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Code · Kentucky · Chapter 199 — Protective services for children -- adoption

199.641 Definitions -- Payments to child-caring facility or child-placing agency.

462 words·~2 min read·/ky/chapter-199/199-641

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(1)As used in this section, unless the context otherwise requires:
(a)"Allowable costs report" means a report from each child-caring facility or
child-placing agency that contracts with the department for services and
includes all allowable costs as defined by the Federal Office of Management
and Budget's guidance, including Title 2 of the Code of Federal Regulations,
and other information the department may require, utilizing cost data from
each child-caring facility's or child-placing agency's most recent yearly audited
financial statement;
(b)"Department" means the Department for Community Based Services of the
Cabinet for Health and Family Services;
(c)"Model program cost analysis" means a report based on a time study, the
allowable costs report, and other information required by the department from
each child-caring facility or child-placing agency that contracts with the
department for services that determines a statewide median cost for each
licensed program category of service provided by child-caring facilities or
child-placing agencies; and
(d)"Time study" means the process of reporting the work performed by
employees of child-caring facilities or child-placing agencies in specified time
periods.
(2)Subject to the limitations set forth in subsection
(4)of this section, when the
department chooses to contract with a child-caring facility or child-placing agency
for services to a child in the custody of or committed to the department, the
department shall make payments to that facility based on the rate setting
methodology developed from the model program cost analysis. The department
shall also assure that the methodology:
(a)Provides payment incentives for moving children as quickly as possible to a
permanent, continuous, stable environment;
(b)Provides children who require out-of-home care or alternative treatment with
placements that are as close as possible to their home geographic area and
ensure continuity with their families, schools, faiths, and communities;
(c)Provides appropriate placement and treatment services that effectively and
efficiently meet the needs of the child and the child's family as close as
possible to the child's home geographic area; and
(d)Facilitates provider participation in the state Medicaid program established in
accordance with KRS Chapter 205.
(3)The department shall use the model program cost analysis as a basis for cost
estimates for the development of the department's biennial budget request.
(4)The secretary shall, to the extent funds are appropriated, establish and implement
the rate setting methodology and rate of payment by promulgation of administrative
regulations in accordance with KRS Chapter 13A that are consistent with the level
and quality of service provided by child-caring facilities. The administrative
regulations shall also include the forms and formats for the model program cost
analysis.
(5)Nothing in this section shall prohibit the department from soliciting proposals to
improve or expand alternative services for children in the custody of or committed
to the cabinet.
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