Grants to States to Support Oral Health Workforce Activities

Grants to States to Support Oral Health Workforce Activities assists states to develop and implement innovative programs to address the dental workforce needs of designated Dental Health Professional Shortage Areas.

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Examples of Funded Projects

Fiscal Year 2016: Some examples of funded projects through this program include: 1) increasing the capacity of the oral health workforce to provide comprehensive oral health services in Dental HPSAs through portable school-based restorative care programs; 2) strengthening the oral health surveillance system by addressing data gaps across the lifespan; 3) developing training programs for oral health providers practicing in advanced roles; 4) establishing a unique and collaborative academic and direct service program using school-linked dental facilities to provide access to high quality oral health services; and 5) improving oral health through leadership, collaboration and action at the state and local level, with an emphasis on connecting oral health professionals to rural/or underserved areas.

Fiscal Year 2017: No current data available.

Fiscal Year 2018: No current data available.

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

Relevant Nonprofit Program Categories

Selected Recipients for this Program

RecipientAmount Start DateEnd Date
Puerto Rico Department Of Health $ 720,096   2019-09-012023-08-31
Health And Human Resources, West Virginia Department Of $ 1,143,482   2015-09-012023-08-31
Health Services, Wisconsin Department Of $ 1,199,645   2016-09-012023-08-31
Health And Senior Services, Missouri Department Of $ 445,718   2018-09-012022-08-31
Health, New Jersey Department Of $ 1,093,302   2018-09-012022-08-31
Commonwealth Healthcare Corporation $ 1,200,000   2018-09-012022-08-31
Health, Florida Department Of $ 1,197,112   2018-09-012022-08-31
Medical University Of South Carolina The $ 1,123,398   2015-09-012022-08-31
College Of Micronesia-fsm $ 754,186   2018-09-012022-08-31
Texas A&m University System, The $ 1,195,558   2018-09-012022-08-31

Program Accomplishments

Fiscal Year 2016: ? Around 33 percent of SOHWP-supported students and dental residents reported coming from a rural background. ? Grantees used SOHWP funding to support three tele-dentistry facilities and deliver oral health education to 66,909 people. ? Grantees used SOHWP funding to provide dental sealants to 21,262 children; diagnostic or preventive dental services to 69,806 community residents. ? Grantees provided topical fluoride treatments to 76,756 children, and oral screenings for 115,783 patients. ? SOHWP funding supported the replacement of 14 water fluoridation systems to provide optimally fluoridated water to over 1,145,420 individuals. ? Approximately 86 percent of the dentists who received SOHWP loan repayment are practicing in dental HPSAs. Fiscal Year 2017: No current data available. Fiscal Year 2018: No current data available.

Uses and Use Restrictions

Funds must be used to develop and implement a workforce program(s) designed to support innovative oral health service delivery models that will increase access to high quality oral health services for underserved populations located in Dental Health Professional Shortage Areas (HPSAs) or in other areas specifically designated as having a dental health professional shortage by the State.

Programs must propose innovative oral health care delivery models to address a State?s oral health workforce needs.

State governments must define the State?s investment of resources to the project and any planned coordination of activities at the State level.

States must demonstrate commitment to their projects by providing a legislatively-mandated, 40 percent or greater, non-Federal match.

Allowable activities include: 1.

Dental recruitment and retention efforts; 2.

Grants and low/no-interest loans to help dentists who participate in the Medicaid program to enhance capacity; 3.

Establish or expand dental residency programs (in States without dental schools); 4.

Programs to establish or expand oral health services and facilities in Dental HPSAs; 5.

Placement and support of dental students/residents, and advanced dentistry trainees; 6.

Continuing dental education, including distance-based education; 7.

Practice support through tele-dentistry to improve access for underserved communities; 8.

Community-based prevention service programs for underserved populations; 9.

Coordination with local educational agencies to promote children going into oral health or science professions; 10.

Establishment of faculty recruitment programs at accredited dental training institutions; 11.Development of a State dental officer position or augmentation of a State dental office to coordinate oral health and access issues in the State; 12.Other activities as deemed appropriate by the Secretary: Programs designed to address opioid abuse or the co-morbidities of dental caries and childhood obesity.

Eligibility Requirements

Applicant Eligibility

Eligible applicants include Governor appointed, state government entities.

In addition to U.S.

states, eligible applicants include: District of Columbia, Guam, the Commonwealth of Puerto Rico, the Northern Mariana Islands, the U.S.

Virgin Islands, American Samoa, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau.

Each state is limited to only one application.

Applicants must have significant experience with addressing oral health workforce issues in underserved populations.

Federally Recognized Indian Tribal Government and Native American Organizations may apply if they are otherwise eligible.

Beneficiary Eligibility

Beneficiaries include Governor appointed, State government entities.


Applicants should review the individual HRSA Notice of Funding Opportunity (FOA) issued under this CFDA program for any required proof or certifications which must be submitted with an application package. 2 CFR 200, Subpart E - Cost Principles applies to this program.

Aplication and Award Process

Preapplication Coordination

Preapplication coordination is required.

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 are 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. Notification is made in writing by a Notice of Award.

Award Procedures

Award notifications are made in writing (electronic) by a Notice of Award.


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


Section 340 G of the Public Health Service Act (42 U.S.C. 256g).

Range of Approval/Disapproval Time

Approximately 120 to 180 days after receipt of applications.


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: Percent: 40%. An entity that receives a grant under this program must contribute non-federal funds to activities carried out under this grant to an amount equal to at least 40 percent of the federal funding in support of the project. Matching funds may be a combination of in-kind contributions, fairly valued, including plant, equipment, and services and may provide the contributions from state, local, or private sources. MOE requirements are not applicable to this program.

Length and Time Phasing of Assistance

This program provides support for project periods from three to four years with annual budget periods. Recipients draw down funds, as necessary, from the Payment Management System (PMS), the centralized web based payment system for HHS awards. 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.

Cash reports are not applicable.

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.

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 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



(Project Grants) FY 16 $14,014,185; FY 17 est $11,885,339; and FY 18 est $0

Range and Average of Financial Assistance

FY 15: Range: $423,000 to $500,000, average award: $451,000. FY 16 Range: $287,883 to $500,000, average award: $457,558 FY 17 (estimate) Range: $287,000 to $500,000, average award: $457,000.

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

Shane Rogers, Chief, Oral Health Training Branch, Division of Medicine and Dentistry, Bureau of Health Workforce 5600 Fishers Lane Room 15N-120, Rockville , Maryland 20857 Email: Phone: 301-443-5260 Fax: 301-443-1945

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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