Brief: Clinic services
Prepared from Grant Precedent, 2026-10-23; data as of precedent 2026-10-21, measures 2026-10-22.
Measures funders require
New York State Office of Addiction Services and Supports, In-Community Clinic Services (RFA SETT-25006)
Number of Participant Encounter forms submitted (encounters)
- Requirement: required
- Definition: An encounter is defined as an in person clinical, medical, or peer service delivered to a patient outside of the applicant’s traditional brick-and-mortar setting. Only one encounter form per individual per day counts toward the cost per encounter calculation.
- Instrument: OASAS Participant Encounter form (Appendix C: Encounter Data Reporting Guide)
- Reporting frequency: forms due within 24 hours of service delivery
- Target rule: No target rule stated
- Source: State agency funding notices, 7 (printed page 6 of 37), https://oasas.ny.gov/rfa-25006-community-clinic-services-document
Gross cost per encounter
- Requirement: required
- Definition: NYS OASAS will calculate the cost per encounter for a given quarter by dividing the total cost submitted for the quarter by the number of Participant Encounter forms submitted during the time period reflected in the report (expenses/encounters for a per encounter cost). An encounter is defined as an in person clinical, medical, or peer service delivered to a patient outside of the applicant’s traditional brick-and-mortar setting. One encounter per individual per day counts toward the reimbursement calculation.
- Instrument: OES Quarterly Expense Report and Participant Encounter forms
- Reporting frequency: quarterly
- Target rule: Funder sets the target
- Source: State agency funding notices, 7 (printed page 6 of 37), https://oasas.ny.gov/rfa-25006-community-clinic-services-document
What you can collect, and how
Tier 1 is collected today from your own records. Tier 2 needs one free instrument. Tier 3 needs a partner under a data agreement. A measure that matches no rule has no tier.
Tier 1: Collect today from your own records
Number of Participant Encounter forms submitted (encounters)
- Collect today from your own records. A count of services or people, held in the organization’s own records.
Tier not determined
Gross cost per encounter
What grantees achieved
Certified Community Behavioral Health Clinic Expansion Grants: the source lists 4 rows for this program but none carries both a target and a result, so no attainment is computed. Source: HHS TAGGS award abstract targets, https://taggs.hhs.gov/Detail/AwardDetail?arg_AwardNum=H79SM086791&arg_ProgOfficeCode=80.
Program-level figures, not individual grantees: Minority HIV/AIDS Initiative reported 14 results against targets over 2 periods; the median result was 100% of target (middle half 98% to 103%), and 57% met or exceeded the target. Source: OMB PART assessments (ExpectMore.gov archive), https://obamawhitehouse.archives.gov/sites/default/files/omb/assets/omb/expectmore/detail/10002335.2004.html.
- Minority HIV/AIDS Initiative (2007): By 2010 increase the percentage of American Indian/Alaskan Native individuals surviving 3 years after a diagnosis of AIDS.; promised 77%, actual 75% (97% of target); unit: %. Source: https://obamawhitehouse.archives.gov/sites/default/files/omb/assets/omb/expectmore/detail/10009018.2007.html
Program-level figures, not individual grantees: Health Centers reported 11 results against targets over 4 periods; the median result was 99% of target (middle half 88% to 100%), and 18% met or exceeded the target. Source: OMB PART assessments (ExpectMore.gov archive), https://obamawhitehouse.archives.gov/sites/default/files/omb/assets/omb/expectmore/detail/10002335.2004.html.
- Health Centers (2004): Efficiency Measure: Percent increase in cost per patient served at health centers. (Health Center growth rate /Target: 20% below the National growth rate); promised 5.8%, actual 5.3% (91% of target); unit: %. Source: https://obamawhitehouse.archives.gov/sites/default/files/omb/assets/omb/expectmore/detail/10000274.2007.html
Program-level figures, not individual grantees: Free Clinics Medical Malpractice Coverage reported 9 results against targets over 3 periods; the median result was 114% of target (middle half 100% to 118%), and 89% met or exceeded the target. Source: OMB PART assessments (ExpectMore.gov archive), https://obamawhitehouse.archives.gov/sites/default/files/omb/assets/omb/expectmore/detail/10002335.2004.html.
- Free Clinics Medical Malpractice Coverage (2005): Percent of volunteer FTCA-deemed clinicians who meet certification and privileging requirements.; promised 100%, actual 100% (100% of target); unit: %. Source: https://obamawhitehouse.archives.gov/sites/default/files/omb/assets/omb/expectmore/detail/10003536.2006.html
Program-level figures, not individual grantees: Family Planning reported 7 results against targets over 3 periods; the median result was 100% of target (middle half 98% to 101%), and 57% met or exceeded the target. Source: OMB PART assessments (ExpectMore.gov archive), https://obamawhitehouse.archives.gov/sites/default/files/omb/assets/omb/expectmore/detail/10002335.2004.html.
- Family Planning (2006): Reduce invasive cervical cancer among women attending Title X family planning clinics by providing Pap tests.; promised 809, actual 799 (99% of target). Source: https://obamawhitehouse.archives.gov/sites/default/files/omb/assets/omb/expectmore/detail/10003513.2005.html
Program-level figures, not individual grantees: Medicaid reported 6 results against targets over 6 periods; the median result was 96% of target (middle half 84% to 99%), and 33% met or exceeded the target. Source: OMB PART assessments (ExpectMore.gov archive), https://obamawhitehouse.archives.gov/sites/default/files/omb/assets/omb/expectmore/detail/10002335.2004.html.
- Medicaid (2004): Prevalence of Restraints in Nursing Homes; promised 7.2%, actual 7.3% (101% of target); unit: %. Source: https://obamawhitehouse.archives.gov/sites/default/files/omb/assets/omb/expectmore/detail/10003545.2006.html
Program-level figures, not individual grantees: Ryan White HIV/AIDS reported 5 results against targets over 2 periods; the median result was 120% of target (middle half 110% to 127%), and 80% met or exceeded the target. Source: OMB PART assessments (ExpectMore.gov archive), https://obamawhitehouse.archives.gov/sites/default/files/omb/assets/omb/expectmore/detail/10002335.2004.html.
- Ryan White HIV/AIDS (2006): The number of persons who learn their serostatus from Ryan White Programs.; promised 583,845, actual 641,866 (110% of target); unit: count. Source: https://obamawhitehouse.archives.gov/sites/default/files/omb/assets/omb/expectmore/detail/10000296.2007.html
Program-level figures, not individual grantees: Black Lung Clinics reported 4 results against targets over 2 periods; the median result was 106% of target (middle half 102% to 106%), and 75% met or exceeded the target. Source: OMB PART assessments (ExpectMore.gov archive), https://obamawhitehouse.archives.gov/sites/default/files/omb/assets/omb/expectmore/detail/10002335.2004.html.
- Black Lung Clinics (2006): The number of medical encounters for Black Lung each year.; promised 20,983, actual 19,165 (91% of target). Source: https://obamawhitehouse.archives.gov/sites/default/files/omb/assets/omb/expectmore/detail/10003534.2006.html
Program-level figures, not individual grantees: Rural Health Activities reported 4 results against targets over 3 periods; the median result was 95% of target (middle half 85% to 101%), and 25% met or exceeded the target. Source: OMB PART assessments (ExpectMore.gov archive), https://obamawhitehouse.archives.gov/sites/default/files/omb/assets/omb/expectmore/detail/10002335.2004.html.
- Rural Health Activities (2005): Increase the return on investment of funds by the Rural Hospital Flexibility (FLEX) grant program, as measured by change in total operating margin of critical access hsopitals in relation to FLEX dollars invested. (New measure, added February 2007).; promised 24%, actual 14.8% (62% of target); unit: %. Source: https://obamawhitehouse.archives.gov/sites/default/files/omb/assets/omb/expectmore/detail/10001065.2003.html
Target-setting language with precedent
Each item comes from one funder, one program or one department; none is a government-wide rule.
No target-setting clause from New York State Office of Addiction Services and Supports in the library yet; the items below are the nearest precedent.
- CDC DP-23-0002 applicant FAQ (2023): Quote: “you may enter a '0' and then TBD for targets in the work plan” — https://archive.cdc.gov/www_cdc_gov/healthyschools/nofo/nofo.htm
- SAMHSA CMHS Infrastructure, Prevention and Promotion Overview Guide, v2.0, p. 9 (2022): Quote: “grantees can revise annual goals in consultation with their GPO during the first quarter of each fiscal year” — https://spars.samhsa.gov/sites/default/files/2023-01/OE%20SPARS%20CMHS%20IPP%20Overview%20Guide.pdf
- HRSA-26-057 ECCS SEED applicant FAQs, p. 6 (2026): Paraphrase: Baseline estimates are confirmed or updated within six months of award. — https://files.simpler.grants.gov/opportunities/45e009d7-46ed-482f-8aa7-02812f207f71/attachments/54ad1b19-2651-43c7-8ade-76203c7770d7/HRSA-26-057_ECCS_SEED_Applicant_FAQs.pdf
- NIH PAR-25-383, Section VI (2025): Paraphrase: Future-year milestones may be renegotiated based on prior-year data. — https://grants.nih.gov/grants/guide/pa-files/PAR-25-383.html
- Arizona Rural Health Transformation, approved program narrative, pp. 20-22 (2026): Paraphrase: A baseline assessment is done after award, and targets are set from it. — https://www.azahcccs.gov/AHCCCS/Downloads/Initiatives/RHTP/Arizona%27sApprovedProgramNarrative.pdf
- HRSA Health Center Program (H80) patient targets, Primary Health Care Digest (2022): Quote: “confirm or request adjustment to their patient target by the deadline in their email” — https://content.govdelivery.com/accounts/USHHSHRSA/bulletins/3120df3
What reviewers penalize
These ten weaknesses recur in 17 published reviewer critiques, mostly U.S. Department of Education and NIH. The count is the number of critiques that name it, not a rate, and a reviewer comment is a judgment.
- Attrition or missing-data handling left unresolved (named in 7 of 17 critiques). Reviewers wrote: “the applicant did not address how missing data will be handled” U.S. Department of Education, Education Innovation and Research (EIR) Mid-Phase, WestEd, S411B220027, 2022, Technical Review Form, pp. 25, 29. https://www.ed.gov/sites/ed/files/2022/12/S411B220027_WestEd_TRF.pdf#page=29
- Comparisons vulnerable to selection, contamination, baseline differences or incompatible data (named in 7 of 17 critiques). Reviewers wrote: “may require additional interpretation” National Institutes of Health, NIAID, K01 AI131895 (Rebeiro, Vanderbilt), applicant-authorized summary statement; a research application, pp. 5-6. https://beta.nih.gov/sites/default/files/migrated_media/2026-09/k01-rebeiro-summary-statement.pdf#page=6
- Feasibility assumptions or fallback arrangements unsupported (named in 6 of 17 critiques). Reviewers wrote: “no alternative analysis plan is provided” National Institutes of Health, NIDCD, R01 DC017174 (Heinemann and Cherney), applicant-authorized summary statement; a research application, pp. 3, 5-6. https://www.nidcd.nih.gov/sites/default/files/2022-03/sanitized-heinemann-cherney-summary-statement-redacted.pdf#page=5
- Implementation fidelity, thresholds or mediators inadequately specified (named in 5 of 17 critiques). Reviewers wrote: “Mediators are not described.” U.S. Department of Education, EIR Early-Phase, Education Development Center, U411C190275, 2019, Technical Review Form, p. 4. https://www.ed.gov/sites/ed/files/2019/11/U411C190275-Education-Development-Center-Inc.-TRF-Tier-2.pdf#page=4
- Measurement tools insufficiently identified, supported or protected against reporting bias (named in 4 of 17 critiques). Reviewers wrote: “no detail is provided” U.S. Department of Education, EIR Mid-Phase, Niswonger Foundation, U411B170038, 2017, Technical Review Form, pp. 4-5. https://www.ed.gov/sites/ed/files/2016/12/U411B170038_TRF.pdf#page=4
- Targets or success criteria missing, inconsistent or disconnected from the project (named in 4 of 17 critiques). Reviewers wrote: “lacks a specific number” U.S. Department of Education, EIR Mid-Phase, ASSISTments Foundation, S411B220024, 2022, Technical Review Form, p. 14. https://www.ed.gov/sites/ed/files/2022/12/S411B220024_ASSISTments-Foundation-Inc_TRF.pdf#page=14
- Analysis procedures insufficiently specified for the stated questions or model (named in 4 of 17 critiques). Reviewers wrote: “methods of data analysis are not adequately described” National Institutes of Health, NIAID, R01 AI098472 renewal (Gandhi, UCSF), applicant-authorized summary statement; a research application, pp. 4-5. https://beta.nih.gov/sites/default/files/migrated_media/2026-09/2-R01-AI098472-06_Ganhdi_Summary.pdf#page=4
- Data protection, management or cross-site coordination incomplete (named in 3 of 17 critiques). Reviewers wrote: “The data management plan stops midsentence on page 125” National Institutes of Health, NIDCD, R01 DC017683 (Gifford and Camarata, Vanderbilt), applicant-authorized summary statement; a research application, pp. 9-10. https://www.nidcd.nih.gov/sites/default/files/2022-05/sanitized-giffordcamarataapplicationsummary-dc017683-01a1.pdf#page=10
- Feedback collection lacks a specified route into program decisions (named in 2 of 17 critiques). Reviewers wrote: “The applicant does not discuss how often the team will review data or implement changes.” U.S. Department of Education, EIR Early-Phase, Orange County Superintendent of Schools, S411C200130, 2020, Technical Review Form, pp. 16, 19. https://www.ed.gov/sites/ed/files/2020/12/S411C200130-Orange-County-Superintendent-of-Schools-TRF.pdf#page=19
- Evaluator independence insufficiently explained (named in 1 of 17 critiques). Reviewers wrote: “The level of independence is not made clear” U.S. Department of Education, EIR Early-Phase, Research Triangle Institute, S411C220065, 2022, Technical Review Form, pp. 24-25. https://www.ed.gov/sites/ed/files/2022/12/S411C220065_Research-Triangle-Institute-_TRF.pdf#page=24
Protocol skeleton
Draft text, edit before use
Measures: Number of Participant Encounter forms submitted (encounters); Gross cost per encounter. Baseline: ____ months from award, using OASAS Participant Encounter form (Appendix C: Encounter Data Reporting Guide); OES Quarterly Expense Report and Participant Encounter forms. Targets: set from the observed baseline at month ____, or committed now as a change of ____ percentage points from baseline.
Missing-data plan (how dropout and missing observations will be handled): ____
Comparison group or baseline (what you compare against and how the groups started): ____
Fallback if recruitment, data access or the first analysis falls short: ____
Fidelity threshold (what counts as full implementation, and how it is measured): ____
Instrument named, with its validity evidence and its rights (license) status: ____
Numeric target for each measure (a number, not a direction): ____
Analysis for each outcome (method, comparison, adjustment): ____
Data protection and data management (who holds identifiable data, where, for how long): ____
Feedback schedule (who reviews the data, how often, and what changes as a result): ____
Evaluator role and independence (who evaluates and how they are separate from delivery): ____
The text is copied or summarized from public documents. It is not legal advice.