2 Agency Presentation - Part I of IV (pages 1-56) - DSS FY15 Friday, - - PDF document

NOTE: This is Part I of IV of the Agency Presentation (Pages 1-56) Department Overview Office of the Secretary Division of Economic Assistance

2 Agency Presentation - Part I of IV (pages 1-56) - DSS FY15

Friday, January 24, 2014 9:01 AM

Table of Contents

Department of octal Services Overview Acronyms DSS Mana 0 ement Team Contacts Organizational tructure Department Ml sloo and Goal Department Key Initiatives 2013 Federal Poverty Guidelines Department Budget Office of the Secretary Division of Economic Assistance Medical & Adult Services Division of '.\'ledicaJ Sen,ices Division of Adult ervtces and Aging Children's Services Division of Child upport Services Division of hlld Protection ervlces Division of Child Care Services Behavioral Health

HC

Division of Community/Correctional Behavioral Health BOARDS - Informational 2

3

4-6

7 8

9-14 15-16 17-56 57 58-128 129-149 150 151-166 167-206 207-220 221-226 227-244 245-277 278-279

Acronyms:

!ACF -Administration/or Children and Families i,4DRC -Aging and Disability Resource Connections CARE - Continuous Assistance, Rehabilitation, and Education CJ!- Criminal Justice InitiaJil:e

CJ

lfS

• Centers

for Medicare and 1 Wedicaid Services DHS -Department of Human Services DME -Durable Medical Equipment DOC -Department of Corrections DOE -Department of Education DOH

• Department of

Health DSH

• Disproportionate Share Hospital

DSS - Department of Social Services EBT-Electronic Benefits Transfer EPSDT-Early and Periodic Screeing, Diagnosis, Treatment F FM

• Federally Facilitated .~arketplace

F1 l1AP - Federal Medical Assistance Percentage FTE - Full Time Equivaknt Gld£ - Graduate Medical Education mT-Health Information Technology HH

• Health Homes

IDEA - Individuals with Disabilities Education Act IHS - Indian Health Services IMPACT-Individualized Mobile Programs of Assertive Conimu.nity Treatment LIEAP-Low Income Energy Assistance Program J 'WCN - .Mickelson Center for theNeurosciences MOE -Maintence of Effort Part D - Medicare Prescription Drug Program SED - Serious Emotional Disturbance SHIINE -Senior Health Information & In.surance Education SNAP - Supplemental Nutrition Assistance Program SSA -Social Security Administration

SS/

• Supplemental Security Income

TANF - Temporary Assistance/or 1 Veedy Families Title IVE -Foster Care and Adoption Assistance Titk XIX - Medicaid Title XXI (CHIP) - Children's Healih Insurance Program UJS - Unified Judicial System

Department of Social Services Website: http://clss.sd.gov/

Page I

DSS Management Team Contact List:

Department of ocial en·ices

Kim ~hlsam-Rysdon, Secretary

• Work. 773-3165
• Email. Kun..\lalsam-Rysdon~state sd us

Department of ocial Sen·ices

Am · h·ersro-Pollreisz. Deputy Secretary

• Work. 773-3165
• Email. Amy Jversen-Pollreiszi tale sd us

Finance

Brend.t T1dball-Zelnnger. Cb,effmanc,al Officer

• Work. 773-3165

Email: Brenda. T1dball.Zelnnger@statesd.us

Legal en'ices

Dan Todd, Drrector

• Work. 773-3305

Emai~ Dan.Toddistate.sd.us

Dh;sion of Economic ssistance

Came Johnson, Director Work: 773·5 179

• Email. Catrie.Jobnson'.gstate.sd us

Dh;sion of Medical en;ces

Ktrby Stone, Director

• Work. 773-H95
• Email. Kirby Stonc~state sd us

Dh;sion of Ad nit en;ces & Aaing

~fanlyn Kinsman, Director

Work: 773-3656

• Email. Marilyn.Kinsman~state sd us

Page 2 Department of Social en·ices

Lynne \"alenti, Deputy Secretary Work: 773-3165

• Email. Lynne.\"alco11~state sd us

DiYision of Child upport

Gail Stoltroburg, Directot

• Wotk. 773-3641

Email· Ga,lStoltcoburg~smc sd.us

DM ion of hild Protection eni ce

\"trgena Wieseler. Dtrector Work: 773-3227 Ematl: \'trgena W,eseler~""1e scius

DMsion of Child Care Sen·ices

Pat ~Jonson. Director Wotk: 7 3-1766

Email· Pa Monson@state sd us

Human Sen·ices Center

Ric Compton, Administrator

Wotk· 66S-3100

Email: Ric Comptort@state sd us

Dh-ision of onun/Corr Beha,;oral Health

Tiffany Wolfgang, Director Work: 367-5236

Email: Tiffany Wolfgangistate sd us

Department of Social Services

SECRETARY

I

I I I

DffISION OF MU>ICAL AND ADULT A!Hlr<"ISTRA TIO'- £CO:',;O~IIC ASSISTA. '\"CT £R\"ICTS FINA. '\"C£ DIV! IONOF MEDICAL SER\"ICTS

I

DIVISION OF LEGAL SERVICES ADULT SER\'ICES & AGll'iG

Page 3

I

I

CHILDREN'S ER\"ICES DIHSION OF CHILD SUPPORT Dl\"I IONOF CHILD PROTECTIOli SER\"ICES DIVISION OF CHILD CAR£ SERVICTS

• -- -----------

I

BEHAVIORAL HEALTH

~

HUMA. V SERVICES CE:\'TI:R DffISION OF COM~fUNITY/ CORR£CTIO:-IAL B£HA 'HORAL HEAL TII

r-----------------~

BOARD OF C0l!;',S£LOR :

~--- --EX.-\..\ID"ERS -- --~-:

'

'

L---- ~~-~-~~-----: :

~- --------------- -~

'

' BOARD OF OCIAL WORK ' : : EXA. \llf\'J.:RS

t- ~

• •••••••••••••••••,

: BOARD OF ADDICTION & 1

PRE.\"'E.1,-rlOX

, PROFESSIONALS :

·------------------

Department of Social Services

Vision: Strong Families - South Dakota's

Foundation & Our Future

Mission:

trengthen;ng and s11pporting ;nd;viduals andfamdies by promoting cost effective and comprehensive serv;ces in connection w;th 0111· partners that foster independent and healthy fa,n;/;es.

Page4

Department of Social Services

Guiding Principles:

• We behe1 efamihes have the right to be safe and secure

.

We belie, e in pro, iding opport11nitie and choices that support the need of

fam;/;es through mail able and accessible sen ices.

We believe in collaborati1 e communications, teamwork, partnership and trnst

for essential family services.

rfie belie, e in respecting individual and cultural differences bJ treating people

with dignity, fairnes and re peel.

JiT,e believe in focusing on results quality and continuous impro1

ement and on using state-of-the-art technology to be more efficient and effective.

We believe in professional and well-trained staff

who are competent, a countable and empowered.

rfie believe in pro, iding quality, timel; c11 tomer sen ice through the ' no

wrong door ' approach.

Page

Department of Social Services

Strategic Plan Goals:

Goal 1: Ensure access to services/or our customers. Goal 2: Protect indb idual from abuse, neglect and exploitation. Goal 3: Fo ter partner hip to leverage re ource for our customer. Goal 4: ImprOl e outcome through continuou quality improvement. Goal 5: Strengthen and a/ion human resources to meet our mi ion.

Page 6

Department of Social Services

Key Initiatives:

• Implementation of the Affordable Care ct
• Application and eligibility proce change
• Medicaid program change
• Developing and managing services for people with behavioral health

need

• Criminal Ju ti e Initiative (CTI
• Continued implementation ofBeha ioral Health Workgroup

reconm1endation

• ntinued implementation of the Medicaid olutions Workgroup

Recommendations

• Health Home
• Other
• Dementia Care Workgroup
• F
• ter are Recruitment

Page

Department of Social Services

2013 CALENDAR YEAR FEDERAL POVERTY GUIDELINES

An nua l Amount a t Various Pe rce ntage Le v e ls r=ami ly Size

100% 130% 133% 140% 175% 185% 200% I $11,490 $14,937 $15,282 $16,086 $20,108 $21,257 $22,980 2 $15,510 $20,163 $20,629 $21,174 $27, 143 $28,694 $31,020 3 519,530 $25,389 $25,975 $27,342 $34,178 $36,131 $39,060

$23,550 $30,615 $31,322 $32,970 $41,213 $43,568 $47,100 5 $27,570 $35,841 $36,669 $38,598 $48,248 $51,005 $55,140 6 $31,590 $41,067 $42,015 $44,226 $55,283 $58,442 $63,180 7 $35,610 $46,293 $47,362 $49,854 $62,318 $65,879 $71,220 8 $39,630 $51 ,519 552,708 $55,482 $69,353 $73,316 $79,260

Each Additional (approximately)

$4,020 $5,226 $5,347 $5,628 $7,035 $7,437 $8,040 Federal Solllh

Dakota Med/cJJ/d (Preg1<a111 Wo,,.,,n) 133% 133% .lfedicaiJJ Clrildren Cndu SL~ 133% 140% Clrildren O>·er ix 100% 140% c.HIP Children's He.alilt Insurance Program 141" 200% SNAP 130% 130% LIEAP 110% 175% ChlldCare ·14 175% Comm uni{>• Btlrttt·ioral Heah/r .\'lA 185%

Page 8

Department of Social Services

FY14 Budget Compared to FY15

FY14 Operating Budget FY15 Recommended Budget

General $452.564.433 Other 9,874,099 1.0%

Total: 1 081 177,191 and l ,652.3FTE Total: 1,105,553 052 and 1,656.3 FTE GE IERAL FEDERAL OTHER TOTAL FY 14 Operating Budget - 1 652.3 FTE: $426,131.92 $645,210.361 $9.834,903 $1.081.177, 191 FY15 Recommended Budget- 1,656.3 FTE: $452.564.433 $643.114.520 $9.874,099 $1.1 05. -53,0 2 FY15 Recommended lnc./Dec. 4.0 FTE: 26,432,506 ( 2,095,841) S39196 24,375 861

Page 9

Department of Social Services

FY15 Budget - Total $1,105,553,052

GE'UE'ml

Fund · 41.0% OthE'l' Fund 1.0%

Page 10

Medicaid & HIP TANF 78.6% 3.5% LIEAP 4.2% hild an Block Grnnt 2.1 % TitlE' IV- E Foster arE' & Adoption 1.8%

Onr

50 OthE'l' fE'dE'ml fund 9.8%

Major General Fund Impacts to DSS Budget

Q Federal Medical A i tance Percentage (FMAP) -

12,791,094 Gen.

• The FMAP determine how much the tate and federal government pay for their

bare of Medicaid expenditure .

• The FMAP i determined annually for the federal fi cal year (10/1 - 9/30) u ing

previou 3 year per onal income data from each tate.

• Formula compare each tate average per capita income change in relation to each
• ther.
• State FMAP rate range anywhere from 50% to 74%.
• For budgetina pUl'po e , a ' blended" F~IAP rate i calculated u ing the FMAP rate

in effect for each quarte1: This includes a blencl of 1 quarter from

• ne federal fiscal year and 3 quarters from another federa l fiscal year.

SFYlS F:MAP Blended Rate :

• Title ~""l."X: From a tate match of 45.80% in FYI4 to a ·rate match of 47.88% in FYIS

Title XIX: Frnm a federal match of54.20% in FY14 to a federal match of52.12% in FY15

• Title X,XJ ( HIP): From a tate match of 32.06% in FY14 to a state match of 33.52% in FY15

Titlr , ·xi (CHIP): From a federal match of 67.94% in FY14 to a federal match of 66.48% in FYlS

Page 11

Department of Social Services

Title XIX History of FMAP- Federal Fi cal Year

100% 90%

80% 70% 605' 50% 40% 30% 20% 10% 0%

• r le XIX State Share
• Title XIX Federal Share
• FFY09, FF'YIO. FF'YI I aqJumdfor ARRA F.'JAP ram -..11Ao•t ARM a<(/"'"""" FFY09 61 ii"

fulual r.~i,.genua/, FFY/0 61 -2"flduaJ P :s"

g,nuaJ FFYI I 6Ui"f4dual 18. -i"

pnual

• For budgeting purposes. a blended' FMAP rate is calculated using the FMAP rate in effect

for each quruter. This includes a blend of l quruter from one federal fiscal yeru· and 3 quruters from another federal fi cal yeru·. FY15 Title XIX F.MAP Blended Rates:

• Title XIX: From a tale match of

45.80% in FYl4 to a tale match of 47.88% in FY15

• Title XIX: From a federal match of 4.20% in FY14 to a federal match of

52.12% in FYl

Page 12

Department of Social Services

Titl XXI ~ HIP Hi tory of FMAP - Federal Fi cal Yi ar

100%

90% 80% 70% 60% 50% 40% 30% 20% 10% 0%

C ntle XXI (CHIP) State Share OTitle XXI (CHIP) Federal Share

# # # # #

~ ~ ~ ~ ~

~

.l~

• '<'".

.,t-".

~

/t-".

/t-". '

'

'

..

..

~-

.. ..

~-

..

.. SFY15 Title XXI (CHIP) Enhanced FMAP Blended Rates:

• Title XXI ( HIP): From a tale match of32.06% iu FY14 to a tale match of33.52% iu FYIS
• Title XXI (CHIP): From a federal match of6 .94% in FY14 to a federal match of66.48% iu FYI

Page 13

Major General Fund Impacts

C) Provider· Inflation -

12 700,696 Gen.

• Mandatory Innation
• Di cretionar, Inflation

Q

hanges in Medicaid - 1 0-44 774 Gen.

• Medicaid hanges in Eligible
• st &

tilization

• Include 1,100 eligible for 'woodwork effect'

C) Behavioral Health Expan ion - $1,686,133 Gen.

• ARE -

ervices for 94 individual on waiting list

• IMPA
• ervice for 60 individuals in northeast D
• IMPA
• ervice fo1· 42 individual in central D
• IMPA T Tran ition Program -

ervice for 12 individual

C) Other Reduction /Increa es - ( 1,790,191) Gen.

• Bond Payment Reduction
• bild Protection ervice
• Other Item

Page 14

Cont.

Office of the Secretary

Adminis tra tio u Field Office Clerical Finance Le al Tota.I Office oftbe ecrelal)·

Personal en

ices

Opcrats,g Expense

Total Office oftbe Secrelan·

FY14 Operating Budget:

Federal S20,324 882 71.4°',,

Total: 28,467,053 aucl 182.7 FTE

FY14 Major Budget Area :

FTE General Federal 112.2 2,248,157 3,179,024 95.2 $1.540.1.J 1 $ .241.058 62.S S,S63,2S6 8.0 312,023 423 958 182.7 8,123,436 I .7 $3,994, 6 0.0 $4,128,669 182.7 8,123.436

Page 15

Other $0 18,735 18,735 S9.46 S9.268 18.735

Total

SS,427,181 S3, 8!.199 22,303,891 735,981 9,19.J,562 Sl9.2 .491 28.467,053

Office of the Secretary

FY14 Budget ompared to FY15

FY14 Operating Budget

Federal S20,324,882 71.4%

Total: 28,467 053 and 182. 7 FTE

0.1%

MAJOR BUDGET I:\' REA E AND DECREA E

FMAP - Federal l\ledical Assistance Percentage: Other Reductions/Increases: [ncreascs due to changes in bureau billings. Totals: Page 16

FYlS Recommended Budget

Federal $20.566,429 71.2'!-o

Total: 28 897,719 and 182.7 FTE

GE:\"l:RU. FEDERAL

OTHER

$9 815 ($9.815) $0 $1 9,303 $251,362 SI S189,118 241,547

Sl TOTAL

$0 $430,666 S430,666

Department of Social Services

• ss~

Stn111 Famllles •

soua Dalota's Fou1dado1 and our Flblre

Division of Economic Assistance (EA)

Page 17

Division of Economic Assistance

Who we erve:

• LO\ income familie , pregnant , omen and children
• Elderly
• People with di abilitie

Provided:

• Eligibility determination for programs including:
• Supplemental Nutrition A i tance Program (SNAP)
• Temporary A i tance for Needy Familie (TANF)
• Medicaid and Children s Health In urance Program

HIP)

• Lov Income nergy A si tance Program (LIEAP) and Weatherization
• Education a i tance for youth in out of home placement (Auxiliary

Placement)

• Services to low income individual by Community Action Programs

Page 18

Division of Economic Assistance

ervice Delivery:

• Economic

istance staff are located full time and itinerantly in 63

• ffices across the state.
• 320.5 FTE located in 8 region acros the tate

.

• How to Apply: D
• ffice, mail, on-line, kio ks, and telephone
• Mdnto9h
• Harding -
• ·-
• ...
• Fourche

1

.

Rapid City

c...w

• 2

Sprtnga -

.........

....

' "'

.

.....

Plnellidge

lodll nton

Pa!!e 19

Division of Economic Assistance

FY14 Operating Budget:

0.4%

Total: $83.632.036 and 320.5 FTE

FY14 Major Budget Areas:

FIE

General Federal Other Total EA Adminiatrntim and Fieil taff 318.5 $10,527,445 $15,882,363 $190,259 S26,600,067 TANF Cash Grants 0.0 $6,071,402 S!0,653,494

so

Sl6,724,896 AU'cilmy Placement 2.0 $6,037,762 s_,410,s21 S148,11 7 SS,596,706 SuppimE1 tal Sec\rly lll::ome (SSI) State Supplerrelllati:m 0.0 $764,664 $0

so

$764,664

Energy Assistaoce (LIEAP) and Weat!Eizat:im

0.0

so

S27,845,850

so

527,845,850

Conm.111:ty Acfun Pro~

0.0

so

$3,099,853

so

$3,099,853 Total EA 320.S $23,401,273 559,892,387 S338,376 S83,632,036 Persoml Sen-res 320.5 $7,324,590 $1 0,277,859 S21 '55 S\7,623,804 Ooeratilll!'. E'!l)ense 0.0 $16.076,683 $49,614,528 $317,021 $66,008,232 Total EA 320.S $23,401,273 S59,892,387 S338,376 S83,632,036

Page 20

Division of Economic Assistance

FY14 Funding Sources

59,892,387 Other Fund oUl"ce - Total 338,376

S'.\"AP Incentin Funds Page 21

44.72% 28.00% 10.59% .22% Commuoify enices Block Graot 5.25o/o Weatheriz.atioo 3.41 % IDEA - DOE FundiJJi 0.51 % Ocher Fund Souius 0.30%

KAP Incentive Funds 100.00%

Division of Economic Assistance

EA Administration and Field Staff:

General Federal

• ther

Total FTE Funds F unds Funds Funds

I

Supplemental utrition As i tance Program (SNAP):

• SNAP is a federnl program administered by DSS

.

• Benefits are 100% federnlly funded and issued through the South

Dakota Electronic Benefits Transfer (EBT) card.

• FY13 benefits issued: $165.7 million
• Federnl funds for benefits not pa1·t of DSS budget
• Eligibility requirements are established federally through the United

States Department of Agriculture's (USDA) Food and Nutrition Services (FNS).

• SNAP helps individuals and families by supplementing their food

budget, and providing nutrition education.

• NAP benefits may not be used for non-food item beer, wine, tobacco

Page 22

Division of Economic Assistance

SNAP - Who We Serve:

• 67% of

SNAP recipients are children adult age 60 or older, or individuals with disabilities.

• Average monthly benefit $303
• Average number of

month on benefit : 8.6

• 40% of

S AP hou ehold have at lea t one working adult in the home.

• Average hou ehold ize: 2
• Av rage monthly income S

1,063 p r month

• 45% of

S AP household incom

• urce Social ecurity (

A) or Supplemental ecurity Income ( I) as their income source

Page 23

Division of Economic Assistance

SNAP- Eligibility:

• Income limit: 130% of

the federal po erty le el. ($30,624 family of four)

• Re ource limit:

2 000

• Work Requirement : Indi idual age 18-59 able to
• rk not attending

chool or not caring for a dependent child under age 6 mu t work at lea t 30 hours per week or acti ely be eeking work.

• Specific Employment and Training program located in tate

two large t counti

• Minnehaha and Pennington.
• D

contract with Department of Labor and Regulation

Page 24

Division of Economic Assistance

Supplemental Nutrition Assistance Program -Avg. Persons/Households

1--P=ons ...-Hous<eholdsl

~ fYII

/ :10

A,·g. ~lonthly 101,025

/

A vg . • · onrn1 y

91,728

./.:09

A,·g. ~lootbly 66,398

FYll FYlO

A ,·g. Monthly

43,062 fY09 ;----

• ,hg. Monthly

29,009

~u3

r 1· 14

• Ava. ~lontbly

,hg. ~lontbly 104,434

• Proj. 10~,478
• FYI5

FYl2 A,•g. ~lonrbly A,·g. ~lontbly

• Proj. 106,533

103:91~

• Proj. Change FY13·FY14 • 456 (1.00%)

Proj, Change FY1 4·FY15 - 460 (1.00%) rVlA

FYI5 FYI2

t'l3 A,·g. ~fonthly ,\v2. i\Iootbly A,·g. )Ionthly A,·: . ~1ootbly

• Proj. 46,022
• Proj. 46,482

45,148 45~ 66

• Jun-12

Page 25

Division of Economic Assistance

SNAP- Program Integrity:

• SNAP utilize several quality a urance mechanism to en ure
• program integrity.
• Fonnal federally approved quality a urance program
• External federal audit
• Internal quality a urance
• uth Dakota ha an unmatched record in meeting federal

requirement and making accurnte and timely eligibility dete1·mination .

• For 29 consecutive year , South Dakota has received performance

bonuse from the federal government due to our high level of integrity in administering the program.

• 2013 South Dakota S AP wa ranked 1 t in the nation for accurate

ligibility d t rmination and yd in the nation for accurat b n fit determination

Page 26

Division of Economic Assistance

Medicaid and Children's Health Insurance Program (CHIP):

• Medical assistance for low income children and families.
• Economic A si tance staff determine eligibility for the program in

accordance with South Dakota's federally approved Medicaid State Plan.

• Majority of

Administrative cost are funded with 50% general fund match.

Page 27

Division of Economic Assistance

Title XIX & Title XXI (CIDP) - Eligibility:

• Eligibility and covernge for individuals is based on several factors

including age, financial and non-financial criteria, and resources (if applicable). To be eligible for Medicaid, an individual must be a member of a coverage group.

• hildren under age 19
• Low income familie · with children under age 19
• Pregnant women
• Elderly
• Per ons who are disabled

Income and resource limits vary by covernge oroup

Federal So11t/1 ,'dinimmn Dakota Low-Income Families (LIF) V A 49% Medicaid (Pregnant Women) 133% 133% Medicaid Children Under Six 133% 140% Children Over Six 100% 140% CHIP ChiMreri ~ Heallf1 lns11rance Program 141% 100% Page 28

Division of Economic Assistance

Title XIX & Title XXI (CIDP) - Eligibility - Continued:

• Additional requirements
• tate re idency
• U. . itizen hip or qualified alien
• A signing right to m dical uppo11 and payment
• A sisting in pursuing third partie that may b liable to pay for care and

service

• The last two cycles of federal reviews indicated outh Dakota ranked #1

with the lowest error rate in determining Medicaid eligibility.

Page 29

Division of Economic Assistance

• Who Doe Medicaid Cover?

Medicaid and hildren 's Health Insurnnce Prngrnm ( HIP)

• Aged/Blincl/

Di abled Lowlncom Parent

• Pregnant

Women

• Children

Page 30

ligible - 116,128 Adults

• Children

Division of Economic Assistance

Percentage of Total Medicaid Eligibles by County

FY 13 Avg. Monthly Eligibles: 116,128

1,700

1.5% PEJIKJNS 2GO <1'4

1,04ll

r------1

2% IIEADE

1,827 1.A'4

DEWEY

2.340 2%

PENNINGTON

• Below1%

D

• 1% . 4.99't.
• 5%- 9.99%

O · Above 10%

7,415 6.4%

1,443 1.2%

5.211 4.5%

4,159

,..,w,s

291

30'4

173

700

Page 31

Division of Economic Assistance

SFY13 Percentage of County Population Eligible for Medical Services

• c~mpb111

Puktnt

ii-,

Potttr

.....

C.oct1ng1on

D•uel Sully Hamhn

..

HughH

Bu~e

Haa•on

• Jerauld

Jonu

~nborn .......

u••

LplM

• Brui.

Manion McCOOk

• Oo1v1

,on

.....

.,

'. ,_

• ·

Page 32

Division of Economic Assistance

Changes effective January 1, 2014 - Affordable Care Act:

• Change in the basi fo1· determining Medicaid eligibility
• U e of gro s income v . net income as the basis for determining Medicaid

eligibility nationally

• A e re ource te t eliminated for certain co erage group
• Parents/ ar tak r relati e
• hildr n
• Pr gnant Wom n
• F deral Poverty Lev 1 convert d u ing gros
• LIF Low-Income Family Adult
• Pregnant Worn n
• Medicaid hildren
• HIP

tate · must verify information electronically

• change to long term care elioibility

Page 33

mcome 49% 13 % 1 2% 209%

Division of Economic Assistance

Changes effective January 1, 2014 - Affordable Care Act- con't:

• Change to the prnce s applicant use to apply
• In addition to how people apply for Medicaid now, applicant must be

able to apply on-line directly to the State Medicaid gency or to the Federally acilitated Marketplace (FFM) or a tate tabli bed xchange

• uth Dakota i utilizing th

ederally acilitat d Marketplace tate Medicaid agencies mu t be able to receive applications from the FFM and send application to the FFM

Page 34

Division of Economic Assistance

ACA Application Pathways and Coordination Between DSS and FFM Applicants can apply to the State Medicaid Agency {DSS) or the Federal Marketplace

South Dakota Department of Social Services J

OR

Page 3 Federal Mar1<etplace

Division of Economic Assistance

Changes effective January 1, 2014 -Affordable Care Act con't:

• Challenge with the launch of

the Federally Facilitated Marketplace:

• FFM delay in ability to tran fer account infonnation to state
• Te ting till underway relati e to this account transfer functionality
• Federal requirement tote t only 5 ca es
• FFM contingency plan until account transfer info1mation is working is to

send each tate a 'flat file" that include applicant infom1ation

• Infonnation r cei ed via th flat file indicate the FFM a s s ing

individuals as potentially Medicaid who are not

• Medicaid program group
• ver income
• Medicare eligible
• Flat file al o includes people already on Medicaid
• In addition ome individual ineligible for Medicaid are unable to

continue with enrollment into a qualified health plan through the FFM.

Page 36

Division of Economic Assistance

Temporary Assistance for Needy Families (TANF):

• Through welfare reform the Aid for Families with Dependent Children

(AFDC) program was transitioned to the federal TANF block grant. TANF is used to fund a variety of programs including

• a h grants to familie
• Work program
• Child welfare/emergency a si tance
• pecialized service for pregnant women and their children

Speciafized Services for Preonanl Women & Tr>eir Chil<lren 3% Chtl~We~are • Emergency Assistance (FoSler care & Services) 11%

• Work Programs

Families 55%

SFY15 Recommended Budget TANF & General MOE Funds

Paoe 37

Division of Economic Assistance

Temporary A si tance for eedy Familie (

• ntinued:
• The TANF annual federal award i

21,279,651 and we are required to match with genernl fund 8,540,000 a our required Maintenance of effort (MOE)

• There are no anticipated in rea e to the federal award
• Like most states nationally the program maintains a one-time federal

fund carryover balance that started when the program was fir t implemented

• The TANF grant ha had a tructural deficit for at lea t the la t decade.
• Historically general fund available at fiscal year-end have been

tran ferred to TANF funded area to minimize oeneral fund requests in these areas and to maintain carryover balance

• At the end of FY13, the tructural deficit for FY14 wa addre sed with a

ha e transfer of $3.8 million

Page 38

Division of Economic Assistance

SSO.O S45.0

S40.0 m 1 S35.0 SJO.O

.2

S25.0

"- $lit

.:

SlO.O SIS.O SIO.O $5.0

so.o

A ailable TANF Grant Carryover

nos

m:, i:i ~

Page 39

• F~ Grar:t Aw.ml - Gm MOE

SFYl4 Re,·ised SFYIS

Division of Economic Assistance

Temporary Assistance for Needy Families {TANF) Cash Grants:

General Federal Olher Tocal FTE Funds Funds Funds Funds

I

FY14 Budget SB,071,402 510.653.494

so

SIB.724 896 I

• Needs ba. ed ca ha sistance program for families with children who need

financial support because of the death of a parent, a parent is absent from the home, or phy ical or mental incapacity or unemployment of a parent. TANF is a work program and individual mu t meet work requirement . In addition to individual work requirements, tate are required to meet 50% work participation rate to receive federal TANF funds

• uth Dakota work parti ipation rate: 53%
• T

ANF benefit are intended to a si t individuals and thefr families in meeting their basic needs uch as food, clothing, shelter utilities, household items, and personal care items.

• Majority of benefits are issued via Electronic Payment Card.

Page .io

Division of Economic Assistance

TANF- Who We Serve:

• SFYI3 Average monthly caseload: 3,206
• Average monthly benefit: $403.70
• Average length chime on benefit : 4.3 month

TANF- Eligibility:

• Income limit: 28% of the federal poverty level ($6,594 annually for a

family of four)

• Resource limit: $2,000
• Over 2/3 of TANF ca e are non-parent relative caretakers.
• Ben fit is for childr n only- relative caretaker not included in benefit and

no work requirements for the e ca e

• The e are children who would be in foster care without relative

placement or would be at ri k of fo ter care placement

• FY13 Monthly average ca eload: 2 312

Page 41

Division of Economic Assistance

T ANF Eligibility:

• Remainder of cases a1·e parents that are required to participate in work

activities 20 or 30 hours per week based on the age of the youngest child in the home.

• Parent receiving SI,

DI or 100% VA di ability or with a child under 12 weeks of age exempt from work requirements

• Yl 3 Monthly average ca ·eload: 894
• D

contracts with Department of Labor and Regulation

• Placement in work activities including employment, job search and job

training, vocational education and community ervice

• SFY13 Outcome Data for TANF Work participants
• I 012 entered employment

Page 42

Division of Economic Assistance

Temporary Assistance for Needy Families (TANF) Av . Caseloads

3,700 ~--------------~ ------------------------

3,500 t-----------------------------------------1 3.300

FYlO FYU FY12

• AYg. Montbl~·

3,258

FY13

• AYg. ~1oothly
• Avg. i\Iootbly

FY15

3 266

• Proj. 3,275

3,100 t-----,,---------·

• ---------------------------1

2.900 A,·i:, Monthly

2,931

Change FY09-FY10 - 266 (9 08%) Change FY1 O-FY11 - 69 (2 16%) Change FY11-FY12 - (8) (-0.20%) Change FY12-FY13 - (52) (-1.60%) 2,700 -1--------------------------11 Proj. Change FY13-FY14 - 69 (2.15%)

• Proj. Change FY14-FY15 - 69 (2.11%)

2,500 -------~------~-------------------------- Jun-09 Dec-09 Jun-10 Deo-10 Jun-11 Deo-11 Jm-1 2 Doo-12 Jun-13 Deo-13 Jun-14 Dec-14 Jun-15

Page 43

Division of Economic Assistance

Auxiliary Placement:

General Federal Other Total FTE F unds Funes Funes Funos

I

• Provides funding for tuition costs for children in state custody in

certain settings- DSS or Department of Corrections

• Children Served: 490
• 445 children erved by re idential treatment provider ·
• 45 children erved by ommunity Support Providers

Staff lead state placement team to ensure children are placed in the least restrictive setting.

Page 44

Division of Economic Assistance

Supplemental Security Income (SSI) State Supplement:

General federal

• ther

Total FTE Fu nos Fu nos Fu nos Fun.is

I

• $764,664

• SSI State Supplement pays a nominal monthly benefit to individuals

whose sole source of income is SSI.

• Individuals must be living independently
• FY13 Average Monthly eligible: 3,901
• Monthly benefit: $15
• Federnlly required

Page 45

Division of Economic Assistance

Energy Assistance (LIEAP) and Weatherization:

General Federal Other Total ITT

F un

as Funas

Funas

Funos

I

so S27.845,850 1

• Energy Assistance
• LO\ Income Energy A i tance Program (LIEAP)
• Financial as i tance to low income familie to assi t with heating

expenses

• Federally funded block grant
• ~ 'eatberization
• The Weatherization Assistance Program enable low-income familie to

reduce their nergy bill by making their home more energy efficient

• ederally funded block grant

Page 46

Division of Economic Assistance

Energy Assistance - Low Income Energy Assistance Program (LIEAP): Who we Serve:

• 52.5% are households with individuals who are over age 59 or disabled
• 43.4% are households with children
• Approved Households: 23,879 with 57,085 individuals
• Average benefit amount 970.22 per year
• Average hou ehold ize: 2.4

Page 47

Division of Economic Assistance

LIEAP Eligibility:

• Income limit: 175°/o of the federal poverty level ($41,212 annually for a

family of four)

• Benefit amounts vary based on income, heat reuions, and heat source
• Pay dil'ectly to providers for heating assistance
• Income limits and heat regions can be found online at

http://dss.sd.gov/energyassistance

• Six of

South Dakota's nine tribes administer their own programs

• Cheyenne River Sioux Tribe
• Lower Brule Sioux Tribe
• Oglala Sioux Tribe
• Rosebud Sioux Tribe
• Standing Rock Sioux Tribe
• Yankton ioux Tribe

Page 48

Division of Economic Assistance

Energy Assistance - Weatherization Program: Who We Serve:

• 60% of all households have individuals over age 59 or disabled
• 44.5% of all households have children
• FY13 households weatherized: 557
• FY13 average co t per household $6,620
• Contracts with community action program

Page 49

Division of Economic Assistance

• mmunity Action Programs:

General Federal

• ther

Tora I

FTE Funds Funds Funds F unds

!

SJ,099,853

so

$3.099,853 I

• Federal block grant to help low income people and familie move toward

self ufficiency

• A istance gaining employment home rehabilitation
• Emergen y as i tance (heat, rent food) and tran portation
• Funding limited to federally defined Community Action Agencies
• Four tribes receive funding directly from the federal government
• Ro ebud Sioux Tribe
• Oglala Sioux Tribe
• Si eton-Wahpeton Sioux Tribe
• Yankton Sioux Tribe

Eligibility:

Income limit: 125% of po erty. ( 14 6 family of

• ne· 29 4

family of four)

Page 0

Division of Economic Assistance

• uth Dakota Community ction Program

""""'""

• n,rr--

... _

WCl.tcm SD Community Action gency, Rapid Cit . SD Grow SD, isseton. SD Rural OOi e of ommunity • e!Vlce , Lal;e Andes, D Inter Lake Community Action A ency, '.\(adisou, D

Page 51

• ervice

1·ea

• ""

a,""

""""

.....

.......

Division of Economic Assistance

Case examples:

cena1io 1: ing]e male working full time at minimum wage:

• Jim i a 50 year old ingl man. He works 72 hour a month at a

curity company and earn monthly gro wage of 576 (

• ur). He also does part

time maintenance v ork 69 hour a month, earning monthly gro age of $5 52 $8/hour). Hi in ome i at 118% of the federal po erty le el. He ha a 1997 car valued at l 900. He ha no bank account . He pay $406 a month rent and i re pon ible for heat electricity and telephone. Jim doe not have health in urance.

• Jim i

ligible for $1 7 monthly upplemental Nutrition As istance Program (SNAP) benefit .

• Jim i eligible for heating a i tance through the Lm Income Energy

si tance Program (LIEAP). Hi total LIEAP benefit for the 2013-2014 heating a on i $500.

• Jim i Not ligible for Medicaid or TANF.

*Applies to December 2013 Benefit Amount>

Page 2

Division of Economic Assistance

Case examples:

Scenario 2: College student working two part time iobs:

• Kelly i a 20 year old ingle female who i a full time college student. he

works 58 hour a month at an assisted living facility eaming monthly gross wage of $461.10 ($7 .95 1our). She also works at a ga tation 66 hour a month eaming monthly gro s wages of $495.01 ($7.50/hour). Her income i at 100% of the federal poverty le el. She o ns a 1999 car, valued at $500 and ha $698 in a bank account. he pays $400 a month rent and is re pon ible for heat, electricity, and telephone. Kelly doe not have health m urance.

• Kelly is eligible for $148 monthly Supplemental Nutrition A istance

Program (SNAP) benefits.

• Kelly is eligible for heating as istance through the Low Income Energy

A si tance Program (LIEAP). Her total LIEAP benefit for the 2013-2014 heating sea on i $72 .

• Kelly is ot eligibl for Medicaid or TA
• Applie to December 2013 Benelit Amounts

Page 53

Division of Economic Assistance

Case examples:

Scenario 3: A single mom of 2 children at 60% FPL

• Molly i a 33 year old single mother of two boy . he work at a bank and makes

$1 100 a month ($7.50/hour) and receive poradic child uppo1t. A tlu-ee montl1 average of her child suppo1t shows $106.77 a month. Her income is at 60% of the federal pove1 ty le el. Molly owns a 2004 Chevy impala valued at 6,000. The family ha $300 in aving and checking ac mmt . Molly ha a mortgage of $552.95 month (mortgage/in urance/taxe ) and i re pon ible for all utilitie . he pay 96 monthly in child care witl1 the remainder of her child costs paid by hild are A i tance. Molly does not have health insurance.

• Molly i eligible for $418 in monthl

upplemental Nutrition As istance Program ( AP) benefit .

• Molly is eligible for heating assistance through the Low Income Energy Assistance

Program (LIEAP). Her total LIEAP benefit for the 2013-2014 heating ea on i $844.00

• Molly is eligible for $134 month} assistance from the Child Care Assistance

Program while he i working.

• The children are eligible for Medicaid. Molly i Not eligible for Medicaid.
• The family is
• t eligible for T

ANF.

*Applies to December 2013 Benefit Amounts

Page 54

Division of Economic Assistance

FY14 Budget Compared to FY15

Federal S59.892,387 71.6'1

Total: 83 632,036 and 320.5 FTE

)IAJOR BUDGET~ REA E ND DE REA E Fl\lAP - Federal l\ledical Assistance Percentage: In0ation: Inflation for auxiliary placement, TM""F, NAP Employment & Training. Other Reductions/Increases: Increases due to changes in bureau billings. Totals: Page

FYl S Recommended Budoet

Federal $59,904.305 70.90/o

Total: 84,520,460 and 320.5 FTE

GE:\ t RU FEDERAL OTHER $12,304 ($1::!.304) $0 $858,400 $15,385

so

$5,800 $8.83 S2 $876,504 Sll,918 S2

TOTAL

$0 $8 3,785 S14.639 $888,424

Division of Economic Assistance

FY15 Funding Sources

Other Fund ource - Total 338,378

S~AP lncentin Funds Page 56 44.72% 28.01% SJ\AP 10.63% Medicaid & ffiP 7.17% Community Sei,ices Block Grant 5.25% \\eatberization 3.41% IDEA - DOE Funding 0.51 % Other Fonding ources 0.30% 1'AP Incentive Fonds 100.00%