Telehealth Programs

 

The purpose of the Telehealth Network Grant Program (TNGP) is to fund grants to demonstrate how telehealth networks improve healthcare services in rural communities.

The Telehealth Resource Center Grant Program (TRCGP) is designed to expand the availability of technical assistance in the development of telehealth services, leveraging the experience of mature programs with expertise in providing and implementing telehealth services.

The Licensure Portability Grant Program (LPGP) supports State professional licensing boards to carry out programs under which licensing boards of various States cooperate to develop and implement State policies that will reduce statutory and regulatory barriers to telemedicine.

The Evidence-Based Tele-Emergency Network Grant Program (EB TNGP) supports implementation and evaluation of broad telehealth networks to deliver Emergency Department consultation services via telehealth to rural and community providers without emergency care specialists.
The Rural Child Poverty Telehealth Network Grant Program (RCP-TNGP) demonstrates how telehealth networks can improve access to quality health care and social services for children living in high poverty rural and underserved areas.

General information about this opportunity
Last Known Status
Active
Program Number
93.211
Federal Agency/Office
Agency: Department of Health and Human Services
Office: Health Resources and Services Administration
Type(s) of Assistance Offered
PROJECT GRANTS
Program Accomplishments
Fiscal Year 2014: No Current Data Available. Fiscal Year 2015: No Current Data Available Fiscal Year 2016: No Current Data Available
Authorization
The Telehealth Network Grant Program (TNGP) Sec. 330I(d)(1) of Public Health Service Act (42 U.S.C. 254c-14(d)(1), as amended. ; The Telehealth Resource Center Grant Program (TRCGP) is authorized by:
Sec. 330I(d)(2) of Public Health Service Act (42 U.S.C. 254c-14(d)(2), as amended by the Health Care Safety Net Amendments of 2002 (P.L. 107-251); The Licensure Portability Grant Program (LPGP) is authorized by Section 330L of Public Health Service Act as amended, (42 USC 254c-18); The Evidence-Based Tele-Emergency Network Grant Program (EB TNGP) is authorized by: Section 711(b) of the Social Security Act (42 U.S.C.912), as amended. The Rural Child Poverty Telehealth Network Grant Program (RCP-TNGP), is authorized by: Section 711(b) of the Social Security Act (42 U.S.C.912), as amended.
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
Telehealth Network Grant Program (TNGP) - A grantee must be a nonprofit or public entity that will provide services through a Telehealth Network (TNGP) to rural communities. Proof of non-profit status is required. Each entity participating in the network may be a nonprofit or for-profit entity. Faith-based and community based organizations are eligible under the Telehealth Network Grant Program (TNGP).

Telehealth Resource Center Grant Program (TRC) - A grantee must be a public or private nonprofit organization. Faith-based, tribal and community based organizations are eligible to apply. Services may be provided to rural or urban communities.

Licensure Portability Grant Program (LPGP) - A grantee must be a State professional licensing board, or a national organization of professional licensing boards that provides services to state licensing boards. Note: American Indian and/or Alaska Native Tribal Organizations are eligible provided those organizations meet the eligibility requirements above.

Evidence-Based Tele-Emergency Network Grant Program (EB TNGP) - Eligible applicants include rural or urban nonprofit entities that will provide Tele-Emergency services through a telehealth network. Network members may be public, nonprofit or for-profit entities. Faith-based, community-based organizations and tribal organizations are eligible to apply. The bulk of the tele-emergency services must be provided to rural communities, although the applicant and/or destination site may be located in an urban area. Grantee must have established telehealth networks and experience in delivering Tele-Emergency services who will be able to leverage their existing networks with the option to use some of the grant funding to expand to other sites to increase the number of Tele-Emergency encounters.

The Rural Child Poverty Telehealth Network Grant Program (RCP-TNGP) - Eligible applicants include rural or urban nonprofit entities that will provide services through a telehealth network. Each entity participating in the networks may be a nonprofit or for-profit entity. Faith-based, community-based organizations and tribal organizations are eligible to apply. Services must be provided to rural areas, although the applicant can be located in an urban area.
Beneficiary Eligibility
Telehealth Network Grant Program (TNGP) - Health care providers in rural areas, in medically underserved areas, in frontier communities, and for medically underserved populations. TNGP grantees include in the network at least two (2) of the following entities (at least one (1) of which shall be a community-based health care provider: (a) community or migrant health centers or other federally qualified health centers; (b) health care providers, including pharmacists, in private practice; (c) entities operating clinics, including rural health clinics; (d) local health departments; (e) nonprofit hospitals, including community (critical) access hospitals; (f) other publicly funded health or social service agencies; (g) long-term care providers; (h) providers of health care services in the home; (i) providers of outpatient mental health services and entities operating outpatient mental health facilities; (j) local or regional emergency health care providers; (k) institutions of higher education; or (l) entities operating dental clinics.

Telehealth Resource Center Grant Program (TRC) - Health care providers in rural areas, in medically underserved areas, in frontier communities, and medically underserved populations. The TRCs must support the activities of existing or developing telehealth networks to meet the health care needs of rural or other populations to be served, including the improvement of access to services and the quality of the services received by those populations.: American Indian and/or Alaska Native Tribal Organizations are eligible beneficiaries provided those organizations meet the beneficiary requirements above.

Licensure Portability Grant Program (LPGP) - State professional licensing boards to carry out programs under which licensing boards of various States cooperate to develop and implement State policies that will reduce statutory and regulatory barriers to telemedicine. State licensing boards, their members, and the general public are beneficiaries of the services conducted under this grant.

Evidence-Based Tele-Emergency Network Grant Program (EB TNGP) - The Tele-Emergency Network shall include at least five members. Network members may include representation from the following categories: Hospitals, including community (critical) access hospitals; Local or regional emergency health care providers; Institutions of higher education with experience in data collection and analysis including but not limited to claims-level data; Medical research institutions; Tertiary providers with specialized experience in emergency medicine, stroke and the use of telehealth services in those clinical areas.

The Rural Child Poverty Telehealth Network Grant Program (RCP-TNGP) - - Health care providers serving rural areas, and frontier communities, The RCP-TNGP Network shall include at least two (2) of the following entities (at least one (1) of which shall be a community-based health care provider): Community or migrant health centers or other federally qualified health centers; Health care providers, including pharmacists, in private practice; Entities operating clinics, including rural health clinics; Local health departments; Nonprofit hospitals, including community access hospitals; Other publicly funded health or human/social service agencies; Long-term care providers; Providers of health care services in the home; Providers of outpatient mental health services and entities operating outpatient mental
health facilities; Local or regional emergency health care providers; Institutions of higher education; and Entities operating dental clinics. If available in their area, applicants should consider partnering or collaborating with other Federally-funded programs that target or have demonstrable effects on the health of impoverished children living in rural areas, including: USDA Cooperative Extension System Offices; Healthy Start; Healthy Tomorrows Partnership for Children; WIC; Maternal, Infant and Early Childhood Home Visitation programs; Head Start and Early Head Start; Temporary Assistance to Needy Families; Community Action Agencies; and other human/social service-focused providers.
Credentials/Documentation
Applicants should review the individual HRSA funding opportunity announcement issued under this CFDA program for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package. 2 CFR 200, Subpart E - Cost Principles applies to this program.
What is the process for applying and being award this assistance?
Pre-Application Procedure
Preapplication coordination is required. Environmental impact information is not required for this program. This program is eligible for coverage under E.O. 12372, "Intergovernmental Review of Federal Programs." An applicant should consult the office or official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review.
Application Procedure
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. Applications are generally solicited by a program announcement in the HRSA Preview.

HRSA requires applicants (for new competitions) or grantees/awardees (for continuation applications) to submit applications electronically through Grants.gov.

The program guidance contains detailed application and submission instructions, including information on the non-competitive continuation application and submission process. Grantees/awardees must submit proposals according to the program guidance which specifies required forms, and contains additional general information and instructions for grant applications, including proposal narratives, and budgets. The program guidance, when available, may be obtained by: Downloading from http://www.grants.gov; or, Contacting the HRSA Grants Application Center: The Legin Group, Inc., 910 Clopper Road, Suite 155 South Gaithersburg, MD 20878, Telephone: 877-477-2123, HRSAGAC@hrsa.gov. Application information may also be found by visiting http://www.hrsa.gov/grants/default.htm .

All 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
For FY 2016, new competitions for the TNGP, TRC, and LPGP will be conducted. All final funding decisions are made by the Associate Administrator, Federal Office of Rural Health Policy, Health Resources and Services Administration, based on recommendations made by the Director, Office for the Advancement of Telehealth.

Notification is made in writing by a Notice of Award.
Deadlines
Contact the headquarters or regional office, as appropriate, for application deadlines.
Approval/Disapproval Decision Time
2 months.
Appeals
Not Applicable.
Renewals
Renewals have not been determined.
How are proposals selected?
See the associated funding opportunity announcements for the TRC, TNGP, and LPGP that are competitive in FY 16.
How may assistance be used?
Telehealth Network Grant Program (TNGP) - Funds support the use of telehealth networks (electronic information and telecommunications technologies to support and promote long-distance health care and ancillary services) for improving access to health care services; provide a baseline of information for a systematic evaluation of telehealth systems; purchase or lease and install equipment; and to operate and evaluate the telehealth system.

Overall, not more than 40 percent of grant funds may be expended for equipment. Not more than 15 percent of grant finds may be expended for indirect costs. Grant funds may not be used for purchasing and installing telecommunications transmission equipment (e.g., microwave towers, satellite dishes, amplifiers, digital switching equipment or laying cable or telephone lines) or to acquire real property. Construction costs are allowable only for minor renovations related to the installation of equipment.

Applicants must provide an evaluation design to measure quantitative outcomes, which should be measured in the following areas: impact on quality of care; appropriateness of use of the technology; whether access was improved; whether clinical outcomes were improved; and, how the cost of service delivery was affected in terms of efficiency and effectiveness of care.
Telehealth Resource Center Grant Program (TRC) - Funds support the establishment and development of Resource Centers, which serve as a focus for the provision of telehealth technical assistance across the country. Funds support both Regional Telehealth Resource Centers and two national Telehealth Resource Centers. One National TRC will focus on providing specialized technical assistance in telehealth technology. The other National TRC will focus on policy issues such as state and national policies and initiatives regarding telehealth. Grant funds are used for salaries, equipment, operating, travel expenses, or other costs for: providing technical assistance, training and support; disseminating information and research findings related to telehealth services; promoting effective collaboration among telehealth resource centers and HRSA; promoting the integration of the technologies used in clinical information systems with other telehealth technologies; fostering the use of telehealth technologies to effectively provide healthcare information and education for health care providers and consumers; and, implementing special projects that involve collaboration among TRCs to advance the field of telehealth. Grant funds are not used for: acquiring real property; equipment costs of more than 40 percent of total grant funds; for equipment or transmission costs not directly related to the grant purposes; to purchase or install general purpose voice telephone systems; construction costs; and indirect costs exceeding 15 percent of total grant funds.


The Licensure Portability Grant Program (LPGP) - Grant funds are used for salaries, equipment, software development, operating, or other costs associated with developing legislative, administrative, and technical projects to address licensure barriers that hinder the practice of telemedicine across state lines. Grant funds may also be used for activities involving significant expansion of existing state agreements for cross-state recognition of professional licenses to other states.

Evidence-Based Tele-Emergency Network Grant Program (EB TNGP) The primary purpose of the EB TNGP is to support a range of Tele-Emergency care programs that will allow for the analysis of a significant volume of patient encounters to allow for detailed study and analysis of patient outcomes in rural areas. The goal is for each EB TNGP awardee to analyze the provision of Tele-Emergency services under common metrics and protocols that will allow for a multi-site analysis of the effectiveness of those services. Each awardee will participate in a broad-scale analysis and evaluation of the program coordinated by the Federal Office of Rural Health Policy (FORHP) as well as individual grantee analysis and evaluation. It is expected that each of the awardees and the FORHP will publish findings in peer-reviewed academic journals under common metrics. . Grant funds may be used for salaries, equipment, and operating or other costs, including the cost of: 1) Developing and delivering clinical Tele-Emergency services, including telestroke, that enhance access to health care services for residents in rural areas that lack specialized emergency services. 2) Developing and acquiring, through lease or purchase, computer hardware and software, audio and video equipment, computer network equipment, interactive equipment, data terminal equipment, and other equipment that furthers the objectives of the Tele-Emergency network grant program; 3) Transmitting medical data, and maintenance of equipment; 4) Compensating emergency clinicians who provide consultative services via telehealth to the rural telehealth sites; and 5) Collecting and analyzing statistics and data to document the cost-effectiveness of Tele-Emergency and to participate in the broader evaluation and analysis for this program,
The Rural Child Poverty Telehealth Network Grant Program (RCP-TNGP) is a three-year pilot program to support established telehealth networks to develop innovative ways to address the unique health care and social service challenges faced by rural children living in high poverty areas. The TRC-TNGP awardees include a broad range of health and human service applications to link children from high poverty rural areas with the services they need that are not available locally. Grant funds may be used for salaries, equipment, and operating or other costs, including the cost of: 1. Developing and delivering clinical and social services via telehealth to improve the health and well-being of children living in high poverty rural areas; 2. Developing and acquiring, through lease or purchase, computer hardware and software, audio and video equipment, computer network equipment, interactive equipment, data
terminal equipment, and other equipment that furthers the objectives of the telehealth network grant program; 3. Transmitting medical data, and maintenance of equipment; 4. Compensating clinicians (including travel expenses), referring health care providers, and social service providers who are providing services to children living in high poverty rural areas through the project, if no third party payment is available; and 5. Developing projects that use telehealth technology to facilitate collaboration between health care and social service providers.
What are the requirements after being awarded this opportunity?
Reporting
No program reports are required. No cash reports are required. Six-month Progress Reports are required. The awardee will be required to submit performance and progress reports as well as status-federal financial reports (see the program announcement and notice of award for details for each required report). The awardee must submit a quarterly electronic Federal Financial Report (FFR) Cash Transaction Report via the Payment Management System within 30 days of the end of each calendar quarter. A Federal Financial Report (SF-425) according to the following schedule: http://www.hrsa.gov/grants/manage/technicalassistance/federalfinancialreport/ffrschedule.pdf. A final report is due within 90 days after the project period ends. If applicable, the awardee must submit a Tangible Personal Property Report (SF-428) and any related forms within 90 days after the project period ends. New awards (“Type 1”) issued under this funding opportunity announcement are subject to the reporting requirements of the Federal Funding Accountability and Transparency Act (FFATA) of 2006 (Pub. L. 109–282), as amended by section 6202 of Public Law 110–252, and implemented by 2 CFR Part 170. Grant and cooperative agreement recipients must report information for each first-tier subaward of $25,000 or more in federal funds and executive total compensation for the recipient’s and subrecipient’s five most highly compensated executives as outlined in Appendix A to 2 CFR Part 170 (FFATA details are available online at http://www.hrsa.gov/grants/ffata.html). Competing continuation awardees, etc. may be subject to this requirement and will be so notified in the Notice of Award. No expenditure reports are required. Performance monitoring is not applicable.
Auditing
In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503.
Records
Grantees are required to maintain grant accounting records 3 years after the date they submit the Federal Financial Review (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
This program has no statutory formula.
Matching requirements are not applicable to this program.
MOE requirements are not applicable to this program.
Length and Time Phasing of Assistance
Competitions are conducted every three years, with up to a four year project period. See the following for information on how assistance is awarded/released: For projects awarded under a competition, grants are made annually each year for up to four years.
Who do I contact about this opportunity?
Regional or Local Office
See Regional Agency Offices. Carlos Mena, Program Coordinator (TNGP and RCP-TNGP), Telephone: (301) 443-3198; Anthony Oliver, Program Coordinator (LPGP), Telephone: (301) 443-2919; Mark Thomas, Program Coordinator (EB TNGP and TRC), Telephone: (301) 945-4172.
Headquarters Office
Office for the Advancement of Telehealth, Office of Rural Health Policy 5600 Fishers Lane, Room 17W29-C, Rockville, Maryland 20857 Phone: (301) 443-0076.
Website Address
http://www.hrsa.gov/ruralhealth/about/telehealth/.
Financial Information
Account Identification
75-0350-0-1-550.
Obligations
(Project Grants) FY 14 $0; FY 15 est $975,000; and FY 16 est $975,000 - RCP-TNGP. (Project Grants) FY 14 $4,953,272; FY 15 est $4,953,272; and FY 16 est $5,000,000 - TNGP program. (Project Grants) FY 14 $23,821,610; FY 15 est $2,382,460; and FY 16 est $2,389,641 - EB TNGP. (Project Grants) FY 14 $4,499,923; FY 15 est $4,498,875; and FY 16 est $4,550,000 - TRC program. (Project Grants) FY 14 $700,000; FY 15 est $475,446; and FY 16 est $700,000 - LPGP program.
Range and Average of Financial Assistance
TNGP –Awards range from approximately $225,000 to $250,000, with an average award of approximately $245,000.

EB TNGP- Awards range from $385,289 to $400,000 with an average award of $397,076,

LPGP –Awards range from $225,446 to $250,000

TRC –awards each year ranged from approximately $299,878 to $325,000, with an average award each year of approximately $320,000.

RCP-TNGP – Est. $325,000 each award.
Regulations, Guidelines and Literature
Telehealth programs are subject to the provisions of 45 CFR Part 92 for State, local and tribal governments and 45 CFR Part 74 for institutions of higher education, hospitals, other nonprofit organizations and commercial organizations, as applicable.

HRSA awards are 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 http://www.hrsa.gov/grants.
Examples of Funded Projects
Not Applicable.

 



Federal Grants Resources