Opportunity Information: Apply for HRSA 13 283
Apply for HRSA 13 283
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Perinatal Infant Oral Health Quality Improvement (PIOHQI) Pilot 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 Jul 18, 2013 and posted on Jul 18, 2013.
- Applicants must submit their applications by Aug 19, 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 $200,000.00 in funding.
- The number of recipients for this funding is limited to 4 candidate(s).
- Eligible applicants include: Native American tribal organizations (other than Federally recognized tribal governments) Public and State controlled institutions of higher education County governments State governments City or township governments Others (see text field entitled Additional Information on Eligibility for clarification) Private institutions of higher education Independent school districts Special district governments Nonprofits that do not have a 501(c)(3) status with the IRS, other than institutions of higher education.
- 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 at 25 U.S.C. 450b), is eligible to apply for this Federal funding opportunity. If otherwise eligible, faith based and community organizations are eligible to apply for this Federal funding opportunity. Applicants must clearly demonstrate success in developing an approach that serves the oral health needs of pregnant women and infants (see Section I.1. Purpose, Criteria for Success). Applications that fail to clearly demonstrate these characteristics will not be considered for funding.
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Opportunity Summary:
The Perinatal and Infant Oral Health Quality Improvement (PIOHQI) Pilot Grant Program is a four-year, HRSA Maternal and Child Health Bureau (MCHB) funding opportunity designed to help a small number of early-adopter states take a proven community-level oral health approach and scale it into a statewide system of care. The core aim is to increase statewide availability and actual use of quality preventive dental care and needed restorative services for pregnant women and infants who are most at risk, while building the kind of durable infrastructure that can keep those improvements going after federal funding ends. The program is authorized under Title V, section 501(a)(2) of the Social Security Act (42 U.S.C. 701(a)(2)), and it aligns with federal priorities that emphasize improving oral health access and utilization, integrating services into broader health systems, advancing health equity, and using data-driven quality improvement.
A key point behind the grant is that clinical guidance for oral health during pregnancy already exists (for example, the national consensus statement on oral health care during pregnancy), but states still struggle to turn that guidance into a comprehensive, integrated, statewide delivery model that serves both pregnant women and infants in a coordinated way. HRSA has identified perinatal oral health as a strategic priority, and this pilot is positioned as a practical “systems change†effort: not simply funding more services, but changing how statewide systems identify need, connect patients to care, pay for services, and continuously improve outcomes. The funding also explicitly supports Healthy People 2020’s oral health utilization indicator (OH-7), focused on increasing the proportion of people who used the oral health care system in the past year.
PIOHQI is also described as Phase 1 of a larger, three-phase Perinatal and Infant Oral Health National Initiative. Phase 1 (this pilot) focuses on statewide implementation of a model that has already worked at the community level. Phase 2 is intended to support “expansion†through targeted demonstrations that replicate and broaden what works. Phase 3 is a national outreach effort that produces an evidence-informed strategic framework for statewide replication across the country, built from the outcomes and lessons learned gathered in the first two phases. In other words, the pilot is meant to generate practical, transferable knowledge, not just local improvements.
The pilot’s required work centers on three overarching deliverables that grantees must develop, implement, and continuously assess throughout the four-year project period. First is a statewide approach that addresses the full oral health needs of pregnant women and infants most at risk, meaning prevention and treatment, and an integrated model that fits into a system with statewide reach. Second is a state data system that actively drives quality improvement, so data collection is not just for reporting but for managing performance, identifying gaps, and improving outcomes over time. Third is a fiscal leveraging strategy aimed at long-term sustainability, including planning for how the approach will be supported beyond the grant through mechanisms like Medicaid/CHIP, partnerships, and other financing strategies.
A major structural feature of the program is collaborative learning and peer-to-peer systems improvement. Grantees are expected to participate in both intrastate teamwork (a purpose-built team selected to implement a statewide strategic plan) and interstate collaboration through a state-national learning network that includes pilot project leaders, key public and private state partners, and national stakeholder organizations. This learning network is meant to document what it takes to implement with fidelity, how implementation choices affect outcomes, and what “vital elements†are necessary for statewide scale. Importantly, pilot grantees are also required to mentor up to three “mentees†during years 3 and 4, supporting Phase 2 expansion efforts by sharing guidance on replication and efficient statewide systems change. Applicants must plan and budget for participation in this learning network starting in year 2, with expected minimum set-asides of at least $25,000 in year 2 and $50,000 in years 3 and 4, justified primarily through staff time and collaboration/mentoring responsibilities.
Applicants must build their proposals around a five-step preliminary strategic framework that is meant to evolve into a final national framework over the course of the initiative. Those steps are: (1) profile population needs, resources, and readiness, identifying gaps in service delivery; (2) mobilize and build capacity to address those needs; (3) develop or finalize a comprehensive state strategic plan for implementation and problem-solving; (4) implement evidence-based prevention policies, programs, practices, and supporting infrastructure; and (5) monitor processes, evaluate effectiveness, sustain what works, and improve or replace what does not. The grant ties these steps to recognized best-practice concepts from the Association of State and Territorial Dental Directors (ASTDD), emphasizing objectives and rationale, collaboration and integration, efficiency, sustainability, and demonstrated impact.
Eligibility is broad in terms of entity type (public or private entities, including tribes and tribal organizations; state and local governments; higher education; certain nonprofits; and faith-based or community organizations if otherwise eligible), but narrow in practice because applicants must clearly demonstrate they are “early adopters†with documented success at the community level and credible capacity to scale statewide. The application expectations strongly emphasize proof of prior systems work, such as participation in a State Oral Health Plan or similar guidance/policy documents focused on perinatal and infant oral health; evidence of other systems-building efforts; documentation that challenges and lessons learned have already improved the state’s delivery approach; partnerships with related MCHB/HRSA/DHHS and other federally supported programs (examples given include Healthy Start, community health centers, Medicaid/CHIP, Early Head Start, Indian Health Service, and tribal programs); and engagement in quality improvement and systems-change collaborations. Strong evaluation capacity and concrete sustainability efforts are described as added strengths. If an applicant lacks one of the required characteristics, they must provide a persuasive rationale explaining why that gap will not prevent success and, where relevant, include documentation of planned partnerships. Applications missing required content are not reviewed.
On program design, the preference is for an evidence-based approach that has already been shown to increase preventive and restorative dental utilization among pregnant women and infants most at risk, supported by at least one peer-reviewed impact study showing statistically significant improvement in oral health status in some portion of the state. If an approach cannot meet that evidence threshold, applicants may propose a “promising†approach that is grounded in the best available evidence and lessons learned, including ASTDD promising practice concepts, but they must justify why it is appropriate, why it can work statewide, and how results compare favorably to the program’s expected indicators. Whether evidence-based or promising, applicants must explain alignment (or misalignment) with ASTDD best-practice criteria and how the approach will meet the needs of the targeted population at scale.
Implementation is expected to be managed through two linked plans that applicants must clearly lay out: a statewide strategic plan for integrating the chosen approach into a statewide system of care (including sustainability and statewide rollout strategies) and an administration plan that operationalizes the model in targeted communities, manages day-to-day execution, and embeds continuous quality improvement. The program’s overall logic is that implementation and evaluation should be designed together from the start so the state can track performance, learn quickly, and institutionalize the changes that are producing better access and outcomes.
From the funding announcement details, this was a discretionary HRSA grant opportunity (HRSA-13-283) with an anticipated four awards and an award ceiling of $200,000. It carried no cost sharing or matching requirement. The CFDA number listed is 93.110 (Maternal and Child Health Federal Consolidated Programs). The original posting date was July 18, 2013, with an August 19, 2013 closing date, and an archive date of October 18, 2013. The headline expectation is that, by funding a handful of states to take a working community model statewide and requiring structured collaboration, mentoring, data-driven QI, and sustainability planning, the pilot will produce both measurable improvements for pregnant women and infants and a practical national playbook other states can replicate.
Perinatal and Infant Oral Health Quality Improvement (PIOHQI) Pilot Grant Program FAQs
What is the PIOHQI Pilot Grant Program?
The Perinatal and Infant Oral Health Quality Improvement (PIOHQI) Pilot Grant Program is a four-year funding opportunity from the Health Resources and Services Administration (HRSA), Maternal and Child Health Bureau (MCHB). It is designed to help a small number of early-adopter states take a proven community-level oral health approach and scale it into a statewide system of care focused on pregnant women and infants most at risk.
What is the main goal of this grant?
The core aim is to increase statewide availability and actual use of quality preventive dental care and needed restorative services for pregnant women and infants who are most at risk. A major emphasis is also on building durable statewide infrastructure so improvements can continue after federal funding ends.
How long is the project period?
The pilot is structured as a four-year project period.
Which federal agency and bureau administer this opportunity?
This is an HRSA grant administered through HRSA's Maternal and Child Health Bureau (MCHB).
What is the legal authorization for the program?
The program is authorized under Title V, section 501(a)(2) of the Social Security Act (42 U.S.C. 701(a)(2)).
How does this grant relate to federal priorities and national goals?
The opportunity aligns with federal priorities focused on improving oral health access and utilization, integrating oral health into broader health systems, advancing health equity, and using data-driven quality improvement. It also explicitly supports Healthy People 2020 oral health utilization indicator OH-7, which focuses on increasing the proportion of people who used the oral health care system in the past year.
Why is this program needed if clinical guidance already exists?
While clinical guidance for oral health during pregnancy exists (including the national consensus statement on oral health care during pregnancy), states often struggle to turn guidance into a comprehensive, integrated, statewide delivery model that coordinates care for both pregnant women and infants. This pilot focuses on systems change to enable statewide implementation.
Is the program mainly meant to fund more direct services?
No. The pilot is positioned as a systems change effort. It is intended to improve how statewide systems identify need, connect patients to care, pay for services, and continuously improve outcomes, rather than simply paying for more services without changing the underlying system.
How many awards were anticipated and what is the maximum award amount?
The funding announcement anticipated four awards, with an award ceiling of $200,000.
Is there a cost sharing or matching requirement?
No. The funding announcement specifies no cost sharing or matching requirement.
What is the funding opportunity number and CFDA listing?
The opportunity is identified as HRSA-13-283. The CFDA number listed is 93.110 (Maternal and Child Health Federal Consolidated Programs).
When was the original posting date and application deadline?
The original posting date was July 18, 2013, and the closing date was August 19, 2013. The archive date was October 18, 2013.
Who is eligible to apply?
Eligibility is broad by entity type and includes public or private entities such as tribes and tribal organizations; state and local governments; institutions of higher education; certain nonprofits; and faith-based or community organizations if otherwise eligible.
If eligibility is broad, what makes applicants competitive in practice?
Although many entity types may be eligible, applicants must clearly demonstrate they are early adopters with documented success at the community level and credible capacity to scale that approach statewide. The expectations emphasize proof of prior systems work and readiness to implement statewide.
What does it mean to be an "early adopter" for this pilot?
Based on the announcement description, an early adopter is an applicant that can show documented success with a community-level oral health approach and demonstrate the capacity, partnerships, and readiness needed to scale that approach into a statewide system.
What kinds of prior experience or documentation are expected from applicants?
Examples of emphasized application content include participation in a State Oral Health Plan or similar guidance/policy documents focused on perinatal and infant oral health; evidence of other systems-building efforts; documentation that challenges and lessons learned have already improved the state's delivery approach; engagement in quality improvement and systems-change collaborations; and partnerships with related MCHB/HRSA/DHHS and other federally supported programs.
Which partner programs are specifically mentioned as relevant?
The announcement provides examples including Healthy Start, community health centers, Medicaid/CHIP, Early Head Start, Indian Health Service, and tribal programs.
What happens if an application is missing required content?
Applications missing required content are not reviewed.
If an applicant lacks one of the required characteristics, can they still apply?
The announcement indicates that if an applicant lacks one required characteristic, they must provide a persuasive rationale explaining why that gap will not prevent success and, where relevant, include documentation of planned partnerships.
What are the required deliverables for grantees?
The required work is organized around three overarching deliverables that grantees must develop, implement, and continuously assess throughout the four-year period: (1) a statewide approach addressing the full oral health needs of pregnant women and infants most at risk (prevention and treatment) integrated into a statewide system of care; (2) a state data system that actively drives quality improvement; and (3) a fiscal leveraging strategy focused on long-term sustainability beyond the grant.
What does "full oral health needs" include in this program?
It includes both preventive dental care and needed restorative services, specifically for pregnant women and infants most at risk, delivered through an integrated model with statewide reach.
What is meant by a state data system that "drives quality improvement"?
The announcement emphasizes that data collection should not be limited to reporting. Instead, data should be used for performance management, identifying gaps, and continuously improving outcomes over time.
What is a "fiscal leveraging strategy" and why is it required?
A fiscal leveraging strategy is a plan to support long-term sustainability beyond federal funding. The opportunity highlights mechanisms such as Medicaid/CHIP, partnerships, and other financing strategies to maintain the approach after the grant ends.
What is the expected role of collaboration and peer learning?
Collaboration is a major structural feature. Grantees are expected to engage in intrastate teamwork through a purpose-built team implementing a statewide strategic plan, and in interstate collaboration through a state-national learning network that includes pilot leaders, state partners, and national stakeholder organizations.
What is the purpose of the state-national learning network?
The learning network is intended to document what it takes to implement the approach with fidelity, understand how implementation choices affect outcomes, and identify the "vital elements" necessary for statewide scale.
Are grantees required to mentor other states or organizations?
Yes. Pilot grantees are required to mentor up to three "mentees" during years 3 and 4 to support Phase 2 expansion efforts by sharing guidance on replication and efficient statewide systems change.
When does budgeting for learning network participation begin, and what set-asides are expected?
Applicants must plan and budget for participation in the learning network starting in year 2. Expected minimum set-asides are at least $25,000 in year 2 and $50,000 in years 3 and 4, justified primarily through staff time and collaboration/mentoring responsibilities.
What strategic framework must applicants use in their proposals?
Applicants must build proposals around a five-step preliminary strategic framework intended to evolve into a final national framework over the course of the initiative.
What are the five steps in the preliminary strategic framework?
- Profile population needs, resources, and readiness, identifying gaps in service delivery.
- Mobilize and build capacity to address those needs.
- Develop or finalize a comprehensive state strategic plan for implementation and problem-solving.
- Implement evidence-based prevention policies, programs, practices, and supporting infrastructure.
- Monitor processes, evaluate effectiveness, sustain what works, and improve or replace what does not.
How does ASTDD relate to this grant?
The grant ties the five-step framework to best-practice concepts from the Association of State and Territorial Dental Directors (ASTDD), emphasizing objectives and rationale, collaboration and integration, efficiency, sustainability, and demonstrated impact.
Does the program require an evidence-based model?
The preference is for an evidence-based approach that has already been shown to increase preventive and restorative dental utilization among pregnant women and infants most at risk, supported by at least one peer-reviewed impact study showing statistically significant improvement in oral health status in some portion of the state.
Can applicants propose something that is not fully evidence-based?
Yes. If an approach cannot meet the evidence threshold, applicants may propose a "promising" approach grounded in the best available evidence and lessons learned (including ASTDD promising practice concepts). The application must justify why it is appropriate, why it can work statewide, and how results compare favorably to the program's expected indicators.
What do applicants need to say about alignment with ASTDD best-practice criteria?
Whether proposing an evidence-based or promising approach, applicants must explain alignment (or misalignment) with ASTDD best-practice criteria and how the approach will meet the needs of the targeted population at scale.
What planning documents must applicants describe for implementation?
Applicants are expected to lay out two linked plans: (1) a statewide strategic plan for integrating the chosen approach into a statewide system of care, including sustainability and statewide rollout strategies; and (2) an administration plan that operationalizes the model in targeted communities, manages day-to-day execution, and embeds continuous quality improvement.
How are implementation and evaluation expected to relate to each other?
The program logic emphasizes that implementation and evaluation should be designed together from the start so the state can track performance, learn quickly, and institutionalize changes that improve access and outcomes.
How does this pilot fit into a larger national initiative?
PIOHQI is described as Phase 1 of a three-phase Perinatal and Infant Oral Health National Initiative. Phase 1 focuses on statewide implementation of a model that has worked at the community level. Phase 2 is intended to support expansion through targeted demonstrations that replicate and broaden what works. Phase 3 is a national outreach effort that produces an evidence-informed strategic framework for statewide replication across the country based on outcomes and lessons learned from phases 1 and 2.
What is the expected long-term outcome of funding only a handful of states?
The headline expectation is that funding a small number of states to scale a working community model statewide, combined with structured collaboration, mentoring, data-driven quality improvement, and sustainability planning, will produce measurable improvements for pregnant women and infants and generate practical, transferable knowledge that other states can replicate.
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