October 16, 2025
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) #67-202.
A pre-application conference will be held via Microsoft Teams on October 29, 2025 from 9:30
am to 11:30 am ET. Potential applicants can join via Microsoft Teams by clicking on this link:
https://teams.microsoft.com/meet/2275428453007?p=wqv6PVFWwOHAHBrt7s and entering the
following: The meeting ID is 227 542 845 300 7, and meeting Passcode is LV3Gw9oC; or by phone
at +1 267-332-8737,841448391#. 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 RA-DHCBHCP@pa.gov, no later
than 12:00 p.m. ET on November 7, 2025. 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 November 17, 2025. 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 #67-202” as the subject line of your e-mail submission.
Health and Human Services Building | 625 Forster Street | Harrisburg, PA 171200701 | www.health.pa.gov
We expect that the evaluation of applications and the selection of Grantees will be completed
within eight weeks of the submission due date.
Sincerely,
Enclosure
Rebekah
Gregorowicz
Digitally signed by Rebekah Gregorowicz
Date: 2025.10.16 16:22:12 -04'00'
Office of Procurement
For Agency Head
Health and Human Services Building | 625 Forster Street | Harrisburg, PA 171200701 | www.health.pa.gov
Request for Application
Communitybased Health Care Program
RFA Number
67202
Date of Issuance
October 16, 2025
Issuing Office:
Pennsylvania Department of Health
Office of Procurement
Email: RADHHEALTH_DEPT_DOC@pa.gov
RFA Project Officer:
Paul Dismukes
Pennsylvania Department of Health
Pennsylvania Primary Care Office
Email: RADHCBHCP@pa.gov
Community-based Health Care Program (RFA# 67-202)
CONTENTS
Part One: General Information
......................................................... 1
A. Information for Applicants......................................................................................2
B. Application Procedures ………………………………………………………………………………….… 3
1. General..........................................................................................................3
2. Evaluation of Applications...........................................................................4
3. Awards ..........................................................................................................4
4. Deliverables ..................................................................................................4
5. Reporting Requirements..............................................................................5
C. Application Instructions and Required Format .....................................................5
1. Application Instructions..............................................................................5
2. Application Format ......................................................................................6
3. Definitions....................................................................................................5
Part Two: Title of Application
....................................................... 67
Application Forms and Attachments
I. Cover Page
II. BOP2201 Worker Protection and Investment Certification Form
III. BOP1307 Lobbying Certification Form
IV. Certifications
V. Proof of Designation as a 501(c)(3) organization
VI. Work Statement
VII. Budget Template is downloadable and is attached for completion
of the budget request
VIII. Budget Information
IX. Additional Appendices
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. 9/21) 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)
� Commonwealth Travel and Subsistence Rates (Rev. 8/18)
� Minimum Personal Computer Hardware, Software, and Peripherals
Requirements (Rev. 1/19)
� ProChildren Act of 1994 (Rev. 12/05)
� Federal Standard Terms and Conditions (Grant) (Rev. 12/24)
This is the opportunity summary page. It provides an overview of this opportunity and a preview of the attached documentation.