Opportunity Information: Apply for HRSA 20 086

The Delta Region Community Health Systems Development Program (DRCHSD) is a federal funding opportunity from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), designed to strengthen healthcare delivery across the Mississippi Delta. The program focuses on the 252 parishes and counties that make up the eight-state Delta region, with the core goal of helping local health systems make meaningful, long-term improvements. Rather than paying directly for clinical services, the emphasis is on intensive, multi-year technical assistance that helps eligible facilities and communities build stronger, more sustainable healthcare operations.

This opportunity is structured as a cooperative agreement, meaning the funded recipient is expected to work closely with HRSA and carry out a hands-on support role in the region. HRSA planned to make one award, with a maximum funding level (award ceiling) of $10,000,000. The program was posted on December 2, 2019, with an original application closing date of February 19, 2020. It falls under the health funding activity category and is associated with CFDA number 93.912 (as listed in the source information).

The funded organization (the single award recipient) is responsible for running a phased, collaborative approach to community and health system improvement. That approach begins with building a process to identify the Delta communities with the highest need. From there, the recipient conducts an objective assessment of each selected community and its healthcare environment, looking at practical measures such as the local facility or system financial condition, quality indicators, and the availability of human services in the area, along with the gaps that leave residents without adequate care. A key component is evaluating where telehealth can realistically fill clinical service gaps and whether affordable broadband access is available to support those solutions. The recipient must also complete a community assets and needs assessment, then use the findings to develop and implement a strategic plan that guides how technical assistance will be delivered to local hospitals and other rural providers. Technical assistance is expected to address core operational areas such as finance and quality improvement, while also supporting telehealth implementation and better coordination of population health services. Finally, the recipient must evaluate the impact of the assistance over time, showing whether the support is translating into measurable improvements.

The program is built to deliver targeted technical assistance to rural hospitals that are struggling or otherwise in need of support, but it also explicitly includes other eligible healthcare facilities and organizations in the Delta region such as critical access hospitals, small rural hospitals, rural health clinics, and tribal healthcare facilities. For the purposes of this program, "rural hospitals" are defined in a fairly specific way: short-term, non-federal general hospitals located outside metropolitan Core-Based Statistical Areas (CBSAs); or hospitals located within metropolitan areas but in locations with Rural-Urban Commuting Area (RUCA) codes of 4 or higher; or any hospital participating in Medicare as a Critical Access Hospital. Tribal hospitals operated by tribes or tribal organizations under the Indian Self-Determination and Education Assistance Act (Public Law 93-638, as amended) are also included as eligible.

In practical terms, DRCHSD is meant to serve as a regional engine for health system strengthening. It aims to help Delta communities move beyond short-term fixes by building capacity in financial stability, care quality, telehealth readiness, and coordinated population health work, with progress tracked through ongoing evaluation. The intent is that, after multiple years of focused technical assistance, participating sites will be better positioned to deliver reliable, higher-quality care and to adapt to rural healthcare challenges specific to the Delta region.

  • The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Delta Region Community Health Systems Development 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 Dec 02, 2019.
  • Applicants must submit their applications by Feb 19, 2020. (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 $10,000,000.00 in funding.
  • 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 20 086

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