HRSA-25-019 Final.pdf

Maternal and Child Health Bureau

Notice of Funding Opportunity

Application due March 17, 2025

Healthy Tomorrows Partnership for Children Program (HTPCP) Opportunity number: HRSA-25-019

Contents Before you begin 4

Step 1: Review the Opportunity 5

Basic information 6

Eligibility 7

Program description 9

Award information 14

Step 2: Get Ready to Apply 16

Get registered 17

Find the application package 17

Application writing help 17

Step 3: Prepare Your Application 19

Application contents and format 20

Step 4: Learn About Review and Award 28

Application review 29

Selection process 33

Award notices 34

Step 5: Submit Your Application 35

Application submission and deadlines 36

Application checklist 37

Step 6: Learn What Happens After Award 39

Post-award requirements and administration 40

Contacts and Support 45

Contents 2

Appendix: Community-Based Project Examples 48

Endnotes 49

Contents 3

Before you begin If you believe you are a good candidate for this funding opportunity, secure your SAM.gov and Grants.gov registrations now. If you are already registered, make sure your registrations are active and up-to-date.

SAM.gov registration (this can take several weeks) You must have an active account with SAM.gov. This includes having a Unique Entity Identifier (UEI).

See Step 2: Get Ready to Apply

Grants.gov registration (this can take several days) You must have an active Grants.gov registration. Doing so requires a Login.gov registration as well.

See Step 2: Get Ready to Apply

Apply by the application due date Applications are due by 11:59 p.m. Eastern Time on March 17, 2025.

To help you find what you need, this NOFO uses internal links. In Adobe Reader, you can go back to where you were by pressing Alt + Left Arrow (Windows) or Command + Left Arrow (Mac) on your keyboard.

Before you begin 4 https://sam.gov/ https://grants.gov/

Jump to a step

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1:

Review the Opportunity

In this step

Basic information 6

Eligibility 7

Program description 9

Award information 14

Basic information Health Resources and Services Administration (HRSA)

Maternal and Child Health Bureau

Division of Maternal and Child Health Workforce Development

Funding community-based projects to increase access to children’s health services.

Have questions?

Go to Contacts and Support.

Key facts

Opportunity name:

Healthy Tomorrows Partnership for Children Program (HTPCP)

Opportunity number:

HRSA-25-019

Announcement version:

New

Federal assistance listing:

93.110

Statutory authority:

42 U.S.C. §701(a)(2) (Title V, § 501(a)(2) of the Social Security Act)

Key dates

NOFO issue date:

December 17, 2024

Informational webinar:

Jan 7, 2025

Application deadline:

March 17, 2025

Expected award date is by: July 1, 2025

Expected start date:

July 1, 2025

See other submissions for other time frames that may apply to this NOFO.

Summary The purpose of the Healthy Tomorrows Partnership for Children Program (HTPCP) is to support community-based projects that promote access to preventive clinical and public health services for underserved children. The program will:

• Build and strengthen maternal and child health (MCH) partnerships.

• Engage people with lived experience in advisory boards and project activities.

• Develop sustainability plans to support lasting MCH population health improvements.

Your proposed community-based project is expected to align with at least one of the following child health topics:

• Children’s behavioral health screenings and referrals.

• Children’s immunizations.

• Adolescents’ well-visits.

Funding details Application types: Competing continuation, new

Expected total available funding in FY 2025: $450,000

Expected number and type of awards: 6 grants

Funding range per award: Up to $75,000 per year

We plan to fund awards in five 12-month budget periods for a total five-year period of performance of July 1, 2025, to June 30, 2030.

The program and awards depend on the appropriation of funds and are subject to change based on the availability and amount of appropriations.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 6 https://www.grants.gov/learn-grants/grant-terminology#g

Eligibility Who can apply Types of eligible organizations These types of domestic* organizations may apply:

• Public institutions of higher education.

• Private institutions of higher education.

• Nonprofits with or without a 501(c)(3) IRS status.

• For-profit organizations, including small businesses.

• State, county, city, township, and special district governments, including the District of Columbia, domestic territories, and the freely associated states.

• Independent school districts.

• Native American tribal governments.

• Native American tribal organizations.

* “Domestic” means the 50 states, the District of Columbia, the Commonwealth of Puerto Rico, the Northern Mariana Islands, American Samoa, Guam, the U.S. Virgin Islands, the Federated States of Micronesia, the Republic of the Marshall Islands, or the Republic of Palau.

Individuals are not eligible applicants under this NOFO.

Step 1: Review the Opportunity 7

Other eligibility criteria Completeness and responsiveness criteria We will review your application to make sure it meets these basic requirements to move forward in the competition.

We will not consider an application that:

• Is from an organization that does not meet all eligibility criteria.

• Requests funding above the award ceiling shown in the funding range.

• Is submitted after the deadline.

• Proposes a research project.

• Does not align with at least one of the following child health topics:

◦ Children’s behavioral health screenings and referrals.

◦ Children’s immunizations.

◦ Adolescents’ well-visits.

Application limits You may not submit more than one application. If you submit more than one application, we will only accept the last on-time submission.

Cost sharing This program has a cost-sharing requirement. Under 42 CFR § 51a.8(c), award recipients of the Healthy Tomorrows Partnership for Children Program must contribute non-federal matching funds in years 2 through 5 of the 5-year period of performance equal to two times the amount of the federal grant award (i.e., if the federal grant award is for $75,000, then the matching requirement is $150,000) or such lesser amount determined by the Secretary for good cause shown. The matching funds must come from non-federal funds, including, but not limited to, individuals, corporations, foundations, in-kind resources, and/or state and local agencies.

If you choose to share in the costs of the project beyond the match requirement, we will not consider it during merit review. We will hold you accountable for any funds you add, including through reporting.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 8 https://www.ecfr.gov/current/title-42/part-51a/section-51a.8#p-51a.8(c)

Program description Purpose The purpose of the Healthy Tomorrows Partnership for Children Program (HTPCP) is to support community-based projects that promote access to preventive clinical and public health services for underserved children.

Program goal and objectives The program goal is to support community-based projects to improve access to one or more of the following in underserved communities:

• Children’s behavioral health screening and referrals.

• Children’s immunizations.

• Adolescents’ well-visits.

The program objectives to be accomplished during the period of performance include:

• Implement an evidence-informed or evidence-based preventive clinical or public health community-based project with at least one measurable outcome that aligns with your selected child health topic.

• Build or strengthen at least three partnerships with maternal and child health (MCH) programs, including one partnership with a HRSA Title V Maternal and Child Health Services Block Grant recipient.

• Engage people with lived experience in the advisory board and project activities.

• Develop a sustainability plan to support MCH population health improvements that includes at least three community partnerships and at least one funding strategy.

About MCHB and Strategic Plan The HRSA Maternal and Child Health Bureau (MCHB) administers programs with focus areas in maternal and women’s health, adolescent and young adult health, perinatal and infant health, child health, and children with special health care needs.

To learn more about MCHB and the Bureau’s Strategic Plan, visit Mission, Vision, and Work | MCHB.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 9 https://mchb.hrsa.gov/programs-impact/title-v-maternal-child-health-mch-services-block-grant https://mchb.hrsa.gov/programs-impact/title-v-maternal-child-health-mch-services-block-grant https://mchb.hrsa.gov/about-us/mission-vision-work https://mchb.hrsa.gov/about-us/mission-vision-work

Background Childhood is an important stage of growth and development, with experiences during this period impacting lifelong health.[1] Recent data highlights concerning trends in three child health topics: children’s behavioral health, children’s immunizations, and adolescent well-visits. Research demonstrates that community-based projects are well-positioned to improve health equity[2] and child health outcomes if the projects are informed by the communities where children live, learn, and play.[3],[4]

In 2022, there were 72.5 million children in the United States ages 0 to 17 years old.[5]

Approximately 25% of children ages 3 to 17 years (15.2 million children) have one or more reported mental, emotional, developmental, or behavioral conditions, but only 59% receive mental health treatment or counseling.[6] Access to mental, emotional, developmental, or behavioral services such as screening, referrals, and treatment varies by race, ethnicity, socioeconomic status,and geographic area.[7],[8],[9],[10]

The percentage of children receiving age-appropriate immunizations has declined in recent years,[11] and there are sociodemographic and geographic disparities[12] in vaccine coverage. Coverage is lower among low-income, uninsured, rural, Black, and Hispanic children.[13]

The National Survey of Children’s Health reports that since 2019, there has been a decline in the percentage of adolescents ages 12 to 17 who have had one or more well-visit in the past year.[6] Fewer children from underserved racial and ethnic groups have had a preventive medical visit in the past year. [6]

In response to these trends, the Health Resources and Services Administration (HRSA) supports the Healthy Tomorrows Partnership for Children Program (HTPCP) to increase access to preventive clinical and public health services for underserved populations.

Since 1989, the HTPCP has reached over 1.8 million individuals in rural and other underserved communities through 355 projects in 49 states, the District of Columbia, and two U.S. territories.[14] In 2022, 66% of people served by the HTPCP identified as Hispanic or Latino, and 31% of people identified as American Indian or Alaska Native, Asian, Black or African American, or more than one race.[14] HTPCP projects and partnerships are sustained after federal funding ends: Over 87% of projects continue for two or more years after federal funding ends, and over 90% of partnerships are sustained five years post-funding.[15]

Step 1: Review the Opportunity 10

Program requirements and expectations Your proposed project should be a new community-based project or should build on, expand, or enhance an existing community-based project—for example, expanding services by adding a new component. Previous HTPCP recipients may apply for this notice of funding opportunity if they are proposing a new or expanded project. You may not propose a research project.

To achieve the goals and objectives stated in the purpose section, you are expected to:

• Implement a community-based project that aligns with at least one of these (called “child health topic(s)” moving forward):

◦ Children’s behavioral health screenings and referrals.

◦ Children’s immunizations.

◦ Adolescents’ well-visits.

• (See Appendix for examples)

• Design and implement a community-based project that:

◦ Is evidence-informed or evidence-based.[16]

◦ Is informed by and uses Bright Futures guidelines, tools, and resources.[17],[18]

◦ Uses approaches to improve population health and address the Social Determinants of Health (SDOH).[19]

◦ Is culturally and linguistically responsive[20] to the target population and includes strategies for addressing differing social, cultural, and health practices.

◦ Includes patient- or family-centered medical home approaches.[21]

◦ Reaches populations that are underserved[22] and have documented needs in your selected child health topics.

◦ Involves family members, youth, and community members in all aspects of the project.

• Build or strengthen collaborations with MCH partners, including, but not limited to:

◦ At least one pediatric provider or another health care professional, such as a social worker, psychologist, or community health worker.

◦ At least one Title V recipient in your state or region.

◦ MCHB-funded training programs or other academic institutions in your state or region.

• Establish and run an advisory board to guide project design, implementation, evaluation, reporting, and sustainability. The advisory board should:

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 11 https://mchb.hrsa.gov/programs-impact/focus-areas/mch-workforce-development

◦ Include at least one family member, youth, community member, or other person with lived experience relevant to your project.[23]

◦ Include pediatric providers, other health care professionals (for example, social workers, psychologists, community health workers), and others with expertise in your selected child health topic.

◦ Hold at least two meetings each year to gather feedback to improve the project.

• Participate in MCHB technical assistance activities, including but not limited to:

◦ Recipient calls, which will take place at least quarterly.

◦ A technical assistance visit during the period of performance.

• Develop a sustainability plan to ensure your project will continue after federal funding ends. Your sustainability plan should identify:

◦ At least three collaborative partnerships.

◦ At least one new funding strategy.

• Choose a project director (PD) who will have direct, day-to-day responsibility for project activities. The PD should:

◦ Be an employee of the applicant organization.

◦ Have expertise in preventive clinical or public health community-based projects and activities that align with your selected child health topic.

◦ Commit at least 10 percent of their time to the project, which may be a combination of grant and in-kind support. The 10 percent effort cannot be shared by two employees.

Performance measurement, evaluation, and continuous quality improvement

(CQI)

We expect you to measure your performance, participate in program evaluation, and conduct continuous quality improvement (CQI) activities. You are expected to:

Performance Measurement

• Measure performance on key activities and program objectives.

◦ Report on Discretionary Grants Information System (DGIS) measures noted in the Reporting section.

Step 1: Review the Opportunity 12

◦ By the end of the period of performance, you are expected to report on at least one measurable health-related outcome for your target population that aligns with the child health topic you selected. For example:

▪ Increasing the number or percentage of children receiving behavioral health screenings or referrals.

▪ Increasing the number or percentage of children receiving age-appropriate immunizations.

▪ Increasing the number or percentage of adolescents who have had a preventive medical visit in the past year.

◦ Collect data that demonstrates the impact of your project on the target population and measurable outcomes specific to your selected child health topic. Your state Title V program or local health agency may be able to provide data to demonstrate the impact of your project.

◦ Partner with MCHB and other HTPCP recipients after award to identify or develop additional measures that will demonstrate the impact of your HTPCP program on improving child health outcomes.

• Report on measures and project activities that align with program goals and objectives in the noncompeting continuation progress report, including:

◦ How your project goals, objectives, and activities are leading to improved access to children’s behavioral health screening and referrals, children’s immunizations, or adolescent well-visits.

◦ Project sustainability activities, including efforts to secure additional funding for your project.

◦ Advisory board meeting activities, impact, and membership rosters.

Evaluation Plan

• Develop and carry out a plan to obtain, collect, analyze, and track data to measure outputs and outcomes in your project.

• Evaluate your project. You are expected to participate in HRSA-supported impact and outcome evaluations of HTPCP programs one and five years after the five-year period of performance ends.

Continuous Quality Improvement

• Conduct CQI. You are expected to use data and findings from your performance measurement and evaluation work to inform and improve processes and outcomes.

Step 1: Review the Opportunity 13

Award information Funding policies and limitations Policies

• We will only make awards if this program receives funding. If Congress appropriates funds for this purpose, we will move forward with the review and award process.

• Support beyond the first budget year will depend on:

◦ Appropriation of funds.

◦ Satisfactory progress in meeting the project’s objectives.

◦ A decision that continued funding is in the government’s best interest.

• If we receive more funding for this program, we may:

◦ Fund more applicants from the rank order list.

◦ Extend the period of performance.

◦ Award supplemental funding.

General limitations

• For guidance on some types of costs we do not allow or restrict, see Project

Budget Information in section 3.1.4 of the Application Guide. You can also see 45 CFR part 75, or any superseding regulation, General Provisions for Selected Items of Cost.

• You cannot earn profit from the federal award. See 45 CFR 75.400(g).

• Congress’s current appropriations act includes a salary limitation, which applies to this program. As of January 2024, the salary rate limitation is $221,900. This limitation may be updated.

Program-specific statutory or regulatory limitations See Manage Your Grant for other information on costs and financial management.

Indirect costs Indirect costs are costs you charge across more than one project that cannot be easily separated by project. For example, this could include utilities for a building that supports multiple projects.

Indirect costs are determined using one of two methods:

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 14 https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=13 https://www.ecfr.gov/current/title-45/part-75/subject-group-ECFR5d90ba314caea08 https://www.ecfr.gov/current/title-45/part-75/subject-group-ECFR5d90ba314caea08 https://www.ecfr.gov/current/title-45/part-75#p-75.216(b) https://www.hrsa.gov/grants/manage-your-grant

Method 1 – Approved rate. You currently have an indirect cost rate approved by your cognizant federal agency at time of award.

Method 2 – De minimis rate. Per 2 CFR 200.414(f), if you have never received a negotiated indirect cost rate, you may elect to charge a de minimis rate. If you choose this method, costs included in the indirect cost pool must not be charged as direct costs.

This rate is 15% of modified total direct costs (MTDC). See 2 CFR 200.1 for the definition of MTDC. You can use this rate indefinitely.

Program income Program income is money earned as a result of your award-supported project activities. You must use any program income you generate from awarded funds for approved project-related activities. Find more about program income at 45 CFR 75.307.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 1: Review the Opportunity 15 https://www.ecfr.gov/current/title-2/section-200.414 https://www.ecfr.gov/current/title-2/part-200#p-200.1(Modified%20Total%20Direct%20Cost%20(MTDC)) https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-75/subpart-D/subject-group-ECFR911e5e1a30bfbcb/section-75.307

Step 2:

Get Ready to Apply

In this step

Get registered 17

Find the application package 17

Application writing help 17

Get registered SAM.gov You must have an active account with SAM.gov. This includes having a Unique Entity Identifier (UEI). SAM.gov registration can take several weeks. Begin that process today.

To register, go to SAM.gov Entity Registration and select Get Started. From the same page, you can also select the Entity Registration Checklist to find out what you’ll need to register.

When you register or update your SAM.gov registration, you must agree to the financial assistance general certifications and representations. You must agree to those for grants specifically, as opposed to contracts, because the two sets of agreements are different. You will have to maintain your registration throughout the life of any award.

Grants.gov You must also have an active account with Grants.gov. You can see step-by-step instructions at the Grants.gov Quick Start Guide for Applicants.

Find the application package The application package has all the forms you need to apply. You can find it online. Go to Grants Search at Grants.gov and search for opportunity number HRSA-25-019.

After you select the opportunity, we recommend that you click the Subscribe button to get updates.

Application writing help Visit HHS Tips for Preparing Grant Proposals.

Visit HRSA’s How to Prepare Your Application page for more guidance.

See Apply for a Grant for other help and resources.

FAQs will be posted on Choose where FAQs will be posted.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 2: Get Ready to Apply 17 https://sam.gov/content/entity-registration https://www.hrsa.gov/grants/apply-for-a-grant/prepare-your-application/assurances-non-construction-programs https://www.hrsa.gov/grants/apply-for-a-grant/prepare-your-application/assurances-non-construction-programs https://grants.gov/applicants/applicant-registration http://www.grants.gov/quick-start-guide/applicants https://www.grants.gov/search-grants https://www.hhs.gov/grants-contracts/grants/get-ready-for-grants-management/tips-for-preparing-grant-proposals/index.html https://www.hrsa.gov/grants/apply-for-a-grant/prepare-your-application https://www.hrsa.gov/grants/apply-for-a-grant

Join the webinar For more information about this opportunity, join the webinar on Tuesday, January 7, 2025, at 2:00 PM ET.

If you are not able to join through your computer, you can call in:

• Phone number: 833-568-8864

• Meeting ID: 161 669 8330

• Passcode: 15796271

We will record the webinar. If you are not able to join live, you can replay it here .

Have questions? Go to Contacts and Support.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 2: Get Ready to Apply 18 https://hrsa-gov.zoomgov.com/j/1616698330?pwd=QLqvmXdKfWJcZWcIvNEP5fFY6ZC3CP.1 https://www.hrsa.gov/grants/find-funding

Step 3:

Prepare Your Application

In this step

Application contents and format 20

Application contents and format Applications include five main components. This section includes guidance on each.

Application page limit: 40 pages

Submit your information in English and express whole number budget figures using U.S. dollars.

Make sure you include each of these:

Components Submission format

Project abstract Use the Project Abstract Summary form.

Project narrative Use the Project Narrative Attachment form.

Budget narrative Use the Budget Narrative Attachment form.

Attachments Insert each in the Attachments form.

Other required forms Upload using each required form.

Required format You must format your narratives and attachments using our required formats for fonts, size, margins, etc. See the formatting guidelines in Section 3.2 of the Application Guide.

Project abstract Complete the information in the Project Abstract Summary form. Include a short description of your proposed project. Include the needs you plan to address, the proposed services, and the population groups you plan to serve. For more information, see Section 3.1.2 of the Application Guide.

Project narrative In this section, you will describe all aspects of your project. Project activities must comply with the nondiscrimination requirements.

Use the section headers and the order listed.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 3: Prepare Your Application 20 https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=24 https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=13

Introduction See merit review criterion 1: Need

Briefly describe the purpose of your project. You are expected to state which of the child health topics your project will address:

• Children’s behavioral health screening and referrals.

• Children’s immunizations.

• Adolescents’ well-visits.

Need See merit review criterion 1: Need

• Describe the need for your project and activities in the community you plan to serve.

• Identify the unmet health needs of the target population for your selected child health topic.

• Describe how SDOH and health disparities impact your target population.

• Discuss any relevant barriers in the service area that you hope to overcome.

• Include relevant data from your state’s Title V MCH Block Grant Program Needs Assessment[24] and Title V State Actions Plans that supports your projects need and purpose.[25]

• Provide references for all data sources.

Approach See merit review criterion 2: Response

Goals and objectives

• List your project goals and objectives, which should respond to the need and purpose of the project.

• For each goal, provide objectives that are specific, measurable, achievable, realistic, time-bound, inclusive, and equitable (SMARTIE).

Community-based project and activities

• State whether this is a new community-based project or a new component of an existing community-based project.

• Describe your project and how it is evidence-informed or evidence-based.

• Identify the target population, including the age range and geographic area where your project will take place.

Step 3: Prepare Your Application 21

• Discuss how your community-based project will:

◦ Use Bright Futures guidelines, tools, and resources.

◦ Address the SDOH and health disparities of the target population.

◦ Meet the cultural and linguistic needs of the target population, including by addressing differing social, cultural, and health practices.

◦ Include patient- or family-centered medical home approaches.

Collaborative partnerships

• Describe how you will build or strengthen partnerships with:

◦ At least one pediatric provider or another health care professional.

◦ At least one Title V recipient in your state or region.

◦ MCHB-funded training programs or other academic institutions in your state or region.

◦ Other partners you identify.

• Discuss how each partnership will add value or resources to your project.

• Include letters of support from MCH partners in Attachment 1. One letter is expected to be from a state Title V MCH Services Block Grant recipient.

Advisory board

• Describe your plan to form an advisory board. Describe the board’s responsibilities, including how the members will guide project design, implementation, evaluation, reporting, and sustainability.

• Discuss how you will recruit advisory board members, including but not limited to:

◦ At least one family member, youth, community member, or other person with lived experience.

◦ Pediatric providers, other health care professionals, and other experts in the field.

• Detail the frequency of meetings (at least two per year) and how you will ensure that the meetings are accessible to all members.

• Provide a list of proposed, invited, and confirmed members and the organizations they represent in Attachment 2.

Technical assistance

• State your willingness to participate in:

◦ Quarterly recipient calls. Indicate who will participate and their roles.

◦ A technical assistance visit during the period of performance.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 3: Prepare Your Application 22 https://mchb.hrsa.gov/programs-impact/focus-areas/mch-workforce-development

High-level work plan See merit review criteria 2: Response and 4: Impact

• Describe how you will achieve each of the objectives during the period of performance, you outline in the approach section.

• Provide a more detailed work plan and timeline as Attachment 3.

Resolving challenges See merit review criterion 2: Response

Discuss challenges you will likely encounter in implementing your work plan and explain approaches that you will use to resolve them.

Performance reporting and evaluation See merit review criteria 3: Performance reporting and evaluation and 5:

Resources and capabilities

Monitoring

• Describe how you will track project activities over the period of performance.

• Describe your capacity to collect and manage data in a way that allows for accurate and timely monitoring, performance measurement, evaluation, and continuous quality improvement.

Performance measurement

• Provide your plan for measuring and tracking the project goals and objectives outlined in the purpose section. The plan should include required and proposed measures outlined in the performance measurement, evaluation, and Continuous Quality Improvement (CQI) section and describe plans for the timely collection and reporting of all measures.

• State your willingness to partner with MCHB and other HTPCP recipients after award to identify or develop additional measures that demonstrate the impact of your project.

• Describe your plan to achieve the following by the end of Year 5 of the project:

◦ Collect data that shows the impact of your project on the target population that aligns with the child health topic you selected.

◦ Report on at least one measurable outcome for your target population that aligns with the child health topic you selected.

• See reporting for more information.

Step 3: Prepare Your Application 23

Evaluation plan

• Explain how you will use data to inform project implementation and CQI.

• Describe anticipated evaluation barriers and your plan to address them.

• State your willingness to participate in the HRSA-supported impact and outcomes evaluation one and five years after the five-year period of performance.

• Submit a preliminary project evaluation plan in Attachment 4.

Continuous quality improvement

• Describe your plans for using information from the performance measurement and evaluation to inform and improve processes and outcomes.

Sustainability See merit review criterion 4: Impact

We expect you to sustain key project activities after the federal funding ends. Propose a plan for project sustainability and describe the actions you’ll take to:

• Identify at least three collaborative partners that will support and advance project sustainability.

• Obtain at least one future source of funding.

• Disseminate information about your project to help other groups replicate your project in other settings.

• Discuss challenges you will likely encounter in sustaining the project and how you will resolve these challenges.

Organizational information See merit review criterion 5: Resources and capabilities

• Briefly describe your organization’s mission, structure, and the scope of your current activities.

◦ Include a one-page project organizational chart in Attachment 5.

• Describe your organization’s experience with and capacity to implement a preventive clinical or public health community-based project.

• Describe your organization’s plan to secure facilities that meet the needs and requirements of the proposed project.

• Discuss how your organization and project staff are trained in providing culturally and linguistically appropriate care in a community-based setting.

• Describe the proposed project director’s experiences and expertise.

Step 3: Prepare Your Application 24

◦ State how much time the project director will commit to the proposed project, and how they will meet the minimum 10% time and effort.

• Include a staffing plan and job descriptions in Attachment 6.

• Include biographical sketches or resumes for key staff in Attachment 7.

• Discuss how you will follow the HRSA-approved work plan, account for federal funds, and record all costs to avoid audit findings.

Budget and budget narrative See merit review criterion 6: Support Requested

Your budget should follow the instructions in Section 3.1.4 Project Budget Information

- Non-Construction Programs (SF-424A) of the Application Guide and the instructions listed in this section. Your budget should show a well-organized plan.

HHS now uses the definitions for equipment and supply in 2 CFR 200.1. The new definitions change the threshold for equipment to the lesser of the recipient’s capitalization level or $10,000 and the threshold for supplies to below that amount.

The total project or program costs are all allowable (direct and indirect) costs incurred for the HRSA award activity or project. This includes costs charged to the award and non-federal funds used to satisfy a matching or cost-sharing requirement (which may include MOE, if applicable). Clearly document meeting the project’s cost sharing requirement in years 2 through 5 in the budget form SF-424A and the budget narrative.

The budget narrative supports the information you provide in Standard Form 424-A.

See other required forms. It includes an itemized breakdown and a clear justification of the costs you request. The merit review committee reviews both.

As you develop your budget, consider:

• If the costs are reasonable and consistent with your project’s purpose and activities.

• The restrictions on spending funds. See Funding policies and limitations.

To create your budget narrative, see detailed instructions in Section 3.1.5. of the Application Guide.

Attachments Place your attachments in this order in the Attachments form. See application checklist to determine if they count toward the page limit.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 3: Prepare Your Application 25 https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=13 https://www.ecfr.gov/current/title-2/part-200#p-200.1(Equipment) https://www.ecfr.gov/current/title-2/subtitle-A/chapter-II/part-200#p-200.1(Supply) https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=18

Attachment 1: Agreements with other entities Provide any documents that describe working relationships between your organization and others you refer to in the proposal. At least one letter should be from a Title V MCH Services Block Grant recipient. Documents that confirm actual or pending contracts or agreements should clearly describe the roles of subrecipients and contractors and any deliverables. Make sure you sign and date any letters of agreement.

Attachment 2: Advisory board roster Attach a list of proposed, invited, and confirmed members of your advisory board and the organizations they represent. See requirements for the makeup of the board in the project narrative section.

Attachment 3: Work plan Attach the project’s work plan. Your work plan should be presented in a table format and should:

• Include the timeline for each activity.

• Identify staff who are responsible for each activity.

• Identify the key partners who will help you achieve each activity (as applicable).

Attachment 4: Evaluation plan Attach the project’s preliminary project evaluation plan. Your evaluation plan should:

• Describe your plan to obtain, collect, analyze, and track data to measure outputs and outcomes.

• Include an initial list of measures (such as indicators and metrics) that shows how you will evaluate and monitor the success of the project (for example outputs and outcomes).

• Include a timeline for implementing evaluation activities.

Attachment 5: Project organizational chart Provide a one-page diagram that shows the full project organizational structure and where the project fits within the organization.

Attachment 6: Staffing plan and job descriptions See Section 3.1.7 of the Application Guide.

Include a staffing plan that shows the staff positions that will support the project and key information about each. Include the percent full-time equivalent (FTE) dedicated to the project for each position. Justify your staffing choices, including education and

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 3: Prepare Your Application 26 https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=21 experience qualifications and your reasons for the amount of time you request for each staff position.

For key personnel, attach a one-page job description that includes the role, responsibilities, and qualifications.

Attachment 7: Biographical sketches Include biographical sketches for people who will hold the key positions you describe in attachment 6.

Each biographical sketch should be two pages or less. Do not include non-public, personally identifiable information. If you include someone you have not hired yet, provide a letter of commitment from that person along with the biographical sketch.

Attachment 8: For multi-year budgets — fifth year budget For the fifth budget year, submit a copy of Section B of the SF-424A as an attachment.

We do not count this in the page limit. However, any related budget narrative does count. See Section 3.1.4 of the Application Guide.

Attachments 9-14: Other relevant documents (optional) Include any other documents that are relevant to your application.

Other required forms You will need to complete some other forms. Upload the listed forms at Grants.gov. You can find them in the NOFO application package or review them and any available instructions at Grants.gov Forms.

Forms Submission Requirement

Application for Federal Assistance (SF-424) With application.

Budget Information for Non-Construction Programs (SF-424A)

With application.

Disclosure of Lobbying Activities (SF-LLL) If applicable, with the application or before award.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 3: Prepare Your Application 27 https://grants.gov/learn-grants/grant-terminology#p https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=13 https://www.grants.gov/forms

Step 4:

Learn About Review and Award

In this step

Application review 29

Selection process 33

Award notices 34

Application review Initial review We will review your application to make sure that it meets eligibility criteria, including the completeness and responsiveness criteria. If your application does not meet these criteria, it will not be funded.

We will not review any pages that exceed the page limit.

Merit review A panel reviews all applications that pass the initial review. The members use these criteria.

Criterion Total number of points = 100

1. Need 10 points

2. Response 35 points

3. Performance reporting and evaluation 20 points

4. Impact 10 points

5. Resources and capabilities 15 points

6. Support requested 10 points

Criterion 1: Need (10 points) See Project Narrative Introduction and Need sections.

The panel will review your application for how well it:

• Addresses at least one of the child health topics in the program requirements and expectations section.

• Describes the purpose of the project and the unmet needs of the target population.

• Uses relevant data, with appropriate references, to document and justify the need for the proposed project, including data from your state or region’s Title V MCH Block Grant Program Needs Assessment and Title V State Action Plan.

Step 4: Learn About Review and Award 29

Criterion 2: Response (35 points) See Project Narrative Approach, High-level work plan, and Resolving challenges sections.

Approach (25 points) The panel will review your application for:

Goals and Objectives

• How well it responds to the program’s purpose.

• How well the activities described address the need, meet project goals and objectives, and are achievable within the performance period.

• The strength of the proposed SMARTIE goals and objectives and how well they relate to the project.

Community-Based Project and Activities

• How well it describes a plan to implement a new, or new component of, an evidence-informed or evidence-based community-based project.

• How well it describes the target population, including the age range and geographic area in which project activities will occur.

• The strength and effectiveness of your plan to use Bright Futures guidelines;

address SDOH, health disparities, and the cultural and linguistic needs of the target population; and include patient- or family-centered medical home approaches.

Collaborative Partnerships

• The strength and feasibility of your plan to build or strengthen collaborative partnerships with at least one pediatric provider or another health care professional and at least one Title V recipient.

Advisory Board

• The strength and feasibility of your plan to establish an advisory board with diverse perspectives and involve them in project activities.

Technical Assistance

• Your willingness to participate in recipient calls and a technical assistance visit.

Work plan (7 points) The panel will review your application for:

• The extent to which the work plan is clear and specific, includes a timeline, and identifies the staff or partners responsible for each activity.

Step 4: Learn About Review and Award 30

• The strength and feasibility of the work plan, including the extent to which it proposes reasonable timelines that are achievable within the period of performance and aligns with objectives proposed in the approach section.

Resolving challenges (3 points) The panel will review your application for:

• How well it describes challenges you may face while implementing the work plan, and the quality of your plan to deal with these challenges.

Criterion 3: Performance reporting and evaluation (20 points) See Project Narrative Performance reporting, evaluation, and technical support capacity section.

The panel will review your application for:

• How well it describes clear data collection, monitoring, and evaluation procedures for reporting on project activities.

• Your plan and ability to collect data on the measures specified in the performance measurement, evaluation, and continuous quality improvement (CQI), including DGIS measures and additional measures to be reported in the noncompeting continuation progress report.

• Your willingness to participate in the HRSA-supported impact and outcome evaluations of the HTPCP program, one and five years after the five-year period of performance.

• The feasibility and completeness of your plan to collect data that shows the impact of your project on the target population and measurable outcomes specific to your selected child health topic.

• Your capacity to collect, track, manage, and report proposed and required data over time, including available resources, systems, and processes.

Criterion 4: Impact (10 points) See Project Narrative High-level work plan and Sustainability sections.

The panel will review your application for:

• The feasibility of your plan to accomplish project objectives.

• How strong an impact your project will have on the health of the children in the community.

• The strength of your plan to disseminate information that will help other groups replicate your project in other settings.

Step 4: Learn About Review and Award 31

• How likely it is that the project—including the advisory board and partnerships—will continue beyond the federal funding.

• The strength of the plan to obtain future funding and resolve challenges to sustainability.

Criterion 5: Resources and capabilities (15 points) See Project Narrative Organizational information and Evaluation and technical support capacity sections.

The panel will review your application to determine the extent to which:

• You have the capabilities to accomplish the proposed project.

• You can secure facilities that will fulfill the requirements of the proposed project activities.

• You have the organizational structure and personnel to support a preventive clinical or public health community-based project.

• Project staff have the training or experience to carry out the project and provide culturally and linguistically appropriate services.

• The project director has the adequate experience and time to lead the project.

Criterion 6: Support requested (10 points) See Budget and budget narrative section.

The panel will review your application to determine:

• How reasonable the proposed budget is for each year of the period of performance.

• How reasonable costs are and how well they align with the project’s goals, objectives, and activities.

• Whether sufficient time is allotted for the project director and key staff to spend on the project to achieve project objectives.

• The strength, feasibility, and effectiveness of your plan to meet the cost-matching requirement in Years 2 through 5 of the project, as outlined in the budget form SF 424A and the budget narrative.

Step 4: Learn About Review and Award 32

Risk review Before making an award, we review your award history to assess risk. We need to ensure all prior awards were managed well and demonstrated sound business practices. We:

• Review any applicable past performance.

• Review audit reports and findings.

• Analyze the budget.

• Assess your management systems.

• Ensure you continue to be eligible.

• Make sure you comply with any public policies.

We may ask you to submit additional information.

As part of this review, we use SAM.gov Entity Information Responsibility/Qualification to check your history for all awards likely to be more than $250,000 over the period of performance. You can comment on your organization’s information in SAM.gov. We’ll consider your comments before making a decision about your level of risk.

If we find a significant risk, we may choose not to fund your application or to place specific conditions on the award.

For more details, see 45 CFR 75.205.

Selection process When making funding decisions, we consider:

• The amount of available funds.

• Assessed risk.

• Merit review results. These are key in making decisions but are not the only factor.

We may:

• Consider the larger portfolio of HRSA-funded projects, including the diversity of project types and geographic distribution.

• Fund out of rank order.

• Fund applications in whole or in part.

• Fund applications at a lower amount than requested.

• Decide not to allow a recipient to subaward if they may not be able to monitor and manage subrecipients properly.

• Choose to fund no applications under this NOFO.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 4: Learn About Review and Award 33 https://sam.gov/content/entity-information https://www.ecfr.gov/current/title-45/section-75.205

Award notices We issue Notices of Award (NOA) on or around the start date listed in the NOFO. See Section 4 of the Application Guide for more information.

By drawing down funds, you accept the terms and conditions of the award.

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 4: Learn About Review and Award 34 https://www.hrsa.gov/sites/default/files/hrsa/grants/application-guide.pdf#page=31

Step 5:

Submit Your Application

In this step

Application submission and deadlines 36

Application checklist 37

Application submission and deadlines Your organization’s authorized official must certify your application. See the section on finding the application package to make sure you have everything you need.

Make sure you are current with SAM.gov and UEI requirements. When you register or update your SAM.gov registration, you must agree to the financial assistance general certifications and representations, and specifically with regard to grants.

Make sure that your SAM.gov registration is accurate for both contracts and grants, as these registrations differ. See information on getting registered. You will have to maintain your registration throughout the life of any award.

Deadlines You must submit your application by March 17, 2025, at 11:59 p.m. ET.

Grants.gov creates a date and time record when it receives applications.

Submission method Grants.gov You must submit your application through Grants.gov. You may do so using Grants.gov Workspace. This is the preferred method. For alternative online methods, see Applicant System-to-System.

For instructions on how to submit in Grants.gov, see the Quick Start Guide for Applicants. Make sure that your application passes the Grants.gov validation checks, or we may not get it. Do not encrypt, zip, or password protect any files.

Have questions? Go to Contacts and Support.

Other submissions Intergovernmental review If your state has a process, you will need to submit application information for intergovernmental review under Executive Order 12372. Under this order, states may design their own processes for obtaining, reviewing, and commenting on some applications. Some states have this process and others do not.

To find out your state’s approach, see the list of state single points of contact. If you find a contact on the list for your state, contact them as soon as you can to learn their

1. Review 2. Get Ready 3. Prepare 4. Learn 5. Submit 6. Award Contacts

Step 5: Submit Your Application 36 https://www.hrsa.gov/grants/apply-for-a-grant/prepare-your-application/assurances-non-construction-programs https://www.hrsa.gov/grants/apply-for-a-grant/prepare-your-application/assurances-non-construction-programs https://www.grants.gov/system-to-system/applicant-system-to-system/ https://www.grants.gov/system-to-system/applicant-system-to-system/…