H79TI088310

HEP C FREE PR: INTEGRATED RAPID HCV CARE FOR PEOPLE WITH SUD, SMI, AND HOMELESSNESS ACROSS 38 HIGH-NEED MUNICIPALITIES IN PUERTO RICO - HEP C FREE PUERTO RICO INTEGRATED CARE PILOT WILL SCREEN 10,000 HIGH-RISK ADULTS, START DIRECT-ACTING ANTIVIRAL (DAA) THERAPY IN 1,150, AND CONFIRM CURE (SVR12) IN 900 PEOPLE WITH HEPATITIS C VIRUS (HCV) ACROSS 38 MEDICALLY-UNDERSERVED MUNICIPALITIES IN THREE YEARS. BY EMBEDDING OPT-OUT, POINT-OF-CARE HCV/HIV TESTING AND SAME-DAY DAAS IN EVERY MENNONITE GENERAL HOSPITAL (MGHPR) EMERGENCY DEPARTMENT (11), CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (5), PSYCHIATRIC UNIT, AND FIVE OUTREACH HUBS, THE PROJECT TACKLES PUERTO RICO'S INTERTWINED EPIDEMICS OF SUBSTANCE-USE DISORDER (SUD), SERIOUS MENTAL ILLNESS (SMI), HOMELESSNESS, AND HCV. PEER SPECIALISTS, TRAUMA-INFORMED NAVIGATORS, AND A TELE-INFECTIOUS-DISEASE HUB WILL DRIVE RAPID LINKAGE, HIGH ADHERENCE, AND DURABLE CURES. PROJECT NAME & APPLICANT. HEP C FREE PUERTO RICO INTEGRATED CARE PILOT - MENNONITE GENERAL HOSPITAL, INC. (MGHPR), THE ISLAND’S LARGEST NON-PROFIT INTEGRATED HEALTH SYSTEM. POPULATION TO BE SERVED. LOW-INCOME, SPANISH-SPEAKING PUERTO RICAN ADULTS (≥ 18 YRS) WITH ELEVATED HCV RISK AND CO-OCCURRING SUD/OUD AND/OR SMI, INCLUDING 1,302 UNHOUSED PERSONS AND 28,000 PEOPLE WHO INJECT DRUGS. TWO-THIRDS ARE MEN AGED 23-49; MEDICAID COVERS ~90 %. STRATEGIES & INTERVENTIONS. • UNIVERSAL, OPT-OUT RAPID HCV/HIV TESTING WITH REFLEX RNA CONFIRMATION IN 11 EDS, 6 HOSPITALS, 5 CCBHCS, 7 PARTNER MAT CLINICS, AND STREET TEAMS. • SAME-DAY TREATMENT PROTOCOL: BEDSIDE FIB-4 STAGING AND INITIATION OF AN 8-WEEK GLECAPREVIR/PIBRENTASVIR OR 12-WEEK SOFOSBUVIR/VELPATASVIR REGIMEN, SUPPORTED BY PHARMACY STARTER PACKS AND HOME DELIVERY. • PEER NAVIGATION, PREP-C-LITE–GUIDED MOTIVATIONAL INTERVIEWING, MODIFIED DIRECTLY OBSERVED THERAPY FOR UNSTABLY HOUSED CLIENTS, AND INTEGRATION OF MOUD, PSYCHIATRIC CARE, HAV/HBV VACCINATION, NALOXONE DISTRIBUTION, AND HOUSING NAVIGATION. • PROJECT TELE-CONSULTS, CARE COMPASS EHR ALERTS, AND PREDICTIVE ANALYTICS FROM PARTNER ESTUDIOS TÉCNICOS TO DRIVE REAL-TIME COORDINATION AND QUALITY IMPROVEMENT. GOALS & MEASURABLE OBJECTIVES (FY 2026–2028). GOAL 1 – IDENTIFY. SCREEN 10,000 UNDUPLICATED ADULTS ACROSS ALL MGHPR EMERGENCY DEPARTMENTS, CCBHCS, AND COMMUNITIES; DELIVER ≥ 95 % SAME-DAY ANTIBODY RESULTS AND REFLEX RNA CONFIRMATION WITHIN 24 HOURS. GOAL 2 – TREAT. INITIATE PANGENOTYPIC DAAS WITHIN SEVEN DAYS FOR 1,150 RNA-POSITIVE CLIENTS; EMBED PEER-LED READINESS COACHING AND ACHIEVE ≥ 90 % TREATMENT COMPLETION. GOAL 3 – CURE. CONFIRM SUSTAINED VIROLOGIC RESPONSE (SVR12) IN 900 PATIENTS-AN ≥ 85 % CURE RATE THAT SURPASSES SAMHSA TIER 3 (> 100 CURES / YEAR); RETEST HIGH-RISK CLIENTS AT 12 MONTHS AND HOLD REINFECTION TO ≤ 5 %. GOAL 4 – SUSTAIN. TRAIN 300 FRONTLINE STAFF THROUGH PROJECT ECHO, ACTIVATE REAL-TIME HCV DASHBOARDS IN EVERY SERVICE SITE, AND SECURE MEDICAID/340B REIMBURSEMENT FOR DAAS AND PEER SERVICES BY YEAR 3 TO INSTITUTIONALIZE THE MODEL POST-GRANT. PEOPLE TO BE SERVED. ANNUALLY THE PROJECT WILL REACH 3,250–3,950 INDIVIDUALS ACROSS SCREENING, TREATMENT, NAVIGATION, AND SUPPORTIVE SERVICES; OVER ITS LIFETIME IT WILL SERVE APPROXIMATELY 11,000 UNDUPLICATED RESIDENTS AND ACHIEVE 900 CURES—MEETING SAMHSA TIER 3 (> 100 CURES/YR) MICRO-ELIMINATION BENCHMARKS WHILE STRENGTHENING PUERTO RICO’S PUBLIC-HEALTH INFRASTRUCTURE.

Mennonite General Hospital

SAMHSA WAS GIVEN THE AUTHORITY TO ADDRESS PRIORITY SUBSTANCE ABUSE TREATMENT, PREVENTION AND MENTAL HEALTH NEEDS OF REGIONAL AND NATIONAL SIGNIFICANCE THROUGH ASSISTANCE (GRANTS AND COOPERATIVE AGREEMENTS) TO STATES, POLITICAL SUBDIVISIONS OF STATES, INDIAN TRIBES AND TRIBAL ORGANIZATIONS, AND OTHER PUBLIC OR NONPROFIT PRIVATE ENTITIES. UNDER THESE SECTIONS, CSAT, CMHS AND CSAP SEEK TO EXPAND THE AVAILABILITY OF EFFECTIVE SUBSTANCE ABUSE TREATMENT AND RECOVERY SERVICES AVAILABLE TO AMERICANS TO IMPROVE THE LIVES OF THOSE AFFECTED BY ALCOHOL AND DRUG ADDITIONS, AND TO REDUCE THE IMPACT OF ALCOHOL AND DRUG ABUSE ON INDIVIDUALS, FAMILIES, COMMUNITIES AND SOCIETIES AND TO ADDRESS PRIORITY MENTAL HEALTH NEEDS OF REGIONAL AND NATIONAL SIGNIFICANCE AND ASSIST CHILDREN IN DEALING WITH VIOLENCE AND TRAUMATIC EVENTS THROUGH BY FUNDING GRANT AND COOPERATIVE AGREEMENT PROJECTS. GRANTS AND COOPERATIVE AGREEMENTS MAY BE FOR (1) KNOWLEDGE AND DEVELOPMENT AND APPLICATION PROJECTS FOR TREATMENT AND REHABILITATION AND THE CONDUCT OR SUPPORT OF EVALUATIONS OF SUCH PROJECTS, (2) TRAINING AND TECHNICAL ASSISTANCE, (3) TARGETED CAPACITY RESPONSE PROGRAMS (4) SYSTEMS CHANGE GRANTS INCLUDING STATEWIDE FAMILY NETWORK GRANTS AND CLIENT-ORIENTED AND CONSUMER RUN SELF-HELP ACTIVITIES AND (5) PROGRAMS TO FOSTER HEALTH AND DEVELOPMENT OF CHILDREN, (6) COORDINATION AND INTEGRATION OF PRIMARY CARE SERVICES INTO PUBLICLY-FUNDED COMMUNITY MENTAL HEALTH CENTERS AND OTHER COMMUNITY-BASED BEHAVIORAL HEALTH SETTINGS

93.243 - Substance Abuse and Mental Health Services Projects of Regional and National Significance

Division of Grants Management [HHS - SAMHSA]

Puerto Rico United States

State-Wide

Hepatitis C Elimination Initiative Pilot (TI-25-005)

Amendment Since initial award the total obligations have increased 92% from $3,907,500 to $7,500,000.