HHS Region 6 · Oklahoma State Department of Health
Program Overview
The Oklahoma Rural Health Transformation Program (RHTP) is currently in active implementation as a five-year federal initiative designed to improve rural health care access, quality, and outcomes throughout the state. Major focus areas include expanding telehealth, promoting transportation support, strengthening rural workforce capacity, and investing in local health infrastructure. Program priorities are shaped by broad stakeholder engagement and regional community events, with transparent funding mechanisms supporting rural hospitals, clinics, and partners. The initiative emphasizes delivering care closer to home and fostering sustainable, community-driven health improvements. Current structured plan tracks 12 key initiatives and 7 strategic goals.
Updated
County-level estimates averaged across Oklahoma — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (77)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Oklahoma County | 806,199 | 16.0% | 11.7% |
| Tulsa County | 680,794 | 14.7% | 10.9% |
| Cleveland County | 300,047 | 12.9% | 8.2% |
| Canadian County | 168,985 | 8.0% | 5.6% |
| Comanche County | 121,825 | 18.1% | 14.1% |
| Rogers County | 98,610 | 8.9% | 6.5% |
| Wagoner County | 86,609 | 9.2% | 6.4% |
| Payne County | 82,972 | 22.6% | 12.0% |
| Pottawatomie County | 73,463 | 15.9% | 11.9% |
| Creek County | 72,830 | 14.5% | 11.6% |
| Muskogee County | 66,444 | 19.1% | 14.0% |
| Garfield County | 62,146 | 12.5% | 10.1% |
AI source: OK - 2026 - RHTP Engagement Events
AI auto-updated Jul 11, 2026
API refreshed May 7, 2026
Centers for Medicare & Medicaid Services (CMS)
Due Nov 5, 2025
8 related documents
OK - 2026 - CMS RHTP 50-State Spotlight (FY2026) — Oklahoma
1,289,548 rural residents
Oklahoma has multiple active funding opportunities posted under its Rural Health Transformation Program, including NOFOs for behavioral health integration, emergency services, and doula care, with deadlines in July and September 2026. Recent updates confirm that competitive grant opportunities are open and the state is distributing funds in accordance with procurement law. Solicitations and eligibility guidance have been issued, and closed opportunities indicate subrecipient activity is underway. This demonstrates that statewide procurement to local providers has launched and is ongoing. State opportunities: 2 active (2 closing soon, 4 past/closed), $9.9M listed funding. Key opportunities: Expanding Care: Doulas Program; Emergency Medical Service & Community Paramedicine Vehicles; Rural Health Transformation Program Microgrants (RHTP2026001). Strategy alignment: supports workforce, maternal health, care access priorities.
Oklahoma’s Rural Health Transformation Program (RHTP) implements a regionally coordinated strategy using federal grants to modernize rural health infrastructure, expand access to care, and foster innovative care models. The RHTP distributes funding through direct awards, targeted microgrants, and regional partnerships, emphasizing evidence-based practice, strong procurement, outcome reporting, and annual renewals based on demonstrable progress. The approach prioritizes workforce expansion, behavioral health and maternal health integration, technology adoption, and local innovation for rural health improvement.
Model
A five-year, regionally oriented model combining direct federal awards, county-based and community-led microgrants, and cross-sector provider networks to advance evidence-based care models, technology, and sustainable rural health workforce capacity in Oklahoma.
Key Initiatives
Timeline: Initial federally funded activities are planned over five years (2026–2031). Personnel and travel costs must be expended by 10/30/2026; all other funds spent by 9/30/2027. Annual renewals are contingent on outcomes and continued funding, with progress reporting required through October 2027 and beyond.
Workforce development: There are limited workforce resources in rural areas, and the program aims to attract, retain, and expand rural healthcare talent.
Technology gaps: Addressing technology shortages and infrastructure needs is key to strengthening care and facilitating remote and telehealth access.
Transportation barriers: The need for transportation solutions was highlighted by community voices; initiatives include ride assistance and mobile clinics.
OK - 2026 - Find Your Regional Champion
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OK - 2026 - OSDH Subrecipient Terms & Conditions
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OK - 2026 - Oklahoma RHTP Guidance
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OK - 2026 - Oklahoma RHTP Rural Population Final
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OK - 2025 - RRR FAQ’s (5.5.26) – Guidance for Oklahoma RHTP
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OK - 2026 - House Bill 3066 - RHT Revolving Fund
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OK - 2026 - Oklahoma RHTP Integrated Proposal
Due Jul 27, 2026
20 related documents
OK - 2026 - Attachment G: Workplan template - Component 3 (Provider Education)
Attachment G: Workplan template - Component 3 (Provider Education) (.xlsx)
OK - 2027 - Doula Expansion FAQs
Doula Expansion FAQs (.pdf)
OK - 2025 - Attachment D: Grants Management Packet
Attachment D: Grants Management Materials (.docx)
OK - 2026 - Attachment A: List of communities and counties considered rural under the OK RHTP definition
Attachment A: List of communities and counties considered rural under the OK RHTP definition (.xlsx)
OK - 2026 - Expanding Care: Doulas Program
Notice of Funding Opportunity: RHTP2026007 (.pdf)
OK - 2026 - Attachment G: Workplan template - Component 1 (Training)
Attachment G: Workplan template - Component 1 (Training) (.xlsx)
OK - 2026 - Attachment C: Budget forms
Attachment C: Budget forms (.xlsx)
OK - 2009 - OSDH RHTP Subrecipient General Terms
OSDH Subrecipient Terms & Conditions (.docx)
OK - 2026 - OK RHTP Doula Program Applicant Webinar 2026
Doulas NOFO Webinar Slide Deck (6/22/26) (.pdf)
OK - 2025 - Attachment B: Chronic Disease Management Subrecipient Responsibilities
Attachment B: Subrecipient Responsibilities (.pdf)
OK - 2026 - Requested Exceptions to OSDH Terms
Requested Exceptions to OSDH Subrecipient (.docx)
OK - 2026 - Attachment G: Workplan template - Component 4 (Doula Support)
Attachment G: Workplan template - Component 4 (Doula Support) (.xlsx)
OK - 2026 - Attachment F: Project Plan Template – Component 2 (Parent Education)
Supporting source (current form version)
OK - 2024 - Attachment F: Project Plan Template – Component 4 (Doula Support)
Supporting source (superseded form version)
OK - 2026 - Oklahoma SUB-RECIPIENT QUESTIONNAIRE Information Sheet The OSDH Is Required To Complete A Risk Assessment For Each Subrecipient Subaward And File The Required Reports As Outlined B
Subrecipient questionnaire (SRQ) (.pdf)
OK - 2024 - Allowable and Unallowable Cost Summary
Attachment E: Detailed list of allowable and unallowable costs (.pdf)
OK - 2026 - Attachment G: Workplan template - Component 2 (Parent Education)
Attachment G: Workplan template - Component 2 (Parent Education) (.xlsx)
OK - 2025 - Attachment F: Project Plan – Component 3 (Provider Education)
Supporting source (superseded form version)
OK - 2024 - Attachment F: Project Plan Template – Component 1 (Training)
Supporting source (superseded form version)
OK - 2026 - Q2 Legislative Quarterly Report
Auto-grouped context match (44%)
Oklahoma State Department of Health (OSDH)
Due Jul 20, 2026
11 related documents
OK - 2026 - RHTP Funding
OK - 2026 - Attachment C [Attachment_C_Budget_and_Expenditures.xlsx]
Oklahoma State Department of Health (OSDH)
Due Jul 10, 2026
14 related documents
OK - 2026 - RHTP Funding
OK - 2026 - Attachment D
Auto-grouped context match (45%)
| FY↓ | Awardee↕ | Amount↕ | Activity↕ | Source |
|---|---|---|---|---|
| 2026 | OSDH Funds BH Integration in Primary Care, program in design/pre-build stage. | $3.2M | Population Health | |
| 2026 | OSDH Additional OSDH program in design mode. | $6.2M | Other | |
| 2026 | OSDH Funds Consumer-Facing Technology program in design mode. | $4.3M | Health IT | |
| 2026 | OSDH Awards for Community-Led Wellness Hubs (microgrants) covering 68 rural counties; support local wellness initiatives. | $7.8M | Population Health | |
| 2026 | Oklahoma Health Care Authority (OHCA) Expanding community care referral platform to connect rural patients to services. | $800K | Population Health | |
| 2026 | Oklahoma Health Care Authority (OHCA) Startup funding for new rural PACE centers delivering integrated senior care. | $15.2M | Network Development | |
| 2026 | Oklahoma Health Care Authority (OHCA) Incentivizing value-based care for Medicaid perinatal providers and hospitals to improve maternal outcomes. | $600K | Quality Improvement | |
| 2026 | Oklahoma Health Care Authority (OHCA) Piloting in-person & tech hybrid clinic extension models for PCP support/risk/care gap management. | $1.6M | Quality Improvement | |
| 2026 | Oklahoma State Department of Health (OSDH) Piloting consumer-facing tech for prevention/self-management. | $4.3M | Health IT | |
| 2026 | Oklahoma State Department of Health (OSDH) Tech cooperative to lower costs for rural PCPs and BH providers. | $13.8M | Health IT |
CMS has formally created the Office of Rural Health Transformation (ORHT) to oversee the $50 billion Rural Health Transformation Program. The office will guide the implementation of state transformation plans, provide technical assistance, and ensure accountability. This marks a historic investment to strengthen health systems and expand access in rural communities nationwide. Event schedule: - Office formally established - 12/29/2025 - Program end date - 09/30/2031 - State awardees announced - 12/29/2025
Event Schedule
Core Initiatives
Event schedule: - , 2025 - Sep 15 - CMS Launches Landmark $50 Billion Rural Health Transformation Program - , 2026 - Mar 19 - Readout: CMS Convenes First Rural Health Transformation Summit to Advance State-Led Innovation - , 2025 - Dec 29 - CMS Announces Establishment of the Office of Rural Health Transformation - , 2025 - Dec 29 - CMS Announces $50 Billion in Awards to Strengthen Rural Health in All 50 States - , 2025 - Nov 05 - All 50 States Seek to Transform Rural Health with CMS
Oklahoma has secured more than $223 million in first-year RHTP funding, marking a major federal investment in rural health. The program will support innovative care models, technology upgrades, workforce expansion, transportation solutions, and more, targeting easier access to care, improved outcomes, and stronger local health systems. Community engagement through roadshows and webinars is ongoing, with further sub-awards and program opportunities to be announced. Key contacts: OklahomaRHTP@health.ok.gov Event schedule: - RHTP Roadshow - April 15, 2026 - 1:00-2:00 PM CT - Woodward, OK, High Plains Technology Center - Auditorium - RHTP Roadshow - April 16, 2026 - 1:00-2:00 PM CT - Chickasha, OK, Grady County Fairgrounds - Community Room - RHTP Touchpoint Webinar - April 21, 2026 - 1:00-2:00 PM CT - Zoom (Virtual Meeting) - RHTP Roadshow - August 19, 2026 - 1-2 p.m. CT - Altus, OK, Southwest Technology Center - RHTP Touchpoint Webinar - August 24, 2026 - Noon-1 p.m. CT - Zoom (Virtual Meeting) - RHTP Roadshow - August 25, 2026 - 2-3 p.m. CT - Atoka, OK, Kiamichi Technology Center
Event Schedule
Contacts
Core Initiatives
Oklahoma was awarded over $223M in federal RHTP funds for FY2026. Funds launched over 20 innovative programs, including maternal telehealth, EMS expansion, rural workforce, and value-based payment pilots across the state. Event schedule: - Year 1 Funding Start - 05/29/2026 - Oklahoma
Oklahoma has launched its first public grant application for the Community-Led Wellness Hubs: Microgrants program supporting rural health and wellness. Applications are open via a Notice of Funding Opportunity, targeting local organizations and communities. The program aims to develop wellness hubs to address rural health challenges statewide. Event schedule: - Grant Application Released - April 28, 2026
Event Schedule
Core Initiatives
Event schedule: - Application Deadline - 2026-07-27 - 23:59 CT
Event Schedule
Oklahoma was awarded over $223 million for its first year of RHTP to transform rural health care delivery through a system-wide approach across 75 eligible counties. Core initiatives include workforce expansion, care model innovation, technology modernization, value-based payment transition, population health, and network development. Reporting to CMS will be quarterly and annually, with outcome metrics and community engagement as program priorities. Key contacts: Supplier Registration Assistance team OKSuppliers@omes.ok.gov; Oklahoma RHTP OklahomaRHTP@health.ok.gov Event schedule: - First budget period start - December 28, 2025 - First budget period end - October 30, 2026 - Subrecipient spending and invoicing deadline - July 31, 2027 - Draw down deadline - September 30, 2027 - Last Modified - June 22, 2026
Event Schedule
Contacts
Core Initiatives
This document is a blank or template expenditure summary and justification form for Rural Regional Reorientation applicants submitted as part of a Rural Health Transformation Program (RHTP) application. It provides structure for planning expenditures but does not report on any awards, recipients, or funding results.
This document is a CMS-prepared summary of statewide RHTP applications for FY26 submitted by numerous states. Each state’s proposal highlights rural health transformation plans, with strategies focusing on maternal and child health, chronic disease, behavioral health, digital infrastructure, and workforce expansion. No recipient-level or sub-award allocations are listed in this summary; only high-level state funding requests and initiative descriptions are provided.
Event Schedule
Oklahoma received $223.5 million in RHTP funding for FY2026, advancing 29 programs across diverse health areas—maternal health, chronic disease, behavioral health, emergency services, and rural workforce. Multiple contracts have launched, with competitive procurements, microgrants, and technology investments supporting rural health transformation. Most programs are transitioning from contracting into implementation during this quarter. Event schedule: - Notice of Award - 12/29/2025 - Funds available to state for authorized expenditures - 02/03/2026 - Annual Report + funding request for Budget Period 2 due - 08/31/2026 - End of first annual reporting period - 07/31/2026
Event Schedule
Core Initiatives
Oklahoma received $223.5M for RHTP Year 1, launching multiple procurements and distributing over $4M in Microgrants across most rural counties. Key programs focus on chronic disease management, regional care improvements, transportation expansion, and deploying community health workers. Over 70% of funds are already obligated. Event schedule: - CMS Funding Award - 12/29/2025 - CT - BP1 Funding Spend Deadline - 10/30/2026 - CT - Annual CMS Report Due - 08/30/2026 - CT
This document provides an exhaustive list of eligible rural counties and communities (by population) for the Oklahoma RHTP, excluding Oklahoma and Tulsa counties due to their populations. Eligibility is based on delivering care to rural populations in communities under 55,000 residents.
Core Initiatives
This guidance provides an exhaustive list of eligible rural communities and the definition of rural counties for rural health transformation funding in Oklahoma, excluding Oklahoma and Tulsa counties. It clarifies that direct program services must be delivered in these rural areas, though some centralized or remote services are permissible.
Project 695 provides school districts across rural Oklahoma with grant funding to hire health personnel eligible to bill Medicaid and supports the implementation of a statewide electronic health record system, EdPlan Health. This initiative aims to increase reimbursement, improve administrative efficiency, and enhance the quality and sustainability of student health and mental health services. Applications for the PRIMS grant will be open for a defined period and are competitive. Key contacts: Shawna Blackburn shawna.blackburn@sde.ok.gov Event schedule: - PRIMS application opens - 07/09/2026 - Grants Management System (Competitive section) - PRIMS application closes - 09/11/2026 - Grants Management System (Competitive section)
Event Schedule
Contacts
Core Initiatives
RHTP funds awarded to rural Oklahoma organizations support innovative projects to improve health outcomes and access to care. The OSDE's ROOTS Competitive Grant selected sixty rural school sites for $10,000 each towards physical education and fitness. Community-led microgrants are available, though individual recipient details are not published here. Key contacts: OklahomaRHTP@health.ok.gov Event schedule: - Last Modified on , 2026 - Jul 01 - Mailing Address
The Microgrants program supports one-time purchases of equipment and assets to enhance health outcomes in rural counties with populations under 55,000. The program emerged from community listening sessions and is one of 29 initiatives funded by a $223 million five-year federal grant. Public engagement meetings and application webinars are held to support participation.
12/29/2025
Notice of Award
↳ OK - 2026 - Q2 Legislative Quarterly Report
12/28/2025
First budget period start
↳ OK - 2027 - RHTP Frequently Asked Questions
10/30/2026
End of Budget Period 1
↳ OK - 2026 - Q2 Legislative Quarterly Report
10/30/2026
First budget period end
↳ OK - 2027 - RHTP Frequently Asked Questions
09/30/2027
Draw down deadline
↳ OK - 2027 - RHTP Frequently Asked Questions
08/31/2026
Annual Report + funding request for Budget Period 2 due
↳ OK - 2026 - Q2 Legislative Quarterly Report
07/31/2027
Subrecipient spending and invoicing deadline
↳ OK - 2027 - RHTP Frequently Asked Questions
07/31/2026
End of first annual reporting period
↳ OK - 2026 - Q2 Legislative Quarterly Report
02/03/2026
Funds available to state
↳ OK - 2026 - Q2 Legislative Quarterly Report
01/30/2026
Deadline for Budget Period 1 funds to be obligated
↳ OK - 2026 - Q2 Legislative Quarterly Report
OK - 2026 - *RHTP Legislative Report - Quarter 2* "07/13/2026" Oklahoma RHTP *Quarter Two Legislative Report Now Available*
Jul 14, 2026 13:45
·EmailOK RHTP site updated — 1 new doc(s)
OK RHTP site updated — 2 new doc(s)
OK - 2026 - Oklahoma RHTP Funding Opportunities Closing Soon
Jul 10, 2026 15:01
·EmailOK 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 62.
vagusdepression2.pdf
OK - 2026 - Attachment A
XLSX
OK - 2026 - Attachment C: Budget forms
XLSX
OK - 2026 - see Attachment A
OK - 2026 - Requested Exceptions to OSDH Subrecipient
OK - 2026 - Attachment D
OK - 2025 - Attachment B [Attachment_B_Subrecipient_Responsibilities.pdf]
OK - 2026 - Subrecipient questionnaire (SRQ)
OK - 2026 - Notice of Funding Opportunity [EMS_and_Community_Paramedicine_Vehicles_NOFO_v01.pdf]
OK - 2027 - EMS & Community Paramedicine Vehicles FAQs
OK - 2026 - Attachment E
OK - 2009 - OSDH Subrecipient Terms & Conditions [Attachment_B_Negotiable_General_Terms.docx]
OK - 2025 - Attachment B [BH_Integration_-_Attachment_B_Subrecipient_Responsibilities.pdf]
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OK - 2026 - Attachment A
OK - 2027 - Notice of Funding Opportunity
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OK - 2026 - Attachment C [BH_Integration_-_Attachment_C_Budget_and_Expenditures_include_personnel.xlsx]
OK - 2026 - Requested Exceptions to OSDH Subrecipient
OK - 2026 - Subrecipient questionnaire
OK - 2026 - Behavioral Health Integration FAQs
OK - 2009 - OSDH Subrecipient Terms & Conditions [Attachment_B_Negotiable_General_Term2.docx]
OK - 2026 - Behavioral Health Integration – Medications for Opioid and Alcohol Use Disorder; Emergency Medical Service & Community Paramedicine Vehicles - Notices of Funding Opportunity
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OK - 2026 - RHTP Funding Quick Links
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OK - 2026 - Oklahoma RHTP Funding Opportunities Closing Soon
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OK - 2026 - RHTP Funding Quick Links
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Event Schedule
Event Schedule
Core Initiatives
Core Initiatives
Oklahoma is launching two major RHTP funding opportunities for FY2026 to transform rural health care: 1) $2.8 million (Year 1 budget) is available for rural Behavioral Health Integration, focused on increasing access to evidence-based MOUD/MAUD through upskilling and innovative care models. 2) Up to 20 grants of up to $350,000/each will support purchase of community paramedicine/emergency vehicles in rural areas. Projects must target communities under 55,000 population, exclusively for rural benefit. Event schedule: - Application deadline (Behavioral Health Integration NOFO) - 07/10/2026 - 11:59 PM CT - Application deadline (EMS & Community Paramedicine Vehicles NOFO) - 07/20/2026 - 11:59 PM CT - Questions deadline (Behavioral Health Integration) - 06/26/2026 - Deadline to apply - 2026-07-27 - 23:59 CT
Event Schedule
Core Initiatives
This document sets forth the standard subrecipient contractual terms required under Oklahoma's RHTP-funded Doula Expansion program. It details federal and state procurement, reporting, insurance, and anti-discrimination requirements. Additional terms cover risk management, allowable costs, invoicing, payment, and compliance monitoring for all rural health subrecipients. Event schedule: - Increasing Seat Belt Use in the United States. Pursuant to Executive Order 13043, 62 FR 19217 (, 1997), Subrecipient is encouraged to adopt and enforce on-the-job seat belt policies and programs for employees when ope... - Reducing Text Messaging While Driving. Pursuant to Executive Order 13513, 74 F.R. 51225 (, 2009), Subrecipient is encouraged to adopt and enforce policies that ban text messaging while driving and establish workplace...
Event Schedule
Core Initiatives
The questionnaire outlines required internal controls, financial systems, and compliance criteria for organizations seeking subawards under Oklahoma's Expanding Care: Doulas Program. Its purpose is to ensure subrecipient capacity to manage federal funds and deliver rural maternal health services while meeting transparency and reporting requirements.
Core Initiatives
Core Initiatives
Event Schedule
Core Initiatives
Core Initiatives
Event Schedule
Contacts
Core Initiatives
CMS convened the first Rural Health Transformation Summit with leaders from all 50 states to align on early implementation strategies, best practices, and collaboration to advance the $50B RHTP. Key priorities include expanding access, workforce development, modernizing infrastructure, and value-based rural health models. The summit marked the launch of a sustained learning collaborative for state and federal partners. Key contacts: Catherine Howden Event schedule: - Rural Health Transformation Summit - March 18, 2026 - not specified
Event Schedule
Contacts
Core Initiatives
ons1.pdf
OK - 2026 - see Attachment A
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dbs5.pdf
sdbs1.pdf
dbs4.pdf
209229Orig1s000lbl.pdf
dbs3.pdf
dbs2.pdf
vnsz2.pdf
vnsz1.pdf
vnsz3.pdf
022410s033,020732s019,020733s023lbl.pdf
GenRecsHomeless2010.pdf
017116s029lbl.pdf
A194
dbs1.pdf
tms3.pdf
tms2.pdf
PrematureMortalityFinal.pdf
rtms1.pdf
rtms2.pdf
vagusdepression3.pdf
OK - 2026 - Governmental Entities Exempt Letter
Oklahoma Infused Drugs Restricted To Kaiser Permanente’s Specialty Pharmacy Network To Receive Benefits For The Administration Of Select Infusion Medications In The Home Setting, T
2025 · PDF
Perinatal Depression Screening, Diagnosis, and Treatment Guideline Changes as of May 2024
2024 · PDF
Adult & Adolescent Depression Screening, Diagnosis, and Treatment Guideline Interim Updates 2025
2024 · PDF
Alcohol Use in Adolescents (13 Through 17) Screening and Intervention Guideline Changes as of October 2023
2023 · PDF
Unhealthy Drinking in Adults Screening and Intervention Guideline Changes as of October 2023
2023 · PDF
Fiscal Year 2021, Breast and Cervical Cancer in Oklahoma Annual Report
2021 · PDF
Oklahoma Children First Oklahoma’s Nurse-Family Partnership RHTP 2020 Annual Report
2020 · PDF
Fiscal Year 2020, Breast and Cervical Cancer in Oklahoma Annual Report
2020 · PDF
Oklahoma Children First Oklahoma’s Nurse-Family Partnership RHTP 2019 Annual Report
2019 · PDF
Fiscal Year 2019, Breast and Cervical Cancer in Oklahoma Annual Report
2019 · PDF
Oklahoma CHILDREN FIRST OKLAHOMA’S NURSE - FAMILY PARTNERSHIP RHTP 2018 Annual Report
2018 · PDF
Fiscal Year 2018, Breast and Cervical Cancer in Oklahoma Annual Report
2018 · PDF
Fiscal Year 2017, Breast and Cervical Cancer in Oklahoma Annual Report
2017 · PDF
Oklahoma CHILDREN FIRST OKLAHOMA’S NURSE - FAMILY PARTNERSHIP RHTP 2017 Annual Report
2017 · PDF