Health & Human Services Cuyahoga Job and Family Services 4th quarter 2013 Benefits and Services Performance Report Available on the Cuyahoga County Website at: http://cjfs.cuyahogacounty.us/en-us/statistics-reports.aspx Cuyahoga Job and Family Services, 1641 Payne Avenue, Cleveland, Ohio 44114, (216) 987-7000, FAX (216) 987-8183 Ohio Relay Service (TTY) 1-800-750-0750 The mission of Cuyahoga Job and Family Services is to promote economic self-sufficiency and personal responsibility for families by providing a broad range of quality services.
Table of Contents 2013 in Review... 3 Child Support Federal Performance Indicators... 4 Paternity Establishment... 4 Support Order Establishment... 4 Current Support Collection Rate... 5 Arrears Collection Rate... 5 Additional Child Support Measures... 6 Total Child Support Collections (in millions)... 6 Customer Service Call Volume... 6 Benefit Households Served by Cuyahoga Job and Family Services... 7 Medicaid Health Insurance Recipients... 7 Households Receiving Food Assistance... 8 Households Receiving OWF Cash Assistance (in thousands)... 8 Nursing Home and Waiver Benefits Recipients... 9 Children in Subsidized Child Care... 9 PRC Vouchers and Expenditures (in thousands)... 10 Rates and Measures... 10 Contracted Employment-Related Services and Outcomes... 10 Participation Rate for Households Receiving OWF Cash Assistance... 11 3-Year Caseload Comparisons... 12 Medicaid Recipients... 12 Food Assistance Recipients... 12 OWF Recipients... 13 Child Care Recipients... 13 Sources... 14 Neighborhood Family Service Centers... 15 2
2013 in Review In 2013, Cuyahoga Job and Family Services continued to experience modest caseload growth. The advent of Medicaid expansion is expected to result in caseload increases in 2014. Highlights for 2013: $238,406,513 child support dollars were collected. As of December 31, 2013, 201,422 families were in receipt of benefits assistance. The number of families in receipt of Food Assistance is 149,250. 22.5% of Cuyahoga County residents are receiving Food Assistance and 38% of Food Assistance recipients reside in the suburbs. The number of OWF families subject to time limits averaged just under 3,300 in 2013 as compared to 4,400 in 2012. The number of child only cases remains constant at 5,300. In 2013, PRC utilization totaled 5,405 issuances with $ 2,330,977 in funds distributed. 85% of all PRC issuance is for utility assistance. The Ohio Works First (OWF) All Family Participation Rate increased from 34.30% in January to 43.89% in November; and the Two Parent participation rate increased from 43.09% in January to 46.12% for the same time period. In January 2013, CJFS opened the Earning & Learning Lab at Reserve Square-a fully-staffed, 80 station computer lab designed to offer OWF participants immediate engagement in work activities and multiple resources to facilitate job search. Key Performance Measures CJFS continues to measure and show progress in an ever-changing and challenging environment as evidenced by key performance measures: The Participation Rate for customers in receipt of cash assistance continued to make increases toward the goal of 50%. The November 2013 All-Family rate was 43.89%, up from 34.03% in December 2012. The rate of insured children: Cuyahoga County covered 141,097 children through Medicaid. A Paternity Establishment rate of 90.76%, exceeding the annual goal of 86.5%. A Support Order Establishment rate of 82.01%, exceeding the goal of 78%. A Support Collections rate of 60.33%, above the established goal of 60.25%. An Arrears Collections rate of 55.28%. The CJFS performance report is posted on a quarterly basis on the Cuyahoga Job and Family Services website at http://cjfs.cuyahogacounty.us/en-us/statistics-reports.aspx For questions about this report, contact Emily Lockshine at (216) 987-8451. 3
Child Support Federal Performance Indicators Federal performance indicators for child support are tracked on a Federal Fiscal Year cycle, beginning October 1, 2013 and ending September 30, 2014. Paternity Establishment 95.00 90.00 85.00 80.00 75.00 70.00 65.00 60.00 55.00 86.28 86.83 87.36 87.99 88.54 88.97 89.52 90.21 90.76 86.5 87.09 87.56 50.00 Jan '13 Feb '13 Mar '13 Apr '13 May '13 June '13 July '13 Aug '13 Sept '13 Oct '13 Nov '13 Dec '13 In December 2013, paternity establishment was 87.56%. The FFY14 target is 94.26%. The 2014 Federal Fiscal Year began on October 1, 2013. Support Order Establishment In December 2013, the order establishment rate was 83.07%. The annual target of 78% was exceeded every month in FFY13. The FFY14 goal is 79.4%. The 2014 Federal Fiscal Year began on October 1, 2013. 4
Current Support Collection Rate 70.00 60.00 50.00 40.00 30.00 20.00 10.00 60.42 60.22 60.31 60.44 60.57 60.35 60.5 60.36 60.33 62.25 61.64 61.66 0.00 Jan '13 Feb '13 Mar '13 Apr '13 May '13 June '13 July '13 Aug '13 Sept '13 Oct '13 Nov '13 Dec '13 In December 2013, $19,204,671 in support was collected, representing 61.66% of total current obligations. The FFY14 goal is 63.83%. The 2014 Federal Fiscal Year began on October 1, 2013. Arrears Collection Rate As of December 2013, collections were received from 37.54% of cases with arrears obligations. This measure is expected to increase throughout the FFY. The FFY14 goal is 57.28%. The 2014 Federal Fiscal Year began on October 1, 2013. 5
Additional Child Support Measures Total Child Support Collections (in millions) 25.0 23.1 23.4 22.7 20.0 19.3 18.8 18.4 19.2 19.6 20.0 18.1 19.3 18.4 19.2 15.0 10.0 5.0 0.0 Dec '12 Jan '13 Feb '13 Mar '13 Apr '13 May '13 June '13 July '13 Aug '13 Sept '13 Oct '13 Nov '13 Dec '13 In the fourth quarter of 2013, $56,919,018 in child support dollars were collected. $238,406,513 has been collected through December, exceeding the annual goal of $238,200,000. Support collections are tracked on a calendar year basis. Customer Service Call Volume In the fourth quarter of 2013, the child support call center handled a total of 28,784 calls. In addition to call volume, customer service facilitated 1,108 bold chats and processed 416 data requests this quarter. 6
Benefit Households Served by Cuyahoga Job and Family Services 220,000 195,384 196,827 197,577 197,978 198,183 197,723 201,584 202,135 202,008 202,752 201,844 201,422 200,000 180,000 160,000 140,000 120,000 100,000 Jan ' 13 Feb '13 Mar '13 Apr' 13 May '13 June '13 July '13 Aug '13 Sept '13 Oct '13 Nov '13 Dec '13 In December 2013, 201,422 households were in receipt of benefits, representing an increase of 3.6% from one year ago. This increase is nearly identical to the 3.5% increase from December 2011 to December 2012. Medicaid Health Insurance Recipients 350,000 300,000 250,000 Total Recipients 300,856 302,034 302,133 302,108 301,309 299,822 300,269 300,207 299,190 298,391 296,087 295,498 200,000 150,000 100,000 50,000 0 Adults 159,719 160,823 161,042 161,000 160,105 158,832 158,704 158,458 157,363 156,677 154,970 154,401 141,137 141,211 141,091 141,108 141,204 140,990 141,565 141,749 141,827 141,714 141,117 141,097 Children Jan ' 13 Feb '13 Mar '13 Apr '13 May '13 June '13 July '13 Aug '13 Sept '13 Oct '13 Nov '13 Dec '13 In December 2013, 295,498 individuals were in receipt of Medicaid; 141,097 of these were children. Approximately 44% of children receive their health insurance through the county. As Medicaid expansion is implemented, the adult caseload is expected to rise significantly in 2014. 7
Households Receiving Food Assistance As of December 31, 2013, 149,250 households were participating in the Food Assistance Program. Of these households, 34,031 or 23% had earned income. The Food Assistance caseload remained level throughout 2013. Households Receiving OWF Cash Assistance (in thousands) 8.8 8.8 8.7 8.7 8.6 8.6 8.6 8.4 8.4 8.5 8.4 8.3 3.5 3.5 3.4 3.4 3.3 3.3 3.3 3.1 3.1 3.2 3.1 3 5.3 5.3 5.3 5.3 5.3 5.3 5.3 5.3 5.3 5.3 5.3 5.3 Jan '13 Feb '13 Mar '13 Apr' 13 May '13 June '13 July '13 Aug '13 Sept '13 Oct '13 Nov '13 Dec '13 Child only Adult In December 2013, 8,292 households were in receipt of OWF. Of these households, 5,395 were child only households, which are not subject to work requirements or time-limits. There was no significant increase or decrease to the caseload in 2013. In December, 136 households were in receipt of either good cause or hardship extension of OWF benefits. In the fourth quarter of 2013, 109 cases closed due to exhausting 36 months of OWF benefits. 8
Nursing Home and Waiver Benefits Recipients As of December, 21,482 individuals were receiving Medicaid services and other benefits through the Specialized Medicaid Benefits Center (SMBC). The SBMC is responsible for benefits and services to individuals who have a home health aide coming to their home to provide care, receive waiver services for assisted living, or reside in a long-term care facility. The SMBC has caseworkers stationed at MetroHealth hospital providing onsite access to Medicaid benefits. These workers are focused on the pregnant mothers, newborns (including the Neo-Natal Intensive Care Unit), disability determination applications, and spend-down releases. Children in Subsidized Child Care 25,000 22,500 21,129 21,232 21,574 21,284 21,142 21,853 21,147 21,164 21,749 20,000 17,500 15,000 12,500 10,000 7,500 5,000 Jan '13 Feb '13 Mar '13 Apr' 13 May '13 June '13 July '13 Aug '13 Sept '13 In December 2013, 21,749 children received child care through the county. Initial eligibility for subsidized child care is 125% of the federal poverty level. Families remain eligible for ongoing benefits up to 200% of the FPL. 9
PRC Vouchers and Expenditures (in thousands) In the fourth quarter of 2013, there were 1,942 PRC issuances totaling $809,018.98. Issuance peaks during late spring and early fall months are attributed to the HEAP cycle, which runs November through April. PRC usage tends to decrease in the winter months when customers are able to access utility assistance and weatherization programs such as HEAP. Approximately 85% of all PRC usage is for utility assistance. Rates and Measures Contracted Employment-Related Services and Outcomes The above chart looks at job placements and employment retention for OWF clients served through contracted employment services. In 2013, 308 clients were placed in employment and 195 maintained employment for at least 3 months. 10
Participation Rate for Households Receiving OWF Cash Assistance The above chart shows the All-Family and Two-Parent participation rates for OWF households required to participate in work, training, or education activities. For the month of November, the All Family participation rate was 43.89% and the Two-Parent rate was 46.12%. The All Family rate has increased by 3.8 percentage points from one year ago and November marks the ninth consecutive month the All- Family rate has exceeded 40%. The All-Family participation goal is 50% and the 2-Parent participation goal is 90%. 11
3-Year Caseload Comparisons Medicaid Recipients 350,000 300,000 250,000 272,425 299,631 295,498 200,000 150,000 100,000 Dec '11 Dec '12 Dec '13 The number of children in receipt of Medicaid has remained constant. Approximately 44% of children under the age of 19 receive health insurance through the county. Food Assistance Recipients 300,000 250,000 267,662 280,257 278,014 200,000 150,000 100,000 Dec '11 Dec '12 Dec '13 The number of Food Assistance recipients increased by 3.9% over the last two years, and declined slightly from one year ago. 22.5% of Cuyahoga County residents Return are to receiving Table of Food Contents Assistance and 38% of Food Assistance recipients reside in the suburbs. 12
OWF Recipients As a result of initiatives put in place to educate applicants about program requirements as well as offering alternative sources of income and employment opportunities, the OWF adult caseload continues to decline. The number of recipients is down by 34% from two years ago and 8.5% from this time last year There are currently 2,897 families subject to time limits. Child Care Recipients The eligibility level for new subsidized child care applicants is 125% of the Federal Poverty Level. Families remain eligible for ongoing benefits up to 200% of the FPL. 13
Sources Households Served by Employment & Family Services HSIM 2020 Reports, a monthly caseload report Medicaid Health Insurance Recipients in Cuyahoga County HSIMMED2, a monthly analysis of cases and individuals Households Receiving Food Assistance in Cuyahoga County HSIM 2020-4 report Households Receiving OWF Cash Assistance in Cuyahoga County Ohio Department of Jobs and Family Services (ODJFS), GRP219RD report Children in Subsidized Child Care in Cuyahoga County Ohio Department of Jobs and Family Services (ODJFS), NMR120RA report, Utilization Analysis by Child PRC Vouchers and Expenditures HSIMERT-3 report Contracted Employment-Related Services and Their Outcomes CJFS Work First Services, Division of Contracting Food Assistance Accuracy Rate ODHS Dollar Error Rate monthly reports Customer Satisfaction Survey Results CJFS Participant Services Participation Rate for Households Receiving OWF Cash Assistance ODJFS Business Information Channel (BIC) Federal Participation Report Paternity Establishment, Order Establishment, Support Collections, Arrears Collections, Total Support Collections, and Child Support Customer Service Volume Child Support Monthly Operations Summary 14
Neighborhood Family Service Centers Quincy Place 8111 Quincy Ave, Cleveland, Ohio 44104 Leisha Coggins, Center Manager (216) 391-5089 Old Brooklyn 4421 Fulton Parkway, Cleveland, Ohio 44114 Anthony Forbes, Center Manager (216) 635-4101 Southgate 5398 1/2 Northfield Rd., Maple Hts., Ohio 44137 Adrienne Waugh, Center Manager (216) 518-4801 Virgil E. Brown 1641 Payne Ave., Room 210E, Cleveland, Ohio 44114 Chris Frech, Center Manager (216) 987-6783 Westshore 9830 Lorain Ave., Cleveland, Ohio 44102 Marlene Robinson-Statler, Center Manager (216) 939-2452 Jobs, Education, 1641 Payne Ave., Room 400W, Cleveland, Ohio 44114 and Training (JET) Gene Walton, Center Manager (216) 987-8519 Center (OWF) Specialized Medicaid 1641 Payne Ave., Cleveland, Ohio 44114 Benefits Center Christy Nicholls, Center Manager (216) 987-6780 15