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Rural Residency Planning and Development Program

Grants to USA Nonprofit Hospitals, Health Clinics, and Medical
Training Consortia for Rural Medical Residency Programs

Agency Type:


Funding Source:

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

Conf. Date:


Deadline Date:

06/30/20 11:59 PM ET


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Grants to USA nonprofit hospitals, healthcare centers, community organizations, and graduate medical education consortia to establish medical training programs in rural regions. Required registrations may take several weeks to complete. The purpose of this grant program is to support the development of new rural residency programs in family medicine, internal medicine, public health and general preventive medicine (hereafter referred to as “preventive medicine”), psychiatry, general surgery, and obstetrics and gynecology, to address the physician workforce shortages and challenges faced by rural communities.

Rural residency programs are accredited medical residency training programs that primarily train residents in rural training sites for greater than 50 percent of their total time in residency, and focus on producing physicians who will practice in rural communities. One common model is the 1+2 Rural Training Track (RTT), where the first year of training occurs within a larger program, typically in an urban hospital or academic medical center, and the final two years in a rural health facility.

Program Goal

The goal for the RRPD program is for each recipient to establish a new rural residency program that is accredited by the Accreditation Council on Graduate Medical Education (ACGME) and has a strong sustainability plan for a stable future financial outlook by the end of the period of performance. All RRPD program recipients should be capable of effectively training physicians to practice in and meet the clinical needs of rural populations. As a result, the proportion of graduates from these programs entering careers in practices primarily serving rural populations is expected to markedly exceed that seen in other programs across the nation.

Program Objectives 

1. Residency Program Development: Develop a newly accredited, rural residency program in family medicine, internal medicine, preventive medicine, psychiatry, general surgery, or obstetrics and gynecology that is ready to begin training its first class of residents no later than the academic year (AY) immediately following the end of the RRPD period of performance. 

2. Program Sustainability: Have a clearly defined, factual, and validated
sustainability plan that includes ongoing funding stream(s) to sustain long-term
resident training once the program is established through the following options:

A. Qualifying under current regulatory authority for Medicare graduate
medical education (GME) payments in rural hospitals starting a new
residency training program.1 Specifically, the applicants:

i. Either have a viable direct GME Per Resident Amount or are
eligible to establish one after training residents for the first time, and
1 CMS’s criteria for determining if a program is new are in the August 27, 2009 Federal Register, page 43908:
HRSA-20-107 2

ii. Eligible for a viable indirect GME and direct GME resident cap

B. Creating an RTT program in accordance with Medicare regulations2,3

C. State or other public and/or private support

D. Combination of multiple funding streams (e.g., a hospital may have a mix
of Medicare and other public funding)

3. Graduate Tracking Plan: Provide a structured plan to track and publicly report
on residents’ career outcomes after graduation for a period of at least 5 years
after the first graduating class to determine retention in rural communities.

For additional details about these objectives, see pages 1-2 of the NOFO document in Supporting Documents below. 

GrantWatch ID#:

GrantWatch ID#: 189449

Estimated Total Program Funding:


Number of Grants:

Up to 11 grants

Estimated Size of Grant:

Up to $750,000 for the 3 year period of performance and awarded in Year 1

Term of Contract:

Period of Performance: September 1, 2020 through August 31, 2023 (3 years)

Additional Eligibility Criteria:

Eligible applicants are domestic public or private non-profit entities including domestic faith-based and community-based organizations, tribes, and tribal organizations. Specifically, these organizations include: 1) rural hospitals, 2) rural community-based ambulatory patient care centers, including federally qualified health centers (FQHC), community mental health centers or rural health clinics, 3) health centers operated by the Indian Health Service, tribe or tribal organization, or an urban Indian organization; 4) graduate medical education consortiums, including schools of allopathic medicine or osteopathic medicine, 5) entities such as faith-based and community-based organizations, capable of carrying out the grant activities.

Either the applicant organization or a consortium’s primary training partner must be located in a rural area.

Eligible applicants must demonstrate the following to be considered eligible for the
RRPD grant program:

- Rurality: Eligible applicants or the primary rural training partner* must be located in a rural
location. For applicants proposing a sustainability plan that relies on Medicare GME funding, the applicant or primary rural training partner must meet both the CMS and FORHP definition of rural. For applicants proposing other sustainability plans, the applicant or primary training partner must meet FORHP's definition of rural.
- New Program: Applications must propose to develop a newly, accredited residency program in family medicine, internal medicine, preventive medicine, psychiatry, general surgery, or obstetrics and gynecology. Applications requesting funding to expand an existing residency program are not eligible. Entities who have achieved ACGME accreditation for a residency program in the above specialties by the application closing date are not eligible.

There are certain funding restrictions associated with this award, including, but not limited to, the following unallowable costs:

- Resident salaries and benefits
- Ongoing support for resident training (e.g., as a program sustainability plan)
- Acquiring or building real property
- Major construction or major renovation of any space. Note: Minor renovations or alterations are allowable.

Pre-proposal Conference:

Technical Assistance

HRSA has scheduled the following technical assistance webinar to help you understand, prepare, and submit an application for this NOFO. The webinar will provide an overview of pertinent information in the NOFO and an opportunity for applicants to ask questions.

Day and Date: Friday, May 15, 2020
Time: 2 – 3 p.m. ET
Call-In Number: 1-800-857-5025
Participant Code: 3414395
Playback Number: 1-866-360-3307
Passcode: 51520

Pre-Application Information:

The due date for applications under this NOFO is June 30, 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.

Ensure your and registrations and passwords are current immediately! HRSA will not approve deadline extensions for lack of registration. Registration in all systems, including and, may take up to 1 month to complete.

Currently, the registration process requires information in three separate

- Dun and Bradstreet (
- System for Award Management (SAM) (
- (

How to apply:

View this opportunity on

For a list of application documents, see the Package tab (press Preview) on the page above.

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:

Nancy Gaines
Grants Management Specialist
Division of Grants Management Operations, OFAM
Health Resources and Services Administration
5600 Fishers Lane, Mailstop 10SWH03
Rockville, MD 20857
Telephone: (301) 443-5382

You may request additional information regarding the overall program issues and/or technical assistance related to this NOFO by contacting:

Sheena Johnson, MPH
Health Insurance Specialist, Federal Office of Rural Health Policy
Attention: Rural Residency Planning and Development Program
Health Resources and Services Administration
5600 Fishers Lane, Mailstop 10W65D
Rockville, MD 20857
Telephone: (301) 945-9639

CFDA Number:


Funding or Pin Number:


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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

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