Rural Health Outreach and Rural Network Development Program (93.912)
Program
93.912 Rural Health Outreach and Rural Network Development Program
Federal Agency
Agency: Department of Health and Human Services
Office: Health Resources and Services Administration
Authorization
Health Care Safety Net Amendment, Public Law 107-251.
Program Number
93.912
Last Known Status
Active
Objectives
To expand access to, coordinate, restrain the cost of, and improve the quality of essential health services, including preventive and emergency services, through the development of integrated health care delivery systems or networks in rural areas and frontier regions.
Types of Assistance
PROJECT GRANTS
Uses and Use Restrictions
All funds awarded are to be expended solely for carrying out the approved projects.
Eligibility Requirements
Applicant Eligibility
Rural Health Care Services Outreach and Rural Health Network Development Programs: Rural public or nonprofit private entities that include three or more health care providers that provide or support the delivery of health care services. The administrative headquarters of the organization must be located in a rural county or a rural zip code of an urban county; or an organization is constituted exclusively to provide services to migrant and seasonal farmworkers in rural areas and supported under Section 330G of the Public Health Service Act; or the applicant is a Tribal government whose grant-funded activities will be conducted within their Federally-recognized Tribal area. Small Health Care Provider Quality Improvement Program This program is available to support rural public, rural non-profit, or other providers of healthcare services, such as a critical access hospital or rural health clinic. (1) The applicant must be located in a rural area, as determined by eligible rural county or census tracts, and all services must be provided in a rural county or census tract. To ascertain rural eligibility, please refer to ftp://ftp.hrsa.gov/ruralhealth/Eligibility2005.pdf. This website lists eligibility by county and census tract and includes a hyperlink to the Federal Financial Institutions Examining Council's (FFIEC) Geocoding System to determine your census tract number and eligibility. (2) The applicant exists exclusively to provide services to migrant and seasonal farmworkers in rural areas and is supported under Section 330G of the Public Health Service Act. (3) The applicant is a Tribal government whose grant-funded activities will be conducted within their Federally-recognized Tribal area (documentation of status as a Federally-recognized Native American Tribe must be included). Frontier Extended Stay Cooperative Agreement Program Rural public or nonprofit private entities that include three or more health care providers that provide or support the delivery of health care services. The administrative headquarters of the organization must be located in a rural county or a rural zip code of an urban county; or an organization is constituted exclusively to provide services to migrant and seasonal farmworkers in rural areas and supported under Section 330G of the Public Health Service Act; or the applicant is a Tribal government whose grant-funded activities will be conducted within their Federally-recognized Tribal area. Delta States Rural Development Network Grant Program. Rural public or nonprofit private entities that include three or more health care providers that provide or support the delivery of health care services. Eligible organizations must be rural public or rural private nonprofit entities located within a rural Delta county/parish.
Beneficiary Eligibility
Medically underserved populations in rural areas will receive expanded services in rural communities where they did not previously exist.
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 required. Environmental impact information is not required for this program. 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
OMB Circular No. A-102 applies to this program. OMB Circular No. A-110 applies to this program. HRSA requires all applicants to apply electronically through Grants.gov.
All qualified applications will be forwarded to an objective review committee. Based on the advice of the objective review committee, the HRSA program official with delegated authority is responsible for final selection and funding decisions
Award Procedure
Notification is made in writing by a Notice of Grant Award.
Deadlines
Contact the headquarters or regional office, as appropriate, for application deadlines.
Range of Approval/Disapproval Time
From 6-9 months.
Appeals
Not Applicable.
Renewals
Rural Health Outreach and Rural Health Network awards may be made for up to 3-year project periods. Subject to availability of funds, after initial awards, projects may be renewed non-competitively contingent upon submission and approval of an application, availability of appropriated funds, and awardee’s satisfactory performance.
Rural Health Network Planning Awards are only available for one year.
The Small Healthcare Care Provider Quality awards may be up to two year project periods. Subject to availability of funds, after initial awards, may be renewed non-competitively contingent upon submission and availability of appropriated funds.
The Delta States Rural Development Network awards may be up to two year project periods. Subject to availability of funds, after initial awards, may be renewed non-competitively contingent upon submission and availability of appropriated funds
The Frontier Extended Stay Clinic award may be up to four year project period. Subject to availability of funds, after initial awards, may be renewed non-competitively contingent upon submission and availability of appropriated funds.
Assistance Considerations
Formula and Matching Requirements
This program has no statutory formula.
This program has no matching requirements.
This program does not have MOE requirements.
Length and Time Phasing of Assistance
Awards are made annually. Funds are available to grantees on an as needed basis throughout the budget period and payments are made through the Payment Management System. See the following for information on how assistance is awarded/released: Grantee drawdown funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards.
Post Assistance Requirements
Reports
A final Program report is to be submitted within 90 days after the close of the project period. No cash reports are required. A financial status report is to be submitted within 90 days after the close of the budget period. A Quarterly payment report is due to PMS. No expenditure reports are required. A performance progress report is submitted with each noncompeting continuation application. Grantees will be required to submit a Performance Improvement Measurement System (PIMS) report through the Electronic HandBook (EHB) once a year throughout their project period.
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.
Records
Grantees are required to maintain grant accounting records 3 years after the date they submit the FSR. If any litigation, claim, negotiation, audit or other action involving the award 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: For the Outreach Program, in FY 08, a total of 91 awards were made, in FY 09, a total of 121 awards were made, and in FY 10 it is estimated that 154 awards will be made
For the Network Development Grant Program, in FY 08 a total of 38 awards were made, in FY 09, a total of 79 awards were made, and in FY 10, it is estimated that 48 awards will be made.
For the Network Planning Grant Program, in FY 08, a total of 33 awards were made, in FY 09, a total of 18 awards were made, and in FY 10, it is estimated that 17 new awards will be made.
For the Quality Program, in FY 08, a total of 55 awards were made; in FY 09, a total of 55 awards were made; and in FY 10, it is estimated that 60 awards will be made.
For the Delta Network Program, in FY 08, a total of 12 awards were made; in FY 09, a total of 12 awards were made; and in FY 10, it is estimated that 12 awards will be made.
For the Frontier Extended Stay Clinic Demonstration, FY08, a total of 1 aware was made; in FY09 it is estimated that 1 award will be made; and in FY10, it is estimated that 1 award will be made. Fiscal Year 2009: No Current Data Available Fiscal Year 2010: No Current Data Available
Financial Information
Account Identification
75-0350-0-1-550.
Obligations
(Project Grants) FY 08 $35,154,966; FY 09 est $36,915,430; FY 10 est $40,000,000
Range and Average of Financial Assistance
A maximum of $150,000 for the first year of funding for the Outreach Grant; A maximum of $180,000 for the first year of funding for the Network Development Grant; A maximum of $85,000 for funding for the Network Development Planning Grant; A maximum of $75,000 for the Quality Grant; A maximum of $510,000 for the Delta NetworkGrant; A maximum of $1,500,000 for the Frontier Extended Stay Clinic demonstration.
Regulations, Guidelines and Literature
This program is subject to the provisions of 45 CFR Part 92 for State, local and tribal governments and 45 CFR Part 74 for institutions of higher education, hospitals, other nonprofit organizations and commercial organizations, as applicable.
Related Programs
93.224 Consolidated Health Centers (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, Public Housing Primary Care, and School Based Health Centers)
Information Contacts
Regional or Local Office
See Regional Agency Offices. Program Contact: Ms. Ms. Kathryn Umali, Outreach Grant Program Coordinator, Office of Rural Health Policy, Health Resources and Services Administration, Room 9A-55, Parklawn Building, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-0835.
Ms. Sherilyn Pruitt, Network Development Grant Program Coordinator, Office of Rural Health Policy, Health Resources and Services Administration, Room 9A-55, Parklawn Building, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-0835.
Ms. Eileen Holloran, Network Development Planning Grant Program Coordinator, Office of Rural Health Policy, Health Resources and Services Administration, Room 9A-55, Parklawn Building, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-0835.
Ms. Elizabeth Rezai-zadeh, Small Quality Program Coordinator, Office of Rural Health Policy, Health Resources and Services Administration, Room 9A-55, Parklawn Building, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-0835.
Ms. Valerie Darden, Delta States Network Development Grant Program Coordinator, Office of Rural Health Policy, Health Resources and Services Administration, Room 9A-55, Parklawn Building, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-0835.
Ms. Caroline Cochran, Frontier Extended Stay Clinic Demonstration, Office of Rural Health Policy, Health Resources and Services Administration, Room 9A-55, Parklawn Building, 5600 Fishers Lane, Rockville, MD 29857. Telephone: (301) 443-0835.
Headquarters Office
Office of Rural Health Policy 5600 Fishers Lane, Room 9-A55, Rockville, Maryland 20857 Phone: (301) 443-0835
Web Site Address
Examples of Funded Projects
Fiscal Year 2008: Funded Outreach projects include efforts to provide primary care services in rural areas, including mental health services, oral health services, chronic diseases, prenatal care, free clinical services, HIT and preventive health services.
Funded Network projects include efforts to increase coordination of health care delivery systems in rural areas. More recently projects to develop or enhance vertically integrated networks have been supported. Both programs fund projects designed to increase the number of health professionals available to provide services in rural areas. and improve access to rural health services (such as transportation or services on mobile vans).
The Network Planning projects support strategic planning for rural communities interested in developing rural health networks and collaborative.
The Small Quality program supports implementation of quality improvement initiatives on diabetes and cardiovascular disease.
The Delta States Network Program designed to encourage the development of new and innovative health care delivery systems
The Frontier Extended Stay Clinic Demonstration is designed examine the effectiveness and appropriateness of a new type of provider in providing health care services in certain remote clinic sites. Fiscal Year 2009: No Current Data Available Fiscal Year 2010: No Current Data Available
Criteria for Selecting Proposals
Criteria are based on the need of the project, innovation, realistic and measurable goals and objectives, clearly defined roles of each network member, strength of applicant's management plan, community involvement, level of local commitment, costs, and program evaluation plan. Specific criteria will be included in the guidance for each program.
