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You are here: Home / Grant Size / $1 Million to $50 Million / HRSA: Delta States Rural Development Network Program

HRSA: Delta States Rural Development Network Program

Dated: December 20, 2022

The Health Resources and Services Administration (HRSA) is accepting applications for the fiscal year (FY) 2023 Delta States Rural Development Network program.

Donor Name: Health Resources and Services Administration (HRSA)

State: Selected States

County: Selected Counties

Type of Grant: Grant

Deadline: 03/22/2023

Size of the Grant: $12,000,000

Grant Duration: 3 years

Details:

The purpose of this program is to support the planning, development, and implementation of integrated health care networks that collaborate to achieve efficiencies; expand access to, coordinate, and improve the quality of basic health care services and associated health outcomes; and strengthen the rural health care system as a whole.

This notice announces the opportunity to apply for funding under the Delta States Rural Development Network Program (Delta Program). The Delta Program provides grant funding to support the planning, development, and implementation of integrated health care networks that collaborate in order to achieve efficiencies;  expand access to, coordinate, and improve the quality of basic health care services and associated health outcomes in rural areas within the eight rural Mississippi Delta Region states (Alabama, Arkansas, Illinois, Kentucky, Louisiana, Mississippi, Missouri, and Tennessee); and strengthen the rural health care system as a whole.

The goals of the Delta Program are to:

  • Expand access to care resources in the designated Mississippi Delta counties/parishes;
  • Utilize evidence-based, promising practice, or value-based care models known to improve health outcomes, and enhance the delivery of health care services;
  • Collaborate with network partners in the planning, delivery, and evaluation of health care services to increase access to care and reduce chronic disease; and
  • Implement sustainable health care programs that improve population health, health outcomes, and demonstrate value to the local rural communities.

The Delta Program supports and encourages innovative strategies to address delivery of preventative or clinical health services for individuals with, or at risk of developing chronic diseases that disproportionally affect the rural Mississippi Delta communities. This includes populations who have historically experienced poorer health outcomes, health disparities, and other inequities such as racial and ethnic minorities, people experiencing homelessness, pregnant women, disabled individuals, youth, and adolescents, etc.

Due to the high disparities in the Mississippi Delta region1 , applicants are required to propose a project based on no more than two of the following focus areas: diabetes, cardiovascular disease, obesity, acute ischemic stroke, chronic lower respiratory disease, cancer, or unintentional injury/substance use.

The Federal Office of Rural Health Policy (FORHP) selected these focus areas in an effort to address the underlying factors that are driving growing rural health disparities related to the five leading causes of avoidable death (heart disease, cancer, unintentional injury/substance use, chronic lower respiratory disease, and stroke).

Projects are required to identify and implement an evidence-based or promising practice model and tailor the model to effectively address the needs of their community with respect to the organization’s capacity. You may find evidence-based toolkits (e.g., obesity prevention, care coordination, mental health and substance use disorder, etc.) and program models.

Funding Information

HRSA estimates approximately $12,000,000 to be available annually to fund 12 recipients. The actual amount available will not be determined until enactment of the final FY 2023 federal appropriation. You may apply for a ceiling amount of up to $56,604 per required eligible county/parish annually (reflecting direct and indirect costs) per year.

Project Period

The period of performance is August 1, 2023 through July 31, 2026 (3 years)

Eligibility Criteria

Eligible applicants include domestic public or private, non-profit or for profit entities including domestic faith-based and community-based organizations, tribes and tribal organizations. The applicant organization may be  located in a rural or urban area, but must have demonstrated experience serving, or capacity to serve, rural underserved populations included in the Project Abstract section of the application. The applicant organization may not previously have received an award under 42 U.S.C. § 254c(f) (other than a grant for planning activities) for the same or a similar project. However, existing recipients that seek to expand services or expand their service areas, include new or additional network member organizations, or target a new HRSA-23-031 5 population or new focus area are eligible to apply.

Program Requirements and Expectations

Geographic Service Area Requirements

Eligible applicant organizations for the Delta Program must meet geographic service area requirements. All of the Delta states have service regions. Eligible applicant organizations for the Delta Program must propose projects to be implemented in a Delta state’s service region. These service areas are based upon natural geographic, as well as State Public Health System Regional formations. Applicants must identify which Delta Service Region they will serve in the Project Abstract. The applicant organization must include a legible map that clearly shows the location of network partners, the geographic area(s) that will be served by the network, and any other information that will help reviewers visualize and understand the scope of the proposed project activities.

Alabama, Illinois, Kentucky, and Tennessee have single-service regions that encompass all of their rural Delta counties. Due to the higher number of counties/parishes located in the states of Arkansas, Louisiana, Mississippi and Missouri in relation to their Delta states counterparts, HRSA has designated two service regions.

The regional service areas allow the Delta Program to sustain greater and efficient impact across a larger geographical distance, wherein multiple recipients will be awarded to address prevalent health care issues and disparities. For states with multiple service regions, the applicant organization submitting a proposal for Service Region A for instance, may not be the applicant organization or be a member of the consortia for Service Region B, and vice versa. Applicants in Arkansas, Louisiana, Mississippi and Missouri must choose to apply for either Region A or Region B only. Applicants in these states may not apply for both regions.

The remaining states – Alabama, Kentucky, Illinois, and Tennessee – have only one defined service region for the Delta program, which encompasses all of the eligible rural Delta counties within that state. Applicants from these states must apply for the entire required service region and can choose to serve the newly eligible optional counties as defined below. Applicants who submit a proposal who do not apply for the entire required service region, or outside of the specified service region, or more than one proposal will be deemed nonresponsive and will not be considered for this funding opportunity.

The HRSA-designated rural service areas for single/multi service Delta region states are defined as follows:

Alabama: Service Region A (19 designated counties)Required:

  • Barbour, Bullock, Butler, Choctaw, Clarke, Conecuh, Dallas, Escambia, Greene, Macon, Marengo, Monroe, Perry, Picken, Sumter, Washington, Wilcox
  • Optional: Hale, Lowndes

Arkansas:

  • Service Region A (19 designated counties)
    • Required: Arkansas, Ashley, Bradley, Calhoun, Chicot, Dallas, Desha, Drew, Grant, Jefferson, Lee, Lincoln, Lonoke, Monroe, Ouachita, Phillips, St. Francis
    • Union Optional: Cleveland
  • Service Region B (21 designated counties)
    • Required: Baxter, Clay, Cross, Fulton, Greene, Independence, Izard, Jackson, Lawrence, Marion, Mississippi, Poinsett, Prairie, Randolph, Searcy, Sharp, Stone, Van Buren, White, Woodruff
    • Optional: Craighead

Illinois: Service Region A (15 designated counties)

  • Required: Alexander, Franklin, Gallatin, Hamilton, Hardin, Jackson, Johnson, Massac, Perry, Pope, Pulaski, Randolph, Saline, Union, White

Kentucky: Service Region A (20 designated counties)

  • Required: Ballard, Caldwell, Calloway, Carlisle, Christian, Crittenden, Fulton, Graves, Hickman, Hopkins, Livingston, Lyon, Marshall, McCracken, McLean, Muhlenberg, Todd, Trigg, Union, Webster

Louisiana: Service Region A (23 designated parishes)

  • Required: Bienville, Caldwell, Claiborne, East Carroll, Franklin, Jackson, La Salle, Lincoln, Madison, Morehouse, Natchitoches, Rapides, Red River, Richland, Tangipahoa, Tensas, Union, Washington, West Carroll, West Feliciana, Winn
  • Optional: De Soto, Webster

Service Region B (22 designated parishes)

  • Required: Acadia, Allen, Ascension, Assumption, Avoyelles, Beauregard, Catahoula, Concordia, Evangeline, Jefferson Davis, Lafourche, Plaquemines, Pointe Coupee, St. James, St. Landry, St. Martin, St. Mary
  • Optional: Cameron, East Feliciana, Livingston, St. Helena, Vermilion

Mississippi:

  • Service Region A (21 designated counties)
    • Required: Attala, Bolivar, Carroll, Coahoma, Grenada, Holmes, Lafayette, Leflore, Montgomery, Panola, Quitman, Sunflower, Tallahatchie, Tippah, Tunica, Union, Washington, Yalobusha
    • Optional: Benton, Marshall, Tate
  •  Service Region B (22 designated counties)
    • Required: Adams, Amite, Claiborne, Copiah, Covington, Franklin, Humphreys, Issaquena, Jasper, Jefferson, Jefferson Davis, Lawrence, Lincoln, Marion, Pike, Sharkey, Smith, Walthall, Warren, Wilkinson, Yazoo
    • Optional: Simpson

Missouri:

  • Service Region A (16 designated counties)
    • Required: Butler, Carter, Crawford (except in Sullivan City), Dent, Douglas, Howell, Iron, Oregon, Ozark, Phelps, Reynolds, Ripley, Shannon, Texas, Wayne, Wright
  • Service Region B (12 designated counties):
  • Dunklin, Madison, Mississippi, New Madrid, Pemiscot, Perry, St. Francois, St. Genevieve, Scott, Stoddard, Washington,
    • Optional: Bollinger

Tennessee: Service Region A (19 designated counties)

  • Required: Benton, Carroll, Chester, Decatur, Dyer, Gibson, Hardeman, Hardin, Haywood, Henderson, Henry, Lake, Lauderdale, Madison, McNairy, Obion, Tipton, Weakley
  • Optional: Crockett

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