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
Pediatrics · Population Health · CMS lists 26 states.
School-Based Health Centers (SBHCs) & School-Based Health Services · 14 states
AK DE GA ID IL MS NC NM NY OH RI SD TN UT
Spotlight, New York: Establishes SBHCs in rural schools to improve physical exam rates, early intervention screening, and care coordination for students; delivers in-school telemedicine services partnering with school districts; allocates funding annually for SBHC contracts; provides Medicaid enhanced per-member/per-month payments for children in Patient-Centered Medical Home (PCMH) practices.
Pediatric Behavioral Health & Mental Health Access · 12 states
AZ GA HI ID IL KS MT NC ND NY OH WV
Spotlight, Kansas: Expands mental health consultation and resource networks that equip rural and frontier primary care providers, including pediatricians, with timely psychiatric consultation, training, and clinical practice materials, strengthening local capacity to identify and treat pediatric behavioral health needs.
Pediatric Emergency Readiness & Well-Child Visit Improvement · 8 states
IN KY MA MT NC OH SD TN
Spotlight, Kentucky: Supports infant health through People Who Work for Engagement and Resilience (PoWER) Teams including postpartum support and linkage to pediatric services including the Health Access Nurturing Development Services (HANDS) program; establishes Special Needs Tracking and Awareness Response System (STARS) for children with complex medical needs so EMS agencies have access to child-specific care plans to improve emergency medical response.
Pediatric Nutrition, Obesity Prevention & Physical Activity · 2 states
NE VA
Spotlight, Virginia: Funds rural communities, local governments, and Community-Based Organizations (CBOs) to expand access to safe, engaging spaces and programs that promote physical activity for children and youth through the Active Kids sub-initiative; engages local governments, schools, parks and recreation departments, and CBOs as stakeholders.
Pediatric Workforce Development & Training · 5 states
GA ID IN MT OR
Spotlight, Montana: Expands pediatric-focused care by funding training programs for health care professionals in child health priorities, including children's behavioral health and child abuse prevention. Blue = State has related initiative
Solicitation open or announced · 2 states
Apply or prepare now.
GeorgiaCMS: School-Based Health Centers (SBHCs) & School-Based Health Services; Pediatric Behavioral Health & Mental Health Access; Pediatric Workforce Development & Training
OregonCMS: Pediatric Workforce Development & Training
Solicitations, all closed · 6 states
Already competed this budget period; watch for a next round.
DelawareCMS: School-Based Health Centers (SBHCs) & School-Based Health Services
IdahoCMS: School-Based Health Centers (SBHCs) & School-Based Health Services; Pediatric Behavioral Health & Mental Health Access; Pediatric Workforce Development & Training
KansasCMS: Pediatric Behavioral Health & Mental Health Access
North DakotaCMS: Pediatric Behavioral Health & Mental Health Access
OhioCMS: School-Based Health Centers (SBHCs) & School-Based Health Services; Pediatric Behavioral Health & Mental Health Access; Pediatric Emergency Readiness & Well-Child Visit Improvement
TennesseeCMS: School-Based Health Centers (SBHCs) & School-Based Health Services; Pediatric Emergency Readiness & Well-Child Visit Improvement
No solicitation yet · 18 states
CMS says the state plans this work and RCJ has found no solicitation for it: the likeliest places for new ones.
AlaskaCMS: School-Based Health Centers (SBHCs) & School-Based Health Services
ArizonaCMS: Pediatric Behavioral Health & Mental Health Access
HawaiiCMS: Pediatric Behavioral Health & Mental Health Access
IllinoisCMS: School-Based Health Centers (SBHCs) & School-Based Health Services; Pediatric Behavioral Health & Mental Health Access
IndianaCMS: Pediatric Emergency Readiness & Well-Child Visit Improvement; Pediatric Workforce Development & Training
KentuckyCMS: Pediatric Emergency Readiness & Well-Child Visit Improvement
MassachusettsCMS: Pediatric Emergency Readiness & Well-Child Visit Improvement
MississippiCMS: School-Based Health Centers (SBHCs) & School-Based Health Services
MontanaCMS: Pediatric Behavioral Health & Mental Health Access; Pediatric Emergency Readiness & Well-Child Visit Improvement; Pediatric Workforce Development & Training
North CarolinaCMS: School-Based Health Centers (SBHCs) & School-Based Health Services; Pediatric Behavioral Health & Mental Health Access; Pediatric Emergency Readiness & Well-Child Visit Improvement
NebraskaCMS: Pediatric Nutrition, Obesity Prevention & Physical Activity
New MexicoCMS: School-Based Health Centers (SBHCs) & School-Based Health Services
New YorkCMS: School-Based Health Centers (SBHCs) & School-Based Health Services; Pediatric Behavioral Health & Mental Health Access
Rhode IslandCMS: School-Based Health Centers (SBHCs) & School-Based Health Services
South DakotaCMS: School-Based Health Centers (SBHCs) & School-Based Health Services; Pediatric Emergency Readiness & Well-Child Visit Improvement
UtahCMS: School-Based Health Centers (SBHCs) & School-Based Health Services
VirginiaCMS: Pediatric Nutrition, Obesity Prevention & Physical Activity
West VirginiaCMS: Pediatric Behavioral Health & Mental Health Access
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.