proposed stable families, healthy community implementation plan vanessa sarria, can david davenport,...
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ProposedStable Families, Healthy
Community Implementation Plan
Vanessa Sarria, CANDavid Davenport, CAFB
Stable Families, Healthy Community: 5-year plan to connect families to all available resources while
maximizing public assistance enrollment. (12/12/09) Streamlined Common
Eligibility:1. Conduct inventory of criteria
and customer records used across agencies to determine eligibility for services.
2. Identify customer information & documents commonly used by agencies to determine eligibility.
3. Establish virtual access to information commonly used by agencies while protecting privacy (virtual portfolio).
4. Use virtual system to auto-populate application forms (e.g. food stamps) and expedite eligibility determination.
5. Develop tools for customers and case managers to self-determine potential eligibility for range of services.
Community Resources 101:
1. Orient social service staff and volunteers on how to connect families to resources.
2. Enhance community’s awareness of available assistance.
3. Expand community capacity to assist with outreach on range of resources.
Advocacy and Policy:1. Change message to
“stable families, healthy communities.”
2. Remain engaged with state-wide efforts to improve systems.
3. Advocate for stimulus funding that helps connect families to assistance.
4. Advocate for electronic submission of applications to expedite assistance.
Measure the Impact
Submitted Application for Grant 7/26/2010
• Source: DHHS Administration of Child & Families• Type: Social Services and Income Maintenance
Benefits Enrollment Coordination Grants• Due Date: July 26, 2010• Eligible Applicants: Nonprofits• Match: None required• Amount: $350,000 for 12 months (January 1
through December 31, 2011)
Objectives
• Utilize existing infrastructure and community access points for benefits enrollment coordination
• Combine technology and expert analysis to accurately assess eligibility for multiple benefits
• Provide mechanisms for sustaining collaboration for benefits eligibility determination
Target Population
• Low-income (up to 200% FPL) not receiving or maintaining benefits• CHIP is up to 200% FPL• SNAP is up to approx. 135% FPL• MAP is up to 100% FPL; other sliding fee scale
programs go up to 200% FPL• TANF• Medicaid
Staff electronically refer clients eligible for other services and/or automatic
enrollment.
People need help applying for range of
services!
Community Resources 101
instructs agencies to refer people to
2-1-1 for help.
2-1-1 provides clients referrals to
State benefit programs and other support
services.
2-1-1 directs clients to VSS
Partner agencies for application
assistance.
Partner agencies screen clients in Medicaider
and help them complete applications for TANF, SNAP, CHIP, Medicaid
and MAP using CHASSIS.
Goal: Connect families to range of resources through benefits enrollment coordination.
People receive services. Centralized data management allows evaluation of increased
# of people screened, # of applications submitted, and
total enrolled in range of programs.
Applications and supporting docs are
scanned /stored in Virtual Warehouse with client ‘s
consent.
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2
3
Virtual Single Stop
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1010 E
1014
MAP
Med
icai
der
/CH
AS
SIS
S
cree
nin
g a
nd
Elig
ibili
ty D
eter
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atio
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Customers referred to other agencies. Docs
and applications stored in Virtual Warehouse are
used to apply for services and to
expedite re-applications.
6
Report Card
Outreach and Education: Community Resources 101
CAN Streamlined Common Eligibility
Workgroup
-Project Management-Evaluation and Reporting
Virtual Single Stop User Group
Network Sciences
External Evaluator*
*CAN to Assist w/ Reporting
Virtual Single Stop Sustainability Evaluation
Timeline & Work PlanJanuary 1 – December 31, 2011
Lead Agency Q1 Q2 Q3 Q4
Outreach
Recruit agencies serving target population to attend CR 101 Orientations CAN X X X X
Community Resources 101 instructs agencies to refer clients to 2-1-1 UW X X X X
2-1-1 directs clients to Virtual Single Stop (VSS) Agencies for enrollment assistance UW X X X X
2-1-1 also provides referrals to customers to other types of support services UW X X X X
Virtual Single Stop
Form and regularly convene Virtual Single Stop User Group ICC X X X X
Put legal agreements in place re: privacy, data sharing, customer consent and quality assurance protocols ICC & CAFB X
Expand Medicaider & CHASSIS screening & eligibility determination tools to include SNAP & TANF ICC X
Create Virtual Warehouse for each VSS Agency to store applications & documents ICC X
Consolidate Virtual Warehouses to share applications & documents across agencies (given legal permission) ICC X X X X
Procure and set-up scanners ICC & CAFB X
Develop training manuals for VSS User Group and future users ICC X X X X
Train users on technology, protocols, eligibility requirements, consent forms ICC X X X X
Pilot integrated screening & eligibility enrollment system ICC & CAFB X X
Sustainability
Develop post-pilot expansion and sustainability plan through Streamlined Common Eligibility Work Group CAN X X X X
Begin training additional VSS users on technology, protocols, eligibility requirements, consent forms ICC X
Determine feasibility of interfacing existing community IT systems with Virtual Warehouse ICC X X
Determine feasibility of expanding Medicaider & CHASSIS beyond Medicaid, CHIP, MAP, SNAP & TANF ICC X X
Review/discuss Partner challenges and commitments (in grant support letters) to continue activities in future CAFB/CAN X
Evaluation
Provide quarterly and annual report on Community Resources 101 on # of participants; orientation evaluations UW & CAN X X X X
Collect quarterly/annual data on 2-1-1 referrals for public benefits enrollment assistance (to VSS and State) UW & CAN X X X X
Collect quarterly/annual data from VSS User Group on # screened, # applications submitted, # successful enrollments CAFB & ICC X X X X
Through external evaluator, documenting effectiveness, challenges, impact of pilot activities CAFB X X X X
Produce/share reports with key pilot evaluation findings and performance measures (Report Card) CAN/CAFB X X X X
Outreach: Community Resources 101 Orientations
• Recruit agencies serving target population to attend CR 101 Orientations where they will learn about:o 2-1-1 that is a gateway to public assistance
services and other support serviceso when to use 2-1-1 and when not to use 2-1-1o how to manage the customer encountero specific public assistance activities offered by
Virtual Single Stop partner organizations• Scheduled for Oct. 22 & Dec. 10 at United Way
Capital Area
Virtual Single Stop (VSS)
• Form VSS User Group: develop legal agreements to address privacy, data sharing, customer consent
• Develop quality assurance protocols & training materials
• VSS organizations will be trained to use VSS• Medicaider and CHASSIS will be expanded to screen
and determine eligibility for Medicaid, CHIP, and MAP as well as SNAP and TANF
• Applications and supporting documents will be uploaded to the Virtual Single Stop’s warehouse
Virtual Single Stop Pilot Organizations
Key Organizations that Provide Enrollment Assistance 211
Info & Referr
al
Capital
Area Food Bank
insure-a-kid
Catholic
Charities
Central
Health
City of
Austin
Lone Star
Circle of
Care
ACF – Medicaid X X X
ACF – Medicaid Long Term Care X
ACF - SCHIP X X X
ACF - Medicare X
ACF - TANF X
ACF – Community Services Block Grant X
USDA – SNAP X X
LOCAL – Central Health eligibility deter. for MAP and other sliding fee programs
X X
LOCAL - Information & Referral X
LOCAL – Other (health, emergency assistance, food, housing, utilities, clothing)
X X
Sustainability
• ICC will coordinate a VSS Users Group to provide ongoing assistance and technical support to pilot participants and future users
• CAN will continue to convene the Streamlined Common Eligibility work group to build on experience gained from the pilot and expand the VSS network
• CAN will build on work of UT School of Social Work inventory of documents and IT solutions commonly used by service providers
Range of Services – Orgs that Provide Enrollment Assistance
211 CAFB Insure-A-Kid
CatholicCharities
Central Health
Travis County
City of Austin
Austin Energy
Lone Star Circle of Care
Caritas
ACF – Medicaid X X XACF – Medicaid Long Term Care XACF - SCHIP X X XACF - Medicare XACF - TANF XACF - Low Inc Home Energy As X XACF - Comm Svcs Block Grant XACF - Earned Income Tax Credit
ACF - Head Start
ACF – Child Support Enforcement
USDA – SNAP X XDOL - Job Training
LOCAL – Central Health eligibility (MAP/other sliding fee programs)
X X
LOCAL - Information & Referral XLOCAL – Other (health, emergency assistance, food, housing, utilities, clothing)
X X X X X
Evaluation
• CAN will publish a one-page Stable Families, Healthy Community Plan Annual Report Card
• Project manager (CAFB) will provide evaluation oversight, collaborating with organizations to collect and report data on performance measures
• An external evaluator will conduct a comprehensive assessment of the pilot
• All evaluation products will be made available on the CAN website (www.caction.org)
Projected BudgetFunction Cost
Virtual Single Stop Coordination & Quality Assurance (ICC); Training/Manuals
Integrated Care Collaboration (ICC)
$80,000
Expansion of MedicaiderTM and CHASSISTM (add SNAP & TANF); licenses; legal fees
ICC thru Network Sciences
$70,000
Scanners VSS partners $10,000
TOTAL w/o Grant $160,000
Project Oversight Grant - CAFB $35,000
Project Evaluation & Printing of Report Grant - CAFB $50,000
Integrated Benefits Enrollment Specialists Grant – CAFB, Catholic Charities
$85,000
Outreach & Long-term Planning for Pilot Expansion/Sustainability thru SCE Work Group
Grant - CAN $20,000
TOTAL w/ Grant $350,000
Opportunities
• Agreement by ICC to consider expanding tools to include SNAP and TANF opens door to screening for a broader range of services beyond health services
• Modifications to Medicaider/CHASSIS are inexpensive• Can build on training and quality assurance protocols
to improve screening/referrals for a range of services• Consent form created by ICC partners can be used• Creating virtual space for storing scanned/uploaded
documents is not difficult and inexpensive• Evaluation tools will measure effectiveness
Challenges
• Data sharing across organizations is major challenge• Creating one Virtual Warehouse for all VSS agencies
to share will be challenging given legal hurdles • Creation of separate virtual spaces will not provide
the maximum benefit of one Virtual Warehouse• Organizations such as Capital Area Food Bank and
Catholic Charities using tools for the first time will face steep learning curve
• Must ensure that organizations with health focus are committed to expanding tools to other areas
Virtual Warehouse ofCommonly Used Eligibility Documents & Information
Service Providers Determining Eligibility
Customer gives Service Providers permission to
post and access documents from
Virtual Warehouse