Member Surveys

1. Member Surveys 2013

2. Of the 19 respondents, 17 were registered non-profits for which 2011 990s were available: • Revenue: • 0-1 million: 2 • $1,000,000 to 5 million: 4 • $5,000,001 to 10 million: 4 • $10,000,001 to 20 million: 4 • $20,000,001 to 30 million: 1 • Over $30 million: 2 • Thirteen experienced an increase in revenues over the previous reporting year. • Four experienced a decrease in revenues over the previous reporting year. Respondent Demographics

3. 8 responses indicated an improved financial condition or financial success • 15 responses described improving organizational capacity through additional accreditation, restructuring, strategic planning, mergers or capital development/acquisition • 28 responses described program additions or the expansion of current programs in scope or areas served Member Accomplishments

4. 19 responses described financial concerns as challenges, including: reduced federal funding, using reserves to fund programs, inability to maintain facilities at the desired level, staff reductions, increased rate of uncompensated care, struggling to keep pace with IT needs, etc. • 19 responses described organizational challenges, such as: high turnover, difficulty to recruit and retain qualified staff, restructuring and leadership transitions, managing growth, adapting to state partners’ change in practice Member Challenges

5. 9 of the 19 responses described a financial priority. These included: increased contract funding/rates and protecting tax credits • 8 of the 19 responses called out program or service enhancements, such as support services for foster and adoptive families, Medicaid expansion, children’s mental health, wrap around services for low-income • 2 of the 19 responses referred to policy involvement, including sector engagement in the roll-out of the Affordable Care Act and removing system barriers for potential adoptive and foster families Members’ Top Priorities

6. 20 responses addressed provider capacity, specifically contractor rights, funding and tax credits (which is a part of funding) • Seven responses prioritized the Affordable Care Act, and how it will impact members as providers and employers. • Eight responses spoke to broader advocacy issues, such as promoting the well-being of children in foster care, monitoring emerging and ongoing issues, and keeping members apprised of legislative issues as they arise and progress What Should MCCA’s Priorities Be?

7. Homeless youth receive same attention, benefits and services as youth in foster care • True mental health parity and sufficient funding for all health services • Assurance that judges adhere to laws when ruling • Full funding for foster care services, performance measures and definitive outcomes accompany full funding • Increase age a child can be supported by state funding • Increase foster parents’ and other provider rights • Change mental health funding structure to open up to other behavioral health care providers • Expand Medicaid • Lower age of consent laws to allow youth to access needed services • Align rules with contracts • Move case decisions authority from juvenile officers to child welfare professionals Law or Policy Change

8. End sequestration • Easier access to federal funds and simplified grant and reporting processes • Get rid of SACWIS • Tie rates for foster care and adoption subsidy together to remove financial disincentive to adopting. Make Chafee available to adoptive families. • RHYA written into law to eliminate need for reauthorization • Simplified and streamlined FYSB requirements • Make Medicaid eligibility understandable to potential consumers and providers • Change ACA’s full time = 30 hours • Get Missouri to be a IV-E waivered state • Monitor Workforce Investment Act, as funding cuts make it vulnerable to ill-advised move to another department Federal Law Change