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Rural Maternity and Obstetrics Management Strategies (RMOMS) Program

Now Accepting Applications

Visit Grants.gov to review the current RMOMS Notice of Funding Opportunity.
Apply by April 5, 2022

Join our webinar for applicants HRSA Exit Disclaimer on January 26, 2022 at 1 p.m. ET
Call-In Number: 833-568-8864
Participant Code: 06048296

We fund the RMOMS program to increase access to maternal and obstetrics care in rural communities. This improves health outcomes for mothers and infants.

Why did we create the RMOMS program?

Rural mothers have more trouble getting care:

  • More than half of all rural U.S. counties lack hospital obstetric services.1
  • Closures are more common in small hospitals and communities with a limited obstetric workforce.2
  • Maternal mortality and morbidity are rising.3, 4
  • Large racial and ethnic disparities in pregnancy-related mortality continue. African American and American Indian/Alaskan Native patients have a higher risk than white patients.5

These challenges highlight the need for innovative, flexible models of care.

RMOMS also aligns with important government-wide initiatives, including the HHS Rural Action Plan (PDF - 635 KB).

What does the RMOMS program do?

RMOMS awardees test programs to address unmet needs for their target population. These populations may have suffered from poorer health outcomes, health disparities, and other inequities.

RMOMS improves maternal care in rural communities by:

  • Collecting data on rural hospital obstetric services;
  • Building networks to coordinate continuum of care;
  • Leveraging telehealth and specialty care; and
  • Improving financial sustainability.

If the programs are successful, they can serve as a model for other rural networks.

How long does the RMOMS program last?

RMOMS is a four-year program. The first year is dedicated to planning followed by three years of putting it into action. We evaluate our program and the results tell us what helps maternal care and what doesn’t.

Cohort 1: HRSA’s Federal Office of Rural Health Policy (FORHP) and Maternal and Child Health Bureau (MCHB) funded the initial pilot (September 2019 to August 2023).

Cohort 2: HRSA’s Federal Office of Rural Health Policy (FORHP) has funded a second cohort (September 2021 to August 2025).

What awardees and networks are in the RMOMS program?

FY 2021 Award Recipients and Networks

Organization City State Service Area Network FY21 Award Amount
Sanford Health of Northern Minnesota Bemidji MN Beltrami, Cass, Clearwater, Hubbard, and Itasca counties Families First: Rural Maternity Health Collaborative $922,562
Big Springs Medical Association, Inc. Ellington MO Butler, Carter, Iron, Reynolds, Ripley, Shannon, and Wayne counties RMOM-Southeast Missouri Partnership (RMOM-SMP) $1,000,000
WV Perinatal Partnership, Inc. Charleston WV Braxton, Calhoun, Gilmer, Lewis, Nicholas, Roane, Upshur, and Webster counties The West Virginia Rural Maternity and Obstetric Management Strategies Collaborative (WV RMOMS) $999,685

FY 2019 Award Recipients and Networks

Organization City State Service Area Network FY19 Award Amount
Saint Francis Medical Center Cape Girardeau MO Dunklin, Mississippi, New Madrid, Pemiscot, Scott, and Stoddard counties Bootheel Perinatal Network (BPN) (PDF - 403 KB) $600,000
Taos Health Systems, Inc. Taos NM Colfax, Harding, Mora, Taos, and Union counties Rural Ob Access & Maternal Services Network (ROAMS) (PDF - 448 KB) $593,400
Bexar County Hospital District San Antonio TX Edwards, Kinney, Real, Uvalde, Val Verde, and Zavala counties TX-RMOMS Comprehensive Maternal Care Network (PDF - 540 KB) $599,090

Learn more about RMOMS

2021 RMOMS Annual Report Executive Summary (PDF - 176 KB)
2021 RMOMS Annual Evaluation Report (PDF - 1.4 MB)
2021 RMOMS Fact Sheet (PDF - 489 KB)

Learn more about maternal health

HRSA Maternal/Women’s Health
Maternal Mortality Centers for Disease Control and Prevention
Maternal Health Learning & Innovation Center HRSA Exit Disclaimer
Maternal Health HRSA Exit Disclaimer Rural Health Research Gateway

Contact Us

Victoria (Vicky) Tsai
RMOMS Program Coordinator
Email: RMOMS@hrsa.gov
Phone: 301-443-8930


1Hung, et. al. Access To Obstetric Services In Rural Counties Still Declining, With 9 Percent Losing Services, 2004–14 HRSA Exit Disclaimer, Health Affairs, September 2017.

2 Hung, et. al. Why Are Obstetric Units in Rural Hospitals Closing Their Doors? HRSA Exit Disclaimer, Health Services Research, 25 January 2016.

3 Pregnancy Mortality Surveillance System, Centers for Disease Control and Prevention, 4 February 2020.

4 Severe Maternal Morbidity in the United States, Centers for Disease Control and Prevention, 31 January 2020.

Infographic: Racial/Ethnic Disparities in Pregnancy-Related Deaths — United States 2007-2016, Centers for Disease Control and Prevention, 4 February 2020.

Date Last Reviewed:  January 2022