Opportunity Information: Apply for HRSA 24 103

The National Organizations of State and Local Officials (NOSLO): State Health Services and Financing opportunity (HRSA-24-103) is a discretionary Health Resources and Services Administration (HRSA) funding announcement designed to support one national-level organization that can help state Medicaid agencies and other health care payment leaders work more effectively with HRSA programs. The basic purpose is to strengthen how states leverage HRSA-supported services and resources in partnership with Medicaid, with the practical goal of improving access to high-quality care for underserved and high-need communities.

This award is structured as a cooperative agreement, which usually means the recipient will not just receive funds and operate independently, but will also work closely with HRSA through ongoing coordination, shared priorities, and active federal involvement in key activities. HRSA is looking for an organization that already has deep experience providing technical assistance to State Medicaid Directors and related payment and policy officials, and that understands how to translate federal program priorities into state-level actions that can be implemented through Medicaid financing and delivery systems.

The scope of work centers on tailored technical assistance and organized support that helps states collaborate across HRSA and Medicaid. Key activity areas include fostering cross-system collaborations that address maternal health disparities, strengthen and expand the health workforce, and promote integration of behavioral health into primary care. The opportunity also emphasizes expanding access for specific high-need populations and settings, including people in rural communities, individuals transitioning out of incarceration, people with HIV, and youth experiencing unmet behavioral health needs. In other words, the funded organization is expected to help states connect financing and policy tools with on-the-ground service models that reach communities facing the greatest barriers to care.

The recipient is expected to advance HRSA priorities and maximize state use of HRSA programs through two major lanes of work. First is communication and information sharing between HRSA and State Medicaid Directors and other payment officials, essentially serving as a bridge so states can better understand HRSA programs and HRSA can better understand what states need from a financing and implementation standpoint. Second is convening and capacity-building support, including training and technical assistance around data collection, data sharing, and analysis, along with structured convenings such as learning exchanges on priority topics. These convenings are meant to help Medicaid leaders operate in a more coordinated, responsive, and effective way, especially when multiple agencies, programs, and stakeholder groups must align to implement improvements.

Eligibility is broad and includes domestic public and private entities, nonprofit and for-profit organizations, community-based organizations, and tribal governments and tribal organizations. Eligible applicants can be located in the United States and several U.S.-affiliated jurisdictions and freely associated states, including 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, and the Republic of Palau. Applicants are expected to include appropriate proof of organizational status when applicable (for example, nonprofit documentation), and that proof should be defined broadly enough to accommodate tribal government and tribal organization documentation.

A key restriction is that current NOSLO award recipients are not eligible to apply as the primary recipient for this NOSLO State Health Services and Financing funding. The opportunity anticipates a single award (Expected Awards: 1). The posting lists an award ceiling of 0, which typically indicates the ceiling amount is not specified in the summary fields and applicants should rely on the full announcement for detailed budget parameters and any HRSA-specific funding limits or expectations. The original application closing date was May 23, 2024, and the opportunity was created on February 23, 2024.

  • The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "National Organizations of State and Local Officials (NOSLO): State Health Services and Financing" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.011.
  • This funding opportunity was created on 2024-02-23.
  • Applicants must submit their applications by 2024-05-23. (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: State governments, County governments, City or township governments, Special district governments, Independent school districts, Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501 (c) (3) status with the IRS, other than institutions of higher education, Nonprofits that do not have a 501 (c) (3) status with the IRS, other than institutions of higher education, For-profit organizations other than small businesses, Small businesses, Others.
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