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“nobody tells me anything” Daisie Blue & Jack Rogers NC Child Support Services August 2012 OR...
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“nobody tells me anything”
Daisie Blue & Jack RogersNC Child Support ServicesAugust 2012
OR DEATH BY POWERPOI
NT
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Is the illusion that it has occurred
The
Problem with
Communication
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Hiding Place in Bertie County
Big News: The Lost Colony is no longer lost
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State Budget 2012
Medicaid
Education
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$ 20.2 Billion Budget
Adds $212.5 Million for growth in Medicaid
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Legislative Updates
HB 589 - Domestic Violence Protective Orders & Child Support Changes Termination of child support when a child is enrolled in an early college program
SB 433 – Local Human Services AdministrationCounty commissions authority
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Supreme CourtPatient Protection
&
Affordable Care Act
Mandated to obtain health insurance or pay penalty
Children can stay on parents insurance until age 26
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In North Carolina: 1.57 million state residents are uninsured, or about 17
percent
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ACA Impact on Child Support• Expand healthcare coverage for
children – Increase in Medical Support Orders
• Need to coordinate data with Health Insurance Exchanges
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Do you Know ?
Child Support is the 3rd largest public program that serves
children
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after
Public Education
and
Medicaid
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What’s the BUZZ in NC Child Support Services?
$ Collections ⇑ Data Reliability
Tri-Metro Workforce
Development Grant
New CS Committee
Interoperability
Planning Grant
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IVD Net Allocated Collections SFY 2009 - 2012
$702,639,063
$710,117,944
$706,862,567
$714,330,366
$690,000,000.00
$695,000,000.00
$700,000,000.00
$705,000,000.00
$710,000,000.00
$715,000,000.00
$720,000,000.00
2009 2010 2011 2012
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Data Reliability
$ $ $ IMPORTANT $ $ $
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Here’s the deal
Information in case record has to
match how ACTS is coded and reported on the OCSE-1571
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ERRORS
can
mean
big
$$$
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Just 12 case errors could have cost NC
$3.2M in TANF Funding
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2011: Data Reliability
Audit - PASSED
Not out of the
woods yetfor 2012
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TRI-METRO GRANT
Planning Grant: Employment Models for NCP’s
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NCACDSS CS Service Committee
Develop and implement systemic state-county communication process
ALL
SERVICE
MODELS
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ACF State Systems Interoperability /
Integration Project Grant
Redesign NC Child Support Web Page - Interactive
Data Bridge w/ Vital Records & Dept of Corrections
Planning Grant
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BIG Picture Initiatives
• NC FAST
• Work Support Strategies
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NC FAST
Replaces 19 Legacy Systems
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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
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Roll Out
NC FAST
May 27, 2012: 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
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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)
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NEW STRATEGY
.
Drop
Regional
Implementation
“Soft”
Implementation
New Applications
Statewide
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NC FAST Project Schedule
Project 2 & 6
Eligibility Information System
Work First (TANF)
Medicaid
Special Assistance
Refugee Assistance
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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
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How will Work Support Strategies and NC FAST impact Child Support Services?
• County DSS Offices will work differently
• At some point, Interface with ACTS
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Work Support Strategies
Bundling
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Project Lead / Evaluation
Primary Funder
Technical Assistanc
e
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WSSOn theCutting
Edge
Streamlining Access & Strengthening Families
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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
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A
New Way
To Do Business
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47% of all DSS clients
receive services from two or more economic
benefit programs
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Food Assistance
Child Care
Health Care
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Access to these 3 programs = long-lasting improvements for families: • Better employment outcomes
• Better health & development for children.
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48%48% of the children on NC Child of the children on NC Child Support caseload also receive Support caseload also receive Medicaid Medicaid andand Food Assistance Food Assistance
72%72% of the children on NC Child of the children on NC Child Support caseload either receive Support caseload either receive
Medicaid Medicaid or or Food AssistanceFood Assistance
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Linking Child Support Families to Services
It’s about … Connectivity
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What will drive the new service delivery system?
Customer Service
New Outcomes
Data will Drive Decisions
Streamline Polices / Procedures
Technology Efficiency
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A strong focus on change management will be needed
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Value Added Interactions
WSS Tenets
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Families will tell their story ONCE and
receive the services they need
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No Wrong DoorM
U
L
T
I
P
L
E access
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Same
Day
Service
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Service Delivery should not
interfere with…
EmploymentEmployment
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Where does Child Support Services fit in?
Shared Goals:
• Increase stability in families• Strengthen healthy parenting• Enhance parental engagement
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Projects on the Fast Track
Economic Benefits Policy Governance Board
(Economic Benefit Programs)
Reaching for Excellence & Accountability in Practice
(Child Welfare)
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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
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C
H
A
N
G
E Is everywhere
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A strength of a NC’s large county-administered system
101 Innovation laboratories
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QUESTIONS ?