340:75-11-320. Non-funded and funded contracted residential maternity services placements
(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 • 2
(B) each youth 14 years of age or older attends one community contractor successful adulthood seminar each year; • 2
(7) ensuring the youth applies for Medicaid upon his or her 18thbirthday, 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. • 3
(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. • 1 through 3
INSTRUCTIONS TO STAFF 340:75-11-320
1.Contracts.Non-funded and funded contracted residential maternity services are listed in KIDS Resource Directory, category - Residential-Locally Authorized and type - Residential Maternity Services.
2.Successful adulthood services.The assigned child welfare (CW) specialist:
(1) ensures that the youth's basic life skills assessment is completed; and
(2) arranges for the youth to attend successful adulthood seminars, per Oklahoma Administrative Code 340:75-6-110.
3.Clothing authorizations.The assigned CW specialist provides emergency clothing authorizations.In addition to quarterly emergency clothing authorizations, youth placed in non-funded maternity residential services receive a $40 monthly allowance.