HHS Health Resources Services Administration (HRSA) – Rural Communities Opioid Response Program – Implementation (FY 2019)

Applications Due: May 6, 2019, 11:59 p.m. Eastern Time

NOTE: Applicants who did not receive a RCORP planning grant are still eligible for this implementation grant. 

Description:
This notice solicits applications for the Rural Communities Opioid Response Program (RCORP). RCORP is a multi-year opioid-focused initiative by the Health Resources and Services Administration (HRSA) aimed at reducing the morbidity and mortality of substance use disorder (SUD), including opioid use disorder (OUD), in rural communities at the highest risk for SUD. This notice announces the opportunity to apply for funding under the RCORP-Implementation. RCORP-Implementation will advance RCORP’s overall goal by strengthening and expanding SUD/OUD prevention, treatment, and recovery service delivery in high-risk rural communities.

By expanding the options for SUD/OUD services across the care spectrum, RCORP-Implementation will help rural residents access treatment and move towards recovery. In 2017, the U.S. Department of Health and Human Services (HHS) initiated a comprehensive effort to empower local communities to combat the opioid crisis through a Five-Point Strategy. In alignment with the HHS Five-Point Strategy, and as part of RCORP, RCORP-Implementation award recipients will implement robust, evidence-based interventions and promising practice models to expand access to, and strengthen the quality of, SUD/OUD prevention, treatment, and recovery services in high-risk rural communities. (See Appendix B of this opportunity for resources to identify appropriate models)

You are required to align your application with the following RCORP-Implementation focus areas:

1. Prevention: Reducing the occurrence and associated risk of OUD among new and at-risk users (including polysubstance users), as well as fatal opioid-related overdoses, and promoting infectious disease detection through activities such as community and provider education, harm reduction strategies, and referral to treatment and recovery support services.

2. Treatment: Implementing or expanding access to evidence-based practices, including medication-assisted treatment (MAT) with psychosocial intervention, and eliminating or reducing treatment costs for uninsured and underinsured patients.

3. Recovery: Implementing or expanding access to recovery and treatment options that help people battling OUD (including those with polysubstance disorders) start and stay in recovery, including ensuring access to support services such as, but not limited to, transportation, housing, peer recovery, case management, employment assistance, and child care.

HRSA envisions that award recipients will sustain programs beyond the three-year period of performance. In particular, it is expected that RCORP-Implementation award recipients will:

  • Leverage other available opioid resources at the federal, state and local levels to maximize program impact;
  • Expand the ability of providers to bill for treatment services;
  • Monitor and evaluate the impact and outcomes of SUD/OUD prevention, treatment, and recovery activities; and
  • Develop a long-term strategy to achieve financial and operational sustainability absent federal funding and address the future needs of the community.

In FY 2019, HRSA will provide support for additional programs to improve access to prevention, treatment, and recovery support services in rural communities, including additional RCORP-Planning grants and National Health Service Corps (NHSC) Loan Repayment Program (LRP) awards. For additional information on the NHSC LRP and sites, see Appendix A. For a list of current NHSC-approved sites, visit HRSA’s Health Workforce Connector. Please visit the NHSC website to learn how to become an NHSC site.

Funding Title: Rural Communities Opioid Response Program-Implementation

Agency Name: Health Resources & Services Administration

Funding Opportunity Number: HRSA-19-082

Funding Instrument Type: Grant

Express Language for Legal Aid: YES!

Page 8 of the Notice of Funding Opportunity contains a list of “Recovery Core Activities,” which explicitly includes “legal aid.” Beyond the explicit mention of legal aid in that section, the Notice also contains a list of “Additional Resources,” which includes LSC (page 34) and Medical Legal Partnerships (page 35).

Expected Number of Awards: 75

Cost Sharing or Matching Requirement: No

Estimated Total Program Funding: $75,000,000

Award Ceiling: $1,000,000

Award Floor: $0

How to Apply: HRSA requires you to apply electronically. HRSA encourages you to apply through Grants.gov using the SF-424 workspace application package associated with this NOFO following the directions provided at http://www.grants.gov/applicants/apply-for-grants.html.

HRSA recommends that you supply an email address to Grants.gov on the grant opportunity synopsis page when accessing this notice of funding opportunity (NOFO) (also known as “Instructions” on Grants.gov) or workspace application package. This allows Grants.gov to email organizations in the event HRSA changes and/or republishes the NOFO on Grants.gov before its closing date. Responding to an earlier version of a modified notice may result in a less competitive or ineligible application.

Applicant organization/agency is responsible for reading and complying with the instructions included in HRSA’s SF-424 Application Guide, available online at http://www.hrsa.gov/grants/apply/applicationguide/sf424guide.pdf, except where instructed in this NOFO to do otherwise. A short video explaining the Application Guide is available at http://www.hrsa.gov/grants/apply/applicationguide/.

Current Closing Date for Applications: by May 6, 2019, 11:59 p.m., Eastern Time

Eligible Applicants: Eligible applicants include all domestic public or private, non-profit or for-profit entities, including faith-based and community-based organizations, tribes, and tribal organizations and should serve rural communities at the highest risk for SUD.

All activities supported by RCORP-Implementation must exclusively target populations residing in HRSA-designated rural counties or rural census tracts in urban counties (as defined by the Rural Health Grants Eligibility Analyzer). HRSA-19-082 4 The applicant organization may be located in an urban or rural area and should have the staffing and infrastructure necessary to oversee program activities, serve as the fiscal agent for the award, and ensure that local control for the award is vested in the targeted rural communities.

Applicant Organization Specifications:
The applicant organization may be located in an urban or rural area, but all activities supported by this program must exclusively target populations residing in HRSA-designated rural counties or rural census tracts in urban counties and the consortium overall must be representative of rural entities.

The applicant organization should have the staffing and infrastructure necessary to oversee program activities, serve as the fiscal agent for the grant, and ensure that local control for the grant is vested in the target rural communities. If the applicant organization is an urban entity, at least two consortium members involved in the proposed project must be located in HRSA-designated rural counties or rural census tracts in urban counties. To ascertain whether a particular county or census tract is rural, please refer to http://datawarehouse.hrsa.gov/RuralAdvisor/.

Consortium Specifications:
The applicant organization must be part of a group of entities that have committed to forming a consortium or are part of an established consortium. For the purposes of this program, a consortium is defined as an organizational arrangement among four or more separately owned domestic public or private entities, including the applicant organization. The applicant organization, along with each consortium member who will receive any of the awarded funds, must have separate and different Employer Identification Numbers (EINs).

While consortium members may be located in urban or rural areas, at least two consortium members involved in the proposed project must be located in HRSA designated rural counties or rural census tracts in urban counties. To ascertain whether a particular county or census tract is rural, please refer to the Rural Health Grants Eligibility Analyzer. HRSA will not review applications that fail to include at least
two rural entities and will consider these applications non-responsive.

Given the complex and multifaceted nature of OUD, consortium members should come from multiple sectors and disciplines. Consortium members may be located in urban or rural areas, but all activities supported by this program must exclusively target populations residing in HRSA-designated rural counties or rural census tracts in urban counties and the consortium overall must be representative of rural entities. To ascertain whether a particular county or census tract is rural, please refer to http://datawarehouse.hrsa.gov/RuralAdvisor/.

Link to Full Announcement: View the Opportunity here. Click here to download the Notice of Funding Opportunity.

Technical Assistance:
HRSA has scheduled the following technical assistance webinar:

Wednesday, March 27, 2019, 11:30-2:00 p.m. ET
Call-In Number: 1-888-566-7680
Participant Code: 5808487
Weblink: https://hrsaseminar.adobeconnect.com/rcorp-implementation/
Playback Number: 1-800-839-4845
Passcode: 43211

Contact Information: For technical assistance with submitting an application, contact the Grants.gov Customer Support Hotline at 800–518–4726, 606–545–5035, at www.grants.gov/web/grants/support.html, or at support@grants.gov. The Grants.gov Support Hotline operates 24 hours a day, 7 days a week, except on federal holidays.

If you have difficulty accessing the full announcement electronically, please contact:
Allison Hutchings, MA, MPH
Public Health Analyst, Federal Office of Rural Health Policy
Telephone: (301) 945-9819
Email: ruralopioidresponse@hrsa.gov

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Categories: Children, Community Development, Education Organizations, Elderly, Family, Food Stamps, Government Organizations, Health Care, Health Resources & Services Administration (HRSA), HHS, HIV/AIDS, Medicaid, Medical-Legal Partnerships, Medicare, Mental Health, Non-profit Organizations, Public Benefits, Rural, Sexual Assault, Social Security, SSI, Subgrant Possibilities, Substance Use Disorder, TANF, Uncategorized

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