Opportunity Information: Apply for HRSA 11 202
Apply for HRSA 11 202
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Frontier Community Health Integration Demonstration" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.155 Rural Health Research Centers.
- This funding opportunity was created on Jul 29, 2011 and posted on Jul 28, 2011.
- Applicants must submit their applications by Aug 29, 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 $455,000.00 to eligible and selected applicants.
- The number of recipients for this funding is limited to 4 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- To be eligible for the Frontier Community Care Coordination Demonstration, the applicant organization must meet the following requirements As required by Section 123 of MIPPA, the applicant organization must be a Rural Hospital Flexibility Program grantee under section 1820(g) of the Social Security Act (42 U.S.C. 1395i 4(g)) and located in a State in which at least 65 percent of the counties in the State are counties that have 6 or less residents per square mile. Eligible states are limited to Alaska, Montana, North Dakota and Wyoming. The applicant organization must represent a network of at least three separately owned entities. An example of a network might be the State Rural Hospital Flexibility Program grantee, the State Hospital Association, and Critical Access Hospitals.
[Watch] Creating a grant proposal using the step-by-step wizard inside the applicant portal:
Opportunity Summary:
The Frontier Community Health Integration Demonstration (Funding Opportunity Number HRSA 11 202) was a discretionary grant program run by the Health Resources and Services Administration (HRSA), specifically through the Office of Rural Health Policy (ORHP). It was designed as a preparatory and capacity-building effort to help extremely rural "frontier" states and providers get ready for a separate, larger demonstration being developed by the Centers for Medicare and Medicaid Services (CMS). The underlying authority for the broader demonstration came from Section 123 of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA), which directed the federal government to test ways to strengthen access to essential health services in frontier counties and to examine regulatory barriers that affect frontier providers and the people who rely on them.
At its core, the opportunity aimed to bring together key parts of a frontier health care delivery system so they could operate more like an organized network rather than isolated facilities. The program emphasized two big policy goals required by MIPPA: first, exploring ways to increase access to acute care and other essential services for Medicare and Medicaid beneficiaries in eligible frontier counties, and second, evaluating regulatory challenges that make it difficult for frontier providers to deliver services effectively. HRSA funding under this FOA was positioned as a bridge to CMS work that was still being designed at the time, especially around alternative reimbursement approaches. Those future CMS payment alternatives were expected to consider methods that at least cover reasonable provider costs for acute and extended care, support coordination of Medicare and Medicaid survey and certification activities, and improve access across the service categories included in the eventual CMS demonstration. Importantly, HRSA made clear that receiving one of these HRSA grants did not guarantee selection into the later CMS demonstration.
Eligibility was intentionally narrow because it followed the statutory criteria in MIPPA. Only four states qualified: Alaska, Montana, North Dakota, and Wyoming, because these were the only states meeting the requirement that at least 65 percent of counties have a population density of six or fewer residents per square mile. The applicant organization also had to be the State Rural Hospital Flexibility Program (Flex) grantee under Section 1820(g) of the Social Security Act, meaning the state-level entity responsible for Flex Program administration was the expected applicant. In addition, applicants had to represent a network made up of at least three separately owned entities. A typical network example offered in the announcement included the State Flex grantee, the State Hospital Association, and Critical Access Hospitals, underscoring that the program wanted multi-organization collaboration rather than a single provider acting alone.
The FOA offered two distinct tracks, and applicants had to choose one track only (no applying to both). The first track, the Frontier Community Health Integration Network Planning Grant, funded early-stage planning and readiness work. HRSA expected to make three one-year planning awards under this track. The planning focus was on identifying and documenting regulatory challenges in frontier communities and preparing eligible hospitals within the state to respond effectively once the CMS demonstration was implemented. In practice, this track was about building the groundwork: organizing partners, assessing needs and barriers, developing strategies for coordination, and aligning state and local stakeholders for future payment and delivery reforms.
The second track, the Frontier Community Health Care Network Coordination Pilot Grant, was meant to move beyond planning into hands-on implementation of care coordination. HRSA expected to make one award under this track, lasting three years. This pilot was specifically oriented toward clinical service coordination, using a model where a care coordinator works alongside community health workers. The stated intent was to improve quality and patient outcomes, reduce avoidable hospitalizations, and support independent living for Medicare beneficiaries, with special attention to people managing multiple chronic conditions. A major operational challenge in frontier areas is the distance between local providers and tertiary care centers, so the pilot also emphasized improving care transitions, particularly the expensive and high-risk transitions between distant specialty hospitals and local frontier providers. In other words, the pilot aimed to make the patient handoffs smoother, more predictable, and less likely to result in complications, readmissions, or gaps in follow-up care.
From an administrative standpoint, the opportunity was posted July 28, 2011, with an application deadline of August 29, 2011, and it was later archived on October 28, 2011. HRSA anticipated a total of four awards across both tracks combined, with an estimated total funding amount of $455,000. There was no cost sharing or matching requirement listed. The program sat under CFDA 93.155 (Rural Health Research Centers), reflecting its demonstration and evaluation-oriented nature even though the awards themselves supported network planning and care coordination activities.
Overall, this grant opportunity was structured to help frontier states organize multi-entity health care networks, identify and work through regulatory and operational barriers, and test practical care coordination strategies that could reduce avoidable hospital use and strengthen transitions of care. It also served a larger strategic purpose: preparing frontier systems for potential inclusion in a future CMS demonstration focused on alternative reimbursement approaches suited to the realities of delivering Medicare and Medicaid services in the most sparsely populated parts of the country.
Frontier Community Health Integration Demonstration (HRSA 11-202) FAQs
What was the Frontier Community Health Integration Demonstration (HRSA 11-202)?
The Frontier Community Health Integration Demonstration (Funding Opportunity Number HRSA 11-202) was a discretionary grant opportunity offered by the Health Resources and Services Administration (HRSA) through the Office of Rural Health Policy (ORHP). It was designed as a preparatory and capacity-building effort for extremely rural ("frontier") states and providers.
What was the purpose of this HRSA funding opportunity?
The purpose was to help frontier states and providers organize and strengthen their health care delivery systems so they could function more like coordinated networks rather than isolated facilities. The program emphasized preparing for a separate, larger demonstration being developed by the Centers for Medicare and Medicaid Services (CMS), including readiness for future alternative reimbursement approaches.
How did this opportunity relate to CMS and the later CMS demonstration?
HRSA positioned this funding as a bridge to a future CMS demonstration that was still being designed at the time. The HRSA grants were meant to support planning and/or early implementation steps so frontier systems could be better prepared once CMS launched its demonstration, particularly around care delivery coordination and the realities of frontier reimbursement.
Did receiving a HRSA 11-202 award guarantee selection for the later CMS demonstration?
No. HRSA made clear that receiving a grant under this funding opportunity did not guarantee selection into the later CMS demonstration.
What legal or policy authority was behind the broader demonstration concept?
The broader demonstration concept was tied to Section 123 of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA). That section directed the federal government to test ways to strengthen access to essential health services in frontier counties and to examine regulatory barriers that affect frontier providers and their patients.
What were the main policy goals emphasized in this opportunity?
The opportunity emphasized two major policy goals associated with MIPPA: (1) exploring ways to increase access to acute care and other essential services for Medicare and Medicaid beneficiaries in eligible frontier counties, and (2) evaluating regulatory challenges that make it difficult for frontier providers to deliver services effectively.
Which states were eligible to apply?
Eligibility was limited to four states: Alaska, Montana, North Dakota, and Wyoming. These were the only states that met the statutory requirement that at least 65 percent of counties have a population density of six or fewer residents per square mile.
What types of organizations were eligible to apply within those states?
The applicant organization had to be the State Rural Hospital Flexibility Program (Flex) grantee under Section 1820(g) of the Social Security Act. In other words, the expected applicant was the state-level entity responsible for administering the Flex Program.
Was an applicant required to form a network or partnership?
Yes. Applicants had to represent a network composed of at least three separately owned entities. The program was built around multi-organization collaboration rather than a single provider acting alone.
What is an example of an acceptable network structure?
A typical example described in the opportunity included the State Flex grantee, the State Hospital Association, and Critical Access Hospitals. The key requirement was that the network include at least three separately owned entities working together.
How many tracks were available under HRSA 11-202?
There were two tracks: (1) the Frontier Community Health Integration Network Planning Grant and (2) the Frontier Community Health Care Network Coordination Pilot Grant.
Could an applicant apply for both tracks?
No. Applicants had to choose one track only and could not apply to both.
What was the Frontier Community Health Integration Network Planning Grant track?
This track supported early-stage planning and readiness activities. HRSA expected to make three one-year planning awards under this track.
What kinds of activities were supported under the Planning Grant track?
The planning work focused on identifying and documenting regulatory challenges in frontier communities and preparing eligible hospitals in the state to respond effectively when the CMS demonstration was implemented. More broadly, it involved organizing partners, assessing needs and barriers, developing coordination strategies, and aligning stakeholders for future payment and delivery reforms.
What was the Frontier Community Health Care Network Coordination Pilot Grant track?
This track was designed to move beyond planning into hands-on implementation of care coordination. HRSA expected to make one award under this track, lasting three years.
What care coordination model did the Pilot Grant emphasize?
The pilot emphasized a model where a care coordinator works alongside community health workers, with a focus on clinical service coordination.
What outcomes was the Pilot Grant intended to improve?
The stated intent was to improve quality and patient outcomes, reduce avoidable hospitalizations, and support independent living for Medicare beneficiaries, with special attention to individuals managing multiple chronic conditions.
Why did the Pilot Grant emphasize care transitions in frontier areas?
Frontier areas often involve long distances between local providers and tertiary care centers. The pilot emphasized improving care transitions, especially the costly and higher-risk transitions between distant specialty hospitals and local frontier providers, to reduce gaps in follow-up care and avoid complications or readmissions.
How many total awards did HRSA expect to make?
HRSA anticipated a total of four awards across both tracks combined.
What was the estimated total funding amount for the opportunity?
The estimated total funding amount across all awards was $455,000.
Was there a cost sharing or matching requirement?
No cost sharing or matching requirement was listed for this opportunity.
When was the opportunity posted, and when were applications due?
The opportunity was posted on July 28, 2011. The application deadline was August 29, 2011.
When was the funding opportunity archived?
The opportunity was archived on October 28, 2011.
What CFDA number was associated with this program?
The program sat under CFDA 93.155 (Rural Health Research Centers), reflecting the demonstration and evaluation-oriented nature of the effort, even though the awards supported network planning and care coordination activities.
What was HRSA expecting CMS to consider in future alternative reimbursement approaches?
The future CMS payment alternatives were expected to consider approaches that at least cover reasonable provider costs for acute and extended care, support coordination of Medicare and Medicaid survey and certification activities, and improve access across the service categories included in the eventual CMS demonstration.
What was the overall strategy behind HRSA 11-202?
Overall, the opportunity was structured to help frontier states organize multi-entity health care networks, identify regulatory and operational barriers, and test practical care coordination strategies. It also aimed to prepare frontier systems for possible inclusion in a future CMS demonstration focused on payment and delivery approaches suited to very sparsely populated areas.
Browse more opportunities from the same category: Health
Next opportunity: Native American Student Support
Previous opportunity: Climate Investigations Climatic Drivers of Wildland Fire Events and Burn Severity
USGrants.org Applicant Portal:
Are you interested in learning about about how to apply for this government funding opportunity? You can create a free applicant account and receive instant access to our applicant portal that many business owners like you have benefited from.
Apply for HRSA 11 202
[Watch] how do funding administrators access proposals?
Applicants also applied for:
Applicants who have applied for this opportunity (HRSA 11 202) also looked into and applied for these:
| Funding Opportunity |
|---|
| Frontier Extended Stay Clinic Cooperative Agreement Apply for HRSA 11 139 Funding Number: HRSA 11 139 Agency: Health Resources and Services Administration Category: Health Funding Amount: Case Dependent |
| Planning Grants for Clinical Trials of High Relevance to the NIGMS Mission (R34) Apply for PAR 11 287 Funding Number: PAR 11 287 Agency: National Institutes of Health Category: Health Funding Amount: $100,000 |
| Functional Restoration of Salivary Glands (R21) Apply for RFA DE 12 005 Funding Number: RFA DE 12 005 Agency: National Institutes of Health Category: Health Funding Amount: $200,000 |
| Functional Restoration of Salivary Glands (R01) Apply for RFA DE 12 004 Funding Number: RFA DE 12 004 Agency: National Institutes of Health Category: Health Funding Amount: Case Dependent |
| Paul B. Beeson Clinical Scientist Development Award in Aging (K08) Apply for RFA AG 12 003 Funding Number: RFA AG 12 003 Agency: National Institutes of Health Category: Health Funding Amount: $200,000 |
| Paul B. Beeson Patient Oriented Research Career Development Award in Aging (K23) Apply for RFA AG 12 004 Funding Number: RFA AG 12 004 Agency: National Institutes of Health Category: Health Funding Amount: $200,000 |
| Bridges to the Baccalaureate Program (R25) Apply for PAR 11 285 Funding Number: PAR 11 285 Agency: National Institutes of Health Category: Health Funding Amount: Case Dependent |
| NIDCR Institutional Career Development Award for Enhancing Research Capacity in Temporomandibular Joint Disorders and Orofacial Pain (K12) Apply for PAR 11 289 Funding Number: PAR 11 289 Agency: National Institutes of Health Category: Health Funding Amount: Case Dependent |
| NIDCD Phase I/II Preliminary Clinical Trials in Communication Disorders (R01) Apply for PAR 11 290 Funding Number: PAR 11 290 Agency: National Institutes of Health Category: Health Funding Amount: Case Dependent |
| Aging Research Dissertation Awards to Increase Diversity (R36) Apply for PAR 11 291 Funding Number: PAR 11 291 Agency: National Institutes of Health Category: Health Funding Amount: Case Dependent |
| Secondary Analyses and Archiving of Social and Behavioral Datasets in Aging (R03) Apply for RFA AG 12 005 Funding Number: RFA AG 12 005 Agency: National Institutes of Health Category: Health Funding Amount: Case Dependent |
| Human Cell Reprogramming for Aging and Alzheimers Disease Research (R21) Apply for RFA AG 12 008 Funding Number: RFA AG 12 008 Agency: National Institutes of Health Category: Health Funding Amount: $200,000 |
| COMMUNITY BASED LIVELIHOOD DEVELOPMENT FOR WOMEN AND CHILDREN (C BLD) IN SWAZILAND Apply for RFA 674 11 0042 Funding Number: RFA 674 11 0042 Agency: South Africa USAID Pretoria Category: Health Funding Amount: $5,820,000 |
| T2 Translational Research on Aging Small Business Innovation Awards (R43/R44) Apply for RFA AG 12 010 Funding Number: RFA AG 12 010 Agency: National Institutes of Health Category: Health Funding Amount: Case Dependent |
| T1 Translational Research on Aging Small Business Innovation Awards (R43/R44) Apply for RFA AG 12 009 Funding Number: RFA AG 12 009 Agency: National Institutes of Health Category: Health Funding Amount: Case Dependent |
| 2012 NIH Directors Pioneer Award Program (DP1) Apply for RFA RM 11 004 Funding Number: RFA RM 11 004 Agency: National Institutes of Health Category: Health Funding Amount: $500,000 |
| Demonstration Projects for Systems Biology of Aging in Saccharomyces cerevisiae (R01) Apply for RFA AG 12 011 Funding Number: RFA AG 12 011 Agency: National Institutes of Health Category: Health Funding Amount: Case Dependent |
| NINDS Exploratory/Developmental Projects in Translational Research (R21) Apply for PAR 11 293 Funding Number: PAR 11 293 Agency: National Institutes of Health Category: Health Funding Amount: $200,000 |
| NINDS Cooperative Program in Translational Research Single Component Research Projects (U01) Apply for PAR 11 294 Funding Number: PAR 11 294 Agency: National Institutes of Health Category: Health Funding Amount: Case Dependent |
| NINDS Cooperative Program in Translational Research Multi Component Research Projects (U54) Apply for PAR 11 295 Funding Number: PAR 11 295 Agency: National Institutes of Health Category: Health Funding Amount: Case Dependent |
Grant application guides and resources
It is always free to apply for government grants. However the process may be very complex depending on the funding opportunity you are applying for. Let us help you!
Apply for Grants
Premium leads for funding administrators, grant writers, and loan issuers
Thousands of people visit our website for their funding needs every day. When a user creates a grant proposal and files for submission, we pass the information on to funding administrators, grant writers, and government loan issuers.
If you manage government grant programs, provide grant writing services, or issue personal or government loans, we can help you reach your audience.
Subscribe to Leads
Request more information:
Would you like to learn more about this funding opportunity, similar opportunities to "HRSA 11 202", eligibility, application service, and/or application tips? Submit an inquiry below:
Don't forget to subscribe to our grant alerts mailing list to receive weekly alerts on new and updated grant funding opportunities like this one in your email.