Funding for Federally Qualified Health Centers

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Provides information on the Grant Strategy team, available grants and eligibility, Access points, and the capital development of the Affordable Care Act (ACA).

Health IT Grant Funding Intelligence Series.
Sponsored by Cisco

Published in: Health & Medicine
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Funding for Federally Qualified Health Centers

  1. 1. Funding for Federally Qualified Health Centers- Sponsored By Cisco Listen Hands-freeYou may listen over your computer speakers or headphones There is no dialing-in required! Please note:You may ask questions at any time using the Q&A interfaceThis session will be recorded and available for download at www.healthitgrants.info
  2. 2. HealthITgrants.info Funding for Federally Qualified Health Centers Health IT Grant Funding Intelligence Series Sponsored by:Moderator: Michael Paddock, CEO Grants Office, LLCPresented By:Chris LaPage, MHA Chyreese DuctanGrants Office, LLC Cisco Systems, Inc.
  3. 3. What we’ll discuss today• Cisco Grant Strategy Team• FQHCs – Background on designation and eligibility for grant programs• New Access Points Grants• Affordable Care Act (ACA) – Capital Development: Building Capacity Grant Program• Affordable Care Act (ACA) – Capital Development: Immediate Facility Improvements• Positioning a successful application• Q&A
  4. 4. Cisco Grant Strategy Team Overview• Team of Regional Grant Managers for direct support• Grant education/training and funding research services• Feedback on applicant eligibility and project competitiveness• Consult on post-funding project implementation
  5. 5. HRSA Agencies $6.5 billion budget in FY 2012 5
  6. 6. Bureau of Primary Health Care• FQHC Designation Basics – Be a public or private non-profit entity – Located in a high need community (MUA/MUP) – Governed by a community board – Provides comprehensive primary health care – Must provide services to everyone, regardless of ability to pay – Meet performance and accountability requirements• Types of health centers – Grant-supported FQHCs – FQHC Look-Alikes – Tribal outpatient health programs
  7. 7. Bureau of Primary Health Care• Specific health center entities: – Community Health Centers (CHCs) – Migrant Health Centers (MHCs) – Healthcare for the Homeless – Public Housing Primary Care Programs• 4 ways to apply/become a FQHC: – New Access Point Grants – Expanded Medical Capacity Grants – Service Expansion Grants – Service Area Competition Grants
  8. 8. Bureau of Primary Health Care• FQHC Look-Alikes – Public or private non-profit entity – Serve a MUA/MUP – Other parameters consistent with FHQC-designation, such as not being owned, controlled or operated by another entity• Application process: – http://bphc.hrsa.gov/about/lookalike/index.html – Requires initial designation and annual renewal• Opens the door to Section 330 funding and other benefits
  9. 9. Bureau of Primary Health Care• Benefits of FQHC Status – Section 330 grant funding (limited competition) – Medical malpractice coverage under Federal Tort Claims Act – PPS reimbursement for services to Medicaid patients – Cost-based reimbursement for Medicare patients – 340B Prescription Drug Pricing program – Federal loan guarantees for capital improvements – Attract providers through National Health Service Corps
  10. 10. New Access Point Grants• Purpose – Establish a new full-time service delivery site for the provision of comprehensive primary and preventive health care services that will improve the health status and decrease health disparities of the medically underserved and vulnerable populations to be served.• Timeline – Anticipated release date: November 4, 2012 – Anticipated due date: February 2, 2013• Funding levels – At least $16.5 million; 25 awards anticipated – Award ceiling: $650,000 per year; 2 year project period – Up to $150k for minor capital equipment/renovation in year 1 – No restriction on moveable equipment
  11. 11. New Access Point Grants• Mandatory requirements to ensure funding consideration: – All eligibility pre-requisites for FQHC status (e.g. – public/non-profit) – Limited to one application per organizations – Must provide comprehensive primary care services, including oral, mental and substance abuse services… without regard for ability to pay – Must provide services to all residents of service area*** – Must not exceed $650k annual cap in any year of project – Proposal must not exceed 200 pages when printed by HRSA• New Applicants – Must serve area designated as MUA/MUP or submit separate documentation to HRSA seeking approval for MUA/MUP status.• Satellite Applicants – Must be new delivery site not in currently approved scope of project
  12. 12. New Access Point Grants• Examples of NAPs that can be funded – Community Health Centers – Migrant Health Centers – Healthcare for the Homeless – Public Housing Primary Care – School-based health centers – Mobile medical vans • Only for satellite applicants
  13. 13. New Access Point Grants• Potential to include technology: – Hardware (computers, monitors, video units) – Computerized medical equipment – Asset tracking technology – Overhead paging/announcement system• Mobile Medical Van Example: – Video calls to access physicians/specialists at main health facility – Network infrastructure to send/receive data/information
  14. 14. ACA – Capital Development Building Capacity Grant Program• Purpose – Improve the capacity of FQHCs to provide primary and preventive health services to medically underserved populations• Timeline – Anticipated release date: Summer 2013 – Anticipated due date: Summer/Fall 2013• Funding levels – $600 million total funding – 125-150 awards anticipated – Award range: $500k - $5 million; $4 million average award – 3 year project period
  15. 15. ACA – Capital Development Building Capacity Grant ProgramSupported Projects:• Alteration/Renovation – Existing facility – Does not increase square footage – Does not require ground disturbance/footings• Construction – New stand-alone structure or expansion of a structure – Increases square footage of facility
  16. 16. ACA – Capital Development Building Capacity Grant Program• Mandatory requirements to ensure funding consideration: – Must be a FHQC (Look-alikes not eligible) – SF 424C (Budget Form) – Request listed on budget form is greater than nor equal to $500k and less than or equal to $5 million – Construction activities must not begin prior to award date – Funds must not be used to support space that will be rented to other entities to generate revenue for the FQHC – Project space must be operated by the applicant FQHC – The proposed project cannot be a sub-recipient or contract site – Not open to past recipients of HRSA’s Facility Investment Program (FIP) or past Capital Development solicitations – Open to past recipients (and project sites) funded through 2009 Capital Improvement Program (CIP) as long as not duplicative
  17. 17. ACA – Capital Development Building Capacity Grant Program• Funding restrictions: – Funding limited to one project for each health center – Costs incurred 90 days prior to award date (pre-award costs) – Any costs associated with a CIP project – Operating costs – Land or facility purchase costs – Costs related to Electronic Health Records systems and licenses – Vehicles and mobile medical vans – Office supplies – Medical supplies – Educational supplies
  18. 18. ACA – Capital Development Building Capacity Grant ProgramTechnology applications:• Moveable equipment – Useful life > 1 year – Unit cost > $5,000 – Not permanently affixed – Must be associated with the space• Building capacity with video solutions – Telemedicine equipment and software natural fit for “building capacity” projects
  19. 19. ACA – Capital Development Immediate Facility Improvement• Purpose – Support health center efforts to improve the immediate facility deficiencies within FQHCs that are providing primary and preventive health services to medically underserved populations nationwide• Timeline – Anticipated release date: Summer 2013 – Anticipated due date: Summer/Fall 2013• Funding levels – $100 million total funding; 2 year project period – 250-300 awards anticipated – Award ceiling: $500k; $335k average award
  20. 20. ACA – Capital Development Immediate Facility Improvement• Mandatory requirements to ensure funding consideration: – Must be a FHQC (Look-alikes not eligible) – SF 424C (Budget Form) – Request listed on budget form is less than or equal to $500,000 – Project does not contain any new construction – Alternation/renovation activities must not begin prior to award date – Funds must not be used to support space that will be rented to other entities to generate revenue for the FQHC – Project space must be operated by the applicant FQHC – Project costs must be within current Scope of project – The proposed project cannot be a sub-recipient or contract site – Specific exclusions for project sites that received past funding
  21. 21. ACA – Capital Development Immediate Facility Improvement• Funding restrictions: – Funding limited to 5 projects for each health center – Costs incurred 90 days prior to award date (pre-award costs) – Any costs associated with a site that received construction funding through the Capital Investment Program, Facility Investment Program or previous Capital Development opportunities – Operating costs – Costs related to Electronic Health Records systems and licenses – Vehicles and mobile medical vans – Installation of trailers/modular units – Office/medical/educational supplies
  22. 22. ACA – Capital Development Immediate Facility ImprovementEquipment/technology applications:• Moveable equipment – Must be associated with IFI project• Regular business hardware – Computers, monitors, video units, etc…• Fixed/Attached Equipment – HVACs• Specific technology applications: – Physical security and site surveillance – Renovation of dilapidated mental health suite that includes interim telemedicine solution
  23. 23. Going After FQHC Grants: Review Criteria/Scoring• Need• Response• Impact• Resources/Capabilities• Support Requested
  24. 24. Competitive Applications• New Access Point Grants – How is the this area underserved? – Where am I filling in the gap, complimenting other FQHCs?• Building Capacity Grant Program – How does construction/renovation/alteration expand capacity of health center to increase patient volume? – How does included technology support the space and “building capacity” objective?• Immediate Facility Improvement – What happens to health center operations if you are not able to carry out projects proposed under IFI? – How does proposed technology connect to IFI project, or how can it be leveraged to avoid service interruption?
  25. 25. Healthcare Human Network Applications Connected People Find Collaborate Connected Connected Clinician PatientConnected ConnectedEquipment InformationAsset Tracking Electronic Health Records
  26. 26. Q&AChristopher J. LaPage Michael Paddock Chyreese DuctanSenior Consultant Chief Executive Officer Regional Grants ManagerGrants Office, LLC Grants Office, LLC CiscoPresenter Moderator Presenter
  27. 27. www.HealthITGrants.info• Learn about “Featured Grants”• View summaries on Recently Released Grants• Register for Upcoming Webcasts or view previously recorded ones• Sign up to receive grant alerts and our newsletter!
  28. 28. Thank you! Cisco Grant Support Program: Stephanie Jones National Grants Coordinator Cisco Systems, Inc. Email: stephanie.jones@cisco.com Phone: (219) 766-0821 For other inquiries: Chris LaPage Senior Consultant Grants Office, LLC Email: clapage@grantsoffice.com Phone: (585) 473-1430

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