The Narbha Institute

MEDICAID MANAGED CARE SUBCONTRACTOR, SUPPORTED HOUSING, BEHAVIORAL CARE VIA AFFILIATE

THE NORTHERN ARIZONA REGIONAL BEHAVIORAL HEALTH ALLIANCE MEDICAID ACO IS A COLLABORATIVE VENTURE THAT ADVANCES WELLBEING BY CREATING STRATEGIC PARTNERSHIPS ACROSS THE BEHAVIORAL HEALTH PROVIDER NETWORK. USING TARGETED SOLUTIONS TO IMPROVE CARE OUTCOMES, PROVIDERS AND THEIR MEMBERS CAN ADVANCE HEALTH, REDUCE COSTS, CREATE BEST PRACTICE MODELS AND MOVE TO AN ENHANCED INCLUSIVE AND EQUITY-BASED SOLUTION FOR BEHAVIORAL HEALTH SERVICES.

THROUGH A DISREGARDED ENTITY (WELL NORTH COMMUNITIES LLC), THE NARBHA INTITUTE PROVIDES PERMANENT SUPPORTED HOUSING TO APPROXIMATELY 40 INDIVIDUALS AND FAMILILES LIVING WITH SERIOUS MENTAL ILLNESS IN NORTHERN ARIZONA. TENANTS PAY AN INCOME-ADJUSTED PORTION OF RENT (WHICH IS OFTEN ZERO) AND RESIDE IN APARTMENTS PURCHSED WITH FUNDING FROM THE ARIZONA DEPARTMENT OF HEALTH SERIVCES. WHILE NOT LISTED ON THE FINANCIAL STATEMENTS AS AN EXPENSE, THE OPPORTUNITY COST OF THESE HEAVILY DESCOUNTED RENTS IS OVER $244,000 PER YEAR EXCLUDING UTILITIES, BASED ON HUD AND SURVEY DATA. EXPENSES ASSOCIATED WITH THE PROGRAM ARE $562,678 AND REVENUE GENERATED IS $140,945.THE NARBHA INSTITUTE SUPPORTS SEDI, THE SUSTAINABLE ECONOMIC DEVELOPMENT INITIATIVE OF NORTHERN ARIZONA. SEDI IS A LEADING ECONOMIC DEVELOPMENT ORGANIZATION IN THE REGION THAT ENABLES, FACILITATES, AND PARTNERS WITH BUSINESSES, EDUCATIONAL INSTITUTIONS, AND GOVERNMENT TO INCREASE SOCIAL EQUITY, ECOLOGICAL HEATH, AND PROMOTE A RESILIENT ECONOMY. NARBHA PROVIDED A GRANT OF $100,000 FOR PROGRAM SUPPORT. EXPENSES ASSOCIATED WITH SEDI ARE $156,807. .

THE NARBHA INSTITUTE'S SECOND LARGEST PROGRAM IS ITS PROVISION OF SERVICES, SUPPORT AND GRANTS TO HEALTHCARE PROVIDERS WHO SERVE PRIMARILY MEDICAID BENIFICIARIES AND INDIGENT POPULATIONS. THIS INCLUDES GRANTS TO SUCH ORGANIZATIONS TO ACHIEVE HEALTH AND HEALTH RELATED SOCIAL OUTCOMES SUCH AS EMPLOYMENT, MEDICAID ELIGIBILITY COMPLIANCE, TIMELY MENTAL HEALTH ASSESSMENTS, PAITIENT SATISFACTION, HOUSING, CRIMINIAL JUSTICE COORDINATION AND CULTURALLY-COMPETENT SERVICES. REVENUE INCLUDED IN THE CONTRIBUTIONS ON PART VIII, LINE 1E IS $2,819,085.

EFFECTIVE AUGUST 27, 2018, THE NARBHA INSTITUTE ENTERED INTO AN AFFILIATION AGREEMENT WITH THE GUIDANCE CENTER (TGC), A SEPARATE 501(C)(3) ORGANIZATION, IN WHICH NARBHA BECAME ITS SOLE MEMBER. THERE IS A SEPARATE BOARD TO OVERSEE MANAGEMNET OF TGC. THE GUIDANCE CENTER PROVIDES INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES IN THE FLAGSTAFF REGION. UNDER THE AFFILIATION AGREEMENTS, NARBHA PROVIDES SUBSTANTIAL FINANCIAL AND IN-KIND SUPPORT AND APPOINTS A MAJORITY OF ITS GOVERNING BOARD.