Affordable Care Act (ACA) Nurse-Managed Health Clinics

To provide federal funding to support the development and operation of Nurse-Managed Health Clinics (NMHC) to: 1) improve access to primary health care, disease prevention and health promotion in medically underserved areas (including enhancements of outreach strategies); 2) enhance nursing practice
by increasing the number of structured clinical teaching sites for undergraduate and graduate nursing students; and 3) enhance electronic processes for establishing effective patient and workforce data collection systems.

Under this program, the focus would support the training and practice development site for nurse practitioners to build the capacity of primary care provider workforce.

Agency - Department of Health and Human Services

The Department of Health and Human Services is the Federal government's principal agency for protecting the health of all Americans and providing essential human services, especially to those who are least able to help themselves.

Office - See Regional Agency Offices.

Lt.

Kami Cooper, Division of Nursing, Bureau of Health Professions, Health Resources and Services Administration, Department of Health and Human Services, 5600 Fishers Lane, Room 9B-45, Rockville, MD.

Telephone: (301) 443-8842.
Website Address

http://www.hrsa.gov



Program Accomplishments

Not Applicable.

Uses and Use Restrictions

Awards may be used to support the operation of nurse managed centers, implement new technologies, training programs for nurse practitioner students and other students of other health related disciplines, and enhancement of patient care and accessibility.

Eligibility Requirements

Applicant Eligibility

Eligible applicants must be nurse-practice arrangements managed by advanced practice nurses, that provide primary care or wellness services to underserved or vulnerable populations and is associated with a school, college, university, or department of nursing, federally qualified health center or independent nonprofit health or social services agency.

Beneficiary Eligibility

Beneficiaries include the following: individual/family; specialized group; health professionals; education profession; student/trainee; graduate student.

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.

Any Nurse Managed Clinic that will have undergraduate or graduate nursing students receiving clinical education or experiences during this grant period MUST provide a Memorandum of Agreement with the school(s) of nursing for clinical placement arrangement. This program is excluded from coverage under OMB Circular No. A-87.

Aplication and Award Process

Preapplication Coordination

Preapplication coordination is not applicable.

Environmental impact information is not required for this program.

This program is excluded from coverage under E.O.

12372.

Application Procedures

This program is excluded from coverage under OMB Circular No. A-102. OMB Circular No. A-110 applies to this program.

Award Procedures

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.
Notification is made in writing by a Notice of Award.

Deadlines

Contact the headquarters or regional office, as appropriate, for application deadlines.

Authorization

Section 5208 of the Patient Protection and Affordable Care Act, Public Law 111-148.

Range of Approval/Disapproval Time

From 90 to 120 days.

Appeals

Not Applicable.

Renewals

Not Applicable.

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

Competing grant applications are submitted for a 3-year grant period. 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.

Post Assistance Requirements

Reports

Status Reports
1.

Submit a Financial Report.

A financial report is required within 90 days of the end of each budget period.

The report is an accounting of expenditures under the project that year.



2.

Submit a Progress Report(s).


All Bureau of Health Professions grantees are required to submit a progress report to HRSA on an annual basis.

This report entitled, "BHPr Progress Report," has two parts.

The first part demonstrates grantee progress on program-specific goals.

The second part collects core performance measurement data to measure the Bureau s progress through its grantees in: (1) improving the distribution, diversity, and quality of the healthcare workforce, (2) improving the educational environment infrastructure, and (3) increasing students selection of primary care education.

Progress reports are generally due in August each year and must be submitted on-line by grantees in the Electronic Handbooks system at https://grants.hrsa.gov/webexternal/home.asp.

3.

Submit a Final Report.
All BHPr grantees are required to submit a final report within 90 days after the project period ends.

The final report collects program-specific goals, core performance measurement data, grantee objectives and accomplishments, barriers encountered, and responses to summary questions regarding the grantee s overall experiences over the entire project period.

The final report must be submitted on-line by grantees in the Electronic Handbooks system at https://grants.hrsa.gov/webexternal/home.asp.

Submit a quarterly electronic Federal Financial Report (FFR) Cash Transaction Report via the Payment Management System.

The report identifies cash expenditures against the authorized funds for the grant.

The FFR Cash Transaction Reports must be filed within 30 days of the end of each quarter.

Failure to submit the report may result in the inability to access award funds.

Go to www.dpm.psc.gov for additional information.

Submit a Progress Report(s).


All Bureau of Health Professions grantees are required to submit a progress report to HRSA on an annual basis.

This report entitled, "BHPr Progress Report," has two parts.

The first part demonstrates grantee progress on program-specific goals.

The second part collects core performance measurement data to measure the Bureau s progress through its grantees in: (1) improving the distribution, diversity, and quality of the healthcare workforce, (2) improving the educational environment infrastructure, and (3) increasing students selection of primary care education.

Progress reports are generally due in August each year and must be submitted on-line by grantees in the Electronic Handbooks system at https://grants.hrsa.gov/webexternal/home.asp.

Submit a Final Report.
All BHPr grantees are required to submit a final report within 90 days after the project period ends.

The final report collects program-specific goals, core performance measurement data, grantee objectives and accomplishments, barriers encountered, and responses to summary questions regarding the grantee s overall experiences over the entire project period.

The final report must be submitted on-line by grantees in the Electronic Handbooks system at https://grants.hrsa.gov/webexternal/home.asp.

Submit a quarterly electronic Federal Financial Report (FFR) Cash Transaction Report via the Payment Management System.

The report identifies cash expenditures against the authorized funds for the grant.

The FFR Cash Transaction Reports must be filed within 30 days of the end of each quarter.

Failure to submit the report may result in the inability to access award funds.

Go to www.dpm.psc.gov for additional information.

Refer to funding opportunity announcement.

Audits

In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Non-Profit Organizations," nonfederal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133.

Records

Grantees are required to maintain grant accounting records 3 years after the date they submit the Federal Financial Report (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.

Financial Information

Account Identification

75-0350-0-1-550 - TAFS: 75-0350-2010.

Obigations

(Project Grants) FY 09 $0; FY 10 est $15,000,000; FY 11 est $0

Range and Average of Financial Assistance

$15 million will be available to fund approximately 10 grant awards. Average award amount will be $1.5 million.

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.

Information Contacts

Regional or Local Office

See Regional Agency Offices. Lt. Kami Cooper, Division of Nursing, Bureau of Health Professions, Health Resources and Services Administration, Department of Health and Human Services, 5600 Fishers Lane, Room 9B-45, Rockville, MD. Telephone: (301) 443-8842.

Headquarters Office

Lt. Kami Cooper, 5600 Fishers Lane, Room 9B-45, Rockville, Maryland 20857 Phone: (301) 443-8842.

Criteria for Selecting Proposals

Approval of an application will be based on analysis of the factors set forth in the applicant s proposal. See the section on Application Review in the funding opportunity announcement. The program has a funding preference shall be granted to applicants with projects that will substantially benefit rural or underserved populations, or help meet public health nursing needs in State or local health departments.



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