Randolph County Caring Community, Inc.

Rural Communities Opioid Response Program ? Mental and Behavioral Health - 1. Project Title: Innovative Pathways 2. Requested Award Amount: $2,000,000 3. Applicant Organization Name: Randolph County Caring Community, Inc. (RCCCP) 4. Applicant Organization Address: 101 W Coates Street, Moberly, Missouri 65270 5. Applicant Organization Facility Type: Non-profit 6. Project Director Name and Title: Meenakshi Bhilwar, Project Director 7. Project Director Contact Information (phone and Email): 660-263-7173, Meenakshi.bhilwar@rcccpmo.org 8. Data Coordinator Name and Title: Indrani Pasumarthy, Data Coordinator 9. Data Coordinator Contact Information (phone and Email): 660-263-7173 Indrani.pasumarthy@rcccpmo.org 10. Ein/duns Number Exception Request in Attachment 8? No 11. How the Applicant First Learned About the Funding Opportunity Hrsa Staff 12. Number of Consortium Members & List of Consortium Members (including the Applicant Organization) 10 Members: Rcccp-lead Applicant; Oak Hills Behavioral Health, Olive Tree Counseling, Mu Healthcare, Timberlake, Lighthouse Counseling, Randolph County Sheriff's Department, Crossroads Counseling, Rural Mental Health Network, Moberly Public Schools 13. Is the Applicant Organization a Previous or Current Rcorp Award Recipient or Consortium Member? If Yes, Specify: FY19 Rcorp-planning; FY20 Rcorp- Implementation 14. Indicate If Applicant Organization Intends to Apply for FY22 Rcorp- Implementation? No 15. Does the Target Service Area Overlap With the Service Areas of the Northern Border Regional Commission, the Delta Regional Authority, or the Appalachian Regional Commission? No 16. Rcorp-bhs Target Service Area: a. Fully Rural Counties: Provide the County Name and State: Randolph, Monroe, Chariton, Howard, Pike, Audrain, Macon Counties in Missouri 17. Brief Description of the Target Population: the Population of Focus That Will Benefit Directly From Innovative Pathways Is Comprised of: Persons of All Genders and Ages in Randolph, Monroe, Chariton, Howard, Pike, Audrain, a ND Macon Counties in Missouri, and Affected Family and Interrelated Community Members, Who Face and/ or Are Adversely Affected by a Combination/ Co- Occurrence of Primary Care, Mental Health, and Substance Use Disorder Health Issues. Demographics: White 84.6%;BLACK/AFRICAN American 10.7%; American Indian 0.3%; Asian 0.4% Native Hawaiian/pacific 1%; 2 or More Races 1.2%; Hispanic/latinx 3.2%. Additional Special Populations With Unique Needs Include Racial and Ethnic Minorities, Homeless and Under Housed Justice Involved, Seniors, Youth, and Veterans. 18. Indicate Approximately What Percentage (if Any) of the Target Population Is Native American, and, If Applicable. N/a