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Re: Title IV-E claiming ratio
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<DIV>I will reply to you offlist, if you would like more information. We
are not doing academic research here, but are using some methods for claiming
IV-E "overmatch" (money which WE as a county match, not the State of California)
to fund largely behavioral health case management services for children
needing preplacement preventive care under the Missouri appeals board
decision regarding preplacement preventive services.</DIV>
<DIV> </DIV>
<DIV>Our IV-E claiming ratios differ substantially across different agency and
department lines, here in California, based on the differing characteristics of
the populations we serve, some economic and some related to other qualifying
factors. </DIV>
<DIV> </DIV>
<DIV>For instance, demographically speaking, there are widely varying rations of
child poverty to child Medicaid penetration (enrollment) from county to county
in California. Generally, the lower the rate of enrollment relative to poverty
levels, the closer you are to the Mexican border or the more labor-intensive
agriculture matters in your economy. The immigration status of parents
seems to have a lot to do with whether they maintain Medicaid enrollment for
their children, and those who do not enroll their children in Medicaid because
they fear that involvement may allow us to qualify them under the
preplacement preventive services IV-E rubric, subject to review by our agency as
to whether the child meets the criteria set down by the appeals board in order
to qualify for this special case of IV-E usage.</DIV>
<DIV> </DIV>
<DIV>Although access to Medicaid and to IV-E funding for serving these children
is viewed by Congress and some members of the public as an INDIVIDUAL
entitlement to services, in reality, especially in California, they are
primarily sources of revenue to COUNTIES which provide mandated and other
services to these vulnerable child populations, either under state mandate or as
a result of public policy decisions at the local level. They are
fundamentally REVENUE sources to the provider agencies, and are, to the extent
possible, transparent to the client child.</DIV>
<DIV> </DIV>
<DIV>Freya Schultz, Santa Barbara County Social Services</DIV>
<DIV> </DIV>
<DIV>**Notice of Privacy**<BR>This information is private and confidential and
intended solely for the person or persons addressed herein. If you have
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<DIV> </DIV>
<DIV>Freya Schultz<BR>Staff Analyst<BR>Santa Barbara County Social
Services<BR>234 Camino del Remedio<BR>Santa Barbara, CA 93110<BR>Voice (805)
681-4626 <BR>FAX (805) 681-4403<BR><<A
href="mailto:freya@co.santa-barbara.ca.us";>freya@co.santa-barbara.ca.us</A>><BR><BR>>>>
SWELLS@che.umn.edu 03/17/04 07:58AM >>><BR></DIV><FONT face=Tahoma
size=1>
<DIV><FONT size=2>It seems that I have heard of folks doing research on the
Title IV-E claiming ratio in their respective states. For example, what
factors are associated with the ratio increasing or decreasing? We have
searched the web and found a considerable amount of information about IV-E
reimbursements but have not found research that attempts to explain the trends
in claiming rates. Is anyone familiar with studies that can be made
available to the public?</FONT></DIV>
<DIV><FONT size=2></FONT> </DIV>
<DIV><FONT size=2>Thanks,</FONT></DIV>
<DIV><FONT size=2></FONT> </DIV>
<DIV><FONT size=2>Susan Wells</FONT></DIV>
<DIV> </DIV>
<DIV><FONT size=2>________________________________________________<BR>Susan J.
Wells<BR>Gamble-Skogmo Professor in Child Welfare and Youth Policy<BR>School of
Social Work<BR>University of Minnesota<BR>105 Peters Hall<BR>1404 Gortner
Avenue<BR>St. Paul, MN 55108</FONT></DIV>
<DIV> </DIV>
<DIV><FONT size=2>(612) 624-4721 voice<BR>(612) 624-3744 fax<BR><A
href="mailto:swells@umn.edu";>swells@umn.edu</A><BR><A
href="http://ssw.che.umn.edu/Gamble-Skogmo/GS_Home_page.htm";>http://ssw.che.umn.edu/Gamble-Skogmo/GS_Home_page.htm</A></FONT></DIV></FONT></BODY></HTML>
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