California Rural Health Information Technology Partnership

California Rural Health Information Technology Partnership logo

 

USDA Rural Development has joined with partners in California to help rural health care providers develop information technology (HIT). For an overview of Rural Development programs available to assist with Health IT projects, review the documents below.

• HIT Fact Sheet

• HIT PowerPoint

 

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• Community Facilities HIT Loan Application Checklist Packet

 

A variety of forms for the Community Facilities programs are listed below for your convenience

• Form SF 424 - Application for Federal Assistance

• Form SF 424A - Budget Information, Non-Construction Programs

• Form SF-424C - Budget Information

• Form SF-424D - Assurances - Construction Programs

• Form RD 1940-20, Request for Environmental Information

• Clearing House Sheet for Notification

• Form AD-1047, Certification Regarding Debarment, Suspension and Other Responsibility Matters - Primary Covered Transactions

• Form AD-1049, Certification Regarding Drug-Free Workplace Requirements (Grants) Automatic 1 - For Grantees Other Than Individuals

• Form RD 400-1, Equal Opportunity Agreement

• Form RD 400-4, Assurance Agreement

• 1940-Q, Exhibit A-1

• Form RD 1910-11, Application Certification - Federal Collection Policies for Consumer or Commercial Debts

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USDA Rural Development Contact

Janice Waddell, HIT Coordinator
430 G Street, Agency 4169, Davis, CA 95616
Phone: (530) 792-5810 | Fax: (530) 792-5839
janice.waddell@ca.usda.gov

Partnership Contacts

DHCS-State Office of Rural Health
California Hospital Association Rural Healthcare Center
CalHIPSO