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Catalog of Federal Domestic Assistance

Program Descriptions

93.246:  Health Centers Grants for Migrant and Seasonal Farmworkers

Objectives:  To support the development and operation of Health Centers and Migrant health programs which provide primary health care services, supplemental health services, technical assistance and environmental health services, which are accessible to migrant and seasonal agricultural farm workers and their families as they move and work.

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

93.246 ELIGIBILITY REQUIREMENTS:

Applicant Eligibility:  Any public or nonprofit private entity. Priority will be given to applications submitted by community-based organizations which are representative of the populations to be served. Profit-making organizations are not eligible.

Beneficiary Eligibility:  Migrant agricultural workers, seasonal agricultural workers, and members of their families.

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.

93.246 APPLICATION AND AWARD PROCESS:

Preapplication Coordination:  Necessary coordination varies: Contact the appropriate HRSA Field Office for details. In accordance with Section 1513 (e) of the Public Health Service Act, these projects are subject to objective review. 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:  The standard application forms, as furnished by PHS and required by 45 CFR, Part 92, must be used for this program by applicants which are State or local government agencies. Application forms are available from the HRSA Grants Application Center, 50 East Gude Drive, Rockville, MD, 20850. 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 entities must complete Form PHS 5194, Grant Application for Health Services, documenting the need for and the proposed amount of the grant. Applications are to be submitted to the Grants Management Officer for the appropriate DHHS Regional Office. Applications must also be submitted to the appropriate health planning agencies under Title XV of the Public Health Service Act and other designated organizations for review and comment. 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, Part 100.

Award Procedure:  An objective review committee reviews applications for merit and recommends approval or disapproval. 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:  Same as Application Procedure.

Criteria for Selecting Proposals:  (1) Relative merit of grant proposals as measured against the Bureau's funding criteria, specific program guidelines, and regional priorities and needs; (2) reasonableness and appropriateness of costs; and (3) past management performance of the applicant.

Examples of Funded Projects:  Primary or comprehensive ambulatory health care projects include: outreach, transportation, lab pharmacy, x-ray services, occupational hazards and environmental studies, as well as technical and nonfinancial assistance to migrant health centers and programs, children's health insurance program.

Range and Average of Financial Assistance:  The range is from $30,000 to $1,300,000.

93.246 RELATED PROGRAMS:

• 93.217 Family Planning: Services;
• 93.224 Community Health Centers;
• 93.600 Head Start;
• 93.773 Medicare: Hospital Insurance;
• 93.774 Medicare: Supplementary Medical Insurance;
• 93.778 Medical Assistance Program (Medicaid).

93.246 PROGRAM ACCOMPLISHMENTS:

93.246 FINANCIAL AND ADMINISTRATIVE INFO:

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

Type of Assistance:  Project Grants.

Obligations:  (Grants) FY 99 $79,140,000; FY 00 est $87,120,000; and FY 01 est $91,376,000.

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

Authorization:  Public Health Service Act, Title III, Section 330(g), 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. Federal Register publication of rules and regulations for PHS Grants for Community and Migrant Health Services, November 25, 1977, and 42 CFR 56.

93.246 INFO CONTACTS:

Regional or Local Office:  Contact the appropriate HRSA Field Office.

Headquarters Office:  Program Contact: Adolfo Mata, Chief, Migrant Health Branch, Bureau of Primary Health Care, Health Resources and Services Administration, Public Health Service, Department of Health and Human Services, 4350 East-West Highway, 7th Floor, Bethesda, MD 20814. Phone: (301) 594-4303. Grants Management Contact: Grants Management Officer, Bureau of Primary Health Care, Health Resources and Services Administration, Public Health Service, Department of Health and Human Services, 4350 East-West Highway, 11th Floor, Bethesda, MD 20814. Phone: (301) 594-4235. Use the same numbers for FTS.

(See Appendix IV for more contact info.)

93.246 ASSISTANCE CONSIDERATIONS:

Formula and Matching Requirements:  This program has no statutory formula or matching requirements.

Length and Time Phasing of Assistance:  Not more than one grant may be made to an entity to plan and develop a migrant health program; however, this provision does not prohibit such entity from receiving additional grants if it becomes a migrant health program.

Uses and Use Restrictions:  Migrant health centers program funds may be used for the planning, development, and operation of health programs for migrant and seasonal agricultural workers. Health Centers Programs for migrant farmworkers include the defined primary and supplemental services as specified in the legislation. Funds may also be used to assist in the implementation of acceptable environmental health programs. In addition, program funds may be used to conduct projects and studies to assist States and entities which have received grants or contracts under Section 330 (g) in the assessment of problems related to camp and field sanitation, pesticide hazards, and other environmental health hazards to which migrant agricultural workers, seasonal agricultural workers, and members of their families are exposed.

93.246 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 regular 3-year period, whichever is later.