June 2014 - Just the Facts (pdf)

Summary

Total cases receiving Public Assistance in Illinois rose by 15,694 (3,855 persons) in June 2014. Family Health Plan cases were responsible for the increase. Aided cases numbered 1,709,523 (3,006,430 persons), down 2.1 percent from year-earlier totals.

Temporary Assistance to Needy Families (TANF)

Benefits

  • Total TANF Benefits: A 25 case decrease (92 person increase) left a total 48,761 families (128,254 persons) receiving TANF benefits in June. The caseload was 1.7 percent lower than the June 2013 total.
  • "0" Grant Cases: There were 4,640 "0" grant cases (12,766 persons) included this month, down 16 cases and 157 persons from May 2014.
  • TANF-Basic: TANF-Basic (primarily single-parent) families decreased by 40 cases and rose by 61 persons in June to 47,116 cases (121,216 persons).
  • Two-Parent Cases: Two-parent cases rose by 15 to a 1,645 total in June 2014. The number of persons increased by 31 to 7,038.

TANF Program Detail

  • Applications: The number of TANF applications received in June fell by 243 to a total of 11,317. New applications decreased while re-applications increased. Receipts included 9,955 applications for the Basic sector and 1,362 applications for the two-parent sector. There were 6,529 applications pending for the combined program this month, a decrease of 2,441 from May levels.
  • Approvals: There were 2,847 assistance approvals this month, including 1,982 new grants (down 10 from May 2014) and 865 reinstatements (up 76). A reinstatement is defined as approval of any case that was active within the previous 24 months.

Reasons for Case Openings

There were 2,851 June 2014 TANF openings for which reasons were available, up 572 from the May level. This total includes 2,738 cases from the Basic sector and 113 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 2.1
Living below agency standards 80.9
Loss of employment 0.5
Loss of other benefits 5.4
Parent leaving home 0.1
Increased medical needs 4.0
Loss of unemployment benefits 0.4
All other reasons 6.6

Reasons for Case Closings

Reasons were available for 3,057 June 2014 TANF case closings - up by 203 cases from May. This total includes 2,926 cases from the Basic sector and 131 cases from the two-parent sector. Reasons for closing cases included the following:

REASONS FOR CASE CLOSINGS % OF TOTAL CASE CLOSINGS
Earned Income 28.9
Other Financial 3.1
Non-compliance* 40.2
Non-financial 27.7

*61 cases canceled in May 2014 for non-compliance related reasons were reinstated by June 2014 after complying. These cases had no break in assistance.

Assistance to the Aged, Blind or Disabled (AABD)

The total number of June 2014 AABD cases was down 726 or 2.6 percent from the number of cases a year earlier. The decrease was largely attributable to Disability Assistance, where the number of cases fell 541 or 2.4 percent from June 2013 levels.

  • One-Person AABD Cases: One-person cases receiving grants through AABD rose by 46 in June to a total of 27,254. This total includes 4,912 persons who qualified for Old Age Assistance; 102 persons who qualified for Blind Assistance; and 22,240 persons who qualified for Disability Assistance.
  • "0" Grant Status: The number of persons in "0" grant status fell by 7 to 1,573.
  • State Supplemental Payments: The number of individuals receiving State Supplemental Payments rose by 53 to 25,681.

Medical Assistance - No Grant

Family Health Plan clients were responsible for a monthly increase of 22,929 cases receiving Medical Assistance in June 2014. Persons increased by 11,350. This resulted in a program total of 1,371,204 cases (2,513,223 persons).

  • MANG: MANG recipients represent 80 percent of total cases and 84 percent of total persons. MANG cases increased 7.3 percent from their June 2013 levels, when they represented 73 percent of all cases.
  • Family Health Plans: Families increased by 29,247 to 873,092 from May to June 2014.
  • AABD Clients: AABD clients who were categorically qualified for Medical Only dropped by 6,279 to 456,056 one-person cases. AABD Group Care clients totaled 60,224.
  • Foster Care: Foster Care Assistance aided 42,056 children during this time period.
  • P3 Cases: Cash Assistance for Chicago PE cases was eliminated July 1, 2011. These are disabled one-person cases with SSI applications or appeals pending. A total of 6 P3 cases were aided in June.

Applications - All Programs

  • In June 2014, application receipts for all programs excluding SNAP increased by 12,924 to a total of 200,210. This count includes: 188,240 applications for Medical Assistance, 11,317 for TANF, and 653 for AABD grants. SNAP applications received through Intake and Income Maintenance increased by 2,513 to 141,342.

Supplemental Nutrition Assistance Program (SNAP)

  • SNAP Assistance was given to 1,030,544 Illinois households (2,026,028 persons) in June 2014. This is a decrease of 2.1 percent (22,617 households) from June 2013 levels.
  • Of this total, 768,246 households (1,688,335 persons) also received cash or medical benefits through other public assistance programs. This is an increase of 16.0 percent (105,780 households) from June 2013 levels.
  • A total of 262,298 households (337,693 persons) received Non-Assistance SNAP in June 2014. This is a 32.9 percent (128,397 household) decrease from June 2013 levels.

AllKids (KidCare)

  • All Kids, 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 June 1, 2014 a total of 78,854 TANF-Medical Only persons were enrolled in All Kids Phase I due to this expansion of eligibility. Included in this total are 4,764 in the Moms and Babies program and 74,090 in the Assist program.
  • Cases ineligible for Medicaid due to excess income may be eligible for All Kids Phase II. October 1998 was the first month of enrollment. Phase II also requires co-pays and sometimes premiums. All Kids Share and All Kids Premium provide essentially the same benefits as Medical Assistance. A total of 27,482 Share and 32,443 Premium persons had enrolled by June 1. All Kids Rebate, which reimbursed a portion of health insurance premiums paid for eligible children, was eliminated as of December 31, 2013.

FISCAL YEAR 2014 SUMMARY OF CASES AND PERSONS AS OF JUNE 2014

Program Cases Persons
TANF (PAYMENT CASES) 44,121 115,488
AABD CASH (ST SUPP PAYMENTS) 25,681 25,681
P3 6 6
ZERO GRANTS TANF 4,640 12,766
ZERO GRANTS AABD 1,573 1,573
FAMILY HEALTH PLANS 873,092 2,015,111
AABD MANG 456,056 456,056
NON-ASSISTANCE SNAP 262,298 337,693
FOSTER CARE 42,056 42,056
REFUGEES CASH & MEDICAL 529 536
REFUGEES MEDICAL ONLY 136 143
TOTAL 1,710,188 3,007,109

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 June 2014, an estimated 176,498 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 June 2014, an estimated 6,484 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 5,720 households in shelters during January-March 2014. Of those 941 were households with children.
  • The Emergency Food Program served 1,121,782 households from January-March 2014.
  • The Homeless Prevention Program helps families in existing homes and helps others secure affordable housing. During January-March 2014, 942 households were served. Of those, 511 were families (Households with children under age 18).
  • The Supportive Housing Program funds governments and agencies which serve families and transitional facility residents. In January-March 2014, 556,056 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 October-December 2013, 1,833 clients had received instruction and 1,219 were assisted with their citizenship applications.
  • Of the refugees served, 290 entered employment, and 295 retained jobs 90 days. The average wage earned was $8.97 an hour. 222 refugees received health benefits in the October-December 2014 period.
  • The Outreach and Interpretation project assures access to IDHS benefits. In the January-March 2014 quarter, 18,164 clients received case management, 3,009 received interpreter service, and 5,723 received translation service.

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 528 customers during the January-March 2014 quarter.
  • The Estimated Donated Funds Initiative aided 13,052 customers with 62,214 rides provided for Seniors during the January-March 2014 quarter.

Early Intervention (EI)

The Illinois Early Intervention (EI) program serves infants and toddlers birth to 3 years old with developmental delays or disabilities and their family in or more of the following areas of development: adaptive; cognitive, communication/speech, physical and social emotional. EI is part of the Individuals with Disabilities Education Act (IDEA), Part C for Infants and Toddlers with Disabilities. Annually, the EI program serves approximately 20,000 children throughout the state and maintains 25 regional intake entities called Child and Family Connections (CFC) offices. CFCs handle referrals, intake and service coordination for infants and toddlers with Individualized Family Service Plans (IFSPs).

Early Intervention services include, but are not limited to: developmental evaluations and assessments, communication/speech therapy, developmental therapy, occupational therapy, physical therapy, service coordination, psychological and assistive technology. Evaluations, assessments, service plan development and service coordination are provided to families as no cost. Ongoing EI services are paid for by public insurance (Medicaid/All Kids), a family's private health insurance, when appropriate, state general revenue and other program funds. Families are assessed a family participation fee based on a sliding scale which considers their ability to pay.

Program Statistics

Indicator June 2014 SFY 2014 Average SFY 2013 Average SFY 2012 Average
Referrals 2,852 2,839 2,612 2,592
Active IFSP's 21,055 20,342 19,999 19,662
0-3 Participation Rate 4.13% 3.99% 3.71% 3.96%
Under 1 Participation Rate 1.30% 1.24% 1.19% 1.07%
% With Medicaid 60.6% 61.1% 63.70% 48.90%
% With Insurance 35.4% 34.5% 34.40% 36.70%
% With Fees 27.9% 27.7% 27.70% 27.40%

What's New in EI

As part of the Part C (Early Intervention) Annual Performance Report (APR) submission for February 2015, a new Indicator calls for states to develop a State Systemic Improvement Plan (SSIP). The SSIP is a comprehensive, multi-year plan based upon detailed data and infrastructure analysis. The plan will identify a focus for improvement and describe improvement strategies that will lead to a measurable child-based result. Strategies will support CFC offices and early intervention providers in implementing, scaling-up, and sustaining evidence-based practices that will result in improved outcomes for infants and toddlers with disabilities and their families.

Women, Infants and Children (WIC)

The purpose of WIC is to provide nutrition education and counseling, breastfeeding promotion and support, nutritious food and referrals to services for eligible pregnant, breastfeeding and postpartum women, infants and children to age five. The program has been housed under the Department of Human Services for the last 16 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 have a nutrition risk.

Program Statistics

Eligibility Category Clients in June 2014
Pregnant Women 29,852
Breastfeeding Women 16,783
Postpartum Women 16,695
Infants 70,667
Children 133,136

What's New in WIC

Participant Centered Services (PCS) are being cultivated throughout the Illinois WIC Program. PCS 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. PCS is a comprehensive systems change model for participant interaction that touches upon all aspects of WIC functions and service delivery. PCS 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. PCS focuses on a person's capacities, strengths and developmental needs, rather than solely on problems, risks or negative behaviors.

Within the PCS 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 6,759 1,154
Infants 22,397 2,868
Pregnant 11,069 1,887
Downstate
Children 9,324 986
Infants 34,831 3,977
Pregnant 17,232 2,541
Statewide
Children 16,583 2,140
Infants 57,228 6,845
Pregnant 28,301 4,428

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

Bureau of Program & Performance Management

August 2014