Telehealth Programs

 

The purpose of the Telehealth Network Program (TNGP) is to fund programs that demonstrate how telehealth networks improve healthcare services in rural communities. The current cohort is focused on telehealth services delivered through school-based health centers/clinics (SBHC), particularly those serving high-poverty populations. The National Telehealth Resource Center Program (NTRC) and the Regional Telehealth Resource Center Program (RTRC) are 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 Program (LPP) supports state professional licensing boards to carry out programs under which licensing boards of various states cooperate to develop and implement state laws and related policies that will reduce statutory and regulatory barriers to the provision of health care services through telemedicine technology. The Evidence-Based Tele-Emergency Network 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 Evidence-Based Tele-Behavioral Health Network Program (EB-THNP) supports the use of telehealth networks to increase access to behavioral health care services in rural and frontier communities. While the Evidence-Based Tele-Behavioral Health Network Program seeks to expand access to services for rural patients, its primary goal is to significantly contribute to the evidence base for assessing the effectiveness of tele-behavioral health care services for patients, providers, and payers. The Rural Child Poverty Telehealth Network Program (RCP-TNGP) demonstrates how telehealth networks can expand access to quality health care and social services for children living in high poverty rural and underserved areas. The Substance Abuse Treatment Telehealth Network Program (SAT-TNGP) demonstrates how telehealth programs and networks can improve access to health care services, particularly substance abuse treatment, in rural, frontier, and underserved communities. The Telehealth Center of Excellence (COE) will test the efficacy of telehealth services in rural areas and. will serve as a national clearinghouse for telehealth research and resources, including technical assistance.

General information about this opportunity
Last Known Status
Active
Program Number
93.211
Federal Agency/Office
Health Resources and Services Administration, Department of Health and Human Services
Type(s) of Assistance Offered
B - Project Grants
Program Accomplishments
Not applicable.
Authorization
Section 711(b) of the Social Security Act (42 U.S.C. 912(b)), as amended. Evidence-Based Tele-Emergency Network Program Evidence-Based Tele-Behavioral Health Network Program Telehealth Center of Excellence
ยง330I (d) (2) of the Public Health Service Act (42 U.S.C. 254c-14(d)(2), as amended and P.L. 114-254 National Telehealth Resource Center Program Regional Telehealth Resource Center Program Telehealth Network Program Substance Abuse Treatment Telehealth Network Program Rural Child Poverty Telehealth Network Program
Section 330L of the Public Health Service Act as amended, (42 U.S.C. 254c-18 and the Department of Defense and Labor, Health and Human Services, and Education Appropriations Act, 2019 and Continuing Appropriations Act, 2019 (P.L. 115-245) Licensure Portability Program
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
Telehealth Network Program (TNGP) - Eligible applicants include public and private non-profit entities, including faith-based and community organizations, as well as federally recognized tribal governments and organizations. National Telehealth Resource Center Program (NTRC) and Regional Telehealth Resource Center Program (RTRC) - Eligible applicants include public and private non-profit entities. Faith-based and community-based organizations, Tribes, and tribal organizations are eligible to apply. Licensure Portability Program (LPP) - Eligible applicants are limited by statute to state professional 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 Program (EB TNGP) - Eligible applicants include public, private, and non-profit organizations, including faith-based and community organizations, as well as federally recognized tribal governments and organizations. Evidence-Based Tele-Behavioral Health Network Program (EB-THNP) - Eligible applicants include domestic public or private, non-profit entities, including faith-based and community-based organizations, tribes, and tribal organizations. The Rural Child Poverty Telehealth Network Program (RCP-TNGP) - Eligible applicants include public and private non-profit entities, including faith-based and community organizations, as well as federally recognized Indian tribal governments and organizations. The Substance Abuse Treatment Telehealth Network Program (SAT-TNGP) - Eligible applicants include public and private non-profit entities, including faith-based and community organizations, as well as federally recognized tribes and tribal governments and organizations. The Telehealth Center of Excellence Program - Eligible applicants must be public academic medical centers located in states with high chronic disease prevalence, high poverty rates, and a large percentage of medically underserved rural areas. The Telehealth Center of Excellence will be located in a public academic medical center that: 1. Has a successful telehealth program with a high annual volume of telehealth visits; 2. Has an established reimbursement structure that allows telehealth services to be financially self-sustaining; and 3. Has established programs that provide telehealth services in medically underserved areas with high chronic disease prevalence and high poverty rates.
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; and (m) school based health centers/clinics. National Telehealth Resource Center Program (NTRC) and Regional Telehealth Resource Center Program (RTRC) - 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 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 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. The Substance Abuse Treatment Telehealth Network Grant Program (SAT-TNGP) - The network must include at least two (2) of the following entities (at least one of which shall be a community-based health care provider): (a) Small hospital (defined as less than 50 available beds, as reported on the hospital's most recently filed Medicare Cost Report); (b) Community or migrant health centers or other federally-qualified health centers; (c) Health care providers, including pharmacists, in private practice; (d) entities operating clinics, including rural health clinics; (e) local health departments; (f) nonprofit hospitals, including community (critical) access hospitals; (g) other publicly funded health or social service agencies; (h) long-term care providers; (i) providers of health care services in the home; (j) providers of outpatient mental health services and entities operating outpatient mental health facilities; (k) local or regional emergency health care providers; (l) institutions of higher education; or (m) entities operating dental clinics. As noted in the Consolidated Appropriations Act 2017 (Public Law No. 115-31), preference will be given to networks that include small hospitals serving communities with high rates of poverty, unemployment, and substance abuse. The Telehealth Center of Excellence Program (COE) - 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.
Credentials/Documentation
Applicants should review the individual HRSA notice of funding opportunity 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. 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. 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. There are two FORHP programs that require the respective State Offices of Rural Health to be notified that they are applying, which are the Regional Telehealth Resource Center Program (RTRC) and the National Telehealth Resource Center Program (NTRC). 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. 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. Applications are generally solicited by a notice of funding opportunity in the HRSA Preview. HRSA requires applicants (for new competitions) or 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. Awardees must submit proposals according to the program guidance, which specifies required forms, 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/. 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 2020, a new competition for the TNGP 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.
Deadlines
Contact the headquarters or regional location, 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 Notice of Funding Opportunity (NOFO) for program-specific criteria.
How may assistance be used?
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 program funds may be expended for equipment. Not more than 15 percent of program funds may be expended for indirect costs. Program 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. National Telehealth Resource Center Program (NTRC) and Regional Telehealth Resource Center Program (RTRC) - Funds support the establishment and development of Telehealth Resource Centers, which serve as a focus for the provision of telehealth technical assistance across the country. 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. Twelve Regional Telehealth Resource Centers are located across the United States. 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. Funds may not be used for: acquiring real property; equipment costs of more than 40 percent of total program funds; for equipment or transmission costs not directly related to the program purposes; to purchase or install general-purpose voice telephone systems; construction costs; and indirect costs exceeding 15 percent of total program funds. The Licensure Portability Program (LPP) Funds may be 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. 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 Program (EB-TNGP) Program funds may be used for salaries, equipment, and operating or other costs, including the cost of: Developing and delivering clinical Tele-Emergency services, including tele-stroke, that enhance access to health care services for residents in rural areas that lack specialized emergency services; 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 program; Transmitting medical data and maintenance of equipment; Compensating emergency clinicians who provide consultative services via telehealth to the rural telehealth sites; 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. Evidence-Based Tele-Behavioral Health Network Program (EB-THNP) Award funds may be used for salaries, equipment, and operating or other costs, including: Developing and delivering clinical telehealth services that enhance access to behavioral health care services in rural and frontier communities; 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 program; Developing and acquiring instructional programming; Providing for transmission of medical data, and maintenance of equipment; Providing for compensation (including travel expenses) of specialists, and referring health care providers, who are providing rural telehealth services through the telehealth network, if third party payment is not available for the telehealth services delivered through the telehealth network; Developing projects to use telehealth technology to facilitate collaboration between rural health care providers; and Collecting and analyzing usage statistics and data to document the cost-effectiveness of telehealth services and answer similar research questions that will contribute to the evidence-base for rural tele-behavioral health care. Overall, not more than 40 percent of program funds may be expended for equipment. Under the Telehealth Network Program, any program income, including reimbursements for the third party claims, should be added to funds committed to the project and used to further eligible program objectives. The Rural Child Poverty Telehealth Network Program (RCP-TNGP) Program funds may be used for salaries, equipment, and operating or other costs, including the cost of: Developing and delivering clinical and social services via telehealth to improve the health and well-being of children living in high poverty rural areas; frontier communities, or medically underserved areas, or for medically underserved populations; 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 program; Developing and providing distance education in a manner that enhances access to care in rural areas, frontier communities, or medically underserved areas, or for medically underserved populations; Mentoring, precepting, or supervising health care providers and students seeking to become health care providers, in a manner that enhances access to care in the areas and communities, or for the populations, described above; Developing and acquiring instructional programming ;Transmitting medical data, and maintenance of equipment; Compensating clinicians (including travel expenses), or specialists and referring health care providers, who are providing telehealth services through the telehealth network, if no third party payment is available for the telehealth services delivered through the telehealth network; Developing projects that use telehealth technology to facilitate collaboration between health care and human/social service providers which improve the quality of health care services to children living in impoverished rural areas; and Collecting and analyzing usage statistics and data to document the cost-effectiveness of the telehealth service for children living in impoverished rural areas.. Overall, not more than 40 percent of program funds may be expended for equipment. Not more than 15 percent of program funds may be expended for indirect costs. Program 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; to pay for any equipment or transmission costs not directly related to the purposes for which the program is awarded; to purchase or install general purpose voice telephone systems. Substance Abuse Treatment Telehealth Network Program (SAT-TNGP) - The primary purpose of the SAT-TNGP is to support tele-substance abuse treatment and other behavioral health care services with a secondary focus on providing services to address common chronic disease conditions (e.g. congestive heart failure, cancer, stroke, chronic respiratory disease, and/or diabetes). Overall, not more than 40 percent of funds may be expended for equipment. Not more than 15 percent of program funds may be expended for indirect costs. Program 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. Telehealth Center of Excellence (COE) The Telehealth Center of Excellence will share its expertise operating a successful, high volume, clinically diverse telehealth program and will use that base to explore new telehealth applications, examine the efficacy of telehealth, plan better integration of telehealth services into health care delivery, and examine the impact of telehealth on federal health care spending. The Telehealth Center of Excellence will demonstrate over the course of the project period how telehealth programs and networks can improve access to health care services in rural and underserved communities, particularly those with high rates of poverty and chronic disease. Funds under this notice may not be used for the following purposes: to acquire real property; for expenditures to purchase or lease equipment, to the extent that the expenditures would constitute the majority of the total program funds; to purchase or install transmission equipment (such as laying cable or telephone lines, or purchasing or installing microwave towers, satellite dishes, amplifiers, or digital switching equipment); to pay for any equipment or transmission costs not directly related to the purposes of the award; to purchase or install general purpose voice telephone systems; for construction; and for expenditures for indirect costs (as determined by the Secretary), to the extent that the expenditures would exceed 15 percent of the total program funds.
What are the requirements after being awarded this opportunity?
Reporting
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
Awardees 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 that 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
Programs are competed every three to five years. Projects awarded under a competition must complete a non-competing continuation application every year to release funds for the following budget period. See the following for information on how assistance is awarded/released: N/A. N/A
Who do I contact about this opportunity?
Regional or Local Office
Carlos Mena, Program Coordinator (TNGP), CMena@hrsa.gov, Telephone:(301) 443-3198; Monica Cowan, Program Coordinator (LPG), MCowan@hrsa.gov, Telephone: (301) 443-0076 Monica Cowan , Program Coordinator (RCP-TNGP), MCowan@hrsa.gov,Telephone:(301) 443-0076; Natassja Manzanero, Program Coordinator (NTRC, RTRC, EB-TNGP), NManzanero@hrsa.gov, Telephone:(301) 443-2077 Colleen Morris, Program Coordinator (COE), cmorris2@HRSA.gov, Telephone: (301) 594-2496 Michael McNeely, Program Coordinator (EB-THNP), Whitney Wiggins wwiggins@hrsa.gov, Telephone (301) 443-4966; Stephanie Begley, Program Coordinator (SAT-TNGP), SBegley@hrsa.gov, Telephone (301) 443-3348.
Headquarters Office
Office for the Advancement of Telehealth, Federal of Rural Health Policy
5600 Fishers Lane
Rockville, MD 20857 US
CMena@hrsa.gov
Phone: (301) 443-0835
Website Address
https://www.hrsa.gov/ruralhealth/telehealth/index.html
Financial Information
Account Identification
75-0350-0-1-550
Obligations
(Project Grants) FY 18$6,242,829.00; FY 19 est $7,246,073.00; FY 20 Estimate Not Available FY 17$6,240,582.00; FY 16$6,286,264.00; - Telehealth Network Program(Project Grants) FY 18$1,299,552.00; FY 19 est $0.00; FY 20 Estimate Not Available FY 17$1,299,552.00; FY 16$1,299,571.00; - The Rural Child Poverty Telehealth Network Program(Project Grants) FY 18$3,900,000.00; FY 19 est $3,900,000.00; FY 20 Estimate Not Available FY 17$3,900,000.00; FY 16$4,061,098.00; - Regional Telehealth Resource Center Program(Project Grants) FY 18$2,092,283.00; FY 19 Estimate Not Available FY 20 Estimate Not Available FY 17$2,092,283.00; FY 16$2,389,641.00; - Evidence-Based Tele-Emergency Network Program(Project Grants) FY 18$500,000.00; FY 19 est $500,000.00; FY 20 Estimate Not Available FY 17$500,000.00; FY 16$500,000.00; - Licensure PortabilityProgram(Project Grants) FY 18$650,000.00; FY 19 est $649,999.00; FY 20 Estimate Not Available FY 17$650,000.00; FY 16$676,850.00; - National Telehealth Resource Center Program(Project Grants) FY 18$4,000,000.00; FY 19 est $4,000,000.00; FY 20 Estimate Not Available FY 17$1,200,000.00; FY 16$0.00; - Telehealth Center of Excellence (Project Grants) FY 18$679,330.00; FY 19 est $693,296.00; FY 20 Estimate Not Available FY 17$669,377.00; - The Substance Abuse Treatment Telehealth Network Program(Project Grants) FY 18$4,900,000.00; FY 19 est $4,716,118.00; FY 20 Estimate Not Available FY 17 - Evidence-Based Tele-Behavioral Health Network Program
Range and Average of Financial Assistance
Not applicable/available.
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.

 



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