Acacia Network Inc

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CARLOS PAGAN CCBHC - PROMESA, INC., A NEW YORK STATE (NYS)-DESIGNATED CCBHC (BRONX), ENDEAVORS TO SERVICE INDIVIDUALS WITH SERIOUS MENTAL ILLNESS (SMI) OR SEVERE SUBSTANCE USE DISORDER (SUD), CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE (SED), AND THOSE WITH CO-OCCURRING MENTAL, SUBSTANCE USE, AND/OR PHYSICAL HEALTH DISORDERS, OR EXPERIENCING A SMI OR SUD-RELATED CRISIS IN THE KINGS COUNTY (BROOKLYN), NEW YORK CITY (NYC) SERVICE AREA THROUGH THE SAMSHA CCBHC - PLANNING, DEVELOPMENT, AND IMPLEMENTATION GRANT OPPORTUNITY. AS A LEADER WITHIN THE MENTAL HEALTH AND SUBSTANCE PROVIDER SPACE IN NYC, AND AS AN AFFILIATE OF THE ACACIA NETWORK, PROMESA HAS MADE STRIDES IN CONTENDING AGAINST THE INCREASED PREVALENCE OF MENTAL HEALTH AND SUBSTANCE USE DISORDERS, PARTICULARLY IN BROOKLYN, NY. BROOKLYN IS HOME TO 2,576,771 RESIDENTS, AND 63.6% OF THE POPULATION IDENTIFY AS PEOPLE OF COLOR (POC). 35.6% OF BROOKLYN RESIDENTS ARE FOREIGN BORN AND NEARLY HALF OF ITS POPULATION SPEAKS A LANGUAGE OTHER THAN ENGLISH (44.5%), WHICH CAN BE A BARRIER TO ACCESSING TREATMENT (14.2% OF BROOKLYN RESIDENTS HAVE LIMITED ENGLISH ABILITY). CONSIDERING THESE BARRIERS AND MORE, THERE IS A HIGH PREVALENCE OF SUBSTANCE USE AND MENTAL HEALTH CONDITIONS AMONG THE TARGET POPULATION AND OFTEN THESE CONDITIONS GO UNDIAGNOSED AND UNTREATED. THROUGH THIS FUNDING, PROMESA WILL 1) HIRE ADDITIONAL LEADERSHIP, CLINICAL, AND SUPPORTIVE SERVICES STAFF TO EXPAND ACCESS; 2) IMPLEMENT COMPREHENSIVE ASSESSMENT UTILIZING VALIDATED SCREENING AND ASSESSMENT TOOLS, INCLUSIVE OF THOSE FOR ADVERSE CHILDHOOD EXPERIENCES (ACES), SUICIDE RISK, AND BEHAVIORAL HEALTH DISORDERS, AS INDICATED; 3) DEVELOP TAILORED SERVICE AND TREATMENT PLANS; AND 4) INTRODUCE CRISIS AND PSYCHIATRIC REHABILITATION SERVICES; 5) PROVIDE A RANGE OF EVIDENCE-BASED PREVENTION AND TREATMENT SERVICES THAT ADDRESS A COMBINATION OF IMMEDIATE AND LONG-TERM NEEDS. PROMESA WILL CONTINUE TO PROVIDE DIRECT OUTPATIENT MENTAL HEALTH AND SUBSTANCE USE TREATMENT SERVICES, LEVERAGING ITS CURRENT PROGRAMS AND COMMUNITY PARTNERSHIPS TO RECRUIT CONSUMERS; AND COMMIT TO DEVELOPING FURTHER LINKAGES WITH ENTITIES SUCH AS THE VETERAN ADMINISTRATION AND OTHER PRIMARY HEALTH CARE AND BEHAVIORAL HEALTH CARE ORGANIZATIONS IN CLOSE PROXIMITY TO PROMESA'S CARLOS PAGAN HEALTH CENTER. OVER THE FOUR-YEAR PROGRAM, PROMESA WILL ACHIEVE THE FOLLOWING: - HIRE AN ADDITIONAL 9.0 FTE STAFF TO INCREASE AVAILABILITY, ACCESS TO, AND COORDINATION OF INTEGRATED, EVIDENCE-BASED MENTAL HEALTH AND SUBSTANCE USE CARE, INCLUDING CRISIS AND PSYCHIATRIC REHABILITATION SERVICES, AT THE CLINIC AND THROUGH THE MOBILE UNIT. - 100% OF CLINICAL STAFF WILL HAVE EARNED THEIR CERTIFICATE IN INTEGRATED MENTAL HEALTH AND ADDICTIONS TREATMENT TRAINING (IMHATT). - INCREASE INITIATION AND ENGAGEMENT IN TREATMENT BY 25% AMONG ENROLLED CLIENTS (FROM BASELINE). - REDUCE THE TIME BETWEEN SCREENING AND TREATMENT INITIATION AMONG ENROLLED CLIENTS BY 25% (FROM BASELINE). - COMPLETE A COMPREHENSIVE INTAKE AND INTEGRATED TREATMENT PLAN DEVELOPMENT PROCESS WITH 100% OF CONSUMERS SERVED. - INCREASE THE NUMBER OF CONSUMERS INITIATED ON MEDICATION-ASSISTED TREATMENT (MAT) BY 20% (FROM BASELINE). - REDUCE SYMPTOMS OF ANXIETY AND/OR DEPRESSION AMONG ENROLLED CLIENTS BY 15% (FROM BASELINE). THE PROGRAM WILL ENROLL 150 CONSUMERS IN EACH PROGRAM YEAR (YEARS 1 - 4), FOR A TOTAL OF 600 CONSUMERS OVER THE LIFE OF THE PROGRAM.

CAMINO NUEVO CCBHC - PROMESA, INC. IS SEEKING SUPPORT FOR THE ESTABLISHMENT OF A NEW CCBHC AT ITS CAMINO NUEVO FACILITY AT 175 CENTRAL AVENUE, ALBANY, NY 12206. THE CCBHC WILL PROVIDE COMPREHENSIVE, COORDINATED BEHAVIORAL HEALTHCARE TO THOSE WITH SERIOUS MENTAL ILLNESS (SMI) AND/OR SUBSTANCE USE DISORDER (SUD), CHILDREN WITH SERIOUS EMOTIONAL DISTURBANCE, AND THOSE EXPERIENCING AN SMI- OR SUD-RELATED CRISIS IN THE ALBANY REGION OF NEW YORK STATE (NYS). THE SERVICE AREA IS PREDOMINANTLY WHITE (81%), 43% OF RENTER HOUSEHOLDS ARE RENT-BURDENED (SPENDING 30% OR MORE OF INCOME ON RENT), AND MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA IS LOWER THAN THAT OF NYS AS A WHOLE. EIGHT OF THE 12 COUNTIES IN THE SERVICE AREA ARE HPSAS FOR PRIMARY CARE, SIX ARE HPSAS FOR MENTAL HEALTHCARE, AND FIVE ARE HPSAS FOR DENTAL CARE. PROMESA'S CAMINO NUEVO SITE CURRENTLY OPERATES A NYS-LICENSED INTEGRATED OUTPATIENT SERVICES (IOS) PROGRAM THAT PROVIDES SUBSTANCE USE TREATMENT, INCLUDING MEDICATION ASSISTED TREATMENT (MAT) SUCH AS METHADONE, BUPRENORPHINE, AND NALTREXONE; MENTAL HEALTH SERVICES; AND BEGINNING AUGUST 2022 WILL OPERATE A MOBILE MEDICATION UNIT EQUIPPED TO DISPENSE MAT. WHILE THE SITE CURRENTLY OFFERS ROBUST SUBSTANCE USE SERVICES, PROMESA WILL USE CCBHC FUNDING TO ADD 8.25 FTE STAFF TO EXPAND AND BOLSTER ITS MENTAL HEALTH SERVICES.THIS INCLUDES 1.0 FTE PROGRAM DIRECTOR, 1.0 FTE INTAKE COORDINATOR, 0.75 FTE RN, 2.0 FTE CASE MANAGERS, 1.0 FTE COUNSELOR (LMSW), 1.0 FTE PSYCHIATRIC REHABILITATION WORKER, 1.0 FTE PEER, AND 0.5 FTE PSYCHIATRIST. IN ADDITION, FUNDING WILL BE USED FOR 0.5 FTE SENIOR ADMINISTRATOR/PROJECT DIRECTOR, 0.25 FTE TALENT DEVELOPMENT SPECIALIST (FOR TRAININGS), 0.5 FTE DIRECTOR OF CONTINUOUS QUALITY IMPROVEMENT/EVALUATOR, AND 0.5 FTE DATA ANALYST. WHEN COMBINED WITH CAMINO NUEVO'S EXISTING STAFF, THE CCBHC WILL HAVE A TOTAL OF 37.75 FTE STAFF. WITH THESE NEW HIRES, PROMESA WILL BE ABLE TO IMMEDIATELY IMPLEMENT SEVEN OF THE NINE CORE CCBHC SERVICES, INCLUDING THE DIRECT PROVISION OF SCREENING, ASSESSMENT, AND DIAGNOSIS, INCLUDING RISK ASSESSMENT; PATIENT- AND FAMILY-CENTERED TREATMENT PLANNING; OUTPATIENT MENTAL HEALTH AND SUBSTANCE USE SERVICES; PRIMARY CARE SERVICES AND MONITORING OF KEY HEALTH INDICATORS AND HEALTH RISK; TARGETED CASE MANAGEMENT; PEER SUPPORT, COUNSELOR SERVICES, AND FAMILY SUPPORTS; AND MENTAL HEALTHCARE FOR MILITARY PERSONNEL. WITHIN THE FIRST SIX MONTHS OF THE PROGRAM, CAMINO NUEVO WILL ADD CRISIS MANAGEMENT SERVICES AND PSYCHIATRIC REHABILITATION SERVICES TO ITS OFFERINGS. IN ORDER TO ACCOMPLISH THIS GOAL, THE FACILITY WILL EXECUTE A CONTRACT WITH PROMESA'S EXISTING CRISIS CALL CENTER, WHICH PROVIDES A CENTRALIZED NUMBER FOR SERVICE AREA RESIDENTS AND CCBHC CONSUMERS TO CALL AFTER HOURS. CRISIS COUNSELORS TRIAGE THE CALLS. IF DE-ESCALATION OVER THE PHONE CANNOT OCCUR, A MEMBER OF CAMINO NUEVO'S CRISIS TEAM WILL BE DISPATCHED TO ENGAGE THE CLIENT WITHIN 3 HOURS.PSYCHIATRIC REHABILITATION SERVICES WILL ALSO BE ESTABLISHED AT THE CLINIC THROUGH HIRING AND TRAINING A PSYCHIATRIC REHABILITATION WORKER TO PROVIDE MEDICATION EDUCATION, SELF-MANAGEMENT, COMMUNITY INTEGRATION SERVICES, ETC. IN ORDER TO MOST EFFECTIVELY SERVE CAMINO NUEVO'S CLIENTS, PROMESA WILL IMPLEMENT SEVERAL EVIDENCE-BASED PRACTICES, INCLUDING THE INTEGRATED TREATMENT FOR CO-OCCURRING DISORDERS TRAINING (AND SUBSEQUENTLY EARNING THE INTEGRATED MENTAL HEALTH AND ADDICTIONS TREATMENT CERTIFICATE), MOTIVATIONAL INTERVIEWING (MI), TRAUMA-INFORMED CARE (TIC), PEER & FAMILY SUPPORT SPECIALISTS, MAT, COGNITIVE BEHAVIORAL THERAPY (CBT), DIALECTICAL BEHAVIORAL THERAPY (DBT), SEEKING SAFETY, AND STAGES OF CARE. PROMESA AIMS TO SERVE 150 UNDUPLICATED INDIVIDUALS PER YEAR, FOR A TOTAL OF 600 THROUGHOUT THE LIFETIME OF THE PROJECT.

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

PROMESA CCBHC EXPANSION - PROMESA'S CCBHC EXPANSION GRANT PROGRAM WILL ENHANCE ITS EXISTING NEW YORK STATE-FUNDED CCBHC (2017) TO ENSURE THAT CONSUMERS HAVE IMMEDIATE AND TIMELY ACCESS TO WELL-COORDINATED AND EVIDENCE-BASED TREATMENT THROUGH A SINGLE POINT OF ENTRY. THE PROGRAM WILL SERVE INDIVIDUALS WITH SERIOUS MENTAL ILLNESS, SEVERE SUBSTANCE USE DISORDER, AND THOSE WITH OCCURRING MENTAL, SUBSTANCE USE, AND/OR PHYSICAL HEALTH DISORDERS IN THE SOUTH BRONX IN NEW YORK CITY (NYC).

PURPOSE: THE CONTINUUM OF CARE (COC) PROGRAM IS DESIGNED TO PROMOTE COMMUNITY-WIDE COMMITMENT TO THE GOAL OF ENDING HOMELESSNESS; PROVIDE FUNDING FOR EFFORTS BY NONPROFIT PROVIDERS, STATES, AND LOCAL GOVERNMENTS TO QUICKLY HOUSE HOMELESS INDIVIDUALS AND FAMILIES WHILE MINIMIZING THE TRAUMA AND DISLOCATION CAUSED TO HOMELESS INDIVIDUALS, FAMILIES, AND COMMUNITIES BY HOMELESSNESS; PROMOTE ACCESS TO AND EFFECTIVE UTILIZATION OF MAINSTREAM PROGRAMS BY HOMELESS INDIVIDUALS AND FAMILIES; AND OPTIMIZE SELF-SUFFICIENCY AMONG INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS. THE MOST RECENT COC AWARD ANNOUNCEMENT LISTING AWARDS BY STATE AND COC IS ACCESSIBLE AT HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/COC/AWARDS. SELECT THE LINK UNDER THE FUNDING AND AWARD INFORMATION SECTION FOR THE APPROPRIATE FISCAL YEAR.; ACTIVITIES TO BE PERFORMED: CONTINUUM OF CARE PROGRAM FUNDS MAY BE USED TO PAY FOR THE ELIGIBLE COSTS USED TO ESTABLISH AND OPERATE PROJECTS UNDER FIVE PROGRAM COMPONENTS: (1) PERMANENT HOUSING, WHICH INCLUDES PERMANENT SUPPORTIVE HOUSING FOR PERSONS WITH DISABILITIES, AND RAPID REHOUSING; (2) TRANSITIONAL HOUSING; (3) SUPPORTIVE SERVICES ONLY; (4) HOMELESS MANAGEMENT INFORMATION SYSTEMS (HMIS), AND (5) IN SOME CASES, HOMELESSNESS PREVENTION. THIRTEEN TYPES OF ASSISTANCE MAY BE PROVIDED THROUGH THE CONTINUUM OF CARE (COC) PROGRAM: (1) COC PLANNING ACTIVITIES/COSTS FOR DESIGNING AND CARRYING OUT A COLLABORATIVE PROCESS FOR THE DEVELOPMENT OF AN APPLICATION TO HUD; (2) UNITED FUNDING AGENCY (UFA) COSTS FOR FISCAL CONTROL AND ACCOUNTING NECESSARY TO ASSURE THE PROPER DISBURSAL OF, AND ACCOUNTING FOR, FEDERAL FUNDS AWARDED TO SUBRECIPIENTS UNDER THE CONTINUUM OF CARE PROGRAM, (3) ACQUISITION OF REAL PROPERTY (INCLUDING STRUCTURES) FOR USE IN THE PROVISION OF HOUSING OR SUPPORTIVE SERVICES; (4) REHABILITATION OF STRUCTURES TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; (5) NEW CONSTRUCTION, INCLUDING THE BUILDING OF A NEW STRUCTURE OR BUILDING AN ADDITION TO AN EXISTING STRUCTURE FOR USE AS SUPPORTIVE HOUSING; (6) LEASING OF A STRUCTURE OR STRUCTURES, OR PORTIONS THEREOF, TO PROVIDE HOUSING OR SUPPORTIVE SERVICES; (7) RENTAL ASSISTANCE, WHICH MAY BE SHORT-TERM, MEDIUM-TERM, OR LONG-TERM, AS WELL AS TENANT-BASED, PROJECT-BASED, OR SPONSOR-BASED, FOR TRANSITIONAL OR PERMANENT HOUSING; (8) SUPPORTIVE SERVICES TO ASSIST PROGRAM PARTICIPANTS OBTAIN AND MAINTAIN HOUSING; (9) OPERATING COSTS OF SUPPORTIVE HOUSING; (10) COSTS OF IMPLEMENTING AND OPERATING HMIS; (11) PROJECT ADMINISTRATIVE COSTS; (12) RELOCATION COSTS; AND (13) INDIRECT COSTS IN ACCORDANCE WITH 2 CFR PARTS 200, AS APPLICABLE. IN ADDITION TO USING GRANT FUNDS FOR THE ELIGIBLE COSTS DESCRIBED ABOVE, RECIPIENTS AND SUBRECIPIENTS IN CONTINUUMS OF CARE DESIGNATED AS HIGH PERFORMING COMMUNITIES MAY ALSO USE GRANT FUNDS TO PROVIDE HOUSING RELOCATION AND STABILIZATION SERVICES AND SHORT- AND/OR MEDIUM-TERM RENTAL ASSISTANCE TO INDIVIDUALS AND FAMILIES AT RISK OF HOMELESSNESS AS SET FORTH IN 24 CFR 576.103 AND 24 CFR 576.104, IF NECESSARY TO PREVENT THE INDIVIDUAL OR FAMILY FROM BECOMING HOMELESS. LIMITATION ON USE OF FUNDS: NO ASSISTANCE PROVIDED UNDER PROGRAM (OR ANY STATE OR LOCAL GOVERNMENT FUNDS USED TO SUPPLEMENT THIS ASSISTANCE) MAY BE USED TO REPLACE STATE OR LOCAL FUNDS PREVIOUSLY USED, OR DESIGNATED FOR USE, TO ASSIST HOMELESS PERSONS OR PERSONS AT-RISK OF HOMELESSNESS.; EXPECTED OUTCOMES: DECREASE IN THE NUMBER INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS, MORE SPECIFICALLY USING PERFORMANCE INDICATORS SUCH AS THE LENGTH OF TIME HOMELESS, RETURNS TO HOMELESSNESS OVER TIME, AND EXITS TO PERMANENT HOUSING. COC PERFORMANCE PROFILE REPORTS CAN BE FOUND AT HTTPS://WWW.HUDEXCHANGE.INFO/PROGRAMS/COC/COC-PERFORMANCE-PROFILE-REPORTS/.; INTENDED BENEFICIARIES: INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS.; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD.

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

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CONTINUUM OF CARE PROGRAM

HOMELESS VETERANS (HVRP)

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

TOGETHER IN CARE

AMERICAN RESCUE PLAN

RYAN WHITE HIV/AIDS PROGRAM PART C EIS COVID-19 RESPONSE

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - ABSTRACT SITUATED IN NYC’S DENSE URBAN ENVIRONMENT, THE COMMUNITY HEALTH CENTER TO BE RENOVATED IS LOCATED AT 1776 CLAY AVENUE, BRONX, NY 10457. WITHIN THE BRONX, THERE ARE NUMEROUS HEALTH CENTERS THAT OFFER PRIMARY CARE SERVICES IN A NON-HOSPITAL SETTING, YET THERE STILL REMAINS SIGNIFICANT UNMET NEED, SIGNIFIED BY THE DISPROPORTIONALLY HIGH RATE OF UNMANAGED CHRONIC CONDITIONS AND PREVENTABLE HOSPITALIZATIONS AMONG PROMESA’S TARGET POPULATION. THE PROPOSED PROJECT WILL RECONFIGURE AND EXPAND THE PRIMARY CARE SPACE AT PROMESA’S CLAY AVENUE HEALTH CENTER (CAHC) TO INCREASE ACCESS TO PRIMARY CARE SERVICES AND STRENGTHEN THE INTEGRATION OF PRIMARY CARE AND MENTAL HEALTH SERVICES. CURRENTLY, CAHC’S PRIMARY CARE SERVICES OCCUPY THE SAME HALLWAY AS ITS NYS OASAS-LICENSED AMBULATORY METHADONE TREATMENT PROGRAM. CLIENTS ACCESSING METHADONE TREATMENT LINE UP IN THIS HALLWAY FOR THEIR MEDICATION, WHICH LEADS TO FREQUENT INTERRUPTION IN PRIMARY CARE BECAUSE OF NOISE AND INFORMAL KNOCKS ON THE EXISTING THREE EXAM ROOM DOORS. FURTHER, THE PRIMARY CARE WAITING ROOM IS AT THE END OF THIS HALLWAY, CREATING THE PERCEPTION THAT CAHC’S PRIMARY CARE IS ONLY FOR PEOPLE WITH SUBSTANCE ABUSE DISORDERS. THE LOCATION OF THE METHADONE PROGRAM WITH PRIMARY CARE ALSO CREATES A PARTICULAR BARRIER TO PROVIDING PRIMARY CARE TO CHILDREN AND ADOLESCENTS, AS PARENTS ARE NOT COMFORTABLE MIXING THEIR CHILDREN WITH THE SUBSTANCE USE POPULATION. FINALLY, MEDICAL PROVIDERS ARE FRUSTRATED WITH THE WORK ENVIRONMENT, WHICH LACKS EASY ACCESSIBLE TEAM HUDDLE SPACE. THE PROPOSED RENOVATION WILL RELOCATE THE PRIMARY CARE CERTIFIED SPACE TO AN ENTIRE WING ON THE OPPOSITE SIDE OF THE BUILDING, LOCATING PRIMARY CARE IN THE SAME SUITE AT ITS MENTAL HEALTH PROGRAM. THE RENOVATED WING WILL INCLUDE A DEDICATED RECEPTION AREA AND WAITING ROOM FOR 20 PEOPLE, A STAFF CONFERENCE ROOM THAT CAN ALSO BE USED FOR PATIENT EDUCATION, A DEDICATED DEPRESSION NURSE CARE MANAGER SPACE, LAB AND TRIAGE ROOMS , SIX PRIMARY CARE EXAM ROOMS, AND FIVE MENTAL HEALTH COUNSELING ROOMS. THE PROPOSED RENOVATION WILL EXPAND PROMESA’S INTEGRATED PRIMARY CARE AND MENTAL HEALTH SERVICES CAPACITY BY: 1) INCREASING THE NUMBER OF PRIMARY CARE EXAM ROOMS FROM THREE TO SIX AND ADDING AN ADDITIONAL COUNSELING ROOM TO THE FOUR EXISTING ROOMS IN THE MENTAL HEALTH AREA; 2) IMPROVING ACCESS TO PRIMARY CARE SERVICES BY LOCATING THEM IN A DEDICATED SPACE THAT IS SEPARATE FROM ITS METHADONE SERVICES; AND 3) CO-LOCATING AND STRENGTHENING THE INTEGRATION OF PRIMARY CARE AND MENTAL HEALTH SERVICES THROUGH GREATER INFORMAL AND FORMAL CARE TEAM INTERACTIONS AND WARM-HAND OFFS BETWEEN MENTAL HEALTH AND PRIMARY CARE PROVIDERS. THE IMPROVED STAFF INTERACTION WILL FURTHER ENHANCE INTEGRATED CARE, WHICH IS ALREADY FACILITATED THROUGH SHARED PATIENT INFORMATION USING PROMESA’S UNIFIED ELECTRONIC MEDICAL RECORD (EHR) SYSTEM, NEXTGEN. THE CO-LOCATION OF SERVICES WILL ALSO MINIMIZE THE STIGMA OF ACCESSING MENTAL HEALTH SERVICES, AS PATIENTS WILL ACCESS PRIMARY CARE AND MENTAL HEALTH IN THE SAME AREA. THE PROPOSED PROJECT INCLUDES RENOVATION OF AN EXISTING HEALTH CENTER, WHICH WILL BE COMPLETED BY JUNE 30, 2023. THE TOTAL ESTIMATED COST FOR DESIGN, MAJOR RENOVATION OF THE FACILITY AND EQUIPMENT COSTS ASSOCIATED WITH THE BUILDING’S RECONFIGURATION IS $2,500,000. PROMESA IS REQUESTING GAP FUNDING OF $825,000, WITH THE BALANCE BEING PAID THROUGH THE NEW YORK STATE HEALTH CARE FACILITY TRANSFORMATION PROGRAM.