FY 2015 Service Area Competition- Additional Area Objective Review Committee HRSA SAC-AA Technical Assistance page:

Reviewer Scoring Guidance Funding Opportunity Announcement (FOA) FOA Side-by-Side (Project Narrative/Review Criteria) HRSA Scoring Rubric 2

Overview The Service Area Competition-Additional Area (SAC-AA) provides funding for the provision of continued comprehensive primary health care services to underserved and/or special populations. Three types of applicants: 1.New applicants 2.Current grantees applying to continue serving their current service area (competing continuation) 3.Current grantees applying to serve a new service area (supplemental) Project Period: Up to 3 years 3

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 people experiencing homelessness Public Housing Primary Care (PHPC, section 330(i)): target population is residents of, and individuals living immediately adjacent to, public housing 4

Eligibility Requirements 1-3 Applicants must: 1.Be public or nonprofit private entities such as a tribal, faith-based, or community-based organization. 2.Applicant proposes to serve a service area and its associated population(s) and patients identified in the Service Area Details Table (see Table 13 in the FOA). 3.Applicant must propose on Form 1A to serve at least 75 percent of patients by December 31, 2016 as listed in the Service Area Details Table. See the Summary of Funding section in the FOA if the patient projection is less than published in the Service Area Details Table. 5

Eligibility Requirements Applicant must propose on Form 5B the service area zip codes from which at least 75 percent of the current patients reside. Applicants should use the Service Area Details Table as a resource in determining the zip codes from which the majority of patients originate. 5.Applicant must propose to serve all currently targeted populations (i.e., CHC, MHC, HCH, PHPC) identified through the funding distribution in the Service Area Details Table. 6

Eligibility Requirements Applicant requests annual federal section 330 funding (as listed in the Service Area Details Table and presented on the SF-424A and Budget Justification Narrative) that DOES NOT exceed the established cap of section 330 funding (listed as Total Funding on the Service Area Details Table ) available to support the announced service area and its designated population(s). 7.Applicant does not apply on behalf of another organization. See Section III of the FOA for complete eligibility information 7

8 Dayton, OH Service Area

Project Narrative & Review Criteria Project 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) 9

Project Narrative Resources: Need and Response Need Form 9: Need for Assistance Worksheet Attachment 1: Service Area Map and Table Response Form 1A: General Information Worksheet Form 2: Staffing Profile Forms 5A, 5B, and 5C: Services, Sites, and Other Activities/Locations Form 8: Health Center Agreements Attachment 1: Service Area Map and Table Attachment 7: Summary of Contracts and Agreements (if applicable) Attachment 10: Sliding Fee Discount Schedule Attachment 13: Implementation Plan (if applicable) 10

Project Narrative Resources: Collaboration and Evaluative Measures Collaboration Attached letters of support (Attachment 9) should DESCRIBE collaboration with other providers/organizations Applicants are required to PROVIDE letters of support from the following organizations in the service area (see Attachment 1): Health Center Program grantees (both 330 grantees and look- alikes), rural health clinics, critical access hospitals, and health departments The applicant MUST document/explain why any required letters were not included Evaluative Measures Clinical and Financial Performance Measures 11

Project Narrative Resources: Resources/Capabilities Resources/Capabilities Form 1A: General Information Worksheet Form 2: Staffing Profile Form 5B: Service Sites Form 8: Health Center Agreements Attachment 2: Corporate Bylaws Attachment 3: Organizational Chart Attachments 4 & 5: Position Descriptions/Biographical Sketches Attachment 6: Co-Applicant Agreement (if applicable) Attachment 7: Summary of Contracts and Agreements (if applicable) Attachment 12: Floor Plans (if applicable) 12

Project Narrative Resources: Governance and Support Requested Governance Form 4: Community Characteristics Form 6A: Current Board Member Characteristics Form 6B: Request for Waiver of Governance Requirements Attachment 2: Corporate Bylaws Attachment 6: Co-Applicant Agreement (if applicable) Attachment 8: Articles of Incorporation (not required for competing continuations) Support Requested SF-424A: Budget Information Non-Construction Programs Budget Justification Narrative Form 1A: General Information Worksheet Form 2: Staffing Profile Form 3: Income Analysis 13

Budget Justification The Budget Justification Narrative should include a line-item budget and any narrative required to explain costs and demonstrate that costs are reasonable and necessary for implementation of the proposed project. 14

Final Reminders 15 Refer to the SAC-AA TA web site: Reference the Funding Opportunity Announcement (FOA) Scores should be an accurate reflection of the needs, service plans, and capabilities presented in the SAC-AA applications Strengths and weaknesses should be based on the Project Narrative and review criteria in the FOA