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Home My WebLink Aboutbocc.packet.11182014PITKIN COUNTY COMMISSIONERS WORK SESSION AGENDA City Council Chambers TUESDAY, NOVEMBER 18, 2014 9:00 AM Prosperous Economy Core Focus Budget Meeting 10:30 BREAK 10:45 Prosperous Economy Core Focus Budget Meeting 12:00 Ambulance District Budget Presentation (Working Lunch Provided) 1:00 Special Meeting - BOCC Convenes as Board of Social Services Adjourn Special Meeting — BOCC Adjourns as Board of Social Services Nan Sundeen 2:00 • Memos of Interest o Water Smart Grant Supplemental Budget Request o Expansion Drilling and Regulatory Drilling Supplemental Budget Request • Future Agendas/Agenda Requests/Monthly Calendar • BOCC Open Discussion Cathy Hall Cathy Hall 3:15 BREAK 3:30 SPECIAL MEETING — EXECUTIVE SESSION in Plaza Three Property Negotiations Litigation CRS 24-6-402(4)(e) CRS 24-6-402(4)(6) 5:00 ADJOURN Travel to Basalt in Traverse 630 6:00 Joint Meeting with Basalt Town Council in Basalt • Presentation of ICMA Award • Update on the Our Town Planning Process • Update from John Ely on the Kayak Park • Basalt's Planning of a Kayak Park • State Water Plan • Update on Basalt Underpass • Shared Public Safety Infrastructure • Other Shared Concerns MUST 13E OUT OF ROOM BY 4:00 PM I)UE TO CITY COUNCIL WORK SESSION AGENDA IS SUBJECT TO CHANGE AGENDA ITEM SUMMARY SPECIAL MEETING DATE: AGENDA ITEM TITLE: STAFF RESPONSIBLE: November 18, 2014 Special Meeting of the Board of Social Services - Update with the Department of Human Services Nan Sundeen, Mitzi Ledingham, Kim DuBois, Kathleen Lyons, Marty Ames ISSUE STATEMENT: The Board of County Commissioners (BOCCI, serving as the Board of Social Services (BOSS), will review the Department of Human Services' (DHS) 3`d Quarter January -September, 2014, budget expenditure report; 3rd Quarter Client Payrolls and Economic Services program numbers; and an update on the final Aging Well strategic plan. BACKGROUND: Colorado is a state supervised, county administered human services system. This means that the state Department of Human Services is responsible for all activities provided by local and district human service departments, as well as all allocations and expenditures related to those services. The state relies on the County Board of County Commissioners serving as the Board of Social Services (C.R.S. 26-1-116) to oversee local Social Services ("Human Services") activities to address public assistance and welfare duties, responsibilities, and activities of the county human services department. In Pitkin County, human services functions are performed by several different entities. The Pitkin County Adult and Family Services (AFS) department directly provides adult and child protection services for Pitkin and the El Jebel/Basalt area of Eagle County. Eagle County Health and Human Services "Economic Services" provides all public assistance services to Pitkin residents. In addition, Garfield County Human Services provides other mandated services to Pitkin residents including Child Support Enforcement. Long Term Care eligibility determination and Child Care Licensing. The Garfield County Veteran's Officer also provides services to Pitkin veterans. 2014 BUDGET The DHS budget is divided into four core areas: Administration, Child Care, Child Welfare and Colorado Works. Below is a 2014 January - September Budget to Actual matrix of expenditures and revenues. These numbers include the Child Support Enforcement program that is provided by Garfield County. HUMAN SERVICES BUDGET VS. ACTUALS January - September 2014 Program ` , I as -. i.;'_;; , ..Budget ,. • YTD ,Actuals: ' '.y, Variance r ";.% Used yr), State & Fed. Revenue 741,631 521,938 (219,693) 70% Admin Expenditures 896,295 531,764 364,531 59% Surplus/(Deficit) (154,664) (9,827) 144,837 - ,.... ". ._. State &Fed. • `,Revenue:; 65,978 ' .. '46,569' _ .,.. (19,409) -. _ }} '71% Child Care _, Expenditures 108,682 .. 51,122 57,560. 47% .. •,.•, -. -.� Surplus/(Deficit) .- (42,704).' (4,552) ., :.• . 38,152 .,. ;. "�`' ,"• State & Fed. Revenue 575,872 458,204 (117,668) 80% Child Welfare Expenditures 546,984 581,892 (34,908) 106% Surplus/(Deficit) 28,888 (123,688) (152,576) ,itFederal'RevenueI'' 51;941 . - 31,374 (20,567) :" ;• 60% ,"� ,'TANF/CO Works' • Expenditures - ' 67,773 24,756 43,017: 37% ,... - 'Surplus/(Deficit)_.,'(15,832), ." _:.,..6,618 -� ,,`.. •22,450: ., . ..,. Child Suport Federal Revenue 12,705 50,808 38,103 400% Enforcement Expenditures 28,250 26,613 1,637 94% Surplus/(Deficit) (15,545) 24,196 39,741 • •_ _ _z - State &:Fed: _.. Revenue . .1,448,127 '• 1,108,894 ... . . (339,233), .. . ' h 77%.. Total Programs ..;,.Expenditures c 1;647,984 1,216,147 • 431,837 ,. • "74% ,"Surplus/(Deficit) .- (199,857) - - ' (107,253) "` '92,604 " Off -Setting Property & MV Taxes 174,431 171,527 (2,904) 98% County Revenues Transfers 30,000 - (30,000) ... ., - �r _>'�. »•' ;,'�'�. : ^: .. t . t Vic'- ✓ 35h.E" ' „, TotalFund-.', Surplus/(Deficit) ''.= 4,574;^,.• .n.64,274,1,,• 59,700i., 2 ECONOMIC SERVICES Client Payrolls Monthly "payrolls" refer to direct client Electronic Benefit Transfers. Below please find the three year 3rd quarter payroll comparison. UARTERLY PROGRAM PAYROLLS PROGRAM YTD 3rd QUARTER 2012 YTD 3rd QUARTER 2013 YTD 3rd QUARTER 2014 Aid to the Needy & Disabled AND $ 8,381 $ 5,260 $ 2,163 Child Care CC 87,944 36,085 58,797 Old Age Pension OAP 66,353 71,562 75,060 Low-income Energy Assistance Program LEAP 19,256 15,298 18,001 Colorado Works Works 8,606 5,658 6,439 Food Assistance FS 358,703 341,892 266,313 TOTAL $549,243 $476,116 $426,773 Average Benefit Per Household Per Month (Public Assistance) January -October, 2012 through 2014 Pro ram g #HHs served (duplicated) Total YTD new applications Total YTD discontinued ** Total YTD benefits Average benefit per hh/mo 12 13 14 12 13 14 12 13 14 12 13 14 12 13 14 Adult Financial 456 423 189 34 32 17 30 34 20 74,734 77,182 77,222 164 182 409 LEAP' 60 52 43 34 34 23 ® 19,256 15,298 18,001 321 294 419 Food Stamps 1408 1462 1276 183 201 178 44 41 73 358,703 341,892 266,313 255 234 209 Medicaid ' 1623 1688 5532 85 130 511 130 129 309 768,881 926,974 2,378,094 474 549 430 CCAP 78 43 46 14 8 19 8 9 21 87,944 36,085 58,797 1,127 839 1,278 TANF/COWorks 14 9 13 12 14 12 0 2 1 8,606 5,658 6,439 615 629 495 Totals 3,639 3,677 7,099 362 419 760 212 215 424 1,318,124 1,403,089 2,804,867 362 382 395 COLORADO CHILD CARE ASSISTANCE PROGRAM (CCCAP) Update The Child Care Assistance Program is currently serving 8 low-income Pitkin County households. No applications are pending at this time. Through September 2014, Pitkin County has expended 30.5% of its SFY2015 Child Care allocation of $71,780. Due to the increase in families being served coupled with an $11,000 decrease in the CCAP allocation for SFY2015, it is projected that if the caseload remains this high Pitkin County will be overspent in the CCCAP Allocation. CCAP Program Analysis SFY 2015 Payroll Recap-Pitkin SFY13 SFY14 Comparison SFY 2013 to SFY 2014 SFY 2015 Comparison SFY 2014 to SFY 2015 July 9,170 1,138 12.42% 9,069 796.63% Aug 12,129 1,660 13.68% 6,428 387.32% Sept 7,963 941 11.82% 8,328 884.85% Oct 4,288 866 20.18% 11,930 1378.39% Nov 5,995 1,630 27.19% '')4-8;939 548.30% Dec 4,871 977 20.05% .- -L 8,939 915.23% Jan 6,863 1,551 22.60% ''::<' # 8,939 576.31% Feb 5,624 4,110 73.08% S 4'8,939 217.49% Mar 5,553 5,098 91.81% ":`=8,939 175.34% Apr 5,194 6,332 121.92% Y8, 939' 141.17% May 5,913 11,362 192.13% ,' `-'18;939. 78.68% June 3,199 6,518 203.77% :'<--8,939 137.14% Totals 76,761 42,183 67.56% 107,268 254.29% Total projected SFY 2015 payrolls Projected operating expenses (based on YTD SFY2015) Total projected SFY 2015 payrolls and expenses Less Total SFY 2015 CCAP allocation TOTAL Projected CCAP Overspending 107,268 7,921 115,188 71,781 LOW-INCOME ENERGY ASSISTANCE PROGRAM (LEAP) -43,408 The Low-income Energy Assistance Program (LEAP) will be available for eligible households starting November 1, 2014 and running through April 30, 2015. Qualifying limited -income households may receive assistance to pay a portion of their home energy bill. For the 2014/2015 heating season, Eagle, Garfield and Pitkin Counties have again contracted with Goodwill Industries of Southem and Western Colorado to administer the program. By contracting with Goodwill last season, households needing assistance received their benefits faster and at a lower cost to the county. Households may qualify for LEAP assistance if anyone within the home is a U.S. citizen or legal permanent resident; heating costs are paid directly to an energy provider or is included in the rent; and gross monthly household income is within income guidelines. The maximum gross monthly household income limit of 150% of the Federal Poverty Guidelines, based on number of eligible household members, is as follows: 4 Household Size Monthly Income - 150% of FPG 1 $1,459 2 $1,967 3 $2,474 4 $2,982 5 $3,489 6 $3,997 Each qualified household may receive only one LEAP benefit for the winter season. Factors such as income, type of heat being used, type of dwelling and number of people in the household are considered before an amount is awarded to an applicant. Funds for home heating system repairs may also be available. MEDICAID EXPANSION At the May 27, 2014 Board of Social Services, Board members requested a quarterly update on the impacts of Medicaid expansion as they related to Pitkin County. The chart below compares Medicaid caseload and covered individuals between 2012 and 2014. Also included is information regarding the Non -Emergency Medical Transportation benefit within Medicaid. This benefit will reimburse those enrolled in Medicaid for transportation that is for services that are non -emergent such as trips to their physician or to pick up prescriptions. Medicaid Expansion Statistics As of September 30th, 2014 Medical Assistance Programs 2012 2013 2014 Medicaid Caseload 174 196 737 Medicaid Individuals 340 447 1240 Age breakdown not available 273 age 20 & under 174 age 21 & older 441 age 20 & under 799 age 21 & older CHP+ Individuals* 97 80 91 *2014 CHP+ only available thru 3/31/14 # of claims 25 23 65 $ $ $ Amount of claims 1,972 1,196 5,243 MEDICAID AND OPEN ENROLLMENT PERIOD The second Open Enrollment Period under the Affordable Care Act begins November 15, 2014 and runs through February 15, 2015. New this year, customers will be able to apply for health coverage using a single dynamic online application whether applying through PEAK or Connect for Health Colorado. Customers will be able to establish a single 5 account username and password. Once the online application is submitted, the new Single Eligibility System (SES) will interface with the Colorado Benefits Management System (CBMS) to determine eligibility for Medical Assistance (MA). In situations where the customer is not eligible for MA, the eligibility information will then be used to determine APTC (Advance Premium Tax Credits) and CSR (Cost Sharing Reductions) eligibility for Connect for Health Colorado. An enrollment event is scheduled for Wednesday November 191h from 2pm to 8pm at CMC in Aspen. Additional events will be held monthly in the Aspen area throughout the open enrollment period. SENIOR SERVICES Senior Services receives federal Title 3 and state Older Coloradoans funding on an annual basis to supplement local funding in three programs: Nutrition Cl and C2 (Congregate and Home Delivered Meals) Information/Assistance/Education Care Navigation Whenever this funding is applied to a program, compliance with regulations and reporting is mandated for the entire program. 3rd Quarter July -September 2013 2014 C1 (Congregate Meals) 2266 2008 Congregate Meals and Blizzard Boxes served to grant -eligible recipients C2 (Home Delivered Meals) 572 455 Home Delivered Meals to grant -eligible recipients Meals Total 2838 2463 I & A 7477 7145 Units of Information and Assistance, including general information, referrals for services, newsletter distribution CM clients served 13.33 6.67 Number of unduplicated individuals served each month CM hours 134 98 Number of care management service hours Nutrition Nutrition numbers are down by about 20%, both congregate and home -delivered. We aren't sure why this occurred after several years of steady increases, but expect a return to normal as winter closes in. Aging Well Community Planning Initiative Debbi Falender from the Aging Well Project Management team will present the final plan document and summary at this BOSS meeting. Attachement A is a visual summary of the primary topics addressed in the plan. Just last week, Pitkin County Senior Services (in conjunction with Community Health Services of Pitkin County and the Executive Service Corps) finalized the Aging Well Community Plan. This 18-month project engaged civic leaders and concerned citizens in a process to gather their ideas and input. The result is the creation of a community -wide strategic plan of 14 goals with 43 objectives, and commitments throughout the community to implement and carry them out. This plan will help ensure that Pitkin County is place where residents can continue to live with access to services and activities that are needed through all stages of aging. The Final Aging Well report includes a description of the process, as well as the outlined goals, objectives and action steps. This document can be reviewed at http://www.aspenpitkin.com/Devartments/Senior-Services. (A copy of the document has been placed in the BOCC read box.) In 2015, a phased implementation process begins with the support of a soon -to -be - hired plan coordinator. The main goal of Senior Services is to continue to offer programs and services at a high level while assisting in the implementation of the plan's goals and objectives. Commitments from partners throughout the county have been secured for every action step outlined for each objective. The plan coordinator will work with the partners to aid their efforts and develop strategies to measure success. Senior Services is the lead/responsible party for a number of the objectives outlined in the plan. While a number of the action steps included are already underway, several others have been identified as priorities for implementation in 2015. These include: • Updating resource information • Improving information accessibility • Increase community outreach including an emphasis on the benefits of socialization for older adults. • Define space and design requirements for a Senior Center suited to meet the needs of a growing and aging population. • Enhance recreation and wellness offerings • Work with rural communities to identify their needs and wants for their older populations LINK TO STRATEGIC PLAN: Livable and Sustainable Community, Prosperous Economy KEY DISCUSSION ITEMS: 1. Review January -September, 2014 program expenditures/ 3rd quarter client payrolls 2. Review and discuss Aging Well Strategic Plan 3. Review and discuss any issues/concems related to other updates. BUDGETARY IMPACT: None RECOMMENDED BOCC ACTION: I. Approve January -September 2014 program expenditures and 3rd quarter 2014 client payrolls. ATTACHMENTS: Attachment A: Visual Summary of the primary topics addressed in the Aging Well Plan 7 Find Aging Well Initiative details at www.aspenpitkin.com/seniorservices poddns Jani2aJeD v fD 3 T DI E <T3�O; D ONN w -nQ DD N C A N L W • S in ��. R\ 3 en 3 c M fD CU c d o fro a c = W 3 O 3 0.< figi < fD w ni N 7 S DO ILA m 5 < c m fD c n N n O tU aj .e 3 3 D/ N FS 1 y n O pi.0y • -66 7 fD Ot eh o < St° 3 � � N tD IA c 3 n 3 fD n t^ fD 3 e4