BC 2015 01 20 Regular Meeting - Laserfiche WebLink

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January 20, 2015 (Regular Meeting) Page 2255 • Report to the court (3) Annual Pre - Placement Assessment Update • At least one home visit for data collection and a written addendum to the original adoption assessment describing significant changes. No fee shall be charged except pursuant to a written fee agreement which must be signed by the parties to be charged prior to the beginning of the preparation. The fee agreement shall not be based on the outcome of the report or the adoption proceeding. All fees shall be paid prior to any assessments or reports to the Court. Fees are to be paid to the Cabarrus County DHS during regular business hours and receipts will be issued. Fees are non - refundable upon the initiation of service delivery. Fee Structure (1) No fee will be charged when the following circumstance exists: • The family has identified an adoptee who is or was in the custody and placement responsibility of the Department of Social Services, and the adoptive family continues to pursue the adoption of the identified child (2) � of the established fee will be charged to families under 200% of the federal Poverty level. (3) For all other families, the standard fees will apply: Stepparent and Relative Adoptions (PPA and CR) Independent adoptions (PPA and CR) Annual Pre - Placement Assessment Update Pre - Placement Update and Monitoring Pre - Placement Agreement Court Report only Independent Home Study Intermediary Services $1,500.00 $1,500.00 $400.00 $800.00 $1,200.00 $300.00 for first child and additional $100 for each subsequent child $800.00 $250.00 initial fee up to 5.5 hours $45.00 each additional hour Cabarrus County DHS retains the sole discretion of reducing or waiving any fee if circumstances exist that would prevent a family from paying such fees and delaying the adoption service would cause undue hardship on the well- being of the child in question. F - DHS - Community Alternatives program Divestment The Community Alternatives Program (CAP) is a Medicaid based program with the goal of helping nursing home level of care citizens remain at home through a comprehensive service plan. The goal of the program is to promote a person being able to remain in their home safely and defer the costs of nursing home placement through intensive in -home services_ The Cabarrus County Department of Human Services is the lead agency for CAP services for the county and has been administering this program since its inception. The Department has historically operated the program as a budget neutral program, where revenues at least met expenses. Three years ago, the Department divested of the CAP -C program (CAP services for children) in an effort to reduce expenditures due to decreasing revenues. Over the past two years, additional Medicaid reimbursement reductions have resulted in the program expenses exceeding available revenue. In addition, the conversion to the North Carolina Tracks billing system for Medicaid has created an administrative burden for billing CAP services, resulting in delayed and lost revenues. With these current trends, the Department is recommending divesting itself of the CAP program. The primary factors for this recommendation include: - Lowered reimbursement levels creating challenges to operating program as a budget neutral service, - Rising costs of providing services,