1. 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

2. 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.

3. 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

4. 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}

5. 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 ?

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

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

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

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

10. 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

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

12. 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?

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

14. 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

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

16. 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

17. 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

18. 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.

19. 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

20. 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

21. 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.

22. 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

23. 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

24. 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)

25. 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.

26. 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

27. Questions?
Thank You!

28. Contact information: Craig Henning