1. Funding for Federally Qualified Health Centers-Sponsored By Cisco Listen Hands-freeYou may listen over your computerspeakers or headphonesThere is no dialing-in required! Please note:You may ask questions at any timeusing the Q&A interfaceThis session will be recorded andavailable for download atwww.healthitgrants.info

2. HealthITgrants.info Funding for FederallyQualified Health CentersHealth IT Grant FundingIntelligence SeriesSponsored by:Moderator: Michael Paddock, CEO Grants Office, LLCPresented By:Chris LaPage, MHA Chyreese DuctanGrants Office, LLCCisco Systems, Inc. 3. What well discuss today Cisco Grant Strategy Team FQHCs Background on designation and eligibility forgrant 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. Cisco Grant Strategy Team Overview Team of Regional Grant Managers for directsupport Grant education/training and funding researchservices Feedback on applicant eligibility and projectcompetitiveness Consult on post-funding project implementation 5. HRSA Agencies$6.5 billion budget in FY 2012 5 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. 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. 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 otherbenefits 9. Bureau of Primary Health Care Benefits of FQHC Status Section 330 grant funding (limited competition) Medical malpractice coverage under Federal Tort ClaimsAct 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. 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. 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 separatedocumentation to HRSA seeking approval for MUA/MUP status. Satellite Applicants Must be new delivery site not in currently approved scope of project 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. 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. 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. ACA Capital DevelopmentBuilding 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 astructure Increases square footage of facility 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 HRSAs 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. ACA Capital DevelopmentBuilding 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. ACA Capital DevelopmentBuilding 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 fitfor building capacity projects 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. 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. 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. 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. Going After FQHC Grants:Review Criteria/Scoring Need Response Impact Resources/Capabilities Support Requested 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. Healthcare Human NetworkApplications ConnectedPeople Find Collaborate ConnectedConnected ClinicianPatientConnectedConnectedEquipmentInformationAsset TrackingElectronic HealthRecords 26. Q&AChristopher J. LaPage Michael Paddock Chyreese DuctanSenior Consultant Chief Executive Officer Regional Grants ManagerGrants Office, LLCGrants Office, LLCCiscoPresenter Moderator Presenter 27. www.HealthITGrants.info Learn aboutFeatured Grants View summaries onRecently ReleasedGrants Register forUpcoming Webcastsor view previouslyrecorded ones Sign up to receivegrant alerts and ournewsletter! 28. Thank you!Cisco Grant Support Program:Stephanie JonesNational Grants CoordinatorCisco Systems, Inc.Email: stephanie.jones@cisco.comPhone: (219) 766-0821For other inquiries:Chris LaPageSenior ConsultantGrants Office, LLCEmail: clapage@grantsoffice.comPhone: (585) 473-1430