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U.S. Department of Health and Human Services Health Resources...

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U.S. Department of Health and Human Services Health Resources...

    U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

    Health Resources and Services Administration

    Bureau of Primary Health Care

    Health Center Program

    Service Area Competition New and Competing Continuation Funding

    Announcement Number: HRSA-09-095, 09-096, 09-097, 09-098

    Catalog of Federal Domestic Assistance (CFDA) No. 93.224

    PROGRAM GUIDANCE

    Fiscal Year 2009

    Application Due Dates in Grants.gov:

    Varies See chart on pages 6 & 7

    Supplemental Information Due Date in EHBs:

    2 weeks after Grants.gov datesSee chart on pages 6 & 7

    Release Date: February 27, 2008

Nicole Amado

    Public Health Analyst

    Bureau of Primary Health Care

    Office of Policy and Program Development

    Telephone: 301-594-4300

    Fax: 301-480-7225

    Email: nicole.amado@hrsa.hhs.gov

    Technical Assistance Resources: www.hrsa.gov/grants/technicalassistance/sac.htm

    Authority: Public Health Service Act, Section 330, 42 U.S.C. 254b

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EXECUTIVE SUMMARY

    This application guidance details the Service Area Competition (SAC) eligibility requirements, review criteria and awarding factors for organizations seeking a grant for operational support under the Health Center Program authorized by section 330 of the Public Health Service (PHS) Act as amended in fiscal year (FY) 2009. This includes the following types of health centers: Community Health Center (CHC) (section 330(e)), Migrant Health Center (MHC) (section 330(g)), Health Care for the Homeless (HCH) (section 330(h)), and Public Housing Primary Care (PHPC) (section 330(i)).

1. For FY 2009, the following differences should be noted:

THE APPLICATION SUBMISSION PROCESS HAS CHANGED. Submission of the FY

    2009 Competing Continuation application now involves a two-step submission process via Grants.gov and the HRSA Electronic Handbooks (EHBs) system. PLEASE NOTE: Applicants

    will be unable to access the HRSA EHBs until after the Grants.gov submission has been confirmed, validated, and an application tracking number has been assigned. PLEASE CAREFULLY

    REVIEW DETAILS ON THE NEW PROCESS IN “APPLICATION SUBMISSION”

    BELOW.

     New application due dates have been established. Application deadlines for both Grants.gov and

    HRSA‘s EHBs are based on the organization‘s project period start date, please see chart below for

    applicable deadlines.

Several review criteria have been revised.

     All Program Specific Forms MUST now be completed electronically within the EHBs. For more information and technical assistance with the new electronic version of these forms, please visit: www.hrsa.gov/grants/technicalassistance/sac.htm.

     A new process for submitting Federal Tort Claims Act (FTCA) deeming applications has been established. Instructions for completing and submitting the annual application for future deeming periods are now available in Program Assistance Letter 2007-02: Updated Application Submission

    Instructions for FTCA Deeming Under the Federally Supported Health Centers Assistance Act for Calendar Year 2008 available at: http://bphc.hrsa.gov/policy/pal0702.htm .

FORM 1-Part B - BPHC-Funding Request Summary is NO LONGER required for SAC applicants.

FORM 7 Compliance Checklist is NO LONGER required for SAC applicants. However, please

    review information on program requirements and expectations available in Appendix I.

     Form 5 Parts A, B and C will NOT have to be completed by organizations applying to serve their current service area, as these will be pre-populated following the completion of the scope verification process.

Instructions for the Budget Presentation are included in Appendix D.

     Instructions for the Health Care and Business Plans have been revised and are included in Appendix E.

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2. Eligible applicants must be:

    1. Public or nonprofit private entities, including tribal, faith-based and community-based

    organizations; and

    2. Organizations proposing to serve the same service area and/or populations identified in

    Appendix F. This includes:

     Grantees whose project period ends on or after October 31, 2008 and before October 1,

    2009.

     New organizations that can serve the entire service area and/or population identified in

    Appendix F. New organizations include an organization representing a consortium of

    health centers who through their partnership can serve the entire service area and/or

    population.

Competing organizations must:

    a. Provide services to the entire announced service area;

    b. Provide services to the entire population currently being served (applicants may not

    propose to serve only a segment of the existing population being served);

    c. Provide the same or comparable comprehensive primary health care services presently

    being provided to the population;

    d. Utilize Federal funding to serve patients currently served by the existing grantee and;

    e. Request equal or lesser amount of Federal funding as currently received by the existing

    grantee, including funding for special populations (migrant, homeless, and public

    housing programs).

Note: Organizations previously identified as ―new starts‖ due to their recent initial funding and whose project period is expiring between October 31, 2008 and October1, 2009 are considered existing

    grantees, not new organizations, for the purposes of completing the SAC application.

Organizations are eligible to apply for areas designated in Appendix F of this guidance. All

    applicants requesting SAC funding must use this guidance. It should be reviewed thoroughly prior

    to making a decision to apply. Interested organizations should refer to Appendix F of this guidance and/or www.grants.gov for further information regarding specific service areas.

    All applicants are expected to demonstrate compliance with the requirements of section 330 of the PHS Act, as amended and applicable regulations. Applicants are encouraged to review Appendix I

    for additional information on program requirements and expectations.

3. Application Submission:

    Beginning in FY 2009, there will be a new online data entry procedure for completing the SAC grant application. The application process is divided into two phases:

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    Phase 1: Applicants will enter Grants.gov and complete the Standard form SF 424, Project Summary/Abstract and the HHS Checklist. These must be completed and successfully submitted via Grants.gov by 8:00 PM ET on the applicable due date.

    Phase 2: After completing the Grants.gov portion of the application process, applicants will enter HRSA‘s EHBs and complete all other components of the applications (refer to page 79 of this guidance for detailed description of the required forms/narrative/attachments) which must be submitted via HRSA‘s EHBs by 5:00 PM ET on the applicable due date.

Please Note: Applicants can only begin Phase 2 in HRSA‘s EHBs after Phase 1 in Grants.gov has

    been completed by its due date, and HRSA has assigned the application a tracking number. You will be notified by email when your application is ready within HRSA‘s EHBs for Phase 2. This email

    notification will be sent within 3 business days of the Phase 1 submission. Refer to section 3 of the Appendix A: HRSA Electronic Submission Guide for more details.

    To ensure that you have adequate time to follow procedures and successfully submit the application, we recommend that you register immediately in Grants.gov if you have not done so already. The registration process can take up to one month. Please refer to Appendix B for information on registering. If you do not complete the registration process you will be unable to submit an application. We also recommend that you submit your application in Grants.gov as soon as possible to ensure that you have maximum time for providing the supplemental information in HRSA EHBs. Please note that all applicants must also be registered in HRSA’s EHBs.

Phase 1 (Grants.gov): See page 6 & 7 for - Registration is required. As

    chart. Submit by registration may take up to a

    8:00 PM ET on the month, please start the process as Please complete and submit the

    due date. soon as possible. Also, please following by the Grants.gov deadline

    (all forms are available in the remember that CCR registration

    Grants.gov application package): is an annual process. Verify your

    organization‘s CCR registration

    prior to Grants.gov submission. SF 424 Face Page;

     Project Summary/ Abstract

    The Grants.gov registration process (uploaded on line 15 of the SF

    involves three basic steps: 424 Face Page); and

    A. Register your organization PHS-5161 HHS checklist.

    B. Register yourself as an

    Authorized Organization

    Representative (AOR)

    C. Get authorized as an AOR by

    your organization

    Please refer to Appendix B for

    instructions on registration or visit

    the Grants.gov website at

    http://www.grants.gov/applicants/get

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    _registered.jsp or call the Grant.gov

    Contact Center at 1.800.518.4726

    between 7am and 9pm ET for

    additional technical assistance on the

    registration process.

    - Complete Phase 1 as soon as

    possible.

    See pages 6 & 7 for - Phase 1 must be completed to Phase 2 (HRSA EHBs):

    chart. Submit by start phase 2.

    5:00 PM ET on the - Applicants will be able to access Please complete and submit the

    due date. the EHB (Phase 2) within 3 following by the HRSA EHB deadline

    (all forms are available in the EHB business days of completing

    application package-refer to page 79 of Grants.gov (Phase 1) and receipt this guidance for detailed description of of the Grants.gov tracking all required number.

    forms/narrative/attachments): - Refer to Appendix A for process

     instructions/frequently asked

    questions. SF 424A - Budget Information

    - EHB registration required (Non-Construction Programs);

    - The Authorizing Official (AO) Program Narrative Update;

    must complete submission of the Budget Justification;

    application in Phase 2. SF-424B Assurances Non-

     Construction Programs;

     SF-424 LLL Disclosure of

    Lobbying Activities (as

    applicable);

     Program Specific Forms

    (Please note, Forms 1A, 1B, 5A,

    5B, 5C, 6B, 8, 10 and 12 will be

    filled out electronically online.)

    For more information and

    technical assistance with the

    new electronic version of these

    forms please visit:

    www.hrsa.gov/grants/technicala

    ssistance/sac.htm; and

     All Attachments.

All applicants must submit in this manner unless the applicant is granted a written exemption from this

    requirement in advance by the Director of HRSA‘s Division of Grants Policy. Applicants must request

    an exemption in writing from DGPWaivers@hrsa.gov, and provide details as to why they are

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    technologically unable to submit electronically though the Grants.gov. Make sure you specify the announcement number for which you are seeking relief. HRSA and its Grants Application Center

    (GAC) will only accept paper applications from applicants that received prior written approval.

    It is the responsibility of the applicant to ensure that the complete application is submitted electronically by the published due date and time. Applications will be considered on time if successfully submitted electronically by the due date and time, as shown only by the electronic submission record. Applications which do not meet the criteria above are considered late applications. The Health Resources and Services Administration (HRSA) shall notify each late applicant that its application will not be considered in the current competition.

    Per section 330(k)(3)(H) of the PHS Act (42 U.S.C. 254b), the health center governing board must approve the health center‘s annual budget and approve applications for subsequent grants for the health center. In addition, the SF-424 face page, included in the required PHS 5161 Grant Application which must be electronically submitted by the applicant‘s authorized representative

    (most often the Executive Director, Program Director, or Board Chair), certifies that all data in the application are true and correct and that the document has been duly authorized by the governing body of the applicant. It also certifies that the applicant will comply with the attached assurances if the assistance is awarded. HRSA will now accept the authorized representative‘s ―electronic

    signature‖ from Grants.gov as the official signature when applying for a grant or cooperative agreement. The electronic certification will be considered to be just as ―binding‖ as a non-

    electronic/paper signature. Selection of the responsible person should be consistent with responsibilities authorized by the organization‘s bylaws.

    Authorized representatives that submit the SF-424 face page electronically are reminded that a copy of the governing body’s authorization for them to electronically submit the application as

    an official representative must be on file in the applicant’s office and that their electronic

    submission of the SF-424 also assures that the governing board has reviewed and approved ALL content of the application, including the program specific forms.

3. Application Deadlines:

Application deadlines for projects ending in FY 2009 are provided below.

     Electronic Hand Grants.gov Project Period Start Date HRSA Announcement Books (EHB) Application Deadline Number Deadline

     November 1, 2008 April 7, 2008 April 21, 2008 HRSA 09-095

    at 8:00 PM ET at 5:00 PM ET December 1, 2008

     January 1, 2009 June 2, 2008 June 16, 2008 HRSA 09-096

    at 8:00 PM ET at 5:00 PM ET February 1, 2009

    HRSA 09-097 July 28, 2008 August 11, 2008 March 1, 2009 at 8:00 PM ET at 5:00 PM ET

     September 15, 2008 April 1, 2009 August 29, 2008 at 5:00 PM ET at 8:00 PM ET HRSA 09-098 May 1, 2009

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     June 1, 2009

    If you have questions regarding the FY 2009 Service Area Competition application and/or the review process described in this application guidance, please call Nicole Amado in the Bureau of Primary Health Care‘s Office of Policy and Program Development at 301-594-4300 or

    Nicole.Amado@hrsa.hhs.gov. The Bureau of Primary Health Care will announce a pre-applicant teleconference conference call shortly after the guidance release date. Please visit www.hrsa.gov/grants/technicalassistance/sac.htm for the call date and additional resources.

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    Guidance Table of Contents

    I. Funding Opportunity Description ............................................................................................................................ 10

     Purpose .................................................................................................................................................................... 10

     Background ............................................................................................................................................................. 10

     Specific Requirements/Expectations ....................................................................................................................... 11 II. Award Information .................................................................................................................................................. 13 1. Type of Award .......................................................................................................................................................... 13 2. Summary of Funding ............................................................................................................................................... 13 III. Eligibility Information ............................................................................................................................................ 14 1. Eligible Applicants ................................................................................................................................................... 14 2. Cost Sharing/Matching ............................................................................................................................................ 15 3. Other ........................................................................................................................................................................ 15 IV. Application and Submission Information ............................................................................................................... 15 1. Address to Request Application Package ................................................................................................................. 15

     Application Materials .............................................................................................................................................. 15 2. Content and Form of Application Submission ......................................................................................................... 16

     Application Format Requirements .......................................................................................................................... 16

     Step 1: Submission through Grants.Gov ................................................................................................................. 18 Step 1: Submission through Grants.Gov

     Step 2: Submission through HRSAs Electronic Handbooks (EHBs) ..................................................................... 19 Step 2: Submission through HRSAs Electronic Handbooks (EHBs)

     Application Format ................................................................................................................................................. 26

     i. Application Face Page .......................................................................................................................................... 26

     ii. Table of Contents................................................................................................................................................. 27

     iii. PHS 5161-1 HHS Checklist ................................................................................................................................ 27

     iv. Budget ................................................................................................................................................................ 27

     v. Budget Justification ............................................................................................................................................ 28

     vi. Staffing Plan and Personnel Requirements ......................................................................................................... 29

     vii. Assurances ........................................................................................................................................................ 29

     viii. Certifications ..................................................................................................................................................... 29

     ix. Project Abstract .................................................................................................................................................. 29

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     x. Program Narrative ............................................................................................................................................... 30

     xi. Program Specific Forms ..................................................................................................................................... 31

     xii. Attachments ....................................................................................................................................................... 31 3. Submission Dates and Times ..................................................................................................................................... 32 4. Intergovernmental Review ........................................................................................................................................ 33 5. Funding Restrictions ................................................................................................................................................ 34 6. Other Submission Requirements.............................................................................................................................. 34

     1. Review Criteria ................................................................................................................................................... 36

     2. Review and Selection Process ............................................................................................................................. 52

     3. Anticipated Announcement and Award Dates ................................................................................................... 52 VI. Award Administration Information ....................................................................................................................... 53 1. Award Notices .......................................................................................................................................................... 53 2. Administrative and National Policy Requirements .................................................................................................. 53 3. Reporting .................................................................................................................................................................. 54 VII. Agency Contacts .................................................................................................................................................... 56 VIII. Other Information ............................................................................................................................................... 56 IX. Tips for Writing a Strong Application .................................................................................................................... 57 APPENDIX A: HRSA’s ELECTRONIC SUBMISSION USER GUIDE .................................................................... 59

    APPENDIX B: REGISTERING AND APPLYING THROUGH GRANTS.GOV ....................................................... 79 APPENDIX C: PROGRAM SPECIFIC FORMS WITH INSTRUCTIONS................................................................ 83 APPENDIX D: INSTRUCTIONS FOR THE BUDGET PRESENTATION .............................................................. 113 APPENDIX E: INSTRUCTIONS FOR THE HEALTH CARE PLAN AND BUSINESS PLAN DEVELOPING SAC HEALTH

    CARE AND BUSINESS PLANS................................................................................................................................. 121 APPENDIX F: FY 2009 SERVICE AREAS ............................................................................................................... 131 APPENDIX G: PRIMARY CARE ASSOCIATION, PRIMARY CARE OFFICE AND NATIONAL

    ORGANIZATION CONTACTS................................................................................................................................. 146 APPENDIX H: SERVICE AREA COMPETITION DEFINITIONS ......................................................................... 147 APPENDIX I: SUMMARY OF PROGRAM REQUIREMENTS AND EXPECTATIONS ...................................... 153

PUBLIC BURDEN STATEMENT: An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this project is 285. Public reporting burden for the applicant for this collection of information is estimated to average 100 hours, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to HRSA Reports Clearance Officer, 5600 Fishers Lane, Room 14-45, Rockville, Maryland, 20857.

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I. Funding Opportunity Description

Purpose

    The Health Resources and Services Administration administers the Health Center Program, as authorized by section 330 of the Public Health Service (PHS) Act, 42 U.S.C. 254b, as amended. Health Centers improve the health of the Nation‘s underserved communities and vulnerable populations by assuring access to comprehensive, culturally competent, quality primary health care services. Health Center grants support a variety of community-based and patient-directed public and private nonprofit organizations and continue to serve an increasing number of the Nation‘s underserved. This application guidance details the Service Area

    Competition (SAC) eligibility requirements, review criteria and awarding factors for organizations seeking a grant for operational support under the Health Center Program including: Community Health Center (CHC) (section 330(e)), Migrant Health Center (MHC) (section 330(g)), Health Care for the Homeless (HCH) (section 330(h)), and Public Housing Primary Care (PHPC) (section 330(i)) authorized under the PHS Act, as amended.

    The SAC application is a request for financial assistance to provide comprehensive primary health care services to an underserved area or population that has been competitively announced in Appendix F of this guidance and/or Grants.gov.

Background

    The mission of HRSA is to provide national leadership, program resources, and services needed to improve access to culturally competent, quality health care. In particular, HRSA works to assure the availability of quality health care to low-income, uninsured, isolated, vulnerable, and special needs populations and to meet the unique health care needs of these populations. HRSA is committed to improving the health of the Nation‘s underserved

    communities and vulnerable populations by assuring access to comprehensive, culturally competent, quality primary health care services. More than 50 million individuals currently live in federally designated medically underserved areas that lack access to affordable, appropriate primary health care services.

    Individually, each health center plays an important role in the goal of ensuring access to services and combined they have had a critical impact on the health care status of medically underserved and vulnerable populations throughout the United States. At the end of the 2006 calendar year, there were more than 1,000 federally-funded health centers with more than 4,000 primary health care delivery sites located in urban and rural underserved areas throughout the U.S. and its territories. In 2006, over 15 million medically underserved and uninsured patients received comprehensive, culturally competent, quality primary health care services through the federally-supported Health Center Program.

    It is the intent of HRSA to continue to support health services in these underserved areas, given the unmet need inherent in the provision of services to medically underserved populations. Health centers must make services available and accessible promptly, and in such a manner which will assure continuity of service to the individuals in the service area. It is expected that each SAC application submitted to serve one of these areas and/or populations will present a clear focus on maintaining access to care, improving health status and reducing health disparities identified in the same target population(s) that is currently being served by the existing grantee.

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