For programmatic or technical questions:
Victoria Tsai , MPH
RMOMS@hrsa.gov

For grants management or budget questions:
Bria Haley
301.443.3778
Bhaley@hrsa.gov

The Rural Maternity and Obstetrics Management Strategies Program (Short Title: RMOMS) is designed to demonstrate improved access to, and continuity of, maternal and obstetrics care in rural communities through projects that address the RMOMS focus areas:

1. Rural hospital obstetric service aggregation and approaches to risk appropriate care:
   • Demonstrate how 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 obstetric and maternity care services
   • Show how the network will ensure pregnant women in the rural region receive care in a facility that best meets their needs and those of their neonates through appropriate risk stratification and referral practices
   • Address how regional risk appropriate care will improve health equity for rural populations, including but not limited to Black, Latino, and Indigenous and Native American persons, Asian Americans, Pacific Islanders and other persons of color; members of religious minorities; LGBTQ+ persons; people with disabilities; and people adversely affected by persistent poverty or inequality
2. Network approach to coordinating a continuum of care:
   • Demonstrate how the participating rural hospitals, community health centers, and other network partners focus on improving access along the continuum of care for preconception, pregnancy, labor and delivery, and postpartum health services
   • Identify and implement strategies 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, Maternal, Infant and Early Childhood Home Visiting (MIECHV), and Healthy Start programs
3. Leveraging telehealth and specialty care:
   • Show how can rural networks collaborate with upstream tertiary providers to enhance case management of higher-risk expectant patients living in geographically isolated areas
   • Illustrate how telehealth platforms can support rural clinicians and the obstetric patients they serve
4. Financial Sustainability:
   Show how rural networks, in partnership with Medicaid and other payers, can demonstrate improved outcomes and potential savings with the goal of providing the resources to ensure the ongoing support of the network once federal funding ceases

Eligibility requirements

• All domestic public and private entities, including nonprofit organizations, for-profit businesses, faith-based and community-based organizations, tribes, and tribal organizations
• Have demonstrated experience serving, or the capacity to serve, rural underserved populations
• Represent a network composed of participants that include at least 3 healthcare organizations and is inclusive of the 6 required network partner types
• Has not previously received an award under this program for the same or similar project, unless the entity is proposing to expand the scope of the project or the area that will be served through the project

HRSA Rural Health Grants Eligibility Analyzer

Award ceiling: $1,000,000 per year
Project period: 4 years
Estimated number of awards: 5
Estimated total program funding: $5,000,000

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 the intent to apply for this program. Applicants must include a copy of the correspondence sent to the SORH describing the project and any response received to the letter.