HHS Region 4 · South Carolina Research Authority (SCRA)
Program Overview
The South Carolina Rural Health Transformation Program is currently offering infrastructure and capacity-building grants through five targeted initiatives: Connections to Care, Wellness Within Reach, Leveling Up, Shoring Up to Sustainability, and a Tech Catalyst Fund for rural health technology startups. The program emphasizes expanding digital infrastructure, scaling care delivery innovations, supporting workforce development, strengthening behavioral and maternal health services, and modernizing health IT in rural communities. Implementation is active with funding announcements, open application portals, and outreach, but no subrecipient agreements have been executed as of July 31, 2026. Current structured plan tracks 5 key initiatives and 10 strategic goals.
Updated
County-level estimates averaged across South Carolina — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (46)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Greenville County | 548,166 | 10.8% | 7.7% |
| Richland County | 422,117 | 17.2% | 11.5% |
| Charleston County | 420,264 | 11.3% | 7.0% |
| Horry County | 383,016 | 13.2% | 9.1% |
| Spartanburg County | 347,852 | 14.5% | 10.8% |
| Lexington County | 304,887 | 11.1% | 8.5% |
| York County | 293,673 | 8.4% | 6.2% |
| Berkeley County | 246,802 | 9.9% | 7.5% |
| Anderson County | 210,478 | 14.6% | 11.5% |
| Beaufort County | 195,289 | 9.6% | 7.1% |
| Aiken County | 174,160 | 14.3% | 10.1% |
| Dorchester County | 167,201 | 11.4% | 8.1% |
AI source: SC - 2026 - Act 301 Capital Expenditure Infrastructure Funding Opportunity for FY 2026 – 2027
AI auto-updated Nov 3, 2026
API refreshed May 7, 2026
GuideGetting ready for Year 2 in South Carolina?How to prepare for RHTP Year 2 funding →
Source: CMS State Data Maps ↗ · checked Nov 11, 2026
Federal awards to date: $396,016,285.44 (Year 1 $200.0M + Year 2 $196.0M)
Initiatives (5)
CMS stages run from Stage 0 (planning) to Stage 5 (full implementation). Complete In progress Not started
Key signals are summarized here. Open the source for the supporting detail.
Centers for Medicare & Medicaid Services (CMS)
Grouped files
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No linked documents found.
Centers for Medicare & Medicaid Services (CMS)
Grouped files
9 related documents
728,561 rural residents
South Carolina has issued and awarded inaugural funding under the Tech Catalyst Fund as part of the Rural Health Transformation Program, with four early-stage companies receiving $2.2 million to advance rural health care innovation. This confirms that the program has moved beyond application intake and review to executing subrecipient agreements and making disbursements for at least one key initiative. Additional awards and subgrant activity are expected in the coming days. Other RHTP funding streams remain at varying stages, but the Tech Catalyst Fund progress qualifies the state for the implementing phase. State opportunities: 6 total (6 past/closed), $92.7M listed funding. Key opportunities: Act 301 Capital Expenditure Infrastructure Funding Opportunity for FY 2026 – 2027; RHTP: Wellness Within Reach Initiative; Connections to Care – Modernize Health IT. Strategy alignment: supports workforce, prevention, care access priorities.
South Carolina's RHTP sustains targeted, high-impact investments led by SCDHHS, emphasizing modernization of rural health infrastructure, expansion of digital and mobile access, workforce and facility sustainability, and health technology innovation. The outcome-driven program remains focused on scaling successful pilots and advancing long-term system resilience through stakeholder-informed priorities. Current program areas include chronic disease, maternal and behavioral health, cancer screening, health equity, and capital infrastructure grants.
Model
Targeted infrastructure and workforce transformation leveraging digital capacity, mobile care delivery, scaling of pilot programs statewide, and financial stabilization through outcome-driven, time-limited grants and public-private partnerships with rigorous compliance and reporting.
Key Initiatives (5)CMS official list ↗
Supporting activities (7)
• Maternal Health Expansion: Extend postpartum Medicaid coverage to 12 months; re-launch the Birth Outcomes Initiative as the state's perinatal quality collaborative; implement the Transforming Maternal Health (TMaH) Model; deploy safe sleep workshops and quality improvement education; collaborate with statewide partners to improve maternal health outcomes.
• Healthcare Infrastructure Grants: Support creation or improvement of rural and underserved healthcare facilities, including Act 301 Capital Expenditure Infrastructure Funding for FY 2026–2027; five-year operational sustainability required; priority on primary care, maternal and infant health, pediatrics, behavioral health, and cancer screening.
Timeline: Primary grant application window closes June 1, 2026. Rural Enhancement Grant, Cancer Screening Initiative, and Act 301 infrastructure deadlines are July 31, 2026. Tech Catalyst Fund application window is open May 27–June 25, 2026, with Due Diligence June 15–July 9, and Pitch Days in July 2026. Additional timelines for Behavioral Health Crisis Stabilization Services and future phases will be announced. Subrecipient agreements require quarterly and monthly reporting, and five-year facility sustainability for infrastructure grants. The Public Input Survey closes October 2, 2026.
Connections to Care
Leveling Up
Shoring Up Sustainability
Tech Catalyst Fund
Wellness Within Reach
State Policy Action commitments (2 of 19)
Focused efforts to improve cancer screening rates in rural clinics through funded quality improvement collaboratives.
Focus on expanding digital infrastructure, mobile health units, chronic disease management, and workforce development in rural areas.
Focused efforts to improve healthcare access and coordination through digital infrastructure and mobile health units to serve underserved rural populations.
SC - 2025 - Frequently Asked Questions – RHTP Application Guidance
SC - 2025 - Budget Narrative
SC - 2025 - Transforming Rural Healthcare in South Carolina
SC - 2026 - Welcome! The meeting will begin shortly…
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SC - 2025 - South Carolina RHTP Application
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SC - 2028 - Centers for Medicare & Medicaid Services RHTP
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SC - 2025 - South Carolina RHTP
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SC - 2025 - OMB Number: 4040-0019 Expiration Date: 06/30/2028
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SC - 2026 - RHTP Grant Overview
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South Carolina Office of Rural Health (SCORH)
Due Jul 31, 2026
2 related documents
SC - 2026 - 2026 Rural Enhancement Grant and Cancer Screening Improvement Initiative Funding Opportunities
SCORH funding opportunities PDF
SC - 2026 - Funding Opportunities - SC Office of Rural Health
Primary source
South Carolina Office of Rural Health (SCORH)
Due Jul 31, 2026
2 related documents
SC - 2026 - 2026 Rural Enhancement Grant and Cancer Screening Improvement Initiative Funding Opportunities
SCORH funding opportunities PDF
South Carolina Research Authority (SCRA)
Due Jun 25, 2026
5 related documents
SC - 2026 - SCRA Leads with Inaugural Awards from $5M Tech Catalyst Fund to Advance Rural Health Innovation
Award announcement - SCRA inaugural Tech Catalyst Fund awards (4 companies, $2.2 million)
By budget period: BP1 $166.6M · BP2 $2.2M (from the award date, the source's publish date, or RCJ having recorded the award before Budget Period 2 began)
| FY↓ | Awardee↕ | Amount↕ | Activity↕ | Source |
|---|---|---|---|---|
| 2026BP1 | Self Regional Healthcare (Lakelands Region) Connections to Care — Modernize Health IT Infrastructure | $1.3M | RHTP_SUBAWARD | |
| 2026BP1 | Self Regional Healthcare (Lakelands Region) Connections to Care — Modernize Health IT Infrastructure | $8.3M | RHTP_SUBAWARD | |
| 2026BP1 | Self Regional Healthcare (Lakelands Region) Connections to Care — Modernize Health IT Infrastructure | $630K | RHTP_SUBAWARD | |
| 2026BP1 | Self Regional Healthcare (Lakelands Region) Shoring Up to Sustainability — Facility Enhancements | $140K | RHTP_SUBAWARD | |
| 2026BP1 | Self Regional Healthcare (Lakelands Region) Wellness Within Reach — Expanding Community Care Sites | $125K | RHTP_SUBAWARD | |
| 2026BP1 | Self Regional Healthcare (Lakelands Region) Shoring Up to Sustainability — Healthcare Workforce | $1.7M | RHTP_SUBAWARD | |
| 2026BP1 | Self Regional Healthcare (Lakelands Region) Wellness Within Reach — Expanding Community Care Sites | $200K | RHTP_SUBAWARD | |
| 2026BP1 | Self Regional Healthcare (Lakelands Region) Shoring Up to Sustainability — Facility Enhancements | $1.3M | RHTP_SUBAWARD | |
| 2026BP1 | Self Regional Healthcare (Lakelands Region) Connections to Care — Modernize Health IT Infrastructure | $340K | RHTP_SUBAWARD | |
| 2026BP1 | Self Regional Healthcare (Lakelands Region) Connections to Care — Expand Remote Patient Monitoring (RPM) & Assistive Technology | $677K | RHTP_SUBAWARD |
This document announces a public input survey intended to inform future funding decisions for the Rural Health Transformation Program. It seeks stakeholder feedback to guide program priorities and resource allocation. Event schedule: - Public Input Survey Date - 09/17/2026
Event Schedule
South Carolina's RHTP awarded dozens of grants to rural hospitals, clinics, and community health programs in 2025. Funding supports facility upgrades, telehealth, workforce training, and chronic disease expansion. Multiple major and local recipients address gaps in rural access and technology.
Core Initiatives
Governor Henry McMaster announced recipients of RHTP funding in South Carolina at a September 11, 2026 press conference in Columbia, SC. Event schedule: - Press Conference - 09/11/2026 - Columbia, S.C.
Event Schedule
This document is a supporting application solicitation for the Act 301 Capital Expenditure Infrastructure Funding Opportunity for FY 2026-2027 in South Carolina under the Rural Health Transformation Program (RHTP).
Event Schedule
SCORH offers the 2026 Rural Enhancement Grant to support technology upgrades, education, and quality initiatives in rural health practices, with awards up to $5,000. Additionally, the Cancer Screening Improvement Initiative funded by the BlueCross BlueShield of SC Foundation focuses on increasing cancer screening rates in rural clinics through collaborative quality improvement efforts. Event schedule: - 2026 Rural Enhancement Grant Application Deadline - 07/31/2026 - Cancer Screening Improvement Initiative Application Deadline - 07/31/2026
Official SCRA Tech Catalyst Fund package document for South Carolina's Rural Health Transformation Program.
This document provides guidance for applicants on the due diligence requirements for the South Carolina RHTP Tech Catalyst Fund. It supports the main solicitation by outlining necessary steps and documentation for compliance. Event schedule: - November 10, 2026 - News Releases - From the $5 million allocated in Year 1, early-stage companies will receive funding to improve access, affordability, and quality of care in rural South Carolina - , 2026 - November 10 - It's All Connected: The NSF Grid Modernization Engine in the Carolinas - , 2026 - November 10 - SC, NC gets $160M NSF award to modernize power grid amid surging demand from EVs, AI - , 2026 - November 10 - SCRA Powers NSF Grid Modernization Engine in the Carolinas as Core Partner - , 2026 - November 10 - SCRA announces new grant funding and member companies - , 2026 - November 10 - 0 Comments - By Trio Solutions - November 10, 2026 | Categories: News Releases | - 0 Comments
Event Schedule
The Tech Catalyst Fund is one of five initiatives within South Carolina’s RHTP and is managed by the South Carolina Research Authority (SCRA). It focuses on supporting innovations aimed at enhancing rural health care access and outcomes through technology development. The application deadline was June 25, 2026, requiring a completed budget workbook and optional pitch deck and letters of support at the application stage. Event schedule: - Application Deadline - 06/25/2026
Official SCRA Tech Catalyst Fund package document for South Carolina's Rural Health Transformation Program.
South Carolina proposes an ambitious, data-driven Rural Health Transformation plan centered on expanding digital health infrastructure (EHR, remote monitoring, telehealth), workforce initiatives, and financial stabilization for rural hospitals. Strategic efforts target improved access and chronic disease management for 1.75 million rural residents, with emphases on care coordination, maternal health, and cross-sector partnerships. Five flagship initiatives (e.g., Connections to Care) will modernize rural health systems and equip communities for sustainable transformation.
Event Schedule
Core Initiatives
South Carolina has launched Notices of Funding Opportunity and application portals for all five RHTP initiatives, with active outreach, intake, and finalization of project determinations. No subaward agreements had been executed for any initiative by July 31, 2026, and therefore baseline metrics and people served data are not yet available. The Tech Catalyst Fund has reviewed applications and intends to make approximately $4.7 million in initial awards, but final execution is pending.
Core Initiatives
The document outlines an $800 million award over four years dedicated to transforming rural healthcare in South Carolina. Budget details include personnel, fringe benefits, travel, supplies, and substantial contractual expenditures.
South Carolina received a $200 million award for RHTP funding and additional grants totaling over $70 million for healthcare infrastructure and behavioral health integration. The program focuses on expanding services in rural and medically underserved regions, including maternal health and mental health services. SCDHHS administers multiple grant programs designed to enhance healthcare quality and access statewide. Event schedule: - Tuesday, , 2025 - December 30 - South Carolina Awarded $200 Million in Rural Health Transformation Program Funding - Monday, , 2025 - June 30 - Federal and State Officials Announce Efforts to Crack Down on Healthcare Fraud Schemes - Thursday, , 2025 - May 1 - SCDHHS Announces Relocation of Richland County Medicaid Office - Thursday, , 2025 - January 16 - SCDHHS Awarded $7.2 Million to Improve Integration of Behavioral Health Services - Tuesday, , 2025 - January 14 - DPH, DDSN and SCDHHS Encourage Support and Services During Birth Defects Awareness Month - Wednesday, , 2025 - January 8 - SCDHHS Receives Grant to Invest in Maternal Health Care - Tuesday, , 2024 - February 20 - SCDHHS Awards $48.2 Million in Healthcare Infrastructure Funds to Improve Access to Quality Medical Services in Rural and Medically Underserved Areas - Thursday, , 2024 - January 25 - Gov. McMaster, SCDHHS Announce Number of School-based Mental Health Counselors Doubles in South Carolina
Event Schedule
Core Initiatives
The program provides targeted grants to support rural and medically underserved areas, focusing on infrastructure and behavioral health crisis stabilization. Act 301 funding supports capital expenditures, while other grants address specific rural health needs.
Event Schedule
This RFA provides one-time capital infrastructure funding to county alcohol and drug abuse authorities in South Carolina to build and renovate facilities supporting access to substance use services in high-need areas. Eligible applicants are designated by Act 301 of 1973. Partnerships with community-based healthcare practices and other organizations are encouraged and must be clearly described in the application. Key contacts: grants@scdhhs.gov Event schedule: - RFA Posting Date - 09/14/2026
Event Schedule
Contacts
Core Initiatives
South Carolina DHEC is soliciting public input via a statewide survey to guide future funding decisions for the Rural Health Transformation Program. The survey aims to identify rural health priorities and gather feedback on existing RHTP-funded projects to better target resources for years two through five. Key contacts: grants@scdhhs.gov Event schedule: - Survey Close Date - 10/02/2026
Nov. 1, 2029 – Oct. 31, 2030
Year 5 RHTP Implementation Period
Year 5 of the RHT program is defined as Nov. 1, 2029 – Oct. 31, 2030.
Nov. 1, 2028 – Oct. 31, 2029
Year 4 RHTP Implementation Period
Year 4 of the RHT program is defined as Nov. 1, 2028 – Oct. 31, 2029.
Nov. 1, 2027 – Oct. 31, 2028
Year 3 RHTP Implementation Period
Year 3 of the RHT program is defined as Nov. 1, 2027 – Oct. 31, 2028.
September 30, 2027
Final funding deadline
Funds must be spent by September 30, 2027.
September 30, 2027
Awarded funding must be spent by deadline
Awardees must spend awarded funding by this date or return unspent funds.
September 30, 2027
End of Subrecipient Agreement period
The Subrecipient Agreement continues in full force and effect through September 30, 2027.
Sept. 30, 2027
Project Completion
Project completion is on Sept. 30, 2027.
September 30, 2027
Deadline to spend awarded funding
Upon receipt of funds, subrecipients will have until September 30, 2027 to spend awarded funding.
September 30, 2027
Award spend deadline
Subrecipients must spend awarded funding by September 30, 2027.
9/30/2027
Spend Deadline
Spend Deadline is September 30, 2027.
Sept. 30, 2027
End of award period
Awards made through the 2026 grant opportunities will remain active only until Sept. 30, 2027.
Sept. 30, 2027
Deadline to expend funds
Any awarded funding must be expended by Sept. 30, 2027.
SC RHTP site updated — 1 new, 0 existing source(s) refreshed
SC state summary updated: transformationStrategy initiatives: 12 -> 5
South Carolina's RHTP sustains its approach of targeted, high-impact investments led by SCDHHS, pursuing outcome-driven initiatives and broa…
SC RHTP site updated — 16 new, 0 existing source(s) refreshed
SC RHTP site updated — 1 new, 0 existing source(s) refreshed
SC RHTP site updated — 2 new, 0 existing source(s) refreshed
Spreadsheets, data exports, and reference documents — available for download but excluded from the main activity feed. Showing the 40 most recent of 47.
SC - 2026 - Grants | SCDHHS
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SC - 2026 - CMS Awards $167M for 228 Rural Health Transformation Projects in South Carolina
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SCRA Grant Final Report Feb21
SC - 2026 - South Carolina to Announce Rural Health Transformation Program Funding Recipients
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SC - 2026 - Notice of Privacy Practices
2026 · PDF
SC - 2020 - – RHC COVID Testing Process Step by Step October 2020
SC - 2020 - RHC COVID test reporting: Step-by-step guide
SC - 2020 - SC HOPES mental health and addictions support line
SC - 2020 - Screening Patients for Food Insecurity and Linking them to Nutritious Food Resources During COVID-19
SC - 2026 - t Budget Template
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SCDHHS Replacement MMIS RFI 4
SCDHHS Replacement MMIS Notification 4
SC - 2026 - Draft Replacement MMIS Pricing Tables
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SC - 2026 - Incentive Payment Example
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SC - 2015 - For questions related to Medicaid contract forms, contact 803-898-0376.
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SCPro Procurement System Overview
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Purchase Procurement Code Books
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2021 South Carolina Model School District Procurement Code
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Retired Clauses and Documents
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Research Resources Bibliography and Legal Materials on South Carolina Procurement Code
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Standard Clauses & Provisions, Compendium Version 3.0 (May 2024)
2024 · HTML
South Carolina Procurement Code and Regulations - Legal Reference
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Audit & Certification Audit Reports and Procurement Regulations Overview
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SCPro South Carolina Procurement System Overview
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2021 Model School District Procurement Code and Large Districts Procurement Overview
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Purchase Procurement Code Books
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Retired Clauses and Documents | procurement.sc.gov
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Research Resources Bibliography and Procurement Code Amendments Reference
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Procurements Reported By State Agencies
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Standard Clauses and Provisions – South Carolina Division of Procurement Services (Compendium Version 3.0, May 2024)
2024 · HTML
South Carolina Procurement Code & Regulations Overview and Amendments
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SC - 2015 - Debarment Form 1-2015
SC - 2026 - Adapting Pay-for-Success (PFS) Methods to Managed Care Incentives
2017 · PDF
SC - 2026 - SCDHHS MES Modernization Future State Assessment Summary Report
2024 · PDF
SC - 2025 - Where to Go For Help | SCDHHS
2025 · HTML
SC - 2025 - Healthy Connections Medicaid Managed Care | SCDHHS
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SC - 2025 - Tax Information | SCDHHS
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SC - 2025 - Resources | SCDHHS
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SC - 2025 - Provider Information | SCDHHS
2025 · HTML
Download Healthy Connections Application Form (PDF)
SC - 2026 - Funding Opportunities - SC Office of Rural Health
Primary source
SC - 2026 - RHTP Tech Catalyst Fund Notice of Funding Opportunity
Primary Notice of Funding Opportunity
SC - 2026 - RHTP Tech Catalyst Fund Application Preview
Application Preview
SC - 2026 - Tech Catalyst Fund Due Diligence Checklist
Due Diligence Checklist
SC - 2026 - tech catalyst fund
Tech Catalyst Fund program page (scra.org)
South Carolina Department of Health and Human Services announced a new $15 million grant program focused on bolstering healthcare access and infrastructure in rural and medically underserved areas. Awards will provide up to $3 million each for infrastructure improvements to support essential health services such as primary care and behavioral health. Key contacts: grants@scdhhs.gov Event schedule: - Application Due Date - 12/04/2023 - Award Notification Date - 02/02/2024
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Contacts
Core Initiatives
SCDHHS was awarded $17 million from CMS over ten years to improve maternal health care for Medicaid enrollees through the Transforming Maternal Health (TMaH) Model. Key priorities include reducing maternal mortality and extending postpartum Medicaid coverage. The effort is supported by a coalition of state and national health partners and builds on previous initiatives such as the Birth Outcomes Initiative. Key contacts: Jeff Leieritz Communications@scdhhs.gov Event schedule: - Grant Award Announcement - 01/08/2025 - ET - Columbia, SC
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Contacts
Core Initiatives
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Core Initiatives
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Core Initiatives
South Carolina is launching its Wellness Within Reach Initiative as part of the Rural Health Transformation Program, making $27.7M available to rural-serving organizations through subawards. The initiative focuses on expanding mobile crisis response and community care sites to improve healthcare access, quality, and outcomes in rural areas. Projects must demonstrate measurable impact and directly benefit rural residents.
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Core Initiatives
South Carolina is submitting an application to CMS for the Rural Health Transformation Program, with Governor and SCDHHS leadership committed as the lead administrator and convener. The plan prioritizes stakeholder engagement, chronic disease management, infrastructure improvements, and sustainable care models in rural areas. Extensive coordination aims to leverage existing resources, avoid duplication with current federal and state rural health funding, and maximize health outcomes for rural residents.
Event Schedule
Core Initiatives
CMS announced a $167 million investment in South Carolina through the federal Rural Health Transformation Program (RHTP), funding 228 projects aimed at strengthening rural healthcare. The grants will expand telehealth, upgrade technology and infrastructure, and support workforce development, with targeted efforts in maternal health, behavioral health, mobile health units, and IT modernization. Funding focuses on increasing access via new sites, mobile and pop-up clinics, school-based mental health services, and technology upgrades, including EHRs, cybersecurity, and specialized equipment. This initiative is part of a larger federal effort to modernize rural care delivery and close health access gaps in South Carolina’s rural communities.
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Core Initiatives