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Rural Communities Opioid Response Program – Neonatal Abstinence Syndrome (RCORP – NAS)


Additional Links

Notice of Funding Opportunity (


Application Deadline: Jul 24, 2020

Sponsoring Organization

Federal Office of Rural Health Policy (FORHP)


Provides funding to rural communities to reduce the incidence and impact of neonatal abstinence syndrome (NAS) among pregnant women, mothers, and women of childbearing age with a history of or who are at risk for opioid use disorder (OUD) and/or other substance use disorders (SUDs). Aims to improve systems of care, family supports, and social determinants of health for at risk women, their children, families, and caregivers in underserved rural areas by implementing evidence-based strategies that increase access to OUD/SUD prevention, treatment, and recovery services.

Recipients will select one or two of the following focus areas to better address local conditions and the needs of the target populations in their communities:

  • Improve integrated care and care coordination
  • Criminal justice
  • Increase recovery capital
  • Improve access to care via telehealth
  • Improve access to care with transportation
  • Improve provider workforce
  • Establish and/or enhance family support services

Over the 3-year period of performance, grantees are required to implement at least 2 prevention, 2 treatment, and 2 recovery strategies targeting the specific needs outlined in their selected focus areas. Additional information on allowable strategies can be found in in Section IV. of the program guidance.

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.

Amount of Funding

Award ceiling: $500,000 for the three-year period of performance
Project period: 3 years
Estimated number of awards: 30
Estimated total program funding: $15,000,000

Who Can Apply

Domestic public or private, non-profit or for-profit entities, including accredited academic institutions, 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 owned 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 2 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:

  • Healthcare 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 use treatment providers
    • Mental and behavioral health organizations or providers
    • Opioid treatment programs
  • Community members such as people in recovery, youth, parents, and grandparents
  • HIV and HCV prevention organizations
  • Single state agencies
  • Prisons
  • Primary Care Offices
  • State Offices of Rural Health
  • Law enforcement agencies
  • Cooperative extension system office
  • Emergency medical services (EMS) entities
  • School systems and universities
  • Primary care associations
  • Poison control centers
  • Maternal, infant, and early childhood home visiting program local implementing agencies
  • Healthy Start sites
  • Judges, drug courts, family courts, and other specialty courts
  • Medicaid offices, including Medicaid managed care organizations
  • Social service agencies and organizations
  • Youth serving 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 healthcare 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

Applicant organizations or consortium members that have received a current or previous RCORP grant are eligible for this opportunity but must demonstrate that there is no duplication of effort between their fiscal year (FY) 2020 RCORP-Neonatal Abstinence Syndrome 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
Applicant frequently asked questions


For programmatic or technical questions:
Monica Rousseau

For grants management or budget questions:
James Padgett

Rural Awards

Past awards communities have received are described on the program website.

Rural communities who have received funding include:

  • Coteau Des Prairies Hospital in Sisseton, South Dakota
  • Margaretville Memorial Hospital in Margaretville, New York
  • Arukah Institute of Healing, Inc. in Princeton, Illinois
  • Robeson Health Care Corporation in Pembroke, North Carolina
  • Mary Hitchcock Memorial Hospital in Lebanon, New Hampshire
  • North Country Health Consortium in Littleton, New Hampshire
  • Genesee Council On Alcoholism And Substance Abuse, Inc. in Batavia, New York
  • County of Logan in West Virginia

Topics This Program Addresses

Community Planning and Coalition Building • Healthcare Workforce • Opioids • Parents, Families, and Children • Prevention • Recovery • Substance Use Disorder • Teleservices and Technology • Treatment • Women