[Federal Register Volume 81, Number 157 (Monday, August 15, 2016)]
[Notices]
[Pages 54104-54105]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-19347]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Notice of Single-Award Deviation From Competition Requirements 
for the National Center for Medical Home Implementation Cooperative 
Agreement

AGENCY: Health Resources and Services Administration, HHS.

ACTION: Notice of Single-Award Deviation from Competition Requirements 
for the National Center for Medical Home Implementation Cooperative 
Agreement.

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SUMMARY: HRSA announces the award of a supplement in the amount of 
$300,000 per year for two years for the National Center for Medical 
Home Implementation (NCMHI) Cooperative Agreement cooperative 
agreement. The purpose of the NCMHI cooperative agreement, as stated in 
the funding opportunity announcement, is to: (1) Support a national 
resource and assistance effort to implement and spread the medical home 
model to all children and youth, particularly children with special 
health care needs (CSHCN), children who are vulnerable and/or medically 
underserved, and pediatric populations served by state public health 
programs, MCHB and HRSA; and (2) support activities of the Healthy 
Tomorrows Partnership for Children Program (HTPCP) grantees to improve 
children's health through innovative community-based efforts, and 
community and statewide partnerships among professionals in health, 
education, social services, government, and business. The supplement 
will permit the American Academy of Pediatrics (AAP), the cooperative 
agreement awardee, during the budget periods of 7/1/2016-6/30/2017 and 
7/1/2017-6/30/2018, to provide technical assistance to the Rural IMPACT 
communities as they employ two-generation strategies to more 
effectively support children living in poverty in rural communities, 
including the implementation and spread of the family-centered medical 
home model of health care.

SUPPLEMENTARY INFORMATION: 
    Intended Recipient of the Award: The American Academy of 
Pediatrics.
    Amount of Non-Competitive Awards: $600,000.
    Period of Supplemental Funding: 7/1/2016-6/30/2017 and 7/1/2017-6/
30/2018.
    CFDA Number: 93.110.
    Authority: Social Security Act, Title V, sections 501(a)(1)(D) and 
501(a)(2), (42 U.S.C. 701(a)(1)(D) and 701(a)(2)).
    Justification: The White House Rural Council initiated the Rural 
IMPACT project to support improved well-being and upward economic 
mobility of children in rural and tribal communities. Ideally, systems 
and services are designed to meet family's needs, and are linked 
together so that families can access them seamlessly through universal 
``no wrong door'' intake processes and shared referral networks. 
Components of the Rural IMPACT project include Healthy Start, Early 
Head Start, Head Start, Home Visiting, WIC, Medical Home, Quality Child 
Care Education Job Training and income and nutrition supports such as 
TANF cash assistance, Supplemental Security Income, and the 
Supplemental Nutrition Assistance Program. The goal of Rural IMPACT is 
to ensure the healthy development of at-risk children and increase the 
education and employment opportunities of their parents, thereby 
improving the well-being of families.
    Rural IMPACT project continues to be a high priority of the White 
House Rural Council, and support for the ten Rural IMPACT communities 
will continue to be an interagency effort including, in addition to 
HHS, the Departments of Agriculture, Education, Labor, and the 
Corporation for National and Community Service.
    The purpose of the NCMHI cooperative agreement, as stated in the 
funding opportunity announcement, is to: (1) Support a national 
resource and assistance effort to implement and spread the medical home 
model to all children and youth, particularly children with special 
health care needs (CSHCN), children who are vulnerable and/or medically 
underserved, and pediatric populations served by state public health 
programs, MCHB and HRSA; and (2) support activities of the Healthy 
Tomorrows Partnership for Children Program (HTPCP) grantees to improve 
children's health through innovative community-based efforts, and 
community and statewide partnerships among professionals in health, 
education, social services, government, and business. The Rural IMPACT 
Project activities align with the current project plan, as the NCMHI 
advances system changes and new initiatives at the community, state, 
and national levels, building on community partnerships to support 
family-centered medical home implementation for all children and youth, 
particularly those underrepresented and from diverse communities (Goal 
3).
    In 2013, following objective review of its application, HRSA 
awarded the NCMHI cooperative agreement to the American Academy of 
Pediatrics (AAP), a nonprofit, tax-exempt organization under Internal 
Revenue Code 501(c)(3). In 2015, HRSA awarded a $300,000 supplement to 
the NCMHI cooperative agreement to allow the AAP to build on its 
existing work under the cooperative agreement to implement and spread 
the medical home model in Rural IMPACT project communities, thereby 
advancing the well-being of children in those communities.
    From August 2015 to June 2016, AAP, as part of the NCMHI 
cooperative agreement, established an expert workgroup and operational 
structure to guide the initiative; developed and issued a solicitation 
and scoring process, and conducted a review of applications to make 
recommendations for participating communities. Since the identification 
of ten rural and tribal communities, the AAP has provided technical 
assistance to support their efforts to develop and begin implementing 
two-generation service delivery models to address the needs of both 
vulnerable children and their parents.
    From July 2016 to June 2018, the ten participating communities will 
implement their action plans. Ongoing support is needed to assist the 
communities in implementation as well as evaluation, sustainability, 
and dissemination of information. This supplement will provide 
additional funds, through the NCMHI cooperative agreement, to provide 
technical assistance to the Rural IMPACT communities as they employ 
two-generation strategies to more effectively support children living 
in poverty in rural communities, including the implementation and 
spread of the family-centered medical home model of health care.

FOR FURTHER INFORMATION CONTACT: Marie Y. Mann, MD, MPH, FAAP, Division 
of Services for Children with Special Health Needs, Maternal and Child 
Health Bureau, Health Resources and Services Administration, 5600 
Fishers Lane, Room 13-103, Rockville, Maryland 20857; [email protected].

[[Page 54105]]



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                                                                                                           FY 2016                           FY 2017
                                                                                          FY 2016         estimated         FY 2017         estimated
      Grantee/organization name                Grant No.                 State           authorized      supplemental      authorized      supplemental
                                                                                       funding level       funding       funding level       funding
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The American Academy of Pediatrics...  U43MC09134                 IL                        $800,031         $300,000         $800,031         $300,000
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    Dated: August 8, 2016.
James Macrae,
Acting Administrator.
[FR Doc. 2016-19347 Filed 8-12-16; 8:45 am]
BILLING CODE 4165-15-P