“Where Are We Going?”
HRSA/BPHC Grant Opportunities
Membership Meeting
11.05.2010
HRSA / BPHC Opportunities (July Retreat)
• General Considerations
– Collaboration good (expected); competition not good (selfdefeating)
– Service Area overlap will generate scrutiny in competitive
situations
– More / continued emphasis on “high need areas” or
populations
• Other
– “Approved But Unfunded” FIP applications from summer
2009
– NHSC Expansion
– Workforce Development Initiatives (ex: teaching health
centers)
Current HRSA Initiatives
• Increased Demand for Services (IDS)
– $9M statewide
– Current project periods expiring within 6 months
– continuation expected pending final appropriations
– State met new patient and new uninsured patient targets by 6/30/2010
• Capital Improvement Program (CIP)
– $28M statewide
– 2-year projects expiring mid 2011
• Facility Investment Program (FIP)
– Round 1: 8 awards totaling $80M in December 2009
– Round 2: 8 add’l awards totaling $43.4 in October 2010
– Federal funding represents approx ½ of total statewide capital need
identified by League in fall of 2009
– More than 10 add’l FIP applicants unfunded
• IDS, CIP, FIP Round1 funded through ARRA  separate grants and
separate / multiple reporting requirements
“New Access Points”
• Announcement Number: HRSA-11-017
• Type: Open competition
• Amount available: up to $250M for up to 350
projects
• Purpose: creation of “New Starts” (new grantees)
or “Satellites” (new sites not in current scope of
existing grantees)
• Deadlines: submitted in
– grants.gov by Nov. 17, 2010
– EHB by Dec. 15, 2010
• Awards: August 2011, $650,000 maximum award
• Project Period: two years
“New Access Points”, cont’d
• Need: up to 30 points of 100 point score
• Need Narrative: up to 10 of these 30 points
• “Funding priorities”
– Betw/ 1 and 5 add’l points if % population of
entire proposed service area that is poor > 30%
– Betw/ 5 and 10 add’l points if at least 25% of
budget identifies costs related to serving the
homeless, farmworkers, or residents of public
housing.
– 5 add’l points if population of entire proposed
service area < 7 people / sq. mile
“New Access Points”, cont’d
• For some centers interest in NAP dampened by
– Data challenges
– Service area overlap
– Subsequent ES and SBHCCP opportunities
– Other priorities (FIP)
• Expect up to 12 NAP applications from all regions
of the state
• League Letters of Support will be provided upon
request with submitted Project Abstract after
grants.gov deadline
“Expanded Services”
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Reference Document: HRSA-11-148
Amount available: between $270M and $335M
Type: Supplemental
Targeted amounts (ceiling):
– Formula: $175,000 + ($4 * # 2009 patients) + ($10 * #
2009 uninsured patients)
– MA total: $9.7M
• Purpose: Addition or expansion of services at sites within
current scope of project to
– Add new patients
– Provide new services to existing patients
• Deadline: EHB by January 6, 2011
• Awards: April 2011
“Expanded Services” cont’d
• An Expanded Medical Capacity project is required, with
budget reflecting not < 2/3 of target amount
• Up to 5 optional projects, with combined budget reflecting
not > 1/3 of target amount , are allowed for:
– Behavioral Health / Substance Abuse *
– Pharmacy,
– Oral Health,
– Vision Services, or
– Enabling Services
• NOTE: costs of enabling services to increase medical
patients can be included in EMC project
* Guidance for separate $25M competitive opportunity for
BH/SA services expected in January 2011
“School-Based Health Center Capital Program”
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Reference Document: HRSA-11-127
Authorized by ACA
Amount available: $100M
Eligibility: school-based health center or sponsoring
organization of a SBHC
Purpose: support for Alteration and Renovation of,
Construction of, or Equipment for new or existing SBHCs
Up to 10 projects in 1 application with a maximum award of
$500,000
Deadlines: submitted in
– grants.gov by Dec. 1, 2010
– EHB by Jan. 12, 2011
Awards: July 2011
“SBHCC Program” cont’d
• Allowable Costs
– Office equipment
– Medical equipment
– Mobile vans used for service provision
– Land and building and acquisition
– EHR systems and licenses
• Unallowable Costs
– Staff, except those needed for capital project activities
– Operating costs
– Office and medical supplies
– Vans if used for patient transportation
Uniform Data System
• 2010 Changes (Program Assistance Letter 2010-04)
– Revised definition of agriculture
– Adding vision services FTEs to Staffing Table
– Adding Hepatitis B and C to Selected Diagnoses
– League Training - Jan 13, 2011
– Preliminary Deadline - Feb 15, 2011
– 2010 data finalized - March 31, 2011
• 2011 Changes (draft PAL 2010-12)
– Alignment with MU measures:
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Weight screening, assessment, follow-up
Childhood immunizations at 2 y.o.
Tobacco use assessment / cessation
Diabetes HbA1c control
Asthma treatment
Other BPHC Issues
• BPHC Reorganization
– 4 geographic divisions instead of 3, with additional
branch chiefs (MA is with NJ and VI)
– Reassignment of Project Officers effective Nov. 1
– Assignment of Regional ORO staff as Project
Officers
– Lead Clinical / Medical staff within Divisions
– Centralization of Help Desk functions
– Insourcing of FTCA / Risk Management help
• Continuing “electronification” in/through EHB