Telehealth Network Grant Program | Apply Online

Opportunity Summary:

The Telehealth Network Grant Program (TNGP) is a discretionary grant opportunity administered by HHS through the Health Resources and Services Administration (HRSA) (CFDA 93.211). Its central purpose, grounded in the statute referenced as Section 330I(d)(1), is to show in practical, measurable ways how telehealth programs and multi-organization telehealth networks can improve access to high-quality health care in rural, frontier, and other underserved communities. In other words, HRSA is looking for real-world demonstrations that telehealth can close service gaps where distance, workforce shortages, and limited local specialty capacity often prevent patients from getting timely care.

The program is designed around the idea of a "network" rather than a single standalone clinic project. Proposed networks must include at least two qualifying partner entities (the notice points applicants to a specific list in Section III.1.b of the full funding announcement). Within that network structure, the grant is meant to support telehealth approaches that do at least one of the following: expand access to care, improve coordination and quality of care, strengthen and extend training for health care providers, and/or improve the availability and quality of health information used by clinicians, patients, and families in making health decisions. Applications that blend these functions (for example, telehealth clinical services plus workforce training and shared patient education resources) align closely with how HRSA frames the program's intent.

A major emphasis in this particular announcement is school-based health centers (SBHCs). HRSA specifically encourages applications that demonstrate how telehealth can expand access to, coordinate, and improve care delivered through SBHCs, including models that may serve not only students during school hours but also the broader community beyond normal school hours. The funding notice ties this emphasis to the role SBHCs can play in rural, high-poverty areas where schools may be one of the most consistent points of contact for children and families. The announcement also references the Childrens Health Insurance Program Reauthorization Act of 2009 definition of an SBHC, highlighting key characteristics such as being located in or near a school, built through school-community-provider relationships, administered by a sponsoring facility, and delivering primary health services through licensed professionals in compliance with state and local law. The notice clarifies that sponsoring facilities can include hospitals, public health departments, community health centers, nonprofit health care agencies, local educational agencies, and certain Indian Health Service, Bureau of Indian Affairs, or tribal programs.

Applicants are expected to choose and clearly identify the clinical focus areas their telehealth project will address. For networks involving SBHCs, HRSA strongly encourages telehealth services for rural children that focus on asthma, obesity reduction and prevention, behavioral health, diabetes, and oral health. These focus areas are presented as priority child health disparity indicators in rural poverty contexts where telehealth is seen as a practical tool to increase access and improve outcomes, and where school-based settings can realistically support prevention, monitoring, early intervention, and ongoing management.

A key part of the application expectation is data-driven planning. For each proposed clinical focus area, applicants should present local or relevant data that demonstrates need and establishes a baseline picture of current health status for the target population. The application should then explain how telehealth will improve outcomes for that population and set specific targets tied to the chosen clinical areas. The notice gives a clear example of what HRSA considers meaningful evidence of "expanded access": applicants should be able to show that telehealth enabled services that would not reasonably have been available without telehealth technology, rather than simply shifting already-available services onto a video platform.

If funded, awardees must be prepared for ongoing reporting and participation in a broader evaluation effort that uses common measures across grantees. HRSA signals that the program is interested in innovation that fits emerging needs in a changing health care delivery system, with particular attention to value and improved outcomes. Recipients will be required to report operational, utilization, financial, and impact metrics. The notice lists examples of performance measures that may be required, including the types of partner settings in the network, the number of encounters (broken down by specialty or service, by patient care setting, and by encounter type), reimbursement received from third parties and the grant, new services made available in rural areas because of the grant, patient and practitioner travel miles saved by network facility, and the number of practitioner referrals at each network facility. The announcement also notes that baseline measures and targets proposed by applicants may be amended after award at HRSA's discretion as reporting requirements are finalized and standardized across the program.

From an administrative standpoint, the opportunity is identified as HRSA-16-012, posted February 8, 2016, with an original and current closing date of April 8, 2016, and an expectation of around 20 awards. Eligibility includes federally recognized Native American tribal governments and other applicants as further described in the funding announcement. Overall, the grant is structured to fund collaborative telehealth networks that can prove, with measurable results, that telehealth improves rural and underserved health care access and quality, with a particularly strong invitation for school-centered models addressing high-impact pediatric and adolescent health needs.

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