CADRE Frequently Asked Questions

Below are common questions and corresponding answers for the Capital Assistance for Disaster Response and Recovery Efforts (CADRE) notice of funding opportunity (NOFO). New items will be added as needed. The CADRE NOFO and any updates to these FAQs are available.

Contents

General Information

What is the purpose of the CADRE funding opportunity?

The purpose of the FY 2020 CADRE funding opportunity is to provide one-time support to assist health centers with at least one service delivery site in areas impacted by Hurricane Florence, Hurricane Michael, Typhoon Mangkhut, Super Typhoon Yutu, wildfires, and earthquakes occurring in calendar year 2018; and/or tornadoes or floods occurring in calendar year 2019, as declared by the Federal Emergency Management Agency (FEMA) to:

  • Respond and recover from emergency and/or disaster impacts, and/or;
  • Increase the capacity and capability to respond to and/or recover from future emergencies and/or disasters, and/or
  • Support the continuity of access to high quality primary care services for underserved and vulnerable populations.

Which disasters does CADRE cover?

The funding opportunity covers the following disaster types, as specified in the Additional Supplemental Appropriations for Disaster Relief Act, 2019, P.L. 116-20:

CY 2018:

  • Hurricanes Florence and Michael;
  • Typhoon Mangkhut, Super Typhoon Yutu; and
  • Wildfires and earthquakes.

CY 2019:

  • Tornadoes and floods

Can CADRE funding be used to support construction-related activities associated with COVID-19?

Eligible health centers in areas that received a disaster declaration in CYs 2018 and 2019 can request funding to support construction-related needs to increase their capacity and capability to respond to and recover from future emergencies, including but not limited to, COVID-19. Operational costs and supplies are not permitted uses of the CADRE funding.

CADRE funding may not supplant other resources (federal, state, local, or private funds). You may not propose construction-related activities associated with a project or connected activity (e.g., installation of utilities, demolition) that starts before the CADRE award date, September 1, 2020. Proposed CADRE-funded projects must be separate and distinct from any other construction projects. See Appendix B for further details regarding allowable and unallowable costs.

How much funding is available through CADRE and how much can I request through the CADRE application?

Approximately $79 million is available to fund an estimated 225 awards across three available tracks (equipment, minor construction-related, major construction-related). Applicants can submit one application. Applications must choose one of the following funding tracks:

  • Track 1 (Equipment-Only): Approximately $10,000,000 to fund approximately 100 awards. Applicants can request up to a maximum of $100,000 for one equipment-only project.
  • Track 2 (Minor Construction-Related): Approximately $19,000,000 to fund approximately 75 awards. Applicants can request up to a maximum of $250,000 for Alteration/Renovation and/or Construction/Expansion project(s) with or without equipment.
  • Track 3 (Major Construction-Related): Up to $50,000,000 to fund approximately 50 awards. Applicants can request up to a maximum of $1,000,000 for one Alteration/Renovation or Construction/Expansion project with or without equipment.

HRSA may adjust the total number of awards for each track based on the number and quality of applications received and reviewed for each track.

For more information, see Section II, Summary of Funding in the NOFO (PDF - 515 KB).

What information is required in Grants.gov versus what is required in EHB for my application?

In Grants.gov, the application package for HRSA-20-097, Capital Assistance for Disaster Response and Recovery Efforts (CADRE) funding opportunity requires applicants to submit mandatory attachments. In order for you to submit your CADRE application in Grants.gov, please follow the steps below for the mandatory attachments:

  • Project Narrative Attachment – You may upload a blank document as the attachment.
  • Budget Narrative Attachment – You may upload a blank document as the attachment.
  • Budget Information for Non-Construction Programs (SF-424A) – add the title of the program in box A.1 (Grant Program Function or Activity). No other information on this form is needed.

If you have already uploaded detailed information as attachments for these requirements, no changes will be needed with your application.

In EHB, you are required to submit detailed information on your proposed project as listed in the CADRE NOFO (PDF - 515 KB) (see Section IV, Application and Submission Information).

Eligibility

Who is eligible to apply for CADRE funds?

To be eligible to apply for and receive CADRE funding, health center applicants must meet all of the following eligibility requirements:

  1. Be an existing health center receiving Health Center Program operational support (under sections 330(e), (g), (h), and/or (i)) at the time of application and at the time of award.
  2. Have at least one service delivery site located in a FEMA declared emergency and/or disaster impacted area (as listed in Appendix A of the NOFO) within their approved health center scope of project (as indicated on your Form 5B: Service Sites).

Must our health center have sustained damage in order to be eligible for funding?

No, health centers do not have to sustain damage to be eligible for funding. For more information, see Section III, Eligible Applicants in the NOFO. Your proposed project(s) should align with the purpose of the CADRE funding opportunity to:

  • Respond and recover from emergency and/or disaster impacts, and/or;
  • Increase the capacity and capability to respond to and/or recover from future emergencies and/or disasters, and/or
  • Support the continuity of access to high quality primary care services for underserved and vulnerable populations.

In addition, your application will be evaluated by how you respond to the application review criteria (see Section V, Application Review Information (PDF - 515 KB)).

Why aren’t health centers in Puerto Rico eligible for this funding opportunity?

Eligibility for the current funding opportunity is limited to specific disasters in CY2018 and CY2019 as indicated in the authorizing legislation. CADRE funding is authorized by the Additional Supplemental Appropriations for Disaster Relief Act, 2019, P.L. 116-20, and section 330 of the Public Health Service Act, as amended (42 U.S.C. 254b). Puerto Rico’s most recent earthquakes occurred in CY2019 and were not cited as covered emergencies and/or disasters in the authorizing legislation.

Project Requirements

How many projects may I propose?

The number of allowable projects proposed will vary based on track type. For more information, see Section II, Summary of Funding in the NOFO (PDF - 515 KB).

Can I propose more than one project per site location? For example, can I propose 2 projects at the same physical site location?

No. Alterations/Renovations (A/R) and Construction/expansion (C/E) projects are site specific. You can only propose one project per physical site address and you may include equipment purchases for that site, if desired.

If I propose a Minor or Major Construction-Related project and want to purchase equipment for that site, do I propose both an A/R or C/E and an equipment-only project?

No. If you would like to purchase equipment for a Minor or Major Construction-Related project, you should include all costs related to the proposed project, including the purchase of moveable equipment. Depending on the amount of funding you are requesting, you would do this through either Track 2 or 3.

Can a health center propose a project at a new service delivery site?

Yes. Applicants can propose a project at a new service delivery site. The proposed project and new service delivery site must be located within a FEMA declared emergency or disaster impacted area. For Track 1 (Equipment-Only), applicants are limited to proposing a new mobile medical van site. 

For more information, see Appendix A, FEMA Designated Disaster and Emergency Declarations and Impacted Areas in the NOFO (PDF - 515 KB).

Can we propose a project through the CADRE funding opportunity for a site that previously received funding through other HRSA Capital Funds?

You may apply for CADRE funding at a site that previously received HRSA Capital Funds. However, CADRE funding may not supplant other sources of funds and you may not propose A/R or C/E activities associated with a project or connected activity that starts before the CADRE award date of September 1, 2020. Proposed CADRE-funded projects must be separate and distinct from any other construction.

For more information, see Section III, Supplanting of Funds in the NOFO (PDF - 515 KB).

Can an applicant add services to their Health Center Program scope of project through this funding opportunity?

No. An applicant cannot add services to their Health Center Program scope of project through this funding opportunity. Any changes to services must be submitted through a separate change in scope request. See PIN 2008-01 (PDF - 224 KB).

Can an applicant request CADRE funding to support a project at an administrative-only site?

No. Applicants must propose a project at either an active service delivery site in the health center’s approved scope of project at the time of the application submission or a new service delivery site within a FEMA declared emergency and/or disaster impacted area. CADRE projects cannot be proposed at administrative-only sites.

Can an applicant propose sub-recipient and contractor sites?

No, sub-recipient and contractor sites are not eligible for this funding opportunity.

Can CADRE funding be used for operational costs?

No. You may not use CADRE funding to support the provision of services and other operating costs (e.g., funding direct services, clinical full-time equivalents, costs for staff not directly related to the implementation of the proposed project within the project scope of work, rent, mortgage payments, refinanced credit facilities).

For more information, see the Appendix B, Allowable and Unallowable Costs in the NOFO (PDF - 515 KB).

Can CADRE funding be used to cover costs incurred prior to the award date?

Yes. If the applicant receives a grant award, only pre-construction costs incurred up to 90 days prior to the award date, and in accordance with Federal procurement requirements, may be considered for reimbursement under the grant.

Costs incurred more than 90 days prior to the award date are not allowable.

For more information, see the Appendix B, Allowable and Unallowable Costs in the NOFO (PDF - 515 KB).

Can an application propose the purchase of a modular unit?

Yes. The purchase and permanent installation of a modular unit to expand an active site is an allowable construction cost. This would be considered a Construction/Expansion (C/E) activity and would be an allowable activity in Track 2 or Track 3.

For more information, please see Section II, Summary of Funding in the NOFO (PDF - 515 KB).

Equipment

What is considered moveable equipment?

Moveable equipment includes non-expendable items with a useful life of more than one year that is not permanently affixed and can be easily moved (e.g., replacement of existing or the purchase of new mobile medical vans, telehealth equipment, clinical furnishings, clinical equipment, non-clinical furnishings, laptops, servers, videoconferencing equipment, dental chairs, and radiographic equipment). There is no minimum or maximum unit cost for equipment items.

Are supplies an allowable cost?

No. Expendable supplies (e.g., office supplies, medical supplies, educational supplies) are unallowable. Supplies with a useful life of more than one year may be included as moveable equipment for this funding opportunity.

Are mobile vans and other vehicles an allowable cost?

You may use CADRE funds to purchase new mobile medical vans or replace mobile medical vans. The site of the mobile medical van must be located in a FEMA declared emergency and/or disaster impacted area. Other vehicles purchases (e.g., passenger vehicles) are unallowable.

For more information, please see Appendix B, Allowable and Unallowable costs in the NOFO (PDF - 515 KB).

Is a new mobile medical van an eligible expense for all three tracks or just certain ones?

You can add a new mobile medical van site in all three tracks. If you are purchasing a new mobile medical van, you must add that as a new site to your current scope of project. 

Can I use CADRE funding to purchase a new electronic health record (EHR)?

No. You may not use CADRE funding for costs related to an EHR system, to purchase an EHR, or to support EHR ongoing operations or maintenance. However, you may use CADRE funding to purchase equipment associated with using an existing EHR, such as software, site licenses, laptops, and/or servers.

Can CADRE funds be used to lease moveable equipment?

No. CADRE funds may not be used to lease moveable equipment.

Leasehold Improvement and Federal Interest

Can I propose projects at a leased site?

Yes. You may propose project(s) at a leased site. However, you may not use CADRE funds to address facility needs that are part of the terms of the lease (i.e., the obligation of the lessor). If you propose a project for a leased facility, you must attach a signed Landlord Letter of Consent (LLOC) from the facility owner in the Other Requirements for Sites form. See a sample LLOC.

Is a Notice of Federal (NFI) Interest required?

Depending on the scope of work, the owner of the property may be required to consent and file a Notice of Federal Interest.

For more information, see Section IV, Federal Interest in the NOFO (PDF - 515 KB).

What is required in a NFI and how is it filed?

Information regarding the contents of a NFI and filing (PDF - 500 KB).

A sample NFI can be viewed (PDF - 297 KB).

When is a NFI required to be filed? Must it be submitted with the application?

If a NFI is required, the applicant must submit the NFI after the award of the grant, but prior to initiating physical work on the project.

What if there is already a HRSA NFI on the property?

NFIs must specify the grant under which the capital funding was provided. NFIs that cite other grant programs cannot be substituted. Existing NFIs may be amended to add in the new grant and project description along with the existing grant information upon issuance of a Notice of Award.

Are leasehold improvements allowable?

Yes. For more information about leasehold improvements, see Section VI, Leasehold Improvements in the NOFO (PDF - 515 KB).

Application Forms

Who should be listed as the Project Manager?

The Project Manager is the person responsible for the administrative direction and oversight for the project. The Project Manager may be a contractor or direct hire staff responsible for overseeing the day-to-day activities of the project.

Who should complete and sign the Environmental Information and Documentation (EID) checklist?

The authorizing official (AO) may complete and sign the EID checklist. You are strongly encouraged to seek clarification and consultation from the property owner as needed to ensure the accuracy of the responses provided on the checklist.

Budget Information

Do I submit one budget for all projects?

Yes. You must provide one SF-424C Budget that captures the total request inclusive of all proposed projects. You will also need to submit a project-specific budget justification for each proposed project(s).

Is it required to have additional sources of funds (i.e., non-federal funding)?

No. However, you must identify the total costs associated with the proposed project and describe all other sources of funding in the application.

If we need other sources of funding to supplement the CADRE project, must we have those other sources in-hand by the time of application?

No. Please note, however, that you will assume all risk associated with unsecured funds.

For total project costs, should I list all other sources of funding or should I list only the sources that are supporting allowable costs?

Identify all other sources of funding supporting the project costs (both allowable and unallowable) on in the Project Budget Justification.

What relocation costs are allowable?

Moving costs associated with any project are unallowable. The following types of relocation costs are allowable for A/R and C/E project(s):

  • Renting a space for temporary relocation purposes while work on the main site is being completed;
  • Costs associated with the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (as amended by the Uniform Relocation Act of 1987, which provides relocation assistance in specific circumstances where the project involves the displacement of persons and businesses).

For more information, see Appendix B, Allowable and Unallowable Costs in the NOFO (PDF - 515 KB).

Can you provide more instruction on how to prepare the budget justification?

For sample budget justifications, please see the CADRE Technical Assistance (TA) page.

Review and Selection Process

When will the CADRE grants be awarded?

HRSA anticipates awards will be issued through a Notice of Award (NoA) on or around the project period start date of September 1, 2020.

What is the review process and how will the application be evaluated?

HRSA has procedures for assessing the technical merit of applications to provide for an objective review. HRSA has critical indicators for each review criterion to assist you in presenting pertinent information related to that criterion and to provide the reviewer with a standard for evaluation. These criteria are the basis upon which the reviewers will evaluate and score the merit of the application. The entire proposal will be considered during objective review. Review criteria are listed in the NOFO and are used to review and rank applications.

For more information, see Section V, Application Review Information in the NOFO (PDF - 515 KB).

Will projects with additional sources of funds (equity and/or debt) be more competitive than projects that request grant funding for all allowable costs?

No. The NOFO asks that you identify and include the total cost associated with your CADRE project and describe all other sources of funding including public and private funding as well proposed debt. This information will provide a comprehensive view of the total cost of undertaking the project. The Objective Review Committee will evaluate the application based on the review criteria in the NOFO. 

Should the applicant request grant funds at a certain percentage of the total project cost?

Applicants should request funds that are adequate, necessary, and reasonable to complete the project. 

Technical Assistance and Contact Information

If I encounter technical difficulties when trying to submit my application in EHBs, who should I contact?

Contact Health Center Program Support at 877-464-4772, Monday through Friday from 7 a.m. - 8 p.m. ET (except federal holidays). Always obtain and retain a case number when calling for support.

You can also submit questions through the BPHC Contact Form HRSA BPHC exit disclaimer.

Who should I contact with questions concerning the application requirements and process?

Refer to the CADRE Technical Assistance (TA) page for the CADRE applicant webinar, application guide, sample forms, and other TA resources.

You may also contact the CADRE application TA team HRSA BPHC exit disclaimer.

Who should I contact with questions about preparing my budget?

Contact Marc Horner, (301) 443-4888 and Djuana Gibson, (301)-443-3243 in the Division of Grants Management Operations.

Date Last Reviewed:  April 2020