Learn more about the important Department of Health and Human Services (HHS) updates that went into effect on October 1, 2024.
Policies, regulations, and guidance provide a consistent standard for HRSA grant recipients. Follow these when applying for, and managing, a grant.
General terms and conditions
Review the May updates to the FY25 General Terms and Conditions (PDF - 273 KB) and the May summary of the changes (PDF - 189 KB). – Posted May 16, 2025
Review the March updates to the FY25 General Terms and Conditions (PDF - 229 KB) and the March summary of the changes (PDF - 82 KB). – Posted March 24, 2025
Review the FY25 General Terms and Conditions (PDF - 120 KB) and a summary of the changes (PDF - 88 KB).
Review the FY24 General Terms and Conditions (PDF - 81 KB).
Policies
Communicating and Acknowledging Federal Funding
Conflict of Interest (COI) Policy
HHS Salary Cap (FY 2015 to present)
Grants policy bulletins
- Grants Policy Bulletin: HHS Salary Rate Limit (PDF - 59 KB)
- Grants Policy Bulletin: Adopting 2 CFR Part 200 and the HHS Grants Policy Statement (PDF - 83 KB)
- Grants Policy Bulletin: Legislative Mandates in effect for FY24 (PDF - 109 KB)
- Grants Policy Bulletin: 2024 Salary Cap Limitation Update (PDF - 54 KB)
- Grants Policy Bulletin: FY23 Legislative Mandates in effect for FY24 (PDF - 105 KB)
Program integrity
You must spend federal grant dollars as intended. As a grant recipient, you need to comply with program expectations, use federal funds in an efficient manner, and remain fiscally responsible.
We provide oversight, guidance, and technical assistance. This helps to ensure you spend grant dollars appropriately and you prevent waste, fraud, and abuse.
Risk is the potential for failure to achieve a program’s mission and strategic objectives.
Inappropriate, high-risk behaviors may compromise your ability to:
- Provide services as described in the program plan and agreed to in the Notice of Grant Award
- Risks include inability to execute the program or inadequate staffing
- Manage grant funds to execute the administrative responsibilities of the organization
- Risks include lack of fiscal management and control policies, inappropriate use of funds or lack of data to substantiate program activities
- Maintain oversight authority for the operations of the organization
- Risks include inadequate attention to the implementation of the program or lack of a conflict of interest policy
When you show signs of risk, HRSA works with your organization to:
- Develop a plan of action to address the potential risks
- Increase communication with the project officer
- Provide technical assistance as needed
- Make available other resources to help the grantee
All organizations are at risk for fraud; health care organizations may be at heightened risk.
Fraudulent billing, unnecessary services or prescriptions, kickbacks and duplicate claims are just a few of the kinds of schemes that target programs and beneficiaries.
- Fraud is a deliberate deception to secure an unfair gain.
- Waste is the unnecessary incurrence of costs as a result of inefficient practices, systems or controls.
- Abuse is the intentional misuse of authority, position, funds or resources for personal gain.
The consequences of fraud, waste and abuse can range from modification of terms and conditions of award, to drawdown restrictions, to debarment from receiving future funding or even criminal prosecution.
They can be prevented by:
- Establishing adequate internal controls
- Segregating duties
- Instituting a conflict of interest policy
- Maintaining auditable documentation
In 2010, the U.S. Department of Health and Human Services launched a Program Integrity Initiative to reduce improper payments by intensifying efforts to eliminate payment error, waste, fraud, and abuse in the major programs administered by the HHS, while continuing to ensure that HHS programs serve and provide access to their intended beneficiaries.
Federal Awardee Performance and Integrity Information System (FAPIIS)
The Office of Management and Budget (OMB) and the General Services Administration (GSA) developed and maintain the Federal Awardee Performance and Integrity Information System (FAPIIS).
FAAPIIS, enacted under the Duncan Hunter National Defense Authorization Act of 2009 (PDF - 1 MB), contains information on the integrity and performance of covered federal agency contractors and grantees.
This system provides access to
- Integrity and performance information from the FAPIIS reporting module in the Contractor Performance Assessment Reporting System (CPARS)
- Proceedings information from the Entity Management section of the System for Award Management (SAM) database
- Suspension or debarment information from the Performance Information section of SAM
What we do in FAPIIS
We must review and consider any information about you—the applicant—in FAPIIS before making any award in excess of the simplified acquisition threshold (currently $150,000) over the period of performance.
Review and comment on your information
You may review and comment on any of your organization’s information, entered previously by a federal awarding agency.
We will consider any comments you enter, in addition to other information in FAPIIS, when making a judgment about your organization’s integrity, business ethics, and record of performance under federal awards.
What you must do in FAPIIS
As a non-federal entity (NFE) you must disclose any information about criminal, civil, and administrative proceedings in FAPIIS, and/or affirm that there is no new information to provide.
This requirement applies to any NFE that receives federal awards—active grants, cooperative agreements, and procurement contracts—greater than $10 million for any period of time during the period of performance of an award/project.
Federal regulations
- §200.205: Federal Awarding Agency Review of Risk Posed by Applicants
- §200.207: Specific Conditions
- 2 CFR Part 180 - Debarment and Suspension
- Appendix XII to Part 200: Award Term and Condition for Recipient Integrity and Performance Matters
Civil rights
Department of Health & Human Services (HHS)-funded health care and human services providers must follow federal laws prohibiting discrimination based on national origin.
Freedom of Information Act (FOIA) requests
Your application isn't exempt from the Freedom of Information Act (FOIA). Anyone can request it. If this happens, our FOIA office may contact you. You can tell us what information you'd like withheld.
Disclaimer: The information in this website does not bind the public, except as authorized by law or as incorporated into a contract.
SAM and UEI
Maintain an active SAM.gov registration. Renew and revalidate at least once a year.
Get and provide your UEI in each application.
On April 4, 2022, the Unique Entity Identifier (UEI) replaced the DUNS. To get a UEI, visit SAM.gov and select "Get Started."
Electronic Handbooks (EHBs)
Announcements
Get the latest grants' announcements
Contact us
Email us (include your 10-digit grant number)
Report fraud
Report fraud now via HHS Office of the Inspector General
1-800-HHS TIPS (1-800-447-8477)
TTY: 1-800- 377-4950
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