To assist communities and consortia of health care
providers to develop the infrastructure necessary to fully develop or
strengthen integrated health care systems of care that coordinate health
services for the uninsured.
TYPES OF ASSISTANCE:
Project Grants. Place Cursor Here for Definition
USES AND USE RESTRICTIONS:
Examples of activities that could be supported with this
funding include: (1) Offering a comprehensive delivery system for the
uninsured and underinsured through a network of safety net providers (single
registration, eligibility systems); (2) integrating preventive, mental health,
substance abuse, HIV/AIDS, and maternal and child health services within the
system (Block Grant funded services, other DHHS programs, State and local
programs); (3) developing a shared information system among the community's
safety net providers (tracking, case management, medical records, financial
records); (4) developing and incorporating shared clinical protocols, quality
improvement systems, utilization management systems, and error prevention
systems; (5) sharing core management functions (finance, purchasing,
appointment systems); (6) coordinating and strengthening priority services to
specific targeted patient groups; (7) developing affordable pharmaceutical
services. Funding provided through this program may not be used to substitute
for or duplicate funds currently supporting similar activities. Grant funds
may support costs such as: (1) Project staff salaries; (2) consultant support;
(3) management information systems (e.g. hardware and software); (4) project
related travel; (5) other direct expenses necessary for the integration of
administrative, clinical, and information systems, of financial functions; and
(6) program evaluation activities. With appropriate justification on why funds
are needed to support the following costs up to 15 percent of grant funds may
be used for: (1) Alteration or renovation of facilities; (2) primary care site
development; (3) service expansions or direct patient care. Grant funds may
not be used for: (1) Construction; (2) reserve requirements for State
insurance licensure. Twenty million is available for up to 20 communities to
further their development of integrated delivery systems for the uninsured.
Approximately 95 percent will be used for discretionary activities. Grants
will vary in size based on the scope of the project and the size of the
service area.
ELIGIBILITY REQUIREMENTS:
Applicant Eligibility: Applications may be
submitted by the public, private, and nonprofit entities who demonstrate a
commitment to and experience with providing a continuum of care to uninsured
individuals. Each applicant must represent a community-wide coalition that is
committed to the project and includes safety net providers (where they exist)
that have traditionally provided care to the community's uninsured and
underinsured regardless of ability to pay. The community-wide coalition must
consist of partners from all levels of care (i.e., primary, secondary,
tertiary) and partners who represent a range of services (e.g., mental health
and substance abuse treatment, maternal and child health care, oral health,
HIV/AIDS). Examples of eligible applicants that may apply on behalf of the
community-wide coalition include but are not limited to: (1) A consortium or
network of providers (e.g. public and charitable hospitals; community,
migrant, homeless, public housing, and school-based health centers; rural
health clinics; free health clinics; teaching hospitals and health professions
education schools); (2) local government agencies (e.g., local public health
departments with service delivery components); (3) Tribal governments; (4)
managed care plans or other payers (e.g., HMOs, insurance companies); (5)
agencies of State governments, multi-state health systems, or special interest
groups may submit applications on behalf of multiple communities if they
demonstrate the ability to coordinate community health care delivery systems
and bring resources to the community. Competing applications for the same
patient population will not be considered for funding; therefore, applicants
from the same community should collaborate.
Beneficiary Eligibility:
Examples of eligible beneficiaries include but are not limited to: (1) A
consortium or network of providers (e.g., public and charitable hospitals;
community, migrant, homeless, public housing, and school-based health centers;
rural health clinics; free health clinics; teaching hospitals and health
professions education schools); (2) local government agencies (e.g., local
public health departments with service delivery components); (3) tribal
governments; (4) managed care plans or other payers (HMOs, insurance
companies); and (5) agencies of State governments, multi-state health systems,
or special interest groups may submit applications on behalf of multiple
communities if they demonstrate the ability to coordinate community health
care delivery systems and bring resources to the community.
Pre-application Coordination: There will be one
pre-application workshop conducted in Chicago in February. There will be a
pre-application conference call for those who are unable to attend the Chicago
meeting. Consultation and assistance will be available at the workshop and on
the conference call to aid in preparing a competitive grant application. This
program is excluded from courage under E.O. 12372.
Application Procedure:
Application kits (i.e., application instructions, necessary forms, and
application review criteria) will be available through the HRSA Grants
Application Center. Interested applicants must complete all forms included in
the kit and mail their completed applications to the HRSA GAC. The HRSA GAC
will then send applications to the CAP Program Office for an eligibility and
conformance review.
Award Procedure: Each of
the applications will undergo an eligibility and conformance review by Federal
staff at the CAP Program Office. Applications that have passed the eligibility
and conformance review will be assigned to members of an Objective Review
Committee (ORC) who will review them based on the evaluation criteria listed
in the application guidance. The results of the ORC reviews will be shared
with the HRSA Administrator and Secretary of HHS, who will make the final
decisions.
Deadlines: Applications
are due on May 7, 2003.
Range of Approval/Disapproval Time:
The time required for the applications to be approved or disapproved is 90
days (July thru September 30, 2002). Applications will be reviewed between
June 26 thru 28, 2002. Site visits to selected applicants will be conducted in
July/August, 2002. Grant awards will be announced in September, 2002.
Appeals: None.
Renewals: None.
ASSISTANCE CONSIDERATIONS:
Formula and Matching Requirements: This program has
no statutory formula.
Length and Time Phasing of Assistance:
Awards will be made as a lump sum.
POST ASSISTANCE REQUIREMENTS:
Reports: Awardees must provide data as required by
the CAP national evaluation program.
Audits: None.
Records: None.
FINANCIAL INFORMATION:
Account Identification: 75-0350-0-1-550.
Obligations: (Grants) FY
01 $125,000,000; FY 02 est $125,000,000; and FY 03 est $0.
Range and Average of Financial Assistance:
From $162,087 to $1,925,089; Average: $900,000.
In fiscal year 2001, 53 of the approved unfunded
applications in fiscal year 2000 were funded. Additionally, 60 new applicants
were awarded funding in fiscal year 2001. There also were supplemental funds
awarded to 23 existing CAP grantees. It is anticipated that approximately 20
new applicants will be awarded funding in fiscal year 2002. The current 136
CAP grantees are eligible to apply for continuation grants. No budget is
anticipated in fiscal year 2003.
REGULATIONS, GUIDELINES, AND LITERATURE:
Federal Register Notice Volume 66, Number 27.
INFORMATION CONTACTS:
Regional or Local Office: Boston (617) 565-1420 -
Ken Brown, Assistant Field Director Telephone: New York (212) 264-2549 -
Manely Khaleel, Chief, Primary Care; Philadelphia (215) 861-4414 - Scott
Otterbein, Regional Program Consultant; Atlanta (404) 562-4127 - Stephen
Dorage, Public Health Advisor; Chicago (312) 353-1254 - Stephen A. Laslo,
Regional Program Consultant; Kansas City (816) 426-5296 extension 239 - Mathew
Henk, Regional Program Consultant; Dallas (214) 767-4533 - Jay McGath,
Associate Field Director for Primary Care; Denver (303) 844-3203 - Nicholas
Zucconi, Public Heath Advisor; San Francisco (415) 437-8078 - Irma Honda,
Division Director; and Seattle (206) 615-2490 - Beryl Cochran, Regional
Program Consultant.
Headquarters Office:
Center for Communities in Action, Bureau of Primary Health Care, Health
Resources and Services Administration, 4350 East-West Highway, 3rd Floor,
Bethesda, MD 20814. Telephone: (301) 443-0536. Fax: (301) 443-0248.
Web Site Address: http//bphc.hrsa.gov/CAP
EXAMPLES OF FUNDED PROJECTS:
Please refer to the CAP website for information on
current CAP grantees.
CRITERIA FOR SELECTING PROPOSALS:
Each of the applications that has passed an eligibility
and conformance review by the Federal staff will be assigned to members of an
Objective Review Committee (ORC) for review. Members of the ORC will use the
following evaluation criteria in their review of applications: 1. Community
Needs Assessment (20 Points): Evidence that the target population has
significant need; 2. Business Plan to Produce Defined Results (30 Points):
Clarity and scope of projected results in terms of increased access to care
and/or health status for the target population, and alignment of these
projected results with organizational capacity, a clear and accountable set of
activities, operational plan and budget; 3. Service Integration Strategy and
Readiness (25 Points): Integration of appropriate health and other services
across the community of providers and organizations, readiness, evidence of
progress towards developing an integrated system of care for the target
population, scope and quality of services; 4. Sustainability (15 Points):
Demonstration of existing and sustainable public or private funding sources or
cost savings to be generated and reinvested in the system of care; 5.
Evaluation (10 Points): Documentation of a self-evaluation plan and strong
commitment to participation in a national evaluation.
