25.3.1   Making An ICPC Referral

The Children’s Service Worker (CSW) should contact the proposed caretaker, to determine whether they are interested in providing for the child before making a formal ICPC request:

1. Send the following packet of material in triplicate to the immediate supervisor and Circuit Manager/designee for review and approval:
   1. Original plus three (3) copies of the Transmittal Checklist, ICPC 100-D;
   2. Original and four (4) copies of the Placement Request, ICPC 100-A;

      NOTE:  The Children’s Division is financially responsible for the child(ren) unless the agency does not have custody.  In cases where the CD does not have legal care and custody, an agent for the juvenile court must sign the ICPC 100-A as the legally and financially responsible party for any costs.

   3. Original and two (2) copies of the cover letter which includes the following:
      • Reason out-of-state placement is being pursued;
      • Name of the proposed out-of-state placement resource and relationship to the child(ren);
      • Statement indicating the person/agency/court which has legal custody of the child(ren);
      • Permanency plan/case plan for the child(ren);
      • Indication of the child(ren)’s eligibility for Title IV-E or Supplemental Security Income (SSI); and
      • By contacting the proposed caretaker, the case manager/CSW will determine that a potential resource for the child exists in another state.  Resources may be any one of the following:
   4. Original and two (2) copies of the child(ren)’s social summary; Section 6, Chapter 9 Attachment B provides a Suggested Outline for a Child’s Summary.
   5. Three (3) copies of the original court order granting jurisdiction and giving custody to the CD, and if available, three (3) copies of the most recent court order (within the last 12 months);
   6. Three (3) copies of the Priority home study court order, (if ordered);
   7. Three (3) copies of diagnosed medical and special needs/educational reports (IEP, report cards, etc.);
   8. Three (3) copies of appropriate citizenship documentation as detailed in Section 4 Chapter 24.3.5.1 Medicaid Eligibility Documentation of U.S. Citizenship and Identity;
   9. Three (3) copies of the Child Assessment and Service Plan (CS-1);
   10. Three (3) copies of the written service agreement, if applicable; and
   11. Three (3) copies of the Financial/Medical Plan, ICPC-3.
2. Circuit Manager/designee will submit the completed packet to the ICPC Coordinator in Central Office.
3. The ICPC Coordinator will review and submit the packet to the receiving state’s ICPC office.
4. The ICPC Coordinator will submit the placement decision to the CSW.

   NOTE: Placement prior to ICPC approval is a violation of state law and may result in the home study process being stopped or the home study being denied. The home study and approval of the ICPC 100-A are valid for only six (6) months, RSMo 210.620 Regulation VI.

   Related Subject:  Forms and Instructions

25.3.2   Placement Of A Missouri Child With An Approved Resource

The Children’s Service Worker should receive approval for the placement from the ICPC Coordinator before making a recommendation to the court.  After the CSW has obtained court approval for the placement, the following must be done:

1. Submit the Child Placement Status Report, ICPC 100-B, in triplicate to the ICPC Coordinator when a confirmation date for placement is made or placement occurs.  In some instances, the CSW may need to contact the CD travel desk to make airline reservations.  Regardless of the mode of transportation for the placement, the ICPC 100-B should be submitted as soon as possible in order for services to be provided.  (See ICPC 100-B and Instructions.)
2. Complete any appropriate forms (such as, but not limited to, the Vendor Licensure/Placement Resource form, SS-60, Alternative Care Client form, SS-61, etc.) needed to implement services the child may require in the other state;

   Any costs, other than regular maintenance payments, need to be approved through proper administrative channels.

3. Contact the ICPC Coordinator in Central Office if progress reports or additional assistance is needed to ensure continued placement;
4. If the plan is for adoption of the child(ren) by the proposed resource, the ICAMA Coordinator in Central Office should be contacted to ensure the appropriate paperwork is completed.

   NOTE:  Supervision/services may not occur until the Child Placement Status Report, ICPC 100-B, is procured by the receiving state.  The Cooperative Agreement for Purchase of Foster Care Services, CM-3, should be sent to out-of-state providers to sign.  Placement providers out of state are eligible to receive maintenance at the Missouri foster care rate, but they are not eligible for the Professional Parent payment.  They should not complete the Cooperative Agreement for the Purchase of Professional Foster Care Services, CM-14.

   Related Subject: Forms and Instructions

25.3.3 Compact Termination/Placement Disruption Or Closure:

Compact termination can occur after a period of 6 months supervision and with the concurrence of the receiving state’s ICPC office under one of the following circumstances: 

• The child’s adoption is legally finalized;
• The child reaches the age of majority (18 years);
• The child becomes self-supporting;
• The child returns to Missouri; or
• The child is discharged from court jurisdiction with the concurrence of the appropriate authority in the receiving state.
  1. The CSW shall submit the Child Placement Status Report, ICPC 100-B, and the court orders, and
  2. Notify the ICPC Coordinator in Central Office as soon as possible if the placement is disrupting.  Send the ICPC 100-B to close out the ICPC case, if a disruption may or has occurred.

Related Subject:  Forms and Instructions