4-236038 Amendment 6 SOW.pdf

Attachment B: Special Provisions International Rescue Committee - Afghan and Refugee Health Promotion 2021 Amendment 6

I. GENERAL PURPOSE:

A. The general purpose of this contract is to provide U.S. healthcare system orientation, group health education, individualized health mentorship, and mental health support to newly arrived adult refugees and Afghan evacuees.

II. DEFINITIONS:

A. “Advertising and publicity matters” include; artwork, graphics, layout, scripts, etc.

B. “Adult” means 18 years and older of age as of January 1, 2025.

C. "Afghan evacuee” means a citizen or national of Afghanistan, or an alien who was employed in Afghanistan on or after October 7, 2001, for not less than 1 year, and in both aforementioned cases, an individual who is entering the U.S. under one of two main immigration categories: Afghans with a Special Immigrant Visa or Parolee.

D. “Contractor” means International Rescue Committee.

E. “NHS” means Navigating the Healthcare System.

F. “Newly arrived” means anyone who has been living in the U.S. less than five years, or precisely five years, from the date of service.

G. “Refugee” means any displaced person who is outside the country of their former habitual residence as a result of well-founded fear of persecution for reasons of race, religion, nationality, political opinion, or membership in a particular social group. Refugee’s include: 1) refugees admitted under 207 of the Immigration and Nationality Act; 2) asylees, 3) certain Cuban and Haitian entrants granted parole by the U.S. DHHS of Homeland Security, or any such status later established under immigration laws; 4) entrants paroled to the United States subject to deportation or exclusion proceedings or with asylum pending when a final, non-appealable and legally enforceable order of deportation or exclusion has not been entered; 5) Amerasians paroled to the U.S. as refugees or asylees; 6) parolees other than Amerasians or Cubans/Haitians; 7) Iraqi and Afghani Special Immigrants; 8) certified victims of severe forms of trafficking and certain family members; and 9) legal permanent residents who previously held one of the above statuses.

H. “RHOS” means Refugee Health Online System.

III. RESPONSIBILITIES OF CONTRACTOR:

A. For Service Eligibility the Contractor shall:

1. Search 100% of clients receiving services in the RHOS.

a. For individuals not found in the RHOS, services may be provided but they are not eligible for reimbursement from this contract;

2. Document 100% of client Alien ID numbers, client demographics, and client services as listed in the monthly invoice template;

3. Document 100% of client services in the Health Promotion tab of RHOS for

NHS, Health Workshops/Group Health, and Individual Health Mentorship.

B. For NHS the Contractor shall:

1. Create and administer a health intake assessment to 100% of all newly arrived adult refugees and Afghan evacuees to establish baseline knowledge and self-sufficiency within 30 days of arrival;

2. Ensure that 75% or more of NHS participants complete all three classes in the series.

C. For Group Health Education the Contractor shall:

1. Conduct at least one group health workshop on a pre-approved topic per contract year;

a. Ensure that 100% of workshop participants complete a pre- and post-assessment.

D. For Individual Health Mentorship the Contractor shall:

1. Conduct individual health mentorship sessions by phone, in-person, or virtually for 30 or more newly arrived refugees;

a. Ensure that 100% of mentorship participants complete a post-assessment at the conclusion of services;

E. For Mental Health and Wellness Support the Contractor shall:

1. Develop and include a Mental Health component in the NHS series;

2. Connect clients internally to mental health support and externally to mental health wrap-around agencies;

3. Receive DHHS approval for any additional Mental Health curriculum components, such as group education or workshops.

F. For Long-term Care the Contractor shall:

1. Ensure clients are provided transportation, interpretation, and care coordination for chronic concerns and treatment management, specifically Latent Tuberculosis Infection.

G. For Contract Monitoring the Contractor shall:

1. Attend all meetings called by DHHS.

IV. FUNDING:

A. New total funding is $613,137.00.

1. $45,000.00 for Health Promotion for the period October 1, 2021 to

September 30, 2022.

2. $50,637.00 for Afghan Health Promotion for the period March 1, 2022 to

September 30, 2022.

3. $170,000.00 for Health Promotion and Afghan Health Promotion for the period October 1, 2022 to December 31, 2023.

4. $212,500.00 for Refugee Health Promotion and Afghan Health Promotion for the period January 1, 2024 to December 31, 2024.

5. $212,500.00 for Refugee Health Promotion and Afghan Health Promotion for the period January 1, 2025 to December 31, 2025.

6. Funding decreased by $107,500.00 for Refugee Health Promotion and Afghan

Health Promotion for the period of January 1, 2025 to December 31, 2025.

7. $30,000.00 for Refugee Health Promotion for the period January 1, 2025 to

December 31, 2025.

B. The Contractor shall submit a budget no later than 30 days before the first day of each funding period and receive DHHS approval before work begins.

V. INVOICING:

A. In addition to the General Provisions of the Contract, the Contractor shall submit June’s invoice no later than July 10th of each year and December’s invoice no later than January 10th of each year; and

B. In addition to the General Provisions of this Contract the invoices shall be submitted no later than the 20th day of the month following the end of the month in which the activity was conducted.

VI. OUTCOMES:

The desired outcomes of this contract are:

A. Improve US Healthcare System knowledge for the refugee population.

1. Performance measure: 75% of NHS clients will demonstrate increased knowledge.

2. Reporting: Clients will be assessed after the series. These outcomes are reported to DHHS in RHOS.

B. Improve group health of refugee populations.

1. Performance measure: 75% of workshop participants will demonstrate increased knowledge.

2. Reporting: Clients will be given a pre- and post-test to assess knowledge gain.

These outcomes are reported to DHHS in RHOS.

C. Increase self-sufficiency of refugee populations.

1. Performance measure: 75% of individual mentorship clients will report increased self-sufficiency managing their health.

2. Reporting: Clients will be assessed after the sessions. These outcomes are reported to DHHS in RHOS.