Opportunity Information: Apply for HRSA 22 081
Home Visiting Collaborative Improvement and Innovation Network 3.0 (HV CoIIN 3.0) is a federal funding opportunity from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), under the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program (CFDA 93.870). It is offered as a discretionary cooperative agreement, meaning recipients should expect an active federal partnership with HRSA in areas like implementation support, oversight, and shared learning. The central purpose is to take what was proven to work in HV CoIIN 2.0 and push it into wider real-world use across the national MIECHV system, while also continuing to build and test practical quality improvement (QI) tools that home visiting programs can use to sustain better outcomes over time.
The program is focused on dissemination and scale: the funded entity is expected to plan, manage, and carry out a broad scale-up of interventions that were tested and found effective in HV CoIIN 2.0. The target reach spelled out in the notice is at least 30 state MIECHV recipients and 300 local implementing agencies (LIAs). The interventions and topic areas include strategies to reduce or alleviate maternal depression, strengthen supports for families affected by intimate partner violence (IPV), improve developmental screening and successful linkage to services when needs are identified, increase breastfeeding initiation and duration, ensure children complete age-appropriate well-child visits, improve recruitment and retention of the home visiting workforce, and build meaningful parent leadership within continuous quality improvement (CQI) work. In practice, this means the recipient is not just running a pilot; they are expected to coordinate multi-site adoption and help programs implement changes consistently at scale.
Beyond scaling existing interventions, HV CoIIN 3.0 also invests in innovation through structured testing and evaluation of new, evidence-informed change strategies. The opportunity highlights the use of accepted improvement and evaluation methods, specifically calling out rapid Plan-Do-Study-Act (PDSA) cycles. These cycles are meant to help programs test small changes quickly, learn from results, and iterate in a disciplined way. The expectation is that the new strategies will align with best practices in home visiting implementation, respond to emerging innovations in the field, and connect directly to MIECHV program performance measures. In other words, the work should be practical and measurable, not just conceptual, with lessons that can translate into tools, guidance, or playbooks other home visiting sites can use.
Health equity and parent leadership are not treated as side topics in this grant; they are built into the core design. HV CoIIN 3.0 is expected to further refine the health equity framework and the parent leadership toolkit that were developed in HV CoIIN 2.0, and then actively support integrating those principles across all scale-up activities and any new CQI topic areas. The intent is to make equity-centered improvement standard practice, and to ensure parents have a real role in shaping, testing, and sustaining changes rather than being consulted only occasionally. This emphasis signals that applicants should be prepared to show how equity and parent partnership will be operationalized through training, coaching, measurement choices, and decision-making structures.
A final major objective is capacity-building so the improvements last beyond the project period. HV CoIIN 3.0 is designed to help MIECHV recipients and LIAs strengthen their ability to use CQI for ongoing monitoring and continuous improvement. The notice points to coaching and peer-to-peer learning networks as key mechanisms to support sustainability. That typically implies structured learning collaboratives, shared metrics and dashboards, communities of practice, technical assistance, and routine opportunities for sites to compare results, troubleshoot barriers, and spread successful approaches across programs and jurisdictions.
Administratively, the opportunity is listed as HRSA-22-081, created January 6, 2022, with an original closing date of April 6, 2022. The award ceiling is $1,300,000, and HRSA anticipated making one award. Eligible applicants include a wide range of entities: state, county, city/township, and special district governments; independent school districts; federally recognized tribal governments and other tribal organizations; 501(c)(3) nonprofits (excluding institutions of higher education in that category); for-profit organizations (including small businesses); and other entities as described in the full eligibility text. Taken together, HV CoIIN 3.0 is essentially a national-scale improvement effort aimed at spreading proven home visiting strategies, rigorously testing new ones, embedding equity and parent leadership in how improvement is done, and leaving behind stronger local and state capacity to keep improving long after the cooperative agreement ends.Apply for HRSA 22 081
- The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Home Visiting Collaborative Improvement and Innovation Network 3.0 (HV CoIIN 3.0)" 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 Jan 06, 2022.
- Applicants must submit their applications by Apr 06, 2022. (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 $1,300,000.00 in funding.
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Native American tribal governments (Federally recognized), 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, For profit organizations other than small businesses, Small businesses, Others (see text field entitled Additional Information on Eligibility for clarification).
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FAQs: Home Visiting Collaborative Improvement and Innovation Network 3.0 (HV CoIIN 3.0)
What is HV CoIIN 3.0?
Home Visiting Collaborative Improvement and Innovation Network 3.0 (HV CoIIN 3.0) is a federal funding opportunity from the U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA), under the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program (CFDA 93.870).
What type of funding opportunity is this?
It is a discretionary cooperative agreement. That means the recipient should expect an active federal partnership with HRSA, including implementation support, oversight, and shared learning.
What is the main purpose of HV CoIIN 3.0?
The central purpose is to take interventions proven effective in HV CoIIN 2.0 and scale them for broader real-world use across the national MIECHV system, while also continuing to build and test practical quality improvement (QI) tools that help home visiting programs sustain improved outcomes over time.
Is this grant mainly for pilot projects or for scaling proven approaches?
The program is focused on dissemination and scale. The funded entity is expected to plan, manage, and carry out a broad scale-up of interventions that were tested and found effective in HV CoIIN 2.0, rather than running a small pilot.
What scale or reach is expected under this opportunity?
The notice specifies a target reach of at least 30 state MIECHV recipients and 300 local implementing agencies (LIAs).
Who is expected to be served or engaged through the scale-up?
The primary engagement targets described are state MIECHV recipients and their local implementing agencies (LIAs) across the national MIECHV system.
What intervention topic areas are included in HV CoIIN 3.0?
The opportunity includes strategies to:
- Reduce or alleviate maternal depression
- Strengthen supports for families affected by intimate partner violence (IPV)
- Improve developmental screening and successful linkage to services when needs are identified
- Increase breastfeeding initiation and duration
- Ensure children complete age-appropriate well-child visits
- Improve recruitment and retention of the home visiting workforce
- Build meaningful parent leadership within continuous quality improvement (CQI) work
What does it mean to "scale up" interventions in this grant?
In practice, scaling up here means coordinating multi-site adoption of proven interventions and helping programs implement changes consistently across many states and local agencies, with a focus on broad, national-level dissemination.
Does HV CoIIN 3.0 include innovation, or only implementation of existing interventions?
It includes both. Alongside scaling interventions from HV CoIIN 2.0, HV CoIIN 3.0 invests in innovation by supporting structured testing and evaluation of new, evidence-informed change strategies.
What improvement method is specifically highlighted for testing new strategies?
The opportunity specifically calls out rapid Plan-Do-Study-Act (PDSA) cycles as an accepted improvement and evaluation method.
What are PDSA cycles used for in this program?
PDSA cycles are intended to help programs test small changes quickly, learn from results, and iterate in a disciplined way so that strategies become practical, measurable, and ready to be shared and used by other home visiting sites.
How should new change strategies be designed under HV CoIIN 3.0?
New strategies are expected to be evidence-informed, align with best practices in home visiting implementation, respond to emerging innovations in the field, and connect directly to MIECHV program performance measures.
What kinds of deliverables are implied by the notice?
The notice emphasizes translating lessons into practical supports for the field, such as tools, guidance, or playbooks that other home visiting sites can use.
How are health equity and parent leadership addressed in HV CoIIN 3.0?
Health equity and parent leadership are built into the core design. HV CoIIN 3.0 is expected to refine the health equity framework and the parent leadership toolkit developed in HV CoIIN 2.0 and support integrating those principles across all scale-up activities and any new CQI topic areas.
Is parent leadership treated as optional or central to the work?
It is treated as central. The intent is for parents to have a real role in shaping, testing, and sustaining changes, rather than being consulted only occasionally.
What does the grant suggest about how equity and parent partnership should be put into practice?
The description signals that applicants should be prepared to show how equity and parent partnership will be operationalized through training, coaching, measurement choices, and decision-making structures.
What is the sustainability or capacity-building objective of HV CoIIN 3.0?
A major objective is to build capacity so improvements last beyond the project period by strengthening MIECHV recipients' and LIAs' ability to use continuous quality improvement (CQI) for ongoing monitoring and continuous improvement.
What mechanisms are emphasized for building CQI capacity?
The notice points to coaching and peer-to-peer learning networks as key mechanisms. This typically implies structured learning collaboratives, shared metrics and dashboards, communities of practice, technical assistance, and routine opportunities for sites to compare results and spread successful approaches.
What is the opportunity number for this funding announcement?
The opportunity is listed as HRSA-22-081.
When was this opportunity created and what were the key dates listed?
It was created January 6, 2022, with an original closing date of April 6, 2022.
What is the award ceiling?
The award ceiling listed in the notice is $1,300,000.
How many awards did HRSA anticipate making?
HRSA anticipated making one award.
Who is eligible to apply for HV CoIIN 3.0?
Eligible applicants include:
- State governments
- County governments
- City or township governments
- Special district governments
- Independent school districts
- Federally recognized tribal governments
- Other tribal organizations
- 501(c)(3) nonprofits (excluding institutions of higher education in that category)
- For-profit organizations (including small businesses)
- Other entities as described in the full eligibility text
What does "cooperative agreement" imply for how the project will be managed?
It implies an active HRSA partnership, where the recipient should expect involvement from HRSA related to implementation support, oversight, and shared learning as the work is carried out.
What is the overall goal of HV CoIIN 3.0 in plain terms?
It is a national-scale improvement effort to spread proven home visiting strategies, rigorously test new evidence-informed strategies, embed health equity and parent leadership into improvement work, and leave behind stronger state and local capacity to keep improving after the cooperative agreement ends.
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