January 2012 - Just the Facts (pdf)

Summary

Total cases receiving Public Assistance in Illinois dropped by 3,022 (6,598 persons) in January 2012. FHP and SNAP cases were primarily responsible for the decrease. Aided cases numbered 1,655,114 (2,991,931 persons), down 4.0 percent from year-earlier totals.

Temporary Assistance to Needy Families (TANF)

Benefits

  • Total TANF Benefits: A 44 case (119 person) decrease left a total 49,977 families (128,380 persons) receiving TANF benefits in January. The caseload was 21.2 percent higher than the January 2011 total.
  • "0" Grant Cases: There were 3,844 "0" grant cases (10,758 persons) included this month, down 2 cases and 20 persons from December 2011.
  • TANF-Basic: TANF-Basic (primarily single-parent) families dropped by 36 cases (65 persons) to 48,627 cases (122,728 persons).
  • Two-Parent Cases: Two-parent cases decreased by 8 (54 persons) to a total of 1,350 cases (5,652 persons) in January 2012.

TANF Program Detail

  • Applications: The number of TANF applications received in January fell by 10 to a total of 8,742. New applications decreased and re-applications increased. Receipts included: 7,548 applications for the Basic sector and 1,194 applications for the two-parent sector. There were 2,478 applications pending for the combined program this month, a increase of 253 applications from December levels.
  • Approvals: There were 2,685 assistance approvals this month, including 1,858 new grants (up 426 from December 2011) and 827 reinstatements (down 302). A reinstatement is defined as approval of any case that was active within the previous 24 months.

Reasons for Case Openings

There were 3,315 January 2012 TANF openings for which reasons were available, up 20 from the December level. This total includes 3,175 cases from the Basic sector and 140 cases from the two-parent sector. Reasons for opening cases included the following:

REASONS FOR CASE

OPENINGS

% OF TOTAL CASE

OPENINGS

Reinstatement after remedying
Previous non-cooperation
1.0
Living below agency standards 81.8
Loss of employment 0.9
Loss of other benefits 1.8
Parent leaving home 0.2
Increased medical needs 4.6
Loss of unemployment benefits 4.4
All other reasons 5.3

Reasons for Case Closings

Reasons were available for 2,519 January 2012 TANF case closings - up by 31 cases from December. This total includes 2,387 cases from the Basic sector and 132 cases from the two-parent sector. Reasons for closing cases included the following:

REASONS FOR
CASE CLOSINGS
% OF TOTAL
CASE CLOSINGS
Earned Income 30.1
Other Financial 5.3
Non-compliance* 35.0
Non-financial 29.7

* 33 cases canceled in December 2012 for non-compliance related reasons were reinstated by January 2012 after complying. These cases had no break in assistance.

Assistance to the Aged, Blind or Disabled (AABD)

The total number of January 2012 AABD cases was down 73 or 0.2 percent from the number of cases a year earlier. The decrease was largely attributable to Old Age Assistance, where the number of cases fell 150 or 2.6 percent from January 2011 levels.

  • One-Person AABD Cases: One-person cases receiving grants through AABD dropped by 47 in January to a total of 29,383. This total includes 5,539 persons who qualified for Old Age Assistance; 109 persons who qualified for Blind Assistance; and 23,735 persons who qualified for Disability Assistance.
  • "0" Grant Status: Persons in "0" grant status rose by 12 to 1,889.
  • State Supplemental Payments: Individuals receiving State Supplemental Payments were down 59 to 27,484.

Medical Assistance - No Grant

AABD clients were responsible for an increase of 911 cases counted as receiving Medical Assistance in January 2012. The number of persons fell by 722. This resulted in a program total of 1,296,354 cases (2,479,239 persons).

  • MANG: MANG recipients represent 78 percent of total cases and 82 percent of total persons. MANG cases increased 4.4 percent from their January 2011 levels, when they represented 78 percent of all cases.
  • Family Health Plans: Families decreased by 552 to 778,451 in January 2012.
  • AABD Clients: AABD clients who were categorically qualified for Medical Only rose by 1,640 to 462,013 one-person cases. This total includes 147,531 cases for which Qualified Medical Beneficiary (QMB) payments were made, and 35,759 beneficiaries of Specified Low Income Beneficiary (SLIB) payments for Medicare coverage. AABD Group Care clients totaled 68,630.
  • Foster Care: Foster Care Assistance aided 46,239 children during this time period.
  • GA: State funding for the cash portion of the General Assistance (GA) program was eliminated July 1, 2011. All Downstate assistance was discontinued. Chicago clients will continue to receive Medical and SNAP benefits. In January 2012, a total 8,914 one-person cases received medical assistance only through Transitional Assistance (TA). The Number of families receiving medical assistance only through Family and Children's Assistance (F&CA) totaled 737 (943 persons).
  • P3 Cases: Cash Assistance for Chicago PE cases was also eliminated July 1, 2011. These are disabled one-person cases with SSI applications or appeals pending. A total of 206 P3 cases were aided in January.

Applications - All Programs

In January 2012, application receipts for all programs excluding SNAP increased by 4,064 to a total of 64,285. This count includes: 48,025 applications for Medical Assistance, 8,742 for TANF, 5,217 for AABD grants, and 2,301 for TA/F&CA in Chicago. SNAP applications received through Intake and Income Maintenance dropped by 16,282 to 160,115.

Supplemental Nutrition Assistance Program (SNAP)

  • SNAP Assistance was given to 887,715 Illinois households in January 2012. Of this total, 608,521 households also received cash or medical assistance through other public assistance programs.
  • There were 279,194 additional households not receiving other Public Assistance, which receive Non-Assistance SNAP administered by the Department of Human Services.

AllKids (KidCare)

  • KidCare, which began in January 1998, extends Medical coverage by expanding income eligibility standards (based upon the Federal Poverty Level) for pregnant women, infants born to Medical-eligible pregnant women, and certain other children under the age of 19.
  • Between January 5, 1998 and January 1, 2012 a total of 125,264 TANF-Medical Only persons were enrolled in KidCare Phase I due to this expansion of eligibility. Included in this total are 7,245 in the Moms and Babies program and 118,019 in the Assist program.
  • Cases ineligible for Medicaid due to excess income may be eligible for KidCare Phase II. October 1998 was the first month of enrollment. Phase II also requires co-pays and sometimes premiums. KidCare Share and KidCare Premium provide essentially the same benefits as Medical Assistance. A total of 31,685 Share and 31,292 Premium persons had enrolled by January 1. KidCare Rebate reimburses for a portion of health insurance premiums paid for eligible children. Rebate persons totaled 489.

FISCAL YEAR 2012 SUMMARY OF CASES AND PERSONS AS OF JANUARY 2012

Program Cases Persons
TANF (PAYMENT CASES) 46,133 117,622
AABD CASH (ST SUPP PAYMENTS) 27,484 27,484
TRANSITIONAL ASSISTANCE
(Medical Only) - Chicago
8,914 8,914
FAMILY AND CHILDREN'S ASSISTANCE
(Medical Only) - Chicago
737 943
P3 206 206
ZERO GRANTS TANF 3,844 10,758
ZERO GRANTS AABD 1,899 1,899
FAMILY HEALTH PLANS 778,451 1,961,130
AABD MANG 462,013 462,013
NON-ASSISTANCE SNAP 279,194 354,723
FOSTER CARE 46,239 46,239
REFUGEES CASH & MEDICAL 327 332
REFUGEES MEDICAL ONLY 195 196
TOTAL 1,655,636 2,992,459

Note: Temporary Assistance to Needy Families (TANF) replaced Aid to Families with Dependent Children effective July 1, 1997. Programs terminated in this change comprised AFDC-MAG, AFDC "0" grants, AFDC MANG, and Medical Extensions (AFDC).

Child Care

Child Care Services are available to families with income below 50 percent of the state median. Families must be working or enrolled in approved education or training activities. Families cost-share with co-payments based on income, family size and number of children in care. Services are delivered through a certificate program and a site-administered contract system.

  • The Certificate Program eligibility is determined by resource and referral agencies. Parents choose subsidized full or part-time care from any legal care provider that meets their needs. Providers include child-care centers, family homes, group child-care home and in-home and relative care. In January 2012, an estimated 160,190 children were served by certificate.
  • The Site-Administered Contract Program serves families through a statewide network of contracted licensed centers and family homes. Families apply for care directly with the contracted providers and eligibility is determined on-site by the provider. In January 2011, an estimated 9,421 children were served by contract.
  • The Migrant Head Start Program provides child care and health and social services for preschool children of migrant and seasonal farm workers. Services are provided by local community based agencies. The program is federally funded and serves approximately 450 children during the harvest season.

Emergency Food, Shelter and Support

Homeless families and individuals receive food, shelter and support services through local not-for-profit organizations. A "continuum of care" includes emergency and transitional housing and assistance in gaining self-sufficiency and permanent housing.

  • The Emergency and Transitional Housing Program served 10,735 households in shelters during July-September 2011. Of those, 2,382 were households with children.
  • The Emergency Food Program served 735,847 households from July-September 2011.
  • The Homeless Prevention Program helps families in existing homes and helps others secure affordable housing. During July-September 2011, 62 households were served. Of those, 34 were families (Households with children under age 18).
  • The Supportive Housing Program funds governments and agencies which serve families and transitional facility residents. In July-September 2011 707,170 nights of Supportive Housing were provided.
  • The Refugee and Immigrant Citizenship Initiative funds the provision of English language, civics and U.S. history instruction as well as application services. During July-September 2011, 1,311 clients had received instruction and 716 were assisted with their citizenship applications.
  • The Refugee Social Service Program served a total of 966 clients during the February-May 2011 period, with 439 entering employment, 311 of whom received health benefits and an average of $9.26 an hour, while 139 had their cash assistance terminated. A total of 646 refugees were screened for the February - May 2011 period.
  • The Outreach and Interpretation project assures access to IDHS benefits. In the July-September 2011 period, 13,774 clients received case management, 2,442 received interpreter service, and 8,034 received translation service.
  • During the April - June 2011 quarter, the five suburban health clinics served 7,585 uninsured immigrants.

Social Service Block Grants

Service funding is provided through the Federal Title XX Social Services Block Grant to manage and monitor contracts which help customers achieve economic self-support and prevent or remedy abuse and neglect.

  • Crisis Nurseries served an estimated 744 customers during the July - September 2011 quarter.
  • The Estimated Donated Funds Initiative aided 13,332 customers with 53,034 rides provided for Seniors during the July-September 2011 quarter.

Early Intervention (EI)

The Illinois Early Intervention program serves Children under three years of age who are experiencing developmental delays in one or more of the following areas: cognitive development; physical development; language and speech development; psychosocial development; and self-help skills. Early Intervention is part of the Individuals with Disabilities Education Act (IDEA Part C) which covers both Part C infants and toddlers as well as Part B Special Education. Annually Early intervention serves approximately 20,000 children across the state and maintains 25 Child and Family Connections (CFC) Offices throughout the state to handle referrals, program intake, and service coordination for children with Individual Family Service Plans (IFSP's).

Early Intervention services include, but are not limited to: developmental evaluations and assessments, physical therapy, occupational therapy, speech/language therapy, developmental therapy, service coordination, psychological services and social work services. The cost of some services are paid by the program and provided to families at no cost. These include evaluation, assessment, development of a service plan, and service coordination. Ongoing Early Intervention services are paid for by the family's health insurance, when appropriate, government insurance (Kid Care), and program funds. Families contribute to the cost of services by paying fees based on a sliding scale.

Program Statistics

Indicator January 2012 SFY 12 Average to Date SFY 2011 Average
Referrals 3,255 2,708 2,708
Active IFSP's 18,775 18,855 18,723
0-3 Participation Rate 3.43% 3.45% 3.42%
Under 1 Participation Rate 1.02% 1.06% 1.10%
% With Medicaid 50.8% 50.7% 49.6%
% With Insurance 36.3% 36.6% 36.9%
% With Fees 27.9% 27.8% 27.7%

What's New in Early Intervention

Currently the Early Intervention program is reviewing and implementing new federal regulations that were released late 2011. This review will also involve a complete review and updating of the CFC Policies and Procedures Manual to ensure compliance with all new or modified regulations. All required revisions must be in place by July 1, 2012.

Women Infants and Children (WIC)

The purpose of WIC is to provide supplemental foods, nutrition education and breastfeeding promotion and support, and referral/access to health services for income eligible pregnant, postpartum, breastfeeding women, infants and children. The program has been housed under the Department of Human Services for the last 14 years. In order to be eligible, participants must be at 185% of the federal poverty level; be a resident of the State of Illinois; and must be categorically eligible (pregnant, breastfeeding postpartum, non breastfeeding postpartum, Infants (0-1), Children (1-5).

Program Statistics

Eligibility Category Clients in January
Pregnant Women 32,429
Breastfeeding Women 16,690
Postpartum Women 18,972
Infants 76,982
Children 147,321

What's New in WIC

PCS/PCE is in McLean, St. Clair, Kane, Lake Counties and the Roseland WIC Clinic in Chicago. Participant-Centered Nutrition Education (PCE) is a comprehensive, outcome-based model developed by Altarum Institute to promote the adoption of positive nutrition- and health-related behaviors by Women, Infants, and Children (WIC) families. PCE is a comprehensive systems change model for participant interaction that touches upon all aspects of WIC functions and service delivery. PCE puts the participant at the core of WIC service delivery and targets the most important determinants of behavior change: self-efficacy, skill building, and readiness to change. PCE focuses on a person's capacities, strengths and developmental needs, rather than solely on problems, risks or negative behaviors.

Within the PCE framework, the participant and the WIC staff form a partnership to engage in interactive discussions based on the particular needs and circumstances of the participant. This approach contrasts with the traditional, didactic WIC assessment and education model, which places the nutrition educator in an authoritative position, providing information and direction to the participant. Although the didactic approach is somewhat successful in delivering information and increasing nutrition knowledge, it is less effective at promoting real behavior change.

Family Case Management

The program target population is low income families (below 200% of the federal poverty level) with a pregnant woman, an infant or a child with a high-risk condition. The goals of the program are to help women have healthy babies and to reduce the rates of infant mortality and very low birth weight. To achieve these goals the program conducts outreach activities to inform expectant women and new mothers of available services and then assists them with obtaining prenatal and well-child care. The program works with community agencies to address barriers to accessing medical services, such as child care, transportation, housing, food, mental health needs and substance abuse services. Services are provided statewide through local health departments, federally qualified health centers and community-based organizations. Home visits by a public health nurse are provided to the families of infants with medical problems.

Program Statistics

Category Medicaid Non-Medicaid
Cook County
Children 10,920 2,573
Infants 23,257 2,655
Pregnant 12,052 1,342
Downstate
Children 18,343 2,581
Infants 39,600 3,256
Pregnant 20,747 1,509
Statewide
Children 29,263 5,154
Infants 62,857 5,911
Pregnant 32,799 2,851

Program Accomplishments

Family Case Management has contributed to the overall reduction in the state's infant mortality and has reduced expenditures for medical assistance during the first year of life. Program outcomes are more effective in the integrated system of Family Case Management and WIC. Recent statistics show:

  • The infant mortality rate is 50 to 70% lower
  • The rate of premature birth is 60 to 70% lower
  • Medicaid expenditures for health care in the first year of life are up to 50% lower
  • Participation in WIC and FCM saves Illinois an average of $200 million each year in Medicaid expenses

Prepared by Bureau of Program & Performance Management March 2012