Urban Indian Health Services (93.193)
Program
93.193 Urban Indian Health Services
Federal Agency
INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES
Authorization
Indian Health Care Improvement Act, Title V, Sections 503 and 511, Public Law 94-437 as amended, Public Law 100-713, 101-630, and 102-572.
Program Number
93.193
Last Known Status
Active
Objectives
To provide health-related services to Urban Indians including: (1) Alcohol and substance abuse prevention, treatment, rehabilitation, and education; (2) mental health needs assessment and services; (3) health promotion and disease prevention services; (4) immunization services; and (5) child abuse prevention and treatment.
Types of Assistance
Project Grants.
Uses and Use Restrictions
These grants are limited to establishing urban Indian health services. The recipient organization must be an urban Indian organization with whom the Secretary has entered into a contract or grant under Title V of the Indian Health Care Improvement Act (25 U.S.C. 1651 et seq).
Eligibility Requirements
Applicant Eligibility
Urban Indian organizations with whom the Secretary has entered into a contract or grant under Title V of the Indian Health Care Improvement Act.
Beneficiary Eligibility
Urban Indians residing in the urban centers in which the organization is located.
Credentials/Documentation
The applicant must provide documentation of: (1) Nonprofit status; and (2) that it has a current contract or grant with the Indian Health Service under Title V of the Indian Health Care Improvement Act. Costs will be determined in accordance with OMB Circular No. A-122, Nonprofit Institutions.
Application and Award Process
Preapplication Coordination
Preapplication is not required. This program is excluded from coverage under E.O. 12372. An environmental impact statement is not required. Technical assistance is available from the Indian Health Service Headquarters. This program is subject to the Public Health Systems Reporting Requirements.
Application Procedure
This program is subject to the provisions of OMB Circular No. A-110. The standard application form PHS-5161-1 must be used. Application kits may be obtained from the Indian Health Service, Grants Management Branch, Division of Acquisition and Grants Management, Indian Health Service, 801 Thompson Avenue, Suite 120, Rockville, MD 20852. Telephone: (301) 443-5204. Use the same numbers for FTS.
Award Procedure
Grants are awarded to all eligible organizations based on a thorough review to determine conformance with the goals of the program. Applications are processed and grants are awarded by Indian Health Service Headquarters. Funding level available to an organization is based on specific criteria in the Act to include size of urban Indian population, accessibility to, and utilization of, other health resources available to that population and identification of need for services.
Deadlines
Contact the Headquarters Office for application deadlines.
Range of Approval/Disapproval Time
Appeals
None.
Renewals
None.
Assistance Considerations
Formula and Matching Requirements
This program has no statutory formula or matching requirements.
Length and Time Phasing of Assistance
Grants will be awarded for project periods of up to 5 years.
Post Assistance Requirements
Reports
Depending on services provided, progress and financial reports will be required either quarterly or semi-annually with final performance and financial status reports due 90 after the end of the project period.
Audits
In accordance with the provisions of OMB Circular No. A- 133 (Revised, June 24, 1997), "Audits of States, Local Governments, and Non-Profit 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, grantees are subject to site visits and audits by the Department of Health and Human Services (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, subgrantee, contractor, or subcontractor, which are pertinent to the grant in order to make audits, examinations, excerpts, and transcripts. Grantees are required to maintain grant accounting records for 3 years after the end of a budget period. 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 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
Thirty-five continuing grant awards were funded in fiscal year 2002. It is estimated that 34 continuing grants will be awarded in fiscal year 2003, and it is anticipated that 34 continuing grants will be awarded in fiscal year 2004.
Financial Information
Account Identification
75-0390-0-1-551.
Obligations
(Grants) FY 02 $8,340,558; FY 02 est $8,340,558; and FY 03 est $8,340,558.
Range and Average of Financial Assistance
$35,597 to $520,611; $250,000.
Regulations, Guidelines and Literature
Specific program guidelines, including applicable sections of Public Law 94-437, as amended; 45 CFR 74; and the PHS Grants Policy Statement, DHHS Publication No. (OASH) 94-50,000, (Rev.) April 1, 1994.
Related Programs
None.
Information Contacts
Regional or Local Office
Not applicable.
Headquarters Office
Program Contact: Ms. Rae Snyder, Acting Director of Urban Programs, Office of the Director, Indian Health Service, 801 Thompson Avenue, Suite 200, Rockville, MD 20852. Telephone: (301) 443-4680. Grants Management Contact: Ms. Crystal C. Ferguson, Grants Management Officer, Grants Management Branch, Division of Acquisition and Grants Management, Indian Health Service, 801 Thompson Avenue, Suite 100, Rockville, MD 20852. Telephone: (301) 443-5204. Use the same numbers for FTS.
Web Site Address
Examples of Funded Projects
(1) Alcohol and Substance Abuse Prevention, Intervention, After-Care and Education for Youth and Families; (2) Therapeutic Counseling; (3) Comprehensive Chemical Dependency Project; (4) Mental Health Needs Assessment; (5) Mental Health Services; (6) Immunization Services; and (7) Diabetes Prevention/Education and Obesity Control.
Criteria for Selecting Proposals
Proposals will be reviewed by staff of the Indian Health Service to ensure compliance with the following: (1) Size of the urban Indian population; (2) accessibility to, and utilization of, other health resources available to such population; (3) duplication of existing Indian Health Service or other Federal grants or contracts; (4) capability of the organization to adequately perform the activities required under the grant; (5) satisfactory performance standards for the organization in meeting the goals; (6) identification of need for services; and (7) proposed methodology for accomplishing the stated goals of the program.
