Wyoming's Rural Health Transformation Program is in early implementation following its first-year award in December 2025, with activities focused on advancing chronic disease prevention, behavioral health, sustained rural care access, workforce development, and technology-driven care delivery. The program emphasizes care and payment model innovation, rural EMS and hospital support, workforce training, and IT modernization, guided by a phased schedule in collaboration with CMS, the state legislature, and a multi-step RFA/RFP process. Current structured plan tracks 11 key initiatives and 6 strategic goals.
Wyoming’s Rural Health Transformation Program formally opened its Requests for Applications (RFAs) to providers on July 1, 2026. The state is now actively accepting applications across multiple initiatives, including critical access hospital support, EMS regionalization, workforce and technology development, with an application deadline set for August 2, 2026. County health departments and rural healthcare providers are preparing submissions, and FAQs have been issued describing eligibility and cost rules. This marks clear statewide procurement launch and sustained implementation activity. State opportunities: 6 active (6 open), $138.0M listed funding. Key opportunities: Wyoming RHTP RFA - 1.1. Critical Access Hospital - Basic; Wyoming RHTP RFA - 1.2. EMS Regionalization; Wyoming RHTP RFA - 2.2. Physician Graduate Medical Education. Strategy alignment: supports ems, care access, workforce priorities.
RHTP Strategy
Wyoming’s RHTP advances a milestone-driven, state-led rural health transformation by directly investing federal and state funding into strengthening healthcare access, workforce pipelines, care innovation, and technology adoption in rural communities. Funding is allocated through competitive RFAs and RFPs, with priorities shaped by public input and legislative action, and all phases governed by CMS milestones and appropriations. State oversight ensures robust community engagement, transparent distribution of resources, and alignment to measurable, outcome-oriented goals.
Model
State-led rural health system transformation emphasizing regionalized care delivery, hospital and EMS incentive programs, workforce development across clinical disciplines, technology and telehealth adoption, and population health investment, governed by phased legislative and CMS milestones.
Key Initiatives
1Critical Access Hospital-Basic incentive program to ensure financial viability and right-sizing of rural hospitals
2Ambulance/EMS regionalization and service incentives to enhance emergency care coverage
3Statewide deployment of tele-specialist and telepsychiatry platforms
4Competitive grants and pipeline programs for nurse, primary care, behavioral health, and EMT training
5Expansion of integrated primary care models, including maternal and behavioral health services
6Clinically-integrated care coordination targeting high-risk chronic disease populations
7Promotion of exercise and healthy dietary habits through targeted campaigns
8Centralized non-emergency medical transportation coordination for rural residents
9Adoption and integration of centralized health technology, billing, and data solutions
10Sub-awards to counties and providers for tracked workforce, emergency, and population health outcomes
11Technology challenge funding for rural health solutions
Timeline: December 2025 – October 2026: award announcement, budget revision to CMS, legislative appropriations, RFA/RFP development, application review, sub-award allocations, and contract execution. Implementation extends through 2027–2028, tracking workforce, telehealth, and care coordination expansion, with results reported per CMS milestones.
Health Priority
Emergency medical care access: Wyoming is increasing resources and regionalization strategies to improve timely access to emergency care in rural communities. (Regions: All rural regions of Wyoming)
Jul 15, 2026
Health Priority
Rural health workforce supply: Investments in graduate medical education and workforce training are intended to promote recruitment and retention of rural providers. (Regions: Statewide)
Jul 15, 2026
Health Priority
Health technology transformation: The program includes initiatives to advance technology adoption and implement statewide telehealth capabilities. (Regions: Statewide)
Jul 15, 2026
Supporting
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2025-2026
Award: $205.0M
WY - 2025 - Wyoming Department Of Health And Human Services Notice Of Award RHTP 2025 Award Announcement
ReferencePDF2025-2026Award: $200.0M
WY - 2025 - Wyoming RHT In Wyoming 2025 Application
WY - 2025 - Wyoming's RHTP - Wyoming Department of Health
Wyoming official RHTP state page
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WY - 2025 - Wyoming Department of Health - RHTP Submission Manager
Announcement Documents (4)
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AnnouncementNEWJul 14, 2026HTML2026
Event schedule:
- Home » News » Applications Opened for Wyoming’s Rural Health Transformation Funding - July 1 - CHEYENNE, WY – Today, the Wyoming Department of Health (WDH) announced the opening of Requests for Applications (RFAs) for...
- Applications Opened for Wyoming’s Rural Health Transformation Funding - July 1 - CHEYENNE, WY – Today, the Wyoming Department of Health (WDH) announced the opening of Requests for Applications (RFAs) for Wyoming’s Rur...
- , 2026 - July 1 - CHEYENNE, WY – Today, the Wyoming Department of Health (WDH) announced the opening of Requests for Applications (RFAs) for Wyoming’s Rural Health Transformation Program, a major initiative designed t...
Event Schedule
Home » News » Applications Opened for Wyoming’s Rural Health Transformation Funding - July 1 - CHEYENNE, WY – Today, the Wyoming Department of Health (WDH) announced the opening of Requests for Applications (RFAs) for...
Applications Opened for Wyoming’s Rural Health Transformation Funding - July 1 - CHEYENNE, WY – Today, the Wyoming Department of Health (WDH) announced the opening of Requests for Applications (RFAs) for Wyoming’s Rur...
, 2026 - July 1 - CHEYENNE, WY – Today, the Wyoming Department of Health (WDH) announced the opening of Requests for Applications (RFAs) for Wyoming’s Rural Health Transformation Program, a major initiative designed t...
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AnnouncementNEWJul 12, 2026TXT
A Wyoming county health department is seeking state funding support for rural health initiatives. The announcement signals local intent to apply for, or obtain, future resources to address rural health transformation.
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AnnouncementJul 4, 2026TXT2026
Event schedule:
- - Health. Contact Us (307) 777-7656 (866) 571-0944. RHTP Windmill. , 2026. RHTP Windmill Logo. Wyoming Department of - July 1 - Link: https://health.wyo.gov/applications-opened-july-1-for-wyomings-rural-health-transfo...
Event Schedule
Application Documents (5)
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ApplicationJul 1, 2026HTMLSuperseded
Applications for the Rural Health Transformation Program (RHTP) are due November 5, 2025. Registration with SAM.gov and Grants.gov is required in advance. Opportunity number is CMS-RHT-26-001.
Event schedule:
- Application due date - November 5, 2025 - 11:59 PM ET
Superseded by
Event Schedule
Application due date - November 5, 2025 - 11:59 PM ET
The RHTP in Wyoming consists of 12 projects grouped within four major initiatives: access to emergency medical care, rural workforce supply, health technology transformation, and Make Wyoming Healthy Again. The program is funded through CMS with awards obligated by October 30, 2026, and expenditures required by September 30, 2027. Several Requests for Applications (RFAs) are available, covering critical access hospitals, EMS regionalization, workforce development, health technology, and integrated care coordination.
Event schedule:
- Application Deadline - 08/02/2026 - 12:00 AM MT - Online Application Portal
- Final Eligibility Form Deadline - 08/03/2026 - 6:00 AM MT - Online Application Portal
- Physician Graduate Medical Education Application Deadline - 08/04/2026 - 6:00 AM MT - Online Application Portal
- Awards Fully Obligated Deadline - October 30, 2026
- Final Expenditure Deadline - September 30, 2027
Wyoming received a first-year federal award of $205 million to launch statewide Rural Health Transformation, aimed at improving access to emergency medical care, sustaining rural hospitals, and addressing critical workforce, maternal, and behavioral health challenges. Strategic priorities were developed through extensive public engagement, town halls, and surveys, directing funds and initiatives toward the most pressing needs in rural and frontier communities. The program employs targeted incentives, new technology platforms, and expanded workforce education to address longstanding disparities in rural health access and outcomes. Key contacts: Wyoming Hospital Association; Wyoming EMS Association; Wyoming Medical Society; University of Wyoming
Event schedule:
- Wyoming Department of Health RHTP document issue date - 2026-05-08 - Wyoming
- SNAP waiver draft bill passed Joint Committee - 2025-10-16 - Wyoming Legislature
- SNAP waiver bill introduction (expected) - 2026-02-01 - Wyoming Legislature
- Wyoming Department of Health Report Publication - 2026-05-08
The FY26 RHTP applications involve all states summarized, with awards from $154M to $272M for rural health transformation. Common priorities include expanded telehealth, workforce development and retention, innovative care models for maternal/chronic conditions, and improved rural hospital financial stability. Strategies are tailored per-state but demonstrate consistent alignment with CMS rural transformation goals.
Budget: $3.3B
Core Initiatives
Expand access to high quality care in rural areas
Invest in workforce, digital infrastructure, and clinical training
Support value-based payment and financial sustainability
Show all initiatives (30)
Expand access to high quality care in rural areas
Invest in workforce, digital infrastructure, and clinical training
Support value-based payment and financial sustainability
Advance maternal and chronic disease outcomes
Promote innovative and preventive health models
Empower rural Mainers to achieve their own healthy living goals through expanded population health solutions
Expand the supply of care by growing a rural workforce and spreading technologies that connect every community to advanced care
Ensure care will be available and affordable long into Maine’s future by pairing affordability measures with strategies that advance quality, efficiency, and fiscal durability
Improve access to care through clinically integrated networks (CINs), community-based clinics and mobile health care services, rural hospital improvements, and home visits.
Improve health outcomes through expansions of behavioral health services.
Improve chronic disease health outcomes such as reduced A1C and increased levels of hypertension management.
Expand technology to build remote monitoring and telehealth, expand electronic medical record (EMR) usage for pharmacists, and pilot innovative screening technologies for chronic conditions.
Build a future where every community has access to high-quality, locally grounded care that is connected through technology, supported by regional collaboration and a strong rural workforce.
Reduce preventable hospitalizations and emergency department visits year over year.
Wyoming's Rural Health Transformation Program aims to improve rural and frontier health using $200 million (requested) to address EMS, workforce, technology, and population health issues. The application addresses long-standing access challenges in EMS response, provider shortages, and maternal health deserts. Priorities were informed by 11 statewide town halls and an online survey with over 1,300 responses.
In SFY 2025, Wyoming Medicaid improved rural provider recruitment, increased reimbursement for key rural/maternity services, and advanced technology upgrades for program integrity and health information exchange. Major focus areas included modernizing eligibility renewals, launching preventive children's behavioral health services statewide, and preparing for the Rural Health Transformation process via workgroups and studies in rural-oriented services. Key contacts: Jesse Springer wdh-medicaid-communications@wyo.gov
Event schedule:
- Annual PCMH Round-up Conference - 04/2025 - MT - Casper, WY
- CMS Approval of ABA Preventive Service - 10/31/2024
The 2023-2024 CAHPS Medicaid survey of Wyoming Children's Medicaid recipients had a 9.4% response rate with generally high satisfaction. Over 95% of families rated their children’s overall health as good, very good, or excellent. Opportunities for improvement include primary care appointment availability and specialist access.
Event schedule:
- CAHPS Medicaid Survey Fielding Start - 01/26/2024
- CAHPS Medicaid Survey Fielding End - 05/15/2024
QUALITY_IMPROVEMENT
Core Initiatives
Improve children’s health and satisfaction with Medicaid.
Increase access to primary and specialist care.
Enhance program quality based on survey findings.
Reference Documents (5)
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ReferenceNEWJul 14, 2026HTML
The Wyoming Department of Health (WDH) launched Requests for Applications (RFAs) for the Rural Health Transformation Program on July 1, 2026. The program funds rural health initiatives to improve access and quality of care, with a focus on supporting providers and facilities serving Wyoming's rural communities. The program is administered directly by WDH.
Event schedule:
- Applications Opened for Rural Health Transformation Funding - July 1, 2026 - CHEYENNE, WY
Event Schedule
Applications Opened for Rural Health Transformation Funding - July 1, 2026 - CHEYENNE, WY
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ReferenceNEWJul 12, 2026OTHER
Reference: County Health Dept Seeks State Funds for Rural Health Initiatives
Link: https://buckrail.com/county-health-dept-seeks-state-funds-for-rural-health-initiatives/
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ReferenceNEWJul 11, 2026PDF2026
This FAQ provides guidance for applicants to the RHTP's technology challenge and initiative funding, clarifies multiple applications rules, and details cost eligibility. Entities may submit multiple applications for different initiatives and request administrative costs if justified, but indirect costs are not funded.
Event schedule:
- , 2026 - July 10 - FREQUENTLY ASKED QUESTIONS
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Other Documents (2)
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OtherMay 24, 2026PDF
Pregnant By Choice is a Wyoming Medicaid program extending contraceptive coverage to women postpartum beyond the standard 60 days. It aims to reduce unintended pregnancies and improve maternal and child health by providing education, exams, and family planning services.
POPULATION_HEALTH
Core Initiatives
Improve maternal and child health outcomes
Increase access to family planning services for postpartum women
Reduce unintended pregnancies through education and contraceptive services
Spreadsheets, data exports, and reference documents — available for download but excluded from the main activity feed. Showing the 40 most recent of 219.
WY - 2026 - WMDP Locations Through the Years
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WY - 2026 - County Health Dept Seeks State Funds for Rural Health Initiatives
NIH Guide for Grants and Contracts
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WY - 2026 - approved application
Wyoming approved application
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WY - 2025 - Wyoming Department of Health - RHTP Submission Manager
Primary source (WY RHTP Submittable listing)
SupportingPDF2026Award: $205.0M
WY - 2026 - budget narratives
Wyoming budget narratives
SupportingPDF2027Budget: $50.0B
WY - 2026 - CMS Notice of Funding Opportunity (NOFO) for RHT Program
CMS RHT NOFO source link (WY portal)
Primary source (WY RHTP Submittable listing)
SupportingPDF2026Award: $205.0M
WY - 2026 - approved application
Wyoming approved application
SupportingPDF2026Award: $205.0M
WY - 2026 - budget narratives
Wyoming budget narratives
SupportingPDF2027Budget: $50.0B
WY - 2026 - CMS Notice of Funding Opportunity (NOFO) for RHT Program
CMS RHT NOFO source link (WY portal)
- Health. Contact Us (307) 777-7656 (866) 571-0944. RHTP Windmill. , 2026. RHTP Windmill Logo. Wyoming Department of - July 1 - Link: https://health.wyo.gov/applications-opened-july-1-for-wyomings-rural-health-transfo...
Wyoming's FY 2026 RHTP plan directs over $205 million in federal funding toward transformative rural health system reforms, with major investments in access to emergency medical care, EMS regionalization, rural health workforce supply, behavioral health technology, and integrated population health initiatives. Competitive sub-awards (via RFA/RFP) will focus on Critical Access Hospitals, EMS regionalization, clinical workforce pipelines, statewide health IT infrastructure, and county-level population health programs. The plan emphasizes rapid implementation, strong direct service support, and minimal administrative overhead.
Event schedule:
- Anticipated hiring of new RHTP-funded positions - 07/01/2026 - MT - Cheyenne, WY
Anticipated hiring of new RHTP-funded positions - 07/01/2026 - MT - Cheyenne, WY
Core Initiatives
Increase access to emergency and essential medical care in rural Wyoming.
Strengthen and stabilize the rural health workforce pipeline.
Modernize rural health care delivery through technology adoption and system integration.
Show all initiatives (4)
Increase access to emergency and essential medical care in rural Wyoming.
Strengthen and stabilize the rural health workforce pipeline.
Modernize rural health care delivery through technology adoption and system integration.
Improve population health outcomes through coordinated care and preventive health strategies.
The program prioritizes chronic disease prevention and behavioral health, sustaining rural access to care, innovative care delivery and payment models, workforce development, and health technology transformation. Key initiatives include improving emergency care access, leveraging technology investments, growing the rural health workforce through education support and service commitments, and improving metabolic, behavioral, and cardiovascular health.
Event schedule:
- First-year award announced - December 29, 2025
- Revised budget due to CMS - January 20, 2026
- Initial meetings with CMS project staff - January 2026 – February 2026
- Legislative action – appropriation of funds, establishment of Perpetuity - February 2026 – March 2026
- Request for Application (RFA) and Request for Proposal (RFP) development - June 2026 – July 2026
- Tentative application submission window - July 2026
- Awards made; funds drawn down - August 2026 – September 2026
- Contract execution deadline - October 1, 2026
Core Initiatives
Chronic disease prevention and behavioral health
Sustaining access to care in rural communities
Innovative approaches to care delivery and payment models
Show all initiatives (5)
Chronic disease prevention and behavioral health
Sustaining access to care in rural communities
Innovative approaches to care delivery and payment models
Workforce development and training
Technological and consumer health solutions
Build a resilient, digitally connected, community-anchored provider network to deliver flexible care across rural regions.
Design data-driven solutions tailored to the unique needs of rural residents.
Advance whole-person health through connected care technologies and coordinated pathways for behavioral health, chronic disease, maternal health, and social needs.
Promote sustainable access by focusing on the integration and comprehensive delivery of services leveraging technology and supporting workforce.
Strengthen the workforce through recruitment, retention, training, and credentialing programs.
Make Rural America Healthy Again through increased provision of primary care services, oral health services, and nutrition education.
Increase healthcare access and quality for improved chronic disease management and health outcomes.
Prioritize direct investment in provider capacity over creating new programs, recognizing local providers' understanding of their communities' needs.
Address significant barriers to rural healthcare access and quality focusing on highest disease burden populations and innovative transportation solutions.
Support rural clinical workforce, establish CINs, and empower patients focusing on disease prevention and healthy living.
Improve wellness by promoting nutrition, physical activity, and preventative care.
Improve primary care and long-term support leveraging technology, new delivery system networks and workforce development.
Empower patient empowerment and disease prevention focusing on expanding access, technology, and workforce development.
Address workforce participation barriers, establish health technology and partnership investments, and improve care access and healthcare sustainability.
Focus on care coordination, mental health support, leveraging technology, and workforce development particularly for agriculture and farming communities.
Improve access to care by focusing on rural clinical workforce, leveraging technology, and right-sizing service delivery.
Increase sustainable access to right-sized and coordinated rural medical care.
Build a durable rural workforce pipeline.
Improve metabolic, cardiovascular, and behavioral health outcomes.
Show all initiatives (42)
Increase sustainable access to right-sized and coordinated rural medical care.
Build a durable rural workforce pipeline.
Improve metabolic, cardiovascular, and behavioral health outcomes.
Use technology and payment models to improve chronic disease management and bring care closer to home.
Sustainable access
Workforce development
Tech innovation
Make rural America healthy
Innovative care
Improve the financial viability of small, rural hospitals to provide basic services to their communities
Expand affordable health insurance options
Recruit and retain primary care physicians to improve access and build longer relationships with patients
Train and recruit more nurses and related direct care workforce to improve staffing at hospitals and long-term care facilities
Strengthen obstetric/gynecological, labor/delivery and related services to provide safe childbirth
Recruit and retain more home health aides, and invest in home-and community-based alternatives to nursing home care
Expand the integration of behavioral health and primary care for whole person treatment
Improve access to specialty medical care in local communities
Improve or sustain ambulance availability for timely emergency responses
Recruit and retain more medical support staff for the healthcare industry
Improve nursing home quality and sustainability, with increased capacity for higher needs
Expand inpatient behavioral health care including crisis stabilization, psychiatric, residential addiction, and recovery services
Improve hospital accountability to cities and counties to reflect community needs
Build out mobile healthcare units to bring basic primary and preventive care to where people live
Improve coordination and referral of existing community services for patients and those in need
Expand options for behavioral healthcare for high-needs children to be served closer to home
Streamline paperwork and administrative burdens on healthcare providers to improve patient care focus
Expand licensure reciprocity and scope of practice to increase provider access including telehealth
Add transportation options for medical appointments, senior centers, and activities
Assist county jails and hospitals in managing people with high behavioral health needs
Invest in suicide prevention activities
Keep more medical care in-state rather than leaking out of state
Improve physician access to consult with specialists via telemedicine
Improve palliative and hospice care for end of life
Increase Emergency Medical Services training to improve ambulance care quality
Improve diabetes care by increasing access to dialysis, nutrition, podiatry, and specialty services
Improve prescription drug and pharmacy availability
Improve access to healthy foods and nutrition education
Encourage exercise, physical activity, and healthy lifestyle choices
Recruit and retain more dentists and hygienists to improve dental care access
Assist people with technology to better use telehealth
Reduce state regulations on healthcare providers, particularly in long-term care settings
Limit federal money and regulations in Wyoming's healthcare system
Event Schedule
, 2026 - July 10 - FREQUENTLY ASKED QUESTIONS
This webpage provides general information about Wyoming's Rural Health Transformation Program but does not state any award amounts or sub-award recipients. It also offers links to other Wyoming Department of Health services and news items.
Event schedule:
- , 2026 - May 13 - CHEYENNE, WYOMING - With summer upon us and more people heading to Wyoming’s lakes and reservoirs to recreate, the Wyoming Department of...
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Wyoming U.S. Census Bureau - Population Division B RHTP 2003 Data
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WY - 2018 - Claim Type and Payment Methodologies
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Rules for the Special Education Component within the Education Resource Block Grant Model
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Incident Management Specialist Regions Contact List
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Wyoming Department of Health Medicaid and Kid Care CHIP Application and Program Information
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Wyoming Department of Health - Healthcare Financing and Medicaid/Kid Care CHIP Overview
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WY - 2018 - TPL Requirements – Payment of Claims
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WY - 2018 - Institutionalized Medicaid Member; State Plan
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WY - 2018 - TPL Compliance Library Links
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WY - 2018 - “Appropriate Payer Solution” – DART Chart Outbound Data Structure to WY MMIS