Opportunity Information: Apply for HRSA 11 201
Apply for HRSA 11 201
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "ARRA State Primary Care Offices" and is now available to receive applicants.
- This funding opportunity was created on Jul 11, 2011 and posted on Jul 7, 2011.
- Applicants must submit their applications by Aug 5, 2011. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $8,500,000.00 to eligible and selected applicants.
- The number of recipients for this funding is limited to 43 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- Eligibility for this funding is limited to any State or Territory PCO that is currently receiving ARRA assistance through the Primary Care Services Resource Coordination and Development Program (Announcement Number HRSA 09 277).
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Opportunity Summary:
The ARRA State Primary Care Offices grant opportunity (HRSA 11-201) was a Health Resources and Services Administration (HRSA) cooperative agreement designed to strengthen how State and Territory Primary Care Offices (PCOs) supported the National Health Service Corps (NHSC) expansion funded by the American Recovery and Reinvestment Act (ARRA). ARRA significantly increased the number of NHSC-supported clinicians in the field, which in turn increased the workload for PCOs that coordinate with service sites and providers. This funding announcement offered supplemental funds to PCOs already receiving ARRA support so they could focus on keeping those ARRA-funded clinicians in underserved communities and documenting whether retention efforts and ARRA investments were actually improving access to care and reducing workforce shortages.
The central aim was retention and evaluation, not recruitment. Applicants had to show specifically how the additional funds would be used to retain primary care providers supported through ARRA-funded NHSC programs, including the NHSC Scholarship Program, the NHSC Loan Repayment Program, and (where applicable) the State Loan Repayment Program (SLRP) in states that also received ARRA SLRP awards. HRSA made clear that these supplemental dollars could not be used for reviewing NHSC site applications or for conducting recruitment activities. Instead, the money was meant to help states keep the clinicians they had gained through ARRA and to measure outcomes tied to that investment, such as increased access to primary care services and reduced shortage conditions.
HRSA outlined five allowable activity areas for the Retention and Evaluation Activities (REA) Initiative. First, PCOs could support ARRA-funded NHSC scholars by coordinating rotations in underserved settings, giving future clinicians meaningful exposure to underserved communities with the idea that early experiences can improve long-term commitment. Second, PCOs were expected to carry out activities to retain ARRA-funded NHSC clinicians already placed at sites. Third, states that had ARRA-funded SLRP awards were also expected to implement retention activities for ARRA-funded SLRP clinicians. Fourth, PCOs could provide technical assistance to clinical sites employing ARRA-funded clinicians specifically to improve retention, for example by helping sites strengthen onboarding, supervision, professional development, or workplace supports. Fifth, PCOs could evaluate both the impact of ARRA-funded NHSC and SLRP providers on access and shortages within the state and the effectiveness of different retention strategies, so that HRSA and states could understand what approaches worked best.
While applicants were encouraged to engage in all five activity areas, participation was not equally optional. HRSA required every applicant to include Activities 1 and 2, and Activity 3 when the state also had ARRA SLRP funding. If a PCO proposed to provide technical assistance involving site visits (Activity 4), the application narrative had to explain how the PCO would coordinate that work with the Bureau of Clinician Recruitment and Service (BCRS), Division of Regional Operations. If a PCO proposed evaluation work (Activity 5), the application had to include an evaluation plan demonstrating the capability to collect and analyze data tied to key outcomes, including changes in access to primary care, changes in workforce shortage conditions, and comparative effectiveness of retention strategies.
Eligibility was narrow and tied to prior ARRA participation. Only State or Territory PCOs already receiving ARRA assistance through the Primary Care Services Resource Coordination and Development Program (HRSA 09-277) could apply for this supplemental opportunity. The program did not require cost sharing or matching funds. HRSA anticipated making 43 awards, with an estimated total funding amount of $8.5 million. The opportunity was posted July 7, 2011, with an application closing date of August 5, 2011, and it was later archived on October 4, 2011. For access issues or questions, HRSA directed applicants to the HRSA Call Center using the contact information provided in the announcement.
ARRA State Primary Care Offices Grant (HRSA 11-201) - FAQs
What is the ARRA State Primary Care Offices grant opportunity (HRSA 11-201)?
HRSA 11-201 was a HRSA cooperative agreement that provided supplemental funding to State and Territory Primary Care Offices (PCOs). Its purpose was to strengthen PCO support for the expansion of the National Health Service Corps (NHSC) that was funded by the American Recovery and Reinvestment Act (ARRA).
What problem was this funding designed to address?
ARRA increased the number of NHSC-supported clinicians in the field, which increased workload for PCOs that coordinate with service sites and providers. This opportunity provided supplemental funds so PCOs could focus on retaining ARRA-funded clinicians in underserved communities and documenting whether retention efforts and ARRA investments improved access to care and reduced workforce shortages.
What was the central aim of HRSA 11-201?
The central aim was retention and evaluation, not recruitment. Applicants needed to show how additional funds would be used to retain ARRA-funded NHSC-supported primary care providers and to measure outcomes tied to that retention work.
Which clinician programs were specifically included in the retention focus?
The retention focus included providers supported through ARRA-funded NHSC programs, including the NHSC Scholarship Program and the NHSC Loan Repayment Program. Where applicable, it also included the State Loan Repayment Program (SLRP) for states that received ARRA SLRP awards.
Who was eligible to apply?
Eligibility was limited to State or Territory Primary Care Offices (PCOs) that were already receiving ARRA assistance through the Primary Care Services Resource Coordination and Development Program (HRSA 09-277).
Was cost sharing or a match required?
No. HRSA stated that the program did not require cost sharing or matching funds.
How many awards did HRSA expect to make, and what was the total estimated funding?
HRSA anticipated making 43 awards, with an estimated total funding amount of $8.5 million.
When was the opportunity posted, when did it close, and when was it archived?
The opportunity was posted on July 7, 2011. The application closing date was August 5, 2011. It was later archived on October 4, 2011.
What were the allowable activity areas under the Retention and Evaluation Activities (REA) Initiative?
HRSA outlined five allowable activity areas:
- Support ARRA-funded NHSC scholars by coordinating rotations in underserved settings to provide meaningful exposure to underserved communities.
- Carry out activities to retain ARRA-funded NHSC clinicians already placed at sites.
- For states with ARRA-funded SLRP awards, implement retention activities for ARRA-funded SLRP clinicians.
- Provide technical assistance to clinical sites employing ARRA-funded clinicians specifically to improve retention (for example, improving onboarding, supervision, professional development, or workplace supports).
- Evaluate both (a) the impact of ARRA-funded NHSC and SLRP providers on access and shortages and (b) the effectiveness of different retention strategies.
Were all five activity areas required?
No. HRSA required every applicant to include Activities 1 and 2. Activity 3 was required only when the state also had ARRA SLRP funding. Activities 4 and 5 were allowable, and applicants were encouraged to engage in all five areas, but not all were universally required.
What were the minimum required activities for all applicants?
All applicants were required to include Activity 1 (supporting ARRA-funded NHSC scholars through rotations in underserved settings) and Activity 2 (retention activities for ARRA-funded NHSC clinicians already placed at sites).
When was Activity 3 required?
Activity 3 (retention activities for ARRA-funded SLRP clinicians) was required for states that had ARRA-funded SLRP awards.
Could the supplemental funds be used to review NHSC site applications?
No. HRSA explicitly stated that these supplemental dollars could not be used for reviewing NHSC site applications.
Could the supplemental funds be used for recruitment activities?
No. HRSA made clear that the supplemental funding could not be used for recruitment activities. The stated focus was retaining clinicians already gained through ARRA and evaluating results.
What types of retention activities for clinicians were contemplated by the opportunity?
The announcement emphasized keeping ARRA-funded clinicians in underserved communities. While it did not provide an exhaustive list of clinician retention interventions, it did describe retention-focused work including coordinating experiences in underserved settings (for scholars) and implementing retention activities for clinicians already placed at sites.
What kinds of technical assistance to clinical sites were allowable under Activity 4?
Under Activity 4, PCOs could provide technical assistance to sites employing ARRA-funded clinicians specifically to improve retention. Examples mentioned included helping strengthen onboarding, supervision, professional development, and workplace supports.
Were there special coordination requirements if technical assistance included site visits?
Yes. If a PCO proposed technical assistance involving site visits (Activity 4), the application narrative had to explain how the PCO would coordinate that work with the Bureau of Clinician Recruitment and Service (BCRS), Division of Regional Operations.
What was required if a PCO proposed evaluation work under Activity 5?
If a PCO proposed Activity 5, the application needed to include an evaluation plan demonstrating capability to collect and analyze data tied to key outcomes. HRSA specifically called out outcomes such as changes in access to primary care, changes in workforce shortage conditions, and comparative effectiveness of retention strategies.
What outcomes was HRSA most interested in measuring through evaluation?
The opportunity emphasized documenting whether ARRA investments and retention efforts improved access to primary care services and reduced workforce shortage conditions. HRSA also wanted information on which retention strategies were more effective when compared against others.
How did the opportunity relate to the ARRA-funded NHSC expansion?
ARRA-funded NHSC expansion increased the number of clinicians supported by NHSC programs. HRSA 11-201 was meant to give supplemental resources to PCOs already involved in ARRA so they could retain those clinicians and evaluate whether the expansion translated into improved access and reduced shortages.
What should applicants have emphasized in their application narrative?
Based on the announcement details, applicants needed to describe how supplemental funds would be used for retention of ARRA-funded NHSC (and SLRP where applicable) clinicians, include the required activity areas, and, when proposing site-visit technical assistance or evaluation, provide the specified coordination explanation (for site visits) and a data-capable evaluation plan (for Activity 5).
Who should applicants contact for access issues or questions?
HRSA directed applicants with access issues or questions to contact the HRSA Call Center using the contact information provided in the announcement.
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