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State Implementation Grants for Systems of Services for Children and Youth with Special Health Care Needs (CYSHCN)

Grants to Provide Services for Special Needs Children

Agency Type:


Funding Source:

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Health Resources & Services Administration

Deadline Date:

03/01/12 8:00 PM ET


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Grants of up to $300,000 will be awarded to entities in multiple states to provide for the healthcare of special needs children. Eligible programs provide the following six services/outcomes: (1) support the families of these children; (2) provide for coordination of care; (3) ensure adequate financial support for needed services; (4) early and continuous screening of children for special health care needs; 5) make sure that families have easy access to community support services; and (6) help them transition to adulthood and independent living. Special needs children are defined as “those children and youth who have, or are at increased risk for, chronic physical, developmental, behavioral, or emotional conditions and who also require health and related services of a type or amount beyond that required by children generally.”

The Division currently supports a variety of programs and activities related to improving systems of services for CYSHCN, including the following:

1) Family to Family Healthcare Information Centers for Families of Children with Special Health Care Needs (F2F HIC): These centers provide information, training, technical assistance and peer support to families of children and youth with special health care needs so they can make better informed decisions about their children’s health and be better able to participate in systems building activities in their communities and states. Applicants are strongly encouraged to include the F2F HIC in their state as a key partner.

2) National Centers: To support the programs in each of the six core outcomes, the Division funds several national centers. These national centers are as follows: The National Center on Family Professional Partnerships; The National Center for Cultural Competence; The Catalyst Center for Financing Care for CYSHCN; The National Center for Community Based Services; The National Center for Medical Home Initiatives; The National Center for Health Care Transition and the National Center for Hearing Assessment and Management. Each center has extensive resources on their respective core outcome and provides technical assistance to Division grantees.

3) Medical Home: The medical home has been recognized as a model of care that not only benefits CYSHCN but all children, youth, and adults. Due to the emergence of the medical home as a strategy to improve quality care, and the success of the state implementation grantees in using medical home as a foundation for system change, applicants are strongly encouraged to focus a major portion of their project activities on developing and spreading medical homes in their state.

4)Evidence-Based Practices: A priority of the Division is to apply evidence-based practices to implementing the six core outcomes for a system of services for CYSHCN. An evaluation of the grantees funded in 2005 and 2006 found that the grantees incorporated the following strategies:

* Build, enhance, and maximize partnerships
* Engage family and youth as partners, leaders, and agents of change
* Use continuous quality improvement (CQI)
* Use data to build capacity and measure impact
* Provide technical assistance, resources, and support
* Promote policy and legislative changes

5) Continuous Quality Improvement: Over the past five years, the Division has begun using the learning collaborative model to systematically improve access to care and the system of services for CYSHCN. To achieve this, the Division has worked with the National Initiative for Child Health Quality (NICHQ) using the Breakthrough Series methodology developed by the Institute HRSA-12-049 4 for Health Improvement to guide continuous quality improvement. The learning collaborative model has been implemented in several Division programs including medical home, epilepsy, and newborn hearing screening. Applicants funded under this funding opportunity announcement are strongly encouraged to incorporate the learning collaborative model in their project activities.

6) Coordination with Other Division Funded Grantees: Over the last three years, all grants funded under this initiative have participated in monthly conference calls. This has been found to be very successful in creating a community of learners on system change. Successful applicants will be expected to participate in these calls. Grantees are also expected to sign up for Project Spaces, a listserv and source of resources and information exchange. In addition, grantees will be required to attend an annual grantee meeting to be held in the greater Washington DC area. Applicants should budget for 1-2 staff to attend the annual meeting.

GrantWatch ID#:

GrantWatch ID#: 127001

Estimated Total Program Funding:


Number of Grants:

6; 1 per state

Estimated Size of Grant:

Up to $300,000; Funding beyond the first year is dependent on several factors including the availability of appropriated funds for the program.

Term of Contract:

3 years


  • City or township governments
  • Community-based Organizations; CBO(s)
  • County governments
  • Faith-based Organizations
  • For profit organizations other than small businesses
  • Incorporated not-for-profit entity
  • Native American tribal governments (Federally recognized)
  • Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education
  • Public and State controlled institutions of higher education
  • See RFP and/or Grant Guidelines for full eligibility
  • State governments

Additional Eligibility Criteria:

Navajo Nation
Applicants must be or work directly with a State Title V Program for Children with Special Health Care Needs
Applicants must demonstrate previous experience working with state and family partners to develop services for CYSHCN and their families

Entities that were awarded a grant under the following HRSA Announcement Numbers: HRSA-05-014, HRSA-06-099, HRSA-08-034, HRSA-09-159, and HRSA-11-167.

Pre-proposal Conference:

It is anticipated that MCHB will convene a technical assistance call on Thursday, January 5, 2012, 1:00 – 2:30 p.m. ET. The toll free number is 888-703-8230; passcode 871037.
Potential applicants are strongly encouraged to participate in the technical assistance call.

Pre-Application Information:

To be able to successfully register in, it is necessary that you complete all of the
following required actions:

• Obtain an organizational Data Universal Numbering System (DUNS) number
• Register the organization with Central Contractor Registration (CCR)
• Identify the organization’s E-Business Point of Contact (E-Biz POC)
• Confirm the organization’s CCR “Marketing Partner ID Number (M-PIN)” password
• Register and approve an Authorized Organization Representative (AOR)
• Obtain a username and password from the Credential Provider

A concise resource offering tips for writing proposals for HHS grants and cooperative agreements can be accessed online at:

Contact Information:

Before starting your grant application, please review the funding source's website listed below for updates/changes/addendums/conferences/LOIs.

Information regarding business, administrative, or fiscal issues:
Tammy Jeffs, Grants Management Specialist
HRSA Division of Grants Management Operations, OFAM
Parklawn Building, Room 11A-02
5600 Fishers Lane
Rockville, MD 20857
Telephone: (301) 443-5419
Fax: (301) 443-6343

Information related to the overall program issues and/or technical assistance:
Lynda Honberg
Project Director, Division of Services for Children with Special Health Needs
Telephone: (301) 443-6314
Fax: (301) 594-0186

For assistance with submitting the application (24 hours a day, seven days a week, excluding federal holidays): Contact Center
Phone: 1-800-518-4726

CFDA Number:


Funding or Pin Number:


Attached Files:

Geographic Focus:

USA: Alabama;   Alaska;   Arizona;   Arkansas;   California;   Colorado;   Connecticut;   Delaware;   Florida;   Hawaii;   Illinois;   Indiana;   Iowa;   Kansas;   Kentucky;   Louisiana;   Maine;   Maryland;   Massachusetts;   Michigan;   Minnesota;   Mississippi;   Missouri;   Nebraska;   Nevada;   New Hampshire;   New Jersey;   New York;   North Carolina;   North Dakota;   Ohio;   Oklahoma;   Oregon;   Pennsylvania;   Rhode Island;   South Carolina;   Utah;   Vermont;   Virginia;   Washington, DC;   Washington;   West Virginia;   Wisconsin

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