Indian Health Service Community Health Aide Program

 

The Indian Health Service (IHS) Community Health Aide Program (CHAP) consists of several funding programs designed to help Tribes and Tribal Organizations (T/TO) improve access to health care in their respective communities. The national CHAP provides a network of health aides training to support licensed health professionals while providing direct health care, health promotion, and disease prevention services. These providers work within a referral relationship under the supervision of licensed clinical providers that includes clinics, service units, and hospitals. The CHAP will increase access to direct health services, including inpatient and outpatient visits. The Tribal Assessment and Planning program is designed to support the assessment and planning of Tribes and Tribal Organizations is determining the feasibility of implementing the CHAP in their respective communities. The Tribal Planning and Implementation program is designed to support the final planning and implementation of Tribes and Tribal Organizations that are positioned to begin operating a CHAP.

Active 93.382 Indian Health Service, Department of Health and Human Services B - Project Grants Not applicable. 25 U.S.C. 13
42 U.S.C. 2001
25 U.S.C. 1616L
The Indian Health Service (IHS) CHAP is authorized by the Snyder Act, 25 U.S.C. 13; the Transfer Act, 42 U.S.C. 2001; and the Indian Health Care Improvement Act, 25 U.S.C. 1616L. The Snyder Act authorizes the Bureau of Indian Affairs to award grants to American Indian Tribes and Tribal Organizations. The Transfer Act conveys that authority to the Indian Health Service. The Indian Health Care Improvement Act, as amended, authorizes the IHS to develop and operate the Community Health Aide Program and its components in Alaska and the contiguous 48 states. Federally-recognized Indian Tribes as defined by 25 U.S.C. 1603(14), and Tribal organizations as defined by 25 U.S.C. 1603(26) may apply for this program. "Indian Tribe" means any Indian Tribe, band, nation, or other organized group or community, including any Alaska Native village or group, or regional or village corporation as defined in or established pursuant to the Alaska Native Claims Settlement Act (43 U.S.C. 1601 et seq). "Tribal organization" means the recognized governing body of any Indian Tribe, any legally established organization of Indians which is controlled, sanctioned, or chartered by such governing body or which is democratically elected by the adult members of the Indian community to be served by such organization and which includes the maximum participation of Indians in all phases of its activities: provided that, in any case where a contract is let or grant made to an organization to perform services benefiting more than one Indian Tribe, the approval of each such Indian Tribe shall be a prerequisite to the letting or making of such contract or grant. Not applicable. Credentials and documentation required depend on the program. These are described in the published notice of funding opportunity on the Federal Register during the competition for award. Links to the Federal Register announcements can be found at the IHS Division of Grants Management web site, at www.ihs.gov/dgm/funding. Preapplication coordination is not applicable. 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. These programs are subject to the provisions of 45 CFR part 75. The application package may be found in Grants.gov. You may not e-mail an electronic copy of a grant application to IHS. After review and approval, a Notice of Award is prepared and processed, along with appropriate notification to the public. Contact the headquarters or regional location, as appropriate for application deadlines From 60 to 90 days. Not applicable. Renewals at the end of the project period are handled through a competitive process involving a new Notice of Funding Opportunity published in Grants.gov, and a new application submitted under the same guidelines and requirements as the original award. The selection criteria are: Statement of problem(s) requiring solution; need for assistance; results or benefits expected from the project; approach or soundness of the applicant's plan for conducting the project; key personnel and their capability to carry out the project; and adequacy of management controls. Consideration will be given to the demonstrative aspects of the project and the compatibility of the project with the overall goals and objectives of the Indian Health Service. Federal assistance is to be used to study the feasibility of implementing CHAP in the applicant community, or to plan and implement a CHAP within the applicant's Tribal health system. Performance Reports: All IHS grant awards are monitored for Financial compliance by the Division of Grants Management and for Programmatic Compliance by the IHS Program Staff. In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, nonfederal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503 In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, nonfederal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503 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, paper, or other records of the 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 75.361 grantees are required to maintain grant records 3 years after they submit their final expenditure report. If any litigation, claim, negotiation, audit, or other action involving the records has been started before the end of the 3-year period, the records must 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. Statutory formula is not applicable to this assistance listing.

Matching requirements are not applicable to this assistance listing.

MOE requirements are not applicable to this assistance listing. The project period is limited to 2 years or less, with specific lengths listed in the initial notice of funding opportunity on the Federal Register. Within the project period, a continuation application must be submitted annually on a noncompetitive basis for each subsequent year of support. Funding is awarded annually, grantees are required to withdraw funding from the Payment Management System as needed. Program Contact: Donna Enfield, Public Health Advisor, Office of Clinical and Preventive Services, 5600 Fishers Lane, Mail Stop: 08N34A, Rockville, MD 20857, e-mail IHSCHAP@ihs.gov. Grants Management Contact: Marsha Brookins, Director, Division of Grants Management, Indian Health Service, 5600 Fishers Lane, Mail Stop 09E70, Rockville, MD 20857, telephone (301) 443-5204. Division of Grants Management
5600 Fishers Lane, Mail Stop: 09E70
Rockville, MD 20857 US
DGM@ihs.gov
Phone: (301) 443-5204 https://www.ihs.gov/dgm/ 75-0390-1-2-551 (Project Grants) FY 22$1,865,600.00; FY 23 est $1,500,000.00; FY 24 est $1,500,000.00; FY 21$2,809,800.00; FY 20$0.00; - for Tribal Assessment and Planning(Project Grants) FY 22$1,199,740.00; FY 23 est $3,000,000.00; FY 24 est $3,000,000.00; FY 21$1,799,844.00; FY 20$0.00; - for Tribal Planning and Implementation Tribal Assessment and Planning awards are anticipated to be between $500,000 and $520,000 annually. Tribal Planning and Implementation awards are anticipated to be between $900,000 and $1,000,000 annually. 45 CFR 75, and Health and Human Services Grants Policy Statement, January 2007. Not applicable.