JEWISH FAMILY & CHILDRENS SERVICE.PDF
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Last updated: 02/26/2018 General information Organization Jewish Family & Children's Service Contact First name Alexis Contact Last name Smith-Schallenberger Contact e-mail Alexis.SmithSchallenberger@jfcsaz.org Contact phone number 602-452-4637 Address Street 4747 North 7th Street, Suite 100 City Phoenix State AZ ZIP Code 85014-3653 From what tribe is the Gila River Indian Community organization requesting the grant? Total grant amount request 30,000 1 / 2 The Gila River Indian Community offers multi-year awards. If your organization is requesting a multi-year grant for this project or program from the Gila River Indian Community, enter the amount to be requested each year. Amount Year 1 (Gila River Indian 30,000 Community Grants Only) Year 2 (Gila River Indian Community Grants Only) Year 3 (Gila River Indian Community Grants Only) Year 4 (Gila River Indian Community Grants Only) Year 5 (Gila River Indian Community Grants Only) 2 / 2 Gila River Indian Community Grant Application Grant Cycle 2018 Cover Sheet Municipality Information 1. Date of Application: 2/27/2018 (NOTE: Click or use up/down arrow keys to move among fields) 2. Name of City, Town or County: Maricopa County 3. Mayor (City or Town) or Board of Supervisor’s Chairman (County): Steve Churcri 4. Mailing Address: 301 West Jefferson Avenue, Suite 960 5. City: Phoenix State: Arizona Zip Code: 85003 6. Acknowledgement of Submission by Authorized Municipality Representative: Typed Name/Title: Zachary Wolfe, Finance Department Signature: Applicant Information 7. Department/Organization Name: Jewish Family & Children’s Service (JFCS) 8. Is this a 501c non-profit Organization? No Yes If yes, attach IRS Determination Letter 9. Application Contact Person: Alexis Smith-Schallenberger Title: Grants Manager 10. Phone Number: 602-452-4637 11. Mailing Address: 4747 North 7th Street, Suite 12. City: Phoenix State: Arizona Zip Code: 85014-3656 13. Email Address: Alexis.SmithSchallenberger@jfcsaz.org Website Address: www.jfcsaz.org Project Information 14. Project Name: Integrated Health Navigation – Bridging Mental Health and Primary Care Services 15. Purpose of Grant: JFCS’ Integrated Health Navigation is a culturally-responsive, evidenced-based practice intervention designed to provide services and skills for clients, under the guidance of a trained Health Navigator, using health risk assessments, chronic disease self-management classes, and mobile Wellness Education Centers at our four clinics and in the community. 16. Priority Funding Area Healthcare 17. Annual amount requested $30,000 18. Number of years that funding is 1 requested 19. Total amount requested (annual $30,000 amount x number of years) 20. Has your organization received past 2017 - $7,000 funding from GRIC? If yes, list each year 2016 - $5,000 and amount 2015 - $10,000 21. Geographic area served Maricopa County For Office Use Only: Data Entry Receipt Evaluation Outcome A Approval Recommended/Amount $ A Denial Gila River Indian Community Grant Application Grant Cycle 2018 Gila River Indian Community Grant Application Grant Cycle 2018 Narrative Please structure your proposal to provide the following information in the order indicated. Provide the narrative in paragraph form in the text field provided. Please be thorough but strive for brevity. 1. Briefly describe the organization’s history, mission and goals. Jewish Family & Children’s Service (JFCS) is a non-profit, non-sectarian organization with the mission of strengthening the community by providing quality behavioral health and social services to children, families and adults of all ages, in accordance with a Jewish value system that cares about all humanity. Through the provision of specialized programs in child welfare, behavioral health, domestic violence, and older adult services, JFCS strives to: help individuals improve their ability to cope with difficult life circumstances; improve parental safety, emotional health and effectiveness; and increase available support systems and connections to community resources for vulnerable individuals in need. Established in 1935, JFCS is one of the largest and most comprehensive providers of behavioral health and social welfare services in Arizona. Over the years, JFCS has changed the face of child welfare in Arizona; lead the fight against child sexual abuse; and created the first nursing home for elderly Jews in Arizona. JFCS is seen as a cutting-edge service provider, staying ahead of the curve on trends and societal changes that impact children, youth, and families. This approach allows JFCS to develop new programs and adapt existing programs to meet the needs of clients. In 1985, JFCS created Homebased Services in collaboration with Arizona Department of Child Safety to provide family counseling, parent and child reunification, and parent coaching to stop and/or prevent child and domestic abuse. These services set the stage to address domestic violence as a separate program titled Shelter Without Walls. Created in 1998, Shelter Without Walls was the first domestic violence program in Maricopa County to offer comprehensive services to address the unmet needs of domestic violence survivors (female and male) and their children who are living outside of shelter settings. In Fiscal Year 2017, JFCS touched the lives of 47,583 children, teens and adults facing mental illness, substance abuse, family trauma, challenging financial circumstances in addition to other serious behavioral, physical, and social obstacles. Of those provided services, 70% were children and 97% live at or below the federal poverty level. We recognize that by addressing a range of healthcare, social, and economic needs, individuals and families can achieve total health and self-sufficiency, thus strengthening the community. 2. If the applying organization is non-municipal or a non-profit 501c, please describe your relationship with Arizona municipalities including past and present support, whether through partnerships, collaborations, in-kind contributions, grants, tax-based funding or other. Describe the supporting municipality’s role in this project. If the applying organization is a municipality governmental sub-division please enter the text “Not applicable.” As one of the largest providers of children’s behavioral health services, JFCS serves two-thirds of the Maricopa County children referred to the behavioral health system by the Arizona Department of Child Safety. JFCS successfully manages sizeable contracts with the Regional Behavioral Health Authority, Arizona Department of Gila River Indian Community Grant Application Grant Cycle 2018 Economic Security, and Area Agency on Aging Region One. These funding sources, among others, require JFCS to meet financial and program reporting deadlines on a regular and timely basis. JFCS has had success in sustaining programs that were developed and implemented under other grant programs. In particular, the JFCS school-based prevention program, Creating Peaceful Families, was initially funded in 2003 -2007 by Federal Safe School/Healthy Students funds. The program is now sustained without federal funds, primarily through direct contracts with school districts. JFCS is accredited by the Council on Accreditation in all service areas: Outpatient Mental Health Services; Youth Independent Living Services; Counseling Support & Education Services; Family Preservation & Stabilization; Domestic Violence Services; and Workforce Development & Support Services. Successful JFCS state and city-funded programs and collaborations include the following: Arizona Department of Public Safety, Victims of Crime Assistance (VOCA) funds result in positive outcomes focused on emotional and physical healing, safety, and security for victims of domestic violence in the JFCS Shelter Without Walls community-based program. Arizona Department of Child Safety (ADCS) and JFCS’ Homebased Services have operated in partnership for over 35 years. JFCS holds three ADCS contracts - Parent Aide & Supervised Visitation Services, Family Preservation (In-Home) Services and Family Reunification & Placement Stabilization which assesses the risks of violence or abuse in the home; provides parent coaching and therapy support for children; and development of family preservation and reunification plans using family-centered trauma-informed practices to build nurturing parenting skills as an alternative to abusive and neglecting parenting and child-rearing practices. City of Phoenix Workforce Innovation & Opportunity Act (WIOA), a 12-year partnership with JFCS’ Real World Job Development program to provide comprehensive services for disconnected/opportunity youth aging out of the foster care system to obtain their high school diploma or equivalency, increase literacy and numeracy skills, achieve entry into post-secondary education and gain work experience through job placements and internships. JFCS has co-located behavioral health clinicians in six Maricopa County ADCS offices in Avondale, Gilbert, Glendale, Peoria, Phoenix, and Tempe as a collaborative effort which provides behavioral health assessment, recommendations, and immediate access to the behavioral health system for ADCS involved children and families. JFCS coordinates behavioral health services for ADCS-involved children and youth including specialty care in the areas of trauma-informed care and autism spectrum disorder. JFCS is particularly experienced in conducting trauma assessments for children ages birth to five. JFCS Michael R. Zent Healthcare Center holds a Family Center of Excellence by Mercy Maricopa Integrated Care, a part of the Mercy 360 Community Reinvestment Plan. To strengthen the Maryvale community, we provide integrated care services, resources, Gila River Indian Community Grant Application Grant Cycle 2018 and support that enhance resiliency, safety, and promote permanence for children and families involved with ADCS. 3. Describe the proposed project and planned goals and activities. JFCS respectfully requests $30,000 from the Gila River Indian Community to support Health Navigation programs in our two integrated healthcare clinics (Phoenix/ Maryvale and Glendale) and our two behavioral health clinics (Avondale/ West Valley and Mesa) in Maricopa County. JFCS offers an integrated healthcare approach in our clinics, with a collaborative team to serve every aspect of a client’s wellbeing. Our multidisciplinary team includes therapists, clinicians, medical doctors, psychiatrists, nurse practitioners, health navigators, and other healthcare professionals. Staff are trained in trauma-informed approaches, motivational interviewing, cognitive therapies, and person-centered therapeutic approaches that are solution-focused. The Health Navigation program focuses on enhancing the health of our clients, with emphasis on client empowerment and promoting proactive participation with their health and wellbeing. JFCS Health Navigators assist clients in reducing the barriers of financial and insurance issues, paperwork and documentation, cultural beliefs and language barriers, as well as issues related to transportation, childcare, and neighborhood resources. They play a critical role in coordinating access to a comprehensive continuum of services by tailoring their assistance to help vulnerable clients identify a medical home, by facilitating communication and cooperation between providers, and by providing the patient education and support necessary to increase access to care and their ability to comply with prescribed therapies. Health Navigators can break through literacy barriers (including health literacy and functional health literacy), build trust, reduce fear, and support the improvement of patient-provider communication. Over the course of the grant period, our goals will be demonstrable improvements in the following health indicators for clients: • Increased ability to understand health recommendations (health literacy). • Increased knowledge base of self-management tools and education aimed at helping identify and achieve their health and wellness goals. • Decreased personal and environmental obstacles to health care access. • Decreased use of hospital outpatient and inpatient services. • Decreased use of emergency room services for medical and behavioral health problems. To enroll in the Health Navigation program, JFCS clients must opt in. Clients complete a health risk assessment (HRA), which requests information about their physical activity levels, social activities, cholesterol and glucose, and environmental concerns. The Health Navigation Services Director reviews the client’s HRA to determine if special skills or experience, language, or cultural sensitivities indicate that the family should be matched with a particular Health Navigator. If there is a language requirement outside staff fluency, an interpreter is arranged. With their expertise in handling clients’ needs and their understanding of the healthcare process, Health Navigators can provide answers and ensure that patients are getting the care they need. Gila River Indian Community Grant Application Grant Cycle 2018 Health Navigators work directly with clients (children and adults) and their families, building a trust-based relationship rooted in an understanding of the person’s community, culture, values, and lifestyle. The Health Navigator assigned to work with each client establishes health goals and acts as a support system. Goals may be as simple as focusing on eating breakfast three times a week or increasing physical activity. Depending on the client's needs, JFCS has linkages with numerous community resources and referral agencies, as well as internal programs focused on a variety of health and social services needs. Providing referrals and encouraging clients to find and use community resources are standard components of care across all JFCS programs. JFCS Health Navigators can be called upon to help clients in a variety of ways. They can do everything from reminding clients to take their prescriptions, managing and attending appointments, completing medical forms and exploring funding options to making arrangements for transportation to securing childcare services during times of treatment and to providing even the most basic information, such as where to get fresh produce. Education plays a key role in the Health Navigation program. Many clients are stuck in a “symptom cycle.” If they suffer from depression, they may struggle to focus on eating well and exercising to reduce symptoms of diabetes. And an inability to control a chronic condition like diabetes can increase depression. In addition to working with doctors to treat the client's physical and mental health needs, JFCS has implemented a six-week chronic disease self-management class to help people manage chronic medical conditions. These classes are taught in a supportive group setting and focus on nutrition, exercise, health management, decision making, and goal setting. JFCS mobile education centers are used in community-based settings to provide advice and education on nutrition, physical activity, and how to manage illnesses like hypertension and diabetes. We provide health screening at our four clinics to check blood pressure, cholesterol, body mass index, and blood glucose. Our desire is to provide child-friendly waiting rooms with activity tables, toys, and books that encourage quiet exploration of health and nutrition to enhance wellness concepts. We wish to expand our selection of English/Spanish video monitor informational loops on integrated health issues to include multilingual translations based on the languages spoken by our clients. Exercise and social-emotional programs such as Girls on the Run and yoga classes help identify and regulate emotions, develop positive relationships, and teach responsible decision making. Funding will offset costs of (1) chronic disease management class materials, (2) children waiting room activity centers, (3) multilingual video monitor health informational loops, (4) mobile educational center collateral to provide health and wellness information at community events, and (5) exercise and social-emotional programs. 4. Describe how the proposed project satisfies one or more of the priority funding areas identified by the Gila River Indian Community. JFCS’ Health Navigation program address the Gila River Indian Community’s Healthcare priority area. Our innovative integrated care model helps improve community health by ensuring that our behavioral health clients, most of whom have complex health needs, receive preventative care, health education, and wellness services to improve medical outcomes. JFCS began its Health Navigation program to help clients through the barriers that often impede their ability to obtain care. These barriers are not just financial; they can also be logistical, emotional and even cultural A barriers that often go unaddressed. For instance, patients may not understand their course of treatment, where to go for treatment or even how they are going to get there. They Gila River Indian Community Grant Application Grant Cycle 2018 may worry about who will watch their children and how they will pay for their prescriptions. Without answers to these basic questions, some clients give up. 5. Identify the needs/problems to be addressed, target population and number of people to be served by the project. Coordinating care for individuals with complex medical and behavioral health concerns increases positive outcomes across health needs. Individuals with mental illness experience a life expectancy that is 20-25 years shorter than that of the general population in the United States. Numerous studies have found these individuals have higher rates of most physical and chronic illnesses but have difficulty accessing appropriate medical care as well as problems with receiving appropriate diagnosis, treatment delivery and follow-up. These factors result in poorer health outcomes for every major health condition, including high rates of chronic diseases such as heart disease, diabetes, obesity, cancer, cholesterol, and respiratory illnesses. Unaddressed health care issues can lead to other health conditions and to a lower quality of life than that of both the general population and individuals with mental illness alone (Rosenheck, Druss, & Perlin, 2002: Dickerson et al., 2008). The majority of our clients reflect the public health priority of “super utilization,” and need early intervention and preventative care. The integrated model we use is an evidence-based, cost-effective solution to the pressing issue of super utilization and the complex medical needs of behavioral health clients. At least 99% of JFCS behavioral health clients are low-income and Medicaid-eligible, and approximately 75% have comorbid medical conditions. Barriers to primary care and challenges in navigating complex healthcare systems have been major obstacles to care. Health Navigation demonstrates considerable promise through positively improving health care outcomes and health care utilization. JFCS serves over 16,000 Maricopa County residents each year in our four behavioral health clinics. Our goal for FY19 is provide health navigation services, psycho-social supports, and wellness activities to at least 50% of our behavioral health clients; 100% of clients will benefit from the health and wellness-focused waiting room activities and informational videos; and expand the resources offered with our mobile education centers by 50% in community-based and clinic settings. 6. Define the project as a new or continuing program. JFCS’ Health Navigation is a continuing program. The program was launched in April 2013 as an Integrated Health Program to assist behavioral health clients in establishing/maintaining an ongoing relationship with a primary care provider. Program staffing was two Health Navigators at each of the four clinics. At the of time of program inception, JFCS did not provide physical health services, which led to a virtual aspect of the integration in building a health information exchange with the Maricopa Integrated Health System. In keeping with our commitment to reduce health disparities and offer quality, assessable services, these two program components provide the foundation to open in November 2014, an integrated healthcare center, providing integrated primary medical care and behavioral health services to residents of Maryvale and the surrounding communities. Clients accessing the Center are treated by a collaborative team of healthcare professionals with all aspects of a person’s well-being provided for in one location. Healthcare Center successes have provided the foundation to move forward to replicate the integrated care model at our three other JFCS behavioral Gila River Indian Community Grant Application Grant Cycle 2018 health clinics. The Glendale Healthcare Center opened in February 2018 and the remaining two clinics in Avondale/West Valley and Mesa will be integrated over the next four years. As of this grant submission, we have 14 Health Navigators located at our four clinics. With care coordination, guidance and wellness information, JFCS Health Navigators play an important role in helping our clients make the best use of their capacity for self-care, medication management, and prevention of health risk behaviors. 7. Provide a brief timeline including start and finish dates. Indicate if the timeline is flexible. JFCS’ Health Navigation is an open entry and exit program; and will continue beyond the grant period. 8. Identify other organizations, partners or funders participating in the project and their roles. JFCS’ Health Navigation program is a major component of our ongoing efforts to support the long-term wellness of our vulnerable clients as we integrate primary medical care into behavioral health services. In June 2017, JFCS in partnership with Maricopa Integrated Health System was selected as the new Center of Excellence: Family Center for our whole-health approach focused on the physical and behavioral health of children, families, and adults in the Maryvale community. Our medical services are provided in partnership with Arizona Integrated Health LLC. The Regional Behavioral Health Authority contract and other earned income sources represent 96% of the Case Management budget which includes the Health Navigation program. The remaining 4% is tied to funding the necessary program materials and supplies needed to effectively deliver the Health Navigation program to our clients at each of our four clinics. 9. Would you be able to implement the proposed plan if your organization received partial funding for this project? JFCS would be able to implement the Health Navigation program if partial funding was received. However, it would limit the number of resources needed for effective program delivery. Although contracts with the Regional Behavioral Health Authority fund Health Navigator salaries and operational costs, it does not cover the cost of program materials and community outreach collateral. 10. Describe your plan for project financial sustainability beyond the grant period. If this is a program/project previously funded by the Gila River Indian Community describe efforts made towards the previously described sustainability plan. JFCS’ Health Navigator approach goes beyond addressing immediate behavioral health and medical treatment of our clients through our nurturing of healthy behaviors, and ultimately, by supporting our clients to solve their challenges that impede good health and access to care. We are committed to finding funding to provide for these services to ensure our clients are receiving the best possible care. JFCS has a long history of successful Gila River Indian Community Grant Application Grant Cycle 2018 fundraising from diverse sources, including individual donations, corporate sponsorships, and private foundations. We are confident that the demonstrated successes of our Health Navigation program and our integrated healthcare services can be support by a variety of funding sources. JFCS has a longstanding history of financial strength and a commitment to developing a diversified funding base to ensure sustainability of services. 11. Describe your plan to document progress and results. Information Technology is an integral part of service delivery at JFCS. Using NextGen Healthcare’s electronic health record and practice management system, JFCS has a wide array of clinical content for behavioral health and physical health services. Client Satisfaction Surveys are currently given to all clients during service. Surveys are returned, without identification, to JFCS’ Quality and Compliance Department where results are tabulated. Client Satisfaction Survey results are sent to program directors and vice presidents quarterly. The Vice President of Behavioral Health, Clinical Directors, and the Case Management & Health Navigation Program Director review survey results for trends, and for opportunities to make changes to improve satisfaction if satisfaction falls below 90%. JFCS uses analytics to evaluate financial, program success, and track quality improvement. Programs are supported by a robust Business Intelligence and Information Technology Department that works with staff and funding sources to track key performance measures, define and track unique clinical data analytic metrics that are specific to program performance and client outcomes plus management of the NextGen client database used by direct service staff to log statistical and demographic data for their specific program assignments. JFCS’ leadership and board receive a quarterly Key Indicators report that tracks progress on key indicators such as numbers of clients served, client demographics, appointment data and revenue. JFCS has achieved the quality outcome of successful accreditation by the Council of Accreditation which establishes quality improvement standards that are monitored by the JFCS Performance Quality Improvement Committee (comprised of both board members and management staff). A Performance Quality Improvement report is issued internally every month and presented quarterly to the Board of Directors. 12. Indicate any application to and/or awards made by a tribe other than the Gila River Indian Community for state shared revenues for this and any other project for the past five (5) years. If this information is included in a separate attachment, please indicate that here. JFCS has not requested state shared revenues from any other tribes for this or any other program in the past five years. The Gila River Indian Community has funded JFCS programs for the past three years. Gila River Indian Community Grant Application Grant Cycle 2018 Project Budget Budget Period: October 1, 2018 – September 30, 2019 For each budget item listed here please provide a narrative description on the following Project Budget Detail page. Proposed Budget Expense Amount Amount In Kind Total Budget (list each budget item) requested from requested or contributions GRIC secured from other funders 1. Salaries $ $5,688,601 $0 $5,688,601 2. Employee Benefits $0 $1,243,576 $0 $1,243,576 3. Professional Fees $0 $96,201 $0 $96,201 4. Training/Staff Development $0 $2,260 $0 $2,260 5. Program Supplies $30,000 $41,575 $0 $71,575 6. Telephone $0 $25,757 $0 $25,757 7. Postage $0 $10,543 $0 $10,543 8. Occupancy $0 $354,525 $0 $354,525 9. Equipment/Furniture $0 $91,007 $0 $91,007 10. Printing and Publications $0 $3,327 $0 $3,327 11. Travel $0 $294,059 $0 $294,059 12. Specific Assistance $0 $176,827 $0 $176,827 13. Membership Dues $0 $8,730 $0 $8,730 14. Liability Insurance $0 $26,244 $0 $26,244 15. Indirect Expenses $0 $1,591,643 $0 $1,591,643 16. Click here to enter text. $0 $0 $0 $0 17. Click here to enter text. $0 $0 $0 $0 Total Budget $30,000 $9,654,875 $0 $9,684,875 Gila River Indian Community Grant Application Grant Cycle 2018 Project Budget Detail Please provide a narrative description for each of the project budget items listed on the previous page. Include the dollar figure and how it was derived. 1. Salary expense includes cost of $5,688,601 for case management and health navigator personnel. Budget was based on staffing models for clients served in the four outpatient clinics. 2. Employee benefits includes budget of $1,243,575 for payroll taxes (FICA, Medicare and State Unemployment; health benefits including medical, dental, life insurance, LTD insurance, Retirement, HSA plan contributions; recruiting; background checks and other employee related costs. 3. Professional Services includes cost of $96,201 for independent contractors including psychologist(s), nurse practitioner(s) and are budgeted based on staffing models for clients served. Also included is the cost for audit, tax, legal, interpreting, transportation, information technology consulting, and other professional services. 4. Training/Staff Development includes conference, workshop and webinar fees at $2,260. 5. Program Supplies expense includes the cost of office and direct service supplies at $71,575. JFCS is requesting $30,000 to offset the costs of: Health Literacy Program - Chronic Pain Self-Management, Healthy Living, and Diabetes. Each class is 6 weeks and is offered 4 times per year, per clinic. License fee (3-year multi program license) $1,000 per class x 3 classes = $3,000 x 4 clinics = $12,000. Books & CD $35 per person x 12 participants = $420 x 3 classes = $1,260 x 4 times per year = $5,040 x 4 clinics = $20,160. Flip Charts $35 per class x 3 classes = $105 x 4 clinics = $420. Total program cost $32,580. Waiting room toys, books and games (nutrition & health focused) $2,500 per clinic x 4 clinics = $10,000. Closed loop videos for lobby TV $2,000 per clinic x 4 clinics = $8,000. Social-Emotional program materials (yoga mats, art therapy, healthy cooking classes, Girls on the Run fees) $1,500 per clinic x 4 clinics = $6,000. Mobile Education Center collateral (publications, coloring books, pedometers, health tests & screenings passports, stickers, fitness flyer discs) $2,000 per clinic x 4 clinics = $6,000. 6. Telephone expense of $25,757 includes cost for landlines, wireless service, cell phones for mobile staff, internet, and IT connections. 7. Postage expense includes cost of courier services, postage meter refills for direct mailing to clients at $10,543. 8. Occupancy expense of $354,525 is based on an average cost per square foot of $16.57 annually, plus garbage/recycling, cleaning, maintenance, security/alarm and tenant improvements. Gila River Indian Community Grant Application Grant Cycle 2018 9. Equipment and furniture expense of $91,007 includes equipment rentals such as copiers/fax machines, printers, software and repairs/maintenance costs for equipment. 10. Printing & Publications expense of $3,327 includes cost to print letterhead, envelopes and brochures, publications, and advertising costs. 11. Travel expense of $294,059 includes mileage reimbursement calculated based on reimbursement rate of $0.51 per mile, leased vehicles and $5,400 for hotel, meals, and airfares. 12. Client Assistance of $176,827 includes rental and utility assistance paid using flex funds from Regional Behavioral Health Authority funds for non-covered services. 13. Membership dues of $8,730 includes cost of memberships for AZ Council of Human Service Providers, COA and others memberships of direct benefit to the program. 14. Liability expense of $26,244 includes malpractice, general liability, umbrella, cyber liability insurance. 15. Indirect costs of $1,591,643 includes cost of management and administrative services including departments such as CEO, Finance, Human Resources, Claims, Information Technology, Business Intelligence, Training, Marketing, Philanthropic Services, and Quality Management, plus Consumer Information and Referral cost of $144,336 and includes customer service and benefit eligibility includes staff costs that work directly with clients on initial intake appointment and benefits. 16. Click here to enter text. 17. Click here to enter text. 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