Basic/Core Area Health Education Centers

Published on AidPage by IDILOGIC on Jun 24, 2005

Purpose of this program:

To assist schools to improve the distribution, diversity, supply and quality of health personnel in the health services delivery system by encouraging the regionalization of health professions schools and also includes health careers programs for 9-12 grade students. Emphasis is placed on community-based training of primary care oriented students, residents, and providers and also includes health careers programs for 9-12 grade students. The Area Health Education Centers (AHEC) program assists schools in planning, developing and operation of AHECs to initiate education system incentives to attract and retain health care personnel in scarcity areas. By linking the academic resources of the university health sciences center with local planning, educational and clinical resources, the AHEC program establishes a network of community-based training sites to provide educational services to students, faculty and practitioners in underserved areas and ultimately, to improve the delivery of health care in the service area. The program embraces the goal of increasing the number of health professions graduates who ultimately will practice in underserved areas. The program carries on health careers recruitment enhancement activities to attract elementary and secondary school students from underserved areas into health careers.

Possible uses and use restrictions...

Cooperative Agreements may not be used for construction, patient services, nor student tuition or stipends.

Who is eligible to apply...

Eligible applicants for Area Health Education Centers (AHEC) Program cooperative agreements under Section 751(a)(1) include public or private nonprofit accredited schools of medicine and osteopathic medicine and incorporated consortia made up of such schools, or the parent institutions of such schools. Also, in States in which no AHEC program is in operation, an accredited school of nursing is an eligible applicant.

Eligible Applicant Categories:
Eligible Functional Categories:
Credentials/Documentation

None are required.

Note:This is a brief description of the credentials or documentation required prior to, or along with, an application for assistance.

About this section:

This section indicates who can apply to the Federal government for assistance and the criteria the potential applicant must satisfy. For example, individuals may be eligible for research grants, and the criteria to be satisfied may be that they have a professional or scientific degree, 3 years of research experience, and be a citizen of the United States. Universities, medical schools, hospitals, or State and local governments may also be eligible. Where State governments are eligible, the type of State agency will be indicated (State welfare agency or State agency on aging) and the criteria that they must satisfy.

Certain federal programs (e.g., the Pell Grant program which provides grants to students) involve intermediate levels of application processing, i.e., applications are transmitted through colleges or universities that are neither the direct applicant nor the ultimate beneficiary. For these programs, the criteria that the intermediaries must satisfy are also indicated, along with intermediaries who are not eligible.

How to apply...

Application Procedure:

The new URL (Uniform Resource Locator) for the Bureau of Health Professions (BHPr) Grants Page is www.bhpr.hrsa.gov/grants. Applicants should note that HRSA is accepting grant applications online. The new URL (Uniform Resource Locator)for the Bureau of Health Professions (BHPr) Grants Page is www.bhpr.hrsa.gov/grants. It is strongly recommended that applicants submit their materials online.

Note: Each program will indicate whether applications are to be submitted to the Federal headquarters, regional or local office, or to a State or local government office.

Award Procedure:

Notification is made in writing by a Notice of Grant Award issued from the Headquarters Office.

Note: Grant payments may be made by a letter of credit, advance by Treasury check, or reimbursement by Treasury check. Awards may be made by the headquarters office directly to the applicant, an agency field office, a regional office, or by an authorized county office. The assistance may pass through the initial applicant for further distribution by intermediate level applicants to groups or individuals in the private sector.

Deadlines and process...

Deadlines

Application deadlines are available on the World Wide Web at address: www.hrsa.gov/bhpr/grants.html.

Note: When available, this section indicates the deadlines for applications to the funding agency which will be stated in terms of the date(s) or between what dates the application should be received. When not available, applicants should contact the funding agency for deadline information.

Range of Approval/Disapproval Time

From 4 to 6 months from receipt of application.

Preapplication Coordination

Not applicable. This program is excluded from coverage under E.O. 12372.

Note: This section indicates whether any prior coordination or approval is required with governmental or nongovernmental units prior to the submission of a formal application to the federal funding agency.

Appeals

Appeal are available only to grantees.

Note: In some cases, there are no provisions for appeal. Where applicable, this section discusses appeal procedures or allowable rework time for resubmission of applications to be processed by the funding agency. Appeal procedures vary with individual programs and are either listed in this section or applicants are referred to appeal procedures documented in the relevant Code of Federal Regulations (CFR).

Renewals

Competitive continuations may be submitted during the final budget year of the approved project.

Note: In some instances, renewal procedures may be the same as for the application procedure, e.g., for projects of a non-continuing nature renewals will be treated as new, competing applications; for projects of an ongoing nature, renewals may be given annually.

Who can benefit...

Accredited public or nonprofit schools of allopathic medicine or osteopathic medicine, the parent institution on behalf of such schools, and also, accredited schools of nursing in States in which no AHEC program is in operation.

Beneficiaries
About this section:

This section lists the ultimate beneficiaries of a program, the criteria they must satisfy and who specifically is not eligible. The applicant and beneficiary will generally be the same for programs that provide assistance directly from a Federal agency. However, financial assistance that passes through State or local governments will have different applicants and beneficiaries since the assistance is transmitted to private sector beneficiaries who are not obligated to request or apply for the assistance.

What types of assistance...

Project Grants

The funding, for fixed or known periods, of specific projects. Project grants can include fellowships, scholarships, research grants, training grants, traineeships, experimental and demonstration grants, evaluation grants, planning grants, technical assistance grants, survey grants, and construction grants.

How much financial aid...

Range and Average of Financial Assistance

$223,604 to $3,167,013; $880,590.

Note: This section lists the representative range (smallest to largest) of the amount of financial assistance available. These figures are based upon funds awarded in the past fiscal year and the current fiscal year to date. Also indicated is an approximate average amount of awards which were made in the past and current fiscal years.

Obligations

(Grants) FY 03 $12,168,935; FY 04 est $15,800,000; and FY 05 est $15,800,000.

Note: The dollar amounts listed in this section represent obligations for the past fiscal year (PY), estimates for the current fiscal year (CY), and estimates for the budget fiscal year (BY) as reported by the Federal agencies. Obligations for non-financial assistance programs indicate the administrative expenses involved in the operation of a program.

Account Identification

75-0350-0-1-550.

Note: Note: This 11-digit budget account identification code represents the account which funds a particular program. This code should be consistent with the code given for the program area as specified in Appendix III of the Budget of the United States Government.

Examples of funded projects...

All projects are funded to meet the objectives as stated above. Community-based primary care training is provided at three levels: (1) Undergraduate medical students plus at least two associated health professions, e.g., nursing dentistry, mental health, pharmacy, allied health; (2) graduate-primary care residents, e.g., family medicine, general internal medicine or general pediatrics: (3) continuing education- to full range of local providers, including NHSC personnel. Health career training experiences to be provided to elementary or secondary students from medically underserved areas.

About this section

This section indicates the different types of projects which have been funded in the past. Only projects funded under Project Grants or Direct Payments for Specified Use should be listed here. The examples give potential applicants an idea of the types of projects that may be accepted for funding. The agency should list at least five examples of the most recently funded projects.

Program accomplishments...

In fiscal year 2003, 16 awards were made. It is anticipated that 13 awards will be made in fiscal year 2004.

Criteria for selecting proposals...

In determining the funding of applications, consideration is given to: (I) RESPONSE The degree to which the proposed project responds to the program requirements as set forth in Sections 751(a)(l) and 751(a)(2) of the PHS Act, as amended; the clarity of the proposed project objectives and their relationship to the identified need(s); and, the extent to which the proposed project activities are capable of addressing the identified need(s) and attaining the project objectives; (2). NEED The extent of the need(s) (as evidenced by the applicant's description of the demographics, the health status of the population, and associated contributing factors) which the proposed AHEC project intends to address in the area(s) to be served by the area health education center(s); (3) IMPACT The potential of the reposed AHEC program and participating center(s) to continue on a self sustaining basis, the extent and effectiveness of plans for dissemination of project results, the extent to which project results maybe national in scope and the degree to which the project activities are replieable; (4) SUPPORT REQUESTED The reasonableness of the proposed budget and resources in relation to the objectives, the scope of the project, the complexity of activities, and the anticipated results; (5) EVALUATIVE MEASURES The effectiveness of the method proposed to monitor and evaluate achievement of project objectives; the extent to which the proposed project adequately responds to AHEC Program performance measures and outcome indicators. The points will be allocated across the performance measures of Distribution, Diversity, and Quality.

Assistance considerations...

Length and Time Phasing of Assistance

Funds are available for expenditure during appropriate budget period.

Formula and Matching Requirements

Awardees shall make available (directly through contributions from State, county or municipal government, or the private sector) non-Federal contributions in cash in an amount not less than 50 percent of the operating costs of the AHEC Program, except that the Secretary may grant a waiver for up to 75 percent of the amount required in the first 3 years in which an awardee receives funds under this section: Section 751 (a)(1) of the PHS Act as amended.

Note:
A formula may be based on population, per capita income, and other statistical factors. Applicants are informed whether there are any matching requirements to be met when participating in the cost of a project. In general, the matching share represents that portion of the project costs not borne by the Federal government. Attachment F of OMB Circular No. A-102 (Office of Management and Budget) sets forth the criteria and procedures for the evaluation of matching share requirements which may be cash or in-kind contributions made by State and local governments or other agencies, institutions, private organizations, or individuals to satisfy matching requirements of Federal grants or loans.

Cash contributions represent the grantees' cash outlay, including the outlay of money contributed to the grantee by other public agencies, institutions, private organizations, or individuals. When authorized by Federal regulation, Federal funds received from other grants may be considered as the grantees' cash contribution.

In-kind contributions represent the value of noncash contributions provided by the grantee, other public agencies and institutions, private organizations or individuals. In-kind contributions may consist of charges for real property and equipment, and value of goods and services directly benefiting and specifically identifiable to the grant program. When authorized by Federal legislation, property purchased with Federal funds may be considered as grantees' in-kind contribution.

Maintenance of effort (MOE) is a requirement contained in certain legislation, regulations, or administrative policies stating that a grantee must maintain a specified level of financial effort in a specific area in order to receive Federal grant funds, and that the Federal grant funds may be used only to supplement, not supplant, the level of grantee funds.

Post assistance requirements...

Reports

A Uniform Progress Report must be submitted annually. A financial status report must be submitted within 90 days after the end of each budget period.

Note: This section indicates whether program reports, expenditure reports, cash reports or performance monitoring are required by the Federal funding agency, and specifies at what time intervals (monthly, annually, etc.) this must be accomplished.

Audits

In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Nonprofit 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. In addition, grants and cooperative agreements are subject to inspection and audits by DHHS and other Federal government officials.

Note: This section discusses audits required by the Federal agency. The procedures and requirements for State and local governments and nonprofit entities are set forth in OMB Circular No. A-133. These requirements pertain to awards made within the respective State's fiscal year - not the Federal fiscal year, as some State and local governments may use the calendar year or other variation of time span designated as the fiscal year period, rather than that commonly known as the Federal fiscal year (from October 1st through September 30th).

Records

Financial records must be kept available for 3 years after submission of expense report and three years after final disposition of nonexpendable property. If questions remain such as those raised as a result of audit, records must be retained until the matter is resolved.

Note: This section indicates the record retention requirements and the type of records the Federal agency may require. Not included are the normally imposed requirements of the General Accounting Office. For programs falling under the purview of OMB Circular No. A-102, record retention is set forth in Attachment C. For other programs, record retention is governed by the funding agency's requirements.

Regulations...

Authorization

Public Health Service Act, Title VII, Section 751(a)(l), as amended; Health Professions Education Partnerships Act of 1998, Public Law 105-392.

Note: This section lists the legal authority upon which a program is based (acts, amendments to acts, Public Law numbers, titles, sections, Statute Codes, citations to the U.S. Code, Executive Orders, Presidential Reorganization Plans, and Memoranda from an agency head).

Regulations, Guidelines, And Literature

Pertinent information may be obtained by contacting the Bureau of Health Professions Grants Office, Grants Management Branch, Room 8C-26, 5600 Fishers Lane, Rockville, MD. Telephone: (301) 443-6880.

Contact information...

Web Sites
Regional Or Local Office

None.

Note: This section lists the agency contact person, address and telephone number of the Federal Regional or Local Office(s) to be contacted for detailed information regarding a program such as: (1) current availability of funds and the likelihood of receiving assistance within a given period; (2) pre-application and application forms required; (3) whether a pre-application conference is recommended; (4) assistance available in preparation of applications; (5) whether funding decisions are made at the headquarters, regional or local level; (6) application renewal procedures (including continuations and supplementals) or appeal procedures for rejected applications; and (7) recently published program guidelines and material. However, for most federal programs, this section will instruct the reader to consult the so-called Appendix IV of the Catalog due to the large volume of Regional and Local Office Contacts for most agencies. This information is provided in Additional Contact Information (see below).

Headquarters Office

Program Contact: Louis D. Coccodrilli, M.P.H., Chief, AHEC Branch, Division of State Community and Public Health, Bureau of Health Professions, Health Resources and Services Administration, Public Health Service, Department of Health and Human Services, Room 9-105, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-6950. Grants Management Contact: Director, Division of Grants Management Operations, Health Resources and Services Administration, Department of Health and Human Services, Parklawn Building, Room 11-03, 5600 Fishers Lane, Rockville, MD 20857.

Note: This section lists names and addresses of the office at the headquarters level with direct operational responsibility for managing a program. A telephone number is provided in cases where a Regional or Local Office is not normally able to answer detailed inquiries concerning a program. Also listed are the name(s) and telephone number(s) of the information contact person(s) who can provide additional program information to applicants.

Additional Contact Information (Appendix IV)

Due to the large volume of regional and local office contacts for most agencies, full contact information is also provided separately here in a PDF format: