Community-Based Primary Care
State general funds are provided to assist in the development and operation of clinics that focus on improving access to health care with an emphasis on community-based services and reducing health disparities for underserved populations. Grant funds are intended to make primary medical and dental care, prescription drugs, and preventive health care services accessible and affordable to underserved Kansas residents, including uninsured individuals and those enrolled in public insurance programs with eligibility based on income that are operated by the state of Kansas and/or federal government (HealthWave/Medicaid).
Eligibility: Clinics applying for state community-based primary care clinic funding must serve as "safety net" clinics in their communities. Applicant clinics must be not-for-profit or publicly-funded clinics providing at least primary medical and/or dental care services (or planning to provide at least primary care medical and/or dental services for clinics not yet in operation). Only clinics that are organized to serve as a medical and/or dental home for their patients are eligible for funding. Funded projects must have a policy of non-discrimination in the provision of health care services, including but not limited to race, ethnicity, religion, or national origin.
Clinics must provide services in their service area regardless of ability to pay, including a discounted fee schedule (sliding scale) with reasonable charges for uninsured individuals below 200 percent of the federal poverty level. The discounted fee schedule must be in writing, and information must be publicly posted to ensure that patients are aware of its availability. Patients below 100 percent of the federal poverty level should be charged only a nominal fee, if at all. Patients above 200% of the federal poverty level may be charged the full fee for services. Information on developing a discount fee schedule is available at the following website: http://nhsc.hrsa.gov/downloads/discountfeeschedule.pdf
Kansas statute (65-1648) requires that the distribution and control of prescription medications at indigent health care clinics and federally qualified health centers occur under the supervision of a pharmacist in charge. Information about these requirements and the necessary forms and materials can be obtained from the Kansas State Board of Pharmacy.
Applicants for community-based primary health care clinic grants are required to provide support that meets the match requirement of one dollar for each one dollar of state funding awarded through this program. This match may come from non-cash donation, in-kind services, or clinic expenditures.
Awards are contingent upon the availability of funding. Geographic considerations may be taken into account when making award decisions.
Funding decisions will take into account the following three areas:
- Local Community—Community need and collaboration among local resources;
- Clinic Overview—High-quality and comprehensive provision of care; and
- Clinic Response—Sound proposal to meet community need.
Primary Care Clinic Program funding may be used for salaries, contracted professionals and services, utilities, and supplies. Funding areas include general primary care, prescription assistance, and dental assistance. This application process is for all three funding areas. For the past three years, state dental assistance funding was awarded through collaborative governmental/philanthropic dental hub and spoke grants. With the completion of the collaborative awards process, state funding will now be awarded through this funding opportunity.
General primary care funding may be used to provide access to medical, dental, or other health-related services for clinic patients.
Prescription assistance funding may be used to provide access to pharmaceuticals and pharmaceutical supplies for clinic patients.
Dental assistance funding may be used to provide access to dental services for clinic patients.
Funding may not be used to purchase capital equipment or other capital expenditures.
Fiscal control and fund accounting procedures must exist to assure the proper disbursement and accounting of funds for the state community-based primary care clinic grant. Bookkeeping accounts should be established and maintained reflecting all services, charges, receipts, obligations, and revenue, including non-cash contributions and disbursement of grants and local funds. The applicant is fully responsible for providing workers′ compensation, unemployment insurance, and Social Security coverage. The applicant is also responsible for income tax deductions and for providing any benefits required by law for those employees who are employed using community-based primary care clinic grant funds.
A yearly audit of the clinic′s operations by an outside entity is strongly encouraged. All clinics receiving state funds must at minimum have a Fiscal Report performed by an outside fiscal entity at the end of each grant year. Clinics must submit a copy of this Fiscal Report or audit with auditor′s management letter and clinic response to KDHE within twelve months of the end of the fiscal year.
Additional program and/or revised budget information may be requested after funds are awarded and prior to issuance of the contract to ensure that all KDHE requirements are met.
New applicants: Clinics that have not previously received state community-based primary care clinic funding are required to contact the Primary Care Office prior to February 15 in order to indicate their intent to apply at 785-296-3135 or firstname.lastname@example.org
Grant Evaluation and Review
Applications are evaluated for completeness by Primary Care Office staff. An objective review committee then evaluates each grant application and provides recommendations regarding grant awards. Recommendations are based upon each clinic′s submitted application and its annual data submission (DataCounts CRT). The objective review committee will be made up of representatives of the Kansas Department of Health and Environment, other state agencies, stakeholder organizations, and other public health professionals who do not have a vested interest in any applicant organization. After the objective review committee makes its recommendations, they are submitted to the Secretary of Health and Environment.
Scoring of Applications
The objective review committee will score the applications in the following way:
Local Community Total-20 points
Narrative (20 points)
Clinic Overview Total-50 points
Narrative (30 points)
Clinic Data (20 points)
Response Total-30 points
Narrative (20 points)
Health Plan (5 points)
Business Plan (5 points)
While there are no points awarded specifically for the Application Budget, it will be assessed as part of the response section of the grant review to determine appropriateness of expenses to project goals.
Instructions and forms are contained in separate materials that are provided to clinics after grant awards have been made. For information about reporting, please contact Angela German at email@example.com or 785-296-3135.
Nearly all Primary Care Clinics and Community Health Centers operating in the state are members of the Kansas Association for the Medically Underserved (KAMU), the state's primary care clinic organization. Members are safety net providers whose primary mission is to assure access to comprehensive health care for underserved populations. These are State funded primary care clinics, Federally Qualified Health Centers (FQHCs), local health departments and other non profit clinics established and supported in part by public funds, faith based organizations, individual volunteers, private foundations or local donations. To view the KAMU member clinic directory on the KAMU website:
Find a clinic or HRSA Find a Health Center