Lifelong Medical Care

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

CAPITAL DEVELOPMENT

ANE - NURSE PRACTITIONER RESIDENCY PROGRAM

TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM

ADVANCED NURSING EDUCATION- NURSE PRACTITIONER RESIDENCY FELLOWSHIP PROGRAM

TEACHING HEALTH CENTER GRADUATE MEDICAL EDUCATION PROGRAM - NAME OF TRAINING PROGRAM: LIFELONG MEDICAL CARE THCGME FAMILY MEDICINE RESIDENCY PROGRAM DISCIPLINE: FAMILY MEDICINE TYPE OF APPLICATION: NEW ELIGIBLE ENTITY TYPE: FQHC COMMUNITY-BASED AMBULATORY PATIENT CARE CENTER YEAR THE PROGRAM BEGAN TRAINING RESIDENTS: 2020 ORGANIZATION WEBSITE: WWW.LIFELONGMEDICAL.ORG OVERVIEW OF THE PROGRAM: LIFELONG MEDICAL CARE (LIFELONG) IS A SECTION 330 FEDERALLY QUALIFIED HEALTH CENTER THAT HAS BEEN PROVIDING COMMUNITY-BASED PRIMARY CARE SERVICES IN CALIFORNIA’S SAN FRANCISCO BAY AREA SINCE 1976. IN 2020 LIFELONG PROVIDED INTEGRATED MEDICAL, BEHAVIOR HEALTH AND ORAL HEALTH SERVICES IN LOW-INCOME COMMUNITIES TO OVER 52,000 PATIENTS IN 307,000 VISITS. WITH A GROWING EMPHASIS ON MEDICAL EDUCATION TO TRAIN THE PRIMARY CARE WORKFORCE IN UNDERSERVED AREAS, LIFELONG DEVELOPED A FAMILY MEDICINE RESIDENCY PROGRAM THAT WAS APPROVED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) ON JUNE 6, 2019. LIFELONG IS THE ACCREDITED SPONSORING INSTITUTION, WITH ACGME APPROVAL FOR A 6-6-6 PROGRAM WITH 18 RESIDENTS TOTAL. AS A HRSA THCGME PROGRAM, THE LIFELONG FAMILY MEDICINE RESIDENCY PROGRAM (FMRP) BEGAN TRAINING ITS FIRST CLASS OF SIX RESIDENTS IN ACADEMIC YEAR 2020 –2021 AND BEGAN TRAINING THE SECOND CLASS IN JULY 2021. WITH 12 CURRENT RESIDENTS AND 18 POSITIONS APPROVED BY ACGME, A HRSA THCGME EXPANSION AWARD OF $3,840,000 OVER FOUR YEARS IS REQUESTED FOR 6 FTE POSITIONS PER YEAR, WITH A TOTAL OF 24 FTE OVER THE FOUR-YEAR FUNDING PERIOD BEGINNING IN ACADEMIC YEAR 2022-2023. LIFELONG’S MAIN FMRP TRAINING LOCATION IS THE LIFELONG WILLIAM JENKINS HEALTH CENTER IN RICHMOND, CALIFORNIA, A MEDICALLY UNDERSERVED AREA OF WEST CONTRA COSTA COUNTY. IN THIS CULTURALLY DIVERSE COMMUNITY, RESIDENTS ARE PRIMARILY HISPANIC (42%), AFRICAN AMERICAN (20%) AND ASIAN (15%), AND 54% SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. THE VAST MAJORITY (95%) OF THE POPULATION SERVED ARE LOW INCOME; 75% HAVE MEDICAL (CALIFORNIA’S MED ICAID PROGRAM), 4% ARE DUALLY ELIGIBLE FOR BOTH MEDICARE AND MEDICAL, AND 11% ARE UNINSURED. THIS POPULATION EXPERIENCES A DISPROPORTIONATELY HIGH BURDEN OF DISEASE. LIFELONG’S 3-YEAR FAMILY MEDICINE RESIDENCY PROGRAM WILL EDUCATE AND TRAIN A THRIVING WORKFORCE OF 18 HIGHLY QUALIFIED AND DIVERSE FAMILY MEDICINE PHYSICIANS EACH YEAR WHO ARE INSPIRED TO COMPREHENSIVELY ADDRESS THE HEALTHCARE NEEDS OF UNDERSERVED COMMUNITIES. RESIDENTS WILL PROVIDE COMMUNITY-BASED HEALTH CARE TO PATIENTS WITH AN EMPHASIS ON CLINICAL QUALITY, HEALTH EQUITY, SOCIAL DETERMINANTS OF HEALTH, AND CULTURAL HUMILITY. THE AIM IS TO DEVELOP FAMILY PHYSICIANS TO BE DRIVERS OF HEALTH CARE CHANGE AND LEADERS IN THEIR WORK AND COMMUNITY. TOTAL FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR ALL YEARS OF THE TRAINING: 18 (6-6-6) RESIDENT FTE FTE POSITIONS REQUESTED TO BE FUNDED UNDER THIS PROGRAM FOR AY 2022-2023: 6 (6-0-0) RESIDENT FTE

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

HEALTH CENTER INFRASTRUCTURE SUPPORT

HEALTH CARE INNOVATION CHALLENGE - LIFELONG COMPLEX CARE INITIATIVE TO ACHIEVE THE TRIPLE AIM

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

ARRA - CAPITAL IMPROVEMENT 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.

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.

FY 2023 EXPANDING COVID-19 VACCINATION

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

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

CONTINUUM OF CARE PROGRAM

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

HOMELESS ASSISTANCE

FISCAL YEAR 2025 EXPANDED HOURS. - LIFELONG MEDICAL CARE (LIFELONG) IS A MULTI-SITE FEDERALLY QUALIFIED HEALTH CENTER (HEALTH CENTER PROGRAM GRANT NUMBER H80CS00808) ESTABLISHED IN 1976, AND CURRENTLY PROVIDING PRIMARY CARE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES TO LOW-INCOME RESIDENTS OF ALAMEDA AND CONTRA COSTA COUNTIES IN NORTHERN CALIFORNIA. LIFELONG'S MISSION IS TO PROVIDE HIGH-QUALITY HEALTH AND SOCIAL SERVICES TO UNDERSERVED PEOPLE OF ALL AGES; CREATE MODELS OF CARE FOR THE ELDERLY, PEOPLE WITH DISABILITIES AND FAMILIES; AND ADVOCATE FOR CONTINUOUS IMPROVEMENTS IN THE HEALTH OF OUR COMMUNITIES. WITH A BROAD ARRAY OF SITES AND SERVICES, IN 2023 LIFELONG SERVED 55,230 PATIENTS IN 325,143 VISITS. REACHING DIVERSE LOW-INCOME POPULATIONS OF ALL AGES, THE MAJORITY (84%) OF LIFELONG PATIENTS ARE AFRICAN AMERICAN OR LATINO. TO ADDRESS HEALTH DISPARITIES IMPACTING THE TARGET POPULATION, AND UNMET NEED IN LIFELONG’S SERVICE AREA, AN EXPANDED HOURS (HRSA-25-084) AWARD OF $500,000 PER YEAR FOR TWO YEARS WILL ENABLE LIFELONG TO ADD 24 HOURS PER WEEK OF IN-SCOPE SERVICES AT THREE HEALTH CENTER SITES (8 HOURS PER SITE); THE LIFELONG WILLIAM JENKINS HEALTH CENTER IN RICHMOND, THE BERKELEY PRIMARY CARE HEALTH CENTER IN BERKELEY, AND THE LIFELONG LENOIR PEDIATRIC HEALTH CENTER IN OAKLAND. INCREASED OPERATING HOURS AT THESE LOCATIONS WILL RESPOND TO COMMUNITY NEED FOR ADDITIONAL WEEKEND AND SAME-DAY CARE PRIMARY CARE, AND PEDIATRIC PRIMARY CARE AND MENTAL HEALTH SERVICES. EXPANDED HOURS WILL ALSO INCLUDE OUTREACH AND ENABLING SERVICES TO BUILD TRUST AND ENGAGE UNDERSERVED POPULATIONS IN CARE. THE PROPOSED EXPANDED HOURS WILL PROVIDE ACCESS TO CARE FOR AN ESTIMATED 1,401 PATIENTS IN 3,094 VISITS IN YEAR 1, FIFTEEN PERCENT (15% = 210) OF WHOM ARE ANTICIPATED TO BE NEW PATIENTS TO LIFELONG. AS ADDITIONAL OPERATING HOURS ARE INCREASING WELL ESTABLISHED, IN YEAR 2 PATIENT AND VISIT ESTIMATES ARE EXPECTED TO INCREASE BY 5%, SERVING AN ESTIMATED 1,471 PATIENTS IN 3,249 VISITS.

AFFORDABLE CARE ACT (ACA) GRANTS FOR SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM

FY 2023 EARLY CHILDHOOD DEVELOPMENT

ARRA - INCREASE SERVICES TO HEALTH CENTERS

AFFORDABLE CARE ACT PATIENT CENTERED MEDICAL HOME FACILITY IMPROVEMENTS GRANT PROGRAM

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

FY 2023 BRIDGE ACCESS PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS

HOMELESS ASSISTANCE

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM