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Rural Health Care Services Outreach Program

Grants to USA For-Profits and Nonprofits to Improve the Delivery
of Social and Health Services to Underserved Populations

Agency Type:


Funding Source:

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

Conf. Date:


Deadline Date:

12/15/20 11:59 PM ET


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Grants to USA and territories for-profit and nonprofit entities to improve the delivery of social and health services to underserved populations. Applicants are advised that required registrations may take up to one month to complete. Funding is intended to promote rural health care services by enhancing health care delivery to rural underserved populations in the local community or region.

The overarching goals for the Outreach Program are to:

  • Expand the delivery of health care services to include new and enhanced services exclusively in rural communities;
  • Deliver health care services through a strong consortium, in which every consortium member organization is actively involved and engaged in the planning and delivery of services;
  • Utilize community engagement and evidence-based or innovative, evidence-informed model(s) in the delivery of health care services; and
  • Improve population health, and demonstrate health outcomes and sustainability

Through consortia of local health care and social service providers, communities can develop innovative approaches to challenges related to the specific health needs in rural areas that expand clinical and service capacity in rural communities. 

The Outreach Program supports and encourages creative projects that aim to confront key public health crises as evidence-based projects that address the needs of a wide range of population groups including, but not limited to, low-income populations, the elderly, pregnant women, infants, adolescents, rural minority populations, and rural populations with special health care needs.

In addition to funding Outreach programs through the Regular Outreach track, in FY 21, FORHP will also afford applicants a unique opportunity to take part in a national effort that targets rural health disparities through a second track called the “Healthy Rural Hometown Initiative.” The HRHI is an effort that seeks to address the underlying factors that are driving growing rural health disparities related to the five leading causes of avoidable death (heart disease, cancer, unintentional injury/substance use, chronic lower respiratory disease, and stroke).

All award recipients will have the opportunity to work closely with technical assistance (TA) providers throughout the four-year period of performance. The TA is provided to award recipients at no additional cost. This support is an investment made by FORHP in order to ensure the success of the awarded projects. 

GrantWatch ID#:

GrantWatch ID#: 147402

Estimated Total Program Funding:


Number of Grants:

Estimated Number and Type of Awards: Up to 60 grants total. Regular Outreach Track: Approximately 45 awards. Healthy Rural Hometown Initiatives (HRHI) Track: Approximately 15 awards.

Estimated Size of Grant:

Estimated Award Amounts:
- Regular Outreach Track: Up to $200,000 per year
- Healthy Rural Hometown Initiative (HRHI) Track: Up to $250,000 per year

Term of Contract:

Period of Performance: May 1, 2021, through April 30, 2025 (4 years)

Additional Eligibility Criteria:

Eligible Applicants:
(A) Shall be a domestic public or private, non-profit or for-profit entity with demonstrated experience serving, or the capacity to serve, rural underserved populations. This includes faith-based, community-based organizations, tribes, and tribal organizations. The applicant organization may be located in a rural or urban area, but must have demonstrated experience serving, or the capacity to serve, rural underserved populations.
(B) Shall represent a network composed of participants – (i) that include at least three or more health care provider organizations (including the applicant organization); and (ii) that may be rural, urban, nonprofit or for-profit entities, with at least 66 percent (two-thirds) of network members located in an HRSA-designated rural area1; and
(C) Shall not previously have received a grant under this subsection for the same or similar project, unless the entity is proposing to expand the scope of the project or the area that will be served through the project

You cannot use funds under this notice for the following purposes: To build or acquire real property or for construction or major renovation or alteration of any space (see 42 U.S.C. 254c(h)).

Pre-proposal Conference:

Technical Assistance Webinar:
Tuesday, October 13, 2020, 3 – 4:30 p.m. ET
Call-In Number: 1-888-282-1677
Participant Code: 2385833
Playback Number: 1-866-461-2738
Passcode: 101320

Pre-Application Information:

The due date for applications under this NOFO is December 15, 2020 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.

Estimated Award Date: 05/01/2021

Multiple applications from an organization are not allowable. Applications will not be considered for both the HRHI track and Regular Outreach track.

Each state has a SORH, and HRSA recommends making every effort to contact the SORH entity early in the application process to advise them of your intent to apply.

Required Registrations:
- You must obtain a valid DUNS number, also known as the Unique Entity Identifier (UEI), and provide that number in the application.
- You must also register with SAM and continue to maintain active SAM registration with current information at all times during which you have an active federal award or an application or plan under consideration by an agency
- registration

Registration in all systems, including and, may take up to 1 month to complete.

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To ascertain rural service areas, please refer to

Contact Information:

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

You may request additional information and/or technical assistance regarding business, administrative, or fiscal issues related to this NOFO by contacting:

Benoit Mirindi, PhD.
Senior Public Health Analyst
Division of Grants Management Operations, OFAM
Health Resources and Services Administration
5600 Fishers Lane, Mailstop 10SWH03
Rockville, MD 20857
Telephone: (301) 443-3986

Alexa Ofori, MPH
Public Health Analyst
Federal Office of Rural Health Policy
Telephone: (301) 945-3986

HRSA Contact Center
Telephone: (877) 464-4772
TTY: (877) 897-9910

GRANTS.GOV Applicant Support

CFDA Number:


Funding or Pin Number:


URL for Full Text (RFP):

Geographic Focus:

USA: Alabama;   Alaska;   Arizona;   Arkansas;   California;   Colorado;   Connecticut;   Delaware;   Florida;   Georgia;   Hawaii;   Idaho;   Illinois;   Indiana;   Iowa;   Kansas;   Kentucky;   Louisiana;   Maine;   Maryland;   Massachusetts;   Michigan;   Minnesota;   Mississippi;   Missouri;   Montana;   Nebraska;   Nevada;   New Hampshire;   New Jersey;   New Mexico;   New York City;   New York;   North Carolina;   North Dakota;   Ohio;   Oklahoma;   Oregon;   Pennsylvania;   Rhode Island;   South Carolina;   South Dakota;   Tennessee;   Texas;   Utah;   Vermont;   Virginia;   Washington, DC;   Washington;   West Virginia;   Wisconsin;   Wyoming

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

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