Opportunity Information: Apply for HRSA 20 087
The Delta States Rural Development Network Grant Program (often called the Delta Program) is a federal grant opportunity from the Health Resources and Services Administration (HRSA), within the U.S. Department of Health and Human Services. It is designed to help rural communities in the Mississippi Delta region build and strengthen integrated health care networks that can better meet local health needs and reduce long-standing health disparities. The program is focused on organizations located in eight Delta States: Alabama, Arkansas, Illinois, Kentucky, Louisiana, Mississippi, Missouri, and Tennessee. At its core, the opportunity is about helping rural partners work together across a region, rather than operating in isolation, so that communities can improve access to essential services, coordinate care more effectively, improve quality, and make the overall rural health system more resilient and efficient.
A central expectation of the program is collaboration through multi-county or multi-parish projects. Applicants are encouraged to build partnerships that span more than one local jurisdiction, reflecting how patients actually live, work, and seek care across county lines. The emphasis is not just on delivering services, but on planning, implementing, and developing lasting health care networks that can share resources, align strategies, and address gaps in care. HRSA also highlights population health as a major theme, meaning applicants should think beyond one clinic or one site and instead design approaches that improve outcomes for groups of people across a defined service area.
The Delta Program strongly prioritizes efforts that address chronic diseases that disproportionately affect rural Delta communities. Applicants are encouraged to concentrate their proposal on no more than two focus areas to keep the project targeted and measurable. The listed priority focus areas are diabetes, cardiovascular disease, obesity, acute ischemic stroke, and HIV/AIDS. Projects can address prevention, self-management, care coordination, and/or clinical care, but they must be outcomes oriented. In other words, the work should be designed so that changes can be tracked and demonstrated, not simply described as activities completed.
Another major requirement is that funded projects must use an evidence-based or promising practice model. HRSA is looking for approaches that have demonstrated outcomes and could be replicated in other communities. Evidence-based approaches generally mean strategies supported by credible research or established evaluation results. Promising practices can include smaller pilot programs that have shown positive results and are now ready to be expanded to new sites or new populations. The key point is that applicants need to show that the model is grounded in real-world evidence and is expected to produce measurable improvements.
In terms of what outcomes should look like, HRSA expects programs to include activities that produce measurable changes in wellness screening indicators. Examples include body mass index (BMI), weight, A1c (for diabetes control), blood pressure, waist circumference, and HIV testing rates. Beyond clinical screening measures, the program also values improvements in at least one broader domain that influences health outcomes. These domains include knowledge (such as increased understanding of risk factors, prevention, and self-management strategies), attitudes (such as improved confidence or self-efficacy in managing health), behaviors (such as increased physical activity, improved nutrition, or adherence to HIV medications), policies and procedures (such as improved care delivery models or changes to school wellness policies), and systems changes (such as stronger coordination between health care providers and social service organizations). This reflects HRSA's preference for projects that improve both direct health indicators and the underlying conditions that shape long-term health.
HRSA anticipates that awardees will coordinate services related to chronic disease management and consider an integrated care approach. In practice, this means designing care that is more connected across providers and settings, and potentially across multiple chronic conditions rather than treating each condition separately. The grant also encourages recipients to think about sustainability from the start, including exploring reimbursement mechanisms for chronic care management and aligning care management activities with payment approaches that can continue after federal funding ends. This is meant to help projects avoid ending when the grant period closes by building financial and operational pathways to maintain services.
The opportunity also recognizes the overlap between chronic disease and behavioral health. Because people with chronic illnesses are at higher risk for depression and other mental health conditions, applicants are encouraged to include mental health and substance use disorder activities, including opioid use disorder, as part of a more comprehensive care strategy. HRSA frames this as aligned with broader HHS and HRSA clinical priorities, and it reinforces the idea that better outcomes often require addressing physical health, mental health, and substance use together rather than in separate silos.
Finally, the grant includes targeted technical assistance during the project period. HRSA indicates that recipients will receive support intended to help them achieve project outcomes and plan for sustainability, and that this assistance is provided at no additional cost as part of HRSA's investment in the success of funded projects. The funding opportunity is identified as HRSA-20-087, categorized as a discretionary grant within the health activity area (CFDA 93.912). The notice listed an expected 12 awards and an award ceiling of $56,604, with the original application closing date noted as December 6, 2019.Apply for HRSA 20 087
- The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Delta States Rural Development Network Grant 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 Aug 27, 2019.
- Applicants must submit their applications by Dec 06, 2019. (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 $56,604.00 in funding.
- The number of recipients for this funding is limited to 12 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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Delta States Rural Development Network Grant Program (HRSA-20-087) FAQs
What is the Delta States Rural Development Network Grant Program?
The Delta States Rural Development Network Grant Program (often called the Delta Program) is a federal grant opportunity from the Health Resources and Services Administration (HRSA), within the U.S. Department of Health and Human Services. It is designed to help rural communities in the Mississippi Delta region build and strengthen integrated health care networks to better meet local health needs and reduce long-standing health disparities.
Which federal agency offers this grant?
The program is offered by HRSA (Health Resources and Services Administration), which is part of the U.S. Department of Health and Human Services (HHS).
Where must applicants be located to be considered?
The opportunity is focused on organizations located in eight Delta States: Alabama, Arkansas, Illinois, Kentucky, Louisiana, Mississippi, Missouri, and Tennessee.
What is the overall purpose of the program?
At its core, the program supports rural partners working together across a region, rather than operating in isolation, so communities can improve access to essential services, coordinate care more effectively, improve quality, and strengthen the resilience and efficiency of the rural health system.
Is collaboration required, or can a single county/parish project apply?
A central expectation is collaboration through multi-county or multi-parish projects. Applicants are encouraged to build partnerships that span more than one local jurisdiction, reflecting how patients live, work, and seek care across county lines.
What does HRSA mean by building an "integrated health care network"?
The grant emphasizes planning, implementing, and developing lasting networks that can share resources, align strategies, coordinate care, and address gaps in services across a defined rural service area.
Is the program focused only on delivering services?
No. The emphasis includes not only service delivery, but also planning and network development so partners can work together long-term and achieve measurable improvements.
What does HRSA mean by a "population health" approach in this program?
HRSA highlights population health as a major theme. Applicants are expected to think beyond a single clinic or site and design approaches that improve outcomes for groups of people across a defined multi-county or multi-parish service area.
What health issues does the Delta Program prioritize?
The program strongly prioritizes chronic diseases that disproportionately affect rural Delta communities. The listed priority focus areas are diabetes, cardiovascular disease, obesity, acute ischemic stroke, and HIV/AIDS.
How many focus areas should an applicant concentrate on?
Applicants are encouraged to concentrate their proposal on no more than two focus areas to keep the project targeted and measurable.
What types of activities can projects include within the focus areas?
Projects may address prevention, self-management, care coordination, and/or clinical care, as long as the work is outcomes oriented and designed so changes can be tracked and demonstrated.
What does "outcomes oriented" mean for this grant?
It means the project should be designed to produce measurable, demonstrable change, not simply a description of activities completed. Applicants should be able to track progress and show improvements tied to the project.
Does the program require use of evidence-based approaches?
Yes. Funded projects must use an evidence-based or promising practice model. HRSA is looking for approaches that have demonstrated outcomes and could be replicated in other communities.
What is the difference between an evidence-based model and a promising practice in this program?
Evidence-based approaches generally refer to strategies supported by credible research or established evaluation results. Promising practices may include smaller pilot programs that have shown positive results and are ready to be expanded to new sites or populations. In both cases, applicants are expected to show the model is grounded in real-world evidence and likely to produce measurable improvements.
What kinds of measurable health indicators does HRSA expect awardees to track?
HRSA expects programs to include activities that produce measurable changes in wellness screening indicators. Examples include body mass index (BMI), weight, A1c (for diabetes control), blood pressure, waist circumference, and HIV testing rates.
Are projects expected to improve only clinical measures?
No. In addition to clinical screening measures, HRSA values improvements in at least one broader domain that influences health outcomes.
What broader domains does HRSA consider important beyond clinical screening measures?
The domains described include improvements in knowledge, attitudes, behaviors, policies and procedures, and systems changes. The intent is to improve both direct health indicators and underlying factors that shape long-term health outcomes.
What are examples of the "knowledge" domain improvements?
Examples include increased understanding of risk factors, prevention, and self-management strategies related to the selected focus area(s).
What are examples of "attitudes" domain improvements?
Examples include improved confidence or self-efficacy in managing health conditions.
What are examples of "behaviors" domain improvements?
Examples include increased physical activity, improved nutrition, and adherence to HIV medications.
What are examples of "policies and procedures" improvements?
Examples include improved care delivery models or changes to organizational or community policies such as school wellness policies.
What are examples of "systems change" improvements?
Examples include stronger coordination between health care providers and social service organizations to better connect people to needed services.
Does HRSA expect an integrated care approach?
Yes. HRSA anticipates awardees will coordinate services related to chronic disease management and consider an integrated care approach, meaning care is more connected across providers and settings and may address multiple chronic conditions rather than treating each condition separately.
Can projects include behavioral health or substance use disorder activities?
Yes. The opportunity recognizes overlap between chronic disease and behavioral health. Applicants are encouraged to include mental health and substance use disorder activities, including opioid use disorder, as part of a comprehensive care strategy.
Why does the program encourage including behavioral health elements?
HRSA notes that people with chronic illnesses are at higher risk for depression and other mental health conditions. Addressing physical health, mental health, and substance use together is framed as important for achieving better outcomes.
Is sustainability addressed in this grant?
Yes. The grant encourages recipients to plan for sustainability from the start, including exploring reimbursement mechanisms for chronic care management and aligning care management activities with payment approaches that can continue after federal funding ends.
Does the program offer technical assistance to recipients?
Yes. The grant includes targeted technical assistance during the project period, intended to help recipients achieve project outcomes and plan for sustainability. HRSA indicates this support is provided at no additional cost.
What is the funding opportunity number and program classification?
The funding opportunity is identified as HRSA-20-087. It is categorized as a discretionary grant within the health activity area, with CFDA 93.912.
How many awards were anticipated and what was the award ceiling?
The notice listed an expected 12 awards and an award ceiling of $56,604.
What was the application closing date listed in the notice?
The original application closing date noted was December 6, 2019.
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