Opportunity Information: Apply for HRSA 21 028
The Rural Health Clinic Technical Assistance Program is a federal funding opportunity from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), designed to strengthen Rural Health Clinics (RHCs) by providing practical, widely accessible technical assistance. The program recognizes that rural clinics often operate with lean staffing and limited administrative capacity, yet they serve millions of patients and are frequently the only local source of care, effectively functioning as the rural safety net. At the same time, the broader health care system is shifting away from volume-based reimbursement toward value-based care, with heavier emphasis on quality outcomes, cost control, population health, and smoother transitions as patients move between care settings. This opportunity is meant to help RHCs keep pace with those changes and prepare for related policy and regulatory expectations.
The core purpose is threefold. First, the program aims to identify the most important policy issues and knowledge gaps affecting RHCs, especially in areas that routinely create compliance or operational challenges. The notice highlights topics such as regulatory and program compliance, billing and reimbursement, quality improvement, best practices for disease management and care coordination, and broader RHC policy priorities. Second, it focuses on identifying and developing tools, resources, and strategies that directly address those gaps and challenges, with an emphasis on materials that are usable by small, geographically dispersed clinics. Third, it supports outreach and education to ensure RHCs and other rural stakeholders understand key issues that affect, or could affect, care delivery, including emerging policy changes and evolving expectations tied to value-based payment and quality reporting.
The funded work is expected to produce technical assistance that can realistically reach clinics spread across rural areas, meaning the resources should be easy to access and broadly applicable. While the notice is framed around clinic operations and policy readiness, it also notes that technical assistance may cover urgent public health priorities, specifically mentioning efforts to end the opioid epidemic and respond to the COVID-19 pandemic. In practice, that signals that HRSA is looking for a technical assistance approach that is responsive to real-time rural health needs while still building long-term clinic capacity in compliance, reimbursement, quality improvement, and coordinated care.
Administratively, this is a discretionary grant competition using a cooperative agreement mechanism, which typically means the awardee should expect substantial involvement from HRSA in shaping or overseeing the work compared with a standard grant. The opportunity is listed under Funding Opportunity Number HRSA-21-028 and CFDA 93.155, with an anticipated single award. The maximum funding amount (award ceiling) is $100,000. The notice lists eligibility broadly as "Others" with additional clarification expected in the full eligibility section of the announcement. The original posting date was October 20, 2020, and the original application deadline was December 21, 2020.Apply for HRSA 21 028
- The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Rural Health Clinic Technical Assistance Program" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.155.
- This funding opportunity was created on Oct 20, 2020.
- Applicants must submit their applications by Dec 21, 2020. (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 $100,000.00 in funding.
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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Rural Health Clinic Technical Assistance Program (HRSA-21-028) FAQs
What is the Rural Health Clinic Technical Assistance Program?
The Rural Health Clinic Technical Assistance Program is a federal funding opportunity from the U.S. Department of Health and Human Services (HHS), administered by the Health Resources and Services Administration (HRSA). It is designed to strengthen Rural Health Clinics (RHCs) by supporting practical, widely accessible technical assistance that clinics can actually use.
Which agency is offering this funding opportunity?
The opportunity is offered by the U.S. Department of Health and Human Services (HHS) through the Health Resources and Services Administration (HRSA).
What is the main goal of this program?
The program is intended to help Rural Health Clinics keep pace with changes in the broader health care system, especially the shift from volume-based reimbursement to value-based care. It aims to build clinic capacity around policy readiness, regulatory expectations, quality outcomes, cost control, population health, and smoother transitions of care between settings.
Why is HRSA focusing on Rural Health Clinics (RHCs) specifically?
The notice emphasizes that rural clinics often operate with lean staffing and limited administrative capacity, yet they serve millions of patients and may be the only local source of care. In many communities, RHCs function as a rural safety net, so strengthening their operational readiness and technical capabilities can have an outsized impact on access and quality.
What are the core purposes of the program?
The notice describes three core purposes:
- Identify the most important policy issues and knowledge gaps affecting RHCs, particularly those that cause common compliance or operational challenges.
- Identify and develop tools, resources, and strategies that address those gaps and challenges in ways that are usable for small and geographically dispersed clinics.
- Support outreach and education so RHCs and other rural stakeholders understand key issues affecting care delivery, including emerging policy changes and evolving value-based payment and quality reporting expectations.
What types of topics should the technical assistance address?
The notice highlights several topic areas, including:
- Regulatory and program compliance
- Billing and reimbursement
- Quality improvement
- Best practices for disease management
- Care coordination and smoother transitions between care settings
- Broader Rural Health Clinic policy priorities
- Emerging policy changes and expectations tied to value-based payment and quality reporting
Does the program relate to value-based care and quality reporting?
Yes. A central theme in the notice is preparing RHCs for health system changes that emphasize value-based care, quality outcomes, cost control, population health, and care transitions. The outreach and education component is specifically intended to help clinics understand evolving expectations tied to value-based payment and quality reporting.
What kinds of deliverables are expected from the funded work?
The funded work is expected to produce tools, resources, strategies, and education/outreach materials that can realistically reach rural clinics across large geographic areas. The emphasis is on technical assistance that is easy to access, broadly applicable, and practical for clinics with limited staffing and administrative capacity.
How should the technical assistance be designed so it can reach rural clinics?
The notice signals that resources should be widely accessible and usable by small, geographically dispersed clinics. That implies a focus on practical formats and approaches that can be distributed broadly rather than relying on intensive, clinic-by-clinic support that would be difficult to scale across rural areas.
Can the technical assistance cover urgent public health priorities?
Yes. The notice states that technical assistance may cover urgent public health priorities, specifically mentioning efforts to end the opioid epidemic and respond to the COVID-19 pandemic. This suggests HRSA is looking for an approach that can respond to real-time rural health needs while also building long-term clinic capacity.
What kind of grant mechanism is used for this opportunity?
This opportunity is a discretionary grant competition using a cooperative agreement mechanism. A cooperative agreement typically involves more substantial HRSA involvement in shaping or overseeing the work than a standard grant.
What does HRSA involvement mean under a cooperative agreement?
Based on the notice description, the awardee should anticipate substantial involvement from HRSA in the project compared with a standard grant. This can affect how the work is planned, implemented, and monitored, since the funder may be more directly engaged in program direction and oversight.
What is the Funding Opportunity Number (FON) for this program?
The Funding Opportunity Number is HRSA-21-028.
What is the CFDA number for this opportunity?
The CFDA number listed is 93.155.
How many awards does HRSA anticipate making?
The notice indicates an anticipated single award.
What is the maximum funding amount available?
The award ceiling (maximum funding amount) listed in the notice is $100,000.
Who is eligible to apply?
The notice lists eligibility broadly as "Others" and indicates that additional clarification is expected in the full eligibility section of the announcement. Based on the information provided here, the specific eligible applicant types are not fully defined.
When was the opportunity originally posted?
The original posting date was October 20, 2020.
What was the original application deadline?
The original application deadline was December 21, 2020.
What problem is this program trying to solve for rural clinics?
The program is intended to address common policy, compliance, operational, and knowledge gaps that are especially challenging for rural clinics with limited administrative capacity. It also aims to help clinics adapt to shifting reimbursement and accountability expectations, particularly those connected to value-based care and quality measures.
Is this program focused only on clinic operations, or also on policy and regulatory readiness?
It covers both. The notice is framed around clinic operations and policy readiness, with explicit emphasis on regulatory and program compliance, billing and reimbursement rules, and preparation for evolving policy changes tied to value-based payment and quality reporting.
Who is the intended audience for the outreach and education component?
The notice specifies outreach and education for Rural Health Clinics and other rural stakeholders, with the goal of ensuring they understand key issues affecting care delivery and upcoming or emerging expectations.
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