Opportunity Information: Apply for HRSA 11 013

  • 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 Sep 8, 2010 and posted on Aug 25, 2010.
  • Applicants must submit their applications by Dec 1, 2010. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $50,533,000.00 to eligible and selected applicants.
  • The number of recipients for this funding is limited to 45 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 D. This includes Grantees whose project period ends on or after October 31, 2010 and before October 1, 2011. New organizations that can serve the entire service area and/or population identified in Appendix D. 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).
Apply for HRSA 11 013

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Opportunity Summary:

The Service Area Competitions (SAC) grant opportunity (Funding Opportunity Number HRSA-11-013) is a discretionary grant program run by the Health Resources and Services Administration (HRSA) to fund organizations that will deliver comprehensive primary health care in specific underserved communities or for specific underserved populations. The key point is that this is a competitive process tied to defined service areas and/or populations that HRSA has already announced, primarily through Appendix D of the program guidance and/or through postings on Grants.gov. In practice, SAC is used when HRSA opens a competition for a particular geographic service area or a particular patient population currently being served under the Health Center Program, and applicants compete to be the funded provider for that area/population moving forward.

This opportunity supports primary care services under CFDA 93.224 (Consolidated Health Centers), which includes community health centers as well as health center funding streams for special populations such as Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care. The program’s intent is continuity and comprehensive access: HRSA is looking for an applicant that can take responsibility for the full announced service area and the full patient population already being served, while maintaining the same or comparable scope of comprehensive primary health care services. The SAC structure is not designed for partial coverage or niche proposals; applicants are expected to step into a role that preserves access for existing patients and maintains a full-service health center model for that community.

Eligibility is limited to public entities or nonprofit private entities, and HRSA explicitly includes tribal organizations, faith-based organizations, and community-based organizations as eligible applicants, as long as they propose to serve the same service area(s) and/or population(s) that HRSA has identified in the competition materials (Appendix D). Both existing grantees and new organizations may apply, but the proposal must cover the entire announced service area and the entire currently served population. HRSA also allows a consortium model, where multiple health centers partner together and apply as a combined organization if that partnership enables them to serve the full service area and/or population.

The competition includes several practical requirements meant to protect continuity of care and ensure responsible use of federal funds. Competing organizations must: (a) provide services across the entire announced service area, (b) serve the entire population currently being served (not just a subset), (c) deliver the same or comparable comprehensive primary health care services already being provided, (d) use federal funds to serve patients who are currently served by the existing grantee, and (e) request an amount of federal funding that is equal to or less than what the current grantee receives for that service area/population, including any special population funding (migrant, homeless, public housing). In other words, applicants are expected to demonstrate they can assume full responsibility for the service area and patients without expanding the federal award amount beyond what is already being provided.

From a funding and timeline standpoint, HRSA anticipated about 45 awards with an estimated total funding level of $50,533,000. There is no cost-sharing or matching requirement listed, which generally means applicants are not required to provide a specific non-federal match as a condition of receiving the award. The opportunity was posted on August 25, 2010, with an application closing date of December 1, 2010, and an archive date of January 30, 2011. While the notice includes some date references tied to which grantees may be eligible based on project period end dates, the central eligibility concept is consistent: only entities proposing to cover the full competed service area/population identified by HRSA can apply, and they must be prepared to operate a comprehensive primary care program consistent with what is already in place.

For applicants or interested parties needing help accessing the full announcement materials, HRSA provided support through the HRSA Call Center (CallCenter@HRSA.GOV) and phone contact options, and also included an additional information link to the HRSA grants portal.

Service Area Competitions (SAC) Grant (HRSA-11-013) FAQs

What is the Service Area Competitions (SAC) grant opportunity?

The Service Area Competitions (SAC) grant opportunity (Funding Opportunity Number HRSA-11-013) is a discretionary grant program run by the Health Resources and Services Administration (HRSA). It funds organizations to deliver comprehensive primary health care in specific underserved communities or for specific underserved populations that HRSA has already identified for competition.

What is the purpose of SAC competitions?

SAC competitions are designed to preserve continuity and comprehensive access to care. HRSA uses SAC when it opens a competition for a specific geographic service area or a specific patient population currently being served under the Health Center Program, and applicants compete to become the funded provider for that service area/population moving forward.

What program and CFDA number does this opportunity fall under?

This opportunity supports primary care services under CFDA 93.224, Consolidated Health Centers.

What types of health center programs are included under CFDA 93.224 for this opportunity?

CFDA 93.224 includes community health centers and also health center funding streams for special populations, including Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care.

How does HRSA define the service areas or populations that can be competed under SAC?

The competed service areas and/or populations are those HRSA has already announced, primarily through Appendix D of the program guidance and/or through postings on Grants.gov. Applications must align to the specific service area(s) and/or population(s) identified in those competition materials.

Is SAC a competitive grant process?

Yes. SAC is a competitive process tied to defined service areas and/or populations that HRSA has announced. Applicants compete to be selected as the funded provider for the identified area/population.

Who is eligible to apply?

Eligibility is limited to public entities or nonprofit private entities. HRSA explicitly includes tribal organizations, faith-based organizations, and community-based organizations as eligible applicants, as long as they propose to serve the same service area(s) and/or population(s) identified by HRSA for the competition.

Can current grantees apply? Can new organizations apply?

Both existing grantees and new organizations may apply. However, the proposal must cover the entire announced service area and the entire patient population currently being served for that service area/population.

Does an applicant have to cover the entire service area listed in the competition?

Yes. A practical requirement of the competition is that applicants provide services across the entire announced service area. The SAC structure is not designed for partial geographic coverage.

Does an applicant have to serve the entire currently served patient population?

Yes. Applicants are expected to serve the entire population currently being served, not just a subset. The intent is to maintain continuity of care for existing patients.

Are niche proposals or partial-service proposals allowed under SAC?

No. SAC is not designed for partial coverage or niche proposals. Applicants are expected to maintain the same or comparable scope of comprehensive primary health care services already being provided and to step into a full-service health center role for the announced service area/population.

What level of services must the applicant provide?

The applicant must deliver the same or comparable comprehensive primary health care services already being provided in the competed service area/population, consistent with a full-service health center model.

Are there specific continuity-of-care expectations tied to use of federal funds?

Yes. Competing organizations must use federal funds to serve patients who are currently served by the existing grantee in the announced service area/population.

How much funding can an applicant request?

Applicants must request an amount of federal funding that is equal to or less than what the current grantee receives for that service area/population, including any special population funding streams (migrant, homeless, public housing).

Can the SAC application propose increasing the federal award above the current level?

No. Based on the competition requirements described, applicants are expected to assume full responsibility for the service area and patients without expanding the federal award amount beyond what is already being provided for that area/population.

Can multiple organizations apply together as a partnership?

Yes. HRSA allows a consortium model where multiple health centers partner and apply as a combined organization, if that partnership enables them to serve the full announced service area and/or the full patient population.

What are the key practical requirements applicants must meet in the competition?

Applicants must: (a) provide services across the entire announced service area, (b) serve the entire population currently being served, (c) deliver the same or comparable comprehensive primary health care services already being provided, (d) use federal funds to serve current patients served by the existing grantee, and (e) request a federal funding amount equal to or less than the current grantee award for that service area/population (including special population funding where applicable).

How many awards and how much total funding were anticipated?

HRSA anticipated about 45 awards with an estimated total funding level of $50,533,000.

Is there a cost-sharing or matching requirement?

No cost-sharing or matching requirement was listed for this opportunity, which generally means applicants were not required to provide a specific non-federal match as a condition of receiving the award.

When was the opportunity posted, and what were the key dates?

The opportunity was posted on August 25, 2010. The application closing date was December 1, 2010, and the archive date was January 30, 2011.

Where can applicants find the specific service areas/populations being competed?

The specific competed service areas and/or populations are identified by HRSA in the competition materials, primarily through Appendix D of the program guidance and/or through postings on Grants.gov.

What is the core intent of HRSA in selecting a SAC awardee?

HRSA is looking for an applicant that can take responsibility for the full announced service area and the full patient population already being served, while maintaining the same or comparable scope of comprehensive primary health care services to preserve access for existing patients.

How can someone get help accessing the full announcement materials?

HRSA provided support through the HRSA Call Center at CallCenter@HRSA.GOV and phone contact options, and also included an additional information link to the HRSA grants portal.

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