Library: Policy

340:75-11-330. Contracted Level C qualified residential treatment programs (QRTP) and children served

Revised 2-1-22

(a) Contracted Level C QRTP are equivalent to foster home care for children requiring a home-like environment.

(b) Contracted Level C services include:

(1) structured group treatment, a minimum of one hour per week for each child;

(2) individual treatment for each child, as needed;

(3) family time;

(4) family treatment, when deemed appropriate by the contractor and the assigned child welfare (CW) specialist;

(5) active teaching and redevelopment of the child's basic living and social skills, both on-site and in the community.  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;

(6) developing and implementing policy and procedures to successfully deliver adulthood skills training to youth, using an approved teaching curriculum;

(7) assisting in the provision of federally mandated services that include coordinating with the assigned CW specialist to ensure:

(A) the life skills assessment is completed with each youth 14 years of age and older and implementing the successful adulthood plan produced by this assessment; and  • 1

(B) each youth 14 years of age and older attends one successful adulthood community contractor seminar each year;  • 1

(8) ensuring the youth applies for Medicaid upon his or her 18th birthday, when the youth remains in placement in voluntary care to complete his or her secondary education per Oklahoma Administrative Code (OAC) 340:75-6-110;

(9) substance use or abuse or chemical dependency therapy within a group or individual counseling or therapy sessions for each child, as needed;

(10) behavior redirection 24-hours a day, seven days a week to meet the goals and objectives of the treatment plan and respond to any behavioral crisis of the child.  The contractor ensures staff are available to respond in a crisis to stabilize the child's behavior and prevent placement disruption; and

(11) 24-hour, on-call and on-site crisis intervention and behavior management services to each child, as needed.  Emergency or crisis intervention services include face-to-face encounters with the child to resolve acute emotional dysfunction by providing intervention resolution and stabilizing functions through triage screening, planning, and documentation.

(c) Contracted Level C QRTP are provided in a setting licensed as a residential child care facility not located in a hospital, either medical or psychiatric, or psychiatric residential treatment center.

(d) The Level C contractor:

(1) provides clothing after a child's initial placement.  Emergency clothing authorizations may be accessed per OAC 340:75-13-45;

(2) maintains documentation of each child's unapproved absence from the program and leave days defined in the contract and reports leave days on Form 04CB002E, CWS Claim for Purchase of Residential Care;

(3) is paid by Oklahoma Human Services at a fixed daily rate.  The fixed daily rate is a blend of Title IV-E per eligibility of each child served and state funds; and

(4) submits Form 04CB002E for payment to the Child Welfare Services (CWS) Contracting and Acquisitioning Unit.

(e) Children served in Level C QRTP.

(1) The primary goal of services is the remediation of mild to moderate behavioral health conditions through a focus on daily living issues rather than clinical interventions.

(2) Level C contractors provide services to children, 13 to 18 years of age, whose behavioral health conditions, such as impulse control disorders, result in actions that may include, but are not limited to:

(A) minor criminal offenses;

(B) difficulty in school;

(C) verbal aggression;

(D) issues with peer interaction;

(E) defiance with authority figures;

(F) infrequent runaway behavior; or

(G) a few unsuccessful placements in a family setting.  • 2

(3) The Level C contractor receives referrals of children for placement from the CWS Specialized Placements and Partnerships Unit.  • 1

Revised 2-1-22

1. (a) Successful adulthood services.  The assigned child welfare (CW) specialist:

(1) ensures the youth's basic life skills assessment is completed; and

(2) arranges for the youth to attend seminars, per Oklahoma Administrative Code 340:75-6-110.

2. Level C placements.  These resources are listed in the KIDS Resource Directory, category –Residential - State Office Authorized and type - Level C