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Grants to North Carolina Primary Care Safety Net Organizations to Increase Access to Care for Medically Underserved Residents

Community Health Grant

North Carolina Department of Health and Human Services (DHHS) - Office of Rural Health (ORH)


Agency: State

GrantWatch ID #169075

Grant Description

Previous Page Version

Grants to North Carolina primary care safety net organizations to address the health needs of medically underserved residents. Applicants must submit a preliminary form in order to access the full application. The purpose of this program is to increase access to primary and preventive care to meet the health needs of vulnerable, underserved, and medically indigent patients, with an emphasis on providing primary and preventative medical services to uninsured or medically indigent patients.

An important component of this work is to strengthen the safety net through increased levels of collaboration and integration of services to sustain and meet the needs of those served more effectively. When an eligible primary care medical home safety net organization provides integrated care, grant funding may also support dental, pharmacy, and behavioral health services.

Primary care safety net organizations that currently provide primary and preventative health care for underserved and medically indigent patients in North Carolina are eligible to apply for this funding to pay for patient care through encounter-based reimbursement (Track A) or through reimbursement for eligible expenses (Track B). Telehealth services and equipment are eligible expenses in both tracks. Applicants must select ONE track. 

Track A: Encounter-based reimbursement. Payment per patient encounter for low-income, uninsured, and underinsured residents, who do not have health care coverage or access to primary health care services. Visits are reimbursable for medically necessary, on-site, face-to-face provider encounters. Face-to-face encounters may also include telehealth patient encounters with a provider. 

Track B: Reimbursement for eligible expenses. Payment may include salary/fringe for clinical staff, medical/office supplies and equipment, and capital expenses, including equipment for telehealth services. 

Eligible organizations that currently provide direct primary and preventive care may use these funds to support any of the following: 

  • Health promotion, health maintenance, health counseling,
  • Disease prevention,
  • Patient education, 
  • Diagnosis and treatment of acute and chronic illnesses,
  • Integrated care services (dental, pharmacy, behavioral health, care coordination/care management by a primary care entity), 
  • Women’s health, maternal and child health that supports health care services in a primary care setting,
  • Collaborative, community-based, whole person-centered health care delivery models,
  • Telehealth patient care,
  • Community health workers.

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Additional Eligibility Criteria:

All primary care safety net organizations that currently provide direct primary and preventive care and serve as a medical home are eligible to apply. This includes:
- Federally Qualified Health Centers and Look-Alikes (FQHCs),
- Free and Charitable Clinics,
- Health Departments,
- Non-Profit, Hospital-Owned Primary Care Clinics,
- Rural Health Centers,
- School-Based and School-Linked Health Centers,
- AHEC Clinics,
- Other Non-Profit Community Organizations that provide direct primary and preventive patient care to low-income, uninsured, underinsured and medically vulnerable populations.

Indirect costs are not eligible.

Regardless of track selected, applicant organizations must ensure that Community Health Grant funding does not duplicate or supplant any other funding, including Federal COVID funds.

Pre-proposal Conference:

Webinars by Medicaid Regions (Appendix A) will be held on the following dates:
Organizations are invited to participate in any or all the webinars.

October 3, 2022, at 10:00 am - Regions 1 and 2
https://www.zoomgov.com/j/1609944438?pwd=VUEyVEc5YTN6RnhTZS9KVEZ4b2JuQT09

Meeting ID: 160 994 4438
Passcode: 146192
One tap mobile
+16692545252,1609944438# US (San Jose)
+16468287666,1609944438# US (New York)

Dial by your location
+1 669 254 5252 US (San Jose)
+1 646 828 7666 US (New York)
+1 551 285 1373 US
+1 669 216 1590 US (San Jose)
Meeting ID: 160 994 4438
Find your local number: https://www.zoomgov.com/u/abNMKsr941

October 6, 2022, at 2:30 pm - Regions 3 and 5
https://www.zoomgov.com/j/1607675142?pwd=TzFwRmNZRzFuZVE5TjJHb0xYZjFxUT09

Meeting ID: 160 767 5142
Passcode: 895471
One tap mobile
+16692545252,1607675142# US (San Jose)
+16468287666,1607675142# US (New York)

Dial by your location
+1 669 254 5252 US (San Jose)
+1 646 828 7666 US (New York)
+1 551 285 1373 US
+1 669 216 1590 US (San Jose)
Meeting ID: 160 767 5142
Find your local number: https://www.zoomgov.com/u/ac4iR46fFB

October 13, 2022, at 1:00 pm - Regions 4 and 6
https://www.zoomgov.com/j/1606486910?pwd=MGZFWVFuNW1GQUFpMkFlZE9sR1M5dz09

Meeting ID: 160 648 6910
Passcode: 000902
One tap mobile
+16692545252,1606486910# US (San Jose)
+16468287666,1606486910# US (New York)

Dial by your location
+1 669 254 5252 US (San Jose)
+1 646 828 7666 US (New York)
+1 551 285 1373 US
+1 669 216 1590 US (San Jose)
Meeting ID: 160 648 6910
Find your local number: https://www.zoomgov.com/u/aerYoJimP2

Pre-Application Information:

Application Deadline: December 2, 2022

Access to the electronic application is a two-step process:
- Step One: Use the Office of Rural Health application link to submit the organization name and contact information. The link opens on October 3, 2022 and closes on December 2, 2022.
- Step Two: Upon submitting the required information to the Office of Rural Health Application Link, an email with a personalized link specific to your organization will be sent. The link in the email will provide access to the electronic application. The application closes December 2, 2022. Please begin the application process in time to ensure completion on or before December 2, 2022. No new application links will be sent after December 1, 2022.
Successful applicants will be required to attend a grant award workshop.

Only one application can be submitted per eligible organization.

Additional Funding Information:

Number of Grants:

ORH anticipates that approximately 31 applicants will receive three-year funding.

Estimated Size of Grant:

Applicants may request up to $150,000 per year of the grant.

Term of Contract:

State Fiscal Year 2024: July 1, 2023 – June 30, 2024

Contact Information:

Office of Rural Health Application Link: https://ncruralhealth.az1.qualtrics.com/jfe/form/SV_0Nh7wwUaILlnJnU

To obtain further information: Funding Agency Contact/Inquiry Information:
Nicole Fields-Pierre: nicole.fields-pierre@dhhs.nc.gov

For assistance with the application link:
Sharema Williams: sharema.williams@dhhs.nc.gov

NC Department of Health and Human Services
2001 Mail Service Center
Raleigh, NC 27699-2000
Customer Service Center: 1-800-662-7030

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