To
coordinate local, State, and Federal resources contributing to primary
care service delivery and workforce issues in the State to meet
the needs of medically-underserved populations through health centers
and other community-based providers of comprehensive primary care
and the retention, recruitment, and oversight of health professions
for medically underserved populations.
TYPES
OF ASSISTANCE:
Project Grants. Place Cursor Here for Definition
USES
AND USE RESTRICTIONS:
Recipients
will be expected to perform State-wide primary care planning and
resource coordination, including Medicaid, Children's Health Insurance
program, State Offices of Rural Health, Ryan White Area Health Education
Centers, Maternal and Child Health, etc.; support health systems
development, primary care practitioners retention and recruitment,
National Health Services Corps monitoring activities, as well as
activities relating to other special populations including rural
populations; and conduct operational and administrative support
activities.
ELIGIBILITY
REQUIREMENTS:
Applicant
Eligibility: Cooperative agreements will be
made to a State, State agency, or other statewide public or nonprofit
entity that operates solely within one State.
Beneficiary
Eligibility: Medically underserved populations
within States will benefit from this program.
Credentials/Documentation:
Costs will be determined in accordance with OMB Circular No. A-87
for State and local governments. For other grantees, costs will
be determined in accordance with DHHS Regulations 45 CFR 74, Subpart
Q.
Pre-application
Coordination: Not applicable. This program is
excluded from coverage under E.O. 12372, "Intergovernmental Review
of Federal Programs."
Application
Procedure: Informal inquiries regarding the
program and intent to submit an application should be directed
to the Regional Office serving the State in which the applicant
is located. The standard application forms, as furnished by PHS
and required by 45 CFR 92 for State and local governments, must
be used for this program. Application is made by the submission
of the standard PHS application. Application kits are obtained
by writing to the HRSA Grants Application Center, 901 Russell
Avenue, Suite 450, Gaithersburg, MD 20879. This program is subject
to the provisions of 45 CFR for State and local governments and
45 CFR 74 for nonprofit organizations.
Award
Procedure: Applications are reviewed first
by the Field Office serving the State in which the applicant is
located and by the Bureau of Health Professions and the Bureau
of Primary Health Care. Applications are reviewed for merit and
are recommended for approval or disapproval. Final decisions are
made jointly by the Associate Administrator for Health Professions
and the Associate Administrator for Primary Care.
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 the initial award is made, projects may
be renewed annually depending upon 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 expenditure 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 $9,954,115; FY 02 est $9,644,238; and FY 03 est
$9,644,238.
Range
and Average of Financial Assistance:
From $100,000 to $500,000. Average: $185,466.
In fiscal year 2001, 52 applicants were funded. In fiscal year 2002,
it is estimated that 53 applicants will be funded and it is anticipated
that 53 continuation awards will be funded in fiscal year 2003.
REGULATIONS,
GUIDELINES, AND LITERATURE:
Pertinent information may be obtained by contacting the appropriate
Regional Office. PHS Grants Policy Statement, DHHS Publication No.
(OASH) 94-50,000, (Rev.) April 1, 1994.
INFORMATION
CONTACTS:
Regional
or Local Office: Contact appropriate HRSA Field
Office.
Headquarters
Office: Program Contacts: Director, Division
of State, Community and Public Health, Health Resources and Services
Administration, Public Health Service, Department of Health and
Human Services, 5600 Fishers Lane, Room 9-105, Rockville, Maryland
20857. Telephone: (301) 443-1648. Grants Management Contact: Office
of Grants Management, Bureau of Health Professions, Public Health
Service, Department of Health and Human Services, 5600 Fishers
Lane, Room 8C-26, Rockville, Maryland 20857. Telephone 301-443-6880.
Use the same numbers for FTS.
Web
Site Address: http://www.hrsa.gov
EXAMPLES
OF FUNDED PROJECTS:
A State health department was engaged in the following: statewide
primary care planning and resource coordination, including coordination
with Medicaid, Children's Health Insurance Program, Ryan White Program
Area Health Education Centers, Maternal and Child Health and State
Offices of Rural health, health systems development; National Health
Service Corps monitoring activities, and perinatal activities.
CRITERIA
FOR SELECTING PROPOSALS:
Applicants will be evaluated in the following areas: (1) Ability
to assess and analyze the State's health policy environment, its
unmet need for preventive and primary care services, its health
care marketplace and its major disparities in health outcomes; and
(2) develop and implement strategies and activities to effectively
assist health centers and NHSC delivery sites in their response
to these State environmental conditions.
