Department of Health and Human Services AB73 Clark County Working - PowerPoint PPT Presentation

Steve Sisolak Richard Whitley Governor Director State of Nevada Department of Health and Human Services AB73 – Clark County Working Group on Homelessness Division of Welfare and Supportive Services Robert Thompson, Deputy Administrator, Program & Field Services Tiffany Husband, Homeless to Housing Manager Sheila Lambert, DHHS, GMU, Project Manager | Southern Nevada Coordinator Helping people. It’s who we are and what we do. 02/13/2020

Agenda Overview • Introduction to DHHS • DWSS Priorities & Services • Medicaid Eligibility and Enrollment • Targeted Outreach and Homeless to Housing Unit • Program, Grant and Funding Initiatives • 1915(i) Housing Tenancy Support and other Initiatives 2

Nevada Department of Health and Human Services Overview Mission ion Stateme tement: DHHS is the Largest Department in State Government managed by Director Richard Whitley. The Department of Health The Director’s Office includes the Grant Management Unit, Office of Minority Health, Office and Human Services of Consumer Health Assistance, Office of Health promotes the health and well- Information Technology, Tribal Liaison, Office of being of Nevadans through Food Security, Public Defender’s Office as well as the the delivery or facilitation of five major divisions: essential services to ensure 1. Aging and Disability Services families are strengthened, 2. Child and Family Services public health is protected, 3. Health Care Financing and Policy (State Medicaid) and individuals achieve their highest level of 4. Public and Behavioral Health self-sufficiency. 5. Welfare and Supportive Services

• To make Public Assistance Available to Those Most in Need through an Efficient and Responsive System while Ensuring Program Integrity and Reducing Fraud in the System. • To Create Opportunities for Increased Self-Sufficiency and Independence through the Delivery of Employment and Training Opportunities for Recipients of Public Assistance and through the DWSS Establishment of Paternity, Support and Medical Orders and the Collection of Support for the Children we Serve. Strategic • To Enhance Eligibility Determination Processes through Technology Improvements and Process Priorities Reengineering to Improve Worker Efficiency, Client Access and Deliver the Highest Quality of Customer Service to the Clients we Serve • Seek Collaborative Opportunities for Operations of DWSS Programs to Enhance Efficiency, Consistency, and Responsiveness to Customers while Providing Services in a Manner Designed to have a Positive Collective Impact on Public Health 4

DWSS Major Activities & Services FIELD SERVICES EMPLOYMENT AND CHILD SUPPORT PROGRAM REVIEW INCLUDING HOMELESS SUPPORT SERVICES ENFORCEMENT AND EVALUATION TO HOUSING ELIGIBILITY AND PROGRAM OPERATION CHILD CARE INVESTIGATIONS AND PAYMENTS SUPPORT AND ASSISTANCE RECOVERY TRAINING 5

DWSS Actions & Tasks 694,269 Unique Individuals participating in at least one (1) of three (3) Programs 6

DWSS Field Services • Nevada TANF Recipients 23,536 in FY 2019, and projected to decrease to 22,992 in 2020, and 22,488 in 2021 • Average monthly client actions are projected to increase from 141,818 in FY 18 to 142,022 in FY 2020 and 144,007 in FY 2021. • Process 69,000 applications per month for SNAP, TANF and Medicaid. • Process 108,000 Changes monthly to individual clients. • SNAP Participants 419,832 (October 2019) and is expected to average 430,045 in 2021. 7

Recipients by Program SNAP Program Recipients Medicaid 658,580 TANF 20,774 35,020 SNAP 414,969 362,132 321 17,496 TANF Medicaid 2,609 348 276,343 Note: October 2019 data are used in the diagram above. 694,269 unique individuals are in at least one of the three programs. Medicaid counts include retroactive cases. Nevada Checkup cases are not included. 8

Nevada Medicaid Service Population Medicaid population includes those served by Fee-For-Service and Managed Care Organizations. • Fee-For-Service: Health Services paid directly by DHHS. • Managed Care Organization (MCO): Health services to manage cost, utilization and quality. Paid per member, per month to health care organization. • ABD: Aged, Blind or Disabled • CHIP: Children’s Health Insurance Program 9

Medicaid Applications Processed 10

Medicaid Caseloads by Category 11

Medicaid Processing Timeframes 12

SNAP Projections 13

TANF Projections 14

The Temporary Assistance for Needy Families (TANF) Grant TANF is funded from the Personal Responsibility and Work Opportunity Act of 1996 (PL 104-193) States are required to provide a minimum maintenance of effort (MOE) funding contribution (mandatory minimum of 75% of the allocation spent in 1994). Requires states to engage 50% of all families and 90% of two-parent families with work-eligible individuals in work activities. Nevada did not meet the requirement from FFY12 - FFY17 for all families and has not met the requirement for the two-parent families. Failure to adhere to the federal requirements has resulted in the State repaying those funds to the federal funder. 15

FFY 2018 TANF and State Funds by Category • Assistance Programs : $38,178,000 or 37% • Child Care : $16,590,000 or 16.1% • Work Education & Training : $1,489,000 or 1.4% • Child Welfare : $15,604,000 or 15.1% • Administration : $8,163,000 or 7.9% • Emergency Short Term Services : $2,721,000 or 2.6% • Other Benefits/Services : $20,390,000 or 19.8% TOTAL: $ 103,135,000 Population Served in Nevada: 9,023 Families; 22,836 Recipients; 17,191 Children and 5,645 Adults • Resource: https://fas.org/sgp/crs/misc/RL32760.pdf 16

Program Improvements • TANF met the All Family Work Participation Rate. • SNAP increased access through outreach, resulting in the State receiving a $739,060 bonus. • SNAP accuracy increased by 4.23%; 8.17% above the national average. • SNAP Timeliness ranked #6 in nation in application and processing times, resulting in $786,576 bonus. • Call Center Phone Tree redesign increased direct access to case managers, increasing the number of telephonic applications, interviews and case updates by 12,726 per month. 17

❖ Targeted Outreach Partnership established in 2015 to connect clients through non-traditional points of entry. ❖ DWSS services now include 133 Community Partner Sites with 32 Eligibility Workers . ❖ Outreach Workers are equipped to Targeted provide EBT cards at time of interview. Outreach ❖ Service Coordination with the Nevada Department of Corrections Re-Entry; Clark County Detention Center; Veteran’s Administration; The Center; HELP; Courtyard; Shannon West Homeless Youth Center; and Catholic Charities. Active partner with the Nevada Homeless Alliance. 18

✓ Expand coordinated entry for services. ✓ Support collaboration and coordination. Homeless ✓ Client driven housing and service goals. to Housing ✓ Data driven programs and services. ✓ Streamlining and blending funding Tiffany Husband to enhance services. Homeless to Housing Manager ✓ Alignment of activities with the United States and Nevada Interagency Council on Homelessness Strategic Plan(s).

Director’s Office | Grant Management Unit Major Programs Family Resource Funds for a Healthy Food Security Grants Centers Nevada Grief Support Trust Account; Children’s Community Service Title XX Trust Fund; Victims of Block Grant Human Trafficking; Problem Gambling 20

Major State Block Grants • HOME Investment Partnership Program • Community Service Block Grant and Title XX Block Grant • Job Training Formula Grants to States • Social Service Block Grant • Maternal and Child Health • Temporary Assistance for Needy Families • Substance Abuse Prevention & Treatment • Community Mental Health Services • Child Care and Development • Low Income Home Energy Assistance (LIHEAP) 21

Substance Abuse and Mental Health Service Administration (SAMHSA) • CABHI: Cooperative Agreements to Benefit Homeless Individuals • Program eliminated by Congress and merging into other direct service programs; • Funding will go directly to non-profit providers; and • State has passed through all available funds for last cycle. • Clark County received $125,677 CABHI grant for SSI/SSDI Outreach, Access, and Recovery (SOAR) • PATH: Projects for Assistance in Transition from Homelessness (services for SMI experiencing homelessness). • Money is directed to Clark County non-profits to provide direct services to the community. 22