GA (23-444-80-2700 SSM St. Mary's Hospital Legislative Add-On)

To be eligible to receive the grant award, all grantees must complete the Pre-Qualification Process, Internal Control Questionnaire, Programmatic Risk Assessment and Grant Application. The Grant Application and Programmatic Risk Assessment are to be completed for every program/grant. See Grant Application Information and Instructions webpage for more detail.

At the time of application, all Bureau grantees must submit for each grant program the following documents:

The completed documents are to be emailed to the Division email address ( with the subject line stating:

  • Last 4 digits of CSFA #
  • Provider Organization Name

For example, 0190 Taylor ISC agency or 0190 HOPE agency - ISC Program 500.

NOTE: Everything is being tracked by the CSFA number, so it is important that all required materials and correspondence contain this information.