Guide to Understanding Florida's FQHCs and 330 Expansion ...

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• Proposals to support the relocation of sites already in the approved scope of project of existing FQHCs. • Proposals to support the expansion of capacity (additional providers, new services, etc.) at a site already in the approved scope of project of an existing FQHC. How Many Sites and Funding Programs Can Be Requested in a NAP Application New start and satellite applicants may submit an application for federal support to establish a single new access point or multiple access points and may request funding to support one or multiple types of health centers based on the population(s) to be served. How Much Support is Available to Serve “Special Populations” Approximately 9% of new 330 funding is allocated for “Special populations”. NAP applicants may apply for funding from various categories (listed below), based on the needs of their service area and target populations. • Community Health Centers (CHC) - section 330(e) • Migrant Health Centers (MHC) - section 330(g) • Health Care for the Homeless (HCH) - section 330(h) • Public Housing Primary Care (PHPC) - section 330(i) • Schools Based Health Centers (SBHC) – section 330 What is the Maximum Level of Support The BPHC established a cap of $650,000 per year for NAP applications, which cover a three year period. Applicants may request support up to $150,000 in Year 1 only for one-time minor capital costs for equipment and/or alteration/renovation; however, the total request for section 330 support must not exceed the established cap of $650,000 for each of the three years. Once the organizations proves itself capable of effectively meeting the needs in their community, this amount permanently becomes their base of funding. The following is provided as a guideline in developing the Federal budget request: $150 Federal grant dollars per general community health center (CHC) user and $200 Federal grant dollars per migrant/seasonal farmworker (MSFW) user, homeless user, public housing (PHPC) user; and schoolbased health center user. What Additional Requirements are Associated with Serving “Special Populations” In addition to the general 330 requirements, there are specific requirements and expectations for applicants requesting funding for special populations. Applicants requesting funding to support one or more health center types are expected to demonstrate compliance with guidelines, expectations and requirements, as applicable. Migrant Health Center (MHC) Applicants (section 330(g) will: • Address how the special needs of MSFW and their families will be met • Describe how they will ensure that farmworkers will have access to services through Understanding Florida FQHCs Copyright 2006 Page 39 ©
mechanisms such as: outreach that is integrated into the primary health care delivery system; use of mobile vans or health teams that travel to migrant camps; transportation; extended clinic hours; etc. • Describe how they will address the special environmental health concerns that are associated with MSFWs. • Describe how the health center governance requirements will be addressed Migrant voucher programs may propose to arrange for the delivery of required services with existing providers through contractual arrangements. Health Center for the Homeless (HCH) Applicants (section 330(h) will: • Indicate the mechanism for delivering substance abuse services to homeless patients • Describe the manner in which comprehensive outreach is to be conducted, and how transportation and other enabling services will be provided. • Describe the manner in which case management, eligibility assistance, and access to housing services will be made available to homeless patients. • Include information about how the health center governance requirements will be addressed. Public Housing Primary Care (PHPC) Applicants section 330(i) will: • Increase access to care and improve the health status of underserved public housing residents • Include information about how the health center governance requirements will be addressed. School Based Health Center (SBHC) Applicants (section 330) will: • Demonstrate how the SBHC will serve other community members in addition to the students attending the school(s) where the SBHC is located. • Demonstrate how community members may be served in other locations operated by the applicant organization. • Describe arrangements to serve non-students at the SBHC (e.g. teachers). • Operate at least 30 hours per week at each school-based health center, except in sparsely populated and rural areas utilizing mobile vans. • Provide a signed agreement with the school that is hosting the SBHC. How Can We Ensure That our NAP Application is Competitive Competitive NAPS Will Clearly Demonstrate: • A high level of need in their community. • That the proposed NAP will serve populations in areas with the greatest need for services. • That the proposed project will increase access to primary health care services and reduce health disparities in the community/population to be served. • The extent to which funding will increase access to care in terms of the number of people to be served and the number of primary care providers to be made available to the population. • Efforts to achieve the goals of Healthy People 2010 as part of their efforts to increase access Understanding Florida FQHCs Copyright 2006 Page 40 ©
Page 2 and 3: Community Health Centers in Florida
Page 4 and 5: Community Health Centers in Florida
Page 6 and 7: What is an FQHC Section One Overvie
Page 8 and 9: array of “Enabling Services” de
Page 10 and 11: make the extra effort required to m
Page 12 and 13: In 2005, the Florida Legislature, i
Page 14 and 15: Table 9: Florida FQHC Provider Prod
Page 16 and 17: Section Two Significant Florida Tre
Page 18 and 19: North Florida. The rapid spread of
Page 20 and 21: Linguistic and cultural differences
Page 22 and 23: Florida, like other states, has roo
Page 24 and 25: organizations (PPO,) provider spons
Page 26 and 27: Table 20: Florida HPSA Designations
Page 28 and 29: What is FACHC’s Statewide Strateg
Page 30 and 31: organizations have received 330 fun
Page 32 and 33: Table 23: Florida FQHC Expanded Med
Page 34 and 35: Where Are The Greatest Needs For He
Page 36 and 37: Section Four Understanding Federal
Page 38 and 39: There Are Three Types Of 330 Fundin
Page 42 and 43: and reduce health disparities. •
Page 44 and 45: 3. Applicant identifies how many pe
Page 46 and 47: proposed project and any collaborat
Page 48 and 49: What Criteria Are Used To Score And
Page 50 and 51: What Criteria Are Used To Score And
Page 52 and 53: 2. Applicant describes the extent t
Page 54 and 55: 4. Applicant discusses the mechanis
Page 56 and 57: Overview of 330 “Expanded Medical
Page 58 and 59: will be provided. They must also de
Page 60 and 61: 3. Applicant clearly identifies and
Page 62 and 63: 2. If applicable, the applicant des
Page 64 and 65: target population and the level of
Page 66 and 67: Some experts believe that 330 appli
Page 68 and 69: Health Disparities Collaboratives (
Page 70 and 71: Directory of Florida FQHCs 1. Agape

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