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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Frequently Asked Questions (FAQs): Rural Healthcare Provider Transition Project (HRSA 25-035)

What is the Rural Healthcare Provider Transition Project (HRSA 25-035)?

The Rural Healthcare Provider Transition Project (HRSA 25-035) is a discretionary, HRSA-funded cooperative agreement focused on providing hands-on technical assistance to small rural hospitals and rural health clinics (RHCs) to help them prepare to operate successfully in a value-based healthcare environment.

What is the main goal of this opportunity?

The core goal is practical capacity-building. The project is designed to help rural providers strengthen foundational skills, workflows, and systems that support value-based care, so they are better positioned to participate in programs that reward improvements in quality, efficiency, patient experience, patient safety, and provider performance.

What kind of support does the project provide?

The opportunity emphasizes hands-on technical assistance. This includes helping participating rural hospitals and RHCs build usable, real-world capabilities and routines needed to function effectively in value-based care settings and related performance and payment programs.

Who is the intended audience for the technical assistance?

The technical assistance is intended for small rural hospitals and rural health clinics (RHCs), with particular relevance to care involving Medicare beneficiaries receiving acute inpatient care.

What does "value-based care" mean in this funding opportunity?

In this opportunity, value-based care is framed using CMS language: care that prioritizes quality, provider performance, and patient experience rather than volume.

Why does the opportunity focus on value-based care for rural providers?

The project is designed to help rural hospitals and RHCs develop the practical strategies and internal systems needed to participate effectively in value-based programs that reward measurable improvements in care quality, efficiency, patient experience, and safety.

How does health equity fit into this project?

Advancing health equity is a major emphasis. The project aligns with the broader HHS priority to achieve equitable healthcare and encourages rural providers to measure outcomes for all patients (including underserved groups), identify disparities, and take action to address them.

How is health equity described in the opportunity?

CMS frames health equity as ensuring everyone has a fair and just chance to reach their highest level of health, regardless of factors such as race, ethnicity, disability, sexual orientation, gender identity, income, geography, or preferred language.

What are examples of health equity activities supported by the project?

Examples include building routines for screening patients for social needs and connecting them to supports that can affect outcomes, such as food resources, interpreter services, transportation assistance, or other necessary accommodations. The opportunity also emphasizes tracking outcomes across different subpopulations to identify gaps and intervene to close them.

Does the project require tracking outcomes across different patient groups?

Yes. The opportunity emphasizes measuring outcomes for all patients, including underserved groups, and tracking outcomes across subpopulations so providers can identify disparities and target interventions to reduce gaps.

What is the grant mechanism for HRSA 25-035?

This award is structured as a cooperative agreement. That typically means HRSA expects substantial involvement and collaboration with the recipient in carrying out the work.

What is the CFDA number for this opportunity?

The opportunity is listed under CFDA 93.155.

What is the maximum award amount?

The award ceiling is $800,000.

How many awards does HRSA expect to make?

The opportunity indicates an expectation of a single award recipient.

Who can apply for this funding?

Eligibility is broad and focuses on domestic organizations. 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.

Are individuals eligible to apply?

No. Individuals are explicitly not eligible to apply under this notice of funding opportunity.

What does "domestic" mean for eligibility purposes?

"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.

Is the project focused only on rural hospitals, or does it include rural health clinics too?

It includes both. The opportunity is specifically designed to provide technical assistance to small rural hospitals and rural health clinics (RHCs).

What is the application closing date?

The original application closing date is April 14, 2025.

When was the opportunity created?

The opportunity was created on January 13, 2025.

What is HRSA looking for in a recipient organization?

Based on the description, HRSA aims to select one capable organization to deliver structured, hands-on technical assistance that builds rural providers' competencies for value-based payment and performance programs while embedding health equity practices into routine care delivery and measurement.

What outcomes is the technical assistance expected to support?

The technical assistance is intended to help rural providers gain a clearer, practical understanding of value-based care and adopt strategies that support improvements in quality, efficiency, patient experience, patient safety, and provider performance, while also strengthening the ability to identify and address disparities across patient populations.

How does the opportunity connect value-based care and health equity?

The opportunity encourages providers to measure outcomes for all patients, identify disparities, and act on them. It links value-based improvement strategies with equity-focused measurement and interventions, including social needs screening and connections to supportive services that can influence health outcomes.

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