Health Center Grants for Homeless Populations


To award grants for the purpose of enabling grantees, directly or through contracts, to provide for the delivery of primary health services and substance abuse (alcohol and/or illicit drugs) services to homeless individuals including homeless children. The grants may be used to continue to provide the services listed above for up to 12 months to individuals who have obtained permanent housing if services were provided to these individuals when they were homeless. For the purpose of this program, the term "homeless individual" means an individual who lacks housing (without regard to whether the individual is a member of a family), including an individual whose primary residence during the night is a supervised public or private facility that provides temporary living accommodations or an individual who is a resident in transitional housing.

General information about this opportunity
Last Known Status
Deleted 05/18/2005 (Combined with other HRSA Bureau of Primary Health Care Health Center Programs under 93.224.)
Program Number
Federal Agency/Office
Type(s) of Assistance Offered
Project Grants.
Program Accomplishments
By the end of fiscal year 2002 program funds supported approximately154 grantees serving nearly 500,000 individuals in 50 States, the District of Columbia, and the Commonwealth of Puerto Rico.
Public Health Service Act, Section 330(h), Public Law 104-299.
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
Nonprofit private organizations and public entities, including State and local governmental agencies. Grantees and other organizations with whom they may contract for services under this program must have an agreement with a State under its Medicaid program, Title XIX of the Social Security Act (if they provide services that are covered under the Title XIX plan for the State), and be qualified to receive payments under the agreement.
Beneficiary Eligibility
Homeless individuals including but not limited to, children, elderly persons, handicapped persons, families with children, Native Americans, and veterans.
Costs will be determined in accordance with OMB Circular No. A-87 for State and local governments. For others, costs will be determined in accordance with DHHS Regulations 45 CFR, Part 74, Subpart Q.
What is the process for applying and being award this assistance?
Pre-Application Procedure
Necessary coordination varies: Contact the appropriate HRSA Regional Division Offices for details. 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. This program is subject to the requirements of the Public Health System Impact Statement.
Application Procedure
Application forms are available from the HRSA Grants Application Center, 901 Russell Avenue, Suite 450 Gaithersburg, MD 20879, 1-877-477-2123. All applicants must prepare Form, PHS 5161, Application for Federal Assistance (non-construction), fully documenting the need for and the proposed amount of the grant. This program is subject to the grants administration provisions of DHHS Regulations at 45 CFR, Part 92 (for State and local governments) and 45 CFR, Part 74 (for nonprofit private organizations), as appropriate. Applications are subject to review pursuant to 45 CFR 100.
Award Procedure
Applications will be reviewed by a committee composed of non-Federal experts in the delivery of health care to homeless people. After selection for funding, grant awards will be made by the Division of Grants Management and Operations.
Applications are due on the dates associated with the service that are specified in the HRSA Preview.
Approval/Disapproval Decision Time
From 90 to 120 days.
Renewals are subject to review pursuant to 45 CFR 100.
How are proposals selected?
For service expansions, the review of applications for grant support will consider the following: (1) Justification of need based upon demographic and/or health status indicators for the use population; (2) where applicable, justification of need for enhancing the organization's information systems capability; (3) identification of new populations to be served; (4) clarity and appropriateness of the proposed goals and objectives; (5) feasibility of the planned implementation within the resources and time frame proposed; (6) extent to which integration of services is planned with local agencies which provide services and support to the target population; (7) relationship of the proposal to the existing project plan of the applicant agency; (8) evidence of a system or program to track progress and outcomes; and (9) adequacy and appropriateness of the budget. For special initiatives, the review of applications for grant support will consider the following: (1) Need for the initiative and assessment of its potential impact upon the user population; (2) degree to which the initiative is consistent with the grantee's overall project plan; (3) extent to which linkages and/or coalitions are planned to strengthen outreach and referral systems; (4) extent to which the initiative will facilitate the delivery of effective primary health care; (5) extent to which integration of services is planned with State and local agencies which provide services and support to the target population; (6) appropriateness of the plan to continue support for the initiative after the expiration of Federal support; and (7) adequacy and appropriateness of the budget.
How may assistance be used?
Grant funds must be used to provide the following services, directly or through contract: (1) Primary health care and substance abuse services at locations accessible to homeless individuals; (2) 24-hour emergency primary health and substance abuse services; (3) referral, as appropriate to medical facilities, for necessary hospital services; (4) referral of homeless individuals who are mentally ill to entities that provide mental health services; (5) outreach services to inform homeless individuals of the availability of primary health and substance abuse services; and (6) aid in establishing eligibility for assistance, and in obtaining services under entitlement programs. Federal funds may not supplant existing public or private resources that are currently allocated to assist homeless populations.
What are the requirements after being awarded this opportunity?
Grantees are required to submit to the Secretary of Department of Health and Human Services (DHHS) an annual report that describes the utilization costs of services provided under the grant, and provide such other information as the Secretary determines appropriate. Financial status reports are required no later than 90 days after the end of each budget period. Final financial status and progress reports are due 90 days after the end of a project period.
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, grants and cooperative agreements are subject to inspection and audits by DHHS and other Federal government officials.
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 DHHS grant, in order to make audits, examinations, excerpts and transcripts. Grantees are required to maintain grant accounting records 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.
Other Assistance Considerations
Formula and Matching Requirements
Grants may be made for up to 5-year project periods. Continued support, beyond the first year, is contingent upon satisfactory performance and the availability of Federal funds and a determination by HRSA that continuation of the grant is in the best interest of the Federal Government.
Length and Time Phasing of Assistance
Not applicable.
Who do I contact about this opportunity?
Regional or Local Office
Contact the appropriate HRSA Field Offices.
Headquarters Office
Program Contact: Regan Crump, M.S.N., Dr. P.H., Director, Division of Programs for Special Populations, Bureau of Primary Health Care, Health Resources and Services Administration, Department of Health and Human Services, 4350 East-West Highway, 7th Floor, Bethesda, MD 20814. Telephone: (301) 594-4420. Grants Management Contact: Office of Grants Management, Bureau of Primary Health Care, Health Resources and Services Administration, Department of Health and Human Services, 4350 East-West Highway, 11th Floor, Bethesda, MD 20814. Telephone: (301) 594-4235. Use the same numbers for FTS.
Website Address
Financial Information
Account Identification
(Grants) FY 02 $15,500,000; FY 03 est $10,500,000; and FY 04 est $12,000,000.
Range and Average of Financial Assistance
$84,500 to $2,895,000; $579,000.
Regulations, Guidelines and Literature
Grants to State and local governments will be administered according to DHHS Regulations in 45 CFR, Part 92. Grants to nonprofit private organizations are subject to DHHS Regulations in 45 CFR, Part 74. All grantees are subject to PHS Grants Policy Statement, DHHS Publication No. (OASH) 94-50,000, April 1, 1994 (Revised).
Examples of Funded Projects
A Health Care for the Homeless Program formed a coalition of community representatives and providers for the provision of primary health, substance abuse, and mental health services to homeless individuals. Health care provider teams will travel to areas with heavy concentrations of homeless individuals. Homeless persons will be provided with primary care outpatient services either at a community health center or in off-site locations, such as shelters for the homeless or welfare hotels. The program will refer for inpatient hospitalization services if necessary. Substance abuse services and mental health services will be provided either directly or through existing facilities within the community. The community coalition represents organizations responsible for the provision of other services for homeless individuals such as food, clothing and shelter. Through a system of case management, the program will serve to guide homeless persons to these services. Arrangements for 24-hour emergency services have been made through a community hospital.