HIV Integrated Planning Council Spending Report FY2020-2021
The HIV Integrated Planning Council's Second Quarter Spending Report for FY2020-2021 highlights underspending challenges in Philadelphia due to late invoicing, vacancies, and delays in leveraging funding sources. COVID-19 has impacted the invoicing process for various service categories, leading to underspending issues. Themes of underutilization and reallocating funds due to the pandemic are also discussed.
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Office of HIV Planning: HIV Integrated Planning Council Ryan White Part A Recipient FY2020 2021 Second Quarter Spending Report November 12, 2020
2Q 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. 10/3/2024 2
Under/Over Spending Themes: FY 2020-2021 Quarter 2 (~10% threshold) PHILADELPHIA UNDERSPENDING Late Invoicing spending on operating expenses Vacancies Delayed Leveraging other funding sources for same service category X Still Under Revie w Other Service Category Balance $785,215 Invoicing for Operating expenses has been sluggish due to the impact of COVID-19. Outpatient/Amb ulatory Health Services X Invoicing for Operating expenses has been sluggish due to the impact of COVID-19. Medical Case Management $226,685 X X Drug Reimbursement $241,881 X Credentialing of counselors continues to be challenging. Substance Abuse Treatment Outpatient $70,121 X X 10/3/2024 3
Under/Over Spending Themes: FY 2020-2021 Quarter 2 (~10% threshold) PHILADELPHIA UNDERSPENDING Late Invoicing spending on operating expenses X Vacancies Delayed Leveraging other funding sources for same service category Still Under Review Other Service Category Balance EFA $8,652 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. EFA- Pharma $31,533 Under utilization; some of this related to COVID- 19. Recipient has expanded access to the service by way of eligibility. EFA-Housing $94,409 X 4 10/3/2024
Under/Over Spending Themes: FY 2020-2021 Quarter 2 (~10% threshold) PHILADELPHIA UNDERSPENDING Late Invoicing spending on operating expenses X Vacancies Delayed Leveraging other funding sources for same service category Still Under Review Other Service Category Balance $97,301 Housing Assistance Under utilization; some of this related to COVID- 19. Recipient has expanded acc ess to the service by way of eligibility and availibility of COVID response funds (Shallow Rent Program). Transportation $6,021 Under utilization due to COVID-19. X 10/3/2024 5
Under/Over Spending Themes: FY 2020-2021 Quarter 2 (~10% threshold) PHILADELPHIA OVERSPENDING Higher Utilization Hx overspen ds early/level s out Still under review Service Category Amount Overspent Other Food Bank/Home Delivered Meals $10,064 X Impact of COVID-19 increased food insecurity. 10/3/2024 6
Under/Over Spending Themes: FY 2020-2021 Quarter 2 (~10% threshold) PA Counties UNDERSPENDING Vacancies Late Invoicing Delayed spending on operating expenses Leveraging other funding sources for same service category X Still Under Review Other Service Category Balance Outpatient/ Ambulatory Health Services $64,601 X EFA $8,479 X Under utilization. Requests for assistance has slowed lkely due to COVID-19. EFA-Pharma $31,200 Under utilization. Underspending he re has already been reallocated. Transportation $94,953 X Under-utilization related to COVID- 19. 10/3/2024 7
Under/Over Spending Themes: FY 2020-2021 Quarter 2 (~10% threshold) PA Counties OVERSPENDING Higher Utilization Hx oversp ends early/l evels out Still under review Service Category Amount Overspent Other Mental Health Services $8,980 X 10/3/2024 8
Under/Over Spending Themes: FY 2020-2021 Quarter 2 (~10% threshold) New Jersey UNDERSPENDING Vacancies Late Invoicing Delayed spending on operating expenses Leveraging other funding sources for same service category X Still Under Review Other Service Category Balance Outpatient/Ambulatory Health Services $74,691 X Mental Health Therapy/Counseling $16,276 Will resolve because the vacancy has been filled. X Transportation $46,568 Under utilization due to COVID-19. X 10/3/2024 9
Under/Over Spending Themes: FY 2020-2021 Quarter 2 (~10% threshold) NEW JERSEY OVERSPENDING Higher Utilization Hx overspends early/levels out Still under review Service Category Amount Overspent Other None above 10% threshold 10/3/2024 10
Under/Over Spending Themes: FY 2020-2021 Quarter 2 (~10% threshold) Systemwide Allocations UNDERSPENDING Vacancies Invoicing Late Delayed spending on operating expenses Still Under Review Other Allocations Balance I&R $284,415 X (recipient) QM Activities (recipient) $29,522 X Capacity Building (recipient) $45,697 X PC Support (planning council) $52,870 Basic overhead costs have gone down due to remote work. X 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. 10/3/2024 11
Under/Over Spending Themes: FY 2020-2021 Quarter 2 (~10% threshold) MAI Systemwide Allocations UNDERSPENDING Vacancies Late Invoicing Delayed spending on operating expenses Leveraging other funding sources for same service category Still Under Review Other Allocations Balance QM Activities (recipient) $6,466 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. 10/3/2024 12
