Opportunity Information: Apply for HRSA 18 124

The Rural Communities Opioid Response Program - Technical Assistance (RCORP-TA) opportunity (HRSA-18-124) is a discretionary cooperative agreement run by the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), designed to strengthen how rural communities respond to opioid use disorder (OUD). Rather than directly funding local services, this award is meant to fund one primary technical assistance provider (HRSA anticipated 1 award) that will support rural, multi-sector consortiums already funded through HRSA's broader RCORP initiative. The core aim is to reduce illness and deaths tied to opioid overdoses in high-risk rural areas by improving the organizational readiness, infrastructure, and practical capabilities of these consortiums at the community, county, regional, and even state levels.

The technical assistance is structured around three main focus areas that mirror the full continuum of an effective opioid response. First is prevention, which includes efforts to reduce new and escalating opioid misuse and to prevent fatal overdoses. This prevention work emphasizes community and provider education and harm reduction approaches, including strategies for placing and distributing overdose-reversing medications such as naloxone. Second is treatment, centered on helping communities implement or expand access to evidence-based OUD care, especially medication-assisted treatment (MAT). Treatment-related TA is also expected to address real-world barriers common in rural settings, such as provider shortages and affordability, including strategies that reduce or eliminate treatment costs for uninsured and underinsured patients. Third is recovery, which focuses on expanding recovery supports like peer recovery services and other options that help people initiate recovery and maintain it over time.

RCORP-TA sits within a larger, multi-year HRSA effort described as a $130 million opioid-focused initiative. That broader investment includes expanding and recruiting substance use disorder providers, building sustainable treatment capacity, increasing telehealth use, creating cross-sector partnerships, implementing new models of care (including integrated behavioral health), and providing technical assistance. In that context, the RCORP-TA recipient is expected to deliver in-depth, hands-on support that helps RCORP grantees plan and implement solutions that fit rural realities, where distances are long, staffing is thin, and services are often fragmented across agencies.

The scope of work for the TA provider is extensive and practical. It includes developing and executing a strategic plan for delivering TA to HRSA-funded RCORP consortiums, and pulling together (synthesizing) tools and resources that help communities form, strengthen, and manage multi-sector partnerships. It also includes creating trainings and tools that help communities assess workforce and service delivery gaps related to prevention, treatment, and recovery, with explicit attention to telehealth as a service delivery strategy. The TA provider is expected to help grantees translate these assessments into strategic plans that close identified gaps, and to provide targeted assistance on rural workforce recruitment and retention to build local provider capacity.

A key part of the TA role is connecting communities to clinical workforce supports, particularly by helping RCORP awardees collaborate with the National Health Service Corps (NHSC) to recruit providers, and by preparing communities to take advantage of NHSC-related opportunities as they become available. The TA provider is also expected to guide grantees toward evidence-based practice models across prevention, treatment, and recovery, and to support sustainability planning so projects can continue beyond initial grant periods. In addition, the TA provider must assist with developing meaningful program measures, strengthening data collection infrastructure, and preparing consortiums to participate in program-wide evaluation activities, which is often a major capacity gap for small rural organizations.

Another major expectation is coordination and resource leveraging. The TA provider must educate awardees about other federal and non-federal funding streams and resources, helping them coordinate efforts, avoid duplication, and build a more complete local system of care. The opportunity also calls for education of rural stakeholders on relevant national and state laws related to OUD prevention, reflecting the fact that policy and regulatory barriers can significantly affect harm reduction, prescribing, treatment access, and recovery supports.

In terms of timing and program context, HRSA expected to fund roughly 75 one-year RCORP planning grants in FY 2018, and indicated that FY 2019 and later years could include additional support such as continued grant funding and NHSC Loan Repayment awards. The RCORP-TA provider is therefore positioned as a backbone support entity that helps many separate rural communities convert planning into workable, coordinated action across prevention, treatment, and recovery, with the ultimate outcome being fewer overdoses and better health in rural regions most at risk.

  • The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Rural Communities Opioid Response Program - Technical Assistance" 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 Jun 29, 2018.
  • Applicants must submit their applications by Aug 10, 2018. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The number of recipients for this funding is limited to 1 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for HRSA 18 124

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