Program Description

The Small Health Care Provider Quality Improvement Program is a three-year discretionary grant program authorized through the Public Health Service Act, Title III, Section 330 A (g) (42 U.S.C. 254c (g)), as amended. ; P.L. 114-53 with funding available for up to $200,000 per year for the provision of support to rural primary care providers with planning and implementation of quality improvement activities focused on promoting the development of an evidence-based culture and delivery of coordinated care in the primary care setting. Additional objectives of the program include: improved health outcomes for patients; enhanced chronic disease management; and better engagement of patients and their caregivers. Additional information can be found on the Federal Office of Rural Health Policy's program website.

General Program Requirements

Eligible Applicants:

  • Must be a rural public or rural nonprofit private health care provider or provider of health care services, such as a critical access hospital or a rural health clinic; or another rural provider or network of small rural providers; and
  • Must not previously have received a grant under this subsection for the same or similar project.

For purposes of this program, "health care provider" may include, but is not limited to, entities such as black lung clinics, hospitals, public health agencies, home health providers, mental health centers and providers, substance abuse service providers, rural health clinics, primary care providers, oral health providers, social service agencies, health profession schools, local school districts, emergency services providers, community health centers/federally qualified health centers, Tribal health programs, churches and civic organizations that are providing health related services.

If the applicant is a nonprofit entity, one of the following documents must be provided to document nonprofit status.

  • A letter from the IRS stating the organization's tax-exempt status under Section 501(c)(3);
  • A copy of a currently valid IRS tax exemption certificate;
  • Statement from a state taxing body, state attorney general or other appropriate state official certifying that the applicant organization has a nonprofit tax status and that none of the next earnings accrue to any private shareholders or individuals;
  • A certified copy of the organization's certificate of incorporation or similar document if it clearly establishes the nonprofit status of the organization; or
  • If the applicant is an affiliate of a parent organization, a copy of the parent organization's IRS 501(c)(3) Group Exemption Letter; and if owned by an urban parent, a statement signed by the parent organization that the applicant organization is a local nonprofit affiliate.

If the applicant is a public entity, proof of nonprofit status is not necessary. The applicant must submit an official signed letter on city, county, state or tribal government letterhead identifying them as a public entity. Applicants may include supplemental information such as documentation of the law that created the organization or documentation showing that the state or a political subdivision of the state controls the organization. Tribal government entities should verify their federally-recognized status via the Bureau of Indian Affairs.

The applicant organization must be located in a non-metropolitan county or in a rural census tract of a metropolitan county and all services must be provided in a non-metropolitan county or rural census tract. To ascertain rural eligibility, please refer to the Rural Health Grants Eligibility Analyzer. This Web page allows potential applicants to search by county or street address and determine their eligibility.

In addition to the 50 States, applicants can be located in Guam, the Commonwealth of Puerto Rico, the Northern Mariana Islands, American Samoa, the U.S. Virgin Islands, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau. Additional eligibility information can be accessed from on the Federal Office of Rural Health Policy's program website.

Your Next Steps

The following information will lead you to the next steps to apply for this program.

Application Process

The funding opportunity announcement for the Small Health Care Provider Quality Improvement Program will be competitive for funding again in FY19. The opportunity will be publicly available on and open for submission of applications prior to the specified closing date of the funding announcement. This program announcement is subject to the appropriation of funds, and is a contingency action taken to ensure that, should funds become available for this purpose, applications can be processed, and funds can be awarded in a timely manner. Applicants should follow the instructions provided in the application package and funding opportunity announcement included on the website when applying.

Program Contact Information

Katherine Lloyd
Public Health Analyst

Additional Information

Catalog of Federal Domestic Assistance (CFDA) Number93.912
Current Method of Tribal EligibilityProgram not specific to American Indians and Alaska Natives, but they are eligible
Can the funding from the program be renewedYes
Funding TypeDiscretionary
Entities Eligible for Grant AssistanceOther Tribal and Native Entities, Non-Tribal Entities
Matching Funds RequiredNo
Length of Program3 years
Recurring Base Funding for TribesNo
Do Tribes compete with other entities for funding from the program?Yes
Tribes Funded by this Programone

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