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Grants to USA Nonprofit Hospitals, Health Clinics, and Medical Training Consortia for Rural Medical Residency Programs

Rural Residency Planning and Development (RRPD) Program

GrantWatch ID# 189449
Agency: Federal

Funding Source
US Department of Health and Human Services - Health Resources and Services Administration (HRSA) - Federal Office of Rural Health Policy (FORHP)
CFDA Number: 93.155
Funding or PIN Number: HRSA-23-037
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Geographic Focus

Important Dates
Conference Date: 11/03/22
Deadline: 01/27/23 11:59 PM ET

Grant Description
Grants to USA nonprofit hospitals, healthcare centers, community organizations, and graduate medical education consortia to establish medical training programs in rural regions. Required registrations may take several weeks to complete. The purpose of this grant program is to support the development of new rural residency programs in family medicine, internal medicine, public health and general preventive medicine, psychiatry, general surgery, and obstetrics and gynecology, to address the physician workforce shortages and challenges faced by rural communities.

Rural residency programs are accredited medical residency training programs that primarily train residents in rural training sites for greater than 50 percent of their total time in residency, and focus on producing physicians who will practice in rural communities. 

Program Goals

The goal for the RRPD program is for each recipient to establish a new rural residency program that is accredited by the Accreditation Council on Graduate Medical Education (ACGME) and has a strong sustainability plan for a stable future financial outlook by the end of the period of performance. All RRPD program recipients should be capable of effectively training physicians to practice in and meet the clinical needs of rural populations. As a result, the proportion of graduates from these programs entering careers in practices primarily serving rural populations is expected to markedly exceed that seen in other programs across the nation.

Program Objectives 

  • Objective 1: Residency Program Development
  • Objective 2: Program Sustainability
  • Objective 3: Graduate Tracking Plan

For more information on program objectives, see Page 3 of the RFP document listed in Supporting Documents, below.


  • City or township governments
  • County governments
  • For profit organizations other than small businesses
  • Native American tribal governments (Federally recognized)
  • Native American tribal organizations (other than Federally funded tribal governments)
  • Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education
  • Others (see text field entitled "Additional Eligibility Criteria" for clarification)
  • State governments

Additional Criteria for Eligibility
Eligible entities are domestic public, nonprofit, or private organizations, including faith-based and community-based organizations, tribes and tribal organizations. Specifically, these organizations may include, but are not limited to:
1) rural hospitals;
2) rural community-based ambulatory patient care centers, including Rural Health Clinics;
3) health centers operated by a tribe or tribal organization, or an urban Indian organization;
4) graduate medical education consortiums, including institutions of higher education, such as, schools of allopathic medicine or osteopathic medicine or Historically Black Colleges and Universities (HBCUs); and
5) faith-based and community-based organizations.

The applicant organization or the primary rural training partner(s) where greater than 50 percent of rural training will occur must be located in a rural location as defined by CMS and/or FORHP:
• For applications proposing a sustainability plan that relies on Medicare GME funding, the applicant organization or primary rural training partner(s) must meet both CMS and FORHP definitions of rural.
• For applicants proposing sustainability plans with no Medicare GME funding, the applicant organization or primary rural training partner(s) must at the minimum meet FORHP's definition of rural

There are certain funding restrictions associated with this award, including, but not limited to, the following unallowable costs:
- Resident salaries and benefits
- Ongoing support for resident training (e.g., as a program sustainability plan)
- Acquiring or building real property
- Major construction or major renovation of any space. Note: Minor renovations or alterations are allowable.

Pre-Application Information
The application due date under this NOFO is January 27, 2023 at 11:59 p.m. ET. HRSA suggests you submit your application to at least 3 calendar days before the deadline to allow for any unforeseen circumstances.

Ensure your and registrations and passwords are current immediately! HRSA will not approve deadline extensions for lack of registration. Registration in all systems, including and, may take up to 1 month to complete.

The registration process requires information in two separate systems:
• System for Award Management (SAM) ( | SAM Knowledge Base)
• (

View this opportunity on

For a list of application documents, see the Package tab (press Preview) on the page above.

Additional Funding Information

Estimated Total Program Funding:


Number of Grants

Estimated Size of Grant
Award Ceiling: $750,000
Award Floor: $0

Term of Contract
The period of performance is August 1, 2023 through July 31, 2026 (3 years).

Contact Information
You may request additional information and/or technical assistance regarding business, administrative, or fiscal issues related to this NOFO by contacting:

Beverly Smith
Grants Management Specialist
Division of Grants Management Operations, OFAM
Health Resources and Services Administration
Phone: (301) 443-7065
You may request additional information regarding the overall program issues and/or technical assistance related to this NOFO by contacting:

Sheena Johnson, MPH
Health Insurance Specialist, Policy Research Division
Federal Office of Rural Health Policy
Health Resources and Services Administration
Phone: (301) 945-9639

You may need assistance when working online to submit your application forms electronically. Always obtain a case number when calling for support. For assistance with submitting the application in, contact 24 hours a day, 7 days a week, excluding federal holidays at: Contact Center
Telephone: 1-800-518-4726 (International callers, please dial 606-545-5035)
Self-Service Knowledge Base:

RFP & Supporting Documents
Full Grant Text RFP

Before starting your grant application, please review the funding source's website listed below for updates / changes / addendums / conferences / LOIs.

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