Vermont

This addendum provides access to a recorded meeting and transcript for applicants and stakeholders of the Mobile Integrated Healthcare Implementation Services NOFO. It is intended to ensure equitable access to procurement information.

This addendum updates the timeline for Vermont's Rural Health Transformation Program subrecipient grant competition, establishing two application rounds for rural healthcare provider transformation funding. The grant periods range from 10 to 11 months, starting in September or October 2026 and ending July 30, 2027. Extensions beyond Year 1 are possible with AHS and CMS approval. Event schedule: - Application Posted (Round 1) - June 19, 2026 - Deadline for Questions (Round 1) - June 26, 2026 - Application Deadline (Round 1) - July 17, 2026 - Commencement of Grant Agreement (Round 1) - September 1, 2026 - Application Deadline (Round 2) - August 17, 2026 - Commencement of Grant Agreement (Round 2) - October 1, 2026

Vermont's application details an ambitious transformation of rural health care through 30 proposed initiatives and grant programs targeting regionalization, integrated shared service platforms, stronger primary care, and major investments in rural provider and workforce development. The state will fund both service delivery reforms and physical facility and IT modernization, emphasizing EMS/paramedicine, mobile units, analytics, telehealth, housing, workforce pipelines, and more. Large-scale system assessment, independent evaluation, and insurance competition/transparency strategies ensure a data-driven, accountable transformation.

Vermont submitted its Rural Health Transformation Fund application for federal funding covering 2026-2030. The application focuses on strengthening rural health networks through coordination, technology sharing, workforce support, and affordability. Exact award amounts are yet to be determined by federal review.

Summary document linking to Vermont RHTP application and related resources, no explicit award details provided.

This progress report details significant organizational restructuring at University of Vermont Health Network, resulting in $8.1 million in annual savings, as well as the commissioning of two consultant studies to optimize clinical operations and forecast fiscal sustainability. It also recounts ongoing negotiations to implement value-based care contracts with BCBS VT and the state's effort to address affordability, quality, and population health. The Liaison Team continues to oversee progress, aiming to inform and guide Vermont's rural health transformation strategy. Event schedule: - Consultant studies begin - 01/01/2026 - Consultant studies complete - 03/31/2026 - Liaison Team project completion estimated - Fall 2026

Vermont is advancing a statewide rural health transformation strategy under Act 68 of 2025, building on prior community engagement and legislative mandates. Fourteen hospitals are engaged in shared services, care shifts to appropriate settings, analytics, and service line optimization. The state is broadening efforts to include primary care and community provider transformation, aiming for a sustainable, equitable rural health system.

Vermont's rural hospitals are pursuing multifaceted transformation strategies tailored to local needs, with emphasis on cost containment, specialist access, interoperability, and population health. Collaborative purchasing and network approaches are used to help achieve financial sustainability. No explicit funding allocations or award amounts are identified in this strategy document.

The Vermont RHTP is funded with a grand total of $195,053,740 and managed by the Human Services Vermont Agency. The program's period of performance spans from December 29, 2025, to October 30, 2030. The award is classified as discretionary and is focused on rural health transformation. Event schedule: - Period of Performance Start - 12/29/2025 - Period of Performance End - 10/30/2030

This Q&A document clarifies operational, budgetary, and eligibility requirements for organizations considering applying for the new Mental Health Urgent Care RFP in Rutland County, Vermont. The state seeks proposals to develop and operate a clinic serving all ages, with flexible site planning and phased budget considerations. Renovation costs may be allowed with CMS approval, but major construction and capital improvements are prohibited. Event schedule: - RFP Issue Date - 07/10/2026 - ET - Questions Due - 07/17/2026 - 4:00 PM ET - Answers Posted - 07/20/2026 - ET - RFP Responses Due - 08/07/2026 - 4:00 PM ET - via VTBuys

This document provides the required budget template for applicants to Vermont's RHTP facility upgrade, care transformation, and interfacility transfer solicitations. Applicants must ensure compliance with funding restrictions, especially prohibitions on supplanting existing sources, and thoroughly justify all line item requests.

This document is an addendum to the Vermont Rural Health Transformation Program subrecipient grant regarding telehealth technology adoption, specifying corrections and compliance updates.