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Attachment I

CERTIFICATION OF ELIGIBILITY FOR ADDITIONAL FUNDS
UNDER SECTION 427 OF THE SOCIAL SECURITY ACT

State/Tribe

I certify that                   (name of designated agency) meets the requirements of section 427(a) specified below:

  1. Has Completed an Inventory

    427 (a)(1) An inventory of all children who have been in foster care
    under the responsibility of the State/Tribe for a period
    of six months preceding the inventory, and
    (a) determined the appropriateness of, and necessity for, the
    current foster care placement, whether the child can or
    should be returned to his or her parents or should be
    freed for adoption; and
    (b) determined the services necessary to facilitate either the
    return of the child or the placement of the child for
    adoption or legal guardianship.


  2. Has Implemented and is Operating a Statewide or Tribewide
    Information System

    427 (a)(2)(A)

    A Statewide or Tribewide information system from which
    the following data can readily be determined for every
    child currently in foster care and all children who have
    been in foster care within the preceding 12 months:

    (a) demographic characteristics;
    (b) legal custody status;
    (c) location; and
    (d) placement goals.



  3. Has Implemented and is Operating a Case Review System

    (The language in this section varies somewhat from that used in
    section 475 and in the State plan for title IV-E, in which the
    provisions are slightly more abbreviated. There is no variation in
    the substance of the provisions.)

    (1) Case Plan

    471(a)(16)
    45 CFR 1356.21(d)
    1. For each child receiving foster care
    maintenance payments, there is a written case
    plan (as defined in section 475 of the Act)
    which is a discrete part of the case record
    and available to the parent(s) or guardian of
    the foster child.
    475(1)
    45 CFR 1356.21(d)
    2. The written case plan is developed
    within a reasonable period, but no later than
    60 days from the time the State agency assumes
    responsibility for providing services,
    including placing the child.
     

    3. The written case plan includes at a minimum
    the following:

    1. (after 10-1-83) a description of the services
      offered and the services
      provided to prevent removal of the child
      from the home and to reunify the family;

    2. a description of the type of home or
      institution in which the child is to be
      placed;

    3. a discussion of the appropriateness of
      the placement and how the responsible
      agency plans to carry out the judicial
      determination made with respect to the
      child in accordance with section 472(a)(1);*

    4. a plan for assuring that the child
      receives proper care and that services
      are provided to the parent in order to
      improve the conditions in the parents'
      home to facilitate the child's return to
      his or her own home or the permanent
      placement of the child;

    5. a plan for assuring that services are
      provided to the child and foster parents
      in order to address the needs of the
      child while in foster care;

    6. a discussion of the appropriateness of
      the services that have been provided to
      the child under the plan;

    *Section 472(a)(1) - "The removal from the home...was the result of a
    judicial determination to the effect that continuation therein would be
    contrary to the welfare of such child and (effective October 1, 1983) that
    reasonable efforts of the type described in Section 471(a)(15) has been
    made."

    475(5)(A)
    45 (CFR)
    1356.21(d)
    1. a discussion of how the case plan for
      each child is designed to achieve
      placement in the least restrictive (most
      family like) setting available and in
      close proximity to the parent's home
      consistent with the best interest and
      special needs of the child.




    (2) Case Review

    427(a)(2)(B) 1. A case review system which meets the
    requirements of section 475(5) and assures that
    475(5)(B)
    1. A review of each child's status is made
      no less frequently than once every six
      months either by a court or by an
      administrative review to:
      1. determine the continuing need for
        and appropriateness of the
        placement,

      2. determine the extent of compliance
        with the case plan,

      3. determine the extent of progress
        made toward alleviating or
        mitigating the cause necessitating
        the placement in foster care, and

      4. project a likely date by which the
        child may be returned home or
        placed for adoption or legal
        guardianship.


    475(6) (b)
    1. If an administrative review is made, the
      following requirements specified in
      section 475(6) are met:
      1. the review is open to the
        participation of the parent(s) of
        the child and

      2. the review is conducted by a panel
        of appropriate persons at least one
        of whom is not responsible for the
        case management of, or the delivery
        of services to either the child or
        the parent(s) who are the subject
        of the review.




    475(5)(C)
    1. The State agency/Tribe applies
      procedural safeguards with respect to
      each child in foster care under
      supervision of the State or Tribe which
      include:
      1. a dispositional hearing held in a
        family or juvenile court or another
        court (including a tribal court) of
        competent jurisdiction or by an
        administrative body appointed or
        approved by the court, no later
        than 18 months after the original
        placement (and periodically
        thereafter during the continuation
        of foster care) to determine the
        future status of the child
        (including whether the child should
        be returned to the parent(s),
        should be continued in foster care
        for a specific period, should be
        placed for adoption, or should
        (because of the child's special
        needs or circumstances) be
        continued in foster care on a
        permanent or long term basis), and

      2. procedural safeguards with respect
        to parental rights pertaining to
        the removal of the child from his
        or her parents' home, to a change
        in the child's placement and to any
        determination affecting visitation
        privileges of the parents.






  4. Has Implemented and Is Operating a System of Reunification and Other Permanent Placement Services

    427(a)(2)(C) A services program designed to help children,
    where appropriate, return to families from which
    they have been removed or be placed for adoption
    or legal guardianship.


    The State or Tribal Agency further certifies that in addition to the
    above requirements it

    / / has implemented
    / / has not implemented

    the requirement of section 427(b)(3) for a preplacement preventive
    service program designed to help children remain with their
    families. (Meeting the section 427(b) requirements permits a State
    to transfer funds from title IV-E to title IV-B where the conditions
    in section 474(c)(4)(C) apply, claim FFP for foster care maintenance
    payments for children voluntarily placed under title IV-E, and avoid
    a reduction in funds to the Fiscal Year 1979 level for any fiscal
    year after any two consecutive fiscal years in which $266 million is
    appropriated for title IV-B.)

Date

Date

Commissioner of Single State Agency*

Director of Single Organizational Unit*

*Indicate title of equivalent official within the Tribe or ITO.

Attachments:

Attachment II - Annual Budget Request for Title IV-9 Funds
Attachment III - Annual Summary of Child Welfare Services
Attachment IV - Instructions for the Preparation of the Annual Summary of Child Welfare Services