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Chart Book Update #17-02 Revised: 1/13/17 Chart Book page 3-1 Foster Care Charts 3. Foster Care Charts Per All County Letter (ACL) 16-79, the Continuum of Care Reform (CCR) conversion process from the current foster care rate structure to the new rate structure will take place in two phases. Phase One of implementation takes effective January 1, 2017. The Phase Two start date will be provided at a later date. Effective January 1, 2017, a new basic level rate of $889 will be issued for all new and existing placements of a child in one of the following settings: Resource Families (RF), Foster Family Homes (FFH), Relatives (including both federal and non-federal cases, including ARC), Non-Relative Extended Family Members (NREFM), and Non-Minor Dependents (NMD) in a Supervised Living Placement (SILP). The Department of Developmental Services approved rates in the Community Care Facilities, also known as the San Andrea Regional Center (SARC) rates, effective July 1, 2016. Also effective July 1, 2016 is the establishment of two different rates dependent on the amount of beds per facility. 3.1 Current Santa Clara Foster Care Rates Below are the new rates effective January 1, 2017. TYPE OF PAYMENT/PLACEMENT BASIC RATE REGARDLESS OF AGE BASIC MONTHLY RATES for Resource Families, Foster Family Homes, Relatives (federal and non-federal cases including ARC), NREFMs, Dependent Non-Related Legal Guardians and NMDs in a SILP. $889 Refer to 3.2 for historical Foster Care rates.

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Chart Book page 3-1Foster Care Charts

3. Foster Care Charts

Per All County Letter (ACL) 16-79, the Continuum of Care Reform (CCR) conversion process from the current foster care rate structure to the new rate structure will take place in two phases. Phase One of implementation takes effective January 1, 2017. The Phase Two start date will be provided at a later date.

Effective January 1, 2017, a new basic level rate of $889 will be issued for all new and existing placements of a child in one of the following settings:

• Resource Families (RF),• Foster Family Homes (FFH),• Relatives (including both federal and non-federal cases, including ARC),• Non-Relative Extended Family Members (NREFM), and• Non-Minor Dependents (NMD) in a Supervised Living Placement (SILP).

The Department of Developmental Services approved rates in the Community Care Facilities, also known as the San Andrea Regional Center (SARC) rates, effective July 1, 2016. Also effective July 1, 2016 is the establishment of two different rates dependent on the amount of beds per facility.

3.1 Current Santa Clara Foster Care Rates

Below are the new rates effective January 1, 2017.

TYPE OF PAYMENT/PLACEMENT BASIC RATE REGARDLESS OF AGE

BASIC MONTHLY RATES for Resource Families, Foster Family Homes, Relatives (federal and non-federal cases including ARC), NREFMs, Dependent Non-Related Legal Guardians and NMDs in a SILP.

$889

Refer to 3.2 for historical Foster Care rates.

Chart Book Update #17-02 Revised: 1/13/17

page 3-2 Chart BookFoster Care Charts

3.1.1 Adoption Assistance Program (AAP) Rates Effective January 1, 2017

Initial Agreement Date

10/1/92 to 12/31/07

1/1/08 to 12/31/09

1/1/10 through 5/26/11

Effective 7/1/2016

Effective 1/1/17

Adoption Finalized Date

NA NA Prior to 5/27/11

5/27/11 and thereafter

Adoption Agreement was signed on or after 1/1/17

Eligible for Age Rate Increase

Yes, if requested

Yes, if requested

No No No

Rate Age 0-4 $493 $517 $517 $707 $889

Rate Age 5-8 $536 $562 $562 $765 $889

Rate Age 9-11 $581 (573*) $609 (602*) $609 $805 $889

Rate Age 12-14 $633 $664 $664 $843 $889

Rate Age 15 -21 $693 $728 $728 $882 $889

Note:Effective January 1, 2017, AAP agreements signed on or after May 27, 2011 or for AAP eligible adoptions that were finalized on or after May 27, 2011, may be reassessed by the Social Worker to receive the new basic level rate of $889.

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-3Foster Care Charts

3.1.2 Kin-GAP/Non-Dependent NRLG Rates Effective January 1, 2017

TYPE OF PAYMENT/PLACEMENT

RATE EFFECTIVE 1/1/17 REGARDLESS OF AGE

BASIC FFH RATES for new Kin-GAP and NRLG cases with guardianships established ON or AFTER January 1, 2017.

NOTE: The rate structure for families currently receiving Kin-GAP payments or for NRLG cases where guardianship was established prior to or after 5/1/11 will not change.

$889

Refer to 3.3.2 for Kin-GAP/NRLG historical rates.

Kin-GAP/NRLG is eligible for the $900 infant supplement effective 7/1/16.

3.1.3 Group Home Rates

Rates are determined by the state and granted an annual increase based on the California Necessities Index (CNI). A GH is not entitled to the new rate until the state issues the approval. For California GH placements placed out of the state, the rate to be paid is the rate established by the rate-setting authority of the other state. Additionally, out of state GHs cannot exceed the California RCL 14 rate or exceed the rate determined by the rate-setting authority for the state in which the facility is located. The county is responsible for determining if any non-allowable costs are included in the rate and ensuring that only allowable costs are claimed for Federal Title IV-E AFDC reimbursement. Allowable costs are defined as food, clothing, shelter, daily supervision, school supplies, a child’s personal incidentals and liability insurance with respect to the placed child, reasonable travel to the child’s home for visitation and reasonable travel to the child’s school of origin. For GHs placements allowable cost also include reasonable administration.

Continuum Care Reform Assembly Bill (AB) 403 created a new licensing category referred to as a Short Term Residential Therapeutic Program (STRTP) which will eventually replace the group home (GH) rate classification level (RCL). STRTPs are licensed residential facilities that provide short-term, specialized and intensive treatment. For GHs that do convert to STRTP by 1/1/17, the STRTP flat rate is $12,036 per month.

Chart Book Update #17-02 Revised: 1/13/17

page 3-4 Chart BookFoster Care Charts

Any GHs that cannot readily convert to a STRTP may be granted an extension to continue to receive their existing RCL rate. All current GHs in Santa Clara County have received a one-year extension to continue receiving the RCL rate. The rates remain as follows:

TYPE OF PAYMENT/PLACEMENT:

RATE CLASSIFICATION LEVEL (RCL): AMOUNT:

GROUP HOMES 1 $2457

2 $3069

3 $3681

4 $4290

5 $4899

6 $5513

7 $6124

8 $6738

9 $7347

10 $7960

11 $8569

12 $9182

13 $9801

14 $10410

INFANT SUPPLEMENT $1379

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-5Foster Care Charts

3.1.4 Foster Family Agencies (FFA) Foster Family Agencies (FFA) Effective January 1, 2017

TYPE OF PAYMENT/PLACEMENT: AGE: 1/1/17

All new and existing FFAs 0 - 4 $2112

5 - 8 $2170

9 - 11 $2210

12 - 14 $2248

15 - 18 $2288

INFANT SUPPLEMENT $900

Refer to 3.3.4 for historical FFA rates.

Chart Book Update #17-02 Revised: 1/13/17

page 3-6 Chart BookFoster Care Charts

3.1.5 Special Needs and Special Care Increments Effective July 1, 2016

TYPE OF PAYMENT / PLACEMENT: CHILD’S AGE:

MAXIMUM ALLOWANCE:

Emergency Shelter “Satellite” Home (ESH) All ages $32 Per Day

Specialized Adolescent Care Homes $932 Monthly

Infant Supplement for all Foster Care placements $900 Monthly

INFANT SUPPLEMENT: Group Homes $1379 Monthly

Special Care Increments are Monthly Rates All Ages Maximum

Emotional/Behavioral Level I $120

Emotional/Behavioral LeveL II $240

Emotional/Behavioral LeveL III $390

Special Medical Needs Level I/Step 1 $111

Special Medical Needs Level I/Step 2 $222

Special Medical Needs Level I/Step 3 $533

Special Medical Needs Level I/Step 4 $889

Special Medical Needs Level II/Step 1 $988

Special Medical Needs Level II/Step 2 $1127

Special Medical Needs Level III $1503

Other County/State Special Needs rate are based on instructions from DFCS

INITIAL CLOTHING ALLOWANCE Under 1 $176

Child 1 - 11 $245

Boy 12 + $293 Boy’s Sizes

Boy 12 + $387 Men’s Sizes

Girl 12 + $413

ANNUAL CLOTHING ALLOWANCE Pre-School $69

School Agea

a. A child who will have had his/her 5th birthday on or before December 2 of the year in which this payment is being made.

$141

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-7Foster Care Charts

3.1.6 California Department of Developmental Services Community Care Facilities (CCF) Rates Effective January 1, 2017

CCF rates are established by the California Department of Developmental Services. When their rates increase they are published on the following website http://www.dds.ca.gov/Rates/ReimbRates.cfm. The CCF rates used by San Andreas Regional Center (SARC) foster care placements.

SERVICE LEVEL PAYMENT RATE EFFECTIVE 1/1/17

PAYMENT RATE FOR FACILITIES WITH 4 BEDS OR LESS

PAYMENT RATE FOR FACILITIES WITH 5 BEDS OR MORE

1 $1,014 $1,026.37 $1,026.37

2-Owner $2,187 $3,379 $2,390

2-Staff $2,428 $3,740 $2,650

3-Owner $2,548 $3,422 $2,788

3-Staff $2,861 $3,892 $3,125

4A $3,317 $4,529 $3,619

4B $3,543 $4,797 $3,866

4C $3,767 $5,062 $4,111

4D $4,041 $5,402 $4,410

4E $4,332 $5,743 $4,730

4F $4,631 $6,096 $5,057

4G $4,978 $6,522 $5,436

4H $5,351 $6,962 $5,845

4I $5,878 $7,588 $6,422

Personal and Incidental (P&I) rate Effective New Rate Effective 1/1/17

$132

Chart Book Update #17-02 Revised: 1/13/17

page 3-8 Chart BookFoster Care Charts

3.1.7 Dual Agency Children

Age July 1, 2013 July 1, 2014 July 1, 2015 July 1, 2016

Under 3 years old

$967 $988 $1013 $1041

3 years and older $2162 $2209 $2265 $2328

Rates

Supplement to Dual Agency Rates

Dual Agency youths that are under 3 years old and receiving the higher rate are not eligible for the following supplemental rates:

$250 $500 $750 $1000

3.1.8 Education Travel Reimbursement (ETR) Effective April 1, 2012.

Rates based on Mileage

Distance from FC Placement to School of Origin One Way in Miles ETR Rate Per Month Per Child

Up to 3.4 $0

3.5 to 8.4 $58

8.5 to 13.4 $154

13.5 to 18.4 $250

18.5 to 23.4 $347

23.5 or More $443

.

Note:ETR has not changed since 4/1/12.

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-9Foster Care Charts

Rates based on Public Transportation Passes

Cost Rate

Low $25

Medium $50

High $75

3.1.9 Transitional Housing Placement Program (THPP)

Rate is effective 7/1/16:

TYPE OF RATE: PAYMENT RATE

THPP $4819

Note:The infant supplement for a THPP placement is $900. Although THPPs are placed through GHs the rate is not based on GH standard rates.

3.1.10 Transitional Housing Placement Plus Foster Care (THP+FC)

Effective July 1, 2016

TYPE OF SITE: PAYMENT RATE

Single Site Housing $3090

Remote Site $3090

Host Family Model $2459

Note:The infant supplement for a THP+FC placement is $900. Although THP+FC is placed through GHs the rate is not based on GH standard rates.

Chart Book Update #17-02 Revised: 1/13/17

page 3-10 Chart BookFoster Care Charts

3.1.11 Transitional Housing Placement Plus (THP+)

Effective July 1, 2015

TYPE OF SITE: PAYMENT RATE

Single $2400

Parenting $2800

3.1.12 Wraparound Services Program

Wraparound rates are no longer paid at the rates set below. Effective July 1, 2012, there is no longer a requirement to subtract the cost of placement for children or youths in FC. Wraparound services are paid at a flat rate of $3500 each month for children or youths in FC, CalWORKs and JPD.

The flat rate for AAP children or youths receiving Wraparound services is $3500 effective July 1, 2013.

Effective 7/1/2013, the rates for Wraparound are the maximum state standards based on the RCL levels. While SCC will pay a maximum of $3500 each month for Wraparound, the fiscal department

TYPE OF RATE: Effective 7/1/16 RCL RATE:

California State Wraparound Services (or Non-Federal)

10/11 $8265

13 $9801

Federal Wraparound Services 10/11 $4133

13 $4901

may claim the maximum rates listed below.

Note:There is no involvement from FCE for fiscal claiming.

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-11Foster Care Charts

3.2 Historical Rates

Effective July 1, 2016, all Foster Care, KinGAP and Adoptions Assistance Program (AAP) placements will receive the California Necessities Index (CNI) increase of 2.76 percent. All County Letter (ACL) 16-57 authorized rate increases for Foster Care, Kin-GAP and ACL 16-55 authorized rate increases for AAP effective July 1, 2016. The infant supplement rate is increased by $489 per month effective July 1, 2016.

The Department of Developmental Services approved rates in the Community Care Facilities, also known as the San Andrea Regional Center (SARC) rates, effective July 1, 2016. Also effective July 1, 2016 is the establishment of two different rates dependent on the amount of beds per facility.

3.3 Santa Clara Foster Care Rates

Below are the new rates effective July 1, 2016.

TYPE OF PAYMENT/PLACEMENT

CHILD’S AGE

RATE AS OF 7/1/14

RATE AS OF 7/1/15

RATE AS OF 7/1/16

BASIC FFH MONTHLY RATES for Licensed FFHs, Approved Relatives, NREFMs, court dependent NRLGs, and Non-Dependent NRLGs established on for after May 1, 2011

0 - 4 $671 $688 $707

5 - 8 $726 $744 $765

9 - 11 $764 $783 $805

12 - 14 $800 $820 $843

15 + $838 $859 $883

Chart Book Update #17-02 Revised: 1/13/17

page 3-12 Chart BookFoster Care Charts

3.3.1 Adoption Assistance Program (AAP) Rates Effective 7/1/2016

Initial Agreement Date

10/1/92 to 12/31/07

1/1/08 to 12/31/09

1/1/10 through 5/26/11

Effective 7/1/2016

(State Wide Rates)

Adoption Finalized Date

NA NA Prior to 5/27/11 5/27/2011 and thereafter

Eligible for Age Rate Increase

Yes, if requested

Yes, if requested

No No

Rate Age 0-4 $493 $517 $517 $707

Rate Age 5-8 $536 $562 $562 $765

Rate Age 9-11 $581 (573*) $609 (602*) $609 $805

Rate Age 12-14 $633 $664 $664 $843

Rate Age

15 -21

$693 $728 $728 $882

*Is the State Wide Rate. Los Angeles and Santa Clara County have the same rates.

Marin County AAP Rates Effective July 1, 2016

Ages 0-4 5-6 7-12 13-21

10/1/92 to 12/13/07

$493 $536 $616 $702

1/1/08 to 5/27/11

$531 $562 $648 $737

7/1/16 Uses the State Wide Rates

Orange County AAP Rates Effective July 1, 2016

Ages 0-4 5-8 9-11 12-14 15-21

10/1/92 to 12/13/07

$493 $536 $573 $729 $729

1/1/08 to 5/27/11

$517 $562 $602 $764 $764

7/1/16 Uses the State Wide Rates

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-13Foster Care Charts

3.3.2 Kin-GAP/Non-Dependent NRLG Rates Effective July 1, 2016

TYPE OF PAYMENT/PLACEMENT AGERATE AS OF 7/1/14

RATE AS OF 7/1/15

RATE AS OF 7/1/16

BASIC FFH RATES for Kin-GAP and Non-Dependent NRLGs cases with guardianships established PRIOR to May 1, 2011.

0 - 4 $491 $503 $517

5 - 8 $533 $547 $562

9 -11 $571 $586 $602

12 -14 $630 $646 $664

15 -20 $690 $708 $728

BASIC FFH RATES for Kin-GAP and Non-Dependent or Dependent NRLGs cases with guardianships established ON or AFTER to May 1, 2011.

NOTE: Kin-GAP/NRLG is eligible for infant supplement of $900 effective 7/1/16.

RATE AS OF 7/1/14

RATE AS OF 7/1/15

RATE AS OF 7/1/16

0 - 4 $671 $688 $707

5 - 8 $726 $744 $765

9 - 11 $764 $783 $805

12 - 14 $800 $820 $843

15 - 20 $838 $859 $883

3.3.3 Group Home Rates

Rates are determined by the state and granted an annual increase based on the California Necessities Index (CNI). A GH is not entitled to the new rate until the state issues the approval. For California GH placements placed out of the state, the rate to be paid is the rate established by the rate-setting authority of the other state. Additionally, out of state GHs cannot exceed the California RCL 14 rate or exceed the rate determined by the rate-setting authority for the state in which the facility is located. The county is responsible for determining if any non-allowable costs are included in the rate and ensuring that only allowable costs are claimed for Federal Title IV-E AFDC reimbursement. Allowable costs are defined as food, clothing, shelter, daily supervision, school supplies, a child’s personal incidentals and liability

Chart Book Update #17-02 Revised: 1/13/17

page 3-14 Chart BookFoster Care Charts

insurance with respect to the placed child, reasonable travel to the child’s home for visitation and reasonable travel to the child’s school of origin. For GHs placements allowable cost also include reasonable administration.

TYPE OF PAYMENT/PLACEMENT:

RATE CLASSIFICATION LEVEL (RCL): AMOUNT:

GROUP HOMES 1 $2457

2 $3069

3 $3681

4 $4290

5 $4899

6 $5513

7 $6124

8 $6738

9 $7347

10 $7960

11 $8569

12 $9182

13 $9801

14 $10410

INFANT SUPPLEMENT $1379

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-15Foster Care Charts

3.3.4 Foster Family Agencies (FFA) Foster Family Agencies (FFA) Effective July 1, 2016

TYPE OF PAYMENT/PLACEMENT: AGE: 7/1/15 7/1/16

NON TREATMENT FFA 0 - 4 $688 $707

5 - 8 $744 $765

9 - 11 $783 $805

12 - 14 $820 $843

15 - 18 $859 $883

INFANT SUPPLEMENT $411 $900

TYPE OF PAYMENT/PLACEMENT: AGE: 7/1/15 7/1/16

TREATMENT FFA 0 - 4 $1789 $1808

5 - 8 $1866 $1887

9 - 11 $1923 $1945

12 - 14 $1992 $2015

15 - 18 $2060 $2084

INFANT SUPPLEMENT $411 $900

TYPE OF PAYMENT/PLACEMENT:

SERVICE LEVEL:

Service Levels Effective July 1, 2012

Rate Effective July 1, 2015

Rate Effective July 1, 2016

INTENSIVE TREATMENT FFA

A Level I

(old A & B)

$5741 $5803

B

C Level II

(old C & D)

$4958 $5020

D

E Level III (old E) $4194 $4256

INFANT SUPPLEMENT $411 $900

Chart Book Update #17-02 Revised: 1/13/17

page 3-16 Chart BookFoster Care Charts

3.3.5 Special Needs and Special Care Increments Effective 7/1/16

TYPE OF PAYMENT / PLACEMENT: CHILD’S AGE:

MAXIMUM ALLOWANCE:

Emergency Shelter “Satellite” Home (ESH) All ages $32 Per Day

Specialized Adolescent Care Homes $932 Monthly

Infant Supplement for all Foster Care placements $900 Monthly

INFANT SUPPLEMENT: Group Homes $1379 Monthly

Special Care Increments are Monthly Rates All Ages Maximum

Emotional/Behavioral Level I $120

Emotional/Behavioral LeveL II $240

Emotional/Behavioral LeveL III $390

Special Medical Needs Level I/Step 1 $111

Special Medical Needs Level I/Step 2 $222

Special Medical Needs Level I/Step 3 $533

Special Medical Needs Level I/Step 4 $889

Special Medical Needs Level II/Step 1 $988

Special Medical Needs Level II/Step 2 $1127

Special Medical Needs Level III $1503

Other County/State Special Needs rate are based on instructions from DFCS

INITIAL CLOTHING ALLOWANCE Under 1 $176

Child 1 - 11 $245

Boy 12 + $293 Boy’s Sizes

Boy 12 + $387 Men’s Sizes

Girl 12 + $413

ANNUAL CLOTHING ALLOWANCE Pre-School $69

School Agea

a. A child who will have had his/her 5th birthday on or before December 2 of the year in which this payment is being made.

$141

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-17Foster Care Charts

3.3.6 California Department of Developmental Services Community Care Facilities (CCF) Rates Effective 7/1/16

CCF rates are established by the California Department of Developmental Services. When their rates increase they are published on the following website http://www.dds.ca.gov/Rates/ReimbRates.cfm. The CCF rates used by San Andreas Regional Center (SARC) foster care placements.

SERVICE LEVEL PAYMENT RATE 1/1/16 THROUGH 6/30/16

PAYMENT RATE FOR FACILITIES WITH 4 BEDS OR LESS

PAYMENT RATE FOR FACILITIES WITH 5 BEDS OR MORE

1 $1,014 $1,014 $1,014

2-Owner $2,187 $3,281 $2,357

2-Staff $2,428 $3,642 $2,617

3-Owner $2,548 $3,322 $2,746

3-Staff $2,861 $3,792 $3,083

4A $3,317 $4,423 $3,575

4B $3,543 $4,683 $3,818

4C $3,767 $4,940 $4,059

4D $4,041 $5,272 $4,354

4E $4,332 $5,603 $4,668

4F $4,631 $5,945 $4,990

4G $4,978 $6,361 $5,364

4H $5,351 $6,788 $5,766

4I $5,878 $7,395 $6,334

Personal and Incidental (P&I) rate Effective New Rate Effective 1/1/15

$131

Chart Book Update #17-02 Revised: 1/13/17

page 3-18 Chart BookFoster Care Charts

3.3.7 Dual Agency Children

Age July 1, 2013 July 1, 2014 July 1, 2015 July 1, 2016

Under 3 years old

$967 $988 $1013 $1041

3 years and older $2162 $2209 $2265 $2328

Rates

Supplement to Dual Agency Rates

Dual Agency youths that are under 3 years old and receiving the higher rate are not eligible for the following supplemental rates:

$250 $500 $750 $1000

3.3.8 Education Travel Reimbursement (ETR) Effective April 1, 2012.

Rates based on Mileage

Distance from FC Placement to School of Origin One Way in Miles ETR Rate Per Month Per Child

Up to 3.4 $0

3.5 to 8.4 $58

8.5 to 13.4 $154

13.5 to 18.4 $250

18.5 to 23.4 $347

23.5 or More $443

.

Note:ETR has not changed since 4/1/12.

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-19Foster Care Charts

Rates based on Public Transportation Passes

Cost Rate

Low $25

Medium $50

High $75

3.3.9 Transitional Housing Placement Program (THPP)

Rate is effective 7/1/16:

TYPE OF RATE: PAYMENT RATE

THPP $4819

Note:The infant supplement for a THPP placement is $900. Although THPPs are placed through GHs the rate is not based on GH standard rates.

3.3.10 Transitional Housing Placement Plus Foster Care (THP+FC)

Effective July 1, 2016

TYPE OF SITE: PAYMENT RATE

Single Site Housing $3090

Remote Site $3090

Host Family Model $2459

Note:The infant supplement for a THP+FC placement is $900. Although THP+FC is placed through GHs the rate is not based on GH standard rates.

Chart Book Update #17-02 Revised: 1/13/17

page 3-20 Chart BookFoster Care Charts

3.3.11 Transitional Housing Placement Plus (THP+)

Effective July 1, 2015

TYPE OF SITE: PAYMENT RATE

Single $2400

Parenting $2800

3.3.12 Wraparound Services Program

Wraparound rates are no longer paid at the rates set below. Effective July 1, 2012, there is no longer a requirement to subtract the cost of placement for children or youths in FC. Wraparound services are paid at a flat rate of $3500 each month for children or youths in FC, CalWORKs and JPD.

The flat rate for AAP children or youths receiving Wraparound services is $3500 effective July 1, 2013.

Effective 7/1/2013, the rates for Wraparound are the maximum state standards based on the RCL levels. While SCC will pay a maximum of $3500 each month for Wraparound, the fiscal department

TYPE OF RATE: Effective 7/1/16 RCL RATE:

California State Wraparound Services (or Non-Federal)

10/11 $8265

13 $9801

Federal Wraparound Services 10/11 $4133

13 $4901

may claim the maximum rates listed below.

Note:There is no involvement from FCE for fiscal claiming.

3.3.13 Other Counties Rates Effective 7/1/16

Due to a grandfathering of their rates which occurred when the basic rates were added by statute in 1989, certain basic rates paid by Los Angeles, Orange, Marin, and Santa Clara counties exceed the current statewide basic rates specified in WIC Section 11461(a). Counties with higher than the state set basic rate shall receive

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-21Foster Care Charts

one-half of the percentage adjustments until the county’s adjusted rates and the state’s basic rates are equivalent. Effective July 1, 2012, Los Angeles, Marin and Santa Clara counties rates are at the state’s equivalent except Orange County. The following chart represents Orange county rates for basic FFH established prior to May 1, 2011. SCI rates are determined per county and must be verified individually. All other rates (i.e. Group Homes, FFA’s, etc.) are standard throughout the state.

The following rates effect Kin-GAP and Non-Dependent NRLG rates where legal guardianship was established prior to May 1, 2011. Effective July 1, 2016 are the new Orange County rates listed below:

TYPE OF PAYMENT/PLACEMENT:CHILD’S AGE:

BASIC RATE July 1, 2014

BASIC RATE July 1, 2015

BASIC RATE July 1, 2016

BASIC LICENSED FFH AND KinGAP STANDARD STATEWIDE MONTHLY RATES

0 - 4 $491 $503 $517

5 - 8 $533 $547 $562

9 - 11 $571 $586 $602

12 - 14 $691 $743* $710*

15 + $691 $743 $728

* Effective 7/1/16, a 1.38 percent CNI increase applies only to the 12-14 age category.

3.4 Historical Rates

Effective July 1, 2015, all foster care, KinGAP and Adoptions Assistance Program (AAP) placements will receive the California Necessities Index (CNI) increase of 2.54 percent. All County Letter (ACL) 15-58 authorized rates increases for foster care and KinGAP rates, ACL 15-58E authorized increase for Intensive Treatment Foster Care (ITFC) and ACL 15-55 authorized rate increase for AAP effective July 1, 2015.

Chart Book Update #17-02 Revised: 1/13/17

page 3-22 Chart BookFoster Care Charts

The Department of Developmental Services approved rates in the Community Care Facility rates, also known as the San Andrea Regional Center (SARC) rates, effective January 1, 2015.

3.5 Santa Clara Foster Care Rates

Below are the new rates effective July 1, 2015.

TYPE OF PAYMENT/PLACEMENT

CHILD’S AGE

RATE AS OF 7/1/13

RATE AS OF 7/1/14

RATE AS OF 7/1/15

BASIC FFH MONTHLY RATES for Licensed FFHs, Approved Relatives, NREFMs, court dependent NRLGs, and Non-Dependent NRLGs established on for after May 1, 2011

0 - 4 $657 $671 $688

5 - 8 $711 $726 $744

9 - 11 $748 $764 $783

12 - 14 $783 $800 $820

15 + $820 $838 $859

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-23Foster Care Charts

3.5.1 Adoption Assistance Program (AAP) Rates Effective 7/1/2015

Initial Agreement Date

10/1/92 to 12/31/07

1/1/08 to 12/31/09

1/1/10 to 5/26/11

Effective 7/1/2015

(State Wide Rates)

Adoption Finalized Date

NA NA Prior to 5/26/11 5/27/2011 and thereafter

Eligible for Age Rate Increase

Yes, if requested

No No No

Rate Age 0-4 $480 $503 $503 $688

Rate Age 5-8 $522 $547 $547 $744

Rate Age 9-11 $565 ($558*) $593 $593 $783

Rate Age 12-14 $616 $646 $646 $820

Rate Age

15 -21

$674 $708 $708 $859

*Is the State Wide Rate. Los Angeles and Santa Clara County have the same rates.

Marin County AAP Rates Effective July 1, 2015

Ages 0-4 5-6 7-12 13-21

10/1/92 to 12/13/07

$480 $522 $599 $683

1/1/08 to 5/27/11

$517 $547 $631 $717

7/1/15 Uses the State Wide Rates

Orange County AAP Rates Effective July 1, 2015

Ages 0-4 5-8 9-11 12-14 15-21

10/1/92 to 12/13/07

$480 $522 $558 $709 $709

1/1/08 to 5/27/11

$503 $547 $586 $743 $743

7/1/15 Uses the State Wide Rates

Chart Book Update #17-02 Revised: 1/13/17

page 3-24 Chart BookFoster Care Charts

3.5.2 KinGAP/Non-Dependent NRLG Rates Effective July 1, 2015

TYPE OF PAYMENT/PLACEMENT AGERATE AS OF 7/1/13

RATE AS OF 7/1/14

RATE AS OF 7/1/15

BASIC FFH RATES for Kin-GAP and Non-Dependent NRLGs cases with guardianships established PRIOR to May 1, 2011.

0 - 4 $481 $491 $503

5 - 8 $522 $533 $547

9 -11 $559 $571 $586

12 -14 $617 $630 $646

15 -20 $675 $690 $708

BASIC FFH RATES for Kin-GAP and Non-Dependent or Dependent NRLGs cases with guardianships established ON or AFTER to May 1, 2011.

RATE AS OF 7/1/13

RATE AS OF 7/1/14

RATE AS OF 7/1/15

0 - 4 $657 $671 $688

5 - 8 $711 $726 $744

9 - 11 $748 $764 $783

12 - 14 $783 $800 $820

15 - 20 $820 $838 $859

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-25Foster Care Charts

3.5.3 Group Home (GH) Rates Effective 7/1/15

Rates are determined by the state and granted an annual increase based on the California Necessities Index (CNI). A GH is not entitled to the new rate until the state issues the approval. For California GH placements placed out of the state, the rate to be paid is the rate established by the rate-setting authority of the other state. Additionally, out of state GHs cannot exceed the California RCL 14 rate or exceed the rate determined by the rate-setting authority for the state in which the facility is located. The county is responsible for determining if any non-allowable costs are included in the rate and ensuring that only allowable costs are claimed for Federal Title IV-E AFDC reimbursement. Allowable costs are defined as food, clothing, shelter, daily supervision, school supplies, a child’s personal incidentals and liability insurance with respect to the placed child, reasonable travel to the child’s home for visitation and reasonable travel to the child’s school of origin. For GHs placements allowable cost also include reasonable administration.

TYPE OF PAYMENT/PLACEMENT:

RATE CLASSIFICATION LEVEL (RCL): AMOUNT:

GROUP HOMES 1 $2391

2 $2987

3 $3582

4 $4175

5 $4767

6 $5365

7 $5960

8 $6557

9 $7150

10 $7746

11 $8339

12 $8935

13 $9538

14 $10130

INFANT SUPPLEMENT $890

Chart Book Update #17-02 Revised: 1/13/17

page 3-26 Chart BookFoster Care Charts

3.5.4 Foster Family Agencies (FFA) Effective July 1, 2015

TYPE OF PAYMENT/PLACEMENT: AGE: 7/1/14 7/1/15

NON TREATMENT FFA 0 - 4 $671 $688

5 - 8 $726 $744

9 - 11 $764 $783

12 - 14 $800 $820

15 - 18 $838 $859

INFANT SUPPLEMENT $411 $411

TYPE OF PAYMENT/PLACEMENT: AGE: 7/1/14 7/1/15

TREATMENT FFA 0 - 4 $1728 $1789

5 - 8 $1804 $1866

9 - 11 $1860 $1923

12 - 14 $1928 $1992

15 - 18 $1995 $2060

INFANT SUPPLEMENT $411 $411

TYPE OF PAYMENT/PLACEMENT:

SERVICE LEVEL:

Service Levels Effective July 1, 2012

Rate Effective July 1, 2014

Rate Effective July 1, 2015

INTENSIVE TREATMENT FFA

A Level I

(old A & B)

$5685 $5741

B

C Level II

(old C & D)

$4902 $4958

D

E Level III (old E) $4138 $4194

INFANT SUPPLEMENT $411 $411

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-27Foster Care Charts

3.5.5 Special Needs and Special Care Increments Effective 9/1/07

TYPE OF PAYMENT / PLACEMENT: CHILD’S AGE:

MAXIMUM ALLOWANCE:

Emergency Shelter “Satellite” Home (ESH) All ages $32 Per Day

Specialized Adolescent Care Homes $932 Monthly

Infant Supplement: FFAs, Foster Family Homes, KG, NRLGs and NREFMs, ESH, SILPs, THP-Plus-FC and THPP

$411 Monthly

INFANT SUPPLEMENT: Group Homes $890 Monthly

Special Care Increments are Monthly Rates All Ages Maximum

Emotional/Behavioral Level I $120

Emotional/Behavioral LeveL II $240

Emotional/Behavioral LeveL III $390

Special Medical Needs Level I/Step 1 $111

Special Medical Needs Level I/Step 2 $222

Special Medical Needs Level I/Step 3 $533

Special Medical Needs Level I/Step 4 $889

Special Medical Needs Level II/Step 1 $988

Special Medical Needs Level II/Step 2 $1127

Special Medical Needs Level III $1503

Other County/State Special Needs rate are based on instructions from DFCS

INITIAL CLOTHING ALLOWANCE Under 1 $176

Child 1 - 11 $245

Boy 12 + $293 Boy’s Sizes

Boy 12 + $387 Men’s Sizes

Girl 12 + $413

ANNUAL CLOTHING ALLOWANCE Pre-School $69

School Agea

a. A child who will have had his/her 5th birthday on or before December 2 of the year in which this payment is being made.

$141

Chart Book Update #17-02 Revised: 1/13/17

page 3-28 Chart BookFoster Care Charts

3.5.6 California Department of Developmental Services Community Care Facilities (CCF) Rates Effective 1/1/15

CCF rates are established by the California Department of Developmental Services. When their rates increase they are published on the following website http://www.dds.ca.gov/Rates/ReimbRates.cfm. The CCF rates used by San Andreas Regional Center (SARC) foster care placements.

SERVICE LEVEL PAYMENT RATE

1 $1,014

2-Owner $2,035

2-Staff $2,271

3-Owner $2,355

3-Staff $2,663

4A $3,108

4B $3,316

4C $3,523

4D $3,779

4E $4,047

4F $4,323

4G $4,647

4H $4,991

4I $5,477

Personal and Incidental (P&I) rate Effective New Rate Effective 1/1/15

$131

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-29Foster Care Charts

3.5.7 Dual Agency Children

Age July 1, 2012 July 1, 2013 July 1, 2014 July 1, 2015

Under 3 years old

$942 $967 $988 $1013

3 years and older $2106 $2162 $2209 $2265

Rates

Supplement to Dual Agency Rates

Dual Agency youths that are under 3 years old and receiving the higher rate are not eligible for the following supplemental rates:

$250 $500 $750 $1000

3.5.8 Education Travel Reimbursement (ETR) Effective April 1, 2012.

Rates based on Mileage

Distance from FC Placement to School of Origin One Way in Miles ETR Rate Per Month Per Child

Up to 3.4 $0

3.5 to 8.4 $58

8.5 to 13.4 $154

13.5 to 18.4 $250

18.5 to 23.4 $347

23.5 or More $443

Chart Book Update #17-02 Revised: 1/13/17

page 3-30 Chart BookFoster Care Charts

Rates based on Public Transportation Passes

Cost Rate

Low $25

Medium $50

High $75

3.5.9 Transitional Housing Placement Program (THPP)

Rate is effective 7/1/15:

TYPE OF RATE: PAYMENT RATE

THPP $4819

Note:The infant supplement for a THPP placement is $411. Although THPPs are placed through GHs the rate is not based on GH standard rates.

3.5.10 Transitional Housing Placement Plus Foster Care (THP+FC)

Effective July 1, 2015

TYPE OF SITE: PAYMENT RATE

Single Site Housing $3007

Remote Site $3007

Host Family Model $2393

3.5.11 Transitional Housing Placement Plus (THP+)

Effective July 1, 2015

TYPE OF SITE: PAYMENT RATE

Single $2400

Parenting $2800

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-31Foster Care Charts

3.5.12 Wraparound Services Program

Wraparound rates are no longer paid at the rates set below. Effective July 1, 2012, there is no longer a requirement to subtract the cost of placement for children or youths in FC. Wraparound services are paid at a flat rate of $3500 each month for children or youths in FC, CalWORKs and JPD.

The flat rate for AAP children or youths receiving Wraparound services is $3500 effective July 1, 2013.

Effective 7/1/2013, the rates for Wraparound are the maximum state standards based on the RCL levels. While SCC will pay a maximum of $3500 each month for Wraparound, the fiscal department

TYPE OF RATE: RCL RATE:

California State Wraparound Services 10/11 $8043

13 $9538

Federal Wraparound Services 10/11 $4022

13 $4769

may claim the maximum rates listed below.

Note:There is no involvement from eligibility for fiscal claiming.

3.5.13 Other Counties Rates Effective 7/1/15

Due to a grandfathering of their rates which occurred when the basic rates were added by statute in 1989, certain basic rates paid by Los Angeles, Orange, Marin, and Santa Clara counties exceed the current statewide basic rates specified in WIC Section 11461(a). Counties with higher than the state set basic rate shall receive one-half of the percentage adjustments until the county’s adjusted rates and the state’s basic rates are equivalent. Effective July 1, 2012, Los Angeles, Marin and Santa Clara counties rates are at the state’s equivalent except Orange County. The following chart represents Orange county rates for basic FFH established prior to May 1, 2011. SCI rates are determined per county and must be verified individually. All other rates (i.e. Group Homes, FFA’s, etc.) are standard throughout the state.

Chart Book Update #17-02 Revised: 1/13/17

page 3-32 Chart BookFoster Care Charts

The following rates effect KinGAP and non-Dependent NRLG rates where legal guardianship was established prior to May 1, 2011. Effective July 1, 2015 are the new Orange County rates listed below:

TYPE OF PAYMENT/PLACEMENT:CHILD’S AGE:

BASIC RATE July 1, 2013

BASIC RATE July 1, 2014

BASIC RATE July 1, 2015

BASIC LICENSED FFH AND KinGAP STANDARD STATEWIDE MONTHLY RATES

0 - 4 $481 $491 $503

5 - 8 $522 $533 $547

9 - 11 $559 $571 $586

12 - 14 $684 $691 $743*

15 + $684 $691 $743

* Effective 7/1/15, a 1.27 percent CNI increase applies only to the 12-14 age category.

3.6 Historical Rates

Effective July 1, 2014, all Foster Care, KinGAP and Adoptions Assistance Program (AAP) placements will receive the California Necessities Index (CNI) increase of 2.17 percent. All County Letter (ACL) 14-44 authorized rates increases for Foster Care and KinGAP rates, ACL 15-58E authorized increase for Intensive Treatment Foster Care (ITFC) and ACL 14-45 authorized rate increase for AAP effective July 1, 2014.

Below are the rates effective July 1, 2014.

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-33Foster Care Charts

TYPE OF PAYMENT/PLACEMENT

CHILD’S AGE

RATE AS OF 7/1/12

RATE AS OF 7/1/13

RATE AS OF 7/1/14

BASIC FFH MONTHLY RATES for Licensed FFHs, Approved Relatives, NREFMs, court dependent NRLGs, and Non-Dependent NRLGs established on for after May 1, 2011

0 - 4 $640 $657 $671

5 - 8 $693 $711 $726

9 - 11 $729 $748 $764

12 - 14 $763 $783 $800

15 + $799 $820 $838

3.6.1 Adoption Assistance Program (AAP) Rates Effective 7/1/2014

Initial Agreement Date

1/1/92 to 12/31/07

1/1/08 to 12/31/09

1/1/10 to 5/26/11

Effective 7/1/2014

(State Wide Rates)

Adoption Finalized Date

NA Prior to 5/27/2011 Prior to 5/27/2011 7/1/2011

Eligible for Age Rate Increase

Yes, if requested

Yes, if requested

No No

Rate Age 0-4 $480 $491 $491 $671

Rate Age 5-8 $522 $533 $533 $726

Rate Age 9-11 $565 ($558*) $578 ($571*) $578 ($571*) $764

Rate Age 12-14 $616 $630 $630 $800

Rate Age

15 -21

$674 $690 $690 $838

*Is the State Wide Rate. Los Angeles and Santa Clara County have the same rates.

Marin County AAP Rates Effective July 1, 2014

Ages 0-4 5-6 7-12 13-21

10/1/92 to 12/13/07

$468 $509 $584 $666

Chart Book Update #17-02 Revised: 1/13/17

page 3-34 Chart BookFoster Care Charts

3.6.2 KinGAP/Non-Dependent NRLG Rates Effective July 1, 2014

TYPE OF PAYMENT/PLACEMENT AGERATE AS OF 7/1/12

RATE AS OF 7/1/13

RATE AS OF 7/1/14

BASIC FFH RATES for Kin-GAP and Non-Dependent NRLGs cases with guardianships established PRIOR to May 1, 2011.

0 - 4 $469 $481 $491

5 - 8 $509 $522 $533

9 -11 $545 $559 $571

12 -14 $601 $617 $630

15 -20 $658 $675 $690

BASIC FFH RATES for Kin-GAP and Non-Dependent or Dependent NRLGs cases with guardianships established ON or AFTER to May 1, 2011.

RATE AS OF 7/1/12

RATE AS OF 7/1/13

RATE AS OF 7/1/14

0 - 4 $640 $657 $671

5 - 8 $693 $711 $726

9 - 11 $729 $748 $764

12 - 14 $763 $783 $800

15 - 20 $799 $820 $838

1/1/08 to 12/31/08

$504 $533 $615 $699

7/1/12 Uses the State Wide Rates

Orange County AAP Rates Effective July 1, 2014

Ages 0-4 5-8 9-11 12-14 15-21

10/1/92 to 12/13/07

$468 $509 $544 $691 $691

1/1/08 to 12/31/08

$491 $533 $571 $725 $725

7/1/14 Uses the State Wide Rates

Marin County AAP Rates Effective July 1, 2014

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-35Foster Care Charts

3.6.3 Group Home (GH) Rates Effective 7/1/14

Rates are determined by the state and granted an annual increase based on the California Necessities Index (CNI). A GH is not entitled to the new rate until the state issues the approval. For California GH placements placed out of the state, the rate to be paid is the rate established by the rate-setting authority of the other state. Additionally, out of state GHs cannot exceed the California RCL 14 rate or exceed the rate determined by the rate-setting authority for the state in which the facility is located. The county is responsible for determining if any non-allowable costs are included in the rate and ensuring that only allowable costs are claimed for Federal Title IV-E AFDC reimbursement. Allowable costs are defined as food, clothing, shelter, daily supervision, school supplies, a child’s personal incidentals and liability insurance with respect to the placed child, reasonable travel to the child’s home for visitation and reasonable travel to the child’s school of origin. For GHs placements allowable cost also include reasonable administration.

TYPE OF PAYMENT/PLACEMENT:

RATE CLASSIFICATION LEVEL (RCL): AMOUNT:

GROUP HOMES 1 $2332

2 $2913

3 $3493

4 $4072

5 $4649

6 $5232

7 $5812

8 $6395

9 $6973

10 $7554

11 $8132

12 $8714

13 $9302

14 $9879

INFANT SUPPLEMENT $890

Chart Book Update #17-02 Revised: 1/13/17

page 3-36 Chart BookFoster Care Charts

3.6.4 Foster Family Agencies (FFA) Effective July 1, 2014

TYPE OF PAYMENT/PLACEMENT: AGE: 7/1/13 7/1/14

NON TREATMENT FFA 0 - 4 $657 $671

5 - 8 $711 $726

9 - 11 $748 $764

12 - 14 $783 $800

15 - 18 $820 $838

INFANT SUPPLEMENT $411 $411

TYPE OF PAYMENT/PLACEMENT: AGE: 7/1/13 7/1/14

TREATMENT FFA 0 - 4 $1714 $1728

5 - 8 $1789 $1804

9 - 11 $1844 $1860

12 - 14 $1911 $1928

15 - 18 $1977 $1995

INFANT SUPPLEMENT $411 $411

TYPE OF PAYMENT/PLACEMENT:

SERVICE LEVEL:

Service Levels Effective July 1, 2012

Rate Effective July 1, 2013

Rate Effective July 1, 2014

INTENSIVE TREATMENT FFA

A Level I

(old A & B)

$5637 $5685

B

C Level II

(old C & D)

$4854 $4902

D

E Level III (old E) $4090 $4138

INFANT SUPPLEMENT $411 $411

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-37Foster Care Charts

3.6.5 Special Needs and Special Care Increments Effective 9/1/07

TYPE OF PAYMENT / PLACEMENT: CHILD’S AGE:

MAXIMUM ALLOWANCE:

Emergency Shelter “Satellite” Home (ESH) All ages $32 Per Day

Specialized Adolescent Care Homes $932 Monthly

Infant Supplement: FFAs, Foster Family Homes, KG, NRLGs and NREFMs, ESH, SILPs, THP-Plus-FC and THPP

$411 Monthly

INFANT SUPPLEMENT: Group Homes $890 Monthly

Special Care Increments are Monthly Rates All Ages Maximum

Emotional/Behavioral Level I $120

Emotional/Behavioral LeveL II $240

Emotional/Behavioral LeveL III $390

Special Medical Needs Level I/Step 1 $111

Special Medical Needs Level I/Step 2 $222

Special Medical Needs Level I/Step 3 $533

Special Medical Needs Level I/Step 4 $889

Special Medical Needs Level II/Step 1 $988

Special Medical Needs Level II/Step 2 $1127

Special Medical Needs Level III $1503

Other County/State Special Needs rate are based on instructions from DFCS

INITIAL CLOTHING ALLOWANCE Under 1 $176

Child 1 - 11 $245

Boy 12 + $293 Boy’s Sizes

Boy 12 + $387 Men’s Sizes

Girl 12 + $413

ANNUAL CLOTHING ALLOWANCE Pre-School $69

School Agea

a. A child who will have had his/her 5th birthday on or before December 2 of the year in which this payment is being made.

$141

Chart Book Update #17-02 Revised: 1/13/17

page 3-38 Chart BookFoster Care Charts

3.6.6 California Department of Developmental Services Community Care Facilities (CCF) Rates Effective 1/1/14

CCF rates are established by the California Department of Developmental Services. When their rates increase they are published on the following website http://www.dds.ca.gov/Rates/ReimbRates.cfm. The CCF rates used by San Andreas Regional Center (SARC) foster care placements.

SERVICE LEVEL PAYMENT RATE

1 $1003

2-Owner $2035

2-Staff $2271

3-Owner $2355

3-Staff $2663

4A $3108

4B $3316

4C $3523

4D $3779

4E $4047

4F $4323

4G $4647

4H $4991

4I $5477

Personal and Incidental (P&I) rate Effective New Rate Effective 1/1/14

$130*

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-39Foster Care Charts

3.6.7 Dual Agency Children

Age July 1, 2011 July 1, 2012 July 1, 2013 July 1, 2014

Under 3 years old

$915 $942 $967 $988

3 years and older $2045 $2106 $2162 $2209

Rates

Supplement to Dual Agency Rates

Dual Agency youths that are under 3 years old and receiving the higher rate are not eligible for the following supplemental rates:

$250 $500 $750 $1000

3.6.8 Education Travel Reimbursement (ETR) Effective April 1, 2012.

Rates based on Mileage

Distance from FC Placement to School of Origin One Way in Miles ETR Rate Per Month Per Child

Up to 3.4 $0

3.5 to 8.4 $58

8.5 to 13.4 $154

13.5 to 18.4 $250

18.5 to 23.4 $347

23.5 or More $443

Chart Book Update #17-02 Revised: 1/13/17

page 3-40 Chart BookFoster Care Charts

Rates based on Public Transportation Passes

Cost Rate

Low $25

Medium $50

High $75

3.6.9 Transitional Housing Placement Program (THPP)

Rate is effective 3/1/06:

TYPE OF RATE: PAYMENT RATE

THPP $3819

Note:The infant supplement for a THPP placement is $411. Although THPPs are placed through GHs the rate is not based on GH standard rates.

3.6.10 Transitional Housing Placement Plus Foster Care (THP+FC)

Effective July 1, 2014

TYPE OF SITE: PAYMENT RATE

Single Site Housing $2993

Remote Site $2933

Host Family Model $2334

3.6.11 Transitional Housing Placement Plus (THP+)

Effective 3/1/06

TYPE OF SITE: PAYMENT RATE

Single $1800

Parenting $2350

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-41Foster Care Charts

Note:These rates have not changed since 2006.

3.6.12 Wraparound Services Program

Wraparound rates are no longer paid at the rates set below. Effective July 1, 2012, there is no longer a requirement to subtract the cost of placement for children or youths in FC. Wraparound services are paid at a flat rate of $3500 each month for children or youths in FC, CalWORKs, and JPD.

The flat rate for AAP children or youths receiving Wraparound services is $3500 effective July 1, 2013.

Effective 7/1/2013, the rates for Wraparound are the maximum state standards based on the RCL levels. While SCC will pay a maximum of $3500 each month for Wraparound, the fiscal department

TYPE OF RATE: RCL RATE:

California State Wraparound Services 10/11 $7844

13 $9302

Federal Wraparound Services 10/11 $3921

13 $4652

may claim the maximum rates listed below.

Note:There is no involvement from eligibility for fiscal claiming.

3.6.13 Other Counties Rates Effective 7/1/14

Due to a grandfathering of their rates which occurred when the basic rates were added by statute in 1989, certain basic rates paid by Los Angeles, Orange, Marin, and Santa Clara counties exceed the current statewide basic rates specified in WIC Section 11461(a). Counties with higher than the state set basic rate shall receive one-half of the percentage adjustments until the county’s adjusted rates and the state’s basic rates are equivalent. Effective July 1, 2012, Los Angeles, Marin and Santa Clara counties rates are at the state’s equivalent except Orange County. The following chart represents Orange county rates for basic FFH established prior to May 1, 2011. SCI rates are determined per county and must be verified individually. All other rates (i.e. Group Homes, FFA’s, etc.) are standard throughout the state.

Chart Book Update #17-02 Revised: 1/13/17

page 3-42 Chart BookFoster Care Charts

The following rates effect KinGAP and non-Dependent NRLG rates where legal guardianship was established prior to May 1, 2011. Effective July 1, 2014 are the new Orange County rates listed below:

TYPE OF PAYMENT/PLACEMENT:CHILD’S AGE:

BASIC RATE July 1, 2012

BASIC RATE July 1, 2013

BASIC RATE July 1, 2014

BASIC LICENSED FFH AND KinGAP STANDARD STATEWIDE MONTHLY RATES

0 - 4 $469 $481 $491

5 - 8 $509 $522 $533

9 - 11 $545 $559 $571

12 - 14 $675 $684 $691

15 + $675 $684 $691

3.7 Historical Rates

Effective July 1, 2013, all foster care, KinGAP and Adoptions Assistance Program (AAP) placements will receive the California Necessities Index (CNI) increase of 2.65 percent. All County Letter (ACL) 13-62 authorized rate increases foster care and KinGAP rates and ACL 13-63 authorized rate increases AAP effective July 1, 2013.

Below are the new rates effective July 1, 2013.

TYPE OF PAYMENT/PLACEMENT

CHILD’S AGE

RATE AS OF 7/1/11

RATE AS OF 7/1/12

RATE AS OF 7/1/13

BASIC FFH MONTHLY RATES for Licensed FFHs, Approved Relatives, NREFMs, court dependent NRLGs, and Non-Dependent NRLGs established on for after May 1, 2011

0 - 4 $621 $640 $657

5 - 8 $673 $693 $711

9 - 11 $708 $729 $748

12 - 14 $741 $763 $783

15 + $776 $799 $820

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-43Foster Care Charts

3.7.1 Adoption Assistance Program (AAP) Rates Effective 7/1/2013

Initial Agreement Date

10/1/92 to 12/31/07

1/1/08 to 12/31/09

1/1/10 to 5/26/2011

Effective 7/1/2013

(State Wide Rates)

Adoption Finalized Date

NA NA Prior to 5/27/2011 7/1/2011

Eligible for Age Rate Increase

Yes, if requested Yes, if requested

No No

Rate Age 0-4 $458 $481 $481 $657

Rate Age 5-8 $498 $522 $522 $711

Rate Age 9-11 $539 ($532*) $566 ($559*) $566 ($559*) $748

Rate Age 12-14 $588 $617 $617 $783

Rate Age

15 -21

$643 $675 $675 $820

*Is the State Wide Rate. Los Angeles and Santa Clara County have the same rates.

Marin County AAP Rates Effective July 1, 2013

Ages 0-4 5-6 7-12 13-21

10/1/92 to 12/13/07

$458 $498 $572 $652

1/1/08 to 12/31/08

$493 $522 $602 $684

7/1/12 Uses the State Wide Rates

Orange County AAP Rates Effective July 1, 2013

Ages 0-4 5-8 9-11 12-14 15-21

10/1/92 to 12/13/07

$458 $498 $532 $676 676

1/1/08 to 12/31/08

$481 $522 $559 $710 $710

7/1/13 Uses the State Wide Rates

Chart Book Update #17-02 Revised: 1/13/17

page 3-44 Chart BookFoster Care Charts

3.7.2 KinGAP/Non-Dependent NRLG Rates Effective July 1, 2013

TYPE OF PAYMENT/PLACEMENT AGERATE AS OF 7/1/11

RATE AS OF 7/1/12

RATE AS OF 7/1/13

BASIC FFH RATES for Kin-GAP and Non-Dependent NRLGs cases with guardianships established PRIOR to May 1, 2011.

0 - 4 $455 $469 $481

5 - 8 $494 $509 $522

9 -11 $530 $545 $559

12 -14 $584 $601 $617

15 -20 $639 $658 $675

BASIC FFH RATES for Kin-GAP and Non-Dependent or Dependent NRLGs cases with guardianships established ON or AFTER to May 1, 2011.

RATE AS OF 7/1/11

RATE AS OF 7/1/12

RATE AS OF 7/1/13

0 - 4 $621 $640 $657

5 - 8 $673 $693 $711

9 - 11 $708 $729 $748

12 - 14 $741 $763 $783

15 - 20 $776 $799 $820

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-45Foster Care Charts

3.7.3 Group Home (GH) Rates Effective 7/1/13

Rates are determined by the state and granted an annual increase based on the California Necessities Index (CNI). A GH is not entitled to the new rate until the state issues the approval. For California GH placements made out of the state, the rate to be paid is the rate established by the rate-setting authority of the other state. Additionally, out of state GHs cannot exceed the California RCL 14 rate or exceed the rate determined by the rate-setting authority for the state in which the facility is located. The county is responsible for determining if any non-allowable cost are included in the rate and ensuring that only allowable cost are claimed for Federal Title IV-E AFDC reimbursement. Allowable cost are defined as food, clothing, shelter, daily supervision, school supplies, a child’s personal incidentals and liability insurance with respect to a child, reasonable travel to the child’s home for visitation and reasonable travel to the child’s school of origin. For GHs placements allowable cost also include reasonable administration.

TYPE OF PAYMENT/PLACEMENT:

RATE CLASSIFICATION LEVEL (RCL): AMOUNT:

GROUP HOMES 1 $2282

2 $2851

3 $3419

4 $3986

5 $4550

6 $5121

7 $5689

8 $6259

9 $6825

10 $7394

11 $7959

12 $8529

13 $9104

14 $9669

INFANT SUPPLEMENT $890

Chart Book Update #17-02 Revised: 1/13/17

page 3-46 Chart BookFoster Care Charts

3.7.4 Foster Family Agencies (FFA) Effective July 1, 2013

TYPE OF PAYMENT/PLACEMENT: AGE: 7/1/12 7/1/13

NON TREATMENT FFA 0 - 4 $640 $657

5 - 8 $693 $711

9 - 11 $729 $748

12 - 14 $763 $783

15 - 18 $799 $820

INFANT SUPPLEMENT $411 $411

TYPE OF PAYMENT/PLACEMENT: AGE: 7/1/12 7/1/13

TREATMENT FFA 0 - 4 $1697 $1714

5 - 8 $1771 $1789

9 - 11 $1825 $1844

12 - 14 $1891 $1911

15 - 18 $1956 $1977

INFANT SUPPLEMENT $411 $411

TYPE OF PAYMENT/PLACEMENT:

SERVICE LEVEL:

New Service Levels July 1, 2012

Rate Effective July 1, 2012

Rate Effective 7/1/13

INTENSIVE TREATMENT FFA

A Level I

(old A & B)

$5581 $5637

B

C Level II

(old C & D)

$4798 $4854

D

E Level III (old E) $4034 $4090

INFANT SUPPLEMENT $411 $411

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-47Foster Care Charts

3.7.5 Special Needs and Special Care Increments Effective 9/1/07

TYPE OF PAYMENT / PLACEMENT: CHILD’S AGE:

MAXIMUM ALLOWANCE:

Emergency Shelter “Satellite” Home (ESH) All ages $32 Per Day

Specialized Adolescent Care Homes $932 Monthly

Infant Supplement: FFAs, Foster Family Homes, KG, NRLGs and NREFMs, ESH, SILPs, THP-Plus-FC and THPP

$411 Monthly

INFANT SUPPLEMENT: Group Homes $890 Monthly

Special Care Increments are Monthly Rates All Ages Maximum

Emotional/Behavioral Level I $120

Emotional/Behavioral LeveL II $240

Emotional/Behavioral LeveL III $390

Special Medical Needs Level I/Step 1 $111

Special Medical Needs Level I/Step 2 $222

Special Medical Needs Level I/Step 3 $533

Special Medical Needs Level I/Step 4 $889

Special Medical Needs Level II/Step 1 $988

Special Medical Needs Level II/Step 2 $1127

Special Medical Needs Level III $1503

Other County/State Special Needs rate are based on instructions from DFCS

INITIAL CLOTHING ALLOWANCE Under 1 $176

Child 1 - 11 $245

Boy 12 + $293 Boy’s Sizes

Boy 12 + $387 Men’s Sizes

Girl 12 + $413

ANNUAL CLOTHING ALLOWANCE Pre-School $69

School Agea

a. A child who will have had his/her 5th birthday on or before December 2 of the year in which this payment is being made.

$141

Chart Book Update #17-02 Revised: 1/13/17

page 3-48 Chart BookFoster Care Charts

3.7.6 California Department of Developmental Services Community Care Facilities (CCF) Rates Effective 1/1/14

SERVICE LEVEL PAYMENT RATE

1 Rate effective 1/1/12 is $982, 1/1/13 is $993 (new rate effective 1/1/2014)

$1003

2-Owner $1910

2-Staff $2146

3-Owner $2194

3-Staff $2502

4A $2941

4B $3134

4C $3326

4D $3567

4E $3825

4F $4082

4G $4386

4H $4707

4I $5159

Personal and Incidental (P&I) rate Effective 1/1/13 is $129 New rate effective 1/1/14

$130*

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-49Foster Care Charts

3.7.7 Dual Agency Children

Age July 1, 2007 July 1, 2011 July 1, 2012 July 1, 2013

Under 3 years old

$898 $915 $942 $967

3 years and older $2006a

a. Children under the age of 3 are eligible for the higher rate if they have already been determined to be disabled by SARC.

$2045a $2106a $2162a

Rates

Supplement to Dual Agency Rates

Dual Agency youths that are under 3 years old and receiving the higher rate are not eligible for the following supplemental rates:

$250 $500 $750 $1000

3.7.8 Education Travel Reimbursement (ETR) Effective April 1, 2012.

Rates based on Mileage

Distance from FC Placement to School of Origin One Way in Miles ETR Rate Per Month Per Child

Up to 3.4 $0

3.5 to 8.4 $58.00

8.5 to 13.4 $154.00

13.5 to 18.4 $250.00

18.5 to 23.4 $347.00

23.5 or More $443.00

Chart Book Update #17-02 Revised: 1/13/17

page 3-50 Chart BookFoster Care Charts

Rates based on Public Transportation Passes

Cost Rate

Low $25.00

Medium $50.00

High $75.00

3.7.9 Transitional Housing Placement Program (THPP)

Rate is effective 3/1/06:

TYPE OF RATE: PAYMENT RATE

THPP $3819

Note:The infant supplement for a THPP placement is $411. Although THPPs are placed through GHs the rate is not based on GH standard rates.

3.7.10 Transitional Housing Placement Plus Foster Care (THP-Plus-FC)

Effective July 1, 2013

TYPE OF SITE: PAYMENT RATE

Single Site Housing $2871

Remote Site $2871

Host Family Model $2284

3.7.11 Transitional Housing Placement Plus (THP+)

Effective March 1, 2006

TYPE OF SITE: PAYMENT RATE

Single $1800

Parenting $2350

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-51Foster Care Charts

3.7.12 Wraparound Services Program

Wraparound rates are no longer paid at the rates set below. Effective July 1, 2012, there is no longer a requirement to subtract the cost of placement for children or youths in FC. Wraparound services are paid at a flat rate of $3500 each month for children or youths in FC, CalWORKs and JPD.

The flat rate for AAP children or youths receiving Wraparound services is $3500 effective July 1, 2013.

Effective 7/1/2013 the rates for Wraparound are the maximum state standards based on the RCL levels. While SCC will pay a maximum of $3500 each month for Wraparound, the fiscal department

TYPE OF RATE: RCL RATE:

California State Wraparound Services 10/11 $7677

13 $9104

Federal Wraparound Services 10/11 $3839

13 $4552

may claim the maximum rates listed below.

Note:There is no involvement from eligibility for fiscal claiming.

3.7.13 Current State and Other Counties Rates Effective 7/1/13

Due to a grandfathering of their rates which occurred when the basic rates were added by statute in 1989, certain basic rates paid by Los Angeles, Orange, Marin, and Santa Clara counties exceed the current statewide basic rates specified in WIC Section 11461(a). Counties with higher that the state set basic rate shall receive one-half of the percentage adjustments until the county’s adjusted rates and the state’s basic rates are equivalent. Effective July 1, 2012, Los Angeles, Marin and Santa Clara counties rates are at the state’s equivalent except Orange County. The following chart represents Orange county rates for basic FFH established prior to May 1, 2011. SCI rates are determined per county and must be verified individually. All other rates (i.e. Group Homes, FFA’s, etc.) are standard throughout the state.

Chart Book Update #17-02 Revised: 1/13/17

page 3-52 Chart BookFoster Care Charts

The following rates effect KinGAP and non-Dependent NRLG rates where legal guardianship was established prior to May 1, 2011. Effective July 1, 2013 are the new Orange County rates listed below:

TYPE OF PAYMENT/PLACEMENT:CHILD’S AGE:

BASIC RATE July 1, 2011

BASIC RATE July 1, 2012

BASIC RATE July 1, 2013

BASIC LICENSED FFH AND KinGAP STANDARD STATEWIDE MONTHLY RATES

0 - 4 $455 $469 $481

5 - 8 $494 $509 $522

9 - 11 $529 $545 $559

12 - 14 $665 $675 $684

15 + $665 $675 $684

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-53Foster Care Charts

3.8 Historical Foster Care Rates

Effective July 1, 2012, all foster care placement receive the CNI of 2.98 percent. Additionally, ACL 12-43 increased rates retroactively for Dual Agency Children. ACL 12-43 included Foster Family Agencies (FFA) in the CNI, changed the levels of care FFA Intensive Treatment Foster Care (ITFC) from five levels to three. ACL 12-43 included a provision for the continuance of AFDC-FC benefits beyond the age of 19 years old. Rates for AAP, Kin-GAP and Non-Dependent Legal Guardian continue to vary.

Below are the new rates effective July 1, 2012.

TYPE OF PAYMENT/PLACEMENT

CHILD’S AGE

RATE AS OF 5/1/11

RATE AS OF 7/1/11

RATE AS OF 7/1/12

BASIC FFH MONTHLY RATES for Licensed FFHs, Approved Relatives, NREFMs, court dependent NRLGs, and Non-Dependent NRLGs established on for after May 1, 2011

0 - 4 $609 $621 $640

5 - 8 $660 $673 $693

9 - 11 $695 $708 $729

12 - 14 $727 $741 $763

15 + $761 $776 $799

Chart Book Update #17-02 Revised: 1/13/17

page 3-54 Chart BookFoster Care Charts

3.8.1 Adoption Assistance Program (AAP) Rates Effective 7/1/2012

Initial Agreement Date

10/1/92 to 12/31/07

1/1/08 to 12/31/09

1/1/10 to 5/26/2011

Effective 7/1/2012

(State Wide Rates)

Adoption Finalized Date

NA NA Prior to 5/27/2011 7/1/2011

Eligible for Age Rate Increase

Yes, if requested Yes, if requested

No No

Rate Age 0-4 $446 $469 $469 $640

Rate Age 5-8 $485 $509 $509 $693

Rate Age 9-11 $525 ($518*) $551 ($545*) $551 ($545*) $729

Rate Age 12-14 $573 $601 $601 $763

Rate Age

15 -21

$626 $658 $658 $799

*Is the State Wide Rate. Los Angeles and Santa Clara County have the same rates.

Marin County AAP Rates Effective July 1, 2012

Ages 0-4 5-6 7-12 13-21

10/1/92 to 12/13/07

$446 $485 $557 $635

1/1/08 to 12/31/08

$480 $509 $586 $666

7/1/12 Uses the State Wide Rates

Orange County AAP Rates Effective July 1, 2012

Ages 0-4 5-8 9-11 12-14 15-21

10/1/92 to 12/13/07

$446 $485 $518 $659 659

1/1/08 to 12/31/08

$469 $509 $545 $692 $658

7/1/12 Uses the State Wide Rates

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-55Foster Care Charts

3.8.2 KinGAP/Non-Dependent NRLG Rates Effective July 1, 2012

TYPE OF PAYMENT/PLACEMENT AGERATE AS OF 7/1/11

RATE AS OF 7/1/12

BASIC FFH RATES for Kin-GAP and Non-Dependent NRLGs cases with guardianships established PRIOR to May 1, 2011.

0 - 4 $455 $469

5 - 8 $494 $509

9 -11 $530 $545

12 -14 $584 $601

15 -20 $639 $658

BASIC FFH RATES for Kin-GAP and Non-Dependent or Dependent NRLGs cases with guardianships established ON or AFTER to May 1, 2011.

RATE AS OF 7/1/11

RATE AS OF 7/1/12

0 - 4 $621 $640

5 - 8 $673 $693

9 - 11 $708 $729

12 - 14 $741 $763

15 - 20 $776 $799

Chart Book Update #17-02 Revised: 1/13/17

page 3-56 Chart BookFoster Care Charts

3.8.3 Group Home (GH) Rates Effective 7/1/12

Rates are determined by the state and granted an annual increase based on the California Necessities Index (CNI). A GH is not entitled to the new rate until the state issues the approval. Additionally, out of state GHs cannot exceed the California RCL 14 rate.

TYPE OF PAYMENT/PLACEMENT:

RATE CLASSIFICATION LEVEL (RCL): AMOUNT:

GROUP HOMES 1 $2223

2 $2777

3 $3331

4 $3883

5 $4433

6 $4989

7 $5542

8 $6097

9 $6649

10 $7203

11 $7754

12 $8309

13 $8869

14 $9419

INFANT SUPPLEMENT $890

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-57Foster Care Charts

3.8.4 Foster Family Agencies (FFA) Effective July 1, 2012

TYPE OF PAYMENT/PLACEMENT: AGE: 10/1/09 7/1/12

NON TREATMENT FFA 0 - 4 $373 $640

5 - 8 $405 $693

9 - 11 $431 $729

12 - 14 $480 $763

15 - 18 $522 $799

INFANT SUPPLEMENT $411 $411

TYPE OF PAYMENT/PLACEMENT: AGE: 10/1/09 7/1/12

TREATMENT FFA 0 - 4 $1430 $1697

5 - 8 $1483 $1771

9 - 11 $1527 $1825

12 - 14 $1608 $1891

15 - 18 $1679 $1956

INFANT SUPPLEMENT $411 $411

TYPE OF PAYMENT/PLACEMENT:

SERVICE LEVEL: 10/1/09

New Service Levels July 1, 2012

Rate Effective July 1, 2012

INTENSIVE TREATMENT FFA A $4028 Level I

(old A & B)

$5581

B $3695

C $3349 Level II

(old C & D)

$4798

D $3023

E $2687 Level III (old E) $4034

INFANT SUPPLEMENT $411 $411

3.8.5 Dual Agency Children

Age July 1, 2007 July 1, 2011 July 1, 2012

Under 3 years old $898 $915 $942

3 years and older $2006a $2045a $2106a

Rates

Chart Book Update #17-02 Revised: 1/13/17

page 3-58 Chart BookFoster Care Charts

3.8.6 Transitional Housing Placement Plus Foster Care (THP-Plus-FC)

Effective July 1, 2012

TYPE OF SITE: PAYMENT RATE

Single Site Housing $2797

Remote Site $2797

Host Family Model $2225

3.8.7 Foster Care Basic Rates Effective May 1, 2011 and July 1, 2011

TYPE OF PAYMENT/PLACEMENT

CHILD’S AGE

RATE AS OF 1/1/08

RATE AS OF 5/1/11

RATE AS OF 7/1/11

BASIC FFH MONTHLY RATES for Licensed FFHs, Approved Relatives, NREFMs, and court dependent NRLGs

0 - 4 $446 $609 $621

5 - 8 $485 $660 $673

9 - 11 $525a

a. The Santa Clara County rate for this age group exceeds the statewide standard ($519). In addition, the basic rates paid by Los Angeles, Marin, and Orange counties exceed statewide standards for certain age groups for rates prior to May 1, 2011. [Refer to “,” page 3-75.]

$695 $708

12 - 14 $573 $727 $741

15 + $627 $761 $776

a. Children under the age of 3 are eligible for the higher rate if they have already been determined to be disabled by SARC.

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-59Foster Care Charts

KinGAP and Non-Related Legal Guardian Established before May 1, 2011 for Los Angeles, Santa Clara, Orange and Marin Counties

TYPE OF PAYMENT/PLACEMENT AGERATE AS OF 7/1/11

Orange County as of 7/1/11

Marin County As of 7/1/11

BASIC FFH RATES for Kin-GAP and Non-Dependent NRLGs cases with guardianships established PRIOR to May 1, 2011.

0 - 4 $455 $455 (0-40 $461

5 - 8 $494 $494 (5-6) $494

9 -11 $530 $529 (7-12) $639

12 -14 $584 $665 (13-20) $641

15 -20 $639 $655

Effective 1/1/08-04/30/2011

TYPE OF PAYMENT/PLACEMENT:CHILD’S AGE:

BASIC RATE:

BASIC FOSTER FAMILY HOME (FFH) MONTHLY RATES

0 - 4 $446

5 - 8 $485

9 - 11 $525a

a. The Santa Clara County rate for this age group exceeds the statewide standard ($519). In addition, the basic rates paid by Los Angeles, Marin, and Orange counties exceed statewide standards for certain age groups. [Refer to “,” page 3-75.]

12 - 14 $573

15 + $627

Adoption Assistance Program (AAP) Rates Effective 5/27/2011 and 7/1/2011

Chart Book Update #17-02 Revised: 1/13/17

page 3-60 Chart BookFoster Care Charts

Initial Agreement Date

10/1/92 to 12/31/07

1/1/08 to 12/31/09

1/1/10 to 5/26/2011

On or after 5/27/2011 and prior to 7/1/2011

Effective 7/1/2011

Adoption Finalized Date

NA NA Prior to 5/27/2011

5/27/2011 - 7/1/2011

7/1/2011

Eligible for Age Rate Increase

Yes, if requested

Yes, if requested

No No No

Rate Age 0-4 $433 $455 $455 $609 $621

Rate Age 5-8 $471 $494 $494 $660 $673

Rate Age 9-11

$510 $530 $530 $695 $708

Rate Age 12-14

$556 $584 $584 $727 $741

Rate Age

15 -21

$608 $639 $639 $761 $776

Example:Adoption finalized on May 30, 2011 for a three year old, the rate effective May 30, 2011 is $609 and increases July 1, 2011 to $621.

Example:Adoption is initialized April 14, 2011 and finalized May 28, 2011 for a twelve year old, the adoption rate is $747 effective May 28, 2011 and increases July 1, 2011 to $741.

Example:Adoption is initialized April 24, 2011 and finalized May 25, 2011 for a fifteen year old, effective May 25, 2011 is $627 (historical rate) and increases July 1, 2011 to $639.

Example:Adoption is initialized March 4, 2011 and finalized July 14, 2011 for a ten year old, the adoption rate is $708 effective July 14, 201

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-61Foster Care Charts

Effective 7/1/01 - 8/31/07

TYPE OF PAYMENT / PLACEMENT:CHILD’S AGE:

MAXIMUM ALLOWANCE:

BASIC FOSTER FAMILY HOME MONTHLY RATES 0 - 4 $425

5 - 8 $462

9 - 11 $500a

12 - 14 $546

15 + $597

EMERGENCY SHELTER “SATELLITE” HOME (ESH) All ages $30 per day

SPECIALIZED ADOLESCENT CARE HOMES $888 monthly

Personal & Incidental (P&I) Allowances 119 (1/1/07) $121 (1/1/09)

INFANT SUPPLEMENT: FFAs, Foster Family Homes, including non-relative legal guardian placements and ESH

$391 monthly

INFANT SUPPLEMENT: Group Homes $848 monthly

SPECIALIZED CARE RATE (Basic) All Ages $34 monthly

SPECIALIZED CARE RATE Monthly Rate for All Ages Min Max

Emotional/Behavior Level I All Ages $35 $114

Emotional/Behavior Level II All Ages $115 $229

Emotional/Behavior Level III All Ages $230 $371

Developmentally Disabled Level I All Ages $388

Developmentally Disabled Level II All Ages $601

Developmentally Disabled Level II All Ages $744

Special Medical Needs Level III All Ages $1 $847

Special Medical Needs Level III All Ages $848 $1073

Special Medical Needs Level III All Ages $1074 $1431

INITIAL CLOTHING ALLOWANCE Under 1 $168

Child 1 - 11 $233

Boy 12 + $279 boy’s sizes

Boy 12 + $369 men’s sizes

Girl 12 + $393

ANNUAL CLOTHING ALLOWANCE Pre-School $66

Chart Book Update #17-02 Revised: 1/13/17

page 3-62 Chart BookFoster Care Charts

Effective 7/1/00-6/30/01

TYPE OF PAYMENT / PLACEMENT:CHILD’S AGE:

MAXIMUM ALLOWANCE:

BASIC FOSTER FAMILY HOME MONTHLY RATES 0 - 4 $405

5 - 8 $441

9 - 11 $488a

a. The Santa Clara County rate for this age group exceeds the statewide standard ($471). In addition, the basic rates paid by Los Angeles, Marin, Orange, San Diego, and San Mateo counties exceed statewide standards for certain age groups. [Refer to “,” page 3-75.]

12 - 14 $521

15 + $569

EMERGENCY SHELTER “SATELLITE” HOME (ESH) All ages $29 per day

SPECIALIZED ADOLESCENT CARE HOMES $847 monthly

INFANT SUPPLEMENT: FFAs, Foster Family Homes, including non-relative legal guardian placements and ESH

$373 monthly

INFANT SUPPLEMENT: Group Homes $809 monthly

SPECIALIZED CARE RATE (Basic) All ages $32 monthly

INITIAL CLOTHING ALLOWANCE Under 1 $160

Child 1 - 11 $222

Boy 12 + $266 boy’s sizes

Boy 12 + $352 men’s sizes

Girl 12 + $375

ANNUAL CLOTHING ALLOWANCE Pre-School $63

School Ageb $128

School Ageb $134

a. The Santa Clara County rate for this age group exceeds the statewide standard ($494). In addition, the basic rates paid by Los Angeles, Marin, and Orange counties exceed statewide standards for certain age groups. [Refer to “,” page 3-75.]

b. A child who will have had his/her 5th birthday on or before December 2 of the year in which this payment is being made.

TYPE OF PAYMENT / PLACEMENT:CHILD’S AGE:

MAXIMUM ALLOWANCE:

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-63Foster Care Charts

Effective 1/1/00-6/30/00

TYPE OF PAYMENT / PLACEMENT:CHILD’S AGE:

MAXIMUM ALLOWANCE:

BASIC FOSTER FAMILY HOME MONTHLY RATES 0 - 4 $393

5 - 8 $428

9 - 11 $481a

a. The Santa Clara County rate for this age group exceeds the statewide standard ($457). In addition, the basic rates paid by Los Angeles, Marin, Orange, San Diego, and San Mateo counties exceed statewide standards for certain age groups. [Refer to “,” page 3-75.]

12 - 14 $506

15 + $553

EMERGENCY SHELTER “SATELLITE” HOME (ESH) All ages $28 per day

SPECIALIZED ADOLESCENT CARE HOMES $823 monthly

INFANT SUPPLEMENT: FFAs, Foster Family Homes, including non-relative legal guardian placements and ESH

$362 monthly

INFANT SUPPLEMENT: Group Homes $786 monthly

SPECIALIZED CARE RATE (Basic) All ages $31 monthly

INITIAL CLOTHING ALLOWANCE Under 1 $155

Child 1 - 11 $216

Boy 12 + $258 boy’s sizes

Boy 12 + $342 men’s sizes

Girl 12 + $364

ANNUAL CLOTHING ALLOWANCE Pre-School $61

School Ageb

b. A child who will have had his/her 5th birthday on or before December 2 of the year in which this payment is being made.

$124

b. A child who will have had his/her 5th birthday on or before December 2 of the year in which this payment is being made.

Chart Book Update #17-02 Revised: 1/13/17

page 3-64 Chart BookFoster Care Charts

Effective 7/1/99- 12/31/99

TYPE OF PAYMENT / PLACEMENT:CHILD’S AGE:

MAXIMUM ALLOWANCE:

BASIC FOSTER FAMILY HOME MONTHLY RATES 0 - 4 $384

5 - 8 $418

9 - 11 $470a

a. The Santa Clara County rate for this age group exceeds the statewide standard ($446). In addition, basic rates paid by Los Angeles, Marin, Orange and San Diego counties exceed the statewide standard for certain age groups.

12 - 14 $494

15 + $540

EMERGENCY SHELTER “SATELLITE” HOME (ESH) All ages $27 per day

SPECIALIZED ADOLESCENT CARE HOMES $804 monthly

INFANT SUPPLEMENT: FFAs, Foster Family Homes, including non-relative legal guardian placements and ESH

$354 monthly

INFANT SUPPLEMENT: Group Homes

$768 monthly

SPECIALIZED CARE RATE (Basic) All ages $31 monthly

INITIAL CLOTHING ALLOWANCE Under 1 $155

Child 1 - 11 $216

Boy 12 + $258 boy’s sizes

Boy 12 + $342 men’s sizes

Girl 12 + $364

ANNUAL CLOTHING ALLOWANCE Pre-School $61

School Ageb

b. A child who will have had his/her fifth birthday on or before December 2 of the year in which this payment is being made.

$124

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-65Foster Care Charts

Effective 7/1/98- 6/30/99

TYPE OF PAYMENT / PLACEMENT:CHILD’S AGE:

MAXIMUM ALLOWANCE:

BASIC FOSTER FAMILY HOME MONTHLY RATES 0 - 4 $375

5 - 8 $408

9 - 11 $459a

a. The Santa Clara County rate for this age group exceeds the statewide standard ($436). In addition, basic rates paid by Los Angeles, Marin, Orange and San Diego counties exceed the statewide standard for certain age groups.

12 - 14 $483

15 + $528

EMERGENCY SHELTER “SATELLITE” HOME (ESH) All ages $26 per day

SPECIALIZED ADOLESCENT CARE HOMES $785 monthly

INFANT SUPPLEMENT: FFAs, Foster Family Homes, including non-relative legal guardian placements and ESH

$346 monthly

INFANT SUPPLEMENT: Group Homes

$750 monthly

SPECIALIZED CARE RATE (Basic) All ages $31 monthly

INITIAL CLOTHING ALLOWANCE Under 1 $155

Child 1 - 11 $216

Boy 12 + $258 boy’s sizes

Boy 12 + $342 men’s sizes

Girl 12 + $364

ANNUAL CLOTHING ALLOWANCE Pre-School $61

School Ageb

b. A child who will have had his/her fifth birthday on or before December 2, of the year in which this payment is being made.

$124

Chart Book Update #17-02 Revised: 1/13/17

page 3-66 Chart BookFoster Care Charts

Effective 7/1/90 - 6/30/98

TYPE OF PAYMENT / PLACEMENT:CHILD’S AGE:

MAXIMUM ALLOWANCE:

BASIC FOSTER FAMILY HOME MONTHLY RATES 0 - 4 $345

5 - 8 $375

9 - 11 $428a

a. The Santa Clara County rate for this age group exceeds the statewide standard ($400). In addition, basic rates paid by Los Angeles, Marin, Orange and San Diego counties exceed the statewide standard for certain age groups.

12 - 14 $444

15 + $484

EMERGENCY SHELTER “SATELLITE” HOME (ESH) All ages $25 per day

SPECIALIZED ADOLESCENT CARE HOMES $741 monthly

INFANT SUPPLEMENT: FFAs, Foster Family Homes, including non-relative legal guardian placements and ESH

$326 monthly

INFANT SUPPLEMENT: Group Homes

$708 monthly

SPECIALIZED CARE RATE (Basic) All ages $30 monthly

INITIAL CLOTHING ALLOWANCE Under 1 $147

Child 1 - 11 $204

Boy 12 + $244 boy’s sizes

Boy 12 + $323 men’s sizes

Girl 12 + $344

ANNUAL CLOTHING ALLOWANCE Pre-School $58

School Ageb

b. A child who will have had his/her fifth birthday on or before December 2, of the year in which this payment is being made.

$117

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-67Foster Care Charts

3.8.8 Historical KinGAP Rates

Effective 1/1/08-04/30/11

TYPE OF PAYMENT/PLACEMENT: AGE:BASIC RATE:

BASIC KinGAP MONTHLY RATES 0 - 4 $446

5 - 8 $485

9 - 11 $525a

a. Rate exceeds statewide standard.

12 - 14 $573

15 - 19 $627

SANTA CLARA COUNTY

Age Basic Rate (7/1/01)

0 - 4 $425

5 - 8 $462

9 - 11 $500a

a. Rate exceeds statewide standard.

12 -14 $546

15 - 19 $597

Infant Supplement $391

Effective 7/1/01-12-31-07

Chart Book Update #17-02 Revised: 1/13/17

page 3-68 Chart BookFoster Care Charts

Effective 7/1/00-6/30/01

SANTA CLARA COUNTY

Age Basic Rate (7/1/00)

0 - 4 $405

5 - 8 $441

9 - 11 $488a

a. Rate exceeds statewide standard.

12 -14 $521

15 - 19 $569

Infant Supplement $354

Effective 1/1/00-6/30/00

SANTA CLARA COUNTY

Age Basic Rate (1/1/00)

0 - 4 $393

5 - 8 $428

9 - 11 $481a

a. Rate exceeds statewide standard.

12 -14 $506

15 - 19 $553

Infant Supplement $354

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-69Foster Care Charts

3.8.9 Historical Group Home Rates

Effective 7/1/11-6/30/11

TYPE OF PAYMENT/PLACEMENT:

RATE CLASSIFICATION LEVEL (RCL): AMOUNT:

GROUP HOMES 1 $2159

2 $2697

3 $3235

4 $3771

5 $4305

6 $4845

7 $5382

8 $5921

9 $6457

10 $6995

11 $7530

12 $8069

13 $8612

14 $9146

INFANT SUPPLEMENT $890

Effective 7/1/10-6/30/11

TYPE OF PAYMENT/PLACEMENT:

RATE CLASSIFICATION LEVEL (RCL): AMOUNT:

GROUP HOMES 1 $2118

2 $2646

3 $3174

4 $3700

5 $4224

Chart Book Update #17-02 Revised: 1/13/17

page 3-70 Chart BookFoster Care Charts

Effective 12/14/09-6/30/10.

TYPE OF PAYMENT/PLACEMENT:

RATE CLASSIFICATION LEVEL (RCL): AMOUNT:

GROUP HOMES 1 $2085

2 $2605

3 $3125

4 $3643

5 $4159

6 $4681

7 $5199

8 $5719

9 $6237

10 $6757

11 $7274

12 $7795

13 $8319

14 $8835

INFANT SUPPLEMENT $890

6 $4754

7 $5281

8 $5809

9 $6335

10 $6863

11 $7388

12 $7917

13 $8450

14 $8974

INFANT SUPPLEMENT $890

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-71Foster Care Charts

Effective 10/1/09-12/14/09.

TYPE OF PAYMENT/PLACEMENT:

RATE CLASSIFICATION LEVEL (RCL): AMOUNT:

GROUP HOMES 1 $1337

2 $1700

3 $2058

4 $2420

5 $2779

6 $3140

7 $3500

8 $3862

9 $4221

10 $4583

11 $4941

12 $5302

13 $5665

14 $6025

INFANT SUPPLEMENT $890

Chart Book Update #17-02 Revised: 1/13/17

page 3-72 Chart BookFoster Care Charts

Effective 1/1/08-9/30/09

TYPE OF PAYMENT/PLACEMENT:

RATE CLASSIFICATION LEVEL (RCL): AMOUNT:

GROUP HOMES 1 $1486

2 $1889

3 $2287

4 $2689

5 $3088

6 $3489

7 $3889

8 $4291

9 $4690

10 $5092

11 $5490

12 $5891

13 $6294

14 $6694

INFANT SUPPLEMENT $890

3.8.10 Historical Foster Family Agency Rates

Effective 1/1/01-9/30/09

TYPE OF PAYMENT/PLACEMENT: AGE:BASIC RATE:

NON TREATMENT FFA 0 - 4 $414

5 - 8 $450

9 - 11 $479

12 - 14 $533

15 - 18 $580

INFANT SUPPLEMENT $411a

a. Effective 1/1/08. This rate was $391 from 1/1/01 to 12/31/07

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-73Foster Care Charts

TYPE OF PAYMENT/PLACEMENT: AGE:BASIC RATE:

TREATMENT FFA 0 - 4 $1589

5 - 8 $1648

9 - 11 $1697

12 - 14 $1787

15 - 18 $1865

INFANT SUPPLEMENT $411a

TYPE OF PAYMENT/PLACEMENT:SERVICE LEVEL:

BASIC RATE:

INTENSIVE TREATMENT FFA A $4476

B $4105

C $3721

D $3359

E $2985

INFANT SUPPLEMENT $411a

a. Effective 1/1/08. This rate was $391 from 1/1/01 to 12/31/07

a. Effective 1/1/08. This rate was $391 from 1/1/01 to 12/31/07

Chart Book Update #17-02 Revised: 1/13/17

page 3-74 Chart BookFoster Care Charts

3.8.11 Historical California Department of Developmental Services Community Care Facilities (CCF) Rates

Service Level

6/1/03 1/1/05 4/1/05 1/1/05 1/1/06 7/1/06 1/1/07 1/1/07a

a. The rates for 2007 were revised on 4/12/07. Rate adjustments were to be requested by provider within 30 days of that date. If there was no request made then the original 2007 rate applies.

1 $842 $866 $877 $877 $898 $898 $916 $916 $928

2-Owner $1694 $1694 $1694 $1694 $1694 $1745 $1745 $1810 $1910

2-Staff $1904 $1904 $1904 $1904 $1904 $1961 $1961 $2034 $2146

3-Owner $1948 $1948 $1948 $1948 $1948 $2006 $2006 $2080 $2194

3-Staff $2220 $2220 $2220 $2220 $2220 $2287 $2287 $2372 $2502

4A $2855 $2855 $2855 $2855 $2855 $2941 $2941 $2941 $2941

4B $3043 $3043 $3043 $3043 $3043 $3134 $3134 $3134 $3134

4C $3229 $3229 $3229 $3229 $3229 $3326 $3326 $3326 3326

4D $3463 $3463 $3463 $3463 $3463 $3567 $3567 $3567 $3567

4E $3714 $3714 $3714 $3714 $3714 $3825 $3825 $3825 $3825

4F $3963 $3963 $3963 $3963 $3963 $4082 $4082 $4082 $4082

4G $4258 $4258 $4258 $4258 $4258 $4386 $4386 $4386 $4386

4H $4570 $4570 $4570 $4570 $4570 $4707 $4707 $4707 $4707

4I $5009 $5009 $5009 $5009 $5009 $5159 $5159 $5159 $5159

Historical Personal & Incidental Payments

Date Payment Amount

1/1/08 $121

1/1/07 $119

1/1/06 $117

4/1/05 $114

1/1/05 $113

1/1/04 $111

6/1/03 $110

1/1/03 $107

1/1/02 $106

1/1/08

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-75Foster Care Charts

3.8.12 Historical Transitional Housing Placement Program (THPP)

Rate prior to 3/1/06:

TYPE OF RATE: PAYMENT RATE

THPP $3380

3.8.13 Historical Wraparound Rates

Effective 10/1/09-6/30/13

TYPE OF RATE: RCL10/1/09- 6/30/10

7/1/10 - 6/30/11

7/1/11- 6/30/12

7/1/12-|6/30/12

California Wraparound Services

10/11 $7016 $7126 $7263 $7479

13 $8319 $8450 $8612 $8869

Federal Wraparound Services

10/11 $3073 $3121 $3631 $3838

13 $3644 $3701 $4306 $4553

Effective 1/1/08-9/30/09

TYPE OF RATE: RCL RATE:

California Wraparound Services 10/11 $4762

13 $5665

Federal Wraparound Services 10/11 $2317

13 $2757

Chart Book Update #17-02 Revised: 1/13/17

page 3-76 Chart BookFoster Care Charts

3.8.14 Historical Other Counties with Higher Basic Rates

Los Angeles County

AgeBasic Rate (7/1/01-12/31/07)

0 - 4 $425

5 - 8 $462a

a. Rate exceeds statewide standard.

9 - 11 $500a

12 -14 $546a

15 - 19 $597a

Marin County

Children’s ages are grouped differently in Marin County.

AgeBasic Rate (7/1/01-12/31/07)

0 - 4 $435a

5 - 6 $462

7 - 12 $531a

a. Rate exceeds statewide standard.

13 -19 $605a

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-77Foster Care Charts

Orange County

AgeBasic Rate (7/1/01-12/31/07)

0 - 4 $425

5 - 8 $462a

a. Rate exceeds statewide standard

9 - 11 $494

12 -14 $628a

15 - 19 $628a

3.9 Proration of Benefits, (When determining payments by number of eligible days)

Instructions

USE THIS CHART WHEN MAKING A PARTIAL MONTH PAYMENT BY DETERMINING THE NUMBER OF ELIGIBLE DAYS.

Reminder:Foster Care is NOT paid for the last day of placement (the day the child leaves).

Exception:There is a one day minimum payment ($32 effective 1/1/08) for an ESH placement (when a child enters and leaves an ESH on the same day).

1. Determine the total number of days to be paid for the placement.

2. Scan across the row to the column that corresponds to the total number of days in the payment month. The decimal figure is the fraction of the month for which the placement is to be paid.

Chart Book Update #17-02 Revised: 1/13/17

page 3-78 Chart BookFoster Care Charts

3. Multiply the total monthly rate/benefit amount by the decimal fraction and round down, dropping all cents, to determine the rate/benefit amount to be paid for the child’s placement.

Example:A child, age 6 with the rate of $673 is placed on July 7 and leaves the facility on July 21, (14 days). Use the 31-Day column and scan down to 14 and locate the decimal (.4516) and multiply $673 x.4516 = $303.92; after rounding down (dropping all cents); the payment = $304.

Number of Days

28-Day Month

29-Day Month

30-Day Month

31-Day Month

Number of Days

1 .0357 .0345 .0333 .0323 1

2 .0714 .0690 .0667 .0645 2

3 .1071 .1034 .1000 .0968 3

4 .1429 .1379 .1333 .1290 4

5 .1786 .1724 .1667 .1613 5

6 .2143 .2069 .2000 .1935 6

7 .2500 .2414 .2333 .2258 7

8 .2857 .2759 .2667 .2581 8

9 .3214 .3103 .3000 .2903 9

10 .3571 .3448 .3333 .3226 10

11 .3929 .3793 .3667 .3548 11

12 .4286 .4138 .4000 .3871 12

13 .4643 .4483 .4333 .4194 13

14 .5000 .4828 .4667 .4516 14

15 .5357 .5172 .5000 .4839 15

16 .5714 .5517 .5333 .5161 16

17 .6071 .5862 .5667 .5484 17

18 .6429 .6207 .6000 .5806 18

19 .6786 .6552 .6333 .6129 19

20 .7143 .6897 .6667 .6452 20

21 .7500 .7241 .7000 .6774 21

22 .7847 .7586 .7333 .7097 22

23 .8214 .7931 .7667 .7419 23

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-79Foster Care Charts

3.10 Federal Eligibility, Income Determination

3.10.1 Background

Due to the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) of 1996 and state welfare reform, when determining federal eligibility for Foster Care children removed on or after July 1, 1997, EWs must use BOTH:

• The following AFDC budgeting rules which were in effect on July 16, 1996 to determine the parent(s’)/caretaker relative’s countable income in the month the petition was filed or the voluntary placement agreement was signed, AND

• The MBSAC, 185% of MBSAC and MAP levels as of July 16, 1996 to determine if they “would have been eligible for AFDC”.

3.10.2 Income Tests

When determining federal eligibility for Foster Care, the AU must pass BOTH the:

• 185% of MBSAC Income Test, AND• Financial Eligibility Test (FET).

EWs must use the “AFDC-FG/U Worksheet” (FC 3A) for budgeting.

24 .8571 .8276 .8000 .7742 24

25 .8929 .8621 .8333 .8065 25

26 .9286 .8966 .8667 .8387 26

27 .9643 .9310 .9000 .8710 27

28 .9655 .9333 .9032 28

29 .9667 .9355 29

30 .9677 30

Number of Days

28-Day Month

29-Day Month

30-Day Month

31-Day Month

Number of Days

Chart Book Update #17-02 Revised: 1/13/17

page 3-80 Chart BookFoster Care Charts

3.10.3 Standard Work Expense (SWE)

Deduct $90 from the gross earned income of each recipient who is employed in the month the petition was filed.

3.10.4 $30 and 1/3 Disregard

Changes in $30 and 1/3

The $30 and 1/3 Disregard rules have changed over time to provide work incentives for cash aid recipients. Foster Care EWs must follow the rules which were in effect on July 16, 1996 when determining federal eligibility. If otherwise eligible, the $30 and 1/3 disregard is limited to 4-consecutive months, without an intervening 12-month period when not on aid. Also see additional $30 and 1/3 “Rules” below.

The following chart will assist EWs in determining if the $30 and 1/3 can be applied to earnings in the month of petition.

IF the petition being used was filed... The Foster Care EW must...

Because the $30 and 1/3 Disregard...

1/1/98 or later, Apply the $30 and 1/3 disregard to earned income.

Is NOT used in the CalWORKs Program.

9/1/93 - 12/31/97, Determine whether the $30 and 1/3 has already been received for 4 consecutive months without an intervening 12-month period when not on aid.

• If YES, do not allow.a

a. When an AU has already received 4-consecutive months of $30 and 1/3, AND, the month of petition is within the 8-consecutive months following the 4-month period, allow the $30 disregard.

• If NO, allow.

4-month time limit was eliminated in the AFDC Program during this period.

FC EWs must continue to follow old, 7/1/96 AFDC rules.

Prior to 9/1/93, (FYI only)

If otherwise eligible, apply the $30 and 1/3 unless it has already been received for 4 consecutive months without an intervening 12-month period when not on aid.a

Rules are the same for both the Foster Care federal eligibility determination and the AFDC Program during this period.

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-81Foster Care Charts

Rules

For EACH adult in the AU with earnings (and child with earnings who is not eligible for the Student Exemption), deduct $30 from the amount remaining after deducting the $90 SWE, then deduct 1/3 of the remainder, if otherwise eligible for this disregard. The $30 and 1/3 disregard is limited to 4 consecutive months.

The $30 and 1/3 is NOT allowed when:

• The 185% gross income test is being computed.

• The person who earned the income has already received the $30 and 1/3 disregard in any AU for 4-consecutive months without an intervening 12-month period when he/she was not on aid.

Reminder:Receipt of Refugee Cash Assistance (RCA) or Medi-Cal only is NOT considered receipt of AFDC.

Note:If cash aid is suspended or discontinued because of a periodic extra paycheck from recurring income, the month of suspension/discontinuance does not count as one of the consecutive months and does not interrupt the accumulation of the 4-consecutive months.

• For applicants (intake), the applicant must be eligible without the $30 and 1/3 disregard (for the Financial Eligibility Test), before it can be applied to their earnings.

Exception:If the person with earnings is in the AU and has received aid (from any state) in one of the preceding 4 months, the $30 and 1/3 disregard is allowed when computing the Financial Eligibility Test (FET).

• The recipient is being sanctioned for failure to return the QR 7 in a timely manner.

• The recipient terminated employment, reduced earned income or refused employment without good cause within the budget period or the 30 days immediately prior to the budget period.

Chart Book Update #17-02 Revised: 1/13/17

page 3-82 Chart BookFoster Care Charts

3.10.5 $30 Disregard

Old AFDC rule: When an AFDC recipient had received the $30 and 1/3 disregard in any AU for 4-consecutive months, they were eligible for a $30 disregard for 8-consecutive months immediately following the end of the 4-consecutive month period.

For the purpose of the Foster Care federal eligibility determination, when an AU has received 4 consecutive months of $30 and 1/3, AND, the month of petition is within the 8 consecutive months following the 4-month period, allow the $30 disregard.

3.10.6 Child Care

The reasonable and necessary costs of child care or care of an incapacitated adult in the AU may be allowed when the EW determines that dependent care cannot be provided during the individual’s working hours, by someone in the AU.

For EACH:Deduct actual cost up to a MAXIMUM of:

Child age 2 or OLDER (or incapacitated person)

$175

Child UNDER age 2 $200

Note:Effective 1/1/98, child/dependent care is no longer a separate deduction in the CalWORKs Program. Foster Care EWs, therefore, will need to ask if a parent with earnings paid for child care in the month of petition.

3.10.7 185% Test

If the total reported or estimated gross income plus any income deemed to the AU in the month of petition exceeds 185% of MBSAC plus any Special Needs available to the AFDC-AU, there is NO federal eligibility. Do NOT compute the Financial Eligibility Test (FET).

Note:“Special Needs” (above) does NOT refer to a Foster Care special rate paid for the needs of a Foster Care child.

When determining gross income of the AU, include ALL of the following:

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-83Foster Care Charts

• Gross earnings from employment. (Do NOT allow the $90 Standard Work Expense (SWE), the $30 and 1/3 disregard, or the dependent care deduction when computing the 185% Test.)

• Net self employment earnings (deduct business expenses.)• Child Support (minus the $50 disregard).• Gross earnings of all children, including students, once their 6-month student

exemption is used up.• Income deemed to the AU, including but not limited to, income from a

stepparent, senior parent, ineligible alien parent, etc.• Any other non-exempt income of persons in the AU or persons whose income

must be counted towards the AU, including persons excluded for cause, sanctioned.

To compute the 185% Test, follow these steps:.

STEP ACTION

1. Determine the GROSS self-employment income.

2. Subtract all allowable business expenses to determine NET self-employment income.

3. Add to the net self-employment income (from Step 2), any other gross earned and unearned income, including deemed income. This equals total income to the AU. IMPORTANT:

• Do NOT allow the $90 Standard Work Expense (SWE) or the $30 and 1/3 Disregard.

• Do NOT allow the Child/Dependent Care Deduction.• Allow the $50 Child Support Disregard, if applicable.• Deduct court ordered child support if it is actually being paid by someone in

the AU.• Do NOT count exempt or excluded income.

4.Compare the total remaining income in Step 3 with 185% of MBSAC: Note: Include any AFDC Special Needs if applicable.

IF THE INCOME... THEN...

Exceeds 185%, There is no AFDC eligibility for the AU. Establish non-federal Foster Care.

Equals or is less than 185%, Compute Financial Eligibility Test.

Chart Book Update #17-02 Revised: 1/13/17

page 3-84 Chart BookFoster Care Charts

3.10.8 Financial Eligibility Test (FET)

If the AU passes the 185% Test, then determine financial eligibility in the month of petition, either using actual or estimated income based on the preponderance of evidence. When actual or estimated income exceeds MBSAC plus any Special Needs available to the AFDC-AU, there is NO federal eligibility.

Note:“Special Needs” (above) does NOT refer to a Foster Care special rate paid for the needs of a Foster Care child.

To determine if the Foster Care child’s parent(s) / caretaker relative passes the Financial Eligibility Test (FET), the EW shall follow these steps:

STEP ACTION

1. Determine the total gross income from employment.

2. Add any net income self-employment income (gross self-employment income minus allowable business expenses) from Step 2. The total from Step 1 and Step 2 equals Total Earned Income.

3. Subtract the following deductions, as appropriate, to determine the net non-exempt earned income.

• $90 standard work expense disregard from the earned income of each employed person.

• $30 and 1/3 disregard from the earned income of each employed person, if otherwise eligible for it.

• Child/Dependent Care costs (up to $175 for each child age 2 or older or incapacitated person; up to $200 for each child under 2).

• This will equal the net nonexempt earned income.

The remainder equals net earnings.

4. Add any nonexempt unearned income, including deemed income. This total equals the net nonexempt income of the Assistance Unit (AU).

5. Compare the amount in Step 4 to MBSAC for the AU. Note: Include any AFDC Special Needs if applicable.

IF THE NET NONEXEMPT INCOME... THEN...

Is equal to or greater than MBSAC, There is NO AFDC eligibility for the AU. Establish non-federal Foster Care.

Is LESS than MBSAC, There is federal eligibility for Foster Care.

Revised: 1/13/17 Chart Book Update #17-02

Chart Book page 3-85Foster Care Charts

3.10.9 AFDC Income In-Kind Standards, Effective 7/16/96

Use this chart when determining federal eligibility for Foster Care/AAP, and the AU received income in-kind in the month of petition.

Number in Assistance

Unit

AFDC Income In-Kind, Effective 7/16/96

Housing Utilities Food Clothing

1 $163 $34 $90 $27

2 218 39 192 53

3 238 42 246 79

4 250 44 302 105

5 250 44 365 133

6 250 44 424 159

7 250 44 473 188

8 250 44 517 210

9 250 44 568 240

10 250 44 614 263

More than 10 250 44 614 263

EAS Reference: 44-115.311

Chart Book Update #17-02 Revised: 1/13/17

page 3-86 Chart BookFoster Care Charts

3.10.10 Minimum AFDC-FG/U Basic Standard of Adequate Care (MBSAC), 185% of MBSAC and MAP Levels, Effective 7/16/96

Number in Assistance Unit

Minimum Basic Standard for

Adequate Care (MBSAC) 185% of MBSAC

Maximum Aid Payment (MAP)

1 $355 $656 $326

2 583 1078 535

3 723 1337 663

4 858 1587 788

5 979 1811 899

6 1101 2036 1010

7 1209 2236 1109

8 1317 2436 1209

9 1428 2641 1306

10 1551 2869 1403

More than 10 Add $14 for each extra person

• Standard Work Expense (SWE): $90• Child care:

• For each child age 2 or older (or incapacitated person), deduct actual cost up to a maximum of $175.

• For each child under age 2, deduct actual cost up to a maximum of $200.• Child Support Disregard: Deduct the first $50 received by the AU.• $30 and 1/3 rules and chart: [Refer to “$30 and 1/3 Disregard,” page 3-80]• AU composition: [Refer to “AU Composition,” page 25-1]• 185% Test: [Refer to “185% Test,” page 3-82]• Financial Eligibility Test: [Refer to “Financial Eligibility Test (FET),” page 3-84]• 7/1/96 AFDC Income In-Kind: [Refer to “AFDC Income In-Kind Standards,

Effective 7/16/96,” page 3-85]

Revised: 1/13/17 Chart Book Update #17-02