Indiana Rural Health Association Inc

HEALTHY START INITIATIVE-ELIMINATING RACIAL/ETHNIC DISPARITIES

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM - MEDICATION ASSISTED TREATMENT ACCESS - PROJECT TITLE: INDIANA MEDICATION ASSISTED TREATMENT ACCESS - IMATA REQUESTED AWARD AMOUNT: $2,349,984 APPLICANT ORGANIZATION INFORMATION NAME: INDIANA RURAL HEALTH ASSOCIATION (IRHA) ADDRESS: 201 E. MAIN STREET, SUITE 415, WASHINGTON, IN 47501-2970 FACILITY TYPE: STATE RURAL HEALTH ASSOCIATION WEBSITE ADDRESS: HTTPS://WWW.INDIANARURALHEALTH.ORG/ PROJECT DIRECTOR: AMNAH ANWAR, MPH, MBBS, SENIOR DIRECTOR, INDIANA RURAL HEALTH ASSOCIATION; PROGRAM DIRECTOR, INDIANA RURAL OPIOID CONSORTIUM 812-478-3919, EXT. 231; AANWAR@INDIANARHA.ORG DATA COORDINATOR: JESSICA DEVINE, DATA COORDINATOR, INDIANA RURAL HEALTH ASSOCIATION 812-478-3919, EXT. 256; JDEVINE@INDIANARHA.ORG EIN: 35-2026704 LEARNED ABOUT FUNDING: GRANTS.GOV REQUESTING EXCEPTION? NO PREVIOUS RCORP RECIPIENT? YES; RCORP IMPLEMENTATION (090119-083122); RCORP PLANNING (093018-092919) APPLY FOR FY22 RCORP-IMPLEMENTATION? YES; SUBMITTED PROPOSED PROJECT: CREATE COMMUNITIES WITH INCREASED ACCESSIBILITY, AVAILABILITY, AND AFFORDABILITY OF MENTAL HEALTH SERVICES THROUGH EDUCATION AND TRAINING OF COMMUNITY MEMBERS AND SUD/OUD/MENTAL HEALTH PROVIDERS. NEEDS TO BE ADDRESSED: IMPROVE HEALTHCARE IN RURAL AREAS BY ESTABLISHING NEW MEDICATION ASSISTED TREATMENT (MAT) ACCESS POINTS AND INCREASE THE CAPACITY FOR SUSTAINABLE MAT SERVICE PROVISION IN RURAL AREAS. PROPOSED SERVICES: 1) ADD FIVE NEW MAT ACCESS POINTS IN THE TARGET AREA AT THE EXISTING BRICK AND MORTAR LOCATIONS. MAT MOBILE ACCESS TEAMS CONSISTING OF MAT PROVIDER AND BEHAVIORAL HEALTH PROVIDERS WILL SERVE AT THESE NEW MAT ACCESS POINTS. EVERY EFFORT WILL BE MADE TO ENSURE THAT NEW MAT ACCESS POINT(S) OFFER EXTENDED HOURS, 2) THE NEW MAT ACCESS POINT(S) WILL OFFER MULTIPLE TREATMENT OPTIONS (E.G. BUPRENORPHINE AND/OR OTHERS) TO ENSURE THAT THE NEEDS OF EACH INDIVIDUAL CAN BE MET AND WILL NOT REQUIRE ABSTINENCE/DETOXIFICATION AS A PREREQUISITE TO ACCESSING TREATMENT; 3) THE NEW MAT ACCESS POINT WILL ADHERE TO THIRD-PARTY PAYER GUIDANCE; 4) THE NE W MAT ACCESS POINT(S) WILL BEGIN DELIVERING MAT SERVICES NO LATER THAN THE END OF THE FIRST PROJECT YEAR OF THE AWARD AND WILL INCREASE THE NUMBER OF INDIVIDUALS RECEIVING MAT AT THE NEW ACCESS POINT(S) EACH SUBSEQUENT YEAR OF THE GRANT; 5) ACTIVITIES UNDER THE AWARD MUST EXCLUSIVELY BENEFIT POPULATIONS IN THE TARGET RURAL SERVICE AREA; AND 6) COMMIT TO SHARING ACCURATE PERFORMANCE DATA AND INFORMATION WITH APPLICANT ORGANIZATION TO FULFILL HRSA REPORTING REQUIREMENTS. TARGET POPULATION INDIANA COUNTIES: CRAWFORD (ALL RURAL); HARRISON (PARTIALLY RURAL—CENSUS TRACTS 060400, 060300); ORANGE (ALL RURAL); PERRY (ALL RURAL); SPENCER (ALL RURAL)

REGIONAL TELEHEALTH RESOURCE CENTERS

TELEHEALTH NETWORK GRANT PROGRAM

"CONNECTING KIDS TO COVERAGE INDIANA (CKC-IN)," CONNECTING KIDS TO COVERAGE HEALTHY KIDS 2022 OUTREACH AND ENROLLMENT COOPERATIVE AGREEMENT - PROJECT TITLE: CONNECTING KIDS TO COVERAGE INDIANA APPLICANT ORGANIZATION INFORMATION NAME: INDIANA RURAL HEALTH ASSOCIATION (IRHA) ADDRESS: 201 E. MAIN STREET, SUITE 415, WASHINGTON, IN 47501 FACILITY TYPE: STATE RURAL HEALTH ASSOCIATION WEBSITE ADDRESS: HTTPS://WWW.INDIANARURALHEALTH.ORG/ PROJECT GOALS: THE PRIMARY GOALS OF THE CONNECTING TO KIDS TO COVERAGE INDIANA (CKC-IN) ARE TO REDUCE THE NUMBER OF INDIANA’S CHILDREN WHO ARE ELIGIBLE FOR, BUT NOT ENROLLED IN, MEDICAID AND THE CHILDREN’S HEALTH INSURANCE PROGRAM (CHIP) AND IDENTIFY QUALIFYING CHILDREN THROUGH PARENTS AND PREGNANT INDIVIDUALS TO ENROLL: 4,200 NEW CHILDREN IN MEDICAID/CHIP, 3,100 PARENTS IN MEDICAID, AND 1,500 PREGNANT INDIVIDUALS IN MEDICAID; AND RENEW 2,100 CHILDREN IN MEDICAID AND CHIP, 1,600 PARENTS IN MEDICAID, AND 900 PREGNANT INDIVIDUALS IN MEDICAID AND CHIP, IF APPLICABLE. ADDITIONALLY, A PROJECT GOAL IS TO LEAD AND PARTICIPATE IN OUTREACH OPPORTUNITIES TO IDENTIFY ELIGIBLE, BUT UNINSURED, CHILDREN IN CHIP/MEDICAID AND PROVIDE HIGH-QUALITY ENROLLMENT SERVICES TO PARENTS AND PREGNANT INDIVIDUALS TO IMPROVE THE ENROLLMENT AND RETENTION OF CHILDREN IN MEDICAID/CHIP. REQUESTED AWARD AMOUNT $1,454,878 FOR THE TOTAL PROJECT PERIOD OF 3 YEARS IMPLEMENTATION OF FUNDING: FUNDING WILL BE USED FOR THE PURPOSE OF REDUCING THE NUMBER OF CHILDREN WHO ARE ELIGIBLE FOR, BUT NOT ENROLLED IN, MEDICAID AND CHIP AND IMPROVE THE RETENTION OF ENROLLED CHILDREN. THE FUNDS WILL BE ALLOCATED FOR: 1) STAFFING KEY PERSONNEL, WITH THE MAJORITY OF FUNDS ALLOCATED TO PERSONNEL/FRINGE; 2) TRAVEL (IN-STATE FOR THE DIRECT PURPOSE OF THE PROJECT GOALS AND OUT-OF-STATE TRAVEL FOR TWO FOR THE PURPOSE OF THE CMS ANNUAL MEETING IN WASHINGTON, DC); 3) SUPPLIES FOR STAFF WHO WORK DIRECTLY FOR THE PROJECT; AND 4) MARKETING, PROMOTIONAL NETWORKING, RENT AND SECURITY COSTS, LICENSING/TRAINING COSTS, AND COMMUNICATION EXPENSES ALL DIRECTLY RELATED TO THE PROJECT. IRHA RESPECTFULLY REQUESTS A TOTAL THREE-YEAR FUNDING OF $1,454,878.

TELEHEALTH RESOURCE CENTER GRANT PROGRAM

CONNECTING KIDS TO COVERAGE-INDIANA

TELEHEALTH RESOURCE CENTER GRANT PROGRAM

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

RURAL HEALTH INFORMATION TECHNOLOGY WORKFORCE PROGRAM

TELEHEALTH NETWORK GRANT PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

CORONAVIRUS TELEHEALTH RESOURCE CENTERS

RURAL RESIDENCY PLANNING AND DEVELOPMENT PROGRAM

RURAL HEALTH CARE COORDINATION NETWORK PROGRAM

EVIDENCE-BASED TELE-EMERGENCY NETWORK GRANT PROGRAM

TELEHEALTH RESOURCE CENTER GRANT PROGRAM

RURAL NETWORK ALLIED HEALTH TRAINING PROGRAM

INDIANA HEALTHY FAMILIES ALLIANCE - INDIANA RURAL HEALTH ASSOCIATION (IRHA), AS THE APPLICANT ORGANIZATION, INTENDS TO LAUNCH THE INDIANA HEALTHY FAMILIES ALLIANCE (IHFA) FOR THE PURPOSE OF IMPROVING HEALTH OUTCOMES, REDUCING LONG-TERM HEALTHCARE COSTS, AND ENHANCING HEALTH EQUITY FOR INDIANA’S MOST VULNERABLE FAMILIES. THROUGH TARGETED OUTREACH AND ENROLLMENT INTO THE MEDICAID AND CHILDREN’S HEALTH INSURANCE PROGRAM (CHIP), IHFA AIMS TO REDUCE THE RATE UNINSURED CHILDREN, PARENTS, AND PREGNANT WOMEN IN INDIANA. IRHA HAS SECURED LETTERS OF COMMITMENT FROM FIVE ORGANIZATIONS TO SERVE AS SUBRECIPIENTS TO CREATE THE IHFA. ALLIANCE MEMBERS INCLUDE GOODWILL OF MICHIANA, GOODWILL OF CENTRAL AND SOUTHERN INDIANA, GREENE COUNTY GENERAL HOSPITAL, VALLEY PROFESSIONALS COMMUNITY HEALTH CENTER, AND WINDROSE HEALTH NETWORK. THE OVERARCHING GOAL OF THE PROJECT IS TO CONNECT WITH CHILDREN AND FAMILIES TO AID IN ENROLLMENT AND RETENTION RATES IN MEDICAID AND CHIP SO FEWER CHILDREN ARE UNINSURED. PROJECT GOALS OF THE IHFA PROGRAM INCLUDE THE FOLLOWING: 1) THE INDIANA HEALTHY FAMILIES ALLIANCE PROGRAM WILL COMPLETE 7,326 CHILD APPLICATIONS; 6,226 NEW CHILD ENROLLMENTS, AND 6,226 CHILD RENEWALS INTO MEDICAID AND/OR CHIP; AND 2)THE IHFA PROGRAM WILL COMPLETE 6,505 PARENT APPLICATIONS; 5,528 PARENT ENROLLMENTS; 5,528 PARENT RENEWALS; 3,047 PREGNANT WOMEN APPLICATIONS; AND 2,590 PREGNANT WOMEN ENROLLMENTS INTO MEDICAID. OBJECTIVES AND EXPECTED OUTCOMES OF THE IHFA PROGRAM ARE TO DESIGN AND IMPLEMENT OUTREACH, EDUCATION, APPLICATION, ENROLLMENT AND RENEWAL ACTIVITIES THAT INCREASE MEDICAID AWARENESS, STREAMLINE THE APPLICATION PROCESS, SUPPORT MEDICAID/CHIP CHILD ENROLLMENTS AND RENEWALS, AND IMPROVE ACCESS TO HEALTHCARE FOR THE TARGET POPULATION. THESE EFFORTS WILL BE ANALYZED BY MONITORING THE IMPACT OF COMMUNITY PARTNERSHIPS, OUTREACH EVENTS, MARKETING AND EDUCATIONAL CAMPAIGNS, AND BY THE NUMBER OF APPLICATIONS, RENEWALS, AND ENROLLMENTS COMPLETED SUCCESSFULLY. IRHA RESPECTFULLY REQUESTS A TOTAL BUDGET AMOUNT OF $2,963,760 FOR YEARS 1 – 5 OF THE PROJECT PERFORMANCE PERIOD. THESE FUNDS WILL BE USED TO SUPPORT EFFORTS ASSOCIATED WITH THE INDIANA HEALTHY FAMILIES ALLIANCE. SPECIFICALLY, TO REDUCE THE NUMBER OF CHILDREN WHO ARE ELIGIBLE FOR, BUT NOT ENROLLED IN, MEDICAID AND/OR CHIP AND IMPROVE THE RETENTION OF ENROLLED CHILDREN. THE FUNDS WILL BE ALLOCATED FOR: 1) STAFFING KEY PERSONNEL; 2) TRAVEL, IN-STATE (OUTREACH, COMMUNITY ENGAGEMENT, MEETINGS WITH ALLIANCE PARTNERS, AND ENROLLMENTS) AND OUT-OF-STATE (TO ATTEND ANNUAL CMS MEETING IN WASHINGTON D.C.); 3) SUPPLIES FOR STAFF WHO WORK DIRECTLY FOR THE PROJECT; 4) MARKETING, PROMOTIONAL NETWORKING, RENT AND SECURITY COSTS, LICENSING/TRAINING COSTS, AND COMMUNICATION EXPENSES ALL DIRECTLY RELATED TO THE PROJECT; AND 5) SUBRECIPIENT/CONTRACTUAL OBLIGATIONS FOR FIVE ALLIANCE MEMBER ORGANIZATIONS TO PROVIDE A 0.5 FULL-TIME EQUIVALENT CERTIFIED NAVIGATOR FROM EACH ORGANIZATION, DEDICATED TO SUPPORTING THE IHFA PROGRAM. IRHA IS BOTH A PREVIOUS AND CURRENT CKC GRANTEE. OVERALL PERFORMANCE DURING THE CURRENT GRANT PERIOD IS AS FOLLOWS: CHILD ENROLLMENT (44.2%), CHILD RENEWAL (59.9%), PARENT ENROLLMENT (101.8%), PARENT RENEWAL (85.2%), AND PREGNANT WOMEN ENROLLMENT (39.2%). PROGRESS TOWARD GOALS IN YEARS 1 AND 2 WAS IMPACTED BY THE CONTINUOUS ENROLLMENT MANDATE DURING THE PUBLIC HEALTH EMERGENCY AND AN INCREASED NUMBER OF EX PARTE RENEWALS. HOWEVER, YEAR 3 IS TRENDING POSITIVELY TOWARD GOAL ATTAINMENT.

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

RURAL HEALTH OPIOID PROGRAM

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

EVIDENCE-BASED TELE-EMERGENCY NETWORK GRANT PROGRAM

TELEHEALTH RESOURCE CENTER GRANT PROGRAM

RURAL HEALTH OPIOID PROGRAM

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM

TELEHEALTH RESOURCE CENTER GRANT PROGRAM

RURAL NETWORK ALLIED HEALTH TRAINING PROGRAM

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)