Arkansas Administrative Code
Agency 016 - DEPARTMENT OF HUMAN SERVICES
Division 14 - Department of Finance (Administrative Services)
Rule 016.14.06-007 - Social Services Block Grant (SSBG) Program Manual

The purpose of the SSBG program is to provide financial assistance to states in delivering social services most appropriate to their population.

Since 1962, the United States Congress has authorized funds to states for social services for low income families and individuals. Prior to 1975, social services funding was provided through two separate titles of the Social Security Act: Title IV-A (social services to families with dependent children) and Title VI (social services for the aged, blind and disabled). Eligibility was closely tied to related income maintenance programs (Aid to Families with Dependent Children provided under Title IV-A and Aid to the Aged, Blind and Disabled provided under Title VI). Under each program only certain specified services could be funded. On January 4, 1975, Public Law 93-647 was signed into law. This law removed the social services provisions for Title IV-A, abolished Title VI, and added Title XX to the Social Security Act effective October 1, 1975.

The Omnibus Budget Reconciliation Act of 1981, Public Law 97-35, amended Title XX of the Social Security Act to establish the Social Services Block Grant (SSBG) program effective October 1, 1981. This program provides federal assistance to states for social services directed at the goals of achieving economic self-support or self- sufficiency; preventing or remedying neglect, abuse, or exploitation of children or adults; preventing or reducing inappropriate institutionalization; and securing referral for institutional care, where appropriate. Under the SSBG program, states have the sole responsibility for determining what services will be provided, who will be eligible for services, and how the funds will be distributed within the state. The State of Arkansas currently operates under this SSBG program.

The following federal laws and regulations form the basis for the operation of the SSBG program.

Social Services Block Grant (SSBG) legislation enables DHHS to claim federal funds to provide social services for individuals and families. Although program responsibility is vested with the specific program divisions/offices (see Section 2120), citizens are involved in the planning process and have an opportunity to respond to the planning decisions during a thirty day public review and comment period each year.

Overall management and administration of the SSBG program rests with the Office of Finance and Administration (OFA) which is responsible for centralized planning, policy development, financial management, financial standards, and overall monitoring and co-ordination of the administration of the SSBG program on behalf of the Director of DHHS. OFA also is charged with monitoring the SSBG program for federal regulatory compliance.

Determination of eligibility will be the responsibility of providers of services both direct and purchased.

All providers of direct or purchase services will use the policy and procedures outlined in this manual. In some situations the forms used by the Department of Health & Human Services (DHHS) County Offices may differ from the forms specified in this manual. However, any and all deviations from the forms specified in this manual shall be approved by the Chief Fiscal Officer (CFO) of DHHS prior to their usage. The procedures to be followed and the instructions for completion of these forms will be included in the DHHS Program Policy Manual.

Every person has the right to apply or re-apply for services. No application or inquiry can be ignored by either providers or DHHS representatives.

The distinction between an application and an inquiry is as follows:

An application is the action by which an individual indicates in writing to the provider his/her desire to receive services.

An inquiry is simply a request for information about available services in the community.

Families and individuals must be free to accept or reject services. Acceptance or rejection of a service shall not be a prerequisite for the receipt of any other SSBG services.

A departmental employee or contract provider shall not on the basis of age, religion, disability, political affiliation, veteran status, sex, race, color, or national origin:

Applicants or recipients, or an individual acting on behalf of an applicant or recipient, may appeal (through a hearing process) the denial, reduction, or termination of a service, the level of a fee that has been assessed, or failure to act upon a request for service with reasonable promptness.

The first level of appeal in any of the situations outlined above shall be made to the director of the program where the alleged inequity occurs. If the client filing the appeal receives no satisfaction at the program level, the next step is to send a written request for a hearing to the Chief Fiscal Officer of DHHS or designee, P.O. Box 1437, Slot W401 Little Rock, Arkansas 72203. The written request must be sent within sixty (60) days of the program director's ruling and must state, with specificity, the basis for the appeal and the relief sought.

Case records shall be kept confidential and kept in a secure file. Information in case records shall not be disclosed for any purpose other than:

Under Title XIX (Medicaid) Regulations, which are applicable to the state Medicaid program, a long term care facility may accept only those persons "whose needs can be met by the facility directly or in cooperation with community resources or other providers of care with which it is affiliated or has contact." Residents of long term care facilities are accepted as residents by such facilities for the purpose of meeting the health and rehabilitation needs of the resident which cannot be met except by residence in such facilities or institutions. Once accepted, the facility must provide services to meet the specific needs of the resident based on his individual plan of care. Once a patient has been admitted to a Title XIX long term care facility, the Title XIX vendor payment (with required resident cost sharing payments) is considered to be payment in full for services required to be provided by the Nursing Facility (NF) or Intermediate Care Facility for the Mentally Retarded (ICF/MR) not otherwise covered as ancillary services by Medicaid.

The term "nursing facility" means an institution (or distinct part of an institution) which is engaged in providing to residents:

SSBG funds may not be used to purchase services for inmates of a jail or prison if:

The service is the inherent responsibility of the facility, such as food, shelter, clothing, general maintenance and administration (including the determination function), general supervision and personal care; or

The activities are intrinsic to the purpose of the facility as determined by facility charter, state law or standards, relevant licensing or certification requirements, or federal or state court decisions.

If a service does not involve the prohibitions stated above, it could be purchased under SSBG for individuals living in a jail or prison.

Examples of services which might be provided under SSBG to inmates of a jail or prison include mental health services, special services to a blind or disabled inmate, and other similar services which would provide services to the inmate beyond the inherent responsibilities of the institution.

Applications for direct services delivered by DHHS divisions must be made at the appropriate division or office. Applications for purchased services must be made at the office of the SSBG provider from whom the individual wishes to receive services. The applicant is responsible for the completion of all application documents; however, the provider representative or applicable DHHS representative shall provide assistance in the completion of such application forms upon request. Applications must be made on the Application for Social Services Block Grant Services (Form DHHS-100) (Appendix D) and signed by the applicant except in the following cases:

An authorized representative is someone designated by the client to act on his/her behalf. In order to establish a client's eligibility for SSBG services, the person acting as authorized representative must be knowledgeable of the client's living arrangements and income. A provider representative or employee may not act as an authorized representative unless the provider has legal custody of the client.

An individual under age 18 shall be considered emancipated and allowed to sign the application if the individual is:

The tasks to be completed during the interview include:

The provider shall secure essential social and financial information to determine eligibility.

The applicant shall be relied upon as the primary source of information. However, when the applicant is unable to provide essential information, the provider shall assist in obtaining any necessary verifications.

During the initial application interview the Application Form DHHS-100 is completed by the applicant. However, assistance shall be provided by the provider representative upon the request of the applicant. (Please see Section 4110 for additional information.) It should be noted that in certain circumstances, the provider representative may actually complete the application documents rather than the applicant (such as in cases involving protective services, foster care, etc.).

When the information presented by the applicant or his/her representative during the first interview establishes that the applicant is ineligible, the application shall be denied immediately. Form DHHS-160 shall be sent or given to the client, with a copy maintained in the client's record.

The provider representative may make a home visit if necessary to establish eligibility. The fact that a home visit has been made and additional information acquired to support eligibility shall be recorded in the case narrative.

Collateral information is evidence provided by written documents or by persons other than the applicant.

The provider representative shall use a consent for release of information signed by the client to secure information from a collateral source. The release must specify the information needed and the names of the collateral sources. If a client refuses to sign a consent form and collateral information must be obtained, refer to Section 4140.B. regarding notification of case denial.

The provider representative shall check records or conduct inquiries by correspondence only when information can best be obtained in these ways. Routine record checking or correspondence which will not likely bring forth additional information needed to establish eligibility shall be avoided.

The provider representative has a maximum of thirty (30) days from the date of application to dispose of the application by one of the following actions - approval, denial or withdrawal.

The case record must document that each eligibility requirement has been met before services may be granted. These points of eligibility include:

The following are categories under which applicants may receive SSBG services.

SSBG eligibility and, if applicable, fee assessments are determined on the basis of income and family size of the eligibility unit of the primary client, using the following income scale (see Section 4210, subsections B, C, and D to determine family size):

For over ten family members, add $693 to the annual income for a family size of ten for each additional member.

The amount of any currently available income not specifically excluded under one of the provisions in Section 4210.G. must be determined and considered. The client's statement will normally be sufficient verification of income. However, the provider representative is expected to act as a prudent person and to make additional investigation when the client's statements are unclear, incomplete, or contradictory, or when he/she has reasonable grounds for believing that the statements are incorrect. This is not intended to mean that the provider representative should require routine verification of income

for all clients or any group of clients, but only that the provider representative shall make an additional investigation when the circumstances of the particular case give reasonable grounds for believing that the client's statements are not indicative of his/her true situation. In such cases, the provider representative shall first seek clarification from the applicant. If the applicant cannot resolve the matter, contact with collaterals may be necessary with the applicant's permission. If the applicant does not wish collaterals to be contacted, he/she has the option of terminating his/her application or providing sufficient information himself to resolve the problem within the thirty (30) day time limit for disposing of the application.

The following are three examples of situations in which a provider representative would be expected to investigate further in order to be considered prudent:

If a client claims to be employed full-time in order to receive day care for his/her children, but claims to have income significantly below the minimum wage, then the provider would be expected to investigate further.

If the income or family size of a client changes drastically without explanation between reevaluations, shortly after services were denied, or after a fee is assessed for services, the provider would be expected to investigate further.

If a client claims to be unemployed or under employed and yet maintains a standard of living beyond his/her means (e.g., maintaining an apartment on no income) without a reasonable explanation, the provider would be expected to investigate further.

The monthly gross amount of any earnings from employment will be determined. Monthly gross income is computed by multiplying weekly earnings by 4 1/3, bi-weekly earnings by 2 1/6, semi-monthly earnings by 2. If the earnings fluctuate, the provider representative shall determine, by averaging or other means, an amount which fairly reflects the income actually currently available to the applicant on a monthly basis. The computation of earnings should be maintained in the client file to support the earnings reflected on the application or the re-evaluation.

The monthly amount of any unearned income not disregarded must be determined. Verification shall be by the client's statements.

Social Security benefits are paid upon retirement, disability, or death of a covered wage earner. Retirement benefits are payable at age 62.

Social Security disability benefits are payable at any age. A wife or widow is eligible at any age if there are minor children of the wage earner living in the home. An individual may receive a child benefit at any age if incapacitated prior to age 21. All unmarried minor children of a wage earner are covered, even though the wage earner and the mother of the children were later separated or divorced. Illegitimate children may be covered if the wage earner can be established as the parent.

Railroad Retirement Benefits are paid to individuals and spouses covered under the Railroad Retirement Act. An individual may receive both Railroad Retirement and Social

Security, if covered under both programs, and the wife of a Railroad Retirement beneficiary may receive a wife's benefit while drawing Social Security.

In addition to determining financial eligibility, the provider representative must establish the need for service to be rendered under SSBG. Service need is a state agency requirement with certain federally mandated elements. Its purpose is to insure that funds are expended only for services to eligible clients which are needed by the client to alleviate some problem or condition. At the same time, it is recognized that in the wide range of services provided under SSBG, there will be many types of service need, some of which are less obvious than others. For example, the fact that an elderly individual has neighbors, friends, or family with whom he/she could socialize does not mean that he/she cannot benefit from an organized program of activities in a senior citizen center among persons of his/her own age group. In almost all cases, the determination of service need will involve some judgment on the part of the provider representative.

For definitions of primary client, family, single adult, emancipated minor, income, monthly gross income, exclusions from monthly gross income, and services, please see Section 4210: Definitions Regarding Eligibility.

Service need consists of three separate but interrelated requirements which are outlined individually below.

Except in protective services or DCFS custody situations, services shall be provided only to clients who voluntarily request the service. For protective services cases, a dated agency record documenting the circumstance of actual or potential abuse, neglect, or exploitation of a child or adult shall be used in place of a voluntary request for services.

Specific requirements may be imposed for the receipt of individual services by the applicable SSBG Program Manual Service Chapter.

For example, to receive the service "Special Services for the Disabled - Work Activity" an individual must have a developmental disability as defined in the Glossary and be twenty-one years old or older or have completed public school activities.

A narrative entry or problem statement on Form DHHS-100 stating that a particular service is being provided to meet a specific need of the person shall be taken as certification that the person meets all service need requirements for that service. Providers shall maintain sufficient records to show that they have provided services under SSBG only to the persons specified in their contract and eligible for the service under the SSBG Program Manual.

Services must be directed toward one of the five national SSBG goals. Goals for individual clients are specified in Form DHHS-100.

Provider staff are expected to provide under SSBG only those services which are needed to meet one of these goals. A narrative entry or a statement by the provider on the DHHS-100 stating the national goal and the services needed shall be regarded as sufficient verification of individual service need.

Beyond this requirement, the judgment of service need shall be left to the judgment of the individual provider. It is preferable from a program standpoint to provide services in borderline cases rather than risk denying services to clients who could benefit from them.

Clients who have voluntarily requested SSBG services and meet financial eligibility requirements should not be denied services on the basis of service need unless it is obvious that the individual could receive no possible benefit from the services requested.

Service need must be established in accordance with the following federally mandated goals:

Please refer to Appendix B - List of Service and Unit Codes and Appendix C - Service Chapters for a complete listing of unit codes, service definitions, methods of delivery, eligible categories, descriptions of service activities, goal(s) for which services are rendered, objective(s), and the geographic area in which each service is available.

The following are the "Service Codes."

The individual with or for whom a plan is developed and a goal is set is considered to be the primary client; however, the service plan must take into account the relation of his/her needs to the functioning of his/her family as a whole. Services to families and individuals must be in accord with plans developed in cooperation with the client, be responsive to the needs of each individual within the family, while taking account of the relation of individual needs to the functioning of the family as a whole, and be related to the goals and objectives as previously described.

Frequently, the service provided to the primary client will have an effect on other members of the family; however, no other family member becomes a primary client unless he/she requires service(s) and a specific goal is set with him/her.

Individual service plans should set objectives which are realistic and attainable within a specified period of time, usually one year. Only one goal may be established for a primary client at any given point in time, although goals may change to reflect changes in the client's situation.

It should be noted that while only one goal is established at a given time for a primary client, one or more barriers may prevent him or her from attaining that goal; thus, one or more services may be required.

The individual(s) must presently reside in Arkansas and intend to make it his/her home. No specific duration of residence is required. If the applicant has the present intention to make the state his/her home, his/her eligibility will not be affected by the fact that he/she intends to leave the state at some future time. Residence is not affected by temporary absence from the state.

When all eligibility requirements have been established, the provider representative shall:

When denying an application, the provider representative shall:

When an applicant requests his/her application be withdrawn, the provider representative shall:

If a service is denied because of unavailability or lack of resources and the client is eligible for the service, the provider representative should refer the client if the service is available from another provider. If the client is eligible, the application will be denied on Form DHHS-160 with the reason "Service Not Available."

When applications are approved within thirty (30) days of the date the application was signed, the applicant is eligible as of the date of signature, provided that it is established that the client was eligible as of that date. The effective date may not be prior to the date of application (date of signature). The effective date will be the date of approval for applications not processed within thirty (30) days of the date of application.

Notwithstanding any other provision of this manual, the Chief Fiscal Officer or designee, may authorize retroactive eligibility for any time period for any client or group of clients whom he/she finds were improperly deprived of services or payment for services under the SSBG program.

DHHS has a continuing responsibility to provide services for eligible recipients as adequately as funds will permit and to insure that no ineligible recipient continues to receive services.

The provider agency and the recipient have the responsibility to insure that information upon which a recipient's eligibility and fee assessment(s), if applicable, are based is current and complete. See Section 4800 for a discussion of fees for services.

A new application shall be completed at intervals no greater than 12 months.

A re-evaluation involves the re-determination of all eligibility requirements. Each requirement must be met and recorded in the case narrative or on the prescribed form.

The recipient has the primary responsibility for reporting any change affecting eligibility within five (5) days of the date the change occurs so that the provider representative can initiate the appropriate case action(s).

At any time the provider has information regarding a change affecting eligibility, an investigation shall be made and any appropriate case action(s) shall be taken within thirty (30) days. Such action(s) shall be taken based upon factual information.

The recipient has the responsibility to notify the provider within five (5) days of any change of address. The provider representative should also be alert for other changes which may be indicated by a change of address.

A client statement of changes in income shall be sufficient verification of a client's income. A statement shall also be sufficient to verify non-receipt or discontinuance of income.

The provider is responsible for continuous assessment of the service plan including the appropriateness of services being rendered, barriers, and the goal to be achieved. At a minimum, the provider representative must review the service plan once every twelve (12) months or when information is made known that requires a change in the service plan. Cases should remain open only when planned activity is taking place with respect to goal achievement or to maintaining a client in a goal status where barriers are being controlled.

Termination of a Purchased Service

When a purchased service is terminated by the provider, the provider has the following responsibilities:

A case may also be closed when a client's behavior is disruptive to the delivery of services to other clients in the program. Prior to closing the case, the provider must give the client or his/her parent or guardian, when appropriate, a written warning stating that his/her behavior is disruptive to the program and that services will be terminated if the disruptive behavior is not corrected. This warning should include specific examples of disruptive behavior and changes the client can make in order to remain in the program and must be sent at least ten (10) days prior to initiating closure of the case. If the disruptive behavior has not been changed within ten (10) days, the provider must send Form DHHS-160, Notice of Action, giving the client ten (10) days advance notice that his/her case will be closed. Whenever possible, the provider should assist the client in finding an appropriate source for needed services.

If a client exhibits behavior that threatens the life, health or property of other clients or provider staff, his/her case may be closed immediately by documenting the client's violent behavior in the case narrative and notifying the client of termination of services on Form DHHS-160, Notice of Action. No advance notice is required.

A provider may find it necessary to change the funding source under which a client is receiving services. If the funding source is changed and services continue un-interrupted at no additional cost to the client, it is not necessary to send a Notice of Action, Form DHHS-160, to the client; however, a narrative entry should be made in the client's case record noting the change.

A change in funding source may be made temporarily (e.g., at the end of the contract year when SSBG funds are exhausted). If a re-determination of eligibility becomes overdue during the period that services are provided through another funding source, the case will be considered closed and the client must reapply for services using the Application for Services, Form

DHHS-100, if SSBG services are to be reinstated. If the period for which eligibility has been certified has not ended, services may be reinstated under SSBG with only a narrative entry in the client's case record. The re-evaluation due date will remain unchanged. During the period that services are provided under another funding source, the client's responsibility to report changes of status that may affect eligibility continues (see Section 4630).

If a case is closed, services are reduced, or a fee is imposed or increased while services are being provided under another funding source, the policies and procedures governing that funding source will apply and it will not be necessary to send the Notice of Action, Form DHHS-160.

Providers shall maintain an accurate and current individual case record at the facility in a readily accessible location for each client determined eligible. The record must contain the following completed forms:

Arkansas has adopted a fee system with fee assessment based on client income adjusted by family size. The three types of fees that are allowable are flat fees, flat fees varying with income, and fees based on percentages of unit rates varying with client income. When fees are charged for a service, specific fee information will be detailed in the service chapters (Appendix C).

A fee may be assessed and collected from recipients of a specified SSBG service only when authorized in the purchase of service contract documents and this manual. If fees are charged for a particular service based on client income, a provider may not accept or reject a client based on the fee requirement. However, if a recipient fails to pay an allowable fee (one assessed in accordance with state guidelines and authorized in the contract document), then that recipient's case may be terminated.

The three types of allowable fees are listed and described below.

The division(s)/office(s) requiring fees will furnish fee scales to providers for services requiring income related fees. These scales are used with form DHHS-100 to determine client fees.

Fee tables or flat fee authorization forms are distributed by the division(s)/office(s) prior to the charging of fees for SSBG services by a provider.

Income scales of fee tables are updated to conform to any adjustment in income guidelines. Other updates are made as needs arise. For Unit Rate Percentage Fees, adjustments are made at the time of any change in unit rates in a particular contract. Changes in fee rates for Flat Fees and Flat Fees Varying With Income are made by revising the one set of tables for a service offered by a division or office. Changes in fee tables for these services should take place only on a regular schedule (e.g., annually).

The determination of fees and fee amounts are based on the criteria used to determine eligibility. Income for fee purposes is determined and computed for all service recipients in accordance with the procedures outlined in Section 4200 and the definitions listed in Sections 4210.E. - Income, 4210.F. -Monthly Gross Income, and 4210.G. - Exclusions from Monthly Gross Income.

When an income related fee is charged for a service, it is necessary to determine and compute income levels for both categorically and non-categorically eligible recipients, since fees are charged to both groups.

When a client applies for and is determined eligible to receive a service for which a fee is charged, the provider must inform the client of the assessed fee, using forms DHHS-100 and DHHS-160. If income related fees are charged, fee tables provided by the division/office will be used. Fees begin at the time of service delivery.

If at the time of re-evaluation a recipient who is not paying fee is found to be in an income range for which a fee is charged, or if a recipient paying a fee is found to be in an income range for which a higher fee will be charged, an advance notice, Form DHHS-160, must be given or sent to the recipient informing him/her that a fee will be charged, or that it will change. If the advance notice is given in one month but the advance notice period extends into the following month, the recipient's status with regard to fee assessment will not change until after the last day of the month in which the change is actually effective. No advance notice is necessary if a fee is dropped or decreased; however, the client must be notified with a DHHS-160 of the change. The client's fee status will not change until after the last day of the month in which the change is effective.

If retroactive eligibility is authorized for any recipient under the provisions of Section 4500 of this manual, fees will be assessed for any units of service which are billed with the fee assessment period extending back to the time authorized for retroactive eligibility.

For services for which a fee has been set in this manual, a client shall be denied the service or terminated immediately upon failure to pay the established fee (unless the provider or a third party desires to pay the fee for the client). If a client is terminated for nonpayment of a fee, the client is not eligible for other services requiring a fee until the client pays the required fee and any fees previously due from the client and unpaid. The client can, if otherwise eligible, receive any services not requiring a fee.

Fees are collected and retained by the provider. Each provider's monthly billing is reduced in an amount equal to the total of all fees assessed in that month. Uniform collection procedures for all SSBG recipients are established by the provider who may choose to schedule collections to take place up to one week in advance of service delivery, at the time of service delivery, or shortly after service delivery.

When a fee is charged, the fee is collected for each unit of service delivered.

When providers follow absentee billing procedures to obtain reimbursement for clients temporarily absent from the program, the provider must collect fees from the client for the absentee days and a fee must be collected for each unit billed to the state.

If a recipient fails to make fee payments, the provider shall arrange for collection of the fee, or, if necessary, for the termination of the service.

Client fee revenue and fee receivables accounts should be established in the provider's accounting system to reflect the assessment and collection of fees. All income from client fees should be properly receipted and documented in the provider's records.

Agreements for SSBG purchase of services in the State of Arkansas are normally required to be matched from state and/or local funds at a rate of 25 percent of the total contracted amount, unless otherwise specified in the official allocation.

The standard matching requirement may be increased or decreased for particular services if requested by the DHHS division/office responsible for the service and approved by the Chief Fiscal Officer of DHHS.

See Section 3700 of the Financial Guidelines for Purchased Services for regulations regarding matching funds.

In addition to the items listed in Section 3700 of the Financial Guidelines for Purchased Services, the following cannot be used to satisfy the matching requirement for SSBG funds:

An agency may donate property or the use of property to a provider to be considered as match. If title to the property is donated, the fair market value of the property may be considered as match. If the use of property or equipment is donated, the fair rental value may be considered as match. Please see the Financial Guidelines for Purchased Services for the acceptable methods of establishing fair rental or fair market value.

The Department may not receive more than 25 percent of the total federal fiscal year SSBG funds per quarter on a cumulative basis. In order to be able to maintain payment capabilities to all providers, the Department requires that payments to individual providers be limited by quarter.

Scheduled payments and advance payments reimbursement methodologies are not allowable under SSBG funding. Please refer to Section 3300 of the Financial Guidelines for Purchased Services for additional information.

In addition to the unallowable costs listed in Section 7400 of the Financial Guidelines for Purchased Services, the following are unallowable under SSBG funding:

The provider may only post suggested contribution schedules or distribute schedules to service recipients if authorized in writing by the Chief Fiscal Officer of the Department of Health & Human Services. Approval for provider posting and distributing of such schedules will comply with Department requirements, including but not limited to the following:

Billing for absentee client provisions apply only to fixed enrollment service programs for which an enrollment limitation is specified. Clients may be temporarily absent from the program because of illness or some reason connected with the plan of service. The intent of the absentee billing policy is to avoid penalizing either the client (by filling the client's slot in the program due to temporary absence) or the provider (by not allowing reimbursement for the client's slot while it is held open pending the client's return). The facility must be open and the services available before absentee billing is allowable. Programs affected by this policy include day service centers, adult day care programs, residential facilities providing substitute care for children or youth, and supervised living services for adults.

For programs normally operating five days a week, billing for clients who are temporarily absent continue until the client has been absent for ten (10) consecutive program days regardless of the calendar month(s) involved. Note, however, that certain programs may have more restrictive policies that supersede this subsection.

For residential programs operating seven (7) days a week, billings for clients who are temporarily absent may continue until the client has been absent for fourteen (14) consecutive program days regardless of the calendar month(s) involved. Note, however, that certain programs may have more restrictive policies that supersede this subsection.

Absences from a residential program which are a part of the client's service plan (such as a home visit) are not counted as absences for billing purposes.

The provider must document the reason for each instance of billing for an absent client. The client's name, and days absent are minimum requirements. Furthermore, certain programs may require additional documentation.

Since providers delivering services on a daily basis may suffer financial losses when centers do not open because of inclement weather, a policy has been developed allowing the provider to submit billing for these situations. The policy may be applied when particular circumstances exist (as outlined below) and specified conditions are met. The policy differs from absentee billing policy in that it is applied when the center must close, while absentee billing takes place when the center is open and one or more clients fail to attend.

The policy may be applied by providers delivering a service to clients who must travel to and from a center on a daily basis. For providers serving clients on a fixed enrollment basis, billing will be for the total number of contracted program slots; for those with average daily attendance programs, billing will be for the average number of slots normally billed.

Billing for inclement weather is not allowable for Division of Developmental Disabilities Services.

When fees are charged, the policy provides for full unit rate reimbursement for those units billed on inclement weather days. This will avoid charging fees to a client for days when the center is closed.

Billing may be submitted for a maximum of five (5) days in a calendar month, for up to fifteen (15) days in a calendar year. The policy may only be applied when public schools in the provider's area of service have been forced to close because of inclement weather. (This should not be taken to mean that a provider must close when local schools close.)

If the provider's service area covers more than one public school district and not all of those districts close because of inclement weather, the provider will still have the option of closing the center; however, if clients are able to travel to and from the center, the provider is expected to open the center.

Before closing, every effort should be made to discuss the situation with the contract officer to determine alternatives to closing.

In certain cases, it may be necessary for a provider to close because of inclement weather even when local public schools remain open, or the provider may be forced to exceed the limitation on days stated in the above inclement weather policy. In these situations, the provider must request and receive special authorization to bill for additional inclement weather days from the Chief Fiscal Officer or designee.

Form DHHS-0145, Client and Service Data Sheet, is completed at the end of each billing period by the provider. The first page of this form summarizes:

Division of Developmental Disabilities Services, Arkansas Rehabilitation Services, Division of Behavioral Health Services - Alcohol and Drug Abuse Prevention, Division of Aging and Adult Services and Arkansas Spinal Cord Commission all have their own method other than the DHHS-0145 to invoice and report client units served.

Inclement weather billing may be submitted for a maximum of five (5) days in a calendar month or fifteen (15) days in a calendar year. If possible, the provider should make every effort to discuss the situation with the contract officer before closing.

The provider will complete monthly billing for each client on a DHHS-0145 as usual, with units billed for normal operation entered as usual. Units billed under the inclement weather policy will be shown separately and as follows:

* enter the service code and description of service again immediately below the line showing normal billing;

* complete the Number of Units section showing total units billed under this policy; and

* enter the letter "W" in the Fee column to identify units billed in this manner and to show that no fee will be charged to the client by the provider.

In addition to the DHHS-0145 described above, a provider billing under actual cost reimbursement must submit a letter bill indicating what allowable expenditures were made during the month and the number of service units provided for each service. The total allowable expenditure for each service is divided by the number of units of that service to determine the unit rate. The unit rate is then multiplied by the number of units to compute the amount of reimbursement due the provider for that month. The provider will sign and date the letter and submit it to the division/office with which the contractor/grantee has a legal agreement unless the contractor/grantee is given other instructions. The billing and payment process is the same as described in Section 5610. For example, if a contractor provided 482 units of service in month X and the contract provides for a unit rate reimbursement of $22.50 per unit, then the total amount for the letter invoice should be $10,845.00 (482 X $22.50). Or, if the actual operational costs for the provider for month X was $22,792.45 and they serviced 823 units, the unit rate is calculated to be $27.69 ($22,792.45/823). Please see the Financial Guidelines for Purchased Services, Appendix C, for more examples of the Unit Rate Calculation.

If Medicare, Medicaid, private insurance, or any other source of third party payment for a SSBG client is available, those sources must first be exhausted. Every effort must be made by service providers to utilize Medicaid whenever possible. Documentation of the exhaustion of such benefits must be included in the client's case record. (Protective Service cases are exempt.)

If the source of third party recovery reimburses only a portion of the cost of a SSBG service, then only that portion not covered by the third party source may be billed to SSBG.

If an SSBG service provider receives an overpayment or duplicate payment for service to a SSBG client, the error must be promptly reported to CSS. An adjustment may be made on the next month's billing. Recoupment and/or appropriate audit activity will then be initiated.

Mental Retardation: A condition manifested in childhood, characterized by significantly sub-average general intellectual functioning existing concurrently with deficiencies in adaptive behavior, and diagnosed by a licensed or accredited medical or psychological practitioner.

Minor, Emancipated: See Emancipated Minor.

Monthly Gross Income: See Income, Monthly Gross.

Monthly Gross Income, Exclusions from: See Income, Monthly Gross, Exclusions from.

Primary Client: See Client, Primary.

Provider: See Social Services Block Grant (SSBG) Provider.

Services: Those activities provided the client to enable him to over-come barriers (problems) to goal achievement.

Single Adult: Where adults other than spouses reside together, each shall be considered a separate eligibility/fee assessment unit. An adult is an individual 18 years of age or older. Individuals 18-21 years of age may be considered a family member (approved on a case-by-case basis) for the purpose of determining income eligibility on behalf of the family. This applies only to individuals if they continue to receive the majority of their support from the family due to training, education (completion of high school activities) or unemployment.

Specific Learning Disabilities: Children with Specific Learning Disabilities are those who (despite average intellectual capacity) have significant discrepancies among developmental levels in language, perception, sensory motor integration, cognition, attention, activity level, and memory which interfere with achievement in the basic educational skills of reading, spelling, writing, and mathematics, and whose problems are not secondary to other handicapping conditions.

Spinal Cord Injured: Those individuals suffering from an injury to the spinal cord (through trauma, disease, or congenital dysfunctions such as spina bifida) who are substantially disabled. (See Disabled/Handicapped in GLOSSARY OF TERMS.)

Social Services Block Grant Services (SSBG) Provider: An organization, public or private, or individual that delivers services, directly or through contract, which are paid for in whole or in part by SSBG funds.

Status Offenders: Youth found by the court to be in need of service based on truancy, running away, or incorrigibility; or youth referred by an official of the justice system because of an alleged status offense or pattern of truancy, running away, or incorrigibility. (See FINS.)

Visually Impaired: Those individuals who have visual acuity in the better eye with best correction between 20/70 and 20/200; or an angle of vision subtending between 20 and 30 degrees; or a severe functional visual problem; or a progressive condition which will lead ultimately to a severe visual handicap or to blindness.

Youth at Risk: Youth who are clearly at risk of being processed as a delinquent or a status offender.

APPENDIX A-2

COMPONENT DEFINITIONS

COMPONENT DEFINITIONS

Advocacy: See SUPPORTIVE ACTIVITIES.

Aftercare: Services provided to youth committed to a youth service facility under the authority of the Division of Youth Services. Services to specific individuals may include: providing a field evaluation including recommendations for release plans; services to families of committed youth; visiting youth at the Youth Services facilities; developing an individualized case plan; advocacy on behalf of the youth; supervision; transportation and follow-up.

Arrangement: See SUPPORTIVE ACTIVITIES.

Assessment: An investigative process which may include administration and interpretation of appropriate evaluative tools in order to determine a client's adaptive behavior and functioning level, so that appropriate programming activities may be planned.

Attendant Activities: See PERSONAL CARE.

Camping: An experience which provides a creative recreational, social and educational opportunity to encourage each camper's mental, physical, and social growth through personal and social adjustment, recreational activities (such as swimming, classes, field trips, archery, and cookouts), and room and board.

Case Plan Development: Setting of client goals and objectives and determination with client of strategy to meet goals and objectives; selection of appropriate services, service providers, and treatment modes; scheduling of service delivery dates and times; estimating length of time or units of service required to meet client need; re-planning if necessary.

Casework Management: Significant communication, either directly or by correspondence, with or on behalf of a client. These communications must be in relation to the development of individualized case plans or the delivery of services based on a case plan. Services to specific individuals may include: gathering and processing social and medical information; developing an individualized case plan, including establishment of time-framed and measurable objectives; problem solving; consultation with youth and family; arrangement with other appropriate services; advocacy on behalf of the youth; supportive services; transportation and follow-up.

Child Day Care: Services to provide appropriate care for eligible children during any part of the calendar day (including after-school care) which met not only the normal supervisory, physical, health, and safety needs, but also provide for the intellectual, social, emotional, and physical growth and development of the child. These

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services are provided to enable employment of the parent or legal caretaker or relatives with physical custody (where the parent or parents are not residing in the household) to participate in training or education programs; or to prevent or remedy a family crisis.

Commodity Distribution: Activities involved in provision of food to eligible recipients, including transporting the commodities to distribution sites and storing and distributing the commodities.

Communication Equipment: Device or apparatus which enables or aids an individual to receive and transmit information orally, in writing, or in any other form which will assist that person to function more effectively in daily living or employment.

Community Integration Companion: Activities to instruct the individual in daily living and community living skills in integrated settings. Included are such activities as shopping, sports, participation in clubs, etc. Such services are focused on training/mentoring and are not meant to be recreational.

Comprehensive Training Center Activities: Activities provided to assist individuals in attaining needed skills. These are provided in a residential setting. Activities are: vocational assessment; aptitude testing; instruction in personal grooming and self-care; training; tutoring; attendant services; placement services; purchase of special clothing necessary to engage in training (such as cosmetology uniforms, protective aprons, mechanics' uniforms); and occupational therapy.

Consultation: See SUPPORTIVE ACTIVITIES.

Counseling, Group: Same as INDIVIDUAL AND FAMILY COUNSELING, but offered in a group setting where individuals can benefit from inter-action among group members and counselor(s).

Counseling, Individual and Family: Exploration of interests and skills; problem identification and resolution; identification of feasible goal; provision of emotional support and guidance; advice about community resources; provision of basic skills for functioning in the community; exploration with client of possible alternative behavior patterns; development and strengthening of capacity for personal and social functions. In family counseling, service is provided to one or more family members to help them fulfill their roles. Counseling is provided by a qualified professional (as defined by the DHHS Division or Office administering the program).

Court Study: Same as INVESTIGATION.

Court Testimony: In response to a subpoena, the person who developed a home study appears in court to give information and respond to questions under oath regarding the development of the report and to provide

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recommendations regarding the suitability of the home on which the report was developed for placement of children.

Counseling, Nutrition: See INSTRUCTION.

Day Treatment: A set of services rendered to patients who require more intensive care than that found in an outpatient program, but who do not require twenty-four hour inpatient or residential care. Day Treatment involves an integrated and programmed segment of care which includes a variety of services (such as group therapy and a variety of other techniques) in a group setting. Meals may be included in services.

(Such meals should meet the nutritional requirements outlined in MEAL, GROUP.)

Devices, Aids, and Appliances: Purchase or repair of devices and appliances such as hearing aids, artificial limbs, eyeglasses, mobility assistance appliances (e.g., wheelchairs, canes), aids for daily living, and necessary personal hygiene items. They may be purchased when necessary for a client to receive the specific social service and must not be currently available to the client through Titles XVIII or XIX.

Detoxification (Medical): Initial withdrawal from alcohol and other drug addiction in a medical environment as a portion of the overall addiction treatment process.

Diagnosis: Determination or re-determination of the detailed nature and extent of the client's problem, need, or condition; thorough investigation and analysis of the cause of the client's situation; usually includes a written description of the diagnosis prepared by a professional worker. (Distinguished from ASSESSMENT which is a brief evaluation and from DIAGNOSIS AND EVALUATION (MEDICAL) which usually focuses more on medical condition.) Also includes Psychosocial Evaluation and Vocational Evaluation. Diagnosis is performed by a qualified professional (as defined by the DHHS Division or Office administering the program).

Diagnosis and Evaluation (Medical): Determination of:

Drug Testing: Includes screening for any type of drug.

Emergency Shelter: Temporary care and protection, until a satis- factory plan can be made, for adults and children who have left or been removed from their homes and are in need of such immediate shelter and supervision services. Emergency shelter is provided for a maximum ninety days per placement depending on the needs of the client.

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(Individual contracts may limit the number of days per placement or the number of placements per year.)

Escort Services: Personal accompaniment of individual to and from service providers and other community resources. Assisting passenger in entering and leaving a vehicle; helping clients obtain needed services upon arrival at their destination; assistance with climbing stairs, entering doorways, crossing streets. Also includes personal accompaniment on common carriers for both intrastate and interstate transportation.

Follow-Along: Same as FOLLOW-UP.

Follow-Up: Maintenance of contact with client; determination of whether client has progressed toward objectives or goal, of service effectiveness and need for additional services, and of necessity for rescheduling service appointments.

Guidance and Job Placement: A process to aid individuals in developing work skills, habits, and attitudes to assist in job placement, education, and training. (Distinguished from COUNSELING which is not specifically focused on job placement.) Includes Vocational and Occupational Guidance. Placement activities include screening, selecting and referring job seekers to job openings; matching needs and ability of job seekers to jobs.

Habilitation Training: This activity includes planned experiencesthat are aimed at assisting the person to acquire, retain or improve their skills in a wide variety of areas that directly affect their ability to function as independently as possible in the community. This training will occur entirely, or in part, in clinical settings licensed by the Division of Developmental Disabilities Services

Health Education: Included in INSTRUCTION.

Health Screening: Brief determination of (1) general nature of physical or mental condition; (2) type and extent of need or problem; (3) urgency of need; and (4) appropriate service provider. Also includes administration of simple tests. These services are administered at service program sites only.

Hearing Evaluation (Non-Medical): Administration and interpretation of tests and evaluation of hearing by a qualified professional (as defined by the DHHS Division or Office administering the program).

Home Study: Determination of the type(s) of family (or families) appropriate for placement of a child, assessment of parenting potential of a family for the child(ren), and preparation of the family for permanent placement. Sometimes done in response to an out-of-town inquiry.

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Household Tasks: Household tasks include home cleaning, laundry, yard maintenance, shopping, and meal preparation. Information and Referral: See SUPPORTIVE ACTIVITIES.

Institutional Placement Services: Included in PLACEMENT.

Instruction: Direction and assistance in acquiring skills for adequate personal functioning, including household management, home maintenance, personal care, consumer affairs, nutrition, parenting, child care, infant stimulation, social skills, home health care, retirement planning, and safety. (Distinguished from training which consists of more formal activity. Instruction is usually provided on an individual basis, while training is provided in a group setting.)

Intake: Investigative process which may include initial interview; needs assessment; assistance with or completion of forms; eligibility determination; assessment of fees, if any; supervisory conferences; travel; preparation of written narratives/reports; and development of a preliminary case plan.

Integrated Support Services: Integrated Support Services provide the necessary support for an individual with a developmental disability to live in an independent situation (e.g., apartment, duplex, home) and/or a family environment. These services enable persons with a develop-mental disability to live, work, and enjoy recreational opportunities in the community.

Intensive Family Services: Services intended for families whose children are at imminent risk of out-of-home placement. Service goals are to prevent unnecessary out-of-home placements and to promote reunification of families with children in placement. Services are a combination of counseling services and support services based on a service model that emphasizes immediate, intense, short-term, in-home, and behaviorally oriented services to families.

Interpreter Services: Communication assistance for deaf, deaf/blind, blind, or non-English speaking individuals; assistance in understanding instructions or directions.

Intervention: Action to relieve a stressful situation or series of problems which are immediately threatening to a person's health and/or welfare.

Intervention, Crisis: Crisis intervention involves an immediate response to an unanticipated family disruption. Timely actions are taken to support and intervene to prevent further deterioration and, when possible, to utilize the momentum of the crisis to catalyze constructive changes. Crisis intervention is limited to thirty days.

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Investigation: Gathering of information needed to provide service, to establish the need for service or to prepare court documents; verification and substantiation of information. May include: COURT STUDY, OUT OF TOWN INQUIRY.

Legal Activities: Provision of legal advice, counseling and representation by attorneys and/or trained legal paraprofessionals in legal matters and the payment of associated legal costs.

Legal Guardianship Activities: See LEGAL ACTIVITIES.

Light Duties: See HOUSEHOLD TASKS and PERSONAL CARE TASKS.

Lodging: Purchase of temporary overnight accommodations associated with the intrastate or interstate transportation of clients. (Distinguished from ROOM AND BOARD and EMERGENCY SHELTER.)

Meal, Delivered: Meal delivery and service to a client's home. The meal must be a minimum of one-third of the daily recommended dietary allowance as established by the National Research Council. In certain instances such as emergencies or inclement weather, a meal which does not meet dietary allowance standards may be provided.

Meal, Group: Meal served to a client in a group setting (such as a senior citizen center), including food purchase and preparation. The meal must be a minimum of one-third of the daily recommended dietary allowance as established by the National Research Council. (In certain instances such as emergencies and inclement weather, a meal which does not meet dietary allowance requirements may be provided. For the same reasons, it may also be necessary to provide the meal in other than the usual group setting.) For day care for children, the cost of a snack may also be included as an allowable cost.

Medical Care: Care directed toward the correction, amelioration, or stabilization of a medical condition which has been diagnosed as such by a licensed medical practitioner operating within the scope of medical practice as defined by state laws. Care is provided by or under the direct supervision of such a medical practitioner or other health professional licensed by the state or accredited by the appropriate professional organization. Some medical services are allowable when:

Medical History: See DIAGNOSIS AND EVALUATION (MEDICAL).

Medical Support Services: Services provided in cases where additional medical diagnostic needs are identified at the time of the evaluation.

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This may occur after it is determined that the same service is not being provided through another source.

Out of Town Inquiry: See HOME STUDY and INVESTIGATION.

Outreach: Contact initiated by provider to identify clients (only those certified eligible) in need of services, to provide information about services, to inform about benefits, and to encourage the use of appropriate services; activities to assist individuals in gaining access to service; in some cases, associated with physically working outside in the community.

Peer Support: Provision of guidance, support, advice and information to a disabled person by a person with a disability who has successfully developed ways of coping with disability related issues. Supervision of peer supporters is provided by professional service agency staff.

Personal Care: Personal care is assistance with daily living tasks such as bathing, body hygiene and dressing, feeding, grooming, and assistance with special devices such as braces and artificial limbs.

Personal Care Instruction: See INSTRUCTION.

Personal Supplies: Obtaining and providing supplies to clients which are necessary for personal care. Also includes school supplies.

Placement: Locating, determining the suitability of placement, and situating client in an alternate living arrangement, including visit to facility with client. Includes INSTITUTIONAL PLACEMENT.

Prescription, Purchase and Administration of Drugs: Prescription, purchase, and administration of drugs to a client by legally authorized personnel. Prescription, purchase, or administration of drugs is allowable when:

Recreation: An activity in a group setting for individuals as participants, performers, or spectators. Activities (such as sports, performing arts, crafts, and games) are made available in order to increase social interaction, reduce isolation, and promote mental and physical health of the participants.

Recreational Supplies: Supplies provided to the client which are used in therapeutic recreational activities (for instance, sports equipment).

Report Development: The act of compiling a written report on the suitability of a home and/or persons being studied for the placement of children.

Residential Treatment: Care for individuals whose physical, emotional, or behavioral problems, as diagnosed by a qualified professional, cannot be remedied in their own home. Activities include: treatment planning; psychiatric and/or group therapy; psychosocial casework and/or counseling services to individuals and their families; educational consultation; tutoring; independent living training skill such as self care; non-medical speech therapy; health education; socialization experiences; recreational activities; non-medical transportation; personal supplies (such as notebooks or note paper); room and board; prescription, purchase, and administration of drugs.

Room and Board: Provision of shelter and three meals a day or any other full nutritional regimen. Room and board is allowed for selected social services of which it is a necessary but minor component, and is provided for a maximum of six (6) months per placement per year.

School Supplies: Included in PERSONAL SUPPLIES.

Social Interaction: Interaction of client with other clients or individuals through in-person contact in community facility or other facility outside the client's home, facilitated by a service provider process by which client learns to interact with society, including development of roles and expectations. Activities include: talking, listening, reading, writing, and other types of communication. (Distinguished from TELEPHONING and VISITING.)

Speech Evaluation (Non-Medical): Administration and interpretation tests and the evaluation of speech, the voice, and spoken and written language by a qualified professional to determine if defects in these areas exist.

The evaluation is performed by a qualified professional (as defined by the DHHS Division or Office administering the program).

Staffing: Interaction among agency staff to ensure continuity of services for clients. (Distinguished from CONSULTATION which is usually among inter-agency providers.)

Subsistence Services: Payment made to or on behalf of a client to cover basic subsistence expenses such as food, shelter, clothing, and other essential living costs incurred by the client during rehabilitation. The payment is provided only when the client requires the assistance to achieve his or her rehabilitation goals and objectives. (These payments are authorized in Section 2005 (a) (2) of the Social Services Block Grant Act.)

Supervision: Supervision of client, including leadership, direction, guidance, and watchful attention; overseeing of actions and behavior to

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safeguard rights and interest; protection against self-harm and harm to others.

Supportive Activities: Interaction of service recipient and professional staff member and other associated activities. Activities include: talking, listening, reading, and writing to assist the client to attain appropriate goal. (Distinguished from SOCIAL INTERACTION and VISITING.)

This unit is a part of case management activities and therefore, is different from counseling and therapy. Other activities not involving interaction between recipient and service staff are also allowable. They are:

Advocacy: Interaction between service providers and other individuals or agencies acting on behalf of the client to obtain rights and services and to represent client interests.

Consultation: Interaction between providers and specialists to share knowledge about client problems; outlining of case management responsibilities and decision on mix of services and appropriate service providers. (Distinguished from STAFFING which is usually intra-agency consultation.)

Information and Referral: Provision of answers to questions and of factual data about public or private services and service providers. Linkage with service provider; guidance and direction to appropriate community resources. (Distinguished from ARRANGEMENT because no appointment is made.)

Arrangement: Making appointments with service providers on behalf of the client. Also called SCHEDULING or ASSISTANCE. (Distinguished from REFERRAL where no appointment is made.)

Telephoning: Interacting with client by telephone for purposes of reducing social isolation and insuring health and safety; determining if special assistance is required; providing psychological reassurance; notifying contact person in case of no answer. (Distinguished from SOCIAL INTERACTION which takes place at a community facility and VISITING which involves going to the client's home.) Also called TELEPHONE REASSURANCE.

Testing, Psychological: Administration and interpretation of one or more of a variety of psychological tests by a licensed psychological examiner.

Therapy, Group: Contact between a group of clients and one or more clinical staff for the purpose of remediation of the client's problem and determination of client's progress.

Therapy, Individual (Medical): Individual therapy delivered by a psychiatrist.

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Therapy, Individual (Non-Medical): Individual, psychosocial, non-medical therapy delivered by a MSW/MA, by a Ph.D. psychologist, or by other clinical staff.

Therapy, Lay: Contact with the parents or guardian of a child on behalf of the child, in a protective service case, by a trained and supervised volunteer lay-therapist, directed toward improving parental functioning and, therefore, the child's environment to aid in eliminating or preventing child abuse and neglect.

Therapy, Occupational: The art or science of directing a client's response to selected activities to promote and increase independence in the home, maintain health and prevent disability, and train individual to function most effectively in his/her environment.

Therapy, Physical: Physical and mechanical treatment by a qualified professional using techniques such as massage and regulated exercise.

Physical therapy is provided by a qualified professional (as defined by the DHHS Division or Office administering the program).

Therapy, Speech (Non-Medical): The treatment of defects and diseases of the voice, of speech, and of spoken and written language. Non-medical speech therapy is that therapy which is not medical care.

Training Supplies: Supplies which are made available to an individual to assist her or him in training or in performing a job. In general, the devices are provided to a service recipient to help that person achieve the goals of a service plan. Items must be specifically related to training or employment. For example, special goggles needed for training could be purchased, but ordinary clothing could not. Other examples of these devices would be tools, shop aprons, and special adaptive items such as magnification aids for the visually impaired.

Transportation: Conveyance of client from one location to another.

Tutoring: Instruction supporting the continuance of education, usually on a one-to-one basis.

Visiting: Interaction of a socially and/or geographically isolated individual and a professional, paraprofessional, or volunteer by in-person contact in the client's home. Activities include: talking, listening, reading, and writing.

Vocational Training: Activities to aid individual in obtaining needed skills, including specific skills training, individual instruction, and purchase of special clothing required for training, such as uniforms and aprons.

APPENDIX A-3

SERVICE DELIVERY AREAS

SERVICE DELIVERY AREAS

For purposes of Social Services Block Grant planning and service delivery, Arkansas is divided into five Service Delivery Areas. Each Service Delivery Area (SDA) is comprised of a number of counties

The Service Delivery Areas, counties included in each area and the locations of the Department of Health & Human Services county offices are listed on the following page. The map following the list shows the Service Delivery Areas and counties

SSBG SERVICE DELIVERY AREAS AND LOCATIONS OF DEPARTMENT OF HEALTH AND HUMAN SERVICES COUNTY OFFICES

Service Area I

Service Area II

Service Area III

Service Area IV

Service Area V

DEPARTMENT OF HUtVlAM SERVfCES

Map of Service Defivery Areas

Click here to view image

APPENDIX B

LIST OF SERVICE AND UNIT CODES

Refer to the service chapters (Appendix C) for service definitions, methods of delivery, eligible categories, descriptions of service activities, goal(s) for which services are rendered, objective(s), and the geographic area in which each service is available.

SERVICES

DISABLED

Services provided by a certified case manager chosen by the consumer whose role is to locate, coordinate and monitor a group of services. Services may include:

Geographic Availability

This service is available statewide. Allowable Components (Purchase)

The performance of household chores such as running errands, preparing food, simple household tasks, heavy cleaning, and yard and walk maintenance which client is unable to do alone and which do not require the services of a trained homemaker or other specialist. Chore does not include medically-oriented personal care tasks or any household management tasks such as menu planning, bill paying, checking account management, etc.

Geographic Availability

Services available statewide. Services currently being provided in Service Delivery Areas III, IV, and V. (Aging and Adult Services Regions V and VII)

Allowable Components (Purchase)

Special Notes

This service is available to individuals sixty years or older or to the spouse of an individual who is sixty years or older and receiving services through SSBG or Title III of the Older Americans Act. The service is also available to a handicapped/disabled individual who is a dependent of and residing with an individual who is sixty years or older and receiving services through SSBG or Title III. In protective services cases (as certified by the Protective Services Unit of the Division of Aging and Adult Services), any adult will be eligible for the service.

Adult day care is a group program designed to provide care and supervision to meet the needs of four or more functionally impaired adults for periods of less than twenty-four hours, but more than two hours per day in a place other than the adult's home.

Geographic Availability

Available statewide. Service is delivered in Service Delivery Areas III, IV, and V (Aging and Adult Services Regions V and VII) and may be provided in additional service delivery areas if funding becomes available.

Allowable Components (Purchase)

Special Notes

This service is available to individuals sixty years or older. The service is also available to a handicapped/ disabled individual who is a dependent of and residing with an individual who is sixty years or older and receiving services through SSBG or Title III. In protective services cases (as certified by the Protective Services Unit of the Division of Aging and Adult Services), any adult will be eligible for the service.

Service to provide a hot meal (or other as appropriate) that contains at least one-third (1/3) of the nutritional value of the Recommended Daily Allowance (R.D.A.). Meal is delivered to the client's home.

Geographic Availability Available statewide.

Allowable Components (Purchase)

Special Notes

This service is available to individuals sixty years or older or to the spouse of an individual who is sixty years or older and receiving services through SSBG or Title III of the Older Americans Act. The service is also available to a handicapped/disabled individual who is a dependent of and residing with an individual who is sixty years or older and receiving services through SSBG or Title III. In protective services cases (as certified by the Protective Services Unit of the Division of Aging and Adult Services), any adult will be eligible for the service.

The Instruction component of this service will be limited to the provision of nutritional information to clients.

In the event of weather-related emergencies (for instance, snow and ice, extreme heat and cold, tornados, or other disasters), participants may be provided either the regular home-delivered meals or an alternative meal arrangement which ensures that participants receive meals.

Services to or on behalf of adults (age eighteen and over) who are threatened by harm through the action or inaction of another individual or through other hazardous circumstances.

PROTECTIVE SERVICES FOR ADULTS SERVICE CODE 17

Geographic Availability Available statewide.

Allowable Components (Purchase)

Special Note

Service limited to individuals who are victims of domestic violence and living in a domestic violence shelter.

Services on behalf of neglected, abused, or exploited children (including runaways), which are designed to prevent or remedy that situation and include strengthening parental child care capacity, preserving family life, and providing a safe environment for the child.

Geographic Availability Available statewide.

Services are non-residential support services directed toward amelioration of behavioral and/or emotional problems in order to allow the juvenile to transition back into his or her home or community, and to prevent or reduce the need for re-institutionalization.

Geographic Availability

Available statewide. The service is delivered through programs located in Service Delivery Areas II and III.

Allowable Components (Purchase)

Casework Management: Significant communication, either directly or by correspondence, with or on behalf of a client. These communications must be in relation to the development of individualized case plans or the delivery of services based on a case plan. Services to specific individuals may include: gathering and processing social and medical information; developing an individualized case plan, including establishment of time-framed and measurable objectives; problem solving; consultation with youth and family; arrangement with other appropriate services; advocacy on behalf of the youth; supportive services; transportation; and follow-up.

Therapy: Therapeutic relationship between a client and a qualified therapist (as defined by the individual's professional license in the State of Arkansas) for the purpose of accomplishing changes that are identified as goals in the treatment plan. May include individual therapy or group therapy, and consultation with the referral source as needed.

(Continued)

Diagnosis and Evaluation: Assessment of the nature and ex- tent of a youth's emotional and/or behavioral problems and recommendations for treatment strategies to remedy the identified problems. The specific diagnostic services provided and/or the level of sophistication of reports produced for the referring agency in any individual case would be based on an assessment of the youth and information needs of the referring agency. Services to specific individuals may include: educational evaluation, social assessment, psychological evaluation, psychiatric evaluation, and consultation with the referring/treatment agency. Assessment and planning may also include medical evaluation, if one of the above assessments indicates a physical association with the emotional and/or behavioral problem(s).

Special Note

For purposes of income eligibility determination, youth over the age of eighteen can be considered for this service through a special waiver request.

* Services to facilitate client's involvement (as spectator or participant) in activities, sports, arts, crafts, games and for social interaction to promote personal enrichment, satisfying use of leisure time, or development of new skills or knowledge, and/or to reduce social isolation.

Geographic Availability

Available statewide. (Aging and Adult Services Regions I, II, III, IV, VI, VII and VIII)

Allowable Components (Purchase)

Special Notes

This service is available to individuals sixty years or older or to the spouse of an individual who is sixty years or older and receiving services through SSBG or Title III of the Older Americans Act. This service is also available to handicapped/ disabled individuals who are a dependent of and residing with an individual who is sixty years or older and receiving services through SSBG or Title III. In protective services cases (as certified by the Protective Services Unit of the Division of Aging and Adult Services), any adult will be eligible for the service.

Supportive services uniquely required by blind and visually impaired persons. These services are designed to provide the client with personal training to overcome barriers to effective participation in community life skills activities.

Geographic Availability

Available statewide. The service is delivered through a program located in Service Delivery III.

Allowable Components (Direct) Communication Equipment

Services are designed to assist persons to function at their highest level of independence despite any limiting physical or mental conditions which may include drug and alcohol dependency.

Geographic Availability Available Statewide.

Allowable Components (Purchase) Guidance and Job Placement Meal, Group

Special Notes

Work activity center services are provided by the Division only to individuals with developmental disabilities as defined in the Glossary.

Services are available to individuals twenty-one years old or older. Individuals under twenty-one may also receive the service, but only if they have completed public school activities. This service does not take the place of public school education or services.

Geographic Availability Available statewide.

Allowable Components (Purchase)

Geographic Availability Available statewide.

Special Notes

Arkansas Rehabilitation Services (ARS) requires that there be an open ARS case for any client to whom this service is provided. This requirement is made to ensure that services are offered as part of a complete ARS case plan. The designated ARS representative may authorize services for clients under the age of 18 if all other eligibility requirements are met. For direct and purchased service components, a client 16 years of age or older is considered an adult.

Geographic Availability Available statewide.

Allowable Components (Direct)

Special Notes

To meet individual client needs, the Commission's case managers may arrange for the purchase of services, supplies, or devices to supplement the services they provide.

Geographic Availability

Available statewide. Developed through a program located in Service Delivery Area III.

Allowable Components (Purchase)

Service provides selective placement in an alternate living situation, such as a foster home, group home, or residential treatment facility for a planned period of time for a child who has to be separated from his natural or legal parents. This service includes casework and intervention services with the child, his parents/guardians, caregivers, and community resources.

Geographic Availability

Services are available statewide. Purchased services are delivered in Service Areas III and V.

Allowable Components (Purchase)

Emergency Shelter for Children: Emergency shelter available on a twenty-four hour basis for up to forty-five days in a six-month period for children who have left or have been removed from their homes and are in need of such immediate shelter and supervision services.

Residential Treatment Care: Treatment provided in a residential facility. Service is provided for individuals whose physical, emotional, or behavioral problems cannot be remedied in their own home, as diagnosed by a qualified professional. (Services may include therapeutic camping experiences for clients served in a residential treatment program.) The following activities (described in terms of standard components) are offered as needed to individual clients:

Special Notes

This service is provided to children (defined under "Child" in the Glossary) and to individuals between eighteen and twenty-one years of age if already a client of DCFS.

The service is provision of care in a group living facility for all or part of a calendar day for individuals with socially diagnosed problems of functional dependency, alcoholism, drug abuse, medically and/or psychologically diagnosed problems of emotional illness, or mental retardation/ developmental disabilities, and youth in need.

Geographic Availability Available statewide.

Allowable Components (Purchase)

Special Notes

Any facility which serves clients under the age of eighteen must comply with the Child Care Facility Licensing Act.

While the Supervised Living Facility provides basic treatment in a residential setting, other CSPP services may be purchased separately for individuals, as needed, if not already included in the Supervised Living Services.

Geographic Availability

Services are available statewide; delivered in residential program located in Service Delivery Area III.

Allowable Components (Purchase)

Special Notes

Any facility which serves clients under the age of eighteen must comply with the Child Care Facility Licensing Act.

While the Supervised Living Facility provides basic treatment in a residential setting, other CSPP services may be purchased separately for individuals, as needed, if not already included in the Supervised Living Services.

* Residential detoxification includes twenty-four hour per day nursing care and daily physician services to clients while undergoing detoxification in a residential/live-in setting. Daily physician services must include physician-patient contact and the physician's review of the patient's progress. One day (all or any part of a calendar day) constitutes a unit of service.

Those activities which, when not otherwise available, are planned with individuals in order that they may fulfill their intellectual potential for employment through education or training denied to them without positive intervention.

Geographic Availability

Available statewide. Service is delivered in a residential program located in Service Delivery Area IV.

Allowable Components (Direct)

Special Notes

Arkansas Rehabilitation Services (ARS) requires that there be an open ARS case for any client to whom this service is provided. This requirement is made to ensure that services are offered as part of a complete ARS case plan. The designated ARS representative may authorize services for clients under the age of eighteen if all other eligibility requirements are met. For direct and purchased service components, a client sixteen years of age or older is considered an adult.

Transporting client from one location to another by public or private vehicle so that client has access to needed service, care or assistance. SSBG funding may be used for this service only when the service is not available through Title XVIII or XIX of the Social Security Act.

Geographic Availability Available statewide.

Allowable Components (Purchase)

Special Notes

This service is available to individuals sixty years or older or to the spouse of an individual who is sixty years or older and receiving services through SSBG or Title III of the Older Americans Act. The service is also available to a handicapped/disabled individual who is a dependent of and residing with an individual who is sixty years or older and receiving services through SSBG or Title III. In protective services cases (as certified by the Protective Services Unit of the Division of Aging and Adult Services), any adult will be eligible for the service.

Geographic Availability Available statewide.

Allowable Components (Purchase) Transportation

Organized efforts performed by trained personnel in certified mental health facilities to help individuals to overcome mental, emotional, social, and psychological dysfunctioning.

Geographic Availability Available statewide.

Allowable Components (Purchase)

Services to children and families of children based on individual family services plan. These services allow children and families to receive training to strengthen the child/family functioning in their home and community.

Geographic Availability Available statewide.

Allowable Components (Purchase)

Services delivered at the request of a court or child welfare agency which may include gathering information about a family or families and presentation of the information to the court in a written report. Testimony in court about the report may be required. Supervision of visitation and development of a written report resulting from the visitation may also be included.

Geographic Availability Available statewide.

Allowable Components (Purchase)

Service to provide hot meals (or other as appropriate) that contain at least one third (1/3) of the nutritional value of the Recommended Daily Allowance (R.D.A.). Meals are served in a group setting such as a senior center or elderly housing facility.

Geographic Availability Available statewide.

Allowable Components (Purchase)

Special Notes

This service is available to individuals sixty years or older or to the spouse of an individual who is sixty years or older and receiving services through SSBG or Title III of the Older Americans Act. This service is also available to a handicapped/disabled individual who is a dependent of and residing with an individual who is sixty years or older and receiving services through SSBG or Title III. In protective services cases (as certified by the Protective Services Unit of the Division of Aging and Adult Services), any adult will be eligible for the service.

The Instruction Component of this service will be limited to the provision of nutritional information to clients.

* Supportive Services for Children and Families is a coordinated set of services designed to address a wide range of problems. This service is intended to help parents in their child-rearing role, promote healthy development and social functioning of children, prevent unnecessary removal of children from their homes, strengthen family functioning, and meet the needs of families in crisis.

SUPPORTIVE SERVICES FOR CHILDREN AND FAMILIES SERVICE CODE 38

Geographic Availability This service is available statewide.

Allowable Components (Purchase)

Special Notes

This service interfaces with Title IV-B and, as a child welfare service, is provided without regard to income. This service is a clustered service which comprises emergency services, supportive services to children in their own home, employment services, services to youth in need and transportation services. To meet individual client needs, the Division's staff may arrange for the purchase of services or supplies to supplement the services they provide.

Geographic Availability

Available statewide. Developed through programs located in Service Delivery Areas III and V.

Allowable Components (Purchase)

Geographic Availability This service is available statewide.

Allowable Components (Purchase) Diagnosis and Evaluation (Medical)

Services provide selective placement in a foster home, group home, or residential treatment facility for a planned period of time for delinquent youth committed to the Division of Youth Services by a Juvenile/Chancery Court. This service includes casework and intervention service with the youth, parents/guardians, caregivers, and community resources.

SERVICE CODE 42

Geographic Availability Available statewide.

Allowable Components (Purchase)

Special Notes

For purposes of income eligibility determination, youth over the age of eighteen can be considered for this service through a special waiver request.

Organized efforts performed by trained personnel in certified mental health facilities to help individuals overcome mental, emotional, social, and psychological dysfunctioning.

Geographic Availability Available statewide.

Allowable Components (Purchase)

Services necessary to maintain a person with a developmental disability in their community. Services are based on an individual service plan and include such services as adult development, vocational maintenance and personal care.

Geographic Availability Services are available statewide.

Allowable Components (Purchase)

A community residential service to provide supervision when necessary and coordinate support services to allow the individual to maintain an independent life style.

Geographic Availability Available statewide.

Allowable Components (Purchase) Integrated Support Services

Special Notes

While the Supported Living Facility provides basic treatment in a residential setting, other CSPP services may be purchased separately for individuals, as needed, if the services are not already a part of Supported Living Services.

Individuals who are not adults may also receive this service when a service provider determines on an individual basis that a child will benefit from and can be accommodated by the provider's program. In making this determination, the provider must adhere to all eligibility and service need criteria established by the Department of Health & Human Services.

Social Services Block grant funds are not used for the purchase of room and board; persons receiving the service may be charged for room and board.

This service is provided by the Division only to individuals with developmental disabilities as defined in the Glossary.

Services provide selective placement in a foster home, group home, or residential treatment facility for a planned period of time for delinquent youth committed to the Division of Youth Services by a Juvenile/Chancery Court. This service includes casework and intervention service with the youth, parents/guardians, caregivers, and community resources.

Geographic Availability

Available statewide. The service is delivered through programs located in Service Delivery Areas I, II and III.

Allowable Components (Purchase)

Special Note

For purposes of income eligibility determination, youth over the age of eighteen can be considered for this service through a special waiver request.

Services necessary to maintain a person with a developmental disability in their community. Services are based on an individual service plan and include such services as adult development, vocational maintenance and personal care.

Geographic Availability Services are available statewide.

Allowable Components (Purchase) Therapy, Speech (Non-Medical)

Services to children and their families and adults based upon a Multi Agency Plan of Services (MAPS). The services are designed to allow persons the supports needed for them to function in a community setting.

Geographic Availability Services are available statewide.

Allowable Components (Purchase)

Supportive Activities: Ancillary supportive activities necessary to maintain individuals in their home/community.

Transportation: The conveyance of an eligible individual from one location to another.

Transportation

Integrated Support Services: Wrap around supportive services to individuals to fully integrate the individual into his/her home/community.

* Supportive Services for Children and Families is a coordinated set of services designed to address a wide range of problems. This service is intended to help parents in their child-rearing role, promote healthy development and social functioning of children, prevent unnecessary removal of children from their homes, strengthen family functioning, and meet the needs of families in crisis.

Geographic Availability This service is available statewide.

Allowable Components (Purchase)

Special Notes

This service interfaces with Title IV-B and, as a child welfare service, is provided without regard to income. This service is a clustered service which comprises emergency services, supportive services to children in their own home, employment services, services to youth in need and transportation services. To meet individual client needs, the Division's staff may arrange for the purchase of services or supplies to supplement the services they provide.

Service Fee Service Fee

Reason(s) for above: ____________________________________________________________________________

____________________________________________________________________________

______________________________________________________ ____________________

Provider Date

If you are not satisfied with the action we plan to take or you feel that you have been discriminated against, you have the right to discuss your case with a member of the provider staff. You may also request a hearing by DEPARTMENT OF HEALTH AND HUMAN SERVICES staff by filing a written request with the Chief Fiscal Officer of DHHS, P.O. Box 1437, Slot W401, Little Rock, Arkansas 72203-1437. Services are provided in compliance with Title VI and Title VII of the Civil Rights Act and Section 504 of the Rehabilitation Act.

INSTRUCTIONS TO THE DHHS-160

NOTICE OF ACTION

TO APPLICANTS FOR AND RECIPIENTS OF

SOCIAL SERVICES BLOCK GRANT SERVICES

Purpose

Form DHHS-160 notifies applicants for and recipients of SSBG services of approval (if a fee is charged), denial and closure of their case.

Completion

TO: Enter the applicant's/recipient's name and mailing address.

FROM: Enter the name and mailing address of the provider making the case action. A rubber stamp may be used if desired.

EFFECTIVE: Enter the month, day and year that the action is effective.

If a 10 day advance notice is being given, this date should be the last day of the month in which the advance notice period ends. (See Section 4630.A. of the SSBG Program Manual.)

Check the appropriate item to indicate the action being taken.

Reason(s) for the above: Enter explanation(s) for the action taken which will assist the applicant or recipient in understanding the action. The provided must sign and date the form in the spaces provided.

Routing

The original must be mailed or hand delivered to the applicant or recipient. One copy must be retained in the case record.

DHHS-160 Instructions Alternate formats (large print, audio tape, etc.) will be provided upon request.

APPENDIX E

SSBG PROGRAM DESCRIPTION FROM THE CATALOG OF FEDERAL DOMESTIC ASSISTANCE

CATALOG OF FEDERAL DOMESTIC ASSISTANCE

The following is the description of the Social Services Block Grant as found in the Catalog of Federal Domestic Assistance. The catalog (CFDA) is published by the Office of Management and Budget (OMB) and the General Services Administration (GSA) and is made available through the Government Printing Office (GPO).

93.667 SOCIAL SERVICES BLOCK GRANT

FEDERAL AGENCY: ADMINISTRATION FOR CHILDREN AND FAMILIES, DEPARTMENT OF HEALTH AND HUMAN SERVICES

AUTHORIZATION: Social Security Act, Title XX, as amended; Omnibus Budget Reconciliation Act of 1981, as amended, Public Law 97-35; Jobs Training Bill, Public Law 98-8; Public Law 98-473; Medicaid and Medicare Patient and Program Act of 1987; Omnibus Budget Reconciliation Act of 1987, Public Law 100-203; Family Support Act of 1988, Public Law 100-485; Omnibus Reconciliation Act of 1993 Public Law 103-66; 42 U.S.C. 1397 et seq.

OBJECTIVES: To enable each State to furnish social services best suited to the needs of the individuals residing in the State. Federal block grant funds may be used to provide services directed toward one of the following five goals specified in the law:

ELIGIBILITY REQUIREMENTS:

Applicant Eligibility: The 50 States, the District of Columbia, Puerto Rico, Guam, the Virgin Islands, the Commonwealth of the Northern Mariana Islands, and American Samoa.

Beneficiary Eligibility: Under Title XX, each eligible jurisdiction determines the services that will be provided and the individuals that will be eligible to receive services.

Credentials/Documentation: Prior to expenditure of funds, the State must report on the intended use of the payments the State is to receive, including information on the types of activities to be supported and the categories or characteristics of individuals to be served.

APPLICATION AND AWARD PROCESS:

Pre-application Coordination: None. This program is excluded from coverage under E.O. 12372.

Application Procedure: Submission of a pre-expenditure report application is required.

Award Procedure: States are awarded funds quarterly.

Deadlines: None

Range of Approval/Disapproval Time: Not applicable.

Appeals: See 45 CFR, Part 16, Procedures of the Departmental Appeals Board.

Renewals: Not applicable.

ASSISTANCE CONSIDERATIONS:

Formula and Matching Requirements: Section 2003 of Title XX of the Social Security Act specifies how the allotments for each State and jurisdiction will be determined. Each State is entitled to payments in an amount equal to its allotment for that fiscal year. There is no matching requirement. Allotments for Title XX are subject to a limitation of $2,800,000,000 (estimate). The allotment for the jurisdictions of Puerto Rico, Guam, the Virgin Islands, and the Northern Mariana Islands shall be an amount which bears the same ratio to the amount authorized for Title XX as the fiscal year 1981 allocation bore to $2,900,000,000. The allotment for American Samoa shall be an amount which bears the same ratio to the amount allotted to the Northern Mariana Islands for that fiscal year as the population of American Samoa bears to the population of the Northern Mariana Islands. Each State's and the District of Columbia's allotment are proportional to its portion of the national population of the amount authorized for Title XX minus the amount authorized to the other jurisdictions. The statistical factors used for fund allocation are the State population and total U.S. population (ratio of population of all States and the District of Columbia to total population); source, "Current Population Reports," P-25, Bureau of the Census.

Length and Time Phasing of Assistance: Grants are awarded quarterly on a fiscal year basis. The Electronic Transfer System will be used based on quarterly grant awards for monthly cash draws from Federal Reserve Banks. The funds will remain available for projects and programs in the designated localities until December 21, 2004.)

POST ASSISTANCE REQUIREMENTS:

Reports: An annual report is required. The report shall be in such form and contain such information as the State finds necessary to provide an accurate description of such activities, to secure a complete record of the purposes for which funds were spent, and to determine the extent to which funds were spent in a manner consistent with the pre-expenditure reports required under Section 2004 of the Act. The report must include the services provided in whole or in part with block grant funds; the number of children and the number of adults receiving each service; expenditure data for both children and adults for each service; the criteria applied in determining eligibility for each service, including fees; and the method(s) by which each service was provided. States must provide DHHS with an annual report (Standard Form 269). For EZ/EC SSBG, States are also required to provide a final report at the end of the grant period. The grant period ends for EZ/EC SSBG on December 21,2004.

Audits: In accordance with the provisions of OMB Circular No. A-133 (Revised June 27, 2003), Audits of States, Local Governments and NonProfit Organizations," Non-Federal entities that expend $300,000 ($500,000 for fiscal years ending after December 31, 2003) or more in a year in Federal awards shall have a single or program-specific audit conducted for that year in accordance with the provisions of this part. Non-Federal entities that expend less than $300,000 ($500,000 for fiscal years ending after December 31, 2003) a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in section.215(a), but records must be available for review or audit by appropriate officials of the Federal agency, pass-through entity, and General Accounting Office (GAO).

Records: States are required to maintain records documenting the purposes for which expenditures were made.

FINANCIAL INFORMATION:

Account Identification: 75-1534-0 -1-506.

Obligations: (Grants) FY 04 $1,700,000,000; FY 05 est. $1,700,000,000; and FY 06 est. $1,700,000,000.

Range and Average of Financial Assistance: The range is from $56,000 to $207,311,000; $30,263,000.

PROGRAM ACCOMPLISHMENTS: Fifty-seven grants were awarded in fiscal year 2004. It is estimated that 57 grants will be awarded in fiscal year 2005.

REGULATIONS, GUIDELINES, AND LITERATURE: 45 CFR 96.

INFORMATION CONTACTS:

Regional or Local Office: Local Office: Not Applicable. Regional Office: Office of Community Services Regional Liaisons in the Office of the Regional Administrator.) See Appendix IV of the Catalog for Regional Offices.)

Headquarters Office: Director, Office of Community Services, Division of State Assistance, 370 L'Enfant Promenade, SW., Washington, DC 20447. Telephone: (202) 401-2333. Contact Margaret Washnitzer or e-mail address mwashnitzer@acf.dhhs.gov.

Web Site Address: http://www.acf.dhhs.gov/programs/ocs/ssbg.

RELATED PROGRAMS: 93.600, Head Start; 93.630, Developmental Disabilities Basic Support and Advocacy Grants; 93.044, Special Programs for the Aging-Title III, Part B-Grants for Supportive Services and Senior Centers; 93.045, Special Programs for the Aging - Title III, Part C-Nutrition Services; 93.645, Child Welfare Services-State Grants;

93-647, Social Services Research and Demonstration; 93.658, Foster Care-Title IV-E; 93.669, Child Abuse and Neglect State Grants; 93.671, Family Violence Prevention and Services/Grants for Battered Women's Shelters - Grants to States and Indian Tribes.

EXAMPLE OF FUNDED PROJECTS: States and other eligible jurisdictions determine their own social services programs. Examples of funded services include child day care, protective and emergency services for children and adults, homemaker and chore services, information and referral, adoption, foster care, counseling, and transportation.

CRITERIA FOR SELECTING PROPOSALS: All States, the District of Columbia, and the five(5) other jurisdictions will receive their share of funds if they submit a pre-expenditure report that meets the requirements.