Opportunity Information: Apply for HRSA 16 006

  • The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Service Area Competition" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.224 Consolidated Health Centers (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public.
  • This funding opportunity was created on Sep 1, 2015 and posted on Sep 1, 2015.
  • Applicants must submit their applications by Nov 2, 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 $255,700,000.00 to eligible and selected applicants.
  • The number of recipients for this funding is limited to 64 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
  • Applications that do not demonstrate compliance with all eligibility requirements outlined in this section will be deemed non responsive and will not be considered for funding. 1. Eligible Applicants 1) An applicant must be a public or nonprofit private entity, as demonstrated through the submission of the Evidence of Non profit/Public Center Status outlined in Section IV.2.vi. Faith based and community based organizations, Tribes, and tribal organizations are eligible to apply. 2) The applicant must request funding to support the operation of a health center that provides required comprehensive primary, preventive, and enabling health care services, either directly or through established arrangements, without regard to ability to pay. An applicant may not propose to provide only a single service, such as dental, behavioral, or prenatal services. 3) The applicant must propose to serve an announced service area and its patients identified in the SAAT. a) The total unduplicated patients projected to be served by December 31, 2017, entered on Form 1A, must be at least 75 percent of the SAAT Patient Target. See the Summary of Funding section above if the patient projection is less than the SAAT Patient Target. b) Zip codes entered in the Service Area Zip Codes field on Form 5B Service Sites must be those where at least 75 percent of the current patients reside.1 Refer to the SAAT to determine the zip codes where the majority of patients reside. 1 HRSA considers service area overlap when making funding determinations for new and competing supplement applicants if zip codes are proposed on Form 5B Service Sites beyond those listed on the SAAT. For more information about service area overlap, refer to Policy Information Notice 2007 09.
Apply for HRSA 16 006

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Opportunity Summary:

The Service Area Competition (SAC) funding opportunity (HRSA-16-006) is a discretionary grant program run by the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), to support the continued operation of Health Center Program sites serving medically underserved communities. The central goal is continuity of access: making sure communities and vulnerable populations already served through the Health Center Program continue to receive comprehensive, culturally competent, high-quality primary and preventive health care. SAC is structured to fund operational support in specific, announced service areas, and it applies across the main Health Center Program funding types under section 330 of the Public Health Service Act: Community Health Centers (330(e)), Migrant Health Centers (330(g)), Health Care for the Homeless (330(h)), and Public Housing Primary Care (330(i)). In the announcement, HRSA uses the term "health center" to cover any of these categories.

This competition is aimed at patient-directed organizations, meaning entities that are governed and operated with strong patient/community involvement consistent with Health Center Program expectations. Awards are intended to maintain and strengthen full-scope primary care capacity rather than narrowly funding a single service line. Applicants are expected to provide comprehensive primary and preventive services along with enabling services as required, either directly or through formal arrangements, and they must deliver care without regard to a patient s ability to pay. The FOA is explicit that an applicant cannot propose to provide only one standalone service (for example, dental-only, behavioral-health-only, or prenatal-only models would not meet the program intent).

Eligibility is limited to public entities or private nonprofit organizations, which must be demonstrated through submission of evidence of nonprofit or public center status as described in the application instructions. The opportunity also states that faith-based and community-based organizations are eligible, and it explicitly includes Tribes and tribal organizations as eligible applicants. Beyond organizational type, an applicant must propose to serve the particular announced service area and patient population identified by HRSA (referenced in the FOA as the SAAT, which is the service area announcement information applicants must follow). A key threshold requirement is that the applicant s projected total unduplicated patients to be served by December 31, 2017 must reach at least 75 percent of the SAAT patient target, as entered on the required application forms. In addition, service area definitions must align with where patients actually live: the zip codes listed for service sites must correspond to the zip codes where at least 75 percent of current patients reside, using the SAAT as the reference. The FOA notes HRSA may consider service area overlap when applicants propose zip codes beyond those in the SAAT, pointing applicants to HRSA policy (PIN 2007-09) for how overlap affects funding decisions.

The scale of the competition in this cycle was substantial, with an estimated total funding amount of $255,700,000 and an expected 64 awards. The Catalog of Federal Domestic Assistance listing is 93.224, Consolidated Health Centers (covering CHC, MHC, HCH, and PHPC). There is no cost-sharing or matching requirement stated for this opportunity. The announcement was posted September 1, 2015, with an application due date of November 2, 2015, and it was later archived January 1, 2016. The notice lists award ceiling and floor as $0, which typically indicates that award amounts vary based on program calculations and the specific service area needs rather than a single fixed range being published in the summary fields.

Applications that fail to demonstrate compliance with all eligibility requirements are deemed non-responsive and are not reviewed for funding, so meeting the threshold eligibility items is critical. The FOA indicates that it provides details on eligibility requirements, review criteria, and awarding factors, with the overall emphasis on sustaining comprehensive, accessible primary and preventive care for underserved communities within the defined service area parameters.

For questions or help accessing the full announcement, HRSA provided contact information for the Bureau of Primary Health Care SAC team at bphcsac@hrsa.gov, with a listed contact (Beth Hartmayer) at (301) 594-4300.

Service Area Competition (SAC) Funding Opportunity (HRSA-16-006) - FAQs

1) What is the Service Area Competition (SAC) funding opportunity (HRSA-16-006)?

The Service Area Competition (SAC) (HRSA-16-006) is a discretionary grant program administered by the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA). It is designed to support the continued operation of Health Center Program sites serving medically underserved communities, with an emphasis on continuity of access to care.

2) What is the main goal of SAC funding?

The central goal is continuity of access. SAC is intended to make sure communities and vulnerable populations already served through the Health Center Program continue to receive comprehensive, culturally competent, high-quality primary and preventive health care.

3) What types of health centers does SAC apply to?

SAC applies across the main Health Center Program funding types authorized under section 330 of the Public Health Service Act, including:

  • Community Health Centers (CHC) - section 330(e)
  • Migrant Health Centers (MHC) - section 330(g)
  • Health Care for the Homeless (HCH) - section 330(h)
  • Public Housing Primary Care (PHPC) - section 330(i)

In the announcement, HRSA uses the term "health center" to refer to any of these categories.

4) What does SAC fund in practice?

SAC is structured to fund operational support in specific, announced service areas. The intent is to maintain and strengthen full-scope primary care capacity, rather than funding a narrow or single service line.

5) Is SAC funding tied to specific service areas?

Yes. SAC is organized around specific, announced service areas identified by HRSA. Applicants must propose to serve the particular service area and patient population identified by HRSA in the service area announcement information, referred to in the FOA as the SAAT.

6) Who is eligible to apply?

Eligibility is limited to public entities and private nonprofit organizations. Applicants must submit evidence of nonprofit or public center status as described in the application instructions. The opportunity also states that faith-based and community-based organizations are eligible, and it explicitly includes Tribes and tribal organizations as eligible applicants.

7) What does HRSA mean by "patient-directed organization"?

This competition is aimed at patient-directed organizations, meaning entities that are governed and operated with strong patient/community involvement consistent with Health Center Program expectations.

8) Do applicants have to provide comprehensive services, or can they propose a single service line?

Applicants are expected to provide comprehensive primary and preventive services along with required enabling services, either directly or through formal arrangements. The FOA is explicit that an applicant cannot propose to provide only one standalone service. Examples of non-responsive approaches include dental-only, behavioral-health-only, or prenatal-only models.

9) Are applicants required to provide services regardless of a patient's ability to pay?

Yes. Applicants must deliver care without regard to a patient's ability to pay, consistent with Health Center Program expectations described in the opportunity.

10) What are "enabling services" in the context of this opportunity?

The FOA states that applicants are expected to provide enabling services as required, either directly or through formal arrangements. (The opportunity summary does not list specific enabling services; it only indicates they are required as part of the comprehensive model.)

11) What is the SAAT and why does it matter?

The SAAT refers to the service area announcement information applicants must follow. It identifies the announced service area and patient population HRSA expects an applicant to serve. Proposals must align with the SAAT to meet threshold requirements.

12) Is there a minimum patient projection requirement to be eligible?

Yes. A key threshold requirement is that the applicant's projected total unduplicated patients to be served by December 31, 2017 must be at least 75 percent of the SAAT patient target, as entered on the required application forms.

13) How do service area zip codes need to align with where patients live?

Service area definitions must align with patient residence. The zip codes listed for service sites must correspond to the zip codes where at least 75 percent of current patients reside, using the SAAT as the reference.

14) What happens if an applicant proposes zip codes beyond those in the SAAT?

The FOA notes that HRSA may consider service area overlap when applicants propose zip codes beyond those in the SAAT. Applicants are pointed to HRSA policy PIN 2007-09 for how overlap affects funding decisions.

15) Is there a cost-sharing or matching requirement?

No cost-sharing or matching requirement is stated for this opportunity.

16) How much funding was available and how many awards were expected?

For this cycle, the estimated total funding amount was $255,700,000 and HRSA expected to make 64 awards.

17) What is the CFDA number associated with this program?

The Catalog of Federal Domestic Assistance (CFDA) listing is 93.224, Consolidated Health Centers (covering CHC, MHC, HCH, and PHPC).

18) What were the key dates for this funding opportunity?

  • Posted: September 1, 2015
  • Application due date: November 2, 2015
  • Archived: January 1, 2016

19) Why do the award ceiling and floor show as $0?

The notice lists an award ceiling and floor of $0. In this context, it typically indicates that award amounts vary based on program calculations and the specific service area needs rather than a single fixed range being published in the summary fields.

20) What happens if an application does not meet eligibility requirements?

Applications that fail to demonstrate compliance with all eligibility requirements are deemed non-responsive and are not reviewed for funding. Meeting the threshold eligibility items is critical under this opportunity.

21) Where can applicants get help or ask questions about SAC (HRSA-16-006)?

HRSA provided contact information for the Bureau of Primary Health Care SAC team:

  • Email: bphcsac@hrsa.gov
  • Contact name listed: Beth Hartmayer
  • Phone: (301) 594-4300
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