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G. HOPWA Outcomes on Access to Care and Support. <br />a. Support in conjunction with HOPWA- funded Housing Assistance <br />Instructions: Please report on the access to care and support for households receiving case management, <br />employment training, and /or housing placement assistance (ONLY) that is in conjunction with HOPWA- funded <br />housing assistance only (See Part 2, item 8 -i, 10 and 11). Report on the household status at program entry (or <br />beginning of operating year for households continuing from previous year) and program exit (or end of <br />operating year for households continuing services in the following operating year), if eligible individual living <br />with HIV /AIDS accessed services. <br />b. Income. <br />Instructions: Report the household monthly income of households receiving case management, employment <br />training, and /or housing placement assistance (ONLY) that is in conjunction with HOPWA- funded housing <br />assistance (See Chart 2, box i). <br />Number of Households receiving <br />Number of jabs <br />I. <br />1HOPWA Housing Assistance: <br />that included <br />H. <br />$1 -150 <br />Category of Services Accessed <br />health benefits <br />$151 -$250 <br />At Entry or <br />At Exit or <br />$251 -$500 <br />3 <br />Continuing <br />Continuing <br />17 <br />I. Hasa housing plan for maintaining or establishing stable on going; <br />57 <br />57 <br />= -_ <br />residency <br />30 <br />viii. <br />- <br />ii. Had contact with a case manager /benefit counselor at least once in the <br />k <br />last three months (or consistentwith the schedule specified in their <br />individualized service plan) <br />W. Had contact with a primary health care provider at least once in the last <br />three months for consistent with the schedule specified in their <br />individualized service plan) <br />iv. Had medical insurance coverage or medical assistance <br />v, Obtained an Income - producing job created by this project sponsor during <br />the year <br />vl. Obtained an income- producing job outside this agency during the year <br />-- <br />b. Income. <br />Instructions: Report the household monthly income of households receiving case management, employment <br />training, and /or housing placement assistance (ONLY) that is in conjunction with HOPWA- funded housing <br />assistance (See Chart 2, box i). <br />53 DRAFT 2013 -2014 CAPER <br />Exhibit 2 <br />19F -62 <br />A. Monthly Household Income at Entry or <br />Residents continuing from prior Year End <br />Number of <br />Households <br />I. <br />No income <br />0 <br />H. <br />$1 -150 <br />0 <br />iii. <br />$151 -$250 <br />2 <br />V. <br />$251 -$500 <br />3 <br />V. <br />$501 - $1,000 <br />17 <br />vi. <br />$1001 -$1500 <br />7 <br />vil. <br />$1501 -$2000 <br />30 <br />viii. <br />$2001+ <br />6 <br />53 DRAFT 2013 -2014 CAPER <br />Exhibit 2 <br />19F -62 <br />B. Monthly Household Income at Exit /End <br />of Year <br />Number of <br />Households <br />I. <br />No income <br />1 <br />Ii. <br />$1 -150 <br />0 <br />$151 -$250 <br />0 <br />Iv. <br />$251 -$500 <br />1 <br />V. <br />$501- $1,000 <br />1 <br />vi. <br />$1001 -$1500 <br />0 <br />vii. <br />$1501 -$2000 <br />2 <br />viii. <br />$2001+ <br />0 <br />53 DRAFT 2013 -2014 CAPER <br />Exhibit 2 <br />19F -62 <br />