Federal child welfare funding – known as Title IV-E – is a big piece of how the U.S. child welfare system is funded. In 2010, total funding in support of child welfare services was roughly $29.3 billion in combined federal, state, and local funds. Federal funding alone accounted for $13.5 billion, and with 2012, Title IV-E federal spending at $6.91 billion, it was approximately 50% of total federal child welfare spending (see Mapping The Child Welfare Market: 6.2 Million Children In Contact With Child Welfare System & $29.3 Billion In Annual Spending).
The preferred uses of Title IV-E funding is changing in some big ways. Where once traditional Title IV-E services were only for out-of-home placement (state maintenance payments for foster care, adoption assistance, and guardianship assistance care for eligible children), it can now be used through a state waiver to prevent out-of-home treatment. These prevention services – which include aftercare services, trauma informed intervention, and preservation services – are a big change in the use of Title IV-E dollars.
And out of these changes, new models for financing and delivering these services are being developed. Last week, I wrote about the Massachusetts model (see Will The Massachusetts Model Be THE New Child Welfare System Management Model? all members) which integrates congregate care and community-based treatment and uses waiver funds to pay for community-based services that will follow children in foster care who are discharged from a residential treatment placement (see Massachusetts Launching Unified Child Welfare Service Model For Congregate Care & Community-Based Treatment).
For organizations in the health and human service field that are looking at this big change in the child welfare system (see A Child Welfare Funding Change – For The Better all members), here is a breakdown of the other states that have received approval for Federal Fiscal Year 2012 Title IV-E demonstration projects from the Administration for Children and Families (ACF), Children’s Bureau:
Arkansas – The waiver will permit the state to expand the array of evidence-based and evidence-informed services available to in-home and out-of-home child welfare cases (see Arkansas To Expand Array of Title IV-E Child Welfare Services)
Colorado – The waiver will permit the state and counties to use federal foster care funding during 2012, 2013, and 2014 for preventive or aftercare services. (see Colorado Receives Title IV-E Waiver To Continue Child Welfare Reform)
Illinois – The Illinois Department of Children and Family Services (DCFS) will implement a new program Cook County, using waiver funds to determine if providing trauma-informed evidence-based interventions for young children initially placed in foster care will result in reduced trauma symptoms, increased permanency rates, reduced re-entry rates, and improved child well-being (see Trauma-Informed Intervention Title IV-E Waiver Demonstration Launching In Cook County Illinois)
Michigan – On January 9, 2013, the Michigan Department of Human Services (DHS) released an request for proposals (RFP) seeking provider organizations for its child welfare Title IV-E waiver demonstration project, to provide direct family engagement and preservation services, and will coordinate community prevention service delivery for families at high risk of maltreatment (see Michigan Releases RFP Seeking Provider Organizations For Title IV-E Waiver Child Welfare Demonstration Project and Michigan DHS Receives Federal Title IV-E Waiver To Launch Child Welfare Preventive Services Pilot Program)
Pennsylvania – will provide preventative and intervention services in five counties that handle 45% of the state’s total children in foster care. Implementation of the waiver will begin July 1,2013 (see Pennsylvania Launches Title IV-E Expansion Into Child Welfare Prevention Services)
Utah – The state’s five-year Title IV-E demonstration project will provide in-home services and seek to divert up to 385 Title IV-E-eligible children from out-of-home care to in-home services (see Utah Title IV-E Waiver Demonstration Project To Slow Rate Of Increase For Out-Of-Home Foster Care)
Washington – The Washington State Department of Social and Health Services (DSHS) Children’s Administration is preparing to implement a new approach to its child welfare system called Family Assessment Response (FAR) in which child maltreatment prevention services will be provided to children at-risk of maltreatment without removing the children from their families (see Washington Implementing Family Assessment Response Program To Provide Preventive Services To At-Risk Families)
Wisconsin – The Wisconsin Department of Children and Families (DCF) is planning to launch a statewide demonstration project that will provide year-long post-reunification case management and aftercare services (see Wisconsin DCF To Launch Post-Reunification Case Management & Aftercare Services Demonstration With Title IV-E Demonstration Waiver)
What additional developments can providers expect? The first and biggest is, in federal fiscal year 2013 and 2014, ACF may select Title IV-E waiver proposals from up to ten additional states for approval. The true magnitude of this for IV-E funding remains to be seen, but I’m expecting it to be large.
Questions about opportunities, or possible concerns? Feel free to contact me at email@example.com.
For another free resource, see: P4P Meets Title IV-E all members
This resource is free for the next sixty days to all registered OPEN MINDS Circle members.