HHS Region 7 · Nebraska Department of Health & Human Services Office of Procurement and Grants
Program Overview
The Nebraska Rural Health Transformation Program is in its initial implementation stage, launching seven statewide initiatives starting in Spring 2026, with rolling funding opportunities for rural providers each year. Major focus areas include food as medicine, emergency and behavioral health, workforce acceleration, eHealth, and facility modernization, with active oversight by the Nebraska Department of Health and Human Services. The program emphasizes technology-enabled solutions, regional care coordination, and addresses critical rural workforce and health access gaps. Applications and competitive RFAs are scheduled throughout 2026 to support rural and tribal community health priorities. Current structured plan tracks 10 key initiatives and 7 strategic goals.
Updated
County-level estimates averaged across Nebraska — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (93)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Douglas County | 590,736 | 11.8% | 7.7% |
| Lancaster County | 326,696 | 11.9% | 6.9% |
| Sarpy County | 197,389 | 5.6% | 4.0% |
| Hall County | 62,536 | 14.1% | 12.1% |
| Buffalo County | 50,579 | 9.9% | 5.3% |
| Dodge County | 37,351 | 11.0% | 7.9% |
| Scotts Bluff County | 35,843 | 12.9% | 8.9% |
| Madison County | 35,532 | 13.1% | 7.7% |
| Platte County | 34,716 | 9.8% | 8.1% |
| Lincoln County | 33,802 | 12.4% | 7.0% |
| Adams County | 31,052 | 12.7% | 8.5% |
| Cass County | 27,161 | 5.2% | 3.1% |
AI source: NE - 2026 - RHT
AI auto-updated Jul 1, 2026
API refreshed May 7, 2026
Federal RHTP award total (state override)
Detailed federal award opportunity rows are not linked yet for this state, but an approved federal award total is set.
677,796 rural residents
Nebraska has formally launched multiple Rural Health Transformation Program (RHTP) initiatives, issuing several Requests for Applications (RFAs) to local providers and entities. Applications for sub-grants in areas such as kitchen modernization and farm-to-school procurement are currently open, with awards being issued on a rolling basis. Multiple grant cycles are actively underway and several closed cycles indicate ongoing program activity across rural health priorities. State opportunities: 4 active (3 open, 1 closing soon, 7 past/closed), $9.0M listed funding. Key opportunities: Nebraska RHTP Initiative 5.3: Modification of Existing Clinical Facilities for Mental Health Crisis; Rural Virtual Reality and Skills Acceleration Network; Nebraska RHTP Initiative 1.3: Farm-to-School Procurement and Policy Technical Assistance Grant. Strategy alignment: supports workforce, ems, care access priorities.
Nebraska’s RHTP executes seven coordinated, technology-enabled initiatives targeting workforce shortages, rural access barriers, food insecurity, chronic disease, and emergency and behavioral health gaps. The strategy utilizes rolling, competitive RFAs and broad stakeholder input to implement regionally integrated models, advance infrastructure modernization, accelerate workforce pipelines, modernize facility capacity, and strengthen cross-sector partnerships. Focus is on delivering measurable improvements in rural health outcomes through infrastructure, prevention, and sustainable care networks.
Model
Statewide, regionally coordinated, prevention-first rural health transformation—integrating technology, workforce acceleration, and cross-sector partnerships to close rural care, equity, and outcome gaps.
Key Initiatives
Timeline: Five-year RHTP award cycle with initial RFAs beginning March 2026, first grant funding in Spring 2026, and annual application rounds each program year.
Chronic Disease Management: Grant initiatives target rural populations to improve chronic disease outcomes via navigation and education programs. (Regions: statewide rural regions)
Hospital and Facility Infrastructure: Conversion grants and facility modernization address the limitations of rural hospitals, including emergency services and mental health crisis response. (Regions: critical access and rural emergency hospitals across Nebraska)
Rural Nutrition and Food Security: Farm-to-school and food as medicine programs aim to enhance nutritional options for rural children and families. (Regions: rural school districts and communities)
Nebraska Department of Health and Human Services
Due Jul 31, 2027
28 related documents
NE - 2027 - Request for Applications [RHTP_Initiative_4.4a_CHW_RFA.pdf]
Primary source
NE - 2026 - Navigation and Education Initiative FAQ
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NE - 2026 - Request for Applications [RHTP_Initiative_4.4b_RFA.pdf]
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NE - 2026 - Request for Applications [RHTP-4.4A-Chronic-Disease-Management-Navigation-and-Education-Initiative.pdf]
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NE - 2026 - RHTP Initiative 4.2b Question and Answer Session Details
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NE - 2026 - Request for Applications [RHTP_Initiative_4.2b_RFA.pdf]
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NE - 2026 - Intent to Award 05/14/2026
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NE - 2026 - Intent to Award 04/15/2026
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NE - 2026 - RHTP Initiative 3.3 FAQ
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NE - 2026 - Form 1: RHTP Initiative 3.3 Work Plan
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NE - 2026 - Request for Applications [RHTP-3.3_SNAP_ET_RFA.pdf]
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NE - 2026 - Request for Applications [RHTP-1.5B_RFA.pdf]
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NE - 2026 - RHTP Initiative 1.2 Question and Answer Session Details
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NE - 2026 - Form 1: RHTP Initiative 1.2 Work Plan
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NE - 2026 - Request for Applications [RHTP_Initiative_1.2_RFA.pdf]
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NE - 2026 - DHHS is Seeking Applications for RHTP Health Care Advisory Regions
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NE - 2026 - DHHS to Open RHTP Application to Help Build Rural Nebraska Workforce
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NE - 2026 - Grant Funding Opportunities
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NE - 2026 - Health Care Advisory Regions
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NE - 2025 - Build Rural Workforce
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NE - 2025 - Assisted Living Facility (ALF) Special Needs Incentive Payment Program
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NE - 2026 - View an accessible PDF.
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NE - 2026 - Nebraska RHT CMS Priorities Strategy
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NE - 2026 - Nebraska Project Summary RHTP
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NE - 2026 - Timeline PDF
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NE - 2026 - RHT
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NE - 2026 - DHHS Releases RFAs for RHTP Funding Opportunities
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NE - 2027 - Request for Applications [RHTP_Initiative_2.5_RFA.pdf]
Primary source
Nebraska DHHS Division of Behavioral Health
Due Aug 31, 2026
2 related documents
NE - 2026 - Request for Applications [RHTP_Initiative_5.3_RFA.pdf]
NE - 2026 - Request for Applications
NE - 2026 - RFA RHTP 5.3 FORM 1
NE - 2026 - RFA RHTP 5.3 FORM 1
Nebraska Department of Health and Human Services, Division of Public Health
Due Jul 24, 2026
1 related document
NE - 2026 - Request for Applications [RHTP_Initiative_3.2_RFA.pdf]
| FY↓ | Awardee↕ | Amount↕ | Activity↕ | Source |
|---|---|---|---|---|
| 2026 | Lutheran Family Services Awarded subgrant under Nebraska's RHTP Workforce Incentive and Sustainability Model to support rural health care workforce initiatives. | $1 | Workforce | |
| 2026 | The Well NE Supports rural health care workforce incentives and sustainability efforts to improve recruitment and retention in underserved areas. | $1 | Workforce | |
| 2026 | United Way of Western Nebraska Subaward for the Rural Health Care Workforce Incentive and Sustainability Model to support workforce initiatives in rural areas. | $1 | Workforce | |
| 2026 | Waterfield Health LLC Awarded subgrant under Nebraska's RHTP Workforce Incentive and Sustainability Model to support rural health care workforce initiatives. | $1 | Workforce | |
| 2026 | York County Health Coalition Awarded subgrant under Nebraska's RHTP Workforce Incentive and Sustainability Model to support rural health care workforce initiatives. | $1 | Workforce | |
| 2025 | Nebraska Lawyers Foundation Subaward recipients for NHAP Legal Services as announced by the DHHS Office of Procurement and Grants. | $1 | Other |
Nebraska DHHS announced an intent to award a rural health workforce incentive and sustainability grant to The Well NE under RHTP Initiative 3.3. Several applicants did not meet eligibility criteria. No financial details are provided in this announcement. Key contacts: dhhs.snapeandtprovider@nebraska.gov Event schedule: - Intent to Award Notification - 6/15/2026
Event Schedule
Contacts
Core Initiatives
This document lists the individual hospitals in Nebraska receiving funding as part of the Nebraska High Value Network collaborative network. One hospital (Brodstone Healthcare) is noted as having been awarded individually and thus not being awarded over the network maximum. Event schedule: - Department of Health and Human Services RHTP Initiative 4.4b Awards 06/10/2026 Initiative 4.4b – Remote Patient Monitoring in Facilities and at Home Period of Performance: May 20, 2026, through May 19, 2027 DHHS appreciates all applicants for their interest and commitment to advancing rural health in Nebraska. These funds are part of a five-year grant program. Additional funding opportunities may be available in the years ahead to continue building partnerships and expanding impact across the state. The following have been selected for award for the Request for Application which closed April 24, 2026. Applicant Award Amount Antelope Memorial Hospital $ 778,897.18 Beatrice Community Hospital & Health Center $ 278,684.02 Box Butte General Hospital $ 200,000.00 CHI Good Samaritan/CHI St. Francis $ 430,601.57 CHI Health Plainview $ 355,311.03 CHI Health Schuyler $ 711,629.63 CHI St. Mary’s $ 908,475.54 Chase County Community Hospital $ 195,523.20 Faith Health $ 578,673.70 Genoa Health Center $ 200,000.00 Good Neighbor Community Health Center $ 303,276.49 Heartland Health Center $ 199,950.00 Jefferson Community Health & Life $ 446,741.33 Johnson County Hospital $ 393,220.57 Mary Lanning Healthcare $ 460,239.40 Methodist Fremont Health $ 334,176.13 Midtown Health Center $ 221,239.63 Nebraska High Value Network^ $ 18,156,856.12 OneWorld Community Health Centers $ 395,048.53 Pawnee County Memorial Hospital $ 479,692.57 Providence Medical Center $ 311,698.70 Regional West Medical Center $ 736,148.14 Syracuse Area Health $ 200,000.00 Winnebago Comprehensive Healthcare System $ 414,693.75 The Rural Health Transformation Program is supported by Centers for Medicare & Medicaid Services (CMS) of the U.S. Department of Health and Human Services (US HHS) as part of a financial assistance award totaling $218,529,075.01 with 100 percent funded by CMS/US HHS. The contents are those of the Nebraska Department of Health and Human Services (DHHS) and do not necessarily represent the official views of, nor an endorsement by, CMS/US HHS, or the U.S. Government. - pg. 1 - ^Nebraska High Value Network is a collaborative network. The list of individual hospitals receiving funding as of the time of this notice follows. Boone County Health Center — Albion Jefferson Community Health and Life — Fairbury Brodstone Healthcare — Superior (will not be awarded over the maximum allowable Brown County Hospital — Ainsworth amount, as they were awarded individually) Butler County Health Care Center — David City Jennie M. Melham Memorial Medical Center — Callaway District Hospital — Callaway Broken Bow Cherry County Hospital — Valentine Lexington Regional Health Center — Lexington Cozad Community Health System — Cozad Memorial Community Health — Aurora Fillmore County Hospital — Geneva Memorial Health Care Systems — Seward Franciscan Healthcare — West Point Sidney Regional Medical Center — Sidney Gothenburg Health — Gothenburg Tri Valley Health System — Cambridge Harlan County Health System — Alma Valley County Health System — Ord Howard County Medical Center — St. Paul York General Health Care Services — York | pg. 2
Nebraska Department of Education will issue up to $8.34 million in federal funds to expand school access to locally produced foods through procurement of equipment and technical assistance. Eligible entities include local farmers, ranchers, producers, cooperatives, and food suppliers, with priority for rural, frontier, tribal, and food desert communities. Awards will be up to $150,000 per entity; the program focuses on increasing healthy eating and scaling up food supply infrastructure. Key contacts: Kayte Partch Kayte.Partch@nebraska.gov Event schedule: - RFA Release Date - 06/15/2026 - Application Open - 06/12/2026 - Application Due Date - 08/31/2026 - Period of Performance - 06/01/2026 - 06/30/2027
Event Schedule
Contacts
Core Initiatives
This is the required budget form for applicants seeking funding under the Rural Health Transformation Program in Nebraska. Applicants must detail their planned expenses, indirect cost rates, and provide a budget justification. The form enables the program to evaluate proposed budgets for eligibility and alignment with program goals.
This checklist provides Nebraska RHTP applicants with a comprehensive list of required documents to ensure a complete application submission, including organizational charts, good standing certificates, indirect cost agreements, letters of support, quality of care evidence, and W9 forms. It details documentation to demonstrate licensure, quality compliance, and support commitments. The checklist is intended to help applicants meet all compliance requirements.
This meeting agenda outlines the onboarding and orientation process for participants in the Rural Health Transformation Program advisory structure. It describes steps for governance, regional input, and the year-long development of rural health recommendations. No funding, awards, or application details are addressed.
This work plan outlines a subaward from Nebraska's Chronic Disease Prevention Program to train Community Health Workers in rural areas. The main goal is to provide specialized education through community colleges. The plan includes objectives, performance measures, evaluation criteria, and identifies key partners.
Core Initiatives
This FAQ clarifies eligibility, allowable expenses, and response requirements for RHTP Initiative 4.4b in Nebraska, which funds assistive technologies for safety at home and in the community for older adults and people with disabilities. Cellular data plans are not covered, but other subscriptions may be depending on vendor proposal. The maximum award per entity is $1,500,000, with flexibility for joint proposals.
NE RHTP site updated — 2 new doc(s)
NE RHTP site updated — 2 new doc(s)
NE RHTP site updated — 1 new doc(s)
NE RHTP site updated — 6 new doc(s)
NE 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 286.
NE - 2001 - List of Respondents
NE - 2026 - Healthy Blue Proposal
NE - 2016 - Attachment 16 - Example Base Data Model - Physical and Behavioral
Nebraska is offering $2,234,048 in federal RHTP grants to rural and frontier schools for kitchen modernization and equipment that supports healthier meal preparation. The program targets increased scratch-cooking, elevated nutrition quality, and local protein use, aiming for measurable reductions in highly processed foods and higher school meal participation. Applications are prioritized for underserved, high-poverty, and food desert areas and are awarded on a rolling basis through summer 2026. Key contacts: Kayte Partch Kayte.Partch@nebraska.gov Event schedule: - Application window opens - 05/28/2026 - Application due date - 08/31/2026 - Period of performance begins - 06/01/2026 - Liquidation/funds spent by date - 06/30/2027
Event Schedule
Contacts
Core Initiatives
Core Initiatives
This document provides a comprehensive set of quality performance measures for Medicaid managed care organizations, including targets for claims processing, encounter submission, screening, and chronic disease management. It emphasizes improving health outcomes across key priority areas such as maternal health, chronic illness, and substance use disorder treatment. Event schedule: - Prenatal and Postpartum Care: Postpartum Care (PPC-AD): Percentage of deliveries of live births on or between of the year prior to the measurement year and October 7 of the measurement year that had a postpartum visit on or between seven (7) and eighty-four (84) days after delivery. - October 8 - 76.4% - Prenatal and Postpartum Care: Timeliness of Prenatal Care (PPC-CH): Percentage of deliveries of live births on or between of the year prior to the measurement year and October7 of the measurement year that received a prenatal care visit in the first trimester, on or before the enrollment start date or within forty-two (42) days of enrollment in Medicaid/CHIP. - October 8 - 81.51%
Core Initiatives
Core Initiatives
NE - 2022 - Attachment 9 - 2022 Health Care Acquired Conditions
NE - 2015 - MS Word Format
DOCX
NE - 2023 - Attachment 23 - Expansion RC and Non-Exp HIPP RC Calculation Examples
XLSX
NE - 2026 - Form 2: RHTP 2.5 Work Plan
DOCX
NE - 2012 - Attachment 12 - Example Capitation Rates
15_hypertension_ambulatory.pdf
14-_medication_adherence.pdf
NE - 2026 - Attachment 1 to Work Order 2
XLSX
NE - 2026 - MS Excel Format
XLSX
NE - 2026 - Attachment 1 - Initial Backlog Stories
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NE - 2013 - Attachment 13 - Reporting Requirements
NE - 2026 - Nebraska Total Care Proposal - Part 2
NE - 2026 - Nebraska RHTP Health Care Advisory Regions Map
NE - 2013 - contractsTickler
XLSX
NE - 2010 - Attachment 10 - Liquidated Damages
NE - 2026 - Attachment 2 - Nebraska Counties Classified by Urban, Rural, & Frontier Status
2018-Procurement-Manual-Updated-09132018.pdf
NE - 2022 - Attachment 20 - Heritage Health Calendar Year 2022 Capitation Rate Certification Exhibits
XLSX
2020_WhatisHBPMedicine.pdf
NE - 2026 - Attachment 3 - Financial Workbook
XLSX
NE - 2026 - UnitedHealthcare of the Midlands Proposal
NE - 2026 - Nebraska Total Care Proposal - Part 1
NE - 2010 - Molina Response Exhibit to Healthy Blue Protest
NE - 2026 - Nebraska Total Care Proposal - Part 3
NE - 2026 - Attachment 1 to Work Order 1
XLSX
NE - 2026 - Medica Proposal
NE - 2026 - MS Word Format [Attachment_4_-_Rating_Regions.docx]
DOCX
NE - 2011 - Attachment 11 - Data Exhibits Dental
NE - 2010 - MS Word Format
DOCX
NE - 2011 - MS Excel Format
XLSX
NE - 2013 - MS Word Format
DOCX
NE - 2014 - Attachment 14 - Access Standards
NE - 2015 - Attachment 15 - High Cost Drug Pool Risk Corridor
NE - 2014 - MS Word Format
DOCX
NE - 2021 - Attachment 21 - Risk Corridor
XLSX
NE - 2026 - Molina Proposal
NE - 2001 - List of Respondents