ICMS Snapshot Updates

We've added Total ICMS Exits to the Provider Level Summary of the ICMS Snapshot. This new indicator displays the total number of ICMS participant exits recorded for the Provider so far during the current service month.

Providers can use this indicator to quickly monitor ICMS exit activity throughout the month.

We've added a new TLS / Shallow Subsidy Month indicator to the Participant Level Summary and to the Exit Log to help Providers monitor participants receiving an HSH-funded Time-Limited Subsidy (TLS) or Shallow Subsidy.

The new indicator displays the number of months that have elapsed since the participant's move-in date, which represents the date the participant ended homelessness. Because TLS and Shallow Subsidy are time-limited rental subsidies, this provides a quick way to understand where a participant is within the applicable subsidy timeframe.

The value does not reset when a participant transitions from TLS to Shallow Subsidy. For example, a participant who received TLS for 15 months and then transitioned to Shallow Subsidy will display "16" during their first month of Shallow Subsidy.

Providers can use this indicator to support Care Plan activities related to financial progression and preparation for future housing costs. The displayed month can also be entered into HSH's TLS Calculator to determine the participant's portion of rent for the applicable month.

We've updated the Medi-Cal Status and Medi-Cal Managed Care Plan (MCP) indicators in the ICMS Snapshot to provide additional information about participants who do not have active Medi-Cal coverage but may have another recently reported type of health coverage.

When HSH Medi-Cal screening indicates inactive Medi-Cal coverage, the Snapshot will now display one of the following values when the corresponding insurance type was recorded by the ICMS Provider in the participant's CHAMP Medical Profile within the past six months:

• Healthy Families

• Indian Health Service (IHS)

• Medicare

• Private

• Private – Employer

• VA

These values may now display in place of Inactive under Medi-Cal Status and Inactive Medi-Cal under Medi-Cal Managed Care Plan (MCP).

The additional insurance information is based on recent information reported in CHAMP by the ICMS Provider and is not derived from HSH's Medi-Cal eligibility and enrollment data.

This update is intended to provide a more complete picture of participant health coverage, support care coordination, and help Providers distinguish participants who may have another source of health coverage from those who may need assistance establishing or reestablishing Medi-Cal.

To provide clearer and more consistent terminology, the following existing indicator names have been updated:

• Current Permanent Housing Subsidy → Current Rental Subsidy
• Target Permanent Housing Subsidy → Target Rental Subsidy

The Current Rental Subsidy indicator is displayed in the Participant Level Summary and Exit Log. The Target Rental Subsidy indicator is displayed in the Participant Level Summary, UHA Log, and Exit Log.

A new Target Rental Subsidy indicator has been added to both the Participant Level Summary and Exit Log of the ICMS Snapshot.

This indicator identifies the rental subsidy that the participant and ICMS Provider are actively working toward obtaining and utilizing for permanent housing.

A participant may have both a Current Rental Subsidy and a Target Rental Subsidy. The Current Rental Subsidy reflects the subsidy currently being utilized to help pay the participant's rent, whereas the Target Rental Subsidy reflects the subsidy the participant is expected to utilize following a housing match, subsidy exchange, or other housing placement activity. A blank value indicates that there is currently no Target Rental Subsidy recorded in CHAMP.

Target Rental Subsidy types may include, but are not limited to, a Project-Based Voucher (PBV), Tenant-Based Voucher (TBV), Time-Limited Subsidy (TLS), or Shallow Subsidy. Subsidies may be administered by a local Public Housing Authority (PHA), through the Flexible Housing Subsidy Pool (FHSP), or through a third party subcontracted by HSH.

Providers can use this field to monitor participants' housing goals, track progress toward permanent housing placement or subsidy exchange, support housing coordination activities, and evaluate housing outcomes over time.

We've updated how participant household income is displayed and summarized in the ICMS Snapshot through four enhanced income indicators that help Providers better understand participant financial circumstances, monitor financial progression, and support housing and benefits planning.

Participant-Level Income Indicator Updates

The Participant Level Summary now uses the following two income indicators:

• Total Monthly Household Income (Primary Income Source) – Displays the participant's reported total monthly household income together with the household's primary income source, based on the most recent current Financial Assessment recorded in CHAMP.
• Household Income as Percentage of Area Median Income (AMI) – Displays the participant's reported household income as a percentage of the applicable Area Median Income (AMI), based on household size and the participant's most recent current Financial Assessment recorded in CHAMP.

Bundled Summary Income Indicator Updates

Bundled summaries throughout the ICMS Snapshot now use the following two aggregate income metrics:

• Median Monthly Household Income – Displays the median monthly household income among households with a current Financial Assessment.
• Median Household Income as Percentage of Area Median Income (AMI) – Displays the median household-level AMI percentage among households with a current Financial Assessment.

These indicators are available throughout bundled summaries such as the Provider Level Summary, Building Level Summary, Scattered Site Level Summary, Case Manager Level Summary, and other aggregate summaries.

Current Financial Assessment Requirement

Income indicators are calculated only for participants with a current Financial Assessment completed within one year prior to the applicable Service Delivery Deadline. Participant records without a current Financial Assessment are excluded from the calculations.

These additions provide new insight into the financial circumstances of participants and may assist Providers with housing planning, benefits planning, financial progression activities, evaluation of household income trends, and identification of participants who may qualify for income-based housing resources.

Two new indicators were added to the ICMS Snapshot to support the monitoring of participant Public Housing Authority (PHA) Sharing Addendum consent status.

Public Housing Authority (PHA) Sharing Addendum Status

A new participant-level field has been added to the Participant Level Summary displaying each participant's current Public Housing Authority (PHA) Sharing Addendum status recorded in CHAMP.

Possible values include:

• Blank
• Declined
• Error(s) in Uploaded Document
• Expiring
• Provided
• Revoked

As with other consent-related indicators, records requiring provider follow-up (such as Blank, Expiring, or Error(s) in Uploaded Document) will highlight salmon within the ICMS Snapshot.

Proportion with PHA Sharing Status on Record

A new bundled summary indicator has been added displaying the percentage of Active Households with a non-blank Public Housing Authority (PHA) Sharing Addendum status recorded in CHAMP.

This metric is available throughout bundled summaries (such as Provider, Building, Case Manager, and other aggregate summaries) and supports monitoring of overall consent completion across participant populations.

About the Public Housing Authority (PHA) Sharing Addendum

The Public Housing Authority (PHA) Sharing Addendum authorizes information sharing between the HSH System of Care and participating Public Housing Authorities (PHAs) through the County's Info Hub health information exchange. This consent is separate from HSH's Universal Information Sharing Consent and specifically supports the exchange of housing subsidy information with participating PHAs.

At this time, HSH has information sharing agreements with:

• Housing Authority of the City of Los Angeles (HACLA)
• Los Angeles County Development Authority (LACDA)

While there is no immediate deadline to obtain these consents, HSH will begin collecting them on a rolling basis with the long-term goal of maintaining a current PHA Sharing Addendum for all ICMS participants.

A new TLS / Shallow Subsidy Fiscal Agent field has been added to the Care Team category of the Participant Level Summary.

This field identifies the HSH-contracted fiscal agent responsible for administering a participant's HSH-funded Time-Limited Subsidy (TLS) or Shallow Subsidy.

Possible values include:

• Brilliant Corners (BC)
• HOM

A blank value indicates the participant is not currently matched to an HSH-funded TLS or Shallow Subsidy.

A new Billing Rate Appeal Log tab has been added to both the ICMS Snapshot and the ICMS Program Summary Report (PSR).

The Billing Rate Appeal Log provides a fiscal year-to-date record of billing rate appeals submitted through HSH's ICMS Billing Rate Appeal process. Each appeal is displayed on its own row and includes information such as:

• Appeal submission date
• Submitter
• CHAMP ID
• Billing rate discrepancy identified by the Provider
• Supporting documentation identified
• Appeal outcome
• Appeal outcome date
• Final billing rate designation for the applicable service month

Providers can use this log to monitor appeal activity, track appeal outcomes, review finalized billing rate determinations, and support billing reconciliation activities.

The overall ICMS slot proportion indicators included in bundled summaries have been updated to reflect the integration of Time-Limited Subsidy (TLS) and Shallow Subsidy into the ICMS program.

Previously, these indicators reported:

• Project-Based ICMS Slots
• Scattered-Site ICMS Slots (Matched)
• Scattered-Site ICMS Slots (Pre-Match)

Because the pre-match ICMS pathway has been discontinued and TLS and Shallow Subsidy are now incorporated within scattered-site ICMS, the scattered-site slot proportion indicators have been replaced with:

• Scattered-Site ICMS Slots (Non-TLS/SS)
• Scattered-Site ICMS Slots (TLS)
• Scattered-Site ICMS Slots (Shallow Subsidy)

Definitions for these indicators are available in the ICMS Reports Glossary.

The Citizenship Status indicator will no longer highlight salmon for any values.

In addition, a new salmon highlighting scenario has been added to the Services Log. Service records with a Service Date that occurs after the date the service record was created in CHAMP will now highlight salmon.

Providers can review the Service Date and Service Record Created Date columns in the Services Log to identify and investigate future-dated service records. This update is intended to support documentation quality review and help identify potential data entry errors.

The logic used to calculate the Household Size, Dependents, and Minors indicators in the Participant Level Summary has been updated.

Household Size will now only include additional household members beyond the ICMS participant when the Household Composition Profile has been reviewed and updated within the past year as of the applicable Service Delivery Deadline. Household Size will also display as blank when the most recent Household Composition Profile Update date matches the participant's ICMS check-in date, as this generally reflects HSH enrollment activities rather than a review and confirmation of household composition by the assigned ICMS Provider.

Similarly, the Dependents and Minors indicators will now automatically display as blank when either:

• The most recent Household Composition Profile Update is one year or more old as of the applicable Service Delivery Deadline; or
• The most recent Household Composition Profile Update date matches the participant's ICMS check-in date.

As a result of these changes, some Providers may observe an increase in the number of participants displaying a "Yes" value for the Family Billing Rate But Eligible Dependent Household Member(s) Not Recorded in Household Composition? indicator in the Participant Level Summary.

These updates align with family billing rate eligibility requirements that require Household Composition information to be reviewed and updated within the past year. Providers can monitor compliance through the Most Recent Household Composition Profile Update indicator in the Participant Level Summary.

A new salmon highlighting scenario has been added to the FTE Being Used to Serve Caseload (Caseload Weight) indicator in the Case Manager Level Summary.

The indicator will now highlight salmon when the calculated caseload weight reaches 1.20 (120%) or greater, indicating the assigned caseload substantially exceeds the recommended staffing threshold.

A new salmon highlighting scenario has been added to the UHA Status indicator in the Participant Level Summary for TLS participants assigned to your agency.

For participants currently utilizing TLS who have been matched to a federal housing voucher, this update helps identify situations where action may be needed to support timely completion of the Universal Housing Application (UHA) process and utilization of the federal voucher.

For participants matched to a federal voucher while still utilizing TLS, Providers are expected to:

• Review the ICMS Snapshot daily
• Coordinate and communicate with TLS providers to complete the UHA process and facilitate a warm handoff
• Attend relevant case conferences, when requested
• Encourage participants to lease in place with their federal voucher whenever possible, unless extenuating circumstances exist
• Elevate housing search concerns or barriers to their HSH-assigned Program Manager

For assistance connecting with TLS providers for participants matched to PSH, ICMS Providers should coordinate with the TLS Point of Contact identified in HMIS or contact their HSH-assigned Program Manager.

New Graduation Nomination Indicator Added

A new indicator was added to the Current Resources and Statuses category in the Participant Level Summary tab.

The added indicator includes:

Nominated for Potential ICMS Graduation? — Indicates that a participant has been identified by HSH for possible ICMS graduation based on a multifactorial analysis of available case data. This indicator is intended to support Provider assessment and decision-making and does not represent a requirement that the participant must graduate from ICMS. Providers shall use this indicator as a prompt to further assess whether ICMS graduation may be appropriate.

Possible values include:

Blank — Participant is not presently nominated by HSH for potential ICMS graduation Yes — Participant is presently nominated by HSH for potential ICMS graduation

Most Recent HMIS Assessment was added to Participant Level Summary

Four new indicators were added to the Service Delivery and Documentation Tracking category of the Participant Level Summary tab.

The additional indicators include:

• Most Recent HMIS Universal Data Elements Assessment – Indicates the most recent date an HMIS Universal Data Elements assessment was completed in CHAMP. This assessment includes core participant information required for HMIS reporting, such as demographics, housing history, and project enrollment details, and serves as the foundation for system-level reporting and analysis.
• Most Recent HMIS DV Assessment – Indicates the most recent date a Domestic Violence (DV) assessment was completed in CHAMP. This assessment captures whether a participant is experiencing or has experienced domestic violence, supporting appropriate service coordination, safety planning, and system-level understanding of needs among survivors.
• Most Recent HMIS Financial Assessment – Indicates the most recent date a Financial assessment was completed in CHAMP. This assessment includes information on income and non-cash benefits, supporting evaluation of financial stability, access to resources, and changes in income over time.
• Most Recent HMIS Barriers Assessment – Indicates the most recent date a Barriers assessment was completed in CHAMP. This assessment captures participant-reported conditions that may impact housing stability and service needs, such as chronic health conditions, mental health, substance use, disabilities, and HIV/AIDS status.

The Vacant Slots tab was added to the ICMS Snapshot.

The Vacant Slots tab provides a list of all ICMS slots that are active but currently vacant (not occupied by an active ICMS enrollment). Each row represents a unique vacant slot and includes details such as the associated ICMS project, activation date, whether the slot is a turnover or was never filled, length of vacancy, and the last CHAMP ID associated with the slot. This information can be used to reconcile enrollment discrepancies, identify where new housing matches may be needed, and flag slots that may need to be closed due to lack of an available housing match.

Four new indicators were added to the Service Delivery and Documentation Tracking category across the Provider Level, Building Level, Scattered Site Level, and Case Manager Level Summary tabs.

The additional indicators include:

• Demographic Profile Updated Within the Past Year – Displayed as a percentage. Represents the proportion of active cases with a Demographic Profile update within the past year.
• Household Composition Profile Updated Within the Past Year - Displayed as a percentage. Represents the proportion of active cases with a Household Composition Profile update within the past year.
• Medical Profile Updated Within the Past Year - Displayed as a percentage. Represents the proportion of active cases with a Medical Profile update within the past year.
• Legal Profile Updated Within the Past Year - Displayed as a percentage. Represents the proportion of active cases with a Legal Profile update within the past year.

Two new indicators were added to the Service Delivery and Documentation Tracking category in the Participant Level Summary tab.

The additional indicators added include:

• Most Recent Medical Profile Update – Indicates the most recent occurrence of the “Save” button being clicked on the Medical Profile page in an ICMS participant’s CHAMP profile (includes self-reported physical and behavioral health information, mobility and accessibility needs, medical and mental health conditions, and ADLs/IADLs). Clicking the “Save” button represents the case manager’s attestation that the participant’s Medical Profile information has been reviewed, updated as needed, and confirmed.
• Most Recent Legal Profile Update – Indicates the most recent occurrence of the “Save” button being clicked on the Legal Profile page in an ICMS participant’s CHAMP profile (includes self-reported conviction history and other legal challenges). Clicking the “Save” button represents the case manager’s attestation that the participant’s Legal Profile information has been reviewed, updated as needed, and confirmed.

It is expected that each of these profile sections is reviewed and updated or confirmed at least once annually, and whenever significant changes occur that should be reflected in the participant’s CHAMP record. If the most recent save action occurred more than one year ago, or reflects only the initial creation of a skeleton participant profile to initiate enrollment, the cell will be highlighted in salmon to indicate that an update review is needed.

A new indicator was added to the Current Resources and Statuses category in the Participant Level Summary tab.

The additional indicator added includes:

• Universal Housing Application (UHA) Status – Indicates the most recent Universal Housing Application (UHA) status on record for the participant, when applicable. For participants who are not yet permanently housed, or who are permanently housed and have a subsidy exchange or relocation request in process, this indicator provides a brief summary of the most recent UHA step completed. This information can be used to determine whether further review is needed in the UHA Log and to support targeted housing navigation efforts.

The UHA Log tab was added to the ICMS Snapshot.

This tab provides a list of all Universal Housing Applications (UHAs) on record for active ICMS participants. Each row represents a unique UHA. For each UHA, the tab includes housing resource details, as well as statuses, dates, and notes for each step in the UHA process. The UHA Point of Contact (POC) on record is also included. This information can be used to support targeted housing navigation efforts and timely follow-up on outstanding UHA steps.

A new indicator was added to the Service Delivery and Documentation Tracking category in the Participant Level Summary tab.

Most Recent Household Composition Profile Update – Indicates the most recent occurrence of the “Save” button being clicked on the Household Composition page in an ICMS participant’s CHAMP profile (includes household type, household members, and their relationship to the head of household). Clicking the “Save” button represents the case manager’s attestation that the participant’s household composition information has been reviewed, updated as needed, and confirmed.

It is expected that this information is reviewed and updated or confirmed at least once annually, and whenever significant changes occur that should be reflected in the participant’s CHAMP record. If the most recent save action occurred more than one year ago, or reflects only the initial creation of a skeleton participant profile to initiate enrollment, the cell will be highlighted in salmon to indicate that an update review is needed.

A new indicator was added to the Service Delivery and Documentation category in the Participant Level Summary tab.

Most Recent Demographic Profile Update – Indicates the most recent occurrence of the "Save" button being clicked on the Client Demographics page in an ICMS participant's CHAMP profile. Clicking the "Save" button represents the case manager's attestation that the participant's demographic information has been reviewed and confirmed.

It is expected that this information is reviewed and updated or confirmed at least once annually, and whenever significant changes occur that should be reflected in the participant's CHAMP record. If the most recent "Save" action occurred more than one year ago, the cell will be highlighted in salmon.

The Trainings Log tab was added to the ICMS Snapshot.

This tab provides a list of all ICMS trainings completed by each active case manager assigned under a provider's ICMS contract. It displays the name of each training completed and the associated completion date, helping providers monitor training participation and ensure staff remain up to date on ICMS program guidance.

A new indicator was added to the Program Enrollment and Billing Information category in the Participant Level Summary tab.

The additional indicator added includes:

TLS? -- Indicates whether the ICMS participant is currently associated with a Time-Limited Subsidy (TLS) enrollment based on available data. Possible values include:

• Blank -- No active TLS enrollment is detected
• Yes -- Not Matched to PSH -- Participant is enrolled in TLS but not matched to a permanent supportive housing (PSH) opportunity
• Yes -- Matched to PSH -- Participant is enrolled in TLS and has been matched to a PSH opportunity
• Yes -- Exchanged to PSH -- Participant has transitioned from TLS to a PSH opportunity

The Scattered Site Level Summary tab was added to the ICMS Snapshot.

This tab provides a summary view of all scattered site ICMS slots active under a provider's contract. It displays aggregated metrics related to program enrollment and billing, staffing, service delivery and documentation, participant resources and statuses, and care team coverage. The information in this tab can be used to support program oversight and care coordination for scattered site ICMS operations.

Three new summary tabs were added to the ICMS Snapshot to provide additional visibility into ICMS program operations and service delivery across different levels of a provider's ICMS operation.

Provider Level Summary

The Provider Level Summary tab provides a summary view of all ICMS slots active under a provider's contract. It displays aggregated metrics related to program enrollment and billing, staffing, service delivery and documentation, participant resources and statuses, and care team coverage.

Case Manager Level Summary

The Case Manager Level Summary tab provides a summary view of ICMS program activity across each case manager assigned under a provider's ICMS contract. It displays aggregated metrics related to program enrollment and billing, service delivery and documentation, participant resources and statuses, and care team coverage for each caseload.

Building Level Summary

The Building Level Summary tab provides a summary view of all ICMS slots associated with each building where a provider delivers site-based (project-based) ICMS. It displays aggregated metrics related to program enrollment and billing, service delivery and documentation, participant resources and statuses, and care team coverage across each building.

A new indicator was added to the Care Team category in the Participant Level Summary tab.

Caregiver -- Indicates whether the ICMS participant is actively enrolled in a caregiving program. This is intended to eventually reference both IHSS and IHCG enrollment records, but currently only references IHCG enrollment records due to information access limitations. If the cell is blank, it indicates that either the participant is not actively enrolled in caregiving, or enrollment information is not being detected in available records, or there is not adequate sharing consent in CHAMP to share this information out. If there is adequate sharing consent in CHAMP and the participant is actively enrolled in a caregiving program according to available records, the cell will display the caregiving program information.

A new indicator was added to the Alerts category in the Participant Level Summary tab.

Health Care Action Step Needed? -- Indicates whether the ICMS participant is in need of a high priority health care action step from ICMS based on currently available information. If the cell is blank, it indicates that either the participant is not necessarily in immediate need of a high priority health care action step from ICMS according to available records, or there is not adequate sharing consent in CHAMP to share this information out. If there is adequate sharing consent in CHAMP and the participant is in immediate need of a high priority health care action step from ICMS, the specific action step needed will be displayed. There is currently only one possible health care action step being displayed for this data point: "TOC Visit Needed." The cell will display TOC Visit Needed if there is a record of an emergency department or inpatient visit within the past two weeks, but no "ICMS TOC Visit" Service recorded in CHAMP. The data cell also contains a clickable link to the Transitions of Care landing page within the ICMS Information Center to provide the most currently available guidance on this area of ICMS.

Three new indicators were added to the Identity and Location Information category in the Participant Level Summary tab:

• Household Size -- The current number of unique household members listed in the Household Composition section of an ICMS participant's CHAMP profile.
• Dependents -- The current number of unique household members listed in the Household Composition section of an ICMS participant's CHAMP profile who have a "Dependent" relationship to the head of the household. Dependent household members may or may not be minors (under age 18).
• Minors -- The current number of unique household members listed in the Household Composition section of an ICMS participant's CHAMP profile who have a birth date less than 18 years ago. Minors in the household may or may not be dependents of the head of the household.

Five new indicators were added to the Current Resources and Statuses category in the Participant Level Summary tab:

• Geographic Preference(s) for Housing -- Lists the most recent update of the geographic preference(s) selected in the Housing Preferences section of an ICMS participant's CHAMP profile. Used to help inform housing matches and housing navigation support for participants who are not yet permanently housed. If the most recent update was more than one year ago, it is considered expired and will display as blank.
• Mobility/Accessibility Needs -- Lists the most recent update of the accessibility/mobility needs selected in the Medical Profile section of an ICMS participant's CHAMP profile. Used to help inform housing match eligibility and housing navigation support. If the most recent update was more than one year ago, it is considered expired and will display as blank. If universal information sharing consent is missing (including expired), declined, or revoked, this data point will display as "Consent Needed."
• Disabilities -- Lists the most recent update of the disabilities selected in the Physical Health Information subcomponent of the Medical Profile section of an ICMS participant's CHAMP profile. Used to help inform housing match eligibility and housing navigation support. If the most recent update was more than one year ago, it is considered expired and will display as blank. If universal information sharing consent is missing (including expired), declined, or revoked, this data point will display as "Consent Needed."
• Living with HIV/AIDS? -- Displays a "Yes" if HIV/AIDS is listed as a health condition in the Health Conditions section of an ICMS participant's CHAMP profile. Used to help inform housing match eligibility. If universal information sharing consent is missing (including expired), declined, or revoked, this data point will display as "Consent Needed."
• Prior Criminal Justice System Involvement? -- Displays whether ("Yes" or "No") history of a "legal issue" has been listed in the Legal Profile section of an ICMS participant's CHAMP profile. Used to help inform housing match eligibility. If a participant's Legal Profile was never updated since profile creation, it will display as blank. If universal information sharing consent is missing (including expired), declined, or revoked, this data point will display as "Consent Needed."

The Temporary Indicators category in the Participant Level Summary was renamed to Alerts.

The CHAMP ID data point in the Participant Level Summary tab was moved to become the first column, and this column is now frozen for easier participant reference while scrolling horizontally in this tab.

Six demographic indicators were added to the Identity and Location Information category in the Participant Level Summary tab:

• Date of Birth
• Citizenship Status
• U.S. Veteran?
• Primary Language
• Gender
• Race and Ethnicity

If any of these indicators are either missing or logged as "Data Not Collected" in CHAMP, the cell will highlight salmon, indicating this demographic information is outstanding in CHAMP.

Most Recent Health Care Accompaniment was added as a new indicator in the Service Delivery and Documentation Tracking category of the Participant Level Summary tab. This represents the most recent occurrence of an accompaniment to a health care appointment with the participant by the assigned ICMS Provider. This is determined by referencing service dates for all Services recorded as "Accompaniment - Health Care." This check can only go back up to one year. If the most recent health care accompaniment was recorded over one year ago, or if there has never been a health care accompaniment Service recorded by the assigned ICMS Provider, this field will display as blank. If there has been a health care accompaniment Service recorded by the assigned ICMS Provider within the past year, the date of the accompaniment will be displayed.

The Open House Visit Recommended for this Unhoused TBV Holder? column in the Participant Level Summary of the ICMS Snapshot has been retitled to Housing Navigation Action Step Needed?

An indicator link that states Attend Open House will still appear in this column, as before, for participants who are identified in CHAMP as searching for housing and eligible for the linked housing opportunity.

An additional indicator link that states Submit FHSP Application has been added. This link will appear for participants who are identified in CHAMP as unhoused and matched to an FHSP subsidy, but there is no record of an FHSP application submitted. ICMS Providers are expected to submit FHSP subsidy applications to Brilliant Corners within 14 days after match for project-based vouchers (PBVs), or within 21 days after match for tenant-based vouchers (TBVs). Failure to submit an FHSP application within these timeframes may result in the participant being exited from ICMS by HFH staff to ensure timely voucher utilization.

The Universal Sharing Consent Status data point still indicates the most current information sharing consent status on record in CHAMP, including: Full SUD/MH Data Sharing Provided, Limited SUD/MH Data Sharing Provided - No MH Info, Limited SUD/MH Data Sharing Provided - No SUD Info, Limited SUD/MH Data Sharing Provided - No MH or SUD Info, Revoked, and Declined.

However, flagging logic was updated to better align with ICMS program policies and to incorporate results from manual consent document reviews. Additional Universal Sharing Consent Statuses that may be displayed include:

• Expiring -- If the sharing consent status is 'Full' or 'Limited' but will expire within the next 60 days.
• Error(s) in Uploaded Document -- After HFH's manual review of the uploaded document, possible errors identified include one or more of the following: boxes not checked to match consent status selected, CID not written on document, DOB missing, initials missing, old consent form, signature missing, signature date missing, poor image quality of scanned document.
• Status Not Matching Document -- While rare, some consent statuses are marked as 'Limited', but the scanned document indicates a 'Full' consent status should be assigned.
• Blank -- Indicates there is either no consent status on record, or a previously 'Full' or 'Limited' consent has expired, or a Revoked or Declined consent status is more than 6 months old. A Declined or Revoked status will only remain valid for 6 months, as HFH expects ICMS providers to revisit this discussion with a participant every 6 months.

The Notification of Privacy Practices on Record? data point still indicates whether the Notice of Privacy Practices was provided to the participant ("Yes"), or if the participant Declined, according to CHAMP record. Flagging logic was also updated. Additional statuses that may be displayed include:

• Error(s) in Uploaded Document -- After HFH's manual review of the uploaded document, possible errors include one or more of the following: signature missing, signature date missing, poor image quality of scanned document.
• Blank -- Indicates there is either no notification of privacy practices acknowledgement on record, or a Declined status is more than 6 months old. A Declined status will only remain valid for 6 months, as HFH expects ICMS providers to revisit this discussion with a participant every 6 months.

The DMH Mental Health Services Provider data point indicates whether the ICMS participant is actively enrolled in mental health services under DMH. If the cell is blank, it indicates that either the participant is not actively enrolled in mental health services under DMH, or there is not adequate sharing consent in CHAMP to share this information. If there is adequate sharing consent in CHAMP and the participant is actively enrolled in mental health services under DMH, the cell will display the DMH program name and the name of the assigned provider.

Emergency Room or Inpatient Visit Within Past 2 Weeks? -- Indicates a "Yes" if at the time the ICMS Snapshot is generated, the ICMS participant entered or discharged from an emergency room and/or inpatient hospital facility in LA County within the past two weeks.

Emergency Room Visits Within Past 6 Months -- Provides a tally of the number of encounters the ICMS participant had with an emergency room facility in LA County within the past 6 months.

Inpatient Visits Within Past 6 Months -- Provides a tally of the number of encounters the ICMS participant had with an inpatient hospital facility in LA County within the past 6 months.

Hospitalization Log -- A list of all emergency room and inpatient hospital encounters for ICMS participants who have had one of these types of encounters within the past two weeks. Data points included in this log are encounter type, encounter start date, encounter discharge date, and encounter location. A blank discharge date for an inpatient hospital encounter may indicate that the participant is still receiving care at that facility.

The snapshot temporarily includes a new column at the end of Client Level Summary titled Open House Visit Recommended for this Unhoused TBV Holder? A link that states "Attend Open House" will appear in this column for participants who are identified as eligible, according to CHAMP data.

By following the "Attend Open House" link, you can access key details about a building with almost 200 available housing units that needs to be filled by the end of February. (Please note, upon clicking this link for the first time, a warning message may appear; however, it is safe to ignore this warning.)

This update ensures that participants who qualify for a space in this building, if they have a housing voucher in hand, can be promptly identified and directed to this opportunity.

Open House Details

Hosted by LAHSA, light refreshments available during scheduled sessions. Providers and voucher holders are encouraged to attend.

Address: 1411 S. Flower St., Los Angeles CA, 90015, SPA 4

Dates and Times:

• Tuesdays 10AM - 2PM: 2/11/25, 2/18/25, 2/25/25
• Thursdays 10AM - 2PM: 2/6/25, 2/13/25, 2/20/25, 2/27/25

For questions regarding the open house or leasing information, contact LAHSA at: housinglocation@lahsa.org

An additional temporary update added information about evacuations and warnings for the Hughes Fire to the existing information for other fires found in Located in Area Immediately Impacted by Wildfires, which cross-referenced client location in CHAMP with areas in close proximity to the wildfires, allowing case managers a way to quickly identify participants potentially at risk of mandatory evacuation and/or danger.

If a participant's location in CHAMP was within proximity to the wildfires, the status of this field indicated "Yes-Check WatchDuty.Org." Further information could be found at watchduty.org.

A temporary update included an additional column at the end of Client Level Summary, titled Located in Area Immediately Impacted by Wildfires, which cross-referenced client location in CHAMP with areas in close proximity to the wildfires, allowing case managers a way to quickly identify participants potentially at risk of mandatory evacuation and/or danger.

If a participant's location in CHAMP was within proximity to the wildfires, the status of this field indicated "Yes-Check WatchDuty.Org." Further information could be found at watchduty.org.

The Brilliant Corners Housing Coordinator indicator highlights which active ICMS participants in your CHAMP roster also have an active enrollment in HFH's Property-Related Tenant Services (PRTS). Brilliant Corners (BC) housing coordinators provide PRTS.

• When this data cell is blank, it indicates the ICMS participant is not enrolled in PRTS with HFH.
• If an ICMS participant is enrolled in PRTS and there is a BC housing coordinator assigned, the data cell lists the BC housing coordinator's name and email address.
• If an ICMS participant is enrolled in PRTS but there is not a BC housing coordinator assigned yet, "Awaiting Assignment" is displayed in the data cell.

The Staying in DHS Interim Housing? data point has been updated. Previously, it would indicate a "Yes" if at the time the ICMS Snapshot was generated, the ICMS participant was actively checked in to a DHS interim housing project. A blank cell indicated the ICMS participant was not actively checked in to a DHS interim housing project.

With the new update, a blank cell still indicates the participant is not actively checked in to a DHS interim housing project. However, now when a participant is actively checked in to a DHS interim housing project, instead of a "Yes," the ICMS Snapshot displays the name of the interim housing provider and the facility.

The Exit Log is a list of all ICMS program exits that were completed throughout the month of service. Each row represents a unique ICMS enrollment that was ended as part of a program exit, and includes information on which participant was exited, which particular slot was vacated, the check-in and check-out date from the slot, and available information on the reason for the ICMS exit.

The Notification of Privacy Practices on Record? indicator highlights which active ICMS enrollments in CHAMP have record of an ICMS participant receiving an overview of DHS Privacy Practices. A "Yes" indicates there is a Notification of Privacy Practices on record and that another one is not needed. "Declined" indicates that the participant declined to sign the Acknowledgement of the Notice of Privacy Practices form the last time it was reviewed with them. It is advised for ICMS practitioners to periodically check back in with participants who previously declined to acknowledge DHS Privacy Practices, in case the participant changes their mind. When this data point is blank, it indicates there is no record in CHAMP that DHS Privacy Practices have been reviewed with the ICMS participant, and it is advised that the ICMS practitioner reviews this information with the ICMS participant as soon as possible.

The Services Log tab added in the ICMS Snapshot is a point in time summary that lists all Services recorded in Case Notes within the current month of service for all currently active ICMS participants. Each row represents a unique Service that was recorded and includes information on where it was provided, when it was provided, when the record was created in CHAMP, and which CHAMP user created the record.

The Action Step Log tab added in the ICMS Snapshot is a point in time summary that contains all historical Care Plan content recorded in CHAMP (including all open and closed SMART Goals) for currently active ICMS participants. The information in the Action Step Log can be used to track case progress and service quality across your participant roster, and to improve care coordination. Each row represents a unique Action Step within the ICMS participant's Care Plan. For each Action Step, this Log indicates the SMART Goal it was created under, all relevant information about that connected SMART Goal, the current status of the Action Step, which CHAMP user created the Action Step, and which CHAMP user most recently updated the Action Step. Action Step Log data can be filtered in many ways, but two common strategies include filtering by Case Manager to isolate Care Plan data for a particular case manager's caseload, and by CHAMP ID to isolate these data for a particular participant.

The Checked in 6+ Months and Not Yet Permanently Housed? indicator highlights cases with an ICMS project check-in date from 6 or more months ago, but no data in the PH Update indicating the participant has become permanently housed yet. When this item is noted as "Yes" in the Documentation Snapshot, DHS requests the case manager reviews the participant's case to ensure all appropriate housing navigation and move-in data are added in the PH Update. It's important to closely monitor whether participants have been unhoused for too long after project check-in. Subsidy opportunities can expire and DHS needs to be made aware of whether a match to a new housing opportunity is needed.

The CalAIM CS Housing Navigation (HN) or Tenancy Sustaining Services (TSS) Verbal Opt-In Needed? indicator highlights ICMS participants for which a CalAIM HN/TSS Opt-In is missing in the CHAMP profile. When this item is flagged in the Documentation Snapshot as being needed, it is indicating that DHS requests the case manager to collect the verbal CalAIM CS Opt-In from the participant and record it in CHAMP as soon as possible. Collecting the verbal Opt-In enables DHS to utilize a participant's Medi-Cal, when available, to help pay the ICMS provider for the support they are providing the participant within the ICMS program.

The Family Billing Rate But Dependent Household Member(s) Not Listed in Household Composition? indicator highlights ICMS enrollments which are currently assigned a family billing rate, but the Household Composition section of the participant's CHAMP profile either only has one household member listed and/or none of the household members is labelled as a "Dependent." For all ICMS enrollments with a family billing rate, it is required that the Household Composition section of the ICMS participant's CHAMP profile lists all household members, and that the dependent(s) are labelled accordingly. ICMS enrollments with a family billing rate that are missing the required household composition information for 30 or more days will be redesignated to a single adult billing rate.

The # "Eligible" Services Recorded for Last Month data point has been retired from the ICMS Documentation Snapshot report template. This tracking point was removed because services recorded by your agency last month are now available for review in the ICMS Program Summary Report that is issued to each agency after the close of each month of service. Service tallying within the weekly ICMS Documentation Snapshot will now only indicate # "Eligible" Services Recorded for This Month.

Staying in DHS Interim Housing? is a new data point to help identify which participants in your roster are currently staying in a DHS Interim Housing facility. This information should be used to guide updates in the Care Plan that help promote further collaboration between you and the Interim Housing facility, and to enhance permanent housing navigation coordination.

The Medi-Cal Status indicator has been enhanced. This data point is still based on Medi-Cal data received once per month. Information on a participant's Medi-Cal coverage status can only be shared if there is a limited or full sharing Universal Consent on file. If there is not adequate Universal Consent on file, the status will be displayed as "Consent Needed." When there is adequate Universal Consent on file, possible statuses include:

• Active -- The participant currently has active Medi-Cal coverage that is not expiring soon.
• Expiring Soon -- The participant's Medi-Cal coverage is currently Active but at risk of expiration within the next 60 days. Updating the Care Plan to focus on immediate Medi-Cal renewal is recommended.
• Investigate -- There is not yet clear enough information to indicate the participant's Medi-Cal coverage status. Updating the Care Plan to investigate coverage status and take appropriate action is recommended.
• Inactive -- The participant does not currently have active Medi-Cal coverage. Updating the Care Plan to investigate health insurance coverage and help the participant reestablish Medi-Cal as soon as possible is recommended if they do not have an alternative active insurance plan.

Main Income Source (Amount) displays the participant's highest paying income source. If this data point is blank in the Snapshot, it indicates either no income data has ever been logged in the participant's financial profile, or it has been over one year since the last income confirmation in CHAMP. Please ensure this information is correct.

Medi-Cal Status is based on State Medi-Cal data received once per month. Information on a participant's Medi-Cal coverage status can only be shared if there is limited or full sharing consent on file. An "Inactive" coverage status indicates a high likelihood the participant needs support re-establishing their Medi-Cal.