Health Information Technology Regional Extension Centers Program

Establish Health Information Technology Regional Extension Centers to identify and disseminate best practices and provide technical assistance supporting the adoption and meaningful use of health IT to improve care quality while protecting patient privacy.

The statutory objective of the regional
centers is to enhance and promote the adoption of health information technology through means specified in PHSA 3012(c)(3).

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.

Program Accomplishments

Not Applicable.

Uses and Use Restrictions

Funds may be used for the initial and operating expenses incurred in establishing and operating a regional center that provides technical assistance services to providers seeking to adopt, implement, and/or meaningfully use certified electronic health records (EHR) technology.

The assistance supported under this health information technology extension program, and carried out by regional centers, is technical assistance and consulting service to providers.

None of the funds appropriated or otherwise made available in ARRA may be used by a state or local government, or any private entity, for any casino or other gambling establishment, aquarium, zoo, golf course, or swimming pool.

(ARRA Sec.


Eligibility Requirements

Applicant Eligibility


Beneficiary Eligibility



No Credentials or documentation are required. This program is excluded from coverage under 2 CFR 200, Subpart E - Cost Principles.

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. Applications are solicited by a program announcement. The availability of this announcement will be broadly published, including by posting on

Award Procedures

Following merit review of applications, those applicants whose applications have been selected by the Secretary of HHS (or designee) for funding will receive a Notice of Award signed by an HHS Grants Management Officer. The Notice of Award, which is sent to the applicant?s Authorized Organizational Representative, is the only official notification of award. Unsuccessful applicants will be advised by letter.


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


Section 3012(c) of the Public Health Service Act (PHSA), as added by Section 13301 within Title XIII in Division A of the American Recovery and Reinvestment Act of 2009, Public Law 111-5 (ARRA).

Range of Approval/Disapproval Time

From 60 to 90 days.


Not Applicable.


Not Applicable.

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula. Matching Requirements: PHSA 3012(c)(5) states that the Secretary may not provide more than 50 percent of the capital and annual operating and maintenance funds required to create and maintain such a center, except in an instance of national economic conditions which would render this cost-share requirement detrimental to the program and upon notification to Congress as to the justification to waive the cost-share requirements. The Secretary has determined that there are national economic conditions which would render the 50 percent cost share requirement to be detrimental to the program and has provided such notification to Congress. Instead, the Secretary has structured a funding partnership between HHS and recipients, as indicated in the Program Announcement. This program does not have MOE requirements.

Length and Time Phasing of Assistance

PHSA 3012(c)(5), as added by ARRA, specifies that the Secretary may provide financial support to any regional center created under PHSA 3012(c) for a period not to exceed 4 years. Awards are expected to be for one, 4-year budget period and a four year project period, with a 90/10 matching requirement across all 4 years. See the following for information on how assistance is awarded/released. Subject to meeting performance requirements. See the following for information on how assistance is awarded/released: Subject to meeting performance requirements:.

Post Assistance Requirements


Program report requirements, if applicable, will be identified in the Program Announcement.

The Federal Cash Transaction Report is due after the end of each quarter (January 30, April 30, July 30, and October 30).

Recipients of Federal awards from funds authorized under Division A of the ARRA must comply with all requirements specified in Division A of the ARRA (Public Law 111-5), including reporting requirements outlined in Section 1512 of the Act.

ARRA reports will be required quarterly.

For purposes of reporting, ARRA recipients must also report on ARRA sub-recipient (sub-grantees and sub-contractors under the cooperative agreement) activities.

Reporting requirements will be detailed in the program announcement and included in award notices.

The frequency of interim progress reports and financial status reports will be identified in the program announcement and will be submitted no later than 30 days following the end of the reporting period to which they pertain.

The Federal Financial Report (FFR-425) is due within 90 days after the end of the applicable 12-month period (January 30).

ARRA reporting and agency programmatic reporting provisions will require awardees to evaluate performance in view of stated objectives.


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 records for a minimum of 3 years from the submission date of the final financial report. If any litigation, claim, negotiation, audit or other action involving the record has been started before the expiration of the 3-year period, the records shall be retained until the 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 (Discretionary Grants)) FY 16 Not Separately Identifiable; FY 17 est $0; and FY 18 est $0

Range and Average of Financial Assistance

Awards for regional centers are expected to average $8.5M.

Regulations, Guidelines, and Literature

This program is subject to the provisions of 2 CFR 200, 45 CFR Part 75 and the HHS Grants Policy Statement located at: There are no program regulations.

Information Contacts

Regional or Local Office


Headquarters Office

Office of the National Coordinator for Health Information Technology 330 C Street, SW Suite 1100, Washington, District of Columbia 20201 Email: Phone: 202-690-7151

Criteria for Selecting Proposals

Specific, detailed criteria for determining merit of applications will be made available in the program announcement(s) for this program. In general, all applicants are required to demonstrate capability to achieve the goals, purposes, and objectives of the program consistent with applicable statutory provisions.

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