Policy Directives on Health-Related Matters

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ADM's

21-OCFS-ADM-18
Prenatal, Postpartum, Parenting Programs: Qualified Residential Treatment Programs Exception in New York State

The purpose of this Administrative Directive (ADM) is to detail and describe to local departments of social services (LDSSs) and voluntary authorized agencies (VAs) New York State's (NYS) approach to certifying congregate care programs as prenatal, postpartum, parenting (PPP) Qualified Residential Treatment Programs (QRTP) Exceptions. It outlines the framework of a PPP program and details the requirements and process to apply for PPP program certification.

21-OCFS-ADM-05
Regulatory Changes and Standards of Care for Youth in Congregate Care Settings

The purpose of this Administrative Directive (ADM) is to provide guidance on recent regulatory changes in conjunction with the creation of policy-based standards of care that will continue to promote and maintain the health, safety and well-being of all youth placed in all congregate care settings that are licensed by the New York State Office of Children and Family Services (OCFS), including those operated by voluntary foster care agencies and local departments of social services (LDSS). To accompany the regulatory changes described herein, specifically the development of mandated policies, OCFS is providing sample policies that comport with the regulations. This ADM is also to inform congregate care programs of future incident reporting requirements.

15-OCFS-ADM-17
Patient Protection and Affordable Care Act and Medicaid to Age 26

The purpose of this Administrative Directive (ADM) is to inform local departments of social services (LDSSs), including the St. Regis Mohawk Tribe, and voluntary authorized agencies (VAs) of changes pertaining to requirements for Medical Assistance (Medicaid) eligibility under the federal Patient Protection and Affordable Care Act (ACA) [P.L. 111-148] for youth and young adults formerly in foster care who are under the age of 26 years and the continuing option to provide Medicaid to age 21, under the Foster Care Independence Act (FCIA) of 1999 [P.L. 106-169], for those youth and young adults who are at least 18 years of age or older at the time of discharge from care and who were not in receipt of Medicaid at that time.

15-OCFS-ADM-20
Transition Planning with Youth for a Successful Discharge

The purpose of this New York State Office of Children and Family Services (OCFS) Administrative Directive (ADM) is to provide local departments of social services (LDSSs) and voluntary authorized agencies (VAs) with guidance on how to develop and implement a transition plan with all youth to prepare them for a successful adulthood and to discuss the specific transition plan requirements that are required for youth age 18 and older who are exiting foster care. This ADM advises LDSSs and VAs of new requirements contained in the federal Preventing Sex Trafficking and Strengthening Families Act (P.L. 113-183) (the Act) pertaining to providing essential documents to youth who have been in foster care for at least six months and who leave foster care at age 18 or older. This ADM includes directions on how to complete the revised transition plan (OCFS-4922), which replaces Part One: Transition Plan Discussion (OCFS-4922) and Part Two: Transition Plan Update and Summary Form (OCFS-4923). This ADM introduces The Transition Plan Amendment for Youth Age 18-21 (OCFS-3917), which must be completed every six months for youth ages 18-21 who choose to remain in foster care. This ADM supersedes and revokes 09-OCFS-ADM-16, Transition Plan Requirements for Youth 18 and Older Aging Out of Foster Care.

11-OCFS-ADM-09
Reproductive Health and Services For Youth

The purpose of this Administrative Directive (ADM) is to advise local departments of social services (LDSS) and voluntary authorized agencies of the requirements pertaining to reproductive health services for youth in foster care. This ADM also provides guidance and resources to assist LDSS and agencies to become more knowledgeable and competent in the provision of such services. Attached to this ADM is the booklet, A Medical Guide for Youth in Foster Care. This booklet is a resource for youth in foster care.

10-OCFS-ADM-12
Health Care Proxy for Youth Transitioning Out of Care

The purpose of this Administrative Directive is to advise local departments of social services (LDSS) and voluntary authorized agencies of the new requirements of the Patient Protection and Affordable Care Act (P.L. 111-148). This law ensures that youth who are aging out of foster care have access to information and education about the importance of having a health care proxy, and that youth are provided the opportunity to obtain and complete a health care proxy with the appropriate assistance.

10-OCFS-ADM-02
Standards of Installation and Maintenance of Carbon Monoxide Detectors and Amanda’s Law

The purpose of this Administrative Directive is to advise local departments of social services (LDSS), voluntary authorized agencies, and residential programs for victims of domestic violence of the requirements of installing and maintaining carbon monoxide detectors as per the amendments promulgated by the New York State Department of State to the New York State Uniform Fire Prevention and Building Code to implement Amanda’s Law.

INF’s

10-OCFS-INF-05
Lead Safe Practices

The purpose of this Informational Letter is to inform local departments of social services (LDSS), voluntary authorized agencies and directors of residential domestic violence programs of the issuance of a new rule by the United States Environmental Protection Agency (EPA), which became effective April 22, 2010. Under the rule, contractors performing renovation repair, and painting projects in homes, child care facilities, and schools built before 1978 must be certified and must follow specific work practices to prevent lead contamination.

08-OCFS-INF-02
The Use of Psychiatric Medications for Children and Youth in Placement; Authority to Consent to Medical Care

The purpose of this Informational Letter is to provide guidance on the safe and appropriate use of psychiatric medications for children and youth in the custody of OCFS, local social services district commissioners or voluntary agencies who have been placed in an out-of-home setting. The guidance presented is consistent with current research and professional publications that address psychiatric medication and children. For further information, a list of references is included in this document.

07-OCFS-INF-01
New York Loves Safe Babies Video in Spanish

The purpose of this Informational Letter (INF) is to inform local departments of social services and voluntary agencies of the availability of the Spanish version of the 30-minute New York Loves Safe Babies video, entitled Helpful Strategies for Keeping Infants and Young Children Safe (Estrategias que Ayudan a Proteger la Seguridad de los Niños). This video was developed by the Children and Family Trust Fund of the New York State Office of Children and Family Services (OCFS), in partnership with the state Department of Health and other stakeholders, to educate parents and caregivers about ways to prevent the devastating consequences of Sudden Infant Death Syndrome (SIDS), Shaken Baby Syndrome (SBS), and traumatic brain injuries. The INF also informs departments of social services and voluntary agencies about other related educational materials.

04-OCFS-INF-06
Safe Sleeping For Infants

The purpose of this release is to issue a brochure and a companion information sheet by the New York State Office of Children and Family Services (OCFS) containing helpful tips for parents and professionals on how to keep infants safe while sleeping. The brochure, entitled Back to Sleep/Safe to Sleep, and the information sheet describe ways to help prevent Sudden Infant Death Syndrome (SIDS) and the death of infants while sleeping with others.

04-OCFS-INF-05
Smoking in Foster Homes

The purpose of this Informational Letter is to recommend that local social services districts and voluntary agencies with foster boarding home programs review their current policy and practices concerning foster parents and foster children and the smoking of tobacco, if such a review has not been undertaken in the last few years. This review is recommended to support the good health of foster children residing in foster homes and to take necessary steps to avoid the dangers caused by a child smoking tobacco or being exposed to second-hand smoke.

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