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Evidence Based Telehealth Network Program

  • Program Name:Evidence-Based Tele-Behavioral Health Network Program
  • Activity Code:G01
  • Application Available:1/12/2021
  • Application Deadline:4/2/2021
  • Created By:Schwab, Dawn
  • Created On:2/6/2020
  • Last Updated by:Wildberger, William
  • Last Updated On:1/12/2021
  • Estimated Project Start Date:9/1/2021
 
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 Details of the changes posted in this announcement

Not Available
 
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 Announcement Information

Announcement Number HRSA-21-082
Announcement Code
CFDA Number 93.211
Provisional No
Activity Code G01
Competitive Yes
Fiscal Year 2021
 
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 Purpose

This notice announces the opportunity to apply for funding under the Evidence Based Telehealth Network Program (EB THNP). The two-fold purpose of this award is (1) to demonstrate how health networks can increase access to health care services utilizing telehealth technologies and (2) to conduct evaluations of those efforts to establish an evidence base for assessing the effectiveness of telehealth care for patients, providers, and payers. The implementation of telehealth technology is rapidly expanding into health systems.1 HRSA defines telehealth as the use of electronic information and telecommunication technologies to support and promote long-distance clinical health care, patient and professional health-related education, public health and health administration. Telehealth modalities that support clinical treatment may include video conferencing, the internet, store-and-forward imaging, streaming media, and terrestrial and wireless communications. Rising evidence supports that many health conditions can be addressed with a virtual in home visit from a doctor to his or her patient.2 In 2015, the American College of Physicians declared their position and support for Direct-to-Consumer (DTC) considering the patient has an established relationship with the providers, and the care meets in person standards of quality.3 For this NOFO, applicants must propose to provide DTC telehealth services to patients within established telehealth networks. This can be accomplished, in part, by identifying and partnering with local established health care facilities (especially primary care facilities) within the target service area, elevating the trusted patient-provider relationship, access, and quality of care directly to the patient via telehealth. Also, this service will allow for the expansion of access to care in Medically Underserved Areas (MUA) and primary care or mental health defined Health Professional Shortage areas (HPSA). The EB THNP program presents the opportunity for network sites that are currently or have previously utilized telehealth as defined above to efficiently and effectively pilot and/or expand DTC telehealth care. Applicants for this EB THNP Program must utilize synchronous (real-time virtual visits) audio-visual technology and may include remote patient monitoring (RPM) to provide DTC telehealth care to patients (see Appendix). This EB THNP program will expand access to health services in three clinical primary focus areas: (1) Primary Care, (2) Acute Care, and (3) Behavioral Health Care (see Appendix). In addition, applicants have the option to address one of the following secondary focus areas: Maternal Care, Substance Use Disorder, or Chronic Care Management. Changes to reimbursement policies related to in-home telehealth services and RPM in recent years, particularly in the Medicare program, have laid the framework to enable providers to feasibly integrate these technologies into their practices. For example, even prior to COVID-19, Medicare began to allow beneficiaries to receive telehealth services at home for a limited set of services/conditions including home dialysis and the treatment of a substance use disorder or a co-occurring mental health disorder.4 Home health is also an example of how the Medicare program has expanded the ability of home health agencies (HHAs) to use RPM technologies to augment the health care of the patients they serve. Recently, Medicare explicitly allowed HHAs to provide RPM services to their patients to help foster the adoption of emerging technologies by HHAs and result in more effective care planning.5,6 Such approaches, to the extent that they strengthen rather than supplant existing patterns and systems of care, reinforce the objectives of this funding opportunity. Namely, a key objective of this program is to demonstrate how providers can use DTC telehealth services in a way that enhances the existing health care infrastructure, as opposed to incentivizing care delivery that circumvents and disadvantages providers in local communities, including rural areas. Applicants are encouraged to include populations that have historically suffered from poorer health outcomes, health disparities, and other inequities, as compared to the rest of the rural population, when addressing health care needs via telehealth. Examples of these populations include, but are not limited to, racial and ethnic minorities, person/persons experiencing homelessness, pregnant women, disabled individuals, youth and adolescents, etc.
 
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 Legislative Information

42 U.S.C. § 254c -14 (§ 330I of the Public Health Service Act)
 
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 Application Information

Application Available 01/12/2021
Application Deadline 04/02/2021
Supplemental Application Deadline N/A
Explanation for Deadline N/A
Archive Date 06/01/2021
Letter of Intent Not required
Application Package SF424
Allow Applications to be Reopened in EHBs No
FOA Available Yes
Competitive Application Types Supported New
Allow Electronic Submission N/A
Page Limit for Application
Attachments
80
Allow Multiple Applications
from an Organization from Grants.gov
No
Electronic Submission Instruction Electronic submission is/will be available in Grants.Gov
 
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 General Information

Projected Award Date N/A
Estimated Project Period N/A
Estimated Project Start Date 09/01/2021
Estimated Project End Date 08/31/2026
Estimated Amount of this Competition $4,900,000.00
Estimated Number of Awards 14
Estimated Average Size of Awards $0.00
Cost Sharing No
Cooperative Agreement No
 
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 Contact Information

Name Whitney Wiggins
Email WWiggins@hrsa.gov
Phone Number (301)443-4966
 
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 Download Information

Expand FOA (Guidance) Attachment (Maximum 1)
Document Name Size Date Attached Description
FINAL_FORHP HRSA-21-082 (G01) EB-TNGP.pdf 605 kB 01/12/2021
Expand Application Package (Maximum 1)
No documents attached
Expand User Guide (Maximum 1)
No documents attached


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