Telehealth Resource Centers (TRCs) Program

Telehealth Resource Centers (TRCs) Program is sponsored by Health Resources and Services Administration (HRSA). Provides technical assistance and information on telehealth and telemedicine to health care providers and patients.

Notice of Funding Opportunity Application due April 14, 2025 Office for the Advancement of Telehealth Telehealth Innovation and Services Division # Regional Telehealth Resource Centers # (HRSA-25-042) and National # Telehealth Resource Centers # (HRSA-25-043) Telehealth Resource ## Opportunity number: HRSA-25-042 and HRSA-25-043 Contents Step 1: Review the Opportunity 5 Step 2: Get Ready to Apply 16 Find the application package 17 Application writing help 17 Step 3: Prepare Your Application 19 Application contents and format 20 Step 4: Learn About Review and Award 36 Step 5: Submit Your Application 49 Application submission and deadlines 50 Step 6: Learn What Happens After Award 55 Post-award requirements and administration 56 If you believe you are a good candidate for this funding opportunity, secure your SAM.

gov and Grants. gov registrations now. If you are already registered, make sure your registrations are active and up-to-date.

SAM. gov registration (this can take several weeks) You must have an active account with SAM. gov. This includes having a Unique Entity See Step 2: Get Ready to Apply Grants.

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gov See Step 2: Get Ready to Apply Apply by the application due date Applications are due by 11:59 p. m. Eastern Time on April 14, 2025.

To help you find what you need, this NOFO uses internal links. In Adobe Reader, you can go back to where you were by pressing Alt + Left Arrow (Windows) or Command + Left Arrow (Mac) on your keyboard. Before you begin 4Jump to a step 1.

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Learn 5. Submit 6. Award Contacts Award information 13 Basic information Health Resources and Services Administration (HRSA) Office for the Advancement of Telehealth Telehealth Innovation and Services Division Providing telehealth technical assistance across the country to support medically underserved areas and people.

(HRSA-25-042) and National Telehealth Resource Centers Federal assistance listing: (§330I(d)(2) of the Public The Health Resources and Services Administration (HRSA) is accepting applications for the following related telehealth programs in FY2025: • Regional Telehealth Resource Center program (HRSA-25-042) • National Telehealth Resource Center program ( HRSA-25-043) Telehealth is defined as the use of electronic information and telecommunications technologies to support long-distance clinical health care, patient and professional health-related education, health administration, and public health.

With this funding, recipients will provide expert and customized telehealth technical assistance across the country.

These telehealth resource centers will provide training and support, disseminate information and research findings, promote effective collaboration, and foster the use of telehealth technologies to provide health care information and education for health care providers who serve rural areas, frontier communities [1] , and medically underserved areas, and medically underserved It is expected that these centers will share expertise through individual consultations, training, webinars, conference presentations, and a significant web presence.

12 organizations under the Regional Telehealth Resource Center (RTRC) announcement (HRSA-25-042). Regional TRCs are geographically located to facilitate activities at the local level and to make sure resources are distributed evenly. 2 organizations under the National Telehealth Resource Center (NTRC) announcement (HRSA-25-043).

National TRCs help provide telehealth support and technical assistance to organizations that receive funding as a regional center as well as providing support > 1. Review 2. Get Ready 3.

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Award Contacts > Step 1: Review the Opportunity 6 > NOFO issue date: January > Informational webinar: MM/ > Application deadline: April > Expected award date is by: > See other submissions for > other time frames that may to health care providers across the country. One award will focus on telehealth policy and the other will focus on telehealth technology.

We expect that the recipients of these awards will support effective collaboration You must apply to the correct announcement number. You may not apply to both announcement numbers, and you may not apply to more than one region for the Regional TRC (HRSA-25-042). See regions .

Application type: New, Competing Continuation Expected total available funding in FY 2025: • $3,900,000 for Regional TRCs (HRSA-25-042) • $650,000 for National TRCs (HRSA-25-043) Expected number and type of awards: • 12 cooperative agreements for Regional TRCs (HRSA-25-042) • 2 cooperative agreements for National TRCs (HRSA-25-043) Funding range per award: Up to $325,000 each budget period.

We plan to fund awards in four 12-month budget periods, for a total 4-year period of performance from September 1, 2025, to August 31, 2029. The program and awards depend on the appropriation of funds and are subject to change based on the availability and amount of appropriations. > 1.

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Learn 5. Submit 6. Award Contacts > Step 1: Review the Opportunity 7 You can apply if you are a domestic public or private, non-profit or for-profit entity.

## Types of eligible organizations These types of domestic* organizations may apply: • Public institutions of higher education • Private institutions of higher education • Non-profits with or without a 501(c)(3) IRS status • For-profit organizations, including small businesses • State, county, city, township, and special district governments, including the District of Columbia, domestic territories, and freely associated states • Independent school districts • Native American tribal governments • Native American tribal organizations * “Domestic” means the 50 states, the District of Columbia, the Commonwealth of Puerto Rico, the Northern Mariana Islands, American Samoa, Guam, the U.S. Virgin Islands, the Federated States of Micronesia, the Republic of the Marshall Islands, and Individuals are not eligible applicants under this NOFO.

# Other eligibility criteria You must target populations located in rural areas, frontier communities, and medically underserved areas, and medically underserved populations. You must demonstrate experience providing technical assistance and understanding telehealth services.

You must submit proof of consultation with the appropriate State Office of Rural Health, state offices concerning primary care, or another appropriate state government entity. You must submit proof of this consultation in Attachment 5 . > 1.

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Learn 5. Submit 6. Award Contacts > Step 1: Review the Opportunity 8 Telehealth Resource Centers can be operated by a consortium of organizations, but only one organization can apply on behalf of the consortium (and will be responsible for administration of the cooperative agreement).

All other organizations may be members ## Completeness and responsiveness criteria We will review your application to make sure it meets these basic requirements to move forward in the competition. We will not consider an application that: • Is from an organization that does not meet all eligibility criteria . • Requests funding above the award ceiling shown in the funding range .

• Is submitted after the deadline . • You must apply to the correct announcement number: ◦ HRSA-25-042 for Regional Telehealth Resource Centers ◦ HRSA-25-043 for National Telehealth Resource Centers • Multiple applications from an organization are not allowable and an organization cannot apply as both a Regional TRC (HRSA-25-042) and as a National TRC (HRSA-25-043). You may not submit more than one application.

If you submit more than one application, we will only accept the last on-time submission. This program has no cost-sharing requirement. If you choose to share in the costs of the project, we will not consider it during merit review .

We will hold you accountable for any funds you add, including through reporting . > 1. Review 2.

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Award Contacts > Step 1: Review the Opportunity 9 We welcome eligible organizations to apply for funding under the Regional Telehealth Resource Center (RTRC) program and the National Telehealth Resource Center (NTRC) These telehealth resource centers will support healthcare organizations, networks, and providers with telehealth implementation and training for rural areas, frontier communities, and medically underserved areas, as well as for medically underserved ## Regional centers (HRSA-25-042) We will support 12 regional telehealth resource centers that focus on statewide and regional telehealth activities.

Regional TRCs provide expert technical assistance in the development of telehealth services and leverage the experience of mature telehealth programs. These regional centers will provide training and support, disseminate information and research findings, promote effective collaboration, and foster the use of telehealth technologies to provide health care information and education for health care providers.

They are located regionally to facilitate award activities at the local level and to ensure that resources are geographically distributed. Northeast Region Southeast Region Upper Midwest Region Northwest Region Mid-Atlantic Region South Region North Central Region West Region • Delaware • Arkansas • Iowa • California 1. Review 2.

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Submit 6. Award Contacts Step 1: Review the Opportunity 10 Northeast Region Southeast Region Upper Midwest Region Northwest Region South Central Region West Central Region Southwest Region* Pacific Region *In this funding opportunity, Utah will be served by the Northwest TRC, except for the Four Corners Region, which will be served by the Southwest TRC.

Upon award, the Southwest recipients will need to develop a coordinated strategy for serving the shared National centers (HRSA-25-043) We will support 2 National TRCs , in which one award will focus on telehealth policy, and one will focus on telehealth technology.

These national centers will provide technology and policy training and support, disseminate information and research findings, support effective collaboration, and foster the use of telehealth technologies to improve access, timeliness, cost effectiveness, and quality of health care service delivery. > 1. Review 2.

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Submit 6. Award Contacts > Step 1: Review the Opportunity 11 • Advance effective use of telehealth technologies in your respective service areas.

• Collaborate with other Telehealth Resource Center Program recipients and share and combine expertise and resources to create unified telehealth technical assistance capability with effective and efficient educational tools, consulting, and • Meet the needs of telehealth networks, practitioners, or organizations in your service area including, but not limited to rural health clinics, federally qualified health centers, critical access hospitals, rural emergency hospitals, skilled nursing facilities, State Offices of Rural Health, state offices concerning primary care, and other appropriate state government entities.

• Ideally include populations that suffer from poor health outcomes, health disparities, and other inequities as compared to the national average when addressing telehealth technical assistance. Examples of these populations include, but are not limited to, people experiencing homelessness, pregnant people, disabled individuals, youth and adolescents, persons experiencing hypertension, and tribes and tribal organizations.

This program is authorized by 42 U.S.C. § 254c-14(d)(2) (§330I(d)(2) of the Public Health Service Act. It is administered by the Office for the Advancement of Telehealth (OAT), located within HRSA’s Office of the Administrator.

View more information about OAT . # Program requirements and expectations Awards are expected to be used for the following core services: • Providing technical assistance, training, and support, and providing for travel expenses for health care providers and a range of health care entities that provide or will provide telehealth services. • Disseminating information and research findings related to telehealth services.

• Promoting effective collaboration among Telehealth Resource Centers and the HRSA Office for the Advancement of Telehealth (OAT), as well as other OAT award recipients (such as Telehealth Centers of Excellence and technical assistance (TA) • Conducting evaluations to determine the best use of telehealth technologies to • Promoting the integration of the technologies used in clinical information systems with other telehealth technologies.

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Award Contacts > Step 1: Review the Opportunity 12 • Fostering the use of telehealth technologies to provide health care information and education for consumers in a more effective manner. • Implementing special projects or studies in collaboration with OAT.

In providing services, you must collaborate, if feasible, with entities that provide telehealth services or related activities and are: • Private or public organizations that receive Federal or State assistance. • Public or private entities that operate centers, or carry out programs, that receive Federal or State assistance.

A Telehealth Resource Center can charge a reasonable fee for continuing assistance in excess of 10 hours of technical help. The 10-hour limit is to make sure everyone has fair access to assistance, since the TRCs are publicly funded. Any fees received by TRCs must be used to supplement the HRSA award activities and must be reported to HRSA .

The report submission must include the hours and level of effort related to those fees and must be explained in progress and financial reports. Further information will be provided in the award notice . # Cooperative agreement terms Aside from monitoring and technical assistance, we also get involved in these ways: • Participating in conference calls or meetings with recipients.

• Supporting effective collaboration among National and Regional TRCs. • Identifying special projects or studies. • Involvement and assistance with TRC contacts to other HRSA programs or other federal agencies involved with telehealth, relevant to the function of TRCs.

• Participating and planning as it relates to the strategic direction of the services provided by award recipients. • Ongoing review of activities and suggestions on content, presentation approach, and selection of products or publications. • Reviewing or commenting on products or publications.

• Providing input and background on current and future issues. You must follow all relevant laws and policies. Your other responsibilities will include: > 1.

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Learn 5. Submit 6. Award Contacts > Step 1: Review the Opportunity 13 • Adhering to HRSA guidelines pertaining to acknowledgement and disclaimer on all products produced by HRSA award funds, per Section 5.

1 of the Application • Completing activities you’ve proposed and had reviewed by HRSA, except as modified in consultation with us through the appropriate prior approval • Maintaining knowledge of federal programs through HRSA, HHS, and other sources that can help link award recipients and stakeholders with appropriate • Participating in conference calls or meetings with HRSA.

• Collaborating with HRSA in ongoing review of activities and budgets. • Responding timely to requests for technical assistance to advance telehealth • Providing most technical assistance at no charge. • Coordinating with other TRC award recipients to avoid duplication of effort and provide a unified approach to advancing telehealth activity.

• Assessing the market to understand how to best identify and reach target • Identifying appropriate professional meetings at which to exhibit each year. • Participating in evaluation activities such as establishing evaluation metrics or tracking related data to assist in measuring the success of the cooperative agreement in advancing telehealth.

# Funding policies and limitations • We will only make awards if this program receives funding. If Congress appropriates funds for this purpose, we will move forward with the review and • Support beyond the first budget year will depend on: ◦ Appropriation of funds. ◦ Satisfactory progress in meeting the project’s objectives.

◦ A decision that continued funding is in the government’s best interest. • If we receive more funding for this program, we may: ◦ Fund more applicants from the rank order list. ◦ Extend the period of performance.

◦ Award supplemental funding. > 1. Review 2.

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Submit 6. Award Contacts > Step 1: Review the Opportunity 14 • For guidance on some types of costs we do not allow or restrict, see Project Budget Information in Section 3. 1.

4 of the Application Guide . You can also see 45 CFR part 75, or any superseding regulation, General Provisions for Selected Items • You cannot earn profit from the federal award. See 45 CFR 75.

400(g) . • Congress’s current appropriations act includes a salary limitation, which applies to this program. As of January 2025, the salary rate limitation is $225,700.

This limitation may be updated. See Manage Your Grant for other information on costs and financial management. ## Program-specific statutory or regulatory limitations • To acquire real property.

• For expenditures to purchase or lease equipment, to the extent that the expenditures would exceed 20 percent of the total grant funds. • To pay for any equipment or transmission costs not directly related to the purposes for which the grant is awarded. • To purchase or install general purpose voice telephone systems.

• For expenditures for indirect costs, to the extent that the expenditures would exceed 15 percent of the total grant funds. See Manage Your Grant for other information on costs and financial management. Program income is money earned as a result of your award-supported project activities.

You must use any program income you generate from awarded funds for approved project-related activities. Find more about program income at 45 CFR 75. 307 .

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Award Contacts > Step 1: Review the Opportunity 15 1. Review 2. Get Ready 3.

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Award Contacts Find the application package 17 Application writing help 17 Get registered You must have an active account with SAM. gov to apply. This includes having a Unique Entity Identifier (UEI).

SAM. gov registration can take several weeks. Begin that process To register, go to SAM.

gov Entity Registration and select Get Started . From the same page, you can also select the Entity Registration Checklist to find out what you’ll need When you register or update your SAM. gov registration, you must agree to the financial assistance general certifications and representations .

You must agree to those for grants specifically, as opposed to contracts, because the two sets of agreements are different. You will have to maintain your registration throughout the life of any award. You must also have an active account with Grants.

gov . You can see step-by-step instructions at the Grants. gov Quick Start Guide for Applicants .

The application package has all the forms you need to apply. You can find it online. Go to Grants Search at Grants.

gov and search for opportunity number HRSA-25-042 or # Application writing help Visit HHS Tips for Preparing Grant Proposals . Visit HRSA’s How to Prepare Your Application page for more guidance. See Apply for a Grant for other help and resources.

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Award Contacts Step 2: Get Ready to Apply 17 Join the webinar For more information about this opportunity, join the webinar on insert month insert date, 20[##], at insert time ET. If you are not able to join through your computer, you can call in: We will record the webinar. If you are not able to join live, you can replay it at <insert replay link using a clear descriptive label>.

Have questions? See Contacts and Support . > 1.

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Learn 5. Submit 6. Award Contacts > Step 2: Get Ready to Apply 18 1.

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Learn 5. Submit 6. Award Contacts # Prepare Your Application Application contents and format 20 Application contents and Applications include five main components.

This section includes guidance on each.

Application page limit: 60 pages Submit your information in English and express whole number budget figures using Make sure you include each of these: Components Submission format Project abstract Use the Project Abstract Summary form Project narrative Use the Project Narrative Attachment form Budget narrative Use the Budget Narrative Attachment form Attachments Insert each in the Attachments form Other required forms Upload using each required form You must format your narratives and attachments using our required formats for fonts, size, color, format, and margins.

See the formatting guidelines in Section 3. 2 of the Complete the information in the Project Abstract Summary form. Include a short description of your proposed project.

Include the needs you plan to address, the proposed services, and the population groups you plan to serve. State whether or not you qualify for a funding preference described in Step 4 of this NOFO. If you do qualify for a funding preference, state which qualification you meet.

For more information, see Section 3. 1. 2 of the Application Guide .

In this section, you will describe all aspects of your project. Project activities must comply with the non-discrimination requirements . Use the section headers and the order listed.

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Award Contacts Step 3: Prepare Your Application 20 Introduction Regional TRC: See merit review criterion 1: Need (HRSA-25-042) National TRC: See merit review criterion 1: Need (HRSA-25-043) Applicants to both the Regional TRC and the National TRC should: • Briefly describe the purpose of your project.

• Clearly report how you propose to establish or operate a telehealth resource center that provides technical assistance to existing or developing healthcare organizations, networks, and providers. • If you are proposing a consortium, explain why a consortium is necessary. Regional TRC (HRSA-25-042) applicants should also: • Identify the region and states to be served.

Briefly describe the demand for technical assistance and provide a summary of the services proposed. National TRC (HRSA-25-043) applicants should also: • Clearly demonstrate what expertise you possess and how you will support Regional TRCs or other organizations by providing technical assistance in telehealth technology or policy issues.

Regional TRC: See merit review criterion 1: Need (HRSA-25-042) National TRC: See merit review criterion 1: Need (HRSA-25-043) This section should help your reviewers understand the needs of the population groups/states that could be addressed through enhanced telehealth services in rural areas, frontier communities, and medically underserved areas, and for medically underserved populations.

It should help reviewers understand the need for telehealth technical assistance to be addressed. Applicants to both the Regional TRC and the National TRC should: • Use and cite demographic data whenever possible to support the information ◦ Describe and document the target population and their unmet health needs.

Include populations that suffer from poor health outcomes, health disparities, and other inequities as compared to the national average when > 1. Review 2. Get Ready 3.

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Award Contacts > Step 3: Prepare Your Application 21 addressing telehealth technical assistance. Examples of these populations include, but are not limited to, people experiencing homelessness, pregnant people, disabled individuals, youth and adolescents, persons experiencing hypertension, and tribes and tribal organizations.

• Include information about other technical assistance services that may be available and how such services could be used or integrated, and not duplicated Regional TRC (HRSA-25-042) applicants should also: Clearly address how the Regional TRC will demonstrate how telehealth technologies • Meet the health care needs of rural or other populations to be served through the project, and improve the access to services of, and the quality of the services received by, those populations.

• Improve and expand the training of health care providers. • Address the actual and potential relevant barriers that telehealth projects face in the region (for example, specific legislative or regulatory issues, specific reimbursement challenges, technical infrastructure challenges, sociocultural challenges, barriers to access, and organizational challenges).

National TRC (HRSA-25-043) applicants should also: • Outline critical telehealth policy or technology barriers that exist and identify the demand for technical assistance as it relates to the respective telehealth policy or > Regional TRC: See merit review criterion 2: Response (HRSA-25-042) > National TRC: See merit review criterion 2: Response (HRSA-25-043) Applicants to both the Regional TRC and the National TRC should: • Describe your plan to provide technical assistance to healthcare organizations, networks, and providers with telehealth implementation and training for rural areas, frontier communities, and medically underserved areas, as well as for medically underserved populations including how you will address the breadth of • Identify the mechanisms by which you will identify organizations in need of > 1.

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Learn 5. Submit 6. Award Contacts > Step 3: Prepare Your Application 22 • Identify the method of initial contact from communities and clients, (such as through the website, a toll-free number, or contact at a meeting or conference).

• Describe how you will clearly track the outcome of the technical assistance (for example, a new site or service was established). • Tell us how you’ll address your stated needs and meet the program requirements and expectations described in this NOFO. • Include strategies for ongoing staff training, teamwork, and information sharing.

• Include strategies for outreach and collaboration efforts to involve patients, families, and communities. If it applies, include a plan to distribute reports, products, or project outputs to target audiences. • Describe how you will coordinate with the State Office of Rural Health or other appropriate state entity.

• Propose a plan for continuing the project when federal funding ends. We expect you to keep up key strategies or services and actions that have led to improved practices and outcomes for the target population. • Include a strategy to share information.

Lessons learned and best practices should be included. Clearly indicate how you have and will collaborate and share expertise with new or existing providers of telehealth services at the national, regional, state and local levels.

You should discuss your plan for the following core ◦ Providing technical assistance , training, and support, and providing for travel expenses for health care providers and a range of health care entities that provide or will provide telehealth services.

◦ Disseminating information and research findings related to telehealth ◦ Promoting effective collaboration among telehealth resource centers and the HRSA Office for the Advancement of Telehealth (OAT), as well as other HRSA award recipients such as Telehealth Centers of Excellence and TA ◦ Conducting evaluations to determine the best use of telehealth technologies to meet health care needs.

◦ Promoting the integration of the technologies used in clinical information systems with other telehealth technologies. ◦ Fostering the use of telehealth technologies to provide health care information and education for consumers in a more effective manner. ◦ Implementing special projects or studies under the direction of HRSA.

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Award Contacts > Step 3: Prepare Your Application 23 Delivery modes for sharing expertise You must identify the means by which clients will contact your organization for technical assistance and the ways in which you will share expertise.

Examples of potential delivery modes include: • One-to-one : One or more telehealth resource center staff members interact directly with an individual or a group of individuals representing a single • Peer-to-peer : Arranging for an entity with a particular expertise to provide assistance to another organization or individual that requested technical assistance from the telehealth resource center.

• One-to-many : One or more telehealth resource center staff members interacting directly and simultaneously with a group of entities made up of people who represent different organizations or organizational units. • Broad public : In cooperation with all telehealth resource centers, each center should also provide public programs and webinars, recorded and posted for later viewing (for example, on a public-facing website).

For each service you propose to provide, you must clearly specify the ways you plan to deliver the service and how you will track the volume of services provided, the products or output of the service, and, where appropriate, the outcome of the service.

Describe the specific tools you have or will develop to share expertise (like webinars, toolkits, workshops, focus groups, and conferences) as well as tools developed for industry adoption and sale. Lists of clients may be included (with benefits gained from tools, especially if benefits take a year or more to develop after the service was • Include a plan for sustaining the project after federal support for the project has ended.

Such plans could include affiliation with a health care program, association, or company related to telehealth, or solicitation of other funding sources like private donations or non-federal awards. • Refer to the types of services or products you will use to help a provider or a community with its strategic development or expansion of a telehealth program.

The proposed services should be clearly linked to identified needs and must be consistent with the resources available. • Detail the delivery modes to be used for your service (like one-to-one, peer-to- peer, one-to-many, broad public) and the outreach tools you will use. > 1.

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Learn 5. Submit 6. Award Contacts > Step 3: Prepare Your Application 24 • Explain, if you lack expertise in an area of need, how collaboration with other organizations (especially other Regional TRCs and National TRCs) might address • Address how you may coordinate with, or avoid duplicating services from, other public resources that advance the practice of telehealth.

Regional TRC HRSA-25-042 applicants should also: Address how you will collaborate with other HRSA-funded Regional and National Telehealth Resource Centers to leverage each other’s expertise to provide telehealth technical assistance as efficiently as possible across the nation. Regional TRCs have historically provided technical assistance to: • Develop organizational capacity to build telehealth networks.

• Develop and implement telehealth programs including workflow operations and development, business models, return on investment (ROI), best practices, establish telehealth services. • Expand the range of clinical services using telehealth beyond ambulatory care, including critical and emergency care, inpatient, nursing home, residential and home care, and chronic disease management.

• Integrate telehealth and health information systems. • Support distance education and training, including creation or operation of technology-enabled collaborative learning and capacity models. • Understand or select telecommunications and telehealth technologies.

• Use mobile devices, or mHealth. • Share resources and information related to telehealth regulation, policy, licensure, credentialing or reimbursement. • Evaluate telehealth programs and information collection.

• Maintain a public access map or registry of telehealth providers through contact or self-reporting of telehealth networks or providers. • Focus on HRSA priorities while addressing technical assistance and training, including but not limited to these priority areas: > 1. Review 2.

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Submit 6. Award Contacts > Step 3: Prepare Your Application 25 National TRC HRSA-25-043 applicants should also: • Address how you plan to track