HHS Region 4 · Kentucky Department for Public Health
Program Overview
Kentucky's Rural Health Transformation Program (RHTP) is currently in statewide implementation, focusing on five integrated initiatives: rural chronic care hubs, maternal health community teams, behavioral health crisis and telehealth systems, rural dental innovation, and rural EMS/trauma reform. The program emphasizes technology-enabled care, expanding the rural health workforce, improving data interoperability, and advancing sustainable financing to address key rural health challenges across the state. Current structured plan tracks 5 key initiatives and 4 strategic goals.
Updated
County-level estimates averaged across Kentucky — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (120)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Jefferson County | 783,022 | 14.3% | 10.5% |
| Fayette County | 323,725 | 14.9% | 9.1% |
| Kenton County | 171,288 | 11.8% | 7.7% |
| Warren County | 140,918 | 17.0% | 11.2% |
| Boone County | 139,841 | 6.3% | 4.0% |
| Hardin County | 111,942 | 13.1% | 10.4% |
| Daviess County | 103,648 | 14.7% | 11.5% |
| Madison County | 95,769 | 15.1% | 12.2% |
| Campbell County | 93,426 | 11.1% | 7.0% |
| Bullitt County | 84,027 | 9.7% | 7.4% |
| Christian County | 72,069 | 17.1% | 12.2% |
| Oldham County | 69,257 | 4.3% | 3.2% |
AI source: KY - 2026 - Team Kentucky RHT
AI auto-updated May 22, 2026
API refreshed May 7, 2026
Centers for Medicare & Medicaid Services (CMS)
Grouped files
1 related document
KY - 2026 - CMS RHTP 50-State Spotlight (FY2026) — Kentucky
1,720,534 rural residents
Kentucky's Rural Health Transformation Program secured $212.9 million in federal funding in December 2025, with the plan accepted in full. The state has issued formal Requests for Applications to local health departments and EMS agencies, marking the official program launch. Subgrant applications are currently being solicited, with project activities scheduled to begin in July 2026. State opportunities: 5 active (1 open, 4 closing soon), $243.4M listed funding. Key opportunities: From Crisis to Care: Establish or Expand Community Paramedicine Program; Rural Health Transformation Program Funding Opportunity to Establish or Expand Accredited Dental Hygiene Programs; External Independent Third-Party Review (C6102). Strategy alignment: supports workforce, prevention, ems priorities.
Kentucky’s RHTP adopts five interrelated, technology-enabled initiatives to expand access, coordinate care, and strengthen rural health infrastructure. The strategy leverages hub-and-spoke models, enhances digital integration and workforce pipelines, and facilitates scalable, community-driven innovations through phased implementation and targeted competitive grants. These efforts focus on chronic and maternal health, behavioral health, oral care, and EMS response to directly address rural gaps and build sustainable, resilient systems.
Model
Integrated hub-and-spoke technology and workforce network with pilot-to-scale phases, focusing on digital care, interoperable data, and value-aligned payment models.
Key Initiatives
Timeline: Primary implementation runs FY2026–FY2031, with rolling competitive funding and pilot launches beginning July 1, 2026; major milestones include statewide hub establishment by 2027 and workforce expansion initiatives annually.
Chronic Disease (including Diabetes, Obesity, Cardiovascular Disease, COPD, Hypertension): Chronic disease prevalence and mortality are among the highest in the US, disproportionately impacting rural areas. Diabetes-related mortality rates are up to 39% above national rates; over 100,000 adults are unaware they are diabetic; downstream (late-stage) care dominates, with low participation in prevention programs. (Regions: Statewide, with emphasis on Eastern Appalachian and Western Kentucky)
Maternal Health: Nearly half of KY counties are maternity care deserts. Maternal mortality rates among the highest in US, 58% rural women live >30 minutes from birthing hospital. Over 50% of maternal mortality occurs after delivery. (Regions: Statewide, with Lake Cumberland, Bluegrass, Kentucky River, and Barren River highlighted)
Behavioral Health (Mental Health, SUD, Suicide): High rates of untreated mental illness, suicide, and opioid overdose; suicide is top 5 cause of death for adults under 45. Rural behavioral health workforce shortages are severe; EDs report over 1.1 million annual mental health/SUD diagnoses. (Regions: Statewide, with launch focus on FIVCO and Eastern KY)
Kentucky Cabinet for Health and Family Services (CHFS)
Due Jun 12, 2026
8 related documents
KY - 2026 - Community Paramedicine RFA EMS Agency Funding Application Form
Supporting source (current form version)
KY - 2026 - Community Paramedicine RFA EMS Agency Funding Application Form (Superseded)
Supporting source (superseded form version)
KY - 2026 - Request for Application: Establish or Expand Community Paramedicine Programming
Primary source
KY - 2026 - Equipment and Mobile Training Units - Application
Auto-linked by context
KY - 2026 - Request for Application: Establish or Expand Accredited Dental Hygiene Training
Auto-linked by context
KY - 2026 - Request for Application: Establish or Expand Accredited Dental Hygiene Training
Auto-linked by context
KY - 2026 - Team Kentucky RHT
Auto-linked by context
KY - 2026 - Team Kentucky RHT Landing Page
Auto-linked by context
Kentucky Department for Public Health
Due May 29, 2026
1 related document
KY - 2026 - Request for Application: Establish or Expand Accredited Dental Hygiene Training
Primary source
Kentucky Department for Public Health
Due Apr 24, 2026
6 related documents
KY - 2026 - Request for Application: Public Health Dental Hygiene Teams in Local Health Department
Kentucky Rural Health Transformation Program announces upcoming funding opportunities for EMS expansion, workforce development in dental hygiene, and community health hubs to improve rural health outcomes. Requests For Applications (RFAs) will be released soon.
Core Initiatives
This application enables Kentucky EMS agencies to apply for federal FY27 funding to either establish new or expand existing community paramedicine programs under the Rural Health Transformation Program. The program emphasizes integration with behavioral health systems and community partners to address rural unmet needs, divert non-emergent 911 calls, and improve population health. Awardees must provide demographic, service, and technology details, a detailed implementation timeline, and agree to extensive reporting and evaluation. Key contacts: Jimmie Hampton jimmie.hampton@ky.gov Event schedule: - Application Deadline - 06/12/2026
Core Initiatives
Kentucky received $212.9 million in FY2026 for the state’s rural health transformation, with a strong emphasis on modernizing and expanding EMS training and mobile skills programs. Funding is available to EMS agencies for hands-on and mobile training equipment, workforce expansion, and the development of community-based EMS education. Technical assistance, application support, and program reporting are provided to ensure sustainable impact. Key contacts: Jimmie Hampton jimmie.hampton@ky.gov; Bob Andrew bob.andrew@ky.gov Event schedule: - Submission Deadline - 06/12/2026 - 5:00 PM ET
Contacts
Core Initiatives
This document is a budget worksheet for RHTP subrecipient applicants, detailing required budget line items and narratives for personnel, fringe, travel, equipment, supplies, training, consultants, contracts, and other costs. It provides instructions and computation examples, but does not identify recipients, award amounts, or application year. The worksheet ensures compliance with non-supplantation rules and standard federal grant budgeting procedures.
Kentucky's RHTP is a multi-year statewide initiative currently in the implementation planning phase as of January 2026. The program aims to improve rural health through coordinated statewide efforts, with future competitive procurement opportunities pending.
Core Initiatives
This summary presents high-level application details for multiple states requesting RHTP funding for FY26, with federal amounts ranging from $150M to $272M per state. All highlight major structural rural health barriers, with strategies including expanding workforce training, advancing telehealth, supporting maternal care, addressing chronic disease, and value-based payment reform. All states emphasize hospital support, technology modernization, and improved rural population health outcomes, paired with select state policy commitments, e.g., SNAP waivers, licensure compacts, and nutrition CME.
Core Initiatives
This document is a federal award announcement for the Kentucky Rural Health Transformation Plan, funded under the Rural Health Transformation Program (RHTP) of the One Big Beautiful Bill Act of 2025. The award, totaling $212,905,590.56, is managed as a cooperative agreement with CMS, with required milestones, reporting, and revised budget submission for the first budget period. The period of performance spans December 29, 2025, to October 30, 2030, and includes fiscal and progress report requirements tied to CMS oversight.
Event Schedule
Kentucky's RHTP application proposes five interrelated statewide initiatives: rural chronic care hubs, maternal health community teams, behavioral health crisis and telehealth system, rural dental innovation, and rural EMS/trauma reform. Major themes include technology-enabled care, workforce pipeline expansion, integrated data interoperability, and sustainable financing models. These strategies align directly with RHTP transformation aims and target current leading health gaps impacting rural Kentuckians.
Core Initiatives
Kentucky’s RHTP launches five interrelated initiatives including Rural Community Hubs for Chronic Care Innovation, PoWERing Maternal and Infant Health, Rapid Response to Recovery with the EmPATH model, Rooted in Health for rural dental access, and Crisis to Care integrated EMS response. The plan emphasizes innovation, technology-enabled care, and workforce recruitment pipelines to build a resilient, integrated, and technology-forward rural health system. Funding is provided through a $212.9 million CMS grant covering FY2026–FY2030.
Core Initiatives
2030-10-30
Period End
Program cooperative agreement period of performance scheduled to end.
↳ KY - 2026 - Attachment B - CMS Notice of Award
2026-08-30
Annual Report #1 Due
First annual progress report due to CMS as part of required reporting.
↳ KY - 2026 - Attachment B - CMS Notice of Award
2026-01-30
Revised Budget Due
Deadline for recipient to submit revised budget in response to temporary funding restriction.
↳ KY - 2026 - Attachment B - CMS Notice of Award
2025-12-29
Period Start
Award period of performance begins for Rural Health Transformation Program cooperative agreement.
↳ KY - 2026 - Attachment B - CMS Notice of Award
KY RHTP site updated — 1 new doc(s)
KY - 2026 - Equipment and Mobile Training Units - Application
KY - 2026 - Equipment and Mobile Training Units - Narrative
KY - 2026 - Request for Application: Establish or Expand Accredited Dental Hygiene Training
RHT Project Narrative
Documents predating or adjacent to the RHTP program — useful background, excluded from main activity feed.
KY - 1982 - agency.aspx
HTML
KY NEMT 1915(b) Approval Letter.pdf
2025-2027 · PDF
Attachment A Approved Risk Adjustment Model.docx
KY - 2026 - Request for Application: Public Health Dental Hygiene Teams in Local Health Department
Consolidated supporting doc
KY - 2026 - Team Kentucky RHT
Consolidated supporting doc
KY - 2026 - Request for Application: Establish or Expand Accredited Dental Hygiene Training
Consolidated support doc
KY - 2026 - Request for Application: Establish or Expand Accredited Dental Hygiene Training
Consolidated support doc
KY - 2026 - Attachment A - KY RHTP Subrecipient Budget Template
Consolidated supporting doc
This RFA is for Kentucky's Rural Health Transformation Program, focused in year one on modernizing EMS training, equipment, and providing mobile simulation units in rural areas. While $212.9 million is allocated for FY2026, available funding in this RFA is competitive for agency applicants and targeting rural workforce capacity expansion. Five key strategic initiatives address EMS, maternal health, chronic conditions, dental access, and behavioral health. Key contacts: Jimmie Hampton jimmie.hampton@ky.gov Event schedule: - RFA Released - 05/11/2026 - RFA Information Session - 05/21/2026 - RFA Office Hours - 05/27/2026 - RFA Office Hours - 06/08/2026 - Deadline for Receipt of Applications - 06/12/2026 - jimmie.hampton@ky.gov - Notification of Award to Grantees - 07/01/2026 - Funding Period Begins - 08/01/2026
Contacts
Core Initiatives
This document is the official EMS agency funding application for Kentucky's RHTP-supported Community Paramedicine RFA. It structures how rural EMS agencies can apply for federal fiscal 2027 funding to launch or expand community paramedicine programs, with strong emphasis on behavioral health integration, local partnerships, technology, and data reporting. Key contacts: Robbie Hume robbie.hume@ky.gov Event schedule: - Application Deadline - 06/12/2026 - ET - Submit to robbie.hume@ky.gov - Program Implementation Period Start - August 2026 - Program Implementation Period End - July 2027
Superseded by
Core Initiatives
2025-2026 · DOCX
14A.1-070 Definitions for chapter (KY business entity definitions statute, effective July 15, 2020)
2020 · PDF
202 KAR 7:601. Training, education, and continuing education (Amendment)
Sample - Business Associate Agreement.pdf