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Organization Requirements
Organizations submitting an application must meet the following criteria:
- Organization must be able to provide a 501(c)3 Determination Letter
- Organization must answer each application question completely.
- Do not include any materials not requested with your application, or any private personal identifiable information that would constitute special handling or breach of confidentiality.
- For Polk County resident(s) following a one-time service/program, the organization must ensure the reoccurring proposed service/program will be for:
- Gross family/household income at or below 200% of the Federal Poverty Level Guidelines.
- Documented full-time resident of Polk County (See Proof of Residency Guidelines)
- Have no other health insurance, including Medicaid, Medicare, Polk Healthcare Plan, Veteran’s Health Benefits, or any private insurance.
Exception: Residents of Polk County who qualify by residency and household income with health coverage, would be allowed to participate in a UWCF Community Wellness program IF:
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- The benefit being offered by a UWCF Community Wellness program is not a covered benefit under their plan OR
- The individual has exceeded the plan’s benefit limitations for type of benefit/service. Adequate proof of non-coverage or coverage limits met must be provided.
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- Organization understands there will be mandatory data collection of program expenditures and eligibility determination in a format provided by UWCF and monthly reporting requirements by the 15th of each month for the previous months’ activity. Additionally, a monthly digital submission of supporting documentation for all monthly expenses reported.
- Organization agrees to submit application in required format. Applications that do not follow the required format may lose points.
- Late proposals will not be accepted or reviewed for funding consideration.
- Organization has reviewed the Florida Statutes 212.055(7) and Polk County Ordinance 2015-76, as amended.
Organization Requirements
Organizations submitting an application must meet the following criteria:
- Organization must be able to provide a 501(c)3 Determination Letter
- Organization must answer each application question completely.
- Do not include any materials not requested with your application, or any private personal identifiable information that would constitute special handling or breach of confidentiality.
- For Polk County resident(s) following a one-time service/program, the organization must ensure the reoccurring proposed service/program will be for:
- Gross family/household income at or below 200% of the Federal Poverty Level Guidelines.
- Documented full-time resident of Polk County (See Proof of Residency Guidelines)
- Have no other health insurance or the availability of health coverage, including Medicaid, Medicare, Polk Healthcare Plan, Veteran’s Health Benefits, or any private insurance.
- Organization understands there will be mandatory data collection of eligibility determination and monthly reporting requirements.
- Organization understands record retention (digital acceptable) is required for a ten (10) year period.
- Organization agrees to submit application in required format. Applications that do not follow the required format may lose points.
- Late proposals will not be accepted or reviewed for funding consideration.
- Organization has reviewed the Florida Statutes 212.005(7) and Polk County Ordinance 2015-76, as amended.
Program Requirements
UWCF is partnering with Polk County Health and Human Service Community Health Care program to bring new opportunities to qualifying residents of Polk County, for behavioral health programs/services and preventative/early intervention programs/services to individuals and family members as well as healthcare coverage.
Polk County Health and Human Services Community Health Care (CHC) program administration has $9.6 million in allocated CHC funding to the UWCF Community Wellness Initiative program (Florida Statues 212.055 (7); Polk County Ordinance 2015-76, as amended).
UWCF desires to contract with agencies/organizations to provide programs/services, for behavioral health and prevention/early intervention, to reduce health care disparities to individuals and families in Polk County.
The focus of the initiative is to provide programs and services with a health component which serve residents of Polk County without healthcare insurance/coverage with incomes at or below 200% of the Federal Poverty Level. With this initiative, we are proposing to align community-wide efforts to achieve greater impact through collaboration through the following objectives:
Prevention/Early Intervention | Behavioral Health
$50,000 minimum requested amount for proposed program/services.
Prevention / Early Intervention: Programs and services that provide active, lifelong process of becoming aware of and making choices toward a healthier and fulfilling life. Prevention / Early Intervention programs and services do not have to include a Behavioral Health component but must have a “health” component. Examples of programs and services but not limited to: physical activity, wellness, fitness, nutrition and/or health nutrition education, etc.
Behavioral Health: Programs meant to improve the psychological, emotional wellbeing of Polk County residents.
Program Exclusions
Exclusions include but are not limited to:
Rent/Mortgage (Housing) Assistance
Utility Assistance
Childcare
Capital, Rent/Lease/Purchase/Building of facilities/Vehicles