Opportunity Information: Apply for HRSA 23 044
Apply for HRSA 23 044
- The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Targeted Technical Assistance for Rural Hospitals 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 Dec 21, 2022.
- Applicants must submit their applications by Mar 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 $800,000.00 in funding.
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Native American tribal governments (Federally recognized), 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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Opportunity Summary:
The Targeted Technical Assistance for Rural Hospitals Program (TTAP) is a federal funding opportunity from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA). It is offered as a discretionary cooperative agreement (Funding Opportunity Number HRSA 23-044; Assistance Listing/CFDA 93.912) designed to strengthen health care access in rural communities that are at risk of losing local hospital services. The core idea is practical and hands-on: rather than funding hospitals directly for construction or routine operations, TTAP funds a single recipient organization to deliver targeted, in-depth technical assistance to rural hospitals that are struggling to keep essential services available for local residents.
The purpose of the program is to improve rural health care by helping individual hospitals identify what is putting their services at risk and then working side-by-side to address those problems in a realistic way. The funded recipient is expected to engage hospitals at the community level, understand local health needs and existing resources, and support planning that keeps needed care close to home whenever possible. Importantly, the program recognizes that sustaining access does not always mean maintaining the same full range of hospital services. In some communities, the best path forward may involve a more limited, sustainable service set at the hospital, paired with other mechanisms to meet health care needs locally, such as partnerships, service redesign, new care models, or strengthened referral and transfer relationships.
TTAP uses a specific definition of which facilities qualify as "rural hospitals" for purposes of receiving technical assistance. Eligible hospitals include short-term, non-federal general hospitals located outside Metropolitan Core-Based Statistical Areas (CBSAs). Hospitals located within metropolitan areas may also qualify if they are located in places with Rural-Urban Commuting Area (RUCA) codes of 4 or greater, reflecting a more rural commuting and service pattern even if the broader county or region is considered metropolitan. In addition, any hospital in any location that participates in Medicare as a Critical Access Hospital (CAH) is included. The program also explicitly allows hospitals operated by tribes and tribal organizations under the Indian Self-Determination and Education Assistance Act (Public Law 93-638, as amended) to receive technical assistance, making clear that tribal-operated facilities can be supported through this initiative.
From an applicant standpoint, the opportunity is broadly open to a wide range of entity types rather than limited to hospitals themselves. Eligible applicants include state, county, and city/township governments; special district governments; independent school districts; federally recognized tribal governments; other tribal organizations; nonprofit organizations with 501(c)(3) status (excluding institutions of higher education); for-profit organizations (including small businesses and other than small businesses); and other entities as described in the announcement’s eligibility clarification text. This breadth signals that HRSA is looking for an organization that can operate at scale and bring specialized expertise in rural hospital stabilization, technical assistance delivery, and health systems improvement, regardless of whether that organization is governmental, nonprofit, tribal, or private.
Funding is structured around one expected award, with an award ceiling of $800,000. Because this is a cooperative agreement, HRSA is typically more involved than in a standard grant, meaning the recipient should be prepared for substantial federal engagement in planning, implementing, and refining the technical assistance approach. The overall deliverable is not simply a report or generalized guidance, but tangible, customized support to hospitals facing serious sustainability challenges, with the ultimate goal of protecting continued access to essential health care services for rural residents.
Key administrative details included in the notice are that the opportunity was created on December 21, 2022, with an original closing date of March 7, 2023. Even if the specific application window has passed, the program summary provides a clear snapshot of HRSA’s priorities: stabilizing rural hospital access through intensive, tailored technical assistance that is grounded in community needs, realistic service configurations, and strategies that keep care local wherever feasible.
Targeted Technical Assistance for Rural Hospitals Program (TTAP) - FAQs
What is the Targeted Technical Assistance for Rural Hospitals Program (TTAP)?
TTAP is a federal funding opportunity from the U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA). It is designed to strengthen health care access in rural communities that are at risk of losing local hospital services by funding intensive, hands-on technical assistance.
What is the funding mechanism for TTAP?
TTAP is offered as a discretionary cooperative agreement. This typically means HRSA is more involved than under a standard grant, and the recipient should be prepared for substantial federal engagement in planning, implementation, and refinement of the technical assistance approach.
What is the Funding Opportunity Number and Assistance Listing (CFDA) for TTAP?
The Funding Opportunity Number is HRSA 23-044 and the Assistance Listing/CFDA number is 93.912.
What is the main purpose of TTAP?
The purpose is to improve rural health care by helping individual rural hospitals identify what is putting their services at risk and then working side-by-side to address those problems in a realistic, community-informed way, with the goal of protecting continued access to essential services for rural residents.
Does TTAP fund hospitals directly?
No. TTAP does not fund hospitals directly for construction or routine operations. Instead, it funds a single recipient organization to deliver targeted, in-depth technical assistance to rural hospitals that are struggling to keep essential services available.
How many awards does TTAP expect to make?
Funding is structured around one expected award.
What is the maximum award amount under TTAP?
The award ceiling is $800,000.
Who receives the TTAP funding?
A single recipient organization receives the cooperative agreement funding and is responsible for delivering targeted technical assistance to eligible rural hospitals.
What kind of work is the recipient expected to deliver?
The recipient is expected to provide tangible, customized, hands-on technical assistance to rural hospitals facing sustainability challenges. The emphasis is on practical support and community-level engagement rather than generalized guidance or a stand-alone report.
What does "targeted, in-depth technical assistance" mean in this program?
Based on the notice description, it means customized support that helps each participating hospital diagnose the specific threats to sustaining services and then implement realistic strategies to address those threats, informed by local health needs and existing community resources.
Is TTAP focused on keeping every hospital service open exactly as it is today?
Not necessarily. TTAP recognizes that sustaining access does not always mean maintaining the same full range of hospital services. In some communities, a more limited but sustainable service set may be the best path forward, paired with other mechanisms to meet local needs.
What types of strategies might be supported through technical assistance?
The program description highlights approaches such as partnerships, service redesign, new care models, and strengthened referral and transfer relationships, with an overall emphasis on keeping needed care close to home whenever feasible.
Which hospitals are eligible to receive technical assistance under TTAP?
TTAP uses a specific definition of "rural hospitals" for eligibility. Eligible facilities include short-term, non-federal general hospitals located outside Metropolitan Core-Based Statistical Areas (CBSAs). Hospitals in metropolitan areas may also qualify if they are located in areas with Rural-Urban Commuting Area (RUCA) codes of 4 or greater. Additionally, any hospital that participates in Medicare as a Critical Access Hospital (CAH) qualifies regardless of location.
Can hospitals located in metropolitan areas qualify as "rural hospitals" for TTAP purposes?
Yes. Hospitals in metropolitan areas may qualify if they are located in places with RUCA codes of 4 or greater, which indicates a more rural commuting and service pattern even if the larger area is considered metropolitan.
Do Critical Access Hospitals (CAHs) qualify for TTAP technical assistance?
Yes. Any hospital in any location that participates in Medicare as a Critical Access Hospital (CAH) is included in the program's definition of eligible rural hospitals.
Are tribal-operated hospitals eligible to receive TTAP technical assistance?
Yes. The program explicitly allows hospitals operated by tribes and tribal organizations under the Indian Self-Determination and Education Assistance Act (Public Law 93-638, as amended) to receive technical assistance.
Who is eligible to apply to become the TTAP recipient?
Eligible applicants include a broad range of entities, including state, county, and city/township governments; special district governments; independent school districts; federally recognized tribal governments; other tribal organizations; nonprofit organizations with 501(c)(3) status (excluding institutions of higher education); for-profit organizations (including small businesses and other than small businesses); and other entities as described in the announcement's eligibility clarification text.
Do applicants have to be hospitals to apply?
No. The opportunity is not limited to hospitals. HRSA is seeking an organization capable of delivering technical assistance at scale and bringing specialized expertise in rural hospital stabilization and health systems improvement.
Are nonprofits eligible to apply?
Yes. Nonprofit organizations with 501(c)(3) status are eligible, excluding institutions of higher education.
Are for-profit organizations eligible to apply?
Yes. For-profit organizations are eligible, including small businesses and other than small businesses.
Are government entities eligible to apply?
Yes. State, county, and city/township governments, as well as special district governments, are listed as eligible applicants. Independent school districts are also included.
Are federally recognized tribal governments and tribal organizations eligible to apply?
Yes. Federally recognized tribal governments and other tribal organizations are listed among eligible applicants.
What is HRSA looking for from the funded recipient organization?
The notice suggests HRSA is looking for an entity that can engage hospitals at the community level, understand local health needs and resources, and support practical planning and implementation to stabilize access to essential services.
What does community-level engagement involve under TTAP?
The funded recipient is expected to engage hospitals in their local context, understand community health needs and existing resources, and support planning that aims to keep needed care close to home whenever possible.
When was this opportunity created and when did it close?
The opportunity was created on December 21, 2022. The original closing date was March 7, 2023.
If the closing date has passed, is the TTAP summary still useful?
Yes. Even if the application window has passed, the summary provides a snapshot of HRSA priorities: stabilizing rural hospital access through intensive, tailored technical assistance grounded in community needs, realistic service configurations, and strategies to keep care local when feasible.
What is the overall outcome TTAP is trying to achieve?
The overall goal is to protect continued access to essential health care services for rural residents by supporting hospitals that are at risk of losing local services through customized, practical technical assistance.
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