Opportunity Information: Apply for HRSA 22 166
The Rural Northern Border Region Healthcare Support Program (RNBR-HSP) is a Health Resources and Services Administration (HRSA) funding opportunity designed to strengthen health care in rural communities located within the Northern Border Regional Commission (NBRC) service area. Rather than primarily paying for direct clinical services, the program is built around providing hands-on technical assistance to help rural places expand access to care (including behavioral health), improve the recruitment and long-term retention of health care workers, and support rural hospitals and clinics as they shift toward or participate in value-based care models. The emphasis is on practical, on-the-ground support that helps communities diagnose what is not working, identify realistic solutions, and move toward implementation with the right partners at the table.
This opportunity is offered as a cooperative agreement, meaning the award recipient is expected to work closely with HRSA during the project. The program anticipates making one award, with a maximum (award ceiling) of $1,800,000. The funding is federal discretionary funding under CFDA 93.912, and it was originally posted on May 20, 2022, with an original closing date of July 1, 2022. The sponsoring agency is the U.S. Department of Health and Human Services (HHS), HRSA.
A central expectation of RNBR-HSP is that the award recipient will engage directly with rural communities across the four-state NBRC region every year. At minimum, the recipient must work with at least one identified rural community in each of the four NBRC states annually. For each community served, the recipient is expected to provide targeted technical assistance aligned to that community’s most pressing needs. The notice highlights several common need areas that technical assistance may address, including mental health, behavioral health, and substance use challenges; health workforce recruitment and retention strategies; and support for participation in value-based care efforts. The technical assistance role is meant to be structured and methodical, starting with assessing key needs and then developing a targeted assistance plan. That plan should include clear strategies for tackling identified barriers and should leverage subject matter experts and key partners. Importantly, the plan can also include identifying potential funding opportunities and other supportive activities that help the community carry out the strategies.
In addition to this intensive, community-specific work, the award recipient is also expected to produce broader technical assistance resources that can benefit other eligible rural communities across the NBRC region, as feasible within the available budget. In practice, this could mean creating tools, templates, trainings, guidance documents, learning collaboratives, or other scalable supports that communities can use even if they are not the primary annual focus community in a given state.
Another major component is coordination. The award recipient is expected to work not only with the selected communities, but also with HRSA and a range of other federal, state, private, and nonprofit entities to identify and connect communities to resources that match their needs. The overall picture is a regional support hub model: one funded organization builds capacity across rural Northern Border communities by delivering direct technical assistance where it is most needed, while also strengthening the broader ecosystem through shared resources and cross-sector collaboration.
Eligibility for this opportunity is broad and includes multiple types of public and nonprofit entities. Eligible applicants include state, county, and city/township governments; special district governments; independent school districts; public and state-controlled institutions of higher education; private institutions of higher education; federally recognized tribal governments; tribal organizations; and nonprofits with 501(c)(3) status (other than institutions of higher education). The listing also notes “others” may be eligible as clarified in the full notice’s eligibility section. The funding opportunity number is HRSA-22-166, and the program is categorized under health funding activities.Apply for HRSA 22 166
- The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Rural Northern Border Region Healthcare Support Program" 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 May 20, 2022.
- Applicants must submit their applications by Jul 01, 2022. (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 $1,800,000.00 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, Public and State controlled institutions of higher education, 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, Private institutions of higher education, Others (see text field entitled Additional Information on Eligibility for clarification).
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FAQs: Rural Northern Border Region Healthcare Support Program (RNBR-HSP)
What is the Rural Northern Border Region Healthcare Support Program (RNBR-HSP)?
RNBR-HSP is a Health Resources and Services Administration (HRSA) funding opportunity intended to strengthen health care in rural communities located within the Northern Border Regional Commission (NBRC) service area. The program focuses on hands-on technical assistance that helps rural communities expand access to care (including behavioral health), strengthen health workforce recruitment and retention, and support rural hospitals and clinics as they move toward or participate in value-based care models.
Which federal agency sponsors and administers this funding opportunity?
The sponsoring agency is the U.S. Department of Health and Human Services (HHS), through HRSA.
What is the funding opportunity number?
The funding opportunity number is HRSA-22-166.
What type of award is RNBR-HSP?
This opportunity is offered as a cooperative agreement. That means the award recipient is expected to work closely with HRSA during the project, rather than operating fully independently.
How many awards does the program anticipate making?
The program anticipates making one award.
What is the maximum funding amount available under this opportunity?
The maximum (award ceiling) is $1,800,000.
What is the CFDA number for this program?
The CFDA number listed for this federal discretionary funding opportunity is 93.912.
When was this opportunity originally posted, and what was the original closing date?
It was originally posted on May 20, 2022, and the original closing date was July 1, 2022.
What is the main purpose of RNBR-HSP funding?
The main purpose is to strengthen rural health care capacity through practical, on-the-ground technical assistance. The emphasis is on helping communities identify what is not working, develop realistic solutions, and move toward implementation with the right partners involved.
Does RNBR-HSP primarily pay for direct clinical services?
No. The program is described as not primarily paying for direct clinical services. Instead, it is built around providing technical assistance to help communities expand access, improve workforce recruitment and retention, and support value-based care participation.
What geographic area does RNBR-HSP serve?
The program is designed for rural communities within the Northern Border Regional Commission (NBRC) service area. The notice references a four-state NBRC region and expects engagement across all four NBRC states each year.
What is the minimum community engagement requirement each year?
At minimum, the award recipient must work with at least one identified rural community in each of the four NBRC states annually.
What kinds of support must be provided to each community served?
For each community served, the recipient is expected to provide targeted technical assistance aligned to that community's most pressing needs. The assistance is intended to be structured and methodical, starting with assessing key needs and then developing a targeted technical assistance plan.
What topics or need areas can technical assistance address under RNBR-HSP?
The notice highlights several common need areas, including:
- Mental health, behavioral health, and substance use challenges
- Health workforce recruitment and retention strategies
- Support for shifting toward or participating in value-based care efforts
What should a community-specific technical assistance plan include?
Based on the notice description, the plan should include clear strategies for addressing identified barriers and should leverage subject matter experts and key partners. It can also include identifying potential funding opportunities and other supportive activities that help the community carry out the strategies.
Is the award recipient expected to create resources that benefit communities beyond the annual focus communities?
Yes. In addition to the intensive work with selected communities, the recipient is expected, as feasible within the available budget, to produce broader technical assistance resources that can benefit other eligible rural communities across the NBRC region.
What are examples of broader technical assistance resources mentioned in the notice?
The notice suggests resources such as tools, templates, trainings, guidance documents, learning collaboratives, or other scalable supports.
What role does coordination and partnership play in RNBR-HSP?
Coordination is a major component. The award recipient is expected to work with HRSA and a range of federal, state, private, and nonprofit entities to identify and connect communities to resources that match their needs.
How is the overall model described for this program?
The program is described like a regional support hub model: one funded organization builds capacity across rural Northern Border communities by delivering direct technical assistance where it is most needed and strengthening the broader ecosystem through shared resources and cross-sector collaboration.
Who is eligible to apply for RNBR-HSP?
Eligibility is broad and includes multiple types of public and nonprofit entities. Eligible applicants include:
- State governments
- County governments
- City or township governments
- Special district governments
- Independent school districts
- Public and state-controlled institutions of higher education
- Private institutions of higher education
- Federally recognized tribal governments
- Tribal organizations
- Nonprofits with 501(c)(3) status (other than institutions of higher education)
The listing also notes that "others" may be eligible as clarified in the full notice's eligibility section.
Is this opportunity categorized under a particular activity area?
Yes. The program is categorized under health funding activities.
What kinds of outcomes is the technical assistance intended to support?
Based on the description provided, the technical assistance is intended to support outcomes such as expanded access to care (including behavioral health), improved recruitment and long-term retention of health care workers, and stronger readiness for value-based care models among rural hospitals and clinics.
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