HHS Region 4 · Alabama Dept of Economic & Community Affairs (ADECA)
Program Overview
The Alabama Rural Health Transformation Program (ARHTP), administered by ADECA, is actively implementing eleven coordinated initiatives to improve rural healthcare access, provider sustainability, workforce development, care delivery, and technology solutions. Guided by an advisory group, the program advances practical strategies to strengthen provider networks and delivery systems statewide, with current funding opportunities and workshops supporting EHR IT expansion, EMS trauma and stroke, mental health, workforce development, and rural practice. ARHTP is structured with multi-initiative planning, ongoing stakeholder engagement, and annual plan review. Implementation is underway across eleven major initiatives aligned to strategic statewide goals for long-term rural health transformation. Current structured plan tracks 12 key initiatives and 7 strategic goals.
Updated
County-level estimates averaged across Alabama — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (67)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Jefferson County | 667,755 | 15.7% | 11.4% |
| Mobile County | 412,590 | 16.2% | 11.9% |
| Madison County | 405,718 | 10.1% | 6.9% |
| Baldwin County | 246,989 | 10.1% | 6.8% |
| Tuscaloosa County | 237,552 | 16.8% | 10.9% |
| Shelby County | 230,211 | 7.2% | 5.0% |
| Montgomery County | 226,718 | 19.9% | 16.3% |
| Lee County | 181,134 | 18.9% | 10.0% |
| Morgan County | 124,471 | 13.5% | 9.1% |
| Calhoun County | 116,090 | 17.9% | 12.9% |
| Limestone County | 111,233 | 10.0% | 7.3% |
| Houston County | 108,140 | 17.5% | 13.1% |
AI source: AL - 2025 - ARHTP Project Narrative Final
AI auto-updated Jun 28, 2026
API refreshed May 7, 2026
Centers for Medicare & Medicaid Services (CMS)
Grouped files
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1,119,503 rural residents
Alabama received over $203 million in federal CMS funding and established a formal advisory group. As of July 2026, ADECA has issued multiple Notices of Funding Opportunity (NOFOs) for EMS, workforce, mental health, rural health, and other initiatives, with application deadlines now posted into August 2026. Application workshops are ongoing for active NOFOs, and at least five state procurement opportunities are open or recently closed, with new application portals launching in July. The program continues to advance subgrant competitions and stakeholder engagement across its 11 initiatives. State opportunities: 5 active (5 open, 7 past/closed), $275.1M listed funding. Key opportunities: Alabama RHTP Cancer Digital Regionalization Initiative; Alabama RHTP Maternal and Fetal Health Initiative; Alabama RHTP Emergency Medical Services (EMS) Treat-in-Place Initiative. Strategy alignment: supports telehealth, prevention, care access priorities.
Alabama’s Rural Health Transformation Program (RHTP), administered by ADECA, advances eleven coordinated, milestone-driven initiatives targeting rural healthcare access, quality, workforce, and modernization, developed with extensive input from state agencies and stakeholders. The strategy utilizes phased NOFOs, statewide application workshops (in-person and virtual), and a centralized portal for implementation, monitoring, and adaptive annual review under a CMS cooperative agreement. Priorities continue to include regionally integrated specialty and EMS care, digital health and cybersecurity, and workforce development, with program funding and updates contingent on annual milestone achievement.
Model
Statewide, regionally integrated, digitally enabled rural health transformation with aligned specialty care, EMS modernization, workforce development, and continuous federal and state review.
Key Initiatives
Timeline: Five-year program (2026–2030), with annual CMS review, milestone-based funding, phased NOFOs beginning June–August 2025, and ongoing annual strategy updates.
Cancer Digital Regionalization: Strives to leverage digital technology for cancer treatment and coordination in rural regions. (Regions: Rural Alabama counties)
EMS Treat-in-Place: Supports EMS providers to stabilize patients in rural settings, expanding onsite care capacities. (Regions: Rural Alabama counties)
Maternal and Fetal Health: Focuses on rural maternal and fetal health outcomes by improving access and care quality. (Regions: Rural Alabama counties)
Alabama Department of Economic and Community Affairs (ADECA)
Due Aug 7, 2026
1 related document
AL - 2025 - Alabama RHTP Simulation Training Initiative Notice of Funding Opportunity
Official NOFO PDF
Alabama Department of Economic and Community Affairs (ADECA)
Due Aug 7, 2026
1 related document
AL - 2025 - Alabama Department Of Economic And Community Affairs (ADECA) Notice Of Funding Opportunity Alabama RHTP Maternal And Fetal Health Initiative
Official NOFO PDF
Alabama Department of Economic and Community Affairs (ADECA)
Due Aug 7, 2026
2 related documents
AL - 2025 - Alabama RHTP Emergency Medical Services (EMS) Treat-In-Place Initiative Notice Of Funding Opportunity
Official NOFO PDF
AL - 2026 - Alabama RHTP (ARHTP) Application Workshops (ARHTP-Application-Workshops-Round-2-Announcement)
Auto-linked process guidance fallback (11%)
ADECA is announcing a competitive funding opportunity under Alabama's Rural Health Transformation Program to address critical workforce shortages in rural communities. Approximately $33 million in federal funds will be distributed via subawards to support innovative and practical workforce development, recruitment, incentive, and training projects in rural healthcare. Projects must serve rural Alabama and align with defined strategy categories including GME expansion, EMS workforce development, workforce education, recruitment incentives, and Certified Nurse Midwife training. Key contacts: info@alabamarhtp.com Event schedule: - Application Portal Opens - 06/03/2026 - CT - ARHTP website - Application Deadline - 06/26/2026 - 5:00 PM CT - ARHTP portal - Quarter 1 Progress Report Due - 01/10/2027 - Quarter 2 Progress Report Due - 04/10/2027 - Quarter 3 Progress Report Due - 07/10/2027 - Quarter 4 Progress Report Due - 10/10/2027
Contacts
Core Initiatives
In December 2025, Alabama was awarded $203 million for the first year of the Alabama Rural Health Transformation Program through a cooperative agreement with CMS. ADECA serves as the lead agency. This is a five-year program, with budget awards and program plans subject to annual review and update.
Event Schedule
Core Initiatives
Event schedule: - , 2026 - July 8 - MEMORANDUM - , 2026 - July 21 - 10:00 AM - 401 Adams Avenue • Suite 580 • P.O. Box 5690 • Montgomery, Alabama 36103-5690 • (334) 242-5100 - , 2026 - July 8 - 10:00 AM - Sessions will be held at: - , 2026 - July 22 - 10:00 AM - Sessions will be held at:
Event Schedule
Event schedule: - , 2026 - July 8 - M E M O R A N D U M - , 2026 - July 21 - 10:00 AM - , 2026 - July 22 - 10:00 AM - Sessions will be held at:
Event Schedule
The document lists 58 counties in Alabama that are eligible or partially eligible for funding under the Rural Health Transformation Program. It indicates the geographic scope of the sustainable rural healthcare initiatives planned.
ADECA serves as the lead agency for the program, working in cooperation with a core team and federal partners. The program operates under a cooperative agreement with CMS, with yearly funding and plan reviews. The first-year program award is $203 million, and workshops are scheduled to support new initiatives. Event schedule: - ARHTP Application Workshops Round 2 - July 21, 2026 - CT - ARHTP Application Workshops Round 2 - July 22, 2026 - CT - NOFO Submission Deadline - August 7, 2026 - 5:00 PM CT
Event Schedule
AL RHTP site updated — 1 new doc(s)
AL RHTP site updated — 2 new doc(s)
AL RHTP site updated — 1 new doc(s)
AL RHTP site updated — 5 new doc(s)
AL RHTP site updated — 1 new doc(s)
Spreadsheets, data exports, and reference documents — available for download but excluded from the main activity feed. Showing the 40 most recent of 91.
AL - 2026 - The Office of Alabama Governor Kay Ivey
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AL - 2017 - The Office of Alabama Governor Kay Ivey
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AL - 1967 - Governor -
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Alabama is launching the Rural Health Practice Initiative under the Rural Health Transformation Program, with $6.935 million in federal funds available for competitive subawards. Eligible rural providers can apply for projects focused on expanding clinic capacity, workforce recruitment, telehealth implementation, and school-based health clinics. The program aims to strengthen rural healthcare access, promote innovation, and advance long-term sustainability in Alabama's rural communities. Key contacts: info@alabamarhtp.com Event schedule: - Application portal opens - 06/03/2026 - CT - ARHTP online portal - Application submission deadline - 06/26/2026 - 5:00 PM CT - ARHTP online portal - Quarter 1 progress report due - 01/10/2027 - Quarter 2 progress report due - 04/10/2027 - Quarter 3 progress report due - 07/10/2027 - Quarter 4 progress report due - 10/10/2027
Contacts
Core Initiatives
Event schedule: - , 2026 M E M O R A N D U M TO: All Interested Parties FROM: Kenneth W. Boswell Director RE: Alabama Rural Health Transformation Program (ARHTP) Application Workshops The Alabama Department of Economic and Community Affairs (ADECA) will host in-person application workshops for the first five of the approved ARHTP initiatives. The workshops will also be accessible via Microsoft Teams at the same dates/times identified below. The one-hour workshop sessions will provide participants with a comprehensive overview of the Notice of Funding Opportunity (NOFO) and application process for each of the below initiatives. Each session will begin with a review of the key components of the NOFO, including the initiative’s goals and objectives, eligibility criteria, funding levels, subaward structure, and reporting requirements. The session will then transition to the application process and will include a walkthrough of important submission details such as navigating the online application portal, understanding required documentation, and preparing a complete and competitive application. Additionally, we will outline the application review process, highlight important dates in the award timeline, and discuss what applicants can expect during the post-selection phase. Each workshop will conclude with an opportunity for participants to ask questions during a live Q&A session. June 9, 2026 • 10:00 AM – Collaborative EHR, IT and Cybersecurity Initiative • 1:00 PM – Rural Health Initiative • 3:00 PM – Rural Workforce Initiative - June 4 - 10:00 AM - M E M O R A N D U M Page 2 , 2026 June 10, 2026 • 10:00 AM – Mental Health Initiative • 1:00 PM – Rural Health Practice Initiative Sessions will be held at: Alabama Center for Commerce 401 Adams Avenue, Montgomery, AL 36104 th 7 Floor Auditorium The parking deck is located across the street at 400 Adams Avenue, and you can access the parking deck from the Decatur Street entrance by using the following code: 988648. All individuals who will be attending a workshop in-person must pre-register at https://app.smartsheet.com/b/form/019e8addd36e7023bd945ae81c6de538 . The workshops are accessible to persons with disabilities. Persons with disabilities or special needs who may require special materials, services, or assistance should include this information in their registration. Due to space constraints, live participation will be capped at approximately 100 participants, so individuals who wish to attend in-person are encouraged to register as soon as possible. Individuals joining a workshop virtually must register for each at the sites identified below. A link to the workshop will be emailed to the registrant when registration is completed. • Collaborative EHR, IT, and Cybersecurity Initiative - https://bit.ly/RHTP_EHR_9June_Workshop_2026 • Rural Health Initiative - https://bit.ly/RHTP_RHI_9June_Workshop_2026 • Rural Workforce Initiative - https://bit.ly/RHTP_RWI_9June_Workshop_2026 • Mental Health Initiative - https://bit.ly/RHTP_MHI_10JuneWorkshop_2026 • Rural Health Practice Initiative - https://bit.ly/RHTP_RHPI_10June_Workshop_2026 Please submit any questions concerning this notice to info@alabamarhtp.com. Thank you for your attention to this matter. KWB:CGT:km - June 4
OWR Policy and Notice of Non-Discrimination
AL - 2026 - Newsroom – ADECA
2026 · HTML
AL - 2025 - ADECA – Impacting Alabama
2025-2026 · HTML
Alabama STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY AND GOVERNOR’S STAFF RHTP 2021 Document
2021 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY AND GOVERNOR’S STAFF RHTP 2021 Document
2021 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY AND GOVERNOR’S STAFF RHTP 2021 Slide Deck
2021 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY AND GOVERNOR’S STAFF RHTP 2021 Document
2021 · PDF
Alabama STATE OF ALABAMA PROCLAMATION RHTP 2020-2011 Document
2020 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2020 Document
2020 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2020 Document
2020 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2020 Document
2020 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2020 Document
2020 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY AND GOVERNOR’S STAFF RHTP 2020 Document
2020 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY AND GOVERNOR’S STAFF RHTP 2020 Document
2020 · PDF
Alabama Ivey Administration Highlights Refining The Labor Force RHTP 2020 Report
2019-2020 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2019 Document
2019 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2019 Document
2019 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2019 Document
2019 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2019 Document
2019 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2019 Document
2019 · PDF
Alabama E STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY RHTP 2019 Document
2019 · PDF
Alabama E STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY RHTP 2019 Document
2019 · PDF
Alabama E STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY RHTP 2019 Document
2019 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2018 Document
2018 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2018 Document
2018 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2018 Document
2018 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2018 Document
2018 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2018 Document
2018 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY RHTP 2018 Document
2018 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY RHTP 2018 Document
2018 · PDF
Administrative Code – ADECA Domestic Violence Center Procedures
2018 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2017 Document
2017 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2017 Document
2017 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2017 Document
2017 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR ROBERT BENTLEY AND RHTP 2017 Document
2017 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR ROBERT BENTLEY, GOVERNOR KAY RHTP 2017 Document
2017 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY RHTP 2017 Document
2017 · PDF