Program Activities | Rural Care Journey

Event schedule: - AHCA RFA 033-25/26 Addendum No. 3 Item 1 - Questions and Answers 20 Florida State University Section 3

Event schedule: - AHCA RFA 033-25/26 Addendum No. 3 Item 1 - Questions and Answers 20 Florida State University Section 3.1 Section 3.1 requires the lead applicant to "establish primary program identity" through Initiative 2, 3, or 12, A regional collaborative or consortium entity serving as the fiduciary or organizing entity for bundle and Sections 5.2, 6.2, and 8.2 enumerate eligible entity types for each lead initiative. In the context of the participants must meet the baseline organizational eligibility requirements set forth in Section 5.1, bundle's multi-initiative structure, please clarify how AHCA will evaluate lead applicant eligibility where the Baseline Organizational Eligibility (Attachment I, Standard Terms, p. 10); initiative-specific eligibility submitting organization is a formally constituted regional collaborative or consortium entity itself not criteria under Section 5.2 (p. 19), Section 6.2 (p. 23), and Section 8.2 (p. 30) apply to the partnership independently operating as an FQHC, EMS agency, or pharmacy and/ or has contracted with multiple organizations directly operating and accountable for each respective initiative component. agencies that otherwise fit the requirements of a lead applicant—— but which (a) is the legal and fiscal Partnership agreements and the governance structure submitted with the application must clearly accountability entity, (b) has as its direct member organizations entities or contracted agencies that each define the lead entity's fiduciary and organizational role, distinguish it from the operational roles of independently meet the eligible applicant criteria for the respective lead initiative(s), and (c) can document each initiative-level partner, and demonstrate that each partner independently meets the eligibility that those member entities or contracted agencies will directly operate and be accountable for program criteria for the initiative it will deliver. All formal partnership documentation must be submitted in delivery under formal partnership agreements as described in Section 3.2. accordance with Section 3.2, Required Bundle Partnership Structures (RFA p. 10) and Section 1.7, Specifically: May a regional collaborative or consortium entity (formal entity or contractual collaborative) serve Formal Partnerships and Collaboration (Attachment I, Standard Terms, p. 4). as the bundle lead applicant and fiscal agent, with its member organizations satisfying initiative-specific eligible applicant criteria for Initiatives 2, 3, and/or 12 respectively — provided that the application clearly identifies a single member organization that independently meets the lead initiative eligibility requirements and that full formal partnership documentation is submitted per Section 3.2 and Attachment I, Section 1.7? 21 Acadian Regarding Attachment 2, Page 2, Section D (e.g., Super Region Served), the instructions state to select one Yes. Per Attachment II, Section A, only one Super Region may be selected per application. An region per application. If a proposer wishes to bid on more than one region, are we required to submit two, applicant proposing activities in more than one Super Region must submit a separate, complete separate proposals in their entirety for each region? application for each Super Region as each Super Region has its own allocated funding. 22 Acadian Can a rural hospital be the lead applicant for a Bundle 1 application, orchestrating and coordinating all five Yes, All lead applicants must meet the baseline organizational eligibility requirements in Attachment initiatives? I, Section 5.1. 23 Acadian How will EMS/CP/MIH services be compensated for their work if funding cannot be allocated for clinical Grant funds support the infrastructure, training, technology, and care coordination capacity that services? enable CP/MIH programs to operate. Allowable costs under Initiative 3 include EMS personnel training, telehealth platforms for clinical consultation, RPTM devices and software, mobile documentation tools, ePCR connectivity, and care coordination staffing directly supporting program services. Grant funds are not structured as per-encounter reimbursement for clinical services. See RFA Section 6.4. 24 Acadian CP/MIH organizations lack an established reimbursement mechanism for our services. We are concerned the Grant funds may be used to build and sustain the program infrastructure necessary to deliver EMS industry may decline to participate, focusing on core business, which has a structured reimbursement CP/MIH services in eligible rural areas. Funds are not structured as per-encounter reimbursement mechanism. Is it possible funding can apply to non-billable CP/MIH services? Alternatively, can funding be and are not designed to replace or supplant an existing reimbursement mechanism. Applicants used to guarantee capacity or coverage in these rural areas rather than reimbursing for services? should propose a program model and budget that reflects how grant funds will support operational capacity for the allowable service pathways described in RFA Section 6.3. 25 McAllister & Quinn I am writing to confirm the due dates for the Florida RHTP applications for Bundles 1 and 2. The RFP states it The Timeline provided in Addendum No. 1 is the current RFA Timeline. is due and the website says it is July 31. Can you please confirm the correct due date? 26 Empower Healthcare We are applying for the mobile health initiative/bundle. Are we able to include the salary of a Community Grant funds may be used for personnel and fringe benefit costs that directly support approved RHTP Health Worker or Medical Assistance/Certified Nursing Assistant? project activities, implementation, and objectives. Roles of positions tied to grant activities and implementation must be clearly described in the applicant's grant application. AHCA RFA 033-25/26, Page 4 of 5 - June 10 - AHCA RFA 033-25/26 Addendum No. 3 Item 1 - Questions and Answers 27 Empower Healthcare I understand from the townhall that we can use the funding to pay for leasing a mobile unit. Are we able to The purchase of mobile units are allowable under the RHTP grant. Applicants must clearly describe use some of the funding for a down payment on a mobile unit? the purpose, intended use, and implementation plan for the use of the vehicle within the proposed project and itemize all associated costs in the budget. Applicants should be aware that proposals including vehicle purchases will require both state and federal approval, which may result in delays in the approval and contract execution process. ‑ Post award, awardees will be required to: ‑ • Provide 2–3 cost quotes for the vehicle purchase; and • Complete all Agency required documentation prior to authorization of the expenditure. See Addendum No. 3. 28 I have a faculty member who would like to apply to the above-referenced RFA. I noticed that Federally Yes. Qualified Health Centers are eligible to apply under Initiative #2. Would a FQHC Look-a-Like be qualified as well? AHCA RFA 033-25/26, Page 5 of 5 - Rural Health Transformation Program (RHTP) Addendum No. 3 Item 2 - General RHTP Questions and Answers NO. SECTION IDENTIFIER, VENDOR NAME PAGE NUMBER QUESTION ANSWER 10 It states: 5.2 Non-Compete Prohibition As noted in RFA Section 5.2 "This prohibition applies to any position for which any portion of RHTP funds may not be used to fund any personnel position at organizations that maintain compensation is paid with RHTP funds." non-compete agreements binding to any clinician or provider employed or contracted in a role funded by this award. This prohibition applies to any position for which any portion of compensation is paid with RHTP funds. If we have personnel devoting effort to the project but not receiving funds, does the non- compete prohibition still apply? The statement says “funded” by this award. 11 Blue Bird Health Partners We wanted to verify the meaning of a few dates. For the bids, is the date 6/10/26 the The Timeline provided in Addendum No. 1 is the current and only RFA Timeline. deadline for submitting the full bid to Florida AHCA for each bundle? Is the date of 7/31/26 listed as the End Date/Time on the Advertisement site just a date for closing out the entire process including grant review and selection? https://vendor.myfloridamarketplace.com/search/bids/detail/15712 12 North Walton Doctors Hospital • Attachment I, RHTP Standard Terms and Does the Agency interpret C.A4 to require that the current legal operating entity itself has Applicants must document their baseline organizational eligibility as detailed in RFA Section 5.1. If Administrative Requirements, Section 5.1 been operating continuously, or is the requirement satisfied if the licensed healthcare facility an applicant's current legal identity does not meet the five year minimum, an applicant may provide (Baseline Organizational Eligibility), bullet has operated historically, including under prior ownership, with documented facility-level a supplemental justification detailing the circumstances, (e.g., a history of merger, ownership regarding "continuous operation for a healthcare licensure activity at 4413 US Highway 331 S? transfer, reincorporation, or similar situations) and detailing how the applicant's organization history minimum of five (5) years as of the demonstrates it's capacity to implement, administer, monitor and comply with all requirements application deadline" adhering to publicly-funded state or federal programs. • Attachment II, Required Applicant Response Documents, Section C Form, item C.A4 ("5+ years of continuous operation as of the application deadline") 13 North Walton Doctors Hospital • Attachment I, RHTP Standard Terms and If the latter, would the Agency consider the following documentation acceptable under the The Agency cannot pre-authorize specific forms of alternative documentation. The Agency will Administrative Requirements, Section 5.1 "any other verifiable document demonstrating five years of continuous operation" option in review all alternative documentation provided on a case-by-case basis. Please see the response to (Baseline Organizational Eligibility), bullet C.A4: (a) AHCA Chapter 395 hospital licensure history at 4413 US Highway 331 S under Question #12. regarding "continuous operation for a predecessor ownership; (b) historically active AHCA healthcare licenses at the site, including minimum of five (5) years as of the clinical laboratory licensure; (c) CMS Medicare provider enrollment and certification history application deadline" prior to transition; (d) chain-of-title documentation evidencing the ownership succession and • Attachment II, Required Applicant continuous site dedication to acute care delivery; (e) federal rural development investment Response Documents, Section C Form, documentation, including the $8.0M USDA B&I loan, the $2.0M USDA REDL (referenced in item C.A4 ("5+ years of continuous USDA's 2026 Budget Explanatory Notes), the $3.4M NMTC allocation, and the Walton operation as of the application deadline") County loan guarantee, all of which reflect coordinated federal and local commitment to the facility's continuous service to the rural community; and (f) documentation of the current operational period under the successor entity, from , 2024 through the application deadline? 14 North Walton Doctors Hospital • Attachment I, RHTP Standard Terms and Given that the C.A4 requirement is not imposed by the federal NOFO or cooperative The Agency cannot pre-authorize specific forms of alternative documentation. The Agency will Administrative Requirements, Section 5.1 agreement, does the Agency intend to interpret it in a manner that excludes rural hospitals review all alternative documentation provided on a case-by-case basis. Please see the response to (Baseline Organizational Eligibility), bullet which (a) have been identified as rural development priorities by USDA and cited in the Question #12. regarding "continuous operation for a Department's 2026 Congressional Budget Justification materials, (b) have been restored from minimum of five (5) years as of the closure through coordinated federal rural investment programs (USDA B&I, USDA REDLG, application deadline" NMTC) specifically designed to build rural healthcare infrastructure, and (c) are currently • Attachment II, Required Applicant serving as the sole acute care hospital in their rural county — or does the Agency's Response Documents, Section C Form, interpretation accommodate documented facility-continuity arguments for rural hospitals in item C.A4 ("5+ years of continuous this factual category, consistent with RHTP's statutory purpose of building rural healthcare operation as of the application deadline") infrastructure? AHCA RHTP RFAs, Page 2 of 11 - September 9 - Rural Health Transformation Program (RHTP) Addendum No. 3 Item 2 - General RHTP Questions and Answers NO. SECTION IDENTIFIER, VENDOR NAME PAGE NUMBER QUESTION ANSWER 15 University of Florida Can you define what constitutes a Community-Based Organization (CBO) with documented The RFA does not define a community-based organization (CBO). The phrase is used to reflect the public health or nutrition programming experience? What specific criteria are required to general concept of a nonprofit entity operating locally, with local community members as confirm that an entity is a CBO, and what documentation must be provided to demonstrate its stakeholders, to deliver services or resources meeting needs within a specific community or public health or nutrition programming experience? population. Please refer to SECTION C — ORGANIZATIONAL CAPACITY AND ELIGIBILITY for general organizational documentation required of all applicants and to Section 5.2 of the RFA for information on program-specific information required by each RFA and its specific service initiatives. 16 University of Florida Can you define what constitutes regional healthcare collaboratives and consortia? "Regional healthcare collaboratives and consortia" is used in the RFA to reflect the possibility that groups of legally distinct providers working together under various types of existing cooperative agreements may wish to apply to these solicitations. If so, the Agency requires a single application, submitted by a lead agency which accepts responsibility for managing and overseeing all activities funded by the anticipated awards. The Agency will not issue separate agreements to individual legal entities working within any collaboration, consortia, or other partnership models. 17 Arrow Group I wanted to confirm what the deadline is for questions regarding the RHTP application. The Timeline provided in Addendum No. 1 is the current RFA Timeline. I just noticed that May 6th is listed. With the recent release of the application and extent of the collaboration required between providers, I am hoping that this date is incorrect or that there may be flexibility. 18 Palms Medical Group When reviewing the guidance for the AHCA Rural Health Transformation Program RFA Applications for rural and satellite clinics must demonstrate each proposed site meets Guidance Documents regarding eligibility. The location criteria for a Rural Clinic states a the Clinic Site Eligibility Requirements in Section 3.4 and the Location Criterion applicable to the discrete physical location, is this based on the zip codes allowed/approved or can the zip type of clinic in Section 3.5. The application must also include a service area map for each site, an code qualify the entire county for delivery location? estimated unduplicated annual number of patients to be served for each site and documented unmet need in the service area for each site. Example Zip Code 32656 Keystone Heights qualifies on the Zip Code eligibility sheet, which is in Clay county, having said that could a rural clinic be opened in another location in Clay county? Such as Middleburg Florida which is in Clay county? 19 Premier Mobile Health Services Attachment I, Section 5.1; Attachment II, Financial statement requirement Applications must include the two most recently completed fiscal years of audited financial Section C.A5; applicable RFA financial statements. Please refer to the checklist in SECTION C — ORGANIZATIONAL CAPACITY AND solvency requirements. -Reference: Attachment I, Section 5.1; Attachment II, Section C.A5; applicable RFA ELIGIBILITY for additional details. financial solvency requirements. -Question: Will two most recent fiscal years of formal CPA-reviewed financial statements satisfy the financial statement requirement for a lead applicant, or are audited financial statements required? 20 Premier Mobile Health Services Attachment I, Sections 4 and 4.4; RHTP 2.Rural eligibility in Lee and Collier Counties Please see the table in Section 4: Rural Eligibility Definitions for details on each of the four FAQs, Section 2, Questions 10–13. -Reference: Attachment I, Sections 4 and 4.4; RHTP FAQs, Section 2, Questions 10–13. pathways qualifications and required documentation. Only Pathway A specifically applies to Question: May specific service locations, ZIP codes, census tracts, or communities within counties as a whole. The remaining pathways have other types of specific eligibility qualifications. Lee or Collier Counties qualify if they meet one of the approved rural eligibility pathways, even if the full county is not designated rural despite being otherwise categorized as rural communities? AHCA RHTP RFAs, Page 3 of 11 - Rural Health Transformation Program (RHTP) Addendum No. 3 Item 2 - General RHTP Questions and Answers NO. SECTION IDENTIFIER, VENDOR NAME PAGE NUMBER QUESTION ANSWER 47 Intelligent Health Does every subcontracted entity, provider and provider group that receives any funding Yes, please see the response to Question #47 need to complete the UEI and the sam.gov registration process or does that only apply to the lead entity? 48 Intelligent Health Is there a technical assistance resource for support during the process of preparing the Please refer the Agency's RHTP website for Latest News and Resources. applications? https://ahca.myflorida.com/rural-health-transformation-program 49 Suwannee River Area Health Education Center Could you please clarify what types of costs are intended to be covered under the 3% Per RFQ - ATTACHMENT II Centers for Medicare & Medicaid Services administrative fee in the Florida ACHA application? Specifically, we would appreciate Standard Grant and Cooperative Agreement Terms and Conditions COST PRINCIPLES, guidance on whether staffing-related costs such as time for an accountant or grant manager "Guidelines for determining direct and indirect (F&A) costs charged to Federal awards are provided are considered part of the administrative fee, or if they may be budgeted separately as in 2 CFR 200 Direct and Indirect Costs and Special considerations for States, Local Governments, program or operational expenses. and Indian tribes. Please note, the RHTP award includes additional detail on unallowable costs. Please refer to RFA SECTION 6: ALLOWABLE AND UNALLOWABLE USES OF FUNDS for details. 50 Suwannee River Area Health Education Center For applicants submitting a workforce application under both pathways and involving multiple The Agency recommends all application components should clearly label the required components partners, could you provide guidance on how to approach the Organizational Capacity and for each Pathway. Eligibility and Sustainability Plan sections? Specifically, how should applicants distinguish between the two pathways within these sections while still presenting a cohesive, multi- partner approach? 51 PinPoint Results, LLC CMS’ FAQ at II.2 provides, in relevant part, that “[f]unds may go towards clinician salaries The FAQ you are referencing is not part of this RFA. As indicated in the RFA, clinician salaries tied and wage support if the clinician is not subject to a non-compete agreement and the to direct patient services are not allowed. salary/wage support is being funded as part of an approved initiative.” AHCA’s , 2026 FAQ similarly states at FAQ 48 that this is a federal requirement established by CMS and that Florida must comply as a condition of its award. FAQ 48 further explains that the restriction applies to salaries and wages paid with RHTP cooperative agreement funds under an approved initiative and covers a broad range of clinical workforce roles, including clinicians, allied health professionals, behavioral health providers, non-clinician providers, community health workers, clinical support staff, and EMTs. It also states that CMS’ non- compete requirement applies specifically to new positions or clinicians recruited through RHTP workforce initiatives, and that such staff may not be subject to non-compete agreements. However, AHCA states at FAQ 50 that “Florida’s RHTP funds cannot be used to pay for a medical director or any other clinician salaries or direct care services.” FAQ 50 appears to impose a broader restriction than the federal rule described by CMS and by AHCA in FAQ 48. How does AHCA harmonize FAQ 48, which appears to recognize that clinician salaries and wage support may be allowable when tied to an approved initiative and not subject to a non-compete agreement, with FAQ 50, which states that Florida RHTP funds cannot be used for clinician salaries or direct care services? 52 PinPoint Results, LLC Can housing-related costs (e.g., stipends, temporary housing, or relocation support) be AHCA RFA 037-25/26 - RHTP Workforce Development (Initiative 8), Section 5 addresses allowable considered allowable when directly tied to recruitment, placement, or retention of workforce in and unallowable workforce housing supports for Pathway 1 only. Also please refer to Attachment I rural areas? RHTP Standard Terms and Administrative Requirements, Section 11.16 for unallowable costs pertaining to all RHTP RFAs. 53 PinPoint Results, LLC While transportation programs are not funded as standalone initiatives, can transportation- No. related costs for patients be included as incidental expenses tied to an otherwise eligible RHTP initiative, and if so, under what limitations? AHCA RHTP RFAs, Page 7 of 11 - February 2 - Rural Health Transformation Program (RHTP) Addendum No. 3 Item 2 - General RHTP Questions and Answers NO. SECTION IDENTIFIER, VENDOR NAME PAGE NUMBER QUESTION ANSWER 54 PinPoint Results, LLC Please confirm that there are no cost restrictions for leasing beyond the federal cost Attachment I RHTP Standard Terms and Administrative Requirements applies to all RHTP RFA. principles. Section J.3. contains program-specific information pertinent to facility and motor vehicle leases. 55 PinPoint Results, LLC To what extent are faculty or workforce development-related personnel costs (e.g., Each RFA identifies allowable personnel costs instructors, training coordinators) allowable? 56 PinPoint Results, LLC There is concern some applications may be too large to attach to a single email. Is there a The total for all files emailed may not exceed 150 MB in a single email. Multiple emails may be process in place for receiving large files should this become an issue? submitted if necessary to ensure all files and attachments are transmitted to the Agency. 57 PinPoint Results, LLC Must application submissions come from the same email tied to an applicant’s MFMP No. registration? 58 PinPoint Results, LLC Where RHTP-funded activities occur at a freestanding emergency department or other off- Applications must address services in rural locations as determined by the rural definitions in campus hospital provider location in an eligible rural area, but the main hospital campus Attachment I, RHTP Standard Terms and Administrative Requirements, Section 4. Each RFA under whose license the site operates is not rural, will the Agency treat the off-campus site’s details additional standards related to applicants who may be 3.3 Non-Rural Headquartered physical location as controlling for rural eligibility, or must the hospital license-holder Organizations. independently qualify as rural? 59 PinPoint Results, LLC If applicants across more than one region wish to collaborate in cases where it makes Applications must address proposals for a specific Super Region. geographic sense, is this permissible or must all activities be contained within a single region? 60 PinPoint Results, LLC May an eligible applicant structure an RHTP project using a combination of unaffiliated Please see RFA Section 1.7 related to Formal Partnerships and Collaboration in the RHTP. community partners and affiliated entities, such as an educational institution, provider entity, or operational support entity under common ownership or control of the applicant, provided the application clearly documents each entity’s role and satisfies applicable partnership, procurement, conflict-of-interest, and subrecipient requirements? 61 PinPoint Results, LLC If a partner is an affiliated organization, but a separate legal entity, would they still qualify as Please see response to Question #60. a partner / collaboration? 62 PinPoint Results, LLC Beyond the reporting requirement, are there additional requirements of a Grantee regarding Profit and Program Income are not allowed with RHTP funds. Please see Attachment I, RHTP usage or retention of profit or “program income” generated by grant funded programs or Standard Terms and Administrative Requirements, Section 11.16. collaborations? 63 PinPoint Results, LLC CMS in its FAQ at I.6. reflects that states can move funding between line items without prior All budget changes must be reviewed and approved by the Agency. Budget Change Request approval of CMS if under 10% of each line item. If awarded, to what extent may applicants policies will be shared post award. modify budgets across line items? 64 PinPoint Results, LLC Can applicants modify budgets across initiatives, or partners without prior AHCA approval. Please see Attachment I RHTP Standard Terms and Administrative Requirements, Section 12.3. 65 Public Consulting Group Will the provider/region have to apply every year for funding or just in this first year? Please see the response to Question #37. 66 Public Consulting Group If a provider does not apply this year, can they apply in a future year? Please see the response to Question #37. 67 Public Consulting Group Can sub contractual costs include utilizing a consultant or consulting firm to provide Necessary subcontracted costs for subcontracted consultants may be allowable, subject to services? justification. 68 Florida State University Attachment I, RHTP Standard Terms and With respect to the Super Region framework, can an eligible facility located in Okeechobee Please see the response to Question #4. Administrative Requirements, Addendum County that primarily serves patients in Highlands, Hendry, DeSoto, and Glades Counties be No. 2 included as part of a Southwest (SW) Super Region application? 69 Florida State University Attachment I, RHTP Standard Terms and Please confirm whether the cost of renting a passenger van is an allowable expenditure Please see Attachment I RHTP Standard Terms and Administrative Requirements, Section 7 J.3 Administrative Requirements, Section 14 under the RHTP, for the purpose of transporting clinical staff, trainees, or equipment to and regarding vehicle costs.. (Standard Cost Restrictions) from scheduled rural service sites, mobile health route stops, or clinical training rotations. AHCA RHTP RFAs, Page 8 of 11 - Rural Health Transformation Program (RHTP) Addendum No. 3 Item 2 - General RHTP Questions and Answers NO. SECTION IDENTIFIER, VENDOR NAME PAGE NUMBER QUESTION ANSWER 78 North Walton Doctors Hospital We are seeking clarification regarding the process for obtaining prior CMS approval for minor The Agency will conduct an initial review and accept any requests for prior CMS approval and will renovations or alterations projects under the Rural Health Transformation Program. request any subsequent CMS approval at its discretion. Applicants cannot submit any requests Specifically, should applicants submit requests for prior approval directly to CMS, or must directly to CMS. those requests be submitted through AHCA for transmittal to CMS? As noted in the Florida Agency for Health Care Administration’s , 2026, webinar materials (attached, p. 19), minor renovations or alterations projects require “CMS prior approval” to be considered eligible. For reference, page 19 states: “Minor Renovations or Alterations. Funds may be used for minor renovations or alterations if they are clearly linked to program goals and receive CMS prior approval.” 79 Treasure Cosat Food Bank, Inc. Okeechobee County is listed in the Southwest Super Region in the RFA but is listed in the Please see the response to Question #4 Southeast Super Region on the Rural Area of Opportunity map on the website. Which super region should Okeechobee County be included in for the application? 80 YMCA of Southwest Florida Can you please clarify when the RHTP application is due? Thank you! Please see the response to Question #24. 81 Hypertrophy Engineering I am reaching out to see if you have any type of website set up that would list job https://jobs.myflorida.com/ opportunities with the Florida RHTP. 82 Jackson Health System Our question is: Are we correct that Florida City is a rural community under the RHTP Yes, Florida City is listed as rural municipality per Department of Commerce. classification criteria, making the community eligible to be part of an application package? https://www.floridajobs.org/community-planning-and-development/rural-community-programs/office- of-rural-initiatives 83 Bluebird Health Partners I'm reviewing the RHTP RFA for Bundles 1 and 2. Each RFA references a separate The "individual Initiative Guidance Document" is the first document found within the combined PDF "Individual Initiative Guidance Documents (IGDs)". I have spent 3 hours looking over the for each RFA posted in the Vendor Information Portal (VIP). AHCA website (and the RHTP FAQs) and within the Florida VIP Potal, but I don't find any of these IGDs. 84 Chiefland Medical Center, LLC. We are very interested in participating in the RHTP program, but I think we need some help No, the Agency will not recommend consulting firms. There are resources posted on the Agency with the application process. Do you know of any consulting firms or other resources that RHTP website under News and Resources for applicants to review. may be available? 85 9 Koi Foundation Inc I am writing to inquire about eligibility requirements for an upcoming grant opportunity. Please see the response to Question #40. Specifically, can a newly formed administrative entity that has less than 5 years of operation participate as a grant manager or subrecipient under an eligible lead applicant that has more than five years of operation? 86 Global Mobile Healthcare Research Consortium Are organizations allowed to apply independently, or they can only do the bundle. Initiatives that are within a bundle cannot be applied for separate from the bundle. Specifically I know some organizations want to apply to initiative 2? 87 Global Mobile Healthcare Research Consortium I know there is a cap on the leasing, is there a limit number of mobile clinics an organization There is no limit to the number of mobile units an organization may request; however, the Agency can get? will evaluate all unit requests against the organization's demonstrated capacity and the documented service needs of the proposed rural area or Super Region. Awards will be determined based on regional need and available funding. 88 Lumeris Is there any flexibility in the bundles’ structure? For instance, the CHRA is highly capable of Each application must include the required Core service components and respective initiatives (as delivering preventative care but does not align exactly to the different subcomponents of that described in Bundle 1 and 2 RFA requirements, respectively). initiative. AHCA RHTP RFAs, Page 11 of 11 - February 18 - RURAL HEALTH TRANSFORMATION PROGRAM (RHTP) SECTION K-V2 – BUDGET NARRATIVE Instructions: Applicants must submit a budget narrative that clearly explains how each cost was developed, why it is necessary, and how the program will remain sustainable as federal funding decreases over the five ‑ year period. Use the template below to structure your narrative. Do not submit the cover page (current page). Follow the page limits in the RHTP Initiative Guidance. Section A – Organization Information: Follow prompts in Section A below. Section B – Overview of Budget Approach: Follow prompts in Section B below. Section C – Cost Category Justifications • C.1 Personnel: Identify positions (titles only) and summarize their role in the bundle (e.g., detail their efforts across initiatives, if applicable). If your fringe rate is not 27%, please explain your organization’s accepted fringe rate. Explain how staffing levels change over time as federal funding tapers. Finally, if positions scale down in Years 3–5, describe how duties shift to permanent staff or partner resources. • C.2 Equipment: Explain any equipment purchases in Year 1 and why they occur during the startup period. • C.3 Supplies: Summarize consumable materials needed and how annual amounts were estimated. • C.4. Travel: Describe required travel (e.g., training, supervision, outreach), ensuring that all rates are in alignment with Florida Statute 112.061. • C.5 Other Direct Costs: Explain all operational costs requested. • C.6 Sub contractual Costs: Describe subcontracted services, why they are needed, and how costs were determined, and explain any changes in subcontractor involvement over the five ‑ year performance period. Section D – Sustainability and Tapered Funding Strategy: Explain how your program will maintain operations as federal funding decreases across the five ‑ year program period (from 100% in Year 1 down to 30% in Year 5). • D.1 Operational Tapering Plan: Describe how your program will transition from Year 1 startup activities into a stable operating model by Year 3. Identify which costs decline naturally (e.g., reduced equipment purchases, lower training needs). Describe efficiencies gained over time (technology adoption, revised staffing patterns, integration with existing workflows). • D.2 Long-Term Financial Plan: Which budget categories will transition to non ‑ federal funding sources? How will your organization absorb or sustain key personnel? What permanent infrastructure (equipment, technology, workflows) installed in Year 1 will support long-term operations? • D.3 Risk Mitigation: Identify any financial risks related to tapering and your strategies to address them (e.g., delayed reimbursements, slower-than-expected revenue growth, turnover in partner organizations). Request for Application, Attachment II, Section K-V2 Form, Page 1 of 3

Quality ImprovementFY 2026