HHS Region 1 · Office of Primary Care and Rural Health (Rhode Island Department of Health)
Program Overview
Rhode Island is actively implementing the Rural Health Transformation Program, a multi-year initiative targeting 18 rural towns and the Narragansett Indian Tribe. The program is administered by the Executive Office of Health and Human Services in partnership with the Department of Health and centers on workforce development, expanded care access, value-based healthcare models, and health IT modernization, with ongoing solicitation and community engagement. Current priorities include supporting population health, behavioral health, and technology infrastructure across rural communities. Current structured plan tracks 15 key initiatives and 7 strategic goals.
Updated
County-level estimates averaged across Rhode Island — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (5)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Providence County | 664,854 | 13.4% | 9.3% |
| Kent County | 171,456 | 7.5% | 4.2% |
| Washington County | 130,344 | 8.2% | 4.1% |
| Newport County | 84,657 | 8.5% | 5.0% |
| Bristol County | 50,490 | 6.5% | 3.9% |
106,875 rural residents
AI source: RI - 2025 - Attestation
AI auto-updated May 25, 2026
API refreshed May 7, 2026
Centers for Medicare & Medicaid Services (CMS)
Grouped files
8 related documents
RI - 2026 - CMS RHTP 50-State Spotlight (FY2026) — Rhode Island
Rhode Island received over $156 million from CMS for the Rural Health Transformation Program in December 2025. The state has begun implementation activities, including forming the Rural Stakeholder Advisory Committee and executing major budget amendments for 13 key initiatives across primary care, behavioral health, workforce, HIT, and community services. Procurements and grant opportunities are being launched, marking the transition to active delivery of services and subawards. Ongoing advisory and evaluation structures are in place to support progress tracking and outcomes.
Rhode Island’s RHTP continues a comprehensive, community-driven transformation centered on integrated rural clinical care hubs, Federally Qualified Health Centers as anchors, mobile health and EMS modernization, behavioral and oral health initiatives, and robust workforce development. The strategy is implemented with extensive stakeholder engagement, guided by a Rural Stakeholder Advisory Council, and includes targeted supports for Block Island and the Narragansett Indian Tribe. Digital health modernization, value-based payment reform, and community-led care networks are prioritized, leveraging over $156 million in federal funding during FY2026–FY2030 to improve coordinated care and health system sustainability.
Model
Integrated rural population health system anchored in value-based payment reform, digital health modernization, community-led care networks, targeted workforce initiatives, and accountable stakeholder engagement.
Key Initiatives
Timeline: Federal funding and implementation from FY2026 through FY2030
Behavioral Health and Opioid Crisis: Rural communities face significant behavioral health needs and opioid challenges; initiative will launch crisis and recovery centers for 24/7 community-based support. (Regions: Northern Rhode Island, Southern Rhode Island, Block Island)
Chronic Disease Management and Preventive Care: Integrated, community-based models and FQHC expansions are intended to advance chronic disease management and preventive services in rural populations. (Regions: All 18 rural towns)
Workforce Development in Rural Health: The program creates training placements and mentorships to address gaps in the rural health workforce to better serve patients. (Regions: All 18 rural towns)
RI - 2025 - Rhode Island RHTP Application
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RI - 2025 - Letter of endorsement from Governor McKee
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RI - 2025 - Letters of support
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RI - 2026 - Rhode Island RHTP Application 2026
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RI - 2026 - Rhode Island RHTP Application 1-Page Summary
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RI - 2026 - Rhode Island Rural Health Budget Amendment Summary RHTP 2026
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RI - 2026 - Rhode Island RRhhooddee IIssllaanndd RRuurraall HHeeaalltthh RHTP 2026 Slide Deck
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| FY↓ | Awardee↕ | Amount↕ | Activity↕ | Source |
|---|---|---|---|---|
| 2025-2026 | Anchor Recovery Community Centers, CCA, EBCAP Operation of recovery community centers and workforce support to expand peer recovery networks across Rhode Island. | $13.0M | Recovery | |
| 2025-2026 | RIDOC/CODAC Medication for Addiction Treatment in correctional settings to address OUD among incarcerated people. | $6.3M | Treatment | |
| 2025-2026 | Rhode Island Hospital (Lifespan)/Brown Health Provision of Medication for Opioid Use Disorder (MOUD) and services for the uninsured and underinsured through hospital and OTP partnerships. | $2.9M | Treatment |
The mini-grant program funds recruitment, retention, and administrative support to increase capacity for Medicaid primary care in Rhode Island through tiered funding allocations and compliance requirements. Event schedule: - Program Funds Expiration - 12/31/2025 - Rhode Island
Core Initiatives
This application invites primary care practices in Rhode Island to apply for mini-grants aimed at increasing access to primary care and building practice capacity. The grant funding is tiered based on Medicaid enrollment and includes reporting requirements with deadlines throughout 2025. Event schedule: - Tier 1 status report due - 08/15/2025 - Tier 1 final report due - 12/31/2025 - Tier 2 status report due - 09/19/2025 - Tier 2 final report due - 12/31/2025 - Tier 3 documentation due - 12/31/2025
Rhode Island received $156.2 million for Year 1 RHTP implementation to fund 13 multi-dimensional rural health transformation initiatives. Projects span population health, EMS, value-based care, workforce recruitment, behavioral health, and technology modernization. Focus populations include 18 rural towns and the Narragansett Indian Tribe, with engagement from statewide partners and community organizations.
This document details the structure, responsibilities, and membership criteria for Rhode Island's Rural Stakeholder Advisory Council as part of the RHTP. The council serves as a statewide advisory body integrating feedback from Networks and Regional Hubs, and supports responsive rural health transformation implementation. Broad representation and conflict-of-interest practices are emphasized to ensure accountability and equitable input from rural communities.
Core Initiatives
Rhode Island’s Primary Care Training Sites Program awarded approximately $2M in grant funding to 34 practices to expand clinical training capacity. The program expects a 68% increase in clinical training capacity in 2025-2026 as measured by student enrollment. Strategic grantmaking supports workforce pipeline, patient-centered care, and integration of behavioral health.
Rhode Island secured a $156 million 5-year RHTP award with $142.7 million planned for SFYs 2026-27. The budget funds thirteen initiatives targeting value-based payment transition, rural workforce development, health IT modernization, behavioral health expansion, and innovative care delivery models.
Core Initiatives
Rhode Island RHTP plans to strengthen access to high-quality, sustainable community-driven care in rural and island areas. The $1 billion five-year program covers 13 interconnected initiatives that target clinical care hubs, EMS, workforce, value-based care, and technology integration.
The program aims to improve rural health through integrated community care, expanded primary and behavioral health services, mobile health and EMS investments, hospital-at-home care, workforce development, value-based payment models, and modernized health IT. The strategic framework was built on extensive community feedback and aligns with Rhode Island's RI 2030 Plan. The proposal includes unique initiatives targeting the state's rural populations, including partnerships with FQHCs, crisis stabilization facilities, and support for the Narragansett Indian Tribe and Block Island. Event schedule: - RHTP Application Submission - November 13, 2025 - 2:54 PM ET - Providence, RI
Event Schedule
Core Initiatives
This document is a set of standard reporting templates for Rhode Island's RHTP Tier 2 mini-grant recipients in FY2025, capturing patient panel size, provider staffing, expenditures, and payer mix at multiple time points. Reports require practices to detail how funds are used to support rural primary care access and workforce. Only de-identified provider sample data is included. Event schedule: - Baseline Report Data Date - 04/01/2025 - Status Report Period - April 2, 2025 - September 19, 2025 - Final Report Period - September 20, 2025 - December 31, 2025
This reporting template supports data collection for Tier 1 mini grants under Rhode Island's RHTP program. It standardizes patient panel, provider staffing, and payer mix information at baseline, mid-year, and final reporting points. It also prompts narrative updates on the use of funds and improvements to primary care access and capacity. Event schedule: - Baseline report date - 04/01/2025 - Status report period start - 04/02/2025 - Status report period end - 08/15/2025 - Final report period start - 08/16/2025 - Final report period end - 12/31/2025
The program targets Rhode Island's 18 rural towns, expands primary care and behavioral health through Federally Qualified Health Centers, and introduces Hospital at Home models. Additional initiatives focus on advancing value-based care, expanding behavioral health and opioid treatment, modernizing health IT, supporting the rural health workforce, and investing in mobile health and EMS. Distinct efforts will address the unique needs of Block Island and the Narragansett Indian Tribe through integrated community approaches. Key contacts: Jerry Larkin, MD; Richard Charest; Ana Novais Event schedule: - Federal Award Announcement - December 30, 2025 - 3:39 PM ET - Providence, RI
Event Schedule
Contacts
Core Initiatives
The program collaborates with the Executive Office of Health and Human Services, state agencies, hospitals, healthcare professionals, and community partners to transform healthcare delivery. Rhode Island received a federal award of over $156 million to support this initiative. The program focuses on supporting local providers and improving rural healthcare infrastructure with funding from CMS for fiscal years 2026-2030.
RI - 2024 - MBECO Compliance Training - Rural Health Grant
Jul 2, 2026 21:04
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RI - 2020 - Emergency MPAs Manual
RI - 2023 - Emergency MPA Guide
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CFO 20-05 Direct Pay Documents in RIFANS_02-12-20.pdf
Core Initiatives
Rhode Island proposes a comprehensive rural health transformation plan targeting 18 rural towns and nearly 18% of the state's population. The strategy features integrated population health infrastructure, expanded access through mobile and community-based services, workforce development, payment reform, and modernization of health IT. Emphasis is placed on collaboration, sustainability, and community-led models, with targeted interventions for chronic disease, mental and behavioral health, oral health, and elderly support.
Core Initiatives
Rhode Island is investing opioid settlement, Medicaid, and federal funds in a comprehensive continuum of prevention, harm reduction, treatment, and recovery strategies, with an emphasis on school-based mental health, access to naloxone, and improving equity. Over 100 program contracts are in place, with robust data-driven evaluation and continuous review of outcome indicators. Major funds are allocated to recovery supports, school and community-based prevention, and harm reduction infrastructure.
Core Initiatives
Core Initiatives
Core Initiatives
Rhode Island was awarded over $156 million from CMS in December 2025 to launch its Rural Health Transformation Program, supporting rural health improvement through workforce development, expanded care access, value-based healthcare models, and technology integration. The grant application involved broad partnerships and extensive public input, including surveys and community listening sessions across northern and southern Rhode Island and Block Island. The program is administered by the Executive Office of Health and Human Services in collaboration with the Department of Health's Office of Primary Care and Rural Health. Event schedule: - Administrator for Health Information Technology Rural Infrastructure Fund Solicitation Due Date - 07/01/2026 - 2:00 PM ET - Online: Ocean State Procures Bid Board - RHT Recovery Community Centers FY27 Solicitation Due Date - 07/26/2026 - Online: GN ecivis portal
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Core Initiatives
Core Initiatives
Core Initiatives
The program funds thirteen initiatives including value-based payment support for providers, rural workforce investments, IT modernization, hospital-at-home models, and expanded behavioral health services. Policy changes enable expanded scope of practice, interstate licensure compacts, and nutrition-focused medical education. Efforts emphasize affordable, integrated care and workforce stability for rural Rhode Islanders. Key contacts: Richard Charest; NettieRose Cooley; Autumn Leaf Spears; John Minichello Event schedule: - CMS Final Approval and Budget Amendment Submission - 04/02/2026 - 2:17 PM ET - Providence, RI
Event Schedule
Contacts
Core Initiatives
Rhode Island is launching a Rural Stakeholder Advisory Council to guide the implementation of its Rural Health Transformation Program. The council will provide an accountable, community-informed forum for advisory input and will monitor progress on improving access, strengthening workforce, expanding behavioral health, and supporting maternal and child health across rural communities. Additional details on council membership, charter, and bylaws will be made available as the program advances. Key contacts: Kilah Walters Clinton Kilah.WaltersClinton@ohhs.ri.gov Event schedule: - RSAC Education Session - 05/29/2026 - 12:00 PM - 1:00 PM - Microsoft Teams
Event Schedule
Contacts
Core Initiatives
RI - 2026 - Press Releases | Governor's Office, State of Rhode Island
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RI - 2026 - Medicaid KPI Dashboard
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MBECO Compliance Training - Rural Health Grant — attachment
RI - 2026 - Bidding Opportunities | Rhode Island Division of Purchases
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RI - 2026 - OSP Add Change Delete Form 3-31-21.pdf
RI - 2026 - Agency New Vendor Registration Determination Guide-&-FAQ Feb2020.pdf
RI - 2025 - Click here to view and download a list of awarded practices.
RI - 2026 - Agency Procurement Club and Procurement Campus
2026 · HTML
Rhode Island Agency Procurement Library
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RI - 2022 - Opioid Settlement Advisory Committee | Executive Office of Health and Human Services
2026 · HTML
RI - 2026 - HIT Survey Frequently Asked Questions
2026 · PDF
RI - 2026 - Community-Driven-Outreach-for-Hypertension-Management-and-Diabetes-Prevention-FY26.pdf
2026 · PDF
RI - 2026 - Community-Driven Outreach for Hypertension Management and Diabetes Prevention – FY2026 – Short-Term Project Funding Opportunity | Department of Health
2026 · HTML
RI - 2025 - Get the Vendor Notice HERE
2025-2026 · PDF
RI - 2025 - Tier 3
2025 · XLSX
RI - 2026 - Purchasing 101 Agency Presentation 02142020.pdf
2024 · PDF
RI - 2026 - Hearing Aid Dealer
2023 · PDF
A Center for Arts and Health in Rhode Island
2020 · PDF
Crisis Standards of Care
2020 · PDF
State Innovation Model (SIM) Test Grant Operational Plan
2017-2018 · PDF
State Innovation Model Health Assessment
2017 · PDF
Pursuing Healthcare Innovation
2017 · PDF
Rhode Island Healthcare Quality Reporting Program Hospital Summary Report RHTP
2016-2017 · PDF
Community Health Teams: A Healthcare Providers System Transformation Opportunity
2016 · PDF
Health Care Quality Reporting Program
2016 · PDF
Statewide Health Inventory
2015 · PDF
Health Care Quality Performance Program Annual Report
2011 · PDF
Home healthcare patient satisfaction
2010 · PDF
Coordinated Health Planning in Rhode Island
2006-2007 · PDF
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RI - 2026 - Homepage | Department of Health
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Official State of Rhode Island website - Executive Office of Health and Human Services
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RI - 2026 - Medicaid Initiatives | Executive Office of Health and Human Services
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Rhode Island RHTP | Executive Office Of Health And Human Services Skip To Main Content Official State Of Rhode Island Website Select Language Settings Color Scheme: Change The Visu
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CEDAR Family Centers
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