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Rural Health Care Services Outreach Program


Additional Links

Notice of Funding Opportunity (


Application Deadline: Dec 15, 2020


Federal Office of Rural Health Policy (FORHP)


Awards grant funds to establish outreach programs to strengthen the delivery of healthcare services to rural and underserved populations. Supports the development and implementation of service delivery models tailored to the unique needs of local rural communities and regions. Outreach program goals include:

  • Expand new and enhanced healthcare services exclusively in rural communities
  • Establish a strong consortium of local healthcare and social service providers engaged in planning and delivery of services
  • Utilize community engagement and innovative, evidence-based or evidence-informed models to deliver healthcare services
  • Improve population health and demonstrate health outcomes and sustainability

In addition to a Regular Outreach program track, funding is available in fiscal year 2021 through the Healthy Rural Hometown Initiative (HRHI) track. The HRHI track is designed to help communities address underlying risk factors, social determinants of health (SDOH), and other systemic issues that lead to rural health disparities related to the five leading causes of avoidable death in the United States, which include:

  • Heart disease
  • Cancer
  • Substance use/unintentional injury
  • Chronic lower respiratory disease
  • Stroke

The program encourages projects focused on achieving health equity by addressing the specific needs of a wide range of underserved, rural population groups, including but not limited to:

  • Individuals with low income
  • Elderly populations
  • Pregnant women
  • Infants
  • Adolescents
  • Minority populations
  • Individuals with special healthcare needs

Amount of Funding

Award ceiling:

  • Regular Outreach track - $200,000 per year
  • HRHI track - $250,000 per year

Estimated number of awards

  • 45 Regular Outreach awards
  • 15 HRHI awards

Project period: 4 years
Estimated total program funding: $12,7500,000

Approximately $9,000,000 of the total program funding is available for Regular Outreach funding with approximately $3,750,000 available for Health Rural Hometown Initiative (HRHI) awards.

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 may be located in a rural or urban area but must demonstrate experience or the capacity to serve rural, underserved populations. All areas served by the project must be located 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.

Applicant organizations must represent a consortium comprised of at least 3 or more healthcare provider organizations, including the applicant organization. Consortium members may be rural or urban but at least two-thirds of the consortium must be composed of entities located in HRSA-designated rural areas, as determined by the HRSA Rural Health Grants Eligibility Analyzer. For this funding opportunity a consortium may also be a network. Additional network requirements can be found in the funding announcement.

Examples of eligible consortium members include:

  • Hospitals
  • Home health providers
  • Mental health centers
  • Primary care providers
  • Oral health providers
  • Substance use service providers
  • Rural Health Clinics (RHC)
  • Federally Qualified Health Centers (FQHC)
  • Tribal health programs
  • Social service agencies
  • Health professions schools
  • Local school districts
  • Emergency services providers
  • Community and migrant health centers
  • Black lung clinics
  • Faith-based organizations
  • Civic organizations
  • Public health agencies

Applicants should indicate in the project abstract and Attachment 12 their request for funding preference. Funding preference will be granted to applicants who can demonstrate that they meet at least one of the following qualifications:

  • Qualification 1: Health Professional Shortage Area (HPSA) preference is given to applicants located in an officially designated HPSA. Applicants can use the HPSA Find tool to determine if an address is located in a HPSA.
  • Qualification 2: Medically Underserved Community/Populations (MUC/MUPs) preference is given to applicants located in a medically underserved community or serves medically underserved populations. Applicants can use the HRSA Shortage Designation Tool to determine if an address is located in a MUC or serves a MUP.
  • Qualification 3: Focus on primary care, wellness and prevention strategies preference is given to programs that focus on primary care and wellness and prevention strategies. Applicants must include a brief justification, no more than 3 sentences, describing how their program focuses on primary care and wellness and prevention strategies.

Geographic Coverage


What This Program Funds

Capacity Building • Operating Costs and Staffing

Application Process

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

Applicants are required to notify their State Office of Rural Health (SORH) of their intent to apply to this program.


For programmatic or technical questions:
Alexa Ofori, MPH

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

Rural Awards

Examples of past awards rural communities have received are described online.

Rural communities who have received funding include:

  • Great Mines Health Center in Potosi, Missouri
  • HealtHIE Georgia Corporation in Clayton, Georgia
  • Marysville Unified School District 364 in Marysville, Kansas
  • Michigan Rural EMS Network in Marlette, Michigan
  • Goshen Medical Center, Inc. in Faison, North Carolina
  • Williamson Health & Wellness Center, Inc. in Williamson, West Virginia

Topics This Program Addresses

Community Planning and Coalition Building • Health and Wellness • Healthcare Facilities • Social Services • Substance Use Disorder