Community Integrated Service Systems (CISS)

Community Integrated Service Systems
CFDA 93.491 Active Cooperative Agreement

Program Funding

Annual program obligations reported to SAM.gov.

Latest annual funding (estimated)
$9.6M FY2026
$8.6M
FY24
$8.6M
FY25
$9.6M
FY26*
* estimated

Funded Projects

Examples of what this program has supported.

FY2025 Advanced centralized intake and cross-sector data efforts and increased the number of family and professional leaders informing systems development, an evidence-informed strategy to overcome barriers and improve quality and access to care.



Increased the capacity of health systems to deliver and effectively connect families to a continuum of services that promote early developmental health and family well-being, including: Increased participation of health providers in coordinated intake and referral systems (CIRS) that link families to services such as home visiting, child care and family economic supports; and Increased early screening and identification and service referral for children with or at-risk for developmental delays.



This program supported activities that lead to increased coordination of care for children with medical complexity (CMC), improved patient and family outcomes of care, and streamlined clinic finances. Grantees also implemented alternative payment models to integrate cost effective care and improve quality of life and well-being for CMC and their families. In addition, partnerships were made with non-profits and family organizations to improve access to services for hard to reach populations, including Native American and Indigenous communities.

Program Objective

The Community Integrated Service Systems program works to assist states and communities with building a comprehensive, integrated system of care to improve access and outcomes for all children, including children with special health care needs.

Eligibility

Eligible Applicants

  • Unrestricted by Entity Type

Award preference is provided to areas with high infant mortality for CISS investments supporting the following investment areas: Maternal and infant health home visiting programs; Projects designed to increase the participation of obstetricians and pediatricians; Integrated maternal and child health service delivery systems; Maternal and child health centers; Maternal and child health projects to serve rural populations.

Beneficiaries

  • Infant and Toddler (0–3)
  • Young Child (4–9)
  • Specific Restrictions (Determined at NOFO Level)

Investments supported under the CISS authority are designed to help states and communities build a comprehensive, integrated system of care to improve health care access and health outcomes for all children, including children with special health care needs. CISS investments are intended to develop and expand the following: Maternal and infant health home visiting programs; Projects designed to increase the participation of obstetricians and pediatricians; Integrated maternal and child health service delivery systems; Maternal and child health centers; Maternal and child health projects to serve rural populations; and Outpatient and community-based services programs (including day care services) for children with special health care needs whose medical services are provided primarily through inpatient institutional care.

How to Apply

Award Procedure

All qualified applications will be forwarded to an objective review committee. Based on the recommendations of the objective review committee, the HRSA program official with delegated authority is responsible for final selection and funding decisions. Notification is made in writing by a Notice of Award.

Decision Timeline

  • Approval: From 120 to 180 days

Final decisions are made 4 to 6 months after receipt of applications.

Program details & compliance

Description

The Community Integrated Service Systems program works to assist states and communities with building a comprehensive, integrated system of care to improve access and outcomes for all children, including children with special health care needs.

Mission Categories

Primary: Maternity, Infants, Children

Use of Funds

Allowed Uses

Investments supported by HRSA/MCHB under the CISS authority are designed to assist states and communities to increase local service delivery capacity and build comprehensive and integrated community service systems for mothers and children. In particular, CISS funding supports the development, innovation, and expansion of services in rural areas for MCH populations with special health care needs.

Required Documentation

Applicants should review the individual HRSA notice of funding opportunity issued under this Assistance Listing for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package. 2 CFR 200, Subpart E - Cost Principles applies to this program.

Matching Requirements

Under the Maternal and Child Health Centers investment area there is an at least 1:1 match between nonfederal funds and federal funds (i.e., at least an equivalent amount of non-federal investment) to support maternal and child health centers.

Other Opportunities may include matching requirements. Please refer to the notice of funding opportunity.

Reporting & Compliance

Audit Required
Yes — Determined at Time of Award
Records Retention
3 years

Applicable 2 CFR 200 Subparts

  • Subpart B — General Provisions
  • Subpart C — Pre-Federal Award Requirements
  • Subpart D — Post-Federal Award Requirements
  • Subpart E — Cost Principles
  • Subpart F — Audit Requirements

Contacts

Eliza Heppner, Acting Associate Administrator for Maternal and Child Health
301-443-2170
5600 Fishers Lane, Rockville, MD 20857
Data from SAM.gov Federal Assistance Listings. Source published: 2026-01-06. Spec v2.0. Last synced: 2026-05-30 02:37:30.