1 Gina Adams Gina Adams The Urban Institute From research conducted by Kathleen Snyder, Patti Banghart, and Gina Adams Supported by The Joyce Foundation.

Slides:



Advertisements
Similar presentations
Lisa Dubay, Ph.D., Sc.M. Johns Hopkins Bloomberg School of Public Health and Center for Children and Families Getting to the Finish Line:
Advertisements

Citizenship documentation: Best Practices in the States Tactics to alleviate the burden and potential harm of the Medicaid citizenship & identity documentation.
Medicaid and CHIP Eligibility and Enrollment in 2014 January Angeles From Vision to Reality: State Strategies for Health Reform Implementation November.
Getting the Most Bang from our Post-Health Reform Buck: Enrolling and Retaining Everyone Whos Eligible December 1, 2009 Alliance for Health Reform Briefing.
1 Targeted Case Management (TCM) Changes Iowa Medicaid Enterprise October 14, 2008.
1 Advisory Council April 1, 2011 Child Care Development Fund – State Plan for Federal Fiscal Years 2012 and 2013.
Response to Recommendations by the National Association of Child Care Resource & Referral Agencies (NACCRRA) The Massachusetts Child Care Resource & Referral.
1 Income Eligible Re-Procurement Board of Early Education and Care January 14, 2009.
SAC Needs Assessment. Background A goal of the Massachusetts State Advisory Council on Early Childhood Education and Care (SAC) Identify the needs of.
1 EEC Board Meeting May 10, 2011 Child Care Development Fund – State Plan for Federal Fiscal Years 2012 and 2013.
RMS Participant Training Continue. Training objectives The first objective of this training is to provide basic information about Medicaid. The second.
1 20 October Secretariat conditions of service apply to all staff Enhanced contractual conditions, career development and mobility opportunities.
Care Coordinator Roles and Responsibilities
Child Care Subsidy Data and Measurement Challenges 1 Study of the Effects of Enhanced Subsidy Eligibility Policies In Illinois Data Collection and Measurement.
Alternative Work Schedules: Training for Supervisors.
Department of Children and Families Child Care Training
August 2014 PART TIME COMPENSATION AND CLASSIFICATION PROCESS Module 1 Policies and Procedures.
Improving Client Retention in Primary Care QI Project Review Title I Case Management HIV Quality Learning Network June 28, 2007.
Child Care Assistance and School Readiness Helen Blank Karen Schulman National Women’s Law Center May 2011.
Child Care Subsidy Program Changes
Illinois’ Automated Phone System Interview. Waiver FNS granted a waiver of the face-to-face interview requirement and authorized us to use the Phone System.
Job Search Assistance Strategies Evaluation Presentation for American Public Human Services Association February 25, 2014.
THE URBAN INSTITUTE Genevieve Kenney 2009 ACAP Medicaid Managed Care Policy Summit Hotel Monaco – Washington, DC July 15, 2009 Health Reform for Children:
Express Lane Eligibility: Using Public Programs to Enroll Eligible Children into Medicaid/SCHIP.
Gina Adams Hannah Matthews. Background CCDF key to support work and child development Agreement that linking/aligning CCDF with the web of early childhood.
Beth Rous University of Kentucky Working With Multiple Agencies to Plan And Implement Effective Transitions For Head Start Children Beth Rous University.
Employment First Program Insert local picture here.
1 Administrative Simplification Strategies to Increase Coverage BadgerCare Plus Angela Dombrowicki Wisconsin Department of Health Services Presentation.
1 Child Care Financial Assistance – System Reform: State Trends & Strategies, How Effective TA Can and Will Support States Dallas Cross-Regional Meeting.
@gardnercenter. Community Research for Youth and Families Amy Gerstein Children and Families Policy Symposium March 4,
Enhancing Health Coverage for Juvenile Justice-Involved Youth OJJDP Coordinating Council November 13, 2013 Diane Justice, Senior Program Director National.
MENTAL HEALTH SERVICES FOR PARENTS EXPERIENCING HOMELESSNESS: A GRANT PROPOSAL Lindsay Willman California State University, Long Beach May 2013.
1 EEC Board Policy and Research Committee October 2, 2013 State Advisory Council (SAC) Sustainability for Early Childhood Systems Building.
1 Update from States: Iowa’s Health Care Reform Initiatives SCI National Meeting Albuquerque, NM July 30, 2009.
Improper Authorizations for Payment October 21, 2008.
Maureen B. Higgins Assistant Director, Agency Support & Technical Assistance Office of Personnel Management December 8, 2010.
Strategic Action Plan to End Homelessness Presentation to Interagency Council on Homelessness March 2010.
Policy: SCWDC WS Training Delivery Design: Group.
Getting in the Act? The State of State Implementation of Health Care Reform Virginia’s Experiences Using Technology to Streamline Enrollment Rebecca Mendoza,
Implementing State Health Reform: Lessons for Policymakers Webinar for State Officials April 8, 2010.
USE OF TANF FUNDS: OPPORTUNITIES
Health Data Initiative Forum III June 5, Our Mission ACF is responsible for federal programs that promote the economic and social well-being of.
CCDF Reauthorization Kentucky’s Implementation Road Map.
Federal Early Care and Education Issues NECTAC Conference December 3, 2007 Helen Blank National Women’s Law Center.
Maximizing Enrollment for Kids: Making Medicaid and SCHIP Work Getting to the Finish Line July 17, 2008.
Single Parent Employment Support Program (SESP) SESP Presentation Presentation to Welfare to Work: The Next Generation Forum.
1 Breakout #6: The relationship between subsidy and welfare-to- work systems and policies, and the child care and employment patterns of low-income parents.
CCAP Case Reviews MFWCAA Conference September 30, 2009.
Children’s Mental Health & Family Services Collaboratives ~ Minnesota’s Vision ~
Promoting Work Supports: Background, Issues, Opportunities June 17, 2005 Mark Greenberg Director of Policy Center for Law and Social Policy th.
Access to Services at IDHS Local Offices: Granted or Denied? Dia Cirillo Work, Welfare and Families October 28, 2005.
Confronting the Child Care Eligibility Maze CLASP December
1 Strategic Plan Review. 2 Process Planning and Evaluation Committee will be discussing 2 directions per meeting. October meeting- Finance and Governance.
Getting & Keeping Kids Covered Washington State CKF Collaborative.
Workforce Orientation. Welcome to Workforce Solutions!  Workforce Solutions is a leading placement agency in the Houston area.  Last year we helped.
The Massachusetts Department of Early Education and Care DRAFT FOR DISCUSSION ONLY Massachusetts Child Care Market Price Survey Evaluation Committee February.
Voluntary Benefits A solution for employees and employers Cobbs Allen and Cobbs Allen.
Assets for Independence (AFI) Program Overview Office of Community Services Administration for Children and Families U.S. Department of Health and Human.
THE URBAN INSTITUTE / Washington, D.C. 1 Understanding Quality in Context: Child Care Providers, Markets, Communities, and Policy (2004 Child Care Bureau.
Laurie Lachance, PhD, MPH Evaluation Director Center for Managing Chronic Disease University of Michigan Policy Change as a Result of Community Coalitions.
Presenters Kathie Boling National Center on Child Care Subsidy Innovation and Accountability (NCCCSIA) Katherine Falen.
Washington Connection Benefit Portal Partnership
Office of Head Start Administration for Children and Families
The Enhanced AMS 2.0: The Foundation.
Board of Early Education and Care Planning and Evaluation Committee
Office of Workforce Investment, Division of Strategic Investments
Overview Introductions
Medicaid Eligibility Processing – Local Impact
Coffee chat with child care
CSAC Institute: Realignment 301 ALAMEDA COUNTY December 13, 2012
Presentation transcript:

1 Gina Adams Gina Adams The Urban Institute From research conducted by Kathleen Snyder, Patti Banghart, and Gina Adams Supported by The Joyce Foundation Making Child Care Subsidy Systems Work: Strategies to Support Access and Retention of Subsidies THE URBAN INSTITUTE / Washington, D.C.

2 Introduction Child care subsidies key in helping female-headed families work and care for their children – 85% of CCDF families headed by single parent Child care subsidies key in helping female-headed families work and care for their children – 85% of CCDF families headed by single parent Research shows some eligible families who need help are not getting it, and those that do have short spells Research shows some eligible families who need help are not getting it, and those that do have short spells Many factors responsible, but some likely to be related to subsidy policies and practices Many factors responsible, but some likely to be related to subsidy policies and practices Focus today on research findings about state/local strategies to support subsidy access and retention Focus today on research findings about state/local strategies to support subsidy access and retention Data from state/local CCDF administrators in 7 Midwestern states (supported by Joyce Foundation) Data from state/local CCDF administrators in 7 Midwestern states (supported by Joyce Foundation)

3 Research Questions What are subsidy agencies doing to support subsidy access and retention? Overall, for parents with fluctuating work/non- traditional work schedules, and for English Language Learners What lessons have they learned? What tradeoffs are involved? Parent burden, staff workload, fiscal responsibility, and minimizing improper payments

4 Overarching Approaches… Linking Benefit Systems Through structural/administrative approaches: Through structural/administrative approaches: Linking computer systems Linking computer systems Combining responsibilities within a single worker Combining responsibilities within a single worker Through the client process: Through the client process: Combined applications Combined applications Synchronizing review dates Synchronizing review dates Taking comprehensive approach to aligning systems Taking comprehensive approach to aligning systems

5 …Overarching Approaches Improving Customer Service Requiring local agencies to improve customer service Requiring local agencies to improve customer service Conducting customer service surveys Conducting customer service surveys Minimizing in-person visits Minimizing in-person visits Making it easier to get in touch with staff Making it easier to get in touch with staff State level toll-free numbers State level toll-free numbers Phone call tracking system Phone call tracking system Scheduling hot line Scheduling hot line Dedicated customer service staff Dedicated customer service staff Putting information on-line Putting information on-line

6 Simplifying Key Steps in Process… Application Making applications widely available (including online) Streamlining the application form Creating single application forms Recertification Longer recertification periods (12 mos.) Recertification reminders Granting grace periods prior and backdating

7 …Simplifying Key Steps in Process Interim Reporting Only requiring reporting of major changes Not requiring subsidy adjustments during interim period Creating simple “change reporting forms” Centralized change call centers Linked data systems

8 Minimizing Breaks in Subsidies Retaining subsidy or eligibility: After losing a job for job search During medical leave Despite temporary increases in income Suspending subsidy payments temporarily for brief periods of ineligibility or not needing care

9 Special Populations Fluctuating/Non-traditional Work Hours Creating more flexible authorization approaches Allowing providers to bill for more/less hours Authorizing care for sleep time for night shifts Authorizing care for more than one provider English Language Learners Providing materials in other languages Making interpreters available in multiple ways Tracking language in computer system

10 Concluding Thoughts Critically important area for low-income women Improving access is of interest to agencies despite (because of?) fiscal constraints Agencies seeking partners (cross system, other organizations working with parents) What to do if you want to examine these issues? (handout) Assess subsidy system to identify problem areas Identify cause of the problem Identify possible solutions Implement solutions and assess the results

11 Selected Source Documents all available at Supporting Child Care Subsidy Access and Retention: Ideas from Seven Midwestern States. (Policy Brief). December Snyder, Banghart, and Adams. Supporting Child Care Subsidy Access and Retention: Ideas from Seven Midwestern States. (Policy Brief). December Snyder, Banghart, and Adams. Strategies to Support Child Care Subsidy Access and Retention: Ideas from Seven Midwestern States. (Full Report). November Snyder, Banghart, and Adams. Strategies to Support Child Care Subsidy Access and Retention: Ideas from Seven Midwestern States. (Full Report). November Snyder, Banghart, and Adams. Is There a System Supporting Low-Income Working Families? February Zedlewski, Adams, Dubay, and Kenney. Is There a System Supporting Low-Income Working Families? February Zedlewski, Adams, Dubay, and Kenney. Child Care Subsidies and TANF: A Synthesis of Three Studies on Systems, Policies, and Parents. March Holcomb, Adams, Snyder, Koralek, Martinson, Bernstein, and Capizzano. Child Care Subsidies and TANF: A Synthesis of Three Studies on Systems, Policies, and Parents. March Holcomb, Adams, Snyder, Koralek, Martinson, Bernstein, and Capizzano. Child Care Subsidies for TANF Families: The Nexus of Systems and Policies. March Adams, Holcomb, Snyder, Koralek, and Capizzano. Child Care Subsidies for TANF Families: The Nexus of Systems and Policies. March Adams, Holcomb, Snyder, Koralek, and Capizzano. Getting and Retaining Child Care Assistance: How Policy and Practice Influence Parents' Experiences. March Adams, Snyder, and Sandfort. Getting and Retaining Child Care Assistance: How Policy and Practice Influence Parents' Experiences. March Adams, Snyder, and Sandfort. Navigating the Child Care Subsidy System: Policies and Practices that Affect Access and Retention. March Adams, Snyder, and Sandfort. Navigating the Child Care Subsidy System: Policies and Practices that Affect Access and Retention. March Adams, Snyder, and Sandfort.