Primary Care Training and Enhancement: Residency Training in Mental and Behavioral Health (PCTE-RTMB) is sponsored by Bureau of Health Workforce. Trains pediatric and primary care residents to provide care for children and adolescents suffering from mental and behavioral health problems due to gun violence.

Primary Care Training and Enhancement; PCTE HEALTH AND HUMAN SERVICES, DEPARTMENT OF The overarching purpose of the PCTE Program is to strengthen the primary care workforce by supporting enhanced training for future primary care.

Activities include: (1) plan, develop, and operate a program that provides training experiences in new competencies, such as providing training relevant to providing care through patient-centered medical homes, developing tools and curricula relevant to patient-centered medical homes, and providing continuing education to primary care providers relevant to patient-centered medical homes; (2) plan, develop and operate a program for the training of physicians who plan to teach in family medicine, general internal medicine, or general pediatrics; (3) plan, develop, and operate a program for the training of physicians or physician assistants teaching in community-based settings; (4) provide need-based financial assistance in the form of traineeships and fellowships to students, residents, practicing physicians or other medical personnel, who are participants in any such program, who plan to work in, teach, or conduct research in family medicine, general internal medicine, general pediatrics, or physician assistant education; and (5) plan, develop and operate joint degree programs to provide interdisciplinary and interprofessional graduate training in public health and other health professions to provide training in environmental health, infectious disease, disease prevention and health promotion, epidemiological studies and injury control.

The Training Primary Care Champions (TPCC) Program (T13) strengthens primary care and the workforce by establishing fellowship programs to train community-based practicing primary care physician and/or physician assistant champions to lead health care transformation and enhance teaching in community-based settings.

Awardees must develop academic-community partnerships to train and support primary care physician and or physician assistant champions to lead health care transformation in community-based settings and enhance teaching in community based settings. Applicants are encouraged to partner with National Health Service Corps-approved sites.

The Integrating Behavioral Health and Primary Care (IBHPC) program (T0B) funds innovative training programs that integrate behavioral health care into primary care, particularly in rural and underserved settings with a special emphasis on the treatment of opioid use disorder.

The Physician Assistant (PA) Program (D57) increases the number of primary care physician assistants, particularly in rural and underserved settings, and improve primary care training in order to strengthen access to and delivery of primary care services nationally.

The PCTE Academic Units (AU) for Primary Care Training and Enhancement Program (UH1) provided the opportunity to request supplemental funding to continue to support collaborative activities that were intended to enable joint research, development of a common community of practice that assisted with dissemination and application of the research into education and practice, and developed plans for sustaining the scope of work of all six centers after federal funding.

The PCTE-AU program ended in FY2021. The PCTE Residency Training in Primary Care (RTPC) Program (D58) supports the development of rural and/or underserved residency tracks within existing accredited residency programs for family medicine, general internal medicine, general pediatrics and combined internal medicine and pediatrics (med-peds) programs.

The PCTE-Community Prevention and Maternal Health (PCTE-CPMH) program (T34) program trains primary care physicians in maternal health care clinical services or population health in order to improve maternal health outcomes.

The program will increase the number of primary care physicians trained in public health and general preventive medicine with maternal health care expertise and the number of primary care physicians trained in enhanced obstetrical care practicing in rural and/or underserved areas.

The purpose of the PCTE-Physician Assistant Rural Training (PCTE-PAR) Program is to develop and implement longitudinal clinical rotations for physician assistant trainees in primary care in rural areas. The program also supports the training and development of preceptors in rural areas.

The PCTE –Physician Assistant Rural Training in Behavioral Health (PCTE-PARB) Program (T8R) develops clinical rotations for primary care Physician Assistant students in rural areas. It addresses PA training for behavioral health conditions, including prevention, identification, diagnosis, treatment and referral services.

The purpose of the PCTE – Language and Disability Access (PCTE-LDA) Program (T5C) is to improve health outcomes by developing curriculum and training medical students, physician assistant students, and primary care medical residents to provide high quality primary care services to individuals with limited English proficiency (LEP) and/or intellectual and developmental disabilities (IDD).

The PCTE Residency Training in Street Medicine (RTSM) program (T35) provides training in care for the homeless, in accredited residency programs of family medicine, general internal medicine, general pediatrics and combined internal medicine and pediatrics (med-peds). HEALTH - LI General Health and Medical Section 747 of the Public Health Service Act (42 U.S.C. 293k) as amended by the CARES Act (P.

L. 116-136). _These funding amounts do not reflect the award amounts that are displayed on USASpending.

gov_ **This listing is funded for the current fiscal year. ** **Fiscal Year 2025:** In AY 2023-2024 (the most recent year with available data), the PCTE-RTMB program had 24 grantees who trained 884 individuals across 179 sites. Most training occurred in Medically Underserved Communities (MUC) or Rural areas (86%), while 50% were in Primary Care Settings.

Most sites offered interprofessional training (89%), and 36% were community-based. At graduation, 244 graduates (90%) were employed. Of these graduates, 64% were training or working in Primary Care, and 58% were in Underserved Areas.

In AY 2023-2034, PCTE: LDA program nationally trained 955 trainees and had 134 graduates nationally. There were 349 trainees from disadvantaged backgrounds and 21 graduates. There were 153 trainees from rural backgrounds and 7 graduates.

The key training settings are Medically Underserved Communities (MUC), Primary Care Settings and Rural areas. In AY 2023-2024, the PCTE-CPMH program trained 443 trainees nationally and graduated 165 trainees. Of the 443 trainees, 140 were from disadvantaged backgrounds (32%) and 95 from rural backgrounds (21%).

Of the 443 trainees, 375 trained in a Medically Underserved Community (84%), 416 in a Primary Care Setting (94%) and182 in a Rural Area (41%). Of the 165 PCTE-CPMH graduates, 86 (52%) are employed in a Primary Care Setting and 75 (45%) in a Medically Underserved Area.

In AY 2023-20224, (the most recent year with available data), there were 2166 trainees and 831 graduates in the Physician Assistant Training in Primary Care Program; 420 graduates reported employment data showing that 47 or 11% were employed in rural areas and 133 or 32% employed in primary care.

Applicants should review the individual HRSA Notice of Funding Opportunity issued under this assistance listing for any required proof or certifications which must be submitted with an application package. 2 CFR 200, Subpart E - Cost Principles applies to this program.

U.S. State Government (including the District of Columbia), Federally Recognized Indian/Native American/Alaska Native Tribal Government, U.S. Territory (or Possession) Government (including freely-associated states) Eligible entities include accredited public or nonprofit private hospitals, schools of allopathic or osteopathic medicine, academically affiliated physician assistant training programs, or a public or nonprofit private entity that the Secretary has determined is capable of carrying out such grants.

Federally Recognized Indian Tribal Government and Native American Organizations may apply if they are otherwise eligible.

U.S. State Government (including the District of Columbia), Federally Recognized Indian/Native American/Alaska Native Tribal Government, U.S. Territory (or Possession) Government (including freely-associated states) Beneficiaries include physician and physician assistant training programs that train medical students, physician assistant students, medical residents, practicing physician and physician assistants, and physician and physician assistant faculty.

PCTE Residency Training in Primary Care program, stipends are allowable for medical residents while training in rural and/or underserved areas in settings outside of the awardee institution, who are in the following resident specialties: family medicine, general internal medicine, general pediatrics and combined internal medicine and pediatrics (med-peds) programs. Grants may not be used for new construction or patient services.

Stipends are not allowed for residents or medical students, except for the RTPC program. Indirect costs under training awards will be budgeted and reimbursed at 8 percent of modified total direct costs rather than on the basis of a negotiated rate agreement, and are not subject to upward or downward adjustment. For the PCTE-TPCC program, fringe benefits are not allowed for fellows receiving stipend support.

Health insurance is allowable, but no other fringe benefits. PCTE Residency Training in Primary Care program, stipends are allowable for medical residents while training in rural and/or underserved areas in settings outside of the awardee institution, who are in the following resident specialties: family medicine, general internal medicine, general pediatrics and combined internal medicine and pediatrics (med-peds) programs.

Grants may not be used for new construction or patient services. Stipends are not allowed for residents or medical students, except for the RTPC program. Indirect costs under training awards will be budgeted and reimbursed at 8 percent of modified total direct costs rather than on the basis of a negotiated rate agreement, and are not subject to upward or downward adjustment.

For the PCTE-TPCC program, fringe benefits are not allowed for fellows receiving stipend support. Health insurance is allowable, but no other fringe benefits. Deadline determined at as part of the Notice of Funding Opportunity (NOFO) Preapplication coordination is not applicable.

Environmental impact information is not required for this program. This program is excluded from coverage under E. O.

12372. 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. Opportunity Posted Location: Grants.

gov Application Procedures Location: NOFO Procedures for assessing the technical merit of grant applications have been instituted to provide an objective review of applications and to assist the applicant in understanding the standards against which each application will be judged.

Critical indicators have been developed for each review criterion to assist the applicant in presenting pertinent information related to that criterion and to provide the reviewer with a standard for evaluation. Competing applications are reviewed by non-federal expert consultant(s) for technical merit recommendations.

Applications will be reviewed and evaluated against the following criteria: (1) Purpose and Need; (2) Response to Program Purpose; (3) Impact; (4) Organizational Information, Resources and Capabilities; and (5) Support Requested. See the most recent Notice of Funding Opportunity for detailed selection criteria. Notification of award is made in writing (electronic) through a Notice of Award.

From 120 to 180 days. Approximately 120 - 180 days after receipt of applications. Depending on Agency priorities and availability of funding, during the final budget year of the approved project period competing continuation applications may be solicited from interested applicants.

The following 2CFR policy requirements apply to this assistance listing: Subpart B, General provisions Subpart C, Pre-Federal Award Requirements and Contents of Federal Awards Subpart D, Post Federal; Award Requirements Subpart E, Cost Principles Subpart F, Audit Requirements The following 2CFR policy requirements are excluded from coverage under this assistance listing: **Financial Reports:**Both program and financial reports are required.

The recipient will be required to submit annual performance and progress reports, as well as Quarterly Progress Updates. A Federal Financial Report (SF-425) is required according to the schedule in HRSA’s Application Guide. A final report is due within 120 days after the project period ends.

If applicable, the recipient must submit a Tangible Personal Property Report (SF-428) and any related forms within 120 days after the project period ends. New awards (“Type 1”) issued under this Notice of Funding Opportunity are subject to the reporting requirements of the Federal Funding Accountability and Transparency Act (FFATA) of 2006 (Pub. L.

109–282), as amended by section 6202 of Public Law 110–252, and implemented by 2 CFR Part 170. Grant and cooperative agreement recipients must report information for each first-tier subaward of $30,000 or more in federal funds and executive total compensation for the recipient’s and subrecipient’s five most highly compensated executives as outlined in Appendix A to 2 CFR Part 170 (The FFATA details are available online at http://www.

hrsa. gov/grants/ffata. html).

Competing continuation recipients may be subject to this requirement and will be so notified in the Notice of Award. , Frequency: Quarterly **Progress/Performance Reports :**Both program and financial reports are required. The recipient will be required to submit annual performance and progress reports, as well as Quarterly Progress Updates.

A Federal Financial Report (SF-425) is required according to the schedule in HRSA’s Application Guide. A final report is due within 120 days after the project period ends. If applicable, the recipient must submit a Tangible Personal Property Report (SF-428) and any related forms within 120 days after the project period ends.

New awards (“Type 1”) issued under this Notice of Funding Opportunity are subject to the reporting requirements of the Federal Funding Accountability and Transparency Act (FFATA) of 2006 (Pub. L. 109–282), as amended by section 6202 of Public Law 110–252, and implemented by 2 CFR Part 170.

Grant and cooperative agreement recipients must report information for each first-tier subaward of $30,000 or more in federal funds and executive total compensation for the recipient’s and subrecipient’s five most highly compensated executives as outlined in Appendix A to 2 CFR Part 170 (The FFATA details are available online at http://www. hrsa. gov/grants/ffata.

html). Competing continuation recipients may be subject to this requirement and will be so notified in the Notice of Award. , Frequency: Quarterly Additional audit requirements: In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, nonfederal entities that expend financial assistance of $1,000,000 or more in Federal awards will have a single or a program-specific audit conducted for that year.

Non-Federal entities that expend less than $1,000,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200. 503. , Recipients are required to maintain grant accounting records 3 years from the date they submit the FFR.

If any litigation, claim, negotiation, audit or other action involving the award has been started before the expiration of the 3-year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3-year period, whichever is later.

Retention Period: 3 Years **Additional Compliance Requirements:** Statutory formula is not applicable to this assistance listing. Matching requirements are not applicable to this assistance listing. This program has MOE requirements, see funding agency for further details.

Additional Information: The recipient must agree to maintain non-federal funding for grant activities at a level which is not less than expenditures for such activities during the fiscal year prior to receiving the award.

Domestic Assistance Program that uses Core-Based Statistical Area (CBSA): Andrea Knox, Medical Training and Geriatrics Branch, Division of Medicine and Dentistry 5600 Fishers Lane, Room 15N-18, Primary Care Training and Enhancement Primary Care Training and Enhancement Primary Care Training and Enhancement Primary Care Training and Enhancement Primary Care Training and Enhancement **To:**Primary Care Training and Enhancement **From:**Grants for Primary Care Training and Enhancement Grants for Primary Care Training and Enhancement Grants for Primary Care Training and Enhancement Grants for Primary Care Training and Enhancement Grants for Primary Care Training and Enhancement Grants for Primary Care Training and Enhancement Grants for Training in Primary Care Medicine and Dentistry Grants for Training in Primary Care Medicine and Dentistry Grants for Residency Training in Primary Care Medicine and Dentistry Number changed from 13.

884 Grants for Residency Training in General Internal Medicine and/or General Pediatrics