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Area Health Education Centers Point of Service Maintenance and Enhancement Awards

AHEC-POSME
Number: 93.107
Agency: Department of Health and Human Services
Office: Health Resources and Services Administration

Program Information 

Program Number/Title (010):
93.107 Area Health Education Centers Point of Service Maintenance and Enhancement Awards
Federal Agency (030):
Health Resources and Services Administration, Department of Health and Human Services
Authorization (040):
Title VII, Sec. 751 of the Public Health Service Act (42 U.S.C. 294a), as amended by Sec. 5403 of the Patient Protection and Affordable Care Act, Public Law 111-148.
Objectives (050):
The Patient Protection and Affordable Care Act, Public Law 111-148, amended the PHS Act, Section 751, Area Health Education Centers. The required program activities in the amended legislation embrace the following goals to: (1) educate and train students to become culturally competent primary care health professionals who will provide healthcare in underserved areas and to health disparity populations; (2) increase the number and variety of primary care health professionals who provide care to underserved populations in Health Professional Shortage Areas (HPSAs) and other medically underserved areas; and (3) recruit into health careers individuals from underrepresented minority populations or from disadvantaged or rural backgrounds. The Area Health Education Centers (AHEC) Point of Service Maintenance and Enhancement (POSME) awards consist of cooperative agreements with accredited schools of medicine and nursing to maintain and improve the effectiveness and the capabilities of an existing AHEC program, and make other modifications to the program that are appropriate due to changes in demographics and needs of populations served. The AHEC awardees link the academic resources of medical schools and participating health professions schools with local educational and clinical sites, and thereby establish a network of primary care oriented community-based training sites to provide educational services to health professions students, faculty-preceptors and health care providers in underserved areas, and ultimately to improve the delivery of health care in an underserved region or in an entire state. Grantees shall allocate not less than 75 percent of the award to AHEC centers to coordinate community-based training and interdisciplinary/interprofessional training in underserved areas and for health disparity populations. AHEC health careers recruitment activities shall be coordinated, where feasible, with Department of Labor workforce investment boards, and shall include an emphasis on careers in public health. Interdisciplinary/interprofessional training shall involve physicians, physician assistants, nurse practitioners, nurse midwives, dentists, psychologists, pharmacists, optometrists, community health workers, public health and allied health professionals, as practicable.
Types of Assistance (060):
Cooperative Agreements
Uses and Use Restrictions (070):
Funds shall be used to recruit individuals from underrepresented, disadvantaged, or rural backgrounds into the health professions; establish and maintain community-based placements or preceptorships with an emphasis on primary care; conduct interdisciplinary/interprofessional training involving an array of health professionals; deliver or facilitate continuing education; propose and implement outcomes measurement and evaluation strategies. Not less than 75 percent of the total amount provided to an Area Health Education Centers (AHEC) program under subsection 751(a) (2) shall be allocated to the AHEC centers participating in the program. The aggregate amount of awards to schools in the state for the fiscal year under Point of Service Maintenance and Enhancement AHEC authority shall be not less than $250,000 annually per AHEC center, including program office funds. If amounts appropriated to carry out Section 751 are not sufficient to comply with the amount stated in the preceding sentence, the Secretary may reduce the per center amount as necessary.
Eligibility Requirements (080)
Applicant Eligibility (081):
An entity eligible to apply for AHEC Point of Service Maintenance and Enhancement awards under section 751 (a) (2) means an entity has received funds under this section (751), is operating an area health education center program, including an area health education center or centers, and has a center or centers that are no longer eligible to receive financial assistance under subsection (a)(1).). Eligible entities are accredited public or nonprofit schools of allopathic medicine or osteopathic medicine, the parent institution on behalf of such schools, and accredited schools of nursing, which have received funds under section 751 to operate an AHEC program.
Beneficiary Eligibility (082):
Beneficiaries include a full range of trainees: high school students from underrepresented minority populations or from disadvantaged or rural backgrounds, health professions students, faculty, and practitioners.
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. This program is excluded from coverage under OMB Circular No. A-87.
Application and Award Process (090)
Preapplication Coordination (091):
Preapplication coordination is required. Environmental impact information is not required for this program. This program is eligible for coverage under E.O. 12372, "Intergovernmental Review of Federal Programs." An applicant should consult the office or official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review.
Application Procedures (092):
This program is excluded from coverage under OMB Circular No. A-102. OMB Circular No. A-110 applies to this program. 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. When making final funding decisions regarding Section 751 awards, consideration will be given to the “Sense of the Congress that there be an area health education center program in each state.”

Notification is made in writing (electronic) by a Notice of Award.
Deadlines (094):
Contact the headquarters or regional office, as appropriate, for application deadlines.
Range of Approval/Disapproval Time (095):
3 to 4 months after the review of the application.
Appeals (096):
Not Applicable.
Renewals (097):
During the final budget year of the approved project period, competing continuation applications may be submitted.
Assistance Consideration (100)
Formula and Matching Requirements (101):
This program has no statutory formula.
Matching Requirements: Percent: 50.%. With respect to the costs of operating a program through a grant under section 751, to be eligible for assistance under section 751, an entity shall make available (directly or through contributions from state, county, municipal governments or the private sector) recurring nonfederal contributions in cash or in kind toward such costs in an amount that is equal to not less than 50 percent of such costs. Thus, the matching ratio for AHEC awards is 1:1 (federal funds to non-federal contributions). At least 25 percent of the total required non-Federal contributions shall be in cash.
This program has MOE requirements, see funding agency for further details.
Length and Time Phasing of Assistance (102):
Funds are available for expenditure during the appropriate budget period. 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):
The awardee will be required to submit annual performance and progress reports as well as status-federal financial reports (see below for general information on each required report). The awardee must submit a quarterly electronic Federal Financial Report (FFR) Cash Transaction Report via the Payment Management System within 30 days of the end of each calendar quarter. A Federal Financial Report (SF-425) is required within 90 days of the end of each budget period. A final report is due within 90 days after the project period ends. If applicable, the awardee must submit a Tangible Personal Property Report (SF-428) and any related forms within 90 days after the project period ends. New awards (“Type 1”) issued under this funding opportunity announcement are subject to the reporting requirements of the Federal Funding Accountability and Transparency Act (FFATA) of 2006 (Pub. L. 109–282), as amended by section 6202 of Public Law 110–252, and implemented by 2 CFR Part 170. Grant and cooperative agreement recipients must report information for each first-tier subaward of $25,000 or more in federal funds and executive total compensation for the recipient’s and subrecipient’s five most highly compensated executives as outlined in Appendix A to 2 CFR Part 170 (FFATA details are available online at http://www.hrsa.gov/grants/ffata.html). Competing continuation awardees, etc. may be subject to this requirement and will be so notified in the Notice of Award. Expenditure reports are not applicable. Performance monitoring is not applicable.
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 three 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 three 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 three year period, whichever is later.
Financial Information (120)
Obligations (122):
(Cooperative Agreements) FY 13 Not Available; FY 14 est $26,000,000; and FY 15 Estimate Not Available - Projects formerly funded under 93.824 will now (starting in FY2014) be funded under 93.107.
Range and Average of Financial Assistance (123):
FY 2012 $91,427 to $1,097,124; Average Award: $407,696.
Program Accomplishments (130):
Not Applicable.
Regulations, Guidelines, and Literature (140):
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 (150)
Regional or Local Office (151) :
See Regional Agency Offices. Meseret Bezuneh, Chief, Area Health Education Centers Branch, Division of Public Health and Interdisciplinary Education, Bureau of Health Professions, Health Resources and Services Administration, Department of Health and Human Services, Room 9C-05, 5600 Fishers Lane,Rockville, MD 20857. Phone: (301)443-6950 and E-mail: MBezuneh@hrsa.gov.

Jamie Weng, Project Officer, Area Health Education Centers Branch, Division of Public Health and Interdisciplinary Education, Bureau of Health Professions, Health Resources and Services Administration, Department of Health and Human Services, Room 9C-05, 5600 Fishers Lane, Rockville, MD 20857, Phone: (301) 443-6950, and E-mail: at JWeng@hrsa.gov.
Headquarters Office (152):
Meseret Bezuneh 5600 Fishers Lane, Room 9C-05, Rockville, Maryland 20857 Email: MBezuneh@hrsa.gov Phone: (301) 443-6950
Website Address (153):
http://bhpr.hrsa.gov/grants/areahealtheducationcenters/index.html
Examples of Funded Projects (170):
Not Applicable.
Criteria for Selecting Proposals (180):
Procedures for assessing the technical merit of grant applications have been instituted to provide an objective review of applications and to assist the applicant in understanding the standards against which each application will be judged. Critical indicators have been developed for each review criterion to assist the applicant in presenting pertinent information related to that criterion and to provide the reviewer with a standard for evaluation. Competing applications are reviewed by nonfederal reviewers for technical merit recommendations based on the following:

NEED - Involves the extent to which the application describes the problem(s) to be addressed and the target population(s) and geographic area(s) to be served by the AHEC(s).

RESPONSE - Involves the degree to which the proposal responds to AHEC legislative and programmatic requirements.

EVALUATION MEASURES - The adequacy of the evaluation strategies to monitor and evaluate project results.

IMPACT- Involves the extent and effectiveness of meeting the primary care workforce needs of the population and geography/region identified for AHEC services and programs, and potential for replication of project activities. Involves the extent to which the project demonstrates past performance success.

RESOURCES/CAPABILITIES - The extent to which personnel are qualified by training and/or experience to implement and carry out the proposal. The capabilities of the applicant organization and quality and availability of facilities and personnel to fulfill the needs and requirements of the proposed project will be reviewed.

SUPPORT REQUESTED - Involves the reasonableness of the proposed budget and resources in relation to the objectives, scope of the project, complexity of activities, and anticipated results.

See most recent funding opportunity announcement at www.grants.gov for detailed selection criteria.