New York's Rural Health Transformation Program is in active implementation following its November 2025 CMS application, with key initiatives underway to build coordinated rural health partnerships, advance primary care via technology, expand telehealth and cybersecurity, and develop a sustainable healthcare workforce. The current focus is on the Rural Community Health Integration initiative, with applications open through July 14, 2026 and contracts commencing in September 2026. Program efforts emphasize care coordination, technology investment, and broad stakeholder engagement to ensure continuous, high-quality healthcare for rural communities. Current structured plan tracks 5 key initiatives and 6 strategic goals.
NY - 2026 - CMS RHTP 50-State Spotlight (FY2026) — New York
Rural population6.9%
1,389,207 rural residents
Current Progress
Implementing
New York State has begun accepting applications for the Rural Health Transformation Program, with official guidance and FAQs published for interested providers. The Department of Health has publicly launched the procurement process and is currently receiving applications from rural health organizations and partnerships under the RHTP framework. State opportunities: 1 active (1 closing soon), $76.2M listed funding. Key opportunities: New York Rural Community Health Integration (RCHI) Funding Opportunity. Strategy alignment: supports care access priorities. State opportunities: 1 active (1 closing soon), $76.2M listed funding. Key opportunities: New York Rural Community Health Integration (RCHI) Funding Opportunity. Strategy alignment: supports care access priorities.
RHTP Strategy
New York’s RHTP advances comprehensive rural health transformation through integrated provider partnerships, technology-enabled primary care, sustained workforce investment, and targeted upgrades in telehealth and cybersecurity. Implementation is driven by collaborative applications, robust community engagement, annual review cycles, and measurable objectives to maximize impact and sustainability for rural populations.
Model
Collaborative network integration via Rural Community Health Integration; Patient-Centered Medical Home model with artificial intelligence; Rural Roots workforce pipeline initiative; and statewide technology modernization including telehealth, eConsults, health alert systems, and rural facility cybersecurity.
Key Initiatives
1Establish Rural Community Health Integration partnerships to coordinate health and social service networks and enhance comprehensive care access.
2Expand Patient-Centered Medical Home designation in rural practices incorporating artificial intelligence for care management.
3Implement the Rural Roots initiative to develop, recruit, and retain a sustainable rural health workforce, including clinical training and pipeline programs.
4Invest in rural technology modernization: expand telehealth infrastructure, deploy eConsult partnerships, implement rural alert systems, and strengthen rural facility cybersecurity.
5Facilitate local planning and implementation grants tied to milestones in care integration, health access, workforce sustainability, and technology upgrades.
Timeline: December 29, 2025 – October 30, 2030; initial contracts September 1, 2026 – June 30, 2027, with annual funding cycles and milestone-based reviews.
Health Priority
Care Coordination: Plans to enhance patient access through integrated rural partnerships and coordinated services across the health and social care continuum.
Jul 14, 2026
Health Priority
Primary Care Access: Patient-Centered Medical Home model and AI are targeted to improve rural patient access and care continuity.
Jul 14, 2026
Health Priority
Workforce Development: Program aims to create a self-sustaining workforce cycle to address both immediate staffing needs and long-term capacity in rural areas.
NY - 2026 - New York Rural Community Health Integration (RCHI) Funding Opportunity
RCHI Funding Guidance (NY DOH)
SupportingPDF2026No amount extracted
NY - 2026 - New York Applications, Including The Application Cover Sheet, And Attestation Must Be Submitted To Rchi@health.ny.gov By 4:00 Pm EST On . 8 RHTP
NY - 2026 - Funding Application Addendum #1 July 2,2026
RCHI Application Addendum #1 (July 2, 2026)
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NY - 2026 - Funding Guidance Addendum #1 July 2,2026
RCHI Funding Guidance Addendum #1 (July 2, 2026)
Announcement Documents (2)
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AnnouncementJun 27, 2026HTMLPast2025
New York State has formally submitted its RHTP application to CMS, aiming to transform rural health care via coordinated networks, enhanced primary care, workforce development, and technology innovation. The plan emphasizes care integration, AI-enabled primary care, and investments in telehealth and cybersecurity. Applications for the Rural Community Health Integration initiative are open with a deadline in July 2026.
Event schedule:
- Application submission to CMS - 11/04/2025
- Rural Community Health Integration (RCHI) Application Deadline - 07/14/2026
- June Webinar - 06/23/2026 - YouTube
Rural Community Health Integration (RCHI) Application Deadline - 07/14/2026
June Webinar - 06/23/2026 - YouTube
Core Initiatives
Establish coordinated rural health partnerships
Improve rural access and utilization of high-quality primary care
Develop and sustain a rural healthcare workforce
Show all initiatives (4)
Establish coordinated rural health partnerships
Improve rural access and utilization of high-quality primary care
Develop and sustain a rural healthcare workforce
Invest in technology and cybersecurity for rural facilities
🌐
AnnouncementMay 27, 2026HTML2025
Award Announcement Documents (1)
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Award AnnouncementMay 21, 2026PDF2025-2032Federal
New York State received a $7.5 million federal award from CMS for the Innovation in Behavioral Health Model spanning 2025-2032. An initial $1.25 million in 2025 will support integrated behavioral health care models particularly in Western New York counties. The program aims to improve care integration between Medicaid and Medicare for adults with mental health and substance use disorders.
Event schedule:
- Grant Award Announcement Date - 12/17/2024
Award: $7.5MPOPULATION_HEALTH
Core Initiatives
Improve quality of care for adults with moderate to severe mental health and substance use disorders
Align payment systems between Medicaid and Medicare for integrated behavioral and physical health services
Implement innovative state-based behavioral health models in targeted regions
This document provides templates and instructions for rural New York entities to apply for planning and implementation funding under the Rural Health Transformation Program. Applicants are guided through community engagement, partnership structure, health needs assessment, and development of work plans that address access, care coordination, workforce, and financial sustainability. Applications must be submitted by July 14, 2026.
Event schedule:
- Application Submission Deadline - 07/14/2026 - 4:00 PM ET - rchi@health.ny.gov
New York was awarded over $212 million for the Rural Community Health Integration initiative as part of RHTP. The program aims to build rural health partnerships, improve care coordination, and address both medical and social needs in rural settings. Funding opportunities include planning grants of up to $500,000 per county and implementation grants up to $3 million for transformative projects. Key contacts: rhtp@health.ny.gov; rchi@health.ny.gov
Event schedule:
- Questions Due - 06/18/2026
- Questions and Answers Posted - 06/25/2026
- Applications Due - 07/09/2026
New York State Department of Health is preparing to apply for RHTP federal funding for FY 2026 and is requesting public comments by September 30. The document serves as a public notice to engage stakeholders in the application process.
Event schedule:
- Deadline for public comments on NYSDOH RHTP application - 09/30/2023
📄
GuidanceApr 16, 2026PDF2025-2030
New York was awarded $212 million under the Rural Health Transformation Program for 2025-2030 to implement a highly collaborative set of rural health strategies across 47 rural counties. Key focus areas include healthcare workforce development, health IT and cybersecurity, access to care via Patient Centered Medical Homes, and building comprehensive rural health partnerships. NY’s plan was developed with stakeholder and community input and aims for scalable, sustainable rural healthcare improvement.
This document provides CMS Office of Rural Health Transformation’s high-level summarized review of FY26 state applications for RHTP. It highlights major funding requests, key rural health challenges, and proposed program directions for rural Medicaid and rural hospitals across participating states. Funding amounts per state are referenced, but this is not an award announcement document. No sub-grantee selections are announced.
Core Initiatives
Making Rural America Healthy Again
Expand and sustain rural healthcare access
Strengthen rural health workforce
Show all initiatives (49)
Making Rural America Healthy Again
Expand and sustain rural healthcare access
Strengthen rural health workforce
Advance value-based care participation
Enhance prevention and chronic disease management
Close health equity gaps in rural communities
Reduce maternal mortality and behavioral health disparities
Empower rural residents to achieve healthy living goals
Expand rural healthcare workforce and technology access
Improve healthcare access and quality through innovative models
Strengthen rural provider networks and financial sustainability
Advance population health through improved clinical infrastructure and coordination
Transform rural health delivery and workforce development
Strengthen rural health systems and interoperability
Increase access to primary and specialty care
Improve health outcomes through preventive care and chronic disease management
Build rural community networks and hubs
Expand behavioral health and substance use disorder services
Modernize rural healthcare systems and payment models
Implement food-as-medicine and nutrition programs
Increase use of technology and telehealth in rural care
Data Documents (2)
🌐
DataApr 23, 2026HTML
The New York State Department of Health is launching a comprehensive statewide plan to enhance health care access for rural residents, supported by a first-year federal award exceeding $212 million. The plan features four primary initiatives: establishing rural health partnerships, enhancing technology-enabled primary care, developing a sustainable rural health workforce, and investing in telehealth and cybersecurity. Implementation will include stakeholder engagement to ensure resources are allocated based on rural community needs.
Core Initiatives
Establish coordinated rural health partnerships
Strengthen rural communities with technology-enhanced primary care
Build a sustainable rural health care workforce
Show all initiatives (4)
Establish coordinated rural health partnerships
Strengthen rural communities with technology-enhanced primary care
Build a sustainable rural health care workforce
Investments in technology innovation and cybersecurity enhancements
Key contacts: rchi@health.ny.gov; rchi@health.ny.gov
Event schedule:
- Questions Due - 2026-06-18 - 16:00 EST
- Responses Posted - 2026-06-25
- Applications Due - 2026-07-14 - 16:00 EST
- Budget Period 1 Start - 2026-09-01
- Budget Period 1 End - 2027-06-30
- Applications posted with corrections to Implementation and Planning language - 2026-07-02
- Award announcements anticipated - 2026-08-31
- All funded projects must be completed - 2027-06-30
Applications posted with corrections to Implementation and Planning language - 2026-07-02
Award announcements anticipated - 2026-08-31
All funded projects must be completed - 2027-06-30
Submission deadline for vouchers and reports for reimbursement - 2027-07-31
Contacts
<rchi@health.ny.gov> - Program Submission Contact - New York State (Rural Health Transformation Program)
<rchi@health.ny.gov> - Program contact for application submissions
Core Initiatives
Develop collaborative plans for integrated health networks that enhance health care delivery, coordination, and outcomes in rural areas.
Establish coordinated rural health partnerships that facilitate comprehensive care coordination and enhance patient access to a wide range of providers across the care continuum, effectively addressing both health and social needs.
Increase access to the right care at the right time
Show all initiatives (12)
Develop collaborative plans for integrated health networks that enhance health care delivery, coordination, and outcomes in rural areas.
Establish coordinated rural health partnerships that facilitate comprehensive care coordination and enhance patient access to a wide range of providers across the care continuum, effectively addressing both health and social needs.
Increase access to the right care at the right time
Decrease readmissions due to high-quality discharge planning and post-acute supports
Increase preventive care spanning primary and specialty care
Support rural health system transformation
Develop integrated health networks that enhance health care delivery, coordination, and outcomes in rural areas
Foster financial sustainability through future funding, reimbursement mechanisms, and operational viability
Promote community engagement and governance in all geographic regions
New York aims to transform rural health through four key initiatives focusing on care coordination, technology-enhanced primary care, workforce development, and technology innovation including telehealth and cybersecurity. The program is informed by extensive stakeholder engagement and prioritizes funding to areas of highest rural need.
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NY - 2026 - Sub-Applicant Budget
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NY - 2026 - Applicant Budget
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NY - 2026 - Questions and Answers
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New York State's FY26 budget includes an unprecedented $1.3 billion for the Safety Net Transformation Program, comprised of $1 billion capital and $300 million operating support, to help rural and safety net hospitals transition towards improved financial health and expanded access. The budget maintains New York’s leadership in Medicaid and health system modernization, and codifies access protections for reproductive and emergency care. Key contacts: Governor's Press Office [email protected]
Event schedule:
- Budget Bill Signing Date - 05/09/2025 - ET - Albany, NY
Support the financial sustainability of safety net hospitals
Expand access to high quality care for Medicaid beneficiaries
Modernize and transform the health care delivery system
The program focuses on integrating rural community health through coordinated partnerships, enhancing patient access to primary care via a Patient-Centered Medical Home model with AI, workforce pipeline development, and investments in telehealth and cybersecurity. Key application milestones include the submission to CMS in November 2025, ongoing funding guidance updates, and an RCHI application deadline extension to July 14, 2026. The initiatives are designed to address immediate rural healthcare needs while building sustainable capacity. Key contacts: RHTP@health.ny.gov
Event schedule:
- CMS Application Submission - 11/04/2025
- Application Deadline Extension for RCHI - 07/14/2026
- Funding Guidance Addendum #1 - 07/02/2026
- June 23 Webinar (archived) - 06/23/2026 - YouTube
- January 16, 2026 Presentation - 01/16/2026
Event Schedule
CMS Application Submission - 11/04/2025
Application Deadline Extension for RCHI - 07/14/2026
Funding Guidance Addendum #1 - 07/02/2026
Show all schedule items (5)
CMS Application Submission - 11/04/2025
Application Deadline Extension for RCHI - 07/14/2026
Funding Guidance Addendum #1 - 07/02/2026
June 23 Webinar (archived) - 06/23/2026 - YouTube
January 16, 2026 Presentation - 01/16/2026
Contacts
<RHTP@health.ny.gov> - New York State
Core Initiatives
Establish coordinated rural health partnerships.
Improve rural access to high-quality primary care.
Build a sustainable rural healthcare workforce.
Show all initiatives (4)
Establish coordinated rural health partnerships.
Improve rural access to high-quality primary care.
Build a sustainable rural healthcare workforce.
Expand technology innovation and cybersecurity in rural facilities.
Establish coordinated rural health partnerships for comprehensive care
Enhance rural patient access to high-quality primary care via technology and improved practices
Build a sustainable rural healthcare workforce for New York
Show all initiatives (4)
Establish coordinated rural health partnerships for comprehensive care
Enhance rural patient access to high-quality primary care via technology and improved practices
Build a sustainable rural healthcare workforce for New York
Invest in technology innovation and cybersecurity to improve care and safety
Develop workforce pipelines and retention strategies
Create value-based care and alternative payment models
Promote integrated care coordination and data sharing
Improve access to care through clinically integrated networks (CINs), community-based clinics in K-12 schools and college
Improve health outcomes through expansions of behavioral health services
Improve chronic disease health outcomes such as reduced A1C and increased levels of hypertension management
Expand technology to build remote monitoring and telehealth, expand electronic medical record (EMR) usage for pharmacists, and pilot innovative screening technologies for chronic disease
Build a future where every community has access to high-quality locally grounded care connected through technology
Reduce preventable hospitalizations and emergency department visits year over year
Build a resilient, digitally connected, community-anchored provider network to deliver flexible care
Design data-driven solutions tailored to the unique needs of rural residents
Advance whole-person health through connected care technologies and coordinated pathways for behavioral health, chronic disease, maternal health, and social needs
Promote sustainable access by focusing on integration and comprehensive delivery of services
Increase technology utilization to promote access and leverage interoperability and data exchange
Strengthen the workforce through rural clinical placements and policies that allow top-of-license
Increase healthcare access and quality for improved chronic disease management and health outcomes
Increase participation in value-based payment models
Recruit and retain providers via “Grow-your-own” initiatives, expanded training
Promote sustainable access by expanding outpatient behavioral health services and reduced regulatory hurdles
Support patients with highest disease burden, invest broadly in technology and workforce development
Improve access to specialty services
Build robust rural networks through enhanced primary care and long-term care support
Decrease rates of chronic disease in rural adults and children
Expand access to primary care for rural residents
Make Rural America Healthy Again
Address health-related barriers to workforce participation
Deploy technology and data-driven solutions to empower communities with healthy opportunities
Make health care more affordable and transparent through insurance reform and improved cost tracking tools
New York's RHTP application identifies persistent disparities in health access and outcomes across its 2.1 million rural residents, with concerted strategies targeting workforce gaps, service closures, technology access, and financial instability. The plan proposes multi-level initiatives focused on developing collaborative health care networks, advancing primary care and behavioral health integration, modernizing rural health IT infrastructure, and growing a sustainable workforce pipeline. Strategic investments, robust partnerships, and data-driven planning anchor the state's approach to rural health system transformation.
Expand access to primary and specialty care in rural communities via collaborative networks anchored by key providers.
Reduce persistent disparities in rural health outcomes, workforce shortages, and infrastructure gaps.
Improve health outcomes by reducing chronic disease, maternal and child health disparities, mental health crises, and preventable hospitalizations.
Show all initiatives (19)
Expand access to primary and specialty care in rural communities via collaborative networks anchored by key providers.
Reduce persistent disparities in rural health outcomes, workforce shortages, and infrastructure gaps.
Improve health outcomes by reducing chronic disease, maternal and child health disparities, mental health crises, and preventable hospitalizations.
Strengthen and sustain the rural health care workforce within NY.
Invest in technology, including digital health, telehealth, and cybersecurity to improve rural health care delivery.
Support long-term financial stability and sustainability for rural hospitals and health care providers.
Sustainable Access
Make Rural America Healthy Again
Workforce Development
Tech Innovation
Ensuring the long-term sustainability of NY’s RHTP
Fostering lasting improvements in rural health systems
Embedding successful practices into ongoing health policies and operations
Promoting continued progress and resilience in rural communities beyond initial funding
Launching and scaling cost-effective, replicable rural care models
Building sustainability across patients, primary care practices, and statewide systems
Institutionalizing rural workforce recruitment pathways and sustainable trainer networks
Developing and maintaining cybersecurity infrastructure in rural communities
Improving timely and interoperable health information exchange
This application template is for organizations seeking planning or implementation funding under New York's Rural Health Transformation Program. It emphasizes community engagement, partnership formation, needs assessment, transformative planning, and sustained impact for rural health improvement. Applications are due by July 9, 2026. Key contacts: rchi@health.ny.gov
Event schedule:
- Application Submission Deadline - 07/09/2026 - 4:00 PM ET - rchi@health.ny.gov
<rchi@health.ny.gov> - Application submission and contact - Statewide
Core Initiatives
Transform rural health care delivery in New York State
Engage and integrate community input into transformation efforts
Advance innovative models for rural health care sustainability
Show all initiatives (5)
Transform rural health care delivery in New York State
Engage and integrate community input into transformation efforts
Advance innovative models for rural health care sustainability
Improve population health and care coordination
Build effective community and provider partnerships
New York's RHTP plan seeks to establish coordinated rural health partnerships, enhance primary care through technology and AI, build a sustainable healthcare workforce, and expand telehealth and cybersecurity. The application was submitted to CMS on November 4, 2025, and major initiatives include Rural Community Health Integration and technology investments. The program aims to enable comprehensive care coordination and ensure rural communities have continuous access to high-quality services. Key contacts: RHTP@health.ny.gov
Event schedule:
- CMS Application Submission - November 4, 2025
- Application Deadline for Rural Community Health Integration (RCHI) - July 14, 2026
- June Webinar - June 23, 2026 - YouTube
- RHT Presentation - January 16, 2026
Event Schedule
CMS Application Submission - November 4, 2025
Application Deadline for Rural Community Health Integration (RCHI) - July 14, 2026
June Webinar - June 23, 2026 - YouTube
Show all schedule items (4)
CMS Application Submission - November 4, 2025
Application Deadline for Rural Community Health Integration (RCHI) - July 14, 2026
June Webinar - June 23, 2026 - YouTube
RHT Presentation - January 16, 2026
Contacts
<RHTP@health.ny.gov>
Core Initiatives
Establish coordinated rural health partnerships
Enhance rural access to high-quality primary care using technology and AI
Build a sustainable rural healthcare workforce
Show all initiatives (4)
Establish coordinated rural health partnerships
Enhance rural access to high-quality primary care using technology and AI
Build a sustainable rural healthcare workforce
Expand telehealth and cybersecurity for rural health facilities
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