To
improve minority access to primary care services and reduce infant
mortality by enabling grantees, directly or through contracts, to
provide to residents primary health services, including health screening,
and health counseling and education services.
TYPES
OF ASSISTANCE:
Project Grants. Place Cursor
Here for Definition
USES
AND USE RESTRICTIONS:
Applications should be
designed to improve the availability, accessibility and provision
of primary health care services, including comprehensive perinatal
care, to residents of public housing. Funds may not be used for
inpatient services, or to make cash payments to intended recipients
of services.
ELIGIBILITY REQUIREMENTS:
Applicant Eligibility:
Eligible applicants are public and nonprofit private entities which
have the capacity to effectively administer a grant and are located
near a public housing site.
Beneficiary Eligibility:
Residents of Public Housing. Non-residents of public housing may
benefit if grantee chooses to provide comparable services, as
permitted in legislation.
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, at 45 CFR Parts 74, and 92.
Grantees must provide satisfactory assurances and agreements as
required by law.
Pre-application
Coordination: The preapplication coordination
is not required. 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/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. The single point
of contact for the State may be obtained from the Office of Grants
Management, Bureau of Primary Health Care (BPHC), HRSA, 11th Floor,
4350 East-West Highway, Bethesda, MD 20814. Telephone: (301) 594-4235.
This program is subject to the requirements of the Public Health
System Impact Statement.
Application Procedure:
Application forms are available from the HRSA Grants Application
Center, 40 West Gude Drive, Suite 100, Rockville, Maryland, 20850,
1-888-300-4772. All applicants must prepare Form, PHS 5161, Application
for Federal Assistance (non-construction), fully documenting the
need for and the proposed amount of the grant. This program is
subject to the grants administration provisions of DHHS Regulations
at 45 CFR, Part 92 (for State and local governments) and 45 CFR,
Part 74 (for nonprofit private organizations), as appropriate.
Applications are subject to review pursuant to 45 CFR 100.
Award Procedure:
Applications will be reviewed by a committee composed of experts
in the provision of health services to residents of public housing.
After selection for funding by the Director, BPHC, grant awards
will be made by the Office of Grants Management, BPHC.
Deadlines:
Contact HRSA Field Office for deadline date.
Range of Approval/Disapproval
Time: From 60 to 90 days.
Appeals:
None.
Renewals:
None.
ASSISTANCE CONSIDERATIONS:
Formula and Matching
Requirements: This program has no statutory
formula for the amount of the grant. The amount is negotiated based
on costs of the proposed grant activities.
Length and Time Phasing
of Assistance: Grants may be made for up to
5-year project periods. Continued support, beyond the first year,
is contingent upon satisfactory performance and the availability
of Federal funds.
POST ASSISTANCE REQUIREMENTS:
Reports:
Grantees are required to submit to the Secretary of Department of
Health and Human Services (DHHS) an annual report that describes
the utilization costs of services provided under the grant, and
provide such other information as the Secretary determines appropriate.
Financial status reports are required no later than 90 days after
the end of each budget period. Final financial status and progress
reports are due 90 days after the end of a project period.
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
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:
(Grants) FY 01 $900,934; FY 02 est $1,200,000; and FY 03 est $1,200,000.
Range
and Average of Financial Assistance:
From $140,000 to $400,000. Average: $270,000.
Support of 29 previously
funded grantees and one new grantee was provided in fiscal year
2001. It is estimated that 4 to 6 grants will be awarded in fiscal
year 2002. In fiscal year 2003, between 4 to 6 awards will be made.
In fiscal year 2001 and 2002, the program served over 54,000 clients.
In fiscal year 2003, the program will serve approximately 65,000
clients. Major health conditions included hypertension, asthma,
behavioral health issues, and diabetes. More than 85 percent of
residents of public housing select local Public Housing Primary
Care programs as their provider of choice. Residents of public housing
are actively involved in the design of services and governance of
programs. They also are routinely trained and employed in the programs
as outreach workers and case managers.
REGULATIONS, GUIDELINES, AND
LITERATURE:
Grants to State and local
governments will be administered according to DHHS Regulations in
45 CFR, Part 92. Grants to nonprofit private organizations are subject
to DHHS Regulations in 45 CFR, Part 74. All grantees are subject
to PHS Grants Policy Statement, DHHS Publication No. (OASH) 94-50,000,
April 1, 1994 (Revised).
INFORMATION CONTACTS:
Regional or Local
Office: Contact the HRSA Field offices.
Headquarters Office:
Program Contact: Director, Division of Programs for Special Populations,
Bureau of Primary Health Care, HRSA, 4350 East-West Highway, 9th
Floor, Bethesda, MD 20814. Telephone: (301) 594-4420. Grants Management
Contact: Office of Grants Management, Bureau of Primary Health
Care, Health Resources and Services Administration, 11th Floor,
4350 East-West Highway, Bethesda, MD 20814. Telephone: (301) 594-4235.
Use the same numbers for FTS.
Web Site Address: http://www.bphc.hrsa.gov
EXAMPLES OF FUNDED PROJECTS:
Community health centers;
county health departments, and other community-based organizations.
CRITERIA FOR SELECTING PROPOSALS:
An objective review of
applications that are received and considered timely will be conducted
by the BPHC, HRSA. The review criteria will examine the extent to
which an application addresses or provides: (1) Evidence of the
need in the public housing development for primary care to residents,
especially high risk pregnant women and their infants, and barriers
to meeting those needs within the existing service provider system;
(2) specification of the expenditures anticipated for delivery of
required services (and optional services, if applicable); (3) documentation
of the intended scope of service delivery, health screening, health
counseling, health education, and other required services, (assurances
must also be provided that consultation with residents has taken
place prior to submission of the grant and will continue as the
proposed program is implemented, if funded); (4) documentation of
cost identification and cost control procedures, third party reimbursement,
and other fiscal administrative policies that will maximize grant
funds, if awarded; (5) documentation of plan for evaluating the
impact of the program on the health of residents, as well as a plan
for assessing the quality of care provided; and (6) assurances that
the program will be provided on-site or at locations immediately
accessible to residents of public housing; that the program has
in place appropriate leadership and management structures to ensure
delivery of health services effectively and efficiently; agrees
to establish procedures for fiscal control and fund accounting as
may be necessary to ensure proper disbursement and accounting with
respect to the grant; agrees to ensure the confidentiality of records
maintained on residents of public housing receiving such services;
agrees to institute a reasonable plan for providing services through
individuals who can communicate with the population of residents
who are not fluent in the English language.
