The Notice of Funding Opportunity (NOFO) from the Federal Office of Rural Health Policy outlines a funding initiative for the Rural Program of All-Inclusive Care for the Elderly (PACE) Planning and Development, with applications due by April 17, 2025. The program aims to support organizations in developing or expanding PACE services in rural areas, targeting improved access to comprehensive medical and social services for elderly populations. With a funding pool of $2 million, the initiative expects to award four grants, each worth $500,000, with a total performance period of four years. Eligible applicants include public and private nonprofit or for-profit entities, including educational institutions, state and local governments, and health departments. These PACE programs aim to deliver integrated care while addressing unmet health needs in designated rural areas. Applicants must choose between two funding pathways—establishing a new PACE site or expanding an existing program. The review process will assess the applications based on criteria including need, response, reporting, impact, resources, and requested support. Successful applicants will collaborate with state agencies and CMS to complete appropriate applications and sustain these services beyond the funding period. The document serves as an essential guide for potential applicants by providing requirements, eligibility, budgetary guidelines, and submission criteria to foster rural healthcare improvement.