If the site is to cover more counties than the ones listed, will there be any additional funding?
No. The funding amounts listed for those regions are the total amounts available. Most farmworkers served are expected to reside within the counties listed. If there is an unmet need and sites have the capacity, they may provide services to some farmworkers outside of their defined regions, but we do not have additional funding to support this currently.
For Track I applicants proposing to link farmworkers to clinical care, rather than provide it directly, would a memorandum of understanding (MOU) with a health center operating outside their usual service area be acceptable?
The RFA is open for particular service areas and the applicant would need to demonstrate that they can provide or leverage accessible, comprehensive services in that region. If proposing to leverage services at a health center outside that region, it is recommended to have a formal written agreement. It is also important to consider the geographic accessibility for farmworkers. Is the travel feasible for farmworkers? When bringing in non-local partners, it is also important to consider potential overlap or duplication of efforts with other health centers that may be serving that region.
What is a voucher program?
Migrant Health Voucher Programs are funded by the Health Resources and Services Administration (HRSA) under the Health Center Program to provide comprehensive care to farmworkers utilizing contractual agreements with service provision agencies, or in some cases vouchers for care, to serve farmworkers in rural areas that do not have a Community/Migrant Health Center nearby or where the need exceeds the capacity of an existing Community/Migrant Health Center. This arrangement extends the same healthcare services to farmworkers that they could receive at a Community Health Center site.
Do the specified regions apply to all Tracks or Track I only?
The regions are for Track I specifically. Track III and IV applicants can propose to serve farmworkers in these regions as well as any of the areas covered by existing Track I service delivery sites. You can find the list of currently funded sites on our website. Applicants should specify which sites they plan to partner with to deliver services to farmworkers.
Which zip codes in Sampson and Duplin counties are included in Region 3?
Duplin: 28453, 28458, 28518, 28464, 28521, 28466
Sampson: 28441, 28458, 28444, 28447, 28478, 28453
Should Track I applicants plan to utilize Track III partners or can Track I applicants partner with local providers for behavioral services?
Track I applicants interested in offering behavioral health services can propose 2 options:
- Plan to partner with a Track III service provider as part of an agreement NCFHP with Track III funding recipient(s) to provide telebehavioral health service to farmworkers, using the behavioral health funding allowed for this region to support a BH specialist position who can manage referrals and facilitate access to the telebehavioral health services or
- Plan to establish a written agreement with another BH service provider, in which case the applicant can propose to use the behavioral health funding allowed for this region for direct BH services.
Can a Track I applicant partner with multiple agencies to provide clinical services?
Yes, applicants can list multiple partner agencies in Section III for primary care access points and delivery of HRSA-required clinical services. Applicants should have formal agreements established with these partners to ensure farmworkers have access to services.
Will contracts for Track IV be classified as purchase of service or financial assistance?
Track IV contracts will be considered a purchase of service.
What is the amount of funding available for Track IV?
How many farmworkers live in each county?
NCFHP uses the Department of Commerce’s population estimates for planning purposes.