(1) (a) The state department shall adopt rules to establish a program of child welfare services, administered by the state department or supervised by the state department and administered by the county departments, and, where applicable, in accordance with the conditions accompanying available federal funds for such purpose. The rules shall establish a fee based upon the child support guidelines set forth in section 14-10-115, C.R.S., requiring those persons legally responsible for the child to pay for all, or a portion, of the services provided under this article. Notwithstanding the rules establishing a fee for services provided under this article, when it serves the best interest of a child, a county department may exempt a family from responsibility for payment of fees for core services, as defined in rules promulgated by the state department. The state department is authorized to promulgate rules to implement the provisions of this article relating to the allocation of funds to counties for the delivery of child welfare services.
(b) Upon appropriate request and within available appropriations, child welfare services shall be provided for any child residing or present in the state of Colorado who is in need of such services. Foster care fees shall be considered child support obligations, and all remedies for the enforcement and collection of child support shall apply. Foster care fees established pursuant to section 14-10-115, C.R.S., may be collected pursuant to the administrative procedures to establish child support enforcement set forth in article 13.5 of this title. Due process is guaranteed in all actions regarding any such administrative process concerning foster care fees, and a court hearing of the matter before the district court may be obtained in the manner prescribed in section 26-13.5-105. Nothing contained in article 13.5 of this title shall be construed to deprive a court of competent jurisdiction from determining the duty of support of any obligor against whom an administrative order is issued pursuant to this article.
(2) Reforms in child welfare and related delivery systems shall be directed at the following objectives:
More efficient and responsive service systems for children, youth, and families;
Increased flexibility and collaboration across multiple agencies and funding streamsto more appropriately meet consumer needs and avoid cost shifting between systems;
Encouragement and authorization for a truly integrated service system that incorporates blended funding and administration;
Focus on quality and outcome-driven services with accountability for an entire arrayof services that families need, rather than forcing families to be transferred from agency to agency;
Development of data systems to support these goals and to allow administrators andpolicy makers to better manage and evaluate;
Authority and incentives for creative solutions at the local level that are not bound bythe constraints of current agency barriers and categorical funding streams, including authority for local policy makers to create new entities incorporating blended funding and administration;
Successful training efforts directed at county staff, judges, court staff, providers, parents, and families and other appropriate entities that are involved in managed care service systems, which training efforts shall include, but not be limited to, the operation of the child welfare training academy created in section 26-5-109. Notwithstanding any limitation of the "M" notation of the appropriation in the annual appropriation act for child welfare services, the state department is authorized to expend any additional federal or private funding that may be available to support the training efforts identified in this subsection (2).
Promotion of the development of a family-centered, community-based strategy forplacement decisions that includes team decision making, family-group decision making, or other agency decision making processes that involve the family and community supports;
Promotion of the local placement of children with families by recruiting and supporting foster care homes within the neighborhoods and communities in which identified children reside;
Successful transition of individuals eighteen to twenty years of age with intellectualand developmental disabilities to adult services for individuals with intellectual and developmental disabilities pursuant to section 25.5-6-409.5, C.R.S.
(3) (a) On or before August 1, 2018, the state department shall develop a program to serve children and youth with intellectual and developmental disabilities who are placed by county departments of human or social services in a licensed out-of-home setting as defined in section 26-6-102 (33) and children or youth committed to or in the custody of the state department.
The state department shall promulgate rules concerning the placement of children oryouth in the program. The rules must include, but need not be limited to, quality assurance monitoring, admissions, discharge planning, appropriate length of stay, and an appeals process for children or youth who are determined to be ineligible for the program.
On or before December 31, 2018, the state department shall contract with a licensedprovider for the delivery of services to children and youth with intellectual and developmental disabilities who are placed in the program. The state department shall utilize a request for proposal process to define the scope of the contract and to select the licensed provider.
A county department that wishes to place a child or youth in the program shall submit an application to the state department for review. The state department shall approve admissions into the program and determine discharge criteria for each placement. A county department that has applied for the admission of a child or youth into the program shall be notified in writing of a placement approved by the state department.
For the duration of the treatment, as defined in the approval letter from the statedepartment, and for thirty days after the completion of treatment, the county department responsible for the placement of the child or youth in the program must be reimbursed by the state department for one hundred percent of the costs associated with the approved placement.
The state department shall notify the county department that is responsible for theplacement of the child or youth of the date on which the reimbursement eligibility will expire. Upon expiration of the reimbursement eligibility, if the child or youth remains in placement at the facility, the county department is responsible for one hundred percent of the placement costs.
A county department that has placed a child or youth in the program retains the rightto remove the child or youth from the program any time prior to the discharge date specified by the state department.
The state department shall reimburse the provider one hundred percent of the cost ofunutilized beds in the program to ensure available space for emergency residential out-of-home placements.
Entities other than county departments, including but not limited to hospitals, healthcare providers, single entry point agencies, and community-centered boards, may refer a family to voluntarily apply and assist with the application to the state department for admission of the family's child or youth with intellectual and developmental disabilities into the program pursuant to this subsection (3). Such applications will be considered if space is available. However, children and youth with intellectual and developmental disabilities placed by county departments or the state department shall have priority for admission to the program. The state department shall not accept applications for placement of a child or youth who is exclusively insured by private insurance. A child or youth who is dually insured by private insurance and medicaid and whose residential level of care has been denied by private insurance may be eligible for services in the program.
Any entity defined in subsection (3)(i) of this section that receives placement approval from the state department shall contract directly with the provider for such placement and is responsible for the costs associated with the placement.
The state department may maintain up to three open beds specifically for childrenand youth in the custody of a county or committed to or in the custody of the state department who may need services on an emergency basis.
(4) As used in this section, "county department" means a county department of human or social services.
Source: L. 73: R&RE, p. 1195, § 3. C.R.S. 1963: § 119-4-2. L. 87: Entire section amended, p. 594, § 21, effective July 10. L. 91: Entire section amended, p. 215, § 3, effective July 1. L. 93: Entire section amended, p. 1788, § 73, effective June 6; entire section amended, p. 1564, § 17, effective September 1. L. 98: Entire section amended, p. 707, § 1, effective May 18; entire section amended, p. 781, § 3, effective May 22. L. 2005: (2)(h) and (2)(i) added, p. 353, § 1, effective August 8. L. 2009: (2)(g) amended, (SB 09-164), ch. 276, p. 1239, § 1, effective May 19. L. 2010: (1)(a) amended, (HB 10-1115), ch. 120, p. 402, § 1, effective August 11. L. 2014: (2)(j) added, (HB 14-1368), ch. 304, p. 1291, § 3, effective May 31. L. 2015: (2)(i) amended, (SB 15-087), ch. 263, p. 1020, § 15, effective June 2. L. 2018: (3) and (4) added, (SB 18-254), ch. 216, p. 1374, § 4, effective May 18.
Editor's note: (1) This section was amended in House Bill 93-1342. Those amendments were superseded by the amendment of the section in Senate Bill 93-154.
(2) Amendments to this section by House Bill 98-1137 and Senate Bill 98-165 were harmonized.