RHTP Grantee Contact Information Form

Key Dates:

• Solicitation Issued: 06/22/2026
• Application Deadline: 07/07/2026 11:59 PM
• Reporting deadline for previous month's activities (once State system implemented): N/A N/A N/A
• RHTP funds must be disbursed no later than September 30, 2027, once milestones are met: 2027-09-30 N/A N/A
• Quarterly Invoices Due: N/A N/A N/A
• Quarterly Reconciliations Due (15th of the month after quarter end): N/A N/A N/A
• Application deadline: 2026-07-07

Review Criteria:

• evaluation criteria below. An application must score at least 80% to be funded. Evaluation: Applications will be evaluated based on the following criteria: ● Organizational Capacity, Experience, and Readiness – 25% ● Impact of the Project on Health Outcomes – 20% ● Feasibility and Implementation Plan – 20% ● Long-Term Project Sustainability – 20% ● Budget – 15% 22
• Application Components: 1. Application Narrative The application narrative must be organized by the sections listed below. This is designed to directly align with the evaluation criteria. a) Section 1: Organizational Capacity, Experience, and Readiness: describe your ability to implement the project and your readiness to comply with the requirements of this subaward based on your organization’s experience and capabilities. Please include the resumes of key program members. b) Section 2: Impact of the Project on Health Outcomes: describe how the project would impact on the community and ultimately improve health outcomes for the population of focus. c) Section 3: Feasibility and Implementation Plan: describe your specific approach for implementing the project. As part of your approach, please describe how provider‑facing activities avoid duplicate reimbursement for billable services and are limited to coordination, referral, digital engagement, training, enablement, or gap‑filling functions rather than payment for ordinary clinical care. In addition to the narrative, please provide a detailed task and outcomes-oriented GANTT chart through September 2027. d) Section 4: Long-term Project Sustainability: describe how the project will become self-sustaining after Year One. The grantee must also demonstrate a clear path to financial sustainability independent of RHTP funding within the first 24-36 months of receiving initial RHTP funds. The application narrative should provide a clear and concise description that directly addresses the requirements outlined in this AFA. Emphasis should be placed on completeness and clarity of content; overly lengthy or generic marketing materials are strongly discouraged. 2. Detailed Line-Item Budget (DLIB) and Budget Narrative a)