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Home My WebLink About750542.tiff RESOLUTION RE: COUNTY SOCIAL SERVICES PLAN. WHEREAS, on November 5, 1975, the Board of County Commissioners, Weld County, Colorado, did adopt a proposal submitted by the Social Services Department Director, Eugene M. McKenna, to appoint an ad hoc committee composed of department heads that provide human services in Weld County, and WHEREAS, the ad hoc committee possesses those skills whereby it will have the responsibility to develop a unique County Social Services Plan that would stress service, integration and coordination of a feasible plan that would fit the goals and objectives for Weld County for the fiscal year 1976-1977, and WHEREAS, the Board has determined that it would be in the best interests of the County to create said ad hoc committee to serve as the authority to head this study and make recommendations to the Board; and that the members of this ad hoc committee to the Weld County Social Services Department shall be appointed as hereinafter provided, and shall be as follows: Eugene McKenna Ex-officio Members Below Dr. Franklin Yoder Connie Green Walt Soeckman Alice Mack Stan Boyes Betty DeGabin Barton Buss Gordon Bourne Gary Fortner , and Upon determination of who will serve on the ad hoc committee, the said commit- tee shall prepare a service plan for the Board that will assure compliance with present TITLE XX PLAN as it relates to Weld County, attached hereto and made a part hereof by reference. Should such plan be feasible, same will have to be completed by approximately February, 1976. NOW, THEREFORE, BE IT RESOLVED, by the Board of County Com- missioners, Weld County, Colorado, that the ad hoc committee be, and it is hereby created as recommended, and that the first members shall be as herein- above mentioned. The above and foregoing Resolution was, on motion duly made and seconded, adopted this 12th day of November, A. D. , 1975. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO a...--,...,„ '��p ATTEST � ci _ �_..a- i Weld County Clerk and Recorder and Clerk to the Board , ,, `By . 6 .-I,-L.-�c, .C �� ,,( 7(.(,,)', 4/.r, "deputy County Clerk /r APPROVED AS TO FORM: County Attorney S `�4; c 750542 MEMO TO: Glenn K. Billings FROM: Alice Mack Subject: Appointments to Weld County Ad Hoc Human Services Committee In order to complete the resolution establishing the Ad Hoc Human Services Committee, the following names should be added to the resolution: Eugene McKenna, Director, Weld County Department of Social Services, Chairman Dr. Franklin Yoder, Director, Weld County Health Department, member Walt Speckman, Director, Weld County Department of Human Resources, member Stan Boyes, Director, Weld County Extension Department, member Barton Buss, Director, Weld County Department of Management and Budget, member Gary Fortner, Director, Weld County Planning Department, member Connie Green, Executive Director, Weld County United Way, Ex-officio Alice Mack, Director of Human Resources Planning, Jarimer- Weld Council of Governments, Ex-officio Betty DeGabin, Field Supervisor, Colorado State Department of Social Services, Ex-officio Gordon Bourne, Representative, Colorado Human Services Cabinet Council, Ex-officio ft° 4411‘ ‘rj OFFICE OF BOARD OF COUNTY COMMISSIONERS PHONE (303) 353-2212 EXT.221,222&223 P.O.BOX 758 GREELEY,COLORADO 80631 C. COLORADO November 14, 1975 To: Eugene McKenna, Chairman; Walt Specknan, Dr. Franklin Yoder, Gary Fortner, Stan Boyes, Barton Buss; Connie Green, ex-officio; Alice Mack, ex-officio PLum: Glenn K. Billings, Chairman, Board of Weld County Commissioners Subject: Ad Hoc Human Services Committee This memo will serve as notification of your appointment to the Ad Hoc Human Services Committee of Weld County, created by Resolution of the Weld County Commissioners on November 12, 1975. The committee's objectives will be to develop a county Social Services Plan for fiscal year 1976-1977 which will slness services integration and coordination. Said plan is to be developed by approximately February, 1976, and will be based upon the authority contained in the Social Services Amendments of 1974, Title XX of the Social Security Act. The committee will hold its first meeting Thursday, November 20, at 2:00 P.M. , in the Weld County Commissioners' Hearing Room in the Health Building. Although I would anticipate that Mr. Fortner and Mr. Boyes will be participating on an as-needed basis, it is important that all members attend the first meeting. Title XX seems to allow some unique opportunities for development of a local services plan, the effects of which could be significant for the County as well as the State. If you have further questions, please call Eugene McKenna, Director of the Department of Social Services, who will serve as Chairman of the committee at 352-1551 or Alice Mack, Director of Human Resources Planning, J,arimer-Weld Council of Governments, who will staff the committee at 667-3288. (We also anticipate adding a representative from the State Department of Social Services and the State Human Services Cabinet Council to serve as ex-officio members.) Mild* WELD COUNTY COMMISSIONERS GLENN K.BILLINGS VICTOR JACOBUCCI ROY MOSER 4 .1cr itico DEPARTMENT OF SOCIAL SERVICES EUGENE McKENNA DIRECTOR PHONE 1303)352-1551 P.O.BOX A CGREELEV,COLORADO 80631 O November 3, 1975 COLORADO Mr. Glenn Billings, Chairman Mr. Roy Moser, Member Mr. Victor Jacobucci, Member Weld County Board of Social Services 1516 Hospital Road Greeley, CO 80631 Dear Messrs. Billings, Moser and Jacobucci: SUBJECT: Title XX - Social Service Program for 1976-1977 Fiscal Year The Colorado Department of Social Services has advised that planning is underway in the development of a new statewide services plan for the July 1, 1976 through June, 1977 fiscal year. As you may recall, the State and counties are now in- volved in the first year of Title XX which will expire June 30, 1976. Over 21 million dollars of federt—Mlit ing funding is being sprea throughout the counties to provide 19 types of social services through county social services departments. The counties contribute over 5 million dollars more through property taxes. It is therefore important that counties have a strong voice in the choice of services rendered to their citizens to assure that these services are appropriate to the needs of county citizens and that services are coordinated in such a way that any overlap and duplication are eliminated. It is the purpose of this letter to request your involvement and leadership in the development of the Services plan for the next fiscal year. The federal law allows and the State encourages local development of a service delivery system that will recognize local needs. This includes county prioritizing of services when choices must be made because of limited funds. There is a strong possibility that Weld could develop its own unique service plan that would use our service dollars in a wa a wo ds. The State will be making the decisions for those counties who do not take the initiative. It is possible that our plan would be no different than the State's, even after study. Even so, the county would be assured it was the one that is most suitable. WELD COUNTY COMMISSIONERS GLENN K.BILLINGS VICTOR L.JACOBUCCI ROY MOSER Page 2 Messrs. Billings, Moser, and Jacobucci Title XX November 3, 1975 My proposal is simply: 1. That the Board ppoint ad hoc committee of Department heads that provide human services study and make recommendations to the Board. — 2. That this committee consider the feasibility of developing a unique, county social service plan that would stress service integration and coordination. (This can be done by modifying the present Title XX plan as it relates to Weld County.) Should a Weld County plan be feasible, said plan would have to be completed by approximately February, 1976. I have discussed "Title XX" with Alice Mack on several occasions. The type of planning proposed fits in with the goals and objectives developed by COG's Human Resource Committee. -- A copy of the current Title XX Social Service Plan is attached. I am available at your convenience to elaborate further on this proposal. Sincerely,fe—ee:CCCee--C-e--C°-A enna, Di EMCK:rh cc: Dr. Franklin Yoder, Health Department Mr. Walter Speckman, Human Resources Ms. Alice Mack, COG enc. - LARIMER - WELD REGIONAL COUNCIL OF GOVERNMENTS PHONE (303) 667-3288 ROOM 201 201 EAST 4th STREET �---- -"- -'--- LOVELAND. COLORADO 80537 AGENDA �� WELD COUNTY AD HOC HUMAN SERVICES COMMITTEE Commissioners Hearing Room 1:30 p.m. Weld County Health Building Friday 1516 Hospital Drive December 5, 1975 Greeley 1. ROLL CALL: Eugene McKenna, Chairman Connie Green Dr. Franklin Yoder Alice Mack Walt Speckman Betty DeGabin Stan Boyes Gordon Bourne Barton Buss Gary Fortner 2. REVIEW OF OTHER COUNTY SERVICES: Walt Speckman, Director of the Department of Human Resources, and Dr. Franklin Yoder, Director of the Health Department, will provide a summary of the services presently being delivered by Human Resources and the Health Department. 3. HOMEMAKER/NUTRITION SERVICES: Dan Fowler of the Department of Social Services will report on the work done by a previous committee exploring homemaker and nutrition services overlap plus the results obtained from a subcommittee meeting of the Ad Hoc Committee. 4. COMMITTEE SCHEDULE: Chairman Gene McKenna will present a tentative calendar for the Ad Hoc Committee's work schedule. Committee discussion will include determination of the best ways of obtaining public input to the proposed service plan. LARIMER - WELD REGIONAL COUNCIL OF GOVERNMENTS PHONE (303) 667-3288 ROOM 201 201 EAST 4th STREET LOVELAND, COLORADO 80537 MINUTES WELD COUNTY AD HOC HUMAN SERVICES COMMITTEE The first meeting of the Weld County Ad Hoc Human Services Committee was called to order at 2:00 p.m. , November 26, 1975, in the Weld County Health Building Commissioners Hearing Room. 1. ROLL CALL: Members present were: Eugene McKenna, Chairman; Dr. Franklin Yoder; Stan Boyes; Barton Buss; Gary Fortner; Connie Green; Alice Mack; Betty DeGabin; and Judy Griego, representing Walt Speckman. Also present were: Dan Fowler from the Department of Social Services, and Frances from the Extension Office. 2. BACKGROUND: Gene McKenna, Chairman, outlined the proposed goals for the Committee. These include: A. Provide a Title XX services plan that will meet the needs of Weld County citizens within the limits of available resources. B. Integrate services to the extent possible with community agencies to achieve maximum effectiveness. C. Eliminate any overlap and/or duplication of services. D. Prioritize services so that the most important services will receive the most benefit from available funding. Mr. McKenna said that the nature of the Committee was an Ad Hoc status and that it would be disbanded if it proved ineffective. However, Title XX for the first time allows counties to modify what now exists. Dan Fowler from the Department of Social Services continued with background infor- mation on Title XX, saying that it is an amendment to the Social Security Act which gives the State responsibility to devise their own plans,which gives them more flexibility and which also put a ceiling level on funds to the States. Criteria to be followed under Title XX include five basic goals found in the lavender color booklet on Title XX on page 1. Citizen participation in the planning process is also required, but most of all Title XX allows counties some flexibility to determine services with the approval and supervision of the State. Further discussion brought out the fact that one of the express intents of Title XX is to obtain better citizen input into the planning process; that family planning is the only mandated service and that Title XX also opened up services to income eligible persons. There are, in fact, however, less funds in Social Services than previously, and therefore, a need to look at what to provide and who shall provide it. Committee members then discussed implications of Title XX and how much leeway there would be for Weld County to, in fact, determine a service plan. Dan Fowler then defined the 19 services now required under Title XX and Committee members began discussing which of these 19 now overlap other services and discussed possible shifts of responsibility for service delivery. 3. COMMITTEE TASK: Chairman Gene McKenna outlined a suggested approach for the Committee which would include the following: A. Identify and review services that are currently being provided by the Weld County Department of Social Services (isolate the few that may be required by the Federal Government) . B. Identify any services provided by other agencies that are overlapping or duplicative. C. Review the Title XX list of 19 services offered in the current fiscal year and any new ones proposed for the new fiscal year. D. Determine the type and scope of services that are needed in Weld County. Prioritize. Obtain Community review and recommendations. Evaluate and adjust. E. Determine those agencies that can best provide the needed services (this may require realignments or reassignments of responsibilities) . F. Make recommendations to County Commissioners and obtain approval of State, where appropriate. The Chairman then obtained expressions of commitment from Committee members who all agreed that undertaking the task was an important undertaking. 4. FUTURE MEETINGS: Committee members agreed that meetings would be held weekly with the next meeting scheduled for 1:30 p.m. , Friday, December 5, in the Weld County Commissioners Hearing Room in the Health Building. Secretary uttil u'OQaQ Y,12 111112 L',1 ffl1SLi CO R 122=12 AJ1JLLJAL R \JJL * PROJIA :j PrLAcJ O (ni0 Cal 0, J3JLUJ 5759;{:09 DS?];fid3:N 9i 49?Jil'593J1J33L ADDITIONAL ERRATA FOR THE TITLE XX SERVICE PLAN The following corrections are to be included in the final services plan. These corrections are in addition to the four corrections listed in the errata page in the front of the service plan. 1. On page 19, in the second line of the third paragraph, after: "law enforce- ment" add "officials,". 2. On page 25, in fourth line of the second paragraph, after: "retardation" add "by". 3. On page 26, in the "Persons Eligible to Receive Service" column, after: "children placed in foster care by county departments" add an asterisk. 4. On page 27, replace the first paragraph in the service definition with the following: "Services provided to help individuals within their capabilities to secure from available community resources knowledge, information, skills, and motivation leading to employment." In the second paragraph, third line, delete "other" between "or" and "vocational." 5. In Appendix II change number 3 to read: "3. Children placed in foster care by county departments are eligible for day care to supplement the foster care service when: a. the child is in family foster care, and b. the day care is necessary to maintain the child's foster care placement, or c. the child has a special need for day care. 6. On page 7, in the description of category 8, "Persons Eligible Without Regard to Income," change subparagraph (2) to read: "Services directed at the goal of preventing or remedying child and adult abuse, neglect, or exploitation." 7. On page 16, in the table at the bottom of the page, insert an "x" in both the columns labeled, Purchased-Private and Purchased-Public, This "x" in- dicates the availability of purchased physical and psychological examinations, 8. On page 43, at the intersection of the row entitled "Assessment of Need" and the column entitled "All Persons" insert an "x", ERRATA FOR TITLE XX SERVICE PLAN The following additions are included in the final services plan: 1. On page 3, following the second sentence on that page add: "A copy of this plan will be available in each county de- partment for public review throughout the program year." 2. On page 6, after the first sentence in the paragraph describing "Children Placed in Foster Care by County Departments", add: "(These recipients are considered individuals who are eligible be- cause of "income status" described in 45 CFR 228.60.)" 3. On page 47, following the paragraph entitled "Corrections Programs" add the following paragraph: . Food Nutrition Programs: The Division of Food Assistance in CDSS Administers the Food Stamp program through county departments or food stamp district offices. Many persons eligible for Title XX social services are also eligible for food stamps and may be referred by the county de- partment social services' staff to have a determination made of eligibility for food stamps. Aged food stamp recipients may use food stamps to pay for the costs of meals purchased from the meals-on-wheels programs funded through the Division of Services to the Aging or from non-profit communal dining facilities for the elderly that are authorized to accept food coupons by U.S. De- partment of Agriculture. The Division of Food Assist- ance also administers the federal department of agri- culture's surplus commodity program which makes surplus commodities available to non-profit day care centers which may be providing day care services for Title XX services recipients. 4. On page VI-7, following the sentence in the next to the last paragraph add: "These comments will he retained for three years." COMPREHENSIVE ANNUAL SERVICES PROGRAM PLAN The Title XX Social Services Plan for the State of Colorado Period During Which the Plan Will Be Effective . . . . October 1, 1975 - June 30, 1976 State Agency Responsible for Preparing and Ad- ministering the Plan Colorado Department of Social Services (CDSS) Date of Publication September 30, 1975 Authorization to Publish the Plan Henrys . Foley, P . Execut ve Director Colorado Department of Social Services CONTENTS Section Title Page Contents Forward 11 1 Purpose and Content 1 Citizen Participation 2 2 Program Goals and Objectives 3 3 Resources and Sources of Resources to Operate the Program 5 4 Persons Eligible to Receive Services 6 Fees for Services 8 Table A - Maximum Monthly Gross Family Income for Income Eligible Recipients . . . 9 Table B - Where to Apply for Social Services 10 Table C - Fee Schedule 12 5 Availability of Services by Geographic Area . 13 6 Services Catalog 13 Table D - Summary of Services, Persons Eligible and Costs 43 7 Program Coordination and Utilization 44 8 Organizational Structure 48 9 Needs Assessment 49 10 Planning, Evaluation, and Reporting 50 Appendix I Glossary I-1 II Persons Eligible to Receive Day Care Services II-1 III Class II Counties in Which Emergency Homemaker Services May be Purchased. . . III-1 IV Explanation of Differences between Proposed and Final Services Plan . . . . IV-1 V Description of Public Review Process . . V-.1 VI Summary of Public Comments on Proposed Service Plan VI-1 -i- 0, ( *, , �?#, i ttiw 1?EXECUTIVE CHAMBERS L RICHARD D LAMM r'YN7n GOVERNOR TO THE PEOPLE OF THE STATE OF COLORADO: On January 4, 1975, President Ford signed into law the Social Services Amendments of 1974. These amendments also known as Title XX of the Social Security Act, or simply Title XX, give to the States and to individual citizens both new opportunity and new responsibility in the field of social services. In recommending passage of the legislation, the U.S. Senate Finance Committee stated: "The Committee believes that the States should have the ultimate decision- making authority in fashioning their own social services programs with the limits of funding established by the Congress." The challenge of meeting this directive has been met by the State Department of Social Services with the help of the individual counties and many concerned citizens and organizations who have submitted their carefully considered comments. The result of this effort is the Comprehensive Annual Services Program Plan for which this letter serves as a forward. As you review this plan in detail you will find an outline of those social services programs to be provided by county departments of social services from funds allocated by the counties, the state, and the federal government under Title XX. The requirements which families or individuals must meet to be eligi- ble to receive services are also described, along with many other details. One important goal of Title XX is to define measurable social services objectives so that programs which are successful and cost effective may be maintained or expanded, while less successful programs are modified or eliminated. This con- stant reevaluation of social services programs will permit more effective use of limited financial resources, while increasing the human benefits of the various programs. The plan is subject to annual revision and to amendment from time to time to meet changing conditions. It is my hope that concerned citizens and groups will maintain the high level of interest and involvement which has been shown by the response to the proposed Title XX plan. In addition to increased opportunity for involvement in social services planning, this new plan is designed to improve coordination among the many federal, state, county, local and private agencies involved in providing social services to the citizens of Colorado. The combined goals of improved governmental coordination, increased public participation, and more effective monitoring of program results will help us to provide better services at lower cost to those citizens most in need of such benefits. -erely you s, Richard D. La Governor September 17, 1975 SECTION I THE PURPOSE AND CONTENT OF THE COMPREHENSIVE ANNUAL SERVICES PROGRAM PLAN For the first nine month program year, from October 1, 1975 through June 30, 1976, Title XX makes close to twenty-two million dollars of federal money, called federal financial participation (FFP) , available to Colorado to pay for about seventy-five percent of the cost of providing services to low income individuals and families. The remainder of the costs are paid from state and county funds. The services must be directed toward the goals of: 1. Achieving or maintaining economic self-support to prevent, reduce, or eliminate dependency; 2. Achieving or maintaining self-sufficiency, including reduction or prevention of dependency; 3. a. preventing or remedying neglect, abuse, or exploitation of children and adults unable to protect their own interests, or b. preserving, rehabilitating, or reuniting families; 4. Preventing or reducing inappropriate institutional care by providing for community-based care, home-based care, or other forms of less intensive care, and 5. a. securing referral or admission for institutional care when other forms of care are not appropriate, or b. providing services to individuals in institutions The first Title XX program year will be nine months, beginning October 1, 1975 and ending June 30, 1976; thereafter the Title XX program year will be twelve months long to correspond with the fiscal year of Colorado state government. The second Title XX program year will be from July 1, 1976 through June 30, 1977. The Colorado Department of Social Services (CDSS) prepared this service plan to provide a comprehensive description of: . the program goals and objectives . the individuals to be served by the program . the services available under Title XX . an estimation of individuals to be served and expenditures . the funds with which Colorado intends to finance its program . the coordination with and utilization of other programs . the organizational structure through which the program will be administered . the needs assessment process used in developing the plan . the planning, evaluation, and reporting activities to be conducted as part of the program The material in this plan follows the requirements of the U.S. Department of Health, Education and Welfare as specified in 45 CFR Part 228. The federal regulations allow the state much flexibility in devising a social services program. The State of Colorado has the responsibility for determining: -1- 1. the objectives of the Title XX Social Services program 2. the types of social services which will be provided under the Title XX services program 3. the persons who will be eligible to receive social services under the Title XX services program The primary purpose of the services plan is to provide information about the services offered so that individual citizens and concerned organizations are not only fully informed as to available services, but are offered an opportunity for comment and participation in the decision-making process as the plan is updated or changed. CITIZEN PARTICIPATION Citizen participation in the decision-making process can come from different sources. Citizen participation in the form of volunteer service on advisory or decision-making councils within the state and county departmental structure and through direct volunteer services to people through the county departments is an ongoing type of participation which allows a citizen to become familiar with specific or broad program areas or to provide direct services to people. The various councils are described on page 49 of the services plan. Public meetings will be held by the county departments in January of 1976 to discuss the state's Title XX services program and to obtain input for the services plan for fiscal year 1976-77. Persons who want to participate in these meetings should contact their county department of social services so the county department can contact them when the details of the meetings are finalized. The State Board of Social Services normally meets the first Friday of every month in Room 711, 1575 Sherman Street, in Denver. Comments about the Title XX services program are welcomed at any of their meetings. Because State Board meeting dates and locations are sometimes changed, the State Board Secretariat should be contacted by calling 892-3535 in Denver, or by writing: State Board Secretariat Colorado Department of Social Services 1575 Sherman Street Denver, Colorado 80203 The State Board Secretariat will provide information about the State Board's meeting date, meeting location, and the approximate time during the meeting when public comments will be heard, The services plan may be amended during the program year. Public notice of any amendments to the service plan will be made prior to approving the amend- ments. This notice will appear in the selected Colorado newspapers. Public comment about the amendment will be received in writing for thirty days after the amendment is announced. Copies of the amendments will be available from the state department and county department of social services. The proposed service plan for the period July 1, 1976 - June 30, 1977 will be published prior to April 1, 1976. When this proposed service plan is published, there will be a 45-day period for public comment. Announcement of the publication of this plan will appear in selected Colorado newspapers. -2- Each county department of social services has the responsibility for adminis- tering the Title XX social services program. Citizens are encouraged to contact the director of their county department if they have comments about the social services program. Persons having questions about the content of this services plan may contact the director of their county department of social services or submit their question in writing to: Division of Title XX Services Colorado Department of Social Services 1575 Sherman Street Denver, Colorado 80203 Such questions will receive a written reply. SECTION 2 PROGRAM GOALS AND OBJECTIVES The five goals of the program were stated on page 1. These goals represent broad statements of the purpose of the services program operated by the state and county departments, and they promote conditions of individual and family life which Congress and the President have deemed desirable for all citizens. A variety of methods, techniques, and programs can be employed in the process of seeking to attain these goals. The objectives for the services program which are specified below represent what the Colorado Department of Social Services intends to accomplish through its service program. The process of arriving at objectives related to complex human beings which are stated in measurable terms and which are useful for assessing program results is difficult. The objectives stated below are meaningful in terms of the desired effects on the people served by the program but will be modified as experience is gained under the program to provide a higher degree of specificity. In particular, the objectives are not specific about numbers of people or the costs related to the objective. However, the objectives provide a framework for dialogue and further refinement. The objectives are normally constructed so that the groups of persons to whom the objective applies are specified, a desirable form of action by the various agencies administering the service program is specified, and the desired end is stated. In many instances, the desired end is appropriate for more people than the groups of persons served, consequently, a more universal group cannot be specified. In other instances, the objectives seem to be unrealistic because of economic conditions or legally-imposed restraints on actions necessary to meet the objectives (especially those objectives pertaining to abuse, neglect and exploitation.) These and similar conditions or restraints do not make the objectives invalid, but rather more dif- ficult to attain. OBJECTIVES OF THE TITLE XX SERVICES PROGRAM 1. To refer all persons requesting services to appropriate resources. 2. To increase the employment of AFDC, SSI, other assistance payments -3- recipients, and income eligible recipients. 3. To assist in solving individual and family problems in AFDC families, of SSI and other assistance payments recipients, and for Child Welfare Service recipients. 4. To provide day care which is an alternative to parental care for a portion of the day for children in AFDC, SSI, and other assistance payments families and in income eligible families when such care is necessary to allow the parents of the children to become self- sufficient or self-supporting. 5. To assist AFDC, SSI and other assistance payments recipients, and developmentally disabled persons to increase their education and training through private and public community resources. 6. To assist AFDC, SSI, and other assistance payments recipients to obtain necessary health care. 7. To assist AFDC, SSI, and other assistance payments recipients and Child Welfare recipients to reduce unwanted pregnancies and to help them control the size of their families. 8. To assist AFDC, SSI, and other assistance payments recipients to locate adequate housing or to improve the condition of their present housing, and to participate in the planning for development of adequate housing for the recipients including the development of special housing for elderly, disabled, and handicapped recipients. 9. To prevent the occurrence or re-occurrence of neglect, abuse, or exploitation of children or adults unable to protect their own interests. 10. To investigate promptly all reports of abuse, neglect, or exploitation of children or adults. 11. To provide forms of care which are alternative to parental care for children and youth, including runaway youth, when necessary to pro- tect the child or young person. 12. To prevent the inappropriate institutionalization of children, youth, and adults, when desirable, by assisting them to remain in their own homes or community-based care. 13. To divert youth in trouble from the juvenile justice system. 14. To prepare youth, who are of sufficient age, for emancipation and independence when the family environment is not conducive to the youth's return. 15. To promptly place all children who are legally free or expected to be legally free for adoption, in a permanent home where the adopted child will have the same status as a natural child born to the family. 16. To help the communities of Colorado develop and improve community social services programs, including the development of community-based facilities for the aged and youth in need of such facilities, and to help the community coordinate its social services program. -4- SECTION 3 RESOURCES AND SOURCES OF RESOURCES TO OPERATING THE PROGRAM Estimated expenditures to operate the Title XX services program is the sum of the estimated costs associated with each service which is $28,784,000. These dollars will come from the federal, state, and county governments and donated funds. The following is an estimate of the sources of resources to operate the Title XX program for the period October 1, 1975 - June 30, 1976. Source Amount Federal Government (Title XX) $ 21,750,000 State General Fund 1,350,000 County Governments 5,398,000 Donated Funds (from private, not 286,000 for profit organizations) TOTAL $ 28,784,000 The estimated aggregate non-federal expenditures for the period July 1, 1974 - June 30, 1975 are $15,225,000. For the period July 1, 1975 - June 30, 1976 the aggregate non-federal expenditures are estimated to be $9,379,000. -5- SECTION 4 PERSONS ELIGIBLE TO RECEIVE SERVICES The following persons may be eligible to receive services under the Title XX services plan: (however, persons who are eligible to receive services because they are included in one of the groups described below are not eligible to receive all services indicated in the service catalog - only those persons described in the "Persons Eligible" column for each service are eligible for that specific service.) 1. AFDC recipient: A recipient of financial assistance from the Aid to Families with Dependent Children (AFDC) program under Title IV-A of the Social Security Act, or an individual whose needs were taken into account in determining the needs of the recipient of AFDC. This includes all recipients of AFDC/Foster Care (AFDC/FC) . 2. SSI recipient: Any aged, blind, or disabled individual (including children) to whom financial assistance is being paid through the Supplemental Security Income (SSI) program under Title XVI of the Social Security Act, or any individual whose income or resources are taken into account in determining the eligibility of another individual for SSI benefits. This includes those individuals who are receiving benefits from the Colorado Supplement to the SSI program (SSI-CS) . 3. Other Assistance Payments Recipient: Any individual who is receiving financial assistance from Colorado's Aid to the Needy Disabled (AND) program, Aid to the Blind (AB) program, or Old Age Pension (OAP-A and OAP-B) program, or individuals whose income or resources are taken into account in determining the eligibility of another individual for financial assistance from the programs. 4. Children placed in Foster Care by County Departments: Children placed in foster care outside their own home as a result of court action or by the voluntary request of a child's parents or guardians when the foster care placement is made and supervised by the county department. Included in this definition are significant relatives of the child in placement. Parents of children in foster care will be charged fees for the cost of basic care in accordance with Colorado law. 5. Medicaid Recipients: Persons who are eligible for and receiving benefits from the Medicaid program under Title XIX of the Social Security Act and who is not an AFDC, SSI, or other assistance payment recipient, or a child placed in foster care by the county department. (These recipients are considered individuals who are eligible because of "income status" described in 45 CFR 228.60.) Title XX services cannot be provided to the Medicaid recipients living in hospitals, prisons, or the Colorado Home and Training Schools in Grand Junction, Pueblo, and Ridge. Title XX Services are available to persons living independently in the community or in private nursing homes. 6. Income Eligible Recipients - Subgroup A: Persons not included in the eligible groups described above and who meet the following eligibility criteria: (1) They are the members of a family in which the family's monthly gross income does not exceed the maximum income specified in Table A for Subgroup A; and -6- (2) they require services because of any one of the following conditions: (a) Services are necessary to attain the goal of preventing or remedying neglect, abuse, or exploitation of children or adults; or (b) they are children who have a "special need for day care", as defined in the glossary; or (c) they are a "developmentally disabled person", as defined in the glossary; or (d) they are children who are legally free or expected to be legally free for adoption. 7. Income Eligible Recipients - Subgroup B: Persons who are not included in the eligible group described above and who meet the following eligibility criteria: (1) They are the head of a single-parent household; (2) the parent is employed full-time which means a minimum of 30 hours per week or 130 hours per month; (3) the parent requires day care services for the parent's children, to maintain employment; and (4) the family's gross monthly income does not exceed the maximum set forth in Table A for Subgroup B. Persons in this sub-group are eligible for day care services only. 8. Persons Eligible Without Regard to Income: Persons who are not included in the eligible groups described above. Persons eligible without regard to income are eligible for two services : (1) Information and Referral (2) Services directed at the goal of preventing or remedying child (but not adult) abuse, neglect or exploitation. The persons in the above categories eligible to receive specific services are described in the service catalog. For certain services special conditions must be present before the person is eligible for the services. For example, some services are provided to the developmentally disabled persons. These persons must satisfy the eligibility criteria specified above and must be developmentally disabled. Within the different categories of persons eligible to receive services are in- dividuals whose unique disability, behavior pattern, or situation more definitely identifies them. For example, such individuals may he runaway youth, mentally retarded, drug abusers, alcoholics, disabled, or aged. These persons may be eligible for a service contained in the service catalog if they are included in the description of persons eligible to receive that service. Title XX social services cannot be provided to individuals living in hospitals, prisons, or the Colorado Home and Training Schools at Grand Junction, Pueblo, and Ridge even though those individuals may be eligible because they are in- cluded in the description of persons eligible to receive services. Only certain services described in the service catalog may he provided to individuals residing in skilled nursing facilities (SNF) or intermediate care facilities (ICF) . If a service can be provided to an individual residing in a SNF or ICF it will be stated in the description of the service in the service catalog. -7- (45 CFR 228.44 restricts the delivery of Title XX services which may be provided to individuals living in hospitals, SNF's, ICF's, and prisons by establishing a number of conditions which must be met to enable the state department to receive FFP for the costs of those services.) Recipients of services under Title IV-A and Title VI of the Social Security Act on September 30, 1975 may continue to receive those services until their eligibility for Title XX services is determined, but in no event later than December 31, 1975. This phase-in of eligibility affects many Title IV-A and VI services recipients who were eligible for services because they were classified as "former" or "potential" recipients of AFDC. No such category is allowable under Title XX. However, many of the "former" and "potential" recipients should be eligible for services because they are included in either "Income Eligible - Subgroup A" or "Income Eligible - Subgroup B". All persons may request services and have their eligibility for services determined by staff of the county department of social services in the county in which they reside. Table B is a list of the addresses, telephone numbers, and names of the directors for each county department of social services. Within a given county all eligible individuals in a given category will be offered the same services. FEES FOR SERVICES Fees will be assessed and collected from persons who are in (1) Income Eligible - Subgroup A, and (2) Income Eligible - Subgroup B, who are also recipients of either day care or foster care services which are purchased by the county department. Table C is the fee schedule used for assessing fees. -8- • —6— -+ v. my a) N• o Hi G G I N 0 H' W •mod N 0 Ca30. C au.n •�W u $. •0 3+ 4-• H W O C O '0 v CO H HI 3. 0 '0 0 - 6 P. 0)- <r)- 'O w Cd • .C .fi G t CU H '0 N � .C G u 0 A N •ai N � 'r4 td b0 b0 $ X f- 40 4) .,{ H.1 ra >, 3 td `° N en S. w N O)- •E'44 x cal LH 44 U E C al >, an- « w ,4 a) m M Q N .0 H •• .-1 A C) 4-I >,'0 J) HI 34 E •.X+ O O 9414 'a O y W N L L U 4-I 0 0 C G C w co •rl m Hi al alm . ro C W 00 v w+ G a0 4.1 JJ 1) H o m ,J u HI Ca G '-0. Cn 0 3. CO a) 0 •ral N O CO C) U ,I P. "0—I U) "0'O N .� a• H U ..) ..1 '0 N •r. Hi G an- an- td w E ,H N co E •-• O a) ell al Wed Cl a F4 0 ).. H W C O 0 a. b 00 0 0 3. CO HI v td •.' td '0 v • _0 .I w A 4.1O G 8 a) .O U to O H 00 O ' CO .rl d a' ,0 w G W '0 O $. .-J O W. a, N. N H N U N G .-1 CO H Han- W 0 o 1. A E a) H a. 0 0 4 N W v U L W 14 N •.1 a) >, co A C a) G N H o CO 'rl v Cl a.'HI o o E 3 .0 co al O co m H G w co 0 0 a) C r^H v 6 .I --I Cl 01 O, H E bO'�N 9.1. •rl W ^al O u 'n-199 <- ri v >m 44 0)- >, CO o a o ^ as N H •rl N E �' 0 •.Ci W cU C w `� E Ski '0 G b N F-1 ral 0 M 3+ '0 0 a• O td N C td C N U aI 0 '0 E G C '0 w > fad1 a) w td 0 N N FC H H 0 cn el E P H 3. G r• M -t In W '0 N d 0 a) 0 CO '0 O • 0 0 >, v ,O ,0 E E A C) H E v v v v H <0- an- 0 H 0 E O N '0 NNNN «1 H U X CO U 3. a) HI '4 •H •rl .t E N •.C4 E I A 3. O N u W N N A NN 4 O 14 >, >, >, >, 4-1 0i CO >, a) a) W Q H r-1 r-1 r1 •rl co HEI ) .Ha 4-1 0 v 0N) .i .1 E A rZ 1.4 ti N H N al W e 9. 0 •rl td .4 W U H W .C. ,i W C 1>-1 C •• P 4 14 P LI >' ka cn N I W a) ~ m O 3. W W W WP '�A 0 O a) 3+ >, P N 0 CD •0 0 a) 0 • I X 0. • W E C E E C) u M O a d c4 7, Cr—CO C E E IN a) +� a 0 0000 0 N ra o ff O+ a.W Hun G G G G G C E a. 0. A r. = O)- 0 .-1 al W 0 Hi Hi •rl •rl HI 0 00 00 C ^ 3. G 14. N H V W CO G000 G G ' 111 •H 3. P 0 a) 0 •rl OD•.. 4-1 0 A N a1 td N N X a) 00 00 E H W co A co CO 4. a •rt •rl •rl .•. •rl td H A A 0. a-) 0 a) - •rl >9 V) '0 '0 ad '0 co A G G E E v A Cn E 3. 'a H v v v v •ra m cn G ro ,-+ o m .+ $+ E E E E >, .i I I .rr1 N N 0 00 .G T, a) E ,N W W 4a 4-I H.1 H X T r-I 44 w4-1 •.a w 0 0 0 0 E W a) a) N H 3. •r, m W an d) H H E •r1 O 0 a) N m •.4 .,4 td a) e o 6 o W CO A A E w > 3. al N •C O E In O in O C •rl •.. CU N G E' al a) P 0 N. N. -0 t0 P O CO •� 00 4_I L w 0) •H U N $. O. w C W C H) ) 4 •..X U w 'I •,4 w C w ClW ,.G E0 0 M aJ a) CU HL U) •> M -4 U v9-I 0 r.) •.Gi o aa)) an- •rEl C m 3 C •rr4 co 0 g 0 al C) G > m 0 < d C) G 0 d Xd b H H W O H a) .C E 3. al ,O CO E N b co tir 0 >1 4..) 000 A c0 0 a) H O a) 'C •r(I) 0 .C •r. O N 4. ,C H i— J * a.w U i H w .- N CO H td TABLE B LOCATION WHERE INDIVIDUALS MAY APPLY FOR SOCIAL SERVICES WHICH ARE AVAILABLE UNDER THE TITLE XX "COMPREHENSIVE ANNUAL SERVICE PROGRAM PLAN" Addresses of County Department of Social Services COUNTY NAME ZIP AND NUMBER DIRECTOR PHONE ADDRESS TOWN CODE 1 Adams Paul L. Rayman 287-8831 4200 E. 72nd Ave. Commerce City 80022 2 Alamosa Leland R. McDaniel 589-2581 610 State Ave. Alamosa 81101 3 Arapahoe Braidwood Robinson 798-8461 5606 S. Court P1. Littleton 80120 4 Archuleta Vernie Harris 968-5530 Courthouse Pagosa Spgs. 81147 5 Baca Delbert Williams 523-4131 Courthouse Springfield 81073 6 Bent Bert Hansen 456-0515 215 E 2nd Las Animas 81054 7 Boulder Lew Wallace 442-2828 3400 Broadway Boulder 80301 8 Chaffee David Sommerhauser 539-6627 125 G Street Salida 81201 9 Cheyenne Carey C. Beek 767-5646 Courthouse Cheyenne Wells 80810 10 Clear Creek Virginia Cattermole 893 1886 Courthouse Georgetown 80444 11 Conejos - 376-5455 Courthouse Conejos 81129 12 Costilla Marbella V. Smith 672-3376 123 Casper St. San Luis 81152 13 Crowley Thomas 0. Hobbs 267-3546 Courthouse Annex Ordway 81063 14 Custer Arlie Riggs 783-2371 Courthouse Westcliffe 81252 15 Delta Joseph T. Clark 874-4489 P.O. Box 79 Delta 81416 16 Denver Orlando Romero 292-4100 320 W. 8th Ave. Denver 80204 17 Dolores Ogrita B. Vinger 677-2250 Courthouse Dove Creek 81324 18 Douglas Eldon L. bourquin 688-4825 224 Front St. Castle Rock 80104 19 Eagle George B. Thatcher 328-6328 Courthouse Eagle 81631 20 Elbert Charles B. Hawker 541-2369 325 Pueblo Simla 80835 21 El Paso Alfred L. Gillen 471-0600 108 No. Spruce Colo. Springs 80901 22 Fremont Franklin S. Vecchio 275-2319 Courthouse Canon City 81212 23 Garfield Ronald R. Johnson 945-5606 801 Colorado Ave. Glenwood Spgs. 81601 24 Gilpin Virginia Cattermole 582-5444 Courthouse Central City 80427 25 Grand Michael J. Rock 887-3569 413 Agate Ave. Granby 80446 26 Gunnison W. Anne Steinbeck 641-1010 200 E. Virginia Gunnison 81230 27 Hinsdale W. Anne Steinbeck 641-1010 200 E. Virginia Gunnison 81230 28 Huerfano Christine R. Schmidt 738-2810 121 W. 6th St. Walsenburg 81089 29 Jackson Betty L. Sevison 723-4750 Courthouse Walden 80480 30 Jefferson Nelson Nadeau 232-8632 8550 W. 14th Ave. Lakewood 80215 31 Kiowa Francis E. Frazee 438-5541 Courthouse Eads 81036 32 Kit Carson Ida B. Stone 346-8732 251 16th St. Burlington 80807 33 Lake Mark Tandberg 486-0772 P. 0. Box 884 Leadville 80461 34 La Plata Robert C. Agard 247-3572 1060 2nd Ave. Durango 81301 35 Larimer Martin C. Coker 493-0750 200 W. Oak Fort Collins 80521 667-6242 Loveland 80537 -10- TABLE B (Continued) LOCATION WHERE INDIVIDUALS MAY APPLY FOR SOCIAL SERVICES WHICH ARE AVAILABLE UNDER THE TITLE XX "COMPREHENSIVE ANNUAL SERVICE PROGRAM PLAN" Addresses of County Department of Social Services COUNTY NAME COUNTY AND NUMBER DIRECTOR PHONE ADDRESS TOWN ZIP CODE 36 Las Animas William Kancilia 846-2276 204 S. Chestnut Trinidad 81082 37 Lincoln Linda Fairbairn 743-2404 Courthouse Hugo 80821 38 Logan Robert B. Niemann 522-2194 Courthouse Annex Sterling 80751 39 Mesa John C. Patterson 243-9200 6th & Rood Grand Junction 81502 40 Mineral Robert W. Beals 657-3381 Courthouse Del Norte 81132 41 Moffat Emery E. Jones 824-6030 Courthouse Craig 81625 42 Montezuma Maurine L. McNeill 565-3769 E Main Street Cortez 81321 43 Montrose Richard Patrick 249-3401 121 So. Townsend Montrose 81401 44 Morgan Earl Bosier, Jr. 867-8291 Courthouse Fort Morgan 80701 45 Otero William J. Ziegler 384-8162 3rd & Colo. Ave. La Junta 81050 46 Ouray Mary L. Tjossem 325-4637 Courthouse Ouray 81427 47 Park Marshall McClung 836-2929 Courthouse Annex Fairplay 80440 48 Phillips Andrew Feldman 854-2280 Courthouse Holyoke 80734 49 Pitkin Marion Stewart 925-7245 506 E. Main Aspen 81611 50 Prowers Stella Love 336-7486 900 Maple Street Lamar 81052 51 Pueblo James H. Walch 543-8000 212 W. 12th St. Pueblo 81003 52 Rio Blanco Esme Conrado 878-5856 6th & Main Sts. Meeker 81641 53 Rio Grande Robert W. Beals 657-3381 Courthouse Del Norte 81132 54 Routt Emery E. Jones 879-1540 136 6th St. Steamboat Spgs. 80477 55 Saguache Margaret E. Raby 655-2614 501 Fourth St. Saguache 81149 56 San Juan Robert C. Agard 387-5631 1557 Greene St. Silverton 81433 57 San Miguel Kathyrn Critchell 728-3922 Courthouse Telluride 81435 58 Sedgwick Raymond Smikahl 474-2626 Courthouse Julesburg 80737 59 Summit Michael J. Rock 453-2561 Courthouse Breckenridge 80424 60 Teller Dolores Wzontek 689-2525 Courthouse Cripple Creek 80813 61 Washington Frederick Crawford 345-2238 Courthouse Akron 80720 62 Weld Eugene McKenna 352-1551 315 No. 11th Ave. Greeley 80631 63 Yuma Floyd Murphy 332-4877 Courthouse Wray 80758 -11- TABLE C • FEE SCHEDULE Amount of FAMILY SIZE fee to be (Adults in Family Plus Children in Family) paid by individual or family 1 2 3 4 5 6 7 0 0-246 0-322 0-398 0-473 0-549 0-624 0-639 $ 2.00 247-266 323-342 399-418 474-493 550-569 625-644 640-659 4.00 267-286 343-362 419-438 494-513 570-589 645-664 660-679 6.00 287-306 363-382 439-458 514-533 590-609 665-684 680-699 8.00 307-326 383-402 459-478 534-553 610-629 685-704 700-719 10.00 327-346 403-422 479-498 554-573 630-649 705-724 720-739 ' 13.00 347-366 423-442 499-518 574-593 650-669 725-744 740-759 16.00 367-386 443-462 519-538 594-613 670-689 745-764 760-779 19.00 387-406 463-482 539-558 614-633 690-709 765-784 780-799 22.00 407-426 483-502 559-578 634-653 710-729 785-804 800-819 25.00 427-446 503-522 579-598 654-673 730-749 805-824 820-839 28.00 447-466(461; 523-542 599-618 674-693 750-769 825-844 840-859 31.00 467-486 543-562 619-638 694-713 770-789 845-864 860-879 34.00 48z- 06(4924 563-582 639-658 714-733 790-809 865-884 880-899 37.00 507-526 583-602 659-678 734-753 (823, 885-904 4 900-919 90-919 40.00 527-546 603-622(603; 679-698 (695) 754-773(768) 810-829 43.00 547-566 623-642 699-718 774-793 850-869 925-944(936) 940-959(958) 46.00 567-586 ¢41-662(643 719-738 794-813 870-889 49.00 587-606 663-682 739-758 814-833 890-909 965-984 980-999 52.00 607-626 683-702 759-778 i 834-853 910-929 985-1004 1000-1019 55.00 627-646 703-722 779-798(794) 854-873 930-949 1005-1024 1020-1039 58.00 647-666 723-742 799-818 874-893 950-969 1025-1044 1040-1059 61.00 667-686 743-762 819-838 894-913 970-989 1045-1064 1060-1079 64.00 687-706 763-782 839-858 914-933 990-1009 1065-1084 1080-1099 67.00 707-726 783-802 859-878 934-953(946) 1010-1029 1085-1104 1100-1119 70.00 727-746 803-822 879-898 954-973 1030-1049 1105-1124 1120-1139 73.00 747-766 823-842 899-918 974-993 1050-1069 1125-1144 1140-1159 76.00 767-786 843-862 919-938 994-1013 1070-1089 1145-1164 1160-1179 79.00 787-806 863-882 939-958 1014-1033 _1090-1109(10971165-1184 1180-1199 82.00 807-826 883-902 959-978 1034-1053 IIID-I129 1 1185-1204 1200-1219 85.00 827-846 903-922 979-998 1054-1073 1130-1149 1205-1224 1220-1239 88.00 847-866 923-942 999-1018 1074-1093 1150-1169 1225-1244 1240-1259 91.00 867-886 943-962 1019-1038 1094-1113 1170-1189 1245-1264(1248) 1260-1279(1277) 94.00 887-906 963-982 1039-1058 1114-1133 1190-1209 1265-I18Z 1Zg6 Ilif -' 97.00 907-926 983-1002 1059-1078 1134-1153 1210-1229 1285-1304 1300-1319 100.00 927-946 1003-1022 1079-1098 1154-1173 1230-1249 1305-1324 1320-1339 103.00 947-966 1023-1042 1099-1118 1174-1193 1250-1269 1325-1344 1340-1359 106.00 967-986 1043-1062 1119-1138 1194-1213 1270-1289 1345-1364 1360-1379 109.00 987-1006 1063-1082 1139-1158 1214-1233 1290-1309 1365-1384 1380-1399 112.00 1007-1026 1083-1102 1159-1178 1234-1253 1310-1329 1385-1404 1400-1419 115.00 1027-1046 1103-1122 1179-1198 1254-1273 1330-1349 1405-1424 1420-1439 05-1424 1440-1459 118.00 1047-1066 1123-1142 1199-1218 1274-1293 1350-1369 121.00 1067-1086 1143-1162 1219-1238 1294-1313 1370-1389 1445-1464 1460-1479 124.00 1087-1106 1163-1182 1239-1258 1314-1333 11390-1409 ! 1465-1484 1480-1499 1. To compute fees for families whose monthly gross income is greater than the income corresponding to a fee of $124, add $3 to the fee for each $20 increase in monthly gross family income. 2. To compute fees for families who size is greater than seven persons, deduct $14 for each additional family member over seven members and use the resulting figure in the family size of seven column to determine the fee. For example, to calculate the fee for a family of nine persons with a gross monthly income of $1314, first calculate the difference between the actual family size and the family size of seven (9-7-2), multiply resulting figure by $14 (2x$14$28). Subtract that figure from the actual family income ($1314-$28x$1286) and use the resulting figure to determine the fee. For the example using the $1286 figure for family size seven the fee would be $94. 3. The solid line indicates the maximum monthly income for employed income eligibles receiving day care services (Income Eligibles-Subgroup e) 4. The broken line indicates the maximum monthly income for other income eligible recipients. (Income Eligibles-Subgroup A). 5. This fee schedule is also used for assessing fees for services to individuals whose income is greater than that for recipients of Title XX Services. Therefore, the incomes in this table exceed those in Table A. -12- SECTION 5 AVAILABILITY OF SERVICES BY GEOGRAPHIC AREA The Title XX legislation allows variations in services and eligible persons from county to county or by any geographic areas the Colorado Department of Social Services uses to subdivide the state. The geographic area used in this year's plan is the county. However, all services except Homemaker Services are available statewide. In future year's Title XX services plans the variation in eligible persons and services from county to county is anticipated to be greater. This will allow the individual county departments to better tailor their services program to the needs of their county. Such variation in services and eligible groups will be subject to the supervision of the State Department. A number of different planning areas for human services programs are utilized by planners for those programs. There are three "health service areas" used for health planning, nine "planning and service areas" used by the Division of Aging to develop the State Plan on Aging, nine prime sponsors who plan CETA services, and thirteen "planning and management districts" established by Executive Order of the Governor. Counties will be used as the basis for Title XX planning because the Title XX program is county-administered and because different combinations of counties generally comprise the different human services planning areas described above. SECTION 6 SERVICES CATALOG The following pages describe the social services which shall be available under this plan. While it does not include all human services available in Colorado, it does include all social services availablip through the county departments of social services which are funded in part by federal Title XX dollars. The following information is included for each service in the services catalog: . The service name used by the state and county departments. . A definition of the service named including typical activities performed by providers of the service. . The relationship of the service to one or more of the five goals stated on page 1 and one or more of the objectives stated on page 3. . The categories of individuals and families eligible for each service. ▪ The geographic area in which each service is available. . The method of delivering the service. Direct delivery means the service is provided by the staff of the county department. Purchased means that the service is provided through either another public agency, a private agency, or a private individual under agreement with the state or county department. . The number of persons by eligible category who are estimated to receive each service during each quarter (three months) of the service year. The number of persons is estimated to the nearest ten. -13- E . The estimated cost of providing the services per quarter. The estimated cost includes both direct and purchased costs. All Title XX associated costs have been allocated to the various services. The costs are estimated to the nearest $1,000. The primary source of data utilized to estimate the number of persons to be served each quarter was the "AFCS-101" reporting form, which is an automated report submitted by county department staff to the state department. The primary source of data to estimate costs for specific services was the "Time Analysis Report" which is an automated report of a sample of the distribution of time spent by county department staff. The percentage of reported time spent delivering different services was applied to estimated expenditures for state and county administration. The services described in the catalog are not available upon demand and not only because people fit within a certain eligible category. Services are provided to eligible persons because they need the service. A person desiring services, except those for information and referral and those related to child or adult abuse, neglect or exploitation, must apply for services at the county department of social services located in the county in which the individual resides. After applying for services the person's need for services will be discussed with a staff member of the county de- partment and a service plan developed which specifies both the individual's responsibilities and the county department's responsibilities in developing a service program related to the individual's needs and requirement. -14- SERVICE CATALOG COLORADO DEPARTMENT OF SOCIAL SERVICES OCTOBER 1, 1975 Service: ADOPTION Service Definition: Adoption services are those social services provided by county department staff to place a child for adoption, who is legally free or expected to be legally free for adoption, by a family in a permanent home where the child will have the same legal status as a natural child born to the family. Activities which are performed by the staff of the county department as part of adoption services include: 1. Obtaining all necessary medical, psychological and social information to evaluate the child's potential and readiness for adoptive placement. 2. Recruiting, screening, and evaluating potential adoptive parents with particular emphasis towards finding homes for children with special needs because of mental retardation, physical handicaps, emotional dis- turbances, or behavior problems. 3. Counseling with prospective adoptive parents to determine their ability to accept a non-related child, the responsibilities of parenthood and to explore the meaning of adoption. 4. Counseling with prospective adoptive parents regarding infertility if applicable. 5. Selecting the adoptive home for each child that will most adequately ful- fill the needs of that child. 6. Counseling with the older adoptable child to prepare for adoptive place- ment. 7. Bringing together child and family and completing the adoptive placement. 8. Assisting adoptive parents to obtain information regarding legal require- ments and procedures. 9. Preparing required reports to the court. 10. Providing post-placement counseling to insure that the family receives all help possible to adjust to the new child in the home and to insure that the child adjusts to the new environment. 11. Exchanging information both locally and nationally, about children needing placement and prospective adoptive homes. -15- SERVICE CATALOG COLORADO DEPARTMENT OF SOCIAL SERVICES OCTOBER 1. 1975 Service: ADOPTION (Cont.) Service Definition: Physical and psychological examinations for children which are required for adoption can be arranged by the county department and purchased if they are not available elsewhere at no cost to the client. Adoption studies may be purchased by county departments of social services under special circumstances,such as lack of qualified staff. Related to Goal(s): 2, 3, 4 Related to Objective(s): 15 PERSONS ELIGIBLE AVAILABLE METHOD OF DELIVERY NUMBER OF ESTIMATED TO RECEIVE SERVICE STATE- DIRECT PURCHASED PERSONS COST WIDE OTHER PUBLIC PRIVATE QUARTERLY QUARTERLY All children who are legally free x x 225 $177,000 or expected to be legally free for adoption. The quarterly total estimated cost of physical and psychologicaI examinations is - - - 3,000 -lb- SERVICE CATALOG COLORADO DEPARTMENT OF SOCIAL SERVICES OCTOBER 1, 1975 Service: ADULT FOSTER CARE Service Definition: Adult Foster Care is that care and service provided to individuals needing to reside in a protective setting on a 24 hour basis. The costs of basic foster care such as costs for housing, food, laundry, and supervision can be purchased by the county de- partments but such costs are reimbursable under programs other than Title XX. Activities related to eligible residents and Adult Foster Care facilities, provided by the staff of the county department include: . Screening eligible recipients for possible referral for Adult Foster Care. . Reviewing, at least semi-annually, the continued appropriateness of place- ment in Adult Foster Care. . Provide social services to eligible residents upon request or when deemed necessary for the protection of the resident. This includes developing, implementing, and coordinating individualized service plans in conjunction with the client, the facility operator and other professionals working with the client. These service plans will be reviewed when appropriate or at least every six months. . Provide assistance to operators in obtaining specialized services which will benefit the residents. . Visit facilities periodically to assure delivery of appropriate services to the residents and evaluate at least annually facility programs. . Obtain confirmation, at least annually, that facilities have obtained any necessary State and local licenses, and meets local fire, safety and sanita- tion requirements. . Participate in developing facility program and policy when requested to do so by the operator. . Furnish information and assist in developing services needed by individual residents. . Annually negotiate the participation agreement between county department and the facility operator. -17- SERVICE CATALOG COLORADO DEPARTMENT OF SOCIAL SERVICES OCTOBER 1, 1975 Service: ADULT FOSTER CARE (Cont.) Service Definition: Related to Goal(s): 2, 3, 4 Related to Objective(s): 9, 10, 11 PERSONS ELIGIBLE AVAILABLE METHOD OF DELIVERY NUMBER OF ESTIMATED TO RECEIVE SERVICE STATE- DIRECT PURCHASED PERSONS COST WIDE OTHER PUBLIC PRIVATE QUARTERLY QUARTERLY SST recipients x x 1680 $10,000 Other assistance payments x x 620 4,000 recipients -18- SERVICE CATALOG COLORADO DEPARTMENT OF SOCIAL SERVICES OCTOBER 1, 1975 Service: ASSESSMENT OF NEED FOR PROTECTION Service Definition: The service "Assessment of Need for Protection" is provided only in cases of potential or suspected child or adult abuse, neglect, or exploitation. With respect to children this service comprises the following activities performed by the staff of the county department: 1. Identification and diagnosis. 2. Receipt of reports and investigations thereof. 3. Determination that the child is vulnerable or at risk of neglect, abuse, or exploitation. 4. Arrangement of or, if they are not available at no cost, purchase of psychological evaluations. 5. Counseling with parents to enable the staff to evaluate if the child should remain in its own home or be placed in an alternative living situation. Typically, the above will include contacting the referral source, relatives, and neighbors, conferring with law enforcement, physicians, psychiatrists, and other medical services personnel, and examining psychological data and educational records. With respect to adults, this service comprises the following activities performed by the staff of the county departments: 1. Identifying adults who need assistance or who have no one willing and able to assist them responsibly. 2. Providing prompt response and investigation upon the request of an adult at risk or other persons acting on that individual's behalf. 3. Diagnosing the individual's situation and service needs. -19- SERVICE CATALOG COLORADO DEPARTMENT OF SOCIAL SbNVICES OCTOBER 1, 1975 Service: ASSESSMENT OF NEED FOR PROTECTION (Cont.) Service Definition: For both children and adults this service includes the arrangement for physical and psychological examinations by the county department staff and purchase of those examinations if they are not available elsewhere at no cost to the child or adult. This service is utilized for all cases involving protection from abuse, neglect, or exploitation of children. This service is available to eligible individuals living in skilled nursing facilities and intermediate care facilities. Related to Goal(s): 3, 5 Related to Objective(s): 9, 10, 12 PERSONS ELIGIBLE AVAILABLE METHOD OF DELIVERY NUMBER OF ESTIMATED TO RECEIVE SERVICE STATE- DIRECT PURCHASED PERSONS COST WIDE OTHER PUBLIC PRIVATE QUARTERLY QUARTERLY AFDC recipients x x 2290 $71,000 y y 1,700 SSI recipients x x 1600 17,000 y y 400 Other assistance payments x x 540 6,000 recipients y y 100 Children placed in foster care x x 870 27,000 by county departments y y 600 Medicaid x x 170 2,000 y y 0 Income eligible - Subgroup A x x 770 25,000 y y 700 Persons eligible without regard x x 760 23,000 to income y y 500 y indicates purchase of physical or psychological examinations -20- SERVICE CATALOG CvLORADO DEPARTMENT OF SOCIAL SER\,,.;ES OCTOBER 1, 1575 Service: CHILD FOSTER CARE Service Definition: Foster care is a service through which 24 hour protection, care, and treatment is provided for children who have been relinquished or must be removed from the parental home because they are dependent or neglected, in need of supervision, or delinquent. This service includes services performed by the staff of the county department, services performed by family foster homes including those for children with special needs, group homes, and residential child care facilities. Title XX funds are to be used only for services provided by county departments and for services purchased for children with special needs in family foster homes and for emergency shelter care for children needing protection in receiving homes, group homes, or family foster homes. Foster care services which are funded through Title XX are explained in greater detail below: Activities performed by the staff of the county departments to provide foster care services include: . The recruitment and certification of foster care facilities. . The initial and ongoing training and education of foster parents. . Supervision of the child and foster home. . Counseling with the child and parents in preparation for foster placement. . Counseling with the child and his parent and foster parents toward re- uniting the family. . Annual review of the foster home relative to standards. . Continuing evaluation of the appropriateness of the placement. . Initiating necessary court involvement when the child cannot be reunited with his family and planning permanent foster care or adoption. Services are purchased from foster family homes which have been certified as able to meet the special needs of physically and mentally handicapped children. The handicap and need for special services must be documented by an appropriate pro- fessional person other than the placement worker. The cost of basic foster care, the care which includes normal parenting responsibilities, can be purchased by the county departments, but such costs are reimbursable under programs other than Title XX. -21- SERVICE CATALOG COLORADO DEPARTMENT OF SOCIAL SERVIuaS OCTOBER 1, 1975 Service: CHILD FOSTER CARE (Cont.) Service Definition: Emergency Shelter can be purchased through the county department as part of pro- tective services for any child, including runaways. This shelter is provided in certified foster family homes, group homes, and receiving homes, and is reimburs- able through Title XX for a period not to exceed 30 days in a 12 month period for any child or youth. Foster care service includes the arrangement for physical examinations by the county department staff and purchase of examinations if not available through other re- sources at no cost. Related to Goal(s): 3, 4 Related to Objective(s): 9, 11, 12, 13 PERSONS ELIGIBLE AVAILABLE METHOD OF DELIVERY NUMBER OF ESTIMATED STATE- DIRECT PURCHASED PERSONS COST TO RECEIVE SERVICE WIDE OTHER PUBLIC PRIVATE QUARTERLY QUARTERLY AFDC recipients x x 990 $257,000 a 30 7,000 b 70 21,000 SSI recipients x x 30 8,000 a 1 1,000 b 2 1,000 Other assistance payments x x 10 3,000 recipients a 0 b 1 1,000 Children placed in foster care x x 2430 632,000 by the county departments a 80 18,000 b 160 48,000 Income eligible - Subgroup A x x 660 171,000 a 30 7,000 b 50 15,000 a - indicates special needs services b - indicates emergency shelter costs -22- SERVICE CATALOG COLORADO DEPARTMENT OF SOCIAL SERVICES OCTOBER 1, 1975 Service: COURT RELATED Service Definition: Court related services involve assisting courts at their direction; when their own resources are inadequate; or other community resources are not available. When incidents of adilt or child abuse, exploitation or neglect involve court proceedings, the staff of the county department may assist the court by: 1. Investigating reported abuse, neglect, or exploitation. 2. Studying reported cases. 3. Making recommendations to court and providing periodic reports. 4. Petitioning the court. 5. Making court appearances when requested or required. This service also involves assisting those courts who so request in cases involving runaway youth, family problems, training, or incorrigibility or in cases where the need for wardship, guardianship, or custody of adults or children or adoptive pro- ceedings are indicated. In addition to the activities specified above the staff in county departments may also: . Study reported runaway situations, or instances of truancy or incorrigibility and make reports to the courts. . Supervise the youth affected by a court decision on an ongoing basis and provide periodic reports to the court. . Make an objective comprehensive report to the Court regarding the qualifi- cations of each parent regarding the best disposition of the child in custody disputes in divorce actions between parents. . Refer to a counseling service or provide counseling to individuals on how to cope with divorce and to handle the child's feelings during the diffi- cult time when custody disputes occur. . Provide consultative services prior to a custody hearing. . Evaluate the need for a court referral and sign CHINS petitions when indicated. . Cooperate with courts on Delinquency Petitions. . Conduct social investigations and prepare a "Social Summary" at the court 's request. -23- SERVICE CATALOG COLORADO DEPARTMENT OF SOCIAL SERVICES OCTOBER 1, 1975 Service: COURT RELATED (Cont.) Service Definition: • Prepare a child or his family for a court hearing. • Testify in court. • Prepare Progress Reports for the courts as requested. • Assist the court as requested with placement planning and supervision of children. • Assist in arranging for the return of runaway youth to their home. This service is available to eligible individuals living in skilled nursing facilities and intermediate care facilities. Related to Goal(s): 3, 4, 5 Related to Objective(s): 9, 10, 11, 12, 13, 14, 15 PERSONS ELIGIBLE AVAILABLE METHOD OF DELIVERY NUMBER OF ESTIMATED TO RECEIVE SERVICE STATE- DIRECT PURCHASED PERSONS COST WIDE OTHER PUBLIC PRIVATE QUARTERLY QUARTERLY AFDC recipients x x 740 $76,000 Children placed in foster care x x 280 29,000 by the county departments Income eligible - Subgroup A x x 490 51,000 SSI recipients x x 300 18,000 Other assistance payments x x 100 6,000 recipients Medicaid recipients x x 30 2,000 -24- SERVICE CATALOG COLORADO DEPARTMENT OF SOCIAL SERVICES OCTOBER 1, 1975 Service: DAY CARE Service Definition: Day care service means care of a child for a portion of a day, but less than 24 hours, in his own home by a person other than the parent or parent substitute, in a relative home, in a licensed or certified day care home, or group day care facility. Day care services include direct care, meals, and a program which pro- vides opportunities for learning how to cope with the world in which the child will have to live, but does not include psychiatric or physical treatment pro- grams. Day care services as defined above may be provided to children with special needs who are mentally retarded, have physical handicaps, exhibit emotional disturbances or behavior problems as determined by the county department social worker and physician, or in determinations of mental retardation a psychologist. Day care services may be provided to children who are in families where there is neglect or abuse. Day care services may be provided for children in an AFDC family where the parent is hospitalized, employed, or in training for employment. Day care services for school age children during regular school hours must be different from, and cannot be substituted for, educational services provided by school districts under Colorado's Handicapped Children's Act. Activities performed by the staff of the county departments which are directed at day care service include: 1. Recruiting and studying suitable child care facilities and certifying or recommending for licensing those facilities. 2. Providing counseling, training, and technical assistance to day care facilities to ensure quality care and program and fiscal accountability. 3. Providing clients with information about and referral to suitable facil- ities and working with parents to develop an individualized child care plan. 4. Counseling parents regarding all aspects of day care placement so that the placement serves the best interest of all those involved. 5. Determining eligibility of a vendor for the purchase of service and authorizing payment to the vendor for day care services rendered. 6. Monitoring established child care plans to insure quality care that con- tinues to meet the child's needs and to insure compliance with local, state and federal regulations. 7. Arranging and assisting with payment procedures for the purchase of day care. -25- SERVICE CATALOG COLORADO DEPARTMENT OF SOCIAL SERVICES OCTOBER 1, 1975 Service: DAY CARE (Cont.) Service Definition: The following types of facilities may provide day care: 1. In Home Day Care: Day care provided in the child's own home by an approved friend, neighbor, or relative for a portion of the day or day care provided in the home of a relative by that relative for a portion of the day. 2. Day Care Home: A licensed or certified unrelated family home in which a maximum of six children receive care during a part of the 24-hour day. 3. Group Day Care A licensed facility in which care is provided during Facility: part of a 24-hour day for a group of 7 or more children. This service includes the arrangement for physical examinations by the county de- partment staff and purchase of those examinations for eligible AFDC and SSI recip- ients if they are not available elsewhere at no cost. A fee may be charged for day care services. Services are purchased from Maternal and Child Health, Denver Health and Hospitals, City and County of Denver, related to development, recruitment, study, expansion and improvement, approval and re-evaluation of facilities providing family and group day care services to children; and technical assistance to providers of day care to improve the quality of day care. Related to Goal(s): 1, 2, 3, 4 Related to Objective(s): 2, 3, 4, 5, 9, 11, 12 PERSONS ELIGIBLE AVAILABLE METHOD OF DELIVERY NUMBER OF ESTIMATED TO RECEIVE SERVICE STATE- DIRECT PURCHASED PERSONS COST WIDE OTHER PUBLIC PRIVATE QUARTERLY QUARTERLY AFDC recipients* x x 5500 $305,000 801,000 SSI recipients* x x 40 24,000 6,000 Children placed in foster care x x 60 5,000 by county departments x 23,000 Income eligible - Subgroup A* x x 60 14,000 x 23,000 Income eligible - Subgroup B x x 4000 129,000 x 583,000 *Provided only under certain conditions. See the appendix for a complete description of eligibility criteria. -26- SERVICE CATALOG COLORADO DEPARTMENT OF SOCIAL SERVICES OCTOBER 1, 1975 Service: EDUCATION AND TRAINING Service Definition: Services provided to help individuals within their capabilities to secure from avail- able community resources education and training that will lead to employment. The staff of the county department may perform the following activities related to this service: . Arranging for education or other vocational training . Counseling individuals about their job potential, the need for skill training related to obtaining a certain type of job and their readiness for training, and helping them conquer fears of failure in a new situation. . Providing information about community resources and educational opportunities. . Making referrals to vocational rehabilitation services, the WIN Program and other resources. . Follow-up counseling with persons who have entered training to assist them in the adjustment process and to assist in the resolution of family crisis or personal problems which threaten continued training. . Focusing training plans towards areas of employment available in the community. Services provided to assist children who are having problems in school, such as poor attendance, poor achievement, disciplinary problems include: . Assisting older children to continue in school or plan for advanced education in relation to their interests and capacities. . Helping parents and other appropriate adults to provide a climate in the home conducive to educational achievement. The types of training which can he purchased have certain restrictions: 1. Training for AFDC recipients over age 16 , SST, and other assistance payments recipients may he purchased by the county department when the training plan is limited to one year and is directed at the goal of self-support through employment related to the training program. 2. Assistance in paying for reasonable costs of training may be provided if all other potential resources have been explored. Costs may include tuition, books, fees, uniforms, tools, transportation, eyeglasses, as well as costs of prep courses and costs of tests for GED certification. 3. AFDC children and children placed in foster care by the county departments who wish to continue their education and demonstrate an ability to do so may receive assistance in paying for reasonable costs for education which cannot be offset by tuition waivers, scholarships, grants, and other forms of financial assistance. This assistance may continue until the eligible child is 21 years old; and must he directed at the self-support goal. 4. Physical examinations which are required for entry into or placement in an education or training program may be arranged by the county department staff and may be purchased if they are not available at no cost elsewhere or are not available under the Medicaid or Medicare. program. -27- SERVICE CATALOG COLORADO DEPARTMENT OF SOCIAL SERVICES OCTOBER 1, 1975 Service: EDUCATION AND TRAINING (Cont.) Service Definition: • Related to Goai(s): 1, 2 Related to Objective(s): 2, 5, 14 PERSONS ELIGIBLE AVAILABLE METHOD OF DELIVERY NUMBER OF ESTIMATED TO RECEIVE SERVICE STATE- DIRECT PURCHASED PERSONS COST WIDE 'ETHER PUBLIC PRIVATE QUARTERLY QUARTERLY T ' AFDC recipients x x 2630 $85,000 x x 7,000 SSI x x 530 2,000 x x 500 Other assistance payments x x 260 1,000 recipients x x 500 Children placed in foster care x x 560 18,000 by county departments x x 1,000 -28- SERVICE CATALOG COLORADO DEPARTMENT OF SOCIAL SERVICES OCTOBER 1, 1975 Service: EMPLOYMENT Service Definition: Services to assist persons in using available community resources to secure appropriate paid employment. Activities performed by the staff in the county departments include: 1. Locating and developing, on-the-job training programs and placing persons in these programs. 2. Counseling individuals about their job potential and readiness and helping them conquer fears of failure in the new situations. 3. Counseling with family members about the adjustments to be made as a result of employment. 4. Holding group meetings about applying for jobs, expectations of employers, financial planning, family stresses, and other problems of employment. 5. Following-up and counseling with persons who have entered employment to assist them in the adjustment process and to assist in the resolution of family crisis or personal problems which threaten continued work. 6. Assessing jobs available in the community. 7. Referring persons to jobs which are available. S. Cooperating with the Division of Employment's WIN team in assessing the job potential of individuals and selecting those persons most likely to become employed as a result of that individual's participation in the WIN program. 9. Referring persons to other manpower agencies such as Vocational Rehabilita- tion, CETA sponsors, and local employment service offices. 10. Arranging for vocational evaluation and testing. 11. Arranging for and making placements in protective employment. Routine physical examinations which are required to obtain employment can be arranged by the staff of the county department and purchased if they are not available else- where at no cost to the client. Related to Goal(s): 1, 2 Related to Objective(s): 2, 14 PERSONS ELIGIBLE AVAILABLE METHOD OF DELIVERY NUMBER OF ESTIMATE❑ TO RECEIVE SERVICE STATE- DIRECT PURCHASED '° PERSONS COST WIDE GT HER PUBLIC PRIVATE QUARTERLY QUARTERLY AFDC recipients x x 3430 $93,000 y y 900 Children placed in foster care x x 260 7,000 by county department y y 100 SSI recipients x x 530 6,000 y y 0 Other assistance payments x x 170 2 ,000 recipients y y 0 y indicates purchase of physical examinations only. -29- SERVICE CATALOG COLORADO DEPARTMENT OF SOCIAL SERVICES OCTOBER 1, 1975 Service: FAMILY PLANNING Service Definition: Family planning services are social, education, and medical services to enable appropriate individuals including minors, to limit voluntarily their family size or to space their children through prevention or postponement of conception. Activities in which the county staff typically engage while providing this ser- vice include: 1. Providing information on birth control and available resources for obtaining birth control devices. 2. Counseling with families about the number and spacing of children as this relates to their life goals. 3. Making referrals to family planning clinics and other counseling and medical resources available in the community. Related to Goal(s): 1, 2, 3 Related to Objective(s): 3, 6, 7, 9, 14 PERSONS ELIGIBLE AVAILABLE METHOD OF DELIVERY NUMBER OF ESTIMATED TO RECEIVE SERVICE STATE- DIRECT PURCHASED PERSONS COST WIDE OTHER PUBLIC PRIVATE QUARTERLY QUARTERLY AFDC recipients x x 810 $38,000 Children placed in foster care x x 190 9,000 by county departments SSI recipients x x 50 3,000 Other assistance payments x x 10 1,000 recipients -30- SERVICE CATALOG COLORADO DEPARTMENT OF SOCIAL SERVICES OCTOBER 1, 1975 Service: FINANCIAL MANAGEMENT Service Definition: Counseling services to aid a person to become a better financial manager. Individual or group counseling services are provided by the staff of the county department through which specific money management and consumer buying techniques are taught so that the person can manage money to avoid legal suits, eviction notices, and make the best possible use of the limited funds available to the family or individual. Individual counseling for AFDC families who are placed on protective payments to assure appropriate use of their assistance grant are also included in this service. Financial management also includes counseling about their responsibilities, with conservators and guardians of adults and children on behalf of the dependent child or incompetent adult. Services provided to individuals and families include: 1. Assisting individuals in paying bills. 2. Assisting individuals in budgeting. 3. Educating individuals in comparison shopping. 4. Assisting individuals in banking matters. 5. Counseling with creditors. 6. Reviewing personal needs funds of individual clients in nursing homes. 7. Assisting clients to obtain all available income, including federal income programs and possible tax rebates. This service may be provided to eligible individuals living in skilled or inter- mediate care nursing facilities. Related to Goal(s): 1, 2, 3, 5 Related to Objective(s): 3, 5, 9, 12, 14 PERSONS ELIGIBLE AVAILABLE METHOD OF DELIVERY NUMBER OF ESTIMATED TO RECEIVE SERVICE STATE- DIRECT PURCHASED PERSONS COST WIDE OTHER PUBLIC PRIVATE QUARTERLY QUARTERLY AFDC recipients x x 2400 $24,000 Children placed in foster care by county. departments x x 100 2,000 SSI recipients x x 830 9,000 Other assistance payments x x 280 3,000 recipients Medicaid recipients x x 190 1,000 -31- SERVICE CATALOG COLORADO DEPARTMENT OF SOCIAL SERVICES OCTOBER 1, 1975 Service: HEALTH RELATED Service Definition: Services provided to assist individuals to attain and maintain a favorable condition of health by helping them to identify and understand their health needs and to se- cure and utilize necessary medical treatment. These services augment the medical treatment available from the Medicaid or Medi- care program and are provided to the extent similar services are not available from Medicaid or Medicare. Activities engaged in by the staff of the county departments as part of this service assisting individuals: 1. To identify their health needs. 2. To secure and utilize necessary medical treatment including services in medical emergencies. 3. To secure and utilize preventive and health maintenance services including Early and Periodic Screening, Diagnosis and Treatment 'EPSDT) Program ser- vices for AFDC children available from the Medicaid Program, maternal and child health programs, handicapped children's programs, and other health service programs. 4. To secure medical rehabilitative services which are necessary to prepare for employment, education, or training. 5. By providing or arranging for treatment of emotional and mental problems interferring with the ability to seek and retain employment. 6. To help assure continuity of treatment programs. 7. To help individuals secure admission to medical institutions and other health related facilities. 8. By jointly assessing health needs and coordinating delivery of health services with medical-social review teams. This service is available to eligible individuals living in skilled nursing facilities and intermediate care facilities. Related to Goal(s): 1, 2, 3, 4, 5 Related to Objective(s): 1, 2, 3, 5, 6, 10 PERSONS ELIGIBLE AVAILABLE METHOD OF DELIVERY NUMBER OF ESTIMATED TO RECEIVE SERVICE STATE- DIRECT PURCHASED PERSONS COST WIDE OTHER PUBLIC PRIVATE QUARTERLY QUARTERLY AFDC recipients x x 5240 $204,000 Children placed in foster care x x 620 24,000 by county departments SSI recipients x x 2070 114,000 Other assistance payments x x 690 38,000 recipients Medicaid recipients x x 220 12,000 -32- SERVICE CATALOG COLORADO DEPARTMENT OF SOCIAL SERVICES OCTOBER 1, 1975 Service: HOME MANAGEMENT SERVICE Service Definition: Formal or informal instruction and training in the many facets of managing a house- hold including budgeting, care and maintenance of the home, food preparation and nutrition, health care, consumer education, and child rearing. Activities engaged in by county department staff include: 1. Counseling on housekeeping skills. 2. Counseling on proper food preparation and storage. 3. Counseling on nutritional requirements. 4. Counseling on relationship between nutrition and health. 5. Counseling on child rearing techniques for adults caring for a minor child. 6. Referring case to the Homemaker Unit for services in the home management area. 7. Referring the case to appropriate community agency to provide information on the above areas. Related to Goal(s): 1, 2, 3, 4 Related to Objective(s):3, 5, 9, 12, 14 PERSONS ELIGIBLE AVAILABLE METHOD OF DELIVERY NUMBER OF ESTIMATED TO RECEIVE SERVICE STATE- DIRECT PURCHASED PERSONS COST WIDE OTHER PUBLIC PRIVATE QUARTERLY QUARTERLY AFDC recipients x x 2120 $68,000 SSI recipients x x 1080 40,000 Other assistance payments re- x x 400 15,000 cipients -33- SERVICE CATALOG COLORADO DEPARTMENT OF SOCIAL SERVICES OCTOBER 1, 1975 Service: HOMEMAKER Service Definition: Homemaker services are provided to eligible adults by a county department trained and supervised homemaker, in collaboration with the caseworker staff, to individuals in their own homes to assist them to overcome specific barriers to maintaining, strengthening and safeguarding their functioning in their home. The service in- cludes teaching of financial management and home management skills , and performing homemaking tasks or personal services for these categories of recipients. Homemaker services are provided to eligible families by county department trained and supervised homemakers, in collaboration with casework staff, to teach home management and child rearing in the home, to serve as models for parental behavior and to observe parental behavior as part of the county department's assessment of existing or potential child abuse or neglect situations. When necessary, home- makers assume responsibility for the full care and supervision of children when a parent is incapacitated, ill, or out of the house temporarily. They also provide guidance and instruction to mothers about child care and homemaking skills. Activities typically engaged in by homemakers can include: . Assisting with home management by vacuuming, dusting, kitchen cleaning, bathroom cleaning, changing bed clothing, removing trash, doing the laundry, ironing clothes, mending clothes, grocery shopping, food pre- paration, and child care, to aid people with serious limitations to re- main in or return to their own home. This assistance does not include the performance of heavy tasks such as heavy laundry, outside window washing and washing walls and ceilings, or tasks which require standing on ladders or chairs. . Providing personal care services such as bathing, grooming the hair and nails, dressing, and exercising aged and disabled people. Personal care services must be under medical supervision. . Providing educational and supportive services to individuals and families needing guidance and assistance in day to day living. The homemaker would establish a household routine, teach money management and purchasing skills, teach menu planning skills and skills in providing for special dietary needs, skills in paying bills and child rearing, and assist with letter writing. . Observing individual and family functioning and, as a part of the county department team, suggesting possible intervention or the provision of additional services. . Providing transportation for shopping and medical needs when all other resources for transportation have been explored and are not available. -34- SERVICE CATALOG COLORADO DEPARTMENT OF SOCIAL SERVICES OCTOBER 1, 1975 Service. HOMEMAKER (Cont) Service Definition: The Homemaker Services described above are available from all county departments except the county department in Class II counties. Class II counties are named in the appendix. In these counties only emergency homemaker services are available. These services are purchased by the county department and are similar to the ser- vices described above for eligible adults. However, they are provided only to meet an immediate specific need but not to change long-term patterns or be a teaching situation. Related to Goal(s): 2, 3, 4 Related to Oblective(s). 8, 10, 11 AVAILABLE' MFTHOD OE DELIVER, NUMBER OF ESTIMATED TT PFCEIVE SERV"YF :.'ATE- DIRE..- RURCHASED OERSONS COST WIDE OTHER P eLIC RRIvATE QUARTERLY QUARTERLY AFDC recipients x x 1380 $406,000 Income eligible - Subgroup A 2 x x 120 37,000 SSI recipients x x 1390 973,000 Other assistance payments x x 470 327,000 recipients Medicaid recipients x x 150 103,000 SSI recipients who have need for Class services for less than one month II x 10 1,000 to shorten a term of hospitali- oountles zation, or to prevent institution- only alization because of a temporary incapacity of either the recip- ient or a responsible person caring for the recipient. 1 ndicates that the service available statewide except in Class II counties (See appendix) 2Service provided only to those families in which the children have been the victim of parental abuse, neglect, or exploitation or in which there is the potential for abuse, neglect, or exploitation. _zs SERVICE CATALOG COLORADO DEPARTMENT OF SOCIAL SERVICES OCTOBER 1, 1975 Service: HOUSING IMPROVEMENT Service Definition: Service directed toward working with landlords and others to upgrade sub-standard rental housing; to obtain repairs to homes if sub-standard or unsuitable, and to find other housing which is suitable and adequate at affordable prices. For individuals with special needs this service includes locating appropriate individual or group living arrangements designed to meet those special needs. Additionally, the services include activities such as: 1. Helping to secure basic household furnishings. 2. Working to improve landlord/tenant relations. 3 . Identifying sub-standard housing. 4. Working to secure corrections to housing code violations. 5. Assisting to obtain or retain home ownership. 6. Helping relocate to more suitable housing. 7. Working with the tenants in public housing facilities to improve inter- personal relations among the tenants in the public housing authority's housing. Related to Goal(s): 2, 3, 4 Related to Objective(s): 3, 5, 8, 12 PERSONS ELIGIBLE AVAILABLE METHOD OF DELIVERY NUMBER OF ESTIMATED TO RECEIVE SERVICE STATE- DIRECT PURCHASED PERSONS COST WIDE OTHER PUBLIC PRIVATE QUARTERLY QUARTERLY AFDC recipients x x 220 $42,000 SSI recipients x x 110 25,000 Other assistance payments x x 40 9,000 recipients -36- SERVICE CATALOG COLORADO DEPARTMENT OF SOCIAL SERVICES OCTOBER 1, 1975 Service: INDIVIDUAL AND FAMILY ADJUSTMENT Service Definition: Counseling services directed primarily toward the behavior of persons as individuals and/or as members of a family and community, with the focus on how individuals may become optimally functioning, contributing, self-sufficient members of family and community life. This service includes counseling with parents of abused, neglected, or exploited children and providing therapy and training as necessary. It also includes counseling with adults at risk or that individual's family or other interested persons involved in adult abuse, neglect, or exploitation. This service may be provided for eligible individuals living in skilled nursing facilities or intermediate care facilities. Related to Goal(s): 1, 2, 3, 4, 5 Related to Objective(s): 2, 3, 7, 9, 12, 13, 14, 15 PERSONS ELIGIBLE AVAILABLE METHOD OF DELIVERY NUMBER OF ESTIMATED TO RECEIVE SERVICE STATE- DIRECT PURCHASED PERSONS COST WIDE OTHER PUBLIC PRIVATE QUARTERLY QUARTERLY AFDC recipients x x 1760 $215,000 Children placed in foster care x x 830 101,000 by county departments Income eligible - Subgroup A for x x 2970 362,000 children & adults in need of protection SSI recipients x x 820 90,000 Other assistance payments x x 270 30,000 recipients Medicaid recipients x x 90 10,000 -37- SERVICE CATALOG COLORADO DEPARTMENT OF SOCIAL SERVICES OCTOBER 1, 1975 Service: INFORMATION AND REFERRAL Service Definition: Services available upon request to any person who needs information to utilize available resources and community services to meet their needs. Activities performed by the staff of the county department include: . Assess a person's service needs to facilitate an appropriate referral. . Advise people of services available in the community. . Make referrals. . Follow through on referrals made. . Provide information to other county departments and agencies to facilitate their working with clients. . Identify, and document lack of service resources so that resource develop- ment can occur. This service may be provided to eligible individuals living in skilled nursing facilities or intermediate care facilities. Related to Goal(s): 1, 2, 3, 4, 5 Related to Objective(s): 1, 16 PERSONS ELIGIBLE AVAILABLE METHOD OF DELIVERY NUMBER OF ESTIMATED TO RECEIVE SERVICE STATE- DIRECT PURCHASED PERSONS COST WIDE OTHER PUBLIC PRIVATE QUARTERLY QUARTERLY All persons requesting informa- x x 9730 $400,000 tion. -38- SERVICE CATALOG COLORADO DEPARTMENT OF SOCIAL SERVICES OCTOBER 1, 1975 Service: LEGAL Service Definition: Services provided to assist persons to obtain legal counsel in relation to civil or criminal actions or to resolve problems which can lead to such actions. Activities performed by the staff of the county departments include: 1. Getting legal representation and protection for clients regarding eviction, divorce, and other similar civil actions. 2. Counseling to help clients make better use of legal services available in the community. 3. Arranging for legal services purchased by CDSS from the Legal Aid Society without federal financial participation. Related to Goal(s): 1, 2, 3, 4, 5 Related to Objective(s): 2, 3, 8, 9, 10, 11, 12, 13, 14, 15 PERSONS ELIGIBLE AVAILABLE METHOD OF DELIVERY NUMBER OF ESTIMATED TD RECEIVE SERVICE STATE- DIRECT PURCHASED PERSONS COST WIDE OTHER PUBLIC PRIVATE QUARTERLY QUARTERLY AFDC recipients x x 600 $32,000 Children placed in foster care x x 230 12,000 by county departments Income eligible - Subgroup A for x x 390 21,000 children & adults in need of protection 290 8,000 SSI recipients x x Other assistance payments x x 110 3,000 recipients -39- SERVICE CATALOG COLORADO DEPARTMENT OF SOCIAL SERVICES OCTOBER 1, 1975 Service: SERVICES FOR THE DEVELOPMENTALLY DISABLED IN SPECIAL PROGRAMS Service Definition: Community centered boards provide special programs for developmentally disabled children and adults. The following services previously defined and described are purchased from community centered boards through agreements with the Department of Institutions and community centered boards for eligible persons. For developmentally disabled children in community centered board programs, trans- portation, health related, individual and family adjustment, and day care services may be purchased, where such services are separately identifiable and distinct from educational services provided under the Handicapped Children's Act for Colorado. For developmentally disabled adults services which may be purchased from community centered boards include education and training services, health related services, individual and family adjustment, financial management, and home management services. Transportation may be purchased to the extent necessary to access the special pro- grams. One additional service, adult day care services, not previously presented in the services catalog is to be purchased for developmentally disabled adults. This service consists of providing a protective setting in which supervision and ser- vices to promote social, health, and emotional well-being through opportunities for companionship, self-education, and to develop skills in daily living, self-manage- ment, and physical coordination. (The latter does not include purchase of recreation services.) A special program is provided for developmentally disabled adults at Cheyenne Village. Cheyenne Village provides home management, financial management, and individual and family adjustment. This program is partially funded through an agreement with the El Paso County Department of Social Services. Information and referral and advocacy services for the mentally retarded are provided statewide through 15 local offices by the Colorado Association for Retarded Citizens (CARC) through agreement with CDSS. No fees are to be charged for services purchased in behalf of eligible developmentally disabled clients in the above special programs. -40- SERVICE CATALOG COLORADO DEPARTMENT OF SOCIAL SERVICES OCTOBER 1, 1975 Service: SERVICES FOR THE DEVELOPMENTALLY DISABLED IN SPECIAL PROGRAMS (Cont.) Service Definition: Related to Goal(s): 1, 2, 4 Related to Objective(s): 2 , 3, 5, 9, 12 PERSONS ELIGIBLE AVAILABLE METHOD OF DELIVERY NUMBER OF ESTIMATED TO RECEIVE SERVICE STATE- DIRECT PURCHASED PERSONS COST WIDE OTHER PUBLIC PRIVATE QUARTERLY QUARTERLY AFDC recipients x x 350 $19,000 a 129,000 Children placed in foster care x x 210 4,000 by county departments a 77,000 Income eligible - Subgroup A x x 590 37,000 a 354,000 b 8 3,000 SSI recipients x x 1220 122,000 a 1180 891,000 b 40 18,000 Other assistance payments x x 30 4,000 recipients a 20 15,000 b 2 1,000 All developmentally disabled x c 20,000 59,000 persons a indicates Community Center Board b indicates Cheyenne Village c indicates information, referral, and advocacy services purchased from CARL - 41 - SERVICE CATALOG COLORADO DEPARTMENT OF SOCIAL SERVICES OCTOBER 1, 1975 Service: TRANSPORTATION Service Definition: The staff of the county department will provide or arrange for the provision of transportation to access community facilities and resources when related to cer- tain specific services in a service plan and transportation is not available free through other resources including WIN, or is not available through the Medicaid program. Transportation to obtain medical care and services is a benefit of the Medicaid program for those recipients eligible for Medicaid and shall be used for that purpose. The specific services for which transportation may be provided or purchased are: 1. Employment; job search, interviews, and counseling. 2. Foster care (both child and adult) . 3. Education and training. Related to Goal(s): 1, 2, 4 Related to Objective(s): 2, 5, 11, 12 PERSONS ELIGIBLE AVAILABLE METHOD OF DELIVERY NUMBER OF ESTIMATED TO RECEIVE SERVICE STATE- DIRECT PURCHASED* PERSONS COST WIDE OTHER PUBLIC PRIVATE QUARTERLY QUARTERLY AFDC recipients x x 870 $54,000 y y 2,300 Children placed in foster care x x 680 42,000 by county departments y y 1,800 SSI recipients x x 780 39,000 y y 1,600 Other assistance payments x x 370 30,000 recipients y y 1,300 *y indicates purchased transportation -42- TABLE D SUMMARY OF SERVICES, PERSONS ELIGIBLE, AND COSTS PERSONS ELIGIBLE TO_RECEIVE. SERVICES* INCOME INCOME CHILD- ELIGI- ELIGI- TOTAL OTHER REN IN BLES BLES 9 MONTH ASSISTANCE FOSTER SUB- SUB- ALL SERVICE SERVICES AFDC SSI PAYMENTS MEDICAID CARE GROUP A GROUP B PERSONS COST Adoption X X X X X X 541,000 Adult Foster Care X X 43,000 Assessment of Need X X X X X X 525,000 Child Foster Care X X X X X 3,570,000 Court Related X X X X X X 543,000 Day Care X X X X X " 5,739,000 Education & Training X X X X 346,000 Employment X , X X X 328,000 Family Planning X X X X 151,000 Financial Mgmt. X X X X X _ r 116,000 _ Health Related X X X X X 1,176,000 Home Mgmt. X X X 369,000 Homemaker X X X X X 5,540,000 Housing Improve- ment X X X 231,000 Individual & Family Adjust- ment X X X X X X 2,423,000 Information & Referral X . 1, 199.000 Legal X X X X X 227,000 Services for Developmentally Disabled X X X X X 5,201,000 Transportation X X X X r 516,000 TOTAL 28,784,000 *Refer to Service Catalog for a detailed description of both the service and persons eligible. -43- SECTION 7 PROGRAM COORDINATION & UTILIZATION This section describes how planning and the delivery of services will be co- ordinated with and utilize other related income maintenance and human services programs and describes the steps which will be taken by Colorado Department of Social Services to assure the maximum feasible utilization of services available under the Title XX program to meet the needs of the low income population in Colorado. As previously stated, the service plan is not a catalog of all human services programs and all human services planning activities which are available or are being conducted in Colorado. A. Title IV-A, Aid to Families with Dependent Children (AFDC) Program Eligibility for AFDC is determined by the assistance payments staff in the county departments of social services. AFDC recipients are told of the availability of social services and if they voluntarily request social services they are referred to the appropriate social services staff of the county department. The AFDC program is supervised by the State Department of Social Services. The assistance payments staff and the social services staff coordinate their planning and administrative efforts at the county level to assure that services and assistance payments are available to eligible recipients. (See C below) B. Title IV-B, Child Welfare Program Child Welfare services are provided by county departments of social services. In low population counties with few staff, the same social services staff provide AFDC and child welfare services. In higher population counties with larger staffs, separate staff units provide social services on a specialized assignment basis. Where allowable, child welfare services will be included in Title XX because of the limited FFP available under Title IV-B. Persons receiving child welfare services may include any of the persons described in the section of this plan entitled "Person Eligible to Receive Services". Two groups described in that section, "Income Eligible - Subgroup A" and "Persons Eligible Without Regard to Income", were designed to allow certain costs attributable to the Child Welfare Program to be charged against Title XX funds. Limitations on Title XX services prevent the costs of all Child Welfare services being charged against Title XX funds. In particular Day Care and Homemaker services are not allowable as a "protective service" for "Persons Eligible Without Regard to Income". These services will, never- theless, be provided to those persons by county departments but the costs of services will be borne by the state, county, and, to a limited extent, by the federal government through Title IV-B funds. Additionally, the costs of foster care maintenance which are purchased from foster family homes and group homes, and the costs of maintenance and services purchased from residential child care facilities will be funded almost entirely by state and county appropriations. The costs of emergency shelter provided as a protective service will be charged against Title XX funds as will services for children with special needs provided by foster family homes. -44- The costs attributable to state and county administration of the child welfare program will be charged to Title IV-B and Title XX funds to the maximum extent possible. Allocation of costs will be determined based on the distribution of direct services time reported through the "Time Analysis Report". C. Title IV-C, Work Incentive (WIN) Program Eligibility for the Work Incentive Program is tied to eligibility for AFDC. WIN program participants can be either mandatory or volunteers depending primarily upon the age of the children in the AFDC family. Social services available from the WIN program are normally provided by the Separate Administrative Unit (SAU) in each county department. Social services which can be provided are mandated by Title IV-C and are financed by 90 percent federal money. The federal WIN allotment for fiscal year 1976 is expected to be large enough to cover the costs attributable to the WIN program. However, if WIN program utilization increases and program costs subsequently increase more than anticipated, any WIN program costs in excess of the federal WIN allotment will be charged against federal Title XX funds if there is a surplus of those funds. Because all WIN recipients are included in the description of "AFDC recipients" contained in the "Persons Eligible to Receive Services" section of the plan, WIN recipients are not separately described in that section or in the services catalog. D. Title XVI, Federal Supplemental Security Income (SSI) Program and the Colorado Supplement to SSI (SSI-CS) A person's eligibility for SSI-CS is determined by the county departments of social services and, as with the AFDC recipient, the SSI-CS recipient is offered the opportunity to participate in the social services program. SSI recipients who do not receive the Colorado Supplement are also elig- ible for services as indicated in the services catalog of this plan. CDSS coordinated with the Social Security Administration which administers the SSI program. When the program was established in 1973, mutual referral procedures were established for the income maintenance programs and for referral by Social Security Administration to county departments of social services for social services. Information about Colorado's Title XX Social Services program will be provided to the Social Security Administration for dissemination to those SSI recipients who are not also SSI-CS recipients. E. Other Assistance Payments Programs (AND, AB, OAP-A, OAP-B) The Aid to the Needy and Disabled (AND) the Aid to the Blind (AB) and Old Age Pension (OAP-A, OAP-B) are three assistance payments programs funded by state and county government and administered by the county departments. Persons receiving assistance payments from these programs are included in the definition of "Other Assistance Payment Recipients" contained in the "Persons Eligible to Receive Services" section of this plan and are eligible to receive the services indicated in the services catalog. -45- F. Title XIX, Medical Assistance (Medicaid) Program The Medicaid program is administered by the state department. Eligibility for the Medicaid program is determined by county departments of social services in accordance with rules established by the State Board of Social Services. Persons eligible for Medicaid are normally eligible for services contained in the Title XX plan; however, individuals residing in institutions and receiving Medicaid benefits are eligible only if they reside in skilled nursing homes or intermediate care facilities and are eligible only for those services specified in the plan as being provided to residents of skilled nursing facilities or intermediate care facilities. (See the glossary for the definition of institutions used for purposes of the Title XX Services Plan.) G. Related Human Services Programs Planning coordination for related human services programs is described in the "Planning, Evaluation, and Reporting" portion of this plan. In addition to the activities listed there the following planning and service coordination mechanisms currently exist within the Colorado Department of Social Services (CDSS) . . Employment and Manpower: The manpower and WIN specialists in the CDSS have coordinated with the WIN program specialists in the Colorado Division of Employment and with the agencies ad- ministering the Comprehensive Employment and Training Act (CETA) programs. Referral mechanisms between county departments of social services and the local offices of the Division of Employment exist. In many counties the Board of County Commissioners ad- ministers or is responsible for administering various manpower pro- grams. County departments coordinate with CETA prime sponsors to encourage client use of the CETA program, to secure job placements for assistance payments recipients and to obtain additional staff for the county department. . Public Education: Coordination of social services with public education programs occurs at the county level of operation in the state's services delivery program. CDSS is participating in the efforts to develop a state plan for the education of handicapped children. . Courts: County departments of social services work with courts in their county to perform investigations and studied and deliver foster care, adoption, child abuse and neglect services and protective services for adults. CDSS coordinates with the Juvenile Justice Coordinator in the Judicial Department and with the Department of Institutions to work out problems related to juvenile justice. . Aging Programs: The agency responsible for administering programs for the aged under Titles III and VII, the Division of Aging, is located in CDSS. Necessary program coordination takes place within this organizational structure and there is an agreement in effect to facilitate cooperation and coordination. The county departments co- ordinate their delivery of services to the aging with the Area Agencies on Aging, Human Resources Commissions, and United Way agencies. Home health care for aged recipients is available through the cooperative efforts of the county departments and the Visiting Nurse Association. -46- . Programs for Children: The Colorado Commission on Children and Youth is an advisory council for programs for children. The director of that program is employed by CDSS. Necessary program coordination effectively takes place because of the ties of this council to CDSS. . Vocational Rehabilitation: The Vocational Rehabilitation Division is a part of CDSS. A memorandum of understanding between the Division of Public Welfare and Division of Vocational Rehabilitation is operational and specifies the referral, training and other working relationships between the two divisions. . Health Planning: County departments coordinate with local health planning agencies to develop and coordinate the delivery of health services and assist in identifying the need for health services within the local health planning agency. . Housing: County departments coordinate with and have access to the referral systems of the public housing authorities in those counties where public housing authorities exist. . Developmentally Disabled Programs: The Governor's Council on the Developmentally Disabled is the planning and advisory council for Colorado. CDSS staff participate on the various regional boards of that Council. The Division of Developmental Disabilities in the Department of Institutions plans for the provision of services to the developmentally disabled through the Community Center Board (CCB) program. The county departments determine eligibility for CCB clients and refer them to the local CCB. The State Department of Social Services makes payment to the CCB's for service eligible recipients who are in CCB's. . Alcohol and Drug Abuse Programs: County departments make referrals to locally-based alcohol and drug abuse programs and the Executive Director of CDSS is appointed by the Governor to participate on the alcoholism and drug abuse council. . Programs for Veterans: The Veterans Affairs Division in CDSS is responsible for formulating, establish, and supervising plans for prompt and efficient service to all veterans in Colorado and super- vises and assists all county veterans' service officers. The unit coordinates its activities with other divisions in CDSS, the Colorado Division of Employment, and Veterans' groups. . Corrections Programs: A number of the CDSS staff is also a member of the Juvenile Parole Board. The Division of Youth Services in the Department of Institutions cooperates with county departments in placing youths who are released from juvenile correctional institutions in foster homes, if necessary. The Division of Youth Services has agreed to pay the same rate for foster care as the county departments pay and to use only licensed foster homes. The state department participates in the Interstate Compact for Children. The state department cooperates with Division of Youth Services in developing legislation for child care for children in need of supervision. Some county departments cooperate with correctional institutions for adults and with adult parole boards. H. Steps Taken to Assure Maximum Feasible Utilization of Services The following steps will be taken through the Office of Public Information in CDSS to assure maximum feasible exposure of the Title XX services program to the low income population in Colorado. -47- . Include in one of the monthly assistance payments mailings, an announcement about Title XX benefits. Also, a reminder of avail- able services will be mailed semiannually to all public assistance recipients. . News releases, brochures and display ads will be prepared explaining Title XX services and displayed in media available to the low in- come population. Spanish language brochures will also be prepared. . Public service announcements on radio and television will be pre- pared which tell about Title XX services. . Community organizations will receive brochures about Title XX . News material on social services will be placed in house organs and bulletins of other agencies. County departments are also responsible for developing methods to assure that eligible persons utilize Title XX services to the maximum feasible extent. SECTION 8 ORGANIZATIONAL STRUCTURE The Title XX services program is supervised by the State Department of Social Services and administered by the County Departments of Social Services. The Division of Title XX Services is the division within the State Department of Social Services which is responsible for implementing Title XX. The Division of Field Operations in CDSS is responsible for supervising the operations of the county departments of social services. Both the Division of Title XX Services and the Division of Field Operations are under the supervision of the Associate Director for Programs who reports to the Executive Director of CDSS. The State Board of Social Services is the rule-making body for CDSS and must approve all rules for county departments implementing Title XX. The responsibilities of the Executive Director and the State Board are contained in the Section 26-1-108, C.R.S. 1973. The State Board's rules are contained in the Social Services Staff Manual which is the body of rules which govern the administration of the Title XX program by the county departments. The county department of social services in each of Colorado's sixty-three counties administers the Title XX services program under the direction of the County Board of Social Services and under the supervision of CDSS. Responsibilities of the County Board are specified in Section 26-1-116, C.R.S. 1973. The County Board is normally composed of county commissioners. The director of the county department of social services is responsible to the County Board and the state department for the administration of the Title XX program in the county. The organizational structure of county departments vary considerably because of differences in size. Generally, the caseworker, social worker, and homemaker staff members are under the direction of a social services supervisor who reports to, or is, the county director. It is these county staff members who are involved in the direct delivery of the services contained in the service catalog. In -48- addition, over 1000 volunteers assist the county departments in providing services. Volunteers, under the supervision of the county department, provide services such as escort services to aged recipients and assistance in remedial reading for children. Advisory councils and committees, which exist at both the state and county levels, provide advice about the content and conduct of the programs of the state and county departments. Membership of the state level councils is determined by either the Governor or the State Board. The advisory councils and the appointing authority for each are described below: . "Advisory Committee to Family and Children Services" has up to 24 members appointed by the State Board of Social Services. . "Colorado Day Care Council" has seven members appointed from the Advisory Committee to Family & Children's Services. . "Child Care Licensing Advisory Committee" has eleven members appointed by the Governor. "Medical Assistance and Services Advisory Council" has fifteen members appointed by the Governor. . "State Advisory Council on the Handicapped" has seven members appointed f.._ : he -nvernor. . "Board of Veterans' Affairs" has seven members appointed by the Governor. . "Colorado Commission on Children and Youth" has twenty-five members appointed by the Governor. . "Colorado Commission on Aging" has eleven members appointed by the Governor. . About fifteen county departments have advisory boards similar to the Advisory Committee to Family and Children's Services. Other organizations are involved in the delivery of social services through pur- chase of services arrangements with the state department or county departments. Those services which can he purchased are specified in the services catalog. The nest common purchased service is day care. Day care services are purchased from lircnsed day care homes, group day care centers and family day care homes in accordance with the 1968 Federal Inter-agency Day Care Requirements and Colorado Socia ice c Staff Manual rules. Services are purchased from Community-centered Boards through agreement with the Colorado Department of Institutions. SECTION 9 NEEDS ASSESSMENT The needs of oil residents of, and all counties in, Colorado were taken into account in developing this plan by using the following procedure: . Input from all county departments about the needs for services in their counties was requested and received in March, 1975, following input from local residents. (See in the Planning, Evaluation, and Reporting section a more complete description of the process) . . CDSS requested input from concerned state agencies and large private- non-profit service organizations, including United Way agencies. -49- . Available needs assessments reports were analyzed for appropriateness in the Title XX planning process, Reports included: . State of Colorado, Commission Children & Youth Children and Youth Caught in the Crunch, a Mental Health Review, dated December 18, 1974. . U.S. Department of Health, Education & Welfare, Social and Rehabilitation Service, Findings of the 1973 AFDC Study, Part III. Services to Families, DHEW Publication No. (SRS) 75-03766, October, 1974. . Center for Social Research & Development, Colorado Socioeconomic Data for 1972 and Change Measures 1970-1972, Denver, Colorado: Denver Research Institute, University of Denver, September, 1974. The results of the needs assessment were used to determine the viability and effectiveness of the current social services program and to determine what changes, if any, had to be made to better serve the low-income citizens of Colorado. The development of the Title XX service plan for the year beginning July 1, 1976 will be based on needs assessment data gathered from a variety of sources. These sources will include: . The county departments of social services through a needs assessment process based on public meetings next January and through other methods the county director deems appropriate, . The various advisory groups will be encouraged to discuss human service needs in their meetings and to provide information to the state department. . Data related to needs assessment will be requested from other private and public organizations. Anyone aware of reports which would be helpful in the needs assessment process are encouraged to make the state department aware of the existence of such reports by writing or calling: Office of Planning & Evaluation Colorado Department of Social Services 1575 Sherman St. Denver, Colorado 80203 Telephone 892-3126 . The data from this variety of sources will be compiled and analyzed by both the state department and the county departments prior to preparing next year's service plan. SECTION 10 PLANNING, EVALUATION, AND REPORTING A. Planning Activities -50- Activities directed at planning the delivery of social services by the Colorado Department of Social Services have, in the past, been limited because the flexibility to implement plans was not inherent in Federal laws which governed the availability of federal funds for social services. Restrictions were placed on the types of services for which FFP was available and on the categories of people for whom services could be provided. The planning activities in which CDSS engaged prior to formulating this service plan were limited but useful in evaluating the planning process which CDSS intends to use for future planning. The FY 1976 budget request for CDSS had been approved by the Executive Director of CDSS one month before the Social Security Act Amendments of 1974 were enacted so the utility of planning activities for developing this year's service plan was constrained by the budget decisions made prior to enactment of the Title XX law. The four months available did not allow sufficient time in which to reallocate planning resources to satisfy all the requirements of 45 CFR 228.32. Never- theless, the following activities in which the department engaged were designed to partially satisfy some of those requirements: . In February all county departments assessed the needs for social services within their counties. Most counties held public meetings to obtain public input. Some counties interviewed current services recipients to determine the types of services needed. Finally, the counties assigned priorities to the services needed. Basically, the types of services they are currently providing received the highest priority in terms of need. Although this method of obtaining an assessment of needs is quantitatively unsophisticated, the idea-generation process did confirm the subjective analysis of the state and county staffs about needs for services and gaps in services. The Colorado Department of Institutions, Health, Labor and Employment, Local Affairs and the Governor's Office of Human Resources and many of the larger private, non- profit social services agencies and advocates were asked to provide input into Title XX planning. . Prior to the passage of Title XX, CDSS had surveyed all regional councils of government to determine if they had conducted any human services needs assessment and to indicate the need for human services within their regions. . The Department of Social Services participates in the efforts of the Office of State Planning and Budgeting, the Office of Human Resources, the Department of Institutions, and the Department of Health to improve resource utilization and accountability in the human service delivery system and to improve planning and management of the delivery system. Development of methods to obtain these improvements are the subject of a partnership agreement between Governor Lamm and the Regional Director of DHEW. -51- . Members of the state and county departments' staff met monthly to discuss problems and issues associated with implementing Title XX. Volume VII to the Social Services Staff Manual which contains the rules governing the op- eration of the social services program operated by all county departments was revised in its entirety to correspond with the Title XX service plan. Certain portions of Volume V, which governs county department fiscal practices, have also been revised to reflect the Title XX program. Training about program revisions caused by Title XX will he conducted in all county departments shortly after the beginning of the program year. The need for better coordination and integration of the human services delivery systems is great . The agencies which are responsible for the actual delivery of services are the key to effective services coordination. These agencies, primary of which is the county department of social services, are at the local levels - the county, city, or town. The planning process for the Title XX services program must include significant planning efforts by the county departments to make use of the flexibility in the service program which Title XX makes possible. 1. Relationship of Planning to the State's Budget Process and the Legislative Cycle: Internal planning and budgeting functions are performed by the Office of Program Planning, Evaluation, and. Budgeting within CDSS in co- operation with the program managers. Results of program-planning efforts will be incorporated in the department's FY 1977 budget request which will be submitted to the Executive Budget. Office in November, 1975. The departmental budget request will be reviewed by the Executive Budget Office. The Joint Budget Committee (JBC) of the State Legislature will probably start budget hearings in November, 1975, which means, in effect, that the department's budget request, which will include the State funds for operating the Title XX Social Services Program, must be prepared by November, 1975. Traditionally, the JBC has used the departmental budget request as the basis for their hearings and subsequent legislative action which is culminated in enactment by the Legislature of the Appropriations Bill in May or June prior to the start of the state's fiscal year in July. The budget cycle for the county departments is not the same as for the State Department because the county fiscal year coincides with the calendar year. The State Department issues guidance for county department budget preparation in August. County Boards hold hearings to discuss the county budget. The Department also sponsors legislation which is intended to correct or improve services programs when the policy-making implications exceed those delegated to the State Board of Social Services. Social Services Staff members from both the state and county department often assist in preparation of legislation and testify at hearings conducted by Legislative committees who consider human services legislation. 2. Coordination with and Input from other State, Regional and Local Planning Organizations No formal mechanism currently exists within CDSS to coordinate with, and utilize input from, other planning organizations, except area- wide agencies on aging, on other than a special project basis. CDSS participated in the efforts to determine the impact on oil shale de- velopment in Region II Counties. The Office of State Planning and Budgeting coordinated the efforts of numerous planning organizations in that effort. The Office of State Planning and Budgeting is co- ordinating the efforts of the Departments of Institutions, Health, and Social Services, and the Office of Human Services in the Human Services Delivery System efforts previously mentioned. The Division of Aging in CDSS is the State Agency on Aging and coordinates its activities with the areawide agencies on aging. In addition to coordinating with the Office of State Planning and Budgeting, the Office of Program Planning, Evaluation and Budgeting (OPPEB) in CDSS will seek to establish ongoing coordination with the following planning organizations in FY 1976: . Comprehensive Manpower Planning Office . Health Systems Agencies (designated under the National Health Planning and Resources Development Act) . Criminal Justice Planning Agencies . Regional Councils of Government . Colorado Department of Labor and Employment . Colorado Department of Local Affairs . Colorado Judicial Department . Mile High United Way and other United Way agencies in Colorado . Colorado Department of Education . Colorado Department of Institutions Many of the county hoards and county departments are heavily involved in efforts to coordinate with their regional and local human service planning and service-providing organizations. Many counties are heavily involved in working with regional councils of governments, particularly those having a human resources commission component. The county departments, county hoards, county advisory boards, and other community organizations should coordinate their efforts to inventory human services programs available in the county or in the community, determine service priorities given the unique problems of each community, and determine an effective technique for improving the services delivery system and eliminating unnecessary duplication of services. OPPEB will assist the county departments in developing methods for coordinating their efforts with other agencies. The Field Operations staff will monitor county department coordination activity and bring to the attention of the State Department any county coordination efforts which are impaired by ineffective program coordination at the state level (either within the State Department or between various state agencies) . The Field Operations staff will also be responsible for reviewing requests for OPPEB technical assistance and for determining whether county department social services plans are appropriate in addressing county human services problems. The importance of the county department in the planning process cannot be over-emphasized. The largest payoffs in terms of program effectiveness, 13- efficiency, and equitability occur through local efforts to understand and capitalize on program coordination and integration. CDSS has the responsibility to find solutions to program inter- face and coordination problems only when such problem-solving is beyond the scope of the county department's responsibility. 3. Needs Assessment in the Planning Process The needs assessment data gathered in preparation for Title XX was used to establish the services to be included in this plan. The data was used to compare the current services package then being provided by county departments with the needed services which were identified. Priorities assigned to needed services were used to establish a list of services to be provided state-wide. This list of prioritized ser- vices was compared with the department FY 1976 budget request to make the final determination of services to include. Because FFP for the social service program reached the federal ceiling of twenty-nine million dollars for FY 1975, and because the economic conditions in Colorado precluded increased state funding to establish new state social services programs, the planning problem was to determine the groups of clients to be served and the servies to include. For FY 1976, the Office of Program Planning, Evaluation, and Budgeting in CDSS will assist the Division of Title XX Services to interpret needs assessment data so that it can be utilized in the objective and service priority-setting procedures, The State Department will not engage in any needs assessment surveys other than specifying the format of public meetings to be held in January of 1976 to both evaluate and determine human services needs. The State Department intends to make maximum use of needs assessment and needs assessment-related data gathered and compiled by other agencies. This data will be utilized to evaluate the Title XX service program from a state-wide perspective. (See Section 8 - "Needs Assessment") . 4. Services Resources Inventory Because of the short time available, human service resources in the State were not thoroughly inventoried prior to developing the CASPP. However, some county departments have human services directories which inventory services resources available locally or regionally. In FY 1976, OPPEB will inventory social services resources on a county-by- county basis which will lead to the development of a state-wide inventory, identify gaps in services, and plan to fill the gaps in cooperation with state and county department social services staff. 5. Establishing Priorities and Setting Objectives Priorities for the CDSS social services programs were made by the State Department, with ongoing input from county departments, and expressed in the departmental budget request prepared several months before Title XX was enacted into law. The JBC and, ultimately, the State Legislature expressed their priorities through the appropriations made for the various social services programs. -54- Objectives for social services programs were established by CDSS based on past expenditures and service program utilization. The legislature further defined the program objectives by establishing limits on the cost per service recipient for various, but not all, purchased service programs as part of the appropriation for the department. The usefulness of the priority-setting process has been limited in the past because of the requirement that the same services to the same eligible persons be provided uniformly by all county departments. With the advent of Title XX, priority-setting will become a more comp/ex issue. The county departments will become more involved in the initial stages of the priority-setting process while maintaining their involvement in operational priority-setting. The State Board of Social Services will retain the authority to validate county-de- termined service priorities except those priorities mandated by law. Retaining the equitahi li ty, on a county-by-county basis, of the core services in the social services program will undoubtedly be necessary. OPPEB will assign three staff members to prepare the Title XX service plan for the next program year. One of the staff members will devote a portion of time to evaluation of the Title XX program. Resources devoted to planning are estimated to he $63,000. B. Evaluation The evaluation of the Title XX services program will consist of four components. The first component is monitoring of county department and service vendor compliance with State Department rules. This monitoring activity consists primarily of individual client record reviews and fiscal records review and is performed by program con- sultants in the Title XX Division and the staff in the Field Operations Division . The second component is in-depth studies of limited scope performed by OPPEB and the Division of Title XX Services. Two studies will be conducted during this program year . The first study will examine the adequacy of the fee schedules used for the social services program. The second study will he an evaluation of the effectiveness of current social service reporting mechanisms, particularly the ability of those reporting mechanisms to provide information which is adequate to monitor the social services program. The third component is in-depth studies performed by organizations or individuals independent of the state and county departments using federal research and demonstration grant project money if available. Two studied are currently scheduled. The firm of Pacific Associates will review the state and county department management of day care services for the Regional Office of DREW. The second project, which has not yet received federal approval , will utilize federal evaluation project money to evaluate the methods for placing children in the various types of foster care. The fourth component will he a compilation and analysis by OPPEB of evaluations or studies performed by other agencies or individuals totally independent from the state or county departments, Staff resources devoted to evaluation are estimated to be $18,000. C. Reporting One Annual report. in addition to those reports provided DREW is made to elected officials in accordance with C,R,S, 1973, Section 26-1-110. Any special operational reports are made in accordance with the Colorado "Information Coordination Act", C.R.S. 1973, Section 24-30-208. A quarterly report summarizing expenditures of funds for social services on a service by service basis will be made to the State Board of Social Services. One staff member in OPPEB is responsible for preparing statistical reports related to Title XX and other social service programs. Staff resources devoted to Title XX reporting are estimated to be $9,000. -56- Appendix I GLOSSARY CASPP: The acronym derived from Comprehensive Annual Services Program Plan. CASPP is the same as "Services Plan". CDSS: The initials of the Colorado Department of Social Services. CDSS is the same as the "State Department". Child Welfare Child welfare services is the general terminology used to Services: describe adoption services, child foster care services, and protective services for children. County When county department is referred to on this plan it means Department: the County Department of Social Services. Developmental A disability attributable to mental retardation, cerebral Disability: palsy, epilepsy, autism, or a neurological impairment, which may originate during the developmental period, which can be expected to continue indefinitely, and which constitutes a substantial handicap. "Developmentally disabled person" means a person with a developmental disability. (Definition from Section 27-10.5-101, C.R.S. 1973, as amended.) DHEW: The initials of the federal government's Department of Health, Education, and Welfare. DHEW administers the Title XX program for the federal government. FFP: The initials for Federal Financial Participation which is the federal money Colorado receives for following federal rules and regulations pertaining to different programs including Title XX. Income Those persons eligible for services contained in this plan on Eligible: the basis of monthly gorss income. See the "Persons Eligible to Receive Services" section of the plan. In Need of This refers to the condition of a child and adults who are Protection: alleged or adjudicated victims of abuse, neglect, or ex- ploitation so that they require protection from the persons who inflicted or were alleged to inflict the abuse, neglect, or exploitation. Institutions: For purposes of this plan institutions means prisons, hospitals, skilled nursing facilities and intermediate care facilities. See 45 CFR 228.44 for the further clarification of these facilities. Monthly Gross The monthly sum of income received from the following sources Income: that are identified by the U.S. Census Bureau in computing median income: (1) Money wages or salary; (2) Net income from farm self-employment; (3) Net income from non-farm self-employment : (4) Dividends, interest, rental income or royalties; (5) Pensions and annuities; (6) Alimony; (7) Child support; (8) Unemployment compensation; (9) Veterans pensions; (10) Workmen's Compensation; I-1 (11) Public Assistance or welfare payments; (12) Social Security payments including pensions; and (13) Survivor's benefits, permanent disability payments and railroad retirement. Other Assist- This is a group of persons who are eligible to receive services ance Payments under this services plan which is specifically defined in the Recipients: section "Persons Eligible to Receive Services". Services This plan which was prepared by CDSS to meet the requirements of Plan: Title XX in order to receive FFP for the social services program administered or supervised by CDSS. Social Services/ For purposes of this plan and the services program administered Human Services: by CDSS, social services refer specifically to the services contained in this plan. Social Services are a part of the definition of human services which refer to a larger set of services including education, health, rehabilitation, parole and probation, income maintenance, social security, etc. Special Need A child has a "special need for day care" when the child is for Day Care: mentally retarded, physically handicapped, emotionally disturbed, or has behavior problems and the "special need for day care" has been determined by both the staff of the county department and an appropriate physician, or for determining mental re- tardation, a psychologist. Title XX: That title of federal Social Security Act which is the law upon which the services plan is based. The Title XX legislation was approved by the President January 4, 1975 and is contained in Public Law 93-647. The rules and regulations issued by DHEW implementing Title XX are contained in 45 CFR Part 228. Training A program of vocational training conducted by an instructor in a non- Program: worksite setting or a worksite setting, or on-the-job training. The purpose of the training program is to impart skill or know- ledge with which to obtain employment. Training programs, except on-the-job training, must be less than two years in duration. Educational Two or four year college, junior college, or community college Program: programs whose purpose is to impart general academic knowledge and skills. I-2 Appendix II PERSONS ELIGIBLE TO RECEIVE DAY CARE SERVICE 1, Children of AFDC Recipients, including those in the WIN Program, are eligible for day care when: a, the mother or other relative caretaker is employed, b, the mother or other relative caretaker is in a training program, (see glossary for definition of training program) , c, the mother or other relative caretaker is in the final year of an educational program, (see glossary for definition) , d, the mother or other relative caretaker is involved in activities directed toward entering employment or a training program, e, the mother or other relative caretaker is hospitalized, fa the children have a special need for day care (see definition of special need following), or g, the children are in a neglect or abuse situation, 2, Children who are SS1 recipients are eligible for day care when: a, the children have a special need for day care, or b, the children are in a neglect or abuse situation, 3, Children placed in foster care by county departments are eligible for day care to supplement the foster care service when: a, day care is necessary to maintain the child's foster care placement , or h, the child has a special need for day care, 4, Children in families who are Income Eligible - Subgroup A recipients may receive day care when: a, the children have a special need for day care, or h, the children are in a neglect or abuse situation, 5, Children in families who are Income Eligible - Subgroup B recipients may receive day care, (See Section 4 for a definition) A child has a "special need for day care" when the child is mentally retarded, physically handicapped, emotionally disturbed, or has behavior problems. The special need for day care must he determined by both the staff of the county department and an appropriate physician or, for determining mental retardation, a psychologist, II-1 Appendix III Class II Counties in Which Emergency Homemaker Services May be Purchased: Archuleta Jackson Baca Mineral Cheyenne Ouray Dolores Pitkin Douglas Saguache Eagle San Juan Elbert San Miguel Gilpin Summit Grand Teller Hinsdale TIT-1 Appendix IV Explanation of Differences Between Proposed and Final Service Plan A number of changes were made to the organization of the service plan in response to suggestions from the public and DREW reviewers. All sections have been numbered. The tables which tell where to apply for services and the fee schedule were both moved to the section which describes persons eligible to receive services. The section on resources and sources of resources was moved to Section 3. The des- cription of the availability of services by geographic area was made a separate section. Three new appendices were added which summarize public comments, des- cribe the public review process, and describe the differences between the proposed and final plan. In Section 1 the amount of dollars available for Title XX was changed to reflect the number of dollars available for the first program year rather than the entire fiscal year. This change was made in Section 3 also so the dollar figures are for the nine month program year. A more complete description of the "program year" was added. These changes were made because of a DREW review of the plan. Changes were made to eliminate reference to the "proposed" plan. Procedures for citizen participation during the period after publication of this plan are explained in Section 1 because it was not clearly specified in the proposed plan. In Section 2 a paragraph about the construction of the objectives was added to clarify the objectives themselves. Objective 4 was originally part of another objective in the proposed plan but was made a separate objective in the final plan. In objective 5 "developmentally disabled" replaced "mentally retarded" to reflect the actual scope of the objective. The wording in objective 7 was changed to make it more clearly reflect the intent . Objective 8 was modified to make it clearer to understand. The word "inappropriate" was added to objective 12. The wording in objectives 14 and 16 was changed to make the meanings clearer. All these changes were made in response to comments received about the objectives. In Section 3 the dollar amounts were changed to nine month figures. In the pro- posed plan annualized figures were used. In Section 4, the definition of Medicaid recipients was clarified and the re- lationship of Medicaid recipients to "income status" clarified to satisfy DHEW reviewers. The "income eligible" group was subdivided into two separate subgroups to clarify the conditions of eligibility. The income levels associated with the income eligible subgroups contained in Table A were changed to reflect changes to revised federal regulations, which significantly changed the percentages used to calculate maximum gross family income for certain family sizes other than four. Table A was modified significantly to make it easier to understand. The category, "Persons Eligible Without Regard to Income" was added after the definition of such persons was clarified by DREW. It was added so that the state could receive Title XX FFP for the cost of services provided to people currently served by existing programs. In response to public comment, a paragraph was added to explain the relationship of persons eligible for services with special categories of individuals. A paragraph was added to explain the provision of services to persons living in certain types of institutions. This was done in response to public comment. IV-1 A paragraph was added to explain the phase-in of eligible persons in the Title IV-A and VI programs. Revisions to federal regulations allow such a phase-in. A subsection was added to explain fee collection. The fee schedule, Table C, was revised to reflect the changes in income figures and percentages used in preparing Table A. In Section 6 a paragraph was added to describe the primary sources of data utilized in preparing the cost and usage estimate contained in the service catalog. The service catalog format received one modification - "Eligible Categories" in proposed plan was changed to "Persons Eligible to Receive Services" in the final plan. The estimated cost quarterly was changed for every service based on revised cost estimates using updated "Time Analysis" data. The cost of purchased services was more clearly differentiated from direct services. The numbers of the objectives has been changed to correspond to the renumbered objectives in Section 2. The estimated costs associated with different categories of persons eligible has been clearly delineated. Adoption services was modified to include the cost of purchased adoptive studies. The omission in the proposed plan was unintentional. The definition of Child Foster Care was modified to make it more easily understood and to eliminate reference to RCCF maintenance and services. The costs of RCCF maintenance and services will not be included in the Title XX plan but will be assumed by state and county funds. DREW regulations precluded charging RCCF costs to Title XX. The definition of Day Care Service was clarified. Specific services purchased from the City and County of Denver were added to clarify the content of Day Care Services. Appendix Two which describes the eligibility criteria for Day Care Services was modified to include both income eligible subgroups. Day care services to AFDC recipients in the final year of education was made allowable because of public comment. The definition of Education and Training Services was modified to clarify the types of training which can be purchased. The definition of Financial Management was changed to more fully explain the service. The definition of Home Management service was expanded to more fully describe the service. Information and Referral services for the Mentally Retarded have been included in Services for the Developmentally Disabled and removed from Information and Referral upon the advice of the legal staff. The definition of Services for the Developmentally Disabled has been clarified in response to public comment. Adult day care services have been defined in this service. The specific services for which transporation can be purchased have been modified to reduce the costs of purchased transportation. IV-2 Section 7 has been mo—fied to more accurately describ. .00rdination between Title IV-B, IV-C, and the Title XX program. The description of coordination with related human services program has been expanded to more adequately describe coordination activities at the county level. Coordination with corrections pro- grams was added. In paragraph H of Section 7, the preparation of Spanish language brochures was included as steps to be taken to assure maximum feasible utilization of services. A paragraph was added to describe county responsibilities for assuring maximum feasible utilization of services. Section 8 received minor clarifying modifications. Section 9 has been changed to include a description of the needs assessment process for developing next year's Title XX plan. Section 10 has been modified to clarify the role of the county department in the planning process emphasizing the importance of the county departments. The role of the state department and the county departments has been differentiated. A discussion of the planning process to implement Title XX has been added as suggested by DHEW reviewers. The staff resources which the state department will de- vote to planning and evaluating Title XX are indicated. The evaluation process has been specified. When the proposed plan was prepared the scope and topic of Title XX evaluations was not known. The Glossary has been expanded to define certain terms which were unclear based on public comment. IV-3 Appendix V Description of the Public Review Process The proposed Title XX service plan was published July 1, 1975. Notification of publication appeared in various Colorado daily newspapers June 30, July 1, and July 2, 1975 and in various weekly newspapers in consecutive issues. The following names are the newspapers in which the advertisement of publication appeared and the counties served by those newspapers: Newspaper Counties The Denver Post All Counties The Pueblo Chieftain Fremont, Custer, Huerfano, Las Animas, Baca, Prowers, Bent, Crowley, Kiowa, Pueblo The Denver Weekly Denver, Adams, Arapahoe, Jefferson, Boulder Denver Catholic Register Denver, Adams, Arapahoe, Jefferson, Boulder, Douglas Rocky Mountain News All Counties Durango Herald Montezuma, La Plata, Archuleta, San Juan, Dolores, Mineral Greeley Tribune Weld, Morgan, Logan, Larimer Grand Junction Daily Mesa, Delta, Montrose, Garfield, Sentinel Rio Blanco A copy of the advertisement which appeared in The Denver Post appears on Page V-2. Notification of publication of a revision to the proposed Title XX plan appeared in the same daily newspapers on August 14, 15, and 16, and in the same weekly newspapers in three consecutive issues after August 14. The copy of the ad- vertisement which appeared in The Denver Catholic Register appears on Page V-3. The proposed plan was made available free to the public. Copies were available from all county departments of social services offices by telephoning or person- ally contacting the county department. Copies were mailed to persons who requested them by telephoning the state department office collect if from outside the Denver metropolitan area. Public hearings were held by the State Board of Social Services on August 1 and September 5, 1975 on the proposed plan and the revision to the state plan. Written comments were received by the state department through August 14 for the proposed plan and through August 29 for the revision to the proposed plan. V-1 STATE OF COLORADO PROPOSED SOCIAL SERVICES PLAN/ . The Colorado Social Services Program is administered i - by county social services departments to help persons maintain, Al restore or improve their capabilities for self-support, self-care inde- pendent living and strengthening family life. Services include home- maker services, day care, adoptions, adult and child foster care, court-related, protective services, education and training, legal employment, family planning, financial management, health, counseling, housing improvement, transportation, information and referral services, home management and special programs for mentally retarded. WHO IS ELIGIBLE FOR SERVICES? 1. Coloradans who are receiving assistance through AFDC, SSI, SSI- Colorado Supplement, AND, AB, OAP, or Medicaid. 2. Children placed in foster care by county social services depart- ments. 3. Others may be eligible for services if their income is below a set maximum based on family size. For example,the income ceiling for a family of four needing day care in order to be employed is $709. SOCIAL SERVICES FUNDING Local funds $12,560,000 State funds $ 3,140,000 Federal funds $30,860,000 ($29 million is the Donated $ 615,000 federal allotment TOTAL $47,175,000 from Title 20) PARTICIPATE IN THE SERVICES PLAN (45-day comment period) 1 Get a free copy of Services Plan at local county department social services under your county government listing in telephone directory, or call collect, Denver, 892-3537. 2. Write comments or suggestions about the plan by August 15 to:Title 20 Comments, Colorado Department of Social Services, 1575 Sherman St., Denver 80203. 3. Attend State Board of Social Services public hearings on the proposed plan at its August 1 and September 5 meetings at 9 a.m., room 711, 1575 Sherman St., Denver 80203. Final approval of the Services Plan will be through the State Board of Social Services at the September 5 meeting, room 711, 1575 Sherman St., Denver 80203. V-2 of"'�o AF��o STATE OF COLORADO -.u1-•�,+ REVISION TO PROPOSED SOCIAL SERVICES PLAN rave NOTICE IS HEREBY GIVEN THAT the Proposed Comprehensive Annual Services Program Plan published by the Colorado Department of So- cial Services, July 1-3, 1975, must be slightly revised to fully satisfy U.S. Department of Health, Education and Welfare requirements. The two revisions are both incorporated on page 48 of said plan. The first revision is an indication of the sources of donated funds which will be utilized to operate the Title XX Service Program. The sources of the donated funds are all private, not-for-profit organizations. The second revision is to add a statement comparing the amounts of esti- mated non-federal expenditures for the previous program year with the next program year. This statement is: "The estimated aggregate non-federal expenditures for the period July 1, 1974 — June 30, 1975, are $15,225,000. For the period July 1, 1975 — June 30, 1976, the aggregate non-federal expenditures are estimated to be $16,315,000." The revised page 48 is available for public review at your county de- partment of social services until September 29, 1975. The addresses of the county departments may be found in the telephone directory. A copy of revised page 48 may be obtained by calling 892-3537 in Denver. Written comments concerning revised page 48 will be accepted until September 29, 1975, and should be submitted to: Title XX Comments, Colorado Department of Social Services, 1575 Sherman St., Denver, Colorado 80203. THIS NOTICE DOES NOT REPRESENT NOTICE OF THE PUBLICATION OF THE FINAL SERVICES PLAN. SUCH NOTICE WILL OCCUR PRIOR • TO OCTOBER 1, 1975. V-3 Appendix VI Summary of Public Comments on Proposed Service Plan One type of citizen participation mentioned in the proposed CASPP was the opportunity for the citizen to submit written comments about the plan or appear in person before the State Board. This took place during a 45-day period from July 1, 1975 through August 14, 1975. Comments were heard in person before the State Board on August 1, 1975. Written responses from 154 respondents were received, consisting of 222 comments. The respondents were classified into two groups; institutional and individual. Fifty-nine institutional responses were received and originated mainly from State governmental units, county Departments of Social Services, county department employees, day care vendors, associ- ation and citizen groups. Ninety-five individual responses were received, and originated mainly from homemaker service recipients and day care service recipients. At the August 1, 1975 Colorado State Board of Social Services meeting, fourteen individuals made oral presentations, making a total of twenty- nine comments. Content of those comments closely paralleled that of the written comments. Most mentioned subjects were day care and camping. Many of the people who commented at the State Board submitted written comments. The 222 written responses were catalogued into subject areas identical to those found in CASPP. These subject areas and the number of responses received in each are listed below. 4 Citizen Participation 8 Persons Eligible for Services 1 Maximum Monthly Gross Family Income Services Catalog 6 Adoption 1 Adult Foster Care 1 Assessment of Need 2 Child Foster Care 3 Court Related 80 Day Care 5 Education and Training 5 Employment 1 Family Planning 4 Financial Management 5 Health Related 2 Home Management 25 Homemaker 5 Housing Improvement 2 Individual and Family Adjustment 1 Information and Referral 4 Legal 3 Special Services for the Developmentally Disabled 5 Transportation VI-1 21 Planning, Evaluation, Reporting 1 Resources 7 Fee Schedules Also received were comments that were not included in the CASPP Services Catalog. They are as follows: 2 Services for Alcoholics 9 Residential Camping Services 1 Home-delivered Meals The areas receiving most citizen response were Day Care, with 36% of total responses, Homemaker with 11%, and Planning, Evaluation and Reporting with 9.5% of total responses. Written Comments directed to the proposed service of day care involved two specific areas. Loss of Day Care Benefits - The first issue involves possible loss of benefits to current day care recipients. These respondents felt that the plan is not clear as to whether AFDC recipients or income eligibles, who are in training or are going to school, can receive day care service. CDSS Response - In the proposed plan, day care was not to be provided to AFDC recipients participating in higher education or to income eligibles participating in either education or training. Sufficient public comment was received to merit reconsideration. Under the final plan, AFDC recipients will be eligible for day care so they can complete their fourth year of higher education only. There was a need to balance the total amount of dollars available for day care services versus projected usage by the income eligible categories. AFDC recipients and income eligibles requiring day care service to maintain employment were given highest priority. Day Care for Two-Parent Families - The second issue involves the availability of day care for two-parent families. Some respondents felt that day care for employment should be available for income eligible, two-parent families. CDSS Response - The State Department recognizes that there is a prejudice against two-parent families built into the eligibility criteria for day care service for employment. However, the depart- ment was faced with the same fiscal limitations referred to above. If two-parent families were made eligible for day care for employment, it would be necessary to restrict day care to another group of previously eligible clients. The plan, however, does provide for day care for children in two-parent families in special needs situations. vI-2 The second largest group of responses expressed fear that the proposed funding of the homemaker service was not adequate to prevent discontin- uation to current recipients. The majority of these responses were localized in the Larimer County area. CDSS Response - The homemaker service is anticipated to continue operating at the same level of service as in the past. No reduction in services is anticipated when the Title XX plan becomes effective. It is considered a high priority service for adult services recip- ients. The third largest group of respondents were those concerned with the actual administration of Title XX, particularly fee collection and prioritization of services. Fee Collection - Some respondents wanted to know where fees collected would go. Would they revert to the county that collected them? Or would they revert to the State? Should fees collected against a particular service be used to defray the costs of that particular service alone, or defray the county's total costs? At least two respondents commented on the need for a sliding fee scale to allow the day care supported AFDC mother a more gradual transition to full self-supporting status. CDSS Response - Present procedures permit any fee collected to be retained by the county and deducted from total cost of social services provided. This will not be changed because of Title XX. However, the department recognizes the growing importance of fee collection and utilization during FY '76. Prioritization of Services - Two county associations, several county directors and CDSS staff were concerned that not enough State dollars were appropriated to carry out the proposed plan. They also feared that, even if State money was appropriated, actual usage of Title XX services would exceed the usage planned. As a contingency to prevent this feared excess of spending, these groups recommended that the services be prioritized, either at the State level or, ideally, at the county level. The respondents felt prioritization of services would enable county directors to balance service offered against stringent funding and possibly eliminate over-spending. CDSS Response - Prioritization of services by county departments is a desirable goal, but many issues associated with it need to be examined and satisfactorily resolved before a services plan which contains significant variances in services and eligible persons from county to county is made operational. Sufficient State money is currently appropriated to meet the State resources required to operationalize the plan. The changing State revenue situation could necessitate changes in the amount of State money appropriated for the Social Services program. VI-3 Comments were less often received concerning other specific services. Only those comments which have a state-wide applicability will be discussed. 1. Several responses were received concerning reinstatement of 24-hour camp fee reimbursement. The respondents felt that residential camp offers an opportunity for socialization and cultural stimulation which is not otherwise available to children in AFDC households. CDSS Response - The Department did not consider camping to be of high enough priority to restrict other services or categories of eligible individuals, in light of current fiscal limitations. 2. One organization felt that Title XX should fund the provision of meals to the home-bound elderly. CDSS Response - Programs to provide meals to home-bound elderly are administered by the Division of Services to the Aging in the State Department. Additional meals-on-wheels programs have a lower priroity than the services contained in the Title XX service plan. 3. One organization felt that Title XX should fund purchase of services from Alcoholic Treatment Centers. CDSS Response - Services for the treatment of alcoholics are funded through a variety of governmental sources, and many are free of charge to the general public including people eligible for Title XX services. The purchase of services which are normally free of charge to everyone else is not a sound fiscal practice. 4. One organization felt that the Title XX plan should include attendant care as a provision of the Homemaker service. CDSS Response - Fiscal limitations prevented adding attendant care as a part of the Homemaker service. 5. One organization felt that guidelines which establish the maximum number of children allowable in a day care facility needed revision. Present regulations specify that the number of children to be cared for by the day care home providers, if one of those children is funded by Social Services, must include all of the day care provider's own children under the age of 14. The respondent felt that the new guidelines should not specify that the number of children under age 14 be limited. They felt that this discrim- inated against all licensed day care operators who have school age children. CDSS Response - Child Day Care regulations must be based on Federal Inter-agency Day Care requirements as a condition of receiving FFP for Title XX-funded day care services. VI-4 6. One respondent felt that many activities described in "Employment Service" were the responsibility of the Department of Labor and should be omitted. CDSS Response - In smaller counties where there are no Department of Labor and Employment offices, the county department staff should pro- vide job referral and placement services. In larger counties, where the facilities of State Employment Service are readily available, the county departments will refer clients to those facilities. Many times, the special needs of the county department's clientele neces- sitate that the county department engage in job placement activities which are tailored to meet those special needs and for which the county department may have developed a unique expertise which can be help- ful in placing some of the department's clientele. 7. One respondent was concerned about inaccuracies in the figures provided for projected numbers of services and costs of services. It was obvious to him that the figures were based on an existing faulty reporting system. CDSS Response - The data used to project service use and costs was inadequate, since many of the Title XX plan services were different than previously reported services. The State Department is taking action to improve social services data. For some services, partic- ularly day care services, the data was sufficient to make accurate projections. S. One respondent was concerned with the overlapping of services by various State agencies in providing services to the developmentally disabled. He felt that service delivery should be consolidated under one department. CDSS Response - The variety of educational, medical and social needs of the developmentally disabled client plus the variety of federal and state funding sources for services for the developmentally disabled makes the consolidation of services to these individuals in one State agency difficult to achieve. More important than consolidation of services is coordination of effort to reduce unnecessary duplication of services. The Governor has emphasized the importance of coordinating the delivery of human services within the State government. 9. One respondent felt there should be funding allotted for purchases of therapeutic services for children not covered by the Handicapped Children's Act. CDSS Response - Fiscal limitations prevent funds from Title XX being used to purchase therapeutic services for children not covered by the Handicapped Children's Act. The Department, through its Medicaid program does offer limited service of this kind to eligible clients. VI-5 10. One respondent was concerned with how the General Fund requirements for Title XX were budgeted for in the Long Appropriations Bill. CDSS Response - The Long Appropriations Bill does not identify the sources of federal funds in relation to the service provided except for certain purchased services. Title XX FFP is included in the Long Bill but cannot be readily identified in each line item because all federal funds are lumped together. 11. Two respondents felt that the proposed plan did not live up to its advanced billing as a program that mandated sweeping change and reform of service definition and delivery. CDSS Response - The State Department did not bill Title XX as a vehicle for sweeping change and reform. The State Department cautioned the county departments that no major program changes would be included in the proposed Title XX plan. The State Depart- ment made an effort to down-play any new services programs and dollars which would be initiated because of Title XX. This does not mean that the State and County departments should not attempt to improve the effectiveness of the services offered in this plan. 12. One respondent felt that we should fund 24-hour crisis day care. CDSS Response - 24-hour day care is not allowable under the Federal Inter-agency Day Care Requirements. Crisis day care is available in emergency situations for periods of less than 24 hours per day. Emergency foster care can be utilized to provide emergency care on a 24-hour basis. 13. One respondent felt there should be ongoing public hearings instead of scheduling hearings only when a new CASPP is to be written. CDSS Response - Public hearings were conducted well in advance of the proposed plan and will be conducted prior to drafting CASPP for 1976. The State and county departments recognize the necessity for adequately publicizing such meetings, and steps will be taken to insure more publicity of the meetings planned for January. 14. One respondent proposed establishment of a resource limit for income eligibles applying for Title XX services. CDSS Response - Federal regulations do not provide for consideration of resources as criteria for determining eligibility for Title XX services. Consideration of resources to establish eligibility for services would further increase administrative costs because of the inherent difficulties in determining "resources". VI-6 15. One respondent felt that day care service should not be offered to foster care recipients. CDSS Response - Day care service is offered to children in Foster Care who have special needs which can only be met through partic- ipation in day care programs and as an aid to the foster parent of a difficult child. 16. One respondent felt that a good measurement system was needed to become part of the plan so that accountability and priority setting would not be an impossible task in the future CDSS Response - The need for adequate measurement system is known at the State level. The design and implementation of adequate measurement systems for social service is part of a greater effort to better integrate the various reporting mechanisms. Copies of all 154 comments are catalogued and filed for public review at any time at the Colorado Department of Social Services, Office of Planning and Evaluation, Room 810, 1575 Sherman Street, Denver, Colorado 80202. No public comments were received in response to the publication of the revisions to the proposed plan of August 14, 1975. VI-7 Hello