Technical and Non-Financial Assistance to Health Centers


To provide necessary technical and non-financial assistance to potential and existing health centers, including: (1) training and assistance in fiscal and program management (program requirements); (2) operational and administrative support (performance improvement and special initiatives); and (3) the provision of information regarding resources available under section 330 and how they can be used to meet the health needs of the communities served by potential and existing health centers (program assistance).

General information about this opportunity
Last Known Status
Program Number
Federal Agency/Office
Agency: Department of Health and Human Services
Office: Health Resources and Services Administration
Type(s) of Assistance Offered
Cooperative Agreements
Program Accomplishments
Not Applicable.
Public Health Services Act, as amended, Title III, Section 330(l), (42 U.S.C 254b).
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
Eligible applicants include public, non-profit, and for-profit entities, including federally recognized Indian Tribal governments and Native American and faith-based organizations, that can provide training and technical assistance on a national or state/regional level to health centers and other community-based organizations with similar missions.

Applications may be submitted by current State and Regional Primary Care Associations, National Cooperative Agreements, or new organizations that care to provide training and technical assistance to potential and existing health centers.
Beneficiary Eligibility
Population groups in medically underserved areas, medically underserved populations, and special populations such migratory and seasonal agricultural workers, people experiencing homelessness, and public housing residents.
Applicants should review the applicable HRSA funding opportunity announcement(s) 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.
Award Procedure
Notification is made in writing by a Notice of Award.
Contact the headquarters or regional office, as appropriate, for application deadlines.
Approval/Disapproval Decision Time
From 90 days to up to 6 months.
Not Applicable.
Awards to support projects beyond the first budget year will be contingent upon Congressional appropriation, compliance with applicable statutory and regulatory requirements, demonstrated organizational capacity to accomplish the project's goals, satisfactory performance, and a determination that continued funding would be in the best interest of the federal government.
How are proposals selected?
Applicants seeking to provide technical and non-financial assistance to health centers will be evaluated on their ability to provide national, state, or regional-specific assistance in the following areas: (1) training and assistance in fiscal and program management (program requirements); (2) operational and administrative support (performance improvement and special initiatives), and (3) program assistance. Activities under each core function must support and advance the HRSA mission. The extent and type of activities under each core function should depend on demonstrated programs needs and HRSA priorities.
How may assistance be used?
Recipients will be expected to provide certain technical and non-financial assistance to health centers and other qualified organizations at a state or national level.
What are the requirements after being awarded this opportunity?
The awardee will be required to submit 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) is due according to the following schedule: 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 Competing continuation awardees, etc. may be subject to this requirement and will be so notified in the Notice of Award. Expenditure reports are not applicable. Performance monitoring includes ongoing work plan collaboration, review of technical assistance materials, and review of annual progress reports; it may include periodic site visits.
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.
Grantees are required to maintain grant accounting records for 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
This program has no statutory formula.
This program has no matching requirements.
This program does not have MOE requirements.
Length and Time Phasing of Assistance
Awards are made annually. After awards are issued, funds are released in accordance with DHHS payment procedures, which may be through an Electronic Transfer System or a Monthly Cash Request System. See the following for information on how assistance is awarded/released: Awardees 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
See Regional Agency Offices. For questions about National Cooperative Agreements funding opportunities, email For questions about Primary Care Association funding opportunities, email
Headquarters Office
Bureau of Primary Health Care 5600 Fishers Lane, Room 17-C26, Rockville, Maryland 20857 Phone: (301) 594-4300
Website Address
Financial Information
Account Identification
(Cooperative Agreements) FY 14 $17,322,948; FY 15 est $20,692,096; and FY 16 est $20,692,096 - National Cooperative Agreements. (Cooperative Agreements) FY 14 $49,256,095; FY 15 est $49,256,095; and FY 16 est $53,415,756 - State and Regional Primary Care Associations.
Range and Average of Financial Assistance
$300,000 to $6,375,000; average $1,032,485.
Regulations, Guidelines and Literature
This program is 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
Examples of Funded Projects
Fiscal Year 2014: A list of National Cooperative Agreement awardees is available at Fiscal Year 2015: A list of Primary Care Association awardees is available at Fiscal Year 2016: No Current Data Available


Federal Grants Resources