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CAP/HCAP Grantees by State

The Community Access Program (CAP)

Background | FY 2000 Grants | FY 2001 Grants | FY 2002 Grants | FY 2003 Grants |
Contact Information

NEWS, July 2004 - HCAP Demonstration Project Pre-Application Conference Call
The BPHC will hold a Pre-application Conference Call for applicants seeking funding for the HCAP Demonstration Project on Thursday, July 22, 2004 at 10:00 AM Eastern Standard Time. The one hour call will provide an overview of the program, other information regarding the application guidance, and will include a question and answer section. To access the call, dial 1-888-889-6348. The passcode for the call is HCAP. An instant replay of the call will be available approximately one hour after the call ends through August 20, 2004. The replay can be accessed at the following toll-free number: 1-800-925-0735.

Also of note

As of October 1, 2003, applicants are now required to have a Data Universal Numbering System (DUNS) number to apply for a grant or cooperative agreement from the Federal Government. Find out how to get a DUNS number here.

Grantees and others who want to know when the FY 2004 Preview is published may sign up to be notified by e-mail. All they need to do is go to the HRSA Grants Web page, <http://www.hrsa.gov/grants> and click on the first bulleted link. The link reads: Sign up to be notified by e-mail when the FY 2004 HRSA Grants Preview is published . It leads to the HRSA Web-based e-mail response and Frequently Asked Questions Web site.

July 2003 BPHC All Grantee Meeting Presentations are available.

Background

Several Federal grant programs increase access to health services for vulnerable populations, place health care professionals in underserved communities, and provide support services for people with specific health needs. Few resources, however, are available to help health care providers coordinate these "safety net" services for uninsured and underinsured Americans.

Some forward-looking communities have begun to reorganize their health care delivery systems to provide better coordinated, more efficient care for uninsured residents. These models of service integration have:

• Created networks to share uncompensated care more fairly among local health providers;
• Linked hospital and clinic services through state-of-the-art data systems that share information and create seamless transitions for uninsured patients; and
• Funded managed care networks for the indigent through local tax increases.

CAP builds on these existing models of service integration to help health care providers develop integrated, community-wide systems that serve the uninsured and underinsured. CAP grants are designed to increase access to health care by eliminating fragmented service delivery, improving efficiencies among safety net providers, and by encouraging greater private sector involvement. Many CAP models provide for integration of substance abuse and mental health treatment into the primary care model and have as collaborative members social and human services organizations as well as the faith community.

A majority of CAP grants fund the development and implementation of disease and case management protocols. Promotores or community health workers play a key role in health promotion, outreach, enrollment, and case management. Underscoring all CAP efforts is the vision and reality of providing "better health for more people for less cost." System efficiencies are supported and enhanced with improvements to Management Information Systems while disease and case management methods serve to reduce inappropriate and costly utilization of Emergency Rooms and redirect patient care into more appropriate settings. Creative financing, insurance products and next generation MIS are just samplings of the diverse and complex CAP projects.

Currently, CAP grants support 158 communities in urban and rural areas and on tribal lands.

FY 2000 Grants

Congress provided $25 million for the Community Access Program in FY 2000. In September 2000, HRSA used this investment to fund 23 communities and consortia of health care providers:

• Communities were selected based on need; progress toward developing an integrated delivery system; the appropriateness and quality of services to be provided; potential for sustainability; and sound management, budget and evaluation plans.
• Partners in the CAP coalitions include local health departments, public hospitals, community health centers, universities and state governments. Each partner brings a variety of investments and range of expertise to the local efforts.
• The partners use CAP funds to create and expand collaboration in three main areas - coordinated intake and enrollment systems, integrated management information systems, and referral networks and coordination of services. The range of strategies grantees take in building their systems reflect different local needs and resources.

The first year of the CAP grant process provides clear evidence of local interest in improving health care access through improved systems integration. HRSA had more than 2,300 requests for application kits for the 23 grants and eventually received 207 full applications from 44 states, the District of Columbia and Puerto Rico.

FY 2001 Grants

In FY 2001, Congress provided $125 million for the Community Access Program. With this appropriation HRSA supported several aspects of the program, including the following.

• Fifty-three communities, whose applications had been approved but not funded in FY 2000, received awards in March 2001.
• Sixty communities representing new applicants received awards in September 2001.
• Each of the original 23 communities received supplemental funds in an amount approximately 75 percent of their first year award. Prior to receiving supplemental funds, each community was required to document satisfactory progress toward meeting the objectives outlined in their original application and provide a proposal outlining how supplemental funds would be utilized.
• Training and technical assistance was provided for all 136 CAP grantees.
• The foundation for the national evaluation was developed.

FY 2002 Grants

For FY 2002, Congress provided $105 million to continue the work of the Community Access Program, with up to $20 million going towards new starts. With this appropriation HRSA supported several aspects of the program, including the following:

• 22 new communities in 15 states received awards in September 2002.
• Each of the original 136 communities received continuing funds in an amount approximately 70% of their previous year award.
• Communities receiving continuing funds continued to demonstrate varied and innovative achievements in building integrated health care delivery systems that offer a comprehensive continuum of care and increase the number of low-income, uninsured and underinsured people with access to health services.
• As part of the CAP National Program Evaluation, three studies were funded to focus on Disease Management, Community Health Center Expansion and New Starts and Sustainability and an online grantee monitoring process was instituted program wide.
• Training and technical assistance services were available for all grantees allowing CAP communities to build local capacity in such areas as pharmacy, evaluation, patient-visit redesign and business and financial issues.

FY 2003 Information

On October 26, 2002 the President signed the Health Care Safety Net Amendments of 2002 into law. Public Law No: 107-251 authorizes the new Healthy Communities Access Program (HCAP) for FY 2002-2006. HCAP has received a FY 2003 appropriation of $105 million.

Program Contact Information

For further CAP information contact the program office:

Community Access Program Office
Health Resources and Services Administration
4350 East-West Highway, Third Floor
Bethesda, Maryland 20814
Phone: 301-443-0536
Fax: 301-443-0248