1.01Introduction and Program Description
The Department of Health, Division of Public Health, is requesting proposals from eligible applicants to provide Access to Perinatal Health Support services for the State of Alaska in FY2027 through FY2029. This program is supported in whole or in part by the federal Substance Use Prevention, Treatment, and Recovery Services (SUPTRS) Block Grant authorized under Title XIX, Part B, Subpart II of the Public Health Service Act (42 USC 300x–21 through 300x–66) and 45 CFR Part 96. All funded programs must operate in compliance with applicable SUPTRS statutory and regulatory requirements. Program services under this solicitation are authorized primarily under 7 AAC 78 Grant Programs, 7 AAC 70 Behavioral Health Services, and 7 AAC 10.9000 Background Checks. Funding under this solicitation is subject to federal law, including the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA), 8 U.S.C. §§ 1611–1646. Additional statutes and regulations are cited within specific sections where applicable. State of Alaska statutes and regulations are accessible through the Department of Law Document Library or through the contact person identified on the cover page of this Request for Proposals (RFP).
Many pregnant, postpartum, and parenting women experiencing Substance Use Disorder (SUD) encounter challenges to accessing treatment. These include fragmented service systems, lack of transportation, childcare needs, domestic violence, housing instability, and limited access to care. The Access to Perinatal Health Support (APHS) Program is designed to strengthen access to substance use disorder treatment, recovery support services, maternal health services, and other community supports. The program uses the Five A’s framework and one or more domain should be addressed by the applicant (see 1.02 below). The target population is women during the perinatal period (pregnant and up to one year postpartum) and families with dependent children. In alignment with federal and state priorities, funding may be used to develop, expand, or strengthen one or more of the following:
- recovery support services,
- substance use disorder treatment
- and other activities that improve timely access to care and support successful engagement in services.
are not required to provide substance use disorder treatment services directly but must demonstrate how proposed activities will improve access to appropriate services and supports for the target population. This RFP is open to both:
- Organizations using grant funds to provide direct SUD treatment under a recognized American Society of Addiction Medicine (ASAM) level of care (henceforth referred to as behavioral health treatment providers); and
- Organizations providing referral management, recovery support, transportation, childcare, navigation, outreach, and other services that help eligible women enter or remain engaged in SUD treatment.
Eligible applicants include behavioral health treatment providers, health care providers, domestic violence shelters, tribal organizations, recovery organizations, family support programs, community-based non profit organizations, and other entities capable of improving access to care for pregnant, postpartum, and parenting individuals affected by substance use disorders.
Priority will be given to projects that address one or more of the following: reduce barriers to care, strengthen coordination across service systems, improve referral pathways, and increase access for individuals who are uninsured, underinsured, Medicaid-ineligible, geographically isolated, or otherwise experience difficulty accessing needed services.
1.02Program Goals and Anticipated Outcomes
The proposed project will demonstrate a thorough understanding and support of the grant program goals and outcomes anticipated by the Department.
The long-term goal of the Access to Perinatal Health Support program is to reduce the five-year pregnancy-associated mortality rate in Alaska from 143.7 per 100,000 live births to 100 per 100,000 live births. Untreated SUD is a significant contributor to pregnancy-associated maternal mortality.
seeks to improve outcomes by increasing access to substance use disorder treatment and recovery support services for pregnant, postpartum, and parenting individuals through structured referral management, care coordination, and activities that reduce barriers to care. The Department uses the Five A's framework—availability, accessibility, accommodation, acceptability, and affordability—to describe the types of access improvements that may be supported through this grant.
Applicants are not required to address all five domains in the Five A’s framework. Proposals should focus on the access challenge(s) most relevant to the populations and communities they serve, clearly identify which domain(s) are being addressed, describe the proposed activities, and explain the anticipated outcomes.
Domain 1: Increase Availability of Perinatal Behavioral Health, Recovery Support, and SUD Services
Proposed projects will develop, expand, and/or integrate SUD treatment systems of care with structured referral management processes for pregnant, postpartum, and/or parenting women with SUD (i.e. hub and spoke models, addiction specialty care programs in need of funds to integrate maternal health services, non-specialty settings to incorporate SUD treatment, obstetrical and primary care clinical practices to incorporate SUD treatment and Medication for Opioid Use Disorder (MOUD) treatment programs). Anticipated outcomes include:
- At least 1 new perinatal service site established or
- services expanded at a SUD treatment program to support perinatal patients, or
- non-specialty setting for women incorporated or improved access to SUD treatment for perinatal patients, or
- perinatal clinical care site expanded to include SUD treatment (including pharmacological treatment) and case coordination/case management services.
Domain 2: Enhance Accessibility
Proposed projects will improve access to SUD services for women in the perinatal period by funding initiatives that increase geographic accessibility to SUD treatment, including telehealth, tele-MOUD (Medications for Opioid Use Disorder), flexible scheduling, the establishment or expansion of mobile treatment or perinatal care units, asynchronous dosing for methadone maintenance and continuity of care if/when transport for birth occurs. Accessibility could also include expanding partnerships between healthcare providers, behavioral health providers, domestic violence shelters, recovery organizations, tribal organizations, and community-based programs. Anticipated outcome includes:
- A 25 percent increase in pregnant, postpartum, or parenting women who receive documented referral management, care coordination, or support services that improve access to needed care.
Domain 3: Support Client-Centered Accommodations
Proposed projects will address barriers to care through supports such as transportation (when not Medicaid-reimbursable), childcare, in-reach or home visitor programs, connecting partners/other caregivers to support services as appropriate, parent support education and training with a focus on healthy coping mechanisms, peer-integrated services (including doulas with lived SUD experience), behavioral health consultant or integration, language and health literacy supports, and trauma-informed in-reach programs within healthcare, shelter, and correctional settings. Anticipated outcome(s) include:
- Implement or expand at least 2 family-centered interventions (e.g., parenting classes, recovery doula support services, childcare provision).
- At least 75 percent of perinatal clients receive at least 1 support service (such as transportation, childcare, home visitors, or doula support services).
Domain 4: Promote Acceptability
Proposed projects will support balanced patient and family-centered care that encourages acceptability and reduces stigma surrounding SUD treatment across the socioecological model, integrates perinatal peer support groups, ensures support for the whole family, and addresses the intersection of domestic violence, mental health, and SUD to improve treatment engagement and retention. Anticipated outcome includes:
- At least 2 initiatives that reduce barriers to accessing treatment for pregnant and postpartum individuals seeking SUD care by increasing understanding of the benefits of comprehensive SUD treatment at the local, family, or personal level will be implemented.
Domain 5: Improve Affordability
Proposed projects will improve the ability of agencies to incorporate SUD treatment services for perinatal populations and reduce financial burden for individuals who may not qualify for existing payer sources. Anticipated outcomes include:
- 100 percent of pregnant, postpartum, and/or parenting women who are uninsured or underinsured will receive connections to comprehensive care to enable them to begin or maintain SUD treatment.
anticipated minimum outcomes in selected Domain as described in this RFP.
1.03Program Services/Activities
Applicants must clearly describe the activities they propose to implement, the population to be served, and how the proposed project will support the goals and anticipated outcomes described in Section 1.02.
Service Expectations Specific to the Type of Applicant (in addition to Required Activities for All Applicants, listed below)
- Applicants providing or proposing behavioral health treatment services (Treatment Services or Treatment Provider is defined as an organization using grant funds to provide direct substance use disorder treatment through a recognized ASAM level of care.) -+:
- deliver services consistent with applicable state and federal behavioral health service requirements as outlined in Appendix A.
- Applicants not providing behavioral health treatment services must:
- Establish and maintain partnerships with treatment providers to ensure timely access to appropriate levels of care.
Required Activities for All Applicants:
1. Referral Management
A core priority of this grant program is the implementation and strengthening of effective referral management. Referral Management is defined as the process of welcoming, screening, and guiding individuals at the point of entry to facilitate timely connection to the most appropriate level of care. Referral management includes assessing whether an applicant agency can meet an individual’s needs and, when services cannot be provided due to eligibility, capacity, or scope limitations, ensuring active, supportive, and accountable linkage to appropriate alternative services.
All applicants, regardless of service type, will function as a meaningful access point within a “no wrong door” system, ensuring pregnant and postpartum women can be connected to treatment and support services regardless of where they initially seek help. All funded programs will implement structured referral management processes, including:
- Screening and identifying service needs;
- Determining whether services can be provided directly or require referral;
- Providing active assistance in connecting individuals to appropriate services;
- Conducting follow-up to support successful linkage; and
- Maintain documentation demonstrating referral activities, linkage efforts, and outcomes associated with grant-funded services.
Referral management services funded under this grant are not considered treatment services and will not be reported as treatment encounters.
2. Address one or more Access Category
Applicants must propose activities that address one or more of the five domains of access identified in Section 1.02: availability, accessibility, accommodation, acceptability, and affordability. Proposals should clearly identify which domains are being addressed and how the proposed activities will improve access to substance use disorder (SUD) treatment and related services for pregnant, postpartum, and parenting women.
Applicants are encouraged to select domains that align with identified community needs, organizational capacity, and the goals of this grant program.
3. Partnerships
Applicants are encouraged to establish formal partnerships with healthcare providers, behavioral health providers, domestic violence shelters, recovery organizations, tribal organizations, and other community resources as appropriate to support continuity of care and long-term sustainability.
4. Comply with those SUPTRS Block Grant Compliance Requirements which are applicable to all applicants
Applicants will provide or arrange for access to the following services through direct service delivery or formal referral partnerships to remain in compliance with SUPTRS requirements, including but not limited to the following:
A. Outreach to Women Who Inject Drugs (WWID) (45 CFR 96.126(e))
The agency must conduct outreach activities designed to encourage WWID to enter into recovery services and identify and engage pregnant and postpartum women in need of treatment.
- Agencies must utilize outreach models that are scientifically sound and evidence-informed where available and applicable to the local context. Where no such model is applicable, agencies must use an outreach approach that can reasonably be expected to be effective in the local community.
- At a minimum, required outreach activities must include:
- Selecting, training, and supervising outreach workers with appropriate knowledge of life-saving opioid overdose prevention, confidentiality (42 CFR Part 2), and local community context.
- Contacting, communicating, and following up with women who inject drugs (WWID) and individuals at high risk, consistent with federal requirements, including 42 CFR Part 2;
- Providing targeted education to women who inject drugs regarding risks associated with substance use and the relationship between injecting drug use and communicable diseases such as HIV and viral hepatitis;
- Recommending practical steps to reduce the risk of HIV and other communicable disease transmission; and
- Actively facilitating entry into treatment, including warm handoffs or direct referrals when appropriate.
- Agencies must document outreach activities, including:
- training of outreach staff,
- types of outreach conducted,
- populations reached, and
- referrals or linkages to treatment.
B. Services for Pregnant women and women with Dependent Children (45 CFR 96.124(c)–(e); 96.131; 96.137; 96.126(f))
All organizations receiving funding under this grant must ensure that pregnant, postpartum, and parenting women receiving grant-funded services have access to the services required under 45 CFR §§ 96.124 and 96.131, as applicable to the activities funded under this award.
Organizations may meet these requirements by providing services directly or through formal referral partnerships, memoranda of understanding (MOUs), or other documented arrangements.
1. Family-Centered Treatment (Unit of Care)
Funds set aside for services to pregnant women and women with dependent children must be used to serve those who lack other financial means to obtain such services, consistent with 45 CFR 96.137.
2. Minimum Required Services
At a minimum, applicants must provide or arrange for the provision of the following services for pregnant women and women with dependent children:
- Subgrantees and all programs providing such services must provide family-centered treatment and treat the family as the unit of care.
- Programs must admit both the woman and their dependent children into treatment services when clinically and programmatically appropriate, including women who are working to regain custody of their children.
3. Use of Funds (Payer of Last Resort for Perinatal Services)
At a minimum, subgrantees must provide or arrange for the provision of the following services for pregnant women and women with dependent children:
- Primary Medical Care and Prenatal Services: Primary medical care for women, including referrals for prenatal care. (45 CFR 96.124(e))
- Pediatric Care: Primary pediatric care for dependent children, including immunizations and age-appropriate preventive services. (45 CFR 96.124(e)(2))
- Child Care: Child Care for women with dependent children while they are receiving services. (45 CFR 96.124(e))
- Gender-Responsive Treatment for Women: Gender-specific substance use disorder treatment and therapeutic interventions addressing issues such as relationships, sexual or physical abuse, parenting, and related needs; and childcare while women are participating in treatment and therapeutic services. (45 CFR 96.124(e)(1)– (3))
- Therapeutic Services for Children: Therapeutic interventions for children in the custody of individuals in treatment, as appropriate, including services addressing developmental needs, issues relating to experiences of sexual and physical abuse, or neglect. (45 CFR 96.124(e)(4))
- Case Management and Transportation: Sufficient case management and transportation services to ensure access for women and their children to all required services described above. (45 CFR 96.124(e)(5))
4. Service Coordination and Documentation
- Subgrantees must maintain documentation demonstrating access to and utilization of all required services, whether provided directly or through formal referral or partnership arrangements.
- Programs must coordinate care to ensure services are timely, accessible, and culturally appropriate. (45 CFR 96.126(f); 96.127(b); 96.131(f))
C. Tuberculosis, HIV, Viral Hepatitis, Syphilis, and Other Communicable Disease Services (45 CFR 96.127)
- provide or arrange for access to education, screening, referral, and treatment services related to communicable diseases as required by federal and state requirements, either directly or through referral.
- Make TB services available to all women receiving SUD treatment, either directly or through referral.
- Implement infection control procedures to prevent TB transmission; and
- Conduct case management to support completion of TB screening and follow-up.
D. Confidentiality (42 USC 300x-53; 45 CFR 96.132(e); 42 CFR Part 2)
Grantees must maintain policies and procedures that protect client privacy and confidentiality, prevent inappropriate disclosure of patient records, and ensure disciplinary procedures for violations. Organizations must comply with applicable confidentiality requirements, including:
- 42 CFR Part 2, where applicable;
- State confidentiality laws; and
- Department requirements related to data security and record retention.
E. Coordination of Services (45 CFR 96.132(c))
Grantees must coordinate SUD treatment and prevention with other relevant services (e.g., primary care, housing, maternal health, and child welfare where applicable). Coordination must support continuity of care across settings, including continuity of MOUD during hospital admissions, delivery, and postpartum transitions when clinically appropriate.
Organizations are encouraged to establish formal partnerships through Memoranda of Understanding (MOUs), referral agreements, or other collaborative arrangements. MOUs or similar partnership agreements may be requested during grant implementation.
F. Charitable Choice and Religious Freedom Protections (42 U.S.C. § 300x-65; 42 CFR Part 54)
All grantees must comply with the federal Charitable Choice provisions applicable to substance use disorder block grant funding.
- Separation of Inherently Religious Activities:
- Grant funds may not be used to support inherently religious activities such as worship, religious instruction, or proselytization. If a grantee is a faith-based organization, any inherently religious activities must be:
- Offered separately, in time or location, from services funded under this grant; and
- Voluntary for all program participants.
- Participation in religious activities must not be required as a condition of receiving services funded under this award. (42 CFR 54.5)
2. Maintenance of Religious Identity:
- A faith-based organization receiving grant funds may retain its independence and religious character, including its religious name, governance structure, and religious symbols in its facilities. Receipt of funds under this program does not require an organization to remove religious art, icons, scripture, or other symbols from its facilities. (42 U.S.C. § 300x-65(b))
3. Beneficiary Protections:
- Grantees must ensure that:
- Individuals receiving services are not required to participate in religious activities as a condition of receiving services.
- Individuals are informed of their right to receive services free from religious coercion.
- If a beneficiary objects to the religious character of an organization, the grantee will make reasonable efforts to refer the individual to an alternative provider that is accessible and offers services of comparable value within a reasonable time frame. (42 CFR 54.8)
- Grantees must maintain documentation of any such referrals.
- If the grantee is a faith-based organization, the grantee must provide written notice to beneficiaries of their rights under the Charitable Choice provisions at the time of intake or service entry. The Department may provide or approve standardized notice language for this purpose.
5. Fiscal Accountability:
- All grantees, including faith-based organizations, must maintain sufficient financial records to demonstrate that SUPTRS funds are not used for inherently religious activities and must comply with 2 CFR 200 and all applicable audit and recordkeeping requirements.
Project start is November 1, 2026
Applicant proposals must articulate the ways in which the project fulfills the program intent through:
1. A logic model completed using the instructions and template attached to this RFP. The logic model will identify resources available to the proposed project; summarize project activities; and clearly state anticipated goals, outputs, and outcomes compliant with program intent.
2. A narrative work plan describing how, when, and by whom program activities will be implemented.
3. A timeline for the initiation of services and project activities for the first year.
1.04Program Evaluation Requirements and Reporting
Applicants must describe how they will collect, manage, analyze, and report the required performance measures identified in this RFP. Projects will collect and report performance data sufficient to demonstrate progress toward meaningful outcomes, as well as data collection and reporting consistent with Department priorities.
Department Performance Measures of Effectiveness and Efficiency: This grant uses a Results-Based Accountability (RBA) framework to measure program performance. RBA is a structured approach that uses clear performance questions and measures to link services to improved maternal, perinatal, and infant health outcomes. The applicant's proposed evaluation plan will incorporate the following performance measures:
How much did we do? (Quantity of services provided)
- Number of pregnant, postpartum, and parenting individuals served (unduplicated) including basic demographics:
- Type of recovery support services provided
- Number of individuals served from target populations and service areas identified in the proposal, including priority and high-risk populations described in Section 1.05.
- Number of referrals made by service type (e.g., SUD treatment, MOUD, behavioral health, primary care, obstetric care, peer support, housing, transportation, childcare, domestic violence services, or other supports);
- Number of uninsured, underinsured, Medicaid-ineligible, or otherwise non-resourced individuals served.
How well did we do it? (Quality of services delivered)
- Percentage of individuals contacted within established referral management timeframes.
- Percentage of referrals resulting in a completed connection to services.
- Number of formal partnerships or referral agreements established or maintained.
- Number of client and family experience/satisfaction surveys administered to individuals served and aggregate responses to the surveys.
Is anyone better off? (Impact on participants’ lives)
- Percentage of participants successfully connected to behavioral health, medical, recovery support, or social support services.
- Percentage of participants reporting reduced barriers to accessing care.
- Percentage of uninsured or underinsured participants connected to insurance coverage or other financial resources.
- Percentage of participants who report receiving the services needed to support treatment engagement
- Additional metrics in key outcome indicators consistent with applicant program goals and outcomes identified in Section 1.02, if not addressed with above measures.
Grant reporting will include:
- Quarterly Program Reports in the format prescribed by the program to include required documentation referenced in this RFP and Appendix as applicable.
- Cumulative Fiscal Reports recording overall grant and match expenditures by budget line;
- Cumulative Detailed Expenditure Report verifying amounts reported in Cumulative Fiscal Reports due at Q2 and Q4.
The Department reserves the right to impose additional grant conditions, reporting requirements, or monitoring activities as necessary to ensure compliance with federal SUPTRS requirements and the objectives of this grant program.
1.05Target Population and Service Area
Applicants must clearly describe the population targeted by the project, including the area or communities that will be served. Proposals will be evaluated for compatibility with the program’s intended target population identified in this solicitation.
Target Population: Funds allocated for this initiative shall be spent exclusively on pregnant and postpartum women in need of substance use disorder treatment.
The target population for the solicited services are the following populations at elevated risk:
- Pregnant and Postpartum Women
- During 2019–2023, 17 of the 66 pregnancy-associated deaths in Alaska (26%) were due to drug overdose, including 13 that were found to be unintentional. Pregnancy-associated deaths are defined as any death during or within one year of pregnancy.
- Only 10% of the 937 pregnant Alaskan women needing treatment in 2022 received it.
- Alaska Native and American Indian people
- During 2014-2023, pregnant and postpartum Alaska Native/American Indian mothers were found to be 5 times more likely to die from suicide and homicide than White mothers (violent death ratio of 62.9 vs 12.37).
- Pregnant and Postpartum women experiencing or with a history of domestic violence
- Among deaths reviewed by the MCDR during 2016-2022, 71% (n=40) of decedents had a history of being a victim or possible victim of Interpersonal Violence (IPV).
- The pregnancy-associated mortality rate from suicide and homicide among all Alaskans from 2014-2023 was 24.53/100,000, a mortality rate that is higher than the 2011-2020 rate of 22.19/100,000.
- Justice-Involved Pregnant and Postpartum Women
- Overdose is the leading cause of death post-incarceration, with risk 12.7 times higher in the first two weeks after release, especially for women.
- Residents of Southwest and Northern Public Health Regions of Alaska
- Rates of pregnancy-associated mortality in these two public health regions are approximately three times higher than other public health regions across Alaska, at 284 per 100,000 live births, and 247 per 100,000 live births, respectively.
Priority Populations and Admission Preferences (45 CFR 96.131)
Grantees must ensure that admission practices align with SUPTRS priority treatment preferences:
- Pregnant women who inject drugs
- Pregnant women with substance use disorders
- Persons who inject drugs
- All other eligible individuals
Service Areas and Communities: The service areas and communities requested for the services solicited are the Southwest Public Health Region, The Northern Public Health Region, and statewide.
This solicitation will use two applicant groups consisting of agencies serving: the Southwest Public Health Region and/or the Northern Public Health Region, and statewide. The Northern and Southwest Public Health Regions were identified due to the higher maternal mortality rate and substance use disorder rate that exists in those regions as identified by the Alaska Borough and Census data. The Statewide applicant group can be located anywhere in the State of Alaska and applicants are not required to provide services to the entire state. At least one awardee that meets the criteria in the RFP will be selected from each of these groups, with four awardees anticipated to be selected overall.
Each grantee is anticipated to receive $250,000 per state fiscal year.
There are 2 applicant groups:
- Agencies providing services anywhere in the State of Alaska
1.06Program Funding
Funds available for this program are anticipated to total $1,000,000 per fiscal year, totaling $3,000,000 over three years. Funding source is Substance Abuse Mental Health Services Administration (SAMHSA) Block Grant. Each grantee is anticipated to receive $250,000 per state fiscal year.
Proposed Budget: The applicant must submit a budget proposal for the first fiscal year of the project. The proposed budget detail and narrative will support the program's results-based service delivery, outcomes, and staffing requirements stated in this RFP.
Budgets must align with the purpose of this grant, which is to improve access to substance use disorder (SUD) treatment, referral coordination, and recovery support services for pregnant and postpartum women.
Grant funds may be used to support:
- Referral management and care coordination activities;
- Recovery support services (e.g., peer support, navigation, family support);
- Services that reduce challenges to accessing care (e.g., transportation, childcare), when not otherwise reimbursable;
- Outreach, engagement, and partnership development;
- Program infrastructure necessary to support access to care; and
- Limited workforce development activities directly tied to the proposed project.
Medicaid and Third-Party Billing Requirements
Applicants that are enrolled as Medicaid providers must:
- Bill Medicaid and all other available third-party payors for all eligible and reimbursable services; and
- Use grant funds only for services and activities that are not reimbursable.
Applicants that are not Medicaid providers may use grant funds to support allowable services and activities described in this RFP, including referral management and recovery support services.
Grant funds may not be used to pay for services that are reimbursable through Medicaid, private insurance, or other third-party payors.
If proposing workforce development activities, applicants must budget no more than 10% of total budget towards workforce development costs.
Workforce development activities are allowable when they directly support training specific to the proposed grant program services and activities. Applicants are expected to conduct due diligence to confirm that the proposed training is not otherwise available at no cost through existing state-sponsored opportunities, as the Department of Health currently offers multiple free trainings to support Alaska’s workforce. If workforce development activities and related expenses are included in the proposed project, total costs may not exceed 10 percent of the proposed project budget.
Grantees are required to maintain documentation demonstrating that other funding sources were unavailable and that transportation costs were reasonable, necessary, and directly tied to services. Documentation must be retained in accordance with audit and grant requirements.
The proposed budget will be fully compliant with the limitations described in this RFP, and those detailed in 7 AAC 78.160 (Costs). Regulations are provided under the GEMS Documents tab.
- Be directly related to the activities proposed in this application;
- Be reasonable, necessary, and allocable to the project; and
- Not be reimbursable through Medicaid or other funding sources.
All costs must be clearly justified in the budget narrative, including:
- A description of the cost;
- How the cost supports program activities; and
- The method used to calculate the cost.
Grant funds may not be used to:
- Duplicate or replace funding available through Medicaid, insurance, or other payors;
- Supplement or enhance reimbursement rates; or
- Support general operating costs not directly tied to the proposed project.
Budget Narrative Requirements
Applicants must include a detailed budget narrative that explains:
- How each cost supports the proposed services and activities;
- Why the cost is not reimbursable through other funding sources; and
- How the proposed budget aligns with the goals of improving access to care for pregnant and postpartum women.
The proposed budget will be fully compliant with the limitations described in this RFP, and those detailed in 7 AAC 78.160 (Costs). Regulations are provided under the GEMS Documents tab.
Resources specific to budgeting are also available under the GEMS Documents tab. The Department's Grant Budget Preparation Guidelines provide information and guidance about budget lines, cost detail groupings, and narrative requirements. Grantee User Manual Part I provides detailed instructions for entering a budget proposal in the chapter "Responding to a Solicitation."
Other Agency Funding: Prior to submitting a proposal, applicants are required to list all other agency funding received and applied for. This task must be completed by an Agency Power User in the Other Funding section of the Agency Administration tab. This is part of the pre-award risk assessment required under Uniform Guidance 2 CFR 200.
Administrative Costs: In accordance with federal grant restrictions (or program statute or regulation), proposed budgets must limit total administrative costs to no more than 5% of the total grant award.
Indirect Costs: If the proposed budget includes indirect costs, 7 AAC 78.160(p) requires a copy of the agency's current federally approved Indirect Cost Rate Agreement. The agreement is to be uploaded in the Agency Administration tab. Lapsed agreements can be used if uploaded with the negotiating federal agency's written approval to continue using the rate until a new agreement is negotiated. If an agency has never entered into a federally approved Indirect Cost Rate Agreement or no longer has a federally approved agreement in place, the recently updated Federal Uniform Guidance 2 CFR 200 now allows that agency to budget the 10% De Minimis.
Payment for Services/Grant Income: If applicable to the services proposed in response to this solicitation, awarded grantees will have a Medicaid Provider Number or apply to obtain one, and will make reasonable effort to bill all eligible services to Medicaid and any other available sources of payment before seeking grant support for delivery of the proposed services. Department funds are the payer of last resort.
In the applicant’s proposed budget, anticipated receipts and expenditures for all grant income must be evident in the detail and narrative. Fiscal reports for awarded income generating projects will include the receipts and expenditure of all grant income.