TAP 4B & 4C Informational Webinar (Slides Plain Text)

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STATE OPIOID RESPONSE GRANT 4.0
TIER AWARD PROGRAM

Tiers 4.B & 4.C Kickoff Webinar
March 27, 2025

DSAMH SOR Team

• Brent Waninger – Director, Executive Programs and Grant Administration
• Joni Patterson – Deputy Director, Executive Programs and Grant Administration
• Sherry Szczuka – Deputy Chief, SOR Program Implementation
• Nilima Ramaswamy – Deputy Chief, SOR Program Management
• Ilia King – Planner IV
• James Larks – Planner IV
• Cynthia Mulhern – Program Integrity Specialist
• Shaneeka Smith – Program Integrity Specialist
• Lamartz Brown – Program Integrity Specialist
• Kanesha Tucker – SOR Grant Analyst
• Liam Black – Executive Assistant
• Tina Preston – Administrative Specialist III, SOR

AGENDA
SOR 4.0 Grant Goals
SOR 4.0 Tier Award Program (TAP)
TAP Requirements
Intro to DTRN
Reporting Requirements
Program Integrity Monitoring
Technical Assistance (TA)
Wrap-up & Next Steps
Program Integrity Breakout Rooms

SOR 4.0 VISION & PRIORITIES
Vision

• Delawareans have positive treatment outcomes and long-term recovery from OUD and STUD.
  Priorities
• Delawareans have rapid access to low-barrier medications for OUD
• Delawareans have access to services that address stimulant use
• Special health needs populations have ready access to services
• Social determinants of health are addressed concurrently to treatment
• Delawareans have support navigating care transitions and do not fall through the cracks
• Delawareans are reached, who would not otherwise be, through screening, assertive outreach, and
  engagement
• Partnerships and new care pathways are created with entities that have high touch engagement with
  people who have OUD/STUD, and that facilitate pathways to long-term recovery
  

SOR 4.0 YEAR 1 – TIER AWARD PROGRAM

TAP Overview
What is TAP?

• DSAMH initiative to award SOR funding
  to expand the State’s capacity to engage
  and serve populations with OUD/STUD.
• TAP began in 2021 under Delaware’s
  SOR 2 grant and is entering its third
  iteration under the SOR 4 grant.
  How is TAP funded?
• DSAMH’s SOR 4 grant is funded by the U.S.
  Substance Abuse and Mental Health
  Services Administration (SAMHSA).

TAP Tier 4.B Overview
Tier 4.B:

• Subrecipients include both treatment providers and community-based
  organizations (CBOs).
• Goal for Treatment Providers: Implement new evidence-based practices to
  sustainably improve OUD/STUD treatment outcomes or
  measurably develop/expand capabilities to improve treatment outcomes.
• Goal for CBOs: Engage individuals with OUD/STUD or expand the capacity of
  other CBOs to engage individuals effectively.
• All projects must be able to measurably demonstrate intended
  improvements

TAP Tier 4.C Overview
Tier 4.C:

• Subrecipients include both treatment providers and community-based organizations (CBOs).
• Goal for Treatment Providers: Implement a new evidence-based practice or innovation that
  tailors a treatment program to improve outcomes for a subpopulation with OUD/STUD. The
  subpopulation may have unique needs that when addressed result in improved outcomes.
• Goal for CBOs: Engage individuals with OUD/STUD or expand the capacity of other CBOs to
  engage individuals effectively.
• 4.C projects are focused on tailored engagement and service provision
  approaches for a sub-population of individuals with OUD/STUD to better meet their
  unique needs (e.g., cultural, situational) or to build the capacity of another CBO to
  deliver a tailored engagement for a sub-population of individuals with OUD/STUD.
• All projects must be able to measurably demonstrate intended improvements.

Tiers 4.B and 4.C Project Core Principles
Outcome-based evaluation
Novel project, treatment, or program
Active support for the full range of FDA-approved MOUD
Effective partnership with DSAMH
Continuous quality improvement (CQI) approach

TAP REQUIREMENTS

SOR 4.0 TAP PAYMENTS
Initial Payment

• Initial Payment
  • Up-front payment covers first 3 months of estimated expenditures for the project.
• Monthly Invoicing
  • Timely invoicing begins in Month 1 and continues throughout the project
    
• Submit to Program Integrity Specialist
  • Submit invoices to your DSAMH Program Integrity Specialist via email.

SOR 4 TAP INVOICES
◼ Invoice Submission Requirements:
o Each submission must include both a cover letter and a spreadsheet.
o Your Program Integrity Specialist (PIS) will provide these templates.
◼ Invoice Submission Process:
o Invoices must be emailed to your PIS by the 10th of each month for the previous month using
the provided templates.
◼ DocuWare Communications:
o DocuWare is DSAMH’s secure document management system used to store and track invoice
submissions and process payments.
o An organizational email address must be provided to receive DocuWare communications (e.g.,
info@organization.org).
o This is required and keeps you informed of when payments are being processed.
o New providers, not yet in DocuWare with the State of Delaware, must complete this step.

QUARTERLY REQUIRED MEETINGS
Quarterly TAP Awardee Meeting Schedule:
May 2025
August 2025
Specific dates/times to be determined

Delaware Treatment and Referral Network
Introduction to DTRN
Annalisa Johnson, (DSAMH) DTRN eReferral Specialist
DSAMHCARES360@Delaware.gov | 302-553-1300

Features of DTRN eReferral (Openbeds)
Delaware Treatment and Referral Network
Decision support for providers and consumers, including detailed inclusions and exclusions criteria for specific services to ensure quality referrals to treatment
An inventory of outpatient and inpatient services, including available psychiatric, crisis, dual diagnosis, withdrawal management, and residential treatment beds and wait times
A registry of social service resources available for direct or indirect referrals
Secure 2-way provider communication for the digital exchange of necessary patient information, such as medical
records and consent forms
Comprehensive data aggregation and analytics capabilities

REPORTING REQUIREMENTS

MONTHLY REPORTING
One web survey is used for all monthly data reporting
Survey Part 1: Universal Measures of “How Much” Work is Occurring
Tier 4.B & 4.C required measures
Survey Part 2: Additional Performance Measures
Used to evaluate how well the project has performed and if anyone is better off as a result
Includes both standardized and provider-specific measures

UNIVERSAL MEASURES

 ◼ Tier 4.B/4.C universal measures

Naloxone: Number of naloxone prescriptions written and provided to clients in the last month.
SDOH referral: Of those that screened positive for an SDOH in the last month, the unduplicated number of those who were referred to community partners.
MOUD: Number of unduplicated clients who were prescribed or administered each of the following MOUD in the last month through this TAP-funded project. ● buprenorphine ● long-acting, injectable naltrexone ● methadone
MOUD referral: Number of unduplicated clients who were referred (internally or externally) to MOUD treatment in the last month.
Medicaid Enrollment: In the last month, the number of times that clients were linked to Medicaid enrollment services.
Intervention: Number of unduplicated clients receiving intervention in the last month
GPRA *For treatment providers only: . The Center for Substance Abuse Treatment (CSAT) Government Performance Results and Modernization Act (GPRA) Client-Level data collection at baseline, follow-up, and discharge is required for individuals receiving treatment AND/OR recovery support services.
BARC-10 *For CBOs only: The Brief Assessment of Recovery Capital (BARC[1]10) is a strengths-based assessment of an individual’s recovery capital and is designed to track improvements, identify barriers, and be responsive to an individual’s evolving needs in their recovery journey

DATA REPORTING DEFINITION RESOURCE

Support and Resources

TAP Data Definitions are available on the ATRC website
• Defines terms used in universal and standardized measures.
• Does NOT define unique provider performance measures.
Data Reporting Webinar • April 30, 2025 • 1:00 – 3:00 PM ET
Questions? • Contact DSAMH.ORT@Delaware.gov

Client Outcomes Data CBOs will be required to demonstrate improved client outcomes with their proposed projects, using the client survey Brief Assessment of Recovery Capital (BARC-10) that can be aggregated and reported to DSAMH regularly to document changes.

GPRA DATA REPORTING
Slide 22
What is the GPRA and Why is GPRA Collection Required?

• The Government Performance and Results (GPRA) Modernization Act of 2010,
  developed a more efficient and modern system for government agencies to report
  their progress on a client level with uniformity in reporting between grants and
  agencies by requiring all participants to use the GPRA Tool.
• The GPRA data being collected in support of the SOR grant helps SAMHSA create a
  national picture of substance misuse and mental health services to build evidence
  to support program outcomes and resources associated with SAMHSA (federally
  funded) grants.
• Clients are interviewed at 3 timepoints throughout the Grant Period:
• Baseline/Intake
• 6-month Reassessment, regardless of program enrollment status
• Discharge

GPRA DATA REPORTING
◼ SAMHSA requires that the 6 – month reassessment GPRA interview be conducted regardless of the client’s enrollment status.
◼ There is an 80% minimum follow -up rate required by all grantees for the grant.
◼ Only conducted interviews count towards the 80% follow – up requirement.

◼ Grantees may receive gift cards to incentivize client participation in 6 -month follow -up GPRA interviews.

GPRA TECHNICAL ASSISTANCE (TA)
◼ SOR GPRA Training
◼ Be sure that at the beginning of each new grant period and/or after any large staff turnovers
that you and your team request GPRA Training from the Research and Evaluation (RE) Grant Data
Team at DSAMH.
◼ Receiving the latest training will ensure that you are receiving the most up to date version of the
GPRA, collecting the GPRA data at the appropriate timepoints, as well as collecting and
submitting GPRA data to the correct location.
◼ SOR CSAT GPRA Training Requests can be requested using the following link:
https://delawaredhss.qualtrics.com/jfe/form/SV_4PAYepXbshHPBlk
◼ GPRA Data submissions and TA Questions for data collection and or the submission process can be
emailed to the following: dhss_dsamh_grantdata@delaware.gov
◼ Requests for client 6-month reassessment incentive giftcards can be sent to
narcan.train@delaware.gov

PROGRAM INTEGRITY MONITORING

Program Integrity Monitoring: Overview
Role of Program Integrity:

• Oversight and progress monitoring, barrier reduction, and support/guidance to help grantees
  understand and comply with the requirements of DSAMH’s SOR 4.0 funding.
  Support focuses on:
• Financial reporting
• Project implementation
• Performance measurement
• Compliance with laws and regulations
  Approach: Check-in Calls and In-Person Site Visits
• Each TAP subrecipient is required to participate in monthly check-ins to provide updates
  on progress/barriers and ensure understanding of and compliance with the requirements of
  DSAMH’s SOR 4.0 funding.
• Project Lead, Data Lead, and Fiscal Lead are encouraged to attend all meetings.

Tips for Program Monitoring Success!
Maintain Strong Financial Documentation

• Keep all receipts and financial records for purchases to ensure compliance for desk audit requests.
• Track expenditures carefully and ensure they align with approved budget categories.
• Submit invoices on time and ensure they include all required documentation to avoid delays in payment.
  Ensure Timely Submission of Required Documents
• Submit invoices on time to avoid payment delays.
• Submit all required data on time.
  Follow Program & LoA Guidelines
• Review LoA requirements regularly to ensure compliance with DSAMH expectations.
  Flag Potential Challenges Early
• Notify DSAMH immediately of any issues that could impact program implementation.
• Seek technical assistance (TA) or coaching if challenges arise.
• Note: All changes with project, implementation plan, or budget require DSAMH approval.

TECHNICAL ASSISTANCE

TECHNICAL ASSISTANCE (TA)

What is technical assistance?

• Technical assistance (TA) is targeted support and professional development that
  helps healthcare professionals improve their skills/knowledge in a specific area of
  practice, including:
• Program implementation
• Operationalizing evidence-based practices
• Patient care
• Teamwork and communication
• Fidelity monitoring
• TA will be offered in group settings (required) or as tailored 1:1 support to strengthen
  your program.
  Approach: Learning Network Series
• HMA will facilitate five 1-hour group learning sessions from May-July 2025 (taking place
  every other week).
• Learning sessions will emphasize:
• Peer collaboration and knowledge sharing
• Real-world problem-solving
• Best practices to enhance service delivery
• TAP subrecipients are required to attend at least five hours of TA. Key staff must
  participate in their assigned learning network series.
• Any projects that focus on Contingency Management implementation require additional
  upfront education and training completion.
• Additional required TA or coaching may be assigned by DSAMH.

Treatment Providers

• Culturally responsive care
• Peer recovery support services
• Trauma-informed care
• Person-centered care
• MAT/MOUD
• Strengths-based case management
• Telehealth for SUD
• Enhanced referrals

Community-Based Organizations

• Role of CBOs in the continuum of care
• Culturally responsive care
• Peer recovery support services
• Care coordination

Optional TA: performance measurement strategy consultations with subject
matter expert, Rachel Bembas, PhD.

• Strengthen your approach with expert guidance.
• Reach your goals more efficiently with data-driven strategies.
• Increase funding opportunities by showcasing measurable impact.
• Demonstrate your commitment to meaningful outcomes.
  Your PIS can help schedule your consultation.

ATRC Website: https://atrc.dhss.delaware.gov

Resource Library

• Training & Technical Assistance
• Calendar of Events (TA Schedule)
• Data Hub
• News… and more

TA Request Form: https://tinyurl.com/TAforSOR

Ongoing TA is available throughout the project period.

• To request TA at any point, please use the TA Request Form

NEXT STEPS

Use the Addiction Treatment Resource Center (ATRC) website
for treatment resources, schedule of training opportunities,
data and connections to other providers
◼ Continue to address TA needs through ORN, ATRC, DSAMH
staff and HMA – Ongoing
◼ TA request form: https://tinyurl.com/TAforSOR

QUESTIONS?

Please type questions in the chat box.

• You can also send questions to:
  DSAMH.ORT@Delaware.gov

Thank you!