Maternal and Child Health Federal Consolidated Programs (93.110)
Program
93.110 Maternal and Child Health Federal Consolidated Programs
Federal Agency
HEALTH RESOURCES AND SERVICES ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES
Authorization
Social Security Act, Title V, Section 502(a)(1), as amended; 42 U.S.C. 702.
Program Number
93.110
Last Known Status
Active
Objectives
To carry out special maternal and child health (MCH) projects of regional and national significance; to conduct training and research; to conduct genetic disease testing, counseling, and information development and dissemination programs; and to support comprehensive hemophilia diagnostic and treatment centers. These grants are funded with a set-aside from the MCH Block grant program. SPRANS grants are funded with 15 percent of the Block Grant appropriation of up to $600 million, and when the appropriation exceeds $600 million, an additional 12.75 percent is set aside for the Community Integrated Service Systems grants.
Types of Assistance
Project Grants.
Uses and Use Restrictions
Training grants are made to institutions of higher learning for training personnel for health care and related services for mothers and children. Research grants are for the purpose of research activities which show promise of a substantial contribution to the advancement of maternal and child health services. Genetic grants are for genetic disease testing, counseling and information development and dissemination. Hemophilia grants are for the support of centers which provide hemophilia diagnostic and treatment services. Other special project grants are designed to support activities of a demonstration nature which are designed to improve services for mothers and children. The grant program, the Community Integrated Service Systems (CISS) program, is initiated whenever the total appropriation for a year exceeds $600 million. The sum of 12.75 percent of the amount over $600 million is used to fund this program in which communities employ a variety of strategies including: (1) Home visitation; (2) increased participation of obstetricians and pediatricians; (3) integrated service delivery systems; (4) maternal and child health centers for women and infants, under the direction of a not-for-profit hospital; (5) services for rural populations; and (6) community-based services for children with special health care needs in order to enhance or develop an integrated services system.
Eligibility Requirements
Applicant Eligibility
Training grants may be made to public or private nonprofit institutions of higher learning. Research grants may be made to public or private nonprofit institutions of higher learning and public or private nonprofit private agencies and organizations engaged in research or in Maternal and Child Health (MCH) or Children with Special Health Care Needs (CSHCN) programs. Any public or private entity is eligible for hemophilia and genetics grants and other special project grants.
Beneficiary Eligibility
For training grants: (1) Trainees in the health professions related to MCH; and (2) mothers and children who receive services through training programs. For research grants: public or private nonprofit agencies and organizations engaged in research or in MCH or CSHCN programs. For hemophilia, genetics, and special projects: (1) Public or private agencies, organizations and institutions; and (2) mothers and children, and persons with hemophilia (any age), who receive services through the programs.
Credentials/Documentation
Proof of nonprofit status is required for some grant categories. The basis for determining the allowance and allocability of costs charged to Public Health Service (PHS) grants is set forth in DHHS Regulations 45 CFR Part 92, Subpart C, for State and local governments; for other grantees, costs will be determined by DHHS Regulations 45 CFR, Part 74, Subpart Q, and Appendix E. The cost principles prescribed for recipients are in: OMB Circular No. A-87 for State and local governments, OMB Circular No. A-21 for institutions of higher education, 45 CFR Part 74, Appendix E for hospitals, OMB Circular No. A-122 for nonprofit organizations, and 48 CFR Subpart 31.2 for-profit (commercial) organizations.
Application and Award Process
Preapplication Coordination
Not applicable. This program is excluded from coverage under E.O. 12372.
Application Procedure
Informal inquiries regarding the program and intent to submit an application should be directed to the Central Office. The standard application forms PHS 5161-1 and SF-424, PHS 6025 (Training), PHS 398 (Research) as furnished by DHHS and required by 45 CFR Part 92, and 45 CFR Part 74, must be used for this program. Application procedures differ by subprogram category and may be obtained from the Central Office (see listing below for address). This program is subject to the provisions of 45 CFR Part 92 for State and local governments, and 45 CFR Part 74 for nonprofit organizations.
Award Procedure
Project applications are reviewed by committees composed of staff of DHHS and/or nongovernmental experts. Applications are reviewed based on their merit, are then recommended for approval or disapproval, and are ranked according to the priority score the committees have assigned. Final decisions regarding funding are made by the Associate Administrator of the Maternal and Child Health Bureau.
Deadlines
Consult Central Office for application deadlines.
Range of Approval/Disapproval Time
Appeals
None.
Renewals
After initial award, projects may be renewed annually up to the limit of the project period upon the submission and approval of a satisfactory continuation application.
Assistance Considerations
Formula and Matching Requirements
This program has no statutory formula or matching requirements.
Length and Time Phasing of Assistance
Awards are made on an annual basis for the duration of the grant period, and payments are made through an Electronic Transfer System or Cash Demand System.
Post Assistance Requirements
Reports
Annual program reports, annual financial status reports, annual program service reports and special reports as required.
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 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, sub-grantee, contractor or subcontractor, which are pertinent to the DHHS grant, in order to make audits, examinations excerpts and transcripts. In accordance with 45 CFR Part 74, Subpart D, 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
In fiscal year 2002, 585 projects were funded. A wide variety of services were provided to thousands of mothers and children, including counseling, diagnostic, therapeutic, and other secondary and tertiary level services. In fiscal years 2003 and fiscal year 2004, it is estimated that 500 to 600 projects will be funded.
Financial Information
Account Identification
75-0350-0-1-550.
Obligations
(Grants) FY 02 $127,087,341; FY 03 est $123,000,000; and FY 04 est $127,300,000.
Range and Average of Financial Assistance
$50,000 to $1,500,000; $248,317.
Regulations, Guidelines and Literature
Pertinent information may be obtained by contacting the Central Office indicated below. PHS Grants Policy Statement, DHHS Publication No. (OASH) 90-50,000, (Rev.) October 1, 1990.
Related Programs
93.994, Maternal and Child Health Services Block Grant to the States; 93.234, Traumatic Brain Injury_State Demonstration Grant Program.
Information Contacts
Regional or Local Office
Consult appropriate DHHS Regional Office (see Appendix IV of the Catalog for a listing of the regional offices).
Headquarters Office
Central Office Contacts: Program Office: Associate Administrator, Maternal and Child Health Bureau, Health Resources and Services Administration, Public Health Service, Department of Health and Human Services, Room 18-05, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-2170. Grants Management Contact: Grants Management Branch, Maternal and Child Health Bureau, Health Resources and Services Administration, Public Health Service, Room 18-12, Parklawn Building, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-1440. Use the same numbers for FTS.
Web Site Address
Examples of Funded Projects
(1) Health Professional Training Projects; (2) Schools of Public Health; (3) Maternal and Child Health Research; (4) Genetic Screening, Testing and Counseling; (5) Hemophilia Diagnosis and Treatment Centers; (6) Child and Adolescent Health Services Demonstration Projects; (7) Healthy Tomorrows Community Based Partnerships; and (8) Community Integrated Service Systems (CISS) to develop comprehensive community based systems to services.
Criteria for Selecting Proposals
General criteria are described in Program Regulations 45 CFR 51, and specific criteria are included in the program guidance materials provided with application kits. Contact Central Office for details.
