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


Additional Links

Notice of Funding Opportunity (


Application Deadline: Jan 18, 2022


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.

Foundational Core Activities:

  • Track and collect data and information from consortium members for reporting requirements and to improve of services and activities
  • Develop processes to achieve financial and programmatic sustainability beyond the period of performance, including training providers, staff, and others on proper coding and billing across insurance types
  • Address the SUD-related needs of populations that have historically suffered from poorer health outcomes or health disparities, as compared to the rest of the target rural population
  • Leverage partnerships at the local/community, state, and regional levels to support the project and ensure it complements existing SUD resources

Prevention Core Activities:

  • Provide culturally and linguistically appropriate activities and programs to diverse participants in diverse environments, such as school and community centers
  • Increase access to naloxone within the rural service area and training likely responders on naloxone administration and overdose prevention
  • Identify and screen at-risk individuals for SUD/OUD, co-occurring disorders, and infectious complications, and providing referrals to prevention, harm reduction, early intervention, treatment, or support services
  • Train and strengthen collaboration with and between law enforcement and first responders to enhance their capability of responding and/or providing emergency treatment to those with SUD/OUD

Treatment and Recovery Core Activities:

  • Recruit, train, mentor, and retain interdisciplinary teams of OUD/SUD clinical and social service providers to support integrated treatment approaches, including behavioral therapy, Food and Drug Administration (FDA)-approved pharmacotherapy, and other support services
  • Establish community connections and referral systems for a seamless entry into MAT/SUD treatment from primary care, emergency departments, law enforcement/first responders, community-based organizations, social service organizations
  • Ensure connection to and coordination with home and community-based social services, such as case management, housing, employment, food assistance, and transportation, to support individuals in recovery, including those discharged from inpatient treatment facilities and/or the criminal justice system
  • Expand peer workforce to provide support in various settings, including hospitals, emergency departments, law enforcement departments, jails, SUD/OUD treatment programs, and in the community
  • Support the development of recovery support services such as recovery community organizations, recovery homes, mutual aid groups, and other recovery resources and infrastructure to expand the availability of and access to recovery support services

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
  • People who are pregnant
  • Youth and adolescents
  • LGBTQ+ persons
  • Aging adults
  • Individuals with disabilities

Amount of Funding

Award ceiling: $1,000,000 for the three-year period of performance
Project period: 3 years
Estimated number of awards: 50
Estimated total program funding: $50,000,000

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 4 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 have a demonstrated history of collaborating to address SUD/OUD in a rural area 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 1 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
  • Telehealth service delivery sites located in an urban facility that exclusively serve patients in HRSA-designated rural areas

Current recipients of a fiscal year (FY) 2020 or FY 2021 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 2022 application does not overlap with the area currently served by the FY 2020 or FY 2021 grant, and all FY 2022 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.

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 frequently asked questions


For programmatic or technical questions:
Sabrina Frost

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

For program-specific questions:

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 • Naloxone • Opioids • Overdose Prevention • Prevention • Recovery • Social Services • Substance Use Disorder • Treatment