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Catalog of Federal Domestic Assistance

Program Descriptions

93.933:  Demonstration Projects for Indian Health

Objectives:  To promote improved health care among American Indians and Alaska Natives through research studies and demonstration projects, addressing such issues as Elder Care, Women's Health Care, and Child Protection and Child Abuse Prevention.

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

93.933 ELIGIBILITY REQUIREMENTS:

Applicant Eligibility:  Federally recognized Indian tribes; tribal organizations; nonprofit intertribal organizations; nonprofit urban Indian organizations contracting with the Indian Health Service under Title V of the Indian Health Care Improvement Act; public or private nonprofit health and education entities; and State and local government health agencies.

Beneficiary Eligibility:  American Indians/Alaska Natives will be the ultimate beneficiaries of the funded projects either directly or indirectly depending upon the nature of the project. For example, those individuals who participate in research studies and receive services will be direct beneficiaries while those impacted by policy changes resulting from analyses of Indian health care issues will be indirect beneficiaries.

Credentials/Documentation:  Costs will be determined in accordance with the applicable OMB Circular: OMB Circular No. A-87 (State, local, and Indian tribal governments); OMB Circular No. A-21 (institutions of higher education); and OMB Circular No. A-122 (nonprofit organizations). Depending upon the nature of the project, letters of support or tribal resolutions may be required.

93.933 APPLICATION AND AWARD PROCESS:

Preapplication Coordination:  Not applicable. This program is excluded from coverage under E. O. 12372.

Application Procedure:  This program is subject to the provisions of either 45 CFR, Part 92 or OMB Circular No. A-110 depending upon the type of applicant organization. Information on the submission of applications may be obtained from the Grants Management Officer, Grants Management Branch, Division of Acquisition and Grants Management, Suite 100, Twinbrook Metro Plaza, 12300 Twinbrook Parkway, Rockville, MD 20852. Phone: (301) 443-5204.

Award Procedure:  After review and approval, a notice of award is prepared and processed, along with appropriate notification to the public.

Deadlines:  Contact the Grants Management Officer, Headquarters Office, for information regarding application deadline dates.

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

Appeals:  None.

Renewals:  Initial project period of up to 5 years, usually 3 years, with competitive renewals for periods not to exceed a total project period of 5 years.

Criteria for Selecting Proposals:  The selection criteria are: Statement of problem(s) requiring solution; need for assistance; results or benefits expected from the project; approach or soundness of the applicant's plan for conducting the project; key personnel and their capability to carry out the project; and adequacy of management controls. Consideration will be given to the demonstrative aspects of the project and the compatibility of the project with the overall goals and objectives of the Indian Health Service.

Examples of Funded Projects:  (1) National Indian Health Board is conducting a tribal health care advocacy demonstration project to provide advice and consultation on behalf of Indian health care consumers to improve health care delivery in Indian communities; and (2) Ponca Tribe of Nebraska is providing a smoking cessation project aimed at improving women's health.

Range and Average of Financial Assistance:  The range is from $27,000 to $300,000; $115,000.

93.933 RELATED PROGRAMS:

93.933 PROGRAM ACCOMPLISHMENTS:

93.933 FINANCIAL AND ADMINISTRATIVE INFO:

Federal Agency:  INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES

Type of Assistance:  Project Grants.

Obligations:  (Grants) FY 99 $1,006,588; FY 00 est $1,006,588; and FY 01 est $1,006,588. Elder Health Care Initiatives: FY 99 $825,743; FY 00 est $825,743; and FY 01 est $825,743. Indian Women's Demonstration: FY 99 $733,920; FY 00 est 733,920; and FY 01 est $733,920.

Budget Account Number:  75-0390-0-1-551.

Authorization:  Public Health Service Act, Title III, Sections 301 and 327, 42 U.S.C. 241, as amended, Public Law 78-410.

Regulations, Guidelines, and Literature:  45 CFR 92 and 45 CFR 74, Public Health Service Grants Policy Statement; DHHS Publication No. (OASH) 94-50,000 (Rev.) April 1, 1994.

93.933 INFO CONTACTS:

Regional or Local Office:  Not applicable.

Headquarters Office:  Program Contact: Ms. Lahoma Roebuck, Management Analyst, Office of Managed Care, Indian Health Service, Parklawn Bldg., Room 6A-55, 5600 Fishers Lane, Rockville, MD 20857. Phone: (301) 443-3024. For Indian Women's Health Demonstration Program Contact: Ms. Sandra Dodge, Public Health Nurse Consultant, Office of Public Health, Parklawn Bldg., Room 6A-44, 5600 Fishers Lane, Rockville, MD 20857. Phone: (301) 443-1840. For Grants Management Contact: Ms. M. Kay Carpentier, Grants Management Officer, Grants Management Branch, Division of Acquisition and Grants Management, Indian Health Service, Twinbrook Metro Plaza, 12300 Twinbrook Parkway, Suite 100, Rockville, MD 20852. Phone: (301) 443-5204. Use the same numbers for FTS.

(See Appendix IV for more contact info.)

93.933 ASSISTANCE CONSIDERATIONS:

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

Length and Time Phasing of Assistance:  The project period is limited to 5 years or less. Within the project period, a continuation application must be submitted annually on a noncompetitive basis for each year of support.

Uses and Use Restrictions:  Federal assistance is to be used for the following purposes: (1) research, analysis, and investigation of a broad range of issues affecting the health of American Indians and Alaska Natives; and (2) demonstration projects and studies that provide American Indians/Alaska Natives with impetus and involvement in their health care and that promote improved health care to Indian people.

93.933 POST ASSISTANCE REQUIREMENTS:

Reports:  Program progress reports are due on a semiannual basis with the second report submitted as part of the annual noncompetitive continuation application. A terminal progress report is due within 90 days after the end of project support. Financial status reports are due within 90 days after the expiration of each budget period with a final financial status report due 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.

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, paper, or other records of the grantee, contractor, or subcontractor, which are pertinent to the DHHS grant, in order to make audits, examinations, excerpts and transcripts. In accordance with 45 CFR Part 92.42 or 45 CFR Part 74, Subpart D, as applicable, 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 end 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.