ESBD_File_344253_HHS0014286 CPA 6.3 OE Attachments File (App 11-15).docx

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Child Placement Agencies
Solicitation number
HHS0014286
Issued by
Texas

About this file

This document contains the Supplemental, Special, and Programmatic Conditions for a Contract between the Texas Department of Family and Protective Services (DFPS) and Child Placing Agencies (CPAs) for 24-hour Residential Child Care (RCC) services. The Conditions cover a variety of requirements, including termination procedures, remedies for non-compliance, performance incentives, insurance, background checks, and specific requirements for out-of-state contractors. The document also outlines the performance measures and targets that CPAs must meet, including metrics related to child safety, health and wellness assessments, placement stability, and preparing older children for adulthood.

The pricing terms allow DFPS to assess liquidated damages for non-compliance and provide financial incentives to CPAs that exceed performance targets. Funding for this contract comes from Title IV-E and Temporary Assistance for Needy Families (TANF). DFPS reserves the right to remove children from the contractor's care, suspend the contract, or require the removal of staff for non-compliance. The contract term and any renewal options are not specified in the provided documentation.

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6.3 CPA OPEN ENROLLMENT ATTACHMENTS FILE

6.3.1 DFPS VENDOR SUPPLEMENTAL, SPECIAL & PROGRAMMATIC CONDITIONS FOR CPA

SECTION I

SUPPLEMENTAL CONDITIONS

The following Supplemental Conditions modify the DFPS Vendor Uniform Terms and Conditions (see Section 1.8.1(c) of the Open Enrollment).

A. Section VI(A) (Termination for Convenience) is deleted in its entirety and replaced with the following.

A. TERMINATION FOR CONVENIENCE.

1. DFPS will terminate the Contract, in whole or in part, at any time when in its sole discretion, DFPS determines that termination is in the best interests of the State of Texas. The termination will be effective on the date in DFPS’s notice of termination.

2. Contractor will provide DFPS a 60-day notice when terminating their Contract under this Section, must include in its notice the reason for terminating for convenience and be on the Contractor’s official letterhead.

SECTION II

SPECIAL CONDITIONS

In addition to the DFPS Uniform Terms and Conditions, the Contractor agrees to comply with the following DFPS Vendor Special Conditions.

A. REMEDIES.

In addition to any other remedy provided under this Contract or state or federal law, DFPS may impose the following.

1. Technical Resolution. DFPS and Contractor will enter into a joint technical resolution process. Both parties will hold face to face meetings, scan calls or teleconferences where both parties will identify issues, barriers, potential solutions, and implementation strategies to fix noncompliance and performance issues. DFPS will document these sessions and provide Contractor with a final technical guidance document to aid in implementation.

2. Corrective Action Plan (CAP). DFPS will provide the Contractor with a CAP that identifies areas of noncompliance, poor performance, or other deficiencies.

a. Contractor must respond in writing within the timeframes required in the CAP, address each identified defect, and provide an appropriately thorough response to the DFPS for review and approval.

b. Upon receipt of the DFPS’s approval, the Contractor must implement and maintain compliance with the requirements of the CAP.

3. Placement Action. DFPS reserves the right to:

a. Temporarily or permanently remove any or all Child subject to the terms of this Contract; and/or

b. Suspend and/or limit any further placements and place additional conditions on the Contractor.

4. Suspension. DFPS may suspend or remove all or any part of the Contract.

5. Removal of Staff. DFPS reserves the right to require Contractor to remove any employee, volunteer, or agent of the Contractor or any subcontractor from the provision of services under this contract or to prohibit any employee, volunteer, or agent of the Contractor or any subcontractor from having direct contact with DFPS referred clients or client records.

6. Liquidated Damages. Contractor agrees that DFPS may recover liquidated damages as provided below:

a. Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Checkup (also known as Texas Health Steps Checkup). As required by Texas Human Resources Code §42.0432(b), DFPS will assess liquidated damages when the Contractor fails to ensure that EPSDT checkups are completed.

i. Compliance Requirements are at 40 TAC § 749.1151.

ii. Liquidated damages will be assessed when the child is new to care with DFPS and this child has been in the Contractor’s care 30 days within 90 days of the child’s removal.

iii. $100 for each instance of non-compliance up to and including the 10th instance.

iv. $150 for each instance of non-compliance after the 10th instance.

b. Trauma Informed Care (TIC) Training. DFPS will assess liquidated damages when the Contractor fails to comply with TIC Training.

i. Compliance Requirements are at Sections 5500 - 5540 in the Requirements.

ii. $250 for each instance of non-compliance up to and including the 10th instance.

iii. $500 for each instance of non-compliance after the 10th instance.

c. Continuous 24-Hour Awake Supervision Compliance. DFPS will assess liquidated damages when the Contractor fails to provide Continuous 24-Hour Awake Supervision to Children as required by this Contract and Section 1115 and Appendix V of the Requirements.

7. Liquidated Damages and Remedies Cap. DFPS will cap all damages and remedies collected under Subsection 6 above to 10% of the contract utilization amount that DFPS paid to Contractor under this Contract.

B. PERFORMANCE INCENTIVE. Texas Human Resources Code §40.058(f), DFPS may provide financial incentives in instances where Contractor exceeds the target for the following Performance Measures in Section 6.3.2. Financial incentives are dependent on the Liquidated Damages and Remedies collected by DFPS as provided for in Subsection II(A)6 above and appropriations.

1.Older Children Placements (See Performance Measure #5 in Section 6.3.2).
2.Sibling Group Placements (See Performance Measure #6 in Section 6.3.2).

C. PAYMENTS UNDER STATE PLANS APPROVED UNDER TITLE IV-E AND TANF.

As applicable, Contractors must seek payment or adjustment to payments in accordance with the time limit specified in 45 Code of Federal Regulations (CFR) 95.1 that provides a two-year (eight fiscal year quarters) time limit for a State to claim Federal financial participation in expenditures under State plans approved under Title IV-E and Temporary Assistance for Needy Families (TANF).

Any invoice or amended invoice that is submitted to DFPS later than seven quarters after the end of the quarter of the expense, will not be processed unless DFPS determines that submission for payment of the bill to the federal government can be executed within the time limits provided in the CFR.

D. BACKGROUND HISTORY CHECKS - DISALLOWANCE OF TITLE IV-E FUNDS.

If this Contract is funded in part or whole by Title IV-E Funds, then during a federal audit, if there is a finding that Contractor has not performed required checks within the timeframes required by the Contract, this finding can result in a disallowance of Title IV-E funds claimed on behalf of the client. In addition to any other remedy under this Contract, DFPS can require the Contractor to reimburse DFPS for such disallowances, including disallowed costs related to foster care maintenance payments, administrative costs and interest.

E. REPORTING. The Contractor shall accurately complete cost reports, time studies, Internal Control Structure Questionnaires (ICSQs), Contract Monitoring surveys, and any other reports required and requested by the Department within time frames specified by DFPS. The Contractor must submit annual cost reports as required by 1 TAC §355.7101-7103.

F. COST REPORT TRAINING. The Contractor acknowledges and agrees that individuals responsible for preparing the Contractor’s cost reports shall:

1. Attend HHSC cost report training in compliance with 1 TAC §355.7101 prior to submitting an annual cost report; and

2. Attach a copy of the preparer’s training certificate to each completed cost report.

G. INSURANCE.

1. The Contractor will provide DFPS documentation of insurance coverage that meets or exceeds the amount in below and will maintain this insurance coverage and comply with this Section throughout the Contract Term, including any renewals.

a. Commercial General Liability – $1,000,000 per occurrence and $2,000,000 aggregate

b. Professional Liability – $1,000,000 per occurrence and $2,000,000 aggregate

c. Crime Policy (3rd Party Endorsement) – $250,000

d. Business Automobile Liability (Owned & Hired Endorsements and Non-owned Auto) – $1,000,000

2.This insurance coverage will be with insurance companies or equivalent providers that are rated for financial purposes “B” or higher by A.M. Best, as applicable. This insurance company or equivalent provider must be authorized or licensed to do business in the state where the Contractor is located.
3.The Contractor will obtain a Certificate of Insurance or equivalent documentation (hereinafter referred to as “Insurance Document”) with the types of coverage and limits carried by Contractor that meets the requirements in Subsection 1 and provide this Insurance Document to DFPS prior to or upon Contract execution.
4.If the Contractor’s insurance coverage required by this Section is renewed, no longer current or there is a material change to the Insurance Document, then the Contractor will provide DFPS with a current Insurance Document. Furthermore, the Contractor agrees to provide this Insurance Document to DFPS in a manner that ensures DFPS has a current Insurance Document on file at all times and will provide additional or requested documentation at any time to DFPS.
5.When an equivalent insurance coverage or Self-Insurance Plan is submitted to satisfy the DFPS insurance coverage requirements in Subsection 1, DFPS may request that additional information be provided by Contractor or Contractor's insurance company or equivalent provider.
6.DFPS has the sole discretion to determine whether an Insurance Document provided to DFPS will be accepted as documentation that the Contractor has met this Section’s requirements.
7.DFPS may require the Contractor to provide any additional documentation to meet the requirements of this Section. DFPS may request that the Contractor permit DFPS to contact Contractor’s insurance company or equivalent provider directly. The Contractor will provide any documents required by DFPS under this Section without additional expense or delay.

H. ASSESSMENTS OF PHYSICAL FACILITIES AND OPERATIONS.

The Contractor will allow periodic assessments of its physical facilities and operations, which may include specific homes, by DFPS employees or DFPS authorized representatives. The Contractor's physical facilities and operations will be approved by the DFPS based on assessments prior to and during the Contract Term.

I. TRANSITION AFTER CONTRACT TERM END.

In addition to the requirements in the Uniform Terms and Conditions, the following will apply.

1. At the end of the Contract Term, regardless of how the Contract ended or was terminated, the Contractor will, in good faith and in reasonable cooperation with DFPS, aid in the transition to any new arrangement or provider of services.

2. In the event this is not possible to continue to provide services after the Contract has expired, the Parties will work together to ensure that services are continued or transitioned for the Child as long as the Child is eligible for services.

3. DFPS will reimburse the Contractor for any services provided after the end of the Contract Term until all Child are removed from receiving the Contractor’s services as long as the Child remains eligible to receive services.

4. DFPS will terminate this Contract if the Contractor is found liable for or has a contract, license, certificate, or permit of any kind revoked for Medicaid fraud.

SECTION III - PROGRAMMATIC CONDITIONS

A. OUT-OF-STATE CONTRACTORS. In addition to the Requirements in Section 2.2.1 of this Open Enrollment, the following information also applies to Out-of-State Contractors with facilities located outside of Texas in which a DFPS Child is placed and will receive services. When reviewing these Requirements to ensure compliance, the Contractor will add the following information to the applicable Section in the Requirements.

1. 1410 Notifications Made to DFPS by the Provider

a. If the Contractor provides the Caseworker, Caseworker's Chain of Command, and State Office Discharge Mailbox at DFPSdischarge@dfps.texas.gov with documentation from a Psychiatrist, licensed Psychologist, physician, Licensed Clinical Social Worker or Licensed Professional Counselor or equivalent licensed mental health professional by the Contractor’s out-of-state equivalent licensing authority, showing that the Child consistently exhibits behavior that cannot be managed within licensed Programmatic Services, the DFPS will remove the Child within 14 calendar days.

b. If the Child in your care contracts a communicable disease that the law requires you to report to the state agency in the state in which the Contractor’s facility is located, (relating to control of communicable diseases) as soon as possible, but no later than 24 hours after the Contractor becomes aware of the communicable disease.

c. An adult who has contact with the Child contracts a communicable disease that the any state or federal law requires the Contractor to report to the applicable agency in the state in which the Contractor’s facility is located, relating to the control of communicable diseases;

d. An investigation of abuse or neglect by an entity of an employee, professional level service provider, volunteer, or other adult at the operation.

2. 4700 Discipline and Crisis Management Contractor will develop and implement Discipline policies that are consistent with the standards set by the out-of-state equivalent licensing authority in which the Contractor’s facility is located.

3. 4720 De-Escalation and Crisis Management Contractor will utilize developmentally and age appropriate de-escalation techniques that are consistent with the standards set out-of-state equivalent licensing authority in which the Contractor’s facility is located to resolve emergencies.

4. Section 5500 Trauma-Informed Care

a. Each Caregiver and employee who provides direct care must complete mandated required hours of Trauma Informed Care Training of the State which they are located, prior to being the only Caregiver responsible for a Child in care.

b. Certification of completed Trauma Informed Care Training must be placed in staff records and documented in accordance with the applicable child welfare licensing authority of the state in which the Contractor is located. DFPS approved Trauma Informed Care Training can be found at: https://www.fostercaretx.com/for-members/resources/training.html and https://www.dfps.texas.gov/training/trauma_informed_care/.

5. Section 6000: Educational and Vocational Activities and Appendix III Section B401 All references to “public school” in this Section and the Appendix will include that the public school in which the child is enrolled must be accredited by the applicable licensing authority of the State in which the Contractor’s facility is located.

B. Intensive Foster Family Care Services. If a CPA Contractor has been approved to participate in the Intense Foster Family Care services (IFFC), this approval will be indicated on their Contract and the Contractor agrees to comply with this Section.

1. DFPS will not pay the Contractor the Intense Level rate until the Contractor has complied with the process referenced below in this Section.

2. Approval Procedures for Children with Primary Medical Needs (PMN). For foster homes who are verified to provide residential child care for children with PMN, the following policy and procedure will be utilized.

a. Within 30 days of placement or an increase to the Intense Service Level for a Child who is already placed in a foster home verified for the Intense Service Level and who has Treatment Services as PMN, the Contractor must submit the following to the Designated CPS State Office Placement Program Specialist:

i. The foster home study and any addendums with verification date;

ii. Treatment plan for the child;

iii. Plan to meet the Intense Services Level indicators;

iv. Supervision plan; and

v. Intense Service Level staffing plan.

b. The Designated CPS State Office Placement Program Specialist notifies the State Office Foster Care Billing Program Specialist who updates the foster home's IMPACT verification.

c. The Contractor will be paid the Intense Service Level foster care rate for the placement of the Child in accordance with the date of foster home verification.

3. Pre-Placement Approval Procedures for Children with Emotional Disturbance, Intellectual or Developmental Disability or Pervasive Developmental Disorder. Prior to the placement of a child with an Emotional Disturbance, Intellectual or Developmental Disability or Pervasive Developmental Disorder and a Service Level of Intense, the Contractor will not be paid at the Intense Service Level unless the following process is completed and the Contractor has been approved by DFPS:

a. If the Contractor wants to verify a foster home for the Intense Service Level before a Child has been identified for placement:

i. The Contractor shall submit the foster family's previous foster home study, amended foster home study, and a copy of the foster home’s verification to the Designated CPS State Office Placement Program Specialist.

ii. The Designated CPS State Office Placement Program Specialist will submit documents to the Service Level Monitor within two business day.

iii. The Service Level Monitor will review the Contractor's foster home study to determine the foster home’s Service Level compliance with the Intense Service Level Indicators (Requirements)

iv. The Service Level Monitor will issue a letter of compliance or noncompliance to DFPS staff and the Contractor within ten business days.

v. If the Contractor receives a letter of noncompliance, the decision is final; however the Contractor may submit a new application for consideration.

b. If the Contractor wants to verify a foster home for the Intense Service Level for the placement of a Child whose Service Level is Intense prior to such placement:

i. The Contractor shall submit the following to the Designated CPS State Office Placement Program:

· The name of the child;

· The foster home study and any addendums with verification date;

· Treatment plan for the child;

· Plan to meet the Intense Service Level indicators;

· Supervision plan; and

· Intense Service Level staffing plan.

ii. The Designated CPS State Office Placement Program Specialist will submit the documents to the Service Level Monitor within two business.

iii. The Service Level Monitor will review the documents to determine the foster home’s Service Level compliance with the Intense Service Level Indicators (Requirements).

iv. The Service Level Monitor will issue a letter of compliance or noncompliance to DFPS staff and the Contractor within ten business days.

v. If the Contractor receives a letter of compliance:

· The Designated CPS State Office Placement Program Specialist notifies the State Office Foster Care Billing Program Specialist who updates the foster home's IMPACT verification; and

· The Designated CPS State Office Placement Program Specialist will notify the Contractor that the foster home has been approved to be paid at the Intense Service Level foster care rate, the Child may be placed and the Contractor will be paid the Intense Service Level foster care rate.

vi. If the Contractor receives a letter of noncompliance, the Contractor may submit a new application including an amended foster home screening for a new consideration of approval, but will not be paid until approved.

4. Post-Placement Approval Procedures for Children with Emotional Disturbance, Intellectual or Developmental Disability or Pervasive Developmental Disorder. When a Child with an Emotional Disturbance, Intellectual or Developmental Disability or Pervasive Developmental Disorder has been residing in a foster home and their Service Level is increased to Intense, the Contractor will not be paid at the Intense Service Level foster care rate unless the following process is completed and the Contractor has been approved by DFPS.

a. The Contractor must submit the request for approval to the Designated CPS State Office Placement Program Specialist within 30 days of the Child's Service Level increase to the Intense Service Level.

b. If the Contractor wants to be paid the Intense Service Level foster care rate for the placement of a Child whose Service Level increases to the Intense Service Level while placed in a foster home that is not verified for the Intense Service Level, the Contractor will not be paid at the Intense Service Level foster care rate unless the following process is completed and the Contractor has been approved by DFPS.

i. Within 30 days of the increase of the Child's Service Level to the Intense Service Level, the Contractor must submit the following to the Designated CPS State Office Placement Program Specialist:

· The name of the child;

· The foster home study and any addendums with verification date;

· Treatment plan for the child;

· Plan to meet the Intense Service Level indicators;

· Supervision plan; and

· Intense Service Level staffing plan.

ii. The Designated CPS State Office Placement Program Specialist will submit the documents to the Service Level Monitor within two business day.

iii. The Service Level Monitor will review the foster home screening and the Child's information to determine the foster home’s Service Level compliance with the Intense Service Level Indicators (Requirements).

iv. The Service Level Monitor will issue a letter of compliance or noncompliance to DFPS staff and the Contractor within ten business days.

v. If the Contractor receives a letter of compliance:

· The Designated CPS State Office Placement Program Specialist notifies the State Office Foster Care Billing Program Specialist who updates the foster home's IMPACT verification; and

· The Designated CPS State Office Placement Program Specialist will notify the Contractor that the foster home has been approved to be paid at the Intense Service Level foster care rate, the Child may be placed and the Contractor will be paid the Intense Service Level foster care rate back to the date of the verification at the Intense Service Level.

vi. If the Contractor receives a letter of noncompliance:

· The approval process is completed, and the decision is final; and

· However, the Contractor may submit a new application including an amended foster home screening for a new consideration of approval, but will not be paid until approved.

c. If the Contractor fails to submit the request for approval to the Designated CPS State Office Placement Program Specialist within 30 days of the Child's Service Level increase to the Intense Service Level in a foster home that is not verified for the Intense Service Level, the Contractor may be paid back to the date of verification for the Intense Service Level only after the following process is completed and the Contractor has been approved by DFPS.

i. The Contractor must submit the following to the Designated CPS State Office Placement Program Specialist:

· The name of the child;

· The foster home study and any addendums with verification date;

· Treatment plan for the child;

· Plan to meet the Intense Service Level indicators;

· Supervision plan; and

· Intense Service Level staffing plan.

ii. The Designated CPS State Office Placement Program Specialist will submit the documents to the Service Level Monitor within two business day.

iii. The Service Level Monitor will review the documents to determine the foster home’s Service Level compliance with the Intense Service Level Indicators (Requirements).

iv. The Service Level Monitor will issue a letter of compliance or noncompliance to DFPS staff and the Contractor within ten business days.

v. If the Contractor receives a letter of compliance:

· The Designated CPS State Office Placement Program Specialist notifies the State Office Foster Care Billing Program Specialist who updates the foster home's IMPACT verification; and

· The Designated CPS State Office Placement Program Specialist will notify the Contractor that the foster home has been approved to be paid at the Intense Service Level foster care rate and the Contractor will be paid the Intense Service Level foster care rate back to the date the submission of the foster family and Child’s documentation was provided to the Designated CPS State Office Placement Program Specialist.

vi. If the Contractor receives a letter of noncompliance, the Contractor may submit a new application including an amended foster home screening for a new consideration of approval, but will not be paid until approved.

d. For the placement of a Child who is currently residing in a foster home which has been verified for the Intense Service Level, the Contractor must ensure that the continued placement of the Child has been approved by DFPS through the following procedures.

i. Within 30 days of the increase of the Child's Service Level, submit the following to the Designated CPS State Office Placement Program Specialist:

· The name of the child;

· The foster home study and any addendums with verification date;

· Treatment plan for the child;

· Plan to meet the Intense Service Level indicators;

· Supervision plan; and

· Intense Service Level staffing plan.

ii. The Designated CPS State Office Placement Program Specialist will review the documentation and email the Contractor if the Child has been approved for continued placement and payment at the Intense Service Level foster care rate.

e. DFPS may recoup payment in the event that after review of documentation, it is determined by DFPS that the Contractor did not provide Intense Services to a Child placed in an approved IFFCS foster home.

N502 FORM-5622V JUNE 2022

TEXAS DEPARTMENT OF FAMILY AND PROTECTIVE SERVICES

VENDOR SUPPLEMENTAL, SPECIAL & PROGRAMMATIC CONDITIONS FOR CPA HHS0014286 PAGE 1

TEXAS DEPARTMENT OF FAMILY AND PROTECTIVE SERVICES

VENDOR SUPPLEMENTAL, SPECIAL & PROGRAMMATIC CONDITIONS FOR CPA PAGE 10

6.2.3 RCC PERFORMANCE MEASURES FOR CPA

SAFETY

OUTCOME #1: CHILDREN ARE SAFE IN FOSTER CARE.

Performance Period: Performance is tracked quarterly and assessed annually. The quarterly measurements will be cumulative to determine annual performance.

Indicator: Percent of DFPS Children who do not experience an incidence of abuse, neglect or exploitation while in the Contractor's care.

Target: 100%

Data Source: Information Management Protecting Adults and Children in Texas (IMPACT)

Methodology:

All abuse, neglect and/or exploitation by any perpetrator, while the Child is in the Contractor's care, are included in the count.

The denominator is the total number of Children in DFPS managing conservatorship placed with the Contractor during the reporting period.

The numerator is the number of DFPS Children who were Designated Victims in an investigation, for which a disposition of Reason to Believe (RTB) was made, during the reporting period.

Divide the numerator by the denominator. Subtract the result from one to give the complimentary "Children not Designated Victims" measurement. Multiply by 100 and state as a percentage.

WELL BEING

OUTCOME #2: HEALTH AND WELLNESS ASSESSMENTS FOR CHILDREN IN FOSTER CARE

Performance Period: Performance is tracked quarterly and assessed annually. The quarterly measurements will be cumulative to determine annual performance.

Indicator (a): Percent of all Children in the Contractor's care who received an initial Texas Health Steps Medical Checkup within 30 calendar days of entry into DFPS conservatorship.

Target: 100%

Data Source: HHSC Encounter Data

Methodology:

The denominator is the total number of unduplicated Children under age 18, who were new to DFPS conservatorship when placed in the Contractor's care and remained in that Contractor's care for 30 calendar days or more during the reporting period.

The numerator is the total number of Children reported in the denominator who have received a Texas Health Steps Medical Checkup within 30 calendar days of entry into DFPS conservatorship.

Divide the numerator by the denominator. Multiply by 100 and state as a percentage.

OUTCOME #2: HEALTH AND WELLNESS ASSESMENTS FOR CHILDREN IN FOSTER CARE

Performance Period: Performance is tracked quarterly and assessed annually. The quarterly measurements will be cumulative to determine annual performance.

Indicator (b): Percent of all Children in the Contractor's care who received an initial Texas Health Steps Dental Checkup within 60 calendar days of entry into DFPS conservatorship.

Target: 100 %

Data Source: HHSC Encounter Data

Methodology:

The denominator is the total number of unduplicated Children who are six months or older, and under age 18, who were new to DFPS conservatorship when placed in the Contractor's care and remained in that Contractor's care for 60 calendar days or more during the reporting period.

The numerator is the total number of Children reported in the denominator who received a Texas Health Steps Dental Checkup within 60 calendar days of entry into DFPS conservatorship.

OUTCOME #2: HEALTH AND WELLNESS ASSESMENTS FOR CHILDREN IN FOSTER CARE

Performance Period: Performance is tracked quarterly and assessed annually. The quarterly measurements will be cumulative to determine annual performance.

Indicator (c): Percent of all Children removed who received a Child and Adolescent Needs and Strengths (CANS) assessment within 30 calendar days of entry into DFPS conservatorship.

Target: 90%

Data Source: HHSC Encounter Data

Methodology:

The denominator is the total number of unduplicated Children who are between the ages of three to 17 years old, who were new to DFPS conservatorship when placed in the Contractor's care and remain in the Contractor's care for 30 calendar days or more during the reporting period.

The numerator is the total number of Children reported in the denominator who received a CANS assessment within 30 calendar days of entry into DFPS conservatorship.

POSITIVE DISCHARGE

Outcome #3: CHILDREN EXPERIENCE PLACEMENT STABILITY WHILE IN FOSTER CARE.

Performance Period: Performance is tracked quarterly and assessed annually. The quarterly measurements will be cumulative to determine annual performance.

Indicator: Percent of Children for which the Contractor meets the needs of the Child through a discharge considered to be in the best interest of the Child.

Target: 79%

Data Source: IMPACT

Methodology:

· Children in a Contractor's care less than eight days are excluded from the numerator and denominator

· Children 18 years or older at the time of placement or at the time of discharge are excluded from the numerator and denominator.

· Neutral discharge reasons are removed from the numerator and denominator.

The denominator is the total number of Children placed for 8 days or more with the Contractor during the reporting period whose placement has ended as the result of a discharge.

The numerator is the number of Children who, during the reporting period were discharged by the Contractor for reasons determined to be in the best interest of the Child. The following reasons for Contractor initiated discharges are not considered to be in the best interest of the Child. These are included but not limited to:

· Child's Behavior [Unmanageable behaviors]

· Child hospitalized (medical/psych) [Out of Placement less than 14 days]

· Child Ran Away [Out of Placement less than 14 days]

· Refused to Stay in Placement

· Unable to meet Child's needs

NORMALCY

OUTCOME #4: CHILDREN ARE PREPARED FOR ADULTHOOD

Performance Period: Performance is tracked quarterly and assessed annually. The quarterly measurements will be cumulative to determine annual performance.

Indicator: Percent of Children in the contractor’s care ages 16 and older who complete PAL Life Skills Training before their 18th birthday.

Target: 50%

Data Source: IMPACT

Methodology:

The denominator is the number of Children in the Contractor's care at the end of the reporting period ages 16 years and older who are eligible for, or completed PAL, excluding those Children who came into the contractor’s care having previously completed PAL while placed with a different contractor.

The numerator is the number of Children in the Contractor’s care at the end of the reporting period ages 16 and older who completed PAL Life Skills Training before their 18th birthday excluding those Children who came into the contractor’s care having previously completed PAL while placed with a different contractor.

OUTCOME 5#: OLDER CHILDREN PLACEMENTS IN FOSTER HOMES

Performance Period: Performance is tracked quarterly and assessed annually. The quarterly measurements will be cumulative to determine annual performance.

Data Source: IMPACT

Target: 0.53

Methodology Summary:

Denominator: Number of active foster homes during the performance period.

Numerator: Any Children placed during the performance period in a foster home from the denominator who was 14 years or older at the time of the placement.

Methodology Details:

This measure is reported as a ratio. Any placements which occurred prior to the performance period will be excluded from the numerator.

OUTCOME #6: FOSTER HOMES ACCEPTING PLACEMENT OF SIBLING GROUPS

Performance Period: Performance is assessed annually. Annual fiscal year performance reflects performance on August 31

Data Source: IMPACT

Target: 62%

Methodology Summary:

Denominator: All non-relative foster homes active on the last day of the performance period.

Numerator: Any foster home in the denominator where:

1. For sibling groups of two, both siblings are placed in the same home; or

1. For siblings groups of three or more, three or more siblings are placed together, using the existing methodology for determining siblings.

Methodology Details:

This measure is reported as a percentage.

If a home has no Children on August 31 they will be excluded from both the numerator and denominator.

If a home has Children on August 31 for which the Children placed have no siblings in care, they will be excluded from both the numerator and denominator.

Verified Kinship homes are excluded from the numerator and denominator.

RCC PERFORMANCE MEASURES FOR CPA PAGE 1

RCC PERFORMANCE MEASURES FOR CPA PAGE 10

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