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

Is the illusion that it has occurred The Problem with Communication

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

State Budget 2012 Medicaid Education

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

Legislative Updates HB 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

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

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

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

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

after Public Education and Medicaid

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

IVD Net Allocated Collections SFY

Data Reliability $ $ $ IMPORTANT $ $ $

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

E RR ORS can mean big $$$

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

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

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

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

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

BIG Picture Initiatives NC FAST Work Support Strategies

NC FAST Replaces 19 Legacy Systems

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

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

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)

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

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

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

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

W ork S upport S trategies Bundling

Project Lead / Evaluation Primary Funder Technical Assistance

WSS On the Cutting Edge Streamlining Access & Strengthening Families

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

A New Way To Do Business

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

Food Assistance Child Care Health Care

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

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

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

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

A strong focus on change management will be needed

Value Added Interactions WSS Tenets

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

No Wrong Door MULTIPLEMULTIPLE access

Same Day Service

Service Delivery should not interfere with…Employment

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

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

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

CHANGECHANGE Is everywhere

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

QUESTIONS ?