Community Access Incorporated

ARRA - HEALTH INFORMATION TECHNOLOGY IMPLEMENTATION

AMERICAN RESCUE PLAN ACT FUNDING FOR LOOK-ALIKES

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

CENTERS FOR INDEPENDENT LIVING - CENTERS FOR INDEPENDENT LIVING

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM - APPLICANT ORGANIZATION: COMMUNITY ACCESS TO COORDINATED HEALTHCARE, INC. (CATCH), 2104 21ST CIRCLE, WISNER, NE 68791, NONPROFIT NETWORK, WWW.CATCHNEBRASKA.ORG PROJECT DIRECTOR: RITA PARRIS, EXECUTIVE DIRECTOR CONTACT PHONE NUMBER: 402-483-0528 EMAIL ADDRESS: CATCHNETWORKS@GMAIL.COM PROJECT TITLE: INTEGRATING BEHAVIORAL HEALTH AND SOCIAL DETERMINANTS OF HEALTH SCREENING ACROSS A RURAL HEALTH NETWORK PROGRAM FUNDS REQUESTED: $300,000/YEAR GOAL: THIS PROJECT WILL INTEGRATE BEHAVIORAL HEALTH SERVICES INTO THE CATCH NETWORK AND ADDRESS SOCIAL DETERMINANTS OF HEALTH BY SCREENING AND REFERRING IDENTIFIED PATIENTS IN THE SERVICE AREA AND IMPLEMENT STRATEGIES TO SUSTAIN THE INTEGRATED CARE COORDINATION NETWORK. THE PROJECT SERVICE AREA SPANS ACROSS THE JURISDICTIONS OF FOUR MULTICOUNTY LOCAL HEALTH DEPARTMENTS WHICH INCLUDES 21 COUNTIES THAT ARE DESIGNATED AS RURAL AND HAVE A SEVERE SHORTAGE OF MENTAL HEALTH PRACTITIONERS. THE TARGET PATIENT POPULATION CONSISTS OF IDENTIFIED PATIENTS THAT PRESENT BEHAVIORAL HEALTH NEEDS, AS WELL AS SOCIAL NEEDS, LIVING WITHIN THE PROJECT SERVICE AREA. THESE PATIENTS CAN BE OF ANY AGE, RACE, OR ETHNICITY, BUT THE DATA ANALYSIS INDICATES THAT RESIDENTS LIVING IN THIS SERVICE AREA ARE TRADITIONALLY OLDER, SICKER, AND POORER. THE CATCH NETWORK WAS FORMED IN 1994. IT HAS A LONG HISTORY OF SUCCESSFUL COLLABORATION BETWEEN LHDS AND PRIMARY CARE CLINICS AND STRIVES TO PROMOTE COMMUNITY HEALTH AND DEVELOPMENT BY CONNECTING PEOPLE, IDEAS, AND RESOURCES. THERE ARE CURRENTLY 26 MEMBERS: SIX LOCAL HEALTH DEPARTMENTS (LHDS), TEN HOSPITAL SYSTEMS, EIGHT CLINICS, ONE FEDERALLY QUALIFIED HEALTH CARE CLINIC, AND ONE COMMUNITY ACTION AGENCY. FOR THIS PROJECT, FOUR LHDS AND FOUR RURAL HEALTH CLINICS WILL BE INVOLVED IN THE IMPLEMENTATION ACTIVITIES. ACTIVITIES WILL BE FOCUSED ON IMPROVING THE CAPACITY TO DELIVER BEHAVIORAL HEALTH SERVICES AND ADDRESSING SOCIAL NEEDS. ONE ACTIVITY IS TO IDENTIFY BEHAVIORAL HEALTH PRACTITIONERS AN D DEVELOP A FRAMEWORK FOR INTEGRATING BEHAVIORAL HEALTH SERVICES WITH PRIMARY CARE AND PUBLIC HEALTH. IT ALSO INCLUDES USING A SCREENING TOOL TO IDENTIFY PATIENTS WITH PHYSICAL, MENTAL, LIFESTYLE RISK BEHAVIORS, AND SOCIAL NEEDS. ONCE THESE NEEDS ARE IDENTIFIED, A TREATMENT AND PREVENTION PLAN WILL BE DEVELOPED BY THE LOCAL COMPREHENSIVE HEALTH CARE TEAM, INCLUDING PUBLIC HEALTH PROFESSIONALS, WHO HAVE EXPERTISE IN ADDRESSING THE DIMENSIONS OF LIFESTYLE BEHAVIORS AND SOCIAL NEEDS OF THESE PATIENTS. THESE PATIENTS WILL BE REFERRED TO LOCAL PUBLIC HEALTH AGENCIES WHO WILL EDUCATE THEM ON HOW TO PREVENT AND CONTROL CHRONIC DISEASES AND/OR CONNECT THEM TO THE APPROPRIATE COMMUNITY-BASED ORGANIZATIONS TO ADDRESS THEIR SOCIAL DETERMINANT NEEDS. THE EXPECTED OUTCOMES OF THIS PROJECT ARE TO IMPROVE INDIVIDUAL AND POPULATION HEALTH OUTCOMES (III), REDUCE THE BARRIERS THAT LIMIT ACCESS TO CARE (I), DECREASE HEALTH CARE COSTS THROUGH A REDUCTION IN EMERGENCY DEPARTMENT VISITS AND AVOIDABLE HOSPITALIZATIONS (III), INTEGRATE BEHAVIORAL HEALTH SERVICES WITH PRIMARY CARE CLINICS AND LOCAL PUBLIC HEALTH DEPARTMENTS (II), AND STRENGTHEN COMMUNITY PROGRAMS BY REFERRING HIGH-RISK PATIENTS TO PREVENTIVE PROGRAMS AND ACTIVITIES PROVIDED BY COMMUNITY ORGANIZATIONS (IV). THROUGH ENHANCED CARE COORDINATION OF PATIENTS WITH BEHAVIORAL HEALTH AND SOCIAL NEEDS, THERE WILL BE A POSITIVE IMPACT ON HEALTH OUTCOMES AND THE NETWORK WILL BECOME MORE SUSTAINABLE. THE CATCH NETWORK IS REQUESTING A FUNDING PREFERENCE DESIGNATION BASED ON QUALIFICATION 1, HEALTH PROFESSIONAL SHORTAGE AREA. OF THE 21 COUNTIES IN THE PROJECT SERVICE AREA, 17 HAVE HPSA DESIGNATION AND 17 HAVE MUA DESIGNATION, WITH 13 COUNTIES HAVING BOTH DESIGNATIONS.

FOSTER GRANDPARENT PROGRAM

COMMUNITY ACCESS UNLIMITED TRANSITIONAL LIVING PROGRAM

CHILDREN'S HEALTH INSURANCE PROGRAM OUTREACH AND ENROLLMENT GRANT

TUSALUD (YOUR HEALTH)

CONNECTING KIDS TO COVERAGE OUTREACH AND ENROLLMENT GRANT

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

BASIC CENTER PROGRAM FOR RHY

BASIC CENTER PROGRAM

TRANSITIONAL LIVING PROGRAM (RUNAWAY AND HOMELESS MALE YOUTHS)

BASIC CENTER PROGRAM - UNION COUNTY YOUTH SHELTER

BASIC CENTER PROGRAM

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

CENTERS FOR INDEPENDENT LIVING - CENTERS FOR INDEPENDENT LIVING

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

BASIC CENTER PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

FOSTER GRANDPARENT PROGRAM

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

FY 2025 ILCL ~ STATE PLAN INDEPENDENT LIVING CENTERS

CENTERS FOR INDEPENDENT LIVING

CONTINUUM OF CARE PROGRAM

RETIRED AND SENIOR VOLUNTEER PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

FY2023-2024 CENTERS FOR INDEPENDENT LIVING

CONTINUUM OF CARE PROGRAM

FY2024-2025 CENTERS FOR INDEPENDENT LIVING

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

FY2022-2023 CENTERS FOR INDEPENDENT LIVING

2020 CILS

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

2021 CILS

FY 2020 HEALTH CENTER PROGRAM LOOK-ALIKES: EXPANDING CAPACITY FOR CORONAVIRUS TESTING

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

2020 ILC3 - CARES

2018 CENTERS FOR INDEPENDENT LIVING

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

2019 CENTERS FOR INDEPENDENT LIVING

2017 CENTERS FOR INDEPENDENT LIVING

FY 2023 EXPANDING COVID-19 VACCINATION

FY22 PUBLIC HEALTH WORKFORCE FUNDING FOR PART C CILS

FY22 PUBLIC HEALTH WORKFORCE FUNDING FOR PART C CILS

CENTERS FOR INDEPENDENT LIVING

FY2023-2024 CENTERS FOR INDEPENDENT LIVING

FY2024-2025 CENTERS FOR INDEPENDENT LIVING

FY2022-2023 CENTERS FOR INDEPENDENT LIVING

2021 CILS

2020 ILC3 - CARES

2019 CENTERS FOR INDEPENDENT LIVING

2018 CENTERS FOR INDEPENDENT LIVING

2020 CILS

2017 CENTERS FOR INDEPENDENT LIVING

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

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

FY 2023 BRIDGE ACCESS PROGRAM

2016 CENTERS FOR INDEPENDENT LIVING

2016 CENTERS FOR INDEPENDENT LIVING

HOMELESS ASSISTANCE