Apply From: 10/16/2017 - 11/30/2017

Application Deadline

Applicants should complete application no later than November 30, 2017 at 11:59 pm EST.

application deadline


Award Database

NACCHO has provided a searchable Model Practices Database to help you find all of our past Model Practice Award winners.

About 2017-2018 Building Capacity for Oral Health Fluoridation Equipment in Local Communities


The National Association of County and City Health Officials (NACCHO) supports community water fluoridation. NACCHO recognizes equipment costs are often a barrier for initiating or maintaining water fluoridation. NACCHO invites eligible entities, including public water systems that are part of a city or county government, water systems that are part of a utility authority, other state or local government entities that may be associated with a public water system, or state or local oral health coalitions to submit applications for support to install new water fluoridation systems or to replace aging equipment to maintain water fluoridation. 

Availability of Funds

NACCHO intends to provide funding awards that range from $2,000-$40,000 to qualified applicants until available funding is dispersed. Available funding is approximately $370,000. This is one-time funding to be used only as specified in the funding application. Funds cannot be redirected or used for other purposes not clearly spelled out in the application. Funding can only be applied to capital improvements associated with purchasing new equipment to start water fluoridation or replacing aging water fluoridation equipment. No portion of this funding can be used to defray operating expenses, including, but not limited to expenses such as building modifications (other than minor work to accommodate equipment installation*), tools (except custom tools fabricated by the equipment manufacturer and necessary for installation), personnel labor or the training of personnel, the purchase of fluoride additive products, or the purchase of laboratory and/or testing supplies. Continuous analyzers may be purchased if they are included as part of a feed equipment replacement package. Following RFP guidelines, funding will be provided as a reimbursement. No funding is available for up front purchasing of the needed equipment. The project duration will be from December 15, 2017 to June 30, 2018.

*Minor work is defined as modification of equipment mounting, or pipe modification for equipment connections.

Technical Assistance

Technical assistance will be provided throughout the term of the funded proposals to facilitate successful implementation. NACCHO will act as the central coordinator for technical assistance requests, either providing assistance, directing the request to the State Dental Director or collaborating with the CDC as needed. 

Local health departments have different levels of involvement with public water systems. For example, some local health departments are not involved at all, while others regularly review treatment equipment and fluoride levels. NACCHO can help foster or expand collaboration between the local health department and the water system and identify opportunities for providing education and updates to the public. NACCHO will also work with awardees, as feasible to identify possible training sources for operators, through discussions with the State Dental Director and/or the Association of State and Territorial Dental Directors (ASTDD). NACCHO will engage CDC to provide feedback on equipment recommendations when requested by the State Drinking Water Administrator (SDWA).

Selection Process

Applications will be reviewed by NACCHO and CDC.

  • Late applications will not be accepted.
  • Incomplete applications and applications not submitted through the online system will not be reviewed.
  • Applicants will be notified of their selection status on Friday, December 15, 2017 via email to the specified point of contact. Selected applicants will then be provided with a letter explaining NACCHO's plans for reimbursement.
  • Applications will be reviewed and scored based on the following criteria:
    • Completeness in answering the questions to include:
    • Well-supported plans for collaboration;

    • Supportable sustainability plan;

    • Demonstrated need for funding. 

  • Submission of all required information and documents.

Eligibility and Expectations


  • Public water systems that are part of a city or county government, water systems that are part of a utility authority, other state or local government entities that may be associated with a public water system, or state or local health coalitions are eligible to apply. Applicants in areas that had to cease fluoridation due to funding restraints and/or that have failing or aging equipment without sufficient funding for replacement are encouraged to apply.
  • Illustrate need for funding through the provision of letters of support from state drinking water administrator, state dental director, local/regional health department, and water utility (if applicant is not a water utility).
  • Provide information detailing the water system’s ability to maintain equipment after installation. This should include information about certified operator(s) and the agency with responsibility for oversight of the water system (i.e...., funding, management, etc.)
  • Demonstrate collaboration between the public health department and water system, through building new or expanding existing partnerships, by working together to communicate the oral health benefits of community water fluoridation.


From December 15, 2017 to June 30, 2018 (contingencies with dates will be described in an upcoming informational conference call), awardees are expected to:

  • Designate one point of contact to serve as the project coordinator. Even if this person will not be leading all project activities, the selected applicant must designate one individual with whom NACCHO will directly communicate on all matters related to this project.
  • If purchasing a new equipment system: Obtain and submit at least 3 bids in order to receive the best price.
  • If purchasing parts for an existing system or replacing aging equipment without reconstruction of the existing system, provide documentation on the manufacturer of existing equipment and appurtenances that are in use. Three bids are not required for replacement equipment.
  • Maintain contact between the water system and public health department to disseminate information to the public, such as: updates to the fluoridation system, efforts by the water system operators to maintain a well-functioning system, the benefits of water fluoridation to oral health, and plans for providing customers with a reliable source of information on water fluoridation.
  • Provide photo documentation of installed new/replacement equipment. Photos of old equipment are desired but optional. 
  • Complete an evaluation at the conclusion of the project.

Adhere to NACCHO’s standard contract language and be able to sign and return a contract to NACCHO within 30 days of receiving it. Costs incurred will be on a reimbursable basis. No modifications to the terms or contract language will be made. Agencies that cannot agree to NACCHO’s contract language should not apply. As part of the proposal, the agency will be asked to verify that it has read NACCHO’s standard contract language and has provided a copy to the individual with signing authority at the agency for advanced consideration.

A list of frequently asked questions can be found here.

For any questions, please contact Tiara Smith ( or Jennifer Li (

The Award Process


Application Period Opens


Informational conference call will be held from 1:00 - 2:00 pm ET. To access the conference line:

Call: 1-866-740-1260

Passcode: 5074249


Application Period Closes at 11:59 pm ET


Application Review Period


Notify Selected Awardees


Program Kick-off Call with Selected Awardees


Contracts executed and finalized with NACCHO


Awardees Submit Bids or Compatibility Statements for Equipment


Program Evaluation Opens


Deadline for Evaluation and Submitting Reimbursement Documentaiton