“nobody tells me anything”

Daisie Blue & Jack RogersNC Child Support ServicesAugust 2012

OR DEATH BY POWERPOI

NT

Is the illusion that it has occurred

The

Problem with

Communication

Hiding Place in Bertie County

Big News: The Lost Colony is no longer lost

State Budget 2012

Medicaid

Education

$ 20.2 Billion Budget

Adds $212.5 Million for growth in Medicaid

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

Supreme CourtPatient 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 ?

Child Support is the 3rd 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

$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

Data Reliability

$ $ $ IMPORTANT $ $ $

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 yetfor 2012

TRI-METRO GRANT

Planning Grant: Employment Models for NCP’s

NCACDSS CS Service Committee

Develop and implement systemic state-county communication process

ALL

SERVICE

MODELS

ACF State Systems Interoperability /

Integration Project Grant

Redesign NC Child Support Web Page - Interactive

Data Bridge w/ Vital Records & Dept of Corrections

Planning Grant

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

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

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

Work Support Strategies

Bundling

Project Lead / Evaluation

Primary Funder

Technical Assistanc

e

WSSOn theCutting

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

Food Assistance

Child Care

Health Care

Access to these 3 programs = long-lasting improvements for families: • Better employment outcomes

• Better health & development for children.

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

Linking Child Support Families to Services

It’s about … Connectivity

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 management will be needed

Value Added Interactions

WSS Tenets

Families will tell their story ONCE and

receive the services they need

No Wrong DoorM

U

L

T

I

P

L

E access

Same

Day

Service

Service Delivery should not

interfere with…

EmploymentEmployment

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 ?