To
provide assistance to health centers and NHSC delivery sites across
the state or region in the following areas: (1) Collaborative activities
on State, regional, or market area levels; (2) involvement of state
agencies in assuring primary care to medically underserved populations;
(3)development of shared services and joint purchasing arrangements;
(4) provision of, or arrangement for, training, assessment of community
health center needs, expertise in dealing with homeless, public
housing, farm workers, children, rural health and other special
populations, and management and maximization of nonfederal resources;
and (5) expanding the health center network and ensuring high quality
in health centers.
TYPES
OF ASSISTANCE:
Project Grants. Place Cursor Here for Definition
USES
AND USE RESTRICTIONS:
Recipients
will be expected to provide certain technical and non-financial
assistance to health centers and NHSC delivery sites.
ELIGIBILITY
REQUIREMENTS:
Applicant
Eligibility: Eligible applicants are private
nonprofit entities, including State and regional primary care associations,
and a limited number of public agencies.
Beneficiary
Eligibility: This program will benefit medically
underserved populations.
Credentials/Documentation:
For other grantees, costs will be determined in accordance with
DHHS Regulations 45 CFR 74 for nonprofit applicants.
Pre-application
Coordination: Preapplication Coordination is
not required. This program is eligible for coverage under E.O. 12372,
"Intergovernmental Review of Federal Programs." An applicant should
consult the office or official designated as the single point of
contact in his or her State for more information on the process
the State requires to be followed in applying for assistance, if
the State has selected the program for review. Informal inquiries
regarding the program and intent to submit an application should
be directed to the Director, Office of State and National Partnerships
of the Bureau of Primary Health Care for Health Resources and Services
Administration.
Application
Procedure: Application kits are obtained by
writing to the HRSA Grants Application Center, 50 East Gude Drive,
Rockville, MD, 20850.
Award
Procedure: Applications are reviewed by the
HRSA Field Office serving the State where the applicant is located
and by the Bureau of Primary Health Care. Applications are reviewed
for merit and are recommended for approval or disapproval. Final
decisions are made by the Associate Administrator (Director of
the Bureau of Primary Health Care), Health Resources and Services
Administration.
Deadlines:
Contact the appropriate HRSA Field Office for further information.
Range
of Approval/Disapproval Time: From 90 to 120
days.
Appeals:
Applicants may revise and resubmit applications.
Renewals:
Support is recommended for a specified project period, not in
excess of 5 years. After initial awards are made, projects may
be renewed annually depending on the submission and approval of
a satisfactory application.
ASSISTANCE
CONSIDERATIONS:
Formula
and Matching Requirements: There are no statutory
formula or matching requirements.
Length
and Time Phasing of Assistance: Awards are
made annually. After awards are issued, funds are released in
accordance with DHHS payment procedures, which may be through
an Electronic Transfer System or a Monthly Cash Request System.
POST
ASSISTANCE REQUIREMENTS:
Reports:
Semi-annual program reports, financial status reports, and special
reports are required as requested.
Audits:
In accordance with the provisions of OMB Circular No. A- 133 (Revised,
June 24, 1997), "Audits of States, Local Governments, and Nonprofit
Organizations," nonfederal entities that expend financial assistance
of $300,000 or more in Federal awards will have a single or a
program-specific audit conducted for that year. Nonfederal entities
that expend less than $300,000 a year in Federal awards are exempt
from Federal audit requirements for that year, except as noted
in Circular No. A-133. In addition, grants and cooperative agreements
are subject to inspection and audits by DHHS and other Federal
officials.
Records:
Financial records must be kept available for 3 years after the
submission of financial status reports, and 3 years after the
final disposition of non-expendable property. If questions remain,
such as those raised as a result of an audit, records must be
retained until the problem is resolved.
FINANCIAL
INFORMATION:
Account
Identification: 75-0350-0-1-550.
Obligations:
(Grants) FY 01 $24,889,566; FY 02 est $22,000,000; and FY 03 est
$22,000,000.
Range
and Average of Financial Assistance:
From $175,000 to $771,000. Average: $378,000.
In fiscal year 2001, 50 organizations were funded. It is estimated
that 50 awards will be made in fiscal year 2002. It is expected
that 50 associations will be funded in fiscal year 2003.
REGULATIONS,
GUIDELINES, AND LITERATURE:
Pertinent information may be obtained by contacting the appropriate
HRSA Field Office.
INFORMATION
CONTACTS:
Regional
or Local Office: Contact the appropriate HRSA
Field Office or the Director, Office of State and National Partnerships
of the Bureau of Primary Health Care, HRSA.
Headquarters
Office: Program Contact: Director, Office
of State and National Partnerships, Bureau of Primary Health Care,
Health Resources and Services Administration, Public Health Service,
Department of Health and Human Services, 4350 East-West Highway,
3rd Floor, Bethesda, MD 20814. Telephone: (301) 594-4488. Grants
Management, Office of Grants Management, Bureau of Primary Health
Care, Health Resources and Services Administration, Public Health
Service, Department of Health and Human Services, 4350 East-West
Highway, 11th Floor, Bethesda, MD 20814. Telephone: (301) 594-4235.
Use the same numbers for FTS.
Web
Site Address: http://www.hrsa.gov
EXAMPLES
OF FUNDED PROJECTS:
A grant to a State regional primary care association for any or
all of the following activities: (1)Managing the growth and quality
of health centers; (2)supporting the use of State resources (including
Medicaid, Children's Health Insurance Program, Maternal and Child
Health and Special Population funding) for primary care purposes
to medically underserved populations; (3)assisting Health Centers
in preparing their applications for Federal, State and local funding;
(4)providing training and technical assistance in management and
governance; (5)developing shared services and joint purchasing agreements
for health centers and other safety net providers; (6) assisting
health centers, NHSC delivery sites and other similar providers
in retaining and recruiting primary care providers; (7) promoting
partnerships with State and local health departments, State Offices
of Rural Health, Area Health Education Centers, Ryan White programs,
Maternal and Child Health programs, hospitals, specialty and social
service providers and residency programs; (8) coordinating activities
with National Health Service Corps State loan repayment activities,
and other State health profession loan repayment/scholarship programs
and encouraging students to pursue careers in primary care; and
(9) planning and developing resources for activities in support
of pregnant women and children as well as activities targeted towards
special needs populations such as the homeless, substance abusers,
HIV-infected individuals, rural populations, the elderly and migrant/seasonal
farmworkers.
CRITERIA
FOR SELECTING PROPOSALS:
Applicants for funding under Sections 330 and 333 to provide technical
and non-financial assistance to health centers and NHSC delivery
sites will be evaluated on their ability to perform State-specific
activities in the following areas: (1) Assess and analyze the State's
health policy environment, its unmet for preventive and primary
care services, its marketplaces as well as its major disparities
in health outcomes; and (2) develop strategies and activities to
effectively assist health centers and NHSC delivery sites in their
response to these State environmental conditions.
