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REV. APRIL 2, 2005

NEBRASKA HEALTH AND CCS PROGRAM MANUAL LETTER # 27-2005 HUMAN SERVICES MANUAL 392 NAC 4-004

4-004 Provisions for Out-of-State Providers for Foster Children/Children with Adoption or Guardianship Subsidy: 4-004.01 License Requirements: Whenever possible, the child care provider must be in compliance with the license or registration requirements of the state where the provider is providing care. At a minimum, there must be a Central Registry and local law enforcement check on the provider before the foster parent uses the provider. The case manager has the responsibility for having reasonable assurance that safety is maintained for the child. 4-004.02 Subsidy Agreement and Rate of Payment: If possible, the out-of-state child care provider must have a child care agreement with the Department and accept Department rates. If it becomes too difficult to accomplish this because of distance, different state requirements, etc., the child care payment may be included in the foster care payment and paid to the foster parent. The case manager may approve a provider rate that is higher than Nebraska’s maximum if necessary. The case manager should request the foster parent to provide information about rates in the area and determine what is reasonable to pay. The case manager will need to monitor changes in circumstances that will require a change in payment, for example, the child moving to a different age category, like infant to toddler; the child requiring less care because s/he enters school; or a change in the foster parent’s schedule. 4-004.03 Purpose of Child Care: For foster care children and children receiving adoption or guardianship subsidy only, child care may be authorized for socialization of the child or because another child needs to be taken to an appointment. {Effective 4/2/05} 4-004.04 Agency-Based Foster Care: Payments must be made directly to the child care provider. All child care providers must be licensed or approved before child care is provided.