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Specific Work. In cooperation with OHA, the LPHA must collaborate with local and regional partners to assure adequate culturally and linguistically responsive COVID-19 testing is available to the extent resources are available. As outlined below, LPHAs must conduct culturally and linguistically appropriate Case investigation and contact tracing as outlined in the Investigative Guidelines and any applicable supplemental surge guidance to limit the spread of COVID-19. In addition, to the extent resources are available, the LPHA must assure individuals requiring isolation and quarantine have basic resources to support a successful isolation/quarantine period. OHA has entered into grant agreements with community-based organizations (CBOs) to provide a range of culturally and linguistically responsive services, including community engagement and education, contact tracing, social services and wraparound supports. Services provided by CBOs will complement the work of the LPHA. LPHA must conduct the following activities in accordance with the guidance to be provided by OHA: (1) Cultural and linguistic competency and responsiveness. (a) Partner with CBOs, including culturally-specific organizations where available in the jurisdiction. Enter into and maintain a Memorandum of Understanding (MOU) or similar agreement with those CBOs that have entered into a grant agreement with OHA for contact tracing and monitoring and/or social service and wraparound supports that clearly describes the role of the CBO and LPHA to ensure culturally and linguistically responsive services. OHA will share with LPHA the grant agreement and deliverables between OHA and the CBOs and the contact information for all the CBOs. If OHA’s grant with a CBO in the jurisdiction includes contact tracing, LPHA will execute, as part of the MOU between the LPHA and CBO, the CBO’s requirements to immediately report presumptive Cases to LPHA, clearly define referral and wraparound service pathways and require regular communication between CBO and LPHA so services and payments are not duplicative. LPHA must communicate with the CBO about any changes that will affect coordination for wraparound services, including when the LPHA is shifting to and from use any OHA-issued surge guidance. (b) Work with local CBOs including culturally-specific organizations to develop and implement culturally and linguistically responsive approaches to COVID-19 prevention and mitigation of COVID-19 health inequities among populations most impacted by COVID-19, including but not limited to communities of color, tribal communities and people with physical, intellectual and developmental disabilities. (c) Work with disproportionately affected communities to ensure a culturally and linguistically responsive staffing plan for Case investigations, contact tracing, social services and wraparound supports that meets community needs is in place. (d) Ensure the cultural and linguistic needs and accessibility needs for people with disabilities or people facing other institutionalized barriers are addressed in the LPHA’s Case investigations, contact tracing, and in the delivery of social services and wraparound supports. (e) Have and follow policies and procedures for meeting community members' language needs relating to both written translation and spoken or American Sign Language (ASL) interpretation. (f) Employ or contract with individuals who can provide in-person, phone, and electronic community member access to services in languages and cultures of the primary populations being served based on identified language (including ASL) needs in the County demographic data. (g) Ensure language access through telephonic interpretation service for community members whose primary language is other than English, but not a language broadly available, including ASL. (h) Provide written information provided by OHA that is culturally and linguistically appropriate for identified consumer populations. All information shall read at the sixth-grade reading level. (i) Provide opportunities to participate in OHA trainings to LPHA staff and LPHA contractors that conduct Case investigation, contact tracing, and provide social services and wraparound supports; trainings should be focused on long-standing trauma in Tribes, racism and oppression. (2) Testing (a) Work with OHA regional testing coordinator, local and regional partners including health care, communities disproportionately affected by COVID-19 and other partners to assure COVID-19 testing is available to individuals within the LPHA’s jurisdiction meeting current OHA criteria for testing and other local testing needs. (b) Work with health care and other partners to ensure testing is provided in a culturally and linguistically responsive manner with an emphasis on making testing available to disproportionately impacted communities and as a part of the jurisdiction’s contact tracing strategy. (3) Case Investigation and Contact Tracing (a) Conduct all Case investigations and monitor Outbreaks in accordance with Investigative Guidelines and any OHA-issued surge guidance. (b) Enter all Case investigation and contact tracing data in Opera (for COVID-19 Cases) and XXXXX (for COVID-19 contacts), as directed by XXX. (c) Collect and enter all components of Race, Ethnicity, Language, and Disability (REALD) data if data are not already entered in OPERA and XXXXX. (d) Ensure all LPHA staff designated to utilize Opera and XXXXX are trained in these systems. Include in the data whether new positive Cases are tied to a known existing positive Case or to community spread. (e) Conduct contact tracing in accordance with Investigative Guidelines and any applicable OHA-issued surge guidance. (f) Have contact tracing staff that reflect the demographic makeup of the jurisdiction and COVID-19 cases within the jurisdiction and who can provide culturally and linguistically competent and responsive tracing services. In addition, or alternatively, enter into an agreement(s) with community-based and culturally- specific organizations to provide such contact tracing services. OHA grants with CBOs will count toward fulfilling this requirement. (g) Ensure all contact tracing staff are trained in accordance with OHA investigative guidelines and data entry protocols. (h) Attempt to follow up with at least 95% of Cases within 24 hours of notification. (4) Isolation and quarantine (a) Maintain access to an isolation and quarantine location that is ready to be used. (b) Facilitate efforts, including by partnering with OHA-funded CBOs to link individuals needing isolation and quarantine supports such as housing and food. The LPHA will utilize existing resources when possible such as covered Case management benefits, WIC benefits, etc. (5) Social services and wraparound supports. (6) Tribal Nation support. (7) Support infection prevention and control for high-risk populations. (a) Migrant and seasonal farmworker support. Partner with farmers, agriculture sector and farmworker service organizations to develop and execute plans for COVID-19 testing, quarantine and isolation, and social service needs for migrant and seasonal farmworkers. (b) Congregate care facilities. In collaboration with State licensing agency, support infection prevention assessments, COVID-19 testing, infection control, and isolation and quarantine protocols in congregate care facilities.

Specific Work. In cooperation with OHA, the LPHA must collaborate with local and regional partners, including CBOs and tribal partners where available in the jurisdiction, to assure adequate culturally and linguistically responsive COVID-19 testing is -related services are available to the extent resources are available. As outlined below, LPHAs must conduct culturally and linguistically appropriate Case investigation and contact tracing as outlined in the Investigative Guidelines and any applicable supplemental surge guidance to limit the spread of COVID-19. In addition, to the extent resources are available, the LPHA must assure individuals requiring isolation and quarantine have basic resources to support a successful isolation/quarantine isolation period. OHA has entered into grant agreements with community-based organizations (CBOs) to provide a range of culturally and linguistically responsive services, including community engagement and education, contact tracing, social services and wraparound supports. Services provided by CBOs will complement the work of the LPHA. LPHA must conduct the following activities in accordance with the guidance to be provided by OHA: (1) Cultural and linguistic competency and responsiveness. (a) Partner with CBOs, including culturally-specific organizations where available in the jurisdiction. Enter into and maintain a Memorandum of Understanding (MOU) or similar agreement with those CBOs that have entered into a grant agreement with OHA for contact tracing and monitoring and/or social service and wraparound supports that clearly describes the role of the CBO and LPHA to ensure culturally and linguistically responsive services. OHA will share with LPHA the grant agreement and deliverables between OHA and the OHA-funded CBOs and the contact information for all the CBOs. If OHA’s grant with a CBO in the jurisdiction includes contact tracing, LPHA will execute, as part of the MOU between the LPHA and CBO, the CBO’s requirements to immediately report presumptive Cases to LPHA, clearly define referral and wraparound service pathways and require regular communication between CBO and LPHA so services and payments are not duplicative. LPHA must communicate with the CBO OHA-funded CBOs about any changes that will affect coordination for wraparound services, including when the LPHA is shifting to and from use any OHA-issued surge guidance. (b) Work with local CBOs including culturally-specific organizations to develop and implement culturally and linguistically responsive approaches to COVID-19 prevention and mitigation of COVID-19 health inequities among populations most impacted by COVID-19, including but not limited to communities of color, tribal communities and people with physical, intellectual and developmental disabilities. (c) Work with disproportionately affected communities to ensure a culturally and linguistically responsive staffing plan for Case investigationsCOVID-19 related services, contact tracingincluding case investigation, social services and wraparound supports that meets community needs is are available to eligible individuals, and provided in placea culturally and linguistically responsive manner with an emphasis on serving disproportionately impacted communities. (d) Ensure the cultural and linguistic needs and accessibility needs for people with disabilities or people facing other institutionalized barriers are addressed in the LPHA’s Case investigations, contact tracing, and in the delivery of social services and wraparound supports. (e) Have and follow policies and procedures for meeting community members' language needs relating to both written translation and spoken or American Sign Language (ASL) interpretation. (f) Employ or contract with individuals who can provide in-person, phone, and electronic community member access to services in languages and cultures of the primary populations being served based on identified language (including ASL) needs in the County demographic data. (g) Ensure language access through telephonic interpretation service for community members whose primary language is other than English, but not a language broadly available, including ASL. (h) Provide written information provided by OHA that is culturally and linguistically appropriate for identified consumer populations. All information shall read at the sixth-grade reading level. (i) Provide public health communications (e.g. advertising, social media) that are culturally and linguistically appropriate for identified consumer populations. All information shall read at the sixth-grade reading level. (j) Provide opportunities to participate in OHA trainings to LPHA staff and LPHA contractors that conduct Case investigation, contact tracing, and provide social services and wraparound supports; trainings should be focused on long-standing trauma in Tribes, racism and oppression. (2) Testing (a) Work with OHA regional testing field operations coordinator, local and regional partners including health care, communities disproportionately affected by COVID-19 and other partners to assure COVID-19 testing is available to individuals within the LPHA’s jurisdiction meeting current OHA criteria for testing and other local testing needsjurisdiction. (b) Work with health care and other partners to ensure testing is provided in a culturally and linguistically responsive manner with an emphasis on making testing available to disproportionately impacted communities and as a part of the jurisdiction’s contact tracing strategy.communities (3) Case Investigation and Contact TracingInvestigation (a) Conduct all high-risk Case investigations and monitor Outbreaks in accordance with Investigative Guidelines and any OHA-issued surge guidance. (b) Enter all Case high-risk COVID-19 case investigation and contact tracing data outbreaks in Opera (for COVID-19 Cases) and XXXXX (for COVID-19 contacts)Opera Outbreaks, as directed by XXX. (c) Collect and enter all components of Race, Ethnicity, Language, and Disability (REALD) data for high-risk cases being interviewed if data are not already entered in OPERA and XXXXXOPERA. (d) Ensure all LPHA staff designated to utilize Opera and XXXXX are trained in these systemsthis system. Include in the data whether new high-risk positive Cases are tied to a known existing positive Case or to community spread. (e) Conduct contact tracing in accordance with Investigative Guidelines and any applicable OHA-issued surge guidance. (f) Have contact tracing staff that reflect the demographic makeup of the jurisdiction and COVID-19 cases within the jurisdiction and who can provide culturally and linguistically competent and responsive tracing services. In addition, or alternatively, enter into an agreement(s) with community-based and culturally- specific organizations to provide such contact tracing services. OHA grants with CBOs will count toward fulfilling this requirement. (g) Ensure all contact tracing staff are trained in accordance with OHA investigative guidelines and data entry protocols. (h) Attempt to follow up with at least 95% of Cases within 24 hours of notification. (4) Isolation and quarantine (a) Maintain access to an isolation and quarantine location that is ready to be used. (b) Facilitate efforts, including by partnering with OHA-funded CBOs to link individuals needing isolation and quarantine supports such as housing and food. The LPHA will utilize existing resources when possible such as covered Case management benefits, WIC benefits, etc. (5) Social services and wraparound supports. (6) Tribal Nation support. (7) Support infection prevention and control for high-risk populations. (a) Migrant and seasonal farmworker support. Partner with farmers, agriculture sector and farmworker service organizations to develop and execute plans for COVID-19 testing, quarantine and isolation, and social service needs for migrant and seasonal farmworkers. (b) Congregate care facilities. In collaboration with State licensing agency, support infection prevention assessments, COVID-19 testing, infection control, and isolation and quarantine protocols in congregate care facilities.

Specific Work. In cooperation with OHA, the LPHA must collaborate with local and regional partners to assure adequate culturally and linguistically responsive COVID-19 testing is available to the extent resources are available. As outlined below, LPHAs must conduct culturally and linguistically appropriate Case investigation and contact tracing as outlined in the Investigative Guidelines and any applicable supplemental surge guidance to limit the spread of COVID-19. In addition, to the extent resources are available, the LPHA must assure individuals requiring isolation and quarantine have basic resources to support a successful isolation/quarantine period. OHA has entered into grant agreements with community-based organizations (CBOs) to provide a range of culturally and linguistically responsive services, including community engagement and education, contact tracing, social services and wraparound supports. Services provided by CBOs will complement the work of the LPHA. LPHA must conduct the following activities in accordance with the guidance to be provided by OHA: (1) Cultural and linguistic competency and responsiveness. (a) Partner with CBOs, including culturally-specific organizations where available in the jurisdiction. Enter into and maintain a Memorandum of Understanding (MOU) or similar agreement with those CBOs that have entered into a grant agreement with OHA for contact tracing and monitoring and/or social service and wraparound supports that clearly describes the role of the CBO and LPHA to ensure culturally and linguistically responsive services. OHA will share with LPHA the grant agreement and deliverables between OHA and the CBOs and the contact information for all the CBOs. If OHA’s grant with a CBO in the jurisdiction includes contact tracing, LPHA will execute, as part of the MOU between the LPHA and CBO, the CBO’s requirements to immediately report presumptive Cases to LPHA, clearly define referral and wraparound service pathways and require regular communication between CBO and LPHA so services and payments are not duplicative. LPHA must communicate with the CBO about any changes that will affect coordination for wraparound services, including when the LPHA is shifting to and from use any OHA-issued surge guidance. (b) Work with local CBOs including culturally-specific organizations to develop and implement culturally and linguistically responsive approaches to maintain equity at the center of the LPHA’s COVID-19 prevention and mitigation of COVID-19 health inequities among populations most impacted by COVID-19, including but not limited to communities of color, tribal communities and people with physical, intellectual and developmental disabilitiesresponse. (c) Work with disproportionately affected communities to ensure a culturally and linguistically responsive staffing plan for Case investigations, contact tracing, social services and wraparound supports that meets community needs is in place. (d) Ensure the cultural and linguistic needs and accessibility needs for people with disabilities or people facing other institutionalized barriers are addressed in the LPHA’s Case investigations, contact tracing, and in the delivery of social services and wraparound supports. (e) Have and follow policies and procedures for meeting community members' language needs relating to both written translation and spoken or American Sign Language (ASL) interpretation. (f) Employ or contract with individuals who can provide in-person, phone, and electronic community member access to services in languages and cultures of the primary populations being served based on identified language (including ASL) needs in the County demographic data. (g) Ensure language access through telephonic interpretation service for community members whose primary language is other than English, but not a language broadly available, including ASL. (h) Provide written information provided by OHA that is culturally and linguistically appropriate for identified consumer populations. All information shall read at the sixth-grade reading level. (i) Provide opportunities to participate in OHA trainings to LPHA staff and LPHA contractors that conduct Case investigation, contact tracing, and provide social services and wraparound supports; trainings should be focused on long-standing trauma in Tribes, racism and oppression. (2) Testing (a) Work with OHA regional testing coordinator, local and regional partners including health care, communities disproportionately affected by COVID-19 and other partners to assure COVID-19 testing is available to individuals within the LPHA’s jurisdiction meeting current OHA criteria for testing and other local testing needs. (b) Work with health care and other partners to ensure testing is provided in a culturally and linguistically responsive manner with an emphasis on making testing available to disproportionately impacted communities and as a part of the jurisdiction’s contact tracing strategy. (3) Case Investigation and Contact Tracing (a) Conduct all Case investigations and monitor Outbreaks in accordance with Investigative Guidelines and any OHA-issued surge guidance. (b) Enter all Case investigation and contact tracing data in Opera (for COVID-19 Cases) and XXXXX (for COVID-19 contacts), as directed by XXX. (c) Collect and enter all components of Race, Ethnicity, Language, and Disability (REALD) data if data are not already entered in OPERA and XXXXX. (d) Ensure all LPHA staff designated to utilize Opera and XXXXX are trained in these systems. Include in the data whether new positive Cases are tied to a known existing positive Case or to community spread. (ed) Conduct contact tracing in accordance with Investigative Guidelines and any applicable OHA-issued surge guidance. (fe) Have contact tracing staff that reflect the demographic makeup of the jurisdiction and COVID-19 cases within the jurisdiction and who can provide culturally and linguistically competent and responsive tracing services. In addition, or alternatively, enter into an agreement(s) with community-based and culturally- culturally-specific organizations to provide such contact tracing services. OHA grants with CBOs will count toward fulfilling this requirement. (gf) Ensure all contact tracing staff are trained in accordance with OHA investigative guidelines and data entry protocols. (hg) Attempt to follow up with at least 95% of Cases within 24 hours of notification. (4) Isolation and quarantine (a) Maintain access to an isolation and quarantine location that is ready to be used. (b) Facilitate efforts, including by partnering with OHA-funded CBOs to link individuals needing isolation and quarantine supports such as housing and food. food The LPHA will utilize existing resources when possible such as covered Case management benefits, WIC benefits, etc. (5) Social services and wraparound supports. (6) Tribal Nation support. (7) Support infection prevention and control for high-risk populations. (a) Migrant and seasonal farmworker support. Partner with farmers, agriculture sector and farmworker service organizations to develop and execute plans for COVID-19 testing, quarantine and isolation, and social service needs for migrant and seasonal farmworkers. (b) Congregate care facilities. In collaboration with State licensing agency, support infection prevention assessments, COVID-19 testing, infection control, and isolation and quarantine protocols in congregate care facilities.

Specific Work. In cooperation with OHA, the LPHA must collaborate with local and regional partners to assure adequate culturally and linguistically responsive COVID-19 testing is available to the extent resources are available. As outlined below, LPHAs must conduct culturally and linguistically appropriate Case investigation and contact tracing as outlined in the Investigative Guidelines and any applicable supplemental surge guidance to limit the spread of COVID-19. In addition, to the extent resources are available, the LPHA must assure individuals requiring isolation and quarantine have basic resources to support a successful isolation/quarantine period. OHA has entered into grant agreements with community-based organizations (CBOs) to provide a range of culturally and linguistically responsive services, including community engagement and education, contact tracing, social services and wraparound supports. Services provided by CBOs will complement the work of the LPHA. LPHA must conduct the following activities in accordance with the guidance to be provided by OHA: (1) Cultural and linguistic competency and responsiveness. (a) : LPHA must: Partner with CBOs, including culturally-specific organizations where available in the jurisdiction. Enter into and maintain a Memorandum of Understanding (MOU) or similar agreement with those CBOs that have entered into a grant agreement with OHA for contact tracing and monitoring and/or social service and wraparound supports that clearly describes the role of the CBO and LPHA to ensure culturally and linguistically responsive services. OHA will share with LPHA the grant agreement and deliverables between OHA and the CBOs and the contact information for all the CBOs. If OHA’s grant with a CBO in the jurisdiction includes contact tracing, LPHA will execute, as part of the MOU between the LPHA and CBO, the CBO’s requirements to immediately report presumptive Cases to LPHA, clearly define referral and wraparound service pathways and require regular communication between CBO and LPHA so services and payments are not duplicative. LPHA must communicate with the CBO about any changes that will affect coordination for wraparound services, including when the LPHA is shifting to and from use any OHA-issued surge guidance. (b) . Work with local CBOs including culturally-specific organizations to develop maintain equity at the centerdevelop and implement culturally and linguistically responsive approaches to COVID-19 prevention and mitigation of COVID-19 health inequities among populations most impacted by COVID-19, including but not limited to communities of color, tribal communities and people with physical, intellectual and developmental disabilities. (c) . of the LPHA’s COVID-19 response. Work with disproportionately affected communities to ensure a culturally and linguistically responsive staffing plan for Case investigations, contact tracing, social services and wraparound supports that meets community needs is in place. (d) . Ensure the cultural and linguistic needs and accessibility needs for people with disabilities or people facing other institutionalized barriers are addressed in the LPHA’s Case investigations, contact tracing, and in the delivery of social services and wraparound supports. (e) . Have and follow policies and procedures for meeting community members' language needs relating to both written translation and spoken or American Sign Language (ASL) interpretation. (f) . Employ or contract with individuals who can provide in-person, phone, and electronic community member access to services in languages and cultures of the primary populations being served based on identified language (including ASL) needs in the County demographic data. (g) . Ensure language access through telephonic interpretation service for community members whose primary language is other than English, but not a language broadly available, including ASL. (h) . Provide written information provided by OHA that is culturally and linguistically appropriate for identified consumer populations. All information shall read at the sixth-grade reading level. (i) . Provide opportunities to participate in OHA trainings to LPHA staff and LPHA contractors that conduct Case investigation, contact tracing, and provide social services and wraparound supports; trainings should be focused on long-standing trauma in Tribes, racism and oppression. (2) Testing (a) . LPHA must: Work with OHA regional testing coordinator, local and regional partners including health care, communities disproportionately affected by COVID-19 and other partners to assure COVID-19 testing is available to individuals within the LPHA’s jurisdiction meeting current OHA criteria for testing and other local testing needs. (b) . Work with health care and other partners to ensure testing is provided in a culturally and linguistically responsive manner with an emphasis on making testing available to disproportionately impacted communities and as a part of the jurisdiction’s contact tracing strategy. (3) Case Investigation and Contact Tracing (a) . LPHA must: Conduct all Case investigations and monitor Outbreaks in accordance with Investigative Guidelines and any OHA-issued surge guidance. (b) . Enter all Case investigation and contact tracing data in Opera (for COVID-19 Cases) and XXXXX (for COVID-19 contacts), as directed by XXX. (c) OHA. Collect and enter all components of Race, Ethnicity, Language, and Disability (REALD) REALD data if data are not already entered in OPERA and XXXXX. (d) Ensure all LPHA staff designated to utilize Opera and XXXXX are trained in these systems. Include in the data whether new positive Cases are tied to a known existing positive Case or to community spread. (e) . Conduct contact tracing in accordance with Investigative Guidelines and any applicable OHA-issued surge guidance. (f) . Have contact tracing staff that reflect the demographic makeup of the jurisdiction and COVID-19 jurisdictionCOVID-19 cases within the jurisdiction and who can provide culturally and linguistically competent and responsive tracing services. In addition, or alternatively, enter into an agreement(s) with community-based and culturally- culturally-specific organizations to provide such contact tracing services. OHA grants with CBOs will count toward fulfilling this requirement. (g) . Ensure all contact tracing staff are trained in accordance with OHA investigative guidelines and data entry protocols. (h) . Attempt to follow up with at least 95% of Cases within 24 hours of notification. (4) Isolation and quarantine (a) . LPHA must: Maintain access to an isolation and quarantine location that is ready to be used. (b) . Facilitate efforts, including by partnering with OHA-funded CBOs to link individuals needing isolation and quarantine supports such as housing and food. food The LPHA will utilize existing resources when possible such as covered Case management benefits, WIC benefits, etc. (5) . Social services and wraparound supports. (6) Tribal Nation support. (7) Support infection prevention . LPHA must ensure social services referral and control tracking processes are developed and maintained. LPHA must cooperate with CBOs to provide referral and follow-up for highsocial services and wraparound supports for affected individuals and communities. OHA contracts with CBOs will count toward fulfilling this requirement. LPHA must ensure alignment of contact tracing and supports for patients and families by coordinating with Federally-risk populations. (a) recognized tribes if a patient identifies as American Indian/Alaska Native and/or a member of an Oregon Tribe, if the patient gives permission to notify the Tribe. LPHA must: Migrant and seasonal farmworker support. Partner with farmers, agriculture sector and farmworker service organizations to develop and execute plans for COVID-19 testing, quarantine and isolation, and social service needs for migrant and seasonal farmworkers. (b) . Congregate care facilities. In collaboration with State licensing agency, support infection prevention assessments, COVID-19 testing, infection control, and isolation and quarantine protocols in congregate care facilities.

Specific Work. In cooperation with OHA, the LPHA must collaborate with local and regional partners to assure adequate culturally and linguistically responsive COVID-19 testing is available to the extent resources are available. As outlined below, LPHAs must conduct culturally and linguistically appropriate Case investigation and contact tracing as outlined in the Investigative Guidelines and any applicable supplemental surge guidance to limit the spread of COVID-19. In addition, to the extent resources are available, the LPHA must assure individuals requiring isolation and quarantine have basic resources to support a successful isolation/quarantine period. OHA has entered into grant agreements with community-based organizations (CBOs) to provide a range of culturally and linguistically responsive services, including community engagement and education, contact tracing, social services and wraparound supports. Services provided by CBOs will complement the work of the LPHA. LPHA must conduct the following activities in accordance with the guidance to be provided by OHA: (1) Cultural and linguistic competency and responsiveness. (a) Partner with CBOs, including culturally-specific organizations where available in the jurisdiction. Enter into and maintain a Memorandum of Understanding (MOU) or similar agreement with those CBOs that have entered into a grant agreement with OHA for contact tracing and monitoring and/or social service and wraparound supports that clearly describes the role of the CBO and LPHA to ensure culturally and linguistically responsive services. OHA will share with LPHA the grant agreement and deliverables between OHA and the CBOs and the contact information for all the CBOs. If OHA’s grant with a CBO in the jurisdiction includes contact tracing, LPHA will execute, as part of the MOU between the LPHA and CBO, the CBO’s requirements to immediately report presumptive Cases to LPHA, clearly define referral and wraparound service pathways and require regular communication between CBO and LPHA so services and payments are not duplicative. LPHA must communicate with the CBO about any changes that will affect coordination for wraparound services, including when the LPHA is shifting to and from use any OHA-issued surge guidance. (b) Work with local CBOs including culturally-specific organizations to develop and implement culturally and linguistically responsive approaches to COVID-19 prevention and mitigation of COVID-19 health inequities among populations most impacted by COVID-19, including but not limited to communities of color, tribal communities and people with physical, intellectual and developmental disabilities. (c) Work with disproportionately affected communities to ensure a culturally and linguistically responsive staffing plan for Case investigations, contact tracing, social services and wraparound supports that meets community needs is in place. (d) Ensure the cultural and linguistic needs and accessibility needs for people with disabilities or people facing other institutionalized barriers are addressed in the LPHA’s Case investigations, contact tracing, and in the delivery of social services and wraparound supports. (e) Have and follow policies and procedures for meeting community members' language needs relating to both written translation and spoken or American Sign Language (ASL) interpretation. (f) Employ or contract with individuals who can provide in-person, phone, and electronic community member access to services in languages and cultures of the primary populations being served based on identified language (including ASL) needs in the County demographic data. (g) Ensure language access through telephonic interpretation service for community members whose primary language is other than English, but not a language broadly available, including ASL. (h) Provide written information provided by OHA that is culturally and linguistically appropriate for identified consumer populations. All information shall read at the sixth-grade reading level. (i) Provide opportunities to participate in OHA trainings to LPHA staff and LPHA contractors that conduct Case investigation, contact tracing, and provide social services and wraparound supports; trainings should be focused on long-standing trauma in Tribes, racism and oppression. (2) Testing (a) Work with OHA regional testing coordinator, local and regional partners including health care, communities disproportionately affected by COVID-19 and other partners to assure COVID-19 testing is available to individuals within the LPHA’s jurisdiction meeting current OHA criteria for testing and other local testing needs. (b) Work with health care and other partners to ensure testing is provided in a culturally and linguistically responsive manner with an emphasis on making testing available to disproportionately impacted communities and as a part of the jurisdiction’s contact tracing strategy. (3) Case Investigation and Contact Tracing (a) Conduct all Case investigations and monitor Outbreaks in accordance with Investigative Guidelines and any OHA-issued surge guidance. (b) Enter all Case investigation and contact tracing data in Opera (for COVID-19 Cases) and XXXXX (for COVID-19 contacts), as directed by XXX. (c) Collect and enter all components of Race, Ethnicity, Language, and Disability (REALD) data if data are not already entered in OPERA and XXXXX. (d) Ensure all LPHA staff designated to utilize Opera and XXXXX are trained in these systems. Include in the data whether new positive Cases are tied to a known existing positive Case or to community spread. (e) Conduct contact tracing in accordance with Investigative Guidelines and any applicable OHA-issued surge guidance. (f) Have contact tracing staff that reflect the demographic makeup of the jurisdiction and COVID-19 cases within the jurisdiction and who can provide culturally and linguistically competent and responsive tracing services. In addition, or alternatively, enter into an agreement(s) with community-based and culturally- specific organizations to provide such contact tracing services. OHA grants with CBOs will count toward fulfilling this requirement. (g) Ensure all contact tracing staff are trained in accordance with OHA investigative guidelines and data entry protocols. (h) Attempt to follow up with at least 95% of Cases within 24 hours of notification. (4) Isolation and quarantine (a) Maintain access to an isolation and quarantine location that is ready to be used. (b) Facilitate efforts, including by partnering with OHA-funded CBOs to link individuals needing isolation and quarantine supports such as housing and food. food The LPHA will utilize existing resources when possible such as covered Case management benefits, WIC benefits, etc. (5) Social services and wraparound supports. (6) Tribal Nation support. (7) Support infection prevention and control for high-risk populations. (a) Migrant and seasonal farmworker support. Partner with farmers, agriculture sector and farmworker service organizations to develop and execute plans for COVID-19 testing, quarantine and isolation, and social service needs for migrant and seasonal farmworkers. (b) Congregate care facilities. In collaboration with State licensing agency, support infection prevention assessments, COVID-19 testing, infection control, and isolation and quarantine protocols in congregate care facilities.

Specific Work. In cooperation with OHA, the LPHA must collaborate with local and regional partners to assure adequate culturally and linguistically responsive COVID-19 testing is available to the extent resources are available. As outlined below, LPHAs must conduct culturally and linguistically appropriate Case investigation and contact tracing as outlined in the Investigative Guidelines and any applicable supplemental surge guidance to limit the spread of COVID-19. In addition, to the extent resources are available, the LPHA must assure individuals requiring isolation and quarantine have basic resources to support a successful isolation/quarantine period. OHA has entered into grant agreements with community-based organizations (CBOs) to provide a range of culturally and linguistically responsive services, including community engagement and education, contact tracing, social services and wraparound supports. Services provided by CBOs will complement the work of the LPHA. LPHA must conduct the following activities in accordance with the guidance to be provided by OHA: (1) Cultural and linguistic competency and responsiveness. (a) Partner with CBOs, including culturally-specific organizations where available in the jurisdiction. Enter into and maintain a Memorandum of Understanding (MOU) or similar agreement with those CBOs that have entered into a grant agreement with OHA for contact tracing and monitoring and/or social service and wraparound supports that clearly describes the role of the CBO and LPHA to ensure culturally and linguistically responsive services. OHA will share with LPHA the grant agreement and deliverables between OHA and the CBOs and the contact information for all the CBOs. If OHA’s grant with a CBO in the jurisdiction includes contact tracing, LPHA will execute, as part of the MOU between the LPHA and CBO, the CBO’s requirements to immediately report presumptive Cases to LPHA, clearly define referral and wraparound service pathways and require regular communication between CBO and LPHA so services and payments are not duplicative. LPHA must communicate with the CBO about any changes that will affect coordination for wraparound services, including when the LPHA is shifting to and from use any OHA-issued surge guidance. (b) Work with local CBOs including culturally-specific organizations to develop and implement culturally and linguistically responsive approaches to COVID-19 prevention and mitigation of COVID-19 health inequities among populations most impacted by COVID-19, including but not limited to communities of color, tribal communities and people with physical, intellectual and developmental disabilities. (c) Work with disproportionately affected communities to ensure a culturally and linguistically responsive staffing plan for Case investigations, contact tracing, social services and wraparound supports that meets community needs is in place. (d) Ensure the cultural and linguistic needs and accessibility needs for people with disabilities or people facing other institutionalized barriers are addressed in the LPHA’s Case investigations, contact tracing, and in the delivery of social services and wraparound supports. (e) Have and follow policies and procedures for meeting community members' language needs relating to both written translation and spoken or American Sign Language (ASL) interpretation. (f) Employ or contract with individuals who can provide in-person, phone, and electronic community member access to services in languages and cultures of the primary populations being served based on identified language (including ASL) needs in the County demographic data. (g) Ensure language access through telephonic interpretation service for community members whose primary language is other than English, but not a language broadly available, including ASL. (h) Provide written information provided by OHA that is culturally and linguistically appropriate for identified consumer populations. All information shall read at the sixth-grade reading level. (i) Provide opportunities to participate in OHA trainings to LPHA staff and LPHA contractors that conduct Case investigation, contact tracing, and provide social services and wraparound supports; trainings should be focused on long-standing trauma in Tribes, racism and oppression. (2) Testing (a) Work with OHA regional testing coordinator, local and regional partners including health care, communities disproportionately affected by COVID-19 and other partners to assure COVID-19 testing is available to individuals within the LPHA’s jurisdiction meeting current OHA criteria for testing and other local testing needs. (b) Work with health care and other partners to ensure testing is provided in a culturally and linguistically responsive manner with an emphasis on making testing available to disproportionately impacted communities and as a part of the jurisdiction’s contact tracing strategy. (3) Case Investigation and Contact Tracing (a) Conduct all Case investigations and monitor Outbreaks in accordance with Investigative Guidelines and any OHA-issued surge guidance. (b) Enter all Case investigation and contact tracing data in Opera (for COVID-19 Cases) and XXXXX (for COVID-19 contacts), as directed by XXXOHA. (c) Collect and enter all components of Race, Ethnicity, Language, and Disability (REALD) data if data are not already entered in OPERA and XXXXX. (d) Ensure all LPHA staff designated to utilize Opera and XXXXX are trained in these systems. Include in the data whether new positive Cases are tied to a known existing positive Case or to community spread. (e) Conduct contact tracing in accordance with Investigative Guidelines and any applicable OHA-issued surge guidance. (f) Have contact tracing staff that reflect the demographic makeup of the jurisdiction and COVID-19 cases within the jurisdiction and who can provide culturally and linguistically competent and responsive tracing services. In addition, or alternatively, enter into an agreement(s) with community-based and culturally- specific organizations to provide such contact tracing services. OHA grants with CBOs will count toward fulfilling this requirement. (g) Ensure all contact tracing staff are trained in accordance with OHA investigative guidelines and data entry protocols. (h) Attempt to follow up with at least 95% of Cases within 24 hours of notification. (4) Isolation and quarantine (a) Maintain access to an isolation and quarantine location that is ready to be used. (b) Facilitate efforts, including by partnering with OHA-funded CBOs to link individuals needing isolation and quarantine supports such as housing and food. The LPHA will utilize existing resources when possible such as covered Case management benefits, WIC benefits, etc. (5) Social services and wraparound supports. (6) Tribal Nation support. (7) Support infection prevention and control for high-risk populations. (a) Migrant and seasonal farmworker support. Partner with farmers, agriculture sector and farmworker service organizations to develop and execute plans for COVID-19 testing, quarantine and isolation, and social service needs for migrant and seasonal farmworkers. (b) Congregate care facilities. In collaboration with State licensing agency, support infection prevention assessments, COVID-19 testing, infection control, and isolation and quarantine protocols in congregate care facilities.

Specific Work. In cooperation with OHA, the LPHA must collaborate with local and regional partners to assure ensure adequate culturally and linguistically responsive COVID-19 testing is available to the extent resources are available. As outlined below, LPHAs must conduct culturally and linguistically appropriate Case case investigation and contact tracing as outlined in the Investigative Guidelines and any applicable supplemental surge guidance to limit the spread of COVID-19. In addition, to the extent resources are available, the LPHA must assure individuals requiring isolation and quarantine have basic resources to support a successful isolation/quarantine period., investigation resources and contact tracing resources to limit the spread of COVID-19. OHA has will be enteringhas entered into grant agreements with community-based organizations (CBOs) to provide a range of culturally and linguistically responsive services, including community engagement and education, contact tracing, social services and wraparound supports. Services provided by CBOs will complement the work of the LPHA. LPHA must conduct the following activities in accordance with the guidance to be provided by OHA: (1) Cultural and linguistic competency and responsiveness. (a) : LPHA must: Partner with CBOs, including culturally-specific organizations where available in the jurisdiction. Enter into and maintain a Memorandum of Understanding (MOU) or similar agreement with those CBOs that have entered into a grant agreement with OHA for contact tracing and monitoring and/or social service and wraparound supports that clearly describes the role of the CBO and LPHA to ensure culturally and linguistically responsive services. OHA will share with LPHA the grant agreement and deliverables between OHA and the CBOs and the contact information for all the CBOs. If OHA’s grant with a CBO in the jurisdiction includes contact tracing, LPHA will execute, as part of the MOU between the LPHA and CBO, the CBO’s requirements to immediately report presumptive Cases cases to LPHA, ensure HIPAA training and compliance by the CBO so the LPHA and CBO can share personal health information, clearly define referral and wraparound service pathways and require regular communication between CBO and LPHA so services and payments are not duplicative. LPHA must communicate with the CBO about any changes that will affect coordination for wraparound services, including when the LPHA is shifting to and from use any OHA-issued surge guidance. (b) . Work with local CBOs including culturally-specific organizations to develop and implement culturally and linguistically responsive approaches track progress toward equity goals to maintain equity at the center of the LPHA’s COVID-19 prevention and mitigation of COVID-19 health inequities among populations most impacted by COVID-19, including but not limited to communities of color, tribal communities and people with physical, intellectual and developmental disabilities. (c) response. Work with disproportionately affected communities to ensure a culturally and linguistically responsive staffing plan for Case case investigations, contact tracing, social services and wraparound supports that meets community needs is in place. (d) . Ensure the cultural and linguistic needs and accessibility needs for people with disabilities or people facing other institutionalized barriers are addressed in the LPHA’s Case case investigations, contact tracing, and in the delivery of social services and wraparound supports. (e) . Have and follow policies and procedures for meeting community members' language needs relating to both written translation and spoken or American Sign Language (ASL) interpretation. (f) . Employ or contract with individuals who can provide in-person, phone, and electronic community member access to services in languages and cultures of the primary populations being served based on identified language (including ASL) needs in the County demographic data. (g) . Ensure language access through telephonic interpretation service for community members whose primary language is other than English, but not a language broadly available, including ASL. (h) . Provide written information provided by OHA that is culturally and linguistically appropriate for identified consumer populations. All information shall read at the sixth-grade reading level. . Provide facial coverings and other personal protective equipment (iPPE) to LPHA staff when appropriate. Provide opportunities to participate in OHA trainings to LPHA staff and LPHA contractors that conduct Case case investigation, contact tracing, and provide social services and wraparound supports; trainings should be focused on long-standing trauma in Tribes, racism and oppression. (2) Testing (a) . LPHA must: Work with OHA regional testing coordinator, local and regional partners including health care, communities disproportionately affected by COVID-19 and other partners to assure health care and other partners to ensure COVID-19 testing is available to individuals within the LPHA’s jurisdiction meeting current OHA criteria for testing and other local testing needs. (b) . Work with health care and other partners to ensure testing is provided in a culturally and linguistically responsive manner with an emphasis on making testing available to disproportionately impacted communities and as a part of the jurisdiction’s contact tracing strategy. (3) Case Investigation . Maintain a current list of entities providing COVID-19 testing and Contact Tracing (a) at what volume. Provide reports to OHA on testing locations and volume as requested. LPHA must: Conduct all Case case investigations and monitor Outbreaks outbreaks in accordance with Investigative Guidelines and any OHA-issued surge guidance. (b) . Enter all Case case investigation and contact tracing data in Opera (for COVID-19 Cases) and XXXXX (for COVID-19 contacts)XXXXX, as directed by XXX. (c) Collect and enter all components of Race, Ethnicity, Language, and Disability (REALD) data if data are not already entered in OPERA and XXXXX. (d) . Ensure all LPHA staff designated to utilize Opera and XXXXX are trained in these systems. Include in the data whether new positive Cases cases are tied to a known existing positive Case case or to community spread. (e) . Maintain the capacity to surge a minimum of 15 contact tracers for every 100,000 people in the jurisdiction. as needed, based on disease rates. OHA grants with CBOs for contact tracing will count toward this minimum. Conduct contact tracing in accordance with Investigative Guidelines and any applicable OHA-issued surge guidance. (f) . Have contact tracing staff that reflect the demographic makeup of the jurisdiction and COVID-19 cases within the jurisdiction and who can provide culturally and linguistically competent and responsive tracing services. In addition, or alternatively, enter into an agreement(s) with community-based and culturally- culturally-specific organizations to provide such contact tracing services. OHA grants with CBOs will count toward fulfilling this requirement. (g) . Ensure all contact tracing staff are trained in accordance with OHA investigative guidelines and data entry protocols. (h) . Attempt to follow Ffollow up with at least 95% of Cases cases within 24 hours of notification. (4) Isolation . LPHA must: Conduct all case investigations and quarantine (a) Maintain monitor outbreaks. Enter all case investigation and contact tracing data in Orpheus and XXXXX, as directed by XXX. Ensure all LPHA staff designated to utilize Orpheus and XXXXX are trained in these systems. Include in the tracing data whether new positive cases are tied to a known existing positive case or to community spread. LPHA must: By June 15, 2020, demonstrate toMaintain access to an OHA that aan isolation and quarantine location that is identified and ready to be usedthat is ready to be used. (b) . Facilitate efforts, including by partnering with OHA-funded CBOs CBOS to link to individuals needing ensure isolation and quarantine supports such as housing and foodfoodhousing, transportation, health care supplies, meals, telecommunications and other supports needed for any resident in the jurisdiction who has a financial or physical need. The LPHA will utilize existing resources when possible such as covered Case case management benefits, WIC benefits, etc. (5) . Social services and wraparound supports. (6) . LPHA must ensure social services referral and tracking processes are developed and maintained. LPHA must cooperate with CBOs to provide referral and follow-up for social services and wraparound supports for affected individuals and communities. OHA contracts with CBOs will count toward fulfilling this requirement. Tribal Nation support. (7) Support infection prevention . LPHA must ensure alignment of contact tracing and control supports for highpatients and families by coordinating with local tFederally-risk populations. (a) recognized tribes if a patient identifies as American Indian/Alaska Native and/or a member of an Oregon Tribe, if the patient gives permission to notify the Tribe. LPHA must: Migrant and seasonal farmworker support. Partner with farmers, agriculture sector and farmworker service organizations to develop and execute plans for COVID-19 testing, quarantine and isolation, and social service needs for migrant and seasonal farmworkers. (b) . Congregate care facilities. In collaboration with State licensing agency, support infection prevention assessments, COVID-19 testing, infection control, and isolation and quarantine protocols in congregate care facilities.

Specific Work. In cooperation with OHA, the LPHA must collaborate with local and regional partners to assure adequate culturally and linguistically responsive COVID-19 testing is available to the extent resources are available. As outlined below, LPHAs must conduct culturally and linguistically appropriate Case investigation and contact tracing as outlined in the Investigative Guidelines and any applicable supplemental surge guidance to limit the spread of COVID-19. In addition, to the extent resources are available, the LPHA must assure individuals requiring isolation and quarantine have basic resources to support a successful isolation/quarantine period. OHA has entered into grant agreements with community-based organizations (CBOs) to provide a range of culturally and linguistically responsive services, including community engagement and education, contact tracing, social services and wraparound supports. Services provided by CBOs will complement the work of the LPHA. LPHA must conduct the following activities in accordance with the guidance to be provided by OHA: (1) Cultural and linguistic competency and responsiveness. (a) : LPHA must: Partner with CBOs, including culturally-specific organizations where available in the jurisdiction. Enter into and maintain a Memorandum of Understanding (MOU) or similar agreement with those CBOs that have entered into a grant agreement with OHA for contact tracing and monitoring and/or social service and wraparound supports that clearly describes the role of the CBO and LPHA to ensure culturally and linguistically responsive services. OHA will share with LPHA the grant agreement and deliverables between OHA and the OHA-funded CBOs and the contact information for all the CBOs. If OHA’s grant with a CBO in the jurisdiction includes contact tracing, LPHA will execute, as part of the MOU between the LPHA and CBO, the CBO’s requirements to immediately report presumptive Cases to LPHA, clearly define referral and wraparound service pathways and require regular communication between CBO and LPHA so services and payments are not duplicative. LPHA must communicate with the CBO OHA-funded CBOs about any changes that will affect coordination for wraparound services. , including when the LPHA is shifting to and from use any OHA-issued surge guidance. (b) . Work with local CBOs including culturally-specific organizations to develop and implement culturally and linguistically responsive approaches to COVID-19 prevention and mitigation of COVID-19 health inequities among populations most impacted by COVID-19, including but not limited to communities of color, tribal communities and people with physical, intellectual and developmental disabilities. (c) . Work with disproportionately affected communities to ensure COVID-19 related services, including case investigation, social services and wraparound supports are available to eligible individuals, and provided in a culturally and linguistically responsive staffing plan planmanner with an emphasis on serving disproportionately impacted communities. for Case investigations, contact tracing, social services and wraparound supports that meets community needs is in place. (d) . Ensure the cultural and linguistic needs and accessibility needs for people with disabilities or people facing other institutionalized barriers are addressed in the LPHA’s Case investigations, contact tracing, and in the delivery of social services and wraparound supports. (e) . Have and follow policies and procedures for meeting community members' language needs relating to both written translation and spoken or American Sign Language (ASL) interpretation. (f) . Employ or contract with individuals who can provide in-person, phone, and electronic community member access to services in languages and cultures of the primary populations being served based on identified language (including ASL) needs in the County demographic data. (g) . Ensure language access through telephonic interpretation service for community members whose primary language is other than English, but not a language broadly available, including ASL. (h) . Provide written information provided by OHA that is culturally and linguistically appropriate for identified consumer populations. All information shall read at the sixth-grade reading level. (i) . Provide opportunities to participate in OHA trainings to LPHA staff and LPHA contractors that conduct Case investigation, contact tracing, and provide social services and wraparound supports; trainings should be focused on long-standing trauma in Tribes, racism and oppression. (2) Testing (a) . LPHA must: Work with OHA regional testing field operations coordinator, local and regional partners including health care, communities disproportionately affected by COVID-19 and other partners to assure COVID-19 testing is available to individuals within the LPHA’s jurisdiction meeting current OHA criteria for testing and other local testing needs. (b) . Work with health care and other partners to ensure testing is provided in a culturally and linguistically responsive manner with an emphasis on making testing available to disproportionately impacted communities and as a part of the jurisdiction’s contact tracing strategy. (3) Case Investigation and Contact Tracing (a) . LPHA must: Conduct all Case investigations and mConduct high-risk Case investigations and monitor Outbreaks in accordance with Investigative Guidelines and any OHA-issued surge guidance. (b) . Enter all Case high-risk cCase investigation and Outbreak contact tracing data in Opera (for COVID-19 Cases) and Opera Outbreaks XXXXX (for COVID-19 contacts), as directed by XXX. (c) . Collect and enter all components of Race, Ethnicity, Language, and Disability (REALD) data for high risk cases being investigatedinterviewed if data are not already entered in OPERA and XXXXX. (d) . Ensure all LPHA staff designated to utilize Opera and XXXXX are trained in these this systems. Include in the data whether new high-risk positive Cases are tied to a known existing positive Case or to community spread. (e) . Conduct contact tracing in accordance with Investigative Guidelines and any applicable OHA-issued surge guidance. (f) . Have contact tracing staff that reflect the demographic makeup of the jurisdiction and COVID-19 cases within the jurisdiction and who can provide culturally and linguistically competent and responsive tracing services. In addition, or alternatively, enter into an agreement(s) with community-based and culturally- culturally-specific organizations to provide such contact tracing services. OHA grants with CBOs will count toward fulfilling this requirement. (g) . Ensure all contact tracing staff are trained in accordance with OHA investigative guidelines and data entry protocols. (h) . Attempt to follow up with at least 95% of Cases within 24 hours of notification. (4) Isolation and quarantine (a) . LPHA must: Maintain access to an isolation and quarantine location that is ready to be used. (b) . Facilitate efforts, including by partnering with OHA-funded CBOs and other community resources to link individuals needing isolation and quarantine supports such as housing and food. The LPHA will utilize existing resources when possible such as covered Case management benefits, WIC benefits, etc. (5) . Social services and wraparound supports. (6) Tribal Nation support. (7) Support infection prevention . LPHA must ensure social services referral and control tracking processes are developed and maintained and, to the extent the LPHA has sufficient resources, make available direct services as needed. LPHA must cooperate with CBOs and other community resources to provide referral and follow-up for highsocial services and wraparound supports for affected individuals and communities. OHA contracts with CBOs will count toward fulfilling this requirement. LPHA must ensure alignment of contact tracing and supports for patients and families by coordinating with Federally-risk populations. (a) recognized tribes if a patient identifies as American Indian/Alaska Native and/or a member of an Oregon Tribe, if the patient gives permission to notify the Tribe. LPHA must: Migrant and seasonal farmworker support. Partner with farmers, agriculture sector and farmworker service organizations to develop and execute plans for COVID-19 testing, quarantine and isolation, and social service needs for migrant and seasonal farmworkers. (b) . Congregate care facilities. In collaboration with State licensing agency, support infection prevention assessments, COVID-19 testing, infection control, and isolation and quarantine quarantinetransmission-based precautions protocols in congregate care facilities. High risk business operations. In collaboration with State licensing agencies, partner with food processing and manufacturing businesses to ensure adequate practices to prevent COVID-19 exposure, conduct testing and respond to Outbreaks. Vulnerable populations. Support COVID-19 testing, infection control, isolation and quarantine, and social services and wraparound supports for homeless houseless individuals, individuals residing in homeless houseless camps, individuals involved in the criminal justicecarceral system and other vulnerable populations at high risk for COVID-19.

Specific Work. In cooperation with OHA, the LPHA must collaborate with local and regional partners to assure adequate culturally and linguistically responsive COVID-19 testing is available to the extent resources are available. As outlined below, LPHAs must conduct culturally and linguistically appropriate Case investigation and contact tracing as outlined in the Investigative Guidelines and any applicable supplemental surge guidance to limit the spread of COVID-19. In addition, to the extent resources are available, the LPHA must assure individuals requiring isolation and quarantine have basic resources to support a successful isolation/quarantine period. OHA has entered into grant agreements with community-based organizations (CBOs) to provide a range of culturally and linguistically responsive services, including community engagement and education, contact tracing, social services and wraparound supports. Services provided by CBOs will complement the work of the LPHA. LPHA must conduct the following activities in accordance with the guidance to be provided by OHA: (1) Cultural and linguistic competency and responsiveness. (a) Partner with CBOs, including culturally-specific organizations where available in the jurisdiction. Enter into and maintain a Memorandum of Understanding (MOU) or similar agreement with those CBOs that have entered into a grant agreement with OHA for contact tracing and monitoring and/or social service and wraparound supports that clearly describes the role of the CBO and LPHA to ensure culturally and linguistically responsive services. OHA will share with LPHA the grant agreement and deliverables between OHA and the CBOs and the contact information for all the CBOs. If OHA’s grant with a CBO in the jurisdiction includes contact tracing, LPHA will execute, as part of the MOU between the LPHA and CBO, the CBO’s requirements to immediately report presumptive Cases to LPHA, clearly define referral and wraparound service pathways and require regular communication between CBO and LPHA so services and payments are not duplicative. LPHA must communicate with the CBO about any changes that will affect coordination for wraparound services, including when the LPHA is shifting to and from use any OHA-issued surge guidance. (b) Work with local CBOs including culturally-specific organizations to develop and implement culturally and linguistically responsive approaches to COVID-19 prevention and mitigation of COVID-19 health inequities among populations most impacted by COVID-19, including but not limited to communities of color, tribal communities and people with physical, intellectual and developmental disabilities. (c) Work with disproportionately affected communities to ensure a culturally and linguistically responsive staffing plan for Case investigations, contact tracing, social services and wraparound supports that meets community needs is in place. (d) Ensure the cultural and linguistic needs and accessibility needs for people with disabilities or people facing other institutionalized barriers are addressed in the LPHA’s Case investigations, contact tracing, and in the delivery of social services and wraparound supports. (e) Have and follow policies and procedures for meeting community members' language needs relating to both written translation and spoken or American Sign Language (ASL) interpretation. (f) Employ or contract with individuals who can provide in-person, phone, and electronic community member access to services in languages and cultures of the primary populations being served based on identified language (including ASL) needs in the County demographic data. (g) Ensure language access through telephonic interpretation service for community members whose primary language is other than English, but not a language broadly available, including ASL. (h) Provide written information provided by OHA that is culturally and linguistically appropriate for identified consumer populations. All information shall read at the sixth-grade reading level. (i) Provide opportunities to participate in OHA trainings to LPHA staff and LPHA contractors that conduct Case investigation, contact tracing, and provide social services and wraparound supports; trainings should be focused on long-standing trauma in Tribes, racism and oppression. (2) Testing (a) Work with OHA regional testing coordinator, local and regional partners including health care, communities disproportionately affected by COVID-19 and other partners to assure COVID-19 testing is available to individuals within the LPHA’s jurisdiction meeting current OHA criteria for testing and other local testing needs. (b) Work with health care and other partners to ensure testing is provided in a culturally and linguistically responsive manner with an emphasis on making testing available to disproportionately impacted communities and as a part of the jurisdiction’s contact tracing strategy. (3) Case Investigation and Contact Tracing (a) Conduct all Case investigations and monitor Outbreaks in accordance with Investigative Guidelines and any OHA-issued surge guidance. (b) Enter all Case investigation and contact tracing data in Opera (for COVID-19 Cases) and XXXXX (for COVID-19 contacts), as directed by XXXOHA. (c) Collect and enter all components of Race, Ethnicity, Language, and Disability (REALD) data if data are not already entered in OPERA and XXXXX. (d) Ensure all LPHA staff designated to utilize Opera and XXXXX are trained in these systems. Include in the data whether new positive Cases are tied to a known existing positive Case or to community spread. (e) Conduct contact tracing in accordance with Investigative Guidelines and any applicable OHA-issued surge guidance. (f) Have contact tracing staff that reflect the demographic makeup of the jurisdiction and COVID-19 cases within the jurisdiction and who can provide culturally and linguistically competent and responsive tracing services. In addition, or alternatively, enter into an agreement(s) with community-based and culturally- specific organizations to provide such contact tracing services. OHA grants with CBOs will count toward fulfilling this requirement. (g) Ensure all contact tracing staff are trained in accordance with OHA investigative guidelines and data entry protocols. (h) Attempt to follow up with at least 95% of Cases within 24 hours of notification. (4) Isolation and quarantine (a) Maintain access to an isolation and quarantine location that is ready to be used. (b) Facilitate efforts, including by partnering with OHA-funded CBOs to link individuals needing isolation and quarantine supports such as housing and food. food The LPHA will utilize existing resources when possible such as covered Case management benefits, WIC benefits, etc. (5) Social services and wraparound supports. (6) Tribal Nation support. (7) Support infection prevention and control for high-risk populations. (a) Migrant and seasonal farmworker support. Partner with farmers, agriculture sector and farmworker service organizations to develop and execute plans for COVID-19 testing, quarantine and isolation, and social service needs for migrant and seasonal farmworkers. (b) Congregate care facilities. In collaboration with State licensing agency, support infection prevention assessments, COVID-19 testing, infection control, and isolation and quarantine protocols in congregate care facilities.