New York Rural Community Health Integration (RCHI) Funding Opportunity

Eligibility

Lead Applicant must be: (1) a registered not-for-profit 501(c)(3) organization or municipal hospital; (2) have a 3+ year history of regulatory compliance with DOH rules; (3) be located in an eligible rural county (see Attachment 1); and (4) include at least one hospital as lead or partner. Each application must have a Lead Applicant, Partner Organization(s), and at least one general or rural emergency hospital. Eligible entity types include: • Hospitals: safety net, general, sole community, rural emergency, and critical access hospitals • Federally Qualified Health Centers (FQHCs) • Certified Community Behavioral Health Clinics (CCBHCs) • Rural Health Networks • Primary care or multi-specialty practices • Diagnostic and treatment centers • Urgent care centers • OMH-licensed facilities • OASAS-licensed facilities • Developmental disability service providers • Long-term care providers • Hospice and palliative care providers • Ambulatory surgery centers • Independent Practice Associations (IPAs) • Emergency Medical Service (EMS) providers Eligible counties: Allegany, Broome, Cattaraugus, Cayuga, Chautauqua, Chemung, Chenango, Clinton, Columbia, Cortland, Delaware, Dutchess, Essex, Franklin, Fulton, Genesee, Greene, Hamilton, Herkimer, Jefferson, Lewis, Livingston, Madison, Montgomery, Oneida, Ontario, Orange, Orleans, Oswego, Otsego, Putnam, Rensselaer, Schenectady, Schoharie, Schuyler, Seneca, St. Lawrence, Steuben, Sullivan, Tioga, Tompkins, Ulster, Warren, Washington, Wayne, Wyoming, Yates

Requirements Checklist

• Applications must:
• Address at least one key area: (1) increased access/reduced preventable ER visits; (2) decreased readmissions; or (3) increased preventive care/colorectal screenings
• Priority given to projects addressing maternity/maternal-child health, behavioral health integration, or substance use disorder prevention
• Include a completed Eligibility Attestation (Attachment 3) confirming lead applicant eligibility
• Be jointly submitted by a Lead Applicant and at least one Partner Organization
• Include at least one hospital (as lead or partner)
• Use deliverable-based, cost-reimbursable budget
• Submit all required attachments (see below)
• Projects for planning (up to $500,000/county): must result in an implementation-ready plan, community engagement, needs assessment, feasibility, and governance development
• Projects for implementation (up to $3,000,000, up to three per application): must support care/system redesign completable and vouchered by July 31, 2027
• Grantees must participate in statewide learning collaboratives
• Contracts must be executed by October 30, 2026.
• (Source: RCHI Funding Guidance, Application Template)

Required attachments

• Attachment 1: Eligible Counties (reference list; includes Broome and Yates per Addendum #1)
• Attachment 2: Application Cover Sheet (required with submission)
• Attachment 3: Lead Applicant Eligibility Attestation (signed by authorized official)
• Attachment 4: Application Checklist (added per Addendum #1, July 2, 2026)
• Project Work Plan and Budget Narrative

Submission Instructions

Submit completed application package (including Application Cover Sheet, Application Checklist, and Attestation) via email to rchi@health.ny.gov by 4:00 PM EST on July 14, 2026. Questions must be submitted to rchi@health.ny.gov by June 18, 2026; answers will be posted at https://www.health.ny.gov/facilities/transforming_rural_healthcare/ on or about July 1, 2026. (Source: RCHI Funding Guidance Addendum #1, Application Template)

Source Documents

Change History

1. AmendedSep 29, 2026
2. AmendedSep 29, 2026
3. AmendedJul 3, 2026
4. AmendedJul 3, 2026
5. Document addedJul 3, 2026
6. AmendedJun 27, 2026
7. AmendedJun 27, 2026
8. AmendedJun 15, 2026