Public Insurance Webinar

+

Cohort I Finance Survey Results

+ 2

Cohort I Funding - Average

26%

52%

22% FederalStateLocal

Revenue Distribution Revenue

Source Amount

Federal $158,582,655

State $300,755,384

Local $129,486,068

Total $597,324,107

3+Percentage of Total Funding By Level by State

Alask

a

Arizon

a

Color

ado

Georg

ia

Illin

ois

Mon

tana

North

Dak

ota

Ohio

Utah

Wisc

onsin

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

FederalStateLocal

4+Federal Part C as a Percentage of Reported EI Funds

Alas

ka

Arizon

a

Color

ado

Georg

ia

Illin

ois

Mon

tana

North

Dak

ota

Ohio

Utah

Wisco

nsin

0%

5%

10%

15%

20%

25%

30%

35%18%

32%

14%

31%

16%

33%

6% 9

% 14%

5%

5+Infrastructure

Part C 619 Medicaid

Title V SCHIP Cham

pus Other

State Personnel 9 0 0 0 0 0 1

Regional Personnel 5 0 0 0 0 0 0

Local Personnel 8 0 2 0 1 1 2

SICC 9 0 0 0 0 0 1

Child Find Public Awareness 10 2 1 0 0 1 1

Eligibility Determination 10 0 5 1 0 3 0

CSPD 9 0 0 0 0 0 1

Monitoring 9 0 0 0 0 0 1

Dispute Resolution 8 0 0 0 0 0 1

Data System 9 0 0 0 0 0 1

IFSP Development 9 0 3 1 0 1 1

6+Direct Services

Part

C

Medicaid SCHIP Title V

Champus

Other

Assistive Technology

10 7 2 1 3 0

Audiology 10 6 2 2 4 3

Family Training 10 3 1 1 1 1

Health 10 7 2 1 4 1

Medical (diagnostic) 8 6 2 1 4 1

Nursing 10 7 2 1 4 1

Nutrition 10 6 2 1 4 1

Occupational Therapy

10 8 3 1 4 1

Physical Therapy 10 8 3 1 4 1

Psychology 10 7 2 1 3 1

Service Coordination

10 5 1 1 1 1

Special Instruction 10 1 1 1 0 2

Speech Therapy 10 7 3 1 4 1

Sign or Cued Language

8 3 1 2 1 3

Social Work 9 3 1 1 2 1

Transportation 8 5 2 1 2 1

Vision 10 5 2 1 3 2

Respite 3 2 0 0 0 1

7+Infrastructure State Part C

Appropriation

State General Funds

Deaf Blind Schools

State Personnel 3 6 1

Regional Personnel 2 4 0

Local Personnel 3 5 0

SICC 3 4 0Child Find Public Awareness

4 6 0

Eligibility Determination

3 7 0

CSPD 2 6 0

Monitoring 3 5 0

Dispute Resolution 3 5 0

Data System 3 6 0

IFSP Development 3 6 0

8+State Part C

State Genera

l

State Special

Ed

Deaf Blind

Other

Assistive Technology

4 7 0 0 0

Audiology 4 7 1 1 0

Family Training 4 7 0 0 0

Health 4 7 0 0 0

Medical (diagnostic) 4 6 0 0 0

Nursing 4 7 0 0 0

Nutrition 4 7 0 0 0

Occupational Therapy

4 7 0 0 0

Physical Therapy 4 7 0 0 0

Psychology 4 7 0 0 0

Service Coordination

4 7 0 0 0

Special Instruction 4 7 0 0 0

Speech Therapy 4 7 0 0 0

Sign or Cued Language

4 6 1 0 0

Social Work 4 7 0 0 0

Transportation 4 6 0 0 0

Vision 4 6 0 0 0

Respite 4 4 0 0 0

9+Infrastructure

County Tax Levy

Local Gov’t

United Way

Private Insuranc

e

State Personnel 0 0 0 0Regional Personnel 0 0 0 0

Local Personnel 2 0 0 2

SICC 0 0 0 0Child Find Public Awareness 2 0 1 0

Eligibility Determination 1 1 0 3

CSPD 1 1 1 0

Monitoring 1 1 0 0Dispute Resolution 1 1 0 0

Data System 0 0 0 0IFSP Development 1 1 0 0

10

11+

MedicaidInfrastructure Admin Gener

al EPSDT RehabManag

ed Care

Waiver

State Personnel 3 0 0 0 0 0

Local Personnel 8 1 0 0 0 1

SICC 1 0 0 0 0 0

Child Find Public Awareness 1 1 0 0 0 0

Eligibility Determination 3 1 2 1 2 0

CSPD 1 0 0 0 0 0

Monitoring 1 0 0 0 0 0

Data System 2 1 0 0 0 0

IFSP Development 2 1 0 0 0 1

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12+Payment Mechanism

Contra

cts

Grant

s

Vouc

hers

Fee

for S

ervice

Centra

l Fin

ance

0

1

2

3

4

5

6

InfrastructureDirect Services

13+Medicaid Admin General EPSDT Rehab Managed

CareWaiver

Assistive Tech 2 4 2 1 3 3

Audiology 2 3 2 1 2 2

Family Training 1 2 2 0 1 2

Health 2 4 2 0 2 2

Medical (diagnostic)

2 4 3 0 2 2

Nursing 2 5 3 0 2 2

Nutrition 2 4 3 0 0 1

Occupational Therapy

2 5 3 0 2 2

Physical Therapy 2 5 3 0 2 2

Psychology 2 5 3 0 2 2

Service Coordination

3 2 2 0 1 2

Special Instruction 1 2 0 0 0 1

Speech Therapy 2 5 3 1 3 2

Social Work 2 3 3 1 2 0

Transportation 2 2 2 1 1 2

Vision 2 4 3 1 2 1

Respite 0 0 0 0 0 3

14+Medicaid

Medicaid Administration for Part C; Fee for Service - 4 states Managed Care – 1 state Both – 4 states

Medicaid acceptance of IFSP as Prior Authorizing Document Yes – 5 No – 4

Does Medicaid require physician signature? Yes for some services – 1 state No – 8 states

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15+Family Cost Participation

Public Insurance – 9 states

Private Insurance only – 2 states

Family Fees only – 2 states

Both Private Insurance and Family Fees – 5

states

Public Insurance Webinar

16+Family Fees

Fee Structure Annual – 2 states Monthly – 2 states Co-pay per service – 1 state Percentage of IFSP cost – 1 state Cost share – 1 state

FPL percentage 185% - 3 states 200% - 4 states

Public Insurance Webinar

17+Private Insurance Statutory Language related to use:

Yes – 3 states No – 7 states

Insurance Annual Cap Yes – 1 state No – 6 states

Decrease in revenue from family refusal Yes – 2 states No – 4 states

Are Part C services included in essential benefits? Yes – 1 state No – 2 states Don’t Know – 4 states No Response – 3 states

18+Variables Used in Allocating Funds

# o

f chi

ldre

n se

rved

# o

f birt

hs

Geogr

aphy

Other

reve

nue

Rate

of p

ublic

insu

ranc

e

Rate

of p

rivat

e in

sura

nce

Histor

ic gr

owth

pat

tern

s

Histor

ic ex

pend

iture

pat

tern

s01234567

InfrastructureDirect Services

19+Reporting Requirements Do all participating entities report all revenue and

expenditures related to EI on an annual basis? Yes – 7 states No – 3 states

How frequently is information required to be provided? Monthly – 3 states Quarterly – 2 states Annually – 2 states

Are all participating entities required to submit a uniform financial report on an annual basis? Everyone – 4 states Certain threshold – 2 states No – 4 states

20+Fiscal Monitoring

Desk Audit Onsite review of financial

records

Onsite review by child record

0

1

2

3

4

54

2 2

3

5 5

AnnualPeriodic

21+Provider Types

Non-P

rofit

Age

ncies

For-P

rofit

Age

ncies

Privat

e Pr

ovider

s/no

age

ncy

Stat

e Em

ploy

ees

Mun

icipal E

mploy

ees

0

2

4

6

88

5 5

3

4