Opportunity Information: Apply for HRSA 23 049
The Rural Maternity and Obstetrics Management Strategies (RMOMS) Program is a Health Resources and Services Administration (HRSA) funding opportunity designed to help rural communities protect and strengthen maternity and obstetric care. The program focuses on building or continuing regional collaborative networks that can improve both access to care and the quality of services for people who are pregnant or planning pregnancy in rural areas. The underlying idea is that many rural hospitals struggle to keep obstetric units open and staffed, so coordinated regional strategies and shared resources are often necessary to maintain safe, reliable maternity care close to home.
RMOMS is built around five major goals. First, awardees are expected to identify and put into practice evidence-based, sustainable care delivery models that work in rural hospitals and rural community settings. Second, the program aims to preserve and expand access to maternal and obstetric services by creating a workable plan to aggregate, coordinate, and sustain the full maternity care continuum, including preconception care, prenatal care, pregnancy management, labor and delivery, and postpartum services. Third, the program supports training and upskilling for health professionals who work in settings that do not have specialty maternity care, which is common in rural regions where clinicians may need broader competencies and stronger referral support. Fourth, applicants are expected to partner with academic institutions or similar entities that can provide regional clinical expertise, specialty consultation, and provider support, including through telehealth and other distance-based modalities; these partners can also help identify local barriers to providing care and develop strategies to overcome them. Fifth, RMOMS places a clear emphasis on measuring and reducing disparities in maternal and infant health outcomes, including disparities affecting rural racial and ethnic minority populations and other underserved groups.
A core feature of the program is the creation or continuation of collaborative improvement and innovation networks. These networks typically involve multiple hospitals and community partners working together rather than each facility trying to solve workforce, coverage, and quality challenges on its own. HRSA explicitly encourages applicants to propose novel or creative approaches to achieving RMOMS goals, as long as those approaches remain grounded in evidence-based practice and result in more reliable access and better outcomes for rural families.
The opportunity also has a strong accountability and measurement component. RMOMS award recipients and every participating network member are required to collect and share aggregate data so HRSA can document, track, and monitor progress across the program. This is meant to show whether the network model is improving access, quality, continuity of care, and equity over time, and to support continuous improvement work within and across rural regions.
RMOMS highlights three specific focus areas that applicants are expected to address. The first is rural hospital obstetric service aggregation, where a regional network of rural hospitals that are struggling to maintain obstetric services may concentrate or centralize certain obstetric services at a targeted rural hospital or a Critical Access Hospital (CAH) within the region, helping to sustain or revive local maternity services in a practical way. The second focus area is risk-appropriate care, which means ensuring pregnant patients receive care at the facility best suited to their clinical risk and the needs of their newborns, using appropriate risk stratification and clear pathways for consultation, transfer, and escalation when needed. The third focus area is financial sustainability, where networks are expected to work with Medicaid and other payers to demonstrate improved outcomes and potential savings, with the goal of maintaining the network and services after federal grant funding ends.
Administratively, this is a discretionary HRSA opportunity offered as a cooperative agreement, meaning recipients should expect substantial involvement and collaboration with the agency during the project. The funding opportunity number is HRSA-23-049, listed under CFDA 93.912. The award ceiling is $1,000,000, and HRSA anticipated making 2 awards under this notice. Eligible applicants include a range of organization types such as Native American tribal organizations (other than federally recognized tribal governments), nonprofit 501(c)(3) organizations (excluding institutions of higher education), for-profit organizations (including small businesses), and other entities as described in the eligibility clarification. The notice was created May 15, 2023, with an original application closing date of July 7, 2023.Apply for HRSA 23 049
- The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Rural Maternity and Obstetrics Management Strategies Program" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.912.
- This funding opportunity was created on May 15, 2023.
- Applicants must submit their applications by Jul 07, 2023. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Each selected applicant is eligible to receive up to $1,000,000.00 in funding.
- The number of recipients for this funding is limited to 2 candidate(s).
- Eligible applicants include: Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education, For profit organizations other than small businesses, Small businesses, Others (see text field entitled Additional Information on Eligibility for clarification).
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Frequently Asked Questions (FAQs)
What is the Rural Maternity and Obstetrics Management Strategies (RMOMS) Program?
The Rural Maternity and Obstetrics Management Strategies (RMOMS) Program is a Health Resources and Services Administration (HRSA) funding opportunity focused on helping rural communities protect and strengthen maternity and obstetric care. It is designed to improve access to care and the quality of services for people who are pregnant or planning pregnancy in rural areas.
Why does RMOMS focus specifically on rural maternity and obstetric care?
RMOMS is based on the reality that many rural hospitals struggle to keep obstetric units open and staffed. The program supports coordinated regional strategies and shared resources so rural communities can maintain safe, reliable maternity care closer to home.
What types of projects does RMOMS support?
RMOMS supports projects that build or continue regional collaborative networks aimed at improving rural maternity care. HRSA encourages approaches that are novel or creative, as long as they are grounded in evidence-based practice and lead to more reliable access and improved outcomes for rural families.
What are the main goals of the RMOMS Program?
RMOMS is built around five major goals:
- Identify and implement evidence-based, sustainable care delivery models that work in rural hospitals and rural community settings.
- Preserve and expand access to maternal and obstetric services by creating a workable plan to aggregate, coordinate, and sustain the full maternity care continuum (preconception through postpartum).
- Support training and upskilling for health professionals working in settings without specialty maternity care.
- Partner with academic institutions or similar entities to provide regional clinical expertise, specialty consultation, and provider support (including telehealth and other distance-based modalities), and to help identify and overcome local care barriers.
- Measure and reduce disparities in maternal and infant health outcomes, including disparities affecting rural racial and ethnic minority populations and other underserved groups.
What does RMOMS mean by a "regional collaborative network"?
RMOMS emphasizes collaborative improvement and innovation networks made up of multiple hospitals and community partners working together. The intent is to address workforce, coverage, quality, and continuity challenges through coordinated regional planning rather than expecting each facility to solve these problems alone.
What is meant by the "maternity care continuum" in RMOMS?
In RMOMS, the maternity care continuum includes preconception care, prenatal care, pregnancy management, labor and delivery, and postpartum services. Applicants are expected to propose a practical plan to coordinate and sustain this full continuum across a region.
Does RMOMS require evidence-based approaches?
Yes. RMOMS expects awardees to identify and implement evidence-based care delivery models and strategies that are sustainable in rural settings. Even when applicants propose novel or creative approaches, HRSA expects them to remain grounded in evidence-based practice.
What are the three focus areas applicants are expected to address?
RMOMS highlights three specific focus areas:
- Rural hospital obstetric service aggregation: Regional networks may concentrate or centralize certain obstetric services at a targeted rural hospital or a Critical Access Hospital (CAH) to help sustain or revive local maternity services.
- Risk-appropriate care: Ensuring pregnant patients receive care at the facility best suited to their clinical risk and newborn needs, with clear pathways for consultation, transfer, and escalation when needed.
- Financial sustainability: Working with Medicaid and other payers to demonstrate improved outcomes and potential savings to help maintain the network and services after federal grant funding ends.
What does "rural hospital obstetric service aggregation" involve?
This focus area recognizes that some rural hospitals struggle to maintain obstetric services. A network may choose to concentrate or centralize certain obstetric services at a targeted rural hospital or a Critical Access Hospital (CAH) within the region in order to sustain or revive maternity services in a practical, coordinated way.
What does RMOMS mean by "risk-appropriate care"?
Risk-appropriate care means ensuring pregnant patients receive care in the facility that best matches their clinical risk level and the needs of their newborns. This includes using appropriate risk stratification and maintaining clear pathways for consultation, transfer, and escalation when necessary.
How does RMOMS address workforce and training needs in rural communities?
RMOMS supports training and upskilling for health professionals who work in settings that do not have specialty maternity care. This is common in rural regions, where clinicians may need broader competencies and stronger referral and specialty consultation support.
Are partnerships required under RMOMS?
Applicants are expected to partner with academic institutions or similar entities that can provide regional clinical expertise, specialty consultation, and provider support. These partners can also help identify local barriers to providing care and develop strategies to overcome them.
Does RMOMS allow telehealth as part of the model?
Yes. RMOMS describes provider support and specialty consultation that can be delivered through telehealth and other distance-based modalities as part of the partnership and regional support approach.
How does RMOMS approach health equity and disparities?
RMOMS places a clear emphasis on measuring and reducing disparities in maternal and infant health outcomes, including disparities affecting rural racial and ethnic minority populations and other underserved groups.
What data collection and reporting is required under RMOMS?
RMOMS has a strong accountability and measurement component. Award recipients and every participating network member are required to collect and share aggregate data so HRSA can document, track, and monitor progress across the program. This supports continuous improvement and helps show whether the network model is improving access, quality, continuity of care, and equity over time.
Is RMOMS a grant or a cooperative agreement?
RMOMS is a discretionary HRSA opportunity offered as a cooperative agreement. This means recipients should expect substantial involvement and collaboration with HRSA during the project period.
What is the funding opportunity number for RMOMS?
The funding opportunity number is HRSA-23-049.
What is the CFDA number associated with this opportunity?
This opportunity is listed under CFDA 93.912.
How much funding is available per award under RMOMS?
The award ceiling is $1,000,000.
How many awards did HRSA anticipate making under this notice?
HRSA anticipated making 2 awards under this notice.
Who is eligible to apply for RMOMS based on the information provided?
Eligible applicants include Native American tribal organizations (other than federally recognized tribal governments), nonprofit 501(c)(3) organizations (excluding institutions of higher education), for-profit organizations (including small businesses), and other entities as described in the eligibility clarification.
When was this RMOMS notice created and when did applications close?
The notice was created May 15, 2023. The original application closing date was July 7, 2023.
What kinds of outcomes is RMOMS trying to improve?
RMOMS is intended to improve access to maternity and obstetric care, improve the quality and reliability of services across the continuum of care, strengthen continuity of care through regional coordination, and reduce disparities in maternal and infant health outcomes over time.
What does RMOMS mean by "financial sustainability" after the grant ends?
Financial sustainability focuses on maintaining the network and services after federal grant funding ends. RMOMS expects networks to work with Medicaid and other payers to demonstrate improved outcomes and potential savings that can support ongoing investment in the regional approach.
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