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93.223 DEVELOPMENT AND COORDINATION OF RURAL HEALTH SERVICES

FEDERAL AGENCY
HEALTH RESOURCES AND SERVICES ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES

AUTHORIZATION
Public Health Service Act.

OBJECTIVES
To (1) Build infrastructure through workshops, conferences, etc., (2) develop and provide information to a wide audience, (3) increase awareness of Federal and State resources, and (4) build partnerships between Federal and State governments.

TYPES OF ASSISTANCE
Project Grants.

USES AND USE RESTRICTIONS
All funds awarded are to be expended solely for carrying out the approved activities in accordance with the intent of the cooperative agreement as stipulated in the notice of grant award.

Applicant Eligibility
Nonprofit private organizations that represent national, State and local rural health constituencies. The applicant must represent National, State, and local constituency groups who are interested in and committed to improvements in rural health care.

Beneficiary Eligibility
Underserved populations in rural areas and rural health care providers wishing to expand their services. Rural health care advocacy groups and their constituents.

Credentials/Documentation
Applicants should review the individual HRSA Guidance documents issued under this CFDA program for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package.

Preapplication Coordination
This program is eligible for coverage under E.O. 12372, "Intergovernmental Review of Federal Programs." An applicant should consult the office of official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review.

Application Procedure
Grant applications and required forms for this program can be obtained from Grants.gov. Please visit the Grants.gov Web site at www.grants.gov to both find and apply for all Federal grant opportunities. All qualified applications will be forwarded to an objective review committee which will make funding recommendations to the Associate Administrator for the Office of Rural Health. The Associate Administrator has the authority to make final selections for awards.

Award Procedure
Applications are reviewed by Federal and nonfederal experts in rural health care. Applications are calculated for merit and are recommended for approval or disapproval. Final decisions are made by the Director, Office of Rural Health Policy.

Deadlines
www.hrsa.gov.

Range of Approval/Disapproval Time
From 3 to 4 months.

Appeals
None.

Renewals
None.

Formula and Matching Requirements
None.

Length and Time Phasing of Assistance
Awards are made annually for a project period of 5 years.

Reports
A progress report and a financial status report are to be submitted within 90 days after the close of the budget period. A final performance report and financial status report are due 90 days following the end of the project period.

Audits
In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Non-Profit Organizations," nonfederal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133.

Records
All records must be maintained until expiration of 3 years from the date of submission of the final expenditure report. If questions remain following the 3-uear period, such as those raised as a result of an audit or an on-going enforcement action, recipients must retain records until the matter is completely resolved.

Account Identification
75-0350-0-1-550.

Obligations
FY 07 $300,000; FY 08 est. $270,000; and FY 09 est. $300,000.

Range and Average of Financial Assistance
Average award is $300,000.

PROGRAM ACCOMPLISHMENTS
One noncompeting continuation award was funded in FY 07.

REGULATIONS, GUIDELINES, AND LITERATURE
This program is subject to the provisions of 45 CFR Part 92 for State, local and tribal governments and 45 CFR Part 74 for institutions of higher education, hospitals, other nonprofit organizations and commercial organizations, as applicable.

Regional or Local Office
The Office of Rural Health Policy, Health Resources and Services Administration, Parklawn Building, Room 9A-55, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-0835.

Headquarters Office
Grants Management Office: Rick Goodman, Director, Division of Grants Management Operations, Health Resources and Services Administration, Department of Health and Human Services, 5600 Fishers Lane, Room 11A-16. Health Services Branch; Telephone: (301) 443-2385; Research and Training Branch; Telephone: (301) 443-3099; Government and Special Focus Branch; Telephone: (301) 443-3288.

Web Site Address
www.hrsa.gov

RELATED PROGRAMS
93.913, Grants to States for Operation of Offices of Rural Health.

EXAMPLES OF FUNDED PROJECTS
National and regional meetings of State Offices, meetings and support for the National Recruitment Network, technical assistance to States and local organizations, and funding for five EMS/GIS mapping collaborative projects.

CRITERIA FOR SELECTING PROPOSALS
Applications will be reviewed and rated on the applicant's ability to address the following areas: (1) Developing and disseminating knowledge through the solicitation, review, selection, compilation, and circulation of manuscripts derived from relevant research conducted on rural health issues; (2) organizing, publicizing, and managing meetings to enhance the dissemination of information on rural health care issues, including minority rural health, rural health clinics, and recruitment and retention of health care professionals in rural areas; (3) providing technical and other nonfinancial assistance to State offices of rural health to increase their capability to serve rural residents; (4) developing a network to promote recruitment and retention of health professionals in rural areas; and (5) providing updated information to the public about rural health clinics.


General Services Administration
Office of Chief Acquisition Officer
Regulatory and Federal Assistance Division (VIR)