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AG 2010 09 20
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AG 2010 09 20
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Last modified
11/15/2011 8:25:30 AM
Creation date
11/27/2017 11:23:20 AM
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Meeting Minutes
Doc Type
Agenda
Meeting Minutes - Date
9/20/2010
Board
Board of Commissioners
Meeting Type
Regular
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Income Maintenance Casework Position Requests <br />The chart below represents the cases active each December from 2000 through 2008. The staff <br />budgeted to manage these cases and the average caseload is also shown for 2002 through 2010. <br />Annual growth in cases 15% 20% 2096 8% 12% 3% 7% 11% 12% 9.21' <br />Unemployment rate 3.6% 5.8% 5.3% 8.1% 4.7% 4.0% 3.8% 4.4% 8.5% 11.7% <br />• Projected in June 2010 prior to increase in FNS program eligibility <br />summary <br />• Cases in Economic Services (Medicaid and Food Stamps) have grown an average of 12% annually <br />since 2000. While caseloads have grown annually every year since 2000, there is a connection <br />with growth and higher unemployment rates (in years where unemployment is above 8 %, the <br />average growth in caseloads is 14 %). <br />• Expanded eligibility was added on July 1, 2010, for the Food and Nutrition Program. This <br />expansion is predicted to bring anywhere from a 20 % -60% increase in caseloads over the next <br />two years. The expansion is effective indefinitely. <br />• With the increase in demand for service, the department is responding to greater volumes of <br />clients and cases. Persons coming for the first time have the right to be seen that day and make <br />an application under federal rules. Wait times for clients have increased dramatically over the <br />past year and are anticipated to increase further with increased eligibility rules. <br />• Medicaid will have expanded eligibility under Health Care Reform beginning in 2014. <br />Conclusions <br />• The addition of the requested four (4) income maintenance caseworkers are needed due to <br />overall increased caseloads, expanded eligibility, and customer service concerns. <br />• County Liability is increased with expanded caseloads due to potential cost of errors in <br />determining benefits. Caseloads at levels of 600 and greater are more difficult to manage for a <br />staff person with total accuracy and efficiency. While no set standards in policy exist, acceptable <br />practice for manageable caseloads are 400 for Food Stamps and 350 for Medicaid. <br />Thank you for your consideration of this request. <br />Art number 1 <br />F -5 <br />Dec -00 <br />I Dec-01 <br />Dec -02 <br />Dec -03 <br />Dec-04 <br />Dec-05 <br />Dec -06 <br />Dec-07 <br />Dec -08 <br />Dec -09 <br />Jul -10 <br />Total Cases (Medicaid <br />and Food Stamps) <br />10,929 <br />12,561 <br />15,055 <br />16,103 <br />19,482 <br />21,751 <br />22,413 <br />24,038 <br />26,728 <br />30274 <br />31934 <br />Income Maintenance <br />Staff w/ caseloads <br />33.75 <br />35.75 <br />39 <br />40 <br />43.25 <br />43.25 <br />48.75 <br />52.75 <br />53.25 <br />Average caseload per <br />Worker <br />446 <br />506 <br />500 <br />544 <br />518 <br />556 <br />548 <br />579 <br />600 <br />Annual growth in cases 15% 20% 2096 8% 12% 3% 7% 11% 12% 9.21' <br />Unemployment rate 3.6% 5.8% 5.3% 8.1% 4.7% 4.0% 3.8% 4.4% 8.5% 11.7% <br />• Projected in June 2010 prior to increase in FNS program eligibility <br />summary <br />• Cases in Economic Services (Medicaid and Food Stamps) have grown an average of 12% annually <br />since 2000. While caseloads have grown annually every year since 2000, there is a connection <br />with growth and higher unemployment rates (in years where unemployment is above 8 %, the <br />average growth in caseloads is 14 %). <br />• Expanded eligibility was added on July 1, 2010, for the Food and Nutrition Program. This <br />expansion is predicted to bring anywhere from a 20 % -60% increase in caseloads over the next <br />two years. The expansion is effective indefinitely. <br />• With the increase in demand for service, the department is responding to greater volumes of <br />clients and cases. Persons coming for the first time have the right to be seen that day and make <br />an application under federal rules. Wait times for clients have increased dramatically over the <br />past year and are anticipated to increase further with increased eligibility rules. <br />• Medicaid will have expanded eligibility under Health Care Reform beginning in 2014. <br />Conclusions <br />• The addition of the requested four (4) income maintenance caseworkers are needed due to <br />overall increased caseloads, expanded eligibility, and customer service concerns. <br />• County Liability is increased with expanded caseloads due to potential cost of errors in <br />determining benefits. Caseloads at levels of 600 and greater are more difficult to manage for a <br />staff person with total accuracy and efficiency. While no set standards in policy exist, acceptable <br />practice for manageable caseloads are 400 for Food Stamps and 350 for Medicaid. <br />Thank you for your consideration of this request. <br />Art number 1 <br />F -5 <br />
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