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Abstracts for Special Improvement Project(SIP) Grants Awarded in FY 2004 "Using the Internet to Provide Ethnic and Culturally Diverse Populations With High-Quality Child Support Information: The Case of the Beehive"
(NOTE: Includes Findings from the Final Report) ProjectPlan The Urban Institute, in partnership with One Economy Corporation, responded to 2004 Priority Area 6: Improving Child Support Services for Ethnic and Culturally Diverse Populations to develop high-quality online child support information specifically for families in low-income, and ethnic and culturally diverse communities. A guiding principle in the National Child Support Enforcement Strategic Plan is that child support services are most effective when cultural differences are respected, and child support programs have an obligation to provide public education and outreach to all families in need. This 17-month grant will produce three sets of bilingual web pages (one national and two local) on www.thebeehive.org, and can be used as a model for other local and national sites. The Beehive is an existing website that is not a government site, and is actively used by many low-income and Spanish-speaking families across the country. The Beehive will address the four main deficiencies in current online content's relevance for people in low-income and underserved communities: literacy barriers, language barriers, lack of cultural diversity, and lack of local information. To develop the child support sections of the Beehive, the grantee will obtain high quality web-based child support information from various groups of interest, research and provide web page content, conduct focus groups with consumers in two local communities of interest, conduct telephone interviews with child support staff and advocates in communities, present the content and solicited feedback at two conferences, and revise the pages to reflect this feedback. Project Findings (from the Final Report) An estimated 68% of Americans use the Internet, and some research suggests that the fastest growing group of Internet users is low-income single-mother households, a group of clear interest to the child support community. One Economy Corporation reports that the number of Hispanics using the Internet is growing at a faster rate than any group. Even individuals without Internet access can benefit when they are given the site's information by advocates and community- and faith-based organizations. Many low-income Internet users log on at libraries, community centers, schools, and at another person's home. The Beehive receives as many as 200,000 visits every month, about a quarter of which are to the Spanish Beehive. A series of child support web pages are available online at the Beehive via the Family and Money sections. Likewise, the child support pages feature links to other parts of the site. The Spanish version is accessible by changing "Language" at the top of the screen. These pages are designed for the National Site, and for the Washington, DC and Portland, OR sites. Clicking on "Switch" changes the page from the national to local page. The pages are also accessible through several links throughout the Beehive site. The website is written at the 6th grade reading level. The project was met with great enthusiasm and support by consumers, advocates, and local program administrators, confirming the need for "live" Internet content that is accurate, relevant, and accessible to people in ethnic and culturally diverse communities. These bilingual web pages can help reduce information gaps among custodial parents in Hispanic/Latino communities with basic information about child support enforcement, access to services, Spanish language materials for those with Limited English Proficiency (LEP), and information assuring applicants that cooperating with the child support enforcement program will not affect their immigration status. Lessons Learned The project did yield several lessons learned: Program knowledge needs to be supplemented with technical expertise in website design, and it helps to have a visible "home base"--an existing website on the Internet; translating online content into languages other than English can present challenges since there may not be consensus on what terms are best; a key element of creating a successful website is simplifying complex, government programs into readily understood terms and steps; it is important to recognize that the website will not cover all situations individuals face; and the site should provide the audience with opportunities to contact and ask questions directly of local IV-D offices and other service providers. Note: The April 2006 Child Support Report contains an article on the Beehive - http://www.acf.dhhs.gov/programs/cse/pubs/2006/csr/csr0604.pdf
Grant Number: 90FI0061
Project Officer: Frank Fajardo, ffajardo@acf.hhs.gov Project Period: 07/01/2004 through 11/30/2005 (extended through 02/28/2006) Center for Policy Research-SIP Grant "Early Intervention: A Multi-Site Study"
Early Intervention: A Multi-Site Study is a project being conducted by the Center for Policy Research (CPR) of Denver, Colorado to respond to 2004 Priority Area 4: Expanding Customer Services Through Agency-Initiated Contact. This 17-month study will assess the use and impact of early intervention techniques in five jurisdictions of varying size. They are:
At each site, workers are making special efforts to contact non-custodial parents and/or employers for a sample of 100 to 200 cases. In Oregon, outreach occurs at case opening, prior to the generation of orders. At the other project sites, outreach occurs immediately following the promulgation of a new or modified child support order. The goal of these worker-initiated outreach efforts is to explain the child support obligation and to identify and address barriers to payment before a habit of nonpayment develops and arrears accrue. If non-custodial parents do not respond, the objective is to swiftly initiate enforcement activity. Using a common data collection form, workers at each site record the efforts they make to reach and communicate with non-custodial parents, employers and custodial parents, and the results of these efforts. Project outcomes are assessed by extracting information on child support payments and enforcement actions for all cases exposed to early intervention techniques over a 12-month period of time. A sample of comparable cases that is treated using normal agency procedures rather than early intervention techniques is being generated at each site and comparable information on case characteristics and payment and enforcement outcomes is being extracted from automated child support records. Comparing the sample of early intervention cases to those treated using conventional techniques is expected to document the types of cases and the stages of case processing that are most responsive to agency-initiated outreach efforts; the most effective early intervention techniques that child support workers should use to promote payments and/or initiate child support enforcement activity in a timely manner; the benefits and costs associated with agency-initiated outreach efforts; and the variations in implementation and outcome for early intervention techniques in a variety of geographical settings of different sizes and administrative arrangements.
Grant Number: 90F10059
Project Officer: Robert Clifford, rclifford@acf.hhs.gov Project Period: 07/01/2004 through 11/30/2005 (extended through 10/31/2006) San Francisco Local Child Support Agency "Enhanced Parental Involvement Collaboration" (EPIC) This 17-month grant responded to 2004 Priority Area 5: "Helping Non-custodial Parents (NCPs) Meet Their Child Support and Family Responsibilities." EPIC was designed to reverse the high rate at which imputed or presumed income was used to establish child support orders. The project partners were the San Francisco Unified Family Court and its designated Family Law Facilitator. The project set out to test the hypothesis that enhanced customer service and outreach strategies would reduce the order establishment default rate. The evaluation design used a random assignment methodology of new cases, with one set of cases being assigned to the "EPIC Team" and the other set of cases being exposed to the standard establishment practices and procedures employed by the CSE agency. The "EPIC Team" consisted of two experienced child support workers who received specialized training on the following six alternative establishment intervention methods; they also received ongoing cross-training with court staff:
The EPIC project goals were to:
Project Findings (from the Final Report):
Lessons Learned/Next Steps:
Grant Number: 90FI0063
Project Officer: John Langrock, jlangrock@acf.hhs.gov Project Period: 07/01/2004 through 11/30/2005 (extended through 06/30/2006) State of Connecticut Judicial Branch, Support Enforcement Services Unit "Connecticut Customer Service Outreach Project"
This 17-month project responds to 2004 Priority Area 7: Furthering the Child Support Mission to Ensure All Children Receive Financial and Medical Support from Their Parents. The Connecticut Judicial Branch, Support Enforcement Services proposes a six-fold method of increasing child support payments and preventing non-compliance with child support orders:
This project strives to approach child support through a proactive, client-centered orientation, similar to that of Australia's child support system. While still in the development phase, this project has developed significant contributions to the child support community in the form of the following three deliverables: Customer Service Satisfaction Survey (including a telephone script which troubleshoots intercepted survey attempts such as voice mail or no answer); Specialized Informational Brochures; and Specialized Letter of Introduction for an automated notification system.
Grant Number: 90FI0068
Project Officer: Carol Monteiro, cmonteiro@acf.hhs.gov Project Period: 07/01/2004 through 11/30/2005 (extended through 11/30/2006) Iowa State Department of Social Services, Bureau of Collections "Connecting Child Support to the Community to Secure Improved Outcomes for Children" (NOTE: Includes Findings from the Final Report) Purpose: This project was in response to 2004 Priority Area 2: Educating Public on Parental Responsibilities and Promoting Healthy Marriage. Its goals are to enhance child support's community interaction to promote parental responsibility and healthy marriage in Polk County, and to increase awareness in the county of the benefits of healthy marriage and delaying becoming a parent until marriage. The project will achieve an increased presence through presentations, public awareness campaigns, partnerships, and staff training. Project Findings (from the Final Report):
Lessons Learned:
Due to the diversity of the program, a variety of evaluation methods were used. Some of the methods included pre- and post- test, self-reporting, telephone surveys, child support payment information, paternity establishment figures and debt data from child support cases in Polk. Iowa State University, the YMCA and child support staff all participated in various components of the evaluation.
Grant Number: 90FI0066
Project Officer: Sherri Larkins, slarkins@acf.hhs.gov Project Period: 07/01/2004 through 11/30/2005 (extended through 03/31/2006) Attachment: Example Did You Know? Messages Louisiana Family Council (LFC) "Project Bridging the Gap"
NOTE: This New Orleans-based project was forced to close due to the impact of Hurricane Katrina. On October 15, 2005 the grantee indicated that "due to the total loss of our office facility and its contents, it is impossible to conduct the program. Additionally our staff and clients are dispersed throughout the country and many are not expected to return to the area in the near future." This 17-month grant project responds to 2004 Priority Area 6: Improving Child Support Services for Ethnic and Culturally Diverse Populations. The project's aim is to increase child support payments and paternity establishment by identifying barriers and implementing strategies to "bridge the gap" between culturally diverse populations and available child support services. Project Bridging the Gap targets its services to direct-service delivery professionals and the community at large, with an emphasis on African-American, refugee, and Hispanic/Latino communities. The Louisiana Family Council is spearheading a collaborative effort with Louisiana State University Human Development Center, Family Court Judges, New Orleans Housing Authority, Caring to Love Ministries' Crisis Pregnancy Centers of Louisiana, Great Expectations Foundation, Support Enforcement Staff, as well as other community- and faith-based organizations. Three primary strategies of this project are to convene forums, develop a two-part, state-wide training for Support Enforcement Staff (SES), and implement a pilot program. The forums address systemic change, current service design, and utilization of state statutes at the macro level. The state-wide training prepares SES to improve customer-service relations and to develop a plan that educates legislators about barriers faced by underserved ethnic and culturally diverse populations. Lastly, the pilot project, entitled "Stop the Drama," educates parents about the child support system, child support resources, and other family service agencies in the community. LFC utilizes media communications as an avenue for reaching program constituents such as the Black Judges Association, Police Jury Association, and the like. Examples of communication initiatives include, but are not limited to, public service announcements, a televised presentation, and a magazine article. Furthermore, Project Bridging the Gap proposes the following deliverables: a programmatic brochure and curriculum entitled Everything You Wanted to Know About Child Support But Were Afraid to Ask and Stop the Drama. LFC identifies two barriers to the project: 1) winter holiday schedules which delayed program development and 2) staffing configuration which limited the amount of requests for services that the program could meet.
Grant Number: 90FI0060
Project Officer: Sona Cook, scook@acf.hhs.gov Project Period: 07/01/2004 to 11/30/2005 Family Division of the Circuit Court for Baltimore County "Maryland Family Employment and Support Program" (FESP) This grant responds to 2004 Priority Area 5: Helping Noncustodial Parents (NCPs) Meet Their Child Support and Family Responsibilities. The Family Employment and Support Program (FESP) is a court-supervised program that assists noncustodial parents (NCPs) who are behind in their child support payments to obtain full-time employment. Participants are required to submit employment applications and meet regularly with employment coordinators for job referrals. Assistance in improving interview skills and résumé writing are available for program participants. One of the key elements of the program is that this project is directly under the control of the Court. It was believed from the beginning that if program goals were to be achieved and have an impact on clients, it was necessary to have the direct leadership of the Judiciary. One of the first steps involved consolidating all of the child support dockets before one judge who would consistently apply the same policy to all program participants. Professional employment coordinators were hired with the grant funds. Two-month review procedures were then established so that progress could be determined with respect to NCPs and their quest for employment. Another important aspect of the program was the use of Writs of Attachment for parents who refused to participate in the program. The word on the street quickly spread that if parents failed to take the program seriously, the Court would intervene when necessary. Therefore, one of the key aspects of this program was court supervision and intervention with unemployed noncustodial parents. In terms of the general profile of parents participating in the program, the average age was 37. This was very consistent with the Court's survey prior to the grant program. Approximately 79 percent of the population is African American, mostly males living with parents, grandparents, aunts, uncles or siblings. (Approximately 75 percent of the population lives as a dependent with someone else.) In terms of criminal background activity, current data shows that 86 percent of the participants have a criminal background, most of which is drug-related. The timing of criminal activity is somewhat mixed in that it is more frequent with younger participants as opposed to older parents who may have a history of criminal activity from more than ten years ago. These clients are offered the same services as everyone in the program such as substance abuse treatment, job readiness training, resume writing, skill level advancement training, etc. The only difference is that these noncustodial parents may be given a referral to an employer that hires ex-offenders. It was also noted that the older population appeared to be more focused in terms of reunification, both from a visitation and child support standpoint. Finally, with respect to education, about a third of the population had less than a high school diploma or GED. There were various service providers who assisted with this program. They included:
Another important element of this program was employment development. To develop this base, project staff worked within the County with the Employment Offender Network. This group was established so that diverse employment programs could share databases for future referrals. Agencies participating in this network included: the County Executive's Office; the Department of Social Services, the Office of Employment and Training; the Department of Economic Development, the Division of Corrections; and the Community College of Baltimore. Project Findings (from the Final Report): Goal- In a given year, the program anticipated that 200 NCPs would be ordered or would voluntarily consent to participate in the program. As of February 28, 2007, there were 201 participants in the program. Of those, 135 parents are employed and paying child support. This represents approximately two out of every three parents (67.16%) in the program who are employed and paying child support. Goal- The program anticipated that 80 percent of the enrolled parents would be employed within 8 weeks after entering the program. The average length of time to obtain employment was about 8.4 weeks, which is very close to the stated objective in the grant proposal. The median income of the parents in the program is $12.62 per hour and over the course of the 22-month history of the project history that amount has increased by more than 50 percent. Goal- After the first year of operation, the program expected that 50 employers would be recruited within the Metropolitan Baltimore area willing to act as a referral source for employment for the FESP program. FESP has an employer base of 36 employers in the Baltimore Metropolitan area. They are currently working on the stated goal of 50 employers. Additionally, the program utilized six training programs. Goal- After the first year of operation, FESP would be responsible for collecting $200,000 in child support payments and after two years the total collection rate would climb to $400,000. In terms of child support collections, FESP is well on the way toward collecting more than $400,000 annually. During the first seven months of operation, FESP collected $35,448.39 or an average of $5,064 per month. Over the next 12 months, FESP collected $292,921.16 or an average of $24,410.09 per month. Between July and September, FESP collected $103,688.69 for the last three months or an average of $34,562.89 per month. Projected over a 12-month period, this would mean that anticipated collections would amount to $414,000 annually. In that event, the collection-to-cost ratio would be approximately $4.10 for every $1.00 spent on program costs. Lessons Learned/Next Steps All child support dockets were consolidated under one judge to ensure that the same policy was consistently applied to all participants. Professional employment coordinators were hired who had experience working with similar populations. Under the project model, the employment coordinators worked directly for the court and responded to court policies and procedures. The key to success of this project was the constant followup and assistance provided by the court so that noncustodial parents would continue to pursue employment to support their children. Another important aspect of the program was the use of Writs of Attachment (i.e., a warrant to bring the noncustodial parent before the court) for parents who refused to participate in the program. The FESP model can be adapted to various settings depending on the size of the court and its locale. It can be integrated into a Family Court or can remain distinct as a separate program within the Court. It can utilize the professional staff under the direction of the Court or develop in partnership with other agencies that provide similar services within the community. The keys are court intervention, employment assistance and holding parents more accountable in obtaining employment and paying child support. The grantee has identified "Ten Important Steps in Developing Successful Employment Programs." The Ten Important Steps are:
Baltimore County has been very helpful in providing assistance to other jurisdictions that wish to benefit from the Program's success. This includes presentations at State and Multi-State Meetings and hosting visitors from a variety of jurisdictions. Finally, the costs to operate FESP have been completely picked up by the State through the Family Division grant.
Grant Number: 90FI0057
Project Officer: John Clark, john.clark@acf.hhs.gov Project Period: 07/01/2004 Project Period: 07/01/2004 through 11/30/2005 (extended through 06/30/2006) Michigan Supreme Court "Prisoner Support Adjustment Project" (Note: Includes Findings from the Final Report) The Michigan State Court Administrative Office's Friend of the Court Bureau (SCAO) sought to address the problems related to increasing prisoner arrears through the Prisoner Support Adjustment Project. This 17-month project responded to 2004 Priority Area 1: Improving Judicial Processing of Child Support Case Activities. Imprisoned NCPs were unable to appear at child support proceedings, and rarely possessed either the knowledge or motivation to seek a modification from behind bars to give increased visibility to how they would achieve support goals. The project was designed to test the effectiveness of using audio and video technology in allowing the prison population to gain access to Michigan child support proceedings, and further explore its uses beyond the target population. In addition, the project sought to overcome other procedural barriers by quickly identifying prisoner cases; modifying orders during imprisonment and implementing prospective support orders that become effective upon release; and facilitating new and innovative partnerships between the courts, department of corrections, the office of child support, and the SCAO. The project also was designed to better enable released prisoners to pay future support and involve themselves in their children's lives. The program planned an outcome evaluation that would focus on the following program objectives: Overcoming procedural barriers related to facilitating court access and case processing for prisoners needing a reduction in support; significantly improving collection percentages; improving customer service to an underserved population (incarcerated, indigent parents); and reducing prisoner-related transportation and security costs associated with inmates' physical presence in court. Project Findings (from the Final Report) Statewide, support orders were modified in 3,370 prisoner-related cases and reduced, on average, from $220 per month to $19 per month. Over the next year, these modifications will prevent the accumulation of over $8,150,000 in uncollectible past-due support and surcharge. In pilot counties, 367 hearings were conducted where the prisoner appeared via telephone conferencing or interactive video technology. The Michigan Department of Corrections estimates that it saves at least $170 per hearing when prisoners “attend” without the need for transport. Pilot county hearings saved the State over $60,000 in transportation and prisoner escort costs. The project offered prisoners free legal representation to modify support obligations in 838 cases by having prisoners request assistance from two State law schools. Supervised by a licensed attorney, law students gained valuable experience in preparing cases and representing clients. The project developed user-friendly materials for inmates to use to modify their support obligations without the need to hire an attorney. The materials included easy-to-understand instructions with simplified pro per forms (i.e., for lay people). These forms and instructions were sent to 933 cases for prisoners to use to initiate and represent themselves at legal proceedings. The project established new working relationships among the Michigan Department of Corrections, State Court Administrative Office, and the Office of Child Support. The agencies have begun working together on child support issues related to planning for prisoners re-entering society following release from incarceration. Lessons Learned The project did yield many lessons learned: To the extent possible, do not rely on prisoner communication or responses in order to initiate review and modification of an incarcerated parent’s support obligation (prisoner response rates varied from 20 to 25%). Utilizing administrative processes to review and holding hearings only when a party objects to a proposed outcome modifies orders faster and reduces the number of support modification hearings. In large part, success of any incarcerated parent-related project depends on the cooperation and assistance from corrections officials. Also, one must be aware that prisoners do not have routine access to the internet or direct access to telephones so they may not be able to access forms or call 1-800 numbers. Correctional agencies also have policies and restrictions regarding receiving and sending mail.
Grant Number: 90FI0064
Project Officer: Ed Donoghue, edonoghue@acf.hhs.gov Project Period: 07/01/2004 through 11/30/05 Court of Common Pleas, Allegheny County Family Division "Improving Judicial Case Processing Through the Use of Technology"
This demonstration and evaluation project responds to 2004 Priority Area 1: Improving the Judicial/Administrative Processing of Child Support Enforcement Case Activities. It will enable the Allegheny County Family Division to maximize the participation of non-custodial parents (NCPs) who do not live in close proximity to Allegheny County in court proceedings related to their child support orders. The project will involve the 95% of interstate and intercounty cases that are not heard by a Judge, and in which Allegheny County has either long-arm jurisdiction or venue. The project will test the effectiveness of allowing nonresident parents to "appear" at court hearings through teleconferencing and videoconferencing, and to provide documents for evidence through faxing. The project will reduce the number of two state cases, which will expedite the establishment of child support orders. Increasing NCP participation should result in fewer default orders based on dated or erroneous income information, greater understating by the NCP of the child support obligation, and better information about employment. A reduction in the number of default orders will reduce the accumulation of arrears. The project will implement an experimental design, comparing key outcome variables between a group of parents that has the use of video- and teleconferencing and a control group that does not. A process evaluation will assess the project's implementation and potential for replication. The qualitative and quantitative project evaluations will produce findings that address the following: the steps involved in adapting a court or child support system to accommodate video- and teleconferencing, including the creation of court rules, court and agency operating procedures, and new forms and letters; the perceived advantages and disadvantages of the new system, and recommendations for fine-tuning it; the percentage of cases that qualify for the new procedures and the percentage that actually participate; evidence of changes in timelines to establish orders or complete modifications under the new and traditional operating procedures; evidence of increased wage assignments under the new procedures; and evidence of increased collections under the new procedures.
Grant Number: 90FI0065
Project Officer: John Clark, jclark@acf.hhs.gov Project Period: 07/01/2004 through 11/30/2005 (extended through 11/30/2006) Tennessee Department of Human Services, Child Support Services Division "Memphis Initiative Promoting Parental Responsibility and Healthy Marriages" (MIPPRHM) (NOTE: Includes Findings from the Final Report) Purpose: This 17-month grant responds to 2004 Priority Area 2: Educating the Public on Parental Responsibilities and Promoting Healthy Marriage. The project will use a collaborative approach to reach unwed parents, particularly fathers, at their most vulnerable times (3 months before and after the birth of the child) to provide service intervention (particularly acknowledgement of paternity). The project also targeted unwed teens and young adults who were not parents to educate them on the benefits of marriage and the consequence of having children out of wedlock and to inform them of the various child support laws. A specialized caseworker was housed at the Memphis Regional Medical Center (MED) to fulfill the requirements of the project. The goals were to:
Project Findings (from the Final Report):
Lessons Learned:
Grant Number: 90FI0058
Project Officer: Mary Gay, mgay@acf.hhs.gov Project Period: 07/01/2004 through 11/30/2005 (extended through 05/31/2006) Texas Office of the Attorney General's Child Support Division-SIP Grant "Pension Plan Project"
This 17-month project addresses 2004 Priority Area 7: Furthering the Child Support Mission to Ensure All Children Receive Financial and Medical Support from Their Parents. The project is designed to study funds from pension and retirement plans as sources of collections for child support arrears. Although in the past, pension and retirement plans have been garnished for non-child support related reasons, the Texas Office of the Attorney General's (OAG) initiative will develop methods to efficiently identify, assess, and collect child support payments from such plans. The OAG Child Support Division is collaborating with a contractor and 2 large private employers in order to achieve this task.
Grant Number: 90FI0056
Project Officer: John Moody, jmoody@acf.hhs.gov Project Period: 07/01/2004 through 11/30/2005 (extended through 11/30/2006) Vermont Office of Child Support "Project Web-Med Support"
(NOTE: Includes Findings from the Final Report) Project Plan This 17-month grant responds to 2004 Priority Area 7: Furthering the Child Support Mission to Ensure All Children Receive Financial and Medical Support from Their Parents. Project Web-Med Support seeks to improve and enhance systems for assuring affordable health care coverage for children served by the Vermont Office of Child Support (OCS). The project's objectives are to increase the frequency of medical support provisions in child support orders; increase compliance with those provisions; and increase enrollment of children in child support cases in health insurance plans available through the employers of non-custodial parents (NCPs). The project will also streamline court and employer processes by addressing medical support at the time a child support order is formulated and rendered, precluding court reappearances by custodial parents (CPs), NCPs, and OCS staff; producing realistic court orders based on actual cost of insurance rather than on possibly inaccurate estimates; and minimizing employer contacts and use of resources by accessing health coverage data via the OCS/employer website. Additionally, the project seeks to reduce Medicaid costs; move as many children, as appropriate, off public assistance onto private insurance; and preclude third-party Medicaid billing to insurance companies that have ceased to provide coverage since original coverage data was processed. The grantee's strategies for attaining the objectives include improving available health insurance data collected by and available to staff in the Child Support and Medicaid programs; improving the data exchange between the programs; providing automated support by enhancing the OCS employer web site with up-to-date information on employer insurance coverage; following-up with employers required to report on available dependent coverage; tracking and enforcing compliance with medical support orders; and providing information to custodial parents regarding available coverage. A distinctive feature of the project is the collaboration between the staffs of two Vermont programs, Child Support Enforcement and Medicaid Managed Care for Children. Additionally, OCS will partner with employers within the state to compile private insurance information, such as what plans are offered by the company, coverage elements, and cost to the employee. Vermont will purchase contractual services for the development and implementation of systems improvements designed to fulfill project objectives and for evaluation of the effectiveness of those improvements in assuring affordable health care coverage for children. The contractor will conduct both an implementation and outcome evaluation. Preliminary Findings-Implementation Evaluation The implementation evaluation is based primarily on interviews with OCS staff, and addresses the following research questions: Do the implemented system changes work as specified in the functional design document? If not, what are the differences? And, how do the changes enhance or detract from achievement of project objectives? A post-project survey will be conducted among OCS staff to obtain feedback on project effectiveness. The implementation evaluation also reports on quantitative indicators for the months following project implementation, including the number of employers using the OCS web site to enter health insurance and the number of medical support obligations recorded in ACCESS. As of December 2005, there were a total of 211 employers registered on the OCS website, with the notable addition of the newly-registered State of Vermont-one of the state's biggest employers. Additionally, the Employer Services/Medical Support Unit is utilizing the new ACCESS screens/systems changes to record and monitor employer/insurer responses to the National Medical Support Notices. Lessons Learned This project has yielded two lessons learned for the grantee. The first, resulting from differing assumptions made about how the OCS Employer Website and the ACCESS system would share data and respectively update the other systems, is that all assumptions need to be thoroughly discussed before testers and contractors begin work. The second is that employers could register on the OCS Employer Website with one step, but then had to take another step to actually start receiving electronic notices regarding health insurance coverage updates. OCS implemented a change that allows employers to simultaneously register on the site and receive an appointment time with one of the Employer Services/Medical Support Unit staff members. This enhances the grantee's customer service to employers by providing them with up-front assistance. Outcome Evaluation (In Process) The outcome evaluation will assess whether the program meets the following goals: at least a 10% increase in the number of support orders with health insurance provisions included; at least a 10% increase in the number of children actually receiving health insurance coverage/benefits; at least a 5% decrease in the number of children in child support cases enrolled in Medicaid managed care; and within one year following project implementation, health insurance coverage information will be obtained from 50 major employers in the state employing parents with child support cases. The outcomes are projected to be achieved one year following program completion. Findings of the outcome evaluation will become available within this timeframe as a follow-up addendum to the project's final report.
Grant Number: 90FI1062
Project Officer: Michael Ginns, mginns@acf.hhs.gov Project Period: 07/01/2004 through 11/30/2005 (extended through 2/28/06) Download FREE Adobe Acrobat® Reader™ to view PDF files located on this site.
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