Federal Register / Vol. 88, No. 248 / Thursday, December 28, 2023 / Notices 89711 

available earlier than we publish our 

quarterly notice. We believe the OMHA 

website provides more timely access to 

the current OCPM chapters for those 

involved in the Medicare claim; 

organization, coverage, and at-risk 

determination; and entitlement appeals 

processes. We also believe the website 

offers the public a more convenient tool 

for real time access to current OCPM 

provisions. In addition, OMHA has a 

listserv to which the public can 

subscribe to receive notification of 

certain updates to the OMHA website, 

including when new or revised OCPM 

chapters are posted. If accessing the 

OMHA website proves to be difficult, 

the contact person listed above can 

provide the information. 

III. How To Use the Notice

This notice lists the OCPM chapters

and subjects published during the 

quarter covered by the notice so the 

reader may determine whether any are 

of particular interest. The OCPM can be 

accessed at https://www.hhs.gov/about/ 

agencies/omha/the-appeals-process/ 

case-processing-manual/index.html. 

IV. OCPM Releases for July Through

September 2023

The OCPM is used by OMHA 

adjudicators and staff to administer the 

OMHA program. It offers day-to-day 

operating instructions, policies, and 

procedures based on statutes and 

regulations, and OMHA directives. 

The following is a list and description 

of OCPM provisions that were issued or 

revised in the three-month period of 

July through September 2023. This 

information is available on our website 

at https://www.hhs.gov/about/agencies/ 

omha/the-appeals-process/caseprocessing-manual/index.html. 

OCPM Chapter 20 (Post-Adjudication 

Actions) Updates 

OMHA issued the initial version of 

this chapter on May 25, 2018, and 

included it in a quarterly notice 

published in the August 7, 2018 Federal 

Register (83 FR 38700). The revised 

chapter addresses changes to postadjudication appeals processing 

resulting from increased electronic case 

processing through OMHA’s Electronic 

Case Adjudication and Processing 

Environment (ECAPE), advances in 

appeal filing procedures through the eAppeal Portal, and other improvements 

in appeals operations and processing. 

This revision removes outdated data 

entry processes that were updated with 

electronic case processing. This revision 

also clarifies how post-adjudication 

actions are processed if the original 

adjudicator is not available for more 

than 20 calendar days; clarifies how 

various post-adjudication requests are 

filed; updates the operational process to 

re-establish an appeal. Finally, the 

revision adds a new section, 20.13, 

Requests to Obtain Approval of a Fee, 

which incorporates information 

previously included in OCPM Chapter 

5. OMHA made revisions in the

following sections: 20.2.1, 20.2.2, 20.3.2,

20.3.4, 20.4.1, 20.4.3, 20.4.4, 20.4.5,

20.4.6, 20.5.2, 20.5.3, 20.5.4, 20.5.5

(multiple), 20.5.7 (multiple), 20.5.8

(multiple), 20.6.1 (multiple), 20.6.2,

20.6.4, 20.6.5 (multiple), 20.6.6.1, 20.6.7

(multiple), 20.7.1.4, 20.7.2, 20.7.4,

20.7.5 (multiple), 20.7.7 (multiple),

20.8.1.3, 20.8.2, 20.8.4, 20.8.5

(multiple), 20.8.6.1, 20.8.7 (multiple),

20.9.1, 20.9.2, 20.9.4, 20.9.5, 20.10.2,

20.10.3, 20.11.2, 20.11.4, 20.11.5,

20.11.6, 20.12.1, 20.12 (multiple), 20.13.

Karen W. Ames, 

Executive Director of Operations, Office of 

Medicare Hearings and Appeals. 

[FR Doc. 2023–28625 Filed 12–27–23; 8:45 am] 

BILLING CODE 4150–46–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Indian Health Service 

Funding Opportunity for the Tribal 

Management Grant Program 

Announcement Type: New. 

Funding Announcement Number: 

HHS–2024–IHS–TMD–0001. 

Assistance Listing (Catalog of Federal 

Domestic Assistance or CFDA) Number: 

93.228. 

Key Dates 

Application Deadline Date: March 14, 

2024. 

Earliest Anticipated Start Date: June 

1, 2024. 

I. Funding Opportunity Description

Statutory Authority

The Indian Health Service (IHS) is 

accepting applications for grants for the 

Tribal Management Grant (TMG) 

Program. This program is authorized 

under the Snyder Act, 25 U.S.C. 13; the 

Transfer Act, 42 U.S.C. 2001(a); and the 

Indian Self-Determination and 

Education Assistance Act (ISDEAA), 

Public Law 93–638, as amended, 25 

U.S.C. 5322(b)(2) and 25 U.S.C. 5322(e). 

The Assistance Listings section of 

SAM.gov (https://sam.gov/content/ 

home) describes this program under 

93.228. 

Background 

The TMG Program is a competitive 

grant program that is capacity building 

and developmental in nature and has 

been available for federally recognized 

Indian Tribes and Tribal Organizations 

(T/TO) since shortly after enactment of 

the ISDEAA in 1975. The TMG Program 

was established to assist T/TOs to 

prepare for assuming all or part of 

existing IHS programs, functions, 

services, and activities (PFSAs) and 

further develop and improve Tribal 

health management capabilities. The 

TMG Program provides competitive 

grants to T/TOs to establish goals and 

performance measures for current health 

programs, assess current management 

capacity to determine if new 

components are appropriate, analyze 

programs to determine if a T/TO’s 

management is practicable, and develop 

infrastructure systems to manage or 

organize PFSAs. 

Purpose 

The purpose of this program is to 

enhance and develop health 

management infrastructure and assist T/ 

TOs in assuming all or part of existing 

IHS PFSAs through a title I ISDEAA 

contract and assist established title I 

ISDEAA contractors and title V ISDEAA 

compactors to further develop and 

improve management capability. In 

addition, Tribal Management Grants are 

available to T/TOs under the authority 

of 25 U.S.C. 5322(e) for the following: 

1. Obtaining technical assistance from

providers designated by the T/TO 

(including T/TOs that operate mature 

contracts) for the purposes of program 

planning and evaluation, including the 

development of any management 

systems necessary for contract 

management, and the development of 

cost allocation plans for indirect cost 

rates. 

2. Planning, designing, monitoring,

and evaluating Federal programs serving 

T/TOs, including Federal administrative 

functions. 

II. Award Information

Funding Instrument—Grant

Estimated Funds Available

The total funding identified for fiscal 

year (FY) 2024 is approximately 

$2,464,000. Individual award amounts 

for the first budget year are anticipated 

to be between $50,000 and $150,000. 

The funding available for competing 

and subsequent continuation awards 

issued under this announcement is 

subject to the availability of 

appropriations and budgetary priorities 

of the Agency. The IHS is under no 


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obligation to make awards that are 

selected for funding under this 

announcement. 

Anticipated Number of Awards 

Approximately 14–16 awards will be 

issued under this program 

announcement. 

Period of Performance 

The Tribal Management Grant (TMG 

Project) period of performance varies 

based on the project type selected. 

Period of performance is from 1 to 3 

years. Please see the next section for 

additional details. 

Eligible TMG Project Types, Maximum 

Funding Levels, and Periods of 

Performance 

The TMG Program consists of four 

project types: 

1. Feasibility study.

2. Planning.

3. Evaluation study.

4. Health management structure.

Applicants may submit applications

for one project type only. An 

application must state the project type 

selected. Any application that addresses 

more than one project type will be 

considered ineligible and will not be 

reviewed. The maximum funding levels 

noted must include both direct and 

indirect costs. Application budgets may 

not exceed the maximum funding level 

or period of performance identified for 

a project type. Any application with a 

budget or period of performance that 

exceeds the maximum funding level or 

period of performance will be 

considered ineligible and will not be 

reviewed. Please refer to Section IV.5, 

‘‘Funding Restrictions,’’ for further 

information regarding ineligible project 

activities. 

1. FEASIBILITY STUDY (Maximum

funding/project period: $70,000/12 

months). A feasibility study must 

include a study of a specific IHS 

program or segment of a program to 

determine if Tribal management of the 

program is possible. The study shall 

present the planned approach, training, 

and resources required to assume Tribal 

management of the program. The study 

must include the following four 

components: 

• Health needs and health care

service assessments that identify 

existing health care services and 

delivery systems, program divisibility 

issues, health status indicators, unmet 

needs, volume projections, and demand 

analysis. 

• Management analysis of existing

management structures, proposed 

management structures, implementation 

plans and requirements, and personnel 

staffing requirements and recruitment 

barriers. 

• Financial analysis of historical

trends data, financial projections, new 

resource requirements for program 

management costs, and analysis of 

potential revenues from Federal/nonFederal sources. 

• Decision statement/report that

incorporates findings (sustainability, 

etc.), conclusions, and 

recommendations. The study and 

recommendations report will be 

presented to the Tribal governing body 

for determination regarding whether 

Tribal program assumption is desirable 

or warranted. 

2. PLANNING (Maximum funding/

project period: $50,000/12 months). 

Planning projects involve data 

collection to establish goals and 

performance measures for health 

programs operation or anticipated 

PFSAs under a title I contract. Planning 

projects will specify the design of health 

programs and the management systems 

(including appropriate policies and 

procedures) to accomplish the health 

priorities of the T/TO. For example, 

planning projects could include the 

development of a Tribe-specific health 

plan or a strategic health plan, etc. 

Please note that updated Healthy People 

information and Healthy People 2020 

objectives are available in electronic 

format at https:// 

www.healthypeople.gov/2020/topicsobjectives. The United States (U.S.) 

Public Health Service encourages 

applicants submitting strategic health 

plans to address specific objectives of 

Healthy People 2020. 

3. EVALUATION STUDY (Maximum

funding/project period: $50,000/12 

months). An evaluation study must 

include a systematic collection, 

analysis, and interpretation of data for 

the purpose of determining the impact 

of a program. The extent of the 

evaluation study could relate to the 

goals and objectives, policies and 

procedures, or programs regarding 

targeted groups. The evaluation study 

could also be used to determine the 

effectiveness and efficiency of a T/TO’s 

program operations (i.e., direct services, 

financial management, personnel, data 

collection and analysis, third-party 

billing, etc.), as well as to determine the 

appropriateness of new components of a 

T/TO’s program operations that will 

assist efforts to improve Tribal health 

care delivery systems. 

4. HEALTH MANAGEMENT

STRUCTURE (Average funding/project 

period: $100,000/12 months; maximum 

funding/project period: $300,000/36 

months). The first year funding level is 

limited to $150,000 for multi-year 

projects. The Health Management 

Structure component allows for 

implementation of systems to manage or 

organize PFSAs. Management structures 

include health department 

organizations, health boards, and 

financial management systems, 

including systems for accounting, 

personnel, third-party billing, medical 

records, management information 

systems, etc. This includes the design, 

improvement, and correction of 

management systems that address 

weaknesses identified through quality 

control measures, internal control 

reviews, and audit report findings under 

required financial audits and ISDEAA 

requirements. 

For the minimum standards for the 

management systems used by a T/TO 

when carrying out Self-Determination 

contracts, please see 25 CFR part 900, 

Contracts Under the Indian SelfDetermination and Education 

Assistance Act, subpart F—‘‘Standards 

for Tribal or Tribal Organization 

Management Systems,’’ 900.35—900.60. 

For operational provisions applicable to 

carrying out Self-Governance compacts, 

please see 42 CFR part 137, Tribal SelfGovernance, Subpart I,—‘‘Operational 

Provisions,’’ 137.160—137.220. 

III. Eligibility Information

1. Eligibility

To be eligible for this funding

opportunity an applicant must be one of 

the following, as defined by the Indian 

Health Care Improvement Act (IHCIA) 

25 U.S.C. 1603: 

To be eligible for this funding 

opportunity for ‘‘New Applicants 

Only,’’ an applicant cannot be an 

existing TMG recipient under this 

program. 

• A federally recognized Indian Tribe

as defined by 25 U.S.C. 1603(14). The 

term ‘‘Indian Tribe’’ means any Indian 

Tribe, band, nation, or other organized 

group or community, including any 

Alaska Native village or group, or 

regional or village corporation as 

defined in or established pursuant to the 

Alaska Native Claims Settlement Act (85 

Stat. 688) [43 U.S.C. 1601 et seq.], which 

is recognized as eligible for the special 

programs and services provided by the 

United States to Indians because of their 

status as Indians. 

• A Tribal organization as defined by

25 U.S.C. 1603(26). The term ‘‘Tribal 

organization’’ has the meaning given the 

term in section 4 of the Indian SelfDetermination and Education 

Assistance Act (25 U.S.C. 5304(l)): 

‘‘Tribal organization’’ means the 

recognized governing body of any 

Indian Tribe; any legally established 


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organization of Indians which is 

controlled, sanctioned, or chartered by 

such governing body or which is 

democratically elected by the adult 

members of the Indian community to be 

served by such organization and which 

includes the maximum participation of 

Indians in all phases of its activities: 

provided that, in any case where a 

contract is let or grant made to an 

organization to perform services 

benefiting more than one Indian Tribe, 

the approval of each such Indian Tribe 

shall be a prerequisite to the letting or 

making of such contract or grant. 

Applicant shall submit Tribal 

Resolutions from the Tribes to be 

served. 

Please note that Tribes prohibited 

from contracting pursuant to the 

ISDEAA are not eligible for the TMG 

program. See section 424(a) of the 

Consolidated Appropriations Act, 2014, 

Public Law 113–76, as amended by 

section 428 of the Consolidated 

Appropriations Act, 2018, Public Law 

115–141, section 1201 of the 

Consolidated Appropriations Act, 2021, 

Public Law 116–260, and section 445 of 

the Consolidated Appropriations Act, 

2023, Public Law. No. 117–328. 

The Division of Grants Management 

(DGM) will notify any applicants 

deemed ineligible. 

2. Additional Information on Eligibility 

The IHS does not fund concurrent 

projects. If an applicant is successful 

under this announcement, any 

subsequent applications in response to 

other TMG announcements from the 

same applicant will not be funded. 

Applications on behalf of individuals 

(including sole proprietorships) and 

foreign organizations are not eligible 

and will be disqualified from 

competitive review and funding under 

this funding opportunity. 

Note: Please refer to Section IV.2 

(Application and Submission 

Information/Subsection 2, Content and 

Form of Application Submission) for 

additional proof of applicant status 

documents required, such as Tribal 

Resolutions, proof of nonprofit status, 

etc. 

3. Cost Sharing or Matching 

The IHS does not require matching 

funds or cost sharing for grants or 

cooperative agreements. 

4. Other Requirements 

Applications with budget requests 

that exceed the highest dollar amount 

outlined under Section II Award 

Information, Estimated Funds Available, 

or exceed the period of performance 

outlined under Section II Award 

Information, Period of Performance, are 

considered not responsive and will not 

be reviewed. The DGM will notify the 

applicant. 

Additional Required Documentation 

Tribal Resolution 

The DGM must receive an official, 

signed Tribal Resolution indicating 

support for submission of an application 

under this announcement prior to 

issuing a Notice of Award (NoA) to any 

Tribe or Tribal organization selected for 

funding. An applicant that is proposing 

a project affecting another Indian Tribe 

must include resolutions from all 

affected Tribes to be served. However, if 

an official signed Tribal Resolution 

cannot be submitted with the 

application prior to the application 

deadline date, a draft Tribal Resolution 

must be submitted with the application 

by the deadline date in order for the 

application to be considered complete 

and eligible for review. The draft Tribal 

Resolution is not in lieu of the required 

signed resolution but is acceptable until 

a signed resolution is received. If an 

application without a signed Tribal 

Resolution is selected for funding, the 

applicant will be contacted by the 

Grants Management Specialist (GMS) 

listed in this funding announcement 

and given 90 days to submit an official 

signed Tribal Resolution to the GMS. If 

the signed Tribal Resolution is not 

received within 90 days, the award will 

be forfeited. 

Applicants organized with a 

governing structure other than a Tribal 

council may submit an equivalent 

document commensurate with their 

governing organization, with a 

statement clearly describing the 

alternate governing structure. 

Proof of Nonprofit Status 

Organizations claiming nonprofit 

status must submit a current copy of the 

501(c)(3) Certificate with the 

application. 

Additional Required Documentation for 

specific TMG Project Types 

A. Federally recognized Indian Tribes 

applying for technical assistance and/or 

training grants must provide a Tribal 

Resolution; or a designated Tribal 

Organization applying on behalf of the 

Indian Tribe and/or Tribes it intends to 

serve must also provide a Tribal 

Resolution. 

B. Documentation for Priority I 

participation requires a copy of the 

Federal Register notice or letter from 

the Bureau of Indian Affairs verifying 

establishment of recognized Tribal 

status within the past 5 years. The date 

on the documentation must reflect that 

Federal recognition was received during 

or after March 2016. 

C. Documentation for Priority II 

participation requires a copy of the most 

current transmittal letter and 

Attachment A from the Department of 

Health and Human Services (HHS), 

Office of Inspector General (OIG), 

National External Audit Review Center 

(NEAR). See ‘‘Funding Priorities’’ for 

more information. If an applicant is 

unable to provide a copy of the most 

recent transmittal letter or needs 

assistance with audit issues, 

information or technical assistance may 

be obtained by contacting the IHS Office 

of Finance and Accounting, Division of 

Audit, by telephone at (301) 443–1270, 

or toll-free on the NEAR help line at 

(800) 732–0679 or (816) 426–7720. 

Recognized Indian Tribes or Tribal 

Organizations not subject to Single 

Audit Act requirements must provide a 

financial statement identifying the 

Federal dollars received in the 

footnotes. The financial statement must 

also identify specific weaknesses/ 

recommendations that will be addressed 

in the TMG proposal and that are 

related to 25 CFR part 900, subpart F— 

‘‘Standards for Tribal or Tribal 

Organization Management Systems.’’ 

D. Documentation of Consortium 

participation—if an applicant is a 

member of an eligible intertribal 

consortium, the Tribe must: 

1. Identify the consortium. 

2. Demonstrate that the Tribe’s 

application does not duplicate or 

overlap any objectives of the 

consortium’s application. 

3. Identify all consortium member 

Tribes. 

4. Identify if any of the consortium 

member Tribes intend to submit a TMG 

application of their own. 

5. Demonstrate that the consortium’s 

application does not duplicate or 

overlap any objectives of other 

consortium members who may be 

submitting their own TMG application. 

Funding Priorities: The IHS has 

established the following funding 

priorities for TMG awards: 

• PRIORITY I—Any Indian Tribe, or 

Tribal Organization representing that 

Indian Tribe, that has received Federal 

recognition (including restored, funded, 

or unfunded) within the past 5 years, 

specifically received during or after 

March 2016, will be considered Priority 

I. 

• PRIORITY II—T/TOs submitting a 

new application or a competing 

continuation application for the sole 

purpose of addressing audit material 

weaknesses will be considered Priority 

II. 


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Priority II participation is only 

applicable to the Health Management 

Structure project types. For more 

information, see ‘‘Eligible TMG Project 

Types, Maximum Funding Levels, and 

Periods of Performance,’’ in Section II. 

• PRIORITY III—Eligible Direct

Service and T/TOs with a title I ISDEAA 

contract with the IHS submitting a new 

application or a competing continuation 

application will be considered Priority 

III. 

• PRIORITY IV—Eligible T/TOs with

a title V ISDEAA compact with the IHS 

submitting a new application or a 

competing continuation application will 

be considered Priority IV. 

The funding of approved Priority I 

applicants will occur before the funding 

of approved Priority II applicants. 

Priority II applicants will be funded 

before approved Priority III applicants. 

Priority III applicants will be funded 

before approved Priority IV applicants. 

Funds will be distributed until 

depleted. 

The following definitions are 

applicable to the PRIORITY II category: 

Audit finding—deficiencies that the 

auditor is required by 45 CFR 75.516 to 

report in the schedule of findings and 

questioned costs. 

Material weakness—‘‘Statements on 

Auditing Standards 115’’ defines 

material weakness as a deficiency, or 

combination of deficiencies, in internal 

control, such that there is a reasonable 

possibility that a material misstatement 

of the entity’s financial statements will 

not be prevented, or detected and 

corrected on a timely basis. 

Significant deficiency—‘‘Statements 

on Auditing Standards 115,’’ defines 

significant deficiency as a deficiency, or 

a combination of deficiencies, in 

internal control that is less severe than 

a material weakness, yet important 

enough to merit attention by those 

charged with governance. 

The audit findings are identified in 

Attachment A of the transmittal letter 

received from the HHS/OIG/NEAR. 

Please identify the material weaknesses 

to be addressed by underlining the 

item(s) listed in Attachment A. 

T/TOs not subject to Single Audit Act 

requirements must provide a financial 

statement identifying the Federal dollars 

received in the footnotes. The financial 

statement should also identify specific 

weaknesses/recommendations that will 

be addressed in the TMG proposal and 

that are related to 25 CFR part 900 

subpart F, ‘‘Standards for Tribal and 

Tribal Organization Management 

Systems.’’ 

Note: A decision to award a TMG 

does not represent a determination from 

the IHS regarding the T/TO’s eligibility 

to contract for a specific PFSA under the 

ISDEAA. An application for a TMG does 

not constitute a contract proposal. 

IV. Application and Submission

Information

Grants.gov uses a Workspace model 

for accepting applications. The 

Workspace consists of several online 

forms and three forms in which to 

upload documents—Project Narrative, 

Budget Narrative, and Other Documents. 

Give your files brief descriptive names. 

The filenames are key in finding 

specific documents during the merit 

review and in processing awards. 

Upload all requested and optional 

documents individually, rather than 

combining them into a single file. 

Creating a single file creates confusion 

when trying to find specific documents. 

This can contribute to delays in 

processing awards, and could lead to 

lower scores during the merit review. 

1. Obtaining Application Materials

The application package and detailed

instructions for this announcement are 

available at https://www.Grants.gov. 

Please direct questions regarding the 

application process to DGM@ihs.gov. 

2. Content and Form Application

Submission 

Mandatory documents for all 

applications are listed below. An 

application is incomplete if any of the 

listed mandatory documents are 

missing. Incomplete applications will 

not be reviewed. 

• Application forms:

1. SF–424, Application for Federal

Assistance. 

2. SF–424A, Budget Information—

Non-Construction Programs. 

3. SF–424B, Assurances—NonConstruction Programs. 

4. Project Abstract Summary form.

5. Project Narrative (not to exceed 15

pages). See Section IV.2.A, Project 

Narrative instructions. 

6. Budget Justification and Narrative

(not to exceed 5 pages). See Section 

IV.2.B, Budget Narrative for

instructions.

7. One-page Timeframe Chart.

8. Biographical sketches for all Key

Personnel. 

9. Certification Regarding Lobbying

(GG-Lobbying Form). 

The documents listed here may be 

required. Please read this list carefully. 

• Tribal Resolution(s) as described in

Section III, Eligibility. 

• Letters of Support from

organization’s Board of Directors (if 

applicable). 

• 501(c)(3) Certificate (if applicable).

• Disclosure of Lobbying Activities

(SF–LLL), if applicant conducts 

reportable lobbying. 

• Copy of current Negotiated Indirect

Cost (IDC) rate agreement (required in 

order to receive IDC). 

• Documentation of current Office of

Management and Budget (OMB) 

Financial Audit (if applicable). 

Acceptable forms of documentation 

include: 

1. Email confirmation from Federal

Audit Clearinghouse (FAC) that audits 

were submitted; or 

2. Face sheets from audit reports.

Applicants can find these on the 

FAC website at https://facdissem.census

.gov/. 

Additional documents can be 

uploaded as Other Attachments in 

Grants.gov. These can include: 

• Work plan, logic model, and/or

timeline for proposed objectives. 

• Position descriptions for key staff.

• Resumes of key staff that reflect

current duties. 

• Consultant or contractor proposed

scope of work and letter of commitment 

(if applicable). 

• Organizational chart.

• Map of area identifying project

location(s). 

• Additional documents to support

narrative (for example, data tables, key 

news articles). 

Public Policy Requirements 

All Federal public policies apply to 

IHS grants and cooperative agreements. 

Pursuant to 45 CFR 80.3(d), an 

individual shall not be deemed 

subjected to discrimination by reason of 

their exclusion from benefits limited by 

Federal law to individuals eligible for 

benefits and services from the IHS. See 

https://www.hhs.gov/grants/grants/ 

grants-policies-regulations/index.html. 

Requirements for Project and Budget 

Narratives 

A. Project Narrative

This narrative should be a separate

document that is no more than 15 pages 

and must: 1) have consecutively 

numbered pages; 2) use black font 12 

points or larger (applicants may use 10 

point font for tables); 3) be singlespaced; 3) be single-spaced; and 4) be 

formatted to fit standard letter paper 

(81⁄2 x 11 inches). Do not combine this 

document with any others. 

Be sure to succinctly answer all 

questions listed under the evaluation 

criteria (refer to Section V.1, Evaluation 

Criteria) and place all responses and 

required information in the correct 

section noted below or they will not be 

considered or scored. If the narrative 

exceeds the overall page limit, the 

application will be considered not 

responsive and will not be reviewed. 


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The 15-page limit for the narrative does 

not include the work plan, standard 

forms, Tribal Resolutions, budget, 

budget justifications, narratives, and/or 

other items. Page limits for each section 

within the project narrative are 

guidelines, not hard limits. 

There are three parts to the narrative: 

Part 1—Program Information; Part 2— 

Program Planning and Evaluation; and 

Part 3—Program Report. See below for 

additional details about what must be 

included in the narrative. 

The page limits below are for each 

narrative and budget submitted. 

Part 1: Program Information (limit—2 

pages) 

Section 1: Needs 

Describe how the T/TO has 

determined the need to either enhance 

or develop Tribal management 

capability to either assume PFSAs or not 

in the interest of Self-Determination. 

Note the progression of previous TMG 

projects/awards if applicable. 

Part 2: Program Planning and 

Evaluation (limit—11 pages) 

Section 1: Program Plans 

Describe fully and clearly the 

direction the T/TO plans to take with 

the selected TMG Project type in 

addressing their health management 

infrastructure, including how the T/ 

TO’s plans to demonstrate improved 

health and services to the community or 

communities it serves. Include proposed 

timelines. 

Section 2: Program Evaluation 

Describe fully and clearly the 

improvements that will be made by the 

T/TO that will impact their management 

capability or prepare them for future 

improvements to their organization that 

will allow them to manage their health 

care system and identify the anticipated 

or expected benefits for the Tribe. 

Part 3: Program Report (limit—2 

pages) 

Section 1: Describe your 

organization’s significant program 

activities and accomplishments over the 

past 5 years associated with the goals of 

this announcement. 

Please identify and describe 

significant program achievements 

associated with the delivery of quality 

health services. Provide a comparison of 

the actual accomplishments to the goals 

established for the project period, or if 

applicable, provide justification for the 

lack of progress. 

B. Budget Narrative (limit—5 pages) 

Provide a budget narrative that 

explains the amounts requested for each 

line item of the budget from the SF– 

424A (Budget Information for NonConstruction Programs) for the entire 

project, by year. The applicant can 

submit with the budget narrative a more 

detailed spreadsheet than is provided by 

the SF–424A (the spreadsheet will not 

be considered part of the budget 

narrative). The budget narrative should 

specifically describe how each item 

would support the achievement of 

proposed objectives. Be very careful 

about showing how each item in the 

‘‘Other’’ category is justified. Do NOT 

use the budget narrative to expand the 

project narrative. 

3. Submission Dates and Times 

Applications must be submitted 

through Grants.gov by 11:59 p.m. 

Eastern Time on the Application 

Deadline Date. Any application received 

after the application deadline will not 

be accepted for review. Grants.gov will 

notify the applicant via email if the 

application is rejected. 

If technical challenges arise and 

assistance is required with the 

application process, contact Grants.gov 

Customer Support (see contact 

information at https://www.Grants.gov). 

If problems persist, contact Mr. Paul 

Gettys, Deputy Director, DGM, by email 

at DGM@ihs.gov. Please be sure to 

contact Mr. Gettys at least 10 days prior 

to the application deadline. Please do 

not contact the DGM until you have 

received a Grants.gov tracking number. 

In the event you are not able to obtain 

a tracking number, call the DGM as soon 

as possible. 

The IHS will not acknowledge receipt 

of applications. 

4. Intergovernmental Review 

Executive Order 12372 requiring 

intergovernmental review is not 

applicable to this program. 

5. Funding Restrictions 

• Pre-award costs are allowable up to 

90 days before the start date of the 

award provided the costs are otherwise 

allowable if awarded. Pre-award costs 

are incurred at the risk of the applicant. 

• The available funds are inclusive of 

direct and indirect costs. 

• Only one grant may be awarded per 

applicant. 

6. Electronic Submission Requirements 

All applications must be submitted 

via Grants.gov. Please use the https:// 

www.Grants.gov website to submit an 

application. Find the application by 

selecting the ‘‘Search Grants’’ link on 

the homepage. Follow the instructions 

for submitting an application under the 

Package tab. No other method of 

application submission is acceptable. 

If you cannot submit an application 

through Grants.gov, you must request a 

waiver prior to the application due date. 

You must submit your waiver request by 

email to DGM@ihs.gov. Your waiver 

request must include clear justification 

for the need to deviate from the required 

application submission process. The 

IHS will not accept any applications 

submitted through any means outside of 

Grants.gov without an approved waiver. 

If the DGM approves your waiver 

request, you will receive a confirmation 

of approval email containing 

submission instructions. You must 

include a copy of the written approval 

with the application submitted to the 

DGM. Applications that do not include 

a copy of the waiver approval from the 

DGM will not be reviewed. The Grants 

Management Officer of the DGM will 

notify the applicant via email of this 

decision. Applications submitted under 

waiver must be received by the DGM no 

later than 5:00 p.m. Eastern Time on the 

Application Deadline Date. Late 

applications will not be accepted for 

processing. Applicants that do not 

register for both the System for Award 

Management (SAM) and Grants.gov 

and/or fail to request timely assistance 

with technical issues will not be 

considered for a waiver to submit an 

application via alternative method. 

Please be aware of the following: 

• Please search for the application 

package in https://www.Grants.gov by 

entering the Assistance Listing number 

or the Funding Opportunity Number. 

Both numbers are located in the header 

of this announcement. 

• If you experience technical 

challenges while submitting your 

application, please contact Grants.gov 

Customer Support (see contact 

information at https://www.Grants.gov). 

• Upon contacting Grants.gov, obtain 

a tracking number as proof of contact. 

The tracking number is helpful if there 

are technical issues that cannot be 

resolved and a waiver from the agency 

must be obtained. 

• Applicants are strongly encouraged 

not to wait until the deadline date to 

begin the application process through 

Grants.gov as the registration process for 

SAM and Grants.gov could take up to 20 

working days. 

• Please follow the instructions on 

Grants.gov to include additional 

documentation that may be requested by 

this funding announcement. 

• Applicants must comply with any 

page limits described in this funding 

announcement. 

• After submitting the application, 

you will receive an automatic 

acknowledgment from Grants.gov that 

contains a Grants.gov tracking number. 

The IHS will not notify you that the 

application has been received. 


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System for Award Management 

Organizations that are not registered 

with the SAM must access the SAM 

online registration through the SAM 

home page at https://sam.gov. 

Organizations based in the United States 

(U.S.) will also need to provide an 

Employer Identification Number from 

the Internal Revenue Service that may 

take an additional 2–5 weeks to become 

active. Please see SAM.gov for details 

on the registration process and timeline. 

Registration with the SAM is free of 

charge but can take several weeks to 

process. Applicants may register online 

at https://sam.gov. 

Unique Entity Identifier 

Your SAM.gov registration now 

includes a Unique Entity Identifier 

(UEI), generated by SAM.gov, which 

replaces the DUNS number obtained 

from Dun and Bradstreet. SAM.gov 

registration no longer requires a DUNS 

number. 

Check your organization’s SAM.gov 

registration as soon as you decide to 

apply for this program. If your SAM.gov 

registration is expired, you will not be 

able to submit an application. It can take 

several weeks to renew it or resolve any 

issues with your registration, so do not 

wait. 

Check your Grants.gov registration. 

Registration and role assignments in 

Grants.gov are self-serve functions. One 

user for your organization will have the 

authority to approve role assignments, 

and these must be approved for active 

users in order to ensure someone in 

your organization has the necessary 

access to submit an application. 

The Federal Funding Accountability 

and Transparency Act of 2006, as 

amended (‘‘Transparency Act’’), 

requires all HHS recipients to report 

information on sub-awards. 

Accordingly, all IHS recipients must 

notify potential first-tier sub-recipients 

that no entity may receive a first-tier 

sub-award unless the entity has 

provided its UEI number to the prime 

recipient organization. This requirement 

ensures the use of a universal identifier 

to enhance the quality of information 

available to the public pursuant to the 

Transparency Act. 

Additional information on 

implementing the Transparency Act, 

including the specific requirements for 

SAM, are available on the DGM Grants 

Management, Policy Topics web page at 

https://www.ihs.gov/dgm/policytopics/. 

V. Application Review Information 

Possible points assigned to each 

section are noted in parentheses. The 

project narrative and budget narrative 

should include the proposed activities 

for the entire period of performance. 

The project narrative should be written 

in a manner that is clear to outside 

reviewers unfamiliar with prior related 

activities of the applicant. It should be 

well organized, succinct, and contain all 

information necessary for reviewers to 

fully understand the project. 

Attachments requested in the criteria do 

not count toward the page limit for the 

narratives. Points will be assigned to 

each evaluation criteria adding up to a 

total of 100 possible points. Points are 

assigned as follows: 

1. Evaluation Criteria 

A. Introduction and Need for 

Assistance (20 points) 

1. Describe the T/TO’s current health 

operation. Include a list of programs and 

services that are currently provided 

(e.g., federally funded, state funded, 

etc.), information regarding technologies 

currently used (e.g., hardware, software, 

services, etc.), and identify the source(s) 

of technical support for those 

technologies (i.e., Tribal staff, Area 

office IHS, vendor, etc.). Include 

information regarding whether the T/TO 

has a health department and/or health 

board and how long it has been 

operating. 

2. Describe the population to be 

served by the proposed project. Include 

the total number of eligible IHS 

beneficiaries currently using the 

services. 

3. Describe the geographic location of 

the proposed project, including any 

geographic barriers to health care users 

in the area to be served. 

4. Identify all TMGs received since FY 

2013, dates of funding, and a summary 

of project accomplishments. State how 

previous TMG funds facilitated the 

progression of health development 

relative to the current proposed project. 

(Copies of reports will not be accepted.) 

5. Identify the eligible project type 

and priority group of the applicant. 

6. Explain the need or reason for the 

proposed TMG project. Identify specific 

weaknesses and gaps in service or 

infrastructure that will be addressed by 

the proposal. Explain how these gaps 

and weaknesses will be assessed. 

7. If the proposed TMG project 

includes information technology (i.e., 

hardware, software, etc.), provide 

further information regarding measures 

that have occurred or will occur to 

ensure the proposed project will not 

create other gaps in services or 

infrastructure (e.g., negatively affect or 

impact IHS interface capability, 

Government Performance and Results 

Act reporting requirements, contract 

reporting requirements, Information 

Technology (IT) compatibility, etc.), if 

applicable. 

8. Describe the effect of the proposed 

TMG project on current programs (e.g., 

federally funded, state funded, etc.), 

and, if applicable, on current equipment 

(e.g., hardware, software, services, etc.). 

Include the effect of the proposed 

project on planned or anticipated 

programs and equipment. 

9. Address how the proposed TMG 

project relates to the purpose of the 

TMG Program by addressing the 

appropriate description that follows: 

a. Identify whether the T/TO is an IHS 

title I contractor. Address if the SelfDetermination contract is a master 

contract of several programs or if 

individual contracts are used for each 

program. Include information regarding 

whether or not the T/TO participates in 

a consortium contract (i.e., more than 

one Tribe participating in a contract). 

Address what programs are currently 

provided through those contracts and 

how the proposed TMG project will 

enhance the organization’s capacity to 

manage the contracts currently in place. 

b. Identify if the T/TO is not an IHS 

title I contractor Address how the 

proposed TMG project will enhance the 

organization’s management capabilities, 

what programs and services the 

organization is currently seeking to 

contract, and an anticipated date for 

contract. 

c. Identify if the T/TO is an IHS title 

V compactor. Address when the T/TO 

entered into the compact and how the 

proposed project will further enhance 

the organization’s management 

capabilities. 

B. Project Objective(s), Work Plan, 

and Approach (40 points) 

1. The proposed project objectives 

must be: 

a. measureable and (if applicable) 

quantifiable; 

b. results-oriented; 

c. time-limited. 

Example: By installing new thirdparty billing software, the Tribe 

proposes to increase the number of 

claims processed by 15 percent within 

12 months. 

2. For each objective, address how the 

proposed TMG project will result in 

change or improvement in program 

operations or processes. Also address 

what tangible products are expected 

from the project (i.e., policies and 

procedures manual, health plan, etc.). 

3. Address the extent to which the 

proposed project will build local 

capacity to provide, improve, or expand 

services that address the needs of the 

target population. 


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4. Submit a work plan in the Other 

Attachments that includes the 

following: 

a. Provide action steps on a timeline 

for accomplishing the proposed project 

objectives. 

b. Identify who will perform the 

action steps. 

c. Identify who will supervise the 

action steps taken. 

d. Identify tangible products that will 

be produced during and at the end of 

the proposed project. 

e. Identify who will accept and/or 

approve work products during the 

duration of the proposed TMG project 

and at the end of the proposed project. 

f. Include a description of any training 

activities proposed. This description 

will identify the target audience and 

training personnel. 

g. Include work plan evaluation 

activities. 

5. If consultants or contractors will be 

used during the proposed project, please 

complete the following information in 

their scope of work. (If consultants or 

contractors will not be used, please 

make note in this section): 

a. Educational requirements. 

b. Desired qualifications and work 

experience. 

c. Expected work products to be 

delivered, including a timeline. 

If potential consultants or contractors 

have already been identified, please 

upload a resume for each consultant or 

contractor in the Other Attachments in 

Grants.gov. 

6. Describe updates that will be 

required for the continued success of 

the proposed TMG project (i.e., revision 

of policies/procedures, upgrades, 

technical support, etc.). Include a 

timeline of anticipated updates and/or 

maintenance. 

C. Program Evaluation (20 Points) 

Each proposed objective requires an 

evaluation activity (such as a logic 

model) to assess its progression and 

ensure completion. This should be 

included in the work plan. 

Describe the proposal’s plan to 

evaluate project processes and 

outcomes. Outcome evaluation relates to 

the results identified in the objectives. 

Process evaluation relates to the work 

plan and activities of the project. 

1. For outcome evaluation, describe: 

a. The criteria for determining 

whether each objective was met. 

b. The data to be collected to 

determine whether the objective was 

met. 

c. Data collection intervals. 

d. Who will be responsible for 

collecting the data and their 

qualifications. 

e. Data analysis method. 

f. How the results will be used. 

2. For process evaluation, describe: 

a. The process for monitoring and 

assessing potential problems, then 

identifying quality improvements. 

b. Who will be responsible for 

monitoring and managing project 

improvements based on results of 

ongoing process improvements and 

their qualifications. 

c. Provide details with regards to the 

ways ongoing monitoring will be used 

to improve the project. 

d. Describe any products, such as 

manuals or policies, that might be 

developed and how they might lend 

themselves to replication by others. 

e. How the T/TO will document what 

is learned throughout the project period. 

3. Describe any additional evaluation 

efforts planned after the grant period 

has ended. 

4. Describe the ultimate benefit to the 

T/TO that is expected to result from this 

project. An example would be a T/TO’s 

ability to expand preventive health 

services because of increased billing and 

third-party payments. 

D. Organizational Capabilities, Key 

Personnel, and Qualifications (15 

Points) 

This section outlines the T/TO’s 

capacity to complete the proposal 

outlined in the work plan. It includes 

the identification of personnel 

responsible for completing tasks and the 

chain of responsibility for completion of 

the proposed plan. 

1. Provide the organizational structure 

of the T/TO. 

2. Provide information regarding 

plans to obtain management systems if 

a T/TO does not have an established 

management system currently in place 

that complies with 25 CFR part 900 

subpart F, ‘‘Standards for Tribal or 

Tribal Organization Management 

Systems.’’ State if management systems 

are already in place and how long the 

systems have been in place. 

3. Describe the ability of the T/TO to 

manage the proposed project. Include 

information regarding similarly sized 

projects in scope and financial 

assistance as well as other grants and 

projects successfully completed. 

4. Describe equipment (e.g., fax 

machine, telephone, computer, etc.) and 

facility space (i.e., office space) that will 

be available for use during the proposed 

project. Include information about any 

equipment not currently available that 

will be purchased through the grant. 

5. List key project personnel and their 

titles in the work plan. 

6. Provide the position descriptions 

and resumes for all key personnel as 

Other Attachments in Grants.gov. The 

included position descriptions should: 

(1) clearly describe each position’s 

duties; and (2) indicate desired 

qualifications and project associated 

experience. Each resume must include a 

statement indicating that the proposed 

key personnel is explicitly qualified to 

carry out the proposed project activities. 

If no current candidate for a position 

exists, please provide a statement to that 

effect in the Other Attachments. 

7. If an individual is partially funded 

by this grant, indicate the percentage of 

his or her time to be allocated to the 

project and identify the resources used 

to fund the remainder of that 

individual’s salary. 

8. Address how the T/TO will sustain 

the proposal created positions after the 

grant expires. Please indicate if the 

project requires additional personnel 

(i.e., IT support, etc.). If no additional 

personnel are required, please indicate 

that in this section. 

E. Categorical Budget and Budget 

Justification (5 Points) 

1. Provide a categorical budget for the 

first budget period. 

2. If indirect costs are claimed, 

indicate and apply the current 

negotiated rate to the budget. Include a 

copy of the rate agreement in the Other 

Attachments. 

3. Provide a narrative justification 

explaining why each categorical budget 

line item is necessary and relevant to 

the proposed project. Include sufficient 

cost and other details to facilitate the 

determination of cost allowability (e.g., 

equipment specifications, etc.). 

2. Review and Selection 

Each application will be prescreened 

for eligibility and completeness as 

outlined in this funding announcement. 

The Review Committee (RC) will review 

applications that meet the eligibility 

criteria. The RC will review the 

applications for merit based on the 

evaluation criteria. Incomplete 

applications and applications that are 

not responsive to the administrative 

thresholds (budget limit, period of 

performance limit) will not be referred 

to the RC and will not be funded. The 

DGM will notify the applicant of this 

determination. 

Applicants must address all program 

requirements and provide all required 

documentation. 

3. Notifications of Disposition 

All applicants will receive an 

Executive Summary Statement from the 

IHS Office of Direct Service and 

Contracting Tribes within 30 days of the 

conclusion of the review outlining the 

strengths and weaknesses of their 

application. The summary statement 


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will be sent to the Authorizing Official 

identified on the face page (SF–424) of 

the application. 

A. Award Notices for Funded 

Applications 

The NoA is the authorizing document 

for which funds are dispersed to the 

approved entities and reflects the 

amount of Federal funds awarded, the 

purpose of the award, the terms and 

conditions of the award, the effective 

date of the award, the budget period, 

and period of performance. Each entity 

approved for funding must have a user 

account in GrantSolutions in order to 

retrieve the NoA. Please see the Agency 

Contacts list in Section VII for the 

systems contact information. 

B. Approved but Unfunded 

Applications 

Approved applications not funded 

due to lack of available funds will be 

held for 1 year. If funding becomes 

available during the course of the year, 

the application may be reconsidered. 

NOTE: Any correspondence, other 

than the official NoA executed by an 

IHS grants management official 

announcing to the project director that 

an award has been made to their 

organization, is not an authorization to 

implement their program on behalf of 

the IHS. 

VI. Award Administration Information 

1. Administrative Requirements 

Awards issued under this 

announcement are subject to, and are 

administered in accordance with, the 

following regulations and policies: 

A. The criteria as outlined in this 

program announcement. 

B. Administrative Regulations for 

Grants: 

• Uniform Administrative 

Requirements, Cost Principles, and 

Audit Requirements for HHS Awards 

currently in effect or implemented 

during the period of award, other 

Department regulations and policies in 

effect at the time of award, and 

applicable statutory provisions. At the 

time of publication, this includes 45 

CFR part 75, at https://www.govinfo.gov/ 

content/pkg/CFR-2022-title45-vol1/pdf/ 

CFR-2022-title45-vol1-part75.pdf. 

• If you receive an award, HHS may 

terminate it if any of the conditions in 

2 CFR 200.340(a)(1)–(4) are met. Please 

review all HHS regulatory provisions for 

Termination at 45 CFR 75.372, at the 

time of this publication located at 

https://www.govinfo.gov/content/pkg/ 

CFR-2022-title45-vol1/pdf/CFR-2022- 

title45-vol1-sec75-372.pdf. 

C. Grants Policy: 

• HHS Grants Policy Statement, 

Revised January 2007, at https:// 

www.hhs.gov/sites/default/files/grants/ 

grants/policies-regulations/ 

hhsgps107.pdf. 

D. Cost Principles: 

• Uniform Administrative 

Requirements for HHS Awards, ‘‘Cost 

Principles,’’ at 45 CFR part 75 subpart 

E, at the time of this publication located 

at https://www.govinfo.gov/content/pkg/ 

CFR-2022-title45-vol1/pdf/CFR-2022- 

title45-vol1-part75-subpartE.pdf. 

E. Audit Requirements: 

• Uniform Administrative 

Requirements for HHS Awards, ‘‘Audit 

Requirements,’’ at 45 CFR part 75 

subpart F, at the time of this publication 

located at https://www.govinfo.gov/ 

content/pkg/CFR-2022-title45-vol1/pdf/ 

CFR-2022-title45-vol1-part75- 

subpartF.pdf. 

F. As of August 13, 2020, 2 CFR part 

200 was updated to include a 

prohibition on certain 

telecommunications and video 

surveillance services or equipment. This 

prohibition is described in 2 CFR 

200.216. This will also be described in 

the terms and conditions of every IHS 

grant and cooperative agreement 

awarded on or after August 13, 2020. 

2. Indirect Costs 

This section applies to all recipients 

that request reimbursement of IDC in 

their application budget. In accordance 

with HHS Grants Policy Statement, Part 

II–27, the IHS requires applicants to 

obtain a current IDC rate agreement and 

submit it to the DGM prior to the DGM 

issuing an award. The rate agreement 

must be prepared in accordance with 

the applicable cost principles and 

guidance as provided by the cognizant 

agency or office. A current rate covers 

the applicable award activities under 

the current award’s budget period. If the 

current rate agreement is not on file 

with the DGM at the time of award, the 

IDC portion of the budget will be 

restricted. The restrictions remain in 

place until the current rate agreement is 

provided to the DGM. 

Please refer to 2 CFR 200.414(f) 

Indirect (F&A) costs, found at https:// 

www.govinfo.gov/content/pkg/CFR2023-title2-vol1/pdf/CFR-2023-title2- 

vol1-sec200-414.pdf. 

Electing to charge a de minimis rate 

of 10 percent can be used by applicants 

who have received an approved 

negotiated indirect cost rate from HHS 

or another cognizant Federal agency. 

Applicants awaiting approval of their 

indirect cost proposal may request the 

10 percent de minimis rate. When the 

applicant chooses this method, costs 

included in the indirect cost pool must 

not be charged as direct costs to the 

award. 

Available funds are inclusive of direct 

and appropriate indirect costs. 

Approved indirect funds are awarded as 

part of the award amount, and no 

additional funds will be provided. 

Generally, IDC rates for IHS recipients 

are negotiated with the Division of Cost 

Allocation at https://rates.psc.gov/ or 

the Department of the Interior (Interior 

Business Center) at https://ibc.doi.gov/ 

ICS/tribal. For questions regarding the 

indirect cost policy, please write to 

DGM@ihs.gov. 

3. Reporting Requirements 

The recipient must submit required 

reports consistent with the applicable 

deadlines. Failure to submit required 

reports within the time allowed may 

result in suspension or termination of 

an active award, withholding of 

additional awards for the project, or 

other enforcement actions such as 

withholding of payments or converting 

to the reimbursement method of 

payment. Continued failure to submit 

required reports may result in the 

imposition of special award provisions 

and/or the non-funding or non-award of 

other eligible projects or activities. This 

requirement applies whether the 

delinquency is attributable to the failure 

of the recipient organization or the 

individual responsible for preparation 

of the reports. Per DGM policy, all 

reports must be submitted electronically 

by attaching them as a ‘‘Grant Note’’ in 

GrantSolutions. Personnel responsible 

for submitting reports will be required 

to obtain a login and password for 

GrantSolutions. Please use the form 

under the Recipient User section of 

https://www.grantsolutions.gov/home/ 

getting-started-request-a-user-account/. 

Download the Recipient User Account 

Request Form, fill it out completely, and 

submit it as described on the web page 

and in the form. 

The reporting requirements for this 

program are noted below. 

A. Progress Reports 

Program progress reports are required 

semi-annually. The progress reports are 

due within 30 days after the reporting 

period ends (specific dates will be listed 

in the NoA Terms and Conditions). 

These reports must include a brief 

comparison of actual accomplishments 

to the goals established for the period, 

a summary of progress to date or, if 

applicable, provide sound justification 

for the lack of progress, and other 

pertinent information as required. 

Recipient must submit a final report 

within 120 days of the period of 

performance end date. 


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B. Financial Reports 

Federal Financial Reports are due 90 

days after the end of each budget period, 

and a final report is due 120 days after 

the end of the period of performance. 

Recipients are responsible and 

accountable for reporting accurate 

information on all required reports: the 

Progress Reports and the Federal 

Financial Report. 

Failure to submit timely reports may 

result in adverse award actions blocking 

access to funds. 

C. Federal Sub-Award Reporting System 

(FSRS) 

This award may be subject to the 

Transparency Act sub-award and 

executive compensation reporting 

requirements of 2 CFR part 170. 

The Transparency Act requires the 

OMB to establish a single searchable 

database, accessible to the public, with 

information on financial assistance 

awards made by Federal agencies. The 

Transparency Act also includes a 

requirement for recipients of Federal 

awards to report information about firsttier sub-awards and executive 

compensation under Federal assistance 

awards. 

The IHS has implemented a Term of 

Award into all IHS Standard Terms and 

Conditions, NoAs, and funding 

announcements regarding the FSRS 

reporting requirement. This IHS Term of 

Award is applicable to all IHS grant and 

cooperative agreements issued on or 

after October 1, 2010, with a $25,000 

sub-award obligation threshold met for 

any specific reporting period. 

For the full IHS award term 

implementing this requirement and 

additional award applicability 

information, visit the DGM Grants 

Management website at https:// 

www.ihs.gov/dgm/policytopics/. 

D. Non-Discrimination Legal 

Requirements for Awardees of Federal 

Financial Assistance (FFA) 

• If you receive an award, you must 

follow all applicable nondiscrimination 

laws. You agree to this when you 

register in SAM.gov. You must also 

submit an Assurance of Compliance 

(HHS–690). To learn more, see https:// 

www.hhs.gov/civil-rights/for-providers/ 

laws-regulations-guidance/laws/ 

index.html. Pursuant to 45 CFR 80.3(d), 

an individual shall not be deemed 

subjected to discrimination by reason of 

their exclusion from benefits limited by 

Federal law to individuals eligible for 

benefits and services from the IHS. 

E. Federal Awardee Performance and 

Integrity Information System (FAPIIS) 

The IHS is required to review and 

consider any information about the 

applicant that is in the FAPIIS at 

https://sam.gov/content/fapiis before 

making any award in excess of the 

simplified acquisition threshold 

(currently $250,000) over the period of 

performance. An applicant may review 

and comment on any information about 

itself that a Federal awarding agency 

previously entered. The IHS will 

consider any comments by the 

applicant, in addition to other 

information in FAPIIS, in making a 

judgment about the applicant’s integrity, 

business ethics, and record of 

performance under Federal awards 

when completing the review of risk 

posed by applicants, as described in 45 

CFR 75.205. 

As required by 45 CFR part 75 

Appendix XII of the Uniform Guidance, 

NFEs are required to disclose in FAPIIS 

any information about criminal, civil, 

and administrative proceedings, and/or 

affirm that there is no new information 

to provide. This applies to NFEs that 

receive Federal awards (currently active 

grants, cooperative agreements, and 

procurement contracts) greater than $10 

million for any period of time during 

the period of performance of an award/ 

project. 

Mandatory Disclosure Requirements 

As required by 2 CFR part 200 of the 

Uniform Guidance, and the HHS 

implementing regulations at 45 CFR part 

75, the IHS must require an NFE or an 

applicant for a Federal award to 

disclose, in a timely manner, in writing 

to the IHS or pass-through entity all 

violations of Federal criminal law 

involving fraud, bribery, or gratuity 

violations potentially affecting the 

Federal award. 

All applicants and recipients must 

disclose in writing, in a timely manner, 

to the IHS and to the HHS Office of 

Inspector General all information 

related to violations of Federal criminal 

law involving fraud, bribery, or gratuity 

violations potentially affecting the 

Federal award. 45 CFR 75.113. 

Disclosures must be sent in writing to: 

U.S. Department of Health and Human 

Services, Indian Health Service, 

Division of Grants Management, ATTN: 

Marsha Brookins, Director, 5600 Fishers 

Lane, Mail Stop: 09E70, Rockville, MD 

20857, (Include ‘‘Mandatory Grant 

Disclosures’’ in subject line), Office: 

(301) 443–4750, Fax: (301) 594–0899, 

Email: DGM@ihs.gov. 

AND 

U.S. Department of Health and 

Human Services, Office of Inspector 

General, ATTN: Mandatory Grant 

Disclosures, Intake Coordinator, 330 

Independence Avenue SW, Cohen 

Building, Room 5527, Washington, DC 

20201, URL: https://oig.hhs.gov/fraud/ 

report-fraud/, (Include ‘‘Mandatory 

Grant Disclosures’’ in subject line), Fax: 

(202) 205–0604 (Include ‘‘Mandatory 

Grant Disclosures’’ in subject line) 

or 

Email: 

MandatoryGranteeDisclosures@

oig.hhs.gov. 

Failure to make required disclosures 

can result in any of the remedies 

described in 45 CFR 75.371 Remedies 

for noncompliance, including 

suspension or debarment (see 2 CFR 

part 180 and 2 CFR part 376). 

VII. Agency Contacts 

1. Questions on the programmatic 

issues may be directed to: Terri 

Schmidt, Director, Office of Direct 

Service and Contracting Tribes, Indian 

Health Service, 5600 Fishers Lane, Mail 

Stop: 08E17, Rockville, MD 20857, 

Phone: (301) 443–1104, Email: 

terri.schmidt@ihs.gov. 

2. Questions on grants management 

and fiscal matters may be directed to: 

Indian Health Service, Division of 

Grants Management, 5600 Fishers Lane, 

Mail Stop: 09E70, Rockville, MD 20857, 

Email: DGM@ihs.gov. 

3. For technical assistance with 

Grants.gov, please contact the 

Grants.gov help desk at (800) 518–4726, 

or by email at support@grants.gov. 

4. For technical assistance with 

GrantSolutions, please contact the 

GrantSolutions help desk at (866) 577– 

0771, or by email at help@

grantsolutions.gov. 

VIII. Other Information 

The Public Health Service strongly 

encourages all grant, cooperative 

agreement, and contract recipients to 

provide a smoke-free workplace and 

promote the non-use of all tobacco 

products. In addition, Public Law 103– 

227, the Pro-Children Act of 1994, 

prohibits smoking in certain facilities 

(or in some cases, any portion of the 

facility) in which regular or routine 

education, library, day care, health care, 

or early childhood development 

services are provided to children. This 

is consistent with the HHS mission to 

protect and advance the physical and 

mental health of the American people. 

Roselyn Tso, 

Director, Indian Health Service. 

[FR Doc. 2023–28586 Filed 12–27–23; 8:45 am] 

BILLING CODE 4166–14–P 


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