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					                                                                                     DRAFT Prepared by The Finance Project 7/22/2010                                                                                       General Information Page 1




                   ATTACHMENT I: MICHIGAN PROGRAMS SUPPORTING THE GREAT START SYSTEM: GENERAL INFORMATION **DRAFT 8/07**

                                                                                                                                                                                         Population
Program                    State Agency   Program Goal                Program Description                                  Who Provides Services         Eligibility                                                Source(s)
                                                                                                                                                                                         served/caseload



BASIC NEEDS, ECONOMIC SECURITY AND CHILDREN'S SAFETY


Basic Needs Programs

                                                                                                                                                                                                                    Don Mussen, Acting
                                                                                                                                                                                                                    Director, Adult and
                                                                                                                                                                                         Total caseload in 2007     Family Services and
                                                                                                                                                         Eligibility based on income     was 84,408. 54% or         Louise Wing, Acting
                                          To help families to         Monthly cash assistance grants for families to
                                                                                                                                                         and asset requirements, as      approximately 45,580       Director of Income
                                          achieve self-support        cover personal needs (clothing, household items,
                                                                                                                                                         well as children's age,         families served have       Support, DHS;
Family Independence                       and independence; to        etc), housing heat, utilities, and food. Families
                           MDHS                                                                                         MDHS                             cooperation with                children ages 0-5.         DHS Program
Program (FIP)                             reduce dependence on        receiving FIP services receive other services to
                                                                                                                                                         employment and training         Caseload has steadily      Descriptions, FY2008 .
                                          public assistance and       promote independence, including parenting
                                                                                                                                                         and child support               increased since 2000,      Michigan Department
                                          increase self-sufficiency   classes.
                                                                                                                                                         requirements.                   but was over 90,000 in     of Human Services,
                                                                                                                                                                                         1999.                      Budget and Policy
                                                                                                                                                                                                                    Analysis Division,
                                                                                                                                                                                                                    March 2007.
                                                                                                                                                         Groups of people living in
                                                                                                                                                         same household are eligible                                Don Mussen, Acting
                                          To raise the food                                                                                              based on net income and                                    Director, Adult and
                                          purchasing power of                                                                                            the size of a household.        Total caseload in 2006     Family Services and
                                                                  FAP can be used to buy eligible food at any
                                          low-income persons.                                                                                            Households are                  was 514,867. Steady        Louise Wing, Acting
Food Assistance Program    MDHS                                   Food and Nutrition service authorized retail food MDHS
                                          Limited food purchasing                                                                                        categorically eligible if all   increases in caseload      Director of Income
                                                                  store or approved meal provider.
                                          power contributes to                                                                                           persons are authorized to       since 2000.                Support, DHS;
                                          hunger and malnutrition                                                                                        receive TANF funded benefit                                DHS Program
                                                                                                                                                         and gross income is less                                   Descriptions
                                                                                                                                                         than 200% of poverty level.
                                                                      The Housing Choice Voucher (HCV) program is
                                                                      a federal program that provides rent subsidies
                                                                      for very low-income people who find their
                                                                      housing in private homes and apartments. In          MSHDA contracts out
                                                                      Michigan, HCV has the following additional           voucher program to local      According to new state
                                                                                                                                                                                                                    Interview with Chris
                                          To assist low-income        components:                                    -     limited liability             eligibility standards,
                                                                                                                                                                                        MSHDA currently has         Collette, Director,
                                          families to afford          The Family Self-Sufficiency program that             corporations, nonprofits or   eligibility will be defined as
Housing Choice Vouchers    MSHDA                                                                                                                                                        contracts to serve 23,646   Office of Housing
                                          decent, safe and            provides for coordination of local, community        local units of government.    the lesser of the two: below
                                                                                                                                                                                        families.                   Voucher Programs,
                                          sanitary housing.           based resources that promote economic                They are responsible for      poverty level or 30% of local
                                                                                                                                                                                                                    MSHDA
                                                                      independence.                                    -   maintaining local waiting     median income.
                                                                      The Key to Own program helps HCV families to         lists for vouchers.
                                                                      purchase their own home.
                                                                      - The Homeless Assistance Recovery Program
                                                                      provides supports for homeless families.




                                          Provision of affordable
Public housing- Homeless                                              Construction of housing for homeless families-       Housing developed by          Income below poverty and        Building construction      Interview with Sally
                           MSHDA          housing for homeless
Families                                                              largely short-term leasing assistance.               nonprofit organizations.      criteria for homelessness       underway. Unknown.         Harrison, MSHDA
                                          families
                                                                                     DRAFT Prepared by The Finance Project 7/22/2010                                                                                     General Information Page 2




                    ATTACHMENT I: MICHIGAN PROGRAMS SUPPORTING THE GREAT START SYSTEM: GENERAL INFORMATION **DRAFT 8/07**

                                                                                                                                                                                       Population
Program                      State Agency   Program Goal              Program Description                                Who Provides Services        Eligibility                                                  Source(s)
                                                                                                                                                                                       served/caseload


                                                                                                                                                      For the Home Heating
                                                                                                                                                      Credit, eligibility is based on                              Don Mussen, Acting
                                            Provides assistance to                                                                                    income, number of                                            Director, Adult and
                                                                                                                         Department of Treasury for                                   FY 2006, approximately
Low-Income Home Energy                      disadvantaged             Provides 1) Basic heating assistance; 2) Crisis                                 exemptions and household                                     Family Services and
                                                                                                                         Home Heating Credit                                          500,463 households
Assistance Program           MDHS           households in meeting     assistance in emergencies; and 3)                                               heating costs.                                               Louise Wing, Acting
                                                                                                                         Local DHS offices for crisis                                 assisted.
(LIHEAP)                                    the costs of home         weatherization services                                                         For crisis assistance,                                       Director of Income
                                                                                                                         payments
                                            energy.                                                                                                   eligibility is based on need                                 Support, DHS; DHS
                                                                                                                                                      and income. Issuance has a                                   Program Descriptions
                                                                                                                                                      yearly cap.

                                                                      Assistance to individuals and families includes                                 An individual who has the        2006: Total of 1766
                                                                      cash assistance, medical assistance, health                                     official refugee, asylee,        adults receiving            Al Horn, Director of
                                                                                                                         Private providers under
                                            Help refugees to          screening, employment services and                                              victim of trafficking or has     employment or support       Refugee Assistance
Refugee Assistance Program                                                                                               contract with MDHS.
                           MDHS             become self-sufficient    employment support, unaccompanied minors                                        parolee in the public interest   services. 265 children      Program, MDHS;
(RAF)                                                                                                                    MDHS manages cash or
                                            after arrival in U.S.     foster care, outreach services (connecting                                      status given by the U.S.         under 18 served in foster   DHS Program
                                                                                                                         medical assistance directly.
                                                                      refugees to existing services in the community)                                 Department of Homeland           care (typically between     Descriptions
                                                                      and cultural adjustment assistance.                                             Security                         ages 13-18)

                                                                      State Office of Child Support (OCS) is
                                                                      responsible for operating the Title IV-D child
                                                                                                                                                      Cooperation is required
                                                                      support program. OCS directly manages the
                                                                                                                                                      (absent good cause) for all                                  Marilyn Stephen,
                                                                      state disbursement unit, policy development and
                                            Help MI citizens obtain                                                      DHS Office of Child          TANF recipients. All parents                                 Director, Michigan
                                                                      training, case initiation and certain central                                                                 Currently about one
                                            child support to which                                                       Support, Friends of the      may receive service by filing                                Office of Child
Child Support Administration MDHS                                     enforcement functions. OCS contracts with                                                                     million cases in
                                            they are entitled under                                                      Court (local courts),        an application. About 10% of                                 Support;
                                                                      Friends of the Court and Prosecutors to provide                                                               Michigan.
                                            federal and state law.                                                       prosecutors, SCAO            current cases are TANF,                                      DHS Program
                                                                      court order establishment and enforcement
                                                                                                                                                      and 45% are former state                                     Descriptions
                                                                      services. A case is automatically a IV-D case if
                                                                                                                                                      assistance of some kind.
                                                                      payee is receiving public assistance or files an
                                                                      application for service.

Economic Security
Programs

                                                                                                                                                                                                                   Don Mussen, Acting
                                                                                                                                                                                                                   Director, Adult and
                                                                                                                                                      Eligibility based on income                                  Family Services and
Workfirst/Jobs, Education,                                            Provides employment, education, and training       25 Michigan Works!           and other factors such as                                    Louise Wing, Acting
                             MDHS                                                                                                                                                      n/a
and Training (JET)                                                    services for adults in the FIP program             Agencies                     assets and group                                             Director of Income
                                                                                                                                                      composition.                                                 Support, DHS.
                                                                                                                                                                                                                   DHS Program
                                                                                                                                                                                                                   Description s


                                                                                                                                                                                                                   Don Mussen, Acting
                                                                                                                                                                                                                   Director, Adult and
                                            To assist families in
Employment and Training                                               Provides employment support services including                                                                                               Family Services and
                                            overcoming obstacles                                                      DHS, 25 Michigan Works!
Programs: Employment         MDHS                                     transportation assistance, child care, clothing                                 n/a                              n/a                         Louise Wing, Acting
                                            to achieving financial                                                    Agencies
Support Services                                                      allowances, moving expenses                                                                                                                  Director of Income
                                            independence.
                                                                                                                                                                                                                   Support, DHS; DHS
                                                                                                                                                                                                                   Program Descriptions
                                                                                       DRAFT Prepared by The Finance Project 7/22/2010                                                                                     General Information Page 3




                        ATTACHMENT I: MICHIGAN PROGRAMS SUPPORTING THE GREAT START SYSTEM: GENERAL INFORMATION **DRAFT 8/07**

                                                                                                                                                                                        Population
Program                      State Agency   Program Goal               Program Description                                 Who Provides Services         Eligibility                                                Source(s)
                                                                                                                                                                                        served/caseload



                                            To assist low-income
                                            individuals and families                                                                                     In order to receive CSBG       In 2006, Michigan CAAs
                                                                       Community Services Block Grant (CSBG) is                                                                                                     Dwayne Haywood,
                                            (at or below 125% of                                                           30 Community Action           formula funding, agencies      reported serving 484,474
Support for Community                                                  used at local level in combination with a variety                                                                                            DHS;
                             MDHS           the poverty level) to                                                          Agencies serving all 83       must be designated "eligible   individuals, of whom
Action Agencies                                                        of funding sources that support programs                                                                                                     DHS Program
                                            achieve self-sufficiency                                                       counties                      entities" as defined by the    41,337 were reported to
                                                                       targeted to low-income individuals and families.                                                                                             Descriptions
                                            and address the causes                                                                                       CSBG Act.                      be age 0-5.
                                            of poverty.

Child Safety


                                                                                                                           Representatives of the
                                                                       Collaborative team representing state human
                                                                                                                           MDHS, MDCH, MDE and
                                            To eliminate infant        services agencies and community-based
                                                                                                                           staff of Tomorrow’s Child     General public, providers,     Over 380,000 pieces of      Rosemary Fournier,
                                            deaths due to babies       organizations guides coordinated state efforts to
Safe Sleep Statewide         MDCH                                                                                          (formerly Michigan SIDS       care givers of infants and     risk reduction literature   State FIMR Program
                                            being placed to sleep in   implement Safe Sleep practices and reduce
                                                                                                                           Alliance) and Michigan        children                       are distributed annually.   Coordinator, MDCH
                                            un-safe environments.      infant deaths related to unsafe sleep
                                                                                                                           Public Health Institute.
                                                                       environments.




                                                                                                                                                         CBOs' ability to develop and
                                                                                                                                                         implement community-based
                                                                     Cooperative agreement with the Centers for                                                                         Inner-city, low-income      Heather Hockanson,
                                                                                                                                                         booster seat programs as
Community Interventions to                  To reduce motor vehicle- Disease Control and Prevention (CDC) to                                                                            parents their children      Principal Investigator,
                                                                                                                     Community Based                     evidenced by response to
Reduce Motor Vehicle-        MDCH           related injuries to      develop effective community-based child                                                                            ages 4-8. Hispanic          Community
                                                                                                                     Organizations (CBOs)                Request for Proposals,
Related Injury to Children                  children                 passenger safety interventions with an emphasis                                                                    parents and their           Interventions program,
                                                                                                                                                         progress reports, and
                                                                     on booster seats                                                                                                   children ages 4-8           MDCH
                                                                                                                                                         reports to the Michigan CPS
                                                                                                                                                         Coalition

                                                                     The main goal of the program is to address
                                                                     recommendations in the State Child Passenger
                                                                     Safety (CPS) Plan that will supplement,
                                                                     enhance, and expand current CPS programs in                                         National Highway Traffic
                                            To reduce motor vehicle-                                                                                                                                                Angela Glew, Child
Child Passenger Safety                                               Michigan. These activities include CPS training, MDCH and Community                 Safety Administration          Children 0-8 and their
                             MDCH           related injuries to                                                                                                                                                     Passenger Safety
Training and Education                                               child safety seat check up events, dissemination Based Organizations                (NHTSA) certified              Caregivers
                                            children                                                                                                                                                                Specialist, MDCH
                                                                     of educational materials for parents and                                            technicians and instructors
                                                                     caregivers, and coordinating and compiling
                                                                     pertinent information on child safety seat
                                                                     advocates and resources.


                                            To prevent death or                                                            Emergency service
                                                                       The program provides information to the public
                                            serious harm to an                                                             providers are uniformed                                      35 actual surrenders
                                                                       on the Safe Delivery Law, and provides training                                                                                              Carol Ogan, Bureau of
                                            infant by providing                                                            employees of a fire           Parents of a newborn child     have occurred since
Safe Delivery                MDCH                                      and technical consultation to emergency service                                                                                              Family, Maternal and
                                            opportunities for safe                                                         department, hospital or       (birth to 72 hours of age)     enactment of law in
                                                                       providers on the provisions of the law and its                                                                                               Child Health, MDCH
                                            surrender of the infant                                                        police station, and                                          January 2001
                                                                       implementation
                                            to specific authorities                                                        paramedics or emergency
                                                                                                                           medical technician when
                                                                                                                           responding to a 9-1-1 call.
                                                                                                                                                                                In 2006, 126,690
                                                                                                                                                                                complaints of
                                                                                                                                                                                abuse/neglect were
                                                                                                                                                    Children under 18 who have
                                            Ensures that children      Investigates allegations of child abuse or neglect Department investigates                               received, 70,069 were               Ted Forrest, MDHS;
Children's Protective                                                                                                                               been abused or neglected or
                             MDHS           are safe and free from     by caretakers and assesses safety of all children abuse; enforcement is with                             investigated and 17,688             DHS Program
Services (CPS)                                                                                                                                      alleged to have been
                                            neglect                    in household                                       police and family court                               were found to have a                Descriptions
                                                                                                                                                    abused or neglected.
                                                                                                                                                                                preponderance of
                                                                                                                                                                                evidence that
                                                                                                                                                                                abuse/neglect occurred.
                                                                                   DRAFT Prepared by The Finance Project 7/22/2010                                                                                         General Information Page 4




                    ATTACHMENT I: MICHIGAN PROGRAMS SUPPORTING THE GREAT START SYSTEM: GENERAL INFORMATION **DRAFT 8/07**

                                                                                                                                                                                       Population
Program                     State Agency   Program Goal             Program Description                                 Who Provides Services        Eligibility                                                    Source(s)
                                                                                                                                                                                       served/caseload



                                           To ensure the safety,
                                           permanence and well-
                                           being of children                                                                                                                                                        Jim Hennessey,
                                                                                                                        Foster homes, group
                                           through reunification    Children's Foster Care provides placement and                                                                                                   Director, Children's
                                                                                                                        homes, shelter homes,        Court orders care,                Abused/neglected court
Children's Foster Care      MDHS           with birth family,       supervision of children who are temporary or                                                                                                    Services, MDHS,
                                                                                                                        residential care centers,    supervision                       wards
                                           permanent placement      permanent court or state wards.                                                                                                                 DHS Program
                                                                                                                        relatives, legal guardians
                                           with relatives, or a                                                                                                                                                     Descriptions
                                           permanent adoptive
                                           home.

                                                                 This program provides for adoption planning and
                                                                 placement of children who are permanent wards
                                                                 due to termination of parental rights. Services
                                                                 are provided to recruit and support permanent
                                                                 placements of children in homes that are
                                                                 capable of meeting the long-term physical,
                                                                                                                                                     Children in foster care or in
                                                                 emotional educational and behavioral needs of          Local DHS office adoption                                                                   DHS Program
                                           To achieve permanency                                                                                     special needs (e.g. older,
                                                                 the child. Efforts are made to place children into     staff and 45 contracted                                                                     Descriptions, Susan
Adoption Services Program   MDHS           through adoption for                                                                                      member of a sibling group,        n/a
                                                                 adoptive homes as soon as the appropriate              private child placing                                                                       Kangas, Budget
                                           waiting children.                                                                                         physically, mentally or
                                                                 termination of parental rights. Adoption services      agencies                                                                                    Director, DHS
                                                                                                                                                     emotionally challenged.)
                                                                 include assessing the placement needs of the
                                                                 child; determining eligibility for adoption subsidy,
                                                                 recruitment, orientation and training of potential
                                                                 adoptive families; completion of a home study,
                                                                 adoptive placement and supervision; and post
                                                                 adoption services.



                                                                                                                                                     Varies by funding source
                                                                                                                                                     and program area. For             Victims of domestic and      Don Mussen, Acting
                                                                                                                                                     example, domestic violence        sexual violence and their    Director, Adult and
                                                                    Provides contracts for: emergency shelter and
                                                                                                                                                     comprehensive grant               dependent children.          Family Services and
MI Domestic Violence                                                related services for victims of domestic violence
                                           To eliminate domestic                                                        Community-based              eligibility criteria includes     4,467 residential/shelter    Louise Wing, Acting
Prevention and Treatment    MDHS                                    and their children; provision of Rape Prevention
                                           and sexual violence                                                          organizations                domestic violence victims         clients in Michigan          Director of Income
Board                                                               Services; Transitional Supportive Housing; and
                                                                                                                                                     and their children.               served as well as non-       Support, DHS.
                                                                    education of service providers
                                                                                                                                                     Determination of eligibility is   residential clients.         DHS Program
                                                                                                                                                     based solely on declaration                                    Descriptions
                                                                                                                                                     of circumstances




                                           To provide housing for   Construction of housing, as well as acquiring                                    Families with both reported
Public Housing- Domestic                                                                                                Housing developed by                                           Building construction still Interview with Sally
                            MSHDA          victims of domestic      single family homes for victims of domestic                                      domestic violence and low
Violence                                                                                                                nonprofit organizations.                                       underway.                   Harrison, MSHDA
                                           violence                 violence                                                                         family income.




                                                                                                                                                                                       Children, Parents of
                                                                                                                                                     Grantees eligibility based on
                                                                                                                                                                                       children, Men and boys,
                                                                                                                                                     ability to carry out and
                                           To prevent first-time                                                                                                                       Community-at-large           Jessica Grzywacz,
                                                                    Program supports local and statewide primary                                     evaluate sexual violence
Rape Prevention and                        sexual violence                                                              State and Community                                            (42,927); Professionals      RPE Program
                            MDCH                                    sexual violence prevention programs and                                          prevention activities as
Education (RPE)                            perpetration or                                                              Based Organizations                                            who interact with children   Director, RPE
                                                                    initiatives                                                                      evidenced by response to
                                           victimization                                                                                                                               (9,334); Local sexual        Program Descriptions
                                                                                                                                                     Request for Proposals or
                                                                                                                                                                                       violence hotline calls
                                                                                                                                                     other application process
                                                                                                                                                                                       (10,127)
                                                                                       DRAFT Prepared by The Finance Project 7/22/2010                                                                             General Information Page 5




                    ATTACHMENT I: MICHIGAN PROGRAMS SUPPORTING THE GREAT START SYSTEM: GENERAL INFORMATION **DRAFT 8/07**

                                                                                                                                                                                  Population
Program                      State Agency   Program Goal                Program Description                                Who Provides Services      Eligibility                                            Source(s)
                                                                                                                                                                                  served/caseload


PHYSICAL HEALTH CARE

General Prenatal and Child
Health


                                                                   Medicaid provides health care services for low-
                                                                   income families. This includes Early Periodic
                                                                   Screening Diagnosis and Treatment (EPSDT), a
                                                                   required protocol for well child visits and
                                                                   referrals for preventive health care, medically                                    Infants up to 185% of FPL,                             Interview with Steve
                                                                   necessary follow-up, as well as free                                               children 1-15 at up to 150%                            Fitton and Jackie
                                            To provide health                                                                                                                     Enrollment as of 5/07-
                                                                   transportation and reporting for children under                                    FPL; MOMS program                                      Prokop, MDCH;
Medicaid                     MDCH           coverage to low-income                                                 Health care providers                                          315,933 children ages 0-
                                                                   21. Medicaid also supports the Maternity                                           covers women who are                                   Revenue numbers
                                            families                                                                                                                              5.
                                                                   Outpatient Medical Services Program (MOMS),                                        pregnant and have income                               from DHS Program
                                                                   covering outpatient pregnancy-related services                                     at or below 185% of FPL                                Descriptions FY 2008
                                                                   during the prenatal and postpartum period for
                                                                   eligible beneficiaries, as well as inpatient
                                                                   delivery services. MOMS services last through
                                                                   60 days after pregnancy ends.



                                            To provide health
                                            coverage to low-income MI Child Program covers healthcare services for                                    Covers children up to 200%                             Interview with Steve
                                                                                                                                                                                 Enrollment as of 5/07:
MI Child Program             MDCH           children in families that low-income children whose families do not    Health care providers              of FPL who are not covered                             Fitton and Jackie
                                                                                                                                                                                 8,182 children 0-5
                                            do not qualify for        qualify for Medicaid.                                                           by Medicaid.                                           Prokop, MDCH
                                            Medicaid




                                            To ensure that all                                                                                        State funds support prenatal
                                                                                                                                                                                                             Interview with Betsy
                                            pregnant women have         Supports prenatal services for women who are       Local public health        services for women who do
Prenatal Services            MDCH                                                                                                                                                  n/a                       Pash, MDCH, Public
                                            access to prenatal          not eligible for Medicaid.                         agencies                   not qualify for Medicaid
                                                                                                                                                                                                             Health
                                            services.                                                                                                 MOMS program




                                                                        Local Health Departments may choose to
                                                                        conduct Medicaid Outreach Activities that are
                                                                        considered an administrative service. These
                                                                        services include: providing information on
                                            To increase the number      Medicaid programs, eligibility, services and how
                                            of individuals that are     to apply. The activities are conducted at the
                                            provided Medicaid           community level and attempt to increase the
                                                                                                                                                                                                             Rose Mary Asman,
                                            information; assist         number of eligible individuals that obtain                                                                Determined locally
                                                                                                                                                                                                             Maternal Health Nurse
                                            eligible individuals with   Medicaid information, coverage and services.                                  Anyone who is Medicaid-     depending on outreach
Local Medicaid Outreach      MDCH                                                                                          Local health departments                                                          Consultant, MDCH,
                                            accessing the Medicaid      Activities may include: public outreach                                       eligible or on Medicaid     activities planned and
                                                                                                                                                                                                             Division of Family and
                                            programs and services;      campaigns, media information, individual                                                                  delivered
                                                                                                                                                                                                             Community Health
                                            and assist individuals in   information; assistance in filling out an
                                            becoming eligible for       application; referrals for services; verifying
                                            Medicaid                    eligibility; assisting with transportation or
                                                                        translation services in order to apply for
                                                                        Medicaid or receive services; or broader
                                                                        activities such as community planning and
                                                                        develop of Medicaid services.
                                                                                  DRAFT Prepared by The Finance Project 7/22/2010                                                                                    General Information Page 6




                  ATTACHMENT I: MICHIGAN PROGRAMS SUPPORTING THE GREAT START SYSTEM: GENERAL INFORMATION **DRAFT 8/07**

                                                                                                                                                                                   Population
Program                    State Agency   Program Goal            Program Description                                   Who Provides Services         Eligibility                                              Source(s)
                                                                                                                                                                                   served/caseload




Public Health


                                          To provide information
                                          for developing,
                                          implementing, and                                                                                                                        A statistically valid       Paulette Dobynes
Pregnancy Risk Assessment                 evaluating maternal and PRAMS is an ongoing population-based survey                                         Any woman who delivers a     sample of women who         Dunbar, Section
and Monitoring System     MDCH            infant health           of postpartum mothers who delivered live births MDCH                                baby in the state of         deliver for the year is     Manager/MDCH,
(PRAMS)                                   interventions to reduce in Michigan. (PRAMS is part of a CDC initiative.)                                   Michigan.                    surveyed. There are no      Division of Family and
                                          infant mortality, low                                                                                                                    direct services provided.   Community Health
                                          birth weight, and other
                                          adverse birth outcomes.




                                          To train staff who
                                          provide smoking                                                        Trained staff working with
                                          cessation to pregnant                                                  pregnant women in clinics, All pregnant women                                                 Aurea Booncharoen,
Prenatal Smoking Cessation:                                       Web-based learning module for staff in smoking                                                                   FY05- 2,777 families
                            MDCH          women. The ultimate                                                    local health departments, receiving services from a                                           Nurse Consultant,
Smoke Free for Baby and Me                                        counseling for pregnant women.                                                                                   were served
                                          goal is to positively                                                  and other prenatal care    prenatal provider.                                                 MDCH
                                          impact pregnancy                                                       providers.
                                          outcomes



                                                                  The program includes FASD prevention
                                                                  activities: 1) screening reproductive age women
                                                                  for alcohol use and contraceptive use; 2)
                                                                  identifying women who drink more than 7 drinks
                                                                  per week or more than 3 drinks on one occasion
                                                                  and use contraceptives inconsistently; 3)             Local health departments
                                                                  providing a brief motivational intervention to help   and other local contractors
                                                                  recognize the risk for an alcohol exposed             provide the screening,        Children of any age
                                                                  pregnancy and need to change behavior; and 4)         prevention and linking to     suspected of being exposed
                                                                                                                                                                                                               Cheryl Lauber, FASD
Fetal Alcohol Spectrum                    To reduce FASD in       providing information and resources for more          services. Five hospital       to alcohol in utero and        Approximately 600
                           MDCH                                                                                                                                                                                Program Manager,
Disorders (FASD) Program                  Michigan                appropriate contraceptive use. The program also       sites provide diagnostic      women of childbearing age families per year
                                                                                                                                                                                                               MDCH
                                                                  includes FASD diagnostic and linking to services      services through              who are at-risk of an alcohol-
                                                                  activities: 1) identifying children with probable     physicians, nurses, social    exposed pregnancy
                                                                  alcohol exposure during pregnancy; 2) screening       workers, and
                                                                  for growth retardation and developmental delay;       psychologists.
                                                                  3) diagnosis and treatment recommendations
                                                                  through FAS Centers of Excellence; 4) referral to
                                                                  Early On Child Find; and 5) facilitating case
                                                                  management.
                                                                                       DRAFT Prepared by The Finance Project 7/22/2010                                                                                    General Information Page 7




                       ATTACHMENT I: MICHIGAN PROGRAMS SUPPORTING THE GREAT START SYSTEM: GENERAL INFORMATION **DRAFT 8/07**

                                                                                                                                                                                          Population
Program                       State Agency   Program Goal               Program Description                                 Who Provides Services          Eligibility                                              Source(s)
                                                                                                                                                                                          served/caseload




                                                                        One component of the project is to identify         The first component is
                                                                        African American women of child bearing age in      staffed through the Detroit
                                                                        Detroit who are at-risk of an alcohol-exposed       Department of Health and                                      Approximately 300
                                                                        pregnancy. A second component is to support         Wellness Promotion             All women between 18-44        women are screening
                                                                        diagnostic and linking services at the Children’s   (DHWP). The second             years old who reside in        annually and 80-100
Fetal Alcohol Syndrome                       To reduce FAS in                                                               component is staffed by the                                                             Cheryl Lauber, Grant
                              MDCH                                      Hospital of Michigan. A third component is to                                      Wayne County and meet          provided services.
(FAS) Prevention Project                     Detroit                                                                        Children’s Hospital of                                                                  Manager, MDCH
                                                                        pilot a methodology for determining the                                            program at-risk criteria are   Approximately 30
                                                                        incidence of FAS in Wayne County.                   Michigan (CHM). The third      eligible.                      children are provided
                                                                                                                            component is staffed by                                       services annually.
                                                                                                                            the Michigan Birth Defects
                                                                                                                            Registry at MDCH.




                                                                       The Michigan Department of Community Health
                                                                       funds 11 coalitions, via local health departments,   Nurses, social workers and
                                                                       in counties that have the highest infant death       advocates are hired
                                                                       rate and the greatest disparity in black-white       through the local health
                                                                                                                                                                                                                    Interview with Betsy
                                                                       infant deaths. The coalitions have begun to          departments to provide
                                             To reduce Michigan’s                                                                                                                                                   Pash, Administrative
                                                                       implement Interconception Programs that aim to       direct services to program                                    Approximately 220-275
                                             infant mortality rate and                                                                                                                                              Deputy, Public Health
                                                                       improve the health of African American women         participants. Coalition    Women who had previous             families will be served
Infant Mortality Coalitions   MDCH           the disparity in the                                                                                                                                                   Administration,
                                                                       who have had previous poor birth outcomes prior      members educate their      poor birth outcomes.               through Interconception
                                             black-white infant death                                                                                                                                               MDCH, Sophia Hines,
                                                                       to their next pregnancies. Improving subsequent      local communities about                                       Program.
                                             rate.                                                                                                                                                                  Infant Mortality
                                                                       birth outcomes is the program goal. These            infant mortality, and they
                                                                                                                                                                                                                    Coalition Consultant
                                                                       programs provide home-based case                     serve as advisors to their
                                                                       management services to address grief issues,         local interconception
                                                                       health risks, family planning needs, mental          programs.
                                                                       health, and social support concerns in order to
                                                                       improve the chances of having a healthy future
                                                                       pregnancy.

                                                                        The Infant Mortality Initiative funds two
                                                                        consultants who assist in guiding MDCH’s efforts
                                                                        to reduce Michigan’s infant mortality rate and
                                                                        related disparities. One of the consultants
                                                                        focuses on the research and development of
                                                                        evidence-based strategies to improve birth          Both consultants provide
                                             To reduce Michigan's
                                                                        outcomes. These strategies are implemented by       consultation and technical                                                              Sophia Hines, Infant
                                             infant mortality and the
Infant Mortality Initiative   MDCH                                      the Infant Mortality Coalitions. The other          assistance to MDCH             n/a                            n/a                       Mortality Coalition
                                             disparity in black-white
                                                                        consultant provides technical assistance to         program staff and the                                                                   Consultant
                                             infant death rate.
                                                                        coalitions on the development, implementation,      Infant Mortality Coalitions.
                                                                        and analysis of the Mini-Pregnancy Risk
                                                                        Assessment Monitoring System (PRAMS) survey
                                                                        and focus groups with African American women
                                                                        regarding health behaviors and practices before,
                                                                        during, and following pregnancy.
                                                                                        DRAFT Prepared by The Finance Project 7/22/2010                                                                                     General Information Page 8




                    ATTACHMENT I: MICHIGAN PROGRAMS SUPPORTING THE GREAT START SYSTEM: GENERAL INFORMATION **DRAFT 8/07**

                                                                                                                                                                                           Population
Program                       State Agency   Program Goal               Program Description                                   Who Provides Services        Eligibility                                                Source(s)
                                                                                                                                                                                           served/caseload



                                                                        The Michigan Fetal Infant Mortality Review
                                                                        (FIMR) program supports multidisciplinary teams
                                                                        in a process dedicated to the identification and
                                                                                                                              Local public health in       Women of childbearing age,      Approximately 250 – 280
                                                                        examination of factors that contribute to fetal and
                                                                                                                              partnership with local       infants, children, families     cases reviewed annually,
                                                                        infant deaths through the systematic evaluation
                                             To reduce infant                                                                 agencies and individual      who have experience a           with a FIMR presence in Rosemary Fournier,
Fetal Infant Mortality Review                                           of individual cases. A multidisciplinary team
                              MDCH           mortality and improve                                                            offering care and services   stillbirth, or the loss of an   the communities that     State FIMR Program
(FIMR)                                                                  reviews cases of fetal and infant death to find
                                             pregnancy outcomes                                                               to pregnant women,           infant born live who died       account for almost 80% Coordinator, MDCH
                                                                        patterns of need in a community or gaps in the
                                                                                                                              infants, children and        before reaching his/her first   of Michigan’s infant
                                                                        perinatal health delivery system. The review
                                                                                                                              families.                    birthday.                       mortality.
                                                                        team makes recommendations to improve the
                                                                        care and services for women, infants, children,
                                                                        and families. Training and technical assistance
                                                                        are provided.
                                             To track, review and                                                        MDCH staff from the
                                             better understand the                                                       Division of Family and
                                             causes of maternal         MMMS is a program of case ascertainment,         Community Health, Bureau
                                             death as well as the       surveillance of maternal death data and trends, of Family, Maternal and
                                             context in which they      case reviews, and development of prevention of Child Health, and the               Target population is all                                   Rose Mary Asman,
Michigan Maternal Mortality                  happen; the ultimate       recommendations based on an analysis of data Epidemiology Services                 women of reproductive age;                                 Maternal Health Nurse
Surveillance Program          MDCH           goal being to decrease     and case findings. Both pregnancy and non-       Division of the Bureau of         all Michigan women who die n/a                             Consultant, MDCH,
(MMMS)                                       such deaths, illness and   pregnancy-related deaths are reviewed by         Epidemiology. They are            within a year of the end of a                              Division of Family and
                                             complications. The         committees with expertise regarding the cause of assisted by the Michigan          pregnancy are studied.                                     Community Health
                                             Program also aims to       death under review; each review is followed with State Medical Society, two
                                             reduce black/white         recommendations for prevention.                  contract physicians,
                                             disparities in maternal                                                     medical schools, and
                                             mortality.                                                                  committee members.
                                             To promote access to
                                             the broadest range of
                                             quality services for the
                                             improvement of health
                                             of women, children and                                                                                        This depends on the
                                                                                                                                                                                                                   Rose Mary Asman,
                                             their families by          Funding supports local maternal child health                                       programming that each local     Determined by local
                                                                                                                                                                                                                   Maternal Health Nurse
Local Maternal Child Health                  allowing flexible          programming to address HHS and MDCH                                                health department has           health department,
                              MDCH                                                                                            Local health departments                                                             Consultant, MDCH,
(LMCH) Block Grant                           programming at each        performance measures and/or locally identified                                     decided meets the need of       based on what
                                                                                                                                                                                                                   Division of Family and
                                             local health department    MCH needs.                                                                         the maternal/child              programming is planned.
                                                                                                                                                                                                                   Community Health
                                             based no the identified                                                                                       population.
                                             National and State
                                             Performance Measures
                                             and local needs
                                             assessment.




                                                                                                                                                                                                                      Interview with Betsy
                                             To screen for disorders When an infant is born, a blood test is conducted
                                                                                                                                                           All newborns must be                                       Pash, Administrative
Newborn Genetic Screening     MDCH           and refer for           to screen for various disorders. Children are     Health care providers                                               All newborns in Michigan
                                                                                                                                                           tested.                                                    Deputy, Public Health
                                             appropriate care.       identified for follow-up by nurse consultants.
                                                                                                                                                                                                                      Administration, MDCH
                                                                                         DRAFT Prepared by The Finance Project 7/22/2010                                                                                       General Information Page 9




                    ATTACHMENT I: MICHIGAN PROGRAMS SUPPORTING THE GREAT START SYSTEM: GENERAL INFORMATION **DRAFT 8/07**

                                                                                                                                                                                             Population
Program                       State Agency   Program Goal                 Program Description                                Who Provides Services      Eligibility                                                      Source(s)
                                                                                                                                                                                             served/caseload



                                                                                                                                                                                                                         Interview with Betsy
                                             To immunize children         Immunizations required of all children. There is                              Required of all children,
                                                                                                                                                                                                                         Pash, Administrative
Immunizations                 MDCH           against various              no state charge for vaccine, but many local      Health care providers        unless families opt out for          n/a
                                                                                                                                                                                                                         Deputy, Public Health
                                             diseases.                    agencies charge administration fee of $16.75.                                 religious reasons.
                                                                                                                                                                                                                         Administration, MDCH


                                                                                                                              The EHDI staff provides
                                                                                                                             program services. Services
                                                                                                                             include trainings to birth
                                                                          The program collects newborn hearing
                                                                                                                             hospital coordinators and
                                                                          screening, rescreening, diagnostic and
                                                                                                                             screeners, physicians, and
                                                                          intervention data from various entities in the
                                             To build a statewide                                                            audiologists. The parent
                                                                          Michigan community. The EHDI Program staff
                                             system of hearing                                                               support program, Guide-By- Parent support programs are
                                                                          work to bring together hospital administrations,                                                                                               Michelle Garcia,
Early Hearing Detection and                  healthcare for infants                                                          Your-Side (GBYS) and the for parents and families of
                              MDCH                                        health professionals, community agencies,                                                                 n/a                                  MDCH-EHDI Follow-
Intervention Program                         and young children                                                              non-biased support         children who are deaf or
                                                                          educators, service organizations, consumers,                                                                                                   Up Consultant
                                             identified with hearing                                                         organization Michigan      hard of hearing.
                                                                          parents, and advocates helping build a
                                             loss.                                                                           Hands & Voices. The EHDI
                                                                          comprehensive community-based system for
                                                                                                                             program also provides
                                                                          detection and intervention services for infants
                                                                                                                             follow-up for any newborn
                                                                          identified with congenital hearing loss.
                                                                                                                             that has a unilateral or
                                                                                                                             bilateral refer on their
                                                                                                                             newborn hearing screen.


                                                                          Per Michigan law, "a local health department
                                             Identification of
                                                                          shall conduct periodic hearing testing and                                    All children in Michigan,
                                             preschool and school-                                                                                                                           600,000-650000 children     Mary Scoblic,
                                                                          screening programs without charge for children                                regardless of income.
                                             aged children with                                                                                                                              are screened each year      Manager Child Health
                                                                          residing in its jurisdiction. The local health                                Hearing screening in
                                             hearing deficits, referral                                                                                                                      with full funding, with     Unit and Jennifer
Hearing Screening             MDCH                                        department shall publicize the free testing and    Local health departments   conducted once between 3-
                                             to parents of children                                                                                                                          150,000 of these children   Dakers, Hearing
                                                                          screening service and the time and place of the                               5 years of age, then in
                                             needing additional                                                                                                                              being between ages of 0-    Screening Consultant,
                                                                          clinics." Majority of screenings are done in                                  kindergarten, second and
                                             evaluation and follow-                                                                                                                          5.                          MDCH
                                                                          schools to maximize the number of children                                    fourth grades.
                                             up.
                                                                          served.



                                                                                                                                                        All children in Michigan,
                                                                          Per Michigan law, "a local health department
                                             Identification of                                                                                          regardless of income.
                                                                          shall conduct periodic vision testing and                                                                          900,000-950,000
                                             preschool and school-                                                                                      Vision screening in                                              Mary Scoblic,
                                                                          screening programs without charge for children                                                                     children are screened
                                             aged children with                                                                                         conducted once between 3-                                        Manager Child Health
                                                                          residing in its jurisdiction. The local health                                                                     each year with full
                                             visual deficits, referral                                                                                  5 years of age, then in                                          Unit and Rachel
Vision Screening              MDCH                                        department shall publicize the free testing and    Local health departments                                        funding. Approximately
                                             to parents of children                                                                                     kindergarten, first, third, fifth,                               Schumann, Vision
                                                                          screening service and the time and place of the                                                                    130,000 are between
                                             needing additional                                                                                         seventh and ninth grades, or                                     Screening Consultant,
                                                                          clinics." Majority of screenings are done in                                                                       birth and five years of
                                             evaluation and follow-                                                                                     first, third, fifth and seventh                                  MDCH
                                                                          schools to maximize the number of children                                                                         age.
                                             up.                                                                                                        grades and in conjunction
                                                                          served.
                                                                                                                                                        with driver's training.
                                                                                     DRAFT Prepared by The Finance Project 7/22/2010                                                                                 General Information Page 10




                    ATTACHMENT I: MICHIGAN PROGRAMS SUPPORTING THE GREAT START SYSTEM: GENERAL INFORMATION **DRAFT 8/07**

                                                                                                                                                                                      Population
Program                       State Agency   Program Goal             Program Description                                 Who Provides Services        Eligibility                                              Source(s)
                                                                                                                                                                                      served/caseload


                                             To identify, provide
                                             case management, and
                                             follow-up of children
                                             with elevated blood                                                          State level activities are
                                                                      The Childhood Lead Poisoning Prevention
                                             lead levels. Also                                                            housed in the Division of
                                                                      Program focuses on the identification of children
                                             provides for abatement                                                       Family and Community                                                                  Interview with Betsy
                                                                      with elevated blood lead levels, case                                                                         In 2006, over 143,000
                                             of lead hazards in the                                                       Services, and in the                                                                  Pash, Administrative
                                                                      management and follow-up, and primary                                                                         children were tested, and
                                             child's environment,                                                         Healthy Housing Section in   Children with elevated blood                             Deputy, Public Health
                                                                      prevention activities including public awareness                                                              approximately 3,000
                                             coalition development                                                        the Environmental Health     levels at or above 10                                    Administration,
Child Lead Poisoning                                                  and surveillance. The Healthy Housing Section                                                                 were found to be lead-
                                             in target communities,                                                       Division. Local agency       micrograms per deciliter of                              MDCH, Mary Scoblic,
Prevention Program/Healthy    MDCH                                    identifies dwellings with lead hazards, provides                                                              poisoned. Each year,
                                             public awareness of                                                          services are housed in       blood. Dwelling with lead                                Manager Child Health
Housing Section                                                       funding for abatement, develops and manages                                                                   the healthy Housing
                                             lead poisoning,                                                              selected target              hazards, particularly where                              Unit, MDCH and
                                                                      the lead-safe registry, the Ombudsman who                                                                     Section abates
                                             assistance with                                                              communities which have       children below age six live.                             Wesley Priem,
                                                                      assist families in obtaining funding for lead                                                                 approximately 200
                                             obtaining asbestos                                                           been designated as high                                                               Manager Healthy
                                                                      abatement and the training and certification of                                                               homes.
                                             services, development                                                        risk based on age of                                                                  Housing Section
                                                                      Lead Inspectors and Risk Assessors who
                                             of a lead-safe housing                                                       housing and other risk
                                                                      address lead hazards in housing.
                                             registry and the                                                             factors.
                                             management of a
                                             Governor's appointed
                                             lead commission.

                                                                     The Child & Adolescent Health Center Program
                                                                     provides base funding support to 45 clinical child
                                                                     & adolescent health center (CAHC) and 12 non-
                                                                     clinical adolescent health center model health
                                             The goal of the program
                                                                     delivery sites throughout Michigan. The clinical
                                             is to achieve the best
                                                                     health center model, through either school-based                                                                 In CY 2006, 28,988
                                             possible physical,                                                           Local Health Departments,
                                                                     or school-linked health centers, provides on-site                                                                children and youth were
                                             intellectual, and                                                            Federally Qualified Health   Target population is school-
                                                                     primary health care, psycho-social services,                                                                     served through the
                                             emotional status of                                                          Centers (FQHCs), Health      aged children and youth age                              Carrie Tarry, State
Child and Adolescent Health                                          health promotion/disease prevention education,                                                                   clinical CAHC program
                              MDCH/MDE       children and                                                                 Systems, and schools are     5-21. The infants and small                              Adolescent Health
Centers                                                              and referral services to children & youth ages 5-                                                                and 116,988 youth were
                                             adolescents by                                                               the sponsoring agencies      children of the teen                                     Coordinator, MDCH
                                                                     21, as well as the infants and small children of                                                                 served through the non-
                                             providing services                                                           for these Child &            population are also served.
                                                                     the teen population. The non-clinical adolescent                                                                 clinical program for an
                                             which are high quality,                                                      Adolescent Health Centers.
                                                                     health center models focus on limited clinical                                                                   overall total of 145,336.
                                             accessible, and
                                                                     services, case finding, screening, health
                                             acceptable.
                                                                     education and referral for primary and other
                                                                     needed health services for the adolescent
                                                                     population.


                                                                                                                                                                                                                Interview with Steve
                                                                                                                                                       Must be medically eligible.                              Fitton and Jackie
                                                                      CSHCS covers medically necessary services                                        There is a more lenient                                  Prokop, MDCH and
                                             To find, diagnose and    related to the CSHCS qualifying condition for                                    income standard than                                     with Betsy Pash,
                                                                                                                                                                                   9013 children ages 0-5.
Children Special Health Care                 treat children with      individuals age 0-20 enrolled in the CSHCS                                       Medicaid. Medicaid-eligible                              MDCH;
                             MDCH                                                                                         Health care providers                                    30760 total children are
Services (CSHCS)                             chronic illness or       program. Program provides coverage and                                           children covered by                                      Medicaid
                                                                                                                                                                                   served.
                                             disabling conditions.    referral, family centered community-based,                                       Medicaid. Title V and state                              Administration
                                                                      culturally competent and coordinated services.                                   funds cover children who                                 Medicaid Provider
                                                                                                                                                       are not Medicaid-eligible                                Manual: MDCH,
                                                                                                                                                                                                                2007;
                                                                                   DRAFT Prepared by The Finance Project 7/22/2010                                                                                     General Information Page 11




                   ATTACHMENT I: MICHIGAN PROGRAMS SUPPORTING THE GREAT START SYSTEM: GENERAL INFORMATION **DRAFT 8/07**

                                                                                                                                                                                      Population
Program                    State Agency   Program Goal              Program Description                                Who Provides Services        Eligibility                                                   Source(s)
                                                                                                                                                                                      served/caseload



                                                                    The program (1) Links established systems of
                                                                    care to coordinate service delivery and ensure
                                                                    that HIV-infected women, infants children, and
                                          To improve access to      youth have access to the existing and emerging
Coordinated Services and                  primary medical care,     HIV treatments that can make a difference; (2)
Access to Research for                    research and family-      Implements HIV prevention programs for the
                                                                                                                                                                                                                  TFP Federal Funding
Women, Infants, Children                  centered support          transmission of HIV from mother to child; (3)
                             MDCH                                                                                      MDCH                         n/a                               n/a                         Catalog; HRSA
and Youth (Ryan White                     services for HIV-         Educate clients about the opportunities for
                                                                                                                                                                                                                  website
Treatment Modernization Act,              infected women,           participation in clinical research and other
Part D Program)                           infants, children and     research activities; and (4) Addresses the
                                          youth.                    intensity of service needs and other complex
                                                                    barriers to comprehensive care and research
                                                                    experienced by medically underserved and
                                                                    challenging populations.

                                                                                                                                                    Eligibility based on income
                                                                                                                                                    (Family's most recently filed
                                                                                                                                                    income tax needs to be
                                          The intent is to help     The Family Support Subsidy (FSS) Program
                                                                                                                                                    under $60,000 in net
                                          make it possible for      provides financial assistance to families that
                                                                                                                                                    income.) Eligibility also
                                          children with             include a child with severe developmental                                                                                                     Interview with Cheryl
                                                                                                                       Funds can be used by         based on determination by
                                          developmental             disabilities. The program provides a monthly                                                                   FY07: 1210 children            Thelen, Family
Family Support Subsidy     MDCH                                                                                        families in any way to       school districts that children
                                          disabilities to remain    payment of $222.11. Families are able to use                                                                   ages 0-5                       Support Subsidy
                                                                                                                       support the child.           have severe developmental
                                          with or return to their   this money for special expenses incurred while                                                                                                Manager, MDCH
                                                                                                                                                    disabilities (defined as three
                                          birth or adoptive         caring for their child. Funds may be used in
                                                                                                                                                    separate educational
                                          families.                 flexible ways by families to support children.
                                                                                                                                                    diagnoses.) If more than one
                                                                                                                                                    child is eligible, a family
                                                                                                                                                    would receive two checks.


                                                                    Provides support and medical subsidies to
                                          To encourage
                                                                    adoptive families of special needs children who
                                          placement of special                                                                                                                                                    DHS Program
                                                                    have been in the foster care system or are
                                          needs children by                                                                                         Families adopting special                                     Descriptions; Susan
Adoption Subsidy           MDHS                                     eligible based on court determination or SSI       MDHS                                                           n/a
                                          providing support                                                                                         needs children                                                Kangas, Budget
                                                                    eligibility. Medical subsidy supports necessary
                                          and/or medical                                                                                                                                                          Director, DHS
                                                                    treatment for physical, mental or emotional
                                          subsides.
                                                                    conditions which existing prior to the adoption.


                                                                                                                                                      Program services are
                                                                                                                                                      available to all upon
                                          To enable a person’s                                                                                        request. Clients below
                                                                                                                                                                                      For the calendar year of
                                          voluntary access to       The Michigan Family Planning Program makes                                        100% of the poverty level
                                                                                                                       On-site clinical services                                      2006, an unduplicated       Jeanette Lightning
                                          family planning           available general reproductive health                                             are not charged for services.
                                                                                                                       are delivered through local                                    number of 165,795           Position/Agency: Unit
                                          services, information     assessment, comprehensive contraceptive                                           Those between poverty level
                                                                                                                       health departments,                                            women and 5344 men          Manager (Women’s
                                          and means to exercise     services, related health education and                                            (100%) and 250% of the
Family Planning Program    MDCH                                                                                        Planned Parenthood                                             making a total of 171,139   Health)/MDCH,
                                          personal choice in        counseling, and referrals as needed to every                                      poverty level are assessed
                                                                                                                       Affiliates, hospitals, primary                                 received family planning    Division of Family and
                                          determining the number    citizen of the state. The program’s educational                                   fees based on income and
                                                                                                                       health care centers and                                        services. Of that total     Community Health
                                          and spacing of their      and counseling component helps to reduce                                          family size. Those above
                                                                                                                       private non-profit agencies                                    48,413 were
                                          children                  health risks and promote healthy behaviors.                                       250% of poverty are
                                                                                                                                                                                      adolescents.
                                                                                                                                                      assessed full fees. No one
                                                                                                                                                      is denied services because
                                                                                                                                                      of inability to pay.
                                                                                         DRAFT Prepared by The Finance Project 7/22/2010                                                                                   General Information Page 12




                     ATTACHMENT I: MICHIGAN PROGRAMS SUPPORTING THE GREAT START SYSTEM: GENERAL INFORMATION **DRAFT 8/07**

                                                                                                                                                                                           Population
Program                       State Agency   Program Goal                Program Description                                  Who Provides Services       Eligibility                                                 Source(s)
                                                                                                                                                                                           served/caseload



                                             The Goal of Plan First!
                                             is to help women to         Plan First! coverage became available on July
                                             reduce the incidence of     1, 2006to Michigan’s female residents. The           Plan First! service
                                             closely spaced              program is a 5-year waiver that will provide         providers include:
                                             pregnancies and to          family planning services. Plan First covers family   Practitioners (Family                                    The Plan First! program
                                             decrease the number of                                                                                       Plan First covers family                                    Gail Mauer, Medicaid
                                                                         planning visits and supplies for women ages 19-      Planning Clinics, MDs.                                   began July 1, 2006.
                                             unintended                                                                                                   planning visits and supplies                                Policy Specialist,
Family Planning: Plan First   MDCH                                       44 at 185%, or less of the FPL. The Goal of Plan     Dos, Certified Nurse-                                    During the first year
                                             pregnancies. This in                                                                                         for women ages 19-44 at                                     MDCH and Jackie
                                                                         First! is to help women to reduce the incidence      Midwives and Nurse                                       approximately 37,000
                                             turn leads to healthier                                                                                      185%, or less of the FPL.                                   Prokop, MDCH
                                                                         of closely spaced pregnancies and to decrease        practitioners),                                          women were served.
                                             pregnancies, better         the number of unintended pregnancies. This in        Laboratories, Outpatient
                                             birth outcomes and          turn leads to healthier pregnancies, better birth    Hospitals and Pharmacies.
                                             improved child health.      outcomes and improved child health.



Nutrition




                                                                                                                                                          Pregnant, breastfeeding and
                                                                                                                              Health care professionals   postpartum women, infants        More than 200,000
Special Supplemental                                                  Program provides a combination of nutrition                                                                                                     Interview with Betsy
                                             To improve nutrition for                                                         and dieticians. Food        and children up to age five      mothers, babies and
Nutrition Program for                                                 education, supplemental foods, breastfeeding                                                                                                    Pash, Administrative
                            MDCH             mothers, infants and                                                             coupons accepted at         who have a nutrition-related     children each month
Women, Infants and Children                                           promotion and support and referrals to                                                                                                          Deputy, Public Health
                                             children.                                                                        grocery stores and          health problem. Income           receive nutritious foods
(WIC)                                                                 healthcare.                                                                                                                                     Administration, MDCH
                                                                                                                              pharmacies                  criteria of less than or equal   from WIC program,
                                                                                                                                                          to 185% FPL.



                                                                                                                                                          Licensed and registered
                                                                                                                                                          daycare homes, relative
                                             To enable nutritious        The Child and Adult Care Food Program                                                                                                        Interview with Marla
                                                                                                                                                          care providers daycare
                                             meals to be served to       (CACFP) provides cash reimbursement to help                                                                                                  Moss, Supervisor-
                                                                                                                                                          homes, licensed child care
                                             children 0-12 in daycare    provide nutritious meals and snacks to                                                                                                       Child and Adult Food
                                                                                                                            MDE supports child care       centers (include Head Start, FY06: Average daily
Child and Adult Care Food                    settings with the goal of   participants enrolled in nonresidential child care                                                                                           Care Program &
                              MDE                                                                                           providers in offering         MSRP, faith-based, for-      participation- 68,755
Program                                      improving children's        centers, outside school-hours centers, family and                                                                                            Rosemary Sardini,
                                                                                                                            healthy food.                 profit, etc.) Family income  children ages 0-12
                                             diets and helping them      group day care homes and residential homeless                                                                                                Consultant- Child and
                                                                                                                                                          impacts the rate of
                                             to develop good eating      shelters. There are standards about what types                                                                                               Adult Food Care
                                                                                                                                                          reimbursement per child, but
                                             habits.                     of food may be served.                                                                                                                       Program, MDE
                                                                                                                                                          does not impact general
                                                                                                                                                          eligibility.
                                                                                    DRAFT Prepared by The Finance Project 7/22/2010                                                                                       General Information Page 13




                       ATTACHMENT I: MICHIGAN PROGRAMS SUPPORTING THE GREAT START SYSTEM: GENERAL INFORMATION **DRAFT 8/07**

                                                                                                                                                                                        Population
Program                      State Agency   Program Goal             Program Description                                Who Provides Services          Eligibility                                                   Source(s)
                                                                                                                                                                                        served/caseload




                                                                    This program implements recommendations from
                                                                    the MI Obesity Prevention Plan. Interventions
                                                                    focus on increasing physical activity and healthy
                                                                    eating; implementing policy and environmental
                                                                                                                        State and community-           Ability to carry out and
                                                                    changes that support these healthy behaviors;
                                                                                                                        based organizations, local     evaluate prevention and
                                                                    and working with health care providers to                                                                      General population with
Obesity Prevention Program                  To prevent and manage                                                       public health departments,     management interventions                              Rochelle Hurst,
                              MDCH                                  implement clinical guidelines for prevention and                                                               a focus on low-income
(including Childhood Obesity)               overweight and obesity.                                                     schools, health care           as evidenced by response to                           Program Manager
                                                                    management of obesity. Improvements are                                                                        and minority populations.
                                                                                                                        systems, and faith-based       request for proposals or
                                                                    demonstrated in the built environment, access to
                                                                                                                        organizations.                 other application process.
                                                                    affordable fruits and vegetables, enhanced
                                                                    parks, safe walking routes, bike lanes,
                                                                    community and school gardens, and farmers'
                                                                    markets.




SOCIAL-EMOTIONAL HEALTH
                                                                    Families of young children with serious
                                                                    emotional disturbances (SED) may receive
                                                                    mental health services and supports to promote
                                                                    social-emotional development of the child. Home-
                                                                    based Services are provided for children, ages 0-
                                                                    18. Infant mental health for children ages 0-3                                     Eligibility based on
                                                                    may be separate program or part of DCMH home-                                      diagnosis of emotional
                                                                    based services. Other services and supports for                                    disturbance (SED) or
Community Mental Health                     To improve the social- young children may include respite care and                                         developmental disabilities                                    Information supplied
                                                                                                                      Community Mental Health
Service Programs                            emotional well-being of case management services. Children who have                                        (DD), as defined by Mental 3856 children 0-5 were             by S. Falvay; Data
                             MDCH                                                                                     Services Program and their
(CMHSPs)/Prepaid Inpatient                  infants, toddlers and   a developmental disability receive services and provider panels.                   Health Code. Services for served in FY06                      provided by K.
Health Plans (PIHPs)                        young children          supports from CMHSPs/PIHPs include primarily                                       children not meeting                                          Haines, MDCH
                                                                    case management and respite services. Through                                      Medicaid income criteria are
                                                                    1915c waiver program, the state provides more                                      served with state general
                                                                    intensive in home services for children who have                                   funds
                                                                    a developmental disability. Finally,
                                                                    CMHSPs/PIHPs provide integrated services to
                                                                    parents who have a mental illnesses to address
                                                                    their parenting issues and ensure that their
                                                                    children's needs are met.
                                            To reduce expulsion
                                                                     CCEP programs provide early childhood mental
                                            and increase the
                                                                     health professionals who consult with child care                                                                   Children Served Directly-
                                            number of families and                                                      Community mental health
                                                                     providers and parents in caring for children                                      Children under the age of        590
                                            child care providers                                                        agencies. Early childhood                                                                    Information provided
                                                                     under the age of six who are experiencing                                         six who are experiencing         Children Served
Child Care Expulsion                        who successfully                                                            mental health professionals                                                                  by S. Falvay, MDCH
                             MDCH                                    behavioral and emotional challenges in their                                      behavioral and emotional         Indirectly-4600
Prevention                                  nurture the social and                                                      provide mental health                                                                        website, and Annual
                                                                     child care settings. Sometimes these challenges                                   challenges in their child care   FY06-12 projects funded
                                            emotional development                                                       consultation with child care                                                                 CCEP Report
                                                                     may put children at risk of expulsion. The                                        settings                         (cover largest counties in
                                            of children 0-5 in                                                          providers.
                                                                     Department of Community Health provides TA                                                                         state)
                                            licensed child care
                                                                     and training to program sites
                                            programs.
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                    ATTACHMENT I: MICHIGAN PROGRAMS SUPPORTING THE GREAT START SYSTEM: GENERAL INFORMATION **DRAFT 8/07**

                                                                                                                                                                                          Population
Program                      State Agency      Program Goal                Program Description                                 Who Provides Services        Eligibility                                           Source(s)
                                                                                                                                                                                          served/caseload



                                                                       Funds support community-based systems of care
                                                                       for children and adolescents with a serious
                                                                       emotional disturbance and their families. This
                                                                       program ensures that services are provided
                                                                       collaboratively across child-serving systems; that
                                               To improve and expand
Systems of Care Grants                                                 each child or adolescent served through the
                             Federal           systems of care to meet
(Comprehensive Community                                               program receives an individualized service plan                                                                                            TFP Federal Funding
                             discretionary     the needs of children
Mental Health Services for                                             developed with the participation of the family      n/a                              n/a                           n/a                     Catalog; Federal
                             grant from        with serious emotional
Children with Serious                                                  (and, where appropriate, the child); that each                                                                                             SAMHSA website
                             SAMHSA            disturbances and their
Emotional Disturbances)                                                individualized plan designates a case manager
                                               families.
                                                                       to assist the child and family; and that funding is
                                                                       provided for mental health services required to
                                                                       meet the needs of youngsters in these systems.
                                                                       This program has two actively funded sites in
                                                                       Lansing and in Kalamazoo.


                                               Grants are used to
                                               promote healthy             Grants support six required activities for
                             Federal           childhood development       preschool and school-age children. One
                             discretionary     and prevent violent         required activity is to provide early childhood                                                                                        TFP Federal Funding
Safe Schools, Healthy        grant from U.S.   behaviors through fully-    psycho-social and emotional developmental                                                                                              Catalog; U.S.
                                                                                                                               School districts             n/a                           n/a
Students                     Department of     linked education,           services. There is currently one funded Safe                                                                                           Department of
                             Education to      mental health, law          Schools, Healthy Students program in Michigan                                                                                          Education website.
                             grantees.         enforcement, juvenile       (Escanaba, Delta-Schoolcraft Independent
                                               justice, and social         School District).
                                               services systems.

FAMILY SUPPORT AND PARENTING EDUCATION
Family Support/Prevention
Programs

                                               To assist women who                                                                                                                                                Paulette Dobynes
                                                                                                                               A local community-based
                                               have experienced a          Women who have experienced a perinatal loss                                      Women who have                                        Dunbar, Section
                                                                                                                               organization that provides
Prenatal Care Demonstration MDCH               perinatal loss to           are counseled and provided with educational                                      experienced a perinatal loss n/a                      Manager/MDCH,
                                                                                                                               grief and loss counseling
                                               prepare for the next        support to prepare for the next pregnancy                                        and are willing to participate.                       Division of Family and
                                                                                                                               and interconception care.
                                               pregnancy.                                                                                                                                                         Community Health
                                               To reduce infant
                                               mortality through efforts
                                                                           This program coordinates grief services
                                               to educate the public
                                                                           throughout the state through a referral and case
                                               about the risks of SIDS
                                                                           management system. An annual training is
                                               and sudden infant                                                                                                                          The SIDS and Other
                                                                           offered for grief support personnel. Tomorrow’s
                                               death, to provide grief                                                                                      Families experiencing a       Infant Death Program
                                                                           Child serves as a clearinghouse for resource        Local professionals,
                                               support for those                                                                                            sudden unexpected infant      supports bereavement
                                                                           materials and current research, mentors and         coordinated through the                                                            Rosemary Fournier,
SIDS and Other Infant Death                    affected by an infant                                                                                        death, at home, age one       services for
                            MDCH                                           supports professionals working with families, and   State's contractor,                                                                State FIMR Program
Program                                        death, to promote Safe                                                                                       month to one year (excludes   approximately 100
                                                                           evaluates the effectiveness of family               Tomorrow's Child (formerly                                                         Coordinator, MDCH
                                               Sleep education for                                                                                          deaths due to trauma,         families and supports
                                                                           interventions. Coordination of bereavement          Michigan SIDS Alliance)
                                               professions, the public,                                                                                     accident or homicide)         about 100 autopsies
                                                                           services are provided to families affected by an
                                               and child care                                                                                                                             annually.
                                                                           infant death, including support groups, peer
                                               providers, and to
                                                                           contact, and personalized grief support
                                               promote an optimal
                                                                           materials.
                                               outcome for the next
                                               pregnancy.
                                                                                        DRAFT Prepared by The Finance Project 7/22/2010                                                                          General Information Page 15




                      ATTACHMENT I: MICHIGAN PROGRAMS SUPPORTING THE GREAT START SYSTEM: GENERAL INFORMATION **DRAFT 8/07**

                                                                                                                                                                                  Population
Program                      State Agency     Program Goal               Program Description                               Who Provides Services     Eligibility                                            Source(s)
                                                                                                                                                                                  served/caseload



                                                                                                                                                                                                            Interview with Betsy
                                                                                                                                                                                                            Pash, Administrative
                                              To improve pregnancy                                                                                                                                          Deputy, Public Health
                                                                         NFP is an evidence-based nurse home visitation
                                              outcomes, child health                                                                                 Low-income, first-time       Each local project can    Administration, MDCH
                                                                         program that improves the health, well-being and Local health department
Nurse-Family Partnership     MDCH             and development and                                                                                    pregnant women and their     serve 100 families at a   and Paulette Dunbar,
                                                                         self-sufficiency of low-income, first-time parents selects nursing staff
                                              family economic self-                                                                                  families.                    time.                     Section
                                                                         and their children.
                                              sufficiency                                                                                                                                                   Manager/MDCH,
                                                                                                                                                                                                            Division of Family and
                                                                                                                                                                                                            Community Health


                                                                                                                        Local health departments,
                                                                                                                        home health agencies,
                                                                                                                        hospital and individual
                                                                       A nurse, social worker, nutritionist, and infant providers can become a
                                                                       mental health specialist provides services to    certified MIHP provider.                                FY06- 25,952 pregnant
                                                                       pregnant women and infants address social and Professional intervention                                  women and infants.
Maternal Infant Health                        To reduce infant                                                                                       Medicaid beneficiaries-                                Ingrid Davis, MIHP
                             MDCH                                      psychosocial problems, health education needs, services are provided by                                  (Nearly 18,000 of those
Program                                       mortality and morbidity.                                                                               pregnant women and infants                             Consultant, MDCH
                                                                       transportation needs, and to promote access to nurses, social workers,                                   served were pregnant
                                                                       medical care, immunizations and needed           nutritionist, and infant                                women.)
                                                                       community services                               mental health specialist
                                                                                                                        who meet specific
                                                                                                                        educational and work
                                                                                                                        experience requirements.



                                                                         Parents as Teachers program offers a research-
                                             To encourage parents                                                                                                                                           Deanna Depree,
                                                                         based curriculum that involves home visiting for
                             MI Parent       to be involved in child                                                      CBOs, schools, and health Universal eligibility for                               Executive Director
                                                                         parents of pre-school children, child-parents                                                            FY06: 15000 children
Parents as Teachers          Information     development and the                                                          departments (varies by    parents and children from                               Michigan's Parent
                                                                         playgroups, as well as screening and referrals.                                                          served
                             Resource Center early education of their                                                     community)                pre-birth through age five.                             Information Resource
                                                                         There are over 100 Parents as Teachers local
                                             child.                                                                                                                                                         Center
                                                                         sites in Michigan.




                                              To increase children's                                                                                 All families for information-
                                              school readiness,                                                                                      sharing purposes. ISDs
                                                                         Programs operated by intermediate school
                                              encourage early                                                                                        can select groups of                                   Lindy Buch, Office of
                                                                         districts offer five components: information on
                                              mathematics and                                                                                        children to target with                                Early Childhood
                                                                         child development, methods to enhance parent-     Intermediate school
Great Parents, Great Start   MDE              reading, reduce the                                                                                    services. In the future, one FY06: 7220 children       Education and
                                                                         child interaction, examples of learning           districts
                                              need for further special                                                                               target set by the state will be                        Families Services,
                                                                         opportunities, access to needed community
                                              education services, and                                                                                children eligible for IDEA,                            MDE
                                                                         services, and promotion of marriage.
                                              foster the maintenance                                                                                 Part C, but not special
                                              of stable families.                                                                                    education
                                                                                            DRAFT Prepared by The Finance Project 7/22/2010                                                                                 General Information Page 16




                    ATTACHMENT I: MICHIGAN PROGRAMS SUPPORTING THE GREAT START SYSTEM: GENERAL INFORMATION **DRAFT 8/07**

                                                                                                                                                                                            Population
Program                     State Agency       Program Goal                 Program Description                                    Who Provides Services       Eligibility                                             Source(s)
                                                                                                                                                                                            served/caseload




                                        Coordinated early
                                        intervention for children                                                                                              For IDEA Part C, children
                                        birth-3 for children with                                                                                              automatically qualify if they
                                                                            Formula grants to 57 intermediate school
                                        disabilities and                                                                                                       have a preexisting medical
                                                                            districts to provide a comprehensive,                  Intermediate school                                                                 Lindy Buch, MDE,
                                        developmental delays                                                                                                   condition. About 1/3 of
                                                                            multidisciplinary, coordinated early intervention      districts and partners,                                                             Office of Early
                            MDE/MDCH/DH and their families.                                                                                                    children identified also meet
Early On                                                                    system for children birth to three with disabilities   including infant mental                                   8834 children in FY06     Childhood Education
                            S           Services are meant to                                                                                                  more stringent special
                                                                            and their families. Districts identify, evaluate,      health specialist, public                                                           and Families Services
                                        support families and to                                                                                                education criteria (Michigan
                                                                            and coordinate early intervention services across      health nurses                                                                       & Dawn Ritter, MDHS
                                        prevent more costly                                                                                                    is a birth mandate state) and
                                                                            public and private agencies.
                                        special education                                                                                                      also receive services funded
                                        services for older                                                                                                     through special education.
                                        children.




                                               To promote marriage,
                                               foster parenting skills,
                                               improve parent/child
                                               interaction, promote
                                                                                                                                                                                                                       Interview with Jeff
                                               access to needed
                                                                                                                                                                                                                       Sadler, Children's
                                               community services,
                                                                            Grants to community-based collaborative                                                                         FY06: 2500 families,       Trust Fund, Michigan
                                               increase local capacity                                                             Grantees vary and may       Parents enrolled must not
                            Children's Trust                                organizations for secondary prevention for                                                                      2469 children, and 409     Dept. of Education.
0-3 Secondary Prevention                       to serve families at risk,                                                          include CBOs and local      have an active child
                            Fund                                            families of children ages 0-3. Currently 46                                                                     expectant moms served      Office of Early
                                               improve school                                                                      agencies.                   protection case.
                                                                            grants serve 55 counties.                                                                                       in one quarter.            Childhood Education
                                               readiness and support
                                                                                                                                                                                                                       and Family Services.
                                               healthy family
                                                                                                                                                                                                                       Initiatives 2006-06 ,
                                               environments that
                                               discourage alcohol,
                                               tobacco and other drug
                                               use.




                                                                                                                                                               Families with active child
                                                                                                                                                                                                                       Interviews with Dawn
                                                                            Start-up grants for prevention programs, such as                                   protection case are not      FY06: 12208 adults and
                                                                                                                             Grantees may be public,                                                                   Arwood, Sylvia Brown-
                            Children's Trust   To prevent child abuse       parenting education, home visiting, mentoring                                      eligible. Eligibility for    7426 children, including
CTF Direct service grants                                                                                                    nonprofit, ISD, and                                                                       Jones, and Sarah
                            Fund               and neglect.                 and respite care. 37 grants are currently                                          programs may vary and is     694 special needs
                                                                                                                             universities                                                                              Davis, Children's
                                                                            awarded.                                                                           determined by grantees,      children.
                                                                                                                                                                                                                       Trust Fund
                                                                                                                                                               with CTF approval.
                                                                                             DRAFT Prepared by The Finance Project 7/22/2010                                                                                  General Information Page 17




                       ATTACHMENT I: MICHIGAN PROGRAMS SUPPORTING THE GREAT START SYSTEM: GENERAL INFORMATION **DRAFT 8/07**

                                                                                                                                                                                              Population
Program                       State Agency       Program Goal                Program Description                                    Who Provides Services        Eligibility                                            Source(s)
                                                                                                                                                                                              served/caseload



                                                                                                                                                                 Each locality organizes a
                                                                             CTF funds 72 local volunteer councils covering
                                                                                                                                                                 volunteer local council.
                                                                             81 of Michigan's 83 counties. Local councils
                                                                                                                                                                 Councils are eligible for
                                                                             develop annual needs assessments and                                                                                                       Interview with Dawn
                                                                                                                                                                 three tiers of funding, based
                              Children's Trust   To prevent child abuse      prevention plans that are reviewed by CTF.                                                                                                 Arwood and Sylvia
CTF Local councils                                                                                                             Volunteer local councils          on criteria including         n/a
                              Fund               and neglect.                They do not conduct direct services, but provide                                                                                           Brown-Jones,
                                                                                                                                                                 documentation of 501c3,
                                                                             TA and lead collaborative efforts. Local councils                                                                                          Children's Trust Fund
                                                                                                                                                                 having a board of directors
                                                                             also review and endorse local applications for
                                                                                                                                                                 in place, and having a
                                                                             direct service grants.
                                                                                                                                                                 strategic plan in place.

                                                                             Provides preventive services (family support),
                                                                                                                                                                 Primarily families w/ children
                                                 Provides community-         services to families at-risk or in crisis, time-
                                                                                                                                                                 at risk of out of home                                 Jim Hennessey,
Strong Families/Safe                             based services for          limited reunification services, adoption promotion Community-based
                              MDHS                                                                                                                               placement, child               69,623 served in FY2005 Director, Children's
Children                                         families at-risk or in      and support services. Specific services are        organizations
                                                                                                                                                                 abuse/neglect, adoption                                Services, MDHS
                                                 crisis.                     based on an assessment of local needs by
                                                                                                                                                                 disruption.
                                                                             Community Collaborative groups

                                                                                                                                                         Participants must be women
                                                                                                                                                         and must be parents and
                                                 Programs are focused        Residential or outpatient treatment includes                                may or may not have
                                                 on ending substance         parenting classes and child care for women with Substance abuse treatment custody of their children.
                                                                                                                                                                                              FY06: 5400 women
                                                 abuse for women with        children. Therapeutic interventions for children  centers (must be licensed Women are assessed and                                         Interview with Angie
Substance Abuse Treatment:                                                                                                                                                                    served in designated
                                                 children. Statewide         are sometimes referred out or sometimes treated with MDCH). Centers must referred to the program. It is                                    Smith, Women's
Designated Women's         MDCH                                                                                                                                                               programs. 17000 women
                                                 goal is for programs to     in programs. Primary pediatric care can also be meet various requirements an individual choice as to                                       Treatment Specialist
Programs                                                                                                                                                                                      served statewide in
                                                 help repair the families    covered by program funding. At residential        to qualify for designated whether to enter a                                             MDCH
                                                                                                                                                                                              substance abuse system.
                                                 affected by substance       treatment centers, children can live with parents program status.           designated women's
                                                 abuse.                      and attend daycare or school during the day.                                program or a standard
                                                                                                                                                         substance abuse treatment
                                                                                                                                                         program.
Family Preservation
Programs
                                                                                                                                                                 Families with children at
                                                 Provides support to         Provides intensive short-term crisis services for
                                                                                                                                                                 imminent risk of out of home
                                                 keep troubled "at-risk"     at-risk families - those on verge of having a child
                                                                                                                                                                 placement; Families whose
                                                 families together.          removed. Services include clinical services and
                                                                                                                                                                 children could be reunited
                                                 Provides skill training     support services such as transportation, housing,
Family Preservation                                                                                                                                              more quickly with the family;
                                                 and support to promote      and access to family necessities; Provides a 4
Programs: Families First of                                                                                                                                      Families whose children are
                                                 the early, safe return of   month, with possible extension to 6 months          Private agency contractors                                                             Jim Hennessey,
Michigan, Family                                                                                                                                                 being reunited from foster
                              MDHS               children to the family      intensive service to assist in the safe             selected by a competitive                                     CPS, FC, BJJ             Director, Children's
Reunification Program,                                                                                                                                           care; families who may have
                                                 home; provides a family     reunification of children to the home of parents; bid process                                                                              Services, MDHS
Family Group Decision-                                                                                                                                           CPS Cat I,II, or III or whose
                                                 group conference to         Provides services to families who with services,
making                                                                                                                                                           adoption is at risk of
                                                 allow families an           can develop a family plan to provide safety for
                                                                                                                                                                 disrupting or youth aging out
                                                 opportunity to plan for     children, the assistance of an advocate is
                                                                                                                                                                 of foster care. (Limited to
                                                 meeting the safety          available for up to 12 months to assist families in
                                                                                                                                                                 referrals from DHS
                                                 needs of children.          the implementation of the plan.
                                                                                                                                                                 children's services)


                                                 Safely keep children in
                                                 their own homes,            DHS provides purchased services to meet the
                                                 reduce the number of        needs of families at greatest risk of having                                        CPS, Foster Care, BJJ.
Family Preservation- Child                                                                                                          Community-based
                                                 repeat CPS                  children placed out of the home, as well as                                         Families with Cat III or IV
Safety and Permanency Plan                                                                                                          agencies as contractors;                                                            Jim Hennessey,
                                                 substantiation, reduce      services that lead to an earlier return to the                                      CPS or within 18 months of
(CSPP) & Child             MDHS                                                                                                     some local DHS prevention                                n/a                        Director, Children's
                                                 length of stay in out-of-   family home when safe to do so. Finally, DHS                                        CPS. (Primarily active DHS
Protection/Community                                                                                                                staff are funded with CPCP                                                          Services, MDHS
                                                 home care, reduce           contracts for services for families with low risk of                                children's services
Partners (CP/CP)                                                                                                                    funds.
                                                 numbers of repeat           future CA/N who can benefit from community                                          recipients)
                                                 placements, promote         services
                                                 permanency.
                                                                                           DRAFT Prepared by The Finance Project 7/22/2010                                                                               General Information Page 18




                    ATTACHMENT I: MICHIGAN PROGRAMS SUPPORTING THE GREAT START SYSTEM: GENERAL INFORMATION **DRAFT 8/07**

                                                                                                                                                                                          Population
Program                       State Agency      Program Goal                Program Description                                Who Provides Services       Eligibility                                              Source(s)
                                                                                                                                                                                          served/caseload




                                                Provide necessary           Localities may support a number of different
                                                                                                                                                                                          n/a. There are 25 local
                                                services to at-risk         types of programs for children and youth of all
                                                                                                                                                                                          wraparound programs,
                                                youth, while allowing       ages. Those most relevant to young children are                                                                                         Ralph Monsma,
Child Care Fund- In-Home                                                                                                       Local agencies and their                                   36 local family
                              MDHS              them to stay in their       community wraparound service, family                                           n/a                                                      Bureau of Juvenile
care services                                                                                                                  partners                                                   preservation programs
                                                homes; Help children in     preservation services, and homemaker programs                                                                                           Justice
                                                                                                                                                                                          and 8 local homemaker
                                                out-of-home placements      (which help at-risk families to take care of basic
                                                                                                                                                                                          programs.
                                                to return to their homes.   household needs).


                                                                            In Michigan, 2004 legislation enabled district,    Courts and partner
                                                Reunification of the
                                                                            circuit and family divisions of circuit court to   agencies, including
                                                family for families where                                                                                                                                           Interview with Emily
                                                                            create drug treatment courts. Some courts have     treatment providers, drug
                              Court             a child has been                                                                                                                                                    Taylor, Drug Court
                                                                            received national training to develop family       and alcohol testing
Family Dependency Courts      Administrative    removed from the home                                                                                      Varies by court                n/a                       Programs Manager,
                                                                            dependency drug courts. There are four             providers, local law
                              Office            due to abuse or neglect                                                                                                                                             Michigan Court
                                                                            operational family dependency drug court           enforcement (for home
                                                associated with                                                                                                                                                     Administrative Office
                                                                            programs in the state. At least three more are     tests and monitoring) and
                                                substance abuse.
                                                                            operating, but do not receive any state funding.   evaluators.
EARLY EDUCATION AND CARE
                                                                                                                                                                                                                    Melody Sievert, State
                                                To help preserve the                                                                                       Various eligibility groups,
                                                                                                                                                                                                                    Administrative
                                                family unit and promote     Subsidized child care services are provided                                    include income-eligible, FIP
                                                                                                                                                                                                                    Manager, Child
                                                the family's economic       when parent or substitute parent is unavailable                                related, protective,
                                                                                                                                                                                          2006 total caseload is    Development and
                                                independence and self-      to provide care because of high school                                         preventive services and
                                                                                                                               Approved child care                                        62,724. This is the       Care Program. DHS
Child Development and Care MDHS                 sufficiency by promoting    completion, employment, participating in an                                    foster care. Payment based
                                                                                                                               providers                                                  lowest caseload since     Program Descriptions,
                                                safe, affordable,           approved treatment programs for a physical,                                    on hourly rate and varied
                                                                                                                                                                                          1998.                     FY2008. Information
                                                accessible, and quality     mental, or emotional condition, or approved                                    based on child's age,
                                                                                                                                                                                                                    on service gaps from
                                                child care for qualified    employment related activities.                                                 county, and child care
                                                                                                                                                                                                                    Kathy Pioszak, ECIC
                                                Michigan residents                                                                                         setting.


                                                To support the
                                                participation of low-                                                                                      Institutions eligible if the
                              Discretionary
                                                income parents in           Grants to campus-based child care services to                                  total amount of all federal                              TFP Federal Funding
Child Care Access Means       Grant from
                                                postsecondary               serve the needs of low-income students enrolled College campuses               Pell grants awarded to         n/a                       Catalog; Federal HHS
Parents in School             federal HHS to
                                                education by providing      in higher education.                                                           students enrolled equals or                              website.
                              grantees.
                                                campus-based child                                                                                         exceeds $350,000.
                                                care services.



                                             This program provides
                                             part-time volunteer
                                             service opportunities for                                                                                     Volunteers must meet age
                                             income-eligible persons                                                                                                                                                The Finance Project
                           Discretionary                                                                                                                   and income guidelines.
                                             age 60 and older.                                                                                                                                                      Federal Funding
                           grants from                                 Foster grandparents serve in many capacities            Local agencies organizing   Agencies applying for foster
                                                                                                                                                                                                                    Catalog; Corporation
Foster Grandparent Program Corporation for These volunteers            including mentors, tutors, and caregivers for at-       foster grandparent          grandparent services must n/a
                                                                                                                                                                                                                    for National and
                           National Service provide support in         risk children and youth with special needs.             programs.                   be state or local government
                                                                                                                                                                                                                    Community Service
                           to local grantees health, education,                                                                                            agencies or private,
                                             human services, and                                                                                                                                                    website
                                                                                                                                                           nonprofit organizations.
                                             related settings to help
                                             children or youth with
                                             special or exceptional
                                             physical, mental, or
                                             emotional needs.
                                                                                          DRAFT Prepared by The Finance Project 7/22/2010                                                                                  General Information Page 19




                  ATTACHMENT I: MICHIGAN PROGRAMS SUPPORTING THE GREAT START SYSTEM: GENERAL INFORMATION **DRAFT 8/07**

                                                                                                                                                                                         Population
Program                     State Agency      Program Goal               Program Description                                      Who Provides Services    Eligibility                                                Source(s)
                                                                                                                                                                                         served/caseload



                                                                       The Head Start program provides grants to local
                                                                       public and private non-profit and for-profit
                                                                       agencies to provide comprehensive child
                                                                       development services to economically
                                                                       disadvantaged children and families, with a
                                              Head Start is a national                                                                                                                                                Michigan Head Start
                                                                       special focus on helping preschoolers develop
                            Discretionary     program that promotes                                                                                                                                                   FY07 Funding Plan;
                                                                       the early reading and math skills they need to be
                            grant from        school readiness by                                                         Varies, includes school                                     33970 children served,          National Head Start
                                                                       successful in school. Early Head Start programs                                     Economically disadvantaged
Head Start                  federal Head      enhancing the social                                                        districts, public and                                       including Early Head            website; Interview with
                                                                       serve children from birth to three years of age.                                    families
                            Start Bureau to   and cognitive                                                               nonprofit agencies                                          Start                           Nancy Willyard, MI
                                                                       Head Start programs promote school readiness
                            grantees          development of                                                                                                                                                          Head Start
                                                                       by enhancing the social and cognitive
                                              children.                                                                                                                                                               Collaboration Director
                                                                       development of children through the provision of
                                                                       educational, health, nutritional, social and other
                                                                       services to enrolled children and families. They
                                                                       engage parents in their children's learning and
                                                                       help them in making progress toward their
                                                                       educational, literacy and employment goals.


                                                                                                                                                           Each child must have two of
                                              Increased student           Preschool program for four-year old children who                                                                                            Lindy Buch, Office of
                                                                                                                                                           25 identified risk factors:
                                              achievement because may be at risk of school failure. Both center-                                                                                                      Early Childhood
Michigan School Readiness                                                                                                  Center and home-based           more than 50% of the        3712 children served in
                            MDE               of participation in a high- and home-based provides must provide strong                                                                                                 Education and
Program- Competitive                                                                                                       providers (mostly centers)      children served by a        FY06
                                              quality preschool           family involvement and parent education                                                                                                     Families Services,
                                                                                                                                                           particular provide must be
                                              program.                    program components.                                                                                                                         MDE
                                                                                                                                                           below 250% of FPL.



                                                                                                                                                                                         Funding available for
                                                                          Part-day preschool programs for four-year old                                    Each child must have two of   479 participating
                                              Increased student                                                                                                                                                       Lindy Buch, Office of
                                                                          children who may be at-risk of school failure.          School district/public   25 identified risk factors:   districts/schools to serve
                                              achievement because                                                                                                                                                     Early Childhood
Michigan School Readiness                                                 Funds may be used to provide full-day preschool         school academy or        more than 50% of the          as many as 23,800
                            MDE               of participation in a high-                                                                                                                                             Education and
Program- State Aid                                                        and/ parent involvement and education programs          consortium of            children served by a          children in 2006/07,
                                              quality preschool                                                                                                                                                       Families Services,
                                                                          available to all families of children birth- age five   districts/academies      particular provide must be    depending on parent
                                              program.                                                                                                                                                                MDE
                                                                          residing in district.                                                            below 250% of FPL.            involvement and/or full-
                                                                                                                                                                                         day options.



                                                                                                                                                           Eligibility determined by
                                                                                                                                                           individualized educational
                                                                                                                                                           program team or a hearing                                  Lindy Buch, MDE,
                                              Early intervention for                                                                                                                   19,000 children (Fy06)
                                                                         Individualized education program for children            Intermediate school      office. Child must have one                                Office of Early
Preschool Special Education MDE               children ages 3-5 who                                                                                                                    goes through age five,
                                                                         with disabilities                                        districts                or more impairments that                                   Childhood Education
                                              have a disability.                                                                                                                       including kindergarten
                                                                                                                                                           necessitates special                                       and Families Services
                                                                                                                                                           education, related services
                                                                                                                                                           or both.
                                                                                         DRAFT Prepared by The Finance Project 7/22/2010                                                                                  General Information Page 20




                       ATTACHMENT I: MICHIGAN PROGRAMS SUPPORTING THE GREAT START SYSTEM: GENERAL INFORMATION **DRAFT 8/07**

                                                                                                                                                                                           Population
Program                     State Agency    Program Goal                  Program Description                                Who Provides Services       Eligibility                                                Source(s)
                                                                                                                                                                                           served/caseload




                                            To help local education
                                            agencies and schools
                                                                          Title I funds can be combined with other local
                                            improve the teaching of
                                                                          school funds to upgrade the school's overall
                                            children who are failing                                                                                     School districts with at least    23 school districts (out of
                                                                          instructional program. Some preschool                                                                                                        Bill Witt, MDE,
                                            or most at risk of failing.                                                                                  a 50% poverty rate may use        560 in the state) use
Title I                     MDE                                           programs in Michigan are blending or braiding      School districts                                                                          Preschool and Early
                                            Grants targeted to                                                                                           Title I grants to support their   Title I to support
                                                                          Title I with MSRP to expand the number of                                                                                                    Elementary Programs
                                            schools with                                                                                                 instructional program.            preschool.
                                                                          children served, the length of the school year, or
                                            concentrations of low-
                                                                          to add ancillary services.
                                            income students and
                                            can include preschool.



                                            To improve school
                                            readiness of young
                                            children, especially
                            Discretionary   those in low-income           Three-year Federal discretionary grants to LEAs
                            grant from      families, by providing        or public and private organizations to promote
                            federal         support for early             language and literacy for pre-school age        LEAs or public/private         Focus on reaching low-                                     U.S. Dept of
Early Reading First                                                                                                                                                                        n/a
                            Department of   childhood education           children. Current 2006 Michigan grantees        organizations                  income families                                            Education website.
                            Education to    programs serving              include NW Michigan Human Services Agency&
                            grantees        preschool age children        Western Michigan University.
                                            so that they may
                                            become centers of
                                            educational excellence



                                            To help break the cycle
                                            of poverty and illiteracy
                                            by improving
                                            educational
                                                                                                                                                        Children birth- age seven in
                                            opportunities of the
                                                                                                                                                        a family where the parent
                                            nation's low-income                                                              School districts/public                                                                Lindy Buch, MDE,
                                                                      Literacy program for children and families                                        either has not graduated
William F. Goodling Even                    families by integrating                                                          school academies in                                                                    Office of Early
                              MDE                                     operated by partnerships of school district/public                                from high school or got a       n/a
Start Family Literacy Program               early childhood                                                                  partnership with community                                                             Childhood Education
                                                                      school academies and community organizations.                                     GED, is functionally illiterate
                                            education, adult                                                                 organizations.                                                                         and Families Services
                                                                                                                                                        or speaks a language other
                                            literacy, or adult basic
                                                                                                                                                        than English
                                            education, and
                                            parenting education into
                                            a unified family literacy
                                            program.




Early Care and Education
Infrastructure
                                            Provide protection for
                                                                    Regulates licensing of facilities caring for                                         Center-or home-based child                                 Jim Saint Amour,
                                            vulnerable children                                                              Office of Children and                                 Children in various age
Child Care Licensing        MDHS                                    children and adults including child care, foster                                     care facilities may become                                 Licensing Unit
                                            receiving services from                                                          Adult Licensing, MDHS                                  groups.
                                                                    care, camps, and child placing agencies.                                             licensed.                                                  Manager, MDHS
                                            licensed facilities
                                                                    Contract with Healthy Child Publications to
                                            Professional                                                                                                                                                            Interview with Cheryl
Child care publications                                             produce magazines for regulated and informal             Healthy Child Care
                            ECIC            development for child                                                                                        n/a                               n/a                      Thompson and Kathy
contract                                                            care providers with information about how to             Publications
                                            care providers                                                                                                                                                          Pioszak, ECIC
                                                                    provide quality care.
                                                                                    DRAFT Prepared by The Finance Project 7/22/2010                                                                        General Information Page 21




                      ATTACHMENT I: MICHIGAN PROGRAMS SUPPORTING THE GREAT START SYSTEM: GENERAL INFORMATION **DRAFT 8/07**

                                                                                                                                                                                    Population
Program                    State Agency   Program Goal              Program Description                                    Who Provides Services       Eligibility                                    Source(s)
                                                                                                                                                                                    served/caseload


                                          To help families to find
                                                                    Contracts with the 4 C Association and with two                                                                                   Interview with Cheryl
Child Care Resource and                   child care and to recruit                                                        Regional resource and       All families can access R&R
                           ECIC                                     individual local agencies to provide resource and                                                              n/a                Thompson and Kathy
Referral                                  new child care                                                                   referral agencies           services
                                                                    referral services                                                                                                                 Pioszak, ECIC
                                          providers.
                                                                    Contracts with the 4C Association and with                                         Trainings open to any child
                                                                    Michigan State University extension to provide                                     care providers and parents.
                                          Professional                                                                     4 C Association and                                                        Interview with Cheryl
                                                                    trainings to child care providers. Curriculum                                      There are monetary
Child Care Training        ECIC           development for child                                                            Michigan State University                                 n/a              Thompson and Kathy
                                                                    based on state child care core knowledge and                                       incentives for relative care
                                          care providers                                                                   extension                                                                  Pioszak, ECIC
                                                                    core competencies and prepare providers to                                         providers or child care aides
                                                                    earn a Child Development Association (CDA).                                        to participate.
                                          Professional              National program model that provides                                                                                              Interview with Cheryl
TEACH program              ECIC           development for child     scholarships to child care providers to seek           4 C Association             n/a                          n/a               Thompson and Kathy
                                          care providers            professional development opportunities.                                                                                           Pioszak, ECIC
                                                                    Priority areas set by Head Start Bureau include
                                          To support                healthcare, family literacy, disabilities, homeless,
                                          collaboration between community services and welfare assistance.                                                                                            Interview with Nancy
                                                                                                                           Head Start collaboration
Head Start collaboration   ECIC           Head Start and other      Examples of collaborative efforts in Michigan                                      n/a                          n/a               Willyard, Head Start
                                                                                                                           director, housed at ECIC
                                          systems serving young include developing early learning standards,                                                                                          Collaboration director
                                          children.                 quality rating systems and supporting oral health
                                                                    efforts.
                                                                                                                                    Draft Prepared by The Finance Project 7/22/2010                                                                                                                               Analysis Page 22




                                                                             MICHIGAN PROGRAMS SUPPORTING THE GREAT START SYSTEM: FUNDING ANALYSIS **DRAFT 8/07**
                                                                                                      Estimated funds                                                                                                           Stability of funding for this   Degree of local flexibility in
                                                                                                                                                                               Aligning/Blending/braidin   Do funds for this                                    administering program (1-4)        Do all children/families who
                                                                             Percent of funds         dedicated to children    Percent of funds                                                                                 program        (Rate 1-4)
                              Revenue Sources and       Revenue from                                                                                                           g? (Y/N) (Note any          program leverage                                     4= Significant local flexibility   need this service have
                                                                             dedicated to children    0-5 and their families   supporting                                                                                       4=Stable and growing
Program                       Expenditures (FY07 unless Previous Years (if                                                                              Flow of Funds          detailed information on     other funds/ in-                                     3= Some local flexibility          access to it? If not, please
                                                                             0-5 and their families   (Column B* D) FY07       programming vs.                                                                                  3=Stable/flat funding
                              otherwise noted)          available)                                                                                                             how this                    kind resources?                                      2= Limited local flexibility       describe access challenges
                                                                             (Estimate)               unless otherwise         admin expenses                                                                                   2=Some risk of cuts
                                                                                                                                                                               works/challenges)           (Y/N) (Describe)                                     1= Localities play no role in      or funding gaps?
                                                                                                      noted                                                                                                                     1=High risk of cuts
                                                                                                                                                                                                                                                                administering program
BASIC NEEDS, ECONOMIC SECURITY AND CHILDREN'S SAFETY
Basic Needs Programs
                              Total funding: $354,710,100
                              Sources:
                              State GF/GP: 60.161%
                                                                                                                               Administrative costs-
                              TANF: 25.683%                                                                                                             From federal/state
                                                                                                                               federal 14%; state                                                          Y- Federal MOE
                              Restricted Retained Child   FY06: $402,221,113                                                                            government to state    Y- Braiding state MOE
Family Independence Program                                                  54%                      $191,543,454             sources for                                                                 requirements         3                               .1.5                               No gaps noted by MDHS
                              Support Collections:        FY05: $391,632,978                                                                            lead agency to         funds with TANF
                                                                                                                               maintenance of effort:                                                      leverage state funds
                              13.451%                                                                                                                   providers/clients
                                                                                                                               3%
                              Public Assistance
                              Recoupments: .705%


                                                                             Estimate of 40%:
                                                                             17% of food stamp
                                                                             recipients nationally
                              Benefit payments:                              are children ages 0-4
                                                                                                                                                                                                           Y-some outreach
                              $1,221,340,900. Funding is                     (Source:
                                                                                                                                                                                                           providers and
                              from federal Food and                          Characteristics of
                                                           FY06                                                                                      From federal                                          private funders
                              Nutrition Service                              Food Stamp
                                                           $2,234,521,996                                                                            government to state                                   provide funds that
Food Assistance Program       Administrative costs (not                      Households, Fiscal     $488,536,360               14% administrative expenses                     No                                              4                                2                                  No gaps noted by MDHS
                                                           FY05                                                                                      lead agency to                                        can be used to draw
                              included in dollar amount                      Year 2005, USDA
                                                           $1,096,176,054                                                                            providers/clients                                     down additional
                              above) are covered by 50%                      Food and Nutrition
                                                                                                                                                                                                           federal funds to be
                              FNS funding and 50% state                      Services). Estimate
                                                                                                                                                                                                           used for outreach.
                              general funds.                                 takes into account
                                                                             children age 5 and the
                                                                             parents of children
                                                                             ages 0-5.

                                                                                                                                                                                                           Y- Family Self-
                                                                                                                                                                                                           sufficiency and Key
                                                                                                                                                                                                           to Own programs
                                                                                                                               100% vouchers
                                                                                                                                                                                                           leverage support                                                                        There is more need for rental
                              $132,061,712                                   20% of households                                 Additional funding for
                                                                                                                                                      From HUD to MSHDA to                                 from partners,                                                                          subsidies than there is
Housing Choice Vouchers       Sources: HUD Housing         n/a               served have children     $26,555,827              administration is not                       No                                                   2- Some risk of budget cuts     2- very limited flexibility
                                                                                                                                                      local agencies                                       including                                                                               funding- this is the case
                              Choice program                                 ages 0-5.                                         included in funding
                                                                                                                                                                                                           Community Action                                                                        nationwide.
                                                                                                                               amount listed.
                                                                                                                                                                                                           Agencies, Habitat
                                                                                                                                                                                                           for Humanity, Prison
                                                                                                                                                                                                           Build program.


                                                                             20 percent of funding.
                                                                             This is TFP's
                              Total revenue: $7.5 million                    conservative estimate,
                                                                                                                                                                               Braided (grantees either
                              Sources:                                       as other programs                                                          MSHDA makes 0%                                     25% match                                                                               Significant gaps- there are
                                                                                                                                                                               receive HOME funding or
Public Housing- Homeless      HOME dollars (federal): $4.5                   serving low-income                                10% for                  loans to non-profits                               requirement. (May    3- but funding picture is                                          80,000 homeless people in
                                                           n/a                                         $1.4 million                                                            funding from MSHDA                                                               2- fairly restrictive
Families                      million                                        families in Michigan                              administrative costs     selected through                                   be capital or        unclear                                                            Michigan as well as those
                                                                                                                                                                               reserves- they are not
                              Housing authority reserves:                    serve a higher                                                             competitive process                                services.)                                                                              who are precariously housed.
                                                                                                                                                                               blended together)
                              $3 million                                     percentage of families
                                                                             with children from birth-
                                                                             five.
                                                                                                                                         Draft Prepared by The Finance Project 7/22/2010                                                                                                                                    Analysis Page 23




                                                                                                           Estimated funds                                                                                                              Stability of funding for this   Degree of local flexibility in
                                                                                                                                                                                     Aligning/Blending/braidin    Do funds for this                                     administering program (1-4)          Do all children/families who
                                                                                  Percent of funds         dedicated to children    Percent of funds                                                                                    program        (Rate 1-4)
                                 Revenue Sources and       Revenue from                                                                                                              g? (Y/N) (Note any           program leverage                                      4= Significant local flexibility     need this service have
                                                                                  dedicated to children    0-5 and their families   supporting                                                                                          4=Stable and growing
Program                          Expenditures (FY07 unless Previous Years (if                                                                                 Flow of Funds          detailed information on      other funds/ in-                                      3= Some local flexibility            access to it? If not, please
                                                                                  0-5 and their families   (Column B* D) FY07       programming vs.                                                                                     3=Stable/flat funding
                                 otherwise noted)          available)                                                                                                                how this                     kind resources?                                       2= Limited local flexibility         describe access challenges
                                                                                  (Estimate)               unless otherwise         admin expenses                                                                                      2=Some risk of cuts
                                                                                                                                                                                     works/challenges)            (Y/N) (Describe)                                      1= Localities play no role in        or funding gaps?
                                                                                                           noted                                                                                                                        1=High risk of cuts
                                                                                                                                                                                                                                                                        administering program
                                                                                                                                                                                                                  Yes. Energy
                                                                                                                                    Additional state
                                                                                                                                                              From Federal                                        providers provide
                                                                                 20.25% of total                                    general fund dollars
Low-Income Home Energy           Federal LIHEAP block grant: FY 06 $154,158,872                                                                               Government to State                                 funds that are used
                                                                                funding assisted this      $21,608,059.16           (approx. $3 - $4                                 No                                                 1                               3                                    No- there are gaps
Assistance Program (LIHEAP)      $106,706,465                FY 05 $112,874,828                                                                               Lead Agency to                                      to leverage
                                                                                age group in FY 06                                  million a year) support
                                                                                                                                                              Providers/Clients                                   additional LIHEAP
                                                                                                                                    administrative costs.
                                                                                                                                                                                                                  funds.

                                                                                                                                                                                                                                                                                                             All refugees have access to
                                 App. $8.1 million                                                                                                                                                                                                                                                           services. The most risk of a
                                                                                                                                                                                                                                                                       3- We negotiate as we're doing
                                 Sources: Federal Refugee                                                                                                                                                                                                                                                    refugee not being able to get
                                                                                                                                                         Funds flow from state to                                                                                      request for proposal. There is
                                 Assistance formula grant as                                                                                                                                                      Occasionally private                                                                       services is if placed in a
                                                                                                                                    Administrative about private contractors who                                                                                       some flexibility in terms of what
Refugee Assistance Program       well as discretionary grants                     16% of arrivals are                                                                                                             contractors provide 3- but fluctuations in response                                        county far from urban areas.
                                                              n/a                                          $1.3 million             3%, even though they support families. State Not applicable                                                                        types of services are offered.
(RAF)                            or two counties and                              children ages 0-5.                                                                                                              in kind resources,   to changes in refugee arrivals.                                       Most refugees are in counties
                                                                                                                                    are allowed 5 %      provides cash/medical                                                                                         State works this out with providers
                                 discretionary grants for                                                                                                                                                         but not required.                                                                          where services are
                                                                                                                                                         assistance.                                                                                                   and then included within
                                 Preventative Health Grant,                                                                                                                                                                                                                                                  concentrated, but contractors
                                                                                                                                                                                                                                                                       contracts.
                                 School Impact Grant                                                                                                                                                                                                                                                         are responsible for serving
                                                                                                                                                                                                                                                                                                             families in rural counties.


                                 FY06 public funding to
                                                                                                                                    All programming
                                 operate program: $249
                                                                                                                                    funds are private                                                                                   1 - High risk due to federal
                                 million                                                                 FY06: Estimate of
                                                                                                                                    money paid by one                                                                                   Deficit Reduction Act of 2005.
                                 Sources:                                                                $44.82 million in public
                                                                                  18% of children in the                            parent to the other.      Child support paid from                             State and county      Takes effect 10.1.2007.
                                 Federal reimbursement                                                   funding for                                                                                                                                                                                         Non-assistance families may
                                                                                  child support caseload                            For every government      one parent to another. Y-Braiding- No challenges    dollars are matched   Approximately 23% funding      2 - Substantial federal and state
Child Support Administration     funds $163M plus incentives n/a                                         administration (and                                                                                                                                                                                 not understand how to
                                                                                  are under six years                               (federal, state or        Public funds support    noted                       at a rate of 66% by   cut unless state budget        regulation and law
                                 of $26M; State funds of                                                 $250 million in actual                                                                                                                                                                              access services.
                                                                                  old.                                              local) dollar spent the   program administration.                             federal government    backfills. Backfill is in Gov.
                                 $25M; County funds of $35M                                              child support
                                                                                                                                    program collected                                                                                   Granholm's proposed budget
                                 In FY06, $1.4 billion in                                                payments.)
                                                                                                                                    $5.29 in private child                                                                              for FY2008
                                 private money was paid from
                                                                                                                                    support funds.
                                 one parent to another.


Economic Security Programs



                                 Total funding: $92,477,634                                                                                                   From federal
                                                                                  54% (estimate based                             Administration costs:                                                                                                                                                      No. Limited funds and local
Workfirst/Jobs, Education, and   Sources:                                                                                                                     government to state    Y- Braiding- no challenges
                                                              FY06: $86,142,500   on data available for               $48,937,922 TANF 14%, state                                                                 No                    2                               2                                    variation. Not all receive
Training (JET)                   TANF: $89,310,067                                                                                                            lead agency to         noted
                                                                                  FIP)                                            funding MOE 3%                                                                                                                                                             same services.
                                 State funds: $3,167,567                                                                                                      providers/clients




                                 Total funding: $30,259,300.                      Estimate of 54% of
                                 Sources:                                         TANF and state
                                 TANF: $16, 779,600                               general funds as
                                                                                                                                    Administration:           From federal
Employment and Training          State general funds:                             population served is                                                                                                                                                                                                       No. Limited funds and local
                                                                                                                                    Federal sources:          government to state
Programs: Employment Support     $13,357,300                  FY06: $16,429,100   similar to population  $16.3 million                                                               Braiding                     No                    2                               2                                    variation. Not all receive
                                                                                                                                    14%, state sources        lead agency to
Services                         Food Assistance Program                          served by FIP. ( Food                                                                                                                                                                                                      same services.
                                                                                                                                    for MOE 3%                providers/clients
                                 E& T (and state match) (only                     Stamp E& T funds only
                                 for adults without dependent                     support adults without
                                 children) : $90,000                              dependents)
                                                                                                                                         Draft Prepared by The Finance Project 7/22/2010                                                                                                                                  Analysis Page 24




                                                                                                          Estimated funds                                                                                                               Stability of funding for this   Degree of local flexibility in
                                                                                                                                                                                 Aligning/Blending/braidin      Do funds for this                                       administering program (1-4)        Do all children/families who
                                                                                 Percent of funds         dedicated to children    Percent of funds                                                                                     program        (Rate 1-4)
                                  Revenue Sources and       Revenue from                                                                                                         g? (Y/N) (Note any             program leverage                                        4= Significant local flexibility   need this service have
                                                                                 dedicated to children    0-5 and their families   supporting                                                                                           4=Stable and growing
Program                           Expenditures (FY07 unless Previous Years (if                                                                             Flow of Funds         detailed information on        other funds/ in-                                        3= Some local flexibility          access to it? If not, please
                                                                                 0-5 and their families   (Column B* D) FY07       programming vs.                                                                                      3=Stable/flat funding
                                  otherwise noted)          available)                                                                                                           how this                       kind resources?                                         2= Limited local flexibility       describe access challenges
                                                                                 (Estimate)               unless otherwise         admin expenses                                                                                       2=Some risk of cuts
                                                                                                                                                                                 works/challenges)              (Y/N) (Describe)                                        1= Localities play no role in      or funding gaps?
                                                                                                          noted                                                                                                                         1=High risk of cuts
                                                                                                                                                                                                                                                                        administering program

                                                                                 20 percent of funding.                                                                                                         Y- CSBG represents
                                                                                 This is TFP's                                                                                   Y- Each of the 30 CAAs run     core funding for                                                                           Varies from CAA to CAA…
                                                                                 conservative estimate.                                                                          multiple programs. In          CAAs, but i often                                                                          each CAA has a different mix
                                                                                 We believe this is a                                                                            addition, each CAA has a       only a fraction of
                                                                                                                                   Varies - CSBG is                                                                                                                                                        of programs. Many have
                                                                                 conservative estimate,                                                    Federal CSBG funds    unique blend of programs       their overall budget.   2.5- Relatively stable in the
                                                                                                                                   generally used for                                                                                                                                                      programs targeted for youth,
Support for Community Action      FY06: Community Services                       since other programs FY06 estimate:                                       flow to DHS and are   that are locally determined.   (CAAs have federal,     recent past, but there is a
                                                            n/a                                                                    overhead/administrati                                                                                                                4- very flexible                   and some have programs
Agencies                           Block Grant- $23,344,994                      serving low-income        $4,668,999                                      passed through to     CAAs have a long history of    state, local, and       slight risk of cuts at the
                                                                                                                                   ve activities of the                                                                                                                                                    targeted to young children.
                                                                                 families in Michigan                                                      CAAs.                 coordinating the programs      private funds. In       federal level.
                                                                                                                                   overall agency.                                                                                                                                                         In addition, many CAAs
                                                                                 serve a higher                                                                                  that they operate as well as   2006, Michigan's                                                                           operate Head Start
                                                                                 percentage of families                                                                          collaborating with other       CAAs reported                                                                              programs.
                                                                                 with children from birth-                                                                       community partners.            $359.5M in total
                                                                                 five.                                                                                                                          resources including
                                                                                                                                                                                                                CSBG.)
Child Safety

                                                                                                          No current funding;
                                                                                                          continued activities are
                                                                                                          limited, but
                                  No current funding; one time                                                                                                                                                  Initial funds
                                                                                                          partnerships with
                                  allocation of $250,000 in                                                                                                                                                     leveraged in kind
                                                                                                          MDHS, MDCH, MPHI,
                                  FY05 from Healthy Michigan                                                                                                                                                    contributions from
                                                                                                          Tomorrow's Child, and
Safe Sleep Statewide              funded statewide             n/a               n/a                                               n/a                     n/a                   n/a                            health plans, local  No current funding                 4                                  No current funding
                                                                                                          MDE allow a leadership
                                  implementation of the                                                                                                                                                         community
                                                                                                          team to oversee web
                                  recommendations of the                                                                                                                                                        foundation to launch
                                                                                                          site development, on
                                  Safe Sleep taskforce.                                                                                                                                                         local campaigns.
                                                                                                          line trainings in
                                                                                                          development through
                                                                                                          MSU & other activities.

                                                                                 Serves children ages
                                                              FY06: $223,000
Community Interventions to        Centers for Disease Control                    4,5,6 and 7.
                                                              FY05: $223,000                                                       55% of funds support Federal funds flow to                                                           1 - Cooperative Agreement                                          No. Funding doesn't allow
Reduce Motor Vehicle-Related      (CDC) Cooperative                              Estimated 50% of         $108,490                                                               n/a                            n/a                                                     3
                                                              FY04: $214,500                                                       programming          DCH.                                                                            ends in 07.                                                        for statewide coverage.
Injury to Children                Agreement-$216,979                             funding serves 4-5
                                                                                 year-olds.
                                                                                                                                                        Federal funds flow to
                                                                                 Funds dedicated to 0-
                                  National Highway Traffic    FY06: $185,000                                                                            the Michigan Office of                                                                                                                             No. Funding doesn't allow
Child Passenger Safety Training                                                  8 population, but                                 50% of funds support
                                  Safety Administration,      FY05: $210,000                            $180,000                                        Highway Safety          n/a                             n/a                     2                               2                                  for saturated statewide
and Education                                                                    mostly serves children                            programming
                                  $180,000                    FY04: $297,856                                                                            Planning and then to                                                                                                                               coverage
                                                                                 ages 0-4.
                                                                                                                                                        MDCH
                                                                                                                                   $15,000 supports
                                                                                                                                   crisis hotline and   DHHS to MDCH to                                                                                                                                    Challenges in getting the
                                                                                                                                   $65,000 supports     contractors (MI Primary                                                                                                                            message to youngest
Safe Delivery                     Title V: $80,000            n/a                                100% $80,000                                                                   n/a                                                     3                               1
                                                                                                                                   training, TA and     Care Association and                                                                                                                               mothers and those involved
                                                                                                                                   public information   Gryphon Place)                                                                                                                                     in substance abuse issues.
                                                                                                                                   materials.                                                                   No
                                                                                                                                                                                 CAPTA and CJA grant            CAPTA and CJA
                                  Total funding: $916,270                                                                                                                        funds are separate funding     funds do not
                                                                                                                                                                                                                                                                                                           Funds are not generally used
                                  Sources:                    FY06                                                                                                               streams, but services and      specifically leverage
                                                                                                                                                                                                                                                                                                           to provide direct services to
                                  CAPTA Federal Child Abuse   FCAN:$904,702                                                        65% for programming/ From federal DHHS to     initiatives are tracked to     other funds, but are 2.5- Stable and consistent
                                                                                 38.4% of total victims                                                                                                                                                                                                    children & families; instead
Child Protective Services         and Neglect Grant (FCAN):   CJA:$587,794                              Estimate: $351,850         35% for              MDHS to service          assure that supports           often used to         over the years, with decrease 1
                                                                                 in 2006 were ages 0-5.                                                                                                                                                                                                    they develop supports for
                                  $328,476                    FY05:                                                                administration       providers.               developed are not              supplement other      in 2007 funding.
                                                                                                                                                                                                                                                                                                           CPS field staff and other
                                  Children's Justice Act      FCAN $944,234                                                                                                      duplicated, yet address        available funds to
                                                                                                                                                                                                                                                                                                           stakeholders.
                                  (2006): 587,794             CJA $570,242                                                                                                       specific needs of CPS field    coordinate
                                                                                                                                                                                 staff.                         initiatives.
                                                                                                                                          Draft Prepared by The Finance Project 7/22/2010                                                                                                                                  Analysis Page 25




                                                                                                           Estimated funds                                                                                                              Stability of funding for this   Degree of local flexibility in
                                                                                                                                                                                   Aligning/Blending/braidin        Do funds for this                                   administering program (1-4)        Do all children/families who
                                                                                  Percent of funds         dedicated to children    Percent of funds                                                                                    program        (Rate 1-4)
                                  Revenue Sources and       Revenue from                                                                                                           g? (Y/N) (Note any               program leverage                                    4= Significant local flexibility   need this service have
                                                                                  dedicated to children    0-5 and their families   supporting                                                                                          4=Stable and growing
Program                           Expenditures (FY07 unless Previous Years (if                                                                            Flow of Funds            detailed information on          other funds/ in-                                    3= Some local flexibility          access to it? If not, please
                                                                                  0-5 and their families   (Column B* D) FY07       programming vs.                                                                                     3=Stable/flat funding
                                  otherwise noted)          available)                                                                                                             how this                         kind resources?                                     2= Limited local flexibility       describe access challenges
                                                                                  (Estimate)               unless otherwise         admin expenses                                                                                      2=Some risk of cuts
                                                                                                                                                                                   works/challenges)                (Y/N) (Describe)                                    1= Localities play no role in      or funding gaps?
                                                                                                           noted                                                                                                                        1=High risk of cuts
                                                                                                                                                                                                                                                                        administering program
                                  Total funding (est.): $400 M
                                  (app 56% fed. and 44%
                                  state)
                                  Sources:
                                  Title IV-B: (est.) $18 M
                                  Title IVE: (est.) $180 M
                                  Federal Title XX:n/a
                                                                                                                                                                                                                    Local matches
                                  Title XIX (Medicaid):n/a                                                                                                Depends on funding
Children's Foster Care                                           n/a              30%                      $120 M                   75% programming                                n/a                              required on some    3                               1                                  No gaps noted by MDHS
                                  Chafee Foster Care                                                                                                      source
                                                                                                                                                                                                                    funding sources
                                  program: $8 M
                                  Education and Training
                                  Vouchers: $1.5 M
                                  Child Care Fund
                                  (state/county): n/a
                                  State Ward & Board
                                  (state/county): n/a
                                  Total funding: $11.9 M
                                  Sources: TANF: $520,600
                                  Title IV-B:$195,400
                                                                                  50% (TFP
Adoption Services Program         Title IV-E: $4,267,800         n/a                                     $6 M                       n/a                   n/a                      n/a                              n/a                 n/a                             n/a                                n/a
                                                                                  conservative estimate)
                                  Title XIX: $33,600
                                  Title XX: $112,600
                                  State Funds: $6,770,000
                                                                                                                                                                                                                                                                                                           No. Shelters may be full or
                                  Total funding: $5.425 million                                                                                                                                                     Yes. Local programs
                                                                                  38% (of residential                                                                             Braiding- All funding                                                                                                    not in close proximity to the
                                  Sources: GF/TANF mix                                                                                                                                                              provide a local
                                                                                  clients; percentage of                                                                          sources have the same                                                                                                    client. If the local community
MI Domestic Violence Prevention   3.375 M;                                                                                          Varies by funding     Contracts to community-                                   match, and some
                                                                n/a               non-residential clients $2.06 million                                                           purpose, but support                                  n/a- Varies by funding source. 3                                   does not have free or public
and Treatment Board               Federal Violence Prevention                                                                       source and program    based organizations                                       programs use
                                                                                  with young children is                                                                          different local                                                                                                          transportation, it may be
                                  and Services Act Grant:                                                                                                                                                           MDVPTB funds to
                                                                                  unknown.)                                                                                       organizations.                                                                                                           difficult for clients to access
                                  $2.05 M                                                                                                                                                                           match other federal
                                                                                                                                                                                                                                                                                                           services.
                                                                                                                                                                                                                    grants.

                                                                                  TFP estimate: 38%-
                                                                                  based on assumption
                                                                                                                                                          MSHDA makes 0%           Braided (grantees either
                                  Estimated $7.5 Million                          that percentage is                                                                                                                25% match
                                                                                                                                                          loans to non-profit      receive HOME funding or
Public housing for victims of     (Sources: Federal HOME                          similar to residential                                                                                                            requirement. (May   3- but funding picture is
                                                                n/a                                        $2.85 million            10% administrative    organizations selected   funding from MSHDA                                                                   2- fairly restrictive              No- there are notable gaps.
domestic violence                 dollars and housing authority                   domestic violence                                                                                                                 be capital or       unclear
                                                                                                                                                          through competitive      reserves, depending on
                                  reserves)                                       programs                                                                                                                          services.)
                                                                                                                                                          process                  various eligibility criteria.)
                                                                                  administered by
                                                                                  MDVPTD.




                                                              FY06: $1,417,675                                                      96.6% programming
                                                                                                                                                          Federal funds flow to
                                  Centers for Disease Control FY05: $1,437,474                                                      (program has 5% of                                                                                                                                                     No. Funding doesn't allow
Rape Prevention and Education                                                                                                                             DCH, with pass through
                                  (CDC) Cooperative           FY04: $1,443,590    n/a                      n/a                      total budget                                  n/a                               n/a                 2                               3                                  for saturated statewide
(RPE)                                                                                                                                                     to DHS of approximately
                                  Agreement-$1,366,887        FY03: $1,443,491                                                      administrative cap                                                                                                                                                     coverage
                                                                                                                                                          $500,000 through FY 08
                                                              FY02: $1,460,237-                                                     placed on it)
                                                                                                                                           Draft Prepared by The Finance Project 7/22/2010                                                                                                                                Analysis Page 26




                                                                                                           Estimated funds                                                                                                              Stability of funding for this   Degree of local flexibility in
                                                                                                                                                                                        Aligning/Blending/braidin   Do funds for this                                   administering program (1-4)        Do all children/families who
                                                                                  Percent of funds         dedicated to children     Percent of funds                                                                                   program        (Rate 1-4)
                                Revenue Sources and       Revenue from                                                                                                                  g? (Y/N) (Note any          program leverage                                    4= Significant local flexibility   need this service have
                                                                                  dedicated to children    0-5 and their families    supporting                                                                                         4=Stable and growing
Program                         Expenditures (FY07 unless Previous Years (if                                                                               Flow of Funds                detailed information on     other funds/ in-                                    3= Some local flexibility          access to it? If not, please
                                                                                  0-5 and their families   (Column B* D) FY07        programming vs.                                                                                    3=Stable/flat funding
                                otherwise noted)          available)                                                                                                                    how this                    kind resources?                                     2= Limited local flexibility       describe access challenges
                                                                                  (Estimate)               unless otherwise          admin expenses                                                                                     2=Some risk of cuts
                                                                                                                                                                                        works/challenges)           (Y/N) (Describe)                                    1= Localities play no role in      or funding gaps?
                                                                                                           noted                                                                                                                        1=High risk of cuts
                                                                                                                                                                                                                                                                        administering program
PHYSICAL HEALTH CARE

General Prenatal and Child Health

                                                                                                                                                                                                                                                                                                           Between Medicaid and MI
                                                                                                           Estimates by
                                                                                                                                                                                                                                                                                                           Child program, all children up
                                                                                                           MDCH:$550 million,                              Funds flow from CMS to
                                                                                                                                                                                                                                                                                                           to 200% of FPL have access
                                                                                                           including: $200 million                         MDCH. Local public
                                FY06: $7.05 billion                                                                                                                                   Braided with SCHIP and                                                                                               to health coverage. Other
                                                            FY05:$7.26 billion;                            for deliveries;                                 health departments and
Medicaid                        (app. 56% federal/44% state                       Approximately 7%                                   n/a                                              Healthy Michigan Fund         n/a                 MDCH is not able to answer.     MDCH is not able to answer.        children with families above
                                                            FY04: $6.83 billion                            $150 million for first                          private providers bill for
                                matching funds)                                                                                                                                       (see below)                                                                                                          income limit may lack private
                                                                                                           year of life; and                               reimbursement of
                                                                                                                                                                                                                                                                                                           health insurance and not
                                                                                                           $200 million for                                qualifying services.
                                                                                                                                                                                                                                                                                                           qualify for public health
                                                                                                           children 1-5.
                                                                                                                                                                                                                                                                                                           insurance.



                                                                                                                                                           Funds flow from CMS to       MI Child braided with
                                $35 million (estimate of                                                                                                   MDCH. Local public           Medicaid. Separate funding
                                support for children)                                                      Estimate by MDCH of                             health departments and       streams, but used in
MI Child Program                                            n/a                   Less than one third                                n/a                                                                             n/a                MDCH is not able to answer.     MDCH is not able to answer.        See above
                                (app. 69% federal/31% state                                                less than $10 million                           private providers bill for   coordinated and
                                funding)                                                                                                                   reimbursement of             streamlined way to serve all
                                                                                                                                                           qualifying services.         children under 200% of FPL




                                                                                                                                                                                  WIC and prenatal funds are
                                                                                                                                                                                  aligned, but not blended. In
                                                                                                                                                                                  many cases, local health
                                                                                                                                                                                  departments also
                                                                                                                                                                                  administer WIC dollars and                             2- Fiscal crisis in Michigan
                                Healthy Michigan Fund-
                                                                                                                                                           Funds flow from MDCH refers women to both                                    puts Healthy Michigan Fund
                                $1,575,000.
                                                                                                                                     Funding supports      to local public health services. The degree of                               funding at risk- might be                                          MDCH reports no major
Prenatal Services               Medicaid eligible women are n/a                   100%                     $1,575,000                                                                                           N                                                     2
                                                                                                                                     100% programming      agencies to provide    alignment varies across                               diverted away from preventive                                      gaps.
                                supported with Medicaid
                                                                                                                                                           prenatal services      localities. WIC funds are                             health care to cover other
                                MOMS program.
                                                                                                                                                                                  very restrictive and can only                         health programs.
                                                                                                                                                                                  be used for WIC services,
                                                                                                                                                                                  but when women are in
                                                                                                                                                                                  WIC clinics- there is
                                                                                                                                                                                  outreach for other services.




                                $4.05 M in Medicaid funding
                                in past fiscal year. Local                                                                                                                                                          Funds from this
                                health departments are                                                                                                                                                              program assist in                                                                      Medicaid outreach activities
                                                                                                                                                           Local health
                                reimbursed with federal                                                                                                                                                             increasing Medicaid                                                                    are provided at any local
                                                                                                                                     100% administrative   departments receive          Blending local and
Local Medicaid Outreach         Medicaid funds for 50       n/a                   n/a                      n/a                                                                                                      eligible individuals 4                              n/a                                health department that
                                                                                                                                     activities            matching funds from          Medicaid funds
                                percent matching of local                                                                                                                                                           and services                                                                           chooses to conduct these
                                                                                                                                                           MDCH.
                                funds expended in                                                                                                                                                                   received at the local                                                                  activities.
                                conducting administrative                                                                                                                                                           level
                                activities.
                                                                                                                                          Draft Prepared by The Finance Project 7/22/2010                                                                                                                           Analysis Page 27




                                                                                                           Estimated funds                                                                                                        Stability of funding for this   Degree of local flexibility in
                                                                                                                                                                                  Aligning/Blending/braidin   Do funds for this                                   administering program (1-4)        Do all children/families who
                                                                                  Percent of funds         dedicated to children    Percent of funds                                                                              program        (Rate 1-4)
                                   Revenue Sources and       Revenue from                                                                                                         g? (Y/N) (Note any          program leverage                                    4= Significant local flexibility   need this service have
                                                                                  dedicated to children    0-5 and their families   supporting                                                                                    4=Stable and growing
Program                            Expenditures (FY07 unless Previous Years (if                                                                           Flow of Funds           detailed information on     other funds/ in-                                    3= Some local flexibility          access to it? If not, please
                                                                                  0-5 and their families   (Column B* D) FY07       programming vs.                                                                               3=Stable/flat funding
                                   otherwise noted)          available)                                                                                                           how this                    kind resources?                                     2= Limited local flexibility       describe access challenges
                                                                                  (Estimate)               unless otherwise         admin expenses                                                                                2=Some risk of cuts
                                                                                                                                                                                  works/challenges)           (Y/N) (Describe)                                    1= Localities play no role in      or funding gaps?
                                                                                                           noted                                                                                                                  1=High risk of cuts
                                                                                                                                                                                                                                                                  administering program


Public Health




                                   Total revenue: $240,000                                                                                               From federal DHHS to
Pregnancy Risk Assessment and                                                                                                                                                                                 Title V leverages
                                   Sources: Title V and CDC   n/a                 100%                     $240,000                                 100% MDCH to administer       Blended                                         2                               1                                  No direct services provided.
Monitoring System (PRAMS)                                                                                                                                                                                     CDC grant funds.
                                   funds                                                                                                                 program.




Prenatal Smoking Cessation:        $10,000 (50% Medicaid/50%
                                                             n/a                  100%                     $10,000                  n/a                   MDCH to MPHI            Blended                     No                  1                               1                                  Yes
Smoke Free for Baby and Me         General funds)




                                                                                                                                                                                                                                                                                                     Community projects are
                                                                                                                                                                                                                                                                                                     located in only 8 sites across
                                                                                                                                                                                                                                                                                                     the state and there is limited
                                                                                                                                                          Funds flow from DHHS                                                                                                                       funding to cover a potentially
Fetal Alcohol Spectrum Disorders
                                   Title V: $200,000          n/a                 100%                     $200,000                 n/a                   to MDCH to local        n/a                         No                  3                               3                                  large population at risk.
(FASD) Program
                                                                                                                                                          grantees.                                                                                                                                  There are only 6 diagnostic
                                                                                                                                                                                                                                                                                                     Centers of Excellence in the
                                                                                                                                                                                                                                                                                                     state and they have waiting
                                                                                                                                                                                                                                                                                                     lists of several months.
                                                                                                                                      Draft Prepared by The Finance Project 7/22/2010                                                                                                                            Analysis Page 28




                                                                                                       Estimated funds                                                                                                        Stability of funding for this   Degree of local flexibility in
                                                                                                                                                                              Aligning/Blending/braidin   Do funds for this                                   administering program (1-4)        Do all children/families who
                                                                              Percent of funds         dedicated to children    Percent of funds                                                                              program        (Rate 1-4)
                               Revenue Sources and       Revenue from                                                                                                         g? (Y/N) (Note any          program leverage                                    4= Significant local flexibility   need this service have
                                                                              dedicated to children    0-5 and their families   supporting                                                                                    4=Stable and growing
Program                        Expenditures (FY07 unless Previous Years (if                                                                           Flow of Funds           detailed information on     other funds/ in-                                    3= Some local flexibility          access to it? If not, please
                                                                              0-5 and their families   (Column B* D) FY07       programming vs.                                                                               3=Stable/flat funding
                               otherwise noted)          available)                                                                                                           how this                    kind resources?                                     2= Limited local flexibility       describe access challenges
                                                                              (Estimate)               unless otherwise         admin expenses                                                                                2=Some risk of cuts
                                                                                                                                                                              works/challenges)           (Y/N) (Describe)                                    1= Localities play no role in      or funding gaps?
                                                                                                       noted                                                                                                                  1=High risk of cuts
                                                                                                                                                                                                                                                              administering program




                                                                                                                                                                                                                                                                                                 There are limitations in the
                                                                                                                                                                                                                                                                                                 staff capacity in particular for
                                                                                                                                Less than 10%                                                                                                                                                    the diagnostic and linking
Fetal Alcohol Syndrome (FAS)                                                                                                    supports              CDC to MDCH to                                                                                                                             services. Only 4 children per
                               CDC grant: $450,000         n/a                100%                     $450,000                                                               n/a                         No                  3                               2
Prevention Project- Detroit                                                                                                     administrative        grantees in Detroit                                                                                                                        month are scheduled for the
                                                                                                                                purposes                                                                                                                                                         extensive testing and
                                                                                                                                                                                                                                                                                                 treatment planning at the
                                                                                                                                                                                                                                                                                                 FAS Center for Excellence.




                                                                                                                                                                                                          Y- Seed funding                                                                        There are pockets of risk not
                               Total revenue: $1,330,000                                                                                                                                                  from the state is                                                                      covered with coalition work.
                                                                                                                                100% for              MDCH to local public                                                    1- Healthy Michigan funding
Infant Mortality Coalitions    (50% Healthy Michigan       n/a                100%                     $1.3 million                                                           Blended                     leveraging local                                    3.5                                Limited funding restricts the
                                                                                                                                programming           health agencies                                                         at risk
                               Fund/ 50% Medicaid)                                                                                                                                                        money to work on                                                                       number of families who can
                                                                                                                                                                                                          these issues.                                                                          be served.




                               Total revenue: $80,502
                                                                                                                                                                                                          Healthy Michigan
                               Sources:                                                                                                               MDCH to MPHI and
Infant Mortality Initiative                              n/a                                  100% $80,502                      n/a                                           Blended                     Fund is matched     1                               3                                  n/a
                               50% Healthy Michigan Fund                                                                                              SEMHA
                                                                                                                                                                                                          with Medicaid
                               50% Medicaid
                                                                                                                                       Draft Prepared by The Finance Project 7/22/2010                                                                                                                                 Analysis Page 29




                                                                                                          Estimated funds                                                                                                           Stability of funding for this   Degree of local flexibility in
                                                                                                                                                                                  Aligning/Blending/braidin    Do funds for this                                    administering program (1-4)        Do all children/families who
                                                                                 Percent of funds         dedicated to children    Percent of funds                                                                                 program        (Rate 1-4)
                                  Revenue Sources and       Revenue from                                                                                                          g? (Y/N) (Note any           program leverage                                     4= Significant local flexibility   need this service have
                                                                                 dedicated to children    0-5 and their families   supporting                                                                                       4=Stable and growing
Program                           Expenditures (FY07 unless Previous Years (if                                                                            Flow of Funds           detailed information on      other funds/ in-                                     3= Some local flexibility          access to it? If not, please
                                                                                 0-5 and their families   (Column B* D) FY07       programming vs.                                                                                  3=Stable/flat funding
                                  otherwise noted)          available)                                                                                                            how this                     kind resources?                                      2= Limited local flexibility       describe access challenges
                                                                                 (Estimate)               unless otherwise         admin expenses                                                                                   2=Some risk of cuts
                                                                                                                                                                                  works/challenges)            (Y/N) (Describe)                                     1= Localities play no role in      or funding gaps?
                                                                                                          noted                                                                                                                     1=High risk of cuts
                                                                                                                                                                                                                                                                    administering program
                                                                                                                                                                                                               Yes – FIMR findings
                                                                                                                                                                                                               have been used to                                                                       FIMR exists in 16 Michigan
                                                                                                                                                          State funds support                                  illustrate need and                                                                     sites, counties and cities with
                                                                                                                                                          technical assistance                                 has been used in                                                                        the highest Infant mortality
                                                                                                                                                          and training activities.                             multiple local and
                                  Total revenue: $255,445                                                                          25% for direct support                                                                                                                                              rate and greatest Black to
                                                                                                                                                          Funds to support case                                state applications
                                  Sources: MCH Block Grant:                                                                        to local sites to                                                                                                                                                   White disparity. There is a
                                                                                                                                                          abstraction to select                                for grants, including
                                  $110,004                                                                                         expand capacity for                                                                                                                                                 FIMR presence in the
                                                                                                                                                          communities is funneled                              from HHS, Bureau 3- Support program
Fetal Infant Mortality Review     Healthy Michigan Fund:        n/a              100%                     $255,445                 case abstraction; 75%                           Blended                                                                          4- Significant local flexibility   communities that account for
                                                                                                                                                          from MDCH to a                                       of Primary Heath      1- Case abstraction support
                                  $145,441                                                                                         for technical                                                                                                                                                       approximately 80% of all
                                                                                                                                                          coordinating contractor                              Care, Office of
                                  Local funds also contribute                                                                      assistance to local                                                                                                                                                 infant deaths, and close to
                                                                                                                                                          (MPHI), and to local                                 Minority Health,
                                  to FIMR.                                                                                         sites                                                                                                                                                               95% of the Black deaths.
                                                                                                                                                          sites by subcontract,                                United Way, March                                                                       There are 73 counties in
                                                                                                                                                          work product oriented.                               of Dimes, & CJ                                                                          Michigan. FIMR exist in 14
                                                                                                                                                                                                               SIDS Foundation.                                                                        of those.




                                                                                                                                                                                                               All members of the
                                                                                                                                                                                                               Committees
                                                                                                                                                          HRSA to MDCH to
Michigan Mortality Surveillance                                                                                                    100% for program                               N- only one source of        volunteer their time
                                  MCH Block Grant: $58,790      n/a              100%                     $58,790                                         SEMHA to contracted                                                       3                               1                                  n/a
(MMMS)                                                                                                                             services.                                      funding                      except for the
                                                                                                                                                          individuals.
                                                                                                                                                                                                               coordinator and two
                                                                                                                                                                                                               contract physicians.




                                                                                                                                   Funds to not support
                                                                                                                                                                                                               LMCH are used to
                                                                                                                                   state administrative
                                                                                                                                                                                Local agencies blend funds     supplement existing                                                                     LMCH Block grant funds are
                                  Total revenue: $7,091,650                                                                        expenses. Unknown
                                                                                                                                                                                with others to support         programming, used                                                                       available in each health
Local Maternal Child Health Block Sources: Title V: $5.7 M                                                                         how much local         HRSA to MDCH to local                                                      2- State funds
                                                                n/a              100%                     $7,091,650                                                            maternal child health          as start-up for new                                  4                                  department. Individual
Grant                             Healthy Michigan Fund:                                                                           agencies               health departments                                                         3- Federal funds
                                                                                                                                                                                services in their              programs or                                                                             community accessibility
                                  $184,600                                                                                         administrative
                                                                                                                                                                                jurisdictions.                 combined with local                                                                     varies.
                                                                                                                                   expenses are
                                                                                                                                                                                                               funds for activities.
                                                                                                                                   supported.



                                                                                                                                                          Fee-for-service (paid by
                                                                                                                                                          private insurance,
                                                                                                                                                          Medicaid). The
                                  Total revenue: $8,193,000
                                                                                                                                                          provider who delivers
                                  Sources:                                                                                         100% for                                        N- only one major funding
Newborn Genetic Screening                                       n/a              100%                     $8,193,000                                      baby covers cost of                                  N                    4- Funded by fees/very stable 1                                    Required for every newborn.
                                  Fees: $7,943,000                                                                                 programming                                     source
                                                                                                                                                          testing as part of their
                                  Healthy MI Fund- $250,000
                                                                                                                                                          fee. Then it is up to
                                                                                                                                                          them to collect funds
                                                                                                                                                          from mother.
                                                                                                                                     Draft Prepared by The Finance Project 7/22/2010                                                                                                                                  Analysis Page 30




                                                                                                      Estimated funds                                                                                                               Stability of funding for this   Degree of local flexibility in
                                                                                                                                                                                  Aligning/Blending/braidin    Do funds for this                                    administering program (1-4)        Do all children/families who
                                                                             Percent of funds         dedicated to children    Percent of funds                                                                                     program        (Rate 1-4)
                              Revenue Sources and       Revenue from                                                                                                              g? (Y/N) (Note any           program leverage                                     4= Significant local flexibility   need this service have
                                                                             dedicated to children    0-5 and their families   supporting                                                                                           4=Stable and growing
Program                       Expenditures (FY07 unless Previous Years (if                                                                             Flow of Funds              detailed information on      other funds/ in-                                     3= Some local flexibility          access to it? If not, please
                                                                             0-5 and their families   (Column B* D) FY07       programming vs.                                                                                      3=Stable/flat funding
                              otherwise noted)          available)                                                                                                                how this                     kind resources?                                      2= Limited local flexibility       describe access challenges
                                                                             (Estimate)               unless otherwise         admin expenses                                                                                       2=Some risk of cuts
                                                                                                                                                                                  works/challenges)            (Y/N) (Describe)                                     1= Localities play no role in      or funding gaps?
                                                                                                      noted                                                                                                                         1=High risk of cuts
                                                                                                                                                                                                                                                                    administering program
                              Total revenue: $10,516,000
                              plus $500,000 in funds from
                              sale of state biologic
                                                                                                                                                                                                             Y- local agencies
                              production facilities .                                                 $10,516,000 plus
                                                                                                                                                       Funding flows from         Y- CDC and state funds are sometimes            3- federal funding is flat, but
                              Sources: Healthy Michigan                                               $500,000 from sale of
Immunizations                                             n/a                100%                                              100% programming        MDCH to public health      blended. No challenges     contribute their own need has increased.               2                                  Required for every child.
                              Fund: $1.75 M                                                           state biologic
                                                                                                                                                       departments                noted in blending funds.   resources to         1- Healthy Michigan Fund
                              CDC funds: $7.7 M                                                       production facilities
                                                                                                                                                                                                             improve services
                              MCH block grant: $510,000
                              Title XIX (Medicaid):
                              $456,000

                              Total revenue: $721,000                                                                                                  Almost all funds stay at
                              Sources: MCH Block Grant:                                                                                                the state level, with two
Early Hearing Detection and   $150,000                                                                                                                 contracts for the Guide-                                                                                                                        Any child or family has
                                                            n/a              100%                     $721,000                 n/a                                               Blended                       No                   2                               3
Intervention (EHDI) Program   CDC: $175,000           State                                                                                            By-Your-Side and                                                                                                                                access to this service.
                              funding (portion of Metabolic                                                                                            Michigan Hands &
                              Blood Card): $396,000                                                                                                    Voices programs.

                                                                                                                                                       State School Aid Act
                                                                                                                                                       →to one local school
                                                                                                                                                       district →to DCH →to
                                                                                                                                                       local health
                                                                                                                                                       departments. State                                                                                                                              Local health departments
                                                                                                                                                                                  Braiding of local public
                                                                                                                                                       School Aid Act dollars                                                                                                                          screen children in preschool,
                                                                                                                               The entire allocation                              health operations funding,                        3- Budget cut in half in 2005-
                              Total revenue: $4.4 million                                                                                              must be allocated to a                                                                                                                          Head Start, public, private,
                                                                                                                               resides at the local                               local jurisdiction funding     State funds        06, with a resultant drop in
                              State general fund: $2.575M                                                                                              school, so fund                                                                                                                                 and charter schools and
Hearing Screening                                         n/a                n/a                      $466,421                 level health                                       and Medicaid match for the leverage Medicaid      numbers of children screened, 4
                              Local health department:                                                                                                 transfers are used to                                                                                                                           provide screening for home-
                                                                                                                               departments for                                    appropriate % of children      and local funds.   but reinstated in 2006-07 at
                              $1.866M                                                                                                                  bring the allocation to                                                                                                                         schooled children in their
                                                                                                                               service provision.                                 and the appropriate                               full funding.
                                                                                                                                                       DCH where it is                                                                                                                                 agency-based clinics or by
                                                                                                                                                                                  activities at the state level.
                                                                                                                                                       forwarded in 1/12                                                                                                                               appointment.
                                                                                                                                                       payments per month to
                                                                                                                                                       LHDs. A 5%
                                                                                                                                                       administrative fee is
                                                                                                                                                       paid to the LEA, but not
                                                                                                                                                       from screening dollars.
                              Total revenue: $4.5 million
                              State general fund: $2.575M
Vision Screening                                          n/a                n/a                      $753,000                 Same as above           Same as above              Same as above                Same as above        3- same as above                4                                  Same as above
                              Local health departments:
                              $1.941 M
                                                                                                                                     Draft Prepared by The Finance Project 7/22/2010                                                                                                                                  Analysis Page 31




                                                                                                       Estimated funds                                                                                                              Stability of funding for this   Degree of local flexibility in
                                                                                                                                                                                  Aligning/Blending/braidin    Do funds for this                                    administering program (1-4)        Do all children/families who
                                                                              Percent of funds         dedicated to children    Percent of funds                                                                                    program        (Rate 1-4)
                               Revenue Sources and       Revenue from                                                                                                             g? (Y/N) (Note any           program leverage                                     4= Significant local flexibility   need this service have
                                                                              dedicated to children    0-5 and their families   supporting                                                                                          4=Stable and growing
Program                        Expenditures (FY07 unless Previous Years (if                                                                              Flow of Funds            detailed information on      other funds/ in-                                     3= Some local flexibility          access to it? If not, please
                                                                              0-5 and their families   (Column B* D) FY07       programming vs.                                                                                     3=Stable/flat funding
                               otherwise noted)          available)                                                                                                               how this                     kind resources?                                      2= Limited local flexibility       describe access challenges
                                                                              (Estimate)               unless otherwise         admin expenses                                                                                      2=Some risk of cuts
                                                                                                                                                                                  works/challenges)            (Y/N) (Describe)                                     1= Localities play no role in      or funding gaps?
                                                                                                       noted                                                                                                                        1=High risk of cuts
                                                                                                                                                                                                                                                                    administering program


                                                                                                                                                                                                               Medicaid match for
                                                                                                                                                                                                               case management
                                                                                                                                                                                                               of children with
                                                                                                                                A portion of the CDC
                                                                                                                                                                                                               blood lead levels
                               Total revenue: $5.8M                                                                             funds support state
                                                                                                                                                                                                               at/above 20
                               Sources:                                                                                         staff and a portion of
                                                                                                                                                         Funds flow to MDCH                                    micrograms/
                               Healthy Michigan Fund: $1                                                                        the HUD funds
                                                                                                                                                         from CDC and the                                      deciliter. Medicaid                                                                     No- targeted to high-risk
                               million                                                                                          support staff. All the
                                                                                                                                                         Healthy Michigan Fund.                                also funds two nurse                                                                    counties. Also Healthy
Child Lead Poisoning           Child Lead Poisoning                                                                             Healthy Michigan                                                                                      1- Healthy Michigan funding
                                                                                                                                                         MDCH administers       Braided together by            visits and                                                                              Michigan Funding has not
Prevention/Healthy Housing     Prevention Grant (from       n/a               Vast majority            $5.8 million             funds ($1 million)                                                                                    at risk                       2
                                                                                                                                                         program. Funds then    program (CLPP or HHS)          environmental visits                                                                    been provided to meet
Section                        CDC): $$927,000                                                                                  support programming                                                                                   2- federal funding
                                                                                                                                                         go to public health                                   to children with                                                                        MDCH's initial request for
                               Title V:$490,000                                                                                 in the target
                                                                                                                                                         agencies and other                                    blood lead levels                                                                       $3.78 million.
                               HUD grant: $3 million                                                                            communities, except
                                                                                                                                                         contractors.                                          above 10
                               EPA grant: $348,000                                                                              for $70,000 which
                                                                                                                                                                                                               micrograms per
                               State general funds: $50,000                                                                     supports the
                                                                                                                                                                                                               deciliter of blood.
                                                                                                                                Ombudsman position.
                                                                                                                                                                                                               This reimbursement
                                                                                                                                                                                                               is available for local
                                                                                                                                                                                                               health departments.




                                                                                                                                                                                                                                                                                                       There are 57 centers located
                                                                                                                                                                                                                                                                                                       throughout MI w/more
                                                                                                                                                         Funds originate at MDE,
                                                                              Estimate of 5% of                                                                                                                                                                                                        concentration in urban,
                                                                                                                                Approximately            are then transferred to
                                                                              funding serves infants                                                                                                                                                                                                   medically underserved areas.
                                                                                                                                $250,000 from the        MDCH, who draws
                                                                              and small children of                                                                                                                                                                                                    There has been a concerted
                                                                                                                                $9.5 M supports          down federal Medicaid                                 State dollars
                               Total revenue: $9.5 million                    target population, as                                                                                                                                                                                                    focus over the last few years
                                                                                                                                contract                 match dollars.                                        leverage Medicaid
                               Sources:                                       well as younger                                                                                                                                       4 and 2 (stable and growing,                                       to expand into rural medically
Child and Adolescent Health                                                                                                     administration to        Combined funding goes                                 match. Also local
                               State School Aid : $3.7 M     n/a              siblings of target     $475,000                                                                    Blended                                            with some risk of funding       3                                  underserved areas. There
Centers                                                                                                                         facilitate payment to    to Medicaid Health                                    service providers
                               Federal Medicaid funds:                        population. In areas                                                                                                                                  cuts.) (Average ranking of 3)                                      remain many urban,
                                                                                                                                local grantees.          Plans and then                                        are required to have
                               $5.8 M                                         with high teenage                                                                                                                                                                                                        suburban and rural
                                                                                                                                Remaining dollars        ultimately to local                                   a 30% match.
                                                                              pregnancy rates, this                                                                                                                                                                                                    communities that are in need
                                                                                                                                support direct           service
                                                                              percentage would be                                                                                                                                                                                                      of a school based/linked
                                                                                                                                program services.        providers/grantees for
                                                                              higher.                                                                                                                                                                                                                  Child & Adolescent Health
                                                                                                                                                         programming.
                                                                                                                                                                                                                                                                                                       Center. Biggest challenge
                                                                                                                                                                                                                                                                                                       w/expansion is funding.

                                                                                                                                                                                   Y- Medicaid, Title V and
                               Total funding of                                                                                                                                    state funding are braided                                                                                           No major gaps- there is a
                               approximately $200 million.                                                                                                                         together to support these                                                                                           motivation to move children
                                                                                                                                                         Providers are
                               Funding from-                                                                                                                                       services. Children are                                                                                              with costly medical care on to
                                                                                                                                                         reimbursed for services
Children Special Health Care   Medicaid: Over $100 million                                             Approximately $60                                                           supported by Medicaid vs.                        4- Medicaid funding                                                this plan to reduce costs in
                                                             n/a              30%                                               97.3% programming        on fee-for-service basis.                             n/a                                                  2
Services                       Title V Block Grant: est. $10                                           million                                                                     other funding based on                           3- Title V is flat funded                                          other plans. Case
                                                                                                                                                         Funds are pooled and
                               million                                                                                                                                             whether they qualify for                                                                                            management component
                                                                                                                                                         administered by MDCH.
                               Remainder from state                                                                                                                                Medicaid. No challenges                                                                                             helps children to access all
                               general funds:                                                                                                                                      mentioned in braiding                                                                                               services that they need.
                                                                                                                                                                                   funds.
                                                                                                                                            Draft Prepared by The Finance Project 7/22/2010                                                                                                                              Analysis Page 32




                                                                                                             Estimated funds                                                                                                        Stability of funding for this      Degree of local flexibility in
                                                                                                                                                                                    Aligning/Blending/braidin   Do funds for this                                      administering program (1-4)        Do all children/families who
                                                                                    Percent of funds         dedicated to children    Percent of funds                                                                              program        (Rate 1-4)
                                    Revenue Sources and       Revenue from                                                                                                          g? (Y/N) (Note any          program leverage                                       4= Significant local flexibility   need this service have
                                                                                    dedicated to children    0-5 and their families   supporting                                                                                    4=Stable and growing
Program                             Expenditures (FY07 unless Previous Years (if                                                                            Flow of Funds           detailed information on     other funds/ in-                                       3= Some local flexibility          access to it? If not, please
                                                                                    0-5 and their families   (Column B* D) FY07       programming vs.                                                                               3=Stable/flat funding
                                    otherwise noted)          available)                                                                                                            how this                    kind resources?                                        2= Limited local flexibility       describe access challenges
                                                                                    (Estimate)               unless otherwise         admin expenses                                                                                2=Some risk of cuts
                                                                                                                                                                                    works/challenges)           (Y/N) (Describe)                                       1= Localities play no role in      or funding gaps?
                                                                                                             noted                                                                                                                  1=High risk of cuts
                                                                                                                                                                                                                                                                       administering program
Coordinated Services and Access
                                    FY06: $1,212,495.00                                                                                                                                                                                                                                                   Services are primarily in the
to Research for Women, Infants,
                                    (Michigan receives one                                                                                                  Discretionary grant from                                                                                                                      Detroit area, recently
Children and Youth (Ryan White                                  n/a                 n/a                      n/a                      n/a                                            n/a                        n/a                 2                                  2
                                    statewide discretionary                                                                                                 federal DHHS to MDCH.                                                                                                                         expanded services to other
Treatment Modernization Act, Part
                                    grant.)                                                                                                                                                                                                                                                               parts of the state.
D Program)


                                                                                                                                                                                                                                    3- This is a state entitlement
                                                                                                                                                                                                                                    program that has increased a
                                                                                                                                                                                                                                    little each year due to better     1.5- No local flexibility, but
                                                                                                                                                            Interagency agreement
                                                                                                                                                                                                                                    identification of children         community mental health
                                                                                                                                                            with DHS to draw down
                                                                                                                                      Less than 1% of                               Only one funding source,                        needing services. However,         agencies are charged with
                                                                                    18% of eligible                                                         TANF funds. MDCH
                                                                                                                                      budget covers                                 but interagency agreement                       state legislation under            helping families to access
Family Support Subsidy              FY06: TANF: $17,635,000     FY05: $17,117,000   children in 0-5 age      FY06: $3,174,300                               bills DHS every month                             N                                                                                            n/a
                                                                                                                                      administrative                                between MDCH and DHS                            consideration would allow the      subsidy. Applications are then
                                                                                    category in FY06                                                        for services provided
                                                                                                                                      expenses                                      supports this program.                          state to cut back the program.     sent to MDCH to check and
                                                                                                                                                            and they are
                                                                                                                                                                                                                                    The fiscal crisis makes this       ensure that families were correctly
                                                                                                                                                            reimbursed.
                                                                                                                                                                                                                                    more likely. If cuts happened,     deemed eligible.
                                                                                                                                                                                                                                    it would most likely result in a
                                                                                                                                                                                                                                    reduction of each family's
                                                                                                                                                                                                                                    benefit.
                                                                                                                                                                                    The program has two
                                                                                                                                                                                    components: Title IV-E and
                                                                                                                                                                                    State Support Subsidy
                                    Total revenue:$225,500,000                                                                                                                      (funded with TANF/state
                                    Sources:                                                                                                                                        funds). Program benefits
                                                                                    TFP conservative
Adoption Subsidy                    TANF: $ 30,990,200         n/a                                           $56.4 million            n/a                   n/a                     are the same. For children n/a                  n/a                                n/a                                n/a
                                                                                    estimate: 25%
                                    Title IV-E: $101,222,300                                                                                                                        who do not meet the Title IV-
                                    State Funds: $ 93,287,500                                                                                                                       E requirements, State
                                                                                                                                                                                    Support Subsidy is
                                                                                                                                                                                    determined by family
                                                                                                                                                                                    income.


                                                                                                                                                                                                                For each dollar
                                    Total revenue: $19.4 million                                                                                                                                                spent for family
                                    Title X: $7,529,132                                                                                                                                                         planning Medicaid
                                    Medicaid: $4,962,814                                                                                                                                                        services, there is a
                                    Medicare: $32,302                                                                                                                                                           90 to 10 match                                                                            Access challenges include
                                    Other public health                                                                                                                                                         (federal/state).                                                                          limited amount of funding,
                                    insurance: $128,084                                                                                                                                                         Other sources of                                                                          possible cuts in funding and
                                    Title V: $1,453,346                                                                                                     Funds flow from federal                             funding include:                                                                          increase in the cost of
Family Planning Program             Preventive Block Grant:      n/a                MDCH estimate- 50% $9.7 million                   4% administrative     DHHS to MDCH to local Blended                       $4.2M in client      2                                 2                                  services (contraception cost)
                                    $270,731                                                                                                                grantees                                            collection/self-pay,                                                                      which have lead to a
                                    State funds: $5,032,688                                                                                                                                                     $5.5M in private                                                                          decrease in the number of
                                    (Also support from private                                                                                                                                                  insurance, $1.7M in                                                                       service sites and number of
                                    insurance, self-pay,                                                                                                                                                        donations, $1.4M in                                                                       clients receiving services
                                    donations/fundraising and                                                                                                                                                   fundraising and
                                    local agencies- see details                                                                                                                                                 private grants, &
                                    under leverage)                                                                                                                                                             $4M in local grants
                                                                                                                                                                                                                and contracts.
                                                                                                                                    Draft Prepared by The Finance Project 7/22/2010                                                                                                                                  Analysis Page 33




                                                                                                      Estimated funds                                                                                                             Stability of funding for this   Degree of local flexibility in
                                                                                                                                                                               Aligning/Blending/braidin    Do funds for this                                     administering program (1-4)        Do all children/families who
                                                                             Percent of funds         dedicated to children    Percent of funds                                                                                   program        (Rate 1-4)
                              Revenue Sources and       Revenue from                                                                                                           g? (Y/N) (Note any           program leverage                                      4= Significant local flexibility   need this service have
                                                                             dedicated to children    0-5 and their families   supporting                                                                                         4=Stable and growing
Program                       Expenditures (FY07 unless Previous Years (if                                                                            Flow of Funds            detailed information on      other funds/ in-                                      3= Some local flexibility          access to it? If not, please
                                                                             0-5 and their families   (Column B* D) FY07       programming vs.                                                                                    3=Stable/flat funding
                              otherwise noted)          available)                                                                                                             how this                     kind resources?                                       2= Limited local flexibility       describe access challenges
                                                                             (Estimate)               unless otherwise         admin expenses                                                                                     2=Some risk of cuts
                                                                                                                                                                               works/challenges)            (Y/N) (Describe)                                      1= Localities play no role in      or funding gaps?
                                                                                                      noted                                                                                                                       1=High risk of cuts
                                                                                                                                                                                                                                                                  administering program
                                                                                                                                                                                                                                                                                                     The Plan First! Program has
                                                                                                                                                                                                                                                                                                     been challenged with several
                                                                                                                                                                                                                                                                                                     barriers since its initiation on
                                                                                                                                                                                                                                                                                                     7/1/06. The
                                                                                                                                                                                                                                                                                                     citizenship/identity
                                                                                                                                                                                                                                                                                                     verification has been a
                                                                                                                                                      Funds flow from federal
                                                                                                                                                                                                                                                                                                     significant barrier for possible
                                                                                                                                                      government to MDCH;
                                                                                                                               Less than 10%                                                                                                                                                         beneficiaries. another
                                                                                                                                                      general fund is added to
                              Medicaid and state funds                                                                         supports                                                                                                                                                              challenge is new criteria that
Family Planning- Plan First                                n/a               n/a                      n/a                                             pay the providers of the Braiding                     No                    3                               2
                              (amounts not available)                                                                          administrative                                                                                                                                                        any person with "credible"
                                                                                                                                                      program. Providers are
                                                                                                                               purposes                                                                                                                                                              insurance is not eligible;
                                                                                                                                                      reimbursed through a
                                                                                                                                                                                                                                                                                                     there have been challenges
                                                                                                                                                      fee for service system.
                                                                                                                                                                                                                                                                                                     with educating the providers
                                                                                                                                                                                                                                                                                                     what credible insurance
                                                                                                                                                                                                                                                                                                     entails, and many have
                                                                                                                                                                                                                                                                                                     chosen not to apply if they
                                                                                                                                                                                                                                                                                                     are in question about the
                                                                                                                                                                                                                                                                                                     woman’s insurance.
Nutrition Programs

                                                                                                                                                                               WIC and prenatal funds are
                                                                                                                                                                               aligned, but not blended. In
                                                                                                                                                                               many cases, local health
                                                                                                                                                                               departments also
                                                                                                                                                                               administer WIC dollars and
                              Federal WIC funds:                                                      $135,907,000 plus
                                                                                                                                                                               refers women to both         Y- some local lead
                              $135,907,000 plus food                                                  food rebates:          17% for                  MDCH to local WIC
WIC                                                        n/a               100%                                                                                              services. The degree of      agencies add          4- Very stable                  2                                  No gaps noted by MDCH
                              rebates: $51,448,000 (from                                              $51,448,000 (from food administration           lead agencies
                                                                                                                                                                               alignment varies across      resources
                              food manufacturers)                                                     manufacturers)
                                                                                                                                                                               localities. WIC agencies
                                                                                                                                                                               also refer children for lead
                                                                                                                                                                               poisoning tests. WIC funds
                                                                                                                                                                               are very restrictive, so
                                                                                                                                                                               difficult to blend funds.


                                                                                                                                                      From federal USDA to                                  For centers,
                                                                                                                                                      MDE to child care                                     reimbursement                                                                            The state has just opened up
                              FY06: 51,483,537 (includes
                                                                                                                                                      centers, who receive                                  generally does not                                                                       eligibility for participation to
                              meal reimbursement, cash in
                                                                                                                                                      funding as a cash                                     cover overall food                                                                       relative care providers
                              lieu of commodities, and
                                                                                                                               100% supports pass reimbursement for food                                    service cost. So                                                                         (reflecting a change in state
                              family day care home
                                                                                                                               through to providers. purchased. MDE also                                    child care centers                                                                       policy.) There are 20,000
Child and Adult Care Food     sponsor funding)                                                                                                                                  N- only one major funding                         4- funding stable and           1- federal guidelines apply at
                                                          n/a                MDE estimate: 85%        $43,761,006.00           Additional funding for provides reimbursement                                rely on other                                                                            enrolled relative care
Program                       Funding from federal Child                                                                                                                        source                                            increases with inflation        state and local level.
                                                                                                                               administration is      to seven large                                        resources to meet                                                                        providers in the state and the
                              and Adult Food Care
                                                                                                                               provided.              sponsoring                                            their food service                                                                       program only currently
                              Program. Additional federal
                                                                                                                                                      organizations, who                                    costs- including                                                                         serves 400 of them. This is
                              dollars are provided to MDE
                                                                                                                                                      serve as intermediary                                 tuition, local food                                                                      an outreach challenge for
                              for administration.
                                                                                                                                                      with participating family                             banks, Head Start                                                                        MDE.
                                                                                                                                                      day care homes.                                       funding.
                                                                                                                                            Draft Prepared by The Finance Project 7/22/2010                                                                                                                                  Analysis Page 34




                                                                                                             Estimated funds                                                                                                            Stability of funding for this    Degree of local flexibility in
                                                                                                                                                                                      Aligning/Blending/braidin    Do funds for this                                     administering program (1-4)          Do all children/families who
                                                                                    Percent of funds         dedicated to children    Percent of funds                                                                                  program        (Rate 1-4)
                                  Revenue Sources and       Revenue from                                                                                                              g? (Y/N) (Note any           program leverage                                      4= Significant local flexibility     need this service have
                                                                                    dedicated to children    0-5 and their families   supporting                                                                                        4=Stable and growing
Program                           Expenditures (FY07 unless Previous Years (if                                                                              Flow of Funds             detailed information on      other funds/ in-                                      3= Some local flexibility            access to it? If not, please
                                                                                    0-5 and their families   (Column B* D) FY07       programming vs.                                                                                   3=Stable/flat funding
                                  otherwise noted)          available)                                                                                                                how this                     kind resources?                                       2= Limited local flexibility         describe access challenges
                                                                                    (Estimate)               unless otherwise         admin expenses                                                                                    2=Some risk of cuts
                                                                                                                                                                                      works/challenges)            (Y/N) (Describe)                                      1= Localities play no role in        or funding gaps?
                                                                                                             noted                                                                                                                      1=High risk of cuts
                                                                                                                                                                                                                                                                         administering program


                                                               FY06: $450,000
                                                               FY05: $450,000
                                                               FY04: $0
                                  Centers for Disease Control                                                                                                                                                      Yes--funds are used
                                  (CDC) Cooperative           FY06: $400,000                                                                                Federal & State funds                                  to leverage
Obesity Prevention Program                                                                                                                                                                                                                                                                                    NO--funding doesn't allow for
                                  Agreement $450,000;         FY05: $800,000        20%                      $170,000                 90%                   flow to MDCH then to      N/A                          additional local,    1                                4
(includes Childhood Obesity)                                                                                                                                                                                                                                                                                  statewide coverage.
                                                              FY04; $0                                                                                      local agencies.                                        federal, and private
                                  State Funding (Healthy MI                                                                                                                                                        resources.
                                  Funds) $400,000




SOCIAL-EMOTIONAL HEALTH

                                                                                                                                                                                      Braiding may occur-
                                                                                                                                                                                      General funds and
                                                                                                                                                                                                                                                                                                             CMHSPs/PIHPs have to
                                                                                                                                                                                      Medicaid are separate
                                                                                                                                                                                                                                                                                                             provide certain services to
                                                                                                                                                                                      funding streams. General
                                                                                                                                                                                                                                                                                                             children who meet SED
                                                                                                                                                                                      funds are used to serve the
                                                                                                                                                                                                                                                                                                             threshold or who have a
                                                                                                                                                                                      severest forms of mental                                                         3- CMHSPs have some limits on
                                                                                                                                                                                                                                                                                                             developmental disability.
                                                                                                                                                                                      health conditions or                              1- Medicaid providers were     how they serve children with SED,
                                                                                                                                                                                                                                                                                                             Gaps include: (1) Children
                                                               Medicaid:                                                              State Average         DCH-1915 b/c-             developmental disabilities.                       notified of a 6% cut effective but flexibility in what services they
                                Total funding: App. $2 B                                                                                                                                                                                                                                                     who do not qualify for
                                                               FY06: $1.49 B;                                                         administrative        Capitated Managed         If mental health funds are                        6/1/07. Medicaid is generally provide to individual children and
Community Mental Health Service Medicaid-$1.6B (projected                                                                                                                                                                                                                                                    Medicaid. (2) Children who
                                                               FY05: $1.4 B                                                           expenses for          Care Waiver and State     "braided," a child served                         more stable than state funds. their families. Note that CMHSPs
Programs (CMHSPs)/Prepaid       pending budget reduction)                           1/3 of 1%                $6.77 M                                                                                              No                                                                                         do not qualify as having SED,
                                                               State general funds:                                                   Medicaid funds--      General Funds are         with mental health funds                          Crisis intervention and        do not have flexibility regarding
Inpatient Health Plans (PIHPs)  State general funds:                                                                                                                                                                                                                                                         but still would benefit from
                                                               FY06--$470,062,236                                                     FY05-7.86% FY06-      distributed to            needs a have a serious                            treatment services are more    which children they serve since
                                (projected) $443,090,992                                                                                                                                                                                                                                                     mental health services.
                                                               FY05--456,950,821                                                      7.42%                 PIHP/CMHSPs               emotional disturbance or                          stable than services that are the state has guidelines about
                                                                                                                                                                                                                                                                                                             CMHSPs may refer these
                                                                                                                                                                                      developmental disability as                       preventive in nature.          who qualifies for SED or
                                                                                                                                                                                                                                                                                                             families to other services in
                                                                                                                                                                                      defined in the Mental                                                            Developmental Disability Service
                                                                                                                                                                                                                                                                                                             the community. (3) Children
                                                                                                                                                                                      Health Code. The services
                                                                                                                                                                                                                                                                                                             in other systems with mental
                                                                                                                                                                                      provided are delineated on
                                                                                                                                                                                                                                                                                                             health needs have difficulty
                                                                                                                                                                                      the Mental Health and
                                                                                                                                                                                                                                                                                                             accessing CMHSP services
                                                                                                                                                                                      Substance Abuse Specialty
                                                                                                                                                                                      Services list


                                                                                                                                                            Funds flow from federal
                                                                                                                                                            DHHS to MDHS.
                                                                                                                                                                                                                  At the state level, no
                                                                                                                                                            Through a                                                                                                                                         CCEP is not available in all
                                                                                                                                                                                                                  funds are leveraged.
                                                                                                                                                            MDHS/MDCH                                                                                                                                         parts of the state, so there
                                                                                                                                                                                                                  Some localities                                        2- A program manual with the
                                                                                                                                      MDCH does not take    interagency agreement,    Only one funding source for                                                                                             are significant geographic
                                                                                                                                                                                                                  have funded their                                      consultant duties delineated and
                                                                                                                                      any administrative    this program is           this services. MDHS funds                          2- Federal cuts in Child Care                                        service gaps. Even within
                                  Federal Child Care quality                                                                                                                                                      own programs with                                      the evaluation component is
Child Care Expulsion Prevention                                n/a                  100%                     $1.8 M                   overhead to           managed by MDCH.          the service and MDCH                               subsidy will impact this                                             areas served by CCEP, there
                                  dollars: $1.8 m                                                                                                                                                                 United Way or other                                    developed. There is local
                                                                                                                                      administer these      MDCH makes                administers and delivers it                        service.                                                             may not be enough
                                                                                                                                                                                                                  local funds. They                                      flexibility about which child care
                                                                                                                                      federal funds         competitive grants to     through CMHSPs.                                                                                                         consultants to provide
                                                                                                                                                                                                                  can still receive                                      providers are serviced.
                                                                                                                                                            local community mental                                                                                                                            services to all children who
                                                                                                                                                                                                                  training/TA from
                                                                                                                                                            health services                                                                                                                                   would benefit.
                                                                                                                                                                                                                  MDCH.
                                                                                                                                                            programs (CMHSPs) to
                                                                                                                                                            deliver this service.
                                                                                                                                         Draft Prepared by The Finance Project 7/22/2010                                                                                                                           Analysis Page 35




                                                                                                          Estimated funds                                                                                                        Stability of funding for this   Degree of local flexibility in
                                                                                                                                                                                 Aligning/Blending/braidin   Do funds for this                                   administering program (1-4)        Do all children/families who
                                                                                 Percent of funds         dedicated to children    Percent of funds                                                                              program        (Rate 1-4)
                                  Revenue Sources and       Revenue from                                                                                                         g? (Y/N) (Note any          program leverage                                    4= Significant local flexibility   need this service have
                                                                                 dedicated to children    0-5 and their families   supporting                                                                                    4=Stable and growing
Program                           Expenditures (FY07 unless Previous Years (if                                                                           Flow of Funds           detailed information on     other funds/ in-                                    3= Some local flexibility          access to it? If not, please
                                                                                 0-5 and their families   (Column B* D) FY07       programming vs.                                                                               3=Stable/flat funding
                                  otherwise noted)          available)                                                                                                           how this                    kind resources?                                     2= Limited local flexibility       describe access challenges
                                                                                 (Estimate)               unless otherwise         admin expenses                                                                                2=Some risk of cuts
                                                                                                                                                                                 works/challenges)           (Y/N) (Describe)                                    1= Localities play no role in      or funding gaps?
                                                                                                          noted                                                                                                                  1=High risk of cuts
                                                                                                                                                                                                                                                                 administering program
Systems of Care Grants
                                  Michigan has funding for two
(Comprehensive Community                                                                                                                                 Funds flow from
                                  program sites (Lansing and
Mental Health Services for                                     n/a               n/a                      n/a                      n/a                   SAMHSA directly to      n/a                         n/a                 n/a                             n/a                                n/a
                                  Kalamazoo)- funding
Children with Serious Emotional                                                                                                                          program sites.
                                  amounts are unknown.
Disturbances)




                                                                                                                                                         Funds flow directly from
                                  FY06: $786,882 for one
Safe Schools, Healthy Students                                n/a                n/a                      n/a                      n/a                   U.S. Dept. of Education n/a                         n/a                 n/a                             n/a                                n/a
                                  school district.
                                                                                                                                                         to local school district.



FAMILY SUPPORT AND PARENTING EDUCATION

                                                                                                                                                         Funds flow from MDCH                                                                                                                       This is a demonstration
Prenatal Care Demonstration       State general funds: $58,200 n/a               100%                     $58,200                  n/a                                            n/a                        n/a                 3                               4
                                                                                                                                                         to local contract agency                                                                                                                   project in one community.



                                                                                                                                                                                                             The program offers
                                                                                                                                                                                                             technical assistance
                                                                                                                                                                                                             in communities by:
                                                                                                                                                                                                             convening
                                                                                                                                                                                                             stakeholders;
                                                                                                                                                                                                                                                                                                    Only families experiencing a
                                                                                                                                                                                                             sharing/interpreting
                                                                                                                                                                                                                                                                                                    sudden unexpected loss are
                                                                                                                                                                                                             data; designing
                                                                                                                                                                                                                                                                                                    eligible for these services.
                                                                                                                                                                                                             intervention
                                                                                                                                                                                                                                                                                                    Ideally, all families
                                                                                                                                                                                                             strategies; writing
                                                                                                                                                         Funds are contracted                                                                                                                       experiencing an infant death,
SIDS and Other Infant Death                                                                                                                                                                                  grants and
                                  Title V: $321,300           n/a                100%                     $321,300                 n/a                   from MDCH to            Only one funding source                          3                              4                                  including those who die in
Support                                                                                                                                                                                                      identifying other
                                                                                                                                                         Tomorrow's Child                                                                                                                           the hospital or due to
                                                                                                                                                                                                             funding sources;
                                                                                                                                                                                                                                                                                                    perinatal causes would be
                                                                                                                                                                                                             providing trainings;
                                                                                                                                                                                                                                                                                                    included to be eligible for
                                                                                                                                                                                                             and organizing
                                                                                                                                                                                                                                                                                                    bereavement support and
                                                                                                                                                                                                             community/media
                                                                                                                                                                                                                                                                                                    risk reduction education.
                                                                                                                                                                                                             events. Tomorrow’s
                                                                                                                                                                                                             Child contributes
                                                                                                                                                                                                             support and funding.
                                                                                                                                       Draft Prepared by The Finance Project 7/22/2010                                                                                                                                   Analysis Page 36




                                                                                                         Estimated funds                                                                                                             Stability of funding for this     Degree of local flexibility in
                                                                                                                                                                                  Aligning/Blending/braidin   Do funds for this                                        administering program (1-4)        Do all children/families who
                                                                                Percent of funds         dedicated to children    Percent of funds                                                                                   program        (Rate 1-4)
                                 Revenue Sources and       Revenue from                                                                                                           g? (Y/N) (Note any          program leverage                                         4= Significant local flexibility   need this service have
                                                                                dedicated to children    0-5 and their families   supporting                                                                                         4=Stable and growing
Program                          Expenditures (FY07 unless Previous Years (if                                                                             Flow of Funds           detailed information on     other funds/ in-                                         3= Some local flexibility          access to it? If not, please
                                                                                0-5 and their families   (Column B* D) FY07       programming vs.                                                                                    3=Stable/flat funding
                                 otherwise noted)          available)                                                                                                             how this                    kind resources?                                          2= Limited local flexibility       describe access challenges
                                                                                (Estimate)               unless otherwise         admin expenses                                                                                     2=Some risk of cuts
                                                                                                                                                                                  works/challenges)           (Y/N) (Describe)                                         1= Localities play no role in      or funding gaps?
                                                                                                         noted                                                                                                                       1=High risk of cuts
                                                                                                                                                                                                                                                                       administering program


                                                                                                                                                                                                            Each local project
                                                                                                                                                                                                                                                                                                          No- the program is not
                                                                                                                                                                                                            supports costs
                                                                                                                                                                                                                                                                                                          available in every community.
                                                                                                                                                                                                            above the
                                 Total revenue: $1,872,080                                                                                                                                                                                                                                                Even within communities
                                                                                                                                                          Funds flow from MDCH State uses different funding state/federal
                                 50% state funds (general                                                                                                                                                                                                                                                 served, there is not enough
Nurse-Family Partnership                                     n/a                100%                     $1,872,080               13%- administrative     to local public health sources to support various supported share of       1 or 2                            2
                                 funds and HMF); 50%                                                                                                                                                                                                                                                      funding to serve all women
                                                                                                                                                          departments            local sites.               which the local
                                 Medicaid                                                                                                                                                                                                                                                                 who would benefit from the
                                                                                                                                                                                                            share is more than
                                                                                                                                                                                                                                                                                                          service. Only available to
                                                                                                                                                                                                            25% of the total
                                                                                                                                                                                                                                                                                                          first-time pregnancies.
                                                                                                                                                                                                            operational cost.



                                                                                                                                                                                                                                                                                                          Most eligible children and
                                                                                                                                                                                  Some agencies blend other                                                                                               families have access for most
                                                                                                                                  2% administrative       DHHS to MDCH to
                                                                                                                                                                                  sources of funding to                                                                                                   counties in Michigan have a
Maternal Infant Health Program   Medicaid: FY06- $8,085,726 n/a                 100%                     FY06: $8,085,726         funding/98%             MIHP contracted                                   n/a                      3- Stable/flat                    2- Limited local flexibility
                                                                                                                                                                                  support the cost of                                                                                                     MIHP provider. There are a
                                                                                                                                  programming             providers.
                                                                                                                                                                                  programs.                                                                                                               few geographic areas without
                                                                                                                                                                                                                                                                                                          MIHP providers.
                                                                                                                                                                                                              Yes, local programs
                                                                                                                                                                                                              can become
                                                                                                                                                                                                              certified providers
                                                                                                                                                          From U.S. Dept of
                                                                                                                                  100% for                                                                    and access                                                                                  No- there is still a lack of
                                                                                                                                                          Education to Life
                                 Parent Information Resource                                                                      training/technical                                                          technical assistance                                                                        understanding that parents
                                                                                                                                                          Services System, which
Parents as Teachers              Center (PIRC) grant:        n/a                100%                     $408,500                 assistance.                                    n/a                          and training.        2                                   3                                  need these services to more
                                                                                                                                                          manages statewide
                                 $408,500                                                                                         Programming is                                                              Funding for local                                                                           effectively support their
                                                                                                                                                          technical assistance
                                                                                                                                  funded by localities.                                                       programs is raised                                                                          children's development.
                                                                                                                                                          and training center.
                                                                                                                                                                                                              locally through
                                                                                                                                                                                                              public and private
                                                                                                                                                                                                              sources.
                                                                                                                                                                                  Y- Funds can be used with
                                                                                                                                                                                  other programs to provide
                                                                                                                                                                                  comprehensive community     Y- Match with local
                                                                                                                                                          Funds flow from MI
                                                                                                                                                                                  services. Localities can    or other non-state                                                                          No- program is under funded.
                                 State School Aid funds:     FY06: $3,326,000                                                                             Dept. of Education to                                                      2- Possibility of cuts in state
Great Parents, Great Start                                                      100%                     $5,000,000               100% programming                                blend with Early On, 0-3    funding is required.                                     4- very flexible                   Some ISDs only receive
                                 $5,000,000                  FY05: $3,326,000                                                                             intermediate school                                                        funding
                                                                                                                                                                                  prevention money,           Funding also used                                                                           grants of $6000
                                                                                                                                                          districts.
                                                                                                                                                                                  depending on the need.      for MOE for TANF.
                                                                                                                                                                                  Some target teen parents,
                                                                                                                                                                                  migrant families, etc.
                                                                                                                                     Draft Prepared by The Finance Project 7/22/2010                                                                                                                                  Analysis Page 37




                                                                                                       Estimated funds                                                                                                              Stability of funding for this   Degree of local flexibility in
                                                                                                                                                                                 Aligning/Blending/braidin    Do funds for this                                     administering program (1-4)        Do all children/families who
                                                                              Percent of funds         dedicated to children    Percent of funds                                                                                    program        (Rate 1-4)
                            Revenue Sources and       Revenue from                                                                                                               g? (Y/N) (Note any           program leverage                                      4= Significant local flexibility   need this service have
                                                                              dedicated to children    0-5 and their families   supporting                                                                                          4=Stable and growing
Program                     Expenditures (FY07 unless Previous Years (if                                                                              Flow of Funds              detailed information on      other funds/ in-                                      3= Some local flexibility          access to it? If not, please
                                                                              0-5 and their families   (Column B* D) FY07       programming vs.                                                                                     3=Stable/flat funding
                            otherwise noted)          available)                                                                                                                 how this                     kind resources?                                       2= Limited local flexibility       describe access challenges
                                                                              (Estimate)               unless otherwise         admin expenses                                                                                      2=Some risk of cuts
                                                                                                                                                                                 works/challenges)            (Y/N) (Describe)                                      1= Localities play no role in      or funding gaps?
                                                                                                       noted                                                                                                                        1=High risk of cuts
                                                                                                                                                                                                                                                                    administering program

                                                                                                                                                                                                                                                                                                       There is not enough funding
                                                                                                                                                                                                                                                                                                       to adequately serve children
                                                                                                                                                                                Y-Interagency agreement
                                                                                                                                                                                                                                                                                                       with delays, who do not meet
                                                                                                                                                                                with MDCH, DHS and MDE.
                                                                                                                                                                                                                                                                                                       more strict standard set by
                                                                                                                                                                                Each agency provides early
                                                                                                                                                                                                                                                                                                       state special education. They
                            App. $55 million- Sources:                                                                                                                          intervention services         Y- State and local
                                                                                                                                                                                                                                                                                                       have to serve anyone who
                            Part C, Individuals with                                                                                                                            funded with different         special education
                                                                                                                                                                                                                                                                                                       qualifies under Part C, but
                            Disabilities Education Act                                                                                                                          funding stream. At a local    dollars, in kind
                                                                                                                                                        Funds flow from federal                                                                                                                        not able to serve them
                            (IDEA)-FY07: $13,048,084                                                                            80%                                             level, there is blending      resources,
                                                                                                                                                        Dept of Education to MI                                                                                                                        adequately. Certain
                            State special education      IDEA, Part C:                                                          programming/20%                                 between Early On and          Medicaid. Medicaid
                                                                                                                                                        Dept of Education.                                                       3- (Lindy Bush)        1.5                                            geographic areas (with high
Early On                    dollars: app.. $42 million   FY06: $13,235,161    100%                     $55 million (estimate)   administrative (This                            special education dollars.    could contribute                                      2- limited flexibility
                                                                                                                                                        Formula grants to                                                        (Dawn Ritter)                                                         need) and minorities are also
                            (For more information on     FY05: $13,884,130                                                      applies only to federal                         There are some                more, but
                                                                                                                                                        intermediate school                                                                                                                            not well served. May need
                            funding, see Early On, Early                                                                        funds)                                          requirements that make this   reimbursement rate
                                                                                                                                                        districts.                                                                                                                                     more outreach efforts as well
                            Intervention Fiscal Study;                                                                                                                          blending difficult- for       is low and billing
                                                                                                                                                                                                                                                                                                       as more funding. There are
                            Solutions Consulting Group,                                                                                                                         example, part C requires      requires a local
                                                                                                                                                                                                                                                                                                       also gaps in the healthcare
                            2007.                                                                                                                                               year-round home-based         match.
                                                                                                                                                                                                                                                                                                       side of Early On- contracts
                                                                                                                                                                                services, while special
                                                                                                                                                                                                                                                                                                       with managed care providers
                                                                                                                                                                                education operates during
                                                                                                                                                                                                                                                                                                       do not require them to
                                                                                                                                                                                the school-year at centers.
                                                                                                                                                                                                                                                                                                       adequately assess and refer
                                                                                                                                                                                                                                                                                                       children for services.


                                                                                                                                                                                                              Y- 25% local match
                             $6.247 million;                                                                                                                                                                  required, of which
                                                                                                                                                                                                                                    4-Funding had declined, but
                            Blended funding from: Dept                                                                                                                                                        not more than 10%
                                                          FY06: $4.774 million;                                                                       Funds flow from            Y-Blended funded stream.                           recently increased due to                                          There is a gap in services for
                            of Ed state funds($1.75                                                                                                                                                           is in kind. Many
                                                          FY00: (peak of                                                        94%-direct services   Children's Trust Fund to   Steering committees with                           demonstration of significant                                       children between 4-5 who are
0-3 Secondary Prevention    million)                                            100%                   $6.247 million                                                                                         localities exceed                                   3-
                                                          funding): $7.75                                                       6% administrative     local community            representatives from three                         cost savings from prevention.                                      too old for this program and
                            MDCH state funds                                                                                                                                                                  this requirement,
                                                          million                                                                                     Collaboratives.            agencies and CTF.                                  A $15 million increase has                                         not yet in school.
                            ($524,000), and                                                                                                                                                                   using fundraising,
                                                                                                                                                                                                                                    been proposed for FY08.
                            $4 million in TANF.                                                                                                                                                               United Way, private
                                                                                                                                                                                                              donations, etc.




                                                                                                                                                                                                            Y- Grants are 3
                            $1,050,000. Funding is from                                                                                                                                                     years, with declining
                            federal Community-Based                                                                                                                                                         funds each year.
                            Child Abuse Prevention                                                                                                                                                          Grantees are
                            Grants (CBCAP), income tax                                                                                                                                                      required to provide
                                                                                                                                10% for
                            write-off, children's license                                                                                                                                                   cash and in kind                                        3- Grantees have some flexibility
CTF Direct service grants                                  n/a                50%                      525,000                  administrative        n/a                        Yes, funds are coordinated                       4- Stable and growing                                               n/a
                            plate sales, direct donations,                                                                                                                                                  matches that                                            in how they implement programs.
                                                                                                                                expenses.
                            fundraising, and investment                                                                                                                                                     increase throughout
                            income. (About 25% of                                                                                                                                                           grant period. In
                            annual revenue is federal                                                                                                                                                       final year, grantees
                            funding)                                                                                                                                                                        must have a 100%
                                                                                                                                                                                                            cash match.
                                                                                                                                                                                                            Matching funds may
                                                                                                                                                                                                            be from fundraising,
                                                                                                                                                                                                            private sources, and
                                                                                                                                                                                                            in kind resources.
                                                                                                                                               Draft Prepared by The Finance Project 7/22/2010                                                                                                                                    Analysis Page 38




                                                                                                                Estimated funds                                                                                                                Stability of funding for this   Degree of local flexibility in
                                                                                                                                                                                          Aligning/Blending/braidin      Do funds for this                                     administering program (1-4)        Do all children/families who
                                                                                       Percent of funds         dedicated to children    Percent of funds                                                                                      program        (Rate 1-4)
                                     Revenue Sources and       Revenue from                                                                                                               g? (Y/N) (Note any             program leverage                                      4= Significant local flexibility   need this service have
                                                                                       dedicated to children    0-5 and their families   supporting                                                                                            4=Stable and growing
Program                              Expenditures (FY07 unless Previous Years (if                                                                               Flow of Funds             detailed information on        other funds/ in-                                      3= Some local flexibility          access to it? If not, please
                                                                                       0-5 and their families   (Column B* D) FY07       programming vs.                                                                                       3=Stable/flat funding
                                     otherwise noted)          available)                                                                                                                 how this                       kind resources?                                       2= Limited local flexibility       describe access challenges
                                                                                       (Estimate)               unless otherwise         admin expenses                                                                                        2=Some risk of cuts
                                                                                                                                                                                          works/challenges)              (Y/N) (Describe)                                      1= Localities play no role in      or funding gaps?
                                                                                                                noted                                                                                                                          1=High risk of cuts
                                                                                                                                                                                                                                                                               administering program
                                                                                                                                                                                                                     Many programs are
                                                                                                                                                                                                                     leveraging other
                                                                                                                                                                                                                     funds from varied
                                     FY06: $772,649.58. See                                                                                                                                                          sources. They have                                        3- Significant flexibility, but not
CTF Local councils                                                 n/a                 50%                      $386,325                 n/a                    n/a                       Yes, funds are coordinated to provide a match 4-                                                                         n/a
                                     above for funding services.                                                                                                                                                                                                               allowed to provide direct services.
                                                                                                                                                                                                                     of 50% and at least
                                                                                                                                                                                                                     20% of this match
                                                                                                                                                                                                                     must be a cash
                                                                                                                                                                                                                     match.
                                                                                       40% (TFP estimate
                                                                                       based on MI DHS                                                                                                                   There is no local
                                                                                       Foster Care Fact                                                                                   Aligning of funding most       match requirement;
                                                                                                                                         90% services and                                                                                                                                                         Eligibility must be met for
                                                                                       Sheet, December                                                          Federal to State, State   appropriate; funds may be      it is expected that
                                     Title IV-B, Sub Part 2        FY05:$14,156,264                                                      maximum 10%                                                                                                                                                              specific services funded.
Strong Families/Safe Children                                                          2006, which shows        $5,591,432                                      to Local level via        used for new or enhanced       communities will      1.5                             2.5
                                     estimated $13,978,581         FY06: $13,978,581                                                     administrative costs                                                                                                                                                     Funds not targeted for all
                                                                                       that 40% of state                                                        allocations to counties   services per federal/state     leverage other
                                                                                                                                         (federal cap).                                                                                                                                                           families.
                                                                                       abuse/neglect                                                                                      program parameters.            resources in
                                                                                       caseload is between                                                                                                               addition to these
                                                                                       the ages of 0-6.)                                                                                                                 federal funds.
                                                                                                                                                                MDCH provides funds
                                                                                                                                                                to 16 substance abuse
                                                                                                                                                                regional coordinating                                                                                                                             Outreach and connecting to
                                                                                                                                                                agencies (some are                                       Programs may                                                                             families is the biggest
                                                                                       Majority, since it is
                                                                                                                                                                community health          N- At the state level, there   access different                                                                         challenge. Even for women
                                                                                       more difficult for
                                     Substance Abuse                                                                                                            agencies, some are        is not coordination with       funds, such as                                                                           who are served, they often
                                                                                       centers to serve
Substance Abuse Treatment:           Prevention & Treatment                                                                                                     focused only on           other programs, such as        funding from courts                                                                      could have benefited more
                                                                n/a                    school-age children      $4.5 million             n/a                                                                                                  3- Funding has been flat         3- program level
Designated Women's Programs          Block Grant: Approximately                                                                                                 substance abuse).         Medicaid- this is an area      for court-ordered                                                                        had they been in program
                                                                                       and ensure that they
                                     $6 Million                                                                                                                 Coordinating agencies     where Michigan could           treatment, Medicaid,                                                                     earlier. Parenting classes
                                                                                       get to school.
                                                                                                                                                                disperse funds to         improve coordination.          private insurance,                                                                       are not individualized to the
                                                                                       TFP estimate- 75%
                                                                                                                                                                programs in their area.                                  etc.                                                                                     needs of women recovering
                                                                                                                                                                There are 50                                                                                                                                      from substance abuse.
                                                                                                                                                                designated programs
                                                                                                                                                                statewide.
Family Preservation Programs
                                                                                       40% (TFP estimate
                                                                                       based on MI DHS
                                                                                                                                                                Funds appropriated to
                                                                                       Foster Care Fact
Family Preservation Programs:        Total TANF Funding:                                                                                                        DHS. Competitive bid
                                                                                       Sheet, December
Families First of Michigan, Family   app.$23.2 million. (App.                                                                                                   process for 3 year                                                                                                                                Yes, based on contract
                                                                 n/a                   2006, which shows        $9.28 million            n/a                                              N- Only one funding source N                         3                               1
Reunification Program, Family        $16.9 M for FFM, $3.9 M for                                                                                                contracts to provide                                                                                                                              capacity.
                                                                                       that 40% of state
Group Decision-making                FRP; $2.4 M for FGDM)                                                                                                      these specific program
                                                                                       abuse/neglect
                                                                                                                                                                models
                                                                                       caseload is between
                                                                                       the ages of 0-6.)
                                                                                                                                                                                          Aligning of funding to
                                                                                       40% (TFP estimate
                                                                                                                                                                                          ensure that needs of DHS's
                                                                                       based on MI DHS
                                                                                                                                                                                          most vulnerable children
                                                                                       Foster Care Fact                                                                                                                                                                                                           Service needs for
Family Preservation- Child Safety                                                                                                                               Appropriation from        and families receive
                                                                                       Sheet, December                                                                                                                                                                                                            populations served are
and Permanency Plan (CSPP) &         Total TANF funding est.                                                                                                    legislature to DHS;       appropriate services.
                                                                   n/a                 2006, which shows        $8.88 million            n/a                                                                         No                        3                               2                                  always great, services are
Child Protection/Community           $22.2 million.                                                                                                             allocations to local      Barriers to coordinating
                                                                                       that 40% of state                                                                                                                                                                                                          available to some degree in
Partners (CP/CP)                                                                                                                                                offices                   funds include federal
                                                                                       abuse/neglect                                                                                                                                                                                                              every county.
                                                                                                                                                                                          funding parameters (MOE,
                                                                                       caseload is between
                                                                                                                                                                                          non-supplantation
                                                                                       the ages of 0-6.)
                                                                                                                                                                                          requirements)
                                                                                                                                             Draft Prepared by The Finance Project 7/22/2010                                                                                                                                   Analysis Page 39




                                                                                                            Estimated funds                                                                                                                Stability of funding for this     Degree of local flexibility in
                                                                                                                                                                                       Aligning/Blending/braidin    Do funds for this                                        administering program (1-4)        Do all children/families who
                                                                                   Percent of funds         dedicated to children      Percent of funds                                                                                    program        (Rate 1-4)
                                 Revenue Sources and       Revenue from                                                                                                                g? (Y/N) (Note any           program leverage                                         4= Significant local flexibility   need this service have
                                                                                   dedicated to children    0-5 and their families     supporting                                                                                          4=Stable and growing
Program                          Expenditures (FY07 unless Previous Years (if                                                                                Flow of Funds             detailed information on      other funds/ in-                                         3= Some local flexibility          access to it? If not, please
                                                                                   0-5 and their families   (Column B* D) FY07         programming vs.                                                                                     3=Stable/flat funding
                                 otherwise noted)          available)                                                                                                                  how this                     kind resources?                                          2= Limited local flexibility       describe access challenges
                                                                                   (Estimate)               unless otherwise           admin expenses                                                                                      2=Some risk of cuts
                                                                                                                                                                                       works/challenges)            (Y/N) (Describe)                                         1= Localities play no role in      or funding gaps?
                                                                                                            noted                                                                                                                          1=High risk of cuts
                                                                                                                                                                                                                                                                             administering program


                                 FY06: $11.8 million (50%
                                                                                                            $11.8 million (likely an                                                                                                       2- Poor economy is affecting
                                 state general funds/50%                                                                                                     Local agencies
                                                                                                            overestimate, since                                                                                     Y- State match         localities. State match is                                           Geographic gaps, as
Child Care Fund- In Home         local funds) supports 58                                                                                                    implement programs        Y- Blended state and local
                                                                n/a                n/a                      programs don't only        n/a                                                                          leverages local        constitutionally required, so      4- very flexible                  wealthier country can better
Services                         local programs that serve                                                                                                   with support from local   funds
                                                                                                            serve the Great Start                                                                                   funds                  major factor in stability is local                                   maximize state match.
                                 families with children ages 0-                                                                                              and state funds.
                                                                                                            population.)                                                                                                                   ability to fund programs.
                                 5.



                                                                                                                                                                                                                                                                             2.5- Programs can apply for
                                                                                                                                                                                                                    FY05/06- there was
                                                                                                                                                                                                                                                                             support in four areas: salaries,
                                                                                                                                                                                                                    a required match.
                                                                                                                                                                                                                                           Up until this fiscal year- I      fringes, contractual line item
                                                                                                                                                                                                                    This was eliminated
                                                                                                                                                                                                                                           would have said a 3. The          which can include treatment,
                                                                                                                                                             State earmarks drug                                    in FY07. State
                                                                                                                                                                                                                                           funding has been secure at        testing, law enforcement time,
                                 State funds for 4 family                          70% (based on limited                               8.6% of state funds   court funds- allocated to                              funding of these                                                                            Only 4 programs, so major
Family dependency courts                                       n/a                                        $108,868                                                                     n/a                                                 static rate. We are in serious    supplies (drug testing supplies).
                                 courts: $155,525                                  available client data)                              for administrative    Judiciary. Part of                                     courts has                                                                                  geographic gaps.
                                                                                                                                                                                                                                           financial trouble as a state.     Family dependency courts have
                                                                                                                                                             Judiciary budget.                                      motivated non-
                                                                                                                                                                                                                                           But drug courts are a priority    more flexibility around what other
                                                                                                                                                                                                                    funded localities to
                                                                                                                                                                                                                                           for the state.                    programs they offer to children
                                                                                                                                                                                                                    seek out federal and
                                                                                                                                                                                                                                                                             and families, such as parenting
                                                                                                                                                                                                                    local support.
                                                                                                                                                                                                                                                                             classes.

EARLY EDUCATION AND CARE
                                                               Child Care and
                                                               Development Fund:
                                                               FY05 $228,168,769
                                                               FY06 $243,762,836
                                Total funding (est.):
                                                               Title XX:
                                $448,558,485          Sources:
                                                               FY05 $5,496,380                                                                                                         Braiding - Yes - No
                                Child Care and Development                                                                                                                                                                                                                                                      No waiting lists. However
                                                               FY06 $7,812,944                                                                           From federal                  Challenges. Application
                                Fund $245,772,385                                  FY05: 59%                                      Dollar amounts reflect                                                                                                                                                        eligibility guidelines have
                                                               Title IV-E:                                                                               government to state           process and system reason
Child Development and Care      Title XX: 5,956,100                                FY06:59%       FY07:           $260,163,921.30 100% of programming                                                            No                        2- Some risk of budget cuts       1- state administered program      been narrowed and
                                                               FY05 $3,288,142                                                                           lead agency to                codes determine
                                Title IV-E: $1,910,300                             58%                                            costs                                                                                                                                                                         reimbursement rates have
                                                               FY06 $2,008,920                                                                           providers/clients             appropriate funding
                                TANF: $38,047,300                                                                                                                                                                                                                                                               not increased for many years.
                                                               TANF: FY05                                                                                                              sources.
                                State funds:
                                                               $38,819,874 FY06
                                FY07$156,872,400
                                                               $28,379,197
                                                               State funds: FY05
                                                               $188,823,299 FY06
                                                               $160,882,829
                                Federal discretionary grants
                                for seven Michigan sites:                                                                                                    From federal DHHS
Child Care Access Means Parents
                                $692,012. Grants range in n/a                      n/a                      n/a                        n/a                   directly to local         n/a                          n/a                    n/a                               n/a                                n/a
in School
                                size from $11,895 to                                                                                                         grantees
                                $177,000.

                                                                                                                                                             Funds flow from federal
                                 22 local grantees- funding                                                                                                  Corporation for National
Foster Grandparent Program                                     n/a                 n/a                      n/a                        n/a                                              n/a                         n/a                    n/a                               n/a                                n/a
                                 amounts unknown                                                                                                             Services directly to local
                                                                                                                                                             grantees.
                                                                                                                                        Draft Prepared by The Finance Project 7/22/2010                                                                                                                                    Analysis Page 40




                                                                                                         Estimated funds                                                                                                               Stability of funding for this   Degree of local flexibility in
                                                                                                                                                                                     Aligning/Blending/braidin   Do funds for this                                     administering program (1-4)          Do all children/families who
                                                                                Percent of funds         dedicated to children    Percent of funds                                                                                     program        (Rate 1-4)
                              Revenue Sources and       Revenue from                                                                                                                 g? (Y/N) (Note any          program leverage                                      4= Significant local flexibility     need this service have
                                                                                dedicated to children    0-5 and their families   supporting                                                                                           4=Stable and growing
Program                       Expenditures (FY07 unless Previous Years (if                                                                               Flow of Funds               detailed information on     other funds/ in-                                      3= Some local flexibility            access to it? If not, please
                                                                                0-5 and their families   (Column B* D) FY07       programming vs.                                                                                      3=Stable/flat funding
                              otherwise noted)          available)                                                                                                                   how this                    kind resources?                                       2= Limited local flexibility         describe access challenges
                                                                                (Estimate)               unless otherwise         admin expenses                                                                                       2=Some risk of cuts
                                                                                                                                                                                     works/challenges)           (Y/N) (Describe)                                      1= Localities play no role in        or funding gaps?
                                                                                                         noted                                                                                                                         1=High risk of cuts
                                                                                                                                                                                                                                                                       administering program

                              Federal Head Start funds
                                                                                                                                                         Funds flow from federal
                              supporting 38 grantees:
                                                                                                                                                         Head Start Bureau                                       Yes, required local   4- possibility of increases with                                     Yes, there are often waiting
Head Start                    FY07: $227,734,941;         n/a                   100%                     $227,734,941             n/a                                            n/a                                                                                    3
                                                                                                                                                         directly to Head Start                                  match                 reauthorization                                                      lists.
                              FY06: $231,993,266
                                                                                                                                                         centers



                                                                                                                                                                                     Y- Braiding. Child care
                                                                                                                                                         Funds flow from MI
                                                                                                                                                                                     subsidy dollars can support
                                                                                                                                                         Dept. of Education to
                                                                                                                                                                                     wraparound care when pre-
                                                                                                                                                         public and non-profit
                                                                                                                                                                                     k program is not in session.                                                                                           No, estimate from MDE is
                                                                                                                                  100% of this funding agencies through
                                                                                                                                                                                     A child cannot, however, be                                                                                            that 60% of children who
                                                                                                                                  is for programming.    competitive grants. An
                              State general funds:                                                                                                                                   eligible for MSRP if they are                                                     3- Programs use school readiness     would benefit are not served
                                                                                                                                  There is an additional applicant explains how                                    Program used for 3- however it was proposed
Michigan School Readiness     $12,250,000                   FY06: $12,250,000                                                                                                        part of Head Start or                                                             programs, but there is flexibility   due to limited funding. There
                                                                                100%                     $12,250,000              $300,000 for           many children they                                        TANF-MOE and for for an increase in governor's
Program- Competitive          ($3300 per child for part-day FY05: $12,250,000                                                                                                        Preschool Special                                                                 around serving children full day     are waiting lists in some
                                                                                                                                  evaluation and         could serve in their                                      CCDF match.      budget
                              and $6600 for full-day care)                                                                                                                           Education. MSRP is                                                                vs. half day.                        areas. Also, the program
                                                                                                                                  $300,000 for           grant application; once
                                                                                                                                                                                     considered the funder of                                                                                               does not serve 3-year old
                                                                                                                                  administration         funded, they recruit
                                                                                                                                                                                     "last resort". Classrooms                                                                                              children.
                                                                                                                                                         eligible children and are
                                                                                                                                                                                     may have children
                                                                                                                                                         funded on a per-child
                                                                                                                                                                                     supported with different
                                                                                                                                                         basis.
                                                                                                                                                                                     funding streams.
                                                                                                                                                         Funds flow from MI
                                                                                                                                                         Dept of Education to
                                                                                                                                                         school district/public
                                                                                                                                                         school academy or
                                                                                                                                                         consortium of
                                                                                                                                                         districts/public                                        Program used for
Michigan School Readiness     State school aid funds:     FY06: $72,600,000                                                                                                                                                       3.5- School aid funding is
                                                                                100%                     $78,600,000              n/a                    academies. Allocations Y-Braiding- see above            TANF-MOE and for                                      3 (see above)                        See above
Program- State Aid            $78,600,000                 FY05: $72,600,000                                                                                                                                                       somewhat more stable
                                                                                                                                                         based on pre-                                           CCDF match.
                                                                                                                                                         applications, level of
                                                                                                                                                         need and available
                                                                                                                                                         funds. Like above,
                                                                                                                                                         funding is on a per-child
                                                                                                                                                         basis.
                                                                                                                                                                                   Same teacher standards
                                                                                                                                                                                   and program standards as
                                                                                                                                                                                   state pre-k. However,
                              Part B, IDEA: $12,563,792                                                                                                                            actual blending is
                              State expenditure: minimum                                                                                                 Funds flow from federal challenging since state
                                                                                                                                                                                                                 Y- State and local
                              of $7000 per child if they  FY06: $12,684,160                                                                              Dept of Education to MI funding for special                                                                                                        Entitlement- If they are
Preschool Special Education                                                     100%                     $12,563,792              n/a                                                                            special education     3- stable and flat              1
                              are in a classroom program. FY05: $12,781,221                                                                              Dept of Education.        education does not allow a                                                                                               eligible, they have access.
                                                                                                                                                                                                                 dollars,
                              Total state and local                                                                                                      Formula grants to ISDs. teacher to serve regular
                              contributions unknown.                                                                                                                               and special education
                                                                                                                                                                                   students at the same time.
                                                                                                                                                                                   Programs can, however, be
                                                                                                                                                                                   collocated.
                                                                                                                                             Draft Prepared by The Finance Project 7/22/2010                                                                                                                                    Analysis Page 41




                                                                                                              Estimated funds                                                                                                                Stability of funding for this   Degree of local flexibility in
                                                                                                                                                                                      Aligning/Blending/braidin        Do funds for this                                     administering program (1-4)        Do all children/families who
                                                                                    Percent of funds          dedicated to children    Percent of funds                                                                                      program        (Rate 1-4)
                                   Revenue Sources and       Revenue from                                                                                                             g? (Y/N) (Note any               program leverage                                      4= Significant local flexibility   need this service have
                                                                                    dedicated to children     0-5 and their families   supporting                                                                                            4=Stable and growing
Program                            Expenditures (FY07 unless Previous Years (if                                                                              Flow of Funds            detailed information on          other funds/ in-                                      3= Some local flexibility          access to it? If not, please
                                                                                    0-5 and their families    (Column B* D) FY07       programming vs.                                                                                       3=Stable/flat funding
                                   otherwise noted)          available)                                                                                                               how this                         kind resources?                                       2= Limited local flexibility       describe access challenges
                                                                                    (Estimate)                unless otherwise         admin expenses                                                                                        2=Some risk of cuts
                                                                                                                                                                                      works/challenges)                (Y/N) (Describe)                                      1= Localities play no role in      or funding gaps?
                                                                                                              noted                                                                                                                          1=High risk of cuts
                                                                                                                                                                                                                                                                             administering program
                                                                                                                                                                                   Y- Blending and braiding
                                                                                                                                                                                   with MSRP to support
                                                                                                                                                                                   students in the same
                                                                                                                                                                                   classroom or building. In
                                                                                                                                                                                                                                                                                                                Funding gaps stem from a
                                                                                                                                                          Funds flow from federal some cases, it may be used
                                                                                                                                       No more than10-12%                                                                                                                                                       lack of collaboration.
Title I                            $412,055,363                 n/a                 n/a                       n/a                                         Dept. of Education to    to expand the year for an     No                          3- flat funded                  4
                                                                                                                                       for administration                                                                                                                                                       Programs should be
                                                                                                                                                          MDE to school districts. MSRP program. Also used
                                                                                                                                                                                                                                                                                                                collaborating, not competing.
                                                                                                                                                                                   to support ancillary services
                                                                                                                                                                                   (such as buses) or support
                                                                                                                                                                                   staff for existing preschool
                                                                                                                                                                                   programs.
                                   Three year grants to
                                                                                                              $2175885- Estimate for
                                   Western MI                                                                                                                Funds flow from federal
                                                                                                              both sites in one year.
Early Reading First                University:$3,404,136- To    n/a                 100%                                              n/a                    Dept of Education       n/a                               n/a                   n/a                             n/a
                                                                                                              (Total of two
                                   NW MI Human Services                                                                                                      directly to grantees.                                                                                                                              Only available in limited
                                                                                                              grants/three years)
                                   Agency: $3,123,520                                                                                                                                                                                                                                                           locations in Michigan
                                                                                                                                                                                                                       Y- Increasing local
                                                                                                                                                           Funds flow from fed.                                        contributions are
                                                                                                                                                                                      Y- Even Start supports
                                                                                                                                                           Dept. of Education to MI                                    required during the
                                                                                                                                                                                      partnerships partnership.                                                              2- Some flexibility in how
                                                                                    97% of children                                                        Dept. of Education.                                         four-year grant
William F. Goodling Even Start     Federal Even Start funds:    FY06: $6,718,046                                                                                                      Partners, including Head                                 1- Funding is being cut at    proposals are written (ex.         No, this is a small program
                                                                                    served in first half of                 $2,848,725 94% for programming Competitive grants                                          cycle. If a third four-
Family Literacy Program            $2,936,830                   FY05: $7,070,460                                                                                                      Start/adult literacy providers                           federal level                 programs could be home-based       with limited access.
                                                                                    2007 were ages 0-5.                                                    awarded to                                                  year grant cycle is
                                                                                                                                                                                      can offer Even Start                                                                   or center-based)
                                                                                                                                                           school/community                                            sought, local
                                                                                                                                                                                      program component.
                                                                                                                                                           partnerships.                                               contributions
                                                                                                                                                                                                                       increase to 65%
Early Care and Education Infrastructure

                                   Total Funding: $21,586,400
                                   Sources:
                                   Federal revenue (CCDF,                                                                                                    Federal funding flows to                                                                                                                           They don't have enough
Licensing Program                  SSBG, Title-IV-E):           FY06: $21,754,300   Estimate- 49%             $10,577,336              34%- administrative   MDHS- this is a state-   Braided funds                    No                    3                               3                                  resources to hire enough
                                   $11,813,900                                                                                                               managed program.                                                                                                                                   licensing consultants to
                                   State funds: $9,010,200                                                                                                                                                                                                                                                      respond to centers in as
                                   Licensing fees $762,300                                                                                                                                                                                                                                                      timely a manner as they
                                                                                                                                                                                                                                                                                                                would like.

                                                                                    49% (Estimate of
                                                                                    licensed care serving
                                                                                    children 0-5. (Note,                                                                                                               Being part of ECIC
                                                                                    however that program                                                     Funds from to DHS and                                     allows greater
                                   $719309- Federal child care
Child Care publications contract                               n/a                  also serves unlicensed $352,461                    n/a                   administration is     n/a                                 opportunities to now 2.5                              2.5                                n/a
                                   quality dollars
                                                                                    program. We do not                                                       detailed to ECIC                                          leverage private
                                                                                    know if they are more                                                                                                              funding
                                                                                    or less likely to serve
                                                                                    children ages 0-5.)
                                                                                                                                          Draft Prepared by The Finance Project 7/22/2010                                                                                                                                Analysis Page 42




                                                                                                           Estimated funds                                                                                                            Stability of funding for this   Degree of local flexibility in
                                                                                                                                                                                     Aligning/Blending/braidin   Do funds for this                                    administering program (1-4)        Do all children/families who
                                                                                  Percent of funds         dedicated to children    Percent of funds                                                                                  program        (Rate 1-4)
                                   Revenue Sources and       Revenue from                                                                                                            g? (Y/N) (Note any          program leverage                                     4= Significant local flexibility   need this service have
                                                                                  dedicated to children    0-5 and their families   supporting                                                                                        4=Stable and growing
Program                            Expenditures (FY07 unless Previous Years (if                                                                            Flow of Funds             detailed information on     other funds/ in-                                     3= Some local flexibility          access to it? If not, please
                                                                                  0-5 and their families   (Column B* D) FY07       programming vs.                                                                                   3=Stable/flat funding
                                   otherwise noted)          available)                                                                                                              how this                    kind resources?                                      2= Limited local flexibility       describe access challenges
                                                                                  (Estimate)               unless otherwise         admin expenses                                                                                    2=Some risk of cuts
                                                                                                                                                                                     works/challenges)           (Y/N) (Describe)                                     1= Localities play no role in      or funding gaps?
                                                                                                           noted                                                                                                                      1=High risk of cuts
                                                                                                                                                                                                                                                                      administering program


                                                                                                                                                                                                                 Y- A few of the
                                                                                                                                                                                                                 regional agencies
                                                                                                                                                           Funds from to DHS and
                                   $5,848,898- Federal child                      49% (see above for                                                                                                             are getting small
Child Care Resource and Referral                               n/a                                         $2.86 M                  n/a                    administration is     n/a                                                  2.5                             2                                  n/a
                                   care quality dollars                           rationale)                                                                                                                     amounts of funding
                                                                                                                                                           detailed to ECIC
                                                                                                                                                                                                                 from an outside
                                                                                                                                                                                                                 source.



                                                                                                                                                                                                                                                                                                         There is a need to provide
                                                                                                                                                                                                                                                                                                         more outreach, particularly to
                                                                                                                                                                                                                 Being part of ECIC
                                                                                                                                                                                                                                                                                                         unregulated providers. This
                                                                                                                                                           Funds from to DHS and                                 allows greater
                                   $2,564,764- Federal child                      49% (see above for                                                                                                                                                                                                     population is difficult to reach
Child Care Training                                            n/a                                         $1.3 M                   n/a                    administration is     n/a                             opportunities to now 2.5                             2
                                   care quality dollars                           rationale)                                                                                                                                                                                                             with trainings. However, to
                                                                                                                                                           detailed to ECIC                                      leverage private
                                                                                                                                                                                                                                                                                                         expand services to a broader
                                                                                                                                                                                                                 funding
                                                                                                                                                                                                                                                                                                         population, more funding
                                                                                                                                                                                                                                                                                                         would be necessary.
                                                                                                                                                                                                                 Being part of ECIC
                                                                                                                                                           Funds from to DHS and                                 allows greater
                                   $2,787,970- Federal child                      49% (see above for                                                                                                                                                                                                     All who qualify and chose to
TEACH program                                                  n/a                                         $1.4 M                   n/a                    administration is     n/a                             opportunities to now 2.5                             2
                                   care quality dollars                           rationale)                                                                                                                                                                                                             participate have been served
                                                                                                                                                           detailed to ECIC                                      leverage private
                                                                                                                                                                                                                 funding
                                   Funding:$281,250
                                                                                                                                    100% for                  Funds flow from Head
                                   Federal HS Bureau:                                                                                                                                                                                                                                                    Oral health is a major service
Head Start collaboration                                       n/a                100%                     $281,250                 collaborative activities- Start Bureau to DHS-   N                           n/a                  n/a                             n/a
                                   $225,000 State match:                                                                                                                                                                                                                                                 gap due to limited funding.
                                                                                                                                    not for programming detailed to ECIC.
                                   $56,250

				
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