HHS Region 4 · Alabama Department of Economic and Community Affairs
Program Overview
The Alabama Rural Health Transformation Program (ARHTP) is currently administered by ADECA and actively implementing eleven state-coordinated initiatives focused on improving rural healthcare access, provider sustainability, workforce development, expanded care delivery, and technology solutions. The program is guided by an advisory group and utilizes practical strategies to strengthen provider networks and care delivery across Alabama’s rural communities. Recent activity includes multiple workshops and Notices of Funding Opportunity targeting priority areas such as EHR IT expansion, EMS trauma and stroke, mental health, and rural practice. The implementation posture emphasizes annual updates, stakeholder engagement, and structured planning for long-term transformation. Current structured plan tracks 12 key initiatives and 7 strategic goals.
Updated
County-level estimates averaged across Alabama — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (67)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Jefferson County | 667,755 | 15.7% | 11.4% |
| Mobile County | 412,590 | 16.2% | 11.9% |
| Madison County | 405,718 | 10.1% | 6.9% |
| Baldwin County | 246,989 | 10.1% | 6.8% |
| Tuscaloosa County | 237,552 | 16.8% | 10.9% |
| Shelby County | 230,211 | 7.2% | 5.0% |
| Montgomery County | 226,718 | 19.9% | 16.3% |
| Lee County | 181,134 | 18.9% | 10.0% |
| Morgan County | 124,471 | 13.5% | 9.1% |
| Calhoun County | 116,090 | 17.9% | 12.9% |
| Limestone County | 111,233 | 10.0% | 7.3% |
| Houston County | 108,140 | 17.5% | 13.1% |
AI source: AL - 2025 - ARHTP Project Narrative Final
AI auto-updated Jun 28, 2026
API refreshed May 7, 2026
1,119,503 rural residents
Alabama received over $203 million in federal CMS funding and established a formal advisory group. As of July 2026, ADECA has issued multiple Notices of Funding Opportunity (NOFOs), including for EMS, workforce, mental health, rural health, and other initiatives. Application workshops and active procurement for subgrants are underway, signaling public program launch to local partners. State opportunities: 5 active (5 open, 6 past/closed), $150.1M listed funding. Key opportunities: Alabama RHTP Cancer Digital Regionalization Initiative; Alabama RHTP Maternal and Fetal Health Initiative; Alabama RHTP Emergency Medical Services (EMS) Treat-in-Place Initiative. Strategy alignment: supports telehealth, prevention, care access priorities.
Alabama's RHTP applies a comprehensive, milestone-driven strategy led by ADECA, coordinated across 11 designated initiatives targeting rural healthcare access, quality, workforce, and digital modernization. The program leverages collaborative workshops, phased competitive NOFOs, and a centralized application/monitoring portal to drive implementation, stakeholder engagement, and adaptive updates. Initiatives include regional specialty care expansion, EMS system enhancements, health IT modernization, and workforce pipeline development, with annual CMS reviews ensuring sustained accountability and impact.
Model
Statewide, regionally integrated, digitally-enabled rural health transformation with aligned specialty care, EMS modernization, robust workforce support, and iterative federal review.
Key Initiatives
Timeline: Five-year program (2026–2030), with annual CMS review, milestone-based funding, phased NOFOs beginning June–August 2025, and ongoing annual strategy updates.
Cancer Care: Focused on regional access to digital cancer care tools and coordination in rural areas.
EMS Trauma and Stroke: Aims to enhance pre-hospital and hospital response capabilities for trauma and stroke emergencies.
Maternal and Fetal Health: Targets improved maternal and fetal outcomes through rural-specific initiative funding.
Alabama Department of Economic and Community Affairs (ADECA)
Due Jun 26, 2026
4 related documents
AL - 2025 - Alabama Revised – 12.11.2025 Project Narrative RHTP Strategy
Primary source
AL - 2026 - Alabama RHTP – ADECA
ADECA ARHTP program page
AL - 2025 - ARHTP Project Narrative Final
ARHTP Project Narrative (Revised 4.10.2026)
AL - 2025 - ARHTP Launch Timeline
ARHTP Launch Timeline
Centers for Medicare & Medicaid Services (CMS)
Grouped files
1 related document
AL - 2026 - CMS RHTP 50-State Spotlight (FY2026) — Alabama
Supporting summary
Alabama Department of Economic and Community Affairs (ADECA)
Due Aug 7, 2026
1 related document
AL - 2025 - Alabama Department Of Economic And Community Affairs (ADECA) Notice Of Funding Opportunity (NOFO) Alabama RHTP Simulation Training Initiative
Official NOFO PDF
Alabama Department of Economic and Community Affairs (ADECA)
Due Aug 7, 2026
1 related document
AL - 2025 - Alabama Department Of Economic And Community Affairs (ADECA) Notice Of Funding Opportunity (NOFO) Alabama RHTP Maternal And Fetal Health Initiative
Official NOFO PDF
Alabama Department of Economic and Community Affairs (ADECA)
Due Aug 7, 2026
2 related documents
AL - 2025 - Alabama Department Of Economic And Community Affairs (ADECA) Notice Of Funding Opportunity (NOFO) Alabama RHTP Emergency Medical Services (EMS) Treat-In-Place Initiative
Official NOFO PDF
ADECA is announcing a competitive funding opportunity under Alabama's Rural Health Transformation Program to address critical workforce shortages in rural communities. Approximately $33 million in federal funds will be distributed via subawards to support innovative and practical workforce development, recruitment, incentive, and training projects in rural healthcare. Projects must serve rural Alabama and align with defined strategy categories including GME expansion, EMS workforce development, workforce education, recruitment incentives, and Certified Nurse Midwife training. Key contacts: info@alabamarhtp.com Event schedule: - Application Portal Opens - 06/03/2026 - CT - ARHTP website - Application Deadline - 06/26/2026 - 5:00 PM CT - ARHTP portal - Quarter 1 Progress Report Due - 01/10/2027 - Quarter 2 Progress Report Due - 04/10/2027 - Quarter 3 Progress Report Due - 07/10/2027 - Quarter 4 Progress Report Due - 10/10/2027
Contacts
Core Initiatives
In December 2025, Alabama was awarded $203 million for the first year of the Alabama Rural Health Transformation Program through a cooperative agreement with CMS. ADECA serves as the lead agency. This is a five-year program, with budget awards and program plans subject to annual review and update.
Event Schedule
Core Initiatives
Event schedule: - , 2026 - July 8 - MEMORANDUM - , 2026 - July 21 - 10:00 AM - 401 Adams Avenue • Suite 580 • P.O. Box 5690 • Montgomery, Alabama 36103-5690 • (334) 242-5100 - , 2026 - July 8 - 10:00 AM - Sessions will be held at: - , 2026 - July 22 - 10:00 AM - Sessions will be held at:
Event Schedule
Event schedule: - , 2026 - July 8 - M E M O R A N D U M - , 2026 - July 21 - 10:00 AM - , 2026 - July 22 - 10:00 AM - Sessions will be held at:
Event Schedule
This CMS summary document outlines FY26 Rural Health Transformation Program applications from numerous states, each proposing large-scale, multi-initiative plans to address access, workforce, health information technology, quality, and population health in rural and frontier communities. Strategic goals and spotlights include maternal health, chronic disease, digital modernization, telehealth, workforce expansion, and hospital stabilization. Proposed funding amounts per state range from ~$150M to over $270M, but are for reference only at the application stage.
Core Initiatives
The document lists 58 counties in Alabama that are eligible or partially eligible for funding under the Rural Health Transformation Program. It indicates the geographic scope of the sustainable rural healthcare initiatives planned.
Managed by ADECA as Alabama’s lead agency, ARHTP brings together multiple state agencies to create and implement a coordinated plan for rural health transformation. The program is structured around a yearly funding and review cycle, beginning with an initial award of $203 million. Budget and strategy may be revised each program year, with ongoing Notices of Funding Opportunities for participating entities. Event schedule: - NOFO Submission Deadline - 08/07/2026 - 5:00 PM CT - AlabamaRHTP.com
Event Schedule
Core Initiatives
ADECA serves as the lead agency for the program, working in cooperation with a core team and federal partners. The program operates under a cooperative agreement with CMS, with yearly funding and plan reviews. The first-year program award is $203 million, and workshops are scheduled to support new initiatives. Event schedule: - ARHTP Application Workshops Round 2 - July 21, 2026 - CT - ARHTP Application Workshops Round 2 - July 22, 2026 - CT - NOFO Submission Deadline - August 7, 2026 - 5:00 PM CT
AL RHTP site updated — 1 new doc(s)
AL RHTP site updated — 2 new doc(s)
AL RHTP site updated — 1 new doc(s)
AL RHTP site updated — 5 new doc(s)
AL RHTP site updated — 1 new doc(s)
Spreadsheets, data exports, and reference documents — available for download but excluded from the main activity feed. Showing the 40 most recent of 91.
AL - 2026 - Press Releases Archives -
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AL - 2017 - The Office of Alabama Governor Kay Ivey
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AL - 1967 - Governor -
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AL - 2026 - ARHTP Application Workshops Round 2 Announcement
Auto-linked process guidance fallback (11%)
Alabama is launching the Rural Health Practice Initiative under the Rural Health Transformation Program, with $6.935 million in federal funds available for competitive subawards. Eligible rural providers can apply for projects focused on expanding clinic capacity, workforce recruitment, telehealth implementation, and school-based health clinics. The program aims to strengthen rural healthcare access, promote innovation, and advance long-term sustainability in Alabama's rural communities. Key contacts: info@alabamarhtp.com Event schedule: - Application portal opens - 06/03/2026 - CT - ARHTP online portal - Application submission deadline - 06/26/2026 - 5:00 PM CT - ARHTP online portal - Quarter 1 progress report due - 01/10/2027 - Quarter 2 progress report due - 04/10/2027 - Quarter 3 progress report due - 07/10/2027 - Quarter 4 progress report due - 10/10/2027
Contacts
Core Initiatives
Event schedule: - , 2026 M E M O R A N D U M TO: All Interested Parties FROM: Kenneth W. Boswell Director RE: Alabama Rural Health Transformation Program (ARHTP) Application Workshops The Alabama Department of Economic and Community Affairs (ADECA) will host in-person application workshops for the first five of the approved ARHTP initiatives. The workshops will also be accessible via Microsoft Teams at the same dates/times identified below. The one-hour workshop sessions will provide participants with a comprehensive overview of the Notice of Funding Opportunity (NOFO) and application process for each of the below initiatives. Each session will begin with a review of the key components of the NOFO, including the initiative’s goals and objectives, eligibility criteria, funding levels, subaward structure, and reporting requirements. The session will then transition to the application process and will include a walkthrough of important submission details such as navigating the online application portal, understanding required documentation, and preparing a complete and competitive application. Additionally, we will outline the application review process, highlight important dates in the award timeline, and discuss what applicants can expect during the post-selection phase. Each workshop will conclude with an opportunity for participants to ask questions during a live Q&A session. June 9, 2026 • 10:00 AM – Collaborative EHR, IT and Cybersecurity Initiative • 1:00 PM – Rural Health Initiative • 3:00 PM – Rural Workforce Initiative - June 4 - 10:00 AM - M E M O R A N D U M Page 2 , 2026 June 10, 2026 • 10:00 AM – Mental Health Initiative • 1:00 PM – Rural Health Practice Initiative Sessions will be held at: Alabama Center for Commerce 401 Adams Avenue, Montgomery, AL 36104 th 7 Floor Auditorium The parking deck is located across the street at 400 Adams Avenue, and you can access the parking deck from the Decatur Street entrance by using the following code: 988648. All individuals who will be attending a workshop in-person must pre-register at https://app.smartsheet.com/b/form/019e8addd36e7023bd945ae81c6de538 . The workshops are accessible to persons with disabilities. Persons with disabilities or special needs who may require special materials, services, or assistance should include this information in their registration. Due to space constraints, live participation will be capped at approximately 100 participants, so individuals who wish to attend in-person are encouraged to register as soon as possible. Individuals joining a workshop virtually must register for each at the sites identified below. A link to the workshop will be emailed to the registrant when registration is completed. • Collaborative EHR, IT, and Cybersecurity Initiative - https://bit.ly/RHTP_EHR_9June_Workshop_2026 • Rural Health Initiative - https://bit.ly/RHTP_RHI_9June_Workshop_2026 • Rural Workforce Initiative - https://bit.ly/RHTP_RWI_9June_Workshop_2026 • Mental Health Initiative - https://bit.ly/RHTP_MHI_10JuneWorkshop_2026 • Rural Health Practice Initiative - https://bit.ly/RHTP_RHPI_10June_Workshop_2026 Please submit any questions concerning this notice to info@alabamarhtp.com. Thank you for your attention to this matter. KWB:CGT:km - June 4
Event Schedule
OWR Policy and Notice of Non-Discrimination
AL - 2026 - Newsroom – ADECA
2026 · HTML
AL - 2025 - ADECA – Impacting Alabama
2025-2026 · HTML
Alabama STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY AND GOVERNOR’S STAFF RHTP 2021 Document
2021 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY AND GOVERNOR’S STAFF RHTP 2021 Document
2021 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY AND GOVERNOR’S STAFF RHTP 2021 Slide Deck
2021 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY AND GOVERNOR’S STAFF RHTP 2021 Document
2021 · PDF
Alabama STATE OF ALABAMA PROCLAMATION RHTP 2020-2011 Document
2020 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2020 Document
2020 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2020 Document
2020 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2020 Document
2020 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2020 Document
2020 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY AND GOVERNOR’S STAFF RHTP 2020 Document
2020 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY AND GOVERNOR’S STAFF RHTP 2020 Document
2020 · PDF
Alabama Ivey Administration Highlights Refining The Labor Force RHTP 2020 Report
2019-2020 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2019 Document
2019 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2019 Document
2019 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2019 Document
2019 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2019 Document
2019 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2019 Document
2019 · PDF
Alabama E STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY RHTP 2019 Document
2019 · PDF
Alabama E STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY RHTP 2019 Document
2019 · PDF
Alabama E STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY RHTP 2019 Document
2019 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2018 Document
2018 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2018 Document
2018 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2018 Document
2018 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2018 Document
2018 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2018 Document
2018 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY RHTP 2018 Document
2018 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY RHTP 2018 Document
2018 · PDF
Administrative Code – ADECA Domestic Violence Center Procedures
2018 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2017 Document
2017 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2017 Document
2017 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2017 Document
2017 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR ROBERT BENTLEY AND RHTP 2017 Document
2017 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR ROBERT BENTLEY, GOVERNOR KAY RHTP 2017 Document
2017 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY RHTP 2017 Document
2017 · PDF