441—151.32 (232) Supervised community treatment. “Supervised community treatment” means a program that provides supervised educational support and treatment during the day to children who are experiencing social, behavioral, or emotional problems that place them at risk of group care or state institutional placement. A supervised community treatment program for a child may be funded from multiple sources, but the funding sources for components of the service may not duplicate or overlap payment or service activities so as to pay for the same or parts of the same service twice or pay for overlapping services. A program whose components and activities are funded from multiple sources must be capable of tracking the receipt and expenditure of funds for the components and activities, and these funding streams must be described in the contract.
	 151.32(1) Service eligibility. Children shall be eligible for supervised community treatment services without regard to individual or family income when they are adjudicated delinquent or are determined by a chief juvenile court officer to be at risk and to be in need of service provided by a supervised community treatment program. Juvenile court services shall maintain documentation in the child’s case file of the adjudication or at-risk status as well as of the need for services.
	  a.   	 The chief juvenile court officer shall establish written procedures for screening and approving referrals for supervised community treatment services and shall make the procedures available to the district’s juvenile court officers.
	  b.   	 The juvenile court officer shall determine the child’s need for supervised community treatment and shall refer the child for service.
	  c.   	 The child shall not require more extensive treatment than is provided in the supervised community treatment program.
	  d.   	 The chief juvenile court officer may approve supervised community treatment services for up to six consecutive months at a time, except that service approval shall not extend beyond the current fiscal year unless a contract is in effect to assume the cost for the services provided in the next fiscal year. The officer shall reevaluate the child’s eligibility and need for these services in accordance with the procedures established by the chief juvenile court officer.
	  e.   	 Referrals shall not be made or accepted when funds for the program are not available.
	 151.32(2) Service components. Supervised community treatment programs provide treatment to children as well as an opportunity for children to participate in state-funded educational programming. Supportive therapy or counseling and skill development services may be provided through this program to the child’s family.
	  a.   	 Supervised community treatment programs may be co-located with school programs. Although the costs of the state-funded educational programming shall not be funded through the supervised community treatment appropriation, programs shall be developed so that there is close coordination between the treatment and the state-funded educational components.
	  b.   	 Supervised community treatment programs shall include one or more of the following components:
	 (1) 	 Skill-building services focusing on social skills, recreational activities, employment readiness, independent living, and other areas related to a child’s treatment needs.
	 (2) 	 Individual, group, and family therapy and counseling as determined appropriate by the program director and referral source. Staff that provide individual, group, or family therapy shall meet applicable state licensing standards.
	 (3) 	 Snacks and meals as necessary during the non-state-funded educational portion of the program day.
	 (4) 	 Supervision and support services, such as transportation to the non-state-funded educational program, family outreach, telephone contact, and electronic monitoring of children.
	 (5) 	 Aftercare service planning upon admission, so that timely aftercare services are available upon discharge, if needed.
	 (6) 	 Supervision and support services when necessary to help children transition out of the program.
	  c.   	 The contract must specify the responsibilities of the provider.
	 151.32(3) Service referral and follow-up. The juvenile court officer shall:
	  a.   	 Determine which service provider can best meet the child’s needs.
	  b.   	 Refer the child to the provider.
	  c.   	 Assist in the child’s transition to receive the service.
	  d.   	 Follow up after the service has been provided.
	 151.32(4) Monitoring of service delivery. The juvenile court officer shall monitor the delivery of supervised community treatment services to children for whom the officer is responsible.
	  a.   	 The juvenile court officer shall review provider progress reports and maintain contact with the child, the child’s family, the provider, and other community agencies to adequately assess the child’s progress and need for service.
	  b.   	 The juvenile court officer shall report problems in service delivery to the chief juvenile court officer.
	  c.   	 The provider, the child, or the child’s representatives may report problems in service delivery to the chief juvenile court officer.
	 151.32(5) Billable unit and rate setting. Rates for supervised community treatment shall be established through an agreement between the provider and the chief juvenile court officer, based on the provider’s proposed budget. The billable unit and costs shall be specified in the contract.
	  a.   	 Supervised community treatment shall be billed on the basis of units of service provided to eligible children during specified time frames.
	  b.   	 The supervised community treatment service may be provided on an individual or group basis. See paragraph 151.35(2)“c” for rate-setting requirements when more than one child is served at a time.
	  c.   	 Rates shall be established and reimbursed based on delivery of one-half hour, one hour, or per diem of specified supervised community treatment service.
	  d.   	 The rate for any supervised community treatment service delivered in the same room by staff with the same qualifications as any other comparable treatment or supportive service program shall be the applicable rate established for the other comparable treatment or supportive services program.
	  e.   	 Different rates may be established for the different components of the supervised community treatment program, and different sources of payment may be used for the different components.
	 (1) 	 Provision may be made in the contract for the billing and payment of telephone or transportation costs to be included in the unit cost, or the provider may, in an attachment to the contract, identify the expenses to be billed separately from the unit cost.
	 (2) 	 Telephone calls may be reimbursed according to receipts or at a set rate per call.
	 151.32(6) Provider standards. Providers of supervised community treatment shall meet all of the following conditions. Agencies or organizations shall:
	  a.   	 Have a current purchase of services or rehabilitative treatment and supportive services contract with the department.
	  b.   	 Be selected by the chief juvenile court officer of the judicial district within the geographic area where the program is located to provide supervised community treatment services within all or a portion of the judicial district.
	  c.   	 Agree to provide services in compliance with the programmatic standards established by the rules of this division.
	  d.   	 Enter into a contract with juvenile court services and the department that establishes expectations, rates, and billing and payment procedures for the supervised community treatment program.
	  e.   	 Agree to report supervised community treatment program costs separately on all cost reports.
	  f.   	 Agree to comply with higher staff qualifications for specific components of these programs when the chief juvenile court officer outlines the expected qualifications in the request for proposal and program contract. In addition:
	 (1) 	 The minimum standard for staff qualifications for staff employed to deliver services in a supervised community treatment program shall be graduation from high school or possession of a GED certificate and the equivalent of one year of full-time experience in the delivery of human services in a public or private agency.
	 (2) 	 Providers shall ensure that staff has experience in working with the target population of children and shall provide planned opportunities for ongoing staff development and in-service training.
	 (3) 	 Staff qualifications shall be monitored by juvenile court services as part of monitoring the contract.
	 151.32(7) Provider progress reports. Providers of supervised community treatment services shall prepare an initial treatment plan in consultation with the referral source within 30 days of the child’s admission and shall prepare a minimum of quarterly progress reports on each child receiving services.
	  a.   	 Additional reports may be prepared when requested by the juvenile judge or the child’s juvenile court officer.
	  b.   	 All reports shall be submitted to the juvenile court officer responsible for monitoring the child’s progress. All reports shall, at a minimum, describe the child’s attendance, adjustment, and progress in achieving the desired goals and objectives established in the treatment plan.
	  c.   	 Rescinded IAB 11/9/05, effective 1/1/06.
	 151.32(8) Outcome measures. Each contract shall contain a section to inform the provider that juvenile court services and the department shall track the outcome of the service provision following each child’s discharge from the service received through the contract.
	  a.   	 Juvenile court services and the department shall collaborate to determine the criteria and data needed to track and record the outcomes.
	  b.   	 The provider shall report data as requested by juvenile court services.
	  c.   	 The department shall make a determination six months following each child’s discharge as to whether the child is in foster family care, group care, or institutional placement. Service to a child shall be considered successful if:
	 (1) 	 The child is living at home even when less intensive services are provided; or
	 (2) 	 The child is in supervised apartment living.
	  d.   	 Data collected on the children served and discharged shall be used to establish or modify a baseline for the provider and for the service. The data shall be used to develop information to make decisions regarding service provision and contracting.