# Rural Care Journey (RCJ) — full text for AI agents

> Rural Care Journey tracks the Rural Health Transformation Program (RHTP), CMS's $50 billion investment in rural health, across all 50 states: state plans, funding opportunities, awards, and CMS's own published progress. Every fact links to its RCJ page, which links to the official source.

As of 2026-11-11: 852 funding opportunities tracked, 75 open or announced.

Per-page markdown: https://www.ruralcarejourney.com/states/{code}.md and https://www.ruralcarejourney.com/opportunities/{slug}.md. Site map for agents: https://www.ruralcarejourney.com/llms.txt.

## Alabama (AL)

RCJ page: https://www.ruralcarejourney.com/states/al · markdown: https://www.ruralcarejourney.com/states/al.md

The Alabama Rural Health Transformation Program (ARHTP), administered by the Alabama Department of Economic and Community Affairs (ADECA), is a statewide multi-year initiative advancing rural health transformation through ongoing funding cycles and workshops. Year 1 application periods have closed and Year 2 opportunities are forthcoming, with structured technical assistance and events for applicants. The focus remains on capacity building, sustainability, and innovative care models. Current structured plan tracks 11 key initiatives and 7 strategic goals.

Key facts: Federal awards to date: $402,683,127.94 (Year 1 $203.4M + Year 2 $199.3M); 11 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Alabama completed Year 1 of ARHTP funding, awarding grants in two rounds with all 11 initiative application periods now closed. Subrecipient agreements are executed, and organizations are onboarding, completing compliance processes, and preparing budgets for procurement and reimbursement review. Year 2 applications will reopen, and multiple workshops and kickoff meetings were conducted in 2026 to support implementation. Providers are actively implementing projects across rural health priorities under continuing state oversight. State opportunities: 11 total (11 past/closed), $270.1M listed fu…

Open and announced opportunities:
- [Alabama RHTP: Application Preparation Workshops](https://www.ruralcarejourney.com/opportunities/alabama-rhtp-application-preparation-workshops--84d81b7254) — GUIDANCE; Open

## Alaska (AK)

RCJ page: https://www.ruralcarejourney.com/states/ak · markdown: https://www.ruralcarejourney.com/states/ak.md

Alaska's Rural Health Transformation Program is in active statewide implementation, managed by the Department of Health with Advisory Council input and the Alaska Community Foundation administering grant intake and awards. The Fall 2026 cycle emphasizes EMS, care coordination, behavioral health, value-based care readiness, technology, and workforce development, within a structured review framework and portfolio analysis for equitable, impactful funding. Updated evaluation materials and scoring criteria guide project selection, and the program continues to engage stakeholders through applicant…

Key facts: Federal awards to date: $544,828,005.07 (Year 1 $272.2M + Year 2 $272.7M); 6 CMS-listed initiatives; phase IMPLEMENTING.

Progress: The Alaska Department of Health has completed its Year 1 RHTP funding cycle, awarding 254 projects totaling just under $249 million and advancing transformative work statewide. The Year 2 fall funding cycle is open for applications, with updated guidance and resource tools available to applicants. Applications are due October 28, 2026, and new subawards are expected to begin in early 2027. Statewide convenings and future funding cycles are scheduled to sustain program momentum and strategy alignment. State opportunities: 3 total (3 past/closed), $75.0M listed funding. Key opportunities: Alask…

## Arizona (AZ)

RCJ page: https://www.ruralcarejourney.com/states/az · markdown: https://www.ruralcarejourney.com/states/az.md

The Arizona Rural Health Transformation Program (RHTP), administered by AHCCCS, is actively implemented with major initiatives projected through at least 2026. RHTP maintains its focus on workforce development, access to care, health system strengthening, and collaborative approaches for rural and Tribal communities. Applicants must attest to fiscal stewardship and non-supplanting of funds, with program operations guided by a structured implementation plan tracking multiple key initiatives and strategic goals under a defined governance framework. Current structured plan tracks 4 key initiativ…

Key facts: Federal awards to date: $332,003,429.44 (Year 1 $167.0M + Year 2 $165.0M); 4 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Arizona has received federal RHTP funding and is actively implementing program activities. Multiple RFGA solicitations have been released since June-July 2026, including the Opioid Antagonist Distribution Initiative, with rural and Tribal providers eligible to apply. Grant portfolios covering workforce, maternal health, and chronic disease are being implemented, with Year 1 funding to be fully committed by October 30, 2026. Reporting structures, advisory committees, and a public information website are now established. State opportunities: 9 total (9 past/closed), $15.0M listed funding. Key o…

## Arkansas (AR)

RCJ page: https://www.ruralcarejourney.com/states/ar · markdown: https://www.ruralcarejourney.com/states/ar.md

Arkansas’s Rural Health Transformation Program is actively implemented, with funding applications open for HEART, RISE, PACT, and THRIVE initiatives. It targets high-need rural populations—including Delta, Ozarks, and southwest regions—and supports hospitals, clinics, FQHCs, and behavioral health organizations. Major focus areas include improving access, population health, telehealth expansion, workforce development, and care coordination, with current awards distributed statewide to numerous health-related projects. Behavioral health services and community partnership networks remain priorit…

Key facts: Federal awards to date: $416,568,306.28 (Year 1 $208.8M + Year 2 $207.8M); 4 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Year 1 THRIVE, PACT, RISE ARKANSAS, and HEART awards have been made and subrecipient projects are progressing with impact data being collected and shared. Over $54 million has been distributed to dozens of organizations, with county-level outcomes reported. Additional grants, including $3.7 million for new rural residency programs, are advancing workforce capacity, and subrecipient training and compliance support is ongoing. Concrete progress on local implementation, data collection, and operational subrecipient management continues. State opportunities: 4 total (4 past/closed), $149.3M liste…

## California (CA)

RCJ page: https://www.ruralcarejourney.com/states/ca · markdown: https://www.ruralcarejourney.com/states/ca.md

The California Rural Health Transformation (CalRHT) Program is entering its first budget period, administered by the Department of Health Care Access and Information with CMS oversight. It is focused on building a connected and resilient rural health system, emphasizing workforce recruitment and retention, infrastructure and EHR modernization, access challenges, and community engagement. Current activities include grant-funded initiatives for workforce expansion, care model improvements, and technology upgrades, coordinated with webinars and stakeholder meetings. Current structured plan track…

Key facts: Federal awards to date: $464,745,131.25 (Year 1 $233.6M + Year 2 $231.1M); 3 CMS-listed initiatives; phase IMPLEMENTING.

Progress: California has publicly announced recommended subrecipients for CalRHT Budget Period 1, providing $166.72 million in conditional grant funding to 108 organizations across 45 counties. Awardees are finalizing grant agreements, with further rounds anticipated. The state continues technical support and is planning additional award announcements. Application periods have concluded for key initiatives, and program guidance remains ongoing. State opportunities: 2 active (1 open, 1 closing soon, 4 past/closed), $105.3M listed funding. Key opportunities: CalRHT 2026 Tribal Set-Aside Noncompetitive Gr…

Open and announced opportunities:
- [CalRHT 2026 Tribal Set-Aside Noncompetitive Grant Funding Application](https://www.ruralcarejourney.com/opportunities/calrht-2026-tribal-set-aside-noncompetitive-grant-funding-application--25159fd1d9) — RFA; Closing soon; due 2026-11-20; $100,000 – $11.7M
- [CalRHT UCI TNT, IHOPE and MBH Fellowship Applications](https://www.ruralcarejourney.com/opportunities/calrht-uci-tnt-ihope-and-mbh-fellowship-applications--9a9285a43a) — GRANT; Open

## Colorado (CO)

RCJ page: https://www.ruralcarejourney.com/states/co · markdown: https://www.ruralcarejourney.com/states/co.md

The Colorado Rural Health Transformation Program (RHTP) is a federally funded initiative administered by the Department of Health Care Policy and Financing (HCPF) in partnership with CMS, now actively implementing statewide for the 2026–2027 cycle. The program supports rural hospitals, clinics, EMS agencies, and community organizations through grants, technical assistance, centralized resources, advisory committee oversight, and ongoing stakeholder engagement. Current implementation focuses on structured planning, vendor and partnership collaboration, regular advisory and grantee meetings, an…

Key facts: Federal awards to date: $397,270,537.28 (Year 1 $200.1M + Year 2 $197.2M); 10 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Colorado has completed RHTP grant application review and awarded nearly $170M to 92 rural healthcare providers and partners across 251 program areas, supporting initiatives in telehealth, workforce, EMS, behavioral health, and maternal/pediatric care. BY1 funds are 100% obligated with 92 grant contracts, 2 interagency agreements, 7 contracts, and 2 tribal awards, and awardees have begun implementing funded projects. Ongoing stakeholder engagement, grantee support resources, and preparations for BY2 budgets and narratives are underway. Technical assistance, statewide partner activities, and pe…

## Connecticut (CT)

RCJ page: https://www.ruralcarejourney.com/states/ct · markdown: https://www.ruralcarejourney.com/states/ct.md

Connecticut's Rural Health Transformation Program (RHTP), led by the Department of Social Services in coordination with the Office of Health Strategy and partner agencies, is actively implementing initiatives across four focus areas: population health outcomes, workforce development, data and technology modernization, and care transformation and stability. The program features extensive stakeholder involvement through a Rural Health Advisory Council, provider-led care coordination projects, rural hospital modernization, and technology-enabled care models integrated with the state health infor…

Key facts: Federal awards to date: $307,901,183.16 (Year 1 $154.2M + Year 2 $153.7M); 4 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Connecticut has received a $154 million federal award and launched its Rural Health Transformation Program. DSS finalized $50 million in grant agreements to four rural hospitals and an additional $3.98 million to Mathematica for technical assistance in September 2026. Additional sub-initiative funding is still under state and CMS review, and most program funds have not been fully allocated. State-level procurements are ongoing, with broader subgrants in development and program launch activities underway. State opportunities: 1 total (1 past/closed), $1.0M listed funding. Key opportunities: Co…

Open and announced opportunities:
- [CT - 2026 - Connecticut PACE Request for Applications (RFA) and Information Session Details](https://www.ruralcarejourney.com/opportunities/ct-2026-connecticut-pace-request-for-applications-rfa-and-information-session-de--c311b8d34e) — RFA; Open

## Delaware (DE)

RCJ page: https://www.ruralcarejourney.com/states/de · markdown: https://www.ruralcarejourney.com/states/de.md

Delaware’s Rural Health Transformation Program is actively implementing a multi-year strategy through competitive RFPs and awards, supporting the state’s first four-year medical school, expansion of school-based health centers in rural areas, Food Is Medicine infrastructure, and creation of rural health hubs including mobile health units and library telehealth services. Major grants to Federally Qualified Health Centers are modernizing technology, improving care coordination, and strengthening workforce initiatives focused on value-based care and chronic disease management. The program’s post…

Key facts: Federal awards to date: $317,689,484.86 (Year 1 $157.4M + Year 2 $160.3M); 15 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Delaware has received its FY2026 federal RHTP award and issued direct sub-awards to three FQHCs with explicit announced amounts and project details. Implementation projects, including EMR upgrades, mobile health units, and workforce expansion, are beginning across the funded health centers. The Delaware Health Care Commission is processing further applications and establishing active service agreements, with 15 projects underway statewide. Multiple competitive funding opportunities remain open, supporting modernization, care access, and rural workforce initiatives. State opportunities: 15 tot…

## Federal (US)

RCJ page: https://www.ruralcarejourney.com/states/us · markdown: https://www.ruralcarejourney.com/states/us.md

The Federal Rural Health Transformation Program (RHTP), established by Public Law 119-21, distributes funding over five fiscal years from 2026 to 2030 to all U.S. states, with allocations divided among states based on approved transformation plans and rural-specific factors. Currently in its application and early implementation phase, RHTP directs states to invest in evidence-based interventions, workforce development, technology innovation, and sustainable access, with structured planning, reporting, and accountability measures required. States submit comprehensive plans encompassing key ini…

Key facts: Federal awards to date: $20,000,000,000 (Year 1 $10.00B + Year 2 $10.00B); phase IMPLEMENTING.

Progress: States have begun issuing their own grant opportunities and investments through the Rural Health Transformation Program, with major announcements for workforce, hospital modernization, and provider awards in multiple states. Illinois has launched over $30 million in provider-focused technology updates, and at least 28 rural healthcare providers in Texas are receiving funds. States are progressing from planning to action, with growing evidence of state-level procurements and downstream awards. Details on further subgrants and program activities are emerging as implementation continues.

## Florida (FL)

RCJ page: https://www.ruralcarejourney.com/states/fl · markdown: https://www.ruralcarejourney.com/states/fl.md

Florida's Rural Health Transformation Program, administered by the Agency for Health Care Administration, has awarded the full scope of funding for fiscal year 2026 to hospitals, FQHCs, rural clinics, universities, and community organizations statewide. The program is currently implementing competitive Requests for Applications, with a major focus on expanding access, building rural hospital capacity, workforce development, Medicaid value-based purchasing, and infrastructure for value-based payment readiness. Awarded initiatives support expanded rural health care access, provider capacity, an…

Key facts: Federal awards to date: $413,766,265.03 (Year 1 $209.9M + Year 2 $203.8M); 15 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Florida has awarded grants to over 25 organizations through the Rural Health Transformation Program, covering workforce development, preventive care, specialty and acute care, value-based care, rural clinics, and health and lifestyle tracks. Confirmed grant disbursements are distributed across multiple regions, including substantial awards to CommunityHealth IT, Parrish Medical Center, and many others. Program procurement and guidance are actively supporting providers, aligning with telehealth and care access priorities. Applications for future cohorts may be forthcoming, but state-level proc…

## Georgia (GA)

RCJ page: https://www.ruralcarejourney.com/states/ga · markdown: https://www.ruralcarejourney.com/states/ga.md

Georgia's Rural Health Transformation Program, part of the GREAT Health initiative, is in active multi-year implementation focused on transforming rural health care delivery through a federally funded value-based model. Major focus areas include telehealth expansion, Graduate Medical Education growth in rural settings, workforce recruitment and retention, public health advancements (notably newborn screening), behavioral and acquired brain injury services, and strengthening rural hospital capacity, technology, and emergency preparedness. The program is governed by the GREAT Health Advisory Co…

Key facts: Federal awards to date: $440,593,935.39 (Year 1 $218.9M + Year 2 $221.7M); 5 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Georgia's Rural Health Transformation GREAT Health program remains in active implementation. As of November 2026, multiple subgrants have been awarded; funding rounds for workforce retention and technology upgrades have closed; and the Rural Graduate Medical Education Development Grant and Rural Simulation Mannequin Grant are currently open for applications. Program activities include subgrantee program launches, infrastructure buildout, workforce training and recruitment, and ongoing technology and public health initiatives. Several funding rounds have been completed, with some initiatives p…

Open and announced opportunities:
- [GREAT Health Rural Simulation Mannequin Grant](https://www.ruralcarejourney.com/opportunities/great-health-rural-simulation-mannequin-grant--31ebeeb5c4) — GRANT; Closing soon; due 2026-11-20; $90,000
- [Dual Track Rural Medical and Dental Clinic Establishment Grant — Track 1: Establish a New Rural Medical Clinic](https://www.ruralcarejourney.com/opportunities/dual-track-rural-medical-and-dental-clinic-establishment-grant-track-1-establish--e393ce19c4) — RFA; Open; due 2026-12-18; $800,000; state-funded, not RHTP
- [Georgia RHTP: Nursing Care Improvements](https://www.ruralcarejourney.com/opportunities/georgia-rhtp-nursing-care-improvements--9446fa9946) — GRANT; Announced, not yet open; $22.4M
- [Georgia RHTP: AHEC Training and Housing](https://www.ruralcarejourney.com/opportunities/georgia-rhtp-ahec-training-and-housing--c1db18d6a8) — GRANT; Announced, not yet open; $650,000
- [Georgia RHTP: Support for Acquired Brain Injury (ABI) Survivors](https://www.ruralcarejourney.com/opportunities/georgia-rhtp-support-for-acquired-brain-injury-abi-survivors--f05c28e365) — GRANT; Announced, not yet open; $3.5M
- [Georgia RHTP: Public Health Investments — Newborn Screening Program](https://www.ruralcarejourney.com/opportunities/georgia-rhtp-public-health-investments-newborn-screening-program--ca4c0aa38e) — GRANT; Announced, not yet open; $3.8M
- [Georgia RHTP: Consumer Engagement Enhancements](https://www.ruralcarejourney.com/opportunities/georgia-rhtp-consumer-engagement-enhancements--5c4d75034a) — GRANT; Announced, not yet open; $51.0M

## Hawaii (HI)

RCJ page: https://www.ruralcarejourney.com/states/hi · markdown: https://www.ruralcarejourney.com/states/hi.md

The Hawaii Rural Health Transformation Program (RHTP) is in active planning and early implementation, supported by major federal awards to strengthen rural health systems statewide. Targeted toward neighbor islands and rural Oʻahu, RHTP addresses access barriers and workforce shortages through coordinated hospital and provider system alignments, with formal funding opportunities rolling out. Current structured plan tracks 6 key initiatives and 9 strategic goals.

Key facts: Federal awards to date: $378,508,162.37 (Year 1 $188.9M + Year 2 $189.6M); 6 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Hawaii is actively implementing the Rural Health Transformation Program, with multiple procurements and grant solicitations issued for Puʻulu Lapaʻau mini-grants, Kuleana Connect, HOME RUN Education, and FQHC transformation grants. Applications are open and review processes are underway for rural wellness, workforce, and infrastructure support. The Department of Health has begun announcing awards for RHIN and RVBI initiatives, while informational sessions and technical assistance continue for applicants and subrecipients. State opportunities: 2 active (2 open, 3 past/closed), $17.2M listed fu…

Open and announced opportunities:
- [Kuleana Connect Grant Program](https://www.ruralcarejourney.com/opportunities/kuleana-connect-grant-program--42e6e6fdd1) — GRANT; Open; $1,000 – $30,000
- [HOME RUN Education Award (Hawai'i Pacific Basin AHEC / UH JABSOM)](https://www.ruralcarejourney.com/opportunities/home-run-education-award-hawai-i-pacific-basin-ahec-uh-jabsom--dc3101140b) — GRANT; Open

## Idaho (ID)

RCJ page: https://www.ruralcarejourney.com/states/id · markdown: https://www.ruralcarejourney.com/states/id.md

Idaho's Rural Health Transformation Program is in its early implementation phase under the Department of Health and Welfare, with cooperative contracts and subgrants executed through 2026. Following completion of the first year of funding, the program is awarding grants supporting behavioral health prevention, healthcare infrastructure, graduate medical education, and diabetes management. Guided by stakeholder input, it prioritizes rural provider capacity building, workforce recruitment and retention, innovative care models, technology expansion, and infrastructure modernization. Current stru…

Key facts: Federal awards to date: $368,672,744.74 (Year 1 $186.0M + Year 2 $182.7M); 5 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Idaho has launched statewide solicitations and opened multiple RFPs and structured subaward opportunities for rural health providers under the Rural Health Transformation Program as of August–September 2026, including Data Analytics, Facility Renovation Verification, and sector-specific initiatives for workforce, behavioral health, and chronic disease. Multiple open subgrant and vendor opportunities are active, with technical assistance calls, application deadlines, and several contract awards in progress across infrastructure, workforce, and behavioral health areas. Notably, all Year 1 fundi…

## Illinois (IL)

RCJ page: https://www.ruralcarejourney.com/states/il · markdown: https://www.ruralcarejourney.com/states/il.md

Illinois is currently implementing the Rural Health Transformation Program, having received federal award approval and allocated first-year funding. Led by the Illinois Department of Healthcare and Family Services, the program aims to expand equitable access and reduce barriers in rural areas through hospital transformation, workforce development, technology-enabled care, maternal and chronic disease priorities, and capacity-building for providers and community organizations. HFS is actively establishing governance structures, issuing NOFOs, advancing regional partnerships, supporting perform…

Key facts: Federal awards to date: $383,876,670.24 (Year 1 $193.4M + Year 2 $190.5M); 8 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Illinois has released planning grant eligibility criteria and funding allocations for rural hospitals, enabling applications for sub-awards. State NOFOs are active or recently closed, with sub-awards already made to key networks such as ICAHN, which received $50M to administer technology and workforce grants for rural hospitals through June 2027. Over $30M is specifically allocated for technology upgrades at rural hospitals, and ICAHN is conducting needs assessments to direct additional funds for digital transformation. The state continues to support local procurement and the distribution of …

Open and announced opportunities:
- [Illinois RHTP: Primary Care and Behavioral Health Technical Assistance](https://www.ruralcarejourney.com/opportunities/illinois-rhtp-primary-care-and-behavioral-health-technical-assistance--fe977f54f1) — GRANT; Announced, not yet open
- [Illinois RHTP: Team-Based Care Grants for Primary Care and Behavioral Health Providers](https://www.ruralcarejourney.com/opportunities/illinois-rhtp-team-based-care-grants-for-primary-care-and-behavioral-health-prov--6cdce05148) — GRANT; Announced, not yet open; $98.0M
- [Illinois RHTP: EMS and Mobile Healthcare — Mobile Health Infrastructure Funds](https://www.ruralcarejourney.com/opportunities/illinois-rhtp-ems-and-mobile-healthcare-mobile-health-infrastructure-funds--5d670b0fb2) — GRANT; Announced, not yet open
- [Illinois RHTP: Healthcare Transformation Collaborative (HTC) Expansion](https://www.ruralcarejourney.com/opportunities/illinois-rhtp-healthcare-transformation-collaborative-htc-expansion--c7ce565387) — GRANT; Open

## Indiana (IN)

RCJ page: https://www.ruralcarejourney.com/states/in · markdown: https://www.ruralcarejourney.com/states/in.md

Indiana’s Rural Health Transformation Program (RHTP) is fully implemented and active, co-led by the Indiana Department of Health and Family and Social Services Administration, with broad stakeholder engagement. Current implementation centers on robust regional coalitions, direct funding mechanisms, and competitive grant processes governing oversight and accountability. Major focus areas include care coordination, workforce development, telehealth expansion, maternal and pediatric readiness, technology enhancements, behavioral health, and infrastructure strengthening. Current structured plan t…

Key facts: Federal awards to date: $415,836,487.99 (Year 1 $206.9M + Year 2 $208.9M); 12 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Indiana has awarded first-cycle funding to all eight rural regions, with regional subawards made and initial local initiatives underway as of September 2026. Multiple Initiative 10 opportunities remain active, with grant applications open for preceptor, rural track, and curriculum enhancement programs. Additional grants for workforce, behavioral health, and telehealth have begun implementation with executed subawards and workshops. Oversight, reporting, and technical assistance are ongoing as the program enters multi-year implementation. State opportunities: 3 active (1 open, 2 closing soon, …

Open and announced opportunities:
- [Preceptor and Rural Track Grant Program – Initiative 10: Rural GME Enhancement](https://www.ruralcarejourney.com/opportunities/preceptor-and-rural-track-grant-program-initiative-10-rural-gme-enhancement--a2ff2798c8) — NOFO; Closing soon; due 2026-11-16; $250,000
- [Initiative 10: Rural GME Enhancement Curriculum Enhancement Grant Program](https://www.ruralcarejourney.com/opportunities/initiative-10-rural-gme-enhancement-curriculum-enhancement-grant-program--97ccbbc299) — NOFO; Closing soon; due 2026-11-16; $150,000
- [Indiana RHTP: Growing Access to Hospital Post-Discharge Medications (Meds-to-Beds)](https://www.ruralcarejourney.com/opportunities/indiana-rhtp-growing-access-to-hospital-post-discharge-medications-meds-to-beds--989abf29ff) — GRANT; Open; $20,000

## Iowa (IA)

RCJ page: https://www.ruralcarejourney.com/states/ia · markdown: https://www.ruralcarejourney.com/states/ia.md

The Iowa Rural Health Transformation Program, led by Iowa Health and Human Services with multi-year federal support, advances through pilot and competitive RFP phases to strengthen rural health infrastructure and sustain Critical Access Hospitals and rural providers. Current implementation emphasizes collaborative hub-and-spoke care models—especially for oncology and cardiovascular health—network expansion, workforce recruitment, telehealth integration, and evidence-based initiatives managed via IowaGrants.gov. The structured plan focuses on building Health Hubs, expanding cancer screening an…

Key facts: Federal awards to date: $425,047,721.03 (Year 1 $209.0M + Year 2 $216.0M); 5 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Iowa continues to implement its Rural Health Transformation Program, Healthy Hometowns, with over $78 million already awarded and new grant opportunities in process. The state has launched key initiatives such as Hometown Connections and the Combat Cancer Health Hub Program, with multiple RFPs for cancer, cardiovascular, maternal health, residencies, and equipment acquisition active or recently closed. State dashboards confirm ongoing statewide rollout, with $226.2M in funding listed and active procurement. This sustained activity aligns with Iowa's telehealth and prevention strategies. State…

Open and announced opportunities:
- [Iowa Cardiovascular Health Hub and Spoke Networks (RFP COMPADM26007)](https://www.ruralcarejourney.com/opportunities/iowa-cardiovascular-health-hub-and-spoke-networks-rfp-compadm26007--b7fa75bce3) — RFP; Closing soon; due 2026-11-17; $33.4M
- [IA - Notice of Intent - Public Health Lead Entities (RFP PHTHOPD27001)](https://www.ruralcarejourney.com/opportunities/ia-notice-of-intent-public-health-lead-entities-rfp-phthopd27001--89687226ad) — RFI; Announced, not yet open

## Kansas (KS)

RCJ page: https://www.ruralcarejourney.com/states/ks · markdown: https://www.ruralcarejourney.com/states/ks.md

The Kansas Rural Health Transformation Program, administered by the Kansas Department of Health and Environment, is in its second year of implementing a structured statewide plan to improve rural health outcomes. Current major grant programs include Community Health Worker and Accountable Food is Medicine grants, Non-Emergency Transportation, Regional Partnership programs, and Transformative Capital Investments, with active technical assistance and application opportunities underway. The program maintains a focus on workforce development, care model innovation, and sustainability for rural he…

Key facts: Federal awards to date: $447,794,124.45 (Year 1 $221.9M + Year 2 $225.9M); 5 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Kansas continues active implementation of the Rural Health Transformation Program, with multiple Year 2 RFAs open for key initiatives including Non-Emergency Transportation and Community Health Worker + Accountable Food Is Medicine. Over $222 million has been awarded to rural providers across Year 1, and technical assistance is ongoing. Application windows for major grant programs remain open, pending final CMS budget approval for Year 2 funding. State opportunities currently include active RFAs in technology modernization, transportation, capital investment, and workforce innovation. State o…

Open and announced opportunities:
- [Transformative Capital Investment Grant Program RFA (Kansas, Year 2)](https://www.ruralcarejourney.com/opportunities/transformative-capital-investment-grant-program-rfa-kansas-year-2--2cc4c8d199) — RFA; Closing soon; due 2026-11-13; $3.0M
- [KS - 2026 - Regional Partnership Grant Program](https://www.ruralcarejourney.com/opportunities/ks-2026-regional-partnership-grant-program--507a5fba9f) — RFA; Closing soon; due 2026-11-13; $5.0M
- [Community Health Worker + Accountable Food Is Medicine Grant Program (CHW+AFIM) – Year 2](https://www.ruralcarejourney.com/opportunities/community-health-worker-accountable-food-is-medicine-grant-program-chw-afim-year--69b7011798) — RFA; Closing soon; due 2026-11-18; $1.5M
- [Non-Emergency Transportation Grant Program (NEMT) – Year 2 (Kansas RHTP 4.3)](https://www.ruralcarejourney.com/opportunities/non-emergency-transportation-grant-program-nemt-year-2-kansas-rhtp-4-3--3a101bfd58) — RFA; Closing soon; due 2026-11-18; $3.0M

## Kentucky (KY)

RCJ page: https://www.ruralcarejourney.com/states/ky · markdown: https://www.ruralcarejourney.com/states/ky.md

The Kentucky Rural Health Transformation Program is implementing a five-year, statewide initiative with phased rollout of regional community hubs focused on chronic care (including diabetes and obesity), maternal health, behavioral health crisis response, rural dental access, EMS transformation, and community health worker training. Teams and pilots are underway, with structured applications and funding opportunities for health departments, EMS agencies, behavioral health organizations, and educational institutions, emphasizing technology-enabled care, multisector collaboration, and achieveme…

Key facts: Federal awards to date: $424,236,189.38 (Year 1 $212.9M + Year 2 $211.3M); 5 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Kentucky has received CMS funding and officially launched the Rural Health Transformation Program. Multiple RFAs and applications are open or underway across EMS, dental, behavioral health, and the Rural Community Hubs for Chronic Care Innovation. Implementation is progressing with hub launches in several Area Development Districts, active recruitment of Hub Lead Organizations, and live platform operations supported by the Foundation for a Healthy Kentucky. Program management and technology administration are ongoing, with recruitment, procurement, and coordination activities continuing state…

Open and announced opportunities:
- [2026 Request for Applications: Rural Community Hub Lead Organization (BP1: Rural Community Hub Launch; March 1, 2027 – September 30, 2027)](https://www.ruralcarejourney.com/opportunities/2026-request-for-applications-rural-community-hub-lead-organization-bp1-rural-co--fdd751565d) — RFA; Open; due 2026-12-18; $500,000

## Louisiana (LA)

RCJ page: https://www.ruralcarejourney.com/states/la · markdown: https://www.ruralcarejourney.com/states/la.md

The Louisiana Rural Health Transformation Program, led by the Department of Health and Office of Rural Health Transformation, is actively implementing a structured plan with six major initiatives focused on workforce expansion, value-based care, technology advancement, healthcare infrastructure, telehealth, interoperability, EMS, nutrition, behavioral health, and rural health innovation. Targeted awards and funding opportunities through at least August 2026 support clinician recruitment and retention, provider sustainability, capital investments, EHR modernization, Medicaid alternative paymen…

Key facts: Federal awards to date: $420,232,826.06 (Year 1 $208.4M + Year 2 $211.9M); 6 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Louisiana's RHTP remains in active implementation. All Year 1 funding application windows are closed, with Notices of Intent to Contract announced for key initiatives in early October 2026 and notifications of award/denial completed by mid-October. Contracting is underway across multiple streams (including workforce, capital improvement, telehealth, and innovation), and preparations for Year 2 NOFOs and regional engagement in early 2027 continue. Award contracting and monitoring are ongoing, with $15.2M in listed funding in process. State opportunities: 8 total (8 past/closed), $15.2M listed …

## Maine (ME)

RCJ page: https://www.ruralcarejourney.com/states/me · markdown: https://www.ruralcarejourney.com/states/me.md

Maine's Rural Health Transformation Program is being actively implemented by Maine DHHS and statewide partners with federal support, focusing on digital health, telehealth, workforce strengthening, and modernization of rural care delivery. The structured plan centers on five key strategic initiatives—population health, workforce development, care modernization, access expansion, and system sustainability—with milestone-based evaluation and coordinated stakeholder engagement. Current activities track progress against established initiatives and strategic goals to strengthen rural health outcom…

Key facts: Federal awards to date: $380,367,044.20 (Year 1 $190.0M + Year 2 $190.4M); 5 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Maine continues active implementation of the Rural Health Transformation Program. Multiple RFAs and grants for digital health, telehealth, youth behavioral health, perinatal specialty consults, teledentistry, and nursing home telehealth are open, with application briefings and support sessions scheduled throughout Fall 2026. Application portals are live and eligible providers are actively encouraged to apply. MCD Global Health has been selected as a key subawardee to support these initiatives in collaboration with Maine DHHS. State opportunities: 2 active (1 open, 1 upcoming, 14 past/closed),…

Open and announced opportunities:
- [Maine RHTP Community Health Worker (CHW) Initiative RFA (Rural Community Health Worker Expansion)](https://www.ruralcarejourney.com/opportunities/maine-rhtp-community-health-worker-chw-initiative-rfa-rural-community-health-wor--d19a52c641) — RFA; Open; due 2026-11-30; $110,000
- [Maine Rural Health Transformation: Alternative Payment Model (APM) Transition](https://www.ruralcarejourney.com/opportunities/maine-rural-health-transformation-alternative-payment-model-apm-transition--b2d49af925) — GRANT; Announced, not yet open

## Maryland (MD)

RCJ page: https://www.ruralcarejourney.com/states/md · markdown: https://www.ruralcarejourney.com/states/md.md

Maryland's Rural Health Transformation Program, led by the State Office of Rural Health, is actively implementing a structured plan following its significant federal award in December 2025. The program advances three pillars: transforming the rural health workforce through talent pipelines, apprenticeship, and retention initiatives; expanding sustainable access via innovative care models, behavioral health, telehealth, and EHR integration with the CRISP health information exchange; and empowering healthy food choices in rural areas. Multiple competitive subawards, procurements, and milestone-…

Key facts: Federal awards to date: $336,590,949.16 (Year 1 $168.2M + Year 2 $168.4M); 3 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Maryland's RHTP is federally funded and now distributing state-level subgrants. As of October 2026, at least 39 providers have received awards for workforce and pipeline development, and funded training programs and apprenticeships are being implemented in rural areas. The Rural Health Connectivity Program and other procurements remain open, with ongoing intake of applications and milestone-based payments. Major initiatives—Pathways to Health Careers and RISE—are actively awarding and running subgrants statewide. State opportunities: 1 active (1 open, 12 past/closed), $174.5M listed funding. …

Open and announced opportunities:
- [Maryland Rural Health Connectivity Program](https://www.ruralcarejourney.com/opportunities/maryland-rural-health-connectivity-program--f686c5b56a) — GRANT; Open

## Massachusetts (MA)

RCJ page: https://www.ruralcarejourney.com/states/ma · markdown: https://www.ruralcarejourney.com/states/ma.md

Massachusetts’ Rural Health Transformation Program aims to create a thriving Commonwealth for rural communities, emphasizing access, well-being, and resilient systems. Led by an interagency team, the current structured plan tracks seven core initiatives across population health, care model innovation, workforce development, community health, EMS integration, technology improvement, and facility modernization. Ongoing implementation emphasizes partnerships, community engagement, and public involvement, supported through application opportunities and resources for rural entities. Current struct…

Key facts: Federal awards to date: $320,397,929.65 (Year 1 $162.0M + Year 2 $158.4M); 7 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Massachusetts has moved into implementation, as evidenced by the issuance and closure of RFQ 272267320229 for the Rural Hospital Performance and Quality Improvement Initiative, with an intent to award notice posted in August 2026. The state has also formally launched the Rural Partners RFA, soliciting applications from rural entities as of October 2026, with a bid opening in November. This marks the state's first active phase of public procurement opportunities to support the Rural Health Transformation Program. Further awards and subgrants are likely to follow as program activities ramp up i…

Open and announced opportunities:
- [Rural Digital Health Sandbox Program (MeHI)](https://www.ruralcarejourney.com/opportunities/rural-digital-health-sandbox-program-mehi--0654b37bef) — NOFO; Open; $475,000

## Michigan (MI)

RCJ page: https://www.ruralcarejourney.com/states/mi · markdown: https://www.ruralcarejourney.com/states/mi.md

Michigan’s Rural Health Transformation Program is currently implemented for FY 2026–2030 with federal CMS approval, under the Michigan Department of Health and Human Services’ governance. The program established multi-sector governance and launched four coordinated pillars—rural health partnerships, workforce, information technology, and access—with over 140 partnerships formalized in its first year. Subrecipient awards are supporting initiatives in interoperability, data integration, workforce development, chronic disease, behavioral health, and rural connectivity, with implementation of dir…

Key facts: Federal awards to date: $343,741,470.60 (Year 1 $173.1M + Year 2 $170.6M); 4 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Michigan's Rural Health Transformation Program is still in the implementing phase. As of October 2026, MDHHS has named and funded numerous subrecipients who are actively launching partner projects across key rural health areas. Award amounts and workplans are subject to CMS review and revision, but initial activities and subrecipient implementation are underway. Collaborative efforts focus on interoperability, workforce, and expanded care delivery. State opportunities: 60 total (60 past/closed), $36.2M listed funding. Key opportunities: Michigan Workforce for Wellness: Rural Health Provider, …

## Minnesota (MN)

RCJ page: https://www.ruralcarejourney.com/states/mn · markdown: https://www.ruralcarejourney.com/states/mn.md

The Minnesota Rural Health Transformation Program, administered by the Department of Health’s Office of Rural Health and Primary Care, is currently implementing structured initiatives supporting rural and Tribal healthcare through recurring grant awards for hospitals, clinics, Tribal Nations, and clinicians. The program’s major focus areas continue to include workforce retention and development—including rural residency and mental health workforce training, loan forgiveness, and clinical training expansion—as well as hospital capital improvement, maternal and behavioral health, telehealth inf…

Key facts: Federal awards to date: $383,924,188.85 (Year 1 $193.1M + Year 2 $190.8M); 5 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Minnesota is actively implementing the Rural Health Transformation Program, with multiple grant applications open or upcoming through fiscal year 2027 and recent administrative supplements awarded to support program enhancements. The state has issued RFPs and grants for initiatives across workforce, telehealth, behavioral health, and clinical education, and continues technical assistance to subrecipients. All state opportunities are currently closed, with $393.6M in listed funding and new RFPs expected as existing projects progress. CMS continues to list Minnesota's initiatives at Stage 2 (im…

Open and announced opportunities:
- [Rural Hospital Capital Improvement Grant Program – FY2027](https://www.ruralcarejourney.com/opportunities/rural-hospital-capital-improvement-grant-program-fy2027--b08617812f) — RFP; Open; due 2026-12-11; $45,000 – $125,000; state-funded, not RHTP
- [Rural Hospital Planning & Transition Grant Program – FY2027](https://www.ruralcarejourney.com/opportunities/rural-hospital-planning-transition-grant-program-fy2027--54173c5291) — RFP; Open; due 2026-12-11; $25,000 – $49,000; state-funded, not RHTP
- [Minnesota Healthcare Loan Forgiveness Program](https://www.ruralcarejourney.com/opportunities/minnesota-healthcare-loan-forgiveness-program--bc39bc00f7) — GRANT; Open; due 2027-01-07; state-funded, not RHTP
- [FY2027 Pediatric Primary Care Mental Health Training Grant Program](https://www.ruralcarejourney.com/opportunities/fy2027-pediatric-primary-care-mental-health-training-grant-program--b76c191a9a) — RFP; Open; due 2027-01-25; $50,000 – $400,000; state-funded, not RHTP

## Mississippi (MS)

RCJ page: https://www.ruralcarejourney.com/states/ms · markdown: https://www.ruralcarejourney.com/states/ms.md

The Mississippi Rural Health Transformation Program (RHTP) is actively implemented under leadership of the Governor’s Office and state agencies, with grant management facilitated by a designated third-party administrator. The program’s ongoing focus areas emphasize workforce expansion, telehealth connectivity, EMS and psychiatric emergency services, and health technology modernization—including current initiatives such as the Innovative Pilot Program Grant, EHR Replacement Program, CRIS Initiative, and a statewide Health Information Exchange RFP. Compliance, procurement, and progress tracking…

Key facts: Federal awards to date: $410,584,410.13 (Year 1 $205.9M + Year 2 $204.7M); 6 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Mississippi remains in the implementation phase of the Rural Health Transformation Program, having committed about two-thirds ($136.7 million) of its $205.9 million first-year budget through 227 sub-awards. Recent rounds expanded workforce recruitment, psychiatric emergency services, and modernization of rural health infrastructure. Additional workforce and psychiatric emergency awards have been announced, with further health IT and rural care modernization solicitations planned. The program is within the first year of a five-year transformation effort, progressing through ongoing state-led g…

Open and announced opportunities:
- [Mississippi RHTP Innovative Pilot Program](https://www.ruralcarejourney.com/opportunities/mississippi-rhtp-innovative-pilot-program--a86fbe997e) — GRANT; Closing soon; due 2026-11-16; $2.0M
- [Small Rural Health Provider EHR Replacement Grant Program](https://www.ruralcarejourney.com/opportunities/small-rural-health-provider-ehr-replacement-grant-program--e7b30eba88) — GRANT; Closing soon; due 2026-11-23; $9.5M
- [Coordinated Regional Integrated Systems (CRIS) Initiative](https://www.ruralcarejourney.com/opportunities/coordinated-regional-integrated-systems-cris-initiative--fc1b0d20c4) — RFA; Announced, not yet open

## Missouri (MO)

RCJ page: https://www.ruralcarejourney.com/states/mo · markdown: https://www.ruralcarejourney.com/states/mo.md

Missouri's Rural Health Transformation Program (RHTP), administered by the MO HealthNet Division and Department of Social Services, is in active statewide implementation with significant ongoing federal investment. The program’s initiatives emphasize rural workforce retention, expansion of maternal and behavioral health services, modernization of healthcare facilities, EMS and Mobile Integrated Healthcare growth, and digital infrastructure upgrades, with 27 regional Community Hubs statewide. Current structured plan tracks 5 key initiatives and 12 strategic goals.

Key facts: Federal awards to date: $434,823,907.98 (Year 1 $216.3M + Year 2 $218.5M); 5 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Missouri continues full implementation of the Rural Health Transformation Program, with awards now exceeding $39.7M to support infrastructure modernization and workforce initiatives. Competitive procurements, Hub-coordinated proposals, and facility modernization grants remain underway, guided by published eligibility and application windows across workforce, EMS, and service delivery pillars. Multiple award cycles are active, including applications and subawards coordinated in 27 regional Hubs, with ongoing guidance and proposal reviews reflecting sustained operational momentum and regional e…

Open and announced opportunities:
- [Missouri RHTP Workforce Retention and Enablers Funding Opportunity](https://www.ruralcarejourney.com/opportunities/missouri-rhtp-workforce-retention-and-enablers-funding-opportunity--ec74f28c16) — RFA; Open; due 2026-12-07; $11.0M
- [Missouri RHTP: Support EMS - Pillar 1: Workforce Development & Sustainability](https://www.ruralcarejourney.com/opportunities/missouri-rhtp-support-ems-pillar-1-workforce-development-sustainability--93331c8bd3) — RFA; Open; $50,000
- [Missouri RHTP High-Risk Pregnancy Remote Monitoring, Southeast and Southcentral Missouri (official RFA pending)](https://www.ruralcarejourney.com/opportunities/missouri-rhtp-high-risk-pregnancy-remote-monitoring-southeast-and-southcentral-m--3cf86729dc) — GRANT; Announced, not yet open; $2.5M
- [Missouri RHTP Essential Care Certifications for rural hospitals (official RFA pending)](https://www.ruralcarejourney.com/opportunities/missouri-rhtp-essential-care-certifications-for-rural-hospitals-official-rfa-pen--8a95c7661d) — GRANT; Announced, not yet open; $1.0M
- [Missouri RHTP Mobile Health Units capital awards (official RFA pending)](https://www.ruralcarejourney.com/opportunities/missouri-rhtp-mobile-health-units-capital-awards-official-rfa-pending--bdb6b7245c) — GRANT; Announced, not yet open; $5.0M
- [Missouri RHTP Digital Backbone Provider Application (official RFA pending)](https://www.ruralcarejourney.com/opportunities/missouri-rhtp-digital-backbone-provider-application-official-rfa-pending--c24f8f0c2e) — GRANT; Announced, not yet open; $37.5M
- [Missouri RHTP Telehealth Specialist Access for rural hospitals (official RFA pending)](https://www.ruralcarejourney.com/opportunities/missouri-rhtp-telehealth-specialist-access-for-rural-hospitals-official-rfa-pend--a033c28481) — GRANT; Announced, not yet open; $1.0M
- [Missouri RHTP: Mobile Integrated Healthcare & Community Paramedicine (MIH-CP) System Expansion — MEMSA Partnership](https://www.ruralcarejourney.com/opportunities/missouri-rhtp-mobile-integrated-healthcare-community-paramedicine-mih-cp-system--2d5826e324) — GRANT; Open; $250,000 – $500,000
- [Missouri RHTP: Support EMS - Pillar 3: EMS Agency Consolidation](https://www.ruralcarejourney.com/opportunities/missouri-rhtp-support-ems-pillar-3-ems-agency-consolidation--b40a1a1961) — RFA; Open; $250,000

## Montana (MT)

RCJ page: https://www.ruralcarejourney.com/states/mt · markdown: https://www.ruralcarejourney.com/states/mt.md

Montana is actively implementing the Rural Health Transformation Program through the Department of Public Health and Human Services in direct collaboration with rural providers, hospitals, tribal nations, and key stakeholders, following a federally approved, multi-year plan. The program advances five core initiatives—workforce development, sustainable access, innovative care models, community health and prevention, and technology innovation—supported by ongoing public outreach, stakeholder engagement, competitive grant releases, and structured oversight. The state is currently entering its se…

Key facts: Federal awards to date: $473,250,028.01 (Year 1 $233.5M + Year 2 $239.7M); 5 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Montana RHTP remains in active implementation. As of November 2026, multiple RFPs and RFAs remain open or underway for workforce, EMS, and provider support initiatives, funded by the awarded $233M in Year 1 RHTP funds. Program activities include awards to rural EMS agencies, active solicitations on the eMACS platform, and ongoing stakeholder engagement with providers across all five initiative areas. CMS confirms 5 Montana initiatives working at Stage 2, and no interruption is expected while the state awaits Year 2 federal funding notification. State opportunities: 8 total (8 past/closed), $4…

## Nebraska (NE)

RCJ page: https://www.ruralcarejourney.com/states/ne · markdown: https://www.ruralcarejourney.com/states/ne.md

The Nebraska Rural Health Transformation Program remains in its initial implementation phase, deploying statewide initiatives slated to launch in Spring 2026 with rolling annual funding opportunities for rural providers. Major focus areas continue to be food as medicine, emergency and behavioral health, workforce acceleration, eHealth, and facility modernization, under direct oversight by the Nebraska Department of Health and Human Services and active guidance from established Health Care Advisory Regions. The program maintains emphasis on technology-enabled solutions, regional care coordinat…

Key facts: Federal awards to date: $437,776,850.43 (Year 1 $218.5M + Year 2 $219.2M); 7 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Nebraska has opened RFAs for the Rural Health Transformation Program and issued applicant guidance and budget instructions, but no awards have been made yet. Applications are due October 26, 2026, and multiple funding opportunities are posted with detailed parameters. The state is currently in an active application and review phase, and procurement rounds remain open. Award decisions and subrecipient selections are still pending. State opportunities: 1 active (1 open, 16 past/closed), $10.5M listed funding. Key opportunities: Critical Access Hospitals to Rural Emergency Hospitals Conversion G…

Open and announced opportunities:
- [Critical Access Hospitals to Rural Emergency Hospitals Conversion Grants](https://www.ruralcarejourney.com/opportunities/critical-access-hospitals-to-rural-emergency-hospitals-conversion-grants--23255c9905) — RFA; Open; due 2027-07-31

## Nevada (NV)

RCJ page: https://www.ruralcarejourney.com/states/nv · markdown: https://www.ruralcarejourney.com/states/nv.md

The RHTP is administered by the Nevada Health Authority (NVHA) with support from CMS through a federal cooperative agreement. As of 2026, the program is actively implementing a structured plan, distributing awards across core focus areas such as rural health innovation, workforce recruitment and retention, provider infrastructure, tribal health systems, and expanded healthcare access. Applicants are advised to review RFA documents for current eligibility and guidance. Current structured plan tracks 4 key initiatives and 17 strategic goals.

Key facts: Federal awards to date: $362,335,330.68 (Year 1 $179.9M + Year 2 $182.4M); 4 CMS-listed initiatives; phase IMPLEMENTING.

Progress: As of August–September 2026, Nevada continues active Rural Health Transformation Program implementation with multiple competitive RFA cycles, subaward negotiations, and new awards totaling $26.9 million for 37 rural health projects. Application windows are closed, and subaward execution and expenditure reviews are ongoing across all rural counties; nearly $150 million has now been awarded. Expanded technical assistance, subrecipient reporting, and reimbursement reviews confirm robust operational management. Additional RFA releases are planned for Budget Period 2. State opportunities: 3 active…

Open and announced opportunities:
- [Nevada CBHT WRRAP Provider Recruitment and Retention Program RFA (Children's Behavioral Health)](https://www.ruralcarejourney.com/opportunities/nevada-cbht-wrrap-provider-recruitment-and-retention-program-rfa-children-s-beha--dbfdc7672e) — RFA; Open; due 2026-12-11; $20,000 – $500,000
- [Nevada Rural Reentry FLEX Request for Applications](https://www.ruralcarejourney.com/opportunities/nevada-rural-reentry-flex-request-for-applications--da06b56acc) — RFA; Open; due 2026-12-15; $5.8M
- [Nevada Rural Reentry RHIT (Rural Health Innovation and Technology) Request for Applications](https://www.ruralcarejourney.com/opportunities/nevada-rural-reentry-rhit-rural-health-innovation-and-technology-request-for-app--311e43f6b2) — RFA; Open; due 2026-12-15; $10.0M – $5.0M

## New Hampshire (NH)

RCJ page: https://www.ruralcarejourney.com/states/nh · markdown: https://www.ruralcarejourney.com/states/nh.md

The New Hampshire Rural Health Transformation Program is actively implementing its 2026–2030 plan, coordinated by the Foundation for Healthy Communities, the Community Development Finance Authority, and GO-NORTH, with executed contracts and multiple open funding opportunities focused on rural hospital and EMS transformation. Five regional hubs structure efforts to improve healthcare access, quality, workforce development, financial sustainability, and technology modernization, including targeted support for primary care transformation, hospital quality, and EMS stabilization. Current structur…

Key facts: Federal awards to date: $408,329,101.60 (Year 1 $204.0M + Year 2 $204.3M); 5 CMS-listed initiatives; phase IMPLEMENTING.

Progress: New Hampshire's Rural Health Transformation Program remains in active implementation, with multiple RFAs and RFQs open and rolling provider applications underway across all core initiatives. The Foundation for Healthy Communities continues to coordinate subrecipient outreach, technical assistance, and budgeting, including a statewide Technical Assistance Center and direct provider grants. New procurements supporting technology, workforce, primary care, and access are actively soliciting applications, with awards expected by the end of 2026 and additional cycles planned. Five program hubs are …

Open and announced opportunities:
- [GO-NORTH Access Initiative (Technology, Financial Sustainability, and Access for Rural Hospitals in New Hampshire) — 2026 Request for Applications](https://www.ruralcarejourney.com/opportunities/go-north-access-initiative-technology-financial-sustainability-and-access-for-ru--8fea4f8183) — RFA; Closing soon; due 2026-11-12; $17.5M
- [Hospital Consumer Assessment of Healthcare Providers and Systems Project](https://www.ruralcarejourney.com/opportunities/hospital-consumer-assessment-of-healthcare-providers-and-systems-project--9b76733718) — RFP; Closing soon; due 2026-11-20
- [RFP 212026957 for Marketing, Branding, Communications, and Digital Engagement Services supporting GO-NORTH RHT Workforce Initiative](https://www.ruralcarejourney.com/opportunities/rfp-212026957-for-marketing-branding-communications-and-digital-engagement-servi--6cadafda2c) — RFP; Closing soon; due 2026-11-24; $350,000 – $55.1M
- [GO-NORTH Request for Proposals: Consultants (NH Community Development Finance Authority)](https://www.ruralcarejourney.com/opportunities/go-north-request-for-proposals-consultants-nh-community-development-finance-auth--186427b376) — RFP; Open; due 2026-12-31; $150,000
- [GO-NORTH Rural Primary Care Transformation Funding Opportunity](https://www.ruralcarejourney.com/opportunities/go-north-rural-primary-care-transformation-funding-opportunity--b9cdbe15ed) — RFA; Open; $15.5M
- [FHC Transformation Technical Assistance Center (T-TAC) RFQ](https://www.ruralcarejourney.com/opportunities/fhc-transformation-technical-assistance-center-t-tac-rfq--e5502b0c34) — RFP; Open; $4.0M
- [GO-NORTH Rural Community Health Infrastructure Program (RCHIP)](https://www.ruralcarejourney.com/opportunities/go-north-rural-community-health-infrastructure-program-rchip--0f9c338aa3) — GRANT; Open

## New Jersey (NJ)

RCJ page: https://www.ruralcarejourney.com/states/nj · markdown: https://www.ruralcarejourney.com/states/nj.md

The New Jersey Rural Health Transformation Program (RHTP) is actively implementing a five-year, federally funded initiative targeting over one million rural residents across eleven counties defined by both federal and state criteria. The program prioritizes workforce development—including integration of community health workers and doulas—modernizes infrastructure, expands telehealth and technology innovation, and addresses chronic disease and maternal health while continuing to support access for uninsured and underinsured populations. Current solicitations and awards focus on workforce expa…

Key facts: Federal awards to date: $289,589,030.28 (Year 1 $147.3M + Year 2 $142.3M); 5 CMS-listed initiatives; phase IMPLEMENTING.

Progress: New Jersey continues to actively issue multiple grant solicitations (RFAs) under the Rural Health Transformation Program, with open opportunities spanning hospital capacity, workforce, chronic disease, and wellness. Subrecipient grant applications remain open as of September 2026, with subawards expected later in 2026 pending federal and state funding. A resource directory and program guidance are available to support applicant engagement. Award announcements depend on federal appropriations and state approval processes. State opportunities: 12 total (12 past/closed), $27.3M listed funding. K…

## New Mexico (NM)

RCJ page: https://www.ruralcarejourney.com/states/nm · markdown: https://www.ruralcarejourney.com/states/nm.md

The New Mexico Rural Health Transformation Program runs from 2026 to 2030 with annual performance-based funding to support providers, communities, and statewide infrastructure. Major focus areas include workforce development, system sustainability, community-based innovation, and improved access to care—including specialty, maternal, behavioral health, and chronic disease services—for rural, frontier, and tribal populations. Current structured plan tracks 5 key initiatives and 6 strategic goals.

Key facts: Federal awards to date: $422,529,376.25 (Year 1 $211.5M + Year 2 $211.0M); 5 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Six Regional Hub Organizations have been selected and funded for Healthy Horizons, with over $74 million awarded in regional funding. Multiple major RFPs, including Administrative Services Organization and Center for Rural Health Sustainability & Innovation, are currently under evaluation or accepting applications. Stakeholder Advisory Committee applications remain open, and project infrastructure is being established across rural and tribal communities. Additional provider-level opportunities are expected to launch following contract awards. State opportunities: 8 total (8 past/closed), $170…

## New York (NY)

RCJ page: https://www.ruralcarejourney.com/states/ny · markdown: https://www.ruralcarejourney.com/states/ny.md

New York's Rural Health Transformation Program is actively implementing a coordinated rural health strategy following its November 2025 CMS application and award. The program focuses on rural community health integration, technology- and AI-enhanced Patient-Centered Medical Home models, expanded telehealth and eConsult partnerships, cybersecurity for rural facilities, and sustainable healthcare workforce development. Implementation is ongoing across rural counties and hospital networks—including the NY-VISTA collaborative—through direct Rural Community Health Integration awards, with activiti…

Key facts: Federal awards to date: $419,808,278.74 (Year 1 $212.1M + Year 2 $207.8M); 4 CMS-listed initiatives; phase IMPLEMENTING.

Progress: New York State continues active implementation of the Rural Health Transformation Program. The state has announced awards to dozens of rural health providers and is distributing federal funds, confirming sub-recipient implementation is underway. Initiatives such as the NY-VISTA rural specialty access collaborative have commenced with awarded funding and multi-hospital activities. Major projects on workforce, technology, and cybersecurity are ongoing as of September–October 2026. State opportunities: 1 total (1 past/closed), $76.2M listed funding. Key opportunities: New York Rural Community He…

## North Carolina (NC)

RCJ page: https://www.ruralcarejourney.com/states/nc · markdown: https://www.ruralcarejourney.com/states/nc.md

North Carolina's Rural Health Transformation Program is in the implementation phase, with six regional ROOTS Hubs launched in 2026 to coordinate initiatives across 85 rural counties. Major focus areas include integrating primary, behavioral, and social health services, advancing chronic disease prevention, expanding maternal and school health centers, supporting workforce development, preparing providers for value-based care, and investing in digital health innovation and infrastructure modernization. Current structured plan tracks 6 key initiatives and 14 strategic goals.

Key facts: Federal awards to date: $429,832,929.77 (Year 1 $213.0M + Year 2 $216.8M); 6 CMS-listed initiatives; phase IMPLEMENTING.

Progress: North Carolina continues implementation of the Rural Health Transformation Program. As of October–November 2026, six NC ROOTS Hub Leads are operating, each with advisory boards and active RFAs for initiatives in workforce, maternal health, and nutrition. The $20 million Rural Health Innovation Fund is launched and accepting applications, and both statewide and regional grant opportunities are open for local providers. Year 1 funds have been awarded and projects are underway, with $123.5M to ROOTS hubs and $11.2M to EMS programs; application periods remain ongoing for additional grants. State …

Open and announced opportunities:
- [North Carolina Rural Health Innovation Fund](https://www.ruralcarejourney.com/opportunities/north-carolina-rural-health-innovation-fund--6bb836649f) — GRANT; Closing soon; due 2026-11-17; $20.0M
- [North Carolina Medicaid Primary Care Capitation Pilot (official RFA pending)](https://www.ruralcarejourney.com/opportunities/north-carolina-medicaid-primary-care-capitation-pilot-official-rfa-pending--ec203e8b0e) — OTHER; Announced, not yet open

## North Dakota (ND)

RCJ page: https://www.ruralcarejourney.com/states/nd · markdown: https://www.ruralcarejourney.com/states/nd.md

The North Dakota Rural Health Transformation Program is implementing phased, competitive funding rounds focused on workforce stabilization, preventive care, behavioral health, and health technology modernization in rural and tribal communities. Current priorities include workforce training and retention, safety net service delivery, telehealth and remote monitoring, and data and infrastructure upgrades designed to support measurable, sustainable improvements in health care access and outcomes. The program emphasizes collaboration and local leadership, with structured grant opportunities track…

Key facts: Federal awards to date: $405,316,596.31 (Year 1 $198.9M + Year 2 $206.4M); 4 CMS-listed initiatives; phase IMPLEMENTING.

Progress: North Dakota's Rural Health Transformation Program has awarded several year one funding opportunities across workforce, technology, and care access, with hundreds of applications from rural and tribal providers. As of October 2026, all core initial solicitations are closed and awards have been granted, with technical assistance provided and further sub-opportunities expected in mid-2026. Multiple funding rounds are planned in phases to expand engagement and impact. The state continues to announce and administer new opportunities as part of ongoing implementation. State opportunities: 25 total…

## Ohio (OH)

RCJ page: https://www.ruralcarejourney.com/states/oh · markdown: https://www.ruralcarejourney.com/states/oh.md

The Ohio Rural Health Transformation Program remains in active implementation, issuing competitive solicitations for workforce upskilling and retention, pharmacy transformation, chronic disease prevention and management, technical assistance, school-based and clinically integrated rural health network expansion, EMS modernization, and rural hospital support. Managed by the Ohio Department of Health, the program coordinates operations through bidders conferences and scheduled RFAs. Current initiatives include rural workforce pipeline development, community health worker integration, care coord…

Key facts: Federal awards to date: $403,956,731.64 (Year 1 $202.0M + Year 2 $201.9M); 9 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Ohio has launched the Rural Health Transformation Program with over $200 million in federal funding and has begun issuing multiple competitive statewide RFPs. The first subrecipient funding has been awarded, including $10 million to Ohio University for rural workforce development, and EMS and other grant opportunities remain open with applications under review. As of September–October 2026, at least four major RFAs are active and several more have recently closed, supporting maternal health, care access, and workforce priorities. Active procurement to local providers and initial subrecipient …

## Oklahoma (OK)

RCJ page: https://www.ruralcarejourney.com/states/ok · markdown: https://www.ruralcarejourney.com/states/ok.md

The Oklahoma Rural Health Transformation Program (RHTP) is in active, multi-year implementation, supported by a second-year CMS award that funds 29 rural health programs. The program continues statewide engagement through in-person regional county collaborative meetings, virtual kickoffs, and ongoing webinars, with a current focus on technology integration, including a statewide tech co-op, HIE/EHR adoption, and EMS centralization. Providers and clinics are encouraged to participate through streamlined enrollment and application processes, and program progress is managed through structured tr…

Key facts: Federal awards to date: $450,574,491.21 (Year 1 $223.5M + Year 2 $227.1M); 6 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Oklahoma RHTP remains in active implementation, with statewide applications open for rural providers seeking assistance with Health Information Exchange participation and EHR adoption or upgrades. Applications for Year 1 assistance are due December 31, 2026, and the Year 2 cycle opens in January 2027, verifying an ongoing state-level procurement process. Subgrant awards have not yet been finalized, but provider engagement and collaborative regional meetings are ongoing. The state is meeting CMS deadlines and continues program activities and webinars with providers. State opportunities: 3 acti…

Open and announced opportunities:
- [Community Paramedicine Consulting Services RFP](https://www.ruralcarejourney.com/opportunities/community-paramedicine-consulting-services-rfp--6ddcb8447b) — RFP; Closing soon; due 2026-11-18
- [Oklahoma RHTP Technology Cooperative (OSU ORHRIDN) - Provider and Clinic/Site Enrollment](https://www.ruralcarejourney.com/opportunities/oklahoma-rhtp-technology-cooperative-osu-orhridn-provider-and-clinic-site-enroll--0cfacffb8b) — OTHER; Open; due 2026-12-01
- [OHCA EHR Expansion RFI (Year 1)](https://www.ruralcarejourney.com/opportunities/ohca-ehr-expansion-rfi-year-1--2b64f6b179) — RFI; Open; due 2026-12-02
- [OHCA HIE & EHR Assistance (Year 1 Application)](https://www.ruralcarejourney.com/opportunities/ohca-hie-ehr-assistance-year-1-application--ef125da1a3) — GRANT; Open; due 2027-01-01; $16.0M
- [OHCA HIE & EHR Assistance (Year 2 Application)](https://www.ruralcarejourney.com/opportunities/ohca-hie-ehr-assistance-year-2-application--a5170ec36d) — GRANT; Announced, not yet open; due 2027-05-31

## Oregon (OR)

RCJ page: https://www.ruralcarejourney.com/states/or · markdown: https://www.ruralcarejourney.com/states/or.md

Oregon’s Rural Health Transformation Program is implementing its 2026 plan with Catalyst, Immediate Impact, Transformation, and Tribal Initiative Fund awards to rural hospitals, clinics, public health authorities, and other organizations, addressing urgent needs and advancing health system transformation. The program, led by the Oregon Health Authority in partnership with CMS and administered by the Office of Rural Health, emphasizes regional partnerships, healthy communities, workforce capacity, technology and data modernization, and a dedicated Tribal Initiative. Current focus areas include…

Key facts: Federal awards to date: $394,526,097.43 (Year 1 $197.3M + Year 2 $197.3M); 5 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Oregon Health Authority has executed agreements and distributed Year 1 funds for Immediate Impact and Catalyst Awardees, with over 85 organizations funded and actively implementing RHTP projects to improve rural health across Oregon. Multiple funding rounds have concluded, and projects addressing healthcare access, workforce, and health technology are underway. OHA continues compliance, reporting, and operational support as rural projects progress, with additional investments in Transformation and Tribal Initiatives ongoing. Reporting, monitoring, and future fund disbursement remain ongoing a…

## Pennsylvania (PA)

RCJ page: https://www.ruralcarejourney.com/states/pa · markdown: https://www.ruralcarejourney.com/states/pa.md

The Pennsylvania Rural Health Transformation Program is currently active, providing direct funding and technical support to rural healthcare providers and facilities to stabilize and elevate rural health access, with a primary focus on technology modernization, behavioral health, EMS, maternal health, workforce development, and quality improvement. Implementation is guided by the Rapid Response Stabilization Program, Quality Investment Program, and regional Rural Care Collaboratives, with funding administered through structured state mechanisms targeting hospitals, health centers, and FQHCs. …

Key facts: Federal awards to date: $384,024,545.99 (Year 1 $193.3M + Year 2 $190.7M); 6 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Pennsylvania's Rural Health Transformation Program remains in active implementation, with over $193 million in federal awards distributed and new rounds of funding announced, including an additional $191 million in 2026. Rapid Response Stabilization Payments and Quality Investment Program funds have been awarded to multiple rural hospitals and health centers for infrastructure, workforce, and technology upgrades. Five state funding opportunities have been issued and concluded, and annual allocations are supporting provider incentives and expanded services. Projects are underway statewide, enh…

## Rhode Island (RI)

RCJ page: https://www.ruralcarejourney.com/states/ri · markdown: https://www.ruralcarejourney.com/states/ri.md

Rhode Island is implementing the Rural Health Transformation Program (RHTP) across 18 rural communities and the Narragansett Indian Tribe, led by EOHHS and RIDOH with structured input from the recently established Rural Stakeholder Advisory Council. The state is progressing through procurement and program implementation phases, focusing on expanding Federally Qualified Health Centers, hospital-at-home, crisis stabilization for behavioral health, Health IT modernization—including the awarded Health Information Technology Rural Infrastructure Fund—workforce development, mobile health, EMS moder…

Key facts: Federal awards to date: $314,341,898.54 (Year 1 $156.2M + Year 2 $158.2M); 13 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Rhode Island continues active implementation of the Rural Health Transformation Program, with multiple state-level procurements completed. Recent awards include $2.89 million for a Health IT administrator contract (October 2026), with subaward activity to rural providers starting. Additional initiatives, such as the APM Incentive Payment Application and Recovery Community Centers, are open for applications or have been recently awarded, and fiscal compliance reporting remains ongoing. State procurement opportunities remain active, supporting care access, workforce priorities, and technology i…

Open and announced opportunities:
- [Coding Consultant Services – Rural Health Transformation Program (RIHCA-RHTP-RFP-002)](https://www.ruralcarejourney.com/opportunities/coding-consultant-services-rural-health-transformation-program-rihca-rhtp-rfp-00--8564b95122) — RFP; Closing soon; due 2026-11-13; $82,000

## South Carolina (SC)

RCJ page: https://www.ruralcarejourney.com/states/sc · markdown: https://www.ruralcarejourney.com/states/sc.md

The South Carolina Rural Health Transformation Program is currently offering infrastructure and capacity-building grants through five targeted initiatives: Connections to Care, Wellness Within Reach, Leveling Up, Shoring Up to Sustainability, and a Tech Catalyst Fund for rural health technology startups. The program emphasizes expanding digital infrastructure, scaling care delivery innovations, supporting workforce development, strengthening behavioral and maternal health services, and modernizing health IT in rural communities. Implementation is active with funding announcements, open applic…

Key facts: Federal awards to date: $396,016,285.44 (Year 1 $200.0M + Year 2 $196.0M); 5 CMS-listed initiatives; phase IMPLEMENTING.

Progress: South Carolina has issued and awarded inaugural funding under the Tech Catalyst Fund as part of the Rural Health Transformation Program, with four early-stage companies receiving $2.2 million to advance rural health care innovation. This confirms that the program has moved beyond application intake and review to executing subrecipient agreements and making disbursements for at least one key initiative. Additional awards and subgrant activity are expected in the coming days. Other RHTP funding streams remain at varying stages, but the Tech Catalyst Fund progress qualifies the state for the imp…

## South Dakota (SD)

RCJ page: https://www.ruralcarejourney.com/states/sd · markdown: https://www.ruralcarejourney.com/states/sd.md

The South Dakota Rural Health Transformation Program is actively implementing its FY 2026 plan with a major focus on sustainable rural healthcare workforce development, digital infrastructure modernization, and enhanced data analysis to inform decision-making. Ongoing initiatives include EMS regionalization, chronic disease remote monitoring, behavioral health system expansion, and structured project management for hospital and community support. Multiple RFPs and progress reviews demonstrate active implementation, with efforts aligned to tracked initiatives and strategic goals to advance ser…

Key facts: Federal awards to date: $377,131,053.07 (Year 1 $189.5M + Year 2 $187.7M); 10 CMS-listed initiatives; phase IMPLEMENTING.

Progress: South Dakota has issued multiple RFPs and awarded contracts to advance the Rural Health Transformation Program, focusing on behavioral health modernization, EMS, and workforce development. As of Q4 2026, Year 1 and Year 2 funds are fully obligated, sub-award distribution is ongoing, and the state is scaling workforce training, provider quality payments, and case management activities. Active procurement opportunities, including digital health and data analytics, continue, and sustainability planning is underway for future years. Multiple rounds of technology, EMS, and behavioral health grants…

## Tennessee (TN)

RCJ page: https://www.ruralcarejourney.com/states/tn · markdown: https://www.ruralcarejourney.com/states/tn.md

The Tennessee Rural Health Transformation Program (RHTP) is actively issuing competitive grants and procurements to enhance rural healthcare access, advance capital investment, modernize health technology, and improve care quality. Current implementation focuses on infrastructure upgrades, workforce development, and expansion of primary, maternal, pediatric, and behavioral health services, with continued emphasis on technology innovation and the Rural Healthcare Access Modernization Program. Procurement activities include targeted initiatives such as CARE grants, Community Health Worker infra…

Key facts: Federal awards to date: $417,233,406 (Year 1 $206.9M + Year 2 $210.3M); 17 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Tennessee has launched the Rural Health Transformation Program-supported Community Health Worker Infrastructure Project and issued multiple competitive grant solicitations to provider organizations serving rural TennCare populations. Major state-level RHTP awards are funding the expansion of behavioral health teams to seven additional rural counties, with 53 grants announced across 44 counties and a co-location project scaling to reach 25 counties by early 2027. Multiple RFAs and RFPs, including the County Health Council CARE Grants, are still open with deadlines through late 2026. Technical …

Open and announced opportunities:
- [County Health Council Collaborative Action for Rural Engagement (CARE) Grants](https://www.ruralcarejourney.com/opportunities/county-health-council-collaborative-action-for-rural-engagement-care-grants--03eb463b30) — RFA; Closing soon; due 2026-11-20; $2.0M – $500,000

## Texas (TX)

RCJ page: https://www.ruralcarejourney.com/states/tx · markdown: https://www.ruralcarejourney.com/states/tx.md

The Texas Rural Health Transformation Program (RHTP), administered by Texas Health and Human Services Commission as Rural Texas Strong, is actively implementing targeted initiatives to strengthen rural healthcare capacity. Initiatives include hospital improvement grants, workforce development, telehealth expansion, infrastructure upgrades, and technology modernization, with current efforts managed under strict reporting and performance monitoring requirements to ensure sustainable, high-quality care. Current structured plan tracks 6 key initiatives and 27 strategic goals.

Key facts: Federal awards to date: $563,295,386.36 (Year 1 $281.3M + Year 2 $282.0M); 6 CMS-listed initiatives; phase IMPLEMENTING.

Progress: As of late October 2026, Texas has moved several Rural Texas Strong Program applications to 'Intent to Award' and begun executing subrecipient contracts, signaling active local program implementation. Multiple grant opportunities are open or recently closed, with funding pipelines confirmed and contract execution underway. Efforts include grants supporting prevention, workforce, rural hospitals, and infrastructure, but there is no evidence of program expansion or a shift to the scaling phase yet. State opportunities: 1 active (1 upcoming, 5 past/closed), $7.7M listed funding. State opportunit…

Open and announced opportunities:
- [Rural Texas Strong Program – Initiative 2: Rural Texas Patients in the Driver’s Seat (HHS0017518)](https://www.ruralcarejourney.com/opportunities/rural-texas-strong-program-initiative-2-rural-texas-patients-in-the-driver-s-sea--7a2794aa9d) — RFA; Announced, not yet open

## Utah (UT)

RCJ page: https://www.ruralcarejourney.com/states/ut · markdown: https://www.ruralcarejourney.com/states/ut.md

Utah's Rural Health Transformation Program, administered by the Utah Department of Health and Human Services, is in early implementation as a five-year initiative funded by CMS, with all Year 1 funds successfully obligated. Current efforts include competitive funding to rural providers, coordinated oversight, and collaborative activities with state, local, tribal, and community stakeholders. Current structured plan tracks 7 key initiatives and 7 strategic goals.

Key facts: Federal awards to date: $387,666,618.65 (Year 1 $195.7M + Year 2 $191.9M); 7 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Utah’s Rural Health Transformation Program continues active implementation with multiple open procurements and formal awardee announcements for key subgrants, such as those for rural food infrastructure, school-based wellness programs, active transportation, and the Community Care Hub. Numerous RHTP projects are in progress, contracted, or under submission review, with competitive RFAs and RFPs administered by fiscal agents and subaward funding opportunities open across all rural counties. The state has demonstrated 100% obligation of its Year 1 funding, with contracted partners advancing ini…

## Vermont (VT)

RCJ page: https://www.ruralcarejourney.com/states/vt · markdown: https://www.ruralcarejourney.com/states/vt.md

Vermont's Rural Health Transformation Program, funded by CMS and administered by the Agency of Human Services, continues to implement five strategic initiatives focused on strengthening the rural workforce, improving access to care, fostering innovation, and enhancing quality and cost-effectiveness for underserved populations. Ongoing projects include facility upgrades, expanded mental health and women's health services, workforce recruitment and retention, telehealth expansion, analytics-driven primary care, and administrative burden reduction. Program activities and funded agreements are pr…

Key facts: Federal awards to date: $385,049,776.51 (Year 1 $195.1M + Year 2 $190.0M); 5 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Vermont has made substantial progress in rural health transformation, with $195 million in federal funding supporting numerous executed agreements and provider contracts as of October 2026. Executed awards span workforce, primary care, facility upgrades, and operational improvement activities, with new agreements continuing to be finalized. All Year 1 RFP/NOFO procurements have closed and additional awards are being finalized, with active monitoring and stakeholder engagement ongoing. Subgrant activities continue under state oversight and expansion. State opportunities: 27 total (27 past/clos…

## Virginia (VA)

RCJ page: https://www.ruralcarejourney.com/states/va · markdown: https://www.ruralcarejourney.com/states/va.md

Virginia’s Rural Health Transformation Program is a statewide DMAS-led initiative leveraging federal funds to strengthen rural healthcare through technology innovation, workforce development, care access expansion, and chronic disease prevention. The program is currently in implementation with ongoing RFAs managed by regional planning district commissions and agency partners, focusing on mobile and hybrid care models, technology-enabled solutions, and workforce initiatives. Current structured plan tracks 4 key initiatives and 8 strategic goals.

Key facts: Federal awards to date: $385,255,005.93 (Year 1 $189.5M + Year 2 $195.7M); 4 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Virginia has launched the Rural Health Transformation Program with multiple regional RFAs currently open, focusing on Mobile & Hybrid Care in several rural areas. Competitive subawards are being solicited and applications are under review, with local implementation expected to launch after award notifications in January 2027. The state remains actively engaged in distributing funds and advancing workforce, technology, and community-driven care priorities. These activities align with CMS Stage 2 progress and confirm ongoing implementation statewide. State opportunities: 5 active (5 closing soo…

Open and announced opportunities:
- [Virginia RHTP Mobile & Hybrid Care RFA — Central Shenandoah Planning District Commission (Roanoke-Alleghany/Central Shenandoah/New River Valley Collaborative)](https://www.ruralcarejourney.com/opportunities/virginia-rhtp-mobile-hybrid-care-rfa-central-shenandoah-planning-district-commis--001c6810f5) — RFA; Closing soon; due 2026-11-23; $11.8M
- [Virginia RHTP Mobile & Hybrid Care RFA — LENOWISCO Planning District Commission (Rural Health Transformation SWVA)](https://www.ruralcarejourney.com/opportunities/virginia-rhtp-mobile-hybrid-care-rfa-lenowisco-planning-district-commission-rura--a1c09f53bd) — RFA; Closing soon; due 2026-11-23; $11.8M
- [Virginia RHTP Mobile & Hybrid Care RFA — Thomas Jefferson Planning District Commission](https://www.ruralcarejourney.com/opportunities/virginia-rhtp-mobile-hybrid-care-rfa-thomas-jefferson-planning-district-commissi--8ae706e359) — RFA; Closing soon; due 2026-11-23; $11.8M
- [Virginia RHTP Mobile & Hybrid Care RFA — Accomack-Northampton Planning District Commission (Eastern Shore Regional Collaborative)](https://www.ruralcarejourney.com/opportunities/virginia-rhtp-mobile-hybrid-care-rfa-accomack-northampton-planning-district-comm--b814cc4032) — RFA; Closing soon; due 2026-11-23; $11.8M
- [Virginia RHTP Mobile & Hybrid Care RFA — West Piedmont Planning District Commission (Southside Regional Collaborative)](https://www.ruralcarejourney.com/opportunities/virginia-rhtp-mobile-hybrid-care-rfa-west-piedmont-planning-district-commission--79e8f15efd) — RFA; Closing soon; due 2026-11-23; $11.8M

## Washington (WA)

RCJ page: https://www.ruralcarejourney.com/states/wa · markdown: https://www.ruralcarejourney.com/states/wa.md

The Washington Rural Health Transformation Program, led by the Health Care Authority, Department of Health, Department of Social and Health Services, and Governor's Office, implements six strategic initiatives focused on advancing rural health access, infrastructure, workforce, technology, and behavioral health. With all year one funds fully obligated, the program currently supports all 30 rural counties through program design, competitive awards, partnership engagement, and ongoing funding opportunities, tracked under a structured plan across these priority areas. Current structured plan tra…

Key facts: Federal awards to date: $358,317,727.10 (Year 1 $181.3M + Year 2 $177.1M); 6 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Washington state has received its federal award and fully obligated RHTP funds, with $181 million deployed to all 30 rural counties. The state has completed 144 contracts across all six program initiatives, including competitive awards to 28 rural hospitals for maternal, emergency, and specialty services. All initiatives have named recipients, and state agencies continue to prepare and announce new procurement opportunities, such as the rural provider incentives planned for November. Federal and state updates confirm that program implementation and subgranting to local providers are well unde…

Open and announced opportunities:
- [Washington RHTP Rural Provider Incentives Grant Opportunity](https://www.ruralcarejourney.com/opportunities/washington-rhtp-rural-provider-incentives-grant-opportunity--a96efbd21f) — OTHER; Announced, not yet open

## West Virginia (WV)

RCJ page: https://www.ruralcarejourney.com/states/wv · markdown: https://www.ruralcarejourney.com/states/wv.md

West Virginia’s Rural Health Transformation Program (RHTP) remains in active implementation, building on substantial multi-year federal investment to expand rural healthcare access. The program is deploying technology-enabled care including telehealth and mobile health units, strengthening behavioral health, expanding maternal and chronic disease care, and advancing workforce development across all rural counties. Structured around a plan with multiple initiatives and strategic goals, current efforts focus on hospital strengthening, service modernization, digital health infrastructure, and un…

Key facts: Federal awards to date: $401,557,453.35 (Year 1 $199.5M + Year 2 $202.1M); 7 CMS-listed initiatives; phase IMPLEMENTING.

Progress: West Virginia RHTP has awarded more than $100 million across at least 64 projects, including hospitals, health systems, and nonprofit organizations. Awardees are actively launching new technology platforms, statewide health IT, mobile units, chronic disease initiatives, and telehealth networks, with rollouts confirmed across 55 counties. The state has obligated 100% of its initial award through 145 signed agreements, and continues to expand projects with a second-year federal award of over $202 million. Project milestones, performance tracking, and further awards remain ongoing, ensuring broa…

Open and announced opportunities:
- [WV RHTP Personal Health Accelerator: Water Is Medicine (AFA GFO-0313-2700000000168-1)](https://www.ruralcarejourney.com/opportunities/wv-rhtp-personal-health-accelerator-water-is-medicine-afa-gfo-0313-2700000000168--bb167b4881) — GRANT; Closing soon; due 2026-11-20

## Wisconsin (WI)

RCJ page: https://www.ruralcarejourney.com/states/wi · markdown: https://www.ruralcarejourney.com/states/wi.md

The Wisconsin Rural Health Transformation Program is actively implementing a multi-year, CMS-funded initiative led by the Department of Health Services and guided by an advisory council representing providers and community stakeholders. Current implementation maintains a focus on workforce development, technology innovation, and rural partnerships through competitive grant opportunities administered by the DHS Office of Grants Management with multi-agency technical assistance. Ongoing activities include project expansion, evaluation, and quarterly advisory council review to guide adaptive fun…

Key facts: Federal awards to date: $407,365,094.25 (Year 1 $203.7M + Year 2 $203.7M); 3 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Wisconsin is actively implementing the Rural Health Transformation Program, with several grant application periods closed, multiple procurements launched, and additional solicitations planned. The advisory council meets regularly and technical assistance remains available for applicants. Funding is contingent on CMS approval for some grant categories, and program staff hiring is nearly complete. CMS lists three state initiatives at Stage 2, confirming ongoing implementation but not full program operation. State opportunities: 7 total (7 past/closed), $10.0M listed funding. Key opportunities: …

## Wyoming (WY)

RCJ page: https://www.ruralcarejourney.com/states/wy · markdown: https://www.ruralcarejourney.com/states/wy.md

Wyoming's Rural Health Transformation Program, led by the Department of Health, is advancing implementation following final federal approval in December 2025. The program emphasizes sustaining rural healthcare access, chronic disease prevention, behavioral health, innovative care delivery and payment models, workforce development, and technology solutions. Requests for Applications are open as of October 2026, with contract execution deadlines set for October 1, 2026; awards are guided by advisory committee appraisals and federal funding is scheduled to be obligated on time. Current structure…

Key facts: Federal awards to date: $412,236,673.93 (Year 1 $205.0M + Year 2 $207.2M); 4 CMS-listed initiatives; phase IMPLEMENTING.

Progress: Wyoming’s Rural Health Transformation Program has completed competitive procurements and sole-source awards for critical access hospitals, EMS, workforce, technology, integrated care, and care coordination. Multiple contracts and grants are actively awarded and under implementation for FY2025, with funds allocated to explicit recipients. Sustainability plans and cost approvals are explicitly required for awarded entities. This demonstrates sustained statewide implementation and grant activity across all initiatives. State opportunities: 6 total (6 past/closed), $138.0M listed funding. Key opp…

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Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/llms-full.txt — data as of 2026-11-11.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.