Opportunity Information: Apply for HRSA 23 121
The Health Resources and Services Administration (HRSA), within the U.S. Department of Health and Human Services (HHS), announced a discretionary cooperative agreement opportunity (HRSA-23-121; CFDA 93.870) to fund a single national effort that strengthens the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) workforce and improves how home visiting programs deliver case management. MIECHV supports voluntary, evidence-based home visiting services for pregnant people and families with young children through kindergarten entry. This grant centers on creating and operating the Institute for Home Visiting Workforce Development (the Institute) and, within it, establishing and running the Jackie Walorski Center for Evidence-Based Case Management (the Center). The overarching intent is to improve service quality, invest in home visitor professional development and well-being, and reduce the high costs and operational disruption tied to frequent staff turnover and the repeated need to recruit and retrain new staff.
The Institute is designed to function as a national backbone for workforce development in home visiting, with an emphasis on expanding, supporting, and retaining a diverse, qualified workforce. The work begins with building a clear picture of the current workforce landscape, including supply and demand issues, trends affecting recruitment and retention, and the practical challenges programs face in maintaining staffing. To guide resource creation and technical assistance, the Institute is expected to conduct environmental scans when needed, pulling together existing research, tools, and lessons learned across the field rather than reinventing what already exists. A major feature of the Institute is maintaining an ongoing coalition of partners and experts that reflects the diversity of communities and stakeholders involved in home visiting; this coalition is meant to provide continuous feedback, broaden dissemination channels, and help ensure the Institute's products are relevant and usable across different settings.
A core deliverable is a comprehensive, online, searchable library that houses workforce-related resources, tools, and trainings so state, tribal, and local programs can easily find what they need. In addition to curating resources, the Institute is expected to develop and refine professional development tools, clarify or update core competencies for the home visiting workforce, and translate those competencies into competency-based professional development plans that programs can adopt and adapt. Another key expectation is hands-on technical assistance to MIECHV program leaders and staff, aimed at building local capacity to address workforce needs such as onboarding, supervision supports, staff well-being, career pathways, and strategies that improve retention. The Institute is also expected to inform and support efforts at the federal, state, tribal, and local levels to recruit and retain home visitors, meaning it is not just producing materials but actively helping systems use them in practice.
Embedded within the Institute, the Jackie Walorski Center for Evidence-Based Case Management focuses specifically on how home visiting programs help families connect to needed services, including medical, social, and educational supports. The Center's role is to identify, evaluate, and disseminate evidence-based case management best practices and practical strategies that fit the realities of home visiting. This includes identifying and assessing effective case management strategies used in home visiting, defining and evaluating the core components of strong case management practice, and then turning that evidence into professional development resources, tools, and trainings. The Center is also responsible for technical assistance through the development and dissemination of those resources and trainings, with the goal of improving state and local programs' capacity to implement high-quality case management consistently and effectively.
From an applicant and funding standpoint, this is a cooperative agreement, which typically means substantial federal involvement in shaping, monitoring, or collaborating on the work as it unfolds, rather than a hands-off grant. HRSA anticipated making one award, with an award ceiling of $4,500,000. Eligible applicants included certain nonprofit organizations (both 501(c)(3) and non-501(c)(3), excluding institutions of higher education in those nonprofit categories), private institutions of higher education, and Native American tribal organizations (other than federally recognized tribal governments), along with other entities as clarified in the full notice. The opportunity was originally posted May 15, 2023, with an original application deadline of July 14, 2023. In practical terms, the selected awardee would serve as a national hub that both strengthens the workforce pipeline and day-to-day sustainability of home visiting staff, while also raising the quality and consistency of case management so families can more reliably access services and supports that improve maternal and child health outcomes.Apply for HRSA 23 121
- The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Institute for Home Visiting Workforce Development and Jackie Walorski Center for Evidence-Based Case Management" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.870.
- This funding opportunity was created on May 15, 2023.
- Applicants must submit their applications by Jul 14, 2023. (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 $4,500,000.00 in funding.
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: 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, Private institutions of higher education, Others (see text field entitled Additional Information on Eligibility for clarification).
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Frequently Asked Questions (FAQs)
What is this funding opportunity?
This opportunity is a discretionary cooperative agreement from the Health Resources and Services Administration (HRSA) within the U.S. Department of Health and Human Services (HHS). It was announced as HRSA-23-121 (CFDA 93.870) and is designed to fund one national effort focused on strengthening the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) workforce and improving case management delivery in home visiting programs.
What is the main purpose of the award?
The main purpose is to create and operate the Institute for Home Visiting Workforce Development (the Institute) and, within it, establish and run the Jackie Walorski Center for Evidence-Based Case Management (the Center). The overall intent is to improve service quality, invest in home visitor professional development and well-being, and reduce costs and disruption linked to frequent staff turnover and repeated recruitment/retraining.
How many awards did HRSA anticipate making?
HRSA anticipated making one award.
What is the maximum funding amount (award ceiling)?
The award ceiling was $4,500,000.
What type of funding mechanism is this?
This is a cooperative agreement. That typically means substantial federal involvement in shaping, monitoring, or collaborating on the work during the project period, rather than a more hands-off grant.
Who is this work intended to support?
The work is intended to support MIECHV home visiting programs and the broader home visiting field by strengthening the workforce and improving how programs deliver case management. MIECHV supports voluntary, evidence-based home visiting services for pregnant people and families with young children through kindergarten entry.
What is the Institute for Home Visiting Workforce Development?
The Institute is intended to function as a national backbone for workforce development in home visiting, emphasizing expansion, support, and retention of a diverse and qualified workforce. It is expected to help programs address recruitment, retention, onboarding, supervision, staff well-being, career pathways, and other workforce sustainability needs.
What is the Jackie Walorski Center for Evidence-Based Case Management?
The Center is embedded within the Institute and focuses specifically on evidence-based case management in home visiting. Its purpose is to identify, evaluate, and disseminate best practices and practical strategies that help home visiting programs connect families to needed medical, social, and educational supports.
What workforce issues is the Institute expected to address?
The Institute is expected to build a clear picture of the current workforce landscape, including supply and demand issues, trends affecting recruitment and retention, and the practical challenges home visiting programs face in maintaining staffing.
What are "environmental scans" in the context of this opportunity?
Environmental scans are used to pull together existing research, tools, and lessons learned across the home visiting field. The Institute is expected to conduct these scans when needed so it can build on what already exists rather than reinventing resources.
Is partnership or stakeholder input part of the model?
Yes. A major feature is maintaining an ongoing coalition of partners and experts that reflects the diversity of communities and stakeholders involved in home visiting. This coalition is intended to provide continuous feedback, broaden dissemination channels, and help ensure resources are relevant and usable across different settings.
What is the purpose of the online resource library?
A core deliverable is a comprehensive, online, searchable library of workforce-related resources, tools, and trainings. The intent is to make it easier for state, tribal, and local programs to find and use practical workforce development materials.
What kinds of resources is the Institute expected to develop or refine?
In addition to curating existing resources, the Institute is expected to develop and refine professional development tools, clarify or update core competencies for the home visiting workforce, and translate competencies into competency-based professional development plans that programs can adopt and adapt.
What does "competency-based professional development plans" mean here?
It refers to professional development plans that are tied directly to defined core competencies for the home visiting workforce, helping programs structure training and growth around specific skills and expectations.
Will the awardee provide technical assistance (TA)?
Yes. The Institute is expected to provide hands-on technical assistance to MIECHV program leaders and staff to build local capacity to address workforce needs (for example: onboarding, supervision supports, staff well-being, career pathways, and retention strategies).
Is the Institute expected to support recruitment and retention efforts beyond individual programs?
Yes. The Institute is expected to inform and support recruitment and retention efforts at federal, state, tribal, and local levels. The expectation is not only to produce materials, but to help systems use them in practice.
What case management topics will the Center focus on?
The Center focuses on how home visiting programs help families connect to needed services and supports, including medical, social, and educational services. It is expected to identify and assess effective case management strategies, define and evaluate core components of strong case management, and translate evidence into practical tools and trainings.
What are the Center's main deliverables?
The Center is responsible for identifying, evaluating, and disseminating evidence-based case management best practices; defining and evaluating core components of strong case management practice; and turning that evidence into professional development resources, tools, and trainings. It also provides technical assistance through development and dissemination of those materials.
How does this opportunity address staff turnover?
The grant is intended to reduce the high costs and operational disruption associated with frequent staff turnover and the repeated need to recruit and retrain new staff, largely by strengthening professional development, well-being supports, and retention strategies across the home visiting workforce.
Who was eligible to apply?
Eligible applicants included certain nonprofit organizations (both 501(c)(3) and non-501(c)(3), excluding institutions of higher education within those nonprofit categories), private institutions of higher education, and Native American tribal organizations (other than federally recognized tribal governments), along with other entities as clarified in the full notice.
When was the opportunity posted and when was the application due?
The opportunity was originally posted on May 15, 2023. The original application deadline was July 14, 2023.
What does it mean that MIECHV home visiting is "voluntary" and "evidence-based"?
Based on the opportunity description, MIECHV supports voluntary participation in home visiting services and emphasizes the use of evidence-based approaches, serving pregnant people and families with young children through kindergarten entry.
What is the practical role of the selected awardee?
The selected awardee would serve as a national hub that strengthens the workforce pipeline and day-to-day sustainability of home visiting staff, while also raising the quality and consistency of case management so families can more reliably access services and supports that improve maternal and child health outcomes.
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| Rural Maternity and Obstetrics Management Strategies Program Apply for HRSA 23 049 Funding Number: HRSA 23 049 Agency: Department of Health and Human Services, Health Resources and Services Administration Category: Health Funding Amount: $1,000,000 |
| Healthy Families Community-Based Perinatal Health Initiative Apply for MP CPI 23 004 Funding Number: MP CPI 23 004 Agency: Department of Health and Human Services, Office of the Assistant Secretary for Health Category: Health Funding Amount: $1,250,000 |
| Support for 988 Tribal Response Cooperative Agreements Apply for FG 23 005 Funding Number: FG 23 005 Agency: Department of Health and Human Services, Substance Abuse and Mental Health Services Adminis Category: Health Funding Amount: $2,000,000 |
| Tamkeen (an Arabic word meaning Empowerment) Apply for 72066823RFA00001 Funding Number: 72066823RFA00001 Agency: Agency for International Development, South Sudan (USAID)-Juba Category: Health Funding Amount: $15,000,000 |
| Healthy Start Initiative – Enhanced Apply for HRSA 23 130 Funding Number: HRSA 23 130 Agency: Department of Health and Human Services, Health Resources and Services Administration Category: Health Funding Amount: Case Dependent |
| USAID Combating HIV/AIDS Through Local Partnership Activity (CHALPA)-Kinshasa Apply for 72066023RFA00002 Funding Number: 72066023RFA00002 Agency: Agency for International Development, Democratic Republic of the Congo USAID-Kinshasa Category: Health Funding Amount: $14,900,000 |
| Family Counseling and Support for Lesbian, Gay, Bisexual, Transgender, Queer/Questioning, Intersex+ Youth and their Families Apply for FG 23 004 Funding Number: FG 23 004 Agency: Department of Health and Human Services, Substance Abuse and Mental Health Services Adminis Category: Health Funding Amount: $425,000 |
| USAID Controlling HIV/AIDS Epidemic among Key and Vulnerable Populations (CHEK) through Local Partnership Apply for 72066023RFA00004 Funding Number: 72066023RFA00004 Agency: Agency for International Development, Democratic Republic of the Congo USAID-Kinshasa Category: Health Funding Amount: $4,250,000 |
| USAID Combating HIV/AIDS Through Local Partnership Activity (CHALPA)-Lualaba Apply for 72066023RFA00003 Funding Number: 72066023RFA00003 Agency: Agency for International Development, Democratic Republic of the Congo USAID-Kinshasa Category: Health Funding Amount: $13,500,000 |
| Nurse Education, Practice, Quality and Retention (NEPQR) Simulation Education Training (SET) Program Apply for HRSA 23 129 Funding Number: HRSA 23 129 Agency: Department of Health and Human Services, Health Resources and Services Administration Category: Health Funding Amount: $500,000 |
| Ana ndi Achinyamata Patsogolo (Children and Youth First) Project Apply for 72061223RFA00002 Funding Number: 72061223RFA00002 Agency: Agency for International Development, Malawi USAID-Lilongwe Category: Health Funding Amount: $60,000,000 |
| Service Area Competition Apply for HRSA 24 067 Funding Number: HRSA 24 067 Agency: Department of Health and Human Services, Health Resources and Services Administration Category: Health Funding Amount: Case Dependent |
| Kuteteza (Prevention) Health Project Apply for 72061223RFA00003 Funding Number: 72061223RFA00003 Agency: Agency for International Development, Malawi USAID-Lilongwe Category: Health Funding Amount: $45,000,000 |
| Kuthekera (We can) Project Apply for 72061223RFA00004 Funding Number: 72061223RFA00004 Agency: Agency for International Development, Malawi USAID-Lilongwe Category: Health Funding Amount: $18,250,000 |
| Children, Adolescents, and Families in the HIV Epidemic in the Free State Province Apply for 72067423RFA00013 Funding Number: 72067423RFA00013 Agency: Agency for International Development, South Africa USAID-Pretoria Category: Health Funding Amount: $15,000,000 |
| Primary Care Training and Enhancement-Language and Disability Access (PCTE-LDA) Apply for HRSA 23 123 Funding Number: HRSA 23 123 Agency: Department of Health and Human Services, Health Resources and Services Administration Category: Health Funding Amount: $600,000 |
| Providing Family Planning Services Apply for 72061323RFA00006 Funding Number: 72061323RFA00006 Agency: Agency for International Development, Zimbabwe USAID-Harare Category: Health Funding Amount: $9,000,000 |
| Supporting Communities to Reduce Lead Poisoning Apply for CDC RFA EH 23 0005 Funding Number: CDC RFA EH 23 0005 Agency: Department of Health and Human Services, Centers for Disease Control - NCEH Category: Health Funding Amount: $200,000 |
| Children’s Hospitals Graduate Medical Education (CHGME) Payment Program Apply for HRSA 24 020 Funding Number: HRSA 24 020 Agency: Department of Health and Human Services, Health Resources and Services Administration Category: Health Funding Amount: Case Dependent |
| Center for Indigenous Innovation and Health Equity Apply for MP CPI 23 002 Funding Number: MP CPI 23 002 Agency: Department of Health and Human Services, Office of the Assistant Secretary for Health Category: Health Funding Amount: $2,250,000 |
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