HomeMy WebLinkAboutterms and conditonsNOTICE OF GRANT AWARD (Continuation Sheet)
Page 2
Date Issued. 09/22/2004
Grant Number' 1 D67RH04125-01-00
1
Terms and Conditions
Failure to comply with the special remarks and condition(s) may result in a draw down restriction being placed
on your Payment Management System account or denial of future funding.
Standard Terms:
1. The HHS Appropriations Act requires that when issuing statements, press releases, requests for proposals, bid
solicitations, and other documents describing projects or programs funded in whole or in part with Federal money, all
grantees receiving Federal funds, including but not limited to State and local governments, shall clearly state the
percentage of the total costs of the program or project which will be financed with Federal money, the dollar amount of
Federal funds for the project or program, and percentage and a dollar amount of the total costs of the project or
program that will be financed by nongovernmental sources.
2. Recipients and sub -recipients of Federal funds are subject to the strictures of the Medicare and Medicaid anti -kickback
statute (42 U.S.C. 1320a - 7b(b) and should be cognizant of the risk of criminal and administrative liability under this
statute, specifically under 42 U.S.C. 1320 7b(b) Illegal remunerations which states, in part, that whoever knowingly
and willfully:
(A) Solicits or receives (or offers or pays) any remuneration (including kickback, bribe, or rebate) directly or indirectly,
overtly or covertly, in cash or in kind, in return for referring (or to induce such person to refer) an individual to a person
for the furnishing or arranging for the furnishing of any item or service, OR
(B) In return for purchasing, leasing, ordering, or recommending purchasing, leasing, or ordering, or to purchase,
lease, or order, any goods, facility, services, or item
....For which payrnent may be made in whole or in part under subchapter XIII of this chapter or a State health care
program, shall be guilty of a felony and upon conviction thereof, shall be fined not more than $25,000 or imprisoned for
not more than five years, or both.
3. The HHS Appropriations Act requires that to the greatest extent practicable, all equipment and products purchased
with funds made available under this award should be American -made.
4. Requests that require prior approval from the awarding office as indicated in 45 CFR Part 74.25 [Note: 74.25 (d)
HRSA has not waived cost -related or administrative prior approvals for recipients unless specifically stated on this
Notice of Grant Award) or 45 CFR Part 92.20 must be submitted in writing to the Grants Management Officer (GMO).
Only responses signed by the GMO are to be considered valid. Grantees who take action on the basis of responses
from other officials do so at their own risk. Such responses will not be considered binding by or upon the Health
Resources and Services Administration.
5. Payments under this award will be made available through the DHHS Payment Management System (PMS). PMS is
administered by the Division of Payment Management, Financial Management Services, Program Support Center,
which will forward instructions for obtaining payments. Inquiries regarding payment should be directed to: Payment
Management, DHHS, P.O. Box 6021, Rockville, MD 20852, http://www.dpm.psc.gov/ or Telephone Number:
1-877-614-5533.
6. The DHHS Inspector General maintains a toll -free hotline for receiving information concerning fraud, waste, or abuse
under grants and cooperative agreements. Such reports are kept confidential and callers may decline to give their
names if they choose to remain anonymous. Contact: Office of Inspector General, Department of Health and Human
Services, Attention: HOTLINE, 330 Independence Avenue Southwest, Cohen Building, Room 5140, Washington, D. C.
20201, Email: Htips@os.dhhs.gov or Telephone: 1-800-447-8477 (1-800-HHS-TIPS).
7. Submit audits, if required, in accordance with OMB Circular A-133, to: Federal Audit Clearinghouse Bureau of the
Census 1201 East 10th Street Jefferson, IN 47132 PHONE: (310) 457-1551, (800)253-0696 toll free
http:/Jharvester.census.gov/sac/facconta.htm
Reporting Requirements:
NOTICE OF GRANT AWARD (Continuation Sheet)
Page 3 LD2te Issued: 09/22/2004
Grant Number: 1 D67RH04125.01.00
1. Due Date: Within 90 days of Budget End Date
An annual Performance Report (in the format prescribed by the Office of Rural Health Policy) must be received by the
Division of Grants Management Operations within 90 days after expiration of the budget period.
2. Due Date: Within 90 days of Budget End Date
Financial Status Report SF-269a/short form at (http://www.psc,gov/formslsf) is due within 90 days after expiration of
the budget period. This report should NOT reflect cumulative reporting from budget period to budget period and should
be submitted to the HRSA Division of Grants Management Operations, 5600 Fishers Lane, Room 11A-16, Rockville,
MD 20857.
Failure to comply with these reporting requirements will result in deferral or additional restrictions of future
funding decisions.
Contacts:
Program Contact: For assistance on programmatic issues, please contact Blanca Fuertes at:
RM 9A-55
Office of Rural Health Policy
5600 Fishers Lane
Rockville, MD 20857-0001
Phone: (301)443-0612
Email: bfuertes@hrsa.gov
Division of Grants Management Operations: For assistance on grants administration issues, please contact Carolyn
Cobb at:
Division of Grants Management Operations
5600 Fishers Lane RM 11A-16
Rockville, MD 20857-0001
Phone: (301)443-0829
Email: ccobb2@hrsa.gov
Responses to reporting requirements, conditions, and requests for post award amendments must be mailed to the
attention of the Office of Grants Management contact indicated above. All correspondence should include the Federal
grant number (item 4 on the award document) and program title (item 8 on the award document). Failure to follow this
guidance will result in a delay in responding to your request.