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Assistance Listing 93.619

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

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

Assistance Listing 93.619, “Rural Health Limited Geographic Areas: Delta, Appalachian Region, and Northern Border Region,” is a federal program administered by Department of Health and Human Services. It provides grant assistance. GrantsJunction currently tracks 0 open, 1 forecasted and 1 closed opportunities under this listing. The agency reported $37.7M in obligations for fiscal year 2025. Since October 1, 2023, USAspending.gov shows 71 grant awards under this listing; the largest recipient was RURAL HEALTH RESOURCE CENTER.

Program objective

The various initiatives included in this assistance listing are: Delta Region Community Health Systems Development enhances health care delivery in Delta Region through technical assistance (TA) to providers in select rural communities, including Critical Access Hospitals (CAHs), small rural hospitals, Rural Health Clinics (RHCs), and others. Delta States Rural Development Network Grant Program funds organizations located in the 8 Delta states through planning, implementation, and development of integrated health care networks. Delta Region Rural Health Workforce Training addresses the need in healthcare facilities for trained administrative support or business operations professionals in rural communities. Delta Health Systems Implementation Program (DSIP) improves healthcare delivery in rural areas by implementing projects that improve financial sustainability of hospitals and increase access to care. Delta Region Maternal Care Coordination improves and expands access to and coordination of perinatal health care services in Delta Region. Delta Rural Integrated Health Network Program supports the planning and development of rural integrated healthcare networks in the Delta Region. This approach links rural healthcare network participants together to improve collective capacity to address local challenges, expand access, and improve care quality in the rural communities they serve. Rural Northern Border Region (RNBR) Outreach Program promotes the delivery of health care services in the rural NBRC service area. Rural Northern Border Region Network Planning (RNBR-NP) Program supports new or strengthens existing rural health care networks in the Northern Border Region to improve health care services and associated outcomes, achieve efficiencies, and strengthen the rural health care system. Rural Behavioral Health Workforce Centers-Northern Border Region creates a collaborative approach to provide career and workforce training activities in NBRC region to assist individuals affected by SUD. Rural Communities Opioid Response Program-Northern Border Rural Workforce (RCORP-NBRW) improves health care within the rural service area by enhancing behavioral health workforce capacity. Appalachian Region Healthcare Support Program enhances health care delivery by improving financial and operational performance through intensive TA to providers in rural communities, including CAHs, small rural hospitals, RHCs, and other healthcare organizations.

As published in the SAM.gov Assistance Listing.

Current opportunities under 93.619

ForecastedALN 93.619

Appalachian Region Healthcare Support Program

Health Resources and Services Administration
Award range
Up to $2.5M
Est. close
Mar 27, 2027 (est.)
Who can apply
State governments, County governments, City or township governments and 10 more
Source: Grants.govVerified today

Eligible applicants (program level)

  • U.S. Territory (or Possession) Government (including freely-associated states)
  • Local
  • U.S. State Government (including the District of Columbia)
  • Federally Recognized Indian/Native American/Alaska Native Tribal Government
  • Nonprofit Organization

State (includes District of Columbia, public institutions of higher education and hospitals), Local (includes State-designated lndian Tribes, excludes institutions of higher education and hospitals, Public nonprofit institution/organization (includes institutions of higher education and hospitals), Federally Recognized lndian Tribal Governments, U.S. Territories and possessions (includes institutions of higher education and hospitals), Private nonprofit institution/organization (includes institutions of higher education and hospitals), Native American Organizations (includes lndian groups, cooperatives, corporations, partnerships, associations) For applicant eligibility information related to the programs in this assistance listing, refer to the applicable Notice of Funding Opportunity on grants.gov.

Intended beneficiaries: Nonprofit Organization, U.S. Territory (or Possession) Government (including freely-associated states), U.S. State Government (including the District of Columbia), Local and Federally Recognized Indian/Native American/Alaska Native Tribal Government.

Program-level eligibility from SAM.gov. Each funding notice sets its own requirements.

Reported obligations by fiscal year

Historical data · not a prediction
FY24$36.9M
FY25$37.7M
FY26— est.
Source: SAM.gov Assistance Listing 93.619. Hatched bars are agency estimates. These totals do not indicate approval rates.

Who gets funded

Historical data · not a prediction

Since October 1, 2023, USAspending.gov shows 71 grant or cooperative agreement awards with funding actions under ALN 93.619.

Grant obligations by fiscal year

FY26$42.6M
Obligations recorded in USAspending.gov; FY26 may be partial. Can differ from the agency-reported totals above.

Where recipients are located

  • Minnesota$10.5M
  • Mississippi$4.91M
  • Arkansas$3.78M
  • Louisiana$3.67M
  • Maine$2.62M
  • New Hampshire$2.55M
  • Pennsylvania$2.5M
  • Missouri$2.23M
  • Tennessee$1.86M
  • Illinois$1.61M
All 16 states and territories

New York $1.48M · Alabama $1.41M · Vermont $1.37M · Kentucky $1.19M · Maryland $800K · Georgia $157K

Most recent awards

  • UNITED WAY INC · MERURAL NORTHERN BORDER REGION NETWORK PLANNING PROGRAM - UNITED WAY OF SOUTHERN MAINE (UWSM), OPERATOR OF 211 MAINE, PROPOSES THE 211 MAINE HARBOR PROJECT (HEALTH ACCESS AND RESOURCE BENEFITS OUTREACH AND REFERRAL), A ONE-YEAR RURAL HEALTH NETWORK PLANNING INITIATIVE THAT WILL STRENGTHEN COORDINATION BETWEEN RURAL HEALTHCARE PROVIDERS AND UWSM'S STATEWIDE 211 MAINE PROGRAM IN PREPARATION FOR ANTICI$120KStarts Sep 30, 2026 · Award ↗
  • WESTERN NEW YORK RURAL AREA HEALTH EDUCATION CENTER, INC. · NYRURAL NORTHERN BORDER REGION NETWORK PLANNING PROGRAM - AS THE CONVENER OF THE GENESEE-ORLEANS-WYOMING RURAL HEALTH NETWORK (GOW RHN), WESTERN NEW YORK RURAL AREA HEALTH EDUCATION CENTER (R-AHEC) PROPOSES A 12-MONTH PLANNING PROJECT TO DEVELOP A REGIONAL HEALTH DATA INFRASTRUCTURE PLAN THAT WILL STRENGTHEN THE RURAL HEALTHCARE SYSTEM SERVING GENESEE, ORLEANS, AND WYOMING COUNTIES IN WESTERN NEW YO$120KStarts Sep 30, 2026 · Award ↗
  • WAYNE COUNTY ACTION PROGRAM, INC. · NYRURAL NORTHERN BORDER REGION NETWORK PLANNING PROGRAM - FINGER LAKES COMMUNITY ACTION WILL LEAD THE WAYNE COUNTY RURAL EARLY CHILDHOOD HEALTH AND DEVELOPMENT NETWORK PLANNING PROJECT, A ONE-YEAR INITIATIVE TO STRENGTHEN EARLY CHILDHOOD HEALTH, DEVELOPMENTAL SCREENING, REFERRAL, FAMILY NAVIGATION, FOLLOW-UP, SHARED DATA, AND SUSTAINABILITY PATHWAYS IN ELIGIBLE RURAL COMMUNITIES IN WAYNE COUNTY, NEW$120KStarts Sep 30, 2026 · Award ↗
  • UNIVERSITY OF ROCHESTER · NYRURAL NORTHERN BORDER REGION NETWORK PLANNING PROGRAM - THE FLH RURAL PRIMARY CARE EXPANSION PROJECT WILL EXPAND ACCESS TO PRIMARY CARE IN NEWARK, LYONS & OVID (EASTERN WAYNE AND SENECA COUNTIES), BY ESTABLISHING 3 NEW PRIMARY CARE SITES WITH ON-SITE CLINICIANS, AS WELL AS ACCESS TO VIRTUAL VISITS WITH CARE MANAGERS AND A WIDE ARRAY OF SPECIALISTS, PARTICULARLY CANCER SPECIALISTS. TOGETHER, THIS T$120KStarts Sep 30, 2026 · Award ↗
  • THE WOMEN OF THE MOUNTAINS BIRTH INITIATIVE (WOMB INITIATIVE) · NHRURAL NORTHERN BORDER REGION NETWORK PLANNING PROGRAM - THE WOMEN OF THE MOUNTAINS BIRTH (WOMB) INITIATIVE SEEKS FUNDING THROUGH THE NORTHERN BORDER REGIONAL COMMISSION’S (NBRC) RURAL NORTHERN BORDER REGION NETWORK PLANNING (RNBR-NP) PROGRAM TO ADDRESS CRITICAL MATERNAL HEALTH ACCESS DISPARITIES IN NORTHERN AND RURAL NEW HAMPSHIRE. THIS ONE-YEAR CAPACITY-BUILDING PROJECT AIMS TO CREATE A SUSTAINAB$120KStarts Sep 30, 2026 · Award ↗
  • THE HARRY E. DAVIS PARTNERSHIP FOR CHILDREN'S ORAL HEALTH · MERURAL NORTHERN BORDER REGION NETWORK PLANNING PROGRAM - THE CHILDREN'S ORAL HEALTH NETWORK OF MAINE (COHN), IN PARTNERSHIP WITH THE MAINE CHAPTER OF THE AMERICAN ACADEMY OF PEDIATRICS, THE MAINE ORAL HEALTH CENTERS ALLIANCE, AND THE MAINE PRIMARY CARE ASSOCIATION, PROPOSES TO ESTABLISH THE MAINE DENTAL TRIAGE AND REFERRAL NETWORK WITH A GRANT FROM THE RURAL NORTHERN BORDER REGION NETWORK PLANNING $120KStarts Sep 30, 2026 · Award ↗
  • NORTHEASTERN VERMONT REGIONAL HOSPITAL INC · VTRURAL NORTHERN BORDER REGION NETWORK PLANNING PROGRAM - NORTHEASTERN VERMONT REGIONAL HOSPITAL (NVRH), IN PARTNERSHIP WITH NORTH COUNTRY HOSPITAL AND A NETWORK OF HEALTHCARE, BEHAVIORAL HEALTH, PUBLIC HEALTH, AND COMMUNITY-BASED ORGANIZATIONS, PROPOSES THE NORTHEAST KINGDOM ACCOUNTABLE COMMUNITY FOR HEALTH (ACH) REGIONALIZATION INITIATIVE. THIS PLANNING PROJECT WILL EXPAND THE LONG-STANDING ST. JO$120KStarts Sep 30, 2026 · Award ↗
  • NORTH EAST KINGDOM COMMUNITY ACTION, INC · VTRURAL NORTHERN BORDER REGION NETWORK PLANNING PROGRAM - NORTHEAST KINGDOM COMMUNITY ACTION (NEKCA), IN PARTNERSHIP WITH THE RURAL RESOURCE NETWORK MEMBERS, ARE SEEKING THIS PLANNING GRANT TO ESTABLISH RURAL RESOURCE HUB NETWORK TO BETTER SERVE THE RURAL NORTHERN REGION OF ESSEX COUNTY, VT. THIS NEWLY ESTABLISHING NETWORK WANTS TO ENGAGE IN A PLANNING PROCESS TO SUCCESSFULLY AND COLLABORATIVELY UTI$120KStarts Sep 30, 2026 · Award ↗
  • MAINEHEALTH · MERURAL NORTHERN BORDER REGION NETWORK PLANNING PROGRAM - TITLE: PLANNING A MULTI-INSTITUTIONAL CLINIC-TO-CLINIC PEDIATRIC SPECIALTY CARE NETWORK MAINEHEALTH, AS THE LEAD APPLICANT, IS APPLYING FOR THE HRSA-26-100 GRANT OPPORTUNITY TO SUPPORT OUR EFFORTS TO CREATE A COLLABORATIVE, MULTI-INSTITUTIONAL EFFORT TO DEVELOP A CLINIC-TO-CLINIC MODEL OF PEDIATRIC SPECIALTY CARE DELIVERY IN MAINE. A CLINIC-T$120KStarts Sep 30, 2026 · Award ↗
  • LAMOILLE COMMUNITY HOUSE INC · VTRURAL NORTHERN BORDER REGION NETWORK PLANNING PROGRAM - LAMOILLE COMMUNITY HOUSE (LCH), IN PARTNERSHIP WITH THE LAMOILLE VALLEY HOUSING AND HOMELESSNESS COALITION (LVHHC), SEEKS HRSA-26-100 FUNDING TO STRENGTHEN THE CONNECTION BETWEEN HOUSING AND HEALTHCARE FOR PEOPLE EXPERIENCING HOMELESSNESS IN RURAL LAMOILLE COUNTY, VERMONT. THE PROJECT WILL ESTABLISH A HOUSING AND HEALTHCARE INITIATIVE DIRECTO$120KStarts Sep 30, 2026 · Award ↗

Source: USAspending.gov (grants and cooperative agreements, award types 02–05), refreshed weekly; last checked Oct 9, 2026. Names and amounts are as reported by agencies and prime recipients. Past recipients show where money went — not who is eligible or how likely an application is to succeed.

Recently closed under 93.619

Closed opportunities under 93.619
OpportunityStatusAward rangeClosesALN
Delta States Rural Development Network ProgramHealth Resources and Services Administration
Closed$906K – $1.19MAug 12, 202693.619

Frequently asked questions

What is ALN 93.619?

93.619 is the Assistance Listing Number for “Rural Health Limited Geographic Areas: Delta, Appalachian Region, and Northern Border Region.” Assistance Listing Numbers (formerly CFDA numbers) identify federal assistance programs; individual grant opportunities reference the listing they are funded under.

Who can apply under ALN 93.619?

The SAM.gov listing names these applicant types: U.S. Territory (or Possession) Government (including freely-associated states), Local, U.S. State Government (including the District of Columbia), Federally Recognized Indian/Native American/Alaska Native Tribal Government and Nonprofit Organization. Each funding notice under the program sets its own eligibility, so check the specific opportunity.

How much funding does 93.619 provide?

The agency reported $37,655,215 in obligations for FY2025 in the SAM.gov Assistance Listing. These are program-wide totals reported by the agency, not a prediction of future awards.

Who has received funding under ALN 93.619?

Since October 1, 2023, USAspending.gov records 71 grant awards under 93.619. The largest recipients by obligations were 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) and 1 more. Past recipients do not indicate eligibility or chances of approval.