Appendix A.pdf

1. Appendix A: Logic Model

Logic Model: PNS: National Center for HCBS Grassroots Advocacy

ULTIMATE OUTCOMES (these do not get measured): Through this project, ACL seeks to ultimately position the next generation of cross‐ disability, cross generational, and culturally diverse grassroots advocates as leaders and catalysts of systems change that hold states and/or providers accountable and responsive to stakeholder input. Through this project ACL envisions that strengthening grassroots advocacy will contribute to more people with disabilities:

Experiencing person centered planning / have personal preferences respected

Living in homes of their choosing

Living full lives in the community based on their choice and are connected to their community

Working in competitive integrated employment instead of in sub‐minimum wage/sheltered employment

Affecting state policies that change access to and quality of services and create more connections to their community

Being treated with dignity, respect, and are seen as knowledgeable about policy, services, systems, and supports

Being supported throughout their lifespan, starting in early childhood, to achieve the life of their choosing

Seeing themselves as knowledgeable about policy, services, systems, and supports and as agents of change

Being more visible in, more engaged, and connected to their community

Taking responsibility for their lives, for the services they are receiving, for creating change

Taking control of their destinies and of their lives Inputs Activities Outputs Outcomes

Resources and contributions.

ACL / AoD funding

HCBS Settings Rule

Data on the DCW shortage / surveys tracking trends in DCW

Tasks conducted by grantee’s staff, subcontractor or volunteers.

Activities are directly linked to outputs.

PROJECT MANAGEMENT AND

EVALUATION

Project plan NAAC Coordination, Guidance, and Oversight plan STAAC, LAAC, SPAG recruitment plan

Evaluation and reports

Products and services delivered.

Plans for managing the Center and partnerships

Recruitment plans

# of subcontracts

Evaluation plan

Progress reports

Annual progress report

Changes in individuals, agencies, systems, and communities.

Outcomes may be intended or unintended.

Initial / Immediate

Learning

Awareness

Knowledge

Attitude

Skills

Opinions

Aspirations

Intermediate

Action

Behavior

Practice

Policies

Social Action

Decision‐Making

Long‐Term

Conditions

Social

Economic

Civic

Environment

Strong, informed networks of

75P00124R00064 Page 176 of 186Appendix A

NCAPPS

DETAC

SARTAC

Current TA being provided on engagement in HCBS settings rule advocacy

National disability organizations that are connected to state and local disability organizations

AoD grantees

Existing advocacy tool kits

Existing peer to peer advocacy models (PIP)

Other ACL funded projects (SARTAC, NCAPPS 2.0)

SUSTAINABILITY

Identify funding sources (e.g.

grants, donations, partnerships)

Develop mutual aid networks

COALITIONS AND PARTNERSHIP

GROUP

Forms a National Advocacy and Action Coalition comprised of national disabilities organizations representing the AoD programs (IL, DD, PRC, TBI) and other disability‐led projects and organizations (e.g., SARTAC, ASAN)

Gap analysis / resource analysis

Identifies existing State and Local Advocacy and Action Coalitions; builds new ones here needed

Forms a State Agency Partnership Group

BUILDING NEXT GEN GRASSROOTS

ADVOCATES

Various activities of the center building advocacy knowledge capacity in focus areas (Person‐ centered competencies, consumer direction, and self‐ direction; Caregiver crisis;

Health and safety in community

# and diversity of organizations in the NAAC

# of new coalition members added overtime

Recruitment plan

# of STAACs and LAACs

Diversity of STAACs and LAACs members

# of new groups / individuals joining the advocacy and action coalitions

# of states partners

Gap analysis report

# of resources that are needed / missing

# of existing grassroots advocacy resources identified in each of the focus areas

# of stories of successful grassroots advocacy efforts

Identification of how to best reach people, particularly for those disconnected

# of innovative advocacy strategies identified

Motivations

Increase in the knowledge state and local grassroots advocates have of state systems, policies, and funding for services and supports and the state and local agencies that oversee / fund them

Increase in the knowledge support circles (parents, siblings, other family members, providers, teachers, etc.) have of the independent living philosophy

Increase in the number and diversity of individuals actively advocating and participating in coalitions

Increase in the number and diversity of advocates serving in leadership roles and participating in leadership training

Increase in the number of advocacy and action

Grassroots advocates use their knowledge of states services and keep states / providers accountable

Grassroots advocates use their knowledge of state systems and funding streams to navigate to the right state and local systems and advocate for changes in state and local level policies and services

Grassroots advocates leverage state and other resources to create new coalitions / new programs / new organizations to do peer to peer outreach and training on how to advocate for community living

Grassroots advocates understand how services are funded, provided, and knows the state and local agencies that funds services and supports

Grassroots advocates are organized in the cross‐disability, cross generational, and culturally diverse grassroots advocacy leaders who are connected through coalitions, are supporting each other, and using their skills and knowledge to advocate for improvements in access to and the quality of community living in their state / territory

75P00124R00064 Page 177 of 186Appendix A

Other policy documents:

ACA section 2402(a) Secretary Guidance on Person‐centered planning living; HCBS Settings Rule; Civil rights; and Community integration)

TA on leveraging state and other funds, creating new coalitions

Training/Resources using existing resources and creating new ones where needed (Webinars, Resources / toolkits;

Peer to Peer Learning at state, and local levels; Literature reviews)

Making connections to build coalitions through forums and peer to peer networking opportunities.

Creating and maintaining the Advocacy Resource Hub / website for sharing information and documenting

# Funding streams identified

Plan for the resources that can be replicated / need to be developed

# and variety of support / TA strategies

# of monthly meetings

# of Webinars

# of TA events

# of office hours

# of trainings

# of State action plans

# of TA resources / toolkits

# and type of forums

# of peer‐to‐peer activities / exchanges

# of existing resources leveraged

# of TA events / focus area

#, diversity and variety of participants

# of people with disabilities participating in TA activities (e.g., trained, accessing resources)

# of others participating in TA activities (family coalitions representing diverse populations

Increase in the number of state and local advocacy and action coalitions

Increase in the number of peer networks to provide training on how to advocate in the six focus areas

Increased ability of advocates to engage in state level system advocacy

Increase in the number of advocates actively working to affect system and policy changes at the state in the six focus areas to improve quality of life and community living opportunities for people with disabilities

Increase in the number of grassroots advocacy partnerships formed

Number of state and local policies improved

Number of grassroots advocates who become trainers of the Center / state and have a strategy for how to identify areas where change is needed at the state or local level and taking action to effect that change

People with disabilities are supported and centered by individuals in their support circle to advocate and make their own choices

State and local advocacy and action coalitions are sustained

State coalition relationships with grassroots advocacy coalitions are sustained

75P00124R00064 Page 178 of 186Appendix A members, providers, teachers, etc.)

# of grassroots advocates connected to leaders who are seeking to make changes in HCBS and assist with identifying areas for opportunity

Demographics of people participating in TA activities

Coalitions receiving TA

# of coalitions receiving TA

# of topics addressed

# of connections between coalitions

# of state and local agency leaders and other policy makers connected to the project and grassroots advocacy coalitions

# of state coalitions supported by State Agency Partnership Group

# of coalitions receiving TA on how to bring complaints forward via complaints and grievance processes

# of coalitions receiving TA addressing caregiver crisis

Advocacy Resource Hub / website train others (e.g., train the trainers)

75P00124R00064 Page 179 of 186Appendix A

# of unique visitors to website

Ease of navigability of site

Compliance with HHS rules

# of issues identified by the public on implementation of HCBS settings rule

# of resources on website

# and frequency of updates

75P00124R00064 Page 180 of 186Appendix A

SOURCE SELECTION SENSITIVE

NOT FOR PUBLIC RELEASE

Department of Health and Human Services, Program Support Center Past Performance Questionnaire

RFP Title: Grassroots project RFP Number: 75P00124R00064

Due Date: September 18, 2024 at 4:00pm Eastern Time Email completed questionnaire to: olivia.barksdale@psc.hhs.gov

Include as the subject of email: (Vendor name), Past Performance Questionnaire for RFP# 75P00124R00064

Contractor Name:

EVALUATOR INFORMATION

Commercial Client Government Client Name:

Address:

City State Zip Code Project Name:

Contract Number/Order Number: __ _________________________________________

Performance Period: Total Contract Value (including base & all options):

Government or Commercial Project Manager Contact

Alternate Government or Commercial Project Manager Contact

Name: Name:

Title: Title:

Phone number: Phone number:

Fax number: Fax number:

E-mail address: E-mail address:

PART 1: SPECIFIC PERFORMANCE

Instructions: This part consists of an open-ended question to determine the scope, complexity, and relevance of the project to the current requirement.

1. Contract Effort Description

75P00124R00064 Page 181 of 186Attachment J.1