Opportunity Information: Apply for HRSA 15 070
Apply for HRSA 15 070
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Perinatal and Infant Oral Health Quality Improvement Expansion Grant Program" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.110 Maternal and Child Health Federal Consolidated Programs.
- This funding opportunity was created on Dec 5, 2014 and posted on Dec 4, 2014.
- Applicants must submit their applications by Feb 27, 2015. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $1,750,000.00 to eligible and selected applicants.
- The number of recipients for this funding is limited to 5 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- As cited in 42 CFR Part 51a.3(a), any public or private entity, including an Indian tribe or tribal organization (as those terms are defined in 25 U.S.C. 450b), is eligible to apply for this Federal funding opportunity. If otherwise eligible, faith based and community based organizations are eligible to apply. An eligible applicant must have both direct fiduciary and administrative responsibility over the project.
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Opportunity Summary:
The Perinatal and Infant Oral Health Quality Improvement (PIOHQI) Expansion Grant Program is a federal discretionary grant from the Health Resources and Services Administration (HRSA) and represents the second phase of the Perinatal and Infant Oral Health National Initiative. Its central purpose is to reduce oral disease among pregnant women and infants by improving access to high-quality oral health care and by integrating that care into the routine systems where families already receive perinatal and infant primary care. The program is designed around the idea that pregnancy and early infancy are windows of increased health system contact, so improving oral health services during these periods can raise long-term dental utilization and improve oral health outcomes across the lifespan for both mother and child.
A key expectation of the program is that awardees will define, implement, and spread evidence-based models that integrate oral health into perinatal and infant primary care delivery systems with statewide reach. The models are expected to do more than add isolated services; they should embed oral health into clinical workflows and referral networks so that pregnant women receive preventive and needed dental care and infants are connected to a consistent source of dental care early. The FOA emphasizes outcomes such as reducing the prevalence of oral disease in pregnant women and infants, lowering Early Childhood Caries (ECC), increasing pregnant women’s use of preventive dental care, establishing a dental home for infants by age one, and ultimately reducing dental expenditures through prevention and earlier intervention.
The approach is strongly collaborative and system-oriented. Awardees are expected to expand direct access to oral health services by building public-private partnerships and strengthening service capacity in safety-net and community-facing settings such as community health centers, university dental training programs, private dental offices, and public health clinics. The announcement also highlights the value of formal linkages and referral agreements with programs that commonly serve pregnant women and young children, including WIC, Head Start, Home Visiting, Healthy Start, and Title V programs. These partnerships are intended to increase consistent screening, education, referral, and completion of dental visits for high-risk populations, rather than leaving oral health to be addressed only when pain or urgent disease appears.
Another major focus is improving the quality and consistency of care by increasing delivery of best practices, including strengthening oral health clinical competencies among primary care providers. In practical terms, the grant envisions primary care and perinatal providers being better equipped to address oral health as part of routine care, support preventive interventions, and ensure appropriate referrals into the dental system. Oral health services covered under the program are broadly defined and can include oral health education, fluoride treatment, dental sealants, cleanings/prophylaxis, and restorative dental services, reflecting the intent to support both prevention and treatment when needed.
The FOA places substantial emphasis on data and measurement as tools for quality improvement and policy change. Awardees are expected to enhance or develop statewide data sources that provide timely, real-time (or near real-time) information using common oral health metrics, ideally by building on existing infrastructure. The announcement references the National Oral Health Surveillance System (NOHSS) as one resource but notes limitations in state participation and the age of some reported data, underscoring the need for stronger, more current state-level measurement capacity. The Maternal and Child Health Bureau (MCHB) encourages the use of the Pregnancy Risk Assessment Monitoring System (PRAMS), particularly because federal law directed HHS to include oral health in PRAMS, making it a promising mechanism for tracking perinatal oral health indicators and outcomes.
Sustainability is treated as a core requirement rather than an afterthought. Awardees are expected to sustain key elements of their projects after federal funding ends, especially strategies and interventions shown to increase access and improve oral health outcomes for the target populations. The FOA frames sustainability broadly, including continuation through federal and/or state funding, public-private partnerships, and self-generating revenue models. It also points to policy and legislative changes as important levers, particularly changes that ensure sufficient reimbursement for providers, since payment structures often determine whether integrated oral health services can persist at scale.
The program also has a national learning agenda. Lessons from state implementation are intended to inform the development of a National Implementation Framework for Improved Perinatal and Infant Oral Health. This framework is meant to guide state stakeholders such as government leaders, oral health professionals, and state and community health program directors in expanding access to direct services, improving adoption of best practices and provider competencies, strengthening statewide oral health data systems with shared metrics, and putting sustainability supports in place, including reimbursement and policy alignment.
Administratively, the opportunity is identified as HRSA-15-070 under CFDA 93.110 (Maternal and Child Health Federal Consolidated Programs). HRSA anticipated making 5 awards with an estimated total funding amount of $1,750,000, and the FOA stated no cost-sharing or matching requirement. Eligible applicants include any public or private entity, including Indian tribes and tribal organizations, and eligible faith-based and community-based organizations, as long as the applicant has direct fiduciary and administrative responsibility for the project. The FOA was posted in December 2014 with an application closing date of February 27, 2015, and it was later archived in April 2015.
Perinatal and Infant Oral Health Quality Improvement (PIOHQI) Expansion Grant Program FAQs
What is the PIOHQI Expansion Grant Program?
The Perinatal and Infant Oral Health Quality Improvement (PIOHQI) Expansion Grant Program is a federal discretionary grant from the Health Resources and Services Administration (HRSA). It represents the second phase of the Perinatal and Infant Oral Health National Initiative and focuses on improving oral health for pregnant women and infants.
What is the main purpose of this grant opportunity?
The central purpose is to reduce oral disease among pregnant women and infants by improving access to high-quality oral health care and integrating oral health into the routine systems where families already receive perinatal and infant primary care.
Why does the program focus on pregnancy and early infancy?
The program is built on the idea that pregnancy and early infancy are periods when families have increased contact with the health system. Improving oral health services during these windows is intended to raise long-term dental utilization and improve oral health outcomes across the lifespan for both mother and child.
What is expected of awardees under this program?
Awardees are expected to define, implement, and spread evidence-based models that integrate oral health into perinatal and infant primary care delivery systems with statewide reach. The models are intended to embed oral health into clinical workflows and referral networks rather than adding isolated services.
Does the program require statewide reach?
Yes. A key expectation is that awardees implement and spread integration models with statewide reach.
What does it mean to "integrate" oral health into perinatal and infant primary care?
Integration means embedding oral health into routine care systems and processes, such as clinical workflows and referral networks, so pregnant women receive preventive and needed dental care and infants are connected to a consistent source of dental care early.
What outcomes does the FOA emphasize?
The FOA emphasizes outcomes including reducing oral disease among pregnant women and infants, lowering Early Childhood Caries (ECC), increasing pregnant women’s use of preventive dental care, establishing a dental home for infants by age one, and reducing dental expenditures through prevention and earlier intervention.
What is Early Childhood Caries (ECC) in the context of this program?
Early Childhood Caries (ECC) is specifically named as an outcome area the program aims to lower. The provided information does not further define ECC, but it is treated as an important indicator of infant/early childhood oral health.
What is meant by establishing a "dental home" for infants by age one?
The FOA highlights the goal of connecting infants to a consistent source of dental care early, with a specific benchmark of establishing a dental home by age one.
What types of organizations and settings are expected to be involved?
The program anticipates expanding direct access to oral health services through public-private partnerships and strengthened capacity in safety-net and community-facing settings such as community health centers, university dental training programs, private dental offices, and public health clinics.
Are partnerships part of the program design?
Yes. The approach is described as strongly collaborative and system-oriented, with an emphasis on building public-private partnerships and formal linkages to other programs serving pregnant women and young children.
Which partner programs are specifically mentioned as important linkage points?
The announcement highlights formal linkages and referral agreements with WIC, Head Start, Home Visiting, Healthy Start, and Title V programs.
Why are linkages with programs like WIC, Head Start, and Title V emphasized?
These partnerships are intended to increase consistent screening, education, referral, and completion of dental visits for high-risk populations, rather than relying on oral health care only when pain or urgent disease occurs.
What role do primary care and perinatal providers play in this program?
The grant envisions strengthening oral health clinical competencies among primary care and perinatal providers so they are better equipped to address oral health as part of routine care, support preventive interventions, and ensure appropriate referrals into the dental system.
What kinds of oral health services can be supported under the program?
Oral health services are broadly defined and can include oral health education, fluoride treatment, dental sealants, cleanings/prophylaxis, and restorative dental services. This reflects an intent to support both prevention and treatment when needed.
Is the program limited to preventive services only?
No. The listed services include prevention (such as education, fluoride, sealants, cleanings/prophylaxis) and treatment (including restorative dental services).
How important are data and measurement in this grant opportunity?
Data and measurement are described as substantial priorities. Awardees are expected to enhance or develop statewide data sources that provide timely, real-time (or near real-time) information using common oral health metrics, ideally building on existing infrastructure.
What does the FOA mean by using "common oral health metrics"?
The FOA calls for statewide measurement capacity using shared metrics to support quality improvement and policy change. The provided information does not list specific metrics, but it emphasizes consistency and timeliness across the state.
Does the opportunity reference any existing national data systems?
Yes. The announcement references the National Oral Health Surveillance System (NOHSS) as one resource, while noting limitations such as incomplete state participation and the age of some reported data.
Does the program encourage the use of PRAMS for oral health tracking?
Yes. The Maternal and Child Health Bureau (MCHB) encourages use of the Pregnancy Risk Assessment Monitoring System (PRAMS), noting that federal law directed HHS to include oral health in PRAMS, making it a promising mechanism for tracking perinatal oral health indicators and outcomes.
Is sustainability required after the federal funding ends?
Yes. Sustainability is described as a core requirement. Awardees are expected to sustain key elements of their projects after federal funding ends, especially strategies and interventions shown to increase access and improve outcomes for the target populations.
What types of sustainability approaches are mentioned?
The FOA frames sustainability broadly, including continuation through federal and/or state funding, public-private partnerships, and self-generating revenue models.
Does the FOA mention policy or legislative changes?
Yes. The FOA points to policy and legislative changes as important levers for sustainability, particularly changes that ensure sufficient reimbursement for providers.
Why is reimbursement highlighted as a sustainability lever?
The FOA notes that payment structures often determine whether integrated oral health services can persist at scale, so ensuring sufficient reimbursement is positioned as critical for long-term continuation.
Is there a national learning or dissemination component?
Yes. Lessons from state implementation are intended to inform the development of a National Implementation Framework for Improved Perinatal and Infant Oral Health.
What is the intended purpose of the National Implementation Framework mentioned in the FOA?
The framework is intended to guide state stakeholders in expanding access to direct services, improving adoption of best practices and provider competencies, strengthening statewide oral health data systems with shared metrics, and putting sustainability supports in place (including reimbursement and policy alignment).
What is the funding opportunity identification information?
The opportunity is identified as HRSA-15-070 under CFDA 93.110 (Maternal and Child Health Federal Consolidated Programs).
How many awards did HRSA anticipate making, and what was the estimated total funding?
HRSA anticipated making 5 awards with an estimated total funding amount of $1,750,000.
Is there a cost-sharing or matching requirement?
No. The FOA stated there was no cost-sharing or matching requirement.
Who is eligible to apply for this grant opportunity?
Eligible applicants include any public or private entity, including Indian tribes and tribal organizations, and eligible faith-based and community-based organizations, as long as the applicant has direct fiduciary and administrative responsibility for the project.
What does it mean that the applicant must have direct fiduciary and administrative responsibility?
Based on the provided information, it means the applying organization must directly manage the project and be responsible for the financial and administrative oversight associated with the grant.
When was the FOA posted and when did applications close?
The FOA was posted in December 2014 and had an application closing date of February 27, 2015.
Is this opportunity still open?
No. The FOA was later archived in April 2015.
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