All USA USA Territories: American Samoa (USA); Guam (USA); Puerto Rico (USA); Virgin Islands (USA); Northern Mariana Islands (USA); USA Compact Free Associations:The Federated States of Micronesia (USA) Marshall Islands (USA) Republic of Palau (USA)
Grants to USA and territories nonprofit organizations, government entities, and IHEs that represent healthcare provider consortiums or networks to improve health in rural areas. Applicants are advised that required registrations may take up to one month to complete. Funding is intended to improve access, delivery, and quality of care through the application of care coordination strategies in rural communities.
This notice announces the opportunity to apply for funding under the Rural Health Care Coordination Program. The purpose of this program is to promote rural health care services outreach by improving and expanding delivery of health care services through comprehensive care coordination strategies in rural areas. This award is intended to serve as initial seed funding to implement creative community-based health solutions in rural communities to expand access to and coordination of care with the expectation that awardees will then be able to sustain the program after the federal funding ends.
The goals for the Rural Health Care Coordination Program are to:
Expand access to and quality of equitable health care services through care coordination strategies exclusively in rural areas;
Utilize an innovative evidence-based, promising practice, and/or value-based care model(s) that is known to, or demonstrates strong evidence to, improve patient health outcomes and the planning and delivery of patient-centered health care services;
Increase collaboration among multi-sector and multidisciplinary network partnerships to address the underlying factors related to social determinants of health; and
Develop and implement deliberate and sustainable strategies of care coordination into policies, procedures, staffing, services, and communication systems.
The Rural Health Care Coordination Program is a four-year program with year one (September 1, 2023 – August 31, 2024) being a planning year and years two – four (September 1, 2024 – August 31, 2027) focused on program implementation. Applicants are required to select one primary focus area from the following: 1) heart disease; 2) cancer; 3) chronic lower respiratory disease; 4) stroke; or 5) maternal health. Applicants are to propose innovative approaches to achieve the program goals, address local health challenges including the underlying risk factors that contribute to the selected primary focus area, and improve population health outcomes through coordinated, community-wide programs that link health and human services within an established or formal network (for the purposes of this program the terms “consortium” and “network” are used interchangeably). Although it is required to select one primary focus area, applicants may include underlying risk factors that contribute to the selected primary focus area understanding care coordination includes the provision of care for individuals with chronic and/or medically complex diseases.
At the end of the four years, applicants should be able to contribute to the following outcomes:
Expanded access to and affordability of quality comprehensive care coordination leading to cost savings and overall health improvement status;
Improved patient health outcomes through the utilization of chronic care management, and/or preventive and wellness services;
Institutionalized care coordination strategies within their policies, procedures, staffing, services, and communication systems;
Implemented a multidisciplinary and multi-sector referral system; and
Identified a variety of funding and financing mechanisms to continue comprehensive care coordination strategies beyond the initial FORHP grant funding.
Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education
Private institutions of higher education
Public and State controlled institutions of higher education
Others (see text field entitled "Additional Eligibility Criteria" for clarification)
Special district governments
Additional Eligibility Criteria
Eligible applicants include domestic public or private, non-profit or for-profit entities, including faith-based, community-based, tribes, and tribal organizations. The applicant organization may be located in a rural or urban area, but must have demonstrated experience serving, or the capacity to serve, rural underserved populations. The applicant organization should describe in detail their experience and/or capacity to serve rural populations in the Project Abstract section of the application.
The applicant organization must represent a network composed of members that include three or more health care providers. For the purposes of this funding opportunity, the terms consortium and network are used interchangeably. The applicant organization may not previously have received an award under 42 U.S.C. 254c(e) from the HRSA Federal Office of Rural Health Policy for the same or a similar project unless the applicant is proposing to expand the scope of the project or the area that will be served through the project.
Applicant Organizational Requirements can be found on page 15 of the NOFO. See Full Grant Text RFP.
Attendees without computer access or computer audio can use the dial-in information
Call-In Number: 1-833-568-8864
Participant Code: 32032979
The webinar will provide an overview of the NOFO and an opportunity for you to ask questions.
The due date for applications under this NOFO is May 26, 2023, at 11:59 p.m. ET. HRSA suggests submitting applications to Grants.gov at least 3 calendar days before the deadline to allow for any unforeseen circumstances.
Ensure your SAM.gov and Grants.gov registrations and passwords are current immediately. HRSA will not approve deadline extensions for lack of registration. Registration in all systems may take up to 1 month to complete.
Cost-sharing/matching is not required for this program.
By statute, all applicants are required to consult their State Office of Rural Health (SORH) or equivalent (appropriate state entity) regarding their intent to apply to this program. HRSA strongly recommends applicants contact their SORH before applying. Applicants located in Guam, the Commonwealth of Puerto Rico, the Northern Mariana Islands, American Samoa, the U.S. Virgin Islands, the Federated States of Micronesia, the Republic of the Marshall Islands, or the Republic of Palau that do not have the functional equivalent of a SORH are nevertheless eligible to apply.
Estimated Annual Award Amount: Up to $300,000 per award per year
Term of Contract
The period of performance is September 1, 2023, through August 31, 2027 (4 years). Funding beyond the first year is subject to the availability of appropriated funds for the Rural Health Care Coordination Program in subsequent fiscal years, satisfactory progress, and a decision that continued funding is in the best interest of the Federal Government.
For overall Program questions/technical assistance:
Public Health Analyst
Community Based Division
Federal Office of Rural Health Policy
For information regarding business, administrative or fiscal issues:
Grants Management Specialist
Division of Grants Management Operations
Office of Federal Assistance Management