Idaho Cognitive Care Pathway Network

Requirements Checklist

• Applicants must submit a detailed line-item budget using the provided Excel template, including a cumulative total for the entire project period. Budget must include a narrative justification for each line item, substantiated as allowable, allocable, reasonable, and necessary according to 2 CFR 200 Subpart E (§§200.400–200.476). Administrative and indirect costs combined cannot exceed 10% of total approved subaward budget (calculated on Modified Total Direct Cost per 2 CFR 200.1). Lead Entities must demonstrate ability to administer and oversee a statewide network of local implementation partners, including provider training, evidence-based model implementation, and rural telehealth outreach.

Required attachments

• Detailed Line-Item Excel Budget Template
• Budget Narrative Justification
• Organizational Chart
• Letters of Commitment (for partnerships)
• Proof of Eligibility (501(c)(3) determination or government status)
• Risk Assessment Documentation

Submission Instructions

Applications must be submitted via the Idaho Department of Health and Welfare application portal (URL provided in solicitation; see notes). All required forms—including the Excel budget template and budget narrative—must be uploaded at time of submission.

Source Documents