Opportunity Information: Apply for HRSA 24 039

The Maternal and Child Health Improving Oral Health Integration Demonstration Projects (MCH-IOHI Projects) is a federal grant opportunity from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), focused on expanding access to integrated preventive oral health care within primary care settings that serve maternal and child health (MCH) populations. The central idea is to bring basic, evidence-based preventive oral health services into the places where pregnant people, infants, children, and families already receive routine care, especially in communities where oral health needs are higher and access to dental services is limited. Rather than treating oral health as separate from medical care, the program supports approaches that blend prevention, screening, education, and referral pathways into everyday primary care workflows.

Funding is structured as a cooperative agreement, meaning HRSA is likely to have substantial involvement through guidance, coordination, and shared learning expectations. Awards are expected to support seven projects, with an award ceiling of $425,000. The opportunity is listed under Assistance Listing (CFDA) 93.110 and was created on October 16, 2023, with an original closing date of January 22, 2024. Eligible applicants are broad and include state, county, and local governments; special districts; independent school districts; federally recognized tribal governments and other tribal organizations; nonprofit organizations (both 501(c)(3) and non-501(c)(3)); for-profit organizations (including small businesses); and other entities as specified in the full announcement.

A key feature of the program is the creation and operation of an MCH-IOHI Alliance in each funded area. This Alliance is meant to be a structured partnership of the major players who can actually change how oral health is delivered and financed across a state and within local communities. It is expected to include leaders in policy, clinical practice, and public health, along with healthcare providers, healthcare payers (including those connected to Medicaid), and experts in public health surveillance and data systems. The Alliance is responsible for driving a two-tier improvement strategy that works at both the state level and the local level, so that on-the-ground practice changes are reinforced by supportive policy, education, and data infrastructure.

The work itself is organized around three core functions: Policy and Practice; Education and Outreach; and Data, Analysis and Evaluation. On the state side, projects are expected to pursue improvements that can reshape the broader environment for integrated preventive oral health care. This includes generating information and momentum to support policy and practice decisions that make integration easier and more sustainable, such as Medicaid payment approaches for preventive oral health services delivered in medical settings and changes or clarifications to health professions state practice acts that affect who can provide which services. State-level work also emphasizes raising oral health literacy across systems using an organizational health literacy approach, meaning the focus is not only on patient education but also on making healthcare organizations easier to navigate and better designed to communicate oral health information clearly and consistently. In addition, the state component is expected to strengthen oral health surveillance capacity, for example by improving data collection and analyzing trends to understand needs, gaps, and progress over time.

At the local level, the projects are expected to establish, implement, and validate evidence-based models of integrated preventive oral health care in communities that are underserved by oral health care. This implies moving beyond planning into practical implementation: selecting models that already have evidence behind them, adapting them for local primary care environments, demonstrating that they work in real-world settings, and documenting outcomes and lessons learned. The intent is to create replicable and credible examples of how integration can be done effectively in clinics and community settings that serve higher-risk MCH populations, with attention to access barriers and equity.

Finally, recipients are expected to participate in a learning collaborative led by an MCH-IOHI Consortium. This collaborative element signals that HRSA wants projects to learn from one another, share implementation strategies, compare data and evaluation approaches, and spread effective practices more quickly than any one state or community could do alone. Overall, the opportunity is designed to blend policy change, systems-level education, and stronger data capacity with practical local demonstrations, with the end goal of making preventive oral health services a routine and sustainable part of primary care for maternal and child health populations who face elevated risk for poor oral health.

  • The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Maternal and Child Health – Improving Oral Health Integration Demonstration Projects (MCH-IOHI Projects)" 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 Oct 16, 2023.
  • Applicants must submit their applications by Jan 22, 2024. (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 $425,000.00 in funding.
  • The number of recipients for this funding is limited to 7 candidate(s).
  • Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education, Nonprofits that do not have a 501(c)(3) status with the IRS, other than institutions of higher education, For profit organizations other than small businesses, Small businesses, Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for HRSA 24 039

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Frequently Asked Questions (FAQs): Maternal and Child Health Improving Oral Health Integration Demonstration Projects (MCH-IOHI Projects)

What is the MCH-IOHI Projects grant opportunity?

The Maternal and Child Health Improving Oral Health Integration Demonstration Projects (MCH-IOHI Projects) is a federal grant opportunity from the U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA). It focuses on expanding access to integrated, preventive oral health care within primary care settings that serve maternal and child health (MCH) populations.

What is the main goal of this program?

The goal is to make basic, evidence-based preventive oral health services part of routine primary care for pregnant people, infants, children, and families, especially in communities with higher oral health needs and limited access to dental services.

How does the program approach oral health differently from traditional models?

Rather than treating oral health as separate from medical care, the program supports blending prevention, screening, education, and referral pathways into everyday primary care workflows where MCH patients already receive care.

Which federal agency is offering this funding?

The funding is offered by HRSA, which is part of the U.S. Department of Health and Human Services (HHS).

What type of award is this?

This opportunity is structured as a cooperative agreement, which means HRSA is likely to have substantial involvement through guidance, coordination, and shared learning expectations.

How many awards are expected and what is the funding limit?

HRSA expects to support seven projects. The award ceiling is $425,000.

What is the Assistance Listing (CFDA) number for this opportunity?

The Assistance Listing (CFDA) number is 93.110.

When was the opportunity created and what was the original closing date?

The opportunity was created on October 16, 2023, and the original closing date was January 22, 2024.

Who is eligible to apply for this grant?

Eligible applicants are broad and include state, county, and local governments; special districts; independent school districts; federally recognized tribal governments and other tribal organizations; nonprofit organizations (both 501(c)(3) and non-501(c)(3)); for-profit organizations (including small businesses); and other entities as specified in the full announcement.

What is meant by integrating preventive oral health care into primary care settings?

Integration refers to incorporating evidence-based preventive oral health services into routine primary care. This includes prevention activities, screening, education, and building referral pathways as part of normal clinic operations serving MCH populations.

What is the MCH-IOHI Alliance?

Each funded area is expected to create and operate an MCH-IOHI Alliance. The Alliance is a structured partnership of key stakeholders who can influence how preventive oral health services are delivered and financed across a state and within local communities.

Who is expected to be included in an MCH-IOHI Alliance?

The Alliance is expected to include leaders in policy, clinical practice, and public health, along with healthcare providers, healthcare payers (including those connected to Medicaid), and experts in public health surveillance and data systems.

What is the Alliance responsible for doing?

The Alliance is responsible for driving a two-tier improvement strategy that operates at both the state level and the local level, aligning on-the-ground practice changes with supportive policy, education, and data infrastructure.

What are the three core functions the work is organized around?

The work is organized around three core functions: Policy and Practice; Education and Outreach; and Data, Analysis and Evaluation.

What kinds of activities are expected at the state level?

State-level work is expected to pursue improvements that reshape the broader environment for integrated preventive oral health care. Examples mentioned include building information and momentum for policy and practice decisions that make integration easier and more sustainable, such as Medicaid payment approaches for preventive oral health services delivered in medical settings and changes or clarifications to health professions state practice acts.

How does Medicaid relate to this program?

The program highlights Medicaid as a potential lever for sustainability, specifically referencing Medicaid payment approaches for preventive oral health services delivered in medical settings. The Alliance is also expected to include healthcare payers, including those connected to Medicaid.

What are “health professions state practice acts” and why do they matter here?

The opportunity references health professions state practice acts in the context of integration. These laws can affect who is allowed to provide specific preventive oral health services in medical settings, so changes or clarifications may help support integrated care models.

What does the program mean by “organizational health literacy” for oral health?

The state component emphasizes raising oral health literacy across systems using an organizational health literacy approach. This means focusing not only on patient education, but also on making healthcare organizations easier to navigate and improving how clearly and consistently they communicate oral health information.

What is meant by strengthening oral health surveillance capacity?

Strengthening surveillance capacity includes improving data collection and analyzing trends to understand oral health needs, gaps, and progress over time.

What is expected at the local level?

Locally, projects are expected to establish, implement, and validate evidence-based models of integrated preventive oral health care in communities that are underserved by oral health care.

Does the program emphasize implementation or planning?

The description emphasizes moving beyond planning into practical implementation by selecting evidence-based models, adapting them for local primary care environments, demonstrating how they work in real-world settings, and documenting outcomes and lessons learned.

What does “evidence-based models” mean in this context?

It refers to integration models for preventive oral health care that already have evidence supporting their effectiveness, which are then adapted and validated in local primary care environments serving MCH populations.

What populations are prioritized by this grant?

The program centers on maternal and child health populations, including pregnant people, infants, children, and families, particularly in communities where oral health needs are higher and access to dental services is limited.

What is the intended outcome of local demonstrations?

The intent is to produce replicable and credible examples of effective integration in clinics and community settings serving higher-risk MCH populations, while documenting outcomes and lessons learned and addressing access barriers and equity.

What is the MCH-IOHI Consortium and what is a learning collaborative?

Recipients are expected to participate in a learning collaborative led by an MCH-IOHI Consortium. This is a shared learning structure where projects learn from one another, share implementation strategies, compare data and evaluation approaches, and spread effective practices more quickly.

Why does the cooperative agreement structure matter for recipients?

Because it is a cooperative agreement, HRSA is expected to be substantially involved through guidance, coordination, and shared learning expectations (including participation in the learning collaborative).

How do the state and local components work together?

The program is designed as a two-tier strategy: local implementation changes how care is delivered in real settings, while state-level work supports and reinforces those changes through policy and practice improvements, education and outreach approaches, and stronger data infrastructure.

What is the overall long-term aim of the program?

The overall aim is to make preventive oral health services routine and sustainable within primary care for MCH populations at elevated risk for poor oral health.

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