Delta Health Systems Implementation Program | HRSA 25 032

Opportunity Information: Apply for HRSA 25 032

The Delta Health Systems Implementation Program (DSIP) is a federal grant opportunity from the Health Resources and Services Administration (HRSA) designed to strengthen healthcare delivery in rural communities across the Delta region. The program is aimed at helping rural healthcare organizations move from planning and assessment into real, on-the-ground implementation by funding projects that improve an organization s financial stability and expand access to care for residents in underserved rural areas. In practice, DSIP is built to help rural providers become more sustainable and better equipped to meet community needs by investing in practical improvements that affect day-to-day operations and long-term viability.

DSIP focuses on four major project areas: financial and operational improvement, quality improvement, telehealth, and workforce development. Financial and operational efforts can include projects that streamline revenue cycle processes, reduce avoidable costs, improve billing and coding performance, strengthen service line planning, and support other management improvements that help rural facilities remain open and solvent. Quality improvement projects may target patient safety, clinical outcomes, care coordination, data reporting, and performance improvement systems that raise the overall standard of care. Telehealth projects typically support the expansion of remote clinical services and enabling infrastructure, which can be especially important in rural counties where distance, transportation barriers, and provider shortages limit access. Workforce development activities may support recruitment and retention strategies, training pipelines, and skill-building initiatives that help rural organizations maintain a stable and capable workforce.

A defining feature of this program is that it is intended for organizations that have already received technical assistance (TA) within the last five years through the Delta Region Community Health Systems Development Program (DRCHSD) or another similar technical assistance program. DRCHSD provides multi-year, intensive technical assistance at no cost to rural healthcare organizations in the Delta region. DSIP is essentially the next step: it provides implementation funding so organizations can carry out the recommendations and action plans that came out of those technical assistance consultations. This structure makes DSIP less about starting from scratch and more about executing a vetted improvement strategy that has already been shaped through expert guidance.

Eligible applicants must be located in a rural county or parish within the Delta Regional Authority service area, which includes 252 counties and parishes across eight states: Alabama, Arkansas, Illinois, Kentucky, Louisiana, Mississippi, Missouri, and Tennessee. Applicants are expected to confirm eligibility in two ways: first, by verifying the county or parish is within the Delta region using the Delta Regional Authority service area map (https://dra.gov/about-dra/map-room/), and second, by confirming the location meets HRSA s rural definition using the Rural Health Grants Eligibility Analyzer (https://data.hrsa.gov/tools/rural-health). The program allows a wide range of domestic organizations to apply, including state and local governments (and special districts), independent school districts, public and private institutions of higher education, nonprofits with or without 501(c)(3) status, for-profit organizations including small businesses, and Native American tribal governments and tribal organizations. Individuals are not eligible to apply. For this opportunity, domestic eligibility includes the 50 states and several U.S. territories and freely associated states, as specified in the notice.

From an administrative standpoint, this is a discretionary grant with Funding Opportunity Number HRSA-25-032 and CFDA (Assistance Listing) 93.912. HRSA expects to make about 5 awards, with an award ceiling of $400,000 per award. The original application closing date is March 20, 2025. Overall, DSIP is best understood as a targeted implementation grant for rural Delta-region healthcare organizations that have already done the hard diagnostic work through recent technical assistance and now need resources to put those recommendations into action in ways that improve sustainability and expand patient access.

• The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Delta Health Systems Implementation 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 2024-12-20.
• Applicants must submit their applications by 2025-03-20. (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 $400,000.00 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, Nonprofits that do not have a 501 (c) (3) status with the IRS, other than institutions of higher education, Private institutions of higher education, For-profit organizations other than small businesses, Small businesses, Others.

Apply for HRSA 25 032

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