FY 2020 Capital Assistance for Disaster Response and Recovery Efforts (CADRE) HRSA-20-097

February 28th, 2020

Maria-Thelma Peña Office of Policy and Program Development (OPPD)Bureau of Primary Health Care (BPHC)

Agenda

• CADRE Application Overview

• Eligibility Requirements

• Program Requirements

• Application Submission Process

• Review and Award Process

• Resources and Contact Information

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Program Purpose

• To assist health centers located in areas impacted by disasters declared by FEMA in calendar years 2018 and 2019 -- Hurricanes Florence and Michael, Typhoon Mangkhut, Super Typhoon Yutu, and wildfires and earthquakes occurring in calendar year 2018; and tornadoes and floods occurring in calendar year 2019

• FEMA-declared disaster events available in Appendix A

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Funding Purpose

• CADRE funding supports eligible health centers to:

Respond and recover from emergency and/or disaster impacts and/or;

Increase their capacity and capability to respond to and/or recover from future emergencies and/or disasters; and

Support the continuity of access to high quality primary care services for underserved and vulnerable populations

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Summary of Funding

• Approximately $79 million to fund an estimated 225 awards across three funding tracks

• You can apply for funding for only one funding track:

Track 1 - Equipment-Only

Track 2 - Minor Construction-Related

Track 3 - Major Construction-Related

• 3-year period of performance: September 1, 2020 through August 31, 2023

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Funding Tracks

Track Activities Maximum Funding per Award

Number of Project(s) Allowed

Track 1 - Equipment-Only

Purchase of moveable equipment

Up to $100,000 One project at any number of eligible service delivery site(s)

Track 2 - Minor Construction Related

Alteration/renovation, and/or construction/expansion activities with or without equipment

Up to $250,000 Up to three eligible service delivery sites

Track 3 – Major Construction Related

Alteration/renovation, orconstruction/expansion activities with or without equipment.

Up to $1,000,000 One site-specific project

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Eligibility Requirements

• To be eligible to apply for and receive CADRE funding, organizations must:

Receive Health Center Program operational grant funding at the time of the release of this funding opportunity and at the time of award;

Have at least one service delivery site located in a FEMA declared emergency and/or disaster-impacted area within your approved health center scope of project (as indicated on your Form 5B: Service Sites)

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Proposed Service Delivery Sites

• Proposed projects must be located at a service-delivery site that is in an area designated by FEMA with an Emergency or Disaster Declaration as listed in Appendix A in the CADRE NOFO.

• Proposed projects may add a new service delivery site within the FEMA declared disaster-impacted area as listed in Appendix A in the CADRE NOFO.

• Any site additions for applications submitted for the Equipment-Only track will be limited to proposing only new mobile medical van site(s).

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Program Requirements

Track 1 - Equipment-Only

• Purchase of moveable equipment with a useful life of more than one year. Examples of moveable equipment include, but are not limited to:

Telehealth equipment (e.g., laptops, servers, videoconferencing equipment)

Medical equipment (e.g., scales, stethoscopes)

Purchase of new mobile medical vans or the replacement of an existing mobile medical vans

• Applicants can request up to $100,000

• Equipment can be purchased at any number of eligible service delivery sites

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Track 2 – Minor Construction Related

• Alteration/Renovation (A/R) and/or Construction/Expansion (C/E) activities

• Applicants can request a maximum of $250,000

• Propose up to 3 site-specific projects

• May include site-specific moveable equipment

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Track 3 – Major Construction Related

• Alteration/Renovation (A/R) and/or Construction/Expansion (C/E) activities

• Applicants can request a maximum of $1,000,000

• One site-specific project

• May include site-specific moveable equipment

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Alteration/Renovation (A/R) activities

• Activities to modernize, improve, and/or reconfigure the interior arrangements of an existing facility;

• Permanently affixing equipment (e.g., heating, ventilation, and air-conditioning (HVAC) units; exterior generators; lighting);

• Work to improve accessibility (such as sidewalks and ramps) and/or life safety requirements in an existing facility;

• Work outside of the building is limited to improvements to the building entry for handicapped accessibility, generator concrete pads, and other minor ground disturbance.

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Construction/Expansion (C/E) activities

• The construction of a new stand-alone structure and/or associated work required to expand a structure to increase the total square feet of a facility;

• The installation of a permanently affixed modular or prefabricated building and/or significant site work such as new parking lots or storm water structures.

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Unallowable Costs

• Key reminders that CADRE funds MAY NOT be used for:

Provision of services or operational costs.

Costs related to EHR ongoing operation or maintenance.

Pre-Construction costs incurred prior to 90 days before the award date.

Creation of shell space for future use.

Facility, land, or passenger vehicles.

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Application and Submission Information

• Phase 1: Grants.gov

• Phase 2: HRSA Electronic Handbooks (EHB)

• All applications must be submitted in Grants.gov and HRSA Electronic Handbooks (EHB) by the deadline

• Eligible health centers will receive an email through the HRSA Electronic Handbooks (EHB). This email will provide instructions on how to access the application module in EHB.

Please refer to the NOFO cover page for all application due dates.

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CADRE EHB Application Components

STANDARD FORMS• SF 424• Project/Performance

Site Location• Project Narrative• Budget Information• Assurances• Disclosure of Lobbying

Activities

PROGRAM-SPECIFIC FORMS

• Proposal Cover Page• Assurances• Project Information• Consolidated Budget

PROJECT-SPECIFIC FORMS• Project Qualification

Criteria• Project Cover Page• Project Specific Budget• Funding Sources• Equipment List• Form 5B: Service Sites• Add Site Checklist• Other Requirements for

Sites

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Budget Information and Forms(Standard Forms, Program-Specific, and Project-Specific)

• Standard Form: SF-424C consolidated budget summary

• Program-Specific Form: Consolidated Budget Narrative

• Project-Specific Forms:

Project-Specific Budget Justification(s) per project

Funding Sources Form per project

Project Equipment List per project as applicable

Please refer to Section IV: Application and Submission Information in the NOFO

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Proposal Cover Page(Program Specific)

• Provides a consolidated summary of your application and aligns with the Program-Specific Forms

• Choose only one track. You may change tracks in your application, but it will impact other related forms within the application.

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Project Cover Page(Project Specific Forms)

• Detailed and technical description of your proposed

Site Information (Improved Project Square Footage)

Project Description

Project Timeline including Project Management

Attachments

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Equipment List(Project Specific Forms)

• Required for all projects with equipment purchases

• Provide a complete and reasonable equipment list (clinical and non-clinical) that aligns with the goals and objectives of the proposed project

• Include moveable equipment with a useful life of more than one year purchased with funding

• Total cost of equipment must equal the equipment line item on the SF-424C Budget Form

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Form 5B: Service Sites(Project Specific Forms)

• Required for each project and indicates each site where:

Equipment purchases will be located

Minor construction will occur

Major construction will occur

• Project service-delivery site(s) must be located in a FEMA emergency or disaster impacted area that was in the health center’s scope of project at the time of disasters or at a new site within a designated disaster-impacted area.

• Appendix A: FEMA Designated Disaster and Emergency Declarations and Impacted Areas

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Add Site Check List(Project Specific Forms)

• Required for projects that propose a new site

• Proposed new service-delivery site must be located in a FEMA emergency or disaster impacted area

• A new mobile medical van purchase requires adding a new site within the designated disaster-impacted area. Applications submitted for the Equipment-Only track are limited to the addition of a mobile medical van site.

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Other Requirements for Sites(Project Specific Forms)

• Required for Alterations/Renovations and/or Construction/Expansion activities.

Site Control and Federal Interest

Landlord Letter of Consent

Leasehold Improvements – Section VI: Award Administration Information

Cultural Resource Assessment and Historic Preservation ConsiderationsBPHC Capital Development Grant Technical Assistance

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Application Review and Award Process

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HRSA Technical Reviews

• Allowable/Unallowable Costs Analysis

• Architectural and Engineering Reasonableness

• Environmental Review and Compliance

• Historic Preservation and Cultural Resources

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Environmental and Historic Preservation Conditions

• Conditions for environmental and/or historic preservation reviews and compliance with Federal laws.

DO NOT begin activities until conditions have been approved and lifted.

Plan project schedules accordingly. Consultation under Section 106 takes a minimum of a month to prepare, while an Environmental Assessment may take several additional months to prepare, review, and distribute for public comment.

• More information about environmental and historic preservation requirements is available at https://bphc.hrsa.gov/about/nepa-nhpa/capital-development.html

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Notice of Award (NoA)

• The NoA contains the following information: Terms of award; Conditions of award; Reporting requirements; and Amount of federal funds awarded.

• Conditions may require the submission of revised application documents.

• Project(s) cannot begin until all conditions have been lifted.

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CADRE Technical Assistance Website

https://bphc.hrsa.gov/program-opportunities/funding-opportunities/cadre

Technical Assistance Contacts

Types of Questions Methods of Contact

CADRE Technical and EHB Related Assistance • Health Center Program Support • BPHC Contact Form:

https://www.hrsa.gov/about/contact/bphc.aspx • (877) 464-4772

CADRE Program Related Questions • CADRE TA Team• https://www.hrsa.gov/about/contact/bphc.aspx

Budget Related Questions • Marc Horner (MHorner@hrsa.gov) and Djuana Gibson (DGibson@hrsa.gov)

• (301) 443-4888 and (301)-443-3243

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Health Center Program Support Contact Form

To submit an inquiry via the BPHC Contact Form:• Enter and verify your contact information• Enter and verify your organization information• Choose the Requester Type (i.e., Applicant)• Choose the type of Question (Health Center or EHBs Questions) – click on Health Center• Choose the BPHC Category – click on Applications• Choose the BPHC Sub-category – click on Capital Assistance for Disaster Response and

Recovery Efforts (CADRE)• Include the details about your issue or question in the Description field• Submit your issue/inquiry

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Thank You!

Maria-Thelma Peña Office of Policy and Program Development (OPPD)Bureau of Primary Health Care (BPHC)Health Resources and Services Administration (HRSA)

https://www.hrsa.gov/about/contact/bphc.aspx

(301) 594-4300

bphc.hrsa.gov

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