Opportunity Information: Apply for HRSA 14 031
Apply for HRSA 14 031
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "National Training and Technical Assistance Cooperative Agreements (NCAs)" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.129 Technical and Non Financial Assistance to Health Centers.
- This funding opportunity was created on Nov 22, 2013 and posted on Nov 20, 2013.
- Applicants must submit their applications by Jan 8, 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 $15,000,000.00 to eligible and selected applicants.
- The number of recipients for this funding is limited to 14 candidate(s).
- Eligible applicants include: For profit organizations other than small businesses Others (see text field entitled Additional Information on Eligibility for clarification) Public housing authorities/Indian housing authorities Native American tribal governments (Federally recognized) Public and State controlled institutions of higher education Special district governments Small businesses Independent school districts State governments Native American tribal organizations (other than Federally recognized tribal governments) City or township governments Private institutions of higher education County governments Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education.
- Eligible applicants include public, non profit, and for profit entities that can provide T/TA on a national level to Section 330 Health Center Program grantees, as well as other health centers and community based organizations seeking section 330 resources, including tribal and faith based organizations. Interested applicants must currently work with potential or existing health centers or other community based providers with similar missions. Applications may be submitted from new organizations or organizations currently receiving funding under Section 330(l).
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Opportunity Summary:
The National Training and Technical Assistance Cooperative Agreements (NCAs) opportunity is a discretionary HRSA funding announcement designed to strengthen the national health center safety net by paying organizations to deliver training and non-financial technical assistance to health centers. At its core, the program is meant to help both potential and existing Health Center Program organizations (including Section 330 grantees and "look-alikes") understand requirements, improve operations, and make better use of Section 330 resources to meet community health needs. Rather than funding direct patient services, HRSA uses these cooperative agreements to support national-level expertise, tools, and support systems that health centers can draw on to stay compliant, build capacity, and improve performance.
The technical assistance scope is broad and covers three main lanes of support. First is help with fiscal and program management tied to program requirements, which includes guidance on the kinds of operational, governance, financial, and reporting expectations that Section 330-funded health centers must meet. Second is operational and administrative support connected to performance improvement and special initiatives, meaning the funded organizations are expected to assist health centers as they try to strengthen quality, efficiency, and management systems, and as they respond to HRSA priorities or time-sensitive initiatives. Third is program assistance that focuses on communicating what resources are available under Section 330 and how health centers and communities can use those resources effectively to address local health needs, especially in underserved areas.
Because these are cooperative agreements, HRSA expects an active partnership rather than a hands-off grant. Awardees are expected to coordinate closely with HRSA to identify training and technical assistance needs, align work with new or emerging federal priorities, and ensure assistance stays relevant as the health care environment changes. The announcement emphasizes that the work needs to be responsive to shifts in policy, financing, delivery models, and community needs, and that funded organizations should be capable of adapting their tools, training content, and support strategies over time.
A major expectation is strong national-level analysis and planning. NCAs are required to collect and analyze data related to national health issues, unmet need, marketplace conditions, special populations, and other key indicators. The point of this data work is not just reporting, but using evidence to guide strategic planning, anticipate trends that affect health centers, and shape future development activities and work plans. In practice, HRSA is looking for organizations that can translate national signals (like changes in payer mix, workforce constraints, or emerging health disparities) into practical, usable guidance for health centers on the ground.
Coordination is also central to the program model. Applicants are expected to work with HRSA and collaborate with other national organizations that support health centers, avoiding duplication and strengthening the overall training and technical assistance ecosystem. The announcement calls for a broad decision-making process to ensure HRSA dollars are used efficiently and effectively, and it stresses that implementation should reflect the diversity of health centers nationwide, including differences in geography, patient populations, and local health system conditions.
Equity of access is a clear requirement: any activities supported in whole or in part with NCA funds must be made equally available to all potential and existing health centers, regardless of whether a health center currently receives a Health Center Program grant or whether it is a member of the NCA-funded organization. This is meant to ensure the federal investment benefits the full safety-net landscape, including organizations exploring Section 330 funding and those operating as look-alikes.
The funding opportunity also spells out what kinds of organizations HRSA wants to see leading this work. Successful applicants are expected to be mission-oriented, with a demonstrated long-term commitment to the health care safety net and to expanding access to comprehensive, culturally competent, high-quality primary care for underserved and vulnerable populations. They must have an effective infrastructure, meaning the systems, leadership, staffing, and organizational capacity to deliver national training and technical assistance at scale. They also need to foster collaboration by building strong linkages across a diverse membership and with other safety-net partners, and they must show they can assess needs and set priorities in a way that leads to practical, effective assistance.
On the administrative side, this opportunity is identified as HRSA-14-031, posted November 20, 2013, with an application closing date of January 8, 2014 (archived March 9, 2014). HRSA anticipated making 14 awards with an estimated total funding amount of $15,000,000 under CFDA 93.129 (Technical and Non-Financial Assistance to Health Centers). There was no cost sharing or matching requirement. Eligibility was broad and included public, nonprofit, and for-profit entities that can provide national-level training and technical assistance to Section 330 grantees and other health centers or community-based organizations seeking Section 330 resources, including tribal and faith-based organizations. Applicants were expected to already be working with potential or existing health centers or similar community-based providers, and both new applicants and organizations already funded under Section 330(l) were allowed to apply.
Frequently Asked Questions (FAQs): National Training and Technical Assistance Cooperative Agreements (NCAs)
1) What is the National Training and Technical Assistance Cooperative Agreements (NCAs) opportunity?
The NCAs opportunity is a discretionary HRSA funding announcement that pays organizations to deliver training and non-financial technical assistance to health centers. The overall aim is to strengthen the national health center safety net by helping health centers understand program requirements, improve operations, and use Section 330 resources effectively to meet community health needs.
2) Is this funding meant to pay for direct patient services?
No. The opportunity is designed to support national-level training, tools, and non-financial technical assistance that health centers can use to stay compliant, build capacity, and improve performance. It is not described as funding for direct patient care.
3) Who is the assistance intended to help?
The assistance is intended for both potential and existing Health Center Program organizations, including Section 330 grantees and Health Center Program "look-alikes." It is also described as supporting community-based organizations seeking Section 330 resources.
4) What does "non-financial technical assistance" mean in this context?
Based on the announcement description, it means providing expertise, training, tools, guidance, and support systems (rather than direct financial support for services) that health centers can draw on to improve compliance, operations, capacity, and performance.
5) Why does HRSA use cooperative agreements for this program?
Because HRSA expects an active partnership with awardees. The announcement emphasizes close coordination with HRSA to identify training and technical assistance needs, align work with emerging federal priorities, and keep assistance relevant as the health care environment changes.
6) What are the main technical assistance "lanes" or focus areas?
The scope is broad and includes three main lanes: (1) fiscal and program management tied to program requirements; (2) operational and administrative support connected to performance improvement and special initiatives; and (3) program assistance focused on communicating what Section 330 resources are available and how to use them to address local health needs, especially in underserved areas.
7) What kinds of topics fall under fiscal and program management support?
This lane includes guidance related to operational, governance, financial, and reporting expectations that Section 330-funded health centers must meet, as described in the opportunity.
8) What does operational and administrative support for performance improvement and special initiatives involve?
It means assisting health centers as they strengthen quality, efficiency, and management systems and as they respond to HRSA priorities or time-sensitive initiatives. The announcement frames this as practical support for improving performance and administrative capacity.
9) What does "program assistance" related to Section 330 resources include?
Program assistance focuses on communicating what resources are available under Section 330 and how health centers and communities can use those resources effectively to address local health needs, particularly in underserved areas.
10) How involved is HRSA expected to be after an award is made?
HRSA expects active involvement due to the cooperative agreement structure. Awardees are expected to coordinate closely with HRSA to identify needs, align with emerging priorities, and ensure the assistance remains relevant as policy, financing, delivery models, and community needs evolve.
11) What does the announcement say about adapting to changes in the health care environment?
The work is expected to be responsive to shifts in policy, financing, delivery models, and community needs. Awardees should be capable of adapting tools, training content, and support strategies over time to stay aligned with changing conditions.
12) What kind of national-level analysis and planning is required?
NCAs are required to collect and analyze data related to national health issues, unmet need, marketplace conditions, special populations, and other key indicators. The purpose is to use evidence to guide strategic planning, anticipate trends affecting health centers, and shape future development activities and work plans.
13) Is the data work only for reporting?
No. The announcement states the point is not just reporting, but using evidence to guide strategic planning, anticipate trends, and shape future development activities and work plans.
14) What does HRSA want applicants to do with national trends and signals?
HRSA is looking for organizations that can translate national signals (such as changes in payer mix, workforce constraints, or emerging health disparities) into practical, usable guidance for health centers.
15) Are applicants expected to coordinate with other organizations?
Yes. Coordination is described as central to the program model. Applicants are expected to work with HRSA and collaborate with other national organizations that support health centers to avoid duplication and strengthen the overall training and technical assistance ecosystem.
16) How does the opportunity address avoiding duplication of effort?
It explicitly calls for collaboration with other national organizations that support health centers, with the intent of avoiding duplication and strengthening the overall ecosystem of training and technical assistance.
17) What does the announcement say about decision-making and efficient use of HRSA funds?
It calls for a broad decision-making process to ensure HRSA dollars are used efficiently and effectively, and stresses implementation that reflects the diversity of health centers nationwide.
18) What does it mean to reflect the diversity of health centers nationwide?
The announcement emphasizes differences across health centers such as geography, patient populations, and local health system conditions, and indicates implementation should reflect that diversity.
19) Who must be able to access activities supported by NCA funds?
Any activities supported in whole or in part with NCA funds must be made equally available to all potential and existing health centers, regardless of whether they currently receive a Health Center Program grant or whether they are members of the NCA-funded organization.
20) Does a health center need to be a member of the funded organization to receive assistance?
No. The announcement states that NCA-funded activities must be equally available regardless of membership status in the NCA-funded organization.
21) Does a health center need to already be a Health Center Program grantee to receive assistance?
No. The opportunity states assistance must be equally available to all potential and existing health centers, including organizations exploring Section 330 funding and look-alikes.
22) What qualities is HRSA looking for in successful applicants?
The announcement describes that successful applicants are expected to be mission-oriented with a demonstrated long-term commitment to the health care safety net and expanding access to comprehensive, culturally competent, high-quality primary care for underserved and vulnerable populations.
23) What does HRSA mean by having an "effective infrastructure"?
It refers to having the systems, leadership, staffing, and organizational capacity needed to deliver national training and technical assistance at scale.
24) What collaboration expectations are placed on awardees?
Awardees are expected to foster collaboration by building strong linkages across a diverse membership and with other safety-net partners, as described in the opportunity.
25) What does the announcement say about needs assessment and priority setting?
Applicants must show they can assess needs and set priorities in a way that leads to practical, effective assistance.
26) What is the opportunity number and key administrative identifiers?
The funding opportunity is identified as HRSA-14-031 under CFDA 93.129, titled "Technical and Non-Financial Assistance to Health Centers."
27) When was the opportunity posted and what were the key dates?
It was posted on November 20, 2013. The application closing date was January 8, 2014. The opportunity is noted as archived on March 9, 2014.
28) How many awards and how much total funding did HRSA anticipate?
HRSA anticipated making 14 awards with an estimated total funding amount of $15,000,000.
29) Is cost sharing or matching required?
No. The announcement states there was no cost sharing or matching requirement.
30) Who was eligible to apply?
Eligibility was broad and included public, nonprofit, and for-profit entities that can provide national-level training and technical assistance to Section 330 grantees and other health centers or community-based organizations seeking Section 330 resources, including tribal and faith-based organizations.
31) Do applicants need to already be working with health centers or similar organizations?
Yes. Applicants were expected to already be working with potential or existing health centers or similar community-based providers.
32) Could new applicants apply, or was it limited to current awardees?
Both were allowed. The announcement indicates that both new applicants and organizations already funded under Section 330(l) were allowed to apply.
33) What is the overall goal of the NCA-funded work for health centers?
The described goal is to help health centers understand requirements, improve operations, build capacity, stay compliant, and improve performance so they can use Section 330 resources effectively to meet community health needs.
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