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Rural Maternity and Obstetrics Management Strategies Program (RMOMS)

This funding record is inactive. Please see the program website or contact the program sponsor to determine if this program is currently accepting applications or will open again in the future.

Catalog of Federal Domestic Assistance Number: 93.912
Federal Office of Rural Health Policy, Health Resources and Services Administration, U.S. Department of Health and Human Services
Letter of Intent (Optional): May 3, 2019
Application: Jun 17, 2019

For programmatic or technical questions:
Cassandra Phillips, MPH

For grants management or budget questions:
Potie Pettway


The Rural Maternity and Obstetrics Management Strategies Program (Short Title: RMOMS) is a pilot program that intends to demonstrate the impact on access to and continuity of maternal and obstetrics care in rural communities through testing models that address the RMOMS focus areas:

  1. Rural Hospital Obstetric Service Aggregation:
    Could a regional network with several rural hospitals that are facing challenges in providing obstetric services aggregate obstetric services to one specific rural or Critical Access Hospital within the regional network to ensure enough patient volume to be financially viable and provide high-quality obstetric services?
  2. Network Approach to Coordinating a Continuum of Care:
    • Could network partners focus on improving access to the continuum of care: preconception, pregnancy, labor and delivery, and postpartum services?
    • Are there ways to improve maternal and neonatal outcomes by developing more formal case management that includes rural hospitals and clinics working closely with existing HRSA award recipients such as Community Health Centers, Home Visiting, and Healthy Start programs?
  3. Leveraging Telehealth and Specialty Care:
    • How can rural networks collaborate with upstream tertiary providers to enhance case management of higher-risk expectant mothers living in geographically isolated areas?
    • What role can telehealth applications, such as fetal monitoring, play in supporting rural clinicians and the obstetric patients they serve?
  4. Financial Sustainability:
    Can rural networks, in partnership with Medicaid and other payers, demonstrate improved outcomes and potential savings?

A detailed list of expected activities is available in the application instructions.


Eligible applicants include all domestic public or private, nonprofit or for-profit entities, including faith-based and community-based organizations, tribes, and tribal organizations. The applicant organization may be located in an urban or rural area; however, all activities must exclusively target populations residing in HRSA-designated eligible rural areas.

Geographic coverage
Amount of funding

Award ceiling: Up to $600,000 in year 1 and up to $800,000 per year in years 2-4
Project period: 4 years
Estimated number of awards: 3
Estimated total program funding: $1,800,000

Application process

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

While not required, potential applicants are encouraged to email a letter of intent to apply to by May 3, 2019.

Applicant webinar recording
Playback Number: 866.495.9344
Passcode: 67259

Tagged as
Access · Healthcare facilities · Maternal health and prenatal care · Networking and collaboration · Planning and strategy methods and resources · Sustainability of programs · Telehealth · Women

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