Research Report

CMS's Planned State Initiatives vs RCJ

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

RCJ discrepancies corrected

0 of 322

CMS initiatives past Stage 2

14 of 322

CMS initiatives still without a solicitation

1. What's different

CMS vs RCJ

RCJ's numbers were close; its structure wasn't

Funding: every RCJ state award was within 0.3% of CMS's Budget Period 1 figure, but rounded to the nearest million rather than exact.
Initiatives: RCJ built its initiative lists from state narratives, so only 69 of CMS's 322 official names appeared, and 25 states matched none.
Progress: RCJ showed four states as “Scaling”. CMS shows every initiative in every state at Stage 1 or 2 of 5.
Policy commitments: CMS tracks 19 State Policy Actions per state; RCJ had none of them.
Coverage: CMS's new deck places states in focus areas 1,553 times. RCJ holds source material for all but one: a Massachusetts digital health program CMS counts as a Tech Catalyst Fund. Seven programs CMS spotlights by name were checked individually; two had no RCJ record, one had no public source we could find (New Jersey's immunization system modernization), and the rest were tracked under different names.

CMS vs CMS

The deck disagrees with itself on 13 of 43 focus areas

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.

2. What's been fixed

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.

3. What to watch: upcoming opportunities

Most Budget Period 1 procurement is still ahead. Every one of the 322 initiatives CMS tracks has finished Stage 0 (planning). 227 have also finished Stage 1 and 95 are still in it; none has started Stage 3. CMS hasn't defined Stages 1–5, but with nothing past Stage 2, most planned work hasn't reached the point where states contract it out.

All 43 focus areas

Planned work vs solicitations RCJ has tracked

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

Upstream Drivers of Health: state by state

Focus area

Upstream Drivers of Health · Health Promotion · CMS lists 46 states (its headline says 47).

What CMS says states plan: 5 subtopics

Closed-Loop Referral Systems Connecting Clinical & Community Care · 14 states
CO CT FL IN MN MO NC NE NY OK RI SC TN UT
Spotlight, Colorado: Strengthens referral pathways through Community Resource Inventory (CRI) infrastructure and integration of electronic referral capabilities between healthcare providers and community organizations; includes CRI system configuration, electronic referral integration support, provider onboarding and training, and referral tracking analytics.
Food, Housing & Transportation as Upstream Drivers of Health · 15 states
AL DE KS KY LA MI MN MS NC ND SC SD TN WI WV
Spotlight, Michigan: Funds community-based organizations, local governments, and Hubs through the Chronic Disease and Healthy Homes Collaborative Grant Program to invest in evidence-based, community-led interventions addressing the intersection of housing, health, and economic stability for rural residents.
Faith-Based, School & Library-Based Community Access Points · 9 states
AR CT DE MT ND NH NJ SC WA
Spotlight, North Dakota: Offers prescription pickup kiosks and mobile pantries to provide accessible methods of receiving healthcare services.
Community Health Workers as Upstream Drivers of Health Navigators · 13 states
CO HI IA IL KY MA MI MN NC NE NH OK SD
Spotlight, Kentucky: Incorporates CHWs into all five initiatives to improve access to community resources; trains EMS providers to use an assessment tool for upstream drivers of health and integrates CHWs into EMS teams to connect patients to medical and social resources, transportation, telehealth, and post-hospital follow-up; connects patients to wraparound services including Special Supplemental Nutrition for Women, Infants, and Children (WIC), Temporary Assistance for Needy Families (TANF), SNAP, HANDS, food banks, and transportation through PoWER Teams.
CBO Integration into Regional Health Networks · 18 states
AK AZ CA CT GA IL MA MD MI NC NJ NM OH OR PA TX VA VT
Spotlight, Virginia: Partners with CBOs (e.g., Federation of Virginia Food Banks) to address food insecurity; engages AAAs, managed care plans, Department of Medical Assistance Services (DMAS), and CBOs through Integrated Care for Duals to support dual-eligible seniors.

Solicitation open or announced · 3 states

Apply or prepare now.

KansasCMS: Food, Housing & Transportation as Upstream Drivers of Health
- Community Health Worker + Accountable Food Is Medicine Grant Program (CHW+AFIM) – Year 2Open · due Nov 18“deliver AFIM interventions and address upstream drivers of health”
- Community Health Worker + Accountable Food Is Medicine Grant Program (CHW+AFIM)Closed Jun 19“integrating CHWs into clinical settings to deliver AFIM interventions and address upstream drivers of health”
MississippiCMS: Food, Housing & Transportation as Upstream Drivers of Health
- Mississippi RHTP Innovative Pilot ProgramOpen · due Nov 16“address social determinants of health by implementing collaborative strategies that improve food security, economic stability, access to care, education”
- Coordinated Regional Integrated Systems (CRIS) InitiativeAnnounced“Connecting Patients to Social Services...closed-loop referral systems that connect patients to services like: Transportation, Food access, Housing, Behavioral health support”
TennesseeCMS: Closed-Loop Referral Systems Connecting Clinical & Community Care; Food, Housing & Transportation as Upstream Drivers of Health
- County Health Council Collaborative Action for Rural Engagement (CARE) GrantsOpen · due Nov 20“Projects should address rural health priorities, reduce disparities, improve access to health resources, and create lasting Policy, Systems, and Environmental change.”

Solicitations, all closed · 13 states

Already competed this budget period; watch for a next round.

ArkansasCMS: Faith-Based, School & Library-Based Community Access Points
- Healthy Eating, Active Recreation, and Transformation (HEART)Closed Aug 7“Addressing underlying drivers of poor health outcomes, including limited access to healthy food, physical inactivity, and gaps in preventive care”
LouisianaCMS: Food, Housing & Transportation as Upstream Drivers of Health
- Food is Medicine (FIM) Programs NOFOClosed Aug 14“establish partnerships between healthcare providers and community-based organizations; include a referral loop to a health care clinician; provide nutrition education focused on disease prevention/chronic disease management”
MarylandCMS: CBO Integration into Regional Health Networks
- Maryland RHTP: NourishMD Expansion — Small Grocers and Mobile MarketsClosed“demonstrate an ability to improve healthy food access and address food insecurity”
MichiganCMS: Food, Housing & Transportation as Upstream Drivers of Health; Community Health Workers as Upstream Drivers of Health Navigators; CBO Integration into Regional Health Networks
- Michigan Rural Health Community Information Exchange Coordination - 2027Closed Sep 16“Eligible applicants include community-based organizations...capable of implementing and coordinating Community Information Exchange (CIE) efforts within Michigan.”
North CarolinaCMS: Closed-Loop Referral Systems Connecting Clinical & Community Care; Food, Housing & Transportation as Upstream Drivers of Health; Community Health Workers as Upstream Drivers of Health Navigators; CBO Integration into Regional Health Networks
- NC ROOTS — Trillium: NCCARE360 Adoption (Regions 2 & 5)Closed Aug 25“NCCARE360 is North Carolina's statewide coordinated care network and closed-loop referral platform that enables organizations to initiate, track, and document referrals to health-related social needs (HRSN) services”
- NC ROOTS — Trillium: Food is Medicine Program Expansion (Regions 2 & 5)Closed Aug 31“improve rural nutrition access, integrate Food Is Medicine interventions into care delivery, and address food insecurity”
North DakotaCMS: Food, Housing & Transportation as Upstream Drivers of Health; Faith-Based, School & Library-Based Community Access Points
- Rural Health Transformation Program: Community Gardens GrantClosed May 22“The grant opportunity is designed to improve nutrition, wellness, and community collaboration statewide through evidence-based practices.”
- Hospital-Based Wellness Equipment funding opportunity (Solicitation 210-122)Closed Jul 30“Encouraging consistent physical fitness, proper ergonomics, mindfulness, social connection and healthy eating habits can help mitigate these risks.”
- North Dakota RHTP: Coordinating and Connecting Care (Solicitation 210-362)Closed Aug 26“help participating healthcare providers, payers, community-based and volunteer organizations, tribal partners, and other authorized participants securely send, receive, track and complete referrals across organizations”
New JerseyCMS: Faith-Based, School & Library-Based Community Access Points; CBO Integration into Regional Health Networks
- Rural Health Transformation Program 2026: Safe Communities — Youth Violence Prevention in Rural Communities (NJ RHTP Activity 5.4b)Closed Apr 10“Programs must address access and engagement barriers, including transportation”
- Rural Health Transformation Program 2026: Rural Health Screening and Education (NJ RHTP Activity 5.3d)Closed Apr 10“address health disparities, and strengthen healthcare systems in rural communities... addressing social determinants of health (SDOH) that impede access and utilization of services such as transportation”
OhioCMS: CBO Integration into Regional Health Networks
- Ohio RHTP: Healthier Ohio Community-Level Chronic Disease Prevention and Management (RO27)Closed Sep 8“Belonging – Social Connectedness • Avoiding Risky Behaviors”
South DakotaCMS: Food, Housing & Transportation as Upstream Drivers of Health; Community Health Workers as Upstream Drivers of Health Navigators
- South Dakota RHTP: Chronic Disease Self-Management ProgrammingClosed Mar 25“Eligible activities include ... screening for social drivers of health.”
UtahCMS: Closed-Loop Referral Systems Connecting Clinical & Community Care
- PATH 1.4: Community Care HubClosed Aug 17“connecting local organizations and individuals to address health and social needs in rural communities”
- PATH 1.1: Rural Food Infrastructure (Utah Food Security Grant Program)Closed Sep 1“Strengthening the rural food system capacity can improve access to healthy foods, while supporting Utah’s rural counties and developing a more resilient food supply chain.”
VermontCMS: CBO Integration into Regional Health Networks
- Rural Health Transformation Program - Adoption of a Statewide Closed Loop Referral SystemClosed Jun 26“The system should ensure patients successfully connect to needed community supports, such as housing, food assistance, and transportation.”
WisconsinCMS: Food, Housing & Transportation as Upstream Drivers of Health
- Community Health Workers Grants: Strengthening the Rural Health Workforce in WisconsinClosed Aug 7“CHWs serve as trusted connectors and help individuals ... overcome barriers such as transportation, food insecurity, and limited access to care”
West VirginiaCMS: Food, Housing & Transportation as Upstream Drivers of Health
- Improve Health Outcomes Through Nutrition and Lifestyle AFA 1Closed Jul 20“address upstream root causes through prevention, nutrition, physical activity, behavior change, and integration with healthcare technology”
- Personal Health Accelerator (PHA) Wellness Data & Referral ProgramClosed Jul 21“deploying a closed-loop referral system supporting statewide integration of wellness, nutrition, and lifestyle interventions with core medical data systems”
- West Virginia RHT-AFA: Health to Work Program for Substance Use Disorder (SUD)Closed Jul 21“Proposed solutions must address drivers of workforce instability, including untreated behavioral health conditions and the associated co-occurring barriers and gaps in access to coordinated care.”
- HTP Health-to-Work ProgramsClosed Aug 7“HTP will emphasize preventative, root-cause focused solutions that address upstream drivers like lifestyle behaviors, rather than relying on episodic, downstream interventions”
- CCG1 Outpatient RPMClosed Aug 12“emphasize preventative, root-cause focused solutions that address upstream drivers like lifestyle behaviors, rather than relying on episodic, downstream interventions”
- Statewide Local Health Challenge (Personal Health Accelerator)Closed Aug 28“coordinate with local health departments, employers, schools, and community organizations to engage high-risk, at-risk, and general populations”

No solicitation yet · 30 states

CMS says the state plans this work and RCJ has found no solicitation for it: the likeliest places for new ones.

AlaskaCMS: CBO Integration into Regional Health Networks
AlabamaCMS: Food, Housing & Transportation as Upstream Drivers of Health
ArizonaCMS: CBO Integration into Regional Health Networks
CaliforniaCMS: CBO Integration into Regional Health Networks
ColoradoCMS: Closed-Loop Referral Systems Connecting Clinical & Community Care; Community Health Workers as Upstream Drivers of Health Navigators
ConnecticutCMS: Closed-Loop Referral Systems Connecting Clinical & Community Care; Faith-Based, School & Library-Based Community Access Points; CBO Integration into Regional Health Networks
DelawareCMS: Food, Housing & Transportation as Upstream Drivers of Health; Faith-Based, School & Library-Based Community Access Points
FloridaCMS: Closed-Loop Referral Systems Connecting Clinical & Community Care
GeorgiaCMS: CBO Integration into Regional Health Networks
HawaiiCMS: Community Health Workers as Upstream Drivers of Health Navigators
IowaCMS: Community Health Workers as Upstream Drivers of Health Navigators
IllinoisCMS: Community Health Workers as Upstream Drivers of Health Navigators; CBO Integration into Regional Health Networks
IndianaCMS: Closed-Loop Referral Systems Connecting Clinical & Community Care
KentuckyCMS: Food, Housing & Transportation as Upstream Drivers of Health; Community Health Workers as Upstream Drivers of Health Navigators
MassachusettsCMS: Community Health Workers as Upstream Drivers of Health Navigators; CBO Integration into Regional Health Networks
MinnesotaCMS: Closed-Loop Referral Systems Connecting Clinical & Community Care; Food, Housing & Transportation as Upstream Drivers of Health; Community Health Workers as Upstream Drivers of Health Navigators
MissouriCMS: Closed-Loop Referral Systems Connecting Clinical & Community Care
MontanaCMS: Faith-Based, School & Library-Based Community Access Points
NebraskaCMS: Closed-Loop Referral Systems Connecting Clinical & Community Care; Community Health Workers as Upstream Drivers of Health Navigators
New HampshireCMS: Faith-Based, School & Library-Based Community Access Points; Community Health Workers as Upstream Drivers of Health Navigators
New MexicoCMS: CBO Integration into Regional Health Networks
New YorkCMS: Closed-Loop Referral Systems Connecting Clinical & Community Care
OklahomaCMS: Closed-Loop Referral Systems Connecting Clinical & Community Care; Community Health Workers as Upstream Drivers of Health Navigators
OregonCMS: CBO Integration into Regional Health Networks
PennsylvaniaCMS: CBO Integration into Regional Health Networks
Rhode IslandCMS: Closed-Loop Referral Systems Connecting Clinical & Community Care
South CarolinaCMS: Closed-Loop Referral Systems Connecting Clinical & Community Care; Food, Housing & Transportation as Upstream Drivers of Health; Faith-Based, School & Library-Based Community Access Points
TexasCMS: CBO Integration into Regional Health Networks
VirginiaCMS: CBO Integration into Regional Health Networks
WashingtonCMS: Faith-Based, School & Library-Based Community Access Points

Watch list

Focus areas with the most unsolicited planned work

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

14 of 322 CMS initiatives still have no solicitation

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

14 carried out directly, without a solicitation

Colorado: Build Data and Evaluation Infrastructure for Chronic Disease Programs: Diabetes, Cardiovascular Disease, Hypertension, and Obesity. $1.31M for prevention data collection, a chronic disease dashboard and staff support, through state agencies (OeHI, CDPHE). Source ↗
Connecticut: Workforce. Funded through an Area Health Education Center (AHEC) award.
Hawaii: Pili Ola Telehealth Network. Built and operated by the University of Hawaiʻi. Source ↗
Hawaii: Rural Infrastructure for Care Access (RICA). Includes $13M for the Department of Health to buy ambulances for each county and upgrade emergency communications. Source ↗
Indiana: Growing Cardiometabolic Health Standards of Care in Rural Indiana. $15.3M; grant agreements with Purdue Extension and the Indiana Alliance. Proposals for a Food is Medicine feasibility study and a Double Up retail expansion are under review; the solicitations themselves were not found. Source ↗
Indiana: Growing Community Connections through Indiana 211. Funded through the Indiana Community Connect award (Indiana 211 referral platform).
Indiana: Growing Improved Patient Outcomes Through Enhanced Interoperability and Technology. $66.5M to connect 450+ rural facilities to the Indiana Health Information Exchange (IHIE). Source ↗
Indiana: Growing Specialty Provider Access through Expanded Teleconsult Capabilities. Funded through an award for a teleconsult and telehealth landscape assessment.
Tennessee: Dental Pilot - Enhancing Investments in the Rural Dental Workforce to Improve Oral Health Access. Department of Health pilot expanding dental school classes (Meharry, UT) with tuition forgiveness for rural service. Source ↗
Tennessee: Last Mile Teams - Unifying Multiple High-Impact Efforts to Expand Tennessee’s Rural Emergency Care Infrastructure and Bring Integrated Health Services Directly to Residents in Hard-to-Reach Areas. Includes a new ambulance for every eligible rural county: the county buys it and the state reimburses. Source ↗
Tennessee: TN Community Compass (TNCC) - Expansion of Tennessee’s Successful Closed Loop Referral System (CLRS). Expansion of the existing Findhelp-built closed-loop referral platform across TennCare and Department of Health programs. Source ↗
Texas: Unified Care Infrastructure and Rural Cyber Protection. Funded through subawards to rural hospitals and providers for care and cybersecurity infrastructure.
Washington: Invest in the Health of Native Families. 10% of Washington's award goes directly to tribes and Indian health care providers.
Washington: Prevent Disease and Manage Care in Community Settings. $18M year one through named subawardees: Area Agencies on Aging, 211, the Washington Medical Coordination Center, Care-a-Van. Source ↗

Announced, not yet open

23 solicitations to watch for

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”.

State	Opportunity	Type
GA	Georgia RHTP: AHEC Training and Housing	GRANT
GA	Georgia RHTP: Consumer Engagement Enhancements	GRANT
GA	Georgia RHTP: Nursing Care Improvements	GRANT
GA	Georgia RHTP: Public Health Investments — Newborn Screening Program	GRANT
GA	Georgia RHTP: Support for Acquired Brain Injury (ABI) Survivors	GRANT
IL	Illinois RHTP: Disease Prevention Grants to Hospitals	GRANT
IL	Illinois RHTP: EMS and Mobile Healthcare — Mobile Health Infrastructure Funds	GRANT
IL	Illinois RHTP: EMS Enhancement Grants to Resource Hospitals	GRANT
IL	Illinois RHTP: Expansion of Incentives and Training Programs for Clinical Professionals	GRANT
IL	Illinois RHTP: Expansion of Training and Certification Programs for Healthcare Support Workers	GRANT
IL	Illinois RHTP: Investment in Technological Infrastructure for Rural Providers	GRANT
IL	Illinois RHTP: Primary Care and Behavioral Health Technical Assistance	GRANT
IL	Illinois RHTP: Team-Based Care Grants for Primary Care and Behavioral Health Providers	GRANT
ME	Maine Rural Health Transformation: Alternative Payment Model (APM) Transition	GRANT
MO	Missouri RHTP Digital Backbone Provider Application (official RFA pending)	GRANT
MO	Missouri RHTP Essential Care Certifications for rural hospitals (official RFA pending)	GRANT
MO	Missouri RHTP High-Risk Pregnancy Remote Monitoring, Southeast and Southcentral Missouri (official RFA pending)	GRANT
MO	Missouri RHTP Mobile Health Units capital awards (official RFA pending)	GRANT
MO	Missouri RHTP Telehealth Specialist Access for rural hospitals (official RFA pending)	GRANT
MS	Coordinated Regional Integrated Systems (CRIS) Initiative	RFA
OK	OHCA HIE & EHR Assistance (Year 2 Application)	GRANT
OR	Oregon RHTP: Transformation Funds	GRANT
TX	Rural Texas Strong Program – Initiative 2: Rural Texas Patients in the Driver’s Seat (HHS0017518)	RFA

Deadlines

27 RHTP solicitations due in the next 30 days

Due	State	Opportunity	Type
Nov 12	NH	GO-NORTH Access Initiative (Technology, Financial Sustainability, and Access for Rural Hospitals in New Hampshire) — 2026 Request for Applications	RFA
Nov 13	KS	KS - 2026 - Regional Partnership Grant Program	RFA
Nov 13	KS	Transformative Capital Investment Grant Program RFA (Kansas, Year 2)	RFA
Nov 13	RI	Coding Consultant Services – Rural Health Transformation Program (RIHCA-RHTP-RFP-002)	RFP
Nov 16	IN	Preceptor and Rural Track Grant Program – Initiative 10: Rural GME Enhancement	NOFO
Nov 16	IN	Initiative 10: Rural GME Enhancement Curriculum Enhancement Grant Program	NOFO
Nov 16	MS	Mississippi RHTP Innovative Pilot Program	GRANT
Nov 17	IA	Iowa Cardiovascular Health Hub and Spoke Networks (RFP COMPADM26007)	RFP
Nov 17	NC	North Carolina Rural Health Innovation Fund	GRANT
Nov 18	KS	Community Health Worker + Accountable Food Is Medicine Grant Program (CHW+AFIM) – Year 2	RFA
Nov 18	KS	Non-Emergency Transportation Grant Program (NEMT) – Year 2 (Kansas RHTP 4.3)	RFA
Nov 18	OK	Community Paramedicine Consulting Services RFP	RFP
Nov 20	CA	CalRHT 2026 Tribal Set-Aside Noncompetitive Grant Funding Application	RFA
Nov 20	GA	GREAT Health Rural Simulation Mannequin Grant	GRANT
Nov 20	NH	Hospital Consumer Assessment of Healthcare Providers and Systems Project	RFP
Nov 20	TN	County Health Council Collaborative Action for Rural Engagement (CARE) Grants	RFA
Nov 20	WV	WV RHTP Personal Health Accelerator: Water Is Medicine (AFA GFO-0313-2700000000168-1)	GRANT
Nov 23	MS	Small Rural Health Provider EHR Replacement Grant Program	GRANT
Nov 23	VA	Virginia RHTP Mobile & Hybrid Care RFA — Thomas Jefferson Planning District Commission	RFA
Nov 23	VA	Virginia RHTP Mobile & Hybrid Care RFA — West Piedmont Planning District Commission (Southside Regional Collaborative)	RFA
Nov 23	VA	Virginia RHTP Mobile & Hybrid Care RFA — Central Shenandoah Planning District Commission (Roanoke-Alleghany/Central Shenandoah/New River Valley Collaborative)	RFA
Nov 23	VA	Virginia RHTP Mobile & Hybrid Care RFA — Accomack-Northampton Planning District Commission (Eastern Shore Regional Collaborative)	RFA
Nov 23	VA	Virginia RHTP Mobile & Hybrid Care RFA — LENOWISCO Planning District Commission (Rural Health Transformation SWVA)	RFA
Nov 24	NH	RFP 212026957 for Marketing, Branding, Communications, and Digital Engagement Services supporting GO-NORTH RHT Workforce Initiative	RFP
Nov 30	ME	Maine RHTP Community Health Worker (CHW) Initiative RFA (Rural Community Health Worker Expansion)	RFA
Dec 7	MO	Missouri RHTP Workforce Retention and Enablers Funding Opportunity	RFA
Dec 11	NV	Nevada CBHT WRRAP Provider Recruitment and Retention Program RFA (Children's Behavioral Health)	RFA

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.