CMS now publishes two state-level RHTP datasets: the State Data Maps (exact awards, initiative stages, policy commitments) and, since October 21, 2026, a 58-page deck of Planned State Initiatives for Budget Period 1. We checked every figure in both against RCJ's tracking. This report covers what differs, what RCJ has corrected, and where planned work hasn't yet turned into a solicitation.
Rural Care Journey · Live data, updated November 12, 2026
CMS source · Oct 21, 2026
Planned State Initiatives, Budget Period 1 ↗
43 focus areas and 176 subtopics, each with its states, a spotlight and a map.
CMS source · updated weekly
RHTP State Data Maps ↗
Exact awards, 322 initiatives with Stage 0–5 status, and 19 State Policy Action commitments per state.
13 of 43
CMS focus areas whose totals don't match their own state lists
7
RCJ discrepancies corrected
0 of 322
CMS initiatives past Stage 2
14 of 322
CMS initiatives still without a solicitation
CMS vs RCJ
CMS vs CMS
Each focus area gives a headline state count, a shaded US map and subtopic lists naming the states. On 30 focus areas all three agree. On the rest they don't, by one to three states. Use the named states, not the headline totals.
| Focus area | Total | Map | Named | Detail |
|---|---|---|---|---|
| Physical Activity | 30 | 33 | 33 | Total is 3 below both the map and the lists |
| CCBHCs | 27 | 27 | 29 | CT and MD are named in subtopics but not shaded |
| Early Career / High School Programs | 43 | 43 | 44 | DE is shaded but named nowhere; CO and CT are named but not shaded |
| Healthy Eating and Farming | 33 | 31 | 31 | NM is shaded but named nowhere; HI is named but not shaded |
| Community Paramedicine / Treat-in-Place | 41 | 40 | 39 | MA is shaded but named nowhere |
| EMS Modernization | 48 | 48 | 47 | AZ is shaded but named nowhere |
| Aging-in-Place / Home Visiting | 17 | 18 | 18 | Total is 1 below both |
| Tribal Health & Engagement | 26 | 25 | 25 | Total is 1 above both |
| Alternative Payment Models | 39 | 38 | 38 | Total is 1 above both |
| Clinically Integrated Networks / Regionalized Care | 45 | 44 | 44 | Total is 1 above both |
| Mobile Health | 48 | 47 | 47 | Total is 1 above both |
| HIE Connectivity / Data Sharing | 48 | 47 | 47 | Total is 1 above both |
| Upstream Drivers of Health | 47 | 46 | 46 | Total is 1 above both |
Also: four subtopic counts on the deck's summary pages differ from its detail pages (Tribal-Specific Programs 8 vs 7, VA–Rural Provider Integration 5 vs 4, Clinical Training 22 vs 23, Allied Health 18 vs 17; the detail pages name the states), and Wisconsin's chronic disease spotlight misnames the Wisconsin Collaborative for Healthcare Quality.
| Discrepancy | Correction in RCJ |
|---|---|
| 4 states (MS, ND, VT, WV) labeled “Scaling” while CMS shows no initiative past Stage 2 | Moved to “Implementing”; phase refreshes now cap at what CMS's stages support |
| RCJ carried 69 of CMS's 322 official initiative names; 25 states matched none | All 50 states now list CMS's 322 initiatives as their official list, with state-narrative detail kept as supporting activities |
| State awards were rounded to the nearest $1M (up to $490,641 off) | Exact CMS Budget Period 1 figures, to the cent, with a CMS citation on every state page |
| No State Policy Action commitments or initiative stages anywhere in RCJ | New CMS-reported status card on every state page (stages, 19 policy commitments), CMS columns in Compare, a cms block in the public API, and CMS changes in the daily brief |
| Massachusetts Rural Digital Health Sandbox (CMS: Tech Catalyst Fund) missing from RCJ | Added as an upcoming RHTP opportunity with its program page and three application templates |
| Kentucky's STARS and Regional Medical Operations Coordination Centers missing from RCJ | Added the Kentucky legislature's CMS-approved RHTP overview (June 3, 2026) that describes both |
| 13 document titles carried another state's code or unreadable text (e.g. Florida's budget narrative titled “MI - 2026”) | Retitled |
See any state's CMS-reported status, or rank states by CMS stage and policy commitments on Compare.
All 43 focus areas
For each focus area, the states CMS lists, split by whether RCJ has tracked a solicitation that funds that work there: open or announced, all closed, or none yet. Amber is planned work with no solicitation: the likeliest places for new ones. Click a bar to see the states and the actual opportunities behind it.
Drill down
Hub-and-Spoke Models · Payment & Service Models · CMS lists 38 states.
Telehealth & Specialty Consultation Hubs · 17 states
AL AZ CA FL KS MA MN MT NC NH NJ NM NY RI SD TN VA
Spotlight, Montana: Deploys tele-stroke, tele-ED, and tele-cardiology consults to rural hospitals through a hub-and-spoke telehealth platform; allocates funding for rural telemedicine platforms.
Maternal & Perinatal Hub-and-Spoke Networks · 8 states
CA CT KY MI NC NE NH SD
Spotlight, California: Includes family medicine with obstetrics fellowships, OB Nest for prenatal care with remote patient self- monitoring and nursing support, and perinatal psychiatry access programs through hub-and-spoke networks as part of the Rural Health Transformative Care Model.
Behavioral Health & MAT Hub-and-Spoke Models · 6 states
IL KY NH OK OR TN
Spotlight, Oklahoma: • Sets up a comprehensive hub-and-spoke MAT model for Medication Assisted Treatment in primary care settings; organizes community-led population health networks through wellness hubs.
Regional Care Coordination & Referral Hubs · 19 states
AK AR CT DE IA IN KY LA MN MO NC NE OH PA SD TN VT WA WI
Spotlight, Wisconsin: • Establishes regionalized care delivery by partnering providers across all regions of the state, deploying evidence-based toolkits and TA, and developing new or expanded care sites (including schools, pharmacies, mobile units, and care-at-home models) to improve access and health outcomes for rural residents.
EMS & Emergency Response Hub-and-Spoke Models · 6 states
HI IN NE NJ SD WV
Spotlight, Indiana: • Integrates Mobile Integrated Health and Community Paramedicine Programs into the HIE to support dashboards and coordination between EMS and other provider types; requires hospitals and EMS to report real-time data for MOCC care-routing decisions. Blue = State has related initiative
Solicitation open or announced · 3 states
Apply or prepare now.
IowaCMS: Regional Care Coordination & Referral Hubs
KentuckyCMS: Maternal & Perinatal Hub-and-Spoke Networks; Behavioral Health & MAT Hub-and-Spoke Models; Regional Care Coordination & Referral Hubs
VirginiaCMS: Telehealth & Specialty Consultation Hubs
Solicitations, all closed · 8 states
Already competed this budget period; watch for a next round.
AlabamaCMS: Telehealth & Specialty Consultation Hubs
MichiganCMS: Maternal & Perinatal Hub-and-Spoke Networks
OhioCMS: Regional Care Coordination & Referral Hubs
OklahomaCMS: Behavioral Health & MAT Hub-and-Spoke Models
OregonCMS: Behavioral Health & MAT Hub-and-Spoke Models
South DakotaCMS: Telehealth & Specialty Consultation Hubs; Maternal & Perinatal Hub-and-Spoke Networks; Regional Care Coordination & Referral Hubs; EMS & Emergency Response Hub-and-Spoke Models
TennesseeCMS: Telehealth & Specialty Consultation Hubs; Behavioral Health & MAT Hub-and-Spoke Models; Regional Care Coordination & Referral Hubs
West VirginiaCMS: EMS & Emergency Response Hub-and-Spoke Models
No solicitation yet · 27 states
CMS says the state plans this work and RCJ has found no solicitation for it: the likeliest places for new ones.
AlaskaCMS: Regional Care Coordination & Referral Hubs
ArkansasCMS: Regional Care Coordination & Referral Hubs
ArizonaCMS: Telehealth & Specialty Consultation Hubs
CaliforniaCMS: Telehealth & Specialty Consultation Hubs; Maternal & Perinatal Hub-and-Spoke Networks
ConnecticutCMS: Maternal & Perinatal Hub-and-Spoke Networks; Regional Care Coordination & Referral Hubs
DelawareCMS: Regional Care Coordination & Referral Hubs
FloridaCMS: Telehealth & Specialty Consultation Hubs
HawaiiCMS: EMS & Emergency Response Hub-and-Spoke Models
IllinoisCMS: Behavioral Health & MAT Hub-and-Spoke Models
IndianaCMS: Regional Care Coordination & Referral Hubs; EMS & Emergency Response Hub-and-Spoke Models
KansasCMS: Telehealth & Specialty Consultation Hubs
LouisianaCMS: Regional Care Coordination & Referral Hubs
MassachusettsCMS: Telehealth & Specialty Consultation Hubs
MinnesotaCMS: Telehealth & Specialty Consultation Hubs; Regional Care Coordination & Referral Hubs
MissouriCMS: Regional Care Coordination & Referral Hubs
MontanaCMS: Telehealth & Specialty Consultation Hubs
North CarolinaCMS: Telehealth & Specialty Consultation Hubs; Maternal & Perinatal Hub-and-Spoke Networks; Regional Care Coordination & Referral Hubs
NebraskaCMS: Maternal & Perinatal Hub-and-Spoke Networks; Regional Care Coordination & Referral Hubs; EMS & Emergency Response Hub-and-Spoke Models
New HampshireCMS: Telehealth & Specialty Consultation Hubs; Maternal & Perinatal Hub-and-Spoke Networks; Behavioral Health & MAT Hub-and-Spoke Models
New JerseyCMS: Telehealth & Specialty Consultation Hubs; EMS & Emergency Response Hub-and-Spoke Models
New MexicoCMS: Telehealth & Specialty Consultation Hubs
New YorkCMS: Telehealth & Specialty Consultation Hubs
PennsylvaniaCMS: Regional Care Coordination & Referral Hubs
Rhode IslandCMS: Telehealth & Specialty Consultation Hubs
VermontCMS: Regional Care Coordination & Referral Hubs
WashingtonCMS: Regional Care Coordination & Referral Hubs
WisconsinCMS: Regional Care Coordination & Referral Hubs
Watch list
| Focus area | No solicitation yet | States |
|---|---|---|
| Medicaid InnovationHealth System InnovationMostly carried out inside state Medicaid programs (plan amendments, payment models), so few solicitations are expected. | 34 of 35 | AK AZ CO DE FL GA HI IL IN KS KY LA MA MD ME MI MO MS MT NC ND NE NH NJ NY OH OK OR SD TN UT VA WI WY |
| Veterans’ HealthPopulation Health | 5 of 6 | AL MI NE TX WI |
| CCBHCsPayment & Service Models | 22 of 27 | AK CA CO FL GA HI IL IN KS LA ME MI MS NC ND NE NH NM NY OR WA WI |
| Infectious DiseaseDisease Prevention & Care | 8 of 10 | AK AZ DE HI MT NJ TN WA |
| PACEPayment & Service Models | 7 of 9 | KS LA MI ND OK PA RI |
| Patient Engagement PlatformsTechnology | 30 of 39 | AK AR CA CO CT DE FL HI ID IL KS KY LA MA MI MT NC NE NH NJ NM OH OK OR PA SD UT VA WA WI |
| Cancer Prevention & TreatmentDisease Prevention & Care | 17 of 23 | AK AZ DE FL HI IN KS MN NC NM NV NY OK PA RI SD UT |
| Dental CareDisease Prevention & Care | 30 of 42 | AK AL AR AZ CA CO CT GA HI ID IN KS MA MD MI MO MT NC ND NE NM NY OK OR PA RI UT VT WA WY |
| Hub-and-Spoke ModelsPayment & Service Models | 27 of 38 | AK AR AZ CA CT DE FL HI IL IN KS LA MA MN MO MT NC NE NH NJ NM NY PA RI VT WA WI |
| Physical ActivityHealth Promotion | 23 of 33 | AK AL AZ CT DE HI IL IN KS LA MI MN MS NC NH NM OR PA SC TN UT VA WY |
| PediatricsPopulation Health | 18 of 26 | AK AZ HI IL IN KY MA MS MT NC NE NM NY RI SD UT VA WV |
| Upstream Drivers of HealthHealth Promotion | 30 of 46 | AK AL AZ CA CO CT DE FL GA HI IA IL IN KY MA MN MO MT NE NH NM NY OK OR PA RI SC TX VA WA |
CMS initiatives
Each state's CMS initiatives, checked against the solicitations that implement them. 67 have a solicitation open or announced and 227 have had one that has since closed. We researched every initiative left over: 14 are being carried out directly by the state or a named partner, so no solicitation is expected. These 14 remain: 2 with a solicitation expected, and 12 with no public sign yet of how they will be procured.
| State | CMS initiative | What we found | CMS stage |
|---|---|---|---|
| Rhode Island | Strengthening Rural Oral Health Delivery Through Innovation and Integration | ExpectedAn eohhs.ri.gov page for a Community and Home-Based Oral Healthcare Pilot application appears in search results but is currently access-restricted Source ↗ | Stage 1 complete |
| Tennessee | Value-Based Payment: Maternal, Hospitals, Dental - Catalyzing Rural Health Value Based Payment Models | ExpectedTennCare's Tennessee Maternal Medical Home pilot begins in 2027 Source ↗ | Stage 1 complete |
| Delaware | Healthcare Workforce Data Center Initiative | No solicitation found | Stage 2 in progress |
| Delaware | Rural Provider and FQHC Value-Based Care Readiness Initiative | The state plan describes competitive funding for providers and FQHCs; no solicitation posted yet | Stage 2 in progress |
| Hawaii | Rural Respite Network (RRN) | Five medical respite centers planned through the Department of Human Services; no solicitation found Source ↗ | Stage 2 in progress |
| North Carolina | Ensure Fiscal Sustainability of Rural Health Providers Through Innovative Financial Models | $35.3M, including a primary care capitation model with actuarial support; no solicitation found | Stage 2 in progress |
| New York | Rural Roots: Workforce | $13M; no solicitation posted yet Source ↗ | Stage 1 complete |
| New York | Strengthening Rural Health | $30M for technology-enhanced primary care (Patient Centered Medical Home model); no solicitation posted yet Source ↗ | Stage 1 complete |
| Ohio | Maternal and Infant Wellness Home Visiting in Rural Ohio | $6M to $8M for evidence-based home visiting; no solicitation found | Stage 1 in progress |
| Rhode Island | Building Capacity for Block Island Health and Human Services | Not yet on the state's procurement grid Source ↗ | Stage 2 in progress |
| Rhode Island | Modernizing Health Care Delivery for the Narragansett Indian Tribe | A partnership with the Tribe on facilities, workforce and care coordination; not on the procurement grid Source ↗ | Stage 1 complete |
| Rhode Island | Rural Community-Integrated and Mobile Health Services | $5.57M for mobile units and telehealth sites in schools and community learning centers; not yet on the state's procurement grid Source ↗ | Stage 1 complete |
| Rhode Island | Rural EMS Health Access and Integration | $8.4M for mobile integrated health, a state EMS academy and island EMS; not yet on the state's procurement grid Source ↗ | Stage 1 complete |
| Rhode Island | Rural Health Data and Workforce Tracking System | Not yet on the state's procurement grid Source ↗ | Stage 1 in progress |
Announced, not yet open
Including Massachusetts's Rural Digital Health Sandbox ↗: grants up to $475,000 for digital health companies, launched October 2026, with its notice of funding opportunity “coming soon”.
Deadlines
The full, live list is on Opportunities.
Method. The deck's focus-area state lists come from its shaded maps, read from the PDF's vector shapes; they match the deck's subtopic lists exactly on all 30 focus areas where the two must agree. “Solicitation” means an approved, RHTP-funded RFA, RFP, NOFO or grant in RCJ. Each of the 719 solicitations was classified by AI against CMS's 43 focus areas and its state's CMS initiatives, from its title, summary and primary document, counting only what it funds rather than what it mentions; the quote under each solicitation is the evidence for that call. A second pass checked every initiative left without a solicitation against all of its state's solicitations. Classification can still miss a solicitation described in unfamiliar terms, so read “no solicitation yet” as where to look, not as a confirmed absence. CMS stage data is from the State Data Maps as captured November 11, 2026; RCJ data is live, updated November 12, 2026.