Connecticut's Rural Health Transformation Program (RHTP), led by the Department of Social Services, is currently implementing projects across four main focus areas: population health outcomes, workforce development, data and technology modernization, and care transformation and stability. The program is underway with active stakeholder engagement—including new Rural Health Advisory Council activities—and emphasizes reducing avoidable hospital utilization, chronic disease management, integration with the state health information exchange, and technology-enabled care models. Current structured plan tracks 10 key initiatives and 10 strategic goals.
Connecticut has received a $154 million federal award and launched its Rural Health Transformation Program. The state has publicly issued a Notice of Funding Opportunity for AI-enabled remote patient monitoring and care coordination, with applications due July 7, 2026. Multi-agency implementation is underway, with continued public and stakeholder engagement through a Rural Health Advisory Council and monthly meetings. State-led procurements to providers are active, confirming early implementation status. State opportunities: 1 total (1 past/closed), $1.0M listed funding. Key opportunities: Connecticut RHTP – Health Care Coordination and Remote Patient Monitoring Using Artificial Intelligence (NOFO #26OHS001). Strategy alignment: supports workforce, telehealth, prevention priorities.
RHTP Strategy
Connecticut’s RHTP advances rural health transformation through multi-agency collaboration, prioritizing AI-enabled remote patient monitoring, care coordination, and statewide health information exchange (Connie) integration. The strategy centers on four interlocking initiatives—population health, workforce, technology, and care transformation—to improve healthcare access, chronic disease management, and rural sustainability. Modernization of rural health infrastructure, digital inclusion, and continuous stakeholder engagement remain central, with implementation and renewals linked to measurable outcomes and CMS approval.
Model
Multi-agency, initiative-driven transformation focused on integrated rural care delivery, rapid adoption of AI-enabled technology, care coordination, health information exchange integration, workforce pipeline development, and broad rural stakeholder engagement.
Key Initiatives (10)
1Deploy AI-enabled remote patient monitoring and care coordination for chronic disease management in rural communities
2Integrate care delivery and coordination models with the statewide health information exchange (Connie)
3Implement mobile clinic pilots for primary and dental care access in underserved rural regions
Timeline: Implementation includes an initial $154 million phase (Dec 2025 – Oct 2026); anticipated five-year program through 2031, with annual grant cycles and project renewals contingent on performance or CMS approval. Federal period of performance: Dec 2025 – Oct 2030.
Health Priority
Chronic disease management
The program focuses on leveraging technology to enhance management of chronic diseases for rural populations.
Sep 18, 2026
Health Priority
Hospital utilization
Reducing avoidable hospital stays and improving outcomes through remote monitoring and coordinated care is a central goal.
Sep 18, 2026
Health Priority
Access to Health Care
Rural Connecticut faces unique challenges in access and quality which the program aims to address through mobile clinics and expanded services.
Expands ASD (Autism Spectrum Disorder) service access, enhances school-based mental health care, and provides psychiatric consultation for pediatric, family medicine, and behavioral health providers to improve behavioral health outcomes in rural communities.
$3.8M
Population Health
2026-2027
Connie (Statewide HIE)
Supports HIE expansion for rural providers, EMS, and skilled nursing units by facilitating onboarding, training, and supporting rural facilities' data exchange.
$2.5M
Health IT
2026-2027
Area Health Education Center (AHEC)
Expands rural workforce development by supporting AHEC activities to recruit, train, and retain rural health professionals across Connecticut.
$1.5M
Workforce
2025-2026
Multiple Health Facilities/ASOs/Contractors (Community Health Network of Connecticut, Carelon Behavioral Health, BeneCare Dental, Myers & Stauffer, etc.)
Supports PACE pilot, integrated care network, value-based payment (VBP) technical assistance, regional hospital transformation, and right-sizing and infrastructure grants for rural hospitals and safety-net providers.
$85.6M
Network Development
2025-2026
Department of Public Health (DPH)
Implements mobile health initiatives, rural EMS pilots, rural workforce development (including CNA and medication aide training), and administers rural provider incentive awards.
$21.7M
Workforce
2025-2026
Office of Health Strategy (OHS)
Oversees health IT initiatives for RHTP, including expansion of Connecticut's Health Information Exchange, telehealth platforms, predictive analytics, and a bed tracking system for rural hospitals.
$7.7M
Health IT
2025-2026
Department of Mental Health and Addiction Services (DMHAS)
Leads adult mental health/substance use expansion and crisis stabilization programs to provide access to behavioral health services and reduce hospital ED utilization for adults in rural Connecticut.
$5.7M
Population Health
2025-2026
Department of Mental Health and Addiction Services (DMHAS) and Crisis Stabilization Providers
Establishes four 23-hour crisis stabilization units and expands ACCESS Mental Health for adult mental health and substance use, focused on rural areas.
$5.6M
Population Health
2025-2026
Carelon Behavioral Health, Inc.
Funds expansion of ACCESS Mental Health for ASD consultation and enhanced school-based mental health care, increasing provider competencies and student access in rural areas.
$3.8M
Population Health
Award Announcement Documents (3)
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Award AnnouncementNEWSep 17, 2026TXT2026Federal
Connecticut's Rural Health Transformation Program received a $50 million investment announced by Governor Lamont to strengthen rural health care infrastructure. This funding aims to enhance rural hospital capacity and Medicaid transformation in the state.
Award: $50.0MOTHER
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Award AnnouncementAug 15, 2026PDF2026-2030FederalOpportunity ↗
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Award AnnouncementApr 23, 2026PDF2026-2030
Connecticut was awarded $154.2 million for year one and an estimated total of $771 million over five years under the RHT Program to enhance rural health access through workforce development, care coordination, and technology modernization. Legislative proposal Senate Bill 93 outlines state policies to support these goals.
Application Documents (11)
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ApplicationAug 1, 2026PDFPast2026
Connecticut's Department of Social Services (DSS) is launching a PACE pilot in Northwest Hills as part of its multi-pronged Rural Health Transformation Program, with a final report and stakeholder engagement preceding an RFP for a PACE Organization. The initiative aims to expand aging-in-place options, reduce hospital and nursing home utilization, and improve population health in rural areas. Application and implementation milestones extend from 2026 through prospective enrollment in 2028. Key contacts: Carrie Amero carrie.amero@ct.gov
Event schedule:
- Public Informational Webinar - 07/21/2026
Connecticut’s Rural Health Transformation Program aims to address healthcare delivery gaps through technology-driven models, performance-based payments, and targeted investments in workforce and telehealth capacity. The plan responds to documented shortages of primary care, behavioral health, and specialty providers in rural regions, where residents face higher rates of chronic disease, limited transportation, and significant financial strain. By 2031, Connecticut intends to reshape the rural health landscape with integrated care and sustainable facility access points for rural communities.
Event schedule:
- Updated Project Narrative Date - 2026-03-16 - Connecticut
- Spring 2026 Legislative Session - 2026-03-01 - Connecticut
- FFY 2031 Performance Target Deadline - 2031-09-30 - Connecticut
- Completion of required policy and regulatory actions - 2027-12-31 - Connecticut
- Finalization of technical updates for implementation - 2028-12-31 - Connecticut
Improve rural health outcomes through investments in primary care access and prevention.
Implement performance-based payment models to assure sustainability of rural hospitals.
Expand telehealth, AI-powered monitoring, and mobile clinics to reduce access barriers.
Show all initiatives (16)
Improve rural health outcomes through investments in primary care access and prevention.
Implement performance-based payment models to assure sustainability of rural hospitals.
Expand telehealth, AI-powered monitoring, and mobile clinics to reduce access barriers.
Address workforce gaps and promote healthcare workforce pipeline in rural communities.
Strengthen behavioral health crisis stabilization for adults and children.
Enhance data-driven healthcare delivery and care coordination.
Make Rural America Healthy Again
Workforce
Tech Innovation
Sustainable Access, Innovative Care
Improve rural health outcomes through coordinated initiatives in population health, workforce development, data and technology expansion, and care transformation.
Establish sustainable healthcare delivery systems and infrastructure enhancements tailored to rural Connecticut.
Increase access to mental health and behavioral health services in rural areas.
Expand health information technology adoption and interoperability among rural providers.
Strengthen workforce capacity via training, recruitment, licensure compacts, and retention incentives.
Advance value-based payment and integrated care models responsive to rural population needs.
Connecticut's Rural Health Transformation Program includes 25+ initiatives targeting aging, behavioral health, technology access, care coordination, and rural workforce infrastructure. Projects include crisis stabilization, digital equity, provider incentives, school-based supports, hospital transformation, shared HIT infrastructure, and coordinated population health outreach in partnership with CT Tribal Nations. The program utilizes both new models (e.g., AI-powered care) and scaling of proven pilots, prioritizing sustainable, scalable transformation.
Improve rural healthcare quality, access, and outcomes for diverse populations in Connecticut.
Advance rural hospital financial stability and support care transformation toward value-based models.
Strengthen the rural healthcare workforce and expand access to primary, mental, behavioral, and dental health services.
Show all initiatives (4)
Improve rural healthcare quality, access, and outcomes for diverse populations in Connecticut.
Advance rural hospital financial stability and support care transformation toward value-based models.
Strengthen the rural healthcare workforce and expand access to primary, mental, behavioral, and dental health services.
Leverage health information technology for care coordination, quality improvement, and telehealth expansion.
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SummaryApr 28, 2026PDF2025-2026
Connecticut's RHTP funds a $154.2 million statewide rural transformation initiative across aging, behavioral health, IT modernization, hospital transformation, and workforce. Major investments include PACE expansion, hospital right-sizing, HIE, crisis stabilization, rural care pilots, and health workforce. Direct recipient/contractor awards include named health systems, tech, behavioral health, and education entities under competitive or designated assignments.
Report Documents (2)
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ReportMay 6, 2026PDF2026-2027
Connecticut's total RHTP allocation exceeds $154 million for FY 2026-2027, with funds supporting a diverse portfolio: rural hospital transformation and infrastructure, mobile health pilots, mental health expansions, workforce incentives, universal nurse visits, and major investment in health information technology and data analytics. The state's plan emphasizes direct investments to critical access points such as rural hospitals, primary and maternal health, behavioral healthcare, and telehealth capability, along with concerted workforce training, engagement in value-based payment, and addressing the digital divide through modern IT infrastructure. Oversight by DSS is supported by OHS and DMHAS as key state partners. Key contacts: Mehul Dalal
Event schedule:
- Budget Period 1: Performance Start - 12/29/2025
- Budget Period 1: Performance End - 10/30/2026
- Permissible Spending End - 09/30/2027
- Connecticut Department of Social Services - RHT Budget Narrative Updated - 2026-04-07 - Connecticut
Transform rural health care delivery in Connecticut through targeted investments.
Promote healthy aging, workforce development, and equitable health outcomes in rural communities.
Modernize health infrastructure, increase care access, and support rural hospitals and facilities.
Show all initiatives (12)
Transform rural health care delivery in Connecticut through targeted investments.
Promote healthy aging, workforce development, and equitable health outcomes in rural communities.
Modernize health infrastructure, increase care access, and support rural hospitals and facilities.
Increase access to mental health and substance use services in rural areas
Support development and implementation of crisis stabilization and mobile health services
Expand rural workforce development including Certified Nurse Aide and medication administration training
Enhance school-based behavioral health programming in rural districts
Improve older adult engagement and healthy aging through digital literacy and exercise programs
Promote outdoor recreation and trail accessibility to support community health
Strengthen local food systems through support of non-traditional farming infrastructure
Support community health navigation to address transportation and access barriers
Expand health workforce education and retention in rural areas
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ReportMay 5, 2026PDF2026-2027
Data Documents (3)
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DataApr 23, 2026PDF2022
CT DSS is piloting a bundled maternity payment model for Medicaid births, with health equity as a central focus. The bundle will include doulas, payment parity for Certified Nurse Midwives, and strive for improved maternal health outcomes tracked by race and ethnicity. The strategy aims to remedy disparities and incentivize value-based care.
Core Initiatives
Transition Medicaid maternity payments from fee-for-service to bundled payments that incentivize improved outcomes and equity.
Address and remedy racial and social disparities in maternal health access, utilization, and outcomes.
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DataApr 23, 2026HTML
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DataApr 15, 2026HTML
Connecticut received a $154 million federal grant for the first year of RHTP, potentially totaling $750 million over five years. The Department of Social Services leads the program in partnership with multiple state agencies, with ongoing public engagement and stakeholder involvement throughout implementation.
Event schedule:
- RHTP State Application Submission - November 4, 2025
Event Schedule
Reference Documents (6)
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ReferenceNEWSep 17, 2026OTHER
Reference: Governor Lamont Announces Rural Health Transformation Program Invests 50 Million
Link: https://portal.ct.gov/governor/news/press-releases/2026/09-2026/governor-lamont-announces-rural-health-transformation-program-invests-50-million
Connecticut's RHTP funds a comprehensive statewide transformation—including rural hospital stabilization, mobile health pilots, technology modernization, crisis stabilization units, and rural workforce expansion. Programs target care delivery, technology upgrades, integration of behavioral/physical health, value-based payments, and direct support to rural providers, EMS, and critical access hospitals. The program emphasizes cross-agency collaboration and robust oversight with substantial investment in direct provider, IT, and workforce capacity.
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Connecticut Special Education Expansion And Development (SEED) Grant RHTP 2025 Guidance
2025 · PDF
Choice Working Session - September 16, 2026
2025-2026 · PDF
Special Education Working Session #1 - September 3, 2026
CT - 2026 - Governor Lamont Announces Federal Health Investments TO Improve Outdoor Recreation
Blue-Ribbon Commission on K-12 Education Funding and Accountability Full Commission Meeting - June 25, 2026
2026-2027 · PDF
Blue Ribbon Commission on K-12 Education Funding and Accountability Full Commission Meeting - June 4, 2026
2026 · PDF
Connecticut Every Student Prepared For Learning, Life, And Work Beyond School The Comprehensive Plan For Education 2023–2028 Connecticut State Board Of Education
2023-2028 · PDF
Connecticut EDUCATION FUNDING 101 ECS Grant And Choice Schools RHTP 2023 Slide Deck
2023 · PDF
Connecticut 50-State Comparison: K-12 Funding - Education Commission Of The States Tools State Education Policy Tracking Resources By State Governors' State Of The State Addresses
2024 · HTML
McKinneyVentoAct2015
PDF
Blue Ribbon Commission on K-12 Education Funding and Accountability Full Commission Meeting - June 4, 2026
2026 · PDF
BizNet webpages overview - State of Connecticut
HTML
State of Connecticut State Contracting Portal Overview (CTsource)
HTML
Return of Organization Exempt From Income Tax (Form 990), 2025
Connecticut received a federal cooperative agreement award totaling $154.25 million for its Rural Health Transformation Program supporting modernization of rural health delivery through technology and telehealth. The award period spans 2025 to 2030 with focus on digital inclusion, predictive analytics, and facility upgrades. Key contacts: Daniel Mize Sinclair daniel.sinclair@ct.gov; Julie Vigil julie.vigil@ct.gov
Event schedule:
- Federal Award Date - 07/23/2026
- Budget Period Start Date - 12/29/2025
- Budget Period End Date - 10/30/2026
- Period of Performance Start Date - 12/29/2025
- Period of Performance End Date - 10/30/2030
Award: $154.2MOTHER
Event Schedule
Federal Award Date - 07/23/2026
Budget Period Start Date - 12/29/2025
Budget Period End Date - 10/30/2026
Show all schedule items (5)
Federal Award Date - 07/23/2026
Budget Period Start Date - 12/29/2025
Budget Period End Date - 10/30/2026
Period of Performance Start Date - 12/29/2025
Period of Performance End Date - 10/30/2030
Contacts
Daniel Mize Sinclair - <daniel.sinclair@ct.gov> - Director, Rural Health Transformation Program - Connecticut
Julie Vigil - <julie.vigil@ct.gov> - Deputy Director - Connecticut
Core Initiatives
Modernize rural health delivery
Expand telehealth access
Enhance digital infrastructure
Award: $154.2M
Core Initiatives
Expand healthcare access in rural areas
Workforce development
Care coordination
Show all initiatives (4)
Expand healthcare access in rural areas
Workforce development
Care coordination
Technology modernization
This document provides instructions for CT OHS Rural Health Transformation Program grantees to prepare budgets in compliance with CMS guidelines. It emphasizes requirements and procedures for budgeting activities such as rural travel, community outreach, and remote patient monitoring devices, and references federal regulations for compliance. The guidance also helps applicants align their project budget documentation with standardized cost categories.
OTHER · HEALTH_INFORMATION_TECHNOLOGY
Core Initiatives
Support compliant budgeting for Rural Health Transformation Program grantees
Ensure CMS-mandated budgeting guideline adherence for rural health projects
This application solicits proposals from rural-serving health care providers and local health departments in Connecticut for projects using AI and remote patient monitoring technology under the RHTP. The program emphasizes measurable outcomes, rural focus, integration with Connecticut’s health information exchange, and use of innovative, sustainable technology. Major goals include better health access, improved chronic disease management, and sustainable care delivery with robust data integration. Key contacts: RHTP@ct.gov
Event schedule:
- Application Posted - 05/22/2026 - ET
- Application Deadline - 07/07/2026 - 2:00 PM ET - RHTP@ct.gov (electronic submission)
HEALTH_INFORMATION_TECHNOLOGY · QUALITY_IMPROVEMENT · POPULATION_HEALTH · OTHER
Contacts
<RHTP@ct.gov> - Application Submission and Q&A - Connecticut (statewide, Office of Health Strategy)
Core Initiatives
Improve health outcomes and access to care for rural Connecticut residents
Deploy sustainable, AI-enabled technology solutions in rural care settings
Advance integration with Connecticut Health Information Exchange (Connie) and EHR interoperability
Show all initiatives (4)
Improve health outcomes and access to care for rural Connecticut residents
Deploy sustainable, AI-enabled technology solutions in rural care settings
Advance integration with Connecticut Health Information Exchange (Connie) and EHR interoperability
Reduce preventable ED utilization and improve chronic disease control
Award: $154.2M
Core Initiatives
Transform rural health care delivery to improve population health outcomes.
Support rural hospitals and providers through value-based payment, care integration, and infrastructure upgrades.
Expand access to behavioral health, primary care, and maternal health in rural communities.
Show all initiatives (18)
Transform rural health care delivery to improve population health outcomes.
Support rural hospitals and providers through value-based payment, care integration, and infrastructure upgrades.
Expand access to behavioral health, primary care, and maternal health in rural communities.
Modernize health IT and data infrastructure for rural health systems.
Increase rural health workforce supply and capacity.
Promote enrollment in the physician compact and encourage rural facilities to consider out-of-state hiring
Provide post-discharge follow-up and care navigation through Mobile Health Pilots
Formalize and expand Certified Nurse Aide and Medication Administration Training to increase rural workforce participation
Administer Rural Provider Incentives to incentivize healthcare providers to work in rural areas
Support rural residency development grants for additional physician residency programs
Expand Universal Nurse Home Visiting to address physical, mental, and social health factors
Develop tailored school mental health frameworks integrating mental health promotion and capacity building
Coordinate oversight and management of RHT projects across various departments
Promote digital literacy and healthy aging among older adults and individuals with disabilities
Improve accessibility and promote use of outdoor recreation trails
Support innovative agricultural ventures and strengthen local food systems
Collaborate with local providers on health promotion and care coordination via Community Health Navigator
Expand Area Health Education Center workforce development and track program participants
Connecticut received over $154M for comprehensive rural health transformation. Major investment areas include outdoor recreation for healthy aging, major advancements in mobile health and telehealth infrastructure, significant behavioral and mental health expansions, workforce incentives, and hospital right-sizing. Implementation led by DSS with sub-agencies supporting HIT, workforce, behavioral health, and hospital transformation. Key contacts: Mehul Dalal
Event schedule:
- Budget Period 1 Start - 12/29/2025
- Budget Period 1 End (performance period) - 10/30/2026
- Permissible Spending Deadline - 9/30/2027
- Document Update - 2026-04-07 - Connecticut Department of Social Services
Mehul Dalal - CT DSS Chief Policy Advisor, Acting as AOR and PD - Statewide
Core Initiatives
Transform rural health delivery through infrastructure investments and workforce development.
Improve access to primary, behavioral, maternal, and dental health in rural areas.
Support value-based payment and care coordination for rural hospitals and providers.
Show all initiatives (17)
Transform rural health delivery through infrastructure investments and workforce development.
Improve access to primary, behavioral, maternal, and dental health in rural areas.
Support value-based payment and care coordination for rural hospitals and providers.
Expand health IT and data-driven care for Connecticut's rural populations.
Ensure timely and equitable access to psychiatric consultation for adult primary care providers, particularly in rural areas
Conduct outreach to increase awareness and enrollment among rural adult PCPs and family physicians
Improve access to mental health and substance use services for adults, prioritizing rural and underserved areas
Provide post-discharge follow-up and navigation to non-ED settings for chronic illness and behavioral health management
Formalize and expand Certified Nurse Aide and medication administration training to increase rural workforce participation
Administer rural provider incentives and residency development grants to address healthcare provider shortages
Expand universal nurse home visiting and community health worker support for families with newborns
Develop tailored, comprehensive school mental health frameworks and enhance collaboration in rural school districts
Promote digital literacy and technology support for older adults and individuals with disabilities
Improve outdoor recreational trail accessibility and promote trail usage in rural communities
Support innovative agricultural ventures to strengthen local food systems and provide economic opportunities
Enhance community health navigation through collaboration with local providers
Expand workforce development through recruitment, retention, and tracking of rural clinical learners
The program is led by the Connecticut Department of Social Services and organizes dozens of projects across four core initiatives: population health outcomes, workforce, data and technology, and care transformation and stability. Key projects include a mobile clinic pilot with primary care and dental vans, a health workforce pipeline via the Area Health Education Center and UConn Health Center, and community health navigators.
Event Schedule
Federal grant announcement - 3/05/2026 - State Capitol, Hartford
Core Initiatives
Improve population health outcomes
Expand and strengthen healthcare workforce
Enhance data and technology infrastructure
Show all initiatives (4)
Improve population health outcomes
Expand and strengthen healthcare workforce
Enhance data and technology infrastructure
Transform and stabilize care delivery
RHTP State Application Submission - November 4, 2025
Core Initiatives
Improve population health outcomes in rural areas
Strengthen healthcare workforce in rural communities
Enhance data and technology capabilities
Show all initiatives (4)
Improve population health outcomes in rural areas
Strengthen healthcare workforce in rural communities
Enhance data and technology capabilities
Advance care transformation and stability
Connecticut is launching a pilot PACE Center in the rural Northwest Hills, funded through the federal Rural Health Transformation Program (RHTP). The program aims to serve between 250 and 500 older adults, focusing on integrated medical and social care in a challenging rural region. Program planning includes stakeholder engagement, a feasibility study, and a future RFP to select a PACE organization; expansion to other regions may follow based on pilot results. Key contacts: RHTP-Questions@ct.gov
Event schedule:
- PACE Feasibility Report Released - June 2025
- PACE RFP Expected Release - Late 2026–Early 2027
NETWORK_DEVELOPMENT · POPULATION_HEALTH · QUALITY_IMPROVEMENT · WORKFORCE · OTHER
Event Schedule
PACE Feasibility Report Released - June 2025
PACE RFP Expected Release - Late 2026–Early 2027
Contacts
<RHTP-Questions@ct.gov> - Program inquiry contact - Connecticut statewide (RHTP program)
Core Initiatives
Launch a pilot PACE Center to expand integrated care for older adults in rural Northwest Hills Connecticut.
Increase access to medical, social, and supportive services for rural elders.
Strengthen the direct care workforce and provider network in rural areas.
Show all initiatives (4)
Launch a pilot PACE Center to expand integrated care for older adults in rural Northwest Hills Connecticut.
Increase access to medical, social, and supportive services for rural elders.
Strengthen the direct care workforce and provider network in rural areas.
Evaluate feasibility and stakeholder engagement for sustainable expansion.