Activity Feed
All detected changes across 50 state RHTP sites, newest first.
All downloaded files — 2,866 total
Wednesday, April 15 2026
29 updatesRHTP Project Narrative*
This document is California's Rural Health Transformation Program (CA-RHT) application, outlining the state's comprehensive rural health transformation strategy under the Rural Health Transformation Program (RHTP). It details demographic factors, strategic goals, workforce and technology initiatives, regional hub-and-spoke care models, and milestone-based transformative payments to rural hospitals, with focused attention on high-need populations and Tribal communities. The application substantiates California's request for RHTP support and provides a roadmap for improving rural health access, quality, and provider sustainability.
RHTP Budget Narrative*
This document is California's Budget Narrative for the Rural Health Transformation Program (RHTP), detailing the state's proposed CA-RHT initiatives for the 2026-2027 period under federal RHTP. It outlines three major initiatives—Transformative Care Model, Workforce Development, and Technology & Tools—supported by $233.6 million in federal grant funds, along with comprehensive staffing, implementation structure, personnel costs, travel, and subrecipient grant strategies. The plan establishes HCAI as program lead, sets up leadership and evaluation processes, and targets the expansion of care networks, workforce, and IT capacity across rural California.
Frequently Asked Questions
This FAQ summarizes California’s implementation of the Rural Health Transformation Program (RHTP) as CalRHT. California was awarded $233,639,308 for FY2026 to launch initiatives in transformative care, workforce development, and technology for rural communities. Key next steps include CMS approval of the revised budget and the release of a Request for Applications for rural providers.
Arizona’s RHT Program White Paper
The document details Arizona's successful application and initial award for the CMS-administered Rural Health Transformation Program (RHTP) under the One Big Beautiful Bill Act. Arizona will use a $167 million award to expand access, improve workforce, and pilot value-based models in rural and Tribal areas via strategic investments in telehealth, workforce development, and health equity. The state will launch the program with a phased, five-year statewide implementation and robust stakeholder engagement.
Arizona’s Notice of Award 12/29/25
This is the official Notice of Award for Arizona's Rural Health Transformation Program (RHTP), funded under the Big Beautiful Bill Act of 2025, Section 71401. Arizona was awarded $166,988,955.92 to transform rural healthcare delivery—including telehealth, integrated care, behavioral health, chronic disease, child and maternal health, and workforce. The award defines financial terms, reporting requirements, milestones, and restrictions tied directly to RHTP implementation in Arizona.
Arizona’s Approved Program Narrative
Arizona's Rural Health Transformation Program (RHTP), aligned with CMS guidance, targets 785,992 rural Arizonans through an integrated set of initiatives addressing health access, outcomes, workforce shortages, technology, and financial sustainability. Key strategies include expanding telehealth, deploying workforce training and incentive programs, piloting new care and payment models, improving maternal-fetal health, and pursuing licensure compacts to increase rural provider mobility and resilience. Progress milestones cover planning, stakeholder coordination, implementation, reporting, and sustainability, with performance focuses on enhanced access, improved outcomes, and workforce development statewide.
Rural-Health-Transformation-in-Wyoming-final-application.pdf
This is Wyoming's RHTP application to CMS under the One Big Beautiful Bill Act outlining state transformation initiatives. The proposal targets $200 million for improving rural care access, EMS and workforce, provider viability, technology adoption, and health outcomes. It details Wyoming's rural demographics, needs, strategic goals, stakeholder engagement, and a multi-initiative implementation roadmap.
NOA_RHTCMS332082-01-00-redacted.pdf
This document is the Notice of Award for Wyoming's Rural Health Transformation Program (RHTP) application under the One Big Beautiful Bill Act. It details the award amount, required terms and conditions, restrictions on initial drawdown of funds pending budget revision, and reporting deadlines for progress and financial reports. The award is administered by CMS and outlines the program's period of performance and cooperative agreement structure.
H.R.1 Documents and Resources | Health Care Reform
The document relates to Vermont's RHTP application materials, including summary and activity details. It also references relevant listening sessions with providers and community partners.
RHTP Application Activity Details | Health Care Reform
This document appears to be Vermont's application activity details for the Rural Health Transformation Program (RHTP), submitted in 2026. It likely outlines Vermont's participation or intent to participate in RHTP under the One Big Beautiful Bill Act.
RHTP Application Summary | Health Care Reform
The document is an application summary for Vermont's participation in the Rural Health Transformation Program (RHTP). It provides an overview of the state's approach to rural health transformation under the RHTP initiative. Specific details about programs, awards, or milestones are not included in the available text.
RHTP Listserv | WV Department of Health
This webpage provides an overview of the Rural Health Transformation Program (RHTP) in West Virginia. It lists opportunities to subscribe for updates on multiple RHTP initiatives and confirms a federal grant award totaling $199,476,098.72 from CMS/HHS. Several named initiatives focus on building rural healthcare infrastructure, workforce, technology, and integrated care programs across the state.
WV Department of Health
The West Virginia Department of Health publicly launched several foundational activities for the Rural Health Transformation Program, including executive leadership, an advisory panel, and an informational listserv. A report expressed concern regarding delay in authorizing $199 million for RHTP, risking federal funding and rural health access. No details on program initiatives, goals, or partners are provided.
RHTP Leadership | WV Department of Health
The document provides contact information for the leadership team of West Virginia's Rural Health Transformation Program (RHTP). It notes that the RHTP is funded by a $199,476,098.72 award from CMS/HHS. No further program details, milestones, or strategic goals are provided.
RHT Program Reporting and Rescoring Webinar_02.25.26
This draft CMS webinar provides detailed guidance on RHT Program state-level annual and quarterly reporting requirements. It outlines program timelines, required templates, the rescoring process for funding decisions, and the shift from Excel to a web-based reporting tool for states. No specific state- or initiative-level data is included, as this is a general federal instructional document.
Provider Payments Fact Sheet
This fact sheet provides guidance on allowable and unallowable uses of Category B Provider Payments under the Rural Health Transformation Program. It outlines restrictions, sustainability requirements, and the 15% cap on Category B funding, as well as allowable example expenditures tied to state RHT transformation plan initiatives. The document clarifies payment models and directs states to ensure RHTP funds do not duplicate existing programs.
Rural Health Transformation (RHT) Program | CMS
The Rural Health Transformation Program (RHTP), a $50 billion initiative authorized by the One Big Beautiful Bill Act, aims to transform rural healthcare nationwide by supporting state-based innovation, sustainability, workforce development, care coordination, and technology advancement. The program will fund approved states from FY2026 to FY2030, with application and award timelines set for late 2025. Strategic goals include improving rural health access, fostering tech solutions, and enabling innovative care and workforce models.
HR 1, the One Big Beautiful Bill Act (OBBBA)
This federal statute establishes the Rural Health Transformation Program (RHTP), appropriating $50 billion for state transformation plans to support rural hospitals and providers from FY2026-2030. States must submit detailed transformation plans to CMS by December 31, 2025 to access funding for quality improvement, workforce, technology, and sustainable rural health care delivery. The law sets out eligibility, allotment formulas, permitted activities, and strategic priorities for RHTP funding.
Learn more about this program
This document outlines HR 1's authorization of the Rural Health Transformation Program (RHTP), a new $50 billion federal program requiring Utah to submit a transformation plan to CMS by December 31, 2025. It specifies eligible activities, facilities, and the state's minimum annual appropriation under RHTP. The guidance highlights required plan components and lists eligible uses of RHTP funds, emphasizing technology, access, quality, workforce, and sustainability.
Meeting slide deck
This document summarizes Utah's participation in the Rural Health Transformation Program (RHTP), including a CMS financial assistance award of $195.7 million for Year 1. It details RHTP's major initiatives for rural health, workforce, infrastructure, telehealth, and innovation, with federal funding totaling $500 million over five years. Stakeholder engagement, key timelines, funding strategies, and the program’s strategic goals to transform rural healthcare in Utah are outlined.
CMS Application Overview
This document is Virginia’s official application to the Rural Health Transformation Program, submitted to CMS on November 5, 2025. It outlines a $1 billion, five-year state plan called 'VA Rural Vitality' detailing strategic initiatives to modernize technology, build workforce pipelines, expand rural care access, and promote healthy lifestyles. The plan includes collaboration with a range of partners and awaits CMS funding determination by December 31, 2025.
CMS Application
This document is Virginia's official Rural Health Transformation Program (RHTP) application to CMS, proposing the VA Rural Vitality set of initiatives targeting rural health transformation statewide. The application describes strategic goals and objectives aligned with RHTP priorities, including improving access, outcomes, workforce development, and ensuring provider financial stability. It provides demographic analysis, stakeholder findings, detailed performance targets, and specific milestones for implementation.
See Tennessee Gov. Bill Lee's Announcement of Tennessee's Proposal
On November 5, 2025, Tennessee submitted its application to access Rural Health Transformation Program (RHTP) funding established by the One Big Beautiful Bill Act. The proposal details five transformation goals, emphasizing modernization, value-based care, maternal health, prevention, health technology, and workforce development. The application builds upon existing state-led rural health initiatives and partnerships.
Download the Full Version of Tennessee's Rural Health Transformation Plan
This document is Tennessee's application for the CMS Rural Health Transformation Program (RHTP), outlining a comprehensive, statewide rural health transformation strategy under the One Big Beautiful Bill Act. The plan includes substantial investments in rural hospital right-sizing, workforce pipeline development, enhanced EMS and community paramedicine, health IT modernization, and financial sustainability models. It includes data-driven goals, performance targets through FY2031, and details on alignment with RHTP federal priorities.
View the PowerPoint presentation
This webinar provides an overview of the Tennessee Rural Health Transformation Program (RHTP) under the CMS-administered Rural Health Transformation Program. It outlines eligibility, strategic goals, upcoming RFP and application timelines, and funding details including a federal award of $206.9 million in Budget Period One. The document details program phases, milestones, eligible activities, and key priorities focused on workforce, care innovation, technology, access, and population health.
Budget Period 1 Revised Project Narrative
Rural Texas Strong is the state's comprehensive RHTP application to CMS, targeting transformation in 202 rural counties and serving nearly 3.7 million rural residents. It sets strategic goals around access, technology, partnerships, workforce, and financial solvency, with measurable performance targets through FY2031. Main initiatives emphasize AI and telehealth, chronic disease prevention, workforce development, cybersecurity, and capital investments for rural hospitals and providers.
Notice of Award Dec. 29, 2025
This document is a CMS award notice for Texas under the Rural Health Transformation Program (RHTP), authorized by the Big Beautiful Bill Act of 2025, Section 71401. It includes fiscal award details, recipient and federal agency contacts, terms and conditions for cooperative agreement compliance, and outlines mandatory reporting deadlines, progress report requirements, and allowable cost categories. The award totals $281,319,360.67 for the first budget period, with future periods and continuation funding contingent on satisfactory performance and compliance.
Rural Texas Strong – Frequently Asked Questions
This FAQ document describes the Rural Texas Strong (RTS) program, Texas' implementation of the federal Rural Health Transformation Program (RHT) under the One Big Beautiful Bill Act. Texas was awarded $281.3 million by CMS for the first year of this 5-year RHT initiative, with processes for updating budgets and awarding funds described. RTS funding supports six initiatives focused on transforming rural health in Texas between 2026 and 2030.
Medicaid Primary Accountable Care Transformation (PACT)
This strategy document outlines South Dakota's Medicaid Primary Accountable Care Transformation (PACT) model as part of the Rural Health Transformation Project funded by CMS. The initiative focuses on transitioning to value-based primary care, supporting provider infrastructure, and aligning payment models across payers. Over $189 million in federal funding supports substantial transformation efforts in rural primary care delivery and quality improvement.
Regional Maternal and Infant Health Hubs
South Dakota is launching a CMS-funded Rural Health Transformation Project initiative to create regional maternal and infant health hubs in rural and tribal areas. The project supports clinical transformation through a hub-and-spoke model, integrating social support and workforce development. Key activities include policy alignment, enhancing care coordination, growing the doula workforce, and increasing access to high-quality prenatal and postpartum care.
Integrated Behavioral Health System
This application describes South Dakota's statewide Rural Health Transformation Project to expand access to integrated behavioral health care in rural and frontier regions via CCBHC certification and Collaborative Care Model expansion. The project supports provider capacity building, mobile crisis response, EHR/IT development, and implementation of a behavioral health PPS with value-based incentives. CMS provides $189 million in full federal funding.
Download the RHTP Overview Presentation
This document outlines the Pennsylvania Rural Health Transformation Plan under the Rural Health Transformation Program (RHTP). It details the $193 million federal award from CMS to Pennsylvania for 2026, describes launch plans, regional Rural Care Collaboratives, rapid response investments for workforce, EMS, technology, and outlines overarching strategic goals for resilient rural communities.
Project Narrative
This document is South Carolina's RHTP application, outlining a comprehensive plan for rural health transformation. Five major initiatives focus on digital infrastructure, chronic disease management, workforce recruitment and retention, provider technology upgrades, and health outcomes improvement. The application addresses systemic barriers, details targeted investments, and aligns with RHTP's strategic goals, aiming for measurable transformation by FY2030.
Other Attachments
This document is a letter of support and program duplication assessment for South Carolina's application to the Rural Health Transformation Program (RHTP), submitted under Funding Opportunity CMS-RHT-26-001. It details broad stakeholder engagement and outlines the plan's focus on improving access to quality health care, especially chronic disease management, in rural areas. The South Carolina Department of Health and Human Services is designated as the lead agency and will oversee application, administration, and implementation.
Budget Narrative
This document is South Carolina’s amended RHTP application budget narrative detailing a $1 billion funding strategy under the Rural Health Transformation Program. Funds support five major initiatives—Connections to Care, Leveling Up, Wellness Within Reach, Shoring Up to Sustainability, and the Tech Catalyst Fund—through subrecipient and contractor awards focused on rural health IT modernization, chronic disease management, workforce incentives, facility enhancements, community paramedicine, crisis response, and network and financial sustainability. The budget displays detailed plans for allocation, compliance, and accountability over a five-year implementation period.
Project narrative
This document is Rhode Island's application for the Rural Health Transformation Program, proposing a comprehensive strategy to transform rural health delivery through integrated community clinical Hubs and Networks. The plan is guided by five strategic goals and includes a set of measurable objectives focused on improving access, quality, workforce, payment models, and technology adoption in rural areas. The first initiative, with an estimated $80M award, aims to establish a durable population health infrastructure serving 18 rural towns, addressing chronic disease, behavioral health, access, and workforce gaps.
Application summary
The Rhode Island Executive Office of Health and Human Services submitted an RHTP application outlining a five-year, $1 billion program to transform rural health care delivery. The state's plan features 13 initiatives including new clinical care hubs, expanded EMS capacity, hospital-at-home, and a statewide HIT modernization program. Key goals are to improve rural health, expand access, strengthen the workforce, promote value-based models, and drive technology integration.
Letters of support
This document consists of multiple letters of support from statewide and regional partners for Rhode Island's application to the Rural Health Transformation Program (RHTP) under CMS Funding Opportunity Number CMS-RHT-26-001. Partner organizations commit to several key initiatives, including workforce development, payment reforms, EMS infrastructure enhancements, behavioral health expansion, and telehealth modernization as part of Rhode Island’s Rural Health Transformation Plan. The letters highlight Rhode Island's collaborative approach and readiness to implement transformative projects to improve rural health outcomes, access, and system sustainability.
Budget Narrative
This document is a detailed RHTP budget narrative and application for Oklahoma covering FY2026–FY2030, specifying an initial award of $223,476,948.62 and a total planned federal budget of over $1 billion. It outlines funding allocations, personnel plans, and multi-year initiatives ranging from workforce and education to technology upgrades and maternal health value-based payment pilots, all under Oklahoma's federally supported Rural Health Transformation Program. Multiple key milestones, partners, and statewide transformation projects tied explicitly to the CMS Rural Health Transformation Program are delineated.
application here
This document is the Oklahoma State Department of Health's full application to the CMS Rural Health Transformation Program (RHTP) under the One Big Beautiful Bill Act. It outlines ambitious, multi-pronged strategies to address rural health needs statewide—focusing on facility financial stabilization, shifting to value-based payment, expanding telehealth and data utility, and robust workforce development. By FY 2031, Oklahoma aims to transform rural care delivery, access, and outcomes via the coordinated six-initiative RHTP framework, aligned to CMS goals.
Program Quick Summary
Oklahoma secured over $223 million in federal funding for Year 1 of a five-year Rural Health Transformation (RHT) Program, supported by CMS. The grant will fund 29 CMS-approved programs to enhance rural healthcare, EMS, technology, workforce, care models, and population health across the state. The summary lists program partners, activities, and budget use, with some initiatives still in design.
Informational call documents
The document provides access to informational call documents for Ohio stakeholders regarding the Rural Health Transformation Program (RHTP). It includes outreach and stakeholder engagement as part of Ohio's RHTP activities.
Rural Health Transformation Program Solicitation Invitations
The Ohio Department of Health issued solicitation invitations for the Rural Health Transformation Program. The site offers tools to locate specific opportunities in the RHTP solicitation process. The document indicates an active phase of RHTP-related funding or participation in Ohio.
Governor Mike DeWine’s Endorsement of Ohio’s Rural Health Transformation Program Application
This document provides a formal endorsement from Governor Mike DeWine for Ohio's application to the Rural Health Transformation Program (RHTP). It is part of Ohio's official submission process for RHTP funding under the federal program initiated by the One Big Beautiful Bill Act.
RHT Public Workshop Presentation Slides-10/02/2025
This document is a Nevada Health Authority (NVHA) public workshop presentation on the Rural Health Transformation Program (RHTP) under the One Big Beautiful Bill Act, outlining Nevada's application strategy, stakeholder engagement, and proposed transformation priorities. It details strategic goals, partnership engagement, use-of-funds requirements, and the state's timeline for RHTP application and implementation. Key focus areas include workforce development, prevention, sustainable access, innovative care models, and technology innovation for rural health.
RHT Public Workshop Presentation Slides-10/15/2025
This document outlines Nevada's strategic plan for its Rural Health Transformation Program (RHTP) under the One Big Beautiful Bill Act. It summarizes results from a public survey, stakeholder priorities, program design, permissible funding uses, and the state's application process to CMS. Focus areas include workforce development, technology innovation, rural health infrastructure, and rural health outcomes.
Winter Stakeholder Update Public Workshop Presentation Slides - 01/27/2026
This document provides an executive summary of Nevada's activities and plans under the Rural Health Transformation Program (RHTP), including a Year One federal award of $179,931,608. Nevada will launch several initiatives such as the Rural Health Outcomes Accelerator Program, Flex Fund for rural CAHs and clinics, Workforce Recruitment & Rural Access Program, and Rural Health Innovation & Technology Initiative, each with separate grant and contracting timelines beginning in 2026. Major deadlines, RFA/RFP activities, and infrastructure-building steps for RHTP implementation are detailed.
RFI 26-630-0900-0011 Rural Health Transformation Program(PDF)
This Request for Information (RFI) from the New Mexico Health Care Authority solicits public input on the development of New Mexico's Rural Health Transformation Plan to support its application for the Rural Health Transformation Program (RHTP) under the One Big Beautiful Bill Act. It details eligible activity types, strategic goals, target populations, funding limits, and the intended competitive application process with key dates for state stakeholders. The document also describes federal and state policy actions relevant to the program and seeks specific, scalable project proposals that will improve access and outcomes for rural and frontier New Mexicans.
See the full RHT grant application package.
This application details New Mexico's comprehensive Rural Health Transformation Program (RHTP) plan and initiatives, including workforce development, health analytics, community-led innovation, financial solvency, and expanded access to specialty and chronic care for rural, frontier, and tribal populations. The plan focuses on five core initiatives and aims for measurable improvements in access, health outcomes, and sustainability. The New Mexico Health Care Authority will lead implementation with guidance from a broad Stakeholder Advisory Committee and collaborative partnerships.
Rural Health Transformation (RHT) Program Overview
This document provides an overview of the Rural Health Transformation Program (RHTP), a $50 billion initiative created by the One Big Beautiful Bill Act to transform care and improve outcomes in rural communities. It summarizes eligible use of funds, program strategic goals, and application requirements, and provides a timeline for application and awardee selection. Key goals include prevention and chronic disease management, workforce development, behavioral health, and technology advancement.
Rural Health Transformation Program Vendor Resource Directory
This directory, assembled by NJDOH and NJDHS with full federal funding pending final approval, catalogs a variety of vendors supporting the New Jersey Rural Health Transformation Program (RHT). Activities span health information technology, telehealth, workforce training, and care coordination. The directory is intended to help accelerate rural health project implementation and facilitate stakeholder connections for the RHT initiative.
Application PDF
New Jersey's Medicaid Agency seeks $1 billion under the Rural Health Transformation Program to transform healthcare for over 1 million rural residents across 11 counties. The application outlines five initiative areas targeting workforce, infrastructure, technology, prevention, and chronic disease, leveraging partnerships with state agencies, hospitals, academic and innovation leaders. Strategic goals focus on increasing provider availability, community-responsive investments, and building a flexible healthcare ecosystem for rural New Jerseyans.
Project Narrative
This is Nebraska's official Rural Health Transformation Program (RHTP) application, detailing a comprehensive statewide health system transformation plan under the One Big Beautiful Bill Act. The document outlines Nebraska DHHS as the governor-appointed agency for RHTP, strategic goals, seven initiative areas, demographic needs, financial strategies including CAH transformation, and extensive data on rural populations and hospital infrastructure. The request includes support for quality improvement, workforce, health IT, population health, EMS, and network development, with robust milestones and partnerships for statewide implementation.
Project Abstract
This summary describes Nebraska's proposal for the Rural Health Transformation Program (RHTP), which aims to build a prevention-first, tech-enabled rural healthcare system. The state will implement seven integrated initiatives targeting workforce shortages, chronic disease, food deserts, maternal care gaps, and behavioral health needs, partnering with providers, educational institutions, and community organizations. Nebraska's RHTP plan focuses on statewide infrastructure improvements, innovative models, and technology investments to transform care delivery and revitalize rural communities.
Presentation on Rural Health Transformation Program to Budget Section
This document outlines the North Dakota implementation approach, timeline, and funding breakdown for the Rural Health Transformation Program under OBBBA. It details baseline and workload funding expectations, application deadlines, and strategic goals for North Dakota's RHTP participation. The program supports major investments in rural health access, workforce, and care innovation statewide.
Listening session presentation
This listening session summary presents North Dakota's strategic vision for the Rural Health Transformation Program (RHTP) under the One Big Beautiful Bill Act, outlining timelines, strategic goals, and permissible uses of funds. Key initiatives are centered around workforce development, innovative care technologies, Medicaid value-based purchasing, and improving rural access and quality of care. Content covers survey-driven priorities, sample initiatives, and components for sustainable transformation of North Dakota’s rural health ecosystem.
Presentation to Interim Rural Health Transformation Committee
This document outlines North Dakota's state strategy for the Rural Health Transformation Program (RHTP), including preliminary funding allocation drafts, stakeholder engagement processes, key strategic objectives, and planned award procedures. The strategy prioritizes rural workforce development, healthcare delivery innovation, and technological advancement to address rural health needs. It includes a detailed timeline for application, award, and implementation activities aligned with OBBBA requirements.
NC DHHS: North Carolina Department of Health and Human Services
North Carolina has been awarded over $213 million in federal funding through the Rural Health Transformation Program (RHTP). This funding will support rural health transformation efforts in a state with the second-largest rural population in the country.
PowerPoint Presentation
This document summarizes Montana's implementation of the Rural Health Transformation Program (RHTP), including its largest initiatives, procurement plans, and total federal funding. It highlights the program's five-year scope, an initial $233 million grant, and outlines procurement timelines and operational focus areas. The overview includes strategic objectives in workforce, sustainability, innovation, community health, and technology.
Meeting Summary
On January 22, 2026, Montana’s RHTP Stakeholder Advisory Committee held its kickoff meeting to engage stakeholders and launch the state's five-year rural health transformation effort under a $233 million CMS/HHS award. The meeting outlined RHTP governance, major initiatives spanning workforce, access, care models, prevention, and health IT, and gathered feedback that will inform implementation. Program priorities include workforce solutions, hospital and EMS sustainability, behavioral health integration, and technology upgrades for rural and tribal health systems.
RHTP Plan
This document is Montana's official application for the Rural Health Transformation Program (RHTP), submitted in February 2026. It details a comprehensive, multi-initiative plan to improve rural workforce development, facility sustainability, care delivery innovation, technology adoption, and population health for Montana's rural and Native communities. The plan sets specific performance targets through FY2031 and describes strong public and private partnerships to achieve rural health transformation.
https://www.ruralhealth.us/nationalruralhealth/media/documents/advocacy/2025/rural-health-transformation-program-summary.pdf(link is external)
This document summarizes the $50 billion federal Rural Health Transformation Program (RHTP) established by the One Big Beautiful Bill Act in July 2025. It outlines RHTP program structure, state application requirements for transformation plans, allowable uses of funds—including quality improvement, technology adoption, workforce recruitment, and financial stabilization—and program milestones. The summary details the definition of eligible rural health facilities and requirements for annual reporting and compliance.
Rural Health Transformation Program Application Summary Presentation | mydss.mo.gov
This document is the summary presentation of Missouri's application to the Rural Health Transformation Program (RHTP). It appears to provide an overview of the state's approach to this new federal initiative. Specific details regarding program activities, partners, or progress are not included in the text.
Invitation to Comment: Rural Health Transformation Program | mydss.mo.gov
The Missouri Department of Social Services solicits public input for the Rural Health Transformation Program application, a new federal initiative created under the One Big Beautiful Bill Act. Missouri's application will be shaped by feedback collected in this public comment period, with funding categories to be selected based on state priorities for rural healthcare transformation.
Rural Health Transformation Program FAQ (PDF)
This FAQ provides guidance on Minnesota's Rural Health Transformation Program application, including proposed initiatives, funding processes, and upcoming milestones. It outlines five strategic initiative categories submitted to CMS and details grant eligibility, allowable costs, administrative requirements, and future guidance to be issued upon receiving an award. CMS is expected to make a determination by December 31, 2025.
Minnesota Rural Health Transformation Program Project Narrative (PDF)
This Minnesota RHTP grant application details a statewide plan for rural health transformation, focused on five strategic goals that align with CMS priorities. The plan targets increased telehealth capacity, improved provider retention, chronic disease prevention and management, workforce development, technology adoption, and financial viability for rural hospitals, clinics, Tribal health, and FQHCs. It outlines performance metrics, eligible counties, population focus, key partner organizations, and major initiatives to enhance care delivery, access, and sustainability under the Rural Health Transformation Program.
Minnesota Rural Health Transformation Program Application Fact Sheet (PDF)
Minnesota is applying for $1 billion in RHTP funding over five years to transform rural health care by investing in workforce, infrastructure, technology, and care access. The application reflects broad stakeholder engagement and articulates five strategic initiatives to stabilize provider finances and improve rural health outcomes. Funded activities will include telehealth expansion, workforce development, technology investments, and EMS support.
Maryland Rural Health Strategic Plan, 2025-2030
The 2025-2030 Maryland Rural Health Strategic Plan details Maryland's statewide approach to rural health transformation including collaboration with CMS for the Rural Health Transformation Program (RHTP). The plan was developed with extensive stakeholder engagement and data analysis, including late-2025 listening sessions supporting Maryland’s RHTP proposal. Strategic goals focus on partnership and community engagement, Health in All Policies, and building a strong, coordinated rural health system.
Please see the linked Frequently Asked Questions.
This FAQ provides an overview of the Maryland Rural Health Transformation Program (RHTP) under the CMS-administered $50 billion federal fund. It details Maryland's three pillars: transforming the rural health workforce, promoting sustainable access and care, and empowering Marylanders to eat for health. The document outlines funding allocations, eligibility, application processes, and committee structure for RHTP in Budget Year 1.
Pages - Moore-Miller Administration secures $168 million in federal funding to advance health care in rural Maryland communities
The Maryland Department of Health received $168 million in first-year federal funding for the Rural Health Transformation Program, aimed at strengthening and modernizing health care in rural communities across Maryland. The funds will support workforce development, care model innovation, and increased access to healthy food, reflecting extensive statewide stakeholder engagement and strategic planning. Program implementation launches in 2026 with additional updates and funding opportunities expected.
Rural Health Transformation Program
This summary outlines the Rural Health Transformation Program (RHTP) established by the OBBBA, appropriating $50 billion in federal funding to all 50 states from FY2026 to FY2030. It describes the distribution mechanism, allowable activities, and strategic goals of RHTP, designed to stabilize and strengthen rural hospitals, support workforce, and promote technology-driven solutions for rural communities.
Public Webinar Slides - Sept 2025 (PDF)
This document is a public webinar overview of Maine's development and application process for the Rural Health Transformation Program (RHTP) under the One Big Beautiful Bill Act. It outlines key federal goals, funding timelines, application and public engagement steps, and allowable activities and priorities for Maine's proposal. The webinar details relevant partners, application requirements, and upcoming key dates for stakeholder involvement.
State of Maine RHTP Project Narrative (PDF)
This is Maine's official application to the Rural Health Transformation Program (RHTP), outlining a statewide transformation strategy to improve access, quality, workforce, technology, and financial sustainability for rural health systems. The plan centers on five major initiatives, including population health, workforce development, technology innovation, health care access, and hospital financial stability, with a focus on value-based care and collaboration among key partners. The proposal details performance targets and comprehensive strategies to deliver impactful improvements for rural Mainers across multiple dimensions of health and healthcare delivery.
Public Webinar Slides - March 2026 (PDF)
This document details Maine's strategic approach under the Rural Health Transformation Program (RHTP) following the One Big Beautiful Bill Act. It summarizes the $190 million federal award for year 1, five major initiatives (population health, workforce, technology, access, and financial sustainability), performance metrics, specific activities by provider group, and initial implementation steps including staffing, contracting, and budget approval milestones. Key program goals include innovative care models, workforce development, improved access, and value-based payment transformation for rural communities.
Slides
The Indiana Rural Health Transformation Program (RHTP), supported by a $207 million federal award, is implementing 12 strategic initiatives to improve rural health access, quality, and outcomes. Initiatives span emergency care coordination, health information exchange, workforce pipelines, telehealth expansion, and population health improvement. The GROW Regional Grants program is launching to catalyze regional, community-driven transformation aligned with state and federal rural health objectives.
RHTP GROW Regional Presentation
The document outlines Indiana's implementation of RHTP via 'Make Rural Indiana Healthy Again Regional Grants,' distributing $120 million annually across eight regional coalitions. It details 12 initiatives—including care coordination, workforce expansion, and technology upgrades—with strong emphasis on tailored regional strategies and collaborative partnerships. Key program milestones, funding limitations, and strategic goals for rural health transformation are specified.
RHTP Statewide Presentation
Indiana’s Rural Health Transformation Program (RHTP) is funded with a Year 1 award of $206.9 million from CMS/HHS, part of a broader $50 billion federal initiative. The program features 12 major initiatives targeting improved care coordination, technology, workforce development, and population health across eight regions, with robust oversight, outcome tracking, partnership requirements, and a regional grants structure. Strategic goals include increasing access, quality, workforce expansion, telehealth, and sustainability, with regional applications and performance objectives guiding implementation.