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HHS Region 3 · Virginia Invests Program Center (VIPC)
Program Overview
Virginia’s Rural Health Transformation Program is a statewide DMAS-led initiative leveraging federal and state funds to strengthen rural healthcare through technology innovation, workforce development, care access expansion, and chronic disease prevention. The program is currently in implementation with RFAs managed by regional planning district commissions and agency partners, emphasizing mobile and hybrid care models, technology-enabled provider networks, and workforce initiatives. Structured plans track key initiatives and strategic goals with ongoing funding opportunities and active distribution rounds. Current structured plan tracks 4 key initiatives and 8 strategic goals.
Updated
County-level estimates averaged across Virginia — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
pp = percentage points vs US county average
County Drilldown (133)
| County | Pop | Poverty | Uninsured |
|---|---|---|---|
| Fairfax County | 1,147,837 | 5.9% | 4.1% |
| Prince William County | 488,880 | 6.2% | 4.6% |
| Virginia Beach city | 456,349 | 8.6% | 6.8% |
| Loudoun County | 432,998 | 4.2% | 3.1% |
| Chesterfield County | 377,869 | 7.1% | 4.9% |
| Henrico County | 335,744 | 8.8% | 6.2% |
| Chesapeake city | 252,583 | 9.4% | 7.1% |
| Arlington County | 236,254 | 7.4% | 4.3% |
| Norfolk city | 233,596 | 16.5% | 12.1% |
| Richmond city | 229,359 | 18.2% | 12.4% |
| Newport News city | 184,216 | 14.5% | 10.8% |
| Stafford County | 163,466 | 4.7% | 3.4% |
AI source: VA - 2026 - Proclamation Recognizing National Rural Health Day in Virginia
AI auto-updated Nov 12, 2026
API refreshed May 7, 2026
GuideGetting ready for Year 2 in Virginia?How to prepare for RHTP Year 2 funding →
Source: CMS State Data Maps ↗ · checked Nov 11, 2026
Federal awards to date: $385,255,005.93 (Year 1 $189.5M + Year 2 $195.7M)
Initiatives (4)
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
No related documents
No linked documents found.
Centers for Medicare & Medicaid Services (CMS)
Grouped files
2 related documents
1,068,638 rural residents
Virginia has launched the Rural Health Transformation Program with multiple regional RFAs open, focusing on Mobile & Hybrid Care and the Tech Innovation Fund. State procurement is active, with subaward applications under review and initial award decisions for several initiatives anticipated by late 2026 and January 2027. Local implementation is expected to begin following these awards, in alignment with CMS Stage 2 status. Competitive funding remains available across several innovation priorities, emphasizing technology adoption and expanded rural care models. State opportunities: 5 active (5 closing soon, 11 past/closed), $126.6M listed funding. Key opportunities: Virginia RHTP Mobile & Hybrid Care RFA — Accomack-Northampton Planning District Commission (Eastern Shore Regional Collaborative); Virginia RHTP Mobile & Hybrid Care RFA — Central Shenandoah Planning District Commission (Roanoke-Alleghany/Central Shenandoah/New River Valley Collaborative); Virginia RHTP Mobile & Hybrid Care RFA — LENOWISCO Planning District Commission (Rural Health Transformation SWVA). Strategy alignment: supports telehealth priorities.
Virginia’s Rural Health Transformation Program (RHTP) advances a comprehensive, community-driven strategy led by DMAS, VDH, VHHA Foundation, VHCF, and the Virginia Innovation Partnership Corporation. The four interconnected pillars—provider technology modernization, workforce development, mobile and hybrid care delivery, and prevention—remain central, with competitive RFAs, established regional collaborations, and ongoing needs assessments guiding investments. Administration continues with annual performance reviews, technical assistance, and accountability to achieve sustained improvements in interoperability, provider productivity, workforce pipelines, and rural care models.
Model
Integrated, community-driven model anchored on four RHTP pillars: CareIQ (provider interoperability, technology modernization, remote monitoring, consumer health innovation), Homegrown Health Heroes (workforce pipelines, rural GME, apprenticeship, Allied Health/CTE grants), Connected Care, Closer to Home (mobile units, telehealth, hybrid care, maternal health, community paramedicine), and Live Well, Together (chronic disease prevention, Food is Medicine, digital health education, youth wellness). Regional partnerships and competitive funding cycles, administered by VHHA Foundation, VHCF, and VIPC, sustain modernization and effectiveness.
Key Initiatives (4)CMS official list ↗
Supporting activities (17)
• Provider Interoperability: network upgrades, EHR (CEHRT) modernization, cybersecurity, data exchange (VHCF)
• Provider Productivity: digital and AI-enabled tools, workflow automation, technical assistance, reporting (VHCF)
Timeline: 2026–2031 (multi-year rollout linked to CMS RHTP funding with annual performance reviews)
CareIQ
Connected Care, Closer to Home
Homegrown Health Heroes
Live Well, Together
State Policy Action commitments (2 of 19)
Virginia is focused on expanding health coverage and improving care access in rural communities through strategic grants and partnerships.
Focus on building sustainable healthcare careers for local residents to improve workforce retention and recruitment in rural areas.
Bipartisan legislation signed to support individuals struggling with substance abuse, ensuring access to treatment.
VA - 2025 - VA Rural Vitality (rhc-transformation-project-narrative)
Auto-grouped context match (37%)
VA - 2025 - VA Rural Vitality
Auto-grouped context match (38%)
Accomack-Northampton Planning District Commission (A-NPDC)
Due Nov 23, 2026· ⏰ 11 days left
1 related document
VA - 2026 - Virginia RHTP Mobile & Hybrid Care RFA — Accomack-Northampton Planning District Commission (Eastern Shore Regional Collaborative)
Request for Applications V2 (A-NPDC / Eastern Shore Regional Collaborative)
LENOWISCO Planning District Commission
Due Nov 23, 2026· ⏰ 11 days left
5 related documents
VA - 2026 - Virginia RHTP Mobile & Hybrid Care RFA — LENOWISCO Planning District Commission (RHT SWVA)
Rural Transformation SWVA Request for Application
Central Shenandoah Planning District Commission (CSPDC) — Roanoke-Alleghany/Central Shenandoah/New River Valley Regional Collaborative
Due Nov 23, 2026· ⏰ 11 days left
3 related documents
VA - 2026 - Virginia RHTP Mobile & Hybrid Care RFA — Central Shenandoah Planning District Commission (Roanoke-Alleghany/Central Shenandoah/New River Valley Collaborative)
Request for Applications (CSPDC / Roanoke-Alleghany/Central Shenandoah/New River Valley Collaborative)
By budget period: BP1 $7.0M (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 | Ballad Health Upgrades hospital networks and communication tools, expands telemedicine services across Southwest Virginia. | $2.0M | Network Development | |
| 2026BP1 | Eastern Shore Rural Health System Upgrades technology network, login security, and adds data analytics for patients in Accomack and Northampton counties. | $2.0M | Network Development | |
| 2026BP1 | Sentara Health Extends data exchange/population health platforms to 38 rural practices statewide. | $1.7M | Population Health | |
| 2026BP1 | Virginia Pharmacy Association Supports rural pharmacies to adopt EHR systems that securely share information with other providers. | $500K | Health IT | |
| 2026BP1 | Buchanan General Hospital Replaces outdated phone system with modern, secure system; supports communication upgrades for patient care. | $382K | Health IT | |
| 2026BP1 | Highland Medical Center Replaces aging servers, upgrades security, and adds backup internet to ensure uninterrupted patient care in Highland County. | $288K | Health IT | |
| 2026BP1 | Virginia Highlands Community College This program funds the expansion of the Licensed Practical Nursing (LPN) program at Virginia Highlands Community College to increase healthcare workforce training opportunities in Southwest Virginia to address critical workforce shortages. | $128K | Workforce |
CMS announced a $10 billion funding initiative in the second year of Rural Health Transformation. This is relevant to Virginia, but no further state-specific award details are provided.
This document provides highlights for Virginia’s Rural Health Transformation program, specifically mentioning a Navigator role or initiative. No detailed funding or awards information is given.
Virginia Rural Health Transformation Program is part of a federal initiative to support rural health improvements. The document includes a link to related news describing UVA Health receiving nearly $4 million to enhance rural patient care.
West Virginia was awarded $202 million for the second year of the Rural Health Transformation Program.
Virginia awarded $14.39M to 25 rural providers to modernize health IT, EHR, and cybersecurity. Projects target network upgrades, data sharing, and care coordination, benefiting over 845,000 rural Virginians. Key contacts: Rachel Rees rrees@vhcf.org Event schedule: - Award announcement - 10/02/2026 - Richmond, VA
Virginia is launching a Request for Applications (RFA) to distribute $11.8 million under its Rural Health Transformation Program to support rural health initiatives.
This issue compiles new funding opportunities, including guidance for applicants to Virginia’s Rural Health Transformation Program, and profiles ongoing training events and rural health strategies across the state. It spotlights Virginia rural hospital leaders, showcases maternal health initiatives, and documents specific EMS and workforce development programs responding to rural challenges. The newsletter also offers resources, event listings, and celebrates rural community contributions. Event schedule: - Workforce+ Certification Registration Deadline - October 2, 2026 - ET - Workforce+ Cohort Start - October 8, 2026 - ET - NEXEO 2026 - October 1, 2026 - ET - Abingdon, Virginia - Recruiting with Precision Session 1 - October 6, 2026 - 2:30 PM ET - Webinar - Recruiting with Precision Session 2 - October 20, 2026 - 2:30 PM ET - Webinar - Virginia Health Catalyst 2026 Annual Summit - October 13, 2026 - ET - Richmond, Virginia - Governor's Summit on Rural Prosperity - October 14-15, 2026 - ET - Lexington, Virginia - Annual Photography Contest Opens - September 2, 2026 - ET
Event Schedule
Core Initiatives
The Virginia Health Care Foundation administers two sub-initiatives under the state's RHTP, awarding $14.39 million for Provider Interoperability to enhance digital infrastructure and $8.6 million for Provider Productivity tools to reduce administrative burdens and provider burnout. The program is federally funded and led by the Virginia Department of Medical Assistance Services with VHCF as administrator.
Event Schedule
Core Initiatives
The program engages state and local agencies, health care providers, nonprofits, business partners, and community stakeholders to create a stronger health system in rural Virginia. The initiative includes conducting extensive stakeholder engagement, identifying key goals, and submitting a detailed CMS application to support rural health transformation. Key focus areas include expanding access, growing the workforce, and fostering innovation in rural health care.
This FAQ document supports applicants for the LENOWISCO Planning District Commission's Mobile & Hybrid Care RFA under the Virginia RHTP. Key guidance covers eligibility, allowable costs, technology procurement, and reporting requirements. The regional budget allocation is $11.8 million, focusing on improving access to specialty care, facilitating technology-enabled provider networks, and addressing transportation and infrastructure barriers for rural populations. Key contacts: Joel Reagan joel.reagan@dmas.virginia.gov; Isabelle Drayer isabelle.drayer@dmas.virginia.gov Event schedule: - Anticipated award notice - 01/08/2027
Event Schedule
Contacts
Core Initiatives
UVA Health has received nearly $4 million from the Virginia Hospital Research and Education Foundation to expand remote patient monitoring (RPM) for rural Virginians. The grant supports implementation and scaling of RPM programs for over 6,500 patients in all six regions designated as 'rural' by the Virginia Rural Health Transformation Program.
Virginia recognizes the importance of rural health through its Rural Health Transformation program focused on improving access and sustainability. The Governor proclaims November 19, 2026, as National Rural Health Day in the Commonwealth. Event schedule: - National Rural Health Day - November 19, 2026 - Commonwealth of Virginia
Event Schedule
Core Initiatives
October 30, 2030
Federal Funds Expiration Date
Federal funding for the program expires on this date.
September 30, 2027
End of Year 1 Award Period
All allotted funds must be spent by this date for year 1.
9/30/2027
Grant Agreements End
This is a one-year grant ending 9/30/2027 with possible continuation.
September 30, 2027
Year 1 Period of Performance Ends
Year 1 period of performance for the subawards ends.
Fall 2027 Semester
Additional Students Enrolled
Additional students will be enrolled in expanded health programs.
August 31, 2027
Year One Performance Period End
Year One performance period for funded projects ends August 31, 2027.
Year One performance period ends August 31, 2027
Year One ends August 31, 2027
The Year One period of performance concludes August 31, 2027.
August 7, 2027
Annual Progress and Financial Reports Due
Annual progress and financial reports for projects are due August 7, 2027.
July 1, 2027
Funded Residency Slots Start (Tier 1)
All residency slots funded through this mechanism must begin on July 1, 2027.
Federal Fiscal Year 2027 Q3
Initial Deployment Deadline
Initial deployment of infrastructure, equipment, etc. must occur by this deadline unless otherwise approved.
July 2027 – September 2027
Milestone 3: Project Closeout
Subrecipients participate in closeout, reporting, and confirm sustainability.
FFY Q2 2027
Program Launch
Launch of initial Food Is Medicine pilot sites in Federal Fiscal Year Quarter 2 2027.
VA - 2026 - CMS announces $10 Billion in Second Year of RHT
Nov 11, 2026 17:17
·EmailVA - 2026 - Proclamation Recognizing National Rural Health Day in Virginia
VA - 2026 - Request for Applications to distribute $11.8 million in funding as part of the Virginia RHTP
VA - 2026 - Virginia State Office of Rural Health - September Newsletter
VA state summary updated: transformationStrategy initiatives: 21 -> 4
Virginia’s Rural Health Transformation Program (RHTP) remains guided by a comprehensive, community-driven strategy led by DMAS, VDH, VHHA Fo…
Spreadsheets, data exports, and reference documents — available for download but excluded from the main activity feed. Showing the 40 most recent of 42.
VA - 2026 - RHTP Resources
2026 · HTML
VA - 2026 - UVA Health Expands Rural Remote Patient Monitoring with $4M Grant
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VA - 2026 - Lab-to-Launch Budget Template
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VA - 2025 - Virginia RHTP Mobile and Hybrid Care FAQ
2025 · PDF
Virginia Downtown Richmond, Virginia EDITORS Joe Shearin (VSBFA) PUBLISHED BY Angela Costello (VIPC) Kathryn Dolan (BDOS) Jasmine Torres (VIPC) 304.413.0104 RHTP 2024 Reference
2024 · PDF
Virginia Commercialization Funding Opportunities Vertical Content Alignment Box RHTP Announcement
2026 · PPTX
Virginia Commonwealth Commercialization Fund (CCF) Higher Education Proof-of-Concept (HE POC) Grant Program RHTP Guidance
Virginia HE POC Full Proposal Scoring Rubric RHTP Document
Virginia Lab-to-Launch - Virginia Innovation Partnership Corporation RHTP Document
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VA - 2025 - Launch Grant Company Requirements
VA - 2026 - Privacy Policy
VIPC Funding Programs January 2026
2026 · PDF
VA - 2026 - Launch Grant: DD Score Sheet
VA - 2026 - Investment Detail Report
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VA - 2026 - What is a Socially and Economically Disadvantaged Individuals (SEDI)-owned business?
Universities - Virginia Innovation Partnership Corporation
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VA - 2021 - Press Alt+1 for screen-reader mode, Alt+0 to cancel Accessibility Screen-Reader Guide, Feedback, and Issue Reporting | New window Skip to content Linkedin
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VA - 2026 - Virginia RHTP CareIQ Tech Innovation Fund Request for Applications (RFA) #C-27-002 Frequently Asked Questions (FAQs) Revised October 21, 2026
2026 · PDF
VA - 2026 - ... one of my top priorities," said Rep. Cline. "I'm fighting to ensure families
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VA - 2026 - Virginia Works Secures $2.2 Million Federal Award to Expand Registered Apprenticeships Across the Commonwealth
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VA - 2026 - Virginia Faces Major Cuts to Health Care and Food Assistance Amid Federal Spending Shifts
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VA - 2026 - CMS RHTP Funding Tracker: 2026 State Awards Summary
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VA - 2026 - Virginia RHT Initiative Overview
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VA - 2026 - CareIQ Tech Innovation Fund Request for Applications (RFA) Frequently Asked Questions (FAQs) Revised October 8, 2026
2026 · PDF
VA - 2024 - Award Terms and Subrecipient Guidance for Virginia RHTP Tech Innovation Fund
2024 · PDF
VA - 2024 - Stand Tall Hiring Tips
VA - 2026 - Budget Template
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VA - 2026 - Governor Spanberger Signs Day One Executive Orders to Make Virginia More Affordable 01.17.2026 Governor Abigail Spanberger today signed ten Executive Orders at the Virginia State Capitol — delivering decisive action on Day One…
2026 · PDF
VA - 2023 - Virginia Medicaid to Transform Managed Care
2023 · PDF
VA - 2023 - Temporary Benefits for Several Virginia Assistance Programs Will End Soon 03.06.2023 Richmond - Several medical, food and financial assistance flexibilities and programs administered by the Virginia Department of Social Services
2023 · PDF
VA - 2024 - Virginia Medicaid to Provide 12 Months of Protected Coverage for Children 01.10.2024 Richmond – The Virginia Department of Medical Assistance Services (DMAS) announced that children below the age of 19 enrolled in Virginia’s Med
2024 · PDF
VA - 2024 - Virginia Medicaid Announces Intent to Award Managed Care Contracts 02.29.2024 Richmond – The Department of Medical Assistance Services (DMAS) posted a Notice of Intent to Award (NOIA) contracts after completing evaluations and n
2024 · PDF
VA - 2025 - Virginia Medicaid Launches Cardinal Care Health Plans and Member Options
2025 · PDF
VA - 2025 - Commonwealth of Virginia Celebrates 20 Years of Cardinal Care Smiles 07.24.2025 RICHMOND – The Virginia Department of Medical Assistance Services (DMAS) are proud to celebrate a meaningful milestone. 20 years of Cardinal Care Sm
2025 · PDF
SFY 21 Rates Web File
SFY 22 Rates Web File with Temporary HCBS Rate Increase
NOVA Localities Homehealth
Coverage Assessment Multiplier
DOCX
VIRGINIA MEDICAID COVERAGE OF TRANSPLANTS RHTP 2021 Document
2021 · PDF
Breast Pumps And Lactation Consultation Services Fact Sheet
2016 · PDF
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VA - 2026 - Virginia RHTP Mobile and Hybrid Care FAQ SWVA Regional Collaborative
Rural Health Transformation SWVA RFA FAQ
VA - 2024 - Virginia RHTP Mobile and Hybrid Care FAQ SWVA Regional Collaborative
Rural Health Transformation SWVA RFA FAQ (updated)
VA - 2026 - Rural Transformation SWVA Request for Application
Regional RFA announcement page
VA - 2027 - Virginia RHTP Mobile & Hybrid Care #1 FAQs — November 6, 2026
FAQ (detected 2026-11-10): Virginia RHTP FAQS (Updated November 6, 2026)
VA - 2024 - Virginia RHTP Mobile and Hybrid Care FAQ
Request for Applications FAQ
VA - 2024 - Virginia RHTP Mobile and Hybrid Care Request for Applications
Regional RFA announcement page
Governor Morrisey announced over $3.4 million in Rural Health Transformation awards directed to WVU Health, supporting rural health efforts in West Virginia in fiscal year 2026. Event schedule: - , 2026 - October 19 - CHARLESTON, W.Va. – Governor Patrick Morrisey today announced more than $3.4 million in West Virginia Rural Health Transformation Program (WV RHTP) awards to West Virginia University (WVU) Health...
Event Schedule
Event Schedule
Contacts
Core Initiatives
This RFA makes approximately $11.8M available for competitive subawards to eligible organizations to deploy mobile and hybrid care models in rural Virginia. At least five awards are anticipated, supporting projects such as mobile units, telehealth kiosks, clinics in a box, and technology-enabled hubs to expand access to primary, behavioral, dental, vision, and specialty care for rural residents. Applications must target rural communities and address demonstrated healthcare access needs, with a strong focus on sustainability and measurable impact. Key contacts: Russ Williams russwilliams@esvaplan.org; Isabelle Drayer isabelle.drayer@dmas.virginia.gov; Joel Reagan joel.reagan@dmas.virginia.gov Event schedule: - RFA Issue Date - October 23, 2026 - ET - Written Questions Due - November 20, 2026 - 5:00 PM ET - RFA Due Date - November 23, 2026 - 5:00 PM ET - Anticipated Notice of Awards - January 8, 2027 - ET
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Contacts
Core Initiatives
This RFA is part of Virginia’s Rural Health Transformation Program (RHTP), targeting expanded mobile and hybrid care in rural Southwest Virginia. It makes approximately $11.8 million available for at least five awards to organizations serving or based in specifically designated rural counties and cities. The program supports the development and deployment of care models such as mobile units, telehealth hubs, clinics in a box, and hybrid models in the eligible service area. Key contacts: Jimmy Adkins rhtpswva@lenowisco.org; Isabelle Drayer isabelle.drayer@dmas.virginia.gov; Joel Reagan joel.reagan@dmas.virginia.gov Event schedule: - RFA Issue Date - 10/23/2026 - ET - Application Submission Deadline - 11/23/2026 - 5:00 PM ET - Email: rhtpswva@lenowisco.org - Written Questions Due - 11/20/2026 - 5:00 PM ET - Email: rhtpswva@lenowisco.org - Anticipated Notice of Awards - 01/08/2027 - ET
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Core Initiatives
This document provides formal guidance and certification procedures for verifying that prospective lower-tier subrecipients, contractors, and applicable subcontractors are not debarred or excluded from federal funding prior to RHTP awards. It details required steps for SAM.gov exclusion checks, required certifications, and documentation protocols for all participating entities. The process supplements, but does not replace, mandatory federal eligibility checks as part of Virginia's Tech Innovation Fund procurement under the Rural Health Transformation Program.
Core Initiatives
This document provides clarifications for applicants responding to the RHTP Earn to Learn Initiative RFA, a competitive grant opportunity for rural health workforce development through registered apprenticeships in Virginia. The initiative offers awards ranging from $500,000 to a maximum of $1.5 million per budget period, with an average cost cap of $13,000 per apprentice and the possibility of up to 5 years of funding. Apprentices receiving wage/supportive services must commit to a 5-year rural service agreement, and funding is restricted to programs serving rural areas of Virginia. Event schedule: - Q&A Submission Deadline - 10/02/2026 - 5:00 PM ET - Performance Period End - 09/30/2027 - Application Submission Deadline - 2026-10-16 - 17:00 ET - eVA submission portal
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Core Initiatives
Core Initiatives
The anticipated regional allocation for the Thomas Jefferson Planning District Commission Mobile & Hybrid Care initiative is approximately $11.8 million, with no applicant match required. The FAQ clarifies eligibility, allowable uses of funds (including telehealth, transportation, technology, and capital expenditures such as new mobile clinics), procurement requirements, and reporting metrics. Award notification is expected January 8, 2027, and special emphasis is placed on hub-and-spoke models, partnerships, and integration of specialty care. Key contacts: Joel Reagan joel.reagan@dmas.virginia.gov; Isabelle Drayer isabelle.drayer@dmas.virginia.gov Event schedule: - Anticipated award notification date - 01/08/2027
Event Schedule
Contacts
Core Initiatives