441—156.11 (234) Emergency care. Each service area shall have facilities to provide 24-hour emergency foster care. Emergency care shall not exceed 30 days in one six-month period, and the facility’s policy may limit placement to less than 30 days. The following options shall be available for funding emergency care for each service area:
	 156.11(1) Foster family homes designated to maintain beds for emergency care shall be paid according to rule 156.6(234). In order to assure that there are adequate emergency beds available, designated homes may be paid a subsidy of $50 per month per bed. No emergency care facility shall be approved for more than five beds under subsidy.
	 156.11(2) Foster family home payment. Foster family homes may be designated to provide emergency care and may be paid on a daily rate per child when a child is placed. Rates for children shall be:

Age of Child	Rate	
Age 0-11	$20.09 per day	
Age 12 and over	$21.84 per day	
	 156.11(3) Shelter care payment. Public and private juvenile shelter care facilities approved or licensed in Iowa shall be paid according to the rate-setting methodology in 441—paragraph 150.3(5)“p.”
	  a.   	 Facilities shall bill for actual units of service provided in accordance with 441—subrule 150.3(8). In addition, facilities may be guaranteed a minimum level of payment to the extent determined by the department through a request-for-proposal process.
	 (1) 	 Guaranteed payment shall be calculated monthly.
	 (2) 	 The guaranteed level of payment shall be calculated by multiplying the number of beds for which payment is guaranteed by the number of days in the month.
	 (3) 	 When the actual unit billings for a facility do not equal the guaranteed level of payment for the month, the facility may submit a supplemental billing for the deficiency.
	 (4) 	 The amount of the supplemental billing shall be determined by multiplying the facility’s unit cost for shelter care by the number of units below the guaranteed level for the month for which the facility was not reimbursed.
	  b.   	 The total reimbursement to the agency shall not exceed the agency’s allowable costs as defined in 441—subrule 150.3(5). Agencies shall refund any payments which have been made in excess of the agencies’ allowable costs.
	  c.   	 Shelter contracts for the state fiscal year beginning July 1, 2007, shall provide for the statewide availability of a daily average of 273 guaranteed emergency juvenile shelter care beds during the fiscal year.
This rule is intended to implement Iowa Code section 234.35.