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HOPWA Program Progress Report Coversheet HIV/STD Prevention and Care Services Branch Contractor and Report Information AA Name: Contract #: HSDA: Project Sponsor Name: Prepared By: Title: Email: Phone #: Reporting Period Covered (M/Y): to Initial or Revised Report: Initial Revised Click here to enter a date. Instructions Reports must be e-mailed in MS Word or PDF format to: [email protected] CC your: Services Consultant Services Team Lead ([email protected]) Nurse Consultant HOPWA Grant Coordinator/Program Specialist ([email protected]) HOPWA Reporting Periods and Due Dates February – April (3 months) May 30 May – July (3 months) August 30 August - October (3 months) November 30 November - January (3 months) February 28 (this report is also the 12-month cumulative final program year-end report) Page 1 DSHS HOPWA Program Report Revised 05/2013

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Page 1:   · Web viewThe U.S. Department of Housing and Urban Development is emphasizing grantee performance and the use of client outcome measures in demonstrating program effectiveness

HOPWA Program Progress Report CoversheetHIV/STD Prevention and Care Services Branch

Contractor and Report Information

AA Name:      Contract #:      

HSDA:      

Project Sponsor Name:      

Prepared By:       Title:      

Email:      

Phone #:      Reporting Period Covered (M/Y):      to     

Initial or Revised Report: ☐ Initial ☐ Revised

Click here to enter a date.

Instructions

Reports must be e-mailed in MS Word or PDF format to: [email protected]

CC your: Services Consultant Services Team Lead ([email protected])Nurse ConsultantHOPWA Grant Coordinator/Program Specialist ([email protected])

HOPWA Reporting Periods and Due DatesFebruary – April (3 months) May 30May – July (3 months) August 30August - October (3 months) November 30November - January (3 months)

February 28 (this report is also the 12-month cumulative final program year-end report)

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Housing Opportunities for PersonsWith AIDS (HOPWA) ProgramProgress Report

Table of ContentsHOPWA Program Progress Report Coversheet....................................................................................................................................1

Overview, General Instructions, and Definitions...................................................................................................................................3

Instructions and Administrative Agency Summary Information.........................................................................................................5

Project Sponsor Information......................................................................................................................................................6Part 1: Performance Measures Assessment and Narratives.................................................................................................................6

A. STATUS OF HOPWA WAITING LIST.............................................................................................................................6B. PERFORMANCE MEASURES EVALUATION...............................................................................................................71. Reporting by Program Period................................................................................................................................................7NARRATIVE SECTION INSTRUCTIONS:...........................................................................................................................7C. OUTPUTS REPORTED........................................................................................................................................................7D. OUTCOMES ASSESSED......................................................................................................................................................7E. COORDINATION..................................................................................................................................................................7F. BARRIERS AND RECOMMENDATIONS........................................................................................................................8G. TECHNICAL ASSISTANCE...............................................................................................................................................9

Part 2: Information on HOPWA Clients, Beneficiaries, and Households.........................................................................................10

H. HOPWA ELIGIBLE CLIENTS.........................................................................................................................................10I. SPECIAL NEEDS CLIENTS...............................................................................................................................................10J. PRIOR LIVING SITUATION.............................................................................................................................................10K. HOPWA BENEFICIARIES................................................................................................................................................11L. AGE AND GENDER OF BENEFICIARIES.....................................................................................................................12M. RACE AND ETHNICITY OF BENEFICIARIES...........................................................................................................13N. HOUSEHOLD AREA MEDIAN INCOME......................................................................................................................13

Part 3: Leveraged Information (To be completed in the Final Program Progress Report only).....................................................14

O. LEVERAGED HOUSEHOLDS.........................................................................................................................................14P. LEVERAGED SOURCES BY PROGRAM ACTIVITY..................................................................................................141. Leveraged Sources................................................................................................................................................................142. Program Income and Resident Rent Payments..............................................................................................................16

Part 4: STRMU Expense Summary (To be completed in the final Program Progress Report only)..............................................17

Q. STRMU EXPENSE SUMMARY........................................................................................................................................17Part 5: Listing of Supportive Services (To be completed in the final Program Progress Report only)..........................................18

R. SUPPORTIVE SERVICES.................................................................................................................................................18Part 6: HOPWA Performance Outcomes (To be completed in the final Program Progress Report only).....................................19

S. TBRA HOUSING STABILITY OUTCOMES - Housing Stability: Assessment of Client Outcomes on Maintaining Housing Stability. Please note that at this time, HUD is not requiring PHP to be added to STRMU and TBRA Stability Outcomes....................................................................................................................................................................................19T. STRMU HOUSING STABILITY OUTCOMES - Prevention of Homelessness: Assessment of Client Outcomes on Reduced Risks of Homelessness (Short-Term Housing Assistance).....................................................................................19U. ACCESS TO CARE AND SUPPORT OUTCOMES.......................................................................................................21V. HOPWA HOUSING STABILITY OUTCOMES.............................................................................................................22

Appendix A: HOPWA Program Progress Report FAQs.....................................................................................................................23

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Overview, General Instructions, and DefinitionsOVERVIEWThe U.S. Department of Housing and Urban Development is emphasizing grantee performance and the use of client outcome measures in demonstrating program effectiveness. Towards this end, the HOPWA Program Report has been revised to incorporate new performance measure and other new reporting requirements. The report format is designed to help grantees and project sponsors aggregate results from the use of HOPWA resources: (1) to provide housing assistance as the annual output measure; and (2) to collect client information demonstrating the outcome for improved housing stability for this special needs population. HUD collaborated with grantees and technical assistance providers to implement the reporting information to measure this new performance outcome. This outcome measure will identify HOPWA-assisted households that have been enabled to establish and/or better maintain a stable living environment in housing that is safe, decent, and sanitary (per the regulations at 24 CFR 574.310(b).) to reduce the risks of homelessness and improve access to health care and other support. Recipients need to assess accomplishments in achieving this outcome and report on program progress. These assessments will help inform the community as well as HUD in assessing past performance and helping to direct future efforts. Additionally, programs can use the information to consider alternatives or program enhancements if activities are not meeting the stated outcome.

HUD collects the necessary information under the authority of the AIDS Housing Opportunity Act (AHOA), as amended, 42 U.S.C. 12901-12912. This Act authorizes HUD to provide states and localities with the resources and incentives to devise long-term comprehensive strategies for meeting the housing needs of persons living with acquired immune deficiency syndrome (AIDS) or human immunodeficiency virus (HIV) infection and their families. The reports assist HUD in monitoring the use of federal funds and ensuring statutory and regulatory compliance.

GENERAL INSTRUCTIONSPurpose. The HOPWA Program Report fulfills statutory reporting requirements and provides DSHS with the necessary information to report program outcomes to HUD and to assess the overall performance and accomplishments of the Administrative Agency and Project Sponsors’ program activities under the approved goals and objectives.

Assembly of Report. Project Sponsors must complete the report for each pre-designated reporting period in which HOPWA grant funds were expended with quality assurance provided by the Administrative Agency. Information on each Project Sponsor is to be reported in a separate report and submitted by the Administrative Agency. The program progress reports should reflect year-to-date performance for each project sponsor for the project year. The final program progress report will serve as the annual progress report.

Record Keeping. Names and other individual information must be kept confidential, as required by 24 CFR 574.440. However, HUD reserves the right to review the information used to complete this report for grants management oversight purposes, except for recording any names and other identifying information. Information is reported in aggregate to HUD without personal identifications. Do not submit client or personal information in data systems to HUD.

DEFINITIONSThe HOPWA regulations provide definitions at 24 CFR 574.3. The following terms supplement these definitions for the use of preparing this Program Progress Report.

(N/A for DSHS as of 2/1/2013 Project Year) Adjustment for Duplication: Enables the calculation of unduplicated output totals by accounting for the total number of households or units that received more than one type of HOPWA assistance in a given service category such as HOPWA Subsidy Assistance or Supportive Services. For example, if a client household received both TBRA and STRMU during the operating year, report that household in the category of HOPWA Housing Subsidy Assistance in Part 3, Chart 1, Column [1b] in the following manner:

HOPWA Housing Subsidy Assistance

[1] Outputs: Number of

Households1. Tenant-Based Rental Assistance 1

2a.Permanent Housing Facilities:Received Operating Subsidies/Leased units

     

2b.Transitional/Short-term Facilities:Received Operating Subsidies      

3a.

Permanent Housing Facilities:Capital Development Projects placed in service during the operating year      

3b.

Transitional/Short-term Facilities:Capital Development Projects placed in service during the operating year(N/A for Texas DSHS)

     

4. Short-term Rent, Mortgage, and Utility Assistance 1

5. Adjustment for duplication (subtract) 1

6.TOTAL Housing Subsidy Assistance (Sum of Rows 1-4 minus Row 5)

1

Administrative Costs:Costs for general management, oversight, coordination, evaluation, and reporting. By statute, grantee administrative costs are limited to 3% of total grant award, to be expended over the life of the grant. Project sponsor administrative costs are limited to 7% of the portion of the grant amount they receive.

Beneficiary(ies): All members of a household who received HOPWA assistance during the operating year including the one individual who qualified the household for HOPWA assistance as well as any other members of the household (with or without HIV) who benefitted from the assistance.

Any individual(s) residing with the HOPWA Client whose income is not considered in the HOPWA Client’s income eligibility criteria is not considered a beneficiary, i.e. roommates, paid caregivers, live-in aides.

Chronically Homeless Person:HUD adopted the Federal definition which defines a chronically homeless person as “either (1) an unaccompanied homeless individual with a disabling condition who has been continuously homeless for a year or more, OR (2) an unaccompanied individual with a disabling condition who has had at least four episodes of homelessness in the past three years.”(HUD defines “homelessness” as “sleeping in a place not meant for human habitation (e.g. living on the streets for example OR living in a homeless emergency shelter.)

Disabling Condition:Evidencing a diagnosable substance use disorder, serious mental illness, developmental disability, chronic physical illness, or disability, including the co-occurrence of two or more of these conditions. In addition, a disabling condition may limit an individual’s ability to work or perform one or more activities of daily living. An HIV/AIDS diagnosis is considered a disabling condition.

Domestic Violence Survivor: A self-reported current or past victim of domestic violence.

Duplicated count: A household/client that received more than one HOPWA service in the same project year, i.e. a client received both STRMU and TBRA

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or a client received both HOPWA-funded Case Management and Smoke detectors.

Entered the program: The point when the client’s eligibility and housing needs are assessed, housing plan is established, or the client or family starts to receive rental assistance.

Faith-based organization: A nonprofit organization affiliated with a particular place of worship or faith, but established as a separate entity.

Family: A household composed of two or more related persons. The term "family" also includes one or more eligible persons living with another person or persons who are determined to be important to their care or well being, and the surviving member or members of any family described in this definition who were living in a unit assisted under the HOPWA program with the person with AIDS at the time of his/her death. [24 CFR 574.3]

Grassroots Organization: A “grassroots organization” means an organization that is headquartered in the local community to which it provides services; and, (i) has a social services budget of $300,000 or less, or (ii) has six or fewer full-time equivalent employees. Local affiliates of national organizations are not considered “grassroots.”

HOPWA Client: A person with HIV/AIDS who qualifies for and receives HOPWA assistance.

HOPWA Eligible Individual: The one (1) low-income person with HIV/AIDS who qualifies a household for HOPWA assistance. This person may be considered “Head of Household.” When the CAPER asks for information on eligible individuals, report on this individual person only. Where there is more than one person with HIV/AIDS in the household, the additional PWH/A(s), would be considered a beneficiary(s).

Household:A single individual or a family composed of two or more persons for which household incomes are used to determine eligibility and for calculation of the resident rent payment. The term is used for collecting data on changes in income, changes in access to services, receipt of housing information services, and outcomes on achieving housing stability. Live-In Aides (see definition for Live-In Aide) and non-beneficiaries (e.g. a shared housing arrangement with a roommate) who resided in the unit are not reported on in the CAPER.

Housing Assistance Total: The non-duplicated number of households receiving housing subsidies and residing in units of facilities that were dedicated to persons living with HIV/AIDS and their families that were supported with HOPWA or leveraged funds during this operating year.(added 02/2011, taken from CAPER definitions)

Housing Stability: The degree to which the HOPWA project assisted beneficiaries to remain in stable housing during the operating year. See Part 5: Determining Housing StabilityOutcomes for definitions of stable and unstable housing situations.

In-Kind Leveraged Resources: These involve additional types of support provided to assist HOPWA beneficiaries such as volunteer services, materials, use of equipment and building space. The actual value of the support can be the contribution of professional services, based on customary rates for this specialized support, or actual costs contributed from other leveraged resources. In determining a rate for the contribution of volunteer time and services, use the rate established in HUD notices, such as the rate of ten dollars per hour.

The value of any donated material, equipment, building, or lease should be based on the fair market value at time of donation. Related documentation can be from recent bills of sales, advertised prices, appraisals, or other information for comparable property similarly situated.

Leveraged Funds:The amount of funds expended during the operating year from non-HOPWA federal, state, local, and private sources by grantees or sponsors in dedicating assistance to this client population. Leveraged funds or other assistance used directly in HOPWA program delivery. While other HOPWA funds may be used in conjunction with this grant, the amounts are not

counted as leveraging and performanceis reported under the applicable HOPWA grant.

Live-In Aide: A person who resides with the HOPWA Eligible Individual and who meets the following criteria: (1) is essential to the care and well-being of the person; (2) is not obligated for the support of the person; and (3) would not be living in the unit except to provide the necessary supportive services. See the Code of Federal Regulations Title 24, Part 5.403 and the HOPWA Grantee Oversight Resource Guide for additional reference.

Multiple Diagnosed Issues: A disease or condition, such as serious mental illness or substance abuse, co-existing with risk of homelessness for persons living with HIV/AIDS.

Non-HOPWA supportive services: All other supportive services the HOPWA client receives related to HIV/AIDS and the client’s well-being, including medical care, transportation, food, drug treatment, social services, etc.

Outcome Assessed: The HOPWA assisted households who have been enabled to establish or better maintain a stable living environment in housing that is safe, decent, and sanitary, (per the regulations at 24 CFR 574.310(b)); and to reduce the risks of homelessness, and improve access to HIV treatment and other health care and support. HUD’s national annual HOPWA goals are that 85% of TBRA clients will achieve housing stability and 60% of STRMU-assisted clients will result in stable housing or reduced risks of homelessness. http://portal.hud.gov/hudportal/HUD?src=/program_offices/comm_planning/aidshousing

Output Assessed: Output refers to the number of households assisted during the year, as measured by the annual use of HOPWA funds.

Permanent Housing Placement Services: A supportive housing service thathelps establish the household in the housing unit, including but not limited to reasonable costs for security deposits not to exceed two months of rent costs.

Program (Project)Year: The DSHS HOPWA program year is always February 1- January 31.

Program Income:Gross income directly generated from the use of HOPWA funds, including repayments. See grant administration requirements on program income for state and local governments at 24 CFR 85.25, or for non-profits at 24 CFR 84.24.

Short-term Rent, Mortgage, and Utility Assistance (STRMU): A housing subsidy for short-term rent, mortgage, and utility payments to prevent homelessness of the tenant or mortgagor of a dwelling. This program enables assistance for a period not to exceed 21weeks in any 52-week period. These payments are for eligible individuals and their household family members who are already in housing and who are at risk of becoming homeless. STRMU was previously known as Emergency Assistance in Texas.

Supportive Services: DSHS-approved supportive services include case management for all HOPWA clients, and purchase of smoke detectors and telephone service. To the extent possible, case management for HOPWA clients should be funded through some source other than HOPWA (e.g., Ryan White Part A or Part B, State Services, or local funds).

Tenant-Based Rental Assistance (TBRA): A housing subsidy for tenant based rental assistance, including assistance for shared housing arrangements. It assists income eligible clients with their rent and utilities until there is no longer a need, or until they are able to secure other affordable housing. TBRA was previously known as Rental Assistance in Texas.

Transgender: Transgender is defined as a person who identifies with, or presents as, a gender that is different from his/her gender at birth.

Veteran:A veteran is someone who has served on active duty in the Armed Forces of the United States. This does not include inactive military reserves or the National Guard unless the person was called up to active duty.

Year-to-Date (YTD): Cumulative information starting from the beginning of the project year up to the current reporting period.

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Instructions and Administrative Agency Summary Information

Instructions:

AA: Complete a Reporting Coversheet for the AA, an AA Summary Information, and Exhibit A. Please review each Program Report to assure accuracy and completeness before submission. Do not cut and paste from previous reports(except for the final report). This must be reviewed and updated each time. The final ProgramProgress Report (only) should be a cumulative report for the entire project year/all 12 months of the program year (Feb-Jan).

Project Sponsor: Complete a Reporting Coversheet and a ProgramReport for eachProject Sponsor. Do not aggregate Project Sponsor information. The final ProgramProgress Report (only) by Project Sponsor should be a cumulative report for the entire program year unless specifically noted to report by reporting period.

1. Discuss any concerns related to staffing at the administrative agency level.     

2. Discuss any concerns and/or significant changes related to staffing at the Project Sponsor level (e.g. staff positions vacant longer than 90 days).

     

3. Describe any needs assessments or other activities to solicit community input that occurred during the reporting period. Include public meetings/forums, advisory group meetings, ad hoc group meetings, web-based activities, and any major material distribution activities. (If appropriate, please attach copies of minutes and agendas to this report.)

     

4. List and describe all monitoring, technical assistance, meeting facilitation, (such as QI meetings), etc. provided to Project Sponsors by the Administrative Agency during this reporting period.

     

5. Describe coordination activity that occurred during the reporting period between the Administrative Agency and other service providers, including but not limited to: other housing programs, TB elimination programs, immunization programs, STD clinics, Federally Qualified Health Centers (FQHCs), health care delivery systems, and Ryan White Parts A, C, and D.

     

6. List and describe training provided by the Administrative Agency to Project Sponsors during this reporting period.      

7. Describe training/technical assistance (TA) needs expressed by Administrative Agency or Project Sponsor staff. Describe the steps taken to secure training/TA. If further assistance is required in securing training/TA, please provide details.

     

Project Sponsor Information

Instructions: Please complete Reporting Coversheet and a separate program report for each project sponsor. Report year-to-Page 6 DSHS HOPWA Program Report

Revised 05/2013

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dateinformation for each reporting period; the final program report serves as the annual report. Please review responses to assure accuracy and completeness before submission. The colored cells indicate numbers that should match. The final Program Progress Report is a cumulative 12-month program report for February 1 – January 31, unless the item specifically indicates it is by program reporting period.

Legend for Color-Coded Cells/Boxes

Total # Unduplicated Clients Served with Housing Subsidy Assistance (TBRA, STRMU, and PHP) – does not include SS

Total of Unduplicated clients served with STRMU

Total # All Unduplicated Beneficiaries (all members of a household who received HOPWA assistance-including client)

Total # Unduplicated Beneficiaries NOT including HOPWA clients

Total # Unduplicated Clients that received Supportive Services with or without having received TBRA, STRMU, and/or PHP assistance

Goals for Total # of Unduplicated Clients to Serve with Housing Subsidy Assistance (TBRA, STRMU, and PHP)

Part 1: Performance Measures Assessment and Narratives

A. STATUS OF HOPWA WAITING LISTProvide the current number of HOPWA-eligible individuals on the waiting list for STRMU and TBRA.

1. Assessment of Unmet Need for HOPWA-eligible Households (On Waitlist)1. Total number of households that have unmet housing needs (on waitlist)

    

From Item 1, identify the number of households with unmet housing needs by type of housing assistance     a. Tenant-Based Rental Assistance (TBRA)       b. Short-Term Rent, Mortgage and Utility payments (STRMU) Total STRMU: • Assistance with rental costs• Assistance with mortgage payments• Assistance with utility costs.

               

Does Project Sponsor maintain a waiting list? Yes No

If yes, explain how this list is administered:      

All Project Sponsors are required to have a WaitingList policy, even if there are no clients on a waitlist.

Does Project Sponsor have a current AA-approved Wait List policy? Yes No

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B. PERFORMANCE MEASURES EVALUATION1.Reporting by Program Period

Provide an overview of your program’s performance measure accomplishments for the project year as established in the program plan.

Provide the number of clients enteringinto each program category/activity. Adjust for duplication so that each client is only listed once per program activity per project year in the “YTD Unduplicated” column, regardless of the number of times they received assistance.

All clients served within the 1streporting period should be counted regardless if they are continuing from the previous project year. Year to Date (YTD) Unduplicated clients should be the sum of reporting periods1through 4 and should be unduplicated per program activity.

Performance Measure Period1

Period2

Period3

Period4

YTDTotal Unduplicated

Yearly Goal

% of Yearly Goal Met

a. # of TBRA householdsb. # of STRMUhouseholdsc. # of PHP households

d.

Total TBRA, STRMU, & PHP YTD Unduplicated (YTD a+b+c)(does not include [e] SS)

e. # of SS households  

NARRATIVE SECTION INSTRUCTIONS:Each narrative section’s data must correspond with the reporting period listed on the coversheet with the exception of the final cumulative program progress report. The final cumulative report must include data for all 12 months of the program year in the final report. While not every single success story or piece of information must be carried over, at a minimum, you should at least include the highlights from prior reports.

C. OUTPUTS REPORTEDDescribe significant accomplishments or challenges in achieving the number of housing units supported and the number of households assisted with HOPWA funds during this operating year compared to plans for this assistance, as approved in the annual HOPWA Budget Application. Describe how HOPWA funds were distributed during your program year among different categories of housing and geographic areas to address needs throughout the grant service area, consistent with approved plans.

     

D. OUTCOMES ASSESSEDAssess your program's success in enabling HOPWA beneficiaries to establish and/or better maintain a stable living environment in housing that is safe, decent, and sanitary, and improve access to care. Compare current year results to baseline results for clients. Describe how program activities/projects contributed to meeting stated goals. If program did not achieve expected targets, please describe how your program plans to address challenges in program implementation and the steps currently being taken to achieve goals in next operating year. If your program exceeded program targets, please describe strategies the program utilized and how those contributed to program successes. (Consider the Housing Performance Outcomes and Access to Care and Support Sections of this report when providing comparisons.)Provide success stories or examples illustrating how the HOPWA program prevented the clients’ risk of homelessness and/or helped them access medical care and supportive services. “None”, “N/A”, “No Progress” and/or cut and paste responses from previous reports are not acceptable with the exception of the final cumulative progress report – you can cut and paste from prior reports for the 4th/final quarter report.

     

E. COORDINATIONReport on program coordination with other mainstream housing and supportive services resources, including the use of committed leveraging from other public and private sources that helped to address needs for eligible persons identified in the annual HOPWA Budget Application.

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F. BARRIERS AND RECOMMENDATIONSProvide a narrative addressing items 1 through 3 below. Explain how barriers and trends affected your program’s ability to achieve the objectives and outcomes discussed in the previous section.

1. Select one or more barriers encountered during this reporting period from the following list. Under the list, you will describe any barriers (including regulatory and non-regulatory) encountered, actions taken in response to barriers, and recommendations for program improvement. Provide an explanation for each barrier selected under “2.”.

HOPWA/HUD Regulations

Planning Issues

Housing Affordability

Housing Availability

Rent Determination and Fair Market Rents

Geography/Rural Access

Eligibility Issues

Credit History

Rental History

Criminal Justice History

Discrimination/Confidentiality

Multiple Diagnosed Issues

Supportive Services

Technical Assistance or Training Issues

Other- please specify

2. For the final cumulative program progress report, please summarize barriers (checked boxes above) and Recommendations for the entire project year. This must be reviewed and updated for each program reportbut must include data for all 12 months of the program year in the final report.Emphasize issues that have workable solutions, rather than systemic issues such as lack of housing, etc.

3.

Describe any trends in the community that may affect the way in which the needs of persons living with HIV/AIDS are being addressed, and provide any other information important to the future provision of services to this population.

4. Identify any evaluations, studies, or other assessments of the HOPWA program that are available to the public.

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Barriers/challenges Probable Causes Attempted Solutions TA Needs1.2.3.4.5.6.7.8.9.10.

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G. TECHNICAL ASSISTANCEBased on the program’s experience during this reporting period, are there any areas in which technical advice or assistance is needed? If so, please describe. This must be reviewed and updated each reporting period. For the final 4th quarter report, please list TA requests from previous reports that are still outstanding (you can cut and paste requests from prior reports if there is still a need for TA).

     

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Part 2: Information on HOPWA Clients, Beneficiaries, and Households

H. HOPWA ELIGIBLE CLIENTSPlease indicate below the year-to-date unduplicated number of HOPWA clients assisted this project year.

Clients Served with HOPWA Housing Subsidy Assistancethis program year Total Number Number of unduplicated HOPWA Clients served (TBRA, STRMU, PHP)

Please check:This unduplicated total should match the corresponding color-coded boxes in Parts 1 and 2.

I. SPECIAL NEEDS CLIENTSPlease indicate the year-to-date number of special needs HOPWA clients. Clients may count in more than one category.

Category – New and Continuing VeteransVeteran(s)

a.Total number of HOPWA clients who are veterans (new and continuing)

Category – New Veterans Meeting HUD’s Definition of Homeless Veteran(s) b. Total number of new HOPWA clients who are veterans andwhose prior living situation meets HUD’s definition of Homeless or Chronically Homeless.HUD defines homeless as “a person sleeping in a place not meant for human habitation OR living in a homeless emergency shelter.”

Category – New ClientsMeeting HUD’s Definition of Chronically Homeless Chronically Homeless

c. Total number of new HOPWA clients whose prior living situation meets HUD’s definition of Chronically Homeless (includes veterans, if any).HUD defines chronically homeless as “either (1) an unaccompanied homeless individual with a disabling condition who has been continuously homeless for a year or more, OR (2) an unaccompanied individual with a disabling condition who has had at least four episodes of homelessness in the past three years.”

J. PRIOR LIVING SITUATIONRow (a) Column 1: Enter the number of HOPWA clients that are continuing if they received HOPWA assistance in the prior project year and are also receiving HOPWA assistance in the current project year. Do not include beneficiaries.Rows (b) through (q) - Please indicate the prior living situation year-to-date only for (unduplicated) new HOPWA clients who began receiving HOPWA housing assistance during this project year. DO NOT report the prior living situation of the HOPWA clients continuing from the prior project year in row (a). Only indicate the (one) category that best describes the clients’ most recent living situation. Remember that HOPWA (Housing Subsidy) Assistance includes PHP.

Category1 (TBRA, STRMU, and PHP)

[1]Total # of HOPWA clients (TBRA, STRMU, and PHP)

a. Continuing in the HOPWA program from the prior project year      New Previously Homeless HOPWA Clients (began receiving HOPWA assistance this project year)that meet HUD’s definition of Homelessness: “a person sleeping in a place not meant for human habitation OR living in a homeless emergency shelter.”b. Place not meant for human habitation

(such as a vehicle, abandoned building, bus/train/subway station/airport, or outside)      c. Emergency shelter (including hotel, motel, or campground paid for with emergency

shelter voucher) or imminently homeless (see below)Per HUD: Note: Also include in Row C those individuals who would have lost their primary nighttime residence within 14 days of entry into HOPWA housing subsidy assistance and had not identified subsequent residence outside of the HOPWA program (imminently homeless).      

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d. Transitional housing for homeless persons      e. Sub-Total number of new Eligible individuals who received HOPWA Housing

Subsidy Assistance with a Prior Living Situation that meets HUD’s definition of homelessness (Sum of Rows b – d)      

New HOPWA Clients (began receiving HOPWA assistance this project year) excluding clientsreportedin b, c, or d above.f. Permanent housing for formerly homeless persons (such as Shelter Plus Care, SHP, or

SRO Mod Rehab) (not chronically homeless)      g. Psychiatric hospital or other psychiatric facility      h. Substance abuse treatment facility or detox center      i. Hospital (non-psychiatric facility)      j. Foster care home or foster care group home      k. Jail, prison or juvenile detention facility      l. Rented room, apartment, or house      m. Client-owned house      n. Staying or living in someone else’s (family’s or friend’s) room, apartment, or house      o. Hotel or motel paid for without emergency shelter voucher      p. Other      q. Don’t Know or Refused      r. TOTAL - add items (a), (e), and (f)_through (q)

Please check: Row (r) [1] should equal the total number of HOPWA corresponding color-coded total clients under Parts1 and 2.

K. HOPWA BENEFICIARIESPlease report the total number year-to-date of unduplicated HOPWA beneficiaries receiving HOPWA assistance (TBRA, STRMU, and PHP). Beneficiaries are all HOPWA Clients and ALL associated members residing with the HOPWA client whose income was counted as part of the HOPWA client’s assistance eligibility criteria (roommates, paid caregivers, live-in aides are not beneficiaries).2

Individuals and Families Served with Housing Assistance (TBRA, STRMU, and PHP) Total Number1 Number of (unduplicated) individuals with HIV/AIDS who qualified the household to receive

HOPWA housing subsidy assistance (should equal the number of HOPWA Eligible Individuals reported in the table under J above.

     

2 Number of ALL other persons diagnosed as HIV positive who reside with the HOPWA eligible individuals identified in Row 1 and who benefitted from the HOPWA housing subsidy assistance.

 

3 Number of ALL other persons NOT diagnosed as HIV-positive (or unknown HIV status) who reside with the HOPWA eligible individual identified in Row 1 and who benefited from the HOPWA housing subsidy

 

4 TOTAL number of ALL beneficiaries served with Housing Subsidy Assistance (Sum of Rows 1, 2, & 3)

Total Beneficiaries      

Please check:Because these are unduplicated clients, this total should match the corresponding color-coded boxes in Parts 1 and 2.

L. AGE AND GENDER OF BENEFICIARIESReport the age and gender of the HOPWA clients [1] who received housing subsidy assistance (TBRA, STRMU, and PHP)and their beneficiaries [2].

2In cases of ‘reasonable accommodation’ where a HOPWA Client is renting from a family member (the family member’s income is not considered for housing assistance eligibility), the family member(s) are hence not considered to be receiving housing assistance although residing with the HOPWA client and are also NOT considered beneficiaries. Roommates, paid caregivers and live-in nurse-aides are not beneficiaries. See Appendix B. Program Progress Report FAQs for further clarification.

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Please Note: Although the definition of a beneficiary includes the HOPWA client, in the table below, data is broken out by HOPWA clients only and then the remaining members of the HOPWA households (which excludes HOPWA clients).

1 Age & Gender of All HOPWA Clients – from Row 1 in the Section K tableAge Male Female Transgender M-

FTransgender F-M Total

1 Under 18        2 18 to 30 years        3 31 to 50 years        4 51 years and older        5 Total      

2 Age & Gender of All Beneficiaries (minus HOPWA clients) – from Rows 2 and 3 in the Section K table

Age Male Female Transgender M-F

Transgender F-M Total

6 Under 18        7 18 to 30 years        8 31 to 50 years        9 51 years and older        10 Total (should equal the

total of Rows 2 and 3 in Section K)

     

11 Total Age & Gender (Rows 5 + 10)

Total ALL Beneficiaries      

This table has been amended to include the following new data elements:There is now space provided to identify the age and gender for Transgender Clients. This is captured for both Transgender women (M to F) and Transgender men (F to M).The age/gender of the identified client who received HOPWA Housing Subsidy Assistance should be provided in Rows 1-5. The age/gender of all other Beneficiaries should be provided in Rows 6-10.

Please check:Row 5 total should equal color-coded boxes in Parts 1 and 2. Row11 should equal the total in green in Section K above.

M. RACE AND ETHNICITY OF BENEFICIARIESIn Chart M., indicate the Race and Ethnicity of all beneficiaries receiving HOPWA Housing Subsidy Assistance as reported in Section 2, Part 2, Section K. Report the race of all HOPWA eligible individuals in Column [A]. Report the ethnicity of all HOPWA eligible

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individuals in column [B]. Report the race of all other individuals who benefitted from the HOPWA housing subsidy assistance in column [C]. Report the ethnicity of all other individuals who benefitted from the HOPWA housing subsidy assistance in column [D]. The summed total of columns [A] and [C] equals the total number of beneficiaries reported above in Part 2, Section K, Row 4.

Category

HOPWA Clients (Eligible Individuals)

All Other Beneficiaries (does not include clients)

[A] Race [all individuals reported in Section K, Row 1]

[B] Ethnicity[Also identified as Hispanic or Latino]

[C] Race[total of individuals reported in Section K, Rows 2 & 3]

[D] Ethnicity[Also identified as Hispanic or Latino]

1. American Indian/Alaskan Native2. Asian3. Black/African American

4. Native Hawaiian/Other Pacific Islander

5. White

6. American Indian/Alaskan Native & White

7. Asian & White8. Black/African American & White

9. American Indian/Alaskan Native & Black/African American

10. Other Multi-Racial11. Column Totals (Sum of Rows 1-10)

Please check:Sum of Row 11 Column A, and Row 11 Column C, together equal the total number HOPWA Beneficiaries reported in Part 2, Section K, (green), Row 4.

N. HOUSEHOLD AREA MEDIAN INCOMEPlease indicate the area median income for all unduplicatedhouseholds served with HOPWA housing subsidy assistance (STRMU, TBRA, and PHP).

Refer to http://www.huduser.org/portal/datasets/il/il2010/select_Geography_mfi.odn for information on area median income in your community.

Percentage of area median income # of HOPWA Households

a. 0-30% of area median income (extremely low)      

b. 31-50% of area median income (very low)      

c. 51-80%of area median income (low)      

d. Total number of households      

Please check: Row (d) should equal the total number of unduplicated HOPWA clients reported in corresponding color-coded boxes in Parts1 and 2.

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Part 3: Leveraged Information (To be completed in the Final Program Progress Report only)

O. LEVERAGED HOUSEHOLDS

Enter the total HOPWA-eligible households assisted with non-HOPWA funds. DO NOT include the HOPWA households receiving DSHS HOPWA funds, which have already been reported or other households receiving non-DSHS HOPWA funds. Leveraged households are clients of your agency and are eligible for HOPWA but are assisted by other funds or another housing assistance program.

Leveraged Households are those served by your agency that would be eligible to receive HOPWA TBRA, STRMU, and/or PHP but are receiving direct housing assistance (similar to HOPWA TBRA, STRMU, and/or PHP) from a non-HOPWA source.

These households must be receiving HOPWA Supportive Services but are receiving direct housing assistance from a program other than HOPWA.

Example: A client receiving HOME rental assistance but is receiving HOPWA Supportive Services. Must be connected to HOPWA to be leveraged. These are households served by your agency that also receive HOPWA

Supportive Services with their non-HOPWA housing assistance. This means leveraged households are receiving direct housing assistance (i.e. rental assistance or emergency assistance similar to HOPWA TBRA, STRMU, and/or PHP) from a non-HOPWA source (i.e. State Services/Delivery, Ryan White, Housing Choice Voucher (Section 8), HOME, Shelter Plus Care, or any other direct housing funding source).

Important: In the next section “Source of Leveraging Chart” – if you have any funds that are considered Housing Subsidy Assistance – then you should have client #s in box/boxes below under Column [a] TBRA, STRMU, and/or PHP.

New: HUD is requesting leveraging goals by type of assistance. If your agency had a goal of # of households to assist with leveraged funds, then input the #s in Column [b]. If establishing a goal for # of households to be assisted is not done in planning or is not feasible, please put “N/A” in that box.

Leveraged Housing Assistance [a] Total # of Additional Households Assisted with Leveraged Funds

[b] Goal of # Households to be Assisted with Leveraged Funds

1. Tenant-based Rental Assistance (e.g. rental assistance)            

2. Short-term Rent, Mortgage, and Utility Assistance (e.g. Emergency housing assistance)

          

3. Permanent Housing Placement Assistance (e.g. smoke detector, security deposits)            

P. LEVERAGED SOURCES BY PROGRAM ACTIVITY1. Leveraged SourcesReport the source(s) of cash or in-kind leveraged federal, state, local or private resources identified in the Consolidated or Annual Plan and used in the delivery of the HOPWA program and the amount of leveraged dollars. In Column [1], identify the type of leveraging. Some common sources of leveraged funds have been provided as a reference point. You may add Rows as necessary to report all sources of leveraged funds. Include Resident Rent payments paid by clients directly to private landlords. Do NOT include rents paid directly to a HOPWA program as this will be reported in the next section. In Column [2] report the amount of leveraged funds expended during the operating year. Use Column [3] to provide some detail about the type of leveraged contribution (e.g., case management services or clothing donations). In Column [4], check the appropriate box to indicate whether the leveraged contribution was housing subsidy assistance or another form of support.

Note: Be sure to report on number of households supported with these leveraged funds in the above chart (Part 3, Section O).

Identify the amount and source(s) of cash or in-kind resources leveraged from other sources year-to-date, and used in delivery or operation of HOPWA activities. These funds include other funds used for on-site or other specific activities directly connected to serving HOPWA client households, at the activity or program level.

Make a good faith estimate of the sources of leveraged funds that you are aware of used to provide housing assistance, supportive services, and administration in the delivery of the HOPWA program. This is any money used to support HOPWA households that are non-HOPWA dollars. Supportive Services may include:

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adult day care and personal assistance alcohol and drug abuse services; mental health services client management/advocacy/access to benefits and services childcare and other child services education employment assistance and training health/medical/intensive care services (if approved, client records must conform with 24CFR 574.310) legal services life skills management (outside of case management) meals/nutritional services outreach transportation

Example:

Source of Leveraging Chart

[1] Source of Leveraging[2] $ Amount of Leveraged Funds

[3] Type of Contribution

[4] Housing Subsidy Assistance (TBRA, STRMU, and/or PHP) or Other Support(CM, SS, nutrition, etc.)

Public Funding  $    

Ryan White-Housing Assistance  Housing Subsidy AssistanceOther Support

Ryan White-Other (non-State Services)

Housing Subsidy AssistanceOther Support

Ryan White-State ServicesHousing Subsidy AssistanceOther Support

Housing Choice Voucher ProgramHousing Subsidy AssistanceOther Support

Low Income Housing Tax CreditHousing Subsidy AssistanceOther Support

HOMEHousing Subsidy AssistanceOther Support

Shelter Plus CareHousing Subsidy AssistanceOther Support

Emergency Solutions GrantHousing Subsidy AssistanceOther Support

Other Public (name funding source): Housing Subsidy AssistanceOther Support

Other Public (name funding source): Housing Subsidy AssistanceOther Support

Other Public (name funding source):Housing Subsidy AssistanceOther Support

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The table has been re-designed for clarity and to determine the type of leveraged services that benefit the HOPWA program. See below for an example of how to complete the table:

[1] Source of Leveraging 2] Amount of Leveraged Funds

[3] Type of Contribution

[4] Housing Subsidy Assistance or Other Support

Public Funding

Ryan White-State Services $ 2,500.00$353,752.34$356,252.34

Ryan White Rental Assistance $2,500; RW Medical Case Management Services for HOPWA clients $353,752.34.

☒Housing Subsidy Assistance☒Other Support

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Other Public (name funding source):Housing Subsidy AssistanceOther Support

Other Public (name funding source):Housing Subsidy AssistanceOther Support

Private Funding

Grants (name funding source):Housing Subsidy AssistanceOther Support

In-kind Resources:Housing Subsidy AssistanceOther Support

Other Private (name funding source): Housing Subsidy AssistanceOther Support

Other Private (name funding source):Housing Subsidy AssistanceOther Support

Other FundingGrantee/Project Sponsor/Sub-Recipient (Agency) Cash

Housing Subsidy AssistanceOther Support

Resident Rent Payments by Client to Private LandlordTOTAL (Sum of all Rows)  

2. Program Income and Resident Rent PaymentsIn this section, Chart A., report the total amount of program income and resident rent payments directly generated from the use of HOPWA funds, including repayments. Include resident rent payments collected or paid directly to the HOPWA program. Do NOT include payments made directly from a client household to a private landlord.

Note: Please see report directions section for definition of program income. (Additional information on program income is available in the HOPWA Grantee Oversight Resource Guide).

A. Total Amount Program Income and Resident Rent Payment Collected During the Operating Year

Program Income and Resident Rent Payments Collected

Total Amount of Program Income (for this operating year)

1. Program income (e.g. repayments)      2. Total Program Income and Resident Rent Payments (Sum of Row 1)      

B. Program Income and Resident Rent Payments Expended To Assist HOPWA HouseholdsIn this section, Chart B, report on the total program income and resident rent payments (as reported above in Chart A) expended during the operating year. Use Row 1 to report Program Income and Resident Rent Payments expended on Housing Subsidy Assistance Programs (i.e., TBRA, STRMU, and PHP). Use Row 2 to report on the Program Income and Resident Rent Payment expended on Supportive Services and other non-direct Housing Costs.

Program Income and Resident Rent Payment Expended on HOPWA programs

Total Amount of Program Income Expended(for this operating year)

1. Program Income and Resident Rent Payment Expended on Housing Subsidy Assistance costs

     

2. Program Income and Resident Rent Payment Expended on Supportive Services and other non-direct housing costs

     

3. Total Program Income Expended (Sum of Rows 1 and 2)      

Part 4: STRMU Expense Summary(To be completed in the final Program Progress Report only)

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Q. STRMU EXPENSE SUMMARY

(Note: Unduplicated STRMU totals should equal other STRMU totals in this report. Total STRMU expenditures in (a) [2] should match what is reported on the Exhibit A)

Housing Subsidy Assistance Categories (STRMU)

(# of Households and $ reported in Rows b – f should total what is reported in Row a)

[1] Output: Number of Households

[2] Output: Total HOPWA Funds Expended on STRMU during Operating Year

a) Total Short-term mortgage, rent and/or utility (STRMU) assistanceTotal $ in Column [2] should equal the sum of (b) through (f) and should be the same total reported for STRMU expenditures on the Exhibit A.

  $ -

b) Of the total STRMU reported on Row a, total who received assistance with mortgage costs ONLY.

  $ -

c) Of the total STRMU reported on Row a, total who received assistance with mortgage and utility costs.

  $ -

d) Of the total STRMU reported on Row a, total who received assistance with rental costs ONLY

  $ -

e) Of the total STRMU reported on Row a, total who received assistance with rental and utility costs.

  $ -

f) Of the total STRMU reported on Row a, total who received assistance with utility costs ONLY.

  $ -

g)Estimate of total STRMU Activity Delivery Costs (STRMU funds expended to support direct program costs such as program operations staff) (Estimated costs could come from either or both Supportive Services and Administrative Expenses. This is an estimate only).

N/A $ -

This does not include any of the above direct STRMU costs. Estimate expenses for SS and/or admin or any other indirect costs to administer STRMU.

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Part 5: Listing of Supportive Services (To be completed in the final Program Progress Report only)

R. SUPPORTIVE SERVICESReport on the use of HOPWA funds for supportive services for unduplicated clients. In the table below, rows 1 through 17, provide the total of all households for each type of supportive services activities provide by the Project Sponsor. Do NOT report on supportive services leveraged with non-HOPWA funds.

Supportive Services [1] Output: Actual Number of Households that Received HOPWA Supportive Services

[2] Output: Amount of HOPWA Funds Expended $

1 Adult day care and personal assistance  

2 Alcohol and drug abuse services  

3 Case management/client advocacy/ access to benefits & services. Housing CM

  $

4 Child care and other child services  

5 Education  

6 Employment assistance and training  

7 Health/medical/intensive care services, if approved Note: Client records must conform with 24 CFR §574.310

 

8 Legal services  

9 Life skills management (outside of case management)  

10 Meals/nutritional services  

11 Mental health services  

12 Outreach  13 Transportation  

14 Other Activity (e.g. basic phone service) Specify:      

15 TOTAL Unduplicated Households that Received Supportive Services

       $ (This total should equal the total SS expenditures on the Exhibit A)

Please check: The total for Row 15 should equal the total in the corresponding color-coded box in Part 1, B.(Change to capture unduplicated clients receiving Supportive Services with and without receiving other HOPWA assistance. Most, if not all, Supportive Sservices will fall under #3: Case Management.)

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Part 6: HOPWA Performance Outcomes (To be completed in the final Program Progress Report only)

S. TBRA HOUSING STABILITY OUTCOMES- Housing Stability: Assessment of Client Outcomes on Maintaining Housing Stability. Please note that at this time, HUD is not requiring PHP to be added to STRMU and TBRA Stability Outcomes.UNDUPLICATED CLIENTS

In Column 1, report the total number of eligible households that received HOPWA TBRA housing assistance, by type. In Column 2, enter the number of households continuing to access TBRA housing assistance, the following year. In Column 3, report the housing status of all households that exited the program. Columns 2 (Number of Households Continuing) and 3 (Exited Households) summed will equal the total households reported in Column 1. Complete only the blue highlighted cells.

 

[1] [2] [3] Number of Exited Households

and Housing Status

HOPWA Client Outcomes for Use in the Chart in

Section V.Total Number of

Households Receiving Housing

Assistance

Assessment: Number of

Households Continuing

with this Housing (per

plan or expectation

for next year) (Stable for

HOPWA Outcomes)

Tenant-Based Rental

Assistance

   

1 Emergency Shelter/Streets  

(Unstable)

2 Temporary Housing  

(Temporarily Stable with Reduced Risk of Homelessness)

3 Private Housing  (Stable)    4 Other HOPWA  

 

(Stable)5 Other Subsidy  6 Institution  7 Jail/Prison   (Unstable)8 Disconnected/Unknown  9 Death   (Life Event)

Please check: The totals of Column 2 (households continuing) and total of 1-9 under Column 3 (households exiting) should equal the total number of unduplicated TBRA households reported in Column 1 (households served during the project year).Column 1 should also equal each total reported for unduplicated client served with TBRA in Part 1 and Part 2.

T. STRMU HOUSING STABILITY OUTCOMES - Prevention of Homelessness: Assessment of Client Outcomes on Reduced Risks of Homelessness (Short-Term Housing Assistance) UNDUPLICATED CLIENTS

Report the total number of households that received STRMU assistance in Column 1. In Column 2, identify the result of the housing assessment made at time of assistance, or updated in the operating year. (Column 3 provides a description of housing outcomes; therefore, data is not required.) Note: The sum of Column 2 should equal the number of households reported in Column 1. Complete only the blue highlighted cells.

Note: If client remains in the STRMU program at the end of the project year, they should be listed under “Private Housing.”

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[1] STRMU Housing Assistance

[2] Assessment of Housing Status   [3] HOPWA Client Outcomes

Type total number of unduplicated STRMU clients in the box below

Maintain Private Housing without subsidy (e.g. Assistance provided/completed and client is stable, not likely to seek additional support)

 

 

  

  Other Private Housing without subsidy  

Stable/Permanent Housing (PH)

  Other HOPWA support (PH)  

 

  Other housing subsidy (PH)  

 

  Institution (e.g. residential and long-term care)

 

 

          Likely to maintain current housing arrangements, with

additional STRMU assistance 

Temporarily Stable, with Reduced Risk of Homelessness

     Transitional Facilities/Short-term (e.g. temporary or

transitional arrangement)  Reduced Risk of Homelessness

  Temporary/non-permanent Housing arrangement (e.g. gave up lease, and moved in with family or friends but expects to live there less than 90 days)

              Emergency Shelter/street   Unstable  Jail/Prison   Arrangements  Disconnected           Death   Life Event

Total of All Rows Above (should equal total number in [1])

 

Please check: ALL STRMU households should be reported here and only reported once. Also, total STRMU households should equal the STRMU totals reported in Part 1 and Part 2.

Note: in the table above for STRMU, there is an additional outcome (now there is both Reduced Risk of Homelessness AND Temporarily Stable with Reduced Risk of Homelessness).

[1]Number of STRMU households currently served that ALSO received STRMU in the prior project year:

[2]Of Column 1, number of households that ALSO received STRMUin the two (2) prior consecutive project years:

            (This number cannot exceed the above number of STRMU households receiving assistance in the prior year)

U. ACCESS TO CARE AND SUPPORT OUTCOMES

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Please report on the access to care and support for ALL HOPWA households served during the project year.

Categories of Services Accessed Households Receiving HOPWA Assistance within the Operating Year

Outcome Indicator

1. Has a housing plan for maintaining or establishing stable on-going housing.

      Support for Stable Housing

2. Has contact with case manager/benefits counselor with the schedule specified in client’s individual service plan.

      Access to Support

3. Had contact with a primary health care provider consistent with the schedule specified in clients individual service plan.

      Access to Health Care

4. Has accessed and can maintain medical insurance/assistance.This is the number of HOPWA clients that accessed medical insurance or received medical assistance (e.g. copay or deductible assistance, including RW medical and/or ADAP assistance) and can maintain medical insurance coverage and/or source of assistance.HOPWA services do not qualify as medical assistance.

      Access to Health Care

5. Successfully accessed or maintained qualifications for sources of income.

      Sources of Income

6. Total number of households that obtained an income-producing job

      Sources of Income

Sources of income include, but are not limited to the following (Reference only)Earned Income Veteran’s PensionUnemployment Insurance Pension from Former JobSupplemental Security Income (SSI) Child SupportSocial Security Disability Income (SSDI) Alimony or Other Spousal SupportVeteran’s Disability Payment Retirement Income from Social Security General Assistance, or use local program name Private Disability Insurance Temporary Assistance for Needy Families (TANF) income, or use local program name

Worker’s CompensationOther Income Sources

Sources of medical insurance and assistance include, but are not limited to the following (Reference only)

MEDICAID Health Insurance Program, or local program name

MEDICARE Health Insurance Program, or local program name

Veterans Affairs Medical Services AIDS Drug Assistance Program (ADAP)State Children’s Health Insurance Program (SCHIP), or local program name

Ryan White-funded Medical or Dental Assistance

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V. HOPWA HOUSING STABILITY OUTCOMES

Worksheet - Determining Housing Stability Outcomes. This chart is designed to assess program results based on the information reported in Housing Stability Outcomes. Use data from the charts under S (TBRA) and T (STRMU). These are unduplicated clients.

Rental Assistance Stable Housing (Total # of households remaining in TBRA program-Column [2], plus under Column [3]: 3+4+5+6=#)

Temporary Housing Under Column [3]: (2)

Unstable Arrangements Under Column [3]: (1+7+8=#)

Life Event Under Column [3]: (9)

Tenant-Based Rental Assistance (TBRA)

0 0 0 0

           Reduced Risk of Homelessness: Short-Term Assistance

Stable/Permanent Housing

Temporarily Stable, with Reduced Risk of Homelessness

Reduced Risk of Homelessness

Unstable Arrangements

Life Events

Short-Term Rent, Mortgage, and Utility Assistance (STRMU)

0 0 0 0 0

Total HOPWA Housing Assistance(add total client #s TBRA + STRMU from each column by Stable, Temp Stable, Unstable, and Life Event)

0 0 0 0

Background on HOPWA Housing Stability Codes

Stable Permanent Housing/Ongoing Participation3 = Private Housing in the private rental or home ownership market (without known subsidy, including permanent placement with families or other self sufficient arrangements) with reasonable expectation that additional support is not needed.4 = Other HOPWA-funded housing assistance (not STRMU), e.g. TBRA or Facility-Based Assistance.5 = Other subsidized house or apartment (non-HOPWA sources, e.g., Section 8, HOME, public housing).6 = Institutional setting with greater support and continued residence expected (e.g., residential or long-term care facility).

Temporary Housing2 = Temporary housing - moved in with family/friends or other short-term arrangement, such as Ryan White subsidy, transitional housing for homeless, or temporary placement in institution (e.g., hospital, psychiatric hospital or other psychiatric facility, substance abuse treatment facility or detox center).

Unstable Arrangements1 = Emergency shelter or no housing destination such as places not meant for habitation (e.g., a vehicle, an abandoned building, bus/train/subway station, or anywhere outside).7 = Jail /prison.

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8 = Disconnected or disappeared from project support, unknown destination or no assessments of housing needs were undertaken.Life Event9 = Death, i.e., remained in housing until death. This characteristic is not factored into the housing stability equation.

Tenant-based Rental Assistance: Stable Housing is the sum of the number of households that (i) remain in the housing and (ii) those that left the assistance as reported under: 3, 4, 5, and 6. Temporary Housing is the number of households that accessed assistance, and left their current housing for a non-permanent housing arrangement, as reported under item: 2. Unstable Situations is the sum of numbers reported under items: 1, 7, and 8.

STRMU Assistance: Stable Housing is the sum of the number of households that accessed assistance for some portion of the permitted 21-week period and there is reasonable expectation that additional support is not needed in order to maintain permanent housing living situation (as this is a time-limited form of housing support) as reported under housing status: Maintain Private Housing with subsidy; Other Private with Subsidy; Other HOPWA support; Other Housing Subsidy; and Institution. Temporarily Stable, with Reduced Risk of Homelessness is the sum of the number of households that accessed assistance for some portion of the permitted 21-week period or left their current housing arrangement for a transitional facility or other temporary/non-permanent housing arrangement and there is reasonable expectation additional support will be needed to maintain housing arrangements in the next year, as reported under housing status: Likely to maintain current housing arrangements, with additional STRMU assistance; Transitional Facilities/Short-term; and Temporary/Non-Permanent Housing arrangements Unstable Situation is the sum of number of households reported under housing status: Emergency Shelter; Jail/Prison; and Disconnected.

Appendix A: HOPWA Program ProgressReport FAQs

1. Are STRMU clients considered ‘continuing’ if their housing assistance overlaps from the prior project year?

Yes. STRMU clients are ‘continuing’ if they have not exhausted their 21weeks of assistance by the end of the prior project year and they are receiving assistance in the current project year.

2. If a HOPWA client is renting from a family member, is the family member considered part of the household and as a beneficiary?

No. A HOPWA client that is renting from a family member is considered in a ‘reasonable accommodation’ situation. [revised HUD regulation 24 CFR 82.306 (d)]. A ‘reasonable accommodation’ would permit a “person with disabilities” including persons with HIV/AIDS, to receive benefits when housed with a family member who owns or rents the housing unit if it is determined by a physician that living with the family member is important to the client’s overall health and well being. In such situations of reasonable accommodation, the family’s income is not to be counted in determining the eligibility of the low-income person with disabilities for a STRMU (or TBRA) payment. In this case, since the family’s income is not considered, the family member is not counted as part of the household nor as a beneficiary although the family member and HOPWA eligible individual are residing in the same household.

3. We also receive HOPWA funding directly from HUD. Does the program progress report require us to include the non-DSHS HOPWA funds?

No. The Program Progress Report is specifically for DSHS HOPWA funds expended for HOPWA housing assistance and supportive services. Project sponsors receiving multiple HOPWA funds from non-DSHS sources should be reporting that separately to the funder.

4. What are the differences between an eligible individual, a HOPWA Client, a beneficiary, and a household?

An eligible individual is eligible for HOPWA but is not yet accepted to the program and may be on a waitlist. A HOPWA Client is the individual that qualifies for HOPWA and is accepted to the program. A beneficiary is someone who benefits from HOPWA assistance, including the HOPWA Client and the household members living with the client that are included in the client’s HOPWA application. A household is every HOPWA client receiving HOPWA assistance, whether or not the client lives with his/her beneficiaries. Roommates, paid caregivers, live-in aides, or live-in landlords are not included.

5. If a beneficiary of the HOPWA Client also has HIV/AIDS, how do we report him/her?

Effective 2012, HUD now requires these individuals to be reported separately as beneficiaries in the beneficiary section.

6. Why do we need to report the sources of leveraged dollars and the additional households leveraged?

The U.S. Office of Management and Budget (OMB) requires HUD to report all leveraged dollars by the source type and Page 24 DSHS HOPWA Program Report

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the additional households assisted in order to show Congress that HOPWA funds are also being matched with leveraged funds to achieve HOPWA program goals.

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