Wraparound Continuing Invoicing

1. RISC Coordinator
   1. Confirms Payment Invoice.
2. FC MA
   1. Receives “Confirmed to Pay Invoice” List or Invoice.
   2. Posts list to FCE Shared Drive or Forwards Invoice to the assigned FC EW.
   3. Prepares and forwards payment list to FC Clerical for assignment.
3. FC Clerical
   1. Receives payment list or Invoice or AAP 2.
   2. Completes ID if necessary.
   3. Makes copy of payment list and scans it into imaging for all respective youths.
   4. Forwards original payment list to assigned Continuing EW or forwards Invoice to the assigned FC EW.
4. Continuing EW
   1. Receives payment listing.
   2. Verifies current placement.
   3. Verifies aid code and enters CalSAWS journal.
   4. Verifies Medi-Cal is still active.
      1. If the child/youth is FC/AAP, Initial Wrap, then 
         1. Updates the Wraparound Detail Window at the when wrap has been approved and when wrap has terminated.
         2. Prorates the first and last payment using with SCD 32.
         3. Determines Medi-Cal Eligibility.
         4. Refers FC Handbook 25 for the Wraparound Policy.

            1. Note: If FC youth is placed in a GH, determine if a DE is needed or if the facility is covered under the “Blanket Approval” See FC Update 15-16.

            2. Note: FC will have a RISC referral, AAP will have AAP 2 instructions.

      2. If the child/youth is in AAP, then confirms request is from the only approved facility for Wraparound unless it is noted on the AAP 2 that a Service Agreement has been obtained.

         1. Note: An AAP 2 will be received to issue payments.

         2. Note: The Service Agreement is maintained in the post-AAP SW file.

      3. If the child/youth is in THPP or Group Home, then 
         1. Follows FCE policy for youths placed in THPP or Group Homes.
         2. Confirms Blanket Approval memo is still in effect.
      4. If the child/youth is 18 or older Including THP+FC (excluding AAP youth), then 
         1. Verifies youth is approved for Extended FC (EFC).
         2. Returns request to placement SWS and copies FC MA when youth is not approved for EFC.
      5. If the youth is on SSI in another county, refers SCZ 63 back to the placement SWS and copies the FC MA youth is not eligible for Wraparound Services.
   5. Issues payment ALWAYS through NSDI.
   6. Enters CalSAWS journal and summarizes case actions.
   7. If applicable, E-mails District Office for FC youths stating that the youth is no longer receiving Wraparound and advising BLO for aid codes 4H/4L or no longer necessary.

Related Topics

Continuing Benefits Processing