OPEN CFDA 93.619 ↗ Competitive Cooperative Agreement Moderate ~100h typical effort

Appalachian Region Healthcare Support Program

🏛 Health Resources and Services Administration (HHS-HRSA)

✓ Free, no account · Source: Grants.gov · Last verified Oct 19, 2026

⏰ Deadline
Mar 27, 2027 in 158 days
💰 Award amount
up to $2.5M
📊 Total program funding
$2.5M
🎯 Expected awards
1 recipient
📅 Fiscal Year
FY 2027
📍 Scope
Regional

Can you apply?

This grant is for rural healthcare organizations in Appalachian Region counties served by the Appalachian Regional Commission (ARC). Eligible applicants include critical access hospitals, small rural hospitals, rural health clinics, tribal healthcare facilities, and other healthcare organizations located in eligible rural counties.

The program provides technical assistance for planning and implementing healthcare service improvements. Organizations must focus on strengthening healthcare delivery through improvements to financial performance, operational efficiency, and quality of care.

This is a cooperative agreement supporting planning and implementation activities in rural Appalachian healthcare settings.

Eligible applicants
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Key dates

  1. Aug 24, 2026 Applications open
  2. Mar 27, 2027 Application deadline in 158 days
  3. Sep 1, 2027 Award announced
  4. Sep 30, 2027 Project start

Program description

The Appalachian Region Healthcare Support Program provides technical assistance (TA) to help rural healthcare organizations, including critical access hospitals (CAHs), small rural hospitals, rural health clinics, tribal healthcare facilities, and other healthcare organizations located in the rural counties served by the Appalachian Regional Commission (ARC) with planning and implementing health care service improvements. The goal of this program is to strengthen healthcare delivery in rural areas of the Appalachian Region by improving financial and operational performance as well as the quality of care in rural healthcare organizations. 

Who can apply

Eligible applicants

Demographic focus

How to apply

Application links

Key dates & requirements

  • 📅 Expected award date: Sep 1, 2027
  • 🚀 Project start date: Sep 30, 2027

Required documents

  • SF-424 (Application for Federal Assistance)
  • Project Narrative
  • Budget
  • Organizational capacity documentation
  • Evidence of ARC eligibility

Program contact

Funding track record

Recent awards under CFDA 93.619 from the last 3 years — real organizations that won funding through this same program.

70
awards (3 yrs)
$129M
total funded
63
unique recipients
$1.8M
average award

Top 10 Largest Recent Awards

  1. $80,664,462
  2. $4,597,134
  3. $1,350,000
  4. $1,350,000
  5. $1,350,000
  6. $1,350,000
  7. $1,349,971
  8. $1,188,684
  9. $1,188,684
  10. $1,188,684

Top States by Funding

  • MN 1 awards $80.7M
  • MS 8 awards $6.7M
  • ME 11 awards $6.7M
  • NH 9 awards $5.8M
  • GA 1 awards $4.6M

Source: USAspending.gov — federal spending transparency. Data covers last 3 years.

Funding history

Annual funding for this program — Federal obligations (CFDA 93.619). How funding has trended year over year.

2024 $36,905,196
2025 $37,655,215

FAQ

Who is eligible to apply for this grant?

Critical access hospitals, small rural hospitals, rural health clinics, tribal healthcare facilities, and other healthcare organizations in rural ARC counties can apply.

What geographic areas are covered?

Only rural counties served by the Appalachian Regional Commission are eligible.

What can funds support?

Technical assistance for planning and implementing healthcare service improvements, operational improvements, and quality enhancement initiatives.

What is the funding amount?

The total program has $2,500,000 available. Individual award amounts are not specified.

Is cost sharing required?

No cost sharing is required for this grant.

💡 Tips for applicants

  • Clearly document how your organization serves rural ARC counties and meets the healthcare provider definition.
  • Focus your proposal on specific, measurable healthcare service improvements you plan to achieve.
  • Detail how you will use technical assistance to improve financial, operational, and quality metrics.
  • Emphasize your organization's current challenges in rural healthcare delivery and your capacity to implement changes.
  • Include letters of support demonstrating community need and stakeholder commitment to the proposed improvements.

⚠️ Common mistakes

Applying from outside eligible ARC rural counties. Proposing activities that don't connect to healthcare delivery improvements. Unclear description of how technical assistance translates to operational or financial gains.

Similar grants

Source: Grants.gov · FY 2027 · Last updated Aug 25, 2026

158 days left Mar 27, 2027
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