Opportunity Information: Apply for HRSA 10 016

  • The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Service Area Competitions" 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 Nov 23, 2009 and posted on May 8, 2009.
  • Applicants must submit their applications by Nov 17, 2009. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $5,400,000.00 to eligible and selected applicants.
  • The number of recipients for this funding is limited to 40 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
  • Applicants are limited to public or nonprofit private entities, including tribal, faith based and community based organizations proposing to serve the same service area(s) and/or population(s) currently served by existing grantees identified in the application materials. Eligible applicants include grantees whose project period ends on or after October 31, 2007 and before October 1, 2008 and new organizations proposing to serve the entire service area(s) and/or population(s) identified in the application materials. New organizations may include an organization representing a consortium of health centers who through their partnership can serve the entire service area and/or population. Additional eligibility requirements will be included in the application materials. Public or nonprofit private entities, including tribal, faith based and community based organizations and Organizations proposing to serve the same service area and/or populations identified in Appendix F. This includes Grantees whose project period ends on or after October 31, 2009 and before October 1, 2010. New organizations that can servie the entire service area and/or population identified in Appendix F. New organizations include an organization representing a consortium of health centers who through their partnership can serve the entire service area and/or population. Competing organizations must a. Provide services to the entire announced service area b. Provide services to the entire population currently being served (applicants may not propose to serve only a segment of the existing population being served) c. Provide the same or comparable comprehensive primary health care services presently being provided to the population d. Utilize Federal funding to serve patients currently served by the existing grantee, and e. Request equal or lesser amount of Federal funding as currently received by the existing grantee, including funding for special populations (migrant, homeless and public housing programs).
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Opportunity Summary:

The Service Area Competitions (SAC) opportunity (Funding Opportunity Number HRSA 10-016) is a discretionary grant program from the Health Resources and Services Administration (HRSA) focused on ensuring continued access to comprehensive primary health care in communities that are underserved. The basic idea is that HRSA periodically opens a competitive process for specific, pre-identified service areas or populations listed in the announcement materials (referenced as Appendix F and also posted through Grants.gov). Organizations then compete to become, or remain, the federally funded provider responsible for delivering full-scope health center primary care services for that entire announced area or population.

This SAC notice falls under CFDA 93.224, Consolidated Health Centers, which covers Community Health Centers as well as special population programs such as Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care. The funding instrument is a grant, the activity category is health, and the opportunity anticipated around 40 awards with an estimated total funding level of about $5.4 million. There is no cost sharing or matching requirement stated for this opportunity, meaning applicants are not required to contribute non-federal matching funds as a condition of applying.

Eligibility is limited and tightly tied to the specific service areas and populations HRSA has announced for competition. Applicants must be public entities or nonprofit private entities, and HRSA explicitly includes tribal organizations, faith-based organizations, and community-based organizations as potentially eligible. Two broad applicant types are contemplated: (1) existing grantees whose project periods fall within the time windows identified in the application materials, and (2) new organizations proposing to take over responsibility for the entire announced service area and/or population. HRSA also allows for a consortium model, where an organization representing a partnership of health centers applies on the basis that, together, the consortium can cover the full service area and population.

A key feature of SAC is that it is not a partial-service or limited-population competition. Competing organizations must propose to serve the entire announced service area and the entire population currently being served. Applications are not allowed to carve out only a segment of the existing patient population. In addition, applicants must propose to provide the same or comparable comprehensive primary health care services that are presently being provided to that population, demonstrating continuity of access and breadth of services rather than a narrowed program. Applicants must also plan to use federal funding to serve the patients who are currently served by the existing grantee, reinforcing that the competition is designed to maintain services in place rather than create a new, separate footprint that excludes existing patients.

Budget expectations are also constrained. Applicants are expected to request an equal or lesser amount of federal funding than what the current grantee receives for the service area, including any special population funding streams associated with migrant, homeless, or public housing programs. In practice, that means the competition is about selecting the best-qualified organization to deliver required services efficiently and effectively within roughly the same federal funding level, rather than expanding federal dollars through the application.

Key dates listed for this announcement include a posted date of May 8, 2009, with an original and current closing date of November 17, 2009, and an archive date of January 16, 2010. The full announcement and related materials were made available through HRSA and Grants.gov, with an additional information link provided in the source. For applicants that have trouble accessing the announcement electronically, HRSA directed questions to the HRSA Call Center (CallCenter@HRSA.gov) and provided phone contact options (877-464-4772 and 301-998-7373).

Service Area Competitions (SAC) (HRSA 10-016) - Frequently Asked Questions

What is the Service Area Competitions (SAC) opportunity (HRSA 10-016)?

The Service Area Competitions (SAC) opportunity (Funding Opportunity Number HRSA 10-016) is a discretionary grant program from the Health Resources and Services Administration (HRSA). Its purpose is to ensure continued access to comprehensive primary health care in communities that are underserved by running a competitive process for specific, pre-identified service areas or populations listed in the announcement materials.

What is the main goal of SAC?

The main goal is continuity of access to full-scope health center primary care services. Organizations compete to become, or remain, the federally funded provider responsible for delivering comprehensive primary care services for the entire announced service area or population.

Is SAC a competitive funding process for any community, or only certain areas?

Only certain areas or populations are eligible at a given time. HRSA opens SAC competitions for specific, pre-identified service areas or populations that are listed in the announcement materials (including Appendix F and postings through Grants.gov).

Which federal program does this SAC notice fall under?

This SAC notice falls under CFDA 93.224, Consolidated Health Centers.

What types of health center programs are included under CFDA 93.224 in this notice?

CFDA 93.224 covers Community Health Centers and also special population programs, including Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care.

What is the funding instrument for this opportunity?

The funding instrument is a grant.

What is the activity category for this opportunity?

The activity category is health.

How many awards were anticipated, and what was the estimated total funding level?

The opportunity anticipated around 40 awards with an estimated total funding level of about $5.4 million.

Is cost sharing or matching required?

No cost sharing or matching requirement is stated for this opportunity. Applicants are not required to contribute non-federal matching funds as a condition of applying.

Who is eligible to apply?

Eligibility is limited and tied to the specific service areas and populations HRSA announced for competition. Applicants must be public entities or nonprofit private entities. HRSA explicitly includes tribal organizations, faith-based organizations, and community-based organizations as potentially eligible.

Can an existing HRSA grantee apply?

Yes. One of the applicant types contemplated is existing grantees whose project periods fall within the time windows identified in the application materials.

Can a new organization apply to take over services in an announced area or population?

Yes. A second applicant type is a new organization proposing to take over responsibility for the entire announced service area and/or population.

Are consortium applications allowed?

Yes. HRSA allows a consortium model where an organization representing a partnership of health centers applies on the basis that, together, the consortium can cover the full service area and population.

Can an applicant propose to serve only part of the service area or only a portion of the population?

No. SAC is not a partial-service or limited-population competition. Applicants must propose to serve the entire announced service area and the entire population currently being served. Applications are not allowed to carve out only a segment of the existing patient population.

Do applicants need to maintain the same scope of services that is currently being provided?

Yes. Applicants must propose to provide the same or comparable comprehensive primary health care services that are presently being provided to the population. The emphasis is on continuity of access and breadth of services, rather than a narrowed program.

Does the proposal need to include serving current patients of the existing grantee?

Yes. Applicants must plan to use federal funding to serve the patients who are currently served by the existing grantee. This reflects that the competition is designed to maintain services in place rather than create a new, separate footprint that excludes existing patients.

How should applicants approach the budget request?

Applicants are expected to request an equal or lesser amount of federal funding than what the current grantee receives for the service area, including any special population funding streams associated with migrant, homeless, or public housing programs.

Is this opportunity intended to expand federal funding levels through the application?

No. The budget expectations indicate the competition is about selecting the best-qualified organization to deliver required services efficiently and effectively within roughly the same federal funding level, rather than expanding federal dollars through the application.

Where can applicants find the list of service areas and populations included in the competition?

The specific service areas and populations are listed in the announcement materials, referenced as Appendix F, and are also posted through Grants.gov.

What were the key dates for this funding opportunity?

The posted date was May 8, 2009. The original and current closing date was November 17, 2009. The archive date was January 16, 2010.

Where was the full announcement made available?

The full announcement and related materials were made available through HRSA and Grants.gov, with an additional information link provided in the source materials.

Who should applicants contact if they have trouble accessing the announcement electronically?

HRSA directed applicants to the HRSA Call Center at CallCenter@HRSA.gov. Phone contacts provided were 877-464-4772 and 301-998-7373.

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