Opportunity Information: Apply for HRSA 20 047
The Early Hearing Detection and Intervention (EHDI) Program grant opportunity (Funding Opportunity Number HRSA-20-047) is a discretionary grant offered by the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), under CFDA 93.251. Its central aim is to strengthen and sustain coordinated, statewide or territory-wide systems of care that make sure newborns, infants, and young children up to age 3 who are deaf or hard of hearing (DHH) are identified early and connected to the right services without unnecessary delays. The program is built around the idea that good outcomes depend on an organized system that links families, clinical providers, early intervention programs, and public health infrastructure so children do not get lost between screening, diagnosis, and enrollment into early intervention.
At the core of the funding purpose is supporting a comprehensive EHDI "system of care," meaning a structured network of families, consumers, providers, services, and programs working together across a state or territory. The grant emphasizes coordination and continuity across the full pathway: hearing screening, diagnostic follow-up, and early intervention (EI). In this notice, "children" explicitly includes all newborns, infants, and young children through age 3, and "DHH" is used broadly to include the full range of hearing levels (mild through profound), whether hearing loss is in one ear or both, and including children who may also have other disabilities or health conditions. The notice also clarifies that "hearing screening" is not limited to a single test at birth; it is used here to describe the overall process that begins with initial screening and continues through diagnosis and enrollment into EI services.
The opportunity is structured as a grant with an award ceiling of $235,000 and an anticipated total of 59 awards, reflecting an intent to fund a wide set of jurisdictions and organizations that can contribute to EHDI system capacity. Eligible applicants are broad and include independent school districts; public and state-controlled institutions of higher education; private institutions of higher education; federally recognized tribal governments and other tribal organizations; public housing authorities/Indian housing authorities; nonprofit organizations with or without 501(c)(3) status (as long as they are not institutions of higher education in that category); for-profit organizations other than small businesses; and small businesses, as well as other applicants as described in the opportunity's additional eligibility guidance. This wide eligibility signals that HRSA expects applicants from different parts of the health, education, and community service landscape to play a role in strengthening early identification and service coordination.
From a practical standpoint, this funding opportunity is designed to improve how quickly and reliably children move through the early hearing care continuum. The emphasis on timeliness and appropriateness of services reflects common EHDI goals: ensuring hearing concerns are detected as early as possible, diagnostic evaluations are completed promptly, and families receive clear pathways into early intervention supports. While the notice text here does not list specific performance metrics, the framing strongly points to reducing gaps in follow-up, strengthening referral and data-sharing workflows, supporting family-centered navigation, and improving collaboration among birthing facilities, audiology providers, pediatric care, and EI programs so that services are not fragmented.
Key administrative details included in the source information indicate the posting timeline for the opportunity: it was created July 10, 2019, with an original closing date of November 8, 2019. In short, this grant opportunity centers on building or reinforcing statewide and territory-wide capacity to identify hearing loss early and connect families to coordinated diagnostic and early intervention services during the most developmentally critical early years, with funding intended to support systems-level coordination rather than isolated, stand-alone services.Apply for HRSA 20 047
- The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Early Hearing Detection and Intervention Program" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.251.
- This funding opportunity was created on Jul 10, 2019.
- Applicants must submit their applications by Nov 08, 2019. (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 $235,000.00 in funding.
- The number of recipients for this funding is limited to 59 candidate(s).
- Eligible applicants include: Independent school districts, Public and State controlled institutions of higher education, Native American tribal governments (Federally recognized), Public housing authorities/Indian housing authorities, 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, For profit organizations other than small businesses, Small businesses, Others (see text field entitled Additional Information on Eligibility for clarification).
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Early Hearing Detection and Intervention (EHDI) Program (HRSA-20-047) FAQs
1) What is the EHDI Program grant opportunity (HRSA-20-047)?
The Early Hearing Detection and Intervention (EHDI) Program (Funding Opportunity Number HRSA-20-047) is a discretionary grant offered by the U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA), under CFDA 93.251. It focuses on strengthening and sustaining coordinated statewide or territory-wide systems that identify children who are deaf or hard of hearing (DHH) early and connect them to appropriate services without unnecessary delays.
2) What is the main purpose of this funding?
The central aim is to support a comprehensive EHDI "system of care" that keeps children from being lost between hearing screening, diagnostic follow-up, and enrollment in early intervention (EI). The intent is systems-level coordination and continuity across the full pathway rather than isolated, stand-alone services.
3) Who is the target population served by activities supported under this grant?
The opportunity is focused on newborns, infants, and young children through age 3 who are deaf or hard of hearing (DHH), with an emphasis on early identification and timely connection to diagnostic and early intervention services.
4) How does the notice define "children" for this program?
In this notice, "children" explicitly includes all newborns, infants, and young children up to age 3.
5) How does the notice define "deaf or hard of hearing (DHH)"?
"DHH" is used broadly to include the full range of hearing levels (mild through profound), whether hearing loss is unilateral (one ear) or bilateral (both ears). It also includes children who may have other disabilities or health conditions in addition to hearing loss.
6) What does HRSA mean by an EHDI "system of care"?
A comprehensive EHDI system of care is described as a structured network of families, consumers, providers, services, and programs working together across a state or territory. The focus is on coordinated, linked care so families can move smoothly from screening to diagnosis to early intervention enrollment.
7) Which parts of the early hearing care continuum does the grant emphasize?
The grant emphasizes coordination and continuity across the full pathway: hearing screening, diagnostic follow-up (including diagnostic evaluation), and early intervention (EI).
8) Does "hearing screening" only refer to a single test at birth?
No. The notice clarifies that "hearing screening" is not limited to a one-time test at birth. In this opportunity, it refers to an overall process that begins with initial screening and continues through diagnosis and enrollment into EI services.
9) What outcomes is this grant trying to improve?
Based on the description provided, the funding is designed to improve how quickly and reliably children move through the early hearing care continuum, supporting early detection of hearing concerns, prompt diagnostic evaluation, and clear pathways for families into early intervention supports.
10) What kinds of system improvements does this opportunity suggest (even if not listed as formal metrics)?
While specific performance metrics are not listed in the information provided, the framing points toward reducing gaps in follow-up, strengthening referral and data-sharing workflows, supporting family-centered navigation, and improving collaboration among birthing facilities, audiology providers, pediatric care, and EI programs to reduce fragmentation.
11) Is the grant focused more on direct services or on systems-level coordination?
The description emphasizes systems-level coordination to build or reinforce statewide and territory-wide capacity and continuity across screening, diagnosis, and EI enrollment, rather than supporting isolated, stand-alone services.
12) Who can apply for this grant?
Eligible applicants are broad and include:
- Independent school districts
- Public and state-controlled institutions of higher education
- Private institutions of higher education
- Federally recognized tribal governments and other tribal organizations
- Public housing authorities/Indian housing authorities
- Nonprofit organizations with or without 501(c)(3) status (as long as they are not institutions of higher education in that nonprofit category)
- For-profit organizations other than small businesses
- Small businesses
- Other applicants as described in the opportunity's additional eligibility guidance
13) Why does the eligibility list include organizations from education, health, and community sectors?
The broad eligibility signals that HRSA expects applicants from different parts of the health, education, and community service landscape to contribute to strengthening early identification and service coordination within EHDI systems.
14) What is the award ceiling for this funding opportunity?
The award ceiling listed in the information provided is $235,000.
15) How many awards were anticipated?
The opportunity anticipated a total of 59 awards.
16) What does the number of anticipated awards suggest about HRSA's approach?
The anticipated 59 awards, combined with a defined ceiling, reflects an intent to fund a wide set of jurisdictions and organizations that can contribute to EHDI system capacity across states and territories.
17) What federal agency is offering this grant?
The grant is offered by the U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA).
18) What is the CFDA number associated with this opportunity?
The CFDA number provided is 93.251.
19) What are the key dates mentioned for this opportunity?
The opportunity was created on July 10, 2019, and had an original closing date of November 8, 2019.
20) Is this opportunity aimed at statewide/territory-wide work or smaller local projects?
The description repeatedly emphasizes strengthening and sustaining coordinated statewide or territory-wide systems of care, indicating the primary focus is broad, system-level capacity across an entire state or territory.
21) What does "coordinated" care mean in the context of EHDI?
In the context provided, coordinated care means families, clinical providers, early intervention programs, and public health infrastructure are linked so children move through screening, diagnosis, and EI enrollment without avoidable delays or drop-offs.
22) Does the notice indicate that children with additional disabilities are included?
Yes. The description states that DHH includes children who may also have other disabilities or health conditions.
23) Does the notice specify exact performance measures or benchmarks?
No. The information provided states that specific performance metrics are not listed in the notice text included here.
24) What is the core problem this grant is trying to address?
The grant is designed to address gaps and delays that can occur when children move from screening to diagnosis to early intervention. It is built around preventing children from getting "lost" between steps by improving system linkages, coordination, and continuity.
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