Master Trust/“Client Trust” Legal Fiduciary Obligations And Necessary Social Work FIRST RULE OF MASTER TRUST Who’s money is this? The money in Master Trust is the child’s money! It is not “our” money. Deborah Schroth, 11/6/2008 2 Antoine – see facts from final slide. Fee Waiver? Why or why not? If yes, what are the considerations? Age? Likelihood to age out? Needs? Life Insurance from the VA? How much can Antoine accumulate in his client trust account? Why do you give this answer? Deborah Schroth, 11/6/2008 3 What is Master Trust Master Trust is a legal document, on file in the Circuit Court of the Leon County, -- with a copy maintained by the Department’s Agency Clerk -- that authorizes the creation of trust accounts for children in foster care has multiple sub-accounts within it each child has his or her own separate accounting The individual “accounts” within the Master Trust are also called the “client trust accounts.” Deborah Schroth, 11/6/2008 4 Do all Children in Foster Care have Master Trust No, only children who receive some sort of unearned income, or assets, will have a Client Trust Account created pursuant to the Master Trust agreement. Examples include children receiving monthly benefits from the Social Security Administration (the majority) or an annuity, or children who have received a one-time payment, such as a court judgment. Deborah Schroth, 11/6/2008 5 Legislative Purpose & Fiduciary Duty Section 402.17, F.S. provides responsibility to the Department and its contracted agents to: hold in trust and administer money and property of children in care. act as trustee of the children’s money and property in accordance with the usual fiduciary standards applicable generally to trustees, and protect both the short term and long term interests of the children for whom a Master Trust account has been established Deborah Schroth, 11/6/2008 6 Who Administers this Administration varies by CBC. In some areas, this is administered by local DCF Fiscal office, e.g., all NE Region except for Gainesville, which is administered by Partnership for Strong Families. In other areas, this is administered by the CBC, e.g., Big Bend Community Based Care handles the trust fund in much of the NW Region. Do you know who to contact? Deborah Schroth, 11/6/2008 7 Who Administers this What to do? If you don’t know, contact your local DCF Fiscal office to find out who administers Master Trust for your kids, and secure contact information. Make contact with the Fiscal Agent to find out exactly how the administrator handles the different issues raised in this presentation. Deborah Schroth, 11/6/2008 8 Does each child have a separate bank account? No, just separate accounting. DCF maintains one account for all its foster children within each district/region. If CBC administration, one account for each CBC. There are no individual bank accounts . . . For large sums, should request permission for a separate investment from the court. Deborah Schroth, 11/6/2008 9 Source of Funds – Necessary Info It is necessary to know the basics about the child’s income stream in order to know how to correctly administer the child’s trust account. Initial questions: Was there a one-time payment, or are there recurring payments? What is the source of the payment? Government benefits? These will usually be recurring. Life insurance proceeds? Annuities – annual or monthly? Court judgment or settlement award? Deborah Schroth, 11/6/2008 10 “Public Benefits” Possible public funds: Social Security Administration (SSA) Survivor’s = Death of a parent or guardian SSDI = Disability of a parent or guardian SSI = the Child’s own disability Combination of SSI and either SSDI or Survivor’s Issue of knowing determinations and possible appeal of a denial of an SSI application Deborah Schroth, 11/6/2008 11 Social Security Benefits SSA administers different benefit programs: Insured Benefits Survivor’s Benefits Social Security Disability Insurance (SSDI) Welfare Benefits Supplemental Security Income (SSI) Deborah Schroth, 11/6/2008 12 SSA Survivor’s Benefits These are benefits that are paid out to surviving family members of a deceased insured worker. Unmarried children who are younger than age 18 (or up to age 19 if they are attending elementary or secondary school full time) also can receive benefits. Additionally, children can receive these benefits at any age if they were disabled before age 22 and remain disabled – therefore, need to consider applying to SSA for “Disabled Adult Child’s” benefits before aging out of care. Even after TPR or a subsequent adoption, the child still can receive benefits Deborah Schroth, 11/6/2008 13 SSA Survivor’s Benefits The benefit amount is based on the earnings of the person who died. The more the worker paid into Social Security, the greater the child’s benefits will be. This money will accumulate in the child’s Master Trust, with funds spent as appropriate. The SSA places no limit on how much money the child can accumulate from this benefit. Deborah Schroth, 11/6/2008 14 SSA Disability Benefits Disability benefits are paid through two sources: SSDI - an insurance program for workers who have paid into the system, and SSI – a welfare program for aged, blind or disabled persons with limited income and assets. Deborah Schroth, 11/6/2008 15 SSDI – Insurance Benefit Children may receive SSDI benefits when an insured parent or guardian is disabled and receives SSDI herself. The amount of the benefit depends on the parent’s length of covered employment and total number of beneficiaries. Again, no limit to amount child may accumulate in the master trust account. Deborah Schroth, 11/6/2008 16 SSI: Supplemental Security Income SSI is a welfare program for persons who are aged, blind or disabled. Children may participate in this program. As a welfare program, there are maximum income and asset limitations. What is the asset limit? There must be more careful oversight of children in care receiving SSI, to ensure that no “overpayment” occurs. Benefit amount is uniform: $ 674 in 2009. (If a combo of SSI and other SSA, amount is $ 694.) Deborah Schroth, 11/6/2008 17 SSI: Supplemental Security Income SSA often takes a long time to agree that someone is disabled; most likely will need to use an attorney to appeal an initial denial. When approved, applicant is entitled to “retroactive” benefits, i.e., benefits dated back to the date of application and/or onset of disability, whichever last occurs. If lump sum benefit is for more than six months of payments, must open a “dedicated account” for those payments. Deborah Schroth, 11/6/2008 18 SSI: Dedicated Lump Sum Accounts These funds may only be used for specific types of expenses, and may not be used for “basic monthly maintenance,” such as food, clothing or shelter. This means that the dept./CBC cannot deduct the “cost of care” for the months this money represents. This must be a separate account, and no other funds can be mingled in the account. Deborah Schroth, 11/6/2008 19 Uses of Dedicated Funds You can use the money only for the following expenses: medical treatment; and education or job skills training. The following expenses are also allowed, if they benefit the child and are related to the child's impairment: personal needs or assistance (e.g., in–home nursing care) special equipment; housing modification; therapy or rehabilitation; or other items or services approved by your local Social Security office. Deborah Schroth, 11/6/2008 20 SSI Overpayment SSI is a welfare-type payment, designed to provide for the ordinary needs of day to day existence; there are certain instances when SSI will not be payable. Examples: Child will be in a hospital or correctional facility or a runaway for more than 30 consecutive days. (Why is this?); Child is able to save the money; asset limit is $2000, with certain things not counted, such as a car. (Why is this?) Monthly income exceeds a specific limit. (Student rules.) Deborah Schroth, 11/6/2008 21 SSI Overpayment First, SSA stops payments. If situation changes before 9 months, child’s benefits will be reinstated, if requested. SSA asks for its money to be returned if any monthly payments during period of ineligibility. Will discuss later: should the child be responsible to repay this money? Deborah Schroth, 11/6/2008 22 “Public Benefits”: How the money is paid Disabilities of non-age; SSA won’t pay the funds directly to a child. SSA selects a “representative payee.” State regs say DCF should always apply for this; Federal regs say the State is the payee of last resort. “Rep Payee” is the person designated to receive, spend and save the child’s funds. SSA has numerous rules for “Rep Payees.” Deborah Schroth, 11/6/2008 23 Other types of income/assets Private Annuities Lump sum Discuss when income/assets should not be in Master Trust. Inadequate understanding of asset management or lack of time to do so. Benefits too great: CFOP indicates “large sums” as being $20,000. Need better investment than minimal interest rate. Deborah Schroth, 11/6/2008 24 Medicaid Issues Regular (Foster Care): asset restriction Former Foster Care: no asset or income restriction Medicaid Waiver: Various asset and income restrictions. Check with local ACCESS. Through SSI Through two other Medicaid sources Necessary for APD residential services Deborah Schroth, 11/6/2008 25 Medicaid Issues Current issue: failure of understanding of interaction of Medicaid Waiver and either foster care or former foster care Medicaid. Ex: Master Trust account exceeds $2000. Who pays for APD services? Who pays for medications, doctor visits, etc.? Deborah Schroth, 11/6/2008 26 Due Process Issues Fiduciary Obligation vs. Cost of Care Supreme Court re SSI – OK for states to pay themselves cost of care from normally restricted SSI payments. (Case did not address issue of fiduciary obligations.) Constitutional Issue Notice required prior to alienation of property. Deborah Schroth, 11/6/2008 27 Cost of Care Deduction Also called “fee maintenance”, this is the monthly cost to DCF of caring for the child, i.e., monthly board rate. Statute requires DCF to balance its own fiscal needs to take this fee against the child’s immediate and long-term needs. To fulfill its fiduciary duty, DCF must offer a possible waiver of this cost of care deduction. Deborah Schroth, 11/6/2008 28 Cost of Care Examples Daryl receives $ 674 per month in SSI benefits. His monthly cost of foster care is $ 675. Because the Social Security Administration requires that insitutionalized SSI recipients receive a monthly personal allowance of $ 30, Daryl is only accruing $30 monthly in his master trust account, and this only due to SSA regulations. Angela receives $ 850 per month in SSDI benefits, due to the death of her father. Her monthly cost of foster care is also $ 650. Therefore, she accrues $ 200 monthly in her master trust account. Benjamin receives $ 674 per month in SSI benefits, but his monthly cost of foster care is only $ 475 monthly. Therefore, Benjamin accrues $ 199 monthly. Deborah Schroth, 11/6/2008 29 Cost of Care Examples Carmen receives SSDI Benefits of $350 monthly. Carmen is also disabled. Her cost of care is $1800 monthly. She is 15. What does she accrue, if anything in her account? What else should happen here? Deborah Schroth, 11/6/2008 30 Notice – of Master Trust and Right to Request a Waiver of Cost of Care Fee When MT is established: within 30 days (Form CF FSP 5222) (CFOP II-11, at p. 14)) – and Each JR (Form 285D) To Whom the child, parents or legal guardians (unless TPR), guardian ad litem, Foster parents, The court, and, if applicable, the child’s attorney Deborah Schroth, 11/6/2008 31 Notice – at each JR Must include a copy of the Notice of Fee Assessment And Rights Of Foster Child Regarding Government Benefits (Note: the form applies to client trust regardless of source of income - misnamed) and A copy of the most recent quarterly accounting Deborah Schroth, 11/6/2008 32 Notice: Form 285D Case Manager to complete pages 1 and 2 Entire form (which includes the request for fee waiver) to be attached to JRSSR and delivered to required persons. What Go through an actual form (11 – 14): Form DCF Form CF 258D, Jan. 1998. Notice of Fee Assessment and Rights of Foster Child Must do this correctly to be meaningful “meaningful” – a Constitutional due process requirement Deborah Schroth, 11/6/2008 33 Access to Accounting All persons entitled to notice also have the right to access the full accounting at any time. Fiscal office must provide an annual accounting. CFOP Part I, Section (8)j. Deborah Schroth, 11/6/2008 34 Fee Waiver What this is This is a request by or on behalf of a child to “keep” more of her income for a specific purpose. Increased monthly spending allowance; For additional short-term needs To meet long-term needs. Special methods necessary if child receives SSI. The process – in general Deborah Schroth, 11/6/2008 35 Fee Waiver – Why Request One? Fiduciary obligation Current mandated process makes no prior determination before deducting total cost of care as to whether this should or should not be done as to any particular child/youth. To balance short-term and long-term interests of each child with the interests of the Department. What happens if the required notices were never given? Discussion. Deborah Schroth, 11/6/2008 36 Fee Waiver – Why Request One? Long-term interests of youth likely to age-out To assist a parenting youth with expenses related to her child To procure necessary services not ordinarily provided Tutoring – almost always necessary Mental health care “Normalcy” activities Deborah Schroth, 11/6/2008 37 Fee Waiver – Why Request One? For SSI recipients, to ameliorate the effects of the child’s disabilities Adaptive equipment, including special computer programs and hardware Special learning tools Restrictions? Cannot use the child’s money to pay for items ordinarily to be paid from another source Foster Care Board Rate Medicaid Deborah Schroth, 11/6/2008 38 Fee Waiver – Why Request One? To enhance a child’s potential Extra-curricular academic and sports activities Artistic activities Music lessons Art lessons To save for the child’s future as an adult In other words, to use the child’s money to benefit the child Deborah Schroth, 11/6/2008 39 Fee Waiver – How to Request One? The fee waiver request will be case specific and individualized One time only or recurring Why is this necessary? submitted through a fully completed “Notice of Fee Assessment and Rights of Foster Child Regarding Government Benefits” form (CF 0285D) to the Region, Circuit or CBC have documentation that substantiates the request attached to the request Deborah Schroth, 11/6/2008 40 Fee Waiver – Standards for Review Age of the client. (Looking towards needs of older youth both short-term and looking towards adulthood). Health status and needs of client. Case goal. If not adoption/reunification, “quality of life considerations become more critical.” Individual concerns; documentation Deborah Schroth, 11/6/2008 41 Fee Waiver – Who Should Request One? The child might initiate By asking caseworker By asking CLS attorney or child’s own attorney By asking GAL GAL or parent might initiate Deborah Schroth, 11/6/2008 42 Fee Waiver – Who Should Request One? Court might order case manager to initiate Court sees unmet needs of the child, and understands Master Trust enough to know that there is money that could be accessed to help the child. Court may order someone to make a fee waiver request, but court has no subject matter jurisdiction to entertain such a request, or to order a fee waiver. Deborah Schroth, 11/6/2008 43 Fee Waiver procedure Rule 65C-17.005, F.A.C. Local review committee (at least 3 people) appointed by the Region or Circuit leader or designee will review and approve or deny the request based on the interests the child and the availability of funding. requires an actual meeting of the committee; meeting is open to the person requesting the waiver and his representative, who does not need to be an attorney audio-taping of the meeting Deborah Schroth, 11/6/2008 44 Fee Waiver procedure, cont’d Rule 65-6.022, F.A.C. Requires the fee review committee’s recommendation to the District Administrator to be made within 30 days of receipt of the request for fee waiver; Requires the District Administrator to notify the person requesting the fee waiver within 10 days of making the decision. Question: Are we involved at this point? Deborah Schroth, 11/6/2008 45 Fee Waiver – Denied! Each child has the right to appeal the decision of the region or circuit. Appeal normally goes to DOAH Next appeal goes to District Court Child should have an attorney at this point! Deborah Schroth, 11/6/2008 46 Account Management Actual accountings Notices from SSA or other benefit provider SSI/Medicaid Interface $2000 maximum but only for SSI/APD issues Spending plans Not spending sprees – when would this happen? $2000 in account For all accounts? Deborah Schroth, 11/6/2008 47 Spending plans Example (but not the best) at CFOP p. 66 Should be developed using the same considerations as used for Fee Waiver request Should be developed with the child’s input, in consideration of the child’s wants and needs Should be submitted to the court as part of the JRSSR. Deborah Schroth, 11/6/2008 48 Considerations for expenditures Prudent Parent standard For disabled children Not spending just to spend Services tailored to ameliorate effects of disability Do not pay for something Medicaid must provide But do supplement Medicaid Discuss examples of disabilities and services Allowances/self-management Deborah Schroth, 11/6/2008 49 Special Considerations for Youth Transitioning from Foster Care Preparation for aging out – long-term needs Bank account establishment At what age: 65C-17.004 says 15 Why? RTI and Transitional services are not entitlements “Automatic” Court order at age 16 Fee Waiver Considerations For youth with SSI, how to layer expenditures Deborah Schroth, 11/6/2008 50 Special Considerations: Conserved Funds upon age 18 State v. Federal conflict We’re working on this Follow the protocol in the Master Trust checklist Court order sought directing disbursement Issue of “overpayments” Who bears the risk of loss of the overpayment? Should be DCF – but is child when $ returned to SSA If not determined, or fully recouped, until youth ages out, the youth bears this risk. Issue of overpayment waivers Deborah Schroth, 11/6/2008 51 Special Considerations: Conserved Funds when child exits care as a child Funds to be returned to SSA They determine new Rep Payee But – problem SSA takes sometimes months To establish new Rep Payee, so caregiver goes months without payments; To return conserved funds. So? Need to follow-up with SSA to ensure timeliness. Deborah Schroth, 11/6/2008 52 Special Considerations for Youth Transitioning from Foster Care PASS Accounts Only the basics today Will be subject of a future training APD Special Needs Pooled Trust Deborah Schroth, 11/6/2008 53 Authorities for Presentation Sections 402.17, 402.33 F.S. Chapter 65-C-17, Florida Administrative Code, Master Trust CF Operating Procedure 175-59, Master Trust Benefits for Family Safety and Preservation Program Clients CF Operating Procedure 55-7, Fee Assessment and Collection (Chapter 11: Review of Assessed Fees – to be updated) DCF Accounting Procedures Manual, Volume 7, Chapter 3 - Client Trust Funds Chapter 6 - Client Trust Funds Administered by Providers Deborah Schroth, 11/6/2008 54 Putting Knowledge into Practice: Abby is 11, she is very intelligent, but hadn’t done well in school for the last few years. Abby’s father died in Iraq when she was 9. Ten months ago Abby’s mother was hospitalized under Baker Act proceedings and has remained hospitalized. Abby was placed into a shelter and is now in a foster home. Abby is entitled to a military death benefit. Her mother was receiving the benefit before Abby was taken into care. Mom now isn’t receiving the benefit for Abby. Who will get her benefits reinstated? Is there a restriction on how much she can accrue? What should be in her spending plan? Deborah Schroth, 11/6/2008 55 Putting Knowledge into Practice: Rashid is 17 and has been in foster care for 3 years. His caseworker applied for SSI benefits for him because he has a low IQ and serious health issues, including asthma. His application was finally approved just last month, and he received retroactive benefits of $9,000. Can his cost of care be deducted from this amount? What should be done with the $9000? Deborah Schroth, 11/6/2008 56 Putting Knowledge into Practice: Who is Responsible to Do What? Fiscal Office Establish the account Manage the banking for the accounts Provide case managers with accountings Disburses funds and monitors receipts for expenditures Deborah Schroth, 11/6/2008 57 Putting Knowledge into Practice: Who is Responsible to Do What? Caseworker Tracks account balance for maximums, etc. Monitors short and long-term needs of child Keeps child informed of purchases Provides notice to court, others if any purchase greater than $ 500 Ensures quarterly accountings are included in JRSSR Completes paperwork for distribution upon child’s discharge from foster care. Deborah Schroth, 11/6/2008 58 Putting Knowledge into Practice: Who is Responsible to Do What? CLS Regs don’t provide us with much guidance. Question: who provides the Notices to the child, court, etc? Not specified in law. Regs do require us to ensure quarterly accountings are in court files. Ensure the proper motions are filed with court requesting order for discharge Ensure AHCA is notified. Deborah Schroth, 11/6/2008 59 Putting Knowledge into Practice: Who is Responsible to Do What? CLS, continued Currently Master Trust has problems Accounts at/over SSI asset max, with payments suspended. Medicaid impact Inadequate consideration of children’s needs Failure to provide proper notice How to resolve? Deborah Schroth, 11/6/2008 60 Note: Dollar amounts were correct effective April 8, 2009. Feel free to contact with any questions: Deborah A. Schroth 850-524-5815 Deborah_schroth@dcf.state.fl.us Deborah Schroth, 11/6/2008 61 Consider Antoine Antoine came into foster care a little over two years ago. He lives in a group home. Antoine’s mother died while serving in the U.S. Army. Antoine was an only child. He will be 17 in January. Although he’s still in the 9th grade, his IQ is average. Before coming into care, his grades were good: mostly B’s, a few C’s. ntoine excels in his jazz band class, but he hasn’t been allowed to travel to band competition You seem to recall hearing that college scouts attend these competitions. Antoine seems to eat, think and talk music. He’s mentioned Julliard a few times. Antoine has no other family suitable to care for him. He has one uncle in Georgia, but Antoine doesn’t like him. His case plan goal is IL. oine receives $ 780 monthly in VA benefits; no one has looked into any life insurance procee f care is $850 monthly, and he has only been accumulating $30 per month in his master trus before you for a Judicial Review hearing. You look through the JRSSR and don’t see any a and there is no notice of his right to request a fee waiver. What questions do you ask Antoine? What questions do you ask the case manager? What do you order the case manager to do after today’s hearing? Deborah Schroth, 11/6/2008 62