WEBVTT 00:00:13.000 --> 00:00:16.000 Great. Good morning. See a number of folks. See John's. 00:00:16.000 --> 00:00:18.000 Good morning, Mark. 00:00:18.000 --> 00:00:22.000 So it's about 11, 10 o'clock on the dot. 00:00:22.000 --> 00:00:24.000 Yep. Let's give it a moment. 00:00:24.000 --> 00:00:28.000 We'll jump in. Yep. 00:00:28.000 --> 00:00:30.000 So just almost 100 people on the call. Wow. Okay. 00:00:30.000 --> 00:00:31.000 Yep. 00:00:31.000 --> 00:00:38.000 Good. Too many people to do a round robin introductions, unfortunately. It's too bad. Okay. 00:00:38.000 --> 00:00:42.000 we can ask folks to add their contact information into the chat. 00:00:42.000 --> 00:00:44.000 Sure, sure. 00:00:44.000 --> 00:00:48.000 We'll give it a moment. I see a lot of folks I know, some people I don't. 00:00:48.000 --> 00:01:05.000 Good. 00:01:05.000 --> 00:01:13.000 We're going to go around and introduce ourselves from the Community Health Resource Commission. And I would prefer to have applicants say hello, but with 100 folks on the call, that's probably 00:01:13.000 --> 00:01:16.000 Not a good idea. So when we get to the question and answer period. 00:01:16.000 --> 00:01:19.000 we'll have the opportunity to have folks introduce themselves. 00:01:19.000 --> 00:01:21.000 Mark Luckner, Community Health Resource Commission. 00:01:21.000 --> 00:01:22.000 Bob? 00:01:22.000 --> 00:01:29.000 Good morning, everybody. Bob Lally, Chief Financial Officer, CHRC. Amy. 00:01:29.000 --> 00:01:35.000 Hi, good morning, everyone. Amy Yakovlev, Deputy Chief Financial Officer of CHRC. 00:01:35.000 --> 00:01:37.000 Great. Jen? 00:01:37.000 --> 00:01:41.000 Hi, Jen Clatterbuck, Commission Administrator. 00:01:41.000 --> 00:01:42.000 Great. 00:01:42.000 --> 00:01:45.000 Emily, I think, is on as well. 00:01:45.000 --> 00:01:49.000 I am. Good morning, everybody. I'm Emily Kilman. I am CHRC staff. 00:01:49.000 --> 00:01:53.000 Great. Anybody else from our office? I can only see six or seven faces. 00:01:53.000 --> 00:01:54.000 Yeah, Michael Fay, program manager 00:01:54.000 --> 00:01:56.000 Oh, gosh, Michael. 00:01:56.000 --> 00:01:57.000 Yep. 00:01:57.000 --> 00:01:59.000 Thanks. Good. Anybody else? 00:01:59.000 --> 00:02:03.000 That's plenty. We're good. I want to make sure. Okay, great. 00:02:03.000 --> 00:02:10.000 Well, welcome, folks. Hope everybody has a very nice Thanksgiving later this week. This is our frequently asked questions call for our annual call for proposals. 00:02:10.000 --> 00:02:13.000 You might hear me call it the RFA. 00:02:13.000 --> 00:02:22.000 Bob and I are going to go through a slide deck, which we will make available after today's call and we'll push out the recording to everybody. Right, Jen? 00:02:22.000 --> 00:02:28.000 Yeah, I'm trying to make sure that our recording is coming in. I know somebody else is recording the meeting. 00:02:28.000 --> 00:02:30.000 If that person could 00:02:30.000 --> 00:02:35.000 stop, that would be great. So we don't have conflicting recordings 00:02:35.000 --> 00:02:37.000 Thank you. 00:02:37.000 --> 00:02:42.000 Jackie, we will answer all questions in just, you know, once we're done with the 00:02:42.000 --> 00:02:45.000 PowerPoint. Thank you. 00:02:45.000 --> 00:02:51.000 Yep. Like I said, we'll run through a PowerPoint and then we'll open it up for questions after that. Okay. 00:02:51.000 --> 00:02:58.000 All right. And also, we're going to be limiting today's call to one hour. All right. So if you don't have the opportunity to ask any questions. 00:02:58.000 --> 00:03:02.000 Just email Bob or myself and we'll get back to you on a timely basis. Okay. 00:03:02.000 --> 00:03:05.000 Let's go through the PowerPoint. Jen, you're going to be driving? 00:03:05.000 --> 00:03:11.000 Yes. 00:03:11.000 --> 00:03:12.000 Okay, I'm seeing a blank. 00:03:12.000 --> 00:03:18.000 Is it up? No. 00:03:18.000 --> 00:03:27.000 I had to join through. 00:03:27.000 --> 00:03:29.000 How's that? 00:03:29.000 --> 00:03:31.000 Okay, thanks. Yep. 00:03:31.000 --> 00:03:32.000 Yep. Okay, great. 00:03:32.000 --> 00:03:38.000 So we're going to give information about this year's request for applications for state fiscal 25. 00:03:38.000 --> 00:03:45.000 We're going to have a question and answer period, and then we'll also give a short demo on how to submit your letter of intent, which is due 00:03:45.000 --> 00:03:48.000 December 9th and is mandatory. 00:03:48.000 --> 00:03:52.000 Okay, let's go through our slide deck. 00:03:52.000 --> 00:03:59.000 Just want to give a shout out to our commissioners. Great group of 11 folks appointed by the governor. Special shout out to our chair, Ed Casemar. 00:03:59.000 --> 00:04:01.000 our vice chair, Soddy McKeefeith. 00:04:01.000 --> 00:04:04.000 Let's go to the next slide. 00:04:04.000 --> 00:04:12.000 Okay, so just to give folks a flavor for what you're getting into if you apply, and I know there's probably many folks that have applied in the past and 00:04:12.000 --> 00:04:16.000 also been awarded grants. Our commission has awarded 866 grants 00:04:16.000 --> 00:04:18.000 totaling 290 million. 00:04:18.000 --> 00:04:22.000 funding projects in all 24 jurisdictions across the state. 00:04:22.000 --> 00:04:27.000 And we're thrilled that those projects have collectively served more than 650,000 Marylanders. 00:04:27.000 --> 00:04:32.000 We're also happy that our grantees have leveraged these public special funds 00:04:32.000 --> 00:04:38.000 to leverage 45 million in additional resources, the bulk of which 00:04:38.000 --> 00:04:41.000 come from private or local sources. 00:04:41.000 --> 00:04:47.000 And then also the legislature and the Department of Budget Management asks us how many programs are sustained 00:04:47.000 --> 00:04:49.000 at least one year after the final 00:04:49.000 --> 00:04:54.000 The final check is sent to our grantees. So we're thrilled that three quarters of those grants 00:04:54.000 --> 00:05:00.000 or sustain at least one year after the grant funding is ended. Program sustainability is a big, big thing for us. 00:05:00.000 --> 00:05:02.000 and the legislature and the administration. 00:05:02.000 --> 00:05:07.000 Let's go to the next slide. 00:05:07.000 --> 00:05:12.000 So some key dates, the call for proposals or the RFA was released earlier this month. 00:05:12.000 --> 00:05:14.000 The letters of intent, which are mandatory. 00:05:14.000 --> 00:05:16.000 are due December 9th at 12 noon. 00:05:16.000 --> 00:05:20.000 And then the full grant proposals are due January 13th, 12 noon. 00:05:20.000 --> 00:05:24.000 Let's go to the next slide. 00:05:24.000 --> 00:05:30.000 Thanks for that graphic, Jen. Yep. So this gives you a sense of our two strategic priorities that apply 00:05:30.000 --> 00:05:36.000 for all applicants in this year's RFA. The first to advance health equity has been a longstanding 00:05:36.000 --> 00:05:40.000 priority of our commission, though it was refreshed by our commissioners recently. 00:05:40.000 --> 00:05:43.000 And then also second, to build the capacity of safety net providers. 00:05:43.000 --> 00:05:48.000 Let's go to the next slide. 00:05:48.000 --> 00:05:53.000 So we have about 7 million to award in this call for proposals, this funding opportunity. 00:05:53.000 --> 00:06:01.000 That's statewide. Applicants are able to ask for up to three years of funding. 00:06:01.000 --> 00:06:02.000 And the maximum individual award for any one project is $650,000. 00:06:02.000 --> 00:06:04.000 Sorry. Sorry, Mark. 00:06:04.000 --> 00:06:07.000 Okay, everything okay, Jen? We're going to record. 00:06:07.000 --> 00:06:12.000 Yeah, I had to join by browser. So I just… 00:06:12.000 --> 00:06:14.000 it's a different 00:06:14.000 --> 00:06:15.000 I apologize. 00:06:15.000 --> 00:06:23.000 So there are four areas of focus. And again, those two strategic priorities apply to those four areas of focus or types of projects. 00:06:23.000 --> 00:06:26.000 The first is chronic disease and prevention. 00:06:26.000 --> 00:06:30.000 It might include addressing things like diabetes or hypertension? 00:06:30.000 --> 00:06:33.000 or obesity. Second, maternal and child health. 00:06:33.000 --> 00:06:38.000 Third, dental services. And then fourth, behavioral health. 00:06:38.000 --> 00:06:41.000 With a particular emphasis on programs that would serve 00:06:41.000 --> 00:06:44.000 a comprehensive population or adults. 00:06:44.000 --> 00:06:49.000 to differentiate from another funding opportunity that will be coming out a little bit later, the Consortium on Courtney Community Supports. 00:06:49.000 --> 00:06:53.000 And I'm happy to talk more about those two different funding proposals a little bit. 00:06:53.000 --> 00:06:57.000 Let's go to the next slide. 00:06:57.000 --> 00:07:01.000 Okay, we wanted to flag for everybody what's new. 00:07:01.000 --> 00:07:04.000 in this year's funding opportunity. 00:07:04.000 --> 00:07:09.000 And I would call to folks attention the language that's on page 19 of the RFA. 00:07:09.000 --> 00:07:11.000 But to summarize that. 00:07:11.000 --> 00:07:17.000 Our commissioners felt that funds should supplement and not supplant 00:07:17.000 --> 00:07:19.000 other sources of funding. 00:07:19.000 --> 00:07:22.000 And so we'll be asking applicants to disclose 00:07:22.000 --> 00:07:27.000 If you anticipate or applying for other funding to support 00:07:27.000 --> 00:07:30.000 the project. And Bob will uh 00:07:30.000 --> 00:07:34.000 Bob can expand on that a bit. Also. 00:07:34.000 --> 00:07:38.000 we're permitting up to 15% for an indirect rate. 00:07:38.000 --> 00:07:41.000 Unless the applicant has a higher federally negotiated rate. 00:07:41.000 --> 00:07:44.000 And we'll ask you to ask you 00:07:44.000 --> 00:07:48.000 enumerate what activities or costs you're including in your indirect rate 00:07:48.000 --> 00:07:50.000 So as to not be having 00:07:50.000 --> 00:07:53.000 activities covered in indirect that could be indirect 00:07:53.000 --> 00:07:57.000 costs or vice versa. 00:07:57.000 --> 00:08:00.000 Let's go to the next slide. 00:08:00.000 --> 00:08:09.000 Okay, this is going to be very similar for folks that have applied in the past. This is the three types of eligibility as a community health resource, and it's listed on page five. 00:08:09.000 --> 00:08:13.000 And six of the requests for applications. 00:08:13.000 --> 00:08:15.000 First are our first 00:08:15.000 --> 00:08:17.000 If the applicant is a designated 00:08:17.000 --> 00:08:23.000 community health resource and those are all listed in the RFA. But folks that are examples of those would be 00:08:23.000 --> 00:08:28.000 a federal qualified health center as an example, a local health department, a free clinic 00:08:28.000 --> 00:08:35.000 an outpatient mental health clinic. There's teaching clinics. There's many school-based health centers. There's many, many 00:08:35.000 --> 00:08:37.000 designated community health resources. 00:08:37.000 --> 00:08:40.000 A second, which is on page six of the RFA, is 00:08:40.000 --> 00:08:43.000 an entity that provides primary healthcare services. 00:08:43.000 --> 00:08:48.000 And then third, an entity that provides access services, which means 00:08:48.000 --> 00:08:54.000 that lead applicant would refer individuals to reduce price clinical health services. 00:08:54.000 --> 00:09:02.000 What's important for folks to keep in mind here is that each of these three types of community health resource has to submit a sliding fee scale. 00:09:02.000 --> 00:09:07.000 with their letter of intent, regardless of whether which type they are. 00:09:07.000 --> 00:09:10.000 Let's go to the next slide. 00:09:10.000 --> 00:09:21.000 So there's essentially two types of sliding fee scale policies. And for my colleagues in the Federal Qualified Health Center world, this will be very familiar to you. 00:09:21.000 --> 00:09:26.000 First, you have to screen individuals for income based on the federal poverty level and then provide 00:09:26.000 --> 00:09:32.000 services at a discounted rate. Obviously, for folks of a 00:09:32.000 --> 00:09:39.000 that are lower on the poverty level, they would be receiving services at a higher discounted rate. 00:09:39.000 --> 00:09:42.000 Or if you don't screen individuals for 00:09:42.000 --> 00:09:47.000 income eligibility. You can provide all of your services to everyone at no charge. 00:09:47.000 --> 00:09:52.000 And as Jen put on this slide, these policies have to exist at the time of the LOI submission. 00:09:52.000 --> 00:09:56.000 and be posted publicly. Sometimes we see folks say, look. 00:09:56.000 --> 00:10:00.000 If we receive a grant from you, we'll provide services free of charge. 00:10:00.000 --> 00:10:05.000 that won't meet the eligibility or criteria, or we'll see folks sometimes say 00:10:05.000 --> 00:10:11.000 Well, we help folks get health insurance. That's important, but that's not a sliding fee scale policy. 00:10:11.000 --> 00:10:14.000 Let's go to the next slide. 00:10:14.000 --> 00:10:23.000 Okay, so we wanted to put together with the holidays upon us here, we didn't want to have folks miss any important deadlines. So the first thing 00:10:23.000 --> 00:10:25.000 to do is to submit the letter of intent template 00:10:25.000 --> 00:10:31.000 that's due December 9th. You're certainly welcome to do that prior to December 9th too. 00:10:31.000 --> 00:10:33.000 We appreciate that as well. 00:10:33.000 --> 00:10:36.000 And then as part of that, and we'll give a demo in a little bit. 00:10:36.000 --> 00:10:41.000 As part of that, you would also provide your sliding fee scale policy that I described earlier. 00:10:41.000 --> 00:10:48.000 And then if there are additional documents that are needed, like, for example, if you're an outpatient mental health provider, you're licensed with the state. 00:10:48.000 --> 00:10:52.000 that would be needed too. If you're an access services provider. 00:10:52.000 --> 00:10:57.000 Which means you have to have the referral relationship in place. You would need to submit a document that 00:10:57.000 --> 00:11:04.000 that describes or memorializes that you have that referral relationship with the provider. And it has to be in place at the time of the LOI. 00:11:04.000 --> 00:11:07.000 And a slight fee scale policy for yourself and 00:11:07.000 --> 00:11:10.000 the clinical provider to whom you refer. 00:11:10.000 --> 00:11:13.000 Let's go to the next slide. 00:11:13.000 --> 00:11:18.000 Okay, we also, you saw earlier in this presentation, we 00:11:18.000 --> 00:11:21.000 We work with our grantees to make sure they 00:11:21.000 --> 00:11:23.000 They report to us. 00:11:23.000 --> 00:11:26.000 quantifiable and quantifiable and 00:11:26.000 --> 00:11:29.000 qualitative. 00:11:29.000 --> 00:11:31.000 qualitative data as well. 00:11:31.000 --> 00:11:35.000 when you submit your proposals. 00:11:35.000 --> 00:11:39.000 and your letter of intent. We'll ask you to clarify if you are 00:11:39.000 --> 00:11:42.000 providing services to a new population. 00:11:42.000 --> 00:11:44.000 That's example number a 00:11:44.000 --> 00:11:47.000 or if you're providing services to your existing 00:11:47.000 --> 00:11:50.000 patient base, but the services are new. 00:11:50.000 --> 00:11:53.000 Those are two different ways that you can 00:11:53.000 --> 00:11:55.000 calculate and report to us and project 00:11:55.000 --> 00:12:00.000 the total number of unduplicated individuals served. 00:12:00.000 --> 00:12:03.000 Let's go to the next slide. 00:12:03.000 --> 00:12:08.000 Bob, you and Amy want to lead us through the budget discussion? 00:12:08.000 --> 00:12:11.000 Yes. Hi. Good morning again, everybody. 00:12:11.000 --> 00:12:15.000 So what Amy and I would like to do is highlight the budget 00:12:15.000 --> 00:12:19.000 narrative and the templates that will be used 00:12:19.000 --> 00:12:24.000 For those who have received a grant from the CHRC in the past, we will 00:12:24.000 --> 00:12:27.000 point out a few differences with this proposal. 00:12:27.000 --> 00:12:30.000 And we'll touch on that in just a minute. 00:12:30.000 --> 00:12:32.000 As Mark indicated the budget 00:12:32.000 --> 00:12:38.000 The budget narrative is due with the rest of the application, and that is due January 13th. 00:12:38.000 --> 00:12:43.000 Again, one of the changes is there are now two budget templates 00:12:43.000 --> 00:12:51.000 One which will cover the total program cost, which may be more than what you are requesting from the CHRC, 00:12:51.000 --> 00:12:53.000 And then the second budget template 00:12:53.000 --> 00:12:59.000 You'll outline your specific ask of the CHRC and the related budget. 00:12:59.000 --> 00:13:03.000 we would ask that you start by really 00:13:03.000 --> 00:13:09.000 going through the budget narrative, it will provide some very helpful instructions on how to complete 00:13:09.000 --> 00:13:11.000 the two budget templates. 00:13:11.000 --> 00:13:16.000 As I mentioned, two templates. One is a full cost budget 00:13:16.000 --> 00:13:18.000 of the total program. 00:13:18.000 --> 00:13:22.000 You will also provide details of all revenue sources 00:13:22.000 --> 00:13:28.000 over the time period that you're requesting support and Amy will show you an example of that in just a minute. 00:13:28.000 --> 00:13:32.000 And then again, Schedule 2 is just the portion 00:13:32.000 --> 00:13:35.000 of the project cost that you're requesting 00:13:35.000 --> 00:13:38.000 a payment from the CHRC. 00:13:38.000 --> 00:13:40.000 The next slide. 00:13:40.000 --> 00:13:46.000 We did add some additional text boxes to the budget template. 00:13:46.000 --> 00:13:49.000 please uh please 00:13:49.000 --> 00:13:52.000 provide all requested information as requested 00:13:52.000 --> 00:13:54.000 An example, Mark mentioned that 00:13:54.000 --> 00:14:01.000 When you make a request for indirect costs, one of the text boxes on the narrative will ask you for 00:14:01.000 --> 00:14:07.000 the types of expenses that are included in your indirect cost request. 00:14:07.000 --> 00:14:15.000 Again, as Mark mentioned, the CHRC commissioners recently approved an increase of indirect costs up to 00:14:15.000 --> 00:14:21.000 15% of direct calls. That's not 15% of the award. It's 15% of all other 00:14:21.000 --> 00:14:24.000 direct costs that you're requesting. 00:14:24.000 --> 00:14:28.000 Again, if your organization has a higher negotiated 00:14:28.000 --> 00:14:30.000 rate with the federal government. 00:14:30.000 --> 00:14:38.000 you can request an amount higher than 15% and you will provide that documentation of your federal rate. 00:14:38.000 --> 00:14:47.000 At this point, I'm going to turn it over to Amy to go a little deeper into the budget templates, Schedule 1 and Schedule 2. Amy. 00:14:47.000 --> 00:14:52.000 Hi, Bob. Thank you. 00:14:52.000 --> 00:15:00.000 Okay, so just as Bob had mentioned, there is a brand new template that we are asking our applicants to complete. 00:15:00.000 --> 00:15:09.000 That is to provide your overall project costs. So that would not only include what you're requesting funding from the CHRC, 00:15:09.000 --> 00:15:16.000 but also what are the other expenses that really total to that project amount? 00:15:16.000 --> 00:15:25.000 I am going to actually give a brief demo on what that looks like. The slide here will call out some of those key areas. 00:15:25.000 --> 00:15:36.000 But I'm going to go ahead and share my screen. 00:15:36.000 --> 00:15:39.000 And Mark, are you able to see my screen okay? I can. 00:15:39.000 --> 00:15:42.000 You can. Okay, great. Thank you. 00:15:42.000 --> 00:15:52.000 Okay, so we just thought it would be important to do a visual overview being that this is a brand new template that we are asking you to complete. 00:15:52.000 --> 00:16:01.000 For returning applicants, you'll notice that the revenues total project cost is very similar to what we requested and the CHRC funding template. 00:16:01.000 --> 00:16:11.000 The only difference we have here I wanted to note is we are splitting this out where we're asking that you provide your overall total revenue and the cost 00:16:11.000 --> 00:16:15.000 by each year of that duration of your grant period. 00:16:15.000 --> 00:16:20.000 So if you are submitting for a project that will fund a two-year period. 00:16:20.000 --> 00:16:27.000 we would expect you to fill out years one and two, and the same would apply if you were submitting over a three-year period. 00:16:27.000 --> 00:16:34.000 To point out, you will be inputting what that CHRC funding request is. 00:16:34.000 --> 00:16:39.000 If you happen to be getting any other, if you're able to bill for services 00:16:39.000 --> 00:16:52.000 And you were able to obtain revenue for those services, build Medicaid as an example, you would be reporting those incomes there. Any other grant funding Mark had briefly touched on that in a previous slide on those leveraged funds. 00:16:52.000 --> 00:16:57.000 And any organization match that you are projecting to receive. 00:16:57.000 --> 00:17:01.000 In total, that will give you your total project cost. 00:17:01.000 --> 00:17:04.000 And then what's new for this year again is 00:17:04.000 --> 00:17:10.000 projecting what your line by line budgets are for each category for your overall cost. 00:17:10.000 --> 00:17:18.000 So here you'll see, again, your different position types. You'll have the ability to input if you have a nurse practitioner. 00:17:18.000 --> 00:17:27.000 what that looks like year over year. And then you might be requesting either all or a portion of that nurse practitioner be funded. 00:17:27.000 --> 00:17:29.000 Through the CHRC. 00:17:29.000 --> 00:17:32.000 This information in column F 00:17:32.000 --> 00:17:36.000 will carry right from your CHRC funding request template. 00:17:36.000 --> 00:17:46.000 So you won't have to be, we try to make this as easy for you as we can, where we don't want you to have to continue to re-enter information multiple times trying to make this efficient. 00:17:46.000 --> 00:17:52.000 But essentially, you will go through, this should look familiar for returning applicants. 00:17:52.000 --> 00:18:00.000 the different categories. We're trying to make this easier for everyone again, where we are keeping things more consistent with the naming convention. 00:18:00.000 --> 00:18:07.000 You'll see all of this information noted in the budget narrative document. We highly, highly 00:18:07.000 --> 00:18:10.000 advise that you start with the narrative 00:18:10.000 --> 00:18:15.000 You review that fully and then you go to the templates because you'll find key information in that narrative 00:18:15.000 --> 00:18:18.000 that will really walk you through how to 00:18:18.000 --> 00:18:22.000 to complete this document as well as a CHRC funding request template. 00:18:22.000 --> 00:18:34.000 accurately so that we don't have to go back and ask questions and we can make this smoothly the process because I understand there is a tight timeline around this for getting this all 00:18:34.000 --> 00:18:39.000 submitted by that January date that was noted in the PowerPoint presentation. 00:18:39.000 --> 00:18:43.000 So essentially, you'll go through and input all of your costs 00:18:43.000 --> 00:18:48.000 go through this document. Contractuals, you can insert any lines um 00:18:48.000 --> 00:18:51.000 If you need to insert more rows here 00:18:51.000 --> 00:18:55.000 But everything else, you wouldn't be inserting more rows. You'll just be completing it. 00:18:55.000 --> 00:19:05.000 Our total other expenses is meant to be a catch-all here. So if you have expenses for a project that don't fit amongst the other expense categories noted on this template. 00:19:05.000 --> 00:19:14.000 You'll then input those expenses and other expenses. And that again is all noted on the narrative. I won't go into further detail because I want to ensure we have enough time. 00:19:14.000 --> 00:19:17.000 To answer any questions you have. 00:19:17.000 --> 00:19:21.000 And one other thing I wanted to call out is the CHRC funding request. 00:19:21.000 --> 00:19:29.000 The revenue will carry directly over to here, no having to re-input revenue dollars here and CHRC funding request. 00:19:29.000 --> 00:19:36.000 All of this should look very familiar. This is specific to your CHRC funding request for each line item and your budget. 00:19:36.000 --> 00:19:40.000 The one thing I did want to highlight is when you go down to the bottom. 00:19:40.000 --> 00:19:47.000 one piece of information that's new that we're requesting is you are providing your new and your existing 00:19:47.000 --> 00:19:56.000 unduplicated individuals to be served under this grant. It would just be overall. You don't have to break that out by period because we understand this is, again, a projection, a budget. 00:19:56.000 --> 00:20:06.000 So we would just be asking, you're putting in that new number here, your existing for where it's applicable. We have existing grantees that are coming back. 00:20:06.000 --> 00:20:08.000 I know. 00:20:08.000 --> 00:20:10.000 On slide eight. 00:20:10.000 --> 00:20:18.000 Mark had briefly touched on that, so I just wanted to mention that will also be carried through on here. And the importance of this is so you can 00:20:18.000 --> 00:20:21.000 look at this information and say, okay, this is my budget 00:20:21.000 --> 00:20:29.000 This is what that cost metric looks like per overall individual served and new and existing and give you more understanding 00:20:29.000 --> 00:20:38.000 of an additional piece of information that you can look at prior to submitting everything to the CHRC as part of your application process. 00:20:38.000 --> 00:20:48.000 I am going to stop sharing so Jen can go back to the deck. 00:20:48.000 --> 00:20:49.000 And Jen, if you can just slide. 00:20:49.000 --> 00:20:53.000 And Jen, if you can just go next slide. 00:20:53.000 --> 00:21:02.000 Okay, yeah, so I'm not going to read directly from here. Again, I covered this in the demo, the key talking points. And as Bob had mentioned. 00:21:02.000 --> 00:21:08.000 Your indirect costs, you can now submit it up to 15%. It used to be 10%. 00:21:08.000 --> 00:21:17.000 Again, if you're going above the 15% have a federally approved rate, you would be requiring the documentation that's noted in the budget narrative. 00:21:17.000 --> 00:21:20.000 And that's all I have. 00:21:20.000 --> 00:21:30.000 That was outstanding, Bob and Amy. Really appreciate you both. Thank you. Okay. This is coming towards the end of our canned presentation, as it were. And we're going to open it up to questions and answers in a moment. 00:21:30.000 --> 00:21:33.000 We just want to give folks, and this is in the RFA, 00:21:33.000 --> 00:21:42.000 a sense of how each proposal, once the yellow eye is determined to be a communal resource, will be reviewed. And again, the proposals are due January 13th. 00:21:42.000 --> 00:21:48.000 And the information that Bob and Amy just presented on the budget request is due January 13th. 00:21:48.000 --> 00:21:51.000 So the selection criteria, there's 10 of these. 00:21:51.000 --> 00:21:55.000 I'm not going to read all 10, but we wanted to highlight for you 00:21:55.000 --> 00:22:01.000 The third one on here, which is in red and new from prior years, that the budget request is reasonable 00:22:01.000 --> 00:22:04.000 and commensurate with impact. 00:22:04.000 --> 00:22:09.000 I sort of feel like we've had the spirit of that over the years, but we wanted to name that. 00:22:09.000 --> 00:22:14.000 and put that in the selection criteria document based on the feedback from our commissioners. 00:22:14.000 --> 00:22:17.000 And so if you add up all of these 10 00:22:17.000 --> 00:22:25.000 items here, these 10 criteria, they would total 100 points. Every proposal will be evaluated on these review criteria. 00:22:25.000 --> 00:22:28.000 And then the top scoring applicants 00:22:28.000 --> 00:22:31.000 we'll be invited to present later this spring. 00:22:31.000 --> 00:22:35.000 So with that, I think I'd like to suggest that we take down the slide deck. 00:22:35.000 --> 00:22:40.000 And my favorite part of our hour together is the question and answer period. 00:22:40.000 --> 00:22:47.000 Jen, I'm going to ask you to help call on folks. And I just have a request when you 00:22:47.000 --> 00:22:50.000 take herself off mute. Please introduce yourself, your name, maybe where you work. 00:22:50.000 --> 00:22:53.000 And then ask ask your question. 00:22:53.000 --> 00:23:02.000 Before we take our first question, I just wanted to differentiate this annual request for applications for fiscal 25, which provides 7 million in highly competitive funding 00:23:02.000 --> 00:23:06.000 with another funding opportunity, our office will be putting out. 00:23:06.000 --> 00:23:11.000 in a few weeks, I'm going to knock on some wood here a few days after Thanksgiving. 00:23:11.000 --> 00:23:17.000 And that's the funding, the annual funding for the consortium on Coordinating Community Supports. So for those of you 00:23:17.000 --> 00:23:24.000 that our current grantees under that program, the Consortium on Court and Community Sports, will be putting out that request for applications 00:23:24.000 --> 00:23:28.000 a little bit in about seven to 10 days here, but about two weeks 00:23:28.000 --> 00:23:33.000 And we'll do another call like this for you all. 00:23:33.000 --> 00:23:45.000 Okay, who wants to ask our first question? 00:23:45.000 --> 00:23:46.000 Raise your hand. 00:23:46.000 --> 00:23:47.000 Hi. Oh. 00:23:47.000 --> 00:23:48.000 Oh, raise our hands today. 00:23:48.000 --> 00:23:51.000 No, go ahead. No, no, no. 00:23:51.000 --> 00:23:57.000 Okay, I actually have a question. This is Mary Amberman from Stone Run Family Medicine. 00:23:57.000 --> 00:24:04.000 I wanted to know how the Enough initiative is working into this grant, and it seems like it's going to be 00:24:04.000 --> 00:24:14.000 scored as almost extra credit points from what I was understanding. So can you just talk a little bit more about that? 00:24:14.000 --> 00:24:18.000 Sure. Please add Dr. Widener. Good to see you again. Yep. 00:24:18.000 --> 00:24:26.000 So in the RFA, and Jen can probably put it up here, we say that we're providing additional points 00:24:26.000 --> 00:24:30.000 for applicants that are serving a census and enough 00:24:30.000 --> 00:24:36.000 eligible census tract. And that's in the RFA. 00:24:36.000 --> 00:24:45.000 And we can provide everybody a link to how to access where those zip codes or census tracts are. But yes, we are providing added emphasis for 00:24:45.000 --> 00:24:49.000 proposals that look to serve enough eligible 00:24:49.000 --> 00:24:52.000 communities and 00:24:52.000 --> 00:24:56.000 For folks not familiar with enough, that's an acronym. 00:24:56.000 --> 00:25:01.000 for a signature initiative of the Moore Miller administration that looks to 00:25:01.000 --> 00:25:09.000 address poverty and other factors in underserved communities. 00:25:09.000 --> 00:25:12.000 Jen, did you want to put up that? Of course, you're welcome. Did you… 00:25:12.000 --> 00:25:13.000 Are you putting… 00:25:13.000 --> 00:25:20.000 I can, yeah, I just dropped the census tracts and the interactive link to the interactive map in the chat. 00:25:20.000 --> 00:25:21.000 Great, great. That's fantastic. 00:25:21.000 --> 00:25:26.000 There are about 116 zip codes in in 00:25:26.000 --> 00:25:29.000 low poverty areas of the state i will 00:25:29.000 --> 00:25:33.000 find that slide and 00:25:33.000 --> 00:25:34.000 Okay, great. 00:25:34.000 --> 00:25:36.000 I think that's good if you just, because we're going to record this. We're going to record this and then it's also on the RFA. Yep. 00:25:36.000 --> 00:25:40.000 yep yep and bruzio. 00:25:40.000 --> 00:25:42.000 You were next. 00:25:42.000 --> 00:25:45.000 Hi, thank you. Good morning, everyone. 00:25:45.000 --> 00:25:50.000 I'm Nick Perugio. I'm the CFO from West Cecil Health in Conowingham, Maryland. 00:25:50.000 --> 00:25:56.000 Mark, real quick before we begin, I just want to know whether or not you're still riding high on the 00:25:56.000 --> 00:26:01.000 win over the Steelers. As I see your Cleveland Browns and Ohio State. 00:26:01.000 --> 00:26:04.000 Behind you. 00:26:04.000 --> 00:26:09.000 Guilty. Yep. I grew up drinking pop. Yep. Still milled with West guy. Yep 00:26:09.000 --> 00:26:14.000 pretty happy about the Buckeyes this year. We'll see how they can carry it through. Thanks for that. And please hi to John for me. 00:26:14.000 --> 00:26:16.000 Yep. I'm sure you have a question. Yep. 00:26:16.000 --> 00:26:20.000 I do. Yeah, I just saw that and I saw the Ohio State, so I had to 00:26:20.000 --> 00:26:25.000 I was in Northeast Ohio for 15 years, so I know that rivalry 00:26:25.000 --> 00:26:33.000 that exists. The question is that this comes along great because we're working on a collaboration between a 00:26:33.000 --> 00:26:38.000 some governmental agencies here. And the real exciting part is how this can kind of 00:26:38.000 --> 00:26:41.000 really help propel that even further. 00:26:41.000 --> 00:26:44.000 Especially the dental piece. 00:26:44.000 --> 00:26:53.000 My question, though, around that is, and I think it's somewhat, Andrew, I'd rather have a definition. It's very clear on how it states in the grant application 00:26:53.000 --> 00:26:56.000 major capital expenses will not be allowed. 00:26:56.000 --> 00:26:59.000 I interpret that as interpret that as 00:26:59.000 --> 00:27:06.000 adding on a wing, a new roof, something major to that category. 00:27:06.000 --> 00:27:11.000 So then if I want to expand dental in a location that doesn't have it now. 00:27:11.000 --> 00:27:13.000 Would the grant be 00:27:13.000 --> 00:27:18.000 allowable in funding potential if approved 00:27:18.000 --> 00:27:25.000 dental chairs and the fed out to put dental chairs so that dental services can be provided 00:27:25.000 --> 00:27:29.000 to underserved populations that don't exist today. 00:27:29.000 --> 00:27:34.000 Yeah, thanks for that. Thanks for the question, Nick. And please say everybody at Wes Cecil for me. 00:27:34.000 --> 00:27:40.000 Yeah, I think the way you described it is about right. Yeah, we don't have the pockets, as it were. 00:27:40.000 --> 00:27:41.000 Yeah. 00:27:41.000 --> 00:27:46.000 to be helping folks build buildings. In fact, I remember I attended an event years ago 00:27:46.000 --> 00:27:49.000 in Conowingo when you guys had opened your new 00:27:49.000 --> 00:27:53.000 your new site there with the Stephanie Garrity Behavioral Health Wing, thanks to the Weinberg Fund. 00:27:53.000 --> 00:27:54.000 Okay. 00:27:54.000 --> 00:27:58.000 Yep. So the model that Wes Cecil and many others have had to 00:27:58.000 --> 00:28:03.000 to use our funds for largely operating support and modest capital. 00:28:03.000 --> 00:28:05.000 and then and then use the 00:28:05.000 --> 00:28:10.000 that, if you will, vote of confidence from the state to go to our brothers and sisters in the private 00:28:10.000 --> 00:28:13.000 foundations who might have capital assistance. That's how I would 00:28:13.000 --> 00:28:16.000 suggest you continue to do so. 00:28:16.000 --> 00:28:17.000 Perfect. 00:28:17.000 --> 00:28:19.000 I remember a grant that we gave a couple of years ago 00:28:19.000 --> 00:28:24.000 I believe to cci who might be on the call where they use some grant funds 00:28:24.000 --> 00:28:33.000 for capital expenses. I think maybe Dr. Bruton's on the call and she can 00:28:33.000 --> 00:28:34.000 Okay. 00:28:34.000 --> 00:28:38.000 confirm my memory here. So yes, we do support some modest capital, but not putting a shovel on the ground and opening up a whole new building. We don't have that kind of capital. 00:28:38.000 --> 00:28:41.000 Perfect. Yeah, no, this works out really well. 00:28:41.000 --> 00:28:45.000 the building and the office space is being provided. 00:28:45.000 --> 00:28:48.000 This dental piece here could be really helpful to the community. 00:28:48.000 --> 00:28:51.000 And so we'll write it in and we'll see what happens. Thank you. 00:28:51.000 --> 00:28:55.000 Yeah, you're welcome. Good to see you again. 00:28:55.000 --> 00:28:58.000 Nisa, you were next. 00:28:58.000 --> 00:29:07.000 Hi, I'm Nisa Maruther from the Johns Hopkins Broncani Center for the Advancement of Community Care. And I just had a simple logistical question. I apologize if I missed it, but 00:29:07.000 --> 00:29:16.000 Is there a timeline for going from the LOI to a full application and whether or not we would hear like when we would hear about if the LOI has been 00:29:16.000 --> 00:29:19.000 approved or is there no approval process for that 00:29:19.000 --> 00:29:21.000 Yeah, thanks for that. 00:29:21.000 --> 00:29:26.000 So the letters of intent, which are mandatory, are due December 9th. 00:29:26.000 --> 00:29:34.000 And the purpose of the letter of intent, Nisa, is to determine whether the applicant is an eligible community health resource. 00:29:34.000 --> 00:29:39.000 And so we try to do that as quickly as we can, hopefully over a couple of days, right, Jen? A couple of days. 00:29:39.000 --> 00:29:40.000 Yep. 00:29:40.000 --> 00:29:44.000 And sometimes there needs to be a judgment made by our commissioners 00:29:44.000 --> 00:29:52.000 like is the applicant providing primary care services or is what they're giving us an acceptance fee scale? But in most cases, we turn those around pretty quickly. 00:29:52.000 --> 00:30:03.000 And then we write you back and say, thanks for your interest. And we give you the reminder that the full grant proposal is due January 13th. 00:30:03.000 --> 00:30:07.000 Okay, Austin Monroe. 00:30:07.000 --> 00:30:15.000 Hi, this is Austin Morris. I'm with Children's National Hospital. We have a substance use treatment provider who is interested 00:30:15.000 --> 00:30:25.000 in applying for this funding and their clinic is located on the Tacoma side of DC, but it predominantly serves Maryland kids. And I'm curious to know if they're eligible to apply. 00:30:25.000 --> 00:30:28.000 Well, sounds like they probably would be. Nice to meet you, Austin. 00:30:28.000 --> 00:30:29.000 Nice to meet you. 00:30:29.000 --> 00:30:36.000 You know, just to run through the eligibility criteria, there's what's called a designated community health resource. 00:30:36.000 --> 00:30:39.000 Sounds like the applicant might be. 00:30:39.000 --> 00:30:48.000 Then the question is, are they providing primary health care services? Sounds like they might be. And then do they have a sliding fee scale? 00:30:48.000 --> 00:30:49.000 You're great. 00:30:49.000 --> 00:30:53.000 Okay, and it sounds like that would be determined from after the letter of intent. 00:30:53.000 --> 00:30:54.000 Right. 00:30:54.000 --> 00:30:56.000 Okay. All right. Thanks so much 00:30:56.000 --> 00:30:58.000 Sure, of course. 00:30:58.000 --> 00:31:03.000 Maria Herrera. 00:31:03.000 --> 00:31:13.000 Hi, thank you so much. I just have a quick question and my apologies if I missed it. With the stack of slides be available to us? Is that something that we can download? 00:31:13.000 --> 00:31:14.000 Yes. Yes. 00:31:14.000 --> 00:31:16.000 Awesome. Thank you so much. 00:31:16.000 --> 00:31:20.000 Where are you from, Marius? I don't think. Yep, please. 00:31:20.000 --> 00:31:21.000 Okay. 00:31:21.000 --> 00:31:23.000 I'm so sorry. I'm the executive director of the Spanish-speaking community of Maryland. 00:31:23.000 --> 00:31:25.000 Oh, what part of the state do you work in? 00:31:25.000 --> 00:31:28.000 So we work Silver Spring as well as Frederick. 00:31:28.000 --> 00:31:29.000 Oh, great. Nice, nice. 00:31:29.000 --> 00:31:31.000 pretty much help the entire state. 00:31:31.000 --> 00:31:33.000 Thank you for being on today's call 00:31:33.000 --> 00:31:36.000 Thank you so much. 00:31:36.000 --> 00:31:42.000 And Nate, did you have another question 00:31:42.000 --> 00:31:44.000 Sorry. And… 00:31:44.000 --> 00:31:45.000 Do you mean Nick again? 00:31:45.000 --> 00:31:46.000 Nick, I'm sorry. Yeah, your hand is up again. 00:31:46.000 --> 00:31:52.000 That's okay. No worries, Jen. I do. I just want to be, again, clear. 00:31:52.000 --> 00:31:57.000 Based upon what I'm reading here, where during the grant period. 00:31:57.000 --> 00:32:02.000 services that will be being provided, which 00:32:02.000 --> 00:32:05.000 would be billable to Medicaid 00:32:05.000 --> 00:32:09.000 as a normal function of business will be disallowed. 00:32:09.000 --> 00:32:18.000 during the grand period because in a way the grant is, again, I just want to make sure my interpretation is right. You can't double dip, right? It's going, hey, we're giving you funding to get something started up. 00:32:18.000 --> 00:32:23.000 really helped to develop the panel of patients reach the community. 00:32:23.000 --> 00:32:27.000 And thus then what happens is through that 00:32:27.000 --> 00:32:32.000 it allows us to fund the resources to create that awareness 00:32:32.000 --> 00:32:40.000 And thus then after year two, right, we create that on-ramp to then saying, now we have a patient population that trusts us we have 00:32:40.000 --> 00:32:42.000 now we'll bill Medicaid. 00:32:42.000 --> 00:32:49.000 at that point, if we get commercial, that's fine. Don't see it. But really, the Medicaid population, I want to make sure 00:32:49.000 --> 00:32:52.000 that the language here, I'm interpreting correctly. 00:32:52.000 --> 00:32:54.000 As well as the intent. 00:32:54.000 --> 00:33:00.000 Yeah, no, it's like you're at our commission meeting. That's great. Yeah, no, the commissioners and if folks want to 00:33:00.000 --> 00:33:02.000 consult in the RFA. It's page 19. 00:33:02.000 --> 00:33:07.000 But the spirit of what the commissioners felt strongly about is that we didn't want to have 00:33:07.000 --> 00:33:14.000 our precious public grant resources be duplicated so that the term used is duplicate funding 00:33:14.000 --> 00:33:21.000 Another person might say double dipping has other connotations. But yeah, no, the idea here is to have our 00:33:21.000 --> 00:33:24.000 grant funding help 00:33:24.000 --> 00:33:30.000 catalyze services and then and then you all, the healthcare providers then 00:33:30.000 --> 00:33:33.000 you know through a number of means reach 00:33:33.000 --> 00:33:35.000 longer term program sustainability. 00:33:35.000 --> 00:33:40.000 So we know that sometimes if you're launching a new service, depending on your patient population, you need a little funding. 00:33:40.000 --> 00:33:43.000 to kind of get it started and then you reach that 00:33:43.000 --> 00:33:47.000 You reach that cruising altitude of a reaching program sustainability. 00:33:47.000 --> 00:33:55.000 So how might someone do that? Well, you might do that if you're, as an example, if you're requesting three years of grant funding, well, maybe the first year might be higher and then 00:33:55.000 --> 00:33:57.000 the commission's portion might taper down. 00:33:57.000 --> 00:34:00.000 As you go through. That would be one example. 00:34:00.000 --> 00:34:03.000 Yep. Yep. 00:34:03.000 --> 00:34:04.000 Perfect. 00:34:04.000 --> 00:34:05.000 Perfect. Perfect. Right, because some of these, the population may need this 00:34:05.000 --> 00:34:12.000 as assistance while we get them applied to Medicaid, which they may not be aware of, right? So this is perfect. 00:34:12.000 --> 00:34:15.000 Yeah, and then there are other federal qualified health centers that come to mind. 00:34:15.000 --> 00:34:21.000 I mean, gosh, their patient base might be more than 50% uninsured, as one example. 00:34:21.000 --> 00:34:25.000 So, yep, we got to meet people where they are. 00:34:25.000 --> 00:34:26.000 Exactly. 00:34:26.000 --> 00:34:28.000 And take care of our dynamic safety net. Yep. 00:34:28.000 --> 00:34:29.000 You're welcome. 00:34:29.000 --> 00:34:33.000 Thank you. Diane Richmond, you were next. 00:34:33.000 --> 00:34:35.000 Good morning. I'm Diane Rich. 00:34:35.000 --> 00:34:42.000 I'm the health equity officer at the University of Maryland Capital Region Health. And I just wanted to circle back to the enough 00:34:42.000 --> 00:34:50.000 population to confirm that that's any age group and not just limited to pediatric patients. 00:34:50.000 --> 00:34:53.000 Correct. Correct, doctor. Yep. Correct. 00:34:53.000 --> 00:34:55.000 Thank you. 00:34:55.000 --> 00:34:58.000 Thanks for being on today's call. Good to hear your voice again. 00:34:58.000 --> 00:35:01.000 Dr. Sharp? 00:35:01.000 --> 00:35:06.000 Do I see many women and family help her 00:35:06.000 --> 00:35:15.000 And my question is the funding opportunity is up to $750,000. Is that divided into 00:35:15.000 --> 00:35:22.000 three years or would it be $750,000 per year 00:35:22.000 --> 00:35:25.000 Or would the 750,000 00:35:25.000 --> 00:35:28.000 If granted that amount. 00:35:28.000 --> 00:35:30.000 would that be divided? 00:35:30.000 --> 00:35:32.000 into three years. 00:35:32.000 --> 00:35:36.000 Yeah, so thanks for that question. I'm glad you asked it. 00:35:36.000 --> 00:35:40.000 So any particular applicant can ask for up to 00:35:40.000 --> 00:35:44.000 750,000. That's a total. 00:35:44.000 --> 00:35:46.000 And… 00:35:46.000 --> 00:35:50.000 An applicant can ask for up to three years of grant funding. 00:35:50.000 --> 00:35:55.000 with that same total 750. So you asked 00:35:55.000 --> 00:36:00.000 how would it be divided and so forth? Well, one way somebody might divide it, and I'll give the example to 00:36:00.000 --> 00:36:03.000 get at Nick's point about duplicate funding. 00:36:03.000 --> 00:36:07.000 A person might say, okay, well, I have to start new services. So I'm going to ask ask 00:36:07.000 --> 00:36:12.000 let's say 400 grand in year one. 00:36:12.000 --> 00:36:19.000 Then another 200 grand in year two and then taper that down all the way to a hundred grand in year three. 00:36:19.000 --> 00:36:22.000 As an example. 00:36:22.000 --> 00:36:25.000 Thank you. 00:36:25.000 --> 00:36:29.000 Grace Dibley. 00:36:29.000 --> 00:36:34.000 Hi, I'm Grace Dively. I'm the prevention coordinator at TideMark Intervention Services. 00:36:34.000 --> 00:36:43.000 I have two questions. If we receive the CHRC school-based funding, are we eligible to apply? 00:36:43.000 --> 00:36:47.000 Yes, you're eligible to apply, but I would just 00:36:47.000 --> 00:36:50.000 suggest that you suggest 00:36:50.000 --> 00:36:56.000 you fill out the budget template that Amy presented earlier and you clarify 00:36:56.000 --> 00:37:00.000 that the funding you're asking the commission to fund is not duplicated 00:37:00.000 --> 00:37:03.000 with another funding source. 00:37:03.000 --> 00:37:04.000 Okay. And then… 00:37:04.000 --> 00:37:05.000 Does that help, Chris? Yeah. 00:37:05.000 --> 00:37:11.000 Yes, yes. Are there any priority EBPs identified? 00:37:11.000 --> 00:37:13.000 In this grant. 00:37:13.000 --> 00:37:16.000 Well, that's a great question. 00:37:16.000 --> 00:37:25.000 But the priority EBPs will be in the other RFA I mentioned, the Consortium on Coordinating Community Supports. 00:37:25.000 --> 00:37:32.000 So we'll make sure that you get information about that RFA when it goes out in early December, and we will absolutely invite you to the 00:37:32.000 --> 00:37:38.000 the public information call for that RFA, but no particular EBPs in this funding opportunity. Thanks for that, Grace. 00:37:38.000 --> 00:37:39.000 Mark, I… 00:37:39.000 --> 00:37:40.000 Okay, thank you. 00:37:40.000 --> 00:37:42.000 Just like I placed that question. That's good, Grace. Thank you. Yep. 00:37:42.000 --> 00:37:46.000 Mark, the commissioners are saying that the the 00:37:46.000 --> 00:37:50.000 behavioral health services are more 00:37:50.000 --> 00:37:52.000 adult but they will 00:37:52.000 --> 00:37:54.000 Do we want to mention that? 00:37:54.000 --> 00:37:58.000 Well, I mentioned that earlier. I mean, the behavioral health applicants in this RFA 00:37:58.000 --> 00:38:02.000 should clarify that it's for a total population or a community 00:38:02.000 --> 00:38:07.000 or tilted towards adults. So it's differentiated, as Jen said, from 00:38:07.000 --> 00:38:11.000 the adolescent and youth program that the consortium funds. 00:38:11.000 --> 00:38:13.000 Okay 00:38:13.000 --> 00:38:15.000 Jackie Ward. 00:38:15.000 --> 00:38:21.000 Hi everyone, Jackie from the Worcester County Health Department. My question is kind of, thank you. 00:38:21.000 --> 00:38:25.000 My question is kind of building off of Grace's. 00:38:25.000 --> 00:38:34.000 So we have several different units within the health department that may be interested in applying for some of the funds since there's a variety of target 00:38:34.000 --> 00:38:40.000 topics, would we do, say, for example, we have 00:38:40.000 --> 00:38:44.000 two projects, one for dental and one for behavioral health. 00:38:44.000 --> 00:38:53.000 Would we do two separate applications or would we do one and how would that 00:38:53.000 --> 00:38:58.000 how would that also work with the total of request amount? 00:38:58.000 --> 00:39:03.000 Yeah, that's a tricky question. I think the best I can try to answer it 00:39:03.000 --> 00:39:07.000 to try to be helpful is to just think through if 00:39:07.000 --> 00:39:10.000 the services you're going to be provided 00:39:10.000 --> 00:39:15.000 are for the same population, meaning you're like, okay, I have a population i want to serve 00:39:15.000 --> 00:39:23.000 And I want to wrap them with additional services or if they're fundamentally different populations. 00:39:23.000 --> 00:39:24.000 Okay, I'll think on that. 00:39:24.000 --> 00:39:28.000 I feel like I'm going to answer your question. Do you want to ask a follow up, Jackie? 00:39:28.000 --> 00:39:37.000 Yeah, I mean, obviously everyone will most likely be Worcester County residents. But for example, if we did something with dental. 00:39:37.000 --> 00:39:43.000 We're the only provider of Maryland Smiles. So for children's Medicaid. 00:39:43.000 --> 00:39:50.000 But if we're looking at, say, maternal health or reproductive health and things like that, that would be 00:39:50.000 --> 00:39:52.000 a different part of our population. 00:39:52.000 --> 00:40:01.000 So I guess I'm just trying to make sure I understand like obviously the whole community, but certain programs would have a certain subpopulation they would be targeting. 00:40:01.000 --> 00:40:02.000 Is that what you mean? 00:40:02.000 --> 00:40:14.000 I got you. Thanks. Now I understand your question a bit more clearly. I think that sounds like it might be two different proposals. 00:40:14.000 --> 00:40:15.000 Sounds like it. 00:40:15.000 --> 00:40:16.000 Okay, so there would be two separate grant proposals. So two different applications. Okay. 00:40:16.000 --> 00:40:21.000 sounds like it because what I'm hearing is that you want to provide access to dental services 00:40:21.000 --> 00:40:22.000 Mm-hmm. 00:40:22.000 --> 00:40:25.000 Right. And then you also want to provide 00:40:25.000 --> 00:40:26.000 other services 00:40:26.000 --> 00:40:27.000 Yeah. Yes. 00:40:27.000 --> 00:40:33.000 Right. For the maternal child health population. So it's that other piece that has me thinking that those are two different 00:40:33.000 --> 00:40:36.000 two different uh 00:40:36.000 --> 00:40:37.000 proposals. 00:40:37.000 --> 00:40:43.000 Yeah, that makes sense. I just wanted to make sure if you wanted it all in one, which would be a lot if we do end up doing multiple. 00:40:43.000 --> 00:40:47.000 One other follow-up question with that. 00:40:47.000 --> 00:40:52.000 In relation to the letter of intent, would we submit 00:40:52.000 --> 00:41:01.000 one and just kind of note the different programs for example if 00:41:01.000 --> 00:41:06.000 So that's a really good question. I guess I'll answer and Jen and Bob, you can 00:41:06.000 --> 00:41:10.000 You can, I don't know, Bob, take off your glasses if you guys feel differently. 00:41:10.000 --> 00:41:12.000 I think that's… 00:41:12.000 --> 00:41:15.000 That is a great question. Thanks for asking that, Jackie 00:41:15.000 --> 00:41:18.000 So the letter of intent is really designed to determine the 00:41:18.000 --> 00:41:20.000 applicants eligibility. 00:41:20.000 --> 00:41:26.000 But it also helps us plan to know how many proposals are coming in and so forth. 00:41:26.000 --> 00:41:29.000 So based on that, I would say that 00:41:29.000 --> 00:41:36.000 for every proposal you're contemplating, and in your example, Jackie, I think we decided together, it sounds like two different ones. 00:41:36.000 --> 00:41:41.000 I would do two separate LOIs. 00:41:41.000 --> 00:41:44.000 Bob's shaking his head, so I got that one right. Okay. Does that make sense? 00:41:44.000 --> 00:41:48.000 Yep. 00:41:48.000 --> 00:41:51.000 one LOI per proposal. 00:41:51.000 --> 00:41:56.000 Not one LOI per applicant. 00:41:56.000 --> 00:42:01.000 All right. Trish Woodward, you were next. 00:42:01.000 --> 00:42:12.000 Hi, good morning. Trish Woodward with Camp Opportunity. We serve children ages 8 to 11 who've experienced abuse and neglect by sending them to a residential overnight summer camp. 00:42:12.000 --> 00:42:15.000 and um 00:42:15.000 --> 00:42:26.000 So I have two questions. One, the LOI, I've already submitted it. And I think you said that we would hear back within a couple of days. And I just want to make sure that that is accurate because I submitted it over a week ago. 00:42:26.000 --> 00:42:33.000 And then the other, after now attending this, I probably should have waited to submit my LOI, is there 00:42:33.000 --> 00:42:37.000 a way to change the amount that you're asking for. 00:42:37.000 --> 00:42:39.000 on your application. 00:42:39.000 --> 00:42:43.000 Sure. Okay, thanks. Have you applied before in the past, Trish, or are you a first time out? 00:42:43.000 --> 00:42:46.000 This will be the first time. 00:42:46.000 --> 00:42:47.000 Yeah. 00:42:47.000 --> 00:42:49.000 Okay, great. Great. Well, nice to meet you. 00:42:49.000 --> 00:42:57.000 So when I said we would respond to in a few days, I was referring to all of the LOIs coming in on December 9th. Now you've gone ahead and 00:42:57.000 --> 00:43:02.000 send something in early and we like that. So, and thank you for that. Others are welcome to file 00:43:02.000 --> 00:43:04.000 the LOI prior to 00:43:04.000 --> 00:43:12.000 December 9th. In your case, I think we need to look it over and look closely to see if the services that you're providing 00:43:12.000 --> 00:43:15.000 would meet that primary care services definition. 00:43:15.000 --> 00:43:25.000 I know my AG would say we got to wait to go through it rather than just responding to something on the fly here because we don't do that in a reckless basis. 00:43:25.000 --> 00:43:28.000 If you want to submit, if you want to if you want to 00:43:28.000 --> 00:43:33.000 resubmit your LOI with a different amount. Sure, you're welcome to do that. Just say. 00:43:33.000 --> 00:43:37.000 please discard the first one I sent in and send in the second one. 00:43:37.000 --> 00:43:38.000 Okay. 00:43:38.000 --> 00:43:39.000 And I also wanted to say for folks 00:43:39.000 --> 00:43:44.000 who submit their letter of intent and we go through it or we take 00:43:44.000 --> 00:43:54.000 or commissioners and we find that it's not an eligible community resource. It doesn't mean that what you're providing isn't important services. It just means that we have to follow the 00:43:54.000 --> 00:43:58.000 the spirit and the letter of the law here. 00:43:58.000 --> 00:44:01.000 Okay, so I just wanted to say that even if we 00:44:01.000 --> 00:44:07.000 are unable to find you eligible. It doesn't mean that what you're providing isn't important and valued by 00:44:07.000 --> 00:44:14.000 by the children and families that you serve. Also, I want to make sure that you knew about the consortium's request 00:44:14.000 --> 00:44:16.000 for our applications as well. 00:44:16.000 --> 00:44:22.000 Because that is absolutely from the population that you're serving and it has different eligibility requirements. So I absolutely 00:44:22.000 --> 00:44:25.000 which suggests that you take a close look at that as well, okay? 00:44:25.000 --> 00:44:26.000 It's great. 00:44:26.000 --> 00:44:29.000 And depending on what area of the state you serve, I would recommend you start 00:44:29.000 --> 00:44:33.000 by knocking on the door of your local education agency. 00:44:33.000 --> 00:44:39.000 We primarily focus on the city and Baltimore County, but we do serve children statewide. 00:44:39.000 --> 00:44:46.000 Okay, we'll decide which area of the state is a priority and you should go to BHSB in Baltimore City and you should go to 00:44:46.000 --> 00:44:51.000 Baltimore County's local behavioral health authority. That would be time well spent. 00:44:51.000 --> 00:44:52.000 You're welcome. 00:44:52.000 --> 00:44:58.000 Trish, and this goes for anyone who has sent in an LOI over the last few days. 00:44:58.000 --> 00:45:04.000 I can send them back to you. So Trish, I will, following this meeting, I will send your 00:45:04.000 --> 00:45:08.000 LOI back to you so you can edit it. 00:45:08.000 --> 00:45:09.000 Thanks. 00:45:09.000 --> 00:45:12.000 Karen Card, you were next. 00:45:12.000 --> 00:45:15.000 Good morning, everyone. Hey, Mark and team. 00:45:15.000 --> 00:45:30.000 with home ports. I'm the very, very new executive director. I joined about two weeks ago. And we provide rides to people who need them to get to their primary care and specialist appointments. And one of the 00:45:30.000 --> 00:45:35.000 islets that we'd like to do in 2025 is to look at expanding our reach in terms of 00:45:35.000 --> 00:45:44.000 providing rise to a broader set of community so out to Easton and over to Centerville and maybe up to christiana 00:45:44.000 --> 00:45:46.000 where our volunteers provide the rides. 00:45:46.000 --> 00:45:50.000 I guess my question is, if we're thinking of this sort of as a pilot 00:45:50.000 --> 00:45:58.000 You know, and back to the sort of we could apply for funds for three years. Is there any 00:45:58.000 --> 00:46:15.000 sort of, I guess, you know, is it better for us to say position as a pilot and request funds for year one or in the in the essence of sustainability and what have you, should we anticipate that year one will be great and then, you know, so make it a three-year ask, I guess, sort of 00:46:15.000 --> 00:46:19.000 listening for the intone and the intent here. 00:46:19.000 --> 00:46:26.000 Yeah, I appreciate the question. There's boundaries here because we're talking about how making a proposal more competitive versus not. So I'll try to 00:46:26.000 --> 00:46:29.000 do my best here, Karen. 00:46:29.000 --> 00:46:33.000 here's what I would say. There's a lot of hands, a lot of questions. 00:46:33.000 --> 00:46:36.000 So in any given year, I lost you, Karen, where'd you go? 00:46:36.000 --> 00:46:37.000 I'm still here. 00:46:37.000 --> 00:46:41.000 Okay, no, for some reason the computer took you away. Oh, well. 00:46:41.000 --> 00:46:42.000 Anyway, there you go. Okay. 00:46:42.000 --> 00:46:43.000 She lowered her hand. 00:46:43.000 --> 00:46:48.000 Look, here's the thing, Karen. We have 7 million to give out statewide. 00:46:48.000 --> 00:46:51.000 And in my time here, I've seen 00:46:51.000 --> 00:46:56.000 every RFA generates 60, 70, 80, sometimes 90 million in requests 00:46:56.000 --> 00:46:59.000 So, you know, we can fund 00:46:59.000 --> 00:47:05.000 on the you know about one out of every five applicants, and that's even after we we reduced our funding request so 00:47:05.000 --> 00:47:08.000 You can certainly ask for three years of funding. 00:47:08.000 --> 00:47:11.000 You can even ask for the full amount of 750 00:47:11.000 --> 00:47:17.000 But I just wanted to reiterate the funding is very, very competitive. 00:47:17.000 --> 00:47:28.000 Absolutely. Understood. Our intent is not to ask for anything like that, but I think it's, you know, we're a small organization and it grows steadily, but slowly and in a measured way. 00:47:28.000 --> 00:47:31.000 Yeah, I would think about 00:47:31.000 --> 00:47:33.000 the implementation time that you need. 00:47:33.000 --> 00:47:37.000 to achieve the outcomes you're going to tell us you need to achieve. 00:47:37.000 --> 00:47:45.000 In my time here, I found that it's, I don't know if you said that you're already providing the services and you want to expand it or if it's a new service, but 00:47:45.000 --> 00:47:52.000 If it's a new service, everybody knows here on this call, I mean, starting something in a year and then having it all wrapped up in 12 months is 00:47:52.000 --> 00:47:54.000 is a lot. 00:47:54.000 --> 00:47:59.000 I would just think about that as well. And then also the further run out time we like to say in our 00:47:59.000 --> 00:48:01.000 on our side of the fence might help you with sustainability. 00:48:01.000 --> 00:48:04.000 Okay. 00:48:04.000 --> 00:48:13.000 Yeah, absolutely. Okay. Yes. And we're definitely, this is really expanding the region of the service we already provide, I guess is the way to say it. So serve more people through 00:48:13.000 --> 00:48:15.000 expanded needs that they've demonstrated. 00:48:15.000 --> 00:48:19.000 Yeah, and I would think about to what extent 00:48:19.000 --> 00:48:25.000 any of the services that you offer, or you might be asking us to fund are billable. 00:48:25.000 --> 00:48:26.000 We'll think about that as well. 00:48:26.000 --> 00:48:29.000 Okay. Thank you very much. 00:48:29.000 --> 00:48:30.000 You're welcome. 00:48:30.000 --> 00:48:33.000 Heather, you were next. 00:48:33.000 --> 00:48:41.000 Hello, I'm Heather Rachelman. I'm the prevention manager at the Maryland Center of Excellence on Problem Gambling. 00:48:41.000 --> 00:48:44.000 Last year, we did a letter of intent. 00:48:44.000 --> 00:48:51.000 And they said we were not eligible. So I believe we are. So I would like to submit again, but I don't know if it was 00:48:51.000 --> 00:48:57.000 rejected because of the program we wanted to do or 00:48:57.000 --> 00:49:00.000 If it was like our organization as a whole. 00:49:00.000 --> 00:49:03.000 So how will we get more information on why 00:49:03.000 --> 00:49:05.000 we were deemed not eligible. 00:49:05.000 --> 00:49:15.000 Sure. So good to see you again, Heather. I think we need to schedule contact Jen and we'll schedule a call for you so we can discuss the eligibility that was determined last year. 00:49:15.000 --> 00:49:18.000 But just for everyone, the letter of intent 00:49:18.000 --> 00:49:22.000 has nothing to do with the project you asked us to fund. 00:49:22.000 --> 00:49:25.000 The letter of intent has to do with whether the entity itself 00:49:25.000 --> 00:49:29.000 is an eligible community health resource. 00:49:29.000 --> 00:49:36.000 Okay. So, so that discussion, and I do remember your application last, your letter of intent. 00:49:36.000 --> 00:49:41.000 hinges on whether you're an eligible community health resource. 00:49:41.000 --> 00:49:44.000 And I can have a longer conversation with you about what that looks like. 00:49:44.000 --> 00:49:51.000 But essentially, it will hinge on whether your organization does provides primary care services. 00:49:51.000 --> 00:49:52.000 Okay, so I'll set something up. 00:49:52.000 --> 00:49:55.000 Unless you refer folks 00:49:55.000 --> 00:49:57.000 you might refer folks to clinical 00:49:57.000 --> 00:49:59.000 primary care services, you might, in which case you might be 00:49:59.000 --> 00:50:01.000 We do. 00:50:01.000 --> 00:50:03.000 Okay, well then let's let's talk more about that, okay? 00:50:03.000 --> 00:50:05.000 Okay, I'll contact you. Thank you. 00:50:05.000 --> 00:50:07.000 Sure. Yeah, you're welcome. Good to see you again. Yep. 00:50:07.000 --> 00:50:09.000 Good to see you. 00:50:09.000 --> 00:50:12.000 Florian Portis. 00:50:12.000 --> 00:50:22.000 Yes, good morning. My name is Florian Portis. I am the Executive Director of Therapeutic Links Behavioral Health Services. We have offices in both DC and Maryland. 00:50:22.000 --> 00:50:27.000 And we are a Medicaid provider in the state of Maryland as well. 00:50:27.000 --> 00:50:35.000 My question is, and just to piggyback off similar to a Jackie Ward's question is, and I think after the previous person mentioned it. 00:50:35.000 --> 00:50:40.000 Just to make sure, I didn't want to assume we were eligible, but 00:50:40.000 --> 00:50:47.000 So we have been able to have the opportunity to provide value-based services in DC, and it's worked very well in addressing 00:50:47.000 --> 00:50:56.000 co-occurring disorders and improving health outcomes for those with diabetes, obesity, and hypertension through our mental health services 00:50:56.000 --> 00:51:04.000 Actually, we do a lot of data analysis just to make sure we're on track and providing the evidence-based services to improve outcomes. 00:51:04.000 --> 00:51:09.000 and reduce hospital, well, I want to say unnecessary hospitalizations, but hospitalizations 00:51:09.000 --> 00:51:13.000 preventable sorry yes preventable hospitalizations 00:51:13.000 --> 00:51:19.000 So we do, we are a private practice, but we do refer out to um 00:51:19.000 --> 00:51:27.000 FQHCs and OMHCs. So I'm just wondering which direction would we, you know, with our letter of intent. 00:51:27.000 --> 00:51:32.000 would it be more applicable for us as a behavioral health provider? 00:51:32.000 --> 00:51:37.000 Thanks. It's nice to meet you, Florian. So are you a licensed outpatient mental health 00:51:37.000 --> 00:51:38.000 provider with the state of Maryland. 00:51:38.000 --> 00:51:40.000 No, we're not. 00:51:40.000 --> 00:51:44.000 Okay, so that's not an option. So then we have… 00:51:44.000 --> 00:51:50.000 Then we have, do you have an existing referral relationship with the Federal Qualified Health Center? 00:51:50.000 --> 00:51:57.000 No, we don't. But with two OMH sheets we refer to, but this is the reason why I was interested in this 00:51:57.000 --> 00:52:02.000 project is to expand our reach to health providers. 00:52:02.000 --> 00:52:05.000 to help improve their outcomes as well. 00:52:05.000 --> 00:52:16.000 So since you're not a designated community health resource, there's two ways you could be an eligible community health resource. One would be if you're a primary community health resource, which means you provide primary care services. 00:52:16.000 --> 00:52:19.000 and have your own sliding fee scale. 00:52:19.000 --> 00:52:25.000 Sounds like you might do that, but I'd have to ask that you send us in that letter of intent and we can take a look at that. 00:52:25.000 --> 00:52:28.000 Or if you have an existing 00:52:28.000 --> 00:52:34.000 documented relationship with another clinical provider, whether that's an OMHC 00:52:34.000 --> 00:52:38.000 Or maybe that's a Federal Crawford Health Center, but it's key that that 00:52:38.000 --> 00:52:41.000 that referral relationship exists now. 00:52:41.000 --> 00:52:49.000 Or you have it in place when you submit your letter of intent that's due December 9th. 00:52:49.000 --> 00:52:52.000 Okay. 00:52:52.000 --> 00:52:53.000 Okay. 00:52:53.000 --> 00:53:00.000 Yep. I hope that's helpful. What you asked about would be the same answer I would give other applicants in a similar posture. 00:53:00.000 --> 00:53:06.000 Okay, yes, because we do have an existing referral relationship with OMHC. 00:53:06.000 --> 00:53:12.000 Again, the reason why we're even doing this is so that we can expand our reach to 00:53:12.000 --> 00:53:17.000 other healthcare providers in the community so okay thank you. 00:53:17.000 --> 00:53:27.000 Hope that's helpful. It sounds like you might be a first time applicant. If you have further questions, you're welcome to contact us anytime. Yep. And I feel like I've already said this, but I just want to emphasize this again. 00:53:27.000 --> 00:53:34.000 whether or not an applicant is an eligible QMF resource does not mean that the services are provided aren't important and meaningful. 00:53:34.000 --> 00:53:36.000 It just means we have strict 00:53:36.000 --> 00:53:43.000 in the law and in our regs eligibility criteria that I can't mess around with, okay? 00:53:43.000 --> 00:53:47.000 Katie Bacchino? 00:53:47.000 --> 00:53:53.000 I'm Katie Bacchino with Baltimore Washington Medical Center. I have two quick questions. 00:53:53.000 --> 00:53:58.000 I just want to make sure that current grantees are eligible to apply for this funding. 00:53:58.000 --> 00:54:00.000 Sorry if I missed that earlier. 00:54:00.000 --> 00:54:03.000 Grant grantees are eligible to apply. And like we've said over the years, Katie. 00:54:03.000 --> 00:54:06.000 Okay. 00:54:06.000 --> 00:54:09.000 if we funded you recently and a grant maybe just ended 00:54:09.000 --> 00:54:13.000 This year, you know, you ought to differentiate 00:54:13.000 --> 00:54:18.000 the funding that you're asking us to fund versus a recently completed project. 00:54:18.000 --> 00:54:19.000 Sure. Okay. 00:54:19.000 --> 00:54:21.000 Which is advice I would give anybody. 00:54:21.000 --> 00:54:32.000 Okay, thank you. And the first area of focus is addressing chronic disease prevention and disease management, including diabetes and its comorbidities. 00:54:32.000 --> 00:54:42.000 And I just wanted to clarify that whether or not diabetes is a required chronic condition that we would need to focus on or if it's just one of 00:54:42.000 --> 00:54:46.000 a list of chronic conditions that we can choose to focus on. 00:54:46.000 --> 00:54:48.000 it's one of a list of chronic conditions. 00:54:48.000 --> 00:54:53.000 Okay. Okay, great. Thank you. 00:54:53.000 --> 00:54:58.000 Thanks, Katie. Dr. Mullaly. 00:54:58.000 --> 00:55:08.000 Good morning. I'm Dr. Mullerwee. I'm the Executive Director for Community Engagement Consultation Group. So we are in the category of access services community health resource 00:55:08.000 --> 00:55:11.000 My question is. 00:55:11.000 --> 00:55:24.000 it's around the offer services on a sliding scale or free or free of charge. So do we have to provide both a sliding scale fee and then a letter 00:55:24.000 --> 00:55:31.000 indicating that participants will be receiving services free of charge or 00:55:31.000 --> 00:55:35.000 Yeah, thanks. Thanks. It's nice to meet you. 00:55:35.000 --> 00:55:41.000 an applicant looking to be certified as an eligible community health resource in the access services category. 00:55:41.000 --> 00:55:45.000 has to have the following things in place, okay? 00:55:45.000 --> 00:55:48.000 You have to have your own sliding fee scale policy. 00:55:48.000 --> 00:55:53.000 which could include that services are provided at no charge. 00:55:53.000 --> 00:55:59.000 Second, you have to have a documented referral relationship 00:55:59.000 --> 00:56:02.000 that exists with another clinical healthcare provider 00:56:02.000 --> 00:56:04.000 might be a federal qualified health center. 00:56:04.000 --> 00:56:07.000 might be a local health department. There are a whole number of them. 00:56:07.000 --> 00:56:10.000 And then that clinical provider to whom you refer 00:56:10.000 --> 00:56:13.000 has to have its own sliding fee scale policy. 00:56:13.000 --> 00:56:14.000 I see. 00:56:14.000 --> 00:56:17.000 So three things. Your own sliding PSCO policy 00:56:17.000 --> 00:56:22.000 referral relationship that's documented and then the referral, the referrers 00:56:22.000 --> 00:56:24.000 or to whom you're referring, sliding fee scope policy. 00:56:24.000 --> 00:56:28.000 Three things. 00:56:28.000 --> 00:56:31.000 Okay, the next question is um 00:56:31.000 --> 00:56:38.000 Can you elaborate a little bit of the non-medical services? 00:56:38.000 --> 00:56:44.000 Well, we've seen successful grantees over the years. 00:56:44.000 --> 00:56:48.000 Be very precise in the target population that they want to serve. 00:56:48.000 --> 00:56:51.000 They're precise in the specific 00:56:51.000 --> 00:56:58.000 disparity, like maybe diabetes, for example, or maternal and child health outcomes as an example. 00:56:58.000 --> 00:57:00.000 And then they they pick 00:57:00.000 --> 00:57:03.000 several or one. 00:57:03.000 --> 00:57:05.000 barrier that 00:57:05.000 --> 00:57:10.000 they want to address that would enable the target population to access health services. 00:57:10.000 --> 00:57:14.000 So some barriers over the air might be lack of access to providers. 00:57:14.000 --> 00:57:17.000 I've seen folks submit telehealth proposals. 00:57:17.000 --> 00:57:21.000 Another barrier might be lack of access to transportation. 00:57:21.000 --> 00:57:26.000 So we've seen folks request grant funding to provide expanded transportation services. 00:57:26.000 --> 00:57:28.000 A third one that comes to mind. 00:57:28.000 --> 00:57:32.000 would be folks that live in food deserts. 00:57:32.000 --> 00:57:39.000 Many folks will come to us and say, look, I want to address diabetes and we need to have the target population have access to healthier foods. 00:57:39.000 --> 00:57:41.000 And even better, we'll help them teach them to cook it. 00:57:41.000 --> 00:57:45.000 For example, those are several examples, man, doctor. 00:57:45.000 --> 00:57:47.000 Yep. 00:57:47.000 --> 00:57:48.000 Sure, you're welcome. 00:57:48.000 --> 00:57:54.000 Thank you. Katie Graves, you had your hand up and then lowered it. I just want to make sure your question was answered. 00:57:54.000 --> 00:58:00.000 Hi, Katie asked a similar question to me. I wanted to make sure that the 00:58:00.000 --> 00:58:06.000 disease we were interested in was going to be considered within our chronic 00:58:06.000 --> 00:58:10.000 within the focus of chronic disease prevention. 00:58:10.000 --> 00:58:16.000 We're wondering about breast cancer screening within chronic disease prevention focus. 00:58:16.000 --> 00:58:20.000 Yes, maybe, Katie or it might 00:58:20.000 --> 00:58:23.000 it might fit into maternal child health. 00:58:23.000 --> 00:58:25.000 Okay, okay, great. Thank you so much. 00:58:25.000 --> 00:58:30.000 And just remember the area of focus doesn't address the letter of intent eligibility 00:58:30.000 --> 00:58:31.000 Yes. 00:58:31.000 --> 00:58:34.000 Right. Okay. I want to make sure that was clear. 00:58:34.000 --> 00:58:35.000 It is. 00:58:35.000 --> 00:58:40.000 We get the commission reserve the right to, if someone applies in one area, we might say. 00:58:40.000 --> 00:58:43.000 we really think it's better fit here. 00:58:43.000 --> 00:58:44.000 Oh. 00:58:44.000 --> 00:58:49.000 And if we do that, we will notify you and let you know what category we're going to put you in. 00:58:49.000 --> 00:58:51.000 Oh, okay, great. Thank you so much. 00:58:51.000 --> 00:58:52.000 Okay. 00:58:52.000 --> 00:58:56.000 Okay. All right. Nate, final question. 00:58:56.000 --> 00:59:03.000 Oh, thank you. I know we're almost at time and I apologize. This is my third one, but it will be brief. I was curious. 00:59:03.000 --> 00:59:08.000 Are there particular elements that you all expect within the memorandum of understanding 00:59:08.000 --> 00:59:14.000 that would be provided. I didn't see a template yet. I just want to ask. 00:59:14.000 --> 00:59:16.000 Uh, so… 00:59:16.000 --> 00:59:17.000 you're going to have to help me. 00:59:17.000 --> 00:59:19.000 Thank you. 00:59:19.000 --> 00:59:25.000 the memorum of understanding for an access services applicant or what 00:59:25.000 --> 00:59:26.000 What are you referring to? 00:59:26.000 --> 00:59:30.000 Yeah, Mark, I don't mean, yeah. 00:59:30.000 --> 00:59:37.000 There's a memorandum on it. You want a copy of the memorandum of understanding if there is a relationship that we have developed that will 00:59:37.000 --> 00:59:40.000 be in part with the services that we're providing. 00:59:40.000 --> 00:59:41.000 Uh-huh. 00:59:41.000 --> 00:59:46.000 So I just didn't know if there was an expectation on what needed to be included in that. 00:59:46.000 --> 00:59:49.000 Well, um. 00:59:49.000 --> 00:59:58.000 It depends on what, can you help me out? And I don't have the entire RFA memorized. Can you tell me where in the RFA that you see that and then I can do my best to answer you? 00:59:58.000 --> 01:00:06.000 Sure. Yeah. On page six and three on item three, it refers to just, you know, having a memorandum of understanding 01:00:06.000 --> 01:00:07.000 in place 01:00:07.000 --> 01:00:09.000 that demonstrates a referral relationship with a provider partner. 01:00:09.000 --> 01:00:15.000 Oh, yeah. Okay. Yeah, no, that's in the eligibility section. That's earlier in the RFA and what what that 01:00:15.000 --> 01:00:20.000 document is referring to an MOU or some other document 01:00:20.000 --> 01:00:26.000 that memorializes, as RAG likes to say, memorializes that a referral relationship 01:00:26.000 --> 01:00:31.000 between the lead applicant as an access services 01:00:31.000 --> 01:00:38.000 applicant that they have an existing referral relationship with a clinical provider. But I think you're at West Cecil. 01:00:38.000 --> 01:00:40.000 Yeah, so we don't need one. So we'll be fine. 01:00:40.000 --> 01:00:42.000 No, no, you just got some interesting fee scale. Okay. 01:00:42.000 --> 01:00:48.000 Yeah, exactly. Yeah. I just, so I just, that's why I wanted to ask. 01:00:48.000 --> 01:00:49.000 Okay. Thank you, Mark. 01:00:49.000 --> 01:00:56.000 Yep. Yep. FQHCs. Yeah, you're welcome. Yeah, just make sure you attach that sliding fee scale policy, which I'm sure the feds make you guys have, right? 01:00:56.000 --> 01:00:57.000 Yep. 01:00:57.000 --> 01:01:01.000 Yes, sir. Thank you all for entertaining my questions. Have a great holiday. 01:01:01.000 --> 01:01:02.000 Thank you. 01:01:02.000 --> 01:01:05.000 Yep. Thanks for everybody at West Hiesel for me. Yep. 01:01:05.000 --> 01:01:08.000 Okay, have we gone through all the questions? 01:01:08.000 --> 01:01:10.000 We've gone through all of the hands. 01:01:10.000 --> 01:01:14.000 Anything in the chats? I don't look at those until we finish the oral questions. 01:01:14.000 --> 01:01:17.000 I do not see anything. 01:01:17.000 --> 01:01:23.000 Great. Excellent. All right. Pretty darn close to time. Good job. Good job, Bob, Amy, and Jen, everything. Yep, yep thanks 01:01:23.000 --> 01:01:27.000 I'm like, appreciate you, Michael, everybody. Yep. 01:01:27.000 --> 01:01:28.000 All right, I'm going to hop over to 11 o'clock, okay? 01:01:28.000 --> 01:01:33.000 I will put this, the recording 01:01:33.000 --> 01:01:37.000 on the CHRC request 01:01:37.000 --> 01:01:47.000 for applications web page. Everybody have a happy Thanksgiving. We will also have a second FAQ call for this funding opportunity. 01:01:47.000 --> 01:01:52.000 in early January for those who have been deemed eligible. 01:01:52.000 --> 01:01:59.000 And again, we will get those eligibility letters to you as soon as possible after the 9th. 01:01:59.000 --> 01:02:06.000 Okay, great. Thanks. I hope everyone has a good holiday. I'm going to stop the recording and we're going to 01:02:06.000 --> 01:02:07.000 Thank you. 01:02:07.000 --> 01:02:09.000 Log on now. Thanks so much. 01:02:09.000 --> 01:02:11.000 Bye-bye, everyone. 01:02:11.000 --> 01:02:14.000 Thank you.