COMMUNITY HEALTH AND COUNSELING SERVICES

GREATER BANGOR CCBHC ENHANCEMENT PROJECT - COMMUNITY HEALTH AND COUNSELING SERVICES (CHCS) IS IMPLEMENTING THE GREATER BANGOR REGION CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC). THE BANGOR REGION CCBHC INCREASES ACCESS TO AND IMPROVES THE QUALITY OF COMMUNITY MENTAL AND SUBSTANCE USE DISORDER TREATMENT SERVICES. THE CCBHC SERVES ADULTS WITH SMI, SUD, COD AND CHILDREN AND ADOLESCENTS WITH SED WHO LIVE IN THE GREATER BANGOR, MAINE REGION. WE WILL ENHANCE OUR CCBHC BY DEDICATING MORE CCBHC RESOURCES TO SERVE THE UNINSURED/UNDERINSURED POPULATION, EXPANDING THE NETWORK OF CCBHC PROVIDERS, ENHANCING THE QUALITY OF ASSESSMENT WITH THE IMPLEMENTATION OF AN EVIDENCE-BASED PRACTICE AND ENHANCING OUR INFRASTRUCTURE TO SUPPORT THE USE OF DATA FOR QUALITY IMPROVEMENT. THE GREATER BANGOR REGION CCBHC EXPECTS TO SERVE 500 UNDUPLICATED INDIVIDUALS DURING THE FIRST YEAR OF OPERATION. THE PROGRAM PROJECTS TO INCREASE THE NUMBERS OF UNDUPLICATED INDIVIDUALS SERVED TO 525 IN YEAR TWO AND 550 IN YEARS THREE AND FOUR. THE GREATER BANGOR REGION CCBHC IS FOCUSED ON FIVE AREAS THAT WILL ADDRESS GAPS AND ADVANCE AND IMPROVE OUR CCBHC. 1. SUD OUTPATIENT TREATMENT: INCREASE CAPACITY TO PROVIDE SUD OUTPATIENT TREATMENT BY INCREASING THE NUMBER OF LICENSED SUBSTANCE ABUSE CLINICIANS AVAILABLE FOR REFERRALS THROUGH DIRECT HIRE AND PARTNERSHIPS WITH LOCAL SUD PROVIDERS. 2. PROVIDER NETWORK: ENHANCE ACCESS TO SERVICES FOR CHILDREN AND FAMILIES BY EXPANDING COORDINATION WITH EXISTING PROVIDERS IN THE COMMUNITY. INCREASE OTHER CORE SERVICE AREAS BY EXPANDING OUR NETWORK. THIS WILL BE ACCOMPLISHED BY ADDING FIVE DCO’S WITHIN THE FIRST TWO YEARS OF THE PROJECT. 3. EBP: ENHANCE THE SCREENING AND ASSESSMENT PROCESS BY ADOPTING PROMIS® (PATIENT-REPORTED OUTCOMES MEASUREMENT INFORMATION SYSTEM®) A HIGHLY RELIABLE, EVIDENCE-INFORMED SET OF MEASURES TO EVALUATES AND MONITORS PHYSICAL, MENTAL, AND SOCIAL HEALTH IN ADULTS AND CHILDREN. 4. EMR: ENHANCE EMR CAPACITY TO CAPTURE AND RETRIEVE ESSENTIAL HEALTH AND CORE CCBHC METRICS TO SUPPORT CLIENT LEVEL CARE COORDINATION AND TRACKING OF HEALTH OUTCOMES. 5. PRIMARY CARE: ENHANCE PRIMARY CARE SCREENING TO INCLUDE SCREENINGS FOR KEY HEALTH INDICATORS AND ESTABLISH BASELINE DATA FOR ONGOING MONITORING AND TREATMENT PLANNING. THE USE OF PROMIS® AND EMR ENHANCEMENT WILL IMPROVE PRIMARY CARE SCREENING. 6. PEER/FAMILY SUPPORTS: ENHANCE THE USE OF PEER/FAMILY SUPPORTS BY CONNECTING CONSUMERS AT THE EARLY STAGES OF CCBHC CONNECTION. A CORE TEAM OF CLINICAL SERVICE PROVIDERS, INCLUDING CLINICIANS AND CARE COORDINATORS, WILL BE BASED AT CHCS TO RESPOND TO AND TRIAGE IMMEDIATE BEHAVIORAL HEALTH NEEDS OF THE COMMUNITY. AUGMENTING THIS HUB WILL BE A COLLABORATING NETWORK THAT INITIALLY INCLUDES FIVE DESIGNATED COLLABORATING ORGANIZATIONS (DCOS). THE VISION AND MISSION OF THE CCBHC IS TO CREATE A COHESIVE, HIGHLY ACCESSIBLE SYSTEM OF CARE. AN ADVISORY COMMITTEE COMPRISED OF COMMUNITY STAKEHOLDERS WILL PROVIDE ONGOING ASSESSMENT OF GAPS IN SERVICES, ALIGN SYSTEM RESOURCES, AND EXPLORE OPTIONS TO IMPROVE SYSTEM COORDINATION.

HOSPICE

EXPRESS REPORT

PURPOSE: THE DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT (HUD), OFFICE OF MULTIFAMILY HOUSING PROVIDES RENEWALS OF PROJECT-BASED SECTION 8 HOUSING ASSISTANCE PAYMENTS (HAP) CONTRACTS DIRECTLY WITH OWNERS. THE PURPOSE OF THE HAP CONTRACTS IS TO PROVIDE RENTAL ASSISTANCE TO LOW (80% IF AREA MEDIAN INCOME), VERY LOW (50% OF AREA MEDIAN INCOME AND EXTREMELY LOW (30% OF AREA MEDIAN INCOME)-INCOME HOUSEHOLDS ENABLING THEM TO LIVE IN AFFORDABLE, DECENT, SAFE, AND SANITARY HOUSING. FOR ADDITIONAL INFORMATION ABOUT THESE AWARDS SEE THE MULTIFAMILY ASSISTANCE & SECTION 8 DATABASE AT: HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/HOUSING/MFH/EXP/MFHDISCL.; ACTIVITIES TO BE PERFORMED: APPROXIMATELY 17,300 SECTION 8 HOUSING ASSISTANCE PAYMENTS (HAP) CONTRACTS PROVIDE RENTAL ASSISTANCE ANNUALLY TO 1.19 MILLION HOUSEHOLDS UNDER PROGRAM ACTIVITY CODE 001 FOR ASSISTANCE LISTING 14.195. OWNERS RECEIVE FEDERAL FUNDS FROM HUD TO ADMINISTER THE SECTION 8 PROJECT BASED RENTAL ASSISTANCE PROGRAM THROUGH THE HAP CONTRACTS. THE OWNERS ACCEPT A FAMILY’S APPLICATION FOR RENTAL ASSISTANCE, CONFIRMS THE FAMILY’S ELIGIBILITY FOR ASSISTANCE AND SELECTS THE FAMILY FOR ADMISSION IN ACCORDANCE WITH THE OCCUPANCY HANDBOOK 4350.3 REV-1 (HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/ADMINISTRATION/HUDCLIPS/HANDBOOKS/HSGH/4350.3). THE FAMILY THEN MOVES INTO THE PROPERTY AND EXECUTES THE LEASE AND AGREES TO SECTION 8 PROGRAM REQUIREMENTS INCLUDING ANNUAL RECERTIFICATION. THE OWNER SUBMITS FOR PAYMENT OF THE RENTAL ASSISTANCE SUBSIDY MONTHLY ON BEHALF OF THE PARTICIPATING FAMILY. THE FAMILY PAYS 30% OF THEIR ADJUSTED INCOME IN RENT AND UTILITIES AND THE HAP CONTRACT PAYS THE BALANCE OF THE CONTRACT RENT TO THE OWNER. ; EXPECTED OUTCOMES: APPROXIMATELY 1.19 MILLION HOUSEHOLDS CONTINUE TO LIVE IN AFFORDABLE HOUSING PAYING 30% OF THEIR ADJUSTED INCOME IN RENT AND UTILITIES IN HOUSING THAT IS DECENT, SAFE AND SANITARY FOR AS LONG AS THEY CHOOSE, AND THE OWNER REMAINS IN COMPLIANCE WITH THE HAP CONTRACT.; INTENDED BENEFICIARIES: INDIVIDUALS AND FAMILIES WHO MEET THE ELIGIBILITY CRITERIA OF THE PROGRAM AND PROPERTY AS NOTED IN THE OCCUPANCY HANDBOOK, 4350.3 REV-1, CHAPTER 3 (HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/ADMINISTRATION/HUDCLIPS/HANDBOOKS/HSGH/4350.3) AND SUMMARIZED BELOW ARE THE INTENDED BENEFICIARIES OF THIS PROGRAM. • PROGRAM ELIGIBILITY DETERMINES WHETHER APPLICANTS ARE ELIGIBLE FOR ASSISTANCE. PROGRAM REQUIREMENTS INCLUDE INCOME LIMITS, DISCLOSURE OF SOCIAL SECURITY NUMBERS, CONSENT FORMS, RESTRICTION ON ASSISTANCE TO NONCITIZENS, RESTRICTIONS ON ELIGIBILITY OF STUDENTS FOR SECTION 8 ASSISTANCE, MANDATORY USE OF ENTERPRISE INCOME VERIFICATION SYSTEM (EIV). • PROJECT ELIGIBILITY ESTABLISHES WHETHER APPLICANTS ARE ELIGIBLE TO RESIDE IN A SPECIFIC PROJECT TO WHERE THEY HAVE APPLIED. THREE THINGS MY AFFECT THE MATCH BETWEEN AN APPLICANT AND THE APPLICANT’S ELIGIBILITY FOR OCCUPANCY IN A PARTICULAR PROJECT: 1. THE EXTENT TO WHICH ALL OR SOME OF THE UNITS IN A PROJECT ARE DESIGNATED FOR SPECIFIC FAMILY TYPES, SUCH AS THOSE WHO ARE ELDERLY OR DISABLED; 2. THE PROJECT-SPECIFIC OCCUPANCY STANDARDS ESTABLISHED BY THE OWNER, THE FAMILY SIZE, AND THE UNIT SIZES AVAILABLE IN THE PROJECT; AND 3. IN SOME INSTANCES, A FAMILY’S INTENTION TO LEASE USING A HOUSING-CHOICE VOUCHER SUBSIDY THAT MAY BE USED IN SOME PROJECTS AND NOT IN OTHERS.; SUBRECIPIENT ACTIVITIES: THE RECIPIENT DOES NOT INTEND TO SUBAWARD FUNDS.

PURPOSE: THE DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT (HUD), OFFICE OF MULTIFAMILY HOUSING PROVIDES RENEWALS OF PROJECT-BASED SECTION 8 HOUSING ASSISTANCE PAYMENTS (HAP) CONTRACTS DIRECTLY WITH OWNERS. THE PURPOSE OF THE HAP CONTRACTS IS TO PROVIDE RENTAL ASSISTANCE TO LOW (80% IF AREA MEDIAN INCOME), VERY LOW (50% OF AREA MEDIAN INCOME AND EXTREMELY LOW (30% OF AREA MEDIAN INCOME)-INCOME HOUSEHOLDS ENABLING THEM TO LIVE IN AFFORDABLE, DECENT, SAFE, AND SANITARY HOUSING. FOR ADDITIONAL INFORMATION ABOUT THESE AWARDS SEE THE MULTIFAMILY ASSISTANCE & SECTION 8 DATABASE AT: HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/HOUSING/MFH/EXP/MFHDISCL.; ACTIVITIES TO BE PERFORMED: APPROXIMATELY 17,300 SECTION 8 HOUSING ASSISTANCE PAYMENTS (HAP) CONTRACTS PROVIDE RENTAL ASSISTANCE ANNUALLY TO 1.19 MILLION HOUSEHOLDS UNDER PROGRAM ACTIVITY CODE 001 FOR ASSISTANCE LISTING 14.195. OWNERS RECEIVE FEDERAL FUNDS FROM HUD TO ADMINISTER THE SECTION 8 PROJECT BASED RENTAL ASSISTANCE PROGRAM THROUGH THE HAP CONTRACTS. THE OWNERS ACCEPT A FAMILY’S APPLICATION FOR RENTAL ASSISTANCE, CONFIRMS THE FAMILY’S ELIGIBILITY FOR ASSISTANCE AND SELECTS THE FAMILY FOR ADMISSION IN ACCORDANCE WITH THE OCCUPANCY HANDBOOK 4350.3 REV-1 (HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/ADMINISTRATION/HUDCLIPS/HANDBOOKS/HSGH/4350.3). THE FAMILY THEN MOVES INTO THE PROPERTY AND EXECUTES THE LEASE AND AGREES TO SECTION 8 PROGRAM REQUIREMENTS INCLUDING ANNUAL RECERTIFICATION. THE OWNER SUBMITS FOR PAYMENT OF THE RENTAL ASSISTANCE SUBSIDY MONTHLY ON BEHALF OF THE PARTICIPATING FAMILY. THE FAMILY PAYS 30% OF THEIR ADJUSTED INCOME IN RENT AND UTILITIES AND THE HAP CONTRACT PAYS THE BALANCE OF THE CONTRACT RENT TO THE OWNER. ; EXPECTED OUTCOMES: APPROXIMATELY 1.19 MILLION HOUSEHOLDS CONTINUE TO LIVE IN AFFORDABLE HOUSING PAYING 30% OF THEIR ADJUSTED INCOME IN RENT AND UTILITIES IN HOUSING THAT IS DECENT, SAFE AND SANITARY FOR AS LONG AS THEY CHOOSE, AND THE OWNER REMAINS IN COMPLIANCE WITH THE HAP CONTRACT.; INTENDED BENEFICIARIES: INDIVIDUALS AND FAMILIES WHO MEET THE ELIGIBILITY CRITERIA OF THE PROGRAM AND PROPERTY AS NOTED IN THE OCCUPANCY HANDBOOK, 4350.3 REV-1, CHAPTER 3 (HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/ADMINISTRATION/HUDCLIPS/HANDBOOKS/HSGH/4350.3) AND SUMMARIZED BELOW ARE THE INTENDED BENEFICIARIES OF THIS PROGRAM. • PROGRAM ELIGIBILITY DETERMINES WHETHER APPLICANTS ARE ELIGIBLE FOR ASSISTANCE. PROGRAM REQUIREMENTS INCLUDE INCOME LIMITS, DISCLOSURE OF SOCIAL SECURITY NUMBERS, CONSENT FORMS, RESTRICTION ON ASSISTANCE TO NONCITIZENS, RESTRICTIONS ON ELIGIBILITY OF STUDENTS FOR SECTION 8 ASSISTANCE, MANDATORY USE OF ENTERPRISE INCOME VERIFICATION SYSTEM (EIV). • PROJECT ELIGIBILITY ESTABLISHES WHETHER APPLICANTS ARE ELIGIBLE TO RESIDE IN A SPECIFIC PROJECT TO WHERE THEY HAVE APPLIED. THREE THINGS MY AFFECT THE MATCH BETWEEN AN APPLICANT AND THE APPLICANT’S ELIGIBILITY FOR OCCUPANCY IN A PARTICULAR PROJECT: 1. THE EXTENT TO WHICH ALL OR SOME OF THE UNITS IN A PROJECT ARE DESIGNATED FOR SPECIFIC FAMILY TYPES, SUCH AS THOSE WHO ARE ELDERLY OR DISABLED; 2. THE PROJECT-SPECIFIC OCCUPANCY STANDARDS ESTABLISHED BY THE OWNER, THE FAMILY SIZE, AND THE UNIT SIZES AVAILABLE IN THE PROJECT; AND 3. IN SOME INSTANCES, A FAMILY’S INTENTION TO LEASE USING A HOUSING-CHOICE VOUCHER SUBSIDY THAT MAY BE USED IN SOME PROJECTS AND NOT IN OTHERS.; SUBRECIPIENT ACTIVITIES: THE RECIPIENT DOES NOT INTEND TO SUBAWARD FUNDS.

EXPRESS REPORT: HOSPICE SERVICES

EXPRESS REPORT: HOSPICE SERVICES

EXPRESS REPORT: HOSPICE SERVICES

HOSPICE SERVICES

IGF::CT::IGF COMMUNITY HEALTH AND HOSPICE SERVICES