Skip directly to search Skip directly to A to Z list Skip directly to navigation Skip directly to page options Skip directly to site content

FAQs for NOFO: CDC-RFA-DP18-1810-State Actions to Improve Oral Health Outcomes

State Actions to Improve Oral Health Outcomes also known as CDC-RFA-DP18-1810 Notice of Funding Opportunity (NOFO) is a 5-year cooperative agreement supported by the Centers for Disease Control and Prevention (CDC).

This page lists and addresses questions that were anticipated or received related to the CDC-RFA-DP18-1803 notice of funding opportunity. Please view the question and answers (Q&As) below for responses to submitted questions.

Purpose and Overview

The purpose of this non-research Notice of Funding Opportunity (NOFO), State Actions to Improve Oral Health Outcomes (CDC-RFA-DP18-1810), is to assist States to decrease dental caries, oral health disparities, and other chronic diseases co-morbid with poor oral health. To accomplish this, recipients will implement school sealant programs (includes promoting adherence to infection prevention guidelines), support and increase access to community water fluoridation, conduct oral health surveillance, and optionally integrate oral health with other chronic disease programs (medical-dental integration). The NOFO is a 5-year cooperative agreement supported by the Centers for Disease Control and Prevention (CDC). Applications for the NOFO will be accepted through May 4, 2018.

1. What is the project period for this NOFO?

This Notice of Funding Opportunity (NOFO), DP18-1810, covers a 5-year project period from 2018 to 2023. Throughout the project period, CDC will continue the award based on the availability of funds, the evidence of satisfactory progress by the recipient (as documented in required reports), and the determination that continued funding is in the best interest of the federal government. Recipients are annually required to submit a Continuation Application to request renewal of funding for the following 12-month period.

 

2. What are the focus areas under Component 1?

Component 1—focus areas include school sealant programs, community water fluoridation and oral health surveillance.

 

3. What is the focus area under Component 2?

Component 2—focus area is medical-dental Integration; this component is optional.

 

4. In my state, all Memoranda of Understanding (MOU)/Memoranda of Agreement (MOA) are legally binding. Is there flexibility to submit a letter instead of an MOU/MOA?

Yes. Applicants may submit a letter of commitment in lieu of an MOU/MOA to comply with the NOFO.

 

5. Is an evaluation and performance measurement plan required for this NOFO?

Applicants must provide an evaluation and performance measurement plan that demonstrates how they will fulfill the requirements described in the “CDC Evaluation and Performance Measurement” and “Project Description” sections of this NOFO. See NOFO-page 26 for additional guidance on the plan’s criteria.

 

6. Will CDC continue strong partnerships with states on evaluation activities?

Yes, CDC will work closely with states by providing ongoing evaluation technical assistance on all aspects of evaluation including operationalizing the performance measures and developing state-level evaluation plans.

 

7. We have chronic disease partners that we may work with who may have applied for a different CDC grant. Is this where we would need a MOU?

Yes.

 

8. Regarding MOAs with chronic disease partners, our agency may not be able to have MOAs with a division that is within our agency. Is there another option to provide proof of a partnership?

A Letter of Support is another option.

 

9. How do we submit future questions? Is there a cutoff date to submit NOFO questions?

You may send additional questions to the NOFO’s mailbox at 1810State@cdc.gov. We will accept and respond to questions up to the due date of the announcement.

 

10. Do you know when questions will post to the DOH NOFO website?

Some responses require more time than others to get clearance or additional clarification with the CDC Office of Grants Services (OGS). Questions and answers will continually be posting to this site as they become available.

 

11. Where is the Web page with the Q&A?
Please go to the following web page:
https://www.cdc.gov/oralhealth/state_programs/nofo/1810faq.htm

 

12. Where can I find the archived informational call?

The script from the informational call is available here: https://www.cdc.gov/oralhealth/state_programs/nofo/1810_call_script.htm and all questions and answers received during and after the call are posted on this FAQs page.

Eligibility

1. Who is eligible to apply for funding?

Government Organizations: State governments or their bona fide agents (includes the District of Columbia).

 

2. We are a nonprofit organization that provides preventive dental care to economically disadvantaged children and adults with developmental disabilities. Are we eligible to apply for this prevention program?

No, eligibility is limited to State governments or their bona fide agents.

 

3. I am a professor of public health and want to submit a proposal for an oral cancer prevention program. Would we be eligible to apply for this funding?

No, universities are not eligible to apply.

 

4. Are non-governmental organizations eligible to apply and qualify for funding in this particular NOFO?

No, non-governmental organizations are not eligible to apply.

 

5. Please clarify “competitive renewal”—i.e., will the 21 current NOFO recipients have to re-compete for the new NOFO (DP1810)?

Yes, all applicants, regardless or current or prior funding status, are competing for a new five-year award.

6. NOFO Eligibility is State governments. However, the “Additional Eligibility” section states Indian Tribes or Tribal Organizations. Are Indian Tribes eligible to apply for this funding?

Indian Tribes are not eligible under this NOFO. CDC DOH has dedicated NOFO funds to support Tribes and Tribal Organizations in a separate announcement.

7. I understand only State agencies are eligible to apply, but I would like to know if the City of San Diego could be a sub-recipient. If so, would you be able to direct us to State agency we can contact and work with?

CDC recommends you contact your State Health Department.

8. The NOFO states that this is a competing continuation funding opportunity. Does this mean applicants who do not currently have funding from CDC are ineligible to apply?

All states and Washington, D.C., are eligible to apply.

Funding and Budget

1. Do we submit a budget for the all 5 years or just year 1?

Your application should include a budget the first project year.

 

2. Is a cost sharing or match required?

Cost sharing or matching funds are not required for this NOFO.

 

3. For the budget information sheets in the Grants Application Package/SF424A there is no budget category for Consultants. Should “Consultants” be included under “Contractual”?

Yes, the SF424A “Contractual” line (line f) should display the total from both the “Consultants Costs” and “Contractual Costs” budget lines from the itemized Budget Narrative.

 

4. May we purchase portable dental units or community water fluoridation equipment with this funding?

The NOFO allows the purchase of portable dental units and fluoridation equipment. In the Federal Government Budget Guidelines, equipment is an item that costs at least $5,000. Items such as portable dental units that cost less than $5,000 can be budgeted under the Supplies line item.

 

5. Are there specific reporting requirements if an applicant requests NOFO funding to purchase fluoridation equipment?

Yes, recipients who use NOFO funds to purchase fluoridation equipment must provide a justification that includes specific plans for equipment maintenance, training on the use of the equipment, and number of persons served by this new equipment (NOFO 1810-pg. 17)

 

6. Are there specific reporting requirements if an applicant requests NOFO funding to purchase portable dental units for school sealant programs?

Yes, recipients who use NOFO funds to purchase portable dental sealant delivery units for school sealant programs must report how the equipment is being used and maintained.

 

7. Can the NOFO funds be used to pay providers to place sealants?

No, the NOFO funds cannot be used to pay for clinical care. The definition of ‘clinical care’ is paying for direct health services or paying health providers to provide clinical services, such as placing sealants.

 

8. The application states that CDC will not fund clinical care. Can you give me an example of what CDC would fund with regard to sealant program activities?

CDC does not provide assistance for direct clinical services, such as for a provider’s time to apply a sealant or other clinical services. CDC funds may be used for a state sealant coordinator to identify eligible schools, coordinate with school officials and other school-based sealant programs, document sealant delivery and cost savings, and leverage additional funding for school based sealant programs. Other examples of allowable expenses for sealant programs include in-state travel for program staff, local sealant coordinators, and portable sealant program supplies.

 

9. We plan to support communities with funding for fluoridation equipment. Would this activity be budgeted as equipment or as contractual?

This activity should be budgeted under the contractual line item. The six required elements for the contracts are outlined in the Federal Government budget guidelines.

 

10. If a currently funded staff position has lost funding, can the position be funded under this new award?

Yes, if prior funding is no longer available, the staff person may be funded under this award to implement activities specified under this NOFO. However, CDC funding is not allowed to be used to supplant existing funds used to support that staff person, such as shifting existing funding for a different purpose due to receiving an award under this NOFO.

 

11. Can states request funding that is greater than the ceiling for Component 1 or 2?

States are not allowed to exceed the ceiling awards specified in the NOFO for either Component 1 or Component 2.

 

12. Is direct assistance (DA) for on-site personnel available through this NOFO?

No, direct assistance is not available through this NOFO as it was in CDC-RFA-DP13-1307.

 

13. Should travel costs for required meetings be included in the budget?

Yes, travel costs for required meetings should be included in the budget.

 

14. Is the budget included as part of the total page limit for applications? Is there a page limit specific to the budget narrative?

The budget tables and narrative are not a part of the total project narrative page limit, and the budget narrative does not have a page limit.

 

15. Can funds be used toward staff salaries?

Yes, funds in both Component 1 and Component 2 can be used to support positions described in the NOFO.

 

16. For the budget allocations of up to 40% for personnel and up to 60% for program implementation, is this split (40/60) the same for both Components 1 and 2?

Yes.

 

17. Is the 40/60 (personnel costs vs. program implementation) split hard and fast or just a recommendation?

CDC encourages recipients to adhere to the 40/60 split. For example, applicants may list consultants under program implementation (60%) if the consultant plays a role in implementing one or more of the NOFO strategies.

 

18. Could funds from this grant be used to help support an existing program so that more work can be done—e.g., to expand sealant activities that are not state supported—or does it need to be completely new for the sealant program?

Yes, you can use funds to expand existing oral health activities. If awarded, recipients should not supplant existing program funds with funds from this NOFO.

 

19. Is it correct that budget will not have a score?

Yes, that is correct. The budget section will not be scored.

 

20. Our state contracts with an organization that provides administrative support to our coalition. Is this okay under this new award? 

Yes, and given that it is for administrative support, this expense should not be categorized as an implementation cost.

 

21. There is a page limit on the Project Narrative, but not the budget, correct?

Correct, the budget narrative has no page limit, and the Project Narrative is limited to 20 pages.

 

22. Do we need two budget narratives if applying for both Components 1 and 2?

No, one detailed budget narrative for Components 1 and 2 is needed.

 

23. In additional to the National Oral Health Conference, the NOFO states there will be 2 meetings for grantees and 2 meetings for State Dental Directors and Program Managers throughout the 5-year period. When we write the budget for Year-1, how can we address this travel if we are not sure yet when these meetings will occur?

Please include in your budget for this funding announcement travel for two people to the 2018 Grantee Kickoff Meeting. Tentative meeting dates are December 4-6, 2018 or December 11-13, 2018.

 

24. Do you only want a 1-year budget? Is it okay to submit a full 5-year budget? Our leadership will likely want to see a 5-year budget for the full project period.

The NOFO requires a “1-year budget” submission. If an applicant’s leadership requires submitting a five-year budget, only the first year will be reviewed by CDC.

 

25. Can states contract out with hygienists to provide direct care to provide dental sealants?

No, costs for providing clinical services are not covered under this NOFO.

 

26. Do we need to have all of our funding in place for providing services prior to our application or can we get our funding in place first, and then establish a sealant program?

The NOFO does not require potential applicants have in place a sealant program prior to receiving funding. Applicants need to demonstrate in their application the steps they will take to achieve all required outcomes, including a sealant program.

 

27. Page 24 of the RFA discusses organizational capacity. Listed core staff include the Dental Director/Program Manager, Epidemiologist, Communications Director, Sealant Coordinator, Fluoridation Specialist, and Program Evaluator. Page 37 states that 40% of the budget should be for personnel. Does the RFA prohibit contracting with an organization to meet one of the above core staffing—e.g., contract to organization as the evaluator (experienced) or communications specialist (experienced)?

No, you can use contracting mechanisms to achieve NOFO deliverables and outcomes.

 

28. On page 40 of the NOFO: Recipients may not use funds for clinical care except as allowed by law. Should I interpret this to mean that any clinical care supported with grant funds must comply with all of the NH laws and NH Board of Examiners Rules?

You cannot use NOFO funds to pay for the workforce providing direct services. Applicants should consult their agency’s general counsel regarding state-specific laws.

 

29. On page 21 of the RFA, it states that applications should allocate 10% of their total award for evaluation and performance monitoring. Can you please clarify if this indicates that a minimum of 10% of the award or a maximum of 10% allocation for this purpose?

Ten percent of the total award should be dedicated to evaluation and performance monitoring; it is neither a minimum nor maximum (e.g., 10% of $200 = $20).

 

30. For the Budget: When determining 40% of the grant funds goes to personnel costs, does this cost include salary and wages plus fringe benefits?

Personnel costs include salary and fringe benefits. Programmatic costs include travel, equipment, supplies, consultant and contractual costs.

 

31. For the budget: Can you provide incentives with grant monies? If so, any stipulations?

It depends. For example, one might provide oral health related products, but no gift cards.

 

32. For the budget: Should we plan for the Grantee Meeting and Program Director Meeting in year 1? If not year 1, any suggestion on the best years to attend?

The Kickoff Grantee Meeting will happen in Year 1 and [clarify whom exactly] are expected to attend. Year-2 may potentially include a State Dental Directors and Program Directors Meeting, as well.

 

33. For the budget: Can you tell me the length of time needed for the Grantee meetings and Program Director meetings?

On average, each meeting will last 2.5 days.

 

34. Our school-based sealant program is currently funded through the MCH Block Grant (including equipment). Is it supplanting funds if we use the NOFO monies to pay for equipment and reserve the Block Grant funds to pay for staff and supplies?

Yes, it would be supplanting funds. Funds should not be moved from one award to the other. The funding for equipment under the Block grant should remain under that award.

 

35. What is the difference between a Consultant and a Contractor?

The Consultant’s role is to evaluate a client’s needs and provide expert advice and opinion on what needs to be done, while the Contractor’s role is generally to evaluate the client’s needs and actually perform the work.

 

36. Can funds from the grant be expended on the chemicals for fluoridation? Or is it for equipment and installation only?

Even though “chemicals,” or fluoride additive products, are an allowed supply item, it would likely not be a good use of funds to purchase such additives because the costs can be prohibitive. The limited grant funding awarded under DP18-1810 NOFO would be more impactful when applied to other oral health strategies and activities identified in the NOFO—i.e., achieving performance measure outcomes and deliverables by maximizing your program’s funding for personnel and programmatic costs.

 

37. On page 27 of the NOFO, section B. 8, it discusses the average award for 13 recipients of $370,000 for component 1, and for 5 recipients an award of $570,000 for component 2. In section B.9, it reads an award ceiling of $625,000. Is this the award ceiling for component 1 or component 2?

As noted on page 27 of the NOFO, the component award averages and award ceiling information are meant to be quality guidelines for potential applicants to propose their activities and budgets.

 

38. Is there a specific award ceiling for component 1 and a separate award ceiling for component 2?

The award ceiling is not separated by components per the NOFO. Successful applicants will be awarded for either Component 1 alone, or Components 1 and 2 combined.

Application Process

The application process and relevant information can be found in the NOFO – “Section D. Application and Submission Information” on page 33.

1. I am having technical problems registering and inputting information into Grants.gov. Can you help?

For assistance with technical difficulties with the Grants.gov system, please contact:

GRANTS.GOV Applicant Support
1-800-518-4726
support@grants.gov

 

2. Are applicants required to submit a Letter of Intent (LOI)?

No, an LOI is not required but encouraged.

The LOI should include the following:

  • Descriptive title of proposed project.
  • Name, address, telephone number, and an email address of the Principal Investigator, Project Director, or both.
  • Name, address, telephone number, and an email address of the primary contact for writing and submitting this application.
  • Number and title of this NOFO.
  • Whether the applicant will be applying for: a) Sealants, Community Water Fluoridation, and Oral Health Surveillance, or b) Sealants, Community Water Fluoridation, Oral Health Surveillance and Medical-Dental Integration.

 

3. Do attachments such as CVs and organization charts count towards the project narrative page limit?

No, attachments do not count toward the project narrative page limit.

 

4. Are there page limits for attachments or the number of letters of support?

There are no limits on the number of pages for attachments, nor for the total number of letters of support. Please use care to submit letters of support from high priority organizations and partners.

 

5. Do we include “Organizational Capacity of Recipients to Implement the Approach” in the project narrative or in separate attachments of CVs and organizational charts?

“Organizational Capacity of Recipients to Implement the Approach” should be described in the project narrative. Supporting documentation, specifically CVs/resumes and organizational charts should be attachments.

 

6. Are the Assurances and Certifications documents required?

Yes. All applicants are required to sign and submit CDC Assurances and Certifications that can be found on the CDC Web site at the following Internet address: https://wwwn.cdc.gov/grantassurances/(S(54pyl4e31fz2mpcf13hzhabl))/Homepage.aspx

 

7. What is the clarification regarding page limits for the Project Narrative (20 pages) vs. another page that allows for up to 25 pages for the Work Plan?

The Project Narrative can be a maximum of 20 pages, which includes the Work Plan. If applying for Component 2, a second Program Narrative with a work plan is also required. However, you only need one budget form; use one column for Component 1 and a second column for Component 2.

 

8. Which is correct: that the Evaluation Plan should be no more than 25 pages or that the Evaluation Plan goes under the Project Narrative, which has a 20 page maximum?

If funded, recipients will submit a full Evaluation Plan with a 25-page limit by March 19, 2019. This is not associated with the Project Narrative’s 20-page limit for your application.

 

9. Should there be a separate Evaluation Plan for Components 1 and 2 if applying for both?

Yes.

 

10. Regarding the “Optional attachments” on page 55 in the NOFO, should an applicant submit Letters of Support?

Yes. On page 19 of the NOFO, it states “Recipients are required to submit letters of support from collaborating organizations. Letters of support must be dated within 30 days of the application and should describe the organizations’ roles and how they will help the applicant achieve the goals of the NOFO. If awarded, MOUs or MOAs with these partner organizations must be submitted within 90 days of receiving the award.” The Letters of Support” bullet was accidentally included in the “Optional attachments” on page 55, but it is not optional.

 

11. Is the NOFO web link fixed?

Yes.

 

12. The work plan template is 11-point font, can we keep it at 11 point even though on page 34 of the RFA lists 12-point font?

On page 34 of the NOFO, it specifies “12 point font” for the Project Narrative, which includes the work plan.

 

13. For the Background: Is the application guidance to be copied and pasted, such as the Statutory Authorities, Healthy People, and Public Health Priorities & Strategies?

The Background should include content specific to your state that supports your justification for applying for the NOFO funding.

 

14. When writing the project narrative and incorporating the headers mentioned in the proposal, should we have only one section labeled approach and one subsection labeled purpose, outcomes and strategies and discuss each topic – community water fluoridation, school sealant programs, oral health surveillance? Alternatively, should we have the headers “approach” and sub-headers “purpose, outcomes, strategies and activities” written three separate times for the three topics of component 1?

CDC is not prescriptive on how applicants format their Project Narratives. However, the applicant should strive to organize their content to clearly meet requirements of the NOFO. CDC is not prescriptive on how applicants format their Project Narratives. However, the applicant should strive to organize their content to clearly meet requirements of the NOFO.

 

15. If there are no overlaps to report, must applicants upload the attachment addressing Programmatic, Budgetary, and Commitment Overlap stating the same, or may we omit this attachment?

Per the NOFO on page 54, this is an acceptable attachment, but not required if it does not apply.

 

16. Should we combine all letters of support into a single PDF for upload? If the applicant is applying for Component 1 and Component 2, should applicants upload separate PDF files based on the application component? The same question applies for MOU/MOA.

The Program recommends you combine all letters of support, MOUs/MOAs together in one PDF for each Component 1 and Component 2.

 

17. To confirm, applicants should submit two Project Narratives/Work Plans if applying for Components 1 and 2, but only one Budget Narrative. Where should we upload the second Project Narrative in the Grants.gov application?

Yes, upload under “Other” in Grants.gov.

 

18. Can CDC provide clarification regarding the level of detail to include in the work plan compared to the project narrative? Do we need to include a high-level overview in the work plan for subsequent years or just cover year 1?

The project narrative is a broad overview that includes the sections noted on page 34 of the NOFO. The work plan should have more detail on how the recipient will achieve the required performance measure outcome—see page 36 of the NOFO. Regarding the requirements of the work plan, see page 25 of the NOFO.

 

19. Do we need to create a logic model for our application? If yes, should that be included in the narrative? Alternatively, should it be an attachment? If it should be an attachment, then under which “optional attachment” (List of optional attachment are on page 55 of the NOFO) it should be included?

Yes, include the full logic model as an attachment. You will need to attach it with the program narrative.

 

20. For the application, will one overall logic model for component I and a separate overall logic model for component II be sufficient? Is there a specific format?

Develop separate logic models for Components 1 and 2.

 

21. Do we have to describe a shorter version of evaluation and performance measurement plan and data management plan for each component?

Yes, please provide a high-level overview of the plans for the application process; more detailed plans will be developed once the award recipients have been identified.

 

22. Do both plans need be included within 20 pages of the applications for each of the component?

Yes, create separate plans for Component 1 and Component 2.

 

23. Is it correct once CDC approves the application, they will give us guidance in preparing the detailed evaluation and performance measurement plan and data management plan and MDH will have to create these plans for both component within 6 months of receiving the award?

Yes.

 

24. If there are no overlaps to report, must applicants upload an attachment addressing Programmatic, Budgetary, and Commitment overlaps stating the same, or may this attachment be omitted?

Per the NOFO on pg. 54, this is an acceptable attachment, but not required if it does not apply.

 

25. If we are applying for both components, do we need to provide an abstract for each component or a combined abstract?

If applying for both components, applicant can either combine or separate the abstracts.

 

26. Do we need 2 different tables of content as well if we are applying to Component #1 and #2?

Only one Table of Contents is needed for the entire submission package—see page 34 of the DP18-1810 NOFO.

Review Process

The review process and relevant information can be found in the NOFO – “Section E. Review and Selection Process” on pages 47-51.

1. What are the review criteria for these applications?

Three sections of the application will be scored: (1) Approach (45 points), (2) Evaluation and Performance Measurement (25 points), and (3) Applicant’s Organizational Capacity to Implement the Approach (30 points). The budget section is reviewed, but not scored.

 

2. What is the review process for these applications?

Applications will be reviewed in three phases:

a. Phase I Review

All applications will be initially reviewed for eligibility and completeness by CDC Office of Grants Services. Complete applications will be reviewed for responsiveness by the Grants Management Officials and Program Officials. Non-responsive applications will not advance to Phase II review.

b. Phase II Review

A review panel will evaluate complete, eligible applications in accordance with the criteria below.

  1. Approach
  2. Evaluation and Performance Measurement
  3. Applicant’s Organizational Capacity to Implement the Approach

c. Phase III Review

For Component 1, reviewed applications will be funded in order by score and rank determined by the review panel, unless doing so limits geographic spread and representation and inclusion of oral health promotion and disease prevention programs with a higher proportion of families whose income is below the federal poverty level. In this case, the priority will go to achieving the desired representation.

For Component 2, reviewed applications will be funded in order by score and rank determined by the review panel, unless doing so limits representation and inclusion of each of the chronic disease area identified in the “Target Population” section of this NOFO. The target populations are those affected by or at risk of one of the following: 1) obesity, 2) diabetes, 3) cardiovascular disease, or 4) tobacco use. In this case, the priority will go to achieving the desired representation.

Recipient Activities

Component 1

 

Funds for Component 1 strategies (school sealant programs [includes infection prevention and control], community water fluoridation, and oral health surveillance) will be based on recipient’s documented burden of oral diseases within their jurisdiction and health disparities among groups disproportionately affected by oral diseases. Other factors will include the proposed work plan activities and goals, plans to develop program capacity over the project period, and population reach and ability to increase reach in years two through five. Approximately 18 states will received an estimated average award of $370,000.

1.1. Can we apply for Component 1 funds only?

Yes, applicants can apply for Component 1 funds only.

 

1.2. How many Component 1 awards are projected?

Approximately 18 awards will be made under Component 1.

 

1.3. Are Component 1 recipients required to complete a Basic Screening Survey (BSS)?

Yes, recipients are required to complete at least a Third Grade Basic Screening Survey during the project period.

 

1.4. DOH’s emphasis on community water fluoridation (CWF) in the Performance Measure relates to “increasing the number of people on CWF.” In light of rollback attempts that are happening across the country, are you asking applicants to report on the maintenance of the number of people on CWF systems as well?

Where possible, we ask recipients to work toward increasing the number of people on public water systems who receive optimally fluoridated water. We also understand that maintaining the number of people served by CWF is critically important, as well; particularly in areas that already have a high proportion of the population receiving fluoridated water. So, yes, recipients should report on maintenance, too.

 

1.5. Regarding infection prevention and control in relation to the sealant program, will recipients have to report on compliance with the infection control procedures?

No, reporting compliance with infection prevention and control procedures will not be required. CDC advises that all partners and personnel associated with sealant programs receive training on CDC’s Infection Prevention Practices in Dental Settings.

 

1.6. What is the guidance regarding the need for applicants to achieve all 3 activities under the respective strategies within the Logic Model? What if recipients are not able to achieve these in the time frame that they proposed—e.g., increasing the population on CWF?

This NOFO provides CDC guidance through the stated strategies and activities to achieve the stated outcomes. The applicant should strive to implement the activities. DOH will work with all recipients to achieve outcomes. However, not meeting expectations could impact funding levels in future years.

 

1.7. Will DOH be providing a fillable version of the Work Plan in addition to the PDF version currently on the website?

Yes. See “Required or Recommended NOFO Templates” under the Reference Documents.

 

1.8. One of the strategies under Community Water Fluoridation in section 1 of the NOFO encourages water treatment personnel to take the water fluoridation course online or in-person. Will DOH release the training online or will you re-introduce the in-person training?

CDC expects to release the online training before the start date of this NOFO. We do not currently have plans to re-introduce the in-person fluoridation training.

 

1.9. Are school-linked sealant programs considered a sealant program under this NOFO?

Yes, both school-based and school-linked sealant programs are acceptable sealant programs under the DP1810 NOFO.

 

1.10. Regarding the Basic Screening Survey (BSS) in the budget, does the NOFO require one completed BSS in the 5-year project period? Is this a 1-year budget submission?

Yes, completing one BSS in the five-year project period is required, and it is appropriate for expenses related to conducting the BSS (planning, implementing, analyzing, reporting) to be requested in each of the five years of the project period.

 

1.11. Regarding CWF in states—particularly rural ones—where the majority of the populations are already covered and those that are left may be very small, it may be a huge undertaking to increase the proportion of the population that is covered. Are there other strategies around this regarding more people?

CDC understands that for some states, increasing the number of individuals served by CWF will be challenging due to already serving a large proportion of individuals and/or the rural nature of the state. CDC is open to learning about innovative strategies and activities that can make an impact in these states and discussing options in these situations.

 

1.12. On page 8 of the NOFO, you have an asterisk under the sealant program that states “The term eligible schools is defined as schools with 50% or more of students eligible for free and reduced meals program.” Then on page 19, it also states, “Eligible schools include public elementary or middle schools located in urban areas in which at least 50% of students qualify for the federal or state free and reduced meal program.” Do you use both of those as guidelines?

Yes.

 

1.13. Requirements of this NOFO relate to work that will be done if we are funded, and within the first year of the cooperative agreement, such as a detailed plan about evaluation. Given that, what level of detail should one provide in the application?

The applicant should provide enough detail that clearly demonstrates the applicant’s ability to achieve the required performance measure outcome.

 

1.14. The work plan template references supplemental activities. Are activities in the NOFO required, please define required activities versus supplemental activities?

“Supplemental” activities are specific to your program and are needed to reach a desired outcome.

 

1.15. Page 35 of the RFA indicates, “Applicants must select existing evidence based strategies that meet their needs…” Pages 10-16 of the RFA describe 3 strategies and several activities under each strategy for Component 1. Must applicants select all activities under each strategy of Partnership, Communication and Data Reporting? Alternatively, can applicants select at least one activity under each strategy?

Recipients should strive to address as many activities as necessary to achieve required deliverables and performance measure outcomes.

 

1.16. I work with the Oral Health Program at the DC Department of Health. I was reading through the grant (CDC-RFA-DP18-1810) and realized that 25 pages of initial evaluation plan (p.24) and 25 pages of work plan (p. 25) is discussed but the project narrative (p.34) is limited to 20 pages including the work plan.
Are the initial evaluation plan and work plan required at the time of the grant application submission or can we submit later?

Yes, the “initial evaluation plan and work plan” are required at the time of application.

 

1.17. Can you elaborate on what you mean by “milestones” in the work plan?

We use “milestones” to mean an important achievement along the way to achieving an outcome or goal. For example, think of it as a mid-course measure or achievement in pursuit of a specific outcome or goal. Milestones help you assess if you are on the right path toward your outcome.

 

1.18. Should references be included in the 20-page project narrative? Or can we add them as an attachment?

If you need to include references, it is best via web link or footnotes. Otherwise, a data reference, for example, could be attached to the Project Narrative, but would count against the 20-page limit of the narrative.

 

1.19. Is the evaluation and performance measurement plan, including the data management plan, due within the first six months of award? Can you confirm that a less detailed and more high-level version of this is to be included in the project narrative, within the 20-page limit?

Yes. A less detailed and more high-level version is to be included in the project narrative.

 

1.20. In the NOFO for school sealant programs, under the Strategy (Partnerships and Collaborations) states: Develop, coordinate, implement, and evaluate jurisdiction-wide school sealant programs. I am seeking clarity about what “implement” may include.

Implement means to establish a school sealant program within a school or linked to a school.

 

1.21. Are any of the following approaches not acceptable? Using funds to purchase or reimburse programs that deliver sealants and other evidence-based oral health services to schools or school districts or another regional “jurisdiction” with greater than 50% FRL for:

  • school program supplies
  • data collection tools that accurately and efficiently generate annual reports for the Oral Health Program about the services delivered and the oral health status of students related to HP2020 objectives (such as iPads and software licenses and support)
  • equipment such as: portable chairs, stools, or loupes for school-based dental hygienists
  • salary/benefits or hourly wages for dental hygienists, dental assistants, care coordinators, or administrative services 

All are acceptable approaches except for “salary/benefits or hourly wages for dental hygienists, dental assistants, or care coordinators.” You cannot use NOFO funds for personnel providing direct clinical services.

 

1.22. For the Work Plans: Do you want a completely separate Year One plan, or can we place a 5-year plan on the CDC Work Plan template?

The NOFO requirement is for Year-1 projections.

 

1.23. We are using the Work plan Template provided by CDC.

a. Under other outcomes, targets and milestones, where do we provide the language for the additional outcomes measure?

We require all recipients to address all performance measures (PMs) directed in the NOFO. However, for those recipients wanting an additional PM, they may do so. Using the Word version of the work plan on the NOFO website, create an additional section below the Other Outcome Measures section.

b. Are additional “other” outcomes recommended or required?

No

c. Should there be only one five-year objective for each of the three focus areas?

Recipients will only be accountable for the PM outcomes and requirements identified within the NOFO. Recipients may perform objectives beyond those required by the NOFO; however, the recipient will be responsible for monitoring those objectives.

c.i. We are used to multiple annual objectives and the format of this work plan will not match up with what we typically have in CDMIS.

Yes, we recognize that the previous FOA had multiple annual objectives; the new NOFO is using a different approach.

d. Where do you input annual objectives, in this work plan or the application?

The Annual Objectives will be placed under “Year 1 Target” sections within the work plan, which would be expounded upon within the application within the Project Narrative section.

 

1.24. On page 19 of the NOFO, it states, “Eligible schools include public elementary or middle schools located in urban areas in which at least 50% of students qualify for the federal or state free and reduced meal program. Rural schools are also eligible if their school district has a median income that is at or below 235% of the federal poverty level, as defined in section 673(2) of the Community Services Block Grant Act (42 U.S. C. 9902(2).” Do you use both of those as guidelines?

No. This is an error. The number of eligible schools with a sealant program (page 8 of NOFO and second bulleted item on activity 3 on page 11) includes all elementary and middle schools (grades 1 through 8) where 50% or more of student are on the Free and Reduced Meal Program with a sealant program. Applicants do not need to address the guideline noting that rural schools are eligible if their school district has a median income that is at or below 235% of the federal poverty level.

 

Component 2

 

Funds for Component 2 strategy (medical-dental integration) will be based on recipient’s plans to collaborate closely with a chronic disease program partner to work at the program-, clinical practice-, and health systems-level to increase communication, coordination, and cooperation to achieve increased integration and clinical support into dental and medical practices. Five states will receive additional funding ($200,000 per state) for medical-dental integration.

 

2.1. We are only interested in implementing the medical-dental Integration strategies. May we apply for Component 2 funds only?

No, applicants cannot apply for Component 2 funding separately. Applicants interested in applying for funding under Component 2 must apply for funding under Component 1.

 

2.2. How many Component 2 awards are projected?

Of the 18 states to receive funding under Component 1, five of these states will receive additional funding for ($200,000) to complete Component 2 activities.

 

2.3. Regarding Component 2, are states who currently receive DP1609 (Models of Collaboration for State Chronic Disease and Oral Health Programs) the only ones who are eligible to apply for Component 2 funding under DP18-1810? If applying for Component 2 and unsuccessful, can applicants still receive Component 1 funding?

Both Component 1 and Component 2 are open for all applicants under this NOFO. It is anticipated that there will be 18 awards for Component 1, and that 5 of these recipients receive additional funding for Component 2. Applicants that are not awarded funds under Component 2 might receive an award under Component 1, depending on the outcome of the objective review process.

 

2.4. Regarding medical-dental integration, it states to pick one chronic disease on page 9. You mention cancer on page 18, but not 9. Is cancer an option as a chronic disease? Can a recipient choose a different chronic disease in subsequent years?

Please refer to the Target Population on page 19 and note the chronic disease options for Medical-Dental Integration. Recipients will select a single chronic disease to address during the five-year project period.

 

2.5. Requirements of this NOFO relate to work that will be done if we are funded, and within the first year of the cooperative agreement, such as a detailed plan about evaluation. Given that, what level of detail should one provide in the application?

The applicant should provide enough detail that clearly demonstrates the applicant’s ability to achieve the required performance measure outcome.

 

2.6. The work plan template references supplemental activities. Are activities in the NOFO required, please define required activities versus supplemental activities?

“Supplemental” activities are specific to your program and are needed to reach a desired outcome.

 

2.7. Page 35 of the RFA indicates, “Applicants must select existing evidence based strategies that meet their needs…” Pages 10-16 of the RFA describe 3 strategies and several activities under each strategy for Component 1. Must applicants select all activities under each strategy of Partnership, Communication and Data Reporting? Alternatively, can applicants select at least one activity under each strategy?

Recipients should strive to address as many activities as necessary to achieve required deliverables and performance measure outcomes.

 

2.8. I work with the Oral Health Program at the DC Department of Health. I was reading through the grant (CDC-RFA-DP18-1810) and realized that 25 pages of initial evaluation plan (p.24) and 25 pages of work plan (p. 25) is discussed but the project narrative (p.34) is limited to 20 pages including the work plan.
Are the initial evaluation plan and work plan required at the time of the grant application submission or can we submit later?

Yes, the “initial evaluation plan and work plan” are required at the time of application.

 

2.9. Can you elaborate on what you mean by “milestones” in the work plan?
We use “milestones” to mean an important achievement along the way to achieving an outcome or goal. For example, think of it as a mid-course measure or achievement in pursuit of a specific outcome or goal. Milestones help you assess if you are on the right path toward your outcome.

 

2.10. Should references be included in the 20-page project narrative? Or can we add them as an attachment?

If you need to include references, it is best via web link or footnotes. Otherwise, a data reference, for example, could be attached to the Project Narrative, but would count against the 20-page limit of the narrative.

 

2.11. Is the evaluation and performance measurement plan, including the data management plan, due within the first six months of award? Can you confirm that a less detailed and more high-level version of this is to be included in the project narrative, within the 20-page limit?

Yes. A less detailed and more high-level version is to be included in the project narrative.

 

2.12. For the Work Plans: Do you want a completely separate Year One plan, or can we place a 5-year plan on the CDC Work Plan template?

The NOFO requirement is for Year-1 projections.

 

2.13. We are using the Work plan Template provided by CDC

a. Under other outcomes, targets and milestones, where do we provide the language for the additional outcomes measure?

We require all recipients to address all performance measures (PMs) directed in the NOFO. However, for those recipients wanting an additional PM, they may do so. Using the Word version of the work plan on the NOFO website, create an additional section below the Other Outcome Measures section.

b. Are additional “other” outcomes recommended or required?

No

c. Should there be only one five-year objective for each of the three focus areas?

Recipients will only be accountable for the PM outcomes and requirements identified within the NOFO. Recipients may perform objectives beyond those required by the NOFO; however, the recipient will be responsible for monitoring those objectives.

c.i. We are used to multiple annual objectives and the format of this work plan will not match up with what we typically have in CDMIS.

Yes, we recognize that the previous FOA had multiple annual objectives; the new NOFO is using a different approach.

d. Where do you input annual objectives, in this work plan or the application?

The Annual Objectives will be placed under “Year 1 Target” sections within the work plan, which would be expounded upon within the application within the Project Narrative section.

 

2.14. Can we alter the Expected 5 Year Outcome Measure slightly for Component 2? Instead of “A minimum of 5% increase in the percentage of adults screened for hypertension,” can we add “In a dental setting” to the end of this measure?

No, the performance measure outcomes, as noted in the NOFO, cannot be modified. Applicants should clearly demonstrate how they plan to achieve these outcomes.

Other

1. What is a Data Management Plan?

A Data Management Plan (DMP) is a plan to preserve data collected (such as surveillance or evaluation data) and make it available for public use. Recipients will receive guidance on creating a DMP for all data collection activities so that they can submit a DMP 6 months after award.

 

2. What is the difference between the Data Management Plan (DMP) and the Evaluation Plan?

The Data Management Plan (DMP) is a federal requirement to plan to preserve and share with the public all data collected, including surveillance and evaluation data. The Evaluation Plan refers only to program and performance measurement and includes what data will be collected, how it will be collected, who will collect it, and on what schedule. It does not apply to surveillance data. The DMP and Evaluation Plan are separate documents, and both will be required six months after the start of the award.

TOP