Organized Approaches to Increase Colorectal Cancer Screening
Active
- Assistance listing
- 93.800
- Agency
-
Centers for Disease Control and Prevention
Department of Health and Human Services
- Grant awards
- 43 $154,017,109 in federal obligations
Program facts
- Also known as
- Colorectal Cancer Screening Program
- Assistance type
-
- Cooperative Agreement
- Treasury account
-
- 75-0943-0-1-550
Program details come from SAM.gov Assistance Listings. Updated . Grant award figures come from USAspending.gov.
About this program
The Centers for Disease Control and Prevention funds implementation of evidence-based interventions to increase colorectal cancer screening rates among adults aged 45–75 in underserved populations, with the most recent grant awards distributed on August 30, 2025, under Assistance Listing 93.800.
The program supports health systems and primary care clinics—particularly federally qualified health centers, tribal clinics, and safety-net providers—in implementing multicomponent evidence-based interventions targeting populations with screening prevalence below national, regional, or local averages. Activities include provider and patient reminder systems, reduction of structural barriers to screening, patient navigation, and direct funding to pay for stool-based testing and follow-up colonoscopies as a payor of last resort. Recipients establish formal readiness assessments of clinic capacity, designate screening champions at each site, and submit high-quality clinic-level data on baseline and annual screening prevalence, tests provided and returned, and follow-up colonoscopy completion. Project periods run from one to five years; after initial awards, projects may continue non-competitively contingent upon satisfactory progress and federal determination that continued funding serves the government's interest.
Grant awards have been active and steady over the past decade. Forty-three awards totaling $154 million in federal dollars have been obligated since the program's inception in 2015; twelve awards were made in 2025 alone. The assistance-type mix is predominantly Cooperative Agreements (98 percent of awards) with a single Project Grant. Funding concentration is entirely within CDC, which obligated all $154 million across all 43 awards.
Recent awards demonstrate geographic and institutional diversity. The Oregon Health Authority received $1,283,254 on August 30, 2025, to strengthen CRC screening in federally qualified health centers and tribal clinics serving uninsured and Oregon Health Plan–insured populations across rural and urban areas. Health Quality Partners of Southern California received $1,215,984 to implement multicomponent interventions at four FQHCs and one Indian Health Service facility in San Diego and Riverside Counties. The Georgia Center for Oncology Research and Education received $1,367,902 to close CRC screening gaps between urban and rural Georgia by partnering with four FQHCs operating 21 locations in high-burden southwestern and southeastern counties.
The open solicitation CDC-RFA-DP-25-0012, "Changing Health Systems Using Evidence-based Interventions to Increase Colorectal Cancer Screening," closed on February 20, 2025, and awarded recipients on August 30, 2025. Eligible applicants include state and territorial health agencies, tribes and tribal organizations, and colleges and universities. A prior round, CDC-RFA-DP20-2002, was posted in January 2020 with a $900,000 award ceiling per recipient.
Objective and description
- Objective
The purpose of the program is to increase colorectal cancer (CRC) screening rates among an applicant-defined target population of persons 50-75 years of age within partner health system(s), defined geographical areas, or disparate populations.
- Description
This program will fund implementation of evidence-based interventions (EBIs) and other strategies in partnership with health systems with the goal of instituting organized screening programs. In addition, this program will fund a small number of awardees to pay for direct screening and follow-up services for a limited number of individuals that belong to the program priority population.
Eligibility
- Applicant eligibility
Eligible applicants are the official State/Territorial health agencies of the United States or their bona fide agents; Tribes/Tribal Organizations and Private/Public Colleges and Universities.
- Beneficiary eligibility
Eligible applicants are the official State/Territorial health agencies of the United States or their bona fide agents; Tribes/Tribal Organizations and Private/Public Colleges and Universities.
- Uses of assistance
This program will fund implementation of EBIs and other strategies in partnership with health systems with the goal of instituting organized screening programs. In addition, this program will fund a small number of awardees to pay for direct screening and follow-up services for a limited number of individuals that belong to the Program Priority Population. Component 1: Health Systems Change to Increase and Improve Colorectal Cancer (CRC) Screening. To increase capacity and support organized CRC screening, awardees must partner with health systems, such as federally qualified health centers (FQHCs), health plan clinic networks, large physician practices, Medicaid, Medicare, and insurance plans that serve the applicant--defined target population to: a) implement EBIs identified in The Community Guide to increase CRC screening and b) measure outcomes for evaluation. To increase CRC screening and follow-up rates, awardee activities that may be funded include, but are not limited to: formally partnering with an FQHC to implement a provider-oriented intervention such as provider reminders, formally partnering with a state primary care association to create or modify FQHC operational models, or formally partnering with an insurer to implement client-oriented EBIs such as client reminders. Component 2 - CRC Screening Delivery to Improve Access to the Underserved (Optional): Awardees must use an active, existing organized screening provision program to provide CRC screening and diagnostic follow-up services for the program's priority population as described above. Applicants must demonstrate an existing clinical and programmatic infrastructure and currently provide colorectal screening and follow-up services to the program's priority population.
- Length and time phasing of assistance
Financial assistance is provided for a 12-month budget period with a period of performance of up to five years subject to the availability of funds and satisfactory progress of the recipient.
How to apply
- Preapplication coordination
Refer to the NOFO at www.grants.gov.
- Criteria for selecting proposals
Applications will be evaluated on the review criteria described in the Notice of Funding Opportunity Announcements (NOFOs). In general, the review and selection process of complete and responsive applications to the NOFO consists of determination of the scientific and technical merit by objective or peer review, availability of funds, and relevance of program priorities and the priorities of CDC.
- Award procedure
After review and approval, a Notice of Award (NoA) will be prepared and processed, along with appropriate notification to the public.
- Deadlines
Check Grants.gov for any relevant NOFO information regarding processes for applying for assistance.
- Renewals
Project period of performance is 1 to 5 years. After initial awards, and subject to availability of funds, projects may be continued non-competitively contingent upon satisfactory progress by the recipient (as documented in required reports) and the determination that continued funding is in the best interest of the Federal government.
Grant opportunities
| Opportunity | Status | Posted | Applications due |
|---|---|---|---|
| Changing Health Systems Using Evidence-based interventions to increase Colorectal Cancer Screening | Closed | ||
| Public Health and Health Systems Partnerships to Increase Colorectal Cancer Screening in Clinical Settings | Closed | ||
| Organized Approaches to Increase Colorectal Cancer Screening | Closed |
Grant awards
Latest 10 of 43 listed here. See the rest on GovTribe.
Top recipients by federal obligations
| Rank | Recipient | Federal obligations | Share |
|---|---|---|---|
| 1 | Health Research, Inc. | $10,045,467 | 7% |
| 2 | Michigan Department Of Health And Human Services | $10,003,899 | 6% |
| 3 | Minnesota Department Of Health | $8,554,819 | 6% |
| 4 | Washington State Department Of Health | $8,465,087 | 5% |
| 5 | Executive Office Of The Governor Of Delaware | $7,911,481 | 5% |
| 6 | Nevada Department Of Health And Human Services | $6,547,292 | 4% |
| 7 | Oregon Health Authority-Public Health | $6,410,054 | 4% |
| 8 | Florida Department Of Health | $6,074,786 | 4% |
| 9 | The University Of Chicago | $5,778,731 | 4% |
| 10 | Mary Hitchcock Memorial Hospital | $5,439,890 | 4% |
10 of 40 recipients listed here. See the rest on GovTribe.
Federal obligations by fiscal year
| Fiscal year | Federal obligations |
|---|---|
| FY2025 | $30,542,394 |
| FY2024 | $22,374,496 |
| FY2023 | $27,237,617 |
| FY2022 | $64,928,488 |
| FY2021 | $21,544,485 |
| FY2020 | $44,000,000 |
| FY2019 | $58,642,195 |
| FY2018 | $22,659,654 |
| FY2017 | $23,251,826 |
| FY2016 | $22,138,634 |
| FY2015 | $23,903,130 |
Show all 11
Quick answers
What is Assistance Listing 93.800?
Assistance Listing 93.800 is Organized Approaches to Increase Colorectal Cancer Screening, a federal grant program run by Centers for Disease Control and Prevention (Department of Health and Human Services).
What is the CFDA number for Organized Approaches to Increase Colorectal Cancer Screening?
Its CFDA number is 93.800: Assistance Listing numbers were called CFDA numbers before 2018.
How much funding has Assistance Listing 93.800 awarded?
43 grant awards under 93.800 have obligated $154,017,109 in federal funds to 40 recipients.
Who receives the most funding from 93.800?
The recipients obligated the most under Organized Approaches to Increase Colorectal Cancer Screening are Health Research, Inc. ($10,045,467), Michigan Department Of Health And Human Services ($10,003,899) and Minnesota Department Of Health ($8,554,819).
How much did 93.800 obligate in fiscal year 2025?
Grants under 93.800 obligated $30,542,394 in federal funds in fiscal year 2025.
Are there open grant opportunities under 93.800?
No opportunity listed under 93.800 is open now. The latest, Changing Health Systems Using Evidence-based interventions to increase Colorectal Cancer Screening, was posted on August 12, 2024.
On GovTribe
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