Opportunity Information: Apply for HRSA 13 142
Apply for HRSA 13 142
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Grants to States to Support Oral Health Workforce Activities" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.236 Grants to States to Support Oral Health Workforce Activities.
- This funding opportunity was created on Feb 22, 2013 and posted on Dec 19, 2012.
- Applicants must submit their applications by Apr 3, 2013. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Each selected applicant is eligible to receive up to $500,000.00 in funding.
- The number of recipients for this funding is limited to 9 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification) State governments.
- Eligible applicants include only Governor appointed, state government entities. In addition to U.S. states, eligible applicants include District of Columbia, Guam, the Commonwealth of Puerto Rico, the Northern Mariana Islands, the Virgin Islands, Ameri
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Opportunity Summary:
The Health Resources and Services Administration (HRSA), within the U.S. Department of Health and Human Services (HHS), offered this discretionary grant opportunity (HRSA-13-142) to help states strengthen and modernize their oral health workforce strategies, with a clear emphasis on improving access to dental care in designated Dental Health Professional Shortage Areas (DHPSAs). The central goal is to support state-designed, innovative efforts that respond to each state or territory's specific workforce gaps, and to encourage applicants to clearly explain how they will both address workforce needs and measure progress at the state level. In practice, this means proposals are expected to go beyond maintaining the status quo by introducing new or improved approaches to recruiting, training, deploying, and supporting dental professionals where shortages are most severe, especially for underserved and vulnerable populations.
To be considered responsive, applications had to include at least one of thirteen allowable activity areas. These activities span a wide range of workforce and service-delivery solutions, such as loan forgiveness or repayment for dentists who commit to practicing in DHPSAs or serving as public health dentists, particularly when they agree to treat patients regardless of ability to pay and use sliding fee scales. Other options include statewide recruitment and retention initiatives; financial support (grants or low/no-interest loans) to help Medicaid-participating dentists establish or expand practices in DHPSAs, including support for equipment or overhead; and the creation or expansion of dental residency programs, particularly in states without dental schools, in collaboration with accredited training institutions. The program also supports building out service sites and capacity in shortage areas through approaches developed with state and local dental societies, including community-based clinics, free-standing clinics, consolidated health center dental facilities, school-linked facilities, dental school-based facilities, and mobile or portable clinics, as well as expanding private practice capacity through additional equipment or extended operating hours.
Additional eligible activities focus on strengthening the pipeline and skills of the workforce, including placement and support for dental students, residents, and advanced trainees; continuing dental education (including distance-based models); and practice support through teledentistry, as allowed by state law. The opportunity also recognizes the importance of upstream prevention and community-level interventions by permitting funding for prevention services such as community water fluoridation and dental sealant programs. Beyond direct clinical workforce measures, applicants could propose coordination with local education agencies to encourage children to pursue oral health or science careers, and could establish faculty recruitment programs at accredited dental training institutions with community outreach missions and a proven record of serving underserved states. States could also use funds to establish a state dental officer position or strengthen an existing state dental office to improve statewide coordination of oral health access and policy. Finally, the thirteenth category allowed other activities deemed appropriate by the Secretary, with strong encouragement to align such proposals with Institute of Medicine recommendations on improving access for vulnerable populations and advancing oral health nationally, including integrating oral health across state programs and adopting interprofessional, team-based prevention and treatment models.
Eligibility was limited to governor-appointed state government entities, meaning the applicants needed to be official state-level organizations designated by their governor. In addition to U.S. states, eligible jurisdictions included the District of Columbia and U.S. territories such as Guam, Puerto Rico, the Northern Mariana Islands, and the U.S. Virgin Islands. The funding listing is associated with CFDA 93.236, and the program required cost sharing or matching, so states needed to contribute non-federal resources as part of their project. HRSA anticipated making about nine awards, with an award ceiling of $500,000 (and no stated minimum award floor). The opportunity was posted on December 19, 2012, with an application deadline of April 3, 2013, and it was later archived on June 2, 2013.
A notable expectation built into the announcement is coordination and consultation, particularly with tribal governments and urban Indian organizations, reflecting HHS policy to promote stronger collaboration between states and tribal entities on health and human services. Applicants were encouraged to work with tribal partners to improve alignment and impact, which is especially relevant in many shortage areas where tribal communities face persistent access barriers. Overall, the grant is designed to give states flexible but targeted tools to expand access to oral health care by improving the distribution, readiness, and sustainability of the dental workforce in shortage-designated communities, while also pushing applicants to document outcomes and align with national evidence-based recommendations for system improvement.
Frequently Asked Questions (FAQs)
What is HRSA-13-142?
HRSA-13-142 is a discretionary grant opportunity from the Health Resources and Services Administration (HRSA) within the U.S. Department of Health and Human Services (HHS). It was designed to help states strengthen and modernize oral health workforce strategies, with a strong focus on improving access to dental care in designated Dental Health Professional Shortage Areas (DHPSAs).
What is the main purpose of this grant opportunity?
The central purpose is to support state-designed, innovative efforts that address each state or territory's specific oral health workforce gaps and improve access to dental services in DHPSAs, especially for underserved and vulnerable populations.
Who was eligible to apply?
Eligibility was limited to governor-appointed state government entities. Eligible jurisdictions included U.S. states, the District of Columbia, and U.S. territories such as Guam, Puerto Rico, the Northern Mariana Islands, and the U.S. Virgin Islands.
Could local governments, nonprofits, or universities apply directly?
Based on the eligibility description provided, the applicant had to be a governor-appointed state government entity. Other organizations could potentially participate as partners or collaborators, but the eligible applicant organization itself needed to be the state-level entity designated by the governor.
What geographic areas were the priority focus for activities funded under this program?
The program emphasized improving access to dental care in designated Dental Health Professional Shortage Areas (DHPSAs), with special attention to communities facing persistent access barriers, including underserved and vulnerable populations.
What is a DHPSA in the context of this grant?
A DHPSA is a Dental Health Professional Shortage Area. In this program, DHPSAs were the primary target areas where projects were expected to improve dental workforce availability and access to care.
What kinds of projects did HRSA want to fund?
HRSA expected proposals to go beyond maintaining the status quo and to introduce new or improved approaches for recruiting, training, deploying, and supporting dental professionals in shortage areas. Applicants were also expected to explain how they would measure progress at the state level.
Did applications have to include specific activity types to be considered responsive?
Yes. To be considered responsive, applications had to include at least one of thirteen allowable activity areas described in the opportunity.
What are examples of allowable activities related to loan repayment or forgiveness?
Allowable activities included loan forgiveness or loan repayment for dentists who commit to practicing in DHPSAs or serving as public health dentists, particularly when they agree to treat patients regardless of ability to pay and use sliding fee scales.
Were statewide recruitment and retention strategies allowed?
Yes. The opportunity explicitly allowed statewide recruitment and retention initiatives as one of the eligible approaches to address workforce shortages.
Could funding support dentists who participate in Medicaid?
Yes. One allowable activity was providing financial support (grants or low/no-interest loans) to help Medicaid-participating dentists establish or expand practices in DHPSAs, including support for equipment or overhead.
Could grant funds be used for equipment, overhead, or practice expansion in shortage areas?
Yes. The program allowed financial support to expand capacity in DHPSAs, including support for equipment and overhead, and it also recognized approaches like expanding private practice capacity through additional equipment or extended operating hours.
Did the program support dental residency program development or expansion?
Yes. The creation or expansion of dental residency programs was an allowable activity, particularly in states without dental schools, and was expected to be done in collaboration with accredited training institutions.
What types of service sites or delivery models could be supported?
The opportunity permitted building out service sites and capacity in shortage areas through approaches developed with state and local dental societies. Examples included community-based clinics, free-standing clinics, consolidated health center dental facilities, school-linked facilities, dental school-based facilities, and mobile or portable clinics.
Could funding support training placements for students and trainees?
Yes. Eligible activities included placement and support for dental students, residents, and advanced trainees as part of strengthening the workforce pipeline and readiness.
Was continuing dental education an allowable use of funds?
Yes. The program allowed continuing dental education, including distance-based models.
Was teledentistry included as an eligible activity?
Yes. Practice support through teledentistry was an allowable activity, as permitted by state law.
Could prevention programs be funded under this opportunity?
Yes. The opportunity permitted funding for prevention services such as community water fluoridation and dental sealant programs.
Did the grant allow activities that encourage children to pursue oral health careers?
Yes. Applicants could propose coordination with local education agencies to encourage children to pursue oral health or science careers.
Could funds be used to recruit dental school faculty?
Yes. The program allowed establishing faculty recruitment programs at accredited dental training institutions that have community outreach missions and a proven record of serving underserved states.
Could a state use the grant to establish or strengthen a state dental office?
Yes. States could use funds to establish a state dental officer position or strengthen an existing state dental office to improve statewide coordination of oral health access and policy.
What was the "other activities" category?
The thirteenth allowable category included other activities deemed appropriate by the Secretary. Applicants were strongly encouraged to align such proposals with Institute of Medicine recommendations focused on improving access for vulnerable populations and advancing oral health nationally, including integrating oral health across state programs and adopting interprofessional, team-based prevention and treatment models.
How many awards did HRSA anticipate making?
HRSA anticipated making about nine awards.
What was the maximum award amount?
The award ceiling was $500,000. No minimum award floor was stated in the information provided.
Was cost sharing or matching required?
Yes. The program required cost sharing or matching, meaning states needed to contribute non-federal resources as part of their project.
What is the CFDA number associated with this opportunity?
The funding listing was associated with CFDA 93.236.
When was the opportunity posted and when was the application deadline?
The opportunity was posted on December 19, 2012. The application deadline was April 3, 2013.
Is this funding opportunity still open?
No. It was later archived on June 2, 2013.
What did HRSA expect regarding measurement and outcomes?
Applicants were encouraged to clearly explain how they would address workforce needs and measure progress at the state level, including documenting outcomes tied to improved access and workforce improvements.
Was coordination with tribal governments and urban Indian organizations expected?
Yes. The announcement included an expectation for coordination and consultation, particularly with tribal governments and urban Indian organizations, consistent with HHS policy to promote stronger collaboration between states and tribal entities on health and human services.
Why was tribal coordination emphasized?
Coordination was emphasized to improve alignment and impact, especially because many shortage areas include tribal communities that face persistent barriers to oral health access.
What populations was the program ultimately trying to help?
The program aimed to improve access to oral health care in DHPSAs, with an emphasis on underserved and vulnerable populations and communities experiencing the most severe workforce shortages.
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