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Cooperative Agreements to USA Nonprofits and For-Profits, CBOs, and Tribes to Increase Access to Maternal Care in Rural Areas

Rural Maternity and Obstetrics Management Strategies (RMOMS)


GrantWatch ID#

Funding Source
U.S. Department of Health and Human Services (HHS) - Health Resources and Services Administration (HRSA)
CFDA Number: 93.912
Funding or PIN Number: HRSA-23-049
Array ( )

Geographic Focus

Important Dates
Deadline: 07/07/23 11:59 PM ET Save

Grant Description
Cooperative agreements to USA public and private nonprofit and for-profit organizations, tribal organizations, and faith-based and community-based organizations to improve access to prenatal and maternal care in rural areas. Required registrations may take up to a month to complete.

This notice announces the opportunity to apply for funding under the Health Resources and Services Administration’s (HRSA) Rural Maternity and Obstetrics Management Strategies (RMOMS) program. The purpose of the RMOMS program is to establish or continue collaborative improvement and innovation networks to improve access to and delivery of maternity and obstetrics care in rural areas.

The goals of the RMOMS program are to:

  • Identify and implement evidence-based and sustainable delivery models for the provision of maternal and obstetrics care in rural hospitals and communities;
  • Enhance and preserve access to maternal and obstetric services in rural hospitals that includes developing an approach to aggregate, coordinate, and sustain the delivery and access of preconception, prenatal, pregnancy, labor and delivery, and postpartum services;
  • Provide training for professionals in health care settings that do not have specialty maternity care;
  • Collaborate with academic institutions that can provide regional clinical expertise (such as specialty expertise and provider support using a variety of modalities including telehealth services) and help identify barriers to providing maternal health care, including strategies for addressing such barriers; and
  • Assess and address disparities in infant and maternal health outcomes, including among rural racial and ethnic minority populations and underserved populations.

Applicants are encouraged to propose novel ways to achieve these goals through the establishment or continuation of collaborative improvement and innovation networks.

The RMOMS program seeks to document and monitor progress on these goals through the collection of aggregate data from each RMOMS award recipient and their network members. All network members will be required to collect and share aggregate data. This program intends to preserve access to and continuity of maternal and obstetrics care in rural communities that address the following RMOMS Focus Areas:

  1. Rural Hospital Obstetric Service Aggregation: A regional network with several rural hospitals that are facing challenges in providing obstetric services could aggregate obstetric services to a targeted rural hospital or Critical Access Hospital (CAH) within the rural region to revive or sustain rural obstetric and maternal services.
  2. Approaches to Risk-Appropriate Care: Pregnant patients in a rural region should receive care in a facility that best meets their needs and those of their neonates through appropriate risk stratification.
  3. Financial Sustainability: Rural hospitals who have coordinated and aggregated their obstetrics services, in partnership with Medicaid and other payers, should aim to demonstrate improved outcomes and potential savings with the goal of ensuring ongoing support of the network once federal funding ceases. 

Applicants are required to incorporate all of the RMOMS Focus Areas in their proposals.

Minor renovations and alterations are allowable.

For more details, see Program Requirements and Expectations on page 12 of the Notice of Funding Opportunity document attached below.


  • For profit organizations other than small businesses
  • Native American tribal organizations (other than Federally recognized tribal governments)
  • Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education
  • Others (see text field entitled "Additional Eligibility Criteria" for clarification)
  • Small businesses

Additional Eligibility Criteria
Eligible applicants are non-profit or for-profit entities providing prenatal care, labor care, birthing, and postpartum care services in rural areas, frontier areas, or medically underserved areas, or to medically underserved populations or Indian Tribes or Tribal organizations.

The applicant organization should be a domestic public or private, non-profit or for-profit entities, including faith-based, community-based, tribes and tribal organizations. The applicant organization may be located in a rural or urban area, and must have demonstrated experience serving, or the capacity to serve, rural underserved populations.

The applicant organization may not have previously received federal funding for the same project. However, you are eligible to apply for funding under this announcement if the original period of performance for your previous award has ended by the start date for this funding opportunity (September 30, 2023) and if your newly proposed project (1) seeks to expand services or expand your service areas, (2) includes new or additional network member organizations, or (3) targets a new population or new focus area are eligible to apply if the original period of performance for their previous award has ended.

Additional Geographic Information:

At least one network member must be located in a HRSA-designated rural county or rural census tract in an urban county; however, the applicant organization may be located in an urban area. All services supported by this program must exclusively be provided in, and must target populations residing in, HRSA-designated rural counties or rural census tracts in urban counties.

To ascertain whether a particular county or census tract is rural, please refer to

You cannot use funds under this notice for the following purposes:
- To build or acquire real property; or for construction.
- Major renovation or alteration of any space.

Pre-Proposal Conference
HRSA has scheduled the following webinar: May 31, 2023 from 2 p.m. – 3 p.m. ET


Attendees without computer access or computer audio can use the dial-in information below:
Call-In Number: 1-833-568-8864
Meeting ID: 160 363 0214
Passcode: 42409094

HRSA will record the webinar.

Pre-Application Information
The application due date under this NOFO is July 7, 2023 at 11:59 p.m. ET. HRSA suggests you submit your application to at least 3 calendar days before the deadline to allow for any unforeseen circumstances.

HRSA will release the Notice of Award (NOA) on or around the start date of September 30, 2023.

Ensure your and registrations and passwords are current immediately! HRSA will not approve deadline extensions for lack of registration. Registration in all systems may take up to 1 month to complete.

The registration process requires information in two separate systems:
- System for Award Management (SAM) ( | SAM
Knowledge Base)
- (

Multiple applications from an organization with the same Unique Entity Identifier (UEI) are allowed if the applications propose separate and distinct projects.

View this opportunity on

Additional Funding Information

Estimated Total Program Funding:


Number of Grants
Up to 2

Estimated Size of Grant
Up to $1,000,000 per award

Term of Contract
The period of performance is September 30, 2023 through September 29, 2027 (4 years). Funding beyond the first year is subject to the availability of appropriated funds for RMOMS in subsequent fiscal years, satisfactory progress, and a decision that continued funding is in the best interest of the Federal Government.

Contact Information
Please email 24 hours after live webinar event for a link to the recording.

You may request additional information and/or technical assistance regarding business, administrative, or fiscal issues related to this NOFO by contacting:
Bria Haley
Grants Management Specialist
Division of Grants Management Operations, OFAM
Health Resources and Services Administration
5600 Fishers Lane, Mailstop 10SWH03
Rockville, MD 20857
Telephone: (301) 443-3778

You may request additional information regarding the overall program issues and/or technical assistance related to this NOFO by contacting:
Victoria (Vicky) Tsai, MPH
Public Health Analyst
Federal Office of Rural Health Policy
Health Resources and Services Administration
5600 Fishers Lane, Mailstop 17W59D
Rockville, MD 20857
(301) 443-8930

You may need assistance when working online to submit your application forms electronically. Always obtain a case number when calling for support. For assistance with submitting the application in, contact 24 hours a day, 7 days a week, excluding federal holidays at: Contact Center
Phone: 1-800-518-4726 (International callers dial 606-545-5035)

RFP & Supporting Documents
Full Grant Text RFP

Before starting your grant application, please review the funding source's website listed below for updates / changes / addendums / conferences / LOIs.

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