Opportunity Information: Apply for HRSA 09 194

  • The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Telehealth Network Grant Program" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.211 Telehealth Programs.
  • This funding opportunity was created on Jan 9, 2009 and posted on Jan 8, 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 $3,430,000.00 to eligible and selected applicants.
  • The number of recipients for this funding is limited to 14 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
  • TNGP A grantee must be a nonprofit or public entity that will provide services through a telehealth network (TNGP TH) to rural or underserved urban communities or through a telehomecare network (TNGP THC) to patients in their homes located in either urban underserved or rural communities. Although the grantee must provide proof of being a non profit or public entity, other entities participating in the network may be nonprofit, public or for profit entities. The eligibility of networks serving urban communities, however, is subject to the Congress appropriating funds in FY 2009 that exceed the FY 2001 funding level for these networks. If the level of appropriated funds is less than the FY 2001 level, these grants will be restricted to networks that only serve rural communities, although the grantee may be located in an urban area. Faith based and community based organizations are eligible under the TNGP, as well as American Indian and/or Alaska Native Tribal Organizations that meet all the eligibility requirements. TNGP TH grantees include in the network at least two (2) of the following entities (at least one (1) of which shall be a community based health care provider (a) community or migrant health centers or other federally qualified health centers (b) health care providers, including pharmacists, in private practice (c) entities operating clinics, including rural health clinics (d) local health departments (e) nonprofit hospitals, including community (critical) access hospitals (f) other publicly funded health or social service agencies (g) long term care providers (h) providers of health care services in the home (i) providers of outpatient mental health services and entities operating outpatient mental health facilities (j) local or regional emergency health care providers (k) institutions of higher education or (l) entities operating dental clinics. TNGP THC grantees are experienced in providing telehealth services, have a substantial caseload, are targeted to patients with chronic illnesses and senior citizens, have a history of doing evaluations and monitoring telehomecare network performance in terms of quality, cost, and effectiveness or services. Telehomecare network grantees should have demonstrated experience in providing telehomecare services. TNGP A grantee must be a nonprofit or public entity that will provide services through a telehealth network (TNGP TH) to rural or underserved urban communities or .........
Apply for HRSA 09 194

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Opportunity Summary:

The Telehealth Network Grant Program (TNGP), administered by the Health Resources and Services Administration (HRSA), is a discretionary grant opportunity designed to show, in practical and measurable ways, how telehealth networks can improve access to quality health care in communities that are traditionally harder to serve. The program focuses on both rural areas and underserved urban communities, with an emphasis on using telehealth not just as a piece of technology, but as a coordinated network approach that expands care availability, strengthens provider capacity, and improves the flow and usefulness of health information for clinicians and patients.

At a high level, the opportunity supports two related tracks. The first is the Telehealth Network (TNGP TH) approach, which funds networks that demonstrate how telehealth can (a) expand access to health services, (b) better coordinate and improve the quality of care, (c) improve and expand training for health care providers, and/or (d) expand and improve the quality of health information available to providers, patients, and families. In other words, applicants are expected to show that telehealth can solve real service-delivery problems such as distance, workforce shortages, fragmented care, and limited local specialty access, while also improving the skills and readiness of the health care workforce and strengthening patient and provider education.

The second track is the Telehomecare Network (TNGP THC) approach, which targets clinical care and remote patient monitoring delivered in a patient’s residence using telehealth technologies. This portion of the program is especially oriented toward people with chronic illnesses and senior citizens, reflecting the reality that these groups often have ongoing care needs, face barriers to frequent in-person visits, and can benefit from regular monitoring and proactive care management at home. A key expectation for telehomecare awards is evaluation: projects should focus on assessing the cost effectiveness of telehomecare services and monitoring network performance in terms of quality, cost, and service effectiveness. The announcement notes that home-based case management models may be included, involving oversight by physicians, hospitals, medical clinics, home health agencies, or other providers supervising patient care in the home.

Funding for this opportunity (Funding Opportunity Number HRSA-09-194; CFDA 93.211 Telehealth Programs) was posted in early January 2009, with an application deadline of March 6, 2009. HRSA anticipated making 14 awards with an estimated total funding level of $3,430,000. The program does not require cost sharing or matching, which lowers the barrier for organizations that can deliver strong network plans but may not have additional funds to contribute.

Eligibility is structured around the organization leading the project and the broader network participating in it. The applicant (the grantee) must be a nonprofit or public entity that will provide services through either a telehealth network serving rural or underserved urban communities (TNGP TH) or a telehomecare network serving patients in their homes located in rural or underserved urban communities (TNGP THC). While the lead organization must prove nonprofit or public status, the other participating network entities may be nonprofit, public, or for-profit, which allows networks to include a mix of hospitals, clinics, technology partners, and other service providers as appropriate.

The program also includes a specific caveat regarding networks serving urban communities. Urban eligibility depends on whether Congress appropriated funds in FY 2009 above the FY 2001 funding level for these networks. If appropriations did not exceed that older baseline level, awards would be limited to networks that serve rural communities only, although the grantee itself could still be located in an urban area. This kind of limitation matters for planning because it affects who the network can serve and how the service area should be defined in the application.

For the Telehealth Network (TNGP TH) projects, the network must include at least two participating entities from a defined list, and at least one of those must be a community-based health care provider. The eligible entity types include, among others: community or migrant health centers and other federally qualified health centers; private practice health care providers (including pharmacists); rural health clinics and other clinic operators; local health departments; nonprofit hospitals including critical access hospitals; publicly funded health or social service agencies; long-term care providers; home health providers; outpatient mental health providers and facilities; local or regional emergency health care providers; institutions of higher education; and dental clinic operators. This structure signals that HRSA wants real service networks, not single-site telehealth programs, and it also encourages networks that connect multiple points of care such as primary care, specialty care, behavioral health, emergency services, and supportive services.

For Telehomecare Network (TNGP THC) projects, the eligibility expectations are more experience-driven. Applicants should already be experienced in providing telehealth services, have a substantial caseload, and target patients with chronic illnesses and senior citizens. They should also have a history of evaluation and performance monitoring focused on quality, cost, and service effectiveness, and demonstrated experience specifically providing telehomecare services. This emphasis reflects that home monitoring programs can be clinically and operationally complex, so HRSA is looking for applicants that can both deliver care and credibly measure whether the model is improving outcomes and controlling costs.

The opportunity explicitly welcomes a broad range of mission-driven applicants, including faith-based and community-based organizations, as well as American Indian and Alaska Native Tribal Organizations that meet the eligibility requirements. That inclusion aligns with the program’s underlying goal of reaching underserved populations and supporting networks that are rooted in community needs and capable of delivering culturally appropriate services.

For applicants or stakeholders seeking the original announcement details, HRSA provided an online link through the HRSA grants site, and assistance was available through the HRSA Call Center (CallCenter@HRSA.GOV and 877-464-4772, among other contact options).

Telehealth Network Grant Program (TNGP) FAQs

1) What is the Telehealth Network Grant Program (TNGP)?

The Telehealth Network Grant Program (TNGP) is a discretionary grant opportunity administered by the Health Resources and Services Administration (HRSA). It is designed to demonstrate, in practical and measurable ways, how telehealth networks can improve access to quality health care in communities that are traditionally harder to serve, including rural areas and underserved urban communities.

2) What is the main goal of TNGP?

The program aims to show how telehealth, implemented as a coordinated network approach (not just a standalone technology), can expand care availability, strengthen provider capacity, and improve the flow and usefulness of health information for clinicians and patients in underserved settings.

3) What are the two tracks supported by this funding opportunity?

The opportunity supports two related tracks: (1) the Telehealth Network (TNGP TH) approach and (2) the Telehomecare Network (TNGP THC) approach.

4) What is the Telehealth Network (TNGP TH) approach intended to support?

TNGP TH supports telehealth networks that demonstrate how telehealth can: expand access to health services; better coordinate and improve the quality of care; improve and expand training for health care providers; and/or expand and improve the quality of health information available to providers, patients, and families.

5) What kinds of service-delivery problems is TNGP TH meant to address?

TNGP TH is intended to show how telehealth can solve real service-delivery challenges such as distance barriers, workforce shortages, fragmented care, and limited local specialty access, while also improving workforce readiness and strengthening patient and provider education.

6) What is the Telehomecare Network (TNGP THC) approach?

TNGP THC targets clinical care and remote patient monitoring delivered in a patient's residence using telehealth technologies. It is especially oriented toward people with chronic illnesses and senior citizens.

7) Who is the Telehomecare Network (TNGP THC) track primarily designed to serve?

The telehomecare track focuses on patients with chronic illnesses and senior citizens, reflecting that these groups often have ongoing care needs, may face barriers to frequent in-person visits, and can benefit from regular monitoring and proactive care management at home.

8) Are TNGP THC projects expected to evaluate their results?

Yes. A key expectation for telehomecare awards is evaluation, including assessing the cost effectiveness of telehomecare services and monitoring network performance related to quality, cost, and service effectiveness.

9) Can home-based case management models be included under TNGP THC?

Yes. The announcement notes that home-based case management models may be included, involving oversight by physicians, hospitals, medical clinics, home health agencies, or other providers supervising patient care in the home.

10) What is the Funding Opportunity Number (FON) for this grant?

The Funding Opportunity Number is HRSA-09-194.

11) What is the CFDA number and program name associated with this opportunity?

The CFDA is 93.211, Telehealth Programs.

12) When was this opportunity posted and what was the application deadline?

The opportunity was posted in early January 2009, and the application deadline was March 6, 2009.

13) How many awards did HRSA anticipate making, and what was the estimated total funding level?

HRSA anticipated making 14 awards, with an estimated total funding level of $3,430,000.

14) Is cost sharing or matching required?

No. The program does not require cost sharing or matching.

15) Who can be the applicant (the grantee) for TNGP?

The applicant (grantee) must be a nonprofit or public entity that will provide services through either a telehealth network serving rural or underserved urban communities (TNGP TH) or a telehomecare network serving patients in their homes located in rural or underserved urban communities (TNGP THC).

16) Do all network partners need to be nonprofit or public entities?

No. While the lead organization must demonstrate nonprofit or public status, other participating network entities may be nonprofit, public, or for-profit.

17) Are faith-based and community-based organizations allowed to apply?

Yes. The opportunity explicitly welcomes a broad range of mission-driven applicants, including faith-based and community-based organizations, as long as they meet eligibility requirements.

18) Are American Indian and Alaska Native Tribal Organizations eligible?

Yes. American Indian and Alaska Native Tribal Organizations are welcomed if they meet the eligibility requirements.

19) What is the key urban eligibility caveat mentioned in the announcement?

Urban eligibility depends on whether Congress appropriated funds in FY 2009 above the FY 2001 funding level for these networks. If appropriations did not exceed that baseline level, awards would be limited to networks that serve rural communities only.

20) If urban service is limited due to appropriations, can the grantee still be located in an urban area?

Yes. The announcement indicates that even if awards are limited to networks serving rural communities only, the grantee itself could still be located in an urban area.

21) What network composition is required for Telehealth Network (TNGP TH) projects?

For TNGP TH, the network must include at least two participating entities from a defined list, and at least one of those must be a community-based health care provider.

22) What types of entities are listed as eligible participants for TNGP TH networks?

The eligible participating entity types listed include community or migrant health centers and other federally qualified health centers; private practice health care providers (including pharmacists); rural health clinics and other clinic operators; local health departments; nonprofit hospitals including critical access hospitals; publicly funded health or social service agencies; long-term care providers; home health providers; outpatient mental health providers and facilities; local or regional emergency health care providers; institutions of higher education; and dental clinic operators.

23) What does HRSA appear to be emphasizing by requiring multiple entities in TNGP TH?

The structure signals that HRSA wants real service networks rather than single-site telehealth programs, and encourages networks that connect multiple points of care such as primary care, specialty care, behavioral health, emergency services, and supportive services.

24) What experience expectations are described for Telehomecare Network (TNGP THC) applicants?

TNGP THC applicants are expected to already be experienced in providing telehealth services, have a substantial caseload, and target patients with chronic illnesses and senior citizens. They should also have a history of evaluation and performance monitoring focused on quality, cost, and service effectiveness, along with demonstrated experience providing telehomecare services.

25) Where could applicants find the original announcement and get help?

HRSA provided an online link through the HRSA grants site, and assistance was available through the HRSA Call Center at CallCenter@HRSA.GOV and 877-464-4772.

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