OMB Approval No. 0980-0141
Expiration Date: 3/31/91
Sec. 471(a) |
As a condition to the receipt of Federal funds under title IV-E
of the Social Security Act (hereinafter, the Act), the
__________________________________________________________________(Name
of State Agency) (hereinafter "the State Agency") submits herewith
a State plan for the program to provide, in appropriate cases,
foster care and adoption assistance under title IV-E of the Act and
hereby agrees to administer the program in accordance with the
provisions of this State plan, title IV-E of the Act, and all
applicable Federal regulations and other official issuances of the
Department.
The official text of said laws, regulations and official
issuances governs, and the State Agency acknowledges its
responsibility to adhere to them regardless of the fact that, for
purposes of simplicity, the specific provisions printed herein are
sometimes paraphrases of or excerpts and incomplete quotations from
the full text.
The State Agency understands that if and when title IV-E is
amended or regulations are revised, a new or amended State plan for
title IV-E which conforms with the revisions must be submitted.
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The State Agency certifies the following: Section 1
IV-E STATE PLAN - STATE OF ________________________ |
SECTION
1: ORGANIZATION
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DESIGNATION AND AUTHORITY OF STATE AGENCY
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471(a)(2) |
The State Agency has been designated to administer or supervise
the administration of the program under this plan. (See attachment
A.) It is the agency that administers or supervises the
administration of the State Child Welfare Services Plan under title
IV-B of the Act.
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STATE AGENCY STRUCTURE AND FUNCTION
The State Agency has available upon request an organizational
chart of the State Agency and a description of the functions of
each of its organizational units as they relate to the
administration or supervising the administration of the title IV-E
foster care maintenance and adoption assistance payments
program.
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STATEWIDE OPERATIONS
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471(a)(3) |
The title IV-E plan for foster care and adoption assistance
payments is in effect in all political subdivisions of the State
and is mandatory upon those political subdivisions administering
it.
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COORDINATION WITH TITLES IV-A AND IV-B PROGRAMS
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471(a)(4) |
The title IV-E program is coordinated at the local level with
the programs at the State or local level assisted under titles
IV-A, IV-B and XX of the Act and under all appropriate provisions
of Federal law.
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CHILD SUPPORT ENFORCEMENT FOR CERTAIN CHILDREN IN FOSTER
CARE
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471(a)(17) |
The State Agency takes all appropriate steps,
including cooperative efforts with the State agencies administering
the plans approved under parts A and D, to secure an assignment to
the State of any rights to support on behalf of each child
receiving foster care maintenance payments under this part. |
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SECTION 2. FOSTER CARE MAINTENANCE PAYMENTS
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- ELIGIBILITY
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471(a)(1) |
1. Payments are provided for each child |
472(a) |
- who meets the requirements of 406(a) or 407 of the Act but for
his removal from the home of a relative specified in 406(a),
if
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472(a)(1) |
- the removal from his home (1) was the result of a judicial
determination to the effect that continuation therein would be
contrary to the welfare of such child and (effective October 1,
1983) that reasonable efforts have been made prior to the placement
of each child in foster care, to prevent or eliminate the need for
removal of the child from his home, and to make it possible for the
child to return to his home; or (2) occurred pursuant to a
voluntary placement agreement entered into by the child's parent or
legal guardian.
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102(d)(1) of P.L. 96-272 |
(A child who was voluntarily removed
from the home of a relative and who had a judicial determination
prior to October 1, 1978, to the effect that continuation therein
would be contrary to the welfare of such child, shall be deemed to
have been so removed as a result of such judicial determination if,
and from the date that, a case plan and a review have been made
determining the child's need of foster care.) |
472(a)(2) |
- whose placement and care in a foster family home or child care
institution (as defined in 472(c) of the Act) is the responsibility
of either 472(a)(2)(A)(1) the State Agency administering the
approved State title IV-E plan, or 472(a)(2)(B)(2) any other public
agency with whom the State Agency administering or supervising the
administration of the approved State title IV-E plan has made an
agreement which is still in effect, and
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472(a)(4)(A) |
- who (1) received aid under the State plan approved under 402 of
the Act in or for the month in which either a voluntary agreement
was entered into or court proceedings leading to the removal of the
child from the home were initiated, or
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472(a)(4)(B)(i) |
(2) would have received aid in or for
such month if application for such aid had been made, or
472(a)(4)(B)(ii) (3) had been living with a relative specified in
406(a) of the Act within six months prior to the month in which a
voluntary agreement was entered into or court proceedings were
initiated, and would have received aid in or for such month if in
such month he had been living with such relative and an application
had been made for aid under title IV-A of the Act. |
472(a) |
- In any case where the child is an alien disqualified under
section 245A(h), 210(f), or 210A(d)(7) of the Immigration and
Nationality Act from receiving aid under the State plan approved
under section 402 in or for the month in which such agreement was
entered into or court proceedings leading to the removal of the
child from the home were instituted, such child shall be considered
to satisfy the requirements of 472(a)(4) (and the corresponding
requirements of 473(a)(1)(B) of the Social Security Act), with
respect to that month, if he or she would have satisfied such
requirements but for such disqualification.
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VOLUNTARY PLACEMENTS (State Option)
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472(f) |
- Foster care maintenance payments are made in cases of voluntary
placement of a minor child out of the home by or with the
participation of the State Agency only if
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472(d) |
- the State has fulfilled all of the requirements of 427(b) of
the Act, and
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472(f)(1) |
- the assistance of the State Agency has been requested by the
child's parents or legal guardian, and 472(f)(2)
- there is a written voluntary placement agreement, binding on
all parties to the agreement, which specifies at a minimum the
legal status of the child and the rights and obligations of the
parents or guardians, the child and the State Agency while the
child is in placement.
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472(e) 45 CFR 1356. 30(b) |
- Federal reimbursement is claimed only for voluntary foster care
maintenance expenditures made within the first 180 days after the
date of the original foster care placement unless there has been a
judicial determination by a court of competent jurisdiction within
the first 180 days of the date of placement to the effect that the
continued voluntary placement is in the best interests of the
child.
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472(g)(l)&(2) |
- The State Agency has established a 45 CFR 1356. uniform
procedure or system, consistent 30(c) with State law, for
revocation by the parents of a voluntary placement agreement and
return of the child.
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PAYMENTS
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475(4) |
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Foster care maintenance payments for a child in foster care may
cover
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the cost of (and the cost of providing) food, clothing, shelter,
daily supervision, school supplies, a child's personal incidentals,
liability insurance with respect to the child, and reasonable
travel to the child's home for visitation, and
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in the case of institutional care, the reasonable costs of
administration and operation of such institution as are necessarily
required to provide the items noted in C.l.a.
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472(b) |
- Foster care maintenance payments are made only on behalf of an
eligible child who is
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472(b)(1) |
- in the foster family home of an individual, whether the
payments are made to such individual or to a public or nonprofit
private child placement or child care agency, or
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472(b)(2) |
- in a child care institution, whether the payments are made to
such institution or to a public or nonprofit private child
placement or child care agency. Such payments are limited to
include only those items which are included in the term "foster
care maintenance payments" (defined in 475(4) of the Act).
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472(c)(1)&(2) |
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Foster care payments are made for care of children in foster
family homes, private nonprofit child care institutions, or public
child care institutions accommodating no more than 25 children,
which are licensed by the State in which they are situated or have
been approved by the agency in such State having responsibility for
licensing or approving foster family homes or child care
institutions.
Federal reimbursement is not available for children who are in
detention facilities, forestry camps, training schools or any other
facility operated primarily for the detention of delinquent
children.
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CASE REVIEW SYSTEM
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45 CFR 1356. |
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Case Plan
21(d) To meet the case plan requirements of 471(a)(16), 475(1)
and 475(5)(A) of the Act, the State Agency has promulgated policy
materials and instructions for use by State and local staff to
determine the appropriateness of and necessity for the foster care
placement of the child. The case plan for each child must
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471(a)(16) |
- be a written document which is a 45 CFR 1356. discrete part of
the case record, in a 21(d)(1) format determined by the State,
which is available to the parents or guardian of the foster child;
and
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45 CFR 1356.21(d)(2) |
- be developed within a reasonable period, hut no later than 60
days from the time the State Agency assumes responsibility for
providing services, including placing the child; and
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45 CFR 1356.21(d)(3) |
- include a discussion of how the plan is designed to achieve a
placement in the least restrictive (most family-like) setting
available and in close proximity to the home of the parents,
consistent with the best interest and special needs of the child;
and
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45 CFR 1356.21(d)(4) |
- after October 1, 1983, include a description of the services
offered and the services provided to prevent removal of the child
from the home and to reunify the family; and
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475(1) |
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include a description of the type of home or institution in
which the child is to be placed; and
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include a discussion of the appropriateness of the placement and
how the responsible agency plans to carry out the judicial
determination made with respect to the child in accordance with
472(a)(1) of the Act; and
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include a plan for assuring that the child receives proper care
and that services are provided to the parents in order to improve
the conditions in the parent(s) home to facilitate the child's
return to his own home or the permanent placement of the child;
and
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475(1) |
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include a plan for assuring that services are provided to the
child and foster parents in order to address the needs of the child
while in foster care; and
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include a discussion of the appropriateness of the services that
have been provided to the child under the plan; and
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where appropriate, for a child 16 or over, include a written
description of the programs and services which will help such child
prepare for the transition from foster care to independent living;
and
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475(5)(A) |
- be designed to achieve placement in the least restrictive (most
family-like) setting available and in close proximity to the
parents' home consistent with the best interest and special needs
of the child.
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- Case Review
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The State Agency has a case review system which
meets the requirements of 475(5) of the Act and assures that |
475(5)(B) |
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a review of each child's status will be made no less frequently
than once every six months either by a court or by an
administrative review to
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determine the continuing need for and appropriateness of the
placement,
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determine the extent of compliance with the case plan,
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determine the extent of progress made toward alleviating or
mitigating the causes necessitating the placement, and
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project a likely date by which the child may be returned home or
placed for adoption or legal guardianship.
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475(6) |
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If an administrative review is conducted, the following
requirments specified in 475(6) of the Act will be met:
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the review will be open to the participation of the parents of
the child, and
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the review will be conducted by a panel of appropriate persons,
at least one of whom is not responsible for the case management of
or delivery of services to either the child or the parents who are
the subject of the review.
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45 CFR 1356. |
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A dispositional hearing, as described 21(e) in 475(5)(C), must
be held for each child in foster care under the responsibility of
the State Agency if a State claims Federal reimbursement for the
costs of voluntary foster care maintenance payments. To meet this
requirement, the dispositional hearing must take place within 18
months of the date of the original foster care placement and
thereafter within reasonable, specific, time-limited periods to be
established by the State. The provisions of this paragraph and
475(5)(C) of the Act must apply to all children under the
responsibility for placement and care of the title IV-E/IV-B State
Agency except:
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45 CFR 1356.21(e)(1) |
- for those children who are placed in a court sanctioned
permanent foster family home with a specific caregiver; and
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45 CFR 1356 21(e)(2) |
- for those children who are free for adoption and are placed in
adoptive homes pending the finalization of the adoption.
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MEDICAL AND SOCIAL SERVICES
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472(h) 473(b)(1)(B)(2) |
For purposes of titles XIX and XX, any
child with respect to whom foster care maintenance payments are
made under this section shall be deemed to be a dependent child as
defined in 406 of the Act and shall be deemed to be a recipient of
aid to families with dependent children under part A of this title.
Titles XIX and XX services shall be available to such child in the
State in which the child resides. |
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SPECIFIC GOALS IN STATE LAW
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471(a)(14)(A) |
- The State Agency will formulate for each fiscal year,
commencing with the fiscal year which begins October 1, 1983, a
specific goal as to the maximum number of children (in absolute
numbers or as a percentage of all children in foster care receiving
assistance under a State title IV-E program) who at any given time
during the fiscal year will have been in foster care for over 24
months.
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471(a)(14)(B) |
- The State Agency will describe the steps which will be taken to
achieve the specific goal established.
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471(a)(14) |
- The specific goal for the first fiscal (A) year will be
established by the State in law on or before October 1, 1982
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PREVENTIVE AND REUNIFICATION SERVICES
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471(a)(15)(A)&(B) |
Effective October 1, 1983, prior to
the placement of each child in foster care, the State Agency will
make reasonable efforts to prevent or eliminate the need for
removal of the child from his home, and to make it possible for the
child to return to his home. |
SECTION 3. ADOPTION ASSISTANCE
PAYMENTS
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ELIGIBILITY
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473(a)(1) |
- Adoption assistance payments may be made to parents who adopt a
child with special needs. A child shall not be considered a child
with special needs unless
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473(c)(1) |
- the State has determined he cannot or should not be returned to
the home of his parents;
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473(c)(2)(A) |
- the State had first determined that a specific factor or
condition exists with respect to the child (such as his ethnic
background, age, or membership in a minority or sibling group, or
the presence of factors such as medical conditions or physical,
mental or emotional handicaps) because of which it is reasonable to
conclude that such child cannot be placed for adoption without
providing adoption assistance; and
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473(c)(2)(B) |
- a reasonable, but unsuccessful, effort has been made to place
the child without providing assistance except where it would be
against the best interests of the child due to such factors as the
existence of significant emotional ties with prospective adoptive
parents while in the care of such parents as a foster child.
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473(a)(1)(A) |
- Adoption assistance payments are made to adoptive parents who
have entered into an adoption assistance agreement (see sub-section
C of this plan) with the State Agency.
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473(a)(2)(A)(i) |
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Adoption assistance payments are made with respect to an
adoptive child who
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at the time adoption proceedings were initiated
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met the requirements of 406(a) or 407 of the Act, or
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would have met such requirements except for his removal from the
home of a relative (specified in 406(a)) either pursuant to a
voluntary placement agreement with respect to which Federal
payments are provided under 474 (or 403) of the Act or as a result
of a judicial determination to the effect that continuation therein
would be contrary to the welfare of the child, and
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473(a)(2)(B)(i) |
(3) received aid under the State plan
approved under 402 of the Act, or |
473(a)(2)(B)(i)& (ii)(I) |
would have received aid under such
plan had application been made, in or for the month a voluntary
placement agreement was entered into or court proceedings were
initiated leading to the removal of the child from his home,
or |
473(a)(2)(B)(ii)(II) |
(4) had been living with a relative
specified in 406(a) of the Act within six months prior to the month
in which a voluntary placement agreement was entered into or court
proceedings were initiated leading to the removal of the child from
his home, and would have received such aid under the State plan
approved under 402 of the Act for that month if in that month the
child had been living with such a relative and application had been
made, or |
473(a)(2)(A)(ii) |
- meets all the requirements of title 473(a)(2)(B)(iii) XVI of
the Act with respect to eligibility for supplemental security
income benefits, and
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473(a)(2)(C) |
- has been determined by the State to be a child with special
needs.
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PAYMENTS - AMOUNTS AND CONDITIONS
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473(a)(1)(B)(i) |
- Payments shall be made for nonrecurring adoption expenses
incurred by or on behalf of adoptive parents in connection with the
adoption of a child with special needs, directly through the State
Agency or through another public or nonprofit private agency, in
amounts determined through an agreement with the adoptive parents,
and
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473(a)(1)(B)(ii) |
- in any case where the child meets the requirements of 473(a)(2)
of the Act, the State may make adoption assistance payments to
adoptive parents, directly through the State Agency or through
another public or nonprofit private agency, in amounts so
determined through an adoption assistance agreement (see section 3C
of this plan). The amount of such payment
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473(a)(3) |
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shall take into consideration the circumstances of the adopting
parents and the needs of the child being adopted;
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may be adjusted periodically with the concurrence of the
adoptive parents to reflect changing circumstances; and
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may not exceed the foster care maintenance payment which would
have been paid during the period if the child with respect to whom
the adoption assistance payment is made had been in a foster family
home.
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45 CFR 1356.40(d) |
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In determining eligibility for adoption assistance payments,
there is no income eligibility requirement (means test) for the
adoptive parents.
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Payments are terminated when the State determines that
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473(a)(4)(A) |
- the child has attained the age of 18 (or, where the State
determines that the child has a mental or physical handicap which
warrants the continuation of assistance, the age of 21), or
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473(a)(4)(B) |
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the parents are no longer legally responsible for the support of
the child, or
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the child is no longer receiving support from the adoptive
parents.
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The adoptive parents are required to inform the State Agency of
circumstances which would make them ineligible for adoption
assistance payments or eligible for adoption assistance payments in
a different amount.
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ADOPTION ASSISTANCE AGREEMENT
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475(3) |
- An adoption assistance agreement is a written agreement,
binding on all parties, between the State Agency, other relevant
agencies, and the prospective adoptive parents.
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45 CFR 1356.40(b) |
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The adoption assistance agreement meets the requirements of
475(3) of the Act and ACYF-PA-87-03, dated July 23, 1987, and
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is signed by the adoptive parents and a representative of the
State Agency and in effect before adoption assistance payments are
made under title IV-E, but no later than the finalization of the
adoption;
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specifies the duration of the agreement;
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475(3)(A)473(a)(1)(B)(i)
ACYF-PA-87-03 |
- specifies the amount of the adoption assistance payments (if
any) and the nature and amount of any other payments, services and
assistance to be provided (including nonrecurring adoption expenses
in agreements that become effective on or after January 1, 1987,
for expenditures incurred by the parents on or after that
date);
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473(b) |
- specifies the child's eligibility for title XIX and title
XX;
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475(3)(B) |
- specifies, with respect to agreements entered into on or after
October 1,1983, that the agreement remains in effect regardless of
the State of residence of the adoptive parents;
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475(3) |
- contains provisions for the protection of the interests of the
child in case the adoptive parents and child should move to another
State while the agreement is in effect; and
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45 CFR 1356.40(e) |
- for agreements entered into on or after October 1, 1983, if a
needed service specified in the agreement is not available in the
new State of residence, the State making the original adoption
assistance payment remains financially responsible for providing
the specified service(s).
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MEDICAID AND SOCIAL SERVICES
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473(b)(1)(B)473(a)(2) |
For the purposes of titles XIX and XX,
any eligible child for whom there is an adoption assistance
agreement in effect under 473(a)(2) (whether or not adoption
assistance payments are being made) shall be deemed to be a
dependent child as defined in 406 of the Act and shall be deemed to
be a recipient of AFDC under part A of title IV of the Act in the
State in which such child resides. |
SECTION 4. GENERAL PROGRAM
REQUIREMENTS
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STANDARDS FOR FOSTER FAMILY HOMES AND CHILD CARE
INSTITUTIONS
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471(a)(10) |
The State Agency has established or
designated a State authority or authorities which shall be
responsible for establishing and maintaining standards for foster
family homes and child care institutions which are reasonably in
accord with recommended standards of national organizations
concerned with standards for such institutions or homes, including
standards related to admission policies, safety, sanitation, and
protection of civil rights. The standards so established shall be
applied by the State to any foster family home or child care
institution receiving funds under title IV-E or IV-B. |
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REVIEW OF AMOUNT OF PAYMENTS
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471(a)(11) |
The State Agency will make periodic
reviews of the standards referred to in 471(a)(10) and amounts paid
as foster care maintenance and adoption assistance payments to
assure their continuing appropriateness. This includes |
45 CFR 1356.21(g)(1) |
- the amount of the payment made for foster care maintenance and
adoption assistance to assure their continued appropriateness;
and
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45 CFR 1356.21(g)(2) |
- the licensing or approval standards for child care institutions
and foster family homes.
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FAIR HEARINGS
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471(a)(12) |
The State Agency has a system for
granting an opportunity for a fair hearing before the State Agency
to any individual whose claim for benefits under this plan is
denied or not acted upon with reasonable promptness. |
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INDEPENDENT AUDIT
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471(a)(13) |
The State Agency will arrange for a
periodic and independently conducted audit, no less frequently than
once every three years, of the titles IV-E and IV-B programs. |
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CHILD ABUSE AND NEGLECT
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471(a)(9) |
Any State Agency which has reason to
believe that the home or institution in which a child resides is
unsuitable because of the abuse, neglect or exploitation of the
child and whose care is paid in part or in full under the State
titles IV-E and IV-B programs will bring such condition to the
attention of the appropriate court or law enforcement agency. |
SECTION 5. GENERAL
PROVISIONS |
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PERSONNEL ADMINISTRATION
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471(a)(5) |
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The State Agency and the local agencies administering a title
IV-E program have established and will maintain methods of
personnel administration in conformity with standards for a Merit
System of Personnel Administration, prescribed in 5 CFR 900 by the
U.S. Office of Personnel Management pursuant to Sec. 208 of the
Intergovernmental Personnel Act of 1970, as amended.
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The State Agency is implementing an affirmative action plan to
assure equal employment opportunity in all aspects of personnel
administration as specified in 5 CFR 900. The plan provides for
specific action steps and timetables to assure such equal
opportunity. The plan is available for review upon request.
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SAFEGUARDING INFORMATION
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471(a)(8) |
- The State Agency has safeguards restricting use of or
disclosure of information concerning individuals assisted under the
State plan to purposes directly connected with:
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471(a)(8)(A) |
- the administration of the title IV-E plan or any of the State
plans or programs under Parts A, B, C or D of title IV or under
titles I, V, X, XIV, XVI (as in effect in Puerto Rico, Guam, and
the Virgin Islands), XIX and XX or the supplemental security income
program under title XVI, and
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471(a)(8)(B) |
- any investigation, prosecution, or criminal or civil proceeding
conducted in connection with the administration of any such plan or
program, and
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471(a)(8)(C) |
- the administration of any other Federal or federally assisted
program which provides assistance (in cash or in kind) or services
directly to individuals on the basis of need, and
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471(a)(8)(D) |
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any audit or similar activity conducted in connection with the
administration of any such plan or program by any governmental
agency authorized by law to conduct such audit or activity
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The safeguards provided will prohibit the disclosure to any
committee or legislative body (other than an agency referred to in
clause 471(a)(8)(D) with respect to an activity referred to in such
clause) of any information which identifies by name or address any
applicant for or recipient of assistance under title IV-E of the
Act.
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REPORTING
|
471(a)(6) |
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The State Agency will make reports in such form and containing
such information on the State's title IV-E program as are required
by the Secretary of the Department of Health and Human Services
(HHS).
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The State Agency will comply with such provisions as the
Secretary may from time to time find necessary to assure the
correctness and verification of such reports.
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MONITORING
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471(a)(7) |
The State Agency will monitor and
conduct evaluations of activities carried out in the State's title
IV-E program. |
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APPLICABILITY OF DEPARTMENT-WIDE REGULATIONS
|
45 CFR 1355.30 |
The State Agency will comply with all the requirements of
applicable regulations, including the regulations listed below:
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45 CFR Part 16 - Department Grant Appeals Process
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45 CFR Part 30 - Federal Claims Collection
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45 CFR Part 74 - Administration of Grants (except for subpart
I)
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45 CFR Part 95 - General Administration - Grant Programs (Public
Assistance and Medical Assistance)
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Section 95.517 (supersedes section 205.150) - Cost Allocation
Plans
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Section 201.5 - Grants (except that ACYF shall supply
appropriate forms and instructions)
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Section 201.6 - Withholding/Reduction of FFP
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Section 201.7 - Judicial Review
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Section 201.15 - Deferral
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Section 201.66 - Repayment of Federal Funds in Installments
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Section 204.1 - Submittal of State Plans for Governor's
Review
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Section 205.5 - Plan Amendments
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Section 205.10 - Hearings
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Section 205.50 - Safeguarding Information
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Section 205.100 - Single State Agency
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Section 205.101 - Organization for Administration
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AVAILABILITY OF STATE PLANS
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45 CFR 1356.21(c) |
The State plans and plan amendments
for titles IV-E and IV-B must be made available by the State Agency
for public review and inspection. |
I hereby certify that I am authorized to submit this State Plan
on behalf of
______________________________________________________(Designated
State Agency)
I certify that
_____________________________________________________(Name of
Agency)