Ryan White Residential Substance Use Treatment Services

RYAN WHITE PART A SUBSTANCE ABUSE TREATMENT RESIDENTIAL SERVICES

Substance Use Disorder Services Residential Service Category Definition (written and approved by the Ryan White Planning Council).

Funding for Substance Use Disorder – Inpatient to address substance use disorders (including alcohol and/or legal and illegal drugs) in a short-term residential health service setting requirement:

• Services to be provided by or under the supervision of physician or other qualified personnel with appropriate and valid licensure and certification in Connecticut.

• Services to be provided in accordance with a treatment plan.

• Detoxification to be provided in a separate residential setting licensed by the State of Connecticut (including a separately- licensed detoxification facility within the walls of a hospital)

• Personnel Qualifications (including licensure) Substance Use Services Inpatient must be provided by trained, licensed, or certified substance use professionals: 1. Staff licensure and accreditation: As per Connecticut State Statutes and Department of Mental Health and Addiction Services regulations, professional staff will be licensed, certified and/or supervised by a licensed behavioral health professional. 2. Ongoing staff training in Substance Use specific topics. At least 10 hours of Substance Use-specific training per year for unlicensed/uncertified staff members serving Ryan White clients. 3. Substance Use service providers will have a crisis intervention policy to assist a client in life-threatening situations

B. ELIGIBLE ENTITIES :

Organizations that are licensed for and currently provide In-Patient Substance Use Treatment Services located in New Haven and Fairfield Counties.

C. IMPORTANT NEW HAVEN ELIGIBLE METROPLOITAN AREA (EMA) RYAN WHITE PART A PROGRAM COMPONENTS

This agreement, as outlined in this RFP, will be effective for one fiscal year unless stated otherwise in the RFP. The Ryan White fiscal year starts on March 1, 2025, and ends on February 28, 2026. There is also an option to renew the agreement for an additional two-year term.

FOCUS POPULATIONS

Subpopulations of focus are specific groups of people with HIV within Part A jurisdictions that are disproportionately affected. The following are the focus populations selected by the Ryan White Planning Council for this jurisdiction:

• Transgender Persons of Color

• Men of Color Who Have Sex with Men

• Women of Color.

CLIENT/PATIENT ELIGIBILITY

Services shall be provided to and prioritized for those out of medical care and medically underserved, indigent, or low-income individuals with HIV. Client eligibility is capped at 300% of federal poverty level (FPL) except for medical case management which is up to 500% FPL. https://www.healthcare.gov/glossary/federal-poverty-level-fpl/

Per HRSA’s Client Eligibility Policies (Policy Clarification Notices 16-02 and #21-02), Ryan White eligible services are provided specifically for individuals with HIV. Family members, caregivers, or significant others may be a recipient of the proposed services, provided that the service ultimately benefits the person living with HIV.

Documentation of client’s HIV+ status must be maintained in the client’s medical record and CAREWare. Absence of proper documentation as primary or secondary (a lab result or doctor’s note verifying HIV infection) will result in breach of contract, leading to contract termination and withdrawal of service reimbursement.

PARTNERS IN CARE- ROLES AND RESPONSIBILITIES OF RECIPIENT AND SUBRECIPIENT:

Recipient-New Haven Health Department:

• Work with the Subrecipient to help expedite all paperwork required for the contractual process.

• Monitors expenditures and delivery service deliverables.

• Provide in-house and external technical assistance regarding policy, quality improvement, fiscal and data collection to subrecipients to support its ability to administer the grant and to coordinate service delivery for PLH.

• Guides all stages of the Ryan White services Report (RSR) with subrecipients.

• Attends monthly clinical quality management meetings with subrecipients.

• Perform annual fiscal, programmatic, and quality assurance site visits.

• Meet quarterly with all subrecipients in the EMA to discuss clinical quality improvement projects.

• Identify emerging issues and technical assistance needs across the EMA.

• Meet as necessary and appropriate when requested and mutually agreed upon subrecipient and New Haven Health Department staff.

• Develop service contracts based on federal and city requirements.

• Convenes a monthly meeting with its provider staff to monitor and coordinate services . At a minimum , this monthly meeting must cover actual YTD client counts and service units compared with projections, YTD expenditures based on a twelve-month budget, viral suppression rates (overall and by demographic) and update of clinical quality management activities.

• Process all payments within 30 days of invoice.

• Supports subrecipient staff with the Ryan White data collection system (CAREWare) including training and troubleshooting.

Subrecipient:

• Assures client eligibility

• Attends a monthly monitoring meeting to discuss service utilization data, expenditure rates by service category, clinical quality management processes and outcomes, viral suppression rates by population

• Participates with the Planning Council in any studies or needs assessments.

• Participates in the Eligible Metropolitan Area Clinical Quality Management (CQM) process: Creates an annual Clinical Quality Management Plan based on HRSA’s Policy Clarification Notice 15-02; Convenes a Clinical Quality Management meeting to achieve the goals and activities outlined in the CQM Plan; Meets quarterly with the Ryan White Project Director, the Quality Assurance manager and other subrecipients to discuss specific clinical quality improvement projects as well as overall EMA quality improvement efforts.

• Submits all monthly fiscal reports, the Ryan White Services Report (RSR) and an annual progress report that satisfies HRSA requirements.

• Ensures that client data is entered accurately and within 7 business days in the CAREWare data system.

• Has an established time and effort reporting system for all staff funded in part or whole with Ryan White Part A funds.

• Have available financial documents to back up invoices for payment if there are any questions on allowable costs.

• Participate with the Planning Council in any studies or needs assessments as determined by the Planning Council.