MONDAY REPORT
November 26, 2001
SPECIAL NOTE: Copyright 2001. The Monday Report is produced each week as a benefit to the member agencies of the Child Care Association. Please protect this membership benefit - DO NOT copy and distribute this report to agencies/staff that are not members of CCA. Thank you for your cooperation.
Table
of Contents
DCFS
CASELOAD AND FUTURE TRENDS FOR HIGH END KIDS
DCFS
Immediate Proposal for Specialized and Treatment Foster Care
COOK
EXECUTIVES AND CFO�S TO MEET WITH SENATOR JONES AND CONTROLLER HYNES
CWAC
FINANCE AND ADMINISTRATION REPORT
Payment
for Case Management Services
Cook
Performance Contracting Receivables
Specialized/Treatment
Foster Parent Payments
Medicaid
Comprehensive Rate Documentation
DOWNSTATE
PERFORMANCE BASED WORK GROUP
Agency
Performance Statistical Summary
One
Worker-One Family Implementation
Court
Process and Non-Compliance Findings
MENTAL
HEALTH AND DEVELOPMENTAL DISABILITIES
DD
SERVICE PROVIDER SURVEY OF SERVICES AND GAPS
HOUSE
REAUTHORIZES SAFE AND STABLE FAMILIES PROGRAM
HELPFUL
WESITES FOR PUBLIC POLICY AND ADVOCACY
DCFS CASELOAD AND FUTURE TRENDS FOR HIGH END KIDS
The Foster Care Infrastructure Work Group of
CWAC has begun discussions with DCFS executive staff on the current thinking of
DCFS relating to the caseload, services for high-end children, future of foster
care programs, and related impacts on residential, and ITS/Placement
Stabilization/SASS programs. There is no written proposal or definite decision
as of yet. The Foster Care Infrastructure Work Group will convene in January to
discuss DCFS� concrete proposals in more detail. However, as of the planning
and discussion stages, this is where we stand on their plan for
Specialized/Treatment Foster Care:
![]() | More
emphasis on strengthening community resources for DCFS children�either
those in foster care or those returned home |
![]() | Further
development of resources/services needed for children with special needs
within the community |
![]() | Further
shrinkage of residential care and high-end foster care as the caseload
continues to decline |
![]() | DCFS
to develop capacity to provide assessments for all children coming into care
and to develop individualized treatment plans for all children |
DCFS Immediate Proposal for Specialized and Treatment
Foster Care
![]() | Standardize
programs/rates for specialized and treatment as of July 1 |
![]() | Performance
outcomes and expectations�expected 18% permanency remains |
![]() | Very
few new step-ups from Traditional/HMR coming as intake and primarily only
medically complex children. Specialized/Treatment would primarily be used
only for step-downs from psychiatric hospitalization or residential. |
![]() | Children
in Traditional/HMR with specialized needs served in context |
of
Traditional/HMR with individualized wraparound plans
![]() | No
Decision on Medicaid funding |
![]() | Net
result of limited intake, performance outcomes and natural attrition would
be estimated 30% shrinkage of all programs within FY�03. |
![]() | Probable
changes to ITS services�function/purpose/contracts |
![]() | Changes
in Placement Stabilization-probable transfer of these resources from
existing contracts to other services |
![]() | Probable
changes in WASA contracts as DCFS reviews the best systems for delivering
specialized services to children according to community |
![]() | Review
of quality of care of existing specialized/treatment programs |
![]() | Decisions
to decrease contracts or eliminate contracts based on review of quality |
To date there is
no specific projected rate amount for standardized rates until FY�02 cost
reports from all agencies are reviewed. The department is also struggling with whether projected
standardized rates are affordable.
There are
significant concerns about DCFS� proposals. The private agency members of the
work group will be addressing these and attempting to work on productive plans
for the future. However, we urge our member agencies with high-end foster care
services to begin internal assessment and contingency planning based on the
broad framework outlined by DCFS. Agencies providing ITS and Placement
Stabilization should be preparing for possible changes.
We also urge residential agencies to assess how their programs will be
impacted in the future as the system moves to strengthening community capacity
for service of children with high-end needs.
COOK EXECUTIVES AND CFO�S TO MEET WITH SENATOR JONES AND CONTROLLER HYNES
Cook Executive Directors and CFO�s should
save the date of December 11 at 2:00 p.m. at the State of Illinois Building in
Chicago. Senator Emil Jones and
State Controller Dan Hynes will meet with agencies to discuss problems
experienced with receiving timely payments.
A letter of invitation will be going out to Cook executive directors from
Senator Jones� office within 2 weeks. We
hope to have further details about the meeting, and an exact room number by next
week. (MB)
CWAC FINANCE AND ADMINISTRATION REPORT
CWAC Finance and Administration met in
Springfield on November 20, 2001.
Payment for Case Management Services
DCFS reported they hope to be ready to allow
billing for certain case management services by January 1 under the following
circumstances:
![]() | Specialized
or Treatment children in a home receiving specialized payments directly
from DCFS |
![]() | Children
on run up to 14 days |
![]() | Children
hospitalized for medical reasons or in psychiatric hospital for up to 14
days |
![]() | Children
in detention for up to l4 days |
![]() | Children
in short term drug/alcohol treatment for up to 14 days |
![]() | In
Independent Living program if DCFS requested continuing case management |
![]() | Youth
in college, scholarship and armed services at the lowest 0118 billing rate
($366) |
![]() | In
Institutional and Rehab facilities |
![]() | In
residential, shelter or group home placement if DCFS requested continuing
case management |
![]() | In
a placement where the foster family have requested no monthly payments |
There will be DCFS approval systems put in
place for seeking these funds. Cook performance contracts will not be able to
seek case management funds for the above scenarios since this is included in
administrative expectations. DCFS
is developing a form for approvals and billings. Once this is finalized,
procedures and instructions will go out to agencies.
Cook Performance Contracting Receivables
Cook performance contract caseload
adjustments have now been made and agencies have been alerted to the change. For
some agencies with decreased caseloads, this has created a receivable for DCFS.
The FAS committee approved DCFS� plan for recovering the receivable. The
amount due back to DCFS and the schedule of recovery is based on the percentage
of the receivable to the total administrative payment:
Over
50%: Take in 3 equal payments for the next 3 months
25%-50%:
Take in 2 equal payments for the next 2 months
Less
than 25%: Take in one lump sum on next month�s payment
Specialized/Treatment Foster Parent Payments
Agencies should be providing a calendar of
foster parent payments to their APT monitors. This was part of the agreement FAS
reached with DCFS last spring instead of following a mandated payment cycle.
Agencies are reminded that they cannot
decrease foster parent payments even if their rate for Specialized/Treatment
decreased. The foster parent portion of the rate was extrapolated. It was
inflated for FY�01 based on 2.5% since the COLA applied to foster parents in
FY�01. If an agency program had not previously adjusted foster parent rates in
FY�01, because of the COLA, this must be done now. The continuing cost of that
rate is considered as part of the rate calculations.
DCFS has not yet filed the revised rule for
Excess Revenue. Given the cycle of rule publication/review/comment, it is
doubtful the revised rule will take effect prior to rate setting for FY�03.
DCFS is not yet ready with revised Bed Hold
procedures. They are seeking a streamlined set of procedures based on comments
from the FAS group as well as DCFS internal operations personnel. There will
likely be some form of bed hold system when a child returns to the same
placement, with some type of service documentation similar to the process that
will be adopted for Medicaid comprehensive rate programs.
Medicaid Comprehensive Rate Documentation
DCFS confirmed the information already sent
via letter to agencies with Comprehensive Rate Medicaid programs. Agencies must
document a service per day on the new form, in order to bill on the
comprehensive rate when a child is absent from the facility for any reason.
The FAS committee discussed the status of
DCFS� deliberations on recommendations from the Homemaker Work Group. The work
group recommended changes in program plan, type and use of service, utilization
and reimbursement levels for the new program plan and service. At the time of
the meeting, DCFS support services staff were reviewing proposed new
program/service, utilization levels of past homemaker services and possible
appropriation changes in future budgets. (MB)
DOWNSTATE PERFORMANCE BASED WORK GROUP
The Downstate Performance Based Work Group
met in Springfield on November 19. Report of status of Foster Care
Infrastructure was provided. (See entry elsewhere in this issue of the Monday
Report for further details: �DCFS Caseload and Trends for High End Kids.�).
DCFS presented the final report for
permanency performance for FY�01. The average permanency rate for non-Cook
agencies was 39% in HMR and 30.7% for Traditional Foster Care. More than 2100
children were moved to permanency last fiscal year in downstate programs. Copies
of the permanency results for downstate can be obtained by calling the
Springfield CCA office.
Agency Performance Statistical Summary
DCFS staff shared plans for development of a
quarterly statistical report for downstate programs. Jim Gregory explained that
the data collected is a tool for agencies to use in reviewing performance or
units and managing change. The Downstate Agency Performance Report uses MASRS/CYCIS
and UIR data to present statistics related to caseloads, placements,
permanencies, placement dynamics, case dynamics, staffing, safety and resources.
Agencies already are receiving data for all programs in the agency in which an
agency caseworker is the worker of record. However, these reports do not reflect
the downstate focus on geographic units and the need to examine performance by
units to use as part of future intake opportunities. As the material is
initially collected, downstate providers suggested eliminating the �agency
rank� in the individual criteria. As agencies receive reports and begin to
understand the data, this could be added in at a later time. There will also
need to be benchmarks developed. This could address questions such as, �How
does an �average� team perform?� �Does my team look like everyone
else�s team?� They also advised DCFS sponsor training sessions for agency
executives, program managers and quality assurance personnel as the initial data
is released. Once DCFS refines its data pursuit internally, they will work with
CCA to set up the training sessions. Copies of the summary and data fields can be obtained by
calling the CCA Springfield office at 217-528-4409.
DCFS staff are collating the data received
from agencies from the survey on school placements. APT�s were supposed to
have distributed the survey to all agencies. If an agency did not receive this
survey, there is still time to submit agency results. Agencies should
immediately contact Jeff Buhrmann at 217-785-2509.
Agencies questioned the rate of referrals in
some areas. More than 50% of all new cases are �forced intake� to a specific
agency due to sib placements or other compelling factors. However, not every
region has collated referral statistics and shared these with the agencies in
their region. They have been directed to convene these meetings as agreed on a
quarterly basis. Agencies should
review their performance statistics as well. Intake is intended to go to
agencies with high performance outcomes based on percentages of available intake
in a sub-region. Regional DCFS staff also feel that an agency�s �pass�
rate on referrals should be considered as part of future intake opportunities.
There are agencies passing on available referrals. DCFS cannot promise
additional cases at the same rate if agencies are passing frequently. January
will mark the one-year period since implementation of the system. Decisions will
be made in the future based on statistics at that time.
The rotation work group will meet before the downstate January meeting to
look at implementation issues, data problems and whether the data is
accomplishing what is was intended to do.
One Worker-One Family Implementation
DCFS staff reported the initial
implementation and case changes were fairly successful. A few cases needed APT
direction when agencies were not able to reach agreement on consolidation. APT
staff will be getting a monthly report on case consolidation and will be working
with individual agencies regularly.
DCFS staff reported that the due to recent
federal interpretation, there will still need to be diligent efforts to license
all placements for children. (For a full report of the federal interpretation,
see the Monday Report of 11/19/01.)
Court Process and Non-Compliance Findings
Lake County agencies reported they are
frequently getting non-compliance findings from DCFS because of lack of
reasonable efforts in pursuing court hearings. The Lake court is not generally
holding such hearings on a routine basis. DCFS staff suggested such agencies in
Lake or any other county with similar issues report this to their APT staff and
ask APT staff to investigate how to resolve the issue.
The next meeting is scheduled for January 31,
2002 at 628 E. Adams.
DD SERVICE
PROVIDER SURVEY OF SERVICES AND GAPS
The DHS Statewide Advisory Council created
various committees to provide input into the implementation for the DHS DD
Strategic Plan. The Comprehensive
Services Committee was created to address the objective of: Develop process
guidelines for Networks to identify existing services and gaps by October 31,
2001. A Gaps-in-Service
Subcommittee was created to develop recommendations to implement a plan to
identify existing services and gaps. The
recommendations included the process of developing and implementing two surveys:
one for people with developmental disabilities and their family members and one
for service providers. The service
provider survey was developed for each DHS Network to gather information about
existing services and gaps. Each
network will inform service providers for children and adults with development
disabilities and their families about the survey and their need to provide this
information. The survey will be
based on the following broad categories: service coordination, early
intervention, educational services, family support services, therapy and
counseling, employment programs, adult day programs, residential programs,
recreation and leisure, transportation, and other. Copies of the survey forms have been sent to the DHS
Networks for review and comment. (JMS)
HOUSE REAUTHORIZES SAFE AND STABLE FAMILIES PROGRAM
It was reported in This Week in Washington
that the House passed H.R. 2873, the Promoting Safe and Stable Families
Amendments of 2001. The legislation
reauthorizes the Safe and Stable Families Program for five years at its current
level of $305 million in mandatory funding and includes an additional $200
million in discretionary funding for the program.
The measure also provides $60 million in discretionary funding to
establish a grant program for children aging out of foster care.
Because the increased funding is discretionary, it must be included in
the Labor-HHS-Education appropriations bills.
The appropriated level in both the House and Senate appropriations bills
is $70 million. (JMS)
Residents of the Youth Farm will be featured in a holiday article in the December 2001 issue of Peoria Metropolitan Magazine.
Margaret Berglind, President and CEO of the
Child Care Association, recently spoke at a legislative dinner sponsored by
Onarga and Indian Oaks Academies. For more
information, visit �The President�s Pen� on this website�s home page.
(To submit your agency�s news for
The Monday Report, send to Linda Lenzini, Director, Marketing and Public
Relations, at the Child Care Association. MSWord e-mail attachments are
preferred.)
WHAT ARE THE ECONOMIC IMPACTS OF A
MINIMAL CODB INCREASE ON YOUR AGENCY? CCA is currently surveying the membership
for information about economic impacts related to the minimal CODB provided to
private agencies in the State of Illinois�s FY2002 budget. Of particular
interest are the following topics:
�
Any programs that will
potentially be modified or eliminated in FY2002
�
Number of clients
impacted by modification/elimination of program
�
The impact of this in
client services and the community in which the service is provided
�
The counties in which
that service is provided
�
Operational impacts,
such as facilities or satellite locations that will be closed
�
Personnel related
impacts, such as not filling vacated positions, eliminating positions, or
freezing wage increases
�
Reduction of current
staff hours
�
Reduction of education
and training opportunities for staff
�
Reduction of benefits,
vacations, holidays, or personal days
Please add any
other comments you might have about the impact that a minimal cost of doing
business has had on your agency for FY2002, or any anticipated concerns you have
moving into the budget cycle for FY2003. Information can be sent via e-mail to: [email protected], or by fax
to 217-528-6498.
HELPFUL WESITES FOR PUBLIC POLICY AND ADVOCACY
Tired of all that paper cluttering up your
desk as you work on important public policy and advocacy issues? Check out these
helpful online sites!
To find Illinois state legislators, their phone numbers, their districts, and their voting history:
http://www.state.il.us/state.legis
Provides legislation status and text,
contact information for district or elected officials, and links to each
legislator�s bio, voting record, contact numbers and e-mail address.
To find Congress members, phone numbers for districts, and voting history:
http://congress.org
Includes quick Capitol Hill tips, contacts
for elected officials by zip code, issues and legislation, and a guide to the
media. Provides bios and voting history for members of Congress and a quick
means to contact them via e-mail.
To track CWLA public policy and advocacy information:
http://www.cwla.org/advocacy
Includes legislative agenda�s, report
forms, Kids� Advocate Online, an interactive area of the website to obtain
information and contact Congress, budget information alerts and updates, and
more.
To track Alliance for Children public policy and advocacy information:
http://www.alliance1.org. Outlines public policy position statements, action alerts, and
legislative tracking chart for current Congressional session.
To track DCFS Executive Summaries Monthly:
http:/www.state.il.us/dcfs
Includes updated Executive Statistical
Summary Report covering trends in child abuse, foster care and licensing
outcomes.
To learn how your congressional representatives and senators are doing at
their jobs, identify and contact state or county elected officials and more: http://www.vote-smart.org
is the Project Vote Smart website. Contains policy information by
keyword category, as well as bio�s on elected officials, and much more.
The African-American Family Commission
Research Advisory Committee of the Illinois Subsidized Guardianship IV-E Waiver
Demonstration presents �Informational Session�.
The date is Thursday, December 6 at Ada S. McKinley, 2907 S. Wabash,
Chicago, from 10:00 a.m. until Noon. Topics
include: 1) Updated information on the Subsidized Guardianship IV-E Waiver
Demonstration Research Project; 2) New services for older wards, 18-21 years of
age and wards who have aged out of care; 3) Adoption and Guardianship
Post-Permanency Services; and 4) The new Federal Outcome Training 426
Initiative. CEU�s and Foster
Parent Training Credits available. For
more information please contact: Wasi Young, African-American Family Commission
at 312/326-0368. (Our thanks to
Terry Solomon for this information).
For further information on any of the
above, contact the staff member noted in parentheses at the end of the
text: MB
= Marge Berglind 312/819-1950
([email protected]) JMS = Jan Schoening
217/528-4409 ext. 25 ([email protected])
BRH= Bridget Helmholz 217/528-4409
ext. 24 ([email protected]) BMO=Barb Oldani
217/528-4409 ext. 21 ([email protected])
|
RJS=Rommel J. Sangalang 217/528-4409
ext.26 (RJS@cca-il.org) SKA = Sandy Armstrong
217/528-4409 ext. 22 ([email protected]) LLL = Linda Lenzini
217/528-4409 ext. 27 ([email protected]) CMS=Cindy Stich
217/528-4409 ext. 23 ([email protected]) |
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