FY14 Budget and Caseload Update

Fiscal CommitteeFebruary 3, 2014

FY14 December Caseload Review Waitlist Remediation Initiative Status: The CCRRs began placing children in

the Waitlist remediation account in October. The CCRRs had until December 20, 2013 to place all the vouchers allocated to them.

As of December 20, 2013 at the end of the twelve week initiative, the CCRRs had successfully placed 100% of the original allocation of 2,367 vouchers. An additional 157 vouchers were added on December 13, 2013, to the voucher allocation of 559 provided to the CCRRs; 397 or 55% of the 716 vouchers have been filled as of January 25, 2014.

Approximately 95% (2,271) of the 2,367 placements authorized in the Waitlist Remediation account were billed for service month December 2013.

The forecast includes gradual placements (20% each month through the remainder of the year) for the 319 remaining open vouchers. This is a conservative forecast which for FY2014 projects a $1M surplus.

Income Eligible: December’s forecast projects a surplus of approximately $5M. Vouchers: All the CCRRs have started filling the additional attrition backfill

allotment in the Income Eligible 3000-4060 account. The first allotment of the 866 authorized in October 2013 has been completely filled. The projection also assumes the gradual placements (20% each month through the remainder of the year) for the 981 remaining vouchers open (from the 1000 authorized in January 2014).

Contracts: The projected surplus is also dependent upon the contract providers achieving maximum obligation. Currently, of all contracts slots available (regular and flex) only 88.9% are filled.

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FY14 December Caseload Review DTA-Related Caseload: After six months of actual numbers, EEC is

forecasting a surplus of $636K, a decrease in spending ($1.2M) from the previous month’s projected deficiency of $587K. December actual caseload billing reflects a net decrease (490) in caseload when compared to November. All age groups experienced a decrease. This change is driving the movement from deficit to surplus.

Supportive Caseload: With six months of actual numbers, EEC is reporting a surplus of approximately $1.4M. Access to expansion slots continues to allow for more children to be served in areas where there is the capacity and the need. Expenditures have increased due to the use of expansion slots. EEC is monitoring this closely. We’re at 98% utilization.

FY14 Consolidated Net Increase: The target date for implementation is March Billing paid in April. This will include the retroactive payment.

SEIU Rate Increase Contract: The contract was ratified on Thursday, January 30, 2014. Once the board has approved the additional 1.7% increase for the SEIU providers, the rate increase will commence. The target date for implementation is

March Billing paid in April. This will include the retroactive payment.

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CCRR Voucher Allotment Weekly Results

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Income Eligible ** No Priority

Sibling Military Total %

Allotment* 1866 600 22 24881/25/2014 885 721 10 1616 65.0%12/20/2013 695 697 13 1405 56.5%12/14/2013 657 686 9 1352 54.3%12/9/2013 613 675 9 1297 52.1%12/2/2013 547 666 9 1222 49.1%11/22/2013 441 660 12 1113 44.7%11/16/2013 311 628 13 952 38.3%11/8/2013 269 638 13 920 37.0%11/2/2014 249 606 13 868 34.9%

Waitlist Remediaiton**

No Priority

#1

No Priority

# 2Total %

Allotment* 2367 716 30831/25/2014 2358 397 2755 89.4%12/20/2013 2367 28 2395 77.7%12/14/2013 2331 24 2355 76.4%12/9/2013 2349 0 2349 76.2%12/2/2013 2339 0 2339 75.9%11/22/2013 2333 0 2333 75.7%11/16/2013 2242 0 2242 72.7%11/8/2013 2011 0 2011 65.2%11/2/2013 1715 0 1715 55.6%

In January 2014 voucher allotments w ere increased for IE No Priority from 866 to 1866

and Waitlist RemediaitonNo Priority #2 w as increased from 559 to 716

** Data represented is self-reported by CCRRs

FY14 Caseload Overview SummaryAs of December 2013

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FY14 Caseload

Spending -December

FY14 Budget YTD Actuals/ Forecast

Variance Forecast vs.

Budget Income Eligible Contract/Flex 127,752,807$ 120,618,959$ 7,133,848$ Voucher 86,068,659$ 88,403,138$ (2,334,479)$ Grants 9,019,276$ 9,019,276$ -$ I E - 4070 15,000,000$ 14,033,794$ 966,206$

237,840,742$ 232,075,167$ 5,765,575$ DTA Voucher 128,063,499$ 127,427,161$ 636,338$

Supportive Contract/Flex 76,323,780$ 74,969,936$ 1,353,844$ Voucher 67,665$ 38,128$ 29,537$ Grants 600,000$ 600,000$ -$

76,991,445$ 75,608,064$ 1,383,381$ Total 442,895,686$ 435,110,392$ 7,785,294$

FY14 Caseload Overview SummaryOctober and November 2013

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FY14 Caseload Spending -November

FY14 Budget YTD Actuals/ Forecast

Variance Forecast vs. Budget

I ncome Eligible Contract/Flex 127,752,807$ 123,628,334$ 4,124,473$ Voucher 86,068,659$ 89,597,229$ (3,528,570)$ Grants 9,019,276$ 9,019,276$ $- I E - 4070 15,000,000$ 15,000,000$ $-

237,840,742$ 237,244,839$ 595,903$ DTA Voucher 128,063,499$ 128,650,856$ (587,357)$

Supportive Contract/Flex 76,323,780$ 76,336,331$ (12,551)$ Voucher 67,665$ 53,833$ 13,832$ Grants 600,000$ 600,000$ $-

76,991,445$ 76,990,164$ 1,281$ Total 442,895,686$ 442,885,859$ 9,827$

FY14 Caseload Spending -

October FY14 Budget YTD Actuals/

Forecast Variance Forecast

vs. Budget I ncome Eligible Contract/Flex 127,752,807$ 121,181,820$ 6,570,987$ Voucher 86,068,659$ 91,733,222$ (5,664,563)$ Grants 9,019,276$ 9,019,276$ $-

222,840,742$ 221,934,318$ 906,424$ DTA Voucher 128,063,499$ 128,965,306$ (901,807)$ Supportive Contract/Flex 76,323,780$ 76,332,722$ (8,942)$ Voucher 67,665$ 53,848$ 13,817$ Grants 600,000$ 600,000$ $-

76,991,445$ 76,986,570$ 4,875$ Total 427,895,686$ 427,886,194$ 9,492$

FY14 Caseload Overview SummaryAugust and September 2013

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FY14 Caseload Spending - September

FY14 Budget YTD Actuals/ Forecast

Variance Forecast vs. Budget

I ncome Eligible Contract/Flex 127,752,807$ 121,800,781$ 5,952,026$ Voucher 86,068,659$ 89,702,610$ (3,633,951)$ Grants 9,019,276$ 9,019,276$ -$

222,840,742$ 220,522,667$ 2,318,075$ DTA Voucher 128,063,499$ 130,377,068$ (2,313,569)$ Supportive Contract/Flex 76,323,780$ 76,327,935$ (4,155)$ Voucher 67,665$ 63,486$ 4,179$ Grants 600,000$ 600,000$ -$

76,991,445$ 76,991,421$ 24$ Total 427,895,686$ 427,891,156$ 4,530$

FY14 Caseload Spending - August FY14 Budget YTD Actuals/

Forecast Variance Forecast

vs. Budget I ncome Eligible Contract/Flex 127,752,807$ 122,249,794$ 5,503,013$ Voucher 86,068,659$ 86,578,848$ (510,189)$ Grants 9,019,276$ 9,019,276$ $-

222,840,742$ 217,847,918$ 4,992,824$ DTA Voucher 128,063,499$ 130,468,528$ (2,405,029)$ Supportive Contract/Flex 76,323,780$ 76,325,377$ (1,597)$ Voucher 67,665$ 65,115$ 2,550$ Grants 600,000$ 600,000$ $-

76,991,445$ 76,990,492$ 953$ Total 427,895,686$ 425,306,938$ 2,588,748$

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FY 2013 Income Eligible(3000-4060)

Month Prior Month

Caseload Forecast

Current Month

Caseload Forecast*

VariancePrior Month

Forecast Projection

2014 Actual**/Forecast

Expenditures

Mth to Mth Forecast Change

Jun-12 32,173 32,173 N/AJun-13 30,749 30,749 N/AJul-13 30,630 30,631 1 18,963,864$ 18,965,009$ 1,146$ Aug-13 30,543 30,546 3 17,879,021$ 17,880,531$ 2,656$ Sep-13 28,977 29,732 755 15,292,319$ 15,304,292$ 14,628$ Oct-13 29,568 29,104 (464) 17,265,224$ 17,287,893$ 37,297$ Nov-13 29,270 29,303 33 16,213,267$ 16,119,469$ (56,501)$ Dec-13 29,379 29,339 (40) 17,600,245$ 16,970,728$ (686,018)$ Jan-14 29,826 30,045 219 18,646,607$ 18,557,953$ (774,671)$ Feb-14 30,703 30,683 (20) 16,868,025$ 16,428,419$ (1,214,278)$ Mar-14 30,549 30,635 86 17,431,926$ 17,163,283$ (1,482,921)$ Apr-14 31,013 30,822 (190) 18,423,957$ 18,177,260$ (1,729,618)$ May-14 31,018 31,449 431 18,326,714$ 18,196,259$ (1,860,072)$ Jun-14 31,149 31,680 531 20,314,395$ 17,971,001$ (4,203,466)$

GRANTS 9,019,276$ 9,019,276$ TOTAL 222,244,839$ 218,041,373$

FY14 Appropriation 222,840,742 Surplus/Deficiency 4,799,369

- Blue: FY14 Actual/ Forecast Expenditures

* Actual caseload count is the count of services rendered for the reporting month and is as of the date the forecast was prepared. - Please note a child could receive multiple services. - Caseload data is updated each reporting month for prior period adjustments and late billing. - Current Reporting month include late billing projections that will be billed and paid in the next billing cycle. For example September includes late billingprojection that will be projected to be billed in October.

** Actual dollars represent expenditures billed and paid as of the date the forecast was prepared and may include late billing. - Expenditures is updated each reporting month for prior period adjustments and late billing.

Income Eligible SFY14 Forecast as of December Actuals

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FY 2013 Waitlist Remediation(3000-4070)

Month Prior Month

Caseload Forecast

Current Month

Caseload Forecast*

VariancePrior Month

Forecast Projection

2014 Actual**/Forecast

Expenditures

Mth to Mth Forecast Change

Jul-13 N/A N/A N/AAug-13 N/A N/A N/ASep-13 N/A N/A N/AOct-13 1,325 1,338 (13) 797,497$ 331,025$ (466,472)$ Nov-13 2,147 2,205 (58) 1,215,436$ 1,042,647$ (639,261)$ Dec-13 2,367 2,399 (32) 1,425,479$ 1,317,606$ (747,134)$ Jan-14 2,367 2,755 (388) 1,491,910$ 1,766,862$ (472,183)$ Feb-14 3,122 2,821 301 1,772,584$ 1,595,006$ (649,761)$ Mar-14 3,122 2,886 236 1,861,101$ 1,714,291$ (796,570)$ Apr-14 3,122 2,952 170 1,902,398$ 1,807,445$ (891,523)$ May-14 3,122 3,017 105 1,886,125$ 1,824,460$ (953,188)$ Jun-14 3,122 3,083 39 1,947,470$ 1,934,452$ (966,206)$

CCCRR Admin. 700,000$ 700,000$ TOTAL 15,000,000$ 14,033,794$

FY14 Appropriation 15,000,000 Surplus/Deficiency 966,206

- Blue: FY14 Actual/ Forecast Expenditures

* Actual caseload count is the count of services rendered for the reporting month and is as of the date the forecast was prepared. - Please note a child could receive multiple services. - Caseload data is updated each reporting month for prior period adjustments and late billing.

** Actual dollars represent expenditures billed and paid as of the date the forecast was prepared and may include late billing. - Expenditures is updated each reporting month for prior period adjustments and late billing. - Additional savings may be realised by parent fees.

SFY14 Forecast Waitlist Remediation as of December Actuals

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FY 2014 DTA (3000-4050)

Month P rior Month

Caseload Forecast

Current Month

Caseload Forecast*

VariancePrior Month

Forecast Projection

2014 Actual**/Forecast

Expenditures

Mth to Mth Forecast Change

Jun-12 16,913 16,913 N/AJun-13 16,422 16,422 N/AJul-13 16,313 16,323 10 11,421,870$ 11,426,698$ 4,828$ Aug-13 16,148 16,164 16 10,782,368$ 10,787,264$ 9,724$ Sep-13 15,973 15,991 18 9,627,142$ 9,634,139$ 16,722$ Oct-13 16,149 16,200 51 11,131,245$ 11,154,401$ 39,878$ Nov-13 16,415 16,296 (119) 10,689,288$ 10,495,487$ (153,923)$ Dec-13 16,241 15,806 (435) 10,923,375$ 10,776,933$ (300,366)$ Jan-14 16,088 16,067 (21) 10,904,141$ 10,737,345$ (467,161)$ Feb-14 16,480 16,515 35 9,914,040$ 9,839,056$ (542,146)$ Mar-14 16,511 16,505 (5) 10,482,886$ 10,424,063$ (600,969)$ Apr-14 16,507 16,489 (18) 11,158,193$ 10,927,410$ (831,752)$ May-14 16,717 16,746 29 10,868,614$ 10,784,030$ (916,336)$ Jun-14 16,041 16,096 55 10,747,694$ 10,440,335$ (1,223,695)$

TOTAL 128,650,856$ 127,427,161$ 128,063,499$

636,338$

- Blue: FY14 Actual/ Forecast Expenditures * Actual caseload count is the count of services rendered for the reporting month and is as of the date the forecast was prepared.

- Please note a child could receive multiple services. - Caseload data is updated each reporting month for prior period adjustments and late billing. - Current Reporting month include late billing projections that will be billed and paid in the next billing cycle. For example September includes late billingprojection that will be projected to be billed in October.

** Actual dollars represent expenditures billed and paid as of the date the forecast was prepared and may include late billing. - Expenditures are updated each reporting month for prior period adjustments and late billing.

DTA SFY14 Forecast as of December Actuals

FY14 AppropriationSurplus/Deficiency

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Month Prior Month

Caseload Forecast

Current Month Caseload Forecast*

VariancePrior Month

Forecast Projection

2014 Actual**/Forecast

Expenditures

Mth to Mth Forecast Change

Jun-12 5,979 5,979 N/AJun-13 5,651 5,651 N/AJul-13 5,801 5,801 0 6,329,508$ 6,317,574$ (11,933)$ Aug-13 5,825 5,825 0 6,207,500$ 6,178,588$ (40,846)$ Sep-13 5,915 5,915 0 5,801,959$ 5,747,188$ (95,617)$ Oct-13 5,761 5,761 0 6,379,644$ 6,285,615$ (189,646)$ Nov-13 5,803 5,803 0 6,249,120$ 6,111,274$ (327,492)$ Dec-13 5,931 5,820 (111) 6,547,213$ 6,421,090$ (453,614)$ Jan-14 5,973 5,862 (111) 6,798,534$ 6,632,760$ (619,388)$ Feb-14 6,029 5,918 (111) 6,004,446$ 5,859,477$ (764,357)$ Mar-14 6,083 5,972 (111) 6,389,715$ 6,236,487$ (917,585)$ Apr-14 6,077 5,966 (111) 6,634,062$ 6,475,791$ (1,075,856)$ May-14 6,100 5,989 (111) 6,579,559$ 6,423,566$ (1,231,849)$ Jun-14 6,223 6,112 (111) 6,468,904$ 6,318,654$ (1,382,100)$

GRANTS 600,000$ 600,000$ TOTAL 76,990,164$ 75,608,064$

76,991,445$ 1,383,381$

- Blue: FY14 Actual/ Forecast Expenditures * Actual caseload count is the count of services rendered for the reporting month and is as of the date the forecast was prepared.

- Please note a child could receive multiple services. - Caseload data is updated each reporting month for prior period adjustments and late billing.

** Actual dollars represent expenditures billed and paid as of the date the forecast was prepared and may include late billing. - Expenditures are updated each reporting month for prior period adjustments and late billing.

Supportive SFY14 Forecast as of December Actuals

FY14 AppropriationSurplus/Deficiency

FY 2013 Supportive (3000-3050)

FY13/14 Caseload By Account

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IE July August September October November December January February March April May June AverageFY2013 31,358 31,522 30,609 29,883 29,853 29,865 30,029 30,111 30,135 30,346 30,428 30,750 30,407 FY2014 30,631 30,546 29,004 29,104 29,303 29,339 29,655

IE- 4070 July August September October November December January February March April May June Average

FY2014 - - - 1,338 2,205 2,271 1,938

DTA July August September October November December January February March April May June AverageFY2013 16,301 16,382 16,348 16,825 16,987 16,844 16,746 16,831 17,099 17,177 17,138 16,422 16,758 FY2014 16,323 16,164 15,991 16,200 16,296 15,806 16,130

SUPP July August September October November December January February March April May June AverageFY2013 5,959 5,904 5,752 5,591 5,537 5,552 5,658 5,707 5,674 5,634 5,592 5,657 5,685 FY2014 5,801 5,825 5,915 5,761 5,803 5,820 5,821

Total July August September October November December January February March April May June AverageFY2013 53,618 53,808 52,709 52,299 52,377 52,261 52,433 52,649 52,908 53,157 53,158 52,829 52,851 FY2014 52,755 52,535 50,910 52,403 53,607 53,236 - - - - - - 52,574

Caseload Waitlist: 02/2013 -01/2014

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Data Report created on January 29, 2013** Excludes Unborn children, Children 13 or older, “0” zip codes and towns out of state

Priority02/28/13

Total3/28/13

Total4/30/13

Total5/28/13

Total6/30/13

Total7/31/2013

Total8/30/13

Total9/26/13

Total10/30/13

Total11/26/13

Total12/31/13

Total01/29/14

Total Chi ld of Foster Care 290 285 289 299 305 169 180 194 196 174 174 191 Chi ld of Homeles s family 566 576 591 609 641 454 458 487 479 437 429 448 Chi ld of Mi l i tary Personnel 116 123 117 90 91 68 44 43 49 52 64 66 Chi ld of Teen Parent 513 507 523 525 556 365 389 423 414 370 371 386 Chi ld with Specia l Needs 2,291 2,355 2,442 2,524 2,615 1,776 1,893 1,922 1,816 1,698 1,638 1,635 Continui ty of Care: Prior Year Summer Only 161 164 167 173 177 139 151 163 157 150 143 146 Continui ty of Care: Aging Out 398 399 404 414 416 205 248 274 253 241 234 236 Continui ty of Care: Approved Break in Servi ce 473 482 490 523 585 484 493 530 502 466 476 487 Continui ty of Care: ARRA 146 141 142 143 141 51 54 60 52 43 44 42 Continui ty of Care: Geographic Relocation 201 207 221 222 224 145 154 161 159 155 161 173 Continui ty of Care: Homeless Contract 32 31 30 37 35 29 30 29 29 33 33 33 Continui ty of Care: Supportive Referra l 296 308 324 352 371 256 265 284 280 275 278 294 Continui ty of Care: Teen Parent Contract 27 28 28 29 30 16 18 22 24 26 29 31 Genera l Priori ty 42,588 43,315 44,861 45,970 47,737 32,881 34,266 35,725 34,708 33,147 32,864 33,278 Grandparent/Guardian Famil ies 566 576 584 609 632 349 344 350 345 335 335 328 No Priority - Other Family Member 327 338 363 393 422 357 381 411 401 397 394 394 Parent with Specia l Needs 807 807 823 840 837 436 424 426 381 347 349 335 Sibl ing: Contract 729 771 788 804 850 737 753 792 775 713 725 744 Sibl ing: Voucher 845 870 815 792 797 544 566 542 435 425 442 472 Summer only care 923 958 1,024 1,074 1,233 853 856 863 879 867 876 881 N/A 518 509 501 500 495 4 6 16 14 11 11 15

Grand Total 52,295 53,241 55,026 56,422 58,695 40,318 41,973 43,717 42,348 40,362 40,070 40,615

FY13/14 IE Contract Slots - Regular and Flex

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Data Report created on January 28, 2014

Total Awarded Slots is 14,521 and Allowable Flex Slots is 836. 324 of the 355 additional contract slots awarded have been filled. 21 Vendors representing 22 contracts are Over 5% Flex **No. of children filling slots may be greater than slots awarded.Total awarded slots for Homeless is 693 and Teen 506. - Homeless: filled 557, open 136 - Teen: filled 399, open 107

Report Date Regular Filled Regular Open Flex Filled% Filled

(with Flex)Flex Open

Flex - Over 5%

Flex - Under 5%

1/28/2014 12,766.5 1,754.5 138.5 88.87% 697.5 (56.0) 753.5 12/31/2013 12,673.5 1,862.5 149.0 88.21% 687.0 (63.5) 750.5 11/26/2013 12,875.0 1,897.0 174.0 88.34% 674.0 (61.5) 826.5 10/30/2013 12,764.0 2,008.0 168.5 87.55% 679.5 (72.0) 751.5

9/26/2013 12,438.0 2,361.0 171.0 85.20% 680.5 (71.5) 752.0 8/31/2013 12,190.0 2,610.0 106.0 83.08% 745.0 (41.5) 786.5 7/31/2013 13,052.0 1,748.0 145.0 89.17% 706.5 (71.5) 778.0 5/27/2013 13,395.0 1,404.0 201.5 91.87% 649.5 (96.5) 746.0 4/29/2013 13,567.0 1,267.0 209.5 92.87% 647.5 (100.0) 747.5 3/28/2013 13,587.0 1,256.0 210.0 92.95% 647.0 (99.5) 746.5 2/28/2013 13,195.5 1,292.5 213.5 92.55% 643.5 (98.5) 742.0 1/31/2013 13,123.0 1,365.0 428.0 93.53% 429.0 (289.0) 718.0

As of December 31, 2013 over 1800 contract slots of the 14,536 awarded are open (12.81%).Including the flex slots used, the contract providers have a 11.79% vacancy rate. In comparison to last year the vacancies have increased by 2.77%. On average , for the past 12 months the contract providers contract slots have been 89.69% filled, with a peak occupancy of 92.95% at the end of March 2013 and the lowest occupancy at 83.08% at the end of August 2013.

Archived and Reactivated Children on Waitlist

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Data Report created on January 29, 2014Net change for number of children archived/reactivated to date in January is 813

January total archived children: 848 representing 629 families.January total reactivated children: 35 representing 29 families.

** Note: User is defined as EEC, CCR&R or Contract ProviderJuly excludes 7/25/2013; significant auto-archiving occurred, archived children system: 12,789 and archived children user: 9896

Num

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f A

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ved

and

R

eact

ivat

ed C

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ren

on W

aitli

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Archived Month Archived Children System

Archived Families System Archived Children User Archived Families User Reactivated Children Reactivated Families

1/ 1/ 2014-1/ 29/ 2014 823 613 25 16 35 2912/ 1/ 2013-12/ 30/ 2013 1,126 862 43 25 35 2911/ 1/ 2013-11/ 26/ 2013 1,402 1,041 35 22 46 3410/ 1/ 2013-10/ 31/ 2013 1,917 1,421 63 39 162 113

9/ 1/ 2013-9/ 30-2013 1,925 1,411 65 38 204 1518/ 1/ 2013-8/ 31/ 2013 1,496 1,109 93 50 165 112

7/ 29/ 2013-7/ 31/ 2013 (excludes 7/ 25/ 13) 239 175 18 11 29 21

823

1,1

26

1,4

02

1,9

17

1,9

25

1,4

96

613

862

1,0

41

1,4

21

1,4

11

1,1

09

25

43

35

63

65

93

16

25

22

39

38

50

35

35

46

162

204

165

29

29

34

113

151

112

-

400

800

1,200

1,600 Archived Children Syste m

Archived Families System

Archived Children User

Archived Families User

Reactivated Children

Reactivated Families

Income Eligible Contract Outreach In an effort to maximize contract utilization, we started

reaching out to certain contract providers. We focused our initial efforts on the 20 contract

providers who have the lowest percentage of awarded slots filled as of December 31st, ranging from 0% of slots filled to 58% of slots filled.

We contacted each of the contract providers individually and asked the following questions: What are the main challenges you face in filling your

contracted slots? What steps have you taken to fill the open slots? Have you contacted your local CCR&R to say that

you have slots available? If these slots are not able to be filled, should we take

down these slots?

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IE Contract Outreach - Feedback Eight (8) providers responded that we should take down a total of 47 slots

because they have not been able to fill them. Some cited changing local demographics as the reason and some said that they could not afford to hold slots open when they have a waitlist of private payers.

Eight (8) providers responded that they are actively working to fill the slots, including identifying better ways to contact families and dedicating more staff time to the process. All 6 have filled slots since December.

The main challenges in filling slots that have been identified by providers are:

Invalid contact information for families on waitlist Children still listed on waitlist even though they are enrolled in another

program Waitlist families receiving multiple letters Difficulties in getting a family to complete the certification process

including keeping appointments, completing paperwork, and continuing the process after the family finds out that there is a parent fee

Parents not being eligible once certification process is complete, either due to too a family having too much income or to not working enough hours to qualify.

We continue to reach out to providers for feedback and to provide support to the field.

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