Child Care Resource and Referral and Voucher Management Key Components

1. Child Care Resource and Referral and Voucher Management Board of Early Education and CareOctober 13, 2009

2. Child Care Resource and Referral and Voucher Management Key Components Information and Resources for families about choosing early education and care and out-of-school time programs, finding parenting and other resources in their community and applying for child care financial assistance. Child Care Subsidies play a key role in EEC’s mission of providing the foundation to support all children in their development as lifelong learners and contributing members of the community, and supporting families in their essential work as parents and caregivers.

3. Voucher Management Services/Functions Provided by CCR&Rs • Eligibility Determinations • Eligibility re-evaluation Determinations • Change of Status Determinations • Waitlist Management • Information and Referral • Recoupment • Management of Provider Data Base for Slots • Monitoring of Voucher Providers • Billing

4. Massachusetts CCR&R Network 2008 Data Report (Self-reported Data from CCR&R Network) • 29,444 families, with 37,021 children, received services from their local CCR&Rs in 2008 • This is for Information and Referral Services only.

5. 2008 MA Data Report (cont.) Of those requesting care, the Network reports the following:

6. 2008 MA Data Report (cont.) The Network reports a 27% increase in I & R services from 2005-2008 and a 13% increase in voucher children served from 2005-2008. Note: Between FY06-FY08, EEC saw a 16% increase in voucher children.

7. Current Voucher Management in Massachusetts (FY09) Caseload varies greatly across CCR&Rs: Individual Voucher: • Smallest: 1,065 • Largest:12,143 • Average: 4,503 Authorization (including initial determinations, re-evaluations and change of status authorizations) caseloads: • Smallest: 1,289 • Largest:12,867 • Average: 4,530 Licensed or Licensed Exempt Sites which accept vouchers in catchment area: • Smallest: 2,064 • Largest:19,877 • Average: 7,000

8. Information and Referral by Telephone EEC supports information referral through a 1-800 number that allows families to access the local Resource and Referral Centers by phone. The contract expires June 2010. Summary of 1-800 number usage in FY09 • 22,292 callers in total accessed the 1-800 information service. 4,114 callers entered their zip codes to request additional information 3,959 were in English /155 were in Spanish Less than 590callers were transferred to the CCRR for additional services. Note: There was not widespread internet access in the last procurement in 1998.

9. Voucher Management in Massachusetts (cont.) • FY2010, CCR&Rs expect to receive approximately $9,000,000 for the provision of voucher management services • The amount of funding each CCR&R receives is based on an allocation formula from the current procurement of voucher management services, which was conducted in 1998

10. Voucher Management in Massachusetts (cont.) • 12 CCR&Rs • hold 14 contracts for voucher management throughout the state • two agencies hold contracts in more than one region • 1 additional CCR&R • receives funding for information and referral services, but does not manage vouchers in their region

11. FY10 Voucher Management Financial Allocations FY10 Voucher Management Staffing Patterns Smallest: 5.76 FTE (Full Time Equivalency) Largest:33.59 FTE (Full Time Equivalency) Average: 13 FTE (Full Time Equivalency)

12. Values The Department of Early Education and Care (EEC)’s Mission, Vision and Strategic Plan are built on the recognition that families are essential partners in our work. The foundation for managing vouchers should be a strengths-based approach that recognizes families as their child’s first teacher and acknowledges them as experts on their own child.

13. Value: Strengths-Based Approach Principles: • a partnership approach to service provision • a family-centered, family-driven agenda • an individualized response to family needs and capacities • a broad-based, comprehensive view of family development • an assessment of outcomes based on family functioning and the quality of life of family members

14. Values/Program Parameters The following Values and Design Recommendations reflect findings from a growing body of research, including: • Gina Adams and the team at the Urban Institute • Valora Washington • Standards from the NACCRA quality assurance process • Previous work by Gail DeRiggi

15. Value: Support all families in accessing information, referral and quality child and out of school time care. • Ensure appropriate customer service policies are in place to ensure high quality consumer education and referral services • Ensure staff possess appropriate skills and knowledge to perform their job duties • Ensure agency has a plan for continuous quality assessment and improvement, including a yearly satisfaction survey • Identify each family’s needs for early care and education and out of school time and make appropriate referrals

16. Value: Support families who may qualify for financial assistance • Simplify policies regarding the application and determination process for vouchers • Address the unique needs of working parents by ensuring the least amount of disruption to work possible • Support families through life changes when possible Value: Increase parent choice and flexibility to address the needs of their children and the entire family • Provide parents assistance in finding quality programs that accept vouchers and that meet the needs of each individual family

17. Value: Improve the quality of care for Children in Massachusetts • Through parameters and quality benchmarks for programs that provide voucher care • Ensure effective policies regarding inclusion for programs accepting vouchers • Ensure programs accepting vouchers are healthy business models

18. Design: Decisions to be Made • Consider a centralized call center and centralized waitlist to manage phone based information and referral services to ensure access to specialized information, including such services as translation, children with special needs and disabilities, etc. • Review the funding formula elements for allocation formula • Determine the number of entities to deliver quality services effectively and provide access for families. MA Executive Office of Health & Human Six Services Regions

19. Design: Decisions to be Made (cont.) • Select a state network model for managing resource and referral services and/or voucher management in Massachusetts • Types of Statewide Child Care Resource and Referral Networks • Coordinating Networks • Managing Networks • Single Statewide Entities • Voluntary State Networks

20. Coordinating Networks • Develop local CCR&R best practices and standards • Provide training and support for partner CCR&R staff • Offer statewide child care consumer education and referrals for families • Collect, analyze, and report data from local CCR&Rs and other sources • Build child care supply and quality • Manage special project grants

21. Managing Networks offer the same services as Coordinating Networks, and: • Manage and distribute CCR&R funding for State Child Care Administrators • Determine the range of services local CCR&Rs should provide • Develop and carry out contracts • Track CCR&Rs' performance through evaluation and quality assurance activities

22. Single Statewide Entities • Usually serve states with small geographic areas or populations • Provide CCR&R services to entire state through one or two agencies • May have multiple satellite offices located across the state • Function somewhat like Managing State Network for satellite offices and for data collection and reporting purposes

23. Voluntary State Networks • Generally receive no state funding to support their work • Depend on local CCR&R directors and staff to volunteer time to coordinate and lead the state's CCR&R system • Are unable to provide the same level of service as funded State Networks Massachusettshas a Voluntary State Network

24. Feedback from Advisory and Board’s Program and Policy Committee • EEC should conduct Focus Groups participation to gain input. • What has worked / not worked in the past? • Will parents be involved in the discussion? • Examine the amount of administration and set a reasonable limit. • Which administration model provides the highest quality for the funding? • Balance expectations with funding. • What is the best practice in a State Network (gold standard)? • Should EEC forego a network and do the work in-house or with other local partners? • The voucher management system must be more efficient in the future. • EEC must remember the intent of the services is to support children and families, not keep agencies in business.

25. Next Steps • EEC will conduct 6 focus groups statewide with partners in the field: • 3 focus groups of parents of children who have vouchers; and • 3 focus groups of educators/programs who accept vouchers.