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Rural Communities Opioid Response Program – Implementation (RCORP – Implementation)


Additional Links

Notice of Funding Opportunity (


Application Deadline: Mar 12, 2021

Sponsoring Organization

Federal Office of Rural Health Policy (FORHP)


Awards funding to assist rural areas with implementing evidence-based or promising prevention, treatment, and recovery activities to address substance use disorder (SUD), including opioid use disorder (OUD), in their communities. Seeks to expand access to prevention, treatment, and recovery services for rural residents diagnosed with or at risk of OUD/SUD, their families, and other community members.

Over the 3 year project period, consortia must implement all core/required SUD/OUD prevention, treatment, and recovery activities.

Required prevention activities include:

  • Providing culturally and linguistically appropriate education to promote understanding of evidence-based OUD/SUD strategies and reduce stigma related to the disease
  • Increasing access to naloxone within the rural service area and training likely responders on naloxone administration and overdose prevention
  • Implementing year-round drug take-back programs
  • Increasing the use of school and community-based prevention programs that are evidence-based
  • Identifying and screening at-risk individuals for OUD/SUD and providing referrals to prevention, harm reduction, early intervention, treatment, or support services to lower the risk of developing OUD/SUD

Required treatment activities include:

  • Screening SUD/OUD patients for HIV, viral hepatitis, endocarditis, and other infectious diseases and providing referral or direct treatment services
  • Recruiting, training, and mentoring interdisciplinary teams of OUD/SUD clinical and social service providers certified in medication-assisted treatment (MAT), including both behavioral therapy and FDA-approved pharmacotherapy
  • Increasing the number of providers, health and social service professionals, and appropriate paraprofessionals who can identify and treat OUD/SUD by offering professional development opportunities and recruitment incentives
  • Reducing barriers to treatment by supporting integrated treatment and recovery, such as integration with primary care, behavioral health, criminal justice, dentistry, and social services
  • Strengthening partnerships with law enforcement and first responders and providing training to enhance their ability to respond to individuals with OUD/SUD and/or provide emergency treatment, especially for vulnerable populations
  • Training providers, administrative staff, and other stakeholders to optimize reimbursement for treatment through proper billing and coding across insurance types
  • Enabling individuals, families, and caregivers to find, access, and navigate evidence-based, affordable OUD/SUD treatments, home and community-based services, and social supports

Required recovery activities include:

  • Enhancing the coordination of home and community-based services and other social supports for people discharged from treatment facilities and/or criminal justice system
  • Expanding peer recovery programs and peer workforce in hospitals, emergency departments, law enforcement departments, jails, and OUD/SUD treatment programs
  • Increasing access to recovery support services through the development of recovery communities, recovery coaches, and recovery community organizations

All program activities must occur exclusively in HRSA-designated rural counties or rural census tracts in urban counties. Applicants can determine whether a specific area is designated as rural by using the Rural Health Grants Eligibility Analyzer.

Projects are encouraged that target populations which have historically experienced poorer health outcomes, disparities, and other inequities. Populations include but are not limited to:

  • Racial and ethnic minorities
  • People experiencing homelessness
  • Pregnant women
  • Youth and adolescents

Amount of Funding

Award ceiling: $1,000,000 for the three-year period of performance
Project period: 3 years
Estimated number of awards: 78
Estimated total program funding: $78,000,000

Who Can Apply

Domestic public or private, non-profit or for-profit entities, including faith-based and community-based organizations, tribes, and tribal organizations are eligible to apply.

Eligible applicants must be part of a consortium of at least four or more separately own entities, including the applicant organization. The entities should all have different employment identification numbers (EINs) and have established working relationships. Consortium members may be located in urban or rural areas, but at least 50% of consortium members involved in the proposed project must be located in HRSA-designated rural areas, as defined by the Rural Health Grants Eligibility Analyzer.

Consortium members should come from multiple sectors and disciplines that can include but are not limited to:

  • Health care providers, such as:
    • Critical Access Hospitals (CAHs) or other hospitals
    • Rural Health Clinics (RHCs)
    • Local or state health departments
    • Federally Qualified Health Centers (FQHCs)
    • Ryan White HIV/AIDS clinics and community-based organizations
    • Substance abuse treatment providers
    • Mental and behavioral health organizations or providers
    • Opioid treatment programs
  • Community members such as people in recovery, youth, parents, and grandparents
  • Individuals who have historically suffered from poorer health outcomes, disparities, and other inequities, compared to the rest of the target population
  • HIV and HCV prevention organizations
  • Entities owned or managed by people from minority groups
  • Single state agencies
  • Prisons
  • Primary Care Offices
  • State Offices of Rural Health
  • Law enforcement
  • Cooperative extension system office
  • Emergency medical services (EMS) entities
  • School systems
  • Primary care associations
  • Poison control centers
  • Maternal, infant, and early childhood home visiting program local implementing agencies
  • Healthy Start sites
  • Other social service agencies and organizations

Eligible organizations may apply for an exception allowing them to serve sites not located in a HRSA-designated rural area if they can demonstrate that the proposed site will serve rural populations and that services are related to improving health care in rural areas. In order to qualify for an exception, an applicant must meet at least one of the following criteria:

  • Critical Access Hospitals (CAHs) that are not located in HRSA-designated rural areas
  • Entities not located in a HRSA-designated rural area that are eligible to receive Small Rural Hospital Improvement (SHIP) funding
  • Applicants with a service area that encompasses partially rural counties if the service site is located in an incorporated city, town, village, or unincorporated census-designated place (CDP) with 49,999 or fewer residents determined by the Rural Health Grants Eligibility Analyzer and confirmed by 2010 Census data
  • Providers located in an urban facility that serve patients in HRSA-designated rural areas through telemedicine

Current recipients of a fiscal year (FY) 2019 or FY 2020 RCORP-Implementation award, as either the applicant organization or a consortium member, are not eligible to apply, unless an applicant meets the following criteria:

  • The target geographic rural service area in the FY 2021 application does not overlap with the area currently served by the FY 2019 or FY 2020 grant, and all FY 2021 proposed services are delivered in the new target rural service area.
  • At least 50% of consortium members must be physically located in the new service area and have each signed a letter of commitment.

Applicant organizations or consortium members that received a FY 2018, 2019, 2020 RCORP-Planning, FY 2019 RCORP MAT-Expansion, and/or FY 2020 RCORP Neonatal Abstinence Syndrome grant must demonstrate that there is no duplication of effort between their FY 2021 RCORP-Implementation proposal and any previous or current RCORP project.

Geographic Coverage


What This Program Funds

Capacity Building • New Program • Operating Costs and Staffing • Training Providers

Application Process

Application instructions, requirements, and other information can be found in the funding announcement.

Applicant webinar recording
Playback number: 888-566-0690
Passcode: 12621

Applicant webinar presentation slides
Applicant frequently asked questions


For programmatic or technical questions:
Lea Carroll

For grants management or budget questions:
Benoit Mirindi, Ph.D.

Rural Awards

Examples of past awards rural communities have received are described on the program website.

Topics This Program Addresses

Community Planning and Coalition Building • Harm Reduction • Health Education for Community and Patients • Healthcare Workforce • Infectious Diseases • Justice System • Medication-Assisted Treatment (MAT) • Mental Health • Methamphetamine • Naloxone • Opioids • Overdose Prevention • Prevention • Recovery • Social Services • Substance Use Disorder • Treatment