Opportunity Information: Apply for HRSA 19 081

The Rural Communities Opioid Response Program - Planning (RCORP-Planning) is a Health Resources and Services Administration (HRSA) cooperative agreement opportunity designed to help rural counties with the highest risk for substance use disorder build a stronger, better coordinated local response to opioid-related harm. The central intent is not immediate large-scale service delivery, but one year of focused planning that strengthens a community's organizational structure, partnerships, and readiness to carry out effective opioid use disorder (OUD) prevention, treatment, and recovery strategies. In practical terms, HRSA is funding rural, multi-sector consortiums to develop actionable, sustainable plans that can reduce illness and death tied to opioid overdoses by improving how local systems work together and how services are made accessible and affordable.

RCORP-Planning centers on three main focus areas, and applicants are expected to plan around one or more of them at the community, county, state, and/or regional level. The prevention track emphasizes reducing new cases of OUD and lowering fatal overdoses through efforts like community education, provider training, and harm reduction activities. Examples mentioned include making overdose-reversing medications such as naloxone more strategically available and supporting syringe services programs (where allowable and appropriate). The treatment track focuses on implementing or expanding evidence-based OUD care, especially medication-assisted treatment (MAT), and specifically highlights the need to address financial barriers by developing strategies that reduce or eliminate treatment costs for uninsured and underinsured patients. The recovery track supports planning to expand peer recovery and related services that help people start recovery and stay engaged over time, recognizing that long-term support is often the difference between short-term stabilization and sustained wellness.

A major theme of this opportunity is building lasting capacity rather than producing a one-time plan that sits on a shelf. HRSA frames RCORP-Planning as part of a broader multi-year federal effort to improve rural access to substance use disorder providers, grow sustainable treatment resources, expand telehealth, create cross-sector partnerships, implement new models of care (including integrated behavioral health), and provide technical assistance. Although this specific award supports one year of planning, HRSA clearly expects funded consortiums to become operational and sustainable beyond the project year, with stronger coordination and integration that can support multi-county or even state-level prevention, treatment, and recovery initiatives.

Workforce recruitment and retention are treated as a key planning priority, not an afterthought. HRSA signals that additional funding may be available in later years for implementation and evaluation, and it also references the National Health Service Corps (NHSC) Loan Repayment Program as a future support mechanism. Because of that, awardees are encouraged to form strong county, state, and regional partnerships early and to incorporate provider pipeline needs into the planning process. One concrete example provided is using planning funds to help health care organizations meet eligibility requirements so they can later host NHSC clinicians in rural areas, strengthening clinical capacity where it is often most limited.

Financially, HRSA anticipated allocating about $24 million in FY 2019 for RCORP-Planning, with an expected 120 awards. The listing identifies this opportunity as a discretionary, health-focused cooperative agreement under CFDA 93.912, administered by the U.S. Department of Health and Human Services through HRSA. The opportunity was created on November 15, 2018, with an original application deadline of January 15, 2019. Eligibility is described broadly as "Others" with additional eligibility details referenced in the full notice, reflecting the program's emphasis on multi-sector consortiums rather than a single organization acting alone.

Finally, RCORP-Planning strongly encourages coordination with other opioid-related resources already operating in the target area. Awardees are expected to leverage and align their planning with other federal, state, and local OUD initiatives and funding streams so the resulting strategy is realistic, avoids duplication, and can be sustained. A consistent expectation running through the notice is that consortiums plan for affordability and access, ensuring that the services envisioned for the target population can actually be reached and used, particularly by people facing rural barriers like distance, limited provider availability, lack of insurance coverage, or inadequate transportation and broadband.

  • 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 - Planning" 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 Nov 15, 2018.
  • Applicants must submit their applications by Jan 15, 2019. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The number of recipients for this funding is limited to 120 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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RCORP-Planning (Rural Communities Opioid Response Program - Planning) FAQs

What is the RCORP-Planning opportunity?

RCORP-Planning is a Health Resources and Services Administration (HRSA) cooperative agreement designed to help rural counties at the highest risk for substance use disorder strengthen a coordinated local response to opioid-related harm. The award is focused on planning and readiness-building, not immediate large-scale service delivery.

What is the main purpose of this funding?

The purpose is to fund one year of focused planning that improves a community's organizational structure, partnerships, and preparedness to carry out effective opioid use disorder (OUD) prevention, treatment, and recovery strategies. The goal is to reduce opioid overdose illness and death by improving how local systems work together and how services become accessible and affordable.

Is this grant intended to pay for direct services right away?

No. The central intent is not immediate large-scale service delivery. The emphasis is on building capacity and producing actionable, sustainable plans that position a community to implement and sustain effective approaches beyond the project year.

How long is the RCORP-Planning project period?

The opportunity supports one year of planning.

Who is the funding agency and what type of award is it?

The program is administered by the U.S. Department of Health and Human Services through HRSA. It is a discretionary, health-focused cooperative agreement.

What is the CFDA number listed for this opportunity?

The listing identifies the program under CFDA 93.912.

Who is eligible to apply?

Eligibility is described broadly as "Others," with additional eligibility details referenced in the full notice. The program emphasizes rural, multi-sector consortiums rather than a single organization acting alone.

What does HRSA mean by a "multi-sector consortium" in this program?

Based on the notice, the program is oriented toward partnerships across multiple parts of the local system (multi-sector), working together as a consortium to coordinate planning for OUD prevention, treatment, and recovery. The emphasis is on joint planning and stronger coordination rather than a stand-alone plan from one organization.

What geographic areas can the planning work cover?

Applicants are expected to plan at one or more levels, including community, county, state, and/or regional levels. The opportunity is aimed at rural counties with the highest risk for substance use disorder.

What are the main focus areas RCORP-Planning expects applicants to address?

RCORP-Planning centers on three main focus areas: prevention, treatment, and recovery. Applicants are expected to plan around one or more of these tracks.

What types of activities fall under the prevention focus area?

The prevention track emphasizes reducing new cases of OUD and lowering fatal overdoses through efforts such as community education, provider training, and harm reduction activities. Examples mentioned include improving strategic availability of naloxone and supporting syringe services programs where allowable and appropriate.

Does the program mention naloxone?

Yes. The notice specifically mentions making overdose-reversing medications such as naloxone more strategically available as an example within the prevention focus area.

Does the program allow planning related to syringe services programs?

The notice mentions supporting syringe services programs as an example harm reduction activity, specifically noting "where allowable and appropriate."

What types of activities fall under the treatment focus area?

The treatment track focuses on implementing or expanding evidence-based OUD care, especially medication-assisted treatment (MAT). It also highlights addressing financial barriers by developing strategies that reduce or eliminate treatment costs for uninsured and underinsured patients.

Is medication-assisted treatment (MAT) specifically highlighted?

Yes. MAT is specifically called out as a key evidence-based approach within the treatment track.

How does affordability factor into treatment planning?

Affordability is a stated priority. The notice highlights the need to address financial barriers and develop strategies to reduce or eliminate treatment costs for uninsured and underinsured patients.

What types of activities fall under the recovery focus area?

The recovery track supports planning to expand peer recovery and related services that help people start recovery and stay engaged over time. The notice frames long-term supports as important for sustained wellness beyond short-term stabilization.

Can an applicant plan around more than one focus area?

Yes. Applicants are expected to plan around one or more of the three focus areas (prevention, treatment, recovery).

What makes RCORP-Planning different from a typical planning grant?

A major theme is building lasting capacity rather than producing a one-time plan that sits on a shelf. HRSA expects funded consortiums to strengthen coordination and integration so they can operate and sustain efforts beyond the project year.

Is this program connected to a broader federal rural opioid effort?

Yes. HRSA frames RCORP-Planning as part of a broader multi-year federal effort to improve rural access to substance use disorder providers, grow sustainable treatment resources, expand telehealth, create cross-sector partnerships, implement new models of care (including integrated behavioral health), and provide technical assistance.

Does the notice suggest there may be additional funding after the planning year?

Yes. HRSA signals that additional funding may be available in later years for implementation and evaluation.

How important is workforce recruitment and retention in this program?

Workforce recruitment and retention are treated as a key planning priority. Awardees are encouraged to incorporate provider pipeline needs into planning and to build partnerships early at county, state, and regional levels.

What is the National Health Service Corps (NHSC) Loan Repayment Program and how is it referenced here?

The notice references the NHSC Loan Repayment Program as a future support mechanism. One example provided is using planning funds to help health care organizations meet eligibility requirements so they can later host NHSC clinicians in rural areas, strengthening clinical capacity.

Is telehealth included in the overall direction of the program?

Telehealth is included in HRSA's broader multi-year effort described in the notice, with an emphasis on expanding telehealth as part of improving rural access to substance use disorder providers and resources.

Does the program encourage integrated behavioral health or new models of care?

Yes. The notice references implementing new models of care, including integrated behavioral health, as part of the broader effort associated with RCORP-Planning.

How many awards and how much total funding were anticipated?

HRSA anticipated allocating about $24 million in FY 2019 for RCORP-Planning, with an expected 120 awards.

When was the opportunity created and what was the original application deadline?

The opportunity was created on November 15, 2018, with an original application deadline of January 15, 2019.

Does the program require coordination with other opioid initiatives in the area?

Yes. RCORP-Planning strongly encourages coordination with other opioid-related resources already operating in the target area. Awardees are expected to leverage and align with other federal, state, and local OUD initiatives and funding streams.

Why does the program emphasize aligning with other funding streams and initiatives?

The notice frames alignment as a way to ensure the resulting strategy is realistic, avoids duplication, and can be sustained over time.

What rural access barriers is planning expected to address?

The notice consistently emphasizes affordability and access, particularly for people facing rural barriers such as distance, limited provider availability, lack of insurance coverage, and inadequate transportation and broadband.

What outcomes is RCORP-Planning ultimately trying to improve?

Although the award is for planning, the practical aim is to reduce illness and death tied to opioid overdoses by strengthening coordination and improving access to effective prevention, treatment, and recovery approaches.

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