Content provided by the Catalog of Federal Domestic Assistance
Indian Health Service_Health Management Development Program
HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES
Law 83-568, 42 U.S.C. 2001-2004a; Indian Self-Determination and
Education Assistance Act, Section 104 (b), Public Law 93-638, 25
U.S.C. 450; Section 9, Public Law 98-250; Public Law 100- 472.
improve the quality of the health of American Indians and Alaska
Natives by providing a full range of curative, preventive and rehabilitative
health services; and to improve the management capability of American
Indians and Alaska Natives to assume operation of all or part of
an existing Indian Health Service (IHS) direct-operated health care
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AND USE RESTRICTIONS:
The assistance is used
for six types of management related projects: (1) Feasibility Studies;
(2) Planning; (3) Tribal Health Management Structure Development;
(4) Evaluation; (5) Technical Assistance; and (6) Federal Programs
Analysis. Tribal management grants may not be used to support operational
programs, or to supplant existing public and private resources.
This assistance is available to federally-recognized Indian tribes
and tribal organizations.
Federally-recognized tribes and tribal organizations.
APPLICATION AND AWARD PROCESS:
Individuals who are members of an eligible applicant tribe, band,
or group or village and who may be regarded as within the scope
of the Indian health and medical service program and who are regarded
as an Indian by the community in which he lives as evidenced by
such factors as tribal membership, enrollment, residence on tax
exempt land, ownership of restricted property, active participation
in tribal affairs or other relevant factors in keeping with general
Bureau of Indian Affairs practices in the jurisdiction.
Certification of Native Indian or Alaskan descent is required
for direct services. Provisions of grants under Public Law 93-638
and its amendments require tribal endorsement in the form of a
Resolution to sanction tribal participation. Costs will be determined
in accordance with OMB Circular No. A-87 for State and local governments
(and Circular No. A-122 for Nonprofit Organizations) as implemented
through program regulations 42 CFR 36 and applicable grant administration
regulations 45 CFR, Part 92, (45 CFR 74 for nonprofit organizations).
Coordination: An applicant under Public Law
93-638 seeking to serve more than one tribe must have approval of
each tribe involved. This program is excluded from coverage under
The standard application forms, as furnished by IHS and required
by 45 CFR 92 for State and local governments, must be used for
this program. Applications under Public Law 93-638 to staff and
manage health services and facilities may be submitted to respective
IHS Area Office. Tribal Management Program is processed and administered
by IHS Headquarters. This program is subject to the provisions
of 45 CFR 92 for Indian tribes and OMB Circular No. A-110, if
applicant is a nonprofit tribal organization.
Grants are awarded on a competitive basis with processing and
final approval by Headquarters.
For Public Law 93-638 grants applications must be submitted 90
days prior to the proposed project start date. Specific types
of grant projects may have specific deadlines imposed. Contact
Headquarters Office for application deadlines.
Range of Approval/Disapproval
Time: 90 days. Grants are approved/disapproved
within ninety (90) days from receipt of application/proposal in
Grant appeals will follow PHS appeals procedures: 42 CFR, Part
50, Subpart D and DHHS appeals procedures: 45 CFR 16.
Renewal of grants is on a year-to-year basis and requires the
submission of continuation applications.
Formula and Matching
Requirements: This program has no statutory
formula or matching requirements.
Length and Time Phasing
of Assistance: Not applicable.
POST ASSISTANCE REQUIREMENTS:
Public Law 93-638, grants are subject to Regulations in November
14, 1975, Federal Register, Vol. 40, No. 221; and administrative
requirements under 45 CFR, Part 92 for grants to Indian Tribes and
45 CFR, Part 74 to nonprofit tribal organizations.
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
HHS 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 HHS grant, in order to make audits, examinations, excerpts
and transcripts. In accordance with 45 CFR 92.42, grantees are
required to maintain grant records 3 years after they submit their
final expenditure report. 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 must 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.
(Grants) Tribal Management: FY 01 $2,311,000; FY 02 est $2,306,000;
and FY 03 est $2,000,000. Health Services: FY 01 $3,642,793; FY
02 est $3,000,000; and FY 03 est $3,000,000.
and Average of Financial Assistance:
$50,000 - $100,000 Range; $100,000 Average.
In fiscal year 2001, 24
new and 5 continuing tribal management projects were awarded; in
fiscal year 2002, 13 new and 12 continuing tribal management projects
will be awarded; and in fiscal year 2003, an estimated 20 to 25
new and continuing tribal management project grants will be made.
In fiscal year 2001, 20 continuing health services projects were
awarded; in fiscal years 2002 and 2003, an estimated 20 continuing
projects will be funded.
REGULATIONS, GUIDELINES, AND
42 CFR 36; 45 CFR 92 and
45 CFR 74, PHS Grants Policy Statement, DHHS Publication No. (OASH)
94- 50,000, (Rev.) April 1, 1994; Program Guidelines for Competitive
Regional or Local
None. Program: Ms. Michelle Eaglehawk, Deputy Director, Office of Direct and Service Contract Tribes, Indian Health Service, 5600 Fishers Lane, Mail Stop: 08E20, Rockville, MD 20857, Phone: (301) 443-1104;
Grants Management Contact: Mr. Robert Tarwater, Director, Division of Grants Management, Indian Health Service, 5600 Fishers Lane, Mail Stop 09E70, Rockville, MD 20857. Telephone: (301) 443-5204, Fax (301) 594-0899.
Grants Policy Office 5600 Fishers Lane, Mail Stop: 09E70, Rockville, Maryland 20857 Email: firstname.lastname@example.org Phone: 301-443-5204
Web Site Address:
EXAMPLES OF FUNDED PROJECTS:
The development of: (1)
A management structure (2) an evaluation of tribal health programs;
(3) a feasibility study and comprehensive health plan; (4) a management
information system; (5) technical assistance; (6) a development
of financial/management systems for Public Law 93-638 programs;
and (7) a Federal program analysis.
CRITERIA FOR SELECTING PROPOSALS:
(1) The apparent capability
of the applicant to organize and manage the proposal project successfully
considering the adequacy of staff, management systems, equipment
and facilities; (2) the soundness of the applicant's plan for conducting
the project and for assuring effective utilization of grant funds;
(3) the adequacy of the budget in relation to the scope of the project
and available funds; and (4) the relative effectiveness of the applicant's
plan to carry out each of the requirements as set forth in the application.