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the basis of estimates submitted quarterly by the State agency taking into consideration unexpended balances in the States.
(ii) Subsequent quarterly and special interim allotments, estimates, and vouchers are similarly submitted to the Commissioner for Social Security who signifies his approval by signing the documents submitted.
(iii) The vouchers for payments to the States as certified by the Chief of the Children's Bureau and the Commissioner for Social Security are listed on a schedule of disbursements which is sent with the vouchers to the Secretary of the Treasury as the basis for payments to the States.
(d) Review of operation and consultation service. For purposes of information on the operation of the State plan reports are submitted to the Children's Bureau by the State crippled children's agencies.
(1) Financial reports on State services for crippled children include reports on joint financial report forms as listed for financial reports under grants to States for maternal and child health services ($ 206.6 (d)).
(2) Reports on services for crippled children are made on the following forms: (i) CC 51—Quarterly Statistical Report of Services for Crippled Children; (ii) CC 52—Quarterly Report-Children on State Registers; and (iii) CC 55 (Special report) Crippled Children on State Register as of December 31-Age, Race, Sex; Diagnosis and Age.
(3) Annual Progress Reports for Seryices for Crippled Children under the Social Security Act, Title V, Part 2, not called for since the fiscal year 1941, will again be submitted annually.
(4) State crippled children's agencies are asked to report at the close of each year information regarding (i) the unduplicated count of crippled children who have received service during the year and (ii) the total amount expended for crippled children's services for the calendar year.
(5) The regional medical, nursing, medical-social, and nutrition consultants at intervals visit each State crippled children's agency and confer with the executive officer of the agency, the director of services for crippled children, and other members of the staff on the operation of the State plan, problems that have arisen
and ways of extending and improving services for crippled children. Together with the State staff visits are made to local health departments, clinics, hospitals, and other facilities used in the program. Special consultation service from the headquarters staff of the Children's Bureau is given on request.
(6) Occasionally, the regional staff team, together with special consultants from the headquarters staff of the Division of Health Services, makes a joint administrative review of the operation of the State plan for services for crippled children.
(e) Audit of expenditures. Auditors from the State Audits Unit visit each State crippled children's agency to make an audit on a test or detail basis, depending on auditor's findings, of expenditures for the previous year under the State plan for services for crippled children from Federal funds and State, local and private funds used for matching Federal funds under the crippled children's program (CC Fund A). Advice is given to State oficials on the keeping of accounts and records relating to the budgets and financial reports under the State plan for services for crippled children,
(f) Withholding of Federal payments. Under section 515 of the Social Security Act as amended in the case of any State plan for services for crippled children which has been approved by the Chief of the Children's Bureau, if the Commissioner for Social Security, after reasonable notice and opportunity for hearing to the State agency administering or supervising the administration of such plan, finds that in the administration of the plan there is a failure to comply substantially with any provision required by section 513 to be included in the plan, he shall notify such State agency that further payments will not be made to the State until he is satisfied that there is no longer any such failure to comply. Until he is so satisfied he makes no further certification to the Secretary of the Treasury with respect to such State.
(g) Hearings. At hearings held as required under section 505 of the Social Security Act as amended, the Commissioner for Social Security presides and the hearings are conducted in accordance with sections 5 and 7 of the Administrative Procedure Act.
$ 206.8 Grants to States for child welfare services. Annual appropriations are made for grants to State public welfare agencies for the purpose of enabling the United States, through the Children's Bureau, to cooperate with State public-welfare agencies in establishing, extending, and strengthening, especially in predominantly rural areas, child welfare services for the protection and care of homeless, dependent, and neglected children, and children in danger of becoming delinquent (a)
Apportionment of funds. The Chief of the Children's Bureau makes an apportionment of the annual appropriation for child welfare services in accordance with the terms of section 521 of the Social Security Act as amended allowing for each State $20,000 and the remainder of $3,500,000 to each State on the basis of State plans for child welfare services not to exceed such part of the remainder as the rural population of such State bears to the total rural population of the United States.
(b) Approval of State plans and revisions. (1) The Children's Bureau transmits to the State public welfare agencies each year an information circular entitled, "Instructions to State Public Welfare Agencies in Regard to Official Material (Annual Plan, Revisions, Quarterly Estimates, and Quarterly and Annual Reports of Expenditures) Required in the Administration of Child Welfare Seryices.” The plan material includes a narrative description of the current State child welfare program and of proposed activities for which the Federal funds are to be used and a budget for the expenditure of Federal funds. The forms provided for State plans include CWS 1 Certificate of Executive Officer of State Public-Welfare Agency; CWS 2 State Plan for Child Welfare Services (State services); CWS 2a State Plan for Child Welfare Services (Local services); CWS 3 Budget for Child Welfare Services included Under State Plan-Summary; CWS 3.1 and CWS 3.2 Budget for Child Welfare Services-State Services for Assisting Community Child Welfare Organization; CWS 3.3 Budget for Child Welfare Services- State or Local Child Welfare Services (Areas of Special Need or Rural Areas); CWS 4a Certificate of Attorney General as to Legality of Plan; CWS 8 Quarterly Estimate of Proposed Expenditures; CWS 9 and 9a State and Local Child Welfare Services-Revision of Annual Plan and Budget.
(2) The State plan is developed jointly by the State agency staff and the regional child welfare consultant of the Children's Bureau.
(3) Each State agency sends its annual plan in triplicate and 4 copies of the estimate of expenditures for the first quarter to the regional child welfare consultant who forwards the original plan and one copy of the State plan and 3 copies of the quarterly estimate to the Director of Field Service of the Social Service Division. One copy of the plan and 2 copies of the quarterly estimate are sent to the State Audits Unit.
(4) The plan is reviewed by the regional child welfare consultant. It is also reviewed in the office of the Director of Field Service for conformity to statutory and administrative requirements. The budget is reviewed by the State Audits Unit. The plan may be reviewed by special consultants of the Social Service Division or of other divisions in the Children's Bureau if it contains special projects within their fields, by the Merit System Unit if new or revised merit system material is submitted, and by the Solicitoi new legislation is submitted which affects the authority of the State agency to cooperate with the Children's Bureau. Any questions that arise concerning the plan are taken up with the State agency by the regional child welfare consultant and, if necessary, the plan is modified. The Director of Field Service examines the plan and makes a recommendation to the Director of the Social Service Division regarding action to be taken. When the plan is acceptable, the Director of the Division recommends approval and the plan is sent to the Chief of the Children's Bureau. After reviewing the plan, the Chief approves the plan by signing the original copy. A letter informing the State agency of the approval then is sent over the signature of the Chief of the Children's Bureau.
(5) Revisions to the plan may be submitted during the year and proceed through the same process of review and approval as the plan.
(6) If an annual State plan cannot be completed prior to the beginning of the fiscal year and the balance of funds from previous allotments is sufficient to cover the cost of the operation of the program a request for extension of the previously approved plan may be submitted. Such a request proceeds through the same process of submission, review and ap
proval as the annual plan. The annual plan subsequently submitted contains all budget items carried during the period of extension.
(c) Allotments, quarterly estimates, and payments. After the approval of a State plan the Chief of the Children's Bureau sends a notice of approval to the Commissioner for Social Security who makes the allotment of funds and provides for payments to the States by signing the following 2 documents: (1) The annual allotment of funds for child welfare services to the State in accordance with the approved apportionment of funds; and (2) the voucher for the first quarterly payment certified by the Chief of the Children's Bureau.
(i) The allotment made is for the entire fiscal year and for the maximum fund available under the apportionment.
(ii) Subsequently vouchers for quarterly payments to each State are submitted to the Commissioner for Social Security who indicates his approval by signing the document.
(iii) The vouchers for payments to the States as certified by the Chief of the Children's Bureau and the Commissioner for Social Security are listed on a schedule of disbursements which is sent with the vouchers to the Secretary of the Treasury for payment.
(d) Review of operation and consultation service. (1) For purposes of information on the operation of the State plan reports are submitted by the State public health agencies to the Children's Bureau.
The following financial reports are submitted quarterly: CWS 11-Statement of Receipts and Expenditures; CWS 11.1–Summary of Expenditures by Budget Total; and CWS 11.3—List of Unliquidated Obligations. The following annual financial reports are submitted: CWS 11.1—Summary of Expenditures by Budget Total; CWS 11.2—Detail of Expenditures by Budget Item; CWS 11.2—Supplemental Sheet, Supplemental report on indirect participation; and
CWS 11.4-Certificate of Executive Officer of State Public Welfare Agency on amounts reported on Forms CWS 11.1 and 11.2.
(2) The following reports on child welfare services under the State plan are submitted by each State public welfare agency: CWS 51—Report on Service to Individual Children (Quarterly); CWS 512—Statement on Coverage of Current Service Report CWS 51 (Quarterly); CWS 60—Personnel in the Child Welfare Program (Annual); CWS 70—Annual Report on Characteristics of Children Receiving Service; and CWS 71—Annual Report on Children Receiving Service from Institutions.
(3) The regional child-welfare consultants visit each State public welfare agency periodically and confer with the State welfare administrator, the child welfare director and other members of the staff on the operation of the State plan, problems that have arisen, and ways of extending and strengthening State and local child-welfare services. With the State staff, visits are made to local units, district offices of the State agency or State children's institutions where services are being provided through the use of child-welfare services funds. Through arrangement by the regional consultant, special consultants on the staff of the Children's Bureau such as the consultant on foster care, the consultant on group work, the staff of the Mental Health Unit may provide special service to a State to aid in improving the child welfare program.
(e) Audit of expenditures. Annual audits by Children's Bureau field auditors from the State Audits Unit are made on a test or detail basis, depending on auditors findings, of expenditures from Federal funds for the previous year under the State plan for child welfare services. Advice is given State oficials on the keeping of accounts relating to the budgets and financial reports under the State plan.
CHAPTER III-ST. ELIZABETHS HOSPITAL
FEDERAL SECURITY AGENCY
of would not be inimical to the public interest or to the welfare of the patient. The application mentioned above shall be addressed to the Superintendent and must set forth the interest of the applicant in the subject matter and the purpose for which such copy or information is desired. (R. S. 161; 5 U. S. C. 22) (13 F. R. 7743)
Part 300—Availability of Records
and Information Sec. 300.1 Availability of official records. 300.2 Disclosure of information.
$ 300.1 Availability of official records, The principal oficial records of the Hospital are administrative and clinical records. All clinical records are confidential. No records or other official instruments containing information shall be withdrawn from the files of the Hospital by, or furnished to, any person not an authorized employee of the Hospital, without prior authority of the Hospital Superintendent, or the Federal Security Administrator. (R. S. 161; 5 U. S. C. 22) [13 F. R. 7742]
$ 300.2 Disclosure of information. No copy of, or information relative to, any official record or other cial business of the Hospital, which appears to be of confidential nature, shall be given to any person unless:
(a) Such person obtains a court order therefor, or makes application therefor in the manner prescribed in paragraph (b) of this section.
(b) It appears to the Superintendent of the Hospital that the furnishing there
Part 301-Disbursement of
Pension Money Sec. 301.1 Deposit of money in Treasury. 301.2 Keeping accounts of money. 301.3 Purposes for which money shall be
disbursed. 301.4 Part of funds reserved for use of pen
sioner. 301.5 Payment of board to St. Elizabeths
Hospital. 301.6 Use of unobligated balance of funds. 301.7 Disposition of funds not exceeding
$15 per month. 301.8 Disposition of funds greater than $15,
and not exceeding $25, per month. 301.9
Disposition of funds in excess of $25
per month. 301.10 Amount available for disbursement to
a nondependent relative. 301.11 Use of fund where there are no rela
tives of certain classes. 301.12 Disposition of balance of fund in case
of discharge or death.