HRSA Announcement: Increased Demand for Services (HRSA-09-218) - Updates on Increased Demand for Services (IDS) Grants

Listserv message sent 05/19/2009

Changes to IDS Proposals
HRSA realizes that grantees may wish to update their original Increased Demand for Services (IDS) proposal based on emerging information about the immediate needs of the communities they serve.  Grantees may make changes to their IDS project.  However, any change must be consistent with the original intent of the IDS funding opportunity, which is to increase patients and uninsured patients served by adding new providers, expanding hours of operations, and/or expanding existing health center services.  For example, if the grantee originally wanted to extend its hours of operation but now believes it could better respond to community need by expanding its current dental services, then the change is allowable.

Grantees should work with their Project Officer to ensure that changes are consistent with the IDS intent and are properly documented. 

Reporting on IDS Funds
Guidance on reporting on IDS funds is currently in development.  As soon as the guidance is finalized, HRSA will share this with all grantees.  HRSA encourages all grantees to continue to track the use of IDS funds, including amounts drawn down and the number of health center FTEs, patients and visits supported by IDS funds, within their existing systems.

Including IDS and ARRA NAPs in the 2010 SAC/BPR Applications
Impact:
Grantees should report on their entire scope of project as part of the SAC and BPR applications, including funding received through the IDS opportunity (H8B grants) and New Access Points funded under the ARRA (H8A grants).  ARRA-supported activities should specifically be described in the ARRA section (Section V, page 54), but should also be integrated into the overall Program Narrative and relevant forms.  For the SAC applications, HRSA is aware that the impact measures (e.g., patients and encounters) for Years 1 and 2 will likely be higher, due to ARRA funding, than for Years 3-5.  HRSA does not expect ARRA funds to have a significant impact on business and clinical measures, but if the grantee anticipates ARRA funds affecting these measures, the grantee should describe the impact in the appropriate narrative sections.

At this time, grantees should not include or address projected Capital Improvement Program (CIP) or Facility Investment Program (FIP) grants in the FY 2010 SAC and BPR applications.

Budget:
On the SF424 Face Page, grantees should list ARRA-related grants in the “Other Federal Funding” Line.  In the 5161 Budget Form, grantees should include the IDS grant and ARRA-funded New Access Points, if applicable, as listed below.  A sample budget form is available at: http://www.hrsa.gov/grants/technicalassistance/sac.htm.  As H8A and H8B grants are one-time awards, grantees should not report on these sources in Section E.

Section A – Budget Summary
Line 1: H80 grant
Line 2: H8B (IDS) grant
Line 3: H8A (ARRA NAP) grant

Section B – Budget Categories
Column (1): H80 grant
Column (2): H8B (IDS) grant
Column (3): H8A (ARRA NAP) grant

Section E – Budget Estimates of Federal Funds Needed for Balance of the Project
Line 16: H80 grant only

If you have additional questions on how to report H8A or H8B funds as part of the SAC/BPR application, please email them to bphcrecovery@hrsa.gov and clearly indicate SAC/BPR in the subject line.