Program Overview
The South Carolina Rural Health Transformation Program is currently offering one-time infrastructure and capacity-building grants through four targeted initiatives: Connections to Care, Wellness Within Reach, Leveling Up, and Shoring Up to Sustainability. The program focuses on expanding digital infrastructure, deploying mobile health units, scaling successful pilot programs, and strengthening healthcare systems in rural communities, with applications due June 1, 2026. Current structured plan tracks 8 key initiatives and 8 strategic goals.
Updated
County-level estimates averaged across South Carolina — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (46)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Greenville County | 548,166 | 10.8% | 7.7% |
| Richland County | 422,117 | 17.2% | 11.5% |
| Charleston County | 420,264 | 11.3% | 7.0% |
| Horry County | 383,016 | 13.2% | 9.1% |
| Spartanburg County | 347,852 | 14.5% | 10.8% |
| Lexington County | 304,887 | 11.1% | 8.5% |
| York County | 293,673 | 8.4% | 6.2% |
| Berkeley County | 246,802 | 9.9% | 7.5% |
| Anderson County | 210,478 | 14.6% | 11.5% |
| Beaufort County | 195,289 | 9.6% | 7.1% |
| Aiken County | 174,160 | 14.3% | 10.1% |
| Dorchester County | 167,201 | 11.4% | 8.1% |
AI source: SC - 2025 - SCDHHS Announces RHTP Funding Opportunities
AI auto-updated Jun 4, 2026
API refreshed May 7, 2026
Centers for Medicare & Medicaid Services (CMS)
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9 related documents
SC - 2025 - Frequently Asked Questions – RHTP Application Guidance
728,561 rural residents
As of April 2026, South Carolina has released grant opportunities for four Rural Health Transformation Program (RHTP) initiatives, with applications open until June 1, 2026. The state held a public webinar to guide applicants, and all funding opportunity details are accessible on the SCDHHS RHTP web page. This signals that state-level procurements are underway, advancing from planning to the implementation phase. State opportunities: 5 total (5 past/closed), $87.7M listed funding. Key opportunities: RHTP: Shoring Up to Sustainability Initiative; RHTP: Wellness Within Reach Initiative; Connections to Care – Modernize Health IT. Strategy alignment: supports workforce, prevention, care access priorities. State opportunities: 5 total (5 past/closed), $87.7M listed funding. Key opportunities: RHTP: Shoring Up to Sustainability Initiative; RHTP: Wellness Within Reach Initiative; Connections to Care – Modernize Health IT. Strategy alignment: supports workforce, prevention, care access priorities.
South Carolina's RHTP utilizes a data-driven, infrastructure- and capacity-building strategy, emphasizing one-time, high-impact investments that address systemic barriers and foster long-term sustainability. Led by SCDHHS under federal oversight, the program modernizes digital and physical healthcare infrastructure, scales evidence-based models, deploys mobile health assets, and reinforces rural workforce and provider networks. Special focus continues on chronic disease, maternal health, behavioral health integration, and equitable care access in rural communities.
Model
Targeted infrastructure and workforce transformation using digital innovation, mobile service delivery, scaling pilot programs, and financial stabilization, coordinated through time-limited grants, outcome-driven oversight, and public-private partnerships.
Key Initiatives
Timeline: Primary grant application window closes June 1, 2026. Further Tech Catalyst Fund and Behavioral Health Crisis Stabilization Services opportunities, along with ongoing initiative timetables, will be announced in subsequent phases.
Behavioral Health Integration: South Carolina received $7.2 million to improve integration of behavioral health services, with specific targeting toward rural populations. (Regions: Rural communities)
Maternal Health Care: Grant funds support investments in maternal health care, addressing access and outcomes in rural and medically underserved regions. (Regions: Rural areas, Medically underserved areas)
School-based Mental Health: The number of school-based mental health counselors has doubled to better serve communities across South Carolina. (Regions: Statewide, Rural schools)
SC - 2025 - Budget Narrative
SC - 2025 - Transforming Rural Healthcare in South Carolina
SC - 2026 - Welcome! The meeting will begin shortly…
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SC - 2025 - South Carolina RHTP Application
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SC - 2028 - Centers for Medicare & Medicaid Services RHTP
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SC - 2025 - South Carolina RHTP
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SC - 2025 - OMB Number: 4040-0019 Expiration Date: 06/30/2028
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SC - 2026 - RHTP Grant Overview
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South Carolina Department of Health and Human Services
Due Jun 1, 2026
1 related document
SC - 2026 - RHTP: Wellness Within Reach Initiative
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South Carolina Department of Health and Human Services
Due Jun 1, 2026
1 related document
SC - 2026 - RHTP: Shoring Up to Sustainability Initiative
Primary source
South Carolina Department of Health and Human Services
Due Jun 1, 2026
2 related documents
SC - 2026 - RHTP: Leveling Up Initiative
Event schedule: - Thursday, , 2023 - October 12 - COLUMBIA, S.C. – The South Carolina Department of Health and Human Services (SCDHHS) today announced the creation of a new grant program to improve access to quality medical care in rur... - The application and instructions for this grant program are available on the agency’s website. Applications are due , 2023, and successful grant awardees will be notified Feb. 2, 2024. For questions about the grant pr...
Event Schedule
SCDHHS was awarded $17 million from CMS over ten years to improve maternal health care for Medicaid enrollees through the Transforming Maternal Health (TMaH) Model. Key priorities include reducing maternal mortality and extending postpartum Medicaid coverage. The effort is supported by a coalition of state and national health partners and builds on previous initiatives such as the Birth Outcomes Initiative. Key contacts: Jeff Leieritz Communications@scdhhs.gov Event schedule: - Grant Award Announcement - 01/08/2025 - ET - Columbia, SC
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Contacts
Core Initiatives
South Carolina Department of Health and Human Services (SCDHHS) is soliciting applications for up to $15 million in one-time grant funding to build or improve rural and medically underserved area health facilities. No match is required. Focus areas include expanding access to essential health services, improving health equity, and supporting sustainable facility operations.
Core Initiatives
This RFA is South Carolina's implementation of the CMS Rural Health Transformation Program Leveling Up Initiative, supporting chronic disease program expansion for rural areas. Total anticipated funding is $27 million, awarded as subawards to organizations serving rural communities. The program seeks to reduce preventable hospitalizations and improve outcomes for diabetes, hypertension, sickle cell, maternal health, and other conditions.
The Rural Health Transformation Program in South Carolina will fund four major initiatives for rural populations, totaling $169 million in federal investment. Awards focus on health IT, chronic disease, pop-up clinics, workforce, and technology innovation; applications are open for rural providers. Timeline milestones include application deadlines in June 2026 and completion by September 2027. Key contacts: SCORH Team info@scorh.net Event schedule: - Applications Due - 06/01/2026 - Award Notices - 07/31/2026 - Project Completion - 09/30/2027
Contacts
Core Initiatives
South Carolina submitted a comprehensive RHT plan addressing rural health disparities with five integrated initiatives including digital infrastructure, mobile health units, and workforce strengthening. The state requests $1 billion federal funding to modernize rural healthcare, expand access, and build sustainability.
South Carolina's RHTP application requests $1 billion over five years to transform rural health outcomes via robust state-level initiatives. Funding will be competitively distributed through multiple programs including health IT modernization, mobile crisis response, facility upgrades, workforce incentives, and rural care expansion. Extensive oversight, compliance, and outcomes tracking are integral to the state's stewardship plan.
South Carolina proposes an ambitious, data-driven Rural Health Transformation plan centered on expanding digital health infrastructure (EHR, remote monitoring, telehealth), workforce initiatives, and financial stabilization for rural hospitals. Strategic efforts target improved access and chronic disease management for 1.75 million rural residents, with emphases on care coordination, maternal health, and cross-sector partnerships. Five flagship initiatives (e.g., Connections to Care) will modernize rural health systems and equip communities for sustainable transformation.
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Core Initiatives
South Carolina is distributing $35 million in one-time infrastructure grants to hospitals for creating specialized emergency units for mental health crisis stabilization. The program aims to add 56 new crisis beds and 111 spaces to address emergency psychiatric needs. Funding is limited to infrastructure and does not cover staffing or service provision.
Core Initiatives
The document outlines an $800 million award over four years dedicated to transforming rural healthcare in South Carolina. Budget details include personnel, fringe benefits, travel, supplies, and substantial contractual expenditures.
South Carolina is launching its Wellness Within Reach Initiative as part of the Rural Health Transformation Program, making $27.7M available to rural-serving organizations through subawards. The initiative focuses on expanding mobile crisis response and community care sites to improve healthcare access, quality, and outcomes in rural areas. Projects must demonstrate measurable impact and directly benefit rural residents.
South Carolina is submitting an application to CMS for the Rural Health Transformation Program, with Governor and SCDHHS leadership committed as the lead administrator and convener. The plan prioritizes stakeholder engagement, chronic disease management, infrastructure improvements, and sustainable care models in rural areas. Extensive coordination aims to leverage existing resources, avoid duplication with current federal and state rural health funding, and maximize health outcomes for rural residents.
Event Schedule
Core Initiatives
South Carolina was awarded $200 million in Rural Health Transformation Program funding, along with additional grants and infrastructure awards focused on rural areas. The state is expanding healthcare access through grant programs, infrastructure investments, and increasing school-based mental health counselors. Major initiatives target improving maternal health care and behavioral health integration in rural communities. Key contacts: info@scdhhs.gov Event schedule: - RHTP Funding Award Announcement - 12/30/2025 - Healthcare Infrastructure Funds Awarded - 02/20/2024 - School-based Mental Health Counselor Expansion Announcement - 01/25/2024
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Contacts
Core Initiatives
The RHTP includes grant opportunities focused on improving healthcare access in rural areas, such as the Rural & Medically Underserved Area Grant and Behavioral Health Crisis Stabilization Services Grant. The program is managed by the South Carolina Department of Health and Human Services and integrates with other state initiatives. Application and resource links are available for providers, partners, and communities.
SC RHTP site updated — 6 new doc(s)
SC canonical state summary updated: progressSummary updated · transformationStrategy updated · strategicGoals updated
SC canonical state summary updated: progressSummary updated · transformationStrategy updated · strategicGoals updated (×2, Jun 4–Jun 5)
SC RHTP site updated — 1 new doc(s)
SC RHTP site updated — 4 new doc(s)
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SC - 2015 - For questions related to Medicaid contract forms, contact 803-898-0376.
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SC - 2026 - South Carolina RHTP ((2026-03-24)_RHTP_Grant_Applications_Powerpoint)
Consolidated supporting doc
This document is a FY2026 Request for Applications (RFA) for the Rural Health Transformation Program: Shoring Up to Sustainability Initiative in South Carolina, under a $40M federal cooperative agreement from CMS. It aims to fund rural facility infrastructure enhancements, workforce recruitment/retention, and provider operational resilience through subawards to rural-serving entities. Three project tracks—facility enhancements, masterclass training, and workforce incentives—address key rural health barriers, building the sustainability of South Carolina’s rural healthcare delivery system.
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Core Initiatives
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Core Initiatives
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Core Initiatives
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Core Initiatives
This FAQ provides guidance on eligibility, allowable costs, and application requirements for South Carolina's Rural Health Transformation Program, targeting rural communities. It details requirements for letters of support, budget narrative, sustainability plans, allowable project types, and restrictions against supplanting or duplicative funding. The document clarifies eligible applicants, funding tracks, and requirements for quarterly and annual reporting. Event schedule: - FAQ Update - 05/08/2026
Core Initiatives
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