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

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.

credit: Flickr by Jeua


Agency - Department of Health and Human Services

The Department of Health and Human Services is the Federal government's principal agency for protecting the health of all Americans and providing essential human services, especially to those who are least able to help themselves.

Office - See Regional Agency Offices.

Program Contacts: Ms. Jayne Berube, Rural Health Network Development Grant Program Coordinator, Federal Office of Rural Health Policy, Health Resources and Services Administration, Room 17W25C 5600 Fishers Lane, Rockville, MD 20857.

Telephone: (301) 443-4281.

Ms. Marcia Colburn , Rural Allied Health Training Program Coordinator, Federal Office of Rural Health Policy, Health Resources and Services Administration, Room 17W13A 5600 Fishers Lane, Rockville, MD 20857.

Telephone: (301) 443-3261.

Ms. Meriam Mikre, Rural Health Care Services Outreach Program , Federal Office of Rural Health Policy, Health Resources and Services Administration, Room 17W45A 5600 Fishers Lane, Rockville, MD 20857.

Telephone: (301) 945-3110.

Ms. Katherine Lloyd, Small Health Care Provider Quality Improvement Grant Program Coordinator, Federal Office of Rural Health Policy, Health Resources and Services Administration, Room 17W23A, 5600 Fishers Lane, Rockville, MD 20857.

Telephone: (301) 443-2933.

Ms. Alexa Ofori, Delta States Rural Development Network Grant Program Coordinator, Federal Office of Rural Health Policy, Health Resources and Services Administration, Room 17N172A, 5600 Fishers Lane, Rockville, MD 20857.

Telephone: (301) 945-3986.

Ms. Cassandra Phillips, Rural Outreach Benefits Counseling Grant Program Coordinator, Federal Office of Rural Health Policy, Health Resources and Services Administration, Room 17W45-C, Parklawn Building, 5600 Fishers Lane, Rockville, MD 20857.

Telephone: (301) 945-3940 Ms. Christina Villalobos, Rural Health Care Coordination Network Partnership Program Coordinator, Federal Office of Rural Health Policy, Health Resources and Services Administration, Room 17W59-D, 5600 Fishers Lane, Rockville, MD 20857.

Telephone: 301 443-3590. Ms. Sara Afayee, Rural Health Network Development Planning Grant Program, Federal Office of Rural Health Policy, Health Resources and Services Administration, Room 17W49C, 5600 Fishers Lane, Rockville, MD 20857.

Telephone: (301) 945-4169. Mr. Michael Blodgett, Rural Health Opioids Program, Federal Office of Rural Health Policy, Health Resources and Services Administration, Room 17N172D, 5600 Fishers Lane, Rockville, MD 20857.

Telephone (301) 443-0144. Ms. Rachel Moscato, Delta Region Community Health Systems Development Program, Federal Office of Rural Health Policy, Health Resources and Services Administration, Room 17W59D, 5600 Fishers Lane, Rockville, MD 20857.

Telephone: (301) 443-2724.




Selected Recipients for this Program


RecipientAmount Start DateEnd Date
Adams, County Of $ 250,000   2018-09-302021-09-29
County Of Nevada $ 250,000   2018-09-302021-09-29
Kentucky Rural Health Information Technology Network, Inc. $ 250,000   2018-09-302021-09-29
Penn Highlands Healthcare $ 250,000   2018-09-302021-09-29
Firelands Regional Health System $ 0   2018-09-302021-09-29
Erie, County Of $ 250,000   2018-09-302021-09-29
Preferred Family Healthcare, Incorporated $ 250,000   2018-09-302021-09-29
Firelands Regional Health System $ 250,000   2018-09-302021-09-29
Stigler Health & Wellness Center Inc. $ 250,000   2018-09-302021-09-29
S2ay Rural Health Network Incorporated $ 250,000   2018-09-302021-09-29



Program Accomplishments

Not Applicable.

Uses and Use Restrictions

All funds awarded are to be expended solely for carrying out the approved projects.

Eligibility Requirements

Applicant Eligibility

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 Network Allied Health Training Program: This program is available to rural public or private non-profit entity and all services must be provided in a rural county or census tract.

Rural faith-based and community-based organizations, Tribes, and tribal organizations are eligible.

The administrative headquarters of the organization must be located in a rural county or a rural zip code of an urban county.

Lead applicant must be composed of at least three separate health care Lead applicant must partner with an accredited two-year educational institution, such as a community, technical, or vocational college.

Small Health Care Provider Quality Improvement Program: This program is available to rural public or rural nonprofit private entities (including faith-based organizations and federallyrrecognized Tribal governments) 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: This program is available to 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.

Rural Outreach Benefits Counseling Program: This program is available to rural public or rural nonprofit private entities (including faith-based organizations and federally recognized Tribal governments) that include three or more health care providers.

The administrative headquarters of the organization must be located in a rural county or a rural zip code of an urban county.

Rural Health Care Coordination Network Partnership Program: This program is available to rural public or rural nonprofit private entities (including faith-based organizations and federally recognized Tribal governments) that include 3 or more health care providers.

The administrative headquarters/lead applicant of the organization must be located in a rural county or a rural zip code of an urban county.

Rural Health Opioid Program: This program is available to rural public or rural nonprofit private entities (including faith-based organizations and federally recognized Tribal governments) that include 3 or more health care providers.

The administrative headquarters/lead applicant of the organization must be located in a rural county or a rural zip code of an urban county. Delta Region Community Health Systems Development: Eligible applicants include domestic public, private, and non-profit organizations, including tribes and tribal organizations, and faith-based and community-based organizations. 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 Tribal Government and Native American Organizations are eligible to apply as long as they meet the eligibility requirements.

Beneficiary Eligibility

Medically underserved populations in rural areas will receive expanded services in rural communities where they did not previously exist.

Credentials/Documentation

Applicants should review the individual HRSA notice of funding opportunity 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. 2 CFR 200, Subpart E - Cost Principles applies to this program.

Aplication and Award Process

Preapplication Coordination

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.

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

2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. HRSA requires all applicants to apply electronically through Grants.gov.

Award Procedures

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

Contact the headquarters or regional office, as appropriate, for application deadlines.

Authorization

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.

Range of Approval/Disapproval Time

From 6-9 months.

Appeals

Not Applicable.

Renewals

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 Network Allied Health Training 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 FY 2017 (August, 2018). Rural Outreach Benefits Counseling awards may be made for up to 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 FY2017 (July 2018). Rural Health Care Coordination Network Partnership Program awards may be made for up to 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 FY2017 (August, 2018). Rural Health Network Development 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. Rural Health Opioid Program 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. The Delta Region Community Health Systems Development award may be 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.

Assistance Considerations

Formula and Matching Requirements

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

Awards are made annually and funds are available to awardees on an as needed basis throughout the budget period. See the following for information on how assistance is awarded/released: Awardee drawdown funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards.

Post Assistance Requirements

Reports

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 notice of funding opportunitu 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 notice of funding opportunity 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.

The awardee will be required to submit performance and progress reports as well as status-federal financial reports (see the notice of funding opportunitu 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 notice of funding opportunity 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 expenditure reports are required.

No performance monitoring is required.

Audits

In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503. In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-federal entities that expend financial assistance of $750,000 or more in federal awards will have a single or a program-specific audit conducted for that year. Non-federal entities that expend less than $750,000 a year in federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503

Records

Awardees 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

Account Identification

75-0350-0-1-550.

Obigations

(Project Grants) FY 16 $0; FY 17 est $2,000,000; and FY 18 est $2,000,000 - Delta Region Community Health Systems Development Program. (Project Grants) FY 16 $1,595,467; FY 17 est $1,511,575; and FY 18 Estimate Not Available - Rural Health Care Coordination Network Partnership Program. (Project Grants) FY 16 $749,502; FY 17 est $749,148; and FY 18 Estimate Not Available - Rural Outreach Benefits Counseling Program. (Project Grants) FY 16 $15,918,512; FY 17 est $15,016,632; and FY 18 Estimate Not Available - Rural Health Network Development Program. (Project Grants) FY 16 $10,079,870; FY 17 est $10,079,939; and FY 18 est $10,079,886 - Delta States Rural Development Network Grant Program. (Project Grants) FY 16 $0; FY 17 est $3,000,000; and FY 18 est $3,000,000 - Rural Health Opioid Program. (Project Grants) FY 16 $6,235,563; FY 17 est $6,185,268; and FY 18 est $6,022,799 - Small Health Care Provider Quality Improvement Program. (Project Grants) FY 16 $2,400,000; FY 17 est $2,234,000; and FY 18 Estimate Not Available - Rural Health Network Development Planning Program. (Project Grants) FY 16 $1,916,942; FY 17 est $1,914,096; and FY 18 Estimate Not Available - Rural Network Allied Health Training Program. (Project Grants) FY 16 $11,744,824; FY 17 est $11,769,653; and FY 18 Estimate Not Available - Rural Health Care Services Outreach Program.

Range and Average of Financial Assistance

Program: Rural Health Care Services Outreach Program; Maximum award: $200,000; Minimum award: $156,539; Average Award: $196,183 Program: Rural Health Network Development Planning Program; Maximum award: $100,000; Minimum award: $82,597; Average Award: $98,842 Program: Rural Health Network Development Program; Maximum award: $300,000; Minimum award: $199,282,000; Average Award: $294,444 Program: Rural Network Allied Health Training Program; Maximum award; $200,000; Minimum award: $122,265; Average Award: $191,694 Program: Delta States Rural Development Network Grant Program; Maximum award: $945,000; Minimum award: $584,999; Average Award: $839,994 Program: Small Health Care Provider Quality Improvement Grant;; Maximum award: $200,000; Minimum award: $136,070; Average Award: $193,289. Program: Rural Outreach Benefits Counseling; Maximum award: $75,000; Minimum award: $74,187; Average Award: $74,915 Program: Rural Health Care Coordination Network Partnership Program; Maximum award: $200,000; Minimum award: $197,509; Average award: $199,433. Program: Rural Health Opioid Program; Maximum award: $250,000; Minimum award: N/A; Average Award: N/A. First iteration of program, awards not yet made. Program: Delta Region Community Health Systems Development; Maximum award $2,000,000; Minimum award $2,000,000. Average Award: $2,000,000. First iteration of program, award has not been made.

Regulations, Guidelines, and Literature

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

Regional or Local Office

See Regional Agency Offices. Program Contacts: Ms. Jayne Berube, Rural Health Network Development Grant Program Coordinator, Federal Office of Rural Health Policy, Health Resources and Services Administration, Room 17W25C 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-4281. Ms. Marcia Colburn , Rural Allied Health Training Program Coordinator, Federal Office of Rural Health Policy, Health Resources and Services Administration, Room 17W13A 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-3261. Ms. Meriam Mikre, Rural Health Care Services Outreach Program , Federal Office of Rural Health Policy, Health Resources and Services Administration, Room 17W45A 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 945-3110. Ms. Katherine Lloyd, Small Health Care Provider Quality Improvement Grant Program Coordinator, Federal Office of Rural Health Policy, Health Resources and Services Administration, Room 17W23A, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-2933. Ms. Alexa Ofori, Delta States Rural Development Network Grant Program Coordinator, Federal Office of Rural Health Policy, Health Resources and Services Administration, Room 17N172A, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 945-3986. Ms. Cassandra Phillips, Rural Outreach Benefits Counseling Grant Program Coordinator, Federal Office of Rural Health Policy, Health Resources and Services Administration, Room 17W45-C, Parklawn Building, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 945-3940 Ms. Christina Villalobos, Rural Health Care Coordination Network Partnership Program Coordinator, Federal Office of Rural Health Policy, Health Resources and Services Administration, Room 17W59-D, 5600 Fishers Lane, Rockville, MD 20857. Telephone: 301 443-3590. Ms. Sara Afayee, Rural Health Network Development Planning Grant Program, Federal Office of Rural Health Policy, Health Resources and Services Administration, Room 17W49C, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 945-4169. Mr. Michael Blodgett, Rural Health Opioids Program, Federal Office of Rural Health Policy, Health Resources and Services Administration, Room 17N172D, 5600 Fishers Lane, Rockville, MD 20857. Telephone (301) 443-0144. Ms. Rachel Moscato, Delta Region Community Health Systems Development Program, Federal Office of Rural Health Policy, Health Resources and Services Administration, Room 17W59D, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-2724.

Headquarters Office

Federal Office of Rural Health Policy 5600 Fishers Lane, Room 17W59-D, Rockville, Maryland 20857 Phone: (301) 443-0835

Criteria for Selecting Proposals

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.



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