Opportunity Information: Apply for HHS 2013 IHS UIHP 0002

  • The Indian Health Service in the health sector is offering a public funding opportunity titled "Urban Indian Health 4 in 1 Program" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.193 Urban Indian Health Services.
  • This funding opportunity was created on Aug 7, 2013 and posted on Aug 7, 2013.
  • Applicants must submit their applications by Sep 8, 2013. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $153,126.00 to eligible and selected applicants.
  • Each selected applicant is eligible to receive up to $153,126.00 in funding.
  • The number of recipients for this funding is limited to 1 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
  • Native American Lifelines, Inc. is identified as the single source for this award, based on the following criteria 1. As required by law, the grants authorized by 25 U.S.C. 1653(c) (f), 1660a may only be awarded to those urban Indian organizations that have a current contract with the IHS to provide health care to urban Indians, in the urban center identified in the contract. 2. Native American Lifelines is the urban Indian organization IHS currently contracts with to provide health care and referral services to urban Indians residing in the Boston area. Native American Lifelines, Inc. is uniquely qualified to receive this award and provide the identified program activities based on their history with the urban Indian health programs, and their knowledge of urban Indian health and the Boston target population. The program is licensed by the state as a behavioral health provider all of the staff operating at the facility are licensed and credential in their respective fields (specifically behavioral health) and they use evidence based behavioral health assessment and treatment strategies with success. The program successfully uses targeted outreach and comprehensive case management services for clients in the community. Through this outreach and case management, the program has expanded offering to include on site dental service and transportation. Also, the program has been successful in entering into collaborative agreements with community health resources for the provision of quality and comprehensive health care for clients. In support of these successful activities, the Board of Directors is active in the program and committed to bringing quality health care to the urban Indians of the Boston metropolitan area.
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Opportunity Summary:

The Urban Indian Health 4 in 1 Program (Funding Opportunity Number HHS 2013 IHS UIHP 0002; CFDA 93.193) is a discretionary grant opportunity from the Indian Health Service (IHS) designed to strengthen and expand health services for American Indians and Alaska Natives living in an urban setting, specifically the Boston metropolitan area. The program is structured as a single-award, single-source grant, meaning IHS intended to make one award to one pre-identified organization rather than run an open, competitive process among multiple applicants. The stated purpose is to support efforts that help ensure the highest possible health status for urban Indians by improving access to preventive care and key clinical services.

This funding was specifically targeted to Native American Lifelines, Inc., because federal law governing these urban Indian health grants (including authorities cited at 25 U.S.C. 1653(c)(f) and 1660a) limits eligibility to urban Indian organizations that already hold a current IHS contract to deliver health care services to urban Indians within the urban center named in that contract. Native American Lifelines, Inc. is identified as the organization IHS currently contracts with for health care and referral services in the Boston area, and IHS describes the organization as uniquely qualified due to its experience serving the local urban Indian community, its established infrastructure, and its demonstrated capacity to deliver evidence-based services.

The grant is framed around alignment with major federal and agency health priorities and accountability requirements. Funds are intended to support implementation of the HHS Strategic Plan for FY 2010 to 2015, the national Healthy People 2020 objectives, and the IHS Strategic Plan 2006 to 2011. In addition, the award is meant to strengthen performance measurement and reporting through the Government Performance and Results Act (GPRA) framework and to encourage collaboration with the Veterans Health Administration (VA), reflecting an emphasis on coordinated care and measurable outcomes.

At the center of the opportunity is a bundled package of four service areas, described as the "4 in 1" model, aimed at making services more accessible and responsive to urban Indian needs. The four components are: (1) Health Promotion and Disease Prevention services, which generally focus on education, screening, risk reduction, and wellness activities; (2) Immunizations to increase vaccine access and coverage; (3) Behavioral Health Services focused on alcohol and substance abuse assessment, treatment, and support; and (4) Mental Health Prevention and Treatment services, covering early intervention, counseling, and clinical mental health care. IHS positions these as integral to its broader patient care improvement efforts, with a focus on improving safety, quality, affordability, and accessibility.

IHS also highlights operational strengths that supported the single-source decision. Native American Lifelines, Inc. is described as a state-licensed behavioral health provider with licensed and credentialed staff, and as using evidence-based behavioral health assessment and treatment strategies. The organization reportedly uses targeted outreach and comprehensive case management to engage clients in the community, and has expanded offerings to include on-site dental services and transportation support, both of which can reduce practical barriers that often prevent consistent care. The program is also noted for establishing collaborative agreements with other community health resources to broaden the scope and continuity of services, and for having an active Board of Directors committed to improving health care quality for urban Indians in the Boston area.

Financially, the opportunity listed an estimated total funding amount of $153,126, and both the award ceiling and floor were the same ($153,126), indicating a fixed, predetermined award size rather than a range. There was no cost sharing or matching requirement. The opportunity was posted on August 7, 2013, with an original and current closing date of September 8, 2013, and an archive date of October 8, 2013. The funding instrument type was a grant, the activity category was health, and the expected number of awards was one.

For administrative questions or difficulty accessing the full funding announcement, the contact listed was Paul Gettys, Grant Systems Coordinator, at 301-443-2114 through the Grants Office.

Frequently Asked Questions (FAQs)

What is the Urban Indian Health 4 in 1 Program?

The Urban Indian Health 4 in 1 Program (Funding Opportunity Number HHS 2013 IHS UIHP 0002; CFDA 93.193) is a discretionary grant opportunity from the Indian Health Service (IHS). It is designed to strengthen and expand health services for American Indians and Alaska Natives living in an urban setting, specifically the Boston metropolitan area.

What is the main purpose of this grant?

The stated purpose is to support efforts that help ensure the highest possible health status for urban Indians by improving access to preventive care and key clinical services. The opportunity emphasizes improving access, service responsiveness, and measurable outcomes for urban Indian communities in Boston.

Why is this a single-award, single-source opportunity rather than an open competition?

This opportunity was structured as a single-award, single-source grant because IHS intended to make one award to one pre-identified organization instead of running a competitive process among multiple applicants.

Who was the intended recipient of the award?

The funding was specifically targeted to Native American Lifelines, Inc., which IHS identifies as the organization it currently contracts with for health care and referral services in the Boston area.

Why was Native American Lifelines, Inc. selected as the only eligible organization?

Federal law governing these urban Indian health grants limits eligibility to urban Indian organizations that already hold a current IHS contract to deliver health care services to urban Indians within the urban center named in that contract. IHS cites authorities including 25 U.S.C. 1653(c)(f) and 1660a as part of the legal basis for this eligibility limitation.

What geographic area does the program focus on?

The opportunity focuses on American Indians and Alaska Natives living in an urban setting in the Boston metropolitan area.

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

"4 in 1" refers to a bundled package of four service areas intended to make services more accessible and responsive to urban Indian needs.

What are the four service components supported by the 4 in 1 model?

The four components described in the opportunity are:

  • Health Promotion and Disease Prevention (education, screening, risk reduction, and wellness activities)
  • Immunizations (to increase vaccine access and coverage)
  • Behavioral Health Services (alcohol and substance abuse assessment, treatment, and support)
  • Mental Health Prevention and Treatment (early intervention, counseling, and clinical mental health care)

How does IHS describe the intended impact of these services?

IHS positions the four service areas as integral to broader patient care improvement efforts, with a focus on improving safety, quality, affordability, and accessibility of care.

What federal or agency priorities is the grant expected to align with?

The opportunity states that funds are intended to support implementation and alignment with:

  • The HHS Strategic Plan for FY 2010 to 2015
  • Healthy People 2020 objectives
  • The IHS Strategic Plan 2006 to 2011

Are there performance measurement or reporting expectations mentioned?

Yes. The award is intended to strengthen performance measurement and reporting through the Government Performance and Results Act (GPRA) framework, reflecting an emphasis on accountability and measurable outcomes.

Does the opportunity mention coordination with other health systems?

Yes. The opportunity encourages collaboration with the Veterans Health Administration (VA), reflecting an emphasis on coordinated care.

What organizational capabilities does IHS highlight to support the single-source decision?

IHS describes Native American Lifelines, Inc. as uniquely qualified based on its experience serving the local urban Indian community, established infrastructure, and demonstrated capacity to deliver evidence-based services. The opportunity also notes operational strengths such as targeted outreach, comprehensive case management, and collaborative agreements with community health resources.

What does the opportunity say about behavioral health staffing and licensing?

The organization is described as a state-licensed behavioral health provider with licensed and credentialed staff, using evidence-based behavioral health assessment and treatment strategies.

Are any additional supportive services mentioned beyond the core 4 in 1 components?

Yes. The opportunity notes expanded offerings that include on-site dental services and transportation support, both described as reducing practical barriers that can prevent consistent care.

Is governance or community oversight mentioned?

Yes. The opportunity notes an active Board of Directors committed to improving health care quality for urban Indians in the Boston area.

What is the total amount of funding available under this opportunity?

The estimated total funding amount listed is $153,126.

Is the award amount flexible, or is it a fixed amount?

It appears to be a fixed, predetermined award size. The award ceiling and award floor are both listed as $153,126.

Is cost sharing or matching required?

No. The opportunity states there is no cost sharing or matching requirement.

What type of funding instrument is used?

The funding instrument type is a grant.

What is the activity category for this opportunity?

The activity category is health.

How many awards did IHS expect to make?

The expected number of awards was one.

When was the opportunity posted?

The opportunity was posted on August 7, 2013.

What was the application closing date?

The original closing date and the current closing date were both September 8, 2013.

When was the opportunity archived?

The archive date was October 8, 2013.

What is the Funding Opportunity Number (FON) and CFDA number?

The Funding Opportunity Number is HHS 2013 IHS UIHP 0002, and the CFDA number is 93.193.

Who can be contacted for administrative questions or trouble accessing the full announcement?

For administrative questions or difficulty accessing the full funding announcement, the contact listed is Paul Gettys, Grant Systems Coordinator, at 301-443-2114 through the Grants Office.

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