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
Medicaid Innovation · Health System Innovation · CMS lists 35 states.
Medicaid Value-Based Payment Models & APM Development · 19 states
AZ CO IL IN KY MA ME MO MS MT NC ND NH NJ NY OR SD TN WV
Spotlight, Arizona: Leverages Medicaid-linked structures, payment approaches, and managed care mechanisms through RHTP to drive rural transformation; makes Medicaid innovation especially visible in how the state organizes grants, integrated care, and value-based strategies through its Medicaid infrastructure.
Medicaid State Plan Amendments & Coverage Expansions · 11 states
IL KY LA MD ME MI MO NE OH OK WY
Spotlight, Louisiana: Advances Medicaid innovation across Louisiana's rural parishes by transitioning grant-funded pilots, including value-based care models, digital health services, remote monitoring, and CCBHC programs, into sustainable Medicaid reimbursement structures through State Plan Amendments. Establishes risk-sharing, performance-based payments, and shared savings arrangements designed to institutionalize rural health transformation.
Dual-Eligible Integration & D-SNP Models · 8 states
FL MT ND NH OH UT VA WI
Spotlight, Ohio: Replaces expiring Medicare-Medicaid Plans (MMPs) with statewide FIDE SNPs through the Next Generation MyCare Ohio program; includes fully integrated benefits, single ID cards, streamlined appeals, HCBS incentives, local AAA waiver service coordination, community palliative care, and expanded transportation benefits.
AHEAD Model Alignment & Medicaid Demonstration Participation · 6 states
AK CO GA HI KS NJ
Spotlight, Kansas: Leverages Kansas's AHEAD Plan to transform Medicaid service delivery across rural communities by implementing five interconnected initiatives, including food-as-medicine programs, consumer-facing technologies, behavioral health integration, remote patient monitoring, and data infrastructure.
Medicaid Managed Care & MCO Integration · 8 states
AZ DE IN KY LA MI WV WY
Spotlight, Wyoming: Uses Medicaid claims data to identify high-risk dual- eligible individuals with chronic conditions; pays startup costs, per-member-per-month (PMPM) fees, and shared savings for care coordination; generates non-emergency medical transportation (NEMT) reimbursement invoices for Medicaid and other payers. Blue = State has related initiative
Solicitations, all closed · 1 state
Already competed this budget period; watch for a next round.
West VirginiaCMS: Medicaid Value-Based Payment Models & APM Development; Medicaid Managed Care & MCO Integration
No solicitation yet · 34 states
CMS says the state plans this work and RCJ has found no solicitation for it: the likeliest places for new ones.
AlaskaCMS: AHEAD Model Alignment & Medicaid Demonstration Participation
ArizonaCMS: Medicaid Value-Based Payment Models & APM Development; Medicaid Managed Care & MCO Integration
ColoradoCMS: Medicaid Value-Based Payment Models & APM Development; AHEAD Model Alignment & Medicaid Demonstration Participation
DelawareCMS: Medicaid Managed Care & MCO Integration
FloridaCMS: Dual-Eligible Integration & D-SNP Models
GeorgiaCMS: AHEAD Model Alignment & Medicaid Demonstration Participation
HawaiiCMS: AHEAD Model Alignment & Medicaid Demonstration Participation
IllinoisCMS: Medicaid Value-Based Payment Models & APM Development; Medicaid State Plan Amendments & Coverage Expansions
IndianaCMS: Medicaid Value-Based Payment Models & APM Development; Medicaid Managed Care & MCO Integration
KansasCMS: AHEAD Model Alignment & Medicaid Demonstration Participation
KentuckyCMS: Medicaid Value-Based Payment Models & APM Development; Medicaid State Plan Amendments & Coverage Expansions; Medicaid Managed Care & MCO Integration
LouisianaCMS: Medicaid State Plan Amendments & Coverage Expansions; Medicaid Managed Care & MCO Integration
MassachusettsCMS: Medicaid Value-Based Payment Models & APM Development
MarylandCMS: Medicaid State Plan Amendments & Coverage Expansions
MaineCMS: Medicaid Value-Based Payment Models & APM Development; Medicaid State Plan Amendments & Coverage Expansions
MichiganCMS: Medicaid State Plan Amendments & Coverage Expansions; Medicaid Managed Care & MCO Integration
MissouriCMS: Medicaid Value-Based Payment Models & APM Development; Medicaid State Plan Amendments & Coverage Expansions
MississippiCMS: Medicaid Value-Based Payment Models & APM Development
MontanaCMS: Medicaid Value-Based Payment Models & APM Development; Dual-Eligible Integration & D-SNP Models
North CarolinaCMS: Medicaid Value-Based Payment Models & APM Development
North DakotaCMS: Medicaid Value-Based Payment Models & APM Development; Dual-Eligible Integration & D-SNP Models
NebraskaCMS: Medicaid State Plan Amendments & Coverage Expansions
New HampshireCMS: Medicaid Value-Based Payment Models & APM Development; Dual-Eligible Integration & D-SNP Models
New JerseyCMS: Medicaid Value-Based Payment Models & APM Development; AHEAD Model Alignment & Medicaid Demonstration Participation
New YorkCMS: Medicaid Value-Based Payment Models & APM Development
OhioCMS: Medicaid State Plan Amendments & Coverage Expansions; Dual-Eligible Integration & D-SNP Models
OklahomaCMS: Medicaid State Plan Amendments & Coverage Expansions
OregonCMS: Medicaid Value-Based Payment Models & APM Development
South DakotaCMS: Medicaid Value-Based Payment Models & APM Development
TennesseeCMS: Medicaid Value-Based Payment Models & APM Development
UtahCMS: Dual-Eligible Integration & D-SNP Models
VirginiaCMS: Dual-Eligible Integration & D-SNP Models
WisconsinCMS: Dual-Eligible Integration & D-SNP Models
WyomingCMS: Medicaid State Plan Amendments & Coverage Expansions; Medicaid Managed Care & MCO Integration
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.