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HHS Region 5 · Illinois Department of Healthcare and Family Services (HFS)
Program Overview
Illinois applied for $200 million annually over five years from the federal Rural Health Transformation Program, driven by extensive stakeholder engagement including over 38 meetings and nearly 300 public listening session attendees. The program focuses on hospital transformation, overcoming geographic barriers, and building a resilient rural workforce through grants and direct investments.
Updated
County-level estimates averaged across Illinois — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (102)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Cook County | 5,182,090 | 13.5% | 9.9% |
| DuPage County | 930,024 | 6.6% | 4.7% |
| Lake County | 714,223 | 8.3% | 5.8% |
| Will County | 701,462 | 7.3% | 5.5% |
| Kane County | 517,255 | 7.9% | 5.6% |
| McHenry County | 312,591 | 6.2% | 4.3% |
| Winnebago County | 283,292 | 15.6% | 11.1% |
| Madison County | 264,238 | 11.1% | 7.6% |
| St. Clair County | 253,694 | 13.6% | 9.5% |
| Champaign County | 208,741 | 19.1% | 7.2% |
| Sangamon County | 194,947 | 13.1% | 8.5% |
| Peoria County | 179,645 | 15.7% | 10.1% |
AI source: IL - 2024 - RHTP Hospital Planning Grant Methodology (pdf)
AI auto-updated May 21, 2026
API refreshed May 7, 2026
Centers for Medicare & Medicaid Services (CMS)
Grouped files
1 related document
IL - 2026 - CMS RHTP 50-State Spotlight (FY2026) — Illinois
1,635,249 rural residents
Illinois has publicly launched hospital-level planning grant opportunities for its Rural Health Transformation Program, with $28.2 million allocated for Year 1 and application eligibility criteria detailed for 97 hospitals. This marks the move to subgrantee procurement, as hospitals can now apply for approximately $290,000 each to support program planning. The federal award was previously received and formal subgrant activities have begun. State opportunities: 1 active (1 open), $80.0M listed funding. Key opportunities: Healthcare Transformation Capital Investment Grant Program. Strategy alignment: supports care access priorities.
Invest in infrastructure, innovative care delivery models, workforce development, and technology to enhance healthcare access and quality in rural Illinois.
Key Initiatives
Timeline: Funding awarded December 29, 2025, with federal awards announced by December 31, 2025; implementation ongoing starting 2026
Obstetric Services Access: 34% of Illinois counties lack obstetric services, highlighting critical gaps in rural healthcare availability. (Regions: Rural Illinois counties)
Event schedule: - Illinois Department of Healthcare and Family Services Social Health Care Network (SHCN) Program NOFO # 3997-20-26-SHCN Opportunity Details 1. Awarding Agency Name Illinois Department of Healthcare and Family Services 2. Agency Contact Thea Kachoris-Flores Thea.Kachoris-Flores@illinois.gov 312-898-4765 3. Announcement Type Initial announc...
Illinois will allocate $28.2M in planning grants to up to 97 eligible rural or rural-serving hospitals, supporting financial and strategic transformation. All CAHs and hospitals meeting rurality or discharge percentage thresholds may participate. This represents a major investment focused on hospitals serving rural resident populations.
Illinois Department of Healthcare and Family Services & Illinois Capital Development Board
Grouped files
2 related documents
IL - 2024 - Notice of Funding Opportunity (NOFO) for the Healthcare Transformation Capital Investment Grant Program (pdf)
IL - 2025 - Healthcare Transformation Capital Investment Grant FAQ (pdf)
Illinois will allocate $28.2M in planning grants to up to 97 eligible rural or rural-serving hospitals, supporting financial and strategic transformation. All CAHs and hospitals meeting rurality or discharge percentage thresholds may participate. This represents a major investment focused on hospitals serving rural resident populations.
Core Initiatives
Event schedule: - Illinois Department of Healthcare and Family Services Social Health Care Network (SHCN) Program NOFO # 3997-20-26-SHCN Opportunity Details 1. Awarding Agency Name Illinois Department of Healthcare and Family Services 2. Agency Contact Thea Kachoris-Flores Thea.Kachoris-Flores@illinois.gov 312-898-4765 3. Announcement Type Initial announcement 4. Type of Assistance Instrument Grant 5. Funding Opportunity Number 3997-20-26-SHCN 6. Funding Opportunity Title HFS Social Health Care Network 7. CSFA Number 478-00-3997 8. CSFA Popular Name HFS Social Health Care Network 9. Assistance Listing (formerly Not applicable CFDA Number) 10. Anticipated Number of Awards 1 11. Estimated Total Program $8M annually Funding 12. Award Range $5,000,000 - $8,000,000 13. Source of Funding State 14. Cost Sharing or Matching No Requirement 15. Indirect Costs Allowed X Yes □ No Restrictions on Indirect Costs □ Yes X No If yes, provide the citation governing the restriction 16. Posted Date , 2026 17. Application Range June 3, 2026 – July 20, 2026 18. Technical Assistance Session Session OƯered: X Yes □ No Session Mandatory: □ Yes X No Specify date and time: June 16, 12 PM – 1 PM Provide link to registration: https://illinois.webex.com/weblink/register/r9f9b3620 ad4f7abad9465e0632fd70c3 1 - June 3 - Table of Contents Opportunity Details ....................................................................................................... 1 A. Program Description .............................................................................................. 3 B. Program Requirements........................................................................................... 7 C. Funding Information ............................................................................................ 16 D. Eligibility Information ........................................................................................... 18 E. Application and Submission Information ............................................................... 20 F. Reporting, Monitoring and Audit Requirements ....................................................... 22 G. Review and Selection Process .............................................................................. 23 H. Application Questions and Information Session .................................................... 24 I. Application Checklist ............................................................................................ 24 Uniform Grant Application ........................................................................................... 26 SECTION 1. UNIFORM GRANT APPLICATION ............................................................. 26 SECTION 2: ORGANIZATIONAL ELIGIBLITY ................................................................ 29 SECTION 3: APPLICANT GRANT HISTORY .................................................................. 30 SECTION 4: SCOPE OF WORK .................................................................................. 32 Section 5. PROGRAM WORK PLAN ............................................................................ 35 SECTION 6. PROGRAM BUDGET ............................................................................... 35 SECTION 7. ATTACHMENTS ...................................................................................... 38 Appendices ................................................................................................................ 39 Appendix I: Terminology and Definitions .................................................................... 39 Appendix II: Regional Geography............................................................................... 41 Appendix III: Scoring Rubric ...................................................................................... 42 2 - with all applicable state and federal statues, regulations, and the terms and conditions of this grant. The applicant must comply with Grant Accountability and Transparency Act (GATA) requirements and submit programmatic data and fiscal reports to HFS. The resulting contract will have an initial term from , 2026 – June 30, 2029, subject to future state budget appropriations. Definitions Please see Appendix I for a list of relevant definitions. Purpose Through this NOFO, the Illinois Department of Healthcare and Family Services (HFS) is seeking competitive applications from qualified applicants who can serve as the SHCN. Responsibilities are further detailed throughout this NOFO. It is HFS’s intent to award one statewide entity. HFS seeks organizations who can conduct all SHCN activities either directly or through subcontract, and meet the duties and responsibilities under the program, as detailed within this NOFO. The Grantee will be responsible for providing or meeting all of the requirements described in this NOFO and may not subgrant or subcontract any portion of the required activities without approval from HFS. Background on the Healthcare Transformation 1115 Waiver and Other Community- based Provider Types Several State initiatives align with the development of a SHCN such as the Illinois Healthcare Transformation 1115 Demonstration Waiver, Community Health Workers (CHW) roll-out, and Governor JB Pritzker’s Birth Equity Initiative. In 2024, HFS received approval from the Centers for Medicare & Medicaid Services (CMS) for Illinois’ Healthcare Transformation 1115 Waiver. The SHCN will support CBOs wanting to deliver 1115 waiver approved services, such as HRSN and reentry services. More information about the Healthcare Transformation 1115 waiver can be found at: Healthcare Transformation 1115 Waiver. In 2026, Illinois will begin covering services provided by certified Community Health Workers (CHWs) that will be billable and reimbursable under Medicaid. The SHCN may support community-based CHW organizations who plan to become Medicaid providers and may not have the billing infrastructure needed to seek reimbursement from Illinois Medicaid and its contracted managed care organizations. As part of Governor Pritzker’s Birth Equity Initiative, HFS began enrollment access for Maternal and Child Health provider types in 2024 to include Lactation Consultants, Doulas, and in 2025, Home Visitors. Enrolled maternal health providers may now receive reimbursement for perinatal services provided to Medicaid recipients. In 2026, Illinois will expand coverage of the MCH workforce and launch enrollment of Licensed Certified Professional Midwives who provide care, 4 - October 1 - education, counseling and support to pregnant individuals and their families through pregnancy, birth, and postpartum in the home. The SHCN may support individuals and organizations who are or will be delivering these Medicaid billable services. Vision and Goals for the Social Health Care Network The SHCN will be responsible for building a reliable network of CBOs to enable access to Medicaid reimbursable community-based services, including but not limited to the services listed above. The SHCN will promote greater awareness of, access to, and coordination among entities in the social health care ecosystem and strengthen the ability of CBOs to bill Medicaid for these services through training and technical assistance, capacity-building and operational support. Building on and partnering with the existing work of CBOs, the SHCN is expected to: CBO network development : Formally organize and coordinate a network of contracted CBOs that will deliver HRSN and community-based services to eligible Medicaid members. The SHCN will partner with the HCI managed care organizations (MCOs) and other subcontracted partners, as needed, to ensure that there is state-wide coverage with a robust network of providers to deliver HRSN and other community-based services. CBO capacity building : Build CBO’s capacity to participate in the delivery of Medicaid services, by means of direct investments in CBOs (through subawards) to support the hiring of staƯ or the purchase of necessary equipment (e.g., computers), or through trainings and technical assistance to build CBO capabilities in areas such as business planning, operational and billing infrastructure support, or HRSN screening and referrals. Contract management : Contract with MCOs on behalf of CBOs to ensure CBOs can deliver care to managed care customers and bill the MCO for HRSN and other community-based services. Performance management : Collaborate with HFS, CBOs, MCOs, and providers on data-driven performance reporting to demonstrate value and further the evidence base on how HRSN and community-based services can advance health outcomes and reduce health disparities. Operations and governance : Establish and maintain a governing body and executive leadership team that reflects and understands the unique needs of the state of Illinois and eƯectively coordinates among other stakeholders. Other Roles and Responsibilities CBOs : CBOs contracted with the SCHN must have an active Employer Identification Number (EIN) and be enrolled or plan to enroll as a Medicaid provider in Illinois. They will deliver social health care services to Medicaid customers. These entities may also participate in the screening of Medicaid members for HRSN services. CBOs are not 5 - 7. Expected Deliverables The following are the minimum requirements. Additional deliverables may be appropriate, depending on the specific Grantee. Applicants should include the deliverables as milestones and activities within their submitted work plans. The following assumes a Year 1 contract period of nine months. Subsequent years will be 12 months. Year 1: Months 1-3 Begin assessment of CBO capacity needs to develop a plan for future use of capacity building funds Contract with the newly awarded MCOs by , 2026 Subcontract with any regional organizations that will help the SHCN develop the provider network Hire and onboard SHCN staƯ Establish sample contract between the SHCN and the CBO Begin contracting with medical respite providers Begin outreach and training and technical assistance to CBOs that want to deliver HRSN, CHW, and other community-based billable services Establish necessary data sharing agreements Establish reporting structure to be able to report on funds spent by allowable infrastructure category Establish governance structure Year 1: Months 4-6 Begin to grant capacity building funds Continue outreach and training and technical assistance to CBOs that want to deliver HRSN, CHW, and other community-based billable services Contract with additional providers Participate in planning for roll-out of ICARRS and billing and claiming system Assist CBOs in establishing internal processes to utilize billing and claims system Year 1: Months 7-9 Participate in roll-out of ICARRS and billing system, including helping with onboarding of CBOs and entering and validating CBO info in ICARRS, if the system is ready Provide ongoing technical assistance to CBOs Assist CBOs in establishing internal processes to utilize billing and claims system C. Funding Information This award is utilizing state general revenue funds. For the time period of October 1, 2026 – June 30, 2027 (9 months), applicants may apply for up to $8M. A minimum of $3M of the award must be allocated to capacity building sub- 16 - December 31 - 5:00 p.m - include, but are not limited to, modifications of a workplace or other reasonable accommodations that are a specific obligation of the employer or other party. To supplant existing State, local, or private funding of infrastructure or services such as staƯ salaries, etc. To cover any pre-award costs. To pay for billing and claiming-related technology or closed-loop referral platforms. For Capital expenditures, including but not limited to construction costs, land acquisition, new renovation, minor renovation or remodeling of property. For any activity designed to influence the enactment of legislation, appropriations, regulation, administrative action, or Executive order proposed or pending before the Congress or any state government, state legislature or local legislature or legislative body. Grant recipients may lobby at their own expense if they can segregate funds from other financial resources used for that purpose. To cover the cost of food or beverages. To provide gifts, including gift cards or cash, unless they are of nominal value, or provide promotional items that market or promote the products or services of the agency, to any organization as an inducement for enrollment. To assist organizations that do not intend to provide services to Illinois Medicaid customers. D. Eligibility Information An entity may apply for a grant if the entity has registered and pre-qualified through the Grant Accountability and Transparency Act (GATA) Grantee Portal, www.grants.illinois.gov/portal. Registration and pre-qualification are required annually. During pre-qualification, verifications are performed including a check of federal SAM.gov Exclusion List and status on the Illinois Stop Payment List. 1. Eligible Applicants In its oversight authority and responsibility, HFS has identified standards essential to a successful SHCN. HFS will contract with the Grantee that, at a minimum: i) Has strong connections to the communities served and CBOs delivering services. ii) Can develop, strengthen, support and continuously manage a network of CBOs that can deliver HRSN and other community-based services; iii) Are financially sound, and iv) Have experience making and managing grants. Applicants must meet the criteria identified below to be deemed eligible to submit an Application in response to this NOFO: 1. Applicant must be a 501(c)(3) non-profit organization 2. Applicant must be a single legal entity, properly formed and organized in Illinois and in good standing with the Illinois Secretary of State 18 - grants to CBOs. All funds must be expended by , 2027, and cannot be carried over into state fiscal year 2028. The Grantee will be given an initial payment of $1.7M based on the completion of the financial and administrative risk assessment via the GATA Grantee Portal, utilizing an Internal Controls Questionnaire (ICQ) for the current state fiscal year. Further payments in FY27 will be based on monthly submission of financial reports with required supporting documentation. Agreements that result from this funding opportunity are contingent upon and subject to the availability of funds. 1. Allowable Expenses Grant funding is intended to support organizations in (1) delivering outreach, training and technical assistance to community-based organizations and (2) providing capacity building dollars to CBOs through subgrants. Examples of eligible expenses include but are not limited to: Hiring new staƯ to perform grant activities Paying current staƯ to perform grant activities Expenses associated with travel to and from locations at which grant activities are performed Expenses associated with outreach, education and stakeholder convenings Production of material to promote localized awareness about Medicaid services which would not duplicate materials provided by HFS Subcontracting to other local organizations that can help meet grant objectives and achieve deliverables Capacity building subgrants to support CBOs in becoming Medicaid billing organizations. Subgrants may include but not limited to funds for: o Creating and modifying existing data collection tools to report and claim for HRSN services and other CBO services o Training and onboarding of staƯ o Development and implementation of new policies and procedures to deliver Medicaid-eligible services, including compliance and monitoring 2. Unallowable expenses The grant funds may not be used: For institutional, organizational, or community-based overhead costs not directly related to grant objectives or indirect costs. To cover the costs to provide direct health care services to individuals. To match any other Federal funds. To provide services, equipment, or support that are the legal responsibility of another party under Federal or State law (such as vocational rehabilitation or education services) or under any civil rights laws. Such legal responsibilities 17 - June 30 - 5:00 p.m - include, but are not limited to, modifications of a workplace or other reasonable accommodations that are a specific obligation of the employer or other party. To supplant existing State, local, or private funding of infrastructure or services such as staƯ salaries, etc. To cover any pre-award costs. To pay for billing and claiming-related technology or closed-loop referral platforms. For Capital expenditures, including but not limited to construction costs, land acquisition, new renovation, minor renovation or remodeling of property. For any activity designed to influence the enactment of legislation, appropriations, regulation, administrative action, or Executive order proposed or pending before the Congress or any state government, state legislature or local legislature or legislative body. Grant recipients may lobby at their own expense if they can segregate funds from other financial resources used for that purpose. To cover the cost of food or beverages. To provide gifts, including gift cards or cash, unless they are of nominal value, or provide promotional items that market or promote the products or services of the agency, to any organization as an inducement for enrollment. To assist organizations that do not intend to provide services to Illinois Medicaid customers. D. Eligibility Information An entity may apply for a grant if the entity has registered and pre-qualified through the Grant Accountability and Transparency Act (GATA) Grantee Portal, www.grants.illinois.gov/portal. Registration and pre-qualification are required annually. During pre-qualification, verifications are performed including a check of federal SAM.gov Exclusion List and status on the Illinois Stop Payment List. 1. Eligible Applicants In its oversight authority and responsibility, HFS has identified standards essential to a successful SHCN. HFS will contract with the Grantee that, at a minimum: i) Has strong connections to the communities served and CBOs delivering services. ii) Can develop, strengthen, support and continuously manage a network of CBOs that can deliver HRSN and other community-based services; iii) Are financially sound, and iv) Have experience making and managing grants. Applicants must meet the criteria identified below to be deemed eligible to submit an Application in response to this NOFO: 1. Applicant must be a 501(c)(3) non-profit organization 2. Applicant must be a single legal entity, properly formed and organized in Illinois and in good standing with the Illinois Secretary of State 18 - All grantees must complete an indirect cost rate negotiation or elect the De Minimis Rate to claim indirect costs. Indirect costs claimed without a negotiated rate or a De Minimis Rate election on record in the GATA Grantee Portal indirect cost rate system may be subject to disallowance. Grantees have discretion not to claim payment for indirect costs. Grantees that elect not to claim indirect costs cannot be reimbursed for indirect costs. The organization must record an election to “Waive Indirect Costs” into the GATA Grantee Portal. E. Application and Submission Information Organizations wishing to become the SHCN will submit the grant application and coordinate with CBOs who want to participate in the provider network. HFS will work with the SHCN to fulfill the objectives of the program. Grantees will be responsible for (1) selecting and contracting with any other organizations to ensure statewide reach and meeting of the deliverables and (2) distributing and monitoring capacity building funds through a subgrant to CBOs. 1. Address to Request Application Package All application materials must be submitted via the Euna grant management system. 2. Content and Form of Application Submission a. Letters of Intent to apply are highly encouraged to aid HFS in planning for and facilitating the review process. Letters of intent should be sent to thea.kachoris- flores@illinois.gov by , 2026. The letter is non-binding and is not required in order to submit an application. The letter should include the applicant organization name, point of contact and email address, and a statement of intent to apply to the SHCN NOFO. b. Application instructions: The SHCN program application instructions are included in this document but should be completed and submitted via the Euna https://il.amplifund.com/Public/Opportunities/Details/cb2d0388-11ba-4cbd-99c6- 816dd826163d. c. Page limit and format: Character limits for each Program Narrative response are shown in the Euna system. This includes any attachments such as letters of commitment or support, governance documents, and evidence of eligibility. 20 - June 26 - 5:00 p.m - 5. Statutory Requirements Grantees must comply with all legal requirements, State and Federal, related to procurement, environmental concerns, labor standards, and other requirements. Failure to comply with any legal requirement or other requirement specified in the grant agreement may result in suspension or termination of the grant agreement, grant funds being repaid by the Grantee, the withholding of future grant payments by HFS, or other remedy provided by law. In addition to the below requirements, Grantees must comply with all rules, regulations, and laws applicable to the grant program, as may be listed in this NOFO. Business Enterprise Program (30 ILCS 575/0.01 et seq.): For grant awards of $250,000 or more, the grantee will be required to comply with the Business Enterprise for Minorities, Women, and Persons with Disabilities Act (30 ILCS 575/0.01 et seq.), which establishes a goal for contracting with businesses that have been certified as owned and controlled as a minority-owned business, woman-owned business or business owned by a person with a disability. F. Reporting, Monitoring and Audit Requirements Grantees must complete multiple reports during the term of the grant and potentially after the grant has ended. This will include, but is not limited to, financial and performance reports, closeout report, and labor hour reports. Grantee is subject to the audit rules and policies set forth by the Governor’s OƯice of Management and Budget as found in 30 ILCS 708/65(c) and 44 Ill. Admin. Code 7000.90. Deadlines for any required reports may be extended at the discretion of HFS and GCI. Extensions shall be issued only in extraordinary circumstances not in control of the grantee. Grantee must complete periodic financial reporting at least quarterly using the State’s grant management system. Grantee must complete quarterly reports on programmatic progress and how capacity building funds are distributed to CBOs. More frequent or additional reporting may be required in the grant agreement based on the successful applicant’s risk assessments. In addition to required reporting, grantees are subject to fiscal and programmatic monitoring visits by HFS in accordance with 2 CFR 200.336. Grantees must have an open- door policy allowing periodic visits by HFS monitors to evaluate the progress of the project and must provide documentation upon request. HFS staƯ will also maintain contact with the participants and will monitor progress and performance under the terms of the agreement(s). HFS may modify grants based on performance. 22 - d. Required application components: Applicants must upload all required documents in PDF format in the correct sections of the Euna system. Name each file clearly so it can be easily identified (for example: OrganizationName_DocumentType.pdf ). Evidence of not-for-profit status: 501 (c) 3 Evidence of good standing with IL Secretary of State e. HFS may require additional information after notification of intent to make a State award but prior to the State award to verify compliance with any requirements. 3. Unique Entity Identification Number (UEI) and System for Award Management (SAM) Applicants are required (unless the applicant is an individual or Federal or State awarding agency that is exempt from those requirements under 2 CFR § 25.110(b) or (c), or has an exception approved by the Federal or State awarding agency under 2 CFR § 25.110(d)) to: Be registered in SAM before submitting its application, with a UEI assigned. To establish a SAM registration, go to www.SAM.gov. Continue to maintain an active SAM registration with current information at all times during which it has an active State award, an application, or plan under consideration by a State-awarding agency. The State awarding agency may not issue a grant award until the applicant has complied with all applicable SAM requirements. If an applicant has not fully complied with the requirements by the time the HFS is ready to make an award, the HFS may determine that the applicant is not qualified to receive an award and use that determination as a basis for making an award to another applicant. 4. Submission Dates/Times Application Opens : , 2026 Application Deadline : July 20, 2026, 5:00 p.m. (CST) Applications must be submitted electronically through the Euna System at https://il.amplifund.com/Public/Opportunities/Details/cb2d0388-11ba-4cbd-99c6- 816dd826163d. The application submission is the date and time by which HFS must receive the application in the Euna System. Upon receipt, an automated confirmation will be emailed. Proposals will not be accepted by email, mail, fax, or in person. Late applications will not be reviewed or considered. Applicants are encouraged to submit their applications 24-72 hours in advance of the deadline to avoid unforeseen technical diƯiculties. HFS will determine if an application has been submitted by the application deadline by using the Euna system generated documentation of receipt date and time. 21 - June 3 - 4:00 p.m - 5. Statutory Requirements Grantees must comply with all legal requirements, State and Federal, related to procurement, environmental concerns, labor standards, and other requirements. Failure to comply with any legal requirement or other requirement specified in the grant agreement may result in suspension or termination of the grant agreement, grant funds being repaid by the Grantee, the withholding of future grant payments by HFS, or other remedy provided by law. In addition to the below requirements, Grantees must comply with all rules, regulations, and laws applicable to the grant program, as may be listed in this NOFO. Business Enterprise Program (30 ILCS 575/0.01 et seq.): For grant awards of $250,000 or more, the grantee will be required to comply with the Business Enterprise for Minorities, Women, and Persons with Disabilities Act (30 ILCS 575/0.01 et seq.), which establishes a goal for contracting with businesses that have been certified as owned and controlled as a minority-owned business, woman-owned business or business owned by a person with a disability. F. Reporting, Monitoring and Audit Requirements Grantees must complete multiple reports during the term of the grant and potentially after the grant has ended. This will include, but is not limited to, financial and performance reports, closeout report, and labor hour reports. Grantee is subject to the audit rules and policies set forth by the Governor’s OƯice of Management and Budget as found in 30 ILCS 708/65(c) and 44 Ill. Admin. Code 7000.90. Deadlines for any required reports may be extended at the discretion of HFS and GCI. Extensions shall be issued only in extraordinary circumstances not in control of the grantee. Grantee must complete periodic financial reporting at least quarterly using the State’s grant management system. Grantee must complete quarterly reports on programmatic progress and how capacity building funds are distributed to CBOs. More frequent or additional reporting may be required in the grant agreement based on the successful applicant’s risk assessments. In addition to required reporting, grantees are subject to fiscal and programmatic monitoring visits by HFS in accordance with 2 CFR 200.336. Grantees must have an open- door policy allowing periodic visits by HFS monitors to evaluate the progress of the project and must provide documentation upon request. HFS staƯ will also maintain contact with the participants and will monitor progress and performance under the terms of the agreement(s). HFS may modify grants based on performance. 22 - Grantees shall be subject to Illinois’ statewide Audit Report Review requirements. Terms of the Single Audit Act Amendments of 1996 (31 USC 7501-7507), Subpart F of 2 CFR Part 200, and the audit rules set forth under the Grant Accountability and Transparency Act shall apply. (See 30 ILCS 708/65). G. Review and Selection Process 1. Evaluation Criteria and Process All applications will be screened for completeness including GATA pre-qualification and ICQ submission for the current state fiscal year. Incomplete applications will not be reviewed. Application materials must address all components of this NOFO and demonstrate both a need for the program and an ability to successfully implement the program. Reviewers will score applications based on completeness, clear and detailed responses to program narrative questions, and inclusion of all mandatory program elements as well as past performance history and/or financial standing with HFS. The applicant must demonstrate that costs are reasonable, necessary, and allowable. The Merit Based Review will follow Administrative Code Title 44, Subtitle F, Chapter I, Part 7000, Section 7000.350. Criteria for scoring proposals is listed in Appendix III (The Scoring Rubric) provided in this NOFO and will be used by the Review Committee when evaluating and scoring grant applications. In the event a change to the evaluation criteria is identified, the grant applicants shall be informed prior to the submission due date by publication of the change to the HFS website at a minimum. Evaluation shall be conducted by a committee determined by HFS, tailored to this grant application, and will include, as appropriate, technical or other personnel with expertise to ensure a comprehensive evaluation of applicants. 2. Selection Process Reviewers will score applications using the Scoring Rubric in Appendix III. HFS may choose not to make an award if no applicant meets the required criteria. 3. Anticipated Announcement and State Award Dates HFS anticipates announcing awards by , 2026 through a Notice of State Award (NOSA) with grant period of performance being October 1, 2026, for an initial term through June 30, 2027 (9 months). 4. Merit-Based Evaluation Appeals Process 23 - September 1 - 4:00 p.m - □ SECTION 4: Scope of Work □ SECTION 5: Program Work Plan □ SECTION 6: Program Budget □ SECTION 7: Attachments 25 - Unsuccessful applicants may request a formal appeal of the evaluation process. Evaluation scores and funding determinations may not be contested and will not be considered by HFS’ Appeals Review OƯicer. Competitive grant appeals are limited to the evaluation process. An appeal must be submitted in writing in accordance with the grant application document. An appeal must be received within fourteen calendar days after receipt of an application denial email. The written appeal shall include at a minimum the following: A statement of reason for the appeal The name and address of the appealing party Identification of the grant program A statement indicating a request for the appeal The appeal will be sent to: Appeals Review OƯicer Illinois Department of Healthcare and Family Services H. Application Questions and Information Session Questions regarding this NOFO may be submitted to: Thea Kachoris-Flores Email: thea.kachoris-flores@illinois.gov. The deadline for submitted questions is 4:00 p.m. (CST) , 2026. All substantive questions and responses will be posted on the opportunity details page in the Euna system https://il.amplifund.com/Public/Opportunities/Details/cb2d0388-11ba- 4cbd-99c6-816dd826163d. Due to the competitive nature of this solicitation, applicants may not discuss the opportunity directly with any HFS employee. In addition, HFS will host an information session on June 16, 2026 at 12 p.m. (CST). Interested parties must register in advance here: https://illinois.webex.com/weblink/register/r9f9b3620ad4f7abad9465e0632fd70c3. I. Application Checklist Please complete all eight sections of this application packet on the Euna System. □ SECTION 1: Applicant Information □ SECTION 2: Organizational Eligibility □ SECTION 3: Applicant Grant History 24 - July 10 - □ SECTION 4: Scope of Work □ SECTION 5: Program Work Plan □ SECTION 6: Program Budget □ SECTION 7: Attachments 25
Illinois is issuing a NOFO for a capital investment grant program aimed at hospitals and other qualified healthcare providers to support capital improvements under the Healthcare Transformation Capital Investment Grant Program. Event schedule: - DATE: , 2024 - May 1 - The Illinois Department of Healthcare and Family Services (HFS) is issuing a Notice of Funding
This document provides a comprehensive summary of Illinois’ application and planning for the Rural Health Transformation Program (RHTP). It details the federal RHTP's funding formula, strategic goals, application timeline, and stakeholder-informed health priorities. No awards or sub-grantee allocations are final or stated; all funding information is for reference in anticipation of the state’s application.
The document summarizes RHTP-related state applications for FY26, listing award amounts and spotlights for each state's rural health transformation proposal. Initiatives emphasize technology adoption, workforce development, quality improvement, and addressing maternal and chronic disease priorities. All awards are summarized at the statewide level, with no individual sub-recipient awards listed.
Core Initiatives
Illinois is applying for RHTP funding to address poor rural health outcomes and support at-risk hospitals through system transformation. The plan prioritizes three initiative categories: hospital transformation and partnership models, mobile and technology-enabled rural healthcare, and expansion of the rural health workforce. Proposed funding will scale successful regional models, invest in telehealth and mobile health, and seed workforce and value-based payment reforms statewide.
Core Initiatives
Reference: Illinois Critical Access Hospital Network Executive Director Joins National Discussion ON Rural Health Transformation Link: https://www.timestribunenews.com/2026/05/15/illinois-critical-access-hospital-network-executive-director-joins-national-discussion-on-rural-health-transformation/
Illinois Department of Healthcare and Family Services awarded a contract to MyOwnDoctor, LLC to deliver Medicaid Preventive Care and Education Organization Services statewide. The program aims to close preventive care gaps among Medicaid enrollees, supporting access, education, engagement, and SDOH connections. Cultural competence, workforce requirements reflecting served communities, and comprehensive quality improvement are mandated. Key contacts: Not explicitly provided Event schedule: - Contract Effective Date - 01/01/2025
Illinois Critical Access Hospital Network Executive Director participated in a national discussion on Rural Health Transformation.
HR1UpdateaddressMobileVideo
video/mp4 · 4/19/2026
IL RHTP site updated — 2 new doc(s)
IL RHTP site updated — 1 new doc(s)
IL - 2026 - RHTP News Digest
May 17, 2026 09:00
·Email2026 - Illinois Critical Access Hospital Network Executive Director Joins National Discussion ON RHT
IL - 2025 - Healthcare Transformation Capital Investment Grant FAQ (pdf)
Documents predating or adjacent to the RHTP program — useful background, excluded from main activity feed.
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2026 - Illinois Critical Access Hospital Network Executive Director Joins National Discussion ON RHT
Illinois was awarded $193,418,216 annually for five years under the federal Rural Healthcare Transformation Program to improve healthcare accessibility in its rural regions. This significant investment targets reducing barriers and advancing equity for rural residents. Event schedule: - Press Release - Tuesday, , 2025 - December 30 - Illinois has been awarded $193,418,216 million per year for five years through the $50 billion federal Rural Healthcare Transformation Program (RHTP) fund, which will be utilized to expand equitable access to healthcare and to eliminate barriers to care that many residents of rural communities face. - Press Release - Monday, , 2025 - December 22 - $4 million investment will cover the gap created by the Trump Administration’s move to defund Planned Parenthood - Press Release - Sunday, , 2025 - November 23 - Illinois announces participation in federal Cell & Gene Therapy Access Model for Sickle Cell Disease treatment - The Illinois Department of Healthcare and Family Services (HFS) is launching new coverage for home visiting services for pregnant and parenting Medicaid customers, effective . The newly-covered services and supports aim to meet the needs of pregnant and parenting individuals at a critical time in their healthcare journey, in order to create better health outcomes for both parents and their children. - Nov. 21 - Illinois announces participation in federal Cell & Gene Therapy Access Model for Sickle Cell Disease treatment - Press Release - Tuesday, , 2025 - September 30 - Following Sickle Cell Disease Awareness Month, the initial focus of the model will increase access to gene therapy treatments for people living with Sickle Cell Disease - Press Release - Sunday, , 2025 - August 03 - The Illinois Department of Healthcare and Family Services (HFS) is recognizing August as Child Support Awareness Month, marking historic progress on key performance metrics as the state celebrates the milestone 50th year of the program. Illinois’ Child Support Services program is entering its next decade with a goal of addressing the needs of the families it serves more holistically, including providing additional assistance to the parents who pay support.
Core Initiatives
Core Initiatives
This Q&A guidance outlines eligibility requirements, allowable costs, and application details for the Healthcare Transformation Capital Investment Grant program administered by Illinois HFS. The program supports capital improvements for Medicaid providers and focuses on healthcare transformation to serve underserved areas. Awards range up to an estimated $80 million per project, with a total of $200 million available.
Core Initiatives
Contacts
Core Initiatives
2021-03-01 COVID-19 Fee Schedule - UPDATED
2021 · PDF
2021-05-07 COVID-19 Fee Schedule - UPDATED
2021 · PDF
2021-08-20 COVID-19 Fee Schedule - UPDATED
2021 · PDF
2021-09-01 COVID-19 Fee Schedule - UPDATED
2021 · PDF
2021-11-02 Appendix K: Approved Amendment Signed Approval Letter IL 0142 (pdf)
2021 · PDF
2021-12-29 COVID-19 Fee Schedule - UPDATED
2021 · PDF
2020-03-27 Illinois Home and Community-Based Waiver Appendix K Submission (pdf)
2020-2021 · PDF
2020-05-12 Appendix K Approved Amendment
2020-2021 · PDF
2020-08-31 Appendix K: Approved Amendment
2020-2021 · PDF
2020-08-31 Appendix K: Approved Amendment Signed Approval Letter
2020-2021 · PDF
2020-12-04 COVID-19 Fee Schedule- UPDATED
2020-2021 · PDF
2021-01-06 COVID-19 Fee Schedule- UPDATED
2020-2021 · PDF
2021-01-28 COVID-19 Fee Schedule - UPDATED
2020-2021 · PDF
2021-02-08 COVID-19 Fee Schedule- UPDATED
2020-2021 · PDF
2021-03-03 COVID-19 Fee Schedule - UPDATED
2020-2021 · PDF
2021-03-26 COVID-19 Fee Schedule - UPDATED
2020-2021 · PDF
2021-05-19 COVID-19 Fee Schedule - UPDATED
2020-2021 · PDF
2021-06-10 COVID-19 Fee Schedule - UPDATED
2020-2021 · PDF
2021-07-09 COVID-19 Fee Schedule - UPDATED
2020-2021 · PDF
2021-10-04 COVID-19 Fee Schedule - UPDATED
2020-2021 · PDF
2021-11-18 COVID-19 Fee Schedule - UPDATED
2020-2021 · PDF
2020-03-19 Illinois Section 1135 Waiver Request (pdf)
2020 · PDF
2020-03-27 Illinois Section 1115 Waiver Request (pdf)
2020 · PDF
2020-03-27 Partial Approval Illinois Section 1135 Waiver (pdf)
2020 · PDF
Illinois Medicaid Virtual Healthcare Expansion/Telehealth Emergency Rules UPDATED
2020 · PDF
2020-05-21 COVID-19 Virtual Healthcare Expansion Billing Codes - UPDATED
2020 · PDF
2020-07-23 COVID-19 Fee Schedule--UPDATED
2020 · PDF
Illinois Updated September 14, 2020 Illinois Medicaid RHTP Meeting Minutes
2020 · PDF
Managed Care Manual for Medicaid Providers
2016 · PDF
Research Illinois Health Plans
2016 · PDF
IL - 2026 - MPCEO RFA FAQ (pdf)
2020-03-20 Telehealth Emergency Amendments Filed to 89 Ill Admin Code Section 140.403 (pdf)
2020-03-19 1135 Waiver Request Fact Sheet (pdf)
2020-03-27 1115 Waiver Request Fact Sheet (pdf)
2020-03-27 Illinois Medicaid & CHIP Eligibility Changes and Requests to Address COVID-19 Fact Sheet (pdf)
2020-04-08 Client Notice - How to Apply for Medicaid: Important COVID-19 Information
2020-08-04 Approved CHIP Disaster Relief SPA - 20-0006
2020-05-12 Appendix K Approval Letter