Community Integrated Service Systems (CISS)
Active
- Assistance listing
- 93.491
- Agency
-
Health Resources and Services Administration
Department of Health and Human Services
- Grant awards
- Not on record
Program facts
- Treasury account
-
- 75-0354-0-1-550
- More information
Program details come from SAM.gov Assistance Listings. Updated .
About this program
The Health Resources and Services Administration (HRSA) within the Department of Health and Human Services operates the Community Integrated Service Systems program (CFDA 93.491) to fund states and communities building comprehensive, integrated systems of care that improve access and health outcomes for all children, including those with special health care needs, with a currently open opportunity due July 10, 2026.
HRSA awards competitive grants for up to 2 to 5 years, subject to fund availability, with potential for noncompetitive continuation awards contingent on progress reporting and federal determination of ongoing benefit. Final award decisions are made 4 to 6 months after application receipt following objective review committee recommendation and delegated HRSA program official approval. Award preference is provided to high infant mortality areas for specific investments including maternal and infant health home visiting programs, projects increasing obstetrician and pediatrician participation, integrated maternal and child health service delivery systems, maternal and child health centers, and rural maternal and child health projects.
The program supports evidence-based strategies improving prenatal-to-age-5 family access to quality health care, early screening for physical and mental health needs, and connections to family support services. The Early Childhood Comprehensive Systems SEED Project (ECCS SEED, HRSA-26-057), posted December 12, 2025, with application due July 10, 2026, is the current open opportunity under this program. It operates as a Cooperative Agreement and is open to state governments, county governments, city and township governments, tribal governments, tribal organizations, special district governments, higher education institutions, nonprofits including non-501(c)(3) organizations, small businesses, for-profit organizations, and independent school districts.
The source provides no recent grant award portfolio data, award counts, funding concentration figures, or representative recent award examples. Final decisions on submitted applications arrive 4 to 6 months post-receipt. Recipients must maintain grant accounting records for 3 years after federal financial report submission; entities expending $1 million or more in federal awards annually are subject to single or program-specific audit requirements under 2 CFR 200, Subpart F.
Objective and description
- Objective
The Community Integrated Service Systems program works to assist states and communities with building a comprehensive, integrated system of care to improve access and outcomes for all children, including children with special health care needs.
- Description
The Community Integrated Service Systems program works to assist states and communities with building a comprehensive, integrated system of care to improve access and outcomes for all children, including children with special health care needs.
Eligibility
- Applicant eligibility
Award preference is provided to areas with high infant mortality for CISS investments supporting the following investment areas: Maternal and infant health home visiting programs; Projects designed to increase the participation of obstetricians and pediatricians; Integrated maternal and child health service delivery systems; Maternal and child health centers; Maternal and child health projects to serve rural populations.
- Beneficiary eligibility
Investments supported under the CISS authority are designed to help states and communities build a comprehensive, integrated system of care to improve health care access and health outcomes for all children, including children with special health care needs. CISS investments are intended to develop and expand the following: Maternal and infant health home visiting programs; Projects designed to increase the participation of obstetricians and pediatricians; Integrated maternal and child health service delivery systems; Maternal and child health centers; Maternal and child health projects to serve rural populations; and Outpatient and community-based services programs (including day care services) for children with special health care needs whose medical services are provided primarily through inpatient institutional care.
- Uses of assistance
Investments supported by HRSA/MCHB under the CISS authority are designed to assist states and communities to increase local service delivery capacity and build comprehensive and integrated community service systems for mothers and children. In particular, CISS funding supports the development, innovation, and expansion of services in rural areas for MCH populations with special health care needs.
- Use restrictions
Investments supported by HRSA/MCHB under the CISS authority are designed to assist states and communities to increase local service delivery capacity and build comprehensive and integrated community service systems for mothers and children. In particular, CISS funding supports the development, innovation, and expansion of services in rural areas for MCH populations with special health care needs.
How to apply
- Preapplication coordination
An applicant should consult the office or official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review.
- Criteria for selecting proposals
Evaluation criteria vary based on the grant/cooperative agreement program. Refer to criteria included in the notice of funding opportunity for each specific program.
- Award procedure
All qualified applications will be forwarded to an objective review committee. Based on the recommendations of the objective review committee, the HRSA program official with delegated authority is responsible for final selection and funding decisions. Notification is made in writing by a Notice of Award.
- Time to approval or disapproval
Final decisions are made 4 to 6 months after receipt of applications.
- Renewals
Competitive awards are typically made for up to 2 to 5 years, subject to the availability of funds. After initial awards, annual noncompetitive awards may be made contingent upon the submission of noncompetitive applications/progress reports and availability of funds and a determination that continued funding would be in the best interest of the federal government.
Grant opportunities
| Opportunity | Status | Posted | Applications due |
|---|---|---|---|
| Early Childhood Comprehensive Systems SEED Project: Scaling Effective Early Childhood Systems Development (ECCS SEED) | Closed |
Quick answers
What is Assistance Listing 93.491?
Assistance Listing 93.491 is Community Integrated Service Systems (CISS), a federal grant program run by Health Resources and Services Administration (Department of Health and Human Services).
What is the CFDA number for Community Integrated Service Systems (CISS)?
Its CFDA number is 93.491: Assistance Listing numbers were called CFDA numbers before 2018.
Are there open grant opportunities under 93.491?
No opportunity listed under 93.491 is open now. The latest, Early Childhood Comprehensive Systems SEED Project: Scaling Effective Early Childhood Systems Development (ECCS SEED), was posted on December 12, 2025.
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