To
support the development and operation of health centers which provide
preventive and primary health care services, supplemental health
and support services and environmental health services to medically
underserved areas/populations. Priorities will be focused on providing
services in the most medically underserved areas and maintaining
existing centers which are serving high priority populations. Centers
must have demonstrated sound capacities in the following areas:
fiscal and management capabilities; monitoring and assessment of
project performance; development and implementation of mechanisms
for improving quality of care; and maximization of third-party reimbursement
levels, through improved project administration and management.
TYPES
OF ASSISTANCE:
Project Grants. Place Cursor Here for Definition
USES
AND USE RESTRICTIONS:
Applications
should be designed to improve the availability, accessibility and
organization of health care within medically underserved communities.
ELIGIBILITY
REQUIREMENTS:
Applicant
Eligibility: Public or nonprofit private agency,
institution, or organization and a limited number of State and local
governments. Profit-making organizations are not eligible.
Beneficiary
Eligibility: Population groups in medically
underserved areas.
Credentials/Documentation:
Costs will be determined in accordance with OMB Circular No. A-87
for State and local governments. For others, costs will be determined
in accordance with DHHS Regulations, 45 CFR, Part 74, Subpart
Q.
Pre-application
Coordination: Necessary coordination varies;
Contact the HRSA Field Offices for details. 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. This
program is subject to the requirements of the Public Health System
Impact Statement.
Application
Procedure: Application forms are available
from the Field Offices. The standard application forms, furnished
by HRSA and required by 45 CFR, Part 92, must be used by State
and local government applicants. State and local governments must
prepare a Form DHHS 5161, Application for Federal Assistance (Nonconstruction),
fully documenting the need for the grant and the proposed amount
for the project. Other nonprofit organizations must complete Form
PHS-5194, Grant Application for Health Services, documenting the
need for and the proposed amount of the grant. Applications must
be given to designated organizations for review and approval.
This program is subject to the provisions of 45 CFR, Part 92 for
State and local governments, and 45 CFR Part 74 for nonprofit
organizations. Applications are subject to review pursuant to
45 CFR 100.
Award
Procedure: HRSA Field Offices review continuation
applications. Final decisions are made by the Director of the
Bureau of Primary Health Care, Health Resources and Services Administration.
Deadlines:
Contact Headquarters Office for application deadlines.
Range
of Approval/Disapproval Time: From 90 to 120
days.
Appeals:
None.
Renewals:
Renewals are subject to review pursuant to 45 CFR 100.
ASSISTANCE
CONSIDERATIONS:
Formula
and Matching Requirements: This program has
no statutory formula. The applicant must assume part of the project
costs determined on a case-by-case basis. Statement of availability
is required as indicated in the appropriate program.
Length
and Time Phasing of Assistance: The initial
period of support may be up to 5 years. The project may be renewed
for additional years of support based on its progress and the
need for additional Federal support.
POST
ASSISTANCE REQUIREMENTS:
Reports:
All grantees must submit a financial status report 90 days after
the end of each budget period and a final financial status report
90 days after the end of the project period. Basic data, cost accounting,
and reporting or monitoring systems will be compatible with federally
established national reporting requirements for health services
delivery projects.
Audits:
In accordance with the provisions of OMB Circular No. A- 133 (Revised,
June 24, 1997), "Audits of States, Local Governments, and Non-Profit
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
government officials.
Records:
DHHS and the Comptroller General of the United States or any of
their authorized representatives, shall have the right of access
to any books, documents, papers, or other records of a grantee,
subgrantee, contractor, or subcontractor, which are pertinent
to the DHHS grant, in order to make audits, examinations, excerpts
and transcripts. Grantees are required to maintain grant accounting
records 3 years after the end of a budget period. If any litigation,
claim, negotiation, audit or other action involving the records
has been started before the expiration of the 3-year period, the
records shall be retained until completion of the action and resolution
of all issues which arise from it, or until the end of the regular
3-year period, whichever is later.
FINANCIAL
INFORMATION:
Account
Identification: 75-0350-0-1-550.
Obligations:
FY 01 $1,055,456,000; FY 02 est. $1,215,456,000; and FY 03 est.
$1,317,456,000.
Range
and Average of Financial Assistance: From $45,000 to $8,827,000; average of $1,364,000.
The main purpose of Section 330 has been to support the development
and operation of health centers which provide preventive and primary
health care services to underserved populations. In addition, the
Bureau of Primary Health Care identifies the most needy communities/populations
through State-based planning activities. In fiscal year 2001, approximately
774 health centers were funded, providing services at over 3,300
sites to an estimated 10.5 million people. Growth is projected to
be approximately 1.25 million additional health center patients
in FY 2002 and another one million patients in FY 2003.
REGULATIONS,
GUIDELINES, AND LITERATURE:
PHS Grants Policy Statement, DHHS Publication No. (OASH) 94-50,000,
(Rev.) April 1, 1994; 42 CFR 51 C.
INFORMATION
CONTACTS:
Regional
or Local Office: Contact the HRSA Offices of
Field Coordination.
Headquarters
Office: Program Contact: Director, Division
of Community and Migrant Health, Bureau of Primary Health Care,
Health Resources and Services Administration, Department of Health
and Human Services, 7th Floor, 4350 East-West Highway, Bethesda,
MD 20814. Telephone: (301) 594-4300. Grants Management Contact:
Office of Grants Management, Bureau of Primary Health Care, Health
Resources and Services Administration, Department of Health and
Human Services, 11th Floor, 4350 East-West Highway, Bethesda,
MD 20814. Telephone: (301) 594-4235. Use the same numbers for
FTS. Web site: www.bphc.hrsa.gov.
Web
Site Address: http://www.bphc.hrsa.gov
EXAMPLES
OF FUNDED PROJECTS:
(1) Health centers; (2) health networks to support systems of care.
CRITERIA
FOR SELECTING PROPOSALS:
(1) Relative merit of grant proposals as measured against the Bureau's
funding criteria; (2) specific program guidelines; (3) service to
high priority population; (4) demonstrated sound fiscal and management
capabilities: and (5) past management performance of the applicant.
