Current through Vol. 42, No. 1, September 16, 2024
(a) Contracted residential maternity services
placements provide residential care and treatment for pregnant youth in
Oklahoma Department of Human Services (DHS) custody or tribal custody,
regardless of age. The youth may return to the residential maternity services
placement postpartum not to exceed 45 -calendar days, except with the Child
Welfare Services (CWS) Specialized Placements and Partnerships Unit (SPPU)
approval .
(b) Children served are
pregnant youth in DHS custody or tribal custody, regardless of age, who require
a supportive living environment with direction and guidance and whose needs
exceed foster family care due to difficulty in sustaining relationships with
parental figures.
(c) Youth
behaviors that are not appropriate for residential maternity services are
violence, aggressiveness, destructive behavior to self, others, or property,
engagement in criminal or delinquent acts, or other behaviors requiring
intensive supervision and services.
(d) Non-funded and funded contracted
residential maternity services for pregnant youth include:
(1) group therapy, as needed, that focuses on
maintenance issues and daily living skills;
(2) individual treatment, as
needed;
(3) parenting skills
training to enhance the youth's capability to function as a parent. A specific
plan for the delivery of those services is delineated in the contractor's
written policy;
(4) active teaching
and redevelopment of the youth's basic living and social skills. At minimum,
the focus is on the restoration of skills for:
(A) personal health and hygiene;
(B) maintenance of the living environment,
including food preparation;
(C)
money management;
(D) job skills
readiness, acquisition, and retention;
(E) community awareness and mobility,
including the use of community resources; and
(F) socialization skills and techniques,
including communication;
(5) developing and implementing policy and
procedures for the delivery of successful adulthood skills training, using an
approved curriculum for teaching successful adulthood skills;
(6) assisting in the provision of federally
mandated successful adulthood services that include coordinating with the
assigned child welfare (CW) specialist to ensure:
(A) the life skills assessment is completed
with each youth 14 years of age or older and the successful adulthood plan
produced by this assessment is implemented; and
(B) each youth 14 years of age or older
attends one community contractor successful adulthood seminar each
year;
(7) ensuring the
youth applies for Medicaid upon his or her 18th birthday, when the youth
remains in placement in voluntary care to complete secondary education per
Oklahoma Administrative Code (OAC)
340:75-6-110;
(8) providing 24-hour on-call and on-site
crisis intervention and behavior management services, as needed;
(9) arranging prenatal, delivery, and
postpartum care for the youth by a local physician or clinic; and
(10) ensuring a licensed dietitian or
nutritionist is on staff or available as a consultant in menu planning that
meets the United States Department of Agriculture or Oklahoma State Department
of Health standards for pregnant teenagers or adult women.
(e) The youth may be eligible for an
emergency clothing authorization for maternity clothing after initial placement
in a funded, maternity residential services placement and quarterly emergency
clothing authorizations when the youth is placed in a non-funded, maternity
residential services placement, per OAC
340:75-13-45.
(f) When the youth is in the Home Bound
educational program, the contractor provides additional educational services at
a minimum of two hours per day during the school term.
(g) Contracted residential maternity services
placements are provided in a setting licensed as a child-placing agency or
residential child care facility that is not located in a hospital, either
medical or psychiatric, or a psychiatric residential treatment
center.
(h) The contractor:
(1) does not provide 24-hour awake
supervision of children in placement;
(2) completes a written incident report
describing any extreme behavioral incident or major rule violation, including
the contractor's response, submits the original to CWS SPPU program staff, a
copy to the assigned CW specialist, CW facility liaison, and files a copy in
the child's case record;
(3) meets
the staffing guidelines defined in the DHS contract;
(4) complies with a child's rights per OAC
340:75-11-237;
(5) complies with all general requirements
per OAC
340:75-11-240;
(6) maintains documentation for funded
programs of each child's unapproved absence from the program and leave days set
forth in the contract and reports leave days on Form 04CB002E, CWS Claim for
Purchase of Residential Care;
(7)
is paid by DHS for funded programs at a fixed daily rate, based upon actual
utilization. The fixed daily rate is a blend of Title IV-E funds, per
eligibility of each child served, and state funds. The contractor submits Form
04CB002E for payment to CWS Contracting and Acquisitioning Unit; and
(8) receives referrals for the placement of
youth from the assigned CW specialist through the CW facility
liaison.
Added at 18 Ok Reg
680, eff 1-10-01 (emergency); Added at 18 Ok Reg 2128, eff 6-11-01; Amended at
21 Ok Reg 1385, eff 5-27-04; Amended at 22 Ok Reg 1270, eff 5-26-05; Amended at
26 Ok Reg 884, eff 5-15-09
