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Catalog of Federal Domestic Assistance

Program Descriptions

93.224:  Community Health Centers

Objectives:  To support the development and operation of community health centers which provide preventive and primary health care services, supplemental health and support services and environmental health services to medically underserved areas/populations. Priorities will be focused on providing services in the most medically underserved areas and maintaining existing centers which are serving high priority populations. Centers must have demonstrated sound capacities in the following areas: fiscal and management capabilities; monitoring and assessment of project performance; development and implementation of mechanisms for improving quality of care; and maximization of third-party reimbursement levels, through improved project administration and management.

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

93.224 ELIGIBILITY REQUIREMENTS:

Applicant Eligibility:  Public or nonprofit private agency, institution, or organization and a limited number of State and local governments. Profit-making organizations are not eligible.

Beneficiary Eligibility:  Population groups in medically underserved areas.

Credentials/Documentation:  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.

93.224 APPLICATION AND AWARD PROCESS:

Preapplication Coordination:  Necessary coordination varies; Contact the HRSA Field 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 Field Offices. The standard application forms, furnished by HRSA and required by 45 CFR, Part 92, must be used by State and local government applicants. State and local governments must prepare a Form DHHS 5161, Application for Federal Assistance (Nonconstruction), fully documenting the need for the grant and the proposed amount for the project. Other nonprofit organizations must complete Form PHS-5194, Grant Application for Health Services, documenting the need for and the proposed amount of the grant. Applications must be given to designated organizations for review and approval. This program is subject to the provisions of 45 CFR, Part 92 for State and local governments, and 45 CFR Part 74 for nonprofit organizations. Applications are subject to review pursuant to 45 CFR 100.

Award Procedure:  HRSA Field Offices review continuation applications. Final decisions are made by the Director of the Bureau of Primary Health Care, Health Resources and Services Administration.

Deadlines:  Contact Headquarters Office for application deadlines.

Range of Approval/Disapproval Time:  From 90 to 120 days.

Appeals:  None.

Renewals:  Renewals are subject to review pursuant to 45 CFR 100.

Criteria for Selecting Proposals:  (1) Relative merit of grant proposals as measured against the Bureau's funding criteria; (2) specific program guidelines; (3) service to high priority population; (4) demonstrated sound fiscal and management capabilities: and (5) past management performance of the applicant.

Examples of Funded Projects:  (1) Health centers; (2) health networks to support systems of care; (3) a community health program; and (4) planning grants.

Range and Average of Financial Assistance:  From $15,000 to $8,500,000; $951,847.

93.224 RELATED PROGRAMS:

• 93.217 Family Planning: Services;
• 93.226 Research on Healthcare Costs, Quality and Outcomes;
• 93.228 Indian Health Service: Health Management Development Program;
• 93.246 Health Centers Grants for Migrant and Seasonal Farmworkers;
• 93.965 Coal Miners Respiratory Impairment Treatment Clinics and Services.

93.224 PROGRAM ACCOMPLISHMENTS:

93.224 FINANCIAL AND ADMINISTRATIVE INFO:

Federal Agency:  HEALTH RESOURCES AND SERVICES ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES

Type of Assistance:  Advisory Services and Counseling.

Obligations:  FY 99 $750,799,000; FY 00 est $826,509,000; and FY 01 est $866,884,000.

Budget Account Number:  75-0350-0-1-550.

Authorization:  Public Health Service Act, Section 330, as amended, Public Law 104-299.

Regulations, Guidelines, and Literature:  PHS Grants Policy Statement, DHHS Publication No. (OASH) 94-50,000, (Rev.) April 1, 1994; 42 CFR 51 C.

93.224 INFO CONTACTS:

Regional or Local Office:  Contact the HRSA Offices of Field Coordination.

Headquarters Office:  Program Contact: Director, Division of Community and Migrant Health, Bureau of Primary Health Care, Health Resources and Services Administration, Public Health Service, Department of Health and Human Services, 7th Floor, 4350 East-West Highway, Bethesda, MD 20814. Phone: (301) 594-4300. Grants Management Contact: Office of Grants Management, Bureau of Primary Health Care, Health Resources and Services Administration, Public Health Service, Department of Health and Human Services, 11th Floor, 4350 East-West Highway, Bethesda, MD 20814. Phone: (301) 594-4235. Use the same numbers for FTS. Web site: www.bphc.hrsa.dhhs.gov.

(See Appendix IV for more contact info.)

93.224 ASSISTANCE CONSIDERATIONS:

Formula and Matching Requirements:  This program has no statutory formula. The applicant must assume part of the project costs determined on a case-by-case basis. Statement of availability is required as indicated in the appropriate program.

Length and Time Phasing of Assistance:  The initial period of support may be up to 5 years. The project may be renewed for additional years of support based on its progress and the need for additional Federal support.

Uses and Use Restrictions:  Applications should be designed to improve the availability, accessibility and organization of health care within medically underserved communities.

93.224 POST ASSISTANCE REQUIREMENTS:

Reports:  All grantees must submit a financial status report 90 days after the end of each budget period and a final financial status report 90 days after the end of the project period. Basic data, cost accounting, and reporting or monitoring systems will be compatible with federally established national reporting requirements for health services delivery projects.

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, grants and cooperative agreements are subject to inspection and audits by DHHS and other Federal government officials.

Records:  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.