ANNUAL JLBC CHILD CARE REPORT SFY 2007 Table of Contents I. Annual JLBC Child Care Report - State Fiscal Year 2007 ............ Pages 1-4 II. Table 1 - Families and Children Served and Total Payments by Child Care Program ............ Page 5 III. Table 2 - Transitional Medical Assistance (TMA) & Transitional Child Care (TCC) ............ Page 6 IV. Table 3 - Child Care Assistance Gross Monthly Income Eligibility Chart and Fee Schedule ............ Page 7 V. Table 4 - Maximum Reimbursement Rates for Child Care ............ Page 8 VI. A.R.S. 46-810 - Department of Economic Security: Child Care; Report ............ Page 9 VII. JLBC Report Transmittal Letters ............ Pages 10-25 ANNUAL JLBC CHILD CARE REPORT Pursuant to A.R.S. § 46-810, the annual report for members of the Joint Legislative Budget Committee is provided. The information reflects statewide data for state fiscal year 2007, and provides comparative information from state fiscal year 2006. 1. The number of families served and total number of children served by each of the child care programs administered by the Department of Economic Security. In state fiscal year 2007, the total number of children served on an average monthly basis was 44,609 and the total number of families served in all programs on an average monthly basis was 24,223 (see Table 1). This is a .2 percent increase in terms of children and a .2 percent increase in terms of families over fiscal year 2006. Note: The average number of children served (paid for) in a given month was approximately 85.5 percent of the number authorized for service in that month in fiscal year 2007. 2. The total number of dollars spent on child care for each of the child care programs administered by the Department of Economic Security. In fiscal year 2007, the estimated 1 total number of subsidy dollars spent for the Department’s child care programs was $177,077,100 (see Table 1). This is a 7.1 percent increase over fiscal year 2006 spending, which was $165,339,198. These figures do not include operating expenditures and quality expenditures. 3. The number of recipients eligible for Transitional Medical and Child Care benefits. All Transitional Medical Assistance eligible recipients are enrolled in AHCCCS. As of June 2007, there were a total of 42,583 children eligible and receiving Transitional Medical benefits, a 2.9 percent decrease compared to June 2006 figures. As of July 9, 2007, there were 9,630 children eligible for Transitional Child Care (TCC). That is a 10.3 percent decrease from fiscal year 2006. The decrease in TCC participation in fiscal year 2007 correlates with a 9.5 percent decrease in the TANF Cash Assistance caseload for the same period. Based on fiscal year 2007 data, on average 86.0 percent of the authorized Transitional Child Care children actually utilized child care assistance at any given point each month. 4. The number of recipients who accept Transitional Medical and Child Care benefits specifying how many recipients have received these services for less than 12 months and those who have received these services for more than 12 months. In June 2007, the number of recipients of Transitional Medical Assistance, in the first 12 months of eligibility, was 42,583, a 2.9 percent decrease compared to June 2006 figures (see Table 2). Beginning October 2002, Transitional Medical Assistance was no longer provided 1 Based on information from the Arizona Child Care Automated Tracking System report, a cash basis report intended for use as a management tool report only and is not intended for use as a financial report. Annual JLBC Child Care Report September 20, 2007 Page 1 for the second 12 months of the transition period. The second year of TMA coverage was a part of the EMPOWER waiver that expired November 1, 2002. Since state statute A.R.S. § 36-2924 was passed to not extend the availability of the second 12 months, TMA went to a maximum of 12 months effective October 1, 2002. As of June 2007, there were 8,387 children, 4,850 in the first 12 months of eligibility and 3,537 in the second 12 months of eligibility, receiving Transitional Child Care (TCC). This is a 5.6 percent decrease from fiscal year 2006. Table 2 shows the number of children utilizing service throughout the year. Although there was a 5.6 percent decrease in Transitional Child Care (TCC) participation in fiscal year 2007, this is less than half of the 12.3 percent decrease in TCC experienced in fiscal year 2006. The decrease in TCC participation in fiscal year 2007 correlates with a 9.5 percent decrease in the TANF Cash Assistance caseload for the same period. 5. The number of applicants waiting for services under the state child care subsidy and federal child care programs for working families. A waiting list was not necessary in fiscal year 2007. 6. Co-payment levels for each of the child care programs administered by the Department of Economic Security. Child care assistance is a key component in helping families achieve and maintain selfsufficiency. It not only supports families in their transition off of Cash Assistance but also is a vital service to those who, without childcare, would potentially need to apply for Cash Assistance. Child care must be affordable to meet a family’s needs. Both federal Child Care Development Fund (CCDF) regulations and Arizona statute require the Department to develop a sliding fee scale, which maintains child care cost sharing between the state and families. Laws 2005, Chapter 328, required that co-payments be imposed for all children in nonmandatory categories, including low-income working, teen parent in high school, and special circumstances, but not child protective services (CPS) referred families receiving child care assistance. The child care co-payment required of DES eligible parents must be reasonable and affordable, and enable low and moderate income families access to good quality child care. Families at lower income levels must spend an increasingly high percentage of family income on necessities such as rent, utilities, food and clothing. The percentage of family income available for child care is less than families at higher income levels. The DES sliding fee scale (see Table 3), effective July 1, 2006, consists of six fee levels, wherein parents are required to pay between $1 and $10 per day for the first child, and a lesser daily co-payment for any additional child(ren) in the family. Child care assistance for families eligible under the block grant eligibility categories (low-income working, teen parent, and unable/unavailable) will be limited to six children in the eligible family at any given point in time and co-payments will be assigned to all eligible children who require Annual JLBC Child Care Report September 20, 2007 Page 2 assistance. For families receiving Transitional Child Care (TCC), there is no co-payment assigned beyond the third child in the family and no limit to the number of eligible children who may be authorized for assistance. In addition, families must pay any difference in cost between the maximum that the Department pays and the amount the child care provider actually charges. 7. The amount of co-payment money collected for each of the child care programs administered by the Department of Economic Security. In fiscal year 2007, the total amount of DES required co-payment collected for all programs was $15.2 million. In fiscal year 2006, the total required co-payment collected was $14.3 million (see Table 1). This represents an increase of 6.3 percent. The increase is attributable to the overall increase in the number of children served and a shift away from children in mandated service eligibility categories that do not require co-payments. As noted in the previous section and in addition to the required co-payments, families must pay any difference in cost between the maximum that the Department pays and the amount the child care provider actually charges. 8. The total number of payments to relatives for child care and the number of children served. In fiscal year 2007, 8,580 children received child care assistance for care received from relatives, which is a 10.0 percent decrease in the number of children from fiscal year 2006. The total dollars reimbursed for relative care in fiscal year 2007 was $8.5 million. This amount represents an 11.4 percent decrease from fiscal year 2006 figures. The 10 percent decrease in the number of children who used relative care in fiscal year 2007 is likely explained by 2 factors: 1) Jobs participants historically use relative care to a greater extent than other clients as it is the most affordable option; the Jobs Child Care caseload declined by 16 percent during fiscal year 2007 due to the privatization of the Jobs Program; and 2) some of the children in relative care shifted to formal care arrangements; the total number of children served in fiscal year 2007 increased slightly by .2 percent. 9. Any changes in payment rate schedules and maximum provider rates from the previous fiscal year and the reason for those changes. Eligibility for child care services continues to be set at 165 percent of the federal poverty level (FPL) as specified in A.R.S. § 46-803. There was one change to the rate schedule during the fiscal year. The rate schedule in fiscal year 2007 was adjusted to reflect the new FPL guidelines (see Table 3). Prior to fiscal year 2007, maximum reimbursement rates were based on the 75th percentile of the 1998 market rate survey. Effective July 1, 2006, maximum payment rates for child care providers for fiscal year 2007 were adjusted to reflect the 75th percentile of the 2000 market rate survey (see Table 4). 10. The number of families providing child care as a work activity in order to meet the Federal Work Participation Rates established pursuant to Public Law 104-93. Annual JLBC Child Care Report September 20, 2007 Page 3 Public Law 104-193 identifies 12 activities as allowable work activities in reference to individuals receiving Temporary Assistance to Needy Families (TANF) Cash Assistance. This list includes “the provision of child care services to an individual who is participating in a community service program.” This activity is distinguished from unsubsidized employment as an allowable work activity in the law, and refers to the provision of child care services by Cash Assistance recipients to other Cash Assistance recipients as an unpaid work activity, solely for the purpose of meeting the work participation rate. A.R.S. § 46101.24 does not include this as a countable work activity; therefore, the Department does not promote or track the provision of unpaid child care services by Cash Assistance recipients for the children of other Cash Assistance recipients for the purpose of meeting the work participation rate. The rationale for not using this unpaid child care activity is described below: 1) Encouraging the use of untrained and uncompensated Cash Assistance recipients as child care providers could place the safety of children in jeopardy, and the Department in a position of liability for any resultant harm or injury. 2) Arizona operates a parental choice model with respect to the child care assistance program (in accordance with Child Care & Development Fund regulations). Requiring Cash Assistance recipients to utilize other Cash Assistance recipients in the provision of child care services would be inconsistent with the parental choice requirement which requires that the parent be allowed to select between different provider types. 3) Cash Assistance recipients who are not trained or compensated for the provision of child care services are not increasing their potential to become gainfully employed. Further, Cash Assistance recipients who express the interest and aptitude to pursue employment in the child care field should be encouraged to pursue short term child care training through the “Child Care Professional Training Program” (CCPT). The Department contracts with community-based agencies and community colleges throughout Arizona to deliver the 60-hour child care orientation and training curriculum. Upon completion of the CCPT course, the Cash Assistance recipient will be better prepared to pursue employment with child care facilities, Head Start programs, or become self-employed as a DES certified family child care provider. Cash Assistance recipients who are trained and compensated for the provision of child care services would be represented in the “unsubsidized employment” category. 4) Developing and managing a process to track the hours of unpaid child care activities would be administratively burdensome at best; it is doubtful whether the benefits of this proposition would outweigh the costs since the activity would not lead to gainful employment and would not assist the Cash Assistance recipient in becoming self sufficient. Annual JLBC Child Care Report September 20, 2007 Page 4 TABLE 1 FAMILIES AND CHILDREN SERVED AND TOTAL PAYMENTS BY CHILD CARE PROGRAM State Fiscal Year 2007 Child Care Program Families Served (1,3) TANF Cash Assistance Related Employed Child Care JOBS Child Care Transitional Child Care Transitional Child Care Extension Low Income Working Special Circumstances Child Protective Services Others Totals Children Served (1,3) Expenditures (2,3) Copayment Collected (2,3) 676 1,345 2,677 1,742 1,358 2,501 5,245 3,546 $ $ $ $ 5,279,776 9,291,262 20,302,764 13,951,172 $ $ $ $ 1,806,555 1,470,536 13,693 24,877 $ 95,887,561 $ 11,691,120 3,450 640 6,082 1,000 $ $ 28,329,890 4,034,674 $ $ 216,254 24,223 44,609 $ 177,077,100 $ 15,184,464 Notes: (1) Monthly Average. (2) Annual Total. (3) This report is a summary of disbursements and caseload data made by the issuance of warrants from AzCCATS, the Arizona Child Care Automated Tracking System. This report is not intended for use as a financial report. JLBC Annual Report as Required by A.R.S. § 46-810 September, 2007 TABLE 2 TRANSITIONAL MEDICAL ASSISTANCE (TMA) & TRANSITIONAL CHILD CARE (TCC) State Fiscal Year 2007 FY 2007 Month July August September October November December January February March April May June TMA 01 - 12 Months (1) 43,728 44,326 44,371 45,805 46,500 46,704 47,324 46,316 45,774 44,379 44,348 42,583 TMA 13 - 24 Months (1,3) - TCC 1 - 12 Months (2,4) 5,394 5,486 5,179 5,682 5,635 5,427 5,190 5,134 4,988 4,961 5,011 4,850 TCC 13 - 24 Months (2,4) 3,648 3,513 3,404 3,740 3,604 3,444 3,423 3,461 3,564 3,618 3,598 3,537 Notes: (1) TMA eligibility recipients are all enrolled in AHCCCS. (2) TCC is the number of children served (utilization estimated at 86.0% of the number eligible). (3) In October 2002, a DHHS waiver that had been granted to Arizona expired. As a result of the expiration of this waiver, TMA was no longer available to families beyond 12 months after Cash Assistance case closure. (4) This report is a summary of disbursements and caseload data made by the issuance of warrants from AzCCATS, the Arizona Child Care Automated Tracking System. This report is not intended for use as a financial report. JLBC Annual Report as Required by A.R.S. § 46-810 September, 2007 TABLE 3 ARIZONA DEPARTMENT OF ECONOMIC SECURITY CHILD CARE ASSISTANCE GROSS MONTHLY INCOME ELIGIBILITY CHART AND FEE SCHEDULE EFFECTIVE JULY 1, 2006 Family Size ⇓ FEE LEVEL 1 (L1) INCOME MAXIMUM EQUAL TO OR LESS THAN 85% FPL* FEE LEVEL 2 (L2) INCOME MAXIMUM EQUAL TO OR LESS THAN 100% FPL* FEE LEVEL 3 (L3) INCOME MAXIMUM EQUAL TO OR LESS THAN 135% FPL* FEE LEVEL 4 (L4) INCOME MAXIMUM EQUAL TO OR LESS THAN 145% FPL* FEE LEVEL 5 (L5) INCOME MAXIMUM EQUAL TO OR LESS THAN 155% FPL* FEE LEVEL 6 (L6) INCOME MAXIMUM EQUAL TO OR LESS THAN 165% FPL* 1 0 – 695 696 – 817 818 – 1,103 1,104 – 1,185 1,186 – 1,267 1,268 – 1,349 2 0 – 935 936 – 1,100 1,101 – 1,485 1,486 – 1,595 1,596 – 1,705 1,706 – 1,815 3 0 – 1,177 1,178 – 1,384 1,385 – 1,869 1,870 – 2,007 2,008 – 2,146 2,147 – 2,284 4 0 – 1,417 1,418 – 1,667 1,668 – 2,251 2,252 – 2,418 2,419 – 2,584 2,585 – 2,751 5 0 – 1,658 1,659 – 1,950 1,951 – 2,633 2,634 – 2,828 2,829 – 3,023 3,024 – 3,218 6 0 – 1,899 1,900 – 2,234 2,235 – 3,016 3,017 – 3,240 3,241 – 3,463 3,464 – 3,687 7 0 – 2,140 2,141 – 2,517 2,518 – 3,398 3,399 – 3,650 3,651 – 3,902 3,903 – 4,154 8 0 – 2,380 2,381 – 2,800 2,801 – 3,780 3,781 – 4,060 4,061 – 4,340 4,341 – 4,620 MINIMUM REQUIRED CO-PAYMENTS 1st child in care 2nd child in care 3rd child in care 4th child in care 5th child in care 6th child in care full day = $1.00 full day = $2.00 full day = $3.00 full day = $5.00 full day = $7.00 part day = $ .50 part day = $1.00 part day = $1.50 part day = $2.50 part day = $3.50 full day = $ .50 full day = $1.00 full day = $1.50 full day = $2.50 full day = $3.50 part day = $ .25 part day = $ .50 part day = $ .75 part day = $1.25 part day = $1.75 full day = $ .50 full day = $1.00 full day = $1.50 full day = $2.50 full day = $3.50 part day = $ .25 part day = $ .50 part day = $ .75 part day = $1.25 part day = $1.75 For families receiving Transitional Child Care (TCC) there is no co-payment assigned beyond the 3rd child in the family full day = $ .25 full day = $ .50 full day = $ .75 full day =$1.25 full day = $1.75 part day = $ .10 part day = $ .25 part day = $ .35 part day = $ .60 part day = $ .85 full day = $ .25 full day = $ .50 full day = $ .75 full day = $1.25 full day = $1.75 part day = $ .10 part day = $ .25 part day = $ .35 part day = $ .60 part day = $ .85 full day = $ .25 full day = $ .50 full day = $ .75 full day =$1.25 full day = $1.75 part day = $ .10 part day = $ .25 part day = $ .35 part day = $ .60 part day = $ .85 full day part day full day part day full day part day = $10.00 = $ 5.00 = $ 5.00 = $ 2.50 = $ 5.00 = $ 2.50 full day part day full day part day full day part day = $ 2.50 = $ 1.25 = $ 2.50 = $ 1.25 = $ 2.50 = $ 1.25 Full day = Six or more hours; Part day = Less than six hours. Families receiving Child Care Assistance based upon involvement with Child Protective Services/Foster Care, the Jobs Program, the Arizona Works Program or those who are receiving Cash Assistance (CA) and who are employed, may not have an assigned fee level and may not have a minimum required co-payment. However, all families may be responsible for charges above the minimum required co-payments if a provider’s rates exceed allowable state reimbursement maximums and/or the provider has other additional charges. * Federal Poverty Level (FPL) =US DHHS 2006 poverty guidelines. TABLE 4 ARIZONA DEPARTMENT OF ECONOMIC SECURITY Division of Employment & Rehabilitation Services Child Care Administration MAXIMUM REIMBURSEMENT RATES FOR CHILD CARE Based on the 75th percentile of the 2000 Child Care Market Rate Survey as indentified in the Fiscal Year 2007 Appropriation Report (effective for services provided on or after 7/1/06) CENTERS Age Group Birth < 1 yr: Full day Part day 1 yr < 3 yrs: Full day Part day 3 yrs < 6 yrs: Full day Part day 6 yrs < 13 yrs: Full day Part day District I District II District III District IV District V District VI 30.20 22.40 27.00 19.80 22.40 18.40 21.00 19.00 30.00 25.00 32.00 25.00 26.60 20.00 25.00 18.16 20.80 18.00 19.00 18.00 28.00 15.00 20.80 17.60 23.80 17.00 22.09 16.00 20.00 15.00 18.00 16.00 20.00 12.40 19.00 13.00 23.40 16.00 22.00 15.00 17.00 14.00 17.00 15.00 20.00 13.33 19.00 13.00 Age Group Birth < 1 yr: Full day Part day 1 yr < 3 yrs: Full day Part day 3 yrs < 6 yrs: Full day Part day 6 yrs < 13 yrs: Full day Part day District I District II District III District IV District V District VI 24.00 16.00 22.00 16.00 23.00 23.00 20.00 14.00 19.00 12.50 21.20 18.00 22.00 15.00 22.00 16.00 22.00 15.00 18.00 12.00 19.00 12.00 21.25 17.00 20.00 15.00 20.00 16.00 22.00 13.95 18.00 12.00 19.00 12.00 18.50 16.00 18.00 14.00 20.00 15.81 17.00 13.95 18.00 12.00 19.00 12.00 18.50 17.00 Age Group Birth < 1 yr: Full day Part day 1 yr < 3 yrs: Full day Part day 3 yrs < 6 yrs: Full day Part day 6 yrs < 13 yrs: Full day District I District II District III District IV District V District VI 20.00 14.00 19.00 12.00 18.00 10.00 18.00 10.50 20.00 12.00 18.00 10.00 20.00 13.00 18.00 12.00 17.00 10.00 17.00 10.50 20.00 11.00 17.00 10.00 18.00 12.00 18.00 12.00 16.00 10.00 17.00 10.50 18.00 10.00 16.00 10.00 17.00 18.00 16.00 16.00 18.00 16.00 12.00 11.00 10.00 10.00 10.00 10.00 GROUP HOMES CERTIFIED FAMILY HOMES & CERTIFIED IN-HOME PROVIDERS Part day The actual reimbursement amount is equal to the reimbursement rate minus any DES designated co-payment. However, in no event shall the amount reimbursed exceed the lesser of the provider’s actual charges or the maximum reimbursement rate minus any DES designated co-payment. Payment Rates for Non-Certified Relative Providers (NCRPs) will be $10.50 for Full day and $6.00 for Part day, minus any DES designated copayment. This rate will be paid to NCRPs statewide for care provided to children of all ages. The maximum reimbursement rates may be increased by up to ten percent for child care providers who are nationally accredited. Full day = six or more hours per day. Part day = less than six hours per day. DES defines six local areas based upon geographic proximity/common characteristics, as Districts. They are comprised of the following counties: District I - Maricopa District IV - La Paz, Mohave, and Yuma District II - Pima District V - Gila and Pinal District III - Apache, Coconino, Navajo, and Yavapai District VI - Cochise, Graham, Greenlee, and Santa Cruz 46-810. Department of economic security; child care; report The department of economic security shall provide the following data by October 1 of each year to the members of the joint legislative budget committee: 1. The number of families served and total number of children served by each of the child care programs administered by the department of economic security. 2. The total number of dollars spent on child care for each of the child care programs administered by the department of economic security. 3. The number of recipients eligible for transitional medical and child care benefits. 4. The number of recipients who accept transitional medical and child care benefits specifying how many recipients have received these services for less than twelve months and those who have received these services for more than twelve months. 5. The number of applicants waiting for services under the state child care subsidy and federal child care programs for working families. 6. Copayment levels for each of the child care programs administered by the department of economic security. 7. The amount of copayment money collected for each of the child care programs administered by the department of economic security. 8. The total number of payments made to relatives for child care and the number of children served. 9. Any changes in the payment rate schedules and maximum provider rates from the previous fiscal year and the reason for those changes. 10. The number of families providing child care as a work activity in order to meet the federal work participation rates established pursuant to Public Law 104-193.