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Human Services Presentation March 2005
Presented by: Suzanne Alexander, CCAO Policy Analyst David Dhume, Madison County Commissioner and Chair of CCAO Health & Human Services Committee Jack Graf, Fulton County Commissioner and Chair of the Area 7 WIB Consortium of Commissioners
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Human Services & Commissioners
Identify the role county commissioners play in human services
Identify funding responsibilities
Gain familiarity with programs and acronyms
Benefit from experience of your peers
Budget overview (as time permits)
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State Supervised/County Administered System
What does this mean?
– State is supposed to provide fiscal oversight, monitoring, technical assistance, negotiate with the feds, and operate necessary computer tracking and reporting systems
– Counties are to deliver the face-to-face services, provide the state with accurate reporting information, and provide feedback about how these programs are working for the citizens of Ohio
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Welfare Reform
Goal: Helping families achieve or maintain self-sufficiency
Federal Program is called Temporary Assistance for Needy Families (TANF)
Ohio’s welfare reform program is called Ohio Works First (OWF) – Focus moved from cash assistance to
Prevention, Retention & Contingency Programs (PRC). Counties have some flexibility to determine PRC Plans.
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Welfare Reform Continued
Funding Streams
– TANF Block Grant (currently in the process of federal reauthorization)
– Title XX Social Services Block Grant
– County Share of Public Assistance (ORC 5101.16) calculated by adding up:
25% of the county’s Disability Assistance expenditures and administration
10% of Food Stamp and Medicaid Administration
TANF Maintenance of Effort
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Children Services
County Commissioners have ultimate responsibility for protecting children from abuse & neglect
Structural Options
– Separate Children Services Board (32)
– CDJFS (56)
– Any private or Governmental Entity
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Children Services Continued
Funding Sources
– County funds comprise over 50%
About half of Ohio’s counties have levies to fund this obligation
– Federal Funds finance over 40%
Title IV-E
Some TANF for supportive services
Title XX also used
– State Funds
About 7% (Ohio Ranks 49th out of 50 states)
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Adult Protective Services
Counties are also responsible for protecting adults over age 60 from abuse and neglect
– Used to get some state GRF for this function, but now counties use mostly Title XX dollars, thus putting these services in competition with other Title XX allowable populations
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Child Support
County Commissioners are responsible for designating and overseeing a Child Support Enforcement Agency (CSEA) to perform duties such as: – Establish paternity – Enforce support orders – Locating absent parents
Structural Options – CDJFS (59 counties) – Separate agency (21) – County Prosecuting Attorney (5) – Court of Common Pleas (3)
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Child Support Continued
Funding Sources
– Federal IV-D pays 66%
– Ohio’s Share
State GRF
Administrative Fees
Federal Incentive Dollars
County GRF Contribution (OPTIONAL)
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WORKFORCE DEVELOPMENT
County Commissioners are responsible for implementing the federal Workforce Investment Act (WIA)
Commissioners appoint the business-driven board and provide a workforce development agency to deliver services
Funding Sources – Federal WIA Funds
– TANF dollars when applicable
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Supportive Services
Your CDJFS performs a host of supportive services that represent millions of dollars a year in spending that you are liable for, such as:
– Child Care Eligibility Determination
– Food Stamp Eligibility
– Medicaid Eligibility
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Veterans Services
Each county must have a Veterans Services Commission (VSC)
According to ORC 5901.11 and a court case called Lynch v. Gallia Co. Bd. Of Co. Commr’s, county commissioners must fund the VSC for all lawful requests up to five-tenths of a mill.
VSC’s are also entitled to up to $500 for Memorial Day expenses (ORC 307.66)
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MR/DD
County commissioners are the taxing authority and shared appointing authority for the county MR/DD Board
Funding Liability – Definitely maybe off the hook if you place
a levy on the ballot. ORC 5126.05, ORC 5705.19(L) and Jackson
Co. Bd. Of MR/DD v. Jackson Co. Bd. Of Comm’rs
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Alcohol, Drug Addiction & Mental Health
County Commissioners have shared appointing authority
County Commissioners are the taxing authority for levies (unless your county is part of a joint county ADAMHS Board)
ODMH v. Clermont Co. ADAMHS Board – no funding liability for commissioners. NOTE: Statutory language serving as the basis of this case was changed in 1996. No court challenge has occurred since then.
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Medically Handicapped Children Program
Counties are required to pay for the state’s medically handicapped children program up to one-tenth of a mill according to ORC 3701.24
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Tuberculosis
County commissioners are payor of last resort for TB treatment & detention costs under ORC 339.19 and 339.89
Counties can pass a TB levy up to .65 mill
There are about 300 cases of active, highly contagious TB in Ohio every year.
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Senior Citizen Services
County Commissioners have the option of putting on a levy for senior citizen services or facilities under ORC 5705.71
At last CCAO survey, 56 counties have Senior Citizen Levies
Organizational Structure – Most counties choose to appoint and organize a board or council to
oversee the senior services levy. Some boards are organized as non-profits and some are not. A few counties have set up a county agency to administer the levy services.
– These boards usually hire someone to help them assess need and determine what services should be provided. The hired employee then contracts with providers to actually deliver the services.
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County Homes & Hospitals
These are completely optional services that county commissioners can offer.
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Concluding Remarks
Please feel free to contact your CCAO Human Services Policy Analyst, Suzanne Alexander, at (614) 220-7982 or [email protected]