Opportunity Information: Apply for HRSA 22 115
The Rural Maternity and Obstetrics Management Strategies (RMOMS) Program is a Health Resources and Services Administration (HRSA) funding opportunity designed to strengthen maternal and obstetric care in rural areas by improving both access and continuity of services. It focuses on building regional, network-based solutions that help rural communities offer consistent, safe, and coordinated care across the full maternity timeline, from preconception and prenatal care through labor and delivery and postpartum follow-up. The program is meant to address the realities many rural regions face, including limited local obstetric capacity, long travel distances for specialty care, and the financial strain of maintaining maternity services in smaller hospitals.
The program lays out four central goals. First, it aims to improve maternal and neonatal outcomes within a defined rural region, meaning applicants should be able to show how their approach will reduce preventable complications and improve health results for pregnant people and newborns. Second, it seeks to create a sustainable network approach that expands the availability and delivery of services across the continuum of care, including preconception, prenatal, pregnancy, delivery, and postpartum services. Third, it prioritizes establishing a safe delivery environment in rural settings by ensuring support from, and access to, specialty care for perinatal patients and infants, which can include referral arrangements, clinical protocols, and mechanisms for rapid consultation or transfer when higher levels of care are needed. Fourth, it pushes applicants to develop sustainable financing models so that rural hospitals and community partners can maintain maternal and obstetric services over time rather than relying on short-term fixes.
A defining feature of RMOMS is its emphasis on innovation through formal regional networks. Applicants are encouraged to propose models that work across organizations rather than relying on a single facility acting alone. This reflects the program’s assumption that rural maternal health challenges are best solved through coordinated systems that link hospitals, clinics, public health agencies, and specialty providers into a structured regional approach. The notice also highlights that the program will test and demonstrate the impact of these network models, not just implement them.
RMOMS is organized around four focus areas that applicants are expected to address through their proposed model. The first focus area is rural hospital obstetric service aggregation and approaches to risk-appropriate care, which generally points to designing systems that match patient risk levels with the right care setting and resources, including clear pathways for higher-risk pregnancies. The second focus area is a network approach to coordinating a continuum of care, emphasizing continuity across the entire perinatal period and across different providers and sites. The third focus area is leveraging telehealth and specialty care, reflecting the role of remote consultation, tele-obstetrics, tele-ultrasound support, tele-mental health, and other virtual strategies to overcome distance and specialist shortages. The fourth focus area is financial sustainability, requiring applicants to think through reimbursement, partnerships, and other financing structures that can keep services viable in rural hospitals and communities.
The funding mechanism is a cooperative agreement, which typically indicates substantial federal involvement beyond a standard grant, often including collaboration, technical assistance, or required participation in program-level evaluation activities. The opportunity (Funding Opportunity Number HRSA-22-115, CFDA 93.912) anticipated up to 5 awards, with an award ceiling of $1,000,000. It was offered by the U.S. Department of Health and Human Services through HRSA, with an original application closing date of April 5, 2022.
Eligibility is broad and includes multiple levels of government (state, county, city/township, special district), independent school districts, public and state-controlled institutions of higher education, private institutions of higher education, federally recognized tribal governments, other tribal organizations, and nonprofit organizations with IRS 501(c)(3) status (excluding institutions of higher education). The listing also notes an “Others” category, with additional eligibility clarification referenced in the full notice, suggesting HRSA left room for additional entity types as specified in the complete guidance.
Another major requirement is participation in a robust independent evaluation. RMOMS is structured to generate evidence about what works in rural maternity care delivery, so award recipients and their network members are expected to collect, validate, and share clinical data. Importantly, the data-sharing expectation applies to all network members regardless of ownership status, meaning participation is not limited to publicly owned providers and can include private partners if they are part of the network. This evaluation component is central to the program’s intent to quantify impact and demonstrate whether these rural network models measurably improve access, continuity, and outcomes.Apply for HRSA 22 115
- The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Rural Maternity and Obstetrics Management Strategies 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 Jan 05, 2022.
- Applicants must submit their applications by Apr 05, 2022. (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 $1,000,000.00 in funding.
- The number of recipients for this funding is limited to 5 candidate(s).
- Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Public and State controlled institutions of higher education, 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, Private institutions of higher education, Others (see text field entitled Additional Information on Eligibility for clarification).
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RMOMS Program (HRSA) - Frequently Asked Questions (FAQs)
What is the Rural Maternity and Obstetrics Management Strategies (RMOMS) Program?
The Rural Maternity and Obstetrics Management Strategies (RMOMS) Program is a Health Resources and Services Administration (HRSA) funding opportunity intended to strengthen maternal and obstetric care in rural areas. It focuses on improving both access to services and continuity of care across the full maternity timeline, from preconception and prenatal care through labor and delivery and postpartum follow-up.
What problems is RMOMS designed to address in rural communities?
RMOMS is designed around common rural realities, including limited local obstetric capacity, long travel distances to reach specialty care, and the financial strain of keeping maternity services available in smaller rural hospitals. The program emphasizes coordinated approaches that help rural regions maintain consistent, safe, and connected maternity care.
What are the main goals of RMOMS?
The program describes four central goals:
- Improve maternal and neonatal outcomes in a defined rural region (reducing preventable complications and improving health results for pregnant people and newborns).
- Build a sustainable network approach that expands the availability and delivery of services across the full continuum of care (preconception, prenatal, pregnancy, delivery, and postpartum).
- Establish a safe delivery environment in rural settings by ensuring support from and access to specialty care for perinatal patients and infants (including referrals, protocols, and rapid consultation/transfer mechanisms when needed).
- Develop sustainable financing models so rural hospitals and partners can maintain services over time rather than relying on short-term fixes.
What does RMOMS mean by a "defined rural region"?
RMOMS is aimed at improving outcomes and access within a specific rural region. Based on the information provided, applicants should be prepared to describe the rural region their network will serve and how their approach will improve outcomes across that region.
Does RMOMS fund a single hospital or clinic, or does it require multiple partners?
RMOMS is defined by its emphasis on formal regional networks. The program encourages models that work across organizations rather than relying on one facility acting alone. The underlying idea is that rural maternal health challenges are better addressed through coordinated systems that connect hospitals, clinics, public health agencies, and specialty providers into a structured regional approach.
What is meant by "network-based solutions" in RMOMS?
Network-based solutions refer to organized regional approaches where multiple organizations collaborate to deliver coordinated care. The goal is to improve continuity and safety by linking services and providers across the maternity care continuum, including the ability to connect rural patients to specialty support when needed.
What are the focus areas RMOMS expects applicants to address?
RMOMS is organized around four focus areas that applicants are expected to address through their proposed model:
- Rural hospital obstetric service aggregation and risk-appropriate care (designing systems that match patient risk levels with the right care setting and resources, including clear pathways for higher-risk pregnancies).
- A network approach to coordinating a continuum of care (supporting continuity across the entire perinatal period and across multiple providers and sites).
- Leveraging telehealth and specialty care (using remote consultation and virtual strategies to help overcome distance and specialist shortages).
- Financial sustainability (developing reimbursement, partnership, or other financing structures to keep services viable over time).
What does "risk-appropriate care" mean in the RMOMS context?
In this opportunity, risk-appropriate care generally points to designing systems that align a patient’s risk level with the right care setting and resources. This includes having clear pathways and arrangements for higher-risk pregnancies to access higher levels of care when appropriate.
What types of telehealth approaches does RMOMS highlight?
RMOMS highlights telehealth as a way to reduce barriers caused by distance and specialist shortages. Examples named in the opportunity include tele-obstetrics, tele-ultrasound support, and tele-mental health, as well as other virtual strategies that enable specialty consultation and support.
How does RMOMS address patient safety for deliveries in rural settings?
RMOMS prioritizes establishing a safe delivery environment in rural settings by ensuring support from, and access to, specialty care for perinatal patients and infants. The opportunity references tools like referral arrangements, clinical protocols, and mechanisms for rapid consultation or transfer when higher levels of care are needed.
What does RMOMS mean by "continuity of care" across the maternity timeline?
RMOMS emphasizes coordinated, connected care across the full continuum, including preconception, prenatal care, pregnancy, labor and delivery, and postpartum follow-up. The network approach is meant to reduce gaps between settings and providers so care remains consistent over time.
What is the funding mechanism for RMOMS?
The RMOMS opportunity uses a cooperative agreement funding mechanism. This typically means there is substantial federal involvement beyond what is seen in a standard grant, which may include collaboration, technical assistance, and/or participation in program-level evaluation activities.
How many awards were anticipated, and what was the maximum award amount?
The opportunity anticipated up to 5 awards, with an award ceiling of $1,000,000.
Which federal agency offers RMOMS?
RMOMS was offered by the U.S. Department of Health and Human Services through the Health Resources and Services Administration (HRSA).
What is the Funding Opportunity Number and CFDA number for RMOMS?
The Funding Opportunity Number is HRSA-22-115 and the CFDA number listed is 93.912.
What was the application closing date listed for this opportunity?
The original application closing date provided was April 5, 2022.
Who is eligible to apply for RMOMS based on the information provided?
Eligibility is broad and includes:
- State governments
- County governments
- City or township governments
- Special district governments
- Independent school districts
- Public and state-controlled institutions of higher education
- Private institutions of higher education
- Federally recognized tribal governments
- Other tribal organizations
- Nonprofit organizations with IRS 501(c)(3) status (excluding institutions of higher education)
What does the "Others" eligibility category mean?
The listing includes an "Others" category and notes that additional eligibility clarification is referenced in the full notice. Based on the provided information, HRSA appears to allow additional entity types as specified in the complete guidance.
Is evaluation and data collection a required part of RMOMS?
Yes. Participation in a robust independent evaluation is a major requirement. RMOMS is structured to generate evidence about what works in rural maternity care delivery, so award recipients and their network members are expected to collect, validate, and share clinical data.
Do all network members have to participate in data sharing?
Yes. The data-sharing expectation applies to all network members regardless of ownership status. This means the network may include private partners, and they are still expected to participate in the required data collection and sharing as part of the network.
Why is the independent evaluation emphasized so strongly in RMOMS?
The opportunity states that RMOMS will test and demonstrate the impact of network models, not just implement them. The evaluation component is central to quantifying impact and demonstrating whether rural network approaches measurably improve access, continuity, and outcomes.
What does RMOMS mean by "financial sustainability"?
RMOMS expects applicants to develop sustainable financing models that help rural hospitals and community partners maintain maternal and obstetric services over time. The opportunity references the need to think through reimbursement, partnerships, and other financing structures so services remain viable beyond short-term solutions.
What kinds of services across the maternity continuum are included under RMOMS?
RMOMS explicitly spans the full maternity timeline, including preconception, prenatal care, care during pregnancy, labor and delivery, and postpartum follow-up. The program is designed to support consistent, coordinated care across all of these phases.
Does RMOMS require specialty care access even if it is not available locally?
The program prioritizes ensuring access to specialty care support for perinatal patients and infants. The opportunity suggests strategies like referral arrangements, rapid consultation, transfer mechanisms, and telehealth approaches to connect rural settings to specialty resources when local capacity is limited.
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