STATE OF ARIZONA SOCIAL SERVICES BLOCK GRANT PLAN 2010-2011 THE ARIZONA DEPARTMENT OF ECONOMIC SECURITY August 13, 2010 AZ 2010-2011 SSBG PLAN Equal Opportunity Employer/Program • Under Titles VI and VII of the Civil Rights Act of 1964 (Title VI & VII), and the Americans with Disabilities Act of 1990 (ADA), Section 504 of the Rehabilitation Act of 1973, and the Age Discrimination Act of 1975, the Department prohibits discrimination in admissions, programs, services, activities, or employment based on race, color, religion, sex, national origin, age, and disability. The Department must make a reasonable accommodation to allow a person with a disability to take part in a program, service or activity. For example, this means if necessary, the Department must provide sign language interpreters for people who are deaf, a wheelchair accessible location, or enlarged print materials. It also means that the Department will take any other reasonable action that allows you to take part in and understand a program or activity, including making reasonable changes to an activity. If you believe that you will not be able to understand or take part in a program or activity because of your disability, please let us know of your disability needs in advance if at all possible. To request this document in alternative format or for further information about this policy, contact your local office; TTY/TDD Services: 7-1-1. • Free language assistance for DES services is available upon request. • Free language assistance for DES services is available upon request. • Ayuda gratuita con traducciones relacionadas a los servicios de DES está disponible a solicitud del cliente. August 13, 2010 - ii - AZ 2010-2011 SSBG PLAN TABLE OF CONTENTS SUBJECT PAGE List of Figures ................................................................................................................... iv Appendices ........................................................................................................................ iv Introduction ....................................................................................................................... 1 SSBG Planning Level ........................................................................................................ 1 TANF Block Grant Funds Transferred to the SSBG .................................................... 1 SSBG Service Goals .......................................................................................................... 2 Evaluation .......................................................................................................................... 2 Reporting on Activities Funded ....................................................................................... 2 SSBG Planning Process .................................................................................................... 2 State Planned Services ...................................................................................................... 3 Locally Planned Services .................................................................................................. 3 Arizona Tribal Entities ..................................................................................................... 4 Geographic Areas.............................................................................................................. 5 Financial Operations System ........................................................................................... 5 Proof of Audit .................................................................................................................... 5 Public Comment and Review ........................................................................................... 5 Plan Amendment ............................................................................................................... 8 Catalog of Services ............................................................................................................ 8 Federal Uniform Definitions of Services Titles .............................................................. 8 Arizona Dictionary and Taxonomy of Human Services ................................................ 9 Crosswalk for Federal SSBG Services to Arizona Taxonomy .................................... 20 Service Availability ......................................................................................................... 24 Local and State Planned Levels ..................................................................................... 25 Target Group Definitions ............................................................................................... 25 Planned Expenditures – SFY 2011 ................................................................................ 26 August 13, 2010 - iii - AZ 2010-2011 SSBG PLAN LIST OF FIGURES SUBJECT PAGE Figure 1: Title XX Geographic Areas (State Map) ........................................................ 6 Figure 2: DES Organization Chart ................................................................................. 7 APPENDICES SUBJECT PAGE Appendix A. Public Notice ............................................................................................ 56 Public Notice .............................................................................................................. 57 Appendix B. Certifications ............................................................................................ 58 Certification Regarding Lobbying .......................................................................... 59 Certification Regarding Drug-Free Workplace Requirements ............................ 60 Certification Regarding Debarment, Suspension And Other Responsibility Matters .............................................................................................. 63 Certification Regarding Environmental Tobacco Smoke .................................... 66 August 13, 2010 - iv - AZ 2010-2011 SSBG PLAN STATE OF ARIZONA Title XX Social Services Block Grant Plan July 1, 2010 – June 30, 2011 Introduction This document provides information on the types of activities supported and the categories or characteristics of individuals served under the provisions of the Omnibus Budget Reconciliation Act of 1981, Public Law 97-35, Subtitle C - Block Grants for Social Services, which amends Title XX of the Social Security Act. The Arizona Department of Economic Security (DES) under the statutory provisions of the law administers the Arizona Social Services Block Grant (SSBG) Plan (the Plan). The program period covered corresponds to the State Fiscal Year 2011 (SFY 2011), which begins on July 1, 2010, and ends June 30, 2011. SFY 2011 overlaps portions of Federal Fiscal Year 2010 (FFY 2010) and FFY 2011, which run from October 1 through September 30. SSBG Planning Level The specific formula used to estimate the amount of federal SSBG funds that are available for funding the planned services during Arizona’s SFY 2011 is calculated from one-fourth of Arizona’s FFY 2010 allocation and three-fourths of Arizona’s estimated FFY 2011 allocation. Since the actual allotment available to Arizona is determined pursuant to Congressional and Presidential approval, the services and planning levels identified are estimates. The $22,613,100 of TANF Block Grant funds transferred to the SFY 2011 SSBG is included in the Plan in addition to the SFY 2011 estimated funding level of $36,139,750 for a total combined planning level of $58,752,850. The Plan spreadsheets immediately follow the narrative portion of the Plan. There are Plan spreadsheets for each of the DES Administrations/Divisions that plan to use SSBG funding for SFY 2011. The spreadsheets show the Services, Target Group(s), Status Eligibility, and Funding for each of the Locally Planned and State Planned SSBG services. This format allows the DES, local entities, and the U.S. Department of Health and Human Services (DHHS) to see the planned uses for SSBG funds. TANF Block Grant Funds Transferred to the SSBG The 49th Legislature, Seventh Special Session HB 2001 (Chapter 1), Section 30 appropriated $22,613,100 of Arizona's Temporary Assistance to Needy Families (TANF) block grant to be transferred to the SSBG for Children Services funding. August 13, 2010 -1- AZ 2010-2011 SSBG PLAN SSBG Service Goals The mission of the Arizona Department of Economic Security is to promote the safety, well-being, and self-sufficiency of children, adults, and families. Arizona’s SSBG-funded services will be directed toward one or more of the following federal goals: I. II. III. IV. V. Achieve or maintain economic self-support to prevent, reduce, or eliminate dependency. Achieve or maintain self-sufficiency, including reduction or prevention of dependency. Prevent or remedy neglect, abuse, or exploitation of children and adults unable to protect their own interests or preserving, rehabilitating, or reunifying families. Prevent or reduce inappropriate institutional care by providing for community-based care, home-based care, or other forms of less intensive care. Secure referral or admission for institutional care when other forms of care are not appropriate or providing services to individuals in institutions. The goals of DES and the five federal SSBG goals are very much aligned particularly in the areas of achieving or maintaining economic self-support to prevent, reduce, or eliminate dependency. The goals of DES are to: Strengthen individuals and families; Increase self-sufficiency; and Develop the capacity of communities. DES facilitates the efficient delivery of a broad array of services aimed at helping individuals and families make effective decisions to increase their safety, stability, and self-sufficiency. Evaluation The appropriate administrations within DES contracting for services funded by the SSBG have the responsibility of monitoring and evaluating the social service programs funded by the SSBG. Reporting on Activities Funded DES will prepare a report on activities carried out with funds allocated in the Plan. The report may be used to determine the extent to which funds were spent in a manner consistent with the Plan. The Annual Report of Services Funded by the Social Services Block Grant for Fiscal Year 2010 will be available to the public after January 1, 2011. To obtain copies of this report, direct your request to the contact person at the telephone number or mailing address listed on page 5 of this Plan. SSBG Planning Process DES is responsible for planning and developing the Plan. This includes providing technical assistance to local planning bodies and tribal entities for locally planned SSBG services. Planning for the use of the balance of available SSBG funds is accomplished as a part of the Department’s annual budget development process. August 13, 2010 -2- AZ 2010-2011 SSBG PLAN State-Planned Services The DES Administrations/Divisions participating in Arizona’s SSBG planning and reporting process are: • • • • • • • • Administration for Children, Youth and Families (ACYF) Child Care Administration (CCA) Division of Benefits and Medical Eligibility (DBME) Division of Aging and Adult Services (DAAS) Division of Business and Finance (DBF) – Policy and Planning Administration (PPA) Division of Developmental Disabilities (DDD) Employment Administration (EA) Rehabilitation Services Administration (RSA) These Administrations/Divisions within DES perform statewide planning activities by coordinating with similar and related programs of other state and local agencies, producing planning documents, fulfilling all federal statutory responsibilities accompanying the administration of programs, and involving local planning agencies in the development of a coordinated planning effort and review of local priorities for incorporation into statewide planning products. Locally Planned Services A significant amount of SSBG services are provided primarily through local service-delivery systems contracted by DES to augment state services and to respond to local needs. Arizona's six Councils of Governments (COGs) contract with DES to facilitate the primary planning for this portion of the SSBG service-delivery system. This primary planning is accomplished by identifying regional priorities, by coordinating planning with other planning entities, and by providing locally based citizen involvement opportunities. The following chart indicates the COGs’ distribution of the allocation for locally planned services. COUNCILS OF GOVERNMENTS (COGs) Maricopa Association of Governments Pima Association of Governments Northern Arizona Council of Governments Western Arizona Council of Governments Central Arizona Association of Governments Southeastern Arizona Governments Organization TOTAL August 13, 2010 LOCAL PLANNED SERVICES ALLOCATION $3,840,579 1,505,634 389,760 460,125 429,900 401,880 $7,027,878 -3- AZ 2010-2011 SSBG PLAN Arizona Tribal Entities Tribal Nations within Arizona have been established as separate SSBG Planning and Services areas. Technical assistance in planning and developing SSBG services is provided to tribes, upon request, by DES. Eighteen of Arizona’s tribes have designated the Inter Tribal Council of Arizona (ITCA) to plan for their SSBG-funded services. Each participating tribal entity is allocated the following share of the state's SSBG allocation that is based on each tribe's Arizona population. ITCA and TRIBES NAME of TRIBE Ak-Chin Indian Community Cocopah Tribe Colorado River Indian Tribes Fort McDowell Yavapai Nation Fort Mojave Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Tribe Kaibab-Paiute Tribe Pascua Yaqui Tribe Quechan Tribe Salt River Pima-Maricopa Indian Community San Carlos Apache Tribe San Juan Southern Paiute Tonto Apache Tribe White Mountain Apache Tribe Yavapai-Apache Nation Total ITCA Services (Aging and Adult) Tohono O'Odham (Child Care) Navajo (Children's Services) Gila River (Children's Services) TOTALS ALLOCATION $ 15,658 17,040 26,097 16,257 19,179 95,425 16,453 96,898 25,374 13,735 25,607 23,862 30,744 92,593 12,086 13,205 115,574 21,397 $ 677,184 120,644 1,242,896 18,417 $2,059,141 ITCA planned services may be contracted with each tribal government for the amount shown. Specific services, eligibility criteria, and dollar amounts are determined during the contracting process and are not designated in this Plan. August 13, 2010 -4- AZ 2010-2011 SSBG PLAN Geographic Areas The regional areas for which services are planned are identified on the map on page 6. The Plan spreadsheets further delineate many services to the county level. Financial Operations System Arizona uses a federally approved cost allocation plan. DES is responsible for administering a wide variety and large quantity of grants and therefore utilizes multiple methods to assign costs. Indirect costs are typically assigned using modified total direct cost methodology. Other methods of assigning costs include Random Moment Samples, caseload counts, population factors, square footage, and time studies. Proof of Audit In accordance with 42 U.S.C. 1397e, the Single Audit Report for year ending June 30, 2008 was performed by the State of Arizona, Office of the Auditor General and submitted to the Arizona State Legislature May 26, 2009. Public Comment and Review The proposed Arizona State Fiscal Year 2011 SSBG Plan was made available to the public and local community and tribal social services planning agencies for review. A public notice was posted on the Department’s Internet website requesting public comment on June 25, 2010. Please refer to Appendix A for a copy of the public notice. All interested persons were afforded an opportunity to provide written comments on the proposed plan to the SSBG Coordinator by close of business on July 15, 2010 at the addresses listed below: Arizona Department of Economic Security Rod Huenemann, SSBG Coordinator Policy and Planning Administration 1789 West Jefferson Street - Mail Site Code 837A Phoenix, Arizona 85007 Telephone: (602) 542-3882 E-mail: SSBGInput@azdes.gov Blog Post: https://www.azdes.gov/ssbginput2011/ August 13, 2010 -5- AZ 2010-2011 SSBG PLAN Figure 1: Geographic Planning Areas (State Map) August 13, 2010 -6- AZ 2010-2011 SSBG PLAN Arizona Department of Economic Security Office of the Attorney General Nicole Davis Governor Janice K. Brewer Economic Security Advisory Council Office of Equal Opportunity (Morris Greenidge) Office of Communications (Steve Meissner) Office of Ombudsman (Ezra Loring) Legislative Services (Herschella Horton) Tribal Affairs (VACANT) Governor's Advisory Councils Director Neal Young Governor's Advisory Council on Aging (Cathy De Lisa, Deputy Executive Director) Arizona Early Intervention Program Molly D. Bright Deputy Director of Programs Sharon E. Sergent Deputy Director of Operations and Special Projects Mary Gill Human Resources Administration Ben Levine Department of Administration Correspondence Control Office Gloria Castro Thompson Division of Child Support Enforcement Veronica Hart Ragland Systems & Automation Finance Policy & Resources Legal Services Division of Benefits & Medical Eligibility Veronica Bossack Disability Determination Family Assistance Program Evaluation Coordinated Hunger Program Division of Employment & Rehabilitation Services Patrick Harrington Child Care Employment Rehabilitation Services Unemployment Insurance Division of Developmental Disabilities Barbara Brent Business Operations Managed Care Program Operations ATPC Clinical Quality Division of Aging & Adult Services Melanie Starns Finance & Business Operations Adult Protective Services Refugee Resettlement Elder Rights & Benefits Independent Living Support Domestic Violence Intervention Coordinated Homeless Program Community Action Programs Division of Children, Youth & Families Jakki Kolzow (Acting) Finance & Business Operations Administration Program Improvement Administration Comprehensive Medical & Dental Program Child Welfare Program Financial Services Administration Michael Wisehart (Acting) Division of Business & Finance Todd Bright Accounting Business System Facilities Management Accounts Receivables & Collections Procurement Policy & Planning Operations Support Services Division of Technology Services Jim Hillyard Systems & Programming Data Center Technical Support Customer Service Support Center IT Support Services Information Security Server Database Integrated Systems Figure 2: DES Organization Chart August 13, 2010 -7- AZ 2010-2011 SSBG PLAN Division of Employee Services & Support Van Braswell Appellate Services Audit & Management Services Licensing, Certification & Regulations Special Investigations Volunteer Services Organization & Management Development Kristin Esty-Ibarra Plan Amendment The Plan may be revised throughout the year as necessary to reflect substantial changes in the activities provided that affect the overall intent of the Plan. Any substantive revisions will be made available for public review and comment from interested persons and federal and public agencies. Service needs and program decisions may make it necessary to add services or make changes in eligibility, geographic and service availability, or the target group to which the service may be directed. These changes may be made in the Department's contracting process or direct servicedelivery process without modifying the Plan. Catalog of Services This section identifies the services that may be funded under terms of the Title XX, SSBG. The services are defined as follows: yThe Federal Uniform Definitions of Services is a listing of the 29 titles of services that are required to be used for the purpose of reporting SSBG expenditures annually to the Federal Government. These services are defined in Title 45, Part 96, Appendix A of the Code of Federal Regulations. The 29 titles are listed below. y Services listed in the Arizona Dictionary and Taxonomy of Human Services are provided by DES or through purchase-of-service agreements with local community service providers. y The Crosswalk for Federal SSBG Services to the Arizona Dictionary and Taxonomy for Human Services provides a listing of the Federal Service Titles and the corresponding Arizona Taxonomy Service Titles. Federal Uniform Definitions of Services Titles 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. Adoption Services Case Management Services Congregate Meals Counseling Services Day Care Services - Adults Day Care Services - Children Education and Training Services Employment Services Family Planning Services Foster Care Services for Adults Foster Care Services for Children Health Related and Home Health Services Home Based Services Home Delivered Meals Housing Services Independent and Transitional Living Services August 13, 2010 -8- 17. Information and Referral 18. Legal Services 19. Pregnancy and Parenting Services for Young Parents 20. Prevention and Intervention Services 21. Protective Services for Adults 22. Protective Services for Children 23. Recreational Services 24. Residential Treatment Services 25. Special Services for Persons with Developmental or Physical Disabilities 26. Special Services for Youth Involved In or At Risk of Involvement With Criminal Activity 27. Substance Abuse Services 28. Transportation Services 29. Other Services AZ 2010-2011 SSBG PLAN Arizona Dictionary and Taxonomy of Human Services • Adaptive Aids and Devices A service that provides or fabricates specialized equipment that will assist persons in performing normal living skills, and any necessary installation, fitting, adjustment, and training. • Adaptive Aids and Devices – Repair/Modification A service that repairs or modifies aids and devices that assist persons in performing normal living skills. • Administrative Services Services that enable the effective administration and receipt of services. • Adoption A service that provides for the certification of a family, support services to the family after a child is placed and supervision of the family until the child’s adoption is finalized. • Adoption Services Services that provide for the selection of a family, placement and supervision of a child until an adoption is finalized. • Adoption Subsidy A service that provides payments for special services and/or maintenance for children who might otherwise not be adopted. • Adult Day Care/Adult Day Health Care A service that provides supervised planned care and health-related services to adults in a group setting during a portion of a 24-hour day. • Adult Foster Care A service that provides residential care and supervision of one to four adults in a family setting. • Advocacy Services that take action to protect the rights of individuals and ensure they receive appropriate services and benefits or to seek needed changes in the law and/or administrative rules to protect the rights of individuals and ensure adequate service levels. • Alternative Communication Training A service that provides for a specific curriculum that creates an opportunity for competency in recognized and accepted non-verbal medium. • Alternative Residential Services An alternative setting to an individual’s own home that is licensed or certified to provide one or more of the following: room and board, health care, health related services, behavioral health services, and/or habilitation for residents on a continuing basis. The setting is not a licensed nursing care institution. August 13, 2010 -9- AZ 2010-2011 SSBG PLAN Arizona Dictionary and Taxonomy of Human Services • Assessment/Evaluation Services that provide an evaluation to identify and analyze problems, needs and/or assets and may recommend corrective action and/or treatment. • Attendant Care/Personal Assistance A service that provides a qualified individual to supply needed services in order for an individual to remain in his/her home and/or participate in work/community activities. • Basic Education A service that provides instruction in educational areas necessary for an individual to function effectively. • Behavioral Therapeutic Activities A service that provides therapeutic activities to persons and/or their families in a home, school, preschool, after school, nursery/day care, or other residential or non-office setting. (The Department of Health Services presently calls this service In Home and Community.) • Case Management A service or process that establishes a relationship with an individual or family in order to enhance their functioning and/or integration into the community. Appropriate services and/or benefits are identified, planned, obtained, provided, recorded, monitored, modified when necessary and/or terminated. This may include: assessment to determine their needs and eligibility when applying for/receiving services, assistance in finding necessary resources in addition to covered services to meet basic needs, assistance in obtaining entitlements, communication and coordination of care as well as follow-up of crisis contacts or missed appointments. • Child Care A service that provides supervised planned care for children during a portion of a 24-hour day. • Child Foster Care A service that provides family home care and supervision to child(ren) on a 24-hour/day basis. • Child Support Services that locate absent parents, establish paternity, establish child support obligation, and collect and distribute child/spousal support. • Chore A service that provides for heavy indoor cleaning and may include designated outdoor tasks. • Client Access, Education and Information A service that provides education, information and assistance to individuals and groups regarding the availability of, and accessibility to, human services. August 13, 2010 - 10 - AZ 2010-2011 SSBG PLAN Arizona Dictionary and Taxonomy of Human Services • Community Education and Information A service that provides information on, and/or instructions in, various subjects through public contact and/or meetings, printed materials and media presentations focused on a particular subject, field of interest, agency or service(s). • Community Services Services that provide a range of activities that have a measurable and major impact on causes of poverty. • Companion Services A service that provides companions and supportive services to individuals with special needs. • Comprehensive Disability Related Services Services that provide two or more of the following services that assist individuals in achieving their vocational or independent living goals. The services include but are not limited to: adaptive aids and devices, assistive technology training, independent living skills, orientation and adjustment to disability training, orientation and mobility training, and work adjustment training. • Comprehensive Service Delivery Services that provide two or more of the following services that assist individuals in accessing or receiving services: Protective Services, Counseling, Home Care, Home Management Training, Reassurance, Home Repair/Adaptation/Renovation, Transportation, Parent Aide Service and Case Management. • Comprehensive Youth Development A service that mobilizes volunteers who are adults to carry out programs that develop the personal fitness and character of youth. • Congregate Meals A service that provides for a nutritious meal containing at least 1/3 of the Recommended Dietary Allowance for an individual in a congregate setting. • Consultation A service that provides professional information and advice to assist in planning, developing, implementing and evaluating individual and service programs and in providing coordination with the professional community. • Coordination A service that promotes efficiency through the cooperation and collaboration of multiple entities concerned with the same issue or need. • Counseling/Intervention Services that provide for a wide range of personal, interpersonal, situational, and functional guidance. August 13, 2010 - 11 - AZ 2010-2011 SSBG PLAN Arizona Dictionary and Taxonomy of Human Services • Crisis Shelter Services Services that provide assistance to abused individuals or families. Services include, but are not limited to both the shelter and counseling. • Day Care Services that provide for, and support the provision of, supervised planned care during a portion of a 24-hour day. • Day Treatment and Training Services that provide training, supervision, therapeutic activities and as appropriate, counseling, to promote skill development in independent living, self care, communication, and social relationships. • Developmental Day Training A service that provides specialized sensor motor, cognitive, communicative, social, interaction, and behavioral training for some portion of a 24-hour day. • Developmental Disability Day Care A service that provides supervised planned care, daily living skills training, and habilitation services in a group setting during a portion of a 24-hour day. • Drug Abuse Counseling A service that provides an individual an opportunity to learn the effects of drug abuse and counsels the person on alternative life style habits. • Eligibility Determination A service that provides a decision that an individual or household is or is not qualified for services or benefits. • Emergency Human Services Services that respond to crises-related situations where there is an inability to provide for the basic needs. Services may include, but are not limited to: case management, financial and referral. • Emergency Shelter A service that provides immediate shelter to persons who are without shelter or a fixed place of residence. Emergency shelter may usually be provided for a period of up to 120 days. • Employment Related Services Services that provide outreach, intake, eligibility, placement and follow-up activities in support of obtaining employment. Services may include, but are not limited to: occupational/vocational education, assessment, basic education, work experience, counseling, case management, job development and placement, work adjustment training, supported employment, supported employment extended, work exploration, and prevocational training. August 13, 2010 - 12 - AZ 2010-2011 SSBG PLAN Arizona Dictionary and Taxonomy of Human Services • Employment Services Services that provide activities and assistance in support of finding, entering or retaining a job for individuals or groups. • Exemplary Youth Work Program Services that provide various employment-related training activities for youth. Services may include, but are not limited to: occupational/vocational education, assessment, basic education, work experience, counseling, case management, and job placement. • Family Planning A service that provides assistance to individuals to voluntarily implement plans to determine the number and spacing of children. • Food Administration A service that provides for the storage, handling, and distribution of food products. • General Transportation A service that provides or assists in obtaining various types of transportation for specific needs. • Group Home Care A licensed facility for the 24-hour care and supervision of individuals. • Habilitation Services Services that provide a variety of interventions designed to maximize the functioning of persons with developmental disabilities. Services may include, but are not limited to: habilitative therapies, special developmental skills, behavior intervention, and sensorimotor development. • Home Care Services that provide individuals who are at risk of institutionalization with coordinated inhome support needed to remain at home. Services may include, but are not limited to: attendant care/personal assistance, housekeeping/homemaker, chore, home health aid, personal care, respite, and nursing services. • Home Delivered Meals A service that provides for a nutritious meal containing at least 1/3 of the Recommended Dietary Allowance for an individual, delivered to his/her place of residence. • Home Health Aid A service that provides intermittent health maintenance continued treatment or monitoring of a health condition and supportive care for activities of daily living at the individual’s place of residence. • Home Management Skills Training A service that provides training in activities related to routine household maintenance. August 13, 2010 - 13 - AZ 2010-2011 SSBG PLAN Arizona Dictionary and Taxonomy of Human Services • Home Recruitment and Study A service that identifies families for either permanent placements or to provide child care services, conducts training to families and prepares the home study for licensure/certification. • Home Repair/Renovation A service that provides for safety and/or structural repairs to the home. • Hospice A service that provides health care and emotional support to terminally ill individuals and their families/caregivers during the final stages of life. • Housekeeping/Homemaker A service that provides assistance in the performance of routine household activities at an individual’s place of residence. • Housing Search and Relocation A service that provides assistance toward locating suitable housing. • Independent Living A service that provides for individuals living independently and possessing the skills necessary to function at a minimum level of self-sufficiency. • Independent Living Skills A service that provides interpersonal and daily living skills training and counseling to prepare individuals for independent living. • Information and Referral A service that provides or arranges for assistance to individuals to enable them to gain access to services through the provision of accurate and current information and referral to appropriate resources. Referral may involve short-term supportive assistance and followup. • In-Home Family Support Services that provide coordinated support services that will assist the family to remain intact or an individual to remain in his/her home. • Intensive Family Preservation and Reunification Services Services that provide intensive crisis-oriented activities to families whose children are at significant risk of out-of-home placement due to abuse and/or neglect in order to allow those children to safely remain in their own home. Services may include, but are not limited to: counseling, communication and negotiation skills, parenting skills training, home management skills, job readiness training, case management, and development of linkages to community resources. • Interpreter A service that provides a person or equipment to facilitate communication. August 13, 2010 - 14 - AZ 2010-2011 SSBG PLAN Arizona Dictionary and Taxonomy of Human Services • Job Development and Placement A service that provides assistance in obtaining employment for job-ready individuals. • Job Training A service that develops specific vocational skills. • Legal Assistance A service that provides consultation and representation of civil and legal matters. • Legal Services Services that provide for consultation and information based on law. • Mental Health Education A service that provides instruction utilizing a positive life style as the medium of instruction. • Monitoring A service that checks and keeps track of contractor compliance with state, federal and contractual regulations, rules and conditions. • Nursing A service that provides nursing intervention that may include patient care, coordination facilitation and education. • Nutrition Education A service that provides individual or group instruction about food to maintain or improve development. • Occupational Therapy A service that directs the individual’s participation in selected activities to restore, maintain or improve functional skills. • Occupational/Vocational Education A service that provides instruction and/or skills training in technical, business and other trade areas. Training may be provided in a classroom or actual job setting. • Orientation and Mobility Training A service that provides skills training that assists a person in safely navigating an identified environment. • Outreach A service that provides a systematic method to identify and directly contact persons in need of services. • Parent Aide Service A service that provides a range of support services instruction and assistance to parents or caregivers to improve their skills and ability to fulfill parenting roles and responsibilities. August 13, 2010 - 15 - AZ 2010-2011 SSBG PLAN Arizona Dictionary and Taxonomy of Human Services • Parenting Skills Training A service that provides training that promotes specific parent or caregiver skills. • Peer Counseling A service that provides self-help opportunities. • Personal Care A service that provides assistance with personal physical needs. • Personal Escort A service that provides an escort who transports and assists an individual to perform necessary errands away from the residence. • Personal Living Skills Training A service that provides training that promotes specific self-care skills. • Physical Therapy A service that provides treatment to restore, maintain or improve a physical function. • Planning A service that identifies and analyzes priority needs, explores options, establishes goals, and develops a course of action that will bring about a desired condition or event at some specific time in the future. • Prevention Services that provide for planned efforts to prevent specific conditions, illnesses, injuries or environmental hazards that could place an individual, group or community at risk for a negative social, physical, behavioral or health outcome. • Prevocational Training A service that provides sensorimotor, cognitive, communicative, social interaction and behavioral training necessary for vocational activities. • Professional Family Foster Care Services that provide in a family-based home, care and supervision of a child on a 24-hour basis and include specialized care and support services, which are the responsibility of the licensee who serves as the foster parent. ● Professional Specialty A service that allows for the provision of services not otherwise identified separately in this Arizona Dictionary and Taxonomy of Human Services that requires special expertise, knowledge or credentials in a given area. • Program Administration A service that distributes and administers funds received for programs. August 13, 2010 - 16 - AZ 2010-2011 SSBG PLAN Arizona Dictionary and Taxonomy of Human Services • Program Development A service that researches and/or establishes a new service(s); improves, expands, or integrates an existing service(s). • Program Evaluation A service that assesses systematically the impact and/or efficiency of programs. • Protective Services Services that provide support to individuals who are in abusive, self-neglect, or vulnerable situations. Services may include, but are not restricted to: financial, shelter, legal, counseling, information and referral and follow-up. • Reassurance A service that provides a regular contact system for individuals restricted to their place of residence. • Rehabilitation Instructional Services Services that provide training in community living skills and activities directed toward personal and social adjustment. • Relinquishment and Severance A service that assists biological and/or legal parents in the decision and/or process of relinquishment or termination of their rights as parents. • Residential Living and Development Services that provide for varying degrees of residential care, supervision, counseling, and training in activities of daily living. • Respiratory Therapy A service that provides treatment to restore, maintain, or improve breathing. • Respite Services that provide different types of respite. • Respite Care A service that provides short-term care and supervision consistent with the health needs of the person to supplement care to provide a safe living environment and/or to support or relieve caregivers for the benefit of the person. • Self-Help Group A service that provides peer intervention in a group setting. • Shelter Services that provide for care, refuge, and protection. August 13, 2010 - 17 - AZ 2010-2011 SSBG PLAN Arizona Dictionary and Taxonomy of Human Services • Sheltered Employment A service that provides a controlled and protected work environment, additional supervision, and other supports for individuals engaged in remunerative work either in a sheltered workshop or in the community. • Social Adjustment A service that instructs multiple domains of a person’s life for improved functioning. • Social Development Services that provide structure and instruction, designed to promote improved social functioning. • Socialization and Recreation A service that promotes mentally and emotionally healthy interaction between participants and that may be organized around leisure activities. • Speech Therapy A service that provides evaluations, program recommendations, and/or treatment/training in receptive and expressive language, voice, articulation, and fluency. • Staff Development and Training A service that provides an organized method of improving needed staff skills. • Substance Abuse Assessment A service that provides for the assessment of an individual to determine substance abuse and dependence and recommend interventions and treatment. • Substance Abuse Screening A service that provides for the screening of an individual to determine the presence of alcohol or drug abuse. (Note: For testing, reference Clinical Laboratory Service.) • Supervised Employment Services that provide for training in an area of employment under guidance of a trained supervisor. • Supported Employment A service that provides job development, assistance in matching the individual with an integrated competitive job, and intensive time-limited supports to an employed individual once placed. • Supported Employment, Extended A service that provides long-term, on-going support services for an employed individual. • Supportive Intervention/Guidance Counseling A service that provides supportive intervention and/or guidance. August 13, 2010 - 18 - AZ 2010-2011 SSBG PLAN Arizona Dictionary and Taxonomy of Human Services • Transitional Housing A service that provides long-term shelter for a period of up to two years to homeless persons, who are sufficiently stabilized to pursue some level of self-sufficiency, but may require additional supportive services. The goal of this service is to facilitate movement to permanent housing. • Transitional Shelter A service that provides short-term care. • Transportation Services that promote or provide mobility. • Unaccompanied Minors Service A service that provides foster care provisions for refugee minors who are in the United States without a qualified parent or legal guardian. • Utility Assistance A service that provides financial and/or non-financial aid to meet residential public service needs. • Volunteer Services A service that provides coordination of volunteer activities. • Work Adjustment Training A service that provides training in the meaning, value and demands of work and in the development of positive attitudes toward work. • Work Experience A service that provides work situations and support services to foster and promote the transition to employment. August 13, 2010 - 19 - AZ 2010-2011 SSBG PLAN Crosswalk for Federal SSBG Services to the Arizona Dictionary and Taxonomy of Human Services SSBG Services for Federal Reporting Requirements Arizona Taxonomy Services Approved for SSBG Funding 1. Adoption Services y Adoption y Adoption Services y Adoption Subsidy y Relinquishment and Severance 2. Case Management Services y Case Management y Coordination y Eligibility Determination y Emergency Human Services 3. Congregate Meals y Congregate Meals 4. Counseling Services y Assessment/Evaluation y Counseling/Intervention y Professional Specialty y Supportive Intervention/Guidance Counseling 5. Day Care Services-Adults y Adult Day Care/Adult Day Health Care y Companion Services y Day Treatment and Training y Developmental Day Training y Monitoring 6. Day Care Services-Children y Child Care y Day Treatment and Training y Developmental Day Training y Home Recruitment and Study y Monitoring 7. Education and Training Services y Alternative Communication Training y Basic Education y Interpreter 8. Employment Services y Adaptive Aids and Devices y Adaptive Aids and Devices – Repair/Modification y Assessment /Evaluation y Employment Related Services y Exemplary Youth Work Program y Job Development and Placement y Job Training y Occupational/Vocational Education August 13, 2010 - 20 - AZ 2010-2011 SSBG PLAN Crosswalk for Federal SSBG Services to the Arizona Dictionary and Taxonomy of Human Services 8. Employment Services (Continued) y Prevocational Training y Sheltered Employment y Supported Employment y Supported Employment, Extended y Work Adjustment Training y Work Experience 9. y Family Planning Family Planning Services 10. Foster Care Services for Adults y Adult Foster Care y Home Recruitment and Study 11. Foster Care Services for Children y Child Foster Care y Home Recruitment and Study y Monitoring y Professional Family Foster Care 12. Health Related and Home Health Services y Home Health Aid y Hospice 13. Home Based Services y Administrative Services y Attendant Care/Personal Assistance y Community Services y Home Care y Housekeeping /Homemaker y Orientation and Mobility Training y Parent Aid Service y Personal Care y Personal Living Skills Training • Program Development y Reassurance y Rehabilitation Instructional Services y Respite 14. Home Delivered Meals y Home Delivered Meals 15. Housing Services y Emergency Shelter y Home Repair/Renovation y Housing Search and Relocation • Housing Support Services • Planning y Shelter y Transitional Housing 16. Independent and Transitional Living Services y Independent Living Skills y Unaccompanied Minors Service August 13, 2010 - 21 - AZ 2010-2011 SSBG PLAN Crosswalk for Federal SSBG Services to the Arizona Dictionary and Taxonomy of Human Services 17. Information and Referral y Client Access, Education and Information y Community Education and Information y Coordination y Information and Referral y Outreach y Volunteer Services 18. Legal Services y Legal Assistance 19. Pregnancy and Parenting Services For Young Parents y Community Education and Information y Parenting Skills Training 20. Prevention and Intervention Services y Advocacy y Behavioral Therapeutic Activities y Comprehensive Service Delivery y Comprehensive Youth Development y Counseling/Intervention y Crisis Shelter Services y Emergency Shelter • Food Administration y In-Home Family Support y Intensive Family Preservation and Reunification Services y Parent Aide Service y Peer Counseling y Supportive Intervention/Guidance Counseling y Transitional Shelter 21. Protective Services for Adults y Emergency Human Services y Protective Services 22. Protective Services for Children y Emergency Human Services y Protective Services 23. Recreational Services y Comprehensive Youth Development y Social Adjustment y Socialization and Recreation 24. Residential Treatment Services y (Not a DES service) August 13, 2010 - 22 - AZ 2010-2011 SSBG PLAN Crosswalk for Federal SSBG Services to the Arizona Dictionary and Taxonomy of Human Services 25. Special Services for Persons With Developmental or Physical Disabilities y Adaptive Aids and Devices y Adaptive Aids and Devices – Repair/Modification y Alternative Communication Training y Attendant Care/Personal Assistance y Day Treatment and Training y Developmental Day Training y Developmental Disability Day Care • Comprehensive Disability Related Services y Employment Services y Employment Related Services y Habilitation Services y Home Management Skills Training y Housekeeping/Homemaker y Independent Living y Interpreter y Job Training y Occupational Therapy y Personal Living Skills Training y Physical Therapy y Rehabilitation Instructional Services y Respite y Sheltered Employment y Socialization and Recreation y Speech Therapy y Supported Employment y Supported Employment, Extended y Transportation 26. Special Services For Youth Involved in or at Risk of Involvement with Criminal Activity y Prevention 27. Substance Abuse Services y Assessment/Evaluation y Case Management 28. Transportation Services y Personal Escort y Transportation 29. Other Services y Program Administration y Program Occupancy • Research • Coordination August 13, 2010 - 23 - AZ 2010-2011 SSBG PLAN SSBG funds may not be used for direct monetary payments to SSBG clients, purchase of land, build buildings, public school system, and professional medical care. However, there are exceptions that allow the use of SSBG funds for some of these items under certain circumstances. Service Availability The Services, Target Group Eligibility, and Status Eligibility sections are identified below and provide the primary basis for determining eligibility for service. In addition to these areas, service availability will be determined on the basis of programmatic need for service. More specific service availability criteria may be specified in the purchase-of-service contracts with provider agencies. An individual who is determined to be eligible under the above criteria shall not be denied access to services because of any other condition, although providers may use waiting lists and/or set priorities for services based on level of need for the service. A. Services This column lists the services available in the geographic area. Eligibility for service may vary from one geographic area to another, and services may only be available in certain areas of the state. Some services may be identified as being available on a statewide basis. B. Target Group Eligibility This column identifies the types of individuals eligible for service. The most common target groups identified are adults, children, elderly, persons with disabilities, developmentally disabled, and adults/families/children. The definitions of these target groups are identified on page 25. Combinations of target groups may be identified (e.g., elderly persons with disabilities would be designated as "ELD/PWD"). Also, there may be characteristics added to the target groups (e.g., ELD/PWD/Blind) that further clarify availability of service. C. Status Eligibility This column identifies the financial category for which individuals must qualify in order to be eligible for service. Arizona does not require a means test for SSBG-funded services. Children and their families who receive services that are funded with TANF funds transferred to the SSBG must have incomes less than 200 percent of the federal poverty level. 1. Income Eligibility TANF/SSBG Funds - Services funded by TANF are restricted, transferred funds to SSBG as required by 42 U.S.C. Part A, Title IV, Sec. 404, (d) (3) (B), which reads: EXCEPTION RELATING TO TITLE XX PROGRAMS. All amounts paid to a State under this part that are used to carry out State programs pursuant to Title XX shall be used only to carry out programs and services to children and their families whose income is less than 200 percent of the income official poverty line (as defined by the Office of Management and Budget, revised annually…Act of 1981) applicable to a family of the size involved. 2. Income Eligibility Child Care - The Child Care Administration provides child care assistance to support working families with incomes at or below 165 percent of the federal poverty level. Working families whose incomes are at or below 100 percent of the federal poverty level and working families that are transitioning off of cash assistance with incomes at or below 165 percent of the federal poverty level receive priority status for services. Families referred by Child Protective Services (CPS), August 13, 2010 - 24 - AZ 2010-2011 SSBG PLAN children receiving CPS foster care, and families who are receiving cash assistance and are participating in the Employment Administration-Jobs program and/or who are employed receive services without regard to income. 3. Group - All individuals within a specific target group are financially eligible. 4. Homeless - Individuals who have been evicted from a residence, who are residing in an emergency shelter, or who are without a regular nighttime residence and who are without family or friends that are able or willing to share their residence. Local and State-Planned Levels These columns represent estimates of the federal dollars that may be utilized for the delivery of the services. Target Group Definitions 1. Adults (AD) - Any individual 18 years of age or older. 2. Children (CH) - Any individual under the age of 18. 3. Developmentally Disabled Individuals (DD) - Any individual having a severe, chronic disability attributable to a cognitive disability, cerebral palsy, epilepsy or autism, and which manifested itself before age 18, is likely to continue indefinitely and results in substantial functional limitations in three or more areas of the major life activities; and reflects the need for a combination and sequence of special, interdisciplinary or generic care, treatment, or other services, which are of lifelong or extended duration and are individually planned or coordinated. ƒ "Major life activities" for the purpose of this definition are: (1) self-care; (2) receptive and expressive language; (3) learning; (4) mobility; (5) self-direction; (6) capacity for independent living; and (7) economic self-sufficiency. 4. Elderly (ELD) - Any individual 60 years of age or older. 5. Persons with Disabilities (PWD) - Any individual who has a physical or mental impairment that substantially limits one or more major life activities and has a diagnosis of such impairment. ƒ "Physical or Mental Impairment" includes physiological conditions, cosmetic disfigurements, anatomical losses or mental disorders. ƒ "Diagnosis" means diagnosed or classified as having a physical or mental impairment by a doctor of medicine, a doctor of osteopathy or a psychologist certified by either the Arizona State Board of Psychologist Examiners or the Department of Education. ƒ "Major life activities" for the purpose of this definition are: (1) self-care; (2) receptive and expressive language; (3) learning; (4) mobility; (5) self-direction; (6) capacity for independent living; and (7) economic self-sufficiency. 6. Adults/Families/Children (AFC) - Any individual or family. August 13, 2010 - 25 - AZ 2010-2011 SSBG PLAN ADMINISTRATION FOR CHILDREN, YOUTH, AND FAMILIES (ACYF) SFY 2011 DISTRICT I (MARICOPA COUNTY) SERVICES TARGET GROUP STATUS ELIG. STATE PLANNED LOCAL PLANNED LOCAL & STATE TOTAL $ 37,732 Case Management CH (Pregnant/ Parenting Youth) Group $ 37,732 $ - Counseling/Intervention AFC Group $ - $ 183,484 $ 183,484 Supportive Intervention/Guidance Counseling CH Group $ 54,859 $ - $ 54,859 Crisis Shelter Services DISTRICT I TOTALS CH Group $ $ 72,277 164,868 $ $ 8,916 192,400 $ $ 81,193 357,268 DISTRICT II (PIMA COUNTY) SERVICES TARGET GROUP STATUS ELIG. LOCAL PLANNED STATE PLANNED LOCAL & STATE TOTAL Supportive Intervention/Guidance Counseling AD/CH (DV Offenders) Group $ 71,106 $ - $ 71,106 Supportive Intervention/Guidance Counseling AD/CH (Rural DV Offenders) Group $ 71,106 $ - $ 71,106 Supportive Intervention/Guidance Counseling AFC Group $ 76 575 76,575 $ - $ 76 575 76,575 Supportive Intervention/Guidance Counseling AFC (Rural) Group $ 76,575 $ - $ 76,575 Behavioral Therapeutic Activities CH Group $ 80,223 $ - $ 80,223 Counseling/Intervention DISTRICT II TOTALS AFC Group $ $ 375,585 $ $ 33,568 33,568 $ $ 33,568 409,153 August 13, 2010 -26- AZ 2010-2011 SSBG PLAN ADMINISTRATION FOR CHILDREN, YOUTH, AND FAMILIES (ACYF) SFY 2011 DISTRICT III (APACHE, COCONINO, NAVAJO, YAVAPAI COUNTIES) SERVICES TARGET STATUS GROUP ELIG. COCONINO COUNTY Supportive Intervention/Guidance Counseling COCONINO TOTALS YAVAPAI COUNTY Community Education & Information Supportive Intervention/Guidance Counseling YAVAPAI TOTALS DISTRICT WIDE Counseling/Intervention Day Treatment and Training DISTRICT WIDE TOTALS DISTRICT III TOTALS AFC Group LOCAL PLANNED STATE PLANNED LOCAL & STATE TOTAL $ 30,000 $ - $ 30,000 $ 30,000 $ - $ 30,000 Teen Pregnancy Prev. Group $ 12,083 $ - $ 12,083 AFC Group $ 12,083 $ - $ 12,083 $ 24,166 $ - $ 24,166 Children Group $ - $ 7,462 $ 7,462 Children Group $ $ $ 54,166 $ $ $ 11,188 18,650 18,650 $ $ $ 11,188 18,650 72,816 DISTRICT IV (LA PAZ, MOHAVE, YUMA COUNTIES) SERVICES DISTRICT WIDE Counseling/Intervention TARGET GROUP AFC STATUS ELIG. Group DISTRICT WIDE TOTALS DISTRICT IV TOTALS August 13, 2010 -27- LOCAL & STATE TOTAL STATE PLANNED LOCAL PLANNED $ - $ 33,571 $ 33,571 $ $ - $ $ 33,571 33,571 $ $ 33,571 33,571 AZ 2010-2011 SSBG PLAN ADMINISTRATION FOR CHILDREN, YOUTH, AND FAMILIES (ACYF) SFY 2011 DISTRICT V (GILA, PINAL COUNTIES) SERVICES GILA COUNTY Prevention Supportive Intervention/Guidance Counseling GILA TOTALS PINAL COUNTY Prevention Supportive Intervention/Guidance Counseling PINAL TOTALS DISTRICT WIDE Volunteer Services DISTRICT WIDE TOTALS DISTRICT V TOTALS TARGET GROUP STATUS ELIG. GRAHAM COUNTY Prevention GRAHAM TOTALS DISTRICT WIDE Supportive Intervention/Guidance Counseling DISTRICT WIDE TOTALS DISTRICT VI TOTALS August 13, 2010 STATE PLANNED LOCAL & STATE TOTAL AFC Group $ 4,840 $ - $ 4,840 AFC Group $ 8,605 $ - $ 8,605 $ 13,445 $ - $ 13,445 AFC Group $ 11,832 $ - $ 11,832 AFC Group $ 28,506 $ - $ 28,506 $ 40,338 $ - $ 40,338 $ $ $ 53,783 $ $ $ 15,212 15,212 15,212 $ $ $ 15,212 15,212 68,995 AFC Group DISTRICT VI (COCHISE, GREENLEE, GRAHAM, SANTA CRUZ COUNTIES) TARGET SERVICES STATUS GROUP ELIG. GREENLEE COUNTY Supportive Intervention/Guidance Counseling GREENLEE TOTALS LOCAL PLANNED AFC Group LOCAL PLANNED STATE PLANNED LOCAL & STATE TOTAL $ 8,170 $ - $ 8,170 $ 8,170 $ - $ 8,170 AFC Group $ $ 19,780 19,780 $ $ - $ $ 19,780 19,780 AFC Group $ 11,950 $ 15,212 $ 27,162 $ $ 11,950 39,900 $ $ 15,212 15,212 $ $ 27,162 55,112 -28- AZ 2010-2011 SSBG PLAN ADMINISTRATION FOR CHILDREN, YOUTH, AND FAMILIES (ACYF) SFY 2011 TRIBAL AND STATEWIDE SERVICES TARGET GROUP STATUS ELIG. TRIBAL ACYF/ITCA Tribal Consultation LOCAL PLANNED $ STATE PLANNED LOCAL & STATE TOTAL - $ 31,642 Navajo Home Based Services (Tribal Allocation, chart on page 4 of this Plan) $ 1,242,896 $ - $ 1,242,896 Gila Home Based Services (Tribal Allocation, chart on page 4 of this Plan) TRIBAL TOTALS $ 18,417 $ - $ $ 1,261,313 $ 31,642 ADMINISTRATION/OTHER In-Home Family Support $ - $ 680,213 Protective Services for Children $ - $ 3,007,153 $ 3,007,153 Protective Services for Children $ - $ 4,574,414 $ 4,574,414 Protective Services for Children (Caseload Growth CPS In & Out-ofHome) $ - $ $ TANF/SSBG Funds Children's Services (48th Legislature Second Regular Session HB 2209 (Chapter 285) Section 6 $ - $ 22,613,100 $ 22,613,100 Case Management $ - $ 1,440,417 $ 1,440,417 Home Recruitment and Study $ - $ $ ADMIN / OTHER TOTALS TRIBAL AND STATEWIDE SERVICES $ $ 1,261,313 $ 32,640,518 $ 32,672,160 $ 32,640,518 $ 33,933,473 LOCAL PLANNED STATE PLANNED $ 1,949,615 $ 32,980,773 LOCAL & STATE TOTAL $ 34,930,388 286,301 38,920 $ 31,642 18,417 $ 1,292,955 $ 680,213 286,301 38,920 NOTE: TANF Funds Transferred to SSBG Federal Restrictions: TANF/SSBG funds are restricted for use per 42 U.S.C. Part A, Title IV, Sec. 404, (d) (3) (B), which reads: "EXCEPTION RELATING TO TITLE XX PROGRAMS. All amounts paid to a State under this part that are used to carry out State programs pursuant to Title XX shall be used only to carry out programs and services to children and their families whose income is less than 200 percent of the income official poverty line (as defined by the Office of Management and Budget, revised annually… Act of 1981) applicable to a family of the size involved." ALL ACYF SERVICES ACYF TOTALS August 13, 2010 -29- AZ 2010-2011 SSBG PLAN CHILD CARE ADMINISTRATION (CCA) SFY 2011 STATEWIDE SERVICES TARGET GROUP STATUS ELIG. Tribal Allocation (Tohono O'odham Nation for Day Care Services Children) (Tribal Allocation, chart on page 4 of this Plan) CH Group Day Care Services - Children Group CH STATEWIDE TOTALS LOCAL PLANNED $ 120,644 STATE PLANNED $ - LOCAL & STATE $ 120,644 $ - $ 163,432 $ 163,432 $ 120,644 $ 163,432 $ 284,076 ALL CCA SERVICES LOCAL PLANNED $ 120,644 CCA TOTALS August 13, 2010 -30- STATE PLANNED $ 163,432 LOCAL & STATE $ 284,076 AZ 2010-2011 SSBG PLAN Division of Benefits and Medical Eligibility (DBME) SFY 2011 District II (Pima County) SERVICES Congregate Meals TARGET GROUP Children STATUS ELIG. Group District II (Pima County) LOCAL PLANNED $ 29,363 STATE PLANNED $ - LOCAL & STATE $ 29,363 $ $ $ 29,363 - 29,363 STATEWIDE SERVICES Coordination: Food Bank Rural Food Bank Project-Gleaning Food (Bank) Administration TARGET GROUP AFC AFC AFC STATUS ELIG. Group Group Group STATEWIDE LOCAL PLANNED $ $ $ - STATE PLANNED $ 23,090 $ 45,000 $ 193,060 LOCAL & STATE $ 23,090 $ 45,000 $ 193,060 $ $ $ - 261,150 261,150 ALL DBME SERVICES LOCAL PLANNED $ 29,363 DBME TOTALS August 13, 2010 -31- STATE PLANNED $ 261,150 LOCAL & STATE $ 290,513 AZ 2010-2011 SSBG PLAN DIVISION OF AGING AND ADULT SERVICES (DAAS) SFY 2011 DISTRICT I (MARICOPA COUNTY) SERVICES TARGET GROUP STATUS ELIG. LOCAL PLANNED STATE PLANNED LOCAL & STATE TOTAL Adult Day Care/Adult Day Health Care ELD Group $ 203,322 $ - $ 203,322 Adult Day Care/Adult Day Health Care PWD Group $ 13,144 $ - $ 13,144 Congregate Meals PWD Group $ 12,850 $ 1,473 $ 14,323 Supportive Intervention/Guidance Counseling ELD Group $ - $ 43,450 $ 43,450 Home Delivered Meals ELD Group $ 413,942 $ - $ 413,942 Home Delivered Meals PWD Group $ 19,231 $ - $ 19,231 Transportation ELD Group $ - $ 7,008 $ 7,008 Home Care ELD Group $ 354,510 $ 448,195 $ 802,705 Home Care PWD Group $ 37,539 $ - $ 37,539 Administrative Services ELD/PWD Group $ - $ 187,137 $ 187,137 Respite ELD/PWD Group $ - $ 95,083 $ 95,083 Case Management ELD/PWD Group $ - $ 59,256 $ 59,256 Coordination Not Ap. Not Ap. $ - $ 18,221 $ 18,221 Legal Assistance ELD Group $ - $ 18,888 $ 18,888 Emergency Shelter AFC (Victims of Domestic Violence) Group $ 348,910 $ - $ 348,910 Supportive Intervention/Guidance Counseling AFC (Domestic Violence) Group $ 40,332 $ - $ 40,332 Emergency Shelter AFC (Homeless Families & Individuals) Group $ 267,109 $ 178,437 $ 445,546 Transitional Housing ELD/DD Homeless Group $ 97,172 $ - $ 97,172 August 13, 2010 -32- AZ 2010-2011 SSBG PLAN DIVISION OF AGING AND ADULT SERVICES (DAAS) SFY 2011 Transitional Housing AFC Group $ 63,449 $ - $ 63,449 Case Management (Basic Needs) AFC Group $ 1,019,855 $ - $ 1,019,855 Case Management Homeless Not Ap. $ - $ 43,475 $ 43,475 Planning Homeless Not Ap. $ - $ 2,500 $ 2,500 Transitional Housing Homeless Not Ap. $ - $ 3,400 $ 3,400 Research Homeless Not Ap. $ - $ 3,605 $ 3,605 Housing Support Services Homeless Not Ap. $ - $ 12,940 $ 12,940 $ 1,123,068 $ 4,014,433 DISTRICT I TOTALS August 13, 2010 $ 2,891,365 -33- AZ 2010-2011 SSBG PLAN DIVISION OF AGING AND ADULT SERVICES (DAAS) SFY 2011 DISTRICT II (PIMA COUNTY) SERVICES TARGET GROUP STATUS ELIG. LOCAL PLANNED STATE PLANNED LOCAL & STATE TOTAL Adult Day Care/Adult Day Health Care ELD/AD Group $ 15,000 $ - $ 15,000 Home Care (Personal Care, Housekeeping & Home Health) ELD/AD Group $ 370,352 $ 343,691 $ 714,043 Case Management ELD/AD Group $ 366,210 $ - $ 366,210 Case Management - Intake ELD/AD Group $ - $ 34,670 $ 34,670 Home Repair/Renovation ELD/AD Group $ - $ 4,193 $ 4,193 Home Delivered Meals ELD/AD Group $ 96,507 $ - $ 96,507 Administrative Services ELD/AD Group $ - $ 5,594 $ 5,594 Advocacy ELD/AD Not Ap. $ - $ 21,116 $ 21,116 Supportive Intervention/Guidance Counseling AD/CH (Domestic Violence Victims) Group $ 20,000 $ - $ 20,000 Crisis Intervention Shelter Services AD (Domestic Violence Victims) Group $ 20,000 $ 8,207 $ 28,207 Case Management AD (Domestic Violence Victims) Group $ 20,000 $ - $ 20,000 Legal Assistance (Civil:Various) AFC (Low Income Residents) Group $ 60,000 $ - $ 60,000 Emergency Shelter AD/CH (Adults and Youth) Group $ 20,000 $ - $ 20,000 Transitional Housing AD/CH (Adults and Youth) Group $ 20,000 $ 16,902 $ 36,902 $ 1,008,069 $ 434,373 $ 1,442,442 DISTRICT II TOTALS August 13, 2010 -34- AZ 2010-2011 SSBG PLAN DIVISION OF AGING AND ADULT SERVICES (DAAS) SFY 2011 DISTRICT III (APACHE, COCONINO, NAVAJO, YAVAPAI COUNTIES) SERVICES TARGET STATUS GROUP ELIG. LOCAL PLANNED STATE PLANNED LOCAL & STATE TOTAL APACHE COUNTY Case Management ELD/PWD Group $ 2,383 $ 15,000 $ 17,383 Administrative Services ELD/PWD Group $ - $ 4,379 $ 4,379 Home Delivered Meals ELD/PWD/AD Group $ 24,334 $ 6,583 $ 30,917 Transportation ELD/PWD/AD Group $ 12,259 $ 10,000 $ 22,259 Respite ELD/PWD Group $ - $ 8,056 $ 8,056 Transitional Housing Homeless Not Ap. $ - $ 9,960 $ 9,960 $ 38,976 $ 53,978 $ 92,954 APACHE TOTALS COCONINO COUNTY Home Delivered Meals ELD/PWD Group $ 15,000 $ 5,107 $ 20,107 Respite ELD/PWD Group $ 10,000 $ 5,238 $ 15,238 Administrative Services ELD/PWD Group $ - $ 4,343 $ 4,343 C Case M Managementt ELD/PWD Group G $ 4 4,000 000 $ 27 27,503 503 $ 31 31,503 503 Home Care ELD/PWD Group $ 2,000 $ - $ 2,000 Transportation ELD/PWD Group $ - $ 7,278 $ 7,278 Emergency Shelter AFC - Crisis Intervention Group $ 7,000 $ - $ 7,000 Supportive Intervention/Guidance Counseling AFC Domestic Violence Group $ 7,000 $ - $ 7,000 Case Management AFC - Crisis Intervention Group $ 7,000 $ - $ 7,000 Transportation ELD/PWD/ Low Income Group $ 12,000 $ - $ 12,000 $ 64,000 $ 49,469 $ 113,469 COCONINO TOTALS August 13, 2010 -35- AZ 2010-2011 SSBG PLAN DIVISION OF AGING AND ADULT SERVICES (DAAS) SFY 2011 NAVAJO COUNTY Administrative Services ELD/PWD Group $ - $ 5,947 $ 5,947 Transportation ELD/PWD/AD Group $ 10,002 $ - $ 10,002 Case Management ELD/PWD Group $ 4,007 $ 41,108 $ 45,115 Home Delivered Meals ELD/PWD Group $ 10,008 $ 4,345 $ 14,353 Respite ELD/PWD Group $ - $ 7,462 $ 7,462 Emergency Shelter AFC - Crisis Intervention Group $ 19,015 $ - $ 19,015 Case Management AFC Group $ 7,006 $ - $ 7,006 Transportation AFC Group $ 5,002 $ - $ 5,002 $ 55,040 $ 58,862 $ 113,902 NAVAJO TOTALS YAVAPAI COUNTY Administrative Services ELD/PWD Group $ - $ 13,607 $ 13,607 Case Management ELD/PWD Group $ 6,041 $ 68,953 $ 74,994 Home Delivered Meals ELD/PWD/AD Group $ 8,457 $ 36,406 $ 44,863 Respite ELD/PWD Group $ - $ 15 374 15,374 $ 15 374 15,374 Adult Day Care/Adult Day Health Care ELD/PWD Group $ 9,667 $ 34,637 $ 44,304 Case Management Assistance for Eviction Prevention AFC - Crisis Intervention Group $ 6,041 $ - $ 6,041 Emergency Shelter AFC - Crisis Intervention Group $ 12,082 $ - $ 12,082 Case Management AFC - Crisis Intervention Group $ 12,083 $ - $ 12,083 Transitional Housing Homeless Group $ - $ - $ - Transportation AFC Group $ 30,206 $ - $ 30,206 $ $ 84,577 242,593 $ $ 168,977 331,286 $ $ 253,554 573,879 YAVAPAI TOTALS DISTRICT III TOTALS August 13, 2010 -36- AZ 2010-2011 SSBG PLAN DIVISION OF AGING AND ADULT SERVICES (DAAS) SFY 2011 DISTRICT IV (LA PAZ, MOHAVE, YUMA COUNTIES) SERVICES TARGET GROUP STATUS ELIG. LOCAL PLANNED STATE PLANNED LOCAL & STATE TOTAL LA PAZ COUNTY Home Care ELD/PWD Group $ 3,313 $ 12,927 $ 16,240 Administrative Services ELD/PWD Group $ - $ 6,681 $ 6,681 Case Management ELD/PWD Group $ 5,522 $ 17,198 $ 22,720 Home Delivered Meals ELD/PWD Group $ 13,620 $ - $ 13,620 Transportation LA PAZ TOTALS AFC Group $ $ 14,356 36,811 $ $ 36,806 $ $ 14,356 73,617 MOHAVE COUNTY Home Care ELD/AD/PWD Group $ 37,730 $ 14,762 $ 52,492 Case Management ELD/AD/PWD Group $ 39,617 $ 35,098 $ 74,715 Administrative Services ELD/AD Group $ - $ 13,965 $ 13,965 Home Delivered Meals ELD/AD/PWD Group $ 37,730 $ - $ 37,730 Emergency Shelter Domestic Vi l Violence $ 50,936 50 936 $ - $ 50 50,936 936 $ 166,013 $ 63,825 $ 229,838 Group MOHAVE TOTALS August 13, 2010 -37- AZ 2010-2011 SSBG PLAN DIVISION OF AGING AND ADULT SERVICES (DAAS) SFY 2011 YUMA COUNTY Home Care ELD/PWD Group $ 25,813 $ 4,214 $ 30,027 Case Management ELD/PWD Group $ 21,120 $ 35,684 $ 56,804 Administrative Services ELD/PWD Group $ - $ 15,007 $ 15,007 Adult Day Care/Adult Day Health Care ELD/PWD Group $ 11,733 $ - $ 11,733 Home Delivered Meals ELD/PWD Group $ 23,466 $ - $ 23,466 Transportation AFC Group $ 42,239 $ - $ 42,239 Respite AFC Group $ 4,693 $ - $ 4,693 Emergency Shelter AFC Group $ 28,159 $ - $ 28,159 $ $ 157,223 360,047 $ $ 54,905 155,536 $ $ 212,128 515,583 YUMA TOTALS DISTRICT IV TOTALS DISTRICT V (GILA, PINAL COUNTIES) SERVICES TARGET GROUP STATUS ELIG. LOCAL PLANNED STATE PLANNED LOCAL & STATE TOTAL GILA COUNTY Home Care ELD/PWD Group $ 19,280 $ 3,554 $ 22,834 Program Development ELD/PWD Group $ - $ 1,045 $ 1,045 Home Delivered Meals ELD/PWD Group $ 20,594 $ 11,620 $ 32,214 Home Repair/Renovation ELD/PWD Group $ 6,477 $ 5,797 $ 12,274 Case Management ELD/PWD Group $ 27,218 $ 11,218 $ 38,436 Respite ELD/PWD Group $ - $ 1,408 $ 1,408 Administrative Services ELD/PWD Group $ - $ 9,764 $ 9,764 Emergency Shelter Domestic Violence Group $ 26,620 $ - $ 26,620 Case Management GILA COUNTY TOTALS AFC Group $ $ 8,352 108,541 $ $ 44,406 $ $ 8,352 152,947 August 13, 2010 -38- AZ 2010-2011 SSBG PLAN DIVISION OF AGING AND ADULT SERVICES (DAAS) SFY 2011 PINAL COUNTY Home Care ELD/PWD Group $ 8,806 $ 6,051 $ 14,857 Program Development ELD/PWD Group $ - $ 1,779 $ 1,779 Administrative Services ELD/PWD Group $ - $ 16,624 $ 16,624 Home Delivered Meals ELD/PWD Group $ 24,718 $ 19,785 $ 44,503 Home Repair/Renovation ELD/PWD Group $ 7,911 $ 9,870 $ 17,781 Case Management ELD/PWD Group $ 31,256 $ 19,100 $ 50,356 Emergency Shelter Domestic Violence Group $ 52,719 $ - $ 52,719 Case Management AFC Group $ 16,703 $ - $ 16,703 $ $ 142,113 250,654 $ $ 73,209 117,615 $ $ 215,322 368,269 PINAL COUNTY TOTALS DISTRICT V TOTALS DISTRICT VI (COCHISE, GREENLEE, GRAHAM, SANTA CRUZ COUNTIES) SERVICES TARGET STATUS GROUP ELIG. LOCAL PLANNED STATE PLANNED LOCAL & STATE TOTAL COCHISE COUNTY Congregate Meals ELD/PWD Group $ - $ 8,028 $ 8,028 Ad i i t ti S Administrative Services i ELD/PWD G Group $ - $ 13 373 13,373 $ 13 373 13,373 Respite ELD/PWD Group $ - $ 8,727 $ 8,727 Home Care ELD/PWD Group $ 23,120 $ 8,955 $ 32,075 Home Delivered Meals ELD/PWD Group $ 56,600 $ 8,727 $ 65,327 Case Management ELD/PWD Group $ 7,340 $ 45,520 $ 52,860 Case Management Domestic Violence Group $ 33,340 $ - $ 33,340 $ 120,400 $ 93,330 $ 213,730 COCHISE TOTALS GRAHAM COUNTY Home Care ELD/PWD Group $ 9,600 $ 1,844 $ 11,444 Administrative Services ELD/PWD Group $ - $ 4,782 $ 4,782 Home Delivered Meals ELD/PWD Group $ 24,350 $ - $ 24,350 Respite ELD/PWD Group $ 4,420 $ 1,745 $ 6,165 Case Management ELD/PWD Group $ - $ 23,915 $ 23,915 $ 38,370 $ 32,286 $ 70,656 GRAHAM TOTALS August 13, 2010 -39- AZ 2010-2011 SSBG PLAN DIVISION OF AGING AND ADULT SERVICES (DAAS) SFY 2011 GREENLEE COUNTY Home Care ELD/PWD Group $ 16,530 $ - $ 16,530 Administrative Services ELD/PWD Group $ - $ 3,881 $ 3,881 Home Delivered Meals ELD/PWD Group $ 20,350 $ - $ 20,350 Transportation ELD/PWD Group $ 2,400 $ 646 $ 3,046 Case Management ELD/PWD Group $ - $ 14,861 $ 14,861 $ 39,280 $ 19,388 $ 58,668 GREENLEE TOTALS SANTA CRUZ COUNTY Home Care ELD/PWD Group $ 11,200 $ 330 $ 11,530 Administrative Services ELD/PWD Group $ - $ 4,688 $ 4,688 Home Delivered Meals ELD/PWD Group $ 23,750 $ - $ 23,750 Case Management ELD/PWD Group $ - $ 27,530 $ 27,530 $ $ 34,950 233,000 $ $ 32,548 177,552 $ $ 67,498 410,552 SANTA CRUZ TOTALS DISTRICT VI TOTALS STATEWIDE SERVICES TARGET GROUP STATUS ELIG. STATE PLANNED LOCAL PLANNED P t ti Services Protective S i for f Ad Adults lt $ - Tribal Entities Home Based Services (Tribal Allocations Chart on page 4 of this Plan) $ DAAS Administrative Services Coordination AFC Homeless STATEWIDE TOTALS LOCAL & STATE TOTAL $ 2 2,076,667 076 667 $ 2 2,076,667 076 667 677,184 $ - $ 677,184 $ - $ 748,655 $ 748,655 $ - $ 12,000 $ 12,000 $ 677,184 $ 2,837,322 $ 3,514,506 ALL DAAS SERVICES DAAS TOTALS August 13, 2010 -40- LOCAL PLANNED STATE PLANNED $ 5,662,912 $ 5,176,752 LOCAL & STATE TOTAL $ 10,839,664 AZ 2010-2011 SSBG PLAN DIVISION OF DEVELOPMENTAL DISABILITIES (DDD) SFY 2011 DISTRICT I (MARICOPA COUNTY) SERVICES TARGET GROUP STATUS ELIG. Employment Related Services DD Group (Special Employment Opportunities) $ 329,405 $ - LOCAL & STATE TOTAL $ 329,405 Employment Related Services DD Group (In Family Home Needs Community or Specialized Employment) $ 71,559 $ - $ 71,559 Habilitation Services DD (Not Eligible for ALTCS) Group $ 30,729 $ - $ 30,729 Attendant Care/Personal Assistance DD (Not Eligible for ALTCS) Group $ 27,053 $ - $ 27,053 Respite Caregivers for Group PWDD Not IDEA Part H Eligible $ 38,041 $ - $ 38,041 $ 496,787 $ - $ 496,787 DISTRICT I TOTALS LOCAL PLANNED STATE PLANNED DISTRICT 2 (PIMA COUNTY) SERVICES Employment Services TARGET GROUP DD STATUS ELIG. Group DISTRICT 2 TOTALS August 13, 2010 -41- LOCAL PLANNED $ 16,593 STATE PLANNED $ - LOCAL & STATE $ 16,593 $ $ $ 16,593 - 16,593 AZ 2010-2011 SSBG PLAN DIVISION OF DEVELOPMENTAL DISABILITIES (DDD) SFY 2011 DISTRICT III (APACHE, COCONINO, NAVAJO, YAVAPAI COUNTIES) SERVICES TARGET STATUS GROUP ELIG. COCONINO COUNTY Supported Employment COCONINO TOTALS YAVAPAI COUNTY Supported Employment YAVAPAI TOTALS DISTRICT III TOTALS LOCAL PLANNED STATE PLANNED LOCAL & STATE TOTAL DD Adults Group $ $ 51,000 51,000 $ $ - $ $ 51,000 51,000 DD Adults Group $ $ $ 6,041 6,041 57,041 $ $ $ - $ $ $ 6,041 6,041 57,041 DISTRICT IV (LA PAZ, MOHAVE, YUMA COUNTIES) SERVICES YUMA COUNTY Job Training Respite YUMA TOTALS DISTRICT IV TOTALS August 13, 2010 TARGET GROUP STATUS ELIG. LOCAL PLANNED STATE PLANNED LOCAL & STATE DD Adults Group $ 56,319 $ - $ 56,319 CH DD Group $ $ $ 2,347 58,666 58,666 $ $ $ - $ $ $ 2,347 58,666 58,666 -42- AZ 2010-2011 SSBG PLAN DIVISION OF DEVELOPMENTAL DISABILITIES (DDD) SFY 2011 DISTRICT VI (COCHISE, GREENLEE, GRAHAM, SANTA CRUZ COUNTIES) SERVICES TARGET STATUS GROUP ELIG. STATE PLANNED LOCAL PLANNED LOCAL & STATE COCHISE COUNTY Employment Related Services COCHISE TOTALS AD-DD Group $ $ 44,500 44,500 $ $ - $ $ 44,500 44,500 GRAHAM COUNTY Employment Related Services GRAHAM TOTALS AD-DD Group $ $ 30,100 30,100 $ $ - $ $ 30,100 30,100 GREENLEE COUNTY Developmental Disability Day Care GREENLEE TOTALS CH-DD Group $ $ 6,100 6,100 $ $ - $ $ 6,100 6,100 AD-DD Group $ $ $ 48,280 48,280 128,980 $ $ $ - $ $ $ 48,280 48,280 128,980 SANTA CRUZ COUNTY Employment Related Services SANTA CRUZ TOTALS DISTRICT VI TOTALS STATEWIDE SERVICES TARGET GROUP STATUS ELIG. LOCAL PLANNED STATE PLANNED Employment Related Services (DD Target Group) $ - $ 188,285 LOCAL & STATE TOTAL $ 188,285 Case Management (DD Target Group) $ - $ 180,863 $ 180,863 Counseling/Intervention (DD Target Group) $ - $ 159,212 $ 159,212 Case Management $ - $ 269,129 $ 269,129 STATEWIDE TOTALS $ - $ 797,489 $ 797,489 ALL DDD SERVICES LOCAL PLANNED $ 758,067 DDD TOTALS August 13, 2010 -43- STATE PLANNED $ 797,489 LOCAL & STATE $ 1,555,556 AZ 2010-2011 SSBG PLAN EMPLOYMENT ADMINISTRATION (EA) SFY 2011 DISTRICT II (PIMA COUNTY) SERVICES Employment Services TARGET GROUP AD STATUS ELIG. Group DISTRICT II TOTALS LOCAL PLANNED STATE PLANNED $ 36,321 $ - LOCAL & STATE TOTAL $ 36,321 $ 36,321 $ - $ 36,321 ALL EA SERVICES LOCAL PLANNED $ 36,321 EA TOTALS August 13, 2010 -44- STATE PLANNED $ - LOCAL & STATE TOTAL $ 36,321 AZ 2010-2011 SSBG PLAN REHABILITATION SERVICES ADMINISTRATION (RSA) SFY 2011 DISTRICT I (MARICOPA COUNTY) SERVICES TARGET GROUP STATUS ELIG. Adaptive Aids and Devices PWD Group $ 15,424 $ - LOCAL & STATE TOTAL $ 15,424 Supportive Intervention/Guidance Counseling PWD Group Employment $ 21,575 $ - $ 21,575 Supported Employment, Extended PWD Group $ 234,449 $ - $ 234,449 Rehabilitation Instructional Services PWD Group $ 16,111 $ - $ 16,111 $ 287,559 $ - $ 287,559 DISTRICT I TOTALS LOCAL PLANNED STATE PLANNED DISTRICT II (PIMA COUNTY) Interpreter PWD (Deaf) Adults Group $ 3,869 $ - LOCAL & STATE TOTAL $ 3,869 Supportive Intervention/Guidance Counseling PWD Impaired Group $ 35,834 $ - $ 35,834 $ 39,703 $ - $ 39,703 SERVICES TARGET GROUP STATUS ELIG. DISTRICT II TOTALS DISTRICT III (APACHE, COCONINO, NAVAJO, YAVAPAI COUNTIES) SERVICES TARGET STATUS GROUP ELIG. LOCAL PLANNED LOCAL PLANNED STATE PLANNED STATE PLANNED LOCAL & STATE TOTAL COCONINO COUNTY Supported Employment COCONINO TOTALS PWD Adults Group $ $ 10,904 10,904 $ $ - $ $ 10,904 10,904 NAVAJO COUNTY Job Training NAVAJO TOTALS PWD Adults Group $ $ 19,015 19,015 $ $ - $ $ 19,015 19,015 PWD Adults Group $ $ $ 6,041 6,041 35,960 $ $ $ - $ $ $ 6,041 6,041 35,960 YAVAPAI COUNTY Employment Related Services YAVAPAI TOTALS DISTRICT III TOTALS August 13, 2010 -45- AZ 2010-2011 SSBG PLAN REHABILITATION SERVICES ADMINISTRATION (RSA) SFY 2011 DISTRICT IV (LA PAZ, MOHAVE, YUMA COUNTIES) SERVICES MOHAVE COUNTY Day Treatment and Training MOHAVE TOTALS TARGET GROUP STATUS ELIG. LOCAL PLANNED STATE PLANNED LOCAL & STATE TOTAL AFC Group $ $ 22,639 22,639 $ $ - $ $ 22,639 22,639 YUMA COUNTY Employment Related Services PWD Group $ 7,040 $ - $ 7,040 Rehabilitation Instructional Services PWD Group $ 11,733 $ - $ 11,733 $ $ 18,773 41,412 $ $ - $ $ 18,773 41,412 YUMA TOTALS DISTRICT IV TOTALS DISTRICT V (GILA, PINAL COUNTIES) SERVICES TARGET GROUP STATUS ELIG. LOCAL PLANNED STATE PLANNED LOCAL & STATE TOTAL GILA COUNTY Employment Related Services Employment Related Services GILA TOTALS PWD DD Group Group $ $ $ 16,310 30,111 46,421 $ $ $ - $ $ $ 16,310 30,111 46,421 PINAL COUNTY Employment Related Services p y Employment Related Services PINAL TOTALS PWD DD Group p Group $ $ $ 18,820 , 60,222 79,042 $ $ $ - $ $ $ 18,820 , 60,222 79,042 $ 125,463 $ - $ 125,463 DISTRICT V TOTALS August 13, 2010 -46- AZ 2010-2011 SSBG PLAN REHABILITATION SERVICES ADMINISTRATION (RSA) SFY 2011 STATEWIDE SERVICES TARGET GROUP STATUS ELIG. LOCAL PLANNED STATE PLANNED LOCAL & STATE TOTAL $ 105,000 Case Management PWD Group $ - $ 105,000 Employment Related Services PWD Group $ - $ 40,000 $ 40,000 Independent Living PWD Group $ - $ 602,443 $ 602,443 $ - $ 747,443 $ 747,443 STATEWIDE TOTALS ALL RSA SERVICES LOCAL PLANNED RSA TOTALS $ STATE PLANNED 530,097 $ 747,443 LOCAL & STATE TOTAL $ 1,277,540 CROSS-PROGRAM SFY 2011 STATEWIDE SERVICES TARGET GROUP Case Management $ - $ 4,251,916 LOCAL & STATE TOTAL $ 4,251,916 STATEWIDE TOTALS $ - $ 4,251,916 $ 4,251,916 August 13, 2010 STATUS ELIG. -47- LOCAL PLANNED STATE PLANNED AZ 2010-2011 SSBG PLAN PLANNED SFY 2011 SSBG SERVICE ALLOCATIONS LISTED BY FEDERAL SSBG SERVICE DEFINITIONS NUMBERS 1 - 29 INDICATING THE RESPONSIBLE DES ADMINISTRATION THAT PROVIDES OR CONTRACTS FOR THE SERVICE SVC CODE SERVICE (SVC) TITLE ADMIN 1. Adoption Services DAAS RSA EA CCA DDD DBME ACYF $ $ $ $ $ $ $ TOTAL $ - 2. Case Management Services DAAS RSA EA CCA DDD DBME ACYF CROSS-PROGRAM $ $ $ $ $ $ $ $ TOTAL $ 2,145,183 105,000 37,732 4,251,916 6,539,831 3. Congregate Meals DAAS RSA EA CCA DDD DBME ACYF $ $ $ $ $ $ $ TOTAL $ 22,351 29,363 51,714 4. Counseling Services DAAS RSA EA CCA DDD DBME ACYF $ $ $ $ $ $ $ TOTAL $ 258,085 258,085 August 13, 2010 -48- ALLOCATION AZ 2010-2011 SSBG PLAN PLANNED SFY 2011 SSBG SERVICE ALLOCATIONS LISTED BY FEDERAL SSBG SERVICE DEFINITIONS NUMBERS 1 - 29 INDICATING THE RESPONSIBLE DES ADMINISTRATION THAT PROVIDES OR CONTRACTS FOR THE SERVICE SVC CODE SERVICE (SVC) TITLE ADMIN 5. Day Care Services--Adults DAAS RSA EA CCA DDD DBME ACYF $ $ $ $ $ $ $ TOTAL $ 287,503 287,503 6. Day Care Services--Children DAAS RSA EA CCA DDD DBME ACYF $ $ $ $ $ $ $ TOTAL $ 284,076 38,920 322,996 7. Education and Training Services DAAS RSA EA CCA DDD DBME ACYF $ $ $ $ $ $ $ TOTAL $ - 8. Employment Services DAAS RSA EA CCA DDD DBME ACYF $ $ $ $ $ $ $ TOTAL $ 36,321 36,321 August 13, 2010 -49- ALLOCATION AZ 2010-2011 SSBG PLAN PLANNED SFY 2011 SSBG SERVICE ALLOCATIONS LISTED BY FEDERAL SSBG SERVICE DEFINITIONS NUMBERS 1 - 29 INDICATING THE RESPONSIBLE DES ADMINISTRATION THAT PROVIDES OR CONTRACTS FOR THE SERVICE SVC CODE SERVICE (SVC) TITLE ADMIN 9. Family Planning Services DAAS RSA EA CCA DDD DBME ACYF $ $ $ $ $ $ $ TOTAL $ - 10. Foster Care Services for Adults DAAS RSA EA CCA DDD DBME ACYF $ $ $ $ $ $ $ TOTAL $ - 11. Foster Care Services for Children DAAS RSA EA CCA DDD DBME ACYF $ $ $ $ $ $ $ TOTAL $ 22,613,100 22,613,100 12. Health Related and Home Health Services DAAS RSA EA CCA DDD DBME ACYF $ $ $ $ $ $ $ TOTAL $ - August 13, 2010 -50- ALLOCATION AZ 2010-2011 SSBG PLAN PLANNED SFY 2011 SSBG SERVICE ALLOCATIONS LISTED BY FEDERAL SSBG SERVICE DEFINITIONS NUMBERS 1 - 29 INDICATING THE RESPONSIBLE DES ADMINISTRATION THAT PROVIDES OR CONTRACTS FOR THE SERVICE SVC CODE SERVICE (SVC) TITLE ADMIN 13. Home Based Services DAAS RSA EA CCA DDD DBME ACYF $ $ $ $ $ $ $ TOTAL $ 2,916,302 1,261,313 4,177,615 14. Home Delivered Meals DAAS RSA EA CCA DDD DBME ACYF $ $ $ $ $ $ $ TOTAL $ 925,230 925,230 15. Housing Services DAAS RSA EA CCA DDD DBME ACYF $ $ $ $ $ $ $ TOTAL $ 726,117 726,117 16. Independent and Transitional Living Services DAAS RSA EA CCA DDD DBME ACYF $ $ $ $ $ $ $ TOTAL $ - August 13, 2010 -51- ALLOCATION AZ 2010-2011 SSBG PLAN PLANNED SFY 2011 SSBG SERVICE ALLOCATIONS LISTED BY FEDERAL SSBG SERVICE DEFINITIONS NUMBERS 1 - 29 INDICATING THE RESPONSIBLE DES ADMINISTRATION THAT PROVIDES OR CONTRACTS FOR THE SERVICE SVC CODE SERVICE (SVC) TITLE ADMIN 17. Information and Referral DAAS RSA EA CCA DDD DBME ACYF $ $ $ $ $ $ $ TOTAL $ 18,221 15,212 33,433 18. Legal Services DAAS RSA EA CCA DDD DBME ACYF $ $ $ $ $ $ $ TOTAL $ 78,888 78,888 19. Pregnancy and Parenting Services for Young Parents DAAS RSA EA CCA DDD DBME ACYF $ $ $ $ $ $ $ TOTAL $ 12,083 12,083 20. Prevention and Intervention Services DAAS RSA EA CCA DDD DBME ACYF $ $ $ $ $ $ $ TOTAL $ 1,474,201 57,409 261,150 2,730,819 4,523,579 August 13, 2010 -52- ALLOCATION AZ 2010-2011 SSBG PLAN PLANNED SFY 2011 SSBG SERVICE ALLOCATIONS LISTED BY FEDERAL SSBG SERVICE DEFINITIONS NUMBERS 1 - 29 INDICATING THE RESPONSIBLE DES ADMINISTRATION THAT PROVIDES OR CONTRACTS FOR THE SERVICE SVC CODE SERVICE (SVC) TITLE ADMIN 21. Protective Services for Adults DAAS RSA EA CCA DDD DBME ACYF $ $ $ $ $ $ $ TOTAL $ 2,076,667 2,076,667 22. Protective Services for Children DAAS RSA EA CCA DDD DBME ACYF $ $ $ $ $ $ $ TOTAL $ 7,867,868 7,867,868 23. Recreational Services DAAS RSA EA CCA DDD DBME ACYF $ $ $ $ $ $ $ TOTAL $ - 24. Residential Treatment Services DAAS RSA EA CCA DDD DBME ACYF $ $ $ $ $ $ $ TOTAL $ - August 13, 2010 -53- ALLOCATION AZ 2010-2011 SSBG PLAN PLANNED SFY 2011 SSBG SERVICE ALLOCATIONS LISTED BY FEDERAL SSBG SERVICE DEFINITIONS NUMBERS 1 - 29 INDICATING THE RESPONSIBLE DES ADMINISTRATION THAT PROVIDES OR CONTRACTS FOR THE SERVICE SVC CODE ALLOCATION SERVICE (SVC) TITLE ADMIN 25. Special Services for Persons with Developmental or Physical Disabilities DAAS RSA EA CCA DDD DBME ACYF $ $ $ $ $ $ $ TOTAL $ 1,115,131 1,555,556 2,670,687 26. Special Services for Youth Involved in or at Risk of Involvement with Criminal Activity DAAS RSA EA CCA DDD DBME ACYF $ $ $ $ $ $ $ TOTAL $ 63,614 63,614 27. Substance Abuse Services DAAS RSA EA CCA DDD DBME ACYF $ $ $ $ $ $ $ TOTAL $ - 28. Transportation Services DAAS RSA EA CCA DDD DBME ACYF $ $ $ $ $ $ $ TOTAL $ 153,396 153,396 29. Other Services $ $ $ $ $ $ $ 15,605 31,642 $ TOTAL $ 550,300 597,547 (DES Training, Consultation, Research, Coordination, Program Occupancy) DAAS RSA EA CCA DDD DBME ACYF Cross Division Program Occupancy August 13, 2010 -54- AZ 2010-2011 SSBG PLAN PLANNED SFY 2011 SSBG SERVICE ALLOCATIONS LISTED BY FEDERAL SSBG SERVICE DEFINITIONS NUMBERS 1 - 29 INDICATING THE RESPONSIBLE DES ADMINISTRATION THAT PROVIDES OR CONTRACTS FOR THE SERVICE SVC CODE 30 31 SERVICE (SVC) TITLE Total of the SFY 2011 Planned SSBG Funding Allocations Listed Above for Federal Service Definitions Numbers 1 Through 29 TOTAL $ 54,016,274 $ 4,736,576 TOTAL $ 4,736,576 $ $ $ $ $ $ $ $ $ $ 34,898,746 1,555,556 1,277,540 284,076 36,321 290,513 10,824,059 4,251,916 597,547 4,736,576 TOTAL $ 58,752,850 Administrative Costs Department All SFY 2011 State and Locally Planned SSBG Funding Allocations Listed by the Administration/Division Responsible for Providing or ACYF Contracting for the Services DDD RSA CCA EA DBME DAAS CROSS-PROGRAM Other Services Administrative Costs August 13, 2010 ALLOCATION ADMIN -55- AZ 2010-2011 SSBG PLAN APPENDIX A PUBLIC NOTICE August 13, 2010 56 AZ 2010-2011 SSBG PLAN PUBLIC NOTICE Issue Date: June 25, 2010 ARIZONA DEPARTMENT OF ECONOMIC SECURITY PUBLIC COMMENT ON THE STATE OF ARIZONA SOCIAL SERVICES BLOCK GRANT (SSBG) PLAN JULY 1, 2010 – JUNE 30, 2011 The Department of Economic Security (DES) requests public comment on the abovereferenced plan. A copy of the proposed plan is available for public inspection on the DES Internet website at the link below. https://www.azdes.gov/ssbginput2011/ The Department will accept written comments on the plan sent any of the following addresses: E-mail: ssbginput@azdes.gov Blog Post: https://www.azdes.gov/ssbg2011/ Fax: (602) 542-6000 Mail: Department of Economic Security ATTN: Rod Huenemann P.O. Box 6123, Site Code 837A Phoenix, Arizona 85005 Written comments should be sent so that the Department will receive them before 5:00 PM, Thursday, July 15, 2010, and should include contact information for the person providing comments, as well as the name of any organization that person represents. Questions may be directed to Rod Huenemann at 602-542-3882. THIS DOCUMENT IS AVAILABLE IN ALTERNATIVE FORMAT BY CONTACTING ROD HUENEMANN AT (602) 542-3882 OR AT THE ADDRESS SPECIFIED ABOVE. REQUESTS SHOULD BE MADE AS EARLY AS POSSIBLE TO ALLOW TIME TO ARRANGE THE ACCOMMODATION. August 13, 2010 57 AZ 2010-2011 SSBG PLAN APPENDIX B CERTIFICATIONS 1. Certification Regarding Lobbying 2. Certification Regarding Drug-Free Workplace Requirements 3. Certification Regarding Debarment, Suspension and Other Responsibility Matters 4. Certification Regarding Environmental Tobacco Smoke August 13, 2010 58 AZ 2010-2011 SSBG PLAN CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS This certification is required by the regulations implementing the Drug-Free Workplace Act of 1988: 45 CFR Part 76, Subpart, F. Sections 76.630(c) and (d)(2) and 76.645(a)(1) and (b) provide that a Federal agency may designate a central receipt point for STATE-WIDE AND STATE AGENCY-WIDE certifications, and for notification of criminal drug convictions. For the Department of Health and Human Services, the central pint is: Division of Grants Management and Oversight, Office of Management and Acquisition, Department of Health and Human Services, Room 517-D, 200 Independence Avenue, SW Washington, DC 20201. Certification Regarding Drug-Free Workplace Requirements (Instructions for Certification) 1. By signing and/or submitting this application or grant agreement, the grantee is providing the certification set out below. 2. The certification set out below is a material representation of fact upon which reliance is placed when the agency awards the grant. If it is later determined that the grantee knowingly rendered a false certification, or otherwise violates the requirements of the Drug-Free Workplace Act, the agency, in addition to any other remedies available to the Federal Government, may take action authorized under the Drug-Free Workplace Act. 3. For grantees other than individuals, Alternate I applies. 4. For grantees who are individuals, Alternate II applies. 5. Workplaces under grants, for grantees other than individuals, need not be identified on the certification. If known, they may be identified in the grant application. If the grantee does not identify the workplaces at the time of application, or upon award, if there is no application, the grantee must keep the identity of the workplace(s) on file in its office and make the information available for Federal inspection. Failure to identify all known workplaces constitutes a violation of the grantee's drug-free workplace requirements. 6. Workplace identifications must include the actual address of buildings (or parts of buildings) or other sites where work under the grant takes place. Categorical descriptions may be used (e.g., all vehicles of a mass transit authority or State highway department while in operation, State employees in each local unemployment office, performers in concert halls or radio studios). 7. If the workplace identified to the agency changes during the performance of the grant, the grantee shall inform the agency of the change(s), if it previously identified the workplaces in question (see paragraph five). 8. Definitions of terms in the Nonprocurement Suspension and Debarment common rule and Drug-Free Workplace common rule apply to this certification. Grantees' attention is called, in particular, to the following definitions from these rules: Controlled substance means a controlled substance in Schedules I through V of the Controlled Substances Act (21 U.S.C. 812) and as further defined by regulation (21 CFR 1308.11 through 1308.15); Conviction means a finding of guilt (including a plea of nolo contendere) or imposition of sentence, or both, by any judicial body charged with the responsibility to determine violations of the Federal or State criminal drug statutes; August 13, 2010 60 AZ 2010-2011 SSBG PLAN Criminal drug statute means a Federal or non-Federal criminal statute involving the manufacture, distribution, dispensing, use, or possession of any controlled substance; Employee means the employee of a grantee directly engaged in the performance of work under a grant, including: (i) All direct charge employees; (ii) All indirect charge employees unless their impact or involvement is insignificant to the performance of the grant; and, (iii) Temporary personnel and consultants who are directly engaged in the performance of work under the grant and who are on the grantee's payroll. This definition does not include workers not on the payroll of the grantee (e.g., volunteers, even if used to meet a matching requirement; consultants or independent contractors not on the grantee's payroll; or employees of subrecipients or subcontractors in covered workplaces). Certification Regarding Drug-Free Workplace Requirements Alternate I. (Grantees Other Than Individuals) The grantee certifies that it will or will continue to provide a drug-free workplace by: (a) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the grantee's workplace and specifying the actions that will be taken against employees for violation of such prohibition; (b) Establishing an ongoing drug-free awareness program to inform employees about -(1)The dangers of drug abuse in the workplace; (2) The grantee's policy of maintaining a drug-free workplace; (3) Any available drug counseling, rehabilitation, and employee assistance programs; and (4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace; c) Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph (a); (d) Notifying the employee in the statement required by paragraph (a) that, as a condition of employment under the grant, the employee will -(1) Abide by the terms of the statement; and (2) Notify the employer in writing of his or her conviction for a violation of a criminal drug statute occurring in the workplace no later than five calendar days after such conviction; (e) Notifying the agency in writing, within ten calendar days after receiving notice under paragraph (d)(2) from an employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide notice, including position title, to every grant officer or other designee on whose grant activity the convicted employee was working, unless the Federal agency has designated a central point for the receipt of such notices. Notice shall include the identification number(s) of each affected grant; (f) Taking one of the following actions, within 30 calendar days of receiving notice under paragraph (d)(2), with respect to any employee who is so convicted -(1) Taking appropriate personnel action against such an employee, up to and including termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended; or (2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency; (g) Making a good faith effort to continue to maintain a drug-free workplace through implementation of paragraphs (a), (b), (c), (d), (e) and (f). (B) The grantee may insert in the space provided below the site(s) for the performance of work done in connection with the specific grant: August 13, 2010 61 AZ 2010-2011 SSBG PLAN CERTIFICATION REGARDING RESPONSIBILITY MATTERS DEBARMENT, SUSPENSION AND OTHER Certification Regarding Debarment, Suspension, and Other Responsibility Matters--Primary Covered Transactions Instructions for Certification 1. By signing and submitting this proposal, the prospective primary participant is providing the certification set out below. 2. The inability of a person to provide the certification required below will not necessarily result in denial of participation in this covered transaction. The prospective participant shall submit an explanation of why it cannot provide the certification set out below. The certification or explanation will be considered in connection with the department or agency's determination whether to enter into this transaction. However, failure of the prospective primary participant to furnish a certification or an explanation shall disqualify such person from participation in this transaction. 3. The certification in this clause is a material representation of fact upon which reliance was placed when the department or agency determined to enter into this transaction. If it is later determined that the prospective primary participant knowingly rendered an erroneous certification, in addition to other remedies available to the Federal Government, the department or agency may terminate this transaction for cause or default. 4. The prospective primary participant shall provide immediate written notice to the department or agency to which this proposal is submitted if at any time the prospective primary participant learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances. 5. The terms covered transaction, debarred, suspended, ineligible, lower tier covered transaction, participant, person, primary covered transaction, principal, proposal, and voluntarily excluded, as used in this clause, have the meanings set out in the Definitions and Coverage sections of the rules implementing Executive Order 12549. You may contact the department or agency to which this proposal is being submitted for assistance in obtaining a copy of those regulations. 6. The prospective primary participant agrees by submitting this proposal that, should the proposed covered transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is proposed for debarment under 48 CFR part 9, subpart 9.4, debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by the department or agency entering into this transaction. 7. The prospective primary participant further agrees by submitting this proposal that it will include the clause titled “Certification Regarding Debarment, Suspension, Ineligibility and Voluntary ExclusionLower Tier Covered Transaction,'' provided by the department or agency entering into this covered transaction, without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions. 8. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that it is not proposed for debarment under 48 CFR part 9, subpart 9.4, debarred, suspended, ineligible, or voluntarily excluded from the covered transaction, unless it knows that the certification is erroneous. A participant may decide the method and frequency by which it determines the eligibility of its principals. Each participant may, but is not required to, check the List of Parties Excluded from Federal Procurement and Nonprocurement Programs. 9. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by this clause. The knowledge and information of a participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. August 13, 2010 63 AZ 2010-2011 SSBG PLAN 10. Except for transactions authorized under paragraph 6 of these instructions, if a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is proposed for debarment under 48 CFR part 9, subpart 9.4, suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the Federal Government, the department or agency may terminate this transaction for cause or default. Certification Regarding Debarment, Suspension, and Other Responsibility Matters--Primary Covered Transactions (1) The prospective primary participant certifies to the best of its knowledge and belief, that it and its principals: (a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded by any Federal department or agency; (b) Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; (c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State or local) with commission of any of the offenses enumerated in paragraph (1)(b) of this certification; and (d) Have not within a three-year period preceding this application/proposal had one or more public transactions (Federal, State or local) terminated for cause or default. (2) Where the prospective primary participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal. Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion--Lower Tier Covered Transactions Instructions for Certification 1. By signing and submitting this proposal, the prospective lower tier participant is providing the certification set out below. 2. The certification in this clause is a material representation of fact upon which reliance was placed when this transaction was entered into. If it is later determined that the prospective lower tier participant knowingly rendered an erroneous certification, in addition to other remedies available to the Federal Government the department or agency with which this transaction originated may pursue available remedies, including suspension and/or debarment. 3. The prospective lower tier participant shall provide immediate written notice to the person to which this proposal is submitted if at any time the prospective lower tier participant learns that its certification was erroneous when submitted or had become erroneous by reason of changed circumstances. 4. The terms covered transaction, debarred, suspended, ineligible, lower tier covered transaction, participant, person, primary covered transaction, principal, proposal, and voluntarily excluded, as used in this clause, have the meaning set out in the Definitions and Coverage sections of rules implementing Executive Order 12549. You may contact the person to which this proposal is submitted for assistance in obtaining a copy of those regulations. 5. The prospective lower tier participant agrees by submitting this proposal that, [[Page 33043]] should the proposed covered transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is proposed for debarment under 48 CFR part 9, subpart 9.4, debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by the department or agency with which this transaction originated. August 13, 2010 64 AZ 2010-2011 SSBG PLAN