NEVADA GOVERNOR’S INTERAGENCY COUNCIL ON HOMELESSNESS Strategic Plan Workgroups - Updates March 10, 2016 Presented by: Strategic Planning Subcommittee

Workgroup Progress The five workgroups have made progress on the goals and strategies of the NVICH strategic plan since the last full Council meeting. Updates are presented by applicable workgroup, goal and strategy.

Workgroup #1: Housing, and Homelessness Prevention and Intervention Workgroup #1 has prioritized Goals 1, 2, and 3 due to timing Goal 1, Issue 1: Preserve the existing affordable housing stock. Strategy 1.1.1: Evaluate the System Wide Analytic and Projection (SWAP) Tool and if it is determined to be effective, implement statewide by 2016.

Workgroup #1: Housing, and Homelessness Prevention and Intervention Goal 1 Update: Michele Fuller-Hallauer presented the SWAP Tool to the Workgroup #1. Southern Nevada is piloting the tool and initiating the process of collecting data. Committee identified that a statewide entity should be used to collect the data, including financial data, that all three CoCs reported in their HUD FY2015 CoC application A statewide Coordinator, who will collect the data for the SWAP tool, is still needed

Workgroup #1: Housing, and Homelessness Prevention and Intervention Cont. Goal 2, Issue 1: Provide the resources necessary to further expand and develop the inventory by Strategy 1.2.1: Secure transitional housing units statewide as determined by an annual evaluation to identify ongoing needs. Strategy 1.2.2: Secure permanent supportive housing units based on a Housing First approach, primarily for chronically homeless, as determined by an annual evaluation to identify ongoing needs. Strategy 1.2.3: Secure affordable permanent housing units statewide as determined by an annual evaluation to identify ongoing needs. Strategy 1.2.4: Improve access to federally ‐ funded housing assistance by eliminating administrative barriers and encouraging prioritization of people experiencing or most at risk of homelessness.

Workgroup #1: Housing, and Homelessness Prevention and Intervention Cont. Goal 2 Update: CABHI expansion should include more permanent housing for chronically homeless Housing Summit was conducted in southern Nevada and is scheduled for northern Nevada in April This is an opportunity to connect and encourage housing development work in all three CoCs

Workgroup #1: Housing, and Homelessness Prevention and Intervention Cont. Goal 2 Update: All three of Nevada’s Continuums of Care submitted Collaborative and Project Applications during HUD’s FY2015 CoC Competition. Tier 1 awards were announced on March 8th. Tier 1 awards for each CoC: Southern NV CoC Tier 1 Total: $10,189,596 Northern NV CoC Tier 1 Total: $1,205,232 Rural NV CoC Tier 1 Total: $517,540 Statewide total: $11,915,368 Tier 2 awards will be announced later this spring, but HUD anticipates approximately $300 million will be awarded

Workgroup #1: Housing, and Homelessness Prevention and Intervention Cont. Goal 3, Issue 1: Systemically as a state, identify, standardize and promote all types of housing interventions in Nevada for subpopulations by Strategy 1.3.1: Work with BitFocus to utilize HMIS to develop a list of housing types available statewide. Strategy 1.3.2: Provide list to providers and incorporate as part of centralized/coordinated intake.

Workgroup #1: Housing, and Homelessness Prevention and Intervention Cont. Goal 3 Update Workgroup members have reviewed the Nevada Housing Divisions 2015 Annual Progress Report and each CoC’s housing inventory chart to understand available housing in Nevada. Additionally, NVHousingSearch.org was presented as a valuable tool to further determine housing inventory BitFocus has been invited to participate on the workgroup to further understand how HMIS can assist with achieving this goal All three CoCs submitted funding requests to HUD for HMIS and received that funding. Clark County Social Service will serve as the statewide lead, which will allow for better coordination of data

Workgroup #2: Education and Workforce Development Workgroup #2 had their first meeting in October 2015 They met monthly since then but have not had a quorum for these subsequent meetings Members were asked to review goals and strategies to determine the best approach but have not been able to meet since then A number of contacts were identified to invite to participate on the workgroup calls There are a number of workforce development efforts across the state to expand providers’ ability to practice at the top of their license and explore offering reciprocity to enhance the workforce

Workgroup #3: Coordination of Primary and Behavioral Health, and Wraparound Services Workgroup #3 has prioritized Goal 1 due to the deadline to receive legislative approval Goal 1, Issue 3 : Increase access to all funding (federal, foundations, grants, private) for which Nevada may be eligible. Strategy 3.1.1: Advocate to Medicaid to expand habilitative services through 1915(i) funds. Strategy 3.1.2: Research expanding Targeted Case Management (TCM) billing to benefit all Medicaid providers. Strategy 3.1.3: Apply for social innovation funds on a state-wide basis to support wraparound services. Strategy: 3.1.4: Secure funding for 75 additional case managers statewide to provide wraparound services according to need and provide training to community-based providers to implement ICM and obtain reimbursement for provided habilitative services. Strategy: 3.1.5: Develop sustainability plans for all sources of new funding.

Workgroup #3: Coordination of Primary and Behavioral Health, and Wraparound Services Goal 1 Update A Budget Concept paper for the 1915(i) Services Expansion has been developed to be submitted to the Nevada Department of Health Care Financing and Policy in June 2016 The Housing and Healthcare (H2) Initiative is receiving technical assistance from Home Base to assist with the facilitation of the expansion of the waiver with the three CoCs in Nevada Nevada Medicaid is moving forward with solidifying the list of eligible services under the expanded waiver

Workgroup #3: Coordination of Primary and Behavioral Health, and Wraparound Services Goal 1 Update CABHI Expansion included a number of case managers that are community case managers for Washoe County Applies towards Strategy: 3.1.4: Secure funding for 75 additional case managers statewide to provide wraparound services according to need and provide training to community-based providers to implement ICM and obtain reimbursement for provided habilitative services

Workgroup #3: Coordination of Primary and Behavioral Health, and Wraparound Services Cont. Goal 2, Issue 3: Each homeless or at risk of homeless individual has a person-centered care plan, developed through appropriate credentialed personnel, that meets their medical and social needs. Strategy 3.2.1: Coordinate and provide two (2) training opportunities quarterly (eight annually) for personnel in southern, northern, and rural Nevada who are not appropriately credentialed. Strategy 3.2.2: Upon intake, personnel develop a person-centered care plan for each homeless or at risk of homeless individual

Workgroup #3: Coordination of Primary and Behavioral Health, and Wraparound Services Cont. Goal 2 Update: Ten (10) SOAR Trainings have been conducted since January 2015 Additional trainings have been scheduled in March, April, May, June, July, and October 2016

Workgroup #4: Coordination of Data and Resources Workgroup #4 has focused on its three goals during their meetings. Focus has been on evaluating data being collected and identify gaps.

Workgroup #4: Coordination of Data and Resources Goal 1, Issue 6: The system is integrated, streamlined, promotes data sharing and is captured consistently in HMIS Strategy 6.1.1: Work with BitFocus to develop standards that permit data inter-operability between data systems while protecting the confidentiality of individuals by Strategy 6.1.2: Create a common data standard and uniform performance measures across all targeted and mainstream federal programs by Strategy 6.1.3: Establish an oversight subcommittee that meets quarterly to review data and report to the NVICH. Strategy 6.1.4: Revise NVICH policies based on results of oversight subcommittee.

Workgroup #4: Coordination of Data and Resources Goal 1 Updates: The group has discussed the creation of the Oversight Committee and has suggested the HMIS lead for the three CoCs serve as the Oversight Committee and report to this workgroup DHHS is working with program coordinators from DPBH, Medicaid, DWSS and DCFS to promote data interoperability between systems

Workgroup #4: Coordination of Data and Resources Cont. Goal 2, Issue 6: Implement centralized/coordinated intake assessment and access for all housing programs throughout the state for the homeless or those at risk of homelessness. Strategy 6.2.1: Implement a statewide housing and vulnerability assessment tool by 2016 and provide training quarterly on its utilization. Strategy 6.2.2: Utilize the results of the statewide housing and vulnerability assessment tool to create a prioritized list. Strategy 6.2.3: The statewide HMIS working group evaluates the prioritization process by providing real-time reporting on housing utilization, retention rates, placements, and performance measures, and reports to state oversight, HMIS Steering Committee, and CoCs. Strategy 6.2.4: Secure MOAs to participate in centralized/coordinated intake and establish policies for all community providers to utilize centralized/coordinated intake by 2018.

Workgroup #4: Coordination of Data and Resources Cont. Goal 2 Update: Southern, Northern and some parts of rural Nevada are utilizing the Vulnerability Index – Service Prioritization and Decision Assistance Tool (VI-SPDAT) in the community to create a prioritized list The Southern Nevada CoC has Coordinated Intake for households without children that prioritizes clients in the Community queue by vulnerability. Southern Nevada CoC has policies and procedures in place for all homeless service housing providers serving households without children (regardless of funding source) to receive placement referrals from the Coordinated Intake Community Matcher.

Workgroup #4: Coordination of Data and Resources Cont. Goal 2 Update: Northern CoC has implemented Coordinated Intake utilizing the Clarity Card system continua-wide Duplicated based on southern Nevada which makes for streamlined processes Rural Nevada created a Coordinated Intake/Entry Subcommittee to work with local intake sites Progress is being made to reduce the number of chronically homeless across the state: Number of chronically homeless in northern Nevada has decreased Number of homeless veterans in southern Nevada has been reduced to zero

Workgroup #4: Coordination of Data and Resources Cont. Goal 3, Issue 6: Regularly identify options to coordinate resources. Strategy 6.3.1: Identify other parts of the service delivery system at the local, state, and federal level that could impact the plan. Strategy 6.3.2: Regularly identify and communicate emerging issues, trends and resources related to preventing and ending homelessness or that address strategic issues of the plan to the full NVICH.

Workgroup #4: Coordination of Data and Resources Cont. Goal 3 Update: BitFocus has presented HMIS capabilities and features to the workgroup, as well as the type of data that is regularly collected and reported Home Base, as part of its technical assistance, is developing a gap analysis to assess gaps in the system for the Southern COC CABHI Data – federal data collection system went inoperable in December 2015 Data is being collected and reported manually into the old Government Performance and Results Act (GPRA) system, which continues to be an ongoing issue

Workgroup #5: Policies and Long Term Planning Workgroup 5 met in October 2015 and identified a number of strategies that require immediate focus due to timing Subsequent meetings took place in December and January but did not reach quorum. The need for subgroups was identified. Members of the workgroup will link to existing subgroups, and report back to the workgroup. A number of contacts were identified to invite to participate on the workgroup calls

Strategies to be Accomplished in 2016 StrategyTiming Evaluate the System Wide Analytic and Projection (SWAP) Tool and if it is determined to be effective, implement statewide by July 1, June 30, Work with BitFocus to utilize HMIS to develop a list of housing types available statewide. July 1, June 30, Coordinate and provide two (2) training opportunities quarterly (eight annually) for personnel in southern, northern, and rural Nevada who are not appropriately credentialed. July 1, June 30, Upon intake, personnel develop a person-centered care plan for each homeless or at risk of homeless individual. July 1, June 30, Identify at-risk or homeless children and coordinate with the local school district to enroll 100 percent of those children in school annually. July 1, June 30, 2016

Strategies to be Accomplished in 2016 StrategyTiming Identify at-risk or homeless children ages 0-5 and coordinate with early childhood programs and child service providers to enroll 100 percent of those children in early childhood programs annually. July 1, June 30, Identify gaps in wraparound services e.g., behavioral health, life skills, education, financial literacy, basic needs, transportation. July 1, June 30, Collaborate with the Governor’s Council on Behavioral Health and Wellness to implement the Super User Project by July 1, June 30, Implement a statewide housing and vulnerability assessment tool by July 1, June 30, Identify and contact all agencies who provide services to prevent and end homelessness to coordinate policy priorities. July 1, June 30, 2016

Strategies to be Accomplished in 2016 StrategyTiming Conduct outreach to all agencies to ensure health professionals are aware of training opportunities and incentives to become credentialed by July 1, June 30, Develop an annual work plan that identifies strategies and goals to be achieved during that one year timeframe. July 1, June 30, 2016

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