Care Coalition Inc

HEALTH CENTER CLUSTER

EARLY HEAD START

EARLY HEAD START

EARLY HEAD START PROGRAM

HEALTH CENTER CLUSTER

HEALTHY START INITIATIVE-ELIMINATING RACIAL/ETHNIC DISPARITIES

ELIMINATING DISPARITIES IN PERINATAL HEALTH

ELIMINATING DISPARITIES IN PERINATAL HEALTH

EARLY HEAD START

EARLY HEAD START ARRA EXPANSION

HEALTH CENTER PROGRAM

HEALTH CENTER PROGRAM

HEALTHY START INITIATIVE-ELIMINATING RACIAL/ETHNIC DISPARITIES

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

RURAL PUBLIC HEALTH WORKFORCE TRAINING NETWORK PROGRAM - THE HEALTH CARE COALITION OF LAFAYETTE COUNTY D/B/A HCC NETWORK, IS REQUESTING $1,545,000 TO SUPPORT THE WORK OF THE HCC NETWORK CHW WORKFORCE DEVELOPMENT INITIATIVE. THE HEALTH CARE COALITION OF LAFAYETTE COUNTY D/B/A HCC NETWORK IS LOCATED AT 608 MISSOURI STREET, WAVERLY, MO 64096 AND IS A RURAL HEALTH NETWORK AND FEDERALLY QUALIFIED HEALTH CENTER (FQHC). MORE INFORMATION CAN BE FOUND AT WWW.HCCNETWORK.ORG. SUZANNE SMITH, CHIEF NETWORK DEVELOPMENT OFFICER (CNDO) WILL SERVE AS THE PROJECT DIRECTOR AND BROOK BALENTINE, CHIEF ADMINISTRATION OFFICER, WILL SERVE AS THE DATA COORDINATOR. MS. SMITH MAY BE REACHED BY PHONE AT 660-229-5293, OR BY EMAIL AT SUZANNE.SMITH@HCCNETWORK.ORG. THE HCC NETWORK IS COMPRISED OF FOUR MEMBERS, HEALTH CARE COALITION OF LAFAYETTE COUNTY (APPLICANT), WEST CENTRAL MISSOURI AREA HEALTH EDUCATION CENTER, STATE FAIR COMMUNITY COLLEGE, AND FEMA/SEMA. HCC NETWORK’S PROJECT WILL FOCUS ON WORKFORCE TRAINING TRACK #1 – COMMUNITY HEALTH SUPPORT. THE HCC NETWORK COVERS FOUR COUNTIES IN WEST CENTRAL MISSOURI INCLUDING: LAFAYETTE, CARROLL, RAY, AND SALINE COUNTIES. CARROLL, RAY, AND SALINE COUNTIES ARE CONSIDERED FULLY RURAL WHILE THE FOLLOWING CENSUS TRACTS FOR LAFAYETTE COUNTY HAVE RURAL DESIGNATION: 902.00, 903.00, 904.00, 905.00 AS DETERMINED BY THE RURAL HEALTH GRANTS ELIGIBILITY ANALYZER. THE HCC NETWORK IS A REGIONAL, RURAL HEALTH NETWORK, FORMED IN 2006 AS A RESULT OF SUBSTANTIAL WORK BY A COMMUNITY COALITION AND HAS BEEN UNDER THE DIRECTION OF THE SAME LEADERSHIP SINCE 2007. HCC NETWORK’S MISSION IS “CULTIVATE PARTNERSHIPS. DELIVER QUALITY CARE. STRENGTHEN RURAL COMMUNITIES.” OUR GOAL IS TO ASSURE EQUAL ACCESS TO QUALITY HEALTHCARE, REGARDLESS OF ABILITY TO PAY, AND TO IMPROVE THE HEALTHCARE STATUS OF UNDERSERVED AND VULNERABLE POPULATIONS IN THE SERVICE AREA. OUR BELIEF IS THAT IT IS NOT JUST WHAT WE DO AT OUR COMMUNITY HEALTH CENTERS, BUT HOW WE DO IT THAT MAKES ALL THE DIFFERENCE. HCC NETWORK WAS DESIGNATED AS A FEDERAL LY QUALIFIED HEALTH CENTER IN 2013; AND HAS RECEIVED MULTIPLE GRANT AWARDS FROM BOTH THE BUREAU OF PRIMARY HEALTH CARE AND FEDERAL OFFICE OF RURAL HEALTH POLICY TO ADDRESS HEALTHCARE NEEDS IN ITS RURAL WEST CENTRAL MISSOURI SERVICE AREA. HCC NETWORK AND ITS CLINICS BLEND PROGRAM DEVELOPMENT WITH QUALITY CARE TO CREATE HEALTHIER COMMUNITIES. QUALITY IMPROVEMENT EFFORTS ARE ALL MISSION MINDED. HCC NETWORK OPENED THE FIRST CLINIC IN 2013 AND NOW CONSISTS OF SIX COMMUNITY-BASED CLINICS, STAFFING 106 EMPLOYEES. HCC NETWORK HAS MAINTAINED RECOGNITION THROUGH THE PATIENT CENTERED MEDICAL HOME UNDER NCQA. HCC NETWORK IS REQUESTING A FUNDING PREFERENCE BASED ON QUALIFICATION 1. HCC NETWORK IS LOCATED IN LAFAYETTE COUNTY IN A DESIGNATED HPSA. IT ALSO QUALIFIES UNDER QUALIFICATION 2 – MEDICALLY UNDERSERVED AREA/POPULATION IN LAFAYETTE COUNT. SUPPORTING DOCUMENTATION IS ATTACHED AS ATTACHMENT 10. HCC NETWORK IS ALSO REQUESTING SPECIAL CONSIDERATION BASED ON THE INCLUSION OF A SIGNED MOA/U FROM ALL NETWORK PARTNERS INCLUDED IN ATTACHMENT 11.

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION

CORTLAND COUNTY SPF-PFS PROJECT

SEE NOTICE OF AWARD, ATTACHMENT 1 - TERMS AND CONDITIONS, ATTACHMENT D, STATEMENT OF WORK, ABSTRACT.

QUALITY IMPROVEMENT FUND - JUSTICE INVOLVED - APPLICANT: HCC NETWORK ADDRESS: 608 MISSOURI STREET, WAVERLY, MO 64096 GRANT NUMBER: H80CS26561 PROJECT DIRECTOR: MOLLY ADAMS PROJECT DESCRIPTION: HCC NETWORK IS REQUESTING $1,000,000 IN TOTAL FOR 2 YEARS TO SUPPORT THE WORK OF THE HCC NETWORK TRANSITIONS IN CARE FOR JUSTICE-INVOLVED POPULATIONS PROJECT. THE PROJECT WILL FOCUS ON STRENGTHENING TRANSITIONS IN CARE FOR INDIVIDUALS WHO WILL SOON BE RELEASED FROM INCARCERATION TO COMMUNITY-BASED, HIGH-QUALITY PRIMARY CARE SERVICES INCLUDING SERVICES THAT ADDRESS CRITICAL HEALTH AND HEALTH-RELATED SOCIAL NEEDS. HCC NETWORK IS A FEDERALLY QUALIFIED HEALTH CENTER AND SERVES RURAL POPULATION AREAS. POPULATIONS TO BE SERVED: INDIVIDUALS WHO WILL SOON BE RELEASED FROM INCARCERATION FROM THE LAFAYETTE COUNTY AND/OR THE RAY COUNTY JAIL AND WILL RESIDE IN CARROLL, LAFAYETTE, RAY, OR SALINE COUNTIES IN WEST CENTRAL MISSOURI. THIS WILL INCLUDE INDIVIDUALS (AGE 18 OR OLDER) WHO ARE LIVING IN A CARCERAL SETTING AND ARE SCHEDULED OR EXPECTED TO BE RELEASED FROM INCARCERATION IN 90 DAYS OR LESS. A TOTAL OF 87,712 PEOPLE LIVE IN THE 2,647.39 SQUARE MILE SERVICE WITH A POPULATION DENSITY OF 33 PERSONS PER SQUARE MILE, WHICH IS LESS THAN THE NATIONAL AVERAGE POPULATION DENSITY OF 94 PERSONS PER SQUARE MILE. THE SERVICE AREA IS PREDOMINANTLY WHITE (89.88%) AND NON-HISPANIC (92.96%). RESIDENTS ARE LIKELY TO HAVE HIGHER HEALTH DISPARITIES DUE TO LOWER PER CAPITA INCOME, HIGHER RATES OF INDIVIDUALS WITHOUT A HIGH SCHOOL DIPLOMA, LOWER HIGH SCHOOL GRADUATION RATES, AND HIGHER RATES OF DISABILITIES. THE LIMITED HEALTH CARE RESOURCES IN THE AREA ARE EVEN MORE CHALLENGING TO OBTAIN FOR THOSE WHO ARE OR HAVE BEEN INVOLVED WITH THE JUSTICE SYSTEM, ESPECIALLY IF THEY ARE ALSO COPING WITH MENTAL ILLNESS OR SUBSTANCE USE DISORDER(S). NEEDS TO BE ADDRESSED: THE ALREADY LIMITED HEALTH CARE RESOURCES IN THE SERVICE AREA ARE DIFFICULT TO OBTAIN AND EVEN MORE CHALLENGING TO OBTAIN FOR THOSE INVOLVED WITH THE JUSTICE SYSTEM. THIS IS PARTICULARLY TRUE FOR THOSE COPING WITH MENTAL ILLNESS OR SUBSTANCE USE DISORDER(S). LAFAYETTE COUNTY AND SALINE COUNTY ARE OVERSEEN BY THE 15TH CIRCUIT COURT WHILE CARROLL COUNTY AND RAY COUNTY 8TH CIRCUIT COURT. IN 2022, THE 8TH AND 15TH CIRCUIT COURTS HAD 2,188 FILED SELECTED DRUG AND ALCOHOL CHARGES AND 843 GUILTY OUTCOMES FOR SELECTED DRUG AND ALCOHOL CHARGES. IN 2023, THERE WERE 32 INDIVIDUALS ADMITTED TO ADULT TREATMENT, VETERANS & DWI COURT AND 18 EXITED. HOMELESSNESS, MENTAL ILLNESS, SUBSTANCE MISUSE, AND INCARCERATION ARE CLOSELY LINKED. IN MISSOURI STATE FISCAL YEAR 2022, APPROXIMATELY 921 INDIVIDUALS IN THE FOUR-COUNTY REGION RECEIVED CLINICAL SERVICES FROM THE DIVISION OF BEHAVIORAL HEALTH PSYCHIATRIC PROGRAM. THE MAJORITY OF DIAGNOSES WERE RELATED TO DEPRESSION, ANXIETY AND FEAR DISORDERS, AND TRAUMA AND STRESS-RELATED DISORDERS. CO-OCCURRING INDICATORS REFLECT THAT 33.2% OF THOSE RECEIVING TREATMENT ALSO HAD A SUBSTANCE USE DISORDER, AND 10.5% HAD A CO-OCCURRING DEVELOPMENTAL DISABILITY. DATA IS NOT AVAILABLE AT THE LOCAL LEVEL TO TRACK THE NUMBER OF JUSTICE INVOLVED INDIVIDUALS WITH CO-OCCURRING MENTAL ILLNESS AND/OR SUBSTANCE MISUSE DISORDERS. ALL COUNTIES IN THE SERVICE AREA HAVE HPSA DESIGNATIONS FOR PRIMARY, DENTAL, AND MENTAL HEALTH. PROPOSED SERVICES: PRE-RELEASE PLANNING, COMMUNITY HEALTH WORKERS, PRAPARE, MEDIATION, MAT, PEER SUPPORT SERVICES, CARE COORDINATION, HEALTH EVALUATIONS, SCREENING, PRIMARY HEALTH SERVICES, IMMUNIZATIONS, BEHAVIORAL HEALTH, SCREENINGS FOR SOCIAL DETERMINANTS OF HEALTH, AND RECOMMENDATIONS/REFERRALS FOR BOTH HEALTH AND SOCIAL HEALTH-RELATED NEEDS.

CAPITAL ASSISTANCE FOR DISASTER RESPONSE AND RECOVERY EFFORTS

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

SAMHSA TARGETED CAPACITY EXPANSION - PROJECT NAME: HCC NETWORK – TARGETED CAPACITY EXPANSION SUMMARY: HCC NETWORK PROPOSES TO IMPLEMENT TARGETED STRATEGIES THAT WILL ALLOW THE ORGANIZATION TO PROVIDE TREATMENT AND RELATED SERVICES FOR INDIVIDUALS WITH OR AT RISK FOR SUBSTANCE USE DISORDER (SUD) AND/OR CO-OCCURRING DISORDER (COD). POPULATIONS TO BE SERVED: INDIVIDUALS DIAGNOSED WITH OR AT RISK FOR SUD/COD IN THE FIVE-COUNTY HCC NETWORK SERVICE AREA. THE FIVE-COUNTY GEOGRAPHIC CATCHMENT AREA INCLUDES OVER 3,000 SQUARE MILES (CARROLL, JACKSON, LAFAYETTE, RAY, AND SALINE COUNTIES) AND IS HOME TO 611,991 RESIDENTS. THE AREA IS PREDOMINANTLY WHITE (80%) AND NON-HISPANIC (92.7%). THIS DATA SHOWS HCC NETWORK SERVICE AREA RESIDENTS ARE LIKELY TO HAVE HIGHER HEALTH DISPARITIES DUE TO LOWER MEDIAN HOUSEHOLD INCOME, LOWER EMPLOYMENT RATES, HIGH RATES OF POVERTY, AND A HIGHER PERCENTAGE OF INDIVIDUALS WHO ARE DISABLED THAN MISSOURI RESIDENTS AS A WHOLE. MENTAL HEALTH INDICATORS FOR SERVICE AREA COUNTIES CONTRIBUTE TO DISPARITIES AS DATA SHOWS MORE POOR MENTAL HEALTH DAYS, MORE FREQUENT MENTAL DISTRESS, HIGHER SUICIDE RATES, AND MORE FEELINGS OF LONELINESS. STRATEGIES/INTERVENTIONS: THIS INCLUDES BOTH REQUIRED AND ALLOWABLE ACTIVITIES. REQUIRED: UNIVERSAL EVIDENCE-BASED SCREENING FOR SUD/COD AND RISK OF SUICIDE; TREATMENT SERVICES FOR SUD/COD; EXPAND HARM REDUCTION SERVICES; TOBACCO CESSATION PROGRAMS; PROVIDE INTEGRATED PEER SUPPORT AND CASE MANAGEMENT SERVICES. ALLOWABLE: COMMUNITY ENGAGEMENT ACTIVITIES; PROVIDE EVIDENCE-BASED APPROACHES TO CARE; RECOVERY SUPPORT; EDUCATION, SCREENING, LAB TESTING FOR INFECTIOUS DISEASES; LOW-BARRIER TREATMENT APPROACH; TEST STRIPS AND OVERDOSE REVERSAL MEDICATIONS; ASSESSING RISK FOR HOMELESSNESS; ACTIVITIES TO REDUCE STIGMA FOR SUD/COD; TREATMENT/TRANSITION FOR JUSTICE-INVOLVED INDIVIDUALS; UTILIZATION OF TTA PROGRAMS. GOALS AND OBJECTIVES: GOAL 1: TO IMPLEMENT TARGETED STRATEGIES TO PROVIDE TREATMENT AND RELATED SERVICES FOR SUBSTANCE USE DISORDER (SUD) AND/OR CO-OCCURRING DISORDER (COD) WITHIN THE HCC NETWORK SERVICE AREA. OBJECTIVE 1: WITHIN FOUR MONTHS OF THE START OF THE PROJECT PERIOD, HCC NETWORK WILL IMPLEMENT EVIDENCE-BASED UNIVERSAL SCREENING FOR SUD/COD AND RISK OF SUICIDE FOR PATIENTS COMING IN FOR CLINIC VISITS AT ALL CLINIC LOCATIONS. OBJECTIVE 2: WITHIN FOUR MONTHS OF THE START OF THE PROJECT PERIOD, HCC NETWORK WILL PROVIDE LOW BARRIER SUD/COD EVIDENCE-BASED TREATMENT SERVICES AT ALL CLINIC LOCATIONS. OBJECTIVE 3: WITHIN FOUR MONTHS OF THE START OF THE PROJECT PERIOD, HCC NETWORK WILL EXPAND HARM REDUCTION SERVICES ACROSS THE SERVICE AREA. OBJECTIVE 4: WITHIN FOUR MONTHS OF THE START OF THE PROJECT PERIOD, HCC NETWORK WILL IMPLEMENT AN IN-HOUSE TOBACCO CESSATION PROGRAM WITHIN FOUR MONTHS OF THE START OF THE PROJECT PERIOD AND PROVIDE SERVICES TO 75% OF INDIVIDUALS WITH TOBACCO-RELATED SUD. OBJECTIVE 5: WITHIN FOUR MONTHS OF THE START OF THE PROJECT PERIOD, HCC NETWORK WILL PROVIDE INTEGRATED PEER SUPPORT AND CASE MANAGEMENT SERVICES TO INDIVIDUALS WITH SUD/COD DISORDERS ANTICIPATED ANNUAL NUMBER TO BE SERVED: HCC NETWORK EXPECTS PARTICIPATION TO INCREASE EACH YEAR OF THE PROJECT. YEAR 1-125; YEAR 2-150; AND YEAR 3-175 PATIENTS FOR A TOTAL OF 450 PARTICIPANTS OVER THE COURSE OF THE PROJECT PERIOD.

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

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - APPLICANT: HCC NETWORK ADDRESS: 608 MISSOURI STREET, WAVERLY, MO 64096 GRANT NUMBER: H80CS26561 PROJECT DIRECTOR: AMANDA ARNOLD, CHIEF OPERATIONS OFFICER, 816-807-5795, AMANDA.ARNOLD@HCCNETWORK.ORG HCC NETWORK IS REQUESTING $1,100,000 ($600,000 YEAR 1; $500,000 YEAR 2) TO SUPPORT THE WORK OF THE HCC NETWORK BEHAVIORAL HEALTH SERVICE EXPANSION (BHSE). THE PROJECT WILL FOCUS ON INCREASING ACCESS TO BEHAVIORAL HEALTH SERVICES THROUGH EXPANDING MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES TO THE SERVICE AREA. THE SCOPE OF THE PROJECT INCLUDES APPROVED SERVICE SITES, SERVICES, PROVIDERS, SERVICE AREA, AND TARGET POPULATION THAT IS SUPPORTED UNDER THE APPROVED HEALTH CENTER BUDGET. HCC NETWORK IS A RURAL HEALTH NETWORK AND FEDERALLY QUALIFIED HEALTH CENTER. SERVICE AREA/POPULATIONS TO BE SERVED. THE HCC NETWORK IS IN CARROLL, LAFAYETTE, JACKSON, RAY, AND SALINE COUNTIES IN WEST CENTRAL MISSOURI. THE BHSE TARGET SERVICE AREA COVERS THE FULL SERVICE AREA. THE TARGET POPULATION WILL INCLUDE THE FULL PATIENT POPULATION AT HCC NETWORK. HCC NETWORK’S SERVICE AREA IS GENERALLY DIVIDED INTO TWO REGIONS WHICH INCLUDES THE RURAL REGION - CARROLL, LAFAYETTE, RAY, AND SALINE COUNTIES AND THE URBAN REGION – JACKSON COUNTY. DESCRIPTION. HCC NETWORK WILL USE THESE FUNDS TO SIGNIFICANTLY EXPAND BEHAVIORAL HEALTH AND SUD SERVICES PROVIDED IN-HOUSE AT HCC NETWORK CLINICS. THIS EXPANSION WILL INCREASE ACCESS AND QUALITY OF CARE BY CREATING A “ONE-STOP SHOP” INTEGRATED CARE FOR ALL SERVICES AT HCC NETWORK CLINICS. NEEDS TO BE ADDRESSED. IN MISSOURI STATE FISCAL YEAR 2022, APPROXIMATELY 921 INDIVIDUALS IN THE FOUR-COUNTY REGION RECEIVED CLINICAL SERVICES FROM THE DIVISION OF BEHAVIORAL HEALTH PSYCHIATRIC PROGRAM WHILE 10,402 IN JACKSON COUNTY RECEIVED CLINICAL SERVICES. MOST DIAGNOSES WERE RELATED TO DEPRESSION, ANXIETY AND FEAR DISORDERS, AND TRAUMA AND STRESS RELATED DISORDERS. 33.2% OF THOSE RECEIVING TREATMENT ALSO HAD A SUBSTANCE USE DISORDER AND 10.5% HAD A CO-OCCURRING DEVELOPMENTAL DISABILITY IN THE FOUR-COUNTY REGION. FOR JACKSON COUNTY, 39.7% OF THOSE RECEIVING TREATMENT ALSO HAD A SUBSTANCE USE DISORDER AND 5.4% HAD A CO-OCCURRING DEVELOPMENTAL DISABILITY. THE SERVICE AREA HAS HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) DESIGNATIONS FOR MENTAL HEALTH CARE IN ALL COUNTIES. IN JACKSON COUNTY, 34.50% OF THE POPULATION LIVE IN AN AREA AFFECTED BY A MENTAL HEALTH HPSA WITH 99.43% OF THE HPSA POPULATION BEING UNDERSERVED. THE FOUR-COUNTY REGION HAS 75.80% OF THE POPULATION LIVING IN AN AREA AFFECTED BY A MENTAL HEALTH HPSA WITH 83.86% OF THE HPSA POPULATION BEING UNDERSERVED (US CENSUS, 2018-22). THE MENTAL HEALTH PROVIDER RATIO IS 43.20 FOR THE FOUR-COUNTY REGION. THIS IS SIGNIFICANTLY LOWER THAN STATE (124.66) AND NATIONAL (176.26) RATES JACKSON COUNTY HAS A RATIO OF 147.66 MENTAL HEALTH PROVIDERS IN THE COUNTY (CMS, APRIL 2024). THERE WERE 202 DEATHS OF DESPAIR IN THE FOUR-COUNTY REGION WHICH INCLUDES DEATHS FROM INTENTIONAL SELF-HARM, ALCOHOL-RELATED DISEASE, AND DRUG OVERDOSE FROM 2016-2020 FOR A RATE OF 44.8 PER 100,000. JACKSON COUNTY HAD 1,752 DEATHS OF DESPAIR FOR A RATE OF 48.6 COMPARED TO STATE (54.1) AND NATIONAL (47.0) RATES (CDC, 2016-20). ACCORDING TO THE MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES OPIOID DASHBOARD, THERE WERE 80 DRUG OVERDOSE DEATHS (ALL SUBSTANCES) IN THE FOUR-COUNTY AREA FROM 2017-2022. IN JACKSON COUNTY THERE WERE 1,134 OVERDOSE DEATHS (ALL SUBSTANCES) FOR THE SAME YEARS. HOW THE PROJECT WILL INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH AND SUD SERVICES INCLUDING MOUD. SERVICES WILL BE INCREASED THROUGH THE ADDITION OF CLINICAL STAFF, MINOR A&R TO RENOVATE CLINIC SPACE TO ACCOMMODATE BEHAVIORAL HEALTH/SUD PATIENTS INCLUDING TELEHEALTH, UPGRADES TO THE ELECTRONIC MEDICAL RECORD TO IMPROVE EASE OF DATA TRACKING AND REFERRAL MANAGEMENT WHILE ABIDING BY ALL HIPAA REQUIREMENTS, STAFF TRAINING, AND COMMUNITY MARKETING AND EDUCATION.

RURAL NETWORK ALLIED HEALTH TRAINING PROGRAM

SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT

CORTLAND COUNTY MHAT PROJECT - THE CORTLAND COUNTY MHAT PROJECT WILL FOCUS ON CORTLAND COUNTY YOUTH AGES 13-18. THE TARGET POPULATION TO RECEIVE MENTAL HEALTH AWARENESS TRAINING WILL INCLUDE PARENTS, OTHER GATEKEEPERS AND LAW ENFORCEMENT. CORTLAND COUNTY, NY IS THE GEOGRAPHIC CATCHMENT AREA HAVING A 2020 TOTAL POPULATION OF 46,126, WITH ABOUT 19% BEING UNDER 18 YEARS OLD (US CENSUS BUREAU). TO ADDRESS YOUTH MENTAL HEALTH NEEDS IN CORTLAND COUNTY, COMPREHENSIVE TRAINING FOR PARENTS, GATEKEEPERS, AND FIRST RESPONDERS IS ESSENTIAL. THE PROJECT AIMS TO ENHANCE MENTAL HEALTH AWARENESS, EARLY DETECTION, AND CRISIS MANAGEMENT THROUGH EVIDENCE-BASED PROGRAMS: YOUTH MENTAL HEALTH FIRST AID, SAFETALK, AND CRISIS INTERVENTION TRAINING. TWO MAIN GOALS FOCUS ON ADDRESSING SERVICE GAPS AND INCREASING MENTAL HEALTH KNOWLEDGE BY OFFERING CULTURALLY-SENSITIVE TRAINING AND TARGETED MATERIALS. BY SEPTEMBER 2026, THE PROJECT AIMS TO TRAIN 640 INDIVIDUALS IN YMHFA, 200 IN SAFETALK, AND 100 FIRST RESPONDERS IN CIT. THE GOAL IS TO ACHIEVE SIGNIFICANT IMPROVEMENTS IN PARTICIPANTS' CONFIDENCE AND KNOWLEDGE, DEMONSTRATED THROUGH PRE- AND POST-TEST ASSESSMENTS, AND INCREASE STUDENTS' COMMUNICATION ABOUT FEELINGS OF DEPRESSION WITH TRUSTED ADULTS.

HEALTH CENTER INFRASTRUCTURE SUPPORT

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

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-PSYCHOSTIMULANT SUPPORT

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - ORGANIZATION: HCC NETWORK 608 MISSOURI STREET, WAVERLY, MO PROJECT DIRECTOR: TONIANN RICHARD, CEO PHONE: 816-807-7774 EMAIL: TONIANN@HCCNETWORK.ORG WEBSITE: HCCNETWORK.ORG GRANT PROGRAM FUNDS REQUESTED: $2,000,000 HCC NETWORK IS A MISSOURI-BASED RURAL HEALTH NETWORK AND FEDERALLY QUALIFIED HEALTH CENTER LOCATED IN WEST CENTRAL, MISSOURI AND IS THE UMBRELLA ORGANIZATION FOR THE LIVE WELL COMMUNITY HEALTH CENTERS LOCATED IN WAVERLY, CONCORDIA, BUCKNER, LEXINGTON AND CARROLLTON, MISSOURI. HCC ALSO HAS MOBILE AND SCHOOL-BASED SERVICES. HCC IS A MATURE RURAL HEALTH NETWORK, FORMED IN 2004, FORMALLY INCORPORATED IN 2006, AND UNDER THE DIRECTION OF THE SAME LEADERSHIP SINCE 2007. THE HCC HAS A MISSION TO “CULTIVATE PARTNERSHIPS AND DELIVER QUALITY HEALTH CARE TO STRENGTHEN RURAL COMMUNITIES”. HCC IS A RURAL HEALTH NETWORK, COMMITTED TO IMPROVING THE HEALTH STATUS OF UNDERSERVED POPULATIONS IN ITS SERVICE AREA. HCC WAS FORMALLY ESTABLISHED IN 2006, FOLLOWING A THREE-YEAR PERIOD OF THE NETWORK PARTNERS INFORMALLY WORKING TOGETHER TO ADDRESS AREA HEALTH CARE NEEDS, SPECIFICALLY TO ENSURE THAT THE HEALTH CARE NEEDS OF ALL CITIZENS IN OUR SERVICE AREA ARE MET, PARTICULARLY THE NEEDS OF THE UNDER- AND UNINSURED. THE FOCUS IS TO DEVELOP AND IMPLEMENT PROGRAMS THAT ARE RESPONSIVE TO DOCUMENTED HEALTH NEEDS OF COUNTY RESIDENTS, WITH SPECIFIC HEALTH STATUS INDICATORS AS BENCHMARKS FOR PROGRESS ON ADDRESSING THOSE NEEDS. SINCE ITS INCEPTION, HCC HAS DEVELOPED INTO A COMPREHENSIVE RURAL HEALTH NETWORK, WITH A WIDE VARIETY OF HEALTH, SOCIAL SERVICES AND COMMUNITY PARTNERS THAT PROVIDE HEALTH AND WELLNESS PREVENTION AND TREATMENT PROGRAMS FOR ALL CITIZENS IN OUR SERVICE AREA, AND FOCUSED ON THE HEALTH CARE NEEDS OF LOW-INCOME, UNDER- AND UNINSURED RESIDENTS. HCC’S STRENGTH LIES IN DEVELOPING COLLABORATIVE RELATIONSHIPS, UTILIZING THE STRENGTHS OF INDIVIDUAL ORGANIZATIONS TO DEVELOP PROGRAMS AND SERVICES THAT ARE LARGER THAN ANY ONE ORGANIZATION. THIS APPROPRIA TIONS REQUEST WILL SUPPORT FUNDING TO FURTHER HCC’S ENABLING SERVICES THROUGH EXPANSION (CONSTRUCTION) OF THE EXISTING WAREHOUSE INITIATIVE. HCC’S WAREHOUSE SERVES PEOPLE OF ALL SOCIOECONOMIC STATUS WITH ITEMS GLEANED FROM VENDORS WHO WOULD OTHERWISE DISPOSE OF PRODUCTS IN LANDFILLS. MOST OF THESE ITEMS INCLUDE PERSONAL HYGIENE (TOOTHBRUSH, TOOTHPASTE, DEODORANT, SOAP, ETC.), CLEANING PRODUCTS, MATTRESSES, HOSPITAL BEDS, WHEELCHAIRS, WALKERS, ETC. THIS PROGRAM ALSO PROVIDES SERVICES THROUGH PROJECT CONNECT, A ONE-DAY HEALTH OUTREACH EVENT THAT PROVIDES DIRECT SERVICES TO PEOPLE (LINK: PROJECT CONNECT - HCC NETWORK), EMERGENCY HOUSING AND TRANSPORTATION. PLANNING FOR THIS PROJECT HAS BEEN COMPLETED AND IF FUNDED, COULD BEGIN IMMEDIATELY. ADDITIONALLY, FUNDING WILL BE USED TO SUPPORT THE INTEGRATION OF ORAL HEALTH SERVICES (HCC/LIVE WELL) FOR THOSE RECEIVING CARE THROUGH COMPREHENSIVE MENTAL HEALTH SERVICES IN EASTERN JACKSON COUNTY (CONSTRUCTION). THIS PARTNERSHIP WILL BRING MUCH NEEDED DENTAL CARE (PREVENTION AND RESTORATION – INCLUDING DENTURES) TO PATIENTS WHO ARE IN RECOVERY FOR SUBSTANCE USE AND OPIOID USE DISORDER. BY MAXIMIZING RESOURCES IN BOTH AGENCIES, INDIVIDUALS WHO OTHERWISE MAY NOT SEEK DENTAL CARE WILL HAVE ACCESS THROUGH A CO-LOCATION OF CARE. HCC WOULD PROVIDE A FULL-TIME DENTIST AND HYGIENIST TO PROVIDE CARE. ENGINEERING HAS BEEN COMPLETED AND THIS PROJECT IS ALSO READY FOR IMPLEMENTATION. THIS PROJECT, IN TANDEM WITH MANY OTHER ONGOING COLLABORATIVE EFFORTS THROUGH THE REGION, WILL ENSURE THAT RURAL COMMUNITIES ARE IMPROVING THEIR GROWTH AND SUSTAINABILITY

AMERICAN RESCUE PLAN

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

HOMELESS ASSISTANCE

FY18 PSN PROGRAM

IMPROVING MATERNAL AND CHILD HEALTH OUTCOMES IN THE GREATER PHILADELPHIA AREA.

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.

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.

TOTAL FAMILY CARE COALITION: EMPOWERING FAMILIES AND YOUTH

FY 2019 PROJECT SAFE NEIGHBORHOOD GRANT ANNOUNCEMENT 2019-H3197-NV-GP

CORTLAND RESPONDS - CORTLAND AREA COMMUNITIES THAT CARE COALITION, INC. DBA RURAL HEALTH INSTITUTE OF NEW YORK WILL IMPLEMENT CORTLAND RESPONDS IN RURAL CORTLAND COUNTY, NEW YORK, TO BUILD A COORDINATED MENTAL HEALTH AWARENESS, CRISIS-RESPONSE, REFERRAL, AND CONTINUING-LEARNING SYSTEM. THE PROJECT WILL TRAIN ADULTS IN PUBLIC SAFETY, BEHAVIORAL HEALTH, HEALTHCARE, HOMELESSNESS, SOCIAL-SERVICE, MUNICIPAL, FAITH, AND COMMUNITY ORGANIZATIONS WHOSE ROLES MAY BRING THEM INTO CONTACT WITH MENTAL HEALTH OR SUICIDE CRISES INVOLVING ADULTS EXPERIENCING HOMELESSNESS OR HOUSING INSTABILITY. TRAINING WILL INCLUDE ANNUAL 40-HOUR CRISIS INTERVENTION TEAM ACADEMIES, LIVINGWORKS SAFETALK, SAMHSA CREATING SAFE SCENES, AND ROLE-SPECIFIC SUPPLEMENTAL COURSES. A COMMUNITY-FACING LEARNING MANAGEMENT SYSTEM WILL SUPPORT REGISTRATION, ONLINE LEARNING, REFRESHERS, FOLLOW-UP, AND THE CORTLAND CRISIS RESPONSE AND REFERRAL GUIDE. BY SEPTEMBER 29, 2029, THE PROJECT WILL PRODUCE 750 CORE-CURRICULUM COMPLETIONS AMONG AT LEAST 450 UNDUPLICATED TRAINEES FROM AT LEAST 15 ORGANIZATIONS, WITH AT LEAST 225 COMPLETERS RECEIVING SUPPLEMENTAL LEARNING. PARTICIPANTS AND PARTNERS WILL DOCUMENT LINKAGES FOR 150 UNDUPLICATED INDIVIDUALS TO MENTAL HEALTH SUPPORT, AND AT LEAST 8 AGENCIES WILL EMBED THE SHARED DECISION TOOL OR REFERRAL PROTOCOL INTO ROUTINE OPERATIONS.

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

MENTAL HEALTH FIRST AID FOR SENIOR CARE PROVIDERS: CREATING A NEXUS COMMUNITY

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

CONTINUUM OF CARE PROGRAM

YOUTH HOMELESSNESS DEMONSTRATION PROGRAM

HEAD START 2009 ARRA COLA QUALITY IMPROVEMENT FUNDING

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING) - DESCRIPTION OF PROPOSED PROJECT. HCC NETWORK PROPOSES TO INVESTIGATE THE DEVELOPMENT OF A VETERAN-FOCUSED SUD SERVICE LINE INCLUDING A FEASIBILITY AND SUSTAINABILITY ASSESSMENT. THIS PROGRAM WOULD FOCUS ON USING A WHOLE-PERSON APPROACH AND WOULD INCLUDE PRIMARY CARE, MENTAL AND BEHAVIORAL HEALTHCARE INCLUDING SUBSTANCE MISUSE, HOUSING, TRANSPORTATION, EMPLOYMENT, EDUCATION, AND FAMILY SUPPORT SERVICES. THIS FUNDING WOULD SERVE AS A CRITICAL FIRST STEP TO CREATING SUD SERVICE SYSTEMS THAT MAKE CARE EASY TO ACCESS, STRENGTHEN THE BEHAVIORAL HEALTH WORKFORCE, GAIN STRONG COMMUNITY BUY-IN, AND PREPARE COMMUNITIES TO DELIVER PREVENTION, TREATMENT, RECOVERY, AND OTHER SUPPORTIVE SERVICES OVER THE LONG TERM. THE PROJECT TEAM WILL FOCUS ON DEVELOPING A PROGRAM THAT AIMS TO REDUCE SUBSTANCE USE INITIATION AND MISUSE; ADDRESS MENTAL, BEHAVIORAL, AND PSYCHOSOCIAL NEEDS OF PEOPLE WHO USE ILLICIT SUBSTANCES, MISUSE ALCOHOL, OR ARE IN RECOVERY; AND REDUCE DISEASE AND DEATH RELATED TO SUBSTANCE USE, INCLUDING OUD, IN HIGH-RISK RURAL AREAS. DESCRIPTION OF TARGET RURAL SERVICE AREA. HCC NETWORK COVERS FOUR COUNTIES IN WEST CENTRAL MISSOURI INCLUDING: LAFAYETTE, CARROLL, RAY, AND SALINE COUNTIES. CARROLL, RAY, AND SALINE COUNTIES ARE CONSIDERED FULLY RURAL WHILE THE FOLLOWING CENSUS TRACTS FOR LAFAYETTE COUNTY HAVE RURAL DESIGNATION: 902.00, 903.00, 904.00, 905.00, 906.01. THE AREA IS RURAL FARMLAND, WITH SMALL CITIES AND TOWNS DOTTING THE LANDSCAPE. WHILE THERE ARE NO MAJOR URBAN CITIES WITHIN THE FOUR-COUNTY SERVICE AREA, KANSAS CITY AND ITS SURROUNDING SUBURBS ARE APPROXIMATELY AN HOUR AWAY. THE SERVICE AREA COVERS A TOTAL POPULATION OF 87,902 WITH AN ESTIMATED POPULATION DENSITY OF 33, LESS THAN THE AVERAGE NATIONAL POPULATION DENSITY OF 95 PEOPLE PER SQUARE MILE. THE POPULATION IN THE FOUR-COUNTY REGION IS PREDOMINANTLY WHITE (88.53%). THE PERCENT OF VETERANS IN THE FOUR-COUNTY AREA IS 7.68% HIGHER THAN STATE (7.26%) AND NATIONAL (6.22%) RATES. FOCUS AREA(S) OF COMMUNITY SUD NEEDS PLAN TO ADDRESS. SUD/OUD NEEDS FOR THE COMMUNITY, SPECIFICALLY INCLUDING THE TARGET POPULATION OF VETERANS AND THEIR FAMILIES/CAREGIVERS. TYPES OF NETWORK PARTNERS. THE NETWORK MEMBERS INVOLVED IN THE RCORP-PLANNING PROGRAM REPRESENT A STRATEGICALLY ALIGNED COALITION OF PARTNERS ACROSS THE HEALTHCARE, BEHAVIORAL HEALTH, AND VETERAN SERVICE ORGANIZATIONS. EACH SECTOR BRINGS UNIQUE EXPERTISE, RESOURCES, AND PERSPECTIVES THAT ARE ESSENTIAL FOR CREATING A WELL-ROUNDED, SUSTAINABLE APPROACH TO SUPPORTING SUD/OUD SERVICES. PARTNERS INCLUDE: HCC NETWORK (APPLICANT – FEDERALLY QUALIFIED HEALTH CENTER), COMPASS HEALTH (BEHAVIORAL HEALTH), LAFAYETTE COUNTY VETERANS SUICIDE PREVENTION COALITION (VETERAN SERVICES), VALOR RANCH (VETERAN SERVICES), KANSAS CITY VETERANS AFFAIRS (VETERAN SERVICES). HEALTHCARE PARTNERS CONTRIBUTE CRITICAL INSIGHT INTO CLINICAL NEEDS, WORKFORCE DEMANDS, AND SERVICE DELIVERY MODELS. THIS ENSURES THE STRATEGIC PLAN DEVELOPED IS ALIGNED WITH REAL-WORLD EXPECTATIONS. HCC NETWORK’S INVOLVEMENT ALSO SUPPORTS THE INTEGRATION OF PHYSICAL, DENTAL, AND BEHAVIORAL HEALTH CARE, REINFORCING THE IMPORTANCE OF HOLISTIC, PATIENT-CENTERED APPROACHES. BEHAVIORAL HEALTH AGENCIES BRING DEEP EXPERTISE IN MENTAL HEALTH AND SUBSTANCE USE SERVICES. THEIR PARTICIPATION ENSURES THAT THE PROJECT REFLECTS THE COMPLEXITIES AND EVOLVING NEEDS OF THE BEHAVIORAL HEALTH SYSTEM. THESE PARTNERS OFFER MENTORSHIP, EXPERTISE, AND INPUT ON TRAUMA-INFORMED CARE PRACTICES, HELPING TO PREPARE PROVIDERS FOR THE FUTURE. VETERAN SERVICES DIRECTLY UNDERSTANDS THE COMPLEXITIES FACED BY VETERANS AND IS KNOWLEDGEABLE ABOUT THE PROGRAMS THAT ARE AVAILABLE AND TAILORED TO VETERANS’ NEEDS. WORKING DIRECTLY WITH VETERAN SERVICE PROGRAMS WILL HELP IDENTIFY CHALLENGES OFTEN FACED BY THIS COMMUNITY AND ALLOW FOR THE IMPROVEMENT OF CARE COORDINATION.

RURAL HEALTH NETWORK DEVELOPMENT PLANNING GRANT PROGRAM - ORGANIZATION: HCC NETWORK, 608 MISSOURI STREET, WAVERLY, MO 64096 FACILITY TYPE: FEDERALLY QUALIFIED HEALTH CENTER (FQHC) WEBSITE: WWW.HCCNETWORK.ORG PROJECT DIRECTOR: AMANDA ARNOLD RN, BSN, CHIEF OPERATIONS OFFICER FOR HCC NETWORK AND CAN BE REACHED AT 816-807-5795, AMANDA.ARNOLD@HCCNETWORK.ORG NETWORK NAME: HCC NETWORK LEGISLATIVE AIM(S): 1) ACHIEVING EFFICIENCIES; 2) EXPANDING ACCESS TO, COORDINATING, AND IMPROVING QUALITY OF BASIC HEALTH CARE SERVICES AND ASSOCIATED HEALTH OUTCOMES; 3) STRENGTHENING THE RURAL HEALTH CARE SYSTEM AS A WHOLE. FOCUS AREA: HCC NETWORK’S FOCUS AREA IS CARE COORDINATION. PROPOSED SERVICE REGION: HCC NETWORK COVERS FOUR COUNTIES IN WEST CENTRAL MISSOURI INCLUDING: LAFAYETTE, CARROLL, RAY, AND SALINE COUNTIES. CARROLL, RAY, AND SALINE COUNTIES ARE CONSIDERED FULLY RURAL WHILE THE FOLLOWING CENSUS TRACTS FOR LAFAYETTE COUNTY HAVE RURAL DESIGNATION: 902.00, 903.00, 904.00, 905.00. POPULATION TO BE SERVED. INDIVIDUALS THAT ARE CURRENTLY OR FORMERLY INCARCERATED THAT ARE AT RISK FOR SUD/OUD AND/OR CO-OCCURRING MENTAL DISORDERS; INDIVIDUALS DIAGNOSED WITH SUD/OUD AND/OR CO-OCCURRING MENTAL DISORDERS; INDIVIDUALS IN TREATMENT AND/OR RECOVERY FOR SUD/OUD AND/OR OTHER CO-OCCURRING MENTAL DISORDERS; THEIR FAMILIES AND/OR CAREGIVERS; AND IMPACTED COMMUNITY MEMBERS WHO RESIDE IN THE RURAL TARGET SERVICE AREA OF CARROLL, LAFAYETTE, SALINE, AND RAY COUNTY, MISSOURI. POPULATIONS THAT HAVE BEEN JUSTICE-INVOLVED FACE MULTIPLE HURDLES TO CARE INCLUDING POVERTY, HOUSING CHALLENGES, EMPLOYMENT, EDUCATION, HEALTH CARE AND MENTAL HEALTH TREATMENT, ALL WHILE DEALING WITH THE ATTACHED STIGMA AND MEETING THE OBLIGATIONS OF RELEASE. THESE OBLIGATIONS CAN BE ONEROUS FOR THOSE STRUGGLING TO RE-ESTABLISH THEMSELVES IN A COMMUNITY, PARTICULARLY WHEN COMPOUNDING WITH OTHER SOCIO-ECONOMIC STRUGGLES, MENTAL ILLNESS, AND/OR SUBSTANCE MISUSE DISORDERS. ACCURATE COUNTS OF JUSTICE-INVOLVED INDIVIDUALS ARE DIFFICULT TO OBTAIN, AS POPULATIONS ROTATE IN AND OUT DAILY. THE FOUR-COUNTY AREA HAD 2,188 DRUG AND/OR ALCOHOL RELATED CRIMINAL CHARGES FILED AGAINST INDIVIDUALS WITH ONLY 22 INDIVIDUALS CONNECTED TO ADULT TREATMENT COURTS IN FY2022. NETWORK MEMBERS. 1) HCC NETWORK, RURAL HEALTH NETWORK AND FQHC; 2) LAFAYETTE COUNTY SHERIFF’S DEPARTMENT, LAW ENFORCEMENT; 3) COMPASS HEALTH, FQHC; 4) CARROLL COUNTY SHERIFF’S DEPARTMENT, LAW ENFORCEMENT; 5) MISSOURI STATE PROBATION AND PAROLE, CRIMINAL JUSTICE; 6) RAY COUNTY SHERIFF’S DEPARTMENT, LAW ENFORCEMENT; 7) LAFAYETTE COUNTY ENTERPRISES, SOCIAL SERVICES. THE NETWORK CONSISTS OF A RURAL MAJORITY, SATISFYING THE SIXTY-SIX PERCENT (66%), OR TWO-THIRDS APPLICATION REQUIREMENT. NETWORK MEMBERS ARE PREPARED TO INTEGRATE OR SHARE CLINICAL AND ADMINISTRATIVE RESOURCES WITH A GOAL OF ACHIEVING EFFICIENCIES IN OPERATION AS WELL AS IMPROVING CARE COORDINATION. THIS WILL BE ADDRESSED AS PART OF THE PLANNING PROJECT. EXPERIENCE IN SERVING RURAL UNDERSERVED POPULATIONS. HCC NETWORK IS A REGIONAL, INTEGRATED RURAL HEALTH NETWORK FORMED AS A RESULT OF SUBSTANTIAL WORK BY A COMMUNITY NETWORK IN 2006. HCC NETWORK IS ACTIVELY ENGAGED IN ITS REGIONAL, RURAL COMMUNITY. BY UTILIZING A NETWORK APPROACH, THE NETWORK CAN DRAW UPON THE EXPERTISE OF EACH OTHER AND EFFICIENTLY UTILIZE SERVICES AVAILABLE IN THE MEDICALLY UNDERSERVED REGION. THIS HELPS TO SUPPORT NOT ONLY PATIENT OUTCOMES BUT HELPS TO PRESERVE THE WORKFORCE AND REDUCE RISK OF BURNOUT. FUNDING OPPORTUNITY NOTIFICATION. THE OPPORTUNITY WAS IDENTIFIED THROUGH GRANTS.GOV. FUNDING PREFERENCE. HCC NETWORK IS REQUESTING A FUNDING PREFERENCE BASED ON QUALIFICATION 1: HCC IS LOCATED IN A DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA. SUPPORTING DOCUMENTATION IS INCLUDED IN ATTACHMENT 8.

HEALTHY TOMORROWS PARTNERSHIP FOR CHILDREN PROGRAM

FY 2009 EARMARK FUNDS FOR BLACK HEALTH CARE COALITION

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

HEALTHY TOMORROWS PARTNERSHIP FOR CHILDREN PROGRAM

SUPPORT THE WEST FRESNO HEALTH CARE COALITION ORGANIZING AND FACILITATING AN UNDER-SERVED FARMER CONFERENCE FOR CA.

THIS URBAN FARM PROJECT WILL REACH UNDER SERVED YOUTH RESIDIG IN SOUTHWEST FRESNO.

SUPPORT THE WEST FRESNO HEALTH CARE COALITION ORGANIZING ANDFACILITATING AN UNDER-SERVED FARMER CONFERENCE.

WILL PROVIDE A COMMUNITY BASED APPROACH TO EDUCATING HIGH RISK COMMUNITIES ABOUT POTENTIAL ENVIRONMENTAL HEALTH HAZARDS FOR CHILDREN, IDENTIFY THOSE

CONTINUUM OF CARE PROGRAM

THE PROJECT SEEKS TO REDUCE ENVIRONMENTAL FACTORS THAT CONTRIBUTE TO CHILDHOOD ASTHMA TRIGGERS IN THE URBAN CORE OF KANSAS CITY, KANSAS, AND KANSAS C

FY 2023 BRIDGE ACCESS PROGRAM

FY 2023 EXPANDING COVID-19 VACCINATION

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

RURAL NETWORK ALLIED HEALTH TRAINING PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

ASTHMA EDUCATION PROGRAMS ADDRESSING ASTHMA MANAGEMENT AND IMPROVING INDOOR AIR QUALITY WILL BE CONDUCTED FOR NURSES WORKING IN THE KANSAS CITY METR

COMMUNITY FACILITY GRANTS