This announcement solicits applications for the Patient Centered Medical Home (PCMH) ¿ Facility Improvement (P-FI) Grant Program, as authorized by the Patient Protection and Affordable Care Act (Affordable Care Act), (P.L.
111-148, Section 10503(c)). Subject to the availability of funds, HRSA
anticipates awarding approximately $35 million in fiscal year (FY) 2014 through competitive one-time capital development awards to existing health centers receiving operational awards under the Health Center Program (section 330 of the Public Health Service (PHS), 42 U.S.C.
254b, as amended) for a two-year project period. This announcement is available for existing Health Center Program grantees to address facility modifications needed to improve or enhance a health center¿s capacity to deliver care using the PCMH model. Applicants for the 2014 P-FI funding will address PCMH-related capital needs at an existing facility (i.e., an active service delivery site listed within the health center¿s Form 5B) for the following project types:
Alteration/renovation (AandR):Project types include work required to modernize, improve, and/or reconfigure the interior arrangements of an existing facility; work to improve and/or replace exterior envelope; work to improve accessibility (such as sidewalks and ramps) and/or life safety requirements in an existing facility.This type of project would not increase the total square footage of an existing building, and does not require ground disturbance or footings.This type of project may include the purchase of related moveable equipment. Construction:Project types include expansion of an existing structure to increase the total square feet of a facility.Construction projects may include use of a permanently affixed modular or prefabricated building and the purchase of related moveable equipment.
Eligible health center applicants may submit only one P-FI application proposing one distinct, site-specific, stand-alone facility project. P-FI applicants must demonstrate how their proposals will address the PCMH model and lead to improvements in the delivery of care and patient access.
Award recipients must be able to track P-FI award funds separately from other federal awards and will have separate reporting requirements.  Moveable equipment includes non-expendable items with a useful life of more than one year that are not permanently affixed (such as generators, heating and cooling systems, and wiring) and can be easily moved, such as x-ray equipment, freezers, autoclaves, furniture, and administrative equipment, (i.e., computers, servers, telephones, fax machines, copying machines, software)), and special purpose equipment used for medical activities (e.g., stethoscopes, blood pressure monitors, scales, electronic thermometers). Office supplies (e.g., paper, pencils, toner, etc.); medical supplies (e.g., syringes, blood tubes, plastic gloves, etc.), and educational supplies (e.g., pamphlets, educational videotapes, etc.) are not defined as moveable equipment and are unallowable.
 If a proposed facility expansion project also includes alteration/renovation to the existing structure, this falls under the construction project type.