Opportunity Information: Apply for HRSA 21 081
The Rural Maternity and Obstetrics Management Strategies (RMOMS) Program is a federal funding opportunity run by the Health Resources and Services Administration (HRSA) within the U.S. Department of Health and Human Services. It is designed to help rural communities strengthen maternity and obstetric care by improving both access and continuity across the full maternal care timeline, from preconception and prenatal services through labor and delivery and into postpartum care. The program is set up as a cooperative agreement, meaning awardees should expect an active partnership with HRSA rather than a hands-off grant relationship, with an emphasis on demonstrating measurable improvements in rural maternal health systems.
At its core, RMOMS is meant to address persistent gaps in rural maternal care, including limited local obstetric services, long travel distances to delivery hospitals, workforce shortages, and inconsistent access to specialty care. HRSA is looking for applicants that can organize or build out a regional network approach rather than working in isolation, with the idea that rural maternity care works best when hospitals, clinics, providers, and community partners coordinate as a system. The program emphasizes innovation, but it is practical innovation: applicants are encouraged to test workable models that can improve outcomes and remain viable after the federal funding period ends.
The opportunity lays out four main goals. First, it aims to improve maternal and neonatal outcomes within a defined rural region, focusing on tangible health results for pregnant and postpartum people and their infants. Second, it seeks to create a sustainable network approach that expands the availability and delivery of services across the continuum of care, including preconception, pregnancy, labor and delivery, and postpartum support. Third, it prioritizes building a safer delivery environment by ensuring rural sites have reliable support and access to specialty care for perinatal patients and infants, which may include referral pathways, consultation, and protocols for escalation when complications arise. Fourth, the program pushes applicants to develop sustainable financing models so rural hospitals and communities can continue offering maternal and obstetric services without relying solely on short-term grant funding.
RMOMS requires applicants to incorporate all four Focus Areas into a single, cohesive proposal. The first Focus Area is Rural Regional Approaches to Risk-Appropriate Care, which centers on matching patients to the right level of care based on clinical risk, and ensuring that referral and transfer processes function well across a rural region. The second is a Network Approach to Coordinating a Continuum of Care, which emphasizes coordinated care pathways and partnerships that connect patients to services before pregnancy, during prenatal care, at delivery, and postpartum, including wraparound and community-based supports where appropriate. The third Focus Area is Leveraging Telehealth and Specialty Care, reflecting the reality that many rural regions cannot staff every specialty locally, so telehealth-enabled consultation and specialist support can help improve safety, timeliness, and continuity. The fourth is Financial Sustainability, which asks applicants to think beyond program start-up and develop financing strategies that can keep services operating over time, such as reimbursement approaches, partnership-based cost sharing, value-based arrangements, or other durable funding mechanisms suitable for rural settings.
From an applicant and award standpoint, the program is listed under Funding Opportunity Number HRSA-21-081 and is categorized as a discretionary health grant with CFDA number 93.912. The original posting date was April 12, 2021, with an original closing date of June 4, 2021. HRSA anticipated making three awards, with an award ceiling of $1,000,000. Eligibility is listed as "Others" with additional eligibility details referenced in the full notice, which typically means applicants must consult the full announcement to confirm which organization types and configurations are permitted, especially given the program’s emphasis on regional networks and multi-partner structures.
Overall, RMOMS is best understood as a systems-building grant for rural maternal health. HRSA is not only funding individual services, but also trying to prove out regional, network-based models that improve outcomes, improve coordination, expand access to specialty expertise (including through telehealth), and create financing approaches that make rural maternity care more stable long term. The strongest proposals under this program are likely those that can clearly define a rural region, show an established or formal network structure (or a credible plan to formalize one), address all four Focus Areas in an integrated way, and demonstrate how the proposed model will measurably improve both access to care and continuity of care for rural pregnant and postpartum people and their infants.Apply for HRSA 21 081
- 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 Apr 12, 2021.
- Applicants must submit their applications by Jun 04, 2021. (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 3 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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