Opportunity Information: Apply for HRSA 21 037

The National Maternal and Child Health Consortium for Oral Health Systems Integration and Improvement (HRSA 21-037) is a federal grant opportunity from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), through the Maternal and Child Health Bureau (MCHB). It was released on November 18, 2020, with an original application deadline of February 17, 2021. The award is structured as a cooperative agreement, meaning the recipient is expected to work closely with HRSA/MCHB, and the federal project staff typically have substantial involvement in guiding or partnering on key aspects of the work. HRSA anticipated making a single award, with a funding ceiling of $1,325,000.

The central goal of the Consortium is to improve access to high-quality, integrated preventive oral health care for maternal and child health (MCH) populations. Rather than directly funding clinical services, the project is designed to strengthen the systems that deliver care by providing targeted technical assistance to two main groups supported by MCHB: (1) oral health Special Projects of Regional and National Significance (SPRANS) award recipients and (2) Title V Maternal and Child Health Services Block Grant Program (Title V) award recipients. A key feature of how the Consortium is expected to operate is the use of a learning collaborative approach, which typically involves structured peer learning, shared measurement, coaching, and rapid-cycle improvement so that states, programs, and partners can adopt effective practices more consistently.

Under this opportunity, MCHB planned to fund one lead organization to coordinate and manage a broader network of nationally recognized expert organizations in oral health care. In practice, that lead is expected to convene Consortium partners and work alongside key national stakeholders to elevate the quality and consistency of technical assistance nationwide. The emphasis is specifically on preventive oral health care delivery for MCH populations, with particular attention to MCH safety net services, reflecting a priority on reaching families who face the greatest barriers to care and who are most affected by oral health inequities.

The notice outlines three core functions that define what the Consortium must do. First, the Consortium must identify gaps and barriers that prevent optimal delivery of preventive oral health care within systems serving MCH populations. This assessment is expected to reflect key elements of the MCH Pyramid of Services, which is a framework commonly used in maternal and child health to think across layers of service delivery, from direct clinical care up through enabling services, population-based services, and infrastructure-building activities. The intent here is to look beyond individual programs and pinpoint systemic issues such as workforce limitations, financing and reimbursement barriers, referral pathways, data and quality measurement gaps, and operational challenges that keep oral health from being routinely integrated into MCH and primary care settings.

Second, the Consortium must help improve MCH systems of care by supporting changes that directly address the gaps and barriers identified. The focus is on better integration of oral health and primary care, which can include practical strategies like embedding oral health risk assessment into prenatal and well-child workflows, improving referral management between medical and dental providers, strengthening preventive interventions, and supporting cross-sector partnerships. A stated outcome of this systems-improvement function is to reduce oral health disparities among MCH populations, meaning the work should be designed to narrow inequities in access, utilization, and outcomes across different communities and demographic groups.

Third, the Consortium is expected to translate evidence into practice by raising awareness and increasing knowledge through dissemination of reliable resources and guidance. This function is about taking research findings, proven models, and emerging best practices and turning them into usable tools for state programs, safety net providers, and MCH systems leaders. Typical deliverables implied by this function include toolkits, implementation guides, training materials, policy and practice briefs, and other forms of guidance that help programs adopt effective approaches rather than reinventing solutions independently.

Overall, this grant opportunity is aimed at building national capacity to integrate preventive oral health into maternal and child health systems by combining expert-led technical assistance, structured learning collaboratives, and dissemination of practical, evidence-informed resources. Applicants were expected to address HRSA program expectations described in the funding notice (referenced as Section IV.2), which would typically detail required activities, deliverables, performance measures, reporting, and how the cooperative agreement relationship will operate.

  • The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "National Maternal and Child Health Consortium for Oral Health Systems Integration and Improvement" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.110.
  • This funding opportunity was created on Nov 18, 2020.
  • Applicants must submit their applications by Feb 17, 2021. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $1,325,000.00 in funding.
  • The number of recipients for this funding is limited to 1 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for HRSA 21 037

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Frequently Asked Questions (FAQs)

What is the National Maternal and Child Health Consortium for Oral Health Systems Integration and Improvement (HRSA 21-037)?

It is a federal grant opportunity administered by the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), through the Maternal and Child Health Bureau (MCHB). The project is designed to improve access to high-quality, integrated preventive oral health care for maternal and child health (MCH) populations by strengthening the systems that deliver care.

Which federal agency and bureau oversee this opportunity?

The opportunity is overseen by HRSA (Health Resources and Services Administration) within the U.S. Department of Health and Human Services (HHS), specifically through HRSA's Maternal and Child Health Bureau (MCHB).

When was HRSA 21-037 released, and what was the original application deadline?

The funding notice was released on November 18, 2020. The original application deadline was February 17, 2021.

What type of award is this (grant vs. cooperative agreement)?

This award is a cooperative agreement. That means the recipient is expected to work closely with HRSA/MCHB, and federal project staff typically have substantial involvement in guiding, partnering on, or participating in key aspects of the work.

How many awards did HRSA anticipate making under this notice?

HRSA anticipated making a single award, with one lead organization selected to coordinate and manage the Consortium.

What was the funding ceiling for the award?

The funding ceiling described in the notice was $1,325,000.

What is the main purpose of the Consortium?

The main purpose is to improve access to high-quality, integrated preventive oral health care for MCH populations by strengthening and improving the systems that support oral health integration into maternal and child health and primary care settings.

Does the Consortium directly fund clinical dental services?

No. The project is not described as funding direct clinical services. Instead, it focuses on strengthening systems of care through targeted technical assistance, learning collaboratives, and dissemination of evidence-informed resources.

Who are the primary recipients of the Consortium's technical assistance?

The Consortium is intended to provide targeted technical assistance to two main groups supported by MCHB: (1) oral health Special Projects of Regional and National Significance (SPRANS) award recipients and (2) Title V Maternal and Child Health Services Block Grant Program (Title V) award recipients.

What is meant by a "learning collaborative approach" in this opportunity?

The notice describes a learning collaborative approach as a structured method that typically includes peer learning, shared measurement, coaching, and rapid-cycle improvement. The aim is to help states, programs, and partners adopt effective practices more consistently and with better outcomes.

What role does the lead organization play in the Consortium?

The lead organization is expected to coordinate and manage a broader network of nationally recognized expert organizations in oral health care, convene Consortium partners, and work with key national stakeholders to improve the quality and consistency of technical assistance nationwide.

What populations and settings are emphasized in the work?

The emphasis is on maternal and child health populations, with particular attention to MCH safety net services. This reflects a priority on reaching families who face the greatest barriers to care and who are most affected by oral health inequities.

What are the three core functions the Consortium must carry out?

The notice describes three core functions: (1) identify gaps and barriers that prevent optimal preventive oral health care delivery in systems serving MCH populations; (2) support systems changes to address those gaps and improve integration of oral health and primary care; and (3) translate evidence into practice by disseminating reliable resources and guidance.

What kinds of gaps and barriers is the Consortium expected to identify?

The assessment is expected to look at systemic issues that interfere with routine integration of oral health into MCH and primary care settings. Examples mentioned or implied include workforce limitations, financing and reimbursement barriers, referral pathways, data and quality measurement gaps, and operational challenges.

How does the MCH Pyramid of Services relate to the Consortium's work?

The notice indicates the gap and barrier assessment should reflect key elements of the MCH Pyramid of Services, a maternal and child health framework that considers multiple layers of service delivery, from direct clinical services to enabling services, population-based services, and infrastructure-building activities. This is meant to help identify system-level issues beyond any single program.

What kinds of systems improvements does the Consortium support?

The focus is on changes that improve integration of oral health and primary care. Examples described include embedding oral health risk assessment into prenatal and well-child workflows, improving referral management between medical and dental providers, strengthening preventive interventions, and supporting cross-sector partnerships.

Is reducing oral health disparities an expected outcome?

Yes. A stated outcome of the systems-improvement function is to reduce oral health disparities among MCH populations, meaning the work should be designed to narrow inequities in access, utilization, and outcomes across communities and demographic groups.

What does "translate evidence into practice" mean in the context of this grant?

It means taking research findings, proven models, and emerging best practices and turning them into practical, usable tools and guidance that state programs, safety net providers, and MCH systems leaders can apply, rather than having each program develop solutions from scratch.

What kinds of resources or deliverables are implied by the dissemination function?

The notice implies deliverables such as toolkits, implementation guides, training materials, policy and practice briefs, and other reliable resources that raise awareness, increase knowledge, and help programs adopt effective preventive oral health integration strategies.

How is preventive oral health care positioned within the overall project?

Preventive oral health care is the central emphasis. The Consortium is intended to improve how preventive oral health is delivered within MCH systems and integrated into primary care and MCH settings, particularly in safety net environments.

What does it mean that federal project staff have "substantial involvement"?

In a cooperative agreement, HRSA/MCHB staff are typically involved beyond standard grant oversight. The notice indicates they may guide, partner on, or have meaningful involvement in key components of the work, consistent with how cooperative agreements operate.

What does the notice say about working with partners and stakeholders?

The notice describes a structure where one lead organization coordinates a network of nationally recognized expert organizations and collaborates with key national stakeholders to elevate the quality and consistency of technical assistance nationwide.

Where would applicants find details on required activities, deliverables, and reporting?

The notice states that applicants were expected to address HRSA program expectations described in the funding notice (referenced as Section IV.2), which would typically cover required activities, deliverables, performance measures, reporting, and how the cooperative agreement relationship will operate.

What is the overall approach HRSA/MCHB is trying to build through this award?

The overall approach is to build national capacity to integrate preventive oral health into maternal and child health systems by combining expert-led technical assistance, structured learning collaboratives, systems improvement work, and dissemination of practical, evidence-informed resources.

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