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.

  • 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).
Apply for HRSA 23 121

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