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HHS Region 4 · Mississippi Rural Health Transformation Office
Program Overview
The program will launch its first phase of funding opportunities in mid-2026 targeting capital projects, technology improvements, and telehealth enhancements. It includes straightforward application procedures to encourage participation and plans multiple funding streams, including future efforts focused on psychiatric emergency services and innovative care models.
Updated
County-level estimates averaged across Mississippi — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (82)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Hinds County | 218,533 | 22.7% | 16.9% |
| Harrison County | 210,891 | 17.1% | 13.4% |
| DeSoto County | 191,301 | 9.7% | 7.9% |
| Rankin County | 158,854 | 9.8% | 6.1% |
| Jackson County | 145,249 | 13.8% | 10.8% |
| Madison County | 111,647 | 11.2% | 7.9% |
| Lee County | 83,034 | 14.6% | 10.5% |
| Forrest County | 78,272 | 21.0% | 15.6% |
| Lauderdale County | 71,504 | 26.3% | 18.5% |
| Jones County | 66,472 | 18.7% | 12.3% |
| Lamar County | 65,713 | 14.7% | 9.9% |
| Lafayette County | 58,327 | 18.5% | 10.9% |
AI source: MS - 2025 - Completed Procurements - Mississippi Division of Medicaid
AI auto-updated Jun 6, 2026
API refreshed May 7, 2026
Centers for Medicare & Medicaid Services (CMS)
Grouped files
3 related documents
MS - 2026 - CMS RHTP 50-State Spotlight (FY2026) — Mississippi
1,506,603 rural residents
Mississippi is gathering public input via a survey and has scheduled a stakeholder forum for August 28, 2025 to identify initiatives for the Rural Health Transformation Program. The state is soliciting consultant proposals to prepare its grant application, which is required for federal approval before program launch. No federal award has been received and no state-level procurements have been issued yet. Progress is concrete but limited to pre-award and planning activities. State opportunities: 1 active (1 closing soon), $206.0M listed funding. Key opportunities: Mississippi Rural Health Transformation Program: Statewide Rural Healthcare Assessment. Strategy alignment: supports care access priorities.
Mississippi’s updated RHTP strategy centers on Medicaid managed care reforms, targeted provider payment increases, rigorous quality incentives, and system-wide health IT modernization. Stakeholder input through public surveys and forums informs initiative selection, with oversight from the Office of the Governor and state agencies. External Quality Review and advanced data validation protocols underpin reliability and accountability. Implementation is aligned with federal RHTP grant requirements, focusing on sustainable improvements in rural healthcare delivery.
Model
Integrated Medicaid value-based payment transformation with statewide digital infrastructure and collaborative public-health governance, aligned to CMS and federal RHTP grant standards.
Key Initiatives
Timeline: Public survey deadline August 14, 2025; consultant proposal deadline August 4, 2025; invitation-only stakeholder forum August 28, 2025; application submission to HHS Secretary by December 31, 2025; MHAP, MAPS, and TREAT payment reforms and quality initiatives implemented during SFY 2025-2026.
Mississippi is soliciting proposals for development of a Comprehensive State Health Plan, with an explicit requirement for a rural health system assessment and alignment with CMS and federal objectives. The scope includes data-driven health and systems assessment, integration of statutory requirements including Certificate of Need, stakeholder engagement,...
This solicitation seeks vendor proposals for the Mississippi State Department of Health's Comprehensive State Health Plan, with a focus on rural health transformation, population health, healthcare infrastructure, workforce, and CON modernization. The RFP clarifies the scope, contract term, stakeholder engagement expectations, and guidance for proposal su...
EMS and Emergency Response: Efforts focus on improving EMS response times, reducing unnecessary transports, and enhancing coordination between EMS, hospitals, and 911 dispatch. (Regions: Regional Healthcare Districts statewide)
MS - 2025 - Amendment 2 – Answers to Questions – 7/31/2025
Auto-linked process guidance fallback (1%)
MS - 2024 - QIPP Schedule – SFY 2024
Auto-grouped context match (38%)
Due Jun 4, 2026
4 related documents
MS - 2026 - Comprehensive State Health Plan RFP Amendment One (3180002944)
Amendment One (3180002944)
MS - 2026 - Comprehensive State Health Plan Contract Draft (for RFP)
Contract draft for RFP
MS - 2026 - Comprehensive State Health Plan RFP Statement of Compliance (3120002944)
RFP Statement of Compliance (3120002944)
MS - 2026 - Comprehensive State Health Plan (Addendum #1 Revision)
Primary source: Addendum #1 Revision
Due Jun 4, 2026
2 related documents
MS - 2026 - Funding - Mississippi RHT Program
MS - 2026 - Statewide Rural Healthcare Assessment
Statewide Rural Healthcare Assessment (Notice of Award PDF)
Mississippi was awarded $205.9M through the Rural Health Transformation Program to strengthen rural healthcare by expanding access, improving workforce, modernizing infrastructure, and care coordination with a major contractual budget for future initiatives. Reporting restrictions on contractual funding were lifted upon submission of sufficient details. Specific subrecipient funding will be determined upon future selection and CMS review. Key contacts: Kristen Windham Kristen.Windham@govreeves.ms.gov; Anne Hall Brashier annehall.brashier@govreeves.ms.gov; Chris Clark christopher.clark@cms.hhs.gov; Jacqueline Higgins jacqueline.higgins1@cms.hhs.gov Event schedule: - Federal Award Date - 04/20/2026 - Budget Period Start - 12/29/2025 - Budget Period End - 10/30/2026 - Period of Performance End - 10/30/2030
Contacts
Core Initiatives
The award supports workforce development via training and technical assistance to expand person-centered systems of care for Medicaid Home and Community Based Programs in Mississippi. The contract covers a two-year period and totals $559,902. Event schedule: - Contract Period Start - 02/03/2023 - Mississippi - Contract Period End - 02/02/2025 - Mississippi
Mississippi Division of Medicaid awarded a contract to Horne LLP for up to $150,000 to provide consultation services preparing the application for the Rural Health Transformation Program. The contract period is from August 12 to December 31, 2025. Event schedule: - Contract Period Start - 08/12/2025 - CT - Mississippi Division of Medicaid - Contract Period End - 12/31/2025 - CT - Mississippi Division of Medicaid
This solicitation seeks vendor proposals for the Mississippi State Department of Health's Comprehensive State Health Plan, with a focus on rural health transformation, population health, healthcare infrastructure, workforce, and CON modernization. The RFP clarifies the scope, contract term, stakeholder engagement expectations, and guidance for proposal submissions, but does not specify a budget range. Vendor engagement across diverse sectors and rigorous scoping of analysis depth are emphasized. Key contacts: Dorthy Young Event schedule: - RFP Response Deadline - 06/04/2026 - 2:00 PM CT - OpenGov portal - Contract Start Date - 07/02/2026 - Contract End Date - 09/30/2027
Contacts
Core Initiatives
The program will launch its first phase of funding opportunities in mid-2026 targeting capital projects, technology improvements, and telehealth enhancements. It includes straightforward application procedures to encourage participation and plans multiple funding streams, including future efforts focused on psychiatric emergency services and innovative care models. Event schedule: - Pearl Outreach Meeting - June 4, 2026 - 10:00 a.m. CT - Pearl Community Center, Community Room, 2420 Old Brandon Road, Pearl MS 39208 - Ellisville Outreach Meeting - June 5, 2026 - 9:30 a.m. CT - Jones College, Home and Health Auditorium, 36 Bush Avenue, Ellisville MS 39437 - Summit Outreach Meeting - June 5, 2026 - 2:30 p.m. CT - Southwest Community College, Student Union, 1156 College Drive, Summit MS 39666 - Tupelo Outreach Meeting - June 9, 2026 - 10:00 a.m. CT - Itawamba Community College, Room 509, 3200 Adams Farm Road, Belden MS 38826 - Cleveland Outreach Meeting - June 10, 2026 - 10:00 a.m. CT - Cotton House Hotel, 215 Cotton Row, Cleveland MS 38732 - Funding Information Release - June 1, 2026 - Application Portal Opens - June 15, 2026 - Application Portal Closes - July 15, 2026
This summary aggregates FY26 proposed RHTP transformation plans for multiple states, as submitted to CMS. All states propose major rural health investments including digital and telehealth infrastructure, workforce pipeline expansion, integrated care models, and targeted initiatives for maternal health, chronic disease, and behavioral health. Each state is assigned a proposed RHTP funding amount, but recipient sub-awards are not named in this CMS summary.
Core Initiatives
Mississippi Medicaid's Hospital Access Program QIPP will allocate $832M for hospital quality incentives in FY2025, including a $43.5M value-based payment carve-out. Key priorities include improvement in maternal, mental, and metabolic health, as well as expansion of value-based payments. Hospitals meeting quality improvement thresholds will receive additional VBP funding after final review.
This Methodology Supplement outlines the Mississippi QIPP PPC approach to incentivizing quality improvement in Medicaid inpatient care. Statewide PPC performance for fiscal years 2019–2020 showed a weighted actual-to-expected ratio of 1.10, prompting targeted corrective action plans for underperforming hospitals. Incentives and penalties are based on hospital attainment and improvement of PPC performance, with a focus on reducing costly complications such as septicemia.
Mississippi Division of Medicaid has been awarded $205 million for the first year of a five-year Rural Health Transformation Program. The program supports six major initiatives, including statewide rural health assessment, network and workforce development, health technology modernization, telehealth, and infrastructure building. This is part of a larger $50 billion federal investment aimed at supporting sustainable rural healthcare statewide. Key contacts: Jennifer Wentworth Event schedule: - , 2026 - May 6 - Agenda - •Program Launch: SFY , 2024 - July 1 - •Objective: Incentivize high value care - , 2023, through June 30, 2024 (based on paid date) - July 1 - •Interim payments reconciled in May 2027 to actual encounters - for rating period, , 2025 - June 30, 2026 (based on service - July 1 - date) - Contract end: , 2025 - June 30 - United Healthcare 1-800-557-9933
Contacts
Core Initiatives
Mississippi Division of Medicaid lists a consulting contract specifically for the Rural Health Transformation Program. Although no financial or milestone details are given, this contract demonstrates active work on RHTP priorities in Mississippi.
Core Initiatives
Mississippi QIPP will direct $50 million for value-based payments to hospitals, incentivizing quality and outcome improvements for Medicaid beneficiaries—including rural facilities. Payments are tied to performance in reducing potentially preventable hospital returns (PPHR), inpatient complications (PPC), and ambulatory complications (AM-PPC), with rigorous reporting and corrective action plan requirements. Notable emphasis on maternal health with the new MOMS initiative launching in SFY 2026.
The WEI focuses on recruiting, training, and retaining healthcare providers and support staff in rural areas, including physicians, nurses, EMS, behavioral health, dental, pharmacy, and critical support roles. The program supports coordinated efforts such as workforce recruitment and retention incentives, residency program expansions, preceptor support, healthcare career pathways in high schools, and 'earn while you learn' opportunities. Funding requires a minimum 5-year service commitment and aligns with Mississippi’s approved Rural Health Transformation Plan.
Core Initiatives
The HTAM initiative aims to upgrade outdated systems, strengthen cybersecurity, expand telehealth, and enable interoperable health information exchange across rural providers. It offers technology grants, EHR replacement for small providers, cybersecurity enhancements, and support for statewide HIE development. Funding is aligned with the state's approved RHTP and designed to build sustainable infrastructure.
Multiple Mississippi hospitals are attesting to collaborate and participate in a statewide Health Information Network for Medicaid data reporting. The HIN initiative is intended to improve admission, discharge, and transfer data exchange for Medicaid beneficiaries, as a requirement in the SFY 2022 plan. The document serves to certify hospitals' capability and intent to support statewide HIN implementation.
Mississippi is soliciting proposals for development of a Comprehensive State Health Plan, with an explicit requirement for a rural health system assessment and alignment with CMS and federal objectives. The scope includes data-driven health and systems assessment, integration of statutory requirements including Certificate of Need, stakeholder engagement, and preparation of a final statewide health planning document. The plan is intended to guide future health investment and inform state and federal policy decisions. Key contacts: Dorthy Young procurement@msdh.ms.gov Event schedule: - RFP Issue Date - 05/08/2026 - CT - Questions and Requests for Clarification Deadline - 05/15/2026 - 10:00 AM CT - Proposal Package Submission Deadline - 06/04/2026 - 2:00 PM CT - Proposal Opening - 06/04/2026 - 2:00 PM CT - Notice of Intent to Award - 06/09/2026 - 3:00 PM CT - Anticipated Contract Effective Date / Services Begin - 07/02/2026 - 3:00 PM CT - Proposal Submission Deadline - 2026-06-04 - 14:00 CST - Agency's OpenGov Procurement portal
Contacts
Core Initiatives
CRIS brings together EMS, hospitals, public health agencies, and community organizations within Regional Healthcare Districts to coordinate care and share data. The program focuses on regional EMS coordination, EMS treat-in-place pilots, post-discharge care coordination, 24/7 nurse navigation, AI decision support for EMS, and connecting patients to social services. Funding opportunities will support system-level improvements aligned with the state's Rural Health Transformation Plan. Key contacts: Info@MississippiRHTP.com
The program focuses on expanding access to critical and specialized services, closing care gaps, supporting innovative pilot programs, and improving behavioral health crisis responses. BRIDGE funds renovations, equipment, behavioral health recruitment, and pilot programs including care coordination, value-based care, and specialty court models. Notices of Funding Opportunities will be released soon outlining eligibility and funding details. Key contacts: Info@MississippiRHTP.com
CMS approved Mississippi's state directed payment proposal, authorizing up to $1.51 billion for percentage increases and performance improvement payments to rural and other hospitals for inpatient, outpatient, and rural emergency services. This award is incorporated in Medicaid managed care capitation rates for fiscal year 2025-2026. No recipient sub-award details are provided; this is a total federal-state allocation.
Core Initiatives
MS RHTP site updated — 1 new doc(s)
MS RHTP site updated — 1 new doc(s)
MS RHTP site updated — 1 new doc(s)
MS RHTP site updated — 1 new doc(s)
MS RHTP site updated — 1 new doc(s)
Documents predating or adjacent to the RHTP program — useful background, excluded from main activity feed.
MS - 2026 - Services - Mississippi Division of Medicaid
HTML
Mississippi is launching a phased funding approach starting June 2026 designed to support rural healthcare projects such as capital improvements, technology investments, and telehealth enhancements. The program emphasizes accessible application processes without need for grant writers and encourages multi-year project proposals reflecting comprehensive community needs. Upcoming opportunities will include psychiatric emergency services and innovative care delivery pilots. Key contacts: Info@MississippiRHTP.com Event schedule: - State shares detailed funding info - June 1, 2026 - Application Portal Opens - June 15, 2026 - Application Portal Closes - July 15, 2026 - Application Review Period - July 16–31, 2026 - Notices of Award Released - August 2026
Contacts
Core Initiatives
The program is funded by a historic $50 billion federal investment and focuses on five main initiatives: Coordinated Regional Integrated Systems (CRIS), Workforce Expansion Initiative (WEI), Health Technology Advancement and Modernization (HTAM), Telehealth Adoption and Provider Support (TAPS), and Building Rural Infrastructure for Delivery, Growth, and Efficiency (BRIDGE). A series of community outreach meetings are planned across multiple cities to engage stakeholders and provide information about the application process and program details. Key contacts: Info@MississippiRHTP.com Event schedule: - Community Outreach - Pearl - June 4, 2024 - 10:00 AM CT - Pearl Community Center, Community Room - Community Outreach - Ellisville - June 5, 2024 - 9:30 AM CT - Jones College, Home and Health Auditorium - Community Outreach - Summit - June 5, 2024 - 2:30 PM CT - Southwest Community College, Student Union - Community Outreach - Tupelo - June 9, 2024 - 10:00 AM CT - Itawamba Community College, Room 509 - Community Outreach - Cleveland - June 10, 2024 - 10:00 AM CT - Cotton House Hotel
Contacts
Core Initiatives
Core Initiatives
Core Initiatives
Core Initiatives
Core Initiatives
Core Initiatives
Contacts
Core Initiatives
Contacts
Core Initiatives
MS - 2025 - Amendment 1 – Attachment 1 – Medicaid Nursing Facilities – 7/28/2025
Contract Shell Template
MS - 2025 - Public Notice of Intent to Award – 8/22/25
2026-2028 · PDF
MS - 2026 - Amendment 6 – Additional Questions and Answers – 1/5/2026
2026 · XLSX
MS - 2026 - Medicaid 2026 calendar year
2026 · PDF
MS - 2024 - IFB #20241108 – PDF
2025 · PDF
MS - 2025 - IFB #20250613 – PDF
2025 · PDF
MS - 2025 - Amendment #1 – Questions and Answers / Pre-Bid Submission PowerPoint – 7/21/2025
2025 · PDF
MS - 2025 - IFB #20250627 – PDF
2025 · PDF
MS - 2025 - Amendment 2 – Changes and Clarifications – 7/28/2025
2025 · PDF
MS - 2025 - Amendment 1 – Questions and Answers – 7/28/2025
2025 · PDF
MS - 2025 - Amendment #2 – Shredding IFB Revisions
2024-2025 · PDF
MS - 2024 - Quote – Fleet Detailing Program – RFX #3140004010 – 9/26/2024
2024-2025 · PDF
Durable Medical Equipment Wheelchair Code Resource Document
2021 · XLSX
Mississippi ANNUAL REPORT RHTP 2021
2021 · PDF
MS - 2021 - QIPP PPHR Corrective Action Plan SFY2021
2021 · XLSX
SFY 2020 MississippiCAN Estimated Program Savings Methodology
2020 · PDF
SFY 2020 MississippiCAN Estimated Program Savings Summary
2020 · PDF
Mississippi Dear Governor And Legislators Governor Reeves And Members Of The Mississippi Legislature: RHTP 2020 Annual Report
2020 · PDF
MS - 2020 - FY20 QIPP Fact Sheet
2020 · PDF
FY20 QIPP PPHR Provider Training Presentation
2020 · PDF
PPC Statewide Listing CY 2019-2020
2019-2020 · XLSX
MS QIPP PPC Methodology Supplement_June 2021
2019-2020 · PDF
State Medicaid Health Information Technology Plan (SMHP)
2019 · PDF
Mississippi ANNUAL REPORT RHTP 2019
2019 · PDF
MississippiCAN Enrollment (January - December 2019) RHTP Document
2019 · PDF
Executed MOU with DOT for Statewide Coordinated Transportation Plan Advisory Group
2018-2020 · PDF
Mississippi Medicaid Quality Incentive Payment Program: Readmissions RHTP 2019 Slide Deck
2018-2019 · PDF
State of Mississippi Enterprise Cloud and Offsite Hosting Security Policy
2018 · PDF
CMS 416: 2018 Annual EPSDT Participation Report
2018 · PDF
MISSISSIPPI DIVISION OF MEDICAID Annual Report RHTP 2018
2018 · PDF
MississippiCAN Enrollment (January - December 2018) RHTP Document
2018 · PDF
UnitedHealthcare Community Plan EQR Protocol 4 Summary of Findings Letter
2018 · PDF
UnitedHealthcare Community Plan EQR Protocol 4 Master Summary of Findings
2018 · PDF
Magnolia Health EQR Protocol 4 Master Summary of Findings
2018 · PDF
Mississippi July 20, 2018 Drew Snyder, Esq. RHTP Document
2018 · PDF
Mississippi Division of Medicaid’s Managed Care Quality Strategy Report
2018 · PDF
MississippiCAN Rate Change Summary by Year
2017-2021 · PDF
CMS 416: 2017 Annual EPSDT Participation Report
2017 · PDF