Current through Vol. 42, No. 1, September 16, 2024
(a)
TFC Agency. Eligible TFC
agencies must have:
(1) Current certification
from the Oklahoma Department of Human Services (OKDHS) as a child placing
agency;
(2) A contract with the
Child Welfare Division of OKDHS, or Oklahoma Office of Juvenile Affairs (OJA);
(3) A contract with the Oklahoma
Health Care Authority (OHCA); and
(4) A current accreditation status
appropriate to provide behavioral health services in a foster care setting
from:
(A) The Joint Commission; or
(B) The Commission on Accreditation of
Rehabilitative Facilities (CARF); or
(C) The Council on Accreditation (COA).
(b)
Treatment team. TFC agencies are primarily responsible for
treatment planning and coordination of the member's treatment team. This team
is typically composed of an OKDHS or OJA caseworker, the member, the member's
foster parent(s), as well as others closely involved with the member and
family, including the biological parents when applicable.
(1) The team must include the following
providers:
(A)
Licensed behavioral
health professional (LBHP) and/or licensure candidate. An LBHP is a
master's level professional that provides treatment and supervises other
treatment staff in maintaining clinical standards of care and providing direct
clinical services. A licensure candidate is a practitioner actively and
regularly receiving board-approved supervision, or extended supervision by a
fully-licensed clinician if the board's supervision requirement is met but the
individual is not yet licensed. In addition to the requirements at OAC
317:30-5-240.3(a) and
(b), the LBHP or licensure candidate in a TFC
setting must demonstrate a general professional or educational background in
the following areas:
(i) Case management,
assessment, and treatment planning;
(ii) Treatment of victims of physical,
emotional, and sexual abuse;
(iii)
Treatment of children with attachment disorders;
(iv) Treatment of children with hyperactivity
or attention deficit disorders;
(v) Treatment methodologies for emotionally
disturbed children;
(vi) Normal
childhood development and the effect of abuse and/or neglect on childhood
development;
(vii) Anger
management;
(viii) Crisis
intervention; and
(ix)
Trauma-informed methodology.
(B)
Treatment parent specialist
(TPS). The TPS serves as an integral member of the team of professionals
providing services for the member. The TPS receives extensive training in
diagnosed mental health issues, and behavior management/modification and
skill-based parenting techniques; and implements the in-home portion of the
treatment plan with close supervision and support. The TPS renders services for
the member, provides or arranges suitable transportation for therapy and other
treatment appointments, writes daily detailed notes regarding interventions and
practical applications of learned skills, and attends treatment team meetings.
The TPS must be under the supervision of an LBHP or licensure candidate of the
foster care agency and meet the following criteria:
(i)
Qualifications.
(I) Have a high school diploma or equivalent;
(II) Have an employment and/or
contractual relationship with the foster care agency as a foster parent, and
have successfully met all required background screening requirements,
including, but not limited to, fingerprint screenings conducted by the Oklahoma
State Bureau of Investigation (OSBI) and Federal Bureau of Investigation (FBI),
and OKDHS background screenings;
(III) Complete the initial thirty-six (36)
hours of pre-service training, prior to becoming a TFC parent;
(ii)
Responsibilities.
(I) Have a
minimum of twice monthly face-to-face supervision with the licensed, or
under-supervision for licensure, LBHP, independent of the member's family
therapy;
(II) Have weekly contact
with the foster care agency professional staff;
(III) Complete the required eighteen (18)
hours of in-service training per calendar year; and
(IV) Work with the multidisciplinary team and
the member's biological family toward reunification, if appropriate, or other
permanency plan.
(2) The team may also include the following
providers:
(A)
Certified alcohol and
drug counselor (CADC). A bachelor's level team member with a current
certification as a CADC in the state in which services are provided.
(B)
Certified behavioral health case
manager (CM) II. A bachelor's level team member that may provide support
services and case management. In addition to the minimum requirements at
Oklahoma Administrative Code (OAC)
317:30-5-240.3(h)(1),
the CM II must:
(i) Have a minimum of one (1)
year of experience in providing direct care and/or treatment to children and/or
families; and
(ii) Have access to
weekly consultation with a licensed behavioral health professional (LBHP) or
licensure candidate.
(iii) The CM
II must also follow requirements at OAC
317:30-5-241.3
for providing psychosocial rehabilitation (PSR) services.
(C)
Licensed psychiatrist and/or
psychologist. TFC agencies must provide staff with access to
professional psychiatric or psychological consultation as deemed necessary for
the planning, implementation, and appropriate management of the member's
treatment. See OAC
317:30-5-240.3(a)
and
317:25-7-5.
(c)
Agency assurances. The TFC agency must ensure that each individual
who renders treatment services meets the minimum provider qualifications for
the service and, if eligible for direct enrollment, is fully contracted with
the OHCA. Additionally, the TFC agency must comply with all state and federal
Medicaid law, including, but not limited to, OHCA administrative rules, the
Code of Federal Regulations (C.F.R.), and the Oklahoma State Medicaid Plan.
(d)
Policies and
procedures. Eligible TFC agency providers shall have written policies
and procedures for the orientation of new staff and foster parents which is
reviewed and updated annually, for the following:
(1) Pre-service training of foster parents in
treatment methodologies and service needs of emotionally and behaviorally
disturbed children;
(2) Treatment
of victims of physical, emotional, and sexual abuse;
(3) Treatment of children with attachment
disorders;
(4) Treatment of
children with hyperactive or attention deficit disorders;
(5) Normal childhood development and the
effect of abuse and/or neglect on childhood development;
(6) Treatment of children and families with
substance use disorders;
(7) The
Inpatient Mental Health and Substance Abuse Treatment of Minors Act;
(8) Anger management;
(9) Inpatient authorization procedures;
(10) Crisis intervention;
(11) Grief and loss issues for
children in foster care;
(12) The
significance/value of birth families to children receiving behavioral health
services in a foster care setting; and
(13) Trauma-informed methodology.
Added at 17 Ok Reg
2402, eff 6-26-00; Amended at 20 Ok Reg 523, eff 12-1-02 (emergency); Amended
at 20 Ok Reg 1216, eff 5-27-03; Amended at 24 Ok Reg 2857, eff 7-1-07
(emergency); Amended at 25 Ok Reg 1200, eff 5-25-08; Amended at 27 Ok Reg 1360,
eff 4-21-10 (emergency); Amended at 28 Ok Reg 1419, eff
6-25-11
