Rural Healthcare Provider Transition Project | HRSA 25 035

Opportunity Information: Apply for HRSA 25 035

The Rural Healthcare Provider Transition Project (HRSA 25-035) is a discretionary, HRSA-funded cooperative agreement designed to provide hands-on technical assistance to small rural hospitals and rural health clinics (RHCs) as they prepare to operate successfully in a value-based healthcare environment. The core purpose is practical capacity-building: helping rural providers strengthen the foundational skills, workflows, and systems that support value-based care, which the Centers for Medicare and Medicaid Services (CMS) describes as care that prioritizes quality, provider performance, and patient experience rather than volume. Through targeted technical assistance, participating hospitals and RHCs are expected to gain a clearer, more usable understanding of value-based care and the real-world strategies needed to participate effectively in programs that reward improvements in quality, efficiency, patient experience, and patient safety, particularly for Medicare beneficiaries receiving acute inpatient care.

A major emphasis of the opportunity is advancing health equity as part of the broader HHS priority to achieve equitable healthcare. CMS frames health equity as ensuring everyone has a fair and just chance to reach their highest level of health, regardless of factors like race, ethnicity, disability, sexual orientation, gender identity, income, geography, or preferred language. The project links value-based care and equity by encouraging providers to measure outcomes for all patients (including underserved groups), identify disparities, and act on them. In practice, this includes helping providers build routines for screening patients for social needs and connecting them to supports that can directly affect health outcomes, such as food resources, interpreter services, transportation assistance, or other necessary accommodations. It also underscores the importance of tracking outcomes across subpopulations so rural providers can see where gaps exist and intervene to close them, while ensuring historically underserved communities and the providers serving them are meaningfully supported with appropriate resources.

Eligibility is broad and focuses on domestic organizations rather than individuals. Eligible applicants include public and private institutions of higher education; nonprofits with or without 501(c)(3) status; for-profit organizations including small businesses; and units of government such as states, counties, cities/townships, special districts, and independent school districts. Federally recognized tribal governments and other tribal organizations may also apply. "Domestic" includes all 50 states and several U.S. territories and freely associated states, including the District of Columbia, Puerto Rico, Guam, the U.S. Virgin Islands, American Samoa, the Northern Mariana Islands, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau. Individuals are explicitly not eligible to apply under this notice of funding opportunity.

The award is structured as a cooperative agreement, which typically means HRSA expects substantial involvement and collaboration with the recipient in carrying out the work. The opportunity is listed under CFDA 93.155, with an award ceiling of $800,000 and an expectation of a single award recipient. The original application closing date is April 14, 2025, and the opportunity was created on January 13, 2025. Overall, the grant is aimed at selecting one capable organization to deliver structured technical assistance that helps rural hospitals and RHCs build the competencies needed for value-based payment and performance programs while embedding health equity practices into routine care delivery and measurement.

• The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Rural Healthcare Provider Transition Project" 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 2025-01-13.
• Applicants must submit their applications by 2025-04-14. (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 $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, Nonprofits that do not have a 501 (c) (3) status with the IRS, other than institutions of higher education, Private institutions of higher education, For-profit organizations other than small businesses, Small businesses, Others.

Apply for HRSA 25 035

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