Opportunity Information: Apply for HRSA 19 095
The Medicare Rural Hospital Flexibility Program Emergency Medical Services (EMS) Supplement (Funding Opportunity Number HRSA-19-095; CFDA 93.241) is a discretionary grant opportunity offered by the U.S. Department of Health and Human Services through the Health Resources and Services Administration (HRSA). It is structured as supplemental funding connected to the broader Medicare Rural Hospital Flexibility Program (commonly called the Flex Program). In this notice of funding opportunity, the Flex Program is the main statewide rural health improvement program, while the Flex EMS Supplement refers specifically to the add-on projects being funded through this announcement. The overall purpose of the supplement is to strengthen access to high-quality emergency medical care in rural communities, with an emphasis on practical demonstration work that can be studied, replicated, and built into longer-term Flex Program efforts.
A central theme of the supplement is building an evidence base for what actually improves rural EMS performance and patient outcomes. Instead of funding general operations, the opportunity is designed to support structured demonstration projects that test and document approaches states can later scale. Rural EMS systems often face unique challenges such as long transport times, sparse call volume, workforce shortages, financial instability, and limited access to training and clinical resources. This funding aims to support targeted projects that address those real-world constraints while producing lessons and data that can guide future interventions across rural settings.
Applicants are expected to choose and design a project around one of two specific focus areas. Under Focus Area 1, funding supports demonstration projects that implement sustainable models of rural EMS care. The intent here is to help vulnerable rural EMS agencies move toward models that can survive financially and operationally over time, while still delivering safe, reliable emergency response and medical care. Projects in this area are meant to pilot promising solutions, put them into practice, and generate usable evidence about what works, for whom, and under what conditions. While the notice does not prescribe a single model, the emphasis is on sustainability and on producing information that can inform appropriate interventions for rural EMS agencies that are at risk due to limited resources or systemic barriers.
Under Focus Area 2, funding supports demonstration projects focused on data collection and reporting for a set of EMS quality measures that are relevant to rural contexts. The main goal is to accelerate the development and implementation of a core group of validated, rural-relevant EMS quality measures. This responds to a longstanding gap in emergency medical services: many quality measurement approaches are designed around higher-volume urban or suburban systems, while rural agencies may have different patterns of calls, longer distances, fewer staff, and different resource availability. Projects in this area are intended to improve the ability of rural EMS systems to collect meaningful data, report it consistently, and use it to monitor and improve care, while also contributing to the broader field by helping define which measures are valid and useful in rural environments.
Eligibility is targeted to state Flex programs that elect to apply for this supplement, with the expectation that the applicant will propose a project aligned to one, and only one, of the two focus areas. The opportunity was posted on January 24, 2019, with an application closing date of April 5, 2019. HRSA anticipated making about eight awards. The award ceiling is listed as 0 in the source data, which typically signals that the ceiling was either not specified in the summary field or is defined elsewhere in the full notice rather than as a fixed cap in the listing. Overall, the supplement is best understood as a time-limited, evidence-generating investment meant to help state Flex programs test sustainable rural EMS strategies or strengthen rural EMS quality measurement in ways that can be replicated and incorporated into longer-term rural health system improvement work.Apply for HRSA 19 095
- The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Medicare Rural Hospital Flexibility Program – Emergency Medical Services Supplement" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.241.
- This funding opportunity was created on Jan 24, 2019.
- Applicants must submit their applications by Apr 05, 2019. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The number of recipients for this funding is limited to 8 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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| Targeted Capacity Expansion: Special Projects Apply for TI 19 007 Funding Number: TI 19 007 Agency: Department of Health and Human Services, Substance Abuse and Mental Health Services Adminis Category: Health Funding Amount: $375,000 |
| Network of Forecasting Centers to Improve Forecast Accuracy and Communication for Seasonal and Pandemic Influenza Apply for RFA IP 19 004 Funding Number: RFA IP 19 004 Agency: Department of Health and Human Services, Centers for Disease Control and Prevention - ERA Category: Health Funding Amount: $700,000 |
| Research Grants to Identify Effective Strategies for Opioid Overdose Prevention Apply for RFA CE 19 002 Funding Number: RFA CE 19 002 Agency: Department of Health and Human Services, Centers for Disease Control and Prevention - ERA Category: Health Funding Amount: $769,230 |
| Grants to Support New Investigators in Addressing Cross-Cutting Violence Prevention and Opioid Overdose Prevention Apply for RFA CE 19 006 Funding Number: RFA CE 19 006 Agency: Department of Health and Human Services, Centers for Disease Control and Prevention - ERA Category: Health Funding Amount: $100,000 |
| Economic Modeling for HIV/AIDS, Viral Hepatitis, STD, and TB Apply for CDC RFA PS19 1905 Funding Number: CDC RFA PS19 1905 Agency: Department of Health and Human Services, Centers for Disease Control - NCHHSTP Category: Health Funding Amount: Case Dependent |
| Networks for Oral Health Integration within the Maternal and Child Health Safety Net Apply for HRSA 19 053 Funding Number: HRSA 19 053 Agency: Department of Health and Human Services, Health Resources and Services Administration Category: Health Funding Amount: $1,283,333 |
| National Center of Excellence for Integrated Health Solutions Apply for SM 19 012 Funding Number: SM 19 012 Agency: Department of Health and Human Services, Substance Abuse and Mental Health Services Adminis Category: Health Funding Amount: $2,000,000 |
| Strategic Prevention Framework – Partnerships for Success Apply for SP 19 004 Funding Number: SP 19 004 Agency: Department of Health and Human Services, Substance Abuse and Mental Health Services Adminis Category: Health Funding Amount: $300,000 |
| Evaluation of Return to School Programs for Traumatic Brain Injury Apply for RFA CE 19 003 Funding Number: RFA CE 19 003 Agency: Department of Health and Human Services, Centers for Disease Control and Prevention - ERA Category: Health Funding Amount: $550,000 |
| Local Service Delivery Activity Apply for RFI 617 19 OHH Funding Number: RFI 617 19 OHH Agency: Agency for International Development, Uganda USAID-Kampala Category: Health Funding Amount: $50,000,000 |
| PEPFAR Small Grants Program Annual Program Statement Apply for AFREO 19 GR 001 AF 121919 Funding Number: AFREO 19 GR 001 AF 121919 Agency: Department of State, U.S. Mission to Botswana Category: Health Funding Amount: $25,000 |
| Collecting Violent Death Information Using the National Violent Death Reporting System (NVDRS) Apply for CDC RFA CE19 1905 Funding Number: CDC RFA CE19 1905 Agency: Department of Health and Human Services, Centers for Disease Control - NCIPC Category: Health Funding Amount: $462,710 |
| Overdose Data to Action Apply for CDC RFA CE19 1904 Funding Number: CDC RFA CE19 1904 Agency: Department of Health and Human Services, Centers for Disease Control - NCIPC Category: Health Funding Amount: $7,100,000 |
| Building Communities of Recovery Apply for TI 19 003 Funding Number: TI 19 003 Agency: Department of Health and Human Services, Substance Abuse and Mental Health Services Adminis Category: Health Funding Amount: $200,000 |
| Immunization and Vaccines for Children Apply for CDC RFA IP19 1901 Funding Number: CDC RFA IP19 1901 Agency: Department of Health and Human Services, Centers for Disease Control - NCIRD Category: Health Funding Amount: Case Dependent |
| Nurse Anesthetist Traineeship (NAT) Program Apply for HRSA 19 074 Funding Number: HRSA 19 074 Agency: Department of Health and Human Services, Health Resources and Services Administration Category: Health Funding Amount: Case Dependent |
| One Health Workforce - Next Generation (OHW-NG) Apply for 7200AA19RFA00006 Funding Number: 7200AA19RFA00006 Agency: Agency for International Development Category: Health Funding Amount: $85,000,000 |
| Maternal Opioid Misuse (MOM) Model Apply for CMS 2A2 20 001 Funding Number: CMS 2A2 20 001 Agency: Department of Health and Human Services, Centers for Medicare Medicaid Services Category: Health Funding Amount: $5,380,000 |
| Integrated Care for Kids (InCK) Apply for CMS 2B2 20 001 Funding Number: CMS 2B2 20 001 Agency: Department of Health and Human Services, Centers for Medicare Medicaid Services Category: Health Funding Amount: $16,000,000 |
| Service Area Competition-Additional Area (SAC-AA) — Pago Pago, American Samoa Apply for HRSA 19 110 Funding Number: HRSA 19 110 Agency: Department of Health and Human Services, Health Resources and Services Administration Category: Health Funding Amount: Case Dependent |
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