Arkansas’s Rural Health Transformation Program is currently in active implementation, with $209 million awarded for FY26 and applications open for initiative funding. The program centers on four strategic initiatives—HEART, PACT, RISE Arkansas, and THRIVE—prioritizing improved access, population health, telehealth integration, workforce development, and emergency services modernization across high-need rural regions. Extensive stakeholder input shapes the comprehensive strategy, emphasizing technology, prevention, care coordination, and community partnerships. Current structured plan tracks 6 key initiatives and 5 strategic goals.
Arkansas is still in the planning phase for the Rural Health Transformation Program. The state is soliciting detailed applications from potential subgrantees, with no indication that federal awards have been received or state-level procurements issued yet. Stakeholder engagement and program design activities are ongoing, but the program has not officially launched. There is no evidence of implementation or subgrant opportunities being opened. State opportunities: 1 active (1 closing soon, 2 past/closed), $122.2M listed funding. Key opportunities: Recruitment, Innovation, Skills, & Education for Arkansas (RISE AR); Promoting Access, Coordination, and Transformation (PACT); THRIVE - Telehealth, Health Monitoring, and Response Innovation for Vital Expansion (LIFELINE). Strategy alignment: supports workforce, care access, telehealth priorities.
RHTP Strategy
Arkansas’s RHTP strategy prioritizes expanding access to behavioral health and substance abuse treatment for both youth and adults in rural Medicaid populations. The approach is grounded in funding construction or renovation of treatment facilities, strengthening supportive living and transition services, and building robust partnerships with local stakeholders. Rigorous reporting and attestation requirements ensure compliance and measurable outcomes, with an explicit focus on high-need and underserved communities. Implementation is structured in multi-phase workplans, including planning, infrastructure development, service expansion, and evaluation.
Model
A statewide, grant-driven model that funds organizations with demonstrated experience in behavioral health and substance abuse, requiring evidence-based service delivery, facility enhancement, and collaborative partnerships to reach rural Medicaid populations. Facility and service expansion is accompanied by comprehensive data tracking and compliance protocols, ensuring outcomes are monitored for effectiveness and sustainability.
Key Initiatives
1Construct or renovate youth substance abuse treatment facilities in rural Arkansas with phased planning, building, and evaluation.
2Expand supportive living and behavioral health transition services for youth and adults, focusing on Medicaid members.
3Build and formalize partnerships with school systems, job coaches, criminal justice agencies, and local stakeholders to improve community-based care.
4Improve tracking and reporting of Medicaid-funded outcomes across behavioral health, substance abuse, housing, and skill domains.
5Fund organizations to deliver daily assistance programs for children, young adults, and adults with behavioral health needs.
6Require executive attestation of grant compliance, use of funds, and prevention of supplanting or Medicaid-reimbursable expenditures.
Timeline: Facility construction and renovation projects and service expansions are phased from 2024 through at least 2026, with ongoing evaluation and compliance reporting. Funding applications and attestation processes are ongoing during grant cycles, with milestones for planning, implementation, and outcome tracking.
Health Priority
Chronic disease rates: Chronic disease rates are highest in high-need counties, particularly in the Delta, Ozarks, and southwest Arkansas regions. (Regions: Delta, Ozarks, Southwest Arkansas)
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Health Priority
Hospital vulnerability: Many rural hospitals face financial and operational vulnerabilities, requiring targeted support. (Regions: Delta, Ozarks, Southwest Arkansas)
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Health Priority
Poverty: Rural Arkansas experiences high poverty rates, especially in targeted regions. (Regions: Delta, Ozarks, Southwest Arkansas)
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AR - 2026 - Accessibility Statement | Arkansas RHTP
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AR - 2026 - Newsroom - Arkansas Governor - Sarah Huckabee Sanders
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Announcement Documents (3)
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AnnouncementJul 1, 2026TXT2026
This announcement marks one year since the launch of the Rural Health Transformation Fund and signals an ongoing conversation about the program’s impact and next steps. Maya Sandalow, associate director, is featured in the discussion. No additional program specifics or funding details are included.
The document summarizes, state-by-state, the strategic approaches and proposed funding allocations under the FY26 Rural Health Transformation Program. It covers all 50 states' applications, highlighting priorities and innovations in maternal health, chronic disease, digital infrastructure, workforce, and value-based care participation. No specific recipient awards or contracts are named.
Core Initiatives
Make Rural America Healthy Again
Expand access to care
Improve rural health outcomes
Show all initiatives (49)
Make Rural America Healthy Again
Expand access to care
Improve rural health outcomes
Support rural provider stabilization
Advance workforce capacity
Strengthen infrastructure, technology, and value-based care
Empower rural Mainers to achieve their own healthy living goals through expanded population health solutions
Expand the supply of care by growing a rural workforce and spreading technologies that connect every community to advanced care
Ensure care will be available and affordable long into Maine’s future by pairing affordability measures with strategies that advance quality, efficiency, and fiscal durability
Transform the rural health workforce through new apprenticeships, improved IT, and expansion of Area Health Education Centers and pipeline programs in Maryland
Promote sustainable access and innovative care through new and expanded capacity for primary care, specialty practices, school-based health centers, and behavioral health expansion
Expand access to essential healthcare services for rural residents in Massachusetts
Reduce hypertension and diabetes ED visits in Massachusetts
Strengthen the foundation of rural health systems through integrated, community-driven solutions that expand access to care, modernize health information exchange, build workforce capacity, and address key community supports in Michigan
Improve cardiometabolic health outcomes and sustain healthcare workforce in Minnesota
Conduct a statewide assessment and implement Coordinated Regional Integrated Systems (CRIS) in Mississippi
Application Documents (19)
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ApplicationNEWJul 14, 2026DOCX
This application narrative requires organizations to detail their structure, leadership, Medicaid provider status, operational experience, populations served, services offered, and staffing. Special emphasis is placed on behavioral health transition services and community partnership networks.
POPULATION_HEALTH · QUALITY_IMPROVEMENT · OTHER
Core Initiatives
Improve access to behavioral health support for adults
Enhance supportive living outcomes across housing, health, and skill domains
Increase Medicaid-funded service capacity for underserved and special populations
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ApplicationNEWJul 14, 2026DOCX
This document outlines required attestation statements for organizations applying to a grant aimed at increasing services for Arkansas Medicaid members. Applicants must agree not to use funds for existing costs or Medicaid-reimbursable services and ensure compliance with reporting and grant requirements. Authorized signatories must provide a signed cover letter detailing their mission and grant objectives.
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ApplicationNEWJul 14, 2026DOCX
This document is a grant application narrative template soliciting eligible organizations to apply for up to $3,000,000 in funding. It requires applicants to detail their organizational structure, experience providing behavioral health and transition services, populations served, and outcomes achieved. Emphasis is placed on serving children and young adults with behavioral health needs in rural Medicaid settings.
Guidance Documents (6)
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GuidanceNEWJul 14, 2026DOCX
Applicants must provide a cover letter summarizing their mission and anticipated outcomes. The attestation section requires fiscal authority signoff and compliance with grant rules, including prohibitions on supplanting funds and lobbying expenses. Commitment to serving Arkansas Medicaid members is required.
QUALITY_IMPROVEMENT
Core Initiatives
Increase availability of services to Arkansas Medicaid Members
Comply with grant requirements and reporting
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GuidanceNEWJul 14, 2026DOCX
This document outlines required content for applicants submitting a cover letter and attestation form as part of a grant application, including compliance statements and fiscal authority confirmation. It includes required assurances about use of funds and eligibility for Arkansas Medicaid Members.
Arkansas’s RHT Program addresses urgent rural health challenges including high rates of chronic disease, maternal mortality, and hospital closure risk. The plan utilizes evidence-based preventive interventions, modernizes technology infrastructure, expands telehealth and workforce, and launches community-driven initiatives such as the HEART and PACT programs. Over five years, Arkansas aims to reduce health disparities in rural regions, strengthen provider networks, and ensure sustainable access to care.
Event schedule:
- Version 6 document update - 03/31/2026
- Presidential Fitness Test implementation target - 12/31/2028 - Arkansas public schools
- Pharmacist scope of practice legislative enactment target - 12/31/2027 - Arkansas State Legislature
- HEART Initiative Stage 0 - FY26 Q1
- HEART Initiative Stage 1 - FY27 Q1
- HEART Initiative Stage 2 - FY28 Q3
- HEART Initiative Stage 3 - FY30 Q1
- HEART Initiative Stage 4 - FY31 Q1
Make Rural America Healthy Again through evidence-based interventions for disease prevention, chronic disease management, behavioral health, and prenatal care.
Foster innovative technologies for efficient care delivery, data sharing, and remote care.
Workforce Development: Attract and retain high skilled providers; enable rural providers to practice at top of license.
Show all initiatives (9)
Make Rural America Healthy Again through evidence-based interventions for disease prevention, chronic disease management, behavioral health, and prenatal care.
Foster innovative technologies for efficient care delivery, data sharing, and remote care.
Workforce Development: Attract and retain high skilled providers; enable rural providers to practice at top of license.
Strengthen rural providers through networks, shared resources, coordinated operations.
Help rural providers remain long-term access points for care.
Event schedule:
- , 2026 - Jun 24 - Bipartisan group of senators urges CMS to improve Rural Health Transformation Program implementation
- , 2026 - Jun 23 - AHA podcast: A Rural Solution to the Geriatric Mental Health Crisis
- , 2026 - Jun 22 - AHA podcast: How a Father-daughter Team Is Strengthening Rural Maternity Care
- , 2026 - Jun 17 - HRSA to award grants supporting integrated networks among rural hospitals, other providers
- , 2026 - Jun 16 - HRSA seeking applicants for rural hospital financial assistance program
- , 2026 - Jun 12 - House Appropriations Committee releases FY 2027 appropriations bill
- , 2026 - Jun 5 - House introduces Rural Community Hospital Demonstration extension bill
- , 2026 - May 22 - House bill excludes labor and delivery beds from critical access hospital 25-bed limit
Event Schedule
, 2026 - Jun 24 - Bipartisan group of senators urges CMS to improve Rural Health Transformation Program implementation
, 2026 - Jun 23 - AHA podcast: A Rural Solution to the Geriatric Mental Health Crisis
, 2026 - Jun 22 - AHA podcast: How a Father-daughter Team Is Strengthening Rural Maternity Care
Show all schedule items (8)
, 2026 - Jun 24 - Bipartisan group of senators urges CMS to improve Rural Health Transformation Program implementation
, 2026 - Jun 23 - AHA podcast: A Rural Solution to the Geriatric Mental Health Crisis
, 2026 - Jun 22 - AHA podcast: How a Father-daughter Team Is Strengthening Rural Maternity Care
, 2026 - Jun 17 - HRSA to award grants supporting integrated networks among rural hospitals, other providers
, 2026 - Jun 16 - HRSA seeking applicants for rural hospital financial assistance program
, 2026 - Jun 12 - House Appropriations Committee releases FY 2027 appropriations bill
, 2026 - Jun 5 - House introduces Rural Community Hospital Demonstration extension bill
, 2026 - May 22 - House bill excludes labor and delivery beds from critical access hospital 25-bed limit
This bipartisan Senate letter urges CMS to adjust RHTP implementation to increase support for frontline rural providers, particularly smaller and independent hospitals and clinics. The letter calls for increased flexibility on infrastructure, EHR, and HIT investments and encourages direct support to under-resourced rural facilities. Recommendations center on improving access to RHTP funding and ensuring program flexibility to address on-the-ground rural health challenges.
WORKFORCE · HEALTH_INFORMATION_TECHNOLOGY · FINANCE · OTHER
Core Initiatives
Ensure frontline rural providers receive RHTP support
Expand flexibility in use of RHTP funds for rural health priorities
Enhance rural provider access to capital and technology improvements
Show all initiatives (4)
Ensure frontline rural providers receive RHTP support
Expand flexibility in use of RHTP funds for rural health priorities
Enhance rural provider access to capital and technology improvements
Safeguard smaller and independent rural providers' participation
The document is a high-level navigation or information page from the American Hospital Association website referencing rural health topics and resources. It contains no specific information on RHTP awards, programs, or funding details.
Spreadsheets, data exports, and reference documents — available for download but excluded from the main activity feed.
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AR - 2026 - Promoting Access, Coordination, and Transformation | Arkansas RHTP
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The AHA urges CMS to prioritize and streamline state applications for the Rural Health Transformation Program, emphasizing the importance of hospital payments, workforce investments, infrastructure modernization, and telehealth expansion. The letter advocates for flexible application deadlines, transparency in fund allocation, and the removal of pre-funding requirements to help financially vulnerable hospitals. The AHA stresses the need for targeted, timely support to sustain access to care in rural communities. Key contacts: Joanna Hiatt Kim jkim@aha.org
Event schedule:
- AHA Letter to CMS submission - 08/11/2025
Budget: $50.0BFINANCE · WORKFORCE · HEALTH_INFORMATION_TECHNOLOGY · QUALITY_IMPROVEMENT · OTHER
Contacts
Joanna Hiatt Kim - <jkim@aha.org> - AHA Vice President of Payment Policy - National (AHA/CMS advocacy)
Core Initiatives
Stabilize, modernize, and sustain rural hospitals.
Prioritize direct payments to hospitals through the RHTP.
Support rural workforce recruitment and retention.
Show all initiatives (5)
Stabilize, modernize, and sustain rural hospitals.
Prioritize direct payments to hospitals through the RHTP.
Support rural workforce recruitment and retention.
Invest in hospital infrastructure and telehealth capabilities.
Ensure a simple, transparent state application and award process.
Arkansas has submitted its application to CMS for Rural Health Transformation Program funding, focusing on four major initiatives: HEART (nutrition and chronic disease management), PACT (integrating specialty care and telehealth), RISE AR (workforce development), and THRIVE (technology-enabled monitoring and emergency services modernization). The application was shaped with input from statewide stakeholders and emphasizes technology, prevention, and community-driven approaches.
Event schedule:
- Arkansas Application Submission to CMS - 10/31/2025 - CT - Little Rock, Arkansas
- CMS Award Determination Deadline - 12/31/2025
- Expected First Disbursement to State
Arkansas Application Submission to CMS - 10/31/2025 - CT - Little Rock, Arkansas
CMS Award Determination Deadline - 12/31/2025
Expected First Disbursement to State
Core Initiatives
Increase access to quality healthcare in rural Arkansas
Promote preventative care and community-driven health transformation
Strengthen the rural healthcare workforce
Show all initiatives (4)
Increase access to quality healthcare in rural Arkansas
Promote preventative care and community-driven health transformation
Strengthen the rural healthcare workforce
Integrate technology and data for improved health outcomes
Build a statewide network of rural healthcare hubs to expand access to care, improve healthcare outcomes, strengthen coordinating networks and local provider sustainability in Missouri
Strengthen healthcare workforce, secure financial solvency for rural providers, embed prevention and community health at the center of care, and expand technology use in Montana
Make Rural America Healthy Again in Nebraska through food-as-medicine programs, workforce development, technology initiatives, and right-sizing the healthcare system
Make Rural Nevada Healthy Again by implementing value-based care models that prevent and manage chronic disease through technology and workforce programs
Improve quality of life in New Hampshire through prevention-oriented strategies in behavioral health, perinatal care, chronic disease, oral health, and school-based wellness
Improve healthcare availability in rural New Jersey by investing in primary and specialty providers, stabilizing rural hospitals, fostering flexible healthcare systems with telehealth and mobile care
Transform healthcare access and quality in New Mexico through specialty care expansion, chronic disease management, and workforce recruitment and retention
Improve rural health outcomes in New York focusing on primary care initiatives, partnership networks, and workforce development
Catalyze innovative care models, transform rural care experience, and create sustainable delivery system via provider coordination in North Carolina
Rebuild and retain rural health workforce in North Dakota through residencies, innovative technologies, and wellness initiatives
Improve access to care through clinically integrated networks (CINs), community-based clinics in K-12 schools and college campuses to provide comprehensive improvements, and home visits.
Improve health outcomes through expansions of behavioral health services.
Improve chronic disease health outcomes such as reduced A1C and increased levels of hypertension management.
Expand technology to build remote monitoring and telehealth, expand electronic medical record (EMR) usage for pharmacists, and pilot innovative screening technologies for chronic disease management.
Build a future where every community – no matter how small or remote – has access to high-quality, locally grounded care that is connected through technology, supported by regional collaboration, and sustained by a strong rural workforce.
Reduce preventable hospitalizations and emergency department visits year over year.
Build a resilient, digitally connected, community-anchored provider network to deliver flexible care across rural regions.
Design data-driven solutions tailored to the unique needs of rural residents.
Advance whole-person health through connected care technologies and coordinated pathways for behavioral health, chronic disease, maternal health, and social needs.
Promote sustainable access by focusing on integration and comprehensive delivery of services leveraging technology and supporting the workforce.
Promote sustainable access by expanding outpatient behavioral health services, reduce regulatory hurdles, and strengthen the workforce through rural clinical placements.
Increase healthcare access and quality for improved chronic disease management and health outcomes for rural communities.
Prioritize direct investment in provider capacity over creating new programs.
Improve healthcare workforce participation and system sustainability through technology, workforce development, and health mobility platform investments.
Focus on investments to support patients with the highest disease burden and rural workforce development.
Leverage state-wide technology initiatives, support rural clinical workforce, establish CINs, and empower patients for disease prevention and healthy living.
Promote wellness, nutrition initiatives, rural clinical workforce support, leveraging technology, and improving rural care access.
Improve primary care and long-term support by leveraging technology, delivery system networks, innovative workflows, and workforce development initiatives.
Focus on patient empowerment and disease prevention, expanding access to care, technology, and workforce development.
Improve rural facility financial health and access by expanding health networks, investing in technology infrastructure, and developing rural health workforce.
Address workforce participation barriers, establish health technology partnerships, and improve healthcare access and sustainability.
Improve care coordination, mental health support, leverage technology, and workforce development targeting rural agriculture communities.
Improve access to care by focusing on the rural clinical workforce, leveraging technology, and right-sizing the delivery system.
Expand supportive housing and daily assistance services for children and young adults with behavioral health needs
Improve health and mental health outcomes through enhanced Medicaid-funded programs
Strengthen organizational capacity and partnerships with community stakeholders
This comprehensive applicant guide details the full Rural Health Transformation Program (RHTP) application process for Arkansas, including eligibility, required documentation, application navigation, and budget templates. It outlines sub-initiatives under HEART, RISE AR, PACT, and THRIVE that applicants may align with, covering a wide range of activities from clinical integration to EMS modernization and workforce development. The guide provides detailed instructions for completing each section of the application and emphasizes alignment with rural health priorities.
Arkansas's RHTP budget narrative organizes $208M across four major initiatives addressing nutrition, care access, workforce, and telehealth/infrastructure. BDO GS is the third-party administrator for contracting and oversight; all subawards will be competitively issued under CMS guidance. The strategy emphasizes transparent processes, measurable outcomes, and programmatic alignment with federal rural health priorities. Key contacts: Brad Nye
Event schedule:
- BDO GS Hiring Deadline - 03/21/2026
Strengthen rural healthcare access and sustainability
Promote innovation across rural health delivery
Advance workforce development and retention
Show all initiatives (9)
Strengthen rural healthcare access and sustainability
Promote innovation across rural health delivery
Advance workforce development and retention
Increase rural technological connectivity
Ensure infrastructure resilience
Supports development and distribution of training curricula to build leadership capacity and support workforce development across participating organizations.
Supports operation of a leadership academy to provide training, mentorship, and development opportunities for healthcare leaders.
Supports implementation of technology platforms to deliver training content, facilitate collaboration, and support program administration.
Supports ArkGME operations to establish and implement a statewide graduate medical education (GME) expansion initiative, including creation of the Arkansas GME Technical Assistance Center (ArkGME-TAC) to coordinate program development, accreditation support, and training infrastructure.
Arkansas’s Rural Health Transformation Program (RHTP) addresses dire rural health access, hospital sustainability, and chronic disease, aiming to transform systems over five years with $150 million in coordinated state and federal funding. Major goals include improving maternal, chronic, and behavioral health, deploying new telehealth and information technology, building integrated care networks, and expanding the rural health workforce. Selected initiatives include large-scale prevention efforts (nutrition, activity, chronic disease), transportation and EMS upgrades, workforce education, and facility improvement strategies.
Scope of Practice Expansion Legislation Introduction - 2027
Core Initiatives
Improve health access and outcomes in rural Arkansas, especially in high need regions.
Expand hospital, behavioral, emergency, and maternal healthcare access in rural communities.
Use technology (telehealth, data sharing, AI, health information exchanges) to improve care delivery and coordination.
Show all initiatives (21)
Improve health access and outcomes in rural Arkansas, especially in high need regions.
Expand hospital, behavioral, emergency, and maternal healthcare access in rural communities.
Use technology (telehealth, data sharing, AI, health information exchanges) to improve care delivery and coordination.
Recruit, train, and retain rural workforce including expanded scopes of practice and leadership development.
Foster partnerships via integrated rural care networks and regional collaboration.
Promote financial solvency through value-based payment, facility scaling, and sustainability.
Workforce Development
Innovative Care, Tech Innovation
Launch programs to Make Arkansas Healthy Again with scalable, replicable models
Strengthen the healthcare workforce without creating dependency on RHT Program funds
Create new revenue streams and care delivery models supporting provider transition to value-based payment models
Provide one-time, strategic investments in infrastructure and technology to transform rural care delivery
strengthening access, sustainability, and innovation across the state’s rural healthcare system
promote wellness
advance system modernization
develop healthcare workforce
increase technological connectivity
ensure infrastructure resilience
Recruitment, Innovation, Skills, and Education for AR Healthcare (RISE AR)
Telehealth, Health-monitoring, and Response Innovation for Vital Expansion (THRIVE)
Administrative Costs
A bipartisan group of U.S. senators formally urged CMS to improve the implementation and flexibility of the Rural Health Transformation Program. The letter highlights concerns around current RHTP guidance and suggests further steps, such as lifting caps on infrastructure funding and clarifying provider payments. CMS's recent clarification allowing workforce recruitment, infrastructure investments, and technical assistance is described as positive but insufficient.
Event schedule:
- Senate letter urging CMS improvements - 06/18/2026
WORKFORCE · HEALTH_INFORMATION_TECHNOLOGY · OTHER
Event Schedule
Senate letter urging CMS improvements - 06/18/2026
Core Initiatives
Improve flexibility and viability for rural hospitals in RHTP.
Support workforce recruitment and retention, infrastructure, and technical assistance.
Lift infrastructure and capital improvement caps for rural providers.
AR - 2026 - News Feed - Arkansas Department of Human Services
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Arkansas April 29, 2026 The Honorable Shelley Moore Capito Chair Subcommittee On Labor, Health And Human Services, Education, And Related Agencies Committee On Appropriations U.S.
2027 · PDF
Arkansas April 29, 2026 The Honorable Robert Aderholt Chair Subcommittee On Labor, Health And Human Services, Education, And Related Agencies Committee On Appropriations U.S. House
2027 · PDF
Arkansas AHA Submits Requests To Senate For FY 2027 Health Care Program Funding RHTP 2026-2004 Reference