Opportunity Information: Apply for HRSA 23 094

The Rural Communities Opioid Response Program-Neonatal Abstinence Syndrome (RCORP-NAS) is a discretionary grant opportunity from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), designed to help rural communities reduce both the incidence and the overall impact of neonatal abstinence syndrome (NAS). NAS refers to a set of withdrawal-related conditions that can occur in newborns exposed before birth to certain substances, including opioids. The core idea behind this program is that rural communities often face unique challenges in preventing and responding to NAS, so the funding is aimed at improving local systems of care, strengthening family supports, and addressing social determinants of health that contribute to risk and poor outcomes.

The program is structured around a three-year period of performance, during which award recipients are expected to build and lead multi-sector consortia operating within a HRSA-designated rural service area. These consortia are meant to bring together partners across healthcare, behavioral health, social services, and other community sectors to create a coordinated response rather than isolated, one-off services. The work is explicitly focused on rural pregnant and postpartum people and their families, especially those affected by substance use disorders, including opioid use disorder (SUD/OUD). Importantly, the program also targets individuals with SUD/OUD who are at risk of becoming pregnant, recognizing prevention and early intervention as key strategies for reducing NAS.

RCORP-NAS sets out two primary goals. First, it seeks to reduce structural and systems-level barriers that commonly limit access to care in rural areas. The notice highlights examples such as transportation problems, limited workforce capacity, and reimbursement constraints, but the intent is broader: applicants are expected to identify the specific local barriers that keep people from receiving timely, effective behavioral health and substance use services. Under this first goal, the program emphasizes expanding access to behavioral health care, particularly SUD/OUD services, for pregnant and postpartum individuals and their families. It also requires attention to community risk factors and social determinants of health, meaning communities should look beyond clinical care alone and address factors like housing instability, economic stress, food access, family supports, and other conditions that shape health outcomes.

Second, the program aims to strengthen the quality and long-term sustainability of behavioral health services for rural pregnant and postpartum people and their families. This is expected to happen through coordinated implementation of evidence-based approaches that are trauma-informed and family-centered. In practice, that means building care models that do not treat substance use in isolation, but instead integrate medical, behavioral health, and social supports; promote continuity of care across pregnancy and postpartum periods; and reflect the realities of trauma exposure and stigma that often affect people seeking treatment. Sustainability is a recurring theme, indicating HRSA is looking for approaches that can be maintained beyond the grant period through strong partnerships, improved workflows, and better alignment with reimbursement and local capacity.

The opportunity also signals a strong interest in equity-focused implementation. Applicants are encouraged to intentionally include populations that have experienced worse health outcomes and persistent disparities, including racial and ethnic minorities, adolescents, LGBTQ individuals, veterans, people with limited English proficiency, socioeconomically disadvantaged groups, individuals with disabilities, people with current or past homelessness risk, and individuals with justice involvement. This emphasis suggests applicants should not only serve these groups, but also design outreach, service delivery, and support strategies that reduce barriers specific to each population, such as language access, culturally responsive care, or coordination with housing and reentry services.

HRSA notes particular interest in innovative service delivery approaches suited to rural contexts. One concrete example provided is repurposing unused space in rural hospitals, which in some areas may have excess capacity due to declining inpatient utilization. Under this kind of model, a consortium could partner with a rural hospital to create NAS-related services in an underused hospital wing, potentially improving integration of care, leveraging existing infrastructure, and making services more accessible within the community. The broader message is that applicants are encouraged to think creatively about how to expand and integrate services using available community assets.

In terms of basic funding details, the opportunity number is HRSA-23-094, and it is listed under CFDA 93.912. The award ceiling is $500,000, and HRSA anticipated making about 40 awards. The posting indicates it was created on December 7, 2022, with an original closing date of March 8, 2023. Eligibility is listed as "Others," with clarification referenced in additional eligibility information in the full notice, meaning prospective applicants would need to consult the full application guidance to confirm organizational eligibility and any consortium composition requirements.

  • 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-Neonatal Abstinence Syndrome" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.912.
  • This funding opportunity was created on Dec 07, 2022.
  • Applicants must submit their applications by Mar 08, 2023. (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 $500,000.00 in funding.
  • The number of recipients for this funding is limited to 40 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for HRSA 23 094

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RCORP-NAS (HRSA-23-094) Frequently Asked Questions

What is the RCORP-NAS grant opportunity?

The Rural Communities Opioid Response Program - Neonatal Abstinence Syndrome (RCORP-NAS) is a discretionary grant opportunity from the U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA). It is designed to help rural communities reduce both the incidence and the overall impact of neonatal abstinence syndrome (NAS).

What does NAS mean in this program?

NAS refers to a set of withdrawal-related conditions that can occur in newborns who were exposed before birth to certain substances, including opioids.

What is the main purpose of RCORP-NAS?

The program focuses on helping rural communities improve local systems of care, strengthen family supports, and address social determinants of health that contribute to risk and poor outcomes related to NAS.

Why does the program focus specifically on rural communities?

The opportunity is based on the idea that rural communities often face unique challenges in preventing and responding to NAS. The funding is intended to help address rural-specific barriers to timely, effective care and support.

How long is the period of performance?

The program is structured around a three-year period of performance.

What is expected of award recipients during the three-year period?

Award recipients are expected to build and lead multi-sector consortia operating within a HRSA-designated rural service area, bringing together partners across healthcare, behavioral health, social services, and other sectors to create a coordinated community response.

What is meant by a "multi-sector consortium" in this program?

A consortium is intended to include partners across multiple community sectors (for example healthcare, behavioral health, and social services) so the response is coordinated rather than made up of isolated, one-off services.

Where must the consortium operate?

The consortium is expected to operate within a HRSA-designated rural service area.

Who is the program designed to serve?

The program is explicitly focused on rural pregnant and postpartum people and their families, especially those affected by substance use disorders, including opioid use disorder (SUD/OUD).

Does the program include prevention efforts for people who are not currently pregnant?

Yes. The program also targets individuals with SUD/OUD who are at risk of becoming pregnant, reflecting an emphasis on prevention and early intervention to reduce NAS.

What are the two primary goals of RCORP-NAS?

The two primary goals are: (1) reduce structural and systems-level barriers that limit access to care in rural areas, and (2) strengthen the quality and long-term sustainability of behavioral health services for rural pregnant and postpartum people and their families.

What kinds of barriers is the program trying to reduce?

The notice highlights examples such as transportation problems, limited workforce capacity, and reimbursement constraints. More broadly, applicants are expected to identify and address local barriers that prevent people from receiving timely and effective behavioral health and substance use services.

What types of services does the program emphasize expanding?

Under the first goal, the program emphasizes expanding access to behavioral health care, particularly SUD/OUD services, for pregnant and postpartum individuals and their families.

How does the program address social determinants of health?

The program requires attention to community risk factors and social determinants of health, meaning communities should look beyond clinical care alone and address factors like housing instability, economic stress, food access, family supports, and other conditions that influence health outcomes.

What does HRSA mean by strengthening "quality and sustainability" of services?

The program seeks to improve quality and long-term sustainability through coordinated implementation of evidence-based approaches that are trauma-informed and family-centered, with an emphasis on building models that can continue beyond the grant period through partnerships, improved workflows, and better alignment with reimbursement and local capacity.

What does "evidence-based, trauma-informed, and family-centered" mean in this opportunity?

In this context, it means implementing approaches that are supported by evidence and designed to reflect the realities of trauma exposure and stigma, while integrating medical, behavioral health, and social supports for pregnant and postpartum people and their families instead of treating substance use in isolation.

Is the program focused only on clinical care?

No. The description stresses coordinated systems of care that integrate clinical services with social supports and family supports, and it highlights addressing social determinants of health as part of reducing NAS risk and impact.

How does the opportunity address health equity?

The opportunity signals a strong interest in equity-focused implementation and encourages intentional inclusion of populations that have experienced worse outcomes and persistent disparities.

Which populations are specifically highlighted for intentional inclusion?

The notice highlights racial and ethnic minorities, adolescents, LGBTQ individuals, veterans, people with limited English proficiency, socioeconomically disadvantaged groups, individuals with disabilities, people with current or past homelessness risk, and individuals with justice involvement.

What kinds of strategies might support equity-focused implementation?

Based on the description, equity-focused implementation could include outreach, service delivery, and support strategies that reduce barriers specific to each population, such as language access, culturally responsive care, and coordination with housing and reentry services.

Does HRSA encourage innovation in service delivery?

Yes. HRSA notes interest in innovative service delivery approaches that fit rural contexts and encourages applicants to think creatively about expanding and integrating services using available community assets.

What is an example of an innovative approach mentioned in the notice?

One example is repurposing unused space in rural hospitals (such as underused hospital wings) to create NAS-related services, potentially improving integration of care, leveraging existing infrastructure, and making services more accessible locally.

What is the opportunity number and CFDA listing?

The opportunity number is HRSA-23-094, and it is listed under CFDA 93.912.

What is the maximum award amount (award ceiling)?

The award ceiling is $500,000.

How many awards did HRSA anticipate making?

HRSA anticipated making about 40 awards.

When was this opportunity posted and what was the original closing date?

The posting indicates it was created on December 7, 2022, with an original closing date of March 8, 2023.

Who is eligible to apply?

Eligibility is listed as "Others," with a note that additional eligibility information is provided in the full notice. Prospective applicants would need to consult the full application guidance to confirm organizational eligibility and any consortium composition requirements.

What is the general approach HRSA expects communities to take through this program?

The program is designed around a coordinated, community-wide approach in which a lead applicant builds a multi-sector consortium to reduce barriers to care, expand access to behavioral health and SUD/OUD services, integrate supports across systems, and improve the sustainability of those services beyond the grant period.

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