Arra - Training In Primary Care Medicine And Dentistry (93.403)

Program

93.403 Arra - Training In Primary Care Medicine And Dentistry

Federal Agency

Agency: Department of Health and Human Services
Office: Health Resources and Services Administration

Authorization

American Recovery and Reinvestment Act of 2009 (Recovery Act) , Public Law 111-5.

Program Number

93.403

Last Known Status

Active

Objectives

As funded under the American Recovery and Reinvestment Act of 2009 (ARRA), grants are awarded for the following purposes: (1) Residency Training in Primary Care-- to plan, develop, and operate or participate (including provision of financial assistance to residents in such programs) in approved residency programs in family medicine, general internal medicine and/or general pediatrics; (2) Physician Faculty Development in Primary Care-- to plan, develop, and operate (including provision of financial assistance to trainees in such programs) programs for the training of physicians who teach or plan to teach in family medicine (including geriatrics), general internal medicine and/or general pediatrics training programs; (3) Predoctoral Training in Primary Care-- to plan, develop, and operate or participate (including provision of financial assistance to students in such programs) in predoctoral programs in family medicine, general internal medicine and/or general pediatrics; (4) Academic Administrative Units in Primary Care-- to meet the costs of projects to establish, maintain or improve academic administrative units (which may be departments, divisions, or other units) to provide clinical instruction in family medicine, general internal medicine and/or general pediatrics; (5) Physician Assistant Training in Primary Care-- to meet the costs of projects to plan, develop, and operate or maintain programs for the training of physician assistants and for the training of individuals who will teach in programs to provide training of physician assistants; (6) Residency Training in General and Pediatric Dentistry -- to meet the costs of planning, developing, or operating programs and to provide financial assistance to residents in such programs as general dentistry or pediatric dentistry in dental schools, approved residency programs in the general or pediatric practice of dentistry, approved advanced education programs in the general or pediatric practice of dentistry, or approved residency programs in pediatric dentistry.

Types of Assistance

Project Grants

Uses and Use Restrictions

Grants may not be used for new construction, patient services.

Eligibility Requirements

Applicant Eligibility

The applicant organization must meet the eligibility requirements as indicated for each program area.

Residency Training in Primary Care, Physician Faculty Development in Primary Care, Physician Assistant Training in Primary Care: Public or nonprofit private hospitals, accredited schools of medicine or osteopathic medicine, or public or private nonprofit entities are eligible to apply. Faith-based and community-based organizations that meet the criteria in the preceding sentence are eligible to apply.

Predoctoral Training in Primary Care, Academic Administrative Units in Primary Care: Accredited public or nonprofit private schools of allopathic or osteopathic medicine are eligible to apply. Faith-based and community-based organizations that meet the criteria in the preceding sentence are eligible to apply.

Residency Training in General and Pediatric Dentistry: Entities that have programs in accredited dental schools, approved residency programs in the general or pediatric practice of dentistry, approved advanced education programs in the general or pediatric practice of dentistry, or approved residency programs in pediatric dentistry are eligible to apply. Faith-based and community-based organizations that meet the criteria in the preceding sentence are eligible to apply.

Beneficiary Eligibility

See above.

Credentials/Documentation

Applicants should review the individual HRSA Guidance documents issued under this CFDA program for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package. OMB Circular No. A-87 applies to this program.

Application and Award Process

Preapplication Coordination

Preapplication coordination is not applicable. Environmental impact information is not required for this program. This program is excluded from coverage under E.O. 12372.

Application Procedure

OMB Circular No. A-102 applies to this program. OMB Circular No. A-110 applies to this program.

Award Procedure

HRSA is requiring applicants to apply electronically through Grants.gov. 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. Grantees must request an exemption in writing from DGPWaivers@hrsa.gov, and provide details as to why they are technologically unable to submit electronically though the Grants.gov portal.

All qualified applications will be forwarded to an objective review committee which will make funding recommendations to the Associate Administrator for the Bureau of Health Professions. The Associate Administrator has the authority to make final selections for awards.

Notification is made in writing by a Notice of Grant Award issued from the Headquarters Office.

Deadlines

Contact the headquarters or regional office, as appropriate, for application deadlines.

Range of Approval/Disapproval Time

From 30 to 60 days.

Appeals

Not Applicable.

Renewals

During the last budget period of the project period, competing continuation applications may be submitted for up to three (3) years of support.

Assistance Considerations

Formula and Matching Requirements

Statutory formulas are not applicable to this program.

Matching requirements are not applicable to this program.

MOE requirements are not applicable to this program.

Length and Time Phasing of Assistance

ARRA funding is for 2 years. See the following for information on how assistance is awarded/released: Notification is made in writing by a Notice of Grant Award issued from the Headquarters Office.

Post Assistance Requirements

Reports

All projects funded with ARRA funds are subject to special quarterly reporting requirements as outlined in Section 1512 of the Recovery Act. A progress report must be submitted for the second or subsequent budget periods within the approved project period for continued funding. Financial Status Reports are required within 90 days after the end of each budget period. A final progress report and financial status report must be submitted within 90 days after the end of the project period. A UPR/CPMS report must be submitted annually. Cash reports are not applicable. All projects funded with ARRA funds are subject to special quarterly reporting requirements as outlined in Section 1512 of the Recovery Act. A progress report must be submitted for the second or subsequent budget periods within the approved project period for continued funding. Financial Status Reports are required within 90 days after the end of each budget period. A final progress report and financial status report must be submitted within 90 days after the end of the project period. A UPR/CPMS report must be submitted annually. Expenditure reports are not applicable. All projects funded with ARRA funds are subject to special quarterly reporting requirements as outlined in Section 1512 of the Recovery Act. A progress report must be submitted for the second or subsequent budget periods within the approved project period for continued funding. Financial Status Reports are required within 90 days after the end of each budget period. A final progress report and financial status report must be submitted within 90 days after the end of the project period. A UPR/CPMS report must be submitted annually.

Audits

In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Non-Profit Organizations," nonfederal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133. In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Non-Profit Organizations," nonfederal entities that receive financial assistance of $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133.

Records

Grantees are required to maintain grant accounting records 3 years after the end of a grant period. If any litigation, claim, negotiation, audit or other action involving the record 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.

Program Accomplishments

Fiscal Year 2008: Competitive awards for the following programs:

Residency Training in Primary Care--30
Physician Faculty Development in Primary Care--3
Physician Assistant Training in Primary Care--10
Predoctoral Training in Primary Care--25
Academic Administrative Units in Primary Care--13
Residency Training in General and Pediatric Dentistry--28

Non-competing continuation awards for the following programs:

Residency Training in Primary Care--36
Physician Faculty Development in Primary Care--40
Physician Assistant Training in Primary Care--8
Predoctoral Training in Primary Care--32
Academic Administrative Units in Primary Care--29
Residency Training in General and Pediatric Dentistry--0
Some of the programs grant awards are collaborative grants and cover multiple disciplines hence for example one continuation award may include a continuation award in FM and a continuation award in GIM and/or GP. Therefore, the total number should not be construed as the total number of grants but rather the total number awards per program area. Fiscal Year 2009: Same as FY 08. Fiscal Year 2010: Same as FY 09.

Financial Information

Account Identification

75-0351-1-1-550.

Obligations

(Project Grants) FY 08 $43,872,255; FY 09 est $43,872,255; FY 10 est $43,872,255 - ARRA funding for both FY 09 and FY 10 $48 million.

Range and Average of Financial Assistance

$101,266 to $358,437.

Regulations, Guidelines and Literature

Applicants should review the individual HRSA Guidance documents issued under this CFDA program for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package.

Related Programs

93.156 Geriatric Training for Physicians, Dentists and Behavioral/Mental Health Professionals

Information Contacts

Regional or Local Office

See Regional Agency Offices.

Headquarters Office

Brenda L. Williamson 5600 Fishers Lane, Room 9-A27, Rockville, Maryland 20857 Phone: (301) 443-1467

Web Site Address

No Data Available

Examples of Funded Projects

Not Applicable.

Criteria for Selecting Proposals

Competing applications are reviewed by nonfederal review panels for technical merit recommendations. Approval of an application will be based on an analysis of the factors set forth in the application. See the section on Application Procedures in the application guidance.