Opportunity Information: Apply for HRSA 21 027
The Rural Health Care Services Outreach Program (HRSA 21-027) is a discretionary grant opportunity from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), designed to strengthen health care delivery for underserved people living in rural communities. The program focuses on community-based solutions that expand clinical and service capacity in rural areas by funding local consortia made up of health care organizations and social service partners. Rather than supporting isolated efforts by a single entity, the Outreach Program emphasizes coordinated, on-the-ground collaboration that is shaped by local needs and aimed at measurable improvements in health.
At its core, the program’s goals are to increase access to new or enhanced health services that are provided exclusively in rural communities, and to ensure those services are delivered through a strong, active consortium in which every partner plays a real role in planning and implementation. Projects are expected to use meaningful community engagement and rely on evidence-based approaches or innovative, evidence-informed models. HRSA also places heavy emphasis on showing progress in population health, demonstrating outcomes, and building sustainability so improvements continue beyond the grant period.
For FY 2021, the program includes two tracks. The first is the Regular Outreach track, which supports four years of continuous service delivery. Under this track, recipients are expected to begin providing services right away and, during the first year, complete a strategic plan and an assessment plan to guide implementation and evaluation for the remainder of the project period. This option fits communities that already have a clear service model and are ready to launch or scale services immediately while strengthening their planning and evaluation structures early in the project.
The second track is the Healthy Rural Hometown Initiative (HRHI), created as part of a broader national effort by the HHS Rural Health Task Force to reduce rural health disparities tied to the five leading causes of avoidable death: heart disease, cancer, unintentional injury (including substance use), chronic lower respiratory disease, and stroke. This track is driven by evidence that potentially excess deaths from these causes are higher in rural areas than in urban areas, and it explicitly recognizes that rural racial and ethnic minority populations often experience even greater barriers to care and overlooked inequities. HRHI is intended for applicants who want to connect clinical interventions with upstream drivers such as social determinants of health and other systemic factors contributing to health inequity, with a clear focus on prevention, risk reduction, and better chronic condition management.
A major operational difference is that HRHI requires the first year of the four-year project to function as a planning year. During that first year, grantees focus on structured planning activities, including conducting a community assessment in coordination with HRSA, before moving into broader implementation in subsequent years. HRSA expects HRHI projects to produce improvements in health outcomes over time that can reasonably be attributed to the project’s interventions, making evaluation and attribution especially important for applicants choosing this track. HRSA indicated an intent to fund about 15 HRHI awards, with final selections drawn from top-ranked applications across both HRHI and Regular Outreach tracks.
Across both tracks, awardees receive targeted technical assistance at no additional cost throughout the four-year period of performance. This support is designed to help recipients strengthen strategy, implementation, evaluation, sustainability planning, and alignment with program goals. HRSA frames this technical assistance as a key investment to improve the likelihood that projects achieve meaningful outcomes and maintain gains after federal funding ends.
Key opportunity details include an award ceiling of $250,000 per year, an estimated 60 total awards, and a CFDA number of 93.912. The opportunity was posted September 29, 2020, with an original closing date of December 1, 2020. Eligibility is listed broadly as “Others,” with additional eligibility specifics provided in the full notice. Overall, the program funds practical, locally-driven partnerships that can expand rural health services, demonstrate results, and build durable systems of care tailored to rural realities.Apply for HRSA 21 027
- 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 Care Services Outreach 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 Sep 29, 2020.
- Applicants must submit their applications by Dec 01, 2020. (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 $250,000.00 in funding.
- The number of recipients for this funding is limited to 60 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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Rural Health Care Services Outreach Program (HRSA 21-027) FAQs
What is the Rural Health Care Services Outreach Program (HRSA 21-027)?
It is a discretionary grant opportunity from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA). The program is designed to strengthen health care delivery for underserved people living in rural communities by funding community-based, locally driven partnerships.
What is the main purpose of this grant?
The program aims to expand clinical and service capacity in rural areas by supporting coordinated, on-the-ground collaboration through local consortia. It focuses on measurable improvements in health and sustainability beyond the grant period.
Who does the program aim to serve?
The program is intended to benefit underserved people living in rural communities by increasing access to new or enhanced health services that are provided exclusively in rural communities.
What types of applicants or organizations are eligible?
Eligibility is listed broadly as "Others," with additional eligibility specifics provided in the full notice. The program is structured around applications led by a consortium rather than a single organization acting alone.
Does this program fund single-organization projects?
The program emphasizes coordinated, collaborative projects rather than isolated efforts by a single entity. It is designed to fund local consortia made up of health care organizations and social service partners.
What is a consortium in the context of this grant?
A consortium is a group of local partner organizations (including health care organizations and social service partners) that work together in a coordinated way. HRSA expects every consortium partner to play a real role in planning and implementation.
What are the core goals of the Outreach Program?
The core goals are (1) to increase access to new or enhanced health services provided exclusively in rural communities, and (2) to ensure those services are delivered through a strong, active consortium where all partners meaningfully participate.
What kinds of approaches are projects expected to use?
Projects are expected to include meaningful community engagement and use evidence-based approaches or innovative, evidence-informed models shaped by local needs.
How important are outcomes and evaluation for this program?
HRSA places heavy emphasis on demonstrating progress in population health, showing outcomes, and building sustainability. Applicants should be prepared to measure results and show improvements that align with program goals.
How long is the period of performance?
Both tracks described for FY 2021 are structured as four-year projects.
What funding amount is available?
The award ceiling is $250,000 per year.
How many awards does HRSA expect to make?
The opportunity estimates about 60 total awards across the program.
What is the CFDA number for this opportunity?
The CFDA number listed is 93.912.
When was the opportunity posted and when was it originally due?
The opportunity was posted on September 29, 2020, with an original closing date of December 1, 2020.
What are the two tracks available under this opportunity?
For FY 2021, HRSA included two tracks: (1) the Regular Outreach track and (2) the Healthy Rural Hometown Initiative (HRHI) track.
What is the Regular Outreach track?
The Regular Outreach track supports four years of continuous service delivery. Recipients are expected to begin providing services right away and complete a strategic plan and an assessment plan during the first year to guide implementation and evaluation for the rest of the project period.
When should services start under the Regular Outreach track?
Under Regular Outreach, recipients are expected to begin providing services right away, while completing planning and evaluation foundations (strategic plan and assessment plan) during the first year.
What planning is required during year one of Regular Outreach?
During the first year, Regular Outreach recipients are expected to complete a strategic plan and an assessment plan to guide implementation and evaluation for the remainder of the project.
What is the Healthy Rural Hometown Initiative (HRHI) track?
HRHI is a track created as part of a broader national effort by the HHS Rural Health Task Force to reduce rural health disparities linked to the five leading causes of avoidable death. It is intended for applicants who want to connect clinical interventions with upstream drivers like social determinants of health and other systemic factors contributing to health inequity.
Which health issues does HRHI focus on?
HRHI is tied to reducing rural health disparities related to five leading causes of avoidable death: heart disease, cancer, unintentional injury (including substance use), chronic lower respiratory disease, and stroke.
How does HRHI address health equity?
HRHI explicitly recognizes that rural racial and ethnic minority populations often face greater barriers to care and may experience overlooked inequities. The track encourages projects that address systemic factors and upstream drivers, with a focus on prevention, risk reduction, and better chronic condition management.
Is the first year different under HRHI compared to Regular Outreach?
Yes. HRHI requires the first year of the four-year project to function as a planning year. Regular Outreach expects services to start right away, while HRHI emphasizes structured planning before broader implementation in later years.
What happens during the HRHI planning year?
During the first year, HRHI grantees focus on structured planning activities, including conducting a community assessment in coordination with HRSA, before moving into broader implementation in subsequent years.
What does HRSA expect regarding evaluation and attribution under HRHI?
HRSA expects HRHI projects to produce improvements in health outcomes over time that can reasonably be attributed to the project’s interventions. This makes evaluation and attribution especially important for applicants selecting this track.
How many HRHI awards does HRSA intend to fund?
HRSA indicated an intent to fund about 15 HRHI awards, with final selections drawn from top-ranked applications across both HRHI and Regular Outreach tracks.
How will award selections be made across the two tracks?
Final selections for HRHI are expected to be drawn from top-ranked applications across both HRHI and Regular Outreach tracks, based on HRSA’s stated approach in the opportunity summary.
Is technical assistance provided to awardees?
Yes. Awardees in both tracks receive targeted technical assistance at no additional cost throughout the four-year period of performance.
What is the technical assistance intended to help with?
The technical assistance is designed to help recipients strengthen strategy, implementation, evaluation, sustainability planning, and alignment with program goals.
What does HRSA mean by sustainability in this program?
HRSA emphasizes building sustainability so improvements continue beyond the grant period, aiming for durable systems of care that maintain gains after federal funding ends.
What kind of services can be supported with these funds?
The program supports new or enhanced health services that are provided exclusively in rural communities, delivered through coordinated local partnerships, and aligned with community needs and measurable improvements in health.
What is meant by "community-based solutions" in this program?
Community-based solutions refer to approaches shaped by local needs and informed by meaningful community engagement, implemented through a local consortium that coordinates health care and social service partners.
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