Opportunity Information: Apply for HRSA 22 098
The Enhancing Systems of Care for Children with Medical Complexity (Demonstration Projects) grant opportunity (HRSA 22-098) is a discretionary federal funding program from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA). It is structured as a cooperative agreement, which typically means awardees are expected to work closely with HRSA during the project period, with more active federal involvement than a standard grant. The overall aim is to improve health outcomes, quality of life, and broader well-being for children with medical complexity (often referred to as CMC) and their families by strengthening how care is organized and delivered across systems.
At its core, this opportunity is designed to fund real-world demonstration projects that put evidence-informed, patient- and family-centered models of care into practice and then evaluate how well those models work. The emphasis on "systems of care" signals that HRSA is not looking for isolated clinical services alone, but approaches that coordinate across multiple settings and sectors that CMC frequently rely on, such as specialty and primary care, hospitals, home health, community-based services, and family supports. These projects are intended to show practical, scalable ways to improve coordination, reduce fragmentation, and better align services with what families actually need day to day.
HRSA planned to fund up to five demonstration projects under this specific announcement. Each award could be funded up to an annual ceiling of $400,000, with an expected total of five awards. The funding activity category is Health, and the program is associated with CFDA number 93.110. The application window for this round opened on December 6, 2021, with an original closing date of March 7, 2022. While those dates reflect the specific cycle referenced in the notice, they also provide context for the scale and structure of the initiative as it was originally competed.
A key feature of the broader program design is that HRSA paired these demonstration projects (HRSA-22-098) with a separate, complementary award for a coordinating center (HRSA-22-088). The coordinating center is meant to function as connective tissue across the demonstration sites by helping them meet shared program objectives, supporting evaluation and learning, developing and disseminating practical resources, and providing field-level leadership. In practice, this implies that demonstration projects are not expected to operate in isolation; instead, they are expected to contribute to a learning network where approaches, tools, and results can be compared, improved, and shared so the work has impact beyond any single site.
Eligibility for this funding includes Native American tribal organizations (other than Federally recognized tribal governments), along with additional eligible applicants described in the opportunity materials under an "Additional Information on Eligibility" section. That eligibility framing suggests HRSA intended a diverse set of applicants capable of implementing integrated care models for CMC, potentially including organizations embedded in or closely connected to communities with significant needs and unique service delivery contexts.
Overall, HRSA 22-098 is focused on demonstrating and evaluating practical care delivery models that are grounded in evidence and shaped around families, with the expectation that successful approaches will be documented and shared through the support of a national coordinating center. The intended outcome is not only better care experiences and outcomes for children with medical complexity and their caregivers, but also stronger, more coordinated systems that can sustain improvements and inform policy and practice more broadly.Apply for HRSA 22 098
- 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 (Demonstration Projects)" 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 $400,000.00 in funding.
- The number of recipients for this funding is limited to 5 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).
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Frequently Asked Questions (FAQs)
What is the Enhancing Systems of Care for Children with Medical Complexity (Demonstration Projects) opportunity (HRSA 22-098)?
HRSA 22-098 is a discretionary federal funding opportunity from the U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA). It supports demonstration projects intended to improve outcomes and quality of life for children with medical complexity (CMC) and their families by strengthening how care is organized and delivered across systems.
What is the main goal of HRSA 22-098?
The aim is to improve health outcomes, quality of life, and broader well-being for children with medical complexity and their families by reducing fragmentation and improving coordination across the systems of care they rely on.
What does HRSA mean by "children with medical complexity (CMC)" in this opportunity?
The opportunity focuses on children with medical complexity (often referred to as CMC) and their families. The materials emphasize that these children and families often rely on multiple services and settings, which makes coordinated, cross-system care especially important.
What type of funding mechanism is used for this program?
This opportunity is structured as a cooperative agreement. That typically means awardees are expected to work closely with HRSA during the project period, with more active federal involvement than a standard grant.
How is a cooperative agreement different from a standard grant (based on this notice)?
The notice indicates that a cooperative agreement generally involves closer collaboration with HRSA and more active federal involvement during the project period than a typical grant award.
What kinds of projects is HRSA looking to fund under HRSA 22-098?
HRSA is looking for real-world demonstration projects that implement evidence-informed, patient- and family-centered models of care and evaluate how well those models work in practice.
Is the program focused on providing direct clinical services only?
No. The emphasis on "systems of care" signals HRSA is not looking for isolated clinical services alone. The program focuses on approaches that coordinate care across multiple settings and sectors that CMC frequently rely on.
What does "systems of care" mean in the context of this funding opportunity?
In this opportunity, "systems of care" refers to coordinated approaches that span multiple settings and sectors, such as specialty and primary care, hospitals, home health, community-based services, and family supports. The intent is to improve coordination and align services with day-to-day family needs.
What are the core activities expected in these demonstration projects?
Based on the description provided, core activities include (1) putting evidence-informed, patient- and family-centered care models into practice across systems and (2) evaluating how well those models work, with an emphasis on practical and scalable improvements.
How many awards did HRSA plan to make under this announcement?
HRSA planned to fund up to five demonstration projects under HRSA 22-098.
What is the maximum funding amount per award?
Each award could be funded up to an annual ceiling of $400,000.
What is the funding activity category for this opportunity?
The funding activity category is Health.
What CFDA number is associated with this program?
The program is associated with CFDA number 93.110.
When did the application window open and close for the cycle described?
For the cycle referenced in the notice, the application window opened on December 6, 2021, and the original closing date was March 7, 2022.
Is there a coordinating center connected to these demonstration projects?
Yes. HRSA paired HRSA 22-098 (demonstration projects) with a separate, complementary award for a coordinating center (HRSA-22-088).
What is the purpose of the coordinating center (HRSA-22-088) in relation to HRSA 22-098?
The coordinating center is intended to connect the demonstration sites and help them meet shared program objectives. It supports evaluation and learning, develops and disseminates practical resources, and provides field-level leadership.
Will demonstration projects operate independently, or as part of a broader network?
The design suggests demonstration projects are not expected to operate in isolation. Instead, they are expected to contribute to a learning network where approaches, tools, and results can be compared, improved, and shared beyond any single site.
What kinds of systems and service settings are expected to be involved in a project?
The description highlights coordination across specialty care, primary care, hospitals, home health, community-based services, and family supports, reflecting the multiple systems that CMC and their families often navigate.
What does HRSA mean by "patient- and family-centered" in this context?
The notice emphasizes models shaped around families and aligned with what families need day to day. The intent is to organize and deliver care in ways that reflect family priorities and real-world needs.
What does HRSA mean by "evidence-informed" models of care?
The opportunity emphasizes approaches grounded in evidence and then implemented in real-world settings as demonstration projects, with evaluation of how well they work.
What is meant by "demonstration project" in this opportunity?
In this program, demonstration projects are practical, real-world implementations of care delivery models that are evaluated to understand effectiveness, scalability, and how they can strengthen systems of care for CMC.
What outcomes is HRSA trying to improve through this program?
The opportunity is intended to improve health outcomes, quality of life, and broader well-being for children with medical complexity and their families, while also strengthening and better coordinating the systems that support them.
How is program impact expected to extend beyond a single demonstration site?
The program is set up so that successful approaches can be documented and shared, supported by the national coordinating center. The intent is for lessons learned, tools, and results to inform broader policy and practice.
Who is eligible to apply based on the information provided?
Eligibility includes Native American tribal organizations (other than Federally recognized tribal governments), along with additional eligible applicants described in the opportunity materials under an "Additional Information on Eligibility" section.
Where would an applicant find the full list of eligible applicant types?
The notice indicates that additional eligible applicants are described in the opportunity materials under an "Additional Information on Eligibility" section.
Why does the eligibility language suggest HRSA wanted a diverse set of applicants?
The eligibility framing suggests HRSA intended to include organizations capable of implementing integrated care models for CMC, including organizations embedded in or closely connected to communities with significant needs and unique service delivery contexts.
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