Grant Details

Rural Maternity and Obstetrics Management Strategies Program

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    Funder Type

    Federal Government

    IT Classification

    B - Readily funds technology as part of an award


    Department of Health and Human Services (HHS)


    The purpose of the Rural Maternity and Obstetrics Management Strategies (RMOMS) Program is to improve access to and continuity of maternal and obstetrics care in rural communities through testing models that address the following RMOMS focus areas: Rural Regional Approaches to Risk Appropriate Care, Network Approach to Coordinating a Continuum of Care, Leveraging Telehealth and Specialty Care and Financial Sustainability.

    The goals of the RMOMS program are to: (i) develop a sustainable network approach to coordinate maternal and obstetrics care within a rural region; (ii) increase the delivery and access of preconception, pregnancy, labor and delivery, and postpartum services; (iii) develop sustainable financing models for the provision of maternal and obstetrics care; and (iv) improve maternal and neonatal outcomes. Applicants are encouraged to propose innovative ways to achieve these goals through an established or formal regional network structure.

    This pilot program intends to demonstrate the impact on access to and continuity of maternal and obstetrics care in rural communities through testing models that address the following RMOMS Focus Areas:

    • Rural Hospital Obstetric Service Aggregation
    • Network Approach to Coordinating a Continuum of Care
    • Leveraging Telehealth and Specialty Care
    • Financial Sustainability

    Applicants are required to incorporate all four of the RMOMS Focus Areas in their proposals. Additionally, applicants are required to address the focus-specific questions listed below as they prepare a response. Responses do not have to be limited to those questions and may include additional information related to the Focus Areas.

    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 (CAH) within the regional network to ensure enough patient volume to be financially viable and provide high-quality obstetric services?

    Network Approach to Coordinating a Continuum of Care

    • If obstetrics services are aggregated in a regional network, could the other rural hospitals, community health centers, and other clinical network partners then 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?

    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?

    Financial Sustainability

    • Can rural networks, in partnership with Medicaid and other payers, demonstrate improved outcomes and potential savings?

    History of Funding

    None is available.

    Additional Information

    Unallowable expenses are:

    • to build or acquire real property,
    • construction, or
    • major renovation/alteration of any space. 


    Cassandra Phillips

    Cassandra Phillips
    200 Independence Avenue, SW
    Washington, DC 20201
    (301) 945-3940

    Krista Mastel

    Krista Mastel


  • Eligibility Details

    Eligible applicants include all domestic public or private, non-profit 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 supported by this program must exclusively 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

    Deadline Details

    Estimated application due date is May 1, 2022. Similar deadlines are anticipated, annually.

    Award Details

    HRSA expects approximately $1,800,000 to be available in FY 2019 to fund three recipients. Maximum award is $600,000 in FY19.

    Maximum award is $800,000 in FY 2020, FY 2021, and FY 2022.The period of performance is September 1, 2019 through August 31, 2023 (four years). Cost sharing/matching is not required for this program. 

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