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Delta States Rural Development Network Grant Program

Grants to USA Rural Nonprofits and Public Entities Collaborating as
Health Care Providers to Address Unmet Needs in Eligible States

Agency Type:


Funding Source:

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

Conf. Date:


Deadline Date:



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Grants to USA rural nonprofit organizations, public entities, and faith-based, community-based, and tribal organizations representing a consortium of health care providers in order to address health care needs in eligible states. Applicants are advised that required registrations may take several weeks to complete. Eligible states include Alabama, Arkansas, Illinois, Kentucky, Louisiana, Mississippi, Missouri, and Tennessee.

The Delta Program supports and encourages the development of integrated health care networks to address unmet local health care needs and prevalent health disparities in rural Delta communities. The purpose of the Delta Program is to support organizations located in the eight Delta States (Alabama, Arkansas, Illinois, Kentucky, Louisiana, Mississippi, Missouri, and Tennessee) to promote the planning, implementation, and development of health care networks to: (i) achieve efficiencies; (ii) expand access to, coordinate, and improve the quality of essential health care services; and (iii) strengthen the rural health care system as a whole. The program provides resources to help rural communities develop partnerships and jointly address health problems that affect the Delta region.

HRSA recognizes the importance of identifying and implementing an evidence-based or promising practice model (see Appendix A for definitions). Therefore, all recipients are required to adopt an evidence-based or promising practice approach that proves demonstrated outcomes and may be replicable in other communities. An example of a promising practice would be a small-scale pilot program that has generated positive outcome evaluation results that justify program expansion to new access points and/or to new service populations. 

HRSA also requests applicants to propose multi-county/multi-parish projects that address the delivery of preventive or clinical health services for individuals with, or at risk of developing chronic health diseases that disproportionately affect rural Delta communities. Due to the high disparities in the region, applicants are strongly encouraged to propose a program based on no more than two of the following focus areas: 

  1. Diabetes,
  2. Cardiovascular disease, 
  3. Obesity, 
  4. Acute ischemic stroke, or 
  5. HIV/AIDS. Chronic disease initiatives may be a focus in programs when addressing prevention, self-management, care coordination, or clinical care and must be outcomes-oriented. Programs should also include activities focused on producing changes in wellness screening measures (e.g., BMI, weight, A1c, blood pressure, waist circumference, HIV testing) in addition to one or more of the following areas:
    • Knowledge (e.g., understanding of effective self-management strategies, understanding of key disease risk factors or prevention strategies) 
    • Attitudes (e.g., increased self-efficacy in prevention or self-management strategies)
    • Behaviors (e.g., increase in level of physical activity, increase intake of fruits and vegetables, HIV medication adherence)
    • Policies and procedures (e.g., improved health care services delivery model, changes to school physical activity and/or cafeteria policies, HIV)
    • Systems (e.g., improved coordination among health and social services agencies) 

Recipients will receive targeted technical assistance throughout the period of performance to assist in achieving the project’s desired outcomes and to ensure program sustainability after the period of federal funding. This additional support is provided at no extra cost to recipients, as this is an investment made by HRSA to assist in the success of the project. If funded, recipients will learn more about the technical assistance support.

GrantWatch ID#:

GrantWatch ID#: 186819

Estimated Total Program Funding:


Number of Grants:

Up to 12 grants

Estimated Size of Grant:

Applicants may apply for a ceiling amount of $56,604 per eligible county/parish, per year.

Term of Contract:

August 1, 2020 through July 31, 2023 (3 years). Funding beyond the first year is subject to the availability of appropriated funds for Delta Program in subsequent fiscal years, satisfactory recipient performance, and a decision that continued funding is in the best interest of the Federal Government.


Additional Eligibility Criteria:

Eligible Applicants:

The applicant organization must be a rural nonprofit or rural public entity that represents a consortium of at least three or more health care providers.

For more information on consortium requirements, see the following link:

Your organization must be located in a nonmetropolitan county or in a rural census tract of a metropolitan county. All services must be provided in a non-metropolitan county or rural census tract.

Faith-based and community-based organizations located in rural areas are eligible to apply for funding under this notice. Tribes and tribal organizations located in rural areas are eligible to apply for funding under this notice.

If your organization is owned by or affiliated with an urban entity or health care system, the rural component may still apply as long as the rural entity has its own Employer Identification Number (EIN) and can directly receive and administer the grant funds in the rural area.

For more information on geographic eligibility, see the following link:

To ascertain rural eligibility, please refer to

Pre-proposal Conference:

HRSA has scheduled the following technical assistance:

Day and Date: Tuesday, October 1, 2019
Time: 2 – 3 p.m. ET
Call-In Number: 1-888-994-8792
Participant Code: 5467892
Playback Number: 1-866-484-6430
Passcode: 11619

Web Link:

Pre-Application Information:

Due Date for Applications: December 6, 2019

You must obtain a valid DUNS number, also known as the Unique Entity Identifier, for your organization/agency and provide that number in the application.

Ensure your and registrations and passwords are current. HRSA will not approve deadline extensions for lack of registration. Registration in all systems, including and, may take up to 1 month to complete.

Applicants are required to notify the State Office of Rural Health (SORH) of their intent to apply to this program. Applicants should make every effort to seek consultation from the SORH no later than three weeks in advance, as feasible, of the due date, and provide the SORH a simple summary of the proposed project.

It is also highly recommended that applicants notify the Delta Regional Authority of their intent to apply.

Cost-sharing/matching is not required for this program.

HRSA will issue the Notice of Award (NOA) prior to the start date of August 1, 2020.

View grant opportunity here:

For a list of application documents, see the Package tab (press Preview) on the page above

For information on how to register for, see the following link:

A list of the SORHs is accessible at:

More information about evidence-based and promising practice models can be found at:

Contact Information:

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

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

Patricia Burbano, Public Health Analyst
Phone: (301) 443-7238

Health Resources and Services Administration
5600 Fishers Lane, Room 17W50
Rockville, MD 20857

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

Adejumoke Oladele, Grants Management Specialist
Telephone: (301) 443-2441

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;   Arkansas;   Illinois;   Kentucky;   Louisiana;   Mississippi;   Missouri;   Tennessee

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