Universal Newborn Hearing Screening

 

This program supports state programs for reducing the loss to follow-up of infants who have not passed a physiologic newborn hearing screening examination prior to discharge from the newborn nursery. Although more than 95% of newborns are screened for hearing loss in the first few days of life, nationally about 20-40% of infants for whom further assessment is indicated cannot be documented as having appropriate follow-up. This funding opportunity is to initiate new activities to significantly reduce this loss to follow-up. Support is also provided to one national technical resource center.

General information about this opportunity
Last Known Status
Active
Program Number
93.251
Federal Agency/Office
Agency: Department of Health and Human Services
Office: Health Resources and Services Administration
Type(s) of Assistance Offered
PROJECT GRANTS
Program Accomplishments
Fiscal Year 2014: Grantees have developed and implemented a streamlined focus of quality improvement (QI) methodology (specifically the use of small rapid changes in procedures to test their reliability and validity) to achieve measurable improvement in the numbers of infants who receive appropriate and timely follow-up.

The loss to follow-up rate for the Universal Newborn Hearing Screening Program is listed below:
FY 2014: 32.2% FY 2013: 35.9%. Fiscal Year 2015: No Current Data Available Fiscal Year 2016: No Current Data Available
Authorization
Section 399M of the PHS Act, (42 U.S.C. 280g-1), as amended by the Early Hearing Detection and Intervention Act of 2010.
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
Grants to States and one grant to an organization that will provide technical assistance to the States.
Beneficiary Eligibility
Infants/Families will benefit.
Credentials/Documentation
Applicants should review the individual HRSA funding opportunity announcement 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. 2 CFR 200, Subpart E - Cost Principles applies to this program.
What is the process for applying and being award this assistance?
Pre-Application Procedure
Preapplication coordination is required. Environmental impact information is not required for this program. This program is excluded from coverage under E.O. 12372.
Application Procedure
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards 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 Award.
Deadlines
Contact the headquarters or regional office, as appropriate, for application deadlines.
Approval/Disapproval Decision Time
Final decisions are made 2 to 3 months after receipt of applications.
Appeals
Not Applicable.
Renewals
Project periods for are for 3 to 5 years. The submission of a progress report will be requested. Budgetary information may be submitted annually for each project year.
How are proposals selected?
The objective review of all applications includes thorough and consistent examinations of each submission by persons knowledgeable in the field for that support is requested and has no direct relationship with the organization or individual submitting the application and do not have personal or invested interest in the award of a grant to that organization or individual. Peer review is a system that uses reviewers that are the professional equals of the principal investigator or program director and will be responsible for directing or conducting the proposed project. That is a form of objective review. Reviewers may be Federal or nonfederal. Final review criteria are included in the application kit.
How may assistance be used?
This program supports state programs for reducing the loss to follow-up of infants who have not passed a physiologic newborn hearing screening examination prior to discharge from the newborn nursery. Although more than 95% of newborns are screened for hearing loss in the first few days of life, nationally about 20-40% of infants for whom further assessment is indicated cannot be documented to have appropriate follow-up. This funding opportunity is to initiate new activities to significantly reduce this loss to follow-up. Applicants should have a relationship with both the Title V programs and the Early Intervention programs.
What are the requirements after being awarded this opportunity?
Reporting
Applications are reviewed by nonfederal consultants who make recommendations to the Secretary of the Department. The Secretary will approve projects which best promote the purposes of TBI grants. Review criteria: The following review criteria apply to State Grants: (1) The extent to which the State demonstrates a comprehensive understanding of the problem – inadequate access to rehabilitation and other services - and associated contributing factors to the problem;; (2) The extent to which the State proposes a plan to address barriers to accessing rehabilitation and other services by engaging in the four identified program activities: information and referral services, professional training, screening, and resource facilitation; (3) The strength and effectiveness of the method proposed to monitor and evaluate progress towards goals and the project results as well as how data on persons served will be gathered; (4) The extent to which the State proposes a plan to continually assess the impact of grant activities on individuals with TBI and their families; (5) The extent to which project personnel are qualified by training and/or experience to implement and carry out the statewide plan objectives. (6) Reasonableness of the proposed budget, and effectiveness of the proposed plan to accomplish the goals and objectives the State has for its TBI program. Cash reports are not applicable. Progress reports are not applicable. No expenditure reports are required. No performance monitoring is required.
Auditing
In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-Federal 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.
Records
Grantees are required to maintain grant accounting records 3 years after the date they submit the Federal Financial Review (FFR). 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.
Other 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, in accordance with the project period method of awarding grants. Payments are made through a Letter-of-Credit or Cash Demand 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.
Who do I contact about this opportunity?
Regional or Local Office
See Regional Agency Offices. Irene Forsman, Integrated Services Branch, Division of Services for Children with Special Health Needs, Maternal and Child Health Bureau, Health Resources and Services Administration, Department of Health and Human Services, Room 18A-18, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-9023.
Headquarters Office
Irene Forsman, 5600 Fishers Lane, Room 18A-18, Rockville, Maryland 20857 Phone: (301) 443-9023.
Website Address
http://www.hrsa.gov
Financial Information
Account Identification
75-0354-0-1-550.
Obligations
(Project Grants) FY 14 $17,818,000; FY 15 est $16,255,000; and FY 16 est $17,818,000
Range and Average of Financial Assistance
$155,000 to 250,000. Average award of $235,000.
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.

HRSA awards are subject to the requirements of the HHS Grants Policy Statement (HHS GPS) that are applicable based on recipient type and purpose of award. The HHS GPS is available at http://www.hrsa.gov/grants.
Examples of Funded Projects
Not Applicable.

 



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