HHS Region 8 · Montana Department of Public Health and Human Services (DPHHS)
Program Overview
Montana received $233,509,359 for federal fiscal year 2026, the fourth-highest in the nation, with anticipated funds exceeding $1 billion over five years. The funding will support five key initiatives outlined by DPHHS and administered through competitive procurements and grants. MHA and MHREF play active roles in partnership and program support, emphasizing workforce development and sustainable rural access. Key contacts: Shani Rich shani.rich@mtha.org
Updated
County-level estimates averaged across Montana — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (56)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Yellowstone County | 168,957 | 9.2% | 6.5% |
| Gallatin County | 124,074 | 9.5% | 3.8% |
| Missoula County | 120,672 | 10.1% | 4.8% |
| Flathead County | 110,695 | 9.3% | 5.3% |
| Cascade County | 84,606 | 13.1% | 7.5% |
| Lewis and Clark County | 73,464 | 8.1% | 3.4% |
| Ravalli County | 46,727 | 8.8% | 4.6% |
| Silver Bow County | 35,785 | 14.8% | 7.6% |
| Lake County | 32,561 | 17.2% | 12.1% |
| Lincoln County | 21,175 | 15.4% | 8.3% |
| Park County | 17,710 | 12.3% | 8.5% |
| Hill County | 16,155 | 20.7% | 16.3% |
AI source: MT - 2026 - MT DPHHS RHTP Update Presentation (IBC March 2026)
AI auto-updated May 29, 2026
API refreshed May 7, 2026
Centers for Medicare & Medicaid Services (CMS)
Grouped files
11 related documents
MT - 2026 - CMS RHTP 50-State Spotlight (FY2026) — Montana
484,395 rural residents
Montana’s Rural Health Transformation Program received a federal award and finalized its year-one budget approval with CMS in February 2026. The state has launched its first telemedicine sub-award and has opened multiple RFPs and grant opportunities for Center of Excellence components and facility implementation support. Vendor engagement has been extensive, including webinars and resource portals, and program rollout is supported by ongoing stakeholder and advisory meetings. Applications for subgrants and contracts are actively being solicited across Montana.
Montana's RHTP strategy is anchored on establishing a Rural Health Center of Excellence that utilizes data analytics to provide county- and facility-specific recommendations. The program develops sustainability roadmaps for rural facilities and incentivizes voluntary participation through performance-based payments, aiming to measurably improve care quality, access, and financial outcomes. Activities are implemented through competitive procurement and targeted grants, with explicit rural impact requirements.
Model
Rural Health Center of Excellence delivering data-informed, facility-level transformation through incentive-driven, sustainable care models and targeted technical assistance.
Key Initiatives
Timeline: CMS initial budget approval in February 2026; rollout of RHTP Requests for Proposals and targeted funding awards throughout 2026, with implementation and measurement proceeding over the subsequent five years.
Rural Healthcare Access and Workforce: Efforts focus on addressing operational, financial, and workforce challenges specific to Montana’s rural communities to ensure sustainable access to quality care. (Regions: Montana rural areas)
Montana was awarded $233 million by CMS for its Rural Health Transformation Program (RHTP), the fourth largest award nationally. This five-year program supports workforce development, rural facility sustainability, innovative care, community health, and technology modernization. Implementation is launching with major procurements expected to begin in March 2026; subgranting and initiative details will follow as budgets are finalized. Key contacts: HHSRuralHealthTransformation@mt.gov Event schedule: - Stakeholder Advisory Committee Meeting - January 22, 2026 - 10:00 AM MT - See agenda - First procurement opportunities posting - March 2026 - Montana state procurement site and RHTP website - Annual reporting due to CMS - July - Quarterly report Q2 due - Feb 2026
The Rural Health Transformation (RHT) Program, authorized by the Working Families Tax Cuts Legislation, allocates $50 billion over five years to States for rural health system transformation. Awards will be issued annually based on approved State applications and rural metrics, supporting activities such as quality improvement, workforce development, advanced technology, and value-based care. Strategic goals focus on improving access, workforce, innovation, technology, and population health. Key contacts: MAHARural@cms.hhs.gov Event schedule: - State application submission deadline - 11/05/2025 - Award date - 12/29/2025 - Annual reporting due - Quarterly reporting - Annual Rural Health Transformation Summit
MT - 2026 - Vendor Fair Questions
Auto-grouped context match (38%)
MT - 2025 - Jan. 22, 2026 - RHT Stakeholder Advisory Committee presentation
Auto-grouped context match (38%)
MT - 2026 - Montana RHTP 2026 Meeting Agenda
Auto-grouped context match (37%)
MT - 2026 - Montana RHTP Application 2026
Auto-grouped context match (38%)
MT - 2026 - Montana Summary Of Montana’s Application For The Rural Health RHTP
Auto-grouped context match (39%)
MT - 2026 - RHTP Budget Narrative
Auto-grouped context match (38%)
MT - 2026 - Jan. 13, 2026 - RHTP legislative presentation
Auto-grouped context match (38%)
MT - 2026 - Montana RHTP 2026 Summary
Auto-grouped context match (38%)
MT - 2026 - Montana RHTP 2026 Slide Deck
Auto-grouped context match (38%)
MT - 2025 - DPHHS Annual Performance
Auto-grouped context match (37%)
Due May 21, 2026
No related documents
No linked documents found.
Montana DPHHS
Due May 15, 2026
No related documents
No linked documents found.
Montana's RHTP implementation advances with planned funding distributed via competitive procurements and grants. The Center of Excellence board structure is under development, focusing on rural facility sustainability. Montana Hospital Association prepares members for upcoming funding opportunities with millions allocated for analytics, implementation, school-based care, and talent attraction. Event schedule: - Release of first RFPs - March 2026 - Release of 8 competitive procurements and 5 grant awards - September 2026
Core Initiatives
Montana is awarded $233,509,359 in RHTP federal funds for fiscal year 2026, ranking fourth highest nationally. The announcement sets the stage for implementing Montana's RHTP initiatives. Event schedule: - Application are due . - May 22 - Posted on 05/05/26 | RHTP Latest News | Read More - The first meeting of the RHTP Stakeholder Advisory Committee is - Jan. 22 - Posted on 01/19/26 | RHTP Latest News | Read More
Montana was awarded $233 million by CMS for its Rural Health Transformation Program (RHTP), the fourth largest award nationally. This five-year program supports workforce development, rural facility sustainability, innovative care, community health, and technology modernization. Implementation is launching with major procurements expected to begin in March 2026; subgranting and initiative details will follow as budgets are finalized. Key contacts: HHSRuralHealthTransformation@mt.gov Event schedule: - Stakeholder Advisory Committee Meeting - January 22, 2026 - 10:00 AM MT - See agenda - First procurement opportunities posting - March 2026 - Montana state procurement site and RHTP website - Annual reporting due to CMS - July - Quarterly report Q2 due - Feb 2026
Contacts
Core Initiatives
Montana has been awarded $233,509,359 for federal fiscal year 2026 as part of the Rural Health Transformation Program, the fourth-highest amount nationally. This award sets the stage for the state to begin implementation planning, stakeholder engagement, and procurement activities. Event schedule: - Application are due . - May 22 - Posted on 05/05/26 | RHTP Latest News | Read More - The first meeting of the RHTP Stakeholder Advisory Committee is - Jan. 22 - Posted on 01/19/26 | RHTP Latest News | Read More
The Montana Hospital Association announced its response to the state's RFI for the newly established Rural Health Transformation Program (RHTP). The Montana Health Research and Education Foundation is positioned to serve as the primary fiscal and strategic partner if the state secures federal funding. Event schedule: - State RFI issued - August 2025 - Montana
Core Initiatives
Montana DPHHS is advancing the RHTP procurement process and issued an update to help vendors prepare for upcoming funding opportunities. A vendor webinar is scheduled for March 11, 2026 to provide guidance for those interested. Event schedule: - RHTP Vendor Webinar - March 11, 2026 - 10:00 AM - 12:00 PM MT - webinar
This document provides comprehensive FAQ guidance for vendors using the Submittable platform to apply for all RHTP Applications, including step-by-step instructions from account creation to file submission. It details collaboration options, submission status tracking, and technical troubleshooting steps. Key resources and technical support hours are also provided. Event schedule: - Technical Support Hours - Monday - Friday, 9:00 AM - 5:00 PM MT - Submittable Help Center
Montana's RHTP received $233 million to strengthen rural healthcare across five initiatives. This document provides detailed guidance on how to use the Submittable platform for submitting grant applications starting April-June 2026. Key contacts: support@submittable.com Event schedule: - Application Window - April-June 2026 - Online via Submittable platform
Montana received a $233 million CMS Rural Health Transformation Program award to launch five strategic initiatives, including workforce development, facility sustainability, innovation in care models, preventive infrastructure, and technology deployment. Implementation includes standing up governance, hiring new staff, releasing procurements, and launching incentive payments for providers. The Center of Excellence will oversee facility transformation and provider support with milestones scheduled through 2028. Key contacts: Rebecca de Camara Event schedule: - Virtual vendor fair - March 11, 2026 - RHTP newsletter release - March 20, 2026 - CMS Program Officer site visit - Q2 2026 - CMS Annual Report 1 due - Q3 2026
Contacts
Core Initiatives
Montana's RHTP allocates $233 million for five core initiatives addressing rural health challenges. The program emphasizes collaboration with rural providers and community organizations. $12 million is dedicated to program administration. Event schedule: - , 2026 - RHTP Stakeholder Webinar, Initiative 1, Workforce Development - May 13 - Stevens Amendment - , 2026 - Rural Health Transformation Program legislative presentation - May 6 - Stevens Amendment - , 2026 - Vendor Webinar Video Recording and PowerPoint Presentation - March 11 - Stevens Amendment - , 2026 - Rural Health Transformation Stakeholder Advisory Committee presentation and Meeting Summary - Jan. 22 - Stevens Amendment - , 2026 - Rural Health Transformation Program legislative presentation - Jan. 13 - Stevens Amendment
Core Initiatives
Montana Medicaid Expansion served over 76,700 individuals each month in Q2 2025, including a significant Native American/Alaskan Indian population. State revenues to the HELP Act fund exceeded $12.7M for the quarter, and federal expenditures for Medicaid expansion surpassed $860M for SFY 2025. Participant engagement in preventive and wellness activities remained high, and Montana submitted a new community engagement waiver to CMS in September 2025.
This CMS summary compiles high-level FY26 applications from multiple states for the Rural Health Transformation Program. All states address workforce, quality, IT modernization, and access barriers, often tailoring models to local needs. Award amounts at the state level are listed for reference, but no explicit sub-award recipients are identified in this summary.
The Rural Health Transformation (RHT) Program, authorized by the Working Families Tax Cuts Legislation, allocates $50 billion over five years to States for rural health system transformation. Awards will be issued annually based on approved State applications and rural metrics, supporting activities such as quality improvement, workforce development, advanced technology, and value-based care. Strategic goals focus on improving access, workforce, innovation, technology, and population health. Key contacts: MAHARural@cms.hhs.gov Event schedule: - State application submission deadline - 11/05/2025 - Award date - 12/29/2025 - Annual reporting due - Quarterly reporting - Annual Rural Health Transformation Summit
Contacts
Core Initiatives
This FY2026 Annual Plan outlines Montana DPHHS’s ambitious quality and efficiency directives, including key behavioral health system reforms, Medicaid expansion changes, child welfare improvements, EHR/billing modernization, and fraud investigation process enhancements. It stresses high standards, data-driven accountability, and targeted measures across Medicaid and rural health systems. Measurable targets are set for health, workforce, program integrity, performance reporting, and administrative improvement.
Core Initiatives
Montana proposes to transform rural health through five integrated initiatives focused on workforce, financial solvency, modernizing care, technology innovation, and partnerships. Key priorities include improving chronic disease, behavioral health, and maternal outcomes, increasing access via telehealth and EMS modernization, and stabilizing rural hospital economics. Strategic targets aim to raise rural provider density, improve health metrics, and reach sustainable financial margins for rural facilities by 2031.
Montana received $233 million in federal CMS RHTP funding, the fourth highest nationwide, dedicated to implementing five strategic initiatives. An extensive governance and stakeholder structure is in place, including a formal Advisory Committee. The program focuses on workforce, rural hospital sustainability, EMS modernization, population health, and technology upgrades with explicit annual and quarterly reporting to CMS.
Montana received $233,509,359 for federal fiscal year 2026, the fourth-highest in the nation, with anticipated funds exceeding $1 billion over five years. The funding will support five key initiatives outlined by DPHHS and administered through competitive procurements and grants. MHA and MHREF play active roles in partnership and program support, emphasizing workforce development and sustainable rural access. Key contacts: Shani Rich shani.rich@mtha.org Event schedule: - DPHHS accepting CoE Advisory Council applications - 05/22/2026 - Stakeholder interest survey opens - 05/13/2026 - Initial RHTP funding expected - 03/01/2026 - Procurement and contract awarding ends - 06/2026 - Grant programs awarded - 09/2026
Contacts
Core Initiatives
Montana created the Rural Health Transformation Center of Excellence Advisory Council to provide recommendations for aligning rural health care delivery with local needs, improve financial sustainability, and maintain critical service access. The council will have up to 25 members drawn from diverse rural health stakeholders and expire in 2028 unless renewed. Key contacts: Gene Hermanson ghermanson2@mt.gov Event schedule: - Council member appointments - June 2026 - Council expiration unless renewed - April 17, 2028
This directory lists organizations interested in the Montana Rural Health Transformation Program, including contacts for potential vendors, partners, and subcontractors. The directory provides networking opportunities for entities seeking to collaborate on imminent RHTP initiatives and RFPs. No awards have been made; information is self-reported and intended for communication among interested parties. Key contacts: Maryah Jackson 7wellnessmc@gmail.com; Sarah Chestnut schestnut@benchmarkhs.com; Brooklyn Spengeman ruralhealth@accesstelecare.com; Amy Ellrod amyellrod@activatecare.com
Document is an agenda for the first Stakeholder Committee Meeting covering RHTP updates, governance model, committee charter, and workplan priorities.
MT RHTP site updated — 11 new doc(s)
MT RHTP site updated — 1 new doc(s)
MT - 2026 - Montana Skip To Main Content Services RHTP Webinar
MT - 2025 - RHTP Webinar PowerPoint Slides - October 2 2025
MT - 2025 - DPHHS Annual Performance
Documents predating or adjacent to the RHTP program — useful background, excluded from main activity feed.
MT - 2026 - View as PDF
Core Initiatives
Montana DPHHS received a $233 million first-year federal RHTP award and is launching five core initiatives to modernize and sustain rural health care. The Rural Health Center of Excellence (CoE) will drive data-driven strategies, promote long-term facility sustainability, and link incentives to quality and access improvements. Nearly 900 attendees joined a vendor webinar, and stakeholder input is ongoing. Key contacts: HHSRuralHealthTransformation@mt.gov Event schedule: - First RHTP Stakeholder Advisory Committee Meeting - 01/22/2026 - Montana State University, Bozeman - RHTP Vendor Webinar - 03/11/2026 - Zoom webinar - DPHHS Final RHTP Budget Approved - 02/19/2026
Contacts
Core Initiatives
Montana is launching a five-year, $233 million CMS-funded initiative targeting rural health transformation through workforce, facility, payment, community, and technology reform. The program includes multiple RFPs and grant procurements to support provider transformation, EMS modernization, data infrastructure, and school-based health. Early milestones include key leadership onboarding, stakeholder engagement, and the kickoff of several vendor and advisory activities. Event schedule: - First RHTP newsletter released - Late March 2026 - MT - RHTP Program Director onboarded - Early April 2026 - MT - Vendor Fair conducted - March 11, 2026 - MT
Core Initiatives
Core Initiatives
Contacts
Core Initiatives
Core Initiatives
This report summarizes Montana DPHHS's progress on strategic goals to expand capacity in behavioral health and developmental disabilities services, strengthen rural and state-run hospital systems, and drive improvement in Medicaid, SNAP, TANF, and foster care outcomes. Key outcomes include increased residential services, reduced court-ordered evaluation wait times, improved foster youth skills, and enhanced workforce training. Numerous metrics are tracked for Medicaid and public health delivery, child and family services, and data analytics capabilities. Event schedule: - NTI project completion deadline - 03/16/2026 - Residential services NTI fund obligation deadline - 09/16/2024 - Anticipated completion of procurement for analytics tool - 09/30/2025
Core Initiatives
Event Schedule
Core Initiatives
Event Schedule
Core Initiatives
Contacts
Core Initiatives
Contacts
Core Initiatives
MT - 2026 - Council Creation Approval
MT - 2026 - DPHHS Home
HTML
Montana DPHHS HPS‐400F Montana Department Of Public Health And Human Services RHTP 2013 Document
MT - 2026 - View as PDF
2026-2029 · PDF
MT - 2026 - View as PDF
2026 · PDF
MT - 2026 - View as PDF
2026 · PDF
MT - 2025 - April, 2026 Edition RHTP Newsletter
2025-2026 · PDF
MT - 2026 - Olmstead Decision: SFY 2026 Q1
2025 · PDF
2017 Montana State Health Assessment
2017 · PDF
MT - 2026 - Member sign up for RHTP updates - Montana Hospital Association
HTML
JAGGAER One – Soluzioni intelligenti per il procurement digitale
HTML
Montana Software Di Procurement Per Il CPG | JAGGAER One Search Search Italiano Inglese Francese Tedesco Spagnolo Arabo Assistenza Demo Soluzioni Per Settore Manufacturing Auto
HTML
Montana Software Di Procurement Per Il Trasporto E Logistica Search Search Italiano Inglese Francese Tedesco Spagnolo Arabo Assistenza Demo Soluzioni Per Settore Manufacturing
HTML
JAGGAER One: Piattaforma di procurement e sourcing per il mondo Retail
HTML
JAGGAER One: Semplifica il procurement e l'innovazione nel settore farmaceutico
HTML
JAGGAER One: Soluzioni per il procurement per il mondo Energy Utilities
HTML
JAGGAER One: Soluzioni per gli acquisti nel settore sanitario
HTML
Montana JAGGAER One: Aumenta L'efficienza Finanziaria Del Tuo Procurement Search Search Italiano Inglese Francese Tedesco Spagnolo Arabo Assistenza Demo Soluzioni Per Settore M
HTML
JAGGAER One – Software di Procurement per il Settore Education
HTML
Software für Costumer Packaged Goods (CPG) | JAGGAER
HTML
Montana Software Di Procurement Per L’industria Automotive | JAGGAER Search Search Italiano Inglese Francese Tedesco Spagnolo Arabo Assistenza Demo Soluzioni Per Settore Manufa
HTML
Montana Prenota Una Demo - JAGGAER Search Search Italiano Inglese Francese Tedesco Spagnolo Arabo Assistenza Demo Soluzioni Per Settore Manufacturing Automotive Settore Pubblic
HTML
JAGGAER One Platform and Services Overview
HTML
Procurement software per l'industria manifatturiera | JAGGAER
HTML
JAGGAER One Procurement Software Overview
HTML
Consumer Packaged Goods (CPG) - JAGGAER
HTML
JAGGAER One: Optimisation des achats dans le commerce de détail
HTML
JAGGAER One - Software für den öffentlichen Sektor
HTML
JAGGAER One for Financial Services Overview
HTML
JAGGAER One Source-to-Pay Platform Overview
HTML
Plateforme d'Achats IA Gestion des Fournisseurs | JAGGAER
HTML
MT - 2026 - Leadership Org Chart (PDF)
MT - 2026 - Fish Consumption Guide
Growth of ADRC's Map