Alliance Brand A

Revised Child Flexible Funds Request Form Available

The Child Flexible Funds Request Form has been revised. Please begin using this new version on July 1, 2019. Below is more information on Flex Funds:

Flex Funds are intended to supplement informal/volunteer resources and to improve the family and community’s ability to meet the service needs of children/young adults up to age 21. Child/young adult up to age 21 MUST be enrolled in a mental health, developmental disability and/or substance use (MH/DD/SU) treatment service managed by Alliance.

Flex Funds are to be determined by the Child and Family Team (CFT) or Care Review Team, when appropriate.

  • All other sources of available revenues (i.e. Medicaid, Emergency Assistance, community partners) must be ruled out, and documented as ruled out, before Flex Funds may be accessed.
  • All scholarships and/or sliding fees should be pursued prior to applying for Flex Funds, and the CFT should make every attempt to access no-cost, informal community supports.
  • The use of Flex Funds should be cost-effective.
  • Flex Funds may be requested once per fiscal year per child/young adult up to age 21 and shall not exceed $250.00. The $250 limit applies to the request as a whole even if the funds being requested would be used to assist the child/young adult up to age 21 who is enrolled in a MH/DD/SU service along with other family members. If multiple children/young adults up to age 21 in one family could benefit from the use of Flex Funds, separate requests could be submitted for each child/young adult up to age 21 who is enrolled in a MH/DD/SU service.
  • Special consideration for funding above $250.00, or for more than one request per fiscal year per child/young adult up to age 21, will be reviewed based on the therapeutic needs of the child/young adult up to age 21 and the service/support being requested.
  • The need for Flex Funds must be specifically documented in the Person Centered Plan (PCP) for recipients of an enhanced MH/SU service, Individual Support Plan (ISP) for recipients of Innovations waiver services, or outpatient treatment plan if the child/young adult up to age 21 is not enrolled in an enhanced MH/SU service or Innovations. The documentation on the PCP, ISP, or outpatient treatment plan should indicate how the use of Flex Funds would help meet the service needs of the child/young adult (up to age 21).
  • Only requests showing therapeutic benefit for the child/young adult up to age 21 shall be approved. Flex Funds might be requested for the following:
    • Services/goods for the child/young adult up to age 21 and/or family
    • Services/goods to help strengthen the natural system of care or support for a child/young adult up to age 21 and their family
    • Family support and sustenance which would enable the guardian/family to participate in treatment or improve the support for the child/young adult up to age 21
    • Educational and vocational services not otherwise available or provided by the local school system
    • Medical services not otherwise covered (i.e. eating disorder evaluation, independent living services/supports)
    • Interpersonal and recreational skill development
    • Additional positive reinforcers as determined by the CFT.

This is not a complete list, nor does inclusion on this list guarantee approval of a request. Please note that Flex Funds cannot be used to purchase gift cards or gas cards.



Page last modified: June 19, 2019