To
improve access to health and other services for individuals with
TBI and their families.
TYPES
OF ASSISTANCE:
Project Grants. Place Cursor Here for Definition
USES
AND USE RESTRICTIONS:
Project grants to States
to improve access to health and other TBI-related services for people
of all ages is established within HRSA. Any State seeking TBI grant
funds is required to agree to establish or have an advisory board
within the appropriate health department of the State or within
another department as designated by the Chief Executive Officer
of the State. The Board's composition as specified must include
representatives of the involved State agencies; public and nonprofit
private health related organizations; disability advisory or planning
groups; members of an organization or foundation representing individuals
with TBI; State and local injury control programs if they exist,
and a substantial number of individuals with TBI and/or their family
members. There are three categories of project grants: (1) State
planning grants, (2) State implementation grants and (3) Post Demonstration
grants. The State planning grants are intended to support the development
of four core capacity components to provide State TBI infrastructure.
State implementation grants are intended for States that have the
four core capacity components in place. These grants support activities
that represent the next logical step(s) in building a statewide
system to assure access to comprehensive and coordinated TBI services.
Implementation grants can address a wide range of activities and
should reflect gaps or needed system change identified through the
statewide TBI needs assessment. TBI Post Demonstration grants allow
for new projects for activities previously begun in a State's Implementation
grant.
ELIGIBILITY REQUIREMENTS:
Applicant Eligibility:
Only State governments are eligible to apply for funding under the
TBI grant program. The application for implementation funds may
only come from the State agency designated as the lead for TBI services.
While planning grant applications may emanate from an agency or
office within the State responsible for planning and/or program
coordination, Post Demonstration application may only come from
State's that have completed a 3 year Implementation grant. The involvement
of the State maternal and child health program in both grant categories
is expected. Only one application from each State may enter the
review process and be considered for an award under this program.
Beneficiary Eligibility:
State TBI organizations will benefit.
Credentials/Documentation:
The basis for determining the allowance and allocability of costs
charged to Health Resources and Services Administration grants
is set forth in DHHS Regulations 45 CFR 92, Subpart C, for State
and local governments. Cost will be determined in accordance with
OMB Circular No. A-87 for State and local governments.
Pre-application
Coordination: 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.
Application Procedure:
Application is made by submitting the standard PHS application
form, PHS-5161-1. The standard application forms, as furnished
by PHS and required by 45 CFR, 92 must be used for this program.
Application kits are obtained by writing to the HRSA Grants Application
Center, 901 Russell Avenue, Suite 450, Gaithersburg, MD 20879.
Contact: HRSA Grants Application Center. Telephone: 1-877-477-2123;
FAX Number: 1-877-477-2345; E-mail address: HRSAGAC@hrsa.gov.
Award Procedure:
Applications are reviewed by a peer review committee of experts
and persons with TBI or their family members who are generally
nongovernmental. Applications are reviewed based on their merit,
recommended for approval or disapproval, and ranked according
to a point score. Final decisions are made by the Associate Administrator,
Maternal and Child Health Bureau.
Deadlines:
Contact the HRSA Grants Application Center for application deadlines.
Range of Approval/Disapproval
Time: Final decisions are made approximately
2 to 3 months after receipt of applications.
Appeals:
Not applicable.
Renewals:
No renewals; grants are approved for 1 year.
ASSISTANCE CONSIDERATIONS:
Formula and Matching
Requirements: States must make available nonfederal
cash or in-kind matching funds in an amount that is not less than
$1 for each $2 of Federal funds provided under the grant.
Length and Time Phasing
of Assistance: Awards are made annually in
accordance with the project period method of awarding grants.
Payments are made through a Letter of Credit or Cash Demand System.
Project periods are for 1 year.
POST ASSISTANCE REQUIREMENTS:
Reports:
Annual program reports, financial status reports, program service
reports, and special reports must be submitted as required.
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, 45 CFR 74.26 requires that
for-profit recipients and subrecipients have an audit performed
in accordance with Government Auditing Standards or Circular No.
A-133.
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 $4,800,588; FY 02 est $7,500,000; and FY 03 est
$7,500,000.
Range
and Average of Financial Assistance:
Up to 15 implementation grants not to exceed $200,000 per
grant for 3 years. Up to 10 planning grants are awarded. These
grants are up to $75,000 for 2 years. Up to 8 Post Demonstration
grants are awarded up to $100,000 per year.
In fiscal year 2001, 45
total projects were funded. It is estimated that between 28 and
45 total projects will be supported in fiscal years 2002 and 2003.
The goal of the TBI State grant program is to assure all States
and Territories have TBI infrastructure.
REGULATIONS, GUIDELINES, AND
LITERATURE:
Pertinent information
may be obtained by contacting the Maternal and Child Health Bureau,
Grants Management Branch, Room 18-12, Parklawn Building, 5600 Fishers
Lane, Rockville, MD 20857. Telephone: (301) 443-1440.
INFORMATION CONTACTS:
Regional or Local
Office: Not applicable.
Headquarters Office:
Program Office Contact: Betty Hastings, MSW, Division of Child,
Adolescent and Family Health, Maternal and Child Health Bureau,
Health Resources and Services Administration, Department of Health
and Human Services, Room 18A-38, 5600 Fishers Lane, Rockville,
MD 20857. Telephone: (301) 443-5599, Email: bhastings@hrsa.gov.
Grants Management Contact: Grants Management Branch, Maternal
and Child Health Bureau, Health Resources and Services Administration,
Department of Health and Human Services, Room 18-12, Parklawn
Building, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301)
443-1440. Use the same number for FTS.
Web Site Address: http://www.hrsa.gov
EXAMPLES OF FUNDED PROJECTS:
New York State Traumatic
Brain Injury (TBI) Program for Culturally Competent TBI Services
in NY City, Arizona KIDS with TBI, Oregon TBI Link Improving Access
to Services for Individuals with TBI and Alabama an Interactive
Community Based Model for Children with TBI.
CRITERIA FOR SELECTING PROPOSALS:
Applications are reviewed
by nonfederal consultants who make recommendations to the Secretary
of the Department. The Secretary will approve projects which best
promote the purposes of TBI demonstration grants. Review criteria:
The following review criteria apply to the State planning grant:
(1) The strength of the required statewide advisory board; (2) the
adequacy of the State's proposed method for developing a statewide
needs assessment; (3) the adequacy of the State's proposed method
for linking its plan of action to the findings of the statewide
needs assessment; (4) the extent to which the proposal reflects
the involvement of necessary public/private organizations and agencies
to assure a comprehensive approach; (5) the qualifications and experience
established for the designated lead person for TBI within the State;
(6) the reasonableness of the proposed budget, soundness of the
arrangements for fiscal management, effectiveness of use of personnel
and likelihood of project completion within the proposed grant period;
and (7) the adequacy of proposed methodology to assure that full
core capacity is developed during the grant period. The following
review criteria apply to the State implementation grant: (1) the
adequacy of the State's evidence that the four components for core
capacity are in place; (2) the relevance of the goals and objectives
to the identified needs described in the statewide needs assessment;
(3) the soundness of the plan for evaluating progress in achieving
project objectives and outcomes; (4) the adequacy of the plan for
organizing and carrying out the project; (5) the extent to which
the involvement and participation of TBI survivors, families, and
organizations are considered in project implementation; (6) the
extent to which the project involves a multi-disciplinary and multi-system
approach to TBI development; and (7) the adequacy of the plan for
sustaining the proposed project. An application for a Protection
and Advocacy Grant will be evaluated by an objective review panel.
Based on the quality of the responses, an application may receive
up to 100 points on the following review criteria: (1) A plan to
enable the P&A system to provide services for individuals with TBI
and their families. The proposed services. The balance of individual
TBI cases and systemic work. Recognition of the unique needs of
the area. (2)A comprehensive approach to collaboration, partnership
and outreach. Established relationships with the brain injury community.
The evidence and breadth of collaboration demonstrated in the narrative
and letters of support. Participation with the State TBI State grant
project if one exists. (3) A demonstrated knowledge of the needs
of individuals with TBI and their families. The State P&A have committed
Financial and human resources towards improving the services for
individuals for TBI and their families. The roles, responsibilities
and skills of the project staff are sufficient to meet the goals
and objectives of the project within the proposed time period. The
project management plan is reasonable and will build State P&A capacity.
(4) Project Evaluation: The methodology that will be used to achieve
the goals and objectives of the project. The strength of the evaluation
plan for the project.
