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The State of West Virginia, through the Rural Health Transformation Program (RHTP) under its Smart Care Catalyst initiative, announces the Announcement of Funding Availability (AFA) RHT-AFA-08-20-2026-SCC. This opportunity solicits applications to design, implement, and deliver components of Program of All-Inclusive Care for the Elderly (PACE)-aligned care models for older adults with complex medical and functional needs, particularly those meeting a nursing home level of care, in West Virginia. The primary focus is on the rapid establishment and expansion of adult medical daycare (Adult Day Health Care) services, especially in counties with limited or no such offerings, to enable community-based care, reduce avoidable healthcare utilization, and improve access and outcomes. Applicants must demonstrate the capability to implement scalable models aligned with PACE principles, with measurable impact on care coordination, participant outcomes, and foundational operational readiness. Funded programs must avoid duplication of existing reimbursed services, submit detailed budgets and narratives, achieve strict performance milestones, and fully integrate with the State's data spine and reporting requirements. Collaboration with the Bureau for Medical Services (State Medicaid) and other RHTP initiatives is strongly encouraged to ensure program alignment and maximize impact. Year 1 funding is $1.25 million disbursed in milestone-based payments contingent upon achievement of readiness, implementation, and scalability targets. All activities must be completed and all funds expended by July 31, 2027. Applications must be submitted via the West Virginia OASIS Vendor Self Service (VSS) portal by September 2, 2026, 11:59 PM ET. For technical or program questions, applicants may contact mike.sheets@wv.gov or gwyndolyn.m.mcgee@wv.gov. Additional guidance, FAQs, and application materials are available through the AFA documentation and the RHTP website.
Requirements Checklist
Solicitation number: GFO-0506-2700000000077-2
Application Number: RHT-AFA-08-20-2026-SCC
Applicants must submit:
A detailed line-item budget for the proposed program, including all direct and indirect costs, as well as a comprehensive budget narrative.
An implementation plan with timeline, milestones, and GANTT roadmap showing phased establishment, expansion, and pathway to full PACE readiness by Year 5.
Milestone/performance metrics proposal with clear baselines, data sources, and targets for care access, utilization, functional status, and operational progress in Year 1.
Attestation to compliance with Medicaid and RHTP non-duplication of services requirements (activities cannot duplicate existing Medicaid-covered or otherwise reimbursed services).
Description of data system integration and real-time reporting capabilities with the State data spine consistent with HIPAA and 42 CFR Part 2 requirements as applicable.
Letters of support or MOUs (where relevant), attestation of facility readiness (if applicable), and eligibility documentation as required.
Cost sharing/match is not required unless approved in writing by RHTP. All funded activities must be completed and funds expended by July 31, 2027.
Required attachments
Detailed Line-Item Budget and Budget Narrative
Milestone/Performance Metrics Proposal
Implementation Plan (including time-bound roadmap to PACE readiness)
Letters of Support or Memoranda of Understanding (if applicable)
Eligibility Attestation
Compliance Attestation regarding non-duplication of Medicaid-reimbursed or insurance-covered services
Submission Instructions
Online submission via WVOASIS Vendor Self Service portal
Source Documents
Primary: 1Supporting: 10
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What changed
Status, deadline, award, and content changes RCJ has recorded for this opportunity, newest first.
Status changedAug 23, 2026
APPROVED
PENDING
First trackedAug 21, 2026
Application Prep
Application #: RHT-AFA-08-20-2026-SCC
Reference: GFO-0506-2700000000077-2
Program: Smart Care Catalyst (West Virginia Rural Health Transformation Program)
Match: Not required unless approved in writing by RHTP
Performance: 2026-08-20 through 2027-07-31 (one-year, must spend all funds by July 31, 2027)
Key Dates:
Release date: 2026-08-20
Last day for questions: 2026-08-25
Application deadline: 2026-09-02, 11:59 PM ET
End of funding period: 2027-07-31
Review Criteria:
Demonstrated operational readiness
Alignment with PACE model, State priorities, and Smart Care Catalyst pillar
Expansion of adult medical daycare in underserved areas
Defined milestones and measurable improvement in access and outcomes
Roadmap to full PACE program readiness by Year 5
Compliance with State and CMS reporting
Scalable, outcomes-driven care model
Partnerships with Medicaid, providers, and community-based organizations