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HomeMy WebLinkAboutMINUTES - 12191995 - D3 D : 3 TO: BOARD OF SUPERVISORS F&HS-02 <•:� 5 :` .o„ Contra FROM: FAMILY AND HUMAN SERVICES COMMITTEE Costa County '7:1�W X40 r•�_. •.fit DATE: December 11 , 1995 `T�'auN SUBJECT: STATUS REPORT ON THE ADOPTIONS PROGRAM SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATIONS: 1. ACCEPT the attached report from the Social Service Director regarding the status of the Adoptions Program in the County and express the Board's appreciation for the positive actions which have been taken to improve the program over the past year. 2. DIRECT the Social,Service Director to make a report to the 1996 Family and Human Services Committee on the status of each of the Adoption/Child Welfare Program corrective actions on which he reported to the 1995 Family and Human Services Committee on December 11, 1995, along with any other related issues which, in his judgment, should be reported to the Committee. 3. REFER oversight of the Adoptions Program to the 1996 Family and Human Services Committee and remove it as a referral to the 1995 Family and Human Services Committee. 4. DIRECT staff to schedule at least one hour on an early meeting of the 1996 Family and Human Services Committee to receive and review a report from the Social Service Director responding to the allegations made to our Committee on December 11, 1995, by Faye M. Crosley and Al Simmons regarding what they view as the Department's policy of placing. African- American children in Caucasian foster homes and group homes, refusing to place these children in African-American foster homes and group homes, along with the letters which have been referred to this Committee by the Board of Supervisors over the past several months making similar allegations. CONTINUED ON ATTACHMENT: X YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD CO MI T E APPROVE OTHER 1��"VtY�-"� SIGNATURES ACTION OF BOARD ON December 1 Cl 1995 APPROVED AS RECOMMENDED X OTHER The following speakers appeared before the Board and commented: 1. Shelia Trokey._:, no address given, AFRA; 2. Annabelle, no last name or address given, AFRA. The Board approved the staff' s recommendations as noted above. VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE X UNANIMOUS(ABSENT #1 ) AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED December 19, 1995 Contact: PHIL BATCHELOR.CLERK OF THE BOARD OF cc: SUPERVISORS AND COUNTY ADMINISTRATOR County Administrator Social Service Director County Counsel BY DEPUTY F&HS-02 BACKGROUND: On October 17, 1995, the Board of Supervisors adopted a report from our Committee on this subject which included the following recommendations: 1. DIRECT the Social Service Director to report to the Family and Human Services Committee on Monday,December 11, 1995 on the status of the consultation which has been requested from Region IX of the Administration on Children and Families of the U.S. Department of Health and Human Services regarding ways to improve the court process in order to expedite permanency planning. 2. DIRECT the Social Service Director to report to the Family and Human Services Committee on Monday,December 11,1995 on the results of the audit of SSI payments and record keeping by the Social Security Administration. 3. DIRECT the Social Service Director to report to the Family and Human Services Committee on Monday, December 11, 1995 on the status of training, particularly on the Department's ability to meet the three identified training needs of: ❑ On-going training for experienced workers. ❑ Induction training for new workers,and ❑ Development of a training manual. 4. DIRECT the Social Service Director to report to the Family and Human Services Committee on Monday,December 11,1995 on the status of the mediation program outlined to our Committee on October 9,1995 by Barbara Suskind which attempts to avoid,through mediation,the need for contested court action to resolve placement and custody issues affecting children who are or are being considered for dependency. 5. DIRECT the Social Service Director to report to the Family and Human Services Committee on Monday,December 11,1995 on the status of the administrative review of children in long-term foster care. 6. DIRECT the Social Service Director to report to the Family and Human Services Committee on Monday,December 11, 1995 on the status of the implementation of each of the goals outlined in the paper entitled "Child Welfare Services Goals Related to Permanency Planning for Children",consistent with the timetable proposed by Breck and Associates. On December 11, 1995, our Committee received and reviewed the attached report from the Social Service Director which responded to each of these points. Mr. Cullen and Ms. Fabella reviewed the details of the report with us. Shiela Trokey and Teri Woods raised several questions about Federal and/or State waivers which have allegedly been requested by California and/or Contra Costa County and problems which Ms. Woods had in obtaining access to her records and in scheduling a fair hearing. Mr. Cullen responded to these questions. The Rev. Curtis Timmons raised the issue of the placement of African-American children in Caucasian, as opposed to African-American, foster homes and group homes, and indicated that he had thought the Committee was going to address this issue today. Our Committee also heard from Faye M. Crosley and Al Simmons, who have appeared before the Board of Supervisors and shared with the Board their concerns about the placement practices of the Social Services Department. Mr. Cullen responded noting that he has had staff research the data requested by Ms. Crosley and Mr. Simmons and had personally met with Ms. Crosley, Mr. Simmons and The Rev. Mr. Timmons and reviewed this data with them. He disputed the conclusions reached by Ms. Crosley and Mr. Simmons that the Social Service Department has a problem with racial placements. -2- F&HS-02 We are asking that the letters which the Board has received and which were referred to our Committee be referred to the 1996 Family and Human Services Committee and that an early meeting addressing these allegations be scheduled so we can review the same data which the Department has made available to AMARCH. Our Committee is pleased with the substantial progress which has been made in the Adoptions Program and the work which is already underway to make further changes. We want the 1996 Family and Human Services Committee to continue to follow this subject. -3- CONTRA COSTA COUNTY Social Service Department DATE: December 11, 1995 TO: Family & Human Services Committee FROM: John.Cullen, Director SUBJECT: Children's Services and Adoptions Program Follow-ups As per your October request, the Social Service Department has prepared answers to your follow-up questions regarding: ♦ our consultations with Region IX of the Administration on Children & Families; ♦ the results of the SSI payments audit; ♦ our Child Welfare Services training effort; ♦ information on the court mediation program; ♦ status of the long-term care administrative review process and overall progress on our "Child Welfare Service Goals..." project. Attached you will find updates/answers to your specific requests. During the past couple of months, I have met with Division Managers, Juvenile Court officials, Foster Parents, Relative Caregivers, Social Workers and Child Welfare Research Center and State Department officials. I continue to be impressed with the efforts of all in aggressively addressing the many issues that they have identified for improving our program for children and families. In addition to the work you have before you today, the Children's Services Division has shown tremendous initiative in: ♦ the development of a new emergency shelter care system in response to the Lion's Gate closure; ♦ working diligently with the Juvenile Court Judge to identify ways to streamline court process; ♦ placing 89 children for adoptions so far this calendar year (setting a new record for Contra Costa County!) and anticipate exceeding last year's placements; ' MEMO TO: Family & Human Services Committee December 11, 1995 SUBJECT: Children's Services and Adoptions Program Follow-ups ♦ launching the Family Preservation/Family Support program in Bay Point and Richmond; ♦ creating a shared housing-mentor family project with Alameda County (funded by Zellerbach Family Fund); ♦ co-sponsoring a Western Regional conference in Concord for the Child Welfare League of America (which was attended by 600+ people and many national child welfare leaders); ♦ developing a plan for redesigning our children's services system to focus on concurrent planning for reunification and adoptions; ♦ instituting corrective action plans which streamline case transfers and documentation; and ♦ refinement of our staff training program. JBC:sjb adopt-12.95 t, F CHILDREN'S SERVICES AND ADOPTION PROGRAM FOLLOW UP 1. Direct the Social Service Director to report to the Family and Human Services Committee on Monday, December 11, 1995, on the status of the consultation which has been requested from Region IX of the Administration of Children and Families of the U.S. Department of Health and Human Services regarding ways to improve the court process in order to expedite permanency planning. We have teleconferenced with the consultants from the National Child Welfare Resource Center for Organizational Improvement (NCWRC), the American Bar Association (ABA) and the Child Welfare Resource Center on Permanency Planning. Prior to the teleconference call, we sent background material including U. C. Berkeley's report, the material from our January, 1995, retreat and the project scheduling time frames for their review. They were impressed with the Department's efforts in addressing the issues and stated they believed we were on the right track. During the call we discussed the growth in the kinship care child welfare population which represents the largest percentage of our permanency planning cases. Kinship care raises questions regarding permanency, adoptions, role of government agency, payment for care, expectations of relatives, etc. Mr. Karraker (NCWRC) agreed to lead a policy forum in Contra Costa County in February, 1996, to present findings, conclusions and recommendations from their comparative case study on kinship care and then lead a session on the implications of the research. His guidance, along with statewide efforts in this area, will help us address proper use of relative care in permanency planning. The ABA has proposed several areas where they might provide technical assistance, such as: training on the Multiethnic Placement Act; meeting with our Department and representatives from the court to facilitate an assessment of our court process by the Court Improvement Project; a day of meetings to work with social workers, supervisors, and attorneys to review responsibilities and time goals for dependency and terminations; a day of training for County Counsel's incorporating principles of permanency planning and concurrent planning; and a day of legal training for social workers on petition writing. We are using the Social Worker/Attorney/Judicial Committee to review the proposal and recommend the training and technical assistance the Department should pursue with the ABA. 2. Direct the Social Service Director to report to the Family and Human Services Committee on Monday, December 11, 1995, on the results of the audit of SSI payments and recordkeeping by the Social Security Administration. 1 CHILDREN'S SERVICES AND ADOPTION PROGRAM FOLLOW UP December 6, 1995 We have attached the draft report from the Social Security Administration, Region IX dated November 6, 1995, as well as our response dated November 22, 1995. In summary Region IX "found no misuse of funds in the review performed." However, they do indicate that some Department policies and practices were not being followed. We have updated the Children's Services Handbook to reflect our Department's policies and have put into place a system to ensure that workers are aware of children's trust balances. 3. Direct the Social Service Director to report to the Family and Human Services Committee on Monday, December 11, 1995, on the status of training, particularly on the Department's ability to meet the three identified training needs of: (1) on-going training for experienced workers; (2) induction training for new workers; and, (3) development of a training manual. As we indicated in a previous report, the Department has had an established relationship with the University of California, Davis, Training and Development Program and have offered classes to our staff in the Child Welfare Certificate Program. Additionally, we send staff to the training provided by California State University, Fresno, through contract with the California Department of Social Services on Risk Assessment. Since hiring our Training Coordinator, Mary Jensen we have been able to better coordinate this training with specific Department needs. We completed our first all-day training on concurrent planning as our first step to implementing an adoption/out-of-home care concurrent program in our County. We have firmly established monthly training at each district office on topics that impact service delivery and have been identified as areas of need by staff and supervisors. This information was shared in our last report. We are now in the process of developing new-worker training. As a first step we identified 30 "new" workers, many who have been with the Department for over a year. While they have received individual training through their supervisor, they have not benefitted from a standardized training which more clearly outlines practices and procedures in our County. We have identified topic areas ranging from investigation to adoptions as training topics. At this time the plan is to begin this training in the spring of 1996. As we develop each module, we will put together each section towards the development of a training manual. 2 7 , CHILDREN'S SERVICES AND ADOPTION PROGRAM FOLLOW UP December 6, 1995 4. Direct the Social Service Director to report to the Family and Human Service Committee on Monday, December 11, 1995, on the status of the mediation program outlined to our Committee on October 9, 1995, by Barbara Suskind which attempts to avoid, through mediation, the need for contested court action to resolve placement and custody issues affecting children who are or are being considered for dependency. Contra Costa County is one of five pilot counties under Senate Bill 1420 authorizing a three-dollar increase in birth certificate fees to fund mediation services. Our County focuses on mediating jurisdictional cases, however we also have mediated a few dispositions and review hearings. Information is provided to parents on the mediating process. We have attached a flyer that is made available to parents. All parties, including the Department, must agree to the mediation. At the mediation there are no attorneys present. This calendar year through October 24, 1995, we have provided mediation to 48 families with 83 children involved. We have reached full agreement with 39 families, partial agreement with two and no agreement with seven families. As part of the pilot, the Center for Policy Research has conducted a Cross-Site Report of the five.counties. In summary their data indicated that most cases do result in agreements in mediation. It is difficult to assess the costs and savings produced by the program, however it does appear to save court time. The report does, however, go on to say that mediation should not be viewed as a "quick and cheap fix" because it requires a considerable expenditure of time and demands on many different players. Our experience has confirmed this. We utilize one supervisor one day a week for this function, and though we agree that there is a positive experience for both staff and client, we are unable to extend existing staff any further. Additionally, one of the Department's major disappointments regarding mediation is in not seeing a reduction in contested Juvenile Court hearings. Data provided by our County Counsel on the number of contested hearings being scheduled over the past five years indicates a continuing escalation. For example: 1990 396 Contest 1991 422 " 1992 580 " 1993 627 " 1994 686 " 1995 727 (through October) 3 CHILDREN'S SERVICES AND ADOPTION PROGRAM. FOLLOW UP December 6, 1995 During this period the contests have doubled, and although our caseload has grown, there has not been a corresponding doubling of caseload. Staff have experienced far more contested hearing in every phase of their work. 5. Direct the Social Service Director to report to the Family and Human Services Committee on Monday, December 11, 1995, on the status of the administrative review of children in long-term foster care. The Children Services Administrative Team (CSAT) has completed a review of approximately 453 cases. The program developed to track the data being gathered from the review indicates the following: Of the 453 cases reviewed, 151 were assessed as adoptable and 228 were assessed as not adoptable. CSAT agreed with the worker 312 times and disagreed 33 times. We have set re-review on 18 cases. As planned the Child Welfare Research Center (CWRC) has continued to review a random sample after the CSAT review. The last review indicates they agreed with 14 out of the 14 cases read. Of the cases read, 12 were for long-term foster care, 1 for legal guardianship and 1 for adoption. 6. Direct the Social Service Director to report to the Family and Human Services Committee on Monday, December 11, 1995, on the status of the Implementation of each of the goals outlined in the paper entitled "Child Welfare Services Goals Related to Permanency Planning for Children," consistent with the timetable proposed by Breck and Associates. A. Develop a Fost-Adopt Program • Participated in the Statewide adoption policy planning seminar, specifically attending the work groups on concurrent planning, fost- adopt, and kinship care. • Held Concurrent planning forum with staff, attorneys, foster parents, adoptive parents, and members of the Grand Jury in attendance. • Met with SEW 535 and informed them of the concurrent planning restructure committee to begin in January. • Scheduling Concurrent Planning Committee. B. Homestudy 4 CHILDREN'S SERVICES AND ADOPTION PROGRAM FOLLOW UP December 6, 1995 • Continuing work on the homestudy format, but was unable to have it ready for review by Caregiver Committee. Plan to have it for their January meeting. • Serving on the Statewide committee to develop guidelines for assessing foster/adoptive family's ability to provide for a child not of their ethnic and/or cultural background. C. Juvenile Court • Teleconferenced with Sarah Ratterman-Baker from the American Bar Association (ABA). • Received proposal which is being reviewed by the Social Worker/Attorney/Judicial Committee. • Judy Maynard, Social Work Supervisor, developed training with the Youth Law Center on working with represented clients to be given at the Beyond the Bench Conference. • Met with Court Appointed Special Advocate (CASR) Director and reviewed guidelines. Reviewing their training manual and our Department manual section for roles and responsibilities. • Held regular meetings to discuss issues with County Counsel. • Held regular meetings with the Court to discuss issues. D. Training , Addressed earlier in this report. E. Improve Relationships • Held two meetings of the Social Worker/Caregiver Committee. • Held recognition luncheon for licensed foster parents giving awards for years of service. • Developing Foster Parent Newsletter to provide Department information and to help network and support our foster parents. F. Organizational Structure 5 i CHILDREN'S SERVICES AND ADOPTION PROGRAM FOLLOW UP December 6, 1995 • Scheduling Concurrent Planning meeting in January, 1996, to meet through the next five to six months to develop the program which will lead to the development of the organizational structure. We will continue our work towards developing a Child Welfare Program that places emphasis on permanency planning recognizing that Family Reunification and Family Preservation is the first priority. In cases where that cannot occur, we will move strongly towards the next permanent plan of adoption. Additionally, recognizing that kinship care has impacted our long-term caseload in that those children do not get adopted, we are committed to developing a kinship policy in this County that is both sensitive to the cultural needs of families and to the need of the child for permanency. We are working on a Kinship Forum and participating on the policy planning committee that is working on a statewide strategy to deal with this issue. b:decl l rpt.fhs f-disk 2 6 t � NOV 1 SOCIAL SECURITY ADMINISTRATION USA Refer to: S2D9B51 Region I% SI-6-2-13 75 Hawthorne Street San Francisco CA 94105 NOV 0 6 1995 Mr. Ralph McGee Finance Division Manager Contra Costa County Department of Social Services 40 Douglas Drive Martinez, CA 94553 Dear Mr. McGee: Enclosed is a draft report of findings from the review of Contra Costa County Department of Social Services' Interim Assistance Reimbursement (IAR) program for foster care children. My staff discussed the key findings and. recommendations with you in a meeting on October 25, 1995. Please review the report and provide us with your comments and a schedule for implementation of the recommendations. We would appreciate receiving your response by November 27, 1995. We would like to express our appreciation to Ms. Pauli Wampler for her cooperation and assistance in this review. Questions concerning the review should be referred to Pat Daley, SSI Programs Section., at (415) 744-4492. Sincerely, Peter D. ncer P Acting As ' stant Regional Commissioner, Program Operations and Systems Enclosure c'C —1 CGv -J�l'u� & W.AFT INTERIM ASSISTANCE REIMBURSEMENT REVIEW CONTRA COSTA COUNTY July 19 - 21, 1995 Purpose of Review Allegations have been made that the Contra Costa County (CCC) Department of Social Services is improperly reimbursing itself for payments made on behalf of children in foster care while SSI eligibility is being determined. The Social Security Administration (SSA) , therefore, conducted a review of the foster care payment program to determine whether or not reimbursements made to the county were appropriately used. The scope of the review was limited to a consideration of the payment of benefits and their use; the effectiveness of the foster care program was not within its purview. Sample Selection and Review An initial sample of 99 cases was selected for review. The cases were identified through SSA's Master Representative Payee File Organization Benefit List. They were ones in which CCC was payee and an initial claim underpayment was made to the county between June 1994 and May 1995. The names were forwarded to CCC and the Governmental Benefits Folders were made available for review. Of the 99 cases, review was completed on 72 . The Governmental Benefits Folder is the fiscal control folder for foster children who receive some form of government benefits. The actual working files are kept by social workers, and were not accessible to the reviewers. Policy Some foster care (FC) payments are administered under title IV of the Social Security Act and involve federal matching funds; these do not qualify for interim assistance reimbursement (IAR) .* - Foster care payments funded wholly by the state and/or county do qualify for reimbursement through the IAR program. The source of payments can be identified by aid codes: Code Type Funding 40 State AFDC-FC 40% State, 60% County 42 Federal AFDC-FC 50% Federal, 20% State, 300 County 49 County Board and Care 100% County for Children (CBCC) The county also uses Code 46, which does not reflect a funding source. It is used administratively to show cases being changed from code 42 to code 49. Under foster care rules, federally funded foster care may be changed to state/county or county funded foster care at any time. 2 The SSI program, however, determines the nature of a foster care payment based on the payment's funding source at the time of receipt. For SSI income determination purposes, the program gives effect to any funding changes on a prospective basis only-- that is, beginning with the month the individual actually receives a payment funded by the "new" source. IAR Policy To receive reimbursement for funds expended during the time the SSI application is pending, all IAR requirements must be followed. Basic requirements were described in All County Letter No. 94-42 , Abatement of Initial Retroactive Supplemental Security Income/State Supplementary Payments (SSI/SSP) Lump Sum Income in the Aid to Families with Dependent Children-Foster Care (AFDC-FC) Program, dated May 31, 1994 . Of particular note are the following: ► The foster child's out-of-home board and care payments must not have been wholly or partly financed from federal funds, Title IV-E. ► A California Department of Social Services (CDSS) approved form which authorizes payment of an individual 's initial SSI/SSP payment to the county must be signed by the child's designated representative. When a county has been granted care, custody, and control of a child by a court order, the county can appoint a designated representative to sign the authorization form. ► The individual 's IAR authorization must be in effect with the SSA at the time the initial SSI/SSP lump sum payment is issued. This means counties must submit IAR authorizations to SSA on a timely basis, regardless of whether the system the county uses for submitting authorizations is a manual or an automated one. ► The AFDC-FC payments must have been made within the period that begins with the day of the month the child applied for SSI/SSP benefits and was eligible for them, and ends with and included the month the child's SSI/SSP benefits began. (Thus, the first month is generally prorated. ) When an SSI retroactive check is received and an IAR authorization is in effect, the county may immediately reimburse itself for the cost of care expended during the IAR period. There is no requirement for the county to determine if the child has any current or foreseeable needs. 3 Since SSI income policy does not allow for retroactive changes in funding sources in the determination of income, reimbursement under IAR procedures is inappropriate for all cases in which federal AFDC-FC is involved, and approval would have to be withheld by SSA when the authorization forms are submitted. IAR procedures can be used if non-federal foster care funds are paid while the SSI application is pending. Representative Payee Policy When the county is the representative payee for a foster care .child, it may also be a creditor based upon costs incurred for the care of the individual before SSI benefits were awarded. This applies to both federal and non-federal foster care. Where Vederal funds were initially used in the foster care payment, the county may change the source of finding by returning those funds. Under representative payee procedures, the county must do the following before taking any of the SSI retroactive payment: 1. determine if the child has any current or reasonably foreseeable needs, 2. ensure that no federal funds were included in the FC payments (change the funding to hon-federal sources) , and 3 . obtain SSA approval by submitting a statement of the amount owed to the local field office. The county must always ascertain if the child has any current or reasonably foreseeable needs before reimbursing itself from the SSI retroactive payment. Lack of a specific. request on file from the foster parent is not sufficient proof that there are no - needs; the county must actively determine if those needs exist. Contra Costa County Reimbursement Procedures According to the supervisor of the Governmental Benefits Section, the county reimburses itself for prior care only from the SSI retroactive check, not from ongoing SSI payments. The county's procedure for determining the amount of the retroactive funds to be reimbursed remains the same regardless of the funding source, federal or non-federal. The only difference for non-federal cases is that the funding source does not need to be changed (Step 2 below) . The amount to be retained from the SSI retroactive reimbursement is determined as follows: 1. When the SSI retroactive check is received, the county starts with the current or prior month and, using full 4 month's FC payment amounts, adds months of payments until the total reaches a point just below the SSI retroactive payment level. 2. The last month used becomes the first month of the retroactive period and the funding change is then requested. (This step is omitted for non-federal 'FC cases. ) 3. The amount of money determined in Step 1 above is then refunded to the county from SSI funds. (These refunds are referred to as abatements in state/county procedures. ) 4V The balance of the retroactive check is placed in the individual trust account which is maintained for each child. Example: An SSI retroactive check of $1,457 is received on 4/10/95 for the period September 1, 1994 through April 1995. The county's cost of care was $625/month for that period. To determine the amount to be abated, the county adds the April payment of $625 to the March payment of $625 for a total of $1,250. The source of the funding for these two months is changed from 42 (federal) to 46 (county) . The balance of the retroactive payment, $207, is placed in the child' s trust fund (TF) . The Governmental Benefits Clerks (GBC) manually annotates receipt of the SSI retroactive check on the child's trust fund ledger and determines which months and how much will be abated; a request is then made to the Eligibility Worker (EW) for a change in the funding source, if it is needed. The GBCs are responsible for notifying the Social Workers (SW) when the trust fund balance is nearing the resource limit c'L $2,000. Social workers are responsible for identifying special needs and submitting requests for these needs to the GBCs for payment. Review Findings: General Of the 72 cases reviewed, 46 involved federally funded foster care and 26 involved county funded foster care. No IAR authorizations were found in any of the Governmental Benefits Folders reviewed and SSA has no record, of receiving the authorizations, either manually or by the automated system. There also was no indication that the county sought or obtained approval from SSA before reimbursing itself as a payee creditor. 5 We noted that the process for changing, the funding source does not work efficiently due to its manual nature and the number of people involved; actions are frequently not done timely to effect . the funding change. In some instances, this resulted in loss of money to the county. Because of delays in processing, months subsequent to the SST retroactive period were included in the period of time abated. The amount of reimbursement was recalculated to exclude months subsequent to the retroactive period. In no instance did we find that the county reimbursed itself for more than the amount of the SSI retroactive payment. Example: An SSI retroactive payment of $2,702 was received for the period 7/8/93 to 9/94. The county abated $2, 805 for the period 6/94 to 10/94 . Subtracting the allotment for 10/94 (which is outside the SSI retroactive period) , the county. .reimbursed themselves for $2 ,255, which is less than the SSI retroactive check. Delays in processing the abatement can cause the trust fund balance to exceed the resource limit (even after the six month spenddown period) and the county has to repay SSA for the overpayments. This problem can also happen for ongoing SSI payments. We noted many instances of the GBC alerting the SW of the need to spenddown the trust fund to avoid overpayments, but the process appeared to be inconsistent'. Although the county's standard procedure, as described, is to reimburse itself for only full months costs, in many instances the full SSI retroactive check was retained. This resulted in reimbursement of a partial month of county costs. This does not violate SSA policy; it is an example of the inconsistency we found in the county applying its own procedures. In the cases reviewed, there were two cases for which proration was appropriate because the SSI payment for the first month of eligibility was prorated. However, the county did not prorate the amount it reimbursed itself for that month. Specific findings by source of funding, federal and non-federal, follow: Federal AFDC-FC - Aid Code 114211 We reviewed 46 federally funded FC cases. When the first SSI check was received, the county retroactively changed the funding to CBCC, code 49, in most cases. In a' few cases, the funding change was requested but never done due to changes in case circumstances. 6 In some instances, the funds in the trust account were allowed to accumulate and the SSI resource limit was exceeded, making the child overpaid. The overpayments were refunded to SSA. Of the 46 files reviewed, most had a trust fund balance. Some of the GBF files contained various requests for reimbursement of things not covered by the foster care payment, such as clothes for school, mileage for visits to the doctor, Christmas gifts, TV or similar items for the child's personal entertainment. Most files contained no such requests. Six of the 46 cases were subsequently closed and the TF was properly disbursed either to the new legal guardian, adoptive parent., or SSA. County Board and Care for Children - Aid Code 1140" These 26 cases all had FC payments in .excess of .$1000 a month. These are children kept in group homes or special treatment/penal facilities. The cost of care ranged from about $1200 to over $5, 000 per month. All were abated except a few in which the child's circumstances changed during the process. In processing the abatement, the county used its formula of taking full months payments in half of the cases. In the other half, it abated the entire amount of the SSI retroactive payment. Only two cases showed any disbursements for special needs such as clothes or books. Ongoing, for all the cases, 100% of the SSI payment of $760 is passed to the county account. Conclusions We found no misuse of funds in the review performed. We did find that some SSA policies and procedures were not being followed. The county was not following two IAR procedures. IAR authorizations were not submitted to SSA either manually or in an automated manner, and proration rules for the first month of SSI eligibility were not used when appropriate. The county was not following representative payee creditor procedures which require the county to determine the foster child's current and foreseeable needs and obtain SSA approval before reimbursing itself from the SSI retroactive check. This appears to be due to confusion over representative payee and IAR requirements. (Under IAR, the county may reimburse itself without consideration of those needs. ) We observed that the county's accounting practices are not consistently applied nor are actions taken timely. This resulted in loss of income in some instances, either to the SSI recipient or the county. From only a review of the fiscal files, we cannot draw any conclusions about the county's process for identifying children's current and foreseeable needs. Recommendations 1. The County must adhere to SSA rules for IAR and representative payee if it is to continue to reimburse itself for debts incurred while SSI applications are pending. 2. County procedures should be revised to reflect the distinction between IAR and representative payee procedures in the abatement of SSI . lump sums. In particular: For non-federal foster care cases, when IAR is used, these rules must be followed: ► submit properly executed IAR authorizations to the SSA field office on a timely basis. ► adhere to proration rules for the first month of SSI eligibility. For federal AFDC-FC cases, representative payee rules must be followed: ► determine the child's current and reasonably foreseeable needs before abating any of the SSI retroactive payment, and ► submit statements to SSA for approval before abating any of the SSI retroactive payment. (Representative payee rules may also be used for non-federal foster care cases. ) 3. The County must assure itself that the process for identifying a child's current and foreseeable needs is being met. 4. The process for ensuring that each child's trust fund remains below the SSI resource limit should be adhered to more consistently and action taken to expend the funds more timely. 5. 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Cl) Jl (A V ON al Cn \ \m \d' \Ul \d' rl m CO \ CO m r-1 dl co it \\ \O \\ \\ \\ .-I rn r r r rn r-+ r to O co H O H O 00 O 00 .-i N co til N r Cl) 01 co til Cl) O 1 O to H CA Cl) CO t? (/? SIT t!)• t/? Social Service DepartmentContra Please reply to: 40 Douglas Drive John Cullen Costa Martinez,California 94553-4068 r' Director County NOV 2 7 1995 SE..L Refer to: S2D9B51 .:' r- ' November 22 1995 SI-6-2-13 = .y T.q COU1�� Mr. Peter D. Spencer Acting Assistant Regional Commissioner Program Operations and Systems Region IX 75 Hawthorne Street San Francisco, CA 94105 Dear Mr. Spencer: Enclosed is the Department's response to the draft report of findings from the review of Contra Costa County Department of Social Service's Interim Assistance Reimbursement (LAR)program for foster care children. We have reviewed the report and have begun implementing the recommendations. We enjoyed meeting and working with your staff Pat Daley was most helpful and informative in both conducting the review and in discussing the findings with our staff. Sincerely, John Cullen County Welfare Director Enclosures cc: Don Cruze, Assistant Director, Finance Danna Fabella, Assistant Director, Services Ralph McGee, Division Manager, Finance Pauli Wampler, ASA III, Finance Sheri Ferguson, CWS Program Analyst RESPONSE TO SSA REVIEW Sample Selection and Review The Governmental Benefits Folder is the fiscal control folder for foster children who receive some form of government benefits. The actual working files are kept by social workers, and were not accessible to the reviewers. The Department maintains three separate "working files" for children in foster care who receive other benefits--Child Welfare Services(CWS), Foster Care eligibility and Governmental Benefits (GB)--each of which has a different focus and each of which is the real working file for its specific purpose. The CWS case folder, maintained by the social worker, contains CWS assessment and case plan documentation, court reports, police and/or child abuse reports, etc. and may contain medical/psychological reports on the child(and, in some instances, his/her parents). The Foster Care income maintenance case folder, maintained by the eligibility worker, contains eligibility determination/verification documentation and records of all aid payments(AFDC-FC or CBCC) issued. The fiscal control folder, maintained by the Governmental Benefits Clerks(GBC) contains information specific to the receipt and disbursement of benefits. LAR Policy AFDC-FC benefits considered to be interim assistance payments made on behalf of a non-federal foster child can be deducted from the initial retroactive SSI/SSP lump sum payment when all the State LAR regulatory requirements in the Manual of Policies and Procedures(MPP) section 46- 337 are met. All County Letter 94-42, May 31, 1994 46-337 INTERIM ASSISTANCE REIMBURSEMENT .2 Definitions For the purposes of these regulations .21 Agreement means the contract between DHHS and the State Department of Social Services which outlines the terms under which reimbursement may be made. .22 Applicant means an individual or the representative of such individual who has applied for SSI/SSP benefits and who cannot meet his/her basic needs in the period between the application and receipt of his/her benefits upon determination of eligibility. Response to SSA Review Page 2 .4 Responsibilities of Participating Agencies Participation in the program to receive reimbursement for interim assistance shall_be the option of the agency. The Department's position is that our role pertaining to Foster Care children who are granted SSI/SSP or SSA benefits is that of Representative Payee. The primary purpose of the LAR process is to authorize reimbursement of General Assistance/Relief payments made to adults subsequently found to be eligible for SSI/SSP. General Assistance(CSA) applicants are asked to sign the LAR agreement authorizing the Department to deduct aid payments from the lump sum award as part of the GA application process. We do not think the Dependent children fit the Interim Assistance criteria because the Department is authorized by the juvenile court to receive monies on behalf of the child. And, since the child cannot sign the agreement,the result is the Department authorizing itself to collect reimbursement. Representative Payee Poli When the county is the representative payee for a foster care child, it may also be a creditor based upon costs incurred for the care of the individual before SSI benefits were awarded. This applies to both federal and non federal foster care. Where federal funds were initially used in the foster care payment, the county may change the source of funding by returning those funds. Under representative payee procedures, the county must do the following before taking any of the SSI retroactive payment: 1. determine if the child has any current or reasonably foreseeable needs, 2. ensure.that no federal funds were included in the FC payments (change the funding to non-federal sources), This procedure is in place. The 46 aid type is used to identify cases that the Department would claim to the Federal AFDC-FC program if the child were not in receipt of SSI/SSP. It signifies that no federal or state AFDC-FC funds are being claimed which means that if the cost of care exceeds the SSUSSP benefit, the difference is paid from 100% county funds. Only upon the award of SSI do we change the case to a 46 aid type going back to the award date. The federal, state and county monies are abated back to the appropriate revenue source through the CA 800 aid claim t Response to SSA Review Page 3 3. obtain SSA approval by submitting a statement of the amount owed to the local field office When the case is granted,the Department sends SSA a letter, certifying that the child is in a non- medical out of home placement. Included in this letter are current and past placements as requested. Along with this certification letter, we send a payment history screen print which shows what payments have been made and from which fumding source(federal, non-federal, county)they have come from for the care of this child since the date of SSI/SSA application. Since SSA through receipt of te payment history screen(WHIS) knew that we were abating these monies back to the appropriate agencies, we considered that we met the requirement of submitting a statement of the amount owed to the local field office. Review Findings: General . . . . No IAR authorizations were found in any of the Governmental Benefits Folders reviewed and SSA has no record of receiving the authorizations, either manually or by the automated system. Our Department's decision regarding UR was that no child in Foster Care fit the criteria of Interim Assistance because there is no child in Foster Care " who cannot meet his/her basic needs in the period between the application and receipt of his/her benefits upon determination of eliib". The Department's role pertaining to our Foster Care children who are granted SSI/SSP or SSA benefits is that of Representative Payee. There also was no indication that the county sought or obtained approval from SSA before reimbursing itself as a payee creditor. When the case is granted, the Department sends SSA a letter, certifying that the child is in a non- medical out of home placement. Included in this letter are current and past placements as requested. Along with this certification letter, we send a payment history screen print which shows what payments have been made and from'which funding source(federal,non-federal, county) since the date of the SSI/SSP application. Since the documentation informed SSA of the costs incurred and that we were abating these monies back to the appropriate agencies, we interpreted the absence of any response as tacit approval. . . . .We noted that the process for changing the funding source does not work efficiently due to its manual nature and the number of people involved; actions are frequently not done timely to effect the funding change. In some instances, this resulted in loss of money to the county. The Department recognizes the problem with changing the funding source(the aid type) in a timely manner so that monies can be retro-abated. With the reduction of staff in our Data Response to SSA Review Page 4 Coordinating Units, the Department is exploring alternatives to more efficiently effect funding changes. . . . .We noted many instances of the GBC alerting the SW of the need to spend down the.trust fund to avoid overpayments, but the process appeared to be inconsistent. The Government Benefits Clerks distribute a report of all children in receipt of governmental benefits, their case number, amount of benefit and trust balance to Child Welfare Services(CWS) Division Managers, CWS Unit Supervisors, AFDC-FC Unit Supervisors and to the Probation Department on a monthly basis after receipt of the benefit check at the beginning of the month. CWS Administration is aware of the problem and has instructed the program policy staff to revise procedures to ensure consistent responses by workers to avoid overpayments. Although the county's standard procedure, as described, is to reimburse itself for only full month costs, in many instances the full SSI retroactive check was retained This resulted in reimbursement of a partial month of county costs. This does not violate SSA policy; it is an example of the inconsistency we found in the county applying its own procedures. We have reviewed processes and have instructed our GBCs to prorate to partial months. Response to Recommendations 1. The County must adhere to SSA rules for IAR and representative payee if it is to continue to reimburse itself for debts incurred while SSI applications are pending 2. County procedures should be revised to reflect the distinction between IAR and representative payee procedures in the abatement of SSI lump sums. . . . . Recommendations 1 and 2 address the issue of the County adhering to SSA rules for IAR and representative payee so as to be able to reimburse itself for debts incurred while SSI applications are pending. Contra Costa has chosen to use SSA rules for representative payee to reimburse itself and set up trust funds for Foster Care children. 3. The County must assure itself that the process for identifying a child's current and foreseeable needs is being met. The County has custody of the child which places in its hands care and control of a child and the duty to provide food, clothing, shelter, ordinary medical care, education and discipline for the child. We recognize the seriousness of this responsibility and are in the process of issuing Departmental policy and procedure guidelines which we believe will clarify the CWS social Response to SSA Review Page 5 Worker's responsibility in this area. A copy of these instructions was provided to Pat Daley and another is attached for your review. However, we currently have a process in place for identifying a child's current and foreseeable needs. The social worker prepares a case plan which is updated as service needs dictate and no less often than every six months. For all children in foster care, the case plan process includes the gathering of health and education information, an assessment of the child's placement needs and a description of the type of facility which will best meet this child's needs. The placement needs selection includes assessment needs, culture/ethnicity,proximity to parent/school of enrollment, social activities, the need to be placed with siblings, etc. 4. The process for ensuring that each child's trust fund remains below the SSI resource limit should be adhered to more consistently and action taken to expend the funds more timely. The Government Benefits Clerks distribute a report of all children in receipt of governmental benefits, their case number, amount of benefit and trust balance to Child Welfare Services(CWS) Division Managers, CWS Unit Supervisors, AFDC-FC Unit Supervisors and to the Probation Department on a monthly basis after receipt of the benefit check at the beginning of the month. CWS Administration is aware of the problem and has instructed the program policy staff to revise procedures to ensure consistent responses by workers to avoid overpayments. S. Accounting practices should be reviewed for consistency and timeliness of actions taken should be improved. We reviewed processes and met with the GBCs to assure that both follow procedures in a consistent manner. The Department recognizes the problem with changing the funding source(the aid type)in a timely manner so that monies can be retro-abated. With the reduction of staff in our Data Coordinating Units, the Department is exploring_ alternatives to more efficiently effect funding changes. CHILDREN'S SERVICES HANDBOOK REPLACES: . SECTION: 30-518.1 Trust Accounts for Children Who SECTION: 31-600.3 PAGE NO.: Receive Governmental and PAGE NO.: i ISSUED/REVISED: 07-31-84 Other Benefits EFFECTIVE DATE: 01-01-96 TABLE OF CONTENTS GENERAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 WHAT DOES THE DEPARTMENT DO WITH THE CHILD'S BENEFITS? . . . . . . . . . . . . . . . 1 WHAT IS THE SOCIAL WORKER RESPONSIBLE FOR? . : . . . . . . . . . . . . . . . . . . . . . . . . . 3 WHAT IF THE CHILD HAS AN OUTSIDE TRUST FUND? . . . . . . . . . . . . . . . . . . . . . . . . . HOW IS THE FOSTER CAREGIVER NOTIFIED THAT THE CHILD HAS A TRUST ACCOUNT? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 HOW DOES THE SOCIAL WORKER KNOW HOW MUCH IS IN THE TRUST ACCOUNT? . . 6 WHY DO PROPERTY RULES & LIMITS MATTER? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 WHAT KINDS OF THINGS CAN BE PURCHASED WITH TRUST ACCOUNT MONIES? . . . 7 HOW DOES THE SW ACCESS THE TRUST ACCOUNT? . . . . . . . . . . . . . . . . . . . . . . . . . . 9 DOES THE SW HAVE TO GET RECEIPTS? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 WHAT HAPPENS TO THE TRUST ACCOUNT WHEN THE CHILD LEAVES FOSTER CARE? . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 WHAT IS THE GBC RESPONSIBLE FOR? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I1 FORMS .•. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 ITEMS CONSIDERED PROPERTY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Appendix A 4..: ITEMS NOT CONSIDERED PROPERTY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Appendix A ACKNOWLEDGEMENT OF TRUST ACCOUNT DISBURSEMENTS . . . . . . . . . . . . Appendix B (DMCL # 96-??) Contra Costa County Issued/Revised: 01-01-96 Social Service Dept. Manual Distribution: A-1, A-10 v CHILDREN'S SERVICES HANDBOOK REPLACES: SECTION: 30-518.1 Trust Accounts for Children Who SECTION: 31-600.3 PAGE NO.: Receive Governmental and PAGE NO.: 1 ISSUED/REVISED: 07-31-84 Other Benefits EFFECTIVE DATE: 01-01-96 revised November 22, 1995 I. GENERAL This section provides information regarding establishing, monitoring and making disbursements from trust accounts set up with the child's income/property. It sets forth.the responsibilities of the Social Worker in relation to both monitoring/disbursing the child's trust account and reporting changes that may affect the child's eligibility to benefits to the Governmental Benefits Clerk (GBC). II. WHAT DOES THE DEPARTMENT DO WITH THE CHILD'S BENEFITS? Trust accounts are always set up for children when the department has ,:restsibility for managing the child's benefits or propery. The accounting responsibltr the trust belongs to the GBC in the Fiscal Unit at Douglas Drive. Management„of' le £rust : ?nIuding determining the special needs of the child- determining the amounts c rit oriies to be dist resed from trust to a child or caregiver, and all discussions with parents and cirveregarding` tnst accounts is the Y responsibility of the assigned Social P ty r The trust account will be set ::l <: :GBCece < il::..inc `tee and/or operty other than ............ child support coming to the Jehi The::Depar x t s responsible for keeping a record of and utilizing the child's:::::rlcprxie andt"'. : e'ty to et his/her needs; and for conserving, as personal g ::.:.. any-..-::.M n :::x an es :e Bess:of the ca >:p. care. property, y. . The Departmeri> sxpect `o exercise prudence and judgment in authorizing expenditures from the trust account' :vxli.esri:<'I`iie Department is ultimately liable and is held accountable for ......................... ........................ ...................... ensuring that these:::fiirids are disbursed in a responsible manner. This money should be used to benefit the child in terms of both immediate and long-term needs and should be an extension of the ongoing case planning process. The child's available income/resources must be used to meet the cost of his/her care. This includes Social Security benefits (SSA and SSI), VA benefits, income which can be made available"from trust funds, personal property, child support, and any other income specifically for the child's use. (DMCL 9 96-??) Contra Costa County Issued/Revise& 01-01-96 Social Service Dept. Manual Distribution: A-1, A-10 CHILDREN'S SERVICES HANDBOOK REPLACES: SECTION: 30-518.1 Trust Accounts for Children Who SECTION: 31-600.3 PAGE NO.: Receive Governmental and PAGE NO.: 2 ISSUED/REVISED: 07-31-84 Other Benefits EFFECTIVE DATE: 01-01-96 A. Lump Sum 1. Child Receiving AFDC-FC a. SSI Lump Sum The Department uses the lump sum award to reimburse the cost of the child's care for that same period of time. Any money left over is held in trust for the child. For example, the Department receives an SSI lump sum award payment of$4,560 on 1/15/95 which covers 7/1/94 through 12/31/94. For that same period of time, the Department paid out $2,400 ($400/month for six months). Since the lump sum was more than the cost of care, $2,160 would be put into trust for the child. b. SSA or other Lump Sum If the lump sum exceeds the cost of care, the Eligibility Worker calculates a period of ineligibility. During that time, the lump sum is used to pay for the child's cost of care. If the lump sum does not exceed the cost of care, it is treated as income and used to reimburse the cost of the child's care for that same month.. 2. Child Receiving CBCC The Department uses the child's lump sum award to reimburse the money spent to cover the cost of the child's care for that same period of time. Any money left over is held in trust for the child. For example, the Department receives an SSI lump sum award payment of$4,560 on 1/15/95 which covers 7/l/94 through 12/31/94. For that same period of time, the Department paid out $4,800 ($800/month for six months). Since the cost of care exceeded the lump sum, there would be no money left over to go into trust. B. Ongoing Benefits The Department uses the child's monthly income to cover the cost of his/her care for that month and any remainder is put into trust for the child. If the child receives State AFDC- FC, the SSI payment is counted as income by the Department and is reported on the "aid claim" as revenue. If the child receives Federal AFDC-FC, the EW changes these cases to (DMCL # 96-??) Contra Costa County Issued/Revised: 01-01-96 Social Service Dept. Manual Distribution: A-1, A-10 CHILDREN'S SERVICES HANDBOOK REPLACES: SECTION: 30-518.1 Trust Accounts for Children Who SECTION: 31-600.3 PAGE NO.: Receive Governmental and PAGE NO.: 3 ISSUED/REVISED: 07-31-84 Other Benefits EFFECTIVE DATE: 01-01-96 County Board and Care for Children (CBCC) so that the foster care payment is not counted as income by the Social Security Administration_ III. WHAT IS THE SOCIAL WORKER RESPONSIBLE FOR? A. Dependent Child of the Court The Social Worker is responsible to do the following: 1. Notify the Eligibility Worker of any income or personal property payable to the child which needs to be applied for or transferred to Social Service for deposit in a trust account. 2. Determine the appropriate cost of care. See DM 31-600.2 3. Include in the child's case plan identification of any special needs. If the foster caregiver is familiar with the child, consult with him/her to determine the child's special needs and develop a plan for utilizing the child's money to his/her best benefit. If the foster caregiver is not familiar with the child, review the child's special needs with the caregiver to decide how best to spend the money to benefit the child. All discussions with the caregiver should be documented on the S-3. 4. Monitor the child's trust account balance to determine if there are sufficient funds in the account to meet the child's special needs and to ensure that the balance does not go over the $2000 property limit for AFDC-FC, SSI and Medi-Cal. Ttust account funds must not accumulate unnecessarily to the extent that the child becomes ineligible for these benefits. 5. Authorize disbursements from the child's trust account consistent with the child's best interests and the case plan. If the warrant will be issued to the caregiver, s/he must sign the GBC2. This ensures that the caregiver is aware of what the money is-for and the need to provide receipts. 6. Answer any questions from parents or caregivers regarding trust accounts. If the Social Worker does not know the answer, s/he should consult with the Unit Supervisor. If the Unit Supervisor is unsure of the answer, s/he should consult with either the Program Analyst or the Fiscal Analyst depending on the issue. It is not (DMCL 9 96-??) Contra Costa County Issued/Revised: 01-01-96 Social Service Dept. Manual Distribution: A-1, A-10 CHILDRENS SERVICES HANDBOOK REPLACES: SECTION: 30-518.1 Trust Accounts for Children Who SECTION: 31-600.3 PAGE NO.: Receive Governmental and PAGE NO.: 4 ISSUED/REVISED: 07-31-84 Other Benefits EFFECTIVE DATE: 01-01-96 appropriate to refer anyone from outside the Department to the GBC for trust information. 7. Send a copy of the court order to the GBC when dependency is vacated/dismissed. Attach a DC 107 giving the address of the individual to whom the balance of the trust account shall be disbursed. B. Voluntary Placement Refer the parent/guardian to the AFDC-FC Eligibility Worker to complete the AFDC-FC Intake packet. In conjunction with the application, the Eligibility Worker will refer the parent/guardian to Family Support to sign a support agreement. The Social Worker cannot make an agreement to place the child until the parent/guardian signs a support agreement. C. Reporting Changes to the GBC Since SSI is a "welfare" program, changes in the child's circumstances can affect eligibility for benefits and/or the level of benefits the child qualifies for. It is imperative that changes are reported to the GBC as soon as possible. The Social Worker is responsible for reporting the following to the GBC via the SW Notice to GBC/Tech (GBC3): 1. Child enters or leaves an institution (hospital, skilled nursing facility, nursing home, intermediate care facility, psychiatric hospital, Juvenile Hall/Camp/Ranch). 2. Child is placed/replaced. 3. Child who is federally eligible (aid code "42") is placed in a facility that costs more than $1000/month. 4. Child runs away and is not in placement on the first of the month or child returns from runaway status. 5. Change in child's income (any income other than SSI - earned and unearned). 6. Change in child's property (real and/or personal). 7. Change in child's school attendance. SSA Children 18 years of age must be attending full-time elementary or high school in order to remain eligible. If the child completes (DMCL # 96-??) Contra Costa County Issued/Revised: 01-01-96 Social Service Dept. Manual Distribution: A-1, A-10 CHILDREN'S SERVICES HANDBOOK REPLACES: SECTION: 30-518.1 Trust Accounts for Children Who SECTION: 31-600.3 PAGE NO.: Receive Governmental and PAGE NO.: 5 ISSUED/REVISED: 07-31-84 Other Benefits EFFECTIVE DATE: 01-01-96 his/her high school program at age 18'/s, he/she is no longer eligible to either SSA or AFDC-FC. 8. Child is returned to the home of either parent/guardian on a trial visit. 9. SW has advised Parent/Guardian to apply to become the payee for the child's benefits. 10. Child's condition improves to the point that s/he may no longer meet the SSI disability criteria. 11. Child leaves the U.S. for 30 days or more. 12. Jurisdiction is transferred from or to another county. 13. Supervision responsibility is transferred to Casey Family Program. 14. Child's Dependency is vacated. 15. Child dies. IV. WHAT IF THE CHILD HAS AN OUTSIDE TRUST FUND? When a child has a Trust Fund established by a court other than the Juvenile Court (for example, an inheritance or insurance settlement), the individual or institution in control of the fund is responsible for using the fund for the child's needs. If the monies in that fund incombination with other nonexempt personal property would exceed the limits of AFDC-FC eligibility, the individual in control of the fund must be requested to petition the court to make the fund available to support the child. This fund will be considered as available personal property (for eligibility determination or grant computation) unless: A. The trustee refuses to cooperate with the request to petition the court. B. The court has been petitioned but has not made a judgement. C. The court has refused the petition. (DMCL 4 96-??) Contra Costa County Issued/Revised: 01-01-96 Social Service Dept. Manual Distribution: A-1, A-10 CHILDREN'S SERVICES HANDBOOK REPLACES: SECTION: 30-518.1 Trust Accounts for Children Who SECTION: 31-600.3 PAGE NO.: Receive Governmental and PAGE NO.: 6 ISSUED/REVISED: 07-31-84 Other Benefits EFFECTIVE DATE: 01-01-96 The Department may choose, but is not required, to pursue other action leading to the release of the fund. The Department may request that the court remove the current trustee for failure to fulfill his/her responsibility as trustee, and assign a new trustee. The Family Support Division of the District Attorney's Office has the responsibility for pursuing release of the trust fund if the Department chooses to do so. If contacted by an attorney regarding setting up an account for a child, the Social Worker should advise the attorney that the Department must consider and utilize any income and/or property that is available to the child. Any available income will be used to pay for the cost of the child's care. Unless access to a trust account is blocked, the Department will consider it available and will count it as property. The trustee named on the account should be a responsible adult, other than the child's foster caregiver. Attorneys and/or their secretaries frequently act as trustee. If there is no one else to act in this capacity, the account may be set up in the name of the Director of the Social Service Department. V. HOW IS THE FOSTER CAREGIVER NOTIFIED THAT THE CHILD HAS A TRUST ACCOUNT? A. SSI The SSI Clerical Specialist will notify the caregiver when the initial SSI award is made. After that, the Social Worker is responsible for all contact with the caregiver regarding the child's trust account. If the child is replaced in another facility, the SW should advise the new caregiver of the trust's existence. B. Other Benefits The Social Worker is responsible for all contact with the caregiver regarding the child's trust account. The GBC may be used for this purpose. VI. HOW DOES THE SOCIAL WORKER KNOW HOW MUCH IS IN THE TRUST ACCOUNT? The GBC prepares a monthly Trust Account Report and sends a copy to the Child Welfare Division Managers, Foster Care Unit Supervisors, and Child Welfare Unit Supervisors. The Child Welfare Unit Supervisors will review the report and make copies for the individual social workers. (DMCL # 96-??) Contra Costa County Issued/Revised: 01-01-96 Social Service Dept. Manual Distribution: A-1, A-10 CHILDREN'S SERVICES HANDBOOK REPLACES: SECTION: 30-518.1 Trust Accounts for Children Who SECTION: 31-600.3 PAGE NO.: Receive Governmental and PAGE NO.: 7 ISSUED/REVISED: 07-31-84 Other Benefits EFFECTIVE DATE: 01-01-96 . The amount of the child's trust account balance, if any, depends on several factors - the amount of the lump sum, the monthly benefit amount, the placement cost, and whether the child was aided through AFDC-FC or CBCC. Generally, the child will only have a trust account if the cost of care is less than the monthly benefit. The difference between the cost of care and the monthly benefit may be disbursed using the DC 107 (Trust Account Disbursement Request) procedure. VII. WHY DO PROPERTY RULES & LIMITS MATTER? Since SSI, Medi-Cal and AFDC-FC are all "welfare" programs, the property limit is $2000. Any foster child whose property exceeds $2000 becomes ineligible for AFDC-FC and Medi-Cal and SSI. For this reason, it is imperative the the trust be kept below $2000. For SSI purposes, the Social Security Administration allows the child six months to spend down the lump sum award money. VIII. WHAT HINDS OF THINGS CAN BE PURCHASED WITH TRUST ACCOUNT MONIES? The child's trust is always used to directly benefit the child in terms of both current and long term needs. The first priority for use of any income available to the child (child support, governmental benefits, etc.) is to meet the cost of his/her care. Determining how to spend any remainder in the trust account is part of the case planning process. Disbursements from the child's trust account are not limited by State regulations governing Service-Funded Activities and can include the purchase of goods or services that will benefit the child by stimulating his/her physical and/or emotional growth. Social Workers should check with the GBC prior to authorizing or spending any money from the initial lump sum award. Child Welfare Division Managers may approve exceptions if the child has a current need, which has been identified in the case plan and which must be met during this time period. The child's case plan should include identification of any special needs. This should be an ongoing process to ensure that funds are disbursed in connection with a plan. Ideally, Social Workers faced with the need to "spend down" a lump sum remainder will have already developed plans and set priorities based on the child's long-term maintenance as well as current service needs. (DMCL 9 96-??) Contra Costa County Issued/Revised- 01-01-96 Social Service Dept. Manual Distribution: A-1, A-10 CHILDREN'S SERVICES HANDBOOK REPLACES: SECTION: 30-518.1 Trust Accounts for Children Who SECTION: 31-600.3 PAGE NO.: Receive Governmental and PAGE NO.: 8 ISSUED/REVISED: 07-31-84 Other Benefits EFFECTIVE DATE: 01-01-96 When authorizing disbursements from the child's trust account, the Social.Worker,should consider the following: A. Child's Belongings Anything purchased with the child's money belong to the child and must go with the child when s/he leaves that placement. B. Service Needs Trust account funds should be expended prior to submitting an ADM 335 to request approval for CWS Service Funded Activities. The following list is intended to be illustrative, it is not all-inclusive: 1. additional therapy visits or medical services/equipment which are not covered by Medi-Cal; e.g.; orthodontia, extra glasses, air purifier for an asthmatic child, elective surgery which would enhance the child's self esteem, etc. 2. tutoring, classes which would improve study habits or private school tuition 3. art, dance or music lessons 4. sports camp, sports equipment or summer camp 5. personal computer, sewing machine, clothing, books or records 6. child's airline tickets and money to cover the child's expenses to visit relatives or for outings such as amusement parks or vacations with the caregiver. E.g., caregiver wins a trip to Hawaii and asks for money to cover the child's airfare. 7. high school yearbook, class ring, prom 8. automobile insurance, if the child is a licensed driver C. AFDC-FC Eligibility Eligibility for AFDC and AFDC-FC are subject to the AFDC property regulations in EAS 42-200 which are outlined in Appendix A. The Social Worker needs to be careful when spending the child's trust not to simply convert the money to another form of property. (DMCL # 96-??) Contra Costa County Issued/Revised: 01-01-96 Social Service Dept. Manual Distribution: A-1, A-10 CHILDREN'S SERVICES HANDBOOK REPLACES: SECTION: 30-518.1 Trust Accounts for Children Who SECTION: 31-600.3 PAGE NO.: Receive Governmental and PAGE NO.: 9 ISSUED/REVISED: 07-31-84 Other Benefits EFFECTIVE DATE: 01-01-96 Specific questions about whether or not an item is considered property should_be addressed to the child's Eligibility Worker. IX. HOW DOES THE SW ACCESS THE TRUST ACCOUNT? The Social Worker requests authorization for expenditures from the child's trust account via the DC 107. If there is a regularly recurring expense and the amount is the same each month, the Social Worker can complete a single DC 107 for up to a three month period. A. Form Completion (DC 107) Complete the top two lines and Sections I and II of the DC 107.. If the expenditure is for $1000 or more, the Social Worker must attach a brief memo regarding the use of the money. B. Administrative Approval Route the form to the Unit Supervisor for approval. If further approval is needed, the Unit Supervisor will forward the form to the appropriate level depending on the amount of disbursement being requested. C. Level of Approval 1. Disbursements of less than $300 may be approved by the Unit Supervisor. 2. Disbursements of $300 to $999.99 must be approved by the Child Welfare Division Manager. 3. Disbursements of$1000 or more must be approved by the Assistant Director, Services. D. Form Distribution When the expenditure is approved, the Social Worker will retain the pink copy for the case record and file it on the lower left. Send the white and yellow copies, along with the GBC2, to the GBC for payment. (DMCL 9 96-??) Contra Costa County Issued/Revised: 01-01-96 Social Service Dept. Manual Distribution: A-1, A-10 CHILDREN'S SERVICES HANDBOOK REPLACES: SECTION: 30-518.1 Trust Accounts for Children Who SECTION: 31-600.3 PAGE NO.: Receive Governmental and PAGE NO.: 10 ISSUED/REVISED: 07-31-84 Other Benefits EFFECTIVE DATE: 01-01-96 X. DOES THE SW HAVE TO GET RECEIPTS? Since the Department is accountable for ensuring that funds are disbursed in a responsible manner, receipts must be obtained for all disbursements. A new form; the Acknowledgement of Trust Fund Disbursements (GBC2) has been developed for this purpose (see Appendix B). The Social Worker needs to do the following: A. Discuss and decide with the caregiver the item(s) to be purchased and the amount of the disbursement. Advise the caregiver that the GBC2 must be signed and returned prior to the disbursement of funds. B. Complete and sign the GBC2 and send all copies (along with a self-addressed stamped envelope) to the caregiver asking him/her to sign the form and return the white and yellow copies. C. When the caregiver returns the signed GBC2, send the yellow copy to the Governmental Benefits Clerk (at 40 Douglas Dr.) along with the approved DC 107 (Trust Account Disbursement Request) and file the original in the child's CWS case folder. D. Obtain receipts from the caregiver and forward them to the GBC as documentation of the expenditure. If the caregiver has lost the receipt, the Social Worker should ask him/her to sign a sworn statement - the IM 15C (Declaration Under Penalty of Perjury) can be used for this purpose. XI. WHAT HAPPENS TO THE TRUST ACCOUNT WHEN THE CHILD LEAVES FOSTER CARE? When the child leaves foster care and Dependency is vacated/dismissed, any funds remaining in the trust account must be released within thirty days. The child's CWS case must not be closed until the money in the trust has been released. A. Child 18 Years of Agee or Emancipated If the child is 18 years old or is a legally emancipated minor, the money should be released to the child. If the child is 18 but is not competent, it may be necessary for a guardian to be appointed to act as substitute payee on the child's account; e.g., the Regional Center would become payee for a developmentally disabled child who will be continuing in placement under their supervision. (DMCL # 96-??) Contra Costa County Issued/Revised: 01-01-96 Social Service Dept. Manual Distribution: A-1, A-10 CHILDREN'S SERVICES HANDBOOK REPLACES: SECTION: 30-518.1 Trust Accounts for Children Who SECTION: 31-600.3 PAGE NO.: Receive Governmental and PAGE NO.: 11 ISSUED/REVISED: 07-31-84 Other Benefits EFFECTIVE DATE: 01-01-96 B. Child Under 18 Years of Age If the child is under age 18, the money should be released to the parent or legal guardian with whom the child is living. If the child is not living with either a parent or guardian, the case should be conferenced with the Division Manager to detennine the appropriate action which may include spending down the trust to purchase of good and/or services for the child. If the child is in an adoptive placement, the trust is released when the adoption has been finalized. XII. WHAT IS THE GBC RESPONSIBLE FOR? The Government Benefits Clerk is responsible for the following: A. Set up a trust account for children who receive any benefits (SSA, SSI, retirement benefits, insurance, etc.). B. Receive monies and maintain records of deposits and disbursements. C. Receive Medi-Cal Benefit Identification Card (BIC) for all SSI children and forward the BIC to the child's current caregiver. D. Prepare monthly Trust Account Report and send a copy to the Child Welfare Division Managers, the Foster Care Unit Supervisors, and the Child Welfare Unit Supervisors for review and disbursement to their unit. This serves as notification to alert the Social Worker that the trust account balance is close to $2000. If the account reaches $2000, the child is rendered ineligible to AFDC-FC and may also be ineligible for SSI and Medi-Cal. E. Process disbursements from trust account upon receipt of an approved DC 107 from the child's Social Worker. F. Release any monies remaining in the trust account to the child, parent or guardian according to instructions on the DC 107 when the vacate/dismiss court order is received. (DMCL # 96-??) Contra Costa County Issued/Revised: 01-01-96 Social Service Dept. Manual Distribution: A-1, A-10 r - CHILDREN'S SERVICES HANDBOOK REPLACES: SECTION: 30-518.1 Trust Accounts for Children Who SECTION: 31-600.3 PAGE NO.: Receive Governmental and PAGE NO.: 12 ISSUED/REVISED: 07-31-84 Other Benefits EFFECTIVE DATE: 01-01-96 XIII. FORMS DC 107, Trust Account Disbursement Request GBC2, Acknowledgement of Trust Fund Disbursement GBC3, SW Notice to GBC/Tech IM 15C, Declaration Under Penalty of Perjury GBC , SW Notice to Caregiver of Benefits CONTACT PERSON: First Line Supervisors and above may contact the FC Program Analyst with questions about this manual section. (DMCL 9 96-??) Contra Costa County Issued/Revised: 01-01-96 Social Service Dept. Manual Distribution: A-1, A-10 r ' • a ♦ t 'ti r • CHILDREN'S SERVICES HANDBOOK APPENDIX A REPLACES: SECTION: 30-518.1 Trust Accounts for Children Who SECTION: 31-600.3 PAGE NO.: Receive Governmental and PAGE NO.: 1 ISSUED/REVISED: 07-31-84 Other Benefits EFFECTIVE DATE: 07-01-95 AFDC PROPERTY RULES Items Considered Property 1. Liquid resources such as cash on hand or in savings and checking accounts; financial instruments including securities, stocks, bonds, mutual funds shares; cash surrender value of insurance policies; promissory notes, mortgages and deeds of trust; and income tax refunds. NOTE: This includes any money held by the Department in the child's trust account and any money released to the caregiver but not actually spent. For example, if $1,000 is released to the caregiver to pay for the child's orthodontia, that money is property until it is actually paid to the orthodontist. 2. Motor vehicles (net market value): For recipients, that portion of the value that exceeds $4,500. For applicants, that portion of the value that exceeds $1,500. 3. Mobile homes, campers, trailers and houseboats unless used as a family's only home. 4. Boats and recreation equipment 5. Musical instruments 6. Power tools 7. Farm equipment, livestock (including cattle, sheep, horses, mules, donkeys, llamas, pigs, goats), and fowl other than that retained for family consumption. 8. Personal effects other than clothing, wedding, and engagement rings, heirlooms and prosthetic devices. 9. Permanently affixed items, such as built-in appliances and wall-to-wall carpeting (DMCL 9 96-??) Contra Costa County Issued/Revised: 01-01-96 Social Service Dept. Manual Distribution: A-1, A-10 - CHILDREN'S SERVICES HANDBOOK APPENDIX A REPLACES: SECTION: 30-518.1 Trust Accounts for Children Who SECTION: 31-600.3 PAGE NO.: Receive Governmental and PAGE NO.: 2 ISSUED/REVISED: 07-31-84 Other Benefits EFFECTIVE DATE: 07-01-95 AFDC PROPERTY RULES Items Not Considered Property 1. Furniture 2. Major and small appliances, including air conditioners 3. Kitchenware 4. Television and music systems 5. Personal computer systems 6. Savings and interest accumulated pursuant to a child's ILSP written transitional independent living plan and retained by a child who is 16 years of age or older and is participating.in the ILSP.* 7. Up to $5,000 in a restricted accounts for the purpose of postsecondary education or vocational training of a child, or the start up of a business or the purchase of a home.* *SSI rules allow.a child to set aside funds as part of a "plan to achieve self-support" (known as PASS). To qualify, the plan must be designed especially for the child and must: a. Be in writing b. Have a specific work goal which the child is capable of performing; C. Have a specific timeframe for reaching the goal (no longer than 48 months); d. Specify what money and other resources will be used to reach the goal; e. Show how the money and resources will be used; f. Show how the money set aside will be kept identifiable from other funds; and g. Be approved by the Social Security Administration and periodically reviewed by them to assure compliance. (DMCL # 96-??) Contra Costa County Issued/Revised: 01-01-96 Social Service Dept. Manual Distribution: A-1, A-10 f - CHILDREN'S SERVICES HANDBOOK APPENDIX B REPLACES: SECTION: 30-518.1 Trust Accounts for Children Who SECTION: 31-600.3 PAGE NO.: Receive Governmental and PAGE NO.: 1 ISSUED/REVISED: 07-31-84 Other Benefits EFFECTIVE DATE: 07-01-95 Social Service Department Contra Costa County ACKNOWLEDGEMENT OF TRUST ACCOUNT DISBURSEMENTS I understand that I will be receiving a $ disbursement from the Trust Account of Name Social Security Number to purchase the following item(s): 1. 2, 3. 4. 5. 6. I understand that I will be required to provide the Social Worker with receipts. And, that I will need the prior approval of the Social Worker to use this money to purchase anything other than the items shown above. I understand that these items.will belong to the child and that they will go with the child if he/she leaves my home. Caretaker's Signature Date Social Worker Signature Date Orig.: Social Worker file Yellow: Gov't Benefits Clerk GBC2 (New 12/95) Pink: Foster Caregiver (DMCL # 96-77) Contra Costa County Issued/Revised: 01-01-96 Social Service Dept. Manual Distribution: A-1, A-10