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2019 Rural Maternity and Obstetrics Management Strategies (RMOMS)

Grants to USA Nonprofits, For-Profits, and Community Organizations to
Improve Rural Maternal Healthcare Access Across Regional Networks

Agency Type:


Funding Source:

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US Department of Health and Human Services - Health Resources and Services Administration (HRSA) - Federal Office of Rural Health Policy (FORHP) - Community-Based Division

Conf. Date:


LOI Date:


Deadline Date:

06/17/19 11:59 PM ET


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Grants to USA nonprofits, for-profits, and community, tribal, and faith-based organizations to develop regional networks that increase access to obstetric and maternal medical care in rural communities. Required applicant registrations must be completed before applying.

The goals of the RMOMS program are to: (i) develop a sustainable network approach to coordinate maternal and obstetrics care within a rural region; (ii) increase the delivery and access of preconception, pregnancy, labor and delivery, and postpartum services; (iii) develop sustainable financing models for the provision of maternal and obstetrics care; and (iv) improve maternal and neonatal outcomes. Applicants are encouraged to propose innovative ways to achieve these goals through an established or formal regional network structure.

This pilot program intends to demonstrate the impact on access to and continuity of maternal and obstetrics care in rural communities through testing models that address the following RMOMS Focus Areas:

1) Rural Hospital Obstetric Service Aggregation
2) Network Approach to Coordinating a Continuum of Care
3) Leveraging Telehealth and Specialty Care
4) Financial Sustainability

Applicants are required to incorporate all four of the RMOMS Focus Areas in their proposals. Applicants are required to develop their own strategies in response to all of the above Focus Areas. For details on each of these focus areas, see pages 1-2 of the RFP document in Supporting Documents below.

This cooperative agreement program may be built into an existing statewide or regional health network that supports obstetrics services and primary care such that a woman’s health care needs are addressed from the preconception period, through pregnancy, labor, delivery, and the postpartum period.

Award recipients will work in consultation with a HRSA-funded program evaluator to establish baseline data and analyze program outcomes throughout the course of the program.

For information on expected activities and program background, see pages 2-4 of the RFP document in Supporting Documents below.

GrantWatch ID#:

GrantWatch ID#: 185671

Estimated Total Program Funding:


Number of Grants:


Estimated Size of Grant:

You may apply for a ceiling amount of up to $600,000 total costs (includes both direct and indirect, facilities and administrative costs) in FY 2019.

You may apply for a ceiling amount of up to $800,000 total costs (includes both direct and indirect, facilities, and administrative costs) each year in FY 2020, FY 2021, and FY 2022.

Term of Contract:

The period of performance is September 1, 2019 through August 31, 2023 (four years).

Additional Eligibility Criteria:

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. The applicant organization may be located in an urban or rural area. However, all activities supported by this program must exclusively target populations residing in HRSA-designated rural counties or rural census tracts in urban counties. residing 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 applicant organization 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 target rural communities.

The applicant organization must:
a. Exercise administrative and programmatic direction over award-funded activities;
b. Be responsible for hiring and managing the award-funded staff;
c. Demonstrate the administrative and accounting capabilities to manage the award funds;
d. Have at least one permanent staff at the time an award is made; and
e. Have an Employer Identification Number (EIN) from the Internal Revenue Service.

You cannot use funds under this notice for the following purposes:

- To build or acquire real property,
- Construction, or
- Major renovation/alteration of any space.

For information on eligibility requirements, see pages 6-8 of the RFP document in Supporting Documents below.

Pre-proposal Conference:

HRSA has scheduled the following technical assistance:

Day and Date: Tuesday, April 30, 2019
Time: 2 - 3 p.m. ET Call-In Number: 1-888-603-9810
Participant Code: 9971486
Playback Number: 1-866-495-9344 Passcode: 67259

Pre-Application Information:

Letter of Intent to Apply

The letter should identify your organization and its intent to apply, and briefly describe the proposal. HRSA will not acknowledge receipt of letters of intent. Send the letter via email by May 3, 2019. Although HRSA encourages letters of intent to apply, they are not required. You are eligible to apply even if you do not submit a letter of intent.

The due date for applications under this NOFO is June 17, 2019 at 11:59 p.m. Eastern Time. HRSA suggests submitting applications to at least 3 days before the deadline to allow for any unforeseen circumstances.

The registration process requires information in three separate systems:

- Dun and Bradstreet (
- System for Award Management (SAM) (
- (

Updated alert: For your registration, you must submit a notarized letter appointing the authorized Entity Administrator. The review process changed for the Federal Assistance community on June 11, 2018. Read the updated FAQs to learn more.

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Contact Information:

Before starting your grant application, please review the funding source's website listed below for updates/changes/addendums/conferences/LOIs.

Email the optional Letter of Intent to Apply to:

HRSA-19-094 24
HRSA Digital Services Operation (DSO)
Please use the HRSA opportunity number as email subject (HRSA-19-094)

You may request additional information and/or technical assistance regarding business, administrative, or fiscal issues related to this NOFO by contacting:

Potie Pettway
Grants Management Specialist
Division of Grants Management Operations, OFAM
Phone (301) 443-1014
Fax (301) 443-9810

You may request additional information regarding the overall program issues and/or technical assistance related to this NOFO by contacting:

Cassandra Phillips, MPH
Public Health Analyst
Attn: Rural Maternity and Obstetrics Management Strategies Program
Federal Office of Rural Health Policy
Telephone: (301) 945-3940

Health Resources and Services Administration
5600 Fishers Lane, Mailstop 10SWH03
Rockville, MD 20857

CFDA Number:


Funding or Pin Number:


URL for Full Text (RFP):

Geographic Focus:

USA: Alabama;   Alaska;   Arizona;   Arkansas;   California;   Colorado;   Connecticut;   Delaware;   Florida;   Georgia;   Hawaii;   Idaho;   Illinois;   Indiana;   Iowa;   Kansas;   Kentucky;   Louisiana;   Maine;   Maryland;   Massachusetts;   Michigan;   Minnesota;   Mississippi;   Missouri;   Montana;   Nebraska;   Nevada;   New Hampshire;   New Jersey;   New Mexico;   New York City;   New York;   North Carolina;   North Dakota;   Ohio;   Oklahoma;   Oregon;   Pennsylvania;   Rhode Island;   South Carolina;   South Dakota;   Tennessee;   Texas;   Utah;   Vermont;   Virginia;   Washington, DC;   Washington;   West Virginia;   Wisconsin;   Wyoming

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