WAC 182-20-620   Application process.  (1) Eligibility.

     (a) Applicants must meet the application requirements prescribed by the authority.

     (b) Applicants must be able to show:

     (i) Evidence of private, nonprofit, tax exempt status incorporated in Washington state or public agency status under the jurisdiction of a local, county, or tribal government;

     (ii) Evidence of the specific geographic region served;

     (iii) Evidence of a formal collaborative governance structure and decision-making process that demonstrates structure, operation, and accountability to the region served;

     (iv) Evidence of representation from hospitals, public health, behavioral health, community health centers, rural health clinics, and private practitioners that serve low-income persons in the region, unless there are no such providers within the region, or providers decline or refuse to participate or place unreasonable conditions on their participation;

     (v) Amount of funds requested and how the dollars will be spent;

     (vi) Data to evaluate program progress and ability to meet grant objectives.

     (c) Applicants will be evaluated competitively on their ability to:

     (i) Address documented health care access and quality improvement goals aligned with state policy priorities and health care needs in the specific region served;

     (ii) Document engagement of key community members;

     (iii) Document evidence of matching funds of at least two dollars for each grant dollar requested. All matching fund contributions must meet the criteria determined by the administrator and the application guidelines;

     (iv) Address how the grant will enhance long-term capacity and sustainability of programs;

     (v) Show innovation in program approaches that could be replicated throughout the state;

     (vi) Make efficient and cost-effective use of funds by simplifying administration affecting the health care delivery system;

     (vii) Clearly describe size of organization, program objectives, and populations served.

     (d) Application access.

     (i) The call for grant applications will be made by posting the announcement to the authority's official web site and by notification sent to interested parties.

     (ii) To be placed on the interested parties' distribution list, send contact information, including mailing and e-mail addresses to community health care collaboration at Washington State Health Care Authority, P.O. Box 42721, Olympia, Washington 98504-2721.

     (2) The guidelines and application forms will be available on the authority's official web site and included with the published guidelines distributed by e-mail to those who request an application. The application will be available in hard copy and sent by United States mail upon request. Applications must be completed and submitted in the format and filed by the deadlines prescribed by the authority and published in the guidelines.



[Statutory Authority: RCW 41.05.220 and 41.05.230. 09-23-100 (Order 09-03), § 182-20-620, filed 11/17/09, effective 12/18/09. Statutory Authority: RCW 41.05.160, 41.05.220, 41.05.230, and 2006 c 67. 07-02-055 (Order 06-07), § 182-20-620, filed 12/28/06, effective 1/28/07.]