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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 O( NLY) 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 9 i). <br />Number of Households <br />Number of <br />i. <br />receiving HOPWA Housing <br />jobs that <br />Category of Services Accessed <br />Assistance <br />included <br />iii. <br />$151 -$250 <br />health <br />$251-$500 <br />At Entry or <br />At Exit or <br />benefits <br />Continuing' <br />Continuin <br />vii. <br />$1501 -$2000 <br />viii. <br />i. Has a housing plan for maintaining or establishing stable on -going <br />230 <br />residency <br />ii. Had contact with a case manager /benefit counselor at least once in <br />235 <br />the last three months (or consistent with the schedule specified in <br />their individualized service Ian <br />iii. Had contact with a primary health care provider at least once in the <br />48 <br />,m <br />last three months (or consistent with the schedule specified in their <br />individualized service plan)x <br />iv. Had medical insurance coverage or medical assistance <br />45 <br />v. Obtained an income - producing job created by this project sponsor <br />il i, :- <br />33 <br />during the year <br />.0kg� <br />vi. Obtained an income - producing job outside this agency during the <br />� <br />0 <br />year <br />� <br />M �x � ,RN <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 9 i). <br />08/23/2012 53 <br />19C -61 <br />A. Monthly Household Income at <br />Entry or Residents continuing from <br />prior Year End <br />Number of <br />Households <br />i. <br />No income <br />ii. <br />$1 -150 <br />iii. <br />$151 -$250 <br />iv. <br />$251-$500 <br />V. <br />$501 - $1,000 <br />vi. <br />$1001-$1500 <br />vii. <br />$1501 -$2000 <br />viii. <br />$2001 + <br />08/23/2012 53 <br />19C -61 <br />B. Monthly Household Income at <br />Exit/End of Year <br />Number of <br />Households <br />i. <br />No income <br />ii. <br />$1 -150 <br />iii. <br />$151 -$250 <br />iv. <br />$251-$500 <br />V. <br />$501 - $1,000 <br />vi. <br />$1001-$1500 <br />vii. <br />$1501-$2000 <br />viii. <br />$2001 + <br />08/23/2012 53 <br />19C -61 <br />