Rural Health Inc

HEALTH CENTER CLUSTER

DELTA REGION COMMUNITY HEALTH SYSTEMS DEVELOPMENT

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

RURAL HEALTH BEST PRACTICES AND COMMUNITY DEVELOPMENT COOPERATIVE AGREEMENT

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

RURAL HEALTH BEST PRACTICES AND COMMUNITY DEVELOPMENT COOPERATIVE AGREEMENT

RURAL EMERGENCY HOSPITAL TECHNICAL ASSISTANCE CENTER - APPLICANT: RURAL HEALTH REDESIGN CENTER ORGANIZATION, INC. 625 FORESTER ST. FL 8 HARRISBURG, PA 17120-0701 WWW.RHRCO.ORG 501C3 NON-PROFIT DUNS: 117873025 PROJECT OFFICER: JANICE WALTERS RHRCO CHIEF OPERATING OFFICER OF PROGRAMS (717) 964-0636 JW@RHRCO.ORG AMOUNT REQUESTED: 2,500,000 PER YEAR PROJECT PARTNERS 1. RURAL HEALTH REDESIGN CENTER ORGANIZATION, INC. 2. MATHEMATICA 3. WELLNESS & EQUITY ALLIANCE PROPOSED PROJECT: IN COLLABORATION WITH THE PARTNERS LISTED ABOVE, THE RURAL HEALTH REDESIGN CENTER ORGANIZATION, INC. (RHRCO) BRINGS FORTH THIS PROPOSAL FOR THE RURAL EMERGENCY HOSPITAL TECHNICAL ASSISTANCE CENTER COOPERATIVE AGREEMENT UNDER THE HRSA-22-167 NOTICE OF FUNDING OPPORTUNITY. UPON IMPLEMENTATION OF THIS PROJECT, THE PARTNERS WILL PROVIDE TECHNICAL ASSISTANCE TO RURAL HOSPITALS INTERESTED IN EXPLORING THE NEW RURAL EMERGENCY HOSPITAL (REH) DESIGNATION MADE AVAILABLE THROUGH THE MEDICARE RURAL HOSPITAL FLEXIBILITY PROGRAM. THE PARTNERS WILL REPLICATE SCALABLE SOLUTIONS USED FOR SIMILAR PROGRAMS TO ASSIST ELIGIBLE CRITICAL ACCESS AND SMALL RURAL HOSPITAL WITH FINANCIAL ASSESSMENTS AND MODELING TO UNDERSTAND THE FEASIBILITY OF AN REH CONVERSION, THE APPLICATION PROCESS TO CMS FOR REH DESIGNATION, AND ONGOING SUPPORT TO REHS IMPLEMENTING SERVICE CHANGES AS A RESULT OF THE CONVERSION. WITH THE SCALABLE INFRASTRUCTURE OF THE RHRCO, THESE SERVICES CAN BE PROVIDED TO AS MANY HOSPITALS THAT COME FORTH DISPLAYING INTEREST IN THE REH DESIGNATION. THIS PROJECT WILL UTILIZE A COHORT-BASED APPROACH WITH OPPORTUNITY FOR ENROLLMENT TWICE PER YEAR. THE RHRCO RECOGNIZES THAT DUE TO THE NEWNESS OF THE DESIGNATION, INTEREST MAY BE LIMITED UPON ITS INITIAL LAUNCH BUT IS LIKELY TO EVOLVE OVERTIME AS HOSPITALS BECOME MORE FAMILIAR WITH THE OPPORTUNITY. THE USE OF THIS COHORT APPROACH ALLOWS FOR THE ACCOMMODATION OF INCREASING INTEREST THROUGHOUT THE DURATION OF THE PROJECT. THE RHRCO RECOGNIZES THAT ESTABLISHMENT OF RAPPORT AND TRUST WITH HOSPITAL LEADERSHIP IS THE CORNERSTONE TO CREATING EFFECTIVE CHANGE. IN ADDITION TO THE RHRCOS LEADERSHIP WHO HAS YEARS OF RURAL EXPERIENCE, RHRCO SUBJECT MATTER EXPERTS (SMES) WILL BE USED TO SUPPORT PROVIDERS THROUGH THE REH APPLICATION PROCESS BY PROVIDING 1:1 COACHING AND TECHNICAL ASSISTANCE. THESE SMES ARE FORMER EXECUTIVES OF RURAL HOSPITALS WITH REAL, LIVED EXPERIENCE IN LEADING RURAL HEALTHCARE ORGANIZATIONS THROUGH SIGNIFICANT CHANGE. WITH OVER 100 YEARS OF HEALTHCARE LEADERSHIP EXPERIENCE COMBINED, THE ABILITY OF THESE SMES TO PROVIDE FIRSTHAND, PEER-BASED KNOWLEDGE RATHER THAN ANECDOTES IS A MAJOR DIFFERENTIATOR OF HOW THIS CONSORTIUM WILL PROVIDE TAILORED, RURAL-RELEVANT ASSISTANCE TO HOSPITALS EXPLORING THE REH DESIGNATION. SINCE ITS INCEPTION, THE RURAL HEALTH REDESIGN CENTER ORGANIZATION, INC. (RHRCO) HAS SUPPORTED THE ADMINISTRATION OF THE PENNSYLVANIA RURAL HEALTH MODEL (PARHM), AN ALTERNATIVE PAYMENT MODEL AIMED AT TRANSFORMING TO A VALUE-BASED HEALTHCARE DELIVERY SYSTEM IN RURAL PENNSYLVANIA. THE RHRCO ENGAGED WITH OVER 30 HOSPITALS, BOTH CRITICAL ACCESS AND PPS HOSPITALS, TO ASSIST WITH ASSESSMENT OF THE OPPORTUNITY AND GUIDED EIGHTEEN RURAL HOSPITALS THROUGH THE TRANSITION TO VALUE-BASED CARE. MUCH OF THE WORK INCLUDED WITH THIS REH OPPORTUNITY ALIGNS WITH THE TECHNICAL ASSISTANCE PROVIDED TO THESE PENNSYLVANIA HOSPITALS. THIS INCLUDED INITIAL FINANCIAL MODELLING OF THE PARHM FOR EACH HOSPITAL, TAILORED GUIDANCE AND STRATEGIC PLANNING THROUGHOUT THE TRANSITION, AND ONGOING STAKEHOLDER ENGAGEMENT WITH ALL HOSPITALS AND PAYER PARTICIPANTS, STATE AND FEDERAL PARTNERS, AND OTHER INVESTED PARTIES. THE RHRCO BELIEVES THAT MUCH OF THIS WORK IS TRANSLATABLE TO RURAL COMMUNITIES BEYOND PENNSYLVANIA AND SEES A TREMENDOUS OPPORTUNITY TO PROVIDE SIMILAR SERVICES THROUGH THE TERMS OF THIS COOPERATIVE AGREEMENT.

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

SHIP COVID TESTING AND MITIGATION

ELIMINATING DISPARITIES IN PERINATAL HEALTH

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

ESSENTIA HEALTH COMMUNITY CANCER RESEARCH PROGRAM NCORP

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

ARRA - FACILITY INVESTMENT PROGRAM

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

INFORMATION SERVICES TO RURAL HOSPITAL FLEXIBILITY

HEALTH CENTER CLUSTER

ELIMINATING DISPARITIES IN PERINATAL HEALTH

HEALTHY START INITIATIVE-ELIMINATING RACIAL/ETHNIC DISPARITIES

RURAL HOSPITAL STABILIZATION PILOT PROGRAM - IN THE NEW RURAL HOSPITAL STABILIZATION PILOT PROGRAM (RHSP), THE NATIONAL RURAL HEALTH RESOURCE CENTER (THE CENTER) WILL LEVERAGE ITS EXPERIENCE AND UNDERSTANDING OF RURAL HOSPITALS ACROSS THE COUNTRY TO PROVIDE TECHNICAL ASSISTANCE (TA) WITH PLANNING AND IMPLEMENTING SERVICE IMPROVEMENTS. THIS TA WILL BE ACCOMPLISHED IN PARTNERSHIP WITH THE FEDERAL OFFICE OF RURAL HEALTH POLICY (FORHP) AND THE CENTER’S MANAGED NETWORK OF NATIONAL RURAL HOSPITAL TECHNICAL EXPERTS (RHTES). TO IMPROVE HEALTH CARE IN RURAL AREAS, THE CENTER WILL CONDUCT IN-DEPTH FINANCIAL AND OPERATIONAL ASSESSMENTS TO ENHANCE OR EXPAND HOSPITAL SERVICES MATCHED TO COMMUNITY NEEDS THROUGH APPROPRIATE, MULTI-FACETED TA INITIATIVES FOR EIGHT HOSPITALS ANNUALLY. MOREOVER, UP TO 15 ADDITIONAL HOSPITALS WILL ALSO RECEIVE EDUCATION, ONLINE RESOURCES, AND COACHING TO STABILIZE THEIR HOSPITALS AND IMPROVE ACCESS TO QUALITY HEALTH CARE SERVICES TO PREPARE FOR FUTURE PARTICIPATION. THE CENTER IS A LEADER IN PROVIDING RURAL HEALTH TA AND HAS OVER 20 YEARS OF EXPERIENCE SERVING RURAL HOSPITALS INCLUDING CRITICAL ACCESS HOSPITALS, SMALL PROSPECTIVE PAYMENT HOSPITALS AND RURAL EMERGENCY HOSPITALS, AND NETWORKS, WITH 548 PROJECTS COMPLETED NATIONALLY. ADDITIONALLY, THE CENTER HAS SIGNIFICANT RHTE CAPACITY, HAVING ESTABLISHED PRODUCTIVE CONSULTING RELATIONSHIPS WITH THE LEADING FINANCIAL, OPERATIONAL, AND RESEARCH EXPERTS IN RURAL HEALTH. WITH THE COMMITMENT OF FIVE ORGANIZATIONAL RHTES, THE CENTER IS EQUIPPED TO LAUNCH RHSP QUICKLY IN COLLABORATION WITH FORHP, AND STATE AND NATIONAL PARTNERS, IDENTIFYING AND MARKETING TA TO ELIGIBLE HOSPITALS AND PROVIDING EFFECTIVE TA TO EIGHT HOSPITALS MOST IN NEED OF STRENGTHENING HEALTH CARE DELIVERY EACH YEAR. THE CENTER UTILIZES ITS PROFESSIONAL KNOWLEDGE, EXPERIENCE, AND RHTE NETWORK TO PROVIDE TA TO HOSPITALS EXPERIENCING FINANCIAL AND OPERATIONAL INSTABILITY. THIS TA ADDRESSES COMMUNITY NEED AND BYPASS RATES TO IDENTIFY SERVICE LINE ENHANCEMENTS AND EXPANSIONS TO KEEP HEALTH CARE SERVICES LOCAL. PROMOTING NATIONAL STANDARDS, THE RHTES PROVIDE ANALYSIS AND ASSESSMENTS OF FINANCIAL STATUS, MARKET SHARE, QUALITY INDICATORS, LOCAL HUMAN SERVICES, AND SERVICE GAPS IN RURAL HOSPITALS. THE NETWORK OF RHTE RECOMMENDATIONS GUIDE ACTION PLANS AND IMPLEMENTATION PLANNING FOR EACH PARTICIPATING HCO TO ENSURE THE RHSP GOALS ARE ACHIEVED. MOREOVER, TWO LEARNING COLLABORATIVES OFFER HOSPITALS PEER TO PEER OPPORTUNITIES TO SHARE EVIDENCE-BASED CLINICAL MODELS WHILE RECEIVING OPERATIONAL COACHING FOR IMPLEMENTATION OF NEW AND EXPANDED SERVICES. SYSTEMATIC ANNUAL EVALUATIONS OF EACH HOSPITAL’S OUTCOMES AND THE ONGOING ASSESSMENT OF PROGRAM TA SERVICES PROVIDE VALUABLE INSIGHT INTO BEST PRACTICES AND INSIGHT INTO RHSP EFFECTIVENESS. THE RHSP IS MODELED ON THE CENTER’S SUCCESSFUL DELTA REGION COMMUNITY HEALTH SYSTEMS DEVELOPMENT (DRCHSD) PROGRAM, WHICH HAS EXCEEDED THE PROGRAM GOALS OF STABILIZING RURAL HEALTH CARE ORGANIZATIONS EXPERIENCING FINANCIAL AND OPERATIONAL INSTABILITY. USING THIS EXPERIENCE AS A GUIDE, HOSPITALS WILL RECEIVE EXCEPTIONAL TA THAT IS CUSTOMIZED TO ENSURE THAT SERVICES ARE KEPT LOCALLY AND THAT COMMUNITY HEALTH NEEDS ARE MET. PROGRAM FUNDING IS PROVIDED TO HOSPITALS FOR SUPPORT OF SOFTWARE, SUPPLIES, AND EQUIPMENT IMPLEMENTATION THAT EXPANDS AND ENHANCES SERVICE LINES. FUNDING IS ALSO CONTRIBUTED TO SUPPORT A LOCAL HOSPITAL COMMUNITY ENGAGEMENT CHAMPION WHO MARKETS HEALTH CARE SERVICES, ENHANCES RELATIONSHIPS AND ENGAGES LOCAL COMMUNITY LEADERS. THROUGH THE PROPOSED RHSP, THE CENTER WILL MAINTAIN COLLABORATION AND ALIGNMENT OF SERVICES WITH FORHP, OTHER FEDERAL, STATE, AND NATIONAL PARTNERS, AND RHTES. THIS COLLABORATION WILL ENSURE QUALITY TA IS PROVIDED TO RURAL HOSPITALS, IMPROVING HOSPITAL FINANCES AND OPERATIONS TO MEET COMMUNITY HEALTH NEEDS AND KEEP CARE LOCAL.

HEALTH CENTER CLUSTER

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

SHIP COVID TESTING AND MITIGATION

INFORMATION SERVICES TO RURAL HOSPITAL FLEXIBILITY

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

STATE RURAL HEALTH COORDINATION AND DEVELOPMENT

RURAL HOSPITAL FLEXIBILITY PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER CLUSTER

DELTA REGION COMMUNITY HEALTH SYSTEMS DEVELOPMENT

MEDICARE RURAL HOSPITAL FLEXIBILITY

STATE RURAL HEALTH COORDINATION AND DEVELOPMENT

RURAL NORTHERN BORDER REGION HEALTHCARE SUPPORT PROGRAM ABBREVIATION:: N/A - APPLICANT: RURAL HEALTH REDESIGN CENTER ORGANIZATION, INC. 625 FORESTER ST. FL 8 HARRISBURG, PA 17120-0701 WWW.RHRCO.ORG 501C3 NON-PROFIT DUNS: 117873025 PROJECT OFFICER: GARY ZEGIESTOWSKY RHRCO EXECUTIVE DIRECTOR GZ@RHRCO.ORG (615) 347-2748 AMOUNT REQUESTED: 1,800,000 PER YEAR CONSORTIUM MEMBERS: 1. RURAL HEALTH REDESIGN CENTER ORGANIZATION, INC. 2. NEW ENGLAND RURAL HEALTH ASSOCIATION 3. RURAL HEALTH VALUE 4. STROUDWATER ASSOCIATES 5. WELLNESS EQUITY ALLIANCE PROPOSED PROJECT: SINCE ITS INCEPTION, THE RURAL HEALTH REDESIGN CENTER ORGANIZATION, INC. (RHRCO) HAS SUPPORTED THE ADMINISTRATION OF THE PENNSYLVANIA RURAL HEALTH MODEL (PARHM), AN ALTERNATIVE PAYMENT MODEL AIMED AT TRANSFORMING TO A VALUE-BASED HEALTHCARE DELIVERY SYSTEM IN RURAL PENNSYLVANIA. RESPONSIBILITIES OF THIS ROLE INCLUDE STAKEHOLDER ENGAGEMENT AND RECRUITMENT, FACILITATING THE PARHM TO MAINTAIN COLLABORATION ACROSS ALL STAKEHOLDERS, AND PROVIDING TECHNICAL ASSISTANCE (TA) TO RURAL HOSPITALS EMBARKING ON THIS VALUE-BASED JOURNEY. SINCE 2019, THE RHRCO HAS ASSISTED EIGHTEEN RURAL HOSPITALS WITH THE PLANNING, IMPLEMENTATION, AND SUCCESSFUL COMPLETION OF 116 GOALS RELATED TO IMPROVING ACCESS TO CARE, INCLUDING SUBSTANCE USE DISORDER (SUD) AND BEHAVIORAL HEALTH SERVICES, EMPLOYING CARE PREVENTION AND MANAGEMENT INITIATIVES, REDUCING EMERGENCY DEPARTMENT UTILIZATION AND MORE ALL WITHIN THE CONTEXT OF VALUE-BASED DELIVERY AND INNOVATION. THE RHRCO BELIEVES THAT MUCH OF THIS WORK IS TRANSLATABLE TO RURAL COMMUNITIES BEYOND PENNSYLVANIA AND SEES A TREMENDOUS OPPORTUNITY TO PROVIDE SIMILAR SERVICES TO THE NORTHERN BORDER REGION THROUGH THE TERMS OF THIS COOPERATIVE AGREEMENT. UPON SELECTION OF SERVICE AREA COMMUNITIES AND HEALTHCARE PROVIDERS IN COOPERATION WITH HRSA AND THE NBRC, THE RHRCO AND PROPOSED CONSORTIUM MEMBERS WILL IDENTIFY THE UNIQUE NEEDS OF EACH COMMUNITY THROUGH A COMBINATION OF DATA ANALYTICS AND READINESS FOR CHANGE ASSESSMENTS. THE CONSORTIUM IS PREPARED TO OFF ER TA USING EXTENSIVE, TAILORED APPROACHES WHERE NECESSARY, IN ADDITION TO BROADER TACTICS SUCH AS ONE-DAY TRAINING EVENTS, WEBINARS, OR WORKSHOPS. FOR COMMUNITIES NEEDING EXTENSIVE TA SERVICES, THE CONSORTIUM WILL WORK ALONGSIDE PROVIDERS TO DEVELOP STRATEGIC PLANNING TOOLS, LIKE THOSE UTILIZED IN THE PARHM, WHICH OUTLINE ACTION-STEPS, TIMELINES, AND METRICS TO SUCCESSFULLY ACCOMPLISH IDENTIFIED GOALS GEARED TOWARD THE AREAS OF COMMUNITY NEED. THE CONSORTIUM WILL THEN PROVIDE COACHING, TRAINING, SUPPORT OF FUNDING ACTIVITIES, PROJECT DEVELOPMENT, AND ADDITIONAL SERVICES, AS NECESSARY, TO ASSIST WITH THE PURSUIT OF THESE GOALS. A RESOURCE HUB AND SHARED-LEARNING PATHWAYS WILL ALSO BE ESTABLISHED FOR FREE USE BY ALL PROJECT STAKEHOLDERS. TO ASSIST WITH THE PROJECT’S EXECUTION, RURAL HEALTH VALUE AND STROUDWATER ASSOCIATES HAVE JOINED THIS CONSORTIUM, BOTH BEING PRIOR COLLABORATORS ON THE PARHM. WHILE RURAL HEALTH VALUE HAS EXPERTISE IN TRANSITIONS TO VALUE-BASED CARE, STROUDWATER ASSOCIATES IS A RURAL HEALTH FINANCE EXPERT HEADQUARTERED IN MAINE WITH EXTENSIVE INSIGHTS INTO THE RURAL HEALTH SECTOR ACROSS ALL NORTHERN BORDER REGIONS. THE NEW ENGLAND RURAL HEALTH ASSOCIATION HAS ALSO JOINED TO ASSIST WITH THE STAKEHOLDER ENGAGEMENT AND COMMUNITY SELECTION PROCESSES LEVERAGING THEIR KNOWLEDGE OF THE REGION. LASTLY, THE WELLNESS EQUITY ALLIANCE HAS JOINED AS A CLINICAL PARTNER EXPERIENCED IN IDENTIFYING COMMUNITY NEEDS THROUGH DATA DRIVEN APPROACHES, DRIVING WORKFORCE DEVELOPMENT ACTIVITIES, AND ENHANCING ACCESS TO BEHAVIORAL HEALTH AND SUD SERVICES. THESE CONSORTIUM MEMBERS HAVE EXTENSIVE EXPERIENCE IN WORKING WITH RURAL AND UNDERSERVED COMMUNITIES AND EACH POSSESS UNIQUE SKILLS THAT QUALIFY THEM TO PROVIDE TA IN DIFFERENT CAPACITIES. UPON FUNDING, THESE PARTNERS WILL LEVERAGE THEIR COLLECTIVE EXPERIENCE AND WORK IN CLOSE COLLABORATION TO FORM A COHESIVE UNIT CAPABLE OF ACHIEVING THE GOALS OF THE RURAL NORTHER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

SMALL RURAL HOSPITAL IMPROVEMENT GRANT PROGRAM

RYAN WHITE TITLE III EARLY INTERVENTION SERVICES PROGRAM

WORKFORCE TRAINING

CORONAVIRUS STATE HOSPITAL IMPROVEMENT PROGRAM

MEDICARE RURAL HOSPITAL FLEXIBILITY

CAPITAL DEVELOPMENT

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

RURAL HEALTHCARE PROVIDER TRANSITION PROJECT

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

DULUTH COMMUNITY CLINICAL ONCOLOGY PROGRAM

MEDICARE RURAL HOSPITAL FLEXIBILITY

IRIS: INCORPORATING RESEARCH INTO SIGHT

HORIZON HEALTH CCBHC CERTIFICATION PROGRAM - HORIZON HEALTH WILL UTILIZE CCBHC FUNDS TO DEVELOP AND IMPLEMENT A CERTIFIED COMMUNITY BEHAVIORAL HEALTHCARE HEALTH CLINIC (CCBHC) IN RURAL SOUTHEASTERN KENTUCKY. THE TARGET SERVICE AREA FOR THIS PROJECT INCLUDES THREE MENTAL HEALTH PROFESSIONAL SHORTAGE COUNTIES INCLUDING KNOX, LAUREL AND WHITLEY IN SOUTHEASTERN KENTUCKY’S APPALACHIAN REGION. HORIZON HEALTH WILL PROVIDE EVIDENCE-BASED PREVENTION, TREATMENT AND RECOVERY SUPPORTS TO INCREASE ACCESS TO HIGH QUALITY PROGRAMS BY SERVING 400 INDIVIDUALS IN YEAR 1, 250 IN YEAR 2, 250 IN YEAR 3 AND 250 IN YEAR 4 OF THE GRANT PROJECT PERIOD. SPECIFICALLY, WE WILL TARGET OUR SERVICES TOWARDS RESIDENTS OF THE SERVICE AREA WHO HAVE MENTAL ILLNESS OR ARE IMPACTED BY SUD/OUD. OVER THE PAST FOUR YEARS IN KENTUCKY, THE PERCENTAGE OF THE POPULATION WITH A SERIOUS MENTAL ILLNESS HAS RISEN FROM 4.1% TO 5%. AMONG THE MEDICARE POPULATION 19.4% IS DIAGNOSED WITH DEPRESSION COMPARED TO 16.7% NATIONALLY. THE SERVICE AREA HAS A SUICIDE ATTEMPT RATE AND SELF-INJURY RATE (AS REPORTED BY HOSPITALS) OF 63.8 PER 100,000. WHITLEY COUNTY HAS ONE OF THE FOUR HIGHEST RATES OF SUICIDE ATTEMPTS AND SELF-INFLICTED INJURIES IN THE STATE. THE SUICIDE RATE FOR ALL RESIDENTS IS 15.2 PER 100,000 COMPARED TO 12.5 PER 100,000 NATIONALLY. THE SERVICE AREA HAS A TOTAL POPULATION OF 127,354. THE MAJORITY OF THE POPULATION IS WHITE (97.1%) WITH PERSONS AGES 18-64 (60.7%) MAKING UP THE LARGEST DEMOGRAPHIC FOLLOWED BY 15.6% ARE 65 YEARS AND OLDER AND 23.7% OF THE POPULATION IS UNDER THE AGE OF 18. THE POVERTY RATE IN THE REGION OF 26.9% IS OVER 10 PERCENTAGE POINTS HIGHER THAN THE NATIONAL RATE (15,5%) WITH AN INCREDIBLY HIGH RATE OF RESIDENTS LIVING IN EXTREME POVERTY (INCOMES LESS THAN 50% OF THE FEDERAL POVERTY LEVEL) AT 11.2%. GOALS OF THIS PROJECT INCLUDE TO PROVIDE A COMPREHENSIVE RANGE OF OUTREACH, SCREENING, ASSESSMENT, TREATMENT CARE COORDINATION AND RECOVERY SUPPORTS, TO ESTABLISH AN INTEGRATED HEALTHCARE MODEL THAT COMBINES SUD/BEHAVIORAL AND MENTAL HEALTH SERVICES WITH PRIMARY CARE TO DECREASED SUBSTANCE USE TO INCREASE ACCESS TO MENTAL HEALTH SERVICES BY PROVIDING 24/7 ACCESS AND DIRECTED SERVICES TO MEMBERS OF THE ARMED FORCES AND VETERANS, TO DECREASE SUBSTANCE USE IN MINORITY COMMUNITIES BY IMPLEMENTING EVIDENCE-BASED PROGRAMS AND OFFERING CCBHC SERVICES THAT TREAT BEHAVIORAL AND MENTAL HEALTH ISSUES. THE PROGRAM WILL ALSO SEEK TO DECREASE YOUTH SUD IN THE COMMUNITY BY IMPLEMENTING EVIDENCE-BASED PROGRAMS INTO LOCAL SCHOOLS THAT ADDRESS BEHAVIORS THAT MAY LEAD TO INITIATION OF USE. FOCUS ON THE RECOVERY POPULATION WILL INCLUDE AN INCREASE IN RECOVERY AND EMPLOYMENT OUTCOMES AMONG PROGRAM CONSUMERS REENTERING THE WORKFORCE. AND, WE WILL ALSO IMPLEMENT A WIDESPREAD FOCUS ON EDUCATING THE COMMUNITY ON THE POSITIVE EFFECTS OF BEHAVIORAL AND MENTAL HEALTH COUNSELING.

DELTA STATE RURAL DEVELOPMENT NETWORK GRANT PROGRAM (DELTA)

MEDICARE RURAL HOSPITAL FLEXIBILITY

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

SMALL RURAL HOSPITAL IMPROVEMENT GRANT PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

SMALL RURAL HOSPITAL IMPROVEMENT GRANT PROGRAM

CORONAVIRUS STATE HOSPITAL IMPROVEMENT PROGRAM

DELTA STATE RURAL DEVELOPMENT NETWORK GRANT PROGRAM (DELTA)

DELTA STATE RURAL DEVELOPMENT NETWORK GRANT PROGRAM (DELTA)

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

APPALACHIAN REGION HEALTHCARE SUPPORT PROGRAM

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM - MEDICATION ASSISTED TREATMENT ACCESS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

SHIP COVID TESTING AND MITIGATION

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

RYAN WHITE TITLE III: EARLY INTERVENTION SERVICES

RYAN WHITE TITLE IV PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

ARRA - CAPITAL IMPROVEMENT PROGRAM

PREGNANCY PREVENTION PROGRAM (TIER 1)

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RYAN WHITE TITLE IV WOMEN, INFANTS, CHILDREN, YOUTH AND AFFECTED FAMILY MEMBERS AIDS HEALTHCARE

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM - MEDICATION ASSISTED TREATMENT ACCESS - PROJECT TITLE: INDIANA MEDICATION ASSISTED TREATMENT ACCESS - IMATA REQUESTED AWARD AMOUNT: $2,349,984 APPLICANT ORGANIZATION INFORMATION NAME: INDIANA RURAL HEALTH ASSOCIATION (IRHA) ADDRESS: 201 E. MAIN STREET, SUITE 415, WASHINGTON, IN 47501-2970 FACILITY TYPE: STATE RURAL HEALTH ASSOCIATION WEBSITE ADDRESS: HTTPS://WWW.INDIANARURALHEALTH.ORG/ PROJECT DIRECTOR: AMNAH ANWAR, MPH, MBBS, SENIOR DIRECTOR, INDIANA RURAL HEALTH ASSOCIATION; PROGRAM DIRECTOR, INDIANA RURAL OPIOID CONSORTIUM 812-478-3919, EXT. 231; AANWAR@INDIANARHA.ORG DATA COORDINATOR: JESSICA DEVINE, DATA COORDINATOR, INDIANA RURAL HEALTH ASSOCIATION 812-478-3919, EXT. 256; JDEVINE@INDIANARHA.ORG EIN: 35-2026704 LEARNED ABOUT FUNDING: GRANTS.GOV REQUESTING EXCEPTION? NO PREVIOUS RCORP RECIPIENT? YES; RCORP IMPLEMENTATION (090119-083122); RCORP PLANNING (093018-092919) APPLY FOR FY22 RCORP-IMPLEMENTATION? YES; SUBMITTED PROPOSED PROJECT: CREATE COMMUNITIES WITH INCREASED ACCESSIBILITY, AVAILABILITY, AND AFFORDABILITY OF MENTAL HEALTH SERVICES THROUGH EDUCATION AND TRAINING OF COMMUNITY MEMBERS AND SUD/OUD/MENTAL HEALTH PROVIDERS. NEEDS TO BE ADDRESSED: IMPROVE HEALTHCARE IN RURAL AREAS BY ESTABLISHING NEW MEDICATION ASSISTED TREATMENT (MAT) ACCESS POINTS AND INCREASE THE CAPACITY FOR SUSTAINABLE MAT SERVICE PROVISION IN RURAL AREAS. PROPOSED SERVICES: 1) ADD FIVE NEW MAT ACCESS POINTS IN THE TARGET AREA AT THE EXISTING BRICK AND MORTAR LOCATIONS. MAT MOBILE ACCESS TEAMS CONSISTING OF MAT PROVIDER AND BEHAVIORAL HEALTH PROVIDERS WILL SERVE AT THESE NEW MAT ACCESS POINTS. EVERY EFFORT WILL BE MADE TO ENSURE THAT NEW MAT ACCESS POINT(S) OFFER EXTENDED HOURS, 2) THE NEW MAT ACCESS POINT(S) WILL OFFER MULTIPLE TREATMENT OPTIONS (E.G. BUPRENORPHINE AND/OR OTHERS) TO ENSURE THAT THE NEEDS OF EACH INDIVIDUAL CAN BE MET AND WILL NOT REQUIRE ABSTINENCE/DETOXIFICATION AS A PREREQUISITE TO ACCESSING TREATMENT; 3) THE NEW MAT ACCESS POINT WILL ADHERE TO THIRD-PARTY PAYER GUIDANCE; 4) THE NE W MAT ACCESS POINT(S) WILL BEGIN DELIVERING MAT SERVICES NO LATER THAN THE END OF THE FIRST PROJECT YEAR OF THE AWARD AND WILL INCREASE THE NUMBER OF INDIVIDUALS RECEIVING MAT AT THE NEW ACCESS POINT(S) EACH SUBSEQUENT YEAR OF THE GRANT; 5) ACTIVITIES UNDER THE AWARD MUST EXCLUSIVELY BENEFIT POPULATIONS IN THE TARGET RURAL SERVICE AREA; AND 6) COMMIT TO SHARING ACCURATE PERFORMANCE DATA AND INFORMATION WITH APPLICANT ORGANIZATION TO FULFILL HRSA REPORTING REQUIREMENTS. TARGET POPULATION INDIANA COUNTIES: CRAWFORD (ALL RURAL); HARRISON (PARTIALLY RURAL—CENSUS TRACTS 060400, 060300); ORANGE (ALL RURAL); PERRY (ALL RURAL); SPENCER (ALL RURAL)

CHILDREN'S HEALTH INSURANCE PROGRAM OUTREACH AND ENROLLMENT GRANT HEALTH ECONNECTIONS FOR KIDS: USING TECHNOLOGY TO FACILITATE ENROLLMENT AND RENEWA

COMPETITIVE PERSONAL RESPONSIBILITY EDUCATION PROGRAM

MEDICARE RURAL HOSPITAL FLEXIBILITY PROGRAM EVALUATION-COOPERATIVE AGREEMENT

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

DELTA REGION WORKFORCE TRAINING PROGRAM - PROJECT NAME: AR DELTA HEALTH WORKFORCE: BUSINESS OPERATIONS INITIATIVE ORGANIZATION NAME: ARKANSAS RURAL HEALTH PARTNERSHIP ADDRESS: 111 N. COURT ST. LAKE VILLAGE, AR 71653 PROJECT DIRECTOR NAME: ROBERT DEEN, JD CONTACT PHONE NUMBERS (VOICE, FAX): 870-723-8435 EMAIL ADDRESS: ROBERTDEEN@ARRURALHEALTH.ORG WEBSITE ADDRESS, IF APPLICABLE: ARRURALHEALTH.ORG GRANT PROGRAM FUNDS REQUEST: $550,000/YEAR, 4 YEARS BRIEF DESCRIPTION OF THE PROPOSED PROJECT NEEDS TO BE ADDRESSED: THE PROPOSED PROJECT HAS BEEN DESIGNED TO MEET CRITICAL HEALTH WORKFORCE INFRASTRUCTURE GAPS OF PARTICIPATING NETWORK MEMBERS AND INCREASE EQUITY FOR ARKANSAS DELTA RESIDENTS TO ACCESSIBLE, AFFORDABLE CERTIFICATION AND DEGREE PROGRAMS IN HEALTH ADMINISTRATION SUPPORT CAREERS. PROPOSED PROGRAM TRACKS (MEDICAL CODING AND BILLING, HEALTH INFORMATION MANAGEMENT, CLINICAL DOCUMENTATION, AND BUSINESS OPERATIONS FOR HEALTHCARE ORGANIZATIONS) WILL PRODUCE TRAINED, SKILLED HEALTHCARE ADMINISTRATIVE STAFF WHOSE WORK WILL DIRECTLY IMPACT THE FINANCIAL VIABILITY AND SUSTAINABILITY OF RURAL HEALTH ORGANIZATIONS. FOR MANY RURAL COMMUNITIES WITHIN THE SERVICE AREA, THESE HEALTHCARE ORGANIZATIONS ARE SOME OF THE LARGEST AND MOST STABLE PLACES OF EMPLOYMENT AND MAY OFFER SOME OF THE ONLY AVAILABLE HEALTHCARE SERVICES IN THE COMMUNITY. AS A RESULT, THE PROJECT IMPACTS THE HEALTH, WELLNESS, AND QUALITY OF LIFE OF RURAL RESIDENTS, AS WELL AS SUPPORTS LOCAL RURAL ECONOMIES. ON A LARGER SCALE, HEALTHY AND THRIVING HEALTHCARE SYSTEMS ARE ABLE TO RECRUIT AND RETAIN HEALTHCARE PROFESSIONALS, PREVENTING THE OUTWARD MIGRATION OF SKILLED WORKERS. PROPOSED SERVICES: THE PROPOSED PROJECT WILL FOCUS ON THE FOLLOWING KEY ACTIVITIES: 1) ESTABLISH A FORMALIZED NETWORK TO DESIGN, IMPLEMENT, OVERSEE, AND SUSTAIN PROJECT EFFORTS, 2) CREATE THE INFRASTRUCTURE AND CAPACITY TO SUPPORT SUCCESSFUL PROJECT IMPLEMENTATION, 3) DEVELOP AND LAUNCH NEW TRAINING PROGRAMS SUPPORTING ADMINISTRATIVE SUPPORT FUNCTIONS IN HEALTH CARE. NEW CERTIFICATION AND DEGREE PROGRAMS WILL BE OFFERED IN AN EXCLUSIVELY ONLINE FORMAT WITH ROLLING MONTHLY ADMISSION TO MAKE TRAINING ACCESSIBLE FOR NON-TRADITIONAL STUDENTS (PARTICULARLY EXISTING HEALTHCARE STAFF SEEKING ADDITIONAL TRAINING), 4) SUPPORT TRAINING PROGRAM STUDENTS THROUGH FINANCIAL ASSISTANCE IN ORDER TO INCREASE EQUITY TO ACCESSIBLE AND AFFORDABLE TRAINING AND EDUCATION OPPORTUNITIES. FINANCIAL SUPPORT (I.E. TUITION/FEES, LAPTOP, ETC.) WILL INCREASE ACCESS TO EDUCATION FOR LOCAL STUDENTS WITHOUT THE FINANCIAL MEANS TO ENROLL IN AND COMPLETE CERTIFICATION AND DEGREE PROGRAMS, AND 5) PROVIDE EMPLOYMENT OPPORTUNITIES TO INDIVIDUALS SUCCESSFULLY COMPLETING CERTIFICATION AND DEGREE PROGRAMS WITH HEALTHCARE ORGANIZATIONS SERVING RURAL DRA RESIDENTS. POPULATION GROUP(S) TO BE SERVED: THE PROPOSED PROJECT WILL FOCUS ON TWO TARGET POPULATIONS: 1) RECENT HIGH SCHOOL GRADUATES AND 2) EXISTING HEALTHCARE EMPLOYEES.

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? MENTAL AND BEHAVIORAL HEALTH - 1.NORTHERN MI OPIOID RESPONSE AND BEHAVIORAL HEALTH CONSORTIUM (NMORBHC); INTEGRATING BEHAVIORAL HEALTH SUPPORTS INTO THE NORTHERN MI OPIOID RESPONSE CONSORTIUM 2. REQUESTED AWARD AMOUNT: $1,978,424.00 3. APPLICANT ORGANIZATION NAME: MICHIGAN CENTER FOR RURAL HEALTH 4. APPLICANT ORGANIZATION ADDRESS: 909 WILSON ROAD, EAST LANSING, MI 48823 5. APPLICANT ORGANIZATION FACILITY TYPE: STATE OFFICE OF RURAL HEALTH 6. PROJECT DIRECTOR: JOYCE FETROW, PROJECT DIRECTOR, NORTHERN MI OPIOID RESPONSE CONSORTIUM 7. PROJECT DIRECTOR: JOYCE.FETROW@AFFLIATE.MSU.EDU, 989.370.1470 8. DATA COORDINATOR: JESSICA VANWULFEN, PROJECT ASSOCIATE, NORTHERN MI OPIOID RESPONSE CONSORTIUM 9. DATA COORDINATOR: JESSICA.DAVIS@AFFLIATE.MSU.EDU; 898.858.1777 10. EIN/DUNS NUMBER EXCEPTION REQUEST IN ATTACHMENT 8? NO 11. HOW THE APPLICANT FIRST LEARNED ABOUT THE FUNDING OPPORTUNITY: HRSA PROJECT OFFICER 12. NUMBER OF CONSORTIUM MEMBERS & LIST OF CONSORTIUM MEMBERS: MYMICHIGAN HEALTH (MYMICHIGAN MEDICAL CENTER CLARE, MYMICHIGAN MEDICAL CENTER GLADWIN, MYMICHIGAN MEDICAL CENTER WEST BRANCH, MYMICHIGAN MEDICAL CENTER ALPENA), MUNSON HEALTH CARE (MUNSON CADILLAC, MUNSON GRAYLING, MUNSON GAYLORD, MUNSON CADILLAC, KALKASKA MEMORIAL HOSPITAL), NORTHERN MI OPIOID RESPONSE CONSORTIUM, MICHIGAN CENTER FOR RURAL HEALTH 13. IS THE APPLICANT ORGANIZATION A PREVIOUS OR CURRENT RCORP AWARD RECIPIENT OR CONSORTIUM MEMBER? YES, AWARD RECIPIENT FOR THE FOLLOWING: FY 18 RCORP PLANNING, FY 19 RCORP IMPLEMENTATION, FY 20 RCORP IMPLEMENTATION, FY 21 RCORP IMPLEMENTATION, AND FY 21 RCORP PSYCHOSTIMULANT SUPPORT. 14. INDICATE IF APPLICANT ORGANIZATION INTENDS TO APPLY FOR FY22 RCORP IMPLEMENTATION? YES 15. DOES THE TARGET SERVICE AREA OVERLAP WITH THE SERVICE AREAS OF THE NORTHERN BORDER REGIONAL COMMISSION, THE DELTA REGIONAL AUTHORITY, OR THE APPALACHIAN REGIONAL COMMISSION? NO. 16. RCORP-BHS TARGET SERVICE AREA (MUST BE EXCLUSIVELY RURAL, AS DEFINED BY THE RURAL HEALTH GRANTS ELIGIBILITY ANALYZE R): A. FULLY RURAL COUNTIES: ALCONA, ALPENA, CHEBOYGAN, CLARE, CRAWFORD, GLADWIN, KALKASKA, LAKE, MISSAUKEE, MONTMORENCY, OGEMAW, OSCODA, OTSEGO, PRESQUE ISLE, ROSCOMMON, AND WEXFORD (MICHIGAN) 17. BRIEF DESCRIPTION OF THE TARGET POPULATION: .9125 PERCENT OF THE TARGET POPULATION IS NATIVE AMERICAN, WITH CHEBOYGAN COUNTY HAVING THE HIGHEST PERCENTAGE AT 2.1%. THE NMORC BH INTEGRATION PROJECT WILL WORK WITH TRIBAL ORGANIZATIONS TO ENSURE THAT THE PEER RECOVERY SUPPORTS AND ADDITIONAL BEHAVIORAL HEALTH RESOURCES ARE CULTURALLY APPROPRIATE AND ARE ACCESSED BY THE NATIVE POPULATION. THE NORTHERN MICHIGAN OPIOID RESPONSE AND BEHAVIORAL HEALTH CONSORTIUM (NMORBHC) WILL UTILIZE A ROBUST STAFFING MODEL, KEY TARGETED RESOURCES, AND LEVERAGING OF EXISTING INFRASTRUCTURE TO IMPLEMENT THE CORE ACTIVITIES WITHIN THE RURAL COMMUNITIES OPIOID RESPONSE PROGRAM BEHAVIORAL HEALTH CARE SUPPORT (RCORP-BHS) OPPORTUNITY. ALL THREE GOALS ARE ADDRESSED IN A MEANINGFUL WAY. THE NMORC IS CURRENTLY A 34 -MEMBER CONSORTIUM ADDRESSING THE OPIOID EPIDEMIC IN RURAL NORTHERN MICHIGAN. MICHIGAN CENTER FOR RURAL HEALTH, LEAD APPLICANT FOR THIS PROJECT, IS AN NMORC MEMBER. FOR THIS FUNDING OPPORTUNITY, THIS EXISTING INFRASTRUCTURE WILL BE LEVERAGED, AND ADDITIONAL SUPPORTS SPECIFICALLY FOCUSED ON INCREASING ACCESS TO BEHAVIORAL HEALTH CARE WILL BE SUPPORTED. THE 16-COUNTY REGION PRIORITIZED FOR THIS PROJECT IS ENTIRELY COMPOSED OF HRSA-DESIGNATED RURAL AREAS AND CONSISTENTLY RANKED AS THE HIGHEST NEED IN THE STATE DUE TO POOR ECONOMIC FACTORS, HEALTH CONDITIONS, SOCIAL AND BEHAVIORAL BARRIERS, PRESCRIBING PATTERNS, AND HIGH PRESCRIPTION DRUG ABUSE. THE TARGET COUNTIES INCLUDE ALCONA, ALPENA, CHEBOYGAN, CLARE, CRAWFORD, GLADWIN, KALKASKA, LAKE, MISSAUKEE, MONTMORENCY, OGEMAW, OSCODA, OTSEGO, PRESQUE ISLE, ROSCOMMON, AND WEXFORD. ALL 16 COUNTIES ARE DESIGNATED TO HAVE PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREAS, AND MENTAL HEALTH PROFESSIONA

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? MENTAL AND BEHAVIORAL HEALTH - TITLE: HORIZON HEALTH INTEGRATED HEALTH CARE SUPPORT PROGRAM REQUESTED AWARD AMOUNT: $2,000.000 APPLICANT ORGANIZATION NAME: KENTUCKY RURAL HEALTH INFORMATION TECHNOLOGY NETWORK D/B/A/ HORIZON HEALTH APPLICANT ORGANIZATION ADDRESS: 1019 CUMBERLAND FALLS HWY., STE. B210, CORBIN, KY 40701 APPLICANT ORGANIZATION FACILITY TYPE: NON-PROFIT PROJECT DIRECTOR NAME AND TITLE AND CONTACT INFO: RONDA HUGHES, DIRECTOR OF COMMUNITY ENGAGEMENT, RHUGHES@HORIZONHEALTHKY.ORG606-657-2030 DATA COORDINATOR NAME AND CONTACT INFORMATION SCHUYLER COLE, 606-657-2030 / SCOLE@HORIZONHEALTHKY.ORG EIN/DUNS NUMBER EXCEPTION REQUEST IN ATTACHMENT 8? . 46-2746512. /. 803432066 NO EXCEPTION HOW THE APPLICANT FIRST LEARNED ABOUT THE FUNDING OPPORTUNITY: HRSA PROJECT OFFICER NUMBER (5) AND LIST OF CONSORTIUM MEMBERS: -KRHIT / DBA HORIZON HEALTH -GRACE HEALTH -BARBOURVILLE FAMILY HEALTH -KNOX COUNTY HEALTH DEPARTMENT -LAUREL COUNTY HEALTH DEPARTMENT PREVIOUS OR CURRENT RCORP GRANT RECIPIENT / LIST OF CONSORTIUM MEMBERS YES, HORIZON HEALTH RECEIVED THE FY19 RCORP IMPLEMENTATION GRANT. CONSORTIUM MEMBERS: -KRHIT / DBA HORIZON HEALTH -GRACE HEALTH -CUMBERLAND RIVER BEHAVIORAL HEALTH, INC. -(CUMBERLAND REGION PREVENTION CENTER) -CELEBRATE RECOVERY @ IMMANUAEL BAPTIST CHURCH OF CORBIN, INC. -SUPPORTS CENTER INTERNATIONAL INTEND TO APPLY FOR FY22 RCORP IMPLEMENTATION YES SERVICE AREA OVERLAP NORTHERN BORDER REGION – NO DELTA REGIONAL AUTHORITY – NO APPALACHIAN REGIONAL COMMISSION - YES RCORP BHS SERVICE AREA COUNTIES KNOX, WHITLEY, LAUREL IN KENTUCKY ALL THREE ARE FULLY RURAL BRIEF DESCRIPTION OF THE RCORP BHS TARGET POPULATION THE TARGET SERVICE AREA FOR THIS PROJECT INCLUDES KNOX, LAUREL AND WHITLEY COUNTIES LOCATED IN SOUTHEASTERN KENTUCKY’S APPALACHIAN REGION. ALL THREE COUNTIES ARE FULLY DESIGNATED AS RURAL COUNTIES BY HRSA. LIKE MOST OF THE STATE, THE SERVICE AREA HAS BEEN HEAVILY IMPACTED BY THE OPIOID EPIDEMIC. SPECIFICALLY, WE WILL TARGET OUR SERVICES TOWARDS RESI DENTS OF THE SERVICE AREA WHO HAVE UNMET MENTAL HEALTH NEEDS INCLUDING SUD/OUD. OUR INTERVENTIONS WILL INCLUDE DIRECT SERVICES THROUGH CARE COORDINATION AND COMMUNITY WIDE PREVENTION, OUTREACH AND EDUCATION, AND COLLABORATION INITIATIVES. APPALACHIAN KENTUCKY HAS A RICH CULTURE AND HISTORY, BUT THE REGION HAS FACED MANY STRUGGLES. THE TARGET POPULATION FACES POOR HEALTH OUTCOMES, WHICH ARE COMPOUNDED BY SOCIOECONOMIC AND CULTURAL FACTORS THAT MAKE ACCESSING THE CARE THEY NEED DIFFICULT. THE SERVICE AREA HAS A TOTAL POPULATION OF 127,354. AS WITH MANY RURAL AREAS, THERE IS LIMITED RACIAL AND ETHNIC DIVERSITY. THE POVERTY RATE IN THE REGION IS OVER 10 PERCENTAGE POINTS HIGHER THAN THE NATIONAL RATE WITH AN INCREDIBLY HIGH RATE OF RESIDENTS LIVING IN EXTREME POVERTY (INCOMES LESS THAN 50% OF THE FEDERAL POVERTY LEVEL). WHILE THE UNEMPLOYMENT RATE ACROSS KENTUCKY IS ON PAR WITH THE NATIONAL UNEMPLOYMENT RATE, IT IS MUCH HIGHER IN THE SERVICE AREA AT 6.4% COMPARED TO 4.6% NATIONALLY. IN THE SERVICE AREA, RESIDENTS REPORT AN AVERAGE OF 4.6 MENTALLY UNHEALTHY DAYS REPORTED IN THE LAST 30 DAYS, WHERE THEIR MENTAL HEALTH GOT IN THE WAY OF DAILY LIVING. NEARLY A QUARTER (24.5%) OF THE POPULATION REPORTS THAT THEY LACK SOCIAL AND EMOTIONAL SUPPORT, WHICH IS HIGHER THAN STATE (19.7%) AND NATIONAL (20.7%) RATES. THE RATE OF OVERDOSE MORTALITY WAS 45.5 PER 100,000 WITH THE HIGHEST RATE IN KNOX COUNTY AT 55.3 PER 100,000. THE SERVICE AREA RATE IS COMPARABLE TO THE STATE RATE OF 48.5 BUT SIGNIFICANTLY HIGHER THAN THE NATIONAL RATE OF 28.7 PER 100,000. IN THE PAST THREE YEARS, THERE HAS BEEN AN INCREASED ROLE OF FENTANYL IN OVERDOSE DEATHS. OF ALL OVERDOSE DEATHS, 34% INCLUDED FENTANYL ALONE OR IN COMBINATION WITH HEROIN. IN 2020, FENTANYL OVERDOSE WAS THE LEADING CAUSE OF DEATH AMONG THOSE AGES 18-45, SURPASSING COVID-19, CAR ACCIDENTS, CANCER AND SUICIDE. POOR HEALTH IS A MAJOR FACTOR FOR MANY IN THE SERVICE AREA. NEARLY ON

SECTION 753 RURAL HOSPITAL PILOT PROGRAM GRANT

SECTION 753 RURAL HOSPITAL PILOT PROGRAM GRANT

SEC 770 CF RURAL HOSPITAL PILOT PROGRAM

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? MENTAL AND BEHAVIORAL HEALTH - APPLICANT ORGANIZATION: RURAL HEALTH REDESIGN CENTER ORGANIZATION, INC 625 FORESTER ST FL 8, HARRISBURG, PA 17120-0701 501C3 NOT-FOR-PROFIT DUNS: 117873025 PROJECT DIRECTOR: ELIZABETH LOCKE RHRCO DIRECTOR OF THE PA RURAL HEALTH MODEL EL@RHRCO.ORG (502) 821-2803 DATA COORDINATOR: TRACEY DORFF RHRCO DATA ANALYST AND GRANT SUPPORT TD@RHRCO.ORG (585) 813-7695 REQUESTED AMOUNT: $500,000 / YEAR OPPORTUNITY AWARENESS: HRSA NEWS RELEASE PREVIOUS/CURRENT RCORP AWARDS: NO EIN/DUNS NUMBER EXCEPTION REQUEST: NO FY22 IMPLEMENTATION INTENT TO APPLY: NO CONSORTIUM MEMBERS: 1. BARNES-KASSON HOSPITAL 2. BRADFORD REGIONAL MEDICAL CENTER 3. ENDLESS MOUNTAINS HEALTH SYSTEMS 4. MEADVILLE MEDICAL CENTER 5. PENN HIGHLANDS TYRONE 6. PUNXSUTAWNEY AREA HOSPITAL 7. UPMC KANE HOSPITAL 8. ALCOHOL & DRUG ABUSE SERVICES, INC. 9. BLAIR COUNTY DRUG & ALCOHOL PROGRAM 10. CLEARFIELD-JEFFERSON DRUG AND ALCOHOL COMMISSION 11. CRAWFORD COUNTY DRUG AND ALCOHOL EXECUTIVE COMMISSION, INC. 12. LACKAWANNA/SUSQUEHANNA OFFICE OF DRUG AND ALCOHOL PROGRAMS 13. TREHAB 14. ARMSTRONG-INDIANA-CLARION DRUG AND ALCOHOL COMMISSION ADDICTION RECOVERY MOBILE OUTREACH TEAM (ARMOT) 15. UNIVERSITY OF PITTSBURGH PROGRAM EVALUATION AND RESEARCH UNIT (PITT-PERU) 16. RURAL HEALTH REDESIGN CENTER ORGANIZATION, INC. (RHRCO) TARGET SERVICE AREAS: THE PREP TARGET SERVICE AREAS ARE THE COMMUNITIES SERVED BY HOSPITAL CONSORTIUM MEMBERS. FULLY RURAL: - MCKEAN COUNTY, PA - CRAWFORD COUNTY, PA - JEFFERSON COUNTY, PA - SUSQUEHANNA COUNTY, PA PARTIALLY RURAL (COUNTY/CENSUS TRACTS): - BLAIR COUNTY, PA / 42013010102, 42013010103 SERVICE AREA OVERLAP: - NORTHERN BORDER REGIONAL COMMISSION: NO - DELTA REGIONAL AUTHORITY: NO - APPALACHIAN REGIONAL COMMISSION: YES – ACCORDING TO THE WEBSITE, ARC’S FOOTPRINT SPANS ALL 52 COUNTIES OF PENNSYLVANIA WHICH INCLUDES THE PREP SERVICE AREAS IN BLAIR, CRAWFORD, JEFFERSON, MCKEAN, AND SUSQUEHANNA. THE PEER RECOVERY EXPANSION PROJECT (PREP) IS A COLLABORATION OF S IXTEEN CONSORTIUM MEMBERS AIMED AT IMPROVING ACCESS TO AND QUALITY OF TREATMENT FOR SUBSTANCE USE DISORDER (SUD) AND OTHER BEHAVIORAL HEALTH CONDITIONS IN HRSA DESIGNATED RURAL SERVICE AREAS. IN PARTNERING HOSPITALS WITH SINGLE COUNTY AUTHORITIES AND SUBJECT MATTER EXPERTS, PREP AIMS TO DEVELOP A STANDARDIZED APPROACH TO UTILIZATION AND INTEGRATION OF PEER RECOVERY SPECIALISTS, CROSS-TRAINED IN BEHAVIORAL HEALTH, AND CASE MANAGERS IN HOSPITAL EMERGENCY DEPARTMENTS FOR PATIENTS THAT MAY NEED SUD AND BEHAVIORAL HEALTH SERVICES. MODELLED AFTER THE ADDICTION RECOVERY MOBILE OUTREACH TEAM (ARMOT) PROGRAM, WHICH HAS BEEN SUCCESSFUL IN WESTERN PA, HOSPITAL STAFF WILL REFER SUD PATIENTS TO PREP TEAMS WHO WILL CONDUCT LEVEL OF CARE ASSESSMENTS, PROVIDE REFERRALS AND LINKAGES TO TREATMENT PROVIDERS AND SUPPORT SERVICES, AND SERVE AS RECOVERY NAVIGATORS TO PATIENTS AND FAMILY MEMBERS BEFORE, DURING, AND AFTER TREATMENT TO BRIDGE THE GAP OFTEN EXPERIENCED AFTER DISCHARGE FROM THE HOSPITAL. TO INCREASE THE EFFECTIVENESS OF PREP, CONSORTIUM MEMBERS WILL PROVIDE EDUCATION TO SERVICE AREA COMMUNITY STAKEHOLDERS REGARDING ADDICTION, TREATMENT, AND RECOVERY IN ATTEMPT TO MITIGATE STIGMA-RELATED BARRIERS THAT MAY KEEP AN INDIVIDUAL FROM PURSUING OR RECEIVING PROPER TREATMENT. THE CONSORTIUM SEEKS TO SERVE ALL INDIVIDUALS IN NEED OF SUD SERVICES WITHIN THE TARGET SERVICE AREAS. THIS INCLUDES MINORITIES, WHICH MAKE UP ABOUT 5% OF THE SERVICE AREA POPULATIONS, ACCORDING TO 2019 DATA PROVIDED BY THE CENTER FOR RURAL PENNSYLVANIA. PLEASE NOTE, NATIVE AMERICAN PREVALENCE IS LESS THAN 1% OF THE SERVICE AREA POPULATIONS WITH MORE PROMINENT REPRESENTATION BEING AMONG THE AFRICAN AMERICAN AND HISPANIC POPULATIONS. THROUGH COLLABORATION OF THE CONSORTIUM AND IMPLEMENTATION OF PREP, A UNIFIED APPROACH WILL BE CREATED ACROSS RURAL PENNSYLVANIA TO IMPROVE THE ACCESS AND QUALITY OF SUD AND BEHAVIORAL HEALTH SERVICES THAT HAVE LONG SINCE BEEN LACKING.

STATE OFFICE OF RURAL HEALTH

STATE OFFICE OF RURAL HEALTH

DANVILLE REACH

CDFI RAPID RESPONSE PROGRAM AWARD

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? MENTAL AND BEHAVIORAL HEALTH - 1.PROJECT TITLE: TELEHEALTH OUTREACH FOR UNDERSERVED COMMUNITIES OF HAWAII (TOUCH)2.REQUESTED AWARD AMOUNT: $2,000,000 FOR PERIOD 9/1/2022-8/31/2026 3. APPLICANT ORGANIZATION NAME: HAWAII STATE RURAL HEALTH ASSOCIATION 4. ADDRESS: 140 RAINBOW DRIVE, HILO, HAWAII 96720 5. APPLICANT ORGANIZATION TYPE: PUBLIC HEALTH 501(C)3.6. PROJECT DIRECTOR NAME/TITLE: JENNIFER LO/PROGRAM DIRECTOR7. PH: 857-600-8085, JENNIFERJOSELO@GMAIL.COM 8. DATA COORDINATOR-TBH 9. TBD. 10. EIN/DUNS NUMBER EXCEPTION REQUEST: NO 11. APPLICANT LEARNED ABOUT THIS OPPORTUNITY THROUGH: HRSA PROJECT OFFICER. 12. NUMBER OF CONSORTIUM MEMBERS: 7CONSORTIUM MEMBERS: HAWAII STATE RURAL HEALTH ASSOC, KAUAI RURAL HEALTH ASSOCIATION, MALAMA I KE OLA (CHC), HULI AU OLA, LANAI KINA OLA; HAWAII ISLAND RURAL HEALTH ASSOCIATION; KAUAI PLANNING AND ACTION ALLIANCE.13. CURRENT RCORP GRANT RECIPIENT: YES. FY19 RCORP- PLANNING; FY20 RCORP- IMPLEMENTATION.14. NO 15. NO 16.TARGET SERVICE AREA: A. KAUAI COUNTY; HAWAII COUNTY; B. MAUI COUNTY RURAL CENSUS TRACTS: 301, 302.01, 303.06, 307.05-.13, 314.02, 314.04-.05, 315.01, 315.03-.05. HONOLULU CO: 101.01-.03, 102.02-05.17.TARGET POPULATION: INDIVIDUALS AND FAMILIES IN ALL RURAL AREAS OF HAWAII TO REACH WITH TELEHEALTH. LESS THAN 1% ARE NATIVE AMERICAN, BUT 20% ARE NATIVE HAWAIIAN ADDRESSED BY CONSORTIUM PARTNERS. THE OVERALL GOAL OF THE TELEHEALTH OUTREACH FOR UNDERSERVED COMMUNITIES OF HAWAII (TOUCH) GRANT IS TO REDUCE MORBIDITY AND MORTALITY RELATED TO BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDERS BY BUILDING ON THE TELEPSYCH NETWORK CREATED WITH RCORP FUNDING AND EMPHASIZING TRAINING AND RESOURCES NOT PREVIOUSLY ADDRESSED BY THE HAWAII STATE RURAL HEALTH ASSOCIATION. THE AIMS ARE: 1: EXPAND TELEHEALTH INFRASTRUCTURE BY DOUBLING THE HOURS OF FREE TELEHEALTH SERVICES AVAILABLE TO RURAL INDIVIDUALS AND FAMILIES, BY INTRODUCING: 1) WARM HANDOFFS FROM EMERGENCY ROOMS, 2) PSYCHIATRIC COLLABORATIVE CARE MODEL CONSULTATIONS, 3) VIRTUAL WITHDRAWAL MANAGEME NT; AND 4) GROUP THERAPY VISITS, INCREASING SERVICES TO 300 PATIENTS A MONTH AND THEREBY DECREASING PSYCHIATRIC HOSPITAL ADMISSIONS BY 2%. 2: IMPROVE THE QUALITY AND SUSTAINABILITY OF RURAL BEHAVIORAL HEALTH CARE SERVICES THROUGH EDUCATION AND CARE COORDINATION BY SUPPORTING 6,000 PERSON-HOURS OF SUBSTANCE USE DISORDER AND MENTAL HEALTH CONTINUING EDUCATION, 1,000 HOURS OF RURAL CLINICAL TRAINING FOR HEALTH PROFESSIONS STUDENTS THAT INCLUDES COORDINATING CARE FOR THOSE IN NEED INCLUDING HOMELESS AND THOSE RELEASED FROM INCARCERATION TO RESULT IN REDUCED RECIDIVISM AND A 5% INCREASE IN BEHAVIORAL HEALTH WORKFORCE. 3: IMPROVE THE CAPACITY OF RURAL COMMUNITIES TO ADDRESS RISK FACTORS AND SOCIAL DETERMINANTS OF HEALTH THAT AFFECT THE BEHAVIORAL HEALTH OF RURAL RESIDENTS BY PROVIDING OUTREACH AND COMMUNITY EDUCATION ON RESILIENCY, PARENTING, SUBSTANCE USE PREVENTION TO 1,000 COMMUNITY MEMBERS A YEAR AND CREATING LOCAL TASK FORCES TO DEVELOP PLANS FOR BRICK AND MORTAR RECOVERY COMMUNITIES RESULTING IN A 2% DECREASE IN SUBSTANCE USE. ACTIVITIES INCLUDE EXPANDING THE FREE HAWAIIUTELEHEALTH.ORG PROGRAM TO PROVIDE 3,600 TELE-VISITS A YEAR TO RURAL RESIDENTS, INCLUDING SERVICES SUCH AS OUTPATIENT WITHDRAWAL MANAGEMENT, WARM HANDOFFS FROM HOSPITALS AND CLINICS TO MENTAL HEALTH EXPERTS, AND CREATING GROUP SUPPORT SESSIONS; TRAINING SOCIAL WORKER, COMMUNITY HEALTH WORKER, PSYCHOLOGY, NURSE PRACTITIONER AND MEDICAL TRAINEES IN RURAL AREAS TO LEARN THE NEEDS AND BENEFITS OF WORKING IN SUCH AN AREA; CREATE A CULTURE OF CARE COORDINATION, RESOURCE SHARING AND COMMUNICATION WITH THE TOUCH STUDENTS AND PROVIDERS THAT EXTENDS THROUGHOUT RURAL COMMUNITIES AND PRISONS/JAILS; AND INSTILL COMMUNITY BASED, TRAUMA-INFORMED RESILIENCY TRAINING, PARENTING SKILLS AND SUBSTANCE USE PREVENTION KNOWLEDGE TO 1,000 COMMUNITY MEMBERS A YEAR. EVALUATION INCLUDES WORKFORCE TRACKING, RATES OF SUBSTANCE USE, NUMBER OF RECOVERY BEDS, NUMBER OF EMERGEN

RURAL HOSPITAL FLEXIBILITY PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

REGIONAL TELEHEALTH RESOURCE CENTERS

ARRA - CAPITAL IMPROVEMENT PROGRAM

ARRA - CAPITAL IMPROVEMENT PROGRAM

RYAN WHITE TITLE III: EARLY INTERVENTION SERVICES

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RURAL PUBLIC HEALTH WORKFORCE TRAINING NETWORK PROGRAM

RURAL PUBLIC HEALTH WORKFORCE TRAINING NETWORK PROGRAM - PROJECT TITLE: VIRGINIA RURAL HEALTH WORKFORCE COLLABORATIVE APPLICANT ORGANIZATION NAME: VIRGINIA RURAL HEALTH ASSOCIATION ADDRESS: 200 MEMORIAL DRIVE LURAY, VA 22835 WEBSITE: VRHA.ORG APPLICANT ORGANIZATION FACILITY TYPE: RURAL HEALTH ASSOCIATION PROJECT DIRECTOR: DANIELLE MONTAGUE, MPH, PROGRAM COORDINATOR CONTACT INFORMATION: DANIELLE@VRHA.ORG, (540) 231-7923 PROPOSED WORKFORCE TRAINING TRACK: TRACK #1 – COMMUNITY BASED SUPPORT FOR THIS PROJECT, THE COLLABORATIVE WILL FOLLOW TRACK #1 - COMMUNITY HEALTH SUPPORT OF THE RPHWTN PROGRAM. THE AREA OF WORKFORCE TRAINING NEED WILL FOCUS ON CROSS-TRAINING IN HIGH VALUE AREAS TO IMPROVE OPERATIONAL AND CLINICAL CAPACITY. A SECONDARY AREA OF NEED SPECIFIC TO DOULAS WILL CONSIDER HOW DOULAS CAN BE UTILIZED IN HIGH-RISK PREGNANCIES AND HOW THEY CAN BE LEVERAGED TO HELP LINK PREGNANT PATIENTS TO BROADER SOCIAL AND MENTAL HEALTH SERVICES TO ENCOURAGE ENHANCED OUTCOMES. TARGET SERVICE AREA(S): IF FUNDED, THE CATCHMENT AREA OF THE HOSPITALS IN THE CARILION CLINIC AND SOVAH HEALTH SYSTEMS WILL SERVE AS THE RURAL TARGET SERVICE AREA. THIS INCLUDES FRANKLIN, GILES, HENRY, PITTSYLVANIA, ROCKBRIDGE, AND TAZEWELL COUNTIES, AS WELL AS DANVILLE, MARTINSVILLE, AND LEXINGTON CITIES (WHICH ARE INDEPENDENT OF THEIR SURROUNDING COUNTIES, THOUGH STILL CLASSIFIED AS RURAL). PROPOSED NETWORK PARTNER ORGANIZATIONS: CARILION CLINIC, SOVAH HEALTH, THE NEW RIVER/MT ROGERS WORKFORCE DEVELOPMENT BOARD, THE BLUE RIDGE/WESTERN VIRGINIA WORKFORCE DEVELOPMENT BOARD, THE WESTERN PIEDMONT WORKFORCE DEVELOPMENT BOARD, UNITED WAY OF ROANOKE VALLEY, AND VRHA TOTAL FUNDING AMOUNT REQUESTED FOR THE ENTIRE THREE-YEAR PERIOD OF PERFORMANCE: 1,545,000.00 CAPACITY TO SERVE RURAL UNDERSERVED POPULATIONS: THE MISSION OF VIRGINIA RURAL HEALTH ASSOCIATION IS TO IMPROVE THE HEALTH OF RURAL VIRGINIANS THROUGH EDUCATION, ADVOCACY, AND FOSTERING COOPERATIVE PARTNERSHIPS. VRHA HAS A 20-YEAR HISTORY OF BRINGING TOGETHER RURAL HEALTH STAKE HOLDERS IN VIRGINIA TO DEVELOP STRATEGIC PLANS AND IMPLEMENT PROJECTS, INCLUDING TWO PROJECTS FUNDED THROUGH THE FEDERAL OFFICE OF RURAL HEALTH POLICY NETWORK DEVELOPMENT PLANNING GRANTS WHICH ARE STILL OPERATIONAL. TO SUPPORT THE GOALS OF THE RPHWTN PROGRAM, THE VRHA IS PROPOSING TO USE THIS GRANT OPPORTUNITY TO DEVELOP THE VIRGINIA RURAL HEALTH WORKFORCE COLLABORATIVE (THE COLLABORATIVE). THE COLLABORATIVE WOULD TRAIN APPROXIMATELY 110 NEW COMMUNITY HEALTH SUPPORT WORKERS AS COMMUNITY HEALTH WORKERS, DOULAS, LPNS, AND SIMILAR POSITIONS AT THE ASSOCIATE DEGREE LEVEL OR BELOW, IN ORDER TO STRENGTHEN THE PUBLIC HEALTH SAFETY NET IN RURAL VIRGINIA. THE DEVELOPMENT OF THE COLLABORATIVE WOULD NOT ONLY INCREASE CAREER OPPORTUNITIES FOR INDIVIDUALS WHO WISH TO ENTER THE PUBLIC HEALTH/HEALTHCARE WORKFORCE BUT ALSO INCREASE ACCESS TO CARE AND RESOURCES FOR COMMUNITY MEMBERS SEEKING A VARIETY OF SERVICES, FROM PRENATAL CARE TO RECOVERY SERVICES. IF FUNDED, THE GOAL OF THE COLLABORATIVE IS TO ADDRESS THE ONGOING CRITICAL NEED IN HEALTH CARE FACILITIES FOR TRAINED PUBLIC HEALTH PROFESSIONALS SERVING RURAL COMMUNITIES IN VIRGINIA. WITH CONSIDERATION TO THIS GOAL, THE NETWORK MEMBERS HAVE DEVELOPED THE FOLLOWING OBJECTIVES: OBJECTIVE 1: TO ESTABLISH A SYSTEM OF RECRUITING RURAL COMMUNITY MEMBERS FOR JOB DEVELOPMENT, TRAINING, AND PLACEMENT BY JULY 31, 2025 OBJECTIVE 2: TO PROVIDE JOB DEVELOPMENT, TRAINING, AND PLACEMENT IN COMMUNITY HEALTH FIELDS FOR 110 RURAL COMMUNITY MEMBERS BY JULY 31, 2025 VIRGINIA RURAL HEALTH ASSOCIATION IS REQUESTING A FUNDING PREFERENCE BASED ON QUALIFICATION 2. ALL 9 TARGET COUNTIES ARE IN A MEDICALLY UNDERSERVED COMMUNITY/POPULATION. VIRGINIA RURAL HEALTH ASSOCIATION IS REQUESTING SPECIAL CONSIDERATION BASED ON THE INCLUSION OF A SIGNED MOA/U FROM ALL NETWORK PARTNERS INCLUDED IN ATTACHMENT 11.

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

TELEHEALTH NETWORK GRANT PROGRAM

STATE OFFICE OF RURAL HEALTH

STATE OFFICE OF RURAL HEALTH

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

ARRA - CAPITAL IMPROVEMENT PROGRAM

INDEPENDENT INITIATIVE

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? NEONATAL ABSTINENCE SYNDROME - RURAL COMMUNITIES OPIOID RESPONSE PROGRAM – NEONATAL ABSTINENCE SYNDROME

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-IMPACT - PROJECT DESCRIPTION: RURAL HEALTH INC. (RHI), A FEDERALLY QUALIFIED HEALTH CENTER SERVING MEDICALLY UNDERSERVED UNION, JOHNSON, AND MASSAC COUNTIES IN SOUTHERNMOST ILLINOIS, PROPOSES THE REVITALIZING RURAL COMMUNITIES PROJECT: HOLISTIC SOLUTIONS FOR SUBSTANCE USE DISORDERS AND OPIOID CHALLENGES IN SOUTHERN ILLINOIS COUNTIES UNDER THE RCORP IMPACT FUNDING INITIATIVE. OVERALL, THIS PROJECT AIMS TO EXPAND AND ENHANCE ACCESS TO MEDICATION FOR OPIOID USE DISORDER (MOUD) AND SUBSTANCE USE DISORDER (SUD) TREATMENT AND RECOVERY SERVICES, PARTICULARLY TARGETING OPIOID AND METHAMPHETAMINE USE DISORDERS PREVALENT IN THE REGION. THE PROPOSED PROJECT ADDRESSES LONG-STANDING CRITICAL NEEDS WITHIN THE COMMUNITY, INCLUDING LIMITED ACCESS TO FULL-SPECTRUM, CULTURALLY-COMPETENT MOUD/SUD SERVICES, RACIAL HEALTH DISPARITIES AND UNDERREPRESENTATION, AND LACK OF SUPPORT FOR PERINATAL MOUD/SUD TREATMENT AND RECOVERY. THIS PROPOSAL TARGETS A DIVERSE RANGE OF VULNERABLE POPULATIONS, INCLUDING PERINATAL WOMEN WITH SUBSTANCE USE DISORDERS, PARENTS WITH POLYSUBSTANCE USE, HISPANIC/LATINO MIGRANT WORKERS, JUSTICE-INVOLVED INDIVIDUALS, AND CHILDREN IN DRUG-ENDANGERED ENVIRONMENTS. THROUGH STRATEGIC EXPANSION AND COORDINATION OF SERVICES, RHI AIMS TO IMPROVE ACCESS TO AND EFFECTIVENESS OF MOUD/SUD TREATMENT AND RECOVERY SERVICES, THEREBY ENHANCING HEALTH OUTCOMES AND PROMOTING SUSTAINED, LONG-TERM RECOVERY WITHIN THE TARGET RURAL COMMUNITIES. GUIDED BY THE RCORP IMPACT FUNDING GOALS, THIS PROJECT PLANS TO ADDRESS THE FOLLOWING CHALLENGES: 1. ESTABLISHMENT AND EXPANSION OF COMPREHENSIVE SERVICES: THE PROJECT WILL EXPAND MOUD/SUD SERVICES IN MASSAC AND JOHNSON COUNTIES, AIMING TO INCREASE AVAILABILITY AND UTILIZATION OF MOUD TREATMENT AMONG PERINATAL INDIVIDUALS AND PARENTS WITH POLYSUBSTANCE USE. ADDITIONALLY, IT WILL INCREASE RECOVERY SUPPORT GROUP OPTIONS TO BE MORE INCLUSIVE OF THE HISPANIC/LATINO AND PERINATAL POPULATION TO AID IN LONG-TERM RECOVERY. 2. DEVELOPMENT OF A RESPONSIVE WORKFORCE: RHI WILL ENHANCE THE PEER AND COMMUNITY HEALTH WORKER WORKFORCE THROUGH RECRUITMENT, TRAINING, AND INTEGRATION INTO A VARIETY OF SETTINGS AND PROGRAMS INCLUDING A COUNTY JAIL, RHI’S OBGYN SERVICE DEPARTMENT, AND OTHER NON-TRADITIONAL SETTINGS. THIS EXPANSION SUPPORTS THE INTENDED ACTIVITIES OF IDENTIFYING AND SUPPORTING UNDERSERVED INDIVIDUALS AT-RISK OF OR EXPERIENCING SUBSTANCE USE DISORDERS. 3. COORDINATION WITH SUPPORTIVE SERVICES: DEDICATED SOCIAL SUPPORT SERVICES WILL BE PROVIDED FOR PERINATAL POPULATIONS AT RISK OF OR EXPERIENCING SUBSTANCE USE DISORDERS, JUSTICE INVOLVED INDIVIDUALS, HISPANIC/LATINO COMMUNITY MEMBERS, AND OTHER INDIVIDUALS DISPROPORTIONATELY IMPACTED BY SOCIAL DETERMINANTS OF HEALTH. THESE TARGETED SUPPORTS AIM TO REDUCE THE IMPACT OF COMMUNITY AND ENVIRONMENTAL RISK FACTORS; AND INCLUDE SERVICES SUCH AS TRANSPORTATION SUPPORT, SKILL TRAINING, EMPLOYMENT TRAINING, FOOD SECURITY, AND CHILD CARE RESOURCES. THESE ACTIVITIES PROMOTE RECOVERY AND STABLE FAMILY ENVIRONMENTS IN THE TARGET SERVICE AREA. 4. INNOVATIVE APPROACHES FOR SUSTAINABILITY: STRATEGIES INCLUDE MAXIMIZING BILLING OPPORTUNITIES, LEVERAGING EXISTING FUNDING STREAMS, COLLABORATING WITH THE SIU SCHOOL OF MEDICINE CENTER FOR RURAL HEALTH FOR EXPERTISE AND RESOURCES, AND PARTNERING WITH LOCAL CHAMBERS OF COMMERCE TO CREATE EMPLOYMENT OPPORTUNITIES FOR INDIVIDUALS IN RECOVERY. THIS PROGRAM WILL ALSO INCLUDE A BIANNUAL LEARNING COLLABORATIVE OPPORTUNITY FOR SMALL NON-PROFIT ORGANIZATIONS AND OTHER HEALTHCARE AGENCIES IN THE AREA TO GUIDE THEM THROUGH THE PROCESS OF APPLYING FOR ORGANIZATIONAL MEDICAID CREDENTIALING TO SUPPORT SUSTAINABILITY IN THE ORGANIZATIONS FILLING THE SERVICE GAPS IN THE COMMUNITY. THROUGH STRATEGIC EXPANSION AND COORDINATION OF SERVICES, RHI AIMS TO SIGNIFICANTLY IMPROVE ACCESS TO AND EFFECTIVENESS OF MOUD/SUD TREATMENT AND RECOVERY SERVICES, THEREBY ENHANCING HEALTH OUTCOMES AND PROMOTING SUSTAINED, LONG-TERM RECOVERY WITHIN THE TARGET RURAL COMMUNITIES.

AWARD PURPOSEWORC PURPOSE: IN ALIGNMENT WITH THE JUSTICE40 INITIATIVE, THE PURPOSE OF THE WORC INITIATIVE GRANTS IS TO CREATE ECONOMIC MOBILITY, ADDRESS HISTORIC INEQUITIES FOR MARGINALIZED COMMUNITIES OF COLOR, RURAL AREAS, AND OTHER UNDERSERVED AND UNDERREPRESENTED COMMUNITIES, AND PRODUCE HIGH-QUALITY EMPLOYMENT OUTCOMES FOR WORKERS WHO LIVE OR WORK IN THE APPALACHIAN, DELTA, AND NORTHERN BORDER REGIONS, ENABLING THEM TO REMAIN AND THRIVE IN THESE COMMUNITIES. PROJECT TITLE: ADVANCING THE RURAL EMERGENCY RESPONSE: ARKANSAS DELTA TRAINING INITIATIVEGRANTEE REGION: DRADELIVERABLES EXPECTED OUTCOMESTOTAL PARTICIPANTS: 92PARTICIPANTS OBTAINING NEW OR ENHANCED EMPLOYMENT: 73INTENDED BENEFICIARIESTARGET POPULATION: THE PROJECT WILL FOCUS PRIMARILY ON INCUMBENT WORKERS, WHILE ALSO RECRUITING NEW ENTRANTS TO THE WORKFORCE AND DISLOCATED WORKERS.AREAS TO BE SERVED: THE (PREDOMINANTLY SOUTH) ARKANSAS DELTA SERVICE AREA INCLUDES 19 COUNTIES (ARKANSAS, ASHLEY, BRADLEY, CALHOUN, CHICOT, CLEVELAND, DALLAS, DESHA, DREW, GRANT,JEFFERSON, LEE, LINCOLN, LONOKE, MONROE, OUACHITA, PHILLIPS, ST. FRANCIS UNION). ACTIVITIES TO BE PERFORMED.SUMMARY OF PROJECT: THE ARKANSAS RURAL HEALTH PARTNERSHIP (ARHP) WILL BRING TOGETHER LOCAL WORKFORCE ECONOMIC DEVELOPMENT, EDUCATION (5), EMPLOYER INDUSTRY (2) AND HEALTHCARE ORGANIZATIONS (16) TO STRATEGICALLY INCREASE THE NUMBER OF LOCAL INDIVIDUALS TRAINED, CERTIFIED, ANDHIRED AS EMERGENCY RESPONDERS. THE PROGRAM WILL OFFER INDIVIDUALIZED SUPPORT FOR DELTA RESIDENTS TO SUCCESSFULLY COMPLETE EMERGENCY MEDICAL TECHNICIAN (EMT) AND PARAMEDIC TRAINING PROGRAMS IN ORDER TO MEET CURRENT AND GROWING HEALTH WORKFORCE GAPS IN EMERGENCY MEDICAL SERVICES ACROSS THE REGION. THE GRANT ACTIVITIES ARE EXPECTED TO: INCREASE ACCESS TO CERTIFICATE AND DEGREE PATH PROGRAMS IN EMERGENCY MEDICAL SERVICES FOR ARKANSAS DELTA RESIDENTS WITH DEMONSTRATED FINANCIAL NEED INCREASE THE NUMBER OF TRAINED AND QUALIFIED EMERGENCY MEDICAL RESPONDERS IN THE ARKANSAS DELTA REGION IMPROVE ACCESS TO LOCALLY AVAILABLE EMERGENCY MEDICAL SERVICES IN THE ARKANSAS DELTA REGION INCREASE THE UNDERSTANDING AND AVAILABILITY OF GOOD JOBS WITH EMPLOYERS THROUGHOUT THE ARKANSAS DELTA REGION.SUBRECIPIENT ACTIVITIESTHE RECIPIENT DOES NOT INTEND TO SUBAWARD FUNDS.

STATE OFFICE OF RURAL HEALTH

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

RURAL PUBLIC HEALTH WORKFORCE TRAINING NETWORK PROGRAM - THE UPPER PENINSULA WORKFORCE INNOVATION NETWORK (U.P. WIN) THE MICHIGAN CENTER FOR RURAL HEALTH (MCRH) 909 WILSON RD. B-218 MICHIGAN STATE UNIVERSITY EAST LANSING, MI 48824 STATE OFFICE OF RURAL HEALTH MCRH.MSU.EDU FEDERAL FUNDS AWARD AMOUNT REQUESTED - $1,443,813 WORKFORCE TRAINING TRACKS – #1 COMMUNITY HEALTH SUPPORT & #3 COMMUNITY PARAMEDICINE JOHN BARNAS, EXECUTIVE DIRECTOR - MCRH PHONE: (517) 432-9216 EMAIL: BARNAS@MSU.EDU ELISE BUR, PROJECT DIRECTOR PHONE: (906) 227-6356 EMAIL: EBUR@NMU.EDU TARGET SERVICE AREA: THE UPPER PENINSULA OF MICHIGAN COMPRISED OF THE FOLLOWING 15 COUNTIES: ALGER, BARAGA, CHIPPEWA, DELTA, DICKINSON, GOGEBIC, HOUGHTON, IRON, KEWEENAW, LUCE, MACKINAC, MARQUETTE, MENOMINEE, ONTONAGON, AND SCHOOLCRAFT. NETWORK PARTNERS: THE MICHIGAN CENTER FOR RURAL HEALTH, NORTHERN MICHIGAN UNIVERSITY, UPPER PENINSULA MICHIGAN WORKS, UPPER PENINSULA AREA HEALTH EDUCATION CENTER, UPPER GREAT LAKES FAMILY HEALTH CENTER, UPPER PENINSULA HEALTH CARE SOLUTIONS, EVERYDAY LIFE CONSULTING, UP HEALTH SYSTEM MARQUETTE SCHOOL OF EMT, MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES – BUREAU OF EMS, TRAUMA AND PREPAREDNESS. CAPACITY TO SERVE RURAL UNDERSERVED POPULATIONS: THE OVERARCHING GOAL OF THE UPPER PENINSULA WORKFORCE INNOVATION NETWORK (U.P WIN) PROJECT IS TO INCREASE THE COMMUNITY HEALTH WORKER (CHW) AND COMMUNITY PARAMEDICINE (CP) WORKFORCE CAPACITY BY EXPANDING AND EXTENDING THE REACH OF HEALTH PROFESSIONAL WORKFORCE EDUCATION, TRAINING, EMPLOYMENT, AND RETENTION ACTIVITIES WITHIN MICHIGAN’S UPPER PENINSULA (U.P.) REGION. U.P. WIN IS A NINE-PARTNER NETWORK ADDRESSING THE HEALTHCARE WORKFORCE SHORTAGES OF CHWS AND CPS IN THE TARGET SERVICE AREAS. THE 15-COUNTY REGION PRIORITIZED FOR THIS PROJECT IS ENTIRELY COMPOSED OF HRSA-DESIGNATED RURAL AREAS AND IS ENTIRELY DESIGNATED AS PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREA (HPSA). U.P. WIN WILL FOCUS ON THE FOLLOWING ACTIVITIES: - DEVELOP AND EXPAND A COMMUNITY PARAMEDICINE D ELIVERY MODEL IN THE U.P. THE INTENT IS TO CREATE A THRIVING EDUCATION AND TRAINING PIPELINE FOR EMT COURSES WITH THE GOAL OF SUPPLYING THE STAFF NEEDED TO GROW AND SUSTAIN THE MODEL IN THE U.P.; - LEVERAGING EMT’S TO ADDRESS AT-RISK POPULATIONS, MANAGE PATIENTS WITH CHRONIC DISEASE IN-HOME, AND DECREASE HOSPITAL RE-ADMISSIONS, WHILE AVOIDING UNNECESSARY EMERGENCY DEPARTMENT VISITS. EMT’S WILL PROVIDE VALUE-BASED HEALTH SCREENINGS, POPULATION HEALTH RELATED WORK AND SERVICE REFERRALS THROUGH THIS INNOVATIVE COMMUNITY PARAMEDICINE CARE DELIVERY MODEL; - INCREASING ACCESS TO HEALTH CARE SERVICES AS A RESULT OF INCREASING THE COMMUNITY HEALTH WORKER WORKFORCE IN THE REGION; - IDENTIFYING, EDUCATING, AND PROVIDING CROSS-TRAINING OPPORTUNITIES FOR COMMUNITY HEALTH WORKERS; - DEVELOPING AND EXPANDING A SUSTAINABLE COMMUNITY HEALTH WORKER MODEL. AS MICHIGAN’S STATE OFFICE OF RURAL HEALTH, THE MCRH PLAYS A KEY ROLE IN RURAL HEALTH CARE BY ASSISTING IN THE CREATION AND IMPLEMENTATION OF PARTNERSHIPS AMONG ORGANIZATIONS, HEALTH DEPARTMENTS, HOSPITALS, GOVERNMENT, AND ACADEMIA. THESE COLLABORATIONS AND ALLIANCES CREATE NEW OPPORTUNITIES IN THE AREAS OF NETWORK DEVELOPMENT, QUALITY OF CARE, EMERGENCY MEDICAL SERVICES, CONTINUING EDUCATION, AND RECRUITMENT AND RETENTION OF RURAL HEALTH CARE PROVIDERS. THE PROJECT DIRECTOR AND DATA COORDINATOR WILL BE CONTRACTED TO THE NORTHERN MICHIGAN UNIVERSITY CENTER FOR RURAL HEALTH BASED IN MARQUETTE, MI. FUNDING PREFERENCE: THE MICHIGAN CENTER FOR RURAL HEALTH IS REQUESTING A FUNDING PREFERENCE BASED ON QUALIFICATION 1. THE ENTIRE UPPER PENINSULA REGION IS OFFICIALLY DESIGNATED AS A PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREA (HPSA). SEE ATTACHMENT 10 FOR MORE INFORMATION. SPECIAL CONSIDERATION: THE MICHIGAN CENTER FOR RURAL HEALTH IS REQUESTING SPECIAL CONSIDERATION BASED ON THE INCLUSION OF A SIGNED MOU FROM ALL U.P. WIN NETWORK PARTNERS INCLUDED IN ATTACHMENT 11.

SMALL RURAL HOSPITAL IMPROVEMENT GRANT PROGRAM

RYAN WHITE PART C OUTPATIENT EIS PROGRAM

"CONNECTING KIDS TO COVERAGE INDIANA (CKC-IN)," CONNECTING KIDS TO COVERAGE HEALTHY KIDS 2022 OUTREACH AND ENROLLMENT COOPERATIVE AGREEMENT - PROJECT TITLE: CONNECTING KIDS TO COVERAGE INDIANA APPLICANT ORGANIZATION INFORMATION NAME: INDIANA RURAL HEALTH ASSOCIATION (IRHA) ADDRESS: 201 E. MAIN STREET, SUITE 415, WASHINGTON, IN 47501 FACILITY TYPE: STATE RURAL HEALTH ASSOCIATION WEBSITE ADDRESS: HTTPS://WWW.INDIANARURALHEALTH.ORG/ PROJECT GOALS: THE PRIMARY GOALS OF THE CONNECTING TO KIDS TO COVERAGE INDIANA (CKC-IN) ARE TO REDUCE THE NUMBER OF INDIANA’S CHILDREN WHO ARE ELIGIBLE FOR, BUT NOT ENROLLED IN, MEDICAID AND THE CHILDREN’S HEALTH INSURANCE PROGRAM (CHIP) AND IDENTIFY QUALIFYING CHILDREN THROUGH PARENTS AND PREGNANT INDIVIDUALS TO ENROLL: 4,200 NEW CHILDREN IN MEDICAID/CHIP, 3,100 PARENTS IN MEDICAID, AND 1,500 PREGNANT INDIVIDUALS IN MEDICAID; AND RENEW 2,100 CHILDREN IN MEDICAID AND CHIP, 1,600 PARENTS IN MEDICAID, AND 900 PREGNANT INDIVIDUALS IN MEDICAID AND CHIP, IF APPLICABLE. ADDITIONALLY, A PROJECT GOAL IS TO LEAD AND PARTICIPATE IN OUTREACH OPPORTUNITIES TO IDENTIFY ELIGIBLE, BUT UNINSURED, CHILDREN IN CHIP/MEDICAID AND PROVIDE HIGH-QUALITY ENROLLMENT SERVICES TO PARENTS AND PREGNANT INDIVIDUALS TO IMPROVE THE ENROLLMENT AND RETENTION OF CHILDREN IN MEDICAID/CHIP. REQUESTED AWARD AMOUNT $1,454,878 FOR THE TOTAL PROJECT PERIOD OF 3 YEARS IMPLEMENTATION OF FUNDING: FUNDING WILL BE USED FOR THE PURPOSE OF REDUCING THE NUMBER OF CHILDREN WHO ARE ELIGIBLE FOR, BUT NOT ENROLLED IN, MEDICAID AND CHIP AND IMPROVE THE RETENTION OF ENROLLED CHILDREN. THE FUNDS WILL BE ALLOCATED FOR: 1) STAFFING KEY PERSONNEL, WITH THE MAJORITY OF FUNDS ALLOCATED TO PERSONNEL/FRINGE; 2) TRAVEL (IN-STATE FOR THE DIRECT PURPOSE OF THE PROJECT GOALS AND OUT-OF-STATE TRAVEL FOR TWO FOR THE PURPOSE OF THE CMS ANNUAL MEETING IN WASHINGTON, DC); 3) SUPPLIES FOR STAFF WHO WORK DIRECTLY FOR THE PROJECT; AND 4) MARKETING, PROMOTIONAL NETWORKING, RENT AND SECURITY COSTS, LICENSING/TRAINING COSTS, AND COMMUNICATION EXPENSES ALL DIRECTLY RELATED TO THE PROJECT. IRHA RESPECTFULLY REQUESTS A TOTAL THREE-YEAR FUNDING OF $1,454,878.

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

STOP GIRL TRAFFICKING

ARRA - CAPITAL IMPROVEMENT PROGRAM

TELEHEALTH RESOURCE CENTER GRANT PROGRAM

CONNECTING KIDS TO COVERAGE-INDIANA

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

AWARD PURPOSE:THE PURPOSE OF WORC ROUND 6 IS TO INCREASE ACCESS TO STABLE, HIGH-QUALITY, FAMILY-SUSTAINING JOBS FOR WORKERS IN THE APPALACHIAN, DELTA, AND NORTHERN BORDER REGIONS, INCLUDING THOSE IN CRITICAL SECTORS SUCH AS INFRASTRUCTURE AND CLEAN ENERGY. IMPROVING ACCESS TO THESE GOOD JOBS WILL ENABLE THESE WORKERS TO REMAIN WITHIN THEIR REGION. THIS FOCUS ALSO IS CONSISTENT WITH THE BIDEN-HARRIS ADMINISTRATIONS COMMITMENT TO EXPAND ACCESS TO QUALITY JOBS, AS DEFINED BY THE GOOD JOBS PRINCIPLES, A SHARED FEDERAL VISION OF JOB QUALITY PUBLISHED BY THE DEPARTMENTS OF LABOR AND COMMERCE, AND THE RURAL PARTNERS NETWORK, AN ALL-OF-GOVERNMENT PROGRAM THAT CONNECTS RURAL COMMUNITIES WITH RESOURCES AND FUNDING TO CREATE JOBS, BUILD INFRASTRUCTURE, AND SUPPORT LONG-TERM ECONOMIC MOBILITY.ACTIVITIES PERFORMED:ALLOWABLE PROJECT ACTIVITIES FOR WORC ROUND 6 GRANT AWARD RECIPIENTS INCLUDE WORKFORCE TRAINING ACTIVITIES AND CAREER SERVICES, SUPPORTIVE SERVICES, EMPLOYER SERVICES, STRATEGIC PLANNING ACTIVITIES, AND EQUIPMENT AND RENOVATION PURCHASES.DELIVERABLES:WORC ROUND 6 GRANT AWARD RECIPIENTS IDENTIFY THE TOTAL NUMBER OF ELIGIBLE PARTICIPANTS PROJECTED TO BE ENROLLED DURING THE PERIOD OF PERFORMANCE, AND THE TOTAL NUMBER OF ELIGIBLE PARTICIPANTS PROJECTED TO ENTER GOOD JOBS OR OBTAIN NEW OR ENHANCED EMPLOYMENT AS A RESULT OF THE PROJECT.SEE NOTICE OF AWARD, TERMS AND CONDITIONS, ATTACHMENT D, STATEMENT OF WORK, ABSTRACTINTENDED BENEFICIARY(IES):ELIGIBLE PARTICIPANTS FOR WORC ROUND 6 GRANT AWARDS INCLUDE: 1) NEW ENTRANTS TO THE WORKFORCE: FOR THE PURPOSES OF THIS FOA, THE CATEGORY OF NEW ENTRANTS TO THE WORKFORCE REFERS TO THOSE WHO HAVE NEVER WORKED BEFORE OR WHO HAVE BEEN OUT OF THE WORKFORCE FOR A LONG ENOUGH TIME TO MAKE IT AS IF THEY ARE ENTERING THE WORKFORCE FOR THE FIRST TIME 2) DISLOCATED WORKERS: FOR THE PURPOSES OF THIS FOA, THIS TERM REFERS TO THE DEFINITION FOUND AT SECTION 3(15) OF WIOA AND 3) INCUMBENT WORKERS: FOR THE PURPOSES OF THIS FOA, THIS TERM REFERS TO INDIVIDUALS WHO ARE EMPLOYED BUT NEED EMPLOYMENT AND TRAINING SERVICES TO SECURE FULL-TIME EMPLOYMENT, ADVANCE IN THEIR CAREERS, OR RETAIN THEIR EMPLOYMENT. WITHIN THESE ELIGIBLE PARTICIPANT CATEGORIES (NEW ENTRANTS, DISLOCATED WORKERS, AND INCUMBENT WORKERS), APPLICANTS MUST PRIORITIZE HISTORICALLY MARGINALIZED POPULATIONS AND COMMUNITIES WITHIN THE LOCAL OR REGIONAL ECONOMIC AREA SERVED BY THE GRANT, INCLUDING WOMEN, PEOPLE OF COLOR, JUSTICE-INVOLVED INDIVIDUALS, INDIVIDUALS WITH DISABILITIES, VETERANS, INDIVIDUALS WITH LIMITED ENGLISH PROFICIENCY, INDIVIDUALS WITH A HISTORY OF SUBSTANCE DEPENDENCY OR OTHER BEHAVIORAL HEALTH CONDITIONS, OR OTHER POPULATIONS WHO WILL BENEFIT FROM IMPROVED JOB QUALITY AND CAREER ADVANCEMENT OPPORTUNITIES.SUBRECIPIENT ACTIVITIES:WORC ROUND 6 GRANT AWARD RECIPIENTS MAY PARTNER WITH SUBRECIPIENTS AS WELL AS PROVIDE SERVICES THROUGH AMERICAN JOB CENTERS WITHIN THE AREA COVERED BY THE GRANT AS APPROPRIATE.

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

ARRA - INCREASE SERVICES TO HEALTH CENTERS

AWARD PURPOSE:THE PURPOSE OF WORC ROUND 6 IS TO INCREASE ACCESS TO STABLE, HIGH-QUALITY, FAMILY-SUSTAINING JOBS FOR WORKERS IN THE APPALACHIAN, DELTA, AND NORTHERN BORDER REGIONS, INCLUDING THOSE IN CRITICAL SECTORS SUCH AS INFRASTRUCTURE AND CLEAN ENERGY. IMPROVING ACCESS TO THESE GOOD JOBS WILL ENABLE THESE WORKERS TO REMAIN WITHIN THEIR REGION. THIS FOCUS ALSO IS CONSISTENT WITH THE BIDEN-HARRIS ADMINISTRATIONS COMMITMENT TO EXPAND ACCESS TO QUALITY JOBS, AS DEFINED BY THE GOOD JOBS PRINCIPLES, A SHARED FEDERAL VISION OF JOB QUALITY PUBLISHED BY THE DEPARTMENTS OF LABOR AND COMMERCE, AND THE RURAL PARTNERS NETWORK, AN ALL-OF-GOVERNMENT PROGRAM THAT CONNECTS RURAL COMMUNITIES WITH RESOURCES AND FUNDING TO CREATE JOBS, BUILD INFRASTRUCTURE, AND SUPPORT LONG-TERM ECONOMIC MOBILITY.ACTIVITIES PERFORMED:ALLOWABLE PROJECT ACTIVITIES FOR WORC ROUND 6 GRANT AWARD RECIPIENTS INCLUDE WORKFORCE TRAINING ACTIVITIES AND CAREER SERVICES, SUPPORTIVE SERVICES, EMPLOYER SERVICES, STRATEGIC PLANNING ACTIVITIES, AND EQUIPMENT AND RENOVATION PURCHASES.DELIVERABLES:WORC ROUND 6 GRANT AWARD RECIPIENTS IDENTIFY THE TOTAL NUMBER OF ELIGIBLE PARTICIPANTS PROJECTED TO BE ENROLLED DURING THE PERIOD OF PERFORMANCE, AND THE TOTAL NUMBER OF ELIGIBLE PARTICIPANTS PROJECTED TO ENTER GOOD JOBS OR OBTAIN NEW OR ENHANCED EMPLOYMENT AS A RESULT OF THE PROJECT.SEE NOTICE OF AWARD, TERMS AND CONDITIONS, ATTACHMENT D, STATEMENT OF WORK, ABSTRACTINTENDED BENEFICIARY(IES):ELIGIBLE PARTICIPANTS FOR WORC ROUND 6 GRANT AWARDS INCLUDE: 1) NEW ENTRANTS TO THE WORKFORCE: FOR THE PURPOSES OF THIS FOA, THE CATEGORY OF NEW ENTRANTS TO THE WORKFORCE REFERS TO THOSE WHO HAVE NEVER WORKED BEFORE OR WHO HAVE BEEN OUT OF THE WORKFORCE FOR A LONG ENOUGH TIME TO MAKE IT AS IF THEY ARE ENTERING THE WORKFORCE FOR THE FIRST TIME 2) DISLOCATED WORKERS: FOR THE PURPOSES OF THIS FOA, THIS TERM REFERS TO THE DEFINITION FOUND AT SECTION 3(15) OF WIOA AND 3) INCUMBENT WORKERS: FOR THE PURPOSES OF THIS FOA, THIS TERM REFERS TO INDIVIDUALS WHO ARE EMPLOYED BUT NEED EMPLOYMENT AND TRAINING SERVICES TO SECURE FULL-TIME EMPLOYMENT, ADVANCE IN THEIR CAREERS, OR RETAIN THEIR EMPLOYMENT. WITHIN THESE ELIGIBLE PARTICIPANT CATEGORIES (NEW ENTRANTS, DISLOCATED WORKERS, AND INCUMBENT WORKERS), APPLICANTS MUST PRIORITIZE HISTORICALLY MARGINALIZED POPULATIONS AND COMMUNITIES WITHIN THE LOCAL OR REGIONAL ECONOMIC AREA SERVED BY THE GRANT, INCLUDING WOMEN, PEOPLE OF COLOR, JUSTICE-INVOLVED INDIVIDUALS, INDIVIDUALS WITH DISABILITIES, VETERANS, INDIVIDUALS WITH LIMITED ENGLISH PROFICIENCY, INDIVIDUALS WITH A HISTORY OF SUBSTANCE DEPENDENCY OR OTHER BEHAVIORAL HEALTH CONDITIONS, OR OTHER POPULATIONS WHO WILL BENEFIT FROM IMPROVED JOB QUALITY AND CAREER ADVANCEMENT OPPORTUNITIES.SUBRECIPIENT ACTIVITIES:WORC ROUND 6 GRANT AWARD RECIPIENTS MAY PARTNER WITH SUBRECIPIENTS AS WELL AS PROVIDE SERVICES THROUGH AMERICAN JOB CENTERS WITHIN THE AREA COVERED BY THE GRANT AS APPROPRIATE.

CORONAVIRUS STATE HOSPITAL IMPROVEMENT PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

ARRA - CAPITAL IMPROVEMENT PROGRAM

FLEX RURAL VETERANS HEALTH ACCESS PROGRAM

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION - PROJECT ABSTRACT PROJECT TITLE: BOSTON MOUNTAIN HIV EARLY INTERVENTION PROGRAM APPLICANT NAME: BOSTON MOUNTAIN RURAL HEALTH CENTER, INC. ADDRESS: 2265 HWY 65 NORTH, MARSHALL, ARKANSAS 72650 PROJECT DIRECTOR: DEBBIE ACKERSON, CEO EMAIL: DEBBIEACKERSON@BMRHC.NET CONGRESSIONAL DISTRICTS: DISTRICTS 1, 2, 3, 4 FUNDING REQUESTED: YEAR 1: $325,000, YEAR 2: $325,000 INCORPORATED IN 1994, BOSTON MOUNTAIN RURAL HEALTH CENTER, INC. (BOSTON MOUNTAIN) WAS ORGANIZED TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES AND IMPROVE ACCESS TO CARE FOR MEDICALLY VULNERABLE INDIVIDUALS. BOSTON MOUNTAIN IS A NCQA PCMH ACCREDITED, 330 FUNDED FQHC THAT PROVIDES COMPREHENSIVE PRIMARY CARE, BEHAVIORAL HEALTH AND DENTAL SERVICES TO RURAL COMMUNITIES IN NORTHWEST AND NORTH CENTRAL ARKANSAS. THE SERVICE AREA CONSISTS OF TEN RURAL COUNTIES INCLUDING CARROLL, CONWAY, MADISON, MARION, NEWTON, SEARCY, STONE, BAXTER, BOONE AND VAN BUREN. IN 2020, BOSTON MOUNTAIN TREATED 19,923 UNIQUE PATIENTS BY PROVIDING OVER 50,242 MEDICAL, 7,914 DENTAL, AND 6,340 BEHAVIORAL HEALTH VISITS. BOSTON MOUNTAIN’S TARGET POPULATION IS MEDICALLY VULNERABLE INDIVIDUALS LIVING UNDER 200% FPG, WHO ARE EITHER UNINSURED, UNDERINSURED OR HAVE PUBLIC INSURANCE. IN THE SERVICE AREA, NEARLY 40% OF THE POPULATION LIVES BELOW 100% FPG, 8% ARE UNINSURED, AND 35% ARE INSURED THROUGH EITHER TRADITIONAL AR MEDICAID OR AR MEDICAID’S PRIVATE OPTION. THESE DEMOGRAPHICS ARE REFLECTED IN BOSTON MOUNTAIN’S PATIENT POPULATION. TO SUPPORT ENDING THE HIV EPIDEMIC IN THE US, BOSTON MOUNTAIN IS REQUESTING GRANT FUNDING IN THE AMOUNT OF $325,000 FOR EACH YEAR. FUNDING WILL BE USED TO DEVELOP, IMPLEMENT AND INTEGRATE AN HIV SCREENING AND TREATMENT PROGRAM THAT WILL IDENTIFY HIGH RISK PATIENTS AND HIV POSITIVE CASES, AND PROVIDE IMMEDIATE REFERRAL FOR EARLY INTERVENTION, HIV TREATMENT, PRIMARY CARE, ORAL HEALTH CARE AND MENTAL HEALTH SERVICES. BOSTON MOUNTAIN WILL PROVIDE ADDITIONAL SERVICES, INCLUDING TRANSPORTATION, OUTREAC H, MARKETING, CASE MANAGEMENT, MEDICATION ASSISTANCE, HIV/STD TESTING AND RISK REDUCTION THROUGH HEALTH EDUCATION. GRANT FUNDING WILL SUPPORT 0.5 FTE PHYSICIAN TO ESTABLISH SCREENING, PREVENTION, TREATMENT, AND EDUCATION PLANS. BOSTON MOUNTAIN WILL UTILIZE CURRENT STAFF TO ESTABLISH WORKFLOWS FOR RAPID ACCESS TO HIV TESTING AND PERFORM SCREENINGS FOR ALL ELIGIBLE PATIENTS. FUNDING WILL SUPPORT 1.0 FTE PREP NAVIGATOR TO COORDINATE OUTREACH AND MARKETING, CARE MANAGEMENT, AND COORDINATE ONGOING TREATMENT PLANNING FOR HIV POSITIVE PATIENTS. GRANT FUNDS WILL SUPPORT 2.0 FTE TRANSPORTATION DRIVERS TO INCREASE ACCESS TO SERVICES FOR ALL SOCIOECONOMIC POPULATIONS. BOSTON MOUNTAIN IS REQUESTING $36,020 FOR MARKETING COSTS, AND $55,000 TO PURCHASE IN-HOME HIV TEST KITS FOR INDIVIDUALS CONCERNED ABOUT THE STIGMA RELATED TO TESTING. FUNDING WILL INCREASE THE NUMBER OF PATIENTS COUNSELED AND TESTED FOR HIV, NUMBER OF PATIENTS PRESCRIBED PREP, AND NUMBER OF PATIENTS LINKED TO HIV CARE AND TREATMENT WITHIN 30 DAYS OF DIAGNOSIS.

HEALTH CENTER INFRASTRUCTURE SUPPORT

RURAL TRAINING TRACK- TECHNICAL ASSISTANCE COOPERATIVE AGREEMENT

ARRA - CAPITAL IMPROVEMENT PROGRAM

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

TELEHEALTH RESOURCE CENTER GRANT PROGRAM

SMALL RURAL HOSPITAL IMPROVEMENT GRANT PROGRAM

DELTA STATE RURAL DEVELOPMENT NETWORK GRANT PROGRAM (DELTA)

RURAL MATERNITY AND OBSTETRICS MANAGEMENT STRATEGIES PROGRAM - OVERVIEW THE VIRGINIA RURAL HEALTH ASSOCIATION (VRHA), IN PARTNERSHIP WITH THE VIRGINIA DEPARTMENT OF HEALTH DIVISION OF CHILD AND FAMILY HEALTH (VDH), THE CUMBERLAND PLATEAU HEALTH DISTRICT (CPHD), THE LENOWISCO HEALTH DISTRICT (LHD), THE MT. ROGERS HEALTH DISTRICT (MRHD), THE INSTITUTE OF PUBLIC HEALTH INNOVATION (IPHI), EASTERN TENNESSEE STATE UNIVERSITY (ETSU), RADFORD UNIVERSITY COLLEGE OF NURSING (RADFORD), THE MT ROGERS WORKFORCE DEVELOPMENT BOARD (WDB), THE VIRGINIA INTERFAITH CENTER (VIC), AND REGIONAL HEALTHCARE PROVIDERS AND STAKEHOLDERS, PROPOSES THE DEVELOPMENT OF A VIRGINIA RURAL MATERNITY AND OBSTETRICS MANAGEMENT STRATEGIES (VRMOMS) NETWORK FOCUSED ON IMPROVING MATERNAL HEALTH OUTCOMES WITHIN THE RURAL COUNTIES OF THE CUMBERLAND PLATEAU, LENOWISCO, AND MT. ROGERS HEALTH DISTRICTS IN SOUTHWEST VIRGINIA. NEEDS TO BE ADDRESSED THE SOUTHWEST VIRGINIA REGION IS LARGELY COMPOSED OF HRSA-DESIGNATED RURAL AREAS, WHERE GEOGRAPHIC ISOLATION, LIMITED HEALTHCARE INFRASTRUCTURE, AND HIGH RATES OF POVERTY SIGNIFICANTLY IMPACT MATERNAL HEALTH OUTCOMES. THESE COMMUNITIES FACE PERSISTENT SYSTEMIC BARRIERS THAT BOTH PATIENTS AND PROVIDERS MUST NAVIGATE, INCLUDING LONG TRAVEL DISTANCES TO CARE, MATERNAL HEALTHCARE DESERTS, A SIGNIFICANT SHORTAGE OF OBSTETRIC PROVIDERS AND DELIVERY WARDS, AND INSUFFICIENT ACCESS TO PRENATAL AND PERINATAL SERVICES. THE NEED FOR EXPANDED MATERNAL HEALTH SERVICES IN THIS REGION IS URGENT. PROPOSED SERVICES OVER THE FOUR YEAR GRANT PERIOD, THIS PROJECT WILL INCORPORATE A NUMBER OF INTERCONNECTED ACTIVITIES TO EXPAND MATERNAL HEALTH IN SOUTHWEST VIRGINIA, INCLUDING: EMBEDDING EXPANDED PERINATAL SERVICES AT THE LOCAL HEALTH DEPARTMENTS, TRAINING AND DEPLOYING NEW COMMUNITY HEALTH WORKERS (CHWS) AND DOULAS TO CONNECT PATIENTS TO SPECIALIZED MATERNAL HEALTH CARE, CREATING A NEW PROJECT ECHO TELEHEALTH SYSTEM FOCUSED ON PERINATAL AND MATERNAL HEALTH NEEDS SPECIFIC TO THE SOUTHWEST VIRGINIA REGION, PROVIDING ACCESS TO MATERNAL FETAL MEDICINE SPECIALIST CARE THROUGH A NEW TELEHEALTH PLATFORM,, EXPANDING MOBILE CARE DELIVERY IN THE SERVICE REGION, COORDINATING NON-TRADITIONAL SATELLITE SITES FOR THE PROVISION OF CARE, TRAINING AND MENTORING NURSES AND NURSING STUDENTS TO PROVIDE PERINATAL SERVICES, HOSTING AN ANNUAL MATERNAL HEALTH FORUM TO ENGAGE COMMUNITY MEMBERS, AND CREATING AN ANNUAL MATERNAL HEALTH WORKSHOP SPECIFIC TO VIRGINIA’S RURAL HEALTH CLINICS. POPULATION TO BE SERVED THE PRIMARY POPULATION WE AIM TO SERVE INCLUDES WOMEN OF REPRODUCTIVE AGE (15–49), WITH A FOCUS ON THOSE WHO ARE PREGNANT, POSTPARTUM, OR PLANNING TO BECOME PREGNANT. OUR PROPOSED SERVICE AREA IN SOUTHWEST VIRGINIA SPANS 1,314 SQUARE MILES ACROSS FOURTEEN CITIES AND COUNTIES OF THE CUMBERLAND PLATEAU, LENOWISCO, AND MOUNT ROGERS HEALTH DISTRICTS. EXPECTED OUTCOMES THE VRMOMS NETWORK WILL IMPROVE PROVIDERS’ CAPACITY TO ENHANCE CARE COORDINATION, AS WELL AS CO-DEVELOP AND IMPLEMENT FOCUSED HEALTH INTERVENTIONS. EXPECTED OUTCOMES FROM THE ACTIVITIES IMPLEMENTED UNDER VRMOMS INCLUDE 1) ENHANCED AGENCY READINESS TO ADDRESS PERINATAL HEALTH CONCERNS THROUGH THE USE OF CHWS, NURSES, AND DOULAS 2) IMPROVED KNOWLEDGE OF PERINATAL HEALTH BEST PRACTICES THROUGH TAILORED TRAININGS AND EDUCATIONAL OPPORTUNITIES FOR BOTH PROVIDERS AND PARENTS 3) INCREASED PROFESSIONAL SUPPORT THROUGH THE ESTABLISHMENT OF AN ECHO AND TELEHEALTH SPECIALTY CARE FOR REGIONAL HEALTH WORKERS 4) IMPROVED MATERNAL HEALTH OUTCOMES FOR MEASURES SUCH AS HIGH BLOOD PRESSURE, GESTATIONAL DIABETES, AND POSTPARTUM DEPRESSION 5) ADDITIONAL COST SAVINGS POSSIBILITIES THROUGH EXPANDED BILLING OPTIONS AND REDUCED BURDEN OF DISEASE FROM IMPROVED PERINATAL CARE 6) ENHANCED ORGANIZATIONAL CAPACITY TO ADDRESS INDIVIDUAL PATIENT NEEDS 7) EXPANDED DATA SHARING AMONG CROSS-SECTOR ORGANIZATIONS, AND 8) STRENGTHENED ORGANIZATIONAL COLLABORATION BETWEEN STATE AND REGIONAL STAKEHOLDERS. VRHA IS REQUESTING A FUNDING PREFERENCE BASED ON AN ESTABLISHED NETWORK HISTORY.

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION - 1) PROJECT TITLE: VIRGINIA PIEDMONT HARM REDUCTION COALITION 2) REQUESTED AWARD AMOUNT: $1,000,000 3) APPLICANT: VIRGINIA RURAL HEALTH ASSOCIATION 4) ADDRESS: 200 MEMORIAL DRIVE, LURAY, VA 22835 5) FACILITY TYPE: STATE RURAL HEALTH ASSOCIATION 6) INTERIM PROJECT DIRECTOR: BETH O’CONNOR, EXECUTIVE DIRECTOR 7) INTERIM PROJECT DIRECTOR CONTACT: 540-231-7923/BOCONNOR@VCOM.VT.EDU 8) CURRENT RCOR-I RECIPIENT: NO 9) EIN EXCEPTION: NOT REQUESTED 10) FIRST LEARNED OF FUNDING OPPORTUNITY: THROUGH THE RURAL HEALTH INFORMATION HUB E-NEWSLETTER 11) 5 CONSORTIUM MEMBERS: VIRGINIA RURAL HEALTH ASSOCIATION, VIRGINIA HARM REDUCTION COALITION, UNITE US, SOUTHWEST VIRGINIA GRADUATE MEDICAL EDUCATION CONSORTIUM, NEW COLLEGE INSTITUTE 12) PREVIOUS RCORP AWARD: FY 2019 RCORP-PLANNING APPLICANT ORGANIZATION 13) TARGET POPULATION: - LESS THAN 1% OF THE TARGET POPULATION IS AMERICAN INDIAN/ALASKAN NATIVE - THERE ARE NO PLANS TO SPECIFICALLY TARGET TRIBAL POPULATIONS - THIS PROJECT WILL ADDRESS HEALTH DISPARITIES THROUGH: O SELECTING A SERVICE AREA WITH A HIGH AFRICAN AMERICAN POPULATION AND ASSURING THAT SERVICES PROVIDED ARE CULTURALLY COMPETENT FOR THAT COMMUNITY O ADDRESSING THE SPECIFIC NEEDS OF THE LGBTQ+ POPULATION AND ASSURING THAT SUD SERVICES ARE AVAILABLE IN A SAFE, AFFIRMING ENVIRONMENT O PROVIDING EDUCATION TO SENIORS WHO ARE AT HIGH RISK OF HAVING THEIR MEDICATIONS DIVERTED 14) TARGET SERVICE AREA: VIRGINIA COUNTIES OF FRANKLIN, HENRY, PATRICK AND THE CITY MARTINSVILLE (NOTE THAT IN VIRGINIA, CITIES ARE A GOVERNMENTAL ENTITY, INDEPENDENT OF THE COUNTY WHICH SURROUNDS THEM) 15) SERVICE AREA OVERLAP: NONE

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION

RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION