Opportunity Information: Apply for HRSA 14 073
Apply for HRSA 14 073
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Affordable Care Act Patient Centered Medical Home Facility Improvements (P FI) Grant Program" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.526 Affordable Care Act (ACA) Grants for Capital Development in Health Centers.
- This funding opportunity was created on Feb 3, 2014 and posted on Feb 3, 2014.
- Applicants must submit their applications by Mar 14, 2014. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $35,000,000.00 to eligible and selected applicants.
- The number of recipients for this funding is limited to 150 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- Applicants must meet all of the following eligibility requirements. Applications that do not meet all of the eligibility requirements will be considered non responsive and will not be considered for funding under this announcement. Applicant is an existing health center receiving Health Center Program operational support (sections 330(e), (g), (h), and/or (i)) at the time of application, and is not subject to the following under the existing Health Center Program award Received initial health center funding in FY 2013 or FY 2014 Five or more active 60 or 30 day progressive action conditions on current award or One or more 30 day progressive action condition(s) on current award. The project will support new alteration/renovation activities and/or new construction costs. No more than 50 percent of the total allowable budget will support moveable equipment costs (line item 10 of the budget information). The proposed project is located at an active service delivery site or administrative/service delivery site that is within the health centers current approved scope of project (i.e., an approved service delivery site listed on Form 5B) at the time of application submission. The project will not occur at a sub recipient or contractor site. The project will not occur at a site with an active HRSA award that supports construction (i.e., new construction, expansion, or alteration/renovation/repair projects).
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Opportunity Summary:
The Affordable Care Act Patient Centered Medical Home Facility Improvements (P FI) Grant Program (HRSA-14-073) was a one-time, competitive capital grant opportunity run by the Health Resources and Services Administration (HRSA) to help existing federally funded health centers upgrade or expand their facilities in ways that directly support delivering care through the Patient Centered Medical Home (PCMH) model. Authorized under the Affordable Care Act (P.L. 111-148, Section 10503(c)), the program focused on practical, site-specific building projects that would improve how patients access care and how care teams coordinate and deliver services. HRSA anticipated about $35,000,000 in total FY 2014 funding, with projects carried out over a two-year period. The funding instrument was a discretionary grant under CFDA 93.526 (Affordable Care Act Grants for Capital Development in Health Centers), and there was no cost-sharing or matching requirement stated for applicants.
Eligibility was tightly limited to organizations that were already Health Center Program awardees receiving operational support under section 330 of the Public Health Service Act (sections 330(e), (g), (h), and/or (i)) at the time they applied. HRSA also built in several screening rules that could make an application non-responsive and therefore not reviewed. For example, health centers that had received their initial health center funding in FY 2013 or FY 2014 were not eligible under this particular announcement. In addition, applicants could not be under certain levels of progressive action conditions on their current award (specifically, five or more active 60- or 30-day progressive action conditions, or one or more 30-day progressive action conditions). The intent was to target organizations with established operational footing and sufficient compliance standing to manage a capital award responsibly.
The core purpose of the grant was to pay for capital development activities tied to PCMH-related facility needs at an existing, in-scope health center site. The project location had to be an active service delivery site (or an administrative/service delivery site) already included in the health center's HRSA-approved scope of project, meaning it needed to be listed on Form 5B at the time of application. Projects were not allowed at subrecipient or contractor locations, and they were also prohibited at sites that already had an active HRSA construction-related award supporting construction, expansion, or alteration/renovation/repair. In other words, HRSA was trying to avoid overlap or double-funding for similar capital work at the same site.
Applicants were allowed to submit only one application, and it had to propose one distinct, stand-alone, site-specific facility project. HRSA recognized two broad project types. The first was alteration and renovation (A&R), which covered work to modernize, improve, and/or reconfigure interior space, address exterior envelope improvements or replacement, and make upgrades related to accessibility and life safety requirements (for example, sidewalks, ramps, and other code-related improvements). A&R projects could include related moveable equipment, but they could not increase the building's total square footage and were designed to avoid ground disturbance or footings. The second project type was construction, defined mainly as expansion of an existing structure to increase total square footage. Construction projects could also include permanently affixed modular or prefabricated buildings, and they could include related moveable equipment. If a proposal combined an expansion with renovation of the existing structure, HRSA treated it as construction for classification purposes.
The program placed specific boundaries around equipment purchases. Moveable equipment was allowable only as part of the facility improvement effort and had to be non-expendable items with a useful life of more than one year that are not permanently affixed and can be easily moved. The announcement gave examples such as certain diagnostic or clinical equipment (like x-ray equipment, autoclaves, freezers), furniture, and administrative/IT items (computers, servers, phones, fax machines, copiers, software), as well as special-purpose medical tools used in clinical activities (stethoscopes, blood pressure monitors, scales, electronic thermometers). At the same time, it was explicit that routine supplies were not allowable as moveable equipment, including office supplies (paper, pencils, toner), medical consumables (syringes, blood tubes, gloves), and educational handouts or similar materials. There was also a budget cap: no more than 50 percent of the total allowable project budget could be used for moveable equipment costs (specified as line item 10 in the budget form).
Beyond basic eligibility, the application had to make a clear case for how the facility project would support the PCMH model and translate into real improvements in care delivery and patient access. In practical terms, that meant applicants needed to connect the physical changes (renovated workflows, improved exam room layouts, new care team space, better accessibility, added capacity through expansion, or upgraded safety and building systems) to PCMH-aligned outcomes such as more coordinated team-based care, smoother patient flow, better integration of services, and easier access for patients. The grant was meant to fund bricks-and-mortar changes that enable PCMH operations, rather than general programmatic expansion unrelated to the care model.
Award management and oversight were also emphasized. Recipients had to be able to track P FI funds separately from other federal awards, and the program came with separate reporting requirements, reflecting the reality that capital development grants require close financial controls, documentation, and monitoring distinct from routine operating grants.
Key administrative details from the announcement include a posted date of February 3, 2014, and a closing date of March 14, 2014, with an archive date of May 13, 2014. HRSA estimated about 150 awards overall from the total funding amount, and while the listing shows award ceiling and floor as 0, the announcement itself indicated awards would be made competitively and subject to available funds. Questions and access issues were routed through the HRSA Grants Application Center and the HRSA Call Center (877-464-4772; CallCenter@HRSA.GOV).
Affordable Care Act Patient Centered Medical Home Facility Improvements (P FI) Grant Program (HRSA-14-073) FAQs
What is the P FI Grant Program (HRSA-14-073)?
The Affordable Care Act Patient Centered Medical Home Facility Improvements (P FI) Grant Program (HRSA-14-073) was a one-time, competitive capital grant opportunity run by the Health Resources and Services Administration (HRSA). It was designed to help existing federally funded health centers upgrade or expand facilities to directly support delivering care through the Patient Centered Medical Home (PCMH) model.
Was this a recurring funding opportunity?
No. The announcement described it as a one-time competitive capital grant opportunity.
What was the legal authority for this grant program?
The program was authorized under the Affordable Care Act (P.L. 111-148, Section 10503(c)).
How much funding did HRSA anticipate for FY 2014?
HRSA anticipated about $35,000,000 in total FY 2014 funding for this program.
How long were projects expected to run?
Projects were to be carried out over a two-year period.
What type of funding instrument was used?
The funding instrument was a discretionary grant under CFDA 93.526 (Affordable Care Act Grants for Capital Development in Health Centers).
Was cost-sharing or matching required?
No cost-sharing or matching requirement was stated for applicants in the information provided.
Who was eligible to apply?
Eligibility was limited to organizations that were already Health Center Program awardees receiving operational support under section 330 of the Public Health Service Act (sections 330(e), (g), (h), and/or (i)) at the time of application.
Were newly funded health centers eligible?
No. Health centers that had received their initial health center funding in FY 2013 or FY 2014 were not eligible under this announcement.
Could an application be ruled non-responsive?
Yes. HRSA included screening rules that could make an application non-responsive and therefore not reviewed.
What compliance or enforcement conditions could make an applicant ineligible?
Applicants could not be under certain levels of progressive action conditions on their current award. Specifically, they could not have five or more active 60- or 30-day progressive action conditions, or one or more 30-day progressive action conditions.
What was the main purpose of the grant?
The core purpose was to pay for capital development activities tied to PCMH-related facility needs at an existing, in-scope health center site, with the goal of improving patient access and care delivery through the PCMH model.
What types of sites could the project be located at?
The project location had to be an active service delivery site (or an administrative/service delivery site) already included in the health center's HRSA-approved scope of project. It needed to be listed on Form 5B at the time of application.
Could projects be done at subrecipient or contractor locations?
No. Projects were not allowed at subrecipient or contractor locations.
Could the project be done at a site already receiving HRSA construction-related funding?
No. Projects were prohibited at sites that already had an active HRSA construction-related award supporting construction, expansion, or alteration/renovation/repair.
How many applications could an organization submit?
Applicants were allowed to submit only one application.
How many facility projects could be proposed in a single application?
The application had to propose one distinct, stand-alone, site-specific facility project.
What were the recognized project types?
HRSA recognized two broad project types: (1) alteration and renovation (A&R), and (2) construction.
What counted as an alteration and renovation (A&R) project?
A&R covered work to modernize, improve, and/or reconfigure interior space; address exterior envelope improvements or replacement; and make upgrades related to accessibility and life safety requirements (for example, sidewalks, ramps, and other code-related improvements). A&R could include related moveable equipment, but it could not increase the building's total square footage and was designed to avoid ground disturbance or footings.
What counted as a construction project?
Construction was defined mainly as expansion of an existing structure to increase total square footage. Construction could include permanently affixed modular or prefabricated buildings and could include related moveable equipment.
If a project included both expansion and renovation, how was it classified?
If a proposal combined an expansion with renovation of the existing structure, HRSA treated it as construction for classification purposes.
Was moveable equipment allowed under this program?
Yes, moveable equipment was allowable only as part of the facility improvement effort, subject to specific definitions and limits.
How did the program define moveable equipment?
Moveable equipment had to be non-expendable items with a useful life of more than one year that are not permanently affixed and can be easily moved.
What are examples of allowable moveable equipment?
Examples included certain diagnostic or clinical equipment (such as x-ray equipment, autoclaves, freezers), furniture, administrative/IT items (computers, servers, phones, fax machines, copiers, software), and special-purpose medical tools used in clinical activities (stethoscopes, blood pressure monitors, scales, electronic thermometers).
What items were explicitly not allowable as moveable equipment?
Routine supplies were not allowable, including office supplies (paper, pencils, toner), medical consumables (syringes, blood tubes, gloves), and educational handouts or similar materials.
Was there a cap on how much of the budget could be used for moveable equipment?
Yes. No more than 50 percent of the total allowable project budget could be used for moveable equipment costs (specified as line item 10 in the budget form).
What did applicants need to show about PCMH alignment?
The application had to make a clear case for how the facility project would support the PCMH model and translate into real improvements in care delivery and patient access. Applicants needed to connect physical changes (such as renovated workflows, improved exam room layouts, new care team space, better accessibility, added capacity through expansion, or upgraded safety and building systems) to PCMH-aligned outcomes like coordinated team-based care, smoother patient flow, better integration of services, and easier access for patients.
Was the grant meant to fund general program expansion?
No. The grant was meant to fund bricks-and-mortar changes that enable PCMH operations, rather than general programmatic expansion unrelated to the care model.
Were there special tracking or reporting expectations for awardees?
Yes. Recipients had to be able to track P FI funds separately from other federal awards, and there were separate reporting requirements reflecting the added financial controls and monitoring typical for capital development grants.
What were the key dates for the opportunity?
The posted date was February 3, 2014. The closing date was March 14, 2014. The archive date was May 13, 2014.
About how many awards did HRSA estimate would be made?
HRSA estimated about 150 awards overall from the total funding amount.
Was a specific award minimum or maximum stated?
The listing shows an award ceiling and floor as 0, while the announcement indicated awards would be made competitively and would be subject to available funds.
Who could applicants contact for questions or access issues?
Questions and access issues were routed through the HRSA Grants Application Center and the HRSA Call Center at 877-464-4772 or CallCenter@HRSA.GOV.
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