The program offers funding through grants for four initiatives: Connections to Care, Wellness Within Reach, Leveling Up, and Shoring Up to Sustainability, each focusing on enhancing digital infrastructure, mobile care delivery, pilot program scaling, and sustainability investments. Grants are available to healthcare providers and community organizations with applications due June 1, 2026.
County-level estimates averaged across South Carolina — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
13.6%
+2.2pp
Uninsured (18–64)
15%
+2.6pp
Diabetes
39.1%
+1.6pp
Obesity
15.8%
-0.3pp
Current smoking
39.9%
+3.8pp
High blood pressure
29.2%
+1.5pp
Physical inactivity
6.9%
≈ US avg
Heart disease
4.3%
+0.6pp
Stroke
pp = percentage points vs US county average
County Drilldown (46)
County
Pop
Poverty
Uninsured
Greenville County
548,166
10.8%
7.7%
Richland County
422,117
17.2%
11.5%
Charleston County
420,264
11.3%
7.0%
Horry County
383,016
13.2%
9.1%
Spartanburg County
347,852
14.5%
10.8%
Lexington County
304,887
11.1%
8.5%
York County
293,673
8.4%
6.2%
Berkeley County
246,802
9.9%
7.5%
Anderson County
210,478
14.6%
11.5%
Beaufort County
195,289
9.6%
7.1%
Aiken County
174,160
14.3%
10.1%
Dorchester County
167,201
11.4%
8.1%
Demographics
Total population
5.3MCensus ACS5 2024
Rural population
729KUSDA ERS RUCC 2023
Rural population %
14.2%USDA ERS RUCC 2023
Poverty rate
14.1%Census ACS5 2024
Median household income
$69,324Census ACS5 2024
Uninsured rate
10.1%Census ACS5 2024
CAH count
3HRSA GIS (live)
Primary care HPSA
43HRSA Data Warehouse (GIS)
Dental HPSA
34HRSA Data Warehouse (GIS)
Mental health HPSA
19HRSA Data Warehouse (GIS)
MUA count
70HRSA Data Warehouse (GIS)
MUP count
10HRSA Data Warehouse (GIS)
FQHC facilities
252HRSA Data Warehouse (GIS)
RHC facilities
108HRSA Data Warehouse (GIS)
AI source: SC - 2023 - SCDHHS Creates $15 Million Grant Program To Help Rural And Medically Underserved Areas | SCDHHS Skip To Main Content ATTENTION: SCDHHS Recently Mailed The 2025 IRS 1099-MISC Form T
AI auto-updated May 25, 2026
API refreshed May 7, 2026
RHTP Strategic Goals
1Modernize rural healthcare infrastructure
2Build a resilient, sustainable healthcare system
3Ensure lasting access to quality health care for rural populations
South Carolina's Department of Health and Human Services has issued four grant opportunities under the Rural Health Transformation Program, with applications open to local providers and a public webinar held to explain the details. Grants support digital infrastructure, workforce development, mobile health, and facility upgrades. The application deadline is June 1, 2026, and procurement is publicly underway. Initial program launch and stakeholder engagement are completed. State opportunities: 4 active (1 open, 3 closing soon), $60.0M listed funding. Key opportunities: SC - 2026 - Shoring Up to Sustainability Grant Application; Connections to Care – Modernize Health IT; Connections to Care – Expand Remote Patient Monitoring (RPM) & Assistive Technology. Strategy alignment: supports telehealth, workforce, prevention priorities.
RHTP Strategy
Leverage targeted grant funding to improve rural digital infrastructure, deploy mobile health resources, scale successful pilot programs, and strengthen workforce and facility capacities.
Key Initiatives
1Connections to Care
2Wellness Within Reach
3Leveling Up
4Shoring Up to Sustainability
Timeline: Grant applications open as of April 2026 with a submission deadline of June 1, 2026; future funding through the Tech Catalyst Fund to be announced later.
Health Priority
Care coordination and access: Focus on expanding digital infrastructure and telehealth services to improve rural healthcare accessibility. (Regions: rural areas statewide)
May 29, 2026
Health Priority
Workforce recruitment and retention: Targeted investments aimed to strengthen rural healthcare system sustainability through workforce and facility support. (Regions: rural areas statewide)
May 29, 2026
Health Priority
Mobile health delivery: Deployment of mobile health units, crisis teams, and pop-up clinics to serve underserved rural populations. (Regions: rural areas statewide)
May 29, 2026
Supporting
PDF
2025-2030
Award: $1.0B
SC - 2025 - South Carolina Amended Budget Narrative for RHTP
SupportingPDF2025-2028Award: $800.0M
SC - 2025 - Budget Information for Non-Construction Programs
South Carolina Department of Health and Human Services
Due Jun 1, 2026
1 related document
Related documents1
PrimaryPDF2026Budget: $40.0M
SC - 2026 - Shoring Up to Sustainability Grant Application
Primary source
Announcement Documents (1)
🌐
AnnouncementNEWHTML2023
The South Carolina Department of Health and Human Services has announced a new $15M grant program to improve access to medical care in rural and underserved areas. Grants up to $3 million will support facility infrastructure targeting priority services such as primary care, maternal and infant health, pediatrics, and behavioral health. The program is funded by a one-time state appropriation consistent with the direction of the state's Rural Health Initiative. Key contacts: grants@scdhhs.gov
Event schedule:
- Application Due Date - 12/04/2023
- Award Notification - 02/02/2024
Award: $15.0MOTHER
Contacts
<grants@scdhhs.gov> - Grant Program Contact - South Carolina
Core Initiatives
Improve access to quality medical care in rural and medically underserved areas.
Support the creation or improvement of healthcare facilities.
Enhance healthcare infrastructure to deliver equitable services.
Award Announcement Documents (3)
📄
Award AnnouncementNEWPDF2024
South Carolina awarded $48.2 million in one-time infrastructure grants to 26 recipients to improve rural healthcare facilities, focusing on primary care, maternal and infant care, pediatrics, and behavioral health. The program stems from legislative direction via the Rural Health Initiative to establish sustainable delivery models and capital improvements. Key contacts: Jeff Leieritz Communications@scdhhs.gov
Event schedule:
- , 2024 Contact: Jeff Leieritz For Immediate Release (803) 898-1719 Communications@scdhhs.gov SCDHHS Awards $48.2 Million in Healthcare Infrastructure Funds to Improve Access to Quality Medical Services in Rural and Medically Underserved Areas COLUMBIA, S.C. The South Carolina Department of Health and Human Services (SCDHHS) today announced it has awarded 26 grants totaling $48.2 million to improve access to quality medical care. Launched in October 2023 , the grant provides one-time infrastructure funds to create or improve facilities in rural or medically underserved areas. The grant program focused on essential health care areas, including primary care, maternal and infant care, pediatrics and behavioral health. “ This grant program is a great example of how public-private partnerships can leverage funding and support innovative ways to meet the health care needs of our citizens,” said SCDHHS Director Kerr. “From investing in brick -and-mortar facilities to extending access to care through new technologies and telehealth, this funding will help improve access to both primary and specialty care in our communities that experience some of the greatest health challenges in our state. We appreciate the innovative solutions brought forth by our grant applicants and the support the General Assembly and Governor McMaster have entrusted in SCDHHS to help improve health outcomes in our state .” Grant awardees will receive up to $3 million in one-time infrastructure funds and must operate grant-funded facilities for a minimum of five years. SCDHHS is executing the grant program as additional attention is being drawn to access to care and health outcomes in South Carolina. A recent report by the Boston Consulting Group found that: • South Carolina ranked 38 th among states in primary care physicians per capita; • 9% more South Carolinians lived in a primary care physician health professional shortage area than the national average (38% vs. 29%); and • Residents living in more rural areas were somewhat more dissatisfied than others with health services in the state. A list of grant awardees and a brief description of each of the 26 projects that were awarded grant funds is available here on SCDHHS’ website . - Feb. 20 - The grant funds are drawn from one-time funding appropriated by the South Carolina General Assembly to SCDHHS for investment in infrastructure that will improve access to health care in communities consistent with the direction provided in the state’s Rural Health Initiative ( proviso 33.22 ). Through the initiative, the General Assembly directed SCDHHS to “establish a grant program for providers to implement sustainable delivery models or capital improvements to enhance access to health care services.” The application for this grant program is available on SCDHHS' website . About the South Carolina Department of Health and Human Services The South Carolina Department of Health and Human Services provides health care benefits to nearly 1.2 million South Carolinians. The agency’s mission is to be boldly innovative in improving the health and quality of life for South Carolinians. ###
Award: $48.2MQUALITY_IMPROVEMENT
Contacts
Jeff Leieritz - <Communications@scdhhs.gov> - Contact for announcement - South Carolina
Core Initiatives
Improve access to quality medical services in rural and medically underserved areas
Strengthen healthcare infrastructure in critical health areas such as primary care and behavioral health
SCDHHS received a five-year, $200 million+ CMS-funded cooperative agreement for comprehensive rural health transformation. Multiple competitive sub-grant initiatives focus on IT modernization, chronic disease, workforce, and crisis response in rural South Carolina. SC will use RHTP to scale successful models, with all sub-awards and projects aimed at lasting improvement in rural population health and infrastructure.
The program offers funding through grants for four initiatives: Connections to Care, Wellness Within Reach, Leveling Up, and Shoring Up to Sustainability, each focusing on enhancing digital infrastructure, mobile care delivery, pilot program scaling, and sustainability investments. Grants are available to healthcare providers and community organizations with applications due June 1, 2026.
Event schedule:
- Grant application deadline - 06/01/2026 - submit via email to grants@scdhhs.gov
- RHTP Grants Public Webinar - 03/24/2026 - online webinar (recording available)
Core Initiatives
Modernize rural healthcare infrastructure
Build a resilient and sustainable healthcare system
Ensure lasting access to quality health care for rural residents
📄
ApplicationPDF2024
South Carolina Department of Health and Human Services (SCDHHS) is soliciting applications for up to $15 million in one-time grant funding to build or improve rural and medically underserved area health facilities. No match is required. Focus areas include expanding access to essential health services, improving health equity, and supporting sustainable facility operations.
The Rural Health Transformation Program in South Carolina will fund four major initiatives for rural populations, totaling $169 million in federal investment. Awards focus on health IT, chronic disease, pop-up clinics, workforce, and technology innovation; applications are open for rural providers. Timeline milestones include application deadlines in June 2026 and completion by September 2027. Key contacts: SCORH Team info@scorh.net
Event schedule:
- Applications Due - 06/01/2026
- Award Notices - 07/31/2026
- Project Completion - 09/30/2027
South Carolina submitted a comprehensive RHT plan addressing rural health disparities with five integrated initiatives including digital infrastructure, mobile health units, and workforce strengthening. The state requests $1 billion federal funding to modernize rural healthcare, expand access, and build sustainability.
South Carolina's RHTP application requests $1 billion over five years to transform rural health outcomes via robust state-level initiatives. Funding will be competitively distributed through multiple programs including health IT modernization, mobile crisis response, facility upgrades, workforce incentives, and rural care expansion. Extensive oversight, compliance, and outcomes tracking are integral to the state's stewardship plan.
This CMS Office of Rural Health Transformation document summarizes FY26 Rural Health Transformation Program applications from multiple states, outlining proposed funding, core priorities, strategic initiatives, and policy actions to improve rural health access, workforce, delivery innovation, and quality/outcomes.
Core Initiatives
Make Rural America Healthy Again
Expand care access and quality
Advance rural health infrastructure and telehealth
Show all initiatives (50)
Make Rural America Healthy Again
Expand care access and quality
Advance rural health infrastructure and telehealth
Grow and retain healthcare workforce
Promote value-based and innovative care models
Empower rural Mainers to achieve their own healthy living goals through expanded population health solutions
Expand the supply of care by growing a rural workforce and spreading technologies that connect every community to advanced care
Ensure care will be available and affordable long into Maine’s future by pairing affordability with strategies that advance quality, efficiency, and fiscal durability
Transform the rural health workforce through new apprenticeships, improved IT, and expansion of Area Health Education Centers, and pipeline programs (Maryland)
Promote sustainable access and innovative care through new and expanded capacity for primary care, specialty practices, school-based health centers, and behavioral health expansion (Maryland)
Expand access to essential healthcare services for rural residents (Massachusetts)
Improve health and well-being through targeted initiatives and partnerships (Massachusetts)
Strengthen the full continuum of the healthcare workforce with targeted activities focused on workforce development, recruitment, and retention (Massachusetts)
Strengthen the foundation of rural health systems through integrated, community-driven solutions that expand access to care, modernize health information exchange, build workforce capacity, and address key community supports that influence health and well-being (Michigan)
📄
SummaryPDF2026-2030
South Carolina proposes an ambitious, data-driven Rural Health Transformation plan centered on expanding digital health infrastructure (EHR, remote monitoring, telehealth), workforce initiatives, and financial stabilization for rural hospitals. Strategic efforts target improved access and chronic disease management for 1.75 million rural residents, with emphases on care coordination, maternal health, and cross-sector partnerships. Five flagship initiatives (e.g., Connections to Care) will modernize rural health systems and equip communities for sustainable transformation.
Report Documents (3)
📄
ReportPDF2023
South Carolina is distributing $35 million in one-time infrastructure grants to hospitals for creating specialized emergency units for mental health crisis stabilization. The program aims to add 56 new crisis beds and 111 spaces to address emergency psychiatric needs. Funding is limited to infrastructure and does not cover staffing or service provision.
Award: $35.0M
Core Initiatives
Increase capacity for mental health crisis stabilization across rural and statewide hospitals.
Establish specialized emergency units for rapid assessment and treatment of mental health crises.
Provide infrastructure to better serve Medicaid and uninsured populations seeking behavioral health crisis care.
The document outlines an $800 million award over four years dedicated to transforming rural healthcare in South Carolina. Budget details include personnel, fringe benefits, travel, supplies, and substantial contractual expenditures.
South Carolina is launching its Wellness Within Reach Initiative as part of the Rural Health Transformation Program, making $27.7M available to rural-serving organizations through subawards. The initiative focuses on expanding mobile crisis response and community care sites to improve healthcare access, quality, and outcomes in rural areas. Projects must demonstrate measurable impact and directly benefit rural residents.
South Carolina is submitting an application to CMS for the Rural Health Transformation Program, with Governor and SCDHHS leadership committed as the lead administrator and convener. The plan prioritizes stakeholder engagement, chronic disease management, infrastructure improvements, and sustainable care models in rural areas. Extensive coordination aims to leverage existing resources, avoid duplication with current federal and state rural health funding, and maximize health outcomes for rural residents.
This FAQ provides guidance on eligibility, allowable costs, and application requirements for South Carolina's Rural Health Transformation Program, targeting rural communities. It details requirements for letters of support, budget narrative, sustainability plans, allowable project types, and restrictions against supplanting or duplicative funding. The document clarifies eligible applicants, funding tracks, and requirements for quarterly and annual reporting.
Event schedule:
- FAQ Update - 05/08/2026
HEALTH_INFORMATION_TECHNOLOGY · QUALITY_IMPROVEMENT · FINANCE · WORKFORCE · OTHER
Core Initiatives
Improve healthcare access and outcomes for rural South Carolinians.
Modernize health IT infrastructure in rural healthcare settings.
Enhance program sustainability and quality of care.
Show all initiatives (4)
Improve healthcare access and outcomes for rural South Carolinians.
Modernize health IT infrastructure in rural healthcare settings.
Enhance program sustainability and quality of care.
Ensure RHTP funds support non-duplicative, measurable rural health impact.
SCDHHS announced four RHTP funding opportunities supporting digital infrastructure, pilot program scaling, mobile health deployment, and sustainability initiatives. These are one-time infrastructure and capacity-building grants targeting rural health transformation.
SCDHHS awarded 26 grants totaling $48.2 million to improve healthcare infrastructure in rural and underserved areas. This one-time funding supports improving or creating new care facilities focusing on essential health services including primary care and behavioral health.
Event schedule:
- SCDHHS recently mailed the 2025 IRS 1099-MISC form to eligible Medicaid-enrolled providers that meet IRS-defined thresholds. Reprint requests will be accepted starting . Providers can request a reprint or submit an inquiry online or by calling the Provider Service Center at (888) 289-0709. - March 11 - Top Nav
- Tuesday, , 2024 - February 20 - COLUMBIA, S.C. – The South Carolina Department of Health and Human Services (SCDHHS) today announced it has awarded 26 grants totaling $48.2 million to improve access to quality medical care. Launched in October 2023 , the grant provides one-time infrastructure funds to create or improve facilities in rural or medically underserved areas. The grant program focused on essential health care areas, including primary care, maternal and infant care, pediatrics and behavioral health.
Award: $48.2MOTHER
Core Initiatives
Improve access to quality medical care in rural and medically underserved areas
Enhance primary care, maternal and infant care, pediatrics, and behavioral health services
Award: $200.0MQUALITY_IMPROVEMENT · HEALTH_INFORMATION_TECHNOLOGY · POPULATION_HEALTH · WORKFORCE · OTHER
Event Schedule
Grant Opportunity Posting - 2026-04-02
Questions Due - 2026-04-16
Application Due - 2026-06-01
Show all schedule items (5)
Grant Opportunity Posting - 2026-04-02
Questions Due - 2026-04-16
Application Due - 2026-06-01
Award Notification - 2026-07-31
Spend Deadline - 2027-09-30
Core Initiatives
Increase healthcare access and quality for improved chronic disease management and health outcomes in rural communities.
Enhance provider capacity to deliver high-quality care.
Elevate provider and patient experience.
Show all initiatives (4)
Increase healthcare access and quality for improved chronic disease management and health outcomes in rural communities.
Enhance provider capacity to deliver high-quality care.
Elevate provider and patient experience.
Increase innovation, digital literacy, and adoption of best practices in rural health.
Budget: $15.0M
Core Initiatives
Increase access to necessary healthcare services in rural and medically underserved areas.
Enhance current services in rural and medically underserved communities.
Improve health outcomes for the community.
Show all initiatives (4)
Increase access to necessary healthcare services in rural and medically underserved areas.
Enhance current services in rural and medically underserved communities.
Improve health outcomes for the community.
Promote sustainable delivery models and capital improvements.
This document is a FY2026 Request for Applications (RFA) for the Rural Health Transformation Program: Shoring Up to Sustainability Initiative in South Carolina, under a $40M federal cooperative agreement from CMS. It aims to fund rural facility infrastructure enhancements, workforce recruitment/retention, and provider operational resilience through subawards to rural-serving entities. Three project tracks—facility enhancements, masterclass training, and workforce incentives—address key rural health barriers, building the sustainability of South Carolina’s rural healthcare delivery system.
Enhance rural health outcomes through targeted initiatives.
Modernize health IT infrastructure in rural areas.
Expand access to remote patient monitoring and technology.
Show all initiatives (6)
Enhance rural health outcomes through targeted initiatives.
Modernize health IT infrastructure in rural areas.
Expand access to remote patient monitoring and technology.
Improve chronic disease management and preventive care.
Strengthen rural health facility infrastructure, financial stability, and workforce.
Expand behavioral health and crisis response capacity.
Improve cardiometabolic health outcomes and sustainably expand healthcare workforce (Minnesota)
Conduct a statewide assessment of rural health needs and transform rural healthcare delivery through a Coordinated Regional Integrated Systems Initiative (Mississippi)
Focus on a hub-and-spoke model to promote regional and local collaboration, improve healthcare outcomes, strengthen coordinating networks and local provider sustainability, and empower rural communities (Missouri)
Strengthen healthcare workforce, secure financial solvency for rural providers, embed prevention and community health at the center of care, and expand technology use (Montana)
Focus on Make Rural America Healthy Again with food-as-medicine programs, workforce development, technology initiatives, and right-sizing the healthcare system (Nebraska)
Implement value-based care models to prevent and manage chronic disease, strengthen rural health systems, create robust network of health providers, and establish workforce recruitment programs with commitments to serve (Nevada)
Improve access to primary and preventative care, chronic disease management, maternal health care, behavioral health services, and oral health care with a prevention-first model, deepening partnerships and use of innovative technology (New Hampshire)
Improve healthcare availability in rural New Jersey by investing in primary and specialty provider expansion, supporting CCBHCs, and fostering a flexible healthcare system (New Jersey)
Transform healthcare access and quality in rural New Mexico through five initiatives focused on specialty care access, chronic disease management, community-centered care, and workforce recruitment and retention (New Mexico)
Improve health outcomes and care coordination through 'Make Rural America Healthy Again' and primary care initiatives, including workforce development and maternal care focus (New York)
Catalyze innovative care models, transform the rural care experience, and create a sustainable rural healthcare delivery system via provider coordination and underlying systems change (North Carolina)
Rebuild and retain rural health workforce through residencies, innovative consumer-facing technologies, workforce pipelines, training and grants, and launch nutrition and behavioral health initiatives (North Dakota)
Improve access to care through clinically integrated networks (CINs), community-based clinics in K-12 schools and college campuses, and mobile health care services, rural hospital improvements, and home visits.
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 conditions.
Build a future where every community – no matter how small or remote – has access to high-quality, locally grounded care connected through technology, supported by regional collaboration, and sustained by a strong rural workforce.
Reduce preventable hospitalizations and emergency department visits year over year.
Build a resilient, digitally connected, community-anchored provider network to deliver flexible care across rural regions.
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 the integration and comprehensive delivery of services leveraging technology and supporting the workforce.
Increase healthcare access and quality for improved chronic disease management and health outcomes.
Increase healthcare workforce capacity and stabilize workforce.
Strengthen the rural health workforce through placements and policies allowing top-of-license practice.
Prioritize direct investment in provider capacity over creating new programs.
Address health-related barriers to workforce participation and improve healthcare access and system sustainability.
Support patients with the highest disease burden and invest in technology and workforce development.
Leverage statewide technology initiatives, support rural clinical workforce, establish CINs, and empower patients in disease prevention and healthy living.
Improve wellness by promoting nutrition, physical activity, and preventative care.
Build robust rural networks through enhanced primary care and long-term care support.
Focus on patient empowerment and disease prevention, expanding access to care, technology, and workforce development.
Address higher rates of substance use disorder, hospital clinician and staff turnover, and emergency room strain by expanding rural health networks and investing in technology.
Improve workforce participation, leverage technology, and improve healthcare system sustainability in challenging rural terrain.
Improve health care for rural communities focusing on care coordination, mental health support, technology and workforce development.
Improve access to care by focusing on rural clinical workforce, leveraging technology, and right-sizing the delivery system.
Increase awareness, utilization, and integration of mobile crisis response services in rural communities
Expand the number and diversity of healthcare access points in rural South Carolina
Address access disparities and persistent barriers in rural healthcare
Show all initiatives (4)
Increase awareness, utilization, and integration of mobile crisis response services in rural communities
Expand the number and diversity of healthcare access points in rural South Carolina
Address access disparities and persistent barriers in rural healthcare
Strengthen partnerships and community engagement
Award: $200.0M
Core Initiatives
Modernize rural healthcare infrastructure
Build a resilient, sustainable healthcare system
Ensure lasting access to quality health care for rural residents
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