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Medicaid Expansion Outreach for Undocumented Older New Yorkers Project
Eligibility Criteria
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1.
I attest that my organization is a community-based organization tax exempt under 501(c)(3) of the Internal Revenue Code. Examples of eligible organizations may include: health advocacy organizations, faith-based organizations, public health organizations, direct service providers including food pantries, shelters, and others, civic and social organizations.
(Required.)
Yes
No
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2.
I attest that my organization currently provides services in at least one of the following New York City Community Districts:
• Queens Community Districts 3, 4, and/or 7
• Manhattan Community Districts 3 and/or 12
• Bronx Community Districts 4, 5, and/or 7
• Brooklyn Community District 7
(Required.)
Yes
No
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3.
I attest that my organization has a minimum of three (3) years of relevant experience within the last five (5) years with each of the following:
Providing health education and/or outreach services in communities impacted by health disparities.
Providing ongoing community outreach in communities with limited English proficiency.
Enrolling individuals in health insurance and/or making referrals to benefits enrollment.
Engaging with older adults.
(Required.)
Yes
No
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4.
I attest that my organization is in good standing with FPHNYC and the NYC Health Department if it has an existing grant or contract in place.
(Required.)
Yes
No
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5.
I attest that my organization is not suspended or debarred by any State or Federal entity from receiving funds.
(Required.)
Yes
No
Please press "Next" to continue. If your organization is found eligible, you will proceed to the next Section: Applicant Information.