Primary Care Services-Resource Coordination and Development (93.130)
Program
93.130 Primary Care Services-Resource Coordination and Development
Federal Agency
HEALTH RESOURCES AND SERVICES ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES
Authorization
Public Health Service Act, Section 330(k), 330(m) and 333(d).
Program Number
93.130
Last Known Status
Active
Objectives
To coordinate local, State, and Federal resources contributing to primary care service delivery and workforce issues in the State to meet the needs of medically-underserved populations through health centers and other community-based providers of comprehensive primary care and the retention, recruitment, and oversight of health professions for medically underserved populations.
Types of Assistance
Project Grants (Cooperative Agreements).
Uses and Use Restrictions
Recipients will be expected to perform State-wide primary care planning and resource coordination, including Medicaid, Children's Health Insurance program, State Offices of Rural Health, Ryan White Area Health Education Centers, Maternal and Child Health, etc.; support health systems development, primary care practitioners retention and recruitment, National Health Services Corps monitoring activities, as well as activities relating to other special populations including rural populations; and conduct operational and administrative support activities.
Eligibility Requirements
Applicant Eligibility
Cooperative agreements will be made to a State, State agency, or other statewide public or nonprofit entity that operates solely within one State.
Beneficiary Eligibility
Medically underserved populations within States will benefit from this program.
Credentials/Documentation
Costs will be determined in accordance with OMB Circular No. A-87 for State and local governments. For other grantees, costs will be determined in accordance with DHHS Regulations 45 CFR 74, Subpart Q.
Application and Award Process
Preapplication Coordination
Not applicable. This program is excluded from coverage under E.O. 12372, "Intergovernmental Review of Federal Programs."
Application Procedure
Informal inquiries regarding the program and intent to submit an application should be directed to the Regional Office serving the State in which the applicant is located. 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. Application is made by the submission of the standard PHS application. Application kits are obtained by writing to the HRSA Grants Application Center, 901 Russell Avenue, Suite 450, Gaithersburg, MD 20879. This program is subject to the provisions of 45 CFR for State and local governments and 45 CFR 74 for nonprofit organizations.
Award Procedure
Applications are reviewed first by the Field Office serving the State in which the applicant is located and by the Bureau of Health Professions and the Bureau of Primary Health Care. Applications are reviewed for merit and are recommended for approval or disapproval. Final decisions are made jointly by the Associate Administrator for Health Professions and the Associate Administrator for Primary Care.
Deadlines
Contact the appropriate HRSA Field Office for further information.
Range of Approval/Disapproval Time
Appeals
Applicants may revise and resubmit applications.
Renewals
Support is recommended for a specified project period, not in excess of 5 years. After the initial award is made, projects may be renewed annually depending upon the submission and approval of a satisfactory application.
Assistance Considerations
Formula and Matching Requirements
There are no statutory formula or matching requirements.
Length and Time Phasing of Assistance
Awards are made annually. After awards are issued, funds are released in accordance with DHHS payment procedures, which may be through an Electronic Transfer System or a Monthly Cash Request System.
Post Assistance Requirements
Reports
Semi-annual program reports, financial status reports, and special reports are required as requested.
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
Financial records must be kept available for 3 years after the submission of expenditure reports and 3 years after the final disposition of non-expendable property. If questions remain, such as those raised as a result of an audit, records must be retained until the problem is resolved.
Program Accomplishments
In fiscal year 2001, 52 applicants were funded. In fiscal year 2002, it is estimated that 53 applicants will be funded and it is anticipated that 53 continuation awards will be funded in fiscal year 2003.
Financial Information
Account Identification
75-0350-0-1-550.
Obligations
(Grants) FY 02 $9,954,115; FY 03 est $9,644,238; and FY 04 est $9,644,238.
Range and Average of Financial Assistance
From $100,000 to $500,000. Average: $185,466.
Regulations, Guidelines and Literature
Pertinent information may be obtained by contacting the appropriate Regional Office. PHS Grants Policy Statement, DHHS Publication No. (OASH) 94-50,000, (Rev.) April 1, 1994.
Related Programs
93.224, Community Health Centers; 93.246, Health Centers Grants for Migrant and Seasonal Farmworkers; 93.288, National Health Service Corps Scholarship Program; 93.162, National Health Service Corps Loan Repayment Program.
Information Contacts
Regional or Local Office
Contact appropriate HRSA Field Office.
Headquarters Office
Program Contacts: Director, Division of State, Community and Public Health, Health Resources and Services Administration, Public Health Service, Department of Health and Human Services, 5600 Fishers Lane, Room 9-105, Rockville, Maryland 20857. Telephone: (301) 443-7121. Grants Management Contact: Office of Grants Management, Bureau of Health Professions, Public Health Service, Department of Health and Human Services, 5600 Fishers Lane, Room 8C-26, Rockville, Maryland 20857. Telephone 301-443-6880. Use the same numbers for FTS.
Web Site Address
Examples of Funded Projects
A State health department was engaged in the following: statewide primary care planning and resource coordination, including coordination with Medicaid, Children's Health Insurance Program, Ryan White Program Area Health Education Centers, Maternal and Child Health and State Offices of Rural health, health systems development; National Health Service Corps monitoring activities, and perinatal activities.
Criteria for Selecting Proposals
Applicants will be evaluated in the following areas: (1) Ability to assess and analyze the State's health policy environment, its unmet need for preventive and primary care services, its health care marketplace and its major disparities in health outcomes; and (2) develop and implement strategies and activities to effectively assist health centers and NHSC delivery sites in their response to these State environmental conditions.
