Opportunity Information: Apply for HRSA 19 108

The Rural Communities Opioid Response Program Rural Centers of Excellence on Substance Use Disorders (RCORP-RCOE) is a Health Resources and Services Administration (HRSA) funding opportunity designed to strengthen how rural areas prevent, treat, and respond to substance use disorders (SUD), with a strong emphasis on opioid use disorder (OUD). It sits within the broader RCORP initiative, a multi-year federal effort aimed at lowering illness and death tied to substance use in rural communities that are at especially high risk. The central idea is to create a small number of highly capable, rural-focused "Centers of Excellence" that can identify what works, adapt it for rural realities, help others put it into practice, and show measurable improvements over time.

Through this program, HRSA planned to fund three Rural Centers of Excellence for up to three years using a cooperative agreement, meaning awardees would typically work closely with the federal project office rather than operating with minimal federal involvement. Each center is expected to do more than provide services locally; the centers are meant to function as hubs that research and pinpoint science-based prevention, treatment, and risk-reduction interventions that have strong evidence behind them and can realistically be implemented in rural settings. A key requirement is that the interventions and strategies be rural-relevant and replicable, so that lessons learned in one area can be translated to other rural communities facing similar challenges.

A major deliverable of the centers is training and technical assistance. After identifying evidence-based approaches that make sense for rural contexts, the centers are expected to disseminate them and support on-the-ground implementation by providing scientific and practical guidance. The intended audiences for this support include county and state health departments and other rural stakeholders who are actively trying to address substance use challenges. The announcement specifically notes likely rural partners such as state offices of rural health, critical access hospitals, rural health clinics, and other rural health care providers, while leaving room for additional community-based entities. The training and technical assistance component is meant to help communities take best practices and fit them to local conditions like limited workforce, long travel distances, smaller systems of care, confidentiality concerns in small towns, and constrained behavioral health infrastructure.

Over the three-year period of performance, the centers are expected to demonstrate impact in real-world outcomes, not just produce recommendations. That includes showing how their technical assistance, training, and support for evidence-based interventions improves prevention, treatment access and quality, and recovery supports in rural communities, especially related to opioids. Beyond immediate opioid-focused outcomes, the program also emphasizes building stronger systems that can respond not only to the current opioid crisis but also to future substance use epidemics. In other words, the program is structured to help rural communities develop durable capacity: better practices, better coordination, and better readiness for what comes next.

Administratively, this opportunity (Funding Opportunity Number HRSA 19 108) was offered by the U.S. Department of Health and Human Services through HRSA as a discretionary health grant under CFDA 93.155. The posted award ceiling was $6,600,000, with three expected awards. Eligibility was broad and included many types of public and private entities that could credibly serve as a center of excellence, such as state, county, and local governments; public and private institutions of higher education; federally recognized tribal governments and other tribal organizations; certain housing authorities; 501(c)(3) nonprofits; for-profit organizations (including small businesses); and special district governments and school districts. The opportunity was originally posted on April 25, 2019, with an original closing date of June 10, 2019.

  • The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Rural Communities Opioid Response Program – Rural Centers of Excellence on Substance Use Disorders" 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 Apr 25, 2019.
  • Applicants must submit their applications by Jun 10, 2019. (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 $6,600,000.00 in funding.
  • The number of recipients for this funding is limited to 3 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), Public housing authorities/Indian housing authorities, 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, For profit organizations other than small businesses, Small businesses.
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