1. Fiscal Year (FY) 2013 Budget Period Progress Report (BPR) Noncompeting Continuation BPR Technical Assistance (TA) page: http://bphc.hrsa.gov/policiesregulations/continuation http://bphc.hrsa.gov/policiesregulations/continuation

2. Agenda Overview Application Due Dates & Times Submission Process Program Narrative Update Performance Measures Budget Important Facts Technical Assistance Contacts Question & Answer Session 2

3. Overview The Budget Period Progress Report (BPR) provides an update on the progress of Health Center Program grantees who do not have a project period end date in FY 2013 (October 1, 2012 – September 30, 2013). PLEASE NOTE: A Health Center Program grantee whose project period ends in FY 2013 must complete a Service Area Competition (SAC) application instead of a BPR http://www.hrsa.gov/grants/apply/assistance/sachttp://www.hrsa.gov/grants/apply/assistance/sac. 3

4. Overview The BPR is submitted only in the HRSA Electronic Handbook (EHB). Grantees will be given access to complete the BPR approximately 2-3 months prior to the submission deadline*. Information on completion of the BPR submission can be found in the BPR Instructions and the Noncompeting Continuation (NCC) Progress Report for BPHC User Guide available in EHB and on the BPR TA page at http://bphc.hrsa.gov/policiesregulations/continuation. http://bphc.hrsa.gov/policiesregulations/continuation *see following slide for details 4

5. Application Due Dates &Times 5 Budget Period Start DateEHB Deadline (5:00 PM ET) November 1, 2012August 15, 2012 December 1, 2012August 29, 2012 January 1, 2013September 26, 2012 February 1, 2013October 24, 2012 March 1, 2013November 20, 2012 April 1, 2013December 19, 2012 May 1, 2013January 16, 2013 June 1, 2013February 20, 2013

6. Submission Process All required information must be provided in EHB. Incomplete or non-responsive progress reports will be returned through a “request change” notification. Failure to submit the BPR by the deadline or submission of an incomplete or non-responsive progress report may result in a delay in Notice of Award issuance or a lapse in funding. 6

7. Submission Requirements https://grants.hrsa.gov/webexternal SF-PPR and SF-PPR-2 (basic information forms) Budget Information: Budget Details Budget Narrative (also known as Budget Justification) Program Specific Forms Program Specific Information (Performance Measures) Attachments (including Program Narrative Update) see Tables 2-5 (pages 6-9) in the BPR Instructions 7

8. Attachments and Forms Form 1C (Documents on File) has been revised to reference the specific Health Center Program requirements. Form 3 (Income Analysis Form) has been updated to collect specific income data. Attachments 1 (Program Narrative Update) and 2 (Sliding Fee Discount Schedule(s)) are required. All other attachments are “as applicable” based on organizational and/or programmatic changes since the last SAC application, New Access Points application (for new starts), or BPR submission. see Table 3 in the BPR Instructions for a list of Forms see Table 5 in the BPR Instructions for a list of Attachments 8

9. Program Narrative Update Attachment 1: Program Narrative Update Need Response Collaboration Evaluative Measures Impact Resources/Capabilities Support Requested Governance 9

10. Program Narrative Update The Program Narrative Update should address broad issues and changes: Report the CURRENT STATUS and describe any CHANGES. Information must be provided for each item within each section. Grantees may not indicate “no change” for any section. 10

11. Clinical Performance Measures Standard Clinical Performance Measures: Diabetes Cardiovascular Disease Cancer Weight Assessment and Counseling for Children and Adolescents Adult Weight Screening and Follow-Up Tobacco Use Assessment Tobacco Cessation Counseling Asthma – Pharmacological Therapy 11

12. Clinical Performance Measures Standard Clinical Performance Measures: 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 12

13. Clinical Performance Measures NEW Clinical Performance Measures: Coronary Artery Disease – Lipid Therapy* Ischemic Vascular Disease – Aspirin Therapy* Colorectal Cancer Screening* *may be marked “not applicable” for this BPR submission only; all grantees will be required to report on these measures in the 2012 Uniform Data System (UDS) Report 13

14. 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 grantees 14

15. Performance Measures: General Information Baseline data will be pre-populated from the last SAC/NAP/BPR application with no opportunity to edit for all clinical performance measures except: – Lipid Therapy, Aspirin Therapy, Colorectal Cancer Screening, Oral Health, and Behavioral Health Projected data field will be pre-populated from the last SAC/NAP/BPR application with no opportunity to edit. If not reflective of the current project, note in the Comments field. Data source and methodology – For clinical performance measures, applicants must select if data are from EHR, Chart Audit, or Other. 15

16. Performance Measures: General Information Introduced Key Factor information (contributing and restricting) in read only format where applicable to assist with description in Progress Toward Goal field. The previous factors will be pre-populated from the last SAC or NAP application. Use this field to assist with the Qualitative Progress Toward Goal field updates. If a previously-defined Other measure is no longer tracked, mark it as Not Applicable and provide a justification in the Comments field. Revised 05/27/201116

17. Performance Measures: General Information Information that will not fit on the performance measures forms should be included in the Evaluative Measures section of the Program Narrative Update All measures will be pre-populated with data submitted in the 2011 UDS Report 17

18. Budget Budget information should be consistent with information included in the most recent Notice of Award. The Budget Information: Budget Details form replaces the Budget Summary and Budget Categories forms. Provide sufficient information in the budget narrative to show that costs are reasonable and necessary. The budget narrative should include a line-item budget and any narrative required to explain costs. Salary Limitation – HRSA funds may not be used to pay the salary of an individual at a rate in excess of $179,700. see Section IV of the BPR Instructions (pages 10-12) 18

19. Important Facts Applications may not exceed 60 pages or 8 MB (see Tables 2-5 (pages 6-9) in the BPR Instructions 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 a submission being returned for changes which could delay award. 19

20. Technical Assistance Contacts BPR TA Page –http://bphc.hrsa.gov/policiesregulations/continuationhttp://bphc.hrsa.gov/policiesregulations/continuation Program Related Questions –Cheri Daly: BPHCBPR@hrsa.gov or 301-594-4300BPHCBPR@hrsa.gov Budget Related Questions –Donna Marx: dmarx@hrsa.gov or 301-594-4245dmarx@hrsa.gov EHB Related Questions –BPHC Helpline: BPHCHelpline@hrsa.gov or 877-974-2742BPHCHelpline@hrsa.gov 20

21. Question & Answer Session REMINDER Throughout the application process, please refer to the Frequently Asked Questions (FAQ) on the BPR TA page located at http://bphc.hrsa.gov/policiesregulations/continuation http://bphc.hrsa.gov/policiesregulations/continuation 21