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Rate Applications Requirements
Foster Care Rates Application Requirements
Biennial Group Home Rate Application/FFA Request Requirements
The CDSS has established a biennial rate application schedule in accordance with regulations adopted by the California Secretary of State on January 12, 2006 (see ACL & FCARLs below for more information). Providers will receive a courtesy reminder 2 months prior to the due date. However, it is ultimately the provider's responsibility to become familiar with their biennial filing due date. Below is a link to a chart identifying the biennial filing due dates.
FCARL 2008-02: New Biennial Rate Application/Request Submission Schedule
(dated August 1, 2008)
FCARL 2006-04: Aid to Families With Dependent Children-Foster Care (AFDC-FC) Rates for Group Homes-Program Information
(dated June 16, 2006)
All-County Letter (ACL) 05-25: Biennial Rate Application Requirements
(September 30, 2005)
FCARL 2005-04: Biennial Foster Family Agency Rate Request Requirements
(September 30, 2005)
Due Dates By Program Number
Group Homes
Biennial Group Home Rate Requirements Courtesy Reminder Letter and Checklist-October 2011 filing.
Required SR/FC Forms:
- SR 1 - Group Home Program Rate Application
- SR 2 - Program Classification Report
- SR 5 - Day of Care Schedule
- FCR 16 - GH Shelter Costs, Self-Dealing Transactions, Declaration and Survey
Other Online SR Forms
Non-Profit Declaration Statement
Training Plan (Sample) for the two upcoming reporting periods:
- For Providers on a Calendar Year: 2010 & 2011
- For Providers on a Fiscal Year: 7/01/08 to 6/30/09
7/01/09 to 6/30/10
Statement of Information (SI 100)
For RCL 13/14 Group Homes Only
GH NEW PROVIDER
- Calculated Forms
- Other Required Forms
- New Group Home Provider General Information Letter
- Program Statement General Instructions (LIC 9106)
- Group Home Shelter Costs, Self-Dealing Transactions, Declaration and Survey (FCR 16)
- Training Plan (If Applicable)
GH NEW PROGRAM
- Required Forms (Not available at this time)
- Group Home Shelter Costs, Self-Dealing Transactions, Declaration and Survey (FCR 16)
- Program Statement General Instructions (LIC 9106)
- Training Plan (If Applicable)
GH LICENSE CAPACITY CHANGE
- Required Forms for:
- Increase (Not available at this time)
- Decrease (Not available at this time)
- Group Home Shelter Costs, Self-Dealing Transactions, Declaration and Survey (FCR 16) (Only if increase in licensed capacity)
GH FACILITY RELOCATION
- Required Forms (Not available at this time)
- Group Home Shelter Costs, Self-Dealing Transactions, Declaration and Survey (FCR 16)
RCL CHANGE
- Required Forms (Not available at this time)
- Description of Program Changes
CORPORATION CHANGE
- Required Forms for:
- Name Change (Not available at this time)
- Board Members (Not available at this time)
- Merger/Separation (Not available at this time)
- Revision to By-Laws or Articles of Incorporation (Not available at this time)
FOR ADDITIONAL INFORMATION:
Foster Care Rates Bureau ( Fosterca@dss.ca.gov )
Foster Care Audits and Rates Branch
California Department of Social Services
744 P Street, MS 9-6-74
Sacramento, CA 95814

