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The Arizona Health Care Cost Containment System (AHCCCS) administers a variety of federal grants including the Rural Health Transformation Program (RHTP). The DBHH Grants management team oversees these grants but does not directly award funding to providers, instead coordinating with contracted health plans and tribal partners. The program supports integrated care delivery through regional behavioral health authorities and tribal behavioral health agreements.

Texas Health and Human Services Commission will award up to $9M in FY25 to rural mental health providers. Grants will establish or expand behavioral health centers and jail diversion centers in rural counties (<250,000 population) for adults and children. Applicants must partner with local mental health authorities and provide evidence-based or best practices for mental health and substance use treatment. Key contacts: Cecile E. Young; Dedra Williams Dedra.Williams@hhs.texas.gov Event schedule: - Application Submission Deadline - 07/03/2024 - 10:30 AM CT - Deadline for Submitting Questions or Requests for Clarifications - 06/14/2024 - 5:00 PM CT - Anticipated Project Start Date - 11/01/2024 - CT - Funding Announcement Posting Date - 2024-06-05 - Deadline for Submitting Questions or Requests for Clarification - 2024-06-14 - 17:00 Central Time - Tentative Date Answers to Questions or Requests for Clarification Posted - 2024-06-21 - 17:00 Central Time - Application Submission Deadline - 2024-07-03 - 10:30 Central Time - Anticipated Notice of Award - 2024-09-26

This document provides regional funding allocations for Texas under three strategies with population and county coverage details. It shows breakdowns for eight regions of Texas, detailing funding amounts and assistance types.

The Texas Health and Human Services Commission is soliciting applications for the Rural Mental Health Initiative Grant Program to expand behavioral health services in rural Texas. It focuses on adults and children with serious mental illness and aims to reduce incarceration and emergency detentions. Event schedule: - Submission Deadline - 07/03/2024 - 10:30 AM CT - Texas Health and Human Services Commission

This addendum, issued by the Nebraska Department of Health and Human Services, corrects the evaluation criteria for RFP 112209 O3 relating to the Rural Health Transformation Program. It clarifies procurement details for bidders and is to be acknowledged with the RFP submission. Key contacts: Gregory Walklin Gregory.Walklin@nebraska.gov Event schedule: - Addendum Issued - 07/20/2022

This memorandum provides process transparency for Nebraska DHHS's evaluation of responses to RFP 112209 O3 under the Rural Health Transformation Program. It describes scoring corrections and milestones in the procurement process and confirms all proposals passed Stage 2 review. Key contacts: Greg Walklin Gregory.Walklin@nebraska.gov Event schedule: - RFP Release - 04/18/2022 - Pre-Proposal Conference - 04/28/2022 - Anticipated Intent to Award Announcement - 08/19/2022

This addendum clarifies and streamlines the Optional Proposal Response Instructions for bidders regarding an optional service under RFP 112209 O3. The revised instructions are incorporated and must be acknowledged in all proposal submissions. Key contacts: Greg Walklin Event schedule: - Bid Opening - 07/01/2022 - 2:00 PM CT

This document provides a comprehensive checklist of policies, procedures, and deliverables for Medicaid Managed Care Organizations to implement prior to and after contract start. It includes required plans for care management, provider network, member services, quality improvement, pharmacy, and value-based purchasing, with deadlines up to 150 days before launch and post-launch milestones. Event schedule: - Implementation Plan due - PCMH Implementation Plan due - Value-Based Contracting Plan due - December 17, 2024

The program includes initiatives such as advancing technology and prevention efforts, expanding workforce capacity, and building rural hospital capacity. Multiple Request for Applications and Notices of Fund Availability highlight ongoing efforts to integrate community health workers and doulas into rural New Jersey as part of transformation efforts. Event schedule: - Rural Health Transformation Program_Advancing Technology, Prevention, and Workforce Capacity 2026 NOFA/RFA Due Date - 01/20/2026 - Rural Health Transformation Program Community Health Workers in Rural New Jersey NOFA/RFA Due Date - 04/15/2026 - Rural Health Transformation Program Doula Integration in Rural New Jersey NOFA/RFA Due Date - 04/27/2026 - Rural Health Transformation Program_Building Rural Hospital Capacity NOFA/RFA Due Date - 02/17/2026

Delaware received a $157 million federal cooperative agreement award for its Rural Health Transformation Plan. This project aims to address critical access and outcome disparities among 400,000 rural residents in Sussex and Kent Counties. The restriction on contractual funds was lifted contingent on future subrecipient selections and reporting. Key contacts: Ms. Katherine Hughes Katherine.Hughes@delaware.gov; Mr. Steven Blessing steven.blessing@delaware.gov; Ms. Jennifer Herndon jennifer.herndon1@cms.hhs.gov; Ms. Shamia Cunningham Event schedule: - Federal Award Date - 02/04/2026 - N/A - Budget Period Start - 12/29/2025 - N/A - Budget Period End - 10/30/2026 - N/A - Period of Performance Start - 12/29/2025 - N/A - Period of Performance End - 10/30/2030 - N/A

With a $157 million federal award for the first year, the program includes 15 projects and initiatives addressing access to care, affordable chronic disease management, workforce growth, and healthcare system preparedness. Approximately 38-40% of Delaware's population lives in rural areas that face significant healthcare challenges, especially in Sussex County. Key contacts: dhssinfo@delaware.gov

This document provides detailed programmatic and eligibility guidance for Nevada's Rural Health Transformation Program FY26 application cycle across three primary initiatives: Rural Health Outcomes Accelerator, Health Innovation Technology, and Workforce Recruitment/Access. It includes clarifications on application requirements, eligible applicants, partnerships, allowable costs, workforce service commitments, tiered funding, salary limits, and programmatic priorities such as chronic disease, behavioral health, and maternal/infant health. No awards are announced; the document supports applicants and clarifies federal and state requirements for RHTP participation. Key contacts: Stacie Weeks, JD, MPH Event schedule: - RHT Budget Period 1 Questions and Answers Update - 05/29/2026

This document defines rural eligibility for the Colorado Rural Health Transformation Program (RHTP) and details which ZIP codes in Weld, Larimer, and Mesa counties are considered rural under HRSA/FORHP standards. Applicants must provide service address and census tract information to verify their rural status. The guidance aims to ensure only federally designated rural sites are eligible for RHTP funding.

This guidance outlines eligibility and application requirements for Colorado's Rural Health Transformation Program (RHTP) grant, including qualified provider types such as CAHs, REHs, FQHCs, CMHCs, CCBHCs, OTPs, EMS groups, and more. Funding must be used in Colorado's 52 rural and frontier counties, and applications require a Lead Applicant Organization meeting state and federal requirements. Colorado received over $200 million in year one under this CMS-administered initiative.

This document is an application form or work plan template for the Rural Health Transformation Program in Nebraska focusing on workforce development through rural VR and skills acceleration for fiscal years 2025-2026. Key contacts: DHHS.EMSTraumaProgram@nebraska.gov

This document is an application cover sheet for a Nebraska RHTP EMS training funding opportunity for fiscal year 2026 with a deadline of July 24, 2026. Key contacts: DHHS.EMSTraumaProgram@nebraska.gov Event schedule: - Application due date - 07/24/2026

Nebraska DHHS is seeking applications from qualified organizations to deliver innovative VR- and simulation-based healthcare and EMS training in rural Nebraska, with a total budget of $3 million for Initiative 3.2. Funds will be awarded on a cost-reimbursement basis and primarily support delivery, staffing, and curriculum development for EMS training. Applications must demonstrate innovative educational strategies, outreach in rural communities, and plans for sustainability. Key contacts: dhhs.emstraumaprogram@nebraska.gov Event schedule: - RFA Release Date - 05/29/2026 - Application Due Date - 07/24/2026 - Period of Performance End - 07/31/2027

Nebraska will provide over $2.2 million in federal funds for equipment modernization grants to rural and frontier schools through the Rural Health Transformation Program. The initiative directly targets improved child nutrition by enabling more scratch-cooked meals and the use of minimally processed and local protein foods. Schools selected for funding will be required to demonstrate measurable improvements in meal quality and student participation. Key contacts: nde.nutritionservices@nebraska.gov Event schedule: - RFA release - 05/28/2026 - Application Due Date - 08/31/2026 - Period of Performance Start - 06/01/2026 - Period of Performance End - 06/30/2027 - Annual Report Due - 06/30/2027

This Q&A document provides comprehensive guidance for prospective applicants to the Louisiana Rural Clinician Credit Bank, under the Rural Health Transformation Program. It clarifies allowable and unallowable uses of funds, eligibility rules, service obligations, and detailed budget/match guidance for workforce incentives. The RCCB supports workforce retention and recruitment in rural hospitals and clinics, emphasizing compliance with federal and state requirements. Event schedule: - Application Deadline - 06/25/2026 - CT - Louisiana Department of Health application portal - Rural Clinician Credit Bank Answers to Submitted Questions - 2026-05-29

CMS will provide Wisconsin with $203.7 million in FFY26 for the Rural Health Transformation Program, launching large-scale investments in rural health workforce, technology, and coordinated care. Key initiatives include regional workforce grants, integration of community health workers, a statewide EHR platform, and coordinated care models for behavioral health and Medicaid reform. Grant funding opportunities will be released in late spring and early summer 2026. Event schedule: - CMS Federal Award Announcement - 12/01/2025 - Advisory Council Meeting - 04/23/2026 - Upcoming Advisory Council Meeting - 07/23/2026 - Upcoming Advisory Council Meeting - 10/22/2026

Maryland was awarded $168 million under the federal Rural Health Transformation Program for FY2026. MHCC is launching a grant opportunity of $6.3 million to up to 15 rural primary care practices for infrastructure, workforce, and technology expansion. The program focuses on physical clinic expansion in rural counties and encourages sustainable billing and participation in value-based care. Key contacts: Melanie Cavaliere mhcc.grants@maryland.gov Event schedule: - Application Due Date - 06/01/2026 - 5:00 PM ET - mhcc.grants@maryland.gov (Email Submission) - Grant Program Start Date - 08/01/2026 - Funding Obligation Deadline - 10/30/2026 - Funds Expended By - 09/30/2027

Montana was awarded $233 million by CMS for its Rural Health Transformation Program (RHTP), the fourth largest award nationally. This five-year program supports workforce development, rural facility sustainability, innovative care, community health, and technology modernization. Implementation is launching with major procurements expected to begin in March 2026; subgranting and initiative details will follow as budgets are finalized. Key contacts: HHSRuralHealthTransformation@mt.gov Event schedule: - Stakeholder Advisory Committee Meeting - January 22, 2026 - 10:00 AM MT - See agenda - First procurement opportunities posting - March 2026 - Montana state procurement site and RHTP website - Annual reporting due to CMS - July - Quarterly report Q2 due - Feb 2026

The Rural Health Transformation (RHT) Program, authorized by the Working Families Tax Cuts Legislation, allocates $50 billion over five years to States for rural health system transformation. Awards will be issued annually based on approved State applications and rural metrics, supporting activities such as quality improvement, workforce development, advanced technology, and value-based care. Strategic goals focus on improving access, workforce, innovation, technology, and population health. Key contacts: MAHARural@cms.hhs.gov Event schedule: - State application submission deadline - 11/05/2025 - Award date - 12/29/2025 - Annual reporting due - Quarterly reporting - Annual Rural Health Transformation Summit

Montana received a $233 million CMS Rural Health Transformation Program award to launch five strategic initiatives, including workforce development, facility sustainability, innovation in care models, preventive infrastructure, and technology deployment. Implementation includes standing up governance, hiring new staff, releasing procurements, and launching incentive payments for providers. The Center of Excellence will oversee facility transformation and provider support with milestones scheduled through 2028. Key contacts: Rebecca de Camara Event schedule: - Virtual vendor fair - March 11, 2026 - RHTP newsletter release - March 20, 2026 - CMS Program Officer site visit - Q2 2026 - CMS Annual Report 1 due - Q3 2026

Montana is launching a five-year, $233 million CMS-funded initiative targeting rural health transformation through workforce, facility, payment, community, and technology reform. The program includes multiple RFPs and grant procurements to support provider transformation, EMS modernization, data infrastructure, and school-based health. Early milestones include key leadership onboarding, stakeholder engagement, and the kickoff of several vendor and advisory activities. Event schedule: - First RHTP newsletter released - Late March 2026 - MT - RHTP Program Director onboarded - Early April 2026 - MT - Vendor Fair conducted - March 11, 2026 - MT

Montana was awarded $233 million by CMS for its Rural Health Transformation Program (RHTP), the fourth largest award nationally. This five-year program supports workforce development, rural facility sustainability, innovative care, community health, and technology modernization. Implementation is launching with major procurements expected to begin in March 2026; subgranting and initiative details will follow as budgets are finalized. Key contacts: HHSRuralHealthTransformation@mt.gov Event schedule: - Stakeholder Advisory Committee Meeting - January 22, 2026 - 10:00 AM MT - See agenda - First procurement opportunities posting - March 2026 - Montana state procurement site and RHTP website - Annual reporting due to CMS - July - Quarterly report Q2 due - Feb 2026

The Rural Health Transformation (RHT) Program, authorized by the Working Families Tax Cuts Legislation, allocates $50 billion over five years to States for rural health system transformation. Awards will be issued annually based on approved State applications and rural metrics, supporting activities such as quality improvement, workforce development, advanced technology, and value-based care. Strategic goals focus on improving access, workforce, innovation, technology, and population health. Key contacts: MAHARural@cms.hhs.gov Event schedule: - State application submission deadline - 11/05/2025 - Award date - 12/29/2025 - Annual reporting due - Quarterly reporting - Annual Rural Health Transformation Summit

Montana received a $233 million CMS Rural Health Transformation Program award to launch five strategic initiatives, including workforce development, facility sustainability, innovation in care models, preventive infrastructure, and technology deployment. Implementation includes standing up governance, hiring new staff, releasing procurements, and launching incentive payments for providers. The Center of Excellence will oversee facility transformation and provider support with milestones scheduled through 2028. Key contacts: Rebecca de Camara Event schedule: - Virtual vendor fair - March 11, 2026 - RHTP newsletter release - March 20, 2026 - CMS Program Officer site visit - Q2 2026 - CMS Annual Report 1 due - Q3 2026

Montana is launching a five-year, $233 million CMS-funded initiative targeting rural health transformation through workforce, facility, payment, community, and technology reform. The program includes multiple RFPs and grant procurements to support provider transformation, EMS modernization, data infrastructure, and school-based health. Early milestones include key leadership onboarding, stakeholder engagement, and the kickoff of several vendor and advisory activities. Event schedule: - First RHTP newsletter released - Late March 2026 - MT - RHTP Program Director onboarded - Early April 2026 - MT - Vendor Fair conducted - March 11, 2026 - MT

This document provides detailed guidance on allowable and unallowable uses of RHTP funds in Michigan. It clarifies restrictions on using funds for operating expenses, existing EMRs, and capital projects, emphasizing support for measurable care transformation activities.

Michigan received $173 million through the Rural Health Transformation Program, one of the lower awards among states but significant for its large rural population. The Michigan Department of Health and Human Services manages these funds with input from a rural health task force convened by the Michigan Health Association. Access and workforce shortages remain critical challenges in rural Michigan, especially in the Upper Peninsula and Northern regions. Key contacts: MHA Policy Team

Michigan received $173 million through the Rural Health Transformation Program to support statewide and regional efforts focusing on long-term system change rather than day-to-day hospital operations. The program is structured around four major initiatives including partnerships, workforce development, interoperability, and care delivery closer to home, with an RHT Advisory Council to guide implementation. Implementation phases include state planning in 2025, program launch in 2026, and phased funding with monitoring through 2030.

Funded through a cooperative agreement with CMS and administered by AHCCCS in partnership with ADHS and OEO, the program targets 786,000 rural Arizonans facing critical healthcare shortages. It focuses on four investment areas: rural health workforce development, priority health initiatives, expanding access to care, and strengthening rural health systems. Grant opportunities begin in Spring 2026 with awards finalized by Summer 2026, supporting rural hospitals, Tribal health programs, community health centers, and other organizations. Event schedule: - RHTP Website Launch - March 27, 2026 - Phoenix, AZ - Grant Opportunities Begin - April 2026 - All Grant Opportunities Posted - May 2026 - Funding Awards Finalized - Summer 2026 - Year 1 Funding Fully Committed - October 30, 2026

Alaska was awarded $272.2 million in federal grants to implement six statewide initiatives including maternal and child health, healthcare access, healthy communities, fiscal sustainability through pay-for-value models, workforce strengthening, and technology innovation. The Alaska Department of Health officially launched the program in January 2026 and is currently managing applicant progress with pathways for planning and implementation phases. Key contacts: RHTP@alaskacf.org Event schedule: - Statewide Kickoff Webinar - January 14-16, 2026 - Statewide webinar - LOI Outcomes Notification - May 22, 2026

NC has established six ROOTS hub leads representing each Medicaid region to coordinate RHTP implementation locally. These hubs will develop community networks to advance rural health transformation with a focus on behavioral health, digital health, workforce, and care coordination.

This document provides a detailed walkthrough of the Nevada RHIT RFA application and scoring process for 2026. It highlights requirements for provider-led, rural-focused technology projects aligned with CMS and state strategic priorities, emphasizing interoperability, practical solutions, and sustainability. The RHIT RFA serves as a competitive opportunity for rural providers to enhance health IT and telehealth infrastructure. Key contacts: RHTP@nvha.nv.gov Event schedule: - RHIT RFA Release Date - 05/28/2026

Nevada’s RHT Program launched with a focus on transformative, sustainable healthcare improvements for rural hospitals and communities. The program includes four primary initiatives: Outcome Accelerator, Flex Fund, Workforce Recruitment, and Rural Health Innovation & Technology. Current priorities include launching subgrant opportunities, enhancing rural infrastructure, and building a robust workforce pipeline while ensuring accountability and ongoing stakeholder engagement. Key contacts: Stacie Weeks; Dr. Malinda Southard; Jason Bleak; Dena Schmidt Event schedule: - RHTP Steering Committee Meeting - 03/11/2026 - 1:00 PM PT - 9850 Double R Blvd, Reno, NV 89521; Teams Meeting - End of Budget Period 1 - 10/30/2026

Public meeting notice for Nevada's Rural Health Transformation Steering Committee scheduled for June 9, 2026. The agenda includes fiscal and program updates, discussions on RFA process improvements, and future planning steps for the RHT program in 2026 and 2027. Key contacts: Stacie Weeks; Joe Lombardo; Malinda Southard, DC, CPM; Amber Donnelli RHTP@nvha.nv.gov Event schedule: - Public Meeting - June 9, 2026 - 1:00 PM PT - Nevada Health Authority Reno Office Large Conference Room, 9850 Double R Blvd, Ste 200, Reno, NV 89521 and Microsoft TEAMS virtual option

This document is a Request for Proposals (RFP) issued by New Hampshire Department of Health and Human Services seeking vendors to provide services supporting rural health and chronic disease prevention and management. It outlines required experience and approaches specific to rural populations and training delivery.

This RFP seeks a contractor to coordinate chronic disease and rural health initiatives for the New Hampshire Department of Health and Human Services, focusing on asthma, cancer, diabetes, hypertension, and arthritis. It requires the vendor to provide education, implementation of evidence-based strategies, support for partners, and reporting. The effort addresses significant public health challenges in rural and statewide New Hampshire. Key contacts: Krissy O. Nikitas kristine.o.nikitas@dhhs.nh.gov Event schedule: - Solicitation Released - 05/28/2026 - ET - Vendor Questions Submission Deadline - 06/04/2026 - 12:00 PM ET - Department Response to Questions Published - 06/18/2026 - ET - Vendor Solicitation Response Due Date - 06/25/2026 - 12:00 PM ET

This 5-year CMS-funded RHTP initiative supports rural Minnesota collaborations to improve mental health for children and young adults. Maximum award per grantee is $400,000 by 2027, with possible non-competitive renewal in years 2-5, subject to CMS award to Minnesota. Eligible applicants include county/regional collaboratives, health boards, and tribal nations outside the seven-county metro. Event schedule: - Q&A Release Date - 05/28/2026 - Final Spend Deadline for Maximum Grant - 09/30/2027 - End of 5-Year Grant Period - 10/30/2030

North Dakota is launching a $40 million competitive RHTP opportunity to assist rural hospitals in upgrading clinical equipment, supporting advanced care delivery and addressing key health priorities. Hospitals may request funds for a range of equipment aligned to local needs and RHTP metrics. Applications are due June 30, 2026, and a technical assistance webinar is available to support applicants. Event schedule: - Application Deadline - 06/30/2026 - 5:00 PM CT - ND HHS via Qualtrics - Technical Assistance Webinar - June 3, 2026 - 12:00 PM - 12:45 PM CT - Registration Link (see document)

This document lists all organizations that applied for the specified RHTP RFA in Nebraska, indicating robust interest from a diverse range of rural health providers and partners. No awards have been made yet, and the process remains in the application phase. Event schedule: - Application Deadline - 03/27/2026

Georgia awarded seven hospitals $500,000 each under Track 1, Option 1.1 for rural hospital stabilization and one hospital under Track 2, Option 2.2. The program aims to support hospital stabilization and graduate medical education in rural areas for FY26. Key contacts: Joanne Mitchell jmitchell@dch.ga.gov; Grant Office dch.grant@dch.ga.gov Event schedule: - Solicitation Close Date - 03/06/2026 - Notice of Award Posting Date - 05/28/2026

This RFGA supports Utah's federally funded Rural Health Transformation Program to develop a strategic plan expanding rural Graduate Medical Education (GME) over 10 years. Up to one awardee will collaborate with diverse partners, including tribal and rural health facilities, to drive measurable improvements in rural physician access. Funding is up to $1.6M, and aims to foster long-term workforce capacity with rigorous stakeholder engagement, data-driven planning, and continuous technical assistance. Key contacts: ruralht@utah.gov Event schedule: - Application Deadline - 06/17/2026 - 5:00 PM MT - Online submission via Qualtrics - Question Deadline - 06/15/2026 - 5:00 PM MT - ruralht@utah.gov - Final Q&A Posting - 06/16/2026 - 5:00 PM MT - DHHS PCM page - Agreement Period Start - 07/20/2026 - Utah DHHS - Agreement Period End - 09/30/2027 - Utah DHHS - Award Decision Notification - 06/26/2026 - Utah DHHS