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April 27, 2023
What's New
Care Coordination Between Rural Primary Care and Telemedicine for OUD. The study tested a care coordination model in six rural primary care sites during the peak of the COVID-19 pandemic, July 2020 to January 2021. Each clinic tracked patients with opioid use disorder (OUD) as they received medication treatment delivered by an external telemedicine provider.
TANF in a Rural Context. In a project supported by the federal Administration for Children and Families, researchers gathered administrative data and conducted interviews with human services providers at 11 rural sites in Alabama, Alaska, Colorado, Iowa, Kansas, Kentucky, New York, Ohio, Pennsylvania, and South Carolina. The resulting brief provides a series of lessons learned and practitioners' recommendations for the use of federal funding through the Temporary Assistance for Needy Families Program, also known as TANF. For almost 30 years, TANF has provided an annual block grant to states that gives them flexibility to design state-based programs for low-income families with children. In interviews, TANF program staff and members of community partner organizations described various caseload management approaches, service delivery models, and adaptations for their rural contexts.
New Report on Use of Electronic Health Information Exchange. The Government Accountability Office (GAO) interviewed federal and state officials and reviewed survey data from providers to learn how use of electronic health information exchange changed since enactment of the Health Information Technology for Economic and Clinical Health (HITECH) Act in 2009. GAO found that use of electronic exchange among hospitals and physicians increased in recent years but use among small and rural hospitals was lower than that of other hospitals. This finding may be because small and rural providers are less likely to have the financial and technical resources to participate in electronic exchange—such as adequate IT staff and sufficient access to broadband internet.
Ongoing: HRSA Payment Program for RHC Buprenorphine-Trained Providers. As announced by the Substance Abuse and Mental Health Services Administration in January 2023, clinicians no longer need DATA 2000 Waiver training to prescribe buprenorphine; however, the payment program to defray earlier training costs is still active. Launched in June 2021, the initiative pays for providers who previously received a waiver to prescribe buprenorphine, a medication used to treat opioid use disorder. Rural Health Clinics (RHCs) still have the opportunity to apply for a $3,000 payment on behalf of each provider who previously trained to obtain the waiver necessary to prescribe buprenorphine after January 1, 2019. Approximately $900,000 in program funding remains available for RHCs and will be paid on a first-come, first-served basis until funds are exhausted. Send questions to DATA2000WaiverPayments@hrsa.gov.
Ongoing: The University of Vermont Center on Rural Addiction, a HRSA Rural Center of Excellence on Substance Use Disorders, offers an incentive to help defray previous training costs of $750 to each qualifying provider who obtained a DATA-Waiver. To qualify, providers must be practicing in a HRSA-designated rural county in Vermont, Maine, New Hampshire, or Northern New York. To apply for the $750 payment, providers should contact cora@uvm.edu.
COVID-19 Resources
Rural Health Clinic COVID-19 Distribution Programs - Vaccines, Testing Supplies, Therapeutics. As a reminder, CMS-certified Rural Health Clinics (RHCs) can receive COVID-19 vaccines, testing supplies, and COVID-19 antivirals directly from HRSA. Please reference the linked websites for additional information and enrollment instructions. Technical assistance resources for these programs are available through the National Association of Rural Health Clinics. Note: The Pfizer-BioNTech COVID-19 bivalent vaccine for people 12 years of age and older is available to order through RHC Vaccine Distribution Program in both single and multi-dose vials. The single-dose option responds to widespread requests to allow greater flexibility for RHCs that may not have the demand or capacity to store multi-dose vials. Contact RHCVaxDistribution@hrsa.gov for more information.
HHS/DoD National Emergency Tele-Critical Care Network. A joint program of the U.S. Department of Health & Human Services (HHS) and the U.S. Department of Defense (DoD) is available at no cost to hospitals caring for COVID-19 patients. Teams of critical care clinicians - critical care physicians, nurses, respiratory therapists, and other specialized clinical experts – are available to deliver virtual care through telemedicine platforms, such as an app on a mobile device. Hear from participating clinicians, and email to learn more and sign up.
Mobilizing Health Care Workforce via Telehealth. ProviderBridge.org was created by the Federation of State Medical Boards through the CARES Act and the FORHP-supported Licensure Portability Grant Program. The site provides up-to-date information on emergency regulation and licensing by state as well as a provider portal to connect volunteer health care professionals to state agencies and health care entities.
Online Resource for Licensure of Occupational Therapists, Physical Therapists, Psychologists, and Social Workers. The site provides up-to-date information on emergency regulation and licensing in each state.
Funding and Opportunities
HRSA Needs Rural Reviewers for Grant Applications
SAMHSA American Indian and Alaska Native Behavioral Health Center of Excellence – May 26. The Substance Abuse and Mental Health Services Administration (SAMHSA) will award $1.5 million per year to a single entity. The Center of Excellence will develop and disseminate culturally informed, evidence-based behavioral health information and provide technical assistance on issues addressing behavioral health disparities.
DOJ Tribal Victim Services Set-Aside Formula Program – June 1. The U.S. Department of Justice (DOJ) will make 263 awards, each ranging from $250,000 to $1 million. Among many approved activities, the funding may be used for direct services for crime victims and community outreach and education.
HRSA Screening and Treatment for Maternal Mental Health and SUD – June 2. HRSA will make 14 awards, each up to $750,000, to expand health care providers’ capacity to screen, assess, treat, and refer pregnant and postpartum people for maternal mental health and substance use disorders. Eligible applicants are States, Indian Tribes, and Tribal organizations.
HRSA State Maternal Health Innovation Program – June 2. Through its Maternal and Child Health Bureau, HRSA will make 23 awards with total funding of $23 million. The grants will support state-led demonstrations focused on improving maternal health and addressing disparities through quality services, a skilled workforce, enhanced data quality and capacity and innovative programming.
SAMHSA Partnerships for Success for Communities, Local Governments, University, Colleges, and Tribes/Tribal Organizations – June 5. The Substance Abuse and Mental Health Services Administration (SAMHSA) plans 44 awards, each up to $375,000 per year for up to five years. The funding is intended to community-based substance misuse prevention and promote mental health services. Eligibility includes public and private, nonprofit entities, Tribal organizations, and institutions of higher education. A separate but related opportunity from SAMHSA, Partnerships for Success for States – June 5, will make 14 awards, each up to $1.25 million per year.
USDA Rural Housing Preservation Grants – June 5. The U.S. Department of Agriculture (USDA) will make 160 awards with total investment of $18.5 million to help low-income, rural homeowners repair and rehabilitate their homes. Eligibility is NOT individual homeowners, but rather state and local governments, nonprofit organizations, and federally recognized Tribes.
CDC Strengthening Public Health Systems and Services in Indian Country – June 6. The Centers for Disease Control and Prevention (CDC) will make 25 awards with total funding of $75 million. The five-year project aims to strengthen the quality, performance, and infrastructure of tribal public health systems, including workforce, data and information systems, and programs and services.
HRSA Maternal Health Research Collaborative for Minority-Serving Institutions – June 12. HRSA’s Maternal and Child Health Bureau (MCHB) announced 16 grants with total funding of $7.4 million for minority-serving institutions of higher education and/or research. The program intends to establish a network researching disparities in maternal mortality to find community-based solutions. MCHB will also make an award of $2.3 million to one minority-serving institution that will support the network with technical assistance.
DOL Workforce Opportunities for Rural Communities (WORC) for Appalachian, Delta, and Northern Border Regions – June 13. The U.S. Department of Labor (DOL) will make 35 awards with total funding of $44.2 million. This is the fifth round of WORC Initiative grants for community partnerships to promote new, sustainable job opportunities in these three regions.
IHS Tribal Self-Governance Program Planning – June 20. The Indian Health Service (IHS) provides planning resources to tribes interested in participating in the Tribal Self-Governance Program (TSGP), which gives tribes the authority to manage and tailor healthcare programs in a manner that best fits the needs of their communities.
USDA Rural Utilities Service Broadband Technical Assistance – June 20. The U.S. Department of Agriculture (USDA) will make 25 awards, each between $50,000 and $1 million to expand broadband into rural areas. Examples of broadband technical assistance projects may include conducting feasibility studies, completing network designs, and developing broadband financial assistance applications.
Policy Updates
Send questions to ruralpolicy@hrsa.gov.
See What’s New for New Report on Use of Electronic Health Information.
Learning Events and Technical Assistance
CMS Rural Health Open Door Forum – Thursday, April 27 at 2:00pm ET. The Centers for Medicare & Medicaid Services (CMS) addresses issues for Rural Health Clinics, Critical Access Hospitals, and Federally Qualified Health Centers, as well other topics relevant to rural providers. The next Rural Health ODF will focus on CMS Waivers, Flexibilities, the Transition Forward from the COVID-19 Public Health Emergency, and recently published Medicare proposed payment rules. This call will be Conference Call Only. To participate by phone dial 1-888-455-1397 and reference conference passcode 4325849.
HRSA on Emerging Threat of Congenital Syphilis – Friday, April 28 at 12:00 pm ET. HRSA’s Bureau of Primary Health Care and Maternal and Child Health Bureau will explore treatment and care models in response to a dramatic rise in the rate of congenital syphilis – reported to be an increase of 291 percent between 2015 and 2019, and related to illicit drug use.
Technical Assistance for Rural Emergency Hospital Conversion – Monday, May 1 at 11:00 am ET. The Rural Health Redesign Center and Mathematica will host a 60-minute webinar to provide an overview of the REH program. Participants will learn about the REH provider type, conversion and participation requirements, and no-cost technical assistance available through the Rural Emergency Hospital Technical Assistance Center for hospitals considering a conversion.
Preparing for and Delivering Value-Based Care in Rural Communities – Tuesday, May 2 at 10:30 am ET. This four-part series will provide an in-depth overview of the required competencies necessary for achieving success in a value-based environment. The FORHP-funded series is primarily intended for healthcare organizations located in Maine, New Hampshire, New York, and Vermont, but is open to all healthcare organizations interested in learning more about value-based care.
Learn About HRSA Funding Opportunities for Nursing Students and Nurses – Wednesday, May 10 at 2:30 pm ET. HRSA’s Bureau of Health Workforce holds a two-hour session to discuss opportunities for students, graduates, and nursing programs.
Save the Date: AHA Rural Health Summit for Southwest Region – Friday, May 12, Dallas, TX. The American Heart Association (AHA) may provide scholarship for those who need financial assistance to attend this conference of rural health leaders from Arkansas, Colorado, New Mexico, Oklahoma, Texas, and Wyoming.
Register for Rural Suicide Prevention Workshops – May 23, and July 25. This comprehensive training for service providers in rural communities includes special focus on youth, substance use, and Indigenous communities. The interactive workshop features video demonstrations, active discussion groups, and access to the latest research on best practices. Attendees will get free, ongoing support – including online discussion forums and monthly Q&A video calls – for one year after the workshop. This opportunity is provided by the University of Rochester Recovery Center of Excellence (COE), one of three COEs in FORHP’s rural opioid programming.
Resources of the Week
Guide to Capital Resources for Rural Communities. The National Organization of State Offices of Rural Health will continue to update this list of community development resources from national, federal, regional, and philanthropic organizations.
States’ Best Practices for Rural Economies and Health Care. Commentary from the National Governors Association Center for Best Practices summarizes themes and key takeaways from two virtual roundtables focused on equitable economic development and equitable healthcare for rural communities.
Approaching Deadlines
HRSA National Health Service Corps Scholarship Program – April 27
HRSA Nurse Education, Practice, Quality and Retention – Pathway to Registered Nurse Program – April 27
DOJ/JBS International Building Capacity for Children Impacted by Drug Crisis – April 28
HUD Section 4 Capacity Building Grants: Rural and Tribal Communities – April 28
NIH RAD-xUP CDCC Community Collaboration Mini-Grant Program – April 28
SAMHSA Historically Black Colleges and Universities Center for Excellence – April 28
USDA Rural Health and Safety Education Grants – April 28
American Association of Colleges of Osteopathic Medicine Health Policy Fellowship – April 30
ACF Tribal Maternal, Infant, and Early Childhood Home Visiting Program – Development and Implementation Grants – May 1
DOJ Tribal Sexual Assault Services Program – May 1
HRSA Nurse Faculty Loan Program – May 1
NIH Evaluating Pandemic Era Food/Housing Policies on Disparity Populations – May 1
SAMHSA Mental Health Awareness Training Grants – May 1
SAMHSA Rural Emergency Medical Services Training – May 1
USDA Farmers Market Promotion – May 2
DOJ Mentoring for Youth Affected by Opioid and Other Drug Misuse – May 4
HRSA Nurse Corps Scholarship Program – May 4
SAMHSA Developing Infrastructure for Mental Health of Children/Families in AI/AN Communities – May 5
ACF Community Economic Development Projects – May 8
CDC Overdose Data to Action: Limiting Overdose in Localities – May 8
CDC Overdose Data to Action in States – May 8
SAMHSA Cooperative Agreements to Implement Zero Suicide – May 8
SAMHSA Implementation Research in Certified Community Behavioral Health Clinics – May 8
SAMHSA Minority Fellowship Program – May 9
HRSA Rural Communities Opioid Response Program – Child and Adolescent Behavioral Health – May 12
HRSA Rural Health Care Coordination Program – May 15
SAMSHA National Strategy for Suicide Prevention – May 15
SAMHSA Tribal Behavioral Health Program – May 15
Department of Justice Tribal Researcher Capacity Building Grants – May 16
USDA Produce Prescription Program (Gus Schumacher Nutrition Incentive Program) – May 16
NIH Research to Improve Native American Health – May 17
HRSA Delta Health Systems Implementation Program – May 18
ACF Child Care Dissertation Grants – May 19
VA Staff Sergeant Fox Suicide Prevention Grants – May 19
ACL Funding One Rehabilitation Research Center for Minority Entities – May 22
SAMHSA Community Behavioral Health Clinics - Improvement and Advancement Grants – May 22
SAMHSA Certified Community Behavioral Health Clinics - Planning, Development, and Implementation Grants – May 22
SAMHSA Promoting the Integration of Primary and Behavioral Health Care – May 22
SAMHSA SUD Treatment for Racial/Ethnic Minorities at High Risk for HIV/AIDS – May 22
SAMHSA Cooperative Agreement for the Hispanic/Latino Behavioral Health Center of Excellence – May 23
HRSA Health Careers Opportunity Program – May 24
HRSA Integrated Maternal Health Services – May 24
AHRQ Safety Program for Telemedicine – May 25
SAMHSA American Indian and Alaska Native Behavioral Health Center of Excellence – May 26
USDA Healthy Meals Incentives Grants for Small/Rural School Food Authorities – May 26
Comments Requested: CMS Proposed Hospice Payment Rate Update for FY 2024 – May 30
DOJ Tribal Victim Services Set-Aside Formula Program – June 1
Comments Requested on Proposed Medicare Inpatient Rehabilitation Facility Payment Rates – June 2
HRSA Screening and Treatment for Maternal Mental Health and SUD – June 2
HRSA State Maternal Health Innovation Program – June 2
Comments Requested on Proposed Medicare Inpatient Psychiatric Payment Rates – June 5
Comments Requested: CMS Releases Proposed Skilled Nursing Facility Prospective Payment System for FY 2024 – June 5
SAMHSA Partnerships for Success for Communities, Local Governments, University, Colleges, and Tribes/Tribal Organizations – June 5
SAMHSA Partnerships for Success for States – June 5
USDA Rural Housing Preservation Grants – June 5
CDC Strengthening Public Health Systems and Services in Indian Country – June 6
Comments Requested on Proposed Medicare Hospital Payment and REH Updates – June 9
HRSA Maternal Health Research Collaborative for Minority-Serving Institutions – June 12
HRSA Maternal Health Research Collaborative for Minority-Serving Institutions - Coordinating Center – June 12
DOL Workforce Opportunities for Rural Communities (WORC) for Appalachian, Delta, and Northern Border Regions – June 13
AHRQ Small Research Projects to Advance the Science of Primary Care – June 16
IHS Tribal Self-Governance Program Planning – June 20
USDA Rural Utilities Service Community Connect Grant Program – June 20
Berkley Rural Public Health Master’s Program – August 13
UMMC Caregiver University for Alzheimer’s Support – Quarterly deadlines October 10
Ongoing Opportunities
HRSA Needs Rural Reviewers for Grant Applications
CFPB Rental Assistance Finder
Economic Development Administration Public Works/Economic Assistance Program (CARES Act Funding)
Extended Public Comment Period for FCC’s COVID-19 Telehealth Program
FCC Affordable Connectivity Program for Broadband Service
FEMA COVID-19 Funeral Assistance
HRSA Payment Program for Buprenorphine-Trained Clinicians – Until funds run out
SAMHSA 988 Suicide and Crisis Lifeline Volunteer and Job Opportunities
USDA Emergency Rural Health Care Grants (Track One only) – September 2023 or until funds run out
ACF Low Income Home Energy Assistance Program
ACF Rural Community Development Program for Rural Water Systems
AgriSafe Mental Health Training for Agricultural Producers & Families
AHRQ Health Services Research Demonstration and Dissemination Grants – October 2023
American Association of Birth Centers (AABC) Foundation - Accreditation Grants
American Heart Association Rural Health Care Outcomes Accelerator
American Indian Public Health Resource Center Technical Assistance
Appalachian Regional Commission J-1 Visa Waivers for Doctors
ASA Rural Access to Anesthesia Care Scholarship
Burroughs Wellcome Fund Seed Grants for Climate Change and Health – Quarterly through August 2023
CDC Direct Assistance to State, Tribal, Local, and Territorial Health Agencies
CDC Training Pediatric Medical Providers to Recognize ACEs
Delta Region Community Health Systems Development Program
Delta Doctors J-1 Visa Waiver Program
Department of Commerce: Economic Development Assistance Programs
Department of Labor Dislocated Worker Grants
DRA Technical Assistance for Delta Region Community Health Systems Development
EPA Drinking Water State Revolving Fund
EPA Water Infrastructure and Innovation Program
FEMA/SAMHSA Post-Disaster Crisis Counseling Assistance and Training Program
GPHC & RWJF: Rapid Cycle Research and Evaluation Grants for Cross-Sector Alignment
HRSA Seeking Nominations for Migrant Health Advisory
HRSA Technical Assistance for Look-Alike Initial Designation for the Health Center Program
Housing Assistance Council: Housing Loans for Low-Income Rural Communities
HUD Distressed Cities and Persistent Poverty Technical Assistance Program
HUD Hospital Mortgage Insurance Program
IHS Tribal Forensic Healthcare Training
IHS/DOD Medical Supplies and Equipment for Tribes (Project TRANSAM)
NARHC Certified Rural Health Clinic Professional Course
Native Americans into Medicine
Host Sites for National Environmental Public Health Internship
NIH Addressing the Impact of Structural Racism and Discrimination – Various dates until October 2025
NIH Project Talk Initiative Host Site Applications
NIH Research to Improve Native American Health – Various dates until September 2023
NIH Practice-Based Research for Primary Care Suicide Prevention – February 2023
NIH Researching Mental Health Practices in Low-Resource Settings – September 2024
NIH Researching Social, Behavioral, and Economic Impact of COVID-19 in Underserved/Vulnerable Populations – September 2024
NIH Researching the Role of Work in Health Disparities – Various dates until September 2024
NIH Special Interest Research – Pandemic Impact on Vulnerable Children and Youth – May 2024
NIH Researching Barriers to Care for HIV-Associated Comorbidities – May 2025
Nominations for Federal Advisory Commission on HIV, Viral Hepatitis, and Sexually Transmitted Diseases
Oweesta Native CDFI Loan Funds and Technical Assistance
Primary Care Development Corporation Community Investment Loans
Rural Community Assistance Corporation Community Facility Loans for Western States and Pacific Islands
Rural Community Assistance Corporation Environmental Infrastructure Loans for Western States
Rural Graduate Medical Education Planning and Development
RWJF Investigator-Initiated Research to Build a Culture of Health
RWJF Pioneering Ideas Brief Proposals
SAMHSA Training to Provide Medication Assisted Treatment
SBA Guaranteed Loans for Small Business
Southeast Rural Community Assistance Loans
Tribal Grant Writing Training
Treasury Department Opportunity Zone Economic Development Program
United South and Eastern Tribes, Inc Tribal Health Program Support
USDA Community Facilities Program
USDA Community Food Projects Technical Assistance
USDA Drinking Water and Waste Disposal for Rural and Native Alaskan Villages
USDA Economic Impact Initiative Grants
USDA Emergency Community Water Assistance Grants
USDA Healthy Food Financing Initiative Technical Assistance
USDA Multifamily Housing Loan Guarantees
USDA Intermediary Relending Program
USDA Rural Business Development Grants
USDA Rural Business Investment Program
USDA Rural Energy Savings Program
USDA SEARCH – Special Evaluation Assistance for Rural Communities and Households (for Water/Waste Projects)
USDA Summer Food Program
USDA Technical Assistance for Healthy Food Financing Initiative
USDA Telecommunications Infrastructure Loans and Loan Guarantees
USDA Funding for Rural Water and Waste Disposal Projects
USDA Water and Waste Disposal Grants to Alleviate Health Risks on Tribal Lands and Colonias
USDOT Rural Opportunities to Use Transportation for Economic Success (R.O.U.T.E.S)
Veterans Affairs Health Professional Scholarship Program
WWAMI Area Health Education Center Scholars Program
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