Emerging Models for Financing 211 Systems

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Emerging Models for Financing 2-1-1 Systems

• January 29, 2003
• Sponsored by
• National Aging IR/A Support Center
• National Association of State Units on Aging
• with support from the Administration on Aging

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AGENDA

• Welcomes IntroductionsTheresa Lambert, Natl
  Aging IR/A Support Center, NASUA Adrienne Dern,
  n4a
• Update on National 2-1-1 DevelopmentsDan
  Williams, National 2-1-1 Director
• Florida, Massachusetts, New OrleansDan
  Williams, National 2-1-1 Director
• ConnecticutMelanie Lowenstein, Sr.
  Vice-President, UW of CT
• MinnesotaKrista Boston, Minnesota Board on Aging
  DHHS Coordinator for 2-1-1
• TexasJudy Windler, Director, Texas IR Network,
  TX Health Human Services Commission

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Update on National 2-1-1 Activities

• Dan Williams
• National 2-1-1 Director

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System Coverage
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System Growth
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System Accomplishments

• National 2-1-1 Business Plan
• Advanced National 2-1-1 Institute Curriculum
• National Website
• National 2-1-1 Logo

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System Accomplishments

• Voice Over IP Task Force
• Public Health Bioterrorism Preparedness Act
• Washington DC 2-1-1 Briefing
• 2-1-1 Business Planning Services

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System Accomplishments

• Regional foundation fundraising.
• USA Today, Washington Post media coverage.
• Brookings Institution/Urban Institute Research.

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Challenge

• To achieve maximum impact, 2-1-1 must evolve into
  a national system characterized by a shared
  vision, commitment to standards true
  collaboration.

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Opportunities

• Homeland Security
• Centers for Disease Control
• Department of Housing and Urban Development
• Government IT Initiatives
• National Governors Association
• National 2-1-1 Coalition
• Regional Development Strategies
• Earned Income Tax Credit
• Quality Assurance
• 2-1-1 Days

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Florida
Massachusetts
New Orleans, LA
Dan Williams National 2-1-1 Director
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Florida

• Health and Human Services Eligibility Access
  System Project
• Partnership with state Agency for Health Care
  Administration UW 2-1-1, Jacksonville pilot
• Goal test statewide strategy to use 2-1-1 as
  entry point for publicly funded health care
  programs - Medikids, CMS, Kidcare and S.O.B.R.A.
• Federal CMS demonstration grant
• Contact Peter Bishop peter_at_uwnefl.org

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Massachusetts

• Mass211 Inc. partnership with Executive Office of
  Health and Human Services MassCARES initiative
• Goal - create a combined resource database to
  provide no wrong door for citizens seeking
  services
• E-government strategy funded through IT bond
  legislation
• Contact Jean Strock jstrock_at_unitedwaycm.org

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New Orleans

• VIA LINK Homelessness Management Information
  System (HMIS)
• Goal Create computerized system to
  collect/manage uniform information on people
  experiencing housing crisis
• Working to network 150 agencies through New
  Orleans 2-1-1 system
• HUD funded initiative
• Contact Marguerite Redwine mredwine_at_vialink.org

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Connecticut 2-1-1

• Melanie Loewenstein
• Senior Vice-President
• United Way of Connecticut

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2-1-1 Implementation in Connecticut
 Public/Private Sector Leadership

• Connecticut Overview
• Established in 1976 - partnership between United
  Ways and State of Connecticut (originally 75/25
  split)
• 1980s 1990s - Diversify Funding
• i. Alzheimer's
• ii. Substance Abuse
• iii. MCH
• 2-1-1

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2-1-1 Implementation in Connecticut
 Public/Private Sector Leadership

• Model for Funding
• Partnership with State (now 78/15 split with 7
  from grants)
• DSS lead agency
• Other Agency Partnerships

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Minnesota 2-1-1

• Krista Boston
• Minnesota Board on Aging
• DHHS Coordinator for 2-1-1

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2-1-1 in Minnesota Represents

• 1. Partnership between public and
• private
• 2. Collaborative effort between 10
• FCFH hubs linking to specialty lines
• 3. Supported through multiple sources
• of funding

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FUNDING

• Public sources of funding include
• State funding from State Unit on Aging - Annual
  300,000
• FFP from Department of Human Services
• Additional specialty outreach contracts from
  State/local agencies
• Private sources of funding include
• United Way
• Community Action Agencies
• Other Private - foundations

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FEDERAL FINANCIAL PARTICIPATION (FFP)

• Minnesota method is in negotiation with feds
  (CMS/DCA)
• Multi-prong approach to generating revenue
  reimbursement

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APPROACH

• Step 1 Allocate costs to two cost centers
• Step 2 Allocate data resources and calls to
  taxonomy
• Step 3 Allocate coding pro-rata to costs
• Step 4 Allocate pro-rated share to FFP s by
  program

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ANNUAL FEDERAL SHARE

• 1. Difficult to estimate
• 2. Varies by quarter
• 3. Will change dependent on calls
• and resource listings
• 4. Other options - cost per call?

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Texas
Judy Windler

• Texas IR Network
• Health Human Services Commission

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2-1-1 Texas Funding

• Legislative Appropriations FY 02-03
• State-wide system and operations
• Telecommunications Infrastructure Fund (TIF)
• Tobacco Settlement Surplus Funds
• 2-1-1 Contact Center Funding
• United Way, City or County Contracts, Workforce
  Boards, Area Agency on Aging, Foundations,
  Product Sales

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2-1-1 Texas Funding Strategy

• Legislative Appropriations Request for 04-05
• Homeland Security Federal and State
• Telecommunications Infrastructure Funds (TIF)
• Tobacco Funds
• General Revenue