441—156.10 (234) Payment for reserve bed days.
	 156.10(1) Group care facilities. The department shall provide payment for group care maintenance and child welfare services according to the following policies.
	  a.   	 Family visits. Reserve bed payment shall be made for days a child is absent from the facility for family visits when the absence is in accord with the following:
	 (1) 	 The visits shall be consistent with the child’s case permanency plan.
	 (2) 	 The facility shall notify the worker of each visit and its planned length prior to the visit.
	 (3) 	 The intent of the department and the facility shall be for the child to return to the facility after the visit.
	 (4) 	 Staff from the facility shall be available to provide support to the child and family during the visit.
	 (5) 	 Payment shall be canceled and payments returned if the facility refuses to accept the child back.
	 (6) 	 If the department and the facility agree that the return would not be in the child’s best interest, payment shall be canceled effective the day after the joint decision not to return the child.
	 (7) 	 Payment shall be canceled effective the day after a decision is made by the court or parent in a voluntary placement not to return the child.
	 (8) 	 Payment shall not exceed 14 consecutive days, except upon prior written approval of the service area manager. In no case shall payment exceed 30 consecutive days.
	 (9) 	 The provider shall document the use of reserve bed days in the daily log and report the number of reserve bed days claimed in the quarterly report.
	  b.   	 Hospitalization. Reserve bed payment shall be made for days a child is absent from the facility for hospitalization when the absence is in accord with the following:
	 (1) 	 The facility shall contact the worker at least 48 hours in advance of a planned hospitalization and within 24 hours after an unplanned hospitalization.
	 (2) 	 The intent of the department and the facility shall be for the child to return to the facility after the hospitalization.
	 (3) 	 Staff from the facility shall be available to provide support to the child and family during the hospitalization.
	 (4) 	 Payment shall be canceled and payments returned if the facility refuses to accept the child back.
	 (5) 	 If the department and the facility agree that the return would not be in the child’s best interest, payment shall be canceled effective the day after the joint decision not to return the child.
	 (6) 	 Payment shall be canceled effective the day after a decision is made by the court or parent in a voluntary placement not to return the child.
	 (7) 	 Payment shall not exceed 14 consecutive days, except upon prior written approval of the service area manager. In no case shall payment exceed 30 consecutive days.
	 (8) 	 The provider shall document the use of reserve bed days in the daily log and report the number of reserve bed days claimed in the quarterly report.
	  c.   	 Runaways. Reserve bed payment shall be made for days a child is absent from the facility after the child has run away when the absence is in accord with the following:
	 (1) 	 The facility shall notify the worker within 24 hours after the child runs away.
	 (2) 	 The intent of the department and the facility shall be for the child to return to the facility once the child is found.
	 (3) 	 Payment shall be canceled and payments returned if the facility refuses to accept the child back.
	 (4) 	 If the department and the facility agree that the return would not be in the child’s best interest, payment shall be canceled effective the day after the joint decision not to return the child.
	 (5) 	 Payment shall be canceled effective the day after a decision is made by the court or parent in a voluntary placement not to return the child.
	 (6) 	 Payment shall not exceed 14 consecutive days, except upon prior written approval of the service area manager. In no case shall payment exceed 30 consecutive days.
	 (7) 	 The provider shall document the use of reserve bed days in the daily log and report the number of reserve bed days claimed in the quarterly report.
	  d.   	 Preplacement visits. Reserve bed payment shall be made when a child is making a planned preplacement visit to another foster care placement or an adoptive placement when the absence is in accord with the following:
	 (1) 	 The visits shall be consistent with the child’s case permanency plan.
	 (2) 	 The intent of the department and the facility shall be for the child to return to the facility.
	 (3) 	 Staff from the facility shall be available to provide support to the child and provider during the visit.
	 (4) 	 Payment shall be canceled and payment returned if the facility refuses to accept the child back.
	 (5) 	 Payment shall not exceed two consecutive days.
	 (6) 	 The provider shall document the use of reserve bed days in the daily log and report the number of reserve bed days claimed in the quarterly report.
	 156.10(2) Foster family care.
	  a.   	 Family visits. Reserve bed payment shall be made for days a foster child is absent from the foster family home for family visits when the absence is in accord with the following:
	 (1) 	 The visits shall be consistent with the child’s case permanency plan.
	 (2) 	 The intent of the department and the foster family shall be for the child to return to the foster family home after the visit.
	 (3) 	 Payment shall be canceled and payments returned if the foster family refuses to accept the child back.
	 (4) 	 If the department and the foster family agree that the return would not be in the child’s best interest, payment shall be canceled effective the day after the joint decision not to return the child.
	 (5) 	 Payment shall be canceled effective the day after a decision is made by the court or parent in a voluntary placement not to return the child.
	 (6) 	 Payment shall not exceed 14 consecutive days, except upon prior written approval of the service area manager. In no case shall payment exceed 30 consecutive days.
	  b.   	 Hospitalization. Reserve bed payment shall be made for days a foster child is absent from the foster family home for hospitalization when the absence is in accord with the following:
	 (1) 	 The intent of the department and the foster family shall be for the child to return to the foster family home after the hospitalization.
	 (2) 	 Payment shall be canceled and payments returned if the foster family refuses to accept the child back.
	 (3) 	 If the department and the foster family agree that the return would not be in the child’s best interest, payment shall be canceled effective the day after the joint decision not to return the child.
	 (4) 	 Payment shall be canceled effective the day after a decision is made by the court or parent in a voluntary placement not to return the child.
	 (5) 	 Payment shall not exceed 14 consecutive days, except upon prior written approval of the service area manager. In no case shall payment exceed 30 consecutive days.
	  c.   	 Runaways. Reserve bed payment shall be made for days a foster child is absent from the foster family home after the child has run away when the absence is in accord with the following:
	 (1) 	 The foster family shall notify the worker within 24 hours after the child runs away.
	 (2) 	 The intent of the department and the foster family shall be for the child to return to the foster family home once the child is found.
	 (3) 	 Payment shall be canceled and payments returned if the foster family refuses to accept the child back.
	 (4) 	 If the department and the foster family agree that the return would not be in the child’s best interest, payment shall be canceled effective the day after the joint decision not to return the child.
	 (5) 	 Payment shall be canceled effective the day after a decision is made by the court or parent in a voluntary placement not to return the child.
	 (6) 	 Payment shall not exceed 14 consecutive days, except upon prior written approval of the service area manager. In no case shall payment exceed 30 consecutive days.
	  d.   	 Preplacement visits. Reserve bed payment shall be made when a foster child is making a planned preplacement visit to another foster care placement or an adoptive placement when the absence is in accord with the following:
	 (1) 	 The visits shall be consistent with the child’s case permanency plan.
	 (2) 	 The intent of the department and the foster family home shall be for the child to return to the foster family home.
	 (3) 	 Payment shall be canceled and payment returned if the foster family home refuses to accept the child back.
	 (4) 	 Payment shall not exceed two consecutive days.
	 156.10(3) Shelter care facilities.
	  a.   	 Hospitalization. Reserve bed payment shall be made for days a child is absent from the facility for hospitalization when the absence is in accord with the following:
	 (1) 	 The facility shall contact the worker at least 48 hours in advance of a planned hospitalization and within 24 hours after an unplanned hospitalization.
	 (2) 	 The intent of the department and the facility shall be for the child to return to the facility after the hospitalization.
	 (3) 	 Staff from the facility shall be available to provide support to the child and family during the hospitalization.
	 (4) 	 Payment shall be canceled and payments returned if the facility refuses to accept the child back.
	 (5) 	 If the department and the facility agree that the return would not be in the child’s best interest, payment shall be canceled effective the day after the joint decision not to return the child.
	 (6) 	 Payment shall be canceled effective the day after a decision is made by the court or parent in a voluntary placement not to return the child.
	 (7) 	 Payment shall not exceed 14 consecutive days, except upon prior written approval of the service area manager. In no case shall payment exceed 30 consecutive days.
	 (8) 	 The provider shall document the use of reserve bed days in the daily log and report the number of reserve bed days claimed in the quarterly report.
	  b.   	 Preplacement visits. Reserve bed payment shall be made when a child is making a planned preplacement visit to another foster care placement or an adoptive placement when the absence is in accord with the following:
	 (1) 	 The visits shall be consistent with the child’s case permanency plan.
	 (2) 	 The intent of the department and the facility shall be for the child to return to the facility.
	 (3) 	 Staff from the facility shall be available to provide support to the child and provider during the visit.
	 (4) 	 Payment shall be canceled and payment returned if the facility refuses to accept the child back.
	 (5) 	 Payment shall not exceed two consecutive days.
	 (6) 	 The provider shall document the use of reserve bed days in the daily log and report the number of reserve bed days claimed in the quarterly report.
This rule is intended to implement Iowa Code sections 234.6 and 234.35.
[ARC 8010B, IAB 7/29/09, effective 10/1/09]