Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement

 

The Delta Region Community Health Systems Development Program aims to enhance health care delivery in the Delta Region through intensive technical assistance to providers in select rural communities, including Critical Access Hospitals, small rural hospitals, Rural Health Clinics, and other healthcare organizations. The Delta States Rural Development Network Program funds organizations located in the eight Delta States, which include Alabama, Illinois, Kentucky, Tennessee, Arkansas, Louisiana, Mississippi and Missouri. Awardees in these areas aim to promote population health, through the planning, implementation, and the development of integrated health care networks. In addition, eligible entities participate in the networks to achieve efficiencies, expand access to care, as well as to coordinate, and improve the quality of essential health care services. The Rural Health Network Development Program aims to support mature, integrated rural health care networks that have combined the functions of the entities participating in the network in order to address the health care needs of the targeted rural community. Awardees will combine the functions of the entities participating in the network to address the following statutory charges: (i) achieve efficiencies; (ii) expand access, coordinate, and improve the quality of essential health care services; and (iii) strengthen the rural health care system as a whole. The Rural Health Network Development Planning Program assists in the development of an integrated health care network, specifically for entities that do not have a history of formal collaborative efforts. Health care networks can be an effective strategy to help smaller rural health care providers and health care service organizations align resources and strategies, achieve economies of scale and efficiency, and address challenges more effectively as a group than as single providers. The Rural Health Opioid Program promotes rural health care services outreach by expanding the delivery of opioid related health care services to rural communities. The program aims to reduce the morbidity and mortality related to opioid overdoses in rural communities through the development of broad community consortiums to prepare individuals with opioid-use disorder to start treatment, implement care coordination practices to organize patient care activities, and support individuals in recovery through the enhancement of behavioral counselling and peer support activities. The Rural Maternity and Obstetrics Management Strategies Program aims to improve access to and continuity of maternal and obstetrics care in rural communities. Rural Maternal Health Networks will develop and test strategies concerning rural hospital obstetric service aggregation, a network approach to coordinating a continuum of care, leveraging telehealth and specialty care, and financial sustainability. Networks include rural or critical access hospitals, health centers (FQHC), state Medicaid agency and state Home Visiting and Healthy Start programs, if regionally available, as partners. The Rural Health Care Services Outreach Program aims to promote rural health care services by enhancing health care delivery in rural communities. Outreach projects focus on the improvement of access to services, strategies for adapting to changes in the health care environment, and overall enrichment of the respective community?s health. Through a consortia of local health care and social service providers, rural communities can develop innovative approaches to challenges related to their specific health needs. The Rural Communities Opioid Response Program- Planning, supports treatment for and prevention of substance use disorder, including opioid use disorder, in rural counties at the highest risk for substance use disorder, including the 220 counties identified by the Centers for Disease Control and Prevention as being at risk for HIV and Hepatitis C infections due to injection drug use. The Rural Communities Opioid Response Program- Implementation supports the reduction in the risk factors associated with substance abuse disorder (SUD), including opioid use disorder (OUD) morbidity and mortality by improving access to and delivering prevention, treatment, and recovery support services to high-risk rural communities. The program focuses on expanding treatment options and enhancing treatment and recovery capacity in rural communities. By expanding the options for treatment across the care spectrum, this initiative will help rural residents access treatment and move towards recovery. The Rural Communities Opioid Response Program- Medication Assisted Treatment (MAT) Expansion advances RCORP?s overall goal by establishing and/or expanding MAT in eligible hospitals, health clinics, or tribal organizations in high-risk rural communities. RCORP-MAT Expansion aims to increase the number of access points where individuals living in rural communities with OUD can receive evidence-based treatment. The Rural Communities Opioid Response Program- Technical Assistance provides technical assistance (TA) support for rural communities engaging in activities to combat opioid use disorder (OUD). The TA efforts will enhance the organizational and infrastructural capacity of multi-sector consortiums at the community, county, state, and/or regional levels. The overall goal is the reduction of morbidity and mortality associated with opioid overdoses in high-risk rural communities. The Small Health Care Provider Quality Improvement Program aims to provide support to rural primary care providers for the planning and implementation of quality improvement activities. The ultimate goal of the program is to improve the quality and delivery of rural health care services through promoting the development of evidence-based approaches to the quality and delivery of coordinated care in the primary care setting. Additional objectives of the program include: improved health outcomes for patients; enhanced chronic disease management; and better engagement of patients and their caregivers.

General information about this opportunity
Last Known Status
Active
Program Number
93.912
Federal Agency/Office
Health Resources and Services Administration, Department of Health and Human Services
Type(s) of Assistance Offered
B - Project Grants
Program Accomplishments
Not applicable.
Authorization
Section 330A (f) of the Public Health Service Act, 42 U.S.C. 254(c) (e) (f), as amended by section 201, P.L. 107-251 of the Health Care Safety Net Amendments of 2002.
Social Security Act, Part (42 U.S.C. 912(b)(5)), as amended; P.L. 115-245., Section 711(b)(5)
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
Rural Health Care Services Outreach, Rural Health Network Development and Rural Health Network Development Planning Programs: Applicants applying to these programs can be rural public or rural nonprofit private entities. These include faith-based organizations, health departments, Tribal governments whose grant-funded activities are conducted in a federally recognized Tribal area, organizations that serve migrant and seasonal farm- workers in rural areas etc. that include three or more health care providers that provide or support the delivery of health care services. The administrative headquarters of the organization must be located in a rural county or a rural zip code of an urban county. Small Health Care Provider Quality Improvement Program: This program is available to rural public or rural nonprofit private health care provider or provider of health care services, such as a critical access hospital or a rural health clinic; or network of small rural providers (including faith-based organizations and federally recognized Tribal governments) that deliver health care services in rural areas. Eligible applicants must be located in a non-metropolitan county or in a rural census tract of a metropolitan county and all services must be provided in a non-metropolitan county or rural census tract. Delta States Rural Development Network Program: This program is available to rural, nonprofit or public entities located in the eight Delta States (Alabama, Arkansas, Illinois, Kentucky, Louisiana, Mississippi, Missouri, and Tennessee) that represent a consortium of three or more diverse organizations that deliver health care services in eligible rural Delta counties/parishes. Rural Health Opioid Program: This program is available to rural public or rural nonprofit private entities (including faith-based organizations and federally recognized Tribal governments) that include three or more health care providers. The administrative headquarters/lead applicant of the organization must be located in a rural county or a rural zip code of an urban county. Delta Region Community Health Systems Development Program: Eligible applicants include domestic public, private, and non-profit organizations, including tribes and tribal organizations, and faith-based and community-based organizations. Rural Maternity and Obstetrics Management Strategies Program: Applicants applying to these programs can be public or nonprofit private entities. These include faith-based organizations, health departments, Tribal governments whose grant-funded activities are conducted in a federally recognized Tribal area, organizations that serve migrant and seasonal farm- workers in rural areas etc. that are part of a network. A network is defined as an organizational arrangement among three or more separately owned domestic public and/or private entities, including the applicant organization. For the purposes of this program, the applicant must have a network composition that includes: 1) at least two rural hospitals or CAHs; 2) at least one health center under section 330 of the Public Health Service Act (Federally Qualified Health Center (FQHC) or FQHC look-alike); 3) state Home Visiting and Healthy Start Programs if regionally available; and 4) the state Medicaid agency. Rural Communities Opioids Response Program - Planning: Eligible applicants include all domestic public or private, non-profit or for-profit, entities, including faith-based and community-based organizations, tribes, and tribal organizations, who will serve rural communities at the highest risk for substance use disorder. To ascertain rural eligibility, please refer to http://datawarehouse.hrsa.gov/RuralAdvisor/. This website can be searched by eligibility by county and by address. Federally-recognized Tribal Government and Native American Organizations are eligible to apply as long as they meet the eligibility requirements.
Beneficiary Eligibility
Medically underserved populations in rural areas will receive expanded services in rural communities where they did not previously exist.
Credentials/Documentation
Applicants should review the individual HRSA notice of funding opportunity issued under this CFDA program for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package.
What is the process for applying and being award this assistance?
Pre-Application Procedure
Preapplication coordination is required. This program is eligible for coverage under E.O. 12372, "Intergovernmental Review of Federal Programs." An applicant should consult the office or official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review. An applicant should consult the office or official designated as the single point of contact in his or her state for more information on the process the state requires to be followed in applying for assistance, if the state has selected the program for review. Environmental impact information is not required for this program. This program is eligible for coverage under E.O. 12372, "Intergovernmental Review of Federal Programs." An applicant should consult the office or official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review.
Application Procedure
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. HRSA requires all applicants to apply electronically through Grants.gov.
Award Procedure
All qualified applications will be forwarded to an objective review committee. Based on the advice 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.
Deadlines
Contact the headquarters or regional location, as appropriate for application deadlines
Approval/Disapproval Decision Time
From 6-9 months.
Appeals
Not applicable.
Renewals
Rural Health Care Services Outreach and Rural Health Network Development awards may be made for up to 3-year project periods. After initial awards, projects may be renewed non-competitively contingent upon approval of an application, availability of appropriated funds, and awardee's satisfactory performance. Rural Network Allied Health Training Program awards may be made up for 3-year project periods. After initial awards, projects may be renewed non-competitively contingent upon approval of their application, availability of appropriated funds and awardee satisfactory performance. This is a one-time only funding opportunity, the funding period ends FY 2017 (August, 2018). Rural Outreach Benefits Counseling awards may be made for up to 3-year project periods. After initial awards, projects may be renewed non-competitively contingent upon approval of their application, availability of appropriated funds and awardee satisfactory performance. This is a one-time only funding opportunity, the funding period ends FY2017 (July 2018). Rural Health Care Coordination Network Partnership Program awards may be made for up to 3-year project periods. After initial awards, projects may be renewed non-competitively contingent upon approval of their application, availability of appropriated funds and awardee satisfactory performance. This is a one-time only funding opportunity, the funding period ends FY2017 (August, 2018). Rural Health Network Development Planning Awards are available for one year project periods. The Small Health Care Provider Quality Improvement Program awards may be up to three year project periods. After initial awards, projects may be renewed non-competitively contingent upon approval of an application, availability of appropriated funds, and awardee's satisfactory performance. The Delta States Rural Development Network awards may be up to three year project periods. After initial awards, projects may be renewed non-competitively contingent upon availability approval of an application, availability of appropriated funds, and awardee's satisfactory performance. Rural Health Opioid Program awards may be made for up to 3-year project periods. After initial awards, projects may be renewed non-competitively contingent upon approval of an application, availability of appropriated funds, and awardee's satisfactory performance. The Delta Region Community Health Systems Development award may be up to 3-year project periods. After initial awards, projects may be renewed non-competitively contingent upon approval of an application, availability of appropriated funds, and awardee's satisfactory performance.
How are proposals selected?
Criteria are based on the need of the project, innovation, realistic and measurable goals and objectives, clearly defined roles of each network member, strength of applicant's management plan, community involvement, level of local commitment, costs, and program evaluation plan. Specific criteria will be included in the guidance for each program.
How may assistance be used?
All funds awarded are to be expended solely for carrying out the approved projects.
What are the requirements after being awarded this opportunity?
Reporting
Not applicable.
Auditing
In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-federal entities that expend financial assistance of $750,000 or more in federal awards will have a single or a program-specific audit conducted for that year. Non-federal entities that expend less than $750,000 a year in federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503
Records
Awardees are required to maintain grant accounting records 3 years after the date they submit the Federal Financial Report (FFR). If any litigation, claim, negotiation, audit or other action involving the award has been started before the expiration of the 3-year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3-year period, whichever is later.
Other Assistance Considerations
Formula and Matching Requirements
Statutory formula is not applicable to this assistance listing.

Matching requirements are not applicable to this assistance listing.

MOE requirements are not applicable to this assistance listing.
Length and Time Phasing of Assistance
Awards are made annually and funds are available to awardees on an as needed basis throughout the budget period. Awardee drawdown funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards.
Who do I contact about this opportunity?
Regional or Local Office
Ms. Jayne Berube, Rural Health Network Development Program Coordinator, Federal Office of Rural Health Policy, Health Resources and Services Administration, Room 17W25C 5600 Fishers Lane, Rockville, MD 20857. JBerube@hrsa.gov, Telephone :(301) 443-4281. Ms. Katherine Lloyd, Small Health Care Provider Quality Improvement Program Coordinator, Federal Office of Rural Health Policy, Health Resources and Services Administration, Room 17W23A, 5600 Fishers Lane, Rockville, MD 20857. KLloyd@hrsa.gov.Telephone: (301) 443-2933. Ms. Patricia Burbano, Delta States Rural Development Network Program Coordinator, Federal Office of Rural Health Policy, Health Resources and Services Administration, Room 17W50, 5600 Fishers Lane, Rockville, MD 20857. PBurbano@hrsa.gov. Telephone: (301) 443-7238. Ms. Cassandra Phillips, Rural Maternity and Obstetrics Management Strategies Program Coordinator, Federal Office of Rural Health Policy, Health Resources and Services Administration, Room 17W45-C, Parklawn Building, 5600 Fishers Lane, Rockville, MD 20857. CPhillips@hrsa.gov. Telephone: (301) 945-3940 Ms. Jillian Causey, Rural Health Network Development Planning Program, Federal Office of Rural Health Policy, Health Resources and Services Administration, Room 17W17A, 5600 Fishers Lane, Rockville, MD 20857. JCausey@hrsa.gov, Telephone :( 301) 443-1493. Mr. Michael Blodgett, Rural Health Opioid Program, Federal Office of Rural Health Policy, Health Resources and Services Administration, Room 17N172D, 5600 Fishers Lane, Rockville, MD 20857. MBlodgett@hrsa.gov, Telephone (301) 443-0144. Ms. Rachel Moscato, Delta Region Community Health Systems Development Program, Federal Office of Rural Health Policy, Health Resources and Services Administration, Room 17W59D, 5600 Fishers Lane, Rockville, MD 20857. RMoscato@hrsa.gov,Telephone: (301) 443-2724. Ms. Sara O'Donnell, Rural Communities Opioid Response Program- Planning, Federal Office of Rural Health Policy, Health Resources and Services Administration, Room 17W45A, 5600 Fishers Lane, Rockville, MD 20857. sodonnell@hrsa.gov, Telephone: (301) 443-0298. Ms. Allison Hutchings, Rural Communities Opioid Response Program- Implementation, Federal Office of Rural Health Policy, Health Resources and Services Administration, Room 17W17A, 5600 Fishers Lane, Rockville, MD 20857 AHutchings@hrsa.gov , Telephone: (301) 945-9819. Ms. Kiley Diop, Rural Communities Opioid Response Program- Medication Assisted Treatment Expansion, Federal Office of Rural Health Policy, Health Resources and Services Administration, Room 17W09A, 5600 Fishers Lane, Rockville, MD 20857. kdiop@hrsa.gov, Telephone: (301) 443-6666. Ms. Marcia Colburn, Rural Communities Opioid Response Program- Technical Assistance, Federal Office of Rural Health Policy, Health Resources and Services Administration, Room 17W13A 5600 Fishers Lane, Rockville, MD 20857. MColburn@hrsa.gov. Telephone: (301) 443-3261.
Headquarters Office
Federal Office of Rural Health Policy
5600 Fishers Lane
Rockville, MD 20857 US
KUmali@hrsa.gov
Phone: (301) 443-7444
Website Address
http://www.hrsa.gov/ruralhealth/
Financial Information
Account Identification
75-0350-0-1-550
Obligations
(Project Grants) FY 18$2,000,000.00; FY 19 est $4,000,000.00; FY 20 Estimate Not Available FY 17$2,000,000.00; FY 16$0.00; - Delta Region Community Health Systems Development Program(Project Grants) FY 18$15,053,336.00; FY 19 est $15,012,440.00; FY 20 est $15,000,930.00; FY 17$15,016,632.00; FY 16$15,918,512.00; - Rural Health Network Development Program. (Project Grants) FY 18$10,079,939.00; FY 19 est $12,000,128.00; FY 20 est $12,000,000.00; FY 17$10,079,939.00; FY 16$10,079,870.00; - Delta States Rural Development Network Grant Program. (Project Grants) FY 18$8,854,917.00; FY 19 est $8,860,785.00; FY 20 est $6,402,876.00; FY 17$2,435,982.00; FY 16$0.00; - Rural Health Opioid Program(Project Grants) FY 18$6,155,681.00; FY 19 est $6,344,508.00; FY 20 est $6,284,692.00; FY 17$6,153,430.00; FY 16$6,235,563.00; - Small Health Care Provider Quality Improvement Program. (Project Grants) FY 18$2,000,000.00; FY 19 est $2,200,503.00; FY 20 est $2,485,000.00; FY 17$2,234,000.00; FY 16$2,400,000.00; - Rural Health Network Development Planning Program.(Project Grants) FY 18$11,769,653.00; FY 19 est $11,961,114.00; FY 20 est $11,929,394.00; FY 17$11,769,653.00; FY 16$11,744,824.00; - Rural Health Care Services Outreach Program. (Project Grants (Cooperative Agreements)) FY 18$19,000,000.00; FY 19 est $24,000,000.00; FY 20 Estimate Not Available FY 17 - Rural Communities Opioid Response Program- Planning(Project Grants) FY 18 Estimate Not Available FY 19 est $75,000,000.00; FY 20 est $34,000,000.00; - Rural Communities Opioid Response Program-Implementation(Project Grants) FY 18$0.00; FY 19 est $8,000,000.00; FY 20 Estimate Not Available - Rural Communities Opioid Response Program-MAT Expansion(Project Grants) FY 18$3,000,000.00; FY 19 est $6,000,000.00; FY 20 est $6,000,000.00; - Rural Communities Opioid Response Program-Technical Assistance(Project Grants) FY 18$0.00; FY 19 est $1,800,000.00; FY 20 est $2,400,000.00; - Rural Maternity and Obstetrics Management Strategies Program
Range and Average of Financial Assistance
Program: Rural Health Care Services Outreach Program; Maximum award: $200,000; Minimum award: $191,755; Average Award: $199,352. Program: Rural Health Network Development Planning Program; Maximum award: $100,000; Minimum award: $ $94,698; Average Award: $99,744. Program: Rural Health Network Development Program; Maximum award: $300,000; Minimum award: $199,562; Average Award: $294,362. Program: Delta States Rural Development Network Program; Maximum award: $945,000; Minimum award: $584,999; Average Award: $839,995. Program: Small Health Care Provider Quality Improvement Program; Maximum award: $200,000; Minimum award: $167,431; Average Award: $198,265. Program: Rural Health Opioid Program; Maximum award: $250,000; Minimum award: $173,934; Average Award: $246,133. Program: Delta Region Community Health Systems Development; Maximum award $4,000,000; Minimum award $4,000,000. Average Award: $4,000,000. Program: Rural Maternity and Obstetrics Management Strategies Program; Maximum award: $600,000; minimum awards: TBD; Average Award: Yet to be Determined Program: Rural Communities Opioid Response Program- Planning: Maximum award $200,000; Minimum award $200,000. Average award: $200,000 Program: Rural Communities Opioid Response Program- Implementation: Maximum award $1,000,0000; Minimum award $1,000,000. Average award: $1,000,000 Program: Rural Communities Opioid Response Program- Medication Assisted Treatment Expansion: Maximum award: $725,000; Minimum award: $725,000. Average award: $725,000 Program: Rural Communities Opioid Response Program- Technical Assistance: Maximum Award: $6,000,000; Minimum award: $3,000,000. Average award: $6,000,000
Regulations, Guidelines and Literature
This program is subject to the provisions of 45 CFR Part 92 for state, local and tribal governments and 45 CFR Part 74 for institutions of higher education, hospitals, other nonprofit organizations and commercial organizations, as applicable. HRSA awards are subject to the requirements of the HHS Grants Policy Statement (HHS GPS) that are applicable based on recipient type and purpose of award. The HHS GPS is available at http://www.hrsa.gov/grants.
Examples of Funded Projects
Not applicable.

 


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