June 18, 2026
Dear Potential Applicant:
You are invited to submit an application to the Pennsylvania Department of Health in accordance
with the enclosed Request for Applications (RFA) #67-207.
A pre-application conference will be held via Microsoft Teams on July 16, 2026, from 10:00 AM
to 12:00 PM ET. Potential applicants can join via Microsoft Teams by clicking on this link:
https://www.microsoft.com/en-us/microsoft-teams/join-a-meeting and entering the following: The
meeting ID is 244 438 829 602 761, and meeting Passcode is Ce2C3d4Z; or by phone at +1 267-332-
8737; Phone Conference ID: 226889544#. If attending by phone, any content shown on Teams call
screen will not be visible. Applicant attendance is optional.
All questions regarding this RFA must be directed by e-mail to danierhode@pa.gov no later than
12:00 p.m. ET on July 9, 2026. All questions must include the specific section of the RFA about
which the potential applicant is requesting clarification. Answers to all questions will be posted at
www.emarketplace.state.pa.us. Click on ‘Solicitations’ and search for the above RFA number.
Submit one application, (Part 2 of this RFA) by email to: RA-
DHHEALTH_DEPT_DOC@pa.gov. The Department cannot accept secure or encrypted emails. Any
submission via secure or encrypted email will be immediately discarded. Applications must be
received no later than 1:30 p.m. ET on July 23, 2026. Applications can be submitted as soon as they
are ready for submission; to prevent late submissions, applicants are encouraged to not wait until this
closing date and time. The timestamp on the received application email in the RA-
DHHEALTH_DEPT_DOC@pa.gov inbox is the final and only timekeeper to determine if the
application was received by the deadline.
LATE APPLICATIONS WILL NOT BE ACCEPTED REGARDLESS OF THE REASON.
Type “APPLICATION ENCLOSED RFA #67-207” as the subject line of your e-mail submission.
We expect that the evaluation of applications and the selection of Grantees will be completed
within eight weeks of the submission due date.
Enclosure
Sincerely,
Digitally signed by Rebekah
Rebekah Gregorowicz Gregorowicz
Date: 2026.06.18 12:30:32 -04'00'
Office of Procurement
For Agency Head
Health and Human Services Building | 625 Forster Street | Harrisburg, PA 171200701 | www.health.pa.gov
RFA 67-207
Family Impact Initiative
CONTENTS
Part One: General Information
......................................................... 1
A. Information for Applicants.........................................................................................2
B. Application Procedures………………………………………………………………....5
1. General ..............................................................................................................5
2. Evaluation of Applications .............................................................................6
3. Awards...........................................................................................................7
4. Deliverables ...................................................................................................7
5. Reporting Requirements...............................................................................11
C. Application Instructions and Required Format..........................................................12
1. Application Instructions ...............................................................................12
2. Application Format ..........................................................................................12
3. Definitions ...................................................................................................16
Part Two: Title of Application
....................................................... 18
Application Forms and Attachments
I. Cover Page
II. BOP-2201 Worker Protection and Investment Certification Form
III. BOP-1307 Lobbying Certification Form
IV. Work Statement
V. Budget Template is downloadable and is attached for completion of
the budget request
Any Grant Agreement resulting from this RFA will include certain standard terms
and conditions that will be attached as appendices and will be part of the
agreement, which may either be found at http://www.health.pa.gov/vendors or are
attachments to this RFA. These terms and conditions are not negotiable and are
listed below:
� Payment Provisions (Rev.11/25) and Attachment 1
� Commonwealth Standard General Terms and Conditions (Grant) (Rev.
10/1/23)
� Department Standard General Terms and Conditions (Grant)
(Rev. 12/24)
� Audit Requirements (Rev. 10/24)
� Federal Standard Terms and Conditions (Grant) (Rev. 12/24)
PART ONE
Family Impact Initiative
General Information
1
A. Information for Applicants
The Pennsylvania Department of Health (Department) is responsible for administering the Title V
Maternal and Child Health Services Block Grant (MCHSBG) for Pennsylvania. The MCHSBG
was established as part of the 1935 Social Security Act and is administered at the federal level by
the Health Resources and Services Administration (HRSA). The mission of the MCHSBG is to
improve the health and wellbeing of the nation’s mothers, infants, children and youth, including
those with special health care needs and their families.
Every five years the Department conducts a comprehensive needs and capacity assessment to
gauge the strengths and needs of the state’s Maternal and Child Health population (which includes
pregnant people, infants, and children, as well as children with special health care needs) and
related services. As a result of the most recent needs and capacity assessment, the Department
identified seven priorities on which to focus on for 2026 through 2030. The work of this RFA falls
within the priority: Provider Access, Care Coordination, and Navigation for Children and Youth
with Special Health Care Needs (CYSHCN).
HRSA has defined five population domains: Women/Maternal Health, Perinatal/Infant Health,
Child Health, CYSHCN, and Adolescent Health. To impact the identified domains, the
Department has identified National Performance Measures and State Performance Measures that
must be reported annually. As a result, the Department has created a State Action Plan that
demonstrates the logical relationships between the chosen priorities, performance measures, and
programming strategies that address identified needs of those included in the acknowledged
domains. The work of this RFA is a strategy within the CYSHCN population domain. Additional
information on the Department’s administration of the Title V Block Grant, including annual
reports, can be found at:
https://www.pa.gov/agencies/health/programs/maternal-health-and-infant-care/title-v
HRSA notes that CYSHCN have or are at increased risk for having chronic physical,
developmental, behavioral, or emotional conditions. CYSHCN have conditions, which include,
but are not limited to, diagnoses such as asthma, sickle cell disease, epilepsy, anxiety, autism, and
learning disorders. CYSHCN may require more specialized health and educational services to
thrive, even though each child's needs may vary. According to the 2023-2024 National Survey of
Children’s Health, only 15.2 percent of CYSHCN in Pennsylvania received care in a well-
functioning system1.
The Family Impact Initiative (FII) provides a framework for addressing systems of services for
CYSHCN. The FII uses a system change approach rather than a program-based approach to
address community improvements for families of CYSHCN. Systems change is the core of the
1 2023-2024. Data Resource Center for Child and Adolescent Health.
https://www.childhealthdata.org/browse/survey/results?q=12180&r=40
2
FII.
"Systems change" is a shift in the way that a community makes decisions about policies, practices,
procedures, and the allocation of resources. To undertake systems changes, a community must
build collaborative bridges among multiple agencies, community members, and other
stakeholders. A system change extends beyond a single program, to multiple programs and
organizations, affecting CYSHCN and families across the community. System changes rely on
building partnerships and cultivating these relationships. It has been said of systems change, “if
you want to change the system, get the system in the room.” Bringing the right partners to the
“room” is critical and includes families and youth with CYSHCN.
System changes affecting CYSHCN and their families should always be family and youth driven.
FII focuses on policy, practice, and procedural changes which can be sustained within an
organization or system. System change involves the following aspects:
a. A practice change creates a new way to do things, such as adding a new assessment to
a well-child visit for CYSHCN that addresses transition to adult care.
b. A policy change is a formalized set of practices and guidelines that inform strategic
decisions, day-to-day operations, and decision making. Creating a policy that all
patients beginning at the age of 12 years receive a transition to adult care assessment
during their well-child visit would be an example of a policy change.
c. A procedural change describes what actions to take in specific circumstances. A
transition assessment might also require additional implementation guidelines to create
clarity and consistency, which would be a procedural change.
While some activities, such as material development, training, or connecting to resources, lay the
groundwork for system change, these activities alone are not system changes. System changes are
integrated into an organization’s practices, policies, and procedures in such a way that if all current
staff left an organization, the change would be sustained at the institutional level.
The FII provides funding to local communities to improve community systems to better meet the
needs of CYSHCN and their families. The FII is a replication of North Carolina’s Innovative
Approaches initiative that has been operating in North Carolina for 15 years and has been deemed
a best practice by the Association of Maternal and Child Health Programs (AMCHP). More
information about Innovative Approaches can be found here:
https://amchp.org/database_entry/innovative-approaches-community-systems-building-grants-
for-children-and-youth-with-special-health-care-needs-cyshcn/
In 2021, Pennsylvania was awarded a one-year replication grant by AMCHP, which allowed the
state to build capacity and pilot Innovative Approaches in Philadelphia County. The Department
has funded the initiative with MCHSBG funds since 2022. Since that time the initiative, now
coined Family Impact Initiative in Pennsylvania, has accomplished many system change goals,
including: created and disseminated a video of important CYSHCN resources and organizations
3
This is the opportunity summary page. It provides an overview of this opportunity and a preview of the attached documentation.