Opportunity Information: Apply for HRSA 23 075
The National Center for a System of Services for Children and Youth with Special Health Care Needs (HRSA-23-075) is a discretionary HRSA cooperative agreement designed to strengthen how the United States organizes, delivers, and pays for services that support children and youth with special health care needs (CYSHCN) and their families. The central goal is to speed adoption of the Blueprint for Change Guiding Principles for a System of Services for Children and Youth With Special Health Care Needs, which serves as a national agenda for improving health outcomes and overall well-being for CYSHCN by pushing systems to be more coordinated, equitable, family-centered, and sustainable.
At its core, the opportunity funds one National Center that will provide national coordination and leadership to help Title V programs and other partners translate the Blueprint for Change into concrete actions. The work is organized around four priority areas that reflect major barriers faced by CYSHCN and their families: advancing health equity, improving CYSHCN and family well-being and quality of life, expanding access to needed services, and strengthening financing approaches so services are affordable, sustainable, and aligned with real-world needs. Rather than focusing on direct clinical care, the National Center is intended to operate at the system level, helping states and communities align policies, programs, and cross-sector practices so families experience smoother, more effective support.
The National Center has two overarching responsibilities. First, it must develop a Blueprint Implementation Roadmap that lays out actionable steps for implementing the Blueprint across research, policy, and practice, and across the multiple sectors that touch CYSHCN (for example, health care, public health, education, social services, and community-based supports). Second, it must actively assist states, communities, and other stakeholders in putting that roadmap into practice. To accomplish this, the Center is expected to perform policy and practice assessments and analyses to identify gaps and emerging needs; convene and strengthen partnerships; create and deliver training; provide technical assistance and education; develop and disseminate practical resources and tools; and run a program evaluation to track progress, capture lessons learned, and support continuous improvement.
The project is structured in two phases over a five-year period, with the early years emphasizing design and testing and the later years emphasizing broader implementation. Phase 1 (Years 1 and 2) focuses on exploration, roadmap development, and pilot testing. During this period, the Center examines system-level gaps and new challenges affecting CYSHCN, then builds and actively tests the Implementation Roadmap and related strategies to ensure they are realistic and useful at community, state, and national levels. Phase 2 (Years 3 through 5) shifts to implementation at scale, concentrating on helping states, communities, and other key partners adopt the roadmap and replicate or adapt innovations that proved promising during Phase 1. The overall approach signals that HRSA is looking for a learning-oriented national hub that can test solutions early, refine them using evidence and stakeholder feedback, and then support wider uptake.
The award is offered as a cooperative agreement, which typically means substantial federal involvement and ongoing collaboration between HRSA and the recipient in shaping deliverables, coordinating national efforts, and ensuring alignment with federal priorities. HRSA expects to make a single award, with an anticipated annual funding ceiling of up to $1,500,000. The funding opportunity is listed under Assistance Listing (CFDA) 93.110 and is administered by the U.S. Department of Health and Human Services, Health Resources and Services Administration.
Eligibility is broad and includes state, county, and local governments; special district governments; independent school districts; federally recognized tribal governments and other tribal organizations; nonprofit 501(c)(3) organizations (excluding institutions of higher education); for-profit organizations (including small businesses and other than small businesses); and other eligible entities as clarified in the full announcement. Key administrative details in the notice include a creation date of October 28, 2022 and an original application closing date of January 26, 2023.Apply for HRSA 23 075
- The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "National Center for a System of Services for Children and Youth with Special Health Care Needs" 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 Oct 28, 2022.
- Applicants must submit their applications by Jan 26, 2023. (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 $1,500,000.00 in funding.
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education, For profit organizations other than small businesses, Small businesses, Others (see text field entitled Additional Information on Eligibility for clarification).
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Frequently Asked Questions (FAQs)
What is the National Center for a System of Services for Children and Youth with Special Health Care Needs (HRSA-23-075)?
HRSA-23-075 is a discretionary HRSA cooperative agreement that funds one National Center to strengthen how the United States organizes, delivers, and pays for services that support children and youth with special health care needs (CYSHCN) and their families.
What is the main purpose of this funding opportunity?
The central purpose is to speed the adoption of the Blueprint for Change Guiding Principles for a System of Services for Children and Youth With Special Health Care Needs. The Blueprint serves as a national agenda for improving health outcomes and overall well-being for CYSHCN by promoting systems that are more coordinated, equitable, family-centered, and sustainable.
Is this opportunity intended to fund direct clinical care services?
No. The National Center is intended to operate at the system level rather than funding direct clinical care. The focus is on helping states and communities align policies, programs, and cross-sector practices so families experience smoother and more effective support.
How many awards does HRSA expect to make under this opportunity?
HRSA expects to make a single award to fund one National Center.
What type of award mechanism is used?
This opportunity is offered as a cooperative agreement. That generally means substantial federal involvement, with ongoing collaboration between HRSA and the recipient in shaping deliverables, coordinating national efforts, and ensuring alignment with federal priorities.
What is the anticipated funding amount?
The anticipated annual funding ceiling is up to $1,500,000.
What is the Assistance Listing (CFDA) number for this program?
The opportunity is listed under Assistance Listing (CFDA) 93.110.
Which federal agency administers this opportunity?
It is administered by the U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA).
What is the core goal of the National Center?
The National Center is meant to provide national coordination and leadership to help Title V programs and other partners translate the Blueprint for Change into concrete actions across systems that serve CYSHCN and their families.
What are the priority areas the National Center must address?
The work is organized around four priority areas that reflect major barriers faced by CYSHCN and their families:
- Advancing health equity
- Improving CYSHCN and family well-being and quality of life
- Expanding access to needed services
- Strengthening financing approaches so services are affordable, sustainable, and aligned with real-world needs
What are the National Center's two overarching responsibilities?
The National Center has two overarching responsibilities:
- Develop a Blueprint Implementation Roadmap with actionable steps for implementing the Blueprint across research, policy, and practice, and across multiple sectors that touch CYSHCN.
- Actively assist states, communities, and other stakeholders in putting the roadmap into practice.
What is the Blueprint Implementation Roadmap?
The Blueprint Implementation Roadmap is a deliverable that lays out actionable steps for implementing the Blueprint across research, policy, and practice, and across the sectors involved in serving CYSHCN (including health care, public health, education, social services, and community-based supports).
What kinds of activities is the National Center expected to carry out?
Based on the notice, the Center is expected to perform multiple system-level activities to support implementation, including:
- Policy and practice assessments and analyses to identify gaps and emerging needs
- Convening and strengthening partnerships
- Creating and delivering training
- Providing technical assistance and education
- Developing and disseminating practical resources and tools
- Running a program evaluation to track progress, capture lessons learned, and support continuous improvement
Which sectors are expected to be involved in Blueprint implementation?
The roadmap and implementation work are intended to span multiple sectors that touch CYSHCN, including (as examples in the notice) health care, public health, education, social services, and community-based supports.
How long is the project period and how is it structured?
The project is structured in two phases over a five-year period. Early years emphasize design and testing, and later years emphasize broader implementation.
What happens during Phase 1 (Years 1 and 2)?
Phase 1 focuses on exploration, roadmap development, and pilot testing. During this period, the Center examines system-level gaps and new challenges affecting CYSHCN, then builds and actively tests the Implementation Roadmap and related strategies to ensure they are realistic and useful at community, state, and national levels.
What happens during Phase 2 (Years 3 through 5)?
Phase 2 shifts to implementation at scale. The Center focuses on helping states, communities, and other key partners adopt the roadmap and replicate or adapt innovations that proved promising during Phase 1.
What overall approach does HRSA appear to be seeking in a National Center?
The notice signals that HRSA is looking for a learning-oriented national hub that can test solutions early, refine them using evidence and stakeholder feedback, and then support wider uptake.
Who is eligible to apply?
Eligibility is broad and includes:
- State, county, and local governments
- Special district governments
- Independent school districts
- Federally recognized tribal governments and other tribal organizations
- Nonprofit 501(c)(3) organizations (excluding institutions of higher education)
- For-profit organizations (including small businesses and other than small businesses)
- Other eligible entities as clarified in the full announcement
Does the notice mention Title V programs?
Yes. The opportunity describes the National Center as providing national coordination and leadership to help Title V programs and other partners translate the Blueprint for Change into concrete actions.
What are the key dates listed in the notice?
The notice lists a creation date of October 28, 2022 and an original application closing date of January 26, 2023.
What is meant by "system level" in the context of this opportunity?
In this notice, "system level" refers to efforts that help states, communities, and cross-sector partners align policies, programs, financing approaches, and practices so that CYSHCN and their families experience better coordination, equity, and sustainability in services and supports.
What role does evaluation play in this project?
The Center is expected to run a program evaluation to track progress, capture lessons learned, and support continuous improvement as the roadmap is developed, tested, and implemented more broadly.
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