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County DSS Workload Analysis

County DSS Workload Analysis. Name Title County Name. Caseload Trends – Active Cases. List considerations here – specific to the county List baseline staffing numbers. Key Business Drivers Much has changed since 2007. Caseloads have grown XX% since 2007

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County DSS Workload Analysis

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  1. County DSS Workload Analysis Name Title County Name

  2. Caseload Trends – Active Cases • List considerations here – specific to the county • List baseline staffing numbers

  3. Key Business DriversMuch has changed since 2007 • Caseloads have grown XX% since 2007 • NC FAST – A new integrated case management system • Introduction of new customer service channels: • ePASS Portal • Federal Facilitated Marketplace (FFM) / healthcare.gov • Affordable Care Act (ACA) – Entirely new eligibility rules for most Family and Children’s Medicaid programs • Work Support Strategy (WSS) state and county organizational changes to supports new service delivery models

  4. NC FAST ImpactsA New Way of Serving Clients • A case management system supporting multiple benefit programs; replaces multiple legacy systems that have been in place for a long time and are familiar to county workers • Captures considerably more data than legacy systems • Information not in legacy systems must be keyed as part of case conversion process (e.g., data only in paper case files prior to NC FAST) • System makes eligibility determinations based on rules built into the system and data entered by the case worker, so there is little subjectivity on those decisions with NC FAST • Automation provides more consistent and accurate benefit determination; however there is a significant learning curve to overcome for county workers

  5. New Application ChannelsApplications Coming from Multiple Sources • ePASSis a web-based application portal introduced with NC FAST that allows clients to submit applications for FNS or Medicaid through the Internet • With the introduction of the FFM / healthcare.gov in October 2013, new Medicaid applications are generated and sent to NC for NC-based applicants who are pre-screened as potentially eligible for Medicaid • All of the traditional ways of applying for benefits (county DSS offices, mail in applications) remain in place • Many of the applications received through ePASS or healthcare.gov are missing information and require additional follow-up with the clients before the applications can be processed

  6. Affordable Care Act (ACA) ImpactsChanges to Most Eligibility Rules • Affects approximately 60% of Medicaid cases effective January 1, 2014 • Intended to ultimately simplify eligibility determination • Utilizes a new eligibility rule set based on income tax modified adjusted gross income (MAGI); a significant change from prior Medicaid rule set • County workers have to collect new/different data from clients • Medicaid clients (both existing and new) have to provide different information to become/remain on Medicaid that they have not had to provide before

  7. Timeline ConsiderationsAssimilating ACA and NC FAST • Q1 2014 - New FFM process implemented; recertification of MAGI-based Family and Children Medicaid and Work First programs • Q2 / Q3 2014 – Continuing to come up the ACA learning curve; processing Family and Children Medicaid and Work First programs • Q3 2014 – Conversion of Medicaid and any remaining Work First programs to NC FAST • 2015 – Processing of converted Medicaid, Work First, and FNS cases • Q4 2015 – New Child Care process implementation in NC FAST

  8. Work Support Strategies • Formalize and strengthen county and state partnerships • Develop organizational culture that supports new service delivery models • Build infrastructure to support new service delivery models • Communicate the vision for a new service delivery models • Increase capacity for data collection and analysis • Reduce burdensome policies and procedures • Perform staff development and readiness activities

  9. StaffingImpactsProjected Staffing Requirements for 2014/2015 • Based on an analysis of case processing times, caseload trends, and staff productivity projections we need xx - yy more resources in order to process our county’s workload in a timely manner

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