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Cooperative Agreement to a USA Nonprofit, For-Profit, or Agency to Improve Care for Children with Complex Medical Needs

National Center for a System of Services for Children and Youth with Special Health Care Needs

GrantWatch ID# 206492
Agency: Federal

Funding Source
Department of Health and Human Services (HHS) - Health Resources and Services Administration (HRSA) - Maternal and Child Health Bureau - Division of Services for Children with Special Health Needs
CFDA Number: 93.110
Funding or PIN Number: HRSA-23-075
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Geographic Focus

Important Dates
Conference Date: 11/15/22
Deadline: 01/26/23 11:59 PM ET

Grant Description
Cooperative agreement to a USA nonprofit or for-profit organization, tribe, or agency to increase health equity and access to services for children with complex medical needs. Applicants are advised that required registrations may take several weeks to complete. Funding is intended for a National Center that will identify and implement actionable steps.

The purpose of this program is to advance the system of services for children and youth with special health care needs (CYSHCN) by supporting the implementation of the Blueprint for Change: Guiding Principles for a System of Services for Children and Youth With Special Health Care Needs (Blueprint for Change), a national agenda to improve health and well-being for CYSHCN and their families. This program will assist Title V programs and other key stakeholders who serve CYSHCN and their families by implementing strategies in four critical areas: health equity, CYSHCN and family well-being and quality of life, access to services, and financing of services.

The National Center will support implementation of the Blueprint for Change by providing national coordination and leadership in two overarching activities:

  1. Developing a Blueprint Implementation Roadmap that identifies actionable steps at the research, policy, and practice level for sectors serving CYSHCN and their families to implement the principles and strategies in the Blueprint for Change.
  2. Assisting states, communities, and other stakeholders to implement the Blueprint Implementation Roadmap.

These two activities will be accomplished by conducting policy/practice assessment and analysis; supporting partnership building; developing and conducting training; providing technical assistance (TA) and education; developing and disseminating resources and materials to support Blueprint for Change implementation; and conducting a program evaluation.

For further information and program goals, see pp. 6-7 of the NOFO in Attached Files below.


  • City or township governments
  • County governments
  • For profit organizations other than small businesses
  • 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
  • Others (see text field entitled "Additional Eligibility Criteria" for clarification)
  • Small businesses
  • Special district governments
  • State governments

Additional Criteria for Eligibility
Any domestic public or private entity, including an Indian tribe or tribal organization (as those terms are defined at 25 U.S.C. § 5304 (formerly cited as 25 U.S.C. § 450b)), is eligible to apply. See 42 CFR § 51a.3(a). Domestic faith-based and community-based organizations are eligible to apply.

For Funding Restrictions, see pp. 27-28 of the NOFO in Attached Files below.

Pre-Proposal Conference
HRSA has scheduled the following webinar, which will be recorded:
Tuesday, November 15, 2022
3 – 4 p.m. ET


Attendees without computer access or computer audio can use the dial-in information below:

Call-In Number: 833 568 8864
Participant Code:57753084

Pre-Application Information
The application due date under this NOFO is January 26, 2023 at 11:59 p.m. ET. HRSA suggests you submit your application to at least 3 calendar days before the deadline to allow for any unforeseen circumstances.

HRSA requires you to apply electronically. HRSA encourages you to apply through using the SF-424 workspace application package associated with this NOFO.

Ensure your and registrations and passwords are current immediately! HRSA will not approve deadline extensions for lack of registration. Registration in all systems may take up to 1 month to complete. Applicants must also obtain a UEI from

View this opportunity on

For a list of relevant application documents, go to the Package tab (press Preview) on the link above.

Additional Funding Information

Estimated Total Program Funding:


Number of Grants

Estimated Size of Grant
Up to $1,500,000 per year

Term of Contract
Period of Performance: July 1, 2023 through June 30, 2028 (5 years)

Funding beyond the first year is subject to the availability of appropriated funds for the National Center for a System of Services for Children and Youth with Special Health Care Needs in subsequent fiscal years, satisfactory progress, and a decision that continued funding is in the best interest of the Federal Government.

Contact Information
You may request additional information and/or technical assistance regarding business, administrative, or fiscal issues related to this NOFO by contacting:
Hazel N. Booker Grants Management Specialist
Division of Grants Management Operations, OFAM
Health Resources and Services Administration
Phone: (301) 443-4236

You may request additional information regarding the overall program issues and/or technical assistance related to this NOFO by contacting:
Sarah Beth McLellan, MPH
Senior Public Health Analyst, Division of Services for Children and Youth with Special Health Needs
Attn: Funding Program
Maternal and Child Health Bureau
Health Resources and Services Administration
Phone: (240) 705-0743
Email: Customer Support:

RFP & Supporting Documents
Full Grant Text RFP

Before starting your grant application, please review the funding source's website listed below for updates / changes / addendums / conferences / LOIs.

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