Regulation .13 Application Process for Cancer Secondary Prevention Grants.
Regulation .13 Application Process for Cancer Secondary Prevention Grants.LinkCopy Citation
An applicant for a cancer secondary prevention grant shall:
A.
Submit a completed application to the CCPC by the due date stated in the application packet; and
B.
Include in the application packet the following information, as specified in the Department's application packet:
(1)
An executive summary describing:
(a)
How the grant funds will be used;
(b)
What persons will be involved in the application;
(c)
What cancer secondary prevention activities will be conducted;
(d)
Whether the proposed activities are included in a recommendation in the Maryland Comprehensive Cancer Control Plan;
(e)
What population groups will be served and in what jurisdiction groups will be served;
(f)
What services will be offered, such as:
(i)
Outreach;
(ii)
Screening;
(iii)
Case management;
(iv)
Quality assurance;
(v)
Data collection; and
(vi)
Partnership building;
(g)
What the eligibility for services will be; and
(h)
What outcome is expected as a result of the grant funds;
(2)
A description of previous literature in the area documenting the effectiveness of the cancer secondary prevention activity;
(3)
A description and justification of the need for the cancer secondary prevention activity in the population group to be served;
(4)
A description of the population to be served including, at a minimum, a description of the following for the individuals to be served:
(a)
Age;
(b)
Race;
(c)
Gender;
(d)
Residency;
(e)
Educational level;
(f)
Income level; and
(g)
Health insurance requirements of persons to be served;
(5)
A description of the screening guidelines to be used for clinical services and the eligibility guidelines for these services, including age, symptoms, and, if appropriate, risk factors;
(6)
A description of the reimbursement levels to be used for clinical services provided with grant funds;
(7)
A proposed cancer secondary prevention plan describing:
(a)
The estimated number of individuals to be served;
(b)
The goals, objectives, and activities to be conducted with the grant funds;
(c)
Evaluation measures for each activity;
(d)
Who will be involved in the plan; and
(e)
What the expected results of the funded activity are;
(8)
A description of how the proposed cancer secondary prevention activities will address the goal of eliminating disparities between racial and ethnic minorities and the white population;
(9)
A list of key staff to be involved in the project, including:
(a)
If existing staff will be used in the project, a description of the experience of the key staff in carrying out similar cancer secondary prevention activities; or
(b)
If new staff will be hired for this activity, a job description of the staff responsible for carrying out the project;
(10)
A description of the previous experience of the applicant's organization in implementing similar cancer secondary prevention activities;
(11)
A timeline showing the expected start date and completion date for each activity to be conducted with the grant funds;
(12)
An organizational chart showing:
(a)
Where the cancer secondary prevention grant activities fall within the applicant's organizational structure; and
(b)
The relationship of the applicant with other organizations involved in the project;
(13)
A statement that the grant funds will not be used to supplant any existing funding for this cancer secondary prevention activity and, if an applicant receives funding for a similar cancer secondary prevention activity, a list of the funding:
(a)
Source;
(b)
Amount; and
(c)
Period for the activity;
(14)
A line item budget for the cancer secondary prevention grant; and
(15)
A written budget justification for each line item requested.