Opportunity Information: Apply for HRSA 17 100
The Health Care Delivery System Innovations for Children with Medical Complexity opportunity (HRSA 17-100) is a 2017 discretionary cooperative agreement from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), within the Health funding activity area (CFDA 93.110). It focuses on improving how care is delivered and paid for for children with medical complexity (CMC), a subgroup within children and youth with special health care needs (CYSHCN). CMC are described as children who often have significant family-identified needs, chronic and severe health conditions, functional limitations, and very high use of health services, reflecting the characterization cited from Cohen et al. (Pediatrics, 2011). In practical terms, the program is aimed at children whose care is often fragmented across multiple clinicians and settings and who can be especially affected by gaps in coordination, inconsistent care plans, and misaligned payment incentives.
The core purpose of the grant is to develop and implement innovative care models and payment models that can better support high-quality, cost-effective, and family-centered care for CMC. Rather than funding isolated pilot projects, this initiative is built around a structured, multi-stakeholder improvement method called a Collaborative Improvement and Innovation Network (CoIIN). The CoIIN approach is adapted from Peter Gloor's Collaborative Innovation Network (COIN) model (Gloor, 2006) and emphasizes collaborative learning, shared problem-solving, rapid testing of strategies, and building practical evidence that can be used by health systems and states. Because this is a cooperative agreement, HRSA typically has substantial involvement in guiding and supporting the work, meaning awardees should expect active federal partnership, structured milestones, and coordinated learning activities rather than a fully hands-off grant relationship.
A defining feature of the opportunity is the expectation that participating teams will include a broad coalition of people who influence both clinical care and the systems that pay for and organize that care. The announcement highlights involvement from families of children with medical complexity, pediatric primary care and specialty clinicians, leaders from integrated health care delivery systems and/or freestanding children's hospitals, and state leaders from Title V CYSHCN programs and Medicaid, along with other relevant stakeholders from participating states. The intent is to bring together those who experience care (families), those who provide it (clinical teams), and those who shape coverage and system design (state programs and payers) so that innovations are grounded in real needs and can be sustained through feasible financing and policy levers. Through this collaborative structure, states and systems are expected to test strategies that improve coordination, outcomes, experience of care, and overall value, while also generating evidence about what works and under what conditions.
From an administrative standpoint, the opportunity was created on November 10, 2016, with an original closing date of February 27, 2017. The listing indicates an expectation of one award, and the award ceiling is shown as 0, which typically signals that applicants must rely on the full funding announcement for specific budget parameters or that the ceiling was not specified in the summary data. Eligibility is listed broadly as "Others," with details referenced in an additional eligibility section in the full notice, implying that applicants needed to consult the complete announcement to confirm which organizations or consortia could apply. Overall, the grant is best understood as a national effort to catalyze system-level improvements for a highly vulnerable pediatric population by combining care redesign with payment innovation and by spreading learning through a formal collaborative network.Apply for HRSA 17 100
- The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Health Care Delivery System Innovations for Children with Medical Complexity" 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 Nov 10, 2016.
- Applicants must submit their applications by Feb 27, 2017. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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| Medicare Access and CHIP Re-authorization Act Apply for CMS 1Z0 17 001 Funding Number: CMS 1Z0 17 001 Agency: Department of Health and Human Services, Centers for Medicare Medicaid Services Category: Health Funding Amount: $500,000 |
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| Ranfose Abitid Nitrisyon pou Fè Ogmante Sante (RANFOSE) Apply for RFA 521 17 000002 Funding Number: RFA 521 17 000002 Agency: Agency for International Development, Haiti USAID-Port Au Prince Category: Health Funding Amount: $4,000,000 |
| Household Transmission of Influenza Viruses in the Community Apply for RFA IP 17 001 Funding Number: RFA IP 17 001 Agency: Department of Health and Human Services, Centers for Disease Control and Prevention - ERA Category: Health Funding Amount: $500,000 |
| Ryan White HIV/AIDS Program Implementation Center for HIV Clinical Quality Improvement Apply for HRSA 17 034 Funding Number: HRSA 17 034 Agency: Department of Health and Human Services, Health Resources and Services Administration Category: Health Funding Amount: Case Dependent |
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| Protecting and Strengthening Public Health Impact, Systems, Capacity, and Security Apply for CDC RFA GH14 141803CONT17 Funding Number: CDC RFA GH14 141803CONT17 Agency: Department of Health and Human Services, Centers for Disease Control - CGH Category: Health Funding Amount: Case Dependent |
| Rapid-Cycle Survey Collaborative for Provider Input on Immunization Issues Apply for RFA IP 17 003 Funding Number: RFA IP 17 003 Agency: Department of Health and Human Services, Centers for Disease Control and Prevention - ERA Category: Health Funding Amount: $450,000 |
| Centers for Disease Control and Prevention Minority HIV/AIDS Research Initiative (MARI) to Build HIV Prevention, Treatment and Research Capacity in Disproportionately Affected Black and Hispanic Communities and Among Historically Underrepresented Res Apply for RFA PS 16 00102CONT17 Funding Number: RFA PS 16 00102CONT17 Agency: Department of Health and Human Services, Centers for Disease Control and Prevention - ERA Category: Health Funding Amount: Case Dependent |
| Addressing Emerging Zoonoses and Strengthening Animal and Human Health Systems Apply for CDC RFA CK17 1702 Funding Number: CDC RFA CK17 1702 Agency: Department of Health and Human Services, Centers for Disease Control - NCEZID Category: Health Funding Amount: Case Dependent |
| Medical Monitoring Project (MMP) Apply for CDC RFA PS15 150303CONT17 Funding Number: CDC RFA PS15 150303CONT17 Agency: Department of Health and Human Services, Centers for Disease Control - NCHHSTP Category: Health Funding Amount: Case Dependent |
| Integrated Approaches to HIV-Related Heart, Lung, Blood, and Sleep (HLBS) Comorbidities (R01) Apply for RFA HL 18 004 Funding Number: RFA HL 18 004 Agency: Department of Health and Human Services, National Institutes of Health Category: Health Funding Amount: $499,999 |
| Limited Competition: NIH Health Care Systems Research Collaboratory - Coordinating Center (U24) Apply for RFA RM 16 018 Funding Number: RFA RM 16 018 Agency: Department of Health and Human Services, National Institutes of Health Category: Health Funding Amount: $2,000,000 |
| USAID/Haiti Request for Information on programming to improve the health status of communities across Haiti. Apply for RFI 521 17 000001 Funding Number: RFI 521 17 000001 Agency: Agency for International Development, Haiti USAID-Port Au Prince Category: Health Funding Amount: Case Dependent |
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