Office of HIV Planning HIV Integrated Planning Council

Office of HIV Planning: HIV Integrated Planning Council Ryan White Part A Recipient FY 2020 – 2021 Second Quarter Spending Report November 12, 2020

2 Q Underspending Summary Reconciliation of total invoices forwarded to AACO for processing through August 31, 2020 indicated twenty-three (23%/$2, 586, 072) underspending of our total overall award (includes MAI funds). Please note, hospital and the two fiduciary entities (PHMC and UAC) inherently have cumbersome fiscal processes which results in delays submitting invoices and budgets. This has been exacerbated by COVID-19 and remote work. 2/16/2022 2

Under/Over Spending Themes: FY 2020 -2021 Quarter 2 (~10% threshold) PHILADELPHIA UNDERSPENDING Service Category Balance Outpatient/Amb ulatory Health Services $785, 215 Medical Case Management $226, 685 Drug Reimbursement $241, 881 Substance Abuse Treatment Outpatient $70, 121 2/16/2022 Vacancies Late Invoicing Delayed spending on operating expenses X X Leveraging other funding sources for same service category X Still Under Revie w Other Invoicing for Operating expenses has been sluggish due to the impact of COVID -19. Invoicing for Operating expenses has been sluggish due to the impact of COVID-19. X X Credentialing of counselors continues to be challenging. 3

Under/Over Spending Themes: FY 2020 -2021 Quarter 2 (~10% threshold) PHILADELPHIA UNDERSPENDING Service Category Balance EFA $8, 652 EFA- Pharma $31, 533 EFA-Housing $94, 409 Vacancies Late Invoicing X Delayed spending on operating expenses Leveraging other funding sources for same service category Still Under Review Other Under utilization. Requests for assistance has slowed lkely due to COVID-19 and availibility of COVID response dollars. Under utilization. Underspending has already been reallocated. X Under utilization; some of this related to COVID 19. Recipient has expanded access to the service by way of eligibility. 4 2/16/2022

Under/Over Spending Themes: FY 2020 -2021 Quarter 2 (~10% threshold) PHILADELPHIA UNDERSPENDING Service Category Balance Housing Assistance $97, 301 Transportation $6, 021 2/16/2022 Vacancies Late Invoicing Delayed spending on operating expenses Leveraging other funding sources for same service category Still Under Review Other Under utilization; some of this related to COVID 19. Recipient has expanded acce ss to the service by way of eligibility and availibility of COVID response funds (Shallow Rent Program). X X Under utilization due to COVID 19. 5

Under/Over Spending Themes: FY 2020 -2021 Quarter 2 (~10% threshold) PHILADELPHIA OVERSPENDING Service Category Amount Overspent Higher Utilization Food Bank/Home Delivered Meals $10, 064 X 2/16/2022 Hx overspen ds early/level s out Still under review Other Impact of COVID-19 increased food insecurity. 6

Under/Over Spending Themes: FY 2020 -2021 Quarter 2 (~10% threshold) PA Counties UNDERSPENDING Service Category Balance Outpatient/ Ambulatory Health Services $64, 601 EFA $8, 479 EFA-Pharma $31, 200 Transportation $94, 953 2/16/2022 Vacancies Late Invoicing Delayed spending on operating expenses Leveraging other funding sources for same service category X X Still Under Review Other Under utilization. Requests for assistance has slowed lkely due to COVID -19. X Under utilization. Underspending he re has already been reallocated. X Under-utilization related to COVID 19. 7

Under/Over Spending Themes: FY 2020 -2021 Quarter 2 (~10% threshold) PA Counties OVERSPENDING Service Category Amount Overspent Mental Health Services $8, 980 2/16/2022 Higher Utilization Hx Still under oversp review ends early/le vels out Other X 8

Under/Over Spending Themes: FY 2020 -2021 Quarter 2 (~10% threshold) New Jersey UNDERSPENDING Service Category Balance Outpatient/Ambulatory Health Services $74, 691 Mental Health Therapy/Counseling $16, 276 Transportation $46, 568 2/16/2022 Vacancies Late Invoicing X Delayed spending on operating expenses Leveraging other funding sources for same service category Still Under Other Review X Will resolve because the vacancy has been filled. X X Under utilization due to COVID-19. 9

Under/Over Spending Themes: FY 2020 -2021 Quarter 2 (~10% threshold) NEW JERSEY OVERSPENDING Service Category Amount Overspent Higher Utilization Hx overspends early/levels out Still under review Other None above 10% threshold 2/16/2022 10

Under/Over Spending Themes: FY 2020 -2021 Quarter 2 (~10% threshold) Systemwide Allocations UNDERSPENDING Allocations Balance Vacancies I&R $284, 415 X $29, 522 X $45, 697 X $52, 870 X (recipient) QM Activities (recipient) Capacity Building (recipient) PC Support (planning council) Late Invoicing Delayed spending on operating expenses Still Under Review Due to cumbersome hiring practices at the Recipient level and a hiring freeze underspending is a result. Moreover, all underspending has been or will be reallocated to direct service categories. 2/16/2022 Other Basic overhead costs have gone down due to remote work. 11

Under/Over Spending Themes: FY 2020 -2021 Quarter 2 (~10% threshold) MAI Systemwide Allocations UNDERSPENDING Allocations QM Activities (recipient) Balance $6, 466 Vacancies Late Invoicing Delayed spending on operating expenses Leveraging other funding sources for same service category Still Under Review Other X Due to cumbersome hiring practices and a hiring freeze at the Recipient level, underspending is a result. Moreover, any underspending has been or will be reallocated to direct service categories. 2/16/2022 12