Opportunity Information: Apply for HRSA 13 207
Apply for HRSA 13 207
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "State Implementation Grants for Improving Services for Children and Youth with Autism Spectrum Disorder and other Developmental Disabilities" 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 May 15, 2013 and posted on May 9, 2013.
- Applicants must submit their applications by Jun 10, 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 $300,000.00 in funding.
- 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) Native American tribal organizations (other than Federally recognized tribal governments) Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education.
- Public or private nonprofit agencies, including institutions of higher education, Indian tribes or tribal organizations, faith based and community based organizations (as those terms are defined at 25 U.S.C. 450b), are eligible to apply for Federal fundin
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Opportunity Summary:
The State Implementation Grants for Improving Services for Children and Youth with Autism Spectrum Disorder and other Developmental Disabilities (HRSA-13-207) is a discretionary grant program run by the Health Resources and Services Administration (HRSA) under CFDA 93.110 (Maternal and Child Health Federal Consolidated Programs). Its central goal is to strengthen statewide systems so children and youth with autism spectrum disorder (ASD) and other related developmental disabilities (DDs) can access comprehensive, coordinated health care and related supports. The program is built around three big levers: improving early and ongoing screening, building better care coordination through a family-centered medical home model, and raising awareness of ASD/DD signs and service pathways among both the public and providers.
The program aim is specific and time-bound: children and youth with ASD/DD should be identified by 24 months and have access to a family-centered medical home and comprehensive, coordinated care. To move toward that aim, applicants are expected to pursue measurable outcomes that push earlier identification and faster connection to services. In particular, the FOA emphasizes increasing the number of children who are identified by 24 months, receive a first evaluation by 36 months, and are enrolled in intervention services by 48 months, while directly reducing practical barriers that slow down screening, referral, and diagnosis. In addition to timeliness, the program stresses culturally competent care and better coordination between primary care and pediatric subspecialties, with the expectation that families can more easily navigate community-based systems without getting lost between agencies.
A major theme is improving how services are organized at the state and community level so they feel coherent to families rather than fragmented. The FOA calls for improvements that make systems easier to use, expand public and provider awareness of ASD/DD signs and symptoms, and elevate family satisfaction by strengthening shared decision-making between families and providers. It also places meaningful weight on family and youth engagement, not as an add-on but as a consistent role in program planning, implementation, and evaluation.
On the required implementation side, applicants must create and use a program advisory panel to guide improvements to the state system of care. HRSA expects this panel to include a broad range of ASD/DD stakeholders, such as the State Title V Children with Special Health Care Needs (CSHCN) program, primary care leaders (including the state chapter of the American Academy of Pediatrics), pediatric specialists, family leaders and parent organizations (for example Family Voices and local autism support groups), state and community agencies, legislators, public and private payers, and schools. Applicants need to show they already have some working connections and the capacity to build durable partnerships across these groups, since the grant is designed to change systems, not just run a stand-alone project.
A comprehensive statewide needs assessment is another core requirement. Applicants are expected to describe findings from that assessment in the application; however, if final findings are not ready, the FOA allows the first three months of the grant period to complete the needs assessment. That assessment must describe the current state system of services for children and youth with ASD/DD and clearly identify the most medically underserved populations in the state in relation to ASD/DD services. The intent is to ensure the state plan is grounded in real gaps such as geographic shortages, workforce limitations, insurance or coverage barriers, language access issues, and disparities affecting underserved communities.
The FOA expects applicants to implement an existing statewide plan aligned with the program objectives. That plan should directly target earlier screening and diagnosis, increased access to culturally competent family-centered medical homes, improved usability and capacity of community-based service systems, broader awareness among the public and providers, stronger shared decision-making, and deeper family and youth involvement across the project lifecycle. Alongside the plan, applicants must implement comprehensive medical home activities that go beyond referral management and include health promotion, preventive services, and ongoing routine care. HRSA frames the medical home as the central coordination hub for chronic conditions like ASD, responsible for routine developmental monitoring and screening, initiating timely referrals when concerns are identified, maintaining ongoing communication with families, and using a proactive team-based approach to manage care. The medical home model in this FOA also includes coordination across complex systems (notably health and education), co-management with specialists, and support for transitions, including movement into adult care.
In terms of deliverables and outreach, grantees are expected to conduct community outreach and provide education to increase awareness of ASD/DD, using CDC Learn the Signs. Act Early. materials when appropriate. Applicants must also develop a central statewide repository that connects families to ASD/DD information, services, and resources, essentially creating a clearer navigation tool or hub for families and providers. Evaluation is not optional: applicants must build a comprehensive evaluation plan that uses national, state, and community data to measure progress on the program purpose, aim, and objectives, track project-specific goals, and align with Healthy People 2020 Maternal, Infant, and Child Health (MICH) Objective 29, which focuses on timely screening, evaluation, and early intervention enrollment for young children with ASD and developmental delays. Finally, applicants must submit a sustainability plan describing how key activities will continue after federal funding ends.
After award, grantees have additional coordination and participation requirements tied to HRSA and the Maternal and Child Health Bureau (MCHB). Funded states are expected to coordinate with other MCHB-supported initiatives, including LEND training programs, intervention research programs, the State Public Health Coordinating Center, Family to Family Health Information Centers, and State Implementation Grants for CSHCN, among other related programs referenced in the FOA background. Grantees must also budget for travel for two staff to attend an annual grantee meeting in the greater Washington, DC area that convenes MCHB Combating Autism Act Initiative (CAAI) grantees, and for two staff to attend the annual Autism State Program Meeting for State Autism Implementation Grantees. Ongoing coordination is reinforced through regularly scheduled conference calls, and grantees must participate. Evaluation continues at the federal level as well: grantees are required to cooperate with MCHB's evaluation contractor for the State Autism Program Evaluation, which includes both quantitative and qualitative data collection.
From the funding details provided in the source data, HRSA expected to make about five awards, with an award ceiling of $300,000 and no cost sharing or matching requirement. Eligible applicants include public or private nonprofit agencies (including institutions of higher education), Indian tribes or tribal organizations, and faith-based and community-based organizations as defined in federal statute. The opportunity was posted in May 2013 with a June 10, 2013 closing date and is archived as of August 9, 2013, but the structure of the FOA clearly reflects a systems-improvement model focused on earlier identification, stronger medical home-based coordination, family partnership, and statewide alignment across health, education, and community services.
Frequently Asked Questions (FAQs)
What is the State Implementation Grants program (HRSA-13-207)?
HRSA-13-207 is a discretionary grant program run by the Health Resources and Services Administration (HRSA) under CFDA 93.110 (Maternal and Child Health Federal Consolidated Programs). It is designed to strengthen statewide systems so children and youth with autism spectrum disorder (ASD) and other related developmental disabilities (DDs) can access comprehensive, coordinated health care and related supports.
What is the central goal of this funding opportunity?
The central goal is statewide systems improvement. The focus is on making services and supports more comprehensive, coordinated, and easier to navigate for children and youth with ASD/DD and their families, rather than operating a stand-alone project.
What are the main strategies (or "levers") emphasized in the FOA?
The FOA is built around three major strategies: (1) improving early and ongoing screening, (2) strengthening care coordination through a family-centered medical home model, and (3) increasing awareness of ASD/DD signs and how to access services among both the public and providers.
What is the time-bound program aim for identification and care?
The FOA states a specific aim: children and youth with ASD/DD should be identified by 24 months and have access to a family-centered medical home and comprehensive, coordinated care.
What measurable timing outcomes does the FOA prioritize?
The FOA emphasizes increasing the number of children who: are identified by 24 months, receive a first evaluation by 36 months, and are enrolled in intervention services by 48 months. Applicants are also expected to reduce practical barriers that slow screening, referral, and diagnosis.
Does the FOA address barriers and disparities in access to ASD/DD services?
Yes. The FOA places weight on reducing practical barriers that delay screening, referral, and diagnosis, and it requires identification of medically underserved populations in the statewide needs assessment. Examples of gaps referenced include geographic shortages, workforce limitations, insurance/coverage barriers, language access issues, and disparities impacting underserved communities.
How does the FOA define the desired service experience for families?
A major theme is improving how services are organized at the state and community level so the system feels coherent rather than fragmented. The FOA highlights improvements that make systems easier to use and help families navigate community-based systems without getting lost between agencies.
What role do families and youth play in the grant's approach?
Family and youth engagement is treated as a consistent role in program planning, implementation, and evaluation. The FOA also stresses shared decision-making between families and providers and aims to increase family satisfaction.
Is an advisory panel required?
Yes. Applicants must create and use a program advisory panel to guide improvements to the state system of care.
Who is expected to be represented on the program advisory panel?
HRSA expects broad stakeholder representation, including (as examples in the FOA): the State Title V Children with Special Health Care Needs (CSHCN) program, primary care leaders (including the state chapter of the American Academy of Pediatrics), pediatric specialists, family leaders and parent organizations (such as Family Voices and local autism support groups), state and community agencies, legislators, public and private payers, and schools.
Does the FOA expect applicants to already have partnerships in place?
Applicants need to demonstrate working connections and capacity to build durable partnerships across stakeholders, since the grant is intended to change systems at the state level rather than operate in isolation.
Is a statewide needs assessment required?
Yes. A comprehensive statewide needs assessment is a core requirement, and applicants are expected to describe findings from that assessment in the application.
What if the statewide needs assessment is not finished when applying?
If final findings are not ready, the FOA allows the first three months of the grant period to complete the needs assessment.
What must the needs assessment cover?
The needs assessment must describe the current state system of services for children and youth with ASD/DD and clearly identify the most medically underserved populations in the state related to ASD/DD services.
Does the FOA require an existing statewide plan?
Yes. The FOA expects applicants to implement an existing statewide plan aligned with the program objectives.
What topics should the statewide plan address?
The plan is expected to directly target earlier screening and diagnosis, increased access to culturally competent family-centered medical homes, improved usability and capacity of community-based service systems, broader awareness among the public and providers, stronger shared decision-making, and deeper family and youth involvement across the project lifecycle.
What does HRSA mean by a family-centered medical home in this FOA?
HRSA frames the medical home as the central coordination hub for chronic conditions like ASD. It is responsible for routine developmental monitoring and screening, initiating timely referrals when concerns are identified, maintaining ongoing communication with families, and using a proactive team-based approach to manage care.
Do medical home activities need to go beyond referrals?
Yes. Applicants must implement comprehensive medical home activities that go beyond referral management and include health promotion, preventive services, and ongoing routine care.
Does the medical home model include coordination across systems like health and education?
Yes. The FOA includes coordination across complex systems (notably health and education), co-management with specialists, and support for transitions, including movement into adult care.
What outreach and education activities are expected?
Grantees are expected to conduct community outreach and provide education to increase awareness of ASD/DD. The FOA notes using CDC "Learn the Signs. Act Early." materials when appropriate.
Is a statewide information hub or repository required?
Yes. Applicants must develop a central statewide repository that connects families to ASD/DD information, services, and resources, functioning as a clearer navigation tool or hub for families and providers.
Is an evaluation plan required?
Yes. Applicants must build a comprehensive evaluation plan using national, state, and community data to measure progress on the program purpose, aim, and objectives, and to track project-specific goals.
Does the evaluation need to align with any specific national objective?
Yes. The FOA specifies alignment with Healthy People 2020 Maternal, Infant, and Child Health (MICH) Objective 29, which focuses on timely screening, evaluation, and early intervention enrollment for young children with ASD and developmental delays.
Is a sustainability plan required?
Yes. Applicants must submit a sustainability plan describing how key activities will continue after federal funding ends.
Are funded states required to coordinate with other HRSA/MCHB initiatives?
Yes. After award, grantees are expected to coordinate with other Maternal and Child Health Bureau (MCHB)-supported initiatives referenced in the FOA background, including LEND training programs, intervention research programs, the State Public Health Coordinating Center, Family to Family Health Information Centers, and State Implementation Grants for CSHCN.
Are there required meetings, calls, or participation expectations after award?
Yes. Grantees must participate in regularly scheduled conference calls. They also must budget travel for two staff to attend an annual grantee meeting in the greater Washington, DC area convening MCHB Combating Autism Act Initiative (CAAI) grantees, and for two staff to attend the annual Autism State Program Meeting for State Autism Implementation Grantees.
Are grantees required to participate in a federal evaluation?
Yes. Grantees are required to cooperate with MCHB's evaluation contractor for the State Autism Program Evaluation, which includes quantitative and qualitative data collection.
How many awards were expected and what was the maximum award amount?
Based on the funding details provided, HRSA expected to make about five awards, with an award ceiling of $300,000.
Is cost sharing or matching required?
No. The FOA states there is no cost sharing or matching requirement.
Who was eligible to apply for this opportunity?
Eligible applicants included public or private nonprofit agencies (including institutions of higher education), Indian tribes or tribal organizations, and faith-based and community-based organizations as defined in federal statute.
When was this opportunity posted and when did it close?
The opportunity was posted in May 2013 with a closing date of June 10, 2013.
Is this funding opportunity still active?
The listing is described as archived as of August 9, 2013.
What kind of model does the FOA reflect overall?
The FOA reflects a systems-improvement model focused on earlier identification, stronger medical home-based coordination, family partnership, and statewide alignment across health, education, and community services.
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