Telehealth Programs

The purpose of the Telehealth Network Grant Program (TNGP) is to fund grants to demonstrate how telehealth networks improve healthcare services in rural communities.

The current cohort is focused on telehealth services delivered through school-based health centers/clinics (SBHC), particularly

credit: CREATIVE COMMONS / FLICKR / TAX CREDITS
those serving high-poverty populations.

The National Telehealth Resource Center Program (NTRC) and the Regional Teleheatlh Resource Center Program (RTRC) are designed to expand the availability of technical assistance in the development of telehealth services, leveraging the experience of mature programs with expertise in providing and implementing telehealth services.

The Licensure Portability Grant Program (LPGP) supports state professional licensing boards to carry out programs under which licensing boards of various states cooperate to develop and implement state policies that will reduce statutory and regulatory barriers to the provision of health care services through telemedicine technology.



The Evidence-Based Tele-Emergency Network Grant Program (EB-TNGP) supports implementation and evaluation of broad telehealth networks to deliver Emergency Department consultation services via telehealth to rural and community providers without emergency care specialists.

The Rural Child Poverty Telehealth Network Grant Program (RCP-TNGP) demonstrates how telehealth networks can improve access to quality health care and social services for children living in high poverty rural and underserved areas.

The Substance Abuse Treatment Telehealth Network Grant Program (SAT-TNGP) will demonstrate how telehealth programs and networks can improve access to health care services, particularly substance abuse treatment, in rural, frontier, and underserved communities.


The Telehealth Center of Excellence (COE) will test the efficacy of telehealth services in rural areas.

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.

See Regional Agency Offices. Headquarters contacts: Carlos Mena, Program Coordinator (TNGP and SAT-TNGP), Telephone: (301) 443-3198; Anthony Oliver, Program Coordinator (LPGP), Telephone:(301) 443-2919; Monica Cowan , Program Coordinator (RCP-TNGP), Telephone:(301) 443-0076; Natassja Manzanero, Program Coordinator (NTRC and RTRC), Telephone: (301) 443-2077; Sarah Bryce, Program Coordinator (EB-TNGP and COE), Telephone (301) 443-5982.

Relevant Nonprofit Program Categories





Selected Recipients for this Program


RecipientAmount Start DateEnd Date
Association Of State & Provincial Psychology Board $ 244,003   2012-07-012024-06-30
Federation Of State Medical Boards Of The United States, Incorporated, The $ 243,625   2012-07-012024-06-30
Oklahoma Mental Health Council, The $ 1,000,000   2019-09-012022-08-31
Health Care & Rehab. Services Of Southeastern Vermont, Inc. $ 1,000,000   2019-09-012022-08-31
Family Health Centers $ 1,000,000   2019-09-012022-08-31
Washington County Memorial Hospital $ 1,000,000   2019-09-012022-08-31
West Virginia University Research Corporation $ 456,361   2019-09-012022-08-31
Oregon Washington Health Network $ 1,000,000   2019-09-012022-08-31
Augusta University Research Institute, Inc. $ 1,000,000   2019-09-012022-08-31
Wright Center Medical Group, The $ 1,000,000   2019-09-012022-08-31



Program Accomplishments

Not Applicable.

Uses and Use Restrictions

Telehealth Network Grant Program (TNGP) -Funds support the use of telehealth networks (electronic information and telecommunications technologies to support and promote long-distance health care and ancillary services) for improving access to health care services; provide a baseline of information for a systematic evaluation of telehealth systems; purchase or lease and install equipment; and to operate and evaluate the telehealth system.

Overall, not more than 40 percent of grant funds may be expended for equipment.

Not more than 15 percent of grant funds may be expended for indirect costs.

Grant funds may not be used for purchasing and installing telecommunications transmission equipment (e.g., microwave towers, satellite dishes, amplifiers, digital switching equipment or laying cable or telephone lines) or to acquire real property.

Construction costs are allowable only for minor renovations related to the installation of equipment.

National Telehealth Resource Center Program (NTRC) and Regional Telehealth Resource Center Program (RTRC) - Funds support the establishment and development of Telehealth Resource Centers, which serve as a focus for the provision of telehealth technical assistance across the country.

One National TRC will focus on providing specialized technical assistance in telehealth technology.

The other National TRC will focus on policy issues such as state and national policies and initiatives regarding telehealth.

Twelve Regional Telehealth Resource Centers are located across the United States.

Grant funds are used for salaries, equipment, operating, travel expenses, or other costs for: providing technical assistance, training and support; disseminating information and research findings related to telehealth services; promoting effective collaboration among telehealth resource centers and HRSA; promoting the integration of the technologies used in clinical information systems with other telehealth technologies; fostering the use of telehealth technologies to effectively provide healthcare information and education for health care providers and consumers; and, implementing special projects that involve collaboration among TRCs to advance the field of telehealth.

Grant funds are not used for: acquiring real property; equipment costs of more than 40 percent of total grant funds; for equipment or transmission costs not directly related to the grant purposes; to purchase or install general purpose voice telephone systems; construction costs; and indirect costs exceeding 15 percent of total grant funds. The Licensure Portability Grant Program (LPGP) - Grant funds are used for salaries, equipment, software development, operating, or other costs associated with developing legislative, administrative, and technical projects to address licensure barriers that hinder the practice of telemedicine across state lines.

Grant funds may also be used for activities involving significant expansion of existing state agreements for cross-state recognition of professional licenses to other states.

Evidence-Based Tele-Emergency Network Grant Program (EB-TNGP) - Grant funds may be used for salaries, equipment, and operating or other costs, including the cost of: 1) Developing and delivering clinical Tele-Emergency services, including telestroke, that enhance access to health care services for residents in rural areas that lack specialized emergency services.

2) Developing and acquiring, through lease or purchase, computer hardware and software, audio and video equipment, computer network equipment, interactive equipment, data terminal equipment, and other equipment that furthers the objectives of the Tele-Emergency network grant program; 3) Transmitting medical data and maintenance of equipment; 4) Compensating emergency clinicians who provide consultative services via telehealth to the rural telehealth sites; and 5) Collecting and analyzing statistics and data to document the cost-effectiveness of Tele-Emergency and to participate in the broader evaluation and analysis for this program, The Rural Child Poverty Telehealth Network Grant Program (RCP-TNGP) - Grant funds may be used for:salaries, equipment, and operating or other costs, including the cost of: 1) Developing and delivering clinical and social services via telehealth to improve the health and well-being of children living in high poverty rural areas; 2) Developing and acquiring, through lease or purchase, computer hardware and software, audio and video equipment, computer network equipment, interactive equipment, data terminal equipment, and other equipment that furthers the objectives of the telehealth network grant program; 3) Transmitting medical data, and maintenance of equipment; 4) Compensating clinicians (including travel expenses), referring health care providers, and social service providers who are providing services to children living in high poverty rural areas through the project, if no third party payment is available; and 5) Developing projects that use telehealth technology to facilitate collaboration between health care and social service providers. Overall, not more than 40 percent of grant funds may be expended for equipment.

Not more than 15 percent of grant funds may be expended for indirect costs.

Grant funds may not be used for purchasing and installing telecommunications transmission equipment (e.g., microwave towers, satellite dishes, amplifiers, digital switching equipment or laying cable or telephone lines) or to acquire real property.

Construction costs are allowable only for minor renovations related to the installation of equipment.

Substance Abuse Treatment Telehealth Network Grant Program (SAT-TNGP) - The primary purpose of the SAT-TNGP is to support tele-substance abuse treatment and other behavioral health care services with a secondary focus on providing services to address common chronic disease conditions (e.g.

congestive heart failure, cancer, stroke, chronic respiratory disease, and/or diabetes).

Overall, not more than 40 percent of grant funds may be expended for equipment.

Not more than 15 percent of grant funds may be expended for indirect costs.

Grant funds may not be used for purchasing and installing telecommunications transmission equipment (e.g., microwave towers, satellite dishes, amplifiers, digital switching equipment or laying cable or telephone lines) or to acquire real property.

Construction costs are allowable only for minor renovations related to the installation of equipment.

Telehealth Center of Excellence (COE) - The primary purpose of this program is to test the efficacy of telehealth services in rural and urban areas. Funds under this notice may not be used for the following purposes: 1) to acquire real property; 2) for expenditures to purchase or lease equipment, to the extent that the expenditures would constitute the majority of the total grant funds; 3) to purchase or install transmission equipment (such as laying cable or telephone lines, or purchasing or installing microwave towers, satellite dishes, amplifiers, or digital switching equipment); 4) to pay for any equipment or transmission costs not directly related to the purposes for which the grant is awarded; 5) to purchase or install general purpose voice telephone systems; 6) for construction, or 7) for expenditures for indirect costs (as determined by the Secretary), to the extent that the expenditures would exceed 15 percent of the total grant funds.

Eligibility Requirements

Applicant Eligibility

Telehealth Network Grant Program (TNGP) - Eligible applicants include public and private non-profit entities, including faith-based and community organizations, as well as federally-recognized tribal governments and organizations.

National Telehealth Resource Center Program (TNRC) and Regional Telehealth Resource Center Program (RTRC) - Eligible applicants include public and private non-profit entities.

Faith-based and community-based organizations, Tribes, and tribal organizations are eligible to apply.

Licensure Portability Grant Program (LPGP) - Eligible applicants are limited by statute to state professional licensing boards.

Note: American Indian and/or Alaska Native Tribal Organizations are eligible provided those organizations meet the eligibility requirements above.

Evidence-Based Tele-Emergency Network Grant Program (EB TNGP) - Eligible applicants include public, private, and non-profit organizations, including faith-based and community organizations, as well as federally-recognized tribal governments and organizations.

The Rural Child Poverty Telehealth Network Grant Program (RCP-TNGP) - Eligible applicants include public and private non-profit entities, including faith-based and community organizations, as well as federally-recognized Indian tribal governments and organizations. The Substance Abuse Treatment Telehealth Network Grant Program (SAT-TNGP) - Eligible applicants include public and private non-profit entities, including faith-based and community organizations, as well as federally-recognized tribes and tribal governments and organizations. The Telehealth Center of Excellence Program - Eligible applicants must be public academic medical centers located in states with high chronic disease prevalence, high poverty rates, and a larger percentage of medically underserved rural areas.

Beneficiary Eligibility

Telehealth Network Grant Program (TNGP) - Health care providers in rural areas, in medically underserved areas, in frontier communities, and for medically underserved populations. TNGP grantees include in the network at least two (2) of the following entities (at least one (1) of which shall be a community-based health care provider: (a) community or migrant health centers or other federally qualified health centers; (b) health care providers, including pharmacists, in private practice; (c) entities operating clinics, including rural health clinics; (d) local health departments; (e) nonprofit hospitals, including community (critical) access hospitals; (f) other publicly funded health or social service agencies; (g) long-term care providers; (h) providers of health care services in the home; (i) providers of outpatient mental health services and entities operating outpatient mental health facilities; (j) local or regional emergency health care providers; (k) institutions of higher education; or (l) entities operating dental clinics; and (m) school based health centers/clinics. National Telehealth Resource Center Program (NTRC) and Regional Telehealth Resource Center Program (RTRC) - Health care providers in rural areas, in medically underserved areas, in frontier communities, and medically underserved populations. The TRCs must support the activities of existing or developing telehealth networks to meet the health care needs of rural or other populations to be served, including the improvement of access to services and the quality of the services received by those populations. American Indian and/or Alaska Native Tribal Organizations are eligible beneficiaries provided those organizations meet the beneficiary requirements above. Licensure Portability Grant Program (LPGP) - State professional licensing boards carry out programs under which licensing boards of various states cooperate to develop and implement state policies that will reduce statutory and regulatory barriers to telemedicine. State licensing boards, their members, and the general public are beneficiaries of the services conducted under this grant. Evidence-Based Tele-Emergency Network Grant Program (EB TNGP) - The Tele-Emergency Network shall include at least five members. Network members may include representation from the following categories: Hospitals, including community (critical) access hospitals; Local or regional emergency health care providers; Institutions of higher education with experience in data collection and analysis including but not limited to claims-level data; Medical research institutions; Tertiary providers with specialized experience in emergency medicine, stroke and the use of telehealth services in those clinical areas. The Rural Child Poverty Telehealth Network Grant Program (RCP-TNGP) - Health care providers serving rural areas and frontier communities. The RCP-TNGP Network shall include at least two (2) of the following entities (at least one of which shall be a community-based health care provider): Community or migrant health centers or other federally-qualified health centers; Health care providers, including pharmacists, in private practice; Entities operating clinics, including rural health clinics; Local health departments; Nonprofit hospitals, including community access hospitals; Other publicly funded health or human/social service agencies; Long-term care providers; Providers of health care services in the home; Providers of outpatient mental health services and entities operating outpatient mental health facilities; Local or regional emergency health care providers; Institutions of higher education; and Entities operating dental clinics. If available in their area, applicants should consider partnering or collaborating with other federally-funded programs that target or have demonstrable effects on the health of impoverished children living in rural areas, including: USDA Cooperative Extension System Offices; Healthy Start; Healthy Tomorrows Partnership for Children; WIC; Maternal, Infant and Early Childhood Home Visitation programs; Head Start and Early Head Start; Temporary Assistance to Needy Families; Community Action Agencies; and other human/social service-focused providers. The Substance Abuse Treatment Telehealth Network Grant Program (SAT-TNGP) - The network must include at least two (2) of the following entities (at least one of which shall be a community-based health care provider): (a) Small hospital (defined as less than 50 available beds, as reported on the hospital?s most recently filed Medicare Cost Report); (b) Community or migrant health centers or other federally-qualified health centers; (c) Health care providers, including pharmacists, in private practice; (d) entities operating clinics, including rural health clinics; (e) local health departments; (f) nonprofit hospitals, including community (critical) access hospitals; (g) other publicly funded health or social service agencies; (h) long-term care providers; (i) providers of health care services in the home; (j) providers of outpatient mental health services and entities operating outpatient mental health facilities; (k) local or regional emergency health care providers; (l) institutions of higher education; or (m) entities operating dental clinics. As noted in the Consolidated Appropriations Act 2017 (Public Law No. 115-31), preference will be given to networks that include small hospitals serving communities with high rates of poverty, unemployment, and substance abuse. The Telehealth Center of Excellence Program (COE) - Health care providers in rural areas, in medically underserved areas, in frontier communities, and medically underserved populations. The TRCs must support the activities of existing or developing telehealth networks to meet the health care needs of rural or other populations to be served, including the improvement of access to services and the quality of the services received by those populations.

Credentials/Documentation

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

Aplication and Award Process

Preapplication Coordination

An applicant should consult the office or official designated as the single point of contact in his or her state for more information on the process the state requires to be followed in applying for assistance, if the state has selected the program for review.

There are two FORHP programs that require the respective State Offices of Rural Health to be notified that they are applying, which are the Regional Telehealth Resource Center Program (RTRC) and the National Telehealth Resource Center Grant Program (NTRC).

Environmental impact information is not required for this program.

This program is eligible for coverage under E.O.

12372, 'Intergovernmental Review of Federal Programs.' An applicant should consult the office or official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review.

Application Procedures

2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. Applications are generally solicited by a notice of funding opportunity in the HRSA Preview. HRSA requires applicants (for new competitions) or awardees (for continuation applications) to submit applications electronically through Grants.gov. The program guidance contains detailed application and submission instructions, including information on the non-competitive continuation application and submission process. Awardees must submit proposals according to the program guidance which specifies required forms, and contains additional general information and instructions for grant applications, including proposal narratives, and budgets. The program guidance, when available, may be obtained by: Downloading from http://www.grants.gov; or, Contacting the HRSA Grants Application Center: The Legin Group, Inc., 910 Clopper Road, Suite 155 South Gaithersburg, MD 20878, Telephone:877-477-2123 , HRSAGAC@hrsa.gov. Application information may also be found by visiting http://www.hrsa.gov/grants/default.htm . All 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

For FY 2017, new competitions for the NTRC, RTRC, SUD-TNGP and COE will be conducted. All final funding decisions are made by the Associate Administrator, Federal Office of Rural Health Policy, Health Resources and Services Administration, based on recommendations made by the Director, Office for the Advancement of Telehealth. No new competitions are currently planned for FY2018. Notification is made in writing by a Notice of Award.

Deadlines

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

Authorization

The Telehealth Network Grant Program (TNGP) is authorized by Sec. 330I(d)(1) of Public Health Service Act (42 U.S.C. 254c-14(d)(1), as amended. The National Telehealth Resource Center Program (NTRC) is authorized by Sec. 330I(d)(2) of Public Health Service Act (42 U.S.C. 254c-14(d)(2), as amended and P.L. 114-254. The Regional Telehealth Resource Center Program is authorized by Sec. 330I(d)(2) of Public Health Service Act (42 U.S.C. 254c-14(d)(2), as amended and P.L. 114-254. The Licensure Portability Grant Program (LPGP) is authorized by Section 330L of Public Health Service Act as amended, (42 USC 254c-18) and the Consolidated and Further Continuing Appropriations Act, 2015 Division G, 203, (P.L. 113-235). The Evidence-Based Tele-Emergency Network Grant Program (EB-TNGP) is authorized by: Section 711(b) of the Social Security Act (42 U.S.C.912), as amended. The Rural Child Poverty Telehealth Network Grant Program (RCP-TNGP), is authorized by Section 330I(d)(1) of the Public Health Service Act (42 USC 254c-14(d)(1)), as amended. The Substance Abuse Treatment Telehealth Network Grant Program (SAT-TNGP) is authorized by Sec. 330I(d)(1) of Public Health Service Act (42 U.S.C. 254c-14(d)(1), as amended and Public Law No. 115-31. The Telehealth Center of Excellence is authorized by Sec. 711(b)(5) of the Social Security Act (42 U.S.C. 912(b)(5)), as amended and Public Law No. 115-31.

Range of Approval/Disapproval Time

2 months.

Appeals

Not Applicable.

Renewals

Renewals have not been determined.

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula. Matching requirements are not applicable to this program. MOE requirements are not applicable to this program.

Length and Time Phasing of Assistance

Programs are competed every three to four years. Projects awarded under a competition must complete a non-competing continuation application every year to release funds for the following budget period. See the following for information on how assistance is awarded/released: N/A.

Post Assistance Requirements

Reports

No program reports are required.

No cash reports are required.

Six-month Progress Reports are required.

The awardee will be required to submit performance and progress reports as well as status-federal financial reports (see the program announcement and notice of award for details for each required report).

The awardee must submit a quarterly electronic Federal Financial Report (FFR) Cash Transaction Report via the Payment Management System within 30 days of the end of each calendar quarter.

A Federal Financial Report (SF-425) according to the following schedule: http://www.hrsa.gov/grants/manage/technicalassistance/federalfinancialreport/ffrschedule.pdf.

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

If applicable, the awardee 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 funding opportunity announcement are subject to the reporting requirements of the Federal Funding Accountability and Transparency Act (FFATA) of 2006 (Pub.

L.

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 (FFATA details are available online at http://www.hrsa.gov/grants/ffata.html).

Competing continuation awardees, etc.

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

No expenditure reports are required.

Performance monitoring is not applicable.

Audits

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. 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.

Records

Awardees are required to maintain grant accounting records 3 years after the date they submit the Federal Financial Review (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

75-0350-0-1-550.

Obigations

(Project Grants) FY 16 $6,286,264; FY 17 est $6,240,582; and FY 18 Estimate Not Available - TNGP program. (Project Grants) FY 16 $1,299,571; FY 17 est $1,299,552; and FY 18 Estimate Not Available - RCP-TNGP. (Project Grants) FY 16 $4,061,098; FY 17 est $3,900,000; and FY 18 Estimate Not Available - RTRC Program. (Project Grants) FY 16 $2,389,641; FY 17 est $2,092,283; and FY 18 Estimate Not Available - EB TNGP. (Project Grants) FY 16 $0; FY 17 est $1,250,000; and FY 18 Estimate Not Available - SAT-TNGP. (Project Grants) FY 16 $500,000; FY 17 est $500,000; and FY 18 Estimate Not Available - LPGP program. (Project Grants) FY 16 $676,850; FY 17 est $650,000; and FY 18 Estimate Not Available - NTRC program. (Project Grants) FY 16 $0; FY 17 est $850,000; and FY 18 est $850,000 - Telehealth Center of Excellence.

Range and Average of Financial Assistance

TNGP ?Awards range from approximately $283,815,000 to $300,000, with an average award of approximately $295,000. EB TNGP- FY17 awards range from $100,000 to $400,000 with an average award of $348,714. LPGP ? FY17 awards are estimated at $250,000 per grantee. NTRC and RTRC ?FY17 awards are estimated at $325,000 per grantee. RCP-TNGP ?- FY17 awards ranged from $324,552 to $325,000 with an average award of $324,888. SAT-TNGP ? FY17 awards are estimated at $250,000 per grantee. Telehealth Center of Excellence ? FY17 award is estimated at $850,000.

Regulations, Guidelines, and Literature

Telehealth programs are subject to the provisions of 45 CFR Part 92 for State, local and tribal governments and 45 CFR Part 74 for institutions of higher education, hospitals, other nonprofit organizations and commercial organizations, as applicable. HRSA awards are 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 http://www.hrsa.gov/grants.

Information Contacts

Regional or Local Office

See Regional Agency Offices. See Regional Agency Offices. Headquarters contacts: Carlos Mena, Program Coordinator (TNGP and SAT-TNGP), Telephone: (301) 443-3198; Anthony Oliver, Program Coordinator (LPGP), Telephone:(301) 443-2919; Monica Cowan , Program Coordinator (RCP-TNGP), Telephone:(301) 443-0076; Natassja Manzanero, Program Coordinator (NTRC and RTRC), Telephone: (301) 443-2077; Sarah Bryce, Program Coordinator (EB-TNGP and COE), Telephone (301) 443-5982.

Headquarters Office

Office for the Advancement of Telehealth, Office of Rural Health Policy 5600 Fishers Lane, Room 17W29-C, Rockville, Maryland 20857 Phone: (301) 443-0835

Criteria for Selecting Proposals

See the associated Notice of Funding Opportunity (NOFO) for program-specific criteria.



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