“nobody tells me anything” OR DEATH BY POWERPOINT Daisie Blue & Jack Rogers NC Child Support Services August 2012 The Problem with Communication Is the illusion that it has occurred Big News: The Lost Colony is no longer lost Hiding Place in Bertie County State Budget 2012 Education Medicaid $ 20.2 Billion Budget Adds $212.5 Million for growth in Medicaid Legislative Updates SB 433 – Local Human Services Administration County commissions authority HB 589 - Domestic Violence Protective Orders & Child Support Changes Termination of child support when a child is enrolled in an early college program Supreme Court Patient Protection & Affordable Care Act Mandated to obtain health insurance or pay penalty Children can stay on parents insurance until age 26 In North Carolina: 1.57 million state residents are uninsured, or about 17 percent ACA Impact on Child Support • Expand healthcare coverage for children – Increase in Medical Support Orders • Need to coordinate data with Health Insurance Exchanges Do you Know ? rd Child Support is the 3 largest public program that serves children after Public Education and Medicaid What’s the BUZZ in NC Child Support Services? $ Collections ⇑ Data Reliability Tri-Metro Workforce Development Grant New CS Committee Interoperability Planning Grant IVD Net Allocated Collections SFY 2009 - 2012 $720,000,000.00 $715,000,000.00 $714,330,366 $710,117,944 $706,862,567 $710,000,000.00 $702,639,063 $705,000,000.00 $700,000,000.00 $695,000,000.00 $690,000,000.00 2009 2010 2011 2012 $ $ $ IMPORTANT $ $ $ Data Reliability Here’s the deal Information in case record has to match how ACTS is coded and reported on the OCSE-1571 ERRORS can mean big $$$ Just 12 case errors could have cost NC $3.2M in TANF Funding 2011: Data Reliability Audit - PASSED Not out of the woods yet for 2012 TRI-METRO GRANT Planning Grant: Employment Models for NCP’s NCACDSS CS Service Committee ALL SERVICE MODELS Develop and implement systemic state-county communication process ACF State Systems Interoperability / Integration Project Grant Planning Grant Redesign NC Child Support Web Page - Interactive Data Bridge w/ Vital Records & Dept of Corrections BIG Picture Initiatives • NC FAST • Work Support Strategies NC FAST Replaces 19 Legacy Systems NC FAST Project I: Case Management Food & Nutrition Services (FNS) • Screening, intake and assessment • Detailed rules to determine FNS eligibility • Displays work list tasks and notifications • Replaces: Food Stamp Information System (FSIS) – Legacy System NC FAST Roll Out May 27, 2012: June 18, 2012: 4 Pilot Counties (Carteret, Catawba, Guilford, & Johnston) Buncombe County • New FNS Applications - No Problem • FNS Recertification: Conversion of Data (Time-Consuming) • Conduct County Readiness Assessment • Staff Training Revamped - On Site Support Crucial NC FAST Growing Pains • NC FAST software tool works well but it is a CHANGE. • PRE-NC FAST: Inconsistent FNS policy implementation • Work around & short-cuts (FSIS) NEW STRATEGY Drop Regional Implementation “Soft” Implementation New Applications Statewide . NC FAST Project Schedule Project 2 & 6 Eligibility Information System Work First (TANF) Medicaid Special Assistance Refugee Assistance Project 3 Low Income Energy Assistance Program (LIEAP) Crisis Intervention Program (CIP) Child Care Project 4 Child Welfare Services Project 5 Aging and Adult Services How will Work Support Strategies and NC FAST impact Child Support Services? • County DSS Offices will work differently • At some point, Interface with ACTS Bundling Work Support Strategies Project Lead / Evaluation Technical Assistance Primary Funder WSS On the Cutting Edge Streamlining Access & Strengthening Families Work Support Strategies • 6 States: Colorado, Idaho, Illinois, North Carolina, Rhode Island, and South Carolina • 3-year Implementation Grants – Avg. $460,000 per state each year • Policy Alignment • Streamlining application process • Packaging services to meet needs of low-income working families A New Way To Do Business 47% of all DSS clients receive services from two or more economic benefit programs Child Care Food Assistance Health Care Access to these 3 programs = long-lasting improvements for families: • Better employment outcomes • Better health & development for children. 48% of the children on NC Child Support caseload also receive Medicaid and Food Assistance 72% of the children on NC Child Support caseload either receive Medicaid or Food Assistance It’s about … Connectivity Linking Child Support Families to Services What will drive the new service delivery system? Customer Service New Outcomes Data will Drive Decisions Streamline Polices / Procedures Technology Efficiency A strong focus on change will be needed management WSS Tenets Value Added Interactions Families will tell their story ONCE and receive the services they need No Wrong Door M U L T I P L E access Same Day Service Service Delivery should not interfere with… Employment Where does Child Support Services fit in? Shared Goals: • Increase stability in families • Strengthen healthy parenting • Enhance parental engagement Projects on the Fast Track Economic Benefits Policy Governance Board (Economic Benefit Programs) Reaching for Excellence & Accountability in Practice (Child Welfare) DHHS Priorities • Transition Planning for New Administration • DHHS Infrastructure (automation) • Mental Health Community Placement from Adult Rest Homes (4,000) LME transition to Managed Care C H A N G E Is everywhere A strength of a NC’s large county-administered system 101 Innovation laboratories QUESTIONS ?