Current through Vol. 42, No. 1, September 16, 2024
(a)
Supplemental Security
Income-Disabled Children's Program (SSI-DCP). SSI-DCP is established,
per Sections 504 and 1615 of the Social Security Act, Sections 704 and 1382d of
Title 42 of the United States Code. SSI-DCP is a federally-funded social
services program for children with special health care needs, and is supported
by the Maternal and Child Health Services Title V Block Grant. Pursuant to
Section 175.5 of Title 10 of the Oklahoma
Statutes, Oklahoma Human Services (OKDHS) administers the Children with Special
Health Care Needs Program, and Adult and Family Services (AFS) oversees
SSI-DCP.
(1) AFS Health Related and Medical
Services (HR&MS) staff pre-approves SSI-DCP services and equipment except
supplemental formula. AFS HR&MS staff considers many factors in deciding
which services or equipment to approve including, but not limited to:
(A) the child's needs;
(B) the availability of other
resources;
(C) whether the child is
in a stable or temporary living situation;
(D) the cost of the service or equipment;
and
(E) the availability of
funding.
(2) A third
party service provider accepts the service request, determines eligibility, and
provides supplemental formula. AFS HR & MS oversees this provider through
the contracting process.
(b)
Eligibility. Any child from
birth to 18 years of age may be eligible for SSI-DCP services when the child
receives an SSI payment. SSA establishes financial and medical eligibility for
the SSI disability payment. When the child becomes 18 years of age, he or she
is no longer eligible for SSI-DCP services.
(c)
Child in OKDHS custody. When
a child is in OKDHS custody and OKDHS retains the child's SSI, the child's SSI
is used to pay for needed services and equipment prior to accessing SSI-DCP
funds.
(d)
Service
plan. Except for supplemental formula and when the child does not have a
current service plan with another program within OKDHS or another agency, the
AFS worker completes a service plan prior to providing SSI-DCP services to the
child.
(1) The AFS worker interviews the
parent, guardian, or caretaker by phone, in the office, or during a scheduled
home visit to complete Form 08MA017E, SSI-DCP Service Plan. The service plan is
reviewed yearly. When the child receives State Supplemental Payment, the AFS
worker completes Form 08MA017E in conjunction with the eligibility
renewal.
(2) When the child
receives services from another agency that requires a current social service
plan, such as early intervention services through SoonerStart or special
education services through the local public school, the SSI-DCP service plan is
not necessary.
(3) Within OKDHS,
the child may receive services from Child Welfare Services (CWS), Developmental
Disabilities Services (DDS), or Aging Services (AS) for State Plan Personal
Care. When applicable, the AFS worker collaborates with CWS or DDS to:
(A) address the child's current and future
social service needs; and
(B) avoid
duplication in providing services.
(e)
Services. SSI-DCP provides
funding for the services described in (1) and (2) of this subsection. The
parent, guardian, or caretaker requests interaction and integration services
through an AFS worker. A third party service provider handles supplemental
formula requests. When a service provider is responsible for providing the
service and the parent, guardian, or caretaker contacts an AFS worker, the
worker provides the provider's contact information.
(1)
Formula. A health care
professional provides a prescription naming the brand of formula the child
needs for oral consumption. The parent, guardian, or caretaker must provide an
updated prescription each year.
(2)
Interaction and integration services. Non-medical services aimed
at strengthening the child physically or mentally; providing opportunities for
social interaction; or assisting with mobility may be approved when recommended
by an education or health care professional and the recommendation clearly
defines the goals and objectives for the child. Examples of such services
include, but are not limited to, swimming or horseback riding lessons, sports
activities, or a health club membership. Due to budget constraints, services
are available as a temporary supplement on a short-term basis.
(f)
Equipment.
Equipment approved through SSI-DCP is used to aid the child in accessibility or
mobility. Equipment available through SSI-DCP is pre-approved by AFS HR&MS
staff. Available equipment that may be approved is described in (1) and (2) of
this subsection. The parent, guardian, or caretaker provides a written
recommendation from an education or health care professional with knowledge
concerning the child's equipment needs. HR&MS staff does not approve
requests for equipment the child can obtain through other sources, such as
SoonerCare (Medicaid) or through the child's school.
(1)
Developmental aid. A
developmental aid is any device or equipment adapted to meet the needs of a
child with disabilities. An education or healthcare professional provides a
written explanation concerning the goals and objectives this developmental aid
meets before it is approved. Educational or classroom devices, equipment, or
supplies not adapted for the child's needs are not in the scope of the
program.
(2)
Van
lifts. Van lifts are devices used for vehicular transportation of
wheelchairs. Van lifts may be approved when needed to transport a child in a
wheelchair. A van lift is not approved for a child in OKDHS or tribal custody
or in the DDS Home and Community-Based Waiver Program. Modifications to the van
are not approved.
(A) The parent, guardian, or
caretaker must own the van as verified by title registration and license
verification, and the van must be in operating condition.
(B) The family provides estimates from two
van lift dealers who employ certified van lift installation
technicians.
(C) When the request
is approved, HR&MS staff contacts the family and approved vendor to arrange
van lift installation.
(D) Only a
certified van lift specialist is approved to install the van lift and the van
lift must have factory and dealership warranties equal to the private purchase
warranty.
(E) HR&MS staff does
not approve replacement of a van lift within 10 years of the purchase
date.
(F) SSI-DCP staff does not
pay for van or van lift repairs not purchased with SSI-DCP funds.
(g)
Exclusions. Items or supplies not in the scope of SSI-DCP are not
approved. Examples of excluded items or supplies include, but are not limited
to:
(1) learning programs;
(2) psychological programs;
(3) books;
(4) video or audio tapes;
(5) paper, pencils, or art
supplies;
(6) computers, tablet
computers, or computer software;
(7) televisions; and
(8) video games.
(h)
Purchasing procedures.
SSI-DCP orders are processed through AFS HR&MS. Purchased equipment is
shipped to the local OKDHS office.
(i)
SSI-DCP notices. When an
SSI-DCP request is denied, AFS HR&MS staff sends Form 08MP038E, Client
Notice of Action Taken, to inform the child's parent, guardian, or caretaker
the item is not approved for purchase through SSI-DCP funding. The family may
request a fair hearing by completing Form 13MP001E, Request for a Fair Hearing,
within 30-calendar days from the issuance date of Form 08MP038E.
(j)
Respite Voucher Program. The
Respite Voucher Program provides financial assistance in the form of vouchers
to families to pay for respite care. When the family appears eligible for the
Respite Voucher Program, the worker gives the client Form 08RV001E, Respite
Voucher Application for Children With Special Health Care Needs, to complete.
When funding is not available through HR&MS, the worker advises the family
to call a designated number to request a respite voucher application from
Sooner SUCCESS for the Lifespan Respite Grant Voucher Program. SSI-DCP, other
OKDHS programs, and certain public and private agencies provide funding to the
Respite Voucher Program.
(1) The caregiver is
the person who provides ongoing care for the child. He or she may be a parent,
grandparent, other relative, or non-relative.
(2) When respite care is approved the respite
provider must be at least 18 years of age. Respite care is not:
(A) designed to pay for ongoing care, such as
child care, therapy, in-home assistance, housekeeping, or home health services;
and
(B) provided by a member of the
child's household.
