Cooperative Agreements to States/Territories for the Coordination and Development of Primary Care Offices

To coordinate local, State, and Federal resources contributing to primary care service delivery and workforce issues in the State to meet the needs of medically-underserved populations through health centers and other community-based providers of comprehensive primary care and the retention, recruitment,
and oversight of health professions for medically underserved populations.

Agency - Department of Health and Human Services

The Department of Health and Human Services is the Federal government's principal agency for protecting the health of all Americans and providing essential human services, especially to those who are least able to help themselves.

Office - See Regional Agency Offices.
Website Address

Selected Recipients for this Program

RecipientAmount Start DateEnd Date
Health And Human Services, Nevada Department Of $ 503,844   2009-04-012024-03-31
Community Health, Georgia Dept Of $ 586,635   2009-04-012024-03-31
Health, New York Department Of $ 983,272   2015-03-012024-03-31
Public Health, Connecticut Department Of $ 586,102   2009-04-012024-03-31
Health, Minnesota Department Of $ 618,596   2009-04-012024-03-31
Health & Human Services, North Carolina Department Of $ 590,263   2009-04-012024-03-31
Arizona Department Of Health Services $ 585,391   2009-04-012024-03-31
Health, Hawaii Department Of $ 467,773   2009-04-012024-03-31
Public Health, Illinois Department Of $ 806,254   2009-04-012024-03-31
Health, Louisiana Department Of $ 547,617   2016-01-142024-03-31

Program Accomplishments

Not Applicable.

Uses and Use Restrictions

Recipients will be expected to perform State-wide primary care planning and resource coordination, including maintaining and updating databases that reflects current levels of of health professional shortage areas (HPSA) and medically underserved areas and populations (MUAP), Medicaid, Children's Health Insurance program, State Offices of Rural Health, Ryan White Area Health Education Centers, Maternal and Child Health, etc.; support health systems development, primary care practitioners retention and recruitment, National Health Service Corps monitoring activities, as well as activities relating to other special populations including rural populations; and conduct operational and administrative support activities.

Eligibility Requirements

Applicant Eligibility

States or territories, political subdivisions of States, agencies of States, or other public entities that operate solely within one State or represent multiple territories where appropriate.

These entities must provide statewide coverage for primary health care issues and represent or have relationships with the broad range of primary health care delivery systems and programs in the State.

Beneficiary Eligibility

Health Professional Shortage Areas and Medically Underserved Areas/Populations within States and Territories will benefit from this program. Primary Care Offices (PCO) submit applications for designation status, which are reviewed and processed by the Division of Policy and Shortage Designation.


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. 2 CFR 200, Subpart E - Cost Principles applies to this program.

Aplication and Award Process

Preapplication Coordination

Preapplication coordination is not applicable.

Environmental impact information is not required for this program.

This program is excluded from coverage under E.O.


Application Procedures

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 All eligible, 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 Procedures

Notification of award is made in writing (electronic) through a Notice of Award.


Contact the headquarters or regional office, as appropriate, for application deadlines.


Public Health Service Act, Section 330(k), 330(m) and 333(d).

Range of Approval/Disapproval Time

Approximately from 120 to 180 days after receipt of application.


Not Applicable.


Depending on Agency priorities and availability of funding, during the final budget year of the approved project period competing continuation applications may be solicited from interested applicants.

Assistance Considerations

Formula and Matching Requirements

Statutory formulas are not applicable to this program. Matching requirements are not applicable to this program. MOE requirements are not applicable to this program.

Length and Time Phasing of Assistance

This funding opportunity provides support for a 5-year project period. See the following for information on how assistance is awarded/released: Recipients draw down funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards.

Post Assistance Requirements


Both program and financial reports are required.

The recipient will be required to submit annual performance and progress reports.

A Needs Assessment report is a one-time requirement for the five-year project period.

A Federal Financial Report (SF-425) is required according to the schedule in HRSA?s Application Guide.

A final report is due within 90 days after the project period ends.

If applicable, the recipient must submit a Tangible Personal Property Report (SF-428) and any related forms within 90 days after the project period ends.

New awards (?Type 1?) issued under this notice of funding opportunity are subject to the reporting requirements of the Federal Funding Accountability and Transparency Act (FFATA) of 2006 (Pub.


109?282), as amended by section 6202 of Public Law 110?252, and implemented by 2 CFR Part 170.

Grant and cooperative agreement recipients must report information for each first-tier subaward of $25,000 or more in federal funds and executive total compensation for the recipient?s and subrecipient?s five most highly compensated executives as outlined in Appendix A to 2 CFR Part 170 (The FFATA details are available online at

Competing continuation recipients may be subject to this requirement and will be so notified in the Notice of Award.

Cash reports are not applicable.

Progress reports are not applicable.

Expenditure reports are not applicable.

Performance monitoring is not applicable.


In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503.


Grantees are required to maintain grant accounting records 3 years after the date they submit the Federal Financial Report (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.

Financial Information

Account Identification



(Cooperative Agreements) FY 16 $7,000,000; FY 17 est $10,899,000; and FY 18 est $11,000,000

Range and Average of Financial Assistance

For FY 2015, Awards ranged from $152,056 to $438,871; Average award per recipient $201,189. For FY 2016, awards ranged from $152,056 to $444,379; Average award per recipient $203,509. For FY 2017, awards ranged from $152,056 to $444,379; Average award per recipient $203,509.

Regulations, Guidelines, and Literature

All administrative and audit requirements and the cost principles that govern Federal monies associated with this activity will be subject to the Uniform Guidance 2 CFR 200 as codified by HHS at 45 CFR 75. HRSA awards are also 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

Information Contacts

Regional or Local Office

See Regional Agency Offices.

Headquarters Office

Shortage Designation Branch, Division of Policy and Shortage Designation, Bureau of Health Workforce, Health Resources and Services Administration 5600 Fishers Lane, Room 11W04, Rockville, Maryland 20852 Phone: 301 594-4454

Criteria for Selecting Proposals

Procedures for assessing the technical merit of grant applications have been instituted to provide an objective review of applications and to assist the applicant in understanding the standards against which each application will be judged. Critical indicators have been developed for each review criterion to assist the applicant in presenting pertinent information related to that criterion and to provide the reviewer with a standard for evaluation. Competing applications are reviewed by non-Federal expert consultant(s) for technical merit recommendations. Applications will be reviewed and evaluated against the following criteria: (1) Purpose and Need; (2) Response to Program Purpose; (3) Impact; (4) Organizational Information, Resources and Capabilities; and (5) Support Requested. See the most recent Notice of Funding Opportunity for detailed selection criteria.

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