Presented by: Anna Allard, Grants Manager andLaura Moyer, Program Analyst

Agenda CMSP History & Initiatives About CERG Who Can Apply Award Methodology Application Walk-Through

Target Populations Examples of Allowable Expenses Data and Reporting

Submission Dates and Criteria Scoring Grant Agreement Application Assistance Questions?

Key Acronyms

Acronym MeaningCERG COVID-19 Emergency Response GrantCMSP County Medical Services ProgramFPL Federal Poverty LevelFTE Full-time EquivalentPPE Personal Protection EquipmentRFA Request for Applications

About CMSP Established in 1983 to provide

health care services to indigent adults

Composed of 35 counties across California and managed by a Governing Board

CMSP members are medically indigent adults, ages 21-64, who are not otherwise eligible for Medi-Cal or Covered California and their incomes are under 300% FPL.

Additional CMSP Initiatives COVID-19 Clinic Bridge Loans Path to Health

Provides access to primary care for up to 25,000 undocumented adults who are enrolled in an emergency services only (restricted scope) Medi-Cal program aid code and reside in one of the 35 CMSP counties

Local Indigent Care Needs Grant CMSP Health Systems Development Grant Program Wellness and Prevention Grant Program Workforce Development Efforts

Allied Health Loan Repayment Program CMSP Loan Repayment Program

About CERG CERG Grants support CMSP counties in responding to the COVID-19

pandemic emergency through the provision of funding to expand the delivery of services that support local preparedness, containment, recovery and response activities in CMSP counties affected by the novel coronavirus.

Examples of Emergent Needs Include: Personal Protection Equipment (PPE), Healthcare Equipment and Supplies Supportive Quarantine Services Public Employees Needed for Emergency Response Non-profit Human Services Providers Needed for Emergency Response Public Information and Outreach

Who Can Apply Eligible applicants are limited to the following CMSP county agencies:

County Health and Human Services Agency County Health Department County Public Health Department County Office of Emergency Services

Only one application will be considered from each CMSP county. County agencies must collaborate and submit one application per county. Multiple applications from a county will not be considered.

Award Methodology

Award Methodology Available as a one-time, single grant award with project

implementation lasting no more than 12 months The maximum amount of funding available to each participating CMSP

County is presented in APPENDIX A of the RFA. Total funding provided by the Governing Board for the COVID-19

Emergency Response Grant Program may equal up to $10,145,976 for a 12-month grant period.

Appendix A – Maximum Funding Amount by

CMSP CountyAll documents are located on the CMSP website: https://www.cmspcounties.org/covid-19-county-grants/

Required Documentation - Downloads

All documents are located on the CMSP website: https://www.cmspcounties.org/covid-19-county-grants/

CERG Application Requirements Required Form: Appendix C – CERG Cover Sheet Required Form: Appendix D – CERG Request Form Required Form: Appendix E – CERG Budget Template

All documents are located on the CMSP website: https://www.cmspcounties.org/covid-19-county-grants/

Appendix C - CERG Program Cover Sheet

All documents are located on the CMSP website: https://www.cmspcounties.org/covid-19-county-grants/

Appendix C - CERG Program Cover Sheet

• If your county does not have a CAO, please have your County’s designated authorized official sign the Cover Sheet.

• All documents are located on the CMSP website: https://www.cmspcounties.org/covid-19-county-grants/

Appendix D - CERG Request Form

Target Population

All documents are located on the CMSP website: https://www.cmspcounties.org/covid-19-county-grants/

Target Population All projects MUST target one or more of the following populations:

Uninsured and/or underinsured low-income adult residents seeking health care services and supports in response to COVID-19 conditions

Specific low-income population groups in the county, including adults, identified as most at risk of COVID-19 conditions based upon current county data on risk and need

Publicly supported low-income adult populations, including those on CMSP, Path to Health, Medi-Cal and/or Medicare, seeking health care services and supports in response to COVID-19 conditions

Low-income adult residents with existing health or behavioral health conditions that have housing and/or transportation challenges that impede their ability to obtain necessary health care services and/or necessary shelter to address COVID-19 conditions

Target Population Continued… Projects do not need to only support CMSP members or CMSP-eligible

members. Uninsured or underinsured adults 18+ as defined in the previous slide

may be served under this effort.

How do I identify and describe my target population? Your target population should align with at least one of the 4

populations listed in the RFA. Applications should include:

A description of your target population. Descriptors include age, race, and income-level.

Describe your target population’s immediate needs. Describe how your target population has been directly or indirectly

affected by COVID-19. Estimate the number of individuals your organization plans to serve under

the CERG grant.

What data should I provide to describe my target population(s)’s need? Local data is needed to justify your program’s need. Your data should directly relate to the target population(s) identified. Examples of local data include:

Community Health Assessments Census Data Point-in-Time Homeless Count Data Electronic Health Record Data

Example of a Complete Target Population Response (Sections 2.A.)

Example of a Complete Target Population Response (Sections 2.B.)Shasta County citizens who are homeless are at a higher risk of the Covid-19 virus due to a higher likelihood of pre-existing health conditions. This population fits three of the above populations as they may be uninsured or underinsured, lack support services, are identified as higher risk, and often have transportation and struggles accessing health and housing resources.

Shasta Community Health Center’s HOPE van has seen 127 homeless patients with COPD-lung issues in the past 90 days, and 86 homeless patients over the age of 65. These numbers are indicative of the high need for hotel services for at-risk homeless individuals.

Shasta County HHSA’s HMIS reports show that over the past three years, 56% of our clients suffer from chronic health conditions. Our 2019 PIT counted 434 unsheltered homeless individuals. If we use the same formula, 243 of our unsheltered homeless have chronic health conditions and would be at-risk for Covid-19.

Appendix D - CERG Request Form

Proposed Partner Organizations

All documents are located on the CMSP website: https://www.cmspcounties.org/covid-19-county-grants/

What information do I need to include about my key partners? What is each key partner’s role and responsibility on the project? Are they going to be receiving funding from this grant? If so, how will

these funds be distributed? Will your key partners be responsible for any aspects of data collection?

How will your organization manage this data?

Example of a Complete Proposed Partner Organizations Response (Section 3)

Shasta County Housing & Community Action Programs (SCHCAP) is currently taking the lead on the Project Roomkey emergency funding for hotel vouchers for our homeless at-risk population. They will utilize CERG additional funds to increase hotel capacity for those in need. All those served by these funding sources will be input into the Housing Management Information System (HMIS) for data collection purposes.

Funds will be allocated to the Shasta County Health and Human Services Agency (HHSA) to work in collaboration with Shasta Community Health Center (SCHC) and SCHCAP to provide wrap-around services for our most vulnerable homeless citizens. Partial funds will be distributed to the SCHC to provide a full-time case manager, referral coordinator, part-time clerical assistance, and supervisory oversight. They will also provide hygiene items as needed. HHSA will receive funds to provide a driver, and a part-time data analyst to assist with reporting and data collection. Administrative expenses will be split between SCHC, SCHCAP, and HHSA.

Appendix D - CERG Request Form

Budget Request

All documents are located on the CMSP website: https://www.cmspcounties.org/covid-19-county-grants/

Personal Protection Equipment (PPE), Healthcare Equipment and Supplies Items such as:

Facemasks, gowns, hand sanitizer, and similar supplies Equipment needed to assist public employees, local health care providers,

non-profit human services providers, and first responders in responding to the COVID-19 pandemic.

Supportive Quarantine Services Items for uninsured or underserved populations including:

Hotel vouchers Rent Food Personal hygiene supplies

Frequently Asked Questions:Supportive Quarantine Services Can we fund hotel/motel vouchers to house clients?

Yes, this is an allowable expense.

Can we purchase an RV or Trailer with CERG funds to house clients? No, CERG funds cannot be used to pay for an RV or Trailer.

Can we use CERG funds to pay for cleaning or damages caused by clients we are housing? No, CERG funds cannot pay for penalties or fines incurred by clients.

Can we use CERG funds to pay for food? Yes. Food is limited to $15/a meal per person.

Can we use CERG funds to pay for pet boarding or pet supplies that belong to our clients? No, CERG funds cannot pay for pet boarding or pet supplies.

Frequently Asked Questions:Supportive Quarantine Services (cont.)

Public EmployeesNeeded for Emergency Response Expenses May Include:

Salary and fringe benefits for existing employees or new limited term employees of CMSP county public health, health care, and behavioral health departments required to support and provide assistance to low-income individuals affected by the COVID-19 pandemic

Non-Profit Human Services Providers Needed for Emergency Response Expenses May Include:

Community-based non-profit organizations providing emergency support to low-income individuals affected by the COVID-19 pandemic, including salaries and fringe benefits for existing or new limited-term employees

Public Information and Outreach Expenses may include items that assist in the development of public

messaging regarding COVID-19 services and emergency response, including: Radio Print Digital media or other means of communication

Other funding and identified gaps example (Section 4.B) Aside from $309,000 Project Roomkey emergency funding, Shasta County homeless service providers have not received additional funding to address the COVID-19 pandemic for the vulnerable homeless in our community. Although those funds will assist with the costs of motels and food for those citizens, we expect a shortfall of costs. In addition, staffing to serve the homeless in hotels as well as provide accurate documentation is lacking. Some gaps we are experiencing are because many staff are either working from home due to health conditions or not working at all because of child care issues. CERG funding will fill a staffing gap for our community, and provide additional hotel funding to assure adequate coverage.

Section 4.C. - Explaining Costs It is important to justify any planned expenses in Section 4.C. of the

Request Form. All cost estimates should relate to the number of individuals you expect

to serve. Example: An applicant plans on serving 300 individuals through

supportive quarantine services, but only designates $2,000 for food, hygiene supplies, and rent costs. This number is not enough to serve that many individuals, and needs further explanation.

Appendix B - CERG Allowable vs.

Unallowable ExpensesAll documents are located on the CMSP website: https://www.cmspcounties.org/covid-19-county-grants/

Appendix B - CERG Allowable vs.

Unallowable ExpensesAll documents are located on the CMSP website: https://www.cmspcounties.org/covid-19-county-grants/

Appendix B - CERG Allowable vs.

Unallowable ExpensesAll documents are located on the CMSP website: https://www.cmspcounties.org/covid-19-county-grants/

Appendix D - CERG Request Form

Data Collectionand Reporting

All documents are located on the CMSP website: https://www.cmspcounties.org/covid-19-county-grants/

What should I include in my data collection & reporting? Data collected from your grant should benefit your county by

providing insight for future projects. Data collected should be directly tied to your desired outcome

measures. Outcome measures should be specific and quantifiable. Applicants will need to identify who will be responsible for collecting

and reporting on data.

Example of a Complete Data Collection and Reporting Response (Section 5)

Data collected for this project will include but not be limited to:• Number of referrals received for hotel assistance• Number of clients accepted for hotel assistance• Number of clients served in hotels

Shasta County Health and Human Services Agency Economic Mobility Branch will be responsible for preparing the required progress and expenditure reporting. This task will be assigned to a current Staff Services Analyst. Both agencies will work closely together to monitor data and assure reports are accurate and timely.

All documents are located on the CMSP website: https://www.cmspcounties.org/covid-19-county-grants/

SubmissionInstructions

CERG Program – Important Dates

• All Grantees must complete an Interim report detailing progress and expenditures during the first six-months of project implementation and a Final report detailing progress and expenditures from the last six-months of project implementation.

04/10/2020 CERG Grant Program Applications Accepted (rolling deadline begins)04/20/2020 Beginning of Grant Agreements (approvals continue on a rolling basis)08/31/2020 DEADLINE EXTENDED: CERG Grant Application Deadline by 5:00 PM PST

Submission Instructions and Requirements Applications may be submitted on a rolling basis, beginning April 10, 2020

and may be submitted at any time through August 31, 2020 at 5:00 PM PST.

All applications must be submitted via email to grants@cmspcounties.org. Please include the County Name and “CERG Application” in the subject

line of the email.

Formatting Please submit the required documents in the following format:

Appendix C – Cover Sheet Submit an Excel copy and a signed PDF scanned copy

Appendix D – Request Form Submit in Word

Appendix E – Budget Template Submit in Excel

Scoring Criteria CERG program applications will be reviewed for completeness

in the following areas: Summary of Proposed Grant Funded Activities: Description of specific needs to be addressed with grant funding Description of target populations to be served Description of anticipated organizations that will receive funding -

eligible county departments and non-profit organizations Description of anticipated services, staff and/or supplies that will be

provided by each organization that receives funding (either directly or through subcontract)

Scoring Criteria Continued… Budget Request: Description of proposed use of Grant funds for services, staff and

supplies and expected outcomes for each type of expenditure Budget (in accordance with Budget template) Description of other COVID-19 funding sources and identified gaps

Data Collection: Description of expected data to be collected to demonstrate impact of

services provided

Agreement Processing CERG applications do not require proof of approval by your County

Board of Supervisors. Fund Distribution of Grant Agreement:

50% of funds paid upon agreement execution 40% of funds paid upon receipt of Interim Progress and Expenditure

Report 10% of funds paid upon receipt of Final Progress and Expenditure Report

Application Assistance If you have questions about the application process, please contact

Anna Allard using the contact information below:Anna Allard, Grants Manager

aallard@cmspcounties.orgWork: (916) 649-2631 x120

Staff will not review entire draft proposals, only project ideas.

Power Point slides will be posted on the CMSP website by Friday June 5, 2020.https://www.cmspcounties.org/covid-19-county-grants/

Questions?