Affordable Care Act (ACA) The Primary Care Services Resource Coordination and Development Program

To coordinate local, State, and Federal resources contributing to primary care service delivery and workforce issues in the State to meet the needs of medically-underserved populations through health centers and other community-based providers of comprehensive primary care and the retention, recruitment,
and oversight of health professions for medically underserved populations.

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.

Division of Regional Operations, Bureau of Clinician Recruitment and Service (BCRS), Health Resources and Services Administration (HRSA), Department of Health and Human Services; 5600 Fishers Lane, Room 9A-55, Rockville, Maryland 20852.

Telephone: (301) 594-0816.
Website Address

http://www.hrsa.gov



Program Accomplishments

Fiscal Year 2012: Fiscal Year 2012 and FY2013: 53 new awards were funded in FYs 2010-13. Fiscal Year 2013: No Current Data Available Fiscal Year 2014: It is anticipated that 54 competing continuation awards will be funded in FY 2014.

Uses and Use Restrictions

The Primary Care Services Resources Coordination and Development program is intended to facilitate the coordination of activities within a State that relate to the delivery of primary care services and the recruitment and retention of critical health care providers.

This includes working with other agencies within the State government, as well as organizations outside of the State government, whose policies affect the health care services.

This program does not support the direct delivery of services.

TBD.

Eligibility Requirements

Applicant Eligibility

States or territories, political subdivisions of States, agencies of States, or other public entities that operate solely within one State, or represent multiple territories where appropriate.

Beneficiary Eligibility

Health Professional Shortage Areas and Medically Underserved Areas/Populations within States and Territories will benefit from this program.

These entities must provide statewide coverage for primary health care issues and represent or have relationships with the broad range of primary health care delivery systems and programs in the State.

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. OMB Circular No. A-87 applies to this program.

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

OMB Circular No. A-102 applies to this program. OMB Circular No. A-110 applies to this program. Applicants for this program are required to apply electronically through Grants.gov.

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

Deadlines

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

Authorization

Public Health Service Act as amended, Title 3, Sections 330 and 333, and the Patient Protection and Affordable Care Act of 2010, Public Law 111-148.

Range of Approval/Disapproval Time

Two - four months.

Appeals

Not Applicable.

Renewals

Not Applicable.

Assistance Considerations

Formula and Matching Requirements

Statutory formulas are not applicable to this program.
This program has no matching requirements.
This program does not have MOE requirements.

Length and Time Phasing of Assistance

The Primary Care Services Resource Coordination and Development Program will provide funding during Fiscal Years 2009-2013. See the following for information on how assistance is awarded/released: Grantees draw down funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards.

Post Assistance Requirements

Reports

Refer to funding opportunity announcement for program reporting requirements.

No cash reports are required.

Refer to funding opportunity announcement for progress reporting requirements.

Expenditure reports are not applicable.

Refer to funding opportunity announcement for performance monitoring requirements.

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.

Obigations

(Cooperative Agreements) FY 12 $2,000,000; FY 13 est $2,000,000; and FY 14 est $2,000,000

Range and Average of Financial Assistance

For FY 13 - $104,215 to $487,190; Average award per grantee $196,358.

Funding beyond the first year is dependent on appropriated funds from the HRSA s National Health Service Corps (NHSC) and Health Center Programs in subsequent fiscal years, grantee satisfactory performance, and a determination that continued funding is in the best interest of the government.

Regulations, Guidelines, and Literature

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. Division of Regional Operations, Bureau of Clinician Recruitment and Service (BCRS), Health Resources and Services Administration (HRSA), Department of Health and Human Services; 5600 Fishers Lane, Room 9A-55, Rockville, Maryland 20852. Telephone: (301) 594-0816.

Headquarters Office

Shortage Designation Branch, Division of Policy and Shortage Designation, BCRS, HRSA 5600 Fishers Lane, Room 9A-55, Rockville, Maryland 20852 Phone: 301-594-0816

Criteria for Selecting Proposals

Applicants will be evaluated in the following areas: (1) Ability to assess and analyze the State"s health policy environment, its unmet need for preventive and primary care services, its health care marketplace and its major disparities in health outcomes; and (2) develop and implement strategies and activities to effectively assist health centers and NHSC delivery sites in their response to these State environmental conditions and needs identified. I: NEED - The applicant must clearly identify the purpose and state needs for grant support for this project. The need for the project is fully described and documented with relevant data.

II: RESPONSE - The objectives for the project should relate to the identified problems/needs as related to the program goals and objectives. The work plan should clearly articulates and address the specific program expectations outlined in the program narrative section; organizational effectiveness, technical assistance, assessment of need/data sharing, workforce development, and shortage area designations. It is critical that the applicant demonstrate it addresses the broad array of primary care issues, services and organizations throughout the State. Objectives are measurable, realistic, and have specific outcomes indicated with timeframes stated. Outcome measures which are attainable within the states time frame are included.

III: EVALUATIVE MEASURES - Each application will be reviewed on the extent to which the proposal: 1)includes a clear, practical, and viable work plan including timeframes and proposed outcomes; and 2) clearly links project activities to the project objectives and outcomes.

IV: IMPACT - Activities described clearly contribute to the accomplishment of each objective. Proposed activities are reasonable given the level and experience of staff, resources available, and length of the project period to carry out the proposed expectations.

V: RESOURCES/CAPABILITIES - Evidence is provided of the program s commitment, personnel experience, and success in working with State policies and resources addressing primary care for the underserved. VI: SUPPORT REQUESTED - A fiscal plan assuring effective use of grant funds and resources to carry out the project is provided. The proposed budget is reasonable and reflects effective use of funds to carry out the proposed activities. A detailed justification for each overarching goal and line item is provided. Funding plan by years is provided.



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