Opportunity Information: Apply for HRSA 22 121
The American Rescue Plan Act Pediatric Mental Health Care Access (PMHCA) New Area Expansion opportunity (HRSA-22-121) is a discretionary cooperative agreement run by the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), under CFDA 93.110. Its core goal is to help pediatric primary care settings handle childrens and adolescents behavioral health needs more effectively by building or expanding statewide or regional telehealth-based support systems. Rather than funding direct patient treatment as the main focus, the program is designed to strengthen the day-to-day ability of pediatric primary care providers to identify concerns early, make evidence-informed treatment decisions, and connect patients to appropriate specialty care and community resources when needed.
The program centers on creating or expanding networks of pediatric mental health care teams that function as a consultative backbone for front-line primary care. These teams are expected to provide rapid tele-consultation to pediatric primary care providers (PCPs) and their practices, along with training, technical assistance, and care coordination support. The intent is to integrate behavioral health into routine pediatric primary care workflows, so that common conditions can be addressed sooner and more consistently, and more complex cases can be referred with better guidance and follow-through. HRSA defines telehealth broadly here as the use of electronic information and telecommunication technologies to support long-distance clinical consultation, education, public health, and health administration. Acceptable modalities include real-time video, phone-based consultation, store-and-forward approaches (such as sharing clinical information or imaging for later review), and mobile health applications, as long as they support provider-to-provider consultation and related assistance.
A major emphasis of the PMHCA New Area Expansion program is health equity. Applicants are expected to show how their approach will reduce racial, ethnic, and geographic disparities in access to pediatric mental health expertise, with particular attention to rural and other underserved communities. The idea is that many communities do not have enough child and adolescent psychiatrists, developmental-behavioral pediatricians, or licensed mental health professionals, and that primary care clinicians often need immediate, practical guidance. By strengthening statewide or regional consultative capacity and making it reachable through telehealth, the program aims to close gaps where children might otherwise wait months for specialty input or receive no specialty input at all.
Funded projects are expected to deliver a fairly specific set of functions. These include: supporting a new or expanded statewide or regional network of pediatric mental health care teams that work as an integrated support resource for pediatric primary care sites; further developing organized networks that provide consultative support; assessing the most critical behavioral health consultation needs among pediatric providers and understanding the providers preferred ways of receiving consultation, training, and technical assistance; building or enhancing an online database and communication mechanism (including telehealth tools) to make consultation easier to request and deliver; providing rapid clinical consultations by phone or telehealth when primary care providers request them; delivering training and technical assistance that improve early identification, diagnosis, treatment, and referral practices for behavioral health conditions; helping primary care practices access pediatric mental health specialists and licensed clinicians and supporting scheduling and coordination of assistance; helping with referrals to specialty care and to community and behavioral health resources; and setting up measurement and monitoring systems that track whether access to pediatric mental health support is increasing and whether primary care capacity to identify, treat, and refer is expanding over time.
The primary audience served by these networks is pediatric primary care providers who care for children and adolescents, including pediatricians, family physicians, nurse practitioners, physician assistants, and case coordinators. HRSA also encourages programs to broaden their reach to other clinicians who frequently encounter pediatric behavioral health needs or related complexities, such as developmental-behavioral pediatricians and other physician specialists (for example, obstetrician-gynecologists, endocrinologists, and gastroenterologists), as well as pharmacists, occupational therapists, behavioral health clinicians, and social workers. This reflects the reality that childrens mental health needs often show up across multiple points of care, not only in traditional pediatric offices.
Eligibility is geared toward public and tribal entities, including state governments, federally recognized tribal governments, and tribal organizations, with additional eligible applicants described in the full funding notice. The FY 2022 competition was positioned as a continuation and expansion of earlier ARP-PMHCA work: HRSA released a prior New Area Expansion notice in FY 2021 and made 24 awards, and this FY 2022 opportunity aimed to support up to 10 additional awards to keep extending coverage toward all 50 states. The posting lists an expected 10 awards, with an original application closing date of April 5, 2022, and a creation date of January 5, 2022. The award ceiling is shown as 0 in the source data, which typically indicates applicants need to rely on the official notice for the specific funding amounts and any limits or budgeting rules.
Overall, this opportunity is best understood as infrastructure-building for pediatric mental health support within primary care: it funds the people, systems, workflows, and telehealth connections that let primary care teams quickly consult with pediatric mental health experts, get targeted training, coordinate referrals, and measure whether these supports are actually improving access and capacity, especially in communities that have historically been left behind.Apply for HRSA 22 121
- The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "American Rescue Plan Act – Pediatric Mental Health Care Access – New Area Expansion" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.110.
- This funding opportunity was created on Jan 05, 2022.
- Applicants must submit their applications by Apr 05, 2022. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The number of recipients for this funding is limited to 10 candidate(s).
- Eligible applicants include: State governments, Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments), Others (see text field entitled Additional Information on Eligibility for clarification).
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Frequently Asked Questions (FAQs)
What is the American Rescue Plan Act Pediatric Mental Health Care Access (PMHCA) New Area Expansion opportunity (HRSA-22-121)?
It is a discretionary cooperative agreement run by the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA). The opportunity is tied to CFDA 93.110 and focuses on expanding access to pediatric mental health expertise by building or expanding statewide or regional telehealth-based support systems for pediatric primary care.
What is the main purpose of this funding opportunity?
The core goal is to strengthen the day-to-day ability of pediatric primary care settings to address childrens and adolescents behavioral health needs. The program emphasizes helping primary care providers identify concerns early, make evidence-informed treatment decisions, and connect patients to specialty care and community resources when needed.
Is the program intended to fund direct patient treatment?
No. The program is not primarily designed to fund direct patient treatment as the main focus. Instead, it focuses on building infrastructure and support (consultation, training, technical assistance, care coordination, and referral support) so pediatric primary care teams can manage behavioral health needs more effectively.
What kinds of systems or networks are applicants expected to build or expand?
Projects are expected to create or expand statewide or regional networks of pediatric mental health care teams that serve as a consultative support resource for pediatric primary care sites.
What role do pediatric mental health care teams play in this program?
These teams function as a consultative backbone for front-line pediatric primary care. They are expected to provide rapid tele-consultation to pediatric primary care providers and their practices, along with training, technical assistance, and care coordination support.
Who is the primary audience served by PMHCA-supported networks?
The primary audience is pediatric primary care providers who care for children and adolescents, including pediatricians, family physicians, nurse practitioners, physician assistants, and case coordinators.
Are projects encouraged to serve clinicians beyond pediatric primary care providers?
Yes. HRSA encourages programs to broaden reach to other clinicians who frequently encounter pediatric behavioral health needs, including developmental-behavioral pediatricians, other physician specialists (such as obstetrician-gynecologists, endocrinologists, and gastroenterologists), and also pharmacists, occupational therapists, behavioral health clinicians, and social workers.
How does telehealth fit into this program?
Telehealth is central to the program because it enables long-distance consultation and support for providers. HRSA defines telehealth broadly as the use of electronic information and telecommunication technologies to support long-distance clinical consultation, education, public health, and health administration.
What telehealth modalities are acceptable under this opportunity?
Acceptable modalities include real-time video, phone-based consultation, store-and-forward approaches (such as sharing clinical information or imaging for later review), and mobile health applications, as long as they support provider-to-provider consultation and related assistance.
What does "provider-to-provider" consultation mean in this context?
In this program, telehealth tools are intended to connect pediatric primary care providers with pediatric mental health experts and support teams so primary care clinicians can receive consultation, guidance, training, and referral support.
What are the key functions funded projects are expected to deliver?
Funded projects are expected to deliver a specific set of functions, including building or expanding statewide or regional networks, organizing consultative support, assessing provider needs and preferences for support, developing online databases and communication mechanisms to request and deliver consultation, providing rapid clinical consultations, delivering training and technical assistance, supporting scheduling and coordination to access specialists and licensed clinicians, assisting with referrals to specialty and community resources, and implementing measurement and monitoring systems to track improvements in access and primary care capacity over time.
What kinds of needs assessments are expected?
Projects are expected to assess the most critical behavioral health consultation needs among pediatric providers and understand providers preferred ways of receiving consultation, training, and technical assistance.
What is meant by "rapid" clinical consultation?
The opportunity describes rapid consultation as timely clinical consultations provided by phone or telehealth when primary care providers request them, intended to give practical guidance that supports decision-making in primary care settings.
What types of training and technical assistance are expected?
Projects are expected to provide training and technical assistance that improve early identification, diagnosis, treatment, and referral practices for behavioral health conditions in pediatric primary care.
What kind of referral support is included in the program design?
Projects are expected to help primary care practices with referrals to specialty care and to community and behavioral health resources, and to support coordination activities that improve guidance and follow-through for more complex cases.
What technology or infrastructure components are applicants expected to develop?
Projects are expected to build or enhance an online database and communication mechanism (including telehealth tools) designed to make consultation easier to request and deliver across a statewide or regional network.
What measurement and monitoring activities are required or expected?
Projects are expected to set up measurement and monitoring systems that track whether access to pediatric mental health support is increasing and whether primary care capacity to identify, treat, and refer is expanding over time.
How does this opportunity address health equity?
Health equity is a major emphasis. Applicants are expected to explain how their approach will reduce racial, ethnic, and geographic disparities in access to pediatric mental health expertise, with particular attention to rural and other underserved communities.
Why is the program focused on statewide or regional approaches?
The program aims to close gaps in access to pediatric mental health specialists by building consultative capacity that can serve broad geographies. This approach is intended to help communities with limited specialty availability reach pediatric mental health expertise through telehealth-enabled networks.
What problem is the program trying to solve?
The opportunity highlights that many communities lack sufficient child and adolescent psychiatrists, developmental-behavioral pediatricians, and licensed mental health professionals, and that primary care clinicians often need immediate, practical guidance. The program is intended to reduce delays and improve access to specialty input for children and adolescents.
Who is eligible to apply based on the information provided?
Eligibility is geared toward public and tribal entities, including state governments, federally recognized tribal governments, and tribal organizations. The posting also notes that additional eligible applicants are described in the full funding notice.
How many awards were expected under the FY 2022 competition?
The posting lists an expected 10 awards for the FY 2022 opportunity.
How does this FY 2022 opportunity relate to earlier PMHCA expansion efforts?
The FY 2022 competition was positioned as a continuation and expansion of earlier ARP-PMHCA work. A prior New Area Expansion notice was released in FY 2021 and resulted in 24 awards, and the FY 2022 opportunity aimed to add up to 10 more awards to continue extending coverage toward all 50 states.
What were the key dates listed for this opportunity?
The posting lists a creation date of January 5, 2022, and an original application closing date of April 5, 2022.
How much funding is available per award?
The award ceiling is shown as 0 in the source data. That typically indicates that applicants should rely on the official funding notice for the specific funding amounts and any limits or budgeting rules.
What is the overall takeaway for what this grant supports?
This opportunity is best understood as infrastructure-building for pediatric mental health support in primary care. It funds the people, systems, workflows, and telehealth connections that allow pediatric primary care teams to consult with mental health experts, receive targeted training and technical assistance, coordinate referrals, and track whether access and capacity are improving, especially in historically underserved communities.
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