Opportunity Information: Apply for HRSA 22 167
The Rural Emergency Hospital Technical Assistance Center grant (Funding Opportunity Number HRSA-22-167) is a discretionary funding opportunity from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), designed to help rural hospitals and the communities they serve understand and, when appropriate, transition to the new Rural Emergency Hospital (REH) provider model. The central aim is practical: make sure rural decision-makers have clear, usable information to judge whether converting to an REH makes sense for their local health system, and then provide hands-on support for hospitals that choose to convert so they can meet federal requirements and operate successfully under the new designation. Because the REH model was still in the final stages of rulemaking at the Centers for Medicare and Medicaid Services (CMS) at the time of the announcement, the recipient is expected to stay closely aligned with CMS final regulations and adjust tools and guidance as those rules are finalized, particularly with the REH start date set for January 1, 2023.
The funded Technical Assistance Center is expected to serve as a national or broad-reaching resource hub that supports rural hospitals through the full conversion pathway, not just a one-time planning exercise. HRSA lays out three major objectives for the awardee. First, the center must help hospitals assess whether the REH model is feasible, which typically involves evaluating financial viability, operational readiness, community needs, and how a shift in service delivery would affect patients and partners across the local continuum of care. Second, the center must assist hospitals with the process of applying to CMS for REH designation, meaning it should be able to guide applicants through regulatory expectations, documentation, timelines, and common compliance pitfalls. Third, the center must provide ongoing support after designation so newly converted REHs can implement or redesign services and maintain compliance with REH standards over time, recognizing that operational changes often continue well after formal approval.
A key feature of the program is that the awardee must work at two levels simultaneously. On one level, it should develop resources that can be broadly disseminated, such as toolkits, checklists, templates, decision guides, training materials, webinars, and other standardized products that many rural hospitals and communities can use. On another level, it must be capable of providing deeper, individualized technical assistance to specific hospitals and their communities, tailoring support to local circumstances such as service capacity, geographic isolation, referral patterns, and workforce constraints. The notice highlights several issue areas where rural hospitals are likely to need support, including detailed financial analysis (with explicit mention of how to apply the REH Alternative Monthly Payment), workforce and staffing planning, establishing referral relationships and care coordination processes, selecting and defining appropriate REH service lines, assessing community health needs, and understanding broader impacts on the local health system, including emergency medical services (EMS) and related emergency response infrastructure.
The award mechanism is a cooperative agreement, which generally signals that HRSA expects substantial involvement in coordinating, guiding, or collaborating with the recipient during the period of performance rather than operating purely at arm's length. The opportunity anticipates making one award, with an award ceiling of $2,500,000. Eligible applicants are broad and include multiple levels of government (state, county, city/township, special district, and independent school districts), federally recognized tribal governments, nonprofit organizations with 501(c)(3) status (excluding institutions of higher education), for-profit organizations (including small businesses), and other entities as allowed under the full eligibility details. The grant is categorized under the health funding activity area and is listed under CFDA number 93.155. The notice was created on June 7, 2022, with an original application closing date of July 27, 2022. Overall, the opportunity is structured to create a centralized, expert technical assistance capability that can help rural communities make informed decisions about REH conversion and support those that proceed through the regulatory, financial, operational, and community-facing changes required to implement the model successfully.Apply for HRSA 22 167
- The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Rural Emergency Hospital Technical Assistance Center" 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 Jun 07, 2022.
- Applicants must submit their applications by Jul 27, 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 $2,500,000.00 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, Native American tribal governments (Federally recognized), Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education, For profit organizations other than small businesses, Small businesses, Others (see text field entitled Additional Information on Eligibility for clarification).
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Frequently Asked Questions (FAQs)
What is the Rural Emergency Hospital Technical Assistance Center grant (HRSA-22-167)?
The Rural Emergency Hospital (REH) Technical Assistance Center grant is a discretionary funding opportunity from the U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA). Its purpose is to create a technical assistance center that helps rural hospitals and their communities understand the new Rural Emergency Hospital (REH) provider model and, when appropriate, support hospitals through the process of transitioning to (and operating under) the REH designation.
What is the main goal of this funding opportunity?
The central goal is practical: make sure rural decision-makers have clear, usable information to evaluate whether converting to an REH makes sense locally, and then provide hands-on support to hospitals that choose to convert so they can meet federal requirements and operate successfully under the new model.
What is the Funding Opportunity Number for this program?
The Funding Opportunity Number is HRSA-22-167.
Which federal agency is offering this opportunity?
This opportunity is offered by the U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA).
How many awards does HRSA expect to make?
The opportunity anticipates making one award.
What is the maximum award amount (award ceiling)?
The award ceiling is $2,500,000.
What type of award mechanism is used?
The award mechanism is a cooperative agreement, which generally means HRSA expects substantial involvement in coordinating, guiding, or collaborating with the recipient during the period of performance.
Who is the intended audience or end users of the Technical Assistance Center?
The Technical Assistance Center is expected to support rural hospitals and the communities they serve, particularly those evaluating and potentially transitioning to the Rural Emergency Hospital (REH) provider model.
What is the REH provider model, in the context of this grant?
In the context of this grant, the REH provider model is a new provider designation that rural hospitals may choose to transition to. The Technical Assistance Center is intended to help hospitals understand the model, evaluate feasibility, apply for designation, and maintain compliance and operational success after conversion.
How does CMS factor into this HRSA-funded technical assistance effort?
Because the REH model was still in the final stages of rulemaking at the Centers for Medicare and Medicaid Services (CMS) at the time of the announcement, the recipient is expected to stay closely aligned with CMS final regulations and update tools and guidance as those rules are finalized.
What is the REH start date referenced in the opportunity?
The opportunity references an REH start date of January 1, 2023.
Is the Technical Assistance Center expected to be local, regional, or national in reach?
The funded Technical Assistance Center is expected to serve as a national or broad-reaching resource hub, supporting rural hospitals through the full conversion pathway rather than providing only a one-time planning exercise.
What are the major objectives the awardee must accomplish?
HRSA describes three major objectives: (1) help hospitals assess whether the REH model is feasible; (2) assist hospitals with applying to CMS for REH designation; and (3) provide ongoing support after designation so newly converted REHs can implement or redesign services and maintain compliance over time.
What kinds of feasibility questions should the Technical Assistance Center help hospitals evaluate?
The center is expected to help hospitals evaluate feasibility in areas such as financial viability, operational readiness, community needs, and how shifting service delivery could affect patients and partners across the local continuum of care.
What kind of help should be provided for the CMS designation process?
The center should be able to guide hospitals through regulatory expectations, documentation, timelines, and common compliance pitfalls related to applying to CMS for REH designation.
What does "ongoing support after designation" mean in this program?
It means the center should continue assisting hospitals after they become designated as REHs, supporting service implementation or redesign and helping them maintain compliance with REH standards over time, recognizing that operational changes often continue well after formal approval.
What is meant by working at two levels simultaneously?
The awardee is expected to provide broad, standardized resources that can be disseminated widely (like toolkits and webinars) while also providing deeper, individualized technical assistance tailored to the needs of specific hospitals and communities.
What are examples of broadly disseminated resources the center should develop?
Examples include toolkits, checklists, templates, decision guides, training materials, webinars, and other standardized products that many rural hospitals and communities can use.
What are examples of individualized technical assistance the center may provide?
Individualized technical assistance should be tailored to local circumstances such as service capacity, geographic isolation, referral patterns, and workforce constraints.
What issue areas are highlighted as common technical assistance needs for rural hospitals considering REH conversion?
The notice highlights needs such as detailed financial analysis (including how to apply the REH Alternative Monthly Payment), workforce and staffing planning, establishing referral relationships and care coordination processes, selecting and defining appropriate REH service lines, assessing community health needs, and understanding broader impacts on the local health system, including emergency medical services (EMS) and related emergency response infrastructure.
Does the opportunity specifically mention financial analysis and REH payments?
Yes. It explicitly mentions detailed financial analysis, including how to apply the REH Alternative Monthly Payment.
Does the opportunity address workforce planning?
Yes. Workforce and staffing planning are specifically listed as areas where rural hospitals are likely to need support.
Does the opportunity include guidance on referrals and care coordination?
Yes. Establishing referral relationships and care coordination processes is specifically noted as an area of support.
Does the opportunity address selecting service lines for an REH?
Yes. Selecting and defining appropriate REH service lines is included among the issue areas where technical assistance may be needed.
Does the program consider the impact on EMS and emergency response?
Yes. The notice highlights understanding broader impacts on the local health system, including EMS and related emergency response infrastructure.
What is the CFDA number associated with this opportunity?
The opportunity is listed under CFDA number 93.155.
What funding activity area is this opportunity categorized under?
The grant is categorized under the health funding activity area.
Who is eligible to apply?
Eligible applicants include multiple levels of government (state, county, city/township, special district, and independent school districts), federally recognized tribal governments, nonprofit organizations with 501(c)(3) status (excluding institutions of higher education), for-profit organizations (including small businesses), and other entities as allowed under the full eligibility details.
Are institutions of higher education eligible if they are 501(c)(3) nonprofits?
The eligibility statement provided specifies nonprofit organizations with 501(c)(3) status, excluding institutions of higher education.
Are for-profit organizations eligible to apply?
Yes. For-profit organizations, including small businesses, are listed as eligible applicants.
Are tribal governments eligible to apply?
Yes. Federally recognized tribal governments are listed as eligible applicants.
Are local government entities eligible to apply?
Yes. Eligible government applicants include state, county, city/township, special district, and independent school districts.
When was the notice created?
The notice was created on June 7, 2022.
What was the original application closing date?
The original application closing date was July 27, 2022.
What does this opportunity aim to create overall?
Overall, it is structured to create a centralized, expert technical assistance capability that can help rural communities make informed decisions about REH conversion and support those that proceed through the regulatory, financial, operational, and community-facing changes required to implement the model successfully.
Is the Technical Assistance Center expected to update its tools over time?
Yes. Because CMS rules were being finalized at the time of the announcement, the recipient is expected to align closely with CMS final regulations and adjust tools and guidance as those rules are finalized.
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