>> On behalf of the Centers of Medicare and Medicaid Services, the Administration for Community Living, and the Indian Health Service, I would like to welcome everyone to the Long-Term Services and Support Webinar Series My name is Amandaree Fox, and I work for Kauffman and Associates I’ll be the moderator for today’s webinar Today’s webinar is, “Transportation in Indian Country.” During the presentation, our radio PSA will be played It is one-minute in length, and while the audio plays, the screen will display as a black screen Finally, please be aware that today’s webinar is being recorded, and that the recording will be made available online in the near future, on CMS.gov With those announcements made, I would like to welcome everyone to today’s webinar Please note, this webinar series is supported by a contract awarded by the Centers for Medicare and Medicaid Services So, opinions, findings, conclusions, and recommendations expressed in this webinar are those of the presenters and do not necessarily represent the official position or policies of the Department of Health and Human Services, or the Centers for Medicare and Medicaid Services We have one presenter with us today I would like to introduce you to Melissa Gray She is the current Program Manager for the National Aging and Disability Transportation Center for the National Association of Area Agencies on Aging Thank you for joining us today I will now turn it over to Ms. Gray to offer an introduction to today’s topic >> Thank you so much, Amandaree And I appreciate the opportunity to speak with you all today Again, my name is Melissa Gray, and I am the Assistant Program Director of Transportation at the National Association of the Area Agencies on Aging, or N4A My work with N4A for the past two years, has been involved in promoting transportation options, and opportunities through coordination and partnering with local programs across the country Now the transportation program at N4A is led by the National Aging and Disability Transportation Center, where I serve as Senior Program Manager, and I’ll talk more about the center in a moment Now, our topic today on Transportation in Indian Country is one that continues to motivate our center to move the needle forward empowering communities to ensure transportation options are available for older adults, and people with disabilities And so, there was a list of objectives once — when you register for the webinar, and I wanted to recap those And it’s my hope that after this presentation, you’re able to understand the challenges for meeting the transportation needs of elders and people with disabilities, explore the creative solutions and promotion strategies to address these issues I also hope that you’re able to recognize the importance of formal and informal partnerships to enhance and coordinate transportation services And lastly, our hope is that you can identify some sources of information, technical assistance, and support to improve transportation in your areas So, briefly, I just wanted to let you know that the NADTC is one of four technical assistance centers funded by the Federal Transit Administration, along with National Rural Transit Assistance Program, the National Center for Mobility Management, and the Shared Use Mobility Center Now each of these centers support the provisions and coordination of transportation services, and promote the mobility of people with disabilities, older adults, and those of lower income Now, for all of you all that are not [inaudible] with the National Aging and Disability Transportation Center, I just wanted to briefly tell you about who we are and the work that we do So, we are partnershipped between the National Association of Area Agencies on Aging and Easter Seals And this partnership dates back to 2008 when the center was formerly called the National Center on Senior Transportation And as I earlier mentioned, we are funded by the Federal Transit Administration The mission of the NADTC is to promote the availability of accessible transportation options for older adults, people with disabilities, caregivers, and the communities that they serve Now, when we say “accessible,” we mean that in the broadest sense For example, how a person accesses information about the transportation and services in their area, or how accessible they actually are to the transportation services Now, we have several core objectives that promote our mission in serving the transportation needs of older adults, and people with disabilities First, we are a person-centered, technical assistance, and information referral center

We have someone here on staff that answers calls from professionals in the field who may be calling about a question related to transportation in their area, maybe, “What options are available? How can I find out about funding? I’d like to start a transportation program.” So, we get a myriad of different types of calls here And so, we’re here to provide, not only technical assistance, but information to individuals who are working in the areas of transportation and human services or in areas that relate to providing transportation in a community We also provide training in the form of webinars or online courses and forums Throughout the year, we will host several — a variety of webinars on various topics such as volunteer transportation, things that relate to human services, transportation, [inaudible], pedestrian safety, and we also offer about two or three online courses that range from about four to six weeks in length Next, we offer interactive communication outreach strategies We provide a monthly e-newsletter to all of our — for our audience If you’re interested in receiving that e-newsletter, please visit our website at www.NADTC.org And we will get you connected with that We also produce a number of blogs on a variety of different topics as well And if I can say so myself, we have a really — we have a really great website that hosts not only our blogs, our webinars, all of our courses, but just a variety of different best practices and information that can assist professionals and individuals, families and caregivers, that are looking for information about transportation So, we coordinate, we partner with stakeholders in the community We do this in a different — in different ways We attend various conferences throughout the year, speaking about our work We partner with various programs throughout the country, and individuals who are wanting to get more information about transportation and how to make transportation more robust in their area And then we invest in community solutions A large part of what we do here at the center is that we provide grant funding to local communities who are looking to develop innovations in their areas to provide accessible transportation for older adults and people with disabilities This is one of our favorite parts of our work, is that we get to see the work actually being done And so, that’s something that we are extremely proud of is being able to fund programs that are wanting to increase that accessibility of transportation in their areas And then lastly, we have an independent program evaluation We work with an independent evaluator that provides the evaluation to our funders every year We are currently in our fifth year of the center This year we have a focus on transportation challenges that specifically impact diverse populations, encompassing racial, ethnic, and cultural diversity, and including tribal elders and people with disabilities, new immigrant groups, and non-English speakers I wanted to begin framing today’s presentation by discussing some of the reasons why transportation is important in Indian country Now, the majority of Title 6 programs serve American Indian elders in rural or [inaudible] areas Now, this creates unique transportation challenges for the agencies to develop services and support So, some of these challenges include long distances and spread out areas Areas that are far and wide Also, the lack of transportation options We find that often in rural and tribal areas, that there’s just no options available for folks to get around and get to places that they need to go Funding, always a concern and challenge and rising operational costs to be able to, not only pay staff, but to bring on more staff A lack of drivers and the inability to be able to pay the drivers increasing wages for the ones that are working Low number of volunteers And then again, lack of coordination These are just some of the ones that I wanted to pull out, but as you can see from the slide, there’s several different challenges in these areas that folks are looking and trying to address As we continue talking a little bit about the importance of transportation in Indian country, we at N4A, produce the National Title 6 Survey every [inaudible] years And this survey has come out probably for the last ten-plus years, and this year it’s scheduled to launch in April So, stay tuned I’ll use travel directors that might be on the call today You’ll be getting [inaudible] from us to get ready to fill that survey out But some of the information and data that I’m sharing today is from our 2017 survey,

but still very relevant information And so, when asked about the greatest needs, these Title 6 directors reported that vehicles and funding were on the top of the list, which I’m sure is no surprise Now, when talking about vehicles, some of the comments included, well, the vehicles have mechanical problems We need a vehicle mechanic, just someone to work on a lot of the used vehicles that we have in our fleet Vehicles that just simply passed their life They just are no longer able to run Often, you know, because of lack of funding, many programs have to purchase used vehicles They aren’t able to purchase new vehicles So, you all know if you buy a used vehicle, the life of that vehicle is not as long We just simply need vehicles And so, as I mentioned earlier, our TA person gets a lot of calls about, “Just how do I find funding to purchase a vehicle for my program?” And then needing to have specific types of vehicles If you all are familiar with the terrain in frontier and tribal and rural areas, the roads are more than likely unpaved Some areas may not have a road or somewhere to get — a way to get to where they need to go So, having to think about specific vehicles to service these areas is important And then second, regarding funding, survey directors reported that increased funding was needed to pay more drivers, and pay for more hours So, just bringing on that staff is incredibly important One of the directors kind of summed up in this statement is the importance — they say that, “Transportation for the elders and home-bound meals Caregiver visits are not able to be done due to the lack of transportation.” So again, just highlighting that need of more transportation in the area Some additional insights that the survey report provided regarding [inaudible] included again, we talked about businesses [Inaudible] the mean is 40.8 miles Median is 20 miles There are a lot of miles having to be travelled with used vehicles So again, those are definitely some challenges that programs are having to address Transportation in Indian country again, they may be provided by these types of vehicles Again, looking at the specific types of vehicles that programs have to purchase in order to provide services in Indian country A lot of times, you can’t get there with wheels You need a ferry or a boat or maybe even a plane So, those things are not cheap So, you’re having to think about funding for that More than 50% of transportation services for medical appointments This was reported Also reported, 37% of nonmedical transportation is provided with funding other than Title 6 funding So, you’re looking at programs getting creative, figuring it out, trying to find out optional ways to provide for their — provide — to be able to provide these services And the nonmedical transportation was identified as being an unmet need, by 63% of survey respondents And when you think about these are folks trying to get to healthy food, or just trying to you know, get to other places other than medical appointments, but these things also play to someone’s quality of life Not just the medical appointments that people need to get to There are other areas where they need to get to and other services that they need to access as well So, you look at that number, 63%, that’s pretty high So, as we can see in this last quote here, “Transportation is a severe unmet need.” Now, I like this slide Though in the midst of all the challenges that I just talked about and the things that we needed to try to address, one thing that I did appreciate in getting to read — in this survey, is what makes a successful program in Indian country? And Title 6 directors were able to respond to what they were really proud about in being able to deliver the services that they deliver, given the limited resources that they have and the high needs of the elders in their communities So, when we asked them to share their top achievements, this is what they had to say “We are trusted by the elders There’s nothing like getting to know, you know, the folks that you’re serving, and just being trusted.” And we know in Indian country, you know, trust is important You can’t just swoop in there and try to save the day You really need to build and cultivate relationships So, they are really proud about having that trust by the people — by the elders that they serve They also said, “Our community is — our office is the hub of the community.” So, there’s a centralized entity Folks come to them with whatever concern, whatever need that they have, and they feel proud that they are the ones that can address these needs Next, “Knowing each client on a personal level.”

We know in this day and age, where automated phone voice messages, leave a message, press 1, press 2, can get a little annoying So, when you can actually know your clients, and individuals on a personal level, and give them that touch, that is — that makes strides That’s a very critical part of being able to provide an effective service So, knowing them on a personal level Another director said that, “The senior program partners with other tribal programs.” And I’ll say it now and I’ll probably say it about five more times in this presentation, that coordination is key Partnerships really do make the difference A lot of times, people are proprietary They want to hold onto their clients, and, “This is — these are the people that I serve, and I don’t really know if I can trust you to serve them as well as I can serve them.” But a lot of times, we may sometimes have to take that risk to partner with another organization so that greater work can be done at the end “Dedicated staff, regular training, and strong community support.” Again, that inclusivity Getting folks together Getting them banded together for a change And then you’ve got the staff that you know, I have the image here of a young lady that works in the Navajo Nation in San Juan County Just dedicated and wanting to really provide the best service possible And then lastly, “Being able to serve our elders is one of our cultural traditions.” It’s just what they do This is what they want to do and it’s just what they feel they are here are to do and that’s their purpose So, again, this — in the midst of all the challenges, there is the light and the, really the good, about services that are being provided So, I wanted — so, as I mentioned earlier, funding continues to be a critical need for programs to provide services And so, I’m kind of switching gears here because I wanted to talk a little bit about funding One thing that I did mention as one of our core objectives, is that we invest in community solutions, and we provide grants to local programs Every year, we — the NADTC, puts out a competitive grant program to enable local programs to develop innovations to provide accessible transportation options to older adults and people with disabilities and this just in You all can hear it here first Our 2020 grant program will be out on the streets next week So, if you don’t receive our e-newsletter, again I encourage you to go to our website and log into that so you’ll know exactly when that will be live You can also check on our website periodically, but we want to make sure that that is — that RP is available to you But overall, our Innovations and Accessible Mobility Grant is designed to enable innovations to solve local transportation issues and create models of excellence for potential replication We also want these grants to strengthen the connections between transit and human services, and then build bridges between transportation and community programs that support community living So, all these grant goals are important, and when you look at applicants, we want to make sure that they are hitting these points and making sure that whatever innovations they’re planning for, or they’re looking to implement in their communities, are doing these things Unfortunately, for our grant program, we’re unable to target our grants to a particular geographic region, so folks have asked us — you have grants that are specific for rural or tribal or urban We don’t do that But we are always looking for opportunities to encourage rural and tribal organizations who often have the most limited options to apply for our grants So again, our technical assistance center, if you ever have any questions about our grants, how we fund, things like that, please feel free to give us a call at any time But I want to — you know, now it’s time to turn the corner and highlight a unique program whom we were able to fund in 2018 They applied for funding then as a planning grant to let us know how they intend to implement their strategies, but in 2019, we ended up funding them again for their implementation grant And we were really excited to work with these folks And the grant — the program is called Capacity Builders And so, this is a great example of how a little bit of funding and coordination can go a long way Capacity Builders is a 501C3 nonprofit, working within the local communities in San Juan County, New Mexico, as well as the Navajo Nation Now, the reason why Capacity Builders applied for grant funding from us was to alleviate the stress of elders and people with disabilities and being able

to have their transportation needs met, in such a rural area Now, Lou Go’s is a for-profit, transportation arm of Capacity Builders, and they originally started as a taxi company in the area They were servicing Farmington, New Mexico, and the San Juan County area just as a taxi service, but later they were able to add an accessible van to their fleet And then felt more able and I guess ready to — to apply for this grant, so they can provide rides to tribal elders, older adults, and people with disabilities who may be in wheelchairs or other mobility devices Now, these are some of the things that they sought to do They wanted to provide rides for rural residents with disabilities and for older adults Now, many of these riders, they live in remote areas of the Navajo Reservation, within the same county area, but also in external areas in the community And they provided 5 days a week service for 12 hours a day, from 7 a.m. to 7 p.m. And compared to some you know, local — smaller transportation programs, that’s pretty impressive because most only do between the hours of 8 or 5 But this program realized that folks needed to access services after business hours, and so, they really wanted to design a program that could provide those types of services during those hours These services again, were provided by Lou Go’s, their taxi company Rides were provided to, excuse me, local destinations as well as destinations in the City of Farmington These rides were curb to curb So, if you were an older adult, you know, you had no problem, they were making sure they were picking them up at the curb, and then all of these rides were fare free Now, the one thing that they did do is they said they could — people could [inaudible] if they’d like, because often people don’t want to receive a service if they’re not able to give anything back, but what they did encourage riders to do, is provide a survey as kind of their payment So, if you can give us a rider feedback survey, we really appreciate that and that could serve as payment as well So, that’s something that they were able to do And one thing I will note, is some areas on the Navajo Nation were not accessible by a small bus, especially not their big — their big bus which they lovingly call Big Bertha, or a compact car So, some of the passengers were given a ride to a meeting point So, they had a designated meeting point on their reservation It could have been a tree or some type of mile marker, where they knew to meet, and they knew that Big Bertha was going to pick them up there So, what’s unique about this program is that the Capacity Builders set up when they applied for their grant funding in 2019 to provide access to transportation options for the residents of San Juan County and the Navajo Reservation, they were also able to address a number of other challenges For example, they looked to address language barriers and how they did that, they hired Navajo speaking dispatchers and drivers and interpreters, to accompany them when they were talking to elders on a reservation, or folks in the community about the program, and when they went to different facilities and [inaudible] houses They were also able to address food insecurities Once Capacity Builders realized that many people in the community were only able to pick up food boxes from a local foodbank once a week, and these food boxes were only designed to feed a person once a week, but they could only go once a month to pick these boxes up and have [inaudible] week of supply of food for one month, they really wanted to do something about that And the simple reason is they didn’t have transportation They couldn’t get there more frequently They could only go once a month So, Capacity Builders decided to partner with that local foodbank, and they were able to provide rides on a more consistent basis to individuals every week to pick up these boxes Now, as we all know that you know, social isolation is a growing issue in many areas, probably most areas now But often more prevalent in rural areas And so, through this grant project, Capacity Builders was able to provide transportation to a homebound elder who was confined to a wheelchair and not able to get out of her home But now, through this program, she was able to go to various locations like Chapter [assumed spelling] houses, the movies, things like getting her hair done, things that sometimes we take for granted, but could mean the world to an individual who — and this person hadn’t gotten out of her house in two years So, just looking at the wonderful things that they were able to do And you can see, many of the things that they were able to accomplish through this grant and providing rural transportation services and hiring their drivers, all of the upticks

on their clients, all of the surveys and the feedback And that’s the one thing they were very proud about, is so many people provided feedback at the end of the project All very positive feedback at that, but they were very surprising People wanted to say good things, and also provide feedback about the program and the services that they were able to take advantage of So again, looking at this program, they had a goal in mind They knew what they wanted to do They secured a little funding They included all of the individuals in the community, and they had coordination So, just all the great things that a program can do when you put those things together So, I talked a little earlier about our mission, as a mission of the NADTC And how we promote the availability of accessible transportation But again, accessibility in the broadest sense of the word, you know, just — you know, having people find out about transportation How could we help them find the right place when they need it? Where do they go for transportation? But during the end — in 2018, we conducted a nationwide survey of older adults and people with disabilities and caregivers And one of the major findings was that there was no single recognized go-to information resource for alternative transportation for information and assistance But people just reported in that survey from older adults to people with disabilities, the caregivers, we don’t know often where to go to find out about resources And so, at the NADTC, we already knew that this was, you know, this finding was an issue before the survey went out And because of that, we had in the works the development of the marketing and information campaign called Every Ride Counts And this campaign consists of postcards, fliers, posters, social media images You can kind of see on the screen some of the things that I’m describing And these things can all be customized with local programs’ contact information Now, the motivation behind developing these materials, was to provide an opportunity for local programs, you know, maybe those with limited marketing budgets for smaller, more rural organizations, to have a variety of attractive marketing pieces to use to promote their transportation services at their fingertips Now, these campaign materials are all free, downloadable, and available at the website or the URL that you see here on the slide And I know all these slides will be available to you after the presentation Now, since the launch of this campaign, many programs have utilized the materials in a variety of ways to get the word out about their services We’ve had programs do bus wraps and magnets and keychains and pencils Just a lot of different things, and being very, very creative But in December 2019, we decided to select five programs, five transportation organizations to be part of a pilot program where we funded a robust advertising campaign for each organization And these campaigns were going to be conducted in a local area So, all areas were [inaudible] But [inaudible] And I’m going to talk about Capacity Builders because of course, they were one of the ones that participated We had some in Buffalo, New York Another in Colorado So, they kind of ran the gamut in terms of areas And these campaigns were specifically tailored to these areas But again, Capacity Builders was one of these organizations And I wanted to highlight some of the [inaudible] that they yielded from using this Every Ride Counts campaign, and being part of the pilot program So, this next slide is pretty colorful, but you kind of can see a consistency Of course, this is their logos on the side on the left The next slide — the next picture image is one of their billboards One of the billboards that went up in the Farmington and San Juan County area They’ve got taxi toppers, bus wraps, and the one at the bottom left is a movie theater I know we’ve all been to the movies and seen kind of local advertisements being promoted there And so, that’s what they all — that’s what they decided to do And so, this is some — we talked with Capacity Builders after the campaign just to find out how they thought things went, and some of the things that they shared was that most of the viewers frequently reported seeing ads at the movie theater, on taxis and shuttles, and on the fliers at the Indian Health Services Office They noticed that some caregivers saw the ad at the movies, and they put down the number,

or even recorded the commercial with their phone, so they can use it in the future They distributed fliers at several locations, including all the Chapter houses The taxi drivers shared them with their riders And they reported that billboards were effective, and that the movie theater had — the ad at the movie theater had the strongest call to action And they relayed that radio — the radio ads had a far reach, and — especially on the Navajo Reservation And I think we do have some time [Inaudible] in time So, I wanted to quickly play an ad, the radio ad, that was recorded specifically for the Navajo Nation to promote the transportation services that Capacity Builders was providing [ Foreign language spoken ] >> It’s easier than you think [foreign language spoken] Lou Go’s Taxi [ Foreign language spoken ] Affordable transportation solutions, 24 hours a day [ Foreign language spoken ] Five-zero-five, 3-2-4, 6-5-6-8 That’s 505-324-6568 [Foreign language spoken] Every Ride Counts [foreign language spoken] A campaign of the National Aging and Disability Transportation Center [foreign language spoken] >> So, that was the radio spot that they created for Capacity Builders and the Navajo Nation [Inaudible] with an independent marketing company who developed all of these promotional materials But again, just going back to what Capacity Builders set out to do and one of the things that they wanted to make sure they addressed, was the language barriers And we all know, it could be any language This in particular was Navajo So, you can go to any community and you want to make sure that you communicate in the language that they best understand And so, we were really — [inaudible] I can’t translate that for you But if you want to maybe get the transcript from me, I’ll have my contact information at the end of this presentation I can get that to you But just to kind of again show you and use Capacity Builders as an example, that once a need is identified, and in this case and in many other cases across the country, the need is the lack of accessible and available transportation options for older adults and people with disabilities Next, you want to identify, “How do we address this need?” We could address the funding opportunities and getting more funding for our program, coordination, again there’s that word, and partnering with other agencies in the area And of course, it never hurts to find some effective ways to get the word out about your program, as we can see through the Every Ride Counts campaign, and what Capacity Builders decided to do with the pilot person So, that those in the community can know about the services that are available So, just wanted to share that with you So, as I’m getting ready to wrap up [inaudible], and one of the things that I wanted to kind of get you all thinking about is some questions I mean, I know that we’ve got a variety of different types of professions and the audience is broad today, in terms of what you all — your roles are, in regards to tribal transit and transportation But some questions to find out, “Are you really mobility minded?” I know you know, we think often about food and housing and other types of services, and I’m so glad that you all are on this presentation and this webinar Because transportation truly is an indicator of — it’s a social determinate of how it can really impact a person’s quality of life overall And so, it’s vitally important that we continue to address this issue So, just some questions to ask if you know — if I’m in the right frame of mind when it comes to mobility and transportation and really thinking about promoting and increasing options for those — for the individuals that I am serving So, one, “Are you working with a community health representative in the area to coordinate transportation services?” Sometimes they are able to you know, provide transportation Sometimes they don’t have to But that is a partner and certainly someone that you could be working with or partnering with to figure out, “How can we increase the transportation availability

for tribal elders in the area?” Secondly, are there partnerships that your programs have been able to develop that help with the transportation options for elders?” So again, this partnership word and really taking it grass roots to find out, “Okay, if — you know, no one program is an island.” And you really need to really identify and think about ways that we can bring and forge our talents and our time and often our funding together to really provide the best service for those that are needing these services Formal and informal partnerships are so important to enhance the coordination and delivery of service to elders And many, many Title 6 programs have an array of formal and informal partners Again, like more common partners are these Indian health services that I spoke about earlier Area agencies on aging, tribal health departments, tribal health care centers, and the survey that I was mentioning earlier, the Title 6 survey that was done in 2017 Eighty-one percent of Title 6 programs are partnering with transportation agencies So, folks are already doing it And many of you on this phone are probably already doing that as well So, just continue with that good work And then lastly, have you developed rules and responsibilities for both your drivers and your riders to follow? This you kind of processes and protocols And what has been your experience in drivers and riders following these rules and expectations? And so, if anything, again, another question to find out if you’re thinking about transportation in a mobility minded way Other questions include, “What complications or issues have you experienced in providing transportation to elders?” I mean, are there some things that you’re experiencing that maybe other programs are experiencing? You can share that information and kind of cross-pollinate with one another to find some viable solutions What funding have you been able to access for your transportation programs? As I mentioned earlier, vehicles and funding were top of the line issues or challenges or things that you know, programs are really wanting to get more of We need more funding And so, thinking about, “What funding have you been able to access?” If it’s you know, any kind of federal funding, local funding, again going into partnering and you know, are there funding that other partners that you can attach to or glean from? Have you implemented any creative of innovative solutions to address transportation challenges? And this is one I love because it just kind of forces people to kind of step out of their own box and think about creative ways to, not only bring more funding to the program, but to address the transportation problem as a whole And that’s again, going back to our grant program and many of the other — of a lot of the grant funding that we find out there, is that they’re looking for programs to — or you know, have innovative, and when I say “innovative,” that could be innovative to one program, but not innovative to another It doesn’t mean it’s never been done before It doesn’t mean that it’s not been done in your particular area But what are some out of the box thinking that you could begin to you know, entertain to just address some of these challenges You know, small steps, you know, make you know, sweet strides And so, again thinking about that And then lastly, are there Title 6 program and travel transit in your area working together? And here we go again, coordination and partnership It’s a big deal It really is to really think about — and you would have to sit down and make a list of individuals or people in your area or programs in your area that you can just have coffee with or have a sit down or an informal meeting to see, “How can we begin to address and make some inroads with this problem, concerns, challenge, together?” So, just thinking about that And so, we know that much of the strength of these programs lay in their ability to overcome these challenges in order to deliver services to the folks that need them most So, just a slide, I wanted to kind of let you know looking ahead, what’s coming up for not only the NADTC and how this impacts you, but also some things coming down the pipe that you can directly be involved in So, again, I mentioned our grant program Our 2020 grant program will be launching next week And just to give you a little bit more specifics on that, it is a six month and it’s a short turnaround program It’ll be a six-month grant, but we’re looking for shuttle ready programs So, if you have some things that have been brewing, you know, and you’re ready to kind

of [inaudible], this is going to be the grant for you to really — to see if you can get some funding to really get that off the ground I mentioned earlier, we have a [inaudible] our Year 5 Focus is on transportation challenges that specifically impact diverse populations And so, we are still looking and thinking about ways where we can engage with tribal organizations and in tribal transit programs, to figure out whether [inaudible] want to focus in a particular area So, you may hear from us, any of you all on this webinar, to figure out ways and how we can you know, come together and think about addressing these challenges that specifically impact populations from ethnic and cultural diverse [inaudible] And then again, the National Title 6 Survey will be launching in April of this year I had the Title 6 directors — those are the individuals that typically fill out the survey, and if you’ve been a part of that in the past year, you know that that’s coming And I’m sure my colleague Meredith [inaudible] has already sent a preliminary email to you about that and that’s coming down the pipe I do want to share some funding opportunities and I will let you know — I’m the guru of funding or federal funding or anything like that, but I will share what I do know And quite, just recently, I want to say it was last week and probably most of you on this call received this email from the Office of American Indian, Alaskan Natives, and Native Hawaiian Programs They recently released a transportation quick guide, intended to be used as an initial resource for general information related to Title 6 transportation And I really excited to see this when this came out This guide provides information on funding opportunities, technical assistance, and it highlights helpful guides and toolkits on topics like, “How to buy a vehicle?” which is critically important in identifying and overcoming transportation barriers for clients Again, thinking about ways to — to make — meet clients where they are, consumers where they are, and addressing any of those gaps, like language The next link is a link to a C-CAM webinar which focused on the U.S. Department of Health and Human Services Program, federal fund braiding opportunities So, this webinar was held on the 13th of February this — just this year So, really great webinar and basically fund braiding is when funds from one federal program are used to meet the local [inaudible] requirements of another So, when I was talking earlier about coordination and partnering with other entities and agencies that may have funding that can help your program, and vice versa, this is the — this was [inaudible] and you definitely want to take a look at it when you get a chance So, that will provide some other opportunities for you to, you know, to get some more funding for your program Just a couple of training opportunities I also wanted to highlight A couple of conferences that are coming up late summer, the 23rd National Indian Council on Aging, also known as NICOA Their conference is in August in Reno, Nevada This I believe, is also going to be the Title 6 conference that’s normally — I think it was held in Minneapolis last year — last year in Minnesota I believe that conference is going to couple with the NICOA’s conference in August Probably many of you on the call already know that So, again, a great opportunity, if you’re new to tribal transit or transportation or just travel issues in general, a wonderful conference to attend And also, the National Transportation of Indian Country Conference This is specific on transportation This is going to be in August through September the 3rd in Santa Anna, Pueblo — at the Santa Anna, Pueblo in New Mexico I wanted to let you all know about that So, one of the resources that we’re pretty proud of and [inaudible] It’s the same [inaudible] Hold onto this even though it’s a little outdated, but despite it being outdated, it was produced several years ago, it has some wonderful, wonderful, valuable information that can be useful for you today It’s called Crossing Great Divides, and it was a joint — it is a joint publication that was produced by the then, the NCST, the National Center on Senior Transportation and the National RTAP

And it provides information about transportation providers in Indian country, funding resources, some solutions from the field, as I was kind of talking a little bit about, being creative, thinking out of the box, what are some things that you can do to get some more — you know, to bring funding to your program, to improve transportation access in your areas? And also it has a directory of resources I can’t say how current they are, but I know some of them are still current, but again, I put the link on there You can access this publication on the NADTC website So, please check that out if you get a chance And this — lastly, this is just a last, additional resources slide If you have any — if you are looking for any additional resources on tribal transit or accessible transportation, these are all NADTC products and publications that we’ve produced over the years We have a mini course on rural transit operations And so, all of these are made available to you again on our website And as I mentioned, it is a wonderful repository of information far and wide on any transportation topics that you could possibly think about So, with that, I will conclude Again, I appreciate your time today Again, my name is Melissa Gray I’m the Senior Program Manager with the NADTC Here’s my contact information here And we welcome any calls, any inquiries that you have after this presentation Thank you so much >> Okay. This is our time for questions Please enter your questions in the Q and A pod, located at the bottom right side of your screen Our first question is, “I know that the rural communities are pretty far from Farmington, and there were a few Medicaid taxis on the Arizona side, not far from Farmington that were run within the communities, where grandma could just knock on the door, and get taken to the major facilities at Gallup, Shiprock, or Farmington, without the taxis coming from far away People often can’t get organized enough to book in advance, and they would like to knock on a community provider’s door That provider, being community-based, would put money back into the community Would funding these smalltime outfits be an option for your grants?” >> That’s a great question And so, we — our grant funding, if you’re a nonprofit organization, you are eligible And so, as long as these smaller outfits are with 501C3, then yes, they are eligible to apply for our grant funding >> Okay. Can 5310 funds be used to support transportation? >> I think you meant 5310 funds and, 5310 federal funds, can they be used to support transportation? I’m assuming the core transportation specific to tribal? And I want to say, I believe so, but the tribe would need to approach the state directly and coordinate that way I know that tribal transit federal funding is 5311 C1B, again, as I mentioned, I’m not a funding expert in this area, but for 5310 I want to say yes, those funds can be used, but you need to be able to approach the state directly in order to get that coordinated >> What if the big problem on the reservation is access to healthy food? >> Wow, great question So, as I mentioned, and I’m glad I used Capacity Builders as kind of the case study or best practice on this call today, as they did address some healthy food access, and often again, you know, we’ve actually worked with some grant programs in the past year as well who were providing transportation to access healthy food But on the reservation, again, you can think about things like you know, home delivered meals, we all are very familiar with, and a lot of tribal programs are already doing that the best they can Access to food banks if there are food banks in the local area Capacity Builders, as I’ve shared with you today, they partnered with the local food banks in order to get folks on the reservation to that food bank on a more consistent basis Shuttles, if there are again, partnerships and coordination, if there are folks that you can partner that may have a vehicle or may have [inaudible] a human services organization that have folks that need to get somewhere, and you’re a transportation provider, coordinating and organizing trips that can provide more frequent access and trips to two food banks, or to help [inaudible]

if it’s a grocery store or a local store or things like that They can coordinate with maybe senior centers or other living facilities that may have something that you just don’t have >> Okay, we have limited transit in our area, and our folks aren’t, for one reason or another, using it What can we do to make it more accessible? >> That’s a great question as well And that’s a common question, because you know, again, we — the best — the beauty about working and administering grants from our perspective, is that we can find, not only what the needs are out there, but — and the gaps, but also if there is — if there are services and people aren’t using them, why they aren’t And so, a couple of things that some of our former grants have done were focus groups with older adults or people with disabilities in the communities, to find out, you know, “Why aren’t you using the services?” And or, you know, “What’s the barrier? What’s the challenge? You know, what’s the resistance?” So, you know, getting folks together, either through a focus group, through a forum to one, get a needs assessment They may say, “Well, we don’t need that type of transportation We need another type of transportation.” And so, you’ve got to find out what the need is first before you try to come up with a solution So, if they’re not using the available transit in the area, quite frankly, it’s probably — it could be for a number of reasons that they — it’s not accessible And [inaudible] accessible in terms of they can’t get on it because they have a — they’re in a wheelchair, or a mobility device Or it’s too far They’re not close enough to a station or for a variety of reasons So, thinking about, you know, how do you make it more accessible? Thinking out of the box Again, thinking about grass roots solutions [inaudible] volunteer transportation programs Are there folks in your area or within your organization? Do you have the bandwidth to maybe start a local — localized program with neighbors helping neighbors? You know, [inaudible] with the [inaudible] model But like, can you start something like that to make those types of options more accessible through your community? >> Are there any programs that will supply tribes with van to transport without matching the cost? >> I’ve been told [inaudible] will supply tribes with van to transport without matching the cost And I’m assuming you probably — that’s probably a funding question And again, you know, I’ll you know, be very honest, I — to top of mind, I can’t think of any to provide, but I will take this question offline And if this person who asked the question can also type in your name and your email address, I’ll get that information to you Thank you >> Are there anymore questions? Okay. I would like to thank Melissa for joining us today, and sharing information about transportation in Indian country In closing, I would like to remind everyone that today’s webinar was recorded and that the audio and presentation slides will be made available online at GMS.gov, on the Tribal LTSS Technical Assistance Center website Thank you again for joining today’s webinar Our session is now concluded

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