Williamson Health & Wellness Center Inc

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

WHWC'S APPLICATION FOR CCBHC FUNDS. - THE “LAUNCHING CCBHC SERVICES IN MINGO COUNTY, WV” PROJECT WILL BE LED BY WILLIAMSON HEALTH & WELLNESS CENTER, A FEDERALLY QUALIFIED HEALTH CENTER, THAT OFFERS INTEGRATED PRIMARY CARE SERVICES. MINGO COUNTY IS PRIMARILY RURAL AND IS HOME TO THE LARGEST COAL MARSHALING YARDS IN THE WORLD, LEAVING BEHIND ONE OF THE POOREST AND UNHEALTHIEST U.S. REGIONS AS COAL PRODUCTION HAS DECLINED. THE PROJECT WILL SERVE 1,400 INDIVIDUALS TOTAL (600 IN YEAR ONE, 800 IN YEAR TWO). THE NEW CCBHC WILL SUPPORT THE EXPANSION OF MAT/SUD SERVICES, INCREASED PSYCHIATRIC ASSESSMENT AND TREATMENT CAPACITY, INTEGRATION OF PRIMARY CARE-BEHAVIORAL HEALTH CLINICS, PROVISION OF A 24/7 CRISIS MANAGEMENT TEAM, LAUNCH OF A SUD CARE HOME-VISITING TEAM THAT INCLUDES TRANSPORTATION ASSISTANCE, EXPANSION OF PEER SUPPORT AND CASE MANAGEMENT PATIENTCENTERED SERVICES, EXPANSION OF ACT REFERRALS TO DESIGNATED COLLABORATIVE ORGANIZATION, AND BUILD OUT OF AN INTEGRATED YOUTH BEHAVIORAL HEALTH CARE PROGRAM. POPULATIONS OF FOCUS INCLUDE ADULTS AND YOUTH EXPERIENCING MENTAL HEALTH CONDITIONS, TO INCLUDE SERIOUS MENTAL ILLNESS (SMI) AND SERIOUS EMOTIONAL DISTURBANCE (SED), AND INDIVIDUALS EXPERIENCING SUBSTANCE USE DISORDERS (SUD), WITH TARGETED OUTREACH TO VETERANS. IN MINGO COUNTY, ALMOST HALF OF NON-FARM PAYROLL EMPLOYMENT HAS BEEN LOST IN THE PAST 7 YEARS, UNEMPLOYMENT IS DOUBLE THE NATIONAL RATE, AND MORE THAN ONE IN FOUR INDIVIDUALS ARE EXPERIENCING POVERTY. MINGO COUNTY IS LOCATED IN THE HEART OF AMERICA’S OPIOID CRISIS AND HAS A DRUG OVERDOSE RATE OF 63 DEATHS PER 100,000 RESIDENTS - THE TENTH HIGHEST RATE IN WV (2020 COUNTY HEALTH RANKINGS). MINGO COUNTY’S DRUG OVERDOSE DEATH RATE IS 22% HIGHER THAN WV’S RATE AND 3 TIMES GREATER THAN THE U.S. RATE IN A STATE THAT HAS THE HIGHEST DRUG OVERDOSE RATE (CDC). WV RESIDENTS EXPERIENCE A SIGNIFICANTLY HIGH RATE OF SMI AT 6.1%, COMPARED TO THE REGION (4.5%) AND NATION (4.8%) (SAMHSA). NATIONALLY, SED IS EXPERIENCED BY 10% OF YOUTH AND ADOLESCENTS (PSYCHIATRY ONLINE ARTICLE, 9/1/17). WHWC HAS OUTLINED THREE PROJECT GOALS: GOAL 1) EXPAND ACCESS TO COMPREHENSIVE OUTPATIENT BEHAVIORAL HEALTH SERVICES, INCLUDING PSYCHIATRIC AND MAT/SUD TREATMENT, THROUGH EXPANDED CCBHC STAFFING MODEL THAT RESULTS IN REDUCED BARRIERS TO CARE; 2) IMPROVE BEHAVIORAL HEALTH OUTCOMES AMONG POPULATIONS OF FOCUS WITH MH/SUD ISSUES THROUGH INTEGRATED CCBHC EXPANSION EFFORTS; AND 3) STRENGTHEN CAPACITY OF WHWC WORKFORCE TO PROVIDE QUALITY FAMILY- AND PATIENT-CENTERED CARE THROUGH TRAININGS OFFERED AND EVIDENCE-BASED PRACTICES. KEY HEALTH OUTCOME OBJECTIVES INCLUDE A 15% REDUCTION IN MISSED APPOINTMENTS, 30% REDUCTION OF PSYCHIATRIC HOSPITALIZATIONS, 30% REDUCTION IN SUBSTANCE USE, 80% IMPROVEMENT IN LIFE FUNCTIONING, AND 25% IMPROVEMENT IN MENTAL HEALTH FUNCTIONING. PLANNED EVIDENCE-BASED PRACTICES INCLUDE MOTIVATIONAL INTERVIEWING/ENHANCEMENT, COGNITIVE BEHAVIORAL THERAPY (CBT), TRAUMA-INFORMED CARE, MEDICATION-ASSISTED TREATMENT, PEER SUPPORT SPECIALISTS, TRAUMA-FOCUSED CBT, PARENT-CHILD INTERACTION THERAPY-INFORMED TREATMENT, AND EYE MOVEMENT DESENSITIZATION AND REPROCESSING.

WILLIAMSON HEALTH AND WELLNESS CENTER'S APPLICATION TO EXPAND ITS MAT PROGRAM IN MINGO COUNTY, WV. - WILLIAMSON HEALTH AND WELLNESS CENTER (WHWC), A FEDERALLY QUALIFIED HEALTH CENTER, IS THE PRIMARY SAFETY-NET HEALTHCARE PROVIDER SERVING MINGO COUNTY, WEST VIRGINIA. MINGO COUNTY (POP. 24,471; AREA 423 SQ. MILES) IS LOCATED IN SOUTHWEST WV ALONG THE KENTUCKY BORDER AND THE POPULATION IS PRIMARILY RURAL (90%) WITH MOST RESIDENTS TRAVELING TO THE CITY OF WILLIAMSON (POP. 2,883) FOR DAILY NEEDS. WHWC IS PROPOSING TO SIGNIFICANTLY EXPAND ITS ABILITY TO SUPPORT OUD PREVENTION, TREATMENT, AND SUSTAINED RECOVERY FOR INDIVIDUALS SUFFERING FROM ILLICIT OPIOID DRUG USE/ PRESCRIPTION OPIOID MISUSE THROUGHOUT SOUTHERN WEST VIRGINIA BY BUILDING UPON A RECENTLY ESTABLISHED MAT PROGRAM THAT INCLUDES THE USE OF FDA-APPROVED MEDICATIONS, COUNSELING, SCREENING AND ASSESSMENT, CASE MANAGEMENT, RECOVERY SUPPORT SERVICES, AND TELEHEALTH SERVICES WITHIN A FULLY INTEGRATED PRIMARY CARE / BEHAVIORAL HEALTH MODEL. WHWC IS PROPOSING TO EXPAND CRITICAL ACCESS TO MAT SERVICES TO MEET THE DEMAND AMONG THE TARGET POPULATION TO REDUCE ILLICIT OPIOID DRUG USE/PRESCRIPTION OPIOID MISUSE, AS WELL AS SUPPORT THE FULL RECOVERY AND IMPROVED HEALTH OUTCOMES OF CLIENTS USING THE FOLLOWING EVIDENCE-BASED SERVICES: 1) MEDICATION-ASSISTED TREATMENT (MAT); 2) MOTIVATIONAL INTERVIEWING/ENHANCEMENT; 3) COGNITIVE BEHAVIORAL THERAPY (CBT); 4) TRAUMA-INFORMED CARE (TIC); 5) ASSERTIVE COMMUNITY TREATMENT WITH MODIFICATION (ACT); 6) PEER SUPPORT SPECIALISTS AND 7) EYE MOVEMENT DESENSITIZATION AND REPROCESSING (EMDR).

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - ABSTRACT PROJECT TITLE: WILLIAMSON HEALTH AND WELLNESS CENTER CONGRESSIONALLY DIRECTED SPENDING REQUEST – EQUIPMENT ONLY PROJECT APPLICANT NAME: WILLIAMSON HEALTH AND WELLNESS CENTER ADDRESS: 184 E. 2ND AVENUE, SUITE 210, WILLIAMSON, WV 25661 CONTACT NAME: DR. BECKETT, EXECUTIVE DIRECTOR CONTACT PHONE NUMBERS (VOICE, FAX): 304-236-5902 E-MAIL ADDRESS: CDBECKETT.DO@WILLIAMSONHEALTHWELLNESS.COM WEB SITE ADDRESS: WWW.WILLIAMSONHEALTHWELLNESS.COM CONGRESSIONAL DISTRICTS WITHIN YOUR SERVICE AREA: WV-003 WILLIAMSON MEMORIAL HOSPITAL, THE ONLY HOSPITAL IN MINGO COUNTY, WEST VIRGINIA, CLOSED MAY 16, 2020 AMIDST THE OUTBREAK OF THE COVID-19 GLOBAL PANDEMIC WHILE TRYING TO RETURN FROM BANKRUPTCY. WILLIAMSON HEALTH AND WELLNESS CENTER, A FEDERALLY QUALIFIED HEALTH CENTER, PURCHASED THE HOSPITAL IN MAY 2020 AND HAS BEEN WORKING DILIGENTLY SINCE TO DEVELOP AN INNOVATIVE NON-PROFIT RURAL HOSPITAL / FQHC MODEL THAT WILL SERVE AS A NATIONAL MODEL FOR SMALL TOWNS TRYING TO SAVE THEIR RURAL HOSPITALS, SECURE FUNDING, OVERSEE CAPITAL RENOVATIONS, AND RECRUIT NEW HEALTH CARE PARTNERS TO THE REGION. THE HOSPITAL WILL RE-OPEN AS WILLIAMSON MEMORIAL, INC., A NON-PROFIT ACUTE CARE HOSPITAL IN THE FALL 2022 THAT PROVIDES EMERGENCY SERVICES, LABORATORY, DIAGNOSTIC RADIOLOGY, IN-PATIENT HEALTH CARE, AND OUT-PATIENT SURGERY THAT WILL CREATE OVER 60 NEW AND RETAINED JOBS AND GENERATE 22,000 CLINICAL CARE VISITS WITHIN THE FIRST YEAR. WHWC IS REQUESTING $2 MILLION IN CONGRESSIONAL DIRECTED FUNDS AS AN EQUIPMENT-ONLY PROJECT TO SUPPORT A PORTION OF THE REMAINING $3.8 MILLION NEEDED TO SECURE NEW EQUIPMENT PURCHASES FOR THE HOSPITAL OPERATIONS. THESE COSTS REPRESENT A FRACTION OF THE INVESTMENT THAT WHWC HAS ALREADY MADE TO PURCHASE AND RENOVATE THE HOSPITAL FACILITY AS WELL AS PRIVATE AND FEDERAL INVESTMENT FOR CAPITAL RENOVATIONS, EQUIPMENT PURCHASES, LONG-TERM WORKING CAPITAL, AND START-UP COSTS FOR BOTH THE HOSPITAL AND VARIOUS PRIMARY CARE SERVICES AND SPEC IALTY CARE THAT WILL BE PROVIDED AT THE FACILITY. THE FIRST YEAR OF HOSPITAL OPERATIONS CARRIES THE GREATEST RISK AS THE HOSPITAL MUST BE ABLE TO COVER OPERATIONAL COSTS UNTIL THE NUMBER OF PATIENT VISITS GENERATES ENOUGH REVENUE TO MEET THE BREAK-EVEN POINT TO COVER EXPENSES. THE FEDERAL INFUSION OF CONGRESSIONAL DIRECTED FUNDS WILL HELP ASSURE THAT MINGO COUNTY RESIDENTS HAVE A LOCAL HOSPITAL THEY CAN COUNT ON, THAT WILL REMAIN FINANCIALLY SUSTAINABLE, AND ALLOW READY ACCESS TO EMERGENCY DEPARTMENT AND ACUTE CARE SERVICES INTO THE FUTURE.

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

EXPANDING MAT SERVICES IN MINGO COUNTY, WV ? THE HEART OF THE NATION?S OPIOID CRISIS

INDEPENDENT INITIATIVE

ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

HEALTH CENTER PROGRAM SERVICE EXPANSION - SCHOOL BASED SERVICE SITES (SBSS)

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - WHWC IS PROPOSING TO SIGNIFICANTLY EXPAND ACCESS TO MENTAL HEALTH AND SUD SERVICES THAT ADDRESS THE MAJOR BARRIERS TO CARE AND FILL CRITICAL GAPS IN THE SERVICE CONTINUUM IN SOUTHERN WEST VIRGINIA. WHWC IS PROPOSING TO 1) ESTABLISH NEW MOUD TREATMENT SERVICES AT ITS AFTER-HOURS CLINIC LOCATED WITHIN THE WILLIAMSON MEMORIAL HOSPITAL; 2) SIGNIFICANTLY EXPAND MENTAL HEALTH COUNSELING AND CARE COORDINATION SERVICES FOR PATIENTS WITH A SUD/OUD AT ITS BEHAVIORAL MEDICINE CLINIC; AND 3) RENOVATE AN EXISTING ADMIN-ONLY BUILDING INTO A NEW FAMILY REUNIFICATION RECOVERY CLINIC LOCATED IN DOWNTOWN WILLIAMSON, WV TO PROVIDE COUNSELING, BEHAVIORAL HEALTH AND RECOVERY GROUPS, MOUD TREATMENT, AND PATIENT NAVIGATION SERVICES TO WOMEN AND THEIR FAMILIES WHO WILL RESIDE IN THE NEW WOMEN’S RECOVERY HOUSING UNITS LOCATED ON THE 2ND FLOOR OF THE BUILDING AS WELL AS ANY PATIENT IN NEED OF MAT AND RECOVERY SERVICES. THESE SERVICES WILL BE COORDINATED THROUGH NEWLY STRENGTHENED PARTNERSHIPS WITH THE MINGO COUNTY ADULT DRUG COURT AND FAMILY COURT SYSTEM AS WELL AS NEW HEIGHTS CONSORTIUM THAT PROVIDES RECOVERY-BASED HOUSING ASSISTANCE, EMPLOYMENT, JOB PLACEMENT, ACCESS TO FOOD, CLOTHING, AND TRANSPORTATION. EXPANDED MENTAL HEALTH & SUD SERVICES: THE EXPANDED SUD AND MENTAL HEALTH COUNSELING SERVICES WILL BE LOCATED AT THE BEHAVIORAL MEDICINE CLINIC, 104 LOGAN STREET, WILLIAMSON, WV 25661 IN MINGO COUNTY, WV. GRANT FUNDING WILL SUPPORT A 1.0 FTE MASTER’S LEVEL THERAPIST, 1.0 FTE RECOVERY CASE MANAGER, AND 1.0 FTE PEER RECOVERY SUPPORT SPECIALIST / RECOVERY EMPLOYMENT SPECIALIST. THE THERAPIST WILL BE DEDICATED TO SERVING INDIVIDUALS WHO ARE ENROLLED IN THE MAT PROGRAM WITH A SUD/OUD. THE RECOVERY CASE MANAGER WILL COMPLETE INTAKES AND BE PART OF A TREATMENT TEAM FOR INTENSIVE OUTPATIENT SERVICES WORKING ACROSS PRIMARY CARE AND HOSPITAL SETTINGS TO DEVELOP RECOVERY PLANS, SUPPORT TRANSITION OF CARE AND LINK TO SUPPORT SERVICES, LINKAGES TO SUPPORTIVE SERVICES, AS WELL AS HEALTH NAVIGATION (PRE-AUTHORIZATION, ENROLLMENT, PRESUMPTIVE ELIGIBILITY). THE PEER RECOVERY SUPPORT SPECIALIST WILL PROVIDE RECOVERY SERVICES / GROUPS AS WELL AS LINKAGES TO SOCIAL SUPPORT SERVICES, EMPLOYMENT ASSISTANCE, TRANSPORTATION, FOOD ACCESS, HOUSING ASSISTANCE, AND JOB PLACEMENT. NEW MOUD TREATMENT: WHWC WILL ESTABLISH MOUD TREATMENT SERVICES AT THE WHWC AFTER HOURS CLINIC LOCATED WITHIN THE FRONT LOBBY OF THE WILLIAMSON MEMORIAL HOSPITAL, 859 ALDERSON ST, WILLIAMSON, WV 25661 IN MINGO COUNTY, WV. WHWC WILL HIRE 1.5 FTE MAT PROVIDERS AND 1.0 FTE HEALTH NAVIGATOR TO PROVIDE MOUD TREATMENT AND HEALTH CARE NAVIGATION, AS WELL AS PROVIDE PRIMARY CARE, INFECTIOUS DISEASE TREATMENT, HEPATITIS TREATMENT, AND OTHER MORE SPECIALIZED TREATMENT SERVICES FOR MAT PATIENTS. THE 0.5 FTE MAT PROVIDER WILL BE A PSYCH NP THAT IS FOCUSED ON SERVING SUD PATIENTS WITH CO-OCCURRING DISORDERS. MOUD TREATMENT WILL BE TARGETED TO INDIVIDUALS BEST SERVED WITHIN THE HOSPITAL BUILDING AND NOT IN THE DOWNTOWN PRIMARY CARE CLINICS. THESE SERVICES WILL BE TARGETED TOWARDS INDIVIDUALS BEING DISCHARGED FROM THE HOSPITAL WITH A SUD OR PSYCHIATRIC CONDITION AS WELL AS RESIDENTS LEAVING THE ER FOLLOWING A NON-FATAL OVERDOSE. IN ADDITION, THESE SERVICES WILL BE TARGETED TOWARDS PATIENTS LEAVING WISE PATH RECOVERY CENTER – A 28-DAY RESIDENTIAL TREATMENT PROGRAM LOCATED ON THE 3RD FLOOR OF THE HOSPITAL BUILDING. NEW FAMILY REUNIFICATION RECOVERY CLINIC: WHWC WILL RENOVATE THE FIRST FLOOR OF ITS ADMINISTRATION-ONLY BUILDING LOCATED AT 242 E. 2ND AVENUE TO INCLUDE A FRONT DESK RECEPTION, LARGE GROUP SPACE FOR RECOVERY GROUPS, AND OFFICES FOR SUD COUNSELING, THERAPY, AND MOUD TREATMENT, AS WELL AS HEALTH NAVIGATION OFFICES TO SUPPORT CASE MANAGEMENT, LINKAGES TO SUPPORTIVE SERVICES, CARE COORDINATION, AND RECOVERY-BASED EMPLOYMENT ASSISTANCE IN PARTNERSHIP WITH NEW HEIGHTS. THE NEW CLINIC IS PLANNED TO BE OPEN BY THE BEGINNING OF YEAR 2.

RURAL HEALTH CARE COORDINATION NETWORK PARTNERSHIP

HEALTH CENTER INFRASTRUCTURE SUPPORT

FISCAL YEAR 2025 EXPANDED HOURS. - WHWC WILL BE IMPLEMENTING EXPANDED HOURS THROUGH THIS EXPANDED HOURS INITIATIVE AT ONE CLINIC LOCATION, THE ALDERSON CLINIC LOCATED AT 859 ALDERSON STREET, SUITE 1000, WILLIAMSON WV. WHWC CURRENTLY OPERATES THE CLINIC FROM 8AM – 5PM, MONDAY – FRIDAY AND WILL BE KEEPING THE CLINIC OPEN IN THE EVENINGS FOR AN ADDITIONAL 25 HOURS / WEEK FROM 5PM – 10PM, MONDAY – FRIDAY. WHWC WILL OFFER A COMPREHENSIVE ARRAY OF PRIMARY MEDICAL, MENTAL HEALTH, SUBSTANCE USE DISORDER, AND ENABLING SERVICES DURING THE ADDITIONAL EVENING HOURS AT THE ALDERSON CLINIC FROM 5:00 PM – 10:00 PM ON MONDAY THROUGH FRIDAY. AS DESCRIBED IN THE BUDGET, WHWC WILL EMPLOY TWO 0.5 FTE NURSE PRACTITIONERS THAT WILL ENSURE THAT AT LEAST TWO MEDICAL PROVIDERS ARE ABLE TO SERVE PATIENTS FOR A MAJORITY OF THE ADDITIONAL 25 HOURS WITH SEVERAL LATE NIGHT HOURS COVERED ONLY BY ONE MEDICAL PROVIDER. THE NURSE PRACTITIONERS WILL BE AVAILABLE TO PROVIDE TRIAGE FOR EMERGENCIES, ADULT AND FAMILY MEDICINE, AS WELL AS MOUD TREATMENT AND SUD SERVICES FOR PATIENTS WITH A SUD/OUD. IN ADDITION, WHWC WILL EMPLOY A 0.625 FTE MEDICAL ASSISTANT AND TWO 0.625 FTE LICENSED PRACTICAL NURSES THAT WILL BE AVAILABLE DURING THE ENTIRE 25 ADDITIONAL HOURS TO ASSIST THE MEDICAL PROVIDERS IN CONDUCTING ASSESSMENTS AND SCREENINGS, TAKING VITALS AND PREPARING THE PATIENT FOR THEIR MEDICAL VISIT, PROVIDING IMMUNIZATIONS, AND ASSISTING WITH PATIENT REFERRALS AND FOLLOW-UP APPOINTMENTS AS NEEDED. WHWC WILL ALSO EXPAND THE FTE OF AN EXISTING MASTERS-LEVEL THERAPIST TO OFFER INDIVIDUAL AND FAMILY THERAPY, GROUP VISITS, AND OTHER MENTAL HEALTH ASSESSMENTS AND SERVICES DURING THE EVENING HOURS. THIS WILL ALSO BE IMPORTANT FOR PATIENTS WHO PRESENT WITH A SUD/OUD WHO ARE LOOKING TO BEGIN TREATMENT IN THE MAT PROGRAM DURING THE EVENING HOURS WHO WILL BE ABLE TO BE PROVIDED A WARM HAND-OFF AND BEGIN THERAPY SERVICES WITH THE COUNSELOR. WHWC WILL ALSO EXPAND THE FTE OF AN EXISTING PEER RECOVERY SUPPORT SPECIALIST TO WORK WITH MAT PATIENTS DURING THE EVENING HOURS AND BE ABLE TO ASSIST WITH PEER SUPPORT, CASE MANAGEMENT, AND LINKAGES TO SOCIAL SUPPORT SERVICES FOR PATIENTS WITH A SUD/OUD. WHWC WILL ALSO EMPLOY A CASE MANAGER THAT WILL WORK THE FULL 25 ADDITIONAL HOURS IN THE EVENING TO BE AVAILABLE TO SUPPORT PATIENTS IN NEED OF CASE MANAGEMENT, CARE COORDINATION, LINKAGES TO SOCIAL SUPPORT SERVICES, ETC. THIS LEVEL OF CLINICAL STAFF WILL BE SUPPORTED BY TWO FRONT DESK RECEPTIONISTS AS WELL AS A PART-TIME BILLER TO SUPPORT THE INCREASED LEVEL OF VISITS.

WORKFORCE TRAINING

WILLIAMSON HEALTH & WELLNESS CENTER (WHWC), A FEDERALLY QUALIFIED HEALTH CENTER, OPERATES TWO PRIMARY CARE CLINICS IN WILLIAMSON AND GILBERT, WV AND A LOCAL FOODS PROGRAM THAT INCLUDES THE WILLIAMSON FARMERS MARKET AND MOBILE MARKET. THE PROJECT WILL INCENTIVIZE INCREASED FRUIT AND VEGETABLE CONSUMPTION, INCREASE NUTRITIONAL KNOWLEDGE AND IMPROVE KEY HEALTH MEASURES IN MINGO COUNTY, WV AND PIKE COUNTY, KY. PROJECT PARTICIPANTS WILL BE CONSIDERED ELIGIBLE FOR THE PRODUCE PRESCRIPTION PROGRAM IF THEY ARE WHWC PATIENTS WHO ARE CONSIDERED LOW-INCOME, ARE EXPERIENCING HIGH RATES OR ARE AT-RISK OF DIABETES OR OBESITY, AND/OR ARE HIGH HEALTH CARE SYSTEM UTILIZERS AS IDENTIFIED BY AETNA MEDICAID COVERAGE. WHWC CHWS WILL SCREEN PATIENTS FOR ELIGIBILITY BASED ON HEALTH CONDITION DIAGNOSIS AND AETNA CLAIMS DATA SO THE PROVIDER CAN WRITE A PRODUCE PRESCRIPTION, VERIFYING FOOD INSECURITY USING THE PROTOCOL FOR RESPONDING TO AND ASSESSING PATIENT'S ASSETS, RISKS, AND EXPERIENCES (PRAPARE) SCREENING TOOL AND ENSURING PARTICIPANTS ARE UNINSURED OR ENROLLED WITH AETNA BETTER HEALTH MEDICAID COVERAGE OR MEDICARE. THE CHW WILL THEN TRACK INCENTIVES THROUGH LOYALTY GATOR AND PARTICIPANTS WILL BE PROVIDED A LOYALTY INCENTIVE CARD. PARTICIPANTS WILL BE ABLE TO PURCHASE FOOD FROM THE WILLIAMSON FARMERS MARKET AND MY MOBILE MARKET ON-SITE OR ONLINE THROUGH SHOPKEEP POS SYSTEM AND HAVE FRESH FRUITS AND VEGETABLES DELIVERED.

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

**AWARDS ISSUED PRIOR TO JANUARY 20, 2025, WERE FUNDED UNDER PREVIOUS ADMINISTRATIONS AND MAY NOT REFLECT THE PRIORITIES AND POLICIES OF THE CURRENT ADMINISTRATION.** FRESH CHOICE PRESCRIPTION PRODUCE IN WEST VIRGINIA

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

COMMUNITY INFRASTRUCTURE

BUSINESS INCUBATOR

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

RBDG RURAL BUSINESS COOP RURAL ENTERPRISE GRANT

THIS GRANT SUPPORTS THE COSTS INCURRED TO IMPLEMENT MEASURES TO RESPOND TO THE NOVEL CORONAVIRUS 2019 (COVID-19), WHICH MAY INCLUDE WORKPLACE SAFETY, MARKET PIVOTS, RETROFITTING FACILITIES, TRANSPORTATION, WORKER HOUSING, AND MEDICAL EXPENSES. IT PROVIDES NEEDED RELIEF TO THE FOOD PROCESSORS, DISTRIBUTORS, FARMERS MARKETS, AND PRODUCERS FOR THEIR COSTS INCURRED BETWEEN JANUARY 27, 2020, THE DATE UPON WHICH THE PUBLIC HEALTH EMERGENCY WAS DECLARED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICE (HHS) UNDER SECTION 319 OF THE PUBLIC HEALTH SERVICE ACT, AND DECEMBER 31, 2021. BENEFICIARIES INCLUDE THE EMPLOYEES OF THE FOOD PROCESSORS, DISTRIBUTORS, FARMERS MARKETS, AND PRODUCERS.

SECD RURAL BUSINESS DEVELOPMENT COOP RBEG GRANT

FY 2023 BRIDGE ACCESS PROGRAM

RURAL HEALTH CARE COORDINATION NETWORK PARTNERSHIP

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

INCREASING HEALTHY LOCAL FOODS CONSUMPTI