CDHS Adult Financial Programs Overview

Transcription

1 CDHS Adult Financial Programs Overview Dan Daly, Director, Aging and Adult Services May 13, 2011 Colorado Division Human Services of Aging Accounting and Adult Conference Services - May 13, 2011

2 presentation overview 1. High level overview of Aging and Adult Services programs 2. Description of how things work programmatically and fiscally 3. Emphasis on Aid to the Needy Disabled and Home Care Allowance programs 4. Facts and figures 5. Questions

3 aging and adult services programs Burial Services Adult Foster Care (AFC) Aid to the Blind Old Age Pension (OAP) Home Care Allowance (HCA) Aid to the Needy Disabled (AND) Adult Protective Services (APS) Older Americans Act programs

4 caseload trends ,933 23,052 23,560 23, oap and-s o ,575 5,550 5,933 6,614 and-cs hca ,337 3,166 3,143 3, , SFY SFY SFY SFY 09-10

5 old age pension Old Age Pension (OAP) Program Established in the State Constitution in 1937 Provides cash benefits to eligible individuals age 60 years and older Funded 100% by OAP Cash Funds (state sales, use, and excise taxes) Provides monthly grants to eligible Colorado residents Maximum OAP grant is $699 per month Average monthly caseload in FY was 23,993

6 old age pension Old Age Pension (OAP) Grants In State Fiscal Year OAP grants totaled $89,103,743. $95,000,000 Total Grant Expenditures for Prior Years: State Fiscal Year : $83,175,659 State Fiscal Year : $76,399,979 State Fiscal Year : $73,863,665 $90,000,000 $85,000,000 $80,000,000 $75,000,000 $70,000,000 $65,000,000 $60,000,000 $55,000,000 $50,000,000 SFY SFY SFY SFY 09-10

7 home care allowance Home Care Allowance (HCA) A non-entitlement program for home care provider services Provides cash assistance to elderly and disabled individuals and allows clients to remain in their home settings while receiving assistance with daily living activities. Administered by county departments of social/human services responsible for the financial eligibility determination, and 23 contract agencies known as Single Entry Points (SEP) responsible for the functional assessment and case management. A time study is currently being conducted by nine SEPs to determine the actual costs of administering the HCA program.

8 home care allowance Home Care Allowance (HCA) Funding is general fund monies State contributes 95% Counties fund the remaining 5% SFY $9.6 million in HCA payments SFY 2010, 3,058 clients receiving HCA benefits with an average benefit of $289/month

9 home care allowance Home Care Allowance (HCA) In State Fiscal Year , HCA grants totaled $9,561,472 Total Grant Expenditures for Prior Years: State Fiscal Year : $10,920,197 State Fiscal Year : $10,762,435 State Fiscal Year : $10,727,531 $11,200,000 $11,000,000 $10,800,000 $10,600,000 $10,400,000 $10,200,000 $10,000,000 $9,800,000 $9,600,000 $9,400,000 $9,200,000 $9,000,000 SFY SFY SFY SFY 09-10

10 aid to the needy disabled Aid to the Needy and Disabled (AND) State Only (AND-SO) program established in 1953 State Only program is funded through state General Fund (80%) and local funds (20%) Goal: to provide interim financial assistance while waiting for approval of Supplemental Security Income (SSI) Provides temporary financial assistance to residents age 18 to 59 who have at least a six month disability that precludes them from working Colorado Supplemental (AND-CS) Program provides supplemental assistance to recipients not receiving the full SSI grant

11 aid to the needy disabled -- so Aid to the Needy and Disabled State Only In State Fiscal Year , AND-SO grants totaled $16,455,671. Total Grant Expenditures for Prior Years: State Fiscal Year : $15,976,194 State Fiscal Year : $15,889,388 State Fiscal Year : $15,697,651 $17,000,000 $16,000,000 $15,000,000 $14,000,000 $13,000,000 $12,000,000 $11,000,000 $10,000,000 $9,000,000 SFY SFY SFY SFY 09-10

12 aid to the needy disabled -- cs Aid to the Needy and Disabled Colorado Supplement In State Fiscal Year , AND-CS grants totaled $2,796,811. Total Grant Expenditures for Prior Years: State Fiscal Year : $2,440,774 State Fiscal Year : $1,795,744 State Fiscal Year : $1,752,454 $3,000,000 $2,500,000 $2,000,000 $1,500,000 $1,000,000 $500,000 $0 SFY SFY SFY SFY 09-10

13 interim assistance reimbursements Interim Assistance Reimbursement (IAR) AND-SO Program has an IAR contract with the Social Security Administration Reimbursement to State from the client s first lump sum SSI payment for AND benefits paid while waiting for SSI approval IAR reimbursements used to offset the general fund expenditures FY the IAR reimbursements were approximately $4.7 million or 29% of the State AND expenditure.

14 ssi stabilization fund SSI Stabilization Fund In 2009, the Colorado legislature (HB ) established the SSI Stabilization Fund. This fund allows for recoveries and refunds to be kept in escrow and used to fund AND-CS and HCA expenditures. The fund is intended to stabilize the source of funding required to meet the federal requirements for maintenance of effort for the state-funded supplement to persons receiving SSI benefits. Current limit for the stabilization fund is $1.5 million and it can be rolled over to subsequent fiscal years.

15 hca HCBS Jan-2012 HCA OAP Tier I AND $200 Tier II Tier III $342 $475 MOE Stabilization Fund

16 and so versus and-cs AND-SO Client already approved for SSI and goes directly on AND-CS counted towards MOE SSI application Expenditures for AND- CS are counted toward MOE obligation SSI is denied SSI is approved Client appeals, but once appeal denied then off AND Client receives AND-CS if not receiving the full SSI grant

17 maintenance of effort HCA $8,558,001 MOE $28,882,089 OAP $11,333,341 AND-CS $3,363,263 Stabilization Fund $1,500,000 PNA $342,203 Heat and Tax Rebate $5,294,735

18 iars CBMS EBT AND-SO and SSI application County and State receive AND-SO reimbursement from SSI COFRS Client receives AND-SO Social Security puts a hold on disbursement CFMS SSI is approved County submits IAR in CBMS to initiate recovery CBMS CFMS

19 the final picture! Legend: PNA FA CBMS Applicant AB AFC SSI Service Funding Stream Revenue MOE Expenditure HCPF Program OAP HCA AND SO CS IARs 80% (20% County) HCBS MOE SSI Stabilization Fund Expungements Refunds

20 questions? Dan Daly, Director Aging and Adult Services Colorado Department of Human Services 1575 Sherman St., 10th Floor Denver, CO