# TX - 2026 - HHS0016838 - RFA - Maternal Health Outcomes Program

The Texas Maternal Health Outcomes Program (HHS0016838) provides up to $5,000,000 to advance systems, data, partnerships, and coordination to improve maternal health outcomes across Texas. The RFA targets reducing severe obstetric complications, especially in rural and high-need areas. Funds support quality improvement, systems changes, and capacity-building; direct clinical care is not funded.

## Key facts

- Status: Closed
- Type: RFA
- Issued by: Texas Health and Human Services Commission (Texas)
- Posted: 2026-01-07
- Questions due: 2026-01-13
- Application due: 2026-02-05
- Funding: $5.0M
- Eligible applicants: Governmental entity (state/local agency, health department, hospital district, university medical center), Federally Qualified Health Center (FQHC), Nonprofit 501(c)(3) organization
- How to apply: Electronic submission via Texas HHS Application Portal (see official RFA and Exhibits).
- Funding source: state-funded, not RHTP
- Official source: https://resources.hhs.texas.gov/rfa/hhs0016838

## Eligibility

Eligible applicants are governmental entities (health departments, hospital districts, university medical centers, or other state or local agencies), Federally Qualified Health Centers (FQHCs), and nonprofit entities with 501(c)(3) status. Projects must have statewide or rural focus. For-profit entities are not eligible.

## Requirements

Applicants must submit an application through the prescribed forms, demonstrate ability to implement maternal health system improvements, and focus on reducing disparities and severe obstetric complications. Required attachments include budget templates, key personnel forms, and signed data use agreements. See RFA document for full requirements.

## Required attachments

- Form A - Application Face Page
- Form B-1 - Key Personnel
- Budget Template (Exhibit I)
- Data Use Agreement (Exhibit D-2)
- Other required exhibits as outlined in RFA documents

## Application package and source documents

- [TX - 2022 - PCS 134-G Applicant Questions and Answers for HHS0016838 Maternal Health Outcomes (TX - 2022 - HHS0016838 - Attachment 1 to Addendum No. 2 (PDF))](https://www.ruralcarejourney.com/api/documents/e8f4f1ef-2a9d-4b5e-acf7-1f84821cf79d/file) — official: https://resources.hhs.texas.gov/sites/default/files/documents/attachment-1-to-addendum-no-2-for-hhs0016838.pdf
- [TX - 2026 - awarded grants hhs0016838 (TX - 2026 - HHS0016838 - Awarded Grants (XLSX))](https://www.ruralcarejourney.com/api/documents/8e754711-21a1-47f8-90ce-93ebbb4d8a87/file) — official: https://resources.hhs.texas.gov/sites/default/files/documents/awarded-grants_hhs0016838.xlsx
- [TX - 2026 - HHS0016838 - Exhibits and Forms (ZIP) (Exhibit I, Requested Estimated Annual Budget Template.xlsx)](https://www.ruralcarejourney.com/api/documents/1a12502a-f111-484b-9678-ea6e49395d0b/file) — official: https://resources.hhs.texas.gov/sites/default/files/documents/hhs0016838-exhibits-and-forms.zip
- [TX - 2026 - HHS0016838 - Awarded Grants (XLSX) (TX - 2026 - HHS0016838 - Awarded Grants (XLSX))](https://www.ruralcarejourney.com/api/documents/c55572d4-e120-4e78-a31f-6b9be6845045/file) — official: https://resources.hhs.texas.gov/sites/default/files/documents/awarded-grants_hhs0016838-revised.xlsx
- [TX - 2026 - Grant for Maternal Health Outcomes Program RFA No. HHS0016838 (TX - 2026 - HHS0016838 - Request for Application (PDF))](https://www.ruralcarejourney.com/api/documents/290ca459-63d3-4a87-9eb9-1b0274416810/file) (primary) — official: https://resources.hhs.texas.gov/sites/default/files/documents/hhs0016838-request-for-applications.pdf
- [TX - 2026 - HHS0016838 | Resources (TX - 2026 - HHS0016838 | Resources)](https://www.ruralcarejourney.com/api/documents/09ddc7cf-c9ca-45dc-94a8-5e6c998a743d/file) — official: https://resources.hhs.texas.gov/rfa/hhs0016838
- [TX - 2023 - Exhibit A. HHS Solicitation Affirmations](https://www.ruralcarejourney.com/api/documents/6ac702ad-f92b-44e7-96c6-0bfc24be6ac7/file) — official: https://resources.hhs.texas.gov/sites/default/files/documents/hhs0016838-exhibits-and-forms.zip#zip-entry=Exhibit%20A%2C%20HHS%20Solicitation%20Affirmations%20v.%202.9.pdf&sha256=eadd0e7b975d
- [TX - 2024 - RFA No. HHS0016838 Exhibit B Health and Human Services (HHS) Uniform Terms and Conditions - Grant](https://www.ruralcarejourney.com/api/documents/86394009-1758-4e17-ae16-3e4aaabf5bd7/file) — official: https://resources.hhs.texas.gov/sites/default/files/documents/hhs0016838-exhibits-and-forms.zip#zip-entry=Exhibit%20B%2C%20HHS%20Uniform%20Terms%20and%20Conditions%20-%20Grant%20v%203.5.pdf&sha256=e04a1953a2d5
- [Exhibit C, HHS Additional Provisions - Grant Funding V.1.0.pdf](https://www.ruralcarejourney.com/api/documents/5322266c-9b5a-4c69-bb37-3cba7a398ccb/file) — official: https://resources.hhs.texas.gov/sites/default/files/documents/hhs0016838-exhibits-and-forms.zip#zip-entry=Exhibit%20C%2C%20HHS%20Additional%20Provisions%20-%20Grant%20Funding%20V.1.0.pdf&sha256=28691fc78729
- [TX - 2019 - RFA No. HHS0016838 Exhibit D Data Use Agreement Between Texas Health and Human Services System and Contractor](https://www.ruralcarejourney.com/api/documents/2cbc8106-953c-4e03-b864-76e77b1e926f/file) — official: https://resources.hhs.texas.gov/sites/default/files/documents/hhs0016838-exhibits-and-forms.zip#zip-entry=Exhibit%20D%2C%20HHS%20Data%20Use%20Agreement%20v.8.5.pdf&sha256=95f116ad00d2
- [TX - 2019 - RFA No. HHS0016838 Exhibit D-1 Data Use Agreement Between the Texas Health and Human Services System and Contractor](https://www.ruralcarejourney.com/api/documents/a4a673eb-feb6-4837-b4d1-738cb8b421ba/file) — official: https://resources.hhs.texas.gov/sites/default/files/documents/hhs0016838-exhibits-and-forms.zip#zip-entry=Exhibit%20D-1%2C%20Data%20Use%20Agreement%20Governmental%20Entity%20v.8.5.pdf&sha256=7d5c3bdd7d02
- [TX - 2026 - Exhibit D 2, Data Use Agreement Attachment 2, Security and Privacy Inquiry (SPI)](https://www.ruralcarejourney.com/api/documents/bbfef85b-76a0-4db6-b16a-29d7644ec961/file) — official: https://resources.hhs.texas.gov/sites/default/files/documents/hhs0016838-exhibits-and-forms.zip#zip-entry=Exhibit%20D-2%2C%20Data%20Use%20Agreement%20-%20Attachment%202%2C%20Security%20and%20Privacy%20Inquiry%20(SPI).pdf&sha256=413aa2bc6c81
- [TX - 2026 - EXHIBIT E: EXCEPTIONS](https://www.ruralcarejourney.com/api/documents/eebcb0cb-0f77-4eb5-8308-8a1e6064ad50/file) — official: https://resources.hhs.texas.gov/sites/default/files/documents/hhs0016838-exhibits-and-forms.zip#zip-entry=Exhibit%20E%2C%20Exceptions.docx&sha256=fca930581004
- [TX - 2026 - Exhibit F, Evaluation Tool](https://www.ruralcarejourney.com/api/documents/452b583b-5b2b-4cbc-9020-06167bebcbb3/file) — official: https://resources.hhs.texas.gov/sites/default/files/documents/hhs0016838-exhibits-and-forms.zip#zip-entry=Exhibit%20F%2C%20Evaluation%20Tool.pdf&sha256=d81ce16a05fb
- [TX - 2026 - Exhibit G, Online Bid Room Information](https://www.ruralcarejourney.com/api/documents/f673afca-5d9d-47c9-92c4-17d82f1063aa/file) — official: https://resources.hhs.texas.gov/sites/default/files/documents/hhs0016838-exhibits-and-forms.zip#zip-entry=Exhibit%20G%2C%20Online%20Bid%20Room%20Information%20v.%201.4.pdf&sha256=f8bc5558d54f
- [TX - 2026 - Exhibit H, Insurance Requirements](https://www.ruralcarejourney.com/api/documents/0d99871b-887c-4d53-a121-54d6a3801ab2/file) — official: https://resources.hhs.texas.gov/sites/default/files/documents/hhs0016838-exhibits-and-forms.zip#zip-entry=Exhibit%20H%2C%20Insurance%20Requirements.pdf&sha256=3c1dbd55dd2f
- [TX - 2026 - Exhibit I, Requested Estimated Annual Budget Template](https://www.ruralcarejourney.com/api/documents/c1999efe-b361-4405-ab26-2033145661f6/file) — official: https://resources.hhs.texas.gov/sites/default/files/documents/hhs0016838-exhibits-and-forms.zip#zip-entry=Exhibit%20I%2C%20Requested%20Estimated%20Annual%20Budget%20Template.xlsx&sha256=70f53fe5de1f
- [TX - 2026 - Form A – Face Page](https://www.ruralcarejourney.com/api/documents/d65c7d5b-bf25-4fae-843c-0526bc5f793e/file) — official: https://resources.hhs.texas.gov/sites/default/files/documents/hhs0016838-exhibits-and-forms.zip#zip-entry=Form%20A%2C%20Face%20Page.docx&sha256=3c96b879aefa
- [Form B-1, Governmental Entity Authorized Officials & Other Key Personnel.docx](https://www.ruralcarejourney.com/api/documents/6fd2507c-8699-458f-bd9f-106076e36a7e/file) — official: https://resources.hhs.texas.gov/sites/default/files/documents/hhs0016838-exhibits-and-forms.zip#zip-entry=Form%20B-1%2C%20Governmental%20Entity%20Authorized%20Officials%20%26%20Other%20Key%20Personnel.docx&sha256=38bf0957e336
- [TX - 2026 - Form B-2, Nonprofit or For-Profit Entity](https://www.ruralcarejourney.com/api/documents/b31dc976-4a9b-4685-884a-17734c74c691/file) — official: https://resources.hhs.texas.gov/sites/default/files/documents/hhs0016838-exhibits-and-forms.zip#zip-entry=Form%20B-2%2C%20Nonprofit%20or%20For-Profit%20Entity.docx&sha256=4128f9725e66
- [TX - 2026 - Form C, Work Plan](https://www.ruralcarejourney.com/api/documents/29e17e7a-d684-478b-b5e4-dff3ae839e02/file) — official: https://resources.hhs.texas.gov/sites/default/files/documents/hhs0016838-exhibits-and-forms.zip#zip-entry=Form%20C%2C%20Work%20Plan.docx&sha256=40124692698c
- [TX - 2026 - Form D: Texas Counties Served by Project](https://www.ruralcarejourney.com/api/documents/ce6c1a40-0741-41fe-810d-f0eb8b9b7e6e/file) — official: https://resources.hhs.texas.gov/sites/default/files/documents/hhs0016838-exhibits-and-forms.zip#zip-entry=Form%20D%2C%20Texas%20Counties%20Served%20by%20Project.docx&sha256=c1b0e12ee7a9
- [TX - 2026 - Form E: Performance Measures and Funding Ceiling Request](https://www.ruralcarejourney.com/api/documents/5f6c4283-3998-4c42-b681-45407b03a702/file) — official: https://resources.hhs.texas.gov/sites/default/files/documents/hhs0016838-exhibits-and-forms.zip#zip-entry=Form%20E%2C%20Performance%20Measures%20and%20Funding%20Ceiling%20Request.docx&sha256=24d6d0819862
- [TX - 2026 - Form F, Subcontracting Information](https://www.ruralcarejourney.com/api/documents/3040bc7a-cd5a-4ec6-a654-ec27b0f2225a/file) — official: https://resources.hhs.texas.gov/sites/default/files/documents/hhs0016838-exhibits-and-forms.zip#zip-entry=Form%20F%2C%20Subcontracting%20Information.docx&sha256=3b11ff18ae67
- [TX - 2005 - Form G: Contract and Litigation History](https://www.ruralcarejourney.com/api/documents/434b8534-4167-4af7-bacc-94cd990382ed/file) — official: https://resources.hhs.texas.gov/sites/default/files/documents/hhs0016838-exhibits-and-forms.zip#zip-entry=Form%20G%2C%20Contract%20and%20Litigation%20History.docx&sha256=d87a338defbc
- [TX - 2026 - Form H: Internal Controls Questionnaire](https://www.ruralcarejourney.com/api/documents/accdea8c-dafc-49be-ad0f-3f552fd80af1/file) — official: https://resources.hhs.texas.gov/sites/default/files/documents/hhs0016838-exhibits-and-forms.zip#zip-entry=Form%20H%2C%20Internal%20Controls%20Questionnaire.docx&sha256=af6eec3820bd
- [TX - 2018 - Form I, HHS System Indirect Costs Rate Questionnaire for Request for Application HHS0016838](https://www.ruralcarejourney.com/api/documents/665d3a89-5c49-4cf1-a0bd-7346a8360765/file) — official: https://resources.hhs.texas.gov/sites/default/files/documents/hhs0016838-exhibits-and-forms.zip#zip-entry=Form%20I%2C%20HHS%20System%20Indirect%20Costs%20Rate%20Questionnaire.pdf&sha256=725270e0a0df

More Texas RHTP activity: https://www.ruralcarejourney.com/states/tx (markdown: https://www.ruralcarejourney.com/states/tx.md)

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Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/tx-2026-hhs0016838-rfa-maternal-health-outcomes-program--5d936b4a48 — data as of 2026-08-18.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.