Delta States Rural Development Network Grant Program

Assistance Listing: 93.619

Federal Office of Rural Health Policy, Health Resources and Services Administration, U.S. Department of Health and Human Services

Aug 12, 2026

For program and eligibility questions:
Diana Alatorre
301.287.2618
DAlatorre@hrsa.gov

For financial and budget questions:
Dhendup Sherpa
301.443.3462
dsherpa@hrsa.gov

Grants.gov contact center:
800.518.4726
support@grants.gov
Self-service knowledge base

HRSA contact center:
877.464.4772
TTY: 877.897.9910
HRSA contact page

System for award management (SAM):
866.606.8220
Federal service desk

The Delta States Rural Development Network Grant Program supports the planning, development, and implementation of integrated healthcare networks within the Delta Region that collaborate to achieve efficiencies; expand access to, coordinate, and improve the quality of basic healthcare services and associated health outcomes; and strengthen the rural healthcare system as a whole.

Program goals:

• Expanding access to care resources in the designated Mississippi Delta counties/parishes
• Utilizing evidence-based or promising practice models known to improve health outcomes and enhance the delivery of healthcare services
• Collaboration with network partners in the planning and delivery of healthcare services to increase access to care and reduce chronic disease
• Implementation of sustainable healthcare programs that improve population health, health outcomes, and demonstrate value to the local rural communities

Applicants are required to propose projects focused on:

• Diabetes
• Cardiovascular disease
• Obesity
• Acute ischemic stroke
• Chronic lower respiratory disease
• Cancer
• Unintentional injury/substance use

All award recipients are required to adopt an evidence-based or promising practice approach that proves demonstrated outcomes and may be replicable in other communities. In addition, applicants are encouraged to incorporate value-based care (VBC) models or reimbursement strategies where appropriate.

Applicants must:

• Implement the project in an eligible rural area within the 8 Mississippi Delta Region states
• Have demonstrated experience serving, or capacity to serve, rural populations with limited access to care within the 8 Mississippi Delta Region States
• Represent a network that provides services within a specified service area
• Have not previously received a Delta grant for the same or similar project unless the applicant is proposing to expand the scope of the project or the area that will be served through the project or add additional network members

Eligible applicants include

• State, county, city, township, and special district governments
• Independent school districts
• Public, private, and state controlled institutions of higher education
• Federally recognized tribal governments
• Public and Indian housing authorities
• Native American tribal organizations
• Nonprofits with or without 501(c)(3) status
• For-profit organizations and small businesses

HRSA expects to make 1 award per geographic service area as discussed in the application instructions.

The 8 Delta States: Alabama, Arkansas, Illinois, Kentucky, Louisiana, Mississippi, Missouri, and Tennessee

Estimated award amount: $56,604 per eligible county/parish per year
Project period: 3 years
Estimated number of awards: 12
Estimated total program funding: $12,000,000

Awardees will also receive technical assistance (TA). Targeted TA will assist award recipients with achieving desired project outcomes, sustainability, and strategic planning, and will ensure alignment of the awarded project with the Delta Program goals.

Links to the full announcement, application instructions, and the online application process are available through grants.gov.

Applicants are required to notify the appropriate State Office of Rural Health (SORH) of an intent to apply to this program. A copy of the letter of intent sent to the SORH and any response received must be included as an attachment to the application.

Access · Behavioral health · Cancer · Cardiovascular disease · Chronic respiratory conditions · Delta Region · Diabetes · Healthcare quality · Injuries · Mental health conditions · Networking and collaboration · Obesity and weight control · Policy · Population health · Substance use and misuse · Sustainability of programs · Wellness, health promotion, and disease prevention · Alabama · Arkansas · Illinois · Kentucky · Louisiana · Mississippi · Missouri · Tennessee