Cooperative Agreements to States/Territories for the Coordination and Development of Primary Care Offices


To coordinate the local, State, and Federal resources contributing to primary care service delivery and workforce issues in a State. Further, to meet the needs of medically-underserved populations through health centers and other community-based providers of comprehensive primary care and to facilitate the retention, recruitment, and oversight of health professions for medically underserved populations.

General information about this opportunity
Last Known Status
Program Number
Federal Agency/Office
Health Resources and Services Administration, Department of Health and Human Services
Type(s) of Assistance Offered
B - Project Grants
Program Accomplishments
Fiscal Year 2020 Grantees submitted Statewide Primary Care Needs Assessments as required by the end of year two of Cooperative Agreement’s period of performance.
Fiscal Year 2021 Grantees submitted Statewide Primary Care Needs Assessments as required by the end of year two of Cooperative Agreement’s period of performance.
Fiscal Year 2022 Grantees submitted Statewide Primary Care Needs Assessments as required by the end of year two of Cooperative Agreement’s period of performance.
Public Health Service Act, Section 330(k), 330(m) and 333(d).
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
States or territories, political subdivisions of States, agencies of States, or other public entities that operate solely within one State or represent multiple territories where appropriate. These entities must provide statewide coverage for primary health care issues and represent or have relationships with the broad range of primary health care delivery systems and programs in the State.
Beneficiary Eligibility
Health Professional Shortage Areas and Medically Underserved Areas/Populations within States and Territories will benefit from this program. Primary Care Offices (PCO) submit applications for designation status, which are reviewed and processed by the Division of Policy and Shortage Designation.
Applicants should review the individual HRSA Notice of Funding Opportunity (NOFO) issued under this assistance listing for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package.
What is the process for applying and being award this assistance?
Pre-Application Procedure
Preapplication coordination is not applicable.
Application Procedure
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. HRSA requires all applicants to apply electronically through All eligible, qualified applications will be forwarded to an objective review committee. Based on the advice of the objective review committee, the HRSA program official with delegated authority is responsible for final selection and funding decisions.
Award Procedure
Notification of award is made in writing (electronic) through a Notice of Award.
Contact the headquarters or regional location, as appropriate for application deadlines
Approval/Disapproval Decision Time
From 120 to 180 days. Approximately from 120 to 180 days after receipt of application.
Not applicable.
Depending on Agency priorities and availability of funding, during the final budget year of the approved project period competing continuation applications may be solicited from interested applicants.
How are proposals selected?
Procedures for assessing the technical merit of grant applications have been instituted to provide an objective review of applications and to assist the applicant in understanding the standards against which each application will be judged. Critical indicators have been developed for each review criterion to assist the applicant in presenting pertinent information related to that criterion and to provide the reviewer with a standard for evaluation. Competing applications are reviewed by non-Federal expert consultant(s) for technical merit recommendations. Applications will be reviewed and evaluated against the following criteria: (1) Purpose and Need; (2) Response to Program Purpose; (3) Impact; (4) Organizational Information, Resources and Capabilities; and (5) Support Requested. See the most recent Notice of Funding Opportunity for detailed selection criteria.
How may assistance be used?
Recipients will be expected to perform State-wide primary care planning and resource coordination, including maintaining and updating databases that reflect current levels of health professional shortage areas (HPSA) and medically underserved areas and populations (MUAP), Medicaid, Children's Health Insurance program, State Offices of Rural Health, Ryan White Area Health Education Centers, Maternal and Child Health, etc.; support health systems development, primary care practitioners retention and recruitment, National Health Service Corps monitoring activities, as well as activities relating to other special populations including rural populations; and conduct operational and administrative support activities.
What are the requirements after being awarded this opportunity?
Not applicable.
Not applicable.
Grantees are required to maintain grant accounting records 3 years after the date they submit the Federal Financial Report (FFR). If any litigation, claim, negotiation, audit or other action involving the award has been started before the expiration of the 3-year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3-year period, whichever is later.
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
This funding opportunity provides support for a 5-year project period. Recipients draw down funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards.
Who do I contact about this opportunity?
Regional or Local Office
None/Not specified.
Headquarters Office
Aplha Bah, Shortage Designation Branch, Division of Policy and Shortage Designation, Bureau of Health Workforce, Health Resources and Services Administration
5600 Fishers Lane, Room 11W16,
Rockville, MD 20852 US
Phone: (301) 945-9653
Website Address
Financial Information
Account Identification
(Cooperative Agreements) FY 22$10,999,076.00; FY 23 est $13,999,983.00; FY 24 est $11,000,000.00; FY 21$10,899,900.00; FY 20$10,899,000.00; FY 19$10,899,000.00; FY 18$10,899,000.00; FY 17$10,899,000.00; FY 16$7,000,000.00; -
Range and Average of Financial Assistance
For FY 2022, awards ranged from $150,464 to $563,244; Average award per recipient $203,703. For FY 2023, est awards ranged from $152,464 to $563.244; Average award per recipient $203,703. For FY 2024 est awards ranged from $150,817 to $563,244; Average award per recipient $203,703.
Regulations, Guidelines and Literature
All administrative and audit requirements and the cost principles that govern Federal monies associated with this activity will be subject to the Uniform Guidance 2 CFR 200 as codified by HHS at 45 CFR 75. HRSA awards are also subject to the requirements of the HHS Grants Policy Statement (HHS GPS) that are applicable based on recipient type and purpose of award. The HHS GPS is available at
Examples of Funded Projects
Not applicable.


Related Federal Grants

Federal Grants Resources