On August 23, 2011, the Family and Social Services Agency (FSSA) gave an update to the Joint Commission on Medicaid Oversight on the “hybrid” system for social services eligibility determination. View FSSA’s presentation here.
Progress of the “Hybrid” conversion
Five of the seven FSSA regions have transitioned to the hybrid system. Click on the map to view in greater detail.
The two remaining regions are:
- Tippecanoe and Wayne counties, which are scheduled for roll out in late 2011
- Marion County, which is scheduled for roll out in February 2012
System Performance Update
FSSA reported that overall performance of application processing has improved with the transition to the hybrid process. When IBM was processing applications, FSSA reports that 77% were processed timely, whereas now 88% are processed timely. The number of days FSSA has to process an application varies by benefit applied for.
In addition, Indiana has moved from number 53 to number 10 in the nation for reducing the number of cases inaccurately determined to be eligible. Indiana has moved from 45 in the nation to number 12 for reducing the number of cases inaccurately determined to be ineligible.
In December 2006, Indiana signed a 10-year contract with IBM to modernize the State’s eligibility process for Temporary Assistance to Needy Families (TANF), the Supplemental Nutrition and Assistance Program (SNAP), and Medicaid. The project transferred a majority of State employees to private contractors and modified the application process to move away from an in-person caseworker system to an online application, centralized call centers, and faxing or mailing required documents.
After the failure of the “modernization” project, the state ultimately canceled the contract with IBM and is now in a court battle with the company.