Kate Burnett Program Manager Ryan White Part A Program Monitoring

Transcription

1 Kate Burnett Program Manager Ryan White Part A Program Monitoring 1

2 Ryan White Part A Program Monitoring The HRSA/HAB National Monitoring Standards Local Service Definitions Local Standards of Care Ryan White Part A Program Monitoring The HRSA/HAB National Monitoring Standards Designed to help Ryan White HIV/AIDS Program Part A and Part B grantees comply with federal requirements on proper use of federal grant funds The National Monitoring Standards provide a single document that provides direction and advice to grantees for monitoring both their own work and the performance of service providers 2

3 Ryan White Part A Program Monitoring The HRSA/HAB National Monitoring Standards The National Monitoring Standards include three documents: Universal Monitoring Standards covering both fiscal and program requirements that apply to both Part A and Part B Fiscal Monitoring Standards separate versions for Part A and Part B Program Monitoring Standards covering each service category separately with separate versions for Part A and Part B Ryan White Part A Program Monitoring The HRSA/HAB National Monitoring Standards Each Standard has four related components: Performance Measures and Methods to determine whether the standard is being met - action to take and data to collect and analyze Grantee Responsibility for meeting each standard suggested actions, and data requirements for the grantee Provider/ Sub grantee responsibility for meeting the standard suggested actions the provider/sub grantee should be expected to take and data to be collected and maintained Citations that provide the source for each standard legislation, federal regulations, federal or HRSA/HAB Policy, and guidance so users are able to find and review the source document that specifies the requirement. 3

4 Ryan White Part A Program Monitoring The HRSA/HAB National Monitoring Standards Ryan White Part A Program Monitoring Local Service Definitions Are established by the Grantee Have to, at minimum, mirror the national service definition restrictions and can be more narrow depending on funding restrictions and regional gaps in service. 4

5 Ryan White Part A Program Monitoring Local Service Definitions Ryan White Part A Program Monitoring Local Standards of Care Are created by the Regional Planning Council with assistance from the Grantee In addition to the federal service requirements, the Local Standards of Care put in place additional requirements as defined by the Regional Planning Council 5

6 Ryan White Part A Program Monitoring Local Standards of Care Ryan White Part A Program Monitoring Annual Monitoring Site Visit Process Purpose: Grantee is required to conduct monitoring site visits with each subgrantee on an annual basis. Prior to the Visit: The Grantee will send each agency: Official notification including dates of the visit and estimated number of staff that will be attending Attachment A - Fiscal Monitoring Site Visit Checklist Attachment B - Program Monitoring Site Visit Checklist Attachment C Random Sample Client List 6

7 Ryan White Part A Program Monitoring Annual Monitoring Site Visit Process Following the Visit: Grantee will provide a written report to your agency within 30 days of completion of the site visit. If significant findings are recorded, the grantee will conduct additional site visits as necessary. Monitoring Performance Scale: Quality Score Quality Rating Follow-up Action % Excellent No Action Required 80-89% Effective No Action Required 70-79% Moderate Deficiencies Written QI Plan required 69% and below Significant Deficiencies Probationary period put in effect. QI plan required and services will be re-monitored Ryan White Part A Program Monitoring Annual Monitoring Site Visit Process Random Sampling: The sample population is randomly selected from a pool of unduplicated Ryan White Part A clients who received services within each funded service category. As estimated sample size is: # of unduplicated clients in the service category 50 clients or fewer 51% - 100% clients 25% - 50% clients 10% 1,000 clients 3% - 5% % of charts selected for the random sample Please note that this year we may be adjusting your sample size based on previous performance data. 7

8 Ryan White Part A Program Monitoring FY2015 Monitoring Tools Fiscal Monitoring Tool Program Monitoring Tool Quality Tools Ryan White Part A Program Monitoring FY2015 Fiscal Monitoring Tool 8

9 Ryan White Part A Program Monitoring FY2015 Program Monitoring Tool Ryan White Part A Program Monitoring FY2015 Program Monitoring Tool 9

10 Ryan White Part A Program Monitoring FY2015 Program Monitoring Tool Ryan White Part A Program Monitoring FY2015 Quality Tools 10

11 Ryan White Part A Program Monitoring FY2015 Quality Tools Ryan White Part A Program Monitoring FY2015 Monitoring Tools 11

12 Ryan White Part A Program Monitoring FY2015 Monitoring Tools Data and Resources 12

13 Data - Regional Resources Ohio Department of Health 13

14 Data - Regional Resources Ohio Department of Health Data - Regional Resources CDPH - HIV/AIDS Surveillance Reports 14

15 Data - Regional Resources CDPH - HIV/AIDS Surveillance Reports Data - Regional Resources CCBH Website Resources: 15

16 Data - Regional Resources CCBH Website Resources: Data - Regional Resources CCBH Website Resources: 16

17 Cleveland TGA RSR and CAREWare Data In FY2014 Ryan White Part A Cleveland served a total of 3,017 HIV positive individuals throughout the six county region. Cleveland TGA RSR and CAREWare Data Gender Female 24% 52% Part A Male 48% 75% General Population Transgender 1%

18 Cleveland TGA RSR and CAREWare Data Age % 15% % 9% Part A % 37% General Population % 52% 65+ 4% 14% Cleveland TGA RSR and CAREWare Data Race / Ethnicity Hispanic 5% 10% White 40% 71% Part A Black or African Americal 20% 58% General Population

19 Cleveland TGA RSR and CAREWare Data Household Income 67% 21% 7% 5% < 100% FPL % FPL % FPL > 301% FPL Cleveland TGA RSR and CAREWare Data Housing/living Arrangements 89% 4% 5% Stable / Permanent Non-permanently Housed Unknown/Unreported 19

20 Cleveland TGA RSR and CAREWare Data % 0% Medical Insurance 64% 27% 9% Cleveland TGA RSR and CAREWare Data HIV/AIDS Status 60 55% 50 44% HIV+, Not AIDS 1% HIV+, AIDS Status Unknown CDC Defined AIDS 20

21 Cleveland TGA RSR and CAREWare Data Risk Factors % 5% 1% 35% 1% * Totals include those that received OAMC services n=1,721 Cleveland TGA RSR and CAREWare Data County County of Residence Total PLWH/A Total RW Part A Part A out of PLWH/A Ashtabula % Cuyahoga 4,098 2,650 65% Geauga % Lake % Lorain % Medina % Totals: 4,670 3,017 65% * ODH prevalence data as of December 31,

22 Cleveland TGA RSR and CAREWare Data Service Category Core Service Category Utilization Unduplicated Clients Outpatient Ambulatory Medical Care (OAMC) 1,721 57% Local Pharmaceutical Assistance Program (LPAP) 2 0% Oral Health % Early Intervention Services (EIS) 216 7% Home Health Services 31 1% Home and Community-Based Health 24 1% Hospice Services 4 0% Mental Health Services 110 4% Medical Nutrition Therapy 246 8% Medical Case Management 2,005 66% Substance Abuse Outpatient 13 0% Percentage of Total Served Cleveland TGA RSR and CAREWare Data Service Category Support Service Category Utilization Unduplicated Clients Case Management Non-Medical % Emergency Financial Assistance 76 3% Food Bank / Home-Delivered Meals % Legal Services 259 8% Medical Transportation Services 1,290 43% Outreach Services % Psychosocial Support 176 6% Substance Abuse Residential 7 0% Percentage of Total Served 22

23 Cleveland Ryan White Part A Treatment Cascade Cleveland Ryan White Part A Treatment Cascade January 1, 2014 December 31, ,500 3,000 2,500 2,000 1,500 1, ,026 Rec'd a Service 1,897 Linked to Medical Care Prescribed ART 1,473 63% 84% 78% Virally Suppressed 23

24 Cleveland Ryan White Part A Treatment Cascade Cleveland TGA Viral Load Data 78% of eligible clients receiving Ryan White Part A Medical Services in the Cleveland TGA were virally suppressed. Nationally, of the 1.1 million Americans living with HIV, only 25% are virally suppressed. (CDC National HIV Surveillance System and Monitoring Project, 2011) Cleveland Ryan White Part A Treatment Cascade - Viral Load Suppression by TGA County: Ashtabula County = 81% Cuyahoga County = 71% Geauga County = 70% Lake County = 87% Lorain County = 66% Medina County = 95% City of Cleveland = 70% City of Lorain = 69% 24

25 Cleveland Ryan White Part A Treatment Cascade Viral Load Suppression by City and Zip: City Zip % Suppressed > 75 Cleveland % X Lakewood % X Lorain % X Cleveland % X Cleveland % X Cleveland % X Cleveland % X Cleveland % X Cleveland % X Cleveland % X East Cleveland % X Elyria % X Maple Heights % X Parma % X Mentor % X South Euclid % X Westlake % X Cleveland % X Cleveland % X Cleveland Ryan White Part A Treatment Cascade Viral Load Suppression by City and Zip: City Zip % Suppressed Cleveland % Lakewood % Lorain % Cleveland % Cleveland % Cleveland % Cleveland % 25

26 Ryan White Part A Cleveland TGA Ryan White Part A FISCAL 26

27 Fiscal Topics Super Circular Changes Review 10% costs changes Cost Allocation plans Approved Budget Invoices to include supporting documentation Super Circular Changes are effective December 26, 2014 Why was it created? - To streamline requirements and promote greater clarity and consistency across all OMB Circulars. - This consolidation is a component of a larger federal effort to improve accountability for expenditures of federal money by placing a greater emphasis on performance over compliance. It is each individual subgrantee s responsibility to review how these changes are applicable to there own entity. 27

28 10% Administrative costs What has changed? - Facilities expenses such as rent, maintenance, utilities, etc. related to core medical or support services provided to RW Part A clients - Electronic medical records, maintenance, licensure, annual updates, data entry related to RW Part A - Receptionists time providing direct RW Part A patient services - Supervisor s time devoted to providing professional oversight and direction regarding RW Part A funded core medical and support services Cost Allocation Plans Allocations allow expenses to be appropriately charged to cost centers, object classes, funding sources, etc. A cost is allocable to a subgrantee s project/program based on the benefits received by the project. Some costs that may be allocated to programs are Administrative salaries, rent, utilities, copier usage, telephones, etc. When allocating costs the subgrantee must have a system of internal controls over the records that: Justify the cost Reasonable over the long term Enter into the record on a timely manner Consistent Auditable 28

29 Cost Allocation Plans Cont d. When allocating costs, common methodologies should be considered. Examples: Personnel Administration FTE s Rent Square Footage Utilities Square Footage No shared costs will be reimbursed to a subgrantee without an approved allocation plan. Fiscal Overview Approved Budgets Submitting Invoices Supporting Documentation 29

30 Approved Budgets Expenditures can fall into one or more of the following categories: Cost Reimbursement established with RW, documentation required monthly Fee Schedule (Medicaid/Medicare) ensure RW has a copy send new rates as changes occur Certified Unit Rate established with RW, documentation required one time Certified by an accounting firm * Agency will receive notification of approval COST REIMBURSEMENT Use approved budget to complete supporting forms For each service provided, complete separate Direct Services from Administrative Costs Provide back-up documentation for each cost reimbursement requested 30

31 Financial Report Customized Report required for each month with invoice Submitted per date stated in contract incomplete or late reports will delay payment All fields/cells will automatically populate you will be required to enter in the Current Expenditure column Add program income where applicable Sign and date Agency: Date: Ryan White Part A - Cleveland TGA Fiscal Checklist The following are to be included in your monthly fiscal paperwork: r Cover Sheet, amount requested, signed & dated on company letterhead r Monthly Financial Report Form, signed & dated r Cost Reimbursement: Support documentation for each service provided o Payroll, Proof of payment, bills, etc. o Supplemental reports Labs, LPAP, EFA, EIS, Outreach and Medical Transportation DIRECT r Cost Reimbursement: Support documentation for each service provided o Payroll, Proof of payment, bills, etc. o Supplemental reports Labs, LPAP, EFA, EIS, Outreach and Medical Transportation ADMINISTRATIVE r CAREWare and service level reports o CAREWare generated Financial Report o CAREWare Fee For Service Detail Custom Report r Submit via to RWinvoices@ccbh.net r subject line to read: Provider Name, Invoice Month, Date ( ) 31

32 Invoice On Agency Letterhead April 10, 2015 Ms. Melissa Rodrigo Cuyahoga County Board of Health 5550 Venture Drive Parma, OH Dear Ms. Rodrigo, Attached please find out FY2014 Ryan White Part A Financial Report for the period of 2015 to 2015 in the amount of $. All supporting documentation is attached. Please make check payable to: Provider Name 123 Ryan Drive Cleveland, OH Sincerely, Name of individual submitting Monthly Financial Report Form Monthly payment request MUST match total on cover letter. All back-up documentation must total amount requested on cover letter Providers to fill in Current Expenditures only Sign & date in lower left corner 32

33 MONTHLY FINANCIAL REPORT FORM Due Date: 10th day of the month Ryan White Part A - Fiscal Services 5550 Venture Dr. Parma, OH A. Service Provider: Sample Service Agency (Ph) (FAX) B. Report Period Ending: March 31, 2015 D. Grantee: CCBH Street Address: 5550 Venture Drive City, State Zip: Parma, Ohio C. [ ] Check Box/Marked "F" if Final Report for this Grant. E. Providing Agency: Sample Service Agency Street Address: Sample Dr. Monthly Payment Request: $ 3, City, State Zip: Cleveland, Ohio F. BUDGET COST Core Services Support Services G. PAYMENT H. APPROVED I. CURRENT J. PRIOR YTD K. TOTAL YTD L. AVAILABLE RATE BUDGET EXPENDITURES EXPENDITURES EXPENDITURES BALANCE OAMC FEE $100, , Primary Care RN Labs Oral Health Services FEE $10, , Mental Health Services Unit Rate $10, , , , Medical Transportation FEE $2, , Outreach CR $10, , Psychosocial Support Services CR $10, , Case Management (non-medical) CR $10, , TOTAL COST $ 162, $ 3, $ - $ 3, $ 158, M. PROGRAM INCOME CURRENT PROGRAM INCOME ACCRUED YTD PROGRAM INCOME ACCRUED PROGRAM INCOME - I CERTIFY THAT ALL TRANSACTIONS REPORTED ABOVE HAVE BEEN MADE IN COMPLIANCE WITH ALL APPLICABLE STATUTES AND REGULATIONS AND IN ACCORDANCE WITH THE APPROVED CONTRACT. Signature: Date: Typed Name and Title: * EXPENSES SHOULD BE TRACKED AND DETAILED SUMMARIES WILL BE PROVIDED TO THE GRANTOR AT THE CLOSE OF THE GRANT YEAR. Report Reviewed and Approved By Internal Use Only: MONTHLY FINANCIAL REPORT FORM Due Date: 10th day of the month Ryan White Part A - Fiscal Services 5550 Venture Dr. Parma, OH A. Service Provider: Sample Service Agency (Ph) (FAX) B. Report Period Ending: April 30, 2015 D. Grantee: CCBH Street Address: 5550 Venture Drive City, State Zip: Parma, Ohio C. [ ] Check Box/Marked "F" if Final Report for this Grant. E. Providing Agency: Sample Service Agency Street Address: Sample Dr. Monthly Payment Request: $ 3, City, State Zip: Cleveland, Ohio F. BUDGET COST Core Services Support Services G. PAYMENT H. APPROVED I. CURRENT J. PRIOR YTD K. TOTAL YTD L. AVAILABLE RATE BUDGET EXPENDITURES EXPENDITURES EXPENDITURES BALANCE OAMC FEE $100, , Primary Care RN Labs Oral Health Services FEE $10, , Mental Health Services Unit Rate $10, , , , , Medical Transportation FEE $2, , Outreach CR $10, , , Psychosocial Support Services CR $10, , , Case Management (non-medical) CR $10, , , TOTAL COST $ 162, $ 3, $ 3, $ 7, $ 154, M. PROGRAM INCOME CURRENT PROGRAM INCOME ACCRUED YTD PROGRAM INCOME ACCRUED PROGRAM INCOME - I CERTIFY THAT ALL TRANSACTIONS REPORTED ABOVE HAVE BEEN MADE IN COMPLIANCE WITH ALL APPLICABLE STATUTES AND REGULATIONS AND IN ACCORDANCE WITH THE APPROVED CONTRACT. Signature: Date: Typed Name and Title: * EXPENSES SHOULD BE TRACKED AND DETAILED SUMMARIES WILL BE PROVIDED TO THE GRANTOR AT THE CLOSE OF THE GRANT YEAR. Report Reviewed and Approved By Internal Use Only: 33

34 Direct/Administrative Forms for Cost Reimbursement Services Ryan White Part A Medical Case Management - Direct Servcies Care Hospital Ryan White Part A Medical Case Management - Administrative Services Care Hospital Reporting Month: Reporting Month: Operating Agency: Care Hospital Program: Medical Case Management Operating Agency: Care Hospital Program: Medical Case Management Contract Time of Performance: Contract Time of Performance: Cost Categories on Approved approved budget Budget Personnel $ - Cost incurred Costs Incurred Available This Month to Date Balance $ - $ - $ - Cost Categories on Approved approved budget Budget Personnel $ - Cost incurred Costs Incurred Available This Month to Date Balance $ - $ - $ - Program Materials $ Program Materials $ Office Supplies $ Office Supplies $ Overhead (Phones) $ Overhead (Phones) $ Travel $ Travel $ Other (Postage/Copies) $ Other (Postage/Copies) $ Total $ - $ - $ - $ - Total $ - $ - $ - $ - Documentation Samples Service Summary Chart Personnel - Payroll documentation for staff (monthly). Supplies - Provide documentation of costs incurred receipts/chargebacks (monthly). Overhead Phones - Provide bills and receipts or chargebacks (monthly). Travel - Provide a Travel summary for costs incurred (monthly) Other Postage/copies - Provide bills and receipts or chargebacks of costs incurred (monthly). Documentation Samples Service Summary Chart Personnel - Payroll documentation for staff (monthly). Supplies - Provide documentation of costs incurred receipts/chargebacks (monthly). Overhead Phones - Provide bills and receipts or chargebacks (monthly). Travel - Provide a Travel summary for costs incurred (monthly) Other Postage/copies - Provide bills and receipts or chargebacks of costs incurred (monthly). CAREWare Reports CAREWare Financial report CAREWare Subservice Detail report 34

35 CAREWare and the Ryan White Part A Program CAREWare Fiscal Reports 35

36 CAREWare Continued CAREWare and the Ryan White Part A Program Financial Report 36

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40 CAREWare and the Ryan White Part A Program CAREWare and the Ryan White Part A Program We have tried to create a system where you will be pulling two reports out of CAREWare on a monthly basis and submitting it with your invoices. Monetary totals have been added to your CAREWare agency contracts where applicable. Agencies will need to work to enter data in real time as to not delay monthly invoicing. 40

41 CAREWare and the Ryan White Part A Program Additional information where applicable: Agencies may still need to submit an excel spread sheet with the following information that is not collected in CAREWare: Lab procedures Local Pharmaceuticals Assistance Program (LPAP) Drugs Emergency Financial Assistance (EFA) Drugs. Early Intervention report Outreach report Medical Transportation report If applicable, a sample spreadsheets are included on your flash drive. Supplemental Reports Lab services under OAMC, Local AIDS Pharmaceutical Assistance Program (LPAP), or Emergency Financial Assistance (EFA): You will also need to maintain a monthly spreadsheet that includes the following information: Service Category Name Client URN (CAREWare ID) Date of Service Name of drug or lab service performed. * This spreadsheet should match the total number of units that you have entered into CAREWare and be submitted with your financial package on a monthly basis. * Where applicable, a sample spreadsheet has been provided on your FY2015 flash drive. 41

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44 CAREWare and the Ryan White Part A Program Additional information where applicable: Some larger institutions might not have all the information that they need to process charges from certain categories in the month of service. Service activities should still be entered into CAREWare reflecting the true date of service but a supplemental spreadsheet will have to be submitted adding the services that were not previously included. Spreadsheets should include: Service Category Client URN Date of Service Name of Drug and/or Lab If applicable, a sample spreadsheet is included on your flash drive. CAREWare and the Ryan White Part A Program 44

45 CAREWare and the Ryan White Part A Program Beginning with your March 1, 2015 Invoice you will need to have the following prepared through CAREWare or in relation to client level service data: All service level data entered into CAREWare by agreed upon internal deadline CAREWare generated Financial Report reflecting invoicing period The Fee For Service Detail Custom Report reflecting invoicing period Where applicable: An excel spreadsheet detailing service detail not captured in CAREWare (Lab, LPAP and EFA only) Where applicable: An excel spreadsheet detailing services entered into CAREWare from previous invoice periods (Lab, LPAP and EFA only) Beginning with your March 1, 2015 Invoice you will need to have the following prepared and submitted with invoices monthly: Early Intervention monthly report Outreach Monthly report Medical Transportation Inventory report 45

46 Submitting Monthly Invoices & Paperwork Submit via In PDF: Cover Page, signed Financial Report, signed Support Documents payroll, proof of payment bills, etc. CAREWare reports Financial report and Service Detail report Supplemental reports - Labs, LPAP, EFA, EIS, Outreach and Medical Transportation If you submit any hard copy, the same documents are required electronically, Attention: J. Lewison all documents to Rwinvoices@ccbh.net subject line should read: Provider Name, Invoice month, Date submitted( ) Information Invoices are submitted for payment once a clean and correct version is received. There is a 30 day turn around time from the date a clean invoice is submitted for payment until the check is mailed out to the provider Make sure that all back-up documentation is included with your invoicing, if not, this will delay processing for payment 46

47 Invoice Highlights Invoice match approved budgets Ensure using newest budget FTE % match approved budgets Backup documents match what is being charged or add % on paperwork so identifiable Sign invoice and FR Ensure totals match Customize DS and Administrative sheets to approve budgets Resubmit entire invoice if documentation is wrong Timely invoices to get PC data Submit to new Ongoing Communication with Grantee Office Staffing vacancies report within 3 days of vacancy New staff require job descriptions, credentials and resumes Ensure staff meet requirements within Local Standard of Care Report Expenditure updates under and over spending - ongoing Audits and management letters in accordance with the A-133 requirements Invoice late submittal must obtain approval 47

48 Melissa Rodrigo Supervisor Fiscal Overview Molly Kirsch Program Manager 48

49 Client Eligibility Update Updated Policy- Vigorously Pursue Updated application- MAGI Electronic Eligibility Eligibility- Vigorously Pursue Every reasonable effort to ensure uninsured clients are screened for eligibility in all possible public and private insurance options. Agency policies and protocols to ensure: 1. Vigorously pursue; 2. Clients informed of consequences of not enrolling; 3. Outline- required process for pursuit of enrollment in health care coverage; 4. Uniform process documentation; easily accessible to monitors; and 5. Eligibility protocols- uniformly and consistently implemented. 49

50 Ryan White- Keep Client In Care If after extensive documented agency efforts, a client remains un-enrolled in healthcare coverage, the client may be served Follow agency policies and protocols Document, Document, Document Electronic Eligibility Agencies upload eligibility documents to CAREWare Attachment Tab (new). Purpose- To ease the burden of the eligibility process for clients and agency staff, through the sharing of eligibility documents between agencies. 50

51 Transitioning to Electronic Eligibility Pilot Project Underway Revised Instructions Agency Surveys- Most received Agency Testing/Technical Assistance Full Implementation- June 1, 2015 Electronic Eligibility Process 1. Scan Eligibility Documents Naming Conventions File Types-.bmp.jpg.pdf 2. Upload to CAREWare Timing important for inter-agency coordination 51

52 Electronic Eligibility Naming Conventions Eligibility Document File Name Custom Attachment Field Eligibility Application mmddyyapp Eligibility Application Proof of Residency mmddyyres Proof of Residency Proof of Income mmddyypoi Proof of Income Proof of HIV Status mmddyyhiv Proof of HIV Status Proof of Insurance Status Date mmddyyins Proof of Insurance Status Six Month Recertification- No Change mmddyy6nc Eligibility Application Electronic Eligibility Uploading to CAREWare 52

53 Electronic Eligibility Contractually, the responsibility for documenting the provision of allowable services to eligible clients rests with the agency providing services. Verify eligibility in CAREWare; Open and review each document; Snapshot will not change- Agencies do not have deletion privileges. Medical Transportation Updates Allowable Purpose- To access HIV-related health services, including services needed to maintain the client in HIV/AIDS medical care; Medical Transportation Form- Completed every time service provided; RTA Disabled ID Application- Applications only required for clients that meet RTA definition. Reasonable standard; and Documentation/Verification- Agency policy and protocols. 53

54 Monthly Medical Transportation Inventory Ryan White Part A- FY15 Monthly Medical Transportation Inventory Report Agency: Ryan White Provider Month: March 2015 A B C A + B - C = D E D - E = F Opening Inventory Inventory Expected Closing Closing Inventory Item Description Inventory Received Distributed Inventory Physical Count Variance Daily Regular Bus Pass 0 0 Daily Disabled Bus Pass 0 0 Weekly Disabled Bus Pass 0 0 Fuel Card 0 0 Directions for Completing Monthly Transportation Inventory Report Column A - Equal to Closing Inventory from previous month. For March Only- Enter inventory at close of FY14 grant year. Column B- Total inventory received by the agency from the grantee during the month. Column C- Data from CAREWare Report Column D- No agency action (formula in cell) Column E - Physical count of all inventory by a single person after the close of the reporting month and before the opening Column F - No agency action (formula in cell) Linkages Ryan White Statue: XXVI Public Health Service Act, 2605 (a) (3), 42 U.S.C. 300ff-11 HRSA Ryan White Part A FOA CEO Written Assurances Requirement Includes 2605 (a) (3)- Maintenance of appropriate referral relationships with key points of entry. CCBH Ryan White RFP-Appendix I VIII. Vendor Monitoring, Evaluation and Quality Assurance Respondents agree to comply with the National Monitoring Standards 54

55 Key Points of Entry Emergency rooms Substance abuse and mental health treatment programs Detoxification Centers Detention Facilities Clinics regarding sexually transmitted disease Homeless Shelters HIV counseling and testing sites Public health departments Health care points of entry specific by eligible area Federally qualified health centers Samples Resources Opening Doors: A Guide for Building Effective Linkages between CARE Act- Funded Providers and Key Points of Entry to Health Care (Funded by HAB, 72 pages, Early 2000s) HIV Prevention Referral Guidelines and Toolbox Michigan Department of Community Health Division of Health, Wellness and Disease Control HIV/AIDS Prevention and Intervention Section August

56 Ryan White Part A Cleveland TGA 56