What changes does the Family First Act make to federal reimbursement for Child Caring Institutions (CCIs)?

When certain provisions of the Family First Act went into effect on October 1, 2021, federal reimbursement for foster care maintenance payments under Title IV-E for children placed in a Child Caring Institution (CCI) for longer than two weeks per child ended unless the child is placed in one of the following settings:

  • A Qualified Residential Treatment Program (QRTP);
  • A setting specializing in prenatal, post-partum, or parenting supports for youth;
  • A supervised setting for youth ages 18 and older who are living independently; or
  • A setting providing high-quality residential care and supportive services for sex-trafficking victims or those at risk of becoming victims.

The Family First Act does not impact the state’s ability to pay for CCI placements with state funding.


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