September 2016 - Just the Facts

September 2016 - Just the Facts (pdf)

Summary

Total cases receiving Public Assistance in Illinois fell by 46,203 cases (83,615 persons) in September 2016 from September 2015. Non-Assistance SNAP cases were primarily responsible for the decrease. Aided cases numbered 1,995,522 (3,335,840 persons), down 2.3 percent from year-earlier totals.

Temporary Assistance to Needy Families (TANF)

Benefits

  • Total TANF Benefits: There were 31,467 TANF cases (83,521 persons) in September 2016, down 462 cases and 1,225 persons from August 2016. The caseload was 24.4 percent lower than the September 2015 total.
  • "0" Grant Cases: There were 3,114 "0" Grant cases (8,927 persons) in September 2016, down 192 cases and 514 persons from August 2016.
  • TANF-Basic: TANF-Basic (primarily single-parent) families fell by 489 (1,362 persons) in September 2016 from August 2016 to 30,133 cases (77,473 persons).
  • Two-Parent Cases: Two-parent cases increased by 27 (137 persons) in September 2016 from August 2016 to 1,334 cases (6,048 persons).

TANF Program Detail

  • Applications: The number of TANF applications received in September 2016 decreased by 1,310 from August 2016 to a total of 9,046. New applications decreased and re-applications decreased. Receipts included 7,757 applications for the Basic sector and 1,289 applications for the two-parent sector. There were 2,752 applications pending for the combined program this month, a decrease of 96 from August 2016 levels.
  • Approvals: There were 2,226 assistance approvals this month, including 1,340 new grants (up 39 from August 2016) and 886 reinstatements (down 11 from August 2016). A reinstatement is defined as approval of any case that was active within the previous 24 months.

Reasons for Case Openings

There were 1,908 September 2016 TANF openings for which reasons were available, down 32 from the August 2016 level. This total includes 1,787 cases from the Basic sector and 121 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 0.9
Living below agency standards 81.3
Loss of employment 0.3
Loss of other benefits 5.7
Parent leaving home 0.1
Increased medical needs 2.5
Loss of unemployment benefits 0.6
All other reasons 8.7

Reasons for Case Closings

Reasons were available for 2,393 September 2016 TANF case closings - up by 167 cases from August 2016. This total includes 2,255 cases from the Basic sector and 138 cases from the two-parent sector. Reasons for closing cases included the following:

REASONS FOR CASE CLOSINGS % OF TOTAL CASE CLOSINGS
Earned income 31.0
Other financial 3.4
Non-compliance* 43.8
Non-financial 21.9

 *17 cases canceled in August 2016 for non-compliance related reasons were reinstated by September 2016 after complying. These cases had no break in assistance.

Assistance to the Aged, Blind or Disabled (AABD)

The total number of September 2016 AABD cases was down 1,077 or 4.3 percent from the number of cases a year earlier. The decrease was largely attributable to Disability Assistance, where the number of cases fell 763 or 3.8 percent from September 2015 levels.

  • One-Person AABD Cases: One-person cases receiving grants through AABD increased by 45 in September 2016 from August 2016 to a total of 23,682. This total includes 4,107 persons who qualified for Old Age Assistance; 86 persons who qualified for Blind Assistance; and 19,489 persons who qualified for Disability Assistance.
  • "0" Grant Status: The number of persons in "0" grant status fell by 6 to 1,081 in September 2016 from August 2016.
  • State Supplemental Payments: The number of individuals receiving State Supplemental Payments increased by 51 to 22,601 in September 2016 from August 2016.

Medical Assistance - No Grant

Family Health Plan customers were mainly responsible for a monthly decrease of 4,005 cases receiving Medical Assistance in September 2016. Persons decreased by 8,574. This resulted in a program total of 1,818,654 cases (3,068,191 persons). Of the total, 54,611 MANG cases and 82,521 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 11,760. Additional FHP cases totaled 42,851. Additional FHP persons totaled 70,761.

  • MANG: MANG recipients represent 91 percent of total cases and 92 percent of total persons in September 2016. MANG cases increased 2.5 percent from their September 2015 levels, when they represented 88.7 percent of all cases.
  • Family Health Plans: Families decreased by 4,459 to 1,335,656 from August 2016 to September 2016. Persons decreased by 9,028 to 2,585,193. 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 increased by 559 in September 2016 from August 2016 to 444,831 one-person cases. AABD Group Care clients totaled 60,091 in September 2016.
  • Foster Care: Foster Care Assistance aided 38,167 children in September 2016.

Applications - All Programs

In September 2016, application receipts for all programs excluding SNAP decreased by 16,927 from August 2016 to a total of 91,392. This count includes: 81,520 applications for Medical Assistance, 9,046 for TANF, and 826 for AABD grants. SNAP applications received through Intake and Income Maintenance decreased by 8,047 from August 2016 to 137,907.

Supplemental Nutrition Assistance Program (SNAP)

  • SNAP Assistance was given to 998,672 Illinois households (1,931,575 persons) in September 2016. This is a decrease of 5.0 percent (52,010 households) from September 2015 levels.
  • Of this total, 877,510 households (1,771,711 persons) also received cash or medical benefits through other public assistance programs. This is a decrease of 0.96 percent (8,525 households) from September 2015 levels.
  • A total of 121,162 households (159,864 persons) received Non-Assistance SNAP in September 2016. This is a 26.4 percent (43,485 household) decrease from September 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 September 1, 2016 a total of 113,146 TANF-Medical Only persons were enrolled in All Kids Phase I due to this expansion of eligibility. Included in this total are 6,748 in the Moms and Babies program and 106,398 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 21,481 Share and 38,516 Premium persons had enrolled by September 1, 2016.

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

PROGRAM CASES PERSONS
TANF (payment cases) 28,353 74,594
AABD Cash (st supp payments) 22,601 22,601
Zero Grants TANF 3,114 8,927
Zero Grants AABD 1,081 1,081
Family Health Plans 1,335,656 2,585,193
AABD MANG 444,831 444,831
Non-Assistance SNAP 121,162 159,864
Foster Care 38,167 38,167
Refugees Cash & Medical 422 437
Refugees Medical Only 135 145
Total 1,995,522 3,335,840

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 2016, an estimated 125,798 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 2016, 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.

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 4,433 households in shelters during April-June 2016. Of those 839 were households with children.
  • The Emergency Food Program served 685,566 households from April-June 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 April-June 2016, 468,839 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, 565 entered employment, and 579 retained jobs 90 days from February -May 2016.
  • 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 327 customers during the April-June 2016 quarter.
  • The Estimated Donated Funds Initiative aided 3,379 customers with 58,657 rides provided for Senior's during the April-June 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 June 2016 SFY 2016 Average SFY 2015 Average SFY 2014 Average
Referrals 2,964 2,849 2,873 2,839
Active IFSP's 21,128 20,689 21,183 20,342
0-3 Participation Rate 4.14% 4.06% 4.15% 3.99%
Under 1 Participation Rate 1.37% 1.22% 1.29% 1.24%
% With Medicaid 59.0% 58.6% 59.8% 61.1%
% With Insurance 37.2% 36.8% 35.7% 34.5%
% With Fees 27.0% 27.5% 27.8% 27.7%

What's New in EI

In June, Illinois received approval of our Phase II submission from OSEP and is preparing for Phase III submission of the State Systemic Improvement Plan (SSIP) for April 2017. 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 2017, the EI Program will submit Phase III of the SSIP, which 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.

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 June 2016
Pregnant Women 23,190
Breastfeeding Women 15,564
Postpartum Women 15,728
Infants 62,941
Children  106,174

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 5,291 963
Infants 14,820 2,062
Pregnant 7,582 951
Downstate
Children 7,114 780
Infants 25,778 2,609
Pregnant 12,011 1,056
Statewide
Children 12,405 1,743
Infants 40,598 4,671
Pregnant 19,593 2,007

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