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Category Archives: Child Support
We have 40 million people in our child support caseload, including about 24 million adults. A third of the people in our caseload have incomes below the federal poverty level. According to a recent Urban Institute analysis of Census data (now on the OCSE website), our program served nearly 80 percent of poor custodial families in 2009. The Affordable Care Act will help make health care coverage more affordable and accessible for the people in our caseload. While obtaining medical support for children remains an ongoing responsibility, your child support office also can refer parents—both mothers and fathers—to the Health Insurance Marketplace.
States have new opportunities to expand Medicaid coverage to include adults without children living at home who have incomes at or below 133 percent of the federal poverty level (about $15,000 for an individual). Community health centers have more funding than before. When I was a young mother, I didn’t have health insurance. We went to a public health center for my kids’ check-ups. My first son was born three months prematurely. We were still paying $10 per month toward that hospital bill when my second son had emergency surgery. I applied for Medicaid. I will always remember how I felt when my caseworker said, “We can take care of it. We can cover the bill. Don’t worry.”
Low-income noncustodial parents have an opportunity for the first time to get their own health needs covered. Think of that! Think of our ability to make a difference for the parents and children in our caseload. I will never forget a noncustodial parent employment program that I visited 20 years ago—the men couldn’t pay child support because they couldn’t get jobs. They couldn’t get jobs because they did not have front teeth.
Access to health coverage will help reduce racial, income, and gender disparities among the people in our caseload. Of the 6.8 million uninsured African-Americans in this country who are eligible for coverage through the Health Insurance Marketplace, 56 percent are men. Of the 10.2 million uninsured Latinos in this country who are eligible for coverage through the Marketplace, 55 percent are men.
Now is the time to focus on outreach, information, and referrals for the parents and children in your caseload. Open enrollment begins October 1, with coverage beginning January 1 in this first year of implementation.
Later this fall, consumers can learn about and enroll in coverage through HealthCare.gov. HHS has launched a 24-hours-a-day consumer call center that is ready to answer questions in 150 languages. More than 1,200 community health centers across the country are preparing to help enroll uninsured Americans in coverage, and a partnership with the Institute of Museum and Library Services will help trusted local libraries be a resource for consumers who want information on their options.
In addition, HHS has begun training other individuals who will be providing in-person assistance, such as agents and brokers and certified application counselors. Health care navigators will serve as an in-person resource for Americans who want additional assistance in shopping for and enrolling in plans in the Health Insurance Marketplace beginning this fall. Navigators are trained to provide unbiased information in a culturally competent manner to consumers about health insurance, the new Health Insurance Marketplaces, qualified health plans, and public programs including Medicaid and the Children’s Health Insurance Program. More than 100 national organizations and businesses have volunteered to help Americans learn about the health care coverage available in the Marketplace.
Plug in, and help the uninsured parents in our caseload get access to health care coverage. Our Health Care Connections fact sheets on the OCSE website can help point you in the right direction.
On Oct. 1, 2013, enrollment in the Health Insurance Marketplace will begin under the Affordable Care Act (ACA), while coverage will begin on Jan. 1, 2014. Child support agencies have an important role to play in connecting uninsured parents and their children to health care coverage by providing them with information about and referrals to the Health Insurance Marketplace.
But as important as these dates are for consumers, they are not child support program deadlines. Child support program requirements will not change on Oct. 1 and Jan. 1. Instead, we will continue to keep doing what we are doing—what our statute directs us to do, which is to provide for child health care coverage in child support orders. Employers still have the same medical child support responsibilities to respond to the National Medical Support Notice as they had before. Over time, the ACA will likely impact how we carry out our medical child support responsibilities, but not directly and not tomorrow.
At OCSE, we’ve done a number of things to pave the way for the future of medical support:
- Early on, even before the ACA was enacted, we issued grants to bring together state child support and state Medicaid teams to begin to identify the issues.
- Beginning in 2010, we issued guidance to give state child support agencies flexibility to manage consistently with each state’s health care direction and framework—programmatically—as well as data reporting and audits.
- We clarified that state child support agencies may look to both private and public coverage in ordering medical child support.
- We clarified allowable activities, including medical support facilitators and liaisons to cover children and to develop effective health care referral policies for both parents.
- We’ve worked with the Centers for Medicare & Medicaid Services (CMS) to secure a medical support hardship exemption that exempts a parent from paying the shared responsibility payment if their child is not covered because the other parent was ordered to provide coverage but did not do so.
- We’re actively working with CMS to clarify child support assignment, cooperation, and Medicaid referral policies.
- We’re working within the federal government to clarify data sharing legal authorities between state child support and health care agencies, OCSE and state health care agencies, and between OCSE and federal health agencies. Our child support safeguarding rule permits state child support agencies to share certain data with state Medicaid and CHIP agencies.
I hope you’ll look at our new OCSE Child Support Health Care Connections fact sheets with staff in your child support agencies. We’ve prepared these fact sheets to help you find the information you need about the ACA. Please let us know your ideas for sharing the fact sheets.
On June 12, just before Father’s Day, the White House hosted a Champions of Change event honoring 12 individuals who have dedicated themselves to supporting children of incarcerated parents and their caregivers. Some of these children and caregivers attended the festivities, and so did some Muppets!
Perhaps the most exciting part of the event was the announcement of a new partnership with Sesame Workshop (a nonprofit, educational organization) to reach young children of incarcerated parents. Sesame Workshop’s newest initiative, Little Children, Big Challenges: Incarceration, provides free, bilingual (English/Spanish), multimedia tools for families with young children (ages 3 to 8) who have an incarcerated parent. The tools include a guide for parents and caregivers, a children’s storybook, Sesame Street videos, a tip sheet, and the Sesame Street: Incarceration mobile app, all at SesameStreet.org/Incarceration.
Also at the event, the Administration released a fact sheet on its efforts to support children of incarcerated parents. It describes White House efforts to partner across the federal government to identify opportunities to support these children and their caregivers. The partnership produced a toolkit for child welfare and federal corrections professionals to ease coordination among child welfare agencies, federal prisons, and residential reentry centers, so incarcerated parents can stay engaged in their children’s lives or work toward reunification.
The group also produced Children of Incarcerated Parents Myth Busters to support efforts to help children of incarcerated parents, and launched a Web Portal. The portal consolidates information on federal resources, grant opportunities, best and promising practices, and government initiatives that support children of incarcerated parents and their caregivers.
I encourage child support professionals and stakeholders in the child support program to publicize all of these meaningful materials.
The Family Room Blog on the Administration for Children and Families website talks more about the event and the materials.
Why are we involved?
According to the U.S. Government Accountability Office, an estimated 1.7 million children under the age of 18 had a parent in prison as of 2007—an increase of almost 80 percent since 1991. The majority of federal and state prisoners are parents, and about half of incarcerated parents have support orders. Many child support agencies have prison and jail outreach programs to work with incarcerated parents.
OCSE is involved in several projects to assist the incarcerated population, including the Federal Interagency Reentry Council.
Is your agency involved in a project to help engage incarcerated parents with the child support process and with their children? Please submit a comment on this blog.
One of the “bubbles” in the child support bubble chart is health care coverage. In identifying family-centered strategies over the last four years, I have highlighted family health care needs. Through our medical support activities, the child support program has long had the responsibility to obtain private health insurance for the children in our caseload. Now we can play a critical role in providing information to both parents about the range of available health care options—for their children and for themselves.
Later this month, OCSE plans to launch two new fact sheet series to explain child support and health care connections under the Affordable Care Act and to address promising medical child support policies and practices under Title IV-D of the Social Security Act. Watch for them on our website, www.acf.hhs.gov/programs/css.
Starting Oct. 1, 2013, parents will be able to choose new affordable insurance options through a new Health Insurance Marketplace. There will be one application, called the “Health Insurance Marketplace Application for Health Coverage & Help Paying Costs,” that parents can use to apply for the new Health Insurance Marketplace, Medicaid, the Children’s Health Insurance Program (CHIP), and tax credits that will help pay for premiums. Parents may choose to use this application online, by phone, by mail, or on paper. In-person counselors and a toll-free phone line will be available to help them through every step of the process.
No matter what state they live in, families can get help as they apply for and choose new insurance options. Some states are setting up a state-based Marketplace; other states will work with the federal government in a State Partnership Marketplace; and the remaining states will have a federally facilitated Marketplace.
The Affordable Care Act authorizes states to expand Medicaid to adults under age 65 with income of up to 133 percent of the federal poverty level. This is approximately $15,280 for a single adult in 2013. The Act provides unprecedented federal funding for these states—the federal government will pay for 100 percent of the cost of coverage for newly eligible individuals through 2016, and pay no less than 90 percent of the cost subsequently.
No one plans to get sick or hurt, but most people need medical care at some point. Health insurance helps pay these costs. Help families find out how insurance works—and why it’s so important to have. Go to: http://www.healthcare.gov/
May highlights veterans and military families. In addition to National Military Appreciation Month, May hosts Armed Forces Day (May 18) and of course Memorial Day (the 27th). Also, May 10 is Military Spouse Appreciation Day.
As child support workers, we have an obligation to work with families at their most vulnerable. We cannot repay the sacrifice that our service men and women and their families make for our country, but for many reasons, the child support program must pay special and well-deserved attention to military members, veterans, and their families. Here are some of those reasons:
- About 50 percent of active duty members and 70 percent of Reserve and National Guard members are parents. See the OCSE fact sheet “Military Services and Child Support Partnerships.”
- About 6 percent of the national child support caseload involves a veteran or a active military member.
- Military families face extra challenges with multiple deployments and a higher divorce rate than the rest of the population.
- A massive military drawdown by the Pentagon is set to begin this August.
- Military members transitioning to veteran status often face a decrease in pay and a significant risk of unemployment.
- Cases involving veteran parents are more likely to be interstate cases that require more attention.
- Veteran noncustodial parents are likely to have significantly higher arrears—27 percent higher on average. See the OCSE fact sheet “Child Support Participation in Stand Down Events.”
In the coming months, OCSE will work with our partners at state, tribal, and local agencies, many of whom are already leading the way in outreach to military families. We plan to spread the word about their innovative services. We also plan to strengthen communication, systems, and policy links between child support and the Department of Defense and the Department of Veterans Affairs to support collaborations that add real value at the state and local levels.
Resources to help you
A Handbook for Military Families: Helping You with Child Support – Our new handbook answers questions for both custodial and noncustodial parents on topics such as paternity establishment, child support, access and visitation, and child custody. While valuable for military families, the handbook is also useful to child support caseworkers and supervisors, as well as military commanders.
Working with the Military on Child Support Matters – Look for an update this summer. We regularly hear from caseworkers that this resource serves as an indispensible desk guide on military issues surrounding a child support case.
A Child Support-VA Collaboration Toolkit – Look for our assessment later this year of nine pilot projects across the country that are helping veterans who are homeless. Through a partnership between OCSE, the VA, and the American Bar Association, the pilot projects are helping homeless veterans gain permanent housing through assistance with modifying child support orders and reducing arrears.
I’m particularly excited about our Veteran and Military Liaison Network. The network brings together staff from the state and local child support community to explore ways we can better serve those who have so proudly served us. Its members are connecting with each other smoothing the way for cases involving veterans and military families. For more information on the network or any other aspect of our work with veterans and military families, please contact Thom Campbell at email@example.com.
Two major health care dates are approaching rapidly: October 2013 when the Health Insurance Marketplace opens for enrollment and January 2014 when health coverage begins. Have you considered what this means to your program? Many of the families we serve might not realize that they are newly eligible for Medicaid and other state health insurance programs or that assistance is available to make health insurance more affordable. It’s important to educate families about coverage options and direct them to appropriate resources that will help them with the enrollment process.
The Centers for Medicare and Medicaid Services (CMS) has resources to help states with their outreach campaigns around health care coverage. The resources offer brochures in several languages including Spanish, Chinese and Tagalog. The brochure provides ways for consumers to prepare for enrollment and offers important notes about the Health Insurance Marketplace. CMS has also conducted research on the most effective ways to communicate about the Marketplace to our customers. I encourage you to read “Talking about the Marketplace” to learn messages to use in your communication and outreach efforts to families.
In addition to work around health, we’re helping to improve access to and services for our Latino customers. The Administration for Children and Families (ACF) is hosting a Roundtable at the White House with Hispanic/Latino leaders later this month to discuss opportunities for collaboration with ACF programs, including child support. Latino service providers, advocates and researchers from across the country as well as key HHS and White House representatives are invited to participate in the Roundtable. Although discussions will center on increasing Latino access to human service programs like Head Start, Child Care, and other ACF programs, the Roundtable will also touch on the Affordable Care Act (ACA) and Latinos. The “lunch and learn” portion of the Roundtable will host an HHS official to discuss the impact of the ACA on the Latino community and offer ways we can help connect families and individuals to coverage.
For additional resources to help you engage with the Latino community, check out these resources:
Spanish-language ACF Program Directory and Community & Faith-Based Guide to Resources
ACF newsletter dedicated to Latinos, Infόrmate. It provides information on ACF programs, outreach, resources, and employment opportunities.
High performing states use a mix of strategies to boost child support performance. These strategies can be grouped into three tiers. They are:
- Focus on the fundamentals. Make sure that computer systems, new hire reporting, and income withholding (e-IWO) are working well.
- Identify the performance problem. Identify the reason for irregular support payments, intervene early and set realistic obligations.
- Expand access to services. Partner with other programs and reprogram resources to address barriers to nonpayment through family-centered services.
Here’s a little more about each tier:
Tier One: Reduce the compliance gap in current collections—focus on fundamentals. This means a strong technology infrastructure and strong employer interface so that employers report new hires and implement timely income withholding orders. To reduce the compliance gap:
- Automate as much as you can to manage information, case flow, locate, establishment, enforcement, and disbursement—everything from e-IWO to document imaging to data analytics and performance management.
- Clean up your employer database.
- Implement e-IWO, starting with one employer, perhaps, and then bringing in large employers, and then other employers in the state.
- Conduct employer outreach to strengthen your relationships with the employer community, and educate (and re-educate) employers about their new hire reporting responsibilities.
- Identify self-employment and cash wages.
- Implement your access to OCSE’s State Services Portal.
- Verify Social Security numbers, which are key for locating parents.
Tier Two: Identify the reasons for nonpayment. Improving performance requires caseworkers to analyze who is in the caseload, who is paying and who is not, who has the ability to pay but is unwilling, and who is unable to pay the full amount ordered. By setting an order the parents can realistically comply with, we increase reliable payments and decrease the accumulation of unpaid debt. These are essentially the PAID (Project to Avoid Increasing Delinquencies) strategies and include:
- Caseload stratification and segmentation: Use data to understand your caseload and select the right tool for the right person at the right time. Is driver’s license suspension or help getting a job going to be more effective in collecting reliable support payments?
- Early intervention to prevent debt build-up: For example, contact the noncustodial parent when payments stop to find out what happened and work with the parent to get back on track. In fact, if you meet with noncustodial or even both parents before the order is established, you can often start a good relationship with the parents and improve cooperation with the child support office and each other.
- Setting realistic obligations: If you set realistic orders, modify them quickly when circumstances change, and reduce state debt to manageable levels, you can expect compliance. But if the orders are too high, parents can’t comply and will walk away from you and, even worse, from their kids.
Tier Three: Remove the barriers to child support payment by partnering with other programs to offer family-centered services. We know that success in collecting current child support depends on steady jobs and manageable family relationships. Adding a service delivery component to child support programs is a challenge, but it can be done.
- Partner with other programs and community-based organizations in the “bubble chart” domains. For example, many child support offices partner with TANF; workforce agencies; fatherhood, veterans, and prisoner reentry programs; substance abuse services; and literacy and financial education programs. Parenting classes and parenting time, too, can help parents stabilize their lives, get and keep jobs, and be a parent to their children.
- Reprogramresources for less productive activities. Look at what works and what doesn’t work. Collect data. Look at cost-effectiveness. Contempt hearings are expensive. No-shows are expensive. Multiple enforcement efforts and revolving doors are expensive. Is there a better way to increase consistent payments and boost collections?
I look forward to talking more with all of you in the child support community about using the three-tiered approach—a roadmap for improving the outcomes for children and families.
I just learned (via the U.S. Census Bureau) that 2013 is International Year of Statistics. A page full of statistics can be scary to some, but statistics is one of my favorite words. In OCSE, we have a division of dedicated staff members who collect and analyze statistics—a critical component of our program. Because we audit program data (through another OCSE office of dedicated auditors), we have program data that we trust.
Why do I like statistics? Well, first of all, child support statistics have given us the tools we need for measuring and presenting the efficiency and effectiveness of our national program to the public. The fact that we can measure our performance, and do so with audited, accurate data, has helped us demonstrate program accountability, identify program trends, and correct course when those data identify performance problems.
Statistics are critical, too, as we train our own staffs. In the February Child Support Report, New York City Director Frances Pardus-Abbadessa describes the need to get buy-in from every staff member to understand the culture of change in our program, including the importance of treating both custodial and noncustodial parents fairly in every case.
We pay attention to statistics published at various times of the year to understand trends in our caseload and improve our outreach services. For example, see the articles in the same Child Support Report on Teen Dating Violence Awareness Month, the Latino Resource Center, and the IRS Earned Income Tax Credit; they all contain pertinent statistics.
But most importantly, statistics gives us a window on the families we serve. What does our caseload look like? What are the demographic factors we need to understand? And what does data tell us about effective strategies for reaching our goal: obtaining consistent child support payments for families? An example of how data changed the way we thought about arrears management is the series of state studies conducted several years ago by the Urban Institute that found that 70 percent of noncustodial parents who owe child support arrears had reported incomes below $10,000 per year. (You can find the report on the HHS website.)
Here are some statistics that are worth repeating because they play an important part in the program’s success:
- Child support provides about 40 percent of family income for the poor families who receive it, and 10 percent of income for all poor custodial families.
- Child support is a critical program for poor families; about half of families in the program are below 150 percent of the poverty level, while 90 percent are below 400 percent of poverty. The child support program is one of the “big three” income support programs (along with Earned Income Tax Credit and SNAP) that provides a safety net for poor families.
- The child support program demonstrates a high return on investment. In FY 2011, the program collected $5.12 for every dollar it spent.
I look forward to two new OCSE reports this year that will give us a deeper understanding of those and other statistics in our program. The first is a “Story Behind the Numbers” fact sheet that analyzes the Census Bureau’s “Child Support Supplement to the Current Population Survey.” We expect to publish the fact sheet soon.
The second report will delve into data analytics. Over the last year, we have been collaborating with a contractor to assess our various data sources so we can use them more easily and effectively. We are developing a conceptual design document and requirement specifications to build an internal child support dashboard framework that will allow us to analyze our data in more robust ways. As many state and local child support programs know, dashboards are great tools for tracking outcomes visually through devices such as bar charts, time series trends and pie charts. They help us to tell the “story behind the numbers.” In addition, users will be able to quickly aggregate data from our data sources and drill down for further analysis. We expect to complete this project in late spring, and we’ll keep you posted.
I hope that many of you will share my focus on statistics this year, as we use data to help us improve ways we manage our program and provide services to all parents and families we serve.
This New Year, I want to first congratulate all of you—child support professionals in state, tribal and local agencies, and in OCSE offices around the country—for setting your sights high on helping children, parents and families throughout 2012, and succeeding in countless ways.
January always seems to call out for an ambitious list of plans. As we work together to improve the lives of families in 2013, here are three aspects of our program that OCSE will focus on next year.
Today’s technology makes it possible to use data analytics to stratify child support caseloads and identify specific strategies to maximize success. We are no longer in a world that requires us to throw every enforcement tool at every case to see what sticks. Instead, we have the know-how to use program resources more efficiently by matching the right child support tools to the right case at the right time.
The key words here are “caseload stratification”—the idea that different cases should be handled equitably but differently, depending upon the financial circumstances of both parents, to improve performance outcomes and customer service. In 2013, OCSE will examine ways to increase our effective use of national data under a contract with Deloitte Consulting LLP.
Program modernization also requires updated policies and procedures. Over the last two years, we’ve benefitted from state and tribal program input to develop a proposed rule to support state program flexibility, efficiency and modernization. Although we cannot say for certain when, we hope to publish the proposed rule in 2013 and incorporate your comments to draft the final rule.
In 2013, OCSE also will conduct a set of national and regional conversations to inform development of medical child support policy options that support an evolving health care system.
Program modernization also requires a focus on training, change management and program messaging, which OCSE will continue to highlight in 2013—including a proposed name change to Office of Child Support Services (CSS) in the works.
We live in an increasingly complex and global child support world. As Congress considers legislation to update the Uniform Interstate Family Support Act (UIFSA) to implement the Hague Convention on the International Recovery of Child Support and Other Forms of Family Maintenance, OCSE continues to prepare for ratification of the Hague Convention by strengthening OCSE’s capacity to serve as Central Authority for international child support cases.
At the same time, the number of tribal child support programs in this country has more than doubled in the past five years. As we complete our pilot phase of the Model Tribal System conducted by Forest County Potawatomi Community and Modoc Tribe of Oklahoma, we will make the MTS available to all interested tribes and tribal consortia beginning next year.
We also will continue to expand state use of our FPLS portal services (including QUICK). Our ambitious goal is to add 10 more states this year, for a total 48 states by the end of the year.
In 2013, we will continue to promote technologies, policies, and best practices to support efficient intergovernmental case processing.
We have launched the National Noncustodial Parent Employment demonstration project to conduct a rigorous national evaluation, including a random assignment research design and benefit-cost analysis, to determine whether unemployed noncustodial parents who receive employment services pay more child support.
This is a five-year grant-funded project that will be evaluated by Mathematica and Institute for Research on Poverty at the University of Wisconsin, with demonstration sites in eight states.
We also have a grant project to identify successful parenting-time models in five states and are managing an ACF grant project in seven states to identify models for effective systems interoperability and innovative cross-program technology.
In 2013, we also will continue to expand our activities to identify demographic, performance and budget data trends impacting the child support program.
As we look ahead, 2013 promises to be another busy year at OCSE and throughout the national (and international!) child support program. I am so grateful for your commitment to families and children, and wish you a very happy and productive New Year.
Today 58 tribes operate start-up or comprehensive child support programs—10 more than a year ago. These tribal programs are reaching custodial and noncustodial parents in their communities, helping them support their children financially and enrich their children’s lives emotionally, in a culturally appropriate manner.
As partners in the national child support program, OCSE and tribal child support programs will cross a much-anticipated milestone early next year when OCSE launches the Model Tribal System (MTS). The MTS is an award-winning, state-of-the-art computer system designed to recognize the importance and benefits of integrating automation in the daily operations of comprehensive tribal child support programs. The MTS will serve as a key tool for programs to improve efficiency in case management and develop other areas of the program, offering tribal agencies and consortia direct access to similar technologies and automated systems that state child support agencies have had for years. The MTS uses open software to support organizations with up to 25 offices and 100 concurrent users, handling workloads of up to 25,000 cases.
By improving the level of automation in tribal child support programs, the MTS can increase program capacity to work more cases. The MTS will automate distribution, reporting, referrals—all aspects of casework. The MTS also will allow tribes to tailor their automated systems to their needs, for example, even something as simple as putting their logos on letters to custodial and noncustodial parents. And, the MTS will help free up more time for workers to talk face-to-face with clients, an approach that characterizes tribal programs.
The launch will follow several years of tribal consultation, research, design and development in OCSE—using tribal requirements—as well as testing the system in two tribal child support programs: the Modoc Tribe of Oklahoma and Forest County Potawatomi Community. I appreciate the hard work, time, and resources provided by these two tribal programs to test the MTS. Other tribal programs, too, had a chance to explore and experiment with the MTS in a national “sandbox,” an operational version of the system.
OCSE will make the MTS available to all interested tribes and continue to collaborate with tribes on the launch plans and technical assistance requests, respectful of tribal sovereignty and the beliefs and traditions of all people in Indian Country.
Earlier this month, I reached out to tribal leaders operating child support programs about MTS implementation issues such as timing, schedule, and funding resources. Based on the leaders’ feedback, we will gauge interest in installing and using the MTS, and then customize the launch plan, considering our available resources. You can find information about funding for tribal automated systems and the Model Tribal System on the OCSE web page for Tribal Systems.
As this year ends and we welcome 2013, we will continue to work in partnership with tribes operating child support programs. We hope you will share ideas with us on improvements and opportunities you foresee in your agency as the MTS becomes available. I appreciate your comments on this blog.