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HHS Region 10 · Idaho Department of Health and Welfare
Program Overview
Idaho's RHTP program involves five key initiatives including technology enhancements, innovative care models, rural workforce sustainability, population-specific health projects, and rural health infrastructure investments. The program is driven by extensive stakeholder and public input, supported by legislative and tribal representation, and includes planned funding solicitations and subgrants. The Department of Health and Welfare leads the application and implementation process with key milestones set through late 2026.
Updated
County-level estimates averaged across Idaho — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (44)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Ada County | 518,935 | 8.3% | 5.2% |
| Canyon County | 250,790 | 10.5% | 7.7% |
| Kootenai County | 181,996 | 9.0% | 5.6% |
| Bonneville County | 129,523 | 9.8% | 6.8% |
| Twin Falls County | 93,734 | 11.5% | 8.3% |
| Bannock County | 89,454 | 12.3% | 7.8% |
| Madison County | 54,618 | 24.5% | 12.9% |
| Bonner County | 51,049 | 11.1% | 7.0% |
| Bingham County | 49,664 | 11.7% | 8.5% |
| Nez Perce County | 42,697 | 12.2% | 8.3% |
| Latah County | 41,049 | 17.6% | 10.1% |
| Jefferson County | 33,154 | 9.7% | 7.6% |
AI source: ID - 2026 - funding opportunity overviews
AI auto-updated Jun 6, 2026
API refreshed May 7, 2026
Grouped files
11 related documents
ID - 2026 - About the RHTP Grant
488,012 rural residents
Idaho received the federal RHTP grant and has officially begun implementation planning for the Rural Health Transformation Program. The Idaho Rural Health Application Task Force, created by Governor Little, guided the application and stakeholder engagement process. The state is preparing detailed solicitations and subgrants, aimed for early 2026. No state-issued procurement opportunities to providers have been announced yet. State opportunities: 4 active (4 open), $29.8M listed funding. Key opportunities: Idaho RHTP FFY26 — Infrastructure & Operations Contractor Solicitations; Graduate Medical Education (GME) Expansion for Rural Idaho – FFY26; Idaho Rural Behavioral Health and Pediatric Psychiatry Access Programs (FFY26). Strategy alignment: supports workforce, telehealth, prevention priorities.
Idaho’s approach emphasizes stakeholder engagement and public input to guide allocation of funds focused on technology, care models, workforce, population health, and infrastructure.
Key Initiatives
Timeline: Application submitted Nov 4, 2025; initial award Dec 29, 2025; budget revision Jan 30, 2026; funding restriction lifted Feb 11, 2026; RFPs May-June 2026; contracts executed Jul-Sep 2026; Year 1 funds obligated by Oct 30, 2026
Workforce Recruitment and Retention: Prioritized by respondents and stakeholders to recruit and retain clinical workforce talent committed to serving rural communities for a minimum of five years. (Regions: statewide)
Healthcare Delivery System Optimization: Focus on right-sizing rural healthcare delivery systems by defining needed service lines across the continuum of care. (Regions: statewide)
Chronic Disease Prevention and Behavioral Health: Promoting evidence-based, measurable interventions to improve prevention and management of chronic diseases and behavioral health. (Regions: statewide)
ID - 2025 - Read the application summary.
Idaho RHTP federal application summary
ID - 2030 - Read the application narrative.
Idaho RHTP federal application narrative
ID - 2025 - Idaho's Budget Narrative
Idaho RHTP federal budget narrative
ID - 2025 - Idaho's Revised Budget
Idaho RHTP revised budget
ID - 2026 - Legislative Committee presentation 4.22.2026
Idaho legislative committee RHTP presentation
ID - 2026 - Overview of Idaho's award, timeline, and milestones
Idaho RHTP award overview & milestones
ID - 2025 - Idaho Rural Health Application Task Force, created by Governor Brad Little
Auto-grouped context match (38%)
ID - 2026 - For Providers | Idaho Department of Health and Welfare
Auto-grouped context match (37%)
ID - 2026 - CMS RHTP 50-State Spotlight (FY2026) — Idaho
ID - 2026 - Gov. Little spotlights priorities in “Enduring Idaho” plan | Office of the Governor
Auto-grouped context match (37%)
Grouped files
1 related document
ID - 2026 - funding opportunity overviews
Pediatric psychiatry access line solicitation
Idaho Department of Health and Welfare
Grouped files
1 related document
ID - 2026 - funding opportunity overviews
BH prevention subgrants solicitation
Grouped files
1 related document
ID - 2026 - funding opportunity overviews
Rural health needs assessment solicitation
This document outlines upcoming RHTP funding opportunities in Idaho for 2026. Multiple contract and subgrant announcements are forecasted to support rural health transformation across data, project management, workforce, facility, cybersecurity, maternal and child health, behavioral health, and related focus areas. These overviews are not awards but describe anticipated solicitations for Idaho organizations. Event schedule: - Funding Opportunity Release - 06/05/2026
Core Initiatives
Idaho's Rural Health Transformation Program received nearly $186 million in CMS funding for its first year, launching five major initiatives aimed at advancing rural health technology, care models, workforce pipeline and retention, population health, and infrastructure. The strategy prioritizes telehealth, workforce incentives, EMS expansion, evidence-based population health interventions, and facility modernization. Competitive subgrant and procurement processes are being developed, with all Year 1 funds to be obligated by October 2026. Event schedule: - State application due - 12/31/2025 - Initial award received - 12/29/2025 - First annual report due - 08/30/2026
Core Initiatives
Idaho proposes a $1B 5-year RHTP statewide transformation. Key subgrants cover workforce, telehealth, cyber, maternal, tribal, and facility modernization. Implementation will be staged with outcome reporting, community and provider engagement, and extensive subawards. Event schedule: - Project Start Date - 12/31/2025 - MT - statewide - Project End Date - 10/31/2030 - MT - statewide
Core Initiatives
The Idaho Rural Health Transformation Program seeks $200 million annually for five years to restructure rural healthcare through five strategic initiatives focusing on workforce, access, technology, population health, and infrastructure. The program emphasizes sustainable rural health workforce development and community-based care models to ensure accessible, quality care close to home.
Idaho's RHTP award funds five strategic initiatives spanning telehealth expansion, EMS, workforce development, population health, rural facility upgrades, and a Tribal health set-aside. Year 1 budget is ~$187M. Multiple subgrants/contracts planned. Event schedule: - Year 1 Start - 12/29/2025 - Year 1 End - 10/30/2026
Core Initiatives
This summary reviews high-level elements of FY26 Rural Health Transformation Program (RHTP) applications from multiple states. Initiatives include strengthening maternal health, addressing chronic disease, workforce and infrastructure development, telehealth expansion, and population health improvement. All entries reflect state-level plans to use CMS RHTP funds; no specific subgrantee/recipient line awards are provided.
Core Initiatives
Idaho's RHTP program involves five key initiatives including technology enhancements, innovative care models, rural workforce sustainability, population-specific health projects, and rural health infrastructure investments. The program is driven by extensive stakeholder and public input, supported by legislative and tribal representation, and includes planned funding solicitations and subgrants. The Department of Health and Welfare leads the application and implementation process with key milestones set through late 2026. Event schedule: - DHW Application Submission - November 4, 2025 - Idaho Department of Health and Welfare - Initial Award from CMS - December 29, 2025 - Budget Revision Submission - January 30, 2026 - Funding Restriction Lifted - February 11, 2026 - RFP Posting and Competitive Subgrant Solicitations Begin - May - June 2026 - Contracts and Subgrants Executed - July - September 2026 - All Year 1 Funds Obligated - October 30, 2026
Core Initiatives
Idaho's RHTP strategy focuses on five key initiatives including rural access through technology, innovative care models, workforce development, population-focused projects, and rural health infrastructure investments. CMS goals such as improving access, outcomes, and technology innovation guide these initiatives. Oversight mechanisms include detailed regular reporting to CMS and the Idaho Legislature. Key contacts: IdahoRHTP@dhw.idaho.gov Event schedule: - RHTP Goals Date - 9/22/2025 - Use of Funds Date - 9/22/2025
Contacts
Core Initiatives
This document identifies rural eligibility in Idaho for the Rural Health Transformation Program, stating that 36% of the state population (655,070 people) live in eligible rural areas covering approximately 96% of the state's land area. Event schedule: - Document date - 10/20/2025
Governor Brad Little’s 2026-2027 budget address prioritizes rural health care access and workforce. The ENDURING IDAHO plan proposes investing nearly $1 billion in federal funds over five years to improve rural health care, including $150 million to strengthen the workforce pipeline and $1 million for graduate medical education. All allocations are budget proposals, not specific RHTP sub-awards.
Core Initiatives
The Idaho Governor issued an executive order establishing a Rural Health Taskforce to advise on the application of the RHTP in Idaho. The taskforce aims to coordinate rural health transformation and improve healthcare access and workforce in rural areas, leveraging federal RHTP funds.
ID RHTP site updated — 24 new doc(s)
ID - 2026 - For Providers | Idaho Department of Health and Welfare
ID - 2026 - 2026 State of the State and Budget Address
ID - 2026 - Gov. Little spotlights priorities in “Enduring Idaho” plan | Office of the Governor
ID RHTP site updated — 122 new doc(s)
Documents predating or adjacent to the RHTP program — useful background, excluded from main activity feed.
House Concurrent Resolution No. 11 Recognizing 988 as the Universal Mental Health and Suicide Prevention Crisis Phone Number
ID - 2026 - worksheet
Idaho’s proposed Rural Health Transformation Plan targets rural healthcare gaps via five major initiatives: technology access and digital health, innovative care models, workforce strengthening, population health projects, and infrastructure investment. The plan seeks a minimum of $200M per year over five years, with special focus on local control, telehealth/AI, emergency systems modernization, support for rural and frontier CAHs, RHCs and FQHCs, and set-aside for Native nations. Idaho’s approach centers on sustainability, self-sufficiency, and data-driven accountability, with explicit outcomes and targets for rural health improvement and fiscal stewardship. Event schedule: - Increase CHEMS positions to at least 62 - 2030-12-31 - Idaho rural counties - Increase percentage of counties with at least one FTE EMS position to 97% - 2030-12-31 - Idaho rural counties - Decrease rate of ED visits for ambulatory care sensitive conditions to less than 24,623.3 per 100,000 - 2030-12-31 - Idaho rural counties - Decrease emergency responses to repeat users to less than 10% - 2030-12-31 - Idaho rural counties - Increase number completing 'learn in place' or 'grow your own' programs to at least 200 - 2030-12-31 - Idaho rural counties - Increase number completing new fellowship programs to at least 20 - 2030-12-31 - Idaho rural counties - Increase number completing new residency programs to at least 10 - 2030-12-31 - Idaho rural counties - Increase physicians per 100,000 individuals to at least 195 - 2030-12-31 - Idaho
Core Initiatives
Core Initiatives
The meetings captured extensive discussion of anticipated uses for Idaho’s Rural Health Transformation funding, with priority placed on infrastructure and workforce investments, EMS and health extender support, clinical rotations and education, telehealth expansion, and technology upgrades for rural providers. Special consideration was given to equitable tribal set-asides, limiting administrative expenses, and ensuring both robust reporting and flexibility within CMS requirements. The state is focused on scalable models, data-driven program evaluation, and sustainability without ongoing state costs. Event schedule: - Task Force Meeting - 10/28/2025 - 9:00 AM MT - ID State – presumed Boise or virtual - Task Force Meeting - 10/28/2025 - 1:00 PM MT - ID State – presumed Boise or virtual - Task Force Meeting - 10/29/2025 - MT - ID State – presumed Boise or virtual - Task Force Meeting - 10/30/2025 - 12:00 PM MT - ID State – presumed Boise or virtual - Tribal Initiative Proposal Deadline - 01/31/2026
Core Initiatives
Idaho's RHTP budget supports substantial investments in workforce development, maternal/child health, telehealth infrastructure, facility modernization, and emergency communications upgrades across rural and frontier counties. All subrecipient programs are competitively awarded to ensure alignment with RHTP objectives and measurable health improvements. Key initiatives include the Ladder Payment Program for rural providers, modernization of diagnostic and telehealth access, EMS and infrastructure upgrades, and large-scale program and data management services. Event schedule: - Program Implementation Start (anticipated) - 12/29/2025 - End of Budget Period 1 - 10/30/2026 - Period of Performance (Health Management & Data Analytics Subgrants) - 2025-12-29 - Period of Performance End (Health Management & Data Analytics Subgrants) - 2026-10-30 - Period of Performance (Graduate Medical Education - GME) - 2025-12-29 - Period of Performance End (Graduate Medical Education - GME) - 2026-10-30 - Period of Performance (Cancer & Chronic Disease Prevention & Treatment Management Subgrants) - 2025-12-29 - Period of Performance End (Cancer & Chronic Disease Prevention & Treatment Management Subgrants) - 2026-10-30
Core Initiatives
Core Initiatives
ID - 2026 - FAQ
ID - 2026 - 988 Talking Points
ID - 1976 - First Lady Teresa Soulen Little - Office of the Governor
HTML
ID - 2026 - Appointments - Office of the Governor
HTML
ID - 2026 - Download Form
2025 · PDF
ID - 2026 - inclusion/exclusion policy and application
2025 · DOCX
ID - 2026 - How to add your name to the Abandoned Child Registry
2024 · PDF
ID - 2026 - How to Request a Search of the Putative Father Registry
2024 · PDF
ID - 2026 - How to Add Your Name to the Putative Father Registry
2024 · PDF
ID - 2026 - I'm adopted-How do I get my original birth certificate?
2023 · PDF
Senate Bill 1125—Idaho Suicide and Mental Health Crisis Access Fund and 988 Hotline Implementation
2021 · PDF
2021 State of the State and Budget Address
2021 · PDF
Executive Order 2020-14
2021 · PDF
Executive Order 2021-01
2021 · PDF
Executive Order 2021-03
2021 · PDF
2020 State of the State and Budget Address
2020-2021 · PDF
Amended Executive Order 2020-04
2020 · PDF
Amended Executive Order 2020-08
2020 · PDF
Executive Order 2020-04
2020 · PDF
Executive Order 2020-05
2020 · PDF
Executive Order 2020-07
2020 · PDF
Executive Order 2020-06
2020 · PDF
Executive Order 2020-08
2020 · PDF
Executive Order 2020-09
2020 · PDF
Executive Order 2020-11
2020 · PDF
Executive Order 2020-12
2020 · PDF
Amended Executive Order 2020-15
2020 · PDF
Executive Order 2020-15
2020 · PDF
Executive Order 2020-20
2020 · PDF
Executive Order 2020-16
2020 · PDF
Executive Order 2020-10
2020 · PDF
2019 State of the State and Budget Address
2019 · PDF
Executive Order 2019-08
2019 · PDF
Executive Order 2019-11
2019 · PDF
Executive Order 2019-15
2019 · PDF
Executive Order 2019-14
2019 · PDF
Executive Order 2019-13
2019 · PDF
Executive Order 2019-01
2019 · PDF