Opportunity Information: Apply for HRSA 19 091

Service Area Competition-Additional Areas (SAC-AA) - Chicago, IL and Toledo, OH (HRSA-19-091) is a discretionary grant opportunity from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA) under CFDA 93.224. It is part of HRSA's Health Center Program and is designed to fund community-based organizations that deliver primary health care in medically underserved communities. The focus of this specific SAC-AA announcement is on supporting service delivery in the additional service areas identified for Chicago, Illinois and Toledo, Ohio, with the overall goal of maintaining and strengthening access to affordable, high-quality primary care for the populations already served through the Health Center Program.

The central purpose of the SAC-AA notice of funding opportunity (NOFO) is continuity of care. HRSA uses SAC-AA competitions to ensure that when there is a need to expand or reinforce coverage in a defined geographic or service area, qualified organizations can apply for operational funding to provide comprehensive primary health care services. In practical terms, applicants are competing to become (or remain) the HRSA-supported health center provider for the announced service area(s), with an emphasis on meeting the needs of vulnerable and underserved groups and delivering patient-directed, community-responsive care.

The opportunity is aimed at public and private nonprofit entities that are community-based and patient-directed, consistent with the Health Center Program model. While the eligibility line item is listed broadly as "Others," the NOFO indicates that applicants must meet the SAC-AA eligibility requirements described in the full announcement, which typically align with Health Center Program requirements (for example, the ability to operate as a compliant health center organization serving a defined service area and target population). Within this program, the term "health center" is used broadly to include organizations funded under section 330 of the Public Health Service Act, including Community Health Centers (CHC, section 330(e)), Migrant Health Centers (MHC, section 330(g)), Health Care for the Homeless (HCH, section 330(h)), and Public Housing Primary Care (PHPC, section 330(i)). This matters because it clarifies that HRSA is not limiting the concept of a health center to just one subtype; rather, multiple section 330 models may be relevant depending on the community needs and the applicant's scope.

Applicants are expected to propose the delivery of primary health care services with operational support from HRSA, meaning the funding is intended to help run and sustain ongoing health center operations in the designated service area rather than support a one-time activity. The NOFO also signals that HRSA will use defined review criteria and awarding factors to evaluate applications, which typically emphasizes things like the applicant's capacity to deliver required services, governance and patient engagement consistent with the program's patient-directed approach, quality improvement and performance, financial and administrative capability, and the ability to meet service area needs. The competition structure implies that HRSA intends to select providers that can demonstrate both immediate readiness and long-term stability in serving these communities.

Key administrative details include a creation date of June 18, 2018, and an original application closing date of August 17, 2018. HRSA anticipated making two awards, which aligns with the two locations highlighted in the title (Chicago and Toledo), although the precise distribution would depend on how HRSA defined the service areas and structured the competition. The listed award ceiling is shown as 0, which generally indicates that the ceiling was not specified in the summarized dataset and that applicants would need to consult the full NOFO for funding ranges, expected budgets, and any service area-specific funding amounts.

Overall, this SAC-AA opportunity is best understood as HRSA's mechanism for ensuring that designated areas in Chicago, IL and Toledo, OH continue to have a federally supported health center presence capable of delivering accessible, affordable primary care to medically underserved populations, using the established Health Center Program framework and section 330 authorities.

  • The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Service Area Competition-Additional Areas (SAC-AA) – Chicago, IL and Toledo, OH" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.224.
  • This funding opportunity was created on Jun 18, 2018.
  • Applicants must submit their applications by Aug 17, 2018. (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 2 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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Frequently Asked Questions (FAQs)

1) What is the Service Area Competition-Additional Areas (SAC-AA) opportunity (HRSA-19-091)?

SAC-AA - Chicago, IL and Toledo, OH (HRSA-19-091) is a discretionary grant opportunity from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), under CFDA 93.224. It is part of HRSA's Health Center Program and is intended to fund community-based organizations that provide primary health care services in medically underserved communities.

2) What is the main goal of this SAC-AA notice of funding opportunity (NOFO)?

The central purpose is continuity of care. HRSA uses SAC-AA competitions to maintain and strengthen access to affordable, high-quality primary care by ensuring a qualified organization is funded to deliver comprehensive primary health care services in the specified service area(s).

3) Which locations and service areas does this specific SAC-AA focus on?

This SAC-AA announcement focuses on additional service areas identified for Chicago, Illinois and Toledo, Ohio. The intent is to support service delivery in those defined geographic or service areas as identified in the NOFO.

4) Who is this funding intended to serve?

The opportunity is designed to support primary care access for medically underserved communities, with an emphasis on vulnerable and underserved groups and on patient-directed, community-responsive care for populations already served through the Health Center Program.

5) What types of organizations are eligible to apply based on the description provided?

The opportunity is aimed at public and private nonprofit entities that are community-based and patient-directed, consistent with the Health Center Program model. The eligibility line item is listed broadly as "Others," but applicants must meet SAC-AA eligibility requirements described in the full announcement, which typically align with Health Center Program requirements.

6) What does "patient-directed" mean in the context of this opportunity?

In this context, "patient-directed" refers to the Health Center Program approach that emphasizes patient engagement and governance practices consistent with a community-based health center model. The NOFO indicates that HRSA will evaluate governance and patient engagement as part of review criteria and awarding factors.

7) Is this grant for one-time projects or for ongoing operations?

The funding is described as operational support from HRSA, intended to help run and sustain ongoing health center operations in the designated service area rather than support a one-time activity.

8) What does HRSA mean by "health center" in this program?

Within this program, "health center" is used broadly to include organizations funded under section 330 of the Public Health Service Act. This includes Community Health Centers (CHC, section 330(e)), Migrant Health Centers (MHC, section 330(g)), Health Care for the Homeless (HCH, section 330(h)), and Public Housing Primary Care (PHPC, section 330(i)).

9) Does the NOFO limit applicants to only one subtype of section 330 health center?

Based on the description provided, HRSA is not limiting the concept of a health center to just one subtype. Multiple section 330 models may be relevant depending on community needs and the applicant's proposed scope.

10) What are applicants competing for under SAC-AA?

Applicants are competing to become (or remain) the HRSA-supported health center provider for the announced service area(s). HRSA uses the competition to select qualified organizations that can demonstrate readiness and long-term stability to meet service area needs.

11) What kinds of capabilities does HRSA typically emphasize when reviewing applications?

The NOFO signals that HRSA will use defined review criteria and awarding factors. The description indicates this typically emphasizes the applicant's capacity to deliver required services, governance and patient engagement consistent with the patient-directed approach, quality improvement and performance, financial and administrative capability, and the ability to meet service area needs.

12) How many awards did HRSA anticipate making?

HRSA anticipated making two awards, which aligns with the two locations highlighted in the opportunity title (Chicago and Toledo). The precise distribution would depend on how HRSA defined the service areas and structured the competition.

13) What is the application timeline provided for this opportunity?

The key administrative details listed include a creation date of June 18, 2018, and an original application closing date of August 17, 2018.

14) What is the CFDA number for this program?

The opportunity is listed under CFDA 93.224.

15) What does it mean that the listed award ceiling is shown as 0?

The award ceiling shown as 0 generally indicates the ceiling was not specified in the summarized dataset. Applicants would need to consult the full NOFO for funding ranges, expected budgets, and any service area-specific funding amounts.

16) What is the practical purpose of a SAC-AA competition for Chicago and Toledo?

In practical terms, this SAC-AA is HRSA's mechanism to ensure that the designated areas in Chicago, IL and Toledo, OH have a federally supported health center presence capable of delivering accessible, affordable primary care under the established Health Center Program framework and section 330 authorities.

17) Is this opportunity connected to a specific federal agency and department?

Yes. The opportunity is from the U.S. Department of Health and Human Services, administered through the Health Resources and Services Administration (HRSA).

18) Where should applicants look for details not included in the summary (eligibility specifics, funding ranges, and service area definitions)?

The summary indicates that applicants must consult the full SAC-AA NOFO for the detailed eligibility requirements, defined service areas, expected budgets, funding ranges, and any service area-specific amounts.

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