Opportunity Information: Apply for HRSA 23 047
The Rural Health Innovation and Transformation Technical Assistance (RHIT-TA) program is a federal funding opportunity from the Health Resources and Services Administration (HRSA) within the U.S. Department of Health and Human Services. It is designed to fund one organization to deliver nationwide technical assistance that helps rural health care stakeholders navigate, adopt, and succeed in value-based care and innovative payment models. The core idea is to strengthen rural providers and their partners as the health system shifts away from fee-for-service (volume-based) reimbursement and toward models that pay for quality, outcomes, and total cost of care, while also making health equity a central, measurable priority.
This opportunity is grounded in the reality that rural health care operates under different economic and operational conditions than higher-volume urban and suburban systems. Rural providers often face low patient volumes, thin operating margins, workforce shortages, and limited capital for new infrastructure, all of which can make value-based care participation harder. The notice highlights specific rural challenges such as difficulty absorbing downside financial risk, the up-front costs of transitioning to new care and data processes, and the statistical instability that can come from measuring quality and outcomes with small sample sizes. At the same time, payers are increasingly moving toward population-based payment approaches and total-cost-of-care accountability arrangements, which can place additional pressure on rural organizations unless they have tailored support.
A major theme of the program is equitable value-based care, especially in light of disparities that were visible before and during the COVID-19 pandemic and that continue to affect underserved rural communities. The funding announcement aligns with federal priorities that define health equity as ensuring everyone has a fair and just opportunity to reach their highest level of health, regardless of factors such as race, ethnicity, disability, geography, language, socioeconomic status, sexual orientation, or gender identity. The program is also positioned as supportive of the Centers for Medicare and Medicaid Services (CMS) and the Center for Medicare and Medicaid Innovation (CMMI) direction for transforming the health system over the next decade. In that framework, the work emphasizes expanding accountable care relationships, focusing on underserved groups, enabling integrated and person-centered care, improving affordability and access, and engaging partners and beneficiaries to drive system-level change.
The RHIT-TA award is meant to help rural stakeholders understand both public and private sector value-based care models, assess what is realistic and relevant in rural settings, and identify practical paths to participation. In plain terms, the technical assistance is expected to translate complex payment and delivery reforms into actionable strategies that rural providers, payers, community-based organizations, and public entities can use. The funding notice also stresses that the assistance should not be limited to a single state, region, provider type, or one specific model; instead, it should be national in scope and designed to reach a broad mix of rural stakeholders across the country.
The program sets out three main goals. First, it aims to raise awareness of the unique rural considerations involved in implementing equitable value-based care, tied to the federal strategic areas listed above. Second, it aims to increase understanding and readiness by helping rural stakeholders compare value-based care options, understand participation requirements and implications, and apply strategies that make participation more feasible in low-volume environments. Third, it aims to produce and deliver resources, analyses, and other forms of technical assistance at a nationwide scale, meaning the funded organization is expected to function as a broad hub of expertise rather than a localized support project.
From an administrative standpoint, this is a discretionary grant offered as a cooperative agreement, which usually indicates substantial federal involvement during the project period (for example, coordination, shared planning, or ongoing guidance). The funding opportunity number is HRSA-23-047 and the CFDA number listed is 93.155. HRSA anticipated making a single award, with an award ceiling of $500,000. Eligible applicants are broad and include state, county, and local governments; special districts; independent school districts; federally recognized tribal governments and other tribal organizations; nonprofit organizations with 501(c)(3) status (excluding institutions of higher education as applicants under that specific category); for-profit organizations other than small businesses; small businesses; and other entities as further clarified in the eligibility section of the full notice. The opportunity was originally posted November 29, 2022, with an original closing date of February 7, 2023.Apply for HRSA 23 047
- The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Rural Health Innovation and Transformation Technical Assistance" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.155.
- This funding opportunity was created on Nov 29, 2022.
- Applicants must submit their applications by Feb 07, 2023. (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 $500,000.00 in funding.
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education, For profit organizations other than small businesses, Small businesses, Others (see text field entitled Additional Information on Eligibility for clarification).
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