Opportunity Information: Apply for HRSA 26 045
The Delta States Rural Development Network Program (HRSA 26-045) is a discretionary grant opportunity from the Health Resources and Services Administration (HRSA) designed to strengthen rural health care across the eight-state Mississippi Delta region: Alabama, Arkansas, Illinois, Kentucky, Louisiana, Mississippi, Missouri, and Tennessee. The program focuses on building and advancing integrated health care networks, meaning groups of organizations that work together rather than operating in isolation. The core idea is that collaboration across providers and community partners can reduce duplication, share resources, and create more reliable pathways for patients to receive basic health services in rural communities.
The work supported by this program centers on three connected goals. First, it funds efforts that help rural health networks achieve efficiencies, such as coordinating services, sharing staffing or infrastructure, improving referral processes, and reducing administrative or operational barriers that waste time and money. Second, it prioritizes expanding access to care and improving how care is coordinated and delivered, with an emphasis on basic health care services and measurable improvements in health outcomes for rural residents. Third, it aims to strengthen the rural health system overall by supporting network development that makes local care more resilient, more connected, and better able to respond to community needs over time.
Eligibility is broad and includes domestic public and private entities, both nonprofit and for-profit. Examples of eligible applicants include state, county, and local governments; special districts; independent school districts; public housing authorities; institutions of higher education (public or private); federally recognized tribal governments; tribal organizations; nonprofits with or without 501(c)(3) status; for-profit organizations (including small businesses); and other domestic entities. Faith-based and community-based organizations are explicitly included. The applicant organization can be located in either a rural or urban area, but it must demonstrate experience serving rural populations in the Delta region states or show clear capacity to do so.
A key restriction applies to prior recipients: an organization generally cannot receive another award under 42 U.S.C. 254c(f) for the same or a similar project unless it is proposing a meaningful expansion, such as increasing the scope of services, adding new partners, or extending the geographic area served. In other words, repeat applicants need to show that the new proposal is not simply a continuation of the same work, but a broadened effort with added reach or impact.
This opportunity is offered as a grant under CFDA 93.619. HRSA expects to make about 12 awards, with an award ceiling of $1,188,684 per award. The opportunity was created on 2026-07-13, and the original application closing date is 2026-08-12.Apply for HRSA 26 045
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Delta States Rural Development Network Program" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.619.
- This funding opportunity was created on 2026-07-13.
- Applicants must submit their applications by 2026-08-12. (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 $1,188,684.00 in funding.
- The number of recipients for this funding is limited to 12 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, 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, Unrestricted.
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Delta States Rural Development Network Program (HRSA 26-045) - FAQs
What is the Delta States Rural Development Network Program (HRSA 26-045)?
The Delta States Rural Development Network Program (HRSA 26-045) is a discretionary grant opportunity from the Health Resources and Services Administration (HRSA). It is intended to strengthen rural health care across the eight-state Mississippi Delta region by supporting the development and advancement of integrated health care networks.
What is the main purpose of this grant?
The main purpose is to strengthen rural health care by supporting groups of organizations (integrated health care networks) that collaborate instead of working in isolation. The program emphasizes reducing duplication, sharing resources, and creating more reliable pathways for rural residents to access basic health services.
Which states are included in the Mississippi Delta region for this program?
The program focuses on the eight-state Mississippi Delta region: Alabama, Arkansas, Illinois, Kentucky, Louisiana, Mississippi, Missouri, and Tennessee.
What does HRSA mean by an "integrated health care network" in this program?
In this program, an integrated health care network is a group of organizations working together in a coordinated way. The intent is to improve how services connect across providers and community partners, reduce duplication of effort, share resources (such as staffing or infrastructure), and improve referrals and coordination so patients can access basic health services more reliably.
What types of activities or efforts does the program fund?
The program supports work that advances three connected goals: (1) improving efficiencies in rural health networks (such as coordinating services, sharing staffing or infrastructure, improving referral processes, and reducing administrative or operational barriers); (2) expanding access to care and improving coordination and delivery of care, focusing on basic health care services and measurable improvements in health outcomes; and (3) strengthening the rural health system by supporting network development that makes local care more resilient, connected, and responsive over time.
What kinds of "efficiencies" are supported under the first goal?
Examples provided include coordinating services, sharing staffing or infrastructure, improving referral processes, and reducing administrative or operational barriers that waste time and money.
Is the program focused on access to care, care coordination, or both?
Both. The program prioritizes expanding access to care and improving how care is coordinated and delivered, with an emphasis on basic health care services and measurable improvements in health outcomes for rural residents.
Does the program require a focus on measurable health outcomes?
Yes. The program description emphasizes measurable improvements in health outcomes for rural residents as part of expanding access and improving coordination and delivery of care.
What is meant by "strengthening the rural health system" under this opportunity?
Strengthening the rural health system refers to supporting network development that makes local care more resilient, more connected, and better able to respond to community needs over time.
Who is eligible to apply?
Eligibility is broad and includes domestic public and private entities, both nonprofit and for-profit. The opportunity explicitly includes faith-based and community-based organizations as eligible applicants.
Are for-profit organizations allowed to apply?
Yes. For-profit organizations, including small businesses, are included among eligible applicants.
Are nonprofit organizations required to have 501(c)(3) status to be eligible?
No. Nonprofits with or without 501(c)(3) status are included as eligible applicants.
What are examples of eligible applicant types?
Examples listed include state, county, and local governments; special districts; independent school districts; public housing authorities; institutions of higher education (public or private); federally recognized tribal governments; tribal organizations; nonprofits with or without 501(c)(3) status; for-profit organizations (including small businesses); and other domestic entities.
Are tribal governments or tribal organizations eligible?
Yes. Federally recognized tribal governments and tribal organizations are listed as eligible applicants.
Are faith-based organizations eligible?
Yes. Faith-based organizations are explicitly included as eligible.
Are community-based organizations eligible?
Yes. Community-based organizations are explicitly included as eligible.
Does the applicant organization have to be located in a rural area?
No. The applicant organization can be located in either a rural or urban area.
If an applicant is located outside a rural area, what must it show?
It must demonstrate experience serving rural populations in the Delta region states or show clear capacity to do so.
Is prior experience serving rural populations required?
The description indicates applicants must either demonstrate experience serving rural populations in the Delta region states or demonstrate clear capacity to serve those rural populations.
What is the restriction for prior recipients of awards under 42 U.S.C. 254c(f)?
An organization generally cannot receive another award under 42 U.S.C. 254c(f) for the same or a similar project unless it proposes a meaningful expansion.
What counts as a "meaningful expansion" for repeat applicants?
Examples provided include increasing the scope of services, adding new partners, or extending the geographic area served. The key point is that the proposal should not be a continuation of the same work; it should broaden reach or impact.
Can a previous recipient apply again with the same project?
Generally no. A prior recipient would need to propose a meaningful expansion rather than a same or similar project that is effectively a continuation.
What is the CFDA number for this opportunity?
The opportunity is offered under CFDA 93.619.
How many awards does HRSA expect to make?
HRSA expects to make about 12 awards.
What is the maximum award amount (award ceiling)?
The award ceiling is $1,188,684 per award.
When was this opportunity created?
The opportunity was created on 2026-07-13.
What is the application closing date?
The original application closing date is 2026-08-12.
Is this funding offered as a grant or another funding instrument?
This opportunity is offered as a grant.
What geographic area should the proposed work serve?
The program is designed to strengthen rural health care across the Mississippi Delta region states listed (Alabama, Arkansas, Illinois, Kentucky, Louisiana, Mississippi, Missouri, and Tennessee). Applicants must show experience or capacity to serve rural populations in those states.
Does the program emphasize collaboration among organizations?
Yes. The central model is collaboration across providers and community partners to share resources, reduce duplication, and improve pathways for rural patients to access basic health services.
Does the program support improving referral processes and care pathways?
Yes. Improving referral processes is specifically listed as an example of achieving efficiencies and improving coordination across the network.
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