1. Fiscal Year (FY) 2012 Service Area Competition–Additional Area (SAC-AA) for New York, NY HRSA-12-167 SAC Technical Assistance (TA) page: http://www.hrsa.gov/grants/apply/assistance/sac http://www.hrsa.gov/grants/apply/assistance/sac

2. Agenda Overview 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. Overview The Service Area Competition-AA (SAC-AA) for New York, NY is a competitive funding opportunity that provides funding for the provision of comprehensive primary health care services to the homeless population. 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 3

4. Overview Project period is up to 5 years for current grantees and up to 2 years for new applicants Project period start date: April 1, 2012 Grants.gov deadline: December 5, 2011 HRSA Electronic Handbook (EHB) deadline: December 19, 2011 4

5. Eligibility Requirements Applicants must: 1.Be public or nonprofit private entities, including tribal, faith-based, and community-based organizations; and 2.Propose to serve a current service area and its associated population(s) – in this case, the homeless population (Health Care for the Homeless, or HCH) 5

6. Service Area Details Details about the service area are available in Table 6 in the FOA. 6 Project Period Start Date Service Area (Current Grantee's Administrative Site Location) State Target Population Grants.gov Deadline (8:00 PM ET) EHB Deadline (8:00 PM ET) Total Funding (HCH) Service Area Zip Codes (as of September 26, 2011) Number of Patients in 2010 April 1, 2012 New YorkNYHCH December 5, 2011 December 19, 2011 $731,127 10001 10003 10012 10018 2,386

7. Eligibility Requirements Competing organizations must: 1.Serve entire announced service area: zip codes 10001, 10003, 10012, and 10018 2.Serve same target population: HCH 3.Provide same or comparable comprehensive primary health care services 4.Request an equal or lesser amount of HCH Federal funding: $731,127 see Table 6 in the FOA 7

8. Award Information Award Basics: $731,127 available for one FY 2012 SAC-AA award for New York, NY under HRSA-12-167 Ineligible Uses of SAC Funding: Construction/renovation of facilities Fundraising/grant writing Lobbying efforts 8

9. Two-Tiered Submission Process Phase 1: Grants.gov Register in the Central Contractor Registration (CCR) 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 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 email from EHB following successful submission 9

10. Phase 1: Grants.gov Required Forms http://www.grants.gov SF-424: Application for Federal Assistance (upload Project Abstract on page 2, box 15) Project/Performance Site Location(s) Form –Current grantees applying to continue serving their current service area: list the administrative site only –New applicants: list all sites –Current grantees applying to serve a new service area: list all sites Grants.gov Lobbying Form (Certification Regarding Lobbying) see Table 1 (page iii) and Table 2 (page 8) in the FOA 10

11. 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) SF-424B: Assurances – Non-Construction Programs SF-LLL: Disclosure of Lobbying Activities Attachments Program Specific Forms Program Specific Information (Performance Measures) see Table 1 (page iv) and Tables 3-5 (pages 9-16) in the FOA 11

12. Program Narrative & Review Criteria Program Narrative = general request for information Review Criteria = details/examples for a thorough response; utilized by the Objective Review Committee to assess the application Need (15 points) Response (20 points) Collaboration (10 points) Evaluative Measures (15 points) Resources/Capabilities (20 points) Governance (10 points) Support Requested (10 points) 12

13. New Aspects of the Program Narrative Form 9: Need for Assistance Worksheet replaces much of the quantitative data previously requested in the Need Section The Impact Section has been removed and its items have been moved to the Resources/Capabilities Section The items in the Resources/Capabilities Section have been reordered An item about EHR/HIT and meaningful use has been added to the Resources/Capabilities Section An item has been added to the Governance Section for applicants who are Indian tribes or tribal, Indian, or urban Indian groups 13

14. Clinical Performance Measures Standard Clinical Performance Measures: Diabetes Cardiovascular Disease Cancer Prenatal Health* Perinatal Health* Child Health Behavioral Health Oral Health *may be marked “not applicable” if services are provided only via referral and not paid for by the applicant – requires justification in the Comments field 14

15. Clinical Performance Measures NEW Clinical Performance Measures: Weight Assessment and Counseling for Children and Adolescents* Adult Weight Screening and Follow-Up* Tobacco Use Assessment* Tobacco Cessation Counseling* Asthma – Pharmacological Therapy* *may be marked “not applicable” for this application only – requires justification in the Comments field; all grantees will be required to report on these measures in the 2011 Uniform Data System (UDS) Report 15

16. Clinical Performance Measures REVISED Clinical Performance Measures: Diabetes – revised to capture data on HbA1c levels that are 9%* Child Health – revised to add 2 Hepatitis A shots, 2 or 3 Rotavirus shots, and 2 influenza shots* *The measure forms will include the unrevised version of these measures. If reporting on the revised version, applicants must note this in the Comments field of the measure form. If reporting on the unrevised version, no note is required. All grantees will be required to report on the revised measures in the 2011 UDS Report. 16

17. 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 – require justification in the Comments field 17

18. Performance Measures: General Information Applicants must create at least one performance measure specific to the homeless target population Applicants are encouraged to create performance measures specific to their proposed projects (clinical and/or financial measures) Applicants can create their own measures by selecting Add Performance Measure in the Other Measures section of the performance measures forms 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 18

19. Performance Measures: General Information Current grantees applying to continue serving their current service area: All measures will be pre-populated with data submitted in the 2010 UDS Report If pre-populated data is changed, a justification must be provided Provide information on the past year’s progress and future action steps and strategies to be used to achieve each performance measure If a previously-defined Other measure is no longer tracked, mark it as Not Applicable and provide a justification in the Comments field 19

20. Budget New applicants must provide a 2 year budget justification; current grantees must provide a 5 year budget justification Provide sufficient information in the budget justification to show that costs are reasonable and necessary for implementation of the proposed project The budget justification should include a line-item budget and any narrative required to explain costs Section C of the SF-424A is now required Section D of the SF-424A should NOT be completed see Appendix C of the FOA 20

21. Important Facts Applications may not exceed 150 pages or 20 MB (see Tables 2-5 (pages 8-16) in the SAC FOA for items included in the page limit) Submit single-spaced narrative documents with 12 point, easily readable font (e.g., Times New Roman, Ariel, Courier) and 1-inch margins Failure to include all required documents may result in an application being considered incomplete or non- compliant 21

22. Technical Assistance Contacts SAC TA page: http://www.hrsa.gov/grants/apply/assistance/sachttp://www.hrsa.gov/grants/apply/assistance/sac Program Related Questions Cheri Daly: BPHCSAC@hrsa.gov or 301-594-4300BPHCSAC@hrsa.gov 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 HRSA Call Center for questions about EHB accounts and access: CallCenter@hrsa.gov or 877-464-4772CallCenter@hrsa.gov BPHC Helpline for questions about completing forms in EHB: BPHCHelpline@hrsa.gov or 877-974-2742BPHCHelpline@hrsa.gov 22

23. Question & Answer Session 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 23