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HHS Region 4 · Alabama Dept of Economic & Community Affairs (ADECA)
Program Overview
The Alabama Rural Health Transformation Program (ARHTP), managed by ADECA and guided by the Alabama Rural Health Transformation Advisory Group, is actively implementing statewide multi-year initiatives to improve access, support provider and workforce sustainability, modernize health IT, and strengthen care delivery in rural areas. The program conducts annual cycles of project funding and workshops, with Year 1 awards completed and Year 2 applications soon to reopen. Implementation is driven by data analysis, broad stakeholder input, and coordination across state agencies. Current structured plan tracks 12 key initiatives and 7 strategic goals.
Updated
County-level estimates averaged across Alabama — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (67)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Jefferson County | 667,755 | 15.7% | 11.4% |
| Mobile County | 412,590 | 16.2% | 11.9% |
| Madison County | 405,718 | 10.1% | 6.9% |
| Baldwin County | 246,989 | 10.1% | 6.8% |
| Tuscaloosa County | 237,552 | 16.8% | 10.9% |
| Shelby County | 230,211 | 7.2% | 5.0% |
| Montgomery County | 226,718 | 19.9% | 16.3% |
| Lee County | 181,134 | 18.9% | 10.0% |
| Morgan County | 124,471 | 13.5% | 9.1% |
| Calhoun County | 116,090 | 17.9% | 12.9% |
| Limestone County | 111,233 | 10.0% | 7.3% |
| Houston County | 108,140 | 17.5% | 13.1% |
AI source: AL - 2026 - Alabama RHTP Strategy and Implementation Manual
AI auto-updated Sep 15, 2026
API refreshed May 7, 2026
Key signals are summarized here. Open the source for the supporting detail.
Centers for Medicare & Medicaid Services (CMS)
Grouped files
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1,119,503 rural residents
Alabama received over $203 million in federal CMS funding and established a formal advisory group. ADECA has issued two rounds of NOFOs covering all 11 program initiatives, with first-round applications closed and Year 2 opportunities expected. Alabama awarded 138 grants totaling over $144 million across five initiatives, and application workshops and FAQ sessions continue to support grantees and applicants. The program is advancing subgrant competitions and broad stakeholder engagement. State opportunities: 12 total (12 past/closed), $270.4M listed funding. Key opportunities: Alabama Rural Health Transformation Program (ARHTP) 2025–2030: Statewide Strategy and Project Narrative; Alabama Rural Health Transformation Program (ARHTP), Rural Health Initiative; Alabama RHTP Collaborative EHR, IT, and Cybersecurity Initiative. Strategy alignment: supports workforce, telehealth, maternal health priorities.
Alabama’s Rural Health Transformation Program (RHTP), managed by ADECA with CMS funding, maintains a five-year, milestone-driven strategy centered on eleven core initiatives. The program prioritizes targeted investment in rural healthcare delivery, IT and cybersecurity modernization, workforce development, and quality improvement using competitive subrecipient processes, annual CMS reviews, and data-driven performance standards. Stakeholder collaboration, including an advisory group and multiple state agencies, ensures the strategy remains adaptive, evidence-based, and sustainable.
Model
Statewide, regionally coordinated transformation emphasizing specialty and emergency care regionalization, EMS modernization, secure technology adoption, and rural workforce expansion, with oversight from state and federal partners and continuous stakeholder engagement.
Key Initiatives (12)
Timeline: Five-year program (2026–2030), with annual CMS review, milestone-based funding, phased NOFOs beginning June–August 2026, subrecipient period of performance through 07/31/2027 for Year 1, and ongoing annual strategy updates.
Targeted improvements through a dedicated Maternal and Fetal Health Initiative to enhance outcomes in rural communities.
Enhancement of EMS capabilities through Statewide EMS Trauma and Stroke and EMS Treat-In-Place Initiatives.
Focus on addressing mental health needs in rural populations via a dedicated Mental Health Initiative.
Alabama Department of Economic and Community Affairs (ADECA)
Due Aug 7, 2026
15 related documents
AL - 2025 - Alabama RHTP Simulation Training Initiative Notice of Funding Opportunity
Official NOFO PDF
AL - 2026 - Notice of Funding Opportunity: Alabama RHTP – Statewide Emergency Medical Services (EMS) Trauma and Stroke Initiative
Primary source
AL - 2025 - Alabama Department Of Economic And Community Affairs (ADECA) Notice Of Funding Opportunity Alabama RHTP Maternal And Fetal Health Initiative
Auto-linked by identifier
AL - 2026 - Alabama Department Of Economic And Community Affairs Notice Of Funding Opportunity Alabama RHTP Rural Workforce Initiative
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AL - 2026 - Alabama Department Of Economic And Community Affairs Notice Of Funding Opportunity Alabama RHTP Statewide Emergency Medical Services (EMS) Trauma And Stroke Initiative
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AL - 2025 - Alabama RHTP Emergency Medical Services (EMS) Treat-In-Place Initiative Notice Of Funding Opportunity
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AL - 2026 - Notice of Funding Opportunity: Alabama RHTP Cancer Digital Regionalization Initiative
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AL - 2026 - Alabama Department Of Economic And Community Affairs Notice Of Funding Opportunity Alabama RHTP Mental Health Initiative
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AL - 2026 - Alabama Department Of Economic And Community Affairs (ADECA) Notice Of Funding Opportunity (NOFO) Alabama RHTP Collaborative Ehr, It, And Cybersecurity Initiative
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AL - 2026 - Notice Of Funding Opportunity (NOFO): Alabama Rural Health Practice Initiative
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AL - 2026 - Alabama Department Of Economic And Community Affairs Notice Of Funding Opportunity Alabama RHTP Rural Health Initiative
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AL - 2026 - Alabama RHTP Frequently Asked Questions (FAQ) Compiled from Roadshow Sessions and Application Workshops June 2026
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AL - 2026 - Alabama RHTP Frequently Asked Questions (FAQ) Compiled from Roadshow Sessions and Application Workshops
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AL - 2026 - Alabama RHTP Frequently Asked Questions (FAQ) Compiled from Roadshow Sessions and Application Workshops (ada_ARHTP_FAQ_June2026_DRAFT-06.18.2026-ADECA-FINAL)
Auto-linked by identifier
AL - 2025 - Alabama RHTP Statewide Emergency Medical Services (EMS) Trauma and Stroke Initiative Notice of Funding Opportunity
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Alabama Department of Economic and Community Affairs (ADECA)
Due Aug 7, 2026
1 related document
AL - 2025 - Alabama Department Of Economic And Community Affairs (ADECA) Notice Of Funding Opportunity Alabama RHTP Maternal And Fetal Health Initiative
Official NOFO PDF
Alabama Department of Economic and Community Affairs (ADECA)
Due Aug 7, 2026
2 related documents
AL - 2025 - Alabama RHTP Emergency Medical Services (EMS) Treat-In-Place Initiative Notice Of Funding Opportunity
Official NOFO PDF
AL - 2026 - Alabama RHTP (ARHTP) Application Workshops (ARHTP-Application-Workshops-Round-2-Announcement)
Auto-linked process guidance fallback (11%)
| FY↓ | Awardee↕ | Amount↕ | Activity↕ | Source |
|---|---|---|---|---|
| 2026 | Alabama Mental Health Initiative Support school-based tele-mental health programs and conversion of CMHCs to CCBHCs in rural areas. | $45.8M | Population Health | |
| 2026 | Alabama Rural Health Practice Initiative Expand workforce recruitment, implement shared services and telehealth tools, and establish dental/healthcare clinics in rural educational facilities. | $30.0M | Quality Improvement | |
| 2026 | Alabama Cancer Digital Regionalization Initiative Expand cancer detection system, establish regional referral hubs, provide mobile screening and community education. | $25.0M | Population Health | |
| 2026 | Alabama EMS Treat-in-Place Pilot Program Pilot to institute 'treat-in-place' for EMS providers, including telehealth consulting, protocol development, equipment, and training. | $25.0M | EMS Development | |
| 2026 | Alabama Maternal and Fetal Health Regionalization Initiative Regionalization of maternal and fetal health services using referral hubs and deployment of telerobotic ultrasound devices. | $24.0M | Population Health | |
| 2026 | Alabama Statewide EMS Trauma and Stroke Initiative Expand EMS diversion, trauma, and stroke systems statewide, integrating telehealth and reducing avoidable transports. | $20.0M | EMS Development | |
| 2026 | Alabama Simulation Training Initiative Expand and replicate simulation-based training programs to increase annual simulation training offered for rural providers. | $15.5M | Quality Improvement | |
| 2026 | Alabama Community Medicine and Mobile Screening Initiative Provision of mobile wellness screening and mobile grocery units, prioritizing integrated community services and health education. | $5.0M | Population Health | |
| 2026 | Auburn University Establish a shared digital health and cybersecurity network for rural healthcare providers in 12 counties | $6.4M | Collaborative Electronic Health Record (EHR), IT and Cybersecurity Initiative | |
| 2026 | Auburn University Create a network of local healthcare access sites connected to a central virtual clinic in 16 counties | $4.0M | Rural Health Initiative |
CMS is investing $144 million to enhance rural health access in Alabama through the Rural Health Transformation Program. The investment aims to strengthen healthcare infrastructure and services in rural communities across the state.
Alabama has awarded 138 Rural Health Transformation Program grants totaling over $144 million. This marks the state's first major funding cycle under this new rural healthcare initiative.
Core Initiatives
In December 2025, Alabama was awarded $203 million for the first year of the Alabama Rural Health Transformation Program through a cooperative agreement with CMS. ADECA serves as the lead agency. This is a five-year program, with budget awards and program plans subject to annual review and update.
Event schedule: - , 2026 - July 8 - MEMORANDUM - , 2026 - July 21 - 10:00 AM - 401 Adams Avenue • Suite 580 • P.O. Box 5690 • Montgomery, Alabama 36103-5690 • (334) 242-5100 - , 2026 - July 8 - 10:00 AM - Sessions will be held at: - , 2026 - July 22 - 10:00 AM - Sessions will be held at:
Event Schedule
Event schedule: - , 2026 - July 8 - M E M O R A N D U M - , 2026 - July 21 - 10:00 AM - , 2026 - July 22 - 10:00 AM - Sessions will be held at:
The Alabama Rural Health Transformation Program (ARHTP) was designed to address severe rural health disparities affecting over 1.6 million residents in 58 counties. The plan launches eleven core initiatives targeting IT modernization, telehealth access, maternal/fetal health, rural workforce development, EMS reforms, cancer screening, and behavioral health integration. Program strategies stress transformation, sustainability, and accountability, guided by data-driven analysis and coordinated stakeholder input. Event schedule: - Governor Executive Order establishing ARHTP Advisory Group - 12/18/2025 - Final Report for all RHTP projects due - 2031-02-27 - Executive Order No. 741 establishing the ARHTP Advisory Group - 2025-12-18 - Alabama
Event Schedule
Core Initiatives
The program has secured $203 million for the first budget period of a five-year grant under the Rural Health Transformation Program. Year 1 applications are closed, with Year 2 application periods forthcoming. Key initiatives include workforce development, digital regionalization, EMS and trauma care, mental health, maternal health, and cybersecurity. Key contacts: Info@AlabamaRHTP.com
Contacts
Core Initiatives
Reference: CMS Invests 144m to Boost Rural Health Access in Alabama Link: https://www.ajmc.com/view/cms-invests-144m-to-boost-rural-health-access-in-alabama
The document lists 58 counties in Alabama that are eligible or partially eligible for funding under the Rural Health Transformation Program. It indicates the geographic scope of the sustainable rural healthcare initiatives planned.
Governor Ivey appointed ADECA as the lead agency to manage ARHTP, with significant input from state health and finance agencies. The program received $203 million in the first year under a cooperative agreement with CMS, with yearly funding reviews and adjustments. The program launched multiple targeted initiatives including cancer digital regionalization, maternal and fetal health, EMS enhancements, and statewide EMS trauma and stroke improvements. Event schedule: - ARHTP Application Workshops Round 2 - July 21, 2026 - ARHTP Application Workshops Round 2 - July 22, 2026
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AL RHTP site updated — 1 new, 0 existing source(s) refreshed
AL RHTP site updated — 1 new, 1 existing source(s) refreshed
AL RHTP site updated — 1 new doc(s)
AL RHTP site updated — 1 new doc(s)
AL RHTP site updated — 1 new doc(s)
Spreadsheets, data exports, and reference documents — available for download but excluded from the main activity feed. Showing the 40 most recent of 94.
AL - 2026 - The Office of Alabama Governor Kay Ivey
HTML
AL - 2026 - CMS Invests 144m to Boost Rural Health Access in Alabama
AL - 2026 - Alabama Awards 138 Rhtp Grants Totaling Over 144m
AL - 2026 - Governor Ivey Announces First Grants in Major NEW Rural Healthcare Program Totaling More Than 144 Million
AL - 2017 - The Office of Alabama Governor Kay Ivey
HTML
AL - 1967 - Governor -
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AL - 2025 - ADECA – Impacting Alabama
2025-2026 · HTML
AL - 2026 - Newsroom – ADECA
2026 · HTML
Alabama STATE OF ALABAMA PROCLAMATION RHTP 2020-2011 Document
2020 · PDF
Alabama Ivey Administration Highlights Refining The Labor Force RHTP 2020 Report
2019-2020 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2017 Document
2017 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2017 Document
2017 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2017 Document
2017 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2018 Document
2018 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2018 Document
2018 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2018 Document
2018 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2018 Document
2018 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2019 Document
2019 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2018 Document
2018 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2019 Document
2019 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2019 Document
2019 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2019 Document
2019 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2019 Document
2019 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2020 Document
2020 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2020 Document
2020 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2020 Document
2020 · PDF
Alabama Ivey Administration Expenditures From The Governor’s Contingency Fund RHTP 2020 Document
2020 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY RHTP 2018 Document
2018 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY RHTP 2018 Document
2018 · PDF
Alabama E STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY RHTP 2019 Document
2019 · PDF
Alabama E STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY RHTP 2019 Document
2019 · PDF
Alabama E STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY RHTP 2019 Document
2019 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY AND GOVERNOR’S STAFF RHTP 2020 Document
2020 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY AND GOVERNOR’S STAFF RHTP 2021 Document
2021 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY AND GOVERNOR’S STAFF RHTP 2020 Document
2020 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY AND GOVERNOR’S STAFF RHTP 2021 Document
2021 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY AND GOVERNOR’S STAFF RHTP 2021 Slide Deck
2021 · PDF
Alabama STATE AIRCRAFT USAGE BY GOVERNOR KAY IVEY AND GOVERNOR’S STAFF RHTP 2021 Document
2021 · PDF
Administrative Code – ADECA Domestic Violence Center Procedures
2018 · PDF
OWR Policy and Notice of Non-Discrimination
ADECA is announcing a competitive funding opportunity under Alabama's Rural Health Transformation Program to address critical workforce shortages in rural communities. Approximately $33 million in federal funds will be distributed via subawards to support innovative and practical workforce development, recruitment, incentive, and training projects in rural healthcare. Projects must serve rural Alabama and align with defined strategy categories including GME expansion, EMS workforce development, workforce education, recruitment incentives, and Certified Nurse Midwife training. Key contacts: info@alabamarhtp.com Event schedule: - Application Portal Opens - 06/03/2026 - CT - ARHTP website - Application Deadline - 06/26/2026 - 5:00 PM CT - ARHTP portal - Quarter 1 Progress Report Due - 01/10/2027 - Quarter 2 Progress Report Due - 04/10/2027 - Quarter 3 Progress Report Due - 07/10/2027 - Quarter 4 Progress Report Due - 10/10/2027
Contacts
Core Initiatives
Event Schedule
Core Initiatives
Event Schedule
Event schedule: - , 2026 M E M O R A N D U M TO: All Interested Parties FROM: Kenneth W. Boswell Director RE: Alabama Rural Health Transformation Program (ARHTP) Application Workshops The Alabama Department of Economic and Community Affairs (ADECA) will host in-person application workshops for the first five of the approved ARHTP initiatives. The workshops will also be accessible via Microsoft Teams at the same dates/times identified below. The one-hour workshop sessions will provide participants with a comprehensive overview of the Notice of Funding Opportunity (NOFO) and application process for each of the below initiatives. Each session will begin with a review of the key components of the NOFO, including the initiative’s goals and objectives, eligibility criteria, funding levels, subaward structure, and reporting requirements. The session will then transition to the application process and will include a walkthrough of important submission details such as navigating the online application portal, understanding required documentation, and preparing a complete and competitive application. Additionally, we will outline the application review process, highlight important dates in the award timeline, and discuss what applicants can expect during the post-selection phase. Each workshop will conclude with an opportunity for participants to ask questions during a live Q&A session. June 9, 2026 • 10:00 AM – Collaborative EHR, IT and Cybersecurity Initiative • 1:00 PM – Rural Health Initiative • 3:00 PM – Rural Workforce Initiative - June 4 - 10:00 AM - M E M O R A N D U M Page 2 , 2026 June 10, 2026 • 10:00 AM – Mental Health Initiative • 1:00 PM – Rural Health Practice Initiative Sessions will be held at: Alabama Center for Commerce 401 Adams Avenue, Montgomery, AL 36104 th 7 Floor Auditorium The parking deck is located across the street at 400 Adams Avenue, and you can access the parking deck from the Decatur Street entrance by using the following code: 988648. All individuals who will be attending a workshop in-person must pre-register at https://app.smartsheet.com/b/form/019e8addd36e7023bd945ae81c6de538 . The workshops are accessible to persons with disabilities. Persons with disabilities or special needs who may require special materials, services, or assistance should include this information in their registration. Due to space constraints, live participation will be capped at approximately 100 participants, so individuals who wish to attend in-person are encouraged to register as soon as possible. Individuals joining a workshop virtually must register for each at the sites identified below. A link to the workshop will be emailed to the registrant when registration is completed. • Collaborative EHR, IT, and Cybersecurity Initiative - https://bit.ly/RHTP_EHR_9June_Workshop_2026 • Rural Health Initiative - https://bit.ly/RHTP_RHI_9June_Workshop_2026 • Rural Workforce Initiative - https://bit.ly/RHTP_RWI_9June_Workshop_2026 • Mental Health Initiative - https://bit.ly/RHTP_MHI_10JuneWorkshop_2026 • Rural Health Practice Initiative - https://bit.ly/RHTP_RHPI_10June_Workshop_2026 Please submit any questions concerning this notice to info@alabamarhtp.com. Thank you for your attention to this matter. KWB:CGT:km - June 4
Governor Ivey announced preparations to administer the Rural Health Transformation Program following federal legislation. A diverse advisory workgroup was appointed to guide the development of Alabama's application due November 5, 2025, aiming to improve rural healthcare access and quality across the state. Key contacts: Joseph Marchant; Lother (Jim) Peace; Charles (Max) Rogers, IV; Susan Alverson Event schedule: - State application deadline - 11/05/2025
Event Schedule
Contacts
Core Initiatives
Event Schedule
Core Initiatives