May 2016 - Just the Facts

JUST THE FACTS - MAY 2016 (pdf)

Summary

Total cases receiving Public Assistance in Illinois fell by 109,965 cases (170,914 persons) in May 2016 from May 2015. Non- Assistance SNAP cases were primarily responsible for the decrease. Aided cases numbered 2,009,204 (3,356,669 persons), down 5.2 percent from year-earlier totals.

Temporary Assistance to Needy Families (TANF)

Benefits

  • Total TANF Benefits: There were 33,546 TANF cases (88,961 persons) in May 2016, down 1,112 cases and 3,409 persons from April 2016. The caseload was 25.0 percent lower than the May 2015 total.
  • "0" Grant Cases: There were 3,799 "0" Grant cases (10,924 persons) in May 2016, down 393 cases and 1,220 persons from April 2016.
  • TANF-Basic: TANF-Basic (primarily single-parent) families fell by 1,015 (3,004 persons) in May 2016 from April 2016 to 32,209 cases (82,917 persons).
  • Two-Parent Cases: Two-parent cases fell by 97 (405 persons) in May 2016 from April 2016 to 1,337 cases (6,044 persons).

TANF Program Detail

  • Applications: The number of TANF applications received in May 2016 increased by 358 from April 2016 to a total of 7,999. New applications increased and re-applications increased. Receipts included 6,964 applications for the Basic sector and 1,035 applications for the two-parent sector. There were 2,209 applications pending for the combined program this month, an increase of 49 from April 2016 levels.
  • Approvals: There were 1,930 assistance approvals this month, including 1,139 new grants (up 183 from April 2016) and 791 reinstatements (up 123 from April 2016). A reinstatement is defined as approval of any case that was active within the previous 24 months.

Reasons for Case Openings

There were 1,669 May 2016 TANF openings for which reasons were available, up 53 from the April 2016 level. This total includes 1,594 cases from the Basic sector and 75 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 1.8
Living below agency standards 82.0
Loss of employment 0.7
Loss of other benefits  4.5
Parent leaving home  0.1
Increased medical needs  3.2
Loss of unemployment benefits  0.2
All other reasons  7.6

Reasons for Case Closings

Reasons were available for 3,098 May 2016 TANF case closings - up by 335 cases from April 2016. This total includes 2,905 cases from the Basic sector and 193 cases from the two-parent sector. Reasons for closing cases included the following:

REASONS FOR CASE CLOSINGS % OF TOTAL CASE CLOSINGS
Earned income  28.8
Other financial  3.2
Non-compliance*  46.3
Non-financial  21.8

*30 cases canceled in April 2016 for non-compliance related reasons were reinstated by May 2016 after complying. These cases had no break in assistance.

Assistance to the Aged, Blind or Disabled (AABD)

The total number of May 2016 AABD cases was down 2,159 or 8.3 percent from the number of cases a year earlier. The decrease was largely attributable to Disability Assistance, where the number of cases fell 1,656 or 7.8 percent from May 2015 levels.

  • One-Person AABD Cases: One-person cases receiving grants through AABD fell by 120 in May 2016 from April 2016 to a total of 23,910. This total includes 4,168 persons who qualified for Old Age Assistance; 87 persons who qualified for Blind Assistance; and 19,655 persons who qualified for Disability Assistance.
  • "0" Grant Status: The number of persons in "0" grant status fell by 13 to 1,139 in May 2016 from April 2016.
  • State Supplemental Payments: The number of individuals receiving State Supplemental Payments fell by 107 to 22,771 in May 2016 from April 2016.

Medical Assistance - No Grant

Family Health Plans customers were mainly responsible for a monthly increase of 12,070 cases receiving Medical Assistance in May 2016. Persons increased by 20,577. This resulted in a program total of 1,832,211 cases (3,087,130 persons). Of the total, 58,387 MANG cases and 88,081 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 12,268. Additional FHP cases totaled 46,119. Additional FHP persons totaled 75,813.

  • MANG: MANG recipients represent 91 percent of total cases and 92 percent of total persons in May 2016. MANG cases increased 3.9 percent from their May 2015 levels, when they represented 87.1 percent of all cases.
  • Family Health Plans: Families increased by 12,727 to 1,344,572 from April 2016 to May 2016. Persons increased by 21,234 to 2,599,491. 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 dropped by 634 in May 2016 from April 2016 to 448,306 one-person cases. AABD Group Care clients totaled 60,135 in May 2016.
  • Foster Care: Foster Care Assistance aided 39,333 children in May 2016.

Applications - All Programs

In May 2016, application receipts for all programs excluding SNAP decreased by 4,529 from April 2016 to a total of 89,364. This count includes: 80,575 applications for Medical Assistance, 7,999 for TANF, and 790 for AABD grants. SNAP applications received through Intake and Income Maintenance decreased by 26,758 from April 2016 to 131,868.

Supplemental Nutrition Assistance Program (SNAP)

  • SNAP Assistance was given to 955,588 Illinois households (1,838,917 persons) in May 2016. This is a decrease of 10.2 percent (109,034 households) from May 2015 levels.
  • Of this total, 836,635 households (1,682,853 persons) also received cash or medical benefits through other public assistance programs. This is a decrease of 2.9 percent (24,833 households) from May 2015 levels.
  • A total of 118,953 households (156,064 persons) received Non-Assistance SNAP in May 2016. This is a 41.4 percent (84,201 household) decrease from May 2015 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 May 1, 2016 a total of 112,045 TANF-Medical Only persons were enrolled in All Kids Phase I due to this expansion of eligibility. Included in this total are 6,802 in the Moms and Babies program and 105,243 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 22,413 Share and 39,077 Premium persons had enrolled by May 1, 2016.

FISCAL YEAR 2016 SUMMARY OF CASES AND PERSONS AS OF MAY 2016

PROGRAM  CASES PERSONS
TANF (payment cases)  29,747  78,037
AABD Cash (st supp payments)  22,771  22,771
Zero Grants TANF  3,799  10,924
Zero Grants AABD  1,139  1,139
Family Health Plans  1,344,572  2,599,491
AABD MANG  448,306  448,306
Non-Assistance SNAP  118,953  156,064
Foster Care  39,333  39,333
Refugees Cash & Medical  437  452
Refugees Medical Only  147  152
Total  2,009,204  3,356,669

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 May 2016, an estimated 125,268 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 May 2016, an estimated 6,766 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.

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 5,601 households in shelters during January-March 2016. Of those 884 were households with children.
  • The Emergency Food Program served 839,564 households from January-March 2016.
  • The Homeless Prevention Program helps families in existing homes and helps others secure affordable housing. During January-March 2016, 180 households were served. Of those, 99 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 2016, 509,323 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, 328 entered employment, and 272 retained jobs 90 days from October-December 2015.
  • 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 288 customers during the January-March 2016 quarter.
  • The Estimated Donated Funds Initiative aided 3,906 customers with 60,236 rides provided for Seniors during the January-March 2016 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 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  December 2015 SFY 2016 Average  SFY 2015 Average  SFY 2014 Average
Referrals  2,272 2,602  2,873 2,839
Active IFSP's 20,342 20,826  21,183  20,342
0-3 Participation Rate  3.99%  4.08%  4.15% 3.99%
Under 1 Participation Rate  1.14% 1.19% 1.29% 1.24%
% With Medicaid 58.4%  58.7% 59.8% 61.1%
% With Insurance 36.7% 36.2%  35.7%   34.5%
% With Fees 27.4% 27.6% 27.8% 27.7%

What's New in EI

Illinois is preparing for Phase II submission of the 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. In April 2016, the EI Program will submit 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 December 2015
Pregnant Women 21,870
Breastfeeding Women  15,601
Postpartum Women  16,127
Infants  64,207
Children  108,224

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  6,493  1,252
 Infants  17,155  2,102
Pregnant   7,930  933
Downstate
Children 8,833 1,220
 Infants  30,753  2,730
 Pregnant  13,375  1,175
Statewide
 Children  15,326  2,472
 Infants  47,908  4,832
 Pregnant  21,305  2,108

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
  • Over the last 14 years, participation in both WIC and FCM saved Illinois on average over $200 million each year in Medicaid expenses.

Bureau of Program & Performance Management