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REQUEST FOR FUNDING

MHRSB recognizes that funding streams are not constant.  There are changing target populations, levels of funding and restrictions for use.  MHRSB recognizes that historical patterns and level of funding for programs and populations may change at any time.  It is incumbent on MHRSB to use resources efficiently, effectively, and ethically to maximize fairness.  This is the philosophical basis for funding decisions.

Guiding Principles:

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The purpose of this section is to clarify ethical decisions related to choosing between marginal improvements for those who are relatively stable or those who are at risk of death, serious harm, or causing serious harm to others. 

 

Each of the following is a guiding principle used in the consideration of funding decisions:

 

1. Efficiency- Return on investment without consideration of the outcomes. 

2. Effectiveness- Maximizes client benefit while looking only at the best possible outcome. 

3. Equality- Distribution of resources across clients in hopes of similar outcomes.

4. Equity- Distribution of services that does the least harm to all potential clients. 

 

On their face, each of these appears to be equal in importance. However, in making budgetary decisions in times of complicated funding when it may not be possible to do everything that we have historically done or would like to do, it is imperative to place the funding in the areas that will impact those at greatest risk of serious negative outcomes.

 

MHRSB is the behavioral health safety net that places equity as the highest priority in making budgetary and programmatic decisions in treatment. Inclusion of efficiency, effectiveness, and equality as influencing factors in the decision-making process identifies this as the best model for MHRB. Focus on serving those who do not have access to a third-party payer or sufficient personal resources to secure services ensures that maximization of resources can occur. If there are people who by their choice do not access a third-party payer option, these persons shall not be a service priority for MHRSB.

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Prioritization:

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After analysis, there are three categories of funding to be considered.

 

1. Hard mandates- Those funds that are given with specific uses defined. 

2. Soft mandates- Those funds that are given with defined areas, but no specific use designated. 

3. Discretionary funds- Those funds that are without funder restrictions other than those that are

    inherent in good, ethical stewardship and can be used to meet the priority populations and

    services designated by MHRB as necessary carve-outs. 

 

The safety net of services includes not only those services mandated by Ohio Revised Code and other funding bodies, but services that without such, would negatively impact the lives of those in Coshocton, Guernsey, Morgan, Muskingum, Noble and Perry Counties. Service mix is determined by community need and is included in the community plan, which serves as MHRSB’s application for funding from the Ohio Department of Mental Health and Addiction Services. Local needs are determined by assessment of current conditions, forecasting emerging trends, and evaluating existing community resources. This results in a process that is not only fluid, but responsive to the needs of the community. All services, programs and populations have been prioritized according to the level of urgency and immediacy associated with client need. All services, programs and populations have been broken into five priority areas.

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Primary considerations that will impact MHRSB priorities that have multiple organizations in competition for funding are listed below: 

 

1. Highest priority will be given to programs that serve priority populations and identified carve-out

    services. 

2. Higher priority will be given to non-redundant programs which address underserved or emerging

    programs. 

3. Higher priority will be given to programs that leverage outside resources in a way that reduces

    Board expenditures. 

4. Higher priority will be given to programs that demonstrate the ability to coordinate services across

    organizations. 

5. Higher priority will be given to programs that demonstrate that individuals served are likely to

    experience a reduction in system dependence. 

6. Higher priority will be given to programs that are innovative and that are evidenced based. 

7. Lower priority will be given to programs/services that MHRSB is not mandated to provide. 

 

*Severely Mentally Ill, Severely Emotionally Disabled, Substance Use Disorders

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DOCUMENTS

PRIORITIZATION

OF SERVICES

FAQ'S

EVALUATION TOOL

SFY25 MHRS BOARD PRIORITIZED CONTINUUM OF CARE

Muskingum Area Board Allocation of Resources

Request for Funding Application: FY25

Application For Funding

Please complete this application for each program requesting funding and specify whether the primary function of the program is treatment or prevention.

Part One: Priority Effort

 

Please provide the information requested below both in narrative form and by providing any requested empirical data.

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  1. Explain how your organization will provide services in each type of activity and tier of priority, including how the population will be identified, what specific services will be provided and how they will be implemented with the population served.  

 

a. List all of the programs that you operate and for which you are requesting funding and indicate what percentage of your overall budget serves each of those programs.  Also include the total amount of funds that will be requested from the MHRS Board for your Agency.

 

b. Provide a demographic breakdown based on age for each of the programs you operate, indicating the number of individuals served who are age 0-3, 4-17, 18-64, 65-74, and 75 and above.

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c. Complete the chart below to show what number of individuals and the percentage of the

program’s budget serves each priority level.  The total number at the bottom should equal the

number of clients the program is projecting to serve in the upcoming fiscal year.

PRIORITY AREA
MANDATES
TIER ONE Tx
TIER TWO Tx
TIER THREE Tx
TIER ONE PREV.
TIER TWO PREV.
TOTAL

#2. Either explain that this program proposal does not duplicate a service already being provided in our community OR if the program is duplicative, explain how this program proposal will increase access and outcomes of an underserved population.

#3. Describe how the program demonstrably improves the individual ability to achieve progress according to relevant metrics (NOMs, HEDIS, KPI’s etc.) that you use.

#4. What evidence based or evidence supported model(s) are you implementing/using?  If this model is already being implemented in your agency, to what degree of fidelity is it followed?

#5.  What efficiencies or change projects has your agency/program completed in the last year that impacted this proposal?  What was the outcome and savings from the efficiency or change project related to this proposal?

#6.  List your collaborators and explain how your program collaborates with the other programs, providers, or organizations to improve the overall efficiency of services offered to priority populations.

#7.  Describe how your program is able to address the cultural and linguistic needs of the people served in the program.

#8.  How do the Board’s contributions to your program enable you to leverage resources from other fiscal or community sources?

#9. Write a brief program description that would be understood by the general public.

#10. How will your program/services improve the expected outcomes for our most disadvantaged populations who do not have other resources to access services. 

#11. Indicate how your program improves the individual’s and/or family’s natural supports and pro-social activity and involvement (assets/resiliency) and actively supports an individual’s progression through the recovery process.

#12.  Does your program work across county jurisdictions to meet the needs of individuals across the catchment area?  Please describe the efforts that your agency/program has engaged in to identify underserved geographic areas and increase services in those localities. 

#13.  Please describe the efforts that your agency/program is making to expand access to services to individuals in need.  

Part Two: Organizational Health and Effectiveness

#1b.  Describe your organizational structure including a description of departments and the number of administrative personnel assigned to each program.

#2b.  Have you met all of the deadlines for reporting services rendered and efficacy within each of the past three years?

#3b.  What percentage of your overall budget goes to administrative overhead?

#4b.  What is your overall revenue to expense percentage for the past fiscal year?  What is that percentage for the past 3 fiscal years cumulative?

#5b.  What is your asset to liability ratio for the past fiscal year?

#6b.  What is your operating reserve ratio to annual budget?

#7b.  How do you track the hours of your providers and evaluate the efficiency of their efforts?

#8b.  Provide an analysis of your funding sources indicating the percentage of the overall budget received from each source.

#9b.  What percentage of your budget comes from matching grants?  What programs do you have in place to leverage resources?

#10b.  What percentage of last year's budget was diverted to programs that were not initially part of your request for funding? What were those diversions?

#11b.  Do you engage an outside auditor?  Can you provide your most recent financial audit?

#12b.  What processes do you have in place to verify that staff members meet or exceed minimum standards of care?  Describe your QA/QI program.

#13b.  Is your fee schedule readily accessible and easily understandable?

#14b.  How do you track success?  Can you demonstrate attainment of defined goals and satisfaction of industry standard benchmarks?

#15b.  What assessments have you done in your catchment area to assess client needs? Where are the greatest current gaps in service?

#16b. Describe the processes that you have in place to evaluate individuals upon intake and prioritize their receipt of services.  What is the size of each waitlist that you have and what is the average length of time that an individual spends on the waitlist for services?

#17b. How do you guarantee that the services you offer are the least restrictive options that are reasonably available and capable of meeting a client's needs?

#18b. What is your system for receiving and responding to complaints from individuals served?

#19b. Please provide copies of annual reports and marketing materials.

#20b. Please share your mission statement, values statement, and copies of any strategic planning documents that you have generated.

Thank you! Your application has been sent

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