June 18, 2020 What's New New Funding Opportunity: Rural Communities Opioid Response Program-Neonatal Abstinence Syndrome (RCORP-NAS) – July 20. The Health Resources and Services Administration's (HRSA) Federal Office of Rural Health Policy (FORHP) will be making a $15 million investment, over three years, for approximately 30 grants to reduce the incidence and impact of Neonatal Abstinence Syndrome (NAS). Over a three-year project period, grant recipients will conduct a combination of prevention, treatment, and recovery activities to improve systems of care, family supports, and social determinants of health. While the focus of RCORP-NAS is primarily opioid use disorder (OUD), applicants may also choose to address additional substances of concern or substance use disorders (SUDs) among pregnant women, mothers, and women of childbearing age who have a history of, or who are at risk for, SUD/OUD and their children, families, and caregivers who reside in rural areas. Applicant organizations may be located in an urban or rural area; however, all activities supported by the program must exclusively occur in HRSA-designated rural areas. See the Events section below for an upcoming webinar for applicants. The Hidden Pandemic Behind COVID-19. Cases of domestic violence, child abuse and sexual exploitation in the time of COVID-19 appear to have risen in emergency rooms and health clinics across the country since March. The Substance Abuse and Mental Health Services Administration (SAMHSA) has published a 4-page document entitled Intimate Partner Violence and Child Abuse Considerations During COVID-19 with hyperlinks to relevant SAMHSA and non-SAMHSA resources. If you would like to view the HRSA webinar on this subject, access the recording by registering with this link. This will redirect you to the recording where you can watch the full session and download the slide presentation and resources shared. For audio replay, please use the line 866-360-7719, with passcode 52020. HRSA on Child Poverty and Mental Health. A new study published in the Journal of Children and Poverty finds an association between family economic hardship and child mental health conditions. Researchers at the Health Resources and Services Administration (HRSA) based the study on data from the 2016 and 2017 National Surveys of Children's Health, which is a nationally representative survey of U.S. Children ages 0 to 17. #WellChildWednesdays @HRSAgov. Last month, the Centers for Disease Control and Prevention assessed the impact of the pandemic on pediatric vaccinations and found a noticeable decline beginning in the week after the national emergency declaration. To help remind parents and caregivers of the need to protect children from preventable disease such as measles, the Maternal and Child Health Bureau at the Health Resources and Services Administration (HRSA) will be releasing social media messages with the hashtag #WellChildWednesdays. Message will address well visits, immunizations, adolescent and young adult care, and nutrition, safety, and mental health as topics to be discussed with pediatric providers. CDC: Trends in Occupational Lung Diseases. In its Morbidity and Mortality Weekly Report, the Centers for Disease Control and Prevention (CDC) examined deaths due to pneumoconiosis – preventable occupational lung disease caused by inhaling dust particles such as coal or mineral dust. From 1968 to 2000, death rates for all pneumoconioses decreased, though preventable deaths continue to occur. Federal Office of Rural Health Policy FAQs for COVID-19. A set of Frequently Asked Questions (FAQs) from our grantees and stakeholders, updated regularly. COVID-19 FAQs and Funding for HRSA Programs. Find all funding and frequently asked questions for programs administered by the Health Resources and Services Administration (HRSA). CDC COVID-19 Updates. The Centers for Disease Control and Prevention (CDC) provides daily updates and guidance, and ongoing Clinician Outreach and Communication Activity (COCA). Confirmed COVID-19 Cases, Metropolitan and Nonmetropolitan Counties. The RUPRI Center for Rural Health Policy Analysis provides up-to-date data and maps on rural and urban confirmed cases throughout the United States. An animated map shows the progression of cases beginning January 21. Rural Response to Coronavirus Disease 2019. The Rural Health Information Hub has created a guide to help you learn about activities underway to address COVID-19. Funding and Opportunities Please note that many deadlines for Federal funding opportunities have been extended. See Approaching Deadlines section below. IHS Tribal Forensic Healthcare Training – Ongoing. The Indian Health Service (IHS) provides clinical training courses, live and online, related to the identification, collection, and preservation of medical forensic evidence obtained during the treatment of victims of sexual and domestic violence. Participants may be medical professionals in hospitals, health clinics, and health stations within the Indian health system. USDA Technical Assistance for Healthy Food Financing Initiative – Ongoing. The U.S. Department of Agriculture (USDA) provides technical assistance for early stage healthy food access projects in underserved areas with a focus on management, financial health, and operations. Eligible applicants include public, private, and nonprofit organizations. USDA Rural Business Development Grants – Ongoing. The U.S. Department of Agriculture (USDA) provides grants for projects that benefit small and emerging businesses in rural areas. Small means that the business has fewer than 50 new workers and less than $1 million in gross revenue. Eligible applicants are rural public and private, nonprofit entities including institutions of higher education and Federally-recognized tribes. Rural Health Research Research in this section is provided by the HRSA/FORHP-supported Rural Health Research Gateway. Sign up to receive alerts when new publications become available. Major Depression, Treatment Receipt, and Treatment Sources Among Non-Metropolitan and Metropolitan Adults. Major depression remains a relatively common health problem, but little is known about the prevalence of major depression and its treatment in non-metropolitan areas as compared to metropolitan areas . Using 2017 data from the National Survey on Drug Use and Health researchers at the Rural and Underserved Research Center estimated and compared between non-metropolitan and metropolitan adults the prevalence of depression, receipt of treatment for depression, and sources of treatment for depression. Policy Updates Visit the FORHP Policy page to see all recent updates and send questions to ruralpolicy@hrsa.gov. Accepting Applications: CMS Direct Contracting Professional and Global Options – July 6. On June 4, the Centers for Medicare & Medicaid Services (CMS) announced that they are accepting applications for the Performance Year 1 cohort of the Direct Contracting Professional and Global Options. Direct Contracting is intended to test whether the risk-based payment strategies available under the model align financial incentives and offer model participants (Direct Contracting Entities or DCEs). Each DCE must contract with Direct Contracting Participant Providers, which may include, but are not limited to, physicians or other practitioners in group practice arrangements, networks of individual practices of physicians or other practitioners, hospitals employing physicians or other practitioners, Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs), and Critical Access Hospitals (CAHs). Applications for Performance Year 1 are due by July 6, 2020 for a start date of April 1, 2021. CARES Act Provider Relief Fund Distribution Summary. HHS recently published a one-page summary document providing general information on the different Provider Relief Fund distributions. This includes a timeline of funding along with information on eligibility and formulas used to make distributions. New Medicare Waivers to Address COVID-19. On June 12, CMS added a new item to its list of emergency declaration waivers that provide the health care community with the flexibilities needed to care for patients during the COVID-19 public health emergency. In the latest update, CMS is waiving the July 1 submission deadline for new Medicare GME affiliation agreements and the June 30 deadline for amendments of existing Medicare GME affiliation agreements (page 9). For information on rural graduate medical education more broadly, HRSA-funded resources are available from RuralGME.org. MedPAC Releases June 2020 Report. On June 15, the Medicare Payment Advisory Commission (MedPAC) released its June 2020 Report to the Congress: Medicare and the Health Care Delivery System. Each June, as part of its mandate from the Congress, MedPAC reports on issues affecting the Medicare program as well as broader changes in health care delivery and the market for health care services. Chapter 7 on Medicare's end-stage renal disease prospective payment system discusses rural payment adjustments. MACPAC Releases June 2020 Report. The Medicaid and CHIP Payment and Access Commission (MACPAC) recently released its June 2020 Report to Congress on Medicaid and CHIP, which contains six chapters addressing some fundamental challenges facing Medicaid: improving integration of care for low-income people age 65 and older, and people with disabilities who are dually eligible for Medicaid and Medicare; ensuring that Medicaid is the payer of last resort when its beneficiaries also have coverage from another insurance program; and addressing concerns about high rates of maternal morbidity and mortality. Rural considerations feature prominently in Chapter 5 on maternal health. MACPAC Publishes Telehealth Guide. In addition to the June 2020 report, MACPAC also recently published a catalog providing high level, state-specific information on telehealth policy changes during the COVID-19 pandemic pertaining to services and specialties, providers, modalities, originating site and licensure rules, and payment. Learning Events and Technical Assistance Tackling Child Poverty in the Wake of COVID-19 – Thursday, June 18 at 2:00 pm ET. The National Academies of Sciences, Engineering, and Medicine will host experts in a discussion about policies and programs to reduce child poverty. NCSL: Maintaining Child Vaccination Rates During Pandemic – Monday, June 22 at 2:00 pm ET. The National Conference of State Legislatures (NCSL) is holding an hour-long session on actions states are taking to reverse the trend of decreased immunization. Application Assistance for RCORP-Neonatal Abstinence Syndrome Funding – Tuesday, June 23 at 2:00 pm ET. The Federal Office of Rural Health Policy will hold a webinar for applicants to the Rural Community Opioid Response Program (RCORP) – Neonatal Abstinence Syndrome funding opportunity. Call-In Number: 1-888-282-8361; Participant Code: 2652580. A recording will be made available for those who cannot attend. Playback Number: 1-800-388-9075; Passcode: 62320. ONDCP Launches Rural Community Toolbox – Wednesday, June 24 at 3:00 pm ET. The Office of National Drug Control Policy (ONDCP) is a component of the Executive Office of the President working to reduce drug use. In this hour-long webinar, they will introduce the Rural Community Toolbox website, an online clearinghouse for federal funding and resources. AAFP COVID-19 CME Webinar Series – Wednesday, June 24 at 8:00 pm ET. In an hour-long webinar, The American Academy of Family Physicians (AAFP) will cover clinical topics and perspectives for COVID-19. HRSA Webinar for Clinical Leaders – Thursday, June 25 at 2:00 pm ET. Dr. Luis Padilla, Associate Administrator of HRSA's Bureau of Health Workforce invites clinical leaders to the Leading in Uncertain Times webinar, a peer-to-peer forum for clinical leaders in rural and underserved communities. The hour-long discussion will cover issues related to telehealth, student training staffing models, and provider wellness. Culturally Affirming Approaches for Black Men in Recovery – Thursday, June 25 at 2:00 pm ET. The Substance Abuse and Mental Health Services Administration will hold a 90-minute online session highlighting current research and best practices for supporting Black men in recovery. RWJF on Disproportionate Impact of COVID-19 on Black Communities – Thursday, June 25 at 3:00 pm ET. The Robert Wood Johnson Foundation's County Health Rankings will explore existing disparities and discuss how communities can begin to address them. Indian Child Welfare: Responses to COVID-19 – Tuesday, June 30 at 2:00 pm ET. During an hour-long webinar, the National Indian Child Welfare Association will host experts to discuss implementation of the Indian Child Welfare Act during the pandemic and impacts to state agencies. Resources of the Week AHA Case Study: Managing COVID-19 in a Rural Community. The American Hospital Association (AHA) provides details on how St. James Parish Hospital in Lutcher, Louisiana worked with local government and community partners to prepare for COVID-19. The Future of Rural Value-Based Care and Surge Capacity. A short brief from the Rural Health Value Team examines the conflict between the long-term transition to value-based care and the immediate needs brought by the pandemic. Approaching Deadlines DOL National Emergency Grants for Dislocated Workers – Ongoing FEMA Public Assistance Program: COVID-19 Response – Ongoing Small Business Administration Coronavirus Relief Programs – Ongoing Payment Deferrals: USDA Guaranteed Loans for Rural Development – Until September 30 USDA Farm and Ranch Stress Assistance Network – June 23 DHS Rural Emergency Medical Communications Demonstration Project – June 24 IHS/NIH Native American Research Centers for Health – Letters of Intent June 24 HRSA Faculty Loan Repayment Program – June 25 ACL Alaska Native Tribal Resource Center on Domestic Violence – June 26 Dept. of Treasury Community Development Financial Institutions – June 26 Nominations for Community Preventive Services Task Force – June 26 CDC Strategies to Maintain HIV Viral Suppression Among Released State Prison Inmates – June 29 USDA Higher Education Multicultural Scholars Program – June 29 ACF Community Services Block Grant – Waste/Wastewater Technical Assistance – June 30 DOL Mine Health and Safety Grants – June 30 EPA State Environmental Justice Cooperative Agreement Program – June 30 HRSA Rural Residency Planning and Development (RRPD) Program – June 30 ACF Fatherhood FIRE Program – July 1 HRSA Telehealth-Focused Rural Health Research Center Program – Extended to July 1 RWJF Rapid-Response Research on Federal Nutrition Assistance Programs – July 1 ACF Basic Center Program for Runaway/Homeless Youth – July 3 Accepting Applications: CMS Direct Contracting Professional and Global Options – July 6 Comments Requested: CMS Issues Second COVID-19 Interim Final Rule – July 7 Comments Requested: Proposed Updates for FY2021 Medicare Inpatient and Long-term Care Hospital Payments - July 10 HRSA Rural HIV/AIDS Planning Program – July 10 CDC Preventing Adverse Childhood Experiences – July 13 Dept. of Education School-Based Mental Health Services – July 13 HRSA Rural Communities Opioid Response Program-Planning – July 13 USDA Distance Learning and Telemedicine Grants – July 13 New Funding Opportunity: Rural Communities Opioid Response Program-Neonatal Abstinence Syndrome (RCORP-NAS) – July 20 New Sites for National Health Service Corps (NHSC) – July 21 IHS/NIH Native American Research Centers for Health – July 24 DOL Workforce Opportunity for Rural Communities – July 29 ACL Transit Planning for All Mobility on Demand Projects – July 31 Request for Information: Clinical Experience in Suicide Prevention in Primary Care Settings – August 7 DRA Delta Leadership Institute Executive Academy – August 18 DOT Funding Public Transportation on Indian Reservations – August 24 USDA Coronavirus Food Assistance Program – August 28 AHA Rural Hospital Leadership Team Award – August 31 NIH Researching Long-Term Effects of Disasters on Systems Serving Disparity Populations – September 7 NIH Research on Minority Health/Health Disparities – September 8 USDA Capacity Building for 1890 Land-Grant Institutions – September 10 AHRQ Innovation Challenge for Rural Postpartum Mental Health – September 15 Request for Information (RFI): Health Professional Shortage Area Scoring Criteria – September 18 Request for Information (RFI): Maternity Care Health Professional Target Area Criteria – September 18 FCC High Speed Broadband/Rural Opportunity Fund – October 22 Ongoing Opportunities AHRQ Research to Improve Patient Transitions through HIT – December 2022 ASA Rural Access to Anesthesia Care Scholarship CMS Hardship Exception for Hospital Interoperability – September 1, 2020; November 30 for CAHs DRA Technical Assistance for Delta Region Community Health Systems Development EPA Drinking Water State Revolving Fund HUD Hospital Mortgage Insurance Program IHS Tribal Forensic Healthcare Training NARHC Certified Rural Health Clinic Professional Course NIH Dissemination and Implementation Research in Health – May 2022 NIH Research – Alcohol and Other Substance Use – Dates Through August 2022 NIH Research to Improve Health Care Quality and Outcomes Through HIT NIH Strategies for Patient-Reported Outcome Measures in HIT Nominations for Federal Advisory Commission on HIV, Viral Hepatitis, and Sexually Transmitted Diseases Nominations for National Advisory Committee on Migrant Health Opportunity Zones for Economic Development Rural Graduate Medical Education Planning and Development RWJF Investigator-Initiated Research to Build a Culture of Health RWJF Pioneering Ideas Brief Proposals SBA Guaranteed Loans for Small Business USDA Community Facilities Program USDA Community Food Projects Technical Assistance USDA Drinking Water and Waste Disposal for Rural and Native Alaskan Villages USDA Emergency Community Water Assistance Grants USDA Guaranteed Loans for Rural Rental Housing – through 2021 USDA Rural Business Development Grants USDA Rural Energy Savings Program USDA Summer Food Program USDA Technical Assistance for Healthy Food Financing Initiative USDA Telecommunications Infrastructure Loans USDA Funding for Rural Water and Waste Disposal Projects | 
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