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Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement Program

Number: 93.912
Agency: Department of Health and Human Services
Office: Health Resources and Services Administration

Program Information 

Program Number/Title (010):
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement Program
Federal Agency (030):
Health Resources and Services Administration, Department of Health and Human Services
Authorization (040):
Section 330A (f) of the Public Health Service Act, 42 U.S.C. 254(c) (e) (f), as amended by section 201, P.L. 107-251 of the Health Care Safety Net Amendments of 2002.
Objectives (050):
To expand delivery of health care services in rural areas, for the planning and implementation of integrated health care networks in rural areas, and for planning and implementation of small health care provider quality improvement activities.
Types of Assistance (060):
Project Grants; Project Grants (Cooperative Agreements)
Uses and Use Restrictions (070):
All funds awarded are to be expended solely for carrying out the approved projects.
Eligibility Requirements (080)
Applicant Eligibility (081):
Rural Health Care Services Outreach, Rural Health Network Development and Rural Health Network Development Planning Programs: Rural public or rural nonprofit private entities such as faith-based organizations, health departments, Tribal governments whose grant-funded activities will be conducted in a Federally-recognized Tribal area, organizations that serve migrant and seasonal farm- workers in rural areas etc. that include three or more health care providers that provide or support the delivery of health care services. The administrative headquarters of the organization must be located in a rural county or a rural zip code of an urban county. Rural Health Information Technology Workforce Program:
Rural public or rural nonprofit private entities such as faith-based organizations, health departments, Tribal governments whose grant-funded activities will be conducted in a Federally-recognized Tribal area, organizations that serve migrant and seasonal famrworkers in rural areas etc. that include three or more health care providers that provide or support the delivery of health care services. The administrative headquarters of the organization must be located in a rural county or a rural zip code of an urban county. Rural Health Information Technology Network Development Program: Rural public or nonprofit private entities that include three of more health care providers to support the delivery of health care services. The administrative headquarters of the organization must be located in a rural county or a rural zip code of an urban county. Small Health Care Provider Quality Improvement Program: This program is available to Rural public or rural nonprofit private entities that deliver health care services in rural areas. The organization must be located in a non-metropolitan county or in a rural census tract of a metropolitan county and all services must be provided in a non-metropolitan county or rural census tract. Delta States Rural Development Network Grant Program: rural, nonprofit or public entities that represent a consortium of three or more diverse organizations that deliver health care services in eligible rural Delta counties/parishes. To ascertain rural eligibility, please refer to http://datawarehouse.hrsa.gov/RuralAdvisor/. This website can be searched by eligibility by county and by address. Federally-Recognized Indian Tribal Government and Native American Organizations are eligible to apply as long as they meet the eligibility requirements.
Beneficiary Eligibility (082):
Medically underserved populations in rural areas will receive expanded services in rural communities where they did not previously exist.
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 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):
OMB Circular No. A-102 applies to this program. 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.
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 6-9 months.
Appeals (096):
Not Applicable.
Renewals (097):
Rural Health Care Services Outreach and Rural Health Network Development awards may be made for up to 3-year project periods. After initial awards, projects may be renewed non-competitively contingent upon approval of an application, availability of appropriated funds, and awardee’s satisfactory performance. Rural Health Information Technology Workforce Program awards may be made up for 3-year project periods. After initial awards, projects may be renewed non-competitively contingent upon approval of their application, availability of appropriated funds and awardee satisfactory performance. Rural Health Information Technology Network Program awards may be made up for 3-year project periods. After initial awards, projects may be renewed non-competitively contingent upon approval of their application, availability of appropriated funds and awardee satisfactory performance. This is a one-time only funding opportunity, the funding period ends FY2014 (August, 2014). Rural Health Network Planning Awards are available for one year project periods. The Small Health Care Provider Quality Improvement Program awards may be up to three year project periods. After initial awards, projects may be renewed non-competitively contingent upon approval of an application, availability of appropriated funds, and awardee’s satisfactory performance. The Delta States Rural Development Network awards may be up to three year project periods After initial awards, projects may be renewed non-competitively contingent upon availability approval of an application, availability of appropriated funds, and awardee’s satisfactory performance.
Assistance Consideration (100)
Formula and Matching Requirements (101):
This program has no statutory formula.
This program has no matching requirements. .
This program does not have MOE requirements.
Length and Time Phasing of Assistance (102):
Awards are made annually and funds are available to grantees on an as needed basis throughout the budget period. See the following for information on how assistance is awarded/released: Grantee 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):
No program reports are required. The awardee will be required to submit performance and progress reports as well as status-federal financial reports (see the program announcement and notice of award for details for 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) according to the following schedule: http://www.hrsa.gov/grants/manage/technicalassistance/federalfinancialreport/ffrschedule.pdf. 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. A Non-competing Continuation report is required once a year throughout their project period. No progress reports are required. No expenditure reports are required. No performance monitoring is required.
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 13 $42,278,404; FY 14 est $47,250,044; and FY 15 est $61,549,330
Range and Average of Financial Assistance (123):
A maximum of $150,000 of funding for each grant year for the Rural Health Care Services Outreach Grant; A maximum of $300,000 of funding for each grant year for the Rural Health Network Development Grant; A maximum of $85,000 of funding for the Rural Health Network Development Planning Grant; A maximum of $300,000 of funding for each grant year for the Rural Health Information Technology Workforce Grant; A maximum of $300,000 of funding for each grant year for the Rural Health Information Technology Network Grant; A maximum of $150,000 of funding for each grant year for the Small Health Care Provider Quality Improvement Grant; A maximum of $525,000 for the Delta States Rural Development Network Grant.

Program: Outreach; Maximum award: $150,000; Minimum award: 100,001; Average Award: 148,258

Program: Network Planning; Maximum award: $85,000; Minimum award: $65,78; Average Award: $83,685

Program: Network Development; Maximum award: $300,000; Minimum award: $246,765; Average Award: $293,720

Program: HIT WF; Maximum award: $300,000.00; Minimum award: $271,093.00; Average Award: $296,308.47

Program: RHITND; Maximum award; $300,000; Minimum award: $214,689; Average Award: $293,549.92

Program: Delta; Maximum award: $525,000; Minimum award: $325,000; Average Award: $425,000

Program: Quality; Maximum award: $150,000; Minimum award: $120,898; Average Award: $146,688.
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. Program Contacts: Ms. Linda Kwon, Rural Health Care Services Outreach Grant Program Coordinator, Office of Rural Health Policy, Health Resources and Services Administration, Room 17W17-A, Parklawn Building, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-0835. Ms. Jayne Berube, Rural Health Network Development Grant Program Coordinator, Office of Rural Health Policy, Health Resources and Services Administration, Room 17W25C Parklawn Building, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-0835. Ms. Marcia Colburn Green, Rural Health Network Development Grant Program Coordinator, Office of Rural Health Policy, Health Resources and Services Administration, Room 17W13A Parklawn Building, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-0835. Amber Berrian, Rural Health Network Development Planning Grant Program, Office of Rural Health Policy, Health Resources and Services Administration, Room 17W25D Parklawn Building, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-0835.
Ms. Ann Ferrero, Small Health Care Provider Quality Improvement Grant Program Coordinator, Office of Rural Health Policy, Health Resources and Services Administration, Room 17W21B, Parklawn Building, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-0835. CAPT. Valerie Darden Delta States Rural Development Network Grant Program Coordinator, Office of Rural Health Policy, Health Resources and Services Administration, Room 17W17D, Parklawn Building, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-0835.
Headquarters Office (152):
Office of Rural Health Policy 5600 Fishers Lane, Room 17W29-C, Rockville, Maryland 20857 Phone: (301) 443-0835
Website Address (153):
http://www.hrsa.gov/ruralhealth/
Examples of Funded Projects (170):
Not Applicable.
Criteria for Selecting Proposals (180):
Criteria are based on the need of the project, innovation, realistic and measurable goals and objectives, clearly defined roles of each network member, strength of applicant's management plan, community involvement, level of local commitment, costs, and program evaluation plan. Specific criteria will be included in the guidance for each program.