“nobody tells me anything”

Daisie Blue & Jack Rogers NC Child Support Services August 2012

OR DEATH BY POWERPOI NT

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

B illion Budget Adds $212.5

M

illion 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

Patient Protection & Affordable Care Act

Supreme Court 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 ?

Child Support is the 3 rd 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

$714,330,366 $715,000,000.00

$710,117,944 $710,000,000.00

$705,000,000.00

$702,639,063 $706,862,567 $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

E RRO RS 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

May 27, 2012:

Roll Out

4 Pilot Counties (Carteret, Catawba, Guilford, & Johnston) June 18, 2012: 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 “ Soft” Implementation New Applications Statewide

.

Drop Regional Implementation

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?

• At some point, Interface with ACTS

Bundling

W ork S upport S trategies

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 – per state each year Avg. $460,000 • 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 will be needed

change management

WSS Tenets

Value Added Interactions

Families will tell their story ONCE and receive the services they need

M U L T I P L E

No Wrong Door

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 ?