1. Fiscal Year 2012 State and Regional Primary Care Association (PCA) Cooperative Agreements Alabama and Pacific Islands HRSA-12-183 PCA Technical Assistance (TA) Website: http://www.hrsa.gov/grants/apply/assistance/pca http://www.hrsa.gov/grants/apply/assistance/pca

2. Agenda Overview Eligibility Requirements Two-Tiered Electronic Submission Process Project Narrative Project Work Plan Technical Assistance Contacts Important Reminders Questions & Answers 2

3. PCA: Purpose To provide statewide/regional training and technical assistance (T/TA) to all existing section 330 health centers, regardless of PCA membership status. To provide T/TA to all interested organizations seeking section 330 resources and how they can be used to meet community health needs. 3

4. PCA T/TA Requirements 1.State/Regional Health Center T/TA Activities Program Requirements: To improve compliance of existing health centers in the state/region with Health Center Program requirements. Performance Improvement: To strengthen clinical and financial performance and enhance the operations of existing health centers in the state/region. 2.Statewide/Regional Program Assistance To provide T/TA to potential and existing health centers based on statewide/regional and/or HRSA/BPHC priorities. Note: Refer to “PCA Recipient Roles and Responsibilities” on pages 3-6 of the funding opportunity announcement (FOA). 4

5. Requirement 1 Statewide/Regional Health Center T/TA Activities 5 Program Requirements GoalPerformance Improvement Goals XX% of Health Centers with No Program Conditions XX% of Health Centers that Meet/Exceed Healthy People 2020 Goals on One or More Clinical Performance Measures XX% of Health Centers with PCMH Recognition XX% of Health Centers with Cost Increase Less than National Average XX% of Health Centers Financially Strong (No Going Concern Issues) T/TA Focus Areas Need Services – QI/QA Systems Management and Finance – Fiscal Operations/Systems Management and Finance – Workforce Recruitment and Retention Governance Clinical Performance Measures Financial Performance Measures

6. Requirement 2 Statewide/Regional Program Assistance T/TA Focus Areas: Information on Available Resources Annual T/TA Needs Assessment Special Populations Collaboration Emergency Preparedness Regional/Statewide Surveillance Analysis Newly Funded Health Centers 6

7. Award Information Approximately $900,000 annually Approximately 2 cooperative agreements Project period: up to 5 years Project period start date: September 1, 2012 Note: An organization’s budget request cannot exceed the annual level of federal section 330 funding that is currently provided in the state/region. This applies to any year of the proposed project. 7

8. Eligibility Requirements Entities that can provide T/TA on a statewide/regional basis to community based organizations: –Domestic public or private, non-profit or for-profit entities –Faith-based and community-based organizations –Tribes and tribal organizations Note: Applicants with no experience working with potential or existing health centers and community-based providers with similar missions will not be competitive. 8

9. Funding Restrictions Construction/renovation of facilities Activities not approved under the cooperative agreement Reserve requirements for state insurance licensure Lobbying/advocacy efforts 9

10. Application Deadlines & Requirements Note: Applicants who do not complete Phase 1 by the deadline will not be able to move to Phase 2 and will not be able to submit an application. Page limit: 80 pages or 10MB Format: Single-spaced,12 point, easily readable font (e.g., Times New Roman, Arial, Courier) and 1-inch margins Resource: http://www.hrsa.gov/grants/apply/userguide.pdfhttp://www.hrsa.gov/grants/apply/userguide.pdf 10 TierDeadline Phase 1 - Grants.govJune 20, 2012 by 8 PM ET Phase 2 - HRSA Electronic Handbooks (EHB)July 10, 2012 by 8 PM ET

11. Two-Tiered Submission Process Phase 1: Grants.gov - Due June 20, 2012 –Applicants should register early! –Organization must register in the Central Contractor Registry (CCR) and Data Universal Numbering System (DUNS) prior to registering in Grants.gov. –Applicants will receive a validation email from Grants.gov. Phase 2: HRSA EHB – Due July 10, 2012 –Upon successful completion of the Grants.gov submission, applicants will receive an e-mail confirmation with a tracking number. Email notification to begin Phase 2 will be sent on or around 7 business days following Grants.gov validation. Resource: http://www.hrsa.gov/grants/apply/userguide.pdfhttp://www.hrsa.gov/grants/apply/userguide.pdf 11

12. Phase 1 (Grants.gov) Forms http://www.grants.gov SF 424 Application for Federal Assistance Form –upload Project Abstract on line 15 –upload Additional Congressional District on line 16, if applicable Project/Performance Site Location Form –include administrative site only, not where services will be provided Grants.gov Lobbying Form SF 424B: Assurances for Non-Construction Programs SF-LLL Disclosure of Lobbying Activities, if applicable 12

13. HRSA Electronic Handbooks (EHB) Once an application is successfully submitted through Grants.gov and downloaded into the EHB, HRSA will issue the applicant a tracking number. The Project Director and Authorizing Official must register in EHB. The Registered User will need: –Grant Announcement Number (HRSA-12-183) –Grants.Gov Tracking Number –HRSA EHB Tracking Number 13

14. Phase 2: EHB Required Forms https://grants.hrsa.gov/webexternal/home.asp Project Narrative Form (upload project narrative) SF- 424A : Budget Information - Non-Construction Programs Form 1A: General Information Worksheet Project Work Plan Form 14

15. Phase 2: EHB Attachments REQUIRED: Attachment 1: Staffing Plan Attachment 2: Position Descriptions for Key Personnel Attachment 3: Biographical Sketches for Key Personnel Attachment 4: Letters of Support IF APPLICABLE: Attachment 5: Summary of Contracts and Agreements Attachments 6-10: Other Relevant Documents 15

16. Program Narrative & Review Criteria Introduction Need (15 points) Response (25 points) Collaboration (10 points) Evaluative Measures/Impact (15 points) Resources/Capabilities (25 points) Support Requested (10 points) 16

17. Project Work Plan – 4 Sections The 12-month work plan should address: ONLY the activities to be supported under the cooperative agreement. PCA recipient roles and responsibilities on pages 3-6 of FOA. Short-term and long-term T/TA needs of potential and existing health centers in the state/region. Projected target goals for the end of the 5-year project period. Resource: HRSA EHB PCA Cooperative Agreement User Guide 17 Requirement 1: Statewide/Regional Health Center T/TA Activities Section A – T/TA in Fiscal and Program Management (Program Requirements) Section B1 – T/TA in Performance Improvement (Clinical) Section B2 – T/TA in Performance Improvement (Financial) Requirement 2: Statewide/Regional Program Assistance Section C – Statewide/Regional Program Assistance

18. Project Work Plan: Performance Goals 18 Goal: Health Center Program Requirements A1 XX% of Health Center Program grantees with no program conditions on their Notice of Awards (NoAs). Goals: Performance Improvement (Clinical) B1.a XX% of Health Center Program grantees in the state/region that meet or exceed performance on one or more Healthy People 2020 performance measure goal(s). B1.b XX% of Health Center Program grantees with Patient-Centered Medical Home (PCMH) recognition. Goals: Performance Improvement (Financial) B2.a XX% of Health Center Program grantees with cost increase less than National average. B2.bXX% of Health Center Program grantees without going concern issues. Note: Applicant organizations will establish percentage goals for the end of the project period.

19. Project Work Plan: Key Components Projected Goal Percentages Key Factors T/TA Focus Areas Activities Person(s)/Area(s) Responsible Time Frames Expected Outcomes Comments (optional) 19

20. Project Work Plan: Requirements Key ComponentsSection ASection B (Clinical) Section B (Financial) Section CCharacter Limit MinMaxMinMaxMinMaxMinMax Goal 112222N/A Key Factor 353535N/A 500 T/TA Focus Area 35131379200 Activity 25252525200 Person/Area Responsible 15151515200 Time Frame 15151515200 Expected Outcome 15151515200 Comments This is the only optional field on the form. Indicate supplemental information related to entries in the project work plan. 500 20

21. Resources PCA TA Website http://www.hrsa.gov/grants/apply/assistance/pca HRSA Electronic Submission User Guide http://www.hrsa.gov/grants/apply/userguide.pdf Health Center Program http://www.bphc.hrsa.gov/ Healthy People 2020 http://www.healthypeople.gov/2020/topicsobjectives2020/default. aspx National Health Expenditure http://www.cms.gov/NationalHealthExpendData/02_NationalHealt hAccountsHistorial.asp#TopOfPage 21

22. Technical Assistance Contacts Program related questions Denise Nguyen: BPHCPCA@hrsa.gov or 301.594.4300BPHCPCA@hrsa.gov Budget related questions Angela Wade: awade@hrsa.gov or 301.443.3190awade@hrsa.gov Grants.gov related questions support@grants.gov or 1.800.518.4726 support@grants.gov EHB accounts and access questions HRSA Contact Center: CallCenter@hrsa.gov or 877.464.4772CallCenter@hrsa.gov Electronic submission questions BPHC Helpline: BPHCHelpline@hrsa.gov or 877.974.2742BPHCHelpline@hrsa.gov 22

23. Important Reminders Grants.gov deadline is June 20, 2012 by 8 PM ET. HRSA EHB deadline is July 10, 2012 by 8 PM ET. Applications may not exceed 80 pages or 10MB. Applicants will enter information directly into EHB for the Project Work Plan. Failure to include all required documents may result in your application being deemed incomplete or non- compliant. 23

24. Questions & Answers 24