Opportunity Information: Apply for HRSA 22 088

The Enhancing Systems of Care for Children with Medical Complexity (Coordinating Center) funding opportunity (HRSA 22-088) is a federal discretionary grant from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA). It is offered as a cooperative agreement, which means the awardee is expected to work closely with HRSA and play an active, hands-on role in carrying out the program goals rather than operating entirely independently. The program is focused on improving the overall health, quality of life, and day-to-day well-being of children with medical complexity (CMC) and their families by strengthening how care is organized, coordinated, and delivered across systems.

This opportunity specifically funds a single coordinating center that will support a broader initiative made up of multiple demonstration projects. In parallel with this coordinating center award, HRSA planned to fund up to five separate demonstration projects (under a related opportunity, HRSA-22-098). Those demonstration projects are intended to implement and evaluate evidence-informed, patient- and family-centered models of care delivery for CMC. The coordinating center is designed to act as the connective hub for the entire initiative, helping those demonstration sites meet their objectives, align approaches where appropriate, and generate usable lessons for the field.

The coordinating center role is described as providing support and infrastructure for the demonstration projects in several practical ways. This includes assisting projects as they work toward their program goals, helping develop and share tools, guidance, and other resources that make it easier to implement effective models of care, and ensuring that what is learned is disseminated beyond the funded sites. Just as importantly, the coordinating center is expected to provide leadership in the field, which typically implies convening stakeholders, facilitating cross-site collaboration, identifying common barriers and solutions, and promoting consistent, high-quality practices that can be replicated or adapted by other communities and health systems serving children with medical complexity.

From an administrative standpoint, the opportunity is categorized under health-related federal assistance with CFDA number 93.110. HRSA anticipated making one award under this coordinating center announcement, with an award ceiling of $700,000. The notice was created on December 6, 2021, with an original application closing date of March 7, 2022. Eligibility included Native American tribal organizations (other than federally recognized tribal governments) and other eligible entities as described in the funding notice’s additional eligibility language. Overall, the grant is structured to build national momentum around better-coordinated, family-centered systems of care for CMC by pairing real-world demonstration work with a central coordinating entity responsible for alignment, support, and broad dissemination of results.

  • The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Enhancing Systems of Care for Children with Medical Complexity (Coordinating Center)" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.110.
  • This funding opportunity was created on Dec 06, 2021.
  • Applicants must submit their applications by Mar 07, 2022. (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 $700,000.00 in funding.
  • The number of recipients for this funding is limited to 1 candidate(s).
  • Eligible applicants include: Native American tribal organizations (other than Federally recognized tribal governments), Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for HRSA 22 088

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Frequently Asked Questions (FAQs)

What is the name of this grant opportunity?

The opportunity is titled Enhancing Systems of Care for Children with Medical Complexity (Coordinating Center), funding opportunity number HRSA 22-088.

Which federal agency is offering this funding?

This is a federal discretionary grant offered by the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA).

What type of award is this?

The award is offered as a cooperative agreement. That means the awardee is expected to work closely with HRSA and take an active, hands-on role in carrying out program goals, rather than operating fully independently.

What is the overall purpose of the program?

The program focuses on improving the overall health, quality of life, and day-to-day well-being of children with medical complexity (CMC) and their families by strengthening how care is organized, coordinated, and delivered across systems.

What is being funded under HRSA 22-088 specifically?

This opportunity funds a single coordinating center that supports a larger initiative made up of multiple demonstration projects.

How many awards did HRSA anticipate making under this coordinating center announcement?

HRSA anticipated making one award under this coordinating center opportunity.

What is the maximum funding amount for the coordinating center award?

The award ceiling for the coordinating center was $700,000.

How does the coordinating center relate to the demonstration projects?

The coordinating center is designed to act as the connective hub for the initiative. It supports the demonstration sites as they meet objectives, helps align approaches where appropriate, and helps generate practical, usable lessons for the field.

Were the demonstration projects funded under the same opportunity number?

No. In parallel with this coordinating center award (HRSA 22-088), HRSA planned to fund up to five demonstration projects under a related opportunity, HRSA-22-098.

How many demonstration projects were planned under the related opportunity?

HRSA planned to fund up to five demonstration projects under HRSA-22-098.

What are the demonstration projects intended to do?

The demonstration projects are intended to implement and evaluate evidence-informed, patient- and family-centered models of care delivery for children with medical complexity.

What are the main responsibilities of the coordinating center?

Based on the description provided, the coordinating center is expected to provide support and infrastructure to the demonstration projects, including:

  • Helping projects work toward their program goals
  • Helping develop and share tools, guidance, and other practical resources to support implementation of effective care models
  • Ensuring lessons learned are disseminated beyond the funded sites
  • Providing leadership in the field, such as convening stakeholders and facilitating cross-site collaboration
  • Identifying common barriers and solutions across sites
  • Promoting consistent, high-quality practices that can be replicated or adapted by other communities and health systems

What does it mean that this coordinating center provides "leadership in the field"?

In this context, field leadership generally implies convening stakeholders, supporting collaboration across demonstration sites, surfacing shared barriers and solutions, and encouraging consistent, high-quality practices that others can replicate or adapt.

What does "systems of care" mean in this opportunity?

The opportunity emphasizes strengthening how care is organized, coordinated, and delivered across systems for children with medical complexity and their families. (The description does not list specific systems, but it frames the goal as improved cross-system coordination and delivery.)

What is the CFDA number associated with this federal assistance?

The CFDA number listed for this opportunity is 93.110.

When was this funding notice created?

The notice was created on December 6, 2021.

What was the original application closing date?

The original application closing date was March 7, 2022.

Who was eligible to apply based on the information provided?

Eligibility included Native American tribal organizations (other than federally recognized tribal governments) and other eligible entities as described in the funding notice's additional eligibility language.

Does the information provided list every eligible applicant type?

No. The information provided references "other eligible entities" but indicates that details are in the funding notice's additional eligibility language, which is not included here.

Is this grant designed to operate independently from HRSA once awarded?

No. Because it is a cooperative agreement, the awardee is expected to work closely with HRSA and play an active role with HRSA in carrying out the program goals.

What is the intended broader impact of funding a coordinating center plus demonstration projects?

The structure is intended to build national momentum around better-coordinated, family-centered systems of care for children with medical complexity by pairing real-world demonstration work with a central coordinating entity responsible for alignment, support, and broad dissemination of results.

Is the coordinating center expected to share results beyond the funded demonstration sites?

Yes. A key expectation described is that the coordinating center ensures what is learned is disseminated beyond the funded sites.

Is this opportunity focused on patient- and family-centered care?

Yes. The broader initiative emphasizes evidence-informed, patient- and family-centered models of care delivery for children with medical complexity, and the coordinating center supports those efforts.

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