Indian Health Service-Health Management Development Program (93.228)

 

Program

93.228 Indian Health Service-Health Management Development Program

 

Federal Agency

Agency: Department of Health and Human Services
Office: Indian Health Service

 

Authorization

Public Law 83-568, 42 U.S.C. 2001-2004a; Indian Self-Determination and Education Assistance Act, Section 104 (b), Public Law 93-638, 25 U.S.C. 450, Section 9, Public Law 98-250; Public Law 100 - 472.

 

Program Number

93.228

 

Last Known Status

Active

 

Objectives

To improve the quality of the health of American Indians and Alaska Natives by providing a full range of curative, preventive and rehabilitative health services; and to improve the management capability of American Indians and Alaska Natives to assume operation of all or part of an existing Indian Health Service (IHS) direct-operated health care program.

 

Types of Assistance

PROJECT GRANTS

 

Uses and Use Restrictions

The assistance is used for four types of management related projects: (1) Feasibility Studies; (2) Planning; (3) Tribal Health Management Structure Development; and (4) Evaluation. Tribal management grants may not be used to support operational programs, or to supplant existing public and private resources. This assistance is available to Federally-recognized Indian Tribes and Tribal-sanctioned Tribal organizations.

 

Eligibility Requirements

Applicant Eligibility

Federally-recognized Tribes and Tribally-sanctioned Tribal organizations.

Beneficiary Eligibility

Individuals who are members of an eligible applicant Tribe, band, or group or village and who may be regarded as within the scope of the Indian health and medical service program and who are regarded as an Indian by the community in which he lives as evidenced by such factors as Tribal membership, enrollment, residence on tax exempt land, ownership of restricted property, active participation in Tribal affairs or other relevant factors in keeping with general Bureau of Indian Affairs practices in the jurisdiction.

Credentials/Documentation

Certification of Native Indian or Alaskan descent is required for direct services. Provisions of grants under Public Law 93-638 and its amendments require Tribal endorsement in the form of a Resolution to sanction Tribal participation. Costs will be determined in accordance with OMB Circular No. A-87 for State and local governments (and Circular No. A-122 for Nonprofit Organizations) as implemented through program regulations 42 CFR 36 and applicable grant administration regulations 45 CFR, Part 92, (45 CFR 74 for nonprofit organizations). OMB Circular No. A-87 applies to this program.

 

Application and Award Process

Preapplication Coordination

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

Application Procedure

This program is excluded from coverage under OMB Circular No. A-102. OMB Circular No. A-110 applies to this program. The applicant package may be found in Grants.gov. or at http://www.ihs.gov/NonMedicalPrograms/gogp/gogp_funding.asp. Information regarding the electronic application process may be directed to Michelle G. Bulls, Grants Policy Officer at (301) 443-6528. Applications under Public Law 93-638 to staff and manage health services and facilities may be submitted to respective IHS Area Office. Tribal Management Program is processed and administered by IHS Headquarters. This program is subject to the provisions of 45 CFR 92 for Indian Tribes and OMB Circular No. A-110, if applicant is a nonprofit Tribal organization.

Award Procedure

Grants are awarded on a competitive basis with processing and final approval by Headquarters.

Deadlines

Jun 22, 2009 For Public Law 93-638 grants applications must be submitted 90 days prior to the proposed project start date. Specific types of grant projects may have specific deadlines imposed. Contact Headquarters Office for application deadlines.

Range of Approval/Disapproval Time

From 60 to 90 days. 90 days. Grants are approved/disapproved within ninety (90) days from receipt of application/proposal in IHS Headquarters.

Appeals

From 30 to 60 days. Grant appeals will follow PHS appeals procedures: 42 CFR, Part 50, Subpart D and DHHS appeals procedures: 45 CFR 16.

Renewals

Renewal of grants is on a year-to-year basis and requires the submission of continuation applications.

 

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula.

This program has no matching requirements.

MOE requirements are not applicable to this program.

Length and Time Phasing of Assistance

quarterly. Method of awarding/releasing assistance: quarterly.

 

Post Assistance Requirements

Reports

Grantee will be required to submit, quarterly PMS 272 Federal Cash Transaction Reports to the Division of Payment Mangement Branch. Depending on services provided, progress and financial reports will be required eith quarterly or semi-annually with final performance and financial sttus reports due 90 days after the end of the project period. A SF269 Financial Status Report will be due to the Divison of Grants Managemetn Operations 90 days after the end of each budget period. A SF269 Financial Status Reprt will be due to the Division of Grants Management Operations 90 days after the end of each budget period. IHS grants are monitored by the Division of Grants Management Operations for financial compliance and by the IHS Program Staff for programmatic compliance.

Audits

This program is excluded from coverage under OMB 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 Nonprofit 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 addition, grants and cooperative agreements are subject to inspection and audits by DHHS and other Federal government officials.

Records

HHS 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 HHS grant, in order to make audits, examinations, excerpts and transcripts. In accordance with 45 CFR 92.42, grantees are required to maintain grant records 3 years after they submit their final expenditure report. 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 must 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: In fiscal year 2008 12 Tribal management project grants were awarded. Fiscal Year 2009: In fiscal year 2009 approximately 8 Tribe awards will be funded under this announcement subject to availability of funds. Fiscal Year 2010: In fiscal year 2010 approximately 8 Tribe awards will be funded.

 

Financial Information

Account Identification

75-0390-0-1-551.

Obligations

(Cooperative Agreements) FY 08 $600,000; FY 09 est $600,000; FY 10 est $600,000

Range and Average of Financial Assistance

No Data Available.

 

Regulations, Guidelines and Literature

42 CFR 36; 45 CFR 92 and 45 CFR 74, HHS Grants Policy Statement, (Rev.) January, 2007; Program Guidelines for Competitive Projects.

 

Related Programs

Not Applicable.

 

Information Contacts

Regional or Local Office

None. See Appendix IV of the Catalog for Indian Health Service Area Offices.

Headquarters Office

Kimberly M. Pendleton 12300 Twinbrook Parkway Suite 360, Rockville, Maryland 20852 Email: kimberly.pendleton@ihs.gov Phone: 3014432214

Web Site Address

http://www.ihs.gov/nonmedicalprograms/tmg/index.asp .

 

Examples of Funded Projects

Not Applicable.

 

Criteria for Selecting Proposals

Not Applicable.