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Compliance Guide

Rhode Island RHTP Compliance Prerequisites

What your organization needs in place before applying for RHTP sub-grants in Rhode Island.

Rhode Island has not yet opened sub-grantee applications. Despite its small size, Rhode Island has rural communities and RHTP-eligible providers, including FQHCs and behavioral health organizations. The solicitation is expected to reflect Rhode Island's integrated care policy priorities.

Preparation: SAM.gov registration and documented 2 CFR 200 cost allocation methodology are the core prerequisites for virtually all RHTP solicitations. Rhode Island organizations that already manage Medicaid or HRSA grants will find their existing infrastructure largely sufficient.

What to Prepare

SAM.gov Registration

All federal sub-grant applicants must have an active System for Award Management (SAM.gov) registration at the time of submission. Registration takes 7–10 business days for initial setup or annual renewal. Your Unique Entity Identifier (UEI) is assigned through SAM.gov. Do not wait until the application window opens to check your status.

Cost Allocation Methodology (2 CFR 200)

You must have a written, consistently applied cost allocation methodology that documents how shared costs are distributed across funding streams. This does not need to be complex, but it must be written and board-approved. An informal practice that hasn't been reduced to documentation will not satisfy this requirement. The methodology must be in place before you apply — not after you receive the award.

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Single Audit (2 CFR 200 Subpart F)

Organizations that expend $750,000 or more in federal awards in a fiscal year are required to have a single audit. A clean single audit — no material weaknesses, no significant deficiencies related to federal programs — demonstrates the financial management capacity that RHTP reviewers are assessing. Prior audit findings do not automatically disqualify you, but unresolved findings or repeat findings will raise concerns.

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