Request for Applications: Service Area Competition (United States)

Deadline: 29 October 2024

The United States Department of Health and Human Services has announced the opportunity to apply for funding under the Health Center Program’s Service Area Competition (SAC).

Objectives

Improve the health of underserved populations, including individuals and families experiencing homelessness, migratory and seasonal agricultural workers, and residents of public housing by delivering comprehensive, culturally competent, high-quality primary health care and supportive services.
Provide services regardless of the patient’s ability to pay.

Purpose

To ensure continuity of affordable, accessible, and high-quality primary health care in the communities and populations currently served by the Health Center Program.

Funding Information

Estimated Total Program Funding: $ 270,164,000
Period of Performance: June 1, 2025 through May 31, 2028 (up to 3 years)

Eligibility Criteria

Your organization must be a private, nonprofit entity or a public agency in the United States or its territories. Tribal and urban Indian organizations may apply.
Your organization must provide all required health services available and accessible in the service area without regard for ability to pay. You may not propose to provide only a single service or any subset of the required primary health care services.
Your organization must provide General Primary Medical Care directly and/or through contracts the health center pays for.
Your organization must perform a substantive role in the project.
You must make services accessible to all. You may not propose to serve only a single age group or address a single health issue or disease. If you propose a site that targets only a sub-population (e.g., a school-based site), you must explain how you will make all required services available to the entire underserved population in the service area.
Your organization must provide continuity of care to patients in an announced service area. You must:
- Service Area ID: Include the three-digit service area ID number from the SAAT that is announced under this NOFO.
- Patients: Project to serve at least 75 percent of the SAAT Patient Target.
- Services: Project to serve patients in all of the service types listed on the SAAT for your proposed service area (e.g., Medical, Dental, Mental Health, Substance Abuse, Vision, Enabling).
- Service Area Zip Codes: (New or Competing Supplement Applicants) Enter zip codes for service delivery sites that include a combination of SAAT Service Area Zip Codes in which patient percentages total at least 75 percent. If the sum of all zip code patient percentages is less than 75 percent, you must include all SAAT Service Area Zip Codes for the proposed service area. Current Service Area Zip codes will auto-populate for Competing Continuation applicants.
- Special Populations: Propose to maintain services to all currently served population types (Community Health Centers (CHC), Migrant Health Centers (MHC), Health Care for the Homeless (HCH), Public Housing Primary Care (PHPC). You will do this by maintaining the funding distribution of those population types listed in the SAAT where the funding level is not $0.
New or competing supplement applicants must propose at least one new full-time (open at least 40 hours per week) permanent, fixed building service site.
Public Housing Primary Care Applicants: New or competing supplement applicants applying for PHPC funding must show that you consulted with public housing residents as you plan your new site(s). You must also explain how you will have ongoing input from public housing residents.
Health Care for The Homeless and Public Housing Primary Care Applicants: New or competing supplement applicants applying for HCH or PHPC funding must use this funding to supplement, and not supplant, the expenditures of the health center and the value of in-kind contributions for the delivery of services to these populations.