Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0050 - Rural Health, Office of › Chapter 8 - WYOMING PRIMARY CARE SUPPORT GRANT PROGRAM › Section 8-9 - Application Process

Current through July 13, 2024
(a) The Department
				shall develop an application form, and make it available in electronic format
				accessible by the public.
(b) The
				apphcation period will be determined and announced by the Department.
(c) The Department will make a notification
				of grant award within sixty ( 60) days of the close of the designated
				application period or notify the applicant(s) in writing, as identified in
				Section
				6 of
				these Rules.
(d) Prior to
				submission of the Primary Care Support Grant Program application to the
				Department, the applicant, following public notice and a hearing, must obtain
				approval by the Board of County Commissioners for the applicable county. An
				official copy of the meeting minutes obtained from the County Clerk of the
				applicable county or a signed letter granting board approval is required as
				part of the application. The meeting minutes must state that board approval was
				granted. Board approval caimot be more than six (6) months old at the time of
				application to the Program.
(e)
				Applicant must complete the approved application and submit it to the
				Department with the appropriate and required supporting documents.
(f) The application, among other documents
				and factors as outlined in these Rules and in the statute, will be used to
				determine if an applicant is awarded a grant and must:
(i) Include a narrative describing the scope
				of the project.
(ii) Identify the
				location and physical address of the current or projected clinic as
				apphcable.
(iii) Identify and
				document the availability of local matching funds in an amount no less than
				twenty-five percent (25%) of the total funding request. For example, a grant
				request of $ 400,000 must show $100,000 m local matching fiands.
(A) Local matching funds may be in cash,
				in-kind, or both, and must be shown in the form of a contract, promissory note
				or other legally binding written agreement.
(B) Local matching funds must be utilized
				proportionally to the grant funds as the project progresses. A timehne shall be
				developed to include within the Grant Award Agreement, setting forth the
				proportional use of the funds, which may differ with the requirements of
				different projects.
(iv)
				Identify the itemized total cost of the intended project, the total grant
				amount requested, and the total local matching funds (cash or in-kind).
(A) If local matching ftmds are in-kind, an
				appraisal of goods and services must be included with the
				application.
(B) In the event there
				is disagreement in the value of in-ldnd match, the Department may pursue
				alternative means to determine the in-kind value. If there is a cost to
				determining this value, that cost will be billed to and paid for by the
				applicant. A considerable difference in value is cause for denial of a grant,
				and is within the discretion of the Department.
(v) Identify how the applicant will provide
				services to individuals regardless of their ability to pay and provide care to
				Medicare, Medicaid, and CHIP eligible patients. The applicant must submit the
				charity care policy or sliding fee scale, or both, with its
				application.
(vi) Provide an
				operating plan that integrates healthcare services within the entire service
				community to promote accessibility and quality of care as is required by this
				Act.
(vii) If applicable,
				demonstrate how an existing clinic positively impacts access to care.
(viii) If applicable, justify creation of a
				new chnic in the community identified.
(ix) Identify how the applicant's proposal
				may reduce Emergency Room or similar type care usage.
(x) Identify three (3) quality indicators of
				the appHcant's choice, as defined in Section
				4 of
				these Rules.
(xi) Identify a list
				of key performance indicators for the project, as defined in Section
				4 of
				these Rules.
(xii) Demonstrate how
				the applicant will meet reporting requirements to remain in compliance with the
				Program during the entire three (3) year grant term.
(xiii) Identify the individual responsible
				for the entity, including the chairperson, CEO, board of directors, or
				equivalent if a public entity, or owner(s) if not a public entity. If awarded a
				grant under this Program, the entity must notify the Department of any changes
				to the ownership, organization or control of the entity. The Department shall
				review the change and determine what, if any, effect the change in ownership,
				organization or control may have on the Program and the funding. The Department
				retains the sole discretion to refuse to fund an organization that has changed
				ownership, organization or control after the initial application period, and
				ret ains tliS abi lit}' to request repayment of one hundred percent (100%) of
				Program funds should there be a change of ownership, organization or
				control.
(xiv) Include a copy of
				the Board of County Commissioners' meeting minutes or a signed letter where
				approval was given to the entity to apply for this Program.