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Catalog of Federal Domestic Assistance

Program Descriptions

93.122:  Cooperative Agreements for Substance Abuse Treatment and Recovery Systems for Rural, Remote and Culturally Distinct Populations

Popular Name:  RRCD

Objectives:  To support cooperative agreement projects which design model systems of substance abuse and/or dependence intervention, treatment and recovery services for rural, remote and culturally distinct populations. Specific objectives are to: (1) Enhance access to assessment and treatment for individuals who have alcohol and other drug problems and who live in rural or geographically remote areas; (2) increase the effectiveness of treatment and recovery services in these areas; (3) foster coordination among assessment, treatment and recovery programs and related health, housing, welfare, training, criminal justice and other social programs and institutions (as a means of involving both alcohol and drug-involved individuals in treatment and achieving improved treatment outcomes); and (4) develop self-evaluation and management methods by which rural health and human service delivery systems can continually improve treatment outcomes.

PROGRAM AND AWARD	FINANCIAL AND INFORMATION CONTACTS
ELIGIBILITY REQUIREMENTS	FINANCIAL AND ADMINISTRATIVE INFO.
APPLICATION AND AWARD PROCESS	INFORMATION CONTACTS
RELATED PROGRAMS	ASSISTANCE CONSIDERATIONS
PROGRAM ACCOMPLISHMENTS	POST ASSISTANCE REQUIREMENTS

93.122 ELIGIBILITY REQUIREMENTS:

Applicant Eligibility:  Eligibility for this program is limited depending upon the system of governance for the target geographic area, as follows: (1) In areas that fall under the jurisdiction of a Federally- recognized Indian Tribal Authority, only the Tribal Authority is eligible to apply; and (2) in areas that fall under the jurisdiction of State governments, only the Single State Agency(ies) for Alcohol and Drug Abuse (SSA) is (are) eligible to apply. The appropriate governing body, as defined above, must apply on behalf of a consortium of relevant State, Tribal and local officials and public and not-for-profit private entities who provide or have jurisdiction over: treatment and recovery services; primary health care; mental health services; social services; housing; job training; interdiction, and legal case processing, for each applicant jurisdiction.

Beneficiary Eligibility:  Rural, remote and culturally distinct populations.

Credentials/Documentation:  For each applicant area, the Tribal Authority or SSA must provide a letter of agreement as evidence of collaboration and involvement on the part of a consortium of appropriate Tribal, State and local officials and public/not-for-profit private entities involved in health and human service delivery in the target catchment area. Local officials are defined to include city, county, and/or regional officials, as appropriate, in cases where more than one governmental body has jurisdiction over the delivery of services in the affected site. However, at a minimum, the consortium as defined in the letter of agreement that accompanies the application must include: the Tribal Authority or SSA (as appropriate, given the nature of the target jurisdiction), the chief health care official for the Tribe or State, the chief mental health care official for the Tribe or State, and the chief social service official for the Tribe or State.

93.122 APPLICATION AND AWARD PROCESS:

Preapplication Coordination:  Applicants are encouraged to coordinate with other programs. Applicants should identify the coordinating organizations by name and address and describe the process to be used for coordination efforts. Letters of commitment must specify the type(s) and level of support from organizations (both Federal and nonfederal) which have agreed to work with the applicant, and must be attached to the application. A letter of intent from prospective applicants is requested 30 days prior to the application receipt date, and should be sent to: Peer Review Branch, Center for Substance Abuse Treatment, Rockwall II, 10th Floor, 5600 Fishers Lane, Rockville, MD 20857, ATTN: RRCD Letter of Intent. Applications are subject to the intergovernmental review requirements of Executive Order 12372, "Intergovernmental Review of Federal Programs." Applicants (other than Federally recognized Indian Tribal Governments) should contact the State's Single Point of Contact (SPOC) as early as possible to alert them to the prospective application(s) and to receive any necessary instructions on the State process. This program is eligible for coverage under E.O. 12373, "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.

Application Procedure:  All applicants must use application form PHS 5161 (Rev. July 1992), which contains Standard Form 424 (face page). Grant application kits may be obtained from the Headquarters Office listed below.

Award Procedure:  Grants in support of the projects recommended for approval by the initial review groups are awarded by CSAT to the provider applicant.

Deadlines:  No new applications are being accepted.

Range of Approval/Disapproval Time:  About 60 days.

Appeals:  None.

Renewals:  None.

Criteria for Selecting Proposals:  Criteria for technical merit review of individual projects will include: (1) Proof of need; (2) relevance/adequacy of program design; (3) resources, planning, and management; (4) reasonableness/appropriateness of budget; and (5) program evaluation.

Examples of Funded Projects:  Six projects have been funded through cooperative agreements with three State and three Tribal Authorities (Alaska, Texas, Hawaii, Navajo Nation, Inter-Tribal Council of Michigan and the Kickapoo Traditional Tribe of Texas). The awards are for the planning and implementation of treatment programs and networks that include assessment, evaluation, and automated Management Information Systems.

Range and Average of Financial Assistance:  From $350,000 to $1,000,000; $749,068.

93.122 RELATED PROGRAMS:

93.122 PROGRAM ACCOMPLISHMENTS:

93.122 FINANCIAL AND ADMINISTRATIVE INFO:

Federal Agency:  SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES

Type of Assistance:  Project Grants.

Obligations:  (Cooperative Agreement) FY 99 $0; FY 00 est $0; and FY 01 est $0.

Budget Account Number:  75-1362-0-1-550.

Authorization:  Public Health Service Act, Section 510(b) as amended, 42 U.S.C. 290bb-3.

Regulations, Guidelines, and Literature:  Federal regulations at Title 45 CFR Parts 74 and 92, generic requirements concerning the administration of grants, and the PHS Grants Policy Statement are applicable to the awards. Guidelines and instructions are included in the application kit which is available from the Headquarters Office listed below.

93.122 INFO CONTACTS:

Regional or Local Office:  Not applicable.

Headquarters Office:  Program Contact: Tom Edwards, Chief, Organization of Services Branch, Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration, Public Health Service, Department of Health and Human Services, Rockwall II, Suite 740, 5600 Fishers Lane, Rockville, MD 20857. Phone: (301) 443-8802. Grants Management Contact: Ms. Peggy Jones, Grants Management Officer, Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration, Public Health Service, Department of Health and Human Services, Rockwall II, 6th Floor, 5600 Fishers Lane, Rockville, MD 20857. Phone: (301) 443-9666. Use the same numbers for FTS.

(See Appendix IV for more contact info.)

93.122 ASSISTANCE CONSIDERATIONS:

Formula and Matching Requirements:  Not applicable.

Length and Time Phasing of Assistance:  Support was requested for a 5-year project period. Annual awards are made subject to continued availability of funds and program achieved.

Uses and Use Restrictions:  Grant funds may be used only for expenses clearly related and necessary to carry out approved activities, including both direct which can be specifically identified with project and allowable indirect costs. Activities are designed to improve the availability, accessibility and effectiveness of services for individuals with culturally distinct characteristics (e.g., Native Americans, Alaska Natives, Native Hawaiians, recent immigrants and farm workers) and who reside in areas that are rural, remote or geographically isolated. Funds may be utilized to support health and allied health care workers to staff the Intake Unit(s), to staff discrete SDUs, to conduct clinical case review and case management activities, or for evaluation expertise, quality assurance oversight and technical assistance. Capacity expansion projects will only be considered in cases where the applicant can document significant unmet demand for treatment on the part of the target population. Funds will be awarded to serve the needs of residents living in rural areas and States. A rural area is defined as an area where a significant number of the population lives in the country, or in small towns of less than 5,000. Exceptions could include a large rural county with a major city (greater than 10,000), but where at least 30 to 40 percent of population live in the country. The populations which are the focus of these programs must meet the following criteria: 1) Live or reside in a rural or geographically remote area; 2) have alcohol and/or drug problems; 3) are unemployed or underemployed, and for whom treatment must be subsidized through public means; and 4) are members of one or more of the following groups: American Indians or Alaskan Natives residing in the United States, including, but not limited to, all Federally recognized Indian tribes; Native Hawaiians who reside in Hawaii; First and second generation immigrants who reside in migrant farm worker communities. Funds may not be used for routine support of the costs of primary or preventive medical care in primary health care settings.

93.122 POST ASSISTANCE REQUIREMENTS:

Reports:  Unless otherwise specified, progress reports will be required at least quarterly, and a financial status report is required annually. A final performance report and financial status report are required 90 days following 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 receive 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, 45 CFR 74.26 requires that for-profit recipients and subrecipients have an audit performed in accordance with Government Auditing Standards or Circular No. A-133.

Records:  There is a 3-year record retention requirement: records shall not be retained beyond the 3-year period if the final audit has not been done or findings resolved.