Nevada

Nevada's Health Authority is announcing current and recent Requests for Application (RFAs) funded through the RHTP, targeting improvements in rural health access, infrastructure, and workforce. Multiple RFAs across priority areas such as technology, workforce, veterans health, corrections, tribal populations, rural health outcomes, and system innovation are listed. Direct sub-award and budget information are not included here; applicants are directed to refer to individual RFAs for requirements and instructions. Event schedule: - - Nevada Workforce Recruitment and Rural Access Program Provider Rural Medical Residency Program Request for Applications Announcement - CLOSED - June 26 - a. Attachment A Cover Page - - Nevada Workforce Recruitment and Rural Access Program Provider Recruitment and Retention Program Request for Applications Announcement - CLOSED - May 15 - a. Attachment A Cover Page - - Nevada Workforce Recruitment and Rural Access Program Provider Apprenticeship and Training Program Request for Applications Announcement - CLOSED - May 15 - a. Attachment A Cover Page

The Nevada Health Authority coordinated broad stakeholder engagement to design and prioritize initiatives for the RHTP. Focus was placed on avoiding funding cliffs and ensuring enduring improvements to rural health access and system quality. Nevada’s initiatives include Rural Health Outcomes Accelerator Program, Rural Health System Flex Fund, Workforce Recruitment and Rural Access Program, and Rural Health Innovation and Technology efforts.

Nevada has been awarded nearly $180 million for the first year of the Rural Health Transformation Program to enhance rural healthcare in response to new Medicaid financing policies. The five-year grant will strengthen rural hospital resilience and provider support. NVHA successfully submitted a comprehensive application prior to the award and is beginning implementation with updated budget and project narratives. Key contacts: RHTP@nvha.nv.gov Event schedule: - Award Announcement - 12/29/2025 - Grant Period Start - 12/29/2025 - Grant Period End - 10/30/2030

Senate Bill 5 (2025) appropriated $60 million for the SHARP program to address critical health workforce shortages statewide, focusing on recruitment and retention especially in rural and underserved areas. The program requires a biennial assessment, with the first major report and recommendations due by July 1, 2026. Ongoing and future SHARP funding opportunities will be informed by these findings. Event schedule: - Interim Finance Committee (IFC) meeting - 06/18/2026 - Target date to publish SHARP RFA - 07/15/2026 - SHARP Public Workshop - 03/11/2026 - SHARP Public Workshop - 05/28/2026

The Nevada Health Authority administers RHTP, seeking applicants for multiple innovative projects to strengthen rural health. Funding opportunities focus on provider payments, technology adoption, systems improvement, workforce recruitment, and tribal health transformation. The program is supported via federal cooperative agreement in partnership with CMS.

Nevada Health Link awarded 2027 Broker Award funding to eight brokers and agents statewide to promote health insurance enrollment outreach and assistance. The initiative targets uninsured and underinsured Nevadans for marketplace coverage awareness and enrollment. The program funds statewide outreach; no rural hospital or rural Medicaid transformation is referenced. Key contacts: Katie Charleson kcharleson@exchange.nv.gov; Bridgette Menist bridgette@theabbiagency.com

Nevada's RHT Program developed its strategic initiatives through broad stakeholder engagement and alignment with the Governor's objectives. Key programs target chronic disease prevention, rural health infrastructure modernization, workforce recruitment and retention, innovative technology adoption, tribal health transformation, veteran and corrections health improvement, and long-term youth wellness. The initiative aims for sustainability and addresses longstanding access challenges in rural Nevada.

Nevada's RHT Program engages a wide range of rural stakeholders, including EMS, tribal leadership, hospitals, primary care, and behavioral health professionals, to direct RHT funds toward access, sustainability, and workforce solutions. It features multiple initiative streams such as RHOAP, Flex Fund, WRRAP, and Innovation/Technology efforts. The program is closely aligned with the Governor's strategic plan and designed to prevent fiscal cliffs at the end of the federal grant period.

This document is a summary of FY26 RHTP applications from multiple states, each proposing large transformation plans for rural hospitals and Medicaid. Highlights include major federal investments ($150M–$270M per state) into workforce pipelines, telehealth and IT, maternal health, hospital stabilization, and piloting new care delivery models across rural America. Most states commit to adopting value-based care, with specific initiatives to address maternal health, chronic disease, and behavioral health disparities.

This document lists funded projects under Nevada's Rural Health Transformation Program for Budget Period 1, detailing distributed equipment and facility upgrades across rural counties. It demonstrates investment in infrastructure and mobile health services to improve rural care capacity.

Nevada is preparing a comprehensive Rural Health Transformation Program application to CMS. Four key initiatives—workforce recruitment/retention, technology innovation, infrastructure flex fund, and outcomes accelerator—will drive investments across workforce, IT, access, and prevention priorities. Stakeholder engagement, including tribal involvement and strong emphasis on local needs, shapes program design.

The document outlines required reporting processes and metrics for rural health initiatives in Nevada under RHT. It highlights four key initiatives focusing on outcomes improvement, infrastructure, workforce, and health information technology.

Nevada’s health workforce shortages are widespread and acute, with the most severe deficits in behavioral health, primary care, and pediatric specialties. Rural and frontier areas face the biggest gaps, even as the overall population grows and ages, increasing demand. This assessment guides both SHARP and the Rural Health Transformation Program, which is federally funded through 2031, and recommends expanding workforce education, recruitment incentives, care team models, and sustainable statewide planning infrastructure. Key contacts: Stacie Weeks, JD, MPH; Madison Lopey, MS; Dylan Malmlov, MPH; Malinda Southard, DC, CPM Event schedule: - Report submission deadline (by statute) - 07/01/2026

This guidance, published as Attachment C for the SHARP funding program, instructs applicants how to prepare and justify a budget narrative for their RFA submission. It details requirements for personnel, fringe benefits, travel, supplies, equipment, contractual, subrecipient, and matching/in-kind contributions. Example text and guidance must be removed from final submissions.

Nevada received a federal award of $179,931,608 to implement its Rural Health Transformation Program beginning in late 2025 and continuing through 2026. The state has established a steering committee to oversee the implementation and ensure alignment with federal goals. Key contacts: RHTP@nvha.nv.gov Event schedule: - RHT Steering Committee membership recommendations submitted - January 30, 2026 - Nevada - RHT Steering Committee application period closed - January 19, 2026 - Nevada - Notice of Award received - December 29, 2025 - Nevada - Rural Health Transformation Program application submitted - November 3, 2025 - Nevada - NVHA began engagement following passage of H.R. 1 - July 30, 2025 - Nevada

Nevada Health Authority is holding a public workshop to inform stakeholders about legislative and major project developments, including the launch of the Rural Health Transformation Program. No explicit financial awards, performance targets, or funded recipients are described. The session is informational, emphasizing transparency and open participation.