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 FY26 General Terms and Conditions (PDF - 216 KB) and a summary of the changes (PDF - 166 KB).
Review the July updates to the FY25 General Terms and Conditions (PDF - 284 KB) and the July summary of the changes (PDF - 194 KB). – Posted July 25, 2025
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 Regulation Changes Overview (PDF - 191 KB)
HHS Salary Cap (FY15 to present)
Grants policy bulletins
- Grants Policy Bulletin: Adopting 2 CFR Part 200 and the Revised HHS Grants Policy Statement (PDF - 75 KB)
- 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.
What does HRSA evaluate prior to making an award:
We must review and consider any information about you—the applicant—before making any award:
- The System for Award Management (SAM) database
- Federal Awardee performance and Integrity Information System (FAPIIS.gov) records are now called Responsibility/Qualification. The FAPIIS records and data files are now available in the “Data Bank” section of sam.gov, under “Entity Information.”
- The Contractor Performance Assessment Reporting System (CPARS), if the award exceeds the simplified acquisition threshold.
- You may review and comment on any of your organization’s information, entered previously by a federal awarding agency.
Mandatory disclosures
As a recipient of federal funds, you must disclose any information about criminal, civil, and administrative proceedings, and/or affirm that there is no new information to provide. The disclosure must be made in writing to the Federal agency, the agency's Office of Inspector General, and pass-through entity (if applicable). Please note that self-disclosures are submitted to OIG differently than other complaints related to fraud, waste and abuse (HHS OIG Self-Disclosure Information).
Federal regulations
- 2 CFR §180: Debarment and Suspension
- 2 CFR §200.113: Mandatory Disclosures
- 2 CFR §200.206: Federal Awarding Agency Review of Risk Posed by Applicants
- 2 CFR §200.208: Specific Conditions
- 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.
Electronic Handbooks (EHBs)
GrantSolutions
HRSA is in the process of transitioning functionality in Electronic Handbooks (EHBs) to GrantSolutions, a service that supports the full lifecycle of grant management.
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
Date Last Reviewed: