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Grants to USA Health Care Providers in Rural Areas to Improve Quality of Services

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Geographic Focus

USA: AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew York CityNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashington, DCWashingtonWest VirginiaWisconsinWyoming

USA Territories: American Samoa (USA)Guam (USA)Puerto Rico (USA)Virgin Islands (USA)Northern Mariana Islands (USA)

USA Compact Free Associations: The Federated States of Micronesia (USA)  Marshall Islands (USA)  Republic of Palau (USA)

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Small Health Care Provider Quality Improvement Program

US Department of Health and Human Services - Health Resources and Services Administration (HRSA) - Federal Office of Rural Health Policy (FORHP)

Agency: Federal

GrantWatch ID #131634

Grant Description

Grants to USA and territories nonprofit and public health care providers, hospitals, and health clinics in rural areas to improve the quality of health services. Applicants must submit their intent to apply prior to applying and are advised that required registrations may take up to one month to complete.

This notice announces the opportunity to apply for funding under the Small Health Care Provider Quality Improvement Program. The purpose of this program is to support the planning and implementation of quality improvement activities for rural primary care providers or providers of health care services, such as critical access hospitals (CAH), rural health clinics (RHC), or a network of rural health providers, serving rural residents.

The goal of the Small Health Care Provider Quality Improvement Program is to promote the development of a quality improvement culture and the delivery of cost-effective, coordinated, culturally appropriate, and equitable health care services in rural primary care settings. Specifically, program objectives include increased care coordination, enhanced chronic disease management, and improved health outcomes for patients. An additional program goal is to prepare rural health care providers for quality reporting and pay-for-performance programs. In order to achieve these goals and objectives, applicants are required to use an evidence-based model or promising practice to demonstrate the following impact areas, by the end of the four-year period of performance:

  1. Improved health outcomes,
  2. Expanded capacity for essential health care services, and
  3. Increased financial sustainability.

Program activities include, but are not limited to, providing clinical health services for rural residents and conducting community health and prevention efforts for rural communities. Applicants are highly encouraged to address the underlying factors that are driving growing rural health disparities related to the five leading causes of avoidable death, which are heart disease, cancer, unintentional injury/substance use, chronic lower respiratory disease, and stroke. Previous award recipients implemented a range of activities, such as coordinating care among network members, leveraging use of new Centers of Medicare & Medicaid (CMS) billing codes under standard fee-for-service Medicare supporting chronic care management, and integrating mental/behavioral health services into the rural primary care setting. Refer to the program’s Sourcebook and Grantee Directory for a summary of previously funded programs.

Although it is not a requirement, HRSA strongly encourages applicants to form a network and to consider including a RHC as a member in their proposal. 

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  • Native American tribal governments (Federally recognized)
  • Native American tribal organizations (other than Federally recognized tribal governments)
  • Others (see text field entitled "Additional Eligibility Criteria" for clarification)

Additional Eligibility Criteria:

Eligible applicants must:
- Be a domestic rural public or rural nonprofit private health care provider or provider of health care services, such as a critical access hospital, a rural health clinic;
- Or be another rural provider or network of small rural providers identified by the Secretary as a key source of local or regional care; and
- Not previously have received an award under this subsection for the same or similar project (see Section 3. Other below for further details about HRSA Funding History).
The applicant organization must be located in a rural area.

You cannot use funds under this notice for the following purposes:
i. To build or acquire real property, or
ii. For construction or major renovation or alteration of any space; (see 42 U.S.C. 254c(h)).
For a full list of Funding Restrictions, see page 34 of the NOFO document in Attached Files below.

Pre-proposal Conference:

HRSA has scheduled the following technical assistance:
Day and Date: Wednesday, January 26, 2022
Time: 2 – 3 p.m. ET
Call-In Number: 1-833-568-8864
Participant Code: 45653299
NOTE: The webinar will be recorded and playback information can be requested at

Pre-Application Information:

The due date for applications under this NOFO is March 22, 2022 at 11:59 p.m. ET. HRSA suggests submitting applications to at least 3 calendar days before the deadline to allow for any unforeseen circumstances.

- Date(s) to Apply: 12/21/2021 to 03/22/2022
- Estimated Award Date: 08/01/2022

Ensure your and registrations and passwords are current immediately! HRSA will not approve deadline extensions for lack of registration. Registration in all systems may take up to 1 month to complete. Currently, the registration process requires information in three separate systems:
• Dun and Bradstreet (
• System for Award Management (SAM) ( | Knowledge Base)
• (
For more information, see page 33 of the NOFO document in Attached Files, below.

You are required to notify your SORH of your intent to apply to this program. A list of all National Organization for State Offices of Rural Health can be accessed at A copy of the letter or email sent to your SORH, and any response received to your letter or email submitted to your SORH describing your proposed project, is required to be included in Attachment 3: Required Documentation from State Office of Rural Health (SORH) Letter. (Applicants located in Guam, the Commonwealth of Puerto Rico, the Northern Mariana Islands, American Samoa, the U.S. Virgin Islands, the Federated States of Micronesia, the Republic of the Marshall Islands, or the Republic of Palau that do not have the functional equivalent of a SORH are nevertheless eligible to apply.)

For more information, see

View this opportunity on

Additional Funding Information:

Estimated Total Program Funding:


Number of Grants:

Up to 40 awards

Estimated Size of Grant:

Up to $200,000 per year

Term of Contract:

Period of Performance: August 1, 2022 through July 31, 2026 (4 years)
Funding beyond the first year is subject to the availability of appropriated funds for the Small Health Care Provider Quality Improvement Program in subsequent fiscal years, satisfactory recipient progress, and a decision that continued funding is in the best interest of the Federal Government.

Contact Information:

You may request additional information and/or technical assistance regarding business, administrative, or fiscal issues related to this NOFO by contacting:
Benoit Mirindi
Grants Management Specialist,
Division of Grants Management Operations, OFAM
Health Resources and Services Administration
5600 Fishers Lane, Mailstop 10SWH03
Rockville, MD 20857
Telephone: (301) 444-6606

You may request additional information regarding the overall program issues and/or technical assistance related to this NOFO by contacting:
Kanokphan Mew Pongsiri
Public Health Analyst,
Attn: Small Health Care Provider Quality Improvement Program
Federal Office of Rural Health Policy
Health Resources and Services Administration
5600 Fishers Lane, Room 17W10D
Rockville, MD 20857
Telephone: (301) 443-2752

You may need assistance when working online to submit your application forms electronically. Always obtain a case number when calling for support. For assistance with submitting the application in, contact 24 hours a day, 7 days a week, excluding federal holidays at: Contact Center
Telephone: 1-800-518-4726 (International callers dial 606-545-5035)
Self-Service Knowledge Base:

RFP & Supporting Documents:

Full Grant Text RFP

Before starting your grant application, please review the funding source's website listed below for updates / changes / addendums / conferences / LOIs.

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