To access the AUDIO portion of the webinar: Pass code RFAs available online at: (under What’s New)

Community Health Center Grant Program Technical Assistance Webinar NC Office of Rural Health & Community Care October 15, 2009

WHO CAN APPLY AHEC clinics CCNC networks FQHCs Free clinics Health departments Hospitals Rural health clinics School-based/linked health centers Other non-profit community organizations

AVAILABLE GRANTS Program grants Medical Access Plan (MAP) grants An organization may apply for both a program grant and a MAP grant Capital-only grants are NOT available this funding cycle

DEADLINES Postmarked Tuesday, November 17, 2009 Received 5:00 p.m. Friday, November 20, 2009 Track your package! ORH staff cannot confirm receipt of applications

APPLICATION PACKET 5 copies of the grant application – 1 original and 4 copies 1 copy of most recent audit* - do not send multiple copies 1 copy of IRS letter verifying tax exempt status* - do not send multiple copies Stapled or binder clipped – no folders, binding, notebooks, etc. * Health departments/districts do not submit

LETTERS OF SUPPORT Required – will lose 10 points if not provided Limit of 5 letters MUST be included with the grant application Do NOT send separately to ORH – these will not be considered during the review process

NCIOM SAFETY NET PROVIDER SURVEY Report the date for the most recent review or update of information For more information, contact: Kimberly Alexander-Bratcher ext. 26 Points are deducted if your organization’s information is not up-to-date.

REQUIRED FORMS Use the forms provided with the current RFAs  Organizational Information & Signature Sheet  Summary of Evaluation Criteria & Baseline Data  Budget Template Not using these forms or using out-dated forms will result in a mandatory point deduction

Medical Access Plan (MAP) Grants

MAP GRANT ELIGIBILITY Non-profit Provide comprehensive primary care services Do not receive federal or state funding for indigent care for targeted delivery site Accept Medicare and Medicaid Bill patients and insurance companies Confirm eligibility with Parcheul Harris at

MAP GRANT MAXIMUM $25,000 Year 1 January June 2010 If funding is available and grantee meets performance measures: $50,000 Year 2 July 2010 – June 2011 $50,000 Year 3 July 2011 – June 2012

Program Grants

FUNDING PRIORITIES Maximum of 1 Program Grant will be funded in a service area / county Clearly define service area for the proposed project in the grant narrative Encourage partnership, collaboration, and effective use of limited resources  Joint-Organization application option

ELIGIBLE PROJECTS Increase access to primary and preventative MEDICAL care Not Eligible Dental Pharmaceutical services Behavioral / mental health* * MEDICAL component of integrated medical-mental health initiatives is eligible; mental health component is not eligible.

OTHER RESTRICTIONS Funds must be used at the physical location where primary care is provided Funds CANNOT be used for: Emergency department, hospital inpatient, or specialty clinic projects Purchase or lease of vehicles Paying down existing mortgages or loans

JOINT-ORGANIZATION APPLICATIONS One application – partners do NOT submit separate applications Designated fiduciary agent – organization that submits application  May subcontract with partner organizations  Responsible for all reporting requirements  Cannot be just a pass-through agency; must be an active partner

JOINT-ORGANIZATION APPLICATIONS Partner Responsibilities Have a clearly defined role Contribute resources to the project Provide data/information for evaluation Write letter of support clearing stating organization’s support and describing roles and responsibilities * * Fiduciary agent does not write letter of support but describes role / responsibilities in grant narrative.

JOINT-ORGANIZATION APPLICATIONS Organizations with Multiple Service Areas Fiduciary agent for only 1 grant May be the fiduciary agent for one grant and be a partner agency (but not lead) on a separate joint-org application. May participate in only 1 grant application per service area Descriptions of service areas will be reviewed for reasonableness

PROGRAM GRANT MAXIMUM Year 1 January-December 2010 Solo-Organization Application = $125,000 Joint-Organization Application = $175,000 If funding is available and grantee meets performance measures: Years 2 & 3 Year 1 Grant Award less Capital Expense (capital is one-time only)

CAPITAL REQUESTS Must be directly related to proposed project One-time only – not included in continuation funding Quotes required IF:  Item costs $5,000 or greater  Building/facility modification or renovation (any amount) Quotes placed in an appendix and included with each copy of the application

ORGANIZATIONAL INFORMATION & SIGNATURE SHEET Organization Name through Organization Type provide fiduciary agent information if joint-org application Rural/urban designation of physical location where funds will be used (Instructions Appendix II) Joint-Organization application provide names/address of co-applicants

ORGANIZATIONAL INFORMATION & SIGNATURE SHEET Summary of Request – be brief, one to two sentences Contact Person – someone who can answer questions about the application Submitted By – signed by person authorized to enter into contracts for the organization

SUMMARY OF EVALUATION CRITERIA & BASELINE DATA Section I Must be unduplicated patients not visits (see Instructions Appendix I) Section II Measurable Criteria’s baseline and target must use the same unit of measurement One criteria must address how project affects population and/or community need as described in narrative

GRANT NARRATIVE Maximum 8 pages excluding forms and appendices – 12 point font and 1 inch margins Appendices Do not count towards the page limit Must be included with each copy of the application Letters of support Capital item quotes (if needed)

GRANT NARRATIVE Section II Community Need Incidence of poverty Other relevant demographic, health-status, and community data Citations/references required for data

GRANT NARRATIVE Section III Project Description Be clear Number of uninsured persons served After-hours care Implementation timeline Capital request – what and how it will support the proposed project Joint-Org application – description of partners roles and resources committed

GRANT NARRATIVE Section IV Return on Investment Part A – pull patient numbers directly from Summary of Evaluation Criteria & Baseline Data form Part B – describe anticipated cost savings, improved health status, or other reasons the project is a good use of state monies

GRANT NARRATIVE Section VI Collaboration & Community Support Maximum 5 letters of support Joint-Org application each partner (excluding fiduciary agent) must provide letter of support If no direct collaboration for proposed project describe current partnerships with other community providers or agencies

GRANT NARRATIVE Section VII Project Evaluation Part A – date of safety-net survey update Part B  Must be completed in addition to Summary of Evaluation Criteria & Baseline Data form  Explain evaluation criteria  Identify factors that may negatively impact ability to meet targets and describe how these factors could be addressed

BUDGET TEMPLATE Project specific Time frame January – December 2010 Column A – community health grant revenue and expenses covered by grant Column B – all other funding and any expenses not covered by community health grant Column C - total

BUDGET TEMPLATE Staffing – enter FTEs for each position type Temp/Contract Staff – enter hours per month for each position type Capital expenses – must tie back to project description Report total number of new FTEs that will be created as result of community health grant

EXTRAORDINARY HARDSHIP GRANTS Very Rare Grant to address an IMMEDIATE threat to access to care that can be addressed by a ONE-TIME infusion of funds. Maximum grant $125,000 – not eligible for continuation grant funding Solo organization application

EXTRAORDINARY HARDSHIP GRANTS Additional Grant Application Requirements Income statements and balance sheets Data on number of patients impacted Detailed sustainability plan that addresses additional funding sources and potential for partnering with other organizations to meet community need See Instructions for more requirements and details

FOR MORE INFORMATION Andrea D. Radford, DrPH, MHA Voice mail message:

QUESTIONS Today’s Webinar Hosted by: