Grants provide health-related services to Urban Indians including: (1) Alcohol and substance abuse prevention, treatment, rehabilitation, and education; (2) Mental health needs assessment and services; (3) Health promotion and disease prevention services; (4) Immunization services; and (5) HIV/AIDS prevention

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and care.

Cooperative Agreement provides services and advocacy for Urban Indian Organizations including: (1) Public policy; (2) Research and data; (3) training and technical assistance; (4) Education, public relations and marketing.

Selected Recipients for this Program

Not Applicable.

Uses and Use Restrictions

These grants are limited to established urban Indian health services.

The recipient organization must be an urban Indian organization with whom the Secretary has entered into a contract or grant under Title V of the Indian Health Care Improvement Act (25 U.S.C.

1651 et seq).

100% funds under the Urban Indian Health Program are discretionary activities.

Eligibility Requirements

Applicant Eligibility

Urban Indian organizations, as defined by 25 U.S.C.

1603(29), operating a Title V Urban Indian Health Program that currently has a grant or contract with the IHS under Title V of the Indian Health Care Improvement Act, (Pub.

L.

93-437).

Beneficiary Eligibility

Urban Indians residing in the urban centers in which the organization is located.

Credentials/Documentation

The applicant must provide documentation of: (1) Nonprofit status; and (2) that it has a current contract or grant with the Indian Health Service under Title V of the Indian Health Care Improvement Act. Costs will be determined in accordance with 45 C.F.R. Part 75, Subpart E. 2 CFR 200, Subpart E - Cost Principles applies to this program.

Aplication and Award Process

Preapplication Coordination

Preapplication coordination is not applicable.

Environmental impact information is not required for this program.

This program is excluded from coverage under E.O.

12372.

Application Procedures

2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. 45 C.F.R. Part 75, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for HHS Awards (Uniform Guidance) apply to this program

Award Procedures

Grants are awarded to all eligible organizations based on a competitive grant process. Applications are processed and grants are awarded by Indian Health Service Headquarters. Funding level available to an organization is based on specific criteria in the Indian Health Care Improvement Act to include size of urban Indian population, accessibility to, and utilization of, other health resources available to that population and identification of need for services.

Deadlines

Contact the headquarters or regional office, as appropriate, for application deadlines.

Authorization

Indian Health Care Improvement Act, Title V, Public Law 102-572; Indian Health Care Improvement Act, Executive Order Section 503, Title V, Section 511, Public Law 94-437.

Range of Approval/Disapproval Time

From 60 to 90 days. Grants are approved or disapproved within 90 days of receipt of grant applications by the Indian Health Service, Division of Grants Management.

Appeals

Not Applicable.

Renewals

Renewal of multi-year cooperative agreements is on a year-to-year basis and requires the submission of continuation applications.

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula. This program has no matching requirements. This program does not have MOE requirements.

Length and Time Phasing of Assistance

Grants will be awarded for project periods of up to 3 years. Method of awarding/releasing assistance: quarterly.

Post Assistance Requirements

Reports

No program reports are required.

Grantees will be required to submit quarterly Federal Financial Report (SF-425 or FFR) to the Division of Payment Management Branch.

Depending on services provided, progress and financial reports will be required either quarterly or semi-annually with final performance and financial status reports due 90 after the end of the project period.

Grantees will be required to submit quarterly Federal Financial Report (SF-425 or FFR) to the Division of Payment Management Branch.

IHS grants are monitored by the Division of Grants Management for financial compliance and by the IHS Program Staff for programmatic compliance.

Audits

In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503. In addition, grantees are subject to site visits and audits by the Department of Health and Human Services (DHHS) and other Federal officials.

Records

In accordance with the provisions of 45 C.F.R. Part 75, 'UNIFORM ADMINISTRATIVE REQUIREMENTS, COST PRINCIPLES, AND AUDIT REQUIREMENTS FOR HHS AWARDS,' Subpart F?Audit Requirements (Applies to audits of fiscal years beginning on or after December 26, 2014) non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in §75.503. In addition, grantees are subject to site visits and audits by the Department of Health and Human Services (DHHS) and other Federal officials.

Financial Information

Account Identification

75-0390-0-1-551.

Obigations

(Cooperative Agreements (Discretionary Grants)) FY 16 $850,000; FY 17 est $800,000; and FY 18 est $800,000 - Obligations for Urban Indian Education and Research program. (Project Grants (Discretionary)) FY 16 $8,326,505; FY 17 est $7,634,772; and FY 18 est $7,634,772 - Obligations for Urban Indian Health Programs 4-in-1 program.

Range and Average of Financial Assistance

$149,950 to $1,096,176; $280,678.

Regulations, Guidelines, and Literature

Specific program guidelines, including applicable sections of Public Law 94-437, as amended; 45 CFR 74 and 92; and the HHS Grants Policy Statement, dated 1/07.

Information Contacts

Regional or Local Office

None. Program Contact: Ms. Shannon Beyale, Health Information Specialist, Office of Urban Indian Health Programs, Indian Health Service, 5600 Fishers Lane, Mail Stop: 08E65C, Rockville, MD 20857. Telephone: (301) 945-3657. Grants Management Contact: Mr. Robert Tarwater, Director, Division of Grants Management, Indian Health Service, 5600 Fishers Lane, Mail Stop: 09E70, Rockville, MD 20857. Telephone: (301) 443-5204, Fax (301) 594-0899.

Headquarters Office

Grants Policy Office, 5600 Fishers Lane, Mail Stop: 09E70, Rockville, Maryland 20857 Email: grantspolicy@ihs.gov Phone: (301) 443-5204

Criteria for Selecting Proposals

Proposals will be reviewed by staff of the Indian Health Service to ensure compliance with the following: (1) Size of the urban Indian population; (2) accessibility to, and utilization of, other health resources available to such population; (3) duplication of existing Indian Health Service or other Federal grants or contracts; (4) capability of the organization to adequately perform the activities required under the grant; (5) satisfactory performance standards for the organization in meeting the goals; (6) identification of need for services; and (7) proposed methodology for accomplishing the stated goals of the program.