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Category: Fiscal Analysis

In 2013, the Data Center collaborated on a project examining patterns of healthcare needs and Medicaid expenditures for children in foster care in New York State. Read more about the findings and their implications for the state's transition from a fee-for-service health care system to managed care. ... Read more >
Care days is a strategic quantity that lies at the core of planning for, implementing, and monitoring foster care interventions, especially in the context of a Title IV-E waiver. This post summarizes Fred Wulczyn’s January 24, 2014 webinar “Care Days, Waivers, CQI, and Intervention Design.” ... Read more >
In this the second installment of a multipart series on care days and Title IV-E waivers, Fred Wulczyn will demonstrate how Chapin Hall's predictive analytics software, OSPEDALE, provides information that can help states plan for, manage, and monitor the use of waiver funds.... Read more >

Length or stay is a key indicator of permanency for children in foster care. For the sake of child well-being, we strive to minimize length of stay—to get children out of foster care and into permanent homes as quickly as possible. But length of stay also as a fiscal implication. Foster care is expensive to provide. Many states are exploring ways to reduce foster care expenditures and reinvest savings into preventive and in-home services that decrease the need for out-of-home care. In the previous Recipe, I used the web tool’s Baseline Care Days and Exits Summary to answer the question of whether interventions designed to improve permanency outcomes have their intended effects. In this Recipe, I’ll show you how to use the information produced by that template to set baselines and targets for expenditures as well as outcomes. This Recipe takes about 10 minutes to complete. In addition to the web tool,… Read more