CVS Health Foundation Expanding Telehealth Grant
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In response to COVID-19, the CVS Health Foundation has partnered with the National Association of Free and Charitable Clinics (NAFC) to launch the Expanding Telehealth Grant for Free and Charitable Clinics and Pharmacies.

This $1M commitment to the NAFC will fund grants allowing NAFC member organizations in good standing to address the health care needs in the communities they serve and to provide expanded access to health care by implementing or expanding telehealth/telemedicine programs.

$25,000 grants will be awarded depending on the scope of the needs and related budget justification; partial grants may also be awarded. Grants will cover a period of 1 year.

Specific examples of funding under the Telehealth category are as follows:

Telehealth/Telemedicine
• Computers, tablets, laptops
• Telehealth/telemedicine System/Software
• EMR Implementation/Telehealth Integration
• Training
• Cloud back-ups
• Internet services (cable and satellite)
• Staffing needs

IMPORTANT NOTE: Up to 50% of the total grant request may be used for staffing and overhead.

Organization must be a member in good standing of the NAFC. To become a NAFC Member, please contact Ariana Gordillo at
ariana@nafcclinics.org.

Applications must be completed and submitted by 3:00pm Eastern Time on Friday, June 12, 2020.

Grants cannot be used for the following:

• Debt retirement
• Costs already being reimbursed
• Lobbying and political activities
• Capital campaigns/improvements
• Evangelical work by religious organizations
• Individuals
• Fundraising drives/events
• Endowment funds
• Development/fundraising staff or programs

Reporting Requirements
All grantees will be asked to provide reporting on use of funds at the 6-month mark and at the 12-month mark of the grant period. Reporting will be submitted electronically using an online form provided directly to grantees by the NAFC.

Award Decisions

About the Funders:

CVS Health Foundation
CVS Health Foundation is the private foundation of CVS Health whose mission is “to give back to the communities in which we live and work through charitable contributions, colleague engagement and by raising awareness of important issues impacting neighborhoods across the country”. As a national leader in health care, CVS Health’s purpose is to help people on their path to better health. The Company’s philanthropic giving supports programs that address health and healthcare issues, including offering much-needed support for medical services for the most at-risk populations. For more information, please visit: https://cvshealth.com/social-responsibility/our-giving/foundation-giving


National Association of Free and Charitable Clinics (NAFC)
The National Association of Free and Charitable Clinics (NAFC) is the only nonprofit 501c(3) organization whose mission is solely focused on the issues and needs of the medically underserved throughout the nation and the more than 1,400 Free and Charitable Clinics that serve them. Founded in 2001 and headquartered near Washington, D.C., the NAFC is working to ensure that the medically underserved have access to affordable quality health care and strives to be a national voice promoting quality health care for all. The NAFC has earned the Platinum Seal of Transparency from GuideStar. For more information about the NAFC, please visit www.nafcclinics.org. Follow the NAFC on Twitter at https://twitter.com/NAFClinics and on Facebook at https://www.facebook.com/NAFCClinics.

*IMPORTANT NOTE:

If you click on "Save & Resume" at the bottom of this form, a screen will appear for you with a unique link for you to come back to your saved form. If you lose your unique link to log back in, or if it doesn't work for you for any reason - please email Ariana Gordillo at ariana@nafcclinics.org. Please do not start this form again.

  • Section I - Organization Information

  • - -
  • Section II: Project Description

    Total Point Eligibility - 30
  • Section III: Reporting

    Point Eligibility - 40

    There will be 6-month and 12-month reporting forms required for this grant, which will be provided to you by the NAFC. With that in mind, please provide us with information on what kinds of outputs and outcomes you are looking to accomplish if funded.
  • Section III: Proposed Budget

    Point Eligibility - 10
  • Requested Funding Breakdown

    Provide budget detail for how the amount requested above will be utilized.

    Please submit the funding for only the amount being requested; do not submit the total organizational operating budget. Submissions that include other funding outside of requested amount or that do not use the below form, will be eliminated.

    Additionally, only 50% of the total amount requested should be designated for staffing and overhead. Applications with more than 50% allocated for staffing or overhead costs will not be eligible for funding.

    ***When reading from left to right, column 1 will remain blank, column 2 should contain your description of the item where the funding will go, and column 3 should indicate the amount that will be spent per item requested.
  • Item Requested (example: salary, technology, office supplies) Monetary Amount Requested ($)
    Total:
  • Section IV: Future Impact Reporting

    Point Eligibility - 20
  • You will not be able to edit your application once it has been submitted. To submit your application, click on the submit button below. To save and return at a later date, please click on "Save & Resume".