Opportunity Information: Apply for HRSA 13 166

  • 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 Dec 13, 2012 and posted on Dec 13, 2012.
  • Applicants must submit their applications by Feb 13, 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 $250,000.00 in funding.
  • The number of recipients for this funding is limited to 9 candidate(s).
  • Eligible applicants include: Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education Native American tribal organizations (other than Federally recognized tribal governments) Others (see text field entitled Additional Information on Eligibility for clarification).
  • Eligible applicants include rural or urban nonprofit entities that will provide services through a telehealth network. Each entity participating in the networks may be a nonprofit or for profit entity. Faith based, community based organizations, and tri
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Opportunity Summary:

The Telehealth Network Grant Program (TNGP), offered by the Health Resources and Services Administration (HRSA), is a discretionary federal grant designed to show, in practical and measurable ways, how telehealth networks can improve access to high-quality health care in rural, frontier, and other underserved communities. The core idea is not simply to buy technology, but to use telehealth as a working service-delivery model that expands access to care that would otherwise be unavailable, strengthens coordination across providers and settings, and improves quality and outcomes for patients. In addition to direct clinical care, projects may also focus on expanding provider training and improving the quality and availability of health information for clinicians, patients, and families so they can make better decisions.

A central theme of the opportunity is innovation that matches real-world changes in health care delivery, with an emphasis on value and better outcomes. Applicants are encouraged to show how telehealth will solve concrete problems such as gaps in specialty access, fragmented care transitions, and avoidable hospital readmissions. The announcement specifically points to opportunities like post-discharge coordination and aligning telehealth services with newer delivery and payment models (for example, Accountable Care Organizations or Shared Savings approaches). It also signals alignment with broader Department of Health and Human Services priorities, including efforts tied to patient safety and quality improvement initiatives such as Partnership for Patients.

The program places a strong requirement on evidence-based design and credible evaluation. Applicants must explain how their approach is grounded in established clinical evidence and promising practices, recognizing that while the telehealth evidence base is still developing, there are published models that can be replicated. The notice encourages applicants to consult Telehealth Resource Centers to identify effective approaches and supporting literature. Operationally, each applicant must define the clinical area(s) the network will address, establish baseline data for the targeted conditions, and then measure how telehealth affects patient health status over time. A typical example offered is diabetes management, where a project might start with baseline blood glucose measures and then track improvements tied to better access and care coordination delivered through telehealth.

Projects can be implemented across many care settings, reflecting how telehealth is used in day-to-day practice. The program allows services to be delivered through long-term care facilities, community health centers and clinics, physician offices, hospitals, schools, and assisted living facilities, among others. However, even if the lead organization is located in an urban area, the grant-supported activities must serve rural communities, consistent with the statutory purpose of the program.

This opportunity is clearly aimed at organizations that already have telehealth experience and are ready to expand, rather than build from scratch. Applicants are expected to have a successful track record implementing telehealth technology and to have an established network of committed partners at the time of application. A key compliance point is the requirement to include signed Memoranda of Agreement (MOAs) from network partners, documenting concrete commitments such as roles, responsibilities, and the clinical services to be delivered. Applications that do not provide verifiable documentation of partner commitment and service details are not fundable. The program also emphasizes readiness to implement quickly upon award, with the referenced project start date of September 1, 2013, meaning proposals must be implementation-ready rather than purely conceptual.

Evaluation expectations are especially demanding and are treated as a major selection factor. Applicants must propose an evaluation design that measures both process and outcomes, with quantitative outcomes in areas such as quality of care, appropriateness of technology use, improved access, improved clinical outcomes, and cost impacts related to efficiency and effectiveness. The program expresses particular interest in projects that can clearly demonstrate cost savings, whether through reduced patient travel, fewer avoidable admissions or readmissions, lower hospitalization or emergency room utilization, improved chronic disease control (for example, blood glucose control in diabetes), improved operational efficiency, and reductions in medical errors. There is also a strong preference for measurable clinical services, and the announcement highlights chronic disease priorities including congestive heart failure, cancer, stroke, chronic respiratory disease, and diabetes.

Awardees must also participate in the Office for the Advancement of Telehealth (OAT) performance measurement and evaluation framework as a condition of funding. This includes submitting recurring progress reports (including 6-month updates), annual GPRA-related performance measures, annual reports, grantee directory information, and a final project report. The collected data is used to manage the program and advance the telehealth field, and grantees receive comparative feedback that benchmarks their performance against averages across OAT-funded programs.

From an infrastructure and compliance standpoint, the program places emphasis on integrating telehealth systems with administrative and clinical information systems, embedding telehealth into normal provider workflows, and moving toward meaningful use of Electronic Health Records. Applicants must also document steps to protect privacy and confidentiality for both patients and clinicians, including compliance with HIPAA and applicable federal and state privacy requirements. Finally, each application must include a sustainability plan explaining how services will continue after federal funding ends, signaling that HRSA is looking for networks that can transition from grant-supported expansion to durable operations.

In terms of basic funding details, this funding opportunity (HRSA-13-166) falls under CFDA 93.211 (Telehealth Programs). HRSA anticipated making 9 awards, with an award ceiling of $250,000 and no cost sharing or matching requirement. Eligible applicants include rural or urban nonprofit entities (including 501(c)(3) organizations) that will provide services through a telehealth network, and participating network entities may be nonprofit or for-profit. The opportunity was posted December 13, 2012, with an application deadline of February 13, 2013, and it was archived March 16, 2013.

Telehealth Network Grant Program (TNGP) FAQs (HRSA-13-166)

What is the Telehealth Network Grant Program (TNGP)?

The Telehealth Network Grant Program (TNGP) is a discretionary federal grant offered 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 high-quality health care in rural, frontier, and other underserved communities.

What is the main purpose of this grant opportunity?

The core purpose is to support telehealth as a working service-delivery model (not just technology purchases) that expands access to care that would otherwise be unavailable, strengthens coordination across providers and care settings, and improves quality and outcomes for patients.

Is the program mainly about buying telehealth equipment and technology?

No. The opportunity emphasizes that the goal is not simply to buy technology. Applicants are expected to show how telehealth will be used operationally to deliver services, improve coordination, and achieve measurable improvements in care and outcomes.

What types of activities can TNGP projects support besides direct clinical care?

In addition to direct clinical care, projects may focus on expanding provider training and improving the quality and availability of health information for clinicians, patients, and families to support better decision-making.

What kinds of health care problems is telehealth expected to address under this program?

Applicants are encouraged to show how telehealth will solve concrete problems such as gaps in specialty access, fragmented care transitions, and avoidable hospital readmissions. The notice also points to opportunities like post-discharge coordination.

How does the opportunity relate to newer health care delivery and payment models?

The announcement signals interest in aligning telehealth services with newer delivery and payment models, such as Accountable Care Organizations (ACOs) and Shared Savings approaches, with an emphasis on value and better outcomes.

Are there specific federal priorities or initiatives referenced in the opportunity?

Yes. The opportunity signals alignment with broader Department of Health and Human Services priorities, including patient safety and quality improvement initiatives such as Partnership for Patients.

What does HRSA mean by an evidence-based design requirement?

Applicants must explain how their approach is grounded in established clinical evidence and promising practices. While the telehealth evidence base is still developing, the notice recognizes that there are published models that can be replicated.

Are applicants encouraged to use any external resources when designing their telehealth approach?

Yes. The notice encourages applicants to consult Telehealth Resource Centers to identify effective approaches and supporting literature.

What evaluation expectations does the program set?

Evaluation is treated as a major selection factor. Applicants must propose an evaluation design that measures both process and outcomes, including quantitative outcomes related to quality of care, appropriateness of technology use, improved access, improved clinical outcomes, and cost impacts tied to efficiency and effectiveness.

Do applicants have to define clinical areas and collect baseline data?

Yes. Each applicant must define the clinical area(s) the network will address, establish baseline data for the targeted conditions, and then measure how telehealth affects patient health status over time.

Does the opportunity provide an example of how baseline and outcomes measurement might work?

Yes. A typical example referenced is diabetes management, where a project might start with baseline blood glucose measures and then track improvements tied to better access and care coordination delivered through telehealth.

What outcomes is HRSA especially interested in?

The program expresses particular interest in projects that can demonstrate cost savings and measurable impacts, such as reduced patient travel, fewer avoidable admissions or readmissions, lower hospitalization or emergency room utilization, improved chronic disease control (for example, blood glucose control in diabetes), improved operational efficiency, and reductions in medical errors.

Are specific clinical priority areas highlighted?

Yes. The announcement highlights a preference for measurable clinical services and points to chronic disease priorities including congestive heart failure, cancer, stroke, chronic respiratory disease, and diabetes.

What care settings can be included in a telehealth network under TNGP?

Projects can be implemented across many care settings, including long-term care facilities, community health centers and clinics, physician offices, hospitals, schools, and assisted living facilities, among others.

Can the lead organization be located in an urban area?

Yes. However, even if the lead organization is located in an urban area, the grant-supported activities must serve rural communities, consistent with the statutory purpose of the program.

Is this opportunity intended for new telehealth programs or experienced telehealth networks?

This opportunity is aimed at organizations that already have telehealth experience and are ready to expand rather than build from scratch. Applicants are expected to have a successful track record implementing telehealth technology and to have an established network of committed partners at the time of application.

What partner documentation is required in the application?

The application must include signed Memoranda of Agreement (MOAs) from network partners. These MOAs must document concrete commitments such as roles, responsibilities, and the clinical services to be delivered.

What happens if an application does not include the required partner MOAs?

Applications that do not provide verifiable documentation of partner commitment and service details are not fundable, according to the opportunity description.

How important is implementation readiness?

The program emphasizes readiness to implement quickly upon award. The referenced project start date is September 1, 2013, indicating proposals must be implementation-ready rather than purely conceptual.

Are awardees required to participate in HRSA/OAT performance measurement and evaluation?

Yes. Participation in the Office for the Advancement of Telehealth (OAT) performance measurement and evaluation framework is a condition of funding.

What types of reports and submissions are required under the OAT framework?

Required submissions include recurring progress reports (including 6-month updates), annual GPRA-related performance measures, annual reports, grantee directory information, and a final project report.

How does HRSA use the data submitted by grantees?

The collected data is used to manage the program and advance the telehealth field. Grantees also receive comparative feedback benchmarking their performance against averages across OAT-funded programs.

What infrastructure and workflow expectations are included in the opportunity?

The program emphasizes integrating telehealth systems with administrative and clinical information systems, embedding telehealth into normal provider workflows, and moving toward meaningful use of Electronic Health Records.

What privacy and confidentiality requirements apply?

Applicants must document steps to protect privacy and confidentiality for both patients and clinicians, including compliance with HIPAA and applicable federal and state privacy requirements.

Is a sustainability plan required?

Yes. Each application must include a sustainability plan explaining how services will continue after federal funding ends, signaling that HRSA is looking for networks that can transition from grant-supported expansion to durable operations.

What is the funding opportunity number and program listing information?

The funding opportunity is HRSA-13-166 and it falls under CFDA 93.211 (Telehealth Programs).

How many awards did HRSA anticipate making and what was the maximum award amount?

HRSA anticipated making 9 awards. The award ceiling was $250,000.

Is cost sharing or matching required?

No. The opportunity states there is no cost sharing or matching requirement.

Who is eligible to apply as the lead applicant?

Eligible applicants include rural or urban nonprofit entities (including 501(c)(3) organizations) that will provide services through a telehealth network.

Can network partners be for-profit organizations?

Yes. The opportunity states that participating network entities may be nonprofit or for-profit.

When was the opportunity posted and when was the application deadline?

The opportunity was posted on December 13, 2012, and the application deadline was February 13, 2013.

What does it mean that the opportunity is archived?

The opportunity was archived on March 16, 2013. The provided information indicates it is no longer an active posting in its original form.

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