2020 CVS Health - NAFC Coordinated Care Grant
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CVS Health Foundation is again partnering with the National Association of Free & Charitable Clinics (NAFC) in a Coordinated Care for Improved Health Outcomes Grant program, making one-year grants available to Free and Charitable Clinics, Charitable Pharmacies and State Associations that are members in good standing of the NAFC.

Scope of Grants
Coordinated Care for Improved Health Outcomes funding will be focused on programs or projects in the following areas:

• Wrap Around Services for Patients, such as:
1) Case Management
2) Food Insecurity
3) Legal Services
4) Employment and Education Services
5) Addressing Social Determinants of Health - check out the following site for examples: https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-health

• Prescription Medication Addiction, such as:
1) Increasing access to medication-assisted treatment
2) Reducing unmet treatment needs
3) Treatment and recovery activities for opioid use disorder
4) Purchases of Supplies and Medications
5) Training for staff

Important Dates:
Applications must be completed and submitted by 3:00pm Eastern Time (12:00pm Pacific Time) on November 8, 2019.

Questions should be emailed directly to Ariana Gordillo at ariana@nafcclinics.org.

All applicants are strongly urged to review the NAFC Grant Handbook http://bit.ly/2d5GIoI to assist with this process.

For a Frequently Asked Questions (FAQ's) document, please visit: https://bit.ly/2pEchRa

Amount and Use of Grant Funds
Grants ranging from $10,000 to $20,000 per organization will be awarded depending on the scope of the project and related budget justification. The award will cover a one-year period from January 1, 2020 to December 31, 2020.

Applications may not allocate more than 50% of the funding amount requested to salaries/staffing.

Requested funds may only be used for the specific project request. Funding is not permitted to be reallocated or used for university or parent organization general or indirect overhead cost.

Grants cannot be used for the following:
• Debt retirement
• Costs already encumbered or to be reimbursed
• Lobbying and political activities
• Capital campaigns/improvements
• Evangelical work by religious organizations
• Individuals
• Fundraising drives/events
• Events/Conference production
• Endowment funds
• Capital improvements projects
• Consulting Fees
• Dental stand-alone projects
• Health Fairs
• Health Literacy stand-alone projects
• Meeting or Event Sponsorship
• Medication only requests
• Medical or office supply only requests
• Membership dues
• Mental health stand-alone projects
• Registration fees for meetings
• Needle Exchange Programs
• 100% funding to be used for salaries


Award Decisions
Notification of the Award decisions will be made no later than December 18, 2019.

Eligibility
• The organization must be a member in good standing of the NAFC. If you are not a member of the NAFC, or are not sure, please email ariana@nafcclinics.org
• If the organization applying is a Free or Charitable Clinic, it must have a clinical team led by a Chief Medical Officer/Medical Director.
• The organization must designate a Project Director for this grant program.
• The organization must report results of the program at the 6 month mark and at year’s end. The organization must provide success stories to the NAFC and CVS Health Foundation about the programs, patients served, caregivers and providers involved.
• The organization must utilize the funds for only the project that is approved; any use of funds on other projects or programs will immediately disqualify the Clinic from the rest of the grant period and all funds will need to be returned.
• The organization must not make any changes to the grant scope without written approval of the NAFC and the CVS Health Foundation.
• If the application includes a request for funds to hire a staff member, there must be a plan in place to have a staff member hired within the first three months of the grant award.
• Organizations who have received a CVS community award are eligible to apply for this grant.
• Organizations who were awarded the Coordinated Care for Improved Health Outcomes grant in the past are eligible to apply for this grant.


Important Notes:
• Applications will be accepted through this online grant application program through the form below.
• Applications will be scored on a 100-point system and the point values will be clearly defined in the applications.
• Faxed, emailed or mailed submissions WILL NOT be accepted.
• No brochures, attachments, videos or additional material will be accepted with the grant application.
• All sections must be answered in full and must follow the instructions or applications will be eliminated.
• The applicant organization will receive notification of NAFC’s receipt of the application; without receipt of the completed typed application, the grant will not be considered.
You will NOT be able to save your entry. Once you click on "Submit" at the bottom of the page, your application will be submitted. Only one application may be submitted per 501(c)(3) organization. We encourage you to type your application into the provided Word version of the application, and then when ready to submit your final application, copy and paste your answers into this online form. To access the Word version of this application, please click here or copy and paste this link into your browser: https://bit.ly/2LKzRV9

About the Funders
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.

  • Section I - Organization Information

  • - -
  • Free Clinic, Charitable Clinic or Charitable Pharmacies: Sections IB-II are required

  • State Organization Applicants: Section IJ-IK are required.

  • Section II: Community Engagement

    Point Eligibility - 10
  • Section III: Project Description

    Point Eligibility - 40
  • Section IV: Reporting

    Point Eligibility - 30

    There will be 6-month and 12-month online 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 V: Proposed Budget

    Point Eligibility - 10
  • Requested Funding Breakdown

    Provide budget detail for how the $10,000 or $20,000 requested above will be utilized.

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

    Additionally, only up to 50% of the total amount requested can be designated for salaries/staffing. Applications with more than 50% allocated for salaries/staffing 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 VI: Impact Reporting

    Point Eligibility - 20
  • Terms and Conditions

    If granted, your grant is subject to your agreement to:

    1. Use the grant funds only as specified in the approved grant proposal.
    2. Maintain your records to show and account for the uses of grant funds.
    3. Allow NAFC access to records to verify grant expenditures and activities.
    4. Provide written acknowledgment of receipt of payments of grant funds.
    5. Repay any portion of the funds not used for the specified purposes.
    6. Refrain from use of the funds for any purpose prohibited by law.
    7. Cooperate with any efforts of the NAFC and CVS Health Foundation to publicize the grant award, including but not limited to photos, press releases and visits to your organization.
    8. Comply with reasonable requests for information about program activities.
    9. Reporting at the 6 and 12 month marks on the outcomes of the program funded through this grant.
  • You will not be able to edit your application once it has been submitted. To submit your application, click on the submit button below.