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THP-Plus/THP+FC Monthly Conference Call

THP-Plus/THP+FC Monthly Conference Call. Thursday, February 13 th : 10:00 to 11:00 a.m. Agenda. Welcome and introductions Medi -Cal Enrollment for Current & Former Foster Youth Guest presenter: Jessica Haspel, Children Now THP+FC Update on the number of providers

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THP-Plus/THP+FC Monthly Conference Call

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  1. THP-Plus/THP+FC Monthly Conference Call Thursday, February 13th: 10:00 to 11:00 a.m.

  2. Agenda Welcome and introductions Medi-Cal Enrollment for Current & Former Foster Youth • Guest presenter: Jessica Haspel, Children Now THP+FC • Update on the number of providers • Update on the location of programs THP-Plus • Quarterly report from the THP-Plus Participant Tracking System • THP-Plus Capacity Chart • Update on advocacy video Sign-On Letter Regarding Relative Caregivers

  3. Health Coverage for Youth in THP-Plus Approximately 650 youth

  4. Medi-Cal Enrollment for Former Foster Youth Guest Presenter: Jessica Haspel, Child Welfare Policy Associate Children Now jhaspel@childrennow.org

  5. Medi-Cal Enrollment for Former Foster Youth The Affordable Care Act extended Medi-Cal to age 26 for youth who were in foster care at age 18 or older. (Effective 1/1/14) • California Dept. of Health Care Services issued Informational Letter 14-05http://www.dhcs.ca.gov/services/medi-cal/eligibility/Documents/MEDIL2014/MEDILI14-05.pdf • CWDA Desk Aidhttp://thpplus.org/wp2/wp-content/uploads/2014/02/FFCC-Desk-Aid-3.pdf

  6. CA’s Former Foster Care Children’s (FFCC) Program: Then and Now Former foster youth (FFY) are enrolled in the Medi-Cal coverage group for Former Foster Care Children.

  7. California’s instructions to counties • Counties are instructed to enroll youth who were in foster care at age 18 or older in any state. • Until the automated systems are reprogrammed eligibility workers must manually override the system to assign the appropriate aid code to former foster youth 21 or older. • No income determination conducted (eligibility is based on being in foster care on 18th birthday, age 18-26, and CA residency). • Youth who personally attest to having been in foster care at age 18 should be enrolled in Medi-Cal immediately while county verifies eligibility.

  8. What’s covered for former foster youth under Medi-Cal? • Medical care • Vision exams • Substance abuse treatment • Mental health services and counseling • Dental care starting in May 2014 • Coverage for youth under 21 also includes Early and Periodic Screening, Diagnosis, and Treatment services (EPSDT).

  9. How do eligible youth sign up? • Best way to apply is directly through the county, in-person at the local Medi-Cal office with the MC 250A form: http://www.dhcs.ca.gov/formsandpubs/forms/Forms/mc250a2014.pdf • Children Now developed a list of contacts in each county for Medi-Cal: http://www.childrennow.org/uploads/documents/Coveredtil26_CountyContactList.pdf • Right now, youth are likely to experience significant barriers if they try to apply through Covered CA or online

  10. Children Now’ Coveredtill26 website has tips for when youth apply Former foster youth: • should be enrolled in the Former Foster Care Child (FFCC) coverage group • should be assigned the “4M” code • do NOT have to provide income information • do NOT have to fill out the full Medi-Cal application (just MC 250A form) • do NOT have to provide proof that they were in foster care at age 18 – the county will verify Additionally, it may help to bring Informational Letter 14-05 and to write down the CA law that expanded coverage (California Welfare and Institutions Code Section 14005.28).

  11. Benefits to enrolling in the former foster youth coverage group Youth eligible for Medi-Cal based on their former foster youth status are enrolled in Medi-Cal under the “4M” aid code. Benefits of Coverage under the “4M” Program: • Youth are eligible for fee-for-service Medi-Cal, which means they can get care from any Medi-Cal provider. • Youth maintain coverage until age 26 (simplified redetermination process) • No income requirements = youth stay covered in Medi-Cal regardless of income changes.

  12. Additional Resources

  13. Upcoming Web seminar on Medi-Cal Extension for former foster youth Children Now and Youth Law Center are hosting a web seminar, “Medi-Cal coverage until age 26 for former foster youth” Thursday, February 27th from 11:00 a.m. to 12:00 p.m. Register here: https://attendee.gotowebinar.com/register/8905480491668575233

  14. THP-Plus Foster Care (THP+FC)

  15. THP+FC Provider Growth 2013 2014 2012

  16. 1 Del Norte Siskiyou 1 1 Humboldt Location of THP+FC Housing Shasta 3 2 Lassen Tehama 2 2 Plumas Mendocino 1 2Butte Glenn 1 1 Lake Sonoma 1 1 Nevada Placer 1 Sutter 1 2 El Dorado Yolo 1 X Sacramento Solano 1 4 Contra Costa San Francisco 2 1San Joaquin Alameda 6 1 Stanislaus 4 Santa Clara Santa Cruz 1 1 Merced 1 Mariposa 2 Fresno Monterey 2 1 Tulare San Luis Obispo 1 Santa Barbara 1 X San Bernardino Ventura 3 6 Los Angeles Orange 3 2 Riverside Counties with high # of NMDs Counties with high # of NMDs without THP+FC San Diego 3

  17. THP-Plus

  18. THP-Plus Participant Tracking System Quarterly Report Covers period of October 1 – December 31, 2013 Data on sample of 538 THP-Plus participants

  19. Employment Status of THP-Plus Participants Report ending December 31, 2013; 538 participants

  20. Income Status of THP-Plus Participants • Average monthly income: $913.81 • Average hourly wage: $9.28 • 51% report receiving at least one form of public benefit • 25% report receiving another form of financial support Report ending December 31, 2013; 538 participants

  21. Educational Status of THP-Plus Participants Report ending December 31, 2013; 538 participants

  22. Of those enrolled (38%) in school, what degree are they pursuing? Report ending December 31, 2013; 538 participants

  23. Status of Parenting, Insurance, Permanent Connections and Criminal Justice Involvement • 21% of participants are custodial parents • 71% report having health insurance • 92% report a permanent connection with an adult • 6% of participants have been incarcerated or detained in adult criminal justice system since entering THP-Plus • 6% of participants have had an adult misdemeanor or felony conviction since entering THP-Plus Report ending December 31, 2013; 538 participants

  24. Changes from 6 months prior, quarter ending 6/30/13

  25. Changes from 6 months prior, quarter ending 6/30/13

  26. THP-Plus Capacity Chart • THP-Plus Capacity Chart lists providers with open THP-Plus slots, and providers with waiting lists. • Also lists contact info so providers can coordinate with one another about referrals.

  27. Clarifications from CDSS Legal: February 2014 • The California Department of Social Services has provided the following clarifications regarding accepting out-of-county youth into THP-Plus: • Eligible youth may participate in a THP-Plus program in any county with an approved THP-Plus plan. • Any county with an approved plan may elect to accept a youth from another county into their program.

  28. WAIT LISTS OPEN BEDS thp-plus capacity chart

  29. THP-Plus Capacity Chart

  30. THp-Plus Advocacy Video • John Burton Foundation is developing a 2-3 min. video on THP-Plus: • Who does THP-Plus serve? • What does THP-Plus provide? • Why is THP-Plus necessary? • Where would former foster and probation youth be without THP-Plus? In early March JBF will disseminate to providers for their own advocacy use

  31. Sign-on Letter to California State Legislature Regarding Relative Caregivers

  32. Sign-on letter to State Legislature RE: Relative Caregivers Under current foster care funding rules: • Arelativecaregiver receives a foster care benefit only if the child is federally-eligible. • If not federally-eligible, relative caregiver applies for state welfare benefit (CalWORKs). • If non-federally-eligible child is placed in non-relative foster home or group home, however, they will receive state foster care benefits.

  33. Why Does this matter? By denying relative caregivers foster care benefits, we are placing children into deep poverty  the CalWORKs grant for a single child is equal to just 37% of poverty level!

  34. Inequity in monthly rates

  35. Sign-on to the letter! Sign onto a letter to the California State Legislature asking them to change this arbitrary and irrational foster care funding rule that places many foster children living with relatives into deep poverty. To sign-on, follow this link to enter your organization’s contact information. (Individuals can sign on as well). https://www.surveymonkey.com/s/C6S6JFK Deadline to sign on to the letter is TUESDAY, FEB. 18th! For more information about this issue, contact Angie Schwartz at a.schwartz@kids-alliance.org

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