Integrating the Healthcare Enterprise FHIR Cooperative Agreement Program


The Office of the National Coordinator for Health Information Technology (ONC) is the principal federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology (health IT) and the electronic exchange of health information. Created in 2004 through Executive Order and legislatively mandated in the Health Information Technology for Economic and Clinical Health Act (HITECH Act) of 2009, ONC is at the forefront of the federal government?s health IT efforts. This Funding Opportunity Announcement (FOA) is aimed ensuring consistency in the development of implementation guides for the standards necessary to achieve interoperability among health IT systems and to reach the milestones identified in the 21st Century Cures Act. The overarching goal is to advance the implementation consistency and readiness of the current and new versions of Integrating Healthcare Enterprise (IHE) technical implementation guides that include Fast Healthcare Interoperability Resource (FHIR) technical standards for adoption by the healthcare industry.

General information about this opportunity
Last Known Status
Program Number
Federal Agency/Office
Office of The Secretary, Department of Health and Human Services
Type(s) of Assistance Offered
B - Project Grants
Program Accomplishments
Not applicable.
HR 6157 - Department of Defense and Labor, Health and Human Services, and Education Appropriations Act, 2019 and Continuing Appropriations Act, 2019, Public Law 115-245, Division B, Title II.
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
This is a non-competitive funding opportunity and is restricted to Integrating the Healthcare Enterprise. Organizations not designated as such are not eligible to apply for this opportunity, and therefore should not submit an application. Applications submitted by organizations not referenced in this section will not be considered.
Beneficiary Eligibility
The purpose of this cooperative agreement is to advance the market's ability to electronically exchange health information through the use of certified health IT and to ensure that the products function in the production environment in the form and manner they are certified to. While the beneficiaries are ultimately the broader public at-large, the direct beneficiaries include those who work directly with certified health IT products.
Not applicable.
What is the process for applying and being award this assistance?
Pre-Application Procedure
Preapplication coordination is not applicable.
Application Procedure
This program is excluded from coverage under 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards.
Award Procedure
Awarding agency will issue the NOFO for a 30-day window. At the end of the 30-day application period, the awarding agency will review all applications over a 30- day window. The award review process will include award review panels comprised of subject matter experts and at least one federal employee. The awarding agency will inform all applicants in writing the status of their application (awarded, not awarded). Applicant awardees will be provided with the terms and conditions of their award, and will commence working with the awarding agency to implement their pilot. The awarding agency will provide oversight of the awards, including but not limited to quarterly reporting. These awards will be issued as Cooperative Agreements and it is the expectation of the awarding agency that the awardees work together in carrying out the activities contemplated in the agreement.
Please reference the Notice of Funding Opportunity for applicable deadlines related to this listing or contact the headquarters POC.
Approval/Disapproval Decision Time
From 30 to 60 days.
From 30 to 60 days. The awarding agency may issue a 30-day rework period should the majority of the NOFO applicants fail to submit the required objectives as described in the FOA SOW. There will be no appeals process for this program.
From 30 to 60 days. Renewals may be available if the applicant is able to successfully show progress towards achieving specified goals.
How are proposals selected?
Proposals will be reviewed by a review panel comprised of no less than one (1) federal employee and subject matter experts (non-federal employees). Each proposal will receive a score based on strength and merit of their proposals based on the merit review criteria of Understanding the Requirements, Innovative Business and Technical Approach for Enhanced Surveillance, Operational Experience and Knowledge of Health IT Certification and Surveillance, and Reasonableness of Budget Narrative. A detailed list of merit review criteria in these areas are detailed in the notice of funding opportunity.
How may assistance be used?
Funds can be used for contracts/sub awards
What are the requirements after being awarded this opportunity?
Performance Reports: Awardees will be required to submit written quarterly programmatic progress reports describing achievements and plans toward meeting specified goals, as well as a final financial and reconciliation report of award expenditures as part of the program close-out. The ONC Project Officer may conduct regular performance monitoring through phone calls and site visits as deemed necessary.
Not applicable.
Awardees will be required to maintain all award related documents, including but not limited to project plans, procedures and results, expenditures, and contracts and agreements (proprietary information may be redacted). All cooperative agreement-related records, including cooperative agreement-related accreditations, are required to be maintained for no less than 3-years following the submission of their final reports.
Other Assistance Considerations
Formula and Matching Requirements
Statutory formula is not applicable to this assistance listing.

Matching requirements are not applicable to this assistance listing.

MOE requirements are not applicable to this assistance listing.
Length and Time Phasing of Assistance
Assistance will be made for the duration of the award period; five years. Funds must be expended no later than 90 after the expiration of the period of performance for costs incurred during the period of performance. Method of awarding/releasing assistance: Lump.
Who do I contact about this opportunity?
Regional or Local Office
None/Not specified.
Headquarters Office
Carmel Halloun
330 C Street SW
Washington , DC 20201 US
Phone: (202) 720-2919

Debbie Bucci
330 C Street SW
Washington, DC 20201 USA
Phone: (202) 690-0213
Financial Information
Account Identification
(Cooperative Agreements) FY 18 FY 19 est $500,000.00; FY 20 -
Range and Average of Financial Assistance
Regulations, Guidelines and Literature
45 CFR Part 75
Examples of Funded Projects
Not applicable.


Federal Grants Resources