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STATE INNOVATION WAIVER UNDER SECTION 1332 OF THE AFFORDABLE CARE ACT

THE CALIFORNIA RURAL HEALTH TRANSFORMATION PROGRAM WILL PROVIDE NOVEL AND INNOVATIVE STRATEGIES TO BRING RURAL AND FRONTIER COMMUNITIES THE RESOURCES AND QUALITY HEALTH CARE SERVICES THAT THEY NEED. - APPLICANT ORGANIZATION: CALIFORNIA DEPARTMENT OF HEALTH CARE ACCESS & INFORMATION SUBRECIPIENTS OR SUB-AWARDEES: TBD TOTAL FUNDING REQUESTED: $1,000,000,000 PURPOSE: HCAI PROPOSES TO CREATE A NETWORK OF REGIONAL CARE COLLABORATIVES FOR RURAL COMMUNITIES. THE PROGRAM WILL FOCUS ON TIMELY, PERSON-CENTERED PRIMARY, MATERNITY, CHRONIC DISEASE, AND SPECIALTY CARE CLOSE TO HOME. INFORMED BY EXTENSIVE STAKEHOLDER INPUT, THE PROGRAM ALIGNS WITH FEDERAL AND STATEWIDE PRIORITIES AND THE FIVE STRATEGIC GOALS OF THE RURAL HEALTH TRANSFORMATION PROGRAM. THE PROGRAM WILL CREATE NOVEL INITIATIVES TO INCREASE THE WORKFORCE SUPPLY AND MODERNIZE RURAL TECHNOLOGY WITH THE GOAL TO IMPROVE PRIMARY, MATERNITY, CHRONIC CONDITION, AND SPECIALTY CARE THROUGHOUT RURAL CALIFORNIA. PROJECT GOALS: THE CALIFORNIA RURAL HEALTH TRANSFORMATION PROGRAM WILL IMPROVE LOCAL ACCESS TO COMPREHENSIVE, EVIDENCE-BASED CARE; STRENGTHEN AND RETAIN A HOMEGROWN RURAL WORKFORCE; MODERNIZE TECHNOLOGY, HEALTH INFORMATION EXCHANGE, AND CYBERSECURITY; IMPROVE FINANCIAL STABILITY OF RURAL PROVIDERS TO KEEP ESSENTIAL SERVICES AVAILABLE; REDUCE RURAL PATIENT TRAVEL BURDEN; AND IMPROVE MATERNAL AND CHRONIC DISEASE OUTCOMES THROUGH EARLIER DETECTION AND IMPROVED COORDINATED MANAGEMENT. THE PROGRAM WILL PROVIDE NOVEL AND INNOVATIVE STRATEGIES TO BRING RURAL AND FRONTIER COMMUNITIES THE RESOURCES AND QUALITY HEALTH CARE SERVICES THAT THEY NEED. USE OF FUNDS: RURAL HEALTH TRANSFORMATIVE CARE MODEL: THE PROGRAM WILL CREATE REGIONAL HUB AND SPOKE NETWORKS ANCHORED BY HOSPITAL HUBS AND SPOKES THAT INCLUDE CRITICAL ACCESS HOSPITALS, CLINICS, BIRTHING CENTERS, AND OTHER PROVIDERS. KEY ACTIVITIES WILL INCLUDE SHARED LEVELS OF CARE AND TRANSFER PROTOCOLS; PROJECT EXTENSION FOR COMMUNITY HEALTHCARE OUTCOMES FOR CHRONIC DISEASE AND PRIMARY-SPECIALTY CARE COLLABORATION; FAMILY MEDICINE WITH OBSTETRICS FELLOWSHIPS; OB NEST FOR PRENATAL CARE WITH REMOTE PATIENT SELF-MONITORING AND NURSING SUPPORT; AND E-CONSULT RESOURCES AND PERINATAL PSYCHIATRY ACCESS PROGRAMS. THE PROGRAM WILL INCLUDE TARGETED TRANSFORMATION PAYMENTS TO SUPPORT RURAL HOSPITALS’ CAPACITY TO TRANSFORM THEIR SYSTEMS TO SUPPORT REGIONAL DELIVERY OF CARE, COMPLETE A TELEHEALTH GAP ASSESSMENT FOR EACH HUB AND SPOKE, AND USE ACCELERATOR PARTNERS TO INCUBATE WORKFORCE, TECHNOLOGY, AND PAYMENT SOLUTIONS. RURAL HEALTH WORKFORCE DEVELOPMENT: THE PROGRAM WILL BUILD A STATEWIDE WORKFORCE MAPPING AND PLANNING TOOL TO IDENTIFY REGIONAL, COUNTY, AND SUB-COUNTY WORKFORCE NEEDS; STRENGTHEN EDUCATION PATHWAYS FROM HIGH SCHOOL TO COMMUNITY COLLEGES, AND 4-YEAR UNIVERSITIES WITH WRAPAROUND SUPPORTS; EXPAND REGIONAL UPSKILLING THROUGH TRAIN-THE-TRAINER PROGRAMS IN MATERNAL HEALTH, CHRONIC DISEASE, BEHAVIORAL HEALTH, AND TELEHEALTH; AND GROW NON-PHYSICIAN ROLES SUCH AS COMMUNITY HEALTH WORKERS, NURSES, DOULAS, AND MIDWIVES. THE PROGRAM WILL FUND PIPELINE AND PATHWAY PROGRAMS, THE EXPANSION OF CLINICAL PLACEMENT AND SUPERVISION SITES, AND INCLUDE RETENTION AND RELOCATION INCENTIVE PAYMENTS. RURAL HEALTH TECHNOLOGY AND TOOLS: THE PROGRAM WILL MODERNIZE INFRASTRUCTURE AND CONNECTIVITY, INCLUDING ELECTRONIC HEALTH RECORD ENHANCEMENTS, HEALTH INFORMATION EXCHANGE, AND CYBERSECURITY; OPERATE A TECHNICAL ASSISTANCE CENTER THAT PROVIDES IMPLEMENTATION SUPPORT, TRAINING AND CERTIFICATION, AND CAPABILITIES ASSESSMENT; EXPAND COLLABORATION THROUGH SHARED PURCHASES AND SERVICES; AND DEPLOY PATIENT CENTERED TOOLS SUCH AS REMOTE PATIENT SELF-MONITORING THAT INTEGRATE PERSON GENERATED DATA INTO CLINICAL WORKFLOWS. EXPECTED OUTCOMES THE PROGRAM WILL DELIVER BETTER HEALTH OUTCOMES INCLUDING MORE RURAL RESIDENTS RECEIVING PRIMARY, MATERNITY, CHRONIC DISEASE, AND SPECIALTY SERVICES LOCALLY; FEWER PREVENTABLE MATERNAL COMPLICATIONS; EXPANDED LOCAL CLINICIAN AND PROVIDER CAPACITY; INCREASED USE OF TELEHEALTH AND E-CONSULTS; IMPROVED HEALTH INFORMATION EXCHANGE; STRONGER CYBERSECURITY; REDUCED RURAL HOSPITAL BYPASS; AND HIGHER PATIENT ENGAGEMENT.

PROCUREMENT, LOGISTICS MANAGEMENT, WAREHOUSING, AND DISTRIBUTION OF HIV/AIDS, TB-RELATED COMMODITIES

PROGRAM AREA B:PROVISION OF PROCUREMENT AND LOGISTICS MANAGEMENT OF HEALTH-RELATE

APPLICATION PURPOSE: THE PURPOSE OF THIS AWARD IS TO SUBMIT THIS APPLICATION IN SUPPORT OF THE FOLLOWING CAPITAL PROJECTS BELOW. THIS GRANT WILL ASSIST IN FUNDS TO PROCURE CONTRACTOR SERVICES FOR THE PROVISION OF ADA COMPLEMENTARY PARATRANSIT SERVICE IN THE SIX (6) DIFFERENT SERVICE AREAS ACCESS SERVICES OPERATES WITHIN LOS ANGELES COUNTY. ADVANCE OBLIGATION WAS INITIATED TO OBLIGATE FUNDS IN FEDERAL FISCAL YEAR 2023 THIS PROJECT WILL FUND AND EXPEND CONTRACTED SERVICE FOR THE PERIOD BETWEEN JULY 1 2024 THROUGH JUNE 30 2026.; ACTIVITIES PERFORMED: FUNDS WILL COVER AND BE USED TO PROCURE CONTRACTOR SERVICES FOR THE PROVISION OF ADA COMPLEMENTARY PARATRANSIT SERVICE IN THE SIX (6) DIFFERENT SERVICE AREAS ACCESS OPERATES WITHIN LOS ANGELES COUNTY. THIS PROJECT WILL FUND CONTRACTED SERVICE FOR THE PERIOD BETWEEN OCTOBER 1 2023 THROUGH JUNE 30 2026. ACCESS SERVICES IS A PUBLIC TRANSIT AGENCY THAT PROVIDES AMERICAN WITH DISABILITIES ACT (ADA) COMPLEMENTARY PARATRANSIT SERVICE PURSUANT TO THE LOS ANGELES COUNTY COORDINATED PUBLIC TRANSIT HUMAN SERVICES PLAN.; EXPECTED OUTCOMES: FUNDING WILL ALLOW THE CONTINUED OPERATION OF ADA COMPLEMENTARY PARATRANSIT SERVICES ON BEHALF OF LOS ANGELES COUNTYS 45 FIXED TRANSIT OPERATORS. CAPITAL COST OF CONTRACTING FOR FY 24-26 TO PROVIDE ADA COMPLEMENTARY PARATRANSIT SERVICES THROUGHOUT LOS ANGELES COUNTY IS BUDGETED AT $495118940. ACCESS SERVICES PROVIDES SERVICE THROUGHOUT LOS ANGELES COUNTY IN THE FOLLOWING 6 SERVICE AREAS: 1.SOUTHERN REGION 2.NORTHERN REGION 3.EASTERN REGION 4.WEST- CENTRAL REGION 5.SANTA CLARITA REGION 6.ANTELOPE VALLEY REGION.THE SERVICE IN EACH REGION IS DIRECTLY PROVIDED BY A SERVICE PROVIDER CONTRACTOR.; INTENDED BENEFICIARIES: THE INTENDED BENEFICIARIES ARE THE PARATRANSIT CUSTOMERS IN ACCESS SERVICE REGIONS. ACCESS SERVICES CONTRACTS WITH SIX PARATRANSIT PROVIDERS IN THE: NORTHERN EASTERN SOUTHERN AND WEST-CENTRAL REGIONS OF LOS ANGELES COUNTY INCLUDING SANTA CLARITA AND ANTELOPE VALLEY.; SUBRECIPIENT ACTIVITIES: NONE.

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

PROVISION OF FAMILY PLANNING SERVICES AND OUTREACH SERVICES TO ELIGIBLE CLIENTS IN THE STATE OF CALIFORNIA

APPLICATION PURPOSE: THE PURPOSE OF THIS AWARD IS TO SUBMIT THIS APPLICATION IN SUPPORT OF THE FOLLOWING CAPITAL PROJECTS BELOW. THIS GRANT WILL ASSIST IN FUNDS TO PROCURE CONTRACTOR SERVICES FOR THE PROVISION OF ADA COMPLEMENTARY PARATRANSIT SERVICE IN THE SIX (6) DIFFERENT SERVICE AREAS ACCESS SERVICES OPERATES WITHIN LOS ANGELES COUNTY. THIS PROJECT WILL FUND CONTRACTED SERVICE FOR THE PERIOD BETWEEN JULY 1 2023 THROUGH JUNE 30 2024. ; ACTIVITIES PERFORMED: FUNDS WILL COVER AND BE USED TO PROCURE CONTRACTOR SERVICES FOR THE PROVISION OF ADA COMPLEMENTARY PARATRANSIT SERVICE IN THE SIX (6) DIFFERENT SERVICE AREAS ACCESS OPERATES WITHIN LOS ANGELES COUNTY. THIS PROJECT WILL FUND CONTRACTED SERVICE FOR THE PERIOD BETWEEN JULY 1 2023 THROUGH JUNE 30 2024. ACCESS SERVICES IS A PUBLIC TRANSIT AGENCY THAT PROVIDES AMERICAN WITH DISABILITIES ACT (ADA) COMPLEMENTARY PARATRANSIT SERVICE PURSUANT TO THE LOS ANGELES COUNTY COORDINATED PUBLIC TRANSIT HUMAN SERVICES PLAN. ACCESS SERVICES IS ALSO THE DESIGNATED LOS ANGELES COUNTY CONSOLIDATED TRANSPORTATION SERVICE AGENCY (CTSA) PURSUANT TO GOVERNMENT CODE 15975. THE CORE PURPOSE OF THE CTSA DESIGNATION IS TO FOSTER AND PROMOTE COORDINATION OF TRANSIT SERVICES IN THE COUNTY. THIS ACTIVITY WAS DERIVED FROM THE COORDINATED PUBLIC TRANSIT HUMAN SERVICES PLAN IN THAT IT MEETS THE NEEDS OF SENIORS AND PERSONS WITH DISABILITIES AS IDENTIFIED IN THE PLAN. THE ACTIVITY WILL ALSO BE CONSISTENT AS ACCESS PROVIDES ADA COMPLEMENTARY PARATRANSIT SERVICE TO CUSTOMERS IN THE LOS ANGELES BASIN INCLUDING SANTA CLARITA AND ANTELOPE VALLEY. ACCESS SERVICES IS A NOT-FOR-PROFIT PUBLIC AGENCY THAT OPERATES ADA COMPLEMENTARY PARATRANSIT SERVICE ON BEHALF OF FORTY-FIVE PUBLIC FIXED ROUTE OPERATORS INCLUDING L.A. METRO AND LOCAL AND MUNICIPAL PUBLIC TRANSIT AGENCIES. A LISTING OF ACCESS SERVICES MEMBER AGENCIES HAS BEEN UPLOADED TO TRAMS UNDER RECIPIENT DOCUMENTS. LOS ANGELES COUNTY SPANS OVER 4700 SQUARE MILES OF WHICH 1950 SQUARES MILES IS ACCESS SERVICE AREA. THIS VAST SERVICE AREA PROMPTED ACCESS IN 1994 TO ASSESS THE BEST METHOD IN DELIVERING AN EFFICIENT AND EFFECTIVE COORDINATED ADA COMPLEMENTARY PARATRANSIT SERVICE MODEL. DUE TO THE SIZE OF THE SERVICE AREA INCLUDING TAKING INTO CONSIDERATION ASPECTS OF IMPLEMENTING A COORDINATED ADA COMPLEMENTARY SYSTEM SIX (6) SERVICE AREAS WERE ESTABLISHED. THE INCEPTION OF THE SIX (6) SERVICE REGIONS PROMPTED SIX (6) DIFFERENT CONTRACTORS WITH EACH SERVICE REGION COMPETITIVELY BID AND PROCURED. THIS SERVICE MODEL HAS BEEN PROVEN EFFECTIVE IN OVER 20 YEARS THAT ACCESS HAS OPERATED AS IT ALLOWS ACCESS SERVICES TO EFFICIENTLY MANAGE ADA COMPLEMENTARY PARATRANSIT SERVICES IN LOS ANGELES COUNTY. IN ADDITION THE COORDINATED EFFORTS INCLUDING SERVICE DESIGN ENCOURAGED BY THE ORIGINAL ADA PARATRANSIT REGULATIONS PROVIDES CONVENIENCE AND EASE FOR PARATRANSIT CUSTOMERS IN THE LOS ANGELES COUNTY BASIN WHO ARE ABLE TO ENJOY TRANSFER-FREE PARATRANSIT SERVICE FOR THEIR TRIPS; EXPECTED OUTCOMES: FUNDING WILL ALLOW THE CONTINUED OPERATION OF ADA COMPLEMENTARY PARATRANSIT SERVICES ON BEHALF OF LOS ANGELES COUNTYS 45 FIXED TRANSIT OPERATORS. THE ANNUAL CONTRACT COST TO PROVIDE ADA COMPLEMENTARY PARATRANSIT SERVICES THROUGHOUT LOS ANGELES COUNTY IS BUDGETED AT $191253135 AND IS PROVIDED BY ACCESS SERVICE PROVIDER CONTRACTORS. ACCESS SERVICES PROVIDES SERVICE THROUGHOUT LOS ANGELES COUNTY IN THE FOLLOWING 6 SERVICE AREAS:1.SOUTHERN REGION2.NORTHERN REGION3.EASTERN REGION4.WEST- CENTRAL REGION5.SANTA CLARITA REGION6.ANTELOPE VALLEY REGION; INTENDED BENEFICIARIES: THE INTENDED BENEFICIARIES ARE THE PARATRANSIT CUSTOMERS IN ACCESS SERVICE REGIONS. ACCESS SERVICES CONTRACTS WITH SIX PARATRANSIT PROVIDERS IN THE: NORTHERN EASTERN SOUTHERN AND WEST-CENTRAL REGIONS OF LOS ANGELES COUNTY INCLUDING SANTA CLARITA AND ANTELOPE VALLEY. ; SUBRECIPIENT ACTIVITIES: NONE.

RECOVERY ACT - NOANET BB INFRASTRUCTURE PROJECT

THIS APPLICATION IS TO REQUEST FHWA SURFACE TRANSPORTATION PROGRAM (STP) TRANSFERRED TO SECTION 5310 SENIORS INDIVIDUALS WITH DISABILITIES FUNDS IN THE AMOUNT OF $73000000. PURPOSE:THE PURPOSE OF THIS AWARD IS TO SUBMIT THIS APPLICATION IN SUPPORT OF THE FOLLOWING CAPITAL PROJECTS BELOW. THIS GRANT WILL ASSIST IN FUNDS TO PROCURE CONTRACTOR SERVICES FOR THE PROVISION OF ADA COMPLEMENTARY PARATRANSIT SERVICE IN THE SIX (6) DIFFERENT SERVICE AREAS ACCESS SERVICES OPERATES WITHIN LOS ANGELES COUNTY. THIS PROJECT WILL FUND CONTRACTED SERVICE FOR THE PERIOD BETWEEN JULY 1 2022 THROUGH JUNE 30 2023. FEDERAL FUNDING FOR THE PROJECT INCLUDED IN THIS GRANT APPLICATION IS PROVIDED BY THE FOLLOWING:SURFACE TRANSPORTATION PROGRAM (STP) FLEXIBLE FUNDS TRANSFERRED TO 5310 FROM THE LOS ANGELES-LONG BEACH-SANTA ANA UZA #60020: $73000000.TOTAL SECTION FHWA TRANSFER TO 5310 FFY 2022 LOS ANGELES-LONG BEACH-SANTA ANA UZA: $73000000OVERALL GRANT FUNDING: TOTAL FEDERAL FUNDS (88.53%): $73000000TOTAL LOCAL MATCH (11.47%): $9457924TOTAL PROJECT COST: $82457924ACCESS SERVICES IS HEREBY SUBMITTING THIS GRANT APPLICATION IN SUPPORT OF THE FOLLOWING CAPITAL PROJECTS:THIS GRANT APPLIES $73000000 OF STP FUNDS (FHWA TRANSFER TO 5310) TO PROCURE CONTRACTOR SERVICES FOR THE PROVISION OF ADA COMPLEMENTARY PARATRANSIT SERVICE IN THE SIX (6) DIFFERENT SERVICE AREAS ACCESS SERVICES OPERATES WITHIN LOS ANGELES COUNTY. THIS PROJECT WILL FUND CONTRACTED SERVICE FOR THE PERIOD BETWEEN JULY 1 2022 THROUGH JUNE 30 2023.IN THE FUTURE ACCESS SERVICES WILL FLEX FHWA SURFACE TRANSPORTATION PROGRAM (STP) DOLLARS INTO SECTION 5307 URBANIZED FORMULA FUNDS. ACTIVITIES TO BE PERFORMED:FUNDS WILL COVER AND BE USED TO PROCURE CONTRACTOR SERVICES FOR THE PROVISION OF ADA COMPLEMENTARY PARATRANSIT SERVICE IN THE SIX (6) DIFFERENT SERVICE AREAS ACCESS OPERATES WITHIN LOS ANGELES COUNTY. THIS PROJECT WILL FUND CONTRACTED SERVICE FOR THE PERIOD BETWEEN JULY 1 2022 THROUGH JUNE 30 2023. ACCESS SERVICES IS A PUBLIC TRANSIT AGENCY THAT PROVIDES AMERICAN WITH DISABILITIES ACT (ADA) COMPLEMENTARY PARATRANSIT SERVICE PURSUANT TO THE LOS ANGELES COUNTY COORDINATED PUBLIC TRANSIT HUMAN SERVICES PLAN. ACCESS SERVICES IS ALSO THE DESIGNATED LOS ANGELES COUNTY CONSOLIDATED TRANSPORTATION SERVICE AGENCY (CTSA) PURSUANT TO GOVERNMENT CODE 15975. THE CORE PURPOSE OF THE CTSA DESIGNATION IS TO FOSTER AND PROMOTE COORDINATION OF TRANSIT SERVICES IN THE COUNTY. THIS ACTIVITY WAS DERIVED FROM THE COORDINATED PUBLIC TRANSIT HUMAN SERVICES PLAN IN THAT IT MEETS THE NEEDS OF SENIORS AND PERSONS WITH DISABILITIES AS IDENTIFIED IN THE PLAN. THE ACTIVITY WILL ALSO BE CONSISTENT AS ACCESS PROVIDES ADA COMPLEMENTARY PARATRANSIT SERVICE TO CUSTOMERS IN THE LOS ANGELES BASIN INCLUDING SANTA CLARITA AND ANTELOPE VALLEY. ACCESS SERVICES IS A NOT-FOR-PROFIT PUBLIC AGENCY THAT OPERATES ADA COMPLEMENTARY PARATRANSIT SERVICE ON BEHALF OF FORTY-FIVE PUBLIC FIXED ROUTE OPERATORS INCLUDING L.A. METRO AND LOCAL AND MUNICIPAL PUBLIC TRANSIT AGENCIES. A LISTING OF ACCESS SERVICES MEMBER AGENCIES HAS BEEN UPLOADED TO TRAMS UNDER RECIPIENT DOCUMENTS. LOS ANGELES COUNTY SPANS OVER 4700 SQUARE MILES OF WHICH 1950 SQUARES MILES IS ACCESS SERVICE AREA. THIS VAST SERVICE AREA PROMPTED ACCESS IN 1994 TO ASSESS THE BEST METHOD IN DELIVERING AN EFFICIENT AND EFFECTIVE COORDINATED ADA COMPLEMENTARY PARATRANSIT SERVICE MODEL. DUE TO THE SIZE OF THE SERVICE AREA INCLUDING TAKING INTO CONSIDERATION ASPECTS OF IMPLEMENTING A COORDINATED ADA COMPLEMENTARY SYSTEM SIX (6) SERVICE AREAS WERE ESTABLISHED. THE INCEPTION OF THE SIX (6) SERVICE REGIONS PROMPTED SIX (6) DIFFERENT CONTRACTORS WITH EACH SERVICE REGION COMPETITIVELY BID AND PROCURED. THIS SERVICE MODEL HAS BEEN PROVEN EFFECTIVE IN OVER 20 YEARS THAT ACCESS HAS OPERATED AS IT ALLOWS ACCESS SERVICES TO EFFICIENTLY MANAGE ADA COMPLEMENTARY PARATRANSIT SERVICES IN LOS ANGELES COUNTY. IN ADDITION THE COORDINATED EFFORTS INCLUDING SERVICE DESIGN ENCOURAGED BY THE ORIGINAL ADA PARATRANSIT REGULATIONS PROVIDES CONVENIENCE AND EASE FOR PARATRANSIT CUSTOMERS IN THE LOS ANGELES COUNTY BASIN WHO ARE ABLE TO ENJOY TRANSFER-FREE PARATRANSIT SERVICE FOR THEIR TRIPS. EXPECTED OUTCOMES: FUNDING WILL ALLOW THE CONTINUED OPERATION OF ADA COMPLEMENTARY PARATRANSIT SERVICES ON BEHALF OF LOS ANGELES COUNTYS 45 FIXED TRANSIT OPERATORS. THE ANNUAL CONTRACT COST TO PROVIDE ADA COMPLEMENTARY PARATRANSIT SERVICES THROUGHOUT LOS ANGELES COUNTY IS BUDGETED AT $176512083 AND IS PROVIDED BY ACCESS SERVICE PROVIDER CONTRACTORS. ACCESS SERVICES PROVIDES SERVICE THROUGHOUT LOS ANGELES COUNTY IN THE FOLLOWING 6 SERVICE AREAS:1.SOUTHERN REGION2.NORTHERN REGION3.EASTERN REGION4.WEST- CENTRAL REGION5.SANTA CLARITA REGION6.ANTELOPE VALLEY REGIONINTENDED BENEFICIARIES:THE INTENDED BENEFICIARES ARE THE PARATRANSIT CUSTOMERS IN ACCESS SERVICE REGIONS. ACCESS SERVICES CONTRACTS WITH SIX PARATRANSIT PROVIDERS IN THE: NORTHERN EASTERN SOUTHERN AND WEST-CENTRAL REGIONS OF LOS ANGELES COUNTY INCLUDING SANTA CLARITA AND ANTELOPE VALLEY. SUBRECIPIENT ACTIVITIES:NONE.

FEDERAL FUNDING FOR THE PROJECT INCLUDED IN THIS GRANT APPLICATION IS PROVIDED BY THE FOLLOWING:SURFACE TRANSPORTATION PROGRAM (STP) FLEXIBLE FUNDS TRANSFERRED TO 5310 FROM THE LOS ANGELES-LONG BEACH-SANTA ANA UZA #60020: $71300000.TOTAL SECTION FHWA TRANSFER TO 5310 FFY 2021 LOS ANGELES-LONG BEACH-SANTA ANA UZA: $71300000OVERALL GRANT FUNDING: TOTAL FEDERAL FUNDS (88.53%): $71300000TOTAL LOCAL MATCH (11.47%): $9237671TOTAL PROJECT COST: $80537671ACCESS SERVICES IS HEREBY SUBMITTING THIS GRANT APPLICATION IN SUPPORT OF THE FOLLOWING CAPITAL PROJECTS:THIS GRANT APPLIES $71300000 OF STP FUNDS (FHWA TRANSFER TO 5310) TO PROCURE CONTRACTOR SERVICES FOR THE PROVISION OF ADA COMPLEMENTARY PARATRANSIT SERVICE IN THE 6 DIFFERENT SERVICE AREAS ACCESS SERVICES OPERATES WITHIN LOS ANGELES COUNTY. THIS PROJECT WILL FUND CONTRACTED SERVICE FOR THE PERIOD BETWEEN JULY 1 2021 THROUGH JUNE 30 2022.

5310- PROVISION OF ADA COMPLEMENTARY PARATRANSIT SERVICES FY 20

5310 - PROVISION OF ADA COMPLEMENTARY PARATRANSIT SERVICES FY21

APPLICATION PURPOSE: THESE FUNDS WILL ENABLE ACCESS SERVICES TO PROCURE CONTRACTOR SERVICES TO FACILITATE ADA COMPLEMENTARY PARATRANSIT SERVICE ACROSS ACCESS SERVICES SIX SERVICE AREAS WITHIN LOS ANGELES COUNTY. SPECIFICALLY THIS WILL FUND CONTRACTED SERVICES FROM JULY 1 2026 THROUGH JUNE 30 2027.; ACTIVITIES PERFORMED: THE FUNDS ARE DESIGNATED TO COVER AND SECURE CONTRACTOR SERVICES ESSENTIAL FOR DELIVERING ADA COMPLEMENTARY PARATRANSIT SERVICE ACROSS THE SIX SERVICE AREAS MANAGED BY ACCESS WITHIN LOS ANGELES COUNTY. THESE FUNDS WILL SUPPORT CONTRACTED SERVICES FROM JULY 1 2026 THROUGH JUNE 30 2027.; EXPECTED OUTCOMES: FUNDING WILL ALLOW THE CONTINUED OPERATION OF ADA COMPLEMENTARY PARATRANSIT SERVICES ON BEHALF OF LOS ANGELES COUNTYS 45 FIXED TRANSIT OPERATORS. ACCESS SERVICES PROVIDES SERVICE THROUGHOUT LOS ANGELES COUNTY IN THE FOLLOWING 6 SERVICE AREAS: 1.SOUTHERN REGION 2.NORTHERN REGION 3.EASTERN REGION 4.WEST- CENTRAL REGION 5.SANTA CLARITA REGION 6.ANTELOPE VALLEY REGION.THE SERVICE IN EACH REGION IS DIRECTLY PROVIDED BY A SERVICE PROVIDER CONTRACTOR.; INTENDED BENEFICIARIES: THE INTENDED BENEFICIARIES ARE THE CUSTOMERS WITHIN ACCESS SERVICES OPERATIONAL REGIONS. ACCESS SERVICES HAS CONTRACTED WITH SIX PARATRANSIT PROVIDERS ACROSS THE NORTHERN EASTERN SOUTHERN AND WEST-CENTRAL REGIONS OF LOS ANGELES COUNTY.; SUBRECIPIENT ACTIVITIES: NONE

PROVISION OF ADA COMPLEMENTARY PARATRANSIT SERVICES FY 19

PROVISION OF FAMILY PLANNING AND RELATED PREVENTIVE HEALTH SERVICES TO ELIGIBLE CLIENTS IN THE STATE OF CALIFORNIA.

5310 - PROVISION OF ADA COMPLEMENTARY PARATRANSIT SERVICES FY 18

PROVISION OF FAMILY PLANNING AND RELATED PREVENTIVE HEALTH SERVICES TO ELIGIBLE CLIENTS IN THE STATE OF CALIFORNIA.

PROVISION OF ADA COMPLEMENTARY PARATRANSIT SERVICES FY 17

FY 2016 CAP PROJECTS; PURCHASED TRANSP.

PROVISION OF FAMILY PLANNING AND RELATED PREVENTIVE HEALTH SERVICES TO ELIGIBLE CLIENTS IN THE STATE OF CALIFORNIA.

FY 2015 CAP PRJCTS; PURCHASED TRANS

FY 2013 CAP PRJCTS; PURCHASED TRANS

FY 2012 CAP PRJCTS; PURCHASED TRANS

APPLICATION PURPOSE: THESE FUNDS WILL ENABLE US TO PROCURE CONTRACTOR SERVICES TO FACILITATE ADA COMPLEMENTARY PARATRANSIT SERVICE ACROSS ACCESS SERVICES SIX SERVICE AREAS WITHIN LOS ANGELES COUNTY SPECIFICALLY FUNDING CONTRACTED SERVICES FROM JULY 1 2025 THROUGH JUNE 30 2027.; ACTIVITIES PERFORMED: THE FUNDS ARE DESIGNATED TO COVER AND SECURE CONTRACTOR SERVICES ESSENTIAL FOR DELIVERING ADA COMPLEMENTARY PARATRANSIT SERVICE ACROSS THE SIX SERVICE AREAS MANAGED BY ACCESS WITHIN LOS ANGELES COUNTY. THESE FUNDS WILL SUPPORT CONTRACTED SERVICES FROM JULY 1 2025 THROUGH JUNE 30 2027.AS A PUBLIC TRANSIT AGENCY ACCESS SERVICES PROVIDES AMERICAN WITH DISABILITIES ACT (ADA) COMPLEMENTARY PARATRANSIT SERVICE UNDER THE LOS ANGELES COUNTY COORDINATED PUBLIC TRANSIT HUMAN SERVICES PLAN. FURTHERMORE ACCESS SERVICES IS RECOGNIZED AS THE LOS ANGELES COUNTY CONSOLIDATED TRANSPORTATION SERVICE AGENCY (CTSA) ACCORDING TO GOVERNMENT CODE 15975 WITH A PRIMARY GOAL TO ENHANCE TRANSIT SERVICE COORDINATION THROUGHOUT THE COUNTY. THESE ACTIVITIES ALIGN WITH THE COORDINATED PUBLIC TRANSIT HUMAN SERVICES PLAN BY ADDRESSING THE REQUIREMENTS OF SENIORS AND INDIVIDUALS WITH DISABILITIES ENSURING CONSISTENT ADA COMPLEMENTARY PARATRANSIT SERVICE DELIVERY TO CUSTOMERS THROUGHOUT THE LOS ANGELES BASIN INCLUDING SANTA CLARITA AND ANTELOPE VALLEY.OPERATING AS A NON-PROFIT PUBLIC AGENCY ACCESS SERVICES MANAGES ADA COMPLEMENTARY PARATRANSIT SERVICE ON BEHALF OF FORTY-FIVE PUBLIC FIXED ROUTE OPERATORS SUCH AS L.A. METRO AND VARIOUS LOCAL AND MUNICIPAL PUBLIC TRANSIT AGENCIES. GIVEN THE EXTENSIVE SERVICE AREA OF ACCESS WHICH COVERS 1950 SQUARE MILES WITHIN LOS ANGELES COUNTYS TOTAL AREA OF OVER 4700 SQUARE MILES ACCESS ESTABLISHED SIX SERVICE AREAS IN 1994 TO OPTIMIZE THE EFFICIENCY AND EFFECTIVENESS OF THE COORDINATED ADA COMPLEMENTARY PARATRANSIT SERVICE MODEL. THIS STRATEGIC DIVISION LED TO THE COMPETITIVE BIDDING AND PROCUREMENT OF SIX DISTINCT CONTRACTORS EACH RESPONSIBLE FOR A SPECIFIC SERVICE REGION. OVER THE PAST TWO DECADES THIS SERVICE MODEL HAS DEMONSTRATED ITS EFFECTIVENESS ENABLING ACCESS SERVICES TO EFFICIENTLY MANAGE ADA COMPLEMENTARY PARATRANSIT SERVICES ACROSS LOS ANGELES COUNTY. MOREOVER THE COORDINATED EFFORTS IN SERVICE DESIGN ENCOURAGED BY THE ORIGINAL ADA PARATRANSIT REGULATIONS OFFER CONVENIENCE AND SEAMLESS TRANSFER SERVICE FOR PARATRANSIT CUSTOMERS WITHIN THE LOS ANGELES COUNTY BASIN.; EXPECTED OUTCOMES: FUNDING WILL ALLOW THE CONTINUED OPERATION OF ADA COMPLEMENTARY PARATRANSIT SERVICES ON BEHALF OF LOS ANGELES COUNTYS 45 FIXED TRANSIT OPERATORS. CAPITAL COST OF CONTRACTING FOR FY25/26 - FY26/27 TO PROVIDE ADA COMPLEMENTARY PARATRANSIT SERVICES THROUGHOUT LOS ANGELES COUNTY IS BUDGETED AT $544049130. ACCESS SERVICES PROVIDES SERVICE THROUGHOUT LOS ANGELES COUNTY IN THE FOLLOWING 6 SERVICE AREAS: 1.SOUTHERN REGION 2.NORTHERN REGION 3.EASTERN REGION 4.WEST- CENTRAL REGION 5.SANTA CLARITA REGION 6.ANTELOPE VALLEY REGION.THE SERVICE IN EACH REGION IS DIRECTLY PROVIDED BY A SERVICE PROVIDER CONTRACTOR.; INTENDED BENEFICIARIES: THE INTENDED BENEFICIARIES ARE THE CUSTOMERS WITHIN ACCESS SERVICES OPERATIONAL REGIONS. ACCESS SERVICES HAS CONTRACTED WITH SIX PARATRANSIT PROVIDERS ACROSS THE NORTHERN EASTERN SOUTHERN AND WEST-CENTRAL REGIONS OF LOS ANGELES COUNTY WHICH INCLUDE SANTA CLARITA AND ANTELOPE VALLEY.; SUBRECIPIENT ACTIVITIES: NONE.

FY 2011 CAP PRJCTS; PURCHASED TRANS

FY 2011 CAP PRJCTS; PURCHASED TRANS

RECOVERY ACT - STATE OF WASHINGTON BROADBAND CONSORTIUM

FY 2010 CAP PRJCTS; PURCHASED TRANS

FY 2009 CAP PRJCTS; PURCHASED TRANS

PROVISION OF FAMILY PLANNING AND RELATED PREVENTIVE HEALTH SERVICES TO ELIGIBLE CLIENTS IN THE STATE OF CALIFORNIA.

HEALTH CENTER CLUSTER

TANZANIA PEOPLES DEFENSE FORCES HIV/AIDS WORKPLACE PROGRAM

HEALTH CENTER CLUSTER

2008 FAMILY PLANNING SERVICES (REGION 3 - SOUTHEAST PENNSYLVANIA)

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

MODERATE VOICES

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

COMPREHENSIVE FAMILY PLANNING SERVICES IN SOUTHEASTERN PENNSYLVANIA

HEALTH CENTER CLUSTER

NUESTROS BOSQUES OUR FORESTS INFLATION REDUCTION ACT INITIATIVE

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

POSITIVE LIVING PROJECT

THE GOAL OF R4P IS TO STRENGTHEN COMMUNITY RESILIENCE AND LEARNING, PARTICULARLY FOR YOUTH AND WOMEN, TO COUNTER VIOLENT EXTREMISM (CVE) AND PREVENT THE SPILL OVER OF VE FROM THE SAHEL IN COTE D’IVOIRE’S NORTHERN BORDER AREAS . THIS PROGRAM WILL REINFORCE RESILIENCE STRUCTURES AND FACTORS AS WELL AS BUILD IN LEARNING TO BETTER IDENTIFY ANY POCKETS OF RADICALIZATION AND VULNERABILITY.

COMPREHENSIVE FAMILY PLANNING SERVICES IN SOUTHEASTERN PENNSYLVANIA

PILOT BROADBAND GRANT

HEALTH CENTER CLUSTER

COMPREHENSIVE FAMILY PLANNING SERVICES PROVIDED IN SOUTHEASTERN PENNSYLVANIA

ELIMINATING DISPARITIES IN PERINATAL HEALTH

PROVISION OF FAMILY PLANNING AND RELATED PREVENTIVE HEALTH SERVICES TO ELIGIBLE CLIENTS IN THE STATE OF CALIFORNIA

HEAD START PROGRAM

SHIP COVID TESTING AND MITIGATION

FAMILY PLANNING SERVICES FOR SOUTHEASTERN PENNSYLVANIA

APPLICATION PURPOSE: BUDGET REVISION #1 - CA-2020-284-01 LOS ANGELES UZA #60020 AND CA-2020-284-02 SANTA CLARITA UZA #61770 ADA VEHICLE REPLACEMENTBUDGET REVISION 1 FOR PROJECT CA-2020-284-01 AND CA-2020-284-02 AMENDS VEHICLE TYPE AND QUANTITY THERE ARE NO CHANGES TO THE PROJECT FUNDING. PROJECT CA-2020-284-01 ALI 11.12.04 REDUCES THE OVERALL VEHICLE QUANTITY FROM 133 TO 121PROJECT CA-2020-284-02 ALI 11.12.04 CHANGES THE VEHICLE TYPE FROM CLASS A TO CLASS P GASOLINE POWERED LOW-FLOOR RAM PROMASTER 159ACCESS SERVICES USES THE CALACT/MBTA PURCHASING COOPERATIVE TO PROCURE VEHICLES. DUE TO THE PANDEMIC ALONG WITH SUPPLY CHAIN ISSUES CHIP SHORTAGES AND PRODUCTION STOPPAGES AT ALL THE MANUFACTURERS ARE RESULTING IN SIGNIFICANT COST INCREASES. THE SUPPLIERS FOR CALACT/MBTA PURCHASING COOPERATIVE HAVE APPLIED FOR FORCE MAJEURE RELIEF UNDER THE TERMS OF THE CONTRACT.THE MARKET IS PRESENTLY IN A STATE OF FLUX AND VERY UNSTABLE WITH ORDERING OPPORTUNITIES CHANGING FREQUENTLY. ACCORDINGLY STAFF MUST ACT IN THE BEST INTEREST OF THE AGENCY AND MAKE ORDER DECISIONS WHEN CHASSIS AND OR BUILD SLOTS BECOME AVAILABLE AVOIDING ADDITIONAL DELAYS. DUE TO THESE REASONS ACCESS IS AMENDING PROJECT CA-2020-284-01 LOS ANGELES UZA #60020 AND PROJECT CA-2020-284-02 SANTA CLARITA UZA #61770 ADA VEHICLE REPLACEMENT AND ORDERING VEHICLES BASED ON AVAILABILITY OF CHASSIS AND MANUFACTURERS BUILD SCHEDULES. ; ACTIVITIES PERFORMED: PROCURE 128 REPLACEMENT ADA ACCESSIBLE VEHICLES; EXPECTED OUTCOMES: REPLACEMENT VEHICLES WILL BE RELIABLE HAVE LOWER MAINTENANCE COSTS (IF ANY) BETTER GAS MILEAGE LOWER CO2 EMISSIONS BETTER PERFORMANCE WITH ENHANCED SAFETY FEATURES.; INTENDED BENEFICIARIES: SENIORS INDIVIDUALS WITH DISABILITIES; SUBRECIPIENT ACTIVITIES: N/A

STATE LOAN REPAYMENT PROGRAM

PROVISION OF FAMILY PLANNING AND RELATED PREVENTIVE HEALTH SERVICES TO ELIGIBLE CLIENTS IN THE STATE OF HAWAII.

5310 ADA COMPLEMENTARY PARATRANSIT VEHICLE REPLACEMENT FY 18

HEALTH CENTER CLUSTER

RYAN WHITE TITLE IV PROGRAM

ELIMINATING DISPARITIES IN PERINATAL HEALTH

THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RYAN WHITE TITLE IV WOMEN, INFANTS, CHILDREN, YOUTH AND AFFECTED FAMILY MEMBERS AIDS HEALTHCARE

THE GOAL OF THE ACTIVITY IS TO MITIGATE THE IMPACT OF HIV AND IMPROVE THE HEALTH AND WELLBEING OF VCA THROUGH THE DELIVERY OF HIGH-IMPACT, EVIDENCE-INFORMED, AND AGE-APPROPRIATE INTERVENTIONS CUSTOMIZED FOR EACH VCA SUB-POPULATION USING A FAMILY-CENTERED APPROACH. THE ACTIVITY SEEKS TO IMPROVE THE SOCIAL AND HEALTH OUTCOMES OF VULNERABLE HOUSEHOLDS IN HIGH HIV BURDEN DISTRICTS ACROSS TWO PROVINCES OF ZAMBIA (COPPERBELT AND NORTH-WESTERN) IN CLOSE COLLABORATION WITH THE GOVERNMENT OF THE REPUBLIC OF ZAMBIA

ESTABLISH ADJUVANT HUB TO ENABLE ADJUVANTED INFLUENZA VACCINES IN UNDER-RESOURCED NATIONS

APPLICATION PURPOSE: ACCESS SERVICES USES THE CALACT/MBTA PURCHASING COOPERATIVE TO PROCURE VEHICLES. AS A RESULT OF THE PANDEMIC ALONG WITH THE SUPPLY CHAIN ISSUES CHIP SHORTAGES AND PRODUCTION STOPPAGES AT ALL THE MANUFACTURERS ARE RESULTING IN SIGNIFICANT COST INCREASES.; ACTIVITIES PERFORMED: PROCURE REPLACEMENT ADA ACCESSIBLE VEHICLES; EXPECTED OUTCOMES: REPLACEMENT VEHICLES WILL BE RELIABLE HAVE LOWER MAINTENANCE COSTS (IF ANY) BETTER GAS MILEAGE LOWER CO2 EMISSIONS BETTER PERFORMANCE WITH ENHANCED SAFETY FEATURES.; INTENDED BENEFICIARIES: SENIORS AND INDIVIDUALS WITH DISABILITIES; SUBRECIPIENT ACTIVITIES: ACCESS DOES NOT INTEND TO SUBAWARD FUNDS

CLINTON HEALTH ACCESS INITATIVE INC.

HIV/AIDS CARE AND PREVENTION

TO INCREASE ACCESS TO COST EFFECTIVE, QUALITY BASIC HEALTH SERVICES AT COMMUNITY LEVEL AND IN HEALTH POSTS ACROSS EIGHT PROVINCES OF ZAMBIA

ACCESS TO WORK PROGRAM (AMENDMENT)

EARLY INTERVENTION SERVICES

COMMUNITY NAVIGATORS PROGRAM

ACCESS HEALTH INSURANCE NAVIGATORS FOR MICHIGAN

APPLICATION PURPOSE: ACCESS SERVICES USES THE CALACT/MBTA PURCHASING COOPERATIVE TO PROCURE VEHICLES. AS A RESULT OF THE PANDEMIC ALONG WITH THE SUPPLY CHAIN ISSUES CHIP SHORTAGES AND PRODUCTION STOPPAGES AT ALL THE MANUFACTURERS ARE RESULTING IN SIGNIFICANT COST INCREASES.; ACTIVITIES PERFORMED: PROCURE REPLACEMENT ADA ACCESSIBLE VEHICLES; EXPECTED OUTCOMES: REPLACEMENT VEHICLES WILL BE RELIABLE HAVE LOWER MAINTENANCE COSTS (IF ANY) BETTER GAS MILEAGE LOWER CO2 EMISSIONS BETTER PERFORMANCE WITH ENHANCED SAFETY FEATURES.; INTENDED BENEFICIARIES: SENIORS AND INDIVIDUALS WITH DISABILITIES; SUBRECIPIENT ACTIVITIES: N/A

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

THE ACCESS RESEARCH HUB: COMMUNITY-BASED RESEARCH FACILITY TO PROMOTE TRANSLATI

HEALTH CENTER PROGRAM

THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE.  ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

THE SSVF PROGRAM'S PURPOSE IS TO PROVIDE SUPPORTIVE SERVICES GRANTS TO PRIVATE NON-PROFIT ORGANIZATIONS AND CONSUMER COOPERATIVES, WHO WILL COORDINATE OR PROVIDE SUPPORTIVE SERVICES TO VERY LOW-INCOME VETERAN FAMILIES WHO ARE RESIDING IN PERMANENT HOUSING, ARE HOMELESS AND SCHEDULED TO BECOME RESIDENTS OF PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD; OR AFTER EXITING PERMANENT HOUSING WITHIN A SPECIFIED TIME PERIOD, ARE SEEKING OTHER HOUSING THAT IS RESPONSIVE TO SUCH VERY LOW-INCOME VETERAN FAMILY'S NEEDS AND PREFERENCES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES. GRANTEES WILL USE SUPPORTIVE SERVICES GRANT FUNDS TO PROVIDE SUPPORTIVE SERVICE. ALL GRANTEES ARE REQUIRED TO PROVIDE OUTREACH SERVICES, CASE MANAGEMENT SERVICES, ASSISTANCE IN OBTAINING VA BENEFITS AND ASSISTANCE IN OBTAINING AND COORDINATING OTHER PUBLIC BENEFITS. IN ADDITION TO THE REQUIRED SERVICES, GRANTEES MAY ALSO PROVIDE TEMPORARY FINANCIAL ASSISTANCE PAID DIRECTLY TO A THIRD PARTY ON BEHALF OF A PARTICIPANT FOR CHILD CARE, EMERGENCY HOUSING ASSISTANCE, TRANSPORTATION, RENTAL ASSISTANCE, UTILITY-FEE PAYMENT ASSISTANCE, SECURITY DEPOSITS, UTILITY DEPOSITS, MOVING COSTS, AND GENERAL HOUSING STABILITY ASSISTANCE (WHICH INCLUDES EMERGENCY SUPPLIES), IN ACCORDANCE WITH 38 CFR PART 62. ADDITIONAL OPTIONAL SUPPORTIVE SERVICES MAY INCLUDE LEGAL ASSISTANCE AND FINANCIAL MANAGEMENT SERVICES.

RYAN WHITE TITLE IV WOMEN, INFANTS, CHILDREN, YOUTH AND AFFECTED FAMILY MEMBERS AIDS HEALTHCARE

NEW ASSISTANCE CA IN THE AMOUNT OF $1 270 000. THE TEC FOR THIS AGREEMENT IS $10 000 000.

DEVELOPMENT AND MANUFACTURE OF ADJUVANTS FOR VACCINES TARGETING MDR TUBERCULOSIS

PURPOSE: TO PROVIDE GRANTS TO COMMUNITY DEVELOPMENT FINANCIAL INSTITUTIONS (CDFIS) FOR THE FOLLOWING PURPOSES 1) TO EXPAND LENDING, GRANT MAKING AND INVESTMENT ACTIVITIES IN LOW OR MODERATE INCOME COMMUNITIES AND TO BORROWERS THAT HAVE HISTORICALLY EXPERIENCED SIGNIFICANT UNMET CAPITAL AND FINANCIAL SERVICES NEEDS AND WERE DISPROPORTIONATELY IMPACTED BY THE COVID 19 PANDEMIC; AND 2) TO ENABLE CDFIS TO BUILD ORGANIZATIONAL CAPACITY AND ACQUIRE TECHNOLOGY, STAFF, AND OTHER TOOLS NECESSARY TO ACCOMPLISH THE ACTIVITIES UNDER A CDFI ERP AWARD. PLANNED ACTIVITIES: ELIGIBLE ACTIVITIES INCLUDE FINANCIAL PRODUCTS, FINANCIAL SERVICES, DEVELOPMENT SERVICES, GRANTS, LOAN LOSS RESERVES AND CAPITAL RESERVES THAT MAY BE USED TO MITIGATE THE IMPACT OF THE COVID 19 PANDEMIC ON UNEMPLOYMENT, CHILDCARE, HEALTHCARE, MENTAL HEALTHCARE, AFFORDABLE HOUSING, AFFORDABLE HOUSING FINANCE, SMALL BUSINESS, SMALL FARMS, BROADBAND INTERNET, AND FOOD SUFFICIENCY. IN ADDITION, TO SUPPORT CDFIS IN BUILDING THEIR CAPACITY TO RESPOND TO THE ECONOMIC IMPACT OF COVID 19, CDFI ERP AWARDS MAY BE USED FOR COMPENSATION PERSONAL SERVICES; COMPENSATION FRINGE BENEFITS; PROFESSIONAL SERVICE COSTS; TRAVEL COSTS; TRAINING AND EDUCATION COSTS; EQUIPMENT; SUPPLIES. END GOALS: EXPANDED FINANCING FOR LOW TO MODERATE INCOME COMMUNITIES AND INDIVIDUALS THAT HAVE HISTORICALLY EXPERIENCED SIGNIFICANT UNMET CAPITAL AND FINANCIAL SERVICES NEEDS AND WERE DISPROPORTIONATELY IMPACTED BY THE COVID 19 PANDEMIC INCLUDING SPECIFIC DESIGNATED COVID IMPACTED CDFI ERP ELIGIBLE GEOGRAPHIES AS AREAS THAT MAY BENEFIT FROM CDFI ERP ASSISTANCE. BENEFICIARIES: CERTIFIED CDFIS WHICH MAY BE FOR PROFIT ORGANIZATION, PRIVATE NONPROFIT INSTITUTION/ORGANIZATION, AND OTHER PRIVATE INSTITUTION/ORGANIZATION, AS DEFINED IN 12 C.F.R. 1805, AND LOW AND MODERATE INCOME INDIVIDUALS AND FAMILIES. SUBRECIPIENTS: THERE ARE NO SUBRECIPIENTS FOR THIS PROGRAM. BROADBAND: SPECIFIC ACTIVITIES RELATING TO BROADBAND USAGE ARE NOT KNOWN AT THE TIME OF AWARD. REASON/PURPOSE OF MODIFICATION: NOT APPLICABLE.

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

CHICAGO SBIRT PROJECT

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - THE PROJECT INVOLVES CONSTRUCTION OF A NEW OUTPATIENT CLINIC, A PHARMACY ADDITION TO THE EXISTING MACON PRIMARY CLINIC, AND CONSTRUCTION OF ASSOCIATED ACCESS/PARKING IMPROVEMENTS AT NOXUBEE GENERAL HOSPITAL. AS AN ADD ALTERNATE, THE INTERIOR FINISHES OF THE EXISTING CLINIC WILL BE UPDATED, IF FUNDS ALLOW. THE NEW PROPOSED FACILITY WILL BE OWNED BY THE APPLICANT.

APPLICATION PURPOSE: PREVENTIVE MAINTENANCE MAJOR COMPONENT REPAIRS AND REHABILITATION OF ADA ACCESSIBLE VEHICLES THAT HAVE EXCEEDED THEIR USEFUL LIFE STANDARD.; ACTIVITIES PERFORMED: WITH THIS AWARD ACCESS WILL HAVE THE ABILITY TO USE FEDERAL FUNDING TO HELP CONTRACTORS PAY FOR MAJOR COMPONENT REPAIRS WHICH CAN INCLUDE ENGINES TRANSMISSIONS DIFFERENTIALS TRANS-AXLES SUSPENSION AND AIR CONDITIONING UNITS.; EXPECTED OUTCOMES: THE GRANT FUNDS WILL HELP EXTEND THE LIFE OF ACCESS SERVICES FLEET WHICH IS CRITICAL GIVEN THE SHORTAGES IN THE ADA PARATRANSIT AUTOMOTIVE MARKET.; INTENDED BENEFICIARIES: THE INTENDED BENEFICIARIES ARE THE PARATRANSIT CUSTOMERS IN ACCESS SERVICE REGIONS. ACCESS SERVICES CONTRACTS WITH SIX PARATRANSIT PROVIDERS IN THE: NORTHERN EASTERN SOUTHERN AND WEST-CENTRAL REGIONS OF LOS ANGELES COUNTY INCLUDING SANTA CLARITA AND ANTELOPE VALLEY.THE GRANT FUNDS WILL HELP EXTEND THE LIFE OF ACCESS SERVICES FLEET WHICH IS CRITICAL GIVEN THE SHORTAGES IN THE ADA PARATRANSIT AUTOMOTIVE MARKET. FLEET MAINTENANCE IS A VITAL FUNCTION TO ENSURING ACCESS SERVICES CUSTOMERS CONTINUE TO BE TRANSPORTED IN SAFE AND RELIABLE VEHICLES.; SUBRECIPIENT ACTIVITIES: ACCESS SERVICES DOES NOT INTEND TO USE SUBRECIPIENTS

HEPATITIS C ELIMINATION FOR GREATER DETROIT - “RISE: REGIONAL INITIATIVE TO SUPPRESS AND ELIMINATE HCV” WILL EXPAND ACCESS TO HEPATITIS C VIRUS (HCV), HUMAN IMMUNODEFICIENCY VIRUS (HIV), AND SEXUALLY TRANSMITTED INFECTION (STI) TESTING, TREATMENT, AND RECOVERY SUPPORT AMONG AT-RISK POPULATIONS. THROUGH MOBILE MEDICAL OUTREACH, INTEGRATED BEHAVIORAL HEALTH, AND PEER-LED NAVIGATION, THIS INITIATIVE WILL PROVIDE WRAPAROUND CARE TO COMMUNITIES IMPACTED BY THE SYNDEMIC OF HCV, SUBSTANCE USE, AND HOMELESSNESS. THE PROJECT SEEKS TO CURE HEPATITIS C IN 100 INDIVIDUALS ANNUALLY BY DELIVERING EVIDENCE-BASED TREATMENT ALONGSIDE COMPREHENSIVE, PERSON-CENTERED SERVICES TO IMPROVE OVERALL HEALTH OUTCOMES AND QUALITY OF LIFE. THE ARAB COMMUNITY CENTER FOR ECONOMIC AND SOCIAL SERVICES (ACCESS), AS LEAD APPLICANT, WILL COLLABORATE WITH WAYNE HEALTH MOBILE UNITS, FAMILIES AGAINST NARCOTICS (FAN), STRATEGIES TO OVERCOME OBSTACLES AND AVOID RECIDIVISM (SOOAR), LIVE RITE RECOVERY HOUSING, ALPHA RECOVERY HOUSING, AND STREET OUTREACH TEAMS TO BRING SERVICES DIRECTLY TO COMMUNITY MEMBERS. ALL PARTNERS CURRENTLY PROVIDE THE CORE SERVICES OUTLINED IN THIS PROPOSAL INCLUDING MOBILE HEALTHCARE, LOW-BARRIER INFECTIOUS DISEASE AND SUBSTANCE USE TREATMENT, HARM REDUCTION, RECOVERY HOUSING, AND PEER RECOVERY SUPPORT ENABLING EFFICIENT AND SEAMLESS PROJECT IMPLEMENTATION FROM DAY ONE. THE INITIATIVE TARGETS INDIVIDUALS AT HIGHEST RISK OF CONTRACTING AND TRANSMITTING HCV, INCLUDING PEOPLE WHO USE SUBSTANCES, THOSE EXPERIENCING HOMELESSNESS, AND INDIVIDUALS LIVING WITH SERIOUS MENTAL ILLNESS. EFFORTS WILL FOCUS ON SOUTHEAST MICHIGAN’S TRI-COUNTY REGION OF WAYNE, OAKLAND, AND MACOMB COUNTIES, WITH PARTICULAR EMPHASIS ON DETROIT, WHERE HCV RATES, OVERDOSES, AND BARRIERS TO CONSISTENT CARE REMAIN HIGH. THIS REGION FACES SIGNIFICANT ECONOMIC CHALLENGES, HOUSING INSTABILITY, AND LIMITED BEHAVIORAL HEALTH AND SUBSTANCE USE TREATMENT AVAILABILITY. KEY SERVICES INCLUDE COMMUNITY-BASED HCV, HIV, AND STI OUTREACH AND SCREENING; SAME-DAY INITIATION OF HCV, HIV, STI, AND SUBSTANCE USE TREATMENT; MEDICATION ADHERENCE SUPPORT; RECOVERY COACHING AND NAVIGATION; AND COMMUNITY HEALTH WORKER CARE COORDINATION. THE PROJECT WILL EMPLOY EVIDENCE-BASED, EVIDENCE-INFORMED, AND COMMUNITY-DEFINED PRACTICES TO DELIVER LOW-BARRIER, TRAUMA-INFORMED, AND PERSON-CENTERED CARE. CORE STRATEGIES INCLUDE THE AASLD/IDSA SIMPLIFIED HCV TREATMENT PROTOCOL TO EXPAND TREATMENT ACCESS; TRAUMA-INFORMED CARE TO ADDRESS CHRONIC TRAUMA; AND INTEGRATED MEDICATION-ASSISTED TREATMENT (MAT) WITH BEHAVIORAL HEALTH SERVICES FOR CO-OCCURRING CONDITIONS. EVIDENCE-INFORMED INTERVENTIONS INCLUDE MOBILE OUTREACH AND ENGAGEMENT; MODIFIED DIRECTLY OBSERVED THERAPY (MDOT) TO PROMOTE ADHERENCE; AND MOBILE HARM REDUCTION SERVICES PROVIDING SAFER USE SUPPLIES, EDUCATION, AND LINKAGE TO CARE. COMMUNITY-DEFINED APPROACHES SUCH AS PEER RECOVERY COACHING AND COMMUNITY HEALTH WORKER ENGAGEMENT WILL ENHANCE TRUST, CONTINUITY, AND SUSTAINED CARE THROUGH LIVED EXPERIENCE AND CULTURALLY RESPONSIVE SUPPORT. THE PROJECT AIMS TO CURE HCV IN 100 INDIVIDUALS ANNUALLY, INCREASE ACCESS TO BEHAVIORAL HEALTH AND RECOVERY SERVICES, AND REDUCE NEW INFECTIONS THROUGH EVIDENCE-BASED HARM REDUCTION AND TREATMENT. OVER THE INITIAL TWO-YEAR PERIOD, THE INITIATIVE PLANS TO ENGAGE OVER 2,000 INDIVIDUALS, SCREEN 1,820 FOR HCV, INITIATE TREATMENT IN ALL ELIGIBLE PARTICIPANTS, AND PROVIDE RECOVERY HOUSING TO 100 INDIVIDUALS. ADDITIONAL OBJECTIVES INCLUDE DISTRIBUTING 2,500 BASIC NEEDS SUPPLIES ANNUALLY, OFFERING TRANSPORTATION ASSISTANCE TO PARTICIPANTS FACING BARRIERS, AND PROVIDING NURSE-LED CARE COORDINATION AND INCENTIVES TO PROMOTE FOLLOW-UP AND ADHERENCE.

CENTERS FOR INDEPENDENT LIVING - CENTERS FOR INDEPENDENT LIVING

THE A4D ACTIVITY WILL ADDRESS IMPROVEMENT OF THE GOVERNMENT OF CÔTE D'IVOIRE¿S (GOCI) INCLUSIVITY, RESPONSIVENESS, AND ACCOUNTABILITY TO CITIZENS¿ NEEDS AND CONCERNS, PARTICULARLY FOR YOUTH AND WOMEN AS A MEANS TO STRENGTHEN CONDITIONS FOR STABILITY.

STATE PRIMARY CARE OFFICES

HEALTH CENTER CONTROLLED NETWORK - PROJECT TITLE: COMMUNITY HEALTH ACCESS NETWORK HCCN 2022 APPLICANT ORGANIZATION NAME: COMMUNITY HEALTH ACCESS NETWORK (CHAN), A HCCN CURRENT HEALTH CENTER CONTROLLED NETWORK (HCCN) GRANT NO: H2QCS30248 ADDRESS: 207 SOUTH MAIN STREET, NEWMARKET, NH 03857 PROJECT DIRECTOR: JOAN TULK PHONE/FAX: 603-292-7284/603-292-1036 EMAIL: JTULK@CHAN-NH.ORG WEBSITE: WWW.CHAN-NH.ORG FUNDING REQUESTED: $2,625,000.00 PROJECT ABSTRACT IN ORDER TO LEVERAGE HEALTH INFORMATION TECHNOLOGY AND DATA TO DELIVER HIGH QUALITY, CULTURALLY COMPETENT, EQUITABLE, AND COMPREHENSIVE PRIMARY HEALTH CARE, THE BUREAU OF PRIMARY HEALTH CARE’S (BPHC)’S 330 GRANTEES HAVE A COMMON SET OF FOCUS AREAS WHICH INCLUDE IMPROVING (1) CLINICAL QUALITY, (2) PATIENT-CENTERED CARE, AND (3) PROVIDER AND STAFF WELL-BEING. THESE AREAS ARE UNIVERSAL, REGARDLESS OF STATE OR REGIONAL LOCATION, AND CAN BEST BE TACKLED CENTRALLY THROUGH SHARED RESOURCES AND TOOLS. HEALTH CENTER CONTROLLED NETWORKS (HCCNS) ARE UNIQUELY POSITIONED TO SUPPORT PARTICIPATING HEALTH CENTERS (PHCS) IN ACCOMPLISHING THESE GOALS. AS A ROBUST HCCN ESTABLISHED MORE THAN TWENTY YEARS AGO WITH A HISTORY OF SUCCESSFUL NETWORK PARTNERSHIPS, CHAN IS APPLYING FOR A FOURTH ROUND OF HCCN FUNDING IN COLLABORATION WITH (1) THE VERMONT RURAL HEALTH ASSOCIATION (VRHA), AN HCCN PROGRAM OF BI-STATE PRIMARY CARE ASSOCIATION AND (2) BREAKWATER HEALTH NETWORK (BHN); BOTH SUB-RECIPIENTS FOR THIS APPLICATION. OUR PROPOSED PROJECT IDENTIFIES SEVERAL COMMON AREAS OF HEALTH CENTER FOCUS WHERE CHAN AND OUR NETWORK PARTNERS CAN COLLABORATE ON THE FOLLOWING OBJECTIVES: (1) PATIENT ENGAGEMENT – WE WILL EXPLORE PATIENT AND PROVIDER COMFORT IN ASYNCHRONOUS ENGAGEMENT AS WELL AS TECHNOLOGY OPTIONS TO PRESENT OPPORTUNITIES TO PHCS. (2) PATIENT PRIVACY AND CYBERSECURITY – WE WILL MAKE AVAILABLE A LIBRARY OF RESOURCES (TEMPLATE POLICIES AND PROCEDURES) TO PHCS AND NEGOTIATE GROUP PURCHASES OF SECURITY RISK ASSESSMENTS AND RELATED T/TA. (3) SOCI AL RISK FACTOR INTERVENTION – WE WILL PROVIDE DATA RESOURCES TO IMPROVE DATA COLLECTION, DATA ANALYSIS AND EXPLORE AND PLAN EHR INTEGRATION WITH CLOSED-LOOP E-REFERRAL SOURCES. (4) DISAGGREGATED, PATIENT-LEVEL DATA – WE WILL EDUCATE OURSELVES AND OUR PHCS ON UDS+ REQUIREMENTS, SUPPORTING THEM AS THEY NAVIGATE THIS NEW PROCESS AND TECHNOLOGY. (5) INTEROPERABLE DATA EXCHANGE AND INTEGRATION – WE WILL SUPPORT PHCS INTEGRATING DATA FROM CLINICAL AND NON-CLINICAL SOURCES, INCLUDING FROM HEALTH INFORMATION EXCHANGES, IMMUNIZATION REGISTRIES, MEDICAID PROGRAMS, AND/OR CMS. (6) DATA UTILIZATION – WE WILL EXPAND OUR DATA REPORTING AND ANALYSIS TOOLS AND TEACH OUR PHCS HOW TO TURN THEIR DATA INTO INFORMATION. (7, 10) LEVERAGING AND IMPROVING DIGITAL HEALTH TOOLS – WE WILL STRUCTURE FORMAL TRAININGS TO MEET EDUCATIONAL NEEDS AND INCLUDE A FOCUS ON THE HUMAN ASPECTS OF DIGITAL WORKFLOWS. (8) HEALTH INFORMATION TECHNOLOGY AND ADOPTION – WE WILL SEEK NEEDS FROM PHCS AND ASSIST HEALTH CENTERS IN IMPLEMENTATION OF NEW TECHNOLOGY. (9) HEALTH EQUITY – WE WILL EXPLORE PHC READINESS FOR HEALTH EQUITY ACTIVITIES AND WORK WITH DIGITAL TOOLS TO ADDRESS SPECIFIC NEEDS OF SUBPOPULATIONS AS DETERMINED BY PHC DATA AND IDENTIFIED NEEDS. OUR NETWORK COLLABORATIVE SUPPORTS 29 PHCS: 28 FQHC PROGRAM AWARD RECIPIENTS AND 1 FQHC LOOK-ALIKE. OUR PHCS SPAN ABOUT 160 SITES (PLUS MULTIPLE PROGRAMS AT SCHOOLS AND COMMUNITY MENTAL HEALTH CENTERS AND MOBILE VANS) AND THE EIGHT (8) STATES OF NH, TX, VT, MN, IL, IA, WI AND ND. THIS PROJECT HAS POTENTIAL TO IMPACT UP TO 320,000 PATIENTS, 31% AT OR BELOW 200% FEDERAL POVERTY LEVEL (FPL), 14% UNINSURED, AND 31% ON MEDICAID. SEVERAL OF THE PHCS HAVE AN EMPHASIS ON AGRICULTURAL WORKERS AND HOMELESS POPULATIONS.

EARLY INTERVENTION SERVICES

ROUTE 66 ACCOUNTABLE HEALTH COMMUNITIES PROJECT