Office of Urban Indian Health Programs 4-in-1 Grant Programs | Apply Online

Frequently Asked Questions (FAQs)

What is the Office of Urban Indian Health Programs 4-in-1 Grant Programs opportunity?

This is a discretionary grant opportunity from the U.S. Department of Health and Human Services, Indian Health Service (HHS-IHS), offered through the Office of Urban Indian Health Programs. It is identified as Funding Opportunity Number HHS-2016-IHS-UIHP2-0001 and CFDA 93.193.

What is the main purpose of this grant?

The core purpose is to support efforts that improve the health status of American Indians and Alaska Natives (AI/ANs), with a specific focus on AI/AN people living in urban areas who may face barriers to accessing care.

Who is the target population for services funded under this grant?

The grant focuses on American Indians and Alaska Natives, particularly those living in urban areas, where access to care may be more difficult due to barriers that can limit availability, coordination, or use of services.

Which federal agency is offering and administering this funding?

The funding is offered by the U.S. Department of Health and Human Services (HHS) through the Indian Health Service (IHS), specifically the Office of Urban Indian Health Programs.

What does "4-in-1" mean in this grant program?

"4-in-1" refers to a combined service model where award funds are used to implement and expand four interrelated program areas intended to make health services more accessible and effective in urban settings.

What are the four required program areas supported by the 4-in-1 model?

The four program areas are: (1) Health Promotion and Disease Prevention (HP/DP) services, (2) Immunizations, (3) Alcohol and Substance Abuse services, and (4) Mental Health Prevention and Treatment services.

How do the four service areas fit together in practice?

The opportunity frames the four areas as interrelated and complementary. The overall approach is preventative and behavioral-health-centered, combining routine preventive services (such as immunizations and chronic disease prevention) with behavioral health supports (including prevention, treatment, and recovery services).

Is the funding limited to direct clinical services, or does it include other expectations?

In addition to direct service delivery, the opportunity emphasizes performance accountability and coordination with other federal partners. Recipients are expected to support GPRA/GPRAMA objectives by collecting and reporting performance measures that demonstrate progress and outcomes.

What are GPRA and GPRAMA expectations in this opportunity?

The announcement indicates recipients are expected to support Government Performance Results Act and Government Performance and Results Modernization Act (GPRA/GPRAMA) objectives. Practically, this means collecting and reporting performance measures to show progress and outcomes related to services funded under the award.

Does the grant encourage partnerships or coordination with other federal systems?

Yes. The opportunity highlights collaborative activities with the Veterans Health Administration, signaling interest in coordination that can better serve AI/AN veterans in urban communities and reduce fragmentation across systems of care.

How does this grant connect to broader Indian Health Service priorities?

The funding is intended to strengthen how urban Indian organizations deliver key services and to align their work with broader IHS priorities. It is explicitly tied to implementation of priorities from the IHS Strategic Plan 2006-2011 and is positioned as part of IHS efforts to improve patient care.

What kinds of health system improvements does the opportunity emphasize?

The program description links these grants to strategic objectives focused on improving the safety, quality, affordability, and accessibility of health care. Applicants are expected to use funds in ways that improve care processes and reach and to show how services contribute to measurable improvements for the urban AI/AN population served.

Is the intent to maintain existing activities, or expand/improve them?

The description indicates applicants are expected to use funds to improve care processes and reach, not simply maintain existing activities, and to demonstrate measurable improvements for the population served.

Who is eligible to apply for this grant?

Eligible applicants include federally recognized Native American tribal governments and nonprofit organizations with 501(c)(3) status (excluding institutions of higher education), along with other applicant types as allowed under the opportunity's additional eligibility language.

Are institutions of higher education eligible if they have 501(c)(3) status?

The eligibility language provided states that nonprofit organizations with 501(c)(3) status are eligible, excluding institutions of higher education. Based on the information provided, institutions of higher education are excluded.

What is the maximum award amount (award ceiling) for this opportunity?

The award ceiling listed for this funding opportunity is $634,222.

How many awards were anticipated under this funding opportunity?

The agency anticipated making about 34 awards.

What are the identifying numbers for this funding opportunity?

The Funding Opportunity Number is HHS-2016-IHS-UIHP2-0001, and the CFDA number is 93.193.

When was this opportunity posted and when did it close?

The opportunity was posted and created on March 16, 2016. The application closing date was May 15, 2016.

What is the overall service approach encouraged by the program description?

The program emphasizes a combined approach that strengthens access and effectiveness of services in urban settings by integrating prevention (health promotion, disease prevention, and immunizations) with behavioral health supports (alcohol and substance abuse services and mental health prevention and treatment).