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 focuses on increasing health professionals? engagement in and knowledge of the EHID 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
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
Not applicable.
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.
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.
What is the process for applying and being award this assistance?
Pre-Application Procedure
Preapplication coordination is required. Preapplication coordination is required. Environmental impact information is not required for this program. This program is excluded from coverage under E.O. 12372.
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. 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 is made in writing by a Notice of Award.
Contact the headquarters or regional location, as appropriate for application deadlines
Approval/Disapproval Decision Time
Final decisions are made 2 to 3 months after receipt of applications.
Not applicable.
Project periods are for 3 years. A progress report must be submitted annually. Budgetary information may be submitted annually for each project year.
How are proposals selected?
The objective review of all applications includes thorough and consistent examinations of each submission by persons knowledgeable in the field for that support is requested and has no direct relationship with the organization or individual submitting the application and do not have personal or invested interest in the award of a grant to that organization or individual. Peer review is a system that uses reviewers that are the professional equals of the principal investigator or program director and will be responsible for directing or conducting the proposed project. That is a form of objective review. Reviewers may be Federal or nonfederal. Final review criteria are included in the application kit.
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?
Performance Reports: Refer to the "program reports" details above.
Not applicable.
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
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
See Regional Agency Offices. Bethany Applebaum, Integrated Services Branch, Division of Services for Children with Special Health Needs, Maternal and Child Health Bureau, Health Resources and Services Administration, Department of Health and Human Services, Room 18W09A, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-6314.
Headquarters Office
Bethany Applebaum
5600 Fishers Lane, Room 18W09A
Rockville, MD 20857 US
Phone: (301) 443-6314
Website Address
Financial Information
Account Identification
(Cooperative Agreements) FY 18$2,004,000.00; FY 19 est $2,004,000.00; FY 20 est $1,604,000.00; FY 17$15,221,419.00; FY 16$16,294,812.00; - (Project Grants) FY 18$14,285,217.00; FY 19 est $14,298,894.00; FY 20 est $14,809,619.00; -
Range and Average of Financial Assistance
FY 18 $26,538-$250,000. Average award of $226,139 FY 19 $2,001-$250,000. Average award of $226,374 FY 20 est. $2,001-$250,000. Average award $235,000 Grants to LEND Audiology Programs: FY 18 $63,377-$80,000. Average award of $78,584 FY 19 $63,377-$80,000. Average award of $78,570 FY 20 est. $63,377-$80,000. Average award of $78,718 Cooperative Agreements: FY 18 $500,000-$1,200,000. Average Award of $850,000. FY 19 $500,000-$1,200,000. Average Award of $850,000. FY 20 est. $500,000-$1,200,000. Average Award of $850,000.
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 http://www.hrsa.gov/grants.
Examples of Funded Projects
Not applicable.


Federal Grants Resources