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  DFCS Online Policies & Procedures

  DFCS Online Policies & Procedures

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Handbook 6: Out of Home Placement and Services
6-12  Bed Hold and Wraparound Services Policy
Out of Home Placement and Services
6-12  Bed Hold and Wraparound Services Policy
Reference Points
Basic Bed Hold Policies
Policies and Procedures for Specified Circumstances
Other References


Reference Points
Effective Date: In Effect
Last Updated: 5/30/14
 Legal Basis:
Popup Window California Department of Social Services (CDSS) Manual of Policies and Procedures (MPP) 45-302.23 and 45-302.5
Popup Window California Department of Social Services (CDSS) All County Letter # 07-49 New Federal Policy Guidelines Relating to the Aid to Families with Dependent Children- Foster Care Program
 Non CWS/CMS Forms:
MS Word Forms Text
 CWS/CMS Forms:
PDF Forms Text


Overview  

California State Department of Social Services (CDSS) regulations allow placements to continue to receive funding for a child or youth for specified periods during which the child/youth is temporarily away from his/her relative, non-relative extended family member, foster home, foster family agency, or group home.  This continuation of funding is referred to as a "bed hold."

The temporary absence from the placement may be due to school, work, hospitalization, training, a visit, vacation, emergency circumstance or the child/youth has left the placement without authorization (runaway).

A child/youth is determined to be temporarily absent from their approved placement when he/she is absent for no more than 14 consecutive days within a calendar month. 

It is the responsibility of the child's assigned social worker to follow DFCS bed hold policies.
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Basic Bed Hold and Wraparound Policies  

Bed Hold and Wraparound Services policy guidelines are intended to maintain the placement that best serves the needs of the child/youth, while adhering to allowable bed hold timeframes. 

The policy guidelines are:

    • If the child/youth is AFDC-FC (Foster Care) eligible, state and federal funds can be used to pay for a bed for a child/youth on a temporary absence for no more than14 consecutive days within a calendar month during which the temporary absence takes place.
    • If a child/youth returns to placement or runs away again  during the same month the “clock” starts over.
    • Wraparound Services: (Basic and Intensive)
  • If a child/youth who is receiving Wraparound services is in an approved foster care placement and has a temporary leave including runaway, the 14 day hold policy applies to the payment for services to the Wrap provider.
  • If Wraparound services are to continue beyond the 14 days, the Social Worker needs to complete an SCZ414Z prior to the 14 days ending, requesting pre-approval for all county dollars to pay for continued services.
  • This only applies to youth in a foster care placement.  
  • County funding can only be requested to cover services through the end of the month. (Not ongoing)  
 

Please see OPP Chapter 4-9, Wraparound, for further information regarding Wraparound Services.   

       
  • When an AFDC-FC eligible child/youth is temporarily absent from an eligible placement such as for school, work or training program, hospitalization, visiting, vacationing, emergency circumstances, the county may make the payment to the eligible facility from which the child/youth is absent in order to meet the child’s/youth’s need.
    • A child/youth is determined to be temporarily absent when he/she is absent for no more than 14 consecutive days within a calendar month. The facility is eligible for a full month’s payment if the brief absence does not exceed 14 days. Otherwise the benefits must be pro-rated.
    • A child/youth who is in a public hospital shall be considered temporarily absent from an eligible facility when, on the first of the month which the ADFC-FC payment is due, the child has not been the public hospital for two full calendar months, irrespective of the which he or she entered that facility.
  • Following the calendar month during which the temporary absence began, State and Federal funds cannot be used to pay for the child's bed, if the absence continues and exceeds the maximum allowed days. 
  • After the 14 consecutive days within a calendar month of the bed hold, county funds may be utilized.
  • Bed holds which occurred less than 14 days do not require any documents to the EW.  If the bed hold extends past the allotted 14 days, a Placement Expenses Request (SCZ414Z) to pay using all county funds is required. 

 

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Policies and Procedures for Specified Circumstances  
If.. Then..

a.  The child/youth is away from the placement visiting friends or family, or on vacation,

See Temporary Leaves from Placement.

Funding for the placement continues during the visit or vacation so long as it is clear that the intended plan is for the child/youth to return to the placement.

  • If the child/youth is anticipated to go to a different placement or return home immediately following the visit or vacation, DFCS social workers must use court and CWS/CMS placement change procedures. 

 

  • If the intent is to move the child/youth, the previous placement cannot be paid during the child's/youth's visit/vacation.

b.   The child/youth is a runaway,

(has left placement without authorization)

 

The polices and procedures identified in "c.", "d." and "e." below apply to runaway children/youth.
c.  The child/youth on runaway is absent for two (2) or less days,

The child's/youth's worker has the discretion to enter into an agreement with the placing facility to hold the bed for the child/youth (i.e, no interruption in funding).

d.  The child/youth is absent from placement, for three (3) or more days,

The worker must have supervisor and manager (SSPM at DFCS) approval to continue to pay for the bed while the child/youth is temporarily elsewhere.

  • DFCS social workers submit to Placement Tracking Team (PTT) a memorandum reviewed and signed by the supervisor and the SSPM documenting the circumstances of the child's/youth’s  temporary absence and why the child's/youth’s needs would be best served by extending the bed hold for up to14 consecutive days.  PTT will document the reason for the absence under “Temporary Leave of Absence.”

Note:                                                                                                                    

  • It is the Social Worker’s responsibility to communicate with the provider to hold the bed for no more than 14 days.                                    
  • The 14 days begins from the date the child/youth is absent from the placement or ran away.

e.  The child/youth is hospitalized in a public (i.e., government run) hospital for medical or psychiatric reasons,

 

The facility is eligible for a full month’s payment if the brief absence does not exceed 14 days.

Social worker submits SCZ17 to PTT to record temporary absence under “Temporary Leave of Absence”. 

f.  The child/youth is hospitalized in a private hospital for medical or psychiatric reasons,

 

 The facility is eligible for a full month’s payment if the brief absence does not exceed 14 days.

Social worker submits SCZ17 to PTT to record temporary absence under “Temporary Leave of Absence”. 

g.  The child/youth is detained in Juvenile Hall,

The bed hold policy does not apply as the placement must end on the date the child/youth entered juvenile hall.

If the child/youth is receiving wraparound services, the wraparound services must terminate the day the child/youth is detained. 

h. If the child/youth is receiving Wraparound Services  (Basic and Intensive) runs away from an approved foster care placement,  The 14 day hold policy applies to the payment for services to the Wrap provider.
  • If Wraparound services are to continue beyond the 14 days the Social Worker needs to complete an SCZ414Z requesting pre-approval for all county dollars to pay for continued Wraparound services.

This only applies to children/youth in a foster care placements.   

This does not apply to children/youth receiving Adoption Assistance Program (AAP), youth in CalWORKs and children/youth returning home and receiving wraparound services. 
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Contacts  

Placement Supervisor, Gilbert Murillo

408-501-6842

Gilbert.Murillo@ssa.sccgov.org

 
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Other References  
PDF Agency Memorandum 14-12 Updated DFCS Bed Hold and Wraparound Services Policies
PDF Agency Memorandum - 8/15/03: DFCS Bed Hold Policies
PDF OPP 4-9- Wraparound
bullet2 OPP 10-4 -Temporary Leaves from Placement
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