Community Health Center Grant Program Technical Assistance Webinar

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To access the AUDIO portion of the
webinar 1-866-740-1260 Pass code 8618357
RFAs available online at http//www.dhhs.state.nc
.us/orhcc/partners/fundingops.htm
http//www.nciom.org/ (under Whats New)
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Community Health Center Grant ProgramTechnical
Assistance Webinar

• NC Office of Rural Health Community Care
• October 15, 2009

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WHO CAN APPLY

• AHEC clinics
• CCNC networks
• FQHCs
• Free clinics
• Health departments

• Hospitals
• Rural health clinics
• School-based/linked health centers
• Other non-profit community organizations

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AVAILABLE GRANTS

• Program grants
• Medical Access Plan (MAP) grants
• An organization may apply for both a program
  grant and a MAP grant
• Capital-only grants are NOT available this
  funding cycle

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DEADLINES

• PostmarkedTuesday, November 17, 2009
• Received500 p.m. Friday, November 20, 2009
• Track your package!
• ORH staff cannot confirm receipt of applications

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APPLICATION PACKET

• 5 copies of the grant application 1 original
  and 4 copies
• 1 copy of most recent audit - do not send
  multiple copies
• 1 copy of IRS letter verifying tax exempt status
  - do not send multiple copies
• Stapled or binder clipped no folders, binding,
  notebooks, etc.

Health departments/districts do not submit
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LETTERS OF SUPPORT

• Required will lose 10 points if not provided
• Limit of 5 letters
• MUST be included with the grant application
• Do NOT send separately to ORH these will not be
  considered during the review process

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NCIOM SAFETY NET PROVIDER SURVEY

• Report the date for the most recent review or
  update of information
• For more information, contactKimberly
  Alexander-Bratcher919-401-6599 ext.
  26safetynet_at_nciom.org

Points are deducted if your organizations
information is not up-to-date.
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REQUIRED FORMS

• Use the forms provided with the current RFAs
• Organizational Information Signature Sheet
• Summary of Evaluation Criteria Baseline Data
• Budget Template
• Not using these forms or using out-dated forms
  will result in a mandatory point deduction

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Medical Access Plan (MAP) Grants
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MAP GRANT ELIGIBILITY

• Non-profit
• Provide comprehensive primary care services
• Do not receive federal or state funding for
  indigent care for targeted delivery site
• Accept Medicare and Medicaid
• Bill patients and insurance companies

Confirm eligibility with Parcheul Harris at
919-733-2040
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MAP GRANT MAXIMUM

• 25,000 Year 1 January 2010 - June 2010
• If funding is available and grantee meets
  performance measures
• 50,000 Year 2 July 2010 June 2011
• 50,000 Year 3 July 2011 June 2012

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Program Grants
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FUNDING PRIORITIES

• Maximum of 1 Program Grant will be funded in a
  service area / county
• Clearly define service area for the proposed
  project in the grant narrative
• Encourage partnership, collaboration, and
  effective use of limited resources
• Joint-Organization application option

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ELIGIBLE PROJECTS

• Increase access to primary and preventative
  MEDICAL care
• Not Eligible
• Dental
• Pharmaceutical services
• Behavioral / mental health

MEDICAL component of integrated medical-mental
health initiatives is eligible mental health
component is not eligible.
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OTHER RESTRICTIONS

• Funds must be used at the physical location where
  primary care is provided
• Funds CANNOT be used for
• Emergency department, hospital inpatient, or
  specialty clinic projects
• Purchase or lease of vehicles
• Paying down existing mortgages or loans

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JOINT-ORGANIZATION APPLICATIONS

• One application partners do NOT submit separate
  applications
• Designated fiduciary agent organization that
  submits application
• May subcontract with partner organizations
• Responsible for all reporting requirements
• Cannot be just a pass-through agency must be an
  active partner

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JOINT-ORGANIZATION APPLICATIONS

• Partner Responsibilities
• Have a clearly defined role
• Contribute resources to the project
• Provide data/information for evaluation
• Write letter of support clearing stating
  organizations support and describing roles and
  responsibilities

Fiduciary agent does not write letter of
support but describes role / responsibilities in
grant narrative.
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JOINT-ORGANIZATION APPLICATIONS

• Organizations with Multiple Service Areas
• Fiduciary agent for only 1 grant
• May be the fiduciary agent for one grant and be a
  partner agency (but not lead) on a separate
  joint-org application.
• May participate in only 1 grant application per
  service area

Descriptions of service areas will be reviewed
for reasonableness
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PROGRAM GRANT MAXIMUM

• Year 1 January-December 2010
• Solo-Organization Application 125,000
• Joint-Organization Application 175,000
• If funding is available and grantee meets
  performance measures
• Years 2 3
• Year 1 Grant Award less Capital Expense (capital
  is one-time only)

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CAPITAL REQUESTS

• Must be directly related to proposed project
• One-time only not included in continuation
  funding
• Quotes required IF
• Item costs 5,000 or greater
• Building/facility modification or renovation (any
  amount)
• Quotes placed in an appendix and included with
  each copy of the application

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ORGANIZATIONAL INFORMATION SIGNATURE SHEET

• Organization Name through Organization Type
  provide fiduciary agent information if joint-org
  application
• Rural/urban designation of physical location
  where funds will be used (Instructions Appendix
  II)
• Joint-Organization application provide
  names/address of co-applicants

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ORGANIZATIONAL INFORMATION SIGNATURE SHEET

• Summary of Request be brief, one to two
  sentences
• Contact Person someone who can answer questions
  about the application
• Submitted By signed by person authorized to
  enter into contracts for the organization

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SUMMARY OF EVALUATION CRITERIA BASELINE DATA

• Section I
• Must be unduplicated patients not visits (see
  Instructions Appendix I)
• Section II
• Measurable
• Criterias baseline and target must use the same
  unit of measurement
• One criteria must address how project affects
  population and/or community need as described in
  narrative

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GRANT NARRATIVE

• Maximum 8 pages excluding forms and appendices
  12 point font and 1 inch margins
• Appendices
• Do not count towards the page limit
• Must be included with each copy of the
  application
• Letters of support
• Capital item quotes (if needed)

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GRANT NARRATIVE

• Section II Community Need
• Incidence of poverty
• Other relevant demographic, health-status, and
  community data
• Citations/references required for data

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GRANT NARRATIVE

• Section III Project Description
• Be clear
• Number of uninsured persons served
• After-hours care
• Implementation timeline
• Capital request what and how it will support
  the proposed project
• Joint-Org application description of partners
  roles and resources committed

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GRANT NARRATIVE

• Section IV Return on Investment
• Part A pull patient numbers directly from
  Summary of Evaluation Criteria Baseline Data
  form
• Part B describe anticipated cost savings,
  improved health status, or other reasons the
  project is a good use of state monies

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GRANT NARRATIVE

• Section VI Collaboration Community Support
• Maximum 5 letters of support
• Joint-Org application each partner (excluding
  fiduciary agent) must provide letter of support
• If no direct collaboration for proposed project
  describe current partnerships with other
  community providers or agencies

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GRANT NARRATIVE

• Section VII Project Evaluation
• Part A date of safety-net survey update
• Part B
• Must be completed in addition to Summary of
  Evaluation Criteria Baseline Data form
• Explain evaluation criteria
• Identify factors that may negatively impact
  ability to meet targets and describe how these
  factors could be addressed

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BUDGET TEMPLATE

• Project specific
• Time frame January December 2010
• Column A community health grant revenue and
  expenses covered by grant
• Column B all other funding and any expenses not
  covered by community health grant
• Column C - total

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BUDGET TEMPLATE

• Staffing enter FTEs for each position type
• Temp/Contract Staff enter hours per month for
  each position type
• Capital expenses must tie back to project
  description
• Report total number of new FTEs that will be
  created as result of community health grant

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EXTRAORDINARY HARDSHIP GRANTS

• Very Rare
• Grant to address an IMMEDIATE threat to access to
  care that can be addressed by a ONE-TIME infusion
  of funds.
• Maximum grant 125,000 not eligible for
  continuation grant funding
• Solo organization application

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EXTRAORDINARY HARDSHIP GRANTS

• Additional Grant Application Requirements
• Income statements and balance sheets
• Data on number of patients impacted
• Detailed sustainability plan that addresses
  additional funding sources and potential for
  partnering with other organizations to meet
  community need
• See Instructions for more requirements and details

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FOR MORE INFORMATION

• Andrea D. Radford, DrPH, MHA
• Email andrea.radford_at_dhhs.nc.gov
• Voice mail message 919-966-7922

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QUESTIONS Todays Webinar Hosted by
www.caresharehealth.org