Indian Health Service, Health Management Development Program


To develop and enhance management infrastructure of Federally-recognized Tribes and Tribal organizations to assume all or part of existing Indian Health Service programs, functions, services and activities.

General information about this opportunity
Last Known Status
Program Number
Federal Agency/Office
Indian Health Service, Department of Health and Human Services
Type(s) of Assistance Offered
B - Project Grants
Program Accomplishments
Not applicable.
25 U.S.C. § 450h (b)(1) and 25 U.S.C. § 450h(e) of the Indian Self Determination and Education Assistance Act, Public Law 93-638, as amended.
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
Federally-recognized Tribes and Tribally-sanctioned Tribal organizations.
Beneficiary Eligibility
Individuals who are members of an eligible applicant Tribe, band, or group or village and who may be regarded as within the scope of the Indian health and medical service program and who are regarded as an Indian by the community in which he lives as evidenced by such factors as Tribal membership, enrollment, residence on tax exempt land, ownership of restricted property, active participation in Tribal affairs or other relevant factors.
Certification of Native Indian or Alaskan descent is required for direct services. Provisions of grants under Public Law 93-638 and its amendments require Tribal endorsement in the form of a Resolution to sanction Tribal participation. Costs will be determined in accordance with 2 CFR part 230 Cost Principles for Nonprofit Organizations as implemented through program regulations 42 CFR 36 and applicable grant administration regulations 45 CFR, Part 75.
What is the process for applying and being award this assistance?
Pre-Application Procedure
Preapplication coordination is not applicable.
Application Procedure
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. The applicant package may be found in or at This program is subject to the provisions of 45 CFR 75.
Award Procedure
Grants are awarded on a competitive basis with processing and final approval by the IHS Headquarters.
September 1, 2020 For FY 2020 Awards For Public Law 93-638 grants applications must be submitted 90 days prior to the proposed project start date. Contact Headquarters Office for application deadlines.
Approval/Disapproval Decision Time
From 60 to 90 days. Grants are approved/disapproved within ninety (90) days from receipt of application/proposal.
From 30 to 60 days. Grant appeals will follow PHS appeals procedures: 42 CFR, Part 50, Subpart D and DHHS appeals procedures: 45 CFR 16.
Renewal of grants is on a year-to-year basis and requires the submission of non-competing continuation applications.
How are proposals selected?
Not applicable.
How may assistance be used?
The assistance is used for four types of management related projects: (1) Feasibility Studies; (2) Planning; (3) Tribal Health Management Structure Development; and (4) Evaluation. This assistance is available to Federally-recognized Indian Tribes and Tribal-sanctioned Tribal organizations.
What are the requirements after being awarded this opportunity?
Performance Reports: All IHS grant awards are monitored for financial and grant compliance by the Division of Grants Management and for programmatic compliance by the IHS Program Staff.
Not applicable.
HHS 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 HHS 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 expiration 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.
Other Assistance Considerations
Formula and Matching Requirements
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.
Length and Time Phasing of Assistance
Individual projects are awarded annually for 12 months based on receipt of appropriations. Annually.
Who do I contact about this opportunity?
Regional or Local Office
Program: Mr. Ken Coriz, Office of Direct and Service Contract Tribes, Indian Health Service, 5600 Fishers Lane, Mail Stop: 09E37C, Rockville, MD 20857, Phone: (301) 443-1104; 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.
Headquarters Office
Division of Grants Management
5600 Fishers Lane, Mail Stop: 09E70
Rockville, MD 20857 US
Phone: 301-443-5204
Website Address
Financial Information
Account Identification
(Project Grants) FY 22$735,423.00; FY 23 est $1,529,867.00; FY 24 est $2,456,000.00; FY 20$1,802,826.00; FY 21 est $2,456,000.00; FY 19$2,102,702.00; FY 18$2,404,664.00; FY 17$2,376,420.00; FY 16$1,786,683.00; -
Range and Average of Financial Assistance
$50,000 - $100,000 Range; $100,000 Average.
Regulations, Guidelines and Literature
45 CFR 75, HHS Grants Policy Statement, (Rev.) January, 2007; Program Guidelines for Competitive Projects.


Related Federal Grants

Federal Grants Resources