Cooperative Agreements For State-Based Diabetes Control Programs And Evaluation Of Surveillance Systems
CENTERS FOR DISEASE CONTROL AND PREVENTION, DEPARTMENT OF HEALTH AND HUMAN SERVICES
Public Health Service Act, Section 301(a) and Section 317(k)(3), 42 U.S.C. 247b, as amended; Health Services and Centers Amendments of 1978, Public Law 95-626; Omnibus Budget Reconciliation Act of 1981, as amended, Public Law 97-35.
Provide resources to state health departments to: 1) Determine the size and nature of diabetes-related problems and why they exist; 2) develop and evaluate new strategies for diabetes prevention; 3) establish partnerships to prevent diabetes problems; 4) increase awareness of diabetes prevention and control opportunities among the public, the health care and business communities, and people with diabetes; 5) improve access to quality care in order to prevent, detect and treat diabetes complications; 6)emphasize prevention of complications and premature mortlality among people with diabetes; and 7)utilize a model of influence by linking new programs and existing programs that support social and environmental policies for the promotion of wellness in both people with diabetes and those at risk for diabetes.
Types of Assistance
Project Grants (Cooperative Agreements).
Uses and Use Restrictions
Cooperative Agreement funds may be used for costs associated with planning, implementing, and evaluating State based diabetes control programs. Cooperative Agreement funds may not be used for direct curative or rehabilitative services.
Eligible applicants are the official State and territorial health agencies of the United States, the District of Columbia, the Commonwealth of Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands, the Federated States of Micronesia, the Republic of the Marshall Islands, the Republic of Palau, and American Samoa.
State health agencies will benefit.
Applicants should document the need for assistance, state the objectives of the project, outline the method of operation, describe evaluation procedures, and provide a budget with justification for funds requested. Costs will be determined in accordance with OMB Circular No. A-87 for State and local governments.
Application and Award Process
Preapplication coordination is not required. Applications are subject to the review requirements of the National Health Planning and Resources Development Act of 1974 as amended by the Health Planning and Resources Development Act of 1979. This program is eligible for coverage under E.O. 12372, "Intergovernmental Review of Federal Programs." An applicant should consult the office or official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review.
Information on the submission of applications may be obtained from the Grants Management Officer, Grants Management Branch, Procurement and Grants Office, Centers for Disease Control and Prevention, 2920 Brandywine Road, Room 3000, Atlanta, GA 30341. This program is subject to the provisions of 45 CFR 92. The standard application forms, as furnished by PHS and required by 45 CFR 92 for State and local governments, must be used for this program.
After review and approval, a notice of award is prepared and processed, along with appropriate notification to the public.
Contact Headquarters Office for applications deadline.
Range of Approval/Disapproval Time
From 3 to 4 months.
Formula and Matching Requirements
Funds for a Capacity Building Diabetes Control Programs have a matching requirement; matching funds must be from nonfederal sources in an amount not less than $1 for every $5 of Federal funds awarded and $1 for every $4 of Federal Funds awarded for each Basic Implementation Diabetes Control Program Award.
Length and Time Phasing of Assistance
For 5 years. Budget period: Approximately 12 months.
Post Assistance Requirements
Progress reports are required annually. A plan of action is required annually. Special studies will require protocols, subject to approval. Financial status reports are required no later than 90 days after the end of each specified funding period. Final financial status and progress reports are required 90 days after the end of a project.
In accordance with the provisions of OMB Circular No. A- 133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Nonprofit Organizations," nonfederal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133. In addition, grants and cooperative agreements are subject to inspection and audits by DHHS and other Federal government officials.
Financial records, supporting documents, statistical records, and all other records pertinent to the cooperative agreement program shall be retained for a minimum of 3 years, or until completion and resolution of any audit in process or pending resolution. In all cases, records must be retained in accordance with PHS Grants Policy Statement requirements.
(Grants) Financial Assistance: FY FY 07 $29,858,629 DA $ est not available; FY 08 est FA $29,858,629, DA $ est not available; and FY 09 est 29,828,106.
Range and Average of Financial Assistance
Capacity Building Programs: $75,000 to $350,000; $250,000. Basic Implementation Programs: $300,000 to $800,000; $500,000.
Fiscal year 2003 CDC announced the availability of funds to continue the diabetes program for a five year funding period till 2008. This announcement will continue to emphasize prevention and complications and premature mortality among people with diabetes. Program will continue to incorporate a model of influence by linking new programs and existing programs that support social and environmental policies for the promotion of wellness in both people with diabetes and those at risk for diabetes. Awards were made in two categories: Capacity Building (Core) and Basic Implementation (Comprehensive) Presently there will be 31 Capacity Building and 28 Basic Implementation. It is anticipated that with future funds CDC expects to contiue funding the state-based diabetes proventiona nd control programs for another five-year budget cycle.
Regulations, Guidelines and Literature
There are no regulations, but guidelines are available. HHS Grants Policy Statement, DHHS Publication No. (OASH) 94-50,000, (Rev.) April 1, 1994, applies to cooperative agreements.
Regional or Local Office
Program Contact: Mr. Russ Sniegowski, Acting Chief, Program Development Branch, Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers of Health and Human Services, 1600 Clifton Road, NE., Atlanta, GA 30333. Telephone: (770) 488-5033. Grants Management Contact: Nealeen Austin, Grants Management Officer, Grants Management Branch, Procurement and Grants Office, Centers for Disease Control and Prevention, 2920 Brandywine Road, Room 3000, Atlanta, GA 30341. Telephone: (770) 488- 2722.
Program Contact: Mr. Russ Sniegowski, Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Public Health Service, Department of Health and Human Services, 1600 Clifton Road, NE., Atlanta, GA 30333. Telephone: (770) 488-5033. Grants Management Contact: Nealean Austin, Grants Management Officer, Grants Management Branch, Procurement and Grants Office, Centers for Disease Control and Prevention, Public Health Service, Department of 2929 Brandywine Road, Atlanta, GA 30341 Telephone: (770) 488-2722.
Web Site Address
93.283, Centers For Disease Control And Prevention-INVESTIGATIONS And Technical Assistance
Examples of Funded Projects
All funded projects are State-Based Diabetes Control Programs. Each State/Territory-Based Diabetes Control Program works to integrate diabetes prevention and control activities into existing and evolving health care systems. Examples of funded activities included in State DCP projects includes; (1) Media campaigns, (2) community based projects aimed at high risk populations, (3) partnerships with managed care organizations implementing quality of care standards, (4) Quality Improvement projects to insure the use of standards of care, and (5) utilization of school networks to implement diabetes education programs targeting children.
Criteria for Selecting Proposals
For Capacity Building Programs: (1) The consistency of the work plan with the stated morbidity reduction purpose of the cooperative agreement. (2) The quality of the applicant's plans for the integration of the diabetes program elements into the health care delivery system at the community level. (3) The quality of the applicant's plans to develop and maintain the capacity to identify high-risk populations, define needs, and plan future program development. (4) The ability of the applicant to identify staff for the program who are capable and trained to carry out the required tasks. (5) The extent to which the budget is reasonable, consistent with the intended use of cooperative agreement funds, and includes evidence of the State's commitment to the program by matching financial and/or in- kind contributions from nonfederal sources to activities of the proposed program. For Basic Implementation Programs: (1) Documented need and demonstrated capacity and infrastructure; (2) time-framed and measurable objectives; (3) feasibility; appropriateness, and specificity of objectives; (4) quality of evaluation plan; (5) quality of plan for statewide implementation; and (6) quality of management plan.