Current through Vol. 42, No. 1, September 16, 2024
(a)
Contractor rules.
Therapeutic foster care (TFC) contractors meet Oklahoma Health Care Authority
(OHCA) rules as described in Parts 1, 3, and 5 of the Oklahoma Administrative
Code (OAC) 317:30-3 and Part 83 of OAC 317:30-5.
(b)
TFC services. Contracted TFC
services are based on the child's assessed needs and are provided consistent
with the goals and objectives of the child's treatment plan (TP) per OAC
317:30-5-241.2 and
317:30-5-742.2
and include:
(1) individual
therapy;
(2) family therapy. The
TFC contractor:
(A) works with the parent or
parents or placement provider to whom a child in TFC will be
discharged;
(B) seeks to support
and enhance the child's relationship with family members, including
siblings;
(C) arranges for and
encourages regular contact and visitation between the child and parent or
parents and other family members; and
(D) engages the child's parent or parents and
siblings in visitation and family therapy with the child, when the case plan is
reunification. The TFC contractor provides consultation, support, and technical
assistance to the TFC parent in the implementation of the child's TP;
(3) group rehabilitative
treatment. Group rehabilitative treatment services may be part of the child's
TP to provide needed services, such as basic living skills, social skills
redevelopment, independent living or services for successful adulthood,
self-care, lifestyle change, recovery principles, and other similar services.
Thirty minutes of individual therapy, family therapy, or both, may be provided
in lieu of one hour of group rehabilitative treatment when group treatment
services are part of the child's treatment plan but are temporarily
unavailable;
(4) substance use or
abuse or chemical dependency therapy, as needed, by a child with behavioral or
emotional problems directly related to substance use or abuse. A minimum of two
hours of education and prevention therapy per 90-calendar day period is
recommended, based on individual needs, for a child who does not have
behavioral or emotional problems directly related to substance use or
abuse;
(5) basic living skills
redevelopment provided by the TFC parent;
(6) social skills redevelopment provided by
the TFC parent;
(7) crisis behavior
management and redirection services to ensure therapeutic contract staff are
available for response 24 hours a day, seven days a week. Response includes
providing face-to-face or phone intervention during a crisis to stabilize the
child's behavior and prevent placement disruption. Face-to-face intervention
must be utilized prior to a child's placement in a higher level of care, unless
there is an imminent safety risk. Crisis behavior management and redirection
services are consistent with the goals and objectives of the child's
TP;
(8) collaboration with Child
Welfare Services (CWS) specialists in the completion of the youth's basic life
skills assessment and the development of the youth's successful adulthood plan;
and
(9) successful adulthood plan
services in compliance with the Oklahoma Successful Adulthood program
administered by the Oklahoma Department of Human Services, per OAC
340:75-6-110.
(c)
TFC contractor
requirements. TFC contractors are required to provide services and meet
requirements as identified in OAC 340:75,
317:30-5-740,
317:30-5-740.1
and the residential behavioral management services (RBMS).
(1) Specialized treatment services to augment
the required services provided by the TFC contractor may be obtained when a
child experiences severe functional impairment, exhibiting the need for
additional treatment beyond the required TFC services. The specialized
treatment services are provided by a Medicaid behavioral health contractor
other than the TFC contractor and require prior OHCA authorization.
(2) The CWS specialist is required to
participate in the coordination of all requests for additional treatment
services for a child in a TFC placement with the TFC contractor. In requesting
additional services from a licensed PhD psychologist in private practice, the
CWS specialist considers the:
(A) duration,
intensity, and frequency of the child's behaviors;
(B) child's specialized treatment needs
including, but not limited to, sexual perpetration, long-term substance use or
abuse, and highly-sexualized behaviors;
(C) number of crises requiring an on-site
response; and
(D) child's progress
on his or her TFC treatment plan.
Added at 18 Ok Reg
2309, eff 5-15-01 (emergency); Added at 18 Ok Reg 3067, eff 7-12-01; Amended at
19 Ok Reg 2258, eff 6-27-02; Amended at 21 Ok Reg 1385, eff 5-27-04; Amended at
22 Ok Reg 1242, eff 5-26-05; Amended at 24 Ok Reg 1044, eff 6-1-07 ; Amended at
26 Ok Reg 884, eff 5-15-09; Amended at 27 Ok Reg 1092, eff 3-26-10 (emergency);
Amended at 27 Ok Reg 1865, eff 7-1-10
