CalWORKs Program Guide
Special Notice
10-10
Subject
|
CALWORKS PROGRAM GUIDE POLICY FOR
WELFARE-TO-WORK CONTRACT PROVIDER MAXIMUS IN THE EAST AND SOUTH REGIONS |
Reference
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CalWORKs Program Guide Letter No. 216 UPDATES TO WELFARE-TO-WORK PROGRAM GUIDE SECTIONS |
Effective
|
July 1, 2010 – August
31, 2010 |
Purpose
|
The purpose of this Special Notice (SN) is to provide MAXIMUS with
performance measures and documentation requirements through the end of their Welfare-to-Work
(WTW) contract with the The performance measures and documentation requirements in this SN are
for the East and South Welfare-to-Work (WTW) regions, managed by MAXIMUS,
only. The instructions in this SN do not apply to the WTW North and Central
regions. |
Background
|
Due to the WTW contract re-procurement, the new performance objectives
have been updated on the online CalWORKs Program Guide (CPG) and are
effective July 1, 2010. MAXIMUS will be operating off the previous WTW contract and outcome
objectives, thus the new performance objectives do not apply. MAXIMUS will continue to report performance
objectives and provide documentation as required in the current
contract. |
Active CPG Sections
|
The following CPG sections are available on the online Program Guide active
to the MAXIMUS contract, and MAXIMUS is required to follow procedures as
outlined in:
|
10-300 Automated Monthly Progress Report
(AMPR) – Monthly Progress Report (MPR)
|
The
Monthly Progress Report (MPR) documents the performance objectives for the
East and South regions, operated by MAXIMUS.
The following reporting and documentation requirements shall be
completed for the AMPR/MPR:
|
10-300-A. MPR/AMPR
|
County
policy requires the use of Outcome Objectives as established by the Health
and Human Services Agency (HHSA) to serve as performance evaluators for all
regions. The MPR and AMPR, along with
other automated reports, are used to track these performance objectives. MPR The MPR is used to track key performance measures
for all regions. This is a mandatory
form that must be turned in no later than the 20th calendar day of the second
month following the report month. · For example, if August were the report month, the
MPR is due to the County no later than October 20th. · County and Contracted Regions submit the original
copy of their regional MPRs to Strategic Planning & Operational Support
Division (SPOS) CalWORKs/Refugee Program Manager at Mail Stop W414. · The Contracted Regions must also submit a claim for
payment which may be submitted with their MPR. AMPR The AMPR and related reports are used to track the
eight (8) performance outcomes for all regions (see Outcome Objectives). They obtain case data from worker input
into the CalWIN System and provide a statistical breakdown for each worker as
well as each region. To ensure a
proper audit trail, performance measures must be tracked to the individual
participant. For this reason, it is
critical that the AMPR be maintained by recording data in CalWIN on a daily
basis. Regional staff must review the
Preliminary AMPR each month to ensure all the correct data has been captured.
Manual additions must be added to the AMPR for any outcomes claimed on the
MPR that were not captured on the Final AMPR (see AMPR Numerator Additions
and AMPR Denominator Corrections).
1)
Run Dates - The AMPR is distributed twice a month. · The first run, called the Preliminary AMPR, is run
on the 10th calendar day of each month following the report month and
can be used by workers to identify missing data entries. There are two (2) versions of the report: °
MRM317R: Detail listed by Caseload Number and Case
Number; or °
MRM318R:
Detail listed by Caseload Number and Client Last Name. · The second run, called the
Final AMPR, is run the second to last working day of the month following the
report month. The final AMPR can be used by workers to ensure all the correct
data has been captured. There are
three (3) versions of the report: °
MRM307R: Detail listed by Caseload Number and Case
Number; °
MRM308R:
Detail listed by Caseload Number and Client Last Name; or °
MRM309R: Detail listed by Division (Region) and Case
Number. 2)
Interpreting
the AMPR - The AMPR reports ratios between the numerator and the denominator for
each objective. For example: ·
4.*A reports the numerator.
The numerator = number of outcomes achieved; ·
4.*B reports the denominator.
The denominator = number of
potential outcomes possible; and · 4.*C reports the ratio. This is the ratio between actual number of
outcomes achieved (4.*A) and total number of potential outcomes possible or
the pool (4.*B). (For example: 4.*A / 4.*B = 4.*C.) 3)
CalWIN
Entries - Staff is required to
record case activity in CalWIN for the AMPR and other reports that capture the
outcome objectives. (See Matrix of
Outcome Objectives and Required Supporting Documentation.) Performance
Measures Monthly
performance outcome reviews are used to monitor the Outcome Objectives. · The regions are required to review the Summary MPR
published by SPOS each month along with their current records to identify
patterns or trends in areas in which the region is not meeting the target
goals for any of the outcome objectives.
· It is the region’s service provider’s
responsibility to take corrective action to address and prevent these
patterns or trends. · SPOS will also conduct periodic reviews of
performance by region, which may result in a mandatory corrective action
plan, if the region’s performance falls below expected levels. |
10-300-B. Outcome Objectives |
The following Outcome Objectives
shall serve as performance evaluators for the East and South regions: Participation - Outcome Objective (4.1+4.2): The Region’s active CalWORKs/Refugee
participants in both one-parent and two-parent cases shall be participating
in approved work activities for at least 128/140 hours per month (an average
of 32/35 hours per week). Regional
targets for each period are specified in the County’s Re-engineering Plan or
the Contractor’s specific contract. To qualify for this objective a
participant must: ·
Be in active status in the report month; ·
Be known to the CalWIN system in the month prior
to the report month; ·
Be participating in approved work activities for
a combined total of at least 128 hours per month for a one-parent case or
at least 140 hours per month for a two-parent case; and ·
Not be exempt in the report month. Notes: The above Participation Outcome
Objective (4.1+4.2): ·
Is captured on the AMPR as 4.1 for one-parent
cases and 4.2 for two-parent cases and will be combined on the MPR to obtain
the regional percentage compared to the target; and ·
Excludes sanctioned participants from the
numerator (Part A) and the denominator (Part B) for the first three months of
a sanction in a 12-month period. Employment – Participants with Earnings - Outcome
Objective 4.3: The percent of the
Region’s active CalWORKs/Refugee participants engaged in employment. Regional targets for each period are
specified in the County’s Re-engineering Plan or the Contractor’s specific
contract. To qualify for this objective a
participant must: ·
Be in active status on the last day of the report
month; and ·
Be employed during the report month. Note: For
Outcome Objective 4.3 sanctioned participants are excluded from the numerator
(Part A) and the denominator (Part B) for the first three months of a
sanction in a 12-month period. The
AMPR captures these outcome objectives.
Employment – Increase in average hourly wage by two percent (2%) per
year - Outcome Objective 4.7:
The average hourly wage of the Region’s active employed
CalWORKs/Refugee participants shall increase by two percent (2%) per
year. The baseline measurement is
taken June 30th of each year and compared to the average wages on
July 1st of the following year.
For FY 05-06 the baseline measurement for refugee participants is
taken from 8/05. To qualify for this objective a participant must: ·
Be in active status on June 30th of
the report year; ·
Be employed on June 30th of the report
year; and · Have an
hourly wage greater than zero. Sustained Employment – 180 Days Off Aid - Outcome
Objective 4.8: Ninety percent (90%) of the Region’s former
CalWORKs/Refugee participants who exit CalWORKs/Refugee cash assistance
because of employment shall remain independent of CalWORKs/Refugee cash
assistance for at least six (6) consecutive calendar months. To qualify for this objective a
participant must: ·
Have been employed at the time the case closed;
and ·
Remained off cash assistance for six (6)
consecutive months. Report
MRM315R, WTW Employment Discontinuances
for Six Consecutive Months Detail, displays all participants by region
and worker number who met the criteria for this objective. The MRM315R is produced at month end Sustained Employment – Thirty Days Off Aid - Outcome
Objective 4.9: The percent of the
Region’s active WTW participants that exit CalWORKs/Refugee cash assistance
each month due to employment and remain independent of CalWORKs/Refugee cash
assistance for one (1) full calendar month as reflected in the WTW Employment
Discontinuance Over 30 Days report. Regional
targets for each period are specified in the County’s Re-engineering Plan or
the Contractor’s specific contract. To qualify for this objective a
participant must have: ·
Been employed at the time the case closed; and ·
Remained off cash assistance for one (1) full
calendar month. Data
for this objective is found on the MRM316R Report, WTW Employment Discontinuances Over 30 Days Detail, which
displays all participants by region and worker number who met the criteria
for this objective. The MRM316R is
produced the fourth (4th) working day of the month. Self-Sufficiency – Participants Earning $10 per Hour or More - Outcome
Objective 4.11: The percent of
active CalWORKs/Refugee WTW participants by Region earning $10.00 per hour or
more as compared to the baseline established by the Maintain Employment
Services Information screens for May 2005 for CalWORKs and August 2005 for
Refugee. To qualify for this objective a
participant must: ·
Be in active status in the report month; ·
Be self-employed, or engaged in part-time or
full-time unsubsidized or subsidized employment; and ·
Have an hourly wage of $10.00 or more per hour in
the report month. Report
MRM311R, WTW $10 Per/Hr or More Wage Detail,
displays all participants by region and worker number who met the criteria
for this objective. The MRM311R is
produced at month end. Adjustments to
the claims captured by this report are permitted. Self-Sufficiency – Participants with Employer Provided Health
Insurance Available - Outcome Objective 4.13: The percent of active CalWORKs/Refugee WTW
participants by Region who have employer provided health insurance available
as compared to the baseline established by the Collect Employment History Detail window for May 2005 for
CalWORKs and August 2005 for Refugee. To qualify for this objective a participant must: ·
Be in active status in the report month; ·
Be engaged in part-time or full-time unsubsidized
or subsidized employment; and ·
Have employer provided health insurance available
in the report month. Report
MRM313R, WTW Active/Employed
Participants with Health Insurance Available Detail, displays all
participants by region and worker number who met the criteria for this
objective. The MRM313R is produced at
month end. Adjustments to the claims
captured by this report are permitted. Self-Sufficiency – Participants Sanctioned - Outcome
Objective 4.14: The percent of
sanctioned CalWORKs/Refugee WTW participants by Region in the report month. Regions shall insure that the percentage of
sanctioned participants is as low as possible. Report MRM305R, WTW Sanction Cures Detail, displays
all participants by region and worker number who are serving a sanction in
the report month as well as those participants who cure their sanction in the
report month. The MRM305R is produced
at month end. Adjustments to the
claims captured on this report are permitted. Sanctioned participants are excluded from the numerator
(Part A) and the denominator (Part B) for the first three months of a
sanction in a 12-month period for the following Outcome Objectives: · Participation (4.1+4.2); and · Percentage of Cases with Earnings
(4.3). Note:
This also applies to Outcome Objectives that use the numerator (Part
A) or the denominator (Part B) from Participants with Earnings for its
denominator: · 30-Day Exits Due to Employment
(Part B) · Percent of Participants earning
$10.00 per hour or more (Part A) · Percent of Participants with
employer provided Health Insurance available (Part A); and Percent of sanctioned participants
(Part B). Participants who become exempt during the report month are excluded
from the numerator (Part A) and the denominator (Part B) for all Outcome
Objectives. Regions are required to track and report on all
Outcome Objectives. Regions are to ensure the data reported is accurate and
validated. |
10-300-C. Completion of MPR/Retention of Documentation/Data Validation |
The MPR is completed monthly to record all Outcome Objectives for each
region based on data from the AMPR and other reports created by Strategic
Planning & Operational Support (SPOS).
The Regions must submit their MPR by the 20th of the
following month. · County and Contracted Regions turn their regional
MPRs into SPOS CalWORKs/Refugee Program Manager at Mail Stop W414. · Contracted Regions must also submit a claim for payment with their MPR.Revisions to the original MPR are only accepted for invalid claims
identified by SPOS through MPR validation or Data Validation performed by
SPOS program, contracts, and/or internal/external auditors. Revised MPRs must be labeled “revised” with
the revision date; include an explanation of the reason for revision with
participant name and social security number (SSN). Contracted Regions must submit both a
revised Claim for Reimbursement and a revised MPR to SPOS in order to
maintain an accurate audit trail. Note: Deadlines
for the submission of revised MPRs shall be provided by SPOS at the time the
revision is requested. Case files must contain
documentation to substantiate each performance achievement on the MPR. (See Matrix of Outcome Objectives and
Required Supporting Documentation.) The regions must retain supporting documentation for performance
measures for a period of three years or longer (see Note* below). This supporting documentation includes, but
is not limited to: · AMPRs/reports; and · Lists with participant name, SSN, performance
objective claimed, screen prints and/or any other documentation for
additions/deletions to the AMPR; and · Supporting documentation for participation claims
(pay-stubs, attendance reports, etc.). Notes: · The WTW case file must permanently contain
documentation as described in Matrix of Outcome Objectives and Required
Supporting Documentation. · Upon request, this supporting documentation is to
be made available to any Federal, State or County auditor. · *Case
records are to be retained for three years or longer, if any litigation,
claim, negotiation, audit or other action involving the records has been
started before the expiration of the three-year period. The retention period extends until
completion of the action and resolution of all issues which arise from it, or
the three-year period, whichever is less. Data Validation shall be performed at least once
quarterly in both the County and Contracted Regions to verify that the
achievements claimed are supported by CalWIN and required case file
documentation. SPOS reserves the
right to change of frequency of these audits as needed. Data Validation audits documentation to support
achievement of claims for WTW Outcome Objectives and may include but is not
limited to: · Participation,
and · Cases with earnings. The auditor shall conduct Data Validation audits at
all regional sites by reviewing: · Participant case files for required documentation
of participant performance; and · The MPR, attached supplemental lists, and screen
prints of achievements entered into CalWIN subsequent to the AMPR run date to
verify that data entry criteria to achieve credit for an objective was met. Following the testing and documentation of
exception findings, the auditor shall conduct an Exit Interview at each
employment site to provide an opportunity for the site to rebut the Data
Validation exception findings. The regional sites must cooperate with the auditor by providing all necessary documents required to perform Data Validation. |
10-300-D. Exceptions to the AMPR |
For the purpose of claiming a participant for
Outcome Objective 4.3, Participants with Earnings, who are medically exempt,
may be eligible to be counted on the MPR as an achievement when: · The participant was previously active to the
region, and ·
Is on medical
leave from their job, and · The region verifies with the employer by phone or
in writing that participant has a position to return to and the anticipated
date of return. The AMPR collects data on
the second to the last working day of each month. When an achievement is entered into CalWIN
subsequent to the second to the last day of the month, it will not appear on
the AMPR. Credit for these achievements
may be claimed on the MPR; however, achievements claimed on the MPR that do
not appear on the AMPR must be manually added to the AMPR. AMPR Numerator Additions Additions to the AMPR numerator as claimed on the MPR may be in
the form of an attached list or hand written on the AMPR and must include: · Participants name, · Case Number, · ECM number, · Outcome objective claimed, and · An explanation that indicates the reason why the
AMPR did not capture the claim. Note: Any
additions to the Sustained Employment Outcome Objectives 4.8 and 4.9 will be
validated by SPOS in CalWIN as part of the MPR validation process.
Documentation and/or screen prints are only required for the Participation
and Sustained Employment objectives if the CalWIN screens change before SPOS
can view them in CalWIN. If the denominator entered on the MPR differs from the denominator on
the AMPR, the Region must include justification for the change with the
MPR. Deletions from the AMPR
denominator may
be in the form of an attached list or hand written on the AMPR and must
include: · Participants name, · Case Number, · ECM number, · Outcome objective claimed, · An explanation that indicates the reason why the
AMPR captured the claim in error, · A copy of the AMPR detail report page verifying the
Region’s achievement was erroneously captured on the AMPR, and · Screen
prints documenting that the required CalWIN entries have been made for that
objective as specified in the “Who Qualifies?” column of the Matrix of Outcome Objectives and Required
Supporting Documentation.
Documentation and/or screen prints are only required if the CalWIN
screens change before SPOS can view them in CalWIN. Note: The figures on the automated reports for the
Self-sufficiency Outcome Objectives 4.11, 4.13, and 4.14 shall be considered
final. No adjustments to the claims for these Outcome Objectives are
permitted. |
10-300-E/F. Summary Monthly Progress
Report (MPR)
|
Form 27-318 HHSA (Rev. 8/05) is included in this
section as referenced in CalWORKs Program Guide (CPG) section 10-300,
Completion of MPR/Retention of Documentation/ Data Validation and is attached
as a separate page.
|
10-300-G. Matrix
|
The Matrix of Outcome
Objectives section includes the following information:
Objective 4.1: The
Region’s active CalWORKs/Refugee participants in one-parent cases shall be
participating in approved work activities for 128 hours per month (an average
of 32 hours per week)*.
Objective 4.2: The
Region’s active CalWORKs/Refugee two-parent cases shall have a parent or
parents participating in approved work activities for a total of 140 hours
per month (an average of 35 hours per week)*.
Objective
4.3: The percent of the Region’s active
CalWORKs/Refugee participants engaged in employment.*
Objective
4.7: The average hourly wage of the Region’s active
employed CalWORKs/Refugee participants shall increase by 2% per year. The base line measurement is taken July 1st
of each year ** and compared to the average wages on June 30th of
the prior year. *
Objective 4.8
Objective 4.9: The percent of the Region’s active
Welfare-to-Work participants that exit CalWORKs/Refugee cash assistance each
month due to employment and remain independent of CalWORKs/Refugee cash
assistance for one (1) full calendar month as reflected in the WTW Employment
Discontinuances Over 30 Days report.*
Objective 4.11: The percent of active CalWORKs/Refugee WTW
participants by Region earning $10.00 per hour or more as compared to the
baseline established by the PLAC screens for May 2005 for CalWORKs
participants and for August 2005 for Refugee participants.
Objective 4.13: The percent of active CalWORKs/Refugee WTW participants by Region who
have employer provided health insurance available as compared to the baseline
established by the PLAC screens for May 2005 for CalWORKs participants and
August 2005 for Refugee participants.
Objective
4.14: The
percent of the Regions sanctioned CalWORKs/Refugee participants.
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Child Care Impact
|
No Impact |
Quality
Assurance Impact
|
No Impact |
Program Impact
|
No Impact |
Automation
Impact
|
No Impact |
Imaging Impact
|
No Impact |
Forms Impact
|
No Impact |
Operations
Impact
|
No Impact |
ACCESS Impact
|
No Impact |
Assistant
Deputy Director
|
Original signed on 6/30/10. SYLVIA MELENA,
Assistant Deputy Director Self Sufficiency
Programs Strategic Planning
& Operational Support |