subchapter 71L – maternity home fund

 

10A NCAC 71L .0101       NATURE AND SCOPE

The Maternity Home Fund is a resource for North Carolina residents when all other financial resources have been explored and found to be inadequate to meet residential costs for individuals experiencing problem pregnancies who for various reasons are unable to remain in their own homes during the prenatal period.

(1)           The Maternity Home Fund is administered by the state division of social services and funded under Title IV‑B of the Social Security Act.

(2)           Application for Maternity Home Funds for individuals experiencing problem pregnancies must be made by a county department of social services or a licensed private adoption agency.  The state division of social services is responsible for monitoring the services of both the county departments of social services and the private adoption agencies.

(3)           The Maternity Home Fund may assist with residential costs for up to six months, including up to two weeks following delivery, as needed by pregnant women in a living arrangement approved for Maternity Home Fund reimbursement.

(4)           The Maternity Home Fund cannot be utilized for hospitalization and delivery services or other medical services received outside the auspices of a licensed maternity home.  Medical services provided as a part of the regimen of services by a licensed maternity home are included in the cost of care.

(5)           Living arrangements for which Maternity Home Funds may be utilized include:

(a)           A maternity home; licensed by or meeting the maternity home standards of the licensing authority in the state in which the facility is located;

(b)           A foster family home for children licensed in North Carolina;

(c)           The home of a non‑legally responsible relative in North Carolina;

(d)           For individuals 18 and over, a boarding arrangement in North Carolina.

 

History Note:        Authority G.S. 143B‑153;

Eff. April 1, 1978;

Amended Eff. July 1, 1990; January 1, 1983.

10A NCAC 71L .0102       APPROVAL CRITERIA

(a)  A county department of social services or a licensed private adoption agency is responsible for social work services for clients for whom they are requesting Maternity Home Funds.  Social work services include assisting the client to decide to release the baby for adoption or continue parenting the baby.

(b)  Marital status and age do not affect eligibility for Maternity Home Funds.

(c)  The client must be a resident of the State of North Carolina to be eligible for Maternity Home Funds.

(d)  Maternity Home Fund payment shall supplement any other funds available from applicants, county departments of social services, families or private agencies.

(e)  Maternity home fund payment to licensed maternity homes is based on the actual per diem cost of care.  A maternity home shall maintain a valid maternity home license for a consecutive one year period and submit an audited financial statement to the North Carolina Department of Health and Human Services, Controller's Office (2019 Mail Service Center, Raleigh, NC 27699-2019) before the per diem rate is assigned.  A licensed maternity home is eligible for reimbursement from maternity home funds in the second year of operation if this criteria is met and maternity home funds are available.

(f)  Maternity home fund payment for care in a foster home is the North Carolina standard board rate for foster care assistance set by the General Assembly.  The current standard board payment for foster care assistance can be obtained from the North Carolina Division of Social Services (952 Old U.S. 70 Highway, Black Mountain, NC 28711).

(g)  Maternity home fund payment for care in the home of a non-legally responsible relative or in a boarding arrangement shall not exceed the North Carolina standard board rate for foster care assistance. 

 

History Note:        Authority G.S. 143B-153;

Eff. April 1, 1978;

Amended Eff. November 1, 2009; July 1, 1990; January 1, 1983.

 

10A NCAC 71L .0103       APPLICATION PROCESS

(a)  County departments of social services are responsible for submitting applications to the family services section of the state division of social services for those clients for whom they accept basic casework responsibility.

(b)  Licensed private adoption agencies are responsible for submitting applications directly to the family services section for those needy clients for whom they accept basic casework responsibility.

(c)  Application for funds shall be made prior to admission to the Maternity Home Fund approved living arrangement.  Emergency situations may be submitted for special consideration.

(d)  The following information must accompany requests for funds.

(1)           social study and service plan;  This information must include the reason the individual experiencing the problem pregnancy is unable to remain in her own home, a description of the recommended living arrangement, the plan of services for the natural parents and their infant and a description of financial resources to be considered;

(2)           notice of acceptance of the client by a maternity home or another recommended living arrangement;

(3)           anticipated placement date and expected date of delivery.

(e)  Upon receipt of notice that funds have been approved, unless the placement is to be in a licensed maternity home, the agency requesting funds must negotiate with the individual responsible for maintaining the living arrangement a written agreement setting out mutually agreed upon responsibilities.

 

History Note:        Authority G.S. 143B‑153;

Eff. April 1, 1978;

Amended Eff. January 1, 1983.

 

10A NCAC 71L .0104       ADDITIONAL REQUIREMENTS FOR THE PRIVATE AGENCY

(a)  Sixty‑four applications a year is the maximum number of Maternity Home Fund applications which will be approved for private adoption agencies. These sixty‑four applications are not assigned in any way to the individual private agencies.  The first sixty‑four applications showing financial need received by the state division of social services in a given fiscal year will be considered, regardless of which private agency makes the application.

(b)  When the first application in each fiscal year is submitted by a private agency, the state division of social services will request a financial statement from the private agency.  This statement will document the amount of money budgeted by the private agency for the maternity needs of financially needy women and that the funds have been depleted.  The statement will show the number of women who have received financial assistance and the amount each received.

 

History Note:        Authority G.S. 143B‑153;

Eff. April 1, 1978;

Amended Eff. January 1, 1983; March 1, 1982.

 

10a NCAC 71L .0105       PROCEDURE FOR APPROVAL AND PAYMENT

(a)  Upon receipt of the social study and related information, the division of social services will make a decision regarding approval for Maternity Home Funds and the recommended type of living arrangement based on individual circumstances.  Notice of action taken will be promptly communicated to the county department of social services or to the private adoption agency submitting the application with a copy routed to the applicable maternity home, if maternity home care is the approved living arrangement.

(b)  County departments of social services and private adoption agencies will submit a designated voucher form to the family services section of the state division of social services when the client is admitted to the approved living arrangement; and if the approved living arrangement is other than a maternity home, a copy of the written agreement negotiated with the individual responsible for maintaining the living arrangement.

(c)  One check will be written each month for each approved living arrangement as appropriate identifying the names of the clients to whom the payment should be credited.

 

History Note:        Authority G.S. 143B‑153;

Eff. April 1, 1978;

Amended Eff. January 1, 1983.