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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