Nevada

Nevada launched its Rural Health Transformation Steering Committee with 15 representatives to guide investments for improving rural healthcare access. The state secured $180 million in federal funding to upgrade rural healthcare infrastructure, expand workforce, and promote technology adoption. Key contacts: Chloe Chism Nvhapio@nvha.nv.gov Event schedule: - Inaugural Steering Committee Meeting - 03/11/2026 - Carson City, NV

Nevada was awarded nearly $180 million for the first year of the five-year Rural Health Transformation Program. Four major strategic initiatives focus on rural health outcomes, infrastructure modernization, workforce recruitment, and health technology innovation. Event schedule: - Rural Health Transformation Steering Committee application deadline - 01/19/2026 - Winter Stakeholder Update Workshop - 01/27/2026 - 1:00 PM PT - virtual

The 2026-2027 Nevada RHT grant budget includes $179.9M for continued rural health transformation, featuring four major competitive initiatives: Flex Fund (capital/infrastructure), RHOAP (innovative care delivery, digital health, fitness, correctional reentry), WRRAP Provider Recruitment & Retention, and WRRAP Training & Apprenticeships. Strategic goals target workforce sustainability, care modernization, improved fitness standards, and correctional health upgrades for rural regions. Multiple statewide stakeholder partners and the Rural Health Transformation Steering Committee guide implementation. Key contacts: Stacie Weeks; Vance Farrow; Michelle Sandoval; Jon Pishion Event schedule: - Flex Fund RFA publication - 01/2027 - Flex Fund application period close - 02/12/2027 - Flex Fund subgrants executed - 05/30/2027 - RHOAP RFA publication - 02/2027 - RHOAP application period close - 03/19/2027 - RHOAP subgrants executed - 07/04/2027 - WRRAP RFAs published - 03/2027 - WRRAP application period close - 04/19/2027

Nevada’s RHTP application proposes a coordinated, statewide effort to transform rural health care through substantial investment in workforce recruitment, infrastructure upgrades, and technology solutions. The application details major gaps in access for rural and frontier residents and sets specific quantitative improvement targets through FFY2031 for provider capacity, health outcomes, technology deployment, and sustainability. Four main funding initiatives and a cross-sector steering committee will oversee implementation, with an emphasis on measurable results, sustainability, and regional partnerships. Key contacts: Director or designee of the Nevada Health Authority; Director or designee of the Governor’s Office of Economic Development; Administrator or designee of the Division of Public and Behavioral Health, Nevada Department of Human Services; Representative from the Nevada Tribal Health Authority Event schedule: - Original Application Submitted - November 5, 2025 - Date of Revision 1 - December 8, 2025 - Date of Revision 2 - January 30, 2026 - Date of Revision 3 - August 31, 2026 - Nevada RHT Project Narrative document date - 2026-08-31 - Nevada - Program of All-Inclusive Care for the Elderly (PACE) implementation - 2026-01-01 - Nevada - Bill Draft Request for Nevada’s 2027 Legislative Session to join the PA compact - 2026-12-01 - Nevada Legislature - Start of the 2027 Session of the Nevada Legislature - 2027-02-01 - Nevada Legislature

This document provides detailed guidance for potential subrecipients under the Nevada Rural Health Transformation Program, outlining negotiation, administrative requirements, budget rules, and the subaward process. Attachments specify required documentation, risk assessments, and allowable costs. The guidance clarifies how applicants can revise budgets, personnel allocations, and administrative expenses, as well as compliance processes for NVHA and CMS approval. Event schedule: - Technical Assistance Presentation - 08/28/2026

Nevada’s RHTP outlines a detailed timeline for funding opportunities and subaward management starting early 2026 through late 2026 with multiple Steering Committee meetings planned. The state plans to issue RFAs for two budget periods and establish technical assistance and reporting structures for subrecipients. Event schedule: - First RHT Steering Committee meeting - March 11, 2026 - Publish RHT Budget Period 1 RFAs - March 31, 2026 - RHT Steering Committee meeting - June 9, 2026 - Annual RHT Report submission to CMS due - August 30, 2026 - RHT Steering Committee meeting - September 10, 2026 - RHT Steering Committee meeting - December 7, 2026 - Expected publish date of Budget Period 2 RFAs - January 2027

Nevada RHTP has progressed through governance establishment, project plan submission, and CMS project plan approval for all four major rural initiatives. Two initiatives, Flex Fund and Workforce Recruitment, have completed subrecipient selection and letters of intent, with the Flex Fund showing 24 subawards approved by CMS as of July 2026. Key metrics in access, workforce, EMS/transport, health IT, and maternal and behavioral health have been established with initial baselines reported in 2026. Event schedule: - Rural Health Outcomes Accelerator Program RFA Release - 05/06/2026 - Rural Health Outcomes Accelerator Program Public Workshop - 06/02/2026 - Letters of Intent to Fund - RHOAP - 07/29/2026 - Nevada Rural Health System Flex Fund RFA Release - 04/30/2026 - Letters of Intent to Fund - Flex Fund - 05/29/2026 - Technical Assistance Webinar (Flex Fund) - 06/23/2026 - Workforce Recruitment & Rural Access Recruitment/Retention RFA Release - 05/08/2026 - Workforce Apprenticeship and Training RFA Release - 03/31/2026

Nevada launched full adult dental benefits through Medicaid on July 1, 2026, expanding coverage beyond emergency care to include exams, cleanings, fillings, and crowns for more than 374,500 members. The state is investing in workforce training through the Every Smile Matters Nevada initiative to better serve adults with intellectual and developmental disabilities, particularly in rural and tribal areas. Event schedule: - Medicaid adult dental benefits launched - 07/01/2026 - Nevada Medicaid

Nevada Health Authority is hosting a public workshop to inform stakeholders about future funding opportunities under Nevada's Rural Health Transformation Program. The workshop will include a presentation on strengthening applications, common application weaknesses, and the timeline for Budget Period 2 Requests for Applications. No explicit award or budget amounts are stated. Key contacts: Stacie Weeks info@nvha.nv.gov; rhtp@nvha.nv.gov Event schedule: - Public Workshop - 09/21/2026 - 9:00 AM - Microsoft Teams meeting (virtual)

This federally developed guide serves as a comprehensive reference of programs, funding streams, technical assistance centers, and strategic partners supporting rural health transformation. It assists State RHT Program staff in planning, implementation, and partnership development. The resource addresses topics including hospital technical assistance, maternal health, telehealth, workforce, behavioral health, data tools, and targeted improvement initiatives for rural hospitals and communities.