Opportunity Information: Apply for HHS 2023 IHS TPI 0001

The Community Health Aide Program: Tribal Planning and Implementation (TPI) grant is a discretionary funding opportunity from the U.S. Department of Health and Human Services, Indian Health Service (IHS), created to help Tribes and Tribal Organizations in the contiguous 48 states plan for and begin implementing a Community Health Aide Program (CHAP), or strengthen an existing and expanding CHAP. The overall aim is to help Tribal communities build a CHAP model that fits their local realities rather than forcing a one-size-fits-all approach. In practice, this means funding is meant to support early-stage planning, feasibility work, and concrete implementation steps that set a Tribe or Tribal Organization up for long-term operation of a health aide workforce within its health system.

The program centers on identifying the key factors needed for CHAP feasibility and success, with an emphasis on regional flexibility and community-specific design. Applicants are expected to use the funding to build the clinical, operational, training, and technology foundations that allow health aides to deliver services safely and effectively. A major priority is developing strong clinical supervisor support across primary care, behavioral health, and dental health, including both direct and indirect supervision arrangements for prospective health aides. Another core focus is assessing and documenting the specific health needs in the service area that health aides are well-positioned to address, so the CHAP workforce aligns with real patient and community priorities.

The opportunity also emphasizes practical infrastructure planning. This includes creating a technology plan that supports a mobile, field-based workforce, anticipating the tools health aides will need to succeed while providing services (for example, connectivity, devices, documentation workflows, and other enabling systems). In addition, awardees are expected to develop a training plan that leverages partners across the applicant’s geographic region to expand training options for prospective health aides, including continuing education and opportunities for supervised clinical practice. The planning work is also expected to cover best practices for integrating CHAP staff into an existing Tribal health system, so that roles, referral pathways, and team-based care workflows are clear and sustainable rather than ad hoc.

A distinctive element of the TPI program is the explicit focus on social determinants of health as they relate to workforce recruitment and retention. Applicants are encouraged to identify barriers that can affect hiring and keeping health aides, such as transportation, housing, childcare, local labor market constraints, and other community conditions, and to incorporate strategies that address these issues as part of implementation planning. Finally, the program requires applicants to identify the total cost of full CHAP implementation within the existing Tribal health system, which supports realistic budgeting and long-term sustainability planning beyond the initial grant period.

From an administrative standpoint, the funding opportunity is listed as HHS-2023-IHS-TPI-0001 and falls under CFDA 93.382 (Health). Eligible applicants are federally recognized Native American tribal governments and Native American tribal organizations (including those other than federally recognized tribal governments). IHS anticipated making about four awards, with an award ceiling of up to $1,000,000 per award. The opportunity was posted on May 3, 2023, with an original application closing date of August 1, 2023.

  • The Department of Health and Human Services, Indian Health Service in the health sector is offering a public funding opportunity titled "Community Health Aide Program: Tribal Planning & Implementation" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.382.
  • This funding opportunity was created on May 03, 2023.
  • Applicants must submit their applications by Aug 01, 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 $1,000,000.00 in funding.
  • The number of recipients for this funding is limited to 4 candidate(s).
  • Eligible applicants include: Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments).
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