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Maryland Community Health Resources Commission

“Paint the Picture”

Proposal Writing Workshop Tuesday, September 16, 2008

8:30 a.m. – 4:00 p.m.Ten Oaks Ballroom & Conference Center

Clarksville, Maryland 21029

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The Maryland Community Health Resources Commission was authorized by House Bill 627 in the 2005 Maryland General Assembly Session.

M.C.H.R.C.

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The 11-member Commission’s mission is to develop and implement strategies which improve availability and accessibility of comprehensive, community-based health care.

M.C.H.R.C.

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M.C.H.R.C.

Focus on low-income, underinsured and uninsured Maryland residents

Particularly those with family incomes up to 200% of the Federal poverty guidelines

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The Commission has a broad charge toexpand access to care in many different areas: Primary care Mental health Substance abuse treatment Dental care School-based health care Specialty care if funds are available in the

future

M.C.H.R.C.

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M.C.H.R.C.

Over time, the Commission will rotategrant funding among:

Diverse geographic and program areas The most pressing needs which the

Commission identifies within its far-reaching mandate

Projects most likely to successfully expand access to care for Maryland’s low-income and uninsured residents

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M.C.H.R.C.

The Commission will expand access to care through a group of safety net providers or “Community Health Resources”

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M.C.H.R.C.

Community Health Resource (CHR) Eligibility Criteria: As a Primary Health Care Services CHR

§10.45.05.02 As an Access Services CHR §10.45.05.03 As a Designated CHR §10.45.05.04

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M.C.H.R.C

Fiscal Year 2009 Request for Proposals PriorityAreas: Integrating Services for Mental Health or Co-Occurring

Mental Illness/Substance Abuse Treatment, Particularly in Children and Adolescents

School-Based Health Services Primary Care Services Dental Services New Access Points Opportunity Grants

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M.C.H.R.C.

Proposal Components: Transmittal Letter Grant Application Cover Sheet Statement of Obligations, Assurances and

Conditions Table of Contents (not included in the 25 page

limit) 1. Project Summary 2. The Project 3. Evaluation

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M.C.H.R.C.

Proposal Components continued: 4. Work Plan 5. Applicant Organization 6. Key Personnel 7. Partners and Collaborators 8. Project Budget

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M.C.H.R.C.

Proposal Format:

Two-prong Fastener Report Cover or Spiral-Bound No Three Ring Notebooks or Patient File Covers One Priority Area – Submit One Complete

Original Proposal and Nine Complete Copies More than One Priority Area – Submit One

Complete Original Proposal and Twelve Complete Copies

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M.C.H.R.C.Proposal Process Timeline: August 26, 2008 Call for Proposals Released September 9, 2008 Frequently Asked Questions Call FAQs posted at http://dhmh.state.md.us/mchrc/ (to be

updated periodically) September 17, 2008 5 PM Deadline for Receipt of Letters

of Intent October 7, 2008 5 PM Deadline for Receipt of

Applications October – November, 2008 Review of Applications November 20, 2008 Applicant Presentations to the Commission Successful Applicants will be Notified of Awards by December 19, 2008

STATE OF MARYLAND

Community Health Resources Commission 4201 Patterson Avenue, Baltimore MD 21215, Room 400

Martin O’Malley, Governor – Anthony G. Brown, Lt. Governor – John A. Hurson, ChairmanGrace S. Zaczek, Executive Director

Aligning Community Health Resources:Improving Access to Care for Marylanders

Call for Proposals Grant Application Cover Sheet

Applicant Organization:Name_________________________________________________________________________________Street Address__________________________________________________________________________City ______________________ State ________ Zip Code _____________ County___________________________________________________________________________________________________________________

Official Authorized to Execute Contracts:Name______________________________________________ E-mail____________________________Title:_________________________________________________________________________________Phone__________________________________ Fax___________________________________________Signature________________________________________ Date_________________________________________________________________________________________________________________________________

Project Director:Name______________________________________________ E-mail____________________________Title:_________________________________________________________________________________Phone__________________________________ Fax___________________________________________Signature________________________________________ Date__________________________________________________________________________________________________________________________________

Grant Request:Project Title ___________________________________________________________________________Priority Area: □ Integrating Services for Mental Illness or Co-Occurring Mental Illness/Substance AbuseDisorders, Particularly Children & Adolescents □ School-Based Health Services

□ Primary Care Services □ Dental Services □ New Access Programs □ Opportunity Grants Amount Requested $____________ Beginning Date ______________ Ending Date __________________

STATEMENT OF OBLIGATIONS, ASSURANCES, AND CONDITIONS

In submitting its grant application to the Maryland Community Health Resources Commission (“Commission”) and by executing this Statement of Obligations, Assurances, and Conditions, the applicant agrees to and affirms the following:

1. All application materials, once submitted, become the property of the Maryland Community Health Resources Commission.

2. All information contained within the application submitted to the Commission is true and correct and, if true and correct, not reasonably likely to mislead or deceive.

3. The applicant, if awarded a grant, will execute and abide by the terms and conditions of the Standard Grant Agreement (attached).

4. The applicant affirms that in relation to employment and personnel practices, it does not and shall not discriminate on the basis of race, creed, color, sex or country of national origin.

5. The applicant agrees to comply with the requirements of the Americans with Disabilities Act of 1990, where applicable.

6. The applicant agrees to complete and submit the Certification Regarding Environmental Tobacco Smoke, P.L. 103-227, also known as the Pro-Children Act of 1994.

7. The applicant agrees that grant funds shall be used only in accordance with applicable state and federal law, regulations and policies, the Commission’s Call for Proposals, and the final proposal as accepted by the Commission, including Commission-agreed modifications (if any).

8. If the applicant is an entity organization under the laws of Maryland or any other state, that is in good standing and has compiled with all requirements applicable to entities organized under that law.

9. The applicant has no outstanding claims, judgments or penalties pending or assessed against it – whether administrative, civil or criminal – in any local, state or federal forum or proceeding.

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AGREED TO ON BEHALF OF, _______________________________________________, BY: (Applicant Name)

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Legally Authorized Representative Name (Please PRINT Name) Title

__________________________________________________________________________Legally Authorized Representative Name (Signature) Title