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Urban Indian Health Services

Program Descriptions

Program Number



Urban Indian Health Services


Federal Agency




Indian Health Care Improvement Act, Title V, Sections 503 and 511, Public Law 94-437 as amended, Public Law 100-713, 101-630, and 102-572.






To 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.


Types of Assistance

Project Grants.


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).


Eligibility Requirements

Applicant Eligibility

Urban Indian organizations with whom the Secretary has entered into a contract or grant under Title V of the Indian Health Care Improvement Act.

Beneficiary Eligibility

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


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 OMB Circular No. A-122, Nonprofit Institutions.


Application and Award Process

Preapplication Coordination

Preapplication is not required. This program is excluded from coverage under E.O. 12372. An environmental impact statement is not required. Technical assistance is available from the Indian Health Service Headquarters. This program is subject to the Public Health Systems Reporting Requirements.

Application Procedure

This program is subject to the provisions of OMB Circular No. A-122. The preferred method for receipt of applications is electronic submission through However, should any technical problems arise regarding the submission, please contact Customer Support at 1-800-518-4726 or The Contact Center hours of operation are Monday-Friday from 7:00 a.m. to 9:00 p.m. (Eastern Standard Time). If you require additional assistance please contact Michelle G. Bulls, Grants Policy Officer; Telephone: (301) 443-6528 at least fifteen days prior to the application deadline. To submit an application electronically, please use the apply site. Download a copy of the application package, on the website, complete it offline and then upload and submit the application via the site. You may not e-mail an electronic copy of a grant application to us.

Award Procedure

Grants are awarded to all eligible organizations based on a thorough review to determine conformance with the goals of the program. 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 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.


Contact the Headquarters Office for application deadlines.

Range of Approval/Disapproval Time

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





Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula or matching requirements.

Length and Time Phasing of Assistance

Grants will be awarded for project periods of up to 3 years.


Post Assistance Requirements


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.


In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Non-Profit 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, grantees are subject to site visits and audits by the Department of Health and Human Services (DHHS) and other Federal officials.


DHHS and the Comptroller General of the United States or any of their authorized representatives, shall have the right of access to any books, documents, papers, or other records of a grantee, subgrantee, contractor, or subcontractor, which are pertinent to the grant in order to make audits, examinations, excerpts, and transcripts. Grantees are required to maintain grant accounting records for 3 years after the end of a budget period. If any litigation, claim, negotiation, audit or other action involving the records has been started before the expiration of the 3-year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3-year period, whichever is later.


Financial Information

Account Identification



(Grants) FY 07 $33,691,000; FY 08 est $34,547,000 and FY 09 not reported.

Range and Average of Financial Assistance

$114,578 to $573,126; $209,846.


Program Accomplishments

Thirty-four continuing grant awards were funded in fiscal year 2005. It is estimated that 34 continuing grants will be awarded in fiscal year 2006, and it is anticipated that 34 continuing grants will be awarded in fiscal year 2007.


Regulations, Guidelines and Literature

Specific program guidelines, including applicable sections of Public Law 94-437, as amended; 45 CFR 74; and the PHS Grants Policy Statement, DHHS Publication No. (OASH) 94-50,000, (Rev.) April 1, 1994.


Information Contacts

Regional or Local Office

Not applicable.

Headquarters Office

Program Contact: Ms. Danielle Steward, Program Specialist, Urban Programs, Indian Health Service, 801 Thompson Avenue, Suite 200, Rockville, MD 20852. Telephone: (301) 443-4680. Grants Management Contact: Ms. Kimberly Pendleton, Senior Grants Management Officer, Division of Grants Operations, Indian Health Service, 801 Thompson Avenue, Suite 100, Rockville, MD 20852. Telephone: (301) 443-5204. Use the same numbers for FTS.

Web Site Address


Related Programs



Examples of Funded Projects

(1) Alcohol and Substance Abuse Prevention, Intervention, After-Care and Education for Youth and Families; (2) Therapeutic Counseling; (3) Comprehensive Chemical Dependency Project; (4) Mental Health Needs Assessment; (5) Mental Health Services; (6) Immunization Services; and (7) Diabetes Prevention/Education and Obesity Control.


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.


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