Development and Coordination of Rural Health Services

For the development and coordination of rural health services.

To establish and maintain an information center for collecting and disseminating information on rural health care issues, research findings relating to rural health care and innovative approaches to the delivery of health care in rural


Agency - Department of Health and Human Services

The Department of Health and Human Services is the Federal government's principal agency for protecting the health of all Americans and providing essential human services, especially to those who are least able to help themselves.

Office - See Regional Agency Offices.

Relevant Nonprofit Program Categories

Selected Recipients for this Program

RecipientAmount Start DateEnd Date
Capitol Associates, Inc. $ 400,000   2015-07-012026-06-30
University Of North Carolina At Chapel Hill $ 2,145,524   2006-09-012026-06-30
University Of North Dakota $ 11,460,219   2005-09-012025-05-31
National Rural Health Associates $ 9,775,000   2004-09-012024-07-31
University Of Iowa, The $ 1,239,732   2012-09-012023-07-31
University Of Kentucky Research Foundation, The $ 675,000   2019-09-012022-08-31
Montana Health Research And Education Foundation, Inc. $ 313,429   2014-09-012022-08-31
University Of Iowa, The $ 449,983   2017-07-012022-06-30
University Of Texas Health Science Center Of San Antonio $ 1,999,772   2020-09-012022-04-30
$ 0   

Program Accomplishments

Not Applicable.

Uses and Use Restrictions

All funds awarded are to be expended solely for carrying out the approved activities in accordance with the intent of the cooperative agreement as stipulated in the notice of award.

Eligibility Requirements

Applicant Eligibility

Public or private entities with a service commitment to and experience with rural issues at a national level.

Applicant must directly employ a project director with a professional record in national rural health and/or social services policy issues, and directly employ staff for the Information Center, with exceptions only through written agreement with ORHP.

Beneficiary Eligibility

The rural health information clearinghouse is a gateway to information on rural health and social services for residents in rural areas of the United States and for all others interested in these issues.


Applicants should review the individual HRSA notice of funding opportunity issued under this CFDA program for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package. 2 CFR 200, Subpart E - Cost Principles applies to this program.

Aplication and Award Process

Preapplication Coordination

Preapplication coordination is required.

Environmental impact information is not required for this program.

This program is eligible for coverage under E.O.

12372, 'Intergovernmental Review of Federal Programs.' An applicant should consult the office or official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review.

Application Procedures

2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. HRSA requires all applicants to apply electronically through All qualified applications will be forwarded to an objective review committee. Based on the advice of the objective review committee, the HRSA program official with delegated authority is responsible for final selection and funding decisions.

Award Procedures

Notification is made in writing by a Notice of Award.


Contact the headquarters or regional office, as appropriate, for application deadlines.


Social Security Act, Section 711, as amended, (42 U.S.C. 912).

Range of Approval/Disapproval Time

Up to 6 months.


Not Applicable.


Not Applicable.

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula. This program has no matching requirements. This program does not have MOE requirements.

Length and Time Phasing of Assistance

Awards are made annually for a project period of up to 5 years. See the following for information on how assistance is awarded/released: Awardees drawdown funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards.

Post Assistance Requirements


The awardee will be required to submit performance and progress reports as well as status-federal financial reports (see the program announcement and notice of award for details for each required report).

The awardee must submit a quarterly electronic Federal Financial Report (FFR) Cash Transaction Report via the Payment Management System within 30 days of the end of each calendar quarter.

A Federal Financial Report (SF-425) according to the following schedule:

A final report is due within 90 days after the project period ends.

If applicable, the awardee must submit a Tangible Personal Property Report (SF-428) and any related forms within 90 days after the project period ends.

New awards (?Type 1?) issued under this notice of funding opportunity are subject to the reporting requirements of the Federal Funding Accountability and Transparency Act (FFATA) of 2006 (Pub.


109?282), as amended by section 6202 of Public Law 110?252, and implemented by 2 CFR Part 170.

Grant and cooperative agreement recipients must report information for each first-tier subaward of $25,000 or more in federal funds and executive total compensation for the recipient?s and subrecipient?s five most highly compensated executives as outlined in Appendix A to 2 CFR Part 170 (FFATA details are available online at

Competing continuation awardees, etc.

may be subject to this requirement and will be so notified in the Notice of Award.

No cash reports are required.

Progress reports are not applicable.

No expenditure reports are required.

No performance monitoring is required.


In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503.


Awardees are required to maintain grant accounting records for 3 years after the date they submit the Federal Financial Report (FFR). If any litigation, claim, negotiation, audit, or other action involving the award has been started before the expiration of the 3-year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3-year period, whichever is later.

Financial Information

Account Identification



(Project Grants) FY 16 $2,100,000; FY 17 est $2,100,000; and FY 18 Estimate Not Available

Range and Average of Financial Assistance

Average award is $2,100,000.

Regulations, Guidelines, and Literature

This program is subject to the provisions of 45 CFR Part 92 for state, local and tribal governments and 45 CFR Part 74 for institutions of higher education, hospitals, other nonprofit organizations and commercial organizations, as applicable. Awards are subject to the requirements of the HHS Grants Policy Statement (HHS GPS) that are applicable based on recipient type and purpose of award. The HHS GPS is available at

Information Contacts

Regional or Local Office

See Regional Agency Offices.

Headquarters Office

Steve Hirsch, Federal Office of Rural Health Policy, 5600 Fishers Lane, Room 17W41D, Rockville, Maryland 20857 Phone: (301) 443-0835.

Criteria for Selecting Proposals

Applications will be reviewed and rated on the applicant's ability to address the following areas to: (1) develop and maintain a rural health information clearinghouse; (2) track emerging and ongoing rural health issues and identify ways to solicit and distribute information for key stakeholders concerned about rural health care; (3) work collaboratively with ORHP to prioritize key issues and develop information resources to share with callers and web users; (4) gather, organize, and index information from a wide range of sources that deal with aspects of rural health care; (5) make referrals, avoid duplication of services, and ensure that rural residents are directed to appropriate resources for their information needs; (6) provide support to the ?Improve Rural Health Care? Initiative and play a key role in broadly disseminating promising practices from rural communities; and (7) experience in working with the full range of key rural interest groups, along with knowledge of rural health and of the key individuals and organizations involved in ensuring availability of health care in rural areas.

Leading Bangalore-based rural kindergarten and remedial school programs provider, Hippocampus Learning Centres, is set to expand its operations in South India, thanks to Unitus Seed Fund, India’s most active seed-stage impact investor.

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