This is a mandatory collection of information related to the Plan for Foster Care and Adoption Assistance, funded and authorized by Title IV-E of the Social Security Act, and is being conducted by the Children’s Bureau (CB). The information collection also incorporates the plan requirements to participate in the optional Guardianship Assistance and Kinship Navigator programs, and the Title IV-E Prevention Services Plan. Approval to publish these notices will allow CB to comply with the Paperwork Reduction Act (PRA) when requesting the information from respondents. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the PRA of 1995, unless it displays a currently valid OMB control number. The OMB # is 0970-0433 and the expiration date is XX/XX/XXXX.If you have any comments on this collection of information, please contact Liliana Chakrabarti by e-mail at liliana.chakrabarti@acf.hhs.gov.
Agency Plan for Title IV-E of the Social Security Act
Attachment I
OMB Approval No. 0970-0433
Expiration
Date: (XX/XX/XXX)
U.S. DEPARTMENT OF HEALTH AND HUMAN
SERVICES
ADMINISTRATION FOR CHILDREN AND FAMILIES
CHILDREN'S
BUREAU
DESIGNATION AND AUTHORITY OF STATE/TRIBAL AGENCY
STATE/TRIBAL AGENCY STRUCTURE AND FUNCTION
STATE OR SERVICE AREA WIDE OPERATIONS
COORDINATION WITH TITLES IV-A AND IV-B PROGRAMS
CHILD SUPPORT ENFORCEMENT FOR CERTAIN CHILDREN IN FOSTER CARE
TRANSFER OF A CHILD TO A TRIBAL AGENCY
ELIGIBILITY
VOLUNTARY PLACEMENTS (OPTION)
PAYMENTS
CASE REVIEW SYSTEM
MEDICAL AND SOCIAL SERVICES
SPECIFIC GOALS IN STATE/TRIBAL LAW
PREVENTIVE AND REUNIFICATION SERVICES
TERMINATION OF PARENTAL RIGHTS
DATE CHILD CONSIDERED TO HAVE ENTERED FOSTER CARE
DOCUMENTATION OF JUDICIAL DETERMINATION
TRIAL HOME VISITS
TRAINING
DEFINITION OF CHILD
ANOTHER PLANNED PERMANENT LIVING ARRANGEMENT
ABSENCES FROM CARE
RIGHTS
ELIGIBILITY
PAYMENTS - AMOUNTS AND CONDITIONS
ADOPTION ASSISTANCE AGREEMENT
MEDICAID AND SOCIAL SERVICES
ELIGIBILITY FOR ADOPTION INCENTIVE FUNDING
ADOPTION TAX CREDIT
DEFINITION OF CHILD
STANDARDS FOR FOSTER FAMILY HOMES AND CHILD CARE INSTITUTIONS
REVIEW OF PAYMENTS AND LICENSING STANDARDS
FAIR HEARINGS
INDEPENDENT AUDIT
CHILD ABUSE AND NEGLECT
TIMELY INTERSTATE PLACEMENT OF CHILDREN
REMOVAL OF BARRIERS TO INTERETHNIC ADOPTION
KINSHIP CARE
SIBLING PLACEMENT
SAFETY REQUIREMENTS
INTERJURISDICTIONAL ADOPTIONS
QUALITY STANDARDS
COMPULSORY SCHOOL ATTENDANCE
VERIFICATION OF CITIZENSHIP OR IMMIGRATION STATUS
DEFINITIONS
SEX TRAFFICKING VICTIMS AND MISSING CHILDREN
PERSONNEL ADMINISTRATION
SAFEGUARDING INFORMATION
REPORTING
MONITORING
APPLICABILITY OF DEPARTMENT-WIDE REGULATIONS
AVAILABILITY OF PLANS
OPPORTUNITY FOR PUBLIC INSPECTION OF CFSR MATERIALS
NEGOTIATION WITH INDIAN TRIBES
ELIGIBILITY
PAYMENTS
AGREEMENTS
SAFETY
MEDICAID AND SOCIAL SERVICES
TITLE IV-E GUARDIANSHIP ASSISTANCE PROGRAM PLAN REQUIREMENTS
DEFINITION OF CHILD
GENERAL PROGRAM REQUIREMENTS
SERVICE AREA AND POPULATIONS
NUNC PRO TUNC AND FOSTER CARE ELIGIBILITY REQUIREMENTS
LICENSING STANDARDS FOR TRIBAL FOSTER FAMILY HOMES AND CHILD CARE INSTITUTIONS
ATTACHMENTS
ATTACHMENT I: CERTIFICATION
ATTACHMENT II: ATTORNEY GENERAL/APPROPRIATE TRIBAL OFFICIAL'S CERTIFICATION
ATTACHMENT III: TITLE IV-E ADOPTION ASSISTANCE PROGRAM SAVINGS REPORTING ASSURANCES
ATTACHMENT IV: TRIBAL ASSURANCES
ATTACHMENT V: 479B TRIBAL CERTIFICATIONS
ATTACHMENT VI: 475(8) STATE/TRIBAL CERTIFICATION
ATTACHMENT VII: STATE/TRIBAL CERTIFICATION: PERSONNEL ADMINISTRATION
As a condition of the receipt of Federal funds under title IV-E of the Social Security Act (hereinafter, the Act), the
__________________________________________________________________ submits here a plan for the programs to provide, in appropriate cases, foster care and adoption assistance, and if the State/Tribal agency elects, guardianship assistance, under title IV-E of the Act and hereby agrees to administer the programs in accordance with the provisions of this plan, title IV-E of the Act, and all applicable Federal regulations and other official issuances of the Department. The official text of laws, regulations and official issuances governs, and the State/Tribal agency acknowledges its responsibility to adhere to them regardless of the fact that, for purposes of simplicity, the specific provisions printed herein are sometimes paraphrases of, or excerpts and incomplete quotations from, the full text. Statutory citations refer to provisions in title IV-E of the Social Security Act. Regulatory citations refer to provisions in 45 CFR Parts 1355 and 1356. The State/Tribal agency understands that if and when title IV-E is amended or regulations are revised, a new or amended plan for title IV-E that conforms to the revisions must be submitted. When completing a title IV-E plan or amendment, the title IV-E agency must: 1) submit the revised plan or amendment and record the applicable statutory, regulatory and/or policy references and citations for the affected federal requirement or, alternatively, submit the same information as described here in its own format; 2) submit copies of referenced material noting the specific section of the material with page numbers, highlighting or other means, to document compliance for any cited statute, regulation, policy and/or procedure; and 3) submit the plan, accompanying documentation and Attachment I “Plan Submission Certification” electronically. A title IV-E agency may not substitute a hyperlink instead of providing paper or electronic documents for its plan pre-print submission. If the title IV-E agency is unable to submit electronic signatures for purposes of the certification, it may submit the appropriate pages with original signatures. |
Federal Regulatory/ Statutory References1 |
Requirement |
State/Tribe Regulatory, Statutory, and Policy References and Citations for Each |
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SECTION 1. ORGANIZATION |
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471(a)(2) |
A. DESIGNATION AND AUTHORITY OF STATE/TRIBAL AGENCY The State/Tribal agency has been designated to administer or supervise the administration of the programs under this plan. (See Attachment II.) It is also the agency that administers or supervises the administration of the Child Welfare Services Plan under subpart 1 of title IV-B of the Act. |
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B. STATE/TRIBAL AGENCY STRUCTURE AND FUNCTION The State/Tribal agency has available upon request an organizational chart of the agency and a description of the functions of each of its organizational units as they relate to the administration or supervising the administration of the title IV-E foster care maintenance, adoption assistance, and (at IV-E agency option) guardianship assistance programs. |
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471(a)(3) |
C. STATE OR TRIBAL SERVICE AREA WIDE OPERATIONS The title IV-E plan for foster care, adoption assistance, and guardianship assistance if elected by the State/ Tribal agency, is in effect in all political subdivisions and Tribal service areas. (Tribes, see also section 7) |
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471(a)(4) |
D. COORDINATION WITH TITLES IV-A AND IV-B PROGRAMS The title IV-E program is coordinated at the local level with the programs at the State/Tribal or local level assisted under titles IV-A, IV-B and XX of the Act and under all appropriate provisions of Federal law. |
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471(a)(17) |
E. CHILD SUPPORT ENFORCEMENT FOR CERTAIN CHILDREN IN FOSTER CARE The State/Tribal agency takes all appropriate steps, including cooperative efforts with the State/Tribal agencies administering the plans approved under titles IV-A and -D, to secure an assignment to the State/ Tribe of any rights to support on behalf of each child receiving foster care maintenance payments under title IV-E. |
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1356.67 |
F. TRANSFER OF A CHILD TO A TRIBAL AGENCY (Not applicable to Tribes) The State agency has established and maintains procedures for the transfer of responsibility for the placement and care of a child under a State title IV-E plan to a Tribal title IV-E agency or an Indian Tribe with a title IV-E agreement. At a minimum, the State agency transfer procedures: 1. Are established and maintained in consultation with Indian Tribes; 2. Do not affect a child’s eligibility, receipt of services, or payment under title IV-E or the medical assistance program operated under title XIX; 3. Establish eligibility for title IV-E at the time of transfer, if an eligibility determination is not already completed; and 4. Provide for essential documents and information necessary to continue a child’s eligibility under title IV-E and Medicaid programs under title XIX to the Tribal title IV-E agency or an Indian Tribe with a title IV-E agreement, including but not limited to the following:
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Federal Regulatory/ Statutory References |
Requirement |
State/Tribe Regulatory, Statutory, and Policy References and Citations for Each |
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SECTION 4. GENERAL PROGRAM REQUIREMENTS |
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471(a)(10) (C) and (D) |
A. STANDARDS FOR FOSTER FAMILY HOMES AND CHILD CARE INSTITUTIONS The agency has established or designated a State/Tribal authority(ies) which is responsible for establishing and maintaining standards for foster family homes and child care institutions which are reasonably in accord with recommended standards of national organizations concerned with standards for such institutions or homes, including standards related to admission policies, safety, sanitation, and protection of civil rights and which shall permit use of the reasonable and prudent parenting standard. The standards so established are applied by the State/Tribe to any foster family home or child-care institution receiving funds under titles IV-E or IV-B. The standards shall require, as a condition of each contract entered into by a child care institution to provide foster care, the presence on-site of at least 1 official who, with respect to any child placed at the child care institution, is designated to be the caregiver who is authorized to apply the reasonable and prudent parent standard to decisions involving the participation of the child in age or developmentally-appropriate activities, and who is provided with training in how to use and apply the reasonable and prudent parent standard in the same manner as prospective foster parents are provided the training pursuant to paragraph 471(a)(24). The standards for foster family homes and child care institutions shall include policies related to the liability of foster parents and private entities under contract by the State involving the application of the reasonable and prudent parent standard, to ensure appropriate liability for caregivers when a child participates in an approved activity and the caregiver approving the activity acts in accordance with the reasonable and prudent parent standard. The State/Tribal agency may provide waivers of such standards only on a case-by-case basis for non-safety standards (as determined by the State/Tribe) in relative foster family homes for specific children in care. (Tribes, see section 7) |
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1355.20(a) |
1. Foster family home means, for the purpose of title IV-E eligibility, the home of an individual or family: a. that is licensed or approved by the State or Tribal service area in which it is situated as a foster family home (or with respect to foster family homes on or near Indian reservations, by the tribal licensing or approval authority(ies)), that meets the standards established for the licensing or approval; and b. in which a child in foster care has been placed in the care of an individual, who resides with the child and who has been licensed or approved by the State/Tribal agency to be a foster parent that the agency deems capable of adhering to the reasonable and prudent parent standard; that provides 24-hour substitute care for children placed away from their parents or other caretakers; and that provides the care for not more than six children in foster care. c. in which the number of foster children that may be cared for in a foster family home may not exceed six, except at the option of the State/Tribal agency, for any of the following reasons:(i) To allow a parenting youth in foster care to remain with the child of the parenting youth.(ii) To allow siblings to remain together.(iii) To allow a child with an established meaningful relationship with the family to remain with the family.(iv) To allow a family with special training or skills to provide care to a child who has a severe disability. |
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1355.20(a) |
Agencies may establish one set of foster family home licensing or approval standards for all relative or kinship foster family homes that are different from the set of standards used to license or approve all nonrelative foster family homes. Anything less than full licensure or approval is insufficient for meeting title IV-E eligibility requirements. (Tribes, see also section 7) |
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1355.20(a)(2) 472(c)(2) |
2. Child care institution means a private child care institution, or a public child care institution which accommodates no more than 25 children, and is licensed by the State/Tribe in which it is situated or has been approved by the agency of the State or tribal licensing authority (with respect to child care institutions on or near Indian reservations) responsible for licensing or approval of institutions of this type as meeting the standards established for such licensing except, in the case of a child who has attained 18 years of age, the term includes a supervised setting in which the individual is living independently. This definition must not include detention facilities, forestry camps, training schools, or any other facility operated primarily for the detention of children who are determined to be delinquent. In addition to these requirements, a qualified residential treatment program must be accredited by any of the independent, not-for-profit organizations listed at 472(k)(4)(G) of the Act or any other independent, not-for-profit accrediting organization of a similar type and kind as those already identified in the Act approved by the Secretary (see Attachment XI). |
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472(j) |
3. Licensed residential family-based treatment facility for substance abuse, means a treatment facility provides, as part of the treatment for substance abuse, parenting skills training, parent education, and individual and family counseling; under an organizational structure and treatment framework that involves understanding, recognizing, and responding to the effects of all types of trauma and in accordance with recognized principles of a trauma-informed approach and trauma-specific interventions to address the consequences of trauma and facilitate healing. |
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1356.21(m)(1) & (2) |
B. REVIEW OF PAYMENTS AND LICENSING STANDARDS The agency reviews at reasonable, specific, time-limited periods established by the State/Tribe: 1. The amount of the payments made for foster care maintenance to assure their continued appropriateness, and that the amount made to a licensed or approved relative or kinship foster family home is the same as the amount that would have been made if the child was placed in a licensed or approved non-relative foster family home; 2. The amount of the payments made for adoption assistance to assure their continued appropriateness; and 3. The licensing or approval standards for child care institutions and foster family homes. |
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471(a)(12) |
C. FAIR HEARINGS The State/Tribal agency has a system for granting an opportunity for a fair hearing (before the State/Tribal agency) to any individual whose claim for benefits under this plan is denied or not acted upon with reasonable promptness. |
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471(a)(13) |
D. INDEPENDENT AUDIT The State/Tribal agency will arrange for a periodic and independently conducted audit, no less frequently than once every three years, of the titles IV-E and IV-B programs. |
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471(a)(9)(A) |
E. CHILD ABUSE AND NEGLECT The State/Tribal agency will report to an appropriate agency or official known or suspected instances of physical or mental injury, sexual abuse or exploitation, or negligent treatment or maltreatment of a child receiving aid under titles IV-B or IV-E under circumstances that indicate that the child's health or welfare is threatened. |
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471(a)(25)&(26) |
F. TIMELY INTERSTATE PLACEMENT OF CHILDREN 1. The State/Tribal agency shall have in effect procedures for the orderly and timely interstate placement of children which provides that: a. within 60 days after the State/Tribe receives from another State or Tribe a request to conduct a study of a home environment for purposes of assessing the safety and suitability of placing a child in the home, the State or Tribe shall, directly or by contract: i. conduct and complete the study; and ii. return to the other State or Tribe a report on the results of the study which shall address the extent to which placement in the home would meet the needs of the child; b. the State or Tribe is not required to complete within the applicable time period the parts of the home study involving the education and training of the prospective foster or adoptive parents; c. the State or Tribe shall treat any such report that is received from another State or Tribe (or from a private agency under contract with another State/Tribe) as meeting any requirements imposed by the State or Tribe for the completion of a home study before placing a child in the home, unless, within 14 days after receipt of the report, the State or Tribe determines, based on grounds that are specific to the content of the report, that making a decision in reliance on the report would be contrary to the welfare of the child; and d. the State or Tribe shall not impose any restriction on the ability of an agency administering, or supervising the administration of, a State or Tribal program operated under a plan approved under this part to contract with a private agency for the conduct of such a home study.
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471(a)(25) |
2. The State shall have in effect procedures for the use of an electronic interstate case-processing system. (Not applicable to Tribes, Commonwealth of Puerto Rico, the United States Virgin Islands, Guam, and American Samoa) |
Not required until 10/1/2027
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471(a)(18)(A)&(B) |
G. REMOVAL OF BARRIERS TO INTERETHNIC ADOPTION 1. A State/Tribal agency or any other entity in the State/Tribe that receives funds from the Federal Government and is involved in adoption or foster care placements may not: a. deny to any person the opportunity to become an adoptive or foster parent, on the basis of race, color, or national origin of the person, or of the child involved; or b. delay or deny the placement of a child for adoption or into foster care, on the basis of race, color, or national origin of the adoptive or foster parent or the child involved; and c. maintain any statute, regulation, policy, procedure or practice that, on its face, is a violation as defined in sections 471(a)(18)(A) and (B)).
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1355.38(a)(5) |
2. Compliance with the Indian Child Welfare Act of 1978 (Pub.L.95-608) does not constitute a violation of section 471(a)(18).
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471(a)(19) |
H. KINSHIP CARE 1. The State/Tribal agency considers giving preference to an adult relative over a non-related caregiver when determining a placement for a child, provided that the relative caregiver meets all relevant State/Tribal child protection standards. |
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471(a)(29) 475(7) |
2. Within thirty days after the removal of a child from the custody of the parent or parents of the child, the State/Tribal agency shall exercise due diligence to identify and provide notice to the following relatives: all adult grandparents, all parents of a sibling of the child, where such parent has legal custody of such sibling, and other adult relatives of the child (including any other adult relatives suggested by the parents), subject to exceptions due to family violence, that: a. specifies that the child has been or is being removed from the custody of the parent or parents of the child; b. explains the options the relative has under Federal, State, and local law or Tribal law to participate in the care and placement of the child, including any options that may be lost by failing to respond to the notice; c. describes the requirements under paragraph 471(a)(10) to become a foster family home and the additional services and supports that are available for the children placed in such a home; and d. if the State/Tribal agency has elected to operate a kinship guardianship assistance program, describes how the relative guardian of the child may subsequently enter into an agreement with the State/Tribal agency under 473(d) to receive the payments. 3. The legal guardianship means a judicially created relationship between the child and relative which is intended to be permanent and self-sustaining as evidenced by the transfer to the relative of the following parental rights with respect to the child: a. protection; b. education; c. care and control of the person; d. custody of the person; and e. decision making. |
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471(a)(31) |
I. SIBLING PLACEMENT The State/Tribal agency shall make reasonable efforts to: 1. place siblings removed from their home in the same foster care, kinship guardianship, or adoptive placement, unless the State documents that such a joint placement would be contrary to the safety or well-being of any of the siblings; and 2. in the case of siblings removed from their home who are not so jointly placed, to provide for frequent visitation or other ongoing interaction between the siblings, unless that State/Tribal agency documents that frequent visitation or other ongoing interaction would be contrary to the safety or well-being of any of the siblings. |
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471(a)(20)(A) |
J. SAFETY REQUIREMENTS 1. Safety requirements for foster care, and adoptive home providers. a. The State/Tribal agency provides procedures for criminal records checks (including finger-print-based checks of national crime information databases (as defined in section 534(f) (3)(a) of title 28, United States Code) for any prospective foster and adoptive parent before the parent may be finally approved for placement of a child regardless of whether foster care maintenance payments or adoption assistance payments are to be made on behalf of the child.
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1356.30(b) |
b. The State/Tribe does not approve or license any prospective foster or adoptive parent, nor does the State/Tribal agency claim FFP for any foster care maintenance or adoption assistance payment made on behalf of a child placed in a foster home operated under the auspices of a child placing agency or on behalf of a child placed in an adoptive home through a private adoption agency, if the State/Tribal agency finds that, in any case involving a child on whose behalf such payments are to be made in which a criminal records check conducted in accordance with paragraph (a) of this section, a court of competent jurisdiction has determined that the prospective foster or adoptive parent has been convicted of a felony involving:
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1356.30(c) |
c. The State/Tribe does not approve or license any prospective foster or adoptive parent, nor claim FFP for any foster care maintenance or adoption assistance payment made on behalf of a child placed in a foster family home operated under the auspices of a child placing agency or on behalf of a child placed in an adoptive home through a private adoption agency, if the State/Tribal agency finds, in any case involving a child on whose behalf such payments are to be made in which a criminal records check conducted in accordance with paragraph (a) of this section, that a court of competent jurisdiction has determined that the prospective foster or adoptive parent has, within the last five years, been convicted of a felony involving:
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1356.30(f) 471(a)(20)(D) |
d. In order for a child to be eligible for title IV-E funding, the licensing file for a child care institution must contain documentation which verifies that safety considerations with respect to the staff of the institution have been addressed. State/Tribal agency shall provide procedures for any child care institution, including a group home, residential treatment center, shelter, or other congregate care setting, to conduct criminal record checks, including fingerprint-based checks of national crime information databases (as defined in section 534(f)(3)(A) of title 28, United States Code), and checks described in subparagraph (B) of this paragraph, on any adult working child-care institution, including a group home, residential treatment center, shelter, or other congregate care setting, unless the State reports to the Secretary the alternative criminal records checks and child abuse registry checks the State conducts on any adult working in a child-care institution, including a group home, residential treatment center, shelter, or other congregate care setting, and why the checks specified in this subparagraph are not appropriate for the State. |
See Attachment IX |
471(a)(20)(B) |
e. The State/Tribal agency shall check any child abuse and neglect registry for information on any prospective foster or adoptive parent and on any other adult living in the home of such a prospective parent for such information, before the prospective foster or adoptive parent may be finally approved for placement of a child, regardless of whether foster care maintenance payments or adoption assistance payments are to be made on behalf of the child: i. the State/Tribal agency shall check any child abuse and neglect registry it maintains for such information; ii. the State/Tribal agency shall request any other State/Tribe in which any such prospective parent or other adult has resided in the preceding 5 years, to check any child abuse and neglect registry maintained by such other State or Tribe for such information; and iii. the State/Tribal agency shall comply with any such request to check its child abuse and neglect registry that is received from another State or Tribe.
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471(a)(23)(A)&(B) |
K. INTERJURISDICTIONAL ADOPTIONS The State/Tribal agency will not: 1. deny or delay the placement of a child for adoption when an approved family is available outside of the jurisdiction with responsibility for handling the case of the child; or 2. fail to grant an opportunity for a fair hearing, as described in section 471(a)(12), to an individual whose allegation of a violation of part (1) of this subsection is denied by the State/Tribal agency or not acted upon by the State/Tribal agency with reasonable promptness.
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471(a)(22) |
L. QUALITY STANDARDS 1. The State/Tribal agency has developed and implemented standards to ensure that children in foster care placements in public or private agencies are provided quality services that protect the safety and health of the children.
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471(a)(24) |
2. The State/Tribal agency will ensure that prospective foster parents are adequately trained with the appropriate knowledge and skills to provide for the needs of the child and that the preparation will be continued, as necessary, after the placement of the child and that the preparation shall include knowledge and skills relating to the reasonable and prudent parent standard for the participation of the child in age or developmentally-appropriate activities, including knowledge and skills relating to the developmental stages of the cognitive, emotional, physical, and behavioral capacities of a child, and knowledge and skills relating to applying the standard to decisions such as whether to allow the child to engage in social, extracurricular, enrichment, cultural, and social activities, including sports, field trips, and overnight activities lasting 1 or more days, and to decisions involving the signing of permission slips and arranging of transportation for the child to and from extracurricular, enrichment, and social activities.
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471(a)(30) |
M. COMPULSORY SCHOOL ATTENDANCE The State/Tribal agency has a system for assuring that each child who has attained the minimum age for compulsory school attendance under State/Tribal law and with respect to whom there is eligibility for a payment under the plan is a full-time elementary or secondary school student or has completed secondary school, and for purposes of this paragraph, the term `elementary or secondary school student' means, with respect to a child, that the child is-- 1. enrolled (or in the process of enrolling) in an institution which provides elementary or secondary education, as determined under the law of the State or other jurisdiction in which the institution is located; 2. instructed in elementary or secondary education at home in accordance with a home school law of the State or other jurisdiction in which the home is located; 3. in an independent study elementary or secondary education program in accordance with the law of the State or other jurisdiction in which the program is located, which is administered by the local school or school district; or 4. incapable of attending school on a full-time basis due to the medical condition of the child, which incapability is supported by regularly updated information in the case plan of the child.
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471(a)(27) |
N. VERIFICATION OF CITIZENSHIP OR IMMIGRATION STATUS 1. The State/Tribal agency will have in effect procedures for verifying the citizenship or immigration status of any child in foster care under the responsibility of the State/Tribal agency under title IV-E or part B, and without regard to whether foster care maintenance payments are made under section 472 on behalf of the child. |
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472(a)(4) |
2. For the purposes of meeting the requirements of the section 401(a) of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA), children must meet the definition of "qualified alien" (as defined in section 431(b) of PRWORA) to be eligible for Federal foster care maintenance or adoption assistance (except that children receiving adoption assistance pursuant to agreements signed before August 22, 1996 may continue to receive such assistance). |
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475(9), (10), (11) and (12) |
O. DEFINITIONS For the purposes of the titles IV-B and IV-E of the Act: 1. The term ‘sex trafficking victim’ means a victim of- a. sex trafficking (as defined in section 103(10) of the Trafficking Victims Protection Act of 2000); or b. a severe form of trafficking in persons described in section 103(9)(A) of such Act. 2. The term ‘reasonable and prudent parent standard’ means the standard characterized by careful and sensible parental decisions that maintain the health, safely, and best interests of a child while at the same time encouraging the emotional and developmental growth of the child, that a caregiver shall use when determining whether to allow a child in foster care under the responsibility of the State/Tribe to participate in extracurricular, enrichment, cultural, and social activities. In this context, ‘caregiver’ means a foster parent with whom a child in foster care has been placed or a designated official for a child care institution in which a child in foster care has been placed. 3. The term ‘age or developmentally-appropriate’ means— a. activities or items that are generally accepted as suitable for children of the same chronological age or level of maturity or that are determined to be developmentally-appropriate for a child, based on the development of cognitive, emotional, physical, and behavioral capacities that are typical for an age or age group; and b. in the case of a specific child, activities or items that are suitable for the child based on the developmental stages attained by the child with respect to the cognitive, emotional, physical, and behavioral capacities of the child. 4. The term ‘sibling’ means individual who satisfies at least one of the following conditions with respect to a child: a. The individual is considered by state/tribal law to be a sibling of the child. b. The individual would have been considered a sibling of the child under State/Tribal law but for a termination or other disruption of parental rights, such as the death of a parent. |
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471(a)(9)(C) |
P. SEX TRAFFICKING VICTIMS AND MISSING CHILDREN 1. The State/Tribal agency has developed, in consultation with State and local law enforcement, juvenile justice, health care providers, education agencies, and organizations with experience in dealing with at-risk youth, policies and procedures (including relevant training for caseworkers) for identifying, documenting in agency records, and determining appropriate services for: a. any child or youth over whom the State/Tribal agency has responsibility for placement, care, or supervision and who the agency has reasonable cause to believe is, or is at risk or being, a sex trafficking victim (including children for whom an agency has an open case file but who have not been removed from the home, children who have run away from foster care and who have not attained 18 years of age or such older age as the State has elected under section 475(8) of the Act, and youth who are not in foster care but are receiving services under section 477 of the Act); and b. at the option of the State/Tribal agency, any individual who has not attained 26 years of age, without regard to whether the individual is or was in foster care under the responsibility of the agency; |
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471(a)(35)(B) |
2. For each child and youth described in 471(a)(9)(C)(i)(I) of the Act, the State/Tribal agency shall report immediately, and in no case later than 24 hours after receiving, information on missing or abducted children to the law enforcement authorities for entry into the National Crime Information Center (NCIC) database of the Federal Bureau of Investigation, and to the National Center for Missing and Exploited Children (referred to in this subparagraph as “NCMEC”), and that the State/Tribal agency shall maintain regular communication with law enforcement agencies and NCMEC in efforts to provide a safe recovery of a missing or abducted child or youth, including by sharing information pertaining to the child’s or youth's recovery and circumstances related to the recovery, and that the State/Tribe report submitted to law enforcement agencies and NCMEC shall include where reasonably possible— (i) a photo of the missing or abducted child or youth; (ii) a description of the child's or youth's physical features, such as height, weight, sex, ethnicity, race, hair color, and eye color; and (iii) endangerment information, such as the child's or youth's pregnancy status, prescription medications, suicidal tendencies, vulnerability to being sex trafficked, and other health or risk factors; |
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471(34)(A) |
3. For each child or youth described in 471(a)(9)(C)(i)(I), the state/tribal agency shall report immediately, and in no case later than 24 hours after receiving information on children or youth who have been identified as being a sex trafficking victim, to local law enforcement. |
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Federal Regulatory/ Statutory References |
Requirement |
State/Tribe Regulatory, Statutory, and Policy References and Citations for Each |
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SECTION 5. GENERAL PROVISIONS |
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471(a)(5) |
A. PERSONNEL ADMINISTRATION The State/Tribal agency will, in administration of its programs under this part, certify in Attachment VII that it established and will maintain personnel standards on a merit basis as found necessary by the Secretary for proper and efficient operation of the programs.
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see Attachment VII |
471(a)(8) |
B. SAFEGUARDING INFORMATION 1. Subject to section 471(c), the State/Tribal agency has safeguards restricting use of or disclosure of information concerning individuals assisted under this plan to purposes directly connected with:
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471(a)(8)(A) |
a. the administration of the title IV-E plan or any of the plans or programs under Parts A, B or D of title IV or under titles I, V, X, XIV, XVI (as in effect in Puerto Rico, Guam, and the Virgin Islands), XIX or XX, or the supplemental security income program under title XVI; and |
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471(a)(8)(B) |
b. any investigation, prosecution, or criminal or civil proceeding conducted in connection with the administration of any such plan or program; and |
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471(a)(8)(C) |
c. the administration of any other Federal or federally assisted program which provides assistance (in-cash or in-kind) or services directly to individuals on the basis of need; and |
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471(a)(8)(D) |
d. any audit or similar activity conducted in connection with the administration of any such plan or program by any governmental agency authorized by law to conduct such audit or activity; |
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471(a)(9)(A) |
e. the disclosure of information pursuant to 471(a)(9)(A) to appropriate authorities with respect to known or suspected child abuse or neglect; |
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471(a)(34)(A) and 471(a)(35)(B) |
f. the disclosure of information pursuant to 471(a)(34)(A) to the appropriate authorities with respect to children or youth identified in 471(a)(9)(C)(i)(I) of the Act who have been identified as being a sex trafficking victim; and g. the disclosure of information pursuant to 471(a)(35)(B) to appropriate authorities with respect to children identified in 471(a)(9)(C)(i)(I) of the Act who are missing or abducted. |
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471(a)(8)(E) |
2. The safeguards provided will prohibit disclosure to: a. any individuals or entities not included in paragraph 1 above; and b. any committee or legislative body (other than an agency referred to in section 471(a)(8)(D) with respect to an activity referred to in such clause) of any information which identifies by name or address any applicant for or recipient of assistance under title IV-E of the Act.
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471(a)(20)(B)(iii) |
3. The State/Tribal agency shall have in place safeguards to prevent the unauthorized disclosure of information in any child abuse and neglect registry maintained by the State/Tribe, and to prevent any such information obtained pursuant to section 471(a)(20)(B) from being used for a purpose other than the conducting of background checks in foster and adoptive placement cases.
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471(c) |
4. In the use of child welfare records in court proceedings, section 471(a)(8) of the Act shall not be construed to limit the flexibility of a State/Tribe in determining policies relating to public access to court proceedings to determine child abuse and neglect or other court hearings held pursuant to title IV-B or title IV-E of the Act, except that such policies shall, at a minimum, ensure the safety and well-being of the child, parents, and family.
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471(a)(6) |
C. REPORTING The State/Tribal agency makes reports in such form and containing such information on the title IV-E program as are required by the Secretary of the Department of Health and Human Services (HHS), and the State/Tribal agency will comply with such provisions as the Secretary may from time to time find necessary to assure the correctness and verification of such reports. |
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471(a)(7) |
D. MONITORING The State/Tribal agency monitors and conducts evaluations of activities carried out in the title IV-E program. |
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1355.30 |
E. APPLICABILITY OF DEPARTMENT-WIDE REGULATIONS The State/Tribal agency will comply with all of the requirements of applicable regulations.
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13565.21(c) |
F. AVAILABILITY OF PLANS Plans and amendments for titles IV-E and IV-B are made available by the State/Tribal agency for public review and inspection. |
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1355.33(b) |
G. OPPORTUNITY FOR PUBLIC INSPECTION OF CFSR MATERIALS (Not applicable to Tribes.) The State agency makes available for public review and inspection all statewide assessments, report of findings, and program improvement plans developed as a result of a full or partial child and family services review. |
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471(a)(32) |
H. NEGOTIATION WITH INDIAN TRIBES. (Not applicable to Tribes.) The State negotiates in good faith with any Indian tribe, tribal organization or tribal consortium in the State that requests to develop an agreement with the State to administer all or part of the program on behalf of Indian children who are under the authority of the tribe, organization, or consortium, including foster care maintenance payments on behalf of children who are placed in State or tribally licensed foster family homes, adoption assistance payments, and, if the State has elected to provide such payments, kinship guardianship assistance payments under section 473(d), and tribal access to resources for administration, training, and data collection under title IV-E. |
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Federal Regulatory/
Statutory |
Requirement |
State/Tribe Regulatory, |
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SECTION 6. GUARDIANSHIP ASSISTANCE PROGRAM OPTION |
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473(d)(3)(A) 473(d)(3)(C)
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A. ELIGIBILITY 1. A child is eligible for a kinship guardianship assistance payment if the State/Tribal agency determines that: a. the child has been-- i. removed from his or her home pursuant to a voluntary placement agreement or as a result of a judicial determination to the effect that continuation in the home would be contrary to the welfare of the child; and ii. eligible for foster care maintenance payments under section 472 while residing for at least 6 consecutive months in the home of the prospective relative guardian; b. being returned home or adopted are not appropriate permanency options for the child; c. the child demonstrates a strong attachment to the prospective relative guardian and the relative guardian has a strong commitment to caring permanently for the child; and d. with respect to a child who has attained 14 years of age, the child has been consulted regarding the kinship guardianship arrangement; or 2. The child has been placed with a successor guardian named in the guardianship agreement in accordance with 473(d)(3)(C). |
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473(d)(3)(B) |
3. Siblings. a. The child and any sibling of the eligible child may be placed in the same kinship guardianship arrangement, in accordance with section 471(a)(31), if the State/Tribal agency and the relative agree on the appropriateness of the arrangement for the siblings; and b. Kinship guardianship assistance payments may be paid on behalf of each sibling so placed. |
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471(a)(28) |
B. PAYMENTS 1. The State/Tribal agency provides kinship guardianship assistance payments on behalf of children to grandparents and other relatives who assume legal guardianship of the child for whom they have cared as foster parents and for whom they have committed to care on a permanent basis, as provided in 473(d). |
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473(d)(2) |
2. A kinship guardianship assistance payment on behalf of a child shall not exceed the foster care maintenance payment which would have been paid on behalf of the child if the child had remained in a foster family home. |
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473(a)(4)(A)
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3. Payments are terminated when the State/Tribal agency determines that: a. the child has attained the age of 18, or such greater age as the State/Tribal agency may elect under section 475(8)(B)(iii); or b. the child has attained 21 years of age, and the child has a mental or physical disability which warrants the continuation of assistance to age 21; or c. the child has not attained 18 year of age, and the relative guardians are no longer legally responsible for the support of the child; or d. the child is no longer receiving any support from the relative guardians.
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473(a)(4)(B) |
4. The relative guardians are required to inform the State/Tribal agency of circumstances that would make them ineligible for guardianship assistance payments or eligible for guardianship assistance payments in a different amount.
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473(d)(1)(A) |
C. Agreements 1. The State/Tribe must: a. negotiate and enter into a written, binding kinship guardianship assistance agreement with the prospective relative guardian of a child who meets the requirements of 473(d); and b. provide the prospective relative guardian with a copy of the agreement.
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473(d)(1)(B) & 473(d)(1)(C) |
2. The agreement must specify, at a minimum- a. the amount of, and manner in which, each kinship guardianship assistance payment will be provided under the agreement, and the manner in which the payment may be adjusted periodically, in consultation with the relative guardian, based on the circumstances of the relative guardian and the needs of the child; b. the additional services and assistance that the child and relative guardian will be eligible for under the agreement; c. the procedure by which the relative guardian may apply for additional services as needed; d. that the State/Tribal agency will pay the total cost of nonrecurring expenses associated with obtaining legal guardianship of the child, to the extent the total cost does not exceed $2,000; and e. that the agreement shall remain in effect without regard to the State/Tribal service area residency of the relative guardian. |
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471(a)(20)(C) |
D. SAFETY State/Tribal agency provides procedures for criminal records checks, including fingerprint-based checks of national crime information databases (as defined in section 534(f)(3)(A) of title 28, United States Code), on any relative guardian, and for checks described in 471(a)(20) on any relative guardian and any other adult living in the home of any relative guardian, before the relative guardian may receive kinship guardianship assistance payments on behalf of the child under this plan option. |
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473(b)(1) to (4); 479B(c)(1)(C)(ii)(II) |
E. MEDICAID AND SOCIAL SERVICES For the purposes of titles XIX and XX, any eligible child for whom there is a kinship guardianship assistance payment being made under section 473(d) is deemed to be a dependent child as defined in 406 of the Act and is deemed to be a recipient of AFDC under part A of title IV of the Act (as in effect 7/16/96) in the State in which such child resides. |
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471(a) |
F. TITLE IV-E GUARDIANSHIP ASSISTANCE PROGRAM PLAN REQUIREMENTS 1. Title IV-E plan requirements 471(a)(2) through (9), (12), (13), (20)(C), (25), (26), and (28) through (32) are applicable to the guardian assistance program. |
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475(1)(F) |
2. Case plan requirements. For a child with respect to whom the permanency plan is placement with a relative and receipt of kinship guardian assistance payments, the State/Tribal agency shall include in the case plan a description of: a. the steps that the agency has taken to determine that it is not appropriate for the child to be returned home or adopted; b. the reasons for any separation of siblings during placement; c. the reasons why a permanent placement with a fit and willing relative through a kinship guardianship assistance arrangement is in the child's best interests; d. the ways in which the child meets the eligibility requirements for a kinship guardianship assistance payment; e. the efforts the State/Tribal agency has made to discuss adoption by the child's relative foster parent as a more permanent alternative to legal guardianship and, in the case of a relative foster parent who has chosen not to pursue adoption, documentation of the reasons; and f. the efforts made by the State/Tribal agency to discuss with the child's parent or parents the kinship guardianship assistance arrangement, or the reasons why the efforts were not made. |
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475(8) |
G. DEFINITION OF ‘CHILD’ For the purposes of the title IV-E guardianship assistance program under section 473(d), the term ‘child’ means 1. an individual who has not attained 18 years of age; or 2. at the option of the State/Tribal agency an individual a. with respect to whom a guardianship assistance agreement is in effect under section 473(d) if the individual had attained age 16 before the guardianship assistance agreement became effective; b. who has attained the age of 18, but has not attained 19, 20 or 21 years of age, as the title IV-E agency may elect; and c. who meets any of the following conditions: i. the child is completing secondary education or a program leading to an equivalent credential; ii. the child is enrolled in an institution which provides post-secondary or vocational education; iii. the child is participating in a program or activity designed to promote, or remove barriers to, employment; iv. the child is employed for at least 80 hours per month; or v. the child is incapable of doing any of the above described activities due to a medical condition. |
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Federal Regulatory/ Statutory References |
Requirement |
Regulatory, Statutory, and Policy References and Citations for Each |
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SECTION 7. TRIBE OPERATED IV-E PROGRAM REQUIREMENTS |
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471(a) 479B(b) |
A. GENERAL PROGRAM REQUIREMENTS
Title IV-E plan requirements 471(a)(1) through (27), (29) through (31), and (33) through (37) are mandatory requirements applicable to Tribes operating a title IV-E program.
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479B(c)(1)(B) |
B. SERVICE AREA AND POPULATIONS For purposes of complying with section 471(a)(3), this plan is in effect in all service areas and for all populations served by the Tribe and identified in Attachment V. |
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479B(c)(1)(C)(ii) |
C. NUNC PRO TUNC AND FOSTER CARE ELIGIBILITY REQUIREMENTS For purposes of determining whether a child whose placement and care are the responsibility of an Indian tribe, tribal organization, or tribal consortium satisfies the requirements of section 472(a), the following shall apply: 1. Notwithstanding 472(a)(1), Tribes may use affidavits or nunc pro tunc orders as verification documents in support of the reasonable efforts and contrary to the welfare of the child judicial determinations required under that paragraph for the first 12 months for which this plan is in effect. 2. The State plan approved under section 402 (as in effect on July 16, 1996) of the State in which the child resides at the time of removal from the home shall apply to the determination of whether the child satisfies section 472(a)(3). |
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479B(c)(2) |
D. LICENSING STANDARDS FOR TRIBAL FOSTER FAMILY HOMES AND CHILD CARE INSTITUTIONS For purposes of complying with section 471(a)(10), an Indian Tribe, Tribal organization, or Tribal consortium shall establish and maintain a tribal authority or authorities which shall be responsible for establishing and maintaining tribal licensing standards for tribal foster family homes and tribal child care institutions. |
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ATTACHMENT I
Title IV-E Plan – State/Tribe of ________________________________
Instructions: This Certification must be signed and submitted by the official authorized to submit the title IV-E plan, each time the state/tribal submits an amendment to the title IV-E plan.
I _______________________________ (name) hereby certify that I am authorized to submit the title IV-E Plan on behalf of _____________________________________________________ (State/Tribal Agency). I also certify that the title IV-E plan was submitted to the governor or tribal leader for his or her review and approval in accordance with 45 CFR 1356.20(c)(2) and 45 CFR 204.1.
Date________________________________ |
________________________________ |
APPROVAL DATE________________________________ |
EFFECTIVE |
Title IV-E Plan – State/Tribe of ________________________________
Instructions: This Certification must be signed and submitted by the State Attorney General or appropriate Tribal Official in accordance with 45 CFR 1355.30(p) and 45 CFR 205.100, and will remain in effect on an ongoing basis. The Certification must be re-submitted if there is a change in any of the certifications below, or the statutory authority.
I certify that
______________________________________________________________
(Name
of Agency)
has the authority to submit the plan under title IV-E of the Social Security Act; and
is the single title IV-E agency designated to administer the plan or supervise the administration of the plan on a state-wide or tribal service-area-wide basis in accordance with ________________________________ (citation for legal authority). It has the authority to make rules and regulations governing the administration of the plan that are binding on such subdivisions/service areas. The title IV-E plan is mandatory upon the subdivisions/service areas and is in effect throughout the State/Tribal service areas.
_________________________________ |
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____________________________________ |
Title IV-E Plan – State of ________________________________ ATTACHMENT III
Instructions: Once this Certification is signed and submitted, it remains in effect on an ongoing basis. The Certification must be re-submitted if there is a change in any of the certifications below.
I hereby assure that the title IV-E agency administering the title IV-E programs will:
a. calculate the savings (if any) resulting from the application of paragraph 473(a)(2)(A)(ii) to all applicable children for a fiscal year, using a methodology specified by the Secretary or an alternate methodology proposed by the agency and approved by the Secretary.
b. annually report to the Secretary—
the methodology used to make the calculation, without regard to whether any savings are found;
the amount of any savings; and
how such savings are spent, accounting for and reporting the spending separately from any other spending reported to the Secretary under part B or this part.
c. spend an amount equal to the amount of the savings (if any) in agency expenditures under this part resulting from the application of paragraph 473(a)(2)(A)(ii) to all applicable children for a fiscal year, to provide to children of families any service that may be provided under part B or this part. A title IV-E agency shall spend not less than 30 percent of any such savings on post-adoption services, post-guardianship services, and services to support and sustain positive permanency outcomes for children who otherwise might enter into foster care under the responsibility of the state or tribe, with at least 2/3 of the spending by the state or tribe to comply with such 30 percent requirement being spent on post-adoption and post-guardianship services.
d. use any title IV-E agency spending of any savings calculated from the application of paragraph 473(a)(2)(A)(ii) to all applicable children for a fiscal year to supplement, not supplant, any Federal or non-
Federal funds used to provide any service under part B or this part.
On behalf of
___________________________________________________________
(Designated
title IV-E Agency)
Date_______________________________ |
________________________________ |
APPROVAL DATE________________________________ |
EFFECTIVE DATE:
________________________________ |
Title IV-E Plan - Tribe of _______________________________ ATTACHMENT IV
Instructions: Once this Certification is signed and submitted, it remains in effect on an ongoing basis.
I hereby assure that the Tribal agency administering the title IV-E programs will provide:
a) foster care maintenance payments under section 472 only on behalf of children who satisfy the eligibility requirements of section 472(a);
b) adoption assistance payments under section 473 pursuant to adoption assistance agreements only on behalf of children who satisfy the eligibility requirements for such payments under that section;
c) if applicable, kinship guardianship assistance payments in accordance with section 473(d) only on behalf of children who meet the requirements of section 473(d)(3); and
d) the State plan approved under section 402 in effect on July 16, 1996, of the State in which the child resides at the time of the removal from the home shall apply to the determination of whether the child satisfies section 472(a)(3).
On behalf of
_____________________________________________
Date _____________
(Designated
Tribal Agency)
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_______________________________
_____________________________________ |
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APPROVAL DATE________________________________ |
EFFECTIVE DATE:
________________________________ |
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ATTACHMENT V
Title IV-E Plan - Tribe of ________________________________
Instructions: Once this Certification is signed and submitted, it remains in effect on an ongoing basis. The Certification must be re-submitted if there is a change in any of the certifications below.
I certify that
_________________________________________________________________
(Name
of Indian Tribe, Tribal organization or Tribal consortium)
Is submitting the following/attached evidence which demonstrates that there are no uncorrected significant or material audit exceptions under Federal grants or contracts that directly relate to the administration of social services for the three year period prior to the date on which this plan is submitted in compliance with section 479B(c)(1)(A);
Will administer the title IV-E plan in the service area(s) and populations described as follows/attached pursuant to section 479B(c)(1)(B);
Is/Is not (circle one) providing the following/attached information based on the described service population which is relevant to making the calculation of the per capita income of the Indian Tribe, Tribal organization, or Tribal consortium pursuant to section 479B(d)(2);
________________________________ |
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________________________________ |
ATTACHMENT VI
Title IV-E Plan – State/Tribe of ________________________________
Instructions: Once this Certification is signed and submitted, it remains in effect on an ongoing basis. The Certification must be re-submitted if there is a change in the certification below.
I certify that
__________________________________________________________________
(Name
of Agency/Tribe)
has chosen to implement the option in section 475(8)(B) of title IV-E of the Social Security Act to adopt a definition of “child” of age 18, 19 or 20 for the title IV-E programs for the following reason(s), described below:
________________________________ |
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________________________________ |
ATTACHMENT VII
Title IV-E Plan – State/Tribe of ________________________________
Instructions: This Certification may be used to satisfy requirements at section 471(a)(5) of the Act, and will remain in effect on an ongoing basis. The Certification should be re-submitted if there is a change in any of the certifications below.
I certify that
__________________________________________________________________
(Name
of Agency/Tribe)
has established and will maintain methods of personnel administration in conformity with standards for a Merit System of Personnel Administration, prescribed in title 5 CFR 900 by the U.S. Office of Personnel Management pursuant to section 208 of the Intergovernmental Personnel Act of 1970, as amended.
The signature of the chief executive officer of a State or Indian Tribe on this certification of agreement below, to maintain a system of personnel administration in conformance with these Standards, satisfies applicable Federal merit personnel requirements in section 471(a)(5) of title IV-E of the Social Security Act to which personnel standards on a merit basis are applicable (5 CFR 900.604).
________________________________ |
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________________________________ |
ATTACHMENT VIII
Title IV-E Plan – State/Tribe of ________________________________
Instructions: This Certification may be used to satisfy requirements at section 471(a)(37) of the Act, and will remain in effect on an ongoing basis.
I certify that
__________________________________________________________________
(Name
of Agency/Tribe)
in response to the limitation imposed under section 472(k) with respect to foster care maintenance payments made on behalf of any child who is placed in a setting that is not a foster family home, will not enact or advance policies or practices that would result in a significant increase in the population of youth in the State’s/Tribe’s juvenile justice system.
________________________________ |
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________________________________ |
Title IV-E Plan – State/Tribe of ________________________________
Family First Prevention Services Act:
Alternate Procedures for Criminal Background Checks
Instructions: If an agency has chosen to use alternative procedures for criminal record checks, the agency may use this form to satisfy requirements at section 471(a)(20) of the Act, and will remain in effect on an ongoing basis.
I certify that
__________________________________________________________________
(Name
of Agency/Tribe)
has chosen to use alternative procedures for fingerprint-based criminal records checks of national crime information databases, and child abuse and neglect registry checks on any adult working in a child care institution. The procedures required in section 471(a)(20) of the Act for the checks are not appropriate for the agency for the reasons described below:
________________________________ |
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________________________________ |
Title IV-E Plan Pre-print: Kinship Navigator Program
Instructions: This attachment to the Title IV-E Plan Pre-Print is to be used to participate in the Title IV-E Kinship Navigator Program, as authorized by section 474(a)(7) of the Act. The attachment may be submitted at any time and will remain in effect on an ongoing basis unless the agency makes a change in its program.
If the title IV-E agency with an approved Kinship Navigator Program elects to change its Kinship Navigator model or if the title IV-E agency expands the Kinship Navigator program to be statewide/service-area wide or in a different service area, the title IV-E agency must submit an updated attachment no later than the end of the calendar quarter in which the stated program changes are to be in effect.
I certify that
(Name of title IV-E Agency)
will implement a Title IV-E Kinship Navigator Program, that meets the requirements described in section 427(a)(1) of the Act and that has been approved by HHS as meeting the HHS practice criteria of promising, supported, or well-supported in accordance with section 471(e)(4)(C) of the Act. The agency has selected to implement the
, (Name of the Kinship Navigator Program)
The date on which the title IV-E agency began implementation or will begin implementation is:_________.
The attached narrative description provides the following additional information on the kinship navigator program:
the target population and service area for the program;
how the title IV-E agency plans to implement the kinship navigator program (e.g., directly or through contracted service providers);
how the program is coordinated with other state or local agencies that promote service coordination or provide information and referral services; and
how the development and operation of the program has been and will be informed by consultation with kinship caregivers and organizations representing them, youth raised by kinship caregivers, relevant government agencies, and relevant community-based or faith-based organizations.
Submitted
(Date) (Signature)
CB APPROVAL DATE EFFECTIVE DATE:
(Signature, Associate Commissioner, Children's Bureau)
STATE/TRIBAL REQUEST FOR “QUALIFIED INDIVIDUALS” WAIVER
Instructions: This request and certification must be used if a title IV-E agency requests: (1) a waiver to allow “qualified individuals” with responsibility for performing the assessments under section 475A(c)(1)(A),to be employees of the title agency and/or connected to or affiliated with any placement setting in which children are placed by the agency per section 475A(c)(1)(D)(ii) of the Act; and/or (2) the Secretary approve any other independent, not-for-profit accrediting organization of a similar type and kind as those identified in the Act.
The _________________________ (Name of Agency) requests:(check each box that applies)
󠄀 A waiver to allow “qualified individuals” with responsibility for performing the assessments under section 475A(c)(1)(A) of the Act to be employees of the agency and/or connected to or affiliated with any placement setting in which children are placed by the by the agency per section 475A(c)(1)(D)(ii) of the Act. Pursuant to this request, I certify the title IV-E agency will ensure that such qualified individuals will maintain objectivity with respect to determining the most effective and appropriate placement for a child in accordance with 475A(c)(1)(D)(ii) of the Act.
1 Statutory references refer to the Social Security Act. Regulatory references refer to Title 45 of the Code of Federal Regulations (CFR).
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | Attachment D – Comprehensive Title IV-E Agency Plan |
Subject | Attachment D Title IV-E Pre-print |
Author | HHS |
File Modified | 0000-00-00 |
File Created | 2025-07-16 |