Early Hearing Detection and Intervention

 

The Early Hearing Detection and Intervention (EHDI) program supports comprehensive and coordinated state and territory EHDI systems, so families with newborns, infants, and young children up to three years of age who are deaf or hard of hearing (DHH) receive appropriate and timely services that include hearing screening, diagnosis, and early intervention. This program supports state/territory efforts to build systems of care focusing on increasing health professionals engagement in and knowledge of the EHDI system; improving access to early intervention services and language acquisition; and improving family engagement, partnership, and leadership. The EHDI program also provides support to two organizations that assist the states/territories with technical assistance.

General information about this opportunity
Last Known Status
Active
Program Number
93.251
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 2016 TBA
Fiscal Year 2017 In 2016, 98% of newborns were screened; 62.7% received a diagnosis; and 67.2% were enrolled into early intervention services.
Fiscal Year 2018 N/A
Fiscal Year 2020 In FY20, HRSA made awards to 59 states and territories to their capacity to implement statewide EHDI programs including providing family supports and engaging families with children who are DHH and adults who are DHH throughout the EHDI system.
Fiscal Year 2021 In FY 22, HRSA made awards to 50 states and 9 territories to strengthen their capacity to implement statewide EHDI programs including providing family support and engaging families with children who are DHH and adults who are DHH throughout the EHDI system. EHDI grantees leveraged HRSA funding to establish partnerships with family based organizations (FBOs) and increased access to family-to family supports including DHH mentors, role models and guides, and educated families on the importance of early language acquisition and enrollment in early intervention services for families with children identified as DHH.
Fiscal Year 2022 In FY 22, HRSA made awards to 50 states and 9 territories to strengthen their capacity to implement statewide EHDI programs including providing family support and engaging families with children who are DHH and adults who are DHH throughout the EHDI system. EHDI grantees leveraged HRSA funding to establish partnerships with family based organizations (FBOs) and increased access to family-to family supports including DHH mentors, role models and guides, and educated families on the importance of early language acquisition and enrollment in early intervention services for families with children identified as DHH.
Authorization
Early Hearing Detection and Intervention Act of 2017, Public Health Service Act, Title III, Section 399M (as added by P.L. 106-310, Sec. 702; as amended by P.L. 111-337 and P.L. 115-71).
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
Grants to states/territories and cooperative agreements to two organizations that will provide technical assistance.
Beneficiary Eligibility
Infants and newborns who are deaf or hard of hearing and their families/caretakers.
Credentials/Documentation
Applicants should review the individual HRSA notice of funding opportunity issued under this Assistance Listing program 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 required. Preapplication coordination is required.
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 Grants.gov. All qualified applications will be forwarded to an objective review committee.
Award Procedure
Notification is made in writing by a Notice of Award.
Deadlines
Contact the headquarters or regional location, as appropriate for application deadlines
Approval/Disapproval Decision Time
From 120 to 180 days. Final decisions are made 4 to 6 months after receipt of applications
Appeals
Not applicable.
Renewals
Competitive awards are typically made for up to 5 years, subject to the availability of funds. After initial awards, annual noncompetitive awards may be made contingent upon the submission of noncompetitive applications/progress reports and availability of funds and a determination that continued funding would be in the best interest of the federal government.
How are proposals selected?
Evaluation criteria vary based on the grant/cooperative agreement program. Refer to criteria included in the notice of funding opportunity for each specific program. All qualified applications will be forwarded to an objective review committee. Based on the recommendations of the objective review committee, the HRSA program official with delegated authority is responsible for final selection and funding decisions.
How may assistance be used?
This program supports state and territory health departments, departments of education, academic institutions with universal newborn hearing screening programs, and family and provider organizations to develop a system of services for children who are identified as DHH and their families. This program also supports the EHDI system with technical assistance by fostering family engagement, supporting workforce development and training, and working with pediatricians and health care providers.
What are the requirements after being awarded this opportunity?
Reporting
Not applicable.
Auditing
Not applicable.
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
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
Refer to the notice of funding opportunity (NOFO). Awards are made annually, in accordance with the project period method of awarding grants. Payments are made through a Letter-of-Credit or Cash Demand System. Grantee drawdown 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
Treeby Brown
5600 Fishers Lane, Room 18W59
Rockville, MD 20857 US
tbrown2@hrsa.gov
Phone: (301) 945-9661
Website Address
https://mchb.hrsa.gov/programs-impact/early-hearing-detection-intervention-ehdi
Financial Information
Account Identification
75-0354-0-1-550
Obligations
(Cooperative Agreements) FY 22$1,553,998.00; FY 23 est $1,750,000.00; FY 24 est $1,600,000.00; FY 21$1,537,579.00; FY 20$1,903,999.00; FY 19$2,004,000.00; FY 18$2,004,000.00; FY 17$15,221,419.00; FY 16$16,294,812.00; - Cooperative Agreements(Project Grants) FY 22$13,800,935.00; FY 23 est $14,931,732.00; FY 24 est $14,764,999.00; FY 21$12,505,115.00; FY 20$14,312,661.00; FY 19$14,298,850.00; FY 18$14,285,217.00; - Project Grants
Range and Average of Financial Assistance
Grants to states and territories: FY 22: $19,598 to $235,000. Average award $218,660 FY 23 est.: $60,128 to $235,000. Average award $209,860 FY 24 est.: $235,000. Average award $235,000 Grants to LEND Audiology Programs: FY 22: $74,999 to $75,000. Average award of $75,000 FY 23 est.: $74,999 to $75,000. Average award of $75,000 FY 24 est.: $75,000. Average award of $75,000 Cooperative Agreements: FY 22: $450,000 to $849,998. Average Award of $776,999. FY 23 est.: $500,000 to $950,000. Average Award $875,000 FY 24 est.: $500,000, Average Award $533,333
Regulations, Guidelines and Literature
All HRSA awards are subject to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements at 45 CFR part 75. 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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