Utah's Rural Health Transformation Program is currently implementing a multi-initiative strategy spanning 2026-2030, focused on preventive health, rural workforce development, infrastructure, technology innovation, and financial stability. Current structured plan tracks 12 key initiatives and 8 strategic goals.
Utah received a notice of federal award for the Rural Health Transformation Program as of February 2026. The state has completed extensive stakeholder engagement and initiative planning, with sub-award plans and first-year funding pending final state legislative appropriations. No evidence of state-issued RFAs or provider grants is present yet. Official program start is confirmed, but provider procurement has not launched. State opportunities: 4 active (3 upcoming, 1 closing soon), $9.8M listed funding. Key opportunities: FAST 4.1, 4.A–4.F: Value-Based Care Models; PATH 1.5, 1.G: Behavioral Health—Primary Care Integration; RISE 2.1, 2.A: GME Strategic Plan.
RHTP Strategy
Utah’s RHTP strategy leverages substantial, multi-year federal funding to achieve rural health transformation through evidence-based initiatives that address preventive health, workforce expansion, technology modernization, infrastructure sustainability, and financial reform. Competitive sub-awards, measurable outcomes, and inter-agency and federal partnerships guide implementation, while principles emphasize sustainability, innovation, and avoiding ongoing fiscal obligations for the state.
Model
Comprehensive, multi-faceted transformation model combining preventive health action, workforce development and incentives, infrastructure and technology modernization, local and regional partnerships, and sustainable value-based financial and care delivery reforms.
Key Initiatives
1Preventive Action and Transformation for Health (PATH)
2Rural Incentive and Skill Expansion (RISE) for workforce development
3Sustaining Health Infrastructure for Transformation (SHIFT)
4Financial Approaches for Sustainable Transformation (FAST)
5Leveraging Innovation for Facilitated Telehealth (LIFT)
6Shared Utilities for Partnered Provider Operational Resources and Technology (SUPPORT)
7Leveraging Interoperability Networks to Connect Services (LINCS)
8Quality improvement projects through Utah Flex and SHIP
9Purchasing assistance and operational training for rural hospitals
10Evidence-based prevention and chronic disease management interventions
11Health information technology advancement and training
12Local and regional rural provider partnerships
Timeline: FY2026–2030; competitive sub-awards and core initiatives prioritized in initial years with ongoing annual and quarterly milestones and reporting to ensure continued funding.
Health Priority
Access to Primary Care: Efforts are ongoing to improve primary care access for rural and underserved populations through grants and workforce initiatives. (Regions: Rural Utah)
May 30, 2026
Health Priority
Rural Hospital Support: Programs like Utah Flex and SHIP target sustainability and quality improvements for small rural hospitals. (Regions: Rural Utah)
May 30, 2026
Program Update
This RFGA supports Utah's federally funded Rural Health Transformation Program to develop a strategic plan expanding rural Graduate Medical Education (GME) over 10 years. Up to one awardee will collaborate with diverse partners, including tribal and rural health facilities, to drive measurable improvements in rural physician access. Funding is up to $1.6M, and aims to foster long-term workforce capacity with rigorous stakeholder engagement, data-driven planning, and continuous technical assistance. Key contacts: ruralht@utah.gov
Event schedule:
- Application Deadline - 06/17/2026 - 5:00 PM MT - Online submission via Qualtrics
- Question Deadline - 06/15/2026 - 5:00 PM MT - ruralht@utah.gov
- Final Q&A Posting - 06/16/2026 - 5:00 PM MT - DHHS PCM page
- Agreement Period Start - 07/20/2026 - Utah DHHS
- Agreement Period End - 09/30/2027 - Utah DHHS
- Award Decision Notification - 06/26/2026 - Utah DHHS
May 29, 2026
Supporting
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2026-2030
Budget: $110.0M
UT - 2026 - Utah’s RHTP 2025 Application
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SupportingPDF2025-2030Budget: $50.0B
UT - 2025 - Utah RURAL HOSPITALS AND RHTP 2026 Guidance
This document provides a listing and preview of upcoming and available funding opportunities under Utah's Rural Health Transformation Program for Year 1 initiatives. No specific funding awards or deadlines are detailed yet; updates will be provided regularly.
The Utah Rural Clinical Preceptor Stipend Program is a workforce-focused initiative under RHTP aiming to expand rural clinical training capacity by offering stipends to eligible preceptors. For Year 1 (July–December 2026), $200,000 is available to compensate physicians, APRNs, and PAs precepting eligible students in rural counties. Applications are prioritized for first-time and uncompensated preceptors to strengthen the rural health workforce pipeline. Key contacts: opcrh@utah.gov
Event schedule:
- Application deadline - 06/08/2026 - 11:59 PM MT
- Year 1 Period of Performance - July 1, 2026 – December 1, 2026
- Invoice submission window opens - 12/02/2026 - 8:00 AM MT
- Invoice submission window closes - 12/11/2026 - 5:00 PM MT
- Exit questionnaire sent - 12/01/2026
Award: $195.7MWORKFORCE
Contacts
<opcrh@utah.gov> - Technical assistance - Primary Care and Rural Health (PCRH), Utah DHHS
Core Initiatives
Build lasting workforce infrastructure in rural Utah
Expand rural clinical preceptor capacity
Strengthen and modernize healthcare in rural communities through workforce development
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ApplicationPDF2025-2030
Utah’s RHTP provides a bold, generational investment and integrated framework to transform rural health care through seven targeted initiatives. The plan emphasizes upstream population health, rural workforce expansion, innovative payment models, data-driven care, and system modernization. A $1B strategy, it is poised to improve chronic, behavioral, maternal/child health outcomes, and ensure long-term rural hospital sustainability for 25 rural Utah counties.
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ApplicationPDFUpcoming2026-2030
Utah received a $195.7 million federal RHTP award for 2026, with initiatives spanning preventive health, rural workforce, infrastructure, technology, and innovation. 25 of Utah’s 29 counties are rural. Year 1 program initiatives are clearly defined, with multiple partners and a focus on competitive sub-awards for remaining funds.
Award: $195.7M
Guidance Documents (5)
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GuidanceNEWPDFEvent2026
This RFGA supports Utah's federally funded Rural Health Transformation Program to develop a strategic plan expanding rural Graduate Medical Education (GME) over 10 years. Up to one awardee will collaborate with diverse partners, including tribal and rural health facilities, to drive measurable improvements in rural physician access. Funding is up to $1.6M, and aims to foster long-term workforce capacity with rigorous stakeholder engagement, data-driven planning, and continuous technical assistance. Key contacts: ruralht@utah.gov
Event schedule:
- Application Deadline - 06/17/2026 - 5:00 PM MT - Online submission via Qualtrics
- Question Deadline - 06/15/2026 - 5:00 PM MT - ruralht@utah.gov
- Final Q&A Posting - 06/16/2026 - 5:00 PM MT - DHHS PCM page
- Agreement Period Start - 07/20/2026 - Utah DHHS
- Agreement Period End - 09/30/2027 - Utah DHHS
- Award Decision Notification - 06/26/2026 - Utah DHHS
Budget: $1.6MWORKFORCE · QUALITY_IMPROVEMENT · OTHER
CMS issued guidance stating it will not approve or extend new section 1115 demonstration authorities for workforce initiatives beyond currently approved projects. Five workforce demonstration projects have been previously approved involving over $1 billion in federal commitments.
Core Initiatives
Recalibrate approach to workforce initiatives to ensure health benefits, cost savings, and accountability
Utah is authorized to receive a minimum of $100 million per year over five years from a $50 billion Rural Health Transformation Program appropriation. The program requires states to submit detailed transformation plans addressing access, technology, workforce, financial solvency, and quality improvements.
Utah's RHTP planning is underway with a $500 million anticipated federal award spanning fiscal years 2026-2030. The state is focusing on improving rural health outcomes, expanding access, and advancing financial sustainability through prioritized initiatives across workforce development, technology innovation, and healthcare delivery models. Key contacts: Pam Bennett; Sarah Woolsey; Marc Watterson; Carrie Torgersen
Event schedule:
- CMS Application Release - September 15, 2025
- Proposal form live - End of September 2025
- Proposal form closes - October 6, 2025 - COB
- Open meetings - 2nd week in October 2025
- RHTP Work Group proposal prioritization - October 17, 2025
- Draft application due - End of October 2025
- Submit final application - November 5, 2025
- CMS announcement of awards - December 31, 2025
This CMS summary details high-level FY26 RHTP applications from more than a dozen states, each proposing major investments in rural hospital and Medicaid transformation. State plans emphasize telehealth, care integration, workforce development, behavioral and maternal health, and digital health infrastructure as core approaches for rural health system improvement. Award amounts per state (e.g., $203M Alabama, $272M Alaska) are reported at the state level, not for individual recipients.
Core Initiatives
Expand rural access to primary, maternal, behavioral health, and specialty care
Grow and sustain rural health workforce
Promote innovation and digital modernization
Show all initiatives (46)
Expand rural access to primary, maternal, behavioral health, and specialty care
Grow and sustain rural health workforce
Promote innovation and digital modernization
Foster integrated care networks and partnerships
Improve population health outcomes and reduce disparities
Empower rural residents through expanded population health solutions
Expand the supply of care by growing a rural workforce and spreading technologies that improve coordination
Establish alternative sites of care such as CCBHCs and school-based health centers
Strengthen rural healthcare workforce through apprenticeships, improved IT, and pipeline programs
Transform healthcare access and rural health outcomes through innovation, partnerships, and clinical infrastructure improvements
Build statewide healthcare hubs and networks to expand access and improve outcomes
Strengthen healthcare workforce recruitment, retention, and development
Modernize rural health data infrastructure and digital backbone
Improve care coordination and integration via collaborative regional models
Advance value-based payment models to improve quality, efficiency, and sustainability
Invest in behavioral health, chronic disease management, and maternal health
Leverage technology for telehealth, remote patient monitoring, and AI-enabled tools
Data Documents (1)
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DataHTML
The document describes Utah Flex and SHIP programs funded by HRSA to support rural hospitals in Utah, focusing on financial, operational, and quality improvements. Utah Flex ensures high quality healthcare is available in rural communities, while SHIP provides purchasing assistance and quality improvement support for small rural and critical access hospitals.
Uncategorized Documents (2)
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OtherHTML
The program includes the Utah Primary Care Grants Program, Medicare Rural Hospital Flexibility Program (Utah Flex), Small Rural Hospital Improvement Program (SHIP), and various loan repayment and workforce support programs. It is administered by the State Office of Rural Health and collaborates with multiple entities to enhance rural health workforce, primary care, and hospital sustainability.
Core Initiatives
Improve access to quality healthcare in rural and underserved areas
Support rural health workforce development
Strengthen rural hospital sustainability
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OtherHTML
Utah was awarded approximately $195.7 million for the first year of RHTP, with an expected baseline of $100 million annually through FY2026-FY2030. The program is organized around four strategic goals addressed through seven broad initiatives involving state, local, tribal, and community partners. Key areas include workforce development, health and wellness promotion, innovation and infrastructure investment, and technology advancement to improve rural healthcare delivery.
Documents predating or adjacent to the RHTP program — useful background, excluded from main activity feed.
UT - 2026 - Utah Primary Care Grant Program | PCRH
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UT - 2026 - Leadership - Utah Department of Health and Human Services
2026 · HTML
Rural Health Connect Newsletter
Source Checks
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Award: $1.0B
Core Initiatives
Making rural Utahns healthy: Support upstream projects that promote healthy lifestyles, prevent illness, manage chronic disease, improve maternal and child health outcomes, and address behavioral health.
Workforce development: Grow, attract, and retain skilled healthcare providers to deliver high-quality, comprehensive care in rural communities.
Innovation and access: Strengthen infrastructure, share resources, and adopt innovative, data-driven care approaches for sustainable and reliable care.
Show all initiatives (15)
Making rural Utahns healthy: Support upstream projects that promote healthy lifestyles, prevent illness, manage chronic disease, improve maternal and child health outcomes, and address behavioral health.
Workforce development: Grow, attract, and retain skilled healthcare providers to deliver high-quality, comprehensive care in rural communities.
Innovation and access: Strengthen infrastructure, share resources, and adopt innovative, data-driven care approaches for sustainable and reliable care.
Technology innovation: Increase use of modern technology to make care easier, faster, and more secure for rural providers and patients.
Workforce development
Innovative care
Sustainable access
Tech innovation
Generate permanent, systemic, and generational change in rural healthcare
Create financial viability without future financial obligations
Establish self-sustaining models and shift payment toward value and efficiency
Incorporate successful rural health transformation goals into state policy
Address reductions in federal funding by creating financial viability and shifting revenue models
Modernize infrastructure and expand telehealth capacity
Address workforce shortages and promote rural health workforce development