41044 Federal Register / Vol. 86, No. 144 / Friday, July 30, 2021 / Notices 

1Consolidated Appropriations Act, 2021. https:// 

docs.house.gov/billsthisweek/20201221/BILLS116HR133SA-RCP-116-68.pdf (pages 2102–2106). 

agreements, and contracts to provide 

technical assistance and other activities 

as necessary to support activities related 

to improving health care in rural areas. 

Such activities include the evaluation of 

telehealth programs in rural and 

underserved areas. 

Under the TF RHRC Program, one of 

the two research centers was selected to 

receive supplemental funding to 

evaluate all of OAT’s programs. The 

University of Arkansas was awarded a 

cooperative agreement on September 1, 

2020, to conduct evaluation-focused 

research and maintain a thorough and 

comprehensive evaluation of 

nationwide telehealth investments in 

rural areas and populations. 

The University of Arkansas is 

presently in the first year of evaluating 

OAT’s programs, and the current 

research is evaluating the impact of 

investments in telehealth services 

funded by the FORHP. In Year 1 of the 

grant, they have been working on 

evaluating OAT’s Licensure and 

Portability Program and the Telehealth 

Resource Centers. All program 

evaluation research falls under the 

jurisdiction of the University of 

Arkansas. 

Consistent with fiscal year 2021 

Departmental appropriations language, 

HRSA’s FORHP has funded telehealth 

research that impacts rural areas and 

underserved rural populations. In 

addition, per the Consolidated 

Appropriations Act, 2021 (Pub. L. 116– 

260), the HHS Secretary is required to 

develop a strategic plan to research and 

evaluate the evidence for such 

technology-enabled collaborative 

learning and capacity building models.1

As part of that directive, FORHP 

intends to work in consultation with the 

University of Arkansas who can 

evaluate the Telehealth Technology 

Enabled Learning Program (TTELP). 

TTELP connects specialists at academic 

medical centers with primary care 

providers in rural, frontier, and 

underserved populations providing 

evidence-based training and support to 

help them treat patients with complex 

conditions in their communities. TTELP 

is also tasked with developing 

appropriate methodologies to evaluate 

and identify outcomes associated with 

learning community model initiatives. 

The proposed activities for the 

supplemental funding are within the 

scope of the University of Arkansas’ 

current TF RHRC cooperative 

agreement. This funding will allow 

HRSA to demonstrate whether or not 

this congressionally mandated program 

was effective. The University of 

Arkansas will be asked to submit a 

Request for Information and include a 

work plan, budget and budget narrative 

for the funding increase that 

incorporates this new TTELP evaluation 

project. 

The supplemental funds are being 

requested for the remaining years of the 

cooperative agreement, subject to the 

availability of funds. The supplemental 

funds will be awarded prior to the end 

of the current fiscal year. The 

cooperative agreement ends on August 

31, 2024. 

Grantee/organization name Grant number State 

FY 2021 

authorized 

funding level 

FY 2021 

estimated 

supplemental 

funding 

University of Arkansas for Medical Sciences .................................................. U3GRH40001 AR $950,000 $100,000 

Grantee/organization name Grant number State 

FY 2022 

authorized 

funding level 

FY 2022 

estimated 

supplemental 

funding 

University of Arkansas for Medical Sciences .................................................. U3GRH40001 AR $950,000 $100,000 

Grantee/organization name Grant number State 

FY 2023 

authorized 

funding level 

FY 2023 

estimated 

supplemental 

funding 

University of Arkansas for Medical Sciences .................................................. U3GRH40001 AR $950,000 $100,000 

Diana Espinosa, 

Acting Administrator. 

[FR Doc. 2021–16255 Filed 7–29–21; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Indian Health Service 

Community Health Aide Program: 

Tribal Planning & Implementation 

Announcement Type: New. 

Funding Announcement Number: 

HHS–2021–IHS–TPI–0001. 

Assistance Listing (Catalog of Federal 

Domestic Assistance or CFDA) Number: 

93.382. 

Key Dates 

Application Deadline Date: 

September 1, 2021. 

Earliest Anticipated Start Date: 

September 30, 2021. 

I. Funding Opportunity Description 

Statutory Authority 

The Indian Health Service (IHS) is 

accepting applications for grants for the 

Community Health Aide Program 

(CHAP) Tribal Planning and 

Implementation (TPI) program. The 

CHAP is authorized under the Snyder 

Act, 25 U.S.C. 13; the Transfer Act, 42 

U.S.C. 2001(a); and the Indian Health 

Care Improvement Act, 25 U.S.C. 16161. 

This grant program is described in the 

Assistance Listings located at https://

beta.sam.gov (formerly known as 

Catalog of Federal Domestic Assistance) 

under 93.382. 

Background 

The national CHAP will provide a 

network of health aides trained to 

support licensed health professionals 

while providing direct health care, 


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health promotion, and disease 

prevention services. These providers 

will work within a referral relationship 

under the supervision of licensed 

clinical providers that includes clinics, 

service units, and hospitals. The 

program will increase access to direct 

health services, including inpatient and 

outpatient visits. 

The Alaska CHAP has become a 

model for efficient and high quality 

health care delivery in rural Alaska, 

providing approximately 300,000 

patient encounters per year and 

responding to emergencies 24 hours a 

day, seven days a week. Specialized 

providers in dental and behavioral 

health were later introduced to respond 

to the needs of patients and address the 

health disparities in oral health and 

mental health among American Indians 

and Alaska Natives. 

The national CHAP is a workforce 

model that includes three different 

provider types that act as extenders of 

their licensed clinical supervisor. The 

national CHAP currently includes a 

behavioral health aide, community 

health aide, and dental health aide. 

Each of the health aide categories 

operate in a tiered level practice system. 

The national CHAP model provides an 

opportunity for increased access to care 

through the extension of primary care, 

dental, and behavioral health clinicians. 

In 2010, under the permanent 

reauthorization of the Indian Health 

Care Improvement Act (IHCIA), 

Congress provided the Secretary of the 

U.S. Department of Health and Human 

Services, acting through the IHS, the 

authority to expand the Alaska CHAP 

program. In 2016, the IHS initiated 

Tribal Consultation on expanding the 

CHAP to the contiguous 48 states. In 

2018, the IHS formed the CHAP Tribal 

Advisory Group (TAG) and began 

developing the program. In 2020, the 

IHS announced the national CHAP 

policy, which formally created the 

national CHAP. 

Purpose 

The purpose of the TPI program is to 

support the planning and 

implementation for Tribes and Tribal 

Organizations (T/TO) positioned to 

begin operating a CHAP or support a 

growing CHAP in the contiguous 48 

states. The grant program is designed to 

support the regional flexibility required 

for T/TO to implement a CHAP unique 

to the needs of their individual 

communities across the country through 

the identification of feasibility factors. 

The focus of the program is to: 

1. Develop clinical supervisor support 

for primary care, behavioral health, and 

dental health clinicians providing both 

direct and indirect supervision of 

prospective health aides; 

2. Identify area and communityspecific health care needs of patients 

that can be addressed by the health 

aides; 

3. Identify and develop a technology 

infrastructure plan for the mobility and 

success of health aides in anticipation of 

providing services; 

4. Develop a training plan to include 

partners across the T/TO’s geographic 

region to enhance the training 

opportunities available to prospective 

health aides to include continuing 

education and clinical practice; 

5. Identify best practices for 

integrating a CHAP workforce into an 

existing Tribal health system; 

6. Address social determinants of 

health that impact the recruitment and 

retention of prospective health aides; 

and 

7. Identify the total cost of full 

implementation of a CHAP within an 

existing Tribal health system. 

II. Award Information 

Funding Instrument—Grant 

Estimated Funds Available 

The total funding identified for fiscal 

year (FY) 2021 is approximately 

$1,500,000. Individual award amounts 

are anticipated to be between $450,000 

and $500,000. The funding available for 

competing awards issued under this 

announcement is subject to the 

availability of appropriations and 

budgetary priorities of the Agency. The 

IHS is under no obligation to make 

awards that are selected for funding 

under this announcement. 

Anticipated Number of Awards 

Approximately three awards will be 

issued under this program 

announcement. The IHS intends to 

award no more than one grant per IHS 

area. 

Period of Performance 

The period of performance is two 

years. 

III. Eligibility Information 

1. Eligibility 

To be eligible for this new FY 2021 

funding opportunity, an applicant must 

be one of the following, as defined 

under 25 U.S.C. 1603: 

• 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): ‘‘Tribal 

organization’’ means the recognized 

governing body of any Indian Tribe; any 

legally established 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 letters of support 

and/or Tribal Resolutions from the 

Tribes to be served. 

An applicant may not apply to both 

this opportunity, TPI, and the CHAP 

Tribal Assessment and Planning (TAP) 

opportunity (number HHS–2021–IHS– 

TAP–0001). 

An organization currently carrying 

out a CHAP in the United States, in 

accordance with 25 U.S.C. 1616l 

through an Indian Self-Determination 

and Education Assistance Act (ISDEAA) 

agreement, is eligible to apply, but may 

not utilize the funds to carry out a 

CHAP. 

The Program Office will notify any 

applicants deemed ineligible. 

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. 

2. Cost Sharing or Matching 

The IHS does not require matching 

funds or cost sharing for grants or 

cooperative agreements. 

3. 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, will 


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be considered not responsive and will 

not be reviewed. The Division of Grants 

Management (DGM) will notify the 

applicant. 

Additional Required Documentation 

Tribal Resolution 

The DGM must receive an official, 

signed Tribal Resolution prior to issuing 

a Notice of Award (NoA) to any 

applicant selected for funding. An 

Indian Tribe or Tribal organization 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. 

Tribes organized with a governing 

structure other than a Tribal council 

may submit an equivalent document 

commensurate with their governing 

organization. 

Proof of Nonprofit Status 

Organizations claiming nonprofit 

status must submit a current copy of the 

501(c)(3) Certificate with the 

application. 

IV. Application and Submission 

Information 

1. Obtaining Application Materials 

The application package and detailed 

instructions for this announcement are 

hosted on https://www.Grants.gov. 

Please direct questions regarding the 

application process to Mr. Paul Gettys at 

(301) 443–2114 or (301) 443–5204. 

2. Content and Form Application 

Submission 

Mandatory documents for all 

applicants include: 

• Abstract (one page) summarizing 

the project. 

• Application forms: 

1. SF–424, Application for Federal 

Assistance. 

2. SF–424A, Budget Information— 

Non-Construction Programs. 

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

• Project Narrative (not to exceed 15 

pages). See Section IV.2.A Project 

Narrative for instructions. 

1. Background information on the 

organization. 

2. Proposed scope of work, objectives, 

and activities that provide a description 

of what the applicant plans to 

accomplish. 

• Budget Justification and Narrative 

(not to exceed 5 pages). See Section 

IV.2.B Budget Narrative for instructions. 

• One-page Timeframe Chart. 

• Tribal Resolution(s). 

• Letters of Support from 

organization’s Board of Directors (if 

applicable). 

• 501(c)(3) Certificate. 

• Biographical sketches for all Key 

Personnel. 

• Contractor/Consultant resumes or 

qualifications and scope of work. 

• Disclosure of Lobbying Activities 

(SF–LLL), if applicant conducts 

reportable lobbying. 

• Certification Regarding Lobbying 

(GG-Lobbying Form). 

• Copy of current Negotiated Indirect 

Cost rate (IDC) agreement (required in 

order to receive IDC). 

• Organizational Chart (optional). 

• 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://harvester.census.gov/ 

facdissem/Main.aspx. 

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; (3) be single-spaced; 

and (4) be formatted to fit standard letter 

paper (81⁄2 x 11 inches). 

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 page limit, the application 

will be considered not responsive and 

will not be reviewed. 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. 

There are three parts to the narrative: 

Part 1—Program Information; Part 2— 

Program Plan; and Part 3—Program 

Evaluation. 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—4 

pages) 

Section 1: Community Profile 

Describe the demographics of the 

community including, but not limited 

to, geography, languages, age, and 

socioeconomic status. The community 

profile should include data specific to 

the community that would benefit from 

the implementation of CHAP. 

Section 2: Health & Infrastructure Needs 

Describe the community’s current 

health disparities related to primary, 

behavioral, and oral health care. The 

needs section should provide facts and 

evidence related to infrastructure 

barriers (e.g., recruitment, retention, and 

access to facilities). 

Section 3: Organizational Capacity 

Describe the T/TO’s current health 

program activities, how long it has been 

operating, and what programs or 

services are currently being provided. 

Describe in full the organization’s 

infrastructure and its ability to assess 

the feasibility of implementing a CHAP 

and identifying significant barriers that 

could prohibit the implementation. 

Part 2: Program Plan (Limit—6 pages) 

Section 1: Program Plan 

Describe in full the direction the T/ 

TO plans to take in the CHAP TPI. The 

program plan should identify the plan 

to address Tribal infrastructure needs 

specific to: 

• Clinical supervisor support and 

clinical operations. 

• Enhanced scope of work to address 

community and region specific needs. 

• Training infrastructure (including 

continuing education). 


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• Technology infrastructure. 

• System integration. 

• Support to prospective health aides 

that address social determinants of 

health. 

Section 2: Program Activities 

Describe in full how the applicant 

will develop a robust clinical support 

system for the clinical supervision of 

providers. The activities should also 

include how the applicant will correlate 

the community health needs to 

additional requirements to be included 

into the scope of work of health aides, 

a detailed plan of how to adjust the 

clinical operations to incorporate a 

CHAP, and the training plan to include 

continuing education for prospective 

health aides. Describe the resources the 

applicant will provide for health aides 

once the CHAP is operating, including 

technology investments to aide in 

mobility of providers and auxiliary 

supports to address critical social 

determinants of health. The program 

plan activities should also include how 

the applicant plans to calculate the full 

implementation. 

Section 3: Staffing Plan 

Describe key staff tasked with 

carrying out the program activities in 

Section 2. Applicants are highly 

encouraged to partner with other key 

stakeholders within the T/TO’s region 

for a robust understanding of the needs 

and implications of implementing a 

CHAP into their respective 

communities. 

Section 4: Timeline 

Describe a timeline not to exceed two 

years for the completion of the program 

plan, activities, and evaluation plan. 

Provide a timeline chart depicting a 

realistic timeline that details all major 

activities, milestones, and applicable 

staffing plans. The timeline should 

include the projected progress report 

due at the midpoint of the project 

period. The timeline chart should not 

exceed one page. 

Part 3: Program Evaluation (Limit—5 

pages) 

Section 1: Evaluation Plan 

Please identify and describe 

significant program activities and 

achievements associated with the 

delivery of quality health services. 

Provide a plan to 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. The evaluation plan 

should address major categories related 

to (See Sample Logic Model in Related 

Documents in Grants.gov): 

• Clinical supervision support. 

• Enhanced scope of practice. 

• Training infrastructure (including 

continuing education). 

• Technology needs. 

• Integration best practices. 

• Auxiliary supports for prospective 

health aides working within the system. 

• Calculating total implementation 

cost. 

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). The budget 

narrative should specifically describe 

how each item will support the 

achievement of proposed objectives. Be 

very careful about showing how each 

item in the ‘‘Other’’ category is justified. 

For subsequent budget years (see MultiYear Project Requirements in Section 

V.1. Application Review Information, 

Evaluation Criteria), the narrative 

should highlight the changes from year 

1 or clearly indicate that there are no 

substantive budget changes during the 

period of performance. 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 (Paul.Gettys@ihs.gov), Acting 

Director, DGM, by telephone at (301) 

443–2114 or (301) 443–5204. Please be 

sure to contact Mr. Gettys at least ten 

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 the applicant cannot submit an 

application through Grants.gov, a 

waiver must be requested. Prior 

approval must be requested and 

obtained from Mr. Paul Gettys, Acting 

Director, DGM. A written waiver request 

must be sent to GrantsPolicy@ihs.gov 

with a copy to Paul.Gettys@ihs.gov. The 

waiver request must be documented in 

writing (emails are acceptable) before 

submitting an application by some other 

method, and include clear justification 

for the need to deviate from the required 

application submission process. 

Once the waiver request has been 

approved, the applicant will receive a 

confirmation of approval email 

containing submission instructions. A 

copy of the written approval must be 

included with the application that is 

submitted to the DGM. Applications 

that are submitted without a copy of the 

signed waiver from the Acting Director 

of 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 (CFDA) 

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). 


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• 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, 

the applicant will receive an automatic 

acknowledgment from Grants.gov that 

contains a Grants.gov tracking number. 

The IHS will not notify the applicant 

that the application has been received. 

Dun and Bradstreet (D&B) Data 

Universal Numbering System (DUNS) 

Applicants and grantee organizations 

are required to obtain a DUNS number 

and maintain an active registration in 

the SAM database. The DUNS number 

is a unique 9-digit identification number 

provided by D&B that uniquely 

identifies each entity. The DUNS 

number is site specific; therefore, each 

distinct performance site may be 

assigned a DUNS number. Obtaining a 

DUNS number is easy, and there is no 

charge. To obtain a DUNS number, 

please access the request service 

through https://fedgov.dnb.com/ 

webform or call (866) 705–5711. 

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 grantees must 

notify potential first-tier sub-recipients 

that no entity may receive a first-tier 

sub-award unless the entity has 

provided its DUNS number to the prime 

grantee 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. 

System for Award Management (SAM) 

Organizations that are not registered 

with SAM must have a DUNS number 

first, then access the SAM online 

registration through the SAM home page 

at https://sam.gov (U.S. organizations 

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. 

Additional information on 

implementing the Transparency Act, 

including the specific requirements for 

DUNS and SAM, are available on the 

DGM Grants Management, Policy Topics 

web page: https://www.ihs.gov/dgm/ 

policytopics/. 

V. Application Review Information 

Possible points assigned to each 

section are noted in parentheses. The 

15-page project narrative should include 

only the first year of activities; 

information for multi-year projects 

should be included as a separate 

document. See ‘‘Multi-year Project 

Requirements’’ at the end of this section 

for more information. The narrative 

section 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. 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 

(10 points) 

Identify the proposed project and 

plans to fully implement a CHAP within 

their community. The needs should 

clearly identify the existing health 

system and how the CHAP will be 

integrated to meet the health needs of 

the community in the fields of 

behavioral, oral, and primary health 

care. 

B. Project Objective(s), Work Plan, and 

Approach (30 points) 

The work plan should be comprised 

of two key parts: Program Information 

and Program Plan. Provide information 

related to three key sections: 

Community profile; health and 

infrastructure; and organizational 

capacity. The Program Information part 

should demonstrate a robust community 

profile that highlights the existing 

health system, demographic data of 

community members and user 

population, and a detailed description 

of the T/TO carrying out the proposed 

activity. An acceptable Program Plan 

expecting to receive full points should 

include details of the applicants plan to 

address the program objective. The 

Program Plan should address, at a 

minimum, key activities related to 

clinical supervisor support, scope of 

work, technology infrastructure, training 

infrastructure, integration best practices, 

and auxiliary support to health aides 

that address social determinants. 

C. Program Evaluation (30 points) 

The program evaluation should be 

comprised of two key sections: 

Evaluation plan and outcome report. 

The evaluation plan should address 

major categories related to: 

• Clinical supervisor support; 

• enhanced scope of work; 

• technology infrastructure; 

• training infrastructure; 

• integration best practices; 

• auxiliary support; and 

• full implementation costs (See 

Sample Logic Model in Related 

Documents in Grants.gov). 

The evaluation plan should identify 

how the T/TO plans to fully integrate 

CHAP. The evaluation should include 

total implementation costs based on the 

implementation plan and program plan 

identified, including any significant 

implementation barriers. List 

measurable and attainable goals with 

explicit timelines that detail expectation 

of findings. The Outcome Report should 

describe, in full, the findings of the 

program plan, evaluation, and 

determination on stage of readiness for 

implementation. The outcome report 

should organize the findings into at 

least five of the seven categories: 

1. Clinical Supervisor Support. 

2. Scope of Work. 

3. Technology Infrastructure. 

4. Training Infrastructure. 

5. Integration Planning. 

6. Auxiliary Support. 

7. Implementation Cost. 

Applicants are encouraged to identify 

additional categories above the seven 

aforementioned and may choose to 

develop subcategories that best fit the 

program plan. 

D. Organizational Capabilities, Key 

Personnel, and Qualifications (10 

points) 

Provide a detailed biographical sketch 

of each member of key personnel 

assigned to carry out the objectives of 

the program plan. The sketches should 

detail the qualifications and expertise of 

identified staff. 

E. Categorical Budget and Budget 

Justification (20 points) 

Provide a detailed budget of each 

expenditure directly related to the 

identified program activities. 

Multi-Year Project Requirements 

Applications must include a brief 

project narrative and budget (one 


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additional page per year) addressing the 

developmental plans for each additional 

year of the project. This attachment will 

not count as part of the project narrative 

or the budget narrative. 

Additional documents can be 

uploaded as Other Attachments in 

Grants.gov 

• 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). 

• Current Indirect Cost Rate 

Agreement. 

• Organizational chart. 

• Map of area identifying project 

location(s). 

• Additional documents to support 

narrative (i.e., data tables, key news 

articles, etc.). 

2. Review and Selection 

Each application will be prescreened 

for eligibility and completeness, as 

outlined in the funding announcement. 

Applications that meet the eligibility 

criteria shall be reviewed for merit by 

the Objective Review Committee (ORC) 

based on evaluation criteria. Incomplete 

applications and applications that are 

not responsive to the administrative 

thresholds (budget limit, project period 

limit) will not be referred to the ORC 

and will not be funded. The applicant 

will be notified 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 Clinical and Preventive 

Services within 30 days of the 

conclusion of the ORC outlining the 

strengths and weaknesses of their 

application. The summary statement 

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 grant, the terms and 

conditions of the award, the effective 

date of the award, and the budget/ 

project period. 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 one 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-2020-title45-vol1/pdf/ 

CFR-2020-title45-vol1-part75.pdf. 

• Please review all HHS regulatory 

provisions for Termination at 45 CFR 

75.372, at https://www.ecfr.gov/cgi-bin/ 

retrieveECFR?gp&SID=

2970eec67399fab1413

ede53d7895d99&mc=true&n=

pt45.1.75&r=PART&ty=

HTML&se45.1.75_1372#se45.1.75_

1372. 

C. Grants Policy 

• HHS Grants Policy Statement, 

Revised 01/07, at http://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. 

E. Audit Requirements 

• Uniform Administrative 

Requirements for HHS Awards, ‘‘Audit 

Requirements,’’ at 45 CFR part 75, 

subpart F. 

F. As of August 13, 2020, 2 CFR 200 

has been 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 indirect 

costs (IDC) in their application budget. 

In accordance with HHS Grants Policy 

Statement, Part II–27, 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 grant 

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. 

Per 45 CFR 75.414(f) Indirect (F&A) 

costs, ‘‘any non-Federal entity [i.e., 

applicant] that has never received a 

negotiated indirect cost rate, . . . may 

elect to charge a de minimis rate of 10 

percent of modified total direct costs 

(MTDC) which may be used 

indefinitely. As described in Section 

75.403, costs must be consistently 

charged as either indirect or direct costs, 

but may not be double charged or 

inconsistently charged as both. If 

chosen, this methodology once elected 

must be used consistently for all Federal 

awards until such time as the nonFederal entity chooses to negotiate for a 

rate, which the non-Federal entity may 

apply to do at any time.’’ 

Electing to charge a de minimis rate 

of 10 percent only applies to applicants 

that have never 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 

grant. 

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 grantees 

are negotiated with the Division of Cost 

Allocation (DCA) at https://

rates.psc.gov/ or the Department of the 

Interior (Interior Business Center) at 


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https://ibc.doi.gov/ICS/tribal. For 

questions regarding the indirect cost 

policy, please call the Grants 

Management Specialist listed under 

‘‘Agency Contacts’’ or the main DGM 

office at (301) 443–5204. 

3. Reporting Requirements 

The grantee 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 grant, 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 awardee 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 see the Agency 

Contacts list in Section VII for the 

systems contact information. 

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 budget 

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. A 

final report must be submitted within 90 

days of expiration of the period of 

performance. 

B. Financial Reports 

Federal Cash Transaction Reports are 

due 30 days after the close of every 

calendar quarter to the Payment 

Management Services at https://

pms.psc.gov. Failure to submit timely 

reports may result in adverse award 

actions blocking access to funds. 

Federal Financial Reports are due 30 

days after the end of each budget period, 

and a final report is due 90 days after 

the end of the Period of Performance. 

Grantees are responsible and 

accountable for accurate information 

being reported on all required reports: 

The Progress Reports, the Federal Cash 

Transaction Report, and the Federal 

Financial Report. 

C. Data Collection and Reporting 

At the conclusion of the program 

period, the outcome report should detail 

how the T/TO plans to completely 

integrate CHAP into their Tribal health 

system and list major barriers that could 

potentially impact full integration. The 

Outcome Report should describe, in 

full, the findings of the program plan 

and evaluation, and plans for 

implementation. The outcome report 

should organize the findings of the key 

categories: 

1. Clinical Supervisor Support. 

2. Scope of Practice. 

3. Technology Infrastructure. 

4. Training Plan. 

5. System Integration. 

6. Auxiliary Support to Address 

Social Determinants. 

Based on the findings and measurable 

outcomes of the categories, the 

applicant should explicitly identify the 

implementation plan and projected cost 

associated with full implementation. 

D. 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 

grants to report information about firsttier sub-awards and executive 

compensation under Federal assistance 

awards. 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/. 

E. Compliance With Executive Order 

13166 Implementation of Services 

Accessibility Provisions for All Grant 

Application Packages and Funding 

Opportunity Announcements 

Recipients of Federal financial 

assistance (FFA) from HHS must 

administer their programs in 

compliance with Federal civil rights 

laws that prohibit discrimination on the 

basis of race, color, national origin, 

disability, age, and, in some 

circumstances, religion, conscience, and 

sex. This includes ensuring programs 

are accessible to persons with limited 

English proficiency. The HHS Office for 

Civil Rights provides guidance on 

complying with civil rights laws 

enforced by HHS. Please see https://

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

provider-obligations/index.html and 

http://www.hhs.gov/ocr/civilrights/ 

understanding/section1557/index.html. 

• Recipients of FFA must ensure that 

their programs are accessible to persons 

with limited English proficiency. HHS 

provides guidance to recipients of FFA 

on meeting their legal obligation to take 

reasonable steps to provide meaningful 

access to their programs by persons with 

limited English proficiency. Please see 

https://www.hhs.gov/civil-rights/forindividuals/special-topics/limitedenglish-proficiency/fact-sheet-guidance/ 

index.html and https://www.lep.gov. For 

further guidance on providing culturally 

and linguistically appropriate services, 

recipients should review the National 

Standards for Culturally and 

Linguistically Appropriate Services in 

Health and Health Care at https://

minorityhealth.hhs.gov/omh/ 

browse.aspx?lvl=2&lvlid=53. 

• Recipients of FFA also have specific 

legal obligations for serving qualified 

individuals with disabilities. Please see 

http://www.hhs.gov/ocr/civilrights/ 

understanding/disability/index.html. 

• HHS funded health and education 

programs must be administered in an 

environment free of sexual harassment. 

Please see https://www.hhs.gov/civilrights/for-individuals/sexdiscrimination/index.html; https://

www2.ed.gov/about/offices/list/ocr/ 

docs/shguide.html; and https://

www.eeoc.gov/eeoc/publications/fssex.cfm. 

• Recipients of FFA must also 

administer their programs in 

compliance with applicable Federal 

religious nondiscrimination laws and 

applicable Federal conscience 

protection and associated antidiscrimination laws. Collectively, these 

laws prohibit exclusion, adverse 

treatment, coercion, or other 

discrimination against persons or 


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entities on the basis of their 

consciences, religious beliefs, or moral 

convictions. Please see https://

www.hhs.gov/conscience/conscienceprotections/index.html and https://

www.hhs.gov/conscience/religiousfreedom/index.html. 

Please contact the HHS Office for 

Civil Rights for more information about 

obligations and prohibitions under 

Federal civil rights laws at https://

www.hhs.gov/ocr/about-us/contact-us/ 

index.html or call 1–800–368–1019 or 

TDD 1–800–537–7697. 

F. 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 Federal Awardee 

Performance and Integrity Information 

System (FAPIIS) at https://

www.fapiis.gov 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, 

non-Federal entities (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 

$10,000,000 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. Submission is required 

for all applicants and recipients, in 

writing, 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: 

Paul Gettys, Acting Director, 5600 

Fishers Lane, Mail Stop: 09E70, 

Rockville, MD 20857, (Include 

‘‘Mandatory Grant Disclosures’’ in 

subject line), Office: (301) 443–5204, 

Fax: (301) 594–0899, Email: 

Paul.Gettys@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 

parts 180 & 376). 

VII. Agency Contacts 

1. Questions on the programmatic 

issues may be directed to: Minette C. 

Galindo, Public Health Advisor, Indian 

Health Service, Office of Clinical and 

Preventive Services, 5600 Fishers Lane, 

Mail Stop: 08N34A, Rockville, MD 

20857, Phone: (301) 443–4644, Fax: 

(301) 594–6213, Email: IHSCHAP@

ihs.gov. 

2. Questions on grants management 

and fiscal matters may be directed to: 

Donald Gooding, Grants Management 

Specialist, Indian Health Service, 

Division of Grants Management, 5600 

Fishers Lane, Mail Stop: 09E70, 

Rockville, MD 20857, Phone: (301) 443– 

2298, Email: Donald.Gooding@ihs.gov. 

3. Questions on systems matters may 

be directed to: Paul Gettys, Acting 

Director, Indian Health Service, 

Division of Grants Management, 5600 

Fishers Lane, Mail Stop: 09E70, 

Rockville, MD 20857, Phone: (301) 443– 

2114; or the DGM main line (301) 443– 

5204, email: Paul.Gettys@ihs.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. 

Elizabeth A. Fowler, 

Acting Director, Indian Health Service. 

[FR Doc. 2021–16283 Filed 7–29–21; 8:45 am] 

BILLING CODE 4165–16–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Indian Health Service 

Community Health Aide Program: 

Tribal Assessment & Planning 

Announcement Type: New. 

Funding Announcement Number: 

HHS–2021–IHS–TAP–0001. 

Assistance Listing (Catalog of Federal 

Domestic Assistance or CFDA) Number: 

93.382. 

Key Dates 

Application Deadline Date: 

September 6, 2021. 

Earliest Anticipated Start Date: 

September 30, 2021. 

I. Funding Opportunity Description 

Statutory Authority 

The Indian Health Service (IHS) is 

accepting applications for grants for the 

Community Health Aide Program 

(CHAP) Tribal Assessment and Planning 

(TAP) program. The CHAP is authorized 

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

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

Indian Health Care Improvement Act, 25 

U.S.C. 1616l. This grant program is 

described in the Assistance Listings 

located at https://sam.gov/content/home 

(formerly known as Catalog of Federal 

Domestic Assistance) under 93.382. 

Background 

The national CHAP will provide a 

network of health aides trained to 

support licensed health professionals 

while providing direct health care, 

health promotion, and disease 

prevention services. These providers 

will work within a referral relationship 

under the supervision of licensed 

clinical providers that include clinics, 

service units, and hospitals. The CHAP 

aides will increase access to direct 

health services, including inpatient and 

outpatient visits. 


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