1. Fiscal Year (FY) 2014 Service Area Competition (SAC) New, Competing Continuation, and Supplemental HRSA-14-021, HRSA-14-022, HRSA-14-023, HRSA-14-024, HRSA-14-025, HRSA-14-026, HRSA-14-027, HRSA-14-028 SAC Technical Assistance (TA) page: http://www.hrsa.gov/grants/apply/assistance/sac http://www.hrsa.gov/grants/apply/assistance/sac

2. Agenda Overview Summary of Changes Application Due Dates & Times Eligibility Requirements Award Information Two-Tiered Electronic Submission Process Program Narrative Performance Measures Budget Important Facts Technical Assistance Contacts Question & Answer Session 2

3. Summary of Changes Eligibility criteria have been updated. Attachment 1 – Service Area Map and Table requirements have been updated. Attachment 14 – Implementation Plan is now required for new applicants and current grantees applying to serve a new service area. The prenatal and perinatal performance measures are now required for all applicants. (http://bphc.hrsa.gov/policiesregulations/policies/pal201307.h tml)http://bphc.hrsa.gov/policiesregulations/policies/pal201307.h tml The childhood immunization and cancer screening performance measures have been updated. (http://bphc.hrsa.gov/policiesregulations/policies/pal201302.h tml)http://bphc.hrsa.gov/policiesregulations/policies/pal201302.h tml 3

4. Summary of Changes Form 2 – Staffing Plan has been updated to include a column to report staff expenses to be charged to the SAC grant (i.e., requested federal dollars). Form 3 – Income Analysis has been revised to simplify the reporting of projected income. Form 6A – Current Board Member Characteristics will be pre-populated for current grantees. Form 9 – Need for Assistance Worksheet has been revised to include more current indicators. Form 12 – Organization Contacts will be pre-populated for current grantees. 4

5. Summary of Changes The maximum project period length is three years for all applicants. Project period length determining factors have been added (see Table 7 in the FOA). The Federal Object Class Categories form has been added to capture details on the federal funding request. The budget justification must detail the costs of each line item within each object class category from the new Federal Object Class Categories form. The EHB User Interface has been upgraded for 508 compliance. Hover over information icons for directions while completing forms. 5

6. Overview The Service Area Competition (SAC) provides funding for the provision of comprehensive primary health care services to underserved and/or special populations. Three types of applicants: 1.Current grantees applying to continue serving their current service area 2.New applicants 3.Current grantees applying to serve a new service area 6

7. Overview Please Note: A Health Center Program grantee whose project period does not end in FY 2014 (October 1, 2013 – September 30, 2014) should complete a Budget Period Progress Report (BPR) rather than a SAC application. 7

8. Overview Project period: up to 3 years Project period start date: varies throughout FY 2014* Grants.gov deadline: varies throughout FY 2014* HRSA Electronic Handbook (EHB) deadline: varies throughout FY 2014* *see following slide for details 8

9. Application Due Dates & Times 9 Project Period Start Date HRSA Announcement Number Grants.gov Deadline (11:59 PM ET) HRSA EHB Deadline (5:00 PM ET) November 1, 2013HRSA-14-021July 24, 2013August 7, 2013 December 1, 2013HRSA-14-022July 31, 2013August 14, 2013 January 1, 2014HRSA-14-023August 14, 2013August 28, 2013 February 1, 2014HRSA-14-024September 11, 2013September 25, 2013 March 1, 2014HRSA-14-025October 9, 2013October 23, 2013 April 1, 2014HRSA-14-026October 30, 2013November 13, 2013 May 1, 2014HRSA-14-027December 4, 2013December 18, 2013 June 1, 2014HRSA-14-028January 8, 2014January 22, 2014

10. Announcement Numbers for Current Grantees 10 Current Project Period End Date Apply to This HRSA Announcement Number October 31, 2013HRSA-14-021 November 30, 2013HRSA-14-022 December 31, 2013HRSA-14-023 January 31, 2014HRSA-14-024 February 28, 2014HRSA-14-025 March 31, 2014HRSA-14-026 April 30, 2014HRSA-14-027 May 31, 2014HRSA-14-028

11. Service Area Announcement Table Available as a customized table based on search criteria. Below are the fields in the table: Project period start date Current grantee’s administrative site location (city and state) HRSA Announcement Number Grants.gov and EHB deadlines Total funding broken down by target population Service area zip codes Patients Link to Patient Origin Map (as applicable) 11

12. Eligibility Requirements Applicants must: 1.Be public or nonprofit private entities that propose to serve a service area and its associated population(s) and patients identified in the Service Area Announcement Table 2.Propose on Form 1A to serve at least an equivalent number of patients by the end of the project period as listed on the Service Area Announcement Table 3.Propose on Form 5B the service area zip codes from which at least 75 percent of the current patients come 4.Request no more than the current level of support being provided to the service area, and request all funding types that currently support the service area in the same proportion at which they were announced see the Service Area Announcement Table available at http://www.hrsa.gov/grants/apply/assistance/sac http://www.hrsa.gov/grants/apply/assistance/sac 12

13. Eligibility Requirements Target Populations by Funding Type: Community Health Centers (CHC, section 330(e)): target population is underserved individuals Migrant Health Centers (MHC, section 330(g)): target population is migratory and seasonal agricultural workers Health Care for the Homeless (HCH, section 330(h)): target population is homeless individuals and families Public Housing Primary Care (PHPC, section 330(i)): target population is residents of, and individuals living immediately adjacent to, public housing 13

14. Award Information Award Basics: Approximately $468 million available for approximately 310 FY 2014 SAC awards Awards will vary across CHC, MHC, HCH, and/or PHPC Ineligible Uses of SAC Funding: Construction of facilities Fundraising/grant writing Lobbying efforts 14

15. Two-Tiered Submission Process Phase 1: Grants.gov Register in the System for Award Management (SAM) and Data Universal Numbering System (DUNS) prior to registering in Grants.gov Register in Grants.gov as soon as possible Receive a validation email from Grants.gov following successful submission 15

16. Two-Tiered Submission Process Phase 2: HRSA EHB Register in HRSA EHB as soon as possible Receive a tracking number for accessing EHB via email 7 business days after Grants.gov submission Receive a confirmation message in EHB following successful submission 16

17. Phase 1: Grants.gov Required Forms http://www.grants.gov SF-424: Application for Federal Assistance (upload Project Abstract on page 2, box 15) SF-424B: Assurances – Non-Construction Programs Project/Performance Site Location(s) Form Grants.gov Lobbying Form (Certification Regarding Lobbying) SF-LLL: Disclosure of Lobbying activities (as applicable) 17

18. SF-424: Application Type 18 Current Grantees Applying to Continue Serving Their Current Service Area (Continuation): Current Grantees Applying to Serve a New Service Area (Revision/Supplement):

19. SF-424: Application Type New Applicants Not Currently Funded through the Health Center Program (New): 19

20. Phase 2: EHB Required Forms https://grants.hrsa.gov/webexternal Program Narrative SF-424A: Budget information – Non-Construction Programs Budget Justification (upload in Budget Narrative Attachment Form field) Attachments Program Specific Forms Program Specific Information (Performance Measures) 20

21. Phase 2: EHB Attachments All attachments are required except: 6: Co-Applicant Agreement 7: Summary of Contracts and Agreements 12: Evidence of Non-Profit or Public Center Status 13: Floor Plans 14: Implementation Plan 15: Other Relevant Documents 21

22. Phase 2: EHB Forms Form 2 – Staffing Profile has been updated to include a column to report staff expenses to be charged to the SAC grant. Form 3 – Income Analysis has been revised to simplify the reporting of projected income. Form 6A – Current Board Member Characteristics will be pre- populated and available for edit for current Health Center Program grantees. Form 9 – Need for Assistance Worksheet has been revised to include new indicators. Form 12 – Organization Contacts will be pre-populated and available for edit for current Health Center Program grantees. The Federal Object Class Categories form has been added to capture details on the federal and non-federal funding request. 22

23. Form 3: Income Analysis 23

24. Program Narrative & Review Criteria Program Narrative /Review Criteria Need (15 points) Response (20 points) Collaboration (10 points) Evaluative Measures (15 points) Resources/Capabilities (20 points) Governance (10 points) Support Requested (10 points) 24

25. Clinical Performance Measures Standard Clinical Performance Measures: Diabetes Cardiovascular Disease Cancer Prenatal Health Perinatal Health Weight Assessment and Counseling for Children and Adolescents Adult Weight Screening and Follow-Up NEW – The Prenatal and Perinatal Health Performance Measures are now required for all applicants. 25

26. Clinical Performance Measures Standard Clinical Performance Measures: Tobacco Use Assessment Tobacco Cessation Counseling Asthma – Pharmacological Therapy Coronary Artery Disease: Lipid Therapy Ischemic Vascular Disease: Aspirin Therapy Colorectal Cancer Screening Child Health Behavioral Health Oral Health 26

27. Financial Performance Measures Standard Financial Performance Measures: Total Cost per Patient Medical Cost per Medical Visit Change 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 27

28. Performance Measures: General Information Applicants applying for special populations funding (MHC, HCH, and/or PHPC) are required to create performance measures specific to the targeted special population(s) Key Factor Type - Applicants must specify at least one contributing and one restricting factor Information that will not fit on the performance measures forms should be included in the Evaluative Measures section of the Program Narrative see Appendix B of the FOA 28

29. Performance Measures: General Information Current grantees applying to continue serving their current service area: Baseline data is pre-populated with data submitted in the 2012 UDS Report and is not editable. If desired, more current baseline data can be included in the Comments field. If a previously-defined Other measure is no longer tracked, mark it as Not Applicable and provide a justification in the Comments field. see Appendix B of the FOA 29

30. Budget New Federal Object Class Categories form (see next slide). The budget justification should correspond to the object class categories as listed on the Federal Object Class Categories form. It should include a line-item budget (Federal and non-Federal) and any narrative required to explain costs and demonstrate that costs are reasonable and necessary for implementation of the proposed project. Federal funds may not be used to pay the salary of an individual at a rate in excess of $179,700. 30

31. Federal Object Class Categories Form 31

32. Project Period Determining Factors Criteria Project Period Length 0 to 4 Health Center Program requirement conditions New applicants: Conditions related to Health Center Program requirements to be placed on award based on information included in this application and review of Additional Review informationAdditional Review information Current grantees: Current unresolved conditions related to Health Center Program requirements carried over into the new project period combined with any new conditions related to Health Center Program requirements to be placed on award based on information included in this application and review of Additional Review informationAdditional Review information 3 Year Project Period One or more of the following: 5 or more Health Center Program requirement conditions Most recent audit called into question whether the organization is able to continue as a "going concern”. Current grantee with an unresolved condition related to Health Center Program requirements in the 30-day phase of Progressive Action carried over into the new project period New applicants: Conditions related to Health Center Program requirements to be placed on award based on information included in this application and review of Additional Review information Additional Review information Current grantees: Current unresolved conditions related to Health Center Program requirements carried over into the new project period combined with any new conditions related to Health Center Program requirements to be placed on award based on information included in this application and review of Additional Review informationAdditional Review information Reminder: If a current grantee had one-year project periods awarded via SAC or SAC-Additional Area in FY 2012 and FY 2013 and meets the criteria for a one-year project period for FY 2014, a SAC award will not be made to this grantee 1 Year Project Period* 32

33. Important Facts Applications may not exceed 150 pages or 20 MB (see Tables 1-4 in the SAC FOA for items included in the page limit). Applications over this page limit will be ineligible for SAC funding. Submit single-spaced narrative documents with 12- point, easily readable font (e.g., Times New Roman, Arial, Courier) and 1-inch margins. Failure to include all documents noted as “required for completeness” will result in an application being considered incomplete. Incomplete applications will be ineligible for SAC funding. 33

34. Technical Assistance Contacts SAC TA page: http://www.hrsa.gov/grants/apply/assistance/sac http://www.hrsa.gov/grants/apply/assistance/sac Program Related Questions Katherine McDowell: BPHCSAC@hrsa.gov orBPHCSAC@hrsa.gov 301-594-4300 Budget Related Questions Donna Marx: dmarx@hrsa.gov or 301-594-4245dmarx@hrsa.gov Grants.gov Related Questions support@grants.gov or 800-518-4726 support@grants.gov EHB Related Questions BPHC Helpline for questions about completing forms in EHB: BPHCHelpline@hrsa.gov or 877-974-2742BPHCHelpline@hrsa.gov 34

35. Question & Answer Session 35 Reminder: Throughout the application process, please refer to the Frequently Asked Questions (FAQ) on the SAC TA page (http://www.hrsa.gov/grants/apply/assistance/sac)http://www.hrsa.gov/grants/apply/assistance/sac