Opportunity Information: Apply for HHS 2013 IHS NIHOE 0003
Apply for HHS 2013 IHS NIHOE 0003
- The Indian Health Service in the health sector is offering a public funding opportunity titled "National Indian Health Outreach and Education III" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.933 Demonstration Projects for Indian Health.
- This funding opportunity was created on Aug 23, 2013 and posted on Aug 23, 2013.
- Applicants must submit their applications by Sep 22, 2013. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $1,043,923.00 to eligible and selected applicants.
- Each selected applicant is eligible to receive up to $1,043,923.00 in funding.
- The number of recipients for this funding is limited to 2 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification) Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education.
- Eligible applicants include 501(c)(3) non profit entities who meet the following criteria. Eligible applicants that can apply for this funding opportunity are national Indian organizations. The national Indian organization must have the infrastructure in place to accomplish the work under the proposed program. Eligible entities must have demonstrated expertise in the following areas Representing all Tribal governments and providing a variety of services to Tribes, Area health boards, Tribal organizations, and Federal agencies, and playing a major role in focusing attention on Indian health care needs, resulting in improved health outcomes for AI/ANs. Promoting and supporting Indian health care education, and coordinating efforts to inform AI/AN of Federal decisions that affect Tribal government interests including the improvement of Indian health care. Administering national health policy and health programs. Maintaining a national AI/AN constituency and clearly supporting critical services and activities within the IHS mission of improving the quality of health care for AI/AN people. Supporting improved health care in Indian Country. Providing education and outreach on a national scale (the applicant must provide evidence of at least ten years of experience in this area).
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Opportunity Summary:
The National Indian Health Outreach and Education III (NIHOE III) opportunity is a discretionary cooperative agreement offered by the Indian Health Service (IHS), through its Office of Direct Service and Contracting Tribes (ODSCT). It is designed to fund national, coordinated outreach, education, training, and hands-on technical assistance across Indian Country focused on two major federal laws: the Affordable Care Act (ACA) and the Indian Health Care Improvement Act (IHCIA), as amended. The core idea is to help the Indian health system and American Indians and Alaska Natives (AI/AN) understand what changed under these laws, how to use the new authorities and coverage options, and how those changes can translate into better access, improved quality of care, and stronger resources for Indian health programs.
A central emphasis of NIHOE III is partnership and coordination. IHS is explicitly encouraging national Indian organizations to work collaboratively with IHS, Tribal, and Urban Indian health partners (often referred to as I/T/U) to deliver consistent training and technical assistance on a national scale. The program is framed as a limited competition cooperative agreement, meaning it is not open to all entities broadly; it targets a specific type of applicant with a national reach and established capacity. Because it is a cooperative agreement (not a standard grant), recipients should expect substantial federal involvement, coordination expectations, and shared implementation responsibilities with IHS as part of carrying out the work.
The program objective is practical and time-sensitive: to ensure that Tribes, Tribal organizations, Urban Indian organizations and programs, and AI/AN individuals are prepared to take advantage of health insurance coverage opportunities connected to the ACA and to fully understand and apply IHCIA authorities that strengthen Indian health care delivery. The original timeline in the announcement reflects the ACA rollout period, with training meant to support readiness for the Health Insurance Marketplace open enrollment beginning October 1, 2013, and coverage beginning January 1, 2014. In other words, the funding was meant to rapidly scale education and technical assistance so that the Indian health system could respond effectively during a major national policy shift, while also ensuring that Tribal and urban communities, including elders and seniors, were not left behind in understanding their options and protections.
The intended scope is broad and national. The funding aims to coordinate training and technical assistance for all 566 federally recognized Tribes and Tribal organizations, while also benefiting Urban Indian populations and the full I/T/U system. This points to activities like developing and delivering trainings, creating educational materials, organizing regional or national convenings, providing direct technical assistance to programs navigating ACA-related coverage and reimbursement issues, and ensuring consistent messaging about how ACA and IHCIA provisions apply specifically to AI/AN communities and Indian health programs.
Eligibility is narrow and specific. Applicants must be 501(c)(3) nonprofit organizations (other than institutions of higher education) that qualify as national Indian organizations and can demonstrate they already have the infrastructure to carry out the proposed national-level work. The announcement also calls for demonstrated expertise in representing Tribal governments and serving Tribes and related entities (such as area health boards and Tribal organizations), promoting and supporting Indian health education, coordinating communications about federal decisions affecting Tribal interests, administering national health policy and health programs, and maintaining a national AI/AN constituency aligned with the IHS mission. A key eligibility expectation is national-scale outreach and education experience, with the applicant required to provide evidence of at least ten years of experience delivering education and outreach at that level.
From a funding and administrative standpoint, the opportunity is listed under Funding Opportunity Number HHS-2013-IHS-NIHOE-0003 and CFDA 93.933 (Demonstration Projects for Indian Health). IHS anticipated making two awards, with an estimated total funding amount of $1,043,923. The award ceiling is listed as $1,043,923 and the award floor as $300,000, and there is no cost sharing or matching requirement. The opportunity was posted on August 23, 2013, with an application closing date of September 22, 2013, and it was archived on October 22, 2013. For access issues related to the full announcement, the listed contact was Paul Gettys, Grant Systems Coordinator, at 301-443-2114.
Frequently Asked Questions (FAQs) - National Indian Health Outreach and Education III (NIHOE III)
What is the NIHOE III opportunity?
NIHOE III (National Indian Health Outreach and Education III) is a discretionary cooperative agreement offered by the Indian Health Service (IHS) through its Office of Direct Service and Contracting Tribes (ODSCT). It funds national, coordinated outreach, education, training, and hands-on technical assistance across Indian Country.
Which federal laws are the focus of NIHOE III?
The program focuses on two major federal laws: the Affordable Care Act (ACA) and the Indian Health Care Improvement Act (IHCIA), as amended. The goal is to help the Indian health system and American Indians and Alaska Natives (AI/AN) understand what changed under these laws and how to use the new authorities and coverage options.
What is the main purpose of the program?
The purpose is to ensure Tribes, Tribal organizations, Urban Indian organizations and programs, and AI/AN individuals are prepared to take advantage of health insurance coverage opportunities connected to the ACA and to understand and apply IHCIA authorities that strengthen Indian health care delivery.
Who is the federal awarding agency for NIHOE III?
The awarding agency is the Indian Health Service (IHS), specifically through the Office of Direct Service and Contracting Tribes (ODSCT).
Is NIHOE III a standard grant or a cooperative agreement?
It is a cooperative agreement, not a standard grant. That means recipients should expect substantial federal involvement, coordination expectations, and shared implementation responsibilities with IHS as part of carrying out the work.
What does "limited competition" mean for this opportunity?
NIHOE III is described as a limited competition cooperative agreement, meaning it is not broadly open to all entities. It is targeted to a specific type of applicant with national reach and established capacity.
What types of organizations are eligible to apply?
Applicants must be 501(c)(3) nonprofit organizations (other than institutions of higher education) that qualify as national Indian organizations and can demonstrate they already have the infrastructure to carry out national-level outreach, education, training, and technical assistance.
Are institutions of higher education eligible applicants?
No. The eligibility description specifies 501(c)(3) nonprofit organizations other than institutions of higher education.
What experience is required to meet the eligibility expectations?
The announcement calls for evidence of at least ten years of experience delivering national-scale outreach and education. Applicants also need to demonstrate established capacity and infrastructure to deliver coordinated work on a national level.
What kinds of expertise does the announcement emphasize for eligible applicants?
The opportunity emphasizes demonstrated expertise in areas such as representing Tribal governments and serving Tribes and related entities (including area health boards and Tribal organizations), promoting and supporting Indian health education, coordinating communications about federal decisions affecting Tribal interests, administering national health policy and health programs, and maintaining a national AI/AN constituency aligned with the IHS mission.
Who is the intended audience or beneficiaries of NIHOE III activities?
The program is intended to benefit the full I/T/U system (IHS/Tribal/Urban Indian partners) and AI/AN individuals. It is designed to support Tribes, Tribal organizations, Urban Indian organizations and programs, and AI/AN communities in understanding and using ACA and IHCIA-related options and protections.
Is the scope local, regional, or national?
The scope is national. The funding aims to coordinate training and technical assistance for all 566 federally recognized Tribes and Tribal organizations, while also benefiting Urban Indian populations and the full I/T/U system.
What activities does NIHOE III fund?
Based on the described scope, the opportunity supports national coordination of outreach, education, training, and hands-on technical assistance. Examples mentioned include developing and delivering trainings, creating educational materials, organizing regional or national convenings, and providing direct technical assistance to programs navigating ACA-related coverage and reimbursement issues, with an emphasis on consistent messaging about how ACA and IHCIA provisions apply to AI/AN communities and Indian health programs.
Why is coordination and partnership emphasized in NIHOE III?
IHS explicitly encourages national Indian organizations to work collaboratively with IHS, Tribal, and Urban Indian health partners (the I/T/U system) to deliver consistent training and technical assistance on a national scale.
How many awards did IHS anticipate making?
IHS anticipated making two awards under this opportunity.
What was the estimated total funding amount?
The estimated total funding amount listed is $1,043,923.
What are the award ceiling and award floor?
The award ceiling is $1,043,923 and the award floor is $300,000.
Is cost sharing or matching required?
No. The announcement states there is no cost sharing or matching requirement.
What is the Funding Opportunity Number for NIHOE III?
The Funding Opportunity Number is HHS-2013-IHS-NIHOE-0003.
What CFDA program is associated with this funding?
The opportunity is listed under CFDA 93.933, Demonstration Projects for Indian Health.
When was the opportunity posted?
It was posted on August 23, 2013.
What was the application deadline?
The application closing date was September 22, 2013.
Is this opportunity still active?
No. The opportunity was archived on October 22, 2013.
How did NIHOE III align with ACA implementation timing?
The timeline in the announcement reflects the ACA rollout period. The training and readiness work was meant to support Health Insurance Marketplace open enrollment beginning October 1, 2013, and coverage beginning January 1, 2014.
What was the underlying policy change NIHOE III was trying to respond to?
The program was designed to rapidly scale education and technical assistance during a major national policy shift associated with ACA implementation, while also ensuring communities, including elders and seniors, were not left behind in understanding coverage options and protections.
Who was the listed contact for access issues related to the full announcement?
The listed contact was Paul Gettys, Grant Systems Coordinator, at 301-443-2114.
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