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FY18 Breast and Cervical Cancer

Screening Program

Grant Application and Contract

Draft Review

June 30, 2017 - June 29,2018

Training Webinar, March 6, 2017

Webinar Purpose:

1. Provide brief overview of program intent

2. Review BCC Application Guidance on components

and key items

3. Review proposed FY18 BCC Contract features

Overview of Program and Contract Intent

BCC PurposeProvide enrollment, screening and diagnostic services to

low-income, underinsured or uninsured for individuals who:

• Are ages 40 or over

(May be less than 40 and symptomatic for breast disease);

• Earn less than the set income guidelines

(250% federal poverty level); or

• Are not be enrolled in Medicare Part B.

Provide patient navigation services to individuals who:

• Are ages 40 or over (or under 40 if symptomatic);

• May be covered by Medicare Part B;

• Earn less than the set income guidelines; and

• Are insured.

FY18 Proposed BCC Screening

Goal: 2,516 Women

• Federal funds - 2,000 screening slots

• State funds - 237 screening slots

• Komen funds - 279 screening slots

None of these funding streams have yet been secured for the contract period.

FY18 Changes–Local Service Areas

Same number of contracts with Local

Boards of Health

The Butler Program will cover:

Mitchell, Howard and Chickasaw Counties

FY18 Changes Continued

Two Contracts

Two funding opportunities - IowaGrants

BCC contract (BCC only)

WISEWOMAN contract (BCC+WW)

Budget Changes

Fee for Service (screening)

Line Item (outreach)

Work plan revisions in IowaGrants.gov

Funding Forecast

• Federal Cooperative Agreement – uncertainty,

unknown expectation regarding funding amount

• New programming expectations – work with health

systems, disparate populations, and evidence-based

interventions

• Requested: $2,580,418 (increase of $602,167)

BCC Application Guidance on Components and Key Items

Application Submission–IowaGrants.govApplication Package Available Now

Excerpts from the CFY – BCC Application Guidance:

1.01 Purpose

The purpose of this Application Guidance is to provide eligible applicants

information on completion of the application for the FY18 Care for

Yourself (CFY) – Breast and Cervical Cancer Screening Program. Services

covered by this application include financial support to local boards of

health to assure the provision of breast and cervical cancer screening

and diagnostic services for eligible persons.

1.02 Project and Contract Period

Funding during the defined project period is dependent on approval of the

application, contractor performance during the fiscal year, compliance

with general and special conditions of the contract, availability of project

funds, program modifications, or any other grounds determined by IDPH

to be in IDPH’s best interest.

The contract period will be a one-year term - June 30, 2017 to June 29, 2018.

Application Guidance

Local Boards of Health are, and will be, the only

entity eligible to apply for and serve as the

contractor for the CFY - BCC contract.

A Local Public Health Agency may not apply in

response to the posting.

■ Attachment F – FY18 Funding Table

Schedule of Important Dates

Application Forms Cover Sheet – General Information

Business Organization

Certification and Conditions

Personnel

Project Work Plan (Core Services 1-9)

Subcontract Plan

Project Budget

Minority Impact Statement

Work Plan

Core Services1: Enrollment and Screening

2: Recall of Participants

3: Documentation of Refusal of Services or Lost to Follow-up Status

4: Diagnostic Services

5: Patient Navigation (Error in Guidance // Dates)

Screening Completion (including Navigation) -- May 15, 2018

Diagnostic Follow-Up Completed -- June 15, 2018

6: Data Collection and Reporting

7: Outreach

8: Provider Recruitment and Education

9: Meetings

“General Conditions Training – Data and Subcontracting”

YouTube https://www.youtube.come/watch?v=4uCfkDTI9hE&feature=youtu.be

“Copy Previous Application”

Instruction on page 17 of the Application Guidance in

Section 2.02 Application Instructions

A Time Saver!

Budget

Proposed FY18 BCC Contract Features

FY18 ContractTemplate

Article III – is where the Contract Administrator for

the project will be listed

Article IV – Key Personnel will only have the Project

Director listed

NOTE:

• There will be a component in IowaGrants

where all staff who work with the program

need to be included.

• Key Personnel for the CFY - BCC program is a

new component in IowaGrants

Hurry Up… and Wait

Application Due: 3/30/17

Period of Waiting: April 2017 – June 2017

CDC Notice of Award to IDPH: “June 30, 2017”

Fiscal Year/Contract Period Start: June 30, 2017

OutreachActivities

Funds based on the number

of screening slots allocated

Outreach funds and

activities will need to be

described in the FY18

Application

Follow IDPH logo

guidelines

Develop, purchase and distribute educational and promotional items

Provide the Department with electronic copies of materials developed or purchased

Obtain approval on developed or materials. Allow at least two weeks for approval

FY18 BCC Performance Measure

CRITERIA: The Contractor shall conduct 40% of its allotted

screening numbers by December 31, 2017.

MEASURE: At least 40% of the Contractor’s screenings are

completed on unduplicated participants by December 31, 2017,

evidenced by data submitted no later than January 31, 2018;

the Contractor will receive a $500.00 incentive payment.

Evidence of completion will be verified by the Department from

the monthly Vouching Reports. Payment of incentives will be

made with the June 2018 reimbursement.

Budget Sample

Komen Screening Allocations

KOMEN slots are used for 75/25 split

All Komen awarded slots are included in the total

number of screening slots allotted in the contract.

Some contracts have Komen screening slots identified

for certain counties.

Special outreach funds have been allocated to

those service areas

Calls will be scheduled to discuss this requirement.

Payments

The Contractor shall complete and submit:• a monthly claim in the grant site located in

IowaGrants within 30 days of the month of

expenditures; and

• monthly claim support documentation for outreach

activities completed and costs associated with the

activities identified.

Warrants will be made payable to the Contractor and

mailed to the Project Director listed on the Contract

Face Sheet.

Warrants may be sent to an alternative address if

requested in writing from the Contractor.

Upcoming Events

Execution of FY18 BCC Contracts

Contracts will be made available once the official

notice of award is received from the CDC and

budgets have been revised.

Expect requests from IDPH for needed revisions to

the Application Work Plan and Budget

Will our contracts be

ready by June 30th?

Next steps…

Wait for Funding Opportunity notice/email from Lindsey Jones

Review application guidance and separate attachments under

the Funding Opportunity

Review documents/guidance carefully –

the more detail provided, thebetter

Complete Application forms – oncefinalized, submit

Wait to hear from Sonya Loynachan regarding

application approval or negotiation.

Questions?