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Respite Care Program

Respite Care Program

Category Questions  
QUESTION 1: What is EFMP respite care?
QUESTION 2: Do the AR 608-75 requirements for EFMP respite care providers apply for execution of...
QUESTION 3: Does ACS EFMP certification apply when a Family selects a neighbor or friend as a...
QUESTION 4: Does ACS EFMP certification apply when a Family selects an adult Family member of...
QUESTION 5: Are Survivors of the Fallen eligible for EFMP respite care if they had a Family...
QUESTION 6: How does installation ACS staff determine allowable respite care hours and cost per...
QUESTION 7: How frequently should the Family Services Needs Matrix be updated for each EFMP...
QUESTION 8: What is the Defense Finance and Accounting Service (DFAS) time frame for processing...
QUESTION 9: How long after DFAS processes the voucher will EFMP respite care provider be paid?
QUESTION 10: Are EFMP Families from other military services eligible for the Army EFMP respite...
QUESTION 11: Are Families of deployed or mobilized Reservists and National Guard Soldiers...
QUESTION 12: Can EFMP respite care funds be used to provide child care for siblings of an EFM or...
QUESTION 13: Can EFMP respite care funds be used to meet Individualized Education...
QUESTION 14: Can respite care funds be used to pay for an individual who will do housework while...
QUESTION 15: Can respite care funds be used to hire a tutor or support a live-in nanny?
QUESTION 16: Are EFMP Families required to use all of their allotted respite care hours each...
QUESTION 17: Can EFMP respite care funds be used to pay for an EFM’s child care while parents...
QUESTION 18: Can Army CYSS programs be used for EFMP respite care?
QUESTION 19: Can CYSS programs provide one-on-one respite care for EFM children?
QUESTION 20: Are there options for CYSS and ACS to work together to provide EFMP respite care?
QUESTION 21: Are there restrictions on the number of hours of EFMP respite care that can be...
QUESTION 22: Can a Family receiving EFMP respite care also serve as a respite care provider and...
QUESTION 23: Can a neighbor provide EFMP respite care services in the child’s government owned...
QUESTION 24: Can certified FCC providers provide respite care in their “off duty” hours?
QUESTION 25: Can a CYSS program assistant provide EFMP respite care in their “off duty” hours?

Category Questions  
QUESTION 1: What is EFMP respite care?
[7/31/2009]

EFMP respite care is a program that provides a temporary rest period for Family members responsible for regular care of persons with disabilities. Care may be provided in the EFMP respite care user’s home or other settings such as special needs camps and enrichment programs. It is time limited based on the EFM’s condition and availability of funding.

QUESTION 2: Do the AR 608-75 requirements for EFMP respite care providers apply for execution of EFMP respite care funding?
[7/31/2009]

Yes. The AR 608-75 requirements for background screening and training apply when Army Community Service (ACS) certifies EFMP respite care providers.

QUESTION 3: Does ACS EFMP certification apply when a Family selects a neighbor or friend as a respite care provider?
[7/31/2009]

Yes. Certification is required for EFMP respite care providers to receive payment.

QUESTION 4: Does ACS EFMP certification apply when a Family selects an adult Family member of EFM’s Family as a respite care provider?
[7/31/2009]

No. Families are granted a waiver when selecting an adult Family member as respite care provider. An adult Family member is defined as “an individual 18 and over and includes brothers, sisters, grandparents, uncles, aunts and in-laws.”

QUESTION 5: Are Survivors of the Fallen eligible for EFMP respite care if they had a Family member enrolled in EFMP at the time of the sponsor's death?
[7/31/2009]

Survivors of the Fallen are eligible for EFMP respite care in the circumstances described for three years after the death of the sponsor provided there is a documented medical or educational condition.

QUESTION 6: How does installation ACS staff determine allowable respite care hours and cost per month?
[7/31/2009]

The installation ACS staff uses the Family Services Needs Matrix.

QUESTION 7: How frequently should the Family Services Needs Matrix be updated for each EFMP Family?
[7/31/2009]

The Family Services Needs Matrix should be updated as the EFM condition changes or at least annually whichever comes first.

QUESTION 8: What is the Defense Finance and Accounting Service (DFAS) time frame for processing EFMP respite care vouchers?
[7/31/2009]

Once the Miscellaneous Pay Team, DFAS-Indianapolis receives the voucher, processing takes three to five working days unless returned for correction and resubmission.

QUESTION 9: How long after DFAS processes the voucher will EFMP respite care provider be paid?
[7/31/2009]

For electronic funds transfer (EFT), up to three working days for payment. If a check is issued, it can take seven working days.

QUESTION 10: Are EFMP Families from other military services eligible for the Army EFMP respite care program?
[7/31/2009]

The EFMP Families from other military services are eligible for the Army EFMP respite care program when memorandum of reciprocity exists. Only U.S. Marine Corps Families are currently eligible.

QUESTION 11: Are Families of deployed or mobilized Reservists and National Guard Soldiers eligible for the Army respite care program?
[7/31/2009]

No, currently the program is only open to Active Army, AGR National Guard and AGR Reservists. Mobilized or deployed National Guard members and Reservists who are not in the Active Guard and Reserve program are not eligible for the respite care program.

QUESTION 12: Can EFMP respite care funds be used to provide child care for siblings of an EFM or child of an adult EFM as in the examples shown below?
[7/31/2009]

a.Younger sibling of an EFM child undergoing brain surgery (or chemotherapy, physical therapy, or any treatment for serious medical condition). b.EFM mother with chronic fatigue syndrome or depression requests respite care for her two preschoolers to relieve stress and promote healing. Yes. An installation can use EFMP respite care funds, with approval of the ACS Director on a case-by-case basis, to provide child care for siblings of an EFM undergoing surgery or treatment for serious medical condition. Also, they can be used to give the EFM mother a break in the situation described. Army Child, Youth and School Services (CYSS) programs may be another source of respite care if the Family situation does not warrant the use of EFMP respite care funds. Check with your local CYSS program to determine what CYSS respite care options are available.

QUESTION 13: Can EFMP respite care funds be used to meet Individualized Education Program/Individualized Family Service Plan requirements?
[7/31/2009]

No. Provision of educational and allied health services are the responsibility of local education and/or state government agencies. Educationally related or medical therapies, e.g., speech therapy, occupational therapy, physical therapy or applied behavior analysis cannot be met using respite care funds.

QUESTION 14: Can respite care funds be used to pay for an individual who will do housework while caring for the EFM child?
[7/31/2009]

No. The provider should be selected based on his/her capability to care for the EFM. Expecting the provider to pursue other activities during the respite period is not consistent with the Army respite care program.

QUESTION 15: Can respite care funds be used to hire a tutor or support a live-in nanny?
[7/31/2009]

No. The use of respite care funds for these services is not consistent with the Army respite care program.

QUESTION 16: Are EFMP Families required to use all of their allotted respite care hours each month?
[7/31/2009]

Yes. Monthly respite care hours cannot be "banked," rolled over for later use or combined to increase the number of hours during subsequent months.

QUESTION 17: Can EFMP respite care funds be used to pay for an EFM’s child care while parents work?
[7/31/2009]

No. The use of EFMP respite care funds for this purpose is not consistent with the Army respite care program.

QUESTION 18: Can Army CYSS programs be used for EFMP respite care?
[7/31/2009]

Yes. a. Army Child Development Centers, School-Age Programs, certified Family Child Care (FCC) providers and Youth Centers may be used for hourly/drop-in care or evenings and weekend care for children 6 weeks to 18 years when EFM children/youth are enrolled in CYSS programs. All CYSS and ACS regulatory requirements and procedures apply. b. In addition, EFM children 6 weeks to 18 years not enrolled in CYSS programs may participate in CYSS sponsored EFMP evening and weekend care or events when accompanied by their EFMP respite care provider. Under these circumstances, CYSS and ACS policies and procedures do not apply, including the requirement to be screened through the Special Needs Accommodation Process.

QUESTION 19: Can CYSS programs provide one-on-one respite care for EFM children?
[7/31/2009]

No. Specialized “one-on-one care” is not provided by CYSS. CYSS programs staffed by Child and Youth Program Assistants provide care/supervision options according to prescribed child/staff ratios, that is, one staff for 10 preschoolers or 15 youth.

QUESTION 20: Are there options for CYSS and ACS to work together to provide EFMP respite care?
[7/31/2009]

Yes. a. Group EFMP respite care can be provided in CYSS settings on a space available basis, for example, special needs blocks in CYSS facility classrooms, CYSS multi-purpose rooms/gyms, permanent Short Term Alternative Child Care (STACC) sites using a combination of CYSS staff and EFMP respite care providers. b. CYSS programs may identify EFMP respite care FCC homes in coordination with ACS/EFMP staff. c. CYSS programs may establish child development homes in coordination with ACS/EFMP staff.

QUESTION 21: Are there restrictions on the number of hours of EFMP respite care that can be provided by individuals in their government owned or leased quarters (including RCI)?
[7/31/2009]

Yes. Individuals providing EFMP respite care or other child care more than: a. Ten child hours per week in their government owned or leased housing (including RCI) must be certified as Army FCC providers. This restriction does not apply to individuals caring for one child for 10 hours per week or two children for five hours per week, and so forth. Multiple children from the same Family count as one child. b. If a Family uses a friend or neighbor to provide 10 hours of EFMP respite care per week in the individual’s government owned or leased home, that individual cannot accept children from other Families while providing such care. c. EFMP and FCC staff must work cooperatively to ensure that individuals residing in government quarters do not establish small businesses for the purpose of providing EFMP respite care, that is, one individual caring for five EFM children for 10 hours per week for a total of 50 child care hours unless they become a certified FCC provider.

QUESTION 22: Can a Family receiving EFMP respite care also serve as a respite care provider and be paid for taking care of a disabled child that is not a Family member?
[7/31/2009]

Yes. The EFMP respite care program does allow for a Family to receive respite care and also serve as a respite care provider as long as the activities are not performed on the same day and during the same time period. A schedule must be provided for each activity in advance to EFMP manager for approval.

QUESTION 23: Can a neighbor provide EFMP respite care services in the child’s government owned or leased home without being FCC certified?
[7/31/2009]

Yes. Care provided in the EFM child’s own home is not regulated by CYSS when the children in care are limited to EFM child and siblings and the children of the individual providing services. However, if children other than the EFM child, siblings and the children of the individual providing EFMP respite care are also receiving EFMP respite care or other child care, the “10 hour rule" applies.

QUESTION 24: Can certified FCC providers provide respite care in their “off duty” hours?
[7/31/2009]

a. Certified FCC providers may provide EFMP respite care in an EFM child’s home, following guidance as outlined in Question 23. Under such circumstances, those individuals are not considered to be FCC providers and, therefore, may provide care authorized by EFMP respite care guidelines. b. Certified FCC providers may provide EFMP respite care in their government quarters during evening and weekends as Special Needs Extended Hours FCC homes.

QUESTION 25: Can a CYSS program assistant provide EFMP respite care in their “off duty” hours?
[7/31/2009]

Yes, when: a. EFMP respite care occurs in the EFM child’s home per guidance outlined in Question 23 and b. CYSS employees providing these services in government owned or leased housing do not exceed the “10 hour rule.”


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