Financial Needs Assessment Section 2 Findings Financial Needs Assessment

©Copyright Solutions Consulting Group, LLC; adapted for NECTAC with full reproduction permission (May 2006)

Fund Sources Thirty seven different fund sources accessed: Federal: 18 State and Local: 14 Non-governmental: 5 Range of total fund sources utilized: Low – 5 High – 19

Provider Reimbursement State pays Providers 2 Regional Agency pays providers 1 Local agency pays providers 3 Fund source pays providers

Funding Distribution System Components Direct Services Contracts 3 2 Grants Fee for Service 1

System of Payments Three states reported that they had a system of payments The system of payments was established by: Statute (2) Regulation (2) Policies and procedures (3)

System of Payments Family Resources used include: Private Insurance (2) Co-Payments (1) Deductibles (1) Sliding Fee scales (3)

System of Payments Resources collection method: State bills/collects (2) Local agency bills/collects (1) Individual Provider bills/collects (1)

System of Payments Funds retained at: State Level (1) Local level (1) All funds reinvested in the Part C system

Cost Per Child Direct Services Cost System Cost 5 states did not know 1 state estimated $4,172 System Cost 3 states did not know 3 states provided estimates with a range of $4,000 to $5,256

Federal Obligation Concerns Non-substitution of funds (2) Payor of last resort (3) Edgar (2) Concerns: Targeted case management Accessing insurance Need to develop a system of payments

Data Electronic Paper Demographics 5 1 Family Income 3 Service Utilization 6 Payment Sources Other Program Eligibility Other Data

“Other Data” Child and Family Outcomes Delivered Services Service Providers 618 Data