DISCUSSION: 

The Children’s Division (CD) participates in the development and implementation of coordinated social and health services including preventive, on-going and long-term medical and mental health care for children placed in the legal custody of the Children’s Division.

Services for medical and mental health needs of foster youth must be provided by service providers who are enrolled in the state Medicaid plan, MOHealthnet or MOHealthNet Managed Care. If medical service providers who are not enrolled with MO HealthNet or a MO HealthNet Managed Care Plan are used for a foster youth, the resource provider may have to pay for the services out-of-pocket. Any invoice or paid receipt received by the resource provider for services provided to a foster youth in their home must be submitted to the foster youth’s case manager immediately. Any reimbursement to the resource provider will be from Children’s Treatment Services (CTS) funds.

The purpose of this memorandum is to introduce a new form, Medical Services Authorization Information Letter, CD-27. The purpose of the CD-27 is to assist resource providers seeking medical services for foster youth from service providers who are not enrolled with MO HealthNet or a MO HealthNet Managed Care Plan.

In the event that a resource parent uses a medical or mental health provider who is not enrolled with MO HealthNet or a MO HealthNet Managed Care Plan the CD-27 must be presented prior to the foster youth receiving services.

If a resource family makes plans to travel out of state with a foster youth(s) placed in the home, the foster youth(s) case manager should provide the resource parent with a CD27. The worker should explain the reimbursement review process when a resource provider receives an invoice or has a paid receipt and letter from the medical provider, if applicable, for medical services provided to a foster youth placed in their home.