Cooperative Agreements for State-Based Diabetes Control Programs and Evaluation of Surveillance Systems (93.988)
Program
93.988 Cooperative Agreements for State-Based Diabetes Control Programs and Evaluation of Surveillance Systems
Federal Agency
CENTERS FOR DISEASE CONTROL AND PREVENTION, DEPARTMENT OF HEALTH AND HUMAN SERVICES
Authorization
Public Health Service Act, Section 301(a) and Section 317(k)(3), 42 U.S.C. 247b, as amended; Health Services and Centers Amendments of 1978, Public Law 95-626; Omnibus Budget Reconciliation Act of 1981, as amended, Public Law 97-35.
Program Number
93.988
Last Known Status
Active
Objectives
Provide resources to state health departments to: 1) Determine the size and nature of diabetes-related problems and why they exist; 2) develop and evaluate new strategies for diabetes prevention; 3) establish partnerships to prevent diabetes problems; 4) increase awareness of diabetes prevention and control opportunities among the public, the health care and business communities, and people with diabetes; and 5) improve access to quality care in order to prevent, detect and treat diabetes complications.
Types of Assistance
Project Grants (Cooperative Agreements).
Uses and Use Restrictions
Cooperative Agreement funds may be used for costs associated with planning, implementing, and evaluating State based diabetes control programs. Cooperative Agreement funds may not be used for direct curative or rehabilitative services.
Eligibility Requirements
Applicant Eligibility
Eligible applicants are the official State and territorial health agencies of the United States, the District of Columbia, the Commonwealth of Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands, the Federated States of Micronesia, the Republic of the Marshall Islands, the Republic of Palau, and American Samoa.
Beneficiary Eligibility
State health agencies will benefit.
Credentials/Documentation
Applicants should document the need for assistance, state the objectives of the project, outline the method of operation, describe evaluation procedures, and provide a budget with justification for funds requested. Costs will be determined in accordance with OMB Circular No. A-87 for State and local governments.
Application and Award Process
Preapplication Coordination
Preapplication coordination is not required. Applications are subject to the review requirements of the National Health Planning and Resources Development Act of 1974 as amended by the Health Planning and Resources Development Act of 1979. 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
Information on the submission of applications may be obtained from the Grants Management Officer, Grants Management Branch, Procurement and Grants Office, Centers for Disease Control and Prevention, 2920 Brandywine Road, Room 3000, Atlanta, GA 30341. This program is subject to the provisions of 45 CFR 92. The standard application forms, as furnished by PHS and required by 45 CFR 92 for State and local governments, must be used for this program.
Award Procedure
After review and approval, a notice of award is prepared and processed, along with appropriate notification to the public.
Deadlines
Contact Headquarters Office for applications deadline.
Range of Approval/Disapproval Time
Appeals
Not applicable.
Renewals
Same as Application Procedure.
Assistance Considerations
Formula and Matching Requirements
Funds for a Capacity Building Diabetes Control Programs have a matching requirement; matching funds must be from nonfederal sources in an amount not less than $1 for every $5 of Federal funds awarded and $1 for every $4 of Federal Funds awarded for each Basic Implementation Diabetes Control Program Award.
Length and Time Phasing of Assistance
Project Period: For 5 years. Budget period: Approximately 12 months.
Post Assistance Requirements
Reports
Progress reports are required semi-annually. A plan of action is required annually. Special studies will require protocols, subject to approval. Financial status reports are required no later than 90 days after the end of each specified funding period. Final financial status and progress reports are required 90 days after the end of a project.
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
Financial records, supporting documents, statistical records, and all other records pertinent to the cooperative agreement program shall be retained for a minimum of 3 years, or until completion and resolution of any audit in process or pending resolution. In all cases, records must be retained in accordance with PHS Grants Policy Statement requirements.
Program Accomplishments
Fiscal year 2001, targeted high risk minority populations disproportionately affected by diabetes. It is expected that in fiscal year 2002, program efforts will be further developed to address ways that improve how populations at greatest risk will be targeted to reduce their risk factors. This will include but not be limited to working with managed care, evolving and existing health care systems, community based organizations, educational systems, practitioner behavior and guideline development. This includes national objectives that target control of blood pressure, HgbA1C's, use of diet and wellness activities, foot exams, flu and pneumococcal vaccinations, and linkages to 2010 objectives related to diabetes. Similar support is anticipated for fiscal year 2003 with pilot efforts looking at approaches to primary prevention. There were 59 cooperative agreements awarded in fiscal year 2003. Program increased comphrensive to 24 grantee and reduced the capacity building grantees to 35 in FY 2003. It is estimated that 59 awards will be continued or extended in fiscal years 2002 and 2003.
Financial Information
Account Identification
75-0943-0-1-550.
Obligations
(Grants) Financial Assistance: FY 02 est $19,864,521; and FY 03 est $26,944,275; FY 04 est 26,944,275. Direct Assistance: FY 02 $313,806; and FY 03 $408,276; and FY 04 est 408,276.
Range and Average of Financial Assistance
Capacity Building Programs: $75,000 to $350,000; $250,000. Basic Implementation Programs: $300,000 to $800,000; $500,000.
Regulations, Guidelines and Literature
There are no regulations, but guidelines are available. PHS Grants Policy Statement, DHHS Publication No. (OASH) 94-50,000, (Rev.) April 1, 1994, applies to cooperative agreements.
Related Programs
93.283, Centers for Disease Control and Prevention_Investigations and Technical Assistance.
Information Contacts
Regional or Local Office
Program Contact: Ms. Dara Murphy, Chief, Program Development Branch, Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers of Health and Human Services, 1600 Clifton Road, NE., Atlanta, GA 30333. Telephone: (770) 488-5046. Grants Management Contact: Nealean Austin, Grants Management Officer, Grants Management Branch, Procurement and Grants Office, Centers for Disease Control and Prevention, 2920 Brandywine Road, Room 3000, Atlanta, GA 30341. Telephone: (770) 488- 2754.
Headquarters Office
Program Contact: Ms. Dara Murphy, Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Public Health Service, Department of Health and Human Services, 1600 Clifton Road, NE., Atlanta, GA 30333. Telephone: (770) 488-5046. Grants Management Contact: Nealean Austin, Grants Management Officer, Grants Management Branch, Procurement and Grants Office, Centers for Disease Control and Prevention, Public Health Service, Department of 2929 Brandywine Road, Atlanta, GA 30341 Telephone: (770) 488-2754.
Web Site Address
Examples of Funded Projects
All funded projects are State-Based Diabetes Control Programs. Each State/Territory-Based Diabetes Control Program works to integrate diabetes prevention and control activities into existing and evolving health care systems. Examples of funded activities included in State DCP projects includes; (1) Media campaigns, (2) community based projects aimed at African American populations, (3) partnerships with managed care organizations implementing quality of care standards, (4) Quality Improvement projects to insure the use of standards of care, and (5) utilization of school networks to implement diabetes education programs targeting children.
Criteria for Selecting Proposals
For Capacity Building Programs: (1) The consistency of the work plan with the stated morbidity reduction purpose of the cooperative agreement. (2) The quality of the applicant's plans for the integration of the diabetes program elements into the health care delivery system at the community level. (3) The quality of the applicant's plans to develop and maintain the capacity to identify high-risk populations, define needs, and plan future program development. (4) The ability of the applicant to identify staff for the program who are capable and trained to carry out the required tasks. (5) The extent to which the budget is reasonable, consistent with the intended use of cooperative agreement funds, and includes evidence of the State's commitment to the program by matching financial and/or in- kind contributions from nonfederal sources to activities of the proposed program. For Basic Implementation Programs: (1) Documented need and demonstrated capacity and infrastructure; (2) time-framed and measurable objectives; (3) feasibility; appropriateness, and specificity of objectives; (4) quality of evaluation plan; (5) quality of plan for statewide implementation; and (6) quality of management plan.
