HHS Region 7 · Nebraska Department of Health and Human Services
Program Overview
Nebraska's DHHS received revised CMS approval on February 27, 2026, to access funds and launch seven initiatives focusing on workforce, access, technology, behavioral health, and facility supports. The program includes multiple RFAs to engage stakeholders over the five-year period with funding awards beginning in Spring 2026. With 37% of residents living in rural areas and many frontier counties, this funding aims to significantly strengthen rural health infrastructure. Key contacts: DHHS.RHTP@nebraska.gov
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 - Attachment 1 - Cover Sheet
AI auto-updated May 30, 2026
API refreshed May 7, 2026
Centers for Medicare & Medicaid Services (CMS)
Grouped files
3 related documents
NE - 2026 - CMS RHTP 50-State Spotlight (FY2026) — Nebraska
677,796 rural residents
Nebraska received a revised notice of award from CMS in February 2026, with $218.5 million allocated for RHTP. The state is preparing to launch seven initiatives, with multiple RFAs scheduled to be released starting in March 2026. Program activities are moving from planning to launch, with RFAs not yet opened at time of review. State opportunities: 4 total (4 past/closed). Key opportunities: Community Health Worker Networks - Phase 1; Nebraska Kids Fitness & Nutrition Targeted RFA; Regional Food Pantry Development.
Nebraska is implementing seven integrated initiatives that focus on food as medicine, regionalized access, workforce development, eHealth expansion, behavioral health integration, assisted living incentives, and health technology partnerships.
Key Initiatives
Timeline: Five-year grant period beginning fiscal year 2026 with RFAs opening starting March 2026 and awards beginning Spring 2026.
Rural healthcare workforce: Addressing workforce gaps through recruitment, retention, training, and incentives is critical for sustainability of rural health systems. (Regions: Statewide)
Access to care: Expanding regionalized EMS, perinatal care, community paramedicine, and rural health hubs aims to ensure local access to essential health services. (Regions: Statewide)
Behavioral health: Integrated primary care behavioral health services and telehealth crisis interventions are priorities to address rural behavioral health needs. (Regions: Statewide)
NE - 2026 - Nebraska Project Summary RHTP
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NE - 2026 - Nebraska Department Of Health And Human Services RHTP Application
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Nebraska Department of Health and Human Services, Office of Procurement and Grants
Due Apr 24, 2026
15 related documents
NE - 2027 - Addendum 1 - Language Change
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NE - 2026 - Grant Funding Opportunities
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NE - 2026 - Request for Applications
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NE - 2026 - Addendum 3 - Language Change
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NE - 2026 - Addendum 2 - Language Change
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NE - 2026 - RHTP Initiative 4.4b FAQ
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NE - 2026 - Form 1 - RHTP Initiative 4.4b Work Plan
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NE - 2026 - Request for Applications
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NE - 2026 - Request for Applications
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NE - 2026 - Request for Applications
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NE - 2026 - DHHS is Seeking Applications for RHTP Health Care Advisory Regions
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NE - 2025 - Health Care Advisory Regions
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NE - 2025 - Build Rural Workforce
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NE - 2026 - View an accessible PDF.
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NE - 2025 - Attachment 2 - Workplan
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Nebraska Department of Health and Human Services, Division of Public Health
Due Jul 24, 2026
1 related document
NE - 2026 - Request for Applications
Nebraska Department of Education
Due Aug 31, 2026
1 related document
NE - 2026 - Request for Applications
Event schedule: - Lincoln, NE – The Nebraska Department of Health and Human Services (DHHS) will open applications for the Nebraska Rural Health Workforce Incentive Program on , 2026. This program will provide financial incentives to support health care professionals in relocating to, or continuing to serve in, rural Nebraska counties—defined by the Rural Health Transformation Program (RHTP) as all counties except Douglas, Lancaster, and Sarpy—to strengthen recruitment, retention, and the expansion of clinical services in rural communities. - April 15 - Full-time and part-time healthcare providers living in Nebraska and providing care in rural communities are eligible. Providers must agree to serve for five years at an eligible facility in a rural community. Providers must accept Medicaid and work in one of the following settings: - Tuesday, , 2026, at 12 p.m. CT. - April 14 - 6 p.m - https://us06web.zoom.us/webinar/register/WN_p69CRBleTqqBUSwYzQvDdQ - Wednesday, , 2026, at 6 p.m. CT. - April 22 - https://us06web.zoom.us/webinar/register/WN_dDAK4R76S-2JUBUwDNfsxg#/registration
Nebraska received the 8th highest Rural Health Transformation Program award in the country totaling over $218 million for 2025. The state will implement seven initiatives focused on prevention, tech-enabled care, and workforce development in rural health. Event schedule: - Gov. Pillen Touts Huge Rural Health Transformation Program Award - Office of Governor Jim Pillen Skip to main content Governor Jim Pillen Office of the Governor Search Search '/themes/custom/governor/scripts/negov-search.inc' Menu ☰ Home About Governor Jim Pillen Governor's Residence Lt. Gov. Joe Kelly News Media Credentialing Press Contacts Press Releases Governor's Photo Governor’s Columns Executive Orders Cabinet Constituent Services Boards and Commissions: Open Positions Proclamation Request Admiralship Request Event Letter Request Write the Governor Subscribe for Text or Email Updates Governor’s Office Flag Policy Internship Program Public Records request Nebraska Legislature Governor's Initiatives Nebraska Property Tax Reform Nebraska Property Tax Plan 2024 School Property Tax Collection Report Governor’s Public Servant Mentorship Program Systems-Wide Approach to Overhauling Government Returning Money to Taxpayers While Improving Government DHHS Success Stories DMV Success Stories DOL Success Stories How Nebraska Ranks Contact --> Governor Jim Pillen Facebook Posts Facebook Posts Home News Press Releases Gov. Pillen Touts Huge Rural Health Transformation Program Award Gov. Pillen Touts Huge Rural Health Transformation Program Award December 29, 2025 Contact: Laura Strimple, (402) 580-9495 Gov. Pillen Touts Huge Rural Health Transformation Program Award LINCOLN, NE – Governor Jim Pillen released the following statement after the Centers for Medicare Medicaid Services (CMS) announced its awards for the Rural Health Transformation Program, a $50 billion initiative established under President Trump’s Working Families Tax Cuts legislation to strengthen and modernize health care in rural communities across the country. “The partnerships we have built throughout President Trump’s team paid off for Nebraska today in a BIG way,” said Governor Pillen. “Per the announcement from Secretary Kennedy and Administrator Oz, the application I directed our team to submit for Rural Health Transformation funds was awarded over $218 million for rural healthcare, the 8th highest award in the country.” Through the initiative, the state of Nebraska will receive $218,529,075 for the first year of the five-year grant from the federal government, a once-in-a-generation opportunity to Make Rural Nebraska Healthy Again. “President Trump’s commitment to rural economic revitalization is real, and today’s announcement is proof,” Gov. Pillen continued. “On behalf of all Nebraskans, I am grateful for this partnership and support.” The Nebraska Department of Health and Human Services (DHHS) will build a prevention first, tech-enabled sustainable rural health care system. The project will prevent chronic disease, regionalize care, and advance Make America Healthy Again priorities. To achieve this vision, DHHS will implement seven integrated initiatives to strengthen the State’s rural health infrastructure, address workforce gaps, and ensure access to care through consumer-facing technology. “DHHS is committed to begin work immediately in partnership with our rural providers to build a strong, comprehensive health care infrastructure for rural communities, one that will stand as a national model,” said DHHS CEO Steve Corsi. “We are grateful to Governor Pillen for his leadership and persistent collaboration with federal partners in bringing this historic rural investment to fruition.” “More than 60 million Americans living in rural areas have the right to equal access to quality care,” said Health and Human Services Secretary Robert F. Kennedy, Jr. “This historic investment puts local hospitals, clinics, and health workers in control of their communities’ healthcare. Thanks to President Trump’s leadership, rural Americans will now have affordable healthcare close to home, free from bureaucratic obstacles.” “Today marks an extraordinary milestone for rural health in America,” said CMS Administrator Dr. Mehmet Oz. “Thanks to Congress establishing this investment and President Trump for his leadership, states are stepping forward with bold, creative plans to expand rural access, strengthen their workforces, modernize care, and support the communities that keep our nation running. CMS is proud to partner with every state to turn their ideas into lasting improvements for rural families.” Background Photo Provided by the Nebraska Tourism Commission --> Contact Us PO Box 94848, Lincoln, NE 68509-4848 Governor's Office is located at: 1445 K Street, Lincoln, NE 68508 Phone: 402-471-2244 Contact the Governor's Office Quick Links --> Powered by Tyler Technologies Copyright 2026 State of Nebraska Nebraska.gov Nebraska Policies Login
Core Initiatives
Nebraska DHHS is seeking applications from qualified organizations to deliver innovative VR- and simulation-based healthcare and EMS training in rural Nebraska, with a total budget of $3 million for Initiative 3.2. Funds will be awarded on a cost-reimbursement basis and primarily support delivery, staffing, and curriculum development for EMS training. Applications must demonstrate innovative educational strategies, outreach in rural communities, and plans for sustainability. Key contacts: dhhs.emstraumaprogram@nebraska.gov Event schedule: - RFA Release Date - 05/29/2026 - Application Due Date - 07/24/2026 - Period of Performance End - 07/31/2027
Contacts
Core Initiatives
This document lists all organizations that applied for the specified RHTP RFA in Nebraska, indicating robust interest from a diverse range of rural health providers and partners. No awards have been made yet, and the process remains in the application phase. Event schedule: - Application Deadline - 03/27/2026
This document is an application form or work plan template for the Rural Health Transformation Program in Nebraska focusing on workforce development through rural VR and skills acceleration for fiscal years 2025-2026. Key contacts: DHHS.EMSTraumaProgram@nebraska.gov
Contacts
This document is an application cover sheet for a Nebraska RHTP EMS training funding opportunity for fiscal year 2026 with a deadline of July 24, 2026. Key contacts: DHHS.EMSTraumaProgram@nebraska.gov Event schedule: - Application due date - 07/24/2026
Contacts
This document provides instructions for the applicant's organizational overview section as part of the Rural Health Transformation Program application process. It requires detailed information about the applicant's legal status, grant experience, programmatic experience, and personnel management.
This CMS high-level summary describes state applications for the FY26 Rural Health Transformation Program, spanning over a dozen states. Common strategic themes include workforce development, chronic disease prevention, maternal health improvement, adoption of digital health tools, care coordination, and financial stabilization of rural hospitals. Increasing access to care, reducing disparities, and building sustainable rural health systems are highlighted throughout.
Core Initiatives
The strategy centers on sustaining rural health access in Nebraska by improving chronic disease management, workforce development, and regional care coordination. It also emphasizes technology adoption including remote monitoring and data sharing to innovate rural care delivery.
Core Initiatives
The document lays out a comprehensive strategy with seven broad initiatives focused on improving the health and healthcare delivery system in rural Nebraska, including food access, emergency systems regionalization, workforce acceleration, rural health technology, behavioral health, and assisted living support.
Core Initiatives
Key contacts: DHHS.Grants@nebraska.gov
Contacts
This FAQ provides detailed guidance on allowable costs, eligibility, and program design for Nebraska's RHTP Remote Patient Monitoring Implementation Initiative (4.4b), including a $200,000 minimum award amount, exclusions for counties already well served, and strict prohibitions against supplanting services covered by Medicaid, Medicare, or insurance. The initiative requires sustainability planning and encourages innovative, rural-appropriate technology solutions (including low-bandwidth and phone-based RPM models). Personnel costs for implementation are allowed, but provider payments are not. Key contacts: DHHS.RHTP@nebraska.gov Event schedule: - Additional Q&A Sessions Available Through - 04/23/2026
Contacts
Core Initiatives
This document provides guidance and FAQs for the Rural Health Transformation Program Initiative 4.4a in Nebraska, specifically the Chronic Disease Management Navigation and Education Initiative. It outlines application instructions, key deadlines, eligibility, and allowable expenditures for the 2026-2027 budget period. Key contacts: Brianna Cochran Brianna.Cochran@nebraska.gov Event schedule: - Budget and workplan submission deadline - 03/27/2026 - 11:59 PM CT - Email submission to Brianna.Cochran@nebraska.gov
Nebraska's RHTP application outlines a comprehensive state transformation plan to overcome rural health access and workforce shortages, high rates of obesity, chronic disease, and maternal health deserts. Seven major initiatives drive technology-enabled, prevention-first care, food-as-medicine, regional connection of care resources, and workforce acceleration across all rural and tribal communities. State seeks $110M over FY26–FY31, leveraging robust cross-sector and tribal partnerships and policy action to modernize care delivery and payment.
Event Schedule
Core Initiatives
NE RHTP site updated — 5 new doc(s)
NE RHTP site updated — 1 new doc(s)
NE RHTP site updated — 164 new doc(s)
NE - 2026 - Timeline PDF
NE - 2025 - Nebraska Gov. Pillen Touts Huge RHTP Award | Office Of Governor Jim Pillen Skip To Main Content Governor Jim Pillen Office Of The Governor Search Search '/themes/custom/governor/sc
Documents predating or adjacent to the RHTP program — useful background, excluded from main activity feed.
NE - 2026 - Attachment 2 - Additional Requirements
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Nebraska RHTP 2019 Document
Nebraska === Sheet: Vendor Information === ,,,,STATE PURCHASING BUREAU VENDOR APPLICATION RHTP Reference
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Nebraska DHHS announced three RFAs under RHTP for 2026, addressing food as medicine, rural workforce development, and chronic disease management. Nebraska received $218.5 million for year one of a five-year federal grant to support its rural health initiatives. Key contacts: Alycia Davis alycia.davis@nebraska.gov Event schedule: - Application Deadline for Food as Medicine RFA - 04/08/2026 - Application Deadline for Chronic Disease Management RFA - 03/17/2026 - Application Deadline for Rural Workforce Incentive RFA - 06/01/2026
Contacts
Core Initiatives
Nebraska will provide over $2.2 million in federal funds for equipment modernization grants to rural and frontier schools through the Rural Health Transformation Program. The initiative directly targets improved child nutrition by enabling more scratch-cooked meals and the use of minimally processed and local protein foods. Schools selected for funding will be required to demonstrate measurable improvements in meal quality and student participation. Key contacts: nde.nutritionservices@nebraska.gov Event schedule: - RFA release - 05/28/2026 - Application Due Date - 08/31/2026 - Period of Performance Start - 06/01/2026 - Period of Performance End - 06/30/2027 - Annual Report Due - 06/30/2027
Contacts
Core Initiatives
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NE - 2026 - Attachment 1 – ShareFile User Guide
NE - 2010 - Form 10 – Budget Justification
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NE - 2026 - Attachment 2 – Additional requirements
NE - 2026 - Attachment 1: ShareFile End User Guide
NE - 2026 - Attachment 2: Additional Submission Requirements
NE - 2026 - Application for Funding
NE - 2026 - Attachment 1 – End User Guidance: Shared File Link
NE - 2010 - Form 10 – Budget Justification
DOCX
NE - 2026 - Attachment 1 - Purpose and Project Background
NE - 2026 - Map of Healthcare Coalitions Regions and Contacts
Nebraska Community Health Worker
HTML
NE - 2026 - Regulation & Guidance Documents Index
NE - 2026 - Intent to Award March 9, 2026
2026 · DOCX
NE - 2026 - Tribal Liaisons
2026 · PDF
NE - 2026 - List of Boards
2026 · PDF
NE - 2026 - Administrative Contacts
2026 · PDF
NE - 2026 - Community Service Block Grant
2025-2026 · HTML
NE - 2026 - Addendum 1 - Questions and Answers
2025 · PDF
NE - 2026 - Federal Fiscal Year 2026 -Amended
2025 · PDF
Nebraska Department of Health and Human Services Programs and Services Brochure
2025 · PDF
NE - 2026 - Form 2 - RHTP Initiative 4.4b Financial Workbook Guide
2024 · PDF
NE - 2023 - Federal Fiscal Year 2023-2024
2023-2024 · PDF
NE - 2025 - Federal Fiscal Year 2025-2026
2022 · PDF
Nebraska N E B R A S K A A S S O C I A T I O N L O C A L H E A L T H D I R E C T O R S RHTP 2020-2021 Annual Report
2020-2021 · PDF
Nebraska Transcript Prepared By Clerk Of The Legislature Transcribers Office Health And Human Services Committee March 28, 2019 HOWARD [00:00:01] [RECORDER MALFUNCTION] Howard And
2019-2020 · PDF
Nebraska N E B R A S K A A S S O C I A T I O N L O C A L H E A L T H D I R E C T O R S RHTP 2019-2020 Report
2019-2020 · PDF
NE - 2021 - Federal Fiscal Year 2021-2022
2019 · PDF
Nebraska Department Of Health And Human Services Division Of Public Health RHTP 2019 Annual Report
2018-2019 · PDF
Landscape of Behavioral Health in Nebraska-2018
2018 · PDF
Nebraska Department Of Health And Human Services Division Of Public Health RHTP 2018 Annual Report
2017-2018 · PDF
NE - 2026 - Attachment 2 - Stem Cell Research Act
2008 · PDF
A Status Update on the Nebraska Health and Human Services System - 1998
1997-1999 · PDF
NE HHS - Common Sense Solutions for a Healthy Nebraska (LB 1044 Report) - 1996
1996-1997 · PDF
Overview of the Department of Public Institutions - 1996
1996 · PDF
Nebraska Partnership Project: Progress Report - 1996
1996 · PDF
Nebraska Partnership Project: A Blueprint for Action - 1995
1995-1996 · PDF
Nebraska Partnership Project: Preliminary Report - 1995
1995 · PDF