thp-plus/thp+fc monthly conference call
DESCRIPTION
THP-Plus/THP+FC Monthly Conference Call. Thursday, February 13 th : 10:00 to 11:00 a.m. Agenda. Welcome and introductions Medi -Cal Enrollment for Current & Former Foster Youth Guest presenter: Jessica Haspel, Children Now THP+FC Update on the number of providers - PowerPoint PPT PresentationTRANSCRIPT
THP-PLUS/THP+FC MONTHLY CONFERENCE
CALLThursday, February 13th: 10:00 to 11:00 a.m.
AGENDAWelcome and introductions
Medi-Cal Enrollment for Current & Former Foster YouthGuest presenter: Jessica Haspel, Children Now
THP+FCUpdate on the number of providersUpdate on the location of programs
THP-Plus Quarterly report from the THP-Plus Participant Tracking SystemTHP-Plus Capacity ChartUpdate on advocacy video
Sign-On Letter Regarding Relative Caregivers
HEALTH COVERAGE FOR YOUTH IN THP-PLUS
Insured: 71%
Uninsured: 29%Approximately
650 youth
MEDI-CAL ENROLLMENT FOR FORMER FOSTER YOUTH
Guest Presenter:Jessica Haspel, Child Welfare Policy AssociateChildren Now [email protected]
MEDI-CAL ENROLLMENT FOR FORMER FOSTER YOUTH
The Affordable Care Act extended Medi-Cal to age 26 for youth who were in foster care at age 18 or older. (Effective 1/1/14) California Dept. of Health Care Services
issued Informational Letter 14-05http://www.dhcs.ca.gov/services/medi-cal/eligibility/Documents/MEDIL2014/MEDILI14-05.pdf
CWDA Desk Aidhttp://thpplus.org/wp2/wp-content/uploads/2014/02/FFCC-Desk-Aid-3.pdf
CA’S FORMER FOSTER CARE CHILDREN’S (FFCC) PROGRAM: THEN AND NOW
Pre-ACAFFY 18-21 eligible for Medi-Cal FFCC
coverage
CA Bridge FundingFFY turning 21 between
7/1/13 - 12/31/13 maintain Medi-Cal FFCC
eligibility until 26
ACA-Jan. 1, 2014Extension takes full
effect!FFY 18-26 are eligible
for Medi-Cal FFCC
Former foster youth (FFY) are enrolled in the Medi-Cal coverage group for Former Foster Care Children.
CALIFORNIA’S INSTRUCTIONS TO COUNTIES Counties are instructed to enroll youth who were in foster care
at age 18 or older in any state. Until the automated systems are reprogrammed eligibility
workers must manually override the system to assign the appropriate aid code to former foster youth 21 or older.
No income determination conducted (eligibility is based on being in foster care on 18th birthday, age 18-26, and CA residency).
Youth who personally attest to having been in foster care at age 18 should be enrolled in Medi-Cal immediately while county verifies eligibility.
WHAT’S COVERED FOR FORMER FOSTER YOUTH UNDER MEDI-CAL?
Medical care Vision exams Substance abuse treatment Mental health services and counseling Dental care starting in May 2014 Coverage for youth under 21 also includes Early
and Periodic Screening, Diagnosis, and Treatment services (EPSDT).
HOW DO ELIGIBLE YOUTH SIGN UP? Best way to apply is directly through the county, in-person
at the local Medi-Cal office with the MC 250A form: http://www.dhcs.ca.gov/formsandpubs/forms/Forms/mc250a2014.pdf
Children Now developed a list of contacts in each county for Medi-Cal: http://www.childrennow.org/uploads/documents/Coveredtil26_CountyContactList.pdf
Right now, youth are likely to experience significant barriers if they try to apply through Covered CA or online
CHILDREN NOW’ COVEREDTILL26 WEBSITE HAS TIPS FOR WHEN YOUTH APPLYFormer foster youth: should be enrolled in the Former Foster Care Child (FFCC)
coverage group should be assigned the “4M” code do NOT have to provide income information do NOT have to fill out the full Medi-Cal application (just MC 250A
form) do NOT have to provide proof that they were in foster care at age
18 – the county will verify
Additionally, it may help to bring Informational Letter 14-05 and to write down the CA law that expanded coverage (California Welfare and Institutions Code Section 14005.28).
BENEFITS TO ENROLLING IN THE FORMER FOSTER YOUTH COVERAGE GROUPYouth eligible for Medi-Cal based on their former foster youth status are enrolled in Medi-Cal under the “4M” aid code. Benefits of Coverage under the “4M” Program: Youth are eligible for fee-for-service Medi-Cal, which means they
can get care from any Medi-Cal provider. Youth maintain coverage until age 26 (simplified
redetermination process) No income requirements = youth stay covered in Medi-Cal
regardless of income changes.
ADDITIONAL RESOURCES• http://coveredtil26.childrennow.org/
Children Now launched website to inform foster youth about the Medi-
Cal extension:• Jessica Haspel,
[email protected] or Fatima Morales, [email protected]
For trainings on the new policy, contact:
• http://www.dhcs.ca.gov/services/medi-cal/eligibility/Documents/MEDIL2014/MEDILI14-05.pdf
California Youth Connection and
National Youth Network created educational video on the policy:
• 1-877-846-1602 or [email protected]
If youth have trouble applying for Medi-Cal they can contact the
Foster Care Ombudsman:
UPCOMING WEB SEMINAR ON MEDI-CAL EXTENSION FOR FORMER FOSTER YOUTH
Children Now and Youth Law Center are hosting a web seminar, “Medi-Cal coverage until age 26 for former foster youth”Thursday, February 27th from 11:00 a.m. to 12:00 p.m.Register here: https://attendee.gotowebinar.com/register/8905480491668575233
THP-PLUS FOSTER CARE (THP+FC)
THP+FC PROVIDER GROWTH
2012
2013
Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb0
5
10
15
20
25
30
35
40
1 15
7
12 1315
18
27 28
33 34 35 3538 38 38
Num
ber
of T
HP+
FC P
rovi
ders
2014
LOCATION OF THP+FC HOUSING
1 San Joaquin
2 Butte
4 Contra Costa
2 Lassen
2 El Dorado
Glenn 11 Lake
Ventura 3
1 Mariposa
Mendocino 1
Monterey 2
Orange 3
2 Plumas
2 Riverside
San Diego 3
San Francisco 2
San Luis Obispo 1
Santa Barbara 1
Shasta 3
Santa Cruz 1 4 Santa Clara
Solano 1
Tehama 2
6 Los Angeles
Sonoma 1
1 Del Norte
1 Humboldt
1 NevadaPlacer 1
X Sacramento
Siskiyou 1
Sutter 1Yolo 1
Alameda 6 1 Stanislaus1 Merced
2 Fresno1 Tulare
X San Bernardino
Counties with high # of NMDs Counties with high # of NMDs without THP+FC
THP-PLUS
THP-PLUS PARTICIPANT TRACKING SYSTEMQuarterly Report Covers period of October 1 – December 31, 2013Data on sample of 538 THP-Plus participants
EMPLOYMENT STATUS OF THP-PLUS PARTICIPANTS
Report ending December 31, 2013; 538 participants
46%
38%
11%
2%3%
WorkingNot Working, Seeking EmploymentNot Working, Not Seek-ing EmploymentDetermined Unem-ployable, SSI-eligible, OtherUnknown
INCOME STATUS OF THP-PLUS PARTICIPANTS Average monthly income: $913.81 Average hourly wage: $9.28 51% report receiving at least one form of public
benefit 25% report receiving another form of financial
support
Report ending December 31, 2013; 538 participants
EDUCATIONAL STATUS OF THP-PLUS PARTICIPANTS
Report ending December 31, 2013; 538 participants
38%
56%
6%
Currently EnrolledNot Currently EnrolledUnknown
OF THOSE ENROLLED (38%) IN SCHOOL, WHAT DEGREE ARE THEY PURSUING?
Report ending December 31, 2013; 538 participants
22%
65%
13%
HS Diploma/GED/HS EquivalencyAA/ASBA/BS
STATUS OF PARENTING, INSURANCE, PERMANENT CONNECTIONS AND CRIMINAL JUSTICE INVOLVEMENT 21% of participants are custodial parents 71% report having health insurance 92% report a permanent connection with an
adult 6% of participants have been incarcerated or
detained in adult criminal justice system since entering THP-Plus
6% of participants have had an adult misdemeanor or felony conviction since entering THP-Plus
Report ending December 31, 2013; 538 participants
CHANGES FROM 6 MONTHS PRIOR, QUARTER ENDING 6/30/13
EMPLOYMENT & INCOMEJun. 30,
2013
Dec. 31,
2013Decrease in percentage reported they were employed 48% 46%
Increase in reported hourly wage $9.22 $9.28
Increase in reported average monthly income $895.55
$913.81
Decrease in percentage reported receipt of public benefits 55% 51%
Increase in percentage reported receipt of other financial support
19% 25%
CHANGES FROM 6 MONTHS PRIOR, QUARTER ENDING 6/30/13
EDUCATION Jun. 30,
2013
Dec. 31,
2013
Increase in percentage reporting being enrolled in school
35% 38%
Increase in percentage reported having graduated from high school
76% 78%
ADDITIONAL INFORMATION
Jun. 30,
2013
Dec. 31,
2013
Decrease in percentage reported they were custodial parents
23% 21%
Decrease in percentage reported they had health insurance
74% 71%
THP-PLUS CAPACITY CHART
28 provide
rs report open beds
10 provide
rs report waiting
lists
Total of 120
open beds &
70 youth in need of housing
THP-Plus Capacity Chart lists providers with open THP-Plus slots, and providers with waiting lists. Also lists contact info so providers can coordinate with one another about referrals.
CLARIFICATIONS FROM CDSS LEGAL: FEBRUARY 2014 The California Department of Social Services has provided the following clarifications regarding accepting out-of-county youth into THP-Plus: Eligible youth may participate in a THP-Plus program in any
county with an approved THP-Plus plan. Any county with an approved plan may elect to accept a youth
from another county into their program.
THP-PLUS CAPACITY CHARTCounty Organization # Open Beds Updated
Alameda Beyond Emancipation 10 1/14/2014
Alameda Fred Finch Youth Center 3 1/9/2014
Contra CostaContra Costa Co. HSD - Homeless Continuum of Care
1 female bed, 1 gender neutral bed 12/19/2013
El Dorado Tahoe Turning Point 9 1/23/2014
HumboldtRedwood Community Action Agency 5 1/17/2014
Los AngelesRosemary Children's Services 1 12/17/2013
Los Angeles St. Anne's 1 12/17/2013
Marin Alternative Family Services 1 12/18/2013
Monterey Peacock Acres 5 12/17/2013
Napa Progress Foundation 2 12/17/2013
Orange Aspiranet 7 12/18/2013
Orange New Alternatives 2 12/18/2013
Placer Whole Person Learning 5 12/19/2013
Riverside Aspiranet 4 12/20/2013
County Organization # Open Beds Updated
San Bernardino Aspiranet 6 12/20/2013
San DiegoSan Diego Youth Services 2 12/18/2013
San DiegoSouth Bay Community Services 7 12/18/2013
San DiegoYMCA of San Diego County 1 12/17/2013
San FranciscoEdgewood Center for Children and Families
3 slots for youth with host families 2/6/2014
San Francisco First Place for Youth 6 1/20/2014
San FranciscoLarkin Street Youth Services
Will have open beds in March 1/28/2014
San Francisco The Salvation Army 8 12/17/2013
San Joaquin Aspiranet 6 12/17/2013
San Luis Obispo Family Care Network 10 12/20/2013
San Mateo Star Vista 5 1/14/2014
Sutter Children's Hope FFA 5 12/19/2013
Yolo Yolo County DESS 2 12/17/2013
Yuba Children's Hope FFA 2 12/19/2013
County Organization# on
Waitlist Updated
Alameda Abode Services 8 12/19/2013
ButteYouth and Family Programs 2 12/18/2013
Butte Youth for Change 1-2 12/17/2013
ImperialImperial Valley Regional Occupational Program 10 12/17/2013
Los Angeles C.H.A.I.N. Reaction, Inc. 4 12/21/2013
Los Angeles Richstone Family Center 29 12/18/2013
Los AngelesSan Gabriel Children's Services 5 12/30/2013
Santa Clara Bill Wilson Center unknown 12/30/2013
SonomaTLC Child and Family Services 7 1/9/2014
VenturaVentura County Child and Family Services 2 12/19/2013
OPEN BEDS WAIT LISTS
THP-PLUS CAPACITY CHART
• http://thpplus.org/thp-plus-bed-vacancies/
THP-Plus Capacity Chart
available at
• https://www.surveymonkey.com/s/THP-Plus-Capacity-Chart
If you are a THP-Plus provider and
have not reported your current bed
status to JBF, visit
THP-PLUS ADVOCACY VIDEO John Burton Foundation is developing a 2-3 min. video on THP-Plus: Who does THP-Plus serve? What does THP-Plus provide? Why is THP-Plus necessary? Where would former foster and probation youth be without THP-
Plus?
In early March JBF will disseminate to providers for their own advocacy use
SIGN-ON LETTER TO CALIFORNIA STATE LEGISLATURE REGARDING RELATIVE CAREGIVERS
SIGN-ON LETTER TO STATE LEGISLATURE RE: RELATIVE CAREGIVERS
Under current foster care funding rules: A relative caregiver receives a foster care
benefit only if the child is federally-eligible. If not federally-eligible, relative caregiver
applies for state welfare benefit (CalWORKs). If non-federally-eligible child is placed in non-
relative foster home or group home, however, they will receive state foster care benefits.
WHY DOES THIS MATTER?By denying relative caregivers foster care benefits, we are placing children into deep poverty the CalWORKs grant for a single child is equal to just 37% of poverty level!
INEQUITY IN MONTHLY RATES
Relative Foster Parent
Non-Relative Foster Parent
Federally-Eligible 15-Year Old $820/month $820/month
Non-Federally-Eligible 15-Year Old
$351/month $820/month
Non-Federally-Eligible 15-Year Old Who is a Regional Center Client
$351/month $2,162/month
Non-Federally-Eligible Sibling Set of 3 (ages 15, 16 & 17)
$714/month $2,460/month
SIGN-ON TO THE LETTER!Sign onto a letter to the California State Legislature asking them to change this arbitrary and irrational foster care funding rule that places many foster children living with relatives into deep poverty.To sign-on, follow this link to enter your organization’s contact information. (Individuals can sign on as well).https://www.surveymonkey.com/s/C6S6JFK Deadline to sign on to the letter is TUESDAY, FEB. 18th!For more information about this issue, contact Angie Schwartz at [email protected]