Presentation on theme: "FY New Access Point (NAP) Funding Opportunity Announcement HRSA"— Presentation transcript:
1 FY 2015 New Access Point (NAP) Funding Opportunity Announcement HRSA-15-016 Health Resources and Services AdministrationDepartment of Health and Human ServicesNAP TA Website:
2 Agenda Overview Eligibility Submission Process Project Narrative and Review CriteriaBudget PresentationAttachmentsProgram Specific FormsOne-Time FundingFunding PrioritiesImportant RemindersTechnical Assistance ResourcesQuestions & Answers
3 OverviewNAP is a competitive funding opportunity for operational support for NEW primary care service delivery site(s) under the Health Center Program.
4 Overview The Health Center Program The Health Center Program provides grant support to non-profit or public organizations that serve designated medically underserved areas/populations or special populations comprised of migratory and seasonal agricultural workers, homeless individuals and families, or residents of public housing.
5 Overview The Health Center Program HRSA currently provides grant support to approximately 1,300 health centers operating more than 9,300 sites across the United States and its territories, serving more than 21 million patients.Health Center Program grantees target underserved and vulnerable individuals and families with the goals of increasing access to primary health care and improving patient health status.
6 Overview The Health Center Program Health Center Program grantees must provide primary care services to all, regardless of their ability to pay.Health Center Program grantees are expected to comply with the 19 program requirements included as Appendix F in the NAP funding opportunity announcement (FOA).
7 Overview NAP Highlights Up to $100 million for approximately 150 NAP grant awards2-year project period starting May 1, 2015Authorized by Section 330 of the Public Health Service Act and supported by the Affordable Care Act
8 Overview NAP Highlights Open to current Health Center Program grantees and new applicantsApplications Due in Grants.gov:August 20, 2014, 11:59 PM ETApplications Due in HRSA EHB:October 7, 2014, 8:00 PM ET
9 Overview NAP Highlights What is a New Access Point (NAP)?A new service delivery site for the provision of comprehensive primary and preventive medical health care servicesTwo types of NAP applicants:New Starts - Organizations not currently receiving Health Center Program fundingSatellites - Organizations currently receiving Health Center Program funding that are proposing to establish NEW service delivery site(s)
10 Overview Types of Health Centers Applicants may request funding to serve any combination of populations based on the proposed service area’s needsCommunity Health Centers (CHC, section 330(e)) serve the general underserved populationMigrant Health Centers (MHC, section 330(g)) serve migratory and seasonal agricultural workers and their familiesHealth Care for the Homeless (HCH, section 330(h)) serve homeless individuals and familiesPublic Housing Primary Care (PHPC, section 330(i)) serve residents of public housing
11 EligibilityPublic or private, nonprofit entities, including tribal, faith based, and community based organizations.An applicant cannot apply on behalf of another organization.
12 Eligibility The proposed NAP project (across all sites) must: Provide comprehensive primary medical care as its main purpose.Provide services without regard for ability to pay.Ensure access to services for all individuals in the service area (e.g., cannot focus on a single age group, racial/ethnic group, or health issue).
13 EligibilityAn applicant must propose at least one permanent service delivery site that provides comprehensive primary medical care as its main purpose and operates for at least 40 hours per week.No proposed NAP site can be in any Health Center Program grantee’s scope of project, including sites pending verification at the time of NAP application.
14 EligibilityFunding request may not exceed $650,000 in either Year 1 or Year 2.Application must not exceed the 200-page limit when printed by HRSA.New Starts applying for Community Health Center (CHC) funding must propose a service area that: (1) is designated, in whole or in part, as an MUA and/or (2) contains an MUP.
15 Submission Process 2-step application submission process: Grants.govElectronic HandbooksRegister early! Grants.gov registration process may take up to 1 month!Grants.gov registration requirements:Obtain Data Universal Numbering System (DUNS) numberRegister in System for Award Management (SAM)Update registration every 12 months!Register in Grants.gov
16 Submission Process Grants.gov Required Documents Applicants must submit the following documents in Grants.gov by 11:59 PM EST on August 20:SF-424: Application for Federal Assistance (upload Project Abstract in box 15)SF-424B: Assurances – Non-Construction ProgramsProject/Performance Site Location(s) FormGrants.gov Lobbying FormSF-LLL: Disclosure of Lobbying Form
17 Submission Process SF-424: Application for Federal Assistance New StartsSatellites
18 Submission Process Step 1: Grants.gov For help with Grants.gov electronic submission, call Grants.gov Contact Center atGrants.gov provides 4 s to applicant after submissionSubmission ReceiptSystem ValidationAgency (HRSA) ValidationHRSA EHB Tracking Number Assignment
19 Submission Process Step 1: Grants.gov Within 5 business days of Grants.gov submission, the 4th will provide a tracking number for accessing your application in EHB.If you do not receive the message with the tracking number within 7 business days, contact the BPHC Helpline at
20 Submission Process EHB Required Documents Applicants must submit the following documents in EHB by 8:00 PM EST on October 7:Project NarrativeSF-424A: Budget informationBudget JustificationAttachmentsProgram Specific FormsProgram Specific Information
21 Submission Process Step 2: EHB Application can only be submitted by the Authorizing OfficialReceive an “Application successfully transmitted to HRSA” message in EHBFor help with electronic submission in EHB, call the BPHC Helpline at
22 Project Narrative /Review Criteria The Project Narrative section details the information the applicant must include to provide a comprehensive description of the proposed NAPThe Review Criteria are used by grant reviewers to evaluate the information presentedApplicants should consider both sections when developing the application
24 NeedNeed (30 points)20 of the 30 points available for the Need section are determined by the Need for Assistance Worksheet (NFA – Form 9) scoreThe narrative response (10 of the 30 points) should reference the data provided in the NFA Worksheet as needed
25 Response Response (20 points) The narrative and referenced forms and attachments must describe the proposed project and how it will comply with the Health Center Program requirementsImplementation Plan must demonstrate all proposed NAP sites will be open, operational, and compliant with Health Center Program Requirements within 120 days of the NAP award
26 Collaboration Collaboration (10 points) The narrative and attachments must demonstrate collaboration between providers within the service areaLetters of support that are not submitted with the application will not be reviewed
27 Evaluative Measures Evaluative Measures (5 points) The narrative and performance measures forms must demonstrate realistic goals and evaluation planning
28 Resources/Capabilities Resources/Capabilities (15 points)The narrative and referenced forms and attachments must demonstrate the organizational capacity and experience to successfully open and operate all proposed NAP sites within 120 days of the NAP award.
29 Governance Governance (10 points) The narrative and referenced forms and attachments must document how the organization and its board are compliant with the Health Center Program governance requirementsGovernance requirements do not apply to health centers operated by Indian tribes, tribal groups, or Indian organizations
30 Support Requested Support Requested (10 points) The budget justification and corresponding forms and attachments must be consistent and appropriate for the proposed projectProvide the proposed total cost and federal cost per patient (by requested funding type) and explain how this is reasonable and appropriate
31 Budget Presentation Required components: SF-424A: Budget Information Budget JustificationThe budget justification must include a line- item budget and narrative justification for each year of the 2-year project periodNEW for 2015: Detail the federal funding request and non-grant revenue supporting the project separately in the line-item budget
32 Budget Presentation The budget must be consistent with: Form 1B: BPHC Funding Request SummaryForm 2: Staffing ProfileForm 3: Income Analysis FormIf one-time funding is requested for alterations/renovations, a project budget must be providedIf one-time funding is requested for equipment, an equipment list must be provided
33 Attachments Attachment 1: Service Area Map and Table Attachment 2: Implementation PlanAttachment 3: Applicant Organizational ChartAttachment 4: Position Descriptions for Key Management StaffAttachment 5: Biographical Sketches for Key Management StaffAttachment 6: Co-Applicant AgreementAttachment 7: Summary of Contracts and Agreements
34 Attachments Attachment 8: Independent Financial Audit Attachment 9: Articles of IncorporationAttachment 10: Letters of SupportAttachment 11: Sliding Fee Discount Schedule(s)Attachment 12: Evidence of Nonprofit or Public Center StatusAttachment 13: Floor PlansAttachment 14: Corporate BylawsAttachment 15: Other Relevant Documents
35 Program Specific Forms Form 1A: General Information WorksheetRealistic Projections for Unduplicated Patients by December 31, 2016Form 1B: BPHC Funding Request SummaryForm 1C: Documents on FileForm 2: Staffing ProfileForm 3: Income AnalysisForm 4: Community CharacteristicsForm 5A: Services ProvidedForm 5B: Service Sites
36 Program Specific Forms Form 5C: Other Activities/LocationsForm 6A: Current Board Member CharacteristicsForm 8: Health Center AgreementsForm 9: Need for Assistance WorksheetForm 10: Annual Emergency Preparedness ReportForm 12: Organization ContactsSummary PageClinical and Financial Performance Measures
37 Need for Assistance (NFA) Worksheet The NFA Worksheet (Form 9) documents objective measures of need with the proposed service area and/or target populationUse the Data Resource Guide available at ap for suggested data sources for all NFA indicatorsComplete based on all proposed NAP sitesMaximum 100 points, converted to a 20-point scaleReview the total score and converted score in EHB prior to submission
38 Summary PageThe Summary Page provides at-a-glance review of important information from various forms:proposed sites and service area zip codesfunding requested, including one-time fundingproposed number of patients to be served and federal cost per patientNFA scoreApplicants must certify that all proposed sites will be open and operational within 120 days of award and that the projected number of patients will be reached by December 31, 2016
39 Performance Measures Forms Performance measures serve as ongoing monitoring and performance improvement tools.Clinical – 16 required measuresFinancial – 5 required measuresBPHC will provide a separate webcast that presents the performance measures in detail. This will be available on the NAP TA webpage.
40 Clinical Performance Measures DiabetesCardiovascular DiseaseCancerPrenatal HealthPerinatal HealthChild HealthWeight Assessment and Counseling for Children and AdolescentsAdult Weight Screening and Follow-Up
41 Clinical Performance Measures Tobacco Use Assessment and Cessation*Asthma – Pharmacological TherapyCoronary Artery Disease: Lipid TherapyIschemic Vascular Disease: Aspirin TherapyColorectal Cancer ScreeningNew HIV Cases with Timely Follow Up*Depression Screening and Follow Up*Oral Health*New performance measures for 2015
42 Financial Performance Measures Total Cost per PatientMedical Cost per Medical VisitChange in Net Assets to Expense Ratio*Working Capital to Monthly Expense Ratio*Long Term Debt to Equity Ratio**may be marked “not applicable” by tribal and public center applicants
43 Performance MeasuresApplicants may create additional performance measures specific to their proposed projectsApplicants applying for special population funding must include additional clinical performance measures that address the health care needs of the special population(s)
44 One-Time FundingApplicants requesting one-time funding for alteration and renovation must complete:Equipment List (as applicable)Alteration/Renovation Project Cover PageOther Requirements for SitesEnvironmental Information and Documentation ChecklistAlteration/Renovation Budget JustificationSchematic DrawingsLandlord Letter of Consent (as applicable)
45 Funding PrioritiesA funding priority is the favorable adjustment of an application’s objective review score if specific criteria are met. All applications will be assessed by HRSA for these priorities:Unserved, High Poverty (up to 15 points)Sparsely Populated (5 points)Health Center Program Look-Alikes (5 points)
46 Funding Priorities Unserved, High Poverty (up to 15 points) Goal: Prioritize NAP applications that propose to serve high need, unserved communities and populations75% or more of the proposed service area’s low-income population is NOT being served by the Health Center ProgramUnserved, low-income service area residents must be at least 1.5 times the number of proposed patients
47 Funding Priorities Unserved, High Poverty (up to 15 points) For example, if you propose to serve 2,000 individuals, there must be at least 3,000 low- income residents in the proposed service area that are not being served by the Health Center Program AND only 25% or less of the low- income population in the service area is being served by the Health Center ProgramSee the table on page 46 of the FOA for a breakdown of points to be assigned
48 Funding Priorities Sparsely Populated Area (5 points) 5 points will be awarded if the entire proposed service area (defined by the zip codes listed on Form 5B) has seven or fewer people per square mileOnly applicants that request all or partial CHC funding are eligible for this priority
49 Funding Priorities Health Center Program Look-Alikes (5 points) Applicants designated as look-alikes prior to October 1, 2013 will receive 5 points if:NAP application Form 5B includes all current sites in look-alike’s scope of project at time of applicationNAP application Form 5B lists the service area zip codes in which at least 75% of current patients reside
50 Funding Priorities Health Center Program Look-Alikes (5 points) Complete 2013 patient data has been reported in UDSTotal unduplicated patient projection by 12/31/2016 on NAP application Form 1A is greater than total unduplicated patients in the UDS reportApplicant does not have three or more program requirement-related conditions at time of NAP application submission
51 Important Reminders Applications Due in Grants.gov: August 20, 2014, 11:59 PM ETApplications Due in HRSA EHB:October 7, 2014, 8:00 PM ETApplications may not exceed 200 pagesFailure to follow the instructions and include all required documents may result in an application being considered non-responsiveAll sites must be operational and compliant within 120 days of award
52 Technical Assistance Resources Contact InformationProgram related questionsJoanne Galindo:Budget related questionsAngela Wade: orEHB questionsBPHC Helpline: orGrants.gov related questionsorNAP TA Website
53 Technical Assistance Resources NAP TA Web Page TA WebcastsPresentation Slides for TA CallFrequently Asked QuestionsProgram Requirements ResourcesData Resource Guide: NFA WorksheetNAP User Guide for Grant ApplicantsSamplesFormsHelpful LinksHRSA Contact Information