Idaho’s Rural Health Transformation Program is in its initial implementation phase, following the Department of Health and Welfare's application and award process, and is developed through broad stakeholder engagement. The program focuses on workforce development, innovative care models, technology modernization, evidence-based health interventions, and infrastructure improvements, with contracts and subgrants being executed in mid-2026 and all Year 1 funds targeted for obligation by October 2026. Major efforts are organized around five main initiatives aimed at modernizing and strengthening rural health care delivery systems. Current structured plan tracks 9 key initiatives and 8 strategic goals.
Idaho has publicly posted and opened multiple RFPs and cooperative contract procurements for the Rural Health Transformation Program as of July 2026, including Data Analytics and Outcomes Evaluation, Facility Technology Assessment, Cybersecurity Modernization, Facility Renovation Independent Verification, Third-Party Ladder Payments, and Project Management Support. Applications for several subgrants have opened and closed, with ongoing application periods for others. These active state-issued procurements mark the core program transition from planning to implementation across key priority and infrastructure areas. Further expansion subgrants are listed as coming soon. State opportunities: 12 active (11 open, 1 closing soon, 2 past/closed), $159.0M listed funding. Key opportunities: Idaho RHTP Contracted Administrator for Third-Party Ladder Payments; Idaho RHTP Facility Technology Assessment; Rural Behavioral Health Prevention Infrastructure Subgrants. Strategy alignment: supports workforce, telehealth, prevention priorities.
RHTP Strategy
Idaho’s RHTP strategy is directed by a state-appointed Rural Health Task Force and the Department of Health and Welfare, with ongoing stakeholder and tribal engagement. The strategy prioritizes targeted infrastructure and technology modernization, expansion of innovative and population-specific models of care, comprehensive workforce recruitment and retention, and robust outcomes evaluation. Oversight is ensured via independent facility renovation verification, data analytics contracts, and phased RFPs, all aligned with federal and state procurement rules for compliant and transparent implementation.
Model
State-led, milestone-driven rural health transformation integrating infrastructure and cybersecurity modernization, digital health adoption, innovative care delivery, workforce pipeline development, targeted rural health interventions, and continuous contract-based data analytics and outcomes evaluation.
Key Initiatives
1Comprehensive rural health needs assessment and formal community/tribal engagement
2Facility and technology modernization, including cybersecurity and telehealth, EHR improvements, and mobile health units
3Independent renovation verification and technology assessment through competitive RFPs
4Implementation of innovative, regionally tailored care delivery models (e.g., hub-and-spoke, networked clinics)
5Workforce recruitment, retention, workforce incentive programs, and expanded medical education pathways in underserved/rural areas
6Population-specific, evidence-based health initiatives, with an emphasis on maternal and child health (e.g., OB Readiness, Perinatal Quality Collaborative), chronic disease, and behavioral health
7Establishment and operation of data analytics, performance reporting, and outcomes evaluation via third-party contracts
8Deployment of project management and compliance monitoring for all funded activities
9Time-phased RFPs and subgrants to ensure timely and transparent obligation and oversight of Year 1 RHTP funds
Timeline: Application submitted 11/04/2025; award 12/29/2025; budget revision 01/30/2026; funding restriction lifted 02/11/2026; RFPs released May–July 2026; contracts executed Jul–Sep 2026; all Year 1 funds obligated by 10/30/2026.
Health Priority
Maternal and Child Health: Initiatives and collaborations such as the Perinatal Quality Collaborative and OB Readiness are underway, with webinars and FAQs supporting rural providers.
Jul 14, 2026
Health Priority
Healthcare Infrastructure Modernization: Contracts are focused on upgrading facility technology, cybersecurity, and project management to improve rural health service delivery.
Jul 14, 2026
Program Update
This solicitation provides $2,000,000 in federal funding for a statewide cybersecurity modernization assessment in rural Idaho. Successful applicants will evaluate existing infrastructure and support rural hospital preparedness for cyber threats. The initiative is a core element of Idaho's rural health transformation plan. Event schedule: - Funding Opport...
Jun 30, 2026
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2025
Award: $1.0B
ID - 2025 - Idaho RHTP Application
Idaho RHTP federal application summary
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ID - 2025 - Idaho Rural Health Application Task Force, created by Governor Brad Little
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ID - 2026 - For Providers | Idaho Department of Health and Welfare
Idaho's Rural Health Transformation Program received nearly $186 million in CMS funding for its first year, launching five major initiatives aimed at advancing rural health technology, care models, workforce pipeline and retention, population health, and infrastructure. The strategy prioritizes telehealth, workforce incentives, EMS expansion, evidence-based population health interventions, and facility modernization. Competitive subgrant and procurement processes are being developed, with all Year 1 funds to be obligated by October 2026.
Event schedule:
- State application due - 12/31/2025
- Initial award received - 12/29/2025
- First annual report due - 08/30/2026
This solicitation provides $2,000,000 in federal funding for a statewide cybersecurity modernization assessment in rural Idaho. Successful applicants will evaluate existing infrastructure and support rural hospital preparedness for cyber threats. The initiative is a core element of Idaho's rural health transformation plan.
Event schedule:
- Funding Opportunities Issued - 7/10/26
Budget: $2.0MHEALTH_INFORMATION_TECHNOLOGY
Event Schedule
Funding Opportunities Issued - 7/10/26
Core Initiatives
Modernize cybersecurity for rural health facilities
Mitigate cyber threats to rural healthcare delivery
Assess and enhance information security infrastructure across rural providers
Primary Idaho RFP for Rural Health Facility Renovation Independent Verification under FFY26 RHTP. Includes RHRFP2603 / IPRO RFP1364, issue date June 24, 2026, and proposal closing August 5, 2026.
Idaho DHW RFP RHRFP2601 / IPRO RFP1360 for Data Analytics and Outcomes Evaluation (RHTP). Issue date June 11, 2026. Pre-proposal registration June 22, 2026. Questions due June 30, 2026. Proposal closing July 28, 2026 5:00 PM MT.
The program offers a structured application process with required eligibility checks, an optional informational webinar, and regular opportunities for applicants to submit questions. Applicants must complete specific templates and certifications as part of the application, with all materials submitted by the stated deadline. Key contacts: IdahoRHTP@dhw.idaho.gov
Event schedule:
- Subgrant Application Deadline - June 17, 2026 - 5:00 PM MT
Idaho's RHTP award funds five strategic initiatives spanning telehealth expansion, EMS, workforce development, population health, rural facility upgrades, and a Tribal health set-aside. Year 1 budget is ~$187M. Multiple subgrants/contracts planned.
Event schedule:
- Year 1 Start - 12/29/2025
- Year 1 End - 10/30/2026
This summary reviews high-level elements of FY26 Rural Health Transformation Program (RHTP) applications from multiple states. Initiatives include strengthening maternal health, addressing chronic disease, workforce and infrastructure development, telehealth expansion, and population health improvement. All entries reflect state-level plans to use CMS RHTP funds; no specific subgrantee/recipient line awards are provided.
Core Initiatives
Make Rural America Healthy Again
Improve rural healthcare quality, access, and outcomes
Increase workforce capacity
Show all initiatives (39)
Make Rural America Healthy Again
Improve rural healthcare quality, access, and outcomes
Increase workforce capacity
Advance health IT and telehealth
Strengthen rural hospital and provider sustainability
Promote population health and disease prevention
Support value-based care delivery
Empower rural residents to achieve healthy living goals through expanded population health solutions
Expand the rural healthcare workforce and spread technologies to connect communities
Ensure affordable and sustainable care in rural areas through quality, efficiency, and fiscal durability measures
Transform rural health workforce through apprenticeships, improved IT, and pipeline programs
Promote sustainable access and innovative care delivery
Improve healthcare access through expanded primary, specialty, behavioral, and school-based care
Strengthen rural health systems via integrated, community-driven solutions
Address workforce shortages and digital infrastructure gaps
Improve cardiometabolic and chronic disease outcomes
Build coordinated regional integrated health systems
Promote hub-and-spoke models for rural healthcare
Strengthen healthcare workforce and financial sustainability
Focus on food-as-medicine programs and right-sizing the healthcare system
This FAQ document provides guidance for applicants to the RHTP Maternal & Child Health Initiatives obstetric readiness and IDPQC expansion competitions. It clarifies eligible activities, administrative cost limitations, and approaches to avoiding duplication of existing programs. Rural birthing hospitals and Critical Access Hospitals are central participants, with quality improvement for maternal and neonatal health as a core focus.
Event schedule:
- FAQ Publication Date - 06/25/2026
QUALITY_IMPROVEMENT · POPULATION_HEALTH · OTHER
Event Schedule
FAQ Publication Date - 06/25/2026
Core Initiatives
Advance obstetric readiness in rural Idaho hospitals.
Expand Idaho Perinatal Quality Collaborative (IDPQC) activities for improved maternal health outcomes.
Promote new and expanded maternal health quality improvement initiatives.
Idaho's RHTP strategy focuses on five key initiatives including rural access through technology, innovative care models, workforce development, population-focused projects, and rural health infrastructure investments. CMS goals such as improving access, outcomes, and technology innovation guide these initiatives. Oversight mechanisms include detailed regular reporting to CMS and the Idaho Legislature. Key contacts: IdahoRHTP@dhw.idaho.gov
Event schedule:
- RHTP Goals Date - 9/22/2025
- Use of Funds Date - 9/22/2025
Other Documents (2)
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OtherApr 23, 2026PDF2026-2027
Governor Brad Little’s 2026-2027 budget address prioritizes rural health care access and workforce. The ENDURING IDAHO plan proposes investing nearly $1 billion in federal funds over five years to improve rural health care, including $150 million to strengthen the workforce pipeline and $1 million for graduate medical education. All allocations are budget proposals, not specific RHTP sub-awards.
Award: $1.0B
Core Initiatives
Balance the budget while preserving essential services, including rural healthcare access.
Strengthen Idaho’s health care workforce pipeline serving rural communities.
Improve the accessibility and affordability of rural health care in Idaho.
Show all initiatives (4)
Balance the budget while preserving essential services, including rural healthcare access.
Strengthen Idaho’s health care workforce pipeline serving rural communities.
Improve the accessibility and affordability of rural health care in Idaho.
Address the physician shortage via increased graduate medical education support.
The Idaho Governor issued an executive order establishing a Rural Health Taskforce to advise on the application of the RHTP in Idaho. The taskforce aims to coordinate rural health transformation and improve healthcare access and workforce in rural areas, leveraging federal RHTP funds.
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House Concurrent Resolution No. 11 Recognizing 988 as the Universal Mental Health and Suicide Prevention Crisis Phone Number
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ID - 2026 - Data Analytics and Outcomes Evaluation - RHTP (RHRFP2601 / RFP1360)
Primary RFP file (RHRFP2601 / RFP1360)
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ID - 2026 - Slides from 6/15 call with lobbyists and stakeholders
Stakeholder call slides (timeline and award context)
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ID - 2026 - Funding Opportunities for RHT
Idaho funding opportunities page
ID - 2026 - Data Analytics and Outcomes Evaluation - RHTP (RHRFP2601 / RFP1360)
Primary RFP file
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ID - 2026 - Slides from 6/15 call with lobbyists and stakeholders
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ID - 2026 - Funding Opportunities for RHT
Idaho funding opportunities page
Core Initiatives
Build long-term rural healthcare sustainability
Enhance delivery capacity via technology and workforce
Improve rural health outcomes
The meetings captured extensive discussion of anticipated uses for Idaho’s Rural Health Transformation funding, with priority placed on infrastructure and workforce investments, EMS and health extender support, clinical rotations and education, telehealth expansion, and technology upgrades for rural providers. Special consideration was given to equitable tribal set-asides, limiting administrative expenses, and ensuring both robust reporting and flexibility within CMS requirements. The state is focused on scalable models, data-driven program evaluation, and sustainability without ongoing state costs.
Event schedule:
- Task Force Meeting - 10/28/2025 - 9:00 AM MT - ID State – presumed Boise or virtual
- Task Force Meeting - 10/28/2025 - 1:00 PM MT - ID State – presumed Boise or virtual
- Task Force Meeting - 10/29/2025 - MT - ID State – presumed Boise or virtual
- Task Force Meeting - 10/30/2025 - 12:00 PM MT - ID State – presumed Boise or virtual
- Tribal Initiative Proposal Deadline - 01/31/2026
Increase access to and sustainability of rural health care services
Enhance rural health care workforce recruitment, training, and retention
Modernize rural health infrastructure and information technology
Show all initiatives (6)
Increase access to and sustainability of rural health care services
Enhance rural health care workforce recruitment, training, and retention
Modernize rural health infrastructure and information technology
Support chronic disease prevention and population health management
Foster EMS and health extender workforce development
Ensure meaningful reporting, data, and evaluation to improve program outcomes
Make Rural Nevada Healthy Again through value-based care models and workforce recruitment
Implement prevention-oriented strategies for behavioral health, perinatal care, chronic disease, oral health, and school-based wellness
Improve healthcare availability and foster flexible rural healthcare systems
Transform healthcare access and quality in rural areas through specialty care access and workforce development
Improve health outcomes through preventive care, partnership networks, and data sharing
Catalyze innovative care models and transform the rural care experience through care networks and behavioral health integration
Rebuild and retain rural health workforce through residencies, consumer-facing technologies, and workforce pipeline expansion
Improve access to care through clinically integrated networks (CINs), community-based clinics in K-12 schools and college campuses, and mobile health care services, rural hospital 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.
Make Rural America Healthy Again through increased provision of primary care services, oral health services, and nutrition education.
Promote sustainable access by focusing on the integration and comprehensive delivery of services leveraging technology and supporting workforce.
Build a future where every community has access to high-quality, locally grounded care connected through technology, supported by regional collaboration, and sustained by a strong rural workforce.
Recruit and retain providers via 'Grow-your-own' initiatives, expanded training opportunities, provider support, and innovative exchange programs.
Prioritize direct investment in provider capacity over creating new programs, recognizing rural providers understand their communities best.
Promote sustainable access and reduce care costs by developing integrated networks of hospitals, clinics, pharmacies, and other providers to improve timely access to quality care.
Increase healthcare access and quality for improved chronic disease management and health outcomes.
Address health-related barriers to workforce participation and establish West Virginia as a center for rural healthcare access through technology and partnership.
Idaho was awarded federal RHTP funding for FY2026-FY2030, potentially receiving up to $100M annually, with goals focused on improving access, sustainability, workforce development, and technology innovation. The application was developed collaboratively by the Department of Health and Welfare, a rural health task force, tribal representatives, and public stakeholders. Five major initiatives target technology, care models, workforce retention, evidence-based health projects, and rural infrastructure.
Event schedule:
- DHW application submitted - November 4, 2025
- Initial award received from CMS - December 29, 2025
- Budget revision submitted to CMS - January 30, 2026
- Non-contractual funding restriction lifted - February 11, 2026
- Posting of Requests for Proposals (RFPs) - May - June 2026
- Contracts and subgrants executed - July - September 2026
- All Year 1 funds obligated - October 30, 2026
Event Schedule
DHW application submitted - November 4, 2025
Initial award received from CMS - December 29, 2025
Budget revision submitted to CMS - January 30, 2026
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DHW application submitted - November 4, 2025
Initial award received from CMS - December 29, 2025
Budget revision submitted to CMS - January 30, 2026
Non-contractual funding restriction lifted - February 11, 2026
Posting of Requests for Proposals (RFPs) - May - June 2026
Contracts and subgrants executed - July - September 2026
All Year 1 funds obligated - October 30, 2026
Core Initiatives
Innovation and new access points to promote preventative health and address root causes of diseases
Help rural providers become long-term access points for care by improving efficiency and sustainability
Attract and retain a high-skilled health care workforce by strengthening recruitment and retention
Show all initiatives (5)
Innovation and new access points to promote preventative health and address root causes of diseases
Help rural providers become long-term access points for care by improving efficiency and sustainability
Attract and retain a high-skilled health care workforce by strengthening recruitment and retention
Spark the growth of innovative care models to improve health outcomes, coordinate care, and promote flexible care arrangements
Foster use of innovative technologies that promote efficient care delivery, data security, and access to digital health tools by rural facilities, providers, and patients
Idaho’s Rural Health Transformation Program is launching two Maternal and Child Health Initiatives aimed at improving obstetric readiness and perinatal quality through quality improvement, simulation training, and collaborative evaluation. Eligible applicants include tribal, nonprofit, higher education, and healthcare entities able to serve rural Idaho communities. Estimated awards for Year 1 are $1,000,000-$1,200,000 (OB Readiness) and $2,000,000-$2,400,000 (IDPQC), with a five-year project period. Application closes July 10, 2026. Key contacts: IdahoRHTP@dhw.idaho.gov
Event schedule:
- Application Deadline - 07/10/2026 - 5:00 PM MT - Email submissions to IdahoRHTP@dhw.idaho.gov
- Anticipated Project Period (YR1) - 08/14/2026 – 09/30/2027
ID - 1976 - First Lady Teresa Soulen Little - Office of the Governor
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Idaho DEPARTMENT OF LABOR Profile Of Rural Idaho A Look At Economic And Social Trends Affecting Rural Idaho Part 1: Demographics Research And Communications Bureau May 2025 RHTP Da
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Senate Bill 1125—Idaho Suicide and Mental Health Crisis Access Fund and 988 Hotline Implementation