This Community Health Aide Program Grant is for Tribal Assessment & Planning

• A federally recognized Indian Tribe as defined by 25 U.S.C. 1603(14). The term “Indian Tribe” means any Indian Tribe, band, nation, or other organized group or community, including any Alaska Native village or group, or regional or village corporation, as defined in or established pursuant to the Alaska Native Claims Settlement Act (85 Stat. 688) [43 U.S.C. 1601 et seq.], which is recognized as eligible for the special programs and services provided by the United States (U.S.) to Indians because of their status as Indians.

• A Tribal organization as defined by 25 U.S.C. 1603(26). The term “Tribal organization” has the meaning given the term in Section 4 of the Indian Self-Determination and Education Assistance Act (ISDEAA) (25 U.S.C. 5304(l)): “Tribal organization” means the recognized governing body of any Indian Tribe; any legally established organization of Indians which is controlled, sanctioned, or chartered by such governing body or which is democratically elected by the adult members of the Indian community to be served by such organization and which includes the maximum participation of Indians in all phases of its activities: provided that, in any case where a contract is let or grant made to an organization to perform services benefiting more than one Indian Tribe, the approval of each such Indian Tribe shall be a prerequisite to the letting or making of such contract or grant. Applicant shall submit letters of support and/or Tribal Resolutions from the Tribes to be served.

Additional Information on Eligibility

The Indian Health Service does not fund concurrent projects. If an applicant is successful under this announcement, any subsequent applications in response to other Community Health Aide Program (CHAP) Tribal Assessment & Planning (TAP) announcements from the same applicant will not be funded. Applications on behalf of individuals (including sole proprietorships) and foreign organizations are not eligible and will be disqualified from competitive review and funding under this funding opportunity.

Specifically, an applicant may not apply to both this opportunity, TAP, and the CHAP Tribal Planning and Implementation (TPI) opportunity (number HHS-2023-IHS-TPI-0001).

An organization currently carrying out a CHAP in the U.S. in accordance with 25 U.S.C. 1616l through an ISDEAA agreement is not eligible to apply.

The Community Health Aide Program (CHAP) Tribal Assessment & Planning (TAP) program purpose is to support the assessment and planning of Tribes and Tribal Organizations (T/TO) in determining the feasibility of implementing CHAP in their respective communities. The program is designed to support the regional flexibility required for T/TO to design a program unique to the needs of their individual communities across the country through the identification of feasibility factors.

The focus of the program is to:

Part 1: Assess whether the T/TO can integrate CHAP into the Tribal health system including the health care workforce.

Part 2: Identify systemic barriers that prohibit the complete integration of CHAP into an existing health care system. The barriers should be related to:

• Clinical infrastructure.

• Workforce barriers.

• Certification of providers.

• Training of providers.

• Inclusion of culture in the services provided by a CHAP provider.

1. Part 3: Plan partnerships across the T/TO geographic region to address the barriers including reimbursement, training, education, clinical infrastructure, implementation cost, and determination of system integration.