April 2015 - Just the Facts (pdf)
Total cases receiving Public Assistance in Illinois rose by 19,934 in April 2015. Family Health Plan cases were primarily responsible for the increase. The number of persons rose by 13,774. Aided cases numbered 2,119,080 (3,527,529 persons), up 25.9 percent from year-earlier totals.
Temporary Assistance to Needy Families (TANF)
- Total TANF Benefits: A 754 case (2,284 person) decrease resulted in a total 45,666 families (121,700 persons) receiving TANF benefits in April. The caseload was 7.1 percent lower than the April 2014 total.
- "0" Grant Cases: There were 4,124 "0" grant cases (11,589 persons) included this month, down 9 cases and 107 persons from March 2015.
- TANF-Basic: TANF-Basic (primarily single-parent) families fell by 715 (2,103 persons) in April to 43,934 cases (114,098 persons).
- Two-Parent Cases: Two-parent cases fell by 39 to a 1,732 total in April 2015. The number of persons decreased by 181 to 7,602.
TANF Program Detail
- Applications: The number of TANF applications received in April rose by 193 to a total of 8,686. New applications decreased while re-applications increased. Receipts included 7,602 applications for the Basic sector and 1,084 applications for the two-parent sector. There were 2,088 applications pending for the combined program this month, a decrease of 7 from March levels.
- Approvals: There were 2,141 assistance approvals this month, including 1,310 new grants (up 65 from March 2015) and 831 reinstatements (up 223). A reinstatement is defined as approval of any case that was active within the previous 24 months.
Reasons for Case Openings
There were 1,812 April 2015 TANF openings for which reasons were available, down 227 from the March level. This total includes 1,716 cases from the Basic sector and 96 cases from the two-parent sector. Reasons for opening cases included the following:
REASONS FOR CASE
% OF TOTAL CASE
Reinstatement after remedying
|Living below agency standards
|Loss of employment
|Loss of other benefits
|Parent leaving home
|Increased medical needs
|Loss of unemployment benefits
|All other reasons
Reasons for Case Closings
Reasons were available for 2,738 April 2015 TANF case closings - down by 245 cases from March. This total includes 2,578 cases from the Basic sector and 160 cases from the two-parent sector. Reasons for closing cases included the following:
REASONS FOR CASE
% OF TOTAL CASE
*46 cases canceled in March 2015 for non-compliance related reasons were reinstated by April after complying. These cases had no break in assistance.
Assistance to the Aged, Blind or Disabled (AABD)
The total number of April 2015 AABD cases was down 960 or 3.5 percent from the number of cases a year earlier. The decrease was largely attributable to Disability Assistance, where the number of cases fell 762 or 3.4 percent from April 2014 levels.
- One-Person AABD Cases: One-person cases receiving grants through AABD fell by 219 in April to a total of 26,303. This total includes 4,713 persons who qualified for Old Age Assistance; 101 persons who qualified for Blind Assistance; and 21,489 persons who qualified for Disability Assistance.
- "0" Grant Status: The number of persons in "0" grant status fell by 25 to 1,543.
- State Supplemental Payments: The number of individuals receiving State Supplemental Payments fell by 194 to 24,760.
Medical Assistance - No Grant
Family Health Plan customers were primarily responsible for a monthly increase of 27,732 cases receiving Medical Assistance in April 2015. Persons increased by 24,834. This resulted in a program total of 1,837,287 cases (3,104,832 persons). Of the total, 71,065 MANG cases and 106,070 MANG persons were in Kid Care, Disabled Worker, Breast and Cervical Cancer, and Department of Correction programs first included in July 2014. AABD MANG cases in these offices totaled 12,558. Additional FHP cases totaled 58,507. Additional FHP persons totaled 93,512.
- MANG: MANG recipients represent 87 percent of total cases and 88 percent of total persons. MANG cases increased 38.3 percent from their April 2014 levels, when they represented 79 percent of all cases.
- Family Health Plans: Families increased by 29,358 to 1,334,691 from March to April 2015. Persons increased by 26,460 to 2,602,236. 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 fell by 1,545 to 461,617 one-person cases. AABD Group Care clients totaled 61,106.
- Foster Care: Foster Care Assistance aided 40,979 children during this time period.
Applications - All Programs
In April 2015, application receipts for all programs excluding SNAP decreased by 15,296 to a total of 99,207. This count includes: 89,681 applications for Medical Assistance, 8,656 for TANF, and 840 for AABD grants. SNAP applications received through Intake and Income Maintenance decreased by 19,789 to 129,712.
Supplemental Nutrition Assistance Program (SNAP)
- SNAP Assistance was given to 1,065,866 Illinois households (2,045,282 persons) in April 2015. This is an increase of 4.9 percent (50,040 households) from April 2014 levels.
- Of this total, 856,678 households (1,771,239 persons) also received cash or medical benefits through other public assistance programs. This is an increase of 16.2 percent (119,265 households) from April 2014 levels.
- A total of 209,188 households (274,043 persons) received Non-Assistance SNAP in April 2015. This is a 24.9 percent (69,225 household) decrease from April 2014 levels.
All Kids (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 April 1, 2015 a total of 98,601 TANF-Medical Only persons were enrolled in All Kids Phase I due to this expansion of eligibility. Included in this total are 6,767 in the Moms and Babies program and 91,834 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 20,386 Share and 31,493 Premium persons had enrolled by April 1.
FISCAL YEAR 2015 SUMMARY OF CASES AND PERSONS AS OF APRIL 2015
|TANF (PAYMENT CASES)
|AABD CASH (ST SUPP PAYMENTS)
|ZERO GRANTS TANF
|ZERO GRANTS AABD
|FAMILY HEALTH PLANS
|REFUGEES CASH & MEDICAL
|REFUGEES MEDICAL ONLY
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 April 2015, an estimated 260,301 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 April 2015, an estimated 7,197 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 5,461 households in shelters during October-December 2014. Of those 970 were households with children.
- The Emergency Food Program served 1,155,361 households from October-December 2014.
- The Homeless Prevention Program helps families in existing homes and helps others secure affordable housing. During October-December 2014, 1,331 households were served. Of those, 866 were families (Households with children under age 18).
- The Supportive Housing Program funds governments and agencies which serve families and transitional facility residents. In October-December 2014, 611,357 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 2014, 1,272 clients had received instruction and 1,170 were assisted with their citizenship applications.
- Of the refugees served, 371 entered employment, and 388 retained jobs 90 days. The average wage earned was $9.41 an hour.
- The Outreach and Interpretation project assures access to IDHS benefits. In the October-December 2014 quarter, 18,255 clients received case management, 2,964 received interpreter service, and 9,538 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 496 customers during the October-December 2014 quarter.
- The Estimated Donated Funds Initiative aided 12,625 customers with 73,230 rides provided for Seniors during the October-December 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 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 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.
||SFY 2015 Average
||SFY 2014 Average
||SFY 2013 Average
|0-3 Participation Rate
|Under 1 Participation Rate
|% With Medicaid
|% With Insurance
|% With Fees
What's New in EI
Illinois submitted the first State Systemic Improvement Plan (SSIP) this spring. 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. In February 2016, the EI Program will report on Phase II of the SSIP, which will identify changes to infrastructure, resources needed, expected outcomes, timeliness for completing improvement activities, and an evaluation plan.
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.
||Clients in January 2015
What's New in WIC
In preparation for WIC Electronic Benefit Transfer (EBT), which USDA has mandated by 2020, readiness activities are underway. Training is being provided to all WIC local agency providers on MIS changes which will allow grouping of WIC participants in the same family and synchronization of base dates. Both of these changes will facilitate readiness for EBT. Procurement for an EBT developer is in process.
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.
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