HHS Region 10 · WA Health Care Authority — RHTP
Program Overview
Washington is actively implementing the Rural Health Transformation Program, launching six major initiatives to advance rural hospital innovation, workforce development, care access, and community health. Current efforts emphasize system transformation with priorities shaped by stakeholder and tribal engagement, and explicit focus on behavioral health and technology. The first performance period begins December 2025, under a long-term strategy rather than short-term grantmaking. Current structured plan tracks 12 key initiatives and 11 strategic goals.
Updated
County-level estimates averaged across Washington — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (39)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| King County | 2,287,171 | 8.6% | 5.2% |
| Pierce County | 930,319 | 8.8% | 5.9% |
| Snohomish County | 844,430 | 8.0% | 5.5% |
| Spokane County | 549,056 | 11.7% | 7.3% |
| Clark County | 516,959 | 8.0% | 5.5% |
| Thurston County | 299,067 | 9.5% | 6.4% |
| Kitsap County | 277,881 | 8.2% | 5.4% |
| Yakima County | 257,152 | 15.5% | 11.7% |
| Whatcom County | 230,503 | 12.9% | 7.2% |
| Benton County | 212,905 | 11.0% | 8.2% |
| Skagit County | 131,328 | 11.6% | 7.4% |
| Cowlitz County | 112,360 | 12.2% | 8.0% |
AI source: WA - 2018 - Washington Department Of Health And Human Services Section 438.6(c) DRAFT Preprint – 06/24/20 Centers For Medicare & Medicaid Services STATE: CALIFORNIA (3 Of 6 Preprints) ________
AI auto-updated May 22, 2026
API refreshed May 7, 2026
Centers for Medicare & Medicaid Services (CMS)
Due Nov 5, 2025
7 related documents
WA - 2026 - CMS RHTP 50-State Spotlight (FY2026) — Washington
780,653 rural residents
Washington has issued its own RFA for the Rural Health Transformation Program Provider Technology Fund, marking the shift to the implementation phase. The state is actively soliciting applications from eligible rural health entities, with the application cycle open through August 13, 2026. Applications are under review, and awards will be executed following successful contract completion. No sub-recipient awards have yet been made as of mid-July 2026. State opportunities: 3 active (2 open, 1 upcoming), $10.0M listed funding. Key opportunities: Washington RHTP Activity 1.4: Sustain and strengthen maternal, emergency, and specialty services at risk in rural areas; Washington RHTP Provider Technology Fund (2026HCA12); Washington RHTP OTP Workforce Incentive Program (2026HCA9). Strategy alignment: supports maternal health, telehealth, prevention priorities.
Washington’s RHTP strategy maintains a statewide focus on rural health transformation through targeted investment in hospital infrastructure, provider technology, operational networks, workforce development, and Tribal health supports. Recent evidence reinforces a structured, multi-year approach with competitive grants, rigorous compliance, and technology modernization, emphasizing sustainability, behavioral health, and enhanced service delivery in rural and Tribal communities. The plan aligns with federal RHTP requirements and leverages interagency and community input.
Model
Multi-sector, integrated delivery system transformation centered on hospital innovation, collaborative rural health networks, competitive technology funding for provider capacity, workforce expansion, value-based models, and a 10% tribal funding set-aside.
Key Initiatives
Timeline: Application submitted fall 2025; federal funding available annually through 2026–2030; implementation begins late 2025 with annual reporting and initiative phases; 10% of funds reserved for Tribal investments throughout the period. Provider Technology Fund contracts extend through September 30, 2031, including annual and quarterly reporting cycles.
This supporting document provides additional information linked to Washington's RHTP Activity 1.4 grant opportunity. The program aims to sustain and strengthen maternal, emergency, and specialty health services at risk in rural communities.
This Exhibit is a sample contract template for use with selected RHTP Provider Technology Fund grantees. It outlines compliance, reporting, invoicing, and deliverable requirements for contract recipients. It is incorporated by reference into the full 2026HCA12 procurement package and specifies terms, insurance requirements, dispute resolution, and other c...
This document is the required Application Questions section for the Washington RHTP Provider Technology Fund (2026HCA12) RFA. It details required topics for applicants, including organizational experience, demographic and community needs, technology implementation plans (including remote monitoring and technical assistance), budget justification, and sust...
WA - 2025 - Washington RHTP (rhtp-webinar-qa-20251027)
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WA - 2025 - Washington RHTP (rhtp-webinar-qa-20250925)
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WA - 2026 - RHTP NOFO Overview, Washington’s Community Input Themes, and Application Planning 1
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WA - 2026 - Washington Public Engagement
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WA - 2026 - Washington RHTP An Overview Summary
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WA - 2026 - Dear Tribal Leader Letter
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Due Aug 13, 2026
5 related documents
WA - 2026 - Washington RHTP Provider Technology Fund (2026HCA12) Request for Applications
RFA 2026HCA12 Notice of Request for Applications
WA - 2026 - Exhibit A: Application Forms And Certifications
RFA 2026HCA12 Exhibit A Applicant Forms and Certifications
WA - 2026 - RHT Provider Technology Fund - Grants Opportunity
RFA 2026HCA12 Exhibit B Application Questions
WA - 2026 - RFA 2026HCA12 Exhibit D Budget Proposal Template
RFA 2026HCA12 Exhibit D Budget Proposal Template
WA - 2026 - Exhibit C: Sample Draft Contract
RFA 2026HCA12 Exhibit C Sample Draft Contract
Washington State Health Care Authority (HCA)
Due Aug 12, 2026
3 related documents
WA - 2026 - OTP Workforce Incentive Program RFA (2026HCA9)
Request for Applications (RFA)
Washington State Health Care Authority
Grouped files
1 related document
WA - 2024 - SUPPORTING document for Washington RHTP Activity 1.4 grant opportunity
Source listing page
| FY↓ | Awardee↕ | Amount↕ | Activity↕ | Source |
|---|---|---|---|---|
| 2025-2030 | Washington Tribes and Indian Health Care Providers 10% of the total Rural Health Transformation award will go directly to tribes and IHCPs for strengthening rural healthcare and investments in maternal health. | $30.2M | Population Health |
Washington State plans to apply for the five-year Rural Health Transformation Program funding beginning fiscal year 2026. The document outlines tribal engagement and priority areas including workforce, technology, hospital support, and tribal set asides.
Event Schedule
Core Initiatives
Washington is planning its application for the federal Rural Health Transformation Program, potentially securing $100 million annually. The plan prioritizes technology-enabled care, workforce investment, chronic disease management, prevention, and infrastructure. Key partners include state agencies and tribal consultation, with public input and provider engagement underway.
This compendium summarizes FY26 Rural Health Transformation Program applications from multiple states, each addressing rural health access, workforce, infrastructure, and innovation. Major funding requests and initiatives cover obstetric and maternal health, digital expansion, telehealth, prevention, value-based care, and hospital stabilization. Specific program or award recipient details are not provided—this is a federal-level executive summary.
Core Initiatives
This 2024 report identifies critical gaps in Washington State's mobile crisis response system for older adults, emphasizing fragmentation, workforce shortages, and accessibility challenges. It recommends improved funding, cross-sector collaboration, workforce development, enhanced facility capability, and prioritizing equity across underserved communities.
Core Initiatives
This Exhibit is a sample contract template for use with selected RHTP Provider Technology Fund grantees. It outlines compliance, reporting, invoicing, and deliverable requirements for contract recipients. It is incorporated by reference into the full 2026HCA12 procurement package and specifies terms, insurance requirements, dispute resolution, and other contractual obligations for prospective awardees. Event schedule: - Annual Report #1 Due - 2026-07-31 - America/Los_Angeles - Quarterly Report #1 Due - 2026-10-30 - America/Los_Angeles - Quarterly Report #2 Due - 2027-01-30 - America/Los_Angeles - Annual Report #2 Due - 2027-07-31 - America/Los_Angeles - Quarterly Report #3 Due - 2027-04-30 - America/Los_Angeles
Event Schedule
Core Initiatives
This Exhibit contains required eligibility, organization, and certification forms to apply for the Washington RHTP Provider Technology Fund. Eligibility emphasizes rural provider status, legal authorization to operate in WA, and compliance with federal patient eligibility. Funds will support provider technology upgrades to advance rural health transformation.
This supporting document provides additional information linked to Washington's RHTP Activity 1.4 grant opportunity. The program aims to sustain and strengthen maternal, emergency, and specialty health services at risk in rural communities.
Core Initiatives
WA canonical state summary updated: progressSummary updated · transformationStrategy updated · strategicGoals updated
MN - 2026 - Request for Proposal: RHTP: Children’s Mental Health Initiative
May 11, 2026 18:31
·EmailMN - 2025 - Minnesota RHTP Funding Opportunities and Updates Summary
May 11, 2026 15:03
·EmailWA - 2025 - Washington RHTP Overview
WA RHTP site updated — 1 new doc(s)
Spreadsheets, data exports, and reference documents — available for download but excluded from the main activity feed. Showing the 40 most recent of 720.
WA - 2026 - paying for value survey payer template 2026.xlsx
XLSX
WA - 2026 - RFA 2026HCA12 Exhibit D Budget Proposal Template
XLSX
Washington Authorization For Release Of Information Health Care Authority Is Authorized To Release 1 Information Or Records About Last Name, First Name, Middle Initial Client I.D.
WA - 2026 - OTP Workforce Incentive Program Exhibit A (2026HCA9)
Exhibit A: Applicant Forms and Certifications
WA - 2026 - OTP Workforce Incentive Program Exhibit B (2026HCA9)
Exhibit B: Application Questions
Event Schedule
Core Initiatives
The Rural Health Transformation Program (RHTP), authorized by the One Big Beautiful Bill Act of 2025, allocates $10 billion annually to states for rural health system transformation from 2026–2030. Washington must submit a state plan to access funds, with major priorities in rural health access, workforce, quality, partnerships, and financial stability. Large potential losses in Medicaid/ACA coverage could impact hundreds of thousands of rural WA residents along with critical access and rural hospital viability.
Event Schedule
Core Initiatives
Washington was awarded over $181 million for Budget Period 1 of the Rural Health Transformation Program, launching six major initiatives to strengthen rural hospital innovation, workforce, care access, and community health. Priorities were informed by extensive stakeholder engagement with explicit attention to Tribal health, behavioral health, and technological transformation. The RHTP aims for long-term, statewide system transformation, not just short-term grants. Key contacts: RHT Program Inbox Event schedule: - Application deadline: RHT Advisory Committee - 04/24/2026 - HCA RHT Webpage - Washington RHT Program Webinar #2 - September 16, 2026 - 1:00 PM PT - Teams meeting (online) - Budget Period 1 Performance Start - 12/29/2025
Contacts
Core Initiatives
This document is the required Application Questions section for the Washington RHTP Provider Technology Fund (2026HCA12) RFA. It details required topics for applicants, including organizational experience, demographic and community needs, technology implementation plans (including remote monitoring and technical assistance), budget justification, and sustainability strategies. Applicants are encouraged to describe partnerships, technology use cases, financial integration, and quality improvement alignment.
Core Initiatives
Core Initiatives
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