Opportunity Information: Apply for HRSA 23 030

The Rural Health Network Development Program (RHND) is a discretionary grant opportunity from the U.S. Department of Health and Human Services (HHS), administered by the Health Resources and Services Administration (HRSA), designed to help rural communities strengthen their local health care systems by supporting integrated health care networks. The core idea is that rural providers and community partners can achieve more together than they can separately, especially when facing workforce shortages, service gaps, financial pressure, and shifting expectations in the health care market. Through this program, HRSA funds networks that collaborate to improve efficiency, expand access to care, coordinate services, raise the quality of basic health care, and ultimately improve health outcomes across a rural region.

RHND is built around the reality that rural health care is undergoing major change, including increased emphasis on system reform, coordination across settings, and payment models that reward outcomes rather than volume. HRSA views integrated networks as a practical way for rural organizations to adapt to these changes while also reducing duplication, lowering administrative burden, and addressing structural challenges that are common in rural areas, such as long travel distances, limited specialty services, and fragile hospital and clinic finances. The program is intended to help participating communities identify gaps in services, improve the way care is delivered across organizations, and increase the local capacity to meet community needs.

The program is organized around four main domains. First, improving access: this includes closing gaps in care, responding to workforce shortages, improving workflows, and raising the quality of services so rural residents can get needed care more reliably and closer to home. Second, expanding capacity and services: this focuses on building stronger systems by developing the knowledge, skills, organizational structures, and leadership models that allow a network to function effectively and deliver additional services over time. Third, enhancing outcomes: networks are expected to improve measurable patient outcomes and/or network performance outcomes by strengthening or expanding services, activities, or interventions. Fourth, sustainability: projects should position the network to maintain gains after grant funding ends, with a strong emphasis on readiness for value-based care and population health management, so that improvements are financially and operationally durable.

HRSA encourages applicants to pursue innovative, community-driven strategies that reflect the specific needs and circumstances of their rural communities, rather than forcing a one-size-fits-all model. At the same time, applicants are urged to align their work with key HHS priorities, including readiness for the next public health emergency, advancing health equity, addressing mental health needs, and preparing for or expanding value-based care approaches. A major emphasis is also placed on ensuring the network includes and better serves populations that have historically experienced worse outcomes and deeper inequities within rural areas, such as racial and ethnic minority groups, people experiencing homelessness, pregnant women, people with disabilities, and youth and adolescents, among others.

A strong RHND application is expected to reflect broad and diverse network membership. HRSA specifically recommends including both traditional health care providers and non-traditional or cross-sector partners to address the real drivers of rural health outcomes. Examples of potential network members include behavioral health organizations, critical access hospitals, rural health clinics, tribal organizations, community-based and social service organizations, and colleges or universities. This diversity is meant to help networks address persistent rural challenges like hospital bypass (patients leaving the area for care), fragmented service delivery, and the operational demands of new payment and quality models. By combining resources and expertise across multiple organizations, networks can design more practical and coordinated approaches that are harder for any single organization to implement alone.

One highlighted strategy within the program is adopting a "systems of care" approach. In this context, a systems of care model is a coordinated service delivery method built on community partnerships, designed to offer a broad, flexible array of services aligned around shared principles and values. The goal is to create or improve equitable systems, workflows, and strategies so patients experience smoother referrals, better follow-up, fewer gaps between services, and more consistent support across the continuum of care. HRSA frames this as one pathway to both improving access and strengthening outcomes, particularly when services need to be coordinated across multiple providers and community organizations.

From an administrative standpoint, this opportunity was released under Funding Opportunity Number HRSA-23-030 and is listed under CFDA 93.912. The award ceiling is $300,000, with an anticipated 44 awards. Eligibility is broad and includes various levels of government (state, county, city/township, special districts), independent school districts, public and private institutions of higher education, nonprofit organizations with 501(c)(3) status (other than institutions of higher education), for-profit organizations (including small businesses), and Native American tribal organizations (other than federally recognized tribal governments), with additional eligibility details referenced in the full announcement. The posting date in the provided source is August 22, 2022, with an original closing date of November 22, 2022.

  • The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Rural Health Network Development Program" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.912.
  • This funding opportunity was created on Aug 22, 2022.
  • Applicants must submit their applications by Nov 22, 2022. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $300,000.00 in funding.
  • The number of recipients for this funding is limited to 44 candidate(s).
  • Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Public and State controlled institutions of higher education, Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education, Private institutions of higher education, For profit organizations other than small businesses, Small businesses, Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for HRSA 23 030

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