2017-665-E Finance - ARC of the Triangle outside agency agreement

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DocuSign Envelope ID:7B55B196-3912-4C1A-ADB4-A753058DFEFD XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION to never give up." I use my son as a barometer for The Arc programs we offer. The social programs need to meet the high standard of quality I expect not just for my child but for every childlindividual in the community. Studies of social capital indicate that a typical individual has one hundred and fifty healthy relationships in their life; a person with I/DD has twenty five. The Arc's educational, social and employment programs and the highly trained, highly skilled volunteers and staff who lead these efforts provide a unique source of valuable social capital and social networking for people with IIDD to use in navigating through life's challenges and opportunities. These individuals count towards increasing the number of healthy relationships in a person's life. The goal of The Arc is for our social classes and programs to help significantly increase the amount of these social capital relationships. Our social programs are led by volunteers allowing The Arc to offer these classes while not having to pay for people to run them. The volunteers are enthusiastic have an interest in the classes and have the desire to make a positive difference in the life of a person with 1/DD. j) Describe what would happen if requested funding is not awarded at all or if a reduced allocation is recommended. It has been shown that people live longer and have happier lives when they have friendships, good nutrition and exercise, purpose in their life, and social capital. When people lead isolated and lonely lives their health suffers and they are prone to more emergency room visits and costly medical care. The Arc believes in using our programs to proactively help people with IIDD lead happy, productive lives, so in the long run an ounce of prevention is worth more (and costs much less) than a pound of cure. If the requested funding amount is reduced or not awarded, we will not be able to serve as many people with these programs. k) Include any other pertinent information. The Arc continues to face the economic reality of providing more services to more people while having less funding available. Medicaid reimbursement for one service known as Developmental Therapy (DT) was completely eliminated. This meant a decrease of$190,000 to cover serving people that we continue to support. Our Local Management Entity (LME) has also moved 40% of the people we support to a payment category called "non-habilitative" services that are reimbursed at a lower rate. We continue to serve these people in the same manner, but with less reimbursement. In 2015 the LME also changed the reimbursement rate for two of the other services that we provide. The result is a $3,000 per month reduction in funding. The United Way was a notable source of Arc funding, however their mission no longer addresses the needs of people with IIDD, so that funding source is gone. To fill in these gaps, we are taking a two-pronged approach: we are actively evaluating our processes and resources for delivering our programs to find ways to accomplish our goals more efficiently, and we are also working hard to diversity our funding sources, such as through this grant application. PROGRAM INFORMATION 1/26/2017 5:52:39 PM Page 19 of t