The fiscal year (FY) 2022 State and Regional Primary Care Association (PCA) Non-Competing Continuation (NCC) progress report instructions are available on the PCA TA webpage. Below are common questions and corresponding answers for the FY 2022 PCA NCC progress report (hereafter referred to as the progress report). New frequently asked questions (FAQs) will be added as necessary.
- Program Requirements
- Progress Report Development and Submission
- Progress Update
- Project Work Plan
Must all PCA training and technical assistance (T/TA) activities be available at no cost to existing and potential health centers in the state/region?
PCAs must ensure access to T/TA services without regard to health center award/designation status, PCA membership status, or location within the state or region1. The ability for a PCA to charge for T/TA varies:
- PCAs cannot charge participants for T/TA supported solely with HRSA funds.
- PCAs may charge participants for T/TA supported with a mix of HRSA and non-HRSA funds to offset non-HRSA funded costs if the PCA can demonstrate that the charge is not a barrier to access.
Progress Report Development and Submission
Can I work on my FY 2022 Project Work Plan (PWP) before I complete my FY 2021 Progress Update?
You may work on the FY 2022 PWP concurrently or before you complete the FY 2021 Progress Update; however, the system requires that you save your FY 2021 Progress Update before submitting the FY 2022 PWP to enable it to prepopulate correctly.
What time periods should I use to report progress in the progress report?
- Project Narrative Update covers progress between January 1, 2021 – December 31, 2021, and anticipated progress from January 1, 2022, through June 30, 2022.
- FY 2021 Progress Update covers the following time periods:
- Numerical progress made towards objective targets: July 1, 2020 – December 31, 2021;
- Narrative progress on activities through December 31, 2021; and
- Narrative anticipated progress on activities: January 1, 2022 – June 30, 2022.
- FY 2022 PWP includes your plans for the FY 2022 budget period (July 1, 2022 – June 30, 2023)
Are State/Regional Performance Profiles available?
You can access the state-level UDS data that was previously included in State Profiles on HRSA's website.
How will I be notified if my progress report was successfully submitted in HRSA EHBs?
EHBs will generate a confirmation page immediately after the progress report has been submitted successfully.
What if I do not see a confirmation page after submitting my progress report?
If you do not see a confirmation page, the progress report may still be in your EHBs queue marked "in progress". If this occurs, review the progress report summary page to determine which sections of the progress report must be completed before you can submit it. You may also contact Health Center Program Support, using the BPHC Contact Form.
Should PCAs reference the work under ARP funding in the project narrative?
You do not need to reference ARP activities in your progress report.
How do I report progress on activities that were completed or deleted?
In the Project Narrative Update, you should include progress on activities that you completed or were approved and later removed from your PWP between January 1, 2021 and June 30, 2021. For activities that you continued to work on after June 30, 2021, actual progress should be reported in the Progress Update.
What significant progress and challenges should I include in the Project Narrative Update versus the FY 2020 Progress Update?
While the FY 2021 Progress Update requires updates for each specific objective target and activity, the Project Narrative Update allows you to address cross-cutting progress and challenges (e.g., if you’re significantly ahead on all planned activities for all Goal A objectives, despite having significant participation challenges across all objectives). Your Project Narrative Update may also include information that does not fit within the character limits of the FY 2021 Progress Update.
What do I report in Attachment 2: Health Workforce Supplemental Progress differently than what I report for Objective F2: Health Workforce Supplemental Funding in the FY 2021 Progress Update?
Health Professions Education and Training (HP-ET) initiative has five metrics specific to year 2 required activities that you are required to report through Attachment 2: Health Workforce Supplemental Progress. The FY 2021 Progress Update is where you report progress on the activities and targets (e.g., Participant Satisfaction) included in Objective F2 of your FY 2021 Project Work Plan (PWP).
How do I access Attachment 2: Health Workforce Supplemental Progress and include it in my application submission?
A link to the Attachment 2: Health Workforce Supplemental Progress template is available on the PCA TA webpage. You will need to download the file to complete it. Once completed, upload the file as Attachment 2: Health Workforce Supplemental Progress in the progress report application module.
Which metrics should I provide and how should I provide them in Attachment 2: Health Workforce Supplemental Progress?
You should only provide updates for HP-ET 2-6, which are included in the HP-ET Workforce Supplemental Progress Excel template (XLSX - 28 KB) located on the TA webpage.
Do I need to attach my Attachment 3: Staffing Plan if it hasn’t been updated?
No, if the staffing plan has not changed since you submitted your FY 2021 progress report, you do not need to submit the attachment.
Who is considered Key Personnel?
Key Personnel includes anyone you noted in your FY 2020 PCA application in Attachment 3: Staffing Plan and Attachment 6: Biographical Sketches of Key Personnel. Note any changes to these positions or the staff occupying these positions in Attachment 5: Job Descriptions for Key Personnel and/or Attachment 6: Biographical Sketches of Key Personnel of your progress report.
What time period should Attachment 7: Summary of Contracts and Agreements cover?
Attachment 7: Summary of Contracts and Agreements should list any changes to contracts and/or agreements that have occurred since your last submission of your Summary of Contracts and Agreements. You should also include any changes that are projected through the end of the second budget year (June 30, 2022).
If there is a new state PCA CEO since the Regional Memorandum of Agreement (MOA) was signed, does this mean the MOA should be re-submitted as Attachment 8: MOA for Regional PCAs Only?
If you are a regional PCA, you must re-submit a signed Regional Memorandum of Agreement (MOA) documenting support from the current state PCA CEOs in the selected region. If signatures from the leadership of all current state PCA CEOs cannot be obtained, regional PCAs must include documentation of efforts made to obtain the signatures along with an explanation for why they could not be obtained in the Collaboration section of the Project Narrative Update.
How do I know if I need to submit Attachment 11: Needs Assessment?
The FY 2020 Notice of Funding Opportunity (NOFO) required you to submit a full needs assessment to your Project Officer (PO). If you have not already done so, may attach it to your progress report. Contact your PO if you are unsure about whether you have submitted your full needs assessment.
What should I do if the Current Numerator and Denominator are significantly different than the Baseline Numerator and Denominator?
Explain the differences between the Current Numerator and Denominator and the Baseline Numerator and Denominator in the Objective Impact Progress Narrative.
What should I enter for my Current Numerator if I have not made progress?
To the extent possible, use the same method for calculating your Current Numerator that you used for your Baseline Numerator. It is likely that your Current Numerator will be the same as your Baseline Numerator. If you have not made progress, explain why in the Objective Impact Progress Narrative field.
How should I report progress I achieve January 1, 2022 through February 9, 2022?
Only consider progress achieved through December 31, 2021 when calculating your targets or discussing your target progress in the target progress narrative fields. You may list progress on specific activities that occurred January 1, 2022 through February 9, 2022 in the Anticipated Progress field of your FY 2021 Progress Update, noting what has been completed and the completion date.
What does the Progress Toward Target Percentage field measure?
The Progress Toward Target Percentage field describes how close you are to achieving your Objective Target. It is automatically calculated using the following formula: (Current Percentage - Baseline Percentage) ÷ (Objective Target – Baseline Percentage) × 100.
For Objective A2 where only a number is reported, the following formula will be used: (Current Numerator-Baseline Numerator) ÷ (Objective Target – Baseline Number) x 100.
Why is my Progress Toward Target Percentage negative?
A negative Progress Toward Target Percentage indicates your current percentage is less than your baseline percentage.
Where do I enter activities conducted with my Ending the HIV Epidemic (EHE) supplemental funding?
Any activities supported by EHE funds must be recorded in Objective A1: Comprehensive Services and not under Goal F: Supplemental Funding.
What activities are counted as Formal Training and Technical Assistance (T/TA) Sessions in the FY 2020 Progress Update?
Formal T/TA Sessions are scheduled and structured T/TA sessions with specific objectives and outcomes, including virtual and in-person sessions. You must count all T/TA sessions that meet these criteria (scheduled, structured, specific objectives, and outcomes) when reporting numeric target progress. T/TA activities that had a positive impact on Objective Target attainment but do not meet the definition of Formal T/TA Sessions must not be considered when reporting progress.
What should I enter if I have not made progress on my Formal T/TA Session, Participation, Participant Satisfaction, and/or Participant Behavior Change Targets?
Enter 0 in the appropriate Target Current Numeric Progress field and explain why you have not made progress in the corresponding Progress Narrative Update field.
For Objective A1, can I count training and technical assistance (T/TA) session attendees from health centers that were not supplemental funding recipients in my Participation Target Current Numeric Progress?
You may count all participants attending the T/TA session in the Participation Target Current Numeric Progress figure, regardless of their supplemental funding status.
For Objective A2, what time period should I use to calculate the numerator?
Report the number of existing and potential health centers that have received T/TA on strategic development from July 1, 2020 - December 31, 2021.
For Goal E Objectives, what time period should I use to compare progress?
HRSA is tracking the percentage of health centers that improve their performance by the end of the 3-year period of performance. For this progress report, you can report on how many health centers had improved data by comparing their 2020 and 2018 UDS data. For next year’s progress report, you would compare their 2021 UDS data to their 2018 data. Explain which years you are comparing in the Objective Impact Progress Narrative field of your Progress Update.
Project Work Plan
What should we do if an Optional Objective our PCA selected is no longer a high priority?
While you cannot delete an Objective, you may pare back your work under the Optional Objective by adjusting or removing activities (you will still need a minimum of two). You should explain the priority shift in your Objective Impact Narrative.
Are state PCAs that cover two or more states and Regional PCAs allowed to have state-specific activities?
PCA training and technical assistance (T/TA) must help health centers innovate and respond to changes in their state or regional health care environment. If you are serving multiple states, this may result in state-specific activities. In this case, you must dedicate at least one activity to each state for each required objective, though a single activity may cover multiple states. You may allocate remaining activities between individual states in the way that will best support health center achievement of the five goals described in the Purpose section of the FY 2020 PCA NOFO. Note that Regional PCAs must collaborate with state PCAs on all T/TA activities to ensure there is no duplication of effort.
Optional Objectives A4 and B2 allowed you to determine the baseline denominator, therefore it was allowable to focus on one state for these two optional objectives. If you chose to focus on just one state for either of these objectives, you must continue to do so in year 3.
Why is Objective F1: COVID-19 Supplemental Funding in my FY 2022 Project Work Plan (PWP)?
While supplemental funding for COVID-19 was one-time funding for FY 2020, you may need to carry over funds into FY 2022. If you are planning on-carrying over your COVID-19 supplemental funds, you must update the activities in your FY 2022 PWP as needed, for example changing the Targeted Start and End Dates and/or the Person Responsible. If you are not planning on-carrying over COVID-19 supplemental funds, you can leave everything in this objective as-is. Adding these activities to your FY 2022 PWP does not constitute HRSA approval to carry over funds. To officially carry over funds you must talk with your PO about initiating a prior approval request.
Do the HP-ET or the workforce supplement expenses need to be broken down into a separate column in the budget and budget narrative?
No, they do not need to be broken down in a separate column in the budget or the budget narrative.
We have carried forward funding this year, how should we reflect that in the project narrative and the budget?
An approved prior approval request for carryover funds cannot be included in the project narrative and/or budget justification for the FY 2022 budget period. If you have further questions, you may also contact your Grants Management Specialist (GMS).
How was the Recommended Federal Budget calculated?
The Recommended Federal Budget corresponds to the recommended future support figure provided in your most recent Notice of Award and includes both supplemental (i.e. HP-ET funding for all PCAs and EHE funding as applicable) and base funding.
What time frame should the budget narrative and the Budget Information: Budget Details form cover?
Your budget narrative and the Budget Information: Budget Details form should cover year 3 (July 1, 2022, to June 30, 2023). You should also note any anticipated changes from the second budget year (July 1, 2021, to June 30, 2022), in the personnel justification table.
Note: Do not include FY 2021 American Rescue Plan (ARP) U3F COVID-19 supplemental funding. A Sample Personnel Justification table is available with the Sample Budget Narrative on the PCA TA webpage.
Can I carry over COVID-19 supplemental funds into FY 2022?
You may request to carry over COVID-19 supplemental funds through a prior approval request. HRSA approval is required.
1PCAs that refuse to work with an existing or potential health center may be deemed non-compliant with the terms and conditions associated with this award, and subject to penalties for noncompliance as outlined by 45 CFR 75.371.