Alternative Funding Streams for The Independent Living Program Where Does the Money Come From Where Does it Go Craig Henning ED Disability Resource Association July 2014

Disability Resource Association’s IL Grant Funding Then vs. Now 1999 Four Staff $205,000 IL Grant 2014 Forty-Eight Staff $191,800 IL Grant Approximately 10% loss in funding over the last 15 years.

Centers for Independent Living in Missouri Where do the funds come from? CDS / In-Home Fee for Service IL Grant - DESE Every CIL in Missouri earns no less than 10 (x) the revenue from CDS vs. IL Grant Funds

Let’s look at our neighbors who also depend upon CDS / In-Home funds Scenario: 100 consumers receiving 3.5 hours /per day /per month Missouri: Center generates $3.58/hour (after wages and employee/ employer taxes) $1,074 per day (x) 30 days = $32,222 (before internal expenses) Other State: Center receives $110/month to process payroll $110 (x) 100 =$11,000 {$21,222}

Does your Center have a Plan-B ? Can it happen here – YES ! What would happen to your Center? How would it impact service? Does your Center have a Plan-B ?

Where to look for alternative funding Fund Raising Private Donations Fee for Service Contracts Government Contracts Foundation / Corporate Grants

Secret : Find funds to cover services currently unfunded, by a specific funding source.

Transportation Who do you transport? Where do you transport? How do you pay for it?

Medical Transit Funding Sources: MEHTAP MoDOT funding (Very limited) Funds Medical / Essential Shopping MEHTAP funds approximately 1/20 of the entire $3,500 annual  

Medical Transit Funding Sources: When we consider~ 40% of Consumers Transported to Medical appointments are age 55 or older Daughters of Charity funds over $40,000 annually for this service Look for corporate or foundation grants related to services for seniors General Transportation Funding Look for grants from car rental companies, trucking and tour bus companies

Ramps and Home Modifications Who needs the service? Why do they need the service? How do you pay for it?

How does the Center handle this issue? Have you ever been asked to build a ramp on a home that’s falling down? How does the Center handle this issue?

Missouri Housing Trust Fund Provides funds for general home repairs, major appliance upgrades and access modifications

DRA Balances Multiple Funding Sources to Make the Repair Dollars Stretch Funds for ramps and home modifications from the local S.B.240 / DD Board DRA receives $20k annually These funds will not pay for home repair… S.B. 240 MHTF Home Modification & Repair

DRA Balances Multiple Funding Sources to Make the Repair Dollars Stretch Boeing Funds Purchase Grab Bars Home Modifications Repairs Private Funds MHTF

Additional Funding Sources Missouri Housing Trust Fund Missouri Foundation for Health S.B. 240 / DD Board Boeing Employee Community Fund Twin City Community Chest Green Foundation St. Louis Variety Club – Children only Lowes

Affordable Housing Programs Low-Income Housing Tax Credits Funds rent price subsidized housing for seniors, individuals with disabilities, low income working individuals and families. Multiple Family Complexes These consist of apartments that are subsidized through the tax credit program during the building process allowing for rents to be depressed for 15 years. Tax credits are bought and sold like commodities by specialists called Syndicators Each project must have a Lead Referral Agency

Lead Referral Agency (Water Color Villas & Richardson Ridge Villas, Desoto Central) The Lead Referral Agency submits a plan to provide basic services (IL Services) to the tenants of each Affordable Housing complex. The Lead Referral Agency determines services and a service plan is developed. The Service Plan , along with the Development Plan, is submitted to MHDC for funding consideration. The Lead Referral Agency signs a long –term service contract with the developer to provide services for a specified fee over the life of the contract. The Service Plan can be amended if needed.

Safe At Home Program DRA has In-Home consumers who receive nurse visits in the affordable housing complexes DRA applied for a grant to bring value added medical services to all tenants in the complexes A MFH Mini-Grant was used to pilot the program. Services offered: Post Surgical Nurse Visits Diabetic, Congestive heart failure and COPD health education and follow along Health consultations upon request Twice yearly BP and blood glucose monitoring Short-term in-home assistance for non-Medicaid eligible

Service & Fund Pairing Use Cyber Access (Medicaid eligible ) to determine if over all healthcare costs go down for participants of Safe at Home. Used documentation to apply and receive a grant to continue services from a major pharmaceutical provider. Services from the Lead Referral Service contract coordinated with Safe at Home activities

Community Housing Development Organization A HUD certification that provides access to multiple state and federal lines of funding for various types of affordable housing. This includes the affordable housing complexes and mixed income single family home development. Additionally some funds can be used to renovate rental or single family homes for low income individuals. Missouri and HUD via the CDBG provide startup funding (HOME Funds) for a three year period while CHDO is organizing. DRA received $30K per year for three years.

Types of Housing Developments Multi-Family Developments (Water Color, Richardson Ridge Villas, Desoto Central) CHDO Receives the Following: 10% Development fee paid by Developer approximately one year after fully occupied First right of refusal on 10%-20% of units designated as Special Needs At the end of 15 years the CHDO receives their share of the profit when their interest is sold CHDO may also be Lead Referral Agency with service contract

Mixed Income Single Family Homes Building or renovating single family homes using tax credits to subsidize the sale price. Funding is available for closing costs and down payment assistance. CHDO Receives the Following: Between 10%-100% Development Fee (Depends on if a developer partners on project) 100% control over buyer selection – Can create own rules within eligibility guidelines CHDO can be Lead Referral Agency

Renovation Mixed Income Single Family Homes CHOD can us a combination of tax credits and HOME Funds to restore existing homes. These homes can be made accessible when feasible. Homes are sold to low-income individuals. CHDO Receives the Following: Between 10%-100% Development Fee (Depends on if a developer partners on project) 100% control over buyer selection – Can make own rules within eligibility guidelines CHDO can be Lead Referral Agency (Same as Mixed Income Single Family Homes)

National Community Stabilization Trust Various mortgage companies give foreclosed single family homes to not-for profit organizations for free. These homes can be renovated using HOME Funds and all funds remain in the CHDO’s possession. All funds must be used to support affordable housing projects in the community.

Missouri Housing Trust Fund- Emergency Assistance These funds are designated for specific purposes such as utility assistance, rental assistance and mortgage assistance. United Way St. Louis also provides these funds through SEMA / FEMA

Questions? Thank You!

Contact information: Craig Henning craigh@disabilityresourceassociation.org