Maternal and Child Health Technical Assistance to State Agencies

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This page will include information and directions on TA form submission. Please keep in mind that you are able to type directly onto the Microsoft Word file for submission via e-mail. Once you have completed the form, save the file onto your computer. Attach the file in your e-mail for submission. You may also print the forms and submit them via fax.

1. Go to www.mchtaproject.com and click on the Submit TA Request link.
2. Send completed MCHB TA Request Form to Roomers, Inc. for approval by Carol O'Toole, Project Officer.
3. After MCHB TA approval, Roomers, Inc. will contact you to address your TA requirements, then forward a TA Notification Letter.
4. Roomers, Inc. will make arrangements to fulfill your TA requirements as outlined in your MCHB TA Request Form.
5. After each TA, go the TA Evaluation link on the web site to complete the TA Evaluation form if using an expert consultant.
6. An evaluation form for all other forms of TA will be distributed at each TA event as appropriate.
7. Return completed evaluation form to Roomers, Inc.
8. Go to the TA Reimbursement link on the web site to download the travel and per diem reimbursement forms if needed.
9. Mail completed reimbursement forms with attached original receipts to Roomers, Inc.
10. If expert consultants are used during the TA, he or she can acquire the appropriate forms for the TA assignment by using the TA Honorarium, TA Report, and/or TA Reimbursement links on the website if needed.
11. The expert consultant should mail these forms, along with original receipts to Roomers, Inc.
12. All TA forms can also be obtained from the Provider Handbook link.
13.

All logistical support questions should be forwarded to the Roomers, Inc. (703) 518-0233 (phone), (703) 518-0277 (fax), or mchtaproject@roomersinc.com.

   

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