RCORP-Impact Offers Four Years of Federal Investment to Build Rural Substance Use Disorder Service Systems

The Health Resources and Services Administration, through its Federal Office of Rural Health Policy, is offering up to $750,000 per year for four years to rural organizations ready to build and sustain comprehensive systems of substance use disorder prevention, treatment, and recovery services. Applications are due July 8, 2026. This is a seed investment program for communities prepared to launch services immediately, not a planning grant, which means competitive applicants will have a network of partners already assembled and a credible plan for sustaining services after federal funding ends.

Assistance Listing Number: 93.912
Opportunity Identification Number: HRSA-26-037
Funding Agency: Health Resources and Services Administration, Federal Office of Rural Health Policy
Application Deadline: July 8, 2026

Rural Organizations with Networks, Clinical Partnerships, and Treatment Capacity Are the Target

All domestic organizations are eligible to apply, including nonprofits, governments, counties, faith-based organizations, schools, and for-profit entities. Individuals may not apply. The geographic restriction is firm: every activity funded through this award must be confined to counties and census tracts that HRSA has designated as rural through its Rural Health Grants Eligibility Analyzer. Organizations must be able to confirm their target service area meets this designation before investing time in application development.

Beyond geographic eligibility, the program requires that applicants demonstrate a network of at least four separately owned partner organizations, with at least half of those partners physically located in the rural service area. The application must include a plan for direct substance use disorder treatment services that includes access to medications for opioid use disorder, and at least one physical treatment or recovery service site in each county in the target area.

Organizations in areas not currently served by an active RCORP-Impact award, and organizations that have not previously received an RCORP-Impact award, receive additional priority consideration points in the review process, creating a meaningful structural advantage for first-time applicants in new geographic areas.

Funding Reaches Up to $750,000 Per Year for Four Years with No Matching Requirement

HRSA has set aside $60 million for this competition and expects to fund 80 awards. Every award is capped at $750,000 per 12-month budget period. There is no cost-sharing or matching requirement. The period of performance runs from September 1, 2026, through August 31, 2030. Organizations receive seed capital to launch services, not ongoing operational funding; the program is explicitly designed to help communities build systems that will sustain themselves through insurance billing, Medicaid reimbursement, and community support after the four-year grant ends.

Administrative Requirements Reflect Full Uniform Guidance Applicability

Awards operate under 2 CFR Part 200, the federal Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. This means organizations must maintain financial management systems capable of tracking and documenting all expenditures, will be subject to federal cost principles governing allowable costs, and will face single audit requirements if their total federal expenditures from all sources exceed $1 million in a given fiscal year.

Recipients must participate in a bimonthly learning collaborative, submit annual performance reports through a centralized HRSA system, coordinate data collection across network partners, and develop a Financial and Sustainability Plan before the award ends. Within 120 days of the award, a written partnership agreement with all network members covering shared goals, governance, and data sharing must be submitted to HRSA. Recipients must also track and report on the cascade of care for patients, from initial screening through sustained recovery.

Four Goals Structure the Funded Work Throughout the Period of Performance

The program organizes all funded activities around four goals: establishing or expanding evidence-based prevention, treatment, and recovery services; increasing access to supportive social services that help people stay in treatment and recovery; developing the substance use disorder workforce including both clinical providers and peer support specialists; and building and sustaining a multi-sector community network capable of delivering services after the grant ends. All four goals must be addressed in the proposed project; applicants cannot design a project that focuses exclusively on one or two areas.

The application is scored on 100 points covering the needs of the service area, the quality of the proposed approach, the strength of the performance data plan, the likelihood of lasting impact, the capacity of the organization and network, and the reasonableness of the budget.