5-DHHS26377 PATH SOW OSUMH.docx

Attachment B: SCOPE OF WORK Projects for the Assistance in Transition from Homelessness (PATH)

Article 1

PURPOSE AND DEFINITIONS

1.1 Purpose. The purpose of this contract is for the Contractor to provide services to people as required in the Projects for Assistance in Transition from Homelessness (“PATH”) grant that funds community-based outreach, mental health, substance abuse, case management and other support services, as well as a limited set of housing services for seriously mentally ill individuals.

1.2 Definitions. In this contract, the following definitions apply:

“Continuum of Care” means a local planning and funding body for homelessness assistance. The CoC is comprised of various community organizations that work together to develop a comprehensive system of housing and services to address the needs of individuals and families experiencing homelessness. It receives funding from the U.S. Department of Housing and Urban Development (HUD) to help prevent and end homelessness.

“Experiencing Homelessness” means an individual who lacks housing (without regard to whether the individual is a member of a family), including an individual whose primary residence during the night is a supervised public or private facility that provides temporary living accommodations and an individual who is a resident in transitional housing.

“Homelessness”, as defined by 42 U.S.C. 290cc-22(a), means both “Experiencing Homelessness” or at “Imminent Risk of Becoming Homeless”.

“Imminent Risk of Becoming Homeless” means an individual who is:

(1) likely to lose a fixed, regular, and adequate night-time residence if support from family, a social service agency, or a human service agency is withdrawn;

(2) in a doubled-up living arrangement where the individual’s name is not on the lease;

(3) living in a condemned building without a place to move;

(4) in arrears in rent or utility payments;

(5) having received an eviction notice without a place to move;

(6) living in temporary or transitional housing that carries time limits; or

(7) being discharged from a health care or criminal justice institution without a place to live.

“Outreach Services” means:

(1) locating and informing people Experiencing Homelessness of the availability of services;

(2) identifying and reducing barriers to care;

(3) increasing service utilization;

(4) establishing and maintaining collaborative linkages with other programs serving the homeless population;

(5) flexibility in the menu of services offered and the manner in which they are provided;

(6) repeated contact over extended periods of time, achieved by bringing services to individuals rather than waiting for them to come to the services; and

(7) providing engagement services for individuals who are reluctant to receive or suspicious of help.

“SMI” means Serious Mental Illness. An individual 18 years of age or older who currently, or at any time during the past year, has had a diagnosable mental, behavioral, or emotional disorder of sufficient duration to meet diagnostic criteria specified within the Diagnostic and Statistical Manual of Mental Disorders, that resulted in functional impairment which substantially interferes with or limits the individual's ability that substantially interferes with or limits major life activities.

Article 2

POPULATION SERVED

2.1 Population Served. The population served are eligible PATH individuals. An eligible PATH individual is a person who is Experiencing Homelessness or at risk of homelessness and SMI or Co-Occurring Disorders (“COD”).

Article 3

QUALIFICATIONS

3.1 Contractor Qualifications. The Contractor shall:

(1) be either a non-profit organization with 501(c)(3) status as determined by the Internal Revenue Services, or be a local government entity (e.g. city, county, or other municipality in Utah); and

(2) have a minimum of three years’ experience providing direct services to the homeless population.

3.2 Contractor Training Requirements.

The Contractor shall complete all required Homeless Management Information System (“HMIS”) and PATH Data Exchange (“PDX”) training. This must be reported annually as required in Article 6.2(3).

Article 4

SERVICE REQUIREMENTS

4.1 General Service Requirements. The Contractor shall support the delivery of eligible services to individuals who are Experiencing Homelessness and have SMI or COD, with a particular emphasis on:

(1) individuals most in need of services; and

(2) services that are not supported by mainstream mental health programs. The legislation specifies that the Contractor shall use PATH funding for the following activities:

(A) Outreach Services including prioritization of those with SMI who are Experiencing Homelessness or are at Imminent Risk of Becoming Homeless;

(B) screening and diagnostic treatment services;

(C) habilitation and rehabilitation services;

(D) community mental health services, including recovery support services (e.g., peer specialist or recovery coaches);

(E) alcohol or drug treatment services;

(F) staff training, including training for people who work in mental health clinics, substance use programs, and other sites where Individuals Experiencing Homelessness require services;

(G) case management services, including:

(i) preparing a plan for the provision of community mental health services to eligible PATH individuals and reviewing such plan not less than once every month;

(ii) assisting eligible PATH individuals with obtaining and coordinating social and maintenance services, including services related to daily living activities, peer support, personal financial planning, transportation, habilitation and rehabilitation, pre-vocational and vocational training, and housing;

(iii) helping eligible PATH individuals to get income support, including housing assistance, food stamps, and Supplemental Security Income benefits;

(iv) referring eligible PATH individuals Experiencing Homelessness for such other services as may be appropriate; and

(v) providing representative payee services in accordance with section 1631(a)(2) of the Social Security Act if the eligible PATH individuals Experiencing Homelessness are receiving aid under Social Security Act Title XVI and if the applicant is designated by the Commissioner of Social Security to provide such services;

(H) referrals for primary health services, job training, educational services, and relevant housing services including use of peer providers who can use their lived experience to help ensure services are successfully accessed by homeless individuals with SMI or CODs; and

(I) housing services, including:

(i) minor renovation, expansion, and repair of housing;

(ii) costs associated with matching eligible PATH individuals who are Experiencing Homelessness with appropriate housing situations;

(iii) security deposits; and

(iv) one-time rental payments to prevent eviction;

(J) partner and collaborate with community services providers within the Continuum of Care region; and

(K) participate in local planning, coordinating, and assessment activities with the local homeless council to include support for veterans.

Article 5

FUNDING LIMITATIONS AND RESTRICTIONS

5.1 Funding Limitations and Restrictions. The contractor shall adhere to the following funding restrictions:

(1) Contract funds must be used for purposes supported by the program;

(2) no more than 20 percent of the federal PATH funds may be expended for eligible housing services as specified in 42 U.S.C. Section 290cc-22(g);

(3) no more than 4 percent of the federal PATH funds received may be used for administrative expenses, as specified in 42 U.S.C. Section 290cc-22(f). Contractors shall track the costs in this category with records demonstrating that the 4 percent cap has not been exceeded;

(4) contract funds may not be expended:

(A) to support emergency shelters;

(B) on construction of housing facilities;

(C) for inpatient psychiatric treatment;

(D) for inpatient substance use treatment; or

(E) to make cash payments to intended recipients of mental health or substance use treatment services;

(5) any lease arrangements in association with the proposed project utilizing PATH funds may not be funded by PATH beyond the project period, nor may the portion of the space leased with PATH funds be used for purposes not supported by the contract;

(6) contract funds must not be used to pay for the purchase or construction of any building or structure to house any part of the contract program; and

(7) subcontracts must not be made with any organization that has a policy of excluding individuals from mental health services due to the existence or suspicion of a substance use disorder or that has a policy of excluding individuals from substance use disorder services due to the known existence or suspicion of SMI.

Article 6

ADMINISTRATIVE REQUIREMENTS

6.1 Match Requirement. Matching is required as specified in Section 523(a) of the Public Health Service (“PHS”) Act. The Contractor shall match, directly or through donations from public or private entities, non-federal contributions toward such costs in an amount that is not less than $1 for each $3 of federal PATH funds. Non-federal contributions required in section 523(a) of the PHS Act require that contributions may be in cash or in kind, fairly evaluated, including plant, equipment, or services. Amounts provided by the federal government, or services assisted or subsidized to any significant extent by the federal government, must not be included in determining the amount of such non-federal contributions.

6.2 Reporting Requirements. The Contractor shall:

(1) submit data required by the federal Substance Abuse and Mental Health Services Administration through the PDX quarterly on October 31, January 31, April 30, and July 30 of each year;

(2) collect and submit client data through the HMIS. In addition, the Contractor shall report Government Performance and Reporting Accountability (“GPRA”) data into HMIS on an annual basis; and

(3) include the status of staff training in HMIS and PDX in the annual report.

Article 7

OUTCOMES

7.1 Outcomes. The Contractor shall:

(1) enroll PATH eligible Individuals Experiencing Homelessness into community mental health services;

(2) provide Outreach Services to people Experiencing Homelessness;

(3) enroll contacted individuals Experiencing Homelessness with SMI in PATH services;

(4) increase the number of PATH individuals who are receiving benefits;

(5) assist PATH participants with attaining housing;

(6) assist PATH participants with attaining mental health services; and

(7) assist PATH participants with attaining substance use disorder services.

7.2 Outcome Measurements. The Contractor shall measure outcomes against the following measurements:

(1) the percentage of enrolled individuals Experiencing Homelessness who receive community mental health services must be at least the GPRA target of 65%;

(2) the number of individuals Experiencing Homelessness contacted must contribute to the national target of 125,000 individuals contacted;

(3) the percentage of contacted individuals, who become enrolled in services, must be at least the GPRA target of 58%;

(4) 10% of PATH enrollees must be referred to and attain housing;

(5) 80% of PATH enrollees, with a clinically identified need, must be referred to and attain mental health services; and

(6) 80% of PATH enrollees, with a clinically identified need, must be referred to and attain substance use disorder services.

7.3 Outcome Reporting. The data must be collected in HMIS and reported to the Department of Health and Human Services, Office of Substance Use and Mental Health (“DHHS”) quarterly and annually through the PDX website as outlined in Article 6.2(2) above.

Article 8

BILLING REQUIREMENTS

8.1 Invoicing:

(a) The Contractor shall submit monthly invoices for services through the electronic billing system made available for that purpose. The Contractor shall only submit allowable costs, as described in Attachment C: Funding Allocation, Rate Table, and Budget. The Contractor shall include the following on each invoice:

(1) a detailed description of the services rendered;

(2) dates services rendered;

(3) contract number;

(4) uniquely identifiable invoice number;

(5) Contractor name;

(6) Contractor’s address for payment;

(7) Contractor’s phone number;

(8) Contractor’s signature; and

(9) expenses incurred as indicated by the line items in the attached budget.

(b) Invoices submitted without the required information will not be paid and will be returned to the Contractor for revision.

(c) Payments will be made through the State of Utah, Department of Administrative Services, Division of Finance Electronic Funds Transfer (“EFT”) system.

(d) Prior to the submission of invoices, the Contractor shall ensure it is enrolled in the EFT system. DHHS will provide the Contractor with instructions to enroll in the EFT system. Contractor shall ensure that their EFT approval is maintained and shall notify DHHS of any change to the EFT status.

(e) Failure to enroll in the EFT system will result in a delay of all payments until EFT is established.

(f) All payments made will be made in the name of the Contractor as it appears on the cover page. Any change must be submitted in writing to the DHHS Administrative Services Director.

(g) State Fiscal Year-End Billings. The state fiscal year is from July 1st through June 30th. The Contractor shall submit all billings for services performed on or before June 30th of a given fiscal year by July 14th of the following fiscal year, regardless of the Contractor’s billing period or the expiration or termination date of this contract. DHHS may delay or deny payment for services performed in a given fiscal year if it receives the Contractor’s bill for those services after July 14th of the following fiscal year.

(h) Funding Allocation, Budget, and Rate Table Attachment. If the Contractor is a Utah governmental entity, a funding allocation, budget, and rate table attachment issued by DHHS subsequent to this contract constitutes an amendment to this agreement. DHHS may issue a funding allocation, budget, and rate table attachment on its own initiative without need for the Contractor’s signature and it may likewise issue a funding, budget, and rate table attachment in response to a request from the Contractor. Funding allocation, budget, and rate table attachments may increase or decrease the funding available to the Contractor and will be issued by DHHS and sent to the Contractor. Funding allocation, budget, and rate table attachments may reference and contain federal terms that apply to specific federal funding provided pursuant to this agreement. If the Contractor is not a Utah governmental entity, this paragraph does not apply.

(i) Lapsing Funds: Any funds not expended by the end of the funding period for which they were allocated will lapse and the Contractor shall have no further claim to the funds.