HHS Region 8 · Utah DHHS — Rural Health Transformation
Program Overview
Utah's Rural Health Transformation Program is in early implementation, led by the Utah Department of Health and Human Services, following a $195.7 million CMS award for Year 1 and an anticipated program duration through 2030. Current structured plan tracks 9 key initiatives and 5 strategic goals.
Updated
County-level estimates averaged across Utah — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (29)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Salt Lake County | 1,196,523 | 8.1% | 5.2% |
| Utah County | 705,400 | 8.7% | 5.6% |
| Davis County | 370,924 | 6.4% | 5.2% |
| Weber County | 269,648 | 8.1% | 5.8% |
| Washington County | 196,431 | 9.8% | 6.4% |
| Cache County | 140,046 | 12.0% | 6.7% |
| Tooele County | 79,347 | 5.2% | 3.2% |
| Iron County | 62,252 | 13.8% | 9.0% |
| Box Elder County | 61,246 | 8.4% | 5.5% |
| Summit County | 42,970 | 4.9% | 3.2% |
| Uintah County | 37,056 | 11.8% | 9.1% |
| Wasatch County | 36,642 | 4.7% | 3.1% |
AI source: UT - 2025 - Utah RHTP Update and Year 1 Funding Allocations
AI auto-updated Jul 16, 2026
API refreshed May 7, 2026
Grouped files
4 related documents
UT - 2026 - CMS RHTP 50-State Spotlight (FY2026) — Utah
391,865 rural residents
Utah has launched multiple RHTP funding opportunities, including RFGAs for key initiatives such as behavioral health integration and value-based care in 2026. Application periods are open, detailed requirements released, and pre-award processes are in progress with award notifications scheduled starting July 2026. Subrecipient terms and review processes are underway, marking open state-level procurements and active advancement toward subrecipient contracting. Key opportunities include SPRINT Consortium, scalable telehealth, and workforce incentive grants, with $130.9M in listed funding. State opportunities: 8 active (6 open, 1 upcoming, 1 closing soon, 4 past/closed), $130.9M listed funding. Key opportunities: SPRINT Consortium (Sustainable Provider Revenue, Infrastructure, and Network Technology); LIFT 5.1: Scalable Telehealth Projects; RISE 2.5: Recruit and Retain Workforce-Incentive Grant. Strategy alignment: supports telehealth, workforce, care access priorities.
Utah’s RHTP is overseen by the Department of Health and Human Services and is funded exclusively via federal, time-limited CMS awards. The program coordinates seven named initiatives—PATH, RISE, SHIFT, FAST, LIFT, SUPPORT, and LINCS—through competitive, milestone-driven sub-awards. Strategy is structured around four strategic pillars and 24 defined activities, focusing on rural health outcomes, workforce, infrastructure modernization, value-based payment, telehealth, technology modernization, and interoperable data. Stakeholder engagement and annual CMS reporting ensure progress and accountability.
Model
Regionally coordinated transformation integrating seven sector-spanning initiatives within four strategic pillars: health, workforce, innovation/access, and technology. Competitive federal funding, defined milestones, and outcome measurement underpin improvement at local and statewide levels.
Key Initiatives
Timeline: FY2026–2030; CMS notice of award December 2025, annual implementation with competitive sub-awards, defined milestones, quarterly/annual CMS reporting, and no ongoing state funding obligation
Workforce Development: RISE initiative focuses on building, recruiting, and retaining a robust healthcare workforce across rural Utah. Workforce shortages are a major barrier to rural health access. (Regions: Rural Utah statewide)
Physical and Behavioral Health Integration: PATH initiative seeks to integrate behavioral health with primary care to foster lifelong wellness among rural Utahns. Addressing mental health and chronic disease is a core priority. (Regions: Rural Utah statewide)
Infrastructure & Technology: SHIFT and SUPPORT initiatives aim to modernize rural facilities, expand telehealth, and improve data and administrative infrastructure, addressing gaps in access, quality, and connectivity. (Regions: Rural Utah statewide)
UT - 2026 - Utah RHTP (Rural-Health-Transformation-Program-–-One-Pager-12.2025)
Auto-grouped context match (38%)
UT - 2025 - Utah Rural Hospitals And RHTP 2026 Guidance
Auto-grouped context match (53%)
UT - 2025 - Utah RHTP Situation 2025 Guidance
Auto-grouped context match (40%)
Utah Department of Health and Human Services (Utah DHHS)
Due Aug 7, 2026
3 related documents
UT - 2026 - LINCS 7.3 & 7.4 Semantic Data Model RFGA Q & A
Auto-grouped context match (45%)
UT - 2026 - Utah RHTP Request for Grant Application: RFGA Semantic Data Model
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UT - 2026 - Utah RHTP Funding Opportunities
UT RHTP Funding Opportunities listing page (crawled copy pending refresh)
Utah Department of Health and Human Services (DHHS)
Due Aug 7, 2026
1 related document
UT - 2026 - Utah RHTP Funding Opportunities
UT RHTP Funding Opportunities listing page (crawled copy pending refresh)
Utah Department of Health and Human Services
Due Aug 4, 2026
3 related documents
UT - 2026 - Utah RHTP RFGA Recruit & Retain
RISE 2.5 RFGA Packet (PDF)
| FY↓ | Awardee↕ | Amount↕ | Activity↕ | Source |
|---|---|---|---|---|
| 2025 | Utah Education and Telehealth Network (UETN) Funding for telehealth projects to expand rural access. | $25.0M | Health IT | |
| 2025 | Utah State Board of Education (USBE) Gold Medal Schools programs promote healthy behaviors among rural youth. | $3.2M | Population Health |
This Utah DHHS Primary Care & Rural Health newsletter highlights new grant opportunities from FORHP to support rural hospitals with finance, workforce, and access to care. Utah is recognized for leadership in oral health integration, and a local clinic manager is honored for rural service. The newsletter shares workforce certification initiatives and SUD-focused events to strengthen rural provider capacity. Event schedule: - Carrying the Work Forward: A SUD Training and Quick Reference for Rural Clinic Teams - 07/17/2026 - 12:00 PM MST - University of Utah, Project ECHO webinar (registration link provided)
Event Schedule
Core Initiatives
Utah was awarded nearly $196 million from CMS for the first year of the Rural Health Transformation Program. This historic federal investment aims to catalyze system-wide transformation in rural Utah, focusing on access, quality, workforce, infrastructure, and technology. Utah's comprehensive plan aligns with CMS guidance and features seven key initiatives across four strategic goals. Key contacts: ruralht@utah.gov Event schedule: - CMS Award Announcement - 12/29/2025 - Utah RHTP Application Submission - November 5, 2025 - RHTP Informational Webinar - 07/13/2026 - MT - Google Meet - FAST Initiative 4.1 RFGA Webinar - 06/29/2026 - PATH Initiative 1.5 RFGA Webinar - 06/18/2026 - RHTP Informational Webinar - 06/26/2026 - Application Deadline for RISE 2.5: Recruit and Retain - 08/04/2026 - 5:00 p.m. MT
Event Schedule
Contacts
Core Initiatives
Event schedule: - ‹#› Application deadline: , 2026 at 5:00 p.m. MT Late applications will not be considered One application per entity is allowed for this RFGA Funding source: 100% federal funds (RHTP) Questions regarding this RFGA? Em... - ‹#› Agreement Period: Anticipated , 2026 to September 30, 2027. Agreements may be extended contingent on project progress and the availability of funds. Funding Available: Up to $20M total in Budget Period 1 Expected... - ‹#› Future questions regarding this RFGA: email ruralht@utah.gov Q&A here : RISE: 2.5 Recruit and Retain RFGA Q&A document Deadline to submit questions: , 2026 at 5:00 p.m. MT Final Q&A page update: August... - REMINDER: Application Deadline Tuesday , , 2026 5:00 p.m. MT ‹#› - August 4 - --- Slide 27 ---
Event Schedule
Utah DHHS is seeking a consortium lead to implement capital infrastructure, financial, and technology transformation initiatives in rural Utah using up to $291.8M in RHTP federal funds over five years. Programs must support outreach to all rural stakeholders, with focus on tribal and underserved populations. Key contacts: Utah RHTP Team ruralht@utah.gov Event schedule: - Letter of Intent Deadline - 07/27/2026 - 5:00 PM MT - Question Submission Deadline - 08/05/2026 - 5:00 PM MT - Final Q&A Update - 08/06/2026 - 5:00 PM MT - Application Deadline - 08/07/2026 - 5:00 PM MT - Anticipated Award Start Date - 09/11/2026 - MT - DHHS notifies all applicants of award decision - 2026-08-26 - Notice of Award - 2025-12-29
Event Schedule
Contacts
Core Initiatives
Event schedule: - Notice of Award - 2025-12-29 - America/Denver - N/A - Award Decision Notification - 2026-08-04 - America/Denver - N/A
Event Schedule
Event Schedule
Utah RHTP is implementing a $195.7M Year 1 federal award. Multiple state agencies have received direct allocations for rural health, EMS, telehealth, and infrastructure. 81% of funds are obligated, competitive grants are launching, and annual reporting to CMS is scheduled. Key contacts: Krisann Humphreys; Christine Espinel; Jackie Patel; Michelle Geller Event schedule: - CMS site visit - July 16, 2026 - MT - Utah - CMS site visit - July 17, 2026 - MT - Utah - First annual progress report & Year 2 application due to CMS - August 30, 2026 - MT - Funds obligation deadline - October 30, 2026 - MT
Event Schedule
Contacts
Core Initiatives
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.
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.
The document clarifies registration requirements for applicants, indicating that state or federal registration is not necessary before applying and will be handled post-award. It explains how the LINCS 7.3-7.4 initiative supports value-based care by standardizing disparate EHR data and facilitating robust interoperability for rural providers. DHHS will coordinate grantees to maximize efficiency and avoid duplicated efforts.
Core Initiatives
This document outlines subrecipient requirements for Utah's Rural Health Transformation Program, a five-year CMS-funded initiative. It details reporting, invoicing, compliance, data handling, insurance, and employment law obligations. The guidance is intended to ensure rigorous stewardship and accountability for subawarded RHTP funds and activities in rural Utah. Key contacts: dhhsfinancialreports@utah.gov Event schedule: - Budget Period 1 Start - 12/29/2025 - Budget Period 1 End - 10/30/2026
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
October 2025
Open meetings
↳ UT - 2025 - Utah RHTP Stakeholder Meeting September 24, 2025
12/31/2025
CMS announces awards
↳ UT - 2025 - Utah RHTP Stakeholder Meeting September 24, 2025
11/05/2025
Final application submission
↳ UT - 2025 - Utah RHTP Stakeholder Meeting September 24, 2025
10/31/2025
Draft application
↳ UT - 2025 - Utah RHTP Stakeholder Meeting September 24, 2025
10/30/2026
End of Budget Period 1 / Funds obligation deadline
↳ UT - 2025 - Utah RHTP Update and Year 1 Funding Allocations
10/17/2025
RHTP Work Group bundle/prioritize
↳ UT - 2025 - Utah RHTP Stakeholder Meeting September 24, 2025
10/06/2025
Proposal form closes
↳ UT - 2025 - Utah RHTP Stakeholder Meeting September 24, 2025
09/30/2025
Proposal form live
↳ UT - 2025 - Utah RHTP Stakeholder Meeting September 24, 2025
09/15/2025
CMS releases application
↳ UT - 2025 - Utah RHTP Stakeholder Meeting September 24, 2025
08/30/2026
Year 2 application due to CMS
↳ UT - 2025 - Utah RHTP Update and Year 1 Funding Allocations
07/17/2026
CMS site visit
↳ UT - 2025 - Utah RHTP Update and Year 1 Funding Allocations
07/16/2026
CMS site visit
↳ UT - 2025 - Utah RHTP Update and Year 1 Funding Allocations
UT RHTP site updated — 1 new doc(s)
UT RHTP site updated — 3 new doc(s)
UT RHTP site updated — 1 new doc(s)
UT RHTP site updated — 6 new doc(s)
UT - 2026 - Rural Health Connect Improving the health of rural communities In this issue: July 1, 2026 Statewide updates and news
Jul 1, 2026 12:01
·EmailSpreadsheets, data exports, and reference documents — available for download but excluded from the main activity feed.
RuralUtahSheet.pdf
UT - 2026 - PCRH | Primary Care and Rural Health Website
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UT - 2026 - Maps | PCRH
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UT - 2025 - RISE Initiative 2.5 Recruit & Retain RFGA Q & A
RISE 2.5 Q&A (DOCX export)
UT - 2026 - Utah RHTP Funding Opportunities
Utah RHTP Funding Opportunities Page
Utah RHTP has announced multiple, concurrent funding opportunities to support rural transformation through value-based care models, workforce recruitment/retention, data interoperability, and behavioral health integration. Opportunities address Utah’s core rural priorities, including sustainable payment reforms, workforce pipeline expansion, and care model innovations. No awards have been made yet; all opportunities are in solicitation or application phase. Key contacts: Utah RHTP Team rhtp@utah.gov; Office of Primary Care and Rural Health opcrh@utah.gov Event schedule: - FAST 4.1: Value-Based Care Models Application Open - June 24, 2026 - MT - FAST 4.1: Value-Based Care Models Application Due - July 22, 2026 - 5:00 p.m. MT - FAST 4.1: Anticipated Award Start Date - September 8, 2026 - RISE 2.5: Recruit and Retain Application Open - July 7, 2026 - MT - RISE 2.5: Recruit and Retain Application Due - August 4, 2026 - 5:00 p.m. MT - RISE 2.5: Anticipated Award Start Date - September 14, 2026 - LINCS 7.3–7.4: Forecasted Application Open Date - July 10, 2026 - PATH 1.5: Application Open - May 29, 2026 - MT
Event Schedule
Contacts
Core Initiatives
This is a competitive solicitation to select up to five grantees for structured clinical workforce recruitment and retention incentives in rural Utah. Total anticipated funding for Budget Period 1 is $20M; sub-awards will target hospitals, clinics, FQHCs, nursing homes, and billing providers. Grantees must enforce CMS 5-year service commitments. Key contacts: Utah RHTP Team ruralht@utah.gov Event schedule: - Application Deadline - 08/04/2026 - 5:00 PM MT - Questions Deadline - 07/31/2026 - 5:00 PM MT - Final Q&A Posted - 08/03/2026 - 5:00 PM MT - dhhs.utah.gov/ruralhealth/funding-opportunities/ - Grant Agreement Start - 09/14/2026 - Grant Agreement End - 09/30/2027 - RFGA award notification - 2026-08-13 - Budget Period 1 - Agreement Start Date - 2026-10-30 - Budget Period 1 - Funds must be expended by - 2027-09-30
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Contacts
Core Initiatives
Core Initiatives
Core Initiatives
Event Schedule
Contacts
Core Initiatives
This document answers key stakeholder questions regarding FAST 4.1 Value-Based Care funding for rural Utah providers, including clarification of administrative cost limits, application structure, and expectations around interoperability and partnerships. The initiative will fund a single lead recipient who will act as a central convener, supporting participation of rural facilities in value-based care models. Success measures include ACO and CIN expansion, multi-payer contract alignment, improved data infrastructure, and the permanent sustainability of rural providers.
Event Schedule
Core Initiatives
Vendor/Customer Creation/Modification Form - Utah Division of Finance
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UT - 2026 - Leadership - Utah Department of Health and Human Services
2026 · HTML
Rural Health Connect Newsletter
2026
Utah Demographic Insight May 2024 Utah Demographic Characteristics: Urban And Rural Populations Nine Of Every Ten Utahns Live In An Urban Area, As Defined By Demographics The Censu
2024 · PDF
UT - 2026 - View Accreditation Council PDF Here
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UT - 2026 - Oral health programs | PCRH
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UT - 2026 - Primary Care Needs Assessment | PCRH
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UT - 2026 - Oral Health Program | PCRH
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