July 2014 - Just the Facts

July 2014 - Just the Facts (pdf)

Summary

Total cases receiving Public Assistance in Illinois rose by 206,573 (326,499 persons) in July 2014. Newly eligible and previously uncounted Family Health Plan and other MANG cases were responsible for the increase. Aided cases numbered 1,916,096 (3,332,929 persons), up 12.2 percent from year-earlier totals.

Temporary Assistance to Needy Families (TANF)

Benefits

  • Total TANF Benefits: A 46 case (263 person) increase resulted in a total 48,807 families (128,517 persons) receiving TANF benefits in July. The caseload was 2.8 percent lower than the July 2013 total.
  • "0" Grant Cases: There were 4,507 "0" grant cases (12,626 persons) included this month, down 133 cases and 140 persons from June 2014.
  • TANF-Basic: TANF-Basic (primarily single-parent) families rose by 42 (210 persons) in July to 47,158 cases (121,426 persons).
  • Two-Parent Cases: Two-parent cases rose by 4 to a 1,649 total in July 2014. The number of persons increased by 53 to 7,091.

TANF Program Detail

  • Applications: The number of TANF applications received in July fell by 104 to a total of 11,213. Both new applications and re-applications increased. Receipts included 9,905 applications for the Basic sector and 1,308 applications for the two-parent sector. There were 5,523 applications pending for the combined program this month, a decrease of 706 from June levels.
  • Approvals: There were 2,864 assistance approvals this month, including 1,962 new grants (down 20 from June 2014) and 902 reinstatements (up 37). A reinstatement is defined as approval of any case that was active within the previous 24 months.

Reasons for Case Openings

There were 2,866 July 2014 TANF openings for which reasons were available, up 15 from the June level. This total includes 2,752 cases from the Basic sector and 114 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 80.3
Loss of employment 0.3
Loss of other benefits 7.0
Parent leaving home 0.0
Increased medical needs 4.4
Loss of unemployment benefits 0.2
All other reasons 5.7

Reasons for Case Closings

Reasons were available for 2,822 July 2014 TANF case closings - down by 235 cases from June. This total includes 2,671 cases from the Basic sector and 151 cases from the two-parent sector. Reasons for closing cases included the following:

REASONS FOR CASE CLOSINGS % OF TOTAL CASE CLOSINGS
Earned Income 29.6
Other Financial 3.4
Non-compliance* 38.3
Non-financial 28.7

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

Assistance to the Aged, Blind or Disabled (AABD)

The total number of July 2014 AABD cases was down 710 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 551 or 2.4 percent from July 2013 levels.

  • One-Person AABD Cases: One-person cases receiving grants through AABD fell by 35 in July to a total of 27,219. This total includes 4,930 persons who qualified for Old Age Assistance; 103 persons who qualified for Blind Assistance; and 22,186 persons who qualified for Disability Assistance.
  • "0" Grant Status: The number of persons in "0" grant status fell by 31 to 1,542.
  • State Supplemental Payments: The number of individuals receiving State Supplemental Payments fell by 4 to 25,677.

Medical Assistance - No Grant

Both AABD and Family Health Plan customers were responsible for a monthly increase of 211,854 cases receiving Medical Assistance in July 2014. Persons increased by 332,533. This resulted in a program total of 1,583,058 cases (2,845,756 persons). Of the total increase, 78,704 MANG cases and 117,718 MANG persons were in previously uncounted Kid Care, Disabled Worker, Breast and Cervical Cancer, and Department of Correction offices. AABD MANG cases in these offices totaled 13,067. Additional FHP cases totaled 65,637. Additional FHP persons totaled 104,651.

  • MANG: MANG recipients represent 83 percent of total cases and 85 percent of total persons. MANG cases increased 24.6 percent from their July 2013 levels, when they represented 74 percent of all cases.
  • Family Health Plans: Families increased by 194,920 to 1,068,012 from June to July 2014. Persons increased by 315,599 to 2,330,710. Two groups newly-eligible under the Affordable Care Act are responsible for much of the increase. 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 rose by 17,464 to 473,520 one-person cases. AABD Group Care clients totaled 60,528.
  • Foster Care: Foster Care Assistance aided 41,526 children during this time period.

Applications - All Programs

  • In July 2014, application receipts for all programs excluding SNAP decreased by 87,712 to a total of 112,498. This count includes: 100,674 applications for Medical Assistance, 11,213 for TANF, and 611 for AABD grants. SNAP applications received through Intake and Income Maintenance increased by 4,973 to 146,315.

Supplemental Nutrition Assistance Program (SNAP)

  • SNAP Assistance was given to 1,039,095 Illinois households (2,033,995 persons) in July 2014. This is an increase of 1.9 percent (19,861 households) from July 2013 levels.
  • Of this total, 782,083 households (1,702,558 persons) also received cash or medical benefits through other public assistance programs. This is an increase of 18.6 percent (122,392 households) from July 2013 levels.
  • A total of 257,012 households (331,437 persons) received Non-Assistance SNAP in July 2014. This is a 28.5 percent (102,531 household) decrease from July 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 July 1, 2014 a total of 82,129 TANF-Medical Only persons were enrolled in All Kids Phase I due to this expansion of eligibility. Included in this total are 5,259 in the Moms and Babies program and 76,870 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 26,353 Share and 32,167 Premium persons had enrolled by July 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 JULY 2014

Program Cases Persons
TANF (PAYMENT CASES) 44,300 115,891
AABD CASH (ST SUPP PAYMENTS) 25,677 25,677
ZERO GRANTS TANF 4,507 12,626
ZERO GRANTS AABD 1,542 1,542
FAMILY HEALTH PLANS 1,068,012 2,330,710
AABD MANG 473,520 473,520
NON-ASSISTANCE SNAP 257,012 331,437
FOSTER CARE 41,526 41,526
REFUGEES CASH & MEDICAL 568 576
REFUGEES MEDICAL ONLY 142 147
TOTAL 1,916,806 3,333,652

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 July 2014, an estimated 162,887 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 July 2014, an estimated 7,072 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

FCM Active Participant Counts for June 2014

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

September 2014