Opportunity Information: Apply for HRSA 19 018
The Small Health Care Provider Quality Improvement Program, also referred to as the Rural Quality Program (HRSA-19-018), is a federal grant opportunity run by the Health Resources and Services Administration (HRSA) within the U.S. Department of Health and Human Services (HHS). It is a discretionary grant (CFDA 93.912) designed to help rural health care organizations plan and carry out practical, evidence-based quality improvement work in primary care and other essential rural health service settings. The overall intent is to strengthen how rural providers deliver care by supporting projects that improve coordination, expand access, control or reduce costs, and raise the quality of essential services for rural residents over a three-year period of performance.
The program is aimed at small rural providers and rural-serving organizations such as critical access hospitals and rural health clinics, along with other eligible applicants as clarified in the full eligibility guidance. HRSA is looking for projects that do more than introduce isolated fixes; the emphasis is on building an enduring culture of quality improvement that is systematic, data-informed, and continuous. By the end of the three-year project period, funded recipients are expected to be able to show measurable progress in two big areas: improved patient health outcomes for the rural populations they serve, and stronger delivery and quality of essential rural health care services. In addition to those core expectations, the program also highlights goals like better chronic disease management and stronger engagement of patients and caregivers, reflecting the idea that long-term health improvement in rural communities depends heavily on sustained management of conditions and meaningful patient participation.
For the FY 2019 funding cycle, HRSA specifically asked applicants to focus their proposals on at least one of two pressing rural health priorities: improving chronic disease management in rural communities and/or integrating mental health and behavioral health services into rural primary care. The intent here is to support models where primary care settings are better equipped to handle complex, ongoing needs, including depression, anxiety, substance use concerns, and other behavioral health issues that often intersect with chronic physical conditions. Applicants are also strongly encouraged to shape their quality improvement work around Patient-Centered Medical Home (PCMH) and Value-Based Care Delivery (VBC) approaches. While not mandatory, these frameworks are promoted because they reinforce structured quality improvement, coordinated team-based care, and a stronger focus on outcomes and affordability rather than volume alone.
Collaboration is another major theme. HRSA does not require applicants to form a consortium or network, but it strongly encourages it, reflecting the reality that rural systems often have limited staffing, limited specialty access, and widely dispersed patients. Partnerships and networks can help participating organizations share staff expertise, data practices, workflows, and other resources that make quality initiatives more feasible and more scalable. HRSA also notes that consortia and networks can position rural providers to participate more effectively in incentive programs and other arrangements that reward preventive care and higher-quality performance, which can further support sustainability beyond the grant period.
Grant funds can be used as start-up support for quality improvement initiatives, particularly to help organizations build the capacity needed to continue improvements and attract future funding from other sources. The program also allows, but does not require, recipients to use funding to obtain or maintain nationally recognized quality improvement accreditations, including PCMH recognition through the National Committee for Quality Assurance (NCQA) and similar entities. Health departments and applicants that partner with health departments are especially encouraged to pursue such accreditation, which can serve as both a quality signal and a structured roadmap for improvement. HRSA further emphasizes long-term sustainability, urging applicants to think ahead about how they will keep successful activities going after federal funding ends, including by leveraging value-based reimbursement and payment structures used by public and private insurers.
Administrative details in the notice indicate HRSA anticipated making about 32 awards. The opportunity was posted on February 20, 2019, with an original application closing date of April 22, 2019. The listing shows an award ceiling of 0, which typically means applicants need to rely on the full notice of funding opportunity for the specific budget expectations and limits or that the ceiling was not represented in that summary field. Overall, the grant is framed as a practical investment in rural primary care transformation, with an emphasis on measurable outcome improvement, stronger care coordination, better chronic disease and behavioral health integration, and building durable systems that can continue under value-based care models after the grant period ends.Apply for HRSA 19 018
- The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Small Health Care Provider Quality Improvement 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 Feb 20, 2019.
- Applicants must submit their applications by Apr 22, 2019. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The number of recipients for this funding is limited to 32 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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