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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| Primary Care Training and Enhancement-Language and Disability Access (PCTE-LDA) Apply for HRSA 23 123 Funding Number: HRSA 23 123 Agency: Department of Health and Human Services, Health Resources and Services Administration Category: Health Funding Amount: $600,000 |
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