Accessibility Information

Users of assistive technologies such as screen readers should use the following link to activate Accessibility Mode before continuing: Learn more and Activate accessibility mode.

Affordable Care Act (ACA) – Family to Family Health Information Centers

F2F HICs
Number: 93.504
Agency: Department of Health and Human Services
Office: Health Resources and Services Administration

Program Information 

Program Number/Title (010):
93.504 Affordable Care Act (ACA) – Family to Family Health Information Centers
Federal Agency (030):
Health Resources and Services Administration, Department of Health and Human Services
Authorization (040):
Social Security Act, Title V, Section 501(c)(1)(A)(iii), codified at 42 U.S.C. 701(c), as amended by the American Taxpayer Relief Act of 2012, Section 624 (P.L.112-240).
Objectives (050):
To carry out special maternal and child health (MCH) projects of regional and national significance for the development and support of Family to Family Health Information Centers. The Family to Family Health Information Centers (A) assist families of children with disabilities or special health care needs to make informed choices about health care in order to promote good treatment decisions, cost-effectiveness, and improved health outcomes for such children; (B) provide information regarding the health care needs of, and resources available for, such children; (C) identify successful health delivery models for such children; (D) develop with representatives of health care providers, managed care organizations, health care purchasers, and appropriate State agencies, a model for collaboration between families of such children and health professionals; (E) provide training and guidance regarding caring for such children; (F) conduct outreach activities to the families of such children, health professionals, schools, and other appropriate entities and individuals; and (G) are staffed by such families who have expertise in Federal and State public and private health care systems; and by health professionals.
Types of Assistance (060):
Project Grants
Uses and Use Restrictions (070):
All funds granted should be expended solely for carrying out the approved project in accordance with Section 501(c)(A) of the Social Security Act.
Eligibility Requirements (080)
Applicant Eligibility (081):
Eligible applicants include public and private entities, including an Indian tribe or tribal organization (as those terms are defined at 25 U.S.C. 450b), faith-based organizations, and community-based organizations. The law limits the site of eligible organizations to the 50 States and the District of Columbia. Although Tribes and tribal organizations may apply, they must meet all applicable requirements, including targeting of all CSHCN across the State for services. Applicants must have experience related to the “purpose” of the program, must have a focus on health for children and youth with special health care needs (CYSHCN) (as defined by the MCH Bureau), and the effort must be family-staffed/run. If an applicant is a family organization with a history of funding that is condition specific or related to education, mental health or developmental disabilities, as with any applicant, evidence of health for the broad CYSHCN population must be evident in their application. Applicants MUST demonstrate that they have EXISTING and effective fiduciary, administrative and management systems. If a different fiduciary agency is needed, such as a university, activities must still be family-staffed/run for the entire grant period.
Beneficiary Eligibility (082):
Projects will benefit (1) public or private agencies, organizations and institutions engaged in activities for CYSHCN; (2) family members and children who receive services through the program; and (3) professionals and trainees who provide services to CYSHCN.
Credentials/Documentation (083):
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.
Application and Award Process (090)
Preapplication Coordination (091):
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 (092):
OMB Circular No. A-102 applies to this program. OMB Circular No. A-110 applies to this program. Grant applications and required forms for this program can be obtained from Grants.gov. HRSA requires all applicants to apply electronically through Grants.gov.

Award Procedure (093):
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 (094):
Contact the headquarters or regional office, as appropriate, for application deadlines.
Range of Approval/Disapproval Time (095):
From 90 to 120 days.
Appeals (096):
Not Applicable.
Renewals (097):
After initial award, projects may be renewed annually up to the limit of the project period upon the submission and approval of a satisfactory continuation application.
Assistance Consideration (100)
Formula and Matching Requirements (101):
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 (102):
Competing and competing continuation grant applications are submitted for up to three (3) years of support and is dependent on the availability of appropriated funds for the program in subsequent fiscal years, grantee satisfactory performance, and a decision that continued funding is in the best interest of the Federal government. See the following for information on how assistance is awarded/released: Grantees drawdown funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards.
Post Assistance Requirements (110)
Reports (111):
Grantees are required to submit progress, performance and financial reports on the status of the project. 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 grant funds. Go to www.dpm.psc.gov for additional information. Annual financial reports and annual narrative progress reports. The annual Federal Financial Report (FFR or SF-425 formerly known as the Financial Status Report) is required within 90 days of the end of each budget period. The report is an accounting of expenditures for the project year. It must be submitted online via the HRSA Electronic Handbooks system at https://grants.hrsa.gov/webexternal/home.asp. Failure to submit the report may result in the inability to access grant funds. Successful applicants receiving funding are required to electronically complete performance measures and program specific data reports. These reports capture program-related data (e.g., performance measures, budget breakdowns, project abstract, and other grant summary data) and data needed for Government Performance and Results Act (GPRA) of 1993 (P.L. 103-62). The performance measures and program data report must be filed annually depending on the terms and conditions of award. This report must be submitted online via the HRSA Electronic Handbooks system at https://grants.hrsa.gov/webexternal/home.asp.
Audits (112):
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 (113):
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 (120)
Obligations (122):
(Project Grants) FY 12 $4,885,842; FY 13 est $4,892,700; and FY 14 est $0
Range and Average of Financial Assistance (123):
Awards range from $95,700 to $95,700. Average award amount is $95,700.
Program Accomplishments (130):
Fiscal Year 2013: No Current Data Available Fiscal Year 2014: No Current Data Available. Fiscal Year 2015: No Current Data Available
Regulations, Guidelines, and Literature (140):
This program is subject to the provisions of 45 CFR Part 92 for State, local and tribal governments or 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 (150)
Regional or Local Office (151) :
See Regional Agency Offices. LaQuanta Smalley, MPH, Integrated Services Branch, Division of Services for Children with Special Health Needs, Health Resources and Services Administration, Department of Health and Human Services, Room 13-61, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-2372.
Headquarters Office (152):
LaQuanta Smalley 5600 Fishers Lane, Room 13-61, Rockville, Maryland 20857 Email: LSmalley@HRSA.gov Phone: (301) 443-2372
Website Address (153):
http://www.mchb.hrsa.gov
Examples of Funded Projects (170):
Not Applicable.
Criteria for Selecting Proposals (180):
Approval of an application will be based on an analysis of the factors set forth in the Application Review Information in the funding opportunity announcement.