September 2015 - Just the Facts

September 2015 - Just the Facts (pdf)

Summary

Total cases receiving Public Assistance in Illinois fell by 11,706 cases (13,691 persons) in September 2015. Non- Assistance SNAP and MANG cases were responsible for the decrease. Aided cases numbered 2,041,725 (3,419,455 persons), up 3.1 percent from year-earlier totals.

Temporary Assistance to Needy Families (TANF)

Benefits

  • Total TANF Benefits: A 688 case (1,806 person) decrease resulted in a total 41,649 families (111,654 persons) receiving TANF benefits in September. The caseload was 14.5 percent lower than the September 2014 total.
  • "0" Grant Cases: There were 4,299 "0" grant cases (12,183 persons) included this month, down 40 cases and 42 persons from August 2015.
  • TANF-Basic: TANF-Basic (primarily single-parent) families fell by 698 (1,889 persons) in September to 40,672 cases (106,121 persons).
  • Two-Parent Cases: Two-parent cases rose by 10 to a 1,675 total in September 2015. The number of persons increased by 83 to 7,422.

TANF Program Detail

  • Applications: The number of TANF applications received in September rose by 375 to a total of 9,920. Both new applications and re-applications increased. Receipts included 8,607 applications for the Basic sector and 1,313 applications for the two-parent sector. There were 2,600 applications pending for the combined program this month, an increase of 4 from August levels.
  • Approvals: There were 2,458 assistance approvals this month, including 1,523 new grants (up 164 from August 2015) and 935 reinstatements (up 221). A reinstatement is defined as approval of any case that was active within the previous 24 months.

Reasons for Case Openings

There were 2,240 September 2015 TANF openings for which reasons were available, up 926 from the August level. This total includes 2,122 cases from the Basic sector and 118 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 81.7
Loss of employment 0.5
Loss of other benefits 5.4
Parent leaving home 0.1
Increased medical needs 3.7
Loss of unemployment benefits 0.5
All other reasons 6.0

Reasons for Case Closings

Reasons were available for 3,059 September 2015 TANF case closings - up by 30 cases from August. This total includes 3,059 cases from the Basic sector and 147 cases from the two-parent sector. Reasons for closing cases included the following:

REASONS FOR CASE CLOSINGS % OF TOTAL CASE CLOSINGS
Earned Income 33.3
Other Financial 3.7
Non-compliance* 35.8
Non-financial 27.1

*47 cases canceled in August 2015 for non-compliance related reasons were reinstated by September after complying. These cases had no break in assistance.

Assistance to the Aged, Blind or Disabled (AABD)

The total number of September 2015 AABD cases was down 2,319 or 8.6 percent from the number of cases a year earlier. The decrease was largely attributable to Disability Assistance, where the number of cases fell 1,846 or 8.4 percent from September 2014 levels.

  • One-Person AABD Cases: One-person cases receiving grants through AABD fell by 193 in September to a total of 24,759. This total includes 4,416 persons who qualified for Old Age Assistance; 91 persons who qualified for Blind Assistance; and 20,252 persons who qualified for Disability Assistance.
  • "0" Grant Status: The number of persons in "0" grant status fell by 37 to 1,276.
  • State Supplemental Payments: The number of individuals receiving State Supplemental Payments fell by 156 to 23,483.

Medical Assistance - No Grant

Family Health Plan customers were responsible for a monthly decrease of 3,590 cases receiving Medical Assistance in September 2015. Persons decreased by 2,506. This resulted in a program total of 1,810,124 cases (3,067,099 persons). Of the total, 63,016 MANG cases and 94,665 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 12,449. Additional FHP cases totaled 50,567. Additional FHP persons totaled 82,216.

  • MANG: MANG recipients represent 89 percent of total cases and 90 percent of total persons. MANG cases increased 8.9 percent from their September 2014 levels, when they represented 84 percent of all cases.
  • Family Health Plans: Families decreased by 4,884 to 1,315,840 from August to September 2015. Persons decreased by 3,800 to 2,572,815. 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 rose by 1,383 to 454,123 one-person cases. AABD Group Care clients totaled 60,604.
  • Foster Care: Foster Care Assistance aided 40,161 children during this time period.

Applications - All Programs

  • In September 2015, application receipts for all programs excluding SNAP increased by 8,347 to a total of 106,949. This count includes: 95,976 applications for Medical Assistance, 9,920 for TANF, and 1,053 for AABD grants. SNAP applications received through Intake and Income Maintenance decreased by 4,874 to 141,020.

Supplemental Nutrition Assistance Program (SNAP)

  • SNAP Assistance was given to 1,050,682 Illinois households (2,014,280 persons) in September 2015. This is an increase of 0.6 percent (5,858 households) from September 2014 levels.
  • Of this total, 886,035 households (1,798,887 persons) also received cash or medical benefits through other public assistance programs. This is an increase of 10.3 percent (83,026 households) from September 2014 levels.
  • A total of 164,647 households (215,393 persons) received Non-Assistance SNAP in September 2015. This is a 31.9 percent (77,168 household) decrease from September 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 September 1, 2015 a total of 104,293 TANF-Medical Only persons were enrolled in All Kids Phase I due to this expansion of eligibility. Included in this total are 7,187 in the Moms and Babies program and 97,106 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 18,370 Share and 32,781 Premium persons had enrolled by September 1.

FISCAL YEAR 2016 SUMMARY OF CASES AND PERSONS AS OF SEPTEMBER 2015

Program Cases Persons
TANF (PAYMENT CASES) 37,350 99,471
AABD CASH (ST SUPP PAYMENTS) 23,483 23,483
ZERO GRANTS TANF 4,299 12,183
ZERO GRANTS AABD 1,276 1,276
FAMILY HEALTH PLANS 1,315,840 2,572,815
AABD MANG 454,123 454,123
NON-ASSISTANCE SNAP 164,647 215,393
FOSTER CARE 40,161 40,161
REFUGEES CASH & MEDICAL 414 417
REFUGEES MEDICAL ONLY 132 133
TOTAL 2,041,725 3,419,455

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 September 2015, an estimated 134,852 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 2015, an estimated 5,900 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 5,255 households in shelters during April-June 2015. Of those 1,280 were households with children.
  • The Emergency Food Program served 862,352 households from April-June 2015.
  • The Homeless Prevention Program helps families in existing homes and helps others secure affordable housing. During April-June 2015, 1,226 households were served. Of those, 765 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 2015, 586,008 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 April-June 2015, 903 clients had received instruction. In the April-June 2015 quarter, 1,290 were assisted with their citizenship applications.
  • Of the refugees served, 1,472 entered employment, and 1,354 retained jobs 90 days.
  • The Outreach and Interpretation project assures access to IDHS benefits. In the April-June 2015 quarter, 13,280 clients received case management, 2,369 received interpreter service, and 1,610 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 455 customers during the April-June 2015 quarter.
  • The Estimated Donated Funds Initiative aided 4,081 customers with 58,780 rides provided for Seniors during the April-June 2015 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.

Program Statistics

Indicator September 2015 SFY 2015 Average SFY 2014 Average SFY 2013 Average
Referrals 2,693 2,873 2,839 2,592
Active IFSP's 20,860 21,183 20,342 19,662
0-3 Participation Rate 4.09% 4.15% 3.99% 3.96%
Under 1 Participation Rate 1.17% 1.29% 1.24% 1.07%
% With Medicaid 58.8% 59.8% 61.1% 48.90%
% With Insurance 36.1% 35.7% 34.5% 36.70%
% With Fees 27.8% 27.8% 27.7% 27.40%

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 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 2015
Pregnant Women 24,147
Breastfeeding Women 16,028
Postpartum Women 16,183
Infants 66,145
Children 113,465

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.

Program Statistics

Category Medicaid Non-Medicaid
Cook County
Children 7,844 1,332
Infants 18,305 2,392
Pregnant 8,828 1,051
Downstate
Children 9,367 1,188
Infants 33,417 3,130
Pregnant 15,321 1,352
Statewide
Children 17,211 2,520
Infants 531722 5,522
Pregnant 24,149 2,403

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

November 2015