PA-FPH-22-001_NOFO TA webinar_FINAL.pptx

FY2022 NOFO Technical Assistance Webinar:

Title X Family Planning Services Grants Opportunity Number: PA-FPH-22-001

November 9, 2021 Audio: 833 568 8864 US Toll-free Meeting ID: 161 424 6897 Passcode: 163666

U.S. Department of Health & Human Services Office of the Assistant Secretary for Health Office of Population Affairs

Mousumi

Good afternoon/good morning to everyone joining us today from across the US and our territories and from the Pacific Rim, and thank you for joining the Technical assistance webinar for the Office of Population Affairs’ funding opportunity announcement for Title X Family Planning Services Grants; Opportunity Number: PA-FPH-22-001

My name is Mousumi Banikya-Leaseburg and I am with the Office of Population Affairs where I serve as the Supervisory Lead for the Title X program and team.

I am joined today by Alissa Harvey, Naomie Gathua, and Shenena Armstrong Merchant who are Project Officers on the Title X Team as well as my colleague from the OASH Grants and Acquisitions Management Division (GAM) – Scott Moore who is the OASH Grants Management Officer.

This technical assistance webinar is being recorded and will be posted for the duration of the competition.

A few housekeeping items before we begin: All participants have been muted. We invite you to submit questions throughout the webinar in the chat. We will not be taking verbal questions. We’ll respond to questions during the Q&A sessions and in an FAQs document which will be posted to Grants.gov as well as the OPA website..

Please note that the information provided in this call does not supersede any of the content of the NOFO. The NOFO is the written document that will govern the competition. We strongly encourage you to subscribe to the NOFO on Grants.gov to ensure that if there are any revisions or amendments made to it you will receive notice.

Again-- the notice of funding opportunity is the document which governs the competition. If there is a conflict with what is said in this webinar, the written NOFO as posted on grants.gov controls.

Logistics Please be on mute.

We will pause for Q&A a few times during the session Chat Q&A Questions and Answers Submit questions via Resource Mailbox: FY22.TitleXNOFO.National@hhs.gov Call: 240-453-2800 Submit questions via the Q&A box on your screen All questions will be added to an FAQs document which will be updated regularly Review the FAQs on OPA’s website at https://opa.hhs.gov/grant-programs/funding/current-funding-opportunities#TitleX These slides and a link to the recording of this presentation will be posted on grants.gov and opa.hhs.gov following the presentation.

A little house keeping…

Please be on mute.

We will pause for Q&A a few times during the session Chat Q&A Questions and Answers Submit questions via Resource Mailbox: FY22.TitleXNOFO.National@hhs.gov Call: 240-453-2800 Submit questions via the Q&A box on your screen All questions will be added to an FAQs document which will be updated regularly Review the FAQs on OPA’s website at https://opa.hhs.gov/grant-programs/funding/current-funding-opportunities#TitleX These slides and a link to the recording of this presentation will be posted on grants.gov and opa.hhs.gov following the presentation.

Webinar Agenda Programmatic Overview of the Notice of Funding Opportunity (NOFO) Introduction & Background Expectations of Recipients Application Content Application Review Information

Question and Answer Session

Grants and Acquisitions Management Competitive Application Requirements and Process

Question and Answer Session

The purpose of today’s call is to review the expectations, application content, and the application submission instructions for the funding opportunity announcement but also to help prepare applicants to submit responsive and compelling applications by the due date which is Jan 11 by 6 pm ET. Alissa and I will first cover the programmatic overview which will include and intro and background, expectations of recipients, application content, and application review information. Then Scott will cover the Grants and Acquisitions portion which includes the competitive application requirements and process.

Introduction & Background

Alissa

OPA Mission Promote health across the reproductive lifespan through innovative, evidence-based adolescent health and family planning programs, services, strategic partnerships, evaluation, and research.

OPA administers the Title X family planning program, the Teen Pregnancy Prevention program,, and the Embryo Adoption Awareness program

OPA is a staff division within the US. Department of Health and Human Services Office of the Assistant Secretary of Health, or OASH. The primary focus of OASH is leading America to healthier lives, especially for those who have suffered historic disparities. In support of this vision, OPA promotes health across the reproductive lifespan through innovative, evidence-based sexual and reproductive health and family planning programs, services, strategic partnerships, evaluation, and research.

OPA administers the Title X family planning program, the Teen Pregnancy Prevention program, and the Embryo Adoption Awareness program

Grants funded through this NOFO will support Title X family planning services to millions of clients nationwide.

About Title X The Title X Family Planning Program is the only federal grant program dedicated solely to providing comprehensive family planning and related preventive health services Title X grants play a critical role in ensuring access to a broad range of family planning and related preventive health services for millions of low-income or uninsured individuals and others.

Family planning services are services that assist in preventing or achieving pregnancy. Title X clinics provide these services to individuals (including adolescents) with priority given to persons from low-income families.

Title X services are voluntary, confidential, and provided regardless of one’s ability to pay.

For many clients, Title X clinics are their only ongoing source of health care and health education.

Read the slide

Title X Statute Section 1001 of Title X of the PHS Act authorizes grants “to assist in the establishment and operation of voluntary family planning projects which offer a broad range of acceptable and effective family planning methods and services (including natural family planning methods, infertility services, and services for adolescents).”

Section 1001 of Title X of the PHS Act authorizes grants “to assist in the establishment and operation of voluntary family planning projects which offer a broad range of acceptable and effective family planning methods and services (including natural family planning methods, infertility services, and services for adolescents).”

Please note that Title X statute requires services to be voluntary. We often get asked about natural family planning methods and services for adolescents. Are these must haves in a Title X project? And yes, they are because they are written into statute!

2021 Title X Final Rule On October 4, 2021, OPA amended the Title X Family Planning regulations to restore access to equitable, affordable, client-centered, quality family planning services for more Americans.

Ensuring such access for all clients, especially for low-income clients, the Title X program creates opportunities for realigning the nation's family planning program with nationally recognized standards of care and improving the health of communities that have been historically underserved.

The 2021 regulations also reinforce the program’s central tenets of quality, equity, and dignity for all individuals who seek Title X services and modernizes the more than 50-year-old program to better reflect the current healthcare system.

Ensuring Access to Equitable, Affordable, Client-Centered, Quality Family Planning Services (42 CFR Part 59, October 2021)

Read the slide

PA-FPH-22-001

Title X Family Planning Services Grants Anticipated availability of funds for Fiscal Year (FY) 2022 grants under the authority of Title X of the Public Health Service Act, Section 1001 (42 U.S.C. §300).

Application Deadline: Tuesday, January 11, 2022 by 6:00 PM Eastern.

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Today we will be presenting information on PA-FPH-22-001, the Title X Family Planning Services Grants NOFO which announces an Anticipated availability of funds for Fiscal Year (FY) 2022 grants under the authority of Title X of the Public Health Service Act, Section 1001 (42 U.S.C. §300).

The Application Deadline is Tuesday, January 11, 2022 by 6:00 PM Eastern.

The Goal To establish and operate voluntary Title X family planning projects.

Family planning services include a broad range of medically approved services, which includes Food and Drug Administration (FDA)-approved contraceptive products and natural family planning methods, for clients who want to prevent pregnancy and space births, pregnancy testing and counseling, assistance to achieve pregnancy, basic infertility services, sexually transmitted infection (STI) services (such as HIV prevention education, counseling, testing, and referral), and other preconception health services.

We seek a broad competition for Title X grant awards and are interested in innovative strategies to expand access, ensure quality, and achieve equity for all clients.

The goal of this NOFO is to:

establish and operate voluntary Title X family planning projects.

Family planning services include a broad range of medically approved services, which includes Food and Drug Administration (FDA)-approved contraceptive products and natural family planning methods, for clients who want to prevent pregnancy and space births, pregnancy testing and counseling, assistance to achieve pregnancy, basic infertility services, sexually transmitted infection (STI) services (such as HIV prevention education, counseling, testing, and referral), and other preconception health services.

We seek a broad competition for Title X grant awards and are interested in innovative strategies to expand access, ensure quality, and achieve equity for all clients.

And now I will turn it over to Mousumi to go over the Expectations for Recipients, the Application Content, and Application Review Information

Expectations for Recipients Section B2.

Pg. 7-11 © 2020 Booz Allen Hamilton Inc. All Rights Reserved. This document is confidential and intended solely for the client to whom it is addressed.

I am now going to discuss the expectations for recipients of awards under this NOFO. Again, please note that the information in this section pertains to recipients once they are awarded Title X funds. You will find this information in Section B2 from pages 7-11.

Expectations Recipients are expected to:

Comply with Title X Statute, Regulations, Legislative Mandates, and Additional Program Guidance Address OPA Program Priorities Implement a quality improvement and quality assurance (QI/QA) plan.

Recipients are expected to:

Comply with Title X Statute, Regulations, Legislative Mandates, and Additional Program Guidance Address OPA Program Priorities Implement a quality improvement and quality assurance (QI/QA) plan.

Expectations Recipients are expected to comply with:

Title X Statute (Title X of the Public Health Service Act, 42 U.S.C. 300 et seq.)

Section 1001 to assist in the establishment and operation of voluntary family planning projects which shall offer a broad range of acceptable and effective family planning methods and services (including natural family planning methods, infertility services, and services for adolescents). to the extent practicable, Title X service providers shall encourage family participation in family planning services projects.

Section 1008 “None of the funds appropriated under this title shall be used in programs where abortion is a method of family planning.”

This is the first expectation. Grant recipients are expected to comply with the Requirements regarding the provision of family planning services under Title X that are in the statute (Title X of the Public Health Service Act, 42 U.S.C. 300 et seq.). Title X of the Public Health Service Act authorizes the Secretary of HHS to award grants for projects to provide family planning services to any person desiring such services, with priority given to individuals from low-income families. Section 1001 of the Act, as amended, authorizes grants “to assist in the establishment and operation of voluntary family planning projects which shall offer a broad range of acceptable and effective family planning methods and services (including natural family planning methods, infertility services, and services for adolescents).” In addition, section 1001 of the statute requires that, to the extent practicable, Title X service providers shall encourage family participation in family planning services projects. Finally, section 1001(b) assures the right of local and regional entities to apply directly to the Secretary for Title X grant funds.

Section 1008 of the Act, as amended, stipulates, “None of the funds appropriated under This title shall be used in programs where abortion is a method of family planning.”

Expectations Recipients are expected to comply with:

2. Title X Regulations (42 CFR Part 59 Subpart A) Additionally, sterilization of clients as part of the Title X program must be consistent with 42 C.F.R. part 50, subpart B (“Sterilization of Persons in Federally Assisted Family Planning Projects”).

Moving on to the regulations. Title X recipients must comply with the implementing regulations which govern project grants for family planning services (42 C.F.R. part 59, subpart A).

In addition, sterilization of clients as part of the Title X program must be consistent with 42 C.F.R. part 50, subpart B (“Sterilization of Persons in Federally Assisted Family Planning Projects”).

Expectations Recipients are expected to comply with:

Legislative Mandates “None of the funds appropriated in this Act may be made available to any entity under Title X of the PHS Act unless the applicant for the award certifies to the Secretary of Health and Human Services that it encourages family participation in the decision of minors to seek family planning services and that it provides counseling to minors on how to resist attempts to coerce minors into engaging in sexual activities;”

“Notwithstanding any other provision of law, no provider of services under Title X of the PHS Act shall be exempt from any State law requiring notification or the reporting of child abuse, child molestation, sexual abuse, rape, or incest.”

Recipients are also expected to comply with the legislative mandates which have been part of the Title X appropriations language for the last several years. This NOFO assumes these provisions will be carried forward in FY 2022. Title X family planning services projects should include administrative, clinical, counseling, and referral services as well as training of staff necessary to ensure adherence to these requirements.

There are 2 legislative mandates:

1)“None of the funds appropriated in this Act may be made available to any entity under Title X of the PHS Act unless the applicant for the award certifies to the Secretary of Health and Human Services that it encourages family participation in the decision of minors to seek family planning services and that it provides counseling to minors on how to resist attempts to coerce minors into engaging in sexual activities;” and

2) “Notwithstanding any other provision of law, no provider of services under Title X of the PHS Act shall be exempt from any State law requiring notification or the reporting of child abuse, child molestation, sexual abuse, rape, or incest.”

Expectations Recipients are expected to comply with:

4. Additional Title X Program Guidance Provide clinical services consist with the Providing Quality Family Planning Services: Recommendations from Centers for Disease Control and Prevention and the US Office of Population Affairs (QFP) Program Policy Notices

We also expect recipients to follow additional program guidance issued by OPA. This includes providing clinical services consistent with the Providing Quality Family Planning Services: Recommendations from Centers for Disease Control and Prevention and the U.S. Office of Population Affairs (QFP).[1] In 2014, with updates in 2015 and 2017, OPA collaborated with the Centers for Disease Control and Prevention (CDC) to create the first federal evidence-informed guidelines for the delivery of family planning and related preventative health services. QFP answers the questions, "What services should be offered to a client who is in need of family planning, and how should those services be provided?" The QFP recommendations support all providers in delivering quality family planning services and defines family planning services within a broader context of preventive services, to improve health outcomes for women, men and their (future) children.

Additional program guidance also includes, but is not limited to, occasional Program Policy Notices issued by OPA to provide clarity and guidance on policy issues relevant to Title X recipients. https://opa.hhs.gov/grant-programs/title-x-service-grants/about-title-x-service-grants/program-policy-notices

Expectations Recipients are expected to:

b) Address OPA Program Priorities Advance health equity through the delivery of Title X services Improve and expand access to Title X services Deliver Title X services of the highest quality

The next expectation is that recipients are expected to address OPA program priorities which first of all include Advancing health equity for all, including people from low-income families, people of color, and others who have been historically underserved, marginalized, and adversely affected by persistent poverty and inequality, through the delivery of Title X services. This is a priority for HHS, for OPA, and for the Title X program.

We expect recipients to ensure that predominantly low-income clients who rely on Title X services as their usual source of medical care have access to the same quality healthcare, including full medical information and referrals, that higher-income clients and clients with private insurance are able to access.

Recipients are expected to develop a disparity impact statement once they are funded. The disparity impact statement will provide the framework for ongoing monitoring and determining the impact of the project.

Recipients are expected to develop plans and strategies for implementing family planning services in ways that make services as accessible as possible for clients. Recipients should identify and execute strategies for delivering services that are responsive to the diverse needs of the clients and communities served.

We expect recipients to provide quality family planning services that are consistent with QFP and other relevant nationally recognized standards of care. We expect recipient networks to have the capacity to support implementation of QFP.

Expectations Recipients are expected to comply with:

c) Implement a quality improvement and quality assurance (QI/QA) plan.

collecting and using data to monitor the delivery of quality family planning services inform modifications to the provision of services inform oversight and decision-making regarding the provision of services assess patient satisfaction

The next 2 slides will provide information on the expectation around implementing a QI/QA plan. We expect recipients to implement a QI/QA plan that involves collecting and using data to monitor the delivery of quality family planning services, informs modifications to the provision of services, informs oversight and decision-making regarding the provision of services, and assesses client or patient satisfaction.

In the NOFO we have provided detailed information on the transition from collecting aggregate level data or the Family Planning Annual Report 1.0 to FPAR 2.0. As a part of the QI/QA plan, all recipients must collect and report FPAR data to OPA on an annual basis (OMB approval 0990-0479, expires 9/30/2024) and are expected to use their FPAR data to inform their QI/QA activities. Prior to 2022, Title X recipients reported aggregate-level FPAR data to OPA on an annual basis (referred to here as FPAR 1.0). Beginning in 2022, we are adopting FPAR 2.0, which is the next iteration of FPAR data reporting that will collect encounter level data for Title X Family Planning Service recipients. FPAR 2.0 will allow for improved data collection, reporting, and analysis that will ultimately allow for more opportunities to improve service delivery. As a part of this improved data collection, Title X Family Planning Services recipients will also begin collecting data on sexual orientation and gender identity (pending OMB approval), which are data elements outside of the FPAR 2.0 data elements typically found in electronic health records.The current method of aggregate level FPAR 1.0 data reporting will end in 2022.

Additional information about FPAR 2.0, including the data elements and response options, is available on the OPA website at https://opa.hhs.gov/research-evaluation/title-x-servicesresearch/family-planning-annual-report/fpar2. Recipients will start collecting FPAR 2.0 encounter-level data in 2022 and report it for the first time in 2023. We are using a phased implementation approach with two data reporting options that both begin in January 2023. The preferred approach is for recipients who can submit any FPAR 2.0 encounter data to do so. The FPAR 2.0 system will calculate aggregate recipient and site-level data. Recipients who cannot submit any FPAR 2.0 encounter-level data will request and obtain a waiver from OPA to continue to report aggregate-level FPAR 1.0 data with a plan to transition to FPAR 2.0 by 2024.

Expectations Recipients are expected to comply with:

c) Implement a quality improvement and quality assurance (QI/QA) plan (contd.)

expect recipients to address oversight and service provision at the recipient level, the subrecipient level, and the service site level within their QI/QA plan.

must collect and report FPAR data to OPA on an annual basis (OMB approval 0990-0479, expires 9/30/2024) and are expected to use their FPAR data to inform their QI/QA activities

In the NOFO we have provided detailed information on the transition from collecting aggregate level data or the Family Planning Annual Report 1.0 to FPAR 2.0. As a part of the QI/QA plan, all recipients must collect and report FPAR data to OPA on an annual basis (OMB approval 0990-0479, expires 9/30/2024) and are expected to use their FPAR data to inform their QI/QA activities. We expect recipients to address oversight and service provision at the recipient level, the subrecipient level, and the service site level within their QI/QA plan.

Prior to 2022, Title X recipients reported aggregate-level FPAR data to OPA on an annual basis (referred to here as FPAR 1.0). Beginning in 2022, we are adopting FPAR 2.0, which is the next iteration of FPAR data reporting that will collect encounter level data for Title X Family Planning Service recipients. FPAR 2.0 will allow for improved data collection, reporting, and analysis that will ultimately allow for more opportunities to improve service delivery. As a part of this improved data collection, Title X Family Planning Services recipients will also begin collecting data on sexual orientation and gender identity (pending OMB approval), which are data elements outside of the FPAR 2.0 data elements typically found in electronic health records.The current method of aggregate level FPAR 1.0 data reporting will end in 2022.

Additional information about FPAR 2.0, including the data elements and response options, is available on the OPA website at https://opa.hhs.gov/research-evaluation/title-x-servicesresearch/family-planning-annual-report/fpar2. Recipients will start collecting FPAR 2.0 encounter-level data in 2022 and report it for the first time in 2023. We are using a phased implementation approach with two data reporting options that both begin in January 2023. The preferred approach is for recipients who can submit any FPAR 2.0 encounter data to do so. The FPAR 2.0 system will calculate aggregate recipient and site-level data. Recipients who cannot submit any FPAR 2.0 encounter-level data will request and obtain a waiver from OPA to continue to report aggregate-level FPAR 1.0 data with a plan to transition to FPAR 2.0 by 2024.

Program Specific Terms & Conditions (Pg. 40-41) Disparity Impact Statement Ensuring an Accurate Family Planning Service Site Database

Disparity Impact Statement Successful applicants are expected to develop a disparity impact statement using local data to identify populations at highest risk for health disparities and low health literacy. Please note that these expectations are for awarded recipients.

Section K. b. Ensuring an Accurate Family Planning Service Site Database In order to maintain an accurate record of current Title X service sites, recipients are expected to provide timely notice (within 30 days) to the Office of Population Affairs (OPA) through its website contractor, as well as to the appropriate HHS project officer, of any deletions, 41 additions, or changes to the name, location, street address and email, and contact information for Title X recipients and service sites. The OPA project officer will review and approve all changes prior to being posted in the OPA clinic database and available on the OPA website. Note, this does not replace the requirement for prior approval by the Grants Management Officer under HHS grants policy for changes in project scope, including clinic closures.

Application Content Section F3.

Pg. 17-21

Now I am going to move on to discuss the application content section which is section F3 from pages 17-21

Project Narrative Project Narrative is the most important part of the application Clear and concise description of the project Include all services to be provided by the project Provide evidence of ability to comply with Title X Statutes and Regulations and Legislative Mandates

Speaker:

Pages 17-21 As clearly mentioned in the NOFO the Project Narrative is the most important part of the application where you should provide a Clear and concise description of the project including all services to be provided by the project. Please Provide evidence of ability to comply with Title X Statutes and Regulations and Legislative Mandates. You must clearly describe the administrative, management, and clinical capability of your organization and plans for delivering family planning services that meet the expectations outlined in the NOFO. You should include all services to be provided by the project as part of the program plan. Proposed projects must adhere to all requirements of the Title X statute; applicable regulations, including regulations regarding sterilization of persons in federally assisted family planning projects; and legislative mandates.

Proposed Service Area and Plans to Address the Need for Family Planning Services

Describe the proposed service area, including the service area boundaries, and the need for Title X family planning services in the proposed service area. Describe the current availability of family planning services in the proposed service area and any existing gaps in the availability or accessibility of services.

Describe your process for assessing the need for services within the proposed service area and how you have/will continue to use the results of your assessment to inform and improve service delivery.

Under 1) Proposed Service Area and Plans to Address the Need for Family Planning Services

• Describe the proposed service area, including the service area boundaries, and the need for Title X family planning services in the proposed service area.

Describe the current availability of family planning services in the proposed service area and any existing gaps in the availability or accessibility of services.

• Describe your process for assessing the need for services within the proposed service area and how you have/will continue to use the results of your assessment to inform and improve service delivery.

Using and citing current data, describe the clients in need of services in the proposed service area and any factors associated with access and utilization of family planning services (e.g., geography, transportation, occupation, transience, unemployment, income level, educational attainment). Also describe any unique health care needs or characteristics that impact health status and delivery of family planning services (e.g., language barriers, food insecurity, housing insecurity, financial strain, lack of transportation, the physical environment, intimate partner violence, human trafficking).Describe the structure of your Title X network, including your recipient organization, any subrecipients that will assist in carrying out the proposed project, and the proposed services sites where family planning services will be delivered. To the extent that you will not provide all services directly, describe the process and selection criteria that will be used to select subrecipients and service sites, including a description of eligible entities for funding as subrecipients.

1) Proposed Service Area and Plans to Address the Need for Family Planning Services

• Using and citing current data, describe the clients in need of services in the proposed service area and any factors associated with access and utilization of family planning services (e.g., geography, transportation, occupation, transience, unemployment, income level, educational attainment). Also describe any unique health care needs or characteristics that impact health status and delivery of family planning services (e.g., language barriers, food insecurity, housing insecurity, financial strain, lack of transportation, the physical environment, intimate partner violence, human trafficking).Describe the structure of your Title X network, including your recipient organization, any subrecipients that will assist in carrying out the proposed project, and the proposed services sites where family planning services will be delivered. To the extent that you will not provide all services directly, describe the process and selection criteria that will be used to select subrecipients and service sites, including a description of eligible entities for funding as subrecipients.

For each direct service site, describe the location of the site compared to the identified need; the days/hours of planned operation; the estimated number of clients expected to receive services at the site; the broad range of acceptable and effective medically approved family planning methods (including natural family planning methods) and services (including pregnancy testing and counseling, assistance to achieve pregnancy, basic infertility services, STI services, preconception health services, and adolescent-friendly health services) that will be provided directly at the site; and a justification for any methods and services that will not be available at the site along with a description of how you will ensure client access for the methods and services not available directly at the site.

• For each direct service site, describe the location of the site compared to the identified need; the days/hours of planned operation; the estimated number of clients expected to receive services at the site; the broad range of acceptable and effective medically approved family planning methods (including natural family planning methods) and services (including pregnancy testing and counseling, assistance to achieve pregnancy, basic infertility services, STI services, preconception health services, and adolescent-friendly health services) that will be provided directly at the site; and a justification for any methods and services that will not be available at the site along with a description of how you will ensure client access for the methods and services not available directly at the site.

• Describe how you will address identified health care access and utilization barriers and other factors that impact health status to ensure the availability and accessibility of family planning services within the proposed service delivery area.

Proposed Service Area and Plans to Address the Need for Family Planning Services Describe how you will address identified health care access and utilization barriers and other factors that impact health status to ensure the availability and accessibility of family planning services within the proposed service delivery area.

Describe how you plan to educate clients and the broader service delivery area about the availability of family planning services.

Describe the number of clients in need of services, particularly low-income clients, to be served, the broad range of services and methods that will be provided, and how the proposed project will expand access to Title X services to clients in need of services in the defined service area.

• Describe how you will address identified health care access and utilization barriers and other factors that impact health status to ensure the availability and accessibility of family planning services within the proposed service delivery area.

• Describe how you plan to educate clients and the broader service delivery area about the availability of family planning services.

• Describe the number of clients in need of services, particularly low-income clients, to be served, the broad range of services and methods that will be provided, and how the proposed project will expand access to Title X services to clients in need of services in the defined service area.

Proposed Service Area and Plans to Address the Need for Family Planning Services Describe the number of unduplicated clients that you project to serve on an annual basis, including the number of adolescent clients. Include how that determination took into consideration recent or potential changes in the local health care landscape (e.g., after-effects of the COVID-19 public health emergency, potential changes in insurance coverage), organizational structure, and/or workforce.

Describe how grant funds will be used to best address the identified needs. Demonstrate that the cost per client and cost per encounter are reasonable. Describe other non-Title X resources available to address the needs for family planning services within the proposed service area and how grant funds will be used to leverage and expand available resources, and not duplicate them.

Describe the number of unduplicated clients that you project to serve on an annual basis, including the number of adolescent clients. Include how that determination took into consideration recent or potential changes in the local health care landscape (e.g., after-effects of the COVID-19 public health emergency, potential changes in insurance coverage), organizational structure, and/or workforce.

• Describe how grant funds will be used to best address the identified needs. Demonstrate that the cost per client and cost per encounter are reasonable.

Describe other non-Title X resources available to address the needs for family planning services within the proposed service area and how grant funds will be used to leverage and expand available resources, and not duplicate them.

Plan to deliver family planning services in compliance with the statute, regulations, legislative mandates and aligned with OPA program priorities Describe how you will implement Title X family planning services that are in compliance with the Title X statute, regulations, and legislative mandates. Your plan should include a description of how you will ensure compliance with the statute, with each provision of the regulation (42 C.F.R. Part 59, Subpart A §59.1-§59.11), and with each legislative mandate.

Describe how you will implement Title X family planning services that are in compliance with the Title X statute, regulations, and legislative mandates. Your plan should include a description of how you will ensure compliance with the statute, with each provision of the regulation (42 C.F.R. Part 59, Subpart A §59.1-§59.11), and with each legislative mandate.

The 2021 final rule includes a description of what programs the regulations apply (§ 59.1), definitions (§ 59.2), who is eligible to apply for a family planning services grant (§ 59.3), how one applies for a family planning services grant (§ 59.4), requirements that must be met by a family planning project (§ 59.5), procedures to assure the suitability of informational and educational material (print and electronic) (§ 59.6), criteria HHS will use to decide which family planning services projects to fund and in what amount (§ 59.7), how grants are awarded (§ 59.8), for what purposes the grant funds may be used (§ 59.9), confidentiality (§ 59.10), and additional conditions (§ 59.11). A copy of the 2021 final rule is available in Section K.3 and is also available at https://www.govinfo.gov/content/pkg/FR-2021-10-07/pdf/2021-21542.pdf.

Plan to deliver family planning services in compliance with the statute, regulations, legislative mandates and aligned with OPA program priorities

Describe plans and strategies for providing family planning services that address OPA program priorities and data collection requirements, including:

Advancing health equity throughout the delivery of Title X family planning services.

Improving and expanding accessibility of Title X family planning services for all clients, especially low-income clients.

Delivering Title X family planning services that are of the highest quality and consistent with nationally recognized standards of care.

Implementing a QI/QA plan, including but not limited to, collecting, reporting, and using FPAR 2.0 data.

Describe plans and strategies for providing family planning services that address OPA program priorities and data collection requirements, including: o Advancing health equity throughout the delivery of Title X family planning services. o Improving and expanding accessibility of Title X family planning services for all clients, especially low-income clients. o Delivering Title X family planning services that are of the highest quality and consistent with nationally recognized standards of care. o Implementing a QI/QA plan, including but not limited to, collecting, reporting, and using FPAR 2.0 data.

Plan to deliver family planning services in compliance with the statute, regulations, legislative mandates and aligned with OPA program priorities Clearly describe your project plan including goal statements and related outcome objectives that are S.M.A.R.T. (Specific, Measurable, Achievable, Realistic and Time-framed) and designed to provide family planning services that are in compliance with the Title X statute, regulations, and legislative mandates and that address OPA’s program priorities. The activities proposed are feasible, are clearly connected to the identified needs, and likely to achieve the stated outcomes.

Describe any major anticipated barriers and describe how you propose to overcome such barriers.

Clearly describe your project plan including goal statements and related outcome objectives that are S.M.A.R.T. (Specific, Measurable, Achievable, Realistic and Time-framed) and designed to provide family planning services that are in compliance with the Title X statute, regulations, and legislative mandates and that address OPA’s program priorities. The activities proposed are feasible, are clearly connected to the identified needs, and likely to achieve the stated outcomes.

• Describe any major anticipated barriers and describe how you propose to overcome such barriers.

Project Capability and Project Management Describe your project management structure and how it will enable accountability and rapid and effective use of grant funds.

Describe the expertise and experience of your organization and other organizations that will partner with you on the project to deliver family planning services. Provide evidence of your experience working in the proposed service area and with the community(ies) to be served.

Describe your experience and expertise providing clinical health services, specifically quality family planning services, and describe your capacity to deliver the comprehensive clinical family planning and related preventive health services required, including offering a broad range of acceptable and effective family planning methods and services.

Moving on to Project Capability and Project Management

Describe your project management structure and how it will enable accountability and rapid and effective use of grant funds.

Describe the expertise and experience of your organization and other organizations that will partner with you on the project to deliver family planning services. Provide evidence of your experience working in the proposed service area and with the community(ies) to be served.

Describe your experience and expertise providing clinical health services, specifically quality family planning services, and describe your capacity to deliver the comprehensive clinical family planning and related preventive health services required, including offering a broad range of acceptable and effective family planning methods and services.

Project Capability and Project Management Describe the key management team for your project. Describe how the makeup and distribution of functions among key management staff, and their qualifications, support the operation and oversight of the proposed project.

Describe the facilities where your project will be administered and where family planning services will be delivered. Describe how the location of project facilities will ensure continued access to family planning services for clients in the proposed service area.

Describe the key management team for your project. Describe how the makeup and distribution of functions among key management staff, and their qualifications, support the operation and oversight of the proposed project. • Describe the facilities where your project will be administered and where family planning services will be delivered. Describe how the location of project facilities will ensure continued access to family planning services for clients in the proposed service area.

Project Capability and Project Management Provide a staffing plan which is reasonable and adheres to the Title X regulatory requirement that family planning medical services be performed under the direction of a clinical services provider, with services offered within their scope of practice and allowable under state law, and with special training or experience in family planning. Staff providing clinical services should be licensed and function within the applicable professional practice acts for the State in which they practice. Demonstrate that proposed staff have the expertise needed to implement Title X family planning services. Describe how the size, demographics, and health care needs of the service area/client population were considered when determining the number and mix of staff, and how you maintain documentation of licensure and credentialing verification for clinical staff.

Provide a staffing plan which is reasonable and adheres to the Title X regulatory requirement that family planning medical services be performed under the direction of a clinical services provider, with services offered within their scope of practice and allowable under state law, and with special training or experience in family planning. Staff providing clinical services should be licensed and function within the applicable professional practice acts for the State in which they practice. Demonstrate that proposed staff have the expertise needed to implement Title X family planning services. Describe how the size, demographics, and health care needs of the service area/client population were considered when determining the number and mix of staff, and how you maintain documentation of licensure and credentialing verification for clinical staff.

Project Capability and Project Management Describe your plans for providing ongoing training and professional development for staff across your recipient network.

Describe how you will monitor and oversee provision of Title X family planning services across your network to ensure compliance and continuous quality improvement, including detailed plans for subrecipient monitoring.

Describe how your financial accounting and internal control systems will align with the requirements of 42 C.F.R. § 59.5 and § 59.7.

Demonstrate your ability to make use of non-federal resources (i.e., non-Title X funds) within the community to be served and the degree to which those resources are used to enhance the range of family planning services provided through the project.

Describe your plans for providing ongoing training and professional development for staff across your recipient network.

• Describe how you will monitor and oversee provision of Title X family planning services across your network to ensure compliance and continuous quality improvement, including detailed plans for subrecipient monitoring.

• Describe how your financial accounting and internal control systems will align with the requirements of 42 C.F.R. § 59.5 and § 59.7.

• Demonstrate your ability to make use of non-federal resources (i.e., non-Title X funds) within the community to be served and the degree to which those resources are used to enhance the range of family planning services provided through the project.

Budget Your budget request should be based on:

Number of clients who will receive services Broad range of methods and services that will be provided Average cost of providing family planning services per client in the service area in the past Availability of non-Title X funds to support the provision of family planning services in the defined service area Activities that enhance quality, access, or equity that would impact the cost of services

Speaker:

GAM will provide more details later in the presentation. Here are a few points to remember:

Your budget request should be based on:

Number of clients who will receive services Broad range of methods and services that will be provided Average cost of providing family planning services per client in the service area in the past Availability of non-Title X funds to support the provision of family planning services in the defined service area Activities that enhance quality, access, or equity that would impact the cost of services

Appendices (Pg. 28-30) Work plan Schedule of discounts and billing Coverage map Letters of Commitment from Referral Entities CVs/resumes for key project personnel Family Participation Certification

Appendices:

All items in the application’s appendices will count toward the total page limit of your application.

You must submit them as a single electronic file uploaded to the Attachments section of your Grants.gov application.

1. Your work plan should reflect, and be consistent with, the Project Narrative and Budget Narrative, and must cover the 5 year project period. Your work plan should include a statement of the project’s overall goal, anticipated outcome(s), key objectives, and the major tasks, action steps, or products that will be pursued or developed to achieve the goal and outcome(s). For each major task, action step, or product, your work plan should identify the timeframes involved (including start and end dates), and the lead person responsible for completing the task.

2. Include a schedule of discounts for your projects and the methodology for how you developed/will develop this schedule. If you propose to have the sub recipient(s) develop their own schedule(s) of discounts, you should include guidance on how the schedule(s) of discounts are developed and how you intend on monitoring subrecipient development and implementation of the schedule of discounts.

3. You must include a coverage map of the areas you propose to serve indicating the location of proposed Title X service sites compared to the need for services.

4. You may include signed Letters of Commitment for the organizations that have been specifically named as referral entities (organizations that provide services that are not paid with Title X funds, but that may contribute to continuum of care for clients) to carry out any aspects of the project not provided by subrecipients.

5. You must submit with your application curriculum vitae and/or resumes of all key personnel.

6. You must include a written statement certifying that, if funded, your Title X Family Planning Services project will encourage family participation in the decision of minors to seek family planning services, and that they will provide counseling to minors on how to resist attempts to coerce minors into engaging in sexual activities.

Appendix: Work Plan Should reflect, and be consistent with, the Project Narrative and Budget Narrative, and must cover all years of the period of performance.

Each year’s activities should be fully attainable in one budget year. You may propose multi-year activities, as well as activities that build upon each other, but each phase of the project must be discreet and attainable within a single budget year.

Should include a statement of the project’s overall goal, anticipated outcome(s), key objectives, and the major tasks, action steps, or products that will be pursued or developed to achieve the goal and outcome(s).

For each major task, action step, or product, your work plan should identify the timeframes involved (including start and end dates), and the lead person responsible for completing the task.

Appendix: List of Subrecipient FP Services Documentation You must include a detailed list of all the family planning services proposed to be provided by your project

If some or all of the services will be provided by subrecipients, you must include a list of these entities. For each direct service site:

describe the location of the site compared to the identified need the…