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Best Practices Technical Assistance Replication Project Request for Applications
REQUEST FOR APPLICATIONS RELEASED: January 23rd, 2019REQUEST FOR APPLICATIONS DEADLINE: April 5th, 2019
This request for applications includes the following components:
AMCHP’s Best Practices Program Overview 2
Best Practices Replication Project Overview 3
What Recipients Can Expect from AMCHP 4
Best Practices Technical Assistance Requirements 4-5
Best Practices Replication Project Technical Assistance Timeline 5
Application Process and Selection Criteria 6-7
Appendix A: Application Form 8-12
Appendix B: List of Current Innovation Station Programs 13-17
Appendix C: Contract Execution and Expenditures 18-19
For questions about the Best Practices Replication Project, contact Lynda Krisowaty, [email protected]; (202) 266-3058.
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AMCHP’s Best Practices Program OverviewAs part of its commitment to serve as a national resource for its members and to support state and territorial efforts to build successful maternal and child health (MCH) programs, AMCHP collects, reviews, and disseminates cutting-edge, emerging, promising, and best practices from public health programs across the U.S. ensuring that effective models can be shared and replicated among the MCH community.
What is a Best Practice?
AMCHP defines “best practices” as a continuum of practices, programs, and policies that range from cutting-edge, emerging, and promising to those that have been extensively evaluated and proven effective, i.e. best practice. Practices often focus on the health of families, women, adolescents, young children, or children with special health care needs within the following areas of interest: preconception care, mental health, data and assessment, financing, program and system integration, workforce development, injury prevention, access to care, emergency preparedness, family support, healthy equity, and many other public health issues.
AMCHP’s Best Practices Committee reviews and evaluates practice submissions based on 12 criteria. Accepted practices are added to the MCH practice database in Innovation Station, an online, searchable database of cutting-edge, emerging, promising, and best practices in MCH.
Searching for Inspiration? Check out the top five most downloaded practices in Innovation Station this past year!
1. March of Dimes Healthy Babies are Worth the Wait® Best Practice
2. Every Child Succeeds Best Practice , Best Practice
3. HealthConnect One Community-Based Doula Program , Best Practice
4. Moving Beyond Depression ™, Best Practice
5. Family Foundations , Best Practice
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ABOUT AMCHP
The Association of Maternal & Child Health Programs is a national resource, partner and advocate for state public health leaders and others working to improve the health of women, children, youth and families, including those with special health care needs.
AMCHP supports state maternal and child health programs and partners by helping states build successful programs through such efforts as providing capacity building and technical assistance, disseminating best practices, convening leaders to share experiences and ideas, and advising states about involving partners to reach our common goal of healthy children, healthy families, and healthy communities.
Best Practices TA Replication Project Overview
As part of an overall strategic goal to improve MCH outcomes by sharing effective and successful practices with state and territorial MCH programs, AMCHP provides up to three technical assistance (TA) awards of $10,000 each for states and territories to replicate an emerging, promising, or best practice (or components of one) in Innovation Station. For the purposes of the Best Practices TA Replication Project, replication may not entail replicating a practice as is. Usually, some adaptation or innovation is required and is encouraged in order to make the practice more appropriate for the recipient’s specific context. This is also an opportunity for recipients to introduce new practices that can support/drive their Evidence-based or -informed Strategy Measures (ESMs). To be considered for funding, applicants must demonstrate a need for TA as well as readiness and capacity to implement and sustain the practice. If selected, the applicant will receive technical assistance from a representative from the practice in Innovation Station as well as logistical support from AMCHP.
Replication funds can be used in a variety of ways. Below are some ways recipients have previously used funds:
Travel to/from the state whose practice is being replicated (also referred to as a site visit) Consultant fees to develop reports, organize focus groups, conduct meetings, etc. Project or training materials Professional printing Promotional materials or collateral Meeting or trainer associated costs Web development and support services Incentives such as parent/youth stipends
Note: Funding is meant to assist in initiating the replication of a practice or to supplement existing work being done to replicate the practice. Applicants are encouraged to consider the sustainability of replicating a practice and identify other sources of funding to contribute to this. In addition, while replication funds can be used in several ways, they cannot be used to pay for equipment, software, conference or course registration, or personnel expenses including staff FTE.
How is the Project Beneficial?
2017-2018 Best Practices TA Replication recipients included Georgia which replicated the MotherWoman model, and North Carolina which replicated Innovative Approaches. Below are some of their thoughts on the benefits of participating:
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“This TA project added significant value to our work as we were able to build meaningful relationships with key stakeholders and potential partners. Additionally, the ability to create a strategic plan of perinatal mental health for the State of Georgia is a huge undertaking that we could not have done without the support of this [TA].”
“The [TA] provided Cabarrus Innovative Approaches (IA) the opportunity to engage the broader community in the work of IA for sustainability of efforts to improve the system of care for CYSHCN. It also reinforced the process needed in planning engagement of diverse stakeholders and implementing outreach in all areas of their work.”
To learn more about the benefits of conducting a replication project, watch this video to listen to two previous Best Practices TA Replication recipients discuss their experiences with the process.
What Recipients Can Expect from AMCHP and Practice RepresentativesNote: AMCHP uses a contract to execute its Replication Projects. For common questions regarding contact execution and expenditures, see Appendix C.
If your Best Practices Replication Project application is accepted, you can expect the following support from AMCHP:
Logistical support from AMCHP staff including developing a contract, processing invoices/reimbursements, initial connection to a representative of the practice being replicated, agenda/meeting development, etc.
Facilitated check-in calls to plan/coordinate TA Information and resources about best practices and Innovation Station Support in facilitating peer relationships between the applicant and practice representative Ongoing assistance from staff to guide the TA process
And the following support from a representative of the practice being replicated: Insight into the development and implementation of the practice being replicated Guidance on ways to adapt or modify the practice to the applicant’s context Check-ins to support replication of the practice
Best Practices Technical Assistance Requirements
Through this project, applicants can request TA support to learn how to adapt a specific Innovation Station practice (or components of a practice) to their state or territory. Applicants must demonstrate readiness to adapt the practice and to develop an implementation plan to maximize TA resources. Recipients must report on outcomes of the Replication Project, share their experiences with their peers, and provide feedback on resources to sustain best practices and knowledge management.
Report and EvaluateRecipients are required to report on the outcomes of the Replication Project. The final report must include a summary of TA activities, results/action steps determined, and progress made toward replication. Recipients will also be contacted six months after completion of the project to complete a six-month follow-up report to elaborate on any successes, challenges, or changes made to the Replication Project following the completion of formal TA.
Share Experiences
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To capture the value of the connections fostered during the replication project, recipients will contribute a brief article to the AMCHP bi-monthly newsletter, Pulse. The contents of the article will include experiences, challenges, and lessons learned from practice replication and implementation. In addition, participants may also be asked to share their experiences with others via webinar.
Sustain Knowledge To further support implementation and adaptation of practices in Innovation Station, AMCHP will continue to develop tools and resources designed to assist states and territories in translating strategies into action steps. AMCHP may reach out to recipients as thought leaders during resource development to foster greater peer-to-peer learning and increase practicality of tools such as AMCHP’s Implementation Toolkits and Implementation Handouts.
Best Practices Replication Technical Assistance TimelineThe timeline below has been provided to help applicants develop their proposals. A final timeline and work plan will be developed by the selected applicants in partnership with AMCHP.
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RFA Released Wednesday, January 23rd, 2019
Applications Due Friday, April 5th, 2019 by 11:59 pm EST
Awards Announced End of April 2019
Orientation Call By end of May 2019
Project activities: site visit, technical assistance, etc. June 2019 – April 2020
Application Process and Selection Criteria
Submit the application form by email by 11:59 pm EST on Friday, April 5th, 2019 to [email protected] with “Replication Project” in the subject line.
New for 2019: AMCHP is piloting a checklist to assist potential applicants in determining their readiness to participate in the Best Practices TA Replication Project. Applicants are encouraged to use the checklist to determine their readiness and consider relevant elements of replication. The online checklist can be accessed here. The checklist is not required in order to submit an application. In addition, applicants who use the checklist may be asked to provide feedback on the utility of the checklist. Note: At this point in time, the second track referenced in the checklist has not been developed but will be developed later this year.
To be considered eligible, applicants are required to complete and submit all sections of the application found in Appendix A.
Applications received after the deadline will not be considered. You will receive notification of receipt of application no later than one week following submission. If
you have not received a notification of receipt by April 8th, contact Lynda Krisowaty at [email protected].
Selection Criteria
The Best Practices Committee will review and score your application using the following evaluative criteria. A total of 85 points can be awarded.
Need – 10 points Extent to which the applicant identifies a need/problem/or opportunity the Innovation Station practice is designed to address AND explains how the practice will help address the needs identified.Extent to which the applicant describes health inequities in the proposed project area and how the practice will contribute to reducing health inequities (e.g. racial, ethnic, geographic, cultural).
Capacity – 25 pointsExtent to which the applicant explains how the replication project technical assistance would enhance existing organizational activities related to the practice being replicated. Extent to which the applicant describes adequate resources and infrastructure to receive technical assistance.The applicant describes adequate available resources to sustain the practice.The applicant describes at least one collaboration/partnership AND explains how they will support the replication plan.
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The applicant describes a current partnership with Title V OR explains how they intend to collaborate with Title V to carry out the replication plan
Replication Plan – 25 pointsThe extent to which the applicant describes a replication plan that is both feasible AND flexible. The extent to which the applicant describes the type of technical assistance needed AND explains how it will support the overall goals for implementation.The extent to which the applicant includes a timeline that is feasible AND outlines necessary activities to meet project goals for implementation. The extent to which the applicant explains that replication plan activities will be sustained after technical assistance is complete.The extent to which the applicant describes how they intend to share their experience participating in the replication project AND/OR connect any learning back to the practice being replicated.
Benefits – 10 pointsThe extent to which the applicant describes at least one benefit from participating in the Replication Project.The extent to which the applicant describes how participating in the Replication Project will lead to positive health outcomes, including promoting health equity.
Potential Challenges– 10 pointsThe extent to which the applicant describes any potential challenges to implementing their replication plan.The extent to which the applicant provides at least one reasonable solution to each challenge identified.
Budget – 5 pointsThe extent to which the applicant provides a budget that includes costs that are both appropriate AND allowable.
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Appendix A: AMCHP Best Practices TA Replication Project Application
Please provide clear, concise responses to each section. Submit the completed form to [email protected] by April 5th, 2019 by 11:59 pm EST. We highly recommend that you reach out to the practice you’d like to replicate to get additional information before applying.
Contact InformationNameOrganizationAddressCity, State, ZIPPhoneE-Mail Address
How did you find out about this replication opportunity? ☐ AMCHP Website ☐ AMCHP Staff Person ☐ AMCHP Social Media (Facebook, Twitter)☐ AMCHP Table at a Conference or Meeting
☐ AMCHP Member Briefs/Regional Updates ☐ AMCHP Infographic ☐ AMCHP Pulse Issue☐ Other (please specify):
Project OverviewName of Innovation Station Practice Being Replicated Refer to Appendix B for suggestions. Be sure to specify if replication is of the
whole practice or a component of the practice.
What is the desired overall goal for replicating this practice?
What are 2-3 objectives that will be achieved by replicating this practice?
Need8
Provide a brief overview of the need/problem or opportunity for improvement your selected Innovation Station practice will address AND explain how the selected practice will address this need.
Describe any existing health inequities in the proposed project area AND explain how replicating your selected Innovation Station practice will contribute to reducing health inequities (e.g. racial, ethnic, geographic, cultural).
CapacityExplain any existing activities your organization currently implements that the Replication Project TA will enhance.
Describe any current resources and infrastructure that will help you receive the Replication Project TA.
Describe any current resources and infrastructure that will help you sustain the practice being replicated.
Describe at least one collaboration or partnership you have to support your replication plan AND explain how they will support your replication plan.
As replication funds typically support Title V related programs at the state or territorial level, please describe any current partnerships with Title V or state/territorial health department. A letter of support from the Title V director is preferred but not required.
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Replication PlanBriefly outline how you plan to replicate the practice or component of the practice you identified AND explain the type of TA you need from AMCHP and the practice representative to carry this out.
Project Timeline and Breakdown of Activities
Date/Timeframe Description of ActivityEstimated # of hours needed to complete
activityPerson(s) Responsible
Explain how activities will be sustained after formal TA is completed.
Explain how you intend to share your experience with the Replication Project with others AND/OR connect any learning back to the practice you replicated?
Expected Benefits Summarize the impact participating in this TA will have for the project goals/objectives you articulated earlier.
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Explain how participating in the Replication Project will lead to positive health outcomes, including promoting health equity.
Potential ChallengesIdentify challenges your program might experience in carrying out the work described above AND explain how you intend to mitigate each of these challenges.
BudgetList all expenses associated with carrying out the activities outlined in your replication plan. Please note that TA funds cannot be used to pay for salaried employees, equipment, software, conference or course registration, personnel, or indirect expenses.
Activity/Item Brief Description Quantity Price Per Unit Total
Total Amount Requested:
CommitmentBy submitting this application, I affirm that if awarded the technical assistance funds I (and applicable key staff) am committed to the success of this project and will play a central role in providing any needed
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coordination/support to receive the technical assistance. I agree to participate in AMCHP’s evaluative efforts. I further affirm that I have secured any required approval to receive this technical assistance and to move forward in outlined activities prior to submission of the application.
NameSignature Date
Appendix B: Current Innovation Station Practices
Below is a list of current emerging, promising, and best practices in Innovation Station as of January 2019. Click on the title of the practice to view the program summary from Innovation Station.
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To learn more about these practices, visit Innovation Station.
Innovation Station Practice State Practice Category Primary Keywords
Empower Program AZ Best Nutrition & Physical Activity Child Health
The HealthConnect One Community-Based Doula Program IL Best Reproductive Health Access to Healthcare Health Promotion
Healthy Babies are Worth the Wait KY Best Birth Outcomes Prematurity Reduction
Innovative Approaches: Community Systems Building Grants for Children and Youth with Special Health Care Needs (Note: Please search Innovation Station for Updated form)
NC Best CYSHCN Community Systems Building
The Health-e-Access Telemedicine Program ** NY Best Access to health care Child Health Telemedicine
Baby and Me Tobacco Free NY/Nation
alBest
Birth Outcomes Chronic Disease
Every Child Succeeds OH Best Child Health Home Visiting
Moving Beyond Depression OH Best Mental Health Health Screening Access to Care
Oregon Youth Transition Program OR Best CYSHCN Service Coordination & Integration
Family Foundations PA Best Prenatal Stress Depression Co-parenting
Texas Children’s Hospital Health Care Transition Planning Tool TX Best Transition Planning
AYASHCN
Nurse Family Partnership US Best Home Visiting Infant Health
Parent Child Assistance Program (PCAP) WA Best Substance & Tobacco Use Birth Outcomes
Internatal Care Program AZ Promising Preconception & Interconception Health Birth Outcomes
First 5 California Kit for New Parents CA Promising Health Promotion Family/Consumer Involvement
Birth and Beyond California CA Promising Quality Assurance Breastfeeding
Medically Vulnerable Care Coordination Project CA Promising Premature Birth Care Coordination CYSHCN
Family Voices of California Project Leadership CA Promising Family Involvement CYSHCN
Prenatal Plus Program CO Promising Prenatal Care Birth Outcomes
Using the Six Core Elements of Health Care Transition in Medicaid Managed Care
DC Promising Access to Health Care Transition
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CYSHCN
Body and Soul: A Faith Based Health Improvement Initiative FL Promising Women's Health Obesity/ Overweight
Florida Infant Risk Screening Tool FL Promising Infant Risk Screening Infant Health Infant Mortality
Virtual Dental Home (Tele-dentistry Project) HI Promising Oral Health Access to Health Care
Iowa’s 1st Five Healthy Mental Development Initiative IA Promising Early Childhood Early Intervention Mental Health
La Vida Sana, La Vida Feliz IL Promising Overweight/Obesity Women's Health
Welcome Family MA Promising Health Inequities/Disparities Health Promotion
Healthy Weight Program MA Promising Overweight/Obesity Women's Health
MotherWoman MA Promising Perinatal Mental Health Postpartum Depression
Massachusetts Partnership for Early Childhood Mental Health Integration: LAUNCH/MYCHILD/System of Care Model
MA Promising Mental Health Integration Family Engagement
Adolescent Champion Model MI Promising Primary/Preventive Health Care Access to Health Care
Expanding Early Identification Efforts through Electronic Development and Social Emotional Screening MN Promising
Health Promotion Mental Health Primary/Preventive Health Care
Internship Program for Youth with Special Healthcare Needs RI Promising Workfoce Development &Leadership
Back to Sleep Nurse Training MO Promising Workforce & Leadership Development Infant Health
Get Healthy TogetherNM Promising
Nutrition & Physical Activity WIC Health Promotion
Healthy Babies are Worth the Wait® Consumer Education Initiative
NY Promising Birth Outcomes Early Elective Deliveries
Women’s Health Education Navigation (WHEN) Program for justice-involved families NY Promising
Birth Outcomes Access to Care Care Coordination
Pathways Community HUB OH Promising Access to Care Health Promotion
Ohio Gestational Diabetes Postpartum Care Learning Collaborative OH Promising
Quality Improvement Prenatal/postpartum Care
Healthy Women, Healthy Futures OK Promising Women's Health Preconception Health
Oregon Care COOrdinatioN Program OR Promising CYSHCN Home Visiting Care Coordination
Pediatric Practice Enhancement Project (PPEP) RI Promising CYSHCN Access to health care Service coordination & integration
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PASOs Program SC Promising Perinatal Health Birth Outcomes
PowerMeA2Z TX Promising Preconception/interconception Health
Partners in Pregnancy VA Promising Prenatal Care CHIP Infant Health
One Tiny Reason to Quit VA Promising Smoking Cessation
Birth Outcomes Health Inequity/Disparities
Youth Health Improvement Initiative VT Promising Adolescent Health Well Care Visit
Providers and Teens Communicating for Health (PATCH) Program WI Promising
Health Promotion Family/Consumer Involvement
Alaska Childhood Understanding Behaviors Survey (CUBS) AK Emerging Child Health Data, Assessment & Evaluation
Medical Preparedness Pediatrics AK Emerging CYSHCN Child Health Workforce & Leadership Development
Sisters United: Promoting Healthy Habits, Protecting Our Babies AR Emerging
Birth Defects Prevention Birth Outcomes
Women Together for Health AZ Emerging Overweight/Obesity Women's Health
Baby Steps to Breastfeeding Success AZ Emerging Quality Assurance Breastfeeding
Healthy Teeth Happy Babies CO Emerging Oral Health Infant Health
Transition Interagency Group Envisioning Realization of Self (T.I.G.E.R.S.) CO Emerging
Transition Specialized Care CYSCHN
Home by One Program CT Emerging Oral Health Perinatal Health Service Coordination & Integration
Perinatal Depression Screening and Referral Program CT Emerging Mental Health Maternal Health Prenatal Care
CMS-CSHCN Youth & Young Adult Transitions FL Emerging CYSHCN Home Visiting
Tampa Bay Doula Program FL Emerging Perinatal Health Birth Outcomes Infant Health
Partners in Care: Together for Kids FL Emerging CYSHCN Family/Consumer Involvement
CMS Kids Network: Medical Foster Care FL Emerging CYSHCN Service Integration
The JJ Way Model of Maternity Care FL Emerging Infant Health
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Prenatal Care Birth Outcomes
Florida Newborn Screening Results (FNSR) FL Emerging Infant Health Newborn Screening
Georgia SHAPE GA Emerging Nutrition & Physical Activity Healthy Weight Obesity/Overweight
Parents as Detailers GA Emerging Developmental Screening Autism Physician Education
Safe Infant Sleep GA Emerging Birth Outcomes Intentional/Unintentional Injury
Communities Supporting Breastfeeding KS Emerging Health Promotion Breastfeeding
Reproductive Health Assessment After Disaster ToolkitKY Emerging
Data, Assessment and Evaluation Reproductive Health
Touching Hearts and Minds (THM) MA Emerging Obesity/Overweight Women's Health
Early Interventions Partnerships Program MA Emerging Infant Mortality Home Visiting Health Screening
Adolescent Centered Environmental Assessment Process MI Emerging Primary/Preventive Health Care Access to Health Care
The Clinic & Community Connections Project (Fetal Alcohol Syndrome) MN Emerging
Workforce & Leadership Development Birth Defects Prevention
Tribal Court FAS Program MN Emerging Birth Defects Screening Child Health
Superior Babies Program MN Emerging Substance & Tobacco Use Birth Defects Prevention
Minnesota Care Coordination Systems Assessment and Action Planning MN Emerging
Care Coordination CYSHCN
Missouri Model for Brief Smoking Cessation Training MO Emerging Smoking Cessation Workforce & Leadership Development
Mississippi Interpregnancy Care Project MS Emerging Birth Outcomes Infant Health
Baby Blossoms Collaborative Preconception Health Program: Now and Beyond NE Emerging
Preconception Health Women’s Health Birth Outcomes
Parent Leadership Development Program NJ Emerging Family/Consumer Involvement CYSHCN
The Ohio Pregnancy Associated Mortality Review: The Use of Simulation Training to Prepare for Obstetric Emergencies OH Emerging
Workforce Leadership Development Training Patient Safety
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Text4Baby & SoonerCare OK Emerging Health Promotion Birth Outcomes Medicaid
Environmental Health Training for Nurses RI Emerging Workforce & Leadership Development Environmental Health
Dare to Dream Youth Leadership Development Initiative RI Emerging CYSHCN Adolescents Leadership Development
Youth Advisory Council (Note: Please search Innovation Station for updated handout) RI Emerging
Family & Consumer Involvement Workforce & Leadership Development
The Boys' Health Advocacy Program SD Emerging Child Health Health Promotion
Tennessee Safe Sleep Hospital Project TN Emerging Infant Mortality Safe Sleep Birth Outcomes
Utah Clicks: Universal Application System UT Emerging CYSHCN Family/Consumer Involvement
Zero Fatalities: UT Teen Driving Safety Task Force UT Emerging Adolescent Health Injury Prevention
Power Your Life Preconception Campaign UT Emerging Preconception Health Birth Outcomes
Care Connection for Children (CCC) VA Emerging Service Coordination & Integration Family & Consumer Involvement
Women’s Health Now and Beyond Pregnancy WI Emerging Women's Health Perinatal Health
Appendix C: Contract Execution and Expenditures (Frequently Asked Questions)
1) Who should be included on the contract?o For the purpose of the replication project, AMCHP is only able to enter a contract with
the entity who submitted the project application (grantee).
2) Can we use a fiscal agent to handle our finances?
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o The grantee may use a fiscal agent to handle their administrative work. AMCHP will not have any relationship with the fiscal agent or third party. The state is responsible for signing the contract and will be the designated
payee.
3) Can we begin planning our activities before the contract is executed? o The grantee can begin planning pre-award activities before the contract is executed.
However, AMCHP will not approve pre-award expenditures. States may not submit invoices until the contract is signed. The first invoice received must fall after the date of the signed contract.
4) What is AMCHP’s contract process?o Prior to developing a contract, AMCHP will send the grantee a Risk Assessment for
completion. The purpose of the Risk Assessment is to systematically evaluate the potential risks that may be involved in supporting the Replication Project.
o Once the grantee completes the Risk Assessment, the contract process will be initiated.
o AMCHP will send the contract to the grantee.o The grantee will review the contract and sign if no revisions.
If revisions, send to AMCHP. AMCHP will go through an internal review process
AMCHP staff will contact grantee to explain revisions and request further review and/or signature.
o AMCHP will sign the contract. o The grantee will be provided with a copy of the contract signed by all parties.
InvoicesAll project-related expenses mentioned in the contract and/or scope of work will be the sole responsibility of the grantee. AMCHP is responsible for exacting payment to the grantee for these expenses.
5) How often do invoices need to be submitted?o On a monthly basis, please submit an invoice along with proof/receipt of purchase to
6) Who can submit invoices? o Invoices must be submitted by the grantee since AMCHP is only able to reimburse the
grantee. If it is easier for someone outside the organization AMCHP has a contract with
to purchase an item such as a flight, hotel, etc., have that person purchase the item and invoice the state/organization with which AMCHP has the contract.
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The grantee will then create an invoice on the other party’s behalf and submit to AMCHP along with supporting documentation.
AMCHP will disburse reimbursement to the grantee. The grantee will use this payment to reimburse the other party.
o If using a fiscal agent, invoices must still be issued by the state/grantee.
7) How long after I submit an invoice can I expect reimbursement? o Reimbursement will be sent within 30 days of receipt of the invoice.
8) When is the last date all invoices need to be submitted by? o All invoices must be submitted by April 30th, 2020 in order to receive reimbursement.
9) How do I know how much funding I have spent or have left at any given time?o States must maintain their own system for tracking the amount of funding they have
spent and how much they have remaining. AMCHP will maintain a file of invoices received. Please contact AMCHP if you would like to verify your expenditures and remaining balance.
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