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

93.912

Active

Health Resources and Services Administration (HRSA) [HHS]

Sept. 6, 2022

Sept. 6, 2022

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 Delta Region Rural Health Workforce Training Program aims to addresses the ongoing need in healthcare facilities for trained administrative support or business operations professionals in rural communities through the development of Strategic Networks that support recruitment, formal training, certification, and placement of students. 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 Care Coordination Program aims to support rural health consortiums/networks aiming to achieving the overall goals of improving access, delivery, and quality of care through the application of care coordination strategies in rural communities. In order to achieve the goal of the Care Coordination Program, applicants are required to coordinate the health care delivery services in rural communities through the following four focus areas: Collaboration, Leadership and Workforce, Improved Outcomes, and Sustainability. 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 regional approaches to risk appropriate care, 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), Level III (Subspecialty Care) or Level IV (Regional Perinatal Health Care Centers) facilities, local social services (such as state Home Visiting and Healthy Start programs), and the state Medicaid agency, as partners. The Rural Health Care Services Outreach Program provides support to rural communities to expand and enhance the delivery of health care services through a strong consortium of partners. Outreach projects utilize evidence-based or promising practice models to implement innovative approaches that address community identified health needs, improve population health, demonstrate health outcomes and sustainability. For this time, the program also includes the Healthy Rural Hometown Initiative (HRHI) to address the underlying factors that are driving growing rural health disparities related to the five leading causes of avoidable death (heart disease, cancer, unintentional injury/substance use disorder, chronic lower respiratory disease, and stroke). The Rural Northern Border Region Planning Program assists in the planning and identifying of key rural health issues in the rural Northern Border Regional Commission (NBRC) service area. The grant program supports planning activities to identify key rural health issues, assess rural health challenges, and engage in strategic planning activities to inform rural health plans across the northern border region. The ultimate goal of the program is to help underserved rural communities identify and better address their health care needs. The Rural Public Health Workforce Training Network Program expands public health capacity by establishing rural health networks to support health care job development, training and placement within rural communities in the following workforce tracks: Community Health Support, Health IT and Telehealth; Community Para-Medicine; and Case Management Staff and Respiratory Therapists. . The goal of the program is to help enhance clinical and operational capacity in order to meet increased demand to adequately address the population health needs of its rural communities affected by COVID-19. . The Rural Public Health Workforce Training Network Technical Assistance Program provides technical assistance (TA) to rural health care networks engaging in public health workforce training activities that support health care job development, training and placement. . The Rural Northern Border Region Healthcare Support Program supports rural communities within the Northern Border Regional Commission (NBRC) service area in their efforts to enhance access to health (including behavioral health); improve recruitment and retention of health care providers and assist rural hospitals and clinics in their efforts to take part in health care value efforts. 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. The Rural Communities Opioid Response Program- Implementation aims to reduce the morbidity and mortality from s substance abuse disorder (SUD), including opioid use disorder (OUD), by strengthening and expanding prevention, treatment, and recovery support services in 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 Rural Communities Opioid Response Program-Psychostimulant Support aims to strengthen and expand prevention, treatment, and recovery services for rural individuals who misuse psychostimulants to enhance their ability to access treatment and move towards recovery. Over the course of a three-year period of performance, RCORP-PS award recipients will implement a set of core psychostimulant use disorder prevention, treatment, and recovery activities. 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. The purpose of the RCORP- Neonatal Abstinence Syndrome project is to advance RCORP’s overall goal and reduce the incidence and impact of Neonatal Abstinence Syndrome (NAS) in rural communities by improving systems of care, family supports, and social determinants of health. Rural Behavioral Health Workforce Centers – Northern Border Region aims to create a collaborative approach to provide career and workforce training activities in the NBRC region, in order to assist individuals affected by a substance use disorder. The Rural Communities Opioid Response Program-Behavioral Health Care Support (RCORP-BHS) will advance RCORP’s overall goal by improving access to and quality of substance use disorder (SUD) and other behavioral health care services in rural communities. The Rural Communities Opioid Response Program-Medication Assisted Treatment Access aims to establish new MAT access points and increase the capacity for sustainable MAT service provision in rural areas that do not currently have access to MAT for SUD/OUD. The Rural Tribal COVID-19 Response Program is an initiative focused on coronavirus disease (COVID-19) by the Health Resources and Services Administration (HRSA).The purpose of the Rural Tribal COVID-19 Response Program is to provide maximum flexibility in this funding to assist tribes, tribal organizations, urban Indian health organizations, or health service providers to tribes to prevent, prepare for, and respond to the evolving needs of the novel coronavirus disease (COVID-19) in rural communities. The Rural Health Clinic Vaccine Confidence Program is an initiative by the Health Resources and Services Administration focused on COVID-19 and other infectious diseases. The purpose of this program is to address COVID-19 related health equity gaps and improve health care in rural areas by engaging Rural Health Clinics (RHCs) to improve vaccine confidence and counter vaccine hesitancy in rural communities.

B - Project Grants

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. Rural HIV/AIDS Planning Program: This program is available to rural public or rural nonprofit entities located in the seven states with a disproportionate number of HIV diagnosis in rural areas (Alabama, Arkansas, Kentucky, Mississippi, Missouri, Oklahoma, and South Carolina) that represent a consortium of three or more diverse organizations that deliver health care services in these eligible rural states. Rural Health Care Coordination Program This program is available to 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. 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. Delta Region Rural Health Workforce Training Program: Eligible applicants include domestic public, private, and non-profit organizations, including tribes and tribal organizations, faith-based and community-based organizations, and accredited domestic institutions of higher education including public or private non-profit educational entities, such as four-year colleges and universities, community colleges, technical colleges, vocational schools, Historically Black Colleges and Universities (HBCUs), Hispanic Serving Institutions (HSIs), and Tribal Colleges and Universities (TCUs) located in one of the eight states in the DRA region. 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 Northern Border Region Planning Program: Eligible applicants shall be located within the identified counties and states of the Northern Border Regional Commission (NBRC) service area and shall be a domestic public or private, non-profit or for-profit entity with demonstrated experience serving, or the capacity to serve rural underserved populations. This includes faith-based, community-based organizations, tribes, tribal organizations, and State Offices of Rural Health (SORH) and shall represent a consortium of participants – (i) that include at least three or more health care provider organizations (including the applicant organization); and (ii) that may be rural, urban, nonprofit or for-profit entities, with at least 66 percent (two-thirds) of consortium members located in a HRSA-designated rural area; and shall not previously have received an award under this subsection for the same or similar project, unless the entity is proposing to expand the scope of the project or the area that will be served through the project. Rural Public Health Workforce Training Network Program: Eligible applicants include domestic public or private, non-profit or for-profit entity with demonstrated experience serving, or the capacity to serve, rural underserved populations. This includes faith-based, community-based organizations, tribes, tribal organizations; and shall represent a network composed of participants – (i) that include at least three or more health care provider organizations (including the applicant organization); and (ii) that may be rural, urban, nonprofit or for-profit entities, with at least 66 percent (two-thirds) of network members located in a HRSA-designated rural area; and shall not previously have received a grant under this subsection for the same or similar project, unless the entity is proposing to expand the scope of the project or the area that will be served through the project. Rural Public Health Workforce Training Network Technical Assistance Program: 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. Rural Northern Border Region Healthcare Support Program: 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. 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. Rural Communities Opioid Response Program – Implementation 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. The applicant organization may be located in an urban or rural area and should have the staffing and infrastructure necessary to oversee program activities, serve as the fiscal agent for the award, and ensure that local control for the award is vested in the targeted rural communities. All activities supported by RCORP-Implementation must exclusively occur in HRSA-designated rural counties or rural census tracts in urban counties, as defined by the Rural Health Grant Eligibility Analyzer. Rural Communities Opioid Response Program – Neonatal Abstinence Syndrome Eligible applicants include all domestic public or private, non-profit, or for profit entities including accredited, academic institutions. Domestic faith-based and community-based organizations, tribes, and tribal organizations are eligible to apply. Applicants from Puerto Rico, Guam, America Samoa, the U.S. Virgin Islands, and the North Mariana Islands are eligible to apply. The applicant organization may be located in an urban or rural area. However, all activities supported by this program must exclusively occur in HRSA-designated rural counties or rural census tracts in urban counties, as defined by the Rural Health Grants Eligibility Analyzer, and serve the target populations. Rural Communities Opioid Response Program-Psychostimulant Support Eligible applicants include all domestic public or private, non-profit or for-profit entities, including faith-based and community-based organizations and federally-recognized tribes and tribal organizations. Applicants from Puerto Rico, Guam, America Samoa, the U.S. Virgin Islands, and the Northern Mariana Islands are eligible to apply. The applicant organization may be located in an urban or rural area and should have the staffing and infrastructure necessary to oversee program activities, serve as the fiscal agent for the award, and ensure that local control for the award is vested in the targeted rural communities. All activities supported by RCORP-PS (i.e., all service delivery sites) must exclusively occur in HRSA-designated rural counties or rural census tracts in urban counties, as defined by the Rural Health Grants Eligibility Analyzer Rural Communities Opioid Response Program-Behavioral Health Care Support Eligible applicants include all domestic public or private, non-profit and for-profit, entities including, but not limited to, faith-based and community-based organizations, federally recognized tribes and tribal organizations, state governments, and private institutions of higher education. In addition to the 50 U.S. states, organizations in the District of Columbia, Guam, the Commonwealth of Puerto Rico, the Northern Mariana Islands, American Samoa, the U.S. Virgin Islands, the Federated State of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau may apply. The applicant organization may be located in an urban or rural area. Rural Communities Opioid Response Program-Medication Assisted Treatment Access Eligible applicants include all domestic public or private, non-profit and for-profit, entities. In addition to the 50 U.S. states, organizations in the District of Columbia, Guam, the Commonwealth of Puerto Rico, the Northern Mariana Islands, American Samoa, the U.S. Virgin Islands, the Federated State of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau may apply. Rural Tribal COVID-19 Response Program- All tribes, tribal organizations, urban Indian health organizations, or health service providers to tribes are eligible to apply. Rural Health Clinic Vaccine Confidence – Rural health clinics as defined in section 1861(aa)(2) of the Social Security Act (42 U.S.C. 1395x(aa)(2)).

Medically underserved populations in rural areas will receive expanded services in rural communities where they did not previously exist.

93.224 - Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care)

https://sam.gov/fal/e32495909cf047db956892b54dfea827/view