FY 2013 Health Center Outreach and Enrollment Assistance Supplemental Funding Opportunity Announcement HRSA-13-279

1. FY 2013 Health Center Outreach and Enrollment AssistanceSupplemental Funding Opportunity Announcement HRSA-13-279 Health Resources and Services Administration Department of Health and Human Services Technical Assistance Website: http://www.hrsa.gov/grants/apply/assistance/oe

2. Agenda • Purpose and Background • Eligibility • Funding Opportunity Requirements • Summary of Funding • Funding Methodology • Allowable and Required Use of Funds • Application Requirements and Submission • Technical Assistance Resources • Questions & Answers

3. Purpose • These funds are being invested in health centers to expand current O/E assistance activities and facilitate enrollment of eligible health center patients and service area residents into affordable health insurance coverage through: • Health Insurance Marketplaces • Medicaid • The Children’s Health Insurance Program.

4. Background This supplemental funding opportunity is being supported under Section 10503 of the Patient Protection and Affordable Care Act (P.L. 111-148), as amended by the Healthcare and Education Reconciliation Act (P.L. 111-152), collectively referred to as the Affordable Care Act.

5. Summary of Funding • HRSA will award approximately $150 million under the FY 2013 O/E assistance funding opportunity through formula-based supplemental awards to eligible section 330 funded health centers. • Requests for Federal support must be reasonable and appropriate based on the scope and breadth of the O/E assistance activities being proposed and the number of patients and residents of the service area projected to be reached.

6. Funding Opportunity Requirements Health Centers receiving O/E supplemental funding must: • Increase the health center’s current outreach and enrollment assistance capacity. A minimum of at least 1.0 full-time equivalent (FTE) must be added to the health center’s current O/E assistance capacity. • Ensure all health center O/E assistance workers (i.e., current and newly supported) comply with and successfully complete all required and applicable federal and/or state consumer assistance training.

7. Funding Opportunity Requirements • Demonstrate the capacity to conduct “in reach” with currently uninsured health center patients and “outreach” to non-health center patients in their approved service area. • Describe collaboration with other health centers and providers in their service area to ensure that O/E assistance activities are coordinated with other local, regional, and/or state-wide O/E assistance efforts and training requirements. • Comply with all applicable requirements of section 330 of the PHS Act, as amended.

8. Funding Methodology • Funding allocations were based on the following: • A base amount of $50,000; • An additional $5,000 for one-time expenditures; and • An additional $11 per uninsured patient as reported in 2012 UDS. • Depending on the number of approvable applications, HRSA may make adjustments in award amounts consistent with funds available for this supplemental opportunity. • Cost sharing or matching is not a requirement for this funding.

9. Eligible Applicants • Organizations receiving Health Center Program operational funds (section 330 of the PHS Act, as amended) at the time of application submission are eligible to apply for FY 2013 O/E assistance supplemental funding. • Health centers that have been determined and notified by HRSA as materially noncompliant with Health Center Program requirements are not eligible.

10. Use of O/E Funds Overview Allowable use of funds • Applicants must propose to add a minimum of 1.0 new FTEs to support new and expanded O/E assistance efforts. • Pre-award costs up to 90 days are allowable. • HRSA encourages health centers to consider hiring qualified veterans for open O/E assistance positions. Unallowable use of funds • This funding cannot be used to support the provision of primary health care services or personnel other than O/E assistance workers. • Health centers may not use O/E assistance funds to supplant other resources (federal, state, local, or private) intended to support O/E assistance activities.

11. Allowable Uses of O/E Funds • Personnel, including at least one additional FTE outreach worker and/or eligibility assistance worker to support new and expanded O/E assistance efforts • Fringe benefits for O/E assistance workers • Moveable equipment and supplies to support outreach and enrollment assistance individually valued at less than $5,000 • Leasing of temporary space for the sole purpose of O/E assistance activities (e.g., leasing space in a community center) • Training in support of the grant • Local travel in support of the grant

12. What would be considered moveable equipment and supplies? • Personal computers/laptops • Educational materials • Wireless cards • Technology necessary for O/E assistance workers to ensure that no consumer Personally Identifiable Information (PII) is compromised

13. Unallowable Uses of O/E Funds • Support for personnel other than O/E assistance workers; • Fringe benefits other than those to support O/E assistance workers; • Moveable equipment and supplies individually valued at $5,000 or greater; • Vehicles; • Primary health care services; • Construction costs (including minor alterations and renovation and fixed/installed equipment); • Facility or land purchases; and • Incentives (e.g., gift cards, food, free services).

14. O/E Supplemental Funding Application The FY 2013 O/E supplemental funding application requires completion and submission of the following within HRSA’s Electronic Handbook (EHB) by 5:00 PM ET on May 31, 2013 • Face Page and Standard Forms • Project Narrative and Projections • Work Plan • Budget • Budget Narrative Justification

15. EHB Application • A preview of the application is available on the O/E TA page, available at http://bphc.hrsa.gov/outreachandenrollment/index.html • The EHB application will be available May 17, 2013 • Each eligible grantee will receive an email detailing how to access the application in EHB on or before May 17, 2013 • Email notifications will be sent to the organization’s Authorizing Office (AO), Business Office (BO), and Project Director (PD)

16. Project Narrative Project narrative must include a brief description of: • How the health center will use O/E assistance funding and leverage current resources to meet the new O/E needs in the health center’s approved service area; and • How the health center will coordinate O/E assistance efforts with other health centers (grantees and look-alikes) and with other state, local, and/or regional efforts.

17. Projections Required projections include the following: • # AdditionalFTEs: Projected number of additional funded O/E assistance FTEs; • # Trained: Projected number of health center O/E assistance workers who will successfully complete all required and applicable federal and/or state consumer assistance training; • # Assisted: Projected number of individuals to be assisted by all health center O/E assistance workers; and • # Enrolled: Projected number of individuals to be enrolled in affordable insurance coverage. The number to be enrolled is a subset of the number to be assisted.

18. Work Plan • An optional work plan template is available on the O/E TA website. • Activities for the work plan may include: • Develop outreach and enrollment assistance coordination/collaboration plans; • Recruit and hire new outreach and enrollment assistance workers (expected within 60 days of award); • Identify state-specific training and other requirements necessary to support O/E activities; • Successfully complete all required and applicable federal and/or state consumer assistance training; • Perform outreach and enrollment assistance activities; • Evaluate progress and revise strategies as appropriate; and • Submit quarterly progress reports beginning in October 2013.

19. Budget Narrative Justification • Budget narrative justification must clearly describe each cost element and explains how each cost contributes to meeting the project’s goals and objectives for the first 12-months • Refer to Appendix A: Completing the Project-specific Line Item Budget and Budget Narrative Justification for additional budget information on: • Personnel • Fringe Benefits • Travel • Supplies • Contractual • Other

20. EHB Submission and Validation • Submission of all application forms will be completed electronically in HRSA’s EHB by 5:00 PM ET on May 31, 2013. • FY 2013 O/E supplemental application can only be submitted by the health center’s Authorizing Official (AO). • Applicants will receive an “Application successfully transmitted to HRSA” message in EHB. • For help with electronic submission in EHB, call the BPHC Helpline at 1-877-974-2742.

21. FY 2013 O/E Supplemental Funding • HRSA will conduct reviews for eligibility, completeness, and allowable costs. • HRSA anticipates awarding FY 2013 O/E supplemental funding in July 2013. • Recipients of FY 2013 O/E supplemental funding must comply with applicable requirements of section 330. • Awardees must submit quarterly progress reports (QPR) to HRSA and document progress on meeting O/E assistance-specific goals, e.g., • Number of O/E assistance workers trained • Number of individuals assisted through O/E activities • Number of individuals newly enrolled through O/E activities

22. Contact Information Program and budget related issues • Outreach/Enrollment Team: BPHC-OE@hrsa.gov Electronic submission issues • BPHC Helpline: BPHCHelpline@hrsa.gov or 877-974-2742 O/E TA Website (FAQs, application preview, template work plan) • http://www.hrsa.gov/grants/apply/assistance/OE

23. Questions