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General Eligibility
To be eligible for wraparound services, a child/youth must meet all eligibility criteria below:
- Be between 5 to 21 years old.
- Be a dependent child of the Juvenile Court of Santa Clara County, have an open Voluntary Family Maintenance (VFM) or Voluntary Family Reunification (VFR) case, have an open legal guardianship through Kinship Guardianship Assistance Payment (Kin-GAP), Probate Court or Non-Related Legal Guardianship, or an open Adoption Assistance Program (AAP) case.
- Have an approved placement with a parent, relative caregiver, non-relative extended family member (NREFM), or foster parent who agrees to participate in wraparound services.
- If the child/youth does not have an approved placement with the individuals listed above, they must be in any of the following placements:
- Transitional Housing Placement Program (THPP)
- THP+ Non-Minor Dependent (NMD) Program
- Supervised Independent Living Program (SILP)
- Have full-scope Medi-Cal or be Medi-Cal eligible.
The rest of this section is saved for historical purposes.
Once a child/youth is determined to be eligible for Wraparound they shall remain eligible for the time specified in their ISP. The ISP period is the Wraparound episode. The youth must remain enrolled and receiving Wraparound Services during the ISP period. This includes youth returning home during the Wraparound episode.
When Wraparound benefits are paid using Aid Code 42, the youth remains in Aid Code 42 even when the youth returns home, unless the youth turns 18. If the youth turns 18 years old during the Wraparound episode, the appropriate NMD Aid Code must be used the following month the youth turned 18 and under the same funding source. If the youth was federally eligible under Aid Code 42 he/she remains federally eligible under NMD Aid Code 49 while under the same Wraparound episode.
When a youth has been placed in a GH under the Intensive “Targeted Wraparound Services” (ITWS) Program where County Only funding is being used, when the youth returns home non-federal funding or Aid Code 40 is used for youth under the age of 18.
Eligible children or youth can terminate and re-enter the Wraparound program as long they remain eligible for foster care services or under the supervision of JPD. A new RISC referral is required when the ISP has ended or is terminated.
All children or youth receiving Wraparound Services must be in an active Medi-Cal program. Their Medi-Cal eligibility is based on their concurrent FC, AAP, or CalWORKs case. When a JPD youth is returning home with an approved Workaround and the family is active on Medi-Cal, the appropriate aid code for Medi-Cal must be used. Refer to Payment Issuance.
When the youth has no active Medi-Cal case; Medi-Cal must be established prior to approval of Wraparound Services. When Medi-Cal is established only for Wraparound, both programs will be in the same case. The redetermination due date is based on the Medi-Cal program as long as wraparound is active. The assigned FC EW will complete the Medi-Cal redetermination. When Wraparound is terminated, the youth is eligible for CEC the first day of the follow month after wraparound is discontinued unless the youth is 18. Youth 18 and older are eligible for FFY Medi-Cal. Refer to Continuous Eligibility For Children (CEC) 7J/7K and Medi-Cal Eligibility for Former Foster Youth (FFY)
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