Virginia

Virginia Medicaid will initiate a $14 billion procurement to transform its managed care program, targeting implementation in 2024. The transformation will prioritize quality improvement, value-based care, and measurable health outcome improvements. Stakeholder input will be sought in the design of the program. Key contacts: Christina Nuckols christina.nuckols@dmas.virginia.gov Event schedule: - Procurement Launch - 2023 - Virginia Department of Medical Assistance Services - Target Implementation Date - 07/01/2024 - Commonwealth of Virginia

Virginia was awarded $189.5 million in RHTP funding for its first budget period starting in FY 2026. The funding supports rural health transformation, with strategic goals including increased access, workforce development, and rural health innovation. Formal Requests for Applications (RFAs) to local entities have not yet been opened. Event schedule: - Federal application deadline - 11/05/2025 - Virginia received Notice of Award - December 2025 - Anticipated End of Spending for BP 1 funds - 10/31/2027 - Anticipated End of Spending for BP 2 funds - 10/31/2028 - Anticipated End of Spending for BP 3 funds - 10/31/2029 - Anticipated End of Spending for BP 4 funds - 10/31/2030 - Anticipated End of Spending for BP 5 funds - 10/31/2031

Virginia aims to strengthen rural health systems statewide through a nearly $200 million federal award for 2026.

Virginia has not yet opened formal Requests for Applications for RHT funding. The program focuses on initiatives such as innovation in care, provider productivity, workforce pipeline development, and connected care models, involving multiple key partners. Rural organizations are encouraged to review program priorities and sign up for future funding updates.

WV RHTP released a new RFI to enable remote patient monitoring for chronic disease in rural settings. Applications must be submitted via wvOASIS. Additional RFIs and opportunities will be released on a rolling basis. Event schedule: - Connected Care Grid RFI Due Date - 06/22/2026 - ET - wvOASIS VSS portal - RHTP Informational Webinar - 03/24/2026 - YouTube (see program links)

This summary covers Rural Health Transformation Program FY26 applications from over a dozen states, outlining funding levels and state strategies. Key themes include workforce expansion, maternal health, chronic disease prevention, technological adoption (telehealth, EHR), regional partnership models, EMS modernization, and innovative payment and care delivery models. No sub-grantee or recipient-level awards listed.

Virginia is re-procuring its statewide Medicaid managed care program, Cardinal Care Managed Care, with enhanced focus on quality improvement, data-driven analytics, and equitable access to care. The program introduces a single managed care contract, new models and value-based care initiatives, and specialized plans for foster care youth. Transition to new MCOs and enrollment enhancements take effect July 1, 2025.

Virginia Medicaid launched Cardinal Care Managed Care, its largest program affecting 1.4 million Virginians and emphasizing member-centered care. Five health plans will serve Medicaid members beginning July 1, 2025, offering enhanced benefits in behavioral health, maternal and child health, and long-term services. The program is centered on improving population health, transparency, and innovation. Key contacts: Cheryl Roberts vamedicaidmediarequests@dmas.virginia.gov Event schedule: - Program Launch - 07/01/2025 - ET - Virginia

Virginia received $189,544,888 for the first budget year and will receive new federal awards over five years to strengthen rural health. The program focuses on four key initiatives: tech modernization, workforce development, expanded care models, and community wellness. Key Implementation Partners lead and manage sub-initiatives in collaboration with agencies and community organizations. Event schedule: - Webinar: Rural Health Transformation in Virginia: Updates, Opportunities, and Next Steps - 06/03/2024

In 2025, Virginia launched its largest-ever Medicaid managed care transformation, transitioning 1.7 million people into the Cardinal Care system. Major advances include improved outcomes in maternal and behavioral health, significant reductions in avoidable emergency room visits, and strengthened oversight mechanisms. The state reported robust workforce retention, enhanced IT security, and progress in language and disability access.