RHTP Advisory Meeting people seated at presentation
HHS Region 8 · Montana Department of Public Health and Human Services (DPHHS)
Program Overview
Montana is actively implementing the Rural Health Transformation Program under a five-year structured plan focused on workforce development, sustainable access, innovative care models, community health and prevention, and technology innovation. Administered by the Department of Public Health and Human Services with oversight from Stakeholder Advisory and Center of Excellence councils, the program engages tribal nations, providers, nonprofits, educational institutions, and agencies. Major priorities include statewide deployment of an Emergency Medical Dispatch System, expansion of the Community Health Aide Program to strengthen rural and tribal health services, recruitment support in rural and frontier counties, and ongoing competitive grant and RFP opportunities. Current structured plan tracks 20 key initiatives and 16 strategic goals.
Updated
County-level estimates averaged across Montana — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (56)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Yellowstone County | 168,957 | 9.2% | 6.5% |
| Gallatin County | 124,074 | 9.5% | 3.8% |
| Missoula County | 120,672 | 10.1% | 4.8% |
| Flathead County | 110,695 | 9.3% | 5.3% |
| Cascade County | 84,606 | 13.1% | 7.5% |
| Lewis and Clark County | 73,464 | 8.1% | 3.4% |
| Ravalli County | 46,727 | 8.8% | 4.6% |
| Silver Bow County | 35,785 | 14.8% | 7.6% |
| Lake County | 32,561 | 17.2% | 12.1% |
| Lincoln County | 21,175 | 15.4% | 8.3% |
| Park County | 17,710 | 12.3% | 8.5% |
| Hill County | 16,155 | 20.7% | 16.3% |
AI source: MT - 2026 - RHTP Communications Archive
AI auto-updated Sep 19, 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
13 related documents
MT - 2026 - Montana RHTP Vendor Fair FAQ and Program Guidance
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484,395 rural residents
Montana RHTP remains in active implementation. As of September 2026, multiple RFPs are open for Community Stabilization Services and CHAP technical assistance. Grant applications for EMS and infrastructure projects have recently closed and are under review, with awards forthcoming. DPHHS continues to manage additional funding opportunities in workforce, EMS, and care access as part of the program’s ongoing rollout. State opportunities: 8 active (5 open, 3 closing soon, 7 past/closed), $4.0M listed funding. Key opportunities: Statewide Emergency Medical Dispatch System for Montana Public Safety Answering Points; Community Stabilization Services Infrastructure Expansion; Montana Community Health Aide Program (CHAP) Technical Assistance Request for Proposal. Strategy alignment: supports workforce, ems, care access priorities.
Montana’s RHTP strategy is anchored around five core, CMS-approved initiatives: workforce development, sustainable access, innovative care models, community health and prevention, and technology innovation. Program implementation is led by DPHHS with extensive collaboration among rural, tribal, and provider stakeholders, and guided by the Center of Excellence Advisory Council and Stakeholder Advisory Committee. These priorities are continuously confirmed by CMS and State documents, with current actions focused on procurement cycles and grant operations in 2026. The strategy maintains phased deployment, competitive procurement, and annual reporting to ensure transparent, data-informed progress.
Model
A phased, coordinated framework directed by DPHHS, drawing on the Center of Excellence for data, analytics, and implementation, and integrating feedback from the Stakeholder Advisory Committee. The model incorporates annual reporting, competitive RFP and grant cycles across the five core initiatives, performance-based incentives, strong cross-division partnerships, and sustained stakeholder engagement to ensure Montana’s rural health strategies remain effective and adaptable.
Key Initiatives (20)
Timeline: CMS award received December 2025; foundational staff hiring, contract development, reporting infrastructure, and council formation throughout 2026; initial data collection, Center of Excellence Advisory Council formation, and Stakeholder Advisory Committee engagement in early to mid-2026; competitive RFPs and grant programs opened mid-2026 (EMS Equipment Grants July 16–August 15, 2026; Community Stabilization RFP July 28–September 29, 2026; Emergency Medical Dispatch RFP August 25–September 22, 2026; CHAP Technical Assistance RFP September 3–October 1, 2026); Center of Excellence operational by late 2026; five-year phased implementation with annual reporting and advisory input through 2030.
Focused recruitment of physicians, advanced practice providers, and registered nurses to support rural and frontier counties.
Supporting facilities to achieve positive operating margins without ongoing state support through data-driven recommendations and incentives.
Efforts are being made to expand stabilization services within communities by building necessary infrastructure.
MT - 2025 - Montana RHTP
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MT - 2026 - Montana RHTP 2026 Meeting Agenda
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MT - 2026 - Montana RHTP Plan
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MT - 2026 - Montana Summary Of Montana’s Application For The Rural Health RHTP
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MT - 2026 - Montana RHTP (RHTPBudgetNarrative)
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MT - 2026 - Montana RHTP
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MT - 2026 - Montana RHTP (MT-RHTP-Stakeholder-Advisory-Committee-Meeting-Summary-012226)
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MT - 2026 - Montana RHTP (RHTPVendorFair)
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MT - 2025 - Department of Public Health and Human Services Annual Performance Report FY2025
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MT - 2026 - RHTP Latest News Archive
MHA RHTP Latest News Archive — precise award figure ($233,509,359)
MT - 2026 - Montana RHTP Stakeholder Advisory Committee August 6, 2026
Montana award recipients
MT - 2026 - The RHTP is a historic investment to stabilize and modernize rural health care delivery in Montana
DPHHS RHTP homepage -- states the precise award figure ($233,509,358.76)
Montana Department of Public Health and Human Services (DPHHS) via State Procurement Services Division (SPSD)
Due Oct 1, 2026· ⏰ 11 days left
4 related documents
MT - 2026 - RHTP-Montana Community Health Aide Program (CHAP) Technical Assistance Request for Proposal
Primary source
MT - 2026 - DPHHS is offering one-time incentive payments to recruit employees at Montana’s state-run health care facilities. For more information go to Work4DPHHS.com (RHTP-RFPs)
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MT - 2026 - DPHHS-RFP-2027-0700NAV: Montana Community Health Aide Program (CHAP) Technical Assistance
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MT - 2026 - RHTP Communications Archive
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Montana Department of Public Health and Human Services (DPHHS)
Due Sep 15, 2026
1 related document
MT - 2026 - FY26 DPHHS Community Integrated Health Pilot Site Grant Application (e97d58)
Source listing page
State of Montana, Department of Labor and Industry
Due Aug 31, 2026
1 related document
MT - 2026 - Rural Health Care Workforce Retention Request for Information
| FY↓ | Awardee↕ | Amount↕ | Activity↕ | Source |
|---|---|---|---|---|
| 2026 | Montana Department of Labor and Industry (DLI) DLI will administer statewide workforce recruitment and retention, clinical training, and career pathway programs targeting rural and tribal health providers, including scholarships, pre-apprenticeships, residency expansion, upskilling, and service commitments. | $20.6M | Workforce | |
| 2026 | StationMD StationMD delivers a statewide integrated telehealth pilot for individuals with IDD, providing virtual behavioral health access to Medicaid members in community and state-operated homes. | $1.2M | Health IT | |
| 2026-2027 | Workforce Development Program (specified subrecipients forthcoming) Investment to attract, train, retain, and upskill health care providers for rural and frontier Montana through recruitment, apprenticeship, residency slots, and ongoing training. | $22.1M | Workforce | |
| 2026-2027 | EMS Equipment Grant Program (multiple agencies) Funding to upgrade aging emergency medical service equipment for rural EMS agencies in Montana. | $4.5M | EMS Development | |
| 2026-2027 | Big Sky Care Connect Funding to improve health information exchange data quality and develop tools for health data analytics to support rural care transformation. | $2.0M | Health IT |
Superseded by
The Montana Department of Public Health and Human Services announced appointments to the RHTP Center of Excellence Advisory Council. This advisory body will guide RHTP transformation in rural hospital and Medicaid strategy for Montana.
The program was awarded the fourth-highest funding among all states and will support workforce development, sustainable access, innovative care models, community health and prevention, and technology innovation. Montana's RHTP application included extensive public and tribal stakeholder engagement reflecting broad input. The program spans a five-year federal grant totaling up to $1.2 billion. Event schedule: - This documentation contains information on the Rural Health Transformation program application and project narrative which was submitted by the State of Montana. There is a summary document included as well as the bud...
Event Schedule
Core Initiatives
Montana is issuing this RFP to select a vendor to provide technical assistance for the statewide development of a Community Health Aid Program (CHAP) under the RHTP. The focus is on workforce, behavioral health, and improving rural health infrastructure. The RFP specifies evaluation requirements and a five-year service period. Key contacts: Patrick Navarro Patrick.Navarro@mt.gov Event schedule: - RFP Open - 09/03/2026 - 2:00 PM MDT - RFP Close - 10/01/2026 - 2:00 PM MDT
Event Schedule
Contacts
Core Initiatives
The FY26 DPHHS Community Integrated Health Pilot Site Grant in Montana supports rural EMS agencies to manage or expand Community Integrated Health programs. Awards fund FTE, equipment, supplies, travel, and other approved expenses consistent with the state's CMS approved RHTP plan. Key contacts: Angie Brakefield angela.brakefield@mt.gov
The Montana Department of Labor is soliciting proposals for Rural Healthcare Marketing Services as part of the RHTP workforce development initiative. This opportunity aims to attract and retain rural physicians through targeted strategies. The announcement is for an open procurement process, not a grant award. Key contacts: Dax Lilly dax.Lilly2@mt.gov Event schedule: - RFP Close Date - 07/16/2026 - 2:00 PM MDT
Event Schedule
Contacts
Core Initiatives
Montana DPHHS’s FY2027 Annual Plan identifies sustaining and maximizing Rural Health Transformation Program funding as a core strategic outcome, aiming to stabilize rural/frontier facilities and modernize care delivery. The plan includes targeted goals for Medicaid program integrity, expansion of mental health services, improvement in child care support, and reducing tobacco-related illness. Multiple specific metrics and operational improvements are set to advance rural health and broader statewide public health priorities.
Core Initiatives
Montana's RHTP Year 1 focused on foundational work: hiring staff, establishing contracts and reporting processes, and building partnerships. About $157 million has been operationalized with $76 million remaining to be obligated by fiscal year-end. A Center of Excellence led by MHA with Indelible was established to support sustainable rural healthcare. Event schedule: - Year 1 Annual Report and Year 2 application due to CMS - 08/31/2026 - Deadline to obligate Year 1 funding - 10/30/2026 - Expected Year 2 award announcement - 10/30/2026
Event Schedule
Core Initiatives
This document serves as a central archive and resource for Montana's Rural Health Transformation Program (RHTP) public communications, including announcements, procurement information, meeting notices, and newsletters. It does not itself announce awards or funding allocations. Event schedule: - Rural Health Transformation Program Stakeholder Advisory Committee Meeting is - Aug. 6 - Rural EMS Grants Now Available Through RHTP - Rural Health Transformation Program Vendor Webinar Scheduled for - March 11 - Gov. Gianforte, DPHHS Announce $233 Million Investment in Montana’s Rural Health Care - Rural Health Transformation Program Advisory Committee Meeting is - Jan. 22 - Gov. Gianforte, DPHHS Announce $233 Million Investment in Montana’s Rural Health Care - Legislative Presentation — , 2026 - July 8 - RHTP Stakeholder Webinar, Initiative 1, Workforce Development - Video Recording, Legislative Presentation - , 2026 - July 8 - RHTP Stakeholder Webinar, Initiative 1, Workforce Development - RHTP Stakeholder Webinar, Initiative 1, Workforce Development — , 2026 - May 13 - RHTP Stakeholder Webinar, Initiative 1, Workforce Development - , 2026 Video Recording - May 13 - RHTP Stakeholder Webinar, Initiative 1, Workforce Development - Legislative Presentation — , 2026 - May 6 - Video Recording, Legislative Presentation
Event Schedule
Reference: Rural EMS Grants Link: https://dphhs.mt.gov/News/2026/July/Rural-EMS-Grants
Event Schedule
Core Initiatives
Montana's RHTP initiative prioritizes building the rural health workforce, supporting a broad set of health occupations. Funding will expand or create workforce education and apprenticeship programs but is not for existing students or loans.
RHTP Advisory Meeting people seated at presentation
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Late 2028
Council Tenure Ends
Fall 2026
First Council Meeting Expected
03/11/2024
Vendor Registration Webinar
MT RHTP site updated — 3 new, 1 existing source(s) refreshed
MT RHTP site updated — 3 new, 1 existing source(s) refreshed
MT RHTP site updated — 1 new, 7 existing source(s) refreshed
MT RHTP site updated — 1 new, 5 existing source(s) refreshed
MT RHTP site updated — 2 new, 1 existing source(s) refreshed
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MT - 2026 - Rural EMS Grants Now Available Through RHTP
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Montana Additional Not Applicable. Information 20 Montana Department Of Public Health And Human Services – Children’s Mental Health Bureau RHTP 2023 Guidance
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MT - 2026 - School, Community Treatment: SFY 2026 Q3
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MT - 2026 - School, Community Treatment: SFY 2026 Q2
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MT - 2026 - CSCTDataCollectionTemplate Mar2026 021326
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MT - 2026 - RHTP COE Advisory C Appts Made
MT - 2026 - Calf Creek Conifer Removal
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OPD Contract Investigator Open
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OPD Contract Administrative Support Open Request for Qualifications
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OPD Contract Administrative Staff Open 5/21/2021 - Request for Qualifications OPD-RFP/RFQ-2021-0116
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OPD Contract Attorney Open
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OPD Contract Investigator Open Request for Qualifications
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OPD Contract Mental Health Professional
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OPD Contract Mental Health Professional Open
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MT - 2026 - Council Creation Approval
MT - 2026 - DPHHS Home
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MT - 2026 - Olmstead Decision: SFY 2026 Q1
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Montana DPHHS HPS‐400F Montana Department Of Public Health And Human Services RHTP 2013 Document
Montana Department of Labor is soliciting marketing services to support the rural physician recruitment initiative, advancing RHTP workforce priorities. This announcement provides key dates and contact information but does not detail funding amounts or recipient awards. The opportunity focuses on strengthening rural health workforce through improved recruitment strategies. Key contacts: Dax Lilly dax.Lilly2@mt.gov Event schedule: - Application Opens - 06/26/2026 - 12:00 AM MDT - Application Closes - 07/16/2026 - 2:00 PM MDT
Event Schedule
Contacts
Core Initiatives
Montana was awarded the fourth-highest RHTP funding among all states, with a five-year potential total of up to $1.2 billion. The program focuses on five core initiatives: workforce development, sustainable access, innovative care models, community health and prevention, and technology innovation. The Department of Public Health and Human Services (DPHHS) leads collaboration with rural providers, hospitals, tribal nations, and other stakeholders to implement the plan. Event schedule: - This documentation contains information on the Rural Health Transformation program application and project narrative which was submitted by the State of Montana. There is a summary document included as well as the bud...
Event Schedule
Core Initiatives
Montana DPHHS is issuing an RFP seeking a vendor to provide technical assistance for the development of a statewide Community Health Aide Program (CHAP) as part of RHTP transformation activities. This RFP is part of the state's workforce and care delivery transformation strategy for rural health improvement. Key contacts: Patrick Navarro Patrick.Navarro@mt.gov Event schedule: - RFP Open - 09/03/2026 - 2:00 PM MT - Proposal Submission Deadline - 10/01/2026 - 2:00 PM MDT
Event Schedule
Contacts
Core Initiatives
Contacts
Core Initiatives
The Montana RHTP Stakeholder Advisory Committee is a cross-initiative advisory body providing guidance on workforce, access, community health, and technology with biannual meetings and consistent stakeholder engagement. The next meeting is scheduled for August 6, 2026. The committee involves extensive partnerships representing tribal nations, healthcare associations, and state agencies. Event schedule: - RHTP Stakeholder Advisory Committee Summer Meeting - 08/06/2026 - 10:00 AM - 4:00 PM MT - Montana Office of Rural Health
Event Schedule
Core Initiatives
Montana’s RHTP is operational with over $157 million in Year 1 funding across five major initiatives, with awarded vendor contracts for the Center of Excellence, workforce, EMS equipment, and HIT. Stakeholders are engaged via advisory councils, newsletters, and public meetings. The program has moved from planning to implementation, actively issuing grants and RFPs for rural health transformation strategies across workforce, access, care models, prevention, and technology. Key contacts: HHSRuralHealthTransformation@mt.gov Event schedule: - Year 1 Annual Report & Year 2 Application Due - 08/31/2026 - Obligate Year 1 Funds; Year 2 Award Announced - 10/30/2026 - Quarterly Report 1 Due - 11/30/2026 - Annual Expenditure Federal Financial Report Due - 01/31/2027
Event Schedule
Contacts
Core Initiatives
Core Initiatives