Section He-C 6355.13 - Compliance Requirements for Individual Service Options Programs(a) Individual Service Options (ISOs) programs shall demonstrate compliance with this section and: (1) He-C 6446, Foster Family Care Licensing Requirements;(2) He-C 6420, Medicaid Covered Services;(5) One of the following: a.He-C 6448, Standards for Child Placing Agencies; orb.He-C 4001, New Hampshire Residential Child Care Licensing rules. (b) An ISO program shall have a current license to operate a residential facility or child placing agency in New Hampshire or any other state.(c) ISO foster care services shall be provided in an experienced foster family home that is licensed in accordance with He-C 6446.(d) The ISO program applying for certification may either be a child placing agency, or a licensed residential child care facility that has foster family homes licensed by another child placing agency, provided that the requirements in (a) above are met.(e) An ISO program shall have an array of professional, social, and community services that may be accessed to meet the individual needs of a child and his or her family.(f) An ISO program shall develop and implement a service delivery system that shall be designed primarily to wrap around individualized programming for children who have chronic mental, emotional, physical, or behavioral problems.(g) An ISO program shall place only one foster child with a family unless: (1) A sibling group is being placed together; or(2) The department and the ISO program determine, following an assessment of the foster parents ability, experience and skill, that a second unrelated child may be cared for and the safety and well-being of both children can be maintained.(h) The ISO program shall be designed in such a way that the service delivery system is able to respond immediately and directly to the needs of the child.(i) ISO programs shall provide services to children who meet the following criteria: (1) Abused and neglected children, children in need of services (CHINS), and delinquents who have a court order, or children using voluntary services for an ISO foster care placement; and(2) Children from birth to under 21 years of age, who display or have symptoms of any combination of the following: a. Chronic mental, emotional, physical or behavioral problems;b. Present post-traumatic stress symptoms;c. Challenging and provocative behaviors;d. A mental health diagnosis; ande. Are sexually reactive;(3) Can participate in a local education program;(4) Will benefit from out-of-home placement in a foster family home care setting; and(5) Require intensive supervision and consistent structure.(j) The ISO program shall determine a child's acceptance within 10 days of the date of receipt of the referral form, Form 1906 "Referral to Individual Service Options Provider," (January 2015) completed by the CPSW or JPPO, including: (1) Copies of court orders relating to the approval of and payment for the foster care;(2) The family's social history, if completed or as soon as available;(3) The child's and family's available medical history;(4) The current case plan in its entirety, if completed or as soon as available;(5) The child's predispositional investigation, if completed or as soon as available; and(6) The ISO's release of information form signed by the parent or guardian.(k) The ISO program shall provide or coordinate services that meet the clinical needs of the child, child and parent, and the foster family either through services within the program or accessing community services. The program shall coordinate community-based services for the birth family, when requested.(l) The service delivery system shall be based on the individual needs of the child as identified in the treatment plan.(m) The ISO program shall conduct and document a psycho-social assessment and develop a treatment plan for each child in accordance with He-C 6355.15.(n) ISO programs shall provide or coordinate the following services for the child identified for ISO foster care services, as applicable: (1) Placements in a licensed foster family home in the region where the child has resided, unless otherwise requested by DCYF;(2) Planned visitation, both supervised and unsupervised, among the parents and the child and siblings or extended family;(3) Case management, treatment planning, and service coordination, to include assistance in the coordination of: a. Medical, community mental health, and dental care;b. Public or private school education;d. Vocational services; ande. Substance abuse evaluations and random drug testing, if applicable;(4) Individual counseling and family counseling for the child;(5) Emergency on-call 24-hour response to crises;(6) Crisis stabilization;(7) Respite care in a licensed foster family home or program;(10) Adult living preparation for adolescents;(11) Administration of medications;(12) Identification of relatives, mentors, and others who will support or assist the child and family;(13) Transitional assistance to adult care, if applicable; and(14) Transitional assistance to reach the permanency goal for the child;(o) If the program is unable to comply with He-C 6355.13(n) (1) above, it shall document justification for a placement outside of the region, in accordance with the child's treatment or service needs.(p) If the child identified for ISO services is placed with a sibling or sibling group, the foster care program shall only be financially responsible for the child identified for ISO services, and shall assist DCYF in coordinating services for the siblings in the same home.N.H. Admin. Code § He-C 6355.13
Amended byVolume XXXIV Number 33, Filed August 14, 2014, Proposed by #10640, Effective 7/29/2014, Expires7/26/2015.Amended byVolume XXXV Number 10, Filed March 12, 2015, Proposed by #10783, Effective 2/13/2015, Expires2/13/2025.