Opportunity Information: Apply for HRSA 09 159
Apply for HRSA 09 159
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "State Implementation Grants for Integrated Community Systems for CSHCN" 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 Jan 27, 2009 and posted on Jan 27, 2009.
- Applicants must submit their applications by Mar 6, 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 $1,800,000.00 to eligible and selected applicants.
- Each selected applicant is eligible to receive up to $300,000.00 in funding.
- The number of recipients for this funding is limited to 6 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- As cited in 42 CFR Part 51a.3 (a), any public or private entity, including an Indian tribe or tribal organization, faith based and community based organization (as those terms are defined at 25 U.S.C. 450b), is eligible to apply for this Federal funding As cited in 42 CFR Part 51a.3 (a), any public or private entity, including an Indian tribe or tribal organization, faith based and community based organization (as those terms are defined at 25 U.S.C. 450b), is eligible to apply for this Federal funding
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Opportunity Summary:
State Implementation Grants for Integrated Community Systems for CSHCN (HRSA-09-159) was a discretionary grant opportunity from the Health Resources and Services Administration (HRSA), under the Maternal and Child Health Bureau (MCHB), designed to help states put in place stronger, more inclusive community-based service systems for children and youth with special health care needs (CYSHCN). The initiative sits under the HRSA portion of the Presidents New Freedom Initiative and focuses on moving beyond isolated programs toward a coordinated statewide system where health care and related supports are easier for families to access, better connected across agencies, and more effective over time.
The grant centers on building or improving a statewide system across six core components. These include (1) meaningful family-professional partnerships so families are treated as true partners in planning and care, (2) comprehensive health care delivered through a medical home model, emphasizing coordinated, continuous, family-centered care, (3) access to adequate health insurance coverage so care is financially attainable, (4) early and continuous screening to identify needs promptly and reduce delays in diagnosis or intervention, (5) organization of community services so families can navigate supports more easily rather than dealing with fragmented entry points, and (6) transition planning to adult health care, work, and independence so youth do not lose services or continuity as they age out of pediatric systems. The program expectation is statewide implementation, meaning applicants are not just piloting a small project but creating changes that can be spread and maintained across communities.
Applicants were expected to be the State Title V Program for Children with Special Health Care Needs or to work closely with it, reflecting the intent to embed this work in the states established maternal and child health infrastructure. A key prerequisite was having a complete and current statewide needs assessment that clearly describes where the state stands on each of the six system components. Building from that assessment, applicants needed to work with partners across public and private sectors to develop and carry out a statewide plan that uses evidence-based strategies and best-practice models recommended by MCHB, rather than relying only on locally invented approaches without proof of effectiveness.
Another major requirement was integration: the statewide plan was expected to be incorporated into the Title V Block Grant and aligned with other public and private programs that serve CYSHCN and their families. In practical terms, this meant the project could not operate as a stand-alone grant effort. It needed to influence how the state plans, funds, and coordinates services across agencies and systems, improving the consistency of care coordination, eligibility pathways, referral relationships, and shared goals.
The opportunity also emphasized strong evaluation and accountability. Applicants had to define a comprehensive evaluation plan that uses national, state, and community data, and they needed to demonstrate the ability to collect, analyze, and report system outcomes tied to CYSHCN. This focus on systems outcomes points to measuring changes in access, coordination, and service integration (not just counting activities), such as improvements in medical home access, screening continuity, insurance adequacy, service usability for families, and transition supports.
A specific implementation strategy included organizing and leading teams that would participate in learning collaboratives aimed at improving access to a medical home. Learning collaboratives generally involve structured, multi-site quality improvement work, shared metrics, peer learning, and rapid-cycle testing of changes. The intent here was to create practical improvements in clinical and community settings and to spread successful approaches statewide.
Finally, applicants needed to show sustainability beyond the federal grant period. HRSA wanted evidence that states could maintain the work after funding ended, typically through policy changes, integration into Title V planning and financing, strengthened interagency agreements, workforce development, and embedding quality improvement and data reporting into routine operations.
In terms of funding specifics, HRSA anticipated making 6 awards, with an estimated total funding amount of $1,800,000. Each award was set at $300,000 (both the ceiling and the floor), and there was no cost-sharing or matching requirement. The program fell under CFDA 93.110 (Maternal and Child Health Federal Consolidated Programs). The announcement was posted January 27, 2009, with an application closing date of March 6, 2009, and an archive date of March 27, 2009.
Eligibility, as cited in 42 CFR Part 51a.3(a), was broad on paper and included any public or private entity, including Indian tribes or tribal organizations, and faith-based and community-based organizations (as defined at 25 U.S.C. 450b). However, because the project had to be tied closely to the State Title V CYSHCN program and required statewide planning, needs assessment, and integration into Title V processes, successful applicants effectively needed strong state-level partnerships and the capacity to operate at a statewide systems-change level. For access or technical help, HRSA directed applicants to the HRSA Call Center (CallCenter@HRSA.GOV) and the phone line 877-464-4772.
Frequently Asked Questions (FAQs)
What is the State Implementation Grants for Integrated Community Systems for CSHCN (HRSA-09-159) opportunity?
HRSA-09-159 was a discretionary grant opportunity from the Health Resources and Services Administration (HRSA), under the Maternal and Child Health Bureau (MCHB). It was designed to help states strengthen and integrate community-based service systems for children and youth with special health care needs (CYSHCN) so services are easier to access, better coordinated across agencies, and more effective over time.
How does this grant fit into broader federal initiatives?
This initiative sits under the HRSA portion of the President's New Freedom Initiative. It emphasizes moving beyond isolated programs toward a coordinated statewide system of care and supports for CYSHCN and their families.
Who is the grant intended to serve?
The work is focused on children and youth with special health care needs (CYSHCN) and their families, with the goal of improving access, coordination, and continuity across health care and related community supports.
What is the overall goal of the program?
The program goal is statewide implementation of a stronger, more inclusive, community-based system for CYSHCN. Rather than piloting a small project, applicants were expected to create changes that can be implemented, spread, and maintained across communities statewide.
What are the six core components the statewide system must address?
The grant centers on building or improving a statewide system across six core components:
- Meaningful family-professional partnerships (families treated as true partners in planning and care)
- Comprehensive health care through a medical home model (coordinated, continuous, family-centered care)
- Access to adequate health insurance coverage (care is financially attainable)
- Early and continuous screening (prompt identification of needs to reduce delays in diagnosis or intervention)
- Organization of community services (less fragmentation and easier navigation for families)
- Transition planning to adult health care, work, and independence (continuity as youth age out of pediatric systems)
What does "statewide implementation" mean in this opportunity?
Statewide implementation means the effort is not limited to a single community or small pilot. The grant expectation was to make changes that can be carried out across the state and sustained over time, influencing how systems coordinate and deliver services to CYSHCN.
Who was expected to apply?
Applicants were expected to be the State Title V Program for Children with Special Health Care Needs or to work closely with it. This reflects HRSA's intent to embed the work within the state's established maternal and child health infrastructure.
Is eligibility limited only to state government agencies?
Eligibility (42 CFR Part 51a.3(a)) was broad and included any public or private entity, including Indian tribes or tribal organizations, and faith-based and community-based organizations (as defined at 25 U.S.C. 450b). However, because the project had to be closely tied to the State Title V CYSHCN program and required statewide planning and integration, applicants effectively needed strong state-level partnerships and statewide systems-change capacity.
What key prerequisite was required before proposing a statewide plan?
A key prerequisite was having a complete and current statewide needs assessment that clearly describes the state's status on each of the six system components. The statewide plan was expected to build from that needs assessment.
What kind of strategies were applicants expected to use?
Applicants were expected to work with partners across public and private sectors and to use evidence-based strategies and best-practice models recommended by MCHB, rather than relying only on locally invented approaches without proof of effectiveness.
What does "integration" mean for this grant?
Integration means the statewide plan was expected to be incorporated into the Title V Block Grant and aligned with other public and private programs serving CYSHCN and their families. The project could not operate as a stand-alone grant effort; it needed to influence how the state plans, funds, and coordinates services across agencies and systems.
What kinds of system changes was HRSA looking for?
Based on the opportunity description, HRSA emphasized improvements in statewide coordination and consistency, such as stronger care coordination, clearer eligibility pathways, better referral relationships across programs, and shared goals across agencies and service systems.
What were the evaluation and accountability expectations?
Applicants had to define a comprehensive evaluation plan using national, state, and community data. They also needed to demonstrate the ability to collect, analyze, and report system outcomes tied to CYSHCN, focusing on systems outcomes (changes in access, coordination, and integration) rather than only counting activities.
What types of outcomes were emphasized?
The opportunity points to outcomes such as improvements in access to a medical home, continuity of screening, adequacy of insurance coverage, usability of services for families, and transition supports for youth moving into adult systems.
Was participation in learning collaboratives required?
A specific implementation strategy included organizing and leading teams that would participate in learning collaboratives aimed at improving access to a medical home.
What are learning collaboratives in the context of this grant?
Learning collaboratives are described as structured, multi-site quality improvement efforts that use shared metrics, peer learning, and rapid-cycle testing of changes. The intent was to create practical improvements in clinical and community settings and spread successful approaches statewide.
What did HRSA expect regarding sustainability after the grant ended?
Applicants needed to show sustainability beyond the federal grant period. HRSA wanted evidence that the work could continue after funding, typically through policy changes, integration into Title V planning and financing, strengthened interagency agreements, workforce development, and embedding quality improvement and data reporting into routine operations.
How many awards were anticipated, and what was the total funding?
HRSA anticipated making 6 awards, with an estimated total funding amount of $1,800,000.
How much was each award?
Each award was set at $300,000. The opportunity listed $300,000 as both the ceiling and the floor.
Was cost-sharing or matching required?
No. The opportunity stated there was no cost-sharing or matching requirement.
What is the CFDA number for this program?
The program fell under CFDA 93.110 (Maternal and Child Health Federal Consolidated Programs).
When was the announcement posted, and what were the key dates?
The announcement was posted January 27, 2009. The application closing date was March 6, 2009, and the archive date was March 27, 2009.
What kinds of organizations might have been technically eligible but still need strong partnerships to be competitive?
Because the program required statewide planning, a current statewide needs assessment, integration into Title V processes, and cross-sector alignment, organizations outside the State Title V CYSHCN program would generally need close coordination with that state program and the ability to operate at a statewide systems-change level.
Where could applicants get help or technical assistance?
HRSA directed applicants to the HRSA Call Center at CallCenter@HRSA.GOV or by phone at 877-464-4772.
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