Thursday, December 8, 2022

FORHP Announcements - December 8

New RCORP funding; barriers to COVID prevention efforts
FORHP Header with Logos

December 8, 2022

What's New

New Funding Opportunity: Rural Communities Opioid Response Program-Neonatal Abstinence Syndrome – Applications Due March 8. HRSA's Federal Office of Rural Health Policy will be making a $20 million investment for approximately 40 grants to reduce the incidence and impact of neonatal abstinence syndrome (NAS) in rural communities. Over the course of a three-year period of performance, RCORP-NAS recipients will collaborate with local, state, and regional stakeholders to provide coordinated, trauma-informed, and family-centered behavioral and maternal health care services, including medication-assisted treatment, to rural pregnant and postpartum persons and their families.  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 pg. ii of NOFO for information on the webinar for applicants taking place on January 4. (No registration required.)

2023 Physician Fee Schedule Update Webinar – Wednesday, December 14 at 2:00 pm ET. The Centers for Medicare & Medicaid Services (CMS) recently released the Calendar Year 2023 Physician Fee Schedule Final Rule. This rule makes policy updates developed to increase accessibility of behavioral health services and telehealth services in rural areas. In this 45-minute webinar, CMS subject matter experts from the Hospital and Ambulatory Policy Group (HAPG) will present on the behavioral health and telehealth updates in the rule.

USDA Funding Remote Education in Rural and Tribal Communities – Deadline January 30.  The U.S. Department of Agriculture will make $64 million in awards for real-time, interactive distance learning and telemedicine services.  The USDA Distance Learning and Telemedicine Grants allow students to participate in class remotely and also connect rural residents to medical professionals without leaving home. 

One month left to apply for Public Health AmeriCorps. Public Health AmeriCorps will invest $400 million, over five years, to support COVID-19 recovery, health equity, local public health, and the development of a pipeline of public health leaders. A webinar recording that provides an overview of the service program and how to apply for funding is available on the Rural Health Information Hub. The deadline for applications to the 2023 AmeriCorps State and National Public Health AmeriCorps Notice of Funding Opportunity is Wednesday, January 4, 2023, by 5:00 pm ET.

Understanding Barriers to COVID-19 Testing.  Researchers used funding from the NIH-supported RADx-UP program to better understand barriers in underserved communities – rural and urban, as well as racial and ethnic minority populations – in Kansas.   The most commonly reported barrier was fear of lost income or employment resulting from quarantine.  Common barriers reported in both rural and urban communities were access issues, such as lack of transportation and lack of support for languages other than English.  Three subthemes appeared to be dominant in rural counties. Under the theme of "political beliefs," the subtheme "politicization of COVID-19 mitigation and response efforts" was an identified barrier for most rural counties.  See Approaching Deadlines below for a RADx-UP opportunity that closes in January. 

Spread the Word About Health Insurance.  The Centers for Medicare & Medicaid Services has a collection of tools for helping individuals and families get health insurance during the Marketplace Open Enrollment period, November 1, 2022 through January 15, 2023.  Graphics, social media messages, and customizable posters and fact sheets, are available in English, Spanish, Chinese, Korean, and Vietnamese.  Marketplace plans are an important source of coverage for people in rural areas, who represent approximately 15 percent of Marketplace enrollees in states using HealthCare.gov.

Ongoing: HRSA Payment Program for RHC Buprenorphine-Trained Providers.  In June 2021, HRSA launched an effort to improve access to substance use disorder treatment by paying for providers who are waivered to prescribe buprenorphine, a medication used to treat opioid use disorder.  Rural Health Clinics (RHCs) still have the opportunity to apply for a $3,000 payment on behalf of each provider who trained to obtain the waiver necessary to prescribe buprenorphine after January 1, 2019.  Approximately $1.2 million in program funding remains available for RHCs and will be paid on a first-come, first-served basis until funds are exhausted.  Send questions to DATA2000WaiverPayments@hrsa.gov. There is ongoing availability of a free online course for waiver eligibility training from the Providers Clinical Support System.


COVID-19 Resources

Updated Guidance on COVID-19 Vaccines. The CDC recommends that people ages 5 years and older receive one updated (bivalent) dose if it has been at least 2 months since their last COVID-19 vaccine dose, whether that was:

  • Their final primary series dose, or
  • An original monovalent dose

People who have gotten more than one original (monovalent) dose are also recommended to get an updated (bivalent) dose.  In September, the U.S. Department of Health & Human Services announced that people with public, private, or no insurance coverage can get COVID-19 vaccines at no cost, for as long as the federal government continues purchasing and distributing them. To find nearby locations for vaccines, masks, testing, and treatment, visit COVID.gov.

HHS/DoD National Emergency Tele-Critical Care Network.  A joint program of the U.S. Department of Health & Human Services (HHS) and the U.S. Department of Defense (DoD) is available at no cost to hospitals caring for COVID-19 patients. Teams of critical care clinicians - critical care physicians, nurses, respiratory therapists, and other specialized clinical experts – are available to deliver virtual care through telemedicine platforms, such as an app on a mobile device. Hear from participating clinicians, and email to learn more and sign up.

Mobilizing Health Care Workforce via Telehealth.  ProviderBridge.org was created by the Federation of State Medical Boards through the CARES Act and the FORHP-supported Licensure Portability Grant Program. The site provides up-to-date information on emergency regulation and licensing by state as well as a provider portal to connect volunteer health care professionals to state agencies and health care entities. 

Online Resource for Licensure of Occupational Therapists, Physical Therapists, Psychologists, and Social Workers.  The site provides up-to-date information on emergency regulation and licensing in each state.

Rural Health Clinic Vaccine Distribution (RHCVD) ProgramUnder the program, Medicare-certified RHCs will receive direct COVID-19 vaccines in addition to their normal jurisdictions' weekly allocation.  Contact RHCVaxDistribution@hrsa.gov for more information.  Webinar recordings explaining RHC vaccine programs are available on the National Association of Rural Health Clinics website. 

Federal Office of Rural Health Policy Resources for COVID-19.  A set of Frequently Asked Questions (FAQs) from our grantees and stakeholders. 

Reaching Farm Communities for Vaccine Confidence.  The AgriSafe Network is a nonprofit organization that provides information and training on injury and disease related to agriculture.  Their health professionals and educators created a social media toolkit that aims to provide clear messages about COVID-19 vaccination for agriculture, forestry, and fishing workers.


Funding and Opportunities

USDA Technical Assistance/Training Grants for Rural Water Systems – December 31.  The U.S. Department of Agriculture (USDA) will make approximately 30 awards with a total investment of $35 million in grants to private nonprofit organizations with tax exempt status. Funds may be used for technical assistance and/or training to identify and evaluate solutions to water and waste disposal facilities in rural areas. 

FDA Innovation Award: Researching COVID-19 and Health Equity – January 16.  The Food and Drug Administration (FDA) seeks research proposals that will advance understanding of COVID-related outcomes for minority demographic groups that include ethnicity, race, age, disability, and geography. 

ACL Rural HIV and Aging Challenge, Phase 1 – January 31.  The Administration for Community Living (ACL) will award $500,000 in cash prizes for innovative and effective pilot solutions that address the needs of people in rural communities who are aging with HIV or long-term survivors. Solutions may include, but are not limited to pilot solutions that: enhance the capacity of Community Based Organizations (CBOs) who serve people aging with HIV or long-term survivors in rural communities; increase engagement of people aging with HIV or long-term survivors in rural communities, including self-advocates; or increase mobilization of resources needed in the rural community.  Up to 10 winners may be selected to each receive a prize of up to $15,000.  The participants selected to receive a prize for Phase 1, Design of Concept, may compete for Phase 2, Development of Solution.

Department of Labor Youthbuild Grants – February 7.  The U.S. Department of Labor will make approximately 75 awards with total funding of $90 million.  The grants go to organizations providing pre-apprenticeship services that support education, occupational skills training, and employment opportunity services to youth aged 16 to 24.  The program is a community-based alternative education program for youth who left high school before graduation, migrant farmworker youth, youth experiencing housing instability, and other disadvantaged youth populations.  Previous projects have enabled program participants to support initiatives in construction, technology, and the care economy.

HRSA Funding One Provider for Rural Quality Improvement Technical Assistance – February 17.  Through the Federal Office of Rural Health Policy (FORHP) HRSA will enter into a cooperative agreement with one organization to provide technical assistance to federal quality initiatives for Critical Access Hospitals and other small, rural providers. 

USDA Emergency Food Assistance Program – Reach and Resiliency – March 6.  The U.S. Department of Agriculture (USDA) will make approximately 54 awards with total funding of more than $60 million.  The funding extends a $1 billion investment in the country's food network made 18 months ago to support community-level food banks during the pandemic.  Most of the 38 states that received funds in round one describe distribution to rural areas among their projects.

FCC Rural Health Care Telecommunications Program – April 1.  The Federal Communications Commission (FCC) provides funding for telecommunications expenses related to health care in rural areas.  To be eligible, applicants must be one of the following: post-secondary health professions training institution; community health center; local health department or agency, community mental health center; nonprofit hospital; rural health clinic, including mobile clinics and dedicated emergency departments in rural for-profit hospitals; skilled nursing facilities. 


Policy Updates

Send questions to ruralpolicy@hrsa.gov.

CMS Updates Enrollment Information for Rural Emergency Hospitals. The Centers for Medicare & Medicaid Services (CMS) updated Chapter 10 of the Medicare Program Integrity Manual to instruct Medicare Administrative Contractors (MACs) on how to process enrollment applications for rural hospitals and Critical Access Hospitals converting to the Rural Emergency Hospital (REH) designation  beginning January 1, 2023.  Included are instructions on how the change of enrollment form CMS-855A should be completed and steps the MACs should take to review, approve, or deny the applications.  This guidance reflects the enrollment requirements for REHs published in the final 2023 Medicare Hospital Outpatient Prospective Payment Rule.


Learning Events and Technical Assistance

Public Health Institute: Using Open-Source Data and Mapping to Understand Rural Community Needs – Monday, December 12 at 1:00 pm ET.  Experts will share ways to use data to describe health inequities. 

Substance Misuse Prevention's Role: SAMSHA Addressing Disparities in Rural Communities – Tuesday, December 13 at 11:30 am ET.  This 90-minute webinar will review tools to identify and address substance use-related disparities in rural areas.  The session is hosted by the Prevention Technology Transfer Center (PTTC) Network, a resource funded by the Substance Abuse and Mental Health Services Administration.  There are 10 regional PTTCs, and two national: one each for Hispanic/Latino and American Indian/Alaskan Native populations.

SAMHSA on Community Engagement for Substance Use Prevention – Friday, December 16 at 2:00 pm ET.  The Substance Abuse and Mental Health Services Administration (SAMSHA) introduces their new guide, Community Engagement: an Essential Component of an Active and Equitable Substance Use Prevention System.  By engaging community members, prevention systems learn firsthand from individuals and community systems about substance use problems and social determinants that influence behavioral health.


Approaching Deadlines

VA Rapid Retraining Assistance Program – December 11

HRSA Teaching Health Center Planning and Development Program – December 12

ACL Small Business Innovation Research Program – December 16

CDC Foundation Increasing Access to Water, Sanitation, and Hygiene (WASH) – December 19

SAMHSA Cooperative Agreements for Certified Community Behavioral Health Clinic Planning Grants – December 19

CMS Kids Coverage Outreach to American Indian/Alaska Native Children – December 20

CDC Pilot Projects to Advance Harm Reduction/Prevent Overdose – December 23

NBCC Minority Fellowship Program for Mental Health Counselors (Masters and Doctoral) – December 31 

NBCC Foundation Rural Scholarship for Mental Health Counselors – December 31

USDA Technical Assistance/Training Grants for Rural Water Systems – December 31

National Association of Rural Health Clinics Fellowship Program – January 2

AmeriCorps State and National Grants – January 4

CDC Grants for Injury Control Research Centers – January 6

Department of Labor Nursing Expansion Grants – January 6

HRSA Rural Health Network Development Planning Program – January 6

USDA Farm to School Grant Program – January 6

FCC Outreach Grants for Affordable Connectivity Program – January 9

HRSA Rural Telementoring Training Center Cooperative Agreement – January 9

ACL Empowering Communities to Address Behavioral Health and Chronic Pain through Chronic Disease Self-Management Education Programs – January 11

EPA Researching Health Impacts on Children in Rural Agricultural Communities – January 11

NIH/Duke/UNC – RADx-UP Rapid Research to Improve COVID-19 Disparities – January 13

FDA Innovation Award: Researching COVID-19 and Health Equity – January 16

AmeriCorps VISTA Accepting Concept Papers for Projects to Alleviate Poverty – January 18

HRSA Rural Communities Opioid Response Program – Overdose Response – January 19

Clinic Applications for ALAI UP - HIV Treatment for Underserved Populations – January 20

Request for Nominations:  Advisory Committee on Infant and Maternal Mortality – January 23

Education Department Mental Health Service Professional Demonstration Grants – January 27

HRSA Rural Communities Opioid Response Program – Evaluation – January 27

HRSA Rural Residency Planning and Development Program – January 27

USDA Distance Learning and Telemedicine Grants – January 30

ACL Rural HIV and Aging Challenge, Phase 1 – January 31

Comments Requested: New Protections for Patients with Substance Use Challenges – January 31

Department of Labor Youthbuild Grants – February 7

HRSA Funding for Rural Health Innovation and Transformation Technical Assistance Provider – February 7

HRSA Funding One Provider for Rural Quality Improvement Technical Assistance – February 17

USDA Emergency Food Assistance Program – Reach and Resiliency – March 6

HRSA Rural Communities Opioid Response Program-Neonatal Abstinence Syndrome – March 8

FCC Rural Health Care Telecommunications Program – April 1


Ongoing Opportunities

CDC Monkeypox Vaccine Equity Pilot Program

CFPB Rental Assistance Finder

Extended Public Comment Period for FCC's COVID-19 Telehealth Program

FCC Affordable Connectivity Program for Broadband Service

FEMA COVID-19 Funeral Assistance

HRSA Payment Program for Buprenorphine-Trained Clinicians – Until Funds Run Out

SAMHSA 988 Suicide and Crisis Lifeline Volunteer and Job Opportunities

USDA Emergency Rural Health Care Grants (Track One only) – September 2023 or until funds run out

ACF Low Income Home Energy Assistance Program

ACF Rural Community Development Program for Rural Water Systems

AgriSafe Mental Health Training for Agricultural Producers & Families

AgriSafe Nurse Scholar Program – March 2023

AHRQ Health Services Research Demonstration and Dissemination Grants – October 2023

American Association of Birth Centers (AABC) Foundation - Accreditation Grants

American Heart Association Rural Health Care Outcomes Accelerator

American Indian Public Health Resource Center Technical Assistance

Appalachian Regional Commission J-1 Visa Waivers for Doctors

ASA Rural Access to Anesthesia Care Scholarship

Burroughs Wellcome Fund Seed Grants for Climate Change and Health – Quarterly through August 2023

CDC Direct Assistance to State, Tribal, Local, and Territorial Health Agencies

CDC Training Pediatric Medical Providers to Recognize ACEs

Delta Region Community Health Systems Development Program

Delta Doctors J-1 Visa Waiver Program

Department of Commerce: Economic Development Assistance Programs

Department of Labor Dislocated Worker Grants

DRA Technical Assistance for Delta Region Community Health Systems Development

EPA Drinking Water State Revolving Fund

EPA Water Infrastructure and Innovation Program

FEMA/SAMHSA Post-Disaster Crisis Counseling Assistance and Training Program

GPHC & RWJF: Rapid Cycle Research and Evaluation Grants for Cross-Sector Alignment

HRSA Seeking Nominations for Migrant Health Advisory

HRSA Technical Assistance for Look-Alike Initial Designation for the Health Center Program

Housing Assistance Council: Housing Loans for Low-Income Rural Communities

HUD Distressed Cities and Persistent Poverty Technical Assistance Program

HUD Hospital Mortgage Insurance Program

IHS Tribal Forensic Healthcare Training

IHS/DOD Medical Supplies and Equipment for Tribes (Project TRANSAM)

NARHC Certified Rural Health Clinic Professional Course

Host Sites for National Environmental Public Health Internship

NIH Project Talk Initiative Host Site Applications

NIH Research to Improve Native American Health – Various Dates Until September 2023

NIH Practice-Based Research for Primary Care Suicide Prevention February 2023

NIH Researching Mental Health Practices in Low-Resource Settings – September 2024

NIH Researching Social, Behavioral, and Economic Impact of COVID-19 in Underserved/Vulnerable Populations – September 2024

NIH Researching the Role of Work in Health Disparities – Various Dates Until September 2024

NIH Special Interest Research – Pandemic Impact on Vulnerable Children and Youth – May 2024

Nominations for Federal Advisory Commission on HIV, Viral Hepatitis, and Sexually Transmitted Diseases

Oweesta Native CDFI Loan Funds and Technical Assistance

Primary Care Development Corporation Community Investment Loans

Rural Community Assistance Corporation Community Facility Loans for Western States and Pacific Islands

Rural Community Assistance Corporation Environmental Infrastructure Loans for Western States

Rural Graduate Medical Education Planning and Development

RWJF Investigator-Initiated Research to Build a Culture of Health

RWJF Pioneering Ideas Brief Proposals

SAMHSA Training to Provide Medication Assisted Treatment

SBA Guaranteed Loans for Small Business

Southeast Rural Community Assistance Loans

Tribal Grant Writing Training

Treasury Department Opportunity Zone Economic Development Program

United South and Eastern Tribes, Inc Tribal Health Program Support

USDA Community Facilities Program

USDA Community Food Projects Technical Assistance

USDA Drinking Water and Waste Disposal for Rural and Native Alaskan Villages

USDA Economic Impact Initiative Grants

USDA Emergency Community Water Assistance Grants

USDA Healthy Food Financing Initiative Technical Assistance

USDA Multifamily Housing Loan Guarantees

USDA Intermediary Relending Program

USDA Rural Business Development Grants

USDA Rural Business Investment Program

USDA Rural Energy Savings Program

USDA SEARCH – Special Evaluation Assistance for Rural Communities and Households (for Water/Waste Projects)

USDA Summer Food Program

USDA Technical Assistance for Healthy Food Financing Initiative

USDA Telecommunications Infrastructure Loans and Loan Guarantees

USDA Funding for Rural Water and Waste Disposal Projects

USDA Water and Waste Disposal Grants to Alleviate Health Risks on Tribal Lands and Colonias

USDOT Rural Opportunities to Use Transportation for Economic Success (R.O.U.T.E.S)

WWAMI Area Health Education Center Scholars Program


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