Vermont

This addendum provides access to a recorded meeting and transcript for applicants and stakeholders of the Mobile Integrated Healthcare Implementation Services NOFO. It is intended to ensure equitable access to procurement information.

This addendum updates the timeline for Vermont's Rural Health Transformation Program subrecipient grant competition, establishing two application rounds for rural healthcare provider transformation funding. The grant periods range from 10 to 11 months, starting in September or October 2026 and ending July 30, 2027. Extensions beyond Year 1 are possible with AHS and CMS approval. Event schedule: - Application Posted (Round 1) - June 19, 2026 - Deadline for Questions (Round 1) - June 26, 2026 - Application Deadline (Round 1) - July 17, 2026 - Commencement of Grant Agreement (Round 1) - September 1, 2026 - Application Deadline (Round 2) - August 17, 2026 - Commencement of Grant Agreement (Round 2) - October 1, 2026

This document summarizes FY26 RHTP applications for multiple states. States describe major investments (over $150M each) in maternal and chronic disease care, telehealth, mobile health units, workforce pipelines, and value-based care. Strategies emphasize regionally-coordinated efforts, technology upgrades, expanded clinical rotations, and stronger data sharing to transform rural health delivery.

Vermont submitted its Rural Health Transformation Fund application for federal funding covering 2026-2030. The application focuses on strengthening rural health networks through coordination, technology sharing, workforce support, and affordability. Exact award amounts are yet to be determined by federal review.

This progress report details significant organizational restructuring at University of Vermont Health Network, resulting in $8.1 million in annual savings, as well as the commissioning of two consultant studies to optimize clinical operations and forecast fiscal sustainability. It also recounts ongoing negotiations to implement value-based care contracts with BCBS VT and the state's effort to address affordability, quality, and population health. The Liaison Team continues to oversee progress, aiming to inform and guide Vermont's rural health transformation strategy. Event schedule: - Consultant studies begin - 01/01/2026 - Consultant studies complete - 03/31/2026 - Liaison Team project completion estimated - Fall 2026

Vermont is advancing a statewide rural health transformation strategy under Act 68 of 2025, building on prior community engagement and legislative mandates. Fourteen hospitals are engaged in shared services, care shifts to appropriate settings, analytics, and service line optimization. The state is broadening efforts to include primary care and community provider transformation, aiming for a sustainable, equitable rural health system.

Vermont's rural hospitals are pursuing multifaceted transformation strategies tailored to local needs, with emphasis on cost containment, specialist access, interoperability, and population health. Collaborative purchasing and network approaches are used to help achieve financial sustainability. No explicit funding allocations or award amounts are identified in this strategy document.

The Vermont RHTP is funded with a grand total of $195,053,740 and managed by the Human Services Vermont Agency. The program's period of performance spans from December 29, 2025, to October 30, 2030. The award is classified as discretionary and is focused on rural health transformation. Event schedule: - Period of Performance Start - 12/29/2025 - Period of Performance End - 10/30/2030

This Q&A document addresses applicant questions for a Vermont RHTP subrecipient grant to plan and implement a statewide tool for guiding interfacility transfers, focusing initially on feasibility, planning, and pilot deployment. The program intends a phased implementation, seeking robust inter-organizational coordination, health IT integration (HIE/EHR), and direct EMS involvement, especially with independent and rural hospitals. There is no fixed award amount; eligibility is open to qualified for-profit and non-profit entities, and implementation must demonstrate live production with at least one independent hospital. Event schedule: - commencement - 2026-09-01

This document provides the required budget template for applicants to Vermont's RHTP facility upgrade, care transformation, and interfacility transfer solicitations. Applicants must ensure compliance with funding restrictions, especially prohibitions on supplanting existing sources, and thoroughly justify all line item requests.

This document is an addendum to the Vermont Rural Health Transformation Program subrecipient grant regarding telehealth technology adoption, specifying corrections and compliance updates.