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Human‑services staff brief legislators on SNAP/HEAP, homelessness, Medicaid waiver screening and aging services

Cayuga County Legislature (committee meeting) · November 13, 2025
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Summary

County human‑services staff reported SNAP benefits distribution is resuming, HEAP remains pending amid shutdown uncertainty, emergency housing counts are down from earlier peaks, and the county plans to seek reimbursement under the Medicaid 1115 regional social‑care network (FLIPA) for screening work.

Department of Social Services and related human‑services staff used the Nov. 12 committee meeting to update legislators on benefits distribution, homelessness figures and emerging Medicaid waiver work.

DSS staff said New York State has begun issuing full November SNAP benefits to open recipients and will process held new applicants in phases. By contrast, the Home Energy Assistance Program (HEAP) remained without a firm opening date because of higher‑level funding uncertainty; staff said they are monitoring the national/state situation and will stand ready to activate seasonal staff when HEAP opens.

On homelessness, DSS reported that single‑person emergency housing counts had fallen to the mid‑80s (86 on the most recent snapshot) and families in emergency housing numbered 16; staff and members noted counts fluctuate with weather. Committee members requested an end‑of‑year breakdown showing county vs. out‑of‑county recipients and other source details; staff said CoC (Continuum of Care) data can help but some cross‑county movement is difficult to track with current data systems.

Staff also described a proposed contract with the region's social‑care network (referred to in the meeting as "Flippa/FLIPA") under the Medicaid 1115 waiver. The plan focuses initially on reimbursable social‑determinants screening for Medicaid managed‑care members; county staff said government entities cannot receive capacity dollars under the waiver but can be paid for completed screenings. "We would need to bring a resolution forward to be able to contract with Flippa," staff said; no vote on that resolution occurred at the Nov. 12 meeting.

Other updates included improved discharge‑planning collaboration with hospitals after State OMH guidance (standing Monday meetings to coordinate shared clients), restoration of a part‑time jail social worker by reallocating clinic staffing, and pending OMH approval for a satellite clinic at Moravia View School with a therapist already lined up. The county plans to start with screening reimbursement work and evaluate whether care‑management contracting makes sense later.

Separately, the Office for the Aging reported a surge in Medicare enrollment assistance requests and limited local capacity; aging staff are offering Medicare 101 classes to expand support but said many residents prefer in‑person assistance and are frustrated by limited local appointment availability. Staff also flagged volunteer shortages for senior meal routes in Moravia and Summerhill and are using a volunteer‑matching platform to recruit drivers.

County staff said they will bring a resolution to authorize contracting with the regional social‑care network and will provide further data on homelessness and program outcomes in upcoming briefings.