340:75-11-350. Contracted Level D placements and children served
(a) Contracted Level D placements are designed to serve the special needs of children, 13 to 17 years of age, in Oklahoma Department of Human Services (DHS) custody, with emotional disorders who are certified as developmentally disabled by Developmental Disabilities Services (DDS). • 1
(b) The placement of children who are adjudicated deprived and certified as developmentally disabled in Level D facilities is a joint decision made by the Child Welfare Services (CWS) programs supervisor or liaison to DDS and DDS programs manager for Residential Services. • 1
(c) Providers of Level D placements are under contract with both CWS and DDS.
(d) Contractors receive referrals for children who are adjudicated deprived and certified as developmentally disabled from the DDS programs manager.
(e) Level D contracted services include:
(1) structured group therapy, a minimum of one hour per week for each child;
(2) individual therapy, a minimum of one hour per week for each child;
(3) family visitation, when the case plan is reunification;
(4) family therapy, when deemed appropriate by the county of jurisdiction assigned child welfare (CW) specialist;
(5) substance use or abuse or chemical dependency therapy within a group or individual counseling or therapy session for each child, as needed;
(6) crisis intervention and behavior management services, as indicated in each child's DDS Individualized Plan and in compliance with Oklahoma Administrative Code (OAC) 340:100-5-57.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;
(7) staff available to respond in a crisis to stabilize a child's behavior and prevent placement disruption, 24-hours a day, seven-calendar days per week;
(8) active teaching and redevelopment of the child's basic living 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;
(9) developing and implementing policy and procedures for delivery of successful adulthood skills training to youth, using an approved curriculum for teaching successful adulthood skills; and
(10) providing 24-hour awake supervision of children.
(f) The contractor:
(1) complies with Part 105 of OAC 317:30-5 for residential behavior management services in group settings and non-secure diagnostic and evaluation centers;
(2) provides clothing after initial placement of a child.Emergency funds for clothing may be accessed per OAC 340:75-13-45;
(3) complies with group home regulations per OAC 340:100-6;
(4) completes a written incident report describing any extreme behavioral incident or major rule violation, including the contractor's response, submits a copy to the child's county of jurisdiction CW specialist, and DDS case manager, and files the original in the child's case record;
(5) meets the staffing guidelines set forth in the DHS contract and OAC 340:100‑6;
(6) complies with children's rights per OAC 340:75-11-237;
(7) complies with all general requirements perOAC 340:75-11-240 ;
(8) maintains documentation of each child's unapproved absences for the program and leave days set forth in the contract and reports leave days on Form 04CB002E, CWS Claim for Purchase of Residential Care;
(9) is reimbursed guaranteed payment by CWS for the total number of beds specified in the contract;
(10) is paid by DHS at a fixed daily rate.The fixed daily rate is a blend of Title IV-E and Title XIX federal funds, per eligibility of each child served, and state funds; and
(11) submits Form 04CB002E for payment to CWS Contracting and Acquisitioning Unit. • 1
1.Developmental Disabilities Services (DDS) and Child Welfare Services (CWS) Level D placements.
(1) DDS and CWS jointly contract with Level D placement providers.
(2) Grand staffing.
(A) When a child's needs can no longer be met in less restrictive forms of care, such as his or her own home, relative home, adoptive home, or any type of foster family care, the child is assessed and referred for grand staffing.The grand staffing process is a monthly meeting conducted by DDS and CWS to review, assess, and determine service and placement needs for children who present significant challenges that prevent services in a family setting.
(B) The DDS case manager or the child welfare specialist makes a referral for grand staffing on Form 04MP035E, Request for CWS/DDS Grand Staffing.
(C) The joint decision to place children who are adjudicated deprived and certified developmentally disabled is made at the monthly CWS and DDS case grand staffing meeting per Oklahoma Administrative Code 340:75-8-40 Instructions to Staff.
(D) Level D resources are listed in the KIDS Resource Directory, category – Residential - State Office Authorized and type - Level D.