Macomb HSCB

In July of 1990, a group of public agencies within Macomb County formally organized as the Macomb County Human Services Coordinating Body (HSCB).

This initiative grew out of recommendations made earlier in 1989 by the Macomb County Board of Commissioners’ Ad Hoc Committee on Children’s Services. This Committee issued a report that recommended the formation of such a human services coordinating body within the County to enhance inter-agency planning and collaborative efforts for the benefit of Macomb County residents.

In July of 1990, an initial inter-agency service assurance agreement that formalized the Macomb County HSCB was approved by eight member agencies. By July 1992, there are 12 member agencies.

In March of 1991, the HSCB sponsored a County-wide Children’s Symposium with more than 200 participants from local public/private human service agencies, elected officials, and other civic leaders attending. Its purpose was to bring together professional line staff and administrators from Macomb County public and private human service, health, education, and police agencies to help recommend a children’s agenda for Macomb County.

In November of 1991, the Macomb County HSCB released the Children’s Symposium Report. From this document came the community issues and work group projects.

About the same time, state and local leaders have joined with families and other consumers to seek improved ways to serve children and their families in our communities. Collaborative efforts have been viewed as a way to improve results for children and their families. In Michigan, emerging partnerships among the state human service directors have led to a significant amount of collaboration in the development of policies and adoption of principles for ongoing work.

The collaborative partnerships that have developed on the state level are also evolving on the local level. As a result, there is a significant amount of confusion about how the various new and traditional opportunities for receiving services can be meshed into a more seamless array of services.

In October of 1994, the state human services directors and the Superintendent of Public Instruction signed a document entitled, “Our Commitment to System Reform for Children and Families.” This paper confirmed their commitment to a collaborative, seamless, locally controlled, family-friendly systems reform.

This reform was envisioned to focus on “new ways of doing business” to achieve better results for multi-generational families who receive services across multiple human services and educational systems.
To carry out the director’s request for a road map which will give guidance toward systems reform, a diverse Task Force on Systems Reform was assembled to make recommendation about collaboration. That Task Force issued its report to the Michigan Human Service Directors on February 15, 1995.

That Task Force report listed over forty (40) recommendations identified for implementation as soon as possible. The first recommendation was to have each community designate a single, multi-purpose collaborative body to forge alliances, create a shared vision, and mobilize resources for services for families whose needs are now met by multiple agencies.

On July 6, 1995, the Macomb County Human Services Coordinating Body (HSCB) was approved as the Multi-Purpose Collaborative Body (MPCB) for the Macomb County community.

In 2005, the generic term “Multi-Purpose Collaborative Body” was changed to “Community Collaborative.”

Calculator

By clicking on the “Calculator” link above, you will see health insurance premiums and subsidies for people purchasing insurance on their own in new health insurance exchanges (or “Marketplaces”) created by the Affordable Care Act (ACA).

Beginning in October 2013, middle-income people under age 65, who are not eligible for coverage through their employer, Medicaid, or Medicare, can apply for tax credit subsidies available through state-based exchanges.

Additionally, states have the option to expand their Medicaid programs to cover all people making up to 138% of the federal poverty level (which is about $33,000 for a family of four). In states that opt out of expanding Medicaid, some people making below this amount will still be eligible for Medicaid, some will be eligible for subsidized coverage through Marketplaces, and others will not be eligible for subsidies.

With this calculator, you can enter different income levels, ages, and family sizes to get an estimate of your eligibility for subsidies and how much you could spend on health insurance. As premiums and eligibility requirements may vary, contact your state’s Medicaid office or exchange with enrollment questions.