September 2017 - Just the Facts

Just the Facts - September 2017 (pdf)

Summary

Total cases receiving Public Assistance in Illinois fell by 39,158 cases (63,610 persons) in September 2017 from September 2016. Non-Assistance SNAP cases were primarily responsible for the decrease. Aided cases numbered 1,956,010 (3,335,258 persons), down 1.96 percent from year-earlier totals.

Temporary Assistance to Needy Families (TANF)

Benefits

  • Total TANF Benefits: There were 25,791 TANF cases (67,417 persons) in September 2017, down 367 cases and down 1,058 persons from September 2017. The caseload was 19.2 percent lower than the September 2016 total.
  • "0" Grant Cases: There were 2,279 "0" Grant cases (6,496 persons) in September 2017, down 237 cases and down 619 persons from August 2017.
  • TANF-Basic: TANF-Basic (primarily single-parent) families fell by 328 cases (889 persons) in September 2017 from August 2017 to 24,817 cases (62,801 persons).
  • Two-Parent Cases: Two-parent cases decreased by 39 (decreased 169 persons) in September 2017 from August 2017 to 974 cases (4,616 persons).

TANF Program Detail 

  • Applications: The number of TANF applications received in September 2017 decreased by 597 from August 2017 to a total of 7,992. New applications and re-applications increased. Receipts included 7,009 applications for the Basic sector and 983 applications for the two-parent sector. There were 2,297 applications pending for the combined program this month, a decrease of 130 from August 2017 levels.
  • Approvals: There were 1,649 assistance approvals this month, including 971 new grants (up 25 from August 2017) and 678 reinstatements (down 41 from August 2017). A reinstatement is defined as approval of any case that was active within the previous 24 months.

Reasons for Case Openings

There were 1,757 September 2017 TANF openings for which reasons were available, down 16 from the August 2017 level. This total includes 1,678 cases from the Basic sector and 79 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  2.0
Living below agency standards  82.8
Loss of employment 0.4
Loss of other benefits  5.7
Parent leaving home 0.1
Increased medical needs  3.2
Loss of unemployment benefits  0.6
All other reasons  5.2

Reasons for Case Closings

Reasons were available for 1,859 September 2017 TANF case closings - up 1 case from August 2017. This total includes 1,755 cases from the Basic sector and 104 cases from the two-parent sector. Reasons for closing cases included the following:

REASONS FOR CASE CLOSINGS  % OF TOTAL CASE CLOSINGS
Earned income  37.2
Other financial  3.3
Non-compliance* 36.8
Non-financial  22.7

*31 cases canceled in August 2017 for non-compliance related reasons were reinstated by September 2017 after complying. These cases had no break in assistance.

Assistance to the Aged, Blind or Disabled (AABD)

The total number of September 2017 AABD cases was down 587 or 2.5 percent from the number of cases a year earlier. The decrease was largely attributable to Disability Assistance, where the number of cases fell 398 or 2.0 percent from September 2016 levels.

  • One-Person AABD Cases: One-person cases receiving grants through AABD decreased by 85 in September 2017 from August 2017 to a total of 23,095. This total includes 3,911 persons who qualified for Old Age Assistance; 93 persons who qualified for Blind Assistance; and 19,091 persons who qualified for Disability Assistance.
  • "0" Grant Status: The number of persons in "0" grant status decreased by 22 to 1,116 in September 2017 from August 2017.
  • State Supplemental Payments: The number of individuals receiving State Supplemental Payments decreased by 63 to 21,979 in September 2017 from August 2017.

Medical Assistance - No Grant

Disability Assistance customers were mainly responsible for a monthly decrease of 6,147 cases receiving Medical Assistance in September 2017. Persons decreased by 6,859. This resulted in a program total of 1,801,903 cases (3,040,891 persons). Of the total, 53,710 MANG cases and 80,905 MANG persons were in Kid Care, Disabled Worker, Breast and Cervical Cancer, and Department of Correction programs first included in September 2014. AABD MANG cases in these offices totaled 10,300. Additional FHP cases totaled 43,340. Additional FHP persons totaled 70,535.

  • MANG: MANG recipients represent 92.1 percent of total cases and 92.9 percent of total persons in September 2017. MANG cases decreased 0.92% (16,751 cases) from their September 2016 levels, when they represented 91.2 percent of all cases.
  • Family Health Plans: Families decreased by 5,635 to 1,326,072 from August 2017 to September 2017. Persons decreased by 6,347 to 2,565,060. These totals include two groups newly-eligible under the Affordable Care Act. The first group is Single Adults age 19 through 64, not otherwise eligible for other Medical Assistance with income at or below 138 percent of the Federal Poverty Level. Also added are Persons age 18 through 26 who were receiving Medicaid benefits when aged out of State Foster Care and who are not otherwise FHP or AABD clients.
  • AABD Clients: AABD customers who were categorically qualified for Medical Only decreased by 263 in September 2017 from August 2017 to 439,121 one-person cases. AABD Group Care clients totaled 56,812 in September 2017.
  • Foster Care: Foster Care Assistance aided 36,710 children in September 2017

Applications - All Programs

In September 2017, application receipts for all programs excluding SNAP decreased by 10,224 from August 2017 to a total of 87,065. This count includes: 78,410 applications for Medical Assistance, 7,992 for TANF, and 663 for AABD grants. SNAP applications received through Intake and Income Maintenance decreased by 7,728 from August 2017 to 119,075.

Supplemental Nutrition Assistance Program (SNAP)

  • SNAP Assistance was given to 966,633 Illinois households (1,861,915 persons) in September 2017. This is a decrease of 0.29 percent (2,852 households) from September 2016 levels.
  • Of this total, 861,412 households (1,721,492 persons) also received cash or medical benefits through other public assistance programs. This is a decrease of 1.83 percent (16,098 households) from September 2016 levels.
  • A total of 105,221 households (140,423 persons) received Non-Assistance SNAP in September 2017. This is a 13.16 percent (15,941 households) decrease from September 2016 levels.

All Kids (KidCare)

  • All Kids, which began in February 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 February 5, 1998 and September 1, 2017, a total of 114,427 TANF-Medical Only persons were enrolled in All Kids Phase I due to this expansion of eligibility. Included in this total are 6,092 in the Moms and Babies program and 108,335 in the Assist program.
  • Cases ineligible for Medicaid due to excess income may be eligible for All Kids Phase II. November 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 21,300 Share and 38,348 Premium persons had enrolled by September 1, 2017 .

FISCAL YEAR 2017 SUMMARY OF CASES AND PERSONS AS OF SEPTEMBER 2017

Program Cases Persons
TANF (PAYMENT CASES) 23,51 60,921
AABD CASH (ST SUPP PAYMENTS) 21,979 21,979
ZERO GRANTS TANF 2,279 6,496
ZERO GRANTS AABD 1,116 1,116
FAMILY HEALTH PLANS 1,326,072 2,565,060
AABD MANG 439,121 439,121
NON-ASSISTANCE SNAP 105,221 140,423
FOSTER CARE 36,710 36,710
REFUGEES CASH & MEDICAL 201 206
REFUGEES MEDICAL ONLY 153 198
TOTAL 1,956,364 3,272,230

Child Care

Child Care Services are available to families with income at or below 162 percent of the federal poverty level. 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 September 2017, an estimated 122,742 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 September 2017, an estimated 5,147 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. In September 2017, there were an estimated 301 children enrolled in the program.

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 5,106 households in shelters during April-June 2017. Of those, 1,395 were households with children.
  • The Emergency Food Program served 754,523 households (duplicative) from April-June 2017.
  • The Homeless Prevention Program helps families in existing homes and helps others secure affordable housing. During April-June 2017, 1,607 households were served. Of those, 867 were families (Households with children under age 18).
  • The Supportive Housing Program funds governments and agencies which serve families and transitional facility residents. In April-June 2017, 475,230 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. This program has been suspended.
  • Of the refugees served, 524 entered employment, and 373 retained jobs 90 days from February-May 2017 period.
  • The Outreach and Interpretation project assures access to IDHS benefits. This program has been suspended.

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 472 customers during the April-June 2017 quarter.
  • The Estimated Donated Funds Initiative aided 4,884 customers with 57,278 rides provided for Senior's during the April-June 2017 quarter.

Early Intervention (EI)

The Illinois Early Intervention (EI) program serves infants and toddlers ages birth to 3 years old with developmental delays or disabilities and their family in one 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 21,000 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 other counseling services and assistive technology. Evaluations, assessments, service plan development and service coordination are provided to families at no cost. Ongoing EI services are paid for by public insurance (i.e., 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 SEPTEMBER 2017 SFY 2018 AVERAGE SFY 2017 AVERAGE
Referrals 2,808 2,882 2,951
Active IFSP's 21,613 21,781 21,216
0-3 Participation Rate 4.63% 4.66% 4.54%
Under 1 Participation Rate 1.40% 1.42% 1.39%
% With Medicaid 57.2% 57.6% 58.4%
% With Insurance 38.6% 38.5% 37.7%
% With Fees 28.6% 28.4% 27.4%

What's New in EI

The Bureau, along with multiple stakeholder representatives, has been working to submit the State Systemic Improvement Plan (SSIP) Phase III the beginning of April 2017 to comply with the federal requirement. The Phase III submission will identify implementation steps taken for changes to infrastructure, resources needed, expected outcomes, timeliness showing completion of improvement activities, and an evaluation of the implementation plan including an updated timeline of the action steps.

Women, Infants, and Children (WIC)

The purpose of WIC is to provide nutrition education and counseling, breastfeeding promotion and support, nutritious supplemental foods 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 since 1997. 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 SEPTEMBER 2017
Pregnant Women 20,036
Breastfeeding Women 15,655
Postpartum Women 15,382
Infants 59,075
Children 100,051
Total 210,199

What's New in WIC

WIC Electronic Benefit Transfer (EBT) planning activities are underway and include the transfer of a new management information system (MIS) to replace the existing Cornerstone system. USDA has mandated full implementation of EBT by 2020. An implementation advanced planning document (IAPD) and requests for proposals for an EBT processer and MIS implementer developer are being reviewed for approval by USDA.

Participant Centered Services (PCS) are being cultivated throughout the Illinois WIC Program. PCS is an 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.

The WICHealth.org online learning system for participants has added new modules on lead poisoning prevention and oral health recently. Local agencies are encouraged to promote the use of WIC Health and to that end a new WICHealth Academy is being developed this year to better train staff on this stage of change based system. Illinois is part of a multi-state review team for the Academy and all modules developed.

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

FCM Active Participant Counts for September 2017

CATEGORY MEDICAID NON-MEDICAID TOTAL
Cook County
Children 4,198 845 5,043
Infants 11,110 1,973 13,083
Pregnant 5,614 839 6,453
Downstate
Children 7,656 1,341 8,997
Infants 23,046 5,110 28,156
Pregnant 9,996 2,079 12,075
Statewide
Children 11,854 2,186 14,040
Infants 34,156 7,083 41,239
Pregnant 15,610 2,918 18,528
61,620 12,187 73,807

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. The last analysis conducted for SFY 2014 shows:

  • The very low birth weight rate is almost 50% lower
  • The rate of premature birth is almost 30% lower
  • Medicaid expenditures for health care in the first year of life are almost 20% lower
  • Between 2010 and 2015, WIC and FCM have saved the state an average $166 million each year in Medicaid expenditures.

Bureau of Program & Performance Management