Child and Family Services Agency FY10 Budget Questions

1. What is the total number of currently filled FTE positions identified for elimination?
Please provide the title of each position and which program each position is in?
Identify which positions are subject to collective bargaining? How will the loss of
these staff impact service delivery? Is early retirement being offered to those
individuals who are eligible? What was the impetus for the elimination of these
positions?
2. Provide the activities under the Policy Activity (Line 2050).

3. Please provide a detailed listing of how the agency plans to use stimulus funds?

4. The following areas will see funding increases:

• Intake and Investigation Activity (Line 2020) =$2,440,000

• Teen Services Activity (Line 2030) = $1,492,000

What specific activities will be implemented or expanded in each area receiving a

funding increase? Does the increase in dollars represent increasing costs to maintain
baseline or are these TRUE expansions?

5. One of the policy initiatives identified in the proposed budget was the allocation of
$818,959 in one-time funds for build-out cost of CFSA’s Office of Youth
Development (OYD) and provide program space for the new Youth Transition Center
(YTC). Will these funds be used to hire staff as part of the OYD build-out cost? If
yes, how many employees will be needed to fully staff the office? Because this is a
one-time funding allocation, will staffing positions be permanent or time-limited?
Has a program space been identified for the Youth Transition Center? How much of
the $818,959 will be used for build-out cost of the OYD and how much will be used
for the YTC program space? Will this funding be adequate for the build-out cost of
staff and program space or have additional funds been identified for these initiatives?
When will the YTC be fully operational? Please provide a program description for the
OYD and for the new YTC.

6. What is Court Supervision (Line 1099) with zero expenditure for FY08 and FY09 and
$665,000 in FY10?

7. What specific resources will be allocated in FY10 to provide services to children in

the APPLA category aside form the build-out of the Office of Youth Development
and the Youth Transition Center?

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8. The following areas will see funding decreases:

• Foster Care Services (Line 2011) = -$851,000

• Adoption Activity (Line 2040) = -$248,000
• Child Placement Activity (Line 3010) = -$1,089,000
• Health Services and Clinical Support Act (Line 3030) = -$5,909,000
• Licensing and Monitoring Activity (Line 3040) = -$7,360,000
• Adoption & Guardianship Activity (Line 4010) = -$18,203,000
• Supported Service Activity (Line 5010) = -$169,000
• Family Resources Activity (Line 3020) = -$75,000

What specific activities will be eliminated or transitioned in each program receiving a

funding decrease? Will the decrease in funding have an impact on the delivery of
services?

9. Provide a detailed breakdown of plans to use the increase of $1.5 million for the In-
Home program.

10. What was the impetus behind the decision to eliminate Targeted Case Management
(TCM) services through Medicaid? How will these services be provided if not
through Medicaid? Will there be services that will not longer be available? Is it the
expectation that local funding will be used to pay for TCM services and or other
services that will no longer be provided under Medicaid? Provide a timeline for this
transition.

11. Can you identify what services were previously eligible under Targeted Case
Management and how these services will be delivered?

12. What are the documentation requirements for Medicaid? What are the documentation
requirements for Title IV-E? What benefits do you expect to gain from making this
transition?

13. Regarding the transition in claiming Medicaid Rehab Option services, please explain
the differences between the new methodology that will provide payment for specific
discrete services and the current bundled methodology. Please itemize which services
were previously bundled and which services will now be paid for individually. Do
you anticipate that this will cause any disruption in the delivery of these services?

14. What internal inefficiencies has the agency identified regarding the Medicaid
disallowances? What does the future look like for disallowances? Please walk
through a case?

15. Under Cost Savings a total of 16 vacant non social worker positions were slated for
elimination. Are these the only vacant positions identified for elimination? How long
was each position vacant? Provide the title of each position and what unit each
position in? Will the elimination of these positions have any impact on service
delivery?

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16. Under Policy Initiatives, $246,073 in one-time funding is allocated for build-out of
the Special Abuse Unit of CFSA’s Child Protective Services program to co-locate at
the new DC Children’s Advocacy Center (CAC). How many CFSA staff will be co-
located to the new CAC? Will staff from other District government agencies be
included in the co-location? If yes, provide which agencies and the number of staff
from each. When will the co-location be completed?

17. Under Policy Initiatives, $350,000 is allocated to cover the cost of operating the new
CAC. What is the total funding amount for the completion of the new CAC? When
will the CAC be fully operational?

18. The budget supported the continuation of the Grandparent Subsidy Program. How
much funding will be provided for the program in FY10? Is this an increase in
funding from FY09? How many families will be able to be serviced at the funding
level? Will there be a cost of living increase above the 4% supported in the FY09
budget?

19. Under the Mayor’s proposed FY09 budget a $2.5 million program enhancement was
included to “fund continued and intensified development of a broader, more nuanced
array of quality mental and behavioral services for District child welfare clients.” In
the proposed FY10 budget under Protected Programs it states that the proposed
budget will sustain the expansion of mental health services for youth. What is the
FY10 allocation for mental health services for youth in care? How many additional
youth were able to receive services under the FY09 program enhancement? What
additional services were provided under the FY09 program enhancement? If the
FY10 allocation is greater that the $2.5 million allocated in FY09 please provide
detailed information on how the additional funding will be used. If the FY10
allocation is less that the $2.5 million allocated in FY09, please provide a rational for
this decease and detailed information on how this funding loss will impact services?

20. Please explain the increases in Object Code 32 in Table RLO-3 on page E-20.

21. Please explain the decreases in Object Codes 40, 41, 50, and 70 in Table RLO-3 on
page E-20.

22. Please explain the increases and decreases in Object Codes 11-15 in Table RLO-3
Personal Services on page E-20.

23. Are funds available under "The Fostering Connections to Success and Increasing
Adoptions Act of 2008" for FY09? If yes, does CFSA need to make significant
changes in policy and practice to comply with any new requirements in order to
access this funding?

24. In the FY09 budget as part of the Child Placement Activity $511,988 was provided
for the Family Team Meeting Initiative. The proposed FY10 budget supports
sustaining this initiative. How much funding has been allocated for this program in
FY10?

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25. In the Transfers Out section of the proposed budget CFSA will transition services for
medical screening from hospital-based services to agency-based clinic services.
Agency-based medical professional will provide immediate medical screenings.
Please provide detailed information about the transition and how it will work to
ensure timely medical screenings. Do you anticipate a budget impact as a result of
this transition? Please walk through a case?

26. Provide additional information on the new payment rate structure for Psychiatric
Residential Treatment Facilities.

27. Is there money in the FY10 proposed budget for employee parking? If yes, is this an
increase or decrease from FY09?

28. Have all positions within contracting and procurement been filled specifically the
position of Director. If no, have any of these vacant positions been eliminated?

29. In the proposed budget $664,039 in cost saving was identified within the Child
Information Services Administration by using staff resources to support information
technology needs. Provide a program description for the Child Information Services
Administration and a listing of activities within this program? Please specify the
source of this cost savings. Will staff be required to take on additional duties?

30. Under the Cost Savings the Collaborative Council contract was reduced by $544,055
to focus on documentation, quality assurance, evaluation and training supports to the
Collaboratives. Provide detailed information on how the agency plans to support
improvements in these areas? What is the total funding allocated to the Collaboratives
in FY 10?

31. Please specify how the agency plans to use the American Recovery and Reinvestment
Act, which will provide $2,500,000 in Title IV-E federal funding to support services
to children in foster care, training for social workers and staff, training for current or
prospective foster and adoptive parents, and other eligible services. How much
funding will be used for each of the above mentioned activities? Will this funding
represent and increase or decrease from funding allocated for each activity in FY09?
After the one-time stimulus funding has been spent, will the agency look for ways to
annualize these services?

32. The proposed budget allows for the sustaining of the co-location of social worker
support units in the community. What is the total funding allocated for co-location in
FY 10? Does this amount represent and increase or decrease from FY 09? Are there
plans to have workers assigned to cases according to geographic location?

33. The FY09 budget included $357,000 in funding in the development of the Child
Welfare Student Training and Education-to-Practice (STEP) program. The FY10
proposed budget supports sustaining this initiative as a way to promote retention and
recruitment. How much funding is be allocated for this program in FY10? To date,
how many students are in this program? How many students to you anticipate in
FY10?
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34. In the FY09 budget the “Work of the Heart” Respite Program Initiative received
$150,000 in funding. The FY10 proposed budget supports sustaining short-term
respite care for foster care families. How much funding has been allocated for this
program in FY10?

35. How much funding have you allocated for travel in the proposed FY10 budget?