Opportunity Information: Apply for HRSA 24 119
The Appalachian Region Healthcare Support Program is a federal funding opportunity from the Health Resources and Services Administration (HRSA) designed to strengthen health care delivery across rural Appalachia by providing hands-on technical assistance to local health care organizations. Rather than funding direct clinical services or construction, this program funds a single technical assistance (TA) provider that will partner with rural health care organizations in Appalachian Regional Commission (ARC) counties to help them plan, prioritize, and carry out practical improvements. The overall focus is on helping these organizations become more financially stable, operationally efficient, and consistently high-performing on quality of care, so that essential services remain available locally in rural communities.
The funded TA provider will work directly with individual rural health care organizations such as critical access hospitals, small rural hospitals, rural health clinics, tribal health care facilities, and other eligible providers located in rural parts of the Appalachian Region. The work is organized around three core objectives. First, the TA provider will deliver objective, data-driven assessments of each participating organization, looking at financial condition, market share and competitive position, quality indicators, availability of local human services, and where service gaps exist. The intent is to translate these assessments into concrete, actionable changes rather than general recommendations. Second, the TA provider will help organizations identify specific clinical service lines or care areas where expanding or adapting services would meet local community needs, keep care closer to home, and simultaneously improve the organization performance in ways that support long-term sustainability. Third, the TA provider will support implementation, helping organizations put best-practice recommendations into action through tailored TA action plans, with priorities set based on local context and readiness.
Eligibility is broad in terms of organizational type, reflecting that the applicant is expected to serve as the regional technical assistance hub rather than a single hospital or clinic seeking internal support. Eligible applicants include public and private entities (nonprofit or for-profit), community-based organizations, state and local governments, special district governments, independent school districts, Native American tribal governments, and Native American tribal organizations. Applicants must be based in eligible U.S. jurisdictions, including the United States and certain territories and freely associated states (such as Puerto Rico, Guam, the U.S. Virgin Islands, and others listed in the notice). The program defines a rural health care organization as one located in a rural area within the ARC service counties; HRSA points applicants to its rural eligibility tool (https://data.hrsa.gov/tools/rural-health) to confirm rural status and to the ARC county list (https://www.arc.gov/appalachian-counties-served-by-arc) to confirm Appalachian coverage.
This opportunity is a discretionary HRSA cooperative agreement (Funding Opportunity Number: HRSA-24-119; CFDA/Assistance Listing: 93.912), meaning HRSA will have substantial involvement in the funded project compared with a typical grant and the recipient should expect active coordination, shared planning, and federal oversight consistent with cooperative agreements. HRSA anticipates making one award, with an award ceiling of $1,500,000. The original application closing date listed for this opportunity is July 25, 2024.Apply for HRSA 24 119
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Appalachian Region Healthcare Support 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 2024-06-25.
- Applicants must submit their applications by 2024-07-25. (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 $1,500,000.00 in funding.
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Native American tribal governments (Federally recognized), 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, Nonprofits that do not have a 501 (c) (3) status with the IRS, other than institutions of higher education, For-profit organizations other than small businesses, Small businesses, Others.
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Frequently Asked Questions (FAQs)
1) What is the Appalachian Region Healthcare Support Program?
The Appalachian Region Healthcare Support Program is a federal funding opportunity from the Health Resources and Services Administration (HRSA). Its purpose is to strengthen health care delivery across rural Appalachia by funding hands-on technical assistance (TA) to local rural health care organizations in Appalachian Regional Commission (ARC) counties.
2) What is the program trying to achieve overall?
The program focuses on helping rural Appalachian health care organizations become more financially stable, operationally efficient, and consistently high-performing on quality of care, so essential services remain available locally in rural communities.
3) Does this program fund direct patient care, clinical services, or construction?
No. The program is not intended to fund direct clinical services or construction. It funds technical assistance activities that help participating organizations plan, prioritize, and carry out practical improvements.
4) Who receives the award under this opportunity?
HRSA anticipates making a single award to one entity that will serve as the technical assistance provider (a regional TA hub) for rural health care organizations across the Appalachian Region.
5) What does it mean that this opportunity funds a "technical assistance provider"?
Rather than supporting one hospital or clinic for internal improvements only, this opportunity supports one organization to deliver hands-on technical assistance to multiple rural health care organizations in ARC counties. The TA provider partners with those organizations to assess needs and implement practical improvements.
6) What types of rural health care organizations are expected to receive technical assistance?
The TA provider is expected to work directly with rural health care organizations such as critical access hospitals, small rural hospitals, rural health clinics, tribal health care facilities, and other eligible providers located in rural parts of the Appalachian Region.
7) What geographic area does the program cover?
The program focuses on rural areas within ARC service counties in the Appalachian Region. Organizations must be located in rural areas and within counties served by the Appalachian Regional Commission.
8) How do applicants or participating organizations confirm whether a location is considered rural for this program?
HRSA directs users to its rural eligibility tool to confirm rural status: https://data.hrsa.gov/tools/rural-health
9) How do applicants or participating organizations confirm whether a county is in the ARC service area?
HRSA points to the ARC county list to confirm Appalachian coverage: https://www.arc.gov/appalachian-counties-served-by-arc
10) What are the core objectives of the funded technical assistance work?
The work is organized around three core objectives: (1) delivering objective, data-driven assessments of each participating organization; (2) helping organizations identify clinical service lines or care areas to expand or adapt to meet community needs and improve sustainability; and (3) supporting implementation of best-practice recommendations through tailored TA action plans.
11) What kinds of topics are included in the data-driven assessments?
The assessments are described as objective and data-driven and may examine financial condition, market share and competitive position, quality indicators, availability of local human services, and where service gaps exist.
12) Are the assessments meant to be general recommendations, or are they expected to lead to specific actions?
The intent is to translate assessments into concrete, actionable changes rather than general recommendations.
13) What is meant by helping organizations identify clinical service lines or care areas to expand or adapt?
The TA provider will help participating organizations identify specific clinical service lines or care areas where expanding or adapting services would meet local community needs, keep care closer to home, and improve organizational performance in support of long-term sustainability.
14) What does implementation support look like under this program?
Implementation support involves helping organizations put best-practice recommendations into action through tailored technical assistance action plans. Priorities are set based on local context and readiness.
15) Who is eligible to apply for this funding opportunity?
Eligible applicants include a broad range of entities, reflecting that the awardee will serve as the regional technical assistance hub. Eligibility includes public and private entities (nonprofit or for-profit), community-based organizations, state and local governments, special district governments, independent school districts, Native American tribal governments, and Native American tribal organizations.
16) Does the applicant have to be a nonprofit organization?
No. Eligible applicants may be nonprofit or for-profit public or private entities, as described in the opportunity information.
17) Do tribal governments and tribal organizations qualify to apply?
Yes. The eligibility description includes Native American tribal governments and Native American tribal organizations.
18) Where must the applicant be based?
Applicants must be based in eligible U.S. jurisdictions, including the United States and certain territories and freely associated states listed in the notice (examples mentioned include Puerto Rico, Guam, and the U.S. Virgin Islands).
19) What is the funding mechanism for this opportunity?
This opportunity is a discretionary HRSA cooperative agreement, meaning HRSA will have substantial involvement in the funded project compared with a typical grant.
20) What does "cooperative agreement" imply for the relationship with HRSA?
Because this is a cooperative agreement, the recipient should expect active coordination, shared planning, and federal oversight consistent with cooperative agreements.
21) How many awards does HRSA expect to make?
HRSA anticipates making one award.
22) What is the maximum award amount?
The award ceiling is $1,500,000.
23) What is the Funding Opportunity Number (FON)?
The Funding Opportunity Number is HRSA-24-119.
24) What is the CFDA/Assistance Listing number?
The CFDA/Assistance Listing number is 93.912.
25) What was the application closing date listed in the opportunity description?
The original application closing date listed for this opportunity is July 25, 2024.
26) Is this program intended to keep services local in rural communities?
Yes. A stated aim is to help organizations strengthen performance and sustainability so essential services remain available locally in rural communities, including by identifying service expansions or adaptations that keep care closer to home.
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