essay

mrl , : :: trf products; and nilr 1, _ r -::eivefundsfrom

" '_ ._ :.i \\Iay drives. A . , '-.:,--ing comes from

, :i is discussed in t----- ' -: _

- - ::-'irr rhttp://wlrw - :r: ire 1.9 million

__ r:.lude religious . : -:er- employ 9_4. : -:ev employ 9.4 '- - :: :::resent6.60/o of

- : ::::orimately tril_ L

^. ir I t,-_._tjSbr-nonprofits

: -- :ues, fees, and $ I -- : - - :''I ltlo.r: by contri_ llll1111r,,, : ::-. t;e pf Ogf ams

fllllllllrr' *'p'**

i 1.".,, .t ' _:.-.',: ::-lUCh Of theif rlr ._ -. :ontracts with

" Lriirlilrr . -.:,:-:i support for lr r . ,:::-r:.1 tbsterCare

. " --,::l.ts \vith state . - :::,':JeS. Similarly, * - ..,:,re fundedby

, -: - -- :!. I,lental health ll| _ - : -_-. :. that prOvide

: : ::. addicted to l r, .t::-i fundS froma ualuo rt utll

- '.--. ::,: lorv-income ': ' -: :ublic health_

" -11 ^__ ,- , f-:-;."= :11 or part of . . _-.:rizations that

Structure and Financing of Human Services Organizations 91

serve persons with AIDS may also be supported through Medicaid funds.

Federal-State Matching programs

Many state and local programs are supported by federal and state government matching pro_ grams. That is, the federal government provides part of the funds and the state the balance for programs the state determines it wants to operate-as all states do. For example, the Temp_ oraryAssistance for Needy Families (TANF) pro_ gram, which provides financial assistance, at levels determined by the state, to low-income fam- ilies with children, is financed, in large part, by a block grant to the states. The formula for financ- ing the Medicaid program is set by the federal government, based on the per capita income of the state. In the Food Stamp program, the finan_ cial assistance is provided by the federal govern_ ment and the administrative costs of determining eligibility and managing the program are shared between the state and federal government.

There are federal provisions that permit states to request exceptions to federal regulations so that they can operate programs that deviate, to an extent, from federal guidelines. For example, Medicaid services, which often pay for long_term nursing home care, may be modified to provide for in-home services that would prevent the placement of a person in a nursing home.

Other Federal Funds

There are other federal programs designed to serve children, and some of those are open_ ended federal appropriations that only require a state matching percentage. Title IV_E of the Social Security Act finances children,s programs that provide foster care assistance payments, placement services, and administrative costs, as well as training for child welfare workers. In fact, many child welfare workers in state departments of social services are trained with those funds, as

It,,la^*l- : : I : o n s

.-': 1

- : -,trnS derive signif-

-::ng from direct :rri\-ities such as

"--s. solicitations of ::..ests, and events