Updated May 31, 2026
Finding Rural Health Transformation Program opportunities requires monitoring dozens of state portals, Medicaid agency websites, and federal NOFO boards simultaneously. Most states publish RHTP procurement through their own systems — CGI Advantage, ESM Solutions, state health department portals, or simple PDF postings — with no central directory.
Unlike federal grants.gov, RHTP state procurement is decentralized. Texas posts through its CAPPS vendor portal. Colorado uses CGI Advantage VSS. West Virginia posts directly on state health websites. Maryland and New Jersey maintain separate vendor directories in addition to formal procurement listings. Without a tracker, applicants and vendors miss opportunities simply because they do not monitor the right source.
| RFA (Request for Applications) | Open competitive application for grant funding — most common RHTP type |
| RFP (Request for Proposals) | Competitive vendor solicitation — used when a state is procuring a service or product |
| NOFO (Notice of Funding Opportunity) | Federal-level notice for cooperative agreements and grants from HRSA, CMS, or HHS |
| GRANT (Direct) | Non-competitive direct award — often to designated rural health entities |
| RFI (Request for Information) | Market research — not a funding opportunity, but a signal of upcoming procurement |
Rural Care Journey monitors RHTP activity across all 50 states and publishes a daily-updated feed of approved opportunities, linked documents, award signals, and state activity. Here is how to use it effectively.
Activity levels vary significantly across states. As of mid-2026, the highest-volume states for active RHTP procurement include Colorado, West Virginia, Nevada, Tennessee, South Dakota, Idaho, and North Dakota. States publishing formal vendor directories — Maryland and New Jersey — represent a growing model where vendors can register to be discoverable by grant applicants.
Find Opportunities in Your State
Browse open RHTP grants, RFPs, and NOFOs filtered by state, type, and closing date — updated daily from state and federal sources.