Notice2021-25600
Agreement for a Social Impact Partnership Project
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
November 24, 2021
Issuing agencies
Treasury Department
Abstract
In accordance with the Social Impact Partnerships to Pay for Results Act ("SIPPRA"), the U.S. Department of the Treasury ("Treasury") and City and County of Denver ("Denver") have entered into an agreement for a social impact partnership project (the "Project Grant Agreement"). The SIPPRA program makes funding available to state and local governments for pay-for-results social impact partnership projects. SIPPRA projects may seek to improve a variety of social problems, including increasing employment, wages, and financial stability for low-income families; improving family health and housing; and reducing recidivism.
Full Text
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<title>Federal Register, Volume 86 Issue 224 (Wednesday, November 24, 2021)</title>
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[Federal Register Volume 86, Number 224 (Wednesday, November 24, 2021)]
[Notices]
[Pages 67120-67122]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2021-25600]
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DEPARTMENT OF THE TREASURY
Agreement for a Social Impact Partnership Project
AGENCY: Department of the Treasury.
ACTION: Notice.
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SUMMARY: In accordance with the Social Impact Partnerships to Pay for
Results Act (``SIPPRA''), the U.S. Department of the Treasury
(``Treasury'') and City and County of Denver (``Denver'') have entered
into an agreement for a social impact partnership project (the
``Project Grant Agreement''). The SIPPRA program makes funding
available to state and local governments for pay-for-results social
impact partnership projects. SIPPRA projects may seek to improve a
variety of social problems,
[[Page 67121]]
including increasing employment, wages, and financial stability for
low-income families; improving family health and housing; and reducing
recidivism.
SUPPLEMENTARY INFORMATION: The Project Grant Agreement contains the
following features:
(1) The outcome goals of the social impact partnership project:
The Denver Housing to Health (``H2H'') Pay for Success Project
Denver proposes the following intermediate outcomes: Increased housing
stability; decreased police contacts; and increased access to health
services. Denver also proposes the following long-term outcomes:
Improved health; increased access to health services (resulting in
decreased visits to detoxification centers and decreased avoidable
emergency room and hospital visits); and decreased criminal justice
involvement. Overall, the project objective is to reduce the Medicaid
and Medicare expenditures of the target population.
(2) A description of each intervention in the project:
Two service providers, the Colorado Coalition for the Homeless
(``CCH'') and the Mental Health Center of Denver (``MHCD'') will
deliver permanent supportive housing, modified assertive community
treatment (``ACT'') and case management to 125 participants.
<bullet> Permanent Supportive Housing is an evidence-based
intervention that provides housing plus intensive case management and
connects clients with community services, including primary health
care.
<bullet> Modified Assertive Community Treatment consists of a
multidisciplinary team that strives to meet behavioral health and other
needs of clients in order to maximize opportunities for recovery. Among
the primary benefits of ACT is its ability to have multiple
perspectives for treatment planning and assessment, ongoing
collaboration, and planning and evaluation, with the client being an
active member of the team.
<bullet> Case Management includes evidence-based motivational
interviewing and trauma-informed care to assist participants in
engaging and connecting with integrated health services, as deemed
clinically appropriate and fitting the clients' needs. This approach is
designed to help improve health outcomes, address barriers to housing
stability, manage mental illness and reduce interaction with the
criminal justice system.
(3) The target population that will be served by the project:
H2H will target individuals who are chronically homeless, have a
record of at least eight arrests over the past three years in Denver
County, and are at high risk for avoidable and high-cost health
services paid through Medicaid.
(4) The expected social benefits to participants who receive the
intervention and others who may be impacted:
H2H is expected to help individuals improve their health outcomes,
break the cycle of jail and homelessness, and save taxpayer dollars on
the cost of health care in jail and in the community.
(5) The detailed roles, responsibilities, and purposes of each
Federal, State, or local government entity, intermediary, service
provider, independent evaluator, investor, or other stakeholder:
------------------------------------------------------------------------
H2H role Partner Responsibilities
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Lead applicant/Local City of Denver...... Repay investors with
government. SIPPRA funds if
performance
benchmarks are met.
Intermediary................ A special purpose Manage service
vehicle will be provider
created by The performance, day-to-
Corporation for day operations and
Supportive Housing facilitate investor
(``CSH''). agreements and
payments from the
DOF to investors.
Serve as project
manager--providing
project oversight,
communicating with
all parties, and
providing advisory
services.
Service providers........... Colorado Coalition Provide housing.
for the Homeless.
Mental Health Center Provide supportive
of Denver. housing services.
Deliver ACT.
Independent evaluation...... Urban Institute..... Establish research
design.
Verify that
performance
benchmarks are met.
Measure other
outcomes of
interest.
Pay for Success investors... Including Northern Provide capital to
Trust, The Denver fund services.
Foundation.
There has been Receive principal
significant and interest when
investor interest, performance
and project benchmarks are met.
partners intend to
add investors if
the project
receives SIPPRA
funding. In
addition to letters
of commitment from
the investors named
above, letters of
interest and
support from other
investors are
included as
attachments.
------------------------------------------------------------------------
(6) The payment terms, the methodology used to calculate outcome
payments, the payment schedule, and performance thresholds:
The Recipient's outcome payment will be equal to the sum of the
annual difference between the treatment group's Medicaid and Medicare
expenditures and the control group's Medicaid and Medicare expenditures
over the project period.
(7) The project budget:
Project Budget
------------------------------------------------------------------------
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Service Delivery.................................. $13,524,300.00
Evaluation........................................ 1,282,800.00
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Total Project Costs............................. 14,807,100.00
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(8) The project timeline:
The intervention will take place over seven years, beginning on
April 29, 2022 and serving clients through April 28, 2029.
(9) The project eligibility criteria:
The eligibility criteria for H2H are that individuals must be at
least 18 years old, have had at least eight arrests over the past three
years, were experiencing homelessness at the time of their last arrest
and are at high risk for avoidable and high-cost health services paid
through Medicaid and Medicare. Potentially eligible clients will be
referred to H2H through Denver Health and Denver Police Department
(``DPD'').
(10) The evaluation design:
H2H'S randomized controlled trial (``RCT'') design will compare the
trajectories of homeless, frequent users
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of medical services who receive supportive housing and those who
receive usual care. Because available supportive housing is not
available to all of the people who need it, the limited 125 housing
slots will be allocated by lottery, which is a fair way to allocate the
scarce housing resources and also enables random assignment. The
evaluation will track outcomes for both groups and attribute any
differences to the H2H program intervention.
(11) The metrics that will be used in the evaluation to determine
whether the outcomes have been achieved as a result of each
intervention and how these metrics will be measured:
The evaluation metrics will include information on housing
stability and reductions in jail days and net reductions in federal
expenditures for Medicaid and Medicare claims, to be paid by SIPPRA
funding if successful. The net reduction in federal expenditures will
be measured as the average difference in the change over time (pre and
post randomization) in the amount billed for claims between the
treatment and control groups.
(12) The estimate of the savings to the Federal, State, and local
government, on a program-by-program basis and in the aggregate, if the
agreement is entered into and implemented and the outcomes are achieved
as a result of each intervention:
Federal Savings: $5,512,000
City Savings: $9,235,055
Authority: Public Law 115-123, Division E, Title VIII, 42 U.S.C.
1397n-1397n-13.
Catherine Wolfram,
Deputy Assistant Secretary for Climate and Energy Economics, Office of
Economic Policy.
[FR Doc. 2021-25600 Filed 11-23-21; 8:45 am]
BILLING CODE 4810-AK-P
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