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Section 3. HOPWA Outcomes on Access to Care and Support Ia. Total Number of Households Line [I]: For project sponsors/subrecipients that provided HOPWA housing subsidy assistance during the operating year identify in the appropriate row the number of households that received HOPWA housing subsidy assistance (TBRA, STRMU, Facility-Based, Permanent Housing Placement Services, and Master Leasing) and HOPWA funded case management services. Use Row c. to adjust for duplication among the service categories and Row d. to provide an unduplicated household total. Line [2]: For project sponsors/subrecipients that did NOT provide HOPWA housing subsidy assistance identify in the appropriate row the number of households that received HOPWA funded case management services. Note: These numbers will help you to determine which clients to report Access to Care and Support Outcomes for and will be used by HUD as a basis for analyzing the percentage of households tvho demonstrated or maintained connections to care and support as identified in Chart 1b. below. Total Number of Households I, horPro tSpo?sosS>bra }icnlsthat,pro3ideillfOPR'A`Housi?gSubidyASist?nce iy: 1 offitl.eia ccened the:fQho?C?ng"?CiOAded`servjces ?. A,n [d that = a. Housing Subsidy Assistance (duplicated)-TBRA, STRMU, PHP, Facility-Based Housing, and Master Leasing b. Case Management C. Adjustment for duplication (subtraction) d. Total Households Served by Project Sponsors/Subrecipients with Housing Subsidy Assistance (Sum of Rows a.+ b. minus Row c.) lair f ropfi'$ponsot•s7Subrecipi?nls did1VQT pr?rvideHf?Pll Hoosinj' Subaid 'Asci?tnnSc??Jtnlll}n e bid ?? two t ?'. -='.- je f04igtig~HOYWA=fiinded Benue d 1' 'recetvcd old Rif,, _ _ _ _ a. HOPWA Case Management b. Total Households Served by Project Sponsors/Subrecipients without Housing Subsidy Assistance lb. Status of Households Accessing Care and Support Column [1]: Of the households identified as receiving services from project sponsors/subrecipients that provided HOPWA housing subsidy assistance as identified in Chart 1 a., Row 1 d. above, report the number of households that demonstrated access or maintained connections to care and support within the program year. Column [2]: Of the households identified as receiving services from project sponsors/subrecipients that did NOT provide HOPWA housing subsidy assistance as reported in Chart 1 a., Row 2b., report the number of households that demonstrated improved access or maintained connections to care and support within the program year. Note: For information on types and sources of income and medical insurance/assistance, refer to Charts below. [11 For project [2] For project sponsors/subrecipients that that sponsors/subrecipients Categories of Services Accessed provided HOPWA housing subsidy did NOT provide HOPWA housing subsidy assistance, Outcome Indicator assistance, identify the households identify the households who who demonstrated the following: demonstrated the followin : Support for 1. Has a housing plan for maintaining or establishing stable on- Stable going housing Housing 2. Had contact with case manager/benefits counselor consistent with the schedule specified in client's individual service plan Access to (may include leveraged services such as Ryan White Medical Support Case Management) 3. Had contact with a primary health care provider consistent Access to with the schedule specified in client's individual service plan Health Care Access to 4. Accessed and maintained medical insurance/assistance Health Care 5. Successfully accessed or maintained qualification for sources Sources of of income Income Previous editions are obsolete Page 15 form HUD-40110-D (Expiration Date: 10/31/2014) 25D-30