1. Funding Opportunity Announcement Number: HRSA-17-057
Fiscal Year 2017 State and Regional Primary Care Association (PCA) Cooperative Agreements Objective Review Committee Presentation
Funding Opportunity Announcement Number: HRSA
ORC Dates:
March , 2017

2. Agenda Overview Program Requirements Application Components
Reviewer Tips

3. FUNDING OPPORTUNITY OVERVIEW

4. Overview (1/2)
Health centers provide access to comprehensive, culturally competent, quality primary health care services to the Nation’s neediest populations:
Nearly 1,400 health centers
More than 9,800 health center sites
More than 24 million patients

5. Overview (2/2) PCAs assist health centers in their state or region by:
Developing and delivering training and technical assistance (T/TA)
Coordinating with and leveraging resources developed by other HRSA-supported T/TA providers, including:
National Training and Technical Assistance Cooperative Agreements (NCAs)
Health Center Controlled Networks (HCCNs)
Applicants proposed to provide T/TA to one pre-defined state or region listed in Appendix C of the PCA FOA

6. T/TA Audiences
T/TA supported by PCA funding must be made available to all existing and potential health centers in the state/region
Existing health centers: Health Center Program award recipients and look-alikes
Potential health centers: Organizations that are applying for or seeking information about applying for a Health Center Program award or look-alike designation
T/TA must be accessible without regard to health center award/designation status or PCA membership status
Resources should be accessible to the widest health center audience possible, which may include webinars and recordings

7. Key Eligibility Information
Eligible organizations:
Include public, private, or non-profit entities that can provide T/TA on a state or region wide basis to existing and potential health centers
Did not apply on behalf of another organization
Will perform a substantive role in the project
Full eligibility criteria outlined in the PCA FOA
All applications have been screened for completeness and eligibility, and have been deemed substantially complete and eligible for review

8. Award Information
Approximately $53.6 million is available annually to fund approximately 52 PCA award recipients
One eligible application was received for each of the 52 announced states/regions
The maximum amount of PCA funding applicants were able to request is specific to the state/region selected
PCA project period will be 3 years starting July 1, – June 30, 2020, with three one-year budget periods

9. Program Requirements
PCAs required to provide T/TA to health centers in the proposed state or region to address three pre-defined Focus Areas:
Increase access to care
Achieve operational excellence
Enhance health outcomes and health equity
Table 1 in the PCA FOA outlines the pre-defined Goals and Activity Areas to be addressed for each Focus Area
Applicants were required to:
Address all Goals under each Focus Area
Propose at least two Activity Areas under each Goal

10. Participant Response Question 1
TRUE or FALSE? Applicants proposing to serve large states or regions (from the list in Appendix C of the FOA) were able to propose to provided targeted training and technical assistance to only a subset of health centers within the state/region

11. Participant Response Question 1
Answer: FALSE
PCAs must ensure that T/TA is accessible for all existing and potential health centers in the selected state or region without regard to health center award or designation status, PCA membership status, or location

12. APPLICATION COMPONENTS

13. Application Components
Grants.gov and other standard application forms
Project Abstract
Project Narrative
SF-424A Budget Information Form
Budget Narrative
Attachments
Form 1A: General Information
Project Work Plan Form

14. Review Criteria
The Project Narrative provides a comprehensive description of the proposed PCA project
Use the Review Criteria to evaluate the information presented
Consider information provided in any part of the application that is relevant to each component
Cross-reference Project Narrative, forms, and attachments
Project Narrative sections correspond to Review Criteria: - Need (15 points) - Response (25 points) - Collaboration (15 points) - Evaluative Measures (15 points) - Resources/Capabilities (25 points) - Support Requested (5 points)

15. Budget Presentation (1/2)
SF-424A: Budget Information Form:
Shows only the Federal funding request for Years 1-3 (Years 4 and 5 should be blank)
Funding request may not exceed maximum funding amount for each state or region (already verified by HRSA)
Activities must be consistent with funding amounts requested
If Indirect Costs requested in Section F, the applicant must include Indirect Cost Rate agreement in Attachment 9

16. Budget Presentation (2/2)
Budget Narrative Attachment:
Line-item justification for each 12-month budget period of the 3-year project period
Years 2 and 3 should highlight changes from Year 1 or clearly indicate no substantive changes
Should be consistent with funding amount requested in SF- 424 Budget Form
Applicants were directed to NOT include any non-federal sources of funding in the application

17. Attachments (1/4) Attachment 1: Staffing Plan
Presentation and justification for all personnel who will be supported in whole or in part by PCA funds
Attachment 2: Organizational Chart
Depicts the organizational structure, including key personnel, staffing, and any sub-recipients or affiliated organizations
Attachment 3: Position Description for Key Personnel
Position descriptions for key personnel supported by PCA funds (e.g., CEO, CFO, PCA Project Director)
Attachment 4: Biographical Sketches for Key Personnel
Biographical sketches for Key Personnel in Attachment 3

18. Attachments (2/4) Attachment 5: Letters of Support
Applicants required to include current dated letters of support providing evidence of current or proposed collaborations from the following (at a minimum):
Primary formal collaborators noted in Project Narrative
At least one relevant state public agency (e.g., state health department, state primary care office, state Medicaid agency)
If unsuccessful in obtaining letters, applicants were instructed to document efforts to obtain letters and explain why they were not obtained

19. Attachments (3/4)
Attachment 6: Region-wide Memorandum of Agreement (regional only)
Regional applicants were required to include a Memorandum of Agreement (MOA) signed by the state PCAs in the region
Specify how the applicant and the state-level PCAs within the region will coordinate activities to maximize T/TA without duplication
If unsuccessful in obtaining all signatures, instructed to document efforts to obtain signatures and explain why they were not all obtained
Attachment 7: Summary of Contracts and Agreements (if applicable)
Summary of current/proposed agreements (not actual agreements)
Should include names of contract/partner organizations, types of contracts/agreements, purpose, scope, timeframes and services

20. Attachments (4/4) Attachment 8: Summary Progress Report (current PCAs)
Presentation of the applicant’s demonstrated success and capabilities, including a summary of the accomplishments achieved during the current project period
Refers to currently funded PCA T/TA activities, evaluative measures, and goals
Attachment 9: Other Relevant Documents (if applicable)
Other documents relevant to the proposed project (e.g. survey instruments, needs assessment results)
If requesting funding for indirect costs, the indirect cost rate agreement must be provided

21. Form 1A: General Information Worksheet
Section 1: Applicant Information
Section 2: PCA State or Regional Information
Applicants selected the proposed state/region from the list of options.
Section 3: Budget Information
The maximum amount of annual funding applicants could request was pre-populated based on the state/region selected in Section 2
The total amount of funding requested in the SF-424 Budget Information Form was also pre-populated based on the state/region selected

22. Project Work Plan Form
The Project Work Plan outlines the proposed T/TA Activities and Goal Targets for the PCA project
T/TA Activities: 2-5 major planned activities under each Activity Area to be conducted in the first 12 months of the project period that will begin to address the Goals and lead to Goal Targets attainment by the end of the 3-year project period
Goal Targets: Quantitative results to be achieved by the end of the 3-year project period (by June 30, 2020)
Baseline Data was pre-populated based on data from health centers in the state/region selected on Form 1A and was not editable

23. PCA Goal Clarification
Focus Area 1, Goal 2: Increase the number of health centers providing comprehensive services, including medical, oral health, behavioral health, vision, and enabling services
Baseline data represents the number of health centers within the state or region that reported at least 1 patient receiving services in all 5 of the service types listed
For the purpose of providing T/TA resources and activities, applicants were encouraged to focus on the integration and coordination of medical, behavioral health, and oral health services, as appropriate for the proposed state or region
Expect to see a varying range of activities to address this goal

24. Participant Response Question 2
True or False: When an applicant includes information in the Project Work Plan form that addresses the Evaluative Measures Review Criteria, reviewers should note a weakness if the applicant did not repeat that same information in the Project Narrative

25. Participant Response Question 2
Answer: False
Applicants do not have to duplicate information in multiple parts of the application
Reviewers should consider information presented in the Project Narrative, as well as information provided in application forms and other attachments, when assessing responsiveness to the review criteria

26. Reviewer Tips THANK YOU!
Provide concise strengths and weaknesses statements
Ensure there are no contradictory statements
A sample PCA summary statement is available
Base your evaluation and score only on the requirements and review criteria as stated in the FOA
During the review, HRSA program staff will be available to clarify the FOA if needed
THANK YOU!