HOPWA Program Progress Report Coversheet

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Feb 16, 2014 (3 years and 4 months ago)

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Page
1




DSHS HOPWA Program Report

Revised 05/2013



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:
hivstdreport.tech@dshs.state.tx.us



CC your: Services Consultant


Services Team Lead

(david.saenz@dshs.state.tx.us)

Nurse Consu
ltant

HOPWA
Grant Coordinator/Program Specialist

(michelle.berkoff@dshs.state.tx.us)




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)









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2





DSHS HOPWA Program Report












Revised 05/2013


Housing Opportunities for PersonsWith AIDS (HOPWA)
Program
Progress
Report


Table of Contents

HOPWA Program Progress Report Coversheet

................................
................................
................................
................................
...

1

Overview, General Instructions, and Definitions

................................
................................
................................
................................
..

3

Instructions and Administrative Agency Summary Information

................................
................................
................................
........

5

Project Sponsor Information

................................
................................
................................
................................
....................

6

Part 1: Performance Measures Assessment and Narratives

................................
................................
................................
...............

6

A.

STATUS OF HOPWA WAITING LIST

................................
................................
................................
............................

6

B.

PERFORMANCE MEASURES EVALUATION

................................
................................
................................
.............

7

1.
Reporting by Program Period

................................
................................
................................
................................
..............

7

NARRATIVE SECTION INSTRUCTIONS:
................................
................................
................................
..........................

7

C. OUTPUTS REPORTED

................................
................................
................................
................................
......................

7

D. OUTCOMES ASSESSED

................................
................................
................................
................................
....................

7

E.
COORDINATION

................................
................................
................................
................................
................................

7

F.
BARRIERS AN
D RECOMMENDATIONS

................................
................................
................................
.......................

8

G.
TECHNICAL ASSISTANCE

................................
................................
................................
................................
..............

9

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

................................
................................
.......................

10

H. HOPWA ELIGIBLE CLIENTS

................................
................................
................................
................................
........

10

I.

SPECIAL NEEDS CLIENTS

................................
................................
................................
................................
..............

10

J. PRIOR LIVING SITUATION

................................
................................
................................
................................
...........

10

K. HOPWA BENEFICIARIES

................................
................................
................................
................................
..............

11

L. AGE AND GENDER OF BENEFICIARIES

................................
................................
................................
...................

12

M. RACE AND ETHNICITY OF BENEFICIARIES

................................
................................
................................
..........

13

N. HOUSEHOLD AREA MEDIAN INCOME

................................
................................
................................
.....................

13

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

................................
....................

14

O. LEVERAGED HOUSEHOLDS

................................
................................
................................
................................
........

14

P. LEVERAGED SOURCES BY PROGRAM ACTIVITY

................................
................................
................................

14

1. Leveraged Sources

................................
................................
................................
................................
...............................

14

2.

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

................................
................................
................................
................................
......

17

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

................................
..........

18

R. SUPPORTIVE SERVICES

................................
................................
................................
................................
................

18

Part 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 t
o STRMU and TBRA Stability
Outcomes.

................................
................................
................................
................................
................................
.................

19

T. STRMU HOUSING STABILITY OUTCOMES
-

Prevention of Homelessness: Assessment of Client Ou
tcomes on
Reduced Risks of Homelessness (Short
-
Term Housing Assistance)

................................
................................
....................

19

U. ACCESS TO CARE AND SUPPORT OUTCOMES

................................
................................
................................
......

21

V. HOPWA HOUSING STABILITY OUTCOMES

................................
................................
................................
............

22

Appendix A: HOPWA Program Progress Report FAQs

................................
................................
................................
...................

23





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3





DSHS HOPWA Program Report












Revised 05/2013




Overview, General Instructions, and Definitions


OVERVIEW

The 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 ha
s
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 ann
ual 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 t
o 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 a
t 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 strategie
s 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 r
egulatory compliance
.


GENERAL INSTRUCTIONS

Purpose
.
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
activi
ties 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
.
Inf
ormation 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
progre
ss report will serve as the annual progress report.


Record Keeping
.
Names and other individual information must be kept
confiden
tial, as required by 24 CFR 574.440. However, HUD reserves the right
to review the information used to complete this report fo
r 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.



DEFINITIONS

The 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
Households

1.

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:
C
osts for general management, oversight, coordination,
e
valuation, 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 administrativ
e 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 a
ssistance.


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
disa
bling 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 C
ondition:
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 con
dition 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.


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



Page
4





DSHS HOPWA Program Report












Revised 05/2013


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 wo
rship 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 the
ir 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

O
rganization
:
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 affil
iates 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 fo
r 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 PW
H/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 arrangem
ent 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 H
IV/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 hou
sing during the operating year
.
See
Part 5:
Determining Housing StabilityOutcomes

for definitions of stable and unstable
housing situations.

In
-
K
ind 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 custom
ary 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 pr
operty 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 t
o 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
illne
ss 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 regulati
ons 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/ai
dshousing


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 that

helps establish the household in the housing unit, including but not limited to
reasonable costs for security deposits not to exceed tw
o months of rent costs.


Program (
Project
)Y
ear:
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 2
1
weeks 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 p
ossible, 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
-
B
ased Rental Assistance (TBRA):
A housing subsidy for tenant
based rental assistan
ce, 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 Assis
tance 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
-
D
ate (YTD):
Cumulative information starting from the beginning of
the project year up to the current reporting
period
.





Page
5





DSHS HOPWA Program Report












Revised 05/2013



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 Program
Progress
Report
(
only
)

should be a
cumulative

report for the entire project yea
r/all
12 months of the program year (Feb
-
Jan
)
.



Project Sponsor:
Complete a Reporting Coversheet
and a
Program
R
eport
for
each
Project Sponsor
.
Do not
aggregate Project Sponsor
information
.
The
final Program
Progress
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 ass
istance, 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, Feder
ally 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 Pro
ject Sponsors during th
is 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.





















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6





DSHS HOPWA Program Report












Revised 05/2013


Project Sponsor Information


Instructions:
Please complete
Reporting Coversheet and
a separate
program

report for
each

project sponsor
.
Report
year
-
to
-
date
information 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 1
2
-
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
c
lients
s
erved with

STRMU

Total # All
Unduplicated
Beneficiaries (a
ll
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

Goal
s

for Total #
of Unduplicated
Client
s

to Serve
with Housing
Subsidy
Assistance
(TBRA,
STRMU, and
PHP)



Part 1:
Performance Measures Assessment

and Narratives


A.

STATUS OF HOPWA WAITING LIST

Provide 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 S
ponsors are required to have a W
ait
ing
L
ist policy
, even if there are no clients on a waitlist
.


Does Project Sponsor have a current AA
-
approved Wait List policy?

Yes

No







Page
7





DSHS HOPWA Program Report












Revised 05/2013


B.

PERFORMANCE MEASURES EVALUATION

1.
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 e
ach client
is

on
ly
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 1
st
reporting period

should be counted regardless if they are continuing f
rom
the previous project
year.

Year to Date (YTD)
Unduplicated
clients should be the sum of
reporting periods
1
through 4 and should be unduplicated per
program activity.


Performance Measure

Period
1

Period
2

Period
3

Period
4

YTD

Total
Undup
licated

Yearly
Goal

%
of
Yearly
Goal

Met

a.

# of
TBRA
households








b.

# of

STRMU
households








c.

# 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 fi
nal
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 REPORTED

Describe 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 distr
ibuted 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 ASSESSED

Assess 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 cu
rrently being
taken to achieve goals in next operating year. If your program exceeded program targets, please describe strategies the progr
am
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

homeless
ness

and
/or

helped them access medical care and support
ive

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 4
th
/final quarter report.









E.
COORDINATION

Report 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.


Page
8





DSHS HOPWA Program Report












Revised 05/2013











F
.
BARRIERS AND RECOMMENDATIONS

Provide 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.
Und
er
the list
, you will d
escribe
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


O
ther
-

please specify


2.
For the final cumulative program
progress
report, please summarize b
arriers
(checked boxes above)
and
Recommendations
for the entire project year
.
This must be reviewed and updated for each program report
but
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.











Barriers/challenges

Probable Causes

Attempted Solutions

TA Needs

1.




2.




3.




4.




5.




6.




7.




8.




9.




10.





Page
9





DSHS HOPWA Program Report












Revised 05/2013


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.





G
.
TECHNICAL ASSISTANCE

Based 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 4
th

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)
.














Page
10





DSHS HOPWA Program Report












Revised 05/2013



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


H
.
HOPWA
ELIGIBLE
CLIENTS

Please indicate below the
year
-
to
-
date unduplicated

number of HOPWA clients assist
ed
this project year.


Clients Served with HOPWA

Housing Subsidy Assistance
this program
year

Total Number

Number of
unduplicated

HOPWA Clients served
(TBRA, STRMU, PHP)



Please check:
T
his
unduplicated
total should match the
corresponding
color
-
coded
boxes

in
Part
s 1 and 2.


I
. SPECIAL NEEDS CLIENTS

Please indicate the
year
-
to
-
date

number of
special needs
HOPWA c
lients
.
Clients may count in more than one category
.



Category



New and Continuing Veterans


Veteran(s)

a.
Total number of HOPWA clients

who are veterans (new and continuing)



Category



New Veterans Meeting HUD’s Definition of Homeless

Vete
ran(s)

b.
Total number of
new
HOPWA clients
who

are veterans
andwhose prior living situation
meet
s

HUD’s definition of
e
ome汥ls

or Chron楣慬iy 䡯me汥ls
Ke啄rd敦楮es hom敬敳s 慳a
“a person
sleeping in a place not meant for human habitation OR living in a homeless emergency shelter.”



Category



New
ClientsM
eet
ing

HUD’s
D
efinition of Chronically Homeless

Chronically
Homeless

c
.
Total number of
new
HOPWA clients
whose prior living situation

meet
s

HUD’s definition of
Chron楣慬iy e
om敬ess

E楮c汵d敳⁶整敲慮sI 楦 any)
K
e啄rd敦in敳⁣hron楣慬iy hom敬ess 慳a
“either
EN) 慮 un慣捯mpan楥i home汥ss ind楶楤u慬aw楴h 愠d楳慢汩lg 捯nd楴楯n who h慳⁢敥n 捯n瑩tuously
hom敬ess for 愠y敡r or mor攬 佒 EO) 慮 un慣捯mp慮楥i ind楶楤u慬awi瑨 愠d楳慢汩ng 捯nd楴楯

who has had at least four episodes of homelessness in the past three years.”



J
. PRIOR LIVING SITUATION

Row (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
c
lients 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.


Category
1

(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
Homeless
ness
:
“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 i
nclude 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).










1
If the client database does not match these categories, report the clients in the best matching category based on available i
nformation.


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11





DSHS HOPWA Program Report












Revised 05/2013


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
client
s
reportedin 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
-

a
dd 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
Part
s
1

and
2
.


K
. HOPWA BENEFICIARIES

Please 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 Number

1

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 a
s 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 HOPW
A 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.











2
In 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 w
ith the HOPWA client and are also
NOT consid
ered beneficiaries. Roommates, paid caregivers and live
-
in nurse
-
aides are not beneficiaries. See Appendix B. Program Progress Report FAQs for
further clarification.


Page
12





DSHS HOPWA Program Report












Revised 05/2013


L
. AGE AND GENDER OF BENEFICIARIES

Report the age and gender of the HOPWA clients

[1] who received housing subsidy assistance (TBRA, STRMU, and PHP)
and

their beneficiaries

[2]
.


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 exclude
s

HOPWA clients).


1

Age & Gender of All
HOPWA Clients


from Row 1 in the Section K
table


Age

Male

Female

Transgender M
-
F

Transgender 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
c
lients)


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
.























Page
13





DSHS HOPWA Program Report












Revised 05/2013


M
. RACE AND ETHNICITY OF
BENEFICIARIES

In 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 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, Se
ction
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 Native





2.

Asian





3.

Black/African American





4.

Native Hawaiian/Other Pacific
Islander





5.

White





6.

American Indian/Alaskan Native &
White





7.

Asian & White





8.

Black/African American & White





9.

American Indian/Alaskan Native &
Black/African American





10.

Other Multi
-
Racial





11.

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 INCOME

Please indicate the area median income for all
unduplicated
households 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
-
8
0%
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
Parts
1 and 2.







Page
14





DSHS HOPWA Program Report












Revised 05/2013


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
,
an
d/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 HOPW
A.



Example: A client receiving HOME rental assistance but is receiving HOPWA Supportive Services
.



M
ust be connected to HOPWA to be leveraged
.
These are households served by your agency that also receive HOPWA
Supportive Services with their non
-
HOPWA hous
ing 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 clie
nt #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 establishin
g 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 ACTIVITY

1. Leveraged Sources

Report 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 o
f 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 landlo
rds.
Do NOT incl
ude 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 f
unds 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:


Page
15





DSHS HOPWA Program Report












Revised 05/2013




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/intensi
ve 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 Assistance

Other Support

Ryan White
-
Other

(non
-
State
Services)



Housing Subsidy Assistance

Other Support

Ryan White
-
State Services



Housing Subsidy Assistance

Other Support

Housing Choice Voucher Program



Housing Subsidy Assistance

Other Support

Low Income Housing Tax Credit



Housing Subsidy Assistance

Other Support

HOME



Housing Subsidy Assistance

Other Support

Shelter Plus Care



Housing Subsidy Assistance

Other Support

Emergency Solutions Grant



Housing Subsidy Assistance

Other Support

Other Public

(
name
funding source)
:



Housing Subsidy Assistance

Other Support

Other Public

(
name
funding source)
:



Housing Subsidy Assistance

Other Support

The table has been re
-
designed for clarity an
d 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



Page
16





DSHS HOPWA Program Report












Revised 05/2013


Other Public

(
name
funding source)
:



Housing Subsidy Assistance

Other Support

Other Public

(
name
funding source)
:



Housing Subsidy Assistance

Other Support

Other Public

(
name
funding source)
:



Housing Subsidy Assistance

Other Support

Private

Funding




Grants

(name funding source):



Housing Subsidy Assistance

Other Support

In
-
kind Resources
:



Housing Subsidy Assistance

Other Support

Other Private

(name funding
source)
:



Housing Subsidy Assistance

Other Support

Other Private

(name funding
source)
:



Housing Subsidy Assistance

Other Support

Other

Funding





Grantee/Project Sponsor/Sub
-
R
ecipient (Agency) Cash



Housing Subsidy Assistance

Other Support


Resident Rent Payments by Client
to Private Landlord





TOTAL (Sum of all Rows)







2.

Program Income and Resident Rent Payments

In this section, Chart A., report the total amount of program income and resident rent payments directly generated from the u
se
of HOPWA funds, including repayments. Include resident rent payments collected or paid directly to the HOPWA program. Do
NOT in
clude 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



B. Program Income and Resident Rent Payments Expended To Assist HOPWA Households

In 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
expende
d on Supportive Services and other non
-
direct Housing Costs.



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
)







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)








Page
17





DSHS HOPWA Program Report












Revised 05/2013


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


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 shou汤 瑯瑡氠
wh慴a楳 r数or瑥t 楮 oow 愩

[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)
assistance
Total $ 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 t
otal 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 SERVICES

Report 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 Proje
ct Sponsor.

Do NOT report
on supportive services leveraged with non
-
HOPWA funds.


Supportive Services

[1] Output: Actual
Number of Households
that Received HOPWA
S
upportive
S
ervices

[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 1
5

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,
S
upportive
S
services

will fall under #3
:

Case
M
anagement.)





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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
re
ported 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 total
s reported

in Part 1 and Part 2.


Note:
in the table ab
ove

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, n
umber of households that
ALSO
received STRMU

in the two (2) prior consecutive project years:















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



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Revised 05/2013



U
. ACCESS TO CARE AND SUPPORT OUTCOMES


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 ass
istance (e.g. copay
or deductible
assistance
,
including RW

medical and/or ADAP assistance
) and
can ma
intain
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 Pension

Unemployment Insurance

Pension from Former Job

Supplemental Security Income (SSI)

Child Support

Social Security Disability Income (SSDI)

Alimony or Other Spousal Support

Veteran’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 Compensation

Other Income Sources




Sources of medical insurance and assistance include, but are not limited to the f
ollowing
(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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Revised 05/2013


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 Participation

3 = Private Housing in the private rental or home ownership market (without known subsidy, including permanent placement with

families or other self sufficient arrangements) with reas
onable 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 Housing

2 = 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 facili
ty, substance
abuse treatment facility or detox center)
.


Unstable Arrangements

1
= 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 assessmen
ts of housing needs were undertaken.

Life Event

9 = 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 househol
ds 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 permitte
d 21
-
week period or l
eft 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 nex
t year,
as reported unde
r 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 Progress
Report FAQs


1.

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


Yes. STRMU clients are ‘continui
ng’ if they have not exhausted their 2
1
weeks 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 disab
ilities”
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 bei
ng. 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 H
OPWA 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 shou
ld 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 t
he program and may be on a
wait
list
.
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 i
n 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

require
s

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?


T
he U.S. Office of Management and Budget (OMB)
requires HUD
to report all leveraged dollars by the source type and
the additional households assisted in order to show Congress that HOPWA funds are also being matched with
leveraged

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Revised 05/2013


funds to achieve HOPWA program goals.