Opportunity Information: Apply for HRSA 15 125

  • The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Rural Health Clinic Policy and Clinical Assessment Program" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.155 Rural Health Research Centers.
  • This funding opportunity was created on Feb 6, 2015 and posted on Feb 6, 2015.
  • Applicants must submit their applications by Apr 7, 2015. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $100,000.00 to eligible and selected applicants.
  • 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).
  • Eligible applicants include domestic public, private, for profit and nonprofit organizations, including tribes and tribal organizations, and faith based and community based organizations
Apply for HRSA 15 125

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Opportunity Summary:

The Rural Health Clinic Policy and Clinical Assessment Program (HRSA-15-125) is a Health Resources and Services Administration (HRSA) cooperative agreement designed to strengthen Rural Health Clinics (RHCs) as the health care system shifts toward value-based care, higher quality expectations, and better coordination across settings. The program focuses on identifying the most pressing policy, regulatory, and clinical issues affecting RHCs and then turning those findings into practical solutions and clear guidance that rural clinics and other stakeholders can use. A major emphasis is helping RHCs understand and respond to regulatory and programmatic changes that directly influence how they deliver care in rural underserved communities.

At the center of the work is an assessment function: the awardee is expected to identify where RHCs are struggling or lack information across core operational and clinical domains. This includes gaps related to regulatory and program compliance, billing and reimbursement rules, quality improvement approaches, best practices, chronic disease management, and care coordination. The awardee is also expected to incorporate and communicate priorities from HRSA's Federal Office of Rural Health Policy (ORHP) and broader U.S. Department of Health and Human Services priorities, so that RHCs have a clearer view of what is changing and what is expected of them in the current policy environment.

Because RHCs are spread across a wide geographic footprint, the program stresses that any support provided needs to be easy to access and scalable. Proposed tools and resources should be deliverable remotely and broadly, such as through listservs, conference calls, and webinars, along with other practical dissemination methods that fit rural realities. The intent is not simply to study challenges, but to actively equip clinics with usable strategies, resources, and communication channels that can keep them up to date and help them adapt in real time.

The opportunity is grounded in the role RHCs play in rural America. RHCs are primary care clinics certified by the Centers for Medicare and Medicaid Services (CMS) to serve rural underserved areas, and they receive reasonable cost-based Medicare and Medicaid reimbursement under specific conditions. They must be staffed by physician assistants and/or nurse practitioners. With more than 4,000 RHCs operating in 44 states, these clinics often function as the only local source of primary care and, in practice, the rural safety net. HRSA frames this support as especially necessary because payment and delivery reforms increasingly reward measurable quality, efficient care, population health management, and smoother transitions as patients move between care settings.

From a funding and administrative standpoint, this was a discretionary grant opportunity offered as a cooperative agreement, meaning HRSA likely anticipated substantial involvement and collaboration during the project period rather than a hands-off grant. The program anticipated a single award, with an estimated total funding amount of $100,000, and it did not require cost sharing or matching. Eligible applicants included domestic public or private organizations, for-profit or nonprofit entities, tribes and tribal organizations, and faith-based and community-based organizations. The funding opportunity was posted February 6, 2015, with an application deadline of April 7, 2015, and it was archived June 6, 2015. The CFDA listing referenced is 93.155 (Rural Health Research Centers). The listed HRSA contact for access issues and questions was Aaron Fischbach (Afischbach@hrsa.gov, 301-443-5487).

Frequently Asked Questions (FAQs)

What is the Rural Health Clinic Policy and Clinical Assessment Program (HRSA-15-125)?

HRSA-15-125 is a Health Resources and Services Administration (HRSA) cooperative agreement focused on strengthening Rural Health Clinics (RHCs) as the health care system shifts toward value-based care, higher quality expectations, and better care coordination across settings. The program centers on identifying key policy, regulatory, and clinical issues affecting RHCs and translating those findings into practical solutions and clear guidance that clinics and stakeholders can use.

What is the main purpose of this opportunity?

The purpose is to assess where RHCs are struggling or lack information in core operational and clinical areas, then provide usable strategies, tools, and guidance to help RHCs respond to regulatory and programmatic changes and succeed in an environment that increasingly rewards measurable quality, efficient care, population health management, and smooth care transitions.

What type of funding mechanism is this?

This opportunity was offered as a discretionary cooperative agreement. A cooperative agreement typically indicates that HRSA expected substantial involvement and collaboration with the awardee during the project period (as opposed to a more hands-off relationship).

How many awards were anticipated?

The program anticipated a single award.

How much funding was available?

The estimated total funding amount was $100,000.

Was cost sharing or matching required?

No cost sharing or matching was required.

Who was eligible to apply for HRSA-15-125?

Eligible applicants included domestic public or private organizations, for-profit or nonprofit entities, tribes and tribal organizations, and faith-based and community-based organizations.

What kinds of issues and gaps was the awardee expected to assess?

The assessment function was expected to identify where RHCs were struggling or lacked information across core operational and clinical domains, including:

  • Regulatory and program compliance gaps
  • Billing and reimbursement rules
  • Quality improvement approaches
  • Best practices
  • Chronic disease management
  • Care coordination

What does HRSA mean by turning findings into "practical solutions and clear guidance"?

The intent was not only to study challenges, but to produce usable strategies, resources, and communications that rural clinics and other stakeholders could apply in real operations. The goal was to help RHCs keep up to date and adapt in real time to changing expectations and requirements.

How was the awardee expected to incorporate federal priorities into the work?

The awardee was expected to incorporate and communicate priorities from HRSA's Federal Office of Rural Health Policy (ORHP) and broader U.S. Department of Health and Human Services priorities. This was intended to give RHCs a clearer view of what is changing and what is expected of them in the current policy environment.

What kinds of support and dissemination methods were emphasized?

Because RHCs are geographically dispersed, the program emphasized support that is easy to access and scalable. Tools and resources were expected to be deliverable remotely and broadly through methods such as listservs, conference calls, and webinars, along with other practical dissemination approaches that fit rural realities.

Why does this program focus on Rural Health Clinics specifically?

RHCs play a central role in rural America and often serve as the only local source of primary care, functioning as part of the rural safety net. HRSA framed support as especially important because payment and delivery reforms increasingly reward measurable quality, efficient care, population health management, and better coordination as patients move between care settings.

What is a Rural Health Clinic (RHC), as described in this opportunity?

An RHC is a primary care clinic certified by the Centers for Medicare and Medicaid Services (CMS) to serve rural underserved areas. Under specific conditions, RHCs receive reasonable cost-based Medicare and Medicaid reimbursement. They must be staffed by physician assistants and/or nurse practitioners.

How widespread are Rural Health Clinics?

The opportunity notes that there are more than 4,000 RHCs operating in 44 states.

What pressures or system changes is this program responding to?

The program responds to the health system shift toward value-based care, higher quality expectations, and improved coordination across settings. It also addresses the need for RHCs to understand and respond to regulatory and programmatic changes that directly affect rural care delivery.

When was this funding opportunity posted and when were applications due?

The funding opportunity was posted February 6, 2015, and the application deadline was April 7, 2015.

Is this opportunity still open?

No. The opportunity was archived June 6, 2015.

What CFDA listing is associated with this opportunity?

The CFDA listing referenced is 93.155 (Rural Health Research Centers).

Who was the listed HRSA contact for questions or access issues?

The listed HRSA contact was Aaron Fischbach. Email: Afischbach@hrsa.gov. Phone: 301-443-5487.

What is meant by helping RHCs with regulatory and programmatic changes?

The opportunity emphasizes helping RHCs understand and respond to changes that influence how they deliver care in rural underserved communities, including changes tied to policy, regulation, compliance expectations, and program rules that affect clinic operations and service delivery.

Does the program focus only on clinical practice issues?

No. The scope includes both operational and clinical domains, such as compliance, billing and reimbursement, quality improvement, best practices, chronic disease management, and care coordination.

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