Current through Vol. 41, No. 20, July 1, 2024
(a)
ITFC agency. Eligible ITFC
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. ITFC 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). A master's level professional who provides
treatment and supervises other treatment staff in maintaining clinical
standards of care and providing direct clinical services. In addition to the
requirements at OAC
317:30-5-240.3(a),
the LBHP in an ITFC 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 members. 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 of the ITFC agency and meet
the following criteria:
(i)
Qualifications.
(I) Have a high
school diploma or equivalent, and either some post-secondary education and/or a
combination of at least two (2) years of personal/professional experience
working with children with significant needs;
(II) Have an employment and/or contractual
relationship with the ITFC 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) Completed all
evidence-informed ITFC foster parent training, as outlined in this Section;
(IV) Complete a minimum of twenty
(20) hours of required annual continuing education trainings. Six (6) hours of
the twenty (20) training hours must be clinical in nature;
(V) Agree to have at least one (1) parent in
the ITFC home serve as a full-time, stay-at-home parent in order to
sufficiently meet the significant needs of the member placed in the ITFC home;
and
(ii)
Responsibilities.
(I) Have a minimum of twice monthly
face-to-face supervision with the LBHP, independent of the member's family
therapy;
(II) Have weekly contact
with the ITFC agency professional staff;
(III) Utilize individualized curriculum-based
education and support materials with the member to support the member's skill
development outside of the clinical setting;
(IV) Agree, by contract with the ITFC agency,
to serve the member in his or her ITFC home through completion of the treatment
designated on his or her individual plan of care (IPC), and without disruption
to the service array; and
(V) 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 who 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).
(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. ITFC 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 ITFC agency must ensure that each
individual who renders treatment services meets the minimum provider
qualifications for the service and is fully contracted with the OHCA.
Additionally, the ITFC 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 ITFC agencies 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.