Utah's Rural Health Transformation Program, led by the Utah Department of Health and Human Services, is in early implementation with federal CMS support and funding secured through 2030. Efforts prioritize stakeholder engagement, cross-sector partnerships, and operational sustainability, with ongoing community readiness preparations and publicly tracked activities. Program progress is guided by collaborations across sectors to address rural health needs. Current structured plan tracks 8 key initiatives and 5 strategic goals.
County-level estimates averaged across Utah — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
10.2%
-1.2pp
Uninsured (18–64)
9.9%
-2.5pp
Diabetes
31.7%
-5.8pp
Obesity
10%
-6.1pp
Current smoking
30.1%
-6pp
High blood pressure
19.5%
-8.2pp
Physical inactivity
5.8%
-1.1pp
Heart disease
3.1%
-0.6pp
Stroke
pp = percentage points vs US county average
County Drilldown (29)
County
Pop
Poverty
Uninsured
Salt Lake County
1,196,523
8.1%
5.2%
Utah County
705,400
8.7%
5.6%
Davis County
370,924
6.4%
5.2%
Weber County
269,648
8.1%
5.8%
Washington County
196,431
9.8%
6.4%
Cache County
140,046
12.0%
6.7%
Tooele County
79,347
5.2%
3.2%
Iron County
62,252
13.8%
9.0%
Box Elder County
61,246
8.4%
5.5%
Summit County
42,970
4.9%
3.2%
Uintah County
37,056
11.8%
9.1%
Wasatch County
36,642
4.7%
3.1%
Rural population12.0%
Demographics
Total population
3.4MCensus ACS5 2024
Rural population
392KUSDA ERS RUCC 2023
Rural population %
12.0%USDA ERS RUCC 2023
Poverty rate
8.5%Census ACS5 2024
Median household income
$95,166Census ACS5 2024
Uninsured rate
5.6%Census ACS5 2024
CAH count
13HRSA GIS (live)
Rural hospital facilities
0AI extracted
Primary care HPSA
21HRSA Data Warehouse (GIS)
Dental HPSA
18HRSA Data Warehouse (GIS)
Mental health HPSA
12HRSA Data Warehouse (GIS)
MUA count
16HRSA Data Warehouse (GIS)
MUP count
6HRSA Data Warehouse (GIS)
FQHC facilities
55HRSA Data Warehouse (GIS)
RHC facilities
22HRSA Data Warehouse (GIS)
AI source: UT - 2026 - Utah RHTP informational webinars
AI auto-updated Sep 20, 2026
API refreshed May 7, 2026
RHTP Strategic Goals
1Improve health outcomes for rural Utahns through enhanced access, prevention, integrated behavioral and physical health care, and measurable quality improvement.
2Grow and stabilize a highly skilled rural health workforce by expanding training, incentives, recruitment, and dedicated support for tribal and I/T/U organizations, with 5-year rural service commitments.
3Modernize and integrate rural health infrastructure, provider networks (with at least three distinct facility types), and technology to increase access, care coordination, quality, and operational efficiency.
4Foster innovation, integrated care, and long-term sustainability through multi-sector partnerships and evidence-based rural care models, including scalable approaches such as maternal health, remote monitoring, and AI-enabled care.
5Ensure financial and operational resiliency of rural health systems through payment transformation, administrative alignment, and sustainable adoption of value-based care with robust interoperable data exchange.
Worth to Notice / Recent Updates (8)
Key signals are summarized here. Open the source for the supporting detail.
UT - 2025 - RHTP - Utah Department of Health and Human Services
UT DHHS rural health award announcement
391,865 rural residents
Current Progress
Implementing
Utah’s Rural Health Transformation Program is in the implementation phase with active primary care grants, workforce development, and support for rural hospitals and clinics administered by the State Office of Rural Health. The Utah Primary Care Grant Program 2026 application cycle has closed, and quarterly progress reporting by subrecipients is underway. The program features ongoing grant opportunities and targeted initiatives supporting rural health infrastructure, workforce, and pipeline expansion. These activities indicate that state-level procurements have launched and subgrants are active. State opportunities: 5 active (4 open, 1 closing soon, 20 past/closed), $120.8M listed funding. Key opportunities: Utah RISE Initiative 2.3: Grow Our Own Rural Health Pipeline; SHIFT 3.3 Rural EMS Request for Grant Applications; Utah RISE Initiative 2.4: Expand Non-GME Rural Healthcare Pipeline. Strategy alignment: supports workforce, telehealth, ems priorities.
RHTP Strategy
Utah’s Rural Health Transformation Program (RHTP), administered by the Department of Health and Human Services, leverages federal CMS funding to implement seven coordinated initiatives: PATH, RISE, SHIFT, FAST, LIFT, SUPPORT, and LINCS. The program follows a milestone-driven, phased approach with formal state, local, tribal, and multisector partnerships, explicit eligibility rules, CMS-required cost and administrative controls, annual reviews, and Results Based Accountability for evaluation. All four phases must be completed by FY2031, emphasizing sustainability planning, robust data governance, secure interoperability, outcome measurement, and innovative rural models of care.
Model
Regionally coordinated transformation led by seven core initiatives grouped under four pillars: prevention/health, workforce, innovation/access, and technology. Implementation is statewide and local via annual competitive and public sub-awards, with administrative caps, milestone targets, quarterly evaluation, multi-type facility network requirements, interoperable data systems, and formal governance.
Key Initiatives (8)
1Implement PATH to strengthen rural food infrastructure and access, scale school health and physical activity programs, improve built environments for active transportation, develop Community Care Hub models through formal MOUs with tribal and local partners, expand integrated behavioral health and primary care (including new RFGA for behavioral health-primary care integration), enforce administrative cost controls, and require sustainability planning.
2Expand RISE to build and retain Utah’s rural health workforce by increasing GME and non-GME training, growing rural clinical preceptors (including clinical preceptor stipend programs), developing high school-to-certification and workforce career pathways, implementing direct incentive payments with 5-year rural service commitments, targeted upskilling, and supporting tribal-serving organizations with dedicated funding.
3Modernize and connect rural care infrastructure, capital, broadband, equipment, and public health capacity via SHIFT, requiring integrated provider networks (minimum three facility types), supporting facility/EMS upgrades, mobile and community paramedicine expansions, shared telehealth systems, transportation solutions, and piloting innovative care models—maternal health, AI, skilled nursing, remote monitoring—with enforcement of CMS spending and administrative caps. Fund innovative care delivery models under SHIFT 3.4 with clear outcome benchmarks, sustainability requirements, and partnership disclosure.
Timeline: FY2026–2030; CMS notice of award December 2025, annual implementation cycle with competitive and public sub-awards, all four program phases completed by FY2031 deadline, milestone-driven reporting, annual progress reviews, midline evaluation by October 2028, quarterly progress reporting for grant awardees, and no ongoing state funding obligation
Health Priority
Physical and behavioral health
Initiative aims to foster lifelong wellness in rural Utah communities through integrated supports and improved access.
Rural Utah
Sep 20, 2026
Health Priority
Workforce development
Efforts focus on building, recruiting, and retaining a strong rural healthcare workforce to address shortages and improve care quality.
Rural Utah
Sep 20, 2026
Health Priority
Telehealth and technology
Key initiatives promote scalable telehealth strategies and data infrastructure improvements to modernize rural healthcare delivery.
Rural Utah
Sep 20, 2026
SupportingPDF2026-2030Budget: $110.0M
UT - 2026 - Utah RHTP (Rural-Health-Transformation-Program-–-One-Pager-12.2025)
Auto-grouped context match (38%)
SupportingPDF2025-2030Budget: $50.0B
UT - 2025 - Utah Rural Hospitals And RHTP 2026 Guidance
This award supports strengthening interoperability and the Health Information Exchange as part of the Rural Health Transformation Program's LINCS Initiative.
$3.0M
Health IT
2025-2027
Utah Health Information Network (UHIN)
UHIN will conduct a comprehensive interoperability needs assessment for rural and frontier providers in Utah, address technical and workflow barriers to electronic health information exchange, administer non-competitive sub-grants and technical assistance, and facilitate EHR optimization and HL7® FHIR® API-enabled data networks to improve rural clinical data exchange and care coordination.
$3.0M
Health IT
Announcement Documents (3)
✉️
AnnouncementAug 5, 2026TXTPast2026
This newsletter announces opportunities to join the Rural Health Transformation Program (RHTP) Steering Committee, provides updates on ongoing rural health initiatives, and highlights the focus on community-driven healthcare innovation in rural Utah. It names suicide prevention and maternity care as key program priorities. Applications for the RHTP Steering Committee are open to rural healthcare providers and community representatives until August 14, 2026. Key contacts: ruralht@utah.gov
Event schedule:
- Steering Committee Application Deadline - 08/14/2026
- Rural and Job-Related Suicide Prevention Webinar - 06/24/2026 - Webinar
QUALITY_IMPROVEMENT · POPULATION_HEALTH · WORKFORCE · OTHER
Utah has received a $195.7 million federal award for Year 1 of its Rural Health Transformation Program, covering 25 of Utah's 29 counties. Funding allocations support both direct interagency agreements and competitive grants, with initiatives spanning population health, workforce, telehealth, EMS development, and health IT. Key governance includes strict spending caps and rural service requirements. Key contacts: Nune Phillips; Krisann Humphreys; Christine Espinel; Jackie Patel
Event schedule:
- CMS site visit - 07/16/2026
- CMS site visit - 07/17/2026
- First annual progress report and Year 2 application due to CMS - 08/30/2026
- End of Budget Period 1 and deadline for obligation of funds - 10/30/2026
This document outlines vendor prerequisites and requirements for professional services procurement related to Utah's RHTP Monitoring and Evaluation Contract. Guidance is provided on communications, product samples, confidentiality, anti-boycott action, technology standards, and negotiation of standard terms and conditions. No award or recipient is named, as this is a supporting guidance document for the solicitation process.
Event schedule:
- Question and Answer Period Closes - U3P (Utah Procurement Portal)
This document provides detailed instructions for filling out the interactive scoresheet used to evaluate vendor proposals for the Utah RHTP Monitoring and Evaluation Contract. It covers identification and prioritization of mandatory and technical criteria, scoring methods, and procedural guidelines for evaluation committees. It is a supporting guidance file for the RHTP procurement process.
QUALITY_IMPROVEMENT · FINANCE · OTHER
Core Initiatives
Ensure rigorous evaluation of RHTP vendor proposals
Promote transparency and consistency in RFP scoring
School fitness test policy action target - 2028-12-31
Report Documents (1)
📋
ReportJun 27, 2026PPTX2025
Utah received a $195.7 million Year 1 award through the Rural Health Transformation Program, investing in rural workforce, infrastructure, technology, population health, and financial reform. Competitive and state partner agreements are underway across seven strategic initiatives and more than 24 activities. Nearly 60% of Year 1 funding is dedicated to competitive community grants, with significant allocations to public entities and evaluation efforts. Key contacts: Krisann Humphreys; Christine Espinel; Jackie Patel; Michelle Geller
Event schedule:
- First annual progress report and Year 2 application due to CMS - 08/30/2026
- End of Budget Period 1 and deadline for obligation of funds - 10/30/2026
- CMS site visit - July 16, 2026
- CMS site visit - July 17, 2026
Utah Health Information Network received a $3,000,000 award under the Rural Health Transformation Program to strengthen interoperability and rural health information exchange. The LINCS Initiative aims to improve coordination and data flow for rural providers. The project is slated to operate from July 2026 through September 2028. Key contacts: ar@uhin.org
Event schedule:
- Award period start - 07/20/2026
- Award period end - 09/30/2028
Award: $3.0MHEALTH_INFORMATION_TECHNOLOGY
Event Schedule
Award period start - 07/20/2026
Award period end - 09/30/2028
Contacts
<ar@uhin.org> - Awardee contact - Utah
Core Initiatives
Strengthen health information exchange interoperability across rural Utah
🌐
DataApr 22, 2026HTML
The document describes Utah Flex and SHIP programs funded by HRSA to support rural hospitals in Utah, focusing on financial, operational, and quality improvements. Utah Flex ensures high quality healthcare is available in rural communities, while SHIP provides purchasing assistance and quality improvement support for small rural and critical access hospitals.
This document provides detailed responses for applicants to the Utah RHTP SHIFT 3.4 New Models of Care RFGA, clarifying eligibility, geographic requirements, allowable costs, budgeting guidance, sub-awards, and permitted project types. It outlines that budgets should cover 24 months, eligibility rules apply at all tiers for direct care delivery partners, and allowable uses include technology, workforce, and care model innovations. No explicit ceilings or minimum awards are stated, providing flexibility for project scope.
Event schedule:
- Question: Table 1 shows Budget Period 1 ending , 2026, while the agreement period is anticipated to begin October 5, 2026. Should applicants budget Budget Period 1 as that short initial window with the bulk of Year 1...
- While Table 1 of the RFGA lists Budget Period 1 as ending on , 2026, the RFGA explicitly states that grantees have until September 30, 2027 to expend each Budget Period’s allocated funding. For Budget Period 1, this m...
Question: Table 1 shows Budget Period 1 ending , 2026, while the agreement period is anticipated to begin October 5, 2026. Should applicants budget Budget Period 1 as that short initial window with the bulk of Year 1...
While Table 1 of the RFGA lists Budget Period 1 as ending on , 2026, the RFGA explicitly states that grantees have until September 30, 2027 to expend each Budget Period’s allocated funding. For Budget Period 1, this m...
Core Initiatives
Develop and implement innovative rural care models in Utah
Expand healthcare access and services for rural residents
Support workforce onboarding, training, and sustainability
Show all initiatives (4)
Develop and implement innovative rural care models in Utah
Expand healthcare access and services for rural residents
Support workforce onboarding, training, and sustainability
Promote scalable models for improved population health
The program includes the Utah Primary Care Grants Program, Medicare Rural Hospital Flexibility Program (Utah Flex), Small Rural Hospital Improvement Program (SHIP), and various loan repayment and workforce support programs. It is administered by the State Office of Rural Health and collaborates with multiple entities to enhance rural health workforce, primary care, and hospital sustainability.
Core Initiatives
Improve access to quality healthcare in rural and underserved areas
Support rural health workforce development
Strengthen rural hospital sustainability
Media (1)
RHTP Milestones
07/16/2026
CMS site visit
07/17/2026
CMS site visit
08/30/2026
Year 2 application due to CMS
10/30/2026
End of Budget Period 1 / Funds obligation deadline
09/30/2025
Proposal form live
10/06/2025
Proposal form closes
10/13/2025
Open meetings
10/17/2025
Work Group bundle and prioritize proposals
10/31/2025
Draft application
11/05/2025
Submit final application
Site Activity (35)
UT RHTP site updated — 5 new, 5 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 88.
Sort
UT - 2026 - Grants and Funding Sources
HTML
Open Public Opportunities
HTML
Overall sitemap navigation
HTML
GRAMA Business Confidentiality Claim
PDF
Portal — Open Opportunities - U3P
HTML
Portal Security - U3P
HTML
DHHS26117 Attachment C (a) Conflict of Interest Form
PDF
DHHS26117 Attachment I CHS Addendum
DOCX
DHHS26117 Attachment C (b) Conflict of Interest Certification UGE
PDF
DHHS26117 Attachment G Cost Proposal Sheet
XLSX
DHHS26117 Attachment F Score Sheet
XLSX
Grants Guarding Against Application Fraud
HTML
F8821
PDF
F2848
PDF
Mobile Youth Film Concept
HTML
UT - 2026 - SAMPLETimesheet EmplBi Wkly26PayPer hour
XLSX
UT - 2026 - SAMPLE Travel Expense Report
XLSX
Requests For Program Related Out Of State Travel
PDF
UT - 2026 - Request and Justification of Out of State Travel Form1
XLSX
UT - 2026 - Utah Landing Page (updated: July 21, 2026)
XLSX
MBCC Subrecipient Single Audit Certification Form Updated
DOCX
UT - 2026 - CESF Funding Disclosure Form
XLSX
Subgrantee Use Of Prepaid Cards
PDF
UT - 2025 - GrantAdjustRequestForm 7.1.2025
XLSX
UT - 2024 - Revised Budget Form 2024
XLSX
UT - 2026 - Financial Resource Disclosure For AmpliFund
XLSX
Submit
HTML
Foundation Funding For Climate Change Mitigation Europe Spotlight
UT - 2026 - Notice of Funding Opportunity (NOFO): RHTP SHIFT Initiative (629bba90-f80c-4342-b05d-bf1cd08b7d2e)
Auto-grouped context match (63%)
Utah is preparing a $500 million Rural Health Transformation Program application for FY 2026–2030, focusing on workforce, technology, prevention, and financial sustainability. Stakeholder engagement is prioritized through open meetings and workgroups, and proposal submissions are scheduled in fall 2025. State objectives include improving rural health outcomes, increasing access, and rightsizing healthcare systems. Key contacts: Pam Bennett; Sarah Woolsey; Carrie Torgersen; Marc Watterson
Event schedule:
- Proposal form live - 09/30/2025
- Proposal form closes - 10/06/2025 - COB
- Open meetings - 10/13/2025
- Work Group bundle and prioritize proposals - 10/17/2025
- Draft application - 10/31/2025
- Submit final application - 11/05/2025
This Utah DHHS Primary Care & Rural Health newsletter highlights new grant opportunities from FORHP to support rural hospitals with finance, workforce, and access to care. Utah is recognized for leadership in oral health integration, and a local clinic manager is honored for rural service. The newsletter shares workforce certification initiatives and SUD-focused events to strengthen rural provider capacity.
Event schedule:
- Carrying the Work Forward: A SUD Training and Quick Reference for Rural Clinic Teams - 07/17/2026 - 12:00 PM MST - University of Utah, Project ECHO webinar (registration link provided)
QUALITY_IMPROVEMENT · WORKFORCE · POPULATION_HEALTH · OTHER
Event Schedule
Carrying the Work Forward: A SUD Training and Quick Reference for Rural Clinic Teams - 07/17/2026 - 12:00 PM MST - University of Utah, Project ECHO webinar (registration link provided)
Core Initiatives
Improve the health of rural communities throughout Utah
Support workforce development and stability in rural healthcare
Enhance integration of oral health with primary care
Show all initiatives (4)
Improve the health of rural communities throughout Utah
Support workforce development and stability in rural healthcare
Enhance integration of oral health with primary care
Increase access to healthcare for rural populations
Utah was awarded $195.7 million in federal funding for Year 1 of RHTP, a five-year initiative running through 2030. The RHTP Monitoring and Evaluation Contract will support rigorous assessment of program outcomes, focusing on the impact of seven initiatives delivered in 25 rural and frontier counties. This procurement specifically funds a $8.24M five-year professional services contract to provide data, evaluation, and analytical support for Utah's RHTP rollout.
Event schedule:
- Funding obligation deadline - 10/30/2026 - MT
- Initial Project Plan due
- Comprehensive Evaluation Plan due
The Utah RHTP SHIFT Initiative will provide $12,500,000 in Year 1 to rural and Tribal EMS, health, and education organizations, with approximately $10,000,000 per year for Years 2-5. Programs will support EMS training, community paramedicine, technology enhancement, and operational infrastructure. The application invites projects that address the needs of rural Utah counties and Tribal Nations. Key contacts: Megan McClure mmcclure@utah.gov
Event schedule:
- Application Deadline - 09/13/2026 - 11:59 PM MDT - Online portal
- Technical Assistance Session - https://meet.google.com/rac-xfou-bdq
Budget: $12.5MEMS_DEVELOPMENT · WORKFORCE · HEALTH_INFORMATION_TECHNOLOGY · OTHER
Strengthen rural and tribal emergency medical services (EMS).
Expand workforce capacity in rural Utah.
Enhance community paramedicine and telehealth delivery.
Show all initiatives (4)
Strengthen rural and tribal emergency medical services (EMS).
Expand workforce capacity in rural Utah.
Enhance community paramedicine and telehealth delivery.
Advance EMS innovation and technology.
Defines extensive monitoring and evaluation requirements for Utah's RHTP, including baseline, midline, and endline reports. Establishes key deliverables for project planning, annual updates, progress reports, and innovative activity evaluations to track program impact through 2031.
Event schedule:
- Project Plan and Timeline due - Within 30 days of contract effective date or prior to October 1
- Annual Project Plan Updates - July 1 annually
- Multi-Year Evaluation Plan due - Within 60 days of contract execution, then annually by July 1
- Baseline Evaluation Report due - Within 45 days of approved evaluation plan
- Midline Evaluation Report due - Estimated October 2028
- Endline Evaluation Report due - December 30, 2031
- Quarterly Progress Reports due - Nov 7, Feb 7, May 7 annually
- Annual Progress Report due - August 7 annually
OTHER
Event Schedule
Project Plan and Timeline due - Within 30 days of contract effective date or prior to October 1
Annual Project Plan Updates - July 1 annually
Multi-Year Evaluation Plan due - Within 60 days of contract execution, then annually by July 1
Show all schedule items (9)
Project Plan and Timeline due - Within 30 days of contract effective date or prior to October 1
Annual Project Plan Updates - July 1 annually
Multi-Year Evaluation Plan due - Within 60 days of contract execution, then annually by July 1
Baseline Evaluation Report due - Within 45 days of approved evaluation plan
Midline Evaluation Report due - Estimated October 2028
Endline Evaluation Report due - December 30, 2031
Quarterly Progress Reports due - Nov 7, Feb 7, May 7 annually
Annual Progress Report due - August 7 annually
Final Report due - December 30, 2031
Core Initiatives
Achieve the four goals of Utah RHTP
Implement seven key interventions to improve rural health
Use innovative activities to promote rural health system transformation
This supporting document details the scope of work for the Utah RHTP Evaluation Contractor, including rigorous performance monitoring and evaluation of seven RHTP initiatives across 25 rural counties. It emphasizes baseline, midline, and endline evaluations, sustainability planning, quarterly and annual reporting, and targeted attention to tribal and high-needs populations. The contract is structured to ensure transparency, accountability, and measurable progress aligned with Utah's strategic goals for rural health transformation.
Event schedule:
- Budget Period 1 Start - 12/29/2025
- Budget Period 1 End - 10/30/2027
- Budget Period 2 Start - 10/31/2026
- Budget Period 2 End - 10/30/2028
- Budget Period 3 Start - 10/31/2027
- Budget Period 3 End - 10/30/2029
- Budget Period 4 Start - 10/31/2028
- Budget Period 4 End - 10/30/2030
This attachment outlines the required qualifications and technical criteria for vendors applying to serve as the monitoring and evaluation contractor for Utah's RHTP. It details mandatory requirements regarding RBA evaluation experience, focus on Utah's 25 rural and frontier counties, compliance with federal CMS rules, strict deliverable timelines, and vendor eligibility. The evaluation scope emphasizes outcome measurement, strategic planning, and federal/state compliance.
Event schedule:
- • How will your team manage quarterly progress monitoring to generate actionable performance improvement recommendations for RHTP staff, particularly for the reporting period ending ? - April 30 - • Targeted Populatio...
- • How will your fiscal oversight practices ensure funds are obligated no later than for budget years 2-5 to prevent the recoupment of funds by DHHS? - June 30 - • How will you ensure strict compliance with the Stevens...
QUALITY_IMPROVEMENT · POPULATION_HEALTH · OTHER
Event Schedule
• How will your team manage quarterly progress monitoring to generate actionable performance improvement recommendations for RHTP staff, particularly for the reporting period ending ? - April 30 - • Targeted Populatio...
• How will your fiscal oversight practices ensure funds are obligated no later than for budget years 2-5 to prevent the recoupment of funds by DHHS? - June 30 - • How will you ensure strict compliance with the Stevens...
Core Initiatives
Improve health status for rural Utahns
Enhance system-level impacts across rural and frontier counties
Support scalable activities for sustained transformation
Show all initiatives (4)
Improve health status for rural Utahns
Enhance system-level impacts across rural and frontier counties
Support scalable activities for sustained transformation
Avoid ongoing state financial obligations per H.J.R. 101
This document sets forth mandatory contractor terms for entities participating in Utah's RHTP Monitoring and Evaluation solicitation. Requirements include compliance with federal and state laws, extensive financial and progress reporting, strict data protection, and accountability mechanisms for federal and state funds. Contractors must maintain insurance, adhere to anti-discrimination and employment laws, and ensure confidentiality and integrity of state data. Key contacts: dhhsfinancialreports@utah.gov
Event schedule:
- Revised - 2026-08-06