Family Support Division MO HealthNet Division MONTHLY MANAGEMENT REPORT June 2014 Missouri Department of Social Services Research and Data Analysis 221 W. High Street Jefferson City, MO 65101 TABLE OF CONTENTS Glossary Definition of Categories of Assistance and Types of MO HealthNet Services ........................................................................... 1 Figure 1 Map of the Department of Social Services Regions ................................ 2 TEMPORARY ASSISTANCE Figure 2 Temporary Assistance Families – 60-Month Trend ................................. 4 Figure 3 Temporary Assistance Payments – 60-Month Trend............................... 4 Table 1 Statewide Summary ................................................................................ 5 Table 1A Drug Testing ............................................................................................ 7 Table 2 Applications .......................................................................................... 8-9 Table 3 Families and Payments .................................................................... 10-11 Table 4 Families and Persons Receiving Cash ............................................. 12-13 Table 5 Work Activities .................................................................................. 14-15 Table 6 Reviews ............................................................................................ 16-17 MO HEALTHNET Table 7 Statewide Eligibility Summary .......................................................... 21-23 Table 8 Eligibility by Region .......................................................................... 24-25 Table 9 Eligibility by Region and County ....................................................... 26-71 Table 10 Family MO HealthNet Applications ................................................... 72-73 Table 10A Family MO HealthNet Applications Resolved ........................................ 75 Table 11 Family MO HealthNet Applications – How received ......................... 76-77 Table 12 MHK, MHF and TMH Families .......................................................... 78-79 Table 13 Family MO HealthNet Children ......................................................... 80-81 Table 14 Family MO HealthNet Parents/Caretakers ....................................... 82-83 Table 15 MHABD Non-Blind Applications for Persons < 65 Years of Age ....... 84-85 DSS MONTHLY MANAGEMENT REPORT / i Table 16 MHABD Non-Blind Applications for Persons 65+ Years of Age........ 86-87 Table 17 MHABD Blind Applications ............................................................... 88-89 Table 18 MO HealthNet for the Aged, Blind and Disabled .............................. 90-91 Table 19 Qualified Medicare Beneficiary ......................................................... 92-93 Table 20 Specified Low-Income Medicare Beneficiary .................................... 94-95 Table 21 Reviews .......................................................................................... 96-101 Figure 4 MO HealthNet Recipients – 60-Month Trend ....................................... 102 Figure 5 MO HealthNet Payments – 60-Month Trend ....................................... 103 Table 22 MO HealthNet Recipients and Payments by Type of Service ....... 104-125 Table 23 MO HealthNet Recipients and Payments by Eligibility Category .. 126-153 Table 24 Women’s Health Services Recipients and Payments .......................... 154 FOOD STAMPS Figure 6 Food Stamp Households – 60-Month Trend ........................................ 156 Figure 7 Food Stamp Benefits – 60-Month Trend .............................................. 156 Table 25 Statewide Participation Summary ........................................................ 157 Table 26 Applications and Currency ............................................................ 158-159 Table 27 Expedited Applications ................................................................. 160-161 Table 28 Participation and Benefits Issued by County ................................ 162-163 Table 29 Participation and Benefits Issued by Region and County ............. 164-165 NOTE Payment data is for informational purposes only and is not meant to provide an auditable account of expenditures. Observe caution in use of percentages when base for computations is small, especially if observations total less than 100. Equal Opportunity/Affirmative Action Employer, services provided on a nondiscriminatory basis. DSS MONTHLY MANAGEMENT REPORT / ii GLOSSARY DEFINITION OF CATEGORIES OF ASSISTANCE AND TYPES OF MO HEALTHNET SERVICES AIDS Acquired Immune Deficiency Syndrome BCCT Breast & Cervical Cancer Treatment BP Blind Pension CHIP Children’s Health Initiative Programs CRNA Certified Registered Nurse Anesthetist CSTAR Comprehensive Substance Treatment and Rehabilitation CWEP/AWEP Community Work Experience Program/Alternative Work Experience Program DME Durable Medical Equipment DYS Division of Youth Services EPSDT Early and Periodic Screening, Diagnosis and Treatment FFM Federally Facilitated Marketplace FSD Family Support Division HDN Homeless, Dependent, Neglected ICF/MR Intermediate Care Facility/Mentally Retarded MHABD MO HealthNet for the Aged, Blind and Disabled MHCC MO HealthNet for Children in Care MHF MO HealthNet for Families MHK MO HealthNet for Kids MOCDD Missouri Children with Developmental Disabilities MR/DD Mentally Retarded/Developmentally Disabled NC Nursing Care - Cash program for recipients in practical or professional homes, domiciliary homes or boarding homes; NC-General Relief and NC-Aid to Blind Supplemental cases are included in the NC data and are not listed separately PA Public Assistance PE Presumptive Eligibility QMB Qualified Medicare Beneficiary RCF Residential Care Facility SAB Supplemental Aid to the Blind SLMB Specified Low-Income Medicare Beneficiary SNF Skilled Nursing Facility SSI Supplemental Security Income SSI-SP Supplemental Security Income and State Supplementation SP State Supplementation Only TCM Targeted Case Management TEB Transitional Employment Benefit TMH Transitional MO HealthNet TWHA Ticket to Work Health Assurance Program UWHS Uninsured Women's Health Services Vendor Cases Nursing Homes and Other Institutions directly reimbursed by MO HealthNet DSS MONTHLY MANAGEMENT REPORT / PAGE 1 Figure 1 Department of Social Services Regions DSS MONTHLY MANAGEMENT REPORT / PAGE 2 TEMPORARY ASSISTANCE Figure 2 Temporary Assistance Families 60-Month Trend through June 2014 55,000 50,000 45,000 s e i il 40,000 m a F 35,000 30,000 25,000 9 9 9 0 0 0 0 1 1 1 1 2 2 2 2 3 3 3 3 4 4 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 - - - - - - - - - - - - - - - - - - - - - n p c r n p c r n p c r n p c r n p c r n u e e a u e e a u e e a u e e a u e e a u J S D M J S D M J S D M J S D M J S D M J Figure 3 Temporary Assistance Payments 60-Month Trend through June 2014 $11.0 $10.5 ) s n $10.0 o li $9.5 l i m $9.0 n i ( $8.5 s t n $8.0 e m $7.5 y a P $7.0 $6.5 9 9 9 0 0 0 0 1 1 1 1 2 2 2 2 3 3 3 3 4 4 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 - - - - - - - - - - - - - - - - - - - - - n p c r n p c r n p c r n p c r n p c r n u e e a u e e a u e e a u e e a u e e a u J S D M J S D M J S D M J S D M J S D M J DSS MONTHLY MANAGEMENT REPORT / PAGE 4 TABLE 1 TEMPORARY ASSISTANCE JUNE 2014 NUMBER NUMBER NUMBER NUMBER CHANGE CHANGE CHANGE OR AMOUNT OR AMOUNT OR AMOUNT OR AMOUNT FROM FROM FROM JUN-2014 MAY-2014 APR-2014 JUN-2013 LAST MONTH 2 MONTHS AGO LAST YEAR *** TEMPORARY ASSISTANCE APPLICATIONS RECEIVED 3,351 3,026 3,326 4,029 10.7% 0.8% -16.8% APPLICATIONS APPROVED 1,937 1,711 1,966 2,450 13.2% -1.5% -20.9% APPLICATIONS REJECTED 1,182 1,189 1,251 1,332 -0.6% -5.5% -11.3% APPLICATIONS PENDING 1,289 1,208 1,237 1,478 6.7% 4.2% -12.8% CASES CLOSED 2,675 2,814 2,695 3,152 -4.9% -0.7% -15.1% CHILDREN ONLY RECEIVING CASH FAMILIES 7,725 7,755 7,802 8,524 -0.4% -1.0% -9.4% CHILDREN 13,466 13,504 13,605 14,918 -0.3% -1.0% -9.7% PAYMENTS $1,478,661 $1,487,228 $1,496,792 $1,636,918 -0.6% -1.2% -9.7% ONE PARENT RECEIVING CASH FAMILIES 20,146 20,404 21,020 24,100 -1.3% -4.2% -16.4% CHILDREN 33,209 33,524 34,476 39,180 -0.9% -3.7% -15.2% PARENTS/CARETAKERS 20,158 20,420 21,036 24,120 -1.3% -4.2% -16.4% PERSONS 53,367 53,944 55,512 63,300 -1.1% -3.9% -15.7% PAYMENTS $4,667,953 $4,713,593 $4,861,191 $5,611,753 -1.0% -4.0% -16.8% TWO PARENTS RECEIVING CASH FAMILIES 2,760 2,843 3,026 3,751 -2.9% -8.8% -26.4% CHILDREN 5,824 5,990 6,379 7,809 -2.8% -8.7% -25.4% PARENTS/CARETAKERS 5,493 5,656 6,008 7,441 -2.9% -8.6% -26.2% PERSONS 11,317 11,646 12,387 15,250 -2.8% -8.6% -25.8% PAYMENTS $771,308 $792,389 $853,371 $1,048,083 -2.7% -9.6% -26.4% ALL RECEIVING CASH TOTAL FAMILIES 30,631 31,002 31,848 36,375 -1.2% -3.8% -15.8% TOTAL CHILDREN 52,499 53,018 54,460 61,907 -1.0% -3.6% -15.2% TOTAL PARENTS/CARETAKERS 25,651 26,076 27,044 31,561 -1.6% -5.2% -18.7% TOTAL PERSONS 78,150 79,094 81,504 93,468 -1.2% -4.1% -16.4% TOTAL PAYMENTS $6,917,922 $6,993,210 $7,211,354 $8,296,754 -1.1% -4.1% -16.6% AVERAGE PER FAMILY $225.85 $225.57 $226.43 $228.09 0.1% -0.3% -1.0% *** TEB APPLICATIONS APPROVED 287 306 380 390 -6.2% -24.5% -26.4% APPLICATIONS REJECTED 401 444 427 500 -9.7% -6.1% -19.8% FAMILIES 1,606 1,596 1,615 1,853 0.6% -0.6% -13.3% CHILDREN 2,727 2,715 2,757 3,098 0.4% -1.1% -12.0% PARENTS/CARETAKERS 1,629 1,607 1,620 1,874 1.4% 0.6% -13.1% PERSONS 4,356 4,322 4,377 4,972 0.8% -0.5% -12.4% PAYMENTS $81,150 $80,300 $81,400 $93,250 1.1% -0.3% -13.0% CASES CLOSED 149 140 139 173 6.4% 7.2% -13.9% DSS MONTHLY MANAGEMENT REPORT / PAGE 5 This page is intentionally left blank.