Rural Healthcare Services Programs

Active

Assistance listing
93.912
Agency
Grant awards
3,921 $3,172,709,390 in federal obligations

Program facts

Also known as
Rural Health Care Services Outreach, Rural Maternity and Obstetrics Management Strategies Program, Small Health Care Provider Quality Improvement Program, Rural Health Network Development Program
Assistance types
  • Project Grant
  • Block Grant
  • Cooperative Agreement
Treasury account
  • 75-0350-0-1-550
More information

Program details come from SAM.gov Assistance Listings. Updated . Grant award figures come from USAspending.gov.

About this program

The Department of Health and Human Services Health Resources and Services Administration funds rural healthcare services across multiple program tracks under CFDA 93.912, with the most recent grant award made on September 30, 2026. The program remains actively funded with strong recent award activity—18 awards in 2026 year-to-date, 142 in 2025, and 233 in 2023, indicating sustained federal investment in this space.

The Rural Healthcare Services Programs umbrella encompasses several distinct funding lines: the Rural Maternity and Obstetrics Management Strategies Program establishes collaborative networks to improve access to maternal and obstetric care in rural areas, including services for prenatal, labor, delivery, and postpartum care addressing maternal mortality and morbidity. The Rural Health Care Services Outreach Program supports organizations promoting expanded healthcare delivery to rural underserved populations through consortia-based innovation. The Rural Health Network Development program funds integrated health networks working toward three legislative aims—achieving efficiencies, expanding access and care quality, and strengthening the rural health care system. The Small Health Care Provider Quality Improvement Program builds capacity in small rural facilities for data-driven quality improvement with focus on chronic disease outcomes. The Rural Community Health Support Program provides technical assistance to community-based organizations and rural health stakeholders. Additionally, the Rural Communities Opioid Response Program addresses substance use disorder and opioid use disorder through prevention, treatment, and recovery services, with specific tracks for pathways (workforce development) and overdose response (immediate services).

Assistance provided is predominantly Project Grants (94 percent, 3,668 awards) with a smaller Block Grant component (6 percent, 252 awards). Combined federal dollars obligated total $3.17 billion across 3,921 awards with an additional $60 million in non-federal cost-share, indicating programs with variable match requirements. Two distinct HRSA divisions fund under this listing, jointly accounting for 100 percent of awards: one division provided 2,137 awards totaling $2.5 billion federal dollars obligated, while the second provided 1,784 awards totaling $672.9 million federal dollars obligated.

Recent awards demonstrate the program's concrete scope. Golden Valley Memorial Healthcare received $999,906 for a four-year project establishing maternal and obstetrics care in western Missouri serving 1,400 pregnant and postpartum individuals across six counties with enhanced prenatal care, mental health support, and substance use disorder services. The University of Kentucky College of Social Work received $1,794,316 for the Kentucky Rural Moms Network, a four-year workforce development and care coordination initiative addressing perinatal mental health disparities through provider training, telehealth, and community-based education across rural and Appalachian Kentucky. Rural Wisconsin Health Cooperative received $999,869 to develop creative maternity service delivery models, quality improvement infrastructure, and retention strategies across its network.

Multiple grant opportunities remain open or recently posted. The Rural Health Network Development Planning Program (HRSA-27-048, posted August 13, 2026) supports one-year planning for integrated rural healthcare networks addressing all three legislative aims, with eligible applicants including nonprofits, for-profits, tribal governments, and state/local entities with demonstrated experience serving rural populations. The Rural Maternity and Obstetrics Management Strategies Program (HRSA-27-047, posted August 13, 2026) funds collaborative improvement networks as cooperative agreements for four-year periods to expand maternal and obstetric care access. The Rural Health Network Development Program (HRSA-27-051, posted August 13, 2026) offers two tracts: the Network Advancement Tract supporting existing independent rural healthcare networks to offset structural barriers, and the Network Development Tract supporting nascent networks with planning and operational expansion funding. The Rural Communities Opioid Response Program–Overdose Response (HRSA-25-010, posted July 12, 2024) funds grants addressing immediate and short-term substance use disorder service needs through prevention, treatment, harm reduction, and recovery activities in rural areas. The Small Health Care Provider Quality Improvement Program (HRSA-26-046, posted June 16, 2026) closed with an August 6, 2026 due date and supports quality improvement capacity building in small rural facilities with focus on chronic disease management and billing integration.

Objective and description

Objective

The various programs included in this assistance listing are: Rural Health Network Development supports integrated health care networks that address health care needs of targeted rural community. Rural Health Network Development Planning assists in

Description

The Rural Health Care Services Outreach Program aims to support organizations to promote rural health care service outreach by improving and expanding the delivery of health care services to include new and enhanced services in rural areas. The program also aims to strengthen local resources and capacity in rural communities. The Rural Health Network Development supports integrated health care networks that address health care needs of targeted rural community. The goals of the program support these networks who collaborate to achieve efficiencies; expand access to, coordinate, and improve the quality of basic health care services and associated health outcomes; and strengthen the rural health care system as a whole. The Rural Health Network Development Planning Program assists in the development of an integrated rural health care network, specifically for entities without a history of formal collaborative efforts. The program uses the concept of developing networks as a strategy for linking rural health care network participants together to achieve greater collective capacity to overcome local challenges, expand access and improve the quality of care in the rural communities these organizations serve. The Small Health Care Provider Quality Improvement Program aims to provide support to rural primary care providers for the planning and implementation of quality improvement activities. The ultimate goal of the program is to improve the quality and delivery of rural health care services through promoting the development of evidence-based approaches to the quality and delivery of coordinated care in the primary care setting. Additional objectives include improved health outcomes for patients; enhanced chronic disease management; and better engagement of patients and their caregivers. The Rural Health Network Advancement Program provides startup funding to support existing Rural Health Networks expand and evolve their work to meet the growing needs of their rural member hospitals and clinics. A key part of the program is to enhance network operations and financial viability in a structure that allows networks to maintain local autonomy and responsiveness to community needs. The Rural Community Health Support Program aims to develop, deliver, and coordinate nationally available technical assistance (TA) that supports community-based organizations and rural health stakeholders serving rural populations. Goals are to improve and expand healthcare access for rural communities with a focus on 1) supporting a full range of healthcare delivery in rural communities, 2) improving chronic disease management, nutrition, and preventive services, 3) helping organizations to work better and provide higher quality care and 4) addressing emergent public health needs and priorities. The Rural Health Care Coordination Program supports creative community-based health solutions in rural communities to expand access to and coordination of care with the expectation that awardees will then be able to sustain the program after the federal funding ends. Goals include 1) expand access to and quality of health care services through care coordination strategies in rural areas; 2) utilize an innovative evidence-based, promising practice, and value-based care model(s) to improve patient health outcomes and the planning and delivery of patient-centered health care services; 3) increase collaboration among multi-sector and multidisciplinary network partnerships and 4) develop and implement deliberate and sustainable strategies of care coordination.

Eligibility

Applicant eligibility

For applicant eligibility information related to the programs in this assistance listing, refer to the applicable Notice of Funding Opportunity on grants.gov.

Beneficiary eligibility

Populations in rural areas will receive expanded services in rural communities where they did not previously exist.

Uses of assistance

All funds awarded are to be expended solely for carrying out the approved projects.

Length and time phasing of assistance

Awards are made annually and funds are available to awardees on an as needed basis throughout the budget period.

How to apply

Preapplication coordination

An applicant should consult the office or official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review.

Criteria for selecting proposals

Criteria are based on the need of the project, innovation, realistic and measurable goals and objectives, clearly defined roles of each network member, strength of applicant's management plan, community involvement, level of local commitment, costs, and program evaluation plan. Specific criteria will be included in the guidance for each program.

Award procedure

All qualified applications will be forwarded to an objective review committee. Based on the advice of the objective review committee, the HRSA program official with delegated authority is responsible for final selection and funding decisions. Notification is made in writing by a Notice of Award.

Time to approval or disapproval

From 6-9 months.

Renewals

The following language is applicable to the programs listed below: After initial awards, projects may be renewed non-competitively contingent upon approval of their application, availability of appropriated funds and awardee satisfactory performance. • Rural Health Care Coordination Program awards may be made for up to 4-year project periods (This is a one-time only funding opportunity; funding period ends FY2026 (August, 2027). • Rural Health Care Services Outreach and Rural Health Network Development awards (up to 4-year project period). • Rural Health Network Development Planning Awards (one year). • The Small Health Care Provider Quality Improvement Program awards (up to 4 years). • The Rural Maternity Obstetric Management Strategies Program awards (up to 4 years). • Rural Health Network Advancement Program awards (up to 4 years). Rural Community Health Support Program award (up to 3 years).

Grant opportunities

Opportunity Status Posted Applications due
Rural Health Network Development Planning Program HRSA-27-048 Forecasted —
Rural Maternity and Obstetrics Management Strategies Program HRSA-27-047 Forecasted —
Rural Health Network Development Program HRSA-27-051 Forecasted —
Small Health Care Provider Quality Improvement Program HRSA-26-046 Closed
Rural Community Health Support Program HRSA-26-083 Closed
Rural Communities Opioid Response Program (RCORP)-Planning HRSA-26-036 Closed
Rural Communities Opioid Response Program (RCORP)-Impact HRSA-26-037 Closed
Rural Health Network Advancement Program HRSA-26-082 Closed
Rural Program of All-Inclusive Care for the Elderly (PACE) Planning and Development HRSA-25-101 Closed
Rural Communities Opioid Response Program - Pathways HRSA-25-093 Closed
Rural Communities Opioid Response Program - Northern Border Rural Workforce HRSA-25-011 Closed
Delta Health Systems Implementation Program HRSA-25-032 Closed
Rural Health Care Services Outreach Program HRSA-25-038 Closed
Rural Health Network Development Planning Program HRSA-25-037 Closed
Rural Communities Opioid Response Program-Overdose Response HRSA-25-010 Closed
Delta Region Community Health Systems Development Program HRSA-25-033 Closed
Rural Maternity and Obstetrics Management Strategies Program (Rural MOMS) HRSA-25-041 Closed
Appalachian Region Healthcare Support Program HRSA-24-119 Closed
Delta Region Maternal Care Coordination Program HRSA-24-120 Closed
Rural Health Network Development Planning Program HRSA-24-007 Closed
Rural Health Clinic Behavioral Health Care Program HRSA-24-093 Past —
Rural Northern Border Region Outreach Program HRSA-24-083 Closed
Rural Communities Opioid Response Program - Impact HRSA-24-014 Closed
Rural Communities Opioid Response Program-Psychostimulant Support HRSA-24-012 Past —
Delta Health Systems Implementation Program HRSA-24-079 Closed
Delta Health Systems Implementation Program HRSA-23-128 Closed
Rural Health Care Coordination Program HRSA-23-125 Closed
Rural Communities Opioid Response Program-Rural Centers of Excellence on Substance Use Disorders HRSA-23-048 Forecasted —
Rural Health Clinic Behavioral Health Program HRSA-23-089 Past —
Rural Communities Opioid Response Program-Neonatal Abstinence Syndrome HRSA-23-094 Closed
Rural Communities Opioid Response Program - Child and Adolescent Behavioral Health HRSA-23-041 Closed
Rural Communities Opioid Response Program-Rural Tribal Support HRSA-23-039 Past —
Rural Communities Opioid Response Program - Overdose Response HRSA-23-038 Closed
Rural Health Network Development Program HRSA-23-030 Closed
Rural Health Network Development Planning Program HRSA-23-036 Closed
Delta States Rural Development Network Program HRSA-23-031 Closed
Rural Maternity and Obstetrics Management Strategies Program HRSA-23-049 Closed
Rural Public Health Workforce Training Network Technical Assistance Program HRSA-22-157 Closed
Delta Region Rural Health Workforce Training Program HRSA-22-164 Closed
Rural Behavioral Health Workforce Centers - Northern Border Region HRSA-22-163 Closed
Rural Communities Opioid Response Program - Medication Assisted Treatment Access HRSA-22-165 Closed
Rural Northern Border Region Healthcare Support Program HRSA-22-166 Closed
Delta Region Rural Health Workforce Training Program HRSA-22-114 Closed
Rural Public Health Workforce Training Network Program HRSA-22-117 Closed
Rural Maternity and Obstetrics Management Strategies Program HRSA-22-115 Closed
Small Health Care Provider Quality Improvement Program HRSA-22-093 Closed
Rural Community-Based Program Cohort Analysis HRSA-22-095 Past —
Rural Communities Opioid Response Program-Psychostimulant Support HRSA-22-060 Past —
Rural Communities Opioid Response Program-Behavioral Health Care Technical Assistance HRSA-22-064 Closed
Show 39 more

Latest 49 listed here. See the rest on GovTribe.

Grant awards

Award Recipient Federal obligations Awarded
Rural maternity and obstetrics management strategies program - the kentucky rural moms network is a collaborative… UK955657 The University Of Kentucky Research Foundation $1,794,316
Rural maternity and obstetrics management strategies program - rwhc's maternity services workgroup aims to develop… UK955656 Rural Wisconsin Health Cooperative $999,869
Rural maternity and obstetrics management strategies program - national trends in maternal health have worsened over… UK955655 Navicent Health Baldwin, Inc. $1,000,000
Rural maternity and obstetrics management strategies program - in response to the health resources and services… UK955654 Mcdonough District Hospital Foundation, Inc. $967,197
Rural maternity and obstetrics management strategies program - title: the connecting rural areas and disadvantaged… UK955653 Golden Valley Memorial Hospital District $999,906
Rural maternity and obstetrics management strategies program - DRH health is a private, non-profit rural community… UK955652 Duncan Regional Hospital $999,204
Rural maternity and obstetrics management strategies program - project title: georgia maternal and infant health… UK955651 Augusta University $999,999
Rural network and direct services technical assistance program - the georgia health policy center rural community… UU855816 Georgia State University $4,200,000
Rural health network development planning grant program - working together kentucky: mental healthcare for autistic… P1055582 Western Kentucky University $198,930
Rural health network development planning grant program - organization west mountain regional health alliance address… P1055581 West Mountain Regional Health Alliance $200,000

Latest 10 of 3,921 listed here. See the rest on GovTribe.

Top recipients by federal obligations

Rank Recipient Federal obligations Share
1 Customer Value Partners, LLC $54,924,472 2%
2 University Of North Dakota $39,118,297 1%
3 Delta Health Alliance, Inc. $38,674,490 1%
4 Mary Hitchcock Memorial Hospital $33,394,708 1%
5 National Rural Health Association $32,293,704 1%
6 Mainehealth $30,483,837 1%
7 Arkansas Rural Health Partnership $27,000,660 1%
8 IHC Health Services Inc. $26,637,700 1%
9 Baptist Health Deaconess Madisonville, Inc. $25,342,307 1%
10 Bighorn Valley Health Center, Inc. $23,850,000 1%

10 of 2,046 recipients listed here. See the rest on GovTribe.

Federal obligations by fiscal year

Fiscal year Federal obligations
FY2026 $83,453,693
FY2025 $535,729,766
FY2024 $217,614,189
FY2023 $240,981,402
FY2022 $334,707,135
FY2021 $296,078,601
FY2020 $98,058,833
FY2019 $93,134,274
FY2018 $57,675,094
FY2017 $52,411,896
FY2016 $49,699,197
FY2015 $48,035,346
FY2014 $46,587,188
FY2013 $44,842,111
FY2012 $46,587,066
FY2011 $44,870,322
FY2010 $43,779,586
FY2009 $44,898,224
FY2008 $20,062,376
FY2007 $25,373,866
FY2006 $24,750,000
FY2005 $356,313
FY2003 $23,577,305
FY2002 $77,105,990
FY2001 $23,937,148
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Quick answers

What is Assistance Listing 93.912?

Assistance Listing 93.912 is Rural Healthcare Services Programs, a federal grant program run by Health Resources and Services Administration (Department of Health and Human Services).

What is the CFDA number for Rural Healthcare Services Programs?

Its CFDA number is 93.912: Assistance Listing numbers were called CFDA numbers before 2018.

How much funding has Assistance Listing 93.912 awarded?

3,921 grant awards under 93.912 have obligated $3,172,709,390 in federal funds to 2,046 recipients.

Who receives the most funding from 93.912?

The recipients obligated the most under Rural Healthcare Services Programs are Customer Value Partners, LLC ($54,924,472), University Of North Dakota ($39,118,297) and Delta Health Alliance, Inc. ($38,674,490).

How much did 93.912 obligate in fiscal year 2025?

Grants under 93.912 obligated $535,729,766 in federal funds in fiscal year 2025.

Are there open grant opportunities under 93.912?

4 of the latest 49 opportunities under 93.912 are open or forecasted. The latest, Rural Health Network Development Planning Program, was posted on August 13, 2026.

On GovTribe

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