide standard. Chart Book Update #15-10 Revised: 12/21/15

46 page 3-46 Orange County Chart Book Age Basic Rate (7/1/01-12/31/07) 0-4 $ $462 a 9-11 $ $628 a $628 a a. Rate exceeds statewide standard 3.4 Proration of Benefits, (When determining payments by number of eligible days) Instructions USE THIS CHART WHEN MAKING A PARTIAL MONTH PAYMENT BY DETERMINING THE NUMBER OF ELIGIBLE DAYS. Reminder: Foster Care is NOT paid for the last day of placement (the day the child leaves). Exception: There is a one day minimum payment ($32 effective 1/1/08) for an ESH placement (when a child enters and leaves an ESH on the same day). 1. Determine the total number of days to be paid for the placement. 2. Scan across the row to the column that corresponds to the total number of days in the payment month. The decimal figure is the fraction of the month for which the placement is to be paid. Revised: 12/21/15 Chart Book Update #15-10

47 Chart Book page Multiply the total monthly rate/benefit amount by the decimal fraction and round down, dropping all cents, to determine the rate/benefit amount to be paid for the child s placement. Example: A child, age 6 with the rate of $673 is placed on July 7 and leaves the facility on July 21, (14 days). Use the 31-Day column and scan down to 14 and locate the decimal (.4516) and multiply $673 x.4516 = $303.92; after rounding down (dropping all cents); the payment = $304. Number of Days 28-Day Month 29-Day Month 30-Day Month 31-Day Month Number of Days Chart Book Update #15-10 Revised: 12/21/15

48 page 3-48 Chart Book Number of Days 28-Day Month 29-Day Month 30-Day Month 31-Day Month Number of Days Federal Eligibility, Income Determination Background Due to the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) of 1996 and state welfare reform, when determining federal eligibility for Foster Care children removed on or after July 1, 1997, EWs must use BOTH: The following AFDC budgeting rules which were in effect on July 16, 1996 to determine the parent(s )/caretaker relative s countable income in the month the petition was filed or the voluntary placement agreement was signed, AND The MBSAC, 185% of MBSAC and MAP levels as of July 16, 1996 to determine if they would have been eligible for AFDC Income Tests When determining federal eligibility for Foster Care, the AU must pass BOTH the: 185% of MBSAC Income Test, AND Financial Eligibility Test (FET). EWs must use the AFDC-FG/U Worksheet (FC 3A) for budgeting. Revised: 12/21/15 Chart Book Update #15-10

49 Chart Book page Standard Work Expense (SWE) Deduct $90 from the gross earned income of each recipient who is employed in the month the petition was filed $30 and 1/3 Disregard Changes in $30 and 1/3 The $30 and 1/3 Disregard rules have changed over time to provide work incentives for cash aid recipients. Foster Care EWs must follow the rules which were in effect on July 16, 1996 when determining federal eligibility. If otherwise eligible, the $30 and 1/3 disregard is limited to 4-consecutive months, without an intervening 12-month period when not on aid. Also see additional $30 and 1/3 Rules below. The following chart will assist EWs in determining if the $30 and 1/3 can be applied to earnings in the month of petition. IF the petition being used was filed... The Foster Care EW must... Because the $30 and 1/3 Disregard... 1/1/98 or later, Apply the $30 and 1/3 disregard to earned income. 9/1/93-12/31/97, Determine whether the $30 and 1/3 has already been received for 4 consecutive months without an intervening 12-month period when not on aid. If YES, do not allow. a If NO, allow. Is NOT used in the CalWORKs Program. 4-month time limit was eliminated in the AFDC Program during this period. FC EWs must continue to follow old, 7/1/96 AFDC rules. Prior to 9/1/93, (FYI only) If otherwise eligible, apply the $30 and 1/3 unless it has already been received for 4 consecutive months without an intervening 12-month period when not on aid. a Rules are the same for both the Foster Care federal eligibility determination and the AFDC Program during this period. a. When an AU has already received 4-consecutive months of $30 and 1/3, AND, the month of petition is within the 8-consecutive months following the 4-month period, allow the $30 disregard. Chart Book Update #15-10 Revised: 12/21/15

50 page 3-50 Rules Chart Book For EACH adult in the AU with earnings (and child with earnings who is not eligible for the Student Exemption), deduct $30 from the amount remaining after deducting the $90 SWE, then deduct 1/3 of the remainder, if otherwise eligible for this disregard. The $30 and 1/3 disregard is limited to 4 consecutive months. The $30 and 1/3 is NOT allowed when: The 185% gross income test is being computed. The person who earned the income has already received the $30 and 1/3 disregard in any AU for 4-consecutive months without an intervening 12-month period when he/she was not on aid. Reminder: Receipt of Refugee Cash Assistance (RCA) or Medi-Cal only is NOT considered receipt of AFDC. Note: If cash aid is suspended or discontinued because of a periodic extra paycheck from recurring income, the month of suspension/discontinuance does not count as one of the consecutive months and does not interrupt the accumulation of the 4-consecutive months. For applicants (intake), the applicant must be eligible without the $30 and 1/3 disregard (for the Financial Eligibility Test), before it can be applied to their earnings. Exception: If the person with earnings is in the AU and has received aid (from any state) in one of the preceding 4 months, the $30 and 1/3 disregard is allowed when computing the Financial Eligibility Test (FET). The recipient is being sanctioned for failure to return the QR 7 in a timely manner. The recipient terminated employment, reduced earned income or refused employment without good cause within the budget period or the 30 days immediately prior to the budget period. Revised: 12/21/15 Chart Book Update #15-10

51 Chart Book page $30 Disregard Old AFDC rule: When an AFDC recipient had received the $30 and 1/3 disregard in any AU for 4-consecutive months, they were eligible for a $30 disregard for 8-consecutive months immediately following the end of the 4-consecutive month period. For the purpose of the Foster Care federal eligibility determination, when an AU has received 4 consecutive months of $30 and 1/3, AND, the month of petition is within the 8 consecutive months following the 4-month period, allow the $30 disregard Child Care The reasonable and necessary costs of child care or care of an incapacitated adult in the AU may be allowed when the EW determines that dependent care cannot be provided during the individual s working hours, by someone in the AU. For EACH: Child age 2 or OLDER (or incapacitated person) Deduct actual cost up to a MAXIMUM of: $175 Child UNDER age 2 $200 Note: Effective 1/1/98, child/dependent care is no longer a separate deduction in the CalWORKs Program. Foster Care EWs, therefore, will need to ask if a parent with earnings paid for child care in the month of petition % Test If the total reported or estimated gross income plus any income deemed to the AU in the month of petition exceeds 185% of MBSAC plus any Special Needs available to the AFDC-AU, there is NO federal eligibility. Do NOT compute the Financial Eligibility Test (FET). Note: Special Needs (above) does NOT refer to a Foster Care special rate paid for the needs of a Foster Care child. When determining gross income of the AU, include ALL of the following: Chart Book Update #15-10 Revised: 12/21/15

52 page 3-52 Chart Book Gross earnings from employment. (Do NOT allow the $90 Standard Work Expense (SWE), the $30 and 1/3 disregard, or the dependent care deduction when computing the 185% Test.) Net self employment earnings (deduct business expenses.) Child Support (minus the $50 disregard). Gross earnings of all children, including students, once their 6-month student exemption is used up. Income deemed to the AU, including but not limited to, income from a stepparent, senior parent, ineligible alien parent, etc. Any other non-exempt income of persons in the AU or persons whose income must be counted towards the AU, including persons excluded for cause, sanctioned. To compute the 185% Test, follow these steps:. STEP ACTION 1. Determine the GROSS self-employment income. 2. Subtract all allowable business expenses to determine NET self-employment income. 3. Add to the net self-employment income (from Step 2), any other gross earned and unearned income, including deemed income. This equals total income to the AU. IMPORTANT: Do NOT allow the $90 Standard Work Expense (SWE) or the $30 and 1/3 Disregard. Do NOT allow the Child/Dependent Care Deduction. Allow the $50 Child Support Disregard, if applicable. Deduct court ordered child support if it is actually being paid by someone in the AU. Do NOT count exempt or excluded income. 4. Compare the total remaining income in Step 3 with 185% of MBSAC: Note: Include any AFDC Special Needs if applicable. IF THE INCOME... Exceeds 185%, Equals or is less than 185%, THEN... There is no AFDC eligibility for the AU. Establish non-federal Foster Care. Compute Financial Eligibility Test. Revised: 12/21/15 Chart Book Update #15-10

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