1. “nobody tells me anything” Daisie Blue & Jack Rogers NC Child Support Services August 2012 OR DEATH BY POWERPOI NT

2. Is the illusion that it has occurred The Problem with Communication

3. Hiding Place in Bertie County Big News: The Lost Colony is no longer lost

4. State Budget 2012 Medicaid Education

5. $ 20.2 B illion Budget Adds $212.5 M illion for growth in Medicaid

6. 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 Administration County commissions authority

7. Supreme Court Patient Protection & Affordable Care Act Mandated to obtain health insurance or pay penalty Children can stay on parents insurance until age 26

8. In North Carolina: 1.57 million state residents are uninsured, or about 17 percent

9. ACA Impact on Child Support Expand healthcare coverage for children – Increase in Medical Support Orders Need to coordinate data with Health Insurance Exchanges

10. Do you Know ? Child Support is the 3 rd largest public program that serves children

11. after Public Education and Medicaid

12. What’s the BUZZ in NC Child Support Services? $ Collections ⇑ Data Reliability Tri-Metro Workforce Development Grant New CS Committee Interoperability Planning Grant

13. IVD Net Allocated Collections SFY 2009 - 2012

14. Data Reliability $ $ $ IMPORTANT $ $ $

15. Here’s the deal Information in case record has to match how ACTS is coded and reported on the OCSE-1571

16. E RR ORS can mean big $$$

17. Just 12 case errors could have cost NC $3.2M in TANF Funding

18. 2011: Data Reliability Audit - PASSED Not out of the woods yet for 2012

19. TRI-METRO GRANT Planning Grant: Employment Models for NCP’s

20. NCACDSS CS Service Committee Develop and implement systemic state-county communication process ALL SERVICE MODELS

21. ACF State Systems Interoperability / Integration Project Grant Redesign NC Child Support Web Page - Interactive Data Bridge w/ Vital Records & Dept of Corrections Planning Grant

22. BIG Picture Initiatives NC FAST Work Support Strategies

23. NC FAST Replaces 19 Legacy Systems

24. 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

25. 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

26. 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)

27. NEW STRATEGY. Drop Regional Implementation “Soft” Implementation New Applications Statewide

28. NC FAST Project Schedule Project 2 & 6 Eligibility Information System Work First (TANF) Medicaid Special Assistance Refugee Assistance

29. 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

30. How will Work Support Strategies and NC FAST impact Child Support Services? County DSS Offices will work differently At some point, Interface with ACTS

31. W ork S upport S trategies Bundling

32. Project Lead / Evaluation Primary Funder Technical Assistance

33. WSS On the Cutting Edge Streamlining Access & Strengthening Families

34. 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

35. A New Way To Do Business

36. 47% of all DSS clients receive services from two or more economic benefit programs

37. Food Assistance Child Care Health Care

38. Access to these 3 programs = long-lasting improvements for families: Better employment outcomes Better health & development for children.

39. 48% of the children on NC Child Support caseload also receive Medicaid and Food Assistance 72% of the children on NC Child Support caseload either receive Medicaid or Food Assistance

40. Linking Child Support Families to Services It’s about … Connectivity

41. What will drive the new service delivery system? Customer Service New Outcomes Data will Drive Decisions Streamline Polices / Procedures Technology Efficiency

42. A strong focus on change management will be needed

43. Value Added Interactions WSS Tenets

44. Families will tell their story ONCE and receive the services they need

45. No Wrong Door MULTIPLEMULTIPLE access

46. Same Day Service

47. Service Delivery should not interfere with…Employment

48. Where does Child Support Services fit in? Shared Goals: Increase stability in families Strengthen healthy parenting Enhance parental engagement

49. Projects on the Fast Track Economic Benefits Policy Governance Board (Economic Benefit Programs) Reaching for Excellence & Accountability in Practice (Child Welfare)

50. 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

51. CHANGECHANGE Is everywhere

52. A strength of a NC’s large county-administered system 101 Innovation laboratories

53. QUESTIONS ?