U.S. Department of Health and Human Services: Rural Communities Opioid Response Program – Medication-Assisted Treatment Expansion
The Rural Communities Opioid Response Program (RCORP)–Medication Assisted Treatment Expansion (MAT Expansion) will advance RCORP by establishing and/or expanding MAT programs in eligible hospitals, health clinics, or tribal organizations located in high-risk rural communities. The RCORP-MAT Expansion program will increase the number of access points where individuals living in rural communities with opioid use disorder (OUD) can receive evidence-based treatment.
Despite the demonstrated clinical and cost effectiveness of MAT for OUD, the low patient volumes and limited financial resources that many rural hospitals and clinics face can make expanding to provide a new service such as MAT difficult. RCORP-MAT Expansion aims to mitigate these and other challenges by providing eligible entities with funds to cover the initial fixed and operating costs inherent in developing a MAT program until patient volume and third-party billing is sufficient to make the services sustainable.
Award recipients should build the requisite staffing levels, patient volumes, and revenues to sustain MAT services after federal funding ends. Use of MAT should occur consistent with federal and state statutes and regulations. Given the complex and multifaceted nature of substance use disorder (SUD)/OUD, as well as the need to generate adequate patient volume to sustain MAT services, applicants are required to partner with at least two other separately owned entities to implement project activities. These partnerships can take the form of a formal network or consortium that includes the partner organizations and the lead applicant; separate relationships between the lead applicant and each partner organization; or a combination of the two arrangements (e.g., the lead applicant is part of a consortium/network but also has separate relationships with entities outside of the consortium/network).
Amount: Approximately $8,000,000 is available to make up to 11 awards of up to $725,000 for a three year period of performance.
Eligibility: Critical access hospitals, rural health clinics, other small rural hospitals with 49 available staffed beds or less, as reported on the hospital’s most recently filed Medicare Cost Report; Health Center Look Alikes (defined as entities that meet all Health Center Program statutory, regulatory, and policy requirements but do not receive funding under section 330 of the Public Health Service Act); and tribes or tribal organizations (excluding health centers that receive Health Center Program federal award funding). Applicants must be located in a Health Resources and Services Administration (HRSA)-designated rural area, as defined by https://data.hrsa.gov/tools/rural-health.
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