ForecastedOpportunity HRSA-27-053

Appalachian Region Healthcare Support Program

Health Resources and Services Administration · Department of Health and Human Services

At a glance

Appalachian Region Healthcare Support Program is a forecasted federal cooperative agreement opportunity from the Health Resources and Services Administration (Department of Health and Human Services). The agency's forecast estimates an application due date of March 27, 2027; forecast dates can change. Individual awards are listed as up to $2.5M, with about 1 award expected and $2.5M in total estimated funding. Applicant types listed as eligible include state governments, county governments, city or township governments, special district governments, public colleges & universities and 8 more. Cost sharing is not required. It is funded under Assistance Listing 93.619 (Rural Health Limited Geographic Areas: Delta, Appalachian Region, and Northern Border Region).

Summary assembled from the official notice's fields. The official notice governs.

Key facts

Aug 24, 2026Forecast posted
Jan 26, 2027 (est.)Full notice expectednext date
Mar 27, 2027 (est.)Application deadline
Sep 1, 2027 (est.)Est. award date

Posted: Aug 24, 2026
Est. close date: Mar 27, 2027
Est. award date: Sep 1, 2027
Award floor: Not specified
Award ceiling: $2,500,000
Est. total funding: $2,500,000
Expected awards: 1
Cost sharing: Not required
Funding instrument: Cooperative Agreement
Opportunity category: Discretionary
Fiscal year: FY2027

Who can apply

State governments
County governments
City or township governments
Special district governments
Public colleges & universities
Federally recognized tribal governments
Native American tribal organizations
501(c)(3) nonprofits
Nonprofits without 501(c)(3) status
Private colleges & universities
For-profit organizations (not small businesses)
Small businesses
Others (see notice)

Additional information on eligibility (from the notice)

Successful applications must target rural healthcare organizations located in the Appalachian region. For the purposes of this notice of funding opportunity, a "rural healthcare organization" is a healthcare organization located in a rural county in the Appalachian region. "Healthcare organizations" include: critical access hospitals (CAHs), small rural hospitals, rural health clinics, tribal healthcare facilities, and other healthcare organizations.

Can your organization apply?

A quick check against the listed applicant types — other requirements in the notice still apply.

Based on the published notice. Review the official notice for complete eligibility requirements.

What it funds

Official synopsis as published by the agency, formatted for readability.

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.

How to apply

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Read the full announcement (NOFO)Eligibility, evaluation criteria, page limits and required attachments are in the full notice on Grants.gov. Open ↗
Confirm eligibility and fitCheck your organization type above; no cost sharing is required.
Register (or renew) in SAM.gov and get a UEIFree. New registrations can take several weeks; registrations must be renewed every year. Open ↗
Set up Grants.gov accessCreate a Grants.gov account and make sure someone has the Authorized Organization Representative (AOR) role. Open ↗
Watch for the full noticeThe agency estimates posting it around January 26, 2027. Save this grant to track changes.
Prepare narrative, budget and attachmentsFollow the notice's format exactly — page limits and required forms are common reasons applications are rejected.
Ask the agency contact any questions earlySuzanne Eslyn · seslyn@hrsa.gov Open ↗
Submit before March 27, 2027Electronically submitted applications must be submitted no later than 11:59 p.m., ET, on the listed application due date. Submit a few days early and keep your Grants.gov confirmation and validation emails.

Assistance Listing

What is an ALN?

93.619Rural Health Limited Geographic Areas: Delta, Appalachian Region, and Northern Border RegionProgram →

Reported obligations under ALN 93.619

Historical data · not a prediction

FY24

$36.9M

FY25

$37.7M

FY26

— est.

Source: SAM.gov Assistance Listing 93.619. Program-wide totals, not awards from this specific opportunity.

Who was funded under ALN 93.619

Historical data · not a prediction

Since October 1, 2023, 71 grant awards had funding actions under Rural Health Limited Geographic Areas: Delta, Appalachian Region, and Northern Border Region. These are program-wide awards, not awards from this specific notice.

RURAL HEALTH RESOURCE CENTER$10.5M
RURAL HEALTH REDESIGN CENTER ORGANIZATION, INC.$2.5M
ARKANSAS RURAL HEALTH PARTNERSHIP$1.48M
METHODIST LE BONHEUR COMMUNITY OUTREACH$1.41M
BAPTIST HEALTH DEACONESS MADISONVILLE, INC.$1.19M

Recipients, states, recent awards and sub-awards →Source: USAspending.gov.

Agency contact (as published)

Suzanne Eslyn
seslyn@hrsa.gov
301-443-0178

Quick answers

Is “Appalachian Region Healthcare Support Program” open for applications yet?

Not yet. It is a forecast — an agency's advance notice of an expected opportunity. The agency estimates posting the full notice around January 26, 2027. Forecast details and dates can change.

Who is eligible to apply for “Appalachian Region Healthcare Support Program”?

The official notice names these applicant types as eligible: State governments, County governments, City or township governments, Special district governments, Public colleges & universities, Federally recognized tribal governments, Native American tribal organizations, 501(c)(3) nonprofits, Nonprofits without 501(c)(3) status, Private colleges & universities, For-profit organizations (not small businesses), Small businesses and 1 more. Additional restrictions may apply; review the full notice.

How much funding is available through “Appalachian Region Healthcare Support Program”?

Per the notice, individual awards are listed as up to $2.5m, total estimated program funding is $2,500,000 and the agency expects to make about 1 awards.

How do I apply for “Appalachian Region Healthcare Support Program”?

Applications are submitted through the official source, not through GrantsJunction. Open the official notice on Grants.gov (opportunity HRSA-27-053), and review the full announcement and application package. Organizations applying through Grants.gov generally need an active SAM.gov registration and a Grants.gov account, which can take several weeks to set up.

Matched on shared Assistance Listings, agency, categories and eligible applicant types.

ForecastedResearchALN 93.307