HPSM Primary Care Provider Grants Application

HPSM Primary Care Provider Grants Application
HPSM is offering four grants to stabilize, expand, and enhance primary care teams throughout our network. Visit our website for information about these grants including descriptions, eligibility requirements and maximum award amounts. Once you know which grant(s) you are interested in, fill out and submit this application. First, fill out the General Application section, which tells HPSM about your organization. From there you can access applications for the individual grants.

We only accept digital application submissions, but to print out a PDF version to review required fields, please click here.

If you have any questions about this application, contact grants@hpsm.org.
General Grants Application
Organization name
Organization NPI #
Description
Address

Street Address

Street Address Line 2

CityState

Zip Code
Website
Primary contact person

First NameLast Name
Phone number
Please enter a valid phone number.
Email address
example@example.com
Select the grant(s) you want to apply for:*

Primary Care Team Expansion GrantCore Team Stabilization Grant (to hire Primary Care Providers)Core Team Stabilization Grant (to hire Medical Assistants)Provider Sabbatical GrantCustom Pilot Grant

Primary Care Team Expansion Grant

Increase the capacity of high-performing primary care teams by providing the upfront dollars to hire, operationalize and sustain new interprofessional team member roles.
Indicate the number of positions you intend to add to your primary care team through this funding. (Confirmation of each role’s FTE is required upon hire.)
Behavioral Health Clinician:
Community Health Worker:
Medical Scribe:
Nurse:
Pharmacist:
Pharmacy Technician:
Define the need for the position(s) you hope to hire and the role they will play on the primary care team.
Explain how funding for this/these position(s) will improve primary care team capacity.
Estimate how many HPSM members will be served by this funding.
Describe your proposed activities and implementation timeline. (Activities could include hiring and onboarding for the role, integrating the role into the primary care team, developing workflows, and creating a sustainability plan).
Please describe how you will evaluate the success of the grant.
Please attach a completed budget outlining the funding request.

Accepted file types: pdf, doc, docx, xls, xlsx, csv, txt, rtf, zip
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Core Team Stabilization Grant (to hire Primary Care Providers)

Stabilize primary care teams by offering competitive sign-on bonuses that augment compensation packages for primary care providers.
Indicate the number of roles you intend to recruit through this funding in the next year.
(Confirmation of each role’s FTE is required upon hire).
MD/DO:
NP/PA:
Explain how this funding will improve access for Health Plan of San Mateo (HPSM) members. If available, please provide the number of HPSM members each role(s) will support.
How does your organization intend to use this funding? Confirmation of expenses will be required upon hiring. Select all that apply:

First year salary/benefit costsSign-on bonusesRelocation expensesReferral bonusFees for professional recruitment agency servicesEducation loan repaymentHousing stipendDown payment assistance (additional $50,000)Language incentive (additional $10,000)

Core Team Stabilization Grant (to hire Medical Assistants)

Stabilize primary care teams by offering competitive sign-on bonuses that augment compensation packages to recruit and retain for medical assistants.
Indicate the number of roles you intend to recruit through this funding in the next year. (Confirmation of each role’s FTE is required upon hire).
Medical assistant:
Explain how this funding will improve access for Health Plan of San Mateo (HPSM) members. If available, please provide the number of HPSM members each role(s) will support.
Indicate how your organization intends to use this funding. Select all that apply:

First year salary/benefit costsSign-on bonusesRelocation expensesReferral bonusFees for professional recruitment agency servicesEducation, training and certification costsLanguage incentive (additional $10,000)

Provider Sabbatical Grant

Reward long-term primary care providers for their service and commitment to HPSM members with paid time off.
Provide the following information for each provider to confirm eligibility:
Add a provider?

YesNo
Provide the following information for provider 2:
Add a provider?

YesNo
Provide the following information for provider 3:

Custom Pilot Grant

Design pilots and programs that improve primary care team capacity, bandwidth and joy.
Tell us about your proposed project/program.
Describe how the funding will be used to improve capacity, bandwidth, and/or joy for your primary care team(s). Include your expected outcomes.
Describe the project’s proposed activities and implementation timeline.
Describe how you will evaluate the success of the project/program. Detail evaluation and monitoring plan.
Attach a completed budget outlining the funding request.

Accepted file types: pdf, doc, docx, xls, xlsx, csv, txt, rtf, zip
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Save or submit your grant application

Click “Save” if more information needs to be added to the application. Click “Submit” if your application is complete.
Questions? Email grants@hpsm.org.
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General Grants Application